Payment overview · 2025
General Payments
$98.18
4 reported records · 4 companies
Healthcare provider profile · identity verified
Aref Wappi, M.D.
Allopathic & Osteopathic Physicians|Internal Medicine · BONITA SPRINGS, FL · NPI 1023026184
Verified facts
What the public records show
CMS Open Payments records show Aref Wappi, M.D. received $98.18 in general payments during 2025 across 4 reported records.
Lundbeck LLC accounted for 35.3% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 5 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Mounjaro.
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 169 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 78 claims for Mounjaro 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 |
|---|---|---|---|---|---|
| Lundbeck LLC | Unresolved — no canonical attribution shown | $34.68 | 35.3% | 1 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $24.57 | 25.0% | 1 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $20.11 | 20.5% | 1 | 2025 |
| Esperion Therapeutics, Inc. | Unresolved — no canonical attribution shown | $18.82 | 19.2% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $98.18 | 4 |
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 |
|---|---|---|---|---|---|
| REXULTI Normalized: rexulti |
Drug | Lundbeck LLC | $34.68 | 1 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $24.57 | 1 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $24.57 | 1 | 2025 |
Source payment records
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $20.11 | 1 | 2025 |
Source payment records
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| NEXLETOL Normalized: nexletol |
Drug | Esperion Therapeutics, Inc. | $18.82 | 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 |
|---|---|---|---|---|---|---|
| MOUNJARO mounjaro |
2025 | Mounjaro | 2024 | 78 | 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 |
|---|---|---|---|---|---|---|
| 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 |
169 | 38 |
| 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 |
78 | 18 |
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 |
|---|---|---|---|
| Amlodipine Besylate | Amlodipine Besylate | 691 | 214 |
| Atorvastatin Calcium | Atorvastatin Calcium | 681 | 195 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 413 | 141 |
| Levothyroxine Sodium | Levothyroxine Sodium | 369 | 100 |
| Losartan Potassium | Losartan Potassium | 316 | 93 |
| Lisinopril | Lisinopril | 309 | 86 |
| Metoprolol Succinate | Metoprolol Succinate | 239 | 77 |
| Omeprazole | Omeprazole | 223 | 68 |
| Pantoprazole Sodium | Pantoprazole Sodium | 218 | 73 |
| Escitalopram Oxalate | Escitalopram Oxalate | 188 | 60 |
| Carvedilol | Carvedilol | 172 | 46 |
| Jardiance | Empagliflozin | 169 | 38 |
| Terazosin Hcl | Terazosin Hcl | 161 | 52 |
| Hydrochlorothiazide | Hydrochlorothiazide | 156 | 56 |
| Doxycycline Hyclate | Doxycycline Hyclate | 153 | 130 |
| Sertraline Hcl | Sertraline Hcl | 147 | 52 |
| Trazodone Hcl | Trazodone Hcl | 140 | 47 |
| Gabapentin | Gabapentin | 138 | 50 |
| Diclofenac Sodium | Diclofenac Sodium | 135 | 65 |
| Tamsulosin Hcl | Tamsulosin Hcl | 130 | 45 |
| Allopurinol | Allopurinol | 122 | 38 |
| Furosemide | Furosemide | 121 | 49 |
| Methylprednisolone | Methylprednisolone | 118 | 100 |
| Simvastatin | Simvastatin | 112 | 33 |
| Ozempic | Semaglutide | 110 | 22 |
| Fluticasone Propionate | Fluticasone Propionate | 104 | 47 |
| Pravastatin Sodium | Pravastatin Sodium | 94 | 32 |
| Eliquis | Apixaban | 93 | 30 |
| Ezetimibe | Ezetimibe | 93 | 34 |
| Clopidogrel | Clopidogrel Bisulfate | 92 | 23 |
| Metoprolol Tartrate | Metoprolol Tartrate | 87 | 29 |
| Montelukast Sodium | Montelukast Sodium | 85 | 27 |
| Metformin Hcl | Metformin Hcl | 84 | 30 |
| Metformin Hcl Er | Metformin Hcl | 84 | 23 |
| Meloxicam | Meloxicam | 83 | 40 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 82 | 72 |
| Mounjaro | Tirzepatide | 78 | 18 |
| Synthroid | Levothyroxine Sodium | 77 | 20 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 70 | 58 |
| Famotidine | Famotidine | 69 | 25 |
| Mirtazapine | Mirtazapine | 69 | 26 |
| Bupropion Xl | Bupropion Hcl | 64 | 17 |
| Zolpidem Tartrate | Zolpidem Tartrate | 64 | 16 |
| Donepezil Hcl | Donepezil Hcl | 63 | 20 |
| Alprazolam | Alprazolam | 59 | 27 |
| Potassium Chloride | Potassium Chloride | 59 | 14 |
| Solifenacin Succinate | Solifenacin Succinate | 58 | 20 |
| Duloxetine Hcl | Duloxetine Hcl | 56 | 21 |
| Glimepiride | Glimepiride | 56 | 19 |
| Farxiga | Dapagliflozin Propanediol | 53 | 14 |
| Xarelto | Rivaroxaban | 53 | 18 |
| Alendronate Sodium | Alendronate Sodium | 49 | 16 |
| Atenolol | Atenolol | 48 | 16 |
| Valsartan | Valsartan | 46 | 14 |
| Finasteride | Finasteride | 42 | 14 |
| Ropinirole Hcl | Ropinirole Hcl | 42 | 13 |
| Prednisone | Prednisone | 41 | 29 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 40 | 26 |
| Valacyclovir | Valacyclovir Hcl | 39 | 22 |
| Warfarin Sodium | Warfarin Sodium | 39 | 12 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 38 | 11 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 37 | 11 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 36 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 35 | 12 |
| Spironolactone | Spironolactone | 33 | 12 |
| Hydralazine Hcl | Hydralazine Hcl | 31 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 29 | 11 |
| Torsemide | Torsemide | 29 | suppressed |
| Gemtesa | Vibegron | 28 | 11 |
| Liothyronine Sodium | Liothyronine Sodium | 28 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 28 | 24 |
| Amiodarone Hcl | Amiodarone Hcl | 27 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 27 | 21 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 27 | suppressed |
| Lovastatin | Lovastatin | 27 | suppressed |
| Glipizide Er | Glipizide | 26 | suppressed |
| Memantine Hcl | Memantine Hcl | 25 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 25 | 13 |
| Benazepril Hcl | Benazepril Hcl | 24 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 24 | 21 |
| Fenofibrate | Fenofibrate | 23 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 23 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 23 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 23 | 23 |
| Januvia | Sitagliptin Phosphate | 22 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 22 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 21 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 21 | suppressed |
| Lansoprazole | Lansoprazole | 21 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 21 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 20 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 20 | suppressed |
| Celecoxib | Celecoxib | 19 | suppressed |
| Irbesartan | Irbesartan | 19 | suppressed |
| Mupirocin | Mupirocin | 19 | 19 |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 19 | suppressed |
| Tobramycin | Tobramycin | 19 | 15 |
| Myrbetriq | Mirabegron | 18 | suppressed |
| Nifedipine Er | Nifedipine | 18 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 18 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 18 | suppressed |
| Azithromycin | Azithromycin | 17 | 12 |
| Estradiol | Estradiol | 17 | suppressed |
| Flecainide Acetate | Flecainide Acetate | 17 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 16 | 12 |
| Entresto | Sacubitril/Valsartan | 16 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 16 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 16 | suppressed |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 15 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 15 | suppressed |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 15 | suppressed |
| Pregabalin | Pregabalin | 15 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 15 | suppressed |
| Dovato | Dolutegravir Sodium/Lamivudine | 14 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 14 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 14 | suppressed |
| Ibuprofen | Ibuprofen | 14 | suppressed |
| Ramipril | Ramipril | 14 | suppressed |
| Cephalexin | Cephalexin | 13 | 11 |
| Gemfibrozil | Gemfibrozil | 13 | suppressed |
| Temazepam | Temazepam | 13 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 13 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 13 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 12 | suppressed |
| Repatha Syringe | Evolocumab | 12 | suppressed |
| Sotalol | Sotalol Hcl | 12 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 11 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 11 | suppressed |
| Methylphenidate Hcl | Methylphenidate Hcl | 11 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 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 | $98.18 · 4 records | Lundbeck LLC | MOUNJARO, NEXLETOL, REPATHA, REXULTI, ZEPBOUND | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Mounjaro play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Lilly USA, LLC?
- 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