Payment overview · 2025
General Payments
$2,070.87
89 reported records · 33 companies
Healthcare provider profile · identity verified
Alex L Nielson, MD
Allopathic & Osteopathic Physicians|Internal Medicine · LONGVIEW, WA · NPI 1174012355
Verified facts
What the public records show
CMS Open Payments records show Alex L Nielson, MD received $2,070.87 in general payments during 2025 across 89 reported records.
AstraZeneca Pharmaceuticals LP accounted for 14.7% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 46 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Eliquis, Farxiga.
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 20 claims for Farxiga 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 11 claims for Jardiance by this doctor in 2024.
PFIZER 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 ELIQUIS as an associated drug or biological on 87112 records involving 36032 distinct recipient NPIs. Public Medicare Part D data also shows 24 claims for Eliquis 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 |
|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $304.66 | 14.7% | 15 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $188.27 | 9.1% | 7 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $156.39 | 7.5% | 7 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $147.37 | 7.1% | 7 | 2025 |
| Zimmer Biomet Holdings, Inc. | Unresolved — no canonical attribution shown | $101.03 | 4.9% | 1 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $97.53 | 4.7% | 6 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $95.62 | 4.6% | 4 | 2025 |
| Corcept Therapeutics | Unresolved — no canonical attribution shown | $87.76 | 4.2% | 4 | 2025 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | Unresolved — no canonical attribution shown | $78.89 | 3.8% | 4 | 2025 |
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $74.99 | 3.6% | 1 | 2025 |
| Paratek Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $57.23 | 2.8% | 3 | 2025 |
| Viatris Specialty LLC | Unresolved — no canonical attribution shown | $56.05 | 2.7% | 2 | 2025 |
| Actelion Pharmaceuticals US, Inc. | Unresolved — no canonical attribution shown | $51.79 | 2.5% | 2 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $49.95 | 2.4% | 1 | 2025 |
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $47.94 | 2.3% | 2 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $47.91 | 2.3% | 3 | 2025 |
| Lundbeck LLC | Unresolved — no canonical attribution shown | $34.75 | 1.7% | 2 | 2025 |
| Alkermes, Inc. | Unresolved — no canonical attribution shown | $34.30 | 1.7% | 1 | 2025 |
| Axsome Therapeutics, Inc. | Unresolved — no canonical attribution shown | $33.91 | 1.6% | 1 | 2025 |
| Phathom Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $32.55 | 1.6% | 1 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $31.74 | 1.5% | 2 | 2025 |
| Kowa Pharmaceuticals America, Inc. | Unresolved — no canonical attribution shown | $29.13 | 1.4% | 2 | 2025 |
| BridgeBio Pharma, Inc. | Unresolved — no canonical attribution shown | $26.91 | 1.3% | 1 | 2025 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | Unresolved — no canonical attribution shown | $26.35 | 1.3% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $24.68 | 1.2% | 1 | 2025 |
| Sumitomo Pharma America, Inc. | Unresolved — no canonical attribution shown | $23.49 | 1.1% | 1 | 2025 |
| Teva Pharmaceuticals USA, Inc. | Unresolved — no canonical attribution shown | $22.06 | 1.1% | 1 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $21.54 | 1.0% | 1 | 2025 |
| VERTEX PHARMACEUTICALS INCORPORATED | Unresolved — no canonical attribution shown | $20.52 | 1.0% | 1 | 2025 |
| Alnylam Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $19.30 | 0.9% | 1 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $16.62 | 0.8% | 1 | 2025 |
| Esperion Therapeutics, Inc. | Unresolved — no canonical attribution shown | $15.39 | 0.7% | 1 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $14.25 | 0.7% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,831.01 | 85 |
| Education | $189.91 | 3 |
| Long term medical supply or device loan | $49.95 | 1 |
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 |
|---|---|---|---|---|---|
| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $188.27 | 7 | 2025 |
Source payment records
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $181.91 | 8 | 2025 |
Source payment records
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| EVENITY Normalized: evenity |
Biological | Amgen Inc. | $123.26 | 5 | 2025 |
Source payment records
|
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| Avenir Normalized: avenir |
Device | Zimmer Biomet Holdings, Inc. | $101.03 | 1 | 2025 |
Source payment records
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| TRELEGY ELLIPTA Normalized: trelegy ellipta |
Drug | GlaxoSmithKline, LLC. | $97.53 | 6 | 2025 |
Source payment records
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| Kerendia Normalized: kerendia |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $95.62 | 4 | 2025 |
Source payment records
|
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| Korlym Normalized: korlym |
Drug | Corcept Therapeutics | $87.76 | 4 | 2025 |
Source payment records
|
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| REXULTI Normalized: rexulti |
Drug | Lundbeck LLC, Otsuka America Pharmaceutical, Inc. | $82.69 | 4 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $71.12 | 3 | 2025 |
Source payment records
|
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| BREZTRI Normalized: breztri |
Drug | AstraZeneca Pharmaceuticals LP | $57.78 | 3 | 2025 |
Source payment records
|
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| NUZYRA Normalized: nuzyra |
Drug | Paratek Pharmaceuticals, Inc. | $57.23 | 3 | 2025 |
Source payment records
|
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| YUPELRI Normalized: yupelri |
Drug | Viatris Specialty LLC | $56.05 | 2 | 2025 |
Source payment records
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| OPSUMIT Normalized: opsumit |
Drug | Actelion Pharmaceuticals US, Inc. | $51.79 | 2 | 2025 |
Source payment records
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| UPTRAVI Normalized: uptravi |
Drug | Actelion Pharmaceuticals US, Inc. | $51.79 | 2 | 2025 |
Source payment records
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| FREESTYLE INSULINX Normalized: freestyle insulinx |
Device | Abbott Laboratories | $49.95 | 1 | 2025 |
Source payment records
|
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| RELISTOR Normalized: relistor |
Drug | Salix Pharmaceuticals, a division of Bausch Health US, LLC | $44.21 | 2 | 2025 |
Source payment records
|
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| FARXIGA Normalized: farxiga |
Drug | AstraZeneca Pharmaceuticals LP | $36.57 | 2 | 2025 |
Source payment records
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| XIFAXAN Normalized: xifaxan |
Drug | Salix Pharmaceuticals, a division of Bausch Health US, LLC | $34.68 | 2 | 2025 |
Source payment records
|
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| LYBALVI Normalized: lybalvi |
Drug | Alkermes, Inc. | $34.30 | 1 | 2025 |
Source payment records
|
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| Auvelity Normalized: auvelity |
Drug | Axsome Therapeutics, Inc. | $33.91 | 1 | 2025 |
Source payment records
|
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $33.26 | 2 | 2025 |
Source payment records
|
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| VOQUEZNA Normalized: voquezna |
Drug | Phathom Pharmaceuticals, Inc. | $32.55 | 1 | 2025 |
Source payment records
|
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $30.73 | 2 | 2025 |
Source payment records
|
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| ZORYVE Normalized: zoryve |
Drug | Kowa Pharmaceuticals America, Inc. | $29.13 | 2 | 2025 |
Source payment records
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| LOKELMA Normalized: lokelma |
Drug | AstraZeneca Pharmaceuticals LP | $28.40 | 2 | 2025 |
Source payment records
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| KISUNLA Normalized: kisunla |
Drug | Lilly USA, LLC | $27.21 | 1 | 2025 |
Source payment records
|
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| Attruby Normalized: attruby |
Drug | BridgeBio Pharma, Inc. | $26.91 | 1 | 2025 |
Source payment records
|
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| CAPLYTA Normalized: caplyta |
Drug | ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $26.35 | 1 | 2025 |
Source payment records
|
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| ELIQUIS Normalized: eliquis |
Drug | PFIZER INC. | $24.68 | 1 | 2025 |
Source payment records
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| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $24.68 | 1 | 2025 |
Source payment records
|
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| PROLIA Normalized: prolia |
Biological | Amgen Inc. | $24.23 | 1 | 2025 |
Source payment records
|
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| GEMTESA Normalized: gemtesa |
Drug | Sumitomo Pharma America, Inc. | $23.49 | 1 | 2025 |
Source payment records
|
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| AUSTEDO XR Normalized: austedo xr |
Drug | Teva Pharmaceuticals USA, Inc. | $22.06 | 1 | 2025 |
Source payment records
|
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| DUPIXENT Normalized: dupixent |
Biological | GENZYME CORPORATION | $21.54 | 1 | 2025 |
Source payment records
|
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| JOURNAVX Normalized: journavx |
Drug | VERTEX PHARMACEUTICALS INCORPORATED | $20.52 | 1 | 2025 |
Source payment records
|
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| AMVUTTRA Normalized: amvuttra |
Drug | Alnylam Pharmaceuticals Inc. | $19.30 | 1 | 2025 |
Source payment records
|
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| OTEZLA Normalized: otezla |
Drug | Amgen Inc. | $19.24 | 1 | 2025 |
Source payment records
|
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $19.24 | 1 | 2025 |
Source payment records
|
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| QULIPTA Normalized: qulipta |
Drug | ABBVIE INC. | $16.71 | 1 | 2025 |
Source payment records
|
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| UBRELVY Normalized: ubrelvy |
Drug | ABBVIE INC. | $16.71 | 1 | 2025 |
Source payment records
|
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| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $16.62 | 1 | 2025 |
Source payment records
|
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| NEXLETOL Normalized: nexletol |
Drug | Esperion Therapeutics, Inc. | $15.39 | 1 | 2025 |
Source payment records
|
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| VRAYLAR Normalized: vraylar |
Drug | ABBVIE INC. | $15.03 | 1 | 2025 |
Source payment records
|
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $14.65 | 1 | 2025 |
Source payment records
|
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| CAPVAXIVE Normalized: capvaxive |
Biological | Merck Sharp & Dohme LLC | $14.25 | 1 | 2025 |
Source payment records
|
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| GARDASIL 9 Normalized: gardasil 9 |
Biological | Merck Sharp & Dohme LLC | $14.25 | 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 |
|---|---|---|---|---|---|---|
| ELIQUIS eliquis |
2025 | Eliquis | 2024 | 24 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| FARXIGA farxiga |
2025 | Farxiga | 2024 | 20 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 | 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 |
20 | 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 |
11 | suppressed by CMS |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | ELIQUIS open payments reported associated product |
CMS Open Payments — General Payments 87112 supporting records · 36032 recipient NPIs · example record 1228794063 |
Eliquis · 2024 Exact normalized brand match · 1 Part D row |
24 | 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 |
|---|---|---|---|
| Rosuvastatin Calcium | Rosuvastatin Calcium | 91 | 43 |
| Levothyroxine Sodium | Levothyroxine Sodium | 83 | 42 |
| Amlodipine Besylate | Amlodipine Besylate | 76 | 31 |
| Losartan Potassium | Losartan Potassium | 68 | 27 |
| Gabapentin | Gabapentin | 63 | 21 |
| Atorvastatin Calcium | Atorvastatin Calcium | 59 | 22 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 56 | 30 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 51 | 16 |
| Lisinopril | Lisinopril | 51 | 23 |
| Oxycodone Hcl | Oxycodone Hcl | 51 | 23 |
| Irbesartan | Irbesartan | 48 | 18 |
| Trazodone Hcl | Trazodone Hcl | 48 | 21 |
| Alprazolam | Alprazolam | 40 | 14 |
| Metoprolol Succinate | Metoprolol Succinate | 30 | 15 |
| Omeprazole | Omeprazole | 30 | 16 |
| Prednisone | Prednisone | 29 | 20 |
| Hydrochlorothiazide | Hydrochlorothiazide | 28 | 14 |
| Cefdinir | Cefdinir | 27 | 21 |
| Escitalopram Oxalate | Escitalopram Oxalate | 26 | suppressed |
| Cephalexin | Cephalexin | 25 | 21 |
| Amoxicillin | Amoxicillin | 24 | 21 |
| Eliquis | Apixaban | 24 | suppressed |
| Fluconazole | Fluconazole | 24 | 19 |
| Tamsulosin Hcl | Tamsulosin Hcl | 23 | 12 |
| Furosemide | Furosemide | 22 | 16 |
| Pantoprazole Sodium | Pantoprazole Sodium | 22 | 12 |
| Farxiga | Dapagliflozin Propanediol | 20 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 19 | 15 |
| Azithromycin | Azithromycin | 19 | 19 |
| Testosterone Cypionate | Testosterone Cypionate | 19 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 19 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 17 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 16 | suppressed |
| Meloxicam | Meloxicam | 16 | suppressed |
| Metformin Hcl | Metformin Hcl | 16 | suppressed |
| Bupropion Xl | Bupropion Hcl | 15 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 14 | 12 |
| Potassium Chloride | Potassium Chloride | 14 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 13 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 13 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 13 | suppressed |
| Methocarbamol | Methocarbamol | 13 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 13 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 12 | suppressed |
| Diazepam | Diazepam | 12 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 12 | suppressed |
| Fentanyl | Fentanyl | 11 | suppressed |
| Jardiance | Empagliflozin | 11 | suppressed |
| Mirtazapine | Mirtazapine | 11 | suppressed |
| Tramadol Hcl | Tramadol 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 | $2,070.87 · 89 records | AstraZeneca Pharmaceuticals LP | AIRSUPRA, AMVUTTRA, AUSTEDO XR, Attruby, Auvelity, Avenir, BREZTRI, CAPLYTA, CAPVAXIVE, Cologuard Collection Kit, DUPIXENT, ELIQUIS, EVENITY, FARXIGA, FREESTYLE INSULINX, GARDASIL 9, GEMTESA, JOURNAVX, KISUNLA, Kerendia, Korlym, LEQVIO, LOKELMA, LYBALVI, MOUNJARO, NEXLETOL, NURTEC ODT, NUZYRA, OPSUMIT, OTEZLA, Ozempic, PROLIA, QULIPTA, RELISTOR, REPATHA, REXULTI, TRELEGY ELLIPTA, UBRELVY, UPTRAVI, VOQUEZNA, VRAYLAR, Wegovy, XIFAXAN, YUPELRI, ZEPBOUND, ZORYVE | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Eliquis 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