Payment overview · 2025
General Payments
$3,106.18
94 reported records · 31 companies
Healthcare provider profile · identity verified
Twinkle D Patel, PA-C
Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant · NORTH CHICAGO, IL · NPI 1205445293
Verified facts
What the public records show
CMS Open Payments records show Twinkle D Patel, PA-C received $3,106.18 in general payments during 2025 across 94 reported records.
AstraZeneca Pharmaceuticals LP accounted for 15.9% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 54 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Ibrance, Imbruvica.
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 IMBRUVICA as an associated drug or biological on 15599 records involving 6881 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Imbruvica by this doctor in 2024.
ARRAY BIOPHARMA 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 IBRANCE as an associated drug or biological on 54 records involving 52 distinct recipient NPIs. Public Medicare Part D data also shows 23 claims for Ibrance by this doctor in 2024.
Janssen Biotech, 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 IMBRUVICA as an associated drug or biological on 47 records involving 33 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Imbruvica 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 IBRANCE as an associated drug or biological on 11505 records involving 4934 distinct recipient NPIs. Public Medicare Part D data also shows 23 claims for Ibrance 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 | $495.48 | 15.9% | 14 | 2025 |
| Daiichi Sankyo Inc. | Unresolved — no canonical attribution shown | $279.09 | 9.0% | 4 | 2025 |
| Syndax Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $276.56 | 8.9% | 4 | 2025 |
| Incyte Corporation | Unresolved — no canonical attribution shown | $240.39 | 7.7% | 10 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $195.40 | 6.3% | 7 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $175.66 | 5.7% | 7 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $123.68 | 4.0% | 3 | 2025 |
| Exelixis Inc. | Unresolved — no canonical attribution shown | $120.89 | 3.9% | 1 | 2025 |
| Janssen Biotech, Inc. | Unresolved — no canonical attribution shown | $120.26 | 3.9% | 4 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $105.97 | 3.4% | 4 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $102.12 | 3.3% | 4 | 2025 |
| Myriad Genetic Laboratories, Inc. | Unresolved — no canonical attribution shown | $101.10 | 3.2% | 1 | 2025 |
| Tempus AI, Inc | Unresolved — no canonical attribution shown | $89.22 | 2.9% | 1 | 2025 |
| ARRAY BIOPHARMA INC | Unresolved — no canonical attribution shown | $80.43 | 2.6% | 3 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $73.15 | 2.4% | 3 | 2025 |
| Celgene Corporation | Unresolved — no canonical attribution shown | $56.41 | 1.8% | 3 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $52.48 | 1.7% | 2 | 2025 |
| Genentech USA, Inc. | Unresolved — no canonical attribution shown | $51.16 | 1.6% | 2 | 2025 |
| PharmaEssentia USA Corporation | Unresolved — no canonical attribution shown | $49.63 | 1.6% | 2 | 2025 |
| SERVIER PHARMACEUTICALS LLC | Unresolved — no canonical attribution shown | $47.20 | 1.5% | 2 | 2025 |
| Alexion Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $42.43 | 1.4% | 2 | 2025 |
| Azurity Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $37.32 | 1.2% | 2 | 2025 |
| JAZZ PHARMACEUTICALS INC. | Unresolved — no canonical attribution shown | $28.07 | 0.9% | 1 | 2025 |
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $27.45 | 0.9% | 1 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $27.36 | 0.9% | 1 | 2025 |
| Adaptive Biotechnologies Corporation | Unresolved — no canonical attribution shown | $21.99 | 0.7% | 1 | 2025 |
| Deciphera Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $21.23 | 0.7% | 1 | 2025 |
| Ipsen Biopharmaceuticals, Inc | Unresolved — no canonical attribution shown | $20.36 | 0.7% | 1 | 2025 |
| Geron Corporation | Unresolved — no canonical attribution shown | $18.88 | 0.6% | 1 | 2025 |
| PUMA BIOTECHNOLOGY, INC. | Unresolved — no canonical attribution shown | $16.23 | 0.5% | 1 | 2025 |
| pharmaand GmbH | Unresolved — no canonical attribution shown | $8.58 | 0.3% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $2,906.20 | 92 |
| Education | $199.98 | 2 |
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 |
|---|---|---|---|---|---|
| REVUFORJ Normalized: revuforj |
Drug | Syndax Pharmaceuticals, Inc. | $241.54 | 2 | 2025 |
Source payment records
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| LYNPARZA Normalized: lynparza |
Biological, Drug | AstraZeneca Pharmaceuticals LP, Merck Sharp & Dohme LLC | $224.79 | 5 | 2025 |
Source payment records
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| DATROWAY Normalized: datroway |
Drug | Daiichi Sankyo Inc. | $179.10 | 3 | 2025 |
Source payment records
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| KEYTRUDA Normalized: keytruda |
Biological | Merck Sharp & Dohme LLC | $175.66 | 7 | 2025 |
Source payment records
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| IMFINZI Normalized: imfinzi |
Biological | AstraZeneca Pharmaceuticals LP | $146.30 | 2 | 2025 |
Source payment records
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| ENHERTU Normalized: enhertu |
Biological, Drug | AstraZeneca Pharmaceuticals LP, Daiichi Sankyo Inc. | $145.43 | 3 | 2025 |
Source payment records
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| JAKAFI Normalized: jakafi |
Drug | Incyte Corporation | $140.40 | 9 | 2025 |
Source payment records
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| WAYRILZ Normalized: wayrilz |
Drug | GENZYME CORPORATION | $123.68 | 3 | 2025 |
Source payment records
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| CABOMETYX Normalized: cabometyx |
Drug | Exelixis Inc. | $120.89 | 1 | 2025 |
Source payment records
|
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| ERLEADA Normalized: erleada |
Drug | Janssen Biotech, Inc. | $120.26 | 4 | 2025 |
Source payment records
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| SCEMBLIX Normalized: scemblix |
Drug | Novartis Pharmaceuticals Corporation | $107.52 | 4 | 2025 |
Source payment records
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| JAYPIRCA Normalized: jaypirca |
Drug | Lilly USA, LLC | $105.97 | 4 | 2025 |
Source payment records
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| VERZENIO Normalized: verzenio |
Drug | Lilly USA, LLC | $105.97 | 4 | 2025 |
Source payment records
|
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| CALQUENCE Normalized: calquence |
Drug | AstraZeneca Pharmaceuticals LP | $102.13 | 5 | 2025 |
Source payment records
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| MYRISK Normalized: myrisk |
Device | Myriad Genetic Laboratories, Inc. | $101.10 | 1 | 2025 |
Source payment records
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| AKEEGA Normalized: akeega |
Drug | Janssen Biotech, Inc. | $97.39 | 3 | 2025 |
Source payment records
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| XT CDX Normalized: xt cdx |
Device | Tempus AI, Inc | $89.22 | 1 | 2025 |
Source payment records
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| KEYTRUDA QLEX Normalized: keytruda qlex |
Biological | Merck Sharp & Dohme LLC | $81.60 | 3 | 2025 |
Source payment records
|
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| BRAFTOVI Normalized: braftovi |
Drug | ARRAY BIOPHARMA INC | $80.43 | 3 | 2025 |
Source payment records
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| TUKYSA Normalized: tukysa |
Drug | ARRAY BIOPHARMA INC, PFIZER INC. | $69.02 | 3 | 2025 |
Source payment records
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| NINLARO Normalized: ninlaro |
Drug | Takeda Pharmaceuticals U.S.A., Inc. | $68.43 | 3 | 2025 |
Source payment records
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| KISQALI Normalized: kisqali |
Drug | Novartis Pharmaceuticals Corporation | $64.54 | 2 | 2025 |
Source payment records
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| WELIREG Normalized: welireg |
Drug | Merck Sharp & Dohme LLC | $61.76 | 3 | 2025 |
Source payment records
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| BALVERSA Normalized: balversa |
Drug | Janssen Biotech, Inc. | $58.84 | 2 | 2025 |
Source payment records
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| LORBRENA Normalized: lorbrena |
Drug | ARRAY BIOPHARMA INC | $58.27 | 2 | 2025 |
Source payment records
|
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| Nubeqa Normalized: nubeqa |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $52.48 | 2 | 2025 |
Source payment records
|
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| Xofigo Normalized: xofigo |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $52.48 | 2 | 2025 |
Source payment records
|
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| MEKTOVI Normalized: mektovi |
Drug | ARRAY BIOPHARMA INC | $51.32 | 2 | 2025 |
Source payment records
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| Itovebi Normalized: itovebi |
Biological | Genentech USA, Inc. | $51.16 | 2 | 2025 |
Source payment records
|
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| BESREMI Normalized: besremi |
Drug | PharmaEssentia USA Corporation | $49.63 | 2 | 2025 |
Source payment records
|
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| IBRANCE Normalized: ibrance |
Drug | PFIZER INC. | $46.86 | 2 | 2025 |
Source payment records
|
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| ULTOMIRIS Normalized: ultomiris |
Biological | Alexion Pharmaceuticals, Inc. | $42.43 | 2 | 2025 |
Source payment records
|
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| REBLOZYL Normalized: reblozyl |
Biological | Celgene Corporation | $36.84 | 2 | 2025 |
Source payment records
|
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| ALUNBRIG Normalized: alunbrig |
Drug | Takeda Pharmaceuticals U.S.A., Inc. | $33.69 | 1 | 2025 |
Source payment records
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| ZEPZELCA Normalized: zepzelca |
Drug | JAZZ PHARMACEUTICALS INC. | $28.07 | 1 | 2025 |
Source payment records
|
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| Xtandi Normalized: xtandi |
Drug | Astellas Pharma US Inc | $27.45 | 1 | 2025 |
Source payment records
|
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| EPKINLY Normalized: epkinly |
Drug | ABBVIE INC. | $27.36 | 1 | 2025 |
Source payment records
|
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| IMBRUVICA Normalized: imbruvica |
Drug | ABBVIE INC. | $27.36 | 1 | 2025 |
Source payment records
|
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| ADCETRIS Normalized: adcetris |
Biological | PFIZER INC. | $26.29 | 1 | 2025 |
Source payment records
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| BOSULIF Normalized: bosulif |
Drug | PFIZER INC. | $26.29 | 1 | 2025 |
Source payment records
|
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| ELREXFIO Normalized: elrexfio |
Drug | PFIZER INC. | $26.29 | 1 | 2025 |
Source payment records
|
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| Tibsovo Normalized: tibsovo |
Drug | SERVIER PHARMACEUTICALS LLC | $24.48 | 1 | 2025 |
Source payment records
|
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| PLUVICTO Normalized: pluvicto |
Drug | Novartis Pharmaceuticals Corporation | $23.34 | 1 | 2025 |
Source payment records
|
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| IDHIFA Normalized: idhifa |
Drug | SERVIER PHARMACEUTICALS LLC | $22.72 | 1 | 2025 |
Source payment records
|
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| clonoSEQ Normalized: clonoseq |
Device | Adaptive Biotechnologies Corporation | $21.99 | 1 | 2025 |
Source payment records
|
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| VIVIMUSTA Normalized: vivimusta |
Drug | Azurity Pharmaceuticals, Inc. | $21.28 | 1 | 2025 |
Source payment records
|
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| QINLOCK Normalized: qinlock |
Drug | Deciphera Pharmaceuticals Inc. | $21.23 | 1 | 2025 |
Source payment records
|
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| ROMVIMZA Normalized: romvimza |
Drug | Deciphera Pharmaceuticals Inc. | $21.23 | 1 | 2025 |
Source payment records
|
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| Bylvay Normalized: bylvay |
Drug | Ipsen Biopharmaceuticals, Inc | $20.36 | 1 | 2025 |
Source payment records
|
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| OPDUALAG Normalized: opdualag |
Drug | Celgene Corporation | $19.57 | 1 | 2025 |
Source payment records
|
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| RYTELO Normalized: rytelo |
Drug | Geron Corporation | $18.88 | 1 | 2025 |
Source payment records
|
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| NERLYNX Normalized: nerlynx |
Drug | PUMA BIOTECHNOLOGY, INC. | $16.23 | 1 | 2025 |
Source payment records
|
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| DANZITEN Normalized: danziten |
Drug | Azurity Pharmaceuticals, Inc. | $16.04 | 1 | 2025 |
Source payment records
|
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| Rubraca Normalized: rubraca |
Drug | pharmaand GmbH | $8.58 | 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 |
|---|---|---|---|---|---|---|
| IBRANCE ibrance |
2025 | Ibrance | 2024 | 23 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| IMBRUVICA imbruvica |
2025 | Imbruvica | 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 |
|---|---|---|---|---|---|---|
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | IMBRUVICA open payments reported associated product |
CMS Open Payments — General Payments 15599 supporting records · 6881 recipient NPIs · example record 1201352838 |
Imbruvica · 2024 Exact normalized brand match · 1 Part D row |
11 | suppressed by CMS |
| ARRAY BIOPHARMA INC Exact reporting entity; no affiliate inference |
2025 | IBRANCE open payments reported associated product |
CMS Open Payments — General Payments 54 supporting records · 52 recipient NPIs · example record 1228804288 |
Ibrance · 2024 Exact normalized brand match · 1 Part D row |
23 | suppressed by CMS |
| Janssen Biotech, Inc. Exact reporting entity; no affiliate inference |
2025 | IMBRUVICA open payments reported associated product |
CMS Open Payments — General Payments 47 supporting records · 33 recipient NPIs · example record 1174328453 |
Imbruvica · 2024 Exact normalized brand match · 1 Part D row |
11 | suppressed by CMS |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | IBRANCE open payments reported associated product |
CMS Open Payments — General Payments 11505 supporting records · 4934 recipient NPIs · example record 1228794164 |
Ibrance · 2024 Exact normalized brand match · 1 Part D row |
23 | 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 |
|---|---|---|---|
| Anastrozole | Anastrozole | 74 | 35 |
| Dexamethasone | Dexamethasone | 32 | 12 |
| Letrozole | Letrozole | 25 | 13 |
| Ibrance | Palbociclib | 23 | suppressed |
| Abiraterone Acetate | Abiraterone Acetate | 22 | suppressed |
| Prochlorperazine Maleate | Prochlorperazine Maleate | 22 | 13 |
| Alendronate Sodium | Alendronate Sodium | 18 | suppressed |
| Hydroxyurea | Hydroxyurea | 18 | suppressed |
| Lenalidomide | Lenalidomide | 17 | suppressed |
| Prednisone | Prednisone | 16 | suppressed |
| Deferasirox | Deferasirox | 15 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 15 | suppressed |
| Tamoxifen Citrate | Tamoxifen Citrate | 12 | suppressed |
| Gabapentin | Gabapentin | 11 | suppressed |
| Imbruvica | Ibrutinib | 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 | $3,106.18 · 94 records | AstraZeneca Pharmaceuticals LP | ADCETRIS, AKEEGA, ALUNBRIG, BALVERSA, BESREMI, BOSULIF, BRAFTOVI, Bylvay, CABOMETYX, CALQUENCE, DANZITEN, DATROWAY, ELREXFIO, ENHERTU, EPKINLY, ERLEADA, IBRANCE, IDHIFA, IMBRUVICA, IMFINZI, Itovebi, JAKAFI, JAYPIRCA, KEYTRUDA, KEYTRUDA QLEX, KISQALI, LORBRENA, LYNPARZA, MEKTOVI, MYRISK, NERLYNX, NINLARO, Nubeqa, OPDUALAG, PLUVICTO, QINLOCK, REBLOZYL, REVUFORJ, ROMVIMZA, RYTELO, Rubraca, SCEMBLIX, TUKYSA, Tibsovo, ULTOMIRIS, VERZENIO, VIVIMUSTA, WAYRILZ, WELIREG, XT CDX, Xofigo, Xtandi, ZEPZELCA, clonoSEQ | 4 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Ibrance 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