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 16 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 1,420 documented patient claims. Among these therapy options, the most frequently utilized medication is Hydrocodone-Acetaminophen, which accounts for 240 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 (2024)Rx (2024) | Avg Cost per FillCost / Fill | Vs. Other WY PrescribersVs. WY Avg |
|---|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 240 | $20.82▼ below WY avg | ▲ 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 2024, this provider wrote 240 Medicare prescriptions for Hydrocodone-Acetaminophen, about 4.4 times the volume of the typical Wyoming prescriber of this medication (54.4). Medicare paid an average of $20.82 per fill, versus $21.47 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. 240 30-Day Fills standardized to 30-day supplies 5,716 Days of Medication total across all patients in 2024 | |||
| Gabapentin | 229 | $14.97▼ 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 2024, this provider wrote 229 Medicare prescriptions for Gabapentin, about 2.9 times the volume of the typical Wyoming prescriber of this medication (78.5). Medicare paid an average of $14.97 per fill, versus $17.42 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. 335.8 30-Day Fills standardized to 30-day supplies 10,032 Days of Medication total across all patients in 2024 | |||
| Pregabalin | 211 | $17.07▼ 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 2024, this provider wrote 211 Medicare prescriptions for Pregabalin, about 5.2 times the volume of the typical Wyoming prescriber of this medication (40.8). Medicare paid an average of $17.07 per fill, versus $25.64 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. 237 30-Day Fills standardized to 30-day supplies 6,986 Days of Medication total across all patients in 2024 | |||
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 159 | $22.38▼ 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 2024, this provider wrote 159 Medicare prescriptions for Oxycodone-Acetaminophen, about 3.6 times the volume of the typical Wyoming prescriber of this medication (44.2). Medicare paid an average of $22.38 per fill, versus $27.70 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. 159 30-Day Fills standardized to 30-day supplies 4,366 Days of Medication total across all patients in 2024 | |||
| Methocarbamol | 117 | $8.94▼ 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 2024, this provider wrote 117 Medicare prescriptions for Methocarbamol, about 4.6 times the volume of the typical Wyoming prescriber of this medication (25.3). Medicare paid an average of $8.94 per fill, versus $14.43 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. 123 30-Day Fills standardized to 30-day supplies 2,632 Days of Medication total across all patients in 2024 | |||
| Tizanidine Hcl | 103 | $12.11▼ 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 2024, this provider wrote 103 Medicare prescriptions for Tizanidine Hcl, about 3 times the volume of the typical Wyoming prescriber of this medication (34.1). Medicare paid an average of $12.11 per fill, versus $13.07 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. 119.3 30-Day Fills standardized to 30-day supplies 2,888 Days of Medication total across all patients in 2024 | |||
| Tramadol Hcl | 65 | $6.50▼ below WY avg | ▲ 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 2024, this provider wrote 65 Medicare prescriptions for Tramadol Hcl, about 1.3 times the volume of the typical Wyoming prescriber of this medication (50.3). Medicare paid an average of $6.50 per fill, versus $8.16 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. 66 30-Day Fills standardized to 30-day supplies 1,764 Days of Medication total across all patients in 2024 | |||
| Duloxetine Hcl | 61 | $9.31▼ below WY avg | ▲ More 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 61 Medicare prescriptions for Duloxetine Hcl, about 1.3 times the volume of the typical Wyoming prescriber of this medication (46). Medicare paid an average of $9.31 per fill, versus $23.47 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. 67 30-Day Fills standardized to 30-day supplies 1,997 Days of Medication total across all patients in 2024 | |||
| Meloxicam | 45 | $7.20 | ≈ Typical |
About Meloxicam: Meloxicam is used to treat arthritis. Show more ▾ It reduces pain, swelling, and stiffness of the joints. Meloxicam is known as a nonsteroidal anti-inflammatory drug (NSAID). 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. See also Warning section. 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 2024, this provider wrote 45 Medicare prescriptions for Meloxicam, about the same volume as the typical Wyoming prescriber of this medication (43.2). Medicare paid an average of $7.20 per fill, versus $5.66 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 Gross Part D cost per fill; not the patient's out-of-pocket price. 57 30-Day Fills standardized to 30-day supplies 1,708 Days of Medication total across all patients in 2024 | |||
| Cyclobenzaprine Hcl | 44 | $5.91▼ 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. Lisseril is synonymous for HCl; structure. In 2024, this provider wrote 44 Medicare prescriptions for Cyclobenzaprine Hcl, about 1.3 times the volume of the typical Wyoming prescriber of this medication (34.7). Medicare paid an average of $5.91 per fill, versus $10.42 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. 47 30-Day Fills standardized to 30-day supplies 1,095 Days of Medication total across all patients in 2024 | |||
| Oxycodone Hcl | 37 | $8.98▼ 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 2024, this provider wrote 37 Medicare prescriptions for Oxycodone Hcl, about 78% of the volume of the typical Wyoming prescriber of this medication (47.3). Medicare paid an average of $8.98 per fill, versus $16.29 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. 37 30-Day Fills standardized to 30-day supplies 989 Days of Medication total across all patients in 2024 | |||
| Nortriptyline Hcl | 33 | $6.32▼ below WY avg | ▲ More than typical |
About Nortriptyline Hcl: This medication is used to treat depression. Show more ▾ Nortriptyline belongs to a class of drugs known as tricyclic antidepressants. It works by helping to restore the balance of certain natural substances in the brain. A metabolite of AMITRIPTYLINE that is also used as an antidepressive agent. Nortriptyline is used in major depression, dysthymia, and atypical depressions. In 2024, this provider wrote 33 Medicare prescriptions for Nortriptyline Hcl, about 1.5 times the volume of the typical Wyoming prescriber of this medication (22). Medicare paid an average of $6.32 per fill, versus $13.71 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. 33 30-Day Fills standardized to 30-day supplies 976 Days of Medication total across all patients in 2024 | |||
| Morphine Sulfate ErMorphine Sulfate | 25 | $10.54▼ below WY avg | ▼ Less than typical |
About Morphine Sulfate Er: This medication is used to help relieve severe ongoing pain (such as due to cancer). 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 higher strengths of this drug (100 milligrams or more per tablet) should be used only if you have been regularly taking moderate to large amounts of opioid pain medications. These strengths 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 morphine to relieve pain that is mild or that will go away in a few days. This medication is not for occasional ("as needed") use. 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 2024, this provider wrote 25 Medicare prescriptions for Morphine Sulfate Er, about half the volume of the typical Wyoming prescriber of this medication (45.1). Medicare paid an average of $10.54 per fill, versus $30.30 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. 25 30-Day Fills standardized to 30-day supplies 740 Days of Medication total across all patients in 2024 | |||
| Diclofenac Sodium | 21 | $19.60▼ below WY avg | ▼ 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 2024, this provider wrote 21 Medicare prescriptions for Diclofenac Sodium, about 66% of the volume of the typical Wyoming prescriber of this medication (31.6). Medicare paid an average of $19.60 per fill, versus $25.43 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. 23 30-Day Fills standardized to 30-day supplies 642 Days of Medication total across all patients in 2024 | |||
| Morphine Sulfate | 17 | $14.17▼ below WY avg | ▼ Less than typical |
About Morphine Sulfate: This medication is used to help relieve moderate to 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 2024, this provider wrote 17 Medicare prescriptions for Morphine Sulfate, about 73% of the volume of the typical Wyoming prescriber of this medication (23.3). Medicare paid an average of $14.17 per fill, versus $26.95 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. 17 30-Day Fills standardized to 30-day supplies 451 Days of Medication total across all patients in 2024 | |||
| Buprenorphine | 13 | $315.65 | ▼ 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 63% of the volume of the typical Wyoming prescriber of this medication (20.7). Medicare paid an average of $315.65 per fill, versus $284.06 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. 13 30-Day Fills standardized to 30-day supplies 364 Days of Medication total across all patients in 2024 | |||
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 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 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 among WY 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.
