NICOLETTE MARIE GRENING PA-C
Prescription History 1598378564
Physician Assistant in Casper, WY
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for NICOLETTE MARIE GRENING PA-C, an active Physician Assistant specialist practicing in Casper, WY. Our medical registry currently tracks 5 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 152 documented patient claims. Among these therapy options, the most frequently utilized medication is Gabapentin, which accounts for 64 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 WY PrescribersVs. WY Avg |
|---|---|---|---|
| Gabapentin | 64 | $9.61▼ below WY 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 85% of the volume of the typical Wyoming prescriber of this medication (75). Medicare paid an average of $9.61 per fill, versus $22.84 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average WY 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 WY average for this medication. 68 30-Day Fills standardized to 30-day supplies 1,820 Days of Medication total across all patients in 2023 | |||
| Meloxicam | 41 | $2.14▼ below WY avg | ≈ Typical |
About Meloxicam: Meloxicam is used to help relieve moderate to severe pain. Show more ▾ Meloxicam is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. This effect helps to decrease swelling or pain. A benzothiazine and thiazole derivative that acts as a NSAID and cyclooxygenase-2 (COX-2) inhibitor. It is used in the treatment of RHEUMATOID ARTHRITIS; OSTEOARTHRITIS; and ANKYLOSING SPONDYLITIS. In 2023, this provider wrote 41 Medicare prescriptions for Meloxicam, about the same volume as the typical Wyoming prescriber of this medication (41). Medicare paid an average of $2.14 per fill, versus $7.23 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average WY 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 WY average for this medication. 41 30-Day Fills standardized to 30-day supplies 702 Days of Medication total across all patients in 2023 | |||
| Tramadol Hcl | 21 | $2.01▼ below WY avg | ▼ Less than typical |
About Tramadol Hcl: See also Warning section. Show more ▾ This medication is used to help relieve moderate to moderately severe pain. Tramadol belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A narcotic analgesic proposed for severe pain. It may be habituating. In 2023, this provider wrote 21 Medicare prescriptions for Tramadol Hcl, about half the volume of the typical Wyoming prescriber of this medication (46). Medicare paid an average of $2.01 per fill, versus $8.08 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WY 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 WY average for this medication. 21 30-Day Fills standardized to 30-day supplies 112 Days of Medication total across all patients in 2023 | |||
| Methylprednisolone | 15 | $10.01▼ below WY 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 15 Medicare prescriptions for Methylprednisolone, about 60% of the volume of the typical Wyoming prescriber of this medication (25). Medicare paid an average of $10.01 per fill, versus $10.87 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WY 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 WY average for this medication. 15 30-Day Fills standardized to 30-day supplies 90 Days of Medication total across all patients in 2023 | |||
| Duloxetine Hcl | 11 | $15.61▼ below WY 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 11 Medicare prescriptions for Duloxetine Hcl, about a quarter of the volume of the typical Wyoming prescriber of this medication (45). Medicare paid an average of $15.61 per fill, versus $46.82 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WY 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 WY average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for NICOLETTE MARIE GRENING PA-C 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 Physician Assistant prescribing approach at this Casper, WY 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 WY prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
