Payment overview · 2025
General Payments
$959.86
47 reported records · 23 companies
Healthcare provider profile · identity verified
Mirian Langer
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Gerontology · DAYTONA BEACH, FL · NPI 1174975908
Verified facts
What the public records show
CMS Open Payments records show Mirian Langer received $959.86 in general payments during 2025 across 47 reported records.
GlaxoSmithKline, LLC. accounted for 14.2% 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: Eliquis, Jardiance, Mounjaro, Ozempic.
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 26 claims for Synthroid 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 26 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 JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 26 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 31 claims for Mounjaro 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 33 claims for Ozempic 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 50 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 |
|---|---|---|---|---|---|
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $136.42 | 14.2% | 10 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $115.53 | 12.0% | 4 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $85.19 | 8.9% | 4 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $68.90 | 7.2% | 3 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $59.27 | 6.2% | 3 | 2025 |
| PROTEGA PHARMACEUTIALS INC | Unresolved — no canonical attribution shown | $56.11 | 5.8% | 1 | 2025 |
| Phathom Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $43.69 | 4.5% | 2 | 2025 |
| Pulmonx Corporation | Unresolved — no canonical attribution shown | $41.18 | 4.3% | 2 | 2025 |
| Agios Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $37.39 | 3.9% | 2 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $36.35 | 3.8% | 2 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $34.75 | 3.6% | 2 | 2025 |
| Daiichi Sankyo Inc. | Unresolved — no canonical attribution shown | $34.29 | 3.6% | 1 | 2025 |
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $28.50 | 3.0% | 1 | 2025 |
| Viatris Specialty LLC | Unresolved — no canonical attribution shown | $25.52 | 2.7% | 1 | 2025 |
| ARS Pharmaceuticals Operations, Inc. | Unresolved — no canonical attribution shown | $20.59 | 2.1% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $19.72 | 2.0% | 1 | 2025 |
| Corcept Therapeutics | Unresolved — no canonical attribution shown | $18.69 | 1.9% | 1 | 2025 |
| PhotoniCare Inc | Unresolved — no canonical attribution shown | $17.53 | 1.8% | 1 | 2025 |
| Almatica Pharma LLC | Unresolved — no canonical attribution shown | $17.10 | 1.8% | 1 | 2025 |
| Inspire Medical Systems, Inc. | Unresolved — no canonical attribution shown | $16.60 | 1.7% | 1 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $16.25 | 1.7% | 1 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $15.54 | 1.6% | 1 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$14.75 | 1.5% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $959.86 | 47 |
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 |
|---|---|---|---|---|---|
| TRELEGY ELLIPTA Normalized: trelegy ellipta |
Drug | GlaxoSmithKline, LLC. | $119.62 | 9 | 2025 |
Source payment records
|
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| The Cologuard Plus Collection Kit Normalized: the cologuard plus collection kit |
Device | Exact Sciences Corporation | $94.42 | 3 | 2025 |
Source payment records
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| UBRELVY Normalized: ubrelvy |
Drug | ABBVIE INC. | $68.90 | 3 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $60.63 | 3 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $60.63 | 3 | 2025 |
Source payment records
|
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| ROXYBOND Normalized: roxybond |
Drug | PROTEGA PHARMACEUTIALS INC | $56.11 | 1 | 2025 |
Source payment records
|
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| VOQUEZNA Normalized: voquezna |
Drug | Phathom Pharmaceuticals, Inc. | $43.69 | 2 | 2025 |
Source payment records
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| CHARTIS CATHETER Normalized: chartis catheter |
Device | Pulmonx Corporation | $41.18 | 2 | 2025 |
Source payment records
|
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| PULMONX CHARTIS TABLET CONSOLE Normalized: pulmonx chartis tablet console |
Device | Pulmonx Corporation | $41.18 | 2 | 2025 |
Source payment records
|
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| ZEPHYR DELIVERY CATHETER Normalized: zephyr delivery catheter |
Device | Pulmonx Corporation | $41.18 | 2 | 2025 |
Source payment records
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| ZEPHYR ENDOBRONCHIAL VALVE Normalized: zephyr endobronchial valve |
Device | Pulmonx Corporation | $41.18 | 2 | 2025 |
Source payment records
|
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| JARDIANCE Normalized: jardiance |
Drug | Boehringer Ingelheim Pharmaceuticals, Inc., Lilly USA, LLC | $40.10 | 2 | 2025 |
Source payment records
|
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| OTEZLA Normalized: otezla |
Drug | Amgen Inc. | $38.16 | 2 | 2025 |
Source payment records
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $38.16 | 2 | 2025 |
Source payment records
|
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| PYRUKYND Normalized: pyrukynd |
Drug | Agios Pharmaceuticals, Inc. | $37.39 | 2 | 2025 |
Source payment records
|
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| INJECTAFER Normalized: injectafer |
Drug | Daiichi Sankyo Inc. | $34.29 | 1 | 2025 |
Source payment records
|
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| REXULTI Normalized: rexulti |
Drug | Otsuka America Pharmaceutical, Inc. | $28.50 | 1 | 2025 |
Source payment records
|
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| YUPELRI Normalized: yupelri |
Drug | Viatris Specialty LLC | $25.52 | 1 | 2025 |
Source payment records
|
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| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $21.11 | 1 | 2025 |
Source payment records
|
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| EVENITY Normalized: evenity |
Biological | Amgen Inc. | $21.11 | 1 | 2025 |
Source payment records
|
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $21.03 | 1 | 2025 |
Source payment records
|
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| NEFFY Normalized: neffy |
Drug | ARS Pharmaceuticals Operations, Inc. | $20.59 | 1 | 2025 |
Source payment records
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| ELIQUIS Normalized: eliquis |
Drug | PFIZER INC. | $19.72 | 1 | 2025 |
Source payment records
|
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| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $19.72 | 1 | 2025 |
Source payment records
|
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| Korlym Normalized: korlym |
Drug | Corcept Therapeutics | $18.69 | 1 | 2025 |
Source payment records
|
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| QULIPTA Normalized: qulipta |
Drug | ABBVIE INC. | $18.51 | 1 | 2025 |
Source payment records
|
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| BREZTRI Normalized: breztri |
Drug | AstraZeneca Pharmaceuticals LP | $18.31 | 1 | 2025 |
Source payment records
|
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $18.04 | 1 | 2025 |
Source payment records
|
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| OtoSight Middle Ear Scope Normalized: otosight middle ear scope |
Device | PhotoniCare Inc | $17.53 | 1 | 2025 |
Source payment records
|
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| LOREEV XR Normalized: loreev xr |
Drug | Almatica Pharma LLC | $17.10 | 1 | 2025 |
Source payment records
|
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| AREXVY Normalized: arexvy |
Biological | GlaxoSmithKline, LLC. | $16.80 | 1 | 2025 |
Source payment records
|
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| SHINGRIX Normalized: shingrix |
Biological | GlaxoSmithKline, LLC. | $16.80 | 1 | 2025 |
Source payment records
|
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| INSPIRE Normalized: inspire |
Device | Inspire Medical Systems, Inc. | $16.60 | 1 | 2025 |
Source payment records
|
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| FREESTYLE LIBRE 3 Normalized: freestyle libre 3 |
Device | Abbott Laboratories | $16.25 | 1 | 2025 |
Source payment records
|
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| INTELLIS ADAPTIVESTIM Normalized: intellis adaptivestim |
Device | Medtronic, Inc. | $14.75 | 1 | 2025 |
Source payment records
|
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $13.72 | 1 | 2025 |
Source payment records
|
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $13.72 | 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 | 50 | exact normalized | Medicare Part D |
| JARDIANCE jardiance |
2025 | Jardiance | 2024 | 26 | exact normalized | Medicare Part D |
| MOUNJARO mounjaro |
2025 | Mounjaro | 2024 | 31 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| Ozempic ozempic |
2025 | Ozempic | 2024 | 33 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 |
26 | suppressed by CMS |
| 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 |
26 | 12 |
| 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 |
26 | 12 |
| 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 |
31 | 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 |
33 | 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 |
50 | 13 |
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 | 167 | 62 |
| Amlodipine Besylate | Amlodipine Besylate | 133 | 51 |
| Levothyroxine Sodium | Levothyroxine Sodium | 128 | 46 |
| Escitalopram Oxalate | Escitalopram Oxalate | 126 | 48 |
| Atorvastatin Calcium | Atorvastatin Calcium | 124 | 48 |
| Losartan Potassium | Losartan Potassium | 118 | 48 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 105 | 35 |
| Omeprazole | Omeprazole | 93 | 39 |
| Methylprednisolone | Methylprednisolone | 91 | 83 |
| Lisinopril | Lisinopril | 90 | 35 |
| Pantoprazole Sodium | Pantoprazole Sodium | 86 | 32 |
| Hydrochlorothiazide | Hydrochlorothiazide | 76 | 31 |
| Gabapentin | Gabapentin | 65 | 27 |
| Metformin Hcl | Metformin Hcl | 64 | 28 |
| Fluticasone Propionate | Fluticasone Propionate | 60 | 29 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 54 | 50 |
| Eliquis | Apixaban | 50 | 13 |
| Sertraline Hcl | Sertraline Hcl | 48 | 17 |
| Prednisone | Prednisone | 47 | 38 |
| Famotidine | Famotidine | 44 | 20 |
| Azithromycin | Azithromycin | 42 | 38 |
| Potassium Chloride | Potassium Chloride | 40 | 13 |
| Bupropion Xl | Bupropion Hcl | 38 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 38 | 11 |
| Aripiprazole | Aripiprazole | 36 | 15 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 36 | 16 |
| Trazodone Hcl | Trazodone Hcl | 36 | 13 |
| Metoprolol Succinate | Metoprolol Succinate | 34 | 16 |
| Ozempic | Semaglutide | 33 | suppressed |
| Allopurinol | Allopurinol | 32 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 31 | 29 |
| Furosemide | Furosemide | 31 | 13 |
| Mounjaro | Tirzepatide | 31 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 30 | 30 |
| Duloxetine Hcl | Duloxetine Hcl | 30 | 12 |
| Carvedilol | Carvedilol | 29 | 12 |
| Ibuprofen | Ibuprofen | 29 | 13 |
| Tamsulosin Hcl | Tamsulosin Hcl | 29 | 11 |
| Clopidogrel | Clopidogrel Bisulfate | 27 | 11 |
| Myrbetriq | Mirabegron | 27 | suppressed |
| Fluconazole | Fluconazole | 26 | 17 |
| Jardiance | Empagliflozin | 26 | 12 |
| Synthroid | Levothyroxine Sodium | 26 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 25 | 24 |
| Nystatin | Nystatin | 25 | 17 |
| Pravastatin Sodium | Pravastatin Sodium | 25 | suppressed |
| Acyclovir | Acyclovir | 23 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 22 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 22 | 16 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 21 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 21 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 21 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 19 | 16 |
| Meloxicam | Meloxicam | 18 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 17 | suppressed |
| Ondansetron Odt | Ondansetron | 17 | 15 |
| Rizatriptan | Rizatriptan Benzoate | 17 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 15 | suppressed |
| Mirtazapine | Mirtazapine | 15 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 15 | 14 |
| Chlorthalidone | Chlorthalidone | 14 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 14 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 14 | suppressed |
| Atenolol | Atenolol | 13 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 13 | 11 |
| Celecoxib | Celecoxib | 13 | suppressed |
| Irbesartan | Irbesartan | 13 | suppressed |
| Simvastatin | Simvastatin | 13 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 12 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 12 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 11 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 11 | suppressed |
| Glimepiride | Glimepiride | 11 | suppressed |
| Mupirocin | Mupirocin | 11 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 11 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine 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 | $959.86 · 47 records | GlaxoSmithKline, LLC. | AIRSUPRA, AREXVY, BREZTRI, CHARTIS CATHETER, Cologuard Collection Kit, ELIQUIS, EVENITY, FREESTYLE LIBRE 3, INJECTAFER, INSPIRE, INTELLIS ADAPTIVESTIM, JARDIANCE, Korlym, LOREEV XR, MOUNJARO, NEFFY, NURTEC ODT, OTEZLA, OtoSight Middle Ear Scope, Ozempic, PULMONX CHARTIS TABLET CONSOLE, PYRUKYND, QULIPTA, REPATHA, REXULTI, ROXYBOND, Rybelsus, SHINGRIX, TRELEGY ELLIPTA, The Cologuard Plus Collection Kit, UBRELVY, VOQUEZNA, Wegovy, YUPELRI, ZEPBOUND, ZEPHYR DELIVERY CATHETER, ZEPHYR ENDOBRONCHIAL VALVE | 6 | — |
| 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 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