REBECCA ELAINE PALMER PMHNP-BC
Prescription History 1851077549
Nurse Practitioner - Psychiatric/Mental Health in St Augustine, FL

Active since June 26, 2023PECOS EnrolledAccepts Medicare Assignment
1880 SAN SEBASTIAN VW, ST AUGUSTINE, FL 32084(800) 539-4228 Get Directions

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for REBECCA ELAINE PALMER PMHNP-BC, an active Psychiatric/Mental Health specialist practicing in St Augustine, FL. Our medical registry currently tracks 3 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 44 documented patient claims. Among these therapy options, the most frequently utilized medication is Invega Sustenna, which accounts for 18 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.

3
Medications
44
Total Claims
45
30-Day Fills
Invega Sustenna
Most Prescribed · 18 claims
View details
3 medications · 2024 Medicare Part D
Medicare Part D medications prescribed by REBECCA ELAINE PALMER PMHNP-BC in 2024, with prescription volumes, average cost per fill, and FL state comparisons
Medication Prescriptions (2024)Rx (2024) Avg Cost per FillCost / Fill Vs. Other FL PrescribersVs. FL Avg
Invega SustennaPaliperidone Palmitate18$2,985.19▼ below FL avg▼ Less than typical

About Invega Sustenna: This medication is used to treat certain mental/mood disorders (such as schizophrenia, schizoaffective disorder). Show more ▾

Paliperidone belongs to a class of drugs known as 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 2024, this provider wrote 18 Medicare prescriptions for Invega Sustenna, about half the volume of the typical Florida prescriber of this medication (37.7). Medicare paid an average of $2,985.19 per fill, versus $3,045.64 statewide.

How often this provider prescribes it

This provider
18
FL average
37.7

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

What Medicare paid per fill

This provider
$2,985.19
FL average
$3,045.64

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

18
30-Day Fills
standardized to 30-day supplies
487
Days of Medication
total across all patients in 2024
Clozapine13$46.71▼ below FL 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 may also help prevent suicide in people who are likely to try to harm themselves. Clozapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. 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 2024, this provider wrote 13 Medicare prescriptions for Clozapine, about a third of the volume of the typical Florida prescriber of this medication (43.3). Medicare paid an average of $46.71 per fill, versus $74.96 statewide.

How often this provider prescribes it

This provider
13
FL average
43.3

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

What Medicare paid per fill

This provider
$46.71
FL average
$74.96

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

13
30-Day Fills
standardized to 30-day supplies
364
Days of Medication
total across all patients in 2024
Trazodone Hcl13$4.65▼ below FL avg▼ Less than typical

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

Trazodone works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A serotonin uptake inhibitor that is used as an antidepressive agent. It has been shown to be effective in patients with major depressive disorders and other subsets of depressive disorders. It is generally more useful in depressive disorders associated with insomnia and anxiety. This drug does not aggravate psychotic symptoms in patients with schizophrenia or schizoaffective disorders. (From AMA Drug Evaluations Annual, 1994, p309)

In 2024, this provider wrote 13 Medicare prescriptions for Trazodone Hcl, about 16% of the volume of the typical Florida prescriber of this medication (80.2). Medicare paid an average of $4.65 per fill, versus $8.89 statewide.

How often this provider prescribes it

This provider
13
FL average
80.2

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

What Medicare paid per fill

This provider
$4.65
FL average
$8.89

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

14
30-Day Fills
standardized to 30-day supplies
408
Days of Medication
total across all patients in 2024
No medications match the current filters.
▲ More than typical≈ Typical▼ Less than typical= prescription volume vs the average FL prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the FL average cost per fill.

About this data. The prescription history for REBECCA ELAINE PALMER PMHNP-BC is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2024, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Psychiatric/Mental Health prescribing approach at this St Augustine, FL practice.

Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average among FL prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.

About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.