TYVA MICHELLE HIGGINS DNP,PMHNP-BC
Prescription History 1891365607
Nurse Practitioner - Psychiatric/Mental Health in Mexico, MO

Active since June 25, 2021PECOS Enrolled
340 KELLEY PKWY, MEXICO, MO 65265(573) 582-1234(573) 582-1212 Get Directions

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for TYVA MICHELLE HIGGINS DNP,PMHNP-BC, an active Psychiatric/Mental Health specialist practicing in Mexico, MO. Our medical registry currently tracks 55 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 2,974 documented patient claims. Among these therapy options, the most frequently utilized medication is Duloxetine Hcl, which accounts for 214 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.

55
Medications
2,974
Total Claims
3,334
30-Day Fills
Duloxetine Hcl
Most Prescribed · 214 claims
View details
55 medications · 2023 Medicare Part D
Medicare Part D medications prescribed by TYVA MICHELLE HIGGINS DNP,PMHNP-BC in 2023, with prescription volumes, average cost per fill, and MO state comparisons
Medication Prescriptions (2023)Rx (2023) Avg Cost per FillCost / Fill Vs. Other MO PrescribersVs. MO Avg

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 214 Medicare prescriptions for Duloxetine Hcl, about 3.1 times the volume of the typical Missouri prescriber of this medication (70). Medicare paid an average of $24.16 per fill, versus $39.56 statewide.

How often this provider prescribes it

This provider
214
MO average
70.0

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
$24.16
MO average
$39.56

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

282.3
30-Day Fills
standardized to 30-day supplies
8,313
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 191 Medicare prescriptions for Trazodone Hcl, about 2.1 times the volume of the typical Missouri prescriber of this medication (89). Medicare paid an average of $12.96 per fill, versus $12.38 statewide.

How often this provider prescribes it

This provider
191
MO average
89.0

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
$12.96
MO average
$12.38

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

231.2
30-Day Fills
standardized to 30-day supplies
6,834
Days of Medication
total across all patients in 2023

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 170 Medicare prescriptions for Escitalopram Oxalate, about 2.6 times the volume of the typical Missouri prescriber of this medication (65). Medicare paid an average of $8.39 per fill, versus $15.30 statewide.

How often this provider prescribes it

This provider
170
MO average
65.0

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
$8.39
MO average
$15.30

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

194.5
30-Day Fills
standardized to 30-day supplies
5,714
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 156 Medicare prescriptions for Quetiapine Fumarate, about 2.2 times the volume of the typical Missouri prescriber of this medication (72). Medicare paid an average of $23.97 per fill, versus $28.28 statewide.

How often this provider prescribes it

This provider
156
MO average
72.0

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
$23.97
MO average
$28.28

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

177.3
30-Day Fills
standardized to 30-day supplies
5,246
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 152 Medicare prescriptions for Buspirone Hcl, about 2.6 times the volume of the typical Missouri prescriber of this medication (58). Medicare paid an average of $12.89 per fill, versus $18.06 statewide.

How often this provider prescribes it

This provider
152
MO average
58.0

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
$12.89
MO average
$18.06

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

171
30-Day Fills
standardized to 30-day supplies
5,002
Days of Medication
total across all patients in 2023

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 143 Medicare prescriptions for Hydroxyzine Hcl, about 3.9 times the volume of the typical Missouri prescriber of this medication (37). Medicare paid an average of $24.95 per fill, versus $20.73 statewide.

How often this provider prescribes it

This provider
143
MO average
37.0

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
$24.95
MO average
$20.73

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

165.8
30-Day Fills
standardized to 30-day supplies
4,670
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 133 Medicare prescriptions for Sertraline Hcl, about 1.7 times the volume of the typical Missouri prescriber of this medication (80). Medicare paid an average of $9.81 per fill, versus $10.43 statewide.

How often this provider prescribes it

This provider
133
MO average
80.0

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
$9.81
MO average
$10.43

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

152.5
30-Day Fills
standardized to 30-day supplies
4,478
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 120 Medicare prescriptions for Risperidone, about 2.1 times the volume of the typical Missouri prescriber of this medication (58). Medicare paid an average of $16.18 per fill, versus $14.07 statewide.

How often this provider prescribes it

This provider
120
MO average
58.0

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
$16.18
MO average
$14.07

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

132.8
30-Day Fills
standardized to 30-day supplies
3,853
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 114 Medicare prescriptions for Aripiprazole, about 2.1 times the volume of the typical Missouri prescriber of this medication (54). Medicare paid an average of $90.03 per fill, versus $114.13 statewide.

How often this provider prescribes it

This provider
114
MO average
54.0

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
$90.03
MO average
$114.13

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

132.4
30-Day Fills
standardized to 30-day supplies
3,950
Days of Medication
total across all patients in 2023

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 105 Medicare prescriptions for Bupropion Xl, about 2.2 times the volume of the typical Missouri prescriber of this medication (47). Medicare paid an average of $12.56 per fill, versus $35.48 statewide.

How often this provider prescribes it

This provider
105
MO average
47.0

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
$12.56
MO average
$35.48

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

120.2
30-Day Fills
standardized to 30-day supplies
3,584
Days of Medication
total across all patients in 2023

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 85 Medicare prescriptions for Prazosin Hcl, about 1.8 times the volume of the typical Missouri prescriber of this medication (47). Medicare paid an average of $19.12 per fill, versus $30.43 statewide.

How often this provider prescribes it

This provider
85
MO average
47.0

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
$19.12
MO average
$30.43

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

85
30-Day Fills
standardized to 30-day supplies
2,500
Days of Medication
total across all patients in 2023

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 84 Medicare prescriptions for Topiramate, about 1.9 times the volume of the typical Missouri prescriber of this medication (44). Medicare paid an average of $17.17 per fill, versus $19.22 statewide.

How often this provider prescribes it

This provider
84
MO average
44.0

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
$17.17
MO average
$19.22

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

96.2
30-Day Fills
standardized to 30-day supplies
2,784
Days of Medication
total across all patients in 2023

About Lamotrigine: Lamotrigine is used alone or with other medications to prevent and control seizures. Show more ▾

It may also be used to help prevent the extreme mood swings of bipolar disorder in adults. Lamotrigine is known as an anticonvulsant or antiepileptic drug. It is thought to work by restoring the balance of certain natural substances in the brain. This drug is not approved for use in children younger than 2 years due to an increased risk of side effects (such as infections). A phenyltriazine compound, sodium and calcium channel blocker that is used for the treatment of SEIZURES and BIPOLAR DISORDER.

In 2023, this provider wrote 81 Medicare prescriptions for Lamotrigine, about 1.4 times the volume of the typical Missouri prescriber of this medication (58). Medicare paid an average of $10.05 per fill, versus $16.38 statewide.

How often this provider prescribes it

This provider
81
MO average
58.0

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
$10.05
MO average
$16.38

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

93
30-Day Fills
standardized to 30-day supplies
2,718
Days of Medication
total across all patients in 2023

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 68 Medicare prescriptions for Mirtazapine, about the same volume as the typical Missouri prescriber of this medication (61). Medicare paid an average of $19.28 per fill, versus $20.80 statewide.

How often this provider prescribes it

This provider
68
MO average
61.0

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
$19.28
MO average
$20.80

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

78
30-Day Fills
standardized to 30-day supplies
2,313
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 65 Medicare prescriptions for Clozapine, about 84% of the volume of the typical Missouri prescriber of this medication (77). Medicare paid an average of $55.80 per fill, versus $65.09 statewide.

How often this provider prescribes it

This provider
65
MO average
77.0

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
$55.80
MO average
$65.09

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

65
30-Day Fills
standardized to 30-day supplies
1,735
Days of Medication
total across all patients in 2023

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 65 Medicare prescriptions for Fluoxetine Hcl, about 1.3 times the volume of the typical Missouri prescriber of this medication (51). Medicare paid an average of $7.89 per fill, versus $14.13 statewide.

How often this provider prescribes it

This provider
65
MO average
51.0

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
$7.89
MO average
$14.13

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

65.2
30-Day Fills
standardized to 30-day supplies
1,945
Days of Medication
total across all patients in 2023

About Vraylar: Cariprazine is used to treat certain mental/mood disorders (such as bipolar disorder, bipolar depression, schizophrenia). Show more ▾

Cariprazine 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. 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.

In 2023, this provider wrote 63 Medicare prescriptions for Vraylar, about 1.9 times the volume of the typical Missouri prescriber of this medication (34). Medicare paid an average of $1,504.12 per fill, versus $1,301.70 statewide.

How often this provider prescribes it

This provider
63
MO average
34.0

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
$1,504.12
MO average
$1,301.70

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

70
30-Day Fills
standardized to 30-day supplies
2,064
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 63 Medicare prescriptions for Venlafaxine Hcl Er, about 1.4 times the volume of the typical Missouri prescriber of this medication (46). Medicare paid an average of $20.23 per fill, versus $28.37 statewide.

How often this provider prescribes it

This provider
63
MO average
46.0

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
$20.23
MO average
$28.37

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

71
30-Day Fills
standardized to 30-day supplies
2,089
Days of Medication
total across all patients in 2023

About Rexulti: This medication is used to treat certain mental/mood disorders (such as schizophrenia, depression). Show more ▾

Brexpiprazole helps you to think more clearly, feel less nervous, and take part in everyday life. It may also help to decrease hallucinations (hearing/seeing things that are not there). In addition, this medication may improve your mood, sleep, appetite, and energy level. Brexpiprazole is a psychiatric medication that belongs to the 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 59 Medicare prescriptions for Rexulti, about 1.9 times the volume of the typical Missouri prescriber of this medication (31). Medicare paid an average of $1,467.63 per fill, versus $1,369.26 statewide.

How often this provider prescribes it

This provider
59
MO average
31.0

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
$1,467.63
MO average
$1,369.26

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

59
30-Day Fills
standardized to 30-day supplies
1,719
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 58 Medicare prescriptions for Gabapentin, about half the volume of the typical Missouri prescriber of this medication (115). Medicare paid an average of $14.11 per fill, versus $23.39 statewide.

How often this provider prescribes it

This provider
58
MO average
115.0

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
$14.11
MO average
$23.39

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

64.2
30-Day Fills
standardized to 30-day supplies
1,900
Days of Medication
total across all patients in 2023

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 47 Medicare prescriptions for Olanzapine, about 76% of the volume of the typical Missouri prescriber of this medication (62). Medicare paid an average of $35.98 per fill, versus $33.40 statewide.

How often this provider prescribes it

This provider
47
MO average
62.0

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
$35.98
MO average
$33.40

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

47
30-Day Fills
standardized to 30-day supplies
1,320
Days of Medication
total across all patients in 2023

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

It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Vortioxetine is an SSRI (selective serotonin reuptake inhibitor) and serotonin receptor modulator. This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. A piperazine derivative that acts as a serotonin reuptake inhibitor, as a 5-HT3 receptor antagonist, and 5-HT1A receptor agonist. It is used for the treatment of anxiety and depression.

In 2023, this provider wrote 42 Medicare prescriptions for Trintellix, about 1.2 times the volume of the typical Missouri prescriber of this medication (34). Medicare paid an average of $591.54 per fill, versus $493.16 statewide.

How often this provider prescribes it

This provider
42
MO average
34.0

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
$591.54
MO average
$493.16

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

46
30-Day Fills
standardized to 30-day supplies
1,354
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 41 Medicare prescriptions for Lithium Carbonate, about the same volume as the typical Missouri prescriber of this medication (38). Medicare paid an average of $7.40 per fill, versus $8.47 statewide.

How often this provider prescribes it

This provider
41
MO average
38.0

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
$7.40
MO average
$8.47

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

55
30-Day Fills
standardized to 30-day supplies
1,611
Days of Medication
total across all patients in 2023

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 41 Medicare prescriptions for Benztropine Mesylate, about 66% of the volume of the typical Missouri prescriber of this medication (62). Medicare paid an average of $11.61 per fill, versus $13.64 statewide.

How often this provider prescribes it

This provider
41
MO average
62.0

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
$11.61
MO average
$13.64

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

41
30-Day Fills
standardized to 30-day supplies
1,195
Days of Medication
total across all patients in 2023

About Guanfacine Hcl Er: 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. Guanfacine acts in the brain. It decreases certain nerve signals from the brain to the blood vessels and the heart. This causes the blood vessels to relax so that blood can flow more easily and also slows the heart rate. These effects help to lower blood pressure.

In 2023, this provider wrote 38 Medicare prescriptions for Guanfacine Hcl Er, about 2.1 times the volume of the typical Missouri prescriber of this medication (18). Medicare paid an average of $14.17 per fill, versus $54.01 statewide.

How often this provider prescribes it

This provider
38
MO average
18.0

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
$14.17
MO average
$54.01

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

38.4
30-Day Fills
standardized to 30-day supplies
1,129
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 34 Medicare prescriptions for Invega Sustenna, about 71% of the volume of the typical Missouri prescriber of this medication (48). Medicare paid an average of $3,486.16 per fill, versus $2,931.72 statewide.

How often this provider prescribes it

This provider
34
MO average
48.0

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
$3,486.16
MO average
$2,931.72

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

34.3
30-Day Fills
standardized to 30-day supplies
931
Days of Medication
total across all patients in 2023

About Ramelteon: This medication is used to treat sleeplessness (insomnia). Show more ▾

It helps you fall asleep faster so you can get a full night's rest. Sleep is important for your ability to function, think clearly, and remain alert. Lack of sleep can cause problems such as depression, heart disease and accidents. Getting enough sleep allows your mind and body to repair itself and increases your energy throughout the day. Ramelteon works like a natural substance called melatonin that is produced by your body. It helps regulate your sleep-wake cycle (circadian rhythm).

In 2023, this provider wrote 32 Medicare prescriptions for Ramelteon, about 1.9 times the volume of the typical Missouri prescriber of this medication (17). Medicare paid an average of $66.21 per fill, versus $131.32 statewide.

How often this provider prescribes it

This provider
32
MO average
17.0

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
$66.21
MO average
$131.32

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

32
30-Day Fills
standardized to 30-day supplies
908
Days of Medication
total across all patients in 2023

In 2023, this provider wrote 32 Medicare prescriptions for Lurasidone Hcl. Medicare paid an average of $450.32 per fill. No state comparison is available for this medication.

How often this provider prescribes it

No state benchmark is available for this medication.

What Medicare paid per fill

$450.32
Cost per fill

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

32
30-Day Fills
standardized to 30-day supplies
922
Days of Medication
total across all patients in 2023

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 29 Medicare prescriptions for Paliperidone Er, about the same volume as the typical Missouri prescriber of this medication (32). Medicare paid an average of $368.32 per fill, versus $397.59 statewide.

How often this provider prescribes it

This provider
29
MO average
32.0

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
$368.32
MO average
$397.59

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

33
30-Day Fills
standardized to 30-day supplies
971
Days of Medication
total across all patients in 2023

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 27 Medicare prescriptions for Divalproex Sodium Er, about 64% of the volume of the typical Missouri prescriber of this medication (42). Medicare paid an average of $50.06 per fill, versus $94.42 statewide.

How often this provider prescribes it

This provider
27
MO average
42.0

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
$50.06
MO average
$94.42

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

31
30-Day Fills
standardized to 30-day supplies
903
Days of Medication
total across all patients in 2023

About Austedo: Deutetrabenazine is used to decrease involuntary movements (chorea) caused by Huntington's disease. Show more ▾

It is also used to treat involuntary movements of the face, tongue, or other body parts (tardive dyskinesia). However, it is not a cure for the Huntington's disease or tardive dyskinesia. Reducing involuntary movements will help you take part in more of your normal daily activities. 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 25 Medicare prescriptions for Austedo, about the same volume as the typical Missouri prescriber of this medication (26). Medicare paid an average of $6,568.64 per fill, versus $5,848.73 statewide.

How often this provider prescribes it

This provider
25
MO average
26.0

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
$6,568.64
MO average
$5,848.73

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

25
30-Day Fills
standardized to 30-day supplies
730
Days of Medication
total across all patients in 2023

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 25 Medicare prescriptions for Quetiapine Fumarate Er, about 89% of the volume of the typical Missouri prescriber of this medication (28). Medicare paid an average of $28.52 per fill, versus $143.26 statewide.

How often this provider prescribes it

This provider
25
MO average
28.0

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
$28.52
MO average
$143.26

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

25.3
30-Day Fills
standardized to 30-day supplies
731
Days of Medication
total across all patients in 2023

About Latuda: This medication is used to treat certain mental/mood disorders (such as schizophrenia, depression associated with bipolar disorder). Show more ▾

Lurasidone helps you to think more clearly, feel less nervous, and take part in everyday life. It may also help to decrease hallucinations (hearing/seeing things that are not there). In addition, this medication may improve your mood, sleep, appetite, and energy level. Lurasidone is a psychiatric medication that belongs to the class of drugs called atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A thiazole derivative and atypical ANTIPSYCHOTIC AGENT that functions as a DOPAMINE D2 RECEPTOR ANTAGONIST; SEROTONIN 5-HT2 RECEPTOR ANTAGONIST, serotonin 5-HT7 receptor antagonist, and antagonist of the adrenergic α2A and α2C receptors, as well as a partial SEROTONIN 5-HT1A RECEPTOR AGONIST. It is used in the treatment of SCHIZOPHRENIA and BIPOLAR DISORDER.

In 2023, this provider wrote 25 Medicare prescriptions for Latuda, about half the volume of the typical Missouri prescriber of this medication (47). Medicare paid an average of $1,924.01 per fill, versus $1,492.51 statewide.

How often this provider prescribes it

This provider
25
MO average
47.0

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
$1,924.01
MO average
$1,492.51

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

25
30-Day Fills
standardized to 30-day supplies
728
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 25 Medicare prescriptions for Divalproex Sodium, about a third of the volume of the typical Missouri prescriber of this medication (63). Medicare paid an average of $36.28 per fill, versus $44.98 statewide.

How often this provider prescribes it

This provider
25
MO average
63.0

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
$36.28
MO average
$44.98

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

25
30-Day Fills
standardized to 30-day supplies
750
Days of Medication
total across all patients in 2023

About Aristada: Extended-release aripiprazole injection is used to treat a mental/mood disorder called schizophrenia. Show more ▾

This medication can decrease hallucinations (hearing/seeing things that are not there) and improve your concentration. It also helps you to think more clearly, feel less nervous, and take a more active part in everyday life. Some brands of this medication are also used to treat bipolar disorder. It can help to decrease extreme changes in mood and help you feel less agitated. Extended-release aripiprazole injection is a long-acting psychiatric medication known as an atypical antipsychotic. It works by helping to restore the balance of certain natural substances in the brain.

In 2023, this provider wrote 22 Medicare prescriptions for Aristada, about 61% of the volume of the typical Missouri prescriber of this medication (36). Medicare paid an average of $2,800.40 per fill, versus $2,897.85 statewide.

How often this provider prescribes it

This provider
22
MO average
36.0

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
$2,800.40
MO average
$2,897.85

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

22
30-Day Fills
standardized to 30-day supplies
650
Days of Medication
total across all patients in 2023

About Carbamazepine: Carbamazepine is used to prevent and control seizures. Show more ▾

This medication is known as an anticonvulsant or anti-epileptic drug. It is also used to relieve certain types of nerve pain (such as trigeminal neuralgia). This medication works by reducing the spread of seizure activity in the brain and restoring the normal balance of nerve activity. A dibenzazepine that acts as a sodium channel blocker. It is used as an anticonvulsant for the treatment of grand mal and psychomotor or focal SEIZURES. It may also be used in the management of BIPOLAR DISORDER, and has analgesic properties.

In 2023, this provider wrote 21 Medicare prescriptions for Carbamazepine, about 75% of the volume of the typical Missouri prescriber of this medication (28). Medicare paid an average of $73.87 per fill, versus $59.26 statewide.

How often this provider prescribes it

This provider
21
MO average
28.0

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
$73.87
MO average
$59.26

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

21
30-Day Fills
standardized to 30-day supplies
583
Days of Medication
total across all patients in 2023

About Clomipramine Hcl: Clomipramine is used to treat obsessive compulsive disorder (OCD). Show more ▾

It helps decrease thoughts that are unwanted or that don't go away (obsessions), and it helps reduce the urge to perform repeated tasks (compulsions such as hand-washing, counting, checking) that interfere with daily living. This medication belongs to a class of medications called tricyclic antidepressants. It works by restoring the balance of certain natural substances (serotonin, among others) in the brain. A tricyclic antidepressant similar to IMIPRAMINE that selectively inhibits the uptake of serotonin in the brain. It is readily absorbed from the gastrointestinal tract and demethylated in the liver to form its primary active metabolite, desmethylclomipramine.

In 2023, this provider wrote 20 Medicare prescriptions for Clomipramine Hcl, about the same volume as the typical Missouri prescriber of this medication (21). Medicare paid an average of $865.26 per fill, versus $278.43 statewide.

How often this provider prescribes it

This provider
20
MO average
21.0

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
$865.26
MO average
$278.43

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

20.3
30-Day Fills
standardized to 30-day supplies
582
Days of Medication
total across all patients in 2023

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 19 Medicare prescriptions for Valproic Acid, about the same volume as the typical Missouri prescriber of this medication (20). Medicare paid an average of $44.56 per fill, versus $40.17 statewide.

How often this provider prescribes it

This provider
19
MO average
20.0

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
$44.56
MO average
$40.17

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

19
30-Day Fills
standardized to 30-day supplies
570
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 19 Medicare prescriptions for Lithium Carbonate Er, about 66% of the volume of the typical Missouri prescriber of this medication (29). Medicare paid an average of $21.42 per fill, versus $16.98 statewide.

How often this provider prescribes it

This provider
19
MO average
29.0

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
$21.42
MO average
$16.98

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

19.1
30-Day Fills
standardized to 30-day supplies
525
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 19 Medicare prescriptions for Clonidine Hcl, about 66% of the volume of the typical Missouri prescriber of this medication (29). Medicare paid an average of $4.14 per fill, versus $9.59 statewide.

How often this provider prescribes it

This provider
19
MO average
29.0

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
$4.14
MO average
$9.59

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

19
30-Day Fills
standardized to 30-day supplies
532
Days of Medication
total across all patients in 2023

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

Asenapine helps you to think more clearly, feel less nervous, and take part in everyday life. It may also help to decrease hallucinations (hearing/seeing things that are not there) and prevent severe mood swings. Asenapine is a psychiatric medication that belongs to the class of drugs called atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain (neurotransmitters).

In 2023, this provider wrote 18 Medicare prescriptions for Asenapine Maleate, about 86% of the volume of the typical Missouri prescriber of this medication (21). Medicare paid an average of $393.38 per fill, versus $365.64 statewide.

How often this provider prescribes it

This provider
18
MO average
21.0

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
$393.38
MO average
$365.64

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

22
30-Day Fills
standardized to 30-day supplies
660
Days of Medication
total across all patients in 2023

About Paroxetine Hcl: Paroxetine is used to treat depression, panic attacks, anxiety disorders, and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾

It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Paroxetine is known as a selective serotonin reuptake inhibitor (SSRI). 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. Paroxetine may lessen premenstrual symptoms such as irritability, increased appetite, and depression.

In 2023, this provider wrote 17 Medicare prescriptions for Paroxetine Hcl, about half the volume of the typical Missouri prescriber of this medication (32). Medicare paid an average of $30.77 per fill, versus $14.95 statewide.

How often this provider prescribes it

This provider
17
MO average
32.0

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
$30.77
MO average
$14.95

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

25
30-Day Fills
standardized to 30-day supplies
732
Days of Medication
total across all patients in 2023

About Fetzima: Levomilnacipran is used to treat depression. Show more ▾

It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. Levomilnacipran belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It may improve your mood, sleep, and appetite and may help restore your interest in daily living. The (1S,2R)-isomer of milnacipran that is used for the treatment of MAJOR DEPRESSIVE DISORDER.

In 2023, this provider wrote 16 Medicare prescriptions for Fetzima, about 84% of the volume of the typical Missouri prescriber of this medication (19). Medicare paid an average of $575.44 per fill, versus $488.51 statewide.

How often this provider prescribes it

This provider
16
MO average
19.0

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
$575.44
MO average
$488.51

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

18
30-Day Fills
standardized to 30-day supplies
540
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 a third of the volume of the typical Missouri prescriber of this medication (38). Medicare paid an average of $20.45 per fill, versus $13.14 statewide.

How often this provider prescribes it

This provider
14
MO average
38.0

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
$20.45
MO average
$13.14

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

14
30-Day Fills
standardized to 30-day supplies
390
Days of Medication
total across all patients in 2023

About Atomoxetine Hcl: Atomoxetine is used to treat attention-deficit hyperactivity disorder (ADHD) as part of a total treatment plan, including psychological, social, and other treatments. Show more ▾

It may help to increase the ability to pay attention, concentrate, stay focused, and stop fidgeting. It is thought to work by restoring the balance of certain natural substances (neurotransmitters) in the brain. A propylamine derivative and selective ADRENERGIC UPTAKE INHIBITOR that is used in the treatment of ATTENTION DEFICIT HYPERACTIVITY DISORDER.

In 2023, this provider wrote 14 Medicare prescriptions for Atomoxetine Hcl, about 61% of the volume of the typical Missouri prescriber of this medication (23). Medicare paid an average of $164.68 per fill, versus $147.24 statewide.

How often this provider prescribes it

This provider
14
MO average
23.0

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
$164.68
MO average
$147.24

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

14
30-Day Fills
standardized to 30-day supplies
420
Days of Medication
total across all patients in 2023

About Caplyta: Lumateperone is used to treat certain mental/mood disorders (such as schizophrenia, episodes of depression associated with bipolar disorder). Show more ▾

This medication helps you to think more clearly, feel less nervous, and take part in everyday life. It may help to decrease hallucinations (hearing/seeing things that are not there). It may also improve your mood, sleep, appetite, and energy level. Lumateperone 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.

In 2023, this provider wrote 14 Medicare prescriptions for Caplyta, about half the volume of the typical Missouri prescriber of this medication (30). Medicare paid an average of $1,698.92 per fill, versus $1,437.28 statewide.

How often this provider prescribes it

This provider
14
MO average
30.0

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
$1,698.92
MO average
$1,437.28

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

14
30-Day Fills
standardized to 30-day supplies
420
Days of Medication
total across all patients in 2023

About Abilify Maintena: 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 13 Medicare prescriptions for Abilify Maintena, about half the volume of the typical Missouri prescriber of this medication (24). Medicare paid an average of $2,904.99 per fill, versus $2,670.07 statewide.

How often this provider prescribes it

This provider
13
MO average
24.0

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
$2,904.99
MO average
$2,670.07

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

13
30-Day Fills
standardized to 30-day supplies
384
Days of Medication
total across all patients in 2023

About Cyproheptadine Hcl: Cyproheptadine is an antihistamine used to relieve allergy symptoms such as watery eyes, runny nose, itching eyes/nose, sneezing, hives, and itching. Show more ▾

It works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. This medication also blocks another natural substance in your body (serotonin). This medication should not be used in newborn or premature infants.

In 2023, this provider wrote 13 Medicare prescriptions for Cyproheptadine Hcl, about half the volume of the typical Missouri prescriber of this medication (22). Medicare paid an average of $5.01 per fill, versus $28.40 statewide.

How often this provider prescribes it

This provider
13
MO average
22.0

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
$5.01
MO average
$28.40

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

13
30-Day Fills
standardized to 30-day supplies
364
Days of Medication
total across all patients in 2023

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 13 Medicare prescriptions for Chlorpromazine Hcl, about a third of the volume of the typical Missouri prescriber of this medication (36). Medicare paid an average of $133.77 per fill, versus $305.15 statewide.

How often this provider prescribes it

This provider
13
MO average
36.0

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
$133.77
MO average
$305.15

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

13
30-Day Fills
standardized to 30-day supplies
364
Days of Medication
total across all patients in 2023

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 12 Medicare prescriptions for Risperdal Consta, about half the volume of the typical Missouri prescriber of this medication (27). Medicare paid an average of $2,480.92 per fill, versus $1,370.27 statewide.

How often this provider prescribes it

This provider
12
MO average
27.0

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
$2,480.92
MO average
$1,370.27

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

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 a third of the volume of the typical Missouri prescriber of this medication (30). Medicare paid an average of $45.38 per fill, versus $25.98 statewide.

How often this provider prescribes it

This provider
12
MO average
30.0

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
$45.38
MO average
$25.98

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

12
30-Day Fills
standardized to 30-day supplies
338
Days of Medication
total across all patients in 2023

About Fluvoxamine Maleate: Fluvoxamine is used to treat obsessive-compulsive disorder (OCD). Show more ▾

It helps decrease thoughts that are unwanted or that don't go away (obsessions), and it helps to reduce the urge to perform repeated tasks (compulsions such as hand-washing, counting, checking) that interfere with daily living. Fluvoxamine is known as a selective serotonin reuptake inhibitor (SSRI). This medication works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A selective serotonin reuptake inhibitor that is used in the treatment of DEPRESSION and a variety of ANXIETY DISORDERS.

In 2023, this provider wrote 12 Medicare prescriptions for Fluvoxamine Maleate, about a third of the volume of the typical Missouri prescriber of this medication (30). Medicare paid an average of $39.75 per fill, versus $43.21 statewide.

How often this provider prescribes it

This provider
12
MO average
30.0

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
$39.75
MO average
$43.21

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

12.3
30-Day Fills
standardized to 30-day supplies
367
Days of Medication
total across all patients in 2023

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 $51.90 per fill, versus $98.74 statewide.

How often this provider prescribes it

This provider
12
MO average
33.0

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
$51.90
MO average
$98.74

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

12.2
30-Day Fills
standardized to 30-day supplies
366
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 11 Medicare prescriptions for Haloperidol, about a quarter of the volume of the typical Missouri prescriber of this medication (43). Medicare paid an average of $33.34 per fill, versus $38.73 statewide.

How often this provider prescribes it

This provider
11
MO average
43.0

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
$33.34
MO average
$38.73

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

11
30-Day Fills
standardized to 30-day supplies
330
Days of Medication
total across all patients in 2023

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

This medication can improve your mood and feelings of well-being. It may work by restoring the balance of certain natural substances (dopamine, norepinephrine) in the brain.

In 2023, this provider wrote 11 Medicare prescriptions for Auvelity, about the same volume as the typical Missouri prescriber of this medication (12). Medicare paid an average of $1,087.55 per fill, versus $964.30 statewide.

How often this provider prescribes it

This provider
11
MO average
12.0

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
$1,087.55
MO average
$964.30

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

11
30-Day Fills
standardized to 30-day supplies
330
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 MO prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the MO average cost per fill.

About this data. The prescription history for TYVA MICHELLE HIGGINS DNP,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 Mexico, 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.