Payment overview · 2025
General Payments
$1,847.11
86 reported records · 13 companies
Healthcare provider profile · identity verified
Alma E Reif, ARNP
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Psychiatric/Mental Health · SPRING HILL, FL · NPI 1114902574
Verified facts
What the public records show
CMS Open Payments records show Alma E Reif, ARNP received $1,847.11 in general payments during 2025 across 86 reported records.
Neurocrine BioSciences, Inc. accounted for 14.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 16 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Lybalvi, Vraylar.
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 VRAYLAR as an associated drug or biological on 377741 records involving 62704 distinct recipient NPIs. Public Medicare Part D data also shows 45 claims for Vraylar by this doctor in 2024.
Alkermes, 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 LYBALVI as an associated drug or biological on 93784 records involving 20135 distinct recipient NPIs. Public Medicare Part D data also shows 19 claims for Lybalvi 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 |
|---|---|---|---|---|---|
| Neurocrine BioSciences, Inc. | Unresolved — no canonical attribution shown | $258.44 | 14.0% | 13 | 2025 |
| E.R. Squibb & Sons, L.L.C. | Unresolved — no canonical attribution shown | $250.25 | 13.6% | 9 | 2025 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | Unresolved — no canonical attribution shown | $237.81 | 12.9% | 9 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $201.33 | 10.9% | 9 | 2025 |
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $192.74 | 10.4% | 10 | 2025 |
| Axsome Therapeutics, Inc. | Unresolved — no canonical attribution shown | $173.68 | 9.4% | 10 | 2025 |
| Lundbeck LLC | Unresolved — no canonical attribution shown | $143.45 | 7.8% | 8 | 2025 |
| Alkermes, Inc. | Unresolved — no canonical attribution shown | $111.26 | 6.0% | 5 | 2025 |
| Janssen Pharmaceuticals, Inc | Unresolved — no canonical attribution shown | $92.69 | 5.0% | 4 | 2025 |
| Teva Pharmaceuticals USA, Inc. | Unresolved — no canonical attribution shown | $82.44 | 4.5% | 4 | 2025 |
| Indivior Inc. | Unresolved — no canonical attribution shown | $44.71 | 2.4% | 2 | 2025 |
| Almatica Pharma LLC | Unresolved — no canonical attribution shown | $38.79 | 2.1% | 2 | 2025 |
| Vanda Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $19.52 | 1.1% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,847.11 | 86 |
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 |
|---|---|---|---|---|---|
| INGREZZA Normalized: ingrezza |
Drug | Neurocrine BioSciences, Inc. | $258.44 | 13 | 2025 |
Source payment records
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| REXULTI Normalized: rexulti |
Drug | Lundbeck LLC, Otsuka America Pharmaceutical, Inc. | $254.78 | 14 | 2025 |
Source payment records
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| COBENFY Normalized: cobenfy |
Drug | E.R. Squibb & Sons, L.L.C. | $250.25 | 9 | 2025 |
Source payment records
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| CAPLYTA Normalized: caplyta |
Drug | ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $237.81 | 9 | 2025 |
Source payment records
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| VRAYLAR Normalized: vraylar |
Drug | ABBVIE INC. | $201.33 | 9 | 2025 |
Source payment records
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| Auvelity Normalized: auvelity |
Drug | Axsome Therapeutics, Inc. | $173.68 | 10 | 2025 |
Source payment records
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| LYBALVI Normalized: lybalvi |
Drug | Alkermes, Inc. | $111.26 | 5 | 2025 |
Source payment records
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| SPRAVATO Normalized: spravato |
Drug | Janssen Pharmaceuticals, Inc | $92.69 | 4 | 2025 |
Source payment records
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| ARISTADA Normalized: aristada |
Drug | Alkermes, Inc. | $86.25 | 4 | 2025 |
Source payment records
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| ABILIFY ASIMTUFII Normalized: abilify asimtufii |
Drug | Otsuka America Pharmaceutical, Inc. | $81.41 | 4 | 2025 |
Source payment records
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| ABILIFY MAINTENA Normalized: abilify maintena |
Drug | Otsuka America Pharmaceutical, Inc. | $81.41 | 4 | 2025 |
Source payment records
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| AUSTEDO XR Normalized: austedo xr |
Drug | Teva Pharmaceuticals USA, Inc. | $67.22 | 3 | 2025 |
Source payment records
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| SUBLOCADE Normalized: sublocade |
Drug | Indivior Inc. | $44.71 | 2 | 2025 |
Source payment records
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| LOREEV XR Normalized: loreev xr |
Drug | Almatica Pharma LLC | $38.79 | 2 | 2025 |
Source payment records
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| FANAPT Normalized: fanapt |
Drug | Vanda Pharmaceuticals Inc. | $19.52 | 1 | 2025 |
Source payment records
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| UZEDY Normalized: uzedy |
Drug | Teva Pharmaceuticals USA, Inc. | $15.22 | 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 |
|---|---|---|---|---|---|---|
| LYBALVI lybalvi |
2025 | Lybalvi | 2024 | 19 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| VRAYLAR vraylar |
2025 | Vraylar | 2024 | 45 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 | VRAYLAR open payments reported associated product |
CMS Open Payments — General Payments 377741 supporting records · 62704 recipient NPIs · example record 1201352550 |
Vraylar · 2024 Exact normalized brand match · 1 Part D row |
45 | suppressed by CMS |
| Alkermes, Inc. Exact reporting entity; no affiliate inference |
2025 | LYBALVI open payments reported associated product |
CMS Open Payments — General Payments 93784 supporting records · 20135 recipient NPIs · example record 1222428566 |
Lybalvi · 2024 Exact normalized brand match · 1 Part D row |
19 | 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 |
|---|---|---|---|
| Alprazolam | Alprazolam | 769 | 119 |
| Trazodone Hcl | Trazodone Hcl | 599 | 142 |
| Clonazepam | Clonazepam | 593 | 92 |
| Quetiapine Fumarate | Quetiapine Fumarate | 479 | 81 |
| Duloxetine Hcl | Duloxetine Hcl | 419 | 75 |
| Escitalopram Oxalate | Escitalopram Oxalate | 402 | 95 |
| Sertraline Hcl | Sertraline Hcl | 302 | 73 |
| Lorazepam | Lorazepam | 299 | 48 |
| Buspirone Hcl | Buspirone Hcl | 282 | 60 |
| Bupropion Hcl Sr | Bupropion Hcl | 280 | 52 |
| Temazepam | Temazepam | 266 | 49 |
| Aripiprazole | Aripiprazole | 247 | 61 |
| Zolpidem Tartrate | Zolpidem Tartrate | 237 | 38 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 227 | 46 |
| Lamotrigine | Lamotrigine | 207 | 52 |
| Mirtazapine | Mirtazapine | 206 | 41 |
| Risperidone | Risperidone | 186 | 31 |
| Diazepam | Diazepam | 168 | 24 |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 163 | 30 |
| Bupropion Xl | Bupropion Hcl | 159 | 46 |
| Fluoxetine Hcl | Fluoxetine Hcl | 156 | 43 |
| Olanzapine | Olanzapine | 133 | 34 |
| Gabapentin | Gabapentin | 102 | 16 |
| Citalopram Hbr | Citalopram Hydrobromide | 100 | 24 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 94 | 24 |
| Prazosin Hcl | Prazosin Hcl | 94 | 25 |
| Paroxetine Hcl | Paroxetine Hcl | 92 | 24 |
| Divalproex Sodium | Divalproex Sodium | 80 | 17 |
| Oxcarbazepine | Oxcarbazepine | 79 | 20 |
| Ziprasidone Hcl | Ziprasidone Hcl | 72 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 70 | 12 |
| Propranolol Hcl | Propranolol Hcl | 62 | 11 |
| Quetiapine Fumarate Er | Quetiapine Fumarate | 60 | suppressed |
| Lurasidone Hcl | Lurasidone Hcl | 58 | suppressed |
| Benztropine Mesylate | Benztropine Mesylate | 51 | suppressed |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 50 | 13 |
| Olanzapine Odt | Olanzapine | 47 | suppressed |
| Vraylar | Cariprazine Hcl | 45 | suppressed |
| Clozapine | Clozapine | 42 | suppressed |
| Lithium Carbonate | Lithium Carbonate | 42 | 11 |
| Eszopiclone | Eszopiclone | 41 | suppressed |
| Chlorpromazine Hcl | Chlorpromazine Hcl | 40 | suppressed |
| Fluvoxamine Maleate | Fluvoxamine Maleate | 34 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 33 | 11 |
| Haloperidol | Haloperidol | 30 | suppressed |
| Methylphenidate Hcl | Methylphenidate Hcl | 28 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 24 | suppressed |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 24 | suppressed |
| Seroquel Xr | Quetiapine Fumarate | 21 | suppressed |
| Vilazodone Hcl | Vilazodone Hcl | 21 | suppressed |
| Carbamazepine | Carbamazepine | 19 | suppressed |
| Fluphenazine Hcl | Fluphenazine Hcl | 19 | suppressed |
| Lybalvi | Olanzapine/Samidorphan Malate | 19 | suppressed |
| Methylphenidate Er | Methylphenidate Hcl | 19 | suppressed |
| Lithium Carbonate Er | Lithium Carbonate | 17 | suppressed |
| Buprenorphine-Naloxone | Buprenorphine Hcl/Naloxone Hcl | 16 | suppressed |
| Venlafaxine Hcl | Venlafaxine Hcl | 16 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 15 | suppressed |
| Trihexyphenidyl Hcl | Trihexyphenidyl Hcl | 15 | suppressed |
| Zolpidem Tartrate Er | Zolpidem Tartrate | 15 | suppressed |
| Carbamazepine Er | Carbamazepine | 13 | suppressed |
| Paliperidone Er | Paliperidone | 12 | suppressed |
| Triazolam | Triazolam | 12 | suppressed |
| Zaleplon | Zaleplon | 12 | suppressed |
| Chlordiazepoxide Hcl | Chlordiazepoxide Hcl | 11 | suppressed |
| Naltrexone Hcl | Naltrexone Hcl | 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 | $1,847.11 · 86 records | Neurocrine BioSciences, Inc. | ABILIFY ASIMTUFII, ABILIFY MAINTENA, ARISTADA, AUSTEDO XR, Auvelity, CAPLYTA, COBENFY, FANAPT, INGREZZA, LOREEV XR, LYBALVI, REXULTI, SPRAVATO, SUBLOCADE, UZEDY, VRAYLAR | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Lybalvi 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