SANDRA PERLMUTTER ARNP
Prescription History 1447227921
Nurse Practitioner in Seattle, WA

Active since March 03, 2006PECOS Enrolled
904 7TH AVE FL 7, SUITE 400, SEATTLE, WA 98104(206) 860-2302 Get Directions

NPPES record last updated: June 27, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for SANDRA PERLMUTTER ARNP, an active Nurse Practitioner specialist practicing in Seattle, WA. Our medical registry currently tracks 11 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 295 documented patient claims. Among these therapy options, the most frequently utilized medication is Metoprolol Succinate, which accounts for 82 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.

11
Medications
295
Total Claims
521
30-Day Fills
Metoprolol Succinate
Most Prescribed · 82 claims
View details
11 medications · 2023 Medicare Part D
Medicare Part D medications prescribed by SANDRA PERLMUTTER ARNP in 2023, with prescription volumes, average cost per fill, and WA state comparisons
Medication Prescriptions (2023)Rx (2023) Avg Cost per FillCost / Fill Vs. Other WA PrescribersVs. WA Avg

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.

In 2023, this provider wrote 82 Medicare prescriptions for Metoprolol Succinate, about the same volume as the typical Washington prescriber of this medication (82). Medicare paid an average of $14.75 per fill, versus $22.27 statewide.

How often this provider prescribes it

This provider
82
WA average
82.0

This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$14.75
WA average
$22.27

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

137.3
30-Day Fills
standardized to 30-day supplies
4,098
Days of Medication
total across all patients in 2023

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

It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A pyrrole and heptanoic acid derivative, HYDROXYMETHYLGLUTARYL-COA REDUCTASE INHIBITOR (statin), and ANTICHOLESTEREMIC AGENT that is used to reduce serum levels of LDL-CHOLESTEROL; APOLIPOPROTEIN B; and TRIGLYCERIDES. It is used to increase serum levels of HDL-CHOLESTEROL in the treatment of HYPERLIPIDEMIAS, and for the prevention of CARDIOVASCULAR DISEASES in patients with multiple risk factors.

In 2023, this provider wrote 39 Medicare prescriptions for Atorvastatin Calcium, about a quarter of the volume of the typical Washington prescriber of this medication (149). Medicare paid an average of $11.94 per fill, versus $13.28 statewide.

How often this provider prescribes it

This provider
39
WA average
149.0

This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$11.94
WA average
$13.28

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

70.3
30-Day Fills
standardized to 30-day supplies
2,088
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 29 Medicare prescriptions for Eliquis, about half the volume of the typical Washington prescriber of this medication (58). Medicare paid an average of $1,349.83 per fill, versus $929.70 statewide.

How often this provider prescribes it

This provider
29
WA average
58.0

This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$1,349.83
WA average
$929.70

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

67
30-Day Fills
standardized to 30-day supplies
1,985
Days of Medication
total across all patients in 2023

About Clopidogrel: Clopidogrel is used to prevent heart attacks and strokes in persons with heart disease (recent heart attack), recent stroke, or blood circulation disease (peripheral vascular disease). Show more ▾

It is also used with aspirin to treat new/worsening chest pain (new heart attack, unstable angina) and to keep blood vessels open and prevent blood clots after certain procedures (such as cardiac stent). Clopidogrel works by blocking platelets from sticking together and prevents them from forming harmful clots. It is an antiplatelet drug. It helps keep blood flowing smoothly in your body. A ticlopidine analog and platelet purinergic P2Y receptor antagonist that inhibits adenosine diphosphate-mediated PLATELET AGGREGATION. It is used to prevent THROMBOEMBOLISM in patients with ARTERIAL OCCLUSIVE DISEASES; MYOCARDIAL INFARCTION; STROKE; or ATRIAL FIBRILLATION.

In 2023, this provider wrote 25 Medicare prescriptions for Clopidogrel, about 66% of the volume of the typical Washington prescriber of this medication (38). Medicare paid an average of $7.73 per fill, versus $17.90 statewide.

How often this provider prescribes it

This provider
25
WA average
38.0

This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$7.73
WA average
$17.90

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

31
30-Day Fills
standardized to 30-day supplies
910
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 25 Medicare prescriptions for Losartan Potassium, about a quarter of the volume of the typical Washington prescriber of this medication (93). Medicare paid an average of $8.45 per fill, versus $11.70 statewide.

How often this provider prescribes it

This provider
25
WA average
93.0

This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$8.45
WA average
$11.70

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

42
30-Day Fills
standardized to 30-day supplies
1,260
Days of Medication
total across all patients in 2023

About Amlodipine Besylate: Amlodipine is used with or without other medications to treat high blood pressure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Amlodipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. A long-acting dihydropyridine calcium channel blocker. It is effective in the treatment of ANGINA PECTORIS and HYPERTENSION.

In 2023, this provider wrote 19 Medicare prescriptions for Amlodipine Besylate, about 20% of the volume of the typical Washington prescriber of this medication (97). Medicare paid an average of $8.39 per fill, versus $8.27 statewide.

How often this provider prescribes it

This provider
19
WA average
97.0

This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$8.39
WA average
$8.27

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

41
30-Day Fills
standardized to 30-day supplies
1,230
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 18 Medicare prescriptions for Rosuvastatin Calcium, about a third of the volume of the typical Washington prescriber of this medication (64). Medicare paid an average of $29.04 per fill, versus $28.00 statewide.

How often this provider prescribes it

This provider
18
WA average
64.0

This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$29.04
WA average
$28.00

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

52
30-Day Fills
standardized to 30-day supplies
1,560
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 18 Medicare prescriptions for Torsemide, about half the volume of the typical Washington prescriber of this medication (34). Medicare paid an average of $12.57 per fill, versus $27.88 statewide.

How often this provider prescribes it

This provider
18
WA average
34.0

This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$12.57
WA average
$27.88

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

22
30-Day Fills
standardized to 30-day supplies
642
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 16 Medicare prescriptions for Furosemide, about a quarter of the volume of the typical Washington prescriber of this medication (58). Medicare paid an average of $5.20 per fill, versus $7.30 statewide.

How often this provider prescribes it

This provider
16
WA average
58.0

This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$5.20
WA average
$7.30

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

32
30-Day Fills
standardized to 30-day supplies
960
Days of Medication
total across all patients in 2023

About Potassium Chloride: This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. Show more ▾

A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a well-balanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhea and vomiting, hormone problems such as hyperaldosteronism, or treatment with water pills/diuretics. A white crystal or crystalline powder used in BUFFERS; FERTILIZERS; and EXPLOSIVES. It can be used to replenish ELECTROLYTES and restore WATER-ELECTROLYTE BALANCE in treating HYPOKALEMIA.

In 2023, this provider wrote 13 Medicare prescriptions for Potassium Chloride, about a quarter of the volume of the typical Washington prescriber of this medication (50). Medicare paid an average of $17.24 per fill, versus $32.62 statewide.

How often this provider prescribes it

This provider
13
WA average
50.0

This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$17.24
WA average
$32.62

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

15
30-Day Fills
standardized to 30-day supplies
450
Days of Medication
total across all patients in 2023

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

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat swelling (edema) caused by certain conditions (such as heart failure, liver disease) by removing excess fluid and improving symptoms such as breathing problems. This medication is also used to treat conditions in which the body is making too much of a natural substance (aldosterone). Spironolactone is known as a water pill (potassium-sparing diuretic). A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827)

In 2023, this provider wrote 11 Medicare prescriptions for Spironolactone, about a third of the volume of the typical Washington prescriber of this medication (36). Medicare paid an average of $2.75 per fill, versus $14.47 statewide.

How often this provider prescribes it

This provider
11
WA average
36.0

This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$2.75
WA average
$14.47

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

11
30-Day Fills
standardized to 30-day supplies
308
Days of Medication
total across all patients in 2023
No medications match the current filters.
= the 5 medications this provider prescribes most. More than typical Typical Less than typical= prescription volume vs the average WA prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the WA average cost per fill.

About this data. The prescription history for SANDRA PERLMUTTER ARNP 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 Nurse Practitioner prescribing approach at this Seattle, WA 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 WA prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.