PENNY S BRUSO FNP
Prescription History 1518376607
Nurse Practitioner - Family in Shaftsbury, VT
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for PENNY S BRUSO FNP, an active Family specialist practicing in Shaftsbury, VT. Our medical registry currently tracks 19 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 446 documented patient claims. Among these therapy options, the most frequently utilized medication is Baclofen, which accounts for 65 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 VT PrescribersVs. VT Avg |
|---|---|---|---|
| Baclofen | 65 | $18.64▼ below VT avg | ▲ More than typical |
About Baclofen: Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury/disease). Show more ▾ It works by helping to relax the muscles. A GAMMA-AMINOBUTYRIC ACID derivative that is a specific agonist of GABA-B RECEPTORS. It is used in the treatment of MUSCLE SPASTICITY, especially that due to SPINAL CORD INJURIES. Its therapeutic effects result from actions at spinal and supraspinal sites, generally the reduction of excitatory transmission. In 2023, this provider wrote 65 Medicare prescriptions for Baclofen, about 2.2 times the volume of the typical Vermont prescriber of this medication (29). Medicare paid an average of $18.64 per fill, versus $43.25 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VT 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 VT average for this medication. 81 30-Day Fills standardized to 30-day supplies 2,430 Days of Medication total across all patients in 2023 | |||
| Gabapentin | 64 | $15.68▼ below VT avg | ≈ Typical |
About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾ It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME. In 2023, this provider wrote 64 Medicare prescriptions for Gabapentin, about the same volume as the typical Vermont prescriber of this medication (70). Medicare paid an average of $15.68 per fill, versus $25.86 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average VT 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 VT average for this medication. 88 30-Day Fills standardized to 30-day supplies 2,631 Days of Medication total across all patients in 2023 | |||
| Modafinil | 34 | $29.60▼ below VT avg | ▲ More than typical |
About Modafinil: Modafinil reduces extreme sleepiness due to narcolepsy and other sleep disorders, such as periods of stopped breathing during sleep (obstructive sleep apnea). Show more ▾ It is also used to help you stay awake during work hours if you have a work schedule that keeps you from having a normal sleep routine (shift work sleep disorder). This medication does not cure these sleep disorders and may not get rid of all your sleepiness. Modafinil does not take the place of getting enough sleep. It should not be used to treat tiredness or hold off sleep in people who do not have a sleep disorder. It is not known how modafinil works to keep you awake. It is thought to work by affecting certain substances in the brain that control the sleep/wake cycle. A benzhydryl acetamide compound, central nervous system stimulant, and CYP3A4 inducing agent that is used in the treatment of NARCOLEPSY and SLEEP WAKE DISORDERS. In 2023, this provider wrote 34 Medicare prescriptions for Modafinil, about 1.8 times the volume of the typical Vermont prescriber of this medication (19). Medicare paid an average of $29.60 per fill, versus $266.94 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VT 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 VT average for this medication. 36.8 30-Day Fills standardized to 30-day supplies 1,077 Days of Medication total across all patients in 2023 | |||
| Dalfampridine ErDalfampridine | 32 | $391.05▼ below VT avg | ▼ Less than typical |
About Dalfampridine Er: Dalfampridine is used to improve walking in people with multiple sclerosis (MS). Show more ▾ It is a potassium channel blocker. It is thought to work by improving nerve conduction. One of the POTASSIUM CHANNEL BLOCKERS with secondary effect on calcium currents which is used mainly as a research tool and to characterize channel subtypes. In 2023, this provider wrote 32 Medicare prescriptions for Dalfampridine Er, about 73% of the volume of the typical Vermont prescriber of this medication (44). Medicare paid an average of $391.05 per fill, versus $618.53 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VT 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 VT average for this medication. 42 30-Day Fills standardized to 30-day supplies 1,260 Days of Medication total across all patients in 2023 | |||
| Lamotrigine | 29 | $15.78▼ below VT avg | ▼ Less than typical |
About Lamotrigine: Lamotrigine is used alone or with other medications to prevent and control seizures. Show more ▾ It may also be used to help prevent the extreme mood swings of bipolar disorder in adults. Lamotrigine is known as an anticonvulsant or antiepileptic drug. It is thought to work by restoring the balance of certain natural substances in the brain. This drug is not approved for use in children younger than 2 years due to an increased risk of side effects (such as infections). A phenyltriazine compound, sodium and calcium channel blocker that is used for the treatment of SEIZURES and BIPOLAR DISORDER. In 2023, this provider wrote 29 Medicare prescriptions for Lamotrigine, about 73% of the volume of the typical Vermont prescriber of this medication (40). Medicare paid an average of $15.78 per fill, versus $16.64 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VT 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 VT average for this medication. 33 30-Day Fills standardized to 30-day supplies 883 Days of Medication total across all patients in 2023 | |||
| Pyridostigmine Bromide | 26 | $126.17 | ▼ Less than typical |
About Pyridostigmine Bromide: Pyridostigmine is used to improve muscle strength in patients with a certain muscle disease (myasthenia gravis). Show more ▾ It works by preventing the breakdown of a certain natural substance (acetylcholine) in your body. Acetylcholine is needed for normal muscle function. A cholinesterase inhibitor with a slightly longer duration of action than NEOSTIGMINE. It is used in the treatment of myasthenia gravis and to reverse the actions of muscle relaxants. In 2023, this provider wrote 26 Medicare prescriptions for Pyridostigmine Bromide, about 62% of the volume of the typical Vermont prescriber of this medication (42). Medicare paid an average of $126.17 per fill, versus $98.35 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VT 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. 62 30-Day Fills standardized to 30-day supplies 1,860 Days of Medication total across all patients in 2023 | |||
| Tizanidine Hcl | 23 | $10.04▼ below VT avg | ≈ Typical |
About Tizanidine Hcl: This medication is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury). Show more ▾ It works by helping to relax the muscles. In 2023, this provider wrote 23 Medicare prescriptions for Tizanidine Hcl, about 82% of the volume of the typical Vermont prescriber of this medication (28). Medicare paid an average of $10.04 per fill, versus $17.87 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average VT 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 VT average for this medication. 27 30-Day Fills standardized to 30-day supplies 795 Days of Medication total across all patients in 2023 | |||
| Prednisone | 19 | $4.53▼ below VT avg | ▼ Less than typical |
About Prednisone: Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders. Show more ▾ Prednisone belongs to a class of drugs known as corticosteroids. It decreases your immune system's response to various diseases to reduce symptoms such as swelling and allergic-type reactions. A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver. In 2023, this provider wrote 19 Medicare prescriptions for Prednisone, about half the volume of the typical Vermont prescriber of this medication (35). Medicare paid an average of $4.53 per fill, versus $7.13 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VT 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 VT average for this medication. 23 30-Day Fills standardized to 30-day supplies 546 Days of Medication total across all patients in 2023 | |||
| Topiramate | 18 | $11.68▼ below VT avg | ▼ Less than typical |
About Topiramate: Topiramate is used alone or with other medications to prevent and control seizures (epilepsy). Show more ▾ This medication is also used to prevent migraine headaches and decrease how often you get them. Topiramate will not treat a migraine headache once it occurs. If you get a migraine headache, treat it as directed by your doctor (such as by taking pain medication, lying down in a dark room). Topiramate is known as an anticonvulsant or antiepileptic drug. A sulfamate-substituted fructose analog that was originally identified as a hypoglycemic agent. It is used for the treatment of EPILEPSY and MIGRAINE DISORDERS, and may also promote weight loss. In 2023, this provider wrote 18 Medicare prescriptions for Topiramate, about 64% of the volume of the typical Vermont prescriber of this medication (28). Medicare paid an average of $11.68 per fill, versus $20.98 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VT 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 VT average for this medication. 20.5 30-Day Fills standardized to 30-day supplies 615 Days of Medication total across all patients in 2023 | |||
| Sumatriptan Succinate | 17 | $76.41 | ≈ Typical |
About Sumatriptan Succinate: Sumatriptan is used to treat migraines and cluster headaches. Show more ▾ It helps to relieve pain and other symptoms of migraines/headaches including sensitivity to light or sound, nausea, and vomiting. Prompt treatment allows you to get back to your normal routine and may decrease your need for other pain medications. It does not prevent future migraines/headaches or reduce how often you may get a headache. Sumatriptan belongs to a group of drugs called triptans. It affects a certain natural chemical (serotonin) that constricts blood vessels in the brain. It may also block other pain pathways in the brain. A serotonin agonist that acts selectively at 5HT1 receptors. It is used in the treatment of MIGRAINE DISORDERS. In 2023, this provider wrote 17 Medicare prescriptions for Sumatriptan Succinate, about 89% of the volume of the typical Vermont prescriber of this medication (19). Medicare paid an average of $76.41 per fill, versus $36.37 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average VT 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 360 Days of Medication total across all patients in 2023 | |||
| Alprazolam | 16 | $4.15▼ below VT avg | ▼ Less than typical |
About Alprazolam: Alprazolam is used to treat anxiety and panic disorders. Show more ▾ It belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA). A triazolobenzodiazepine compound with antianxiety and sedative-hypnotic actions, that is efficacious in the treatment of PANIC DISORDERS, with or without AGORAPHOBIA, and in generalized ANXIETY DISORDERS. (From AMA Drug Evaluations Annual, 1994, p238) In 2023, this provider wrote 16 Medicare prescriptions for Alprazolam, about half the volume of the typical Vermont prescriber of this medication (29). Medicare paid an average of $4.15 per fill, versus $10.53 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VT 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 VT average for this medication. 16 30-Day Fills standardized to 30-day supplies 337 Days of Medication total across all patients in 2023 | |||
| ValacyclovirValacyclovir Hcl | 15 | $21.83▼ below VT avg | ≈ 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 2023, this provider wrote 15 Medicare prescriptions for Valacyclovir, about 88% of the volume of the typical Vermont prescriber of this medication (17). Medicare paid an average of $21.83 per fill, versus $51.01 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average VT 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 VT average for this medication. 15 30-Day Fills standardized to 30-day supplies 427 Days of Medication total across all patients in 2023 | |||
| Kesimpta PenOfatumumab | 14 | $11,231.46 | – No State Data |
About Kesimpta Pen: Ofatumumab is used to treat a certain type of cancer (chronic lymphocytic leukemia - CLL). Show more ▾ Ofatumumab belongs to a class of drugs known as monoclonal antibodies. This medication works by stopping the growth of cancer cells. In 2023, this provider wrote 14 Medicare prescriptions for Kesimpta Pen. Medicare paid an average of $11,231.46 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 $11,231.46 Cost per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 14 30-Day Fills standardized to 30-day supplies 392 Days of Medication total across all patients in 2023 | |||
| Duloxetine Hcl | 14 | $45.54▼ below VT avg | ▼ Less than typical |
About Duloxetine Hcl: Duloxetine is used to treat depression and anxiety. Show more ▾ In addition, duloxetine is 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 may improve your mood, sleep, appetite, and energy level, and decrease nervousness. It can also decrease pain due to certain medical conditions. Duloxetine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). This medication 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 2023, this provider wrote 14 Medicare prescriptions for Duloxetine Hcl, about a third of the volume of the typical Vermont prescriber of this medication (38). Medicare paid an average of $45.54 per fill, versus $71.82 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VT 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 VT average for this medication. 28 30-Day Fills standardized to 30-day supplies 840 Days of Medication total across all patients in 2023 | |||
| Sertraline Hcl | 13 | $10.09▼ below VT avg | ▼ Less than typical |
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. In 2023, this provider wrote 13 Medicare prescriptions for Sertraline Hcl, about a quarter of the volume of the typical Vermont prescriber of this medication (55). Medicare paid an average of $10.09 per fill, versus $12.23 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VT 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 VT average for this medication. 23 30-Day Fills standardized to 30-day supplies 690 Days of Medication total across all patients in 2023 | |||
| AmpyraDalfampridine | 12 | $4,179.51 | – No State Data |
About Ampyra: Dalfampridine is used to improve walking in people with multiple sclerosis (MS). Show more ▾ It is a potassium channel blocker. It is thought to work by improving nerve conduction. One of the POTASSIUM CHANNEL BLOCKERS with secondary effect on calcium currents which is used mainly as a research tool and to characterize channel subtypes. In 2023, this provider wrote 12 Medicare prescriptions for Ampyra. Medicare paid an average of $4,179.51 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 $4,179.51 Cost per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023 | |||
| Teriflunomide | 12 | $74.25 | – No State Data |
About Teriflunomide: This medication is used by adults to treat multiple sclerosis-MS. Show more ▾ It is not a cure for MS but is thought to work by decreasing certain immune system cells (lymphocytes) which can attack the nerves in your brain and spinal cord. This helps decrease the number of flare-ups (relapses) and may help slow down physical problems caused by MS. In 2023, this provider wrote 12 Medicare prescriptions for Teriflunomide. Medicare paid an average of $74.25 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 $74.25 Cost per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023 | |||
| Azathioprine | 12 | $114.01 | ▼ Less than typical |
About Azathioprine: Azathioprine is used to prevent organ rejection in people who have received a kidney transplant. Show more ▾ It is usually taken along with other medications to allow your new kidney to function normally. Azathioprine is also used to treat rheumatoid arthritis. In this condition, the body's defense system (immune system) attacks healthy joints. Azathioprine belongs to a class of drugs known as immunosuppressants. It works by weakening the immune system to help your body accept the new kidney as if it were your own (in the case of an organ transplant) or to prevent further damage to your joints (in the case of rheumatoid arthritis). Talk to your doctor about the risks and benefits of azathioprine, especially when used by children and young adults. An immunosuppressive agent used in combination with cyclophosphamide and hydroxychloroquine in the treatment of rheumatoid arthritis. According to the Fourth Annual Report on Carcinogens (NTP 85-002, 1985), this substance has been listed as a known carcinogen. (Merck Index, 11th ed) In 2023, this provider wrote 12 Medicare prescriptions for Azathioprine, about 67% of the volume of the typical Vermont prescriber of this medication (18). Medicare paid an average of $114.01 per fill, versus $108.86 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VT 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. 28 30-Day Fills standardized to 30-day supplies 840 Days of Medication total across all patients in 2023 | |||
| Methylprednisolone | 11 | $5.68▼ below VT avg | ▼ Less than typical |
About Methylprednisolone: Methylprednisolone is used to treat conditions such as arthritis, blood disorders, severe allergic reactions, certain cancers, eye conditions, skin/kidney/intestinal/lung diseases, and immune system disorders. Show more ▾ It decreases your immune system's response to various diseases to reduce symptoms such as swelling, pain, and allergic-type reactions. This medication is a corticosteroid hormone. Methylprednisolone may also be used with other medications in hormone disorders. A PREDNISOLONE derivative with similar anti-inflammatory action. In 2023, this provider wrote 11 Medicare prescriptions for Methylprednisolone, about half the volume of the typical Vermont prescriber of this medication (24). Medicare paid an average of $5.68 per fill, versus $14.47 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VT 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 VT average for this medication. 11 30-Day Fills standardized to 30-day supplies 66 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for PENNY S BRUSO FNP 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 prescribing approach at this Shaftsbury, VT 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 VT prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
