Payment overview · 2025
General Payments
$4,788.15
247 reported records · 28 companies
Healthcare provider profile · identity verified
Douglas Michael Dalke, FNP-BC
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · SAN ANTONIO, TX · NPI 1104507656
Verified facts
What the public records show
CMS Open Payments records show Douglas Michael Dalke, FNP-BC received $4,788.15 in general payments during 2025 across 247 reported records.
Senseonics, Incorporated accounted for 16.7% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 37 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Afrezza, Jardiance, Korlym, Mounjaro, Ozempic, Prolia, Synthroid, Tymlos.
ABBVIE 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 SYNTHROID as an associated drug or biological on 10655 records involving 4881 distinct recipient NPIs. Public Medicare Part D data also shows 16 claims for Synthroid by this doctor in 2024.
Amgen 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 PROLIA as an associated drug or biological on 20867 records involving 11744 distinct recipient NPIs. Public Medicare Part D data also shows 14 claims for Prolia by this doctor in 2024.
Boehringer Ingelheim 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 JARDIANCE as an associated drug or biological on 123636 records involving 49438 distinct recipient NPIs. Public Medicare Part D data also shows 37 claims for Jardiance by this doctor in 2024.
Corcept Therapeutics reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Korlym as an associated drug or biological on 56316 records involving 19205 distinct recipient NPIs. Public Medicare Part D data also shows 19 claims for Korlym 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 37 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 160 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 26 claims for Trulicity by this doctor in 2024.
Mannkind Corporation reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported AFREZZA as an associated drug or biological on 10645 records involving 3625 distinct recipient NPIs. Public Medicare Part D data also shows 42 claims for Afrezza 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 169 claims for Ozempic by this doctor in 2024.
Radius Health, 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 Tymlos as an associated drug or biological on 17199 records involving 7328 distinct recipient NPIs. Public Medicare Part D data also shows 13 claims for Tymlos 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 |
|---|---|---|---|---|---|
| Senseonics, Incorporated | Unresolved — no canonical attribution shown | $800.00 | 16.7% | 2 | 2025 |
| Ascensia Diabetes Care Us Inc. | Unresolved — no canonical attribution shown | $461.07 | 9.6% | 40 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $443.76 | 9.3% | 24 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $382.88 | 8.0% | 19 | 2025 |
| Corcept Therapeutics | Unresolved — no canonical attribution shown | $309.75 | 6.5% | 14 | 2025 |
| Sequel Med Tech, LLC | Unresolved — no canonical attribution shown | $298.87 | 6.2% | 35 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $276.21 | 5.8% | 16 | 2025 |
| KYOWA KIRIN, INC. | Unresolved — no canonical attribution shown | $267.43 | 5.6% | 11 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $241.93 | 5.0% | 16 | 2025 |
| Mannkind Corporation | Unresolved — no canonical attribution shown | $212.06 | 4.4% | 18 | 2025 |
| Soleno Therapeutics, Inc. | Unresolved — no canonical attribution shown | $162.67 | 3.4% | 6 | 2025 |
| Radius Health, Inc. | Unresolved — no canonical attribution shown | $139.31 | 2.9% | 6 | 2025 |
| Madrigal Pharmaceuticals | Unresolved — no canonical attribution shown | $112.46 | 2.4% | 5 | 2025 |
| Insulet Corporation | Unresolved — no canonical attribution shown | $107.19 | 2.2% | 6 | 2025 |
| RECORDATI_RARE_DISEASES_INC. | Unresolved — no canonical attribution shown | $97.95 | 2.0% | 5 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $75.58 | 1.6% | 3 | 2025 |
| Alexion Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $61.98 | 1.3% | 4 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $55.08 | 1.1% | 3 | 2025 |
| CeQur Corporation | Unresolved — no canonical attribution shown | $46.58 | 1.0% | 1 | 2025 |
| Tandem Diabetes Care, Inc. | Unresolved — no canonical attribution shown | $36.48 | 0.8% | 2 | 2025 |
| Averitas Pharma Inc. | Unresolved — no canonical attribution shown | $33.97 | 0.7% | 2 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $32.80 | 0.7% | 2 | 2025 |
| Rhythm Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $32.30 | 0.7% | 1 | 2025 |
| BETA BIONICS, INC. | Unresolved — no canonical attribution shown | $26.15 | 0.6% | 2 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $20.84 | 0.4% | 1 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$20.78 | 0.4% | 1 | 2025 |
| Xeris Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $17.45 | 0.4% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $14.62 | 0.3% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $3,988.15 | 245 |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $800.00 | 2 |
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 |
|---|---|---|---|---|---|
| Eversense Normalized: eversense |
Device | Senseonics, Incorporated | $800.00 | 2 | 2025 |
Source payment records
|
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| JARDIANCE Normalized: jardiance |
Drug | Boehringer Ingelheim Pharmaceuticals, Inc., Lilly USA, LLC | $496.28 | 25 | 2025 |
Source payment records
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| Korlym Normalized: korlym |
Drug | Corcept Therapeutics | $309.75 | 14 | 2025 |
Source payment records
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| TWIIST Normalized: twiist |
Device | Sequel Med Tech, LLC | $298.87 | 35 | 2025 |
Source payment records
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| CRYSVITA Normalized: crysvita |
Drug | KYOWA KIRIN, INC. | $267.43 | 11 | 2025 |
Source payment records
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $216.90 | 11 | 2025 |
Source payment records
|
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $216.90 | 11 | 2025 |
Source payment records
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| AFREZZA Normalized: afrezza |
Drug | Mannkind Corporation | $212.06 | 18 | 2025 |
Source payment records
|
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $186.67 | 13 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $186.67 | 13 | 2025 |
Source payment records
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $184.31 | 11 | 2025 |
Source payment records
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| VYKAT XR Normalized: vykat xr |
Drug | Soleno Therapeutics, Inc. | $162.67 | 6 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $150.93 | 7 | 2025 |
Source payment records
|
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| Tymlos Normalized: tymlos |
Drug | Radius Health, Inc. | $116.26 | 5 | 2025 |
Source payment records
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| REZDIFFRA Normalized: rezdiffra |
Drug | Madrigal Pharmaceuticals | $112.46 | 5 | 2025 |
Source payment records
|
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| Omnipod Normalized: omnipod |
Device | Insulet Corporation | $107.19 | 6 | 2025 |
Source payment records
|
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| Kerendia Normalized: kerendia |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $75.58 | 3 | 2025 |
Source payment records
|
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| STRENSIQ Normalized: strensiq |
Biological | Alexion Pharmaceuticals, Inc. | $61.98 | 4 | 2025 |
Source payment records
|
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| ISTURISA Normalized: isturisa |
Drug | RECORDATI_RARE_DISEASES_INC. | $60.66 | 3 | 2025 |
Source payment records
|
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| EVENITY Normalized: evenity |
Biological | Amgen Inc. | $57.62 | 5 | 2025 |
Source payment records
|
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| PROLIA Normalized: prolia |
Biological | Amgen Inc. | $57.62 | 5 | 2025 |
Source payment records
|
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| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $55.08 | 3 | 2025 |
Source payment records
|
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| CeQur Simplicity Normalized: cequr simplicity |
Device | CeQur Corporation | $46.58 | 1 | 2025 |
Source payment records
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| SIGNIFOR LAR Normalized: signifor lar |
Drug | RECORDATI_RARE_DISEASES_INC. | $37.29 | 2 | 2025 |
Source payment records
|
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| t:slim X2 Insulin Pump with Control-IQ Normalized: t slim x2 insulin pump with control iq |
Device | Tandem Diabetes Care, Inc. | $36.48 | 2 | 2025 |
Source payment records
|
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| QUTENZA Normalized: qutenza |
Drug | Averitas Pharma Inc. | $33.97 | 2 | 2025 |
Source payment records
|
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| IMCIVREE Normalized: imcivree |
Drug | Rhythm Pharmaceuticals, Inc. | $32.30 | 1 | 2025 |
Source payment records
|
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| iLet Bionic Pancreas Normalized: ilet bionic pancreas |
Device | BETA BIONICS, INC. | $26.15 | 2 | 2025 |
Source payment records
|
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| iLet Insulin Infusion Kit Contact Detach Normalized: ilet insulin infusion kit contact detach |
Device | BETA BIONICS, INC. | $26.15 | 2 | 2025 |
Source payment records
|
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| iLet Insulin Infusion Kit Inset Normalized: ilet insulin infusion kit inset |
Device | BETA BIONICS, INC. | $26.15 | 2 | 2025 |
Source payment records
|
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| AREXVY Normalized: arexvy |
Biological | GlaxoSmithKline, LLC. | $20.84 | 1 | 2025 |
Source payment records
|
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| SHINGRIX Normalized: shingrix |
Biological | GlaxoSmithKline, LLC. | $20.84 | 1 | 2025 |
Source payment records
|
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| MINIMED 780G Normalized: minimed 780g |
Device | Medtronic, Inc. | $20.78 | 1 | 2025 |
Source payment records
|
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| GVOKE HYPOPEN Normalized: gvoke hypopen |
Drug | Xeris Pharmaceuticals, Inc. | $17.45 | 1 | 2025 |
Source payment records
|
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| SYNTHROID Normalized: synthroid |
Drug | ABBVIE INC. | $16.79 | 1 | 2025 |
Source payment records
|
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| Sogroya Normalized: sogroya |
Biological | Novo Nordisk Inc | $15.05 | 1 | 2025 |
Source payment records
|
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| ZAVZPRET Normalized: zavzpret |
Drug | PFIZER INC. | $14.62 | 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 |
|---|---|---|---|---|---|---|
| AFREZZA afrezza |
2025 | Afrezza | 2024 | 42 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| JARDIANCE jardiance |
2025 | Jardiance | 2024 | 37 | exact normalized | Medicare Part D |
| Korlym korlym |
2025 | Korlym | 2024 | 19 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| MOUNJARO mounjaro |
2025 | Mounjaro | 2024 | 160 | exact normalized | Medicare Part D |
| Ozempic ozempic |
2025 | Ozempic | 2024 | 169 | exact normalized | Medicare Part D |
| PROLIA prolia |
2025 | Prolia | 2024 | 14 | exact normalized | Medicare Part D |
| SYNTHROID synthroid |
2025 | Synthroid | 2024 | 16 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| Tymlos tymlos |
2025 | Tymlos | 2024 | 13 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 |
|---|---|---|---|---|---|---|
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | SYNTHROID open payments reported associated product |
CMS Open Payments — General Payments 10655 supporting records · 4881 recipient NPIs · example record 1201352636 |
Synthroid · 2024 Exact normalized brand match · 1 Part D row |
16 | suppressed by CMS |
| Amgen Inc. Exact reporting entity; no affiliate inference |
2025 | PROLIA open payments reported associated product |
CMS Open Payments — General Payments 20867 supporting records · 11744 recipient NPIs · example record 1226874448 |
Prolia · 2024 Exact normalized brand match · 1 Part D row |
14 | 11 |
| Boehringer Ingelheim Pharmaceuticals, Inc. Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 123636 supporting records · 49438 recipient NPIs · example record 1221811583 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
37 | 17 |
| Corcept Therapeutics Exact reporting entity; no affiliate inference |
2025 | Korlym open payments reported associated product |
CMS Open Payments — General Payments 56316 supporting records · 19205 recipient NPIs · example record 1214133822 |
Korlym · 2024 Exact normalized brand match · 1 Part D row |
19 | 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 |
37 | 17 |
| 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 |
160 | 43 |
| 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 | 12 |
| Mannkind Corporation Exact reporting entity; no affiliate inference |
2025 | AFREZZA open payments reported associated product |
CMS Open Payments — General Payments 10645 supporting records · 3625 recipient NPIs · example record 1250869202 |
Afrezza · 2024 Exact normalized brand match · 1 Part D row |
42 | 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 |
169 | 55 |
| Radius Health, Inc. Exact reporting entity; no affiliate inference |
2025 | Tymlos open payments reported associated product |
CMS Open Payments — General Payments 17199 supporting records · 7328 recipient NPIs · example record 1249501587 |
Tymlos · 2024 Exact normalized brand match · 1 Part D row |
13 | 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 |
|---|---|---|---|
| Ozempic | Semaglutide | 169 | 55 |
| Mounjaro | Tirzepatide | 160 | 43 |
| Levothyroxine Sodium | Levothyroxine Sodium | 109 | 44 |
| Metformin Hcl Er | Metformin Hcl | 59 | 26 |
| Atorvastatin Calcium | Atorvastatin Calcium | 47 | 23 |
| Losartan Potassium | Losartan Potassium | 44 | 21 |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 44 | 21 |
| Afrezza | Insulin Regular, Human | 42 | suppressed |
| Jardiance | Empagliflozin | 37 | 17 |
| Amlodipine Besylate | Amlodipine Besylate | 33 | 16 |
| Lisinopril | Lisinopril | 33 | 14 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 32 | 18 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 29 | 22 |
| Trulicity | Dulaglutide | 26 | 12 |
| Tresiba Flextouch U-100 | Insulin Degludec | 22 | 13 |
| V-Go 30 | Sub-Q Insulin Device, 30 Unit | 22 | suppressed |
| Metformin Hcl | Metformin Hcl | 21 | 12 |
| Humalog Kwikpen U-100 | Insulin Lispro | 20 | suppressed |
| V-Go 20 | Sub-Q Insulin Device, 20 Unit | 20 | suppressed |
| Incontrol Pen Needle | Pen Needle, Diabetic | 19 | suppressed |
| Korlym | Mifepristone | 19 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 16 | suppressed |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 16 | suppressed |
| Methimazole | Methimazole | 16 | suppressed |
| Synthroid | Levothyroxine Sodium | 16 | suppressed |
| Novolog Flexpen | Insulin Aspart | 14 | suppressed |
| Prolia | Denosumab | 14 | 11 |
| Tymlos | Abaloparatide | 13 | suppressed |
| Glimepiride | Glimepiride | 12 | suppressed |
| Humalog Kwikpen U-200 | Insulin Lispro | 12 | suppressed |
| Potassium Chloride | Potassium Chloride | 12 | suppressed |
| Humulin R U-500 Kwikpen | Insulin Regular, Human | 11 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 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 | $4,788.15 · 247 records | Senseonics, Incorporated | AFREZZA, AREXVY, CRYSVITA, CeQur Simplicity, EVENITY, Eversense, GVOKE HYPOPEN, IMCIVREE, ISTURISA, JARDIANCE, Kerendia, Korlym, LEQVIO, MINIMED 780G, MOUNJARO, Omnipod, Ozempic, PROLIA, QUTENZA, REPATHA, REZDIFFRA, Rybelsus, SHINGRIX, SIGNIFOR LAR, STRENSIQ, SYNTHROID, Sogroya, TWIIST, Tymlos, VYKAT XR, Wegovy, ZAVZPRET, ZEPBOUND, iLet Bionic Pancreas, iLet Insulin Infusion Kit Contact Detach, iLet Insulin Infusion Kit Inset, t:slim X2 Insulin Pump with Control-IQ | 10 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Afrezza play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with ABBVIE INC.?
- 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