SHANNA VIRGINIA NANCY SHUMAKER M.D.
Prescription History 1508123779
Obstetrics & Gynecology in Huntsville, AL
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for SHANNA VIRGINIA NANCY SHUMAKER M.D., an active Obstetrics & Gynecology specialist practicing in Huntsville, AL. Our medical registry currently tracks 9 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 262 documented patient claims. Among these therapy options, the most frequently utilized medication is Estradiol, which accounts for 101 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 (2023)Rx (2023) | Avg Cost per FillCost / Fill | Vs. Other AL PrescribersVs. AL Avg |
|---|---|---|---|
| Estradiol | 101 | $81.84 | ▲ More than typical |
About Estradiol: This medication is a female hormone (estrogen). Show more ▾ It is used by women to help reduce symptoms of menopause (such as hot flashes, vaginal dryness). These symptoms are caused by the body making less estrogen. If you are using this medication to treat symptoms only in and around the vagina, products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected. This medication may also be used by women who are not able to produce enough estrogen (for example, due to hypogonadism, primary ovarian failure). Certain estrogen products may also be used by women after menopause to prevent bone loss (osteoporosis). However, there are other medications (such as raloxifene, bisphosphonates including alendronate) that are also effective in preventing bone loss and may be safer. These medications should be considered for use before estrogen treatment. The 17-beta-isomer of estradiol, an aromatized C18 steroid with hydroxyl group at 3-beta- and 17-beta-position. Estradiol-17-beta is the most potent form of mammalian estrogenic steroids. In 2023, this provider wrote 101 Medicare prescriptions for Estradiol, about 2 times the volume of the typical Alabama prescriber of this medication (51). Medicare paid an average of $81.84 per fill, versus $47.02 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AL 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. 286.1 30-Day Fills standardized to 30-day supplies 8,576 Days of Medication total across all patients in 2023 | |||
| Clobetasol Propionate | 35 | $39.96▼ below AL avg | ≈ Typical |
About Clobetasol Propionate: This medication is used to treat a variety of skin conditions (such as eczema, psoriasis, dermatitis, allergies, rash). Show more ▾ Clobetasol reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a very strong (super-high-potency) corticosteroid. A derivative of PREDNISOLONE with high glucocorticoid activity and low mineralocorticoid activity. Absorbed through the skin faster than FLUOCINONIDE, it is used topically in treatment of PSORIASIS but may cause marked adrenocortical suppression. In 2023, this provider wrote 35 Medicare prescriptions for Clobetasol Propionate, about 83% of the volume of the typical Alabama prescriber of this medication (42). Medicare paid an average of $39.96 per fill, versus $68.99 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average AL 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 AL average for this medication. 43 30-Day Fills standardized to 30-day supplies 1,127 Days of Medication total across all patients in 2023 | |||
| Medroxyprogesterone Acetate | 27 | $43.37 | ≈ Typical |
About Medroxyprogesterone Acetate: This medication is used to prevent pregnancy. Show more ▾ Medroxyprogesterone is like a natural hormone made by the body. Using this medication does not protect you or your partner against sexually transmitted diseases (such as HIV, gonorrhea, chlamydia). A synthetic progestin that is derived from 17-hydroxyprogesterone. It is a long-acting contraceptive that is effective both orally or by intramuscular injection and has also been used to treat breast and endometrial neoplasms. In 2023, this provider wrote 27 Medicare prescriptions for Medroxyprogesterone Acetate, about the same volume as the typical Alabama prescriber of this medication (25). Medicare paid an average of $43.37 per fill, versus $19.77 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average AL 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. 77.1 30-Day Fills standardized to 30-day supplies 2,312 Days of Medication total across all patients in 2023 | |||
| MyrbetriqMirabegron | 23 | $919.25 | ▼ Less than typical |
About Myrbetriq: This medication is used to treat certain bladder problems (overactive bladder, neurogenic detrusor overactivity). Show more ▾ Overactive bladder is a problem with how your bladder stores urine. Neurogenic detrusor overactivity is a bladder control condition caused by brain, spinal cord, or nerve problems. Symptoms of these conditions may include frequent urination, strong sudden urges to urinate that are hard to control, or involuntary loss of urine (incontinence). Mirabegron works by relaxing a certain bladder muscle (detrusor), which helps the bladder hold more urine and lessens symptoms of overactive bladder and neurogenic detrusor overactivity. In 2023, this provider wrote 23 Medicare prescriptions for Myrbetriq, about half the volume of the typical Alabama prescriber of this medication (47). Medicare paid an average of $919.25 per fill, versus $602.67 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AL 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. 45 30-Day Fills standardized to 30-day supplies 1,350 Days of Medication total across all patients in 2023 | |||
| Alendronate Sodium | 19 | $14.59 | ▼ Less than typical |
About Alendronate Sodium: Alendronate is used to prevent and treat certain types of bone loss (osteoporosis) in adults. Show more ▾ Osteoporosis causes bones to become thinner and break more easily. Your chance of developing osteoporosis increases as you age, after menopause, or if you are taking corticosteroid medications (such as prednisone) for a long time. This medication works by slowing bone loss. This effect helps maintain strong bones and reduce the risk of broken bones (fractures). Alendronate belongs to a class of drugs called bisphosphonates. A nonhormonal medication for the treatment of postmenopausal osteoporosis in women. This drug builds healthy bone, restoring some of the bone loss as a result of osteoporosis. In 2023, this provider wrote 19 Medicare prescriptions for Alendronate Sodium, about half the volume of the typical Alabama prescriber of this medication (43). Medicare paid an average of $14.59 per fill, versus $11.89 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AL 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. 53.2 30-Day Fills standardized to 30-day supplies 1,596 Days of Medication total across all patients in 2023 | |||
| PremarinEstrogens, Conjugated | 18 | $489.04 | ≈ Typical |
About Premarin: This medication is a female hormone. Show more ▾ It is used by women to help reduce symptoms of menopause (such as hot flashes, vaginal dryness). These symptoms are caused by the body making less estrogen. If you are using this medication to treat symptoms only in and around the vagina, products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected. Certain estrogen products may also be used by women after menopause to prevent bone loss (osteoporosis). However, there are other medications (such as raloxifene, bisphosphonates including alendronate) that are also effective in preventing bone loss and may be safer. These medications should be considered for use before estrogen treatment. Certain estrogen products may also be used by men and women to treat cancers (certain types of prostate cancer, breast cancer that has spread to other parts of the body) and by women who are not able to produce enough estrogen (for example, due to hypogonadism, primary ovarian failure). A pharmaceutical preparation containing a mixture of water-soluble, conjugated estrogens derived wholly or in part from URINE of pregnant mares or synthetically from ESTRONE and EQUILIN. It contains a sodium-salt mixture of estrone sulfate (52-62%) and equilin sulfate (22-30%) with a total of the two between 80-88%. Other concomitant conjugates include 17-alpha-dihydroequilin, 17-alpha-estradiol, and 17-beta-dihydroequilin. The potency of the preparation is expressed in terms of an equivalent quantity of sodium estrone sulfate. In 2023, this provider wrote 18 Medicare prescriptions for Premarin, about 82% of the volume of the typical Alabama prescriber of this medication (22). Medicare paid an average of $489.04 per fill, versus $352.33 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average AL 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. 46 30-Day Fills standardized to 30-day supplies 1,374 Days of Medication total across all patients in 2023 | |||
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 14 | $23.47▼ below AL avg | ▼ Less than typical |
About Nitrofurantoin Mono-Macro: This medication is an antibiotic used to treat bladder infections (acute cystitis). Show more ▾ It works by stopping the growth of bacteria. This antibiotic treats only bacterial 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. This medication should not be used in infants younger than 1 month old (see also Precautions section). This drug should not be used to treat infections outside the bladder (including kidney infections such as pyelonephritis or perinephric abscesses). In 2023, this provider wrote 14 Medicare prescriptions for Nitrofurantoin Mono-Macro, about half the volume of the typical Alabama prescriber of this medication (29). Medicare paid an average of $23.47 per fill, versus $25.30 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AL 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 AL average for this medication. 14 30-Day Fills standardized to 30-day supplies 121 Days of Medication total across all patients in 2023 | |||
| Fluconazole | 13 | $7.75▼ below AL avg | ▼ Less than typical |
About Fluconazole: Fluconazole is used to treat vaginal yeast infections. Show more ▾ It works by stopping the growth of common types of vaginal yeast (fungus). This medication belongs to a class of drugs called azole antifungals. Triazole antifungal agent that is used to treat oropharyngeal CANDIDIASIS and cryptococcal MENINGITIS in AIDS. In 2023, this provider wrote 13 Medicare prescriptions for Fluconazole, about a third of the volume of the typical Alabama prescriber of this medication (32). Medicare paid an average of $7.75 per fill, versus $11.23 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AL 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 AL average for this medication. 13 30-Day Fills standardized to 30-day supplies 72 Days of Medication total across all patients in 2023 | |||
| Estradiol-Norethindrone AcetatEstradiol/Norethindrone Acet | 12 | $78.47▼ below AL avg | ▼ Less than typical |
About Estradiol-Norethindrone Acetat: This medication contains 2 female hormones: an estrogen (such as conjugated estrogen, estradiol) and a progestin (such as medroxyprogesterone, norethindrone, norgestimate). Show more ▾ Some brands of this medication may contain progesterone instead of a progestin. Progesterone and progestin both act like the form of the natural hormone (progesterone) produced by your body. This medication is used by women to help reduce symptoms of menopause (such as hot flashes, vaginal dryness). These symptoms are caused by the body making less estrogen. The progestin or progesterone in this medication helps to reduce the risk of cancer of the uterus which can be caused by using estrogen. Women who have had their uterus removed do not need the progestin or progesterone. They should not use this combination medication. If you are using this medication to treat symptoms only in and around the vagina, products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected. This medication may also be used by women after menopause to prevent bone loss (osteoporosis). However, there are other medications (such as raloxifene, bisphosphonates including alendronate) that are also effective in preventing bone loss and may be safer. These medications should be considered for use before estrogen/progestin treatment. In 2023, this provider wrote 12 Medicare prescriptions for Estradiol-Norethindrone Acetat, about 63% of the volume of the typical Alabama prescriber of this medication (19). Medicare paid an average of $78.47 per fill, versus $137.18 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AL 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 AL average for this medication. 12 30-Day Fills standardized to 30-day supplies 336 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for SHANNA VIRGINIA NANCY SHUMAKER M.D. 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 Obstetrics & Gynecology prescribing approach at this Huntsville, AL 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 AL prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
