Healthcare provider profile · identity verified

Gary L. Howard, M.D.

Allopathic & Osteopathic Physicians|Internal Medicine · CALERA, AL · NPI 1194714428

Profile state: payments and partd Open Payments: 2025 Medicare Part D: 2024 Last identity check: 2026-08-10 Page data build: 2026-08-12

Verified facts

What the public records show

CMS Open Payments records show Gary L. Howard, M.D. received $134.96 in general payments during 2025 across 7 reported records.

AstraZeneca Pharmaceuticals LP accounted for 29.9% of that reported general-payment amount.

The Open Payments records used for this analysis explicitly named 7 associated products.

A separate comparison found the same explicitly named product in public Medicare Part D data: Farxiga, Ozempic, Rybelsus.

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 169 claims for Farxiga by this doctor in 2024.

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 SYMBICORT as an associated drug or biological on 71 records involving 51 distinct recipient NPIs. Public Medicare Part D data also shows 25 claims for Symbicort 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 430 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 14 claims for Rybelsus by this doctor in 2024.

These records do not establish that a payment influenced prescribing or medical care.

Payment overview · 2025

General Payments

$134.96

7 reported records · 5 companies

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 companyCanonical companyAmountShareRecordsYear
AstraZeneca Pharmaceuticals LP Unresolved — no canonical attribution shown $40.3029.9%22025
Abbott Laboratories Unresolved — no canonical attribution shown $37.4627.8%22025
Novo Nordisk Inc Unresolved — no canonical attribution shown $24.7618.4%12025
Antares Pharma, Inc. Unresolved — no canonical attribution shown $18.3313.6%12025
Amgen Inc. Unresolved — no canonical attribution shown $14.1110.4%12025

What were the payments for?

Payment categories

CategoryAmountRecords
Food and Beverage$134.967

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 productTypeReported companyRelated amount*RecordsYear
FARXIGA
Normalized: farxiga
Drug AstraZeneca Pharmaceuticals LP $40.30 2 2025
Source payment records
FREESTYLE LIBRE 3
Normalized: freestyle libre 3
Device Abbott Laboratories $37.46 2 2025
Source payment records
Ozempic
Normalized: ozempic
Drug Novo Nordisk Inc $24.76 1 2025
Source payment records
Rybelsus
Normalized: rybelsus
Drug Novo Nordisk Inc $24.76 1 2025
Source payment records
XYOSTED
Normalized: xyosted
Drug Antares Pharma, Inc. $18.33 1 2025
Source payment records
OTEZLA
Normalized: otezla
Drug Amgen Inc. $14.11 1 2025
Source payment records
REPATHA
Normalized: repatha
Biological Amgen Inc. $14.11 1 2025
Source payment records

* 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 productPayment yearPart D brandPart D yearClaimsMatch methodSource
FARXIGA
farxiga
2025 Farxiga 2024 169 exact normalized Medicare Part D
Ozempic
ozempic
2025 Ozempic 2024 430 exact normalized Medicare Part D
Rybelsus
rybelsus
2025 Rybelsus 2024 14
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 companyPayment yearDrug reported by same entityOpen Payments evidencePart DClaimsBeneficiaries
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
169 42
AstraZeneca Pharmaceuticals LP
Exact reporting entity; no affiliate inference
2025 SYMBICORT
open payments reported associated product
CMS Open Payments — General Payments
71 supporting records · 51 recipient NPIs · example record 1206132610
Symbicort · 2024
Exact normalized brand match · 1 Part D row
25 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
430 82
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
14 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

BrandGenericClaimsBeneficiaries
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen820111
GabapentinGabapentin775138
Tizanidine HclTizanidine Hcl771205
Levothyroxine SodiumLevothyroxine Sodium761201
Pantoprazole SodiumPantoprazole Sodium628214
Atorvastatin CalciumAtorvastatin Calcium610201
Metformin HclMetformin Hcl495149
Rosuvastatin CalciumRosuvastatin Calcium484161
OzempicSemaglutide43082
FamotidineFamotidine371133
Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine36345
Tamsulosin HclTamsulosin Hcl322108
Amlodipine BesylateAmlodipine Besylate308102
Trazodone HclTrazodone Hcl30898
TopiramateTopiramate29297
EliquisApixaban28957
Albuterol Sulfate HfaAlbuterol Sulfate285120
LisinoprilLisinopril27579
SpironolactoneSpironolactone27499
Losartan PotassiumLosartan Potassium27292
Metoprolol SuccinateMetoprolol Succinate26992
LamotrigineLamotrigine26082
OmeprazoleOmeprazole24775
Ondansetron HclOndansetron Hcl24574
MethylprednisoloneMethylprednisolone233163
FurosemideFurosemide22685
CarvedilolCarvedilol21165
ValsartanValsartan20763
Quetiapine FumarateQuetiapine Fumarate20551
Doxycycline HyclateDoxycycline Hyclate203142
MeloxicamMeloxicam19370
MounjaroTirzepatide18640
Sertraline HclSertraline Hcl18055
Fluticasone PropionateFluticasone Propionate173103
Diclofenac SodiumDiclofenac Sodium17269
FarxigaDapagliflozin Propanediol16942
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen16929
Metoprolol TartrateMetoprolol Tartrate16554
Potassium ChloridePotassium Chloride16364
Doxepin HclDoxepin Hcl15059
Valsartan-HydrochlorothiazideValsartan/Hydrochlorothiazide14845
PrednisonePrednisone147104
Montelukast SodiumMontelukast Sodium14048
AmoxicillinAmoxicillin13697
SimvastatinSimvastatin13439
GlimepirideGlimepiride13142
Pravastatin SodiumPravastatin Sodium13141
Propranolol HclPropranolol Hcl13146
LinzessLinaclotide12749
MyrbetriqMirabegron11728
Tramadol HclTramadol Hcl11628
Ropinirole HclRopinirole Hcl11437
Buspirone HclBuspirone Hcl11341
JardianceEmpagliflozin11227
FluconazoleFluconazole11166
ClopidogrelClopidogrel Bisulfate10736
MirtazapineMirtazapine10738
OlanzapineOlanzapine10739
AzithromycinAzithromycin10382
Escitalopram OxalateEscitalopram Oxalate10333
JanuviaSitagliptin Phosphate10222
Risedronate SodiumRisedronate Sodium10044
Citalopram HbrCitalopram Hydrobromide9829
Minocycline HclMinocycline Hcl9870
Triamcinolone AcetonideTriamcinolone Acetonide9858
Imipramine HclImipramine Hcl9733
Pioglitazone HclPioglitazone Hcl9633
CefuroximeCefuroxime Axetil9581
Esomeprazole MagnesiumEsomeprazole Magnesium9228
RizatriptanRizatriptan Benzoate9236
Ciprofloxacin HclCiprofloxacin Hcl9172
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide9031
Hydroxyzine HclHydroxyzine Hcl8534
Trelegy ElliptaFluticasone/Umeclidin/Vilanter8526
Clonidine HclClonidine Hcl8428
Lantus SolostarInsulin Glargine,hum.Rec.Anlog8428
TelmisartanTelmisartan8427
Duloxetine HclDuloxetine Hcl8227
ColchicineColchicine8027
Metoclopramide HclMetoclopramide Hcl8054
AllopurinolAllopurinol7923
Oxybutynin Chloride ErOxybutynin Chloride7929
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide7827
EzetimibeEzetimibe7729
Fluoxetine HclFluoxetine Hcl7622
Meclizine HclMeclizine Hcl7636
Terbinafine HclTerbinafine Hcl7634
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst7547
Ondansetron OdtOndansetron7337
HydrochlorothiazideHydrochlorothiazide7028
NystatinNystatin7029
AlprazolamAlprazolam69suppressed
Bupropion Hcl SrBupropion Hcl6924
Metformin Hcl ErMetformin Hcl6824
TrulicityDulaglutide6612
CelecoxibCelecoxib6517
EstradiolEstradiol6427
SynthroidLevothyroxine Sodium6411
Amlodipine Besylate-BenazeprilAmlodipine Besylate/Benazepril6122
CarbamazepineCarbamazepine6128
Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine61suppressed
LevofloxacinLevofloxacin6154
ValacyclovirValacyclovir Hcl6029
AripiprazoleAripiprazole5924
Sumatriptan SuccinateSumatriptan Succinate5913
Levocetirizine DihydrochlorideLevocetirizine Dihydrochloride5821
Testosterone CypionateTestosterone Cypionate5512
Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid5521
Mometasone FuroateMometasone Furoate5226
Naltrexone HclNaltrexone Hcl5219
LovastatinLovastatin5016
Oxybutynin ChlorideOxybutynin Chloride5023
Toujeo SolostarInsulin Glargine,hum.Rec.Anlog50suppressed
MupirocinMupirocin4930
ChlorthalidoneChlorthalidone4818
TestosteroneTestosterone4812
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav4744
AtenololAtenolol4613
Colestipol HclColestipol Hcl4615
PregabalinPregabalin4612
Bupropion XlBupropion Hcl4514
CephalexinCephalexin4525
LidocaineLidocaine4513
Isosorbide Mononitrate ErIsosorbide Mononitrate4416
Lithium CarbonateLithium Carbonate4315
Methylphenidate HclMethylphenidate Hcl43suppressed
Amitriptyline HclAmitriptyline Hcl4213
Telmisartan-HydrochlorothiazidTelmisartan/Hydrochlorothiazid4113
ZonisamideZonisamide4119
LansoprazoleLansoprazole4014
Paroxetine HclParoxetine Hcl4015
RisperidoneRisperidone40suppressed
XareltoRivaroxaban40suppressed
ZafirlukastZafirlukast40suppressed
Niacin ErNiacin39suppressed
Venlafaxine Hcl ErVenlafaxine Hcl38suppressed
ClonazepamClonazepam37suppressed
Dicyclomine HclDicyclomine Hcl3715
Hydralazine HclHydralazine Hcl3712
IrbesartanIrbesartan37suppressed
PrimidonePrimidone3712
Desvenlafaxine Succinate ErDesvenlafaxine Succinate3613
Hydroxychloroquine SulfateHydroxychloroquine Sulfate3615
Amiloride-HydrochlorothiazideAmiloride/Hydrochlorothiazide3512
BaclofenBaclofen35suppressed
DexamethasoneDexamethasone3530
Diltiazem 24hr Er (Cd)Diltiazem Hcl35suppressed
Divalproex SodiumDivalproex Sodium35suppressed
Donepezil HclDonepezil Hcl3516
Zolpidem TartrateZolpidem Tartrate35suppressed
IbuprofenIbuprofen3417
NabumetoneNabumetone3417
Alendronate SodiumAlendronate Sodium33suppressed
Divalproex Sodium ErDivalproex Sodium3311
NaproxenNaproxen3312
LorazepamLorazepam32suppressed
Glipizide ErGlipizide3111
MetronidazoleMetronidazole3123
FinasterideFinasteride3012
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim3027
Memantine HclMemantine Hcl2913
SucralfateSucralfate2912
Clindamycin HclClindamycin Hcl2818
Nano 2nd Gen Pen NeedlePen Needle, Diabetic2812
GlipizideGlipizide27suppressed
Pramipexole DihydrochloridePramipexole Di-Hcl27suppressed
Atomoxetine HclAtomoxetine Hcl26suppressed
Pilocarpine HclPilocarpine Hcl26suppressed
TorsemideTorsemide2612
LevetiracetamLevetiracetam25suppressed
Promethazine HclPromethazine Hcl25suppressed
SymbicortBudesonide/Formoterol Fumarate25suppressed
Varenicline TartrateVarenicline Tartrate25suppressed
Breo ElliptaFluticasone/Vilanterol2411
LetrozoleLetrozole24suppressed
Warfarin SodiumWarfarin Sodium24suppressed
BumetanideBumetanide23suppressed
LoperamideLoperamide Hcl2318
Azelastine HclAzelastine Hcl2212
Clobetasol PropionateClobetasol Propionate22suppressed
Doxazosin MesylateDoxazosin Mesylate22suppressed
GemtesaVibegron2211
Labetalol HclLabetalol Hcl22suppressed
MethotrexateMethotrexate Sodium21suppressed
Olmesartan MedoxomilOlmesartan Medoxomil21suppressed
Propranolol Hcl ErPropranolol Hcl21suppressed
Tresiba Flextouch U-200Insulin Degludec21suppressed
Solifenacin SuccinateSolifenacin Succinate20suppressed
Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog19suppressed
ConstuloseLactulose19suppressed
Diphenoxylate-AtropineDiphenoxylate Hcl/Atropine19suppressed
LactuloseLactulose19suppressed
Ranolazine ErRanolazine19suppressed
ShingrixVaricella-Zoster Ge/As01b/Pf1913
Bupropion HclBupropion Hcl18suppressed
MethocarbamolMethocarbamol18suppressed
TradjentaLinagliptin18suppressed
Ultra-Fine Mini Pen NeedlePen Needle, Diabetic18suppressed
ArexvyRsvpref3 Antigen/As01e/Pf1717
BreynaBudesonide/Formoterol Fumarate17suppressed
EntrestoSacubitril/Valsartan17suppressed
Humalog Kwikpen U-100Insulin Lispro17suppressed
MetolazoneMetolazone17suppressed
Omega-3 Acid Ethyl EstersOmega-3 Acid Ethyl Esters17suppressed
Sildenafil CitrateSildenafil Citrate17suppressed
AcyclovirAcyclovir16suppressed
Olmesartan-HydrochlorothiazideOlmesartan/Hydrochlorothiazide16suppressed
Oxycodone HclOxycodone Hcl16suppressed
Venlafaxine HclVenlafaxine Hcl16suppressed
Ventolin HfaAlbuterol Sulfate16suppressed
Amiodarone HclAmiodarone Hcl15suppressed
ClarithromycinClarithromycin1512
Cyclobenzaprine HclCyclobenzaprine Hcl15suppressed
Dexlansoprazole DrDexlansoprazole15suppressed
Nebivolol HclNebivolol Hcl15suppressed
PremarinEstrogens, Conjugated15suppressed
RexultiBrexpiprazole15suppressed
Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog15suppressed
TrintellixVortioxetine Hydrobromide15suppressed
Cyproheptadine HclCyproheptadine Hcl14suppressed
LantusInsulin Glargine,hum.Rec.Anlog14suppressed
RybelsusSemaglutide14suppressed
Ultra-Fine Nano Pen NeedlePen Needle, Diabetic14suppressed
Vitamin D2Ergocalciferol (Vitamin D2)14suppressed
DigoxinDigoxin13suppressed
LacosamideLacosamide13suppressed
Neomycin-Polymyxin-HcNeomycin/Polymyxin B/Hydrocort1313
Nifedipine ErNifedipine13suppressed
NitroglycerinNitroglycerin13suppressed
Ammonium LactateAmmonium Lactate1211
CaplytaLumateperone Tosylate12suppressed
Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip1212
Fluticasone-SalmeterolFluticasone Propion/Salmeterol12suppressed
Methadone HclMethadone Hcl12suppressed
Nurtec OdtRimegepant Sulfate12suppressed
RamiprilRamipril12suppressed
Bisoprolol FumarateBisoprolol Fumarate11suppressed
Carbidopa-LevodopaCarbidopa/Levodopa11suppressed
Fludrocortisone AcetateFludrocortisone Acetate11suppressed
HydrocortisoneHydrocortisone11suppressed
Klor-Con 10Potassium Chloride11suppressed
Novolog FlexpenInsulin Aspart11suppressed
Spiriva RespimatTiotropium Bromide11suppressed
Ultra-Fine Short Pen NeedlePen Needle, Diabetic11suppressed

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.

YearGeneral PaymentsMain payerExplicit productsCompany overlapsPart D coverage
2025 $134.96 · 7 records AstraZeneca Pharmaceuticals LP FARXIGA, FREESTYLE LIBRE 3, OTEZLA, Ozempic, REPATHA, Rybelsus, XYOSTED 4
2024 Complete

Questions to ask

Questions you could discuss with your doctor

These are general questions generated from reviewed templates. They are not personalized medical advice.

Sources and limitations

How to read this page

Loaded source releases

DatasetYearPublicationSource
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

Methodology version: 2.1

Editorial template version: 2.4

Product contract version: 2.0

Schema version: 0.7.0

Page data build: 2026-08-12T23:34:59.370714+00:00

Publication policy: eligible for indexing after public-launch controls are enabled

Full methodology · Questions & answers · Report a possible error