MELISSA A FISCHER PMHNP-BC
Prescription History 1639509607
Nurse Practitioner - Psychiatric/Mental Health in Saint Charles, MO
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for MELISSA A FISCHER PMHNP-BC, an active Psychiatric/Mental Health specialist practicing in Saint Charles, MO. Our medical registry currently tracks 6 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 91 documented patient claims. Among these therapy options, the most frequently utilized medication is Duloxetine Hcl, which accounts for 24 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 | Claims | 30-Day Fills | Days Supply | Cost / Claim | Utilization vs MO Avg |
|---|---|---|---|---|---|
| Duloxetine Hcl | 24 | 28.0 | 817 | $20.66▼ below MO avg | ▼ Below Avg. |
Utilization: claims vs the average MO prescriber Averages are among MO prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the MO average This provider's average cost per claim is below the MO average for this medication. 28.0 30-Day Fills 817 Days Supply 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. | |||||
| Clozapine | 15 | 15.0 | 420 | $77.45 | ▼ Below Avg. |
Utilization: claims vs the average MO prescriber Averages are among MO prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the MO average Gross Part D cost per claim; not the patient's out-of-pocket price. 15.0 30-Day Fills 420 Days Supply About Clozapine: See also Warning section. Show more ▾ This medication is used to treat certain mental/mood disorders (schizophrenia, schizoaffective disorders). Clozapine is a psychiatric medication (anti-psychotic type) that works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. Clozapine decreases hallucinations and helps prevent suicide in people who are likely to try to harm themselves. It helps you to think more clearly and positively about yourself, feel less nervous, and take part in everyday life. A tricylic dibenzodiazepine, classified as an atypical antipsychotic agent. It binds several types of central nervous system receptors, and displays a unique pharmacological profile. Clozapine is a serotonin antagonist, with strong binding to 5-HT 2A/2C receptor subtype. It also displays strong affinity to several dopaminergic receptors, but shows only weak antagonism at the dopamine D2 receptor, a receptor commonly thought to modulate neuroleptic activity. Agranulocytosis is a major adverse effect associated with administration of this agent. | |||||
| Aripiprazole | 14 | 18.0 | 540 | $39.75▼ below MO avg | ▼ Below Avg. |
Utilization: claims vs the average MO prescriber Averages are among MO prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the MO average This provider's average cost per claim is below the MO average for this medication. 18.0 30-Day Fills 540 Days Supply About Aripiprazole: Aripiprazole is used to treat certain mental/mood disorders (such as bipolar disorder, schizophrenia, Tourette's syndrome, and irritability associated with autistic disorder). Show more ▾ It may also be used in combination with other medication to treat depression. Aripiprazole is known as an antipsychotic drug (atypical type). It works by helping to restore the balance of certain natural chemicals in the brain (neurotransmitters). This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. Aripiprazole can treat severe mood swings and decrease how often mood swings occur. A piperazine and quinolone derivative that is used primarily as an antipsychotic agent. It is a partial agonist of SEROTONIN RECEPTOR, 5-HT1A and DOPAMINE D2 RECEPTORS, where it also functions as a post-synaptic antagonist, and an antagonist of SEROTONIN RECEPTOR, 5-HT2A. It is used for the treatment of SCHIZOPHRENIA and BIPOLAR DISORDER, and as an adjunct therapy for the treatment of depression. | |||||
| Clonazepam | 14 | 14.0 | 328 | $9.01▼ below MO avg | ▼ Below Avg. |
Utilization: claims vs the average MO prescriber Averages are among MO prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the MO average This provider's average cost per claim is below the MO average for this medication. 14.0 30-Day Fills 328 Days Supply About Clonazepam: Clonazepam is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or antiepileptic drug. It is also used to treat panic attacks. Clonazepam works by calming your brain and nerves. It belongs to a class of drugs called benzodiazepines. An anticonvulsant used for several types of seizures, including myotonic or atonic seizures, photosensitive epilepsy, and absence seizures, although tolerance may develop. It is seldom effective in generalized tonic-clonic or partial seizures. The mechanism of action appears to involve the enhancement of GAMMA-AMINOBUTYRIC ACID receptor responses. | |||||
| Venlafaxine Hcl ErVenlafaxine Hcl | 13 | 19.0 | 564 | $30.78 | ▼ Below Avg. |
Utilization: claims vs the average MO prescriber Averages are among MO prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the MO average Gross Part D cost per claim; not the patient's out-of-pocket price. 19.0 30-Day Fills 564 Days Supply About Venlafaxine Hcl Er: Venlafaxine is used to treat depression, anxiety, panic attacks, and social anxiety disorder (social phobia). Show more ▾ It may improve your mood and energy level and may help restore your interest in daily living. It may also decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. Venlafaxine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. | |||||
| Buspirone Hcl | 11 | 15.0 | 450 | $15.96▼ below MO avg | ▼ Below Avg. |
Utilization: claims vs the average MO prescriber Averages are among MO prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the MO average This provider's average cost per claim is below the MO average for this medication. 15.0 30-Day Fills 450 Days Supply About Buspirone Hcl: This medication is used to treat anxiety. Show more ▾ It may help you think more clearly, relax, worry less, and take part in everyday life. It may also help you to feel less jittery and irritable, and may control symptoms such as trouble sleeping, sweating, and pounding heartbeat. Buspirone is a medication for anxiety (anxiolytic) that works by affecting certain natural substances in the brain (neurotransmitters). | |||||
About this data. The prescription history for MELISSA A FISCHER PMHNP-BC 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 Psychiatric/Mental Health prescribing approach at this Saint Charles, MO 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 MO prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
