ALEXANDRA RUIZ AGNP
Prescription History 1972284313
Nurse Practitioner in Cleveland, OH

Active since July 27, 2023PECOS EnrolledAccepts Medicare Assignment
10201 CARNEGIE AVE, CLEVELAND, OH 44106(866) 223-8100 Get Directions

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 17, 2023, Aug 16, 2023, Aug 13, 2023 and 1 more (4 updates tracked since 2023).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for ALEXANDRA RUIZ AGNP, an active Nurse Practitioner specialist practicing in Cleveland, OH. Our medical registry currently tracks 3 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 42 documented patient claims. Among these therapy options, the most frequently utilized medication is Duloxetine Hcl, which accounts for 17 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.

3
Medications
42
Total Claims
42
30-Day Fills
Duloxetine Hcl
Most Prescribed · 17 claims
View details
3 medications · 2024 Medicare Part D
Medicare Part D medications prescribed by ALEXANDRA RUIZ AGNP in 2024, with prescription volumes, average cost per fill, and OH state comparisons
Medication Prescriptions (2024)Rx (2024) Avg Cost per FillCost / Fill Vs. Other OH PrescribersVs. OH Avg
Duloxetine Hcl17$27.10▼ Less than typical

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

It is also 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 belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It 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 2024, this provider wrote 17 Medicare prescriptions for Duloxetine Hcl, about a third of the volume of the typical Ohio prescriber of this medication (58.5). Medicare paid an average of $27.10 per fill, versus $23.49 statewide.

How often this provider prescribes it

This provider
17
OH average
58.5

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

What Medicare paid per fill

This provider
$27.10
OH average
$23.49

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

17
30-Day Fills
standardized to 30-day supplies
470
Days of Medication
total across all patients in 2024
Buprenorphine13$291.89▼ Less than typical

About Buprenorphine: This medication is used to help relieve severe ongoing pain (such as due to arthritis, chronic back pain). Show more ▾

Buprenorphine belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. The higher strengths of this drug (7.5, 10, 15, or 20 micrograms per hour patches) should be used only if you have been regularly taking moderate amounts of opioid pain medication. These strengths may cause overdose (even death) if used by a person who has not been regularly taking opioids. Do not use this medication to relieve pain that is mild or that will go away in a few days. This medication is not for occasional ("as needed") use. A derivative of the opioid alkaloid THEBAINE that is a more potent and longer lasting analgesic than MORPHINE. It appears to act as a partial agonist at mu and kappa opioid receptors and as an antagonist at delta receptors. The lack of delta-agonist activity has been suggested to account for the observation that buprenorphine tolerance may not develop with chronic use.

In 2024, this provider wrote 13 Medicare prescriptions for Buprenorphine, about a third of the volume of the typical Ohio prescriber of this medication (45.7). Medicare paid an average of $291.89 per fill, versus $243.56 statewide.

How often this provider prescribes it

This provider
13
OH average
45.7

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

What Medicare paid per fill

This provider
$291.89
OH average
$243.56

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

13
30-Day Fills
standardized to 30-day supplies
366
Days of Medication
total across all patients in 2024
Tramadol Hcl12$12.61▼ Less than typical

About Tramadol Hcl: See also Warning section. Show more ▾

This medication is used to help relieve moderate to moderately severe pain. Tramadol belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A narcotic analgesic proposed for severe pain. It may be habituating.

In 2024, this provider wrote 12 Medicare prescriptions for Tramadol Hcl, about a quarter of the volume of the typical Ohio prescriber of this medication (56.4). Medicare paid an average of $12.61 per fill, versus $7.12 statewide.

How often this provider prescribes it

This provider
12
OH average
56.4

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

What Medicare paid per fill

This provider
$12.61
OH average
$7.12

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

12
30-Day Fills
standardized to 30-day supplies
267
Days of Medication
total across all patients in 2024
No medications match the current filters.
▲ More than typical≈ Typical▼ Less than typical= prescription volume vs the average OH prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the OH average cost per fill.

About this data. The prescription history for ALEXANDRA RUIZ AGNP is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2024, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Nurse Practitioner prescribing approach at this Cleveland, OH practice.

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

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