VALERIA BELEM NIETO GONZALEZ APRN
Prescription History 1992573992
Nurse Practitioner - Family in Vero Beach, FL
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for VALERIA BELEM NIETO GONZALEZ APRN, an active Family specialist practicing in Vero Beach, FL. Our medical registry currently tracks 13 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 1,222 documented patient claims. Among these therapy options, the most frequently utilized medication is Peg 3350-Electrolyte, which accounts for 434 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 FL PrescribersVs. FL Avg |
|---|---|---|---|
| Peg 3350-ElectrolyteSodium Chloride/Nahco3/Kcl/Peg | 434 | $22.39 | ▲ More than typical |
About Peg 3350-Electrolyte: PEG (polyethylene glycol) with electrolyte is used to clean out the intestines before certain bowel exam procedures such as colonoscopy or barium enema X-rays. Show more ▾ It is a laxative that works by drawing large amounts of water into the colon. This effect results in watery bowel movements. Clearing stool from the intestines helps your doctor to better examine the intestines during your procedure. In 2024, this provider wrote 434 Medicare prescriptions for Peg 3350-Electrolyte, about 6 times the volume of the typical Florida prescriber of this medication (72.8). Medicare paid an average of $22.39 per fill, versus $21.40 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average FL 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. 434 30-Day Fills standardized to 30-day supplies 436 Days of Medication total across all patients in 2024 | |||
| Famotidine | 286 | $10.44▼ below FL avg | ▲ More than typical |
About Famotidine: Famotidine is used to treat ulcers of the stomach and intestines and to prevent intestinal ulcers from coming back after they have healed. Show more ▾ This medication is also used to treat certain stomach and throat (esophagus) problems (such as erosive esophagitis, gastroesophageal reflux disease-GERD, Zollinger-Ellison syndrome). It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as cough that doesn't go away, stomach pain, heartburn, and difficulty swallowing. Famotidine belongs to a class of drugs known as H2 blockers. This medication is also available without a prescription. It is used to prevent and treat heartburn and other symptoms caused by too much acid in the stomach (acid indigestion). If you are taking this medication for self-treatment, it is important to read the manufacturer's package instructions carefully so you know when to consult your doctor or pharmacist. A competitive histamine H2-receptor antagonist. Its main pharmacodynamic effect is the inhibition of gastric secretion. In 2024, this provider wrote 286 Medicare prescriptions for Famotidine, about 4.3 times the volume of the typical Florida prescriber of this medication (66.3). Medicare paid an average of $10.44 per fill, versus $12.91 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average FL 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 FL average for this medication. 612.7 30-Day Fills standardized to 30-day supplies 18,354 Days of Medication total across all patients in 2024 | |||
| Pantoprazole Sodium | 205 | $8.22▼ below FL avg | ▲ More than typical |
About Pantoprazole Sodium: Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux). Show more ▾ It works by decreasing the amount of acid your stomach makes. This medication relieves symptoms such as heartburn, difficulty swallowing, and cough. It helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Pantoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). 2-pyridinylmethylsulfinylbenzimidazole proton pump inhibitor that is used in the treatment of GASTROESOPHAGEAL REFLUX and PEPTIC ULCER. In 2024, this provider wrote 205 Medicare prescriptions for Pantoprazole Sodium, about 2.5 times the volume of the typical Florida prescriber of this medication (83.2). Medicare paid an average of $8.22 per fill, versus $11.88 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average FL 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 FL average for this medication. 454.3 30-Day Fills standardized to 30-day supplies 13,630 Days of Medication total across all patients in 2024 | |||
| Omeprazole | 127 | $12.53▼ below FL avg | ▲ More than typical |
About Omeprazole: Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). Show more ▾ It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Omeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter omeprazole products are used to treat frequent heartburn (occurring 2 or more days a week). Since it may take 1 to 4 days to have full effect, these products do not relieve heartburn right away. For over-the-counter products, carefully read the package instructions to make sure the product is right for you. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar brand names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. A 4-methoxy-3,5-dimethylpyridyl, 5-methoxybenzimidazole derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits an H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS. In 2024, this provider wrote 127 Medicare prescriptions for Omeprazole, about 1.3 times the volume of the typical Florida prescriber of this medication (100.1). Medicare paid an average of $12.53 per fill, versus $12.94 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average FL 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 FL average for this medication. 267.3 30-Day Fills standardized to 30-day supplies 7,854 Days of Medication total across all patients in 2024 | |||
| Sucralfate | 38 | $22.78▼ below FL avg | ▲ More than typical |
About Sucralfate: This medication is used to treat and prevent ulcers in the intestines. Show more ▾ Sucralfate forms a coating over ulcers, protecting the area from further injury. This helps ulcers heal more quickly. A basic aluminum complex of sulfated sucrose. In 2024, this provider wrote 38 Medicare prescriptions for Sucralfate, about 1.3 times the volume of the typical Florida prescriber of this medication (29.6). Medicare paid an average of $22.78 per fill, versus $47.63 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average FL 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 FL average for this medication. 60 30-Day Fills standardized to 30-day supplies 1,768 Days of Medication total across all patients in 2024 | |||
| Esomeprazole Magnesium | 28 | $55.81 | ≈ Typical |
About Esomeprazole Magnesium: Esomeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). Show more ▾ It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Esomeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter esomeprazole products are used to treat frequent heartburn (occurring 2 or more days a week). Since it may take 1 to 4 days to have full effect, these products do not relieve heartburn right away. For over-the-counter products, carefully read the package instructions to make sure the product is right for you. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar brand names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. The S-isomer of omeprazole. In 2024, this provider wrote 28 Medicare prescriptions for Esomeprazole Magnesium, about the same volume as the typical Florida prescriber of this medication (25.8). Medicare paid an average of $55.81 per fill, versus $37.05 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average FL 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. 60 30-Day Fills standardized to 30-day supplies 1,800 Days of Medication total across all patients in 2024 | |||
| Metoclopramide Hcl | 21 | $15.93 | ≈ Typical |
About Metoclopramide Hcl: This medication is used to treat certain conditions of the stomach and intestines. Show more ▾ Metoclopramide is used as a short-term treatment (4 to 12 weeks) for ongoing heartburn when the usual medicines do not work well enough. It is used mostly for heartburn that occurs after a meal or during the daytime. Treating ongoing heartburn can decrease the damage done by stomach acid to the swallowing tube (esophagus) and help healing. Metoclopramide is also used in diabetic patients who have poor emptying of their stomachs (gastroparesis). Treating gastroparesis can decrease symptoms of nausea, vomiting, and stomach/abdominal fullness. Metoclopramide works by blocking a natural substance (dopamine). It speeds up stomach emptying and movement of the upper intestines. This drug is not recommended for use in children due to an increased risk of serious side effects (such as muscle spasms/uncontrolled muscle movements). Ask the doctor or pharmacist for details. A dopamine D2 antagonist that is used as an antiemetic. In 2024, this provider wrote 21 Medicare prescriptions for Metoclopramide Hcl, about 76% of the volume of the typical Florida prescriber of this medication (27.8). Medicare paid an average of $15.93 per fill, versus $7.42 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average FL 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. 31 30-Day Fills standardized to 30-day supplies 910 Days of Medication total across all patients in 2024 | |||
| LinzessLinaclotide | 20 | $979.41 | ▼ Less than typical |
About Linzess: See also Warning section. Show more ▾ Linaclotide is used to treat certain types of bowel problems (irritable bowel syndrome with constipation, chronic idiopathic constipation, functional constipation). It works by increasing fluid in your intestines and helping speed up movement of food through the gut. Linaclotide may improve stool texture and lessen symptoms such as bloating, abdominal pain/discomfort, straining, and feelings of incomplete bowel movements. An oral guanylate cyclase C agonist linaclotide; 14 amino acid peptide. In 2024, this provider wrote 20 Medicare prescriptions for Linzess, about 63% of the volume of the typical Florida prescriber of this medication (31.6). Medicare paid an average of $979.41 per fill, versus $817.26 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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. 37 30-Day Fills standardized to 30-day supplies 1,110 Days of Medication total across all patients in 2024 | |||
| Gavilyte-NSodium Chloride/Nahco3/Kcl/Peg | 14 | $14.75▼ below FL avg | ▼ Less than typical |
About Gavilyte-N: PEG (polyethylene glycol) with electrolyte is used to clean out the intestines before certain bowel exam procedures such as colonoscopy or barium enema X-rays. Show more ▾ It is a laxative that works by drawing large amounts of water into the colon. This effect results in watery bowel movements. Clearing stool from the intestines helps your doctor to better examine the intestines during your procedure. In 2024, this provider wrote 14 Medicare prescriptions for Gavilyte-N, about 74% of the volume of the typical Florida prescriber of this medication (19). Medicare paid an average of $14.75 per fill, versus $17.46 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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 FL average for this medication. 14 30-Day Fills standardized to 30-day supplies 14 Days of Medication total across all patients in 2024 | |||
| CholestyramineCholestyramine (With Sugar) | 13 | $76.55▼ below FL avg | ▼ Less than typical |
About Cholestyramine: Cholestyramine is used along with a proper diet to lower cholesterol in the blood. Show more ▾ Lowering cholesterol helps decrease the risk for strokes and heart attacks. In addition to a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. Cholestyramine may also be used to treat itching in people with too much bile acid caused by a certain type of liver/bile duct disease (partial biliary obstruction). This medication is known as a bile acid-binding resin. It works by removing bile acid from the body. In people with high cholesterol, this causes the liver to make more bile acid by using cholesterol in the blood. This helps to lower the cholesterol levels. A strongly basic anion exchange resin whose main constituent is polystyrene trimethylbenzylammonium Cl(-) anion. In 2024, this provider wrote 13 Medicare prescriptions for Cholestyramine, about 60% of the volume of the typical Florida prescriber of this medication (21.6). Medicare paid an average of $76.55 per fill, versus $79.04 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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 FL average for this medication. 25 30-Day Fills standardized to 30-day supplies 750 Days of Medication total across all patients in 2024 | |||
| Lactulose | 13 | $10.34▼ below FL avg | ▼ Less than typical |
About Lactulose: This medication is a laxative used to treat constipation. Show more ▾ It may help to increase the number of bowel movements per day and the number of days you have a bowel movement. Lactulose is a colonic acidifier that works by increasing stool water content and softening the stool. It is a man-made sugar solution. A synthetic disaccharide used in the treatment of constipation and hepatic encephalopathy. It has also been used in the diagnosis of gastrointestinal disorders. (From Martindale, The Extra Pharmacopoeia, 30th ed, p887) In 2024, this provider wrote 13 Medicare prescriptions for Lactulose, about a third of the volume of the typical Florida prescriber of this medication (34.7). Medicare paid an average of $10.34 per fill, versus $27.54 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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 FL average for this medication. 19 30-Day Fills standardized to 30-day supplies 571 Days of Medication total across all patients in 2024 | |||
| Ondansetron OdtOndansetron | 12 | $13.18▼ below FL avg | ▼ Less than typical |
About Ondansetron Odt: This medication is used alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy. Show more ▾ It is also used to prevent and treat nausea and vomiting after surgery. Ondansetron works by blocking one of the body's natural substances (serotonin) that causes vomiting. A competitive serotonin type 3 receptor antagonist. It is effective in the treatment of nausea and vomiting caused by cytotoxic chemotherapy drugs, including cisplatin, and has reported anxiolytic and neuroleptic properties. In 2024, this provider wrote 12 Medicare prescriptions for Ondansetron Odt, about half the volume of the typical Florida prescriber of this medication (26.4). Medicare paid an average of $13.18 per fill, versus $18.04 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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 FL average for this medication. 12 30-Day Fills standardized to 30-day supplies 260 Days of Medication total across all patients in 2024 | |||
| Clarithromycin | 11 | $17.52▼ below FL avg | ▼ Less than typical |
About Clarithromycin: Clarithromycin is used to treat a wide variety of bacterial infections. Show more ▾ This medication can also be used in combination with anti-ulcer medications to treat certain types of stomach ulcers. It may also be used to prevent certain bacterial infections. Clarithromycin is known as a macrolide antibiotic. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A semisynthetic macrolide antibiotic derived from ERYTHROMYCIN that is active against a variety of microorganisms. It can inhibit PROTEIN SYNTHESIS in BACTERIA by reversibly binding to the 50S ribosomal subunits. This inhibits the translocation of aminoacyl transfer-RNA and prevents peptide chain elongation. In 2024, this provider wrote 11 Medicare prescriptions for Clarithromycin, about half the volume of the typical Florida prescriber of this medication (21.7). Medicare paid an average of $17.52 per fill, versus $36.25 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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 FL average for this medication. 11 30-Day Fills standardized to 30-day supplies 110 Days of Medication total across all patients in 2024 | |||
About this data. The prescription history for VALERIA BELEM NIETO GONZALEZ APRN 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 Vero Beach, FL 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 FL 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.
