AMANDA MELANIE METZGER PA
Prescription History 1245730621
Family Medicine in Leesburg, FL

Active since February 13, 2018Opted out of Medicare · through Apr 1, 2027
401 W NORTH BLVD, LEESBURG, FL 34748(352) 728-4242 Get Directions

NPPES record last updated: February 13, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for AMANDA MELANIE METZGER PA, an active Family Medicine specialist practicing in Leesburg, FL. Our medical registry currently tracks 28 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 694 documented patient claims. Among these therapy options, the most frequently utilized medication is Prednisone, which accounts for 68 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.

28
Medications
694
Total Claims
1,427
30-Day Fills
Prednisone
Most Prescribed · 68 claims
View details
28 medications · 2024 Medicare Part D
Medicare Part D medications prescribed by AMANDA MELANIE METZGER PA in 2024, with prescription volumes, average cost per fill, and FL state comparisons
Medication Prescriptions (2024)Rx (2024) Avg Cost per FillCost / Fill Vs. Other FL PrescribersVs. FL Avg

About Prednisone: Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders. Show more ▾

Prednisone belongs to a class of drugs known as corticosteroids. It decreases your immune system's response to various diseases to reduce symptoms such as swelling and allergic-type reactions. A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver.

In 2024, this provider wrote 68 Medicare prescriptions for Prednisone, about 1.3 times the volume of the typical Florida prescriber of this medication (52.8). Medicare paid an average of $1.18 per fill, versus $4.25 statewide.

How often this provider prescribes it

This provider
68
FL average
52.8

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

What Medicare paid per fill

This provider
$1.18
FL average
$4.25

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

68
30-Day Fills
standardized to 30-day supplies
340
Days of Medication
total across all patients in 2024

About Amlodipine Besylate: Amlodipine is used with or without other medications to treat high blood pressure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Amlodipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. A long-acting dihydropyridine calcium channel blocker. It is effective in the treatment of ANGINA PECTORIS and HYPERTENSION.

In 2024, this provider wrote 56 Medicare prescriptions for Amlodipine Besylate, about a third of the volume of the typical Florida prescriber of this medication (149.6). Medicare paid an average of $5.70 per fill, versus $5.82 statewide.

How often this provider prescribes it

This provider
56
FL average
149.6

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

What Medicare paid per fill

This provider
$5.70
FL average
$5.82

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

153
30-Day Fills
standardized to 30-day supplies
4,590
Days of Medication
total across all patients in 2024

About Rosuvastatin Calcium: Rosuvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood. Show more ▾

It belongs to a group of drugs known as "statins." It works by reducing the amount of cholesterol made by the liver. Lowering "bad" cholesterol and triglycerides and raising "good" cholesterol decreases the risk of heart disease and helps to prevent strokes and heart attacks. In addition to eating a proper diet (such as a low cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Talk with your doctor for more details. A HYDROXYMETHYLGLUTARYL-COA-REDUCTASE INHIBITOR, or statin, that reduces the plasma concentrations of LDL-CHOLESTEROL; APOLIPOPROTEIN B, and TRIGLYCERIDES while increasing HDL-CHOLESTEROL levels in patients with HYPERCHOLESTEROLEMIA and those at risk for CARDIOVASCULAR DISEASES.

In 2024, this provider wrote 39 Medicare prescriptions for Rosuvastatin Calcium, about a quarter of the volume of the typical Florida prescriber of this medication (151.3). Medicare paid an average of $16.23 per fill, versus $12.14 statewide.

How often this provider prescribes it

This provider
39
FL average
151.3

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

What Medicare paid per fill

This provider
$16.23
FL average
$12.14

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

111
30-Day Fills
standardized to 30-day supplies
3,330
Days of Medication
total across all patients in 2024

About Levothyroxine Sodium: Levothyroxine is used to treat an underactive thyroid (hypothyroidism). Show more ▾

It replaces or provides more thyroid hormone, which is normally produced by the thyroid gland. Low thyroid hormone levels can occur naturally or when the thyroid gland is injured by radiation/medications or removed by surgery. Having enough thyroid hormone is important for maintaining normal mental and physical activity. In children, having enough thyroid hormone is important for normal mental and physical development. This medication is also used to treat other types of thyroid disorders (such as thyroid cancer). This medication should not be used to treat infertility unless it is caused by low thyroid hormone levels. The major hormone derived from the thyroid gland. Thyroxine is synthesized via the iodination of tyrosines (MONOIODOTYROSINE) and the coupling of iodotyrosines (DIIODOTYROSINE) in the THYROGLOBULIN. Thyroxine is released from thyroglobulin by proteolysis and secreted into the blood. Thyroxine is peripherally deiodinated to form TRIIODOTHYRONINE which exerts a broad spectrum of stimulatory effects on cell metabolism.

In 2024, this provider wrote 38 Medicare prescriptions for Levothyroxine Sodium, about a quarter of the volume of the typical Florida prescriber of this medication (158.6). Medicare paid an average of $8.03 per fill, versus $10.37 statewide.

How often this provider prescribes it

This provider
38
FL average
158.6

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

What Medicare paid per fill

This provider
$8.03
FL average
$10.37

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

103.6
30-Day Fills
standardized to 30-day supplies
3,108
Days of Medication
total across all patients in 2024

About Atorvastatin Calcium: Atorvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood. Show more ▾

It belongs to a group of drugs known as "statins." It works by reducing the amount of cholesterol made by the liver. Lowering "bad" cholesterol and triglycerides and raising "good" cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A pyrrole and heptanoic acid derivative, HYDROXYMETHYLGLUTARYL-COA REDUCTASE INHIBITOR (statin), and ANTICHOLESTEREMIC AGENT that is used to reduce serum levels of LDL-CHOLESTEROL; APOLIPOPROTEIN B; and TRIGLYCERIDES. It is used to increase serum levels of HDL-CHOLESTEROL in the treatment of HYPERLIPIDEMIAS, and for the prevention of CARDIOVASCULAR DISEASES in patients with multiple risk factors.

In 2024, this provider wrote 37 Medicare prescriptions for Atorvastatin Calcium, about 19% of the volume of the typical Florida prescriber of this medication (197.3). Medicare paid an average of $14.92 per fill, versus $9.21 statewide.

How often this provider prescribes it

This provider
37
FL average
197.3

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

What Medicare paid per fill

This provider
$14.92
FL average
$9.21

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

106.3
30-Day Fills
standardized to 30-day supplies
3,190
Days of Medication
total across all patients in 2024

About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾

It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME.

In 2024, this provider wrote 32 Medicare prescriptions for Gabapentin, about a third of the volume of the typical Florida prescriber of this medication (102.2). Medicare paid an average of $11.33 per fill, versus $14.90 statewide.

How often this provider prescribes it

This provider
32
FL average
102.2

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

What Medicare paid per fill

This provider
$11.33
FL average
$14.90

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

61
30-Day Fills
standardized to 30-day supplies
1,790
Days of Medication
total across all patients in 2024

About Doxycycline Monohydrate: This medication is used to treat a wide variety of bacterial infections, including those that cause acne. Show more ▾

This medication is also used to prevent malaria. This medication is known as a tetracycline antibiotic. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A synthetic tetracycline derivative with similar antimicrobial activity.

In 2024, this provider wrote 30 Medicare prescriptions for Doxycycline Monohydrate, about 82% of the volume of the typical Florida prescriber of this medication (36.7). Medicare paid an average of $10.11 per fill, versus $14.93 statewide.

How often this provider prescribes it

This provider
30
FL average
36.7

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

What Medicare paid per fill

This provider
$10.11
FL average
$14.93

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

30
30-Day Fills
standardized to 30-day supplies
214
Days of Medication
total across all patients in 2024

About Metformin Hcl: Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾

It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289)

In 2024, this provider wrote 30 Medicare prescriptions for Metformin Hcl, about a quarter of the volume of the typical Florida prescriber of this medication (110.3). Medicare paid an average of $4.70 per fill, versus $5.88 statewide.

How often this provider prescribes it

This provider
30
FL average
110.3

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

What Medicare paid per fill

This provider
$4.70
FL average
$5.88

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

81
30-Day Fills
standardized to 30-day supplies
2,430
Days of Medication
total across all patients in 2024

About Montelukast Sodium: Montelukast is used to control and prevent symptoms caused by asthma (such as wheezing and shortness of breath). Show more ▾

It is also used before exercise to prevent breathing problems during exercise (bronchospasm). This medication can help decrease the number of times you need to use your quick relief inhaler. Montelukast is also used to relieve symptoms of hay fever and allergic rhinitis (such as sneezing, stuffy/runny/itchy nose). Since there are other allergy medications that may be safer (see also Warning section), this medication should be used for this condition only when you cannot take other allergy medications or they do not work well. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks or breathing problems. If an asthma attack or sudden shortness of breath occurs, use your quick-relief inhaler as prescribed. This drug works by blocking certain natural substances (leukotrienes) that may cause or worsen asthma and allergies. It helps make breathing easier by reducing swelling (inflammation) in the airways. A leukotriene D4 receptor antagonist.

In 2024, this provider wrote 29 Medicare prescriptions for Montelukast Sodium, about half the volume of the typical Florida prescriber of this medication (68.2). Medicare paid an average of $14.90 per fill, versus $10.00 statewide.

How often this provider prescribes it

This provider
29
FL average
68.2

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

What Medicare paid per fill

This provider
$14.90
FL average
$10.00

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

67
30-Day Fills
standardized to 30-day supplies
2,010
Days of Medication
total across all patients in 2024

About Baclofen: Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury/disease). Show more ▾

It works by helping to relax the muscles. A GAMMA-AMINOBUTYRIC ACID derivative that is a specific agonist of GABA-B RECEPTORS. It is used in the treatment of MUSCLE SPASTICITY, especially that due to SPINAL CORD INJURIES. Its therapeutic effects result from actions at spinal and supraspinal sites, generally the reduction of excitatory transmission.

In 2024, this provider wrote 27 Medicare prescriptions for Baclofen, about half the volume of the typical Florida prescriber of this medication (47.7). Medicare paid an average of $9.77 per fill, versus $13.24 statewide.

How often this provider prescribes it

This provider
27
FL average
47.7

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

What Medicare paid per fill

This provider
$9.77
FL average
$13.24

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

37
30-Day Fills
standardized to 30-day supplies
1,090
Days of Medication
total across all patients in 2024

About Lisinopril: Lisinopril is used to treat high blood pressure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat heart failure and to improve survival after a heart attack. Lisinopril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily. One of the ANGIOTENSIN-CONVERTING ENZYME INHIBITORS (ACE inhibitors), orally active, that has been used in the treatment of hypertension and congestive heart failure.

In 2024, this provider wrote 26 Medicare prescriptions for Lisinopril, about a quarter of the volume of the typical Florida prescriber of this medication (119.3). Medicare paid an average of $7.49 per fill, versus $6.26 statewide.

How often this provider prescribes it

This provider
26
FL average
119.3

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

What Medicare paid per fill

This provider
$7.49
FL average
$6.26

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

70
30-Day Fills
standardized to 30-day supplies
2,100
Days of Medication
total across all patients in 2024

About Furosemide: Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾

This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Furosemide is a "water pill" (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A benzoic-sulfonamide-furan. It is a diuretic with fast onset and short duration that is used for EDEMA and chronic RENAL INSUFFICIENCY.

In 2024, this provider wrote 23 Medicare prescriptions for Furosemide, about a third of the volume of the typical Florida prescriber of this medication (69.1). Medicare paid an average of $4.60 per fill, versus $4.78 statewide.

How often this provider prescribes it

This provider
23
FL average
69.1

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

What Medicare paid per fill

This provider
$4.60
FL average
$4.78

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

35
30-Day Fills
standardized to 30-day supplies
995
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 21 Medicare prescriptions for Metoprolol Succinate, about a quarter of the volume of the typical Florida prescriber of this medication (104.7). Medicare paid an average of $24.23 per fill, versus $13.25 statewide.

How often this provider prescribes it

This provider
21
FL average
104.7

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

What Medicare paid per fill

This provider
$24.23
FL average
$13.25

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

59
30-Day Fills
standardized to 30-day supplies
1,770
Days of Medication
total across all patients in 2024

About Losartan Potassium: Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes. Show more ▾

It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Losartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An antagonist of ANGIOTENSIN TYPE 1 RECEPTOR with antihypertensive activity due to the reduced pressor effect of ANGIOTENSIN II.

In 2024, this provider wrote 21 Medicare prescriptions for Losartan Potassium, about 16% of the volume of the typical Florida prescriber of this medication (132.7). Medicare paid an average of $18.99 per fill, versus $8.87 statewide.

How often this provider prescribes it

This provider
21
FL average
132.7

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

What Medicare paid per fill

This provider
$18.99
FL average
$8.87

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

61.3
30-Day Fills
standardized to 30-day supplies
1,840
Days of Medication
total across all patients in 2024

About Albuterol Sulfate Hfa: Albuterol (also known as salbutamol) is used to prevent and treat wheezing and shortness of breath caused by breathing problems (such as asthma, chronic obstructive pulmonary disease). Show more ▾

It is also used to prevent asthma brought on by exercise. It is a quick-relief drug. Albuterol belongs to a class of drugs known as bronchodilators. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. A short-acting beta-2 adrenergic agonist that is primarily used as a bronchodilator agent to treat ASTHMA. Albuterol is prepared as a racemic mixture of R(-) and S(+) stereoisomers. The stereospecific preparation of R(-) isomer of albuterol is referred to as levalbuterol.

In 2024, this provider wrote 20 Medicare prescriptions for Albuterol Sulfate Hfa, about a quarter of the volume of the typical Florida prescriber of this medication (73.5). Medicare paid an average of $26.33 per fill, versus $28.99 statewide.

How often this provider prescribes it

This provider
20
FL average
73.5

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

What Medicare paid per fill

This provider
$26.33
FL average
$28.99

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

22.7
30-Day Fills
standardized to 30-day supplies
567
Days of Medication
total across all patients in 2024

About Fluticasone Propionate: Fluticasone is used to relieve seasonal and year-round allergic and non-allergic nasal symptoms, such as stuffy/runny nose, itching, and sneezing. Show more ▾

It can also help relieve allergy eye symptoms such as itchy, watery eyes. This medication belongs to a class of drugs known as corticosteroids. It works in your nose to block the effects of substances that cause allergies (such as pollen, pet dander, dust mites, mold) and to reduce swelling. A STEROID with GLUCOCORTICOID RECEPTOR activity that is used to manage the symptoms of ASTHMA; ALLERGIC RHINITIS, and ATOPIC DERMATITIS.

In 2024, this provider wrote 20 Medicare prescriptions for Fluticasone Propionate, about a third of the volume of the typical Florida prescriber of this medication (66.5). Medicare paid an average of $21.49 per fill, versus $13.67 statewide.

How often this provider prescribes it

This provider
20
FL average
66.5

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

What Medicare paid per fill

This provider
$21.49
FL average
$13.67

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

40
30-Day Fills
standardized to 30-day supplies
1,200
Days of Medication
total across all patients in 2024

About Famotidine: Famotidine is used to treat ulcers of the stomach and intestines and to prevent intestinal ulcers from coming back after they have healed. Show more ▾

This medication is also used to treat certain stomach and throat (esophagus) problems (such as erosive esophagitis, gastroesophageal reflux disease-GERD, Zollinger-Ellison syndrome). It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as cough that doesn't go away, stomach pain, heartburn, and difficulty swallowing. Famotidine belongs to a class of drugs known as H2 blockers. This medication is also available without a prescription. It is used to prevent and treat heartburn and other symptoms caused by too much acid in the stomach (acid indigestion). If you are taking this medication for self-treatment, it is important to read the manufacturer's package instructions carefully so you know when to consult your doctor or pharmacist. A competitive histamine H2-receptor antagonist. Its main pharmacodynamic effect is the inhibition of gastric secretion.

In 2024, this provider wrote 19 Medicare prescriptions for Famotidine, about a third of the volume of the typical Florida prescriber of this medication (66.3). Medicare paid an average of $11.63 per fill, versus $12.91 statewide.

How often this provider prescribes it

This provider
19
FL average
66.3

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

What Medicare paid per fill

This provider
$11.63
FL average
$12.91

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

41
30-Day Fills
standardized to 30-day supplies
1,230
Days of Medication
total across all patients in 2024

About Amoxicillin-Clavulanate Potass: Amoxicillin/clavulanic acid is a combination penicillin-type antibiotic used to treat a wide variety of bacterial infections. Show more ▾

It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections.

In 2024, this provider wrote 17 Medicare prescriptions for Amoxicillin-Clavulanate Potass, about half the volume of the typical Florida prescriber of this medication (31.6). Medicare paid an average of $6.16 per fill, versus $9.46 statewide.

How often this provider prescribes it

This provider
17
FL average
31.6

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

What Medicare paid per fill

This provider
$6.16
FL average
$9.46

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

17
30-Day Fills
standardized to 30-day supplies
119
Days of Medication
total across all patients in 2024

About Repatha Sureclick: Evolocumab is used along with a proper diet to help lower "bad" cholesterol (LDL) in the blood. Show more ▾

It may be used with other LDL-lowering treatments (such as "statin" drugs, ezetimibe, LDL apheresis). Evolocumab is also used by people who have heart disease to reduce the risk of heart attack, stroke, and certain types of chest pain that require treatment in a hospital. This medication belongs to a class of drugs known as monoclonal antibodies. It works by improving how well your body gets rid of LDL cholesterol. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. Targets PCSK9.

In 2024, this provider wrote 16 Medicare prescriptions for Repatha Sureclick, about a third of the volume of the typical Florida prescriber of this medication (47.8). Medicare paid an average of $654.90 per fill, versus $918.57 statewide.

How often this provider prescribes it

This provider
16
FL average
47.8

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

What Medicare paid per fill

This provider
$654.90
FL average
$918.57

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

19.6
30-Day Fills
standardized to 30-day supplies
560
Days of Medication
total across all patients in 2024

About Fluticasone-Salmeterol: This product is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma or ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾

It contains 2 medications: fluticasone and salmeterol. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing the irritation and swelling of the airways. Salmeterol belongs to the class of drugs known as long-acting beta agonists. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. When used alone, long-acting beta agonists (such as salmeterol) may rarely increase the risk of serious (sometimes fatal) asthma-related breathing problems. However, combination inhaled corticosteroid and long-acting beta agonists, such as this product, do not increase the risk of serious asthma-related breathing problems. For asthma treatment, this product should be used when breathing problems are not well controlled with one asthma-control medication (such as inhaled corticosteroid) or if your symptoms need combination treatment. Before using this medication, it is important to learn how to use it properly. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. A drug combination of fluticasone and salmeterol that is used as an inhaler formulation to manage the symptoms of ASTHMA and CHRONIC OBSTRUCTIVE PULMONARY DISEASE.

In 2024, this provider wrote 15 Medicare prescriptions for Fluticasone-Salmeterol, about half the volume of the typical Florida prescriber of this medication (33.4). Medicare paid an average of $220.99 per fill, versus $142.73 statewide.

How often this provider prescribes it

This provider
15
FL average
33.4

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

What Medicare paid per fill

This provider
$220.99
FL average
$142.73

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

23
30-Day Fills
standardized to 30-day supplies
690
Days of Medication
total across all patients in 2024

About Clonidine Hcl: This medication is used alone or with other medications to treat high blood pressure (hypertension). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Clonidine belongs to a class of drugs (central alpha agonists) that act in the brain to lower blood pressure. It works by relaxing blood vessels so blood can flow more easily. An imidazoline sympatholytic agent that stimulates ALPHA-2 ADRENERGIC RECEPTORS and central IMIDAZOLINE RECEPTORS. It is commonly used in the management of HYPERTENSION.

In 2024, this provider wrote 15 Medicare prescriptions for Clonidine Hcl, about half the volume of the typical Florida prescriber of this medication (30.7). Medicare paid an average of $2.40 per fill, versus $5.87 statewide.

How often this provider prescribes it

This provider
15
FL average
30.7

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

What Medicare paid per fill

This provider
$2.40
FL average
$5.87

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

25
30-Day Fills
standardized to 30-day supplies
750
Days of Medication
total across all patients in 2024

About Omeprazole: Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). Show more ▾

It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Omeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter omeprazole products are used to treat frequent heartburn (occurring 2 or more days a week). Since it may take 1 to 4 days to have full effect, these products do not relieve heartburn right away. For over-the-counter products, carefully read the package instructions to make sure the product is right for you. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar brand names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. A 4-methoxy-3,5-dimethylpyridyl, 5-methoxybenzimidazole derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits an H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS.

In 2024, this provider wrote 15 Medicare prescriptions for Omeprazole, about 15% of the volume of the typical Florida prescriber of this medication (100.1). Medicare paid an average of $7.15 per fill, versus $12.94 statewide.

How often this provider prescribes it

This provider
15
FL average
100.1

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

What Medicare paid per fill

This provider
$7.15
FL average
$12.94

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

39
30-Day Fills
standardized to 30-day supplies
1,150
Days of Medication
total across all patients in 2024

About Simvastatin: Simvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood. Show more ▾

It belongs to a group of drugs known as "statins." It works by reducing the amount of cholesterol made by the liver. Lowering "bad" cholesterol and triglycerides and raising "good" cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A derivative of LOVASTATIN and potent competitive inhibitor of 3-hydroxy-3-methylglutaryl coenzyme A reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES), which is the rate-limiting enzyme in cholesterol biosynthesis. It may also interfere with steroid hormone production. Due to the induction of hepatic LDL RECEPTORS, it increases breakdown of LDL CHOLESTEROL.

In 2024, this provider wrote 15 Medicare prescriptions for Simvastatin, about a quarter of the volume of the typical Florida prescriber of this medication (72.5). Medicare paid an average of $9.59 per fill, versus $7.43 statewide.

How often this provider prescribes it

This provider
15
FL average
72.5

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

What Medicare paid per fill

This provider
$9.59
FL average
$7.43

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

43
30-Day Fills
standardized to 30-day supplies
1,270
Days of Medication
total across all patients in 2024

About Sulfamethoxazole-Trimethoprim: This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim. Show more ▾

It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory, and intestinal infections). It is also used to prevent and treat a certain type of pneumonia (pneumocystis-type). This medication should not be used by children less than 2 months of age due to the risk of serious side effects. This medication treats only certain types of infections. It will not work for viral infections (such as flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness.

In 2024, this provider wrote 15 Medicare prescriptions for Sulfamethoxazole-Trimethoprim, about half the volume of the typical Florida prescriber of this medication (28.3). Medicare paid an average of $3.93 per fill, versus $5.05 statewide.

How often this provider prescribes it

This provider
15
FL average
28.3

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

What Medicare paid per fill

This provider
$3.93
FL average
$5.05

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

15
30-Day Fills
standardized to 30-day supplies
101
Days of Medication
total across all patients in 2024

About Trazodone Hcl: This medication is used to treat depression. Show more ▾

Trazodone works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A serotonin uptake inhibitor that is used as an antidepressive agent. It has been shown to be effective in patients with major depressive disorders and other subsets of depressive disorders. It is generally more useful in depressive disorders associated with insomnia and anxiety. This drug does not aggravate psychotic symptoms in patients with schizophrenia or schizoaffective disorders. (From AMA Drug Evaluations Annual, 1994, p309)

In 2024, this provider wrote 15 Medicare prescriptions for Trazodone Hcl, about 19% of the volume of the typical Florida prescriber of this medication (80.2). Medicare paid an average of $4.33 per fill, versus $8.89 statewide.

How often this provider prescribes it

This provider
15
FL average
80.2

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

What Medicare paid per fill

This provider
$4.33
FL average
$8.89

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

29
30-Day Fills
standardized to 30-day supplies
870
Days of Medication
total across all patients in 2024

About Buprenorphine-Naloxone: This medication contains 2 medicines: buprenorphine and naloxone. Show more ▾

It is used to treat opioid use disorder. Buprenorphine belongs to a class of drugs called mixed opioid agonist-antagonists. Buprenorphine helps prevent withdrawal symptoms caused by stopping other opioids. Naloxone is an opioid antagonist that blocks the effect of opioids and can cause severe opioid withdrawal when injected. Withdrawal is less likely when naloxone is taken by mouth, dissolved under the tongue, or dissolved on the inside of the cheek. It is combined with buprenorphine to prevent abuse and misuse (injection) of this medication. This combination medication is used as part of a complete treatment program for opioid use disorder (such as compliance monitoring, counseling, behavioral contract, lifestyle changes). Ask your doctor or pharmacist if you should have naloxone available to treat opioid overdose. Teach your family or household members about the signs of an opioid overdose and how to treat it. A pharmaceutical preparation that combines buprenorphine, an OPIOID ANALGESICS with naloxone, a NARCOTIC ANTAGONISTS to reduce the potential for NARCOTIC DEPENDENCE in the treatment of pain. It may also be used for OPIOID SUBSTITUTION THERAPY.

In 2024, this provider wrote 13 Medicare prescriptions for Buprenorphine-Naloxone, about a quarter of the volume of the typical Florida prescriber of this medication (62.4). Medicare paid an average of $124.44 per fill, versus $135.64 statewide.

How often this provider prescribes it

This provider
13
FL average
62.4

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

What Medicare paid per fill

This provider
$124.44
FL average
$135.64

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

13
30-Day Fills
standardized to 30-day supplies
347
Days of Medication
total across all patients in 2024

About Duloxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, anxiety). Show more ▾

It is also used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain). Duloxetine belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A thiophene derivative and selective NEUROTRANSMITTER UPTAKE INHIBITOR for SEROTONIN and NORADRENALINE (SNRI). It is an ANTIDEPRESSIVE AGENT and ANXIOLYTIC, and is also used for the treatment of pain in patients with DIABETES MELLITUS and FIBROMYALGIA.

In 2024, this provider wrote 11 Medicare prescriptions for Duloxetine Hcl, about a quarter of the volume of the typical Florida prescriber of this medication (52.2). Medicare paid an average of $25.39 per fill, versus $24.35 statewide.

How often this provider prescribes it

This provider
11
FL average
52.2

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

What Medicare paid per fill

This provider
$25.39
FL average
$24.35

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

23
30-Day Fills
standardized to 30-day supplies
660
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 11 Medicare prescriptions for Carvedilol, about 17% of the volume of the typical Florida prescriber of this medication (65.4). Medicare paid an average of $6.40 per fill, versus $8.57 statewide.

How often this provider prescribes it

This provider
11
FL average
65.4

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

What Medicare paid per fill

This provider
$6.40
FL average
$8.57

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

33
30-Day Fills
standardized to 30-day supplies
990
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 FL prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the FL average cost per fill.

About this data. The prescription history for AMANDA MELANIE METZGER PA 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 Medicine prescribing approach at this Leesburg, FL 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 FL 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.