CASSANDRA MARIE HIRMAN APRN, FNP
Prescription History 1255116554
Nurse Practitioner - Family in Monticello, MN
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for CASSANDRA MARIE HIRMAN APRN, FNP, an active Family specialist practicing in Monticello, MN. Our medical registry currently tracks 5 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 126 documented patient claims. Among these therapy options, the most frequently utilized medication is Nitrofurantoin Mono-Macro, which accounts for 58 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.
| Medication | Prescriptions (2024)Rx (2024) | Avg Cost per FillCost / Fill | Vs. Other MN PrescribersVs. MN Avg |
|---|---|---|---|
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 58 | $9.97▼ below MN avg | ▲ More than typical |
About Nitrofurantoin Mono-Macro: This medication is an antibiotic used to treat bladder infections (acute cystitis). 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. This medication should not be used in infants younger than 1 month old (see also Precautions section). This drug should not be used to treat infections outside the bladder (including kidney infections such as pyelonephritis or perinephric abscesses). In 2024, this provider wrote 58 Medicare prescriptions for Nitrofurantoin Mono-Macro, about 2.7 times the volume of the typical Minnesota prescriber of this medication (21.5). Medicare paid an average of $9.97 per fill, versus $14.68 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MN average for this medication. 58 30-Day Fills standardized to 30-day supplies 299 Days of Medication total across all patients in 2024 | |||
| Ciprofloxacin Hcl | 23 | $3.06▼ below MN avg | ≈ Typical |
About Ciprofloxacin Hcl: This medication is used to treat a variety of bacterial infections. Show more ▾ Ciprofloxacin belongs to a class of drugs called quinolone antibiotics. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for virus infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A broad-spectrum antimicrobial carboxyfluoroquinoline. In 2024, this provider wrote 23 Medicare prescriptions for Ciprofloxacin Hcl, about the same volume as the typical Minnesota prescriber of this medication (21.8). Medicare paid an average of $3.06 per fill, versus $6.19 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MN average for this medication. 23 30-Day Fills standardized to 30-day supplies 87 Days of Medication total across all patients in 2024 | |||
| Cephalexin | 16 | $5.03▼ below MN avg | ▼ Less than typical |
About Cephalexin: This medication is used to treat a wide variety of bacterial infections. Show more ▾ This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This medication will not work for viral infections (such as common cold, flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semisynthetic cephalosporin antibiotic with antimicrobial activity similar to that of CEPHALORIDINE or CEPHALOTHIN, but somewhat less potent. It is effective against both gram-positive and gram-negative organisms. In 2024, this provider wrote 16 Medicare prescriptions for Cephalexin, about half the volume of the typical Minnesota prescriber of this medication (27.9). Medicare paid an average of $5.03 per fill, versus $6.66 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MN average for this medication. 16 30-Day Fills standardized to 30-day supplies 98 Days of Medication total across all patients in 2024 | |||
| Metronidazole | 16 | $14.15▼ below MN avg | ▼ Less than typical |
About Metronidazole: Metronidazole is an antibiotic that is used to treat a wide variety of infections. Show more ▾ It works by stopping the growth of certain bacteria and parasites. This antibiotic treats only certain bacterial and parasitic 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. Metronidazole may also be used with other medications to treat certain stomach/intestinal ulcers caused by a bacteria (H. pylori). A nitroimidazole used to treat AMEBIASIS; VAGINITIS; TRICHOMONAS INFECTIONS; GIARDIASIS; ANAEROBIC BACTERIA; and TREPONEMAL INFECTIONS. In 2024, this provider wrote 16 Medicare prescriptions for Metronidazole, about 63% of the volume of the typical Minnesota prescriber of this medication (25.4). Medicare paid an average of $14.15 per fill, versus $43.77 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MN average for this medication. 16 30-Day Fills standardized to 30-day supplies 122 Days of Medication total across all patients in 2024 | |||
| Ketoconazole | 13 | $18.42▼ below MN avg | ▼ Less than typical |
About Ketoconazole: Ketoconazole is used to treat skin infections such as athlete's foot, jock itch, ringworm, and certain kinds of dandruff. Show more ▾ This medication is also used to treat a skin condition known as pityriasis (tinea versicolor), a fungal infection that causes a lightening or darkening of the skin of the neck, chest, arms, or legs. Ketoconazole is an azole antifungal that works by preventing the growth of fungus. Broad spectrum antifungal agent used for long periods at high doses, especially in immunosuppressed patients. In 2024, this provider wrote 13 Medicare prescriptions for Ketoconazole, about a third of the volume of the typical Minnesota prescriber of this medication (42.1). Medicare paid an average of $18.42 per fill, versus $20.26 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MN average for this medication. 13 30-Day Fills standardized to 30-day supplies 233 Days of Medication total across all patients in 2024 | |||
About this data. The prescription history for CASSANDRA MARIE HIRMAN APRN, FNP 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 Monticello, MN 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 MN 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.
