Payment overview · 2025
General Payments
$14,875.04
34 reported records · 5 companies
Healthcare provider profile · identity verified
Manuel Alegre-Hernandez, MD
Allopathic & Osteopathic Physicians|Internal Medicine|Endocrinology, Diabetes & Metabolism · SAN JUAN, PR · NPI 1316092208
Verified facts
What the public records show
CMS Open Payments records show Manuel Alegre-Hernandez, MD received $14,875.04 in general payments during 2025 across 34 reported records.
Boehringer Ingelheim Pharmaceuticals, Inc. accounted for 89.8% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 5 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Jardiance, Mounjaro, Ozempic, Rybelsus.
Boehringer Ingelheim 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 JARDIANCE as an associated drug or biological on 123636 records involving 49438 distinct recipient NPIs. Public Medicare Part D data also shows 691 claims for Jardiance by this doctor in 2024.
Boehringer Ingelheim 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 SYNJARDY as an associated drug or biological on 33 records involving 33 distinct recipient NPIs. Public Medicare Part D data also shows 133 claims for Synjardy by this doctor in 2024.
Eli Lilly Export S.A. Puerto Rico Branch 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 342 records involving 186 distinct recipient NPIs. Public Medicare Part D data also shows 80 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 JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 691 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 80 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 792 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 545 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 46 claims for Rybelsus 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 |
|---|---|---|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $13,357.63 | 89.8% | 16 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $1,218.71 | 8.2% | 2 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $244.89 | 1.6% | 13 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $28.81 | 0.2% | 2 | 2025 |
| Eli Lilly Export S.A. Puerto Rico Branch | Unresolved — no canonical attribution shown | $25.00 | 0.2% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $12,700.00 | 6 |
| Travel and Lodging | $1,220.94 | 1 |
| Food and Beverage | $954.10 | 27 |
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 |
|---|---|---|---|---|---|
| JARDIANCE Normalized: jardiance |
Drug | Boehringer Ingelheim Pharmaceuticals, Inc., Lilly USA, LLC | $14,457.63 | 17 | 2025 |
Source payment records
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $244.89 | 13 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $137.45 | 12 | 2025 |
Source payment records
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| FREESTYLE LIBRE 3 Normalized: freestyle libre 3 |
Device | Abbott Laboratories | $28.81 | 2 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Eli Lilly Export S.A. Puerto Rico Branch | $25.00 | 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 |
|---|---|---|---|---|---|---|
| JARDIANCE jardiance |
2025 | Jardiance | 2024 | 691 | exact normalized | Medicare Part D |
| MOUNJARO mounjaro |
2025 | Mounjaro | 2024 | 80 | exact normalized | Medicare Part D |
| Ozempic ozempic |
2025 | Ozempic | 2024 | 545 | exact normalized | Medicare Part D |
| Rybelsus rybelsus |
2025 | Rybelsus | 2024 | 46 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 |
|---|---|---|---|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 123636 supporting records · 49438 recipient NPIs · example record 1221811583 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
691 | 215 |
| Boehringer Ingelheim Pharmaceuticals, Inc. Exact reporting entity; no affiliate inference |
2025 | SYNJARDY open payments reported associated product |
CMS Open Payments — General Payments 33 supporting records · 33 recipient NPIs · example record 1222725005 |
Synjardy · 2024 Exact normalized brand match · 1 Part D row |
133 | 40 |
| Eli Lilly Export S.A. Puerto Rico Branch Exact reporting entity; no affiliate inference |
2025 | MOUNJARO open payments reported associated product |
CMS Open Payments — General Payments 342 supporting records · 186 recipient NPIs · example record 1186464879 |
Mounjaro · 2024 Exact normalized brand match · 1 Part D row |
80 | 11 |
| 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 |
691 | 215 |
| 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 |
80 | 11 |
| 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 |
792 | 108 |
| 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 |
545 | 96 |
| 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 |
46 | 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 |
|---|---|---|---|
| Synthroid | Levothyroxine Sodium | 2617 | 860 |
| Synjardy Xr | Empagliflozin/Metformin Hcl | 867 | 229 |
| Trulicity | Dulaglutide | 792 | 108 |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 732 | 162 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 705 | 300 |
| Jardiance | Empagliflozin | 691 | 215 |
| Ozempic | Semaglutide | 545 | 96 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 521 | 129 |
| Metformin Hcl | Metformin Hcl | 485 | 196 |
| Humalog Kwikpen U-100 | Insulin Lispro | 384 | 93 |
| Losartan Potassium | Losartan Potassium | 326 | 128 |
| Trijardy Xr | Empaglifloz/Linaglip/Metformin | 323 | 91 |
| Humalog | Insulin Lispro | 299 | 69 |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 298 | 132 |
| Glimepiride | Glimepiride | 251 | 102 |
| Simvastatin | Simvastatin | 251 | 106 |
| Atorvastatin Calcium | Atorvastatin Calcium | 205 | 91 |
| Gabapentin | Gabapentin | 205 | 89 |
| Amlodipine Besylate | Amlodipine Besylate | 172 | 69 |
| Glyxambi | Empagliflozin/Linagliptin | 151 | 39 |
| Alendronate Sodium | Alendronate Sodium | 148 | 72 |
| Levothyroxine Sodium | Levothyroxine Sodium | 148 | 66 |
| Janumet | Sitagliptin Phos/Metformin Hcl | 142 | 46 |
| Synjardy | Empagliflozin/Metformin Hcl | 133 | 40 |
| Jentadueto | Linagliptin/Metformin Hcl | 130 | 31 |
| Ramipril | Ramipril | 129 | 50 |
| Tradjenta | Linagliptin | 129 | 39 |
| Metoprolol Succinate | Metoprolol Succinate | 124 | 49 |
| Glipizide Er | Glipizide | 96 | 36 |
| Candesartan Cilexetil | Candesartan Cilexetil | 95 | 36 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 91 | 34 |
| Metformin Hcl Er | Metformin Hcl | 85 | 37 |
| Lisinopril | Lisinopril | 80 | 35 |
| Mounjaro | Tirzepatide | 80 | 11 |
| Insulin Lispro | Insulin Lispro | 74 | 20 |
| Hydrochlorothiazide | Hydrochlorothiazide | 67 | 33 |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 66 | 51 |
| Ezetimibe | Ezetimibe | 66 | 30 |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 66 | 24 |
| Pen Needle | Pen Needle, Diabetic | 66 | 29 |
| Omeprazole | Omeprazole | 62 | 27 |
| Irbesartan | Irbesartan | 60 | 26 |
| Prolia | Denosumab | 54 | 38 |
| Pantoprazole Sodium | Pantoprazole Sodium | 51 | 17 |
| Januvia | Sitagliptin Phosphate | 47 | 16 |
| Rybelsus | Semaglutide | 46 | suppressed |
| Toujeo Max Solostar | Insulin Glargine,hum.Rec.Anlog | 45 | 11 |
| Levoxyl | Levothyroxine Sodium | 42 | 14 |
| Tresiba Flextouch U-200 | Insulin Degludec | 42 | suppressed |
| Unifine Pentips | Pen Needle, Diabetic | 41 | 18 |
| Humalog Mix 75-25 | Insulin Lispro Protamin/Lispro | 40 | suppressed |
| Candesartan-Hydrochlorothiazid | Candesartan/Hydrochlorothiazid | 39 | 15 |
| Doxazosin Mesylate | Doxazosin Mesylate | 39 | 18 |
| Tamsulosin Hcl | Tamsulosin Hcl | 38 | 14 |
| Humulin N | Insulin Nph Human Isophane | 37 | suppressed |
| Sure Comfort | Syringe-Needle,insulin,0.5 Ml | 34 | 14 |
| Fenofibrate | Fenofibrate | 32 | 16 |
| Enalapril Maleate | Enalapril Maleate | 31 | 13 |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 31 | suppressed |
| Fluconazole | Fluconazole | 30 | 27 |
| Citalopram Hbr | Citalopram Hydrobromide | 29 | suppressed |
| Raloxifene Hcl | Raloxifene Hcl | 29 | 14 |
| Insulin Glargine-Yfgn | Insulin Glargine-Yfgn | 28 | suppressed |
| Levemir Flexpen | Insulin Detemir | 28 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 27 | suppressed |
| Clonazepam | Clonazepam | 26 | suppressed |
| Janumet Xr | Sitagliptin Phos/Metformin Hcl | 26 | 11 |
| Insulin Syringe | Syring-Needl,disp,insul,0.3 Ml | 25 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 25 | 13 |
| Humulin R | Insulin Regular, Human | 24 | suppressed |
| Ibandronate Sodium | Ibandronate Sodium | 24 | suppressed |
| Famotidine | Famotidine | 23 | 12 |
| Alprazolam | Alprazolam | 22 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 22 | suppressed |
| Finasteride | Finasteride | 22 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 22 | 13 |
| Pioglitazone Hcl | Pioglitazone Hcl | 22 | suppressed |
| Insulin Glargine | Insulin Glargine,hum.Rec.Anlog | 21 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 20 | suppressed |
| Methimazole | Methimazole | 19 | suppressed |
| Pregabalin | Pregabalin | 19 | suppressed |
| Risedronate Sodium | Risedronate Sodium | 19 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 18 | 18 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 18 | suppressed |
| Novolog Flexpen | Insulin Aspart | 18 | suppressed |
| Unifine Pentips Plus | Pen Needle, Diabetic | 18 | suppressed |
| Insulin Syringe | Syringe And Needle,insulin,1ml | 17 | suppressed |
| Irbesartan-Hydrochlorothiazide | Irbesartan/Hydrochlorothiazide | 17 | suppressed |
| Sure Comfort Pen Needle | Pen Needle, Diabetic | 17 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 17 | suppressed |
| Ultra-Fine Nano Pen Needle | Pen Needle, Diabetic | 17 | 12 |
| Clopidogrel | Clopidogrel Bisulfate | 16 | suppressed |
| Hydrocortisone | Hydrocortisone | 16 | suppressed |
| Insulin Syringe | Syringe-Needle,insulin,0.5 Ml | 16 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 16 | suppressed |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 15 | suppressed |
| Carvedilol | Carvedilol | 15 | suppressed |
| Cabergoline | Cabergoline | 14 | suppressed |
| Ciclopirox | Ciclopirox | 14 | suppressed |
| Humulin 70-30 | Insulin Nph Hum/Reg Insulin Hm | 14 | suppressed |
| Ultra-Fine Mini Pen Needle | Pen Needle, Diabetic | 14 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 13 | suppressed |
| Folic Acid | Folic Acid | 13 | suppressed |
| Insulin Glargine Solostar | Insulin Glargine,hum.Rec.Anlog | 13 | suppressed |
| Soliqua 100-33 | Insulin Glargine/Lixisenatide | 13 | suppressed |
| Allopurinol | Allopurinol | 12 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 12 | 11 |
| Sure Comfort | Syringe And Needle,insulin,1ml | 12 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 11 | suppressed |
| Armour Thyroid | Thyroid,pork | 11 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 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 | $14,875.04 · 34 records | Boehringer Ingelheim Pharmaceuticals, Inc. | FREESTYLE LIBRE 3, JARDIANCE, MOUNJARO, Ozempic, Rybelsus | 8 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Jardiance play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Boehringer Ingelheim 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