Payment overview · 2025
General Payments
$661.78
5 reported records · 4 companies
Healthcare provider profile · identity verified
Vladimir A Lytchakov, MD
Allopathic & Osteopathic Physicians|Internal Medicine · SPRINGFIELD, IL · NPI 1184617201
Verified facts
What the public records show
CMS Open Payments records show Vladimir A Lytchakov, MD received $661.78 in general payments during 2025 across 5 reported records.
Novo Nordisk Inc accounted for 37.5% 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: Ozempic, Wegovy.
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 82 claims for Ozempic 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 Rybelsus as an associated drug or biological on 161257 records involving 55409 distinct recipient NPIs. Public Medicare Part D data also shows 51 claims for Rybelsus 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 Wegovy as an associated drug or biological on 183056 records involving 75256 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Wegovy 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 |
|---|---|---|---|---|---|
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $248.16 | 37.5% | 2 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $145.32 | 22.0% | 1 | 2025 |
| Madrigal Pharmaceuticals | Unresolved — no canonical attribution shown | $145.04 | 21.9% | 1 | 2025 |
| Phathom Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $123.26 | 18.6% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $661.78 | 5 |
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 |
|---|---|---|---|---|---|
| KRYSTEXXA Normalized: krystexxa |
Biological | Amgen Inc. | $145.32 | 1 | 2025 |
Source payment records
|
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| REZDIFFRA Normalized: rezdiffra |
Drug | Madrigal Pharmaceuticals | $145.04 | 1 | 2025 |
Source payment records
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $124.90 | 1 | 2025 |
Source payment records
|
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| VOQUEZNA Normalized: voquezna |
Drug | Phathom Pharmaceuticals, Inc. | $123.26 | 1 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $123.26 | 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 |
|---|---|---|---|---|---|---|
| Ozempic ozempic |
2025 | Ozempic | 2024 | 82 | exact normalized | Medicare Part D |
| Wegovy wegovy |
2025 | Wegovy | 2024 | 11 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 |
|---|---|---|---|---|---|---|
| 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 |
82 | 25 |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Rybelsus open payments reported associated product |
CMS Open Payments — General Payments 161257 supporting records · 55409 recipient NPIs · example record 1188130076 |
Rybelsus · 2024 Exact normalized brand match · 1 Part D row |
51 | suppressed by CMS |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Wegovy open payments reported associated product |
CMS Open Payments — General Payments 183056 supporting records · 75256 recipient NPIs · example record 1188130070 |
Wegovy · 2024 Exact normalized brand match · 1 Part D row |
11 | 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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 915 | 234 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 683 | 189 |
| Amlodipine Besylate | Amlodipine Besylate | 654 | 158 |
| Losartan Potassium | Losartan Potassium | 450 | 120 |
| Omeprazole | Omeprazole | 387 | 108 |
| Levothyroxine Sodium | Levothyroxine Sodium | 379 | 90 |
| Metformin Hcl | Metformin Hcl | 373 | 101 |
| Metoprolol Succinate | Metoprolol Succinate | 355 | 95 |
| Lisinopril | Lisinopril | 302 | 78 |
| Hydrochlorothiazide | Hydrochlorothiazide | 254 | 72 |
| Eliquis | Apixaban | 225 | 48 |
| Trazodone Hcl | Trazodone Hcl | 220 | 50 |
| Pantoprazole Sodium | Pantoprazole Sodium | 210 | 58 |
| Pravastatin Sodium | Pravastatin Sodium | 189 | 49 |
| Escitalopram Oxalate | Escitalopram Oxalate | 186 | 49 |
| Furosemide | Furosemide | 182 | 52 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 182 | 43 |
| Allopurinol | Allopurinol | 179 | 52 |
| Trulicity | Dulaglutide | 174 | 32 |
| Duloxetine Hcl | Duloxetine Hcl | 171 | 39 |
| Gabapentin | Gabapentin | 165 | 41 |
| Jardiance | Empagliflozin | 165 | 37 |
| Abrysvo | Rsv Vacc, Pref A And Pref B/Pf | 160 | 160 |
| Pioglitazone Hcl | Pioglitazone Hcl | 153 | 43 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 149 | 40 |
| Tramadol Hcl | Tramadol Hcl | 147 | 42 |
| Famotidine | Famotidine | 146 | 39 |
| Carvedilol | Carvedilol | 143 | 48 |
| Warfarin Sodium | Warfarin Sodium | 143 | 23 |
| Metoprolol Tartrate | Metoprolol Tartrate | 140 | 36 |
| Tamsulosin Hcl | Tamsulosin Hcl | 136 | 39 |
| Simvastatin | Simvastatin | 126 | 36 |
| Ezetimibe | Ezetimibe | 122 | 39 |
| Alprazolam | Alprazolam | 120 | 19 |
| Sertraline Hcl | Sertraline Hcl | 110 | 23 |
| Valsartan | Valsartan | 110 | 29 |
| Clopidogrel | Clopidogrel Bisulfate | 90 | 21 |
| Paroxetine Hcl | Paroxetine Hcl | 88 | 16 |
| Potassium Chloride | Potassium Chloride | 87 | 26 |
| Zolpidem Tartrate | Zolpidem Tartrate | 87 | 13 |
| Ozempic | Semaglutide | 82 | 25 |
| Farxiga | Dapagliflozin Propanediol | 81 | 22 |
| Atenolol | Atenolol | 78 | 21 |
| Celecoxib | Celecoxib | 72 | 12 |
| Fluticasone Propionate | Fluticasone Propionate | 65 | 32 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 63 | 27 |
| Irbesartan | Irbesartan | 62 | 16 |
| Mounjaro | Tirzepatide | 61 | 11 |
| Shingrix | Varicella-Zoster Ge/As01b/Pf | 59 | 53 |
| Donepezil Hcl | Donepezil Hcl | 57 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 57 | 14 |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 56 | 14 |
| Lorazepam | Lorazepam | 55 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 54 | 12 |
| Spironolactone | Spironolactone | 53 | 17 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 51 | 14 |
| Rybelsus | Semaglutide | 51 | suppressed |
| Stiolto Respimat | Tiotropium Br/Olodaterol Hcl | 50 | suppressed |
| Tolterodine Tartrate Er | Tolterodine Tartrate | 48 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 46 | 21 |
| Hydralazine Hcl | Hydralazine Hcl | 45 | 13 |
| Buspirone Hcl | Buspirone Hcl | 44 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 42 | suppressed |
| Oxcarbazepine | Oxcarbazepine | 42 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 40 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 40 | 12 |
| Clonazepam | Clonazepam | 38 | suppressed |
| Pregabalin | Pregabalin | 38 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 34 | 11 |
| Glipizide Er | Glipizide | 34 | suppressed |
| Mirtazapine | Mirtazapine | 34 | suppressed |
| Temazepam | Temazepam | 34 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 34 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 33 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 33 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 32 | suppressed |
| Nifedipine Er | Nifedipine | 31 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 30 | suppressed |
| Glimepiride | Glimepiride | 29 | suppressed |
| Adacel Tdap | Diph,pertuss(Acell),tet Vac/Pf | 28 | 28 |
| Glipizide | Glipizide | 28 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 28 | 23 |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 28 | suppressed |
| Levetiracetam | Levetiracetam | 27 | suppressed |
| Prednisone | Prednisone | 27 | 14 |
| Fluoxetine Hcl | Fluoxetine Hcl | 26 | suppressed |
| Meloxicam | Meloxicam | 26 | suppressed |
| Tradjenta | Linagliptin | 25 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 24 | suppressed |
| Nitroglycerin | Nitroglycerin | 24 | 11 |
| Bupropion Xl | Bupropion Hcl | 23 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 23 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 22 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 21 | 17 |
| Indapamide | Indapamide | 21 | suppressed |
| Lamotrigine | Lamotrigine | 21 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 21 | suppressed |
| Nateglinide | Nateglinide | 20 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 20 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 20 | suppressed |
| Torsemide | Torsemide | 20 | suppressed |
| Morphine Sulfate Er | Morphine Sulfate | 19 | suppressed |
| Nexlizet | Bempedoic Acid/Ezetimibe | 19 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 18 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 17 | suppressed |
| Chlorthalidone | Chlorthalidone | 17 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 17 | suppressed |
| Januvia | Sitagliptin Phosphate | 17 | suppressed |
| Ramipril | Ramipril | 17 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 16 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 16 | suppressed |
| Amlodipine-Valsartan | Amlodipine Besylate/Valsartan | 15 | suppressed |
| Breyna | Budesonide/Formoterol Fumarate | 15 | suppressed |
| Irbesartan-Hydrochlorothiazide | Irbesartan/Hydrochlorothiazide | 15 | suppressed |
| Atenolol-Chlorthalidone | Atenolol/Chlorthalidone | 14 | suppressed |
| Mesalamine | Mesalamine | 14 | suppressed |
| Nortriptyline Hcl | Nortriptyline Hcl | 14 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 14 | suppressed |
| Synthroid | Levothyroxine Sodium | 14 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 14 | suppressed |
| Xarelto | Rivaroxaban | 14 | suppressed |
| Fenofibrate | Fenofibrate | 13 | suppressed |
| Lansoprazole | Lansoprazole | 13 | suppressed |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 12 | suppressed |
| Calcitonin-Salmon | Calcitonin,salmon,synthetic | 12 | suppressed |
| Colestipol Hcl | Colestipol Hcl | 12 | suppressed |
| Diazepam | Diazepam | 12 | suppressed |
| Gemtesa | Vibegron | 12 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 12 | suppressed |
| Solifenacin Succinate | Solifenacin Succinate | 12 | suppressed |
| Terbinafine Hcl | Terbinafine Hcl | 12 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 11 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 11 | 11 |
| Bisoprolol Fumarate | Bisoprolol Fumarate | 11 | suppressed |
| Icosapent Ethyl | Icosapent Ethyl | 11 | suppressed |
| Nystatin | Nystatin | 11 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 11 | 11 |
| Ultra-Fine Short Pen Needle | Pen Needle, Diabetic | 11 | suppressed |
| Vascepa | Icosapent Ethyl | 11 | suppressed |
| Wegovy | Semaglutide | 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 | $661.78 · 5 records | Novo Nordisk Inc | KRYSTEXXA, Ozempic, REZDIFFRA, VOQUEZNA, Wegovy | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Ozempic play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Novo Nordisk 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