Payment overview · 2025
General Payments
$142.39
7 reported records · 6 companies
Healthcare provider profile · identity verified
Brian E. Couse, MD
Allopathic & Osteopathic Physicians|Family Medicine · RED OAK, IA · NPI 1013904812
Verified facts
What the public records show
CMS Open Payments records show Brian E. Couse, MD received $142.39 in general payments during 2025 across 7 reported records.
Novo Nordisk Inc accounted for 25.4% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 7 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Ozempic.
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 12 claims for Symbicort 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 18 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 TRULICITY as an associated drug or biological on 71 records involving 57 distinct recipient NPIs. Public Medicare Part D data also shows 26 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 26 claims for Ozempic by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
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 company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $36.18 | 25.4% | 2 | 2025 |
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $24.86 | 17.5% | 1 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $24.46 | 17.2% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $20.08 | 14.1% | 1 | 2025 |
| Axsome Therapeutics, Inc. | Unresolved — no canonical attribution shown | $18.83 | 13.2% | 1 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $17.98 | 12.6% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $142.39 | 7 |
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 product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $36.18 | 2 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $36.18 | 2 | 2025 |
Source payment records
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| REXULTI Normalized: rexulti |
Drug | Otsuka America Pharmaceutical, Inc. | $24.86 | 1 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $24.46 | 1 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $24.46 | 1 | 2025 |
Source payment records
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| Auvelity Normalized: auvelity |
Drug | Axsome Therapeutics, Inc. | $18.83 | 1 | 2025 |
Source payment records
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| VRAYLAR Normalized: vraylar |
Drug | ABBVIE INC. | $17.98 | 1 | 2025 |
Source payment records
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* 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
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| Ozempic ozempic |
2025 | Ozempic | 2024 | 26 Beneficiary count suppressed |
exact normalized | Medicare Part D |
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 company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| 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 |
12 | 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 |
18 | 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 |
26 | 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 |
26 | suppressed by CMS |
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
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 427 | 69 |
| Atorvastatin Calcium | Atorvastatin Calcium | 350 | 68 |
| Amlodipine Besylate | Amlodipine Besylate | 284 | 55 |
| Lisinopril | Lisinopril | 283 | 47 |
| Omeprazole | Omeprazole | 225 | 40 |
| Furosemide | Furosemide | 222 | 33 |
| Gabapentin | Gabapentin | 196 | 41 |
| Meloxicam | Meloxicam | 180 | 47 |
| Losartan Potassium | Losartan Potassium | 179 | 37 |
| Potassium Chloride | Potassium Chloride | 176 | 27 |
| Metformin Hcl | Metformin Hcl | 169 | 27 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 156 | 30 |
| Pantoprazole Sodium | Pantoprazole Sodium | 154 | 33 |
| Hydrochlorothiazide | Hydrochlorothiazide | 144 | 29 |
| Metoprolol Succinate | Metoprolol Succinate | 136 | 29 |
| Simvastatin | Simvastatin | 127 | 24 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 94 | 22 |
| Metoprolol Tartrate | Metoprolol Tartrate | 86 | 14 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 84 | 22 |
| Tamsulosin Hcl | Tamsulosin Hcl | 76 | 17 |
| Tramadol Hcl | Tramadol Hcl | 75 | 34 |
| Metformin Hcl Er | Metformin Hcl | 71 | 15 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 67 | 13 |
| Sertraline Hcl | Sertraline Hcl | 66 | 12 |
| Clopidogrel | Clopidogrel Bisulfate | 64 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 63 | 12 |
| Duloxetine Hcl | Duloxetine Hcl | 59 | 12 |
| Celecoxib | Celecoxib | 58 | 15 |
| Carvedilol | Carvedilol | 57 | suppressed |
| Eliquis | Apixaban | 57 | 12 |
| Fluticasone Propionate | Fluticasone Propionate | 57 | 13 |
| Trazodone Hcl | Trazodone Hcl | 55 | 14 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 54 | suppressed |
| Xarelto | Rivaroxaban | 51 | suppressed |
| Allopurinol | Allopurinol | 49 | suppressed |
| Levofloxacin | Levofloxacin | 47 | 41 |
| Citalopram Hbr | Citalopram Hydrobromide | 45 | suppressed |
| Memantine Hcl | Memantine Hcl | 45 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 43 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 41 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 40 | suppressed |
| Glimepiride | Glimepiride | 38 | suppressed |
| Levetiracetam | Levetiracetam | 38 | suppressed |
| Januvia | Sitagliptin Phosphate | 36 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 36 | suppressed |
| Prednisone | Prednisone | 36 | 26 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 35 | 15 |
| Zolpidem Tartrate | Zolpidem Tartrate | 35 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 34 | 11 |
| Alprazolam | Alprazolam | 34 | suppressed |
| Azithromycin | Azithromycin | 34 | 26 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 34 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 34 | suppressed |
| Irbesartan | Irbesartan | 33 | suppressed |
| Chlorthalidone | Chlorthalidone | 32 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 32 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 31 | suppressed |
| Spironolactone | Spironolactone | 31 | suppressed |
| Amlodipine-Valsartan | Amlodipine Besylate/Valsartan | 29 | suppressed |
| Bisoprolol Fumarate | Bisoprolol Fumarate | 29 | suppressed |
| Cefdinir | Cefdinir | 29 | 28 |
| Valsartan | Valsartan | 28 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 28 | suppressed |
| Atenolol | Atenolol | 27 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 26 | suppressed |
| Ozempic | Semaglutide | 26 | suppressed |
| Trulicity | Dulaglutide | 26 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 25 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 25 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 25 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 24 | suppressed |
| Glipizide | Glipizide | 24 | suppressed |
| Lansoprazole | Lansoprazole | 23 | suppressed |
| Cephalexin | Cephalexin | 22 | 20 |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 21 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 20 | suppressed |
| Jardiance | Empagliflozin | 18 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 18 | suppressed |
| Ezetimibe | Ezetimibe | 17 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 17 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 17 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 17 | suppressed |
| Roflumilast | Roflumilast | 17 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 16 | suppressed |
| Ipratropium Bromide | Ipratropium Bromide | 16 | suppressed |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 16 | suppressed |
| Pregabalin | Pregabalin | 16 | suppressed |
| Risperidone | Risperidone | 16 | suppressed |
| Baclofen | Baclofen | 15 | suppressed |
| Novolog Flexpen | Insulin Aspart | 15 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 14 | 11 |
| Demeclocycline Hcl | Demeclocycline Hcl | 14 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 14 | suppressed |
| Finasteride | Finasteride | 14 | suppressed |
| Ibuprofen | Ibuprofen | 14 | suppressed |
| Lacosamide | Lacosamide | 14 | suppressed |
| Metolazone | Metolazone | 14 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 14 | suppressed |
| Aspirin-Dipyridamole Er | Aspirin/Dipyridamole | 13 | suppressed |
| Autoshield Duo Pen Needle | Pen Needle,dual Safety,diabetc | 13 | suppressed |
| Combivent Respimat | Ipratropium/Albuterol Sulfate | 13 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 13 | suppressed |
| Dulera | Mometasone/Formoterol | 13 | suppressed |
| Nateglinide | Nateglinide | 13 | suppressed |
| Oxycontin | Oxycodone Hcl | 13 | suppressed |
| Prednisolone Acetate | Prednisolone Acetate | 13 | suppressed |
| Verapamil Er | Verapamil Hcl | 13 | suppressed |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 12 | suppressed |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 12 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 12 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 12 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 12 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 12 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 11 | suppressed |
| Bupropion Xl | Bupropion Hcl | 11 | suppressed |
| Fentanyl | Fentanyl | 11 | suppressed |
| Loperamide | Loperamide Hcl | 11 | suppressed |
| Lorazepam | Lorazepam | 11 | suppressed |
| Minoxidil | Minoxidil | 11 | suppressed |
| Mupirocin | Mupirocin | 11 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 11 | suppressed |
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.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $142.39 · 7 records | Novo Nordisk Inc | Auvelity, MOUNJARO, Ozempic, REXULTI, Rybelsus, VRAYLAR, ZEPBOUND | 4 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Ozempic play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with AstraZeneca Pharmaceuticals LP?
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| 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 |
Full methodology · Questions & answers · Report a possible error