SUSAN JANE AKINS MSN RN BC AP MHCNS
Prescription History 1790767721
Clinical Nurse Specialist in Saint Louis, MO
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for SUSAN JANE AKINS MSN RN BC AP MHCNS, an active Clinical Nurse Specialist specialist practicing in Saint Louis, MO. Our medical registry currently tracks 31 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 1,005 documented patient claims. Among these therapy options, the most frequently utilized medication is Trazodone Hcl, which accounts for 96 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 MO PrescribersVs. MO Avg |
|---|---|---|---|
| Trazodone Hcl | 96 | $8.28▼ below MO avg | ≈ Typical |
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 96 Medicare prescriptions for Trazodone Hcl, about the same volume as the typical Missouri prescriber of this medication (89). Medicare paid an average of $8.28 per fill, versus $12.38 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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 MO average for this medication. 96 30-Day Fills standardized to 30-day supplies 2,506 Days of Medication total across all patients in 2023 | |||
| Olanzapine | 93 | $38.18 | ▲ More than typical |
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 93 Medicare prescriptions for Olanzapine, about 1.5 times the volume of the typical Missouri prescriber of this medication (62). Medicare paid an average of $38.18 per fill, versus $33.40 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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. 93 30-Day Fills standardized to 30-day supplies 2,154 Days of Medication total across all patients in 2023 | |||
| Risperidone | 70 | $27.94 | ≈ Typical |
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 70 Medicare prescriptions for Risperidone, about 1.2 times the volume of the typical Missouri prescriber of this medication (58). Medicare paid an average of $27.94 per fill, versus $14.07 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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. 70 30-Day Fills standardized to 30-day supplies 1,915 Days of Medication total across all patients in 2023 | |||
| Benztropine Mesylate | 60 | $11.74▼ below MO avg | ≈ Typical |
About Benztropine Mesylate: Benztropine is used to treat symptoms of Parkinson's disease or involuntary movements due to the side effects of certain psychiatric drugs (antipsychotics such as chlorpromazine/haloperidol). Show more ▾ Benztropine belongs to a class of medication called anticholinergics that work by blocking a certain natural substance (acetylcholine). This helps decrease muscle stiffness, sweating, and the production of saliva, and helps improve walking ability in people with Parkinson's disease. Anticholinergics can stop severe muscle spasms of the back, neck, and eyes that are sometimes caused by psychiatric drugs. It can also decrease other side effects such as muscle stiffness/rigidity (extrapyramidal signs-EPS). It is not helpful in treating movement problems caused by tardive dyskinesia and may worsen them. Benztropine should not be used by children younger than 3 years. A centrally active muscarinic antagonist that has been used in the symptomatic treatment of PARKINSON DISEASE. Benztropine also inhibits the uptake of dopamine. In 2023, this provider wrote 60 Medicare prescriptions for Benztropine Mesylate, about the same volume as the typical Missouri prescriber of this medication (62). Medicare paid an average of $11.74 per fill, versus $13.64 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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 MO average for this medication. 60 30-Day Fills standardized to 30-day supplies 1,605 Days of Medication total across all patients in 2023 | |||
| Quetiapine Fumarate | 56 | $24.51▼ below MO avg | ≈ Typical |
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 56 Medicare prescriptions for Quetiapine Fumarate, about 78% of the volume of the typical Missouri prescriber of this medication (72). Medicare paid an average of $24.51 per fill, versus $28.28 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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 MO average for this medication. 56 30-Day Fills standardized to 30-day supplies 1,459 Days of Medication total across all patients in 2023 | |||
| Hydroxyzine Hcl | 56 | $15.13▼ below MO avg | ▲ More than typical |
About Hydroxyzine Hcl: 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. In 2023, this provider wrote 56 Medicare prescriptions for Hydroxyzine Hcl, about 1.5 times the volume of the typical Missouri prescriber of this medication (37). Medicare paid an average of $15.13 per fill, versus $20.73 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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 MO average for this medication. 56 30-Day Fills standardized to 30-day supplies 1,038 Days of Medication total across all patients in 2023 | |||
| Divalproex Sodium | 47 | $81.30 | ▼ Less than typical |
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 47 Medicare prescriptions for Divalproex Sodium, about 75% of the volume of the typical Missouri prescriber of this medication (63). Medicare paid an average of $81.30 per fill, versus $44.98 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 47 30-Day Fills standardized to 30-day supplies 1,309 Days of Medication total across all patients in 2023 | |||
| Mirtazapine | 43 | $16.36▼ below MO avg | ▼ Less than typical |
About Mirtazapine: Mirtazapine is used to treat depression. Show more ▾ It improves mood and feelings of well-being. Mirtazapine is an antidepressant that works by restoring the balance of natural chemicals (neurotransmitters) in the brain. A piperazinoazepine tetracyclic compound that enhances the release of NOREPINEPHRINE and SEROTONIN through blockage of presynaptic ALPHA-2 ADRENERGIC RECEPTORS. It also blocks both 5-HT2 and 5-HT3 serotonin receptors and is a potent HISTAMINE H1 RECEPTOR antagonist. It is used for the treatment of depression, and may also be useful for the treatment of anxiety disorders. In 2023, this provider wrote 43 Medicare prescriptions for Mirtazapine, about 70% of the volume of the typical Missouri prescriber of this medication (61). Medicare paid an average of $16.36 per fill, versus $20.80 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 MO average for this medication. 43 30-Day Fills standardized to 30-day supplies 1,197 Days of Medication total across all patients in 2023 | |||
| Clozapine | 39 | $61.65▼ below MO avg | ▼ Less than typical |
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 39 Medicare prescriptions for Clozapine, about half the volume of the typical Missouri prescriber of this medication (77). Medicare paid an average of $61.65 per fill, versus $65.09 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 MO average for this medication. 39 30-Day Fills standardized to 30-day supplies 826 Days of Medication total across all patients in 2023 | |||
| Invega SustennaPaliperidone Palmitate | 38 | $3,459.39 | ≈ Typical |
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 38 Medicare prescriptions for Invega Sustenna, about 79% of the volume of the typical Missouri prescriber of this medication (48). Medicare paid an average of $3,459.39 per fill, versus $2,931.72 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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. 38 30-Day Fills standardized to 30-day supplies 1,082 Days of Medication total across all patients in 2023 | |||
| Haloperidol Decanoate | 31 | $63.72▼ below MO avg | ≈ Typical |
About Haloperidol Decanoate: Haloperidol decanoate is used for long-term treatment of a certain mental/mood disorder (schizophrenia). Show more ▾ It may be used in people who have trouble remembering to take medication every day. This medicine helps you to think more clearly, feel less nervous, and take part in everyday life. It can also 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 decanoate is a long-acting form of psychiatric medication (antipsychotic-type) that works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. In 2023, this provider wrote 31 Medicare prescriptions for Haloperidol Decanoate, about 89% of the volume of the typical Missouri prescriber of this medication (35). Medicare paid an average of $63.72 per fill, versus $66.88 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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 MO average for this medication. 31.1 30-Day Fills standardized to 30-day supplies 866 Days of Medication total across all patients in 2023 | |||
| Prazosin Hcl | 28 | $19.39▼ below MO avg | ▼ Less than typical |
About Prazosin Hcl: Prazosin is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Prazosin belongs to a class of medications called alpha blockers. It works by relaxing and widening blood vessels so blood can flow more easily. A selective adrenergic alpha-1 antagonist used in the treatment of HEART FAILURE; HYPERTENSION; PHEOCHROMOCYTOMA; RAYNAUD DISEASE; PROSTATIC HYPERTROPHY; and URINARY RETENTION. In 2023, this provider wrote 28 Medicare prescriptions for Prazosin Hcl, about half the volume of the typical Missouri prescriber of this medication (47). Medicare paid an average of $19.39 per fill, versus $30.43 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 MO average for this medication. 28 30-Day Fills standardized to 30-day supplies 725 Days of Medication total across all patients in 2023 | |||
| Risperdal ConstaRisperidone Microspheres | 27 | $1,268.77▼ below MO avg | ≈ Typical |
About Risperdal Consta: Risperidone is used to treat certain mental/mood disorders (schizophrenia, bipolar disorder). Show more ▾ This medication can help you to think clearly and take part in everyday life. Risperidone belongs to a class of drugs called atypical antipsychotics. 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 27 Medicare prescriptions for Risperdal Consta, about the same volume as the typical Missouri prescriber of this medication (27). Medicare paid an average of $1,268.77 per fill, versus $1,370.27 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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 MO average for this medication. 27 30-Day Fills standardized to 30-day supplies 484 Days of Medication total across all patients in 2023 | |||
| Sertraline Hcl | 25 | $10.76 | ▼ 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 25 Medicare prescriptions for Sertraline Hcl, about a third of the volume of the typical Missouri prescriber of this medication (80). Medicare paid an average of $10.76 per fill, versus $10.43 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 25 30-Day Fills standardized to 30-day supplies 705 Days of Medication total across all patients in 2023 | |||
| Paliperidone ErPaliperidone | 24 | $394.44▼ below MO avg | ≈ Typical |
About Paliperidone Er: This medication is used to treat certain mental/mood disorders (such as schizophrenia, schizoaffective disorder). Show more ▾ This medication can 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. Paliperidone belongs to a class of drugs called atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. 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 24 Medicare prescriptions for Paliperidone Er, about 75% of the volume of the typical Missouri prescriber of this medication (32). Medicare paid an average of $394.44 per fill, versus $397.59 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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 MO average for this medication. 24 30-Day Fills standardized to 30-day supplies 574 Days of Medication total across all patients in 2023 | |||
| Fluoxetine Hcl | 23 | $14.11▼ below MO avg | ▼ Less than typical |
About Fluoxetine Hcl: This long-acting form of fluoxetine is used to treat depression in people who have been successfully treated with the form of fluoxetine that is taken daily. Show more ▾ Fluoxetine is a selective serotonin reuptake inhibitor (SSRI). SSRIs work by helping to restore the balance of certain natural substances in the brain (neurotransmitters such as serotonin). Fluoxetine may decrease anxiety, improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. The first highly specific serotonin uptake inhibitor. It is used as an antidepressant and often has a more acceptable side-effects profile than traditional antidepressants. In 2023, this provider wrote 23 Medicare prescriptions for Fluoxetine Hcl, about half the volume of the typical Missouri prescriber of this medication (51). Medicare paid an average of $14.11 per fill, versus $14.13 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 MO average for this medication. 23 30-Day Fills standardized to 30-day supplies 662 Days of Medication total across all patients in 2023 | |||
| Topiramate | 23 | $12.06▼ below MO 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 23 Medicare prescriptions for Topiramate, about half the volume of the typical Missouri prescriber of this medication (44). Medicare paid an average of $12.06 per fill, versus $19.22 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 MO average for this medication. 23 30-Day Fills standardized to 30-day supplies 642 Days of Medication total across all patients in 2023 | |||
| IngrezzaValbenazine Tosylate | 22 | $3,680.67▼ below MO avg | ▼ Less than typical |
About Ingrezza: Valbenazine is used to treat involuntary movements of the face, tongue, or other body parts (tardive dyskinesia). Show more ▾ This medication is thought to work by decreasing the amount of certain natural substances in the brain that affect how your nerves and muscles work (monoamines such as dopamine, serotonin, and norepinephrine). In 2023, this provider wrote 22 Medicare prescriptions for Ingrezza, about 73% of the volume of the typical Missouri prescriber of this medication (30). Medicare paid an average of $3,680.67 per fill, versus $6,984.23 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 MO average for this medication. 22 30-Day Fills standardized to 30-day supplies 308 Days of Medication total across all patients in 2023 | |||
| Chlorpromazine Hcl | 20 | $106.07▼ below MO avg | ▼ Less than typical |
About Chlorpromazine Hcl: This medication is used to treat certain mental/mood disorders (such as schizophrenia, psychotic disorders, manic phase of bipolar disorder, severe behavioral problems in children). Show more ▾ Chlorpromazine helps you to think more clearly, feel less nervous, and take part in everyday life. It can reduce aggressive behavior and the desire to hurt yourself/others. It may also help to decrease hallucinations (hearing/seeing things that are not there). Chlorpromazine is a psychiatric medication that belongs to the class of drugs called phenothiazine antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. Chlorpromazine is also used to control nausea/vomiting, relieve prolonged hiccups, relieve restlessness/anxiety before surgery, and help treat tetanus. The prototypical phenothiazine antipsychotic drug. Like the other drugs in this class chlorpromazine's antipsychotic actions are thought to be due to long-term adaptation by the brain to blocking DOPAMINE RECEPTORS. Chlorpromazine has several other actions and therapeutic uses, including as an antiemetic and in the treatment of intractable hiccup. In 2023, this provider wrote 20 Medicare prescriptions for Chlorpromazine Hcl, about half the volume of the typical Missouri prescriber of this medication (36). Medicare paid an average of $106.07 per fill, versus $305.15 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 MO average for this medication. 20 30-Day Fills standardized to 30-day supplies 249 Days of Medication total across all patients in 2023 | |||
| Buspirone Hcl | 20 | $15.16▼ below MO avg | ▼ Less than typical |
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 20 Medicare prescriptions for Buspirone Hcl, about a third of the volume of the typical Missouri prescriber of this medication (58). Medicare paid an average of $15.16 per fill, versus $18.06 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 MO average for this medication. 20 30-Day Fills standardized to 30-day supplies 556 Days of Medication total across all patients in 2023 | |||
| Quetiapine Fumarate ErQuetiapine Fumarate | 19 | $163.83 | ▼ Less than typical |
About Quetiapine Fumarate Er: 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 19 Medicare prescriptions for Quetiapine Fumarate Er, about 68% of the volume of the typical Missouri prescriber of this medication (28). Medicare paid an average of $163.83 per fill, versus $143.26 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 19 30-Day Fills standardized to 30-day supplies 497 Days of Medication total across all patients in 2023 | |||
| Haloperidol | 19 | $45.47 | ▼ Less than typical |
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 19 Medicare prescriptions for Haloperidol, about half the volume of the typical Missouri prescriber of this medication (43). Medicare paid an average of $45.47 per fill, versus $38.73 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 19 30-Day Fills standardized to 30-day supplies 495 Days of Medication total across all patients in 2023 | |||
| Escitalopram Oxalate | 18 | $12.19▼ below MO avg | ▼ Less than typical |
About Escitalopram Oxalate: Escitalopram is used to treat depression and anxiety. Show more ▾ It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRI). It may improve your energy level and feelings of well-being and decrease nervousness. S-enantiomer of CITALOPRAM. Belongs to a class of drugs known as SELECTIVE SEROTONIN REUPTAKE INHIBITORS, used to treat depression and generalized anxiety disorder. In 2023, this provider wrote 18 Medicare prescriptions for Escitalopram Oxalate, about a quarter of the volume of the typical Missouri prescriber of this medication (65). Medicare paid an average of $12.19 per fill, versus $15.30 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 MO average for this medication. 18 30-Day Fills standardized to 30-day supplies 528 Days of Medication total across all patients in 2023 | |||
| Divalproex Sodium ErDivalproex Sodium | 16 | $60.45▼ below MO avg | ▼ Less than typical |
About Divalproex Sodium Er: 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 16 Medicare prescriptions for Divalproex Sodium Er, about a third of the volume of the typical Missouri prescriber of this medication (42). Medicare paid an average of $60.45 per fill, versus $94.42 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 MO average for this medication. 16 30-Day Fills standardized to 30-day supplies 454 Days of Medication total across all patients in 2023 | |||
| Hydroxyzine Pamoate | 16 | $8.55▼ below MO avg | ▼ Less than typical |
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 16 Medicare prescriptions for Hydroxyzine Pamoate, about half the volume of the typical Missouri prescriber of this medication (38). Medicare paid an average of $8.55 per fill, versus $13.14 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 MO average for this medication. 16 30-Day Fills standardized to 30-day supplies 320 Days of Medication total across all patients in 2023 | |||
| Aripiprazole | 15 | $135.96 | ▼ Less than typical |
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 15 Medicare prescriptions for Aripiprazole, about a quarter of the volume of the typical Missouri prescriber of this medication (54). Medicare paid an average of $135.96 per fill, versus $114.13 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 15 30-Day Fills standardized to 30-day supplies 389 Days of Medication total across all patients in 2023 | |||
| Bupropion XlBupropion Hcl | 14 | $40.39 | ▼ Less than typical |
About Bupropion Xl: Bupropion is used to treat depression. Show more ▾ It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain. In 2023, this provider wrote 14 Medicare prescriptions for Bupropion Xl, about a third of the volume of the typical Missouri prescriber of this medication (47). Medicare paid an average of $40.39 per fill, versus $35.48 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 14 30-Day Fills standardized to 30-day supplies 380 Days of Medication total across all patients in 2023 | |||
| Duloxetine Hcl | 13 | $46.52 | ▼ 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 13 Medicare prescriptions for Duloxetine Hcl, about 19% of the volume of the typical Missouri prescriber of this medication (70). Medicare paid an average of $46.52 per fill, versus $39.56 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 13 30-Day Fills standardized to 30-day supplies 358 Days of Medication total across all patients in 2023 | |||
| Ziprasidone Hcl | 12 | $129.89 | ▼ Less than typical |
About Ziprasidone Hcl: This medication is used to treat certain mental/mood disorders (schizophrenia, bipolar disorder). Show more ▾ This medication can 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. Ziprasidone belongs to a class of drugs called atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. In 2023, this provider wrote 12 Medicare prescriptions for Ziprasidone Hcl, about a third of the volume of the typical Missouri prescriber of this medication (33). Medicare paid an average of $129.89 per fill, versus $98.74 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 12 30-Day Fills standardized to 30-day supplies 336 Days of Medication total across all patients in 2023 | |||
| Bupropion Hcl SrBupropion Hcl | 11 | $18.21▼ below MO avg | ▼ Less than typical |
About Bupropion Hcl Sr: Bupropion is used to treat depression. Show more ▾ It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain. In 2023, this provider wrote 11 Medicare prescriptions for Bupropion Hcl Sr, about a third of the volume of the typical Missouri prescriber of this medication (31). Medicare paid an average of $18.21 per fill, versus $29.74 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 MO average for this medication. 11 30-Day Fills standardized to 30-day supplies 270 Days of Medication total across all patients in 2023 | |||
| Valproic AcidValproic Acid (As Sodium Salt) | 11 | $33.84▼ below MO avg | ▼ Less than typical |
About Valproic Acid: A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. In 2023, this provider wrote 11 Medicare prescriptions for Valproic Acid, about half the volume of the typical Missouri prescriber of this medication (20). Medicare paid an average of $33.84 per fill, versus $40.17 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 MO average for this medication. 11 30-Day Fills standardized to 30-day supplies 134 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for SUSAN JANE AKINS MSN RN BC AP MHCNS 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 Clinical Nurse Specialist prescribing approach at this Saint Louis, 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.
