Payment overview · 2025
General Payments
1 reported records · 1 companies
Healthcare provider profile · identity verified
Allopathic & Osteopathic Physicians|General Practice · CIALES, PR · NPI 1295702504
Verified facts
CMS Open Payments records show Alberto Sastre, MD received $18.01 in general payments during 2025 across 1 reported records.
Eli Lilly Export S.A. Puerto Rico Branch accounted for 100.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 2 associated products.
These records do not establish that a payment influenced prescribing or medical care.
Payment overview · 2025
1 reported records · 1 companies
Separate record types
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?
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Eli Lilly Export S.A. Puerto Rico Branch | Unresolved — no canonical attribution shown | $18.01 | 100.0% | 1 | 2025 |
What were the payments for?
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $18.01 | 1 |
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
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| MOUNJARO Normalized: mounjaro |
Drug | Eli Lilly Export S.A. Puerto Rico Branch | $18.01 | 1 | 2025 |
Source payment records
|
|||||
| ZEPBOUND Normalized: zepbound |
Drug | Eli Lilly Export S.A. Puerto Rico Branch | $18.01 | 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.
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
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
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.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
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
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 1937 | 320 |
| Losartan Potassium | Losartan Potassium | 1283 | 208 |
| Famotidine | Famotidine | 1177 | 169 |
| Gabapentin | Gabapentin | 1147 | 168 |
| Amlodipine Besylate | Amlodipine Besylate | 1126 | 179 |
| Synthroid | Levothyroxine Sodium | 905 | 120 |
| Metformin Hcl | Metformin Hcl | 856 | 136 |
| Omeprazole | Omeprazole | 748 | 121 |
| Simvastatin | Simvastatin | 640 | 115 |
| Metoprolol Succinate | Metoprolol Succinate | 601 | 103 |
| Montelukast Sodium | Montelukast Sodium | 526 | 80 |
| Tamsulosin Hcl | Tamsulosin Hcl | 489 | 76 |
| Lisinopril | Lisinopril | 476 | 79 |
| Hydrochlorothiazide | Hydrochlorothiazide | 470 | 77 |
| Pioglitazone Hcl | Pioglitazone Hcl | 432 | 62 |
| Ezetimibe | Ezetimibe | 422 | 62 |
| Clopidogrel | Clopidogrel Bisulfate | 405 | 66 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 388 | 65 |
| Pantoprazole Sodium | Pantoprazole Sodium | 383 | 60 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 370 | 94 |
| Diclofenac Potassium | Diclofenac Potassium | 368 | 105 |
| Alendronate Sodium | Alendronate Sodium | 344 | 45 |
| Levothyroxine Sodium | Levothyroxine Sodium | 341 | 60 |
| Farxiga | Dapagliflozin Propanediol | 293 | 39 |
| Trazodone Hcl | Trazodone Hcl | 291 | 58 |
| Fluticasone Propionate | Fluticasone Propionate | 276 | 90 |
| Clonazepam | Clonazepam | 268 | 43 |
| Glimepiride | Glimepiride | 259 | 40 |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 257 | 73 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 240 | 35 |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 234 | 59 |
| Carvedilol | Carvedilol | 234 | 41 |
| Irbesartan | Irbesartan | 225 | 40 |
| Finasteride | Finasteride | 217 | 35 |
| Candesartan Cilexetil | Candesartan Cilexetil | 190 | 33 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 175 | 30 |
| Sertraline Hcl | Sertraline Hcl | 172 | 28 |
| Hydralazine Hcl | Hydralazine Hcl | 151 | 25 |
| Trulicity | Dulaglutide | 151 | 16 |
| Cilostazol | Cilostazol | 149 | 22 |
| Humulin 70-30 | Insulin Nph Hum/Reg Insulin Hm | 148 | 18 |
| Prednisone | Prednisone | 147 | 74 |
| Naproxen | Naproxen | 145 | 32 |
| Nabumetone | Nabumetone | 141 | 33 |
| Enalapril Maleate | Enalapril Maleate | 138 | 26 |
| Azithromycin | Azithromycin | 137 | 100 |
| Stiolto Respimat | Tiotropium Br/Olodaterol Hcl | 133 | 16 |
| Fluoxetine Hcl | Fluoxetine Hcl | 130 | 16 |
| Furosemide | Furosemide | 129 | 29 |
| Quetiapine Fumarate | Quetiapine Fumarate | 127 | 18 |
| Eliquis | Apixaban | 124 | 19 |
| Valsartan | Valsartan | 117 | 16 |
| Alprazolam | Alprazolam | 114 | 15 |
| Meclizine Hcl | Meclizine Hcl | 111 | 30 |
| Sure Comfort | Syringe-Needle,insulin,0.5 Ml | 106 | 20 |
| Levofloxacin | Levofloxacin | 104 | 84 |
| Metoprolol Tartrate | Metoprolol Tartrate | 104 | 18 |
| Trijardy Xr | Empaglifloz/Linaglip/Metformin | 104 | 14 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 103 | 13 |
| Atenolol | Atenolol | 98 | 12 |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 97 | 15 |
| Memantine Hcl | Memantine Hcl | 96 | 17 |
| Sucralfate | Sucralfate | 90 | 20 |
| Spironolactone | Spironolactone | 89 | 13 |
| Duloxetine Hcl | Duloxetine Hcl | 87 | 15 |
| Diclofenac Sodium Er | Diclofenac Sodium | 83 | 14 |
| Sulindac | Sulindac | 83 | 29 |
| Jardiance | Empagliflozin | 81 | 17 |
| Nitroglycerin | Nitroglycerin | 81 | 26 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 80 | 15 |
| Ketoconazole | Ketoconazole | 78 | 27 |
| Amitriptyline Hcl | Amitriptyline Hcl | 77 | suppressed |
| Janumet | Sitagliptin Phos/Metformin Hcl | 77 | 15 |
| Zolpidem Tartrate | Zolpidem Tartrate | 77 | 13 |
| Clonidine Hcl | Clonidine Hcl | 76 | suppressed |
| Allopurinol | Allopurinol | 75 | suppressed |
| Irbesartan-Hydrochlorothiazide | Irbesartan/Hydrochlorothiazide | 73 | suppressed |
| Lansoprazole | Lansoprazole | 73 | 11 |
| Temazepam | Temazepam | 73 | 13 |
| Mupirocin | Mupirocin | 72 | 32 |
| Nifedipine Er | Nifedipine | 71 | suppressed |
| Baclofen | Baclofen | 69 | 13 |
| Estradiol | Estradiol | 69 | 14 |
| Buspirone Hcl | Buspirone Hcl | 68 | 14 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 67 | 42 |
| Methotrexate | Methotrexate Sodium | 65 | suppressed |
| Spiriva Respimat | Tiotropium Bromide | 65 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 64 | 16 |
| Tradjenta | Linagliptin | 64 | suppressed |
| Humalog | Insulin Lispro | 63 | suppressed |
| Januvia | Sitagliptin Phosphate | 63 | 12 |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 62 | 13 |
| Candesartan-Hydrochlorothiazid | Candesartan/Hydrochlorothiazid | 61 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 60 | 17 |
| Escitalopram Oxalate | Escitalopram Oxalate | 59 | suppressed |
| Synjardy Xr | Empagliflozin/Metformin Hcl | 59 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 58 | 13 |
| Latanoprost | Latanoprost | 57 | 13 |
| Tizanidine Hcl | Tizanidine Hcl | 57 | 17 |
| Lorazepam | Lorazepam | 56 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 52 | suppressed |
| Bupropion Xl | Bupropion Hcl | 52 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 52 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 50 | suppressed |
| Anastrozole | Anastrozole | 48 | suppressed |
| Soliqua 100-33 | Insulin Glargine/Lixisenatide | 47 | suppressed |
| Sure Comfort | Syringe And Needle,insulin,1ml | 47 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 46 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 46 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 45 | suppressed |
| Betamethasone Dipropionate | Betamethasone Dipropionate | 44 | 17 |
| Cephalexin | Cephalexin | 44 | 38 |
| Pentoxifylline | Pentoxifylline | 44 | 13 |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 44 | suppressed |
| Meloxicam | Meloxicam | 43 | suppressed |
| Verapamil Er | Verapamil Hcl | 43 | suppressed |
| Chlorthalidone | Chlorthalidone | 42 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 41 | suppressed |
| Estazolam | Estazolam | 41 | suppressed |
| Glipizide Er | Glipizide | 41 | suppressed |
| Diltiazem Hcl | Diltiazem Hcl | 40 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 39 | suppressed |
| Jentadueto | Linagliptin/Metformin Hcl | 37 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 37 | suppressed |
| Betamethasone Valerate | Betamethasone Valerate | 36 | suppressed |
| Neomycin-Polymyxin-Dexameth | Neomycin/Polymyxin B/Dexametha | 36 | 26 |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 36 | suppressed |
| Fluconazole | Fluconazole | 34 | 17 |
| Xarelto | Rivaroxaban | 34 | suppressed |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 33 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 32 | suppressed |
| Janumet Xr | Sitagliptin Phos/Metformin Hcl | 31 | suppressed |
| Synjardy | Empagliflozin/Metformin Hcl | 31 | suppressed |
| Advocate Syringes | Syringe-Needle,insulin,0.5 Ml | 30 | suppressed |
| Colchicine | Colchicine | 30 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 30 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 29 | suppressed |
| Mometasone Furoate | Mometasone Furoate | 29 | 14 |
| Symbicort | Budesonide/Formoterol Fumarate | 28 | 19 |
| Glipizide | Glipizide | 26 | suppressed |
| Neomycin-Polymyxin-Hydrocort | Neomycin/Polymyxin B/Hydrocort | 26 | 20 |
| Sildenafil Citrate | Sildenafil Citrate | 26 | suppressed |
| Terbinafine Hcl | Terbinafine Hcl | 25 | 20 |
| Acyclovir | Acyclovir | 24 | suppressed |
| Ciclopirox | Ciclopirox | 24 | 14 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 24 | 17 |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 24 | suppressed |
| Isosorbide Dinitrate | Isosorbide Dinitrate | 24 | suppressed |
| Theophylline Er | Theophylline Anhydrous | 24 | suppressed |
| Topiramate | Topiramate | 24 | suppressed |
| Humulin N | Insulin Nph Human Isophane | 23 | suppressed |
| Mirtazapine | Mirtazapine | 23 | suppressed |
| Progesterone | Progesterone, Micronized | 23 | suppressed |
| Timolol Maleate | Timolol Maleate | 23 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 22 | suppressed |
| Gemfibrozil | Gemfibrozil | 22 | suppressed |
| Jentadueto Xr | Linagliptin/Metformin Hcl | 22 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 22 | suppressed |
| Ramipril | Ramipril | 22 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 21 | 18 |
| Cefadroxil | Cefadroxil | 21 | 19 |
| Fenofibrate | Fenofibrate | 21 | suppressed |
| Fluticasone Propionate Hfa | Fluticasone Propionate | 21 | suppressed |
| Clindamycin Hcl | Clindamycin Hcl | 20 | suppressed |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 20 | suppressed |
| Pen Needle | Pen Needle, Diabetic | 20 | suppressed |
| Roflumilast | Roflumilast | 20 | suppressed |
| Trueplus Insulin Syringe | Syringe-Needle,insulin,0.5 Ml | 20 | suppressed |
| Calcitriol | Calcitriol | 19 | suppressed |
| Celecoxib | Celecoxib | 19 | suppressed |
| Ibuprofen | Ibuprofen | 19 | suppressed |
| Phenobarbital | Phenobarbital | 19 | suppressed |
| Ampicillin Trihydrate | Ampicillin Trihydrate | 18 | 15 |
| Entresto | Sacubitril/Valsartan | 18 | suppressed |
| Fenofibric Acid | Fenofibric Acid (Choline) | 18 | suppressed |
| Humalog Mix 75-25 | Insulin Lispro Protamin/Lispro | 18 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 18 | 18 |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 18 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 18 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 17 | suppressed |
| Clobetasol Propionate | Clobetasol Propionate | 17 | suppressed |
| Glyxambi | Empagliflozin/Linagliptin | 17 | suppressed |
| Linzess | Linaclotide | 17 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 17 | suppressed |
| Amoxicillin | Amoxicillin | 16 | suppressed |
| Levoxyl | Levothyroxine Sodium | 16 | suppressed |
| Terconazole | Terconazole | 16 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 15 | suppressed |
| Bethanechol Chloride | Bethanechol Chloride | 15 | suppressed |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 15 | 13 |
| Trueplus Insulin Syringe | Syringe And Needle,insulin,1ml | 15 | suppressed |
| Xigduo Xr | Dapaglifloz Propaned/Metformin | 15 | suppressed |
| Dexamethasone | Dexamethasone | 14 | suppressed |
| Levetiracetam | Levetiracetam | 14 | suppressed |
| Pentips Pen Needle | Pen Needle, Diabetic | 14 | suppressed |
| Cholestyramine Light | Cholestyramine | 13 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 13 | suppressed |
| Digoxin | Digoxin | 13 | suppressed |
| Haloperidol | Haloperidol | 13 | suppressed |
| Hydroxychloroquine Sulfate | Hydroxychloroquine Sulfate | 13 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 13 | suppressed |
| Carbamazepine | Carbamazepine | 12 | suppressed |
| Cimetidine | Cimetidine | 12 | suppressed |
| Diazepam | Diazepam | 12 | suppressed |
| Hydrocortisone | Hydrocortisone | 12 | suppressed |
| Labetalol Hcl | Labetalol Hcl | 12 | suppressed |
| Pioglitazone-Metformin | Pioglitazone Hcl/Metformin Hcl | 12 | suppressed |
| Risperidone | Risperidone | 12 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 12 | suppressed |
| Victoza 3-Pak | Liraglutide | 12 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 11 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 11 | suppressed |
| Etodolac Er | Etodolac | 11 | suppressed |
| Humulin 70/30 Kwikpen | Insulin Nph Hum/Reg Insulin Hm | 11 | suppressed |
| Isosorbide Mononitrate | Isosorbide Mononitrate | 11 | suppressed |
| Methylprednisolone | Methylprednisolone | 11 | suppressed |
| Monoject Insulin Syringe | Syringe-Needle,insulin,0.5 Ml | 11 | suppressed |
| Orphenadrine Citrate Er | Orphenadrine Citrate | 11 | suppressed |
| Permethrin | Permethrin | 11 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 11 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 11 | suppressed |
| Trueplus Insulin Syringe | Syring-Needl,disp,insul,0.3 Ml | 11 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 11 | suppressed |
Timeline
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 | $18.01 · 1 records | Eli Lilly Export S.A. Puerto Rico Branch | MOUNJARO, ZEPBOUND | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
| 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