ROSANNA DELVERME SILVA D.O.
Prescription History 1326247321
Family Medicine in Charlotte, NC

Active since July 11, 2007PECOS EnrolledAccepts Medicare Assignment
4500 CAMERON VALLEY PKWY STE 100, CHARLOTTE, NC 28211(704) 384-7910(704) 384-7914 Get Directions

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 28, 2020, Feb 28, 2019 (2 updates tracked since 2019).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for ROSANNA DELVERME SILVA D.O., an active Family Medicine specialist practicing in Charlotte, NC. Our medical registry currently tracks 29 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 684 documented patient claims. Among these therapy options, the most frequently utilized medication is Atorvastatin Calcium, which accounts for 72 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.

29
Medications
684
Total Claims
1,530
30-Day Fills
Atorvastatin Calcium
Most Prescribed · 72 claims
View details
29 medications · 2023 Medicare Part D
Medicare Part D medications prescribed by ROSANNA DELVERME SILVA D.O. in 2023, with claim volumes, costs, and NC state comparisons
Medication Claims 30-Day Fills Days Supply Cost / Claim Utilization vs NC Avg

Utilization: claims vs the average NC prescriber

This provider
72
NC average
170.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$16.42
NC average
$11.92

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

183.0
30-Day Fills
5,455
Days Supply

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.

Utilization: claims vs the average NC prescriber

This provider
66
NC average
146.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$14.37
NC average
$7.33

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

152.0
30-Day Fills
4,496
Days Supply

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.

Utilization: claims vs the average NC prescriber

This provider
48
NC average
141.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$14.13
NC average
$16.06

This provider's average cost per claim is below the NC average for this medication.

106.3
30-Day Fills
3,162
Days Supply

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

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

Utilization: claims vs the average NC prescriber

This provider
45
NC average
102.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$11.65
NC average
$19.73

This provider's average cost per claim is below the NC average for this medication.

108.3
30-Day Fills
3,241
Days Supply

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

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

Utilization: claims vs the average NC prescriber

This provider
40
NC average
111.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$9.72
NC average
$7.03

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

92.0
30-Day Fills
2,745
Days Supply

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

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

Utilization: claims vs the average NC prescriber

This provider
38
NC average
102.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$14.16
NC average
$10.52

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

103.7
30-Day Fills
3,076
Days Supply

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

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

Utilization: claims vs the average NC prescriber

This provider
29
NC average
66.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$13.45
NC average
$11.05

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

73.0
30-Day Fills
2,177
Days Supply

About Sertraline Hcl: Sertraline is used to treat depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder (social phobia), and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾

This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. It may also reduce the urge to perform repeated tasks (compulsions such as hand-washing, counting, and checking) that interfere with daily living. Sertraline is known as a selective serotonin reuptake inhibitor (SSRI). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain.

Utilization: claims vs the average NC prescriber

This provider
29
NC average
103.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$18.36
NC average
$17.79

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

81.0
30-Day Fills
2,426
Days Supply

About Metoprolol Succinate: This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This lowers heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS.

Utilization: claims vs the average NC prescriber

This provider
27
NC average
40.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$80.50
NC average
$84.32

This provider's average cost per claim is below the NC average for this medication.

55.0
30-Day Fills
1,650
Days Supply

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

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

Utilization: claims vs the average NC prescriber

This provider
24
NC average
72.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$9.33
NC average
$12.72

This provider's average cost per claim is below the NC average for this medication.

42.0
30-Day Fills
1,240
Days Supply

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

It may help to improve your mood, appetite, and energy level as well as decrease anxiety and insomnia related to depression. Trazodone works by helping to restore the balance of a certain natural chemical (serotonin) in the brain.

Utilization: claims vs the average NC prescriber

This provider
23
NC average
80.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$22.96
NC average
$16.84

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

45.0
30-Day Fills
1,350
Days Supply

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.

Utilization: claims vs the average NC prescriber

This provider
22
NC average
84.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$1,227.41
NC average
$781.62

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

46.0
30-Day Fills
1,355
Days Supply

About Eliquis: Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery. Show more ▾

With atrial fibrillation, part of the heart does not beat the way it should. This can lead to blood clots forming, which can travel to other parts of your body (such as the lungs or legs) or increase your risk for stroke. In the United States, apixaban is also approved to treat certain types of blood clots (deep vein thrombosis-DVT, pulmonary embolus-PE) and to prevent them from forming again. Apixaban is an anticoagulant that works by blocking certain clotting proteins in your blood.

Utilization: claims vs the average NC prescriber

This provider
20
NC average
39.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$17.88
NC average
$38.65

This provider's average cost per claim is below the NC average for this medication.

33.8
30-Day Fills
990
Days Supply

About Bupropion Xl: Bupropion is used to treat depression. Show more ▾

It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain.

Utilization: claims vs the average NC prescriber

This provider
16
NC average
74.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$6.91
NC average
$8.00

This provider's average cost per claim is below the NC average for this medication.

48.0
30-Day Fills
1,440
Days Supply

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

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

Utilization: claims vs the average NC prescriber

This provider
15
NC average
43.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$826.50
NC average
$850.84

This provider's average cost per claim is below the NC average for this medication.

21.0
30-Day Fills
630
Days Supply

About Xarelto: Rivaroxaban is used to prevent blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip or knee replacement surgery. Show more ▾

It is also used to prevent blood clots from forming in high-risk patients with limited mobility during their hospital stay and after discharge. In addition, rivaroxaban is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and to prevent the blood clots from forming again. Rivaroxaban may be used in children to prevent blood clots from forming after a certain heart surgery (Fontan procedure). Rivaroxaban is an anticoagulant that works by blocking certain clotting proteins in your blood. A morpholine and thiophene derivative that functions as a FACTOR XA INHIBITOR and is used in the treatment and prevention of DEEP-VEIN THROMBOSIS and PULMONARY EMBOLISM. It is also used for the prevention of STROKE and systemic embolization in patients with non-valvular ATRIAL FIBRILLATION, and for the prevention of atherothrombotic events in patients after an ACUTE CORONARY SYNDROME.

Utilization: claims vs the average NC prescriber

This provider
14
NC average
40.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$15.82
NC average
$15.18

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

22.0
30-Day Fills
660
Days Supply

About Fluoxetine Hcl: This long-acting form of fluoxetine is used to treat depression in people who have been successfully treated with the form of fluoxetine that is taken daily. Show more ▾

Fluoxetine is a selective serotonin reuptake inhibitor (SSRI). SSRIs work by helping to restore the balance of certain natural substances in the brain (neurotransmitters such as serotonin). Fluoxetine may decrease anxiety, improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. 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.

Utilization: claims vs the average NC prescriber

This provider
14
NC average
36.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$9.10
NC average
$26.34

This provider's average cost per claim is below the NC average for this medication.

24.0
30-Day Fills
720
Days Supply

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

This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Torsemide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A pyridine and sulfonamide derivative that acts as a sodium-potassium chloride symporter inhibitor (loop diuretic). It is used for the treatment of EDEMA associated with CONGESTIVE HEART FAILURE; CHRONIC RENAL INSUFFICIENCY; and LIVER DISEASES. It is also used for the management of HYPERTENSION.

Utilization: claims vs the average NC prescriber

This provider
13
NC average
82.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$14.52
NC average
$4.90

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

27.0
30-Day Fills
810
Days Supply

About Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydrochlorothiazide belongs to a class of drugs known as diuretics/water pills. It works by causing you to make more urine. This helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism.

Utilization: claims vs the average NC prescriber

This provider
13
NC average
84.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$4.38
NC average
$6.11

This provider's average cost per claim is below the NC average for this medication.

25.9
30-Day Fills
778
Days Supply

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

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

Utilization: claims vs the average NC prescriber

This provider
13
NC average
31.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$28.00
NC average
$39.80

This provider's average cost per claim is below the NC average for this medication.

35.0
30-Day Fills
1,050
Days Supply

About Telmisartan: This medication is used to treat high blood pressure (hypertension). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Telmisartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so blood can flow more easily. A biphenyl compound and benzimidazole derivative that acts as an angiotensin II type 1 receptor antagonist. It is used in the management of HYPERTENSION.

Utilization: claims vs the average NC prescriber

This provider
13
NC average
40.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$11.14
NC average
$13.29

This provider's average cost per claim is below the NC average for this medication.

38.2
30-Day Fills
1,146
Days Supply

About Warfarin Sodium: This medication is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and/or to prevent new clots from forming in your body. Show more ▾

Preventing harmful blood clots helps to reduce the risk of a stroke or heart attack. Conditions that increase your risk of developing blood clots include a certain type of irregular heart rhythm (atrial fibrillation), heart valve replacement, recent heart attack, and certain surgeries (such as hip/knee replacement). Warfarin is commonly called a blood thinner, but the more correct term is anticoagulant. It helps to keep blood flowing smoothly in your body by decreasing the amount of certain substances (clotting proteins) in your blood. An anticoagulant that acts by inhibiting the synthesis of vitamin K-dependent coagulation factors. Warfarin is indicated for the prophylaxis and/or treatment of venous thrombosis and its extension, pulmonary embolism, and atrial fibrillation with embolization. It is also used as an adjunct in the prophylaxis of systemic embolism after myocardial infarction. Warfarin is also used as a rodenticide.

Utilization: claims vs the average NC prescriber

This provider
12
NC average
28.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$14.83
NC average
$23.03

This provider's average cost per claim is below the NC average for this medication.

26.0
30-Day Fills
780
Days Supply

About Chlorthalidone: Chlorthalidone is used to treat high blood pressure (hypertension). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to reduce extra salt and water in the body caused by conditions such as heart failure, liver disease, and kidney disease. Decreasing extra salt and water in the body helps to decrease swelling (edema) and breathing problems caused by fluid in the lungs. Chlorthalidone is a water pill (diuretic). It increases the amount of urine you make, especially when you first start the medication. It also helps to relax the blood vessels so that blood can flow more easily. A benzenesulfonamide-phthalimidine that tautomerizes to a BENZOPHENONES form. It is considered a thiazide-like diuretic.

Utilization: claims vs the average NC prescriber

This provider
12
NC average
24.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$505.13
NC average
$592.24

This provider's average cost per claim is below the NC average for this medication.

12.0
30-Day Fills
360
Days Supply

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

It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Vortioxetine is an SSRI (selective serotonin reuptake inhibitor) and serotonin receptor modulator. This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. A piperazine derivative that acts as a serotonin reuptake inhibitor, as a 5-HT3 receptor antagonist, and 5-HT1A receptor agonist. It is used for the treatment of anxiety and depression.

Utilization: claims vs the average NC prescriber

This provider
11
NC average
89.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$7.01
NC average
$7.61

This provider's average cost per claim is below the NC average for this medication.

31.0
30-Day Fills
909
Days Supply

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)

Utilization: claims vs the average NC prescriber

This provider
11
NC average
25.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$11.21
NC average
$23.11

This provider's average cost per claim is below the NC average for this medication.

11.0
30-Day Fills
288
Days Supply

About Oxybutynin Chloride: This is a long-acting form of oxybutynin that is used to treat overactive bladder and urinary conditions. Show more ▾

It relaxes the muscles in the bladder to help decrease problems of urgency and frequent urination. Oxybutynin belongs to a class of drugs known as antispasmodics. This medication is also used to treat children 6 years of age and older who have an overactive bladder due to certain nerve disorders (such as spina bifida).

Utilization: claims vs the average NC prescriber

This provider
11
NC average
55.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$3.63
NC average
$8.98

This provider's average cost per claim is below the NC average for this medication.

11.0
30-Day Fills
330
Days Supply

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.

Utilization: claims vs the average NC prescriber

This provider
11
NC average
64.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$16.88
NC average
$11.30

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

23.0
30-Day Fills
690
Days Supply

About Carvedilol: Carvedilol is used to treat high blood pressure and heart failure. Show more ▾

It is also used after a heart attack to improve the chance of survival if your heart is not pumping well. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers your heart rate, blood pressure, and strain on your heart. Carvedilol belongs to a class of drugs known as alpha and beta blockers. A carbazole and propanol derivative that acts as a non-cardioselective beta blocker and vasodilator. It has blocking activity for ALPHA 1 ADRENERGIC RECEPTORS and, at higher doses, may function as a blocker of CALCIUM CHANNELS; it also has antioxidant properties. Carvedilol is used in the treatment of HYPERTENSION; ANGINA PECTORIS; and HEART FAILURE. It can also reduce the risk of death following MYOCARDIAL INFARCTION.

Utilization: claims vs the average NC prescriber

This provider
11
NC average
43.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$15.66
NC average
$17.86

This provider's average cost per claim is below the NC average for this medication.

21.0
30-Day Fills
630
Days Supply

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).

Utilization: claims vs the average NC prescriber

This provider
11
NC average
51.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$30.42
NC average
$14.71

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

33.0
30-Day Fills
990
Days Supply

About Allopurinol: Allopurinol is used to treat gout and certain types of kidney stones. Show more ▾

It is also used to prevent increased uric acid levels in patients receiving cancer chemotherapy. These patients can have increased uric acid levels due to release of uric acid from the dying cancer cells. Allopurinol works by reducing the amount of uric acid made by the body. Increased uric acid levels can cause gout and kidney problems. A XANTHINE OXIDASE inhibitor that decreases URIC ACID production. It also acts as an antimetabolite on some simpler organisms.

No medications match the current filters.
Top Prescribed= this provider's 5 highest-utilization medications. Above Avg. Typical Below Avg.= utilization vs the average NC prescriber of the same drug; volume reflects practice size as well as clinical preference.Green cost= below the NC average cost per claim.

About this data. The prescription history for ROSANNA DELVERME SILVA D.O. is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2023, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Family Medicine prescribing approach at this Charlotte, NC 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 volume among NC prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.