Payment overview · 2025
General Payments
$123.68
5 reported records · 3 companies
Healthcare provider profile · identity verified
Tilak Pokharel, MD
Allopathic & Osteopathic Physicians|Family Medicine · WEST END, NC · NPI 1255737045
Verified facts
What the public records show
CMS Open Payments records show Tilak Pokharel, MD received $123.68 in general payments during 2025 across 5 reported records.
Novo Nordisk Inc accounted for 54.9% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 4 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Mounjaro.
Astellas Pharma US 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 Myrbetriq as an associated drug or biological on 16 records involving 16 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Myrbetriq 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 248 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 69 claims for Mounjaro 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 TRULICITY as an associated drug or biological on 71 records involving 57 distinct recipient NPIs. Public Medicare Part D data also shows 97 claims for Trulicity 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 187 claims for Ozempic 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 | $67.87 | 54.9% | 2 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $42.04 | 34.0% | 2 | 2025 |
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $13.77 | 11.1% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $123.68 | 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 |
|---|---|---|---|---|---|
| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $67.87 | 2 | 2025 |
Source payment records
|
|||||
| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $42.04 | 2 | 2025 |
Source payment records
|
|||||
| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $42.04 | 2 | 2025 |
Source payment records
|
|||||
| Veozah Normalized: veozah |
Drug | Astellas Pharma US Inc | $13.77 | 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 |
|---|---|---|---|---|---|---|
| MOUNJARO mounjaro |
2025 | Mounjaro | 2024 | 69 | 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 |
|---|---|---|---|---|---|---|
| Astellas Pharma US Inc Exact reporting entity; no affiliate inference |
2025 | Myrbetriq open payments reported associated product |
CMS Open Payments — General Payments 16 supporting records · 16 recipient NPIs · example record 1238599014 |
Myrbetriq · 2024 Exact normalized brand match · 1 Part D row |
11 | 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 |
248 | 44 |
| 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 |
69 | 16 |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | TRULICITY open payments reported associated product |
CMS Open Payments — General Payments 71 supporting records · 57 recipient NPIs · example record 1186464601 |
Trulicity · 2024 Exact normalized brand match · 1 Part D row |
97 | 17 |
| 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 |
187 | 35 |
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 | 821 | 189 |
| Amlodipine Besylate | Amlodipine Besylate | 621 | 141 |
| Losartan Potassium | Losartan Potassium | 460 | 107 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 419 | 95 |
| Lisinopril | Lisinopril | 369 | 84 |
| Gabapentin | Gabapentin | 312 | 65 |
| Omeprazole | Omeprazole | 307 | 68 |
| Metformin Hcl | Metformin Hcl | 305 | 66 |
| Pantoprazole Sodium | Pantoprazole Sodium | 266 | 57 |
| Metoprolol Succinate | Metoprolol Succinate | 260 | 57 |
| Jardiance | Empagliflozin | 248 | 44 |
| Tamsulosin Hcl | Tamsulosin Hcl | 233 | 53 |
| Hydrochlorothiazide | Hydrochlorothiazide | 216 | 57 |
| Levothyroxine Sodium | Levothyroxine Sodium | 211 | 49 |
| Ozempic | Semaglutide | 187 | 35 |
| Prednisone | Prednisone | 187 | 108 |
| Furosemide | Furosemide | 175 | 43 |
| Potassium Chloride | Potassium Chloride | 170 | 38 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 149 | 45 |
| Eliquis | Apixaban | 146 | 30 |
| Escitalopram Oxalate | Escitalopram Oxalate | 144 | 28 |
| Trazodone Hcl | Trazodone Hcl | 137 | 37 |
| Spironolactone | Spironolactone | 135 | 28 |
| Carvedilol | Carvedilol | 128 | 34 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 124 | 28 |
| Fluticasone Propionate | Fluticasone Propionate | 122 | 43 |
| Mirtazapine | Mirtazapine | 115 | 29 |
| Simvastatin | Simvastatin | 114 | 29 |
| Metformin Hcl Er | Metformin Hcl | 113 | 34 |
| Pravastatin Sodium | Pravastatin Sodium | 113 | 25 |
| Metoprolol Tartrate | Metoprolol Tartrate | 111 | 25 |
| Ezetimibe | Ezetimibe | 106 | 22 |
| Sertraline Hcl | Sertraline Hcl | 106 | 20 |
| Fluoxetine Hcl | Fluoxetine Hcl | 103 | 14 |
| Tizanidine Hcl | Tizanidine Hcl | 98 | 28 |
| Trulicity | Dulaglutide | 97 | 17 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 89 | 21 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 82 | 21 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 80 | 15 |
| Finasteride | Finasteride | 76 | 21 |
| Amitriptyline Hcl | Amitriptyline Hcl | 74 | 18 |
| Allopurinol | Allopurinol | 73 | 17 |
| Mounjaro | Tirzepatide | 69 | 16 |
| Glimepiride | Glimepiride | 56 | 14 |
| Atenolol | Atenolol | 55 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 53 | 18 |
| Pregabalin | Pregabalin | 53 | 15 |
| Ropinirole Hcl | Ropinirole Hcl | 52 | suppressed |
| Chlorthalidone | Chlorthalidone | 51 | 11 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 51 | 15 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 50 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 48 | 39 |
| Meloxicam | Meloxicam | 48 | 14 |
| Methylprednisolone | Methylprednisolone | 48 | 40 |
| Montelukast Sodium | Montelukast Sodium | 48 | 15 |
| Alprazolam | Alprazolam | 47 | 15 |
| Bupropion Xl | Bupropion Hcl | 47 | suppressed |
| Cephalexin | Cephalexin | 47 | 21 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 47 | 24 |
| Hydralazine Hcl | Hydralazine Hcl | 44 | 12 |
| Buspirone Hcl | Buspirone Hcl | 43 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 42 | 14 |
| Donepezil Hcl | Donepezil Hcl | 41 | suppressed |
| Synthroid | Levothyroxine Sodium | 41 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 40 | 15 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 39 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 39 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 38 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 36 | suppressed |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 33 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 32 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 32 | suppressed |
| Xarelto | Rivaroxaban | 32 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 31 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 31 | 13 |
| Paroxetine Hcl | Paroxetine Hcl | 30 | suppressed |
| Fluconazole | Fluconazole | 29 | suppressed |
| Spiriva Handihaler | Tiotropium Bromide | 29 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 28 | suppressed |
| Famotidine | Famotidine | 28 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 28 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 27 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 27 | suppressed |
| Ramipril | Ramipril | 26 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 26 | suppressed |
| Promethazine Hcl | Promethazine Hcl | 25 | suppressed |
| Telmisartan-Hydrochlorothiazid | Telmisartan/Hydrochlorothiazid | 25 | suppressed |
| Bisoprolol Fumarate | Bisoprolol Fumarate | 23 | suppressed |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 23 | suppressed |
| Celecoxib | Celecoxib | 23 | 11 |
| Diltiazem 24hr Er | Diltiazem Hcl | 23 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 23 | 16 |
| Topiramate | Topiramate | 23 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 21 | suppressed |
| Janumet | Sitagliptin Phos/Metformin Hcl | 21 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 21 | 13 |
| Torsemide | Torsemide | 20 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 19 | 16 |
| Quetiapine Fumarate | Quetiapine Fumarate | 19 | suppressed |
| Naproxen | Naproxen | 18 | 12 |
| Sotalol | Sotalol Hcl | 18 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 17 | suppressed |
| Lorazepam | Lorazepam | 17 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 17 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 17 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 16 | suppressed |
| Lansoprazole | Lansoprazole | 16 | suppressed |
| Nitroglycerin | Nitroglycerin | 16 | suppressed |
| Novolog Mix 70-30 Flexpen | Insulin Aspart Prot/Insuln Asp | 16 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 16 | 14 |
| Amlodipine-Olmesartan | Amlodipine Bes/Olmesartan Med | 15 | suppressed |
| Amoxicillin | Amoxicillin | 15 | suppressed |
| Digoxin | Digoxin | 15 | suppressed |
| Ipratropium Bromide | Ipratropium Bromide | 15 | suppressed |
| Mesalamine | Mesalamine | 15 | suppressed |
| Colchicine | Colchicine | 14 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 14 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 14 | 14 |
| Propranolol Hcl | Propranolol Hcl | 14 | suppressed |
| Solifenacin Succinate | Solifenacin Succinate | 14 | suppressed |
| Ultra-Fine Short Pen Needle | Pen Needle, Diabetic | 14 | suppressed |
| Valsartan | Valsartan | 14 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 14 | suppressed |
| Armour Thyroid | Thyroid,pork | 13 | suppressed |
| Bupropion Hcl | Bupropion Hcl | 13 | suppressed |
| Incruse Ellipta | Umeclidinium Bromide | 13 | suppressed |
| Isosorbide Dinitrate | Isosorbide Dinitrate | 13 | suppressed |
| Linzess | Linaclotide | 13 | suppressed |
| Memantine Hcl | Memantine Hcl | 13 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 13 | suppressed |
| Advair Diskus | Fluticasone Propion/Salmeterol | 12 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 12 | suppressed |
| Klor-Con M20 | Potassium Chloride | 12 | suppressed |
| Prochlorperazine Maleate | Prochlorperazine Maleate | 12 | suppressed |
| Tradjenta | Linagliptin | 12 | suppressed |
| Varenicline Tartrate | Varenicline Tartrate | 12 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 11 | suppressed |
| Amlodipine-Atorvastatin | Amlodipine/Atorvastatin | 11 | suppressed |
| Arnuity Ellipta | Fluticasone Furoate | 11 | suppressed |
| Baclofen | Baclofen | 11 | suppressed |
| Estradiol | Estradiol | 11 | suppressed |
| Euthyrox | Levothyroxine Sodium | 11 | suppressed |
| Fenofibrate | Fenofibrate | 11 | suppressed |
| Flecainide Acetate | Flecainide Acetate | 11 | suppressed |
| Ibandronate Sodium | Ibandronate Sodium | 11 | suppressed |
| Latanoprost | Latanoprost | 11 | suppressed |
| Myrbetriq | Mirabegron | 11 | suppressed |
| Olmesartan-Hydrochlorothiazide | Olmesartan/Hydrochlorothiazide | 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 | $123.68 · 5 records | Novo Nordisk Inc | MOUNJARO, Veozah, Wegovy, ZEPBOUND | 5 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Mounjaro play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Astellas Pharma US 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