LOURDES MILAGROS RIVERA MSN, APRN, FNP-C
Prescription History 1265033005
Nurse Practitioner - Family in Kissimmee, FL

Active since November 06, 2020PECOS Enrolled
4500 PLEASANT HILL RD, KISSIMMEE, FL 34746(407) 944-9030 Get Directions

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 10, 2023, Nov 6, 2020 (2 updates tracked since 2020).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for LOURDES MILAGROS RIVERA MSN, APRN, FNP-C, an active Family specialist practicing in Kissimmee, FL. Our medical registry currently tracks 7 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 Atorvastatin Calcium, which accounts for 29 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.

7
Medications
126
Total Claims
272
30-Day Fills
Atorvastatin Calcium
Most Prescribed · 29 claims
View details
7 medications · 2024 Medicare Part D
Medicare Part D medications prescribed by LOURDES MILAGROS RIVERA MSN, APRN, FNP-C 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 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 29 Medicare prescriptions for Atorvastatin Calcium, about 15% of the volume of the typical Florida prescriber of this medication (197.3). Medicare paid an average of $13.48 per fill, versus $9.21 statewide.

How often this provider prescribes it

This provider
29
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
$13.48
FL average
$9.21

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

85
30-Day Fills
standardized to 30-day supplies
2,550
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 25 Medicare prescriptions for Amlodipine Besylate, about 17% of the volume of the typical Florida prescriber of this medication (149.6). Medicare paid an average of $4.17 per fill, versus $5.82 statewide.

How often this provider prescribes it

This provider
25
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
$4.17
FL average
$5.82

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

57
30-Day Fills
standardized to 30-day supplies
1,710
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 23 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 $5.06 per fill, versus $5.88 statewide.

How often this provider prescribes it

This provider
23
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
$5.06
FL average
$5.88

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

61
30-Day Fills
standardized to 30-day supplies
1,820
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 15 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 $16.10 per fill, versus $28.99 statewide.

How often this provider prescribes it

This provider
15
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
$16.10
FL average
$28.99

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

24.7
30-Day Fills
standardized to 30-day supplies
680
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 12 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 $10.08 per fill, versus $24.35 statewide.

How often this provider prescribes it

This provider
12
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
$10.08
FL average
$24.35

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

12
30-Day Fills
standardized to 30-day supplies
360
Days of Medication
total across all patients in 2024

About Donepezil Hcl: Donepezil is used to treat confusion (dementia) related to Alzheimer's disease. Show more ▾

It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to function. This medication is an enzyme blocker that works by restoring the balance of natural substances (neurotransmitters) in the brain. An indan and piperidine derivative that acts as a selective and reversible inhibitor of ACETYLCHOLINESTERASE. Donepezil is highly selective for the central nervous system and is used in the management of mild to moderate DEMENTIA in ALZHEIMER DISEASE.

In 2024, this provider wrote 11 Medicare prescriptions for Donepezil Hcl, about 18% of the volume of the typical Florida prescriber of this medication (62.5). Medicare paid an average of $2.89 per fill, versus $10.93 statewide.

How often this provider prescribes it

This provider
11
FL average
62.5

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
$2.89
FL average
$10.93

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

11
30-Day Fills
standardized to 30-day supplies
330
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 11 Medicare prescriptions for Metoprolol Tartrate, about 16% of the volume of the typical Florida prescriber of this medication (71). Medicare paid an average of $2.40 per fill, versus $6.69 statewide.

How often this provider prescribes it

This provider
11
FL average
71.0

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
$6.69

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

21
30-Day Fills
standardized to 30-day supplies
630
Days of Medication
total across all patients in 2024
No medications match the current filters.
▲ 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 LOURDES MILAGROS RIVERA MSN, APRN, 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 Kissimmee, 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.