SYLMA MARIA MILLARES A.R.N.P.
Prescription History 1285874792
Nurse Practitioner - Psychiatric/Mental Health in Miami, FL
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for SYLMA MARIA MILLARES A.R.N.P., an active Psychiatric/Mental Health specialist practicing in Miami, FL. Our medical registry currently tracks 35 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 3,431 documented patient claims. Among these therapy options, the most frequently utilized medication is Escitalopram Oxalate, which accounts for 334 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 FL PrescribersVs. FL Avg |
|---|---|---|---|
| Escitalopram Oxalate | 334 | $3.19▼ below FL avg | ▲ More than typical |
About Escitalopram Oxalate: This medication is used to treat certain mental/mood disorders (such as depression, anxiety). Show more ▾ Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. S-enantiomer of CITALOPRAM. Belongs to a class of drugs known as SELECTIVE SEROTONIN REUPTAKE INHIBITORS, used to treat depression and generalized anxiety disorder. In 2024, this provider wrote 334 Medicare prescriptions for Escitalopram Oxalate, about 5.1 times the volume of the typical Florida prescriber of this medication (65.2). Medicare paid an average of $3.19 per fill, versus $10.12 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 464.6 30-Day Fills standardized to 30-day supplies 13,890 Days of Medication total across all patients in 2024 | |||
| Alprazolam | 291 | $2.44▼ below FL avg | ▲ More than typical |
About Alprazolam: Alprazolam is used to treat anxiety and panic disorders. Show more ▾ It belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA). A triazolobenzodiazepine compound with antianxiety and sedative-hypnotic actions, that is efficacious in the treatment of PANIC DISORDERS, with or without AGORAPHOBIA, and in generalized ANXIETY DISORDERS. (From AMA Drug Evaluations Annual, 1994, p238) In 2024, this provider wrote 291 Medicare prescriptions for Alprazolam, about 3.1 times the volume of the typical Florida prescriber of this medication (94.6). Medicare paid an average of $2.44 per fill, versus $5.08 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 291 30-Day Fills standardized to 30-day supplies 8,596 Days of Medication total across all patients in 2024 | |||
| Mirtazapine | 278 | $4.96▼ below FL avg | ▲ More than typical |
About Mirtazapine: This medication is used to treat depression. Show more ▾ Mirtazapine works by helping to restore the balance of certain natural substances in the brain. A piperazinoazepine tetracyclic compound that enhances the release of NOREPINEPHRINE and SEROTONIN through blockage of presynaptic ALPHA-2 ADRENERGIC RECEPTORS. It also blocks both 5-HT2 and 5-HT3 serotonin receptors and is a potent HISTAMINE H1 RECEPTOR antagonist. It is used for the treatment of depression, and may also be useful for the treatment of anxiety disorders. In 2024, this provider wrote 278 Medicare prescriptions for Mirtazapine, about 4.8 times the volume of the typical Florida prescriber of this medication (57.3). Medicare paid an average of $4.96 per fill, versus $19.64 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 381 30-Day Fills standardized to 30-day supplies 11,415 Days of Medication total across all patients in 2024 | |||
| Quetiapine Fumarate | 251 | $3.02▼ below FL avg | ▲ More than typical |
About Quetiapine Fumarate: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER. In 2024, this provider wrote 251 Medicare prescriptions for Quetiapine Fumarate, about 3.7 times the volume of the typical Florida prescriber of this medication (67.8). Medicare paid an average of $3.02 per fill, versus $16.41 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 257.7 30-Day Fills standardized to 30-day supplies 7,615 Days of Medication total across all patients in 2024 | |||
| Sertraline Hcl | 234 | $2.63▼ below FL avg | ▲ More than typical |
About Sertraline Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder). Show more ▾ It is also used to treat a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Sertraline belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A selective serotonin uptake inhibitor that is used in the treatment of depression. In 2024, this provider wrote 234 Medicare prescriptions for Sertraline Hcl, about 3.5 times the volume of the typical Florida prescriber of this medication (67). Medicare paid an average of $2.63 per fill, versus $7.89 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 314.3 30-Day Fills standardized to 30-day supplies 9,390 Days of Medication total across all patients in 2024 | |||
| Memantine Hcl | 197 | $5.78▼ below FL avg | ▲ More than typical |
About Memantine Hcl: Memantine is used to treat moderate to severe 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 perform daily functions. This medication works by blocking the action of a certain natural substance in the brain (glutamate) that is believed to be linked to symptoms of Alzheimer's disease. AMANTADINE derivative that has some dopaminergic effects. It has been proposed as an antiparkinson agent. In 2024, this provider wrote 197 Medicare prescriptions for Memantine Hcl, about 2.9 times the volume of the typical Florida prescriber of this medication (68.6). Medicare paid an average of $5.78 per fill, versus $27.35 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 230 30-Day Fills standardized to 30-day supplies 6,704 Days of Medication total across all patients in 2024 | |||
| Buspirone Hcl | 174 | $2.67▼ below FL avg | ▲ More than typical |
About Buspirone Hcl: This medication is used to treat anxiety. Show more ▾ It may help you think more clearly, relax, worry less, and take part in everyday life. It may also help you to feel less jittery and irritable, and may control symptoms such as trouble sleeping, sweating, and pounding heartbeat. Buspirone is a medication for anxiety (anxiolytic) that works by affecting certain natural substances in the brain (neurotransmitters). An anxiolytic agent and serotonin receptor agonist belonging to the azaspirodecanedione class of compounds. Its structure is unrelated to those of the BENZODIAZAPINES, but it has an efficacy comparable to DIAZEPAM. In 2024, this provider wrote 174 Medicare prescriptions for Buspirone Hcl, about 3.4 times the volume of the typical Florida prescriber of this medication (51.9). Medicare paid an average of $2.67 per fill, versus $13.86 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 199.7 30-Day Fills standardized to 30-day supplies 5,821 Days of Medication total across all patients in 2024 | |||
| Trazodone Hcl | 170 | $3.01▼ below FL avg | ▲ More than typical |
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 170 Medicare prescriptions for Trazodone Hcl, about 2.1 times the volume of the typical Florida prescriber of this medication (80.2). Medicare paid an average of $3.01 per fill, versus $8.89 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 234.1 30-Day Fills standardized to 30-day supplies 7,022 Days of Medication total across all patients in 2024 | |||
| Temazepam | 158 | $3.56▼ below FL avg | ▲ More than typical |
About Temazepam: This medication is used to treat a certain sleep problem (insomnia). Show more ▾ It may help you fall asleep faster, stay asleep longer, and lessen how often you wake up during the night, so you can get a better night's rest. Temazepam belongs to a class of drugs called benzodiazepines. It acts on your brain to produce a calming effect. Use of this medication is usually limited to short treatment periods of 1 to 2 weeks or less. If your insomnia continues for a longer time, talk to your doctor to see if you need other treatment. A benzodiazepine that acts as a GAMMA-AMINOBUTYRIC ACID modulator and anti-anxiety agent. In 2024, this provider wrote 158 Medicare prescriptions for Temazepam, about 3.1 times the volume of the typical Florida prescriber of this medication (51.3). Medicare paid an average of $3.56 per fill, versus $9.95 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 160 30-Day Fills standardized to 30-day supplies 4,770 Days of Medication total across all patients in 2024 | |||
| Duloxetine Hcl | 149 | $6.38▼ below FL avg | ▲ More than typical |
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 149 Medicare prescriptions for Duloxetine Hcl, about 2.9 times the volume of the typical Florida prescriber of this medication (52.2). Medicare paid an average of $6.38 per fill, versus $24.35 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 196 30-Day Fills standardized to 30-day supplies 5,880 Days of Medication total across all patients in 2024 | |||
| Clonazepam | 131 | $6.30▼ below FL avg | ▲ More than typical |
About Clonazepam: Clonazepam is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or antiepileptic drug. It is also used to treat panic attacks. Clonazepam works by calming your brain and nerves. It belongs to a class of drugs called benzodiazepines. An anticonvulsant used for several types of seizures, including myotonic or atonic seizures, photosensitive epilepsy, and absence seizures, although tolerance may develop. It is seldom effective in generalized tonic-clonic or partial seizures. The mechanism of action appears to involve the enhancement of GAMMA-AMINOBUTYRIC ACID receptor responses. In 2024, this provider wrote 131 Medicare prescriptions for Clonazepam, about 2 times the volume of the typical Florida prescriber of this medication (64.9). Medicare paid an average of $6.30 per fill, versus $8.07 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 131 30-Day Fills standardized to 30-day supplies 3,890 Days of Medication total across all patients in 2024 | |||
| Bupropion XlBupropion Hcl | 104 | $9.09▼ below FL avg | ▲ More than typical |
About Bupropion Xl: This medication is used to treat depression. Show more ▾ It is also be used to prevent seasonal affective disorder (SAD), a type of depression that occurs each year at the same time (for example, during winter). Bupropion works by helping to restore the balance of certain natural substances (dopamine, norepinephrine) in the brain. A propiophenone-derived antidepressant and antismoking agent that inhibits the uptake of DOPAMINE. In 2024, this provider wrote 104 Medicare prescriptions for Bupropion Xl, about 2.6 times the volume of the typical Florida prescriber of this medication (40.4). Medicare paid an average of $9.09 per fill, versus $22.65 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 155 30-Day Fills standardized to 30-day supplies 4,650 Days of Medication total across all patients in 2024 | |||
| Donepezil Hcl | 100 | $3.39▼ below FL avg | ▲ More than typical |
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 100 Medicare prescriptions for Donepezil Hcl, about 1.6 times the volume of the typical Florida prescriber of this medication (62.5). Medicare paid an average of $3.39 per fill, versus $10.93 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 117 30-Day Fills standardized to 30-day supplies 3,510 Days of Medication total across all patients in 2024 | |||
| Gabapentin | 97 | $2.31▼ below FL avg | ≈ Typical |
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 97 Medicare prescriptions for Gabapentin, about the same volume as the typical Florida prescriber of this medication (102.2). Medicare paid an average of $2.31 per fill, versus $14.90 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 106 30-Day Fills standardized to 30-day supplies 3,165 Days of Medication total across all patients in 2024 | |||
| Olanzapine | 94 | $14.52▼ below FL avg | ▲ More than typical |
About Olanzapine: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder). Show more ▾ It may also be used in combination with other medication to treat depression. Olanzapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. Talk to the doctor about the risks and benefits of treatment (especially when used by teenagers). See also Precautions section. A benzodiazepine derivative that binds SEROTONIN RECEPTORS; MUSCARINIC RECEPTORS; HISTAMINE H1 RECEPTORS; ADRENERGIC ALPHA-1 RECEPTORS; and DOPAMINE RECEPTORS. It is an antipsychotic agent used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER; and MAJOR DEPRESSIVE DISORDER; it may also reduce nausea and vomiting in patients undergoing chemotherapy. In 2024, this provider wrote 94 Medicare prescriptions for Olanzapine, about 2.1 times the volume of the typical Florida prescriber of this medication (45.1). Medicare paid an average of $14.52 per fill, versus $27.70 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 104 30-Day Fills standardized to 30-day supplies 3,120 Days of Medication total across all patients in 2024 | |||
| Risperidone | 88 | $5.63▼ below FL avg | ▲ More than typical |
About Risperidone: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, irritability associated with autistic disorder). Show more ▾ Risperidone belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A selective blocker of DOPAMINE D2 RECEPTORS and SEROTONIN 5-HT2 RECEPTORS that acts as an atypical antipsychotic agent. It has been shown to improve both positive and negative symptoms in the treatment of SCHIZOPHRENIA. In 2024, this provider wrote 88 Medicare prescriptions for Risperidone, about 1.7 times the volume of the typical Florida prescriber of this medication (51.9). Medicare paid an average of $5.63 per fill, versus $14.44 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 91.1 30-Day Fills standardized to 30-day supplies 2,677 Days of Medication total across all patients in 2024 | |||
| Folic Acid | 81 | $1.01▼ below FL avg | ▲ More than typical |
About Folic Acid: Folic acid is the man-made form of folate. Show more ▾ Folate is a B-vitamin naturally found in some foods. It is needed to form healthy cells, especially red blood cells. Folic acid supplements may come in different forms (such as L-methylfolate, levomefolate, methyltetrahydrofolate). They are used to treat or prevent low folate levels. Low folate levels can lead to certain types of anemia. Conditions that can cause low folate levels include poor diet, pregnancy, alcoholism, liver disease, certain stomach/intestinal problems, kidney dialysis, among others. Women of childbearing age should receive adequate amounts of folic acid either through their diet or supplements to prevent infant spinal cord birth defects. A member of the vitamin B family that stimulates the hematopoietic system. It is present in the liver and kidney and is found in mushrooms, spinach, yeast, green leaves, and grasses (POACEAE). Folic acid is used in the treatment and prevention of folate deficiencies and megaloblastic anemia. In 2024, this provider wrote 81 Medicare prescriptions for Folic Acid, about 1.6 times the volume of the typical Florida prescriber of this medication (50.4). Medicare paid an average of $1.01 per fill, versus $4.06 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 181 30-Day Fills standardized to 30-day supplies 5,430 Days of Medication total across all patients in 2024 | |||
| Paroxetine Hcl | 74 | $4.73▼ below FL avg | ▲ More than typical |
About Paroxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder, anxiety disorders, post-traumatic stress disorder). Show more ▾ Paroxetine belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A serotonin uptake inhibitor that is effective in the treatment of depression. In 2024, this provider wrote 74 Medicare prescriptions for Paroxetine Hcl, about 2.5 times the volume of the typical Florida prescriber of this medication (29.2). Medicare paid an average of $4.73 per fill, versus $13.92 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 96 30-Day Fills standardized to 30-day supplies 2,880 Days of Medication total across all patients in 2024 | |||
| Aripiprazole | 52 | $263.39 | ≈ Typical |
About Aripiprazole: This medication is used to treat certain mental/mood disorders (such as bipolar disorder, schizophrenia, Tourette's syndrome, and irritability associated with autistic disorder). Show more ▾ It may also be used in combination with other medication to treat depression. Aripiprazole belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. Aripiprazole can treat severe mood swings and decrease how often mood swings occur. A piperazine and quinolone derivative that is used primarily as an antipsychotic agent. It is a partial agonist of SEROTONIN RECEPTOR, 5-HT1A and DOPAMINE D2 RECEPTORS, where it also functions as a post-synaptic antagonist, and an antagonist of SEROTONIN RECEPTOR, 5-HT2A. It is used for the treatment of SCHIZOPHRENIA and BIPOLAR DISORDER, and as an adjunct therapy for the treatment of depression. In 2024, this provider wrote 52 Medicare prescriptions for Aripiprazole, about the same volume as the typical Florida prescriber of this medication (47.9). Medicare paid an average of $263.39 per fill, versus $74.50 statewide. How often this provider prescribes it 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 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 | |||
| Fluoxetine Hcl | 48 | $2.95▼ below FL avg | ≈ Typical |
About Fluoxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder). Show more ▾ It is also used to treat a certain eating disorder (bulimia) and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Fluoxetine belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. The first highly specific serotonin uptake inhibitor. It is used as an antidepressant and often has a more acceptable side-effects profile than traditional antidepressants. In 2024, this provider wrote 48 Medicare prescriptions for Fluoxetine Hcl, about 1.2 times the volume of the typical Florida prescriber of this medication (40.2). Medicare paid an average of $2.95 per fill, versus $10.11 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 74 30-Day Fills standardized to 30-day supplies 2,194 Days of Medication total across all patients in 2024 | |||
| Venlafaxine Hcl ErVenlafaxine Hcl | 39 | $12.52▼ below FL avg | ≈ Typical |
About Venlafaxine Hcl Er: This medication is used to treat certain mental/mood disorders (such as depression, anxiety, panic attacks, and social anxiety disorder). Show more ▾ Venlafaxine 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 cyclohexanol and phenylethylamine derivative that functions as a SEROTONIN AND NORADRENALINE REUPTAKE INHIBITOR (SNRI) and is used as an ANTIDEPRESSIVE AGENT. In 2024, this provider wrote 39 Medicare prescriptions for Venlafaxine Hcl Er, about 1.2 times the volume of the typical Florida prescriber of this medication (33.7). Medicare paid an average of $12.52 per fill, versus $21.79 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 51 30-Day Fills standardized to 30-day supplies 1,530 Days of Medication total across all patients in 2024 | |||
| Divalproex Sodium ErDivalproex Sodium | 29 | $28.60▼ below FL avg | ≈ Typical |
About Divalproex Sodium Er: This medication is used to treat seizure disorders, mental/mood conditions (such as manic phase of bipolar disorder), and to prevent migraine headaches. Show more ▾ It works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS. In 2024, this provider wrote 29 Medicare prescriptions for Divalproex Sodium Er, about 87% of the volume of the typical Florida prescriber of this medication (33.4). Medicare paid an average of $28.60 per fill, versus $50.83 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 35 30-Day Fills standardized to 30-day supplies 1,035 Days of Medication total across all patients in 2024 | |||
| Zolpidem Tartrate | 29 | $1.35▼ below FL avg | ▼ Less than typical |
About Zolpidem Tartrate: Zolpidem is used for a short time to treat a certain sleep problem (insomnia) in adults. Show more ▾ If you have trouble falling asleep, it helps you fall asleep faster, so you can get a better night's rest. Zolpidem belongs to a class of drugs called sedative-hypnotics. It acts on your brain to produce a calming effect. An imidazopyridine derivative and short-acting GABA-A receptor agonist that is used for the treatment of INSOMNIA. In 2024, this provider wrote 29 Medicare prescriptions for Zolpidem Tartrate, about half the volume of the typical Florida prescriber of this medication (53). Medicare paid an average of $1.35 per fill, versus $7.97 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 29 30-Day Fills standardized to 30-day supplies 845 Days of Medication total across all patients in 2024 | |||
| Hydroxyzine Pamoate | 28 | $3.47▼ below FL avg | ≈ Typical |
About Hydroxyzine Pamoate: Hydroxyzine is used to treat itching caused by allergies. Show more ▾ It is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Hydroxyzine may also be used short-term to treat anxiety or to help you feel sleepy/relaxed before and after surgery. A histamine H1 receptor antagonist that is effective in the treatment of chronic urticaria, dermatitis, and histamine-mediated pruritus. Unlike its major metabolite CETIRIZINE, it does cause drowsiness. It is also effective as an antiemetic, for relief of anxiety and tension, and as a sedative. In 2024, this provider wrote 28 Medicare prescriptions for Hydroxyzine Pamoate, about 79% of the volume of the typical Florida prescriber of this medication (35.6). Medicare paid an average of $3.47 per fill, versus $12.68 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 32 30-Day Fills standardized to 30-day supplies 952 Days of Medication total across all patients in 2024 | |||
| Lorazepam | 23 | $3.75▼ below FL avg | ▼ Less than typical |
About Lorazepam: This medication is used to treat anxiety. Show more ▾ Lorazepam belongs to a class of drugs known as benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. This drug works by enhancing the effects of a certain natural chemical in the body (GABA). A benzodiazepine used as an anti-anxiety agent with few side effects. It also has hypnotic, anticonvulsant, and considerable sedative properties and has been proposed as a preanesthetic agent. In 2024, this provider wrote 23 Medicare prescriptions for Lorazepam, about half the volume of the typical Florida prescriber of this medication (48.5). Medicare paid an average of $3.75 per fill, versus $6.70 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 23 30-Day Fills standardized to 30-day supplies 690 Days of Medication total across all patients in 2024 | |||
| Galantamine Hbr | 23 | $20.37▼ below FL avg | ▼ Less than typical |
About Galantamine Hbr: Galantamine is used to treat mild to moderate 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 perform daily functions. This medication works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A benzazepine derived from norbelladine. It is found in GALANTHUS and other AMARYLLIDACEAE. It is a cholinesterase inhibitor that has been used to reverse the muscular effects of GALLAMINE TRIETHIODIDE and TUBOCURARINE and has been studied as a treatment for ALZHEIMER DISEASE and other central nervous system disorders. In 2024, this provider wrote 23 Medicare prescriptions for Galantamine Hbr, about 73% of the volume of the typical Florida prescriber of this medication (31.4). Medicare paid an average of $20.37 per fill, versus $66.63 statewide. How often this provider prescribes it 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'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 | |||
| Perphenazine | 22 | $17.66▼ below FL avg | ≈ Typical |
About Perphenazine: This medication is used to treat certain mental/mood disorders (such as schizophrenia, manic phase of bipolar disorder, schizoaffective disorder). Show more ▾ Perphenazine belongs to a class of drugs known as antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. An antipsychotic phenothiazine derivative with actions and uses similar to those of CHLORPROMAZINE. In 2024, this provider wrote 22 Medicare prescriptions for Perphenazine, about the same volume as the typical Florida prescriber of this medication (22.1). Medicare paid an average of $17.66 per fill, versus $63.45 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 28 30-Day Fills standardized to 30-day supplies 840 Days of Medication total across all patients in 2024 | |||
| Amitriptyline Hcl | 22 | $4.62▼ below FL avg | ≈ Typical |
About Amitriptyline Hcl: This medication is used to treat depression. Show more ▾ Amitriptyline belongs to a class of drugs known as tricyclic antidepressants. It works by helping to restore the balance of certain natural substances in the brain. Tricyclic antidepressant with anticholinergic and sedative properties. It appears to prevent the re-uptake of norepinephrine and serotonin at nerve terminals, thus potentiating the action of these neurotransmitters. Amitriptyline also appears to antagonize cholinergic and alpha-1 adrenergic responses to bioactive amines. In 2024, this provider wrote 22 Medicare prescriptions for Amitriptyline Hcl, about 81% of the volume of the typical Florida prescriber of this medication (27.1). Medicare paid an average of $4.62 per fill, versus $15.33 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 28 30-Day Fills standardized to 30-day supplies 840 Days of Medication total across all patients in 2024 | |||
| Citalopram HbrCitalopram Hydrobromide | 20 | $2.00▼ below FL avg | ▼ Less than typical |
About Citalopram Hbr: This medication is used to treat depression. Show more ▾ Citalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A furancarbonitrile that is one of the SELECTIVE SEROTONIN REUPTAKE INHIBITORS used as an antidepressant. The drug is also effective in reducing ethanol uptake in alcoholics and is used in depressed patients who also suffer from TARDIVE DYSKINESIA in preference to tricyclic antidepressants, which aggravate dyskinesia. In 2024, this provider wrote 20 Medicare prescriptions for Citalopram Hbr, about half the volume of the typical Florida prescriber of this medication (38.3). Medicare paid an average of $2.00 per fill, versus $6.61 statewide. How often this provider prescribes it 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'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 | |||
| Divalproex Sodium | 19 | $21.46▼ below FL avg | ▼ Less than typical |
About Divalproex Sodium: This medication is used to treat seizure disorders, certain psychiatric conditions (manic phase of bipolar disorder), and to prevent migraine headaches. Show more ▾ It works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS. In 2024, this provider wrote 19 Medicare prescriptions for Divalproex Sodium, about a third of the volume of the typical Florida prescriber of this medication (55.2). Medicare paid an average of $21.46 per fill, versus $38.70 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 31 30-Day Fills standardized to 30-day supplies 930 Days of Medication total across all patients in 2024 | |||
| Chlordiazepoxide Hcl | 18 | $3.93▼ below FL avg | ▼ Less than typical |
About Chlordiazepoxide Hcl: Chlordiazepoxide is used to treat anxiety and acute alcohol withdrawal. Show more ▾ It is also used to relieve fear and anxiety before surgery. This medication belongs to a class of drugs called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA). An anxiolytic benzodiazepine derivative with anticonvulsant, sedative, and amnesic properties. It has also been used in the symptomatic treatment of alcohol withdrawal. In 2024, this provider wrote 18 Medicare prescriptions for Chlordiazepoxide Hcl, about a third of the volume of the typical Florida prescriber of this medication (63.9). Medicare paid an average of $3.93 per fill, versus $8.43 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 18 30-Day Fills standardized to 30-day supplies 500 Days of Medication total across all patients in 2024 | |||
| Trifluoperazine Hcl | 18 | $28.81▼ below FL avg | ▼ Less than typical |
About Trifluoperazine Hcl: This medication is used to treat certain mental/mood disorders (such as schizophrenia, psychotic disorders). Show more ▾ Trifluoperazine belongs to a class of drugs known as antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A phenothiazine with actions similar to CHLORPROMAZINE. It is used as an antipsychotic and an antiemetic. In 2024, this provider wrote 18 Medicare prescriptions for Trifluoperazine Hcl, about half the volume of the typical Florida prescriber of this medication (42.3). Medicare paid an average of $28.81 per fill, versus $32.70 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 19 30-Day Fills standardized to 30-day supplies 511 Days of Medication total across all patients in 2024 | |||
| Ropinirole Hcl | 13 | $12.30▼ below FL avg | ▼ Less than typical |
About Ropinirole Hcl: This medication is used alone or with other medications to treat Parkinson's disease. Show more ▾ It can improve your ability to move and decrease shakiness (tremor), stiffness, slowed movement, and unsteadiness. It may also decrease the number of episodes of not being able to move ("on-off syndrome"). Ropinirole is also used to treat restless legs syndrome (RLS). It may improve your sleep by decreasing the urge to move your legs and decreasing uncomfortable/unpleasant feelings in the legs. This medication works by helping to restore the balance of a certain natural substance (dopamine) in the brain. In 2024, this provider wrote 13 Medicare prescriptions for Ropinirole Hcl, about half the volume of the typical Florida prescriber of this medication (28.7). Medicare paid an average of $12.30 per fill, versus $18.13 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 20.1 30-Day Fills standardized to 30-day supplies 603 Days of Medication total across all patients in 2024 | |||
| Fluticasone Propionate | 12 | $13.42▼ below FL avg | ▼ Less than typical |
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 12 Medicare prescriptions for Fluticasone Propionate, about 18% of the volume of the typical Florida prescriber of this medication (66.5). Medicare paid an average of $13.42 per fill, versus $13.67 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 17 30-Day Fills standardized to 30-day supplies 510 Days of Medication total across all patients in 2024 | |||
| Diazepam | 11 | $1.03▼ below FL avg | ▼ Less than typical |
About Diazepam: Diazepam is used to treat anxiety, alcohol withdrawal, and seizures. Show more ▾ It is also used to relieve muscle spasms and to provide sedation before medical procedures. This medication works by calming the brain and nerves. Diazepam belongs to a class of drugs known as benzodiazepines. A benzodiazepine with anticonvulsant, anxiolytic, sedative, muscle relaxant, and amnesic properties and a long duration of action. Its actions are mediated by enhancement of GAMMA-AMINOBUTYRIC ACID activity. In 2024, this provider wrote 11 Medicare prescriptions for Diazepam, about a third of the volume of the typical Florida prescriber of this medication (31.9). Medicare paid an average of $1.03 per fill, versus $5.99 statewide. How often this provider prescribes it 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's average cost per fill is below the FL average for this medication. 11.5 30-Day Fills standardized to 30-day supplies 322 Days of Medication total across all patients in 2024 | |||
About this data. The prescription history for SYLMA MARIA MILLARES A.R.N.P. 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 Psychiatric/Mental Health prescribing approach at this Miami, 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.
