RAYANNA HANDY FNP-C
Prescription History 1548040694
Nurse Practitioner - Family in Fresno, CA

Active since October 04, 2023PECOS EnrolledAccepts Medicare Assignment
1303 E HERNDON AVE, FRESNO, CA 93720(559) 450-2907 Get Directions

NPPES record last updated: November 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 26, 2023, Oct 4, 2023 (2 updates tracked since 2023).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for RAYANNA HANDY FNP-C, an active Family specialist practicing in Fresno, CA. Our medical registry currently tracks 10 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 334 documented patient claims. Among these therapy options, the most frequently utilized medication is Ciprofloxacin Hcl, which accounts for 76 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.

10
Medications
334
Total Claims
445
30-Day Fills
Ciprofloxacin Hcl
Most Prescribed · 76 claims
View details
10 medications · 2024 Medicare Part D
Medicare Part D medications prescribed by RAYANNA HANDY FNP-C in 2024, with prescription volumes, average cost per fill, and CA state comparisons
Medication Prescriptions (2024)Rx (2024) Avg Cost per FillCost / Fill Vs. Other CA PrescribersVs. CA Avg

About Ciprofloxacin Hcl: This medication is used to treat a variety of bacterial infections. Show more ▾

Ciprofloxacin belongs to a class of drugs called quinolone antibiotics. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for virus infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A broad-spectrum antimicrobial carboxyfluoroquinoline.

In 2024, this provider wrote 76 Medicare prescriptions for Ciprofloxacin Hcl, about 2.5 times the volume of the typical California prescriber of this medication (30.2). Medicare paid an average of $2.08 per fill, versus $6.32 statewide.

How often this provider prescribes it

This provider
76
CA average
30.2

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

What Medicare paid per fill

This provider
$2.08
CA average
$6.32

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

76
30-Day Fills
standardized to 30-day supplies
309
Days of Medication
total across all patients in 2024

About Cephalexin: This medication is used to treat a wide variety of bacterial infections. Show more ▾

This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This medication will not work for viral infections (such as common cold, flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semisynthetic cephalosporin antibiotic with antimicrobial activity similar to that of CEPHALORIDINE or CEPHALOTHIN, but somewhat less potent. It is effective against both gram-positive and gram-negative organisms.

In 2024, this provider wrote 58 Medicare prescriptions for Cephalexin, about 2 times the volume of the typical California prescriber of this medication (29.7). Medicare paid an average of $7.31 per fill, versus $7.62 statewide.

How often this provider prescribes it

This provider
58
CA average
29.7

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

What Medicare paid per fill

This provider
$7.31
CA average
$7.62

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

66
30-Day Fills
standardized to 30-day supplies
741
Days of Medication
total across all patients in 2024

About Tamsulosin Hcl: Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾

It does not shrink the prostate, but it works by relaxing the muscles in the prostate and the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night). Tamsulosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure. A sulfonamide derivative and adrenergic alpha-1 receptor antagonist that is used to relieve symptoms of urinary obstruction caused by BENIGN PROSTATIC HYPERPLASIA.

In 2024, this provider wrote 50 Medicare prescriptions for Tamsulosin Hcl, about half the volume of the typical California prescriber of this medication (84.5). Medicare paid an average of $13.90 per fill, versus $15.02 statewide.

How often this provider prescribes it

This provider
50
CA average
84.5

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

What Medicare paid per fill

This provider
$13.90
CA average
$15.02

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

114
30-Day Fills
standardized to 30-day supplies
3,404
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 49 Medicare prescriptions for Nitrofurantoin Mono-Macro, about 1.9 times the volume of the typical California prescriber of this medication (25.8). Medicare paid an average of $11.83 per fill, versus $13.21 statewide.

How often this provider prescribes it

This provider
49
CA average
25.8

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

What Medicare paid per fill

This provider
$11.83
CA average
$13.21

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

49
30-Day Fills
standardized to 30-day supplies
475
Days of Medication
total across all patients in 2024

About Sulfamethoxazole-Trimethoprim: This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim. Show more ▾

It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory, and intestinal infections). It is also used to prevent and treat a certain type of pneumonia (pneumocystis-type). This medication should not be used by children less than 2 months of age due to the risk of serious side effects. This medication treats only certain types of infections. It will not work for viral infections (such as flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness.

In 2024, this provider wrote 28 Medicare prescriptions for Sulfamethoxazole-Trimethoprim, about the same volume as the typical California prescriber of this medication (25.4). Medicare paid an average of $2.88 per fill, versus $4.62 statewide.

How often this provider prescribes it

This provider
28
CA average
25.4

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

What Medicare paid per fill

This provider
$2.88
CA average
$4.62

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

28
30-Day Fills
standardized to 30-day supplies
223
Days of Medication
total across all patients in 2024

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 22 Medicare prescriptions for Myrbetriq, about half the volume of the typical California prescriber of this medication (45). Medicare paid an average of $515.47 per fill, versus $698.68 statewide.

How often this provider prescribes it

This provider
22
CA average
45.0

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

What Medicare paid per fill

This provider
$515.47
CA average
$698.68

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

26
30-Day Fills
standardized to 30-day supplies
754
Days of Medication
total across all patients in 2024

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 15 Medicare prescriptions for Estradiol, about a third of the volume of the typical California prescriber of this medication (37.9). Medicare paid an average of $44.63 per fill, versus $56.87 statewide.

How often this provider prescribes it

This provider
15
CA average
37.9

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

What Medicare paid per fill

This provider
$44.63
CA average
$56.87

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

36.3
30-Day Fills
standardized to 30-day supplies
1,088
Days of Medication
total across all patients in 2024

About Amoxicillin-Clavulanate Potass: Amoxicillin/clavulanic acid is a combination penicillin-type antibiotic used to treat a wide variety of bacterial infections. 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.

In 2024, this provider wrote 13 Medicare prescriptions for Amoxicillin-Clavulanate Potass, about half the volume of the typical California prescriber of this medication (25.6). Medicare paid an average of $6.99 per fill, versus $9.18 statewide.

How often this provider prescribes it

This provider
13
CA average
25.6

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

What Medicare paid per fill

This provider
$6.99
CA average
$9.18

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

13
30-Day Fills
standardized to 30-day supplies
100
Days of Medication
total across all patients in 2024

About Gemtesa: This medication is used to treat overactive bladder. Show more ▾

Overactive bladder is a problem with how your bladder stores urine that causes a sudden urge to urinate. The urge may be hard to control, and overactive bladder symptoms may include frequent urination, strong sudden urges to urinate, or involuntary loss of urine (incontinence). Vibegron works by relaxing a certain bladder muscle (detrusor), which helps the bladder hold more urine and lessens symptoms of overactive bladder. A beta3 adrenergic receptor agonist.

In 2024, this provider wrote 12 Medicare prescriptions for Gemtesa, about 19% of the volume of the typical California prescriber of this medication (63.7). Medicare paid an average of $720.45 per fill, versus $745.69 statewide.

How often this provider prescribes it

This provider
12
CA average
63.7

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

What Medicare paid per fill

This provider
$720.45
CA average
$745.69

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

18
30-Day Fills
standardized to 30-day supplies
540
Days of Medication
total across all patients in 2024

About Solifenacin Succinate: Solifenacin is used to treat an overactive bladder. Show more ▾

By relaxing the muscles in the bladder, solifenacin improves your ability to control your urination. It helps to reduce leaking of urine, feelings of needing to urinate right away, and frequent trips to the bathroom. This medication belongs to the class of drugs known as antispasmodics. A quinuclidine and tetrahydroisoquinoline derivative and selective M3 MUSCARINIC ANTAGONIST. It is used as a UROLOGIC AGENT in the treatment of URINARY INCONTINENCE.

In 2024, this provider wrote 11 Medicare prescriptions for Solifenacin Succinate, about a third of the volume of the typical California prescriber of this medication (30.7). Medicare paid an average of $16.61 per fill, versus $49.58 statewide.

How often this provider prescribes it

This provider
11
CA average
30.7

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

What Medicare paid per fill

This provider
$16.61
CA average
$49.58

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

19
30-Day Fills
standardized to 30-day supplies
570
Days of Medication
total across all patients in 2024
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 CA prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the CA average cost per fill.

About this data. The prescription history for RAYANNA HANDY FNP-C 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 Family prescribing approach at this Fresno, CA 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 CA 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.