JOANNA MARIA RAMIREZ APRN, CNP
Prescription History 1760025035
Nurse Practitioner - Psychiatric/Mental Health in Willmar, MN

Active since October 19, 2019PECOS Enrolled
1208 OLENA AVE, WILLMAR, MN 56201(612) 979-2276(651) 925-0427 Get Directions

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2021, Oct 19, 2019 (2 updates tracked since 2019).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for JOANNA MARIA RAMIREZ APRN, CNP, an active Psychiatric/Mental Health specialist practicing in Willmar, MN. Our medical registry currently tracks 22 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 494 documented patient claims. Among these therapy options, the most frequently utilized medication is Olanzapine, which accounts for 71 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.

22
Medications
494
Total Claims
520
30-Day Fills
Olanzapine
Most Prescribed · 71 claims
View details
22 medications · 2023 Medicare Part D
Medicare Part D medications prescribed by JOANNA MARIA RAMIREZ APRN, CNP in 2023, with prescription volumes, average cost per fill, and MN state comparisons
Medication Prescriptions (2023)Rx (2023) Avg Cost per FillCost / Fill Vs. Other MN PrescribersVs. MN Avg

About Olanzapine: Olanzapine is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder). Show more ▾

It may also be used in combination with other medication to treat depression. This medication can help to decrease hallucinations and help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. Olanzapine belongs to a class of drugs called atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. Talk to the doctor about the risks and benefits of treatment (especially when used by teenagers). See also Precautions section. A benzodiazepine derivative that binds SEROTONIN RECEPTORS; MUSCARINIC RECEPTORS; HISTAMINE H1 RECEPTORS; ADRENERGIC ALPHA-1 RECEPTORS; and DOPAMINE RECEPTORS. It is an antipsychotic agent used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER; and MAJOR DEPRESSIVE DISORDER; it may also reduce nausea and vomiting in patients undergoing chemotherapy.

In 2023, this provider wrote 71 Medicare prescriptions for Olanzapine, about 1.3 times the volume of the typical Minnesota prescriber of this medication (55). Medicare paid an average of $26.15 per fill, versus $34.09 statewide.

How often this provider prescribes it

This provider
71
MN average
55.0

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

What Medicare paid per fill

This provider
$26.15
MN average
$34.09

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

71
30-Day Fills
standardized to 30-day supplies
1,898
Days of Medication
total across all patients in 2023

About Quetiapine Fumarate: This medication is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾

Quetiapine is known as an anti-psychotic drug (atypical type). It works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. 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. It may also improve your mood, sleep, appetite, and energy level. Quetiapine can help prevent severe mood swings or decrease how often mood swings occur. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER.

In 2023, this provider wrote 65 Medicare prescriptions for Quetiapine Fumarate, about the same volume as the typical Minnesota prescriber of this medication (60). Medicare paid an average of $23.40 per fill, versus $30.89 statewide.

How often this provider prescribes it

This provider
65
MN average
60.0

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

What Medicare paid per fill

This provider
$23.40
MN average
$30.89

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

70
30-Day Fills
standardized to 30-day supplies
1,682
Days of Medication
total across all patients in 2023

About Trazodone Hcl: This medication is used to treat depression. Show more ▾

It may help to improve your mood, appetite, and energy level as well as decrease anxiety and insomnia related to depression. Trazodone works by helping to restore the balance of a certain natural chemical (serotonin) in the brain.

In 2023, this provider wrote 36 Medicare prescriptions for Trazodone Hcl, about 60% of the volume of the typical Minnesota prescriber of this medication (60). Medicare paid an average of $9.39 per fill, versus $14.38 statewide.

How often this provider prescribes it

This provider
36
MN average
60.0

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

What Medicare paid per fill

This provider
$9.39
MN average
$14.38

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

36.9
30-Day Fills
standardized to 30-day supplies
1,048
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 26 Medicare prescriptions for Clozapine, about a third of the volume of the typical Minnesota prescriber of this medication (83). Medicare paid an average of $36.48 per fill, versus $80.71 statewide.

How often this provider prescribes it

This provider
26
MN average
83.0

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

What Medicare paid per fill

This provider
$36.48
MN average
$80.71

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

26
30-Day Fills
standardized to 30-day supplies
194
Days of Medication
total across all patients in 2023

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 25 Medicare prescriptions for Sertraline Hcl, about a third of the volume of the typical Minnesota prescriber of this medication (63). Medicare paid an average of $12.48 per fill, versus $12.76 statewide.

How often this provider prescribes it

This provider
25
MN average
63.0

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

What Medicare paid per fill

This provider
$12.48
MN average
$12.76

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

25
30-Day Fills
standardized to 30-day supplies
704
Days of Medication
total across all patients in 2023

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 25 Medicare prescriptions for Gabapentin, about a third of the volume of the typical Minnesota prescriber of this medication (78). Medicare paid an average of $41.01 per fill, versus $22.73 statewide.

How often this provider prescribes it

This provider
25
MN average
78.0

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

What Medicare paid per fill

This provider
$41.01
MN average
$22.73

Gross Part D cost per fill; not the patient's out-of-pocket price.

31
30-Day Fills
standardized to 30-day supplies
722
Days of Medication
total across all patients in 2023

About Lithium Carbonate: This medication is used to treat manic-depressive disorder (bipolar disorder). Show more ▾

It works to stabilize the mood and reduce extremes in behavior by restoring the balance of certain natural substances (neurotransmitters) in the brain. Some of the benefits of continued use of this medication include decreasing how often manic episodes occur and decreasing the symptoms of manic episodes, such as exaggerated feelings of well-being, feelings that others wish to harm you, irritability, anxiousness, rapid/loud speech, and aggressive/hostile behaviors. A lithium salt, classified as a mood-stabilizing agent. Lithium ion alters the metabolism of BIOGENIC MONOAMINES in the CENTRAL NERVOUS SYSTEM, and affects multiple neurotransmission systems.

In 2023, this provider wrote 23 Medicare prescriptions for Lithium Carbonate, about 82% of the volume of the typical Minnesota prescriber of this medication (28). Medicare paid an average of $11.31 per fill, versus $9.51 statewide.

How often this provider prescribes it

This provider
23
MN average
28.0

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

What Medicare paid per fill

This provider
$11.31
MN average
$9.51

Gross Part D cost per fill; not the patient's out-of-pocket price.

23
30-Day Fills
standardized to 30-day supplies
636
Days of Medication
total across all patients in 2023

About Clozapine Odt: 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.

In 2023, this provider wrote 23 Medicare prescriptions for Clozapine Odt, about 88% of the volume of the typical Minnesota prescriber of this medication (26). Medicare paid an average of $319.59 per fill, versus $487.24 statewide.

How often this provider prescribes it

This provider
23
MN average
26.0

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

What Medicare paid per fill

This provider
$319.59
MN average
$487.24

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

23
30-Day Fills
standardized to 30-day supplies
247
Days of Medication
total across all patients in 2023

About Naloxone Hcl: This medication is used for the emergency treatment of known or suspected opioid overdose. Show more ▾

Serious opioid overdose symptoms may include unusual sleepiness, unusual difficulty waking up, or breathing problems (ranging from slow/shallow breathing to no breathing). Other symptoms of overdose may include very small pinpoint pupils, slow heartbeat, or low blood pressure. If someone has serious overdose symptoms but you are not sure if the symptoms are due to overdose, give this medication right away anyway, since lasting slow/shallow breathing may cause permanent damage to the brain or death. This medication belongs to a class of drugs known as opioid antagonists. It works by blocking the effects of the opioid in the brain. This medication may not work as well to block the effects of certain types of opioids (mixed agonist/antagonists such as buprenorphine, pentazocine). With these types of opioids, blocking may be incomplete or you may need a higher dose of naloxone. The effects of naloxone will not last as long as the effects of the opioid. Since treatment with this medication is not long lasting, be sure to get medical help right away after giving the first dose of naloxone. Treatment of opioid overdose should also include breathing treatment (such as oxygen given through tubes in the nose, mechanical ventilation, artificial respiration). A specific opiate antagonist that has no agonist activity. It is a competitive antagonist at mu, delta, and kappa opioid receptors.

In 2023, this provider wrote 22 Medicare prescriptions for Naloxone Hcl, about 67% of the volume of the typical Minnesota prescriber of this medication (33). Medicare paid an average of $90.91 per fill, versus $90.61 statewide.

How often this provider prescribes it

This provider
22
MN average
33.0

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

What Medicare paid per fill

This provider
$90.91
MN average
$90.61

Gross Part D cost per fill; not the patient's out-of-pocket price.

22
30-Day Fills
standardized to 30-day supplies
54
Days of Medication
total across all patients in 2023

About Divalproex Sodium: This medication is used to treat seizure disorders, certain psychiatric conditions (manic phase of bipolar disorder), and to prevent migraine headaches. Show more ▾

It works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS.

In 2023, this provider wrote 20 Medicare prescriptions for Divalproex Sodium, about half the volume of the typical Minnesota prescriber of this medication (37). Medicare paid an average of $58.33 per fill, versus $55.36 statewide.

How often this provider prescribes it

This provider
20
MN average
37.0

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

What Medicare paid per fill

This provider
$58.33
MN average
$55.36

Gross Part D cost per fill; not the patient's out-of-pocket price.

20
30-Day Fills
standardized to 30-day supplies
498
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 18 Medicare prescriptions for Aripiprazole, about a third of the volume of the typical Minnesota prescriber of this medication (54). Medicare paid an average of $47.16 per fill, versus $125.86 statewide.

How often this provider prescribes it

This provider
18
MN average
54.0

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

What Medicare paid per fill

This provider
$47.16
MN average
$125.86

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

18
30-Day Fills
standardized to 30-day supplies
504
Days of Medication
total across all patients in 2023

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).

In 2023, this provider wrote 16 Medicare prescriptions for Buspirone Hcl, about half the volume of the typical Minnesota prescriber of this medication (38). Medicare paid an average of $26.70 per fill, versus $21.77 statewide.

How often this provider prescribes it

This provider
16
MN average
38.0

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

What Medicare paid per fill

This provider
$26.70
MN average
$21.77

Gross Part D cost per fill; not the patient's out-of-pocket price.

16
30-Day Fills
standardized to 30-day supplies
418
Days of Medication
total across all patients in 2023

About Hydroxyzine Pamoate: Hydroxyzine is used to treat itching caused by allergies. Show more ▾

It is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Hydroxyzine may also be used short-term to treat anxiety or to help you feel sleepy/relaxed before and after surgery. A histamine H1 receptor antagonist that is effective in the treatment of chronic urticaria, dermatitis, and histamine-mediated pruritus. Unlike its major metabolite CETIRIZINE, it does cause drowsiness. It is also effective as an antiemetic, for relief of anxiety and tension, and as a sedative.

In 2023, this provider wrote 14 Medicare prescriptions for Hydroxyzine Pamoate, about 61% of the volume of the typical Minnesota prescriber of this medication (23). Medicare paid an average of $10.64 per fill, versus $12.51 statewide.

How often this provider prescribes it

This provider
14
MN average
23.0

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

What Medicare paid per fill

This provider
$10.64
MN average
$12.51

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

14
30-Day Fills
standardized to 30-day supplies
361
Days of Medication
total across all patients in 2023

About Buprenorphine-Naloxone: This medication contains 2 medicines: buprenorphine and naloxone. Show more ▾

It is used to treat opioid dependence/addiction. Buprenorphine belongs to a class of drugs called mixed opioid agonist-antagonists. Buprenorphine helps prevent withdrawal symptoms caused by stopping other opioids. Naloxone is an opioid antagonist that blocks the effect of opioids and can cause severe opioid withdrawal when injected. It has little effect when taken by mouth or dissolved under the tongue. It is combined with buprenorphine to prevent abuse and misuse (injection) of this medication. This combination medication is used as part of a complete treatment program for drug abuse (such as compliance monitoring, counseling, behavioral contract, lifestyle changes). Ask your doctor or pharmacist if you should have other forms of naloxone available to treat opioid overdose. Teach your family or household members about the signs of an opioid overdose and how to treat it.

In 2023, this provider wrote 13 Medicare prescriptions for Buprenorphine-Naloxone, about a third of the volume of the typical Minnesota prescriber of this medication (46). Medicare paid an average of $196.54 per fill, versus $208.65 statewide.

How often this provider prescribes it

This provider
13
MN average
46.0

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

What Medicare paid per fill

This provider
$196.54
MN average
$208.65

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

13
30-Day Fills
standardized to 30-day supplies
361
Days of Medication
total across all patients in 2023

About Invega Sustenna: Paliperidone is used to treat a certain mental/mood disorder called schizophrenia. Show more ▾

This medication can decrease hallucinations, help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. Paliperidone is an antipsychotic drug (atypical type). It works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. This long-acting form of paliperidone is used only after you have received treatment with either the monthly injectable form of this drug for at least 4 months, or the every-3-month injectable form for at least 3 months. A benzisoxazole derivative and active metabolite of RISPERIDONE that functions as a DOPAMINE D2 RECEPTOR ANTAGONIST and SEROTONIN 5-HT2 RECEPTOR ANTAGONIST. It is an ANTIPSYCHOTIC AGENT used in the treatment of SCHIZOPHRENIA.

In 2023, this provider wrote 13 Medicare prescriptions for Invega Sustenna, about a third of the volume of the typical Minnesota prescriber of this medication (33). Medicare paid an average of $3,568.55 per fill, versus $2,859.72 statewide.

How often this provider prescribes it

This provider
13
MN average
33.0

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

What Medicare paid per fill

This provider
$3,568.55
MN average
$2,859.72

Gross Part D cost per fill; not the patient's out-of-pocket price.

13
30-Day Fills
standardized to 30-day supplies
301
Days of Medication
total across all patients in 2023

About Fluphenazine Hcl: This medication is used to treat symptoms of a certain type of mental/mood condition (schizophrenia). Show more ▾

Fluphenazine belongs to a class of medications called phenothiazines and is also referred to as a neuroleptic. It works by affecting the balance of natural chemicals (neurotransmitters) in the brain. Some of the benefits of continued use of this medication include reduced episodes of hallucinations, delusions, or bizarre behaviors that occur in patients with schizophrenia. This medication is not recommended for use in children under 12 years of age. Also, it should not be used to manage behavioral problems in patients with mental retardation. A phenothiazine used in the treatment of PSYCHOSES. Its properties and uses are generally similar to those of CHLORPROMAZINE.

In 2023, this provider wrote 13 Medicare prescriptions for Fluphenazine Hcl, about 62% of the volume of the typical Minnesota prescriber of this medication (21). Medicare paid an average of $636.99 per fill, versus $328.25 statewide.

How often this provider prescribes it

This provider
13
MN average
21.0

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

What Medicare paid per fill

This provider
$636.99
MN average
$328.25

Gross Part D cost per fill; not the patient's out-of-pocket price.

13
30-Day Fills
standardized to 30-day supplies
309
Days of Medication
total across all patients in 2023

About Clonidine Hcl: This medication is used alone or with other medications to treat high blood pressure (hypertension). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Clonidine belongs to a class of drugs (central alpha agonists) that act in the brain to lower blood pressure. It works by relaxing blood vessels so blood can flow more easily.

In 2023, this provider wrote 13 Medicare prescriptions for Clonidine Hcl, about half the volume of the typical Minnesota prescriber of this medication (22). Medicare paid an average of $11.71 per fill, versus $10.39 statewide.

How often this provider prescribes it

This provider
13
MN average
22.0

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

What Medicare paid per fill

This provider
$11.71
MN average
$10.39

Gross Part D cost per fill; not the patient's out-of-pocket price.

21
30-Day Fills
standardized to 30-day supplies
576
Days of Medication
total across all patients in 2023

About Haloperidol: Haloperidol is used to treat certain mental/mood disorders (such as schizophrenia, schizoaffective disorders). Show more ▾

This medicine helps you to think more clearly, feel less nervous, and take part in everyday life. It can also help prevent suicide in people who are likely to harm themselves. It also reduces aggression and the desire to hurt others. It can decrease negative thoughts and hallucinations. Haloperidol can also be used to treat uncontrolled movements and outbursts of words/sounds related to Tourette's syndrome. Haloperidol is also used for severe behavior problems in hyperactive children when other treatments or medications have not worked. Haloperidol is a psychiatric medication (antipsychotic-type) that works by helping to restore the balance of certain natural substances in the brain (neurotransmitters). A phenyl-piperidinyl-butyrophenone that is used primarily to treat SCHIZOPHRENIA and other PSYCHOSES. It is also used in schizoaffective disorder, DELUSIONAL DISORDERS, ballism, and TOURETTE SYNDROME (a drug of choice) and occasionally as adjunctive therapy in INTELLECTUAL DISABILITY and the chorea of HUNTINGTON DISEASE. It is a potent antiemetic and is used in the treatment of intractable HICCUPS. (From AMA Drug Evaluations Annual, 1994, p279)

In 2023, this provider wrote 12 Medicare prescriptions for Haloperidol, about a third of the volume of the typical Minnesota prescriber of this medication (32). Medicare paid an average of $38.60 per fill, versus $38.17 statewide.

How often this provider prescribes it

This provider
12
MN average
32.0

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

What Medicare paid per fill

This provider
$38.60
MN average
$38.17

Gross Part D cost per fill; not the patient's out-of-pocket price.

12
30-Day Fills
standardized to 30-day supplies
271
Days of Medication
total across all patients in 2023

About Dextroamphetamine-Amphet Er: This combination medication is used to treat attention deficit hyperactivity disorder - ADHD. Show more ▾

It works by changing the amounts of certain natural substances in the brain. Amphetamine/dextroamphetamine belongs to a class of drugs known as stimulants. It can help increase your ability to pay attention, stay focused on an activity, and control behavior problems. It may also help you to organize your tasks and improve listening skills. This drug is also used to treat a certain sleeping disorder (narcolepsy) to help you stay awake during the day. It should not be used to treat tiredness or to hold off sleep in people who do not have a sleep disorder.

In 2023, this provider wrote 12 Medicare prescriptions for Dextroamphetamine-Amphet Er, about half the volume of the typical Minnesota prescriber of this medication (26). Medicare paid an average of $19.86 per fill, versus $79.26 statewide.

How often this provider prescribes it

This provider
12
MN average
26.0

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

What Medicare paid per fill

This provider
$19.86
MN average
$79.26

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

12
30-Day Fills
standardized to 30-day supplies
360
Days of Medication
total across all patients in 2023

About Propranolol Hcl: This formulation of propranolol is used for infants and children to treat a certain benign tumor (proliferating infantile hemangioma). Show more ▾

It helps to shrink the tumor. Propranolol belongs to a class of drugs known as beta blockers.

In 2023, this provider wrote 12 Medicare prescriptions for Propranolol Hcl, about half the volume of the typical Minnesota prescriber of this medication (24). Medicare paid an average of $10.47 per fill, versus $26.98 statewide.

How often this provider prescribes it

This provider
12
MN average
24.0

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

What Medicare paid per fill

This provider
$10.47
MN average
$26.98

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

14
30-Day Fills
standardized to 30-day supplies
355
Days of Medication
total across all patients in 2023

About Lithium Carbonate Er: This medication is used to treat manic-depressive disorder (bipolar disorder). Show more ▾

It works to stabilize the mood and reduce extremes in behavior by restoring the balance of certain natural substances (neurotransmitters) in the brain. Some of the benefits of continued use of this medication include decreasing how often manic episodes occur and decreasing the symptoms of manic episodes, such as exaggerated feelings of well-being, feelings that others wish to harm you, irritability, anxiousness, rapid/loud speech, and aggressive/hostile behaviors. A lithium salt, classified as a mood-stabilizing agent. Lithium ion alters the metabolism of BIOGENIC MONOAMINES in the CENTRAL NERVOUS SYSTEM, and affects multiple neurotransmission systems.

In 2023, this provider wrote 11 Medicare prescriptions for Lithium Carbonate Er, about a third of the volume of the typical Minnesota prescriber of this medication (27). Medicare paid an average of $20.06 per fill, versus $18.40 statewide.

How often this provider prescribes it

This provider
11
MN average
27.0

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

What Medicare paid per fill

This provider
$20.06
MN average
$18.40

Gross Part D cost per fill; not the patient's out-of-pocket price.

15
30-Day Fills
standardized to 30-day supplies
412
Days of Medication
total across all patients in 2023

About Risperidone: Risperidone is used to treat a certain mental/mood disorder called schizophrenia. Show more ▾

This medication can decrease hallucinations, help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. Risperidone is an antipsychotic drug (atypical type). It works by helping to restore the balance of certain natural substances in the brain. A selective blocker of DOPAMINE D2 RECEPTORS and SEROTONIN 5-HT2 RECEPTORS that acts as an atypical antipsychotic agent. It has been shown to improve both positive and negative symptoms in the treatment of SCHIZOPHRENIA.

In 2023, this provider wrote 11 Medicare prescriptions for Risperidone, about a quarter of the volume of the typical Minnesota prescriber of this medication (53). Medicare paid an average of $26.39 per fill, versus $13.64 statewide.

How often this provider prescribes it

This provider
11
MN average
53.0

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

What Medicare paid per fill

This provider
$26.39
MN average
$13.64

Gross Part D cost per fill; not the patient's out-of-pocket price.

11
30-Day Fills
standardized to 30-day supplies
320
Days of Medication
total across all patients in 2023
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 MN prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the MN average cost per fill.

About this data. The prescription history for JOANNA MARIA RAMIREZ APRN, CNP 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 Willmar, MN 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 MN prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.