SHANNON L TREPTOW FNP
Prescription History 1982909693
Nurse Practitioner - Family in Cheyenne, WY
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for SHANNON L TREPTOW FNP, an active Family specialist practicing in Cheyenne, WY. Our medical registry currently tracks 18 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 1,356 documented patient claims. Among these therapy options, the most frequently utilized medication is Gabapentin, which accounts for 290 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.
| Medication | Prescriptions (2023)Rx (2023) | Avg Cost per FillCost / Fill | Vs. Other WY PrescribersVs. WY Avg |
|---|---|---|---|
| Gabapentin | 290 | $18.90▼ below WY avg | ▲ More than typical |
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 290 Medicare prescriptions for Gabapentin, about 3.9 times the volume of the typical Wyoming prescriber of this medication (75). Medicare paid an average of $18.90 per fill, versus $22.84 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WY prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WY average for this medication. 354.1 30-Day Fills standardized to 30-day supplies 10,379 Days of Medication total across all patients in 2023 | |||
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 214 | $22.64 | ▲ More than typical |
About Hydrocodone-Acetaminophen: This combination medication is used to relieve moderate to severe pain. Show more ▾ It contains an opioid pain reliever (hydrocodone) and a non-opioid pain reliever (acetaminophen). Hydrocodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. In 2023, this provider wrote 214 Medicare prescriptions for Hydrocodone-Acetaminophen, about 4.1 times the volume of the typical Wyoming prescriber of this medication (52). Medicare paid an average of $22.64 per fill, versus $22.45 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WY prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 214.3 30-Day Fills standardized to 30-day supplies 4,903 Days of Medication total across all patients in 2023 | |||
| Pregabalin | 204 | $47.55▼ below WY avg | ▲ More than typical |
About Pregabalin: This medication is used to treat pain caused by nerve damage due to diabetes, shingles (herpes zoster) infection, or spinal cord injury. Show more ▾ This medication is also used to treat pain in people with fibromyalgia. It is also used with other medications to treat certain types of seizures (focal seizures). A gamma-aminobutyric acid (GABA) derivative that functions as a CALCIUM CHANNEL BLOCKER and is used as an ANTICONVULSANT as well as an ANTI-ANXIETY AGENT. It is also used as an ANALGESIC in the treatment of NEUROPATHIC PAIN and FIBROMYALGIA. In 2023, this provider wrote 204 Medicare prescriptions for Pregabalin, about 6.6 times the volume of the typical Wyoming prescriber of this medication (31). Medicare paid an average of $47.55 per fill, versus $53.36 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WY prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WY average for this medication. 234 30-Day Fills standardized to 30-day supplies 6,965 Days of Medication total across all patients in 2023 | |||
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 140 | $29.42▼ below WY avg | ▲ More than typical |
About Oxycodone-Acetaminophen: This combination medication is used to help relieve moderate to severe pain. Show more ▾ It contains an opioid pain reliever (oxycodone) and a non-opioid pain reliever (acetaminophen). Oxycodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. In 2023, this provider wrote 140 Medicare prescriptions for Oxycodone-Acetaminophen, about 3.4 times the volume of the typical Wyoming prescriber of this medication (41). Medicare paid an average of $29.42 per fill, versus $30.33 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WY prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WY average for this medication. 140.2 30-Day Fills standardized to 30-day supplies 3,615 Days of Medication total across all patients in 2023 | |||
| Tramadol Hcl | 81 | $9.31 | ▲ More 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 2023, this provider wrote 81 Medicare prescriptions for Tramadol Hcl, about 1.8 times the volume of the typical Wyoming prescriber of this medication (46). Medicare paid an average of $9.31 per fill, versus $8.08 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WY prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 81 30-Day Fills standardized to 30-day supplies 2,222 Days of Medication total across all patients in 2023 | |||
| Tizanidine Hcl | 70 | $14.16▼ below WY avg | ▲ More than typical |
About Tizanidine Hcl: This medication is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury). Show more ▾ It works by helping to relax the muscles. In 2023, this provider wrote 70 Medicare prescriptions for Tizanidine Hcl, about 2.3 times the volume of the typical Wyoming prescriber of this medication (30). Medicare paid an average of $14.16 per fill, versus $14.63 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WY prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WY average for this medication. 84.3 30-Day Fills standardized to 30-day supplies 2,320 Days of Medication total across all patients in 2023 | |||
| Methocarbamol | 65 | $9.60▼ below WY avg | ▲ More than typical |
About Methocarbamol: Methocarbamol is used to treat muscle spasms/pain. Show more ▾ It is usually used along with rest, physical therapy, and other treatment. It works by helping to relax the muscles. A centrally acting muscle relaxant whose mode of action has not been established. It is used as an adjunct in the symptomatic treatment of musculoskeletal conditions associated with painful muscle spasm. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1206) In 2023, this provider wrote 65 Medicare prescriptions for Methocarbamol, about 2.6 times the volume of the typical Wyoming prescriber of this medication (25). Medicare paid an average of $9.60 per fill, versus $16.69 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WY prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WY average for this medication. 68.2 30-Day Fills standardized to 30-day supplies 1,512 Days of Medication total across all patients in 2023 | |||
| Duloxetine Hcl | 57 | $12.29▼ below WY avg | ▲ More than typical |
About Duloxetine Hcl: Duloxetine is used to treat depression and anxiety. Show more ▾ In addition, duloxetine is used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain). Duloxetine may improve your mood, sleep, appetite, and energy level, and decrease nervousness. It can also decrease pain due to certain medical conditions. Duloxetine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). This medication works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A thiophene derivative and selective NEUROTRANSMITTER UPTAKE INHIBITOR for SEROTONIN and NORADRENALINE (SNRI). It is an ANTIDEPRESSIVE AGENT and ANXIOLYTIC, and is also used for the treatment of pain in patients with DIABETES MELLITUS and FIBROMYALGIA. In 2023, this provider wrote 57 Medicare prescriptions for Duloxetine Hcl, about 1.3 times the volume of the typical Wyoming prescriber of this medication (45). Medicare paid an average of $12.29 per fill, versus $46.82 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WY prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WY average for this medication. 61 30-Day Fills standardized to 30-day supplies 1,830 Days of Medication total across all patients in 2023 | |||
| Nortriptyline Hcl | 45 | $8.30▼ below WY avg | ▲ More than typical |
About Nortriptyline Hcl: This medication is used to treat mental/mood problems such as depression. Show more ▾ It may help improve mood and feelings of well-being, relieve anxiety and tension, and increase your energy level. This medication belongs to a class of medications called tricyclic antidepressants. It works by affecting the balance of certain natural chemicals (neurotransmitters) in the brain. In 2023, this provider wrote 45 Medicare prescriptions for Nortriptyline Hcl, about 2.4 times the volume of the typical Wyoming prescriber of this medication (19). Medicare paid an average of $8.30 per fill, versus $12.70 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WY prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WY average for this medication. 45 30-Day Fills standardized to 30-day supplies 1,317 Days of Medication total across all patients in 2023 | |||
| Cyclobenzaprine Hcl | 42 | $9.87▼ below WY avg | ▲ More than typical |
About Cyclobenzaprine Hcl: Cyclobenzaprine is used short-term to treat muscle spasms. Show more ▾ It is usually used along with rest and physical therapy. It works by helping to relax the muscles. This medication is not recommended for use in older adults because they may be at greater risk for side effects while using this drug. Ask the doctor or pharmacist for details. In 2023, this provider wrote 42 Medicare prescriptions for Cyclobenzaprine Hcl, about 1.4 times the volume of the typical Wyoming prescriber of this medication (31). Medicare paid an average of $9.87 per fill, versus $19.11 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WY prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WY average for this medication. 43.5 30-Day Fills standardized to 30-day supplies 960 Days of Medication total across all patients in 2023 | |||
| Oxycodone Hcl | 38 | $12.00▼ below WY avg | ≈ Typical |
About Oxycodone Hcl: This medication is used to help relieve moderate to severe pain. Show more ▾ Oxycodone 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 semisynthetic derivative of CODEINE. In 2023, this provider wrote 38 Medicare prescriptions for Oxycodone Hcl, about 88% of the volume of the typical Wyoming prescriber of this medication (43). Medicare paid an average of $12.00 per fill, versus $24.73 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average WY prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WY average for this medication. 38 30-Day Fills standardized to 30-day supplies 837 Days of Medication total across all patients in 2023 | |||
| Meloxicam | 31 | $5.35▼ below WY avg | ≈ Typical |
About Meloxicam: Meloxicam is used to help relieve moderate to severe pain. Show more ▾ Meloxicam is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. This effect helps to decrease swelling or pain. A benzothiazine and thiazole derivative that acts as a NSAID and cyclooxygenase-2 (COX-2) inhibitor. It is used in the treatment of RHEUMATOID ARTHRITIS; OSTEOARTHRITIS; and ANKYLOSING SPONDYLITIS. In 2023, this provider wrote 31 Medicare prescriptions for Meloxicam, about 76% of the volume of the typical Wyoming prescriber of this medication (41). Medicare paid an average of $5.35 per fill, versus $7.23 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average WY prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WY average for this medication. 39 30-Day Fills standardized to 30-day supplies 1,170 Days of Medication total across all patients in 2023 | |||
| Diclofenac Sodium | 15 | $39.39 | ▼ Less than typical |
About Diclofenac Sodium: See also Warning section. Show more ▾ This medication is used to relieve joint pain from arthritis. Diclofenac belongs to a class of drugs known as nonsteroidal anti-inflammatory drugs (NSAIDs). If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. A non-steroidal anti-inflammatory agent (NSAID) with antipyretic and analgesic actions. It is primarily available as the sodium salt. In 2023, this provider wrote 15 Medicare prescriptions for Diclofenac Sodium, about half the volume of the typical Wyoming prescriber of this medication (30). Medicare paid an average of $39.39 per fill, versus $27.04 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WY prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 16.6 30-Day Fills standardized to 30-day supplies 416 Days of Medication total across all patients in 2023 | |||
| Zolpidem Tartrate | 14 | $7.02▼ below WY avg | ▼ Less than typical |
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 14 Medicare prescriptions for Zolpidem Tartrate, about a third of the volume of the typical Wyoming prescriber of this medication (36). Medicare paid an average of $7.02 per fill, versus $10.65 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WY prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WY average for this medication. 14.7 30-Day Fills standardized to 30-day supplies 430 Days of Medication total across all patients in 2023 | |||
| Morphine Sulfate ErMorphine Sulfate | 13 | $14.15▼ below WY avg | ▼ Less than typical |
About Morphine Sulfate Er: This medication is used to treat severe pain. Show more ▾ Morphine 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 principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle. In 2023, this provider wrote 13 Medicare prescriptions for Morphine Sulfate Er, about a third of the volume of the typical Wyoming prescriber of this medication (45). Medicare paid an average of $14.15 per fill, versus $36.94 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WY prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WY average for this medication. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2023 | |||
| Morphine Sulfate | 13 | $20.93▼ below WY avg | ▼ Less than typical |
About Morphine Sulfate: This medication is used to treat severe pain. Show more ▾ Morphine 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 principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle. In 2023, this provider wrote 13 Medicare prescriptions for Morphine Sulfate, about 68% of the volume of the typical Wyoming prescriber of this medication (19). Medicare paid an average of $20.93 per fill, versus $32.91 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WY prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WY average for this medication. 13.1 30-Day Fills standardized to 30-day supplies 364 Days of Medication total across all patients in 2023 | |||
| Tramadol Hcl ErTramadol Hcl | 13 | $80.07▼ below WY avg | ▼ Less than typical |
About Tramadol Hcl Er: See also Warning section. Show more ▾ This medication is used to help relieve severe ongoing 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 2023, this provider wrote 13 Medicare prescriptions for Tramadol Hcl Er, about half the volume of the typical Wyoming prescriber of this medication (24). Medicare paid an average of $80.07 per fill, versus $117.19 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WY prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WY average for this medication. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2023 | |||
| Xtampza ErOxycodone Myristate | 11 | $354.25▼ below WY avg | ▼ Less than typical |
About Xtampza Er: This medication is used to help relieve severe ongoing pain (such as due to cancer). Show more ▾ Oxycodone 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. Higher doses of this drug (more than 36 milligrams per dose or 72 milligrams per day) should be used only if you have been regularly taking moderate to large amounts of an opioid medication. These doses may cause overdose (even death) if taken by a person who has not been regularly taking opioids. Do not use the extended-release form of oxycodone to relieve pain that is mild or that will go away in a few days. This medication is not for occasional (as needed) use. In 2023, this provider wrote 11 Medicare prescriptions for Xtampza Er, about a third of the volume of the typical Wyoming prescriber of this medication (28). Medicare paid an average of $354.25 per fill, versus $659.62 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WY prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WY average for this medication. 11 30-Day Fills standardized to 30-day supplies 316 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for SHANNON L TREPTOW FNP 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 Family prescribing approach at this Cheyenne, WY 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 WY prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
