Payment overview · 2025
General Payments
134 reported records · 28 companies
Healthcare provider profile · identity verified
Allopathic & Osteopathic Physicians|Internal Medicine|Medical Oncology · SAN FRANCISCO, CA · NPI 1356357347
Verified facts
CMS Open Payments records show Alan M Kramer, MD received $3,712.03 in general payments during 2025 across 134 reported records.
AstraZeneca Pharmaceuticals LP accounted for 13.6% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 53 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Ibrance, Imbruvica, Lorbrena, Tagrisso.
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 18 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 26 claims for Ibrance 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 LORBRENA as an associated drug or biological on 6138 records involving 3476 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Lorbrena by this doctor in 2024.
AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported TAGRISSO as an associated drug or biological on 5285 records involving 2776 distinct recipient NPIs. Public Medicare Part D data also shows 67 claims for Tagrisso 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 18 claims for Imbruvica 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 XARELTO as an associated drug or biological on 24 records involving 23 distinct recipient NPIs. Public Medicare Part D data also shows 15 claims for Xarelto 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 26 claims for Ibrance 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 LORBRENA as an associated drug or biological on 670 records involving 304 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Lorbrena by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Payment overview · 2025
134 reported records · 28 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 |
|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $502.91 | 13.6% | 17 | 2025 |
| E.R. Squibb & Sons, L.L.C. | Unresolved — no canonical attribution shown | $442.38 | 11.9% | 22 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $361.21 | 9.7% | 12 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $296.60 | 8.0% | 10 | 2025 |
| Daiichi Sankyo Inc. | Unresolved — no canonical attribution shown | $220.06 | 5.9% | 10 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $207.32 | 5.6% | 7 | 2025 |
| Janssen Biotech, Inc. | Unresolved — no canonical attribution shown | $190.02 | 5.1% | 5 | 2025 |
| ARRAY BIOPHARMA INC | Unresolved — no canonical attribution shown | $175.23 | 4.7% | 7 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $134.78 | 3.6% | 5 | 2025 |
| Coherus Oncology, Inc. | Unresolved — no canonical attribution shown | $124.83 | 3.4% | 4 | 2025 |
| Genentech USA, Inc. | Unresolved — no canonical attribution shown | $116.29 | 3.1% | 4 | 2025 |
| Eisai Inc. | Unresolved — no canonical attribution shown | $109.63 | 3.0% | 4 | 2025 |
| Regeneron Healthcare Solutions, Inc. | Unresolved — no canonical attribution shown | $107.02 | 2.9% | 3 | 2025 |
| Stemline Therapeutics Inc. | Unresolved — no canonical attribution shown | $99.70 | 2.7% | 3 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $92.95 | 2.5% | 3 | 2025 |
| Agios Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $65.83 | 1.8% | 2 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $61.84 | 1.7% | 2 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $59.69 | 1.6% | 2 | 2025 |
| PUMA BIOTECHNOLOGY, INC. | Unresolved — no canonical attribution shown | $57.06 | 1.5% | 2 | 2025 |
| Celgene Corporation | Unresolved — no canonical attribution shown | $50.48 | 1.4% | 2 | 2025 |
| Deciphera Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $39.11 | 1.1% | 1 | 2025 |
| Immunocore Limited | Unresolved — no canonical attribution shown | $33.17 | 0.9% | 1 | 2025 |
| Genmab U.S., Inc. | Unresolved — no canonical attribution shown | $33.15 | 0.9% | 1 | 2025 |
| Incyte Corporation | Unresolved — no canonical attribution shown | $28.55 | 0.8% | 1 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $26.14 | 0.7% | 1 | 2025 |
| BeOne Medicines USA, Inc. | Unresolved — no canonical attribution shown | $26.11 | 0.7% | 1 | 2025 |
| SOBI, INC | Unresolved — no canonical attribution shown | $25.87 | 0.7% | 1 | 2025 |
| Rigel Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $24.10 | 0.7% | 1 | 2025 |
What were the payments for?
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $3,712.03 | 134 |
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 |
|---|---|---|---|---|---|
| OPDIVO Normalized: opdivo |
Biological | Celgene Corporation, E.R. Squibb & Sons, L.L.C. | $435.18 | 21 | 2025 |
Source payment records
|
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| KISQALI Normalized: kisqali |
Drug | Novartis Pharmaceuticals Corporation | $332.05 | 11 | 2025 |
Source payment records
|
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| KEYTRUDA Normalized: keytruda |
Biological | Merck Sharp & Dohme LLC | $296.60 | 10 | 2025 |
Source payment records
|
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| ENHERTU Normalized: enhertu |
Biological, Drug | AstraZeneca Pharmaceuticals LP, Daiichi Sankyo Inc. | $275.54 | 10 | 2025 |
Source payment records
|
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| TUKYSA Normalized: tukysa |
Drug | ARRAY BIOPHARMA INC, PFIZER INC. | $256.76 | 9 | 2025 |
Source payment records
|
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| RYBREVANT Normalized: rybrevant |
Drug | Janssen Biotech, Inc. | $190.02 | 5 | 2025 |
Source payment records
|
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| BRAFTOVI Normalized: braftovi |
Drug | ARRAY BIOPHARMA INC | $175.23 | 7 | 2025 |
Source payment records
|
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| IBRANCE Normalized: ibrance |
Drug | PFIZER INC. | $153.35 | 4 | 2025 |
Source payment records
|
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| MEKTOVI Normalized: mektovi |
Drug | ARRAY BIOPHARMA INC | $152.74 | 5 | 2025 |
Source payment records
|
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| CALQUENCE Normalized: calquence |
Drug | AstraZeneca Pharmaceuticals LP | $135.27 | 5 | 2025 |
Source payment records
|
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| DATROWAY Normalized: datroway |
Drug | Daiichi Sankyo Inc. | $128.67 | 6 | 2025 |
Source payment records
|
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| LOQTORZI Normalized: loqtorzi |
Biological | Coherus Oncology, Inc. | $124.83 | 4 | 2025 |
Source payment records
|
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| TAGRISSO Normalized: tagrisso |
Drug | AstraZeneca Pharmaceuticals LP | $111.28 | 4 | 2025 |
Source payment records
|
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| Lenvima Normalized: lenvima |
Drug | Eisai Inc. | $109.63 | 4 | 2025 |
Source payment records
|
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| LIBTAYO Normalized: libtayo |
Biological | Regeneron Healthcare Solutions, Inc. | $107.02 | 3 | 2025 |
Source payment records
|
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| EPKINLY Normalized: epkinly |
Drug | ABBVIE INC., Genmab U.S., Inc. | $106.35 | 4 | 2025 |
Source payment records
|
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| IMFINZI Normalized: imfinzi |
Biological | AstraZeneca Pharmaceuticals LP | $99.74 | 3 | 2025 |
Source payment records
|
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| Orserdu Normalized: orserdu |
Drug | Stemline Therapeutics Inc. | $99.70 | 3 | 2025 |
Source payment records
|
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| LORBRENA Normalized: lorbrena |
Drug | ARRAY BIOPHARMA INC | $94.31 | 4 | 2025 |
Source payment records
|
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| VERZENIO Normalized: verzenio |
Drug | Lilly USA, LLC | $92.95 | 3 | 2025 |
Source payment records
|
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| WELIREG Normalized: welireg |
Drug | Merck Sharp & Dohme LLC | $82.11 | 3 | 2025 |
Source payment records
|
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| IMBRUVICA Normalized: imbruvica |
Drug | ABBVIE INC. | $73.20 | 3 | 2025 |
Source payment records
|
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| XALKORI Normalized: xalkori |
Drug | ARRAY BIOPHARMA INC | $71.82 | 2 | 2025 |
Source payment records
|
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| PYRUKYND Normalized: pyrukynd |
Drug | Agios Pharmaceuticals, Inc. | $65.83 | 2 | 2025 |
Source payment records
|
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| Nubeqa Normalized: nubeqa |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $61.84 | 2 | 2025 |
Source payment records
|
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| Stivarga Normalized: stivarga |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $61.84 | 2 | 2025 |
Source payment records
|
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| Vitrakvi Normalized: vitrakvi |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $61.84 | 2 | 2025 |
Source payment records
|
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| FRUZAQLA Normalized: fruzaqla |
Drug | Takeda Pharmaceuticals U.S.A., Inc. | $59.69 | 2 | 2025 |
Source payment records
|
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| KEYTRUDA QLEX Normalized: keytruda qlex |
Biological | Merck Sharp & Dohme LLC | $57.68 | 2 | 2025 |
Source payment records
|
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| NERLYNX Normalized: nerlynx |
Drug | PUMA BIOTECHNOLOGY, INC. | $57.06 | 2 | 2025 |
Source payment records
|
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| VENCLEXTA Normalized: venclexta |
Biological, Drug | ABBVIE INC., Genentech USA, Inc. | $56.21 | 2 | 2025 |
Source payment records
|
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| QINLOCK Normalized: qinlock |
Drug | Deciphera Pharmaceuticals Inc. | $39.11 | 1 | 2025 |
Source payment records
|
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| ROMVIMZA Normalized: romvimza |
Drug | Deciphera Pharmaceuticals Inc. | $39.11 | 1 | 2025 |
Source payment records
|
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| OPDUALAG Normalized: opdualag |
Drug | E.R. Squibb & Sons, L.L.C. | $39.08 | 2 | 2025 |
Source payment records
|
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| Phesgo Normalized: phesgo |
Biological | Genentech USA, Inc. | $34.28 | 1 | 2025 |
Source payment records
|
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| EMRELIS Normalized: emrelis |
Drug | ABBVIE INC. | $33.48 | 1 | 2025 |
Source payment records
|
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| KIMMTRAK Normalized: kimmtrak |
Drug | Immunocore Limited | $33.17 | 1 | 2025 |
Source payment records
|
|||||
| JAYPIRCA Normalized: jaypirca |
Drug | Lilly USA, LLC | $32.12 | 1 | 2025 |
Source payment records
|
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| Polivy Normalized: polivy |
Biological | Genentech USA, Inc. | $29.56 | 1 | 2025 |
Source payment records
|
|||||
| PLUVICTO Normalized: pluvicto |
Drug | Novartis Pharmaceuticals Corporation | $29.16 | 1 | 2025 |
Source payment records
|
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| JAKAFI Normalized: jakafi |
Drug | Incyte Corporation | $28.55 | 1 | 2025 |
Source payment records
|
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| NIKTIMVO Normalized: niktimvo |
Drug | Incyte Corporation | $28.55 | 1 | 2025 |
Source payment records
|
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| ADCETRIS Normalized: adcetris |
Biological | PFIZER INC. | $28.44 | 1 | 2025 |
Source payment records
|
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| ELREXFIO Normalized: elrexfio |
Drug | PFIZER INC. | $28.44 | 1 | 2025 |
Source payment records
|
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| SARCLISA Normalized: sarclisa |
Biological | GENZYME CORPORATION | $26.14 | 1 | 2025 |
Source payment records
|
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| BRUKINSA Normalized: brukinsa |
Drug | BeOne Medicines USA, Inc. | $26.11 | 1 | 2025 |
Source payment records
|
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| Vonjo Normalized: vonjo |
Drug | SOBI, INC | $25.87 | 1 | 2025 |
Source payment records
|
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| TIVDAK Normalized: tivdak |
Biological | PFIZER INC. | $25.53 | 2 | 2025 |
Source payment records
|
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| Itovebi Normalized: itovebi |
Biological | Genentech USA, Inc. | $24.34 | 1 | 2025 |
Source payment records
|
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| Gavreto Normalized: gavreto |
Drug | Rigel Pharmaceuticals, Inc. | $24.10 | 1 | 2025 |
Source payment records
|
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| Rezlidhia Normalized: rezlidhia |
Drug | Rigel Pharmaceuticals, Inc. | $24.10 | 1 | 2025 |
Source payment records
|
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| TAVALISSE Normalized: tavalisse |
Drug | Rigel Pharmaceuticals, Inc. | $24.10 | 1 | 2025 |
Source payment records
|
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| REBLOZYL Normalized: reblozyl |
Biological | Celgene Corporation | $18.60 | 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.
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| IBRANCE ibrance |
2025 | Ibrance | 2024 | 26 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| IMBRUVICA imbruvica |
2025 | Imbruvica | 2024 | 18 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| LORBRENA lorbrena |
2025 | Lorbrena | 2024 | 12 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| TAGRISSO tagrisso |
2025 | Tagrisso | 2024 | 67 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
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 |
18 | 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 |
26 | suppressed by CMS |
| ARRAY BIOPHARMA INC Exact reporting entity; no affiliate inference |
2025 | LORBRENA open payments reported associated product |
CMS Open Payments — General Payments 6138 supporting records · 3476 recipient NPIs · example record 1228795243 |
Lorbrena · 2024 Exact normalized brand match · 1 Part D row |
12 | suppressed by CMS |
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | TAGRISSO open payments reported associated product |
CMS Open Payments — General Payments 5285 supporting records · 2776 recipient NPIs · example record 1206131546 |
Tagrisso · 2024 Exact normalized brand match · 1 Part D row |
67 | 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 |
18 | suppressed by CMS |
| Janssen Biotech, Inc. Exact reporting entity; no affiliate inference |
2025 | XARELTO open payments reported associated product |
CMS Open Payments — General Payments 24 supporting records · 23 recipient NPIs · example record 1174259978 |
Xarelto · 2024 Exact normalized brand match · 1 Part D row |
15 | 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 |
26 | suppressed by CMS |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | LORBRENA open payments reported associated product |
CMS Open Payments — General Payments 670 supporting records · 304 recipient NPIs · example record 1228805516 |
Lorbrena · 2024 Exact normalized brand match · 1 Part D row |
12 | 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
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Letrozole | Letrozole | 82 | 21 |
| Tagrisso | Osimertinib Mesylate | 67 | suppressed |
| Levothyroxine Sodium | Levothyroxine Sodium | 51 | 14 |
| Lorazepam | Lorazepam | 44 | 20 |
| Ondansetron Hcl | Ondansetron Hcl | 33 | 13 |
| Prednisone | Prednisone | 30 | 11 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 27 | 11 |
| Zolpidem Tartrate | Zolpidem Tartrate | 27 | suppressed |
| Ibrance | Palbociclib | 26 | suppressed |
| Gabapentin | Gabapentin | 23 | suppressed |
| Imbruvica | Ibrutinib | 18 | suppressed |
| Fluconazole | Fluconazole | 17 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 17 | suppressed |
| Tabrecta | Capmatinib Hydrochloride | 16 | suppressed |
| Xarelto | Rivaroxaban | 15 | suppressed |
| Exemestane | Exemestane | 14 | suppressed |
| Dexamethasone | Dexamethasone | 13 | suppressed |
| Trazimera | Trastuzumab-Qyyp | 13 | suppressed |
| Enoxaparin Sodium | Enoxaparin Sodium | 12 | suppressed |
| Lorbrena | Lorlatinib | 12 | suppressed |
| Tamoxifen Citrate | Tamoxifen Citrate | 12 | suppressed |
| Famotidine | Famotidine | 11 | suppressed |
| Fentanyl | Fentanyl | 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 | $3,712.03 · 134 records | AstraZeneca Pharmaceuticals LP | ADCETRIS, BRAFTOVI, BRUKINSA, CALQUENCE, DATROWAY, ELREXFIO, EMRELIS, ENHERTU, EPKINLY, FRUZAQLA, Gavreto, IBRANCE, IMBRUVICA, IMFINZI, Itovebi, JAKAFI, JAYPIRCA, KEYTRUDA, KEYTRUDA QLEX, KIMMTRAK, KISQALI, LIBTAYO, LOQTORZI, LORBRENA, Lenvima, MEKTOVI, NERLYNX, NIKTIMVO, Nubeqa, OPDIVO, OPDUALAG, Orserdu, PLUVICTO, PYRUKYND, Phesgo, Polivy, QINLOCK, REBLOZYL, ROMVIMZA, RYBREVANT, Rezlidhia, SARCLISA, Stivarga, TAGRISSO, TAVALISSE, TIVDAK, TUKYSA, VENCLEXTA, VERZENIO, Vitrakvi, Vonjo, WELIREG, XALKORI | 8 | — |
| 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