MARY FORTUNA-SILVA NP
Prescription History 1306917521
Nurse Practitioner - Family in Providence, RI
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for MARY FORTUNA-SILVA NP, an active Family specialist practicing in Providence, RI. Our medical registry currently tracks 21 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 1,282 documented patient claims. Among these therapy options, the most frequently utilized medication is Omeprazole, which accounts for 395 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 RI PrescribersVs. RI Avg |
|---|---|---|---|
| Omeprazole | 395 | $12.97▼ below RI avg | ▲ More than typical |
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 395 Medicare prescriptions for Omeprazole, about 3.4 times the volume of the typical Rhode Island prescriber of this medication (116.7). Medicare paid an average of $12.97 per fill, versus $14.93 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average RI 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 RI average for this medication. 957.1 30-Day Fills standardized to 30-day supplies 28,591 Days of Medication total across all patients in 2024 | |||
| Pantoprazole Sodium | 267 | $10.31▼ below RI avg | ▲ More than typical |
About Pantoprazole Sodium: Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux). Show more ▾ It works by decreasing the amount of acid your stomach makes. This medication relieves symptoms such as heartburn, difficulty swallowing, and cough. It helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Pantoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). 2-pyridinylmethylsulfinylbenzimidazole proton pump inhibitor that is used in the treatment of GASTROESOPHAGEAL REFLUX and PEPTIC ULCER. In 2024, this provider wrote 267 Medicare prescriptions for Pantoprazole Sodium, about 4.2 times the volume of the typical Rhode Island prescriber of this medication (63.1). Medicare paid an average of $10.31 per fill, versus $13.09 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average RI 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 RI average for this medication. 641.7 30-Day Fills standardized to 30-day supplies 19,147 Days of Medication total across all patients in 2024 | |||
| Famotidine | 201 | $18.23 | ▲ More than typical |
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 201 Medicare prescriptions for Famotidine, about 3.3 times the volume of the typical Rhode Island prescriber of this medication (60.2). Medicare paid an average of $18.23 per fill, versus $17.01 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average RI 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. 461.4 30-Day Fills standardized to 30-day supplies 13,760 Days of Medication total across all patients in 2024 | |||
| Dicyclomine Hcl | 78 | $32.09 | ▲ More than typical |
About Dicyclomine Hcl: Dicyclomine is used to treat a certain type of intestinal problem called irritable bowel syndrome. Show more ▾ It helps to reduce the symptoms of stomach and intestinal cramping. This medication works by slowing the natural movements of the gut and by relaxing the muscles in the stomach and intestines. Dicyclomine belongs to a class of drugs known as anticholinergics/antispasmodics. This medication must not be used by children younger than 6 months because of the risk of serious side effects. A muscarinic antagonist used as an antispasmodic and in urinary incontinence. It has little effect on glandular secretion or the cardiovascular system. It does have some local anesthetic properties and is used in gastrointestinal, biliary, and urinary tract spasms. In 2024, this provider wrote 78 Medicare prescriptions for Dicyclomine Hcl, about 2.8 times the volume of the typical Rhode Island prescriber of this medication (27.4). Medicare paid an average of $32.09 per fill, versus $22.20 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average RI 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. 93.5 30-Day Fills standardized to 30-day supplies 2,480 Days of Medication total across all patients in 2024 | |||
| Sucralfate | 59 | $52.58▼ below RI avg | ▲ More than typical |
About Sucralfate: This medication is used to treat and prevent ulcers in the intestines. Show more ▾ Sucralfate forms a coating over ulcers, protecting the area from further injury. This helps ulcers heal more quickly. A basic aluminum complex of sulfated sucrose. In 2024, this provider wrote 59 Medicare prescriptions for Sucralfate, about 2.2 times the volume of the typical Rhode Island prescriber of this medication (26.8). Medicare paid an average of $52.58 per fill, versus $60.84 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average RI 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 RI average for this medication. 62.8 30-Day Fills standardized to 30-day supplies 1,543 Days of Medication total across all patients in 2024 | |||
| LinzessLinaclotide | 54 | $1,054.44 | ▲ More than typical |
About Linzess: See also Warning section. Show more ▾ Linaclotide is used to treat certain types of bowel problems (irritable bowel syndrome with constipation, chronic idiopathic constipation, functional constipation). It works by increasing fluid in your intestines and helping speed up movement of food through the gut. Linaclotide may improve stool texture and lessen symptoms such as bloating, abdominal pain/discomfort, straining, and feelings of incomplete bowel movements. An oral guanylate cyclase C agonist linaclotide; 14 amino acid peptide. In 2024, this provider wrote 54 Medicare prescriptions for Linzess, about 1.6 times the volume of the typical Rhode Island prescriber of this medication (32.9). Medicare paid an average of $1,054.44 per fill, versus $734.29 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average RI 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. 108 30-Day Fills standardized to 30-day supplies 3,240 Days of Medication total across all patients in 2024 | |||
| Metoclopramide Hcl | 24 | $7.76▼ below RI avg | ≈ Typical |
About Metoclopramide Hcl: This medication is used to treat certain conditions of the stomach and intestines. Show more ▾ Metoclopramide is used as a short-term treatment (4 to 12 weeks) for ongoing heartburn when the usual medicines do not work well enough. It is used mostly for heartburn that occurs after a meal or during the daytime. Treating ongoing heartburn can decrease the damage done by stomach acid to the swallowing tube (esophagus) and help healing. Metoclopramide is also used in diabetic patients who have poor emptying of their stomachs (gastroparesis). Treating gastroparesis can decrease symptoms of nausea, vomiting, and stomach/abdominal fullness. Metoclopramide works by blocking a natural substance (dopamine). It speeds up stomach emptying and movement of the upper intestines. This drug is not recommended for use in children due to an increased risk of serious side effects (such as muscle spasms/uncontrolled muscle movements). Ask the doctor or pharmacist for details. A dopamine D2 antagonist that is used as an antiemetic. In 2024, this provider wrote 24 Medicare prescriptions for Metoclopramide Hcl, about 1.2 times the volume of the typical Rhode Island prescriber of this medication (20.3). Medicare paid an average of $7.76 per fill, versus $9.25 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average RI 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 RI average for this medication. 30.3 30-Day Fills standardized to 30-day supplies 849 Days of Medication total across all patients in 2024 | |||
| Ondansetron OdtOndansetron | 23 | $30.60 | ≈ Typical |
About Ondansetron Odt: This medication is used alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy. Show more ▾ It is also used to prevent and treat nausea and vomiting after surgery. Ondansetron works by blocking one of the body's natural substances (serotonin) that causes vomiting. A competitive serotonin type 3 receptor antagonist. It is effective in the treatment of nausea and vomiting caused by cytotoxic chemotherapy drugs, including cisplatin, and has reported anxiolytic and neuroleptic properties. In 2024, this provider wrote 23 Medicare prescriptions for Ondansetron Odt, about the same volume as the typical Rhode Island prescriber of this medication (21.5). Medicare paid an average of $30.60 per fill, versus $15.83 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average RI 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. 23 30-Day Fills standardized to 30-day supplies 466 Days of Medication total across all patients in 2024 | |||
| Mesalamine | 20 | $404.63▼ below RI avg | ▼ Less than typical |
About Mesalamine: This medication is used to treat a certain bowel disease (ulcerative colitis). Show more ▾ It helps to reduce symptoms of ulcerative colitis such as diarrhea, rectal bleeding, and stomach pain. Mesalamine belongs to a class of drugs known as aminosalicylates. It works by decreasing swelling in the colon. An anti-inflammatory agent, structurally related to the SALICYLATES, which is active in INFLAMMATORY BOWEL DISEASE. It is considered to be the active moiety of SULPHASALAZINE. (From Martindale, The Extra Pharmacopoeia, 30th ed) In 2024, this provider wrote 20 Medicare prescriptions for Mesalamine, about 74% of the volume of the typical Rhode Island prescriber of this medication (26.9). Medicare paid an average of $404.63 per fill, versus $443.97 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average RI 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 RI average for this medication. 41.3 30-Day Fills standardized to 30-day supplies 1,224 Days of Medication total across all patients in 2024 | |||
| Ondansetron Hcl | 17 | $30.70 | ▼ Less than typical |
About Ondansetron Hcl: This medication is used alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy. Show more ▾ It is also used to prevent and treat nausea and vomiting after surgery. It works by blocking one of the body's natural substances (serotonin) that causes vomiting. A competitive serotonin type 3 receptor antagonist. It is effective in the treatment of nausea and vomiting caused by cytotoxic chemotherapy drugs, including cisplatin, and has reported anxiolytic and neuroleptic properties. In 2024, this provider wrote 17 Medicare prescriptions for Ondansetron Hcl, about 65% of the volume of the typical Rhode Island prescriber of this medication (26.4). Medicare paid an average of $30.70 per fill, versus $13.98 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average RI 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. 17 30-Day Fills standardized to 30-day supplies 159 Days of Medication total across all patients in 2024 | |||
| PentasaMesalamine | 16 | $1,326.85 | – No State Data |
About Pentasa: This medication is used to treat a certain bowel disease (ulcerative colitis). Show more ▾ It helps to reduce symptoms of ulcerative colitis such as diarrhea, rectal bleeding, and stomach pain. Mesalamine belongs to a class of drugs known as aminosalicylates. It works by decreasing swelling in the colon. An anti-inflammatory agent, structurally related to the SALICYLATES, which is active in INFLAMMATORY BOWEL DISEASE. It is considered to be the active moiety of SULPHASALAZINE. (From Martindale, The Extra Pharmacopoeia, 30th ed) In 2024, this provider wrote 16 Medicare prescriptions for Pentasa. Medicare paid an average of $1,326.85 per fill. No state comparison is available for this medication. How often this provider prescribes it No state benchmark is available for this medication. What Medicare paid per fill $1,326.85 Cost per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 18 30-Day Fills standardized to 30-day supplies 525 Days of Medication total across all patients in 2024 | |||
| Lansoprazole | 15 | $298.98 | ▼ Less than typical |
About Lansoprazole: Lansoprazole 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. Lansoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter lansoprazole 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. Lansoprazole is not recommended for use in children younger than 1 year due to an increased risk of serious side effects. Ask the doctor or pharmacist for details. A 2,2,2-trifluoroethoxypyridyl derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS. Lansoprazole is a racemic mixture of (R)- and (S)-isomers. In 2024, this provider wrote 15 Medicare prescriptions for Lansoprazole, about 68% of the volume of the typical Rhode Island prescriber of this medication (22.2). Medicare paid an average of $298.98 per fill, versus $50.20 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average RI 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. 38.8 30-Day Fills standardized to 30-day supplies 1,140 Days of Medication total across all patients in 2024 | |||
| Metronidazole | 14 | $6.90▼ below RI 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 14 Medicare prescriptions for Metronidazole, about half the volume of the typical Rhode Island prescriber of this medication (28.3). Medicare paid an average of $6.90 per fill, versus $43.42 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average RI 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 RI average for this medication. 14 30-Day Fills standardized to 30-day supplies 137 Days of Medication total across all patients in 2024 | |||
| Esomeprazole Magnesium | 13 | $35.47▼ below RI avg | ▼ Less than typical |
About Esomeprazole Magnesium: Esomeprazole 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. Esomeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter esomeprazole 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. The S-isomer of omeprazole. In 2024, this provider wrote 13 Medicare prescriptions for Esomeprazole Magnesium, about half the volume of the typical Rhode Island prescriber of this medication (22.6). Medicare paid an average of $35.47 per fill, versus $46.95 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average RI 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 RI average for this medication. 31 30-Day Fills standardized to 30-day supplies 900 Days of Medication total across all patients in 2024 | |||
| Hydrocortisone | 13 | $143.69 | ▼ Less than typical |
About Hydrocortisone: This medication is used to treat a variety of skin conditions (such as insect bites, poison oak/ivy, eczema, dermatitis, allergies, rash, itching of the outer female genitals, anal itching). Show more ▾ Hydrocortisone reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a mild corticosteroid. The main glucocorticoid secreted by the ADRENAL CORTEX. Its synthetic counterpart is used, either as an injection or topically, in the treatment of inflammation, allergy, collagen diseases, asthma, adrenocortical deficiency, shock, and some neoplastic conditions. In 2024, this provider wrote 13 Medicare prescriptions for Hydrocortisone, about half the volume of the typical Rhode Island prescriber of this medication (28.7). Medicare paid an average of $143.69 per fill, versus $18.25 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average RI 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. 13 30-Day Fills standardized to 30-day supplies 177 Days of Medication total across all patients in 2024 | |||
| Dexlansoprazole DrDexlansoprazole | 13 | $366.35 | ▼ Less than typical |
About Dexlansoprazole Dr: Dexlansoprazole is used to treat certain stomach and esophagus problems (such as acid reflux). 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. Dexlansoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). Dexlansoprazole is not recommended for use in children younger than 2 years due to an increased risk of serious side effects. Ask the doctor or pharmacist for details. The R-isomer of lansoprazole that is used to treat severe GASTROESOPHAGEAL REFLUX DISEASE. In 2024, this provider wrote 13 Medicare prescriptions for Dexlansoprazole Dr, about 67% of the volume of the typical Rhode Island prescriber of this medication (19.5). Medicare paid an average of $366.35 per fill, versus $258.79 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average RI 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. 27 30-Day Fills standardized to 30-day supplies 810 Days of Medication total across all patients in 2024 | |||
| Cephalexin | 13 | $15.33 | ▼ 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 13 Medicare prescriptions for Cephalexin, about a third of the volume of the typical Rhode Island prescriber of this medication (33.1). Medicare paid an average of $15.33 per fill, versus $7.44 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average RI 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. 13 30-Day Fills standardized to 30-day supplies 66 Days of Medication total across all patients in 2024 | |||
| Diphenoxylate-AtropineDiphenoxylate Hcl/Atropine | 12 | $26.03▼ below RI avg | ▼ Less than typical |
About Diphenoxylate-Atropine: This medication is used to treat diarrhea. Show more ▾ It helps to decrease the number and frequency of bowel movements. It works by slowing the movement of the intestines. Diphenoxylate is similar to opioid pain relievers, but it acts mainly to slow the gut. Atropine belongs to a class of drugs known as anticholinergics, which help to dry up body fluids and also slow gut movement. This medication should not be used to treat diarrhea caused by certain types of infection (such as C. difficile-associated diarrhea following antibiotic therapy). Talk to your doctor for more details. This medication is not recommended for use in children younger than 6 years due to an increased risk of serious side effects (such as breathing problems). In 2024, this provider wrote 12 Medicare prescriptions for Diphenoxylate-Atropine, about half the volume of the typical Rhode Island prescriber of this medication (20.3). Medicare paid an average of $26.03 per fill, versus $28.44 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average RI 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 RI average for this medication. 12 30-Day Fills standardized to 30-day supplies 309 Days of Medication total across all patients in 2024 | |||
| Nortriptyline Hcl | 12 | $12.44▼ below RI avg | ▼ Less than typical |
About Nortriptyline Hcl: This medication is used to treat depression. Show more ▾ Nortriptyline 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. A metabolite of AMITRIPTYLINE that is also used as an antidepressive agent. Nortriptyline is used in major depression, dysthymia, and atypical depressions. In 2024, this provider wrote 12 Medicare prescriptions for Nortriptyline Hcl, about half the volume of the typical Rhode Island prescriber of this medication (21.7). Medicare paid an average of $12.44 per fill, versus $15.22 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average RI 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 RI average for this medication. 24 30-Day Fills standardized to 30-day supplies 720 Days of Medication total across all patients in 2024 | |||
| Balsalazide Disodium | 12 | $83.57▼ below RI avg | ▼ Less than typical |
About Balsalazide Disodium: Balsalazide is used to treat a certain bowel disease (ulcerative colitis). Show more ▾ It helps to reduce symptoms of ulcerative colitis such as diarrhea, rectal bleeding, and stomach pain. Balsalazide belongs to a class of drugs known as aminosalicylates. It works by decreasing swelling in the colon. A mesalamine 5-aminosalicylate prodrug; 99% of ingested drug remains intact through the stomach and is delivered to and activated in the colon; used for inflammatory bowel disease, ulcerative colitis and radiation-induced proctosigmoiditis but avoided in patients with known hypersensitivity reaction to salicylates or mesalamine. In 2024, this provider wrote 12 Medicare prescriptions for Balsalazide Disodium, about half the volume of the typical Rhode Island prescriber of this medication (20.1). Medicare paid an average of $83.57 per fill, versus $176.01 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average RI 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 RI average for this medication. 13.3 30-Day Fills standardized to 30-day supplies 281 Days of Medication total across all patients in 2024 | |||
| Budesonide EcBudesonide | 11 | $180.45▼ below RI avg | ▼ Less than typical |
About Budesonide Ec: This medication is used to treat a certain bowel condition (Crohn's disease). Show more ▾ While budesonide does not cure this condition, it may decrease symptoms such as pain and diarrhea. Budesonide is an anti-inflammatory drug (corticosteroid hormone). It works by decreasing the body's natural defense response (immune response). A glucocorticoid used in the management of ASTHMA, the treatment of various skin disorders, and allergic RHINITIS. In 2024, this provider wrote 11 Medicare prescriptions for Budesonide Ec, about 63% of the volume of the typical Rhode Island prescriber of this medication (17.4). Medicare paid an average of $180.45 per fill, versus $258.10 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average RI 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 RI average for this medication. 11 30-Day Fills standardized to 30-day supplies 277 Days of Medication total across all patients in 2024 | |||
About this data. The prescription history for MARY FORTUNA-SILVA NP 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 Providence, RI 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 RI 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.
