SHARILYN BUTTELING
Prescription History 1942726708
Nurse Practitioner - Psychiatric/Mental Health in Wailuku, HI

Active since August 14, 2017PECOS EnrolledAccepts Medicare Assignment
270 HOOKAHI ST STE 207, WAILUKU, HI 96793(808) 242-1660(808) 242-6650 Get Directions

NPPES record last updated: August 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for SHARILYN BUTTELING, an active Psychiatric/Mental Health specialist practicing in Wailuku, HI. Our medical registry currently tracks 22 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 519 documented patient claims. Among these therapy options, the most frequently utilized medication is Trazodone Hcl, which accounts for 48 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.

22
Medications
519
Total Claims
809
30-Day Fills
Trazodone Hcl
Most Prescribed · 48 claims
View details
22 medications · 2023 Medicare Part D
Medicare Part D medications prescribed by SHARILYN BUTTELING in 2023, with prescription volumes, average cost per fill, and HI state comparisons
Medication Prescriptions (2023)Rx (2023) Avg Cost per FillCost / Fill Vs. Other HI PrescribersVs. HI Avg

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 48 Medicare prescriptions for Trazodone Hcl, about 1.2 times the volume of the typical Hawaii prescriber of this medication (40). Medicare paid an average of $27.03 per fill, versus $13.78 statewide.

How often this provider prescribes it

This provider
48
HI average
40.0

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

What Medicare paid per fill

This provider
$27.03
HI average
$13.78

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

70
30-Day Fills
standardized to 30-day supplies
2,100
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 42 Medicare prescriptions for Lamotrigine, about the same volume as the typical Hawaii prescriber of this medication (37). Medicare paid an average of $22.70 per fill, versus $19.32 statewide.

How often this provider prescribes it

This provider
42
HI average
37.0

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

What Medicare paid per fill

This provider
$22.70
HI average
$19.32

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

82.3
30-Day Fills
standardized to 30-day supplies
2,458
Days of Medication
total across all patients in 2023

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

This medication is known as an anticonvulsant or antiepileptic drug. It is also used to treat panic attacks. Clonazepam works by calming your brain and nerves. It belongs to a class of drugs called benzodiazepines. An anticonvulsant used for several types of seizures, including myotonic or atonic seizures, photosensitive epilepsy, and absence seizures, although tolerance may develop. It is seldom effective in generalized tonic-clonic or partial seizures. The mechanism of action appears to involve the enhancement of GAMMA-AMINOBUTYRIC ACID receptor responses.

In 2023, this provider wrote 36 Medicare prescriptions for Clonazepam, about the same volume as the typical Hawaii prescriber of this medication (36). Medicare paid an average of $9.23 per fill, versus $10.91 statewide.

How often this provider prescribes it

This provider
36
HI average
36.0

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

What Medicare paid per fill

This provider
$9.23
HI average
$10.91

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

36
30-Day Fills
standardized to 30-day supplies
1,065
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 36 Medicare prescriptions for Dextroamphetamine-Amphetamine, about 1.4 times the volume of the typical Hawaii prescriber of this medication (26). Medicare paid an average of $70.76 per fill, versus $45.71 statewide.

How often this provider prescribes it

This provider
36
HI average
26.0

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

What Medicare paid per fill

This provider
$70.76
HI average
$45.71

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

36
30-Day Fills
standardized to 30-day supplies
1,070
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 32 Medicare prescriptions for Risperidone, about 84% of the volume of the typical Hawaii prescriber of this medication (38). Medicare paid an average of $32.34 per fill, versus $20.42 statewide.

How often this provider prescribes it

This provider
32
HI average
38.0

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

What Medicare paid per fill

This provider
$32.34
HI average
$20.42

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

54
30-Day Fills
standardized to 30-day supplies
1,620
Days of Medication
total across all patients in 2023

About Diazepam: This medication is used to treat episodes of increased seizures (such as cluster or breakthrough seizures) in people who are already taking medications to control their seizures. Show more ▾

This product is only recommended for short-term treatment of seizure attacks. It is not for ongoing daily use to prevent seizures. Uncontrolled seizures can turn into serious (possibly fatal) seizures that do not stop (status epilepticus). This medication is not recommended for children younger than 6 months of age because of the risk of serious side effects. Diazepam works by calming the brain and nerves. It belongs to a class of drugs known as benzodiazepines. A benzodiazepine with anticonvulsant, anxiolytic, sedative, muscle relaxant, and amnesic properties and a long duration of action. Its actions are mediated by enhancement of GAMMA-AMINOBUTYRIC ACID activity.

In 2023, this provider wrote 32 Medicare prescriptions for Diazepam, about 1.2 times the volume of the typical Hawaii prescriber of this medication (27). Medicare paid an average of $5.74 per fill, versus $8.10 statewide.

How often this provider prescribes it

This provider
32
HI average
27.0

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

What Medicare paid per fill

This provider
$5.74
HI average
$8.10

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

32
30-Day Fills
standardized to 30-day supplies
960
Days of Medication
total across all patients in 2023

About Oxcarbazepine: Oxcarbazepine is used alone or with other medications to treat seizure disorders (epilepsy). Show more ▾

A carbamazepine derivative that acts as a voltage-gated sodium channel blocker. It is used for the treatment of PARTIAL SEIZURES with or without secondary generalization. It is also an inducer of CYTOCHROME P-450 CYP3A4.

In 2023, this provider wrote 32 Medicare prescriptions for Oxcarbazepine, about 1.2 times the volume of the typical Hawaii prescriber of this medication (26). Medicare paid an average of $36.78 per fill, versus $95.10 statewide.

How often this provider prescribes it

This provider
32
HI average
26.0

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

What Medicare paid per fill

This provider
$36.78
HI average
$95.10

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

50
30-Day Fills
standardized to 30-day supplies
1,500
Days of Medication
total across all patients in 2023

About Lorazepam: This medication is used to treat serious seizures that do not stop (status epilepticus). Show more ▾

It is also used before surgeries or procedures to cause drowsiness, decrease anxiety, and cause forgetfulness about the procedure or surgery. Lorazepam belongs to a class of medications called benzodiazepines, which produce a calming effect on the brain and nerves (central nervous system). It is thought to work by increasing the effect of a certain natural chemical (GABA) in the brain. A benzodiazepine used as an anti-anxiety agent with few side effects. It also has hypnotic, anticonvulsant, and considerable sedative properties and has been proposed as a preanesthetic agent.

In 2023, this provider wrote 26 Medicare prescriptions for Lorazepam, about 84% of the volume of the typical Hawaii prescriber of this medication (31). Medicare paid an average of $12.24 per fill, versus $6.99 statewide.

How often this provider prescribes it

This provider
26
HI average
31.0

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

What Medicare paid per fill

This provider
$12.24
HI average
$6.99

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

26
30-Day Fills
standardized to 30-day supplies
734
Days of Medication
total across all patients in 2023

About Alprazolam: Alprazolam is used to treat anxiety and panic disorders. Show more ▾

It belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA). A triazolobenzodiazepine compound with antianxiety and sedative-hypnotic actions, that is efficacious in the treatment of PANIC DISORDERS, with or without AGORAPHOBIA, and in generalized ANXIETY DISORDERS. (From AMA Drug Evaluations Annual, 1994, p238)

In 2023, this provider wrote 26 Medicare prescriptions for Alprazolam, about 67% of the volume of the typical Hawaii prescriber of this medication (39). Medicare paid an average of $35.03 per fill, versus $8.21 statewide.

How often this provider prescribes it

This provider
26
HI average
39.0

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

What Medicare paid per fill

This provider
$35.03
HI average
$8.21

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

26
30-Day Fills
standardized to 30-day supplies
720
Days of Medication
total across all patients in 2023

About Zolpidem Tartrate: Zolpidem is used for a short time to treat a certain sleep problem (insomnia) in adults. Show more ▾

If you have trouble falling asleep, it helps you fall asleep faster, so you can get a better night's rest. Zolpidem belongs to a class of drugs called sedative-hypnotics. It acts on your brain to produce a calming effect. An imidazopyridine derivative and short-acting GABA-A receptor agonist that is used for the treatment of INSOMNIA.

In 2023, this provider wrote 24 Medicare prescriptions for Zolpidem Tartrate, about 69% of the volume of the typical Hawaii prescriber of this medication (35). Medicare paid an average of $12.33 per fill, versus $7.74 statewide.

How often this provider prescribes it

This provider
24
HI average
35.0

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

What Medicare paid per fill

This provider
$12.33
HI average
$7.74

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

24
30-Day Fills
standardized to 30-day supplies
720
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 24 Medicare prescriptions for Gabapentin, about half the volume of the typical Hawaii prescriber of this medication (54). Medicare paid an average of $38.93 per fill, versus $19.98 statewide.

How often this provider prescribes it

This provider
24
HI average
54.0

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

What Medicare paid per fill

This provider
$38.93
HI average
$19.98

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

50
30-Day Fills
standardized to 30-day supplies
1,500
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 17 Medicare prescriptions for Escitalopram Oxalate, about half the volume of the typical Hawaii prescriber of this medication (35). Medicare paid an average of $19.94 per fill, versus $14.55 statewide.

How often this provider prescribes it

This provider
17
HI average
35.0

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

What Medicare paid per fill

This provider
$19.94
HI average
$14.55

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

35.8
30-Day Fills
standardized to 30-day supplies
1,074
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 17 Medicare prescriptions for Quetiapine Fumarate, about a third of the volume of the typical Hawaii prescriber of this medication (49). Medicare paid an average of $30.51 per fill, versus $48.93 statewide.

How often this provider prescribes it

This provider
17
HI average
49.0

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

What Medicare paid per fill

This provider
$30.51
HI average
$48.93

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

47
30-Day Fills
standardized to 30-day supplies
1,410
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 17 Medicare prescriptions for Dextroamphetamine-Amphet Er, about 81% of the volume of the typical Hawaii prescriber of this medication (21). Medicare paid an average of $137.43 per fill, versus $77.79 statewide.

How often this provider prescribes it

This provider
17
HI average
21.0

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

What Medicare paid per fill

This provider
$137.43
HI average
$77.79

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

17
30-Day Fills
standardized to 30-day supplies
510
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 16 Medicare prescriptions for Venlafaxine Hcl Er, about 67% of the volume of the typical Hawaii prescriber of this medication (24). Medicare paid an average of $34.72 per fill, versus $32.10 statewide.

How often this provider prescribes it

This provider
16
HI average
24.0

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

What Medicare paid per fill

This provider
$34.72
HI average
$32.10

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

46
30-Day Fills
standardized to 30-day supplies
1,380
Days of Medication
total across all patients in 2023

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 15 Medicare prescriptions for Duloxetine Hcl, about half the volume of the typical Hawaii prescriber of this medication (33). Medicare paid an average of $62.77 per fill, versus $52.56 statewide.

How often this provider prescribes it

This provider
15
HI average
33.0

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

What Medicare paid per fill

This provider
$62.77
HI average
$52.56

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

43.7
30-Day Fills
standardized to 30-day supplies
1,310
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 14 Medicare prescriptions for Hydroxyzine Hcl, about 64% of the volume of the typical Hawaii prescriber of this medication (22). Medicare paid an average of $43.45 per fill, versus $22.28 statewide.

How often this provider prescribes it

This provider
14
HI average
22.0

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

What Medicare paid per fill

This provider
$43.45
HI average
$22.28

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

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

In 2023, this provider wrote 14 Medicare prescriptions for Lurasidone Hcl. Medicare paid an average of $1,268.15 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

$1,268.15
Cost per fill

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 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 half the volume of the typical Hawaii prescriber of this medication (29). Medicare paid an average of $248.27 per fill, versus $45.16 statewide.

How often this provider prescribes it

This provider
14
HI average
29.0

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

What Medicare paid per fill

This provider
$248.27
HI average
$45.16

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

16
30-Day Fills
standardized to 30-day supplies
480
Days of Medication
total across all patients in 2023

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 13 Medicare prescriptions for Bupropion Hcl Sr, about 65% of the volume of the typical Hawaii prescriber of this medication (20). Medicare paid an average of $27.79 per fill, versus $26.16 statewide.

How often this provider prescribes it

This provider
13
HI average
20.0

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

What Medicare paid per fill

This provider
$27.79
HI average
$26.16

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

27
30-Day Fills
standardized to 30-day supplies
810
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 13 Medicare prescriptions for Prazosin Hcl, about half the volume of the typical Hawaii prescriber of this medication (25). Medicare paid an average of $85.06 per fill, versus $44.74 statewide.

How often this provider prescribes it

This provider
13
HI average
25.0

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

What Medicare paid per fill

This provider
$85.06
HI average
$44.74

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

29.7
30-Day Fills
standardized to 30-day supplies
892
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 11 Medicare prescriptions for Lithium Carbonate, about half the volume of the typical Hawaii prescriber of this medication (22). Medicare paid an average of $11.03 per fill, versus $9.36 statewide.

How often this provider prescribes it

This provider
11
HI average
22.0

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

What Medicare paid per fill

This provider
$11.03
HI average
$9.36

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

17
30-Day Fills
standardized to 30-day supplies
510
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 HI prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the HI average cost per fill.

About this data. The prescription history for SHARILYN BUTTELING 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 Wailuku, HI 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 HI prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.