MS. BETHANY NICHOLE COWAN FNP-C
Prescription History 1164094744
Nurse Practitioner - Family in Tyler, TX

Active since July 13, 2021PECOS EnrolledAccepts Medicare Assignment
703 S FLEISHEL AVE, TYLER, TX 75701(903) 606-3000 Get Directions

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 27, 2024, Jul 13, 2021 (2 updates tracked since 2021).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for MS. BETHANY NICHOLE COWAN FNP-C, an active Family specialist practicing in Tyler, TX. Our medical registry currently tracks 18 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 3,331 documented patient claims. Among these therapy options, the most frequently utilized medication is Eliquis, which accounts for 991 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.

18
Medications
3,331
Total Claims
6,689
30-Day Fills
Eliquis
Most Prescribed · 991 claims
View details
18 medications · 2024 Medicare Part D
Medicare Part D medications prescribed by MS. BETHANY NICHOLE COWAN FNP-C in 2024, with prescription volumes, average cost per fill, and TX state comparisons
Medication Prescriptions (2024)Rx (2024) Avg Cost per FillCost / Fill Vs. Other TX PrescribersVs. TX Avg

About Eliquis: Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery. Show more ▾

With atrial fibrillation, part of the heart does not beat the way it should. This can lead to blood clots forming, which can travel to other parts of your body (such as the lungs or legs) or increase your risk for stroke. In the United States, apixaban is also approved to treat certain types of blood clots (deep vein thrombosis-DVT, pulmonary embolus-PE) and to prevent them from forming again. Apixaban is an anticoagulant that works by blocking certain clotting proteins in your blood. An antithrombotic agent.

In 2024, this provider wrote 991 Medicare prescriptions for Eliquis, about 12 times the volume of the typical Texas prescriber of this medication (81.5). Medicare paid an average of $902.86 per fill, versus $870.72 statewide.

How often this provider prescribes it

This provider
991
TX average
81.5

This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$902.86
TX average
$870.72

Gross Part D cost per fill; not the patient's out-of-pocket price.

1,620.7
30-Day Fills
standardized to 30-day supplies
48,335
Days of Medication
total across all patients in 2024

About Metoprolol Succinate: This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This lowers heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS.

In 2024, this provider wrote 546 Medicare prescriptions for Metoprolol Succinate, about 5.4 times the volume of the typical Texas prescriber of this medication (100.9). Medicare paid an average of $15.14 per fill, versus $14.00 statewide.

How often this provider prescribes it

This provider
546
TX average
100.9

This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$15.14
TX average
$14.00

Gross Part D cost per fill; not the patient's out-of-pocket price.

1,423.6
30-Day Fills
standardized to 30-day supplies
42,684
Days of Medication
total across all patients in 2024

About Xarelto: Rivaroxaban is used to prevent blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip or knee replacement surgery. Show more ▾

It is also used to prevent blood clots from forming in high-risk patients with limited mobility during their hospital stay and after discharge. In addition, rivaroxaban is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and to prevent the blood clots from forming again. Rivaroxaban may be used in children to prevent blood clots from forming after a certain heart surgery (Fontan procedure). Rivaroxaban is an anticoagulant that works by blocking certain clotting proteins in your blood. A morpholine and thiophene derivative that functions as a FACTOR XA INHIBITOR and is used in the treatment and prevention of DEEP-VEIN THROMBOSIS and PULMONARY EMBOLISM. It is also used for the prevention of STROKE and systemic embolization in patients with non-valvular ATRIAL FIBRILLATION, and for the prevention of atherothrombotic events in patients after an ACUTE CORONARY SYNDROME.

In 2024, this provider wrote 387 Medicare prescriptions for Xarelto, about 8.6 times the volume of the typical Texas prescriber of this medication (45.2). Medicare paid an average of $875.58 per fill, versus $943.32 statewide.

How often this provider prescribes it

This provider
387
TX average
45.2

This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$875.58
TX average
$943.32

This provider's average cost per fill is below the TX average for this medication.

627.7
30-Day Fills
standardized to 30-day supplies
18,735
Days of Medication
total across all patients in 2024

About Metoprolol Tartrate: Metoprolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Metoprolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS.

In 2024, this provider wrote 262 Medicare prescriptions for Metoprolol Tartrate, about 4.5 times the volume of the typical Texas prescriber of this medication (58.5). Medicare paid an average of $7.04 per fill, versus $6.73 statewide.

How often this provider prescribes it

This provider
262
TX average
58.5

This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$7.04
TX average
$6.73

Gross Part D cost per fill; not the patient's out-of-pocket price.

703
30-Day Fills
standardized to 30-day supplies
21,027
Days of Medication
total across all patients in 2024

About Amiodarone Hcl: This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as recurrent ventricular fibrillation/tachycardia). Show more ▾

It is used to restore normal heart rhythm and maintain a regular, steady heartbeat. Amiodarone is known as an anti-arrhythmic drug. It works by blocking certain electrical signals in the heart that can cause an irregular heartbeat. An antianginal and class III antiarrhythmic drug. It increases the duration of ventricular and atrial muscle action by inhibiting POTASSIUM CHANNELS and VOLTAGE-GATED SODIUM CHANNELS. There is a resulting decrease in heart rate and in vascular resistance.

In 2024, this provider wrote 226 Medicare prescriptions for Amiodarone Hcl, about 5 times the volume of the typical Texas prescriber of this medication (44.9). Medicare paid an average of $19.81 per fill, versus $23.63 statewide.

How often this provider prescribes it

This provider
226
TX average
44.9

This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$19.81
TX average
$23.63

This provider's average cost per fill is below the TX average for this medication.

419.9
30-Day Fills
standardized to 30-day supplies
12,352
Days of Medication
total across all patients in 2024

About Flecainide Acetate: This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as sustained ventricular tachycardia and paroxysmal supraventricular tachycardia). Show more ▾

It is used to restore normal heart rhythm and maintain a regular, steady heartbeat. It is also used to prevent certain types of irregular heartbeat from returning (such as atrial fibrillation). Flecainide is known as an anti-arrhythmic drug. It works by blocking certain electrical signals in the heart that can cause an irregular heartbeat. Treating an irregular heartbeat can decrease the risk for blood clots, and this effect can reduce your risk of heart attack or stroke. Older adults should discuss the risks and benefits of this medication with their doctor or pharmacist, as well as other effective and possibly safer treatments. A potent anti-arrhythmia agent, effective in a wide range of ventricular and atrial ARRHYTHMIAS and TACHYCARDIAS.

In 2024, this provider wrote 212 Medicare prescriptions for Flecainide Acetate, about 4 times the volume of the typical Texas prescriber of this medication (52.4). Medicare paid an average of $33.88 per fill, versus $37.86 statewide.

How often this provider prescribes it

This provider
212
TX average
52.4

This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$33.88
TX average
$37.86

This provider's average cost per fill is below the TX average for this medication.

416.8
30-Day Fills
standardized to 30-day supplies
12,475
Days of Medication
total across all patients in 2024

About Sotalol: This medication is used to treat a serious (possibly life-threatening) type of fast heartbeat called sustained ventricular tachycardia. Show more ▾

It is also used to treat certain fast/irregular heartbeats (atrial fibrillation/flutter) in patients with severe symptoms such as weakness and shortness of breath. Sotalol helps to lessen these symptoms. It slows the heart rate and helps the heart to beat more normally and regularly. This medication is both a beta blocker and an anti-arrhythmic. An adrenergic beta-antagonist that is used in the treatment of life-threatening arrhythmias.

In 2024, this provider wrote 202 Medicare prescriptions for Sotalol, about 4.8 times the volume of the typical Texas prescriber of this medication (41.9). Medicare paid an average of $20.66 per fill, versus $20.27 statewide.

How often this provider prescribes it

This provider
202
TX average
41.9

This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$20.66
TX average
$20.27

Gross Part D cost per fill; not the patient's out-of-pocket price.

499
30-Day Fills
standardized to 30-day supplies
14,926
Days of Medication
total across all patients in 2024

About Multaq: This medication is used if you have had certain types of irregular heartbeat (paroxysmal or persistent atrial fibrillation) in the past but now have a normal heart rhythm. Show more ▾

It helps you keep a normal heart rhythm and lowers your chance of having to go to the hospital for atrial fibrillation. Dronedarone is known as an antiarrhythmic drug. This medication should not be used if you have permanent atrial fibrillation because of the increased risk of very serious side effects. See also Warning section. A non-iodinated derivative of amiodarone that is used for the treatment of ARRHYTHMIA.

In 2024, this provider wrote 148 Medicare prescriptions for Multaq, about 4.6 times the volume of the typical Texas prescriber of this medication (32). Medicare paid an average of $1,123.43 per fill, versus $1,191.56 statewide.

How often this provider prescribes it

This provider
148
TX average
32.0

This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$1,123.43
TX average
$1,191.56

This provider's average cost per fill is below the TX average for this medication.

221.4
30-Day Fills
standardized to 30-day supplies
6,641
Days of Medication
total across all patients in 2024

About Digoxin: Digoxin is used to treat heart failure, usually along with other medications. Show more ▾

It is also used to treat certain types of irregular heartbeat (such as chronic atrial fibrillation). Treating heart failure may help maintain your ability to walk and exercise and may improve the strength of your heart. Treating an irregular heartbeat can also improve your ability to exercise. Digoxin belongs to a class of medications called cardiac glycosides. It works by affecting certain minerals (sodium and potassium) inside heart cells. This reduces strain on the heart and helps it maintain a normal, steady, and strong heartbeat. A cardiotonic glycoside obtained mainly from Digitalis lanata; it consists of three sugars and the aglycone DIGOXIGENIN. Digoxin has positive inotropic and negative chronotropic activity. It is used to control ventricular rate in ATRIAL FIBRILLATION and in the management of congestive heart failure with atrial fibrillation. Its use in congestive heart failure and sinus rhythm is less certain. The margin between toxic and therapeutic doses is small. (From Martindale, The Extra Pharmacopoeia, 30th ed, p666)

In 2024, this provider wrote 106 Medicare prescriptions for Digoxin, about 3.4 times the volume of the typical Texas prescriber of this medication (30.8). Medicare paid an average of $18.90 per fill, versus $22.47 statewide.

How often this provider prescribes it

This provider
106
TX average
30.8

This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$18.90
TX average
$22.47

This provider's average cost per fill is below the TX average for this medication.

207.8
30-Day Fills
standardized to 30-day supplies
6,175
Days of Medication
total across all patients in 2024

About Carvedilol: Carvedilol is used to treat high blood pressure and heart failure. Show more ▾

It is also used after a heart attack to improve the chance of survival if your heart is not pumping well. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers your heart rate, blood pressure, and strain on your heart. Carvedilol belongs to a class of drugs known as alpha and beta blockers. A carbazole and propanol derivative that acts as a non-cardioselective beta blocker and vasodilator. It has blocking activity for ALPHA 1 ADRENERGIC RECEPTORS and, at higher doses, may function as a blocker of CALCIUM CHANNELS; it also has antioxidant properties. Carvedilol is used in the treatment of HYPERTENSION; ANGINA PECTORIS; and HEART FAILURE. It can also reduce the risk of death following MYOCARDIAL INFARCTION.

In 2024, this provider wrote 98 Medicare prescriptions for Carvedilol, about 1.4 times the volume of the typical Texas prescriber of this medication (70.7). Medicare paid an average of $7.91 per fill, versus $8.22 statewide.

How often this provider prescribes it

This provider
98
TX average
70.7

This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$7.91
TX average
$8.22

This provider's average cost per fill is below the TX average for this medication.

242.3
30-Day Fills
standardized to 30-day supplies
7,246
Days of Medication
total across all patients in 2024

About Diltiazem 24hr Er (Cd): Diltiazem is used to treat high blood pressure (hypertension) and prevent chest pain (angina). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. When used regularly, diltiazem can decrease the number and severity of episodes of chest pain from angina. It may help increase your ability to exercise. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart so blood can flow more easily. Diltiazem also lowers your heart rate. These effects help the heart work less hard and lower blood pressure. A benzothiazepine derivative with vasodilating action due to its antagonism of the actions of CALCIUM ion on membrane functions.

In 2024, this provider wrote 29 Medicare prescriptions for Diltiazem 24hr Er (Cd), about the same volume as the typical Texas prescriber of this medication (29.1). Medicare paid an average of $10.84 per fill, versus $27.10 statewide.

How often this provider prescribes it

This provider
29
TX average
29.1

This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$10.84
TX average
$27.10

This provider's average cost per fill is below the TX average for this medication.

77
30-Day Fills
standardized to 30-day supplies
2,310
Days of Medication
total across all patients in 2024

About Dofetilide: This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as atrial fibrillation/flutter). Show more ▾

It is used to restore normal heart rhythm and maintain a regular, steady heartbeat. Dofetilide is known as an anti-arrhythmic drug. It works by blocking the activity of certain electrical signals in the heart that can cause an irregular heartbeat. Treating an irregular heartbeat can decrease the risk for blood clots, and this effect can reduce your risk of heart attack or stroke. Potassium channel antagonist that has class III activity.

In 2024, this provider wrote 26 Medicare prescriptions for Dofetilide, about half the volume of the typical Texas prescriber of this medication (46.8). Medicare paid an average of $206.89 per fill, versus $169.13 statewide.

How often this provider prescribes it

This provider
26
TX average
46.8

This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$206.89
TX average
$169.13

Gross Part D cost per fill; not the patient's out-of-pocket price.

62
30-Day Fills
standardized to 30-day supplies
1,860
Days of Medication
total across all patients in 2024

About Diltiazem 12hr Er: Diltiazem 12-hour sustained-action capsules are used to treat high blood pressure (hypertension). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart so blood can flow more easily. This effect lowers blood pressure. Diltiazem may also lower your heart rate. A benzothiazepine derivative with vasodilating action due to its antagonism of the actions of CALCIUM ion on membrane functions.

In 2024, this provider wrote 22 Medicare prescriptions for Diltiazem 12hr Er, about 1.3 times the volume of the typical Texas prescriber of this medication (16.4). Medicare paid an average of $182.63 per fill, versus $153.11 statewide.

How often this provider prescribes it

This provider
22
TX average
16.4

This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$182.63
TX average
$153.11

Gross Part D cost per fill; not the patient's out-of-pocket price.

48
30-Day Fills
standardized to 30-day supplies
1,440
Days of Medication
total across all patients in 2024

About Diltiazem Hcl: Diltiazem is used to prevent chest pain (angina). Show more ▾

It may help to increase your ability to exercise and decrease how often you may get angina attacks. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart and lowers the heart rate. Blood can flow more easily and your heart works less hard to pump blood. A benzothiazepine derivative with vasodilating action due to its antagonism of the actions of CALCIUM ion on membrane functions.

In 2024, this provider wrote 22 Medicare prescriptions for Diltiazem Hcl, about the same volume as the typical Texas prescriber of this medication (22). Medicare paid an average of $23.63 per fill, versus $23.35 statewide.

How often this provider prescribes it

This provider
22
TX average
22.0

This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$23.63
TX average
$23.35

Gross Part D cost per fill; not the patient's out-of-pocket price.

44
30-Day Fills
standardized to 30-day supplies
1,305
Days of Medication
total across all patients in 2024

About Dilt-Xr: Diltiazem is used to treat high blood pressure (hypertension) and prevent chest pain (angina). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. When used regularly, diltiazem can decrease the number and severity of episodes of chest pain from angina. It may help increase your ability to exercise. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart so blood can flow more easily. Diltiazem also lowers your heart rate. These effects help the heart work less hard and lower blood pressure. A benzothiazepine derivative with vasodilating action due to its antagonism of the actions of CALCIUM ion on membrane functions.

In 2024, this provider wrote 16 Medicare prescriptions for Dilt-Xr, about the same volume as the typical Texas prescriber of this medication (16.7). Medicare paid an average of $23.19 per fill, versus $31.96 statewide.

How often this provider prescribes it

This provider
16
TX average
16.7

This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$23.19
TX average
$31.96

This provider's average cost per fill is below the TX average for this medication.

22
30-Day Fills
standardized to 30-day supplies
660
Days of Medication
total across all patients in 2024

About Mexiletine Hcl: This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as sustained ventricular tachycardia). Show more ▾

It is used to restore normal heart rhythm and maintain a regular, steady heartbeat. Mexiletine is known as an anti-arrhythmic drug. It works by blocking certain electrical signals in the heart that can cause an irregular heartbeat. Treating an irregular heartbeat can decrease the risk for blood clots, and this effect can reduce your risk of heart attack or stroke. Antiarrhythmic agent pharmacologically similar to LIDOCAINE. It may have some anticonvulsant properties.

In 2024, this provider wrote 14 Medicare prescriptions for Mexiletine Hcl, about 63% of the volume of the typical Texas prescriber of this medication (22.3). Medicare paid an average of $86.65 per fill, versus $89.07 statewide.

How often this provider prescribes it

This provider
14
TX average
22.3

This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$86.65
TX average
$89.07

This provider's average cost per fill is below the TX average for this medication.

22
30-Day Fills
standardized to 30-day supplies
660
Days of Medication
total across all patients in 2024

About Clopidogrel: Clopidogrel is used to prevent heart attacks and strokes in persons with heart disease (recent heart attack), recent stroke, or blood circulation disease (peripheral vascular disease). Show more ▾

It is also used with aspirin to treat new/worsening chest pain (new heart attack, unstable angina) and to keep blood vessels open and prevent blood clots after certain procedures (such as cardiac stent). Clopidogrel works by blocking platelets from sticking together and prevents them from forming harmful clots. It is an antiplatelet drug. It helps keep blood flowing smoothly in your body. A ticlopidine analog and platelet purinergic P2Y receptor antagonist that inhibits adenosine diphosphate-mediated PLATELET AGGREGATION. It is used to prevent THROMBOEMBOLISM in patients with ARTERIAL OCCLUSIVE DISEASES; MYOCARDIAL INFARCTION; STROKE; or ATRIAL FIBRILLATION.

In 2024, this provider wrote 12 Medicare prescriptions for Clopidogrel, about 19% of the volume of the typical Texas prescriber of this medication (64.4). Medicare paid an average of $7.20 per fill, versus $11.09 statewide.

How often this provider prescribes it

This provider
12
TX average
64.4

This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$7.20
TX average
$11.09

This provider's average cost per fill is below the TX average for this medication.

20
30-Day Fills
standardized to 30-day supplies
600
Days of Medication
total across all patients in 2024

About Droxidopa: Droxidopa is used to treat symptoms of low blood pressure when standing, caused by a certain medical condition (neurogenic orthostatic hypotension-NOH). Show more ▾

This medication can lessen symptoms of low blood pressure when standing (orthostatic hypotension), such as dizziness, lightheadedness, or the "feeling that you are about to black out." Droxidopa is used by people whose daily activities are severely affected by this condition, even after other treatments are used (such as support stockings, water bolus). It is thought to work by making the blood vessels become more narrow, which increases blood pressure. A synthetic precursor of norepinephrine that is used in the treatment of PARKINSONIAN DISORDERS and ORTHOSTATIC HYPOTENSION.

In 2024, this provider wrote 12 Medicare prescriptions for Droxidopa, about half the volume of the typical Texas prescriber of this medication (21.3). Medicare paid an average of $180.86 per fill, versus $2,530.66 statewide.

How often this provider prescribes it

This provider
12
TX average
21.3

This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$180.86
TX average
$2,530.66

This provider's average cost per fill is below the TX average for this medication.

12
30-Day Fills
standardized to 30-day supplies
360
Days of Medication
total across all patients in 2024
No medications match the current filters.
= the 5 medications this provider prescribes most.▲ More than typical≈ Typical▼ Less than typical= prescription volume vs the average TX prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the TX average cost per fill.

About this data. The prescription history for MS. BETHANY NICHOLE COWAN FNP-C is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2024, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Family prescribing approach at this Tyler, TX practice.

Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average among TX prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.

About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.