Payment overview · 2025
General Payments
$516.65
20 reported records · 7 companies
Healthcare provider profile · identity verified
Emily Rachal
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner · WAYNE, MI · NPI 1306089735
Verified facts
What the public records show
CMS Open Payments records show Emily Rachal received $516.65 in general payments during 2025 across 20 reported records.
Lundbeck LLC accounted for 74.8% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 8 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Fanapt, Invega Sustenna, Rexulti.
Janssen Pharmaceuticals, 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 INVEGA SUSTENNA as an associated drug or biological on 39068 records involving 11966 distinct recipient NPIs. Public Medicare Part D data also shows 77 claims for Invega Sustenna by this doctor in 2024.
Lundbeck 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 REXULTI as an associated drug or biological on 71829 records involving 25812 distinct recipient NPIs. Public Medicare Part D data also shows 110 claims for Rexulti by this doctor in 2024.
Otsuka America Pharmaceutical, 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 NUEDEXTA as an associated drug or biological on 393 records involving 285 distinct recipient NPIs. Public Medicare Part D data also shows 27 claims for Nuedexta by this doctor in 2024.
Otsuka America Pharmaceutical, 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 REXULTI as an associated drug or biological on 160756 records involving 46288 distinct recipient NPIs. Public Medicare Part D data also shows 110 claims for Rexulti by this doctor in 2024.
Vanda Pharmaceuticals 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 FANAPT as an associated drug or biological on 95605 records involving 21383 distinct recipient NPIs. Public Medicare Part D data also shows 36 claims for Fanapt 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 |
|---|---|---|---|---|---|
| Lundbeck LLC | Unresolved — no canonical attribution shown | $386.53 | 74.8% | 14 | 2025 |
| Alkermes, Inc. | Unresolved — no canonical attribution shown | $32.67 | 6.3% | 1 | 2025 |
| Supernus Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $24.22 | 4.7% | 1 | 2025 |
| Janssen Pharmaceuticals, Inc | Unresolved — no canonical attribution shown | $21.02 | 4.1% | 1 | 2025 |
| Vanda Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $18.20 | 3.5% | 1 | 2025 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | Unresolved — no canonical attribution shown | $17.53 | 3.4% | 1 | 2025 |
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $16.48 | 3.2% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $516.65 | 20 |
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 |
|---|---|---|---|---|---|
| REXULTI Normalized: rexulti |
Drug | Lundbeck LLC, Otsuka America Pharmaceutical, Inc. | $403.01 | 15 | 2025 |
Source payment records
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| ARISTADA Normalized: aristada |
Drug | Alkermes, Inc. | $32.67 | 1 | 2025 |
Source payment records
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| LYBALVI Normalized: lybalvi |
Drug | Alkermes, Inc. | $32.67 | 1 | 2025 |
Source payment records
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| Qelbree Normalized: qelbree |
Drug | Supernus Pharmaceuticals, Inc. | $24.22 | 1 | 2025 |
Source payment records
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| INVEGA SUSTENNA Normalized: invega sustenna |
Drug | Janssen Pharmaceuticals, Inc | $21.02 | 1 | 2025 |
Source payment records
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| FANAPT Normalized: fanapt |
Drug | Vanda Pharmaceuticals Inc. | $18.20 | 1 | 2025 |
Source payment records
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| HETLIOZ Normalized: hetlioz |
Drug | Vanda Pharmaceuticals Inc. | $18.20 | 1 | 2025 |
Source payment records
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| CAPLYTA Normalized: caplyta |
Drug | ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $17.53 | 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 |
|---|---|---|---|---|---|---|
| FANAPT fanapt |
2025 | Fanapt | 2024 | 36 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| INVEGA SUSTENNA invega sustenna |
2025 | Invega Sustenna | 2024 | 77 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| REXULTI rexulti |
2025 | Rexulti | 2024 | 110 | 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 |
|---|---|---|---|---|---|---|
| Janssen Pharmaceuticals, Inc Exact reporting entity; no affiliate inference |
2025 | INVEGA SUSTENNA open payments reported associated product |
CMS Open Payments — General Payments 39068 supporting records · 11966 recipient NPIs · example record 1174223262 |
Invega Sustenna · 2024 Exact normalized brand match · 1 Part D row |
77 | suppressed by CMS |
| Lundbeck LLC Exact reporting entity; no affiliate inference |
2025 | REXULTI open payments reported associated product |
CMS Open Payments — General Payments 71829 supporting records · 25812 recipient NPIs · example record 1251759986 |
Rexulti · 2024 Exact normalized brand match · 1 Part D row |
110 | 11 |
| Otsuka America Pharmaceutical, Inc. Exact reporting entity; no affiliate inference |
2025 | NUEDEXTA open payments reported associated product |
CMS Open Payments — General Payments 393 supporting records · 285 recipient NPIs · example record 1227268901 |
Nuedexta · 2024 Exact normalized brand match · 1 Part D row |
27 | suppressed by CMS |
| Otsuka America Pharmaceutical, Inc. Exact reporting entity; no affiliate inference |
2025 | REXULTI open payments reported associated product |
CMS Open Payments — General Payments 160756 supporting records · 46288 recipient NPIs · example record 1227267708 |
Rexulti · 2024 Exact normalized brand match · 1 Part D row |
110 | 11 |
| Vanda Pharmaceuticals Inc. Exact reporting entity; no affiliate inference |
2025 | FANAPT open payments reported associated product |
CMS Open Payments — General Payments 95605 supporting records · 21383 recipient NPIs · example record 1232940535 |
Fanapt · 2024 Exact normalized brand match · 1 Part D row |
36 | 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 |
|---|---|---|---|
| Quetiapine Fumarate | Quetiapine Fumarate | 1184 | 79 |
| Benztropine Mesylate | Benztropine Mesylate | 890 | 82 |
| Divalproex Sodium | Divalproex Sodium | 846 | 58 |
| Risperidone | Risperidone | 787 | 58 |
| Lorazepam | Lorazepam | 771 | 73 |
| Olanzapine | Olanzapine | 687 | 49 |
| Clozapine | Clozapine | 643 | 34 |
| Trazodone Hcl | Trazodone Hcl | 639 | 61 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 618 | 65 |
| Sertraline Hcl | Sertraline Hcl | 483 | 46 |
| Propranolol Hcl | Propranolol Hcl | 438 | 31 |
| Clonazepam | Clonazepam | 428 | 36 |
| Topiramate | Topiramate | 346 | 25 |
| Naltrexone Hcl | Naltrexone Hcl | 342 | 33 |
| Aripiprazole | Aripiprazole | 338 | 30 |
| Clonidine Hcl | Clonidine Hcl | 322 | 31 |
| Buspirone Hcl | Buspirone Hcl | 321 | 31 |
| Fluoxetine Hcl | Fluoxetine Hcl | 305 | 25 |
| Clozapine Odt | Clozapine | 285 | 16 |
| Divalproex Sodium Er | Divalproex Sodium | 277 | 25 |
| Lurasidone Hcl | Lurasidone Hcl | 263 | 22 |
| Paroxetine Hcl | Paroxetine Hcl | 247 | 20 |
| Lamotrigine | Lamotrigine | 227 | 19 |
| Paliperidone Er | Paliperidone | 224 | 18 |
| Fluvoxamine Maleate | Fluvoxamine Maleate | 209 | 15 |
| Haloperidol | Haloperidol | 209 | 18 |
| Ziprasidone Hcl | Ziprasidone Hcl | 198 | 11 |
| Mirtazapine | Mirtazapine | 187 | 15 |
| Escitalopram Oxalate | Escitalopram Oxalate | 182 | 17 |
| Quetiapine Fumarate Er | Quetiapine Fumarate | 181 | 23 |
| Risperidone Odt | Risperidone | 142 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 128 | 13 |
| Olanzapine Odt | Olanzapine | 125 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 120 | 12 |
| Duloxetine Hcl | Duloxetine Hcl | 119 | 11 |
| Oxcarbazepine | Oxcarbazepine | 117 | 11 |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 112 | 12 |
| Rexulti | Brexpiprazole | 110 | 11 |
| Alprazolam | Alprazolam | 108 | 12 |
| Atomoxetine Hcl | Atomoxetine Hcl | 79 | suppressed |
| Invega Sustenna | Paliperidone Palmitate | 77 | suppressed |
| Glycopyrrolate | Glycopyrrolate | 65 | suppressed |
| Diazepam | Diazepam | 62 | suppressed |
| Lithium Carbonate | Lithium Carbonate | 61 | suppressed |
| Carbamazepine | Carbamazepine | 49 | suppressed |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 49 | suppressed |
| Fluphenazine Hcl | Fluphenazine Hcl | 46 | suppressed |
| Bupropion Xl | Bupropion Hcl | 42 | suppressed |
| Dextroamphetamine-Amphet Er | Dextroamphetamine/Amphetamine | 41 | suppressed |
| Valproic Acid | Valproic Acid (As Sodium Salt) | 39 | suppressed |
| Clomipramine Hcl | Clomipramine Hcl | 37 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 37 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 36 | suppressed |
| Fanapt | Iloperidone | 36 | suppressed |
| Prazosin Hcl | Prazosin Hcl | 36 | suppressed |
| Trintellix | Vortioxetine Hydrobromide | 35 | suppressed |
| Vraylar | Cariprazine Hcl | 34 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 31 | suppressed |
| Aripiprazole Odt | Aripiprazole | 28 | suppressed |
| Nuedexta | Dextromethorphan Hbr/Quinidine | 27 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 26 | suppressed |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 25 | suppressed |
| Thioridazine Hcl | Thioridazine Hcl | 25 | suppressed |
| Topiramate Er | Topiramate | 24 | suppressed |
| Vilazodone Hcl | Vilazodone Hcl | 24 | suppressed |
| Austedo | Deutetrabenazine | 22 | suppressed |
| Guanfacine Hcl Er | Guanfacine Hcl | 22 | suppressed |
| Haloperidol Decanoate | Haloperidol Decanoate | 19 | suppressed |
| Simvastatin | Simvastatin | 14 | suppressed |
| Valproic Acid | Valproic Acid | 13 | suppressed |
| Vyvanse | Lisdexamfetamine Dimesylate | 13 | suppressed |
| Carbamazepine Er | Carbamazepine | 12 | suppressed |
| Imipramine Hcl | Imipramine Hcl | 12 | suppressed |
| Lithium Carbonate Er | Lithium Carbonate | 12 | suppressed |
| Loxapine | Loxapine Succinate | 12 | suppressed |
| Memantine Hcl | Memantine Hcl | 12 | suppressed |
| Methylphenidate Er | Methylphenidate Hcl | 12 | suppressed |
| Modafinil | Modafinil | 12 | suppressed |
| Perphenazine | Perphenazine | 12 | suppressed |
| Risperdal Consta | Risperidone Microspheres | 12 | suppressed |
| Seroquel Xr | Quetiapine Fumarate | 12 | 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 | $516.65 · 20 records | Lundbeck LLC | ARISTADA, CAPLYTA, FANAPT, HETLIOZ, INVEGA SUSTENNA, LYBALVI, Qelbree, REXULTI | 5 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Fanapt play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Janssen Pharmaceuticals, 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