HEATHER MILLER
Prescription History 1508514621
Nurse Practitioner in Fort Payne, AL
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for HEATHER MILLER, an active Nurse Practitioner specialist practicing in Fort Payne, AL. Our medical registry currently tracks 11 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 237 documented patient claims. Among these therapy options, the most frequently utilized medication is Estradiol, which accounts for 83 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 AL PrescribersVs. AL Avg |
|---|---|---|---|
| Estradiol | 83 | $32.26▼ below AL avg | ▲ More than typical |
About Estradiol: This medication is a hormone. Show more ▾ It is used by women to help reduce vaginal symptoms of menopause (such as vaginal dryness/burning/itching). These symptoms are caused by the body making less estrogen. When treating only vaginal symptoms of menopause, products applied directly inside the vagina (such as this medication) should be used first. Estrogens that are taken by mouth, absorbed through the skin, or injected may have greater risks of side effects due to more estrogen being absorbed. 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 2024, this provider wrote 83 Medicare prescriptions for Estradiol, about 1.6 times the volume of the typical Alabama prescriber of this medication (52.3). Medicare paid an average of $32.26 per fill, versus $42.91 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 This provider's average cost per fill is below the AL average for this medication. 174.9 30-Day Fills standardized to 30-day supplies 5,244 Days of Medication total across all patients in 2024 | |||
| Estradiol (Once Weekly)Estradiol | 30 | $42.09▼ below AL avg | ▲ More than typical |
About Estradiol (Once Weekly): This medication is a 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 2024, this provider wrote 30 Medicare prescriptions for Estradiol (Once Weekly), about 1.8 times the volume of the typical Alabama prescriber of this medication (16.9). Medicare paid an average of $42.09 per fill, versus $78.69 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 This provider's average cost per fill is below the AL average for this medication. 33.6 30-Day Fills standardized to 30-day supplies 952 Days of Medication total across all patients in 2024 | |||
| DottiEstradiol | 20 | $69.64▼ below AL avg | ≈ Typical |
About Dotti: This medication is a 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 2024, this provider wrote 20 Medicare prescriptions for Dotti, about the same volume as the typical Alabama prescriber of this medication (21.9). Medicare paid an average of $69.64 per fill, versus $99.74 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. 21.8 30-Day Fills standardized to 30-day supplies 616 Days of Medication total across all patients in 2024 | |||
| Fluconazole | 19 | $5.15▼ 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 2024, this provider wrote 19 Medicare prescriptions for Fluconazole, about half the volume of the typical Alabama prescriber of this medication (33.3). Medicare paid an average of $5.15 per fill, versus $9.40 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. 19.1 30-Day Fills standardized to 30-day supplies 141 Days of Medication total across all patients in 2024 | |||
| MyrbetriqMirabegron | 14 | $571.93▼ below AL avg | ▼ 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. A beta3-adrenergic receptor agonist. In 2024, this provider wrote 14 Medicare prescriptions for Myrbetriq, about a third of the volume of the typical Alabama prescriber of this medication (43.2). Medicare paid an average of $571.93 per fill, versus $609.61 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. 18 30-Day Fills standardized to 30-day supplies 540 Days of Medication total across all patients in 2024 | |||
| Drospirenone-Ethinyl EstradiolEthinyl Estradiol/Drospirenone | 13 | $33.08 | – No State Data |
About Drospirenone-Ethinyl Estradiol: This medication is a combination of 2 hormones: an estrogen (ethinyl estradiol) and a progestin (drospirenone). Show more ▾ This product is used to prevent pregnancy. Besides preventing pregnancy, birth control pills may make your periods more regular, decrease blood loss and painful periods, and decrease your risk of ovarian cysts. Using this medication does not protect you or your partner against sexually transmitted diseases (such as HIV, gonorrhea, chlamydia). In 2024, this provider wrote 13 Medicare prescriptions for Drospirenone-Ethinyl Estradiol. Medicare paid an average of $33.08 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 $33.08 Cost 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 364 Days of Medication total across all patients in 2024 | |||
| Medroxyprogesterone Acetate | 13 | $13.59▼ below AL avg | ▼ Less than typical |
About Medroxyprogesterone Acetate: Medroxyprogesterone is a type of hormone (progestin). Show more ▾ This medication is similar to the progesterone that your body naturally makes and is given to replace the hormone when your body is not making enough of it. This medication has several uses. In women who are not pregnant and not going through menopause, this medication is used to treat abnormal bleeding from the uterus and to restore normal menstrual periods in women who have stopped having them for several months (amenorrhea). Medroxyprogesterone is also used as part of combination hormone replacement therapy with estrogens to reduce menopause symptoms (such as hot flashes). Medroxyprogesterone is added to estrogen replacement therapy to reduce the risk of cancer of the uterus. Some brands of this medication may also be used to treat certain types of cancers (breast cancer, endometrial cancer). This medication must not be used to test for pregnancy. 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 2024, this provider wrote 13 Medicare prescriptions for Medroxyprogesterone Acetate, about half the volume of the typical Alabama prescriber of this medication (24.4). Medicare paid an average of $13.59 per fill, versus $17.41 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. 28.8 30-Day Fills standardized to 30-day supplies 865 Days of Medication total across all patients in 2024 | |||
| Norethindrone Acetate | 12 | $31.68▼ below AL avg | ▼ Less than typical |
About Norethindrone Acetate: This medication is used to treat women with abnormal bleeding from the uterus. Show more ▾ It is also used to treat women who have stopped having menstrual periods for several months (amenorrhea) but who are not pregnant or going through menopause. In addition, this medication is used to treat a condition (endometriosis) in which tissue that normally lines the inside of the uterus is found outside the uterus in the abdomen/pelvic area, causing painful/irregular periods. Norethindrone is a type of hormone (progestin). It is like the hormone progesterone that your body makes naturally. This medication works by stopping the normal growth of the uterus lining during the menstrual cycle and signaling hormone changes in the uterus to restore normal menstrual periods. This medication must not be used to test for pregnancy. Progestins are not effective in preventing miscarriages. Acetate ester of norethindrone that is used as a long-term contraceptive (CONTRACEPTIVE AGENTS). In 2024, this provider wrote 12 Medicare prescriptions for Norethindrone Acetate, about 67% of the volume of the typical Alabama prescriber of this medication (18). Medicare paid an average of $31.68 per fill, versus $37.09 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 360 Days of Medication total across all patients in 2024 | |||
| Duloxetine Hcl | 11 | $19.97▼ below AL avg | ▼ Less than typical |
About Duloxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, anxiety). Show more ▾ It is also used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain). Duloxetine belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A thiophene derivative and selective NEUROTRANSMITTER UPTAKE INHIBITOR for SEROTONIN and NORADRENALINE (SNRI). It is an ANTIDEPRESSIVE AGENT and ANXIOLYTIC, and is also used for the treatment of pain in patients with DIABETES MELLITUS and FIBROMYALGIA. In 2024, this provider wrote 11 Medicare prescriptions for Duloxetine Hcl, about 15% of the volume of the typical Alabama prescriber of this medication (74.8). Medicare paid an average of $19.97 per fill, versus $24.31 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. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2024 | |||
| Metronidazole | 11 | $4.17▼ below AL 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 11 Medicare prescriptions for Metronidazole, about half the volume of the typical Alabama prescriber of this medication (24.1). Medicare paid an average of $4.17 per fill, versus $29.29 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. 11 30-Day Fills standardized to 30-day supplies 77 Days of Medication total across all patients in 2024 | |||
| ValacyclovirValacyclovir Hcl | 11 | $33.99▼ below AL avg | ▼ Less than typical |
About Valacyclovir: Valacyclovir is used to treat infections caused by certain types of viruses. Show more ▾ In children, it is used to treat cold sores around the mouth (caused by herpes simplex) and chickenpox (caused by varicella zoster). In adults, it is used to treat shingles (caused by herpes zoster) and cold sores around the mouth. Valacyclovir is also used to treat outbreaks of genital herpes. In people with frequent outbreaks, this medication is used to reduce the number of future episodes. Valacyclovir is an antiviral drug. It stops the growth of certain viruses. However, it is not a cure for these infections. The viruses that cause these infections continue to live in the body even between outbreaks. Valacyclovir decreases the severity and length of these outbreaks. It helps the sores heal faster, keeps new sores from forming, and decreases pain/itching. This medication may also help reduce how long pain remains after the sores heal. A prodrug of acyclovir that is used in the treatment of HERPES ZOSTER and HERPES SIMPLEX VIRUS INFECTION of the skin and mucous membranes, including GENITAL HERPES. In 2024, this provider wrote 11 Medicare prescriptions for Valacyclovir, about a third of the volume of the typical Alabama prescriber of this medication (26.6). Medicare paid an average of $33.99 per fill, versus $40.95 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 361 Days of Medication total across all patients in 2024 | |||
About this data. The prescription history for HEATHER MILLER 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 Nurse Practitioner prescribing approach at this Fort Payne, 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 among AL 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.
