Healthcare provider profile · identity verified

Misty Dawn Cain, FNP

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner · FARMINGTON, MO · NPI 1013548403

Profile state: payments and partd Open Payments: 2025 Medicare Part D: 2024 Last identity check: 2026-08-10 Page data build: 2026-08-12

Verified facts

What the public records show

CMS Open Payments records show Misty Dawn Cain, FNP received $258.55 in general payments during 2025 across 14 reported records.

ABBVIE INC. accounted for 20.8% of that reported general-payment amount.

The Open Payments records used for this analysis explicitly named 11 associated products.

AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported FARXIGA as an associated drug or biological on 106133 records involving 42906 distinct recipient NPIs. Public Medicare Part D data also shows 72 claims for Farxiga by this doctor in 2024.

AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported SYMBICORT as an associated drug or biological on 71 records involving 51 distinct recipient NPIs. Public Medicare Part D data also shows 16 claims for Symbicort by this doctor in 2024.

Janssen Pharmaceuticals, Inc reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported SYMTUZA as an associated drug or biological on 44 records involving 34 distinct recipient NPIs. Public Medicare Part D data also shows 40 claims for Symtuza by this doctor in 2024.

Janssen Pharmaceuticals, Inc reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported XARELTO as an associated drug or biological on 28 records involving 28 distinct recipient NPIs. Public Medicare Part D data also shows 52 claims for Xarelto by this doctor in 2024.

Lilly USA, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 92 claims for Jardiance by this doctor in 2024.

Lilly USA, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported MOUNJARO as an associated drug or biological on 186719 records involving 66436 distinct recipient NPIs. Public Medicare Part D data also shows 16 claims for Mounjaro by this doctor in 2024.

Lilly USA, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported TRULICITY as an associated drug or biological on 71 records involving 57 distinct recipient NPIs. Public Medicare Part D data also shows 27 claims for Trulicity by this doctor in 2024.

Novo Nordisk Inc reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Ozempic as an associated drug or biological on 261625 records involving 77793 distinct recipient NPIs. Public Medicare Part D data also shows 50 claims for Ozempic by this doctor in 2024.

These records do not establish that a payment influenced prescribing or medical care.

Payment overview · 2025

General Payments

$258.55

14 reported records · 10 companies

Separate record types

Research & Ownership

Research Payments (direct recipient): not present in the loaded data

Associated Research Funding (for example, named PI): not present in the loaded data

Ownership / Investment: not present in the loaded data

These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.

Who paid this doctor?

Companies in 2025 General Payments

Reported companyCanonical companyAmountShareRecordsYear
ABBVIE INC. Unresolved — no canonical attribution shown $53.8820.8%32025
UCB, Inc. Unresolved — no canonical attribution shown $37.2014.4%22025
AstraZeneca Pharmaceuticals LP Unresolved — no canonical attribution shown $31.5412.2%22025
Sandoz Inc. Unresolved — no canonical attribution shown $28.8211.2%12025
Janssen Pharmaceuticals, Inc Unresolved — no canonical attribution shown $24.539.5%12025
Viatris Specialty LLC Unresolved — no canonical attribution shown $18.177.0%12025
Lilly USA, LLC Unresolved — no canonical attribution shown $17.516.8%12025
Otsuka America Pharmaceutical, Inc. Unresolved — no canonical attribution shown $17.326.7%12025
Globus Medical, Inc. Unresolved — no canonical attribution shown $14.805.7%12025
Novo Nordisk Inc Unresolved — no canonical attribution shown $14.785.7%12025

What were the payments for?

Payment categories

CategoryAmountRecords
Food and Beverage$258.5514

A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.

Analysis 1 · Payment-linked products

Products named in Open Payments records

Reported productTypeReported companyRelated amount*RecordsYear
VRAYLAR
Normalized: vraylar
Drug ABBVIE INC. $53.88 3 2025
Source payment records
Bimzelx
Normalized: bimzelx
Biological UCB, Inc. $37.20 2 2025
Source payment records
HYRIMOZ
Normalized: hyrimoz
Biological Sandoz Inc. $28.82 1 2025
Source payment records
SPRAVATO
Normalized: spravato
Drug Janssen Pharmaceuticals, Inc $24.53 1 2025
Source payment records
YUPELRI
Normalized: yupelri
Drug Viatris Specialty LLC $18.17 1 2025
Source payment records
KISUNLA
Normalized: kisunla
Drug Lilly USA, LLC $17.51 1 2025
Source payment records
AIRSUPRA
Normalized: airsupra
Drug AstraZeneca Pharmaceuticals LP $17.41 1 2025
Source payment records
REXULTI
Normalized: rexulti
Drug Otsuka America Pharmaceutical, Inc. $17.32 1 2025
Source payment records
Senza
Normalized: senza
Device Globus Medical, Inc. $14.80 1 2025
Source payment records
Wegovy
Normalized: wegovy
Drug Novo Nordisk Inc $14.78 1 2025
Source payment records
BREZTRI
Normalized: breztri
Drug AstraZeneca Pharmaceuticals LP $14.13 1 2025
Source payment records

* Product-associated amounts are non-additive because one payment record may name more than one product.

These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.

Public prescribing for products named in payments

No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.

The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.

Analysis 2 · Same-company prescribing overlap

Drugs reported in other payments from the same company that also appear in Medicare Part D

This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.

Paying companyPayment yearDrug reported by same entityOpen Payments evidencePart DClaimsBeneficiaries
AstraZeneca Pharmaceuticals LP
Exact reporting entity; no affiliate inference
2025 FARXIGA
open payments reported associated product
CMS Open Payments — General Payments
106133 supporting records · 42906 recipient NPIs · example record 1206131362
Farxiga · 2024
Exact normalized brand match · 1 Part D row
72 suppressed by CMS
AstraZeneca Pharmaceuticals LP
Exact reporting entity; no affiliate inference
2025 SYMBICORT
open payments reported associated product
CMS Open Payments — General Payments
71 supporting records · 51 recipient NPIs · example record 1206132610
Symbicort · 2024
Exact normalized brand match · 1 Part D row
16 suppressed by CMS
Janssen Pharmaceuticals, Inc
Exact reporting entity; no affiliate inference
2025 SYMTUZA
open payments reported associated product
CMS Open Payments — General Payments
44 supporting records · 34 recipient NPIs · example record 1174329506
Symtuza · 2024
Exact normalized brand match · 1 Part D row
40 suppressed by CMS
Janssen Pharmaceuticals, Inc
Exact reporting entity; no affiliate inference
2025 XARELTO
open payments reported associated product
CMS Open Payments — General Payments
28 supporting records · 28 recipient NPIs · example record 1174296970
Xarelto · 2024
Exact normalized brand match · 1 Part D row
52 suppressed by CMS
Lilly USA, LLC
Exact reporting entity; no affiliate inference
2025 JARDIANCE
open payments reported associated product
CMS Open Payments — General Payments
47708 supporting records · 23833 recipient NPIs · example record 1186464557
Jardiance · 2024
Exact normalized brand match · 1 Part D row
92 suppressed by CMS
Lilly USA, LLC
Exact reporting entity; no affiliate inference
2025 MOUNJARO
open payments reported associated product
CMS Open Payments — General Payments
186719 supporting records · 66436 recipient NPIs · example record 1186464455
Mounjaro · 2024
Exact normalized brand match · 1 Part D row
16 suppressed by CMS
Lilly USA, LLC
Exact reporting entity; no affiliate inference
2025 TRULICITY
open payments reported associated product
CMS Open Payments — General Payments
71 supporting records · 57 recipient NPIs · example record 1186464601
Trulicity · 2024
Exact normalized brand match · 1 Part D row
27 suppressed by CMS
Novo Nordisk Inc
Exact reporting entity; no affiliate inference
2025 Ozempic
open payments reported associated product
CMS Open Payments — General Payments
261625 supporting records · 77793 recipient NPIs · example record 1188130076
Ozempic · 2024
Exact normalized brand match · 1 Part D row
50 11

These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.

Public Medicare Part D data

Provider-and-drug rows loaded for 2024

BrandGenericClaimsBeneficiaries
Levocetirizine DihydrochlorideLevocetirizine Dihydrochloride134958
Atorvastatin CalciumAtorvastatin Calcium113062
Levothyroxine SodiumLevothyroxine Sodium95853
Pantoprazole SodiumPantoprazole Sodium93242
OmeprazoleOmeprazole84650
GabapentinGabapentin71853
LisinoprilLisinopril71347
Potassium ChloridePotassium Chloride46960
Rosuvastatin CalciumRosuvastatin Calcium43232
Montelukast SodiumMontelukast Sodium42116
Trazodone HclTrazodone Hcl40825
FurosemideFurosemide40647
FamotidineFamotidine37826
Metformin HclMetformin Hcl37123
FenofibrateFenofibrate Nanocrystallized273suppressed
Metoprolol SuccinateMetoprolol Succinate25522
Amlodipine BesylateAmlodipine Besylate24823
Metoprolol TartrateMetoprolol Tartrate24715
Buspirone HclBuspirone Hcl24031
Tamsulosin HclTamsulosin Hcl23217
IbuprofenIbuprofen22841
Esomeprazole MagnesiumEsomeprazole Magnesium22414
Divalproex SodiumDivalproex Sodium22012
Omega-3 Acid Ethyl EstersOmega-3 Acid Ethyl Esters218suppressed
SimvastatinSimvastatin207suppressed
MeloxicamMeloxicam19914
MirtazapineMirtazapine19525
Cyclobenzaprine HclCyclobenzaprine Hcl16714
Escitalopram OxalateEscitalopram Oxalate16719
FinasterideFinasteride16711
Hydroxyzine PamoateHydroxyzine Pamoate16633
Sertraline HclSertraline Hcl166suppressed
Tizanidine HclTizanidine Hcl16021
Ondansetron HclOndansetron Hcl14541
Propranolol HclPropranolol Hcl142suppressed
Quetiapine FumarateQuetiapine Fumarate13918
Oxybutynin ChlorideOxybutynin Chloride138suppressed
PrednisonePrednisone13265
TopiramateTopiramate131suppressed
CelecoxibCelecoxib130suppressed
Warfarin SodiumWarfarin Sodium125suppressed
SpironolactoneSpironolactone124suppressed
Lantus SolostarInsulin Glargine,hum.Rec.Anlog12324
SucralfateSucralfate121suppressed
Fluticasone PropionateFluticasone Propionate11635
Prazosin HclPrazosin Hcl115suppressed
KetoconazoleKetoconazole11434
ClopidogrelClopidogrel Bisulfate113suppressed
JanuviaSitagliptin Phosphate112suppressed
HydrochlorothiazideHydrochlorothiazide110suppressed
M-Natal PlusPnv,calcium 72/Iron/Folic Acid109suppressed
OxcarbazepineOxcarbazepine108suppressed
Hydroxyzine HclHydroxyzine Hcl10515
CarvedilolCarvedilol103suppressed
Fluoxetine HclFluoxetine Hcl10213
Prenatal Vitamin Plus Low IronPnv,calcium 72/Iron/Folic Acid99suppressed
LevetiracetamLevetiracetam97suppressed
MupirocinMupirocin9652
EliquisApixaban92suppressed
JardianceEmpagliflozin92suppressed
LoperamideLoperamide Hcl9233
AtenololAtenolol89suppressed
Doxepin HclDoxepin Hcl88suppressed
Losartan PotassiumLosartan Potassium86suppressed
ValacyclovirValacyclovir Hcl84suppressed
MyrbetriqMirabegron82suppressed
Triamcinolone AcetonideTriamcinolone Acetonide8032
Ropinirole HclRopinirole Hcl79suppressed
Medroxyprogesterone AcetateMedroxyprogesterone Acetate78suppressed
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav7762
Clonidine HclClonidine Hcl7716
Doxycycline HyclateDoxycycline Hyclate7553
Venlafaxine Hcl ErVenlafaxine Hcl75suppressed
Midodrine HclMidodrine Hcl74suppressed
Albuterol Sulfate HfaAlbuterol Sulfate7338
Desmopressin AcetateDesmopressin Acetate73suppressed
FarxigaDapagliflozin Propanediol72suppressed
Bupropion Hcl SrBupropion Hcl68suppressed
Carbidopa-LevodopaCarbidopa/Levodopa68suppressed
Citalopram HbrCitalopram Hydrobromide68suppressed
Dicyclomine HclDicyclomine Hcl68suppressed
Duloxetine HclDuloxetine Hcl68suppressed
PrimidonePrimidone66suppressed
Donepezil HclDonepezil Hcl64suppressed
Oxybutynin Chloride ErOxybutynin Chloride63suppressed
Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid63suppressed
ChlorthalidoneChlorthalidone60suppressed
Divalproex Sodium ErDivalproex Sodium60suppressed
Single Use SwabAlcohol Antiseptic Pads5915
Fluticasone-SalmeterolFluticasone Propion/Salmeterol5814
Ranolazine ErRanolazine55suppressed
AzithromycinAzithromycin5447
AllopurinolAllopurinol53suppressed
AcyclovirAcyclovir52suppressed
Guanfacine HclGuanfacine Hcl52suppressed
Theophylline ErTheophylline Anhydrous52suppressed
XareltoRivaroxaban52suppressed
Bupropion XlBupropion Hcl51suppressed
Benztropine MesylateBenztropine Mesylate50suppressed
OzempicSemaglutide5011
FluconazoleFluconazole4926
BaclofenBaclofen43suppressed
Paliperidone ErPaliperidone43suppressed
OlanzapineOlanzapine42suppressed
Amiodarone HclAmiodarone Hcl41suppressed
Diclofenac SodiumDiclofenac Sodium4119
SymtuzaDarunavir/Cob/Emtri/Tenof Alaf40suppressed
Meclizine HclMeclizine Hcl39suppressed
Metformin Hcl ErMetformin Hcl39suppressed
Hydroxychloroquine SulfateHydroxychloroquine Sulfate38suppressed
Breo ElliptaFluticasone/Vilanterol37suppressed
Pioglitazone HclPioglitazone Hcl37suppressed
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim3629
Isosorbide Mononitrate ErIsosorbide Mononitrate35suppressed
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst3427
Ultra-Fine Nano Pen NeedlePen Needle, Diabetic34suppressed
BumetanideBumetanide33suppressed
Fenofibric AcidFenofibric Acid (Choline)33suppressed
MovantikNaloxegol Oxalate33suppressed
GlipizideGlipizide32suppressed
EstradiolEstradiol31suppressed
Butalbital-Acetaminophen-CaffeButalb/Acetaminophen/Caffeine30suppressed
Ciprofloxacin HclCiprofloxacin Hcl3024
Easy Touch Alcohol Prep PadsAlcohol Antiseptic Pads30suppressed
NaproxenNaproxen30suppressed
PhenytoinPhenytoin30suppressed
LevofloxacinLevofloxacin2921
AripiprazoleAripiprazole28suppressed
Memantine Hcl ErMemantine Hcl28suppressed
Solifenacin SuccinateSolifenacin Succinate28suppressed
Azelastine HclAzelastine Hcl27suppressed
RisperidoneRisperidone27suppressed
TrulicityDulaglutide27suppressed
FenofibrateFenofibrate26suppressed
LantusInsulin Glargine,hum.Rec.Anlog26suppressed
Janumet XrSitagliptin Phos/Metformin Hcl25suppressed
Olanzapine OdtOlanzapine25suppressed
AcarboseAcarbose24suppressed
Advair DiskusFluticasone Propion/Salmeterol24suppressed
Autoshield Duo Pen NeedlePen Needle,dual Safety,diabetc24suppressed
Novolog FlexpenInsulin Aspart24suppressed
Tiagabine HclTiagabine Hcl24suppressed
EntrestoSacubitril/Valsartan23suppressed
AmantadineAmantadine Hcl22suppressed
NystatinNystatin2214
Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog21suppressed
Megestrol AcetateMegestrol Acetate21suppressed
Ezetimibe-SimvastatinEzetimibe/Simvastatin20suppressed
Gentamicin SulfateGentamicin Sulfate2012
Labetalol HclLabetalol Hcl20suppressed
Metoclopramide HclMetoclopramide Hcl20suppressed
Ipratropium-AlbuterolIpratropium/Albuterol Sulfate1913
Tresiba Flextouch U-100Insulin Degludec19suppressed
Insulin Lispro Kwikpen U-100Insulin Lispro18suppressed
LatanoprostLatanoprost18suppressed
Mometasone FuroateMometasone Furoate18suppressed
Polymyxin B Sul-TrimethoprimPolymyxin B Sulf/Trimethoprim1817
Spiriva HandihalerTiotropium Bromide18suppressed
ClotrimazoleClotrimazole1712
ConstuloseLactulose17suppressed
Hydralazine HclHydralazine Hcl17suppressed
IrbesartanIrbesartan17suppressed
PermethrinPermethrin1711
Promethazine HclPromethazine Hcl17suppressed
Spiriva RespimatTiotropium Bromide17suppressed
Diltiazem 24hr Er (Cd)Diltiazem Hcl16suppressed
Isosorbide DinitrateIsosorbide Dinitrate16suppressed
MounjaroTirzepatide16suppressed
Naltrexone HclNaltrexone Hcl16suppressed
SymbicortBudesonide/Formoterol Fumarate16suppressed
Tolterodine Tartrate ErTolterodine Tartrate16suppressed
Bupropion HclBupropion Hcl15suppressed
Novofine AutocoverPen Needle, Diabetic, Safety15suppressed
PindololPindolol15suppressed
Ventolin HfaAlbuterol Sulfate15suppressed
CephalexinCephalexin1414
DesloratadineDesloratadine14suppressed
IvermectinIvermectin1413
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide14suppressed
Nortriptyline HclNortriptyline Hcl14suppressed
Ammonium LactateAmmonium Lactate13suppressed
CefdinirCefdinir1312
Fludrocortisone AcetateFludrocortisone Acetate13suppressed
Humira(Cf) PenAdalimumab13suppressed
LactuloseLactulose13suppressed
Norgestimate-Ethinyl EstradiolNorgestimate-Ethinyl Estradiol13suppressed
Olmesartan MedoxomilOlmesartan Medoxomil13suppressed
Prasugrel HclPrasugrel Hcl13suppressed
Pravastatin SodiumPravastatin Sodium13suppressed
Pro Comfort Alcohol PadsAlcohol Antiseptic Pads13suppressed
Propranolol Hcl ErPropranolol Hcl13suppressed
RamelteonRamelteon13suppressed
Bethanechol ChlorideBethanechol Chloride12suppressed
Insulin LisproInsulin Lispro12suppressed
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide12suppressed
MetolazoneMetolazone12suppressed
Tri-SprintecNorgestimate-Ethinyl Estradiol12suppressed
TriamtereneTriamterene12suppressed
Ultra-Fine Short Pen NeedlePen Needle, Diabetic12suppressed
CyclosporineCyclosporine11suppressed
Humalog Kwikpen U-100Insulin Lispro11suppressed
Ondansetron OdtOndansetron11suppressed
Westab PlusPnv,calcium 72/Iron/Folic Acid11suppressed
XifaxanRifaximin11suppressed

Timeline

Payment and prescribing data by year

Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.

YearGeneral PaymentsMain payerExplicit productsCompany overlapsPart D coverage
2025 $258.55 · 14 records ABBVIE INC. AIRSUPRA, BREZTRI, Bimzelx, HYRIMOZ, KISUNLA, REXULTI, SPRAVATO, Senza, VRAYLAR, Wegovy, YUPELRI 8
2024 Complete

Questions to ask

Questions you could discuss with your doctor

These are general questions generated from reviewed templates. They are not personalized medical advice.

Sources and limitations

How to read this page

Loaded source releases

DatasetYearPublicationSource
CMS Open Payments — General Payments 2025 2026-06-30 Original source
Medicare Part D Prescribers by Provider and Drug 2024 2026-05-06 Original source
NPPES Data Dissemination V2 current / reference data 2026-08-10 Original source

Methodology version: 2.1

Editorial template version: 2.4

Product contract version: 2.0

Schema version: 0.7.0

Page data build: 2026-08-12T23:34:59.370714+00:00

Publication policy: eligible for indexing after public-launch controls are enabled

Full methodology · Questions & answers · Report a possible error