Payment overview · 2025
General Payments
$2,622.95
83 reported records · 16 companies
Healthcare provider profile · identity verified
Jack George Ghably, M.D.
Allopathic & Osteopathic Physicians|Allergy & Immunology · ALBUQUERQUE, NM · NPI 1386900116
Verified facts
What the public records show
CMS Open Payments records show Jack George Ghably, M.D. received $2,622.95 in general payments during 2025 across 83 reported records.
AstraZeneca Pharmaceuticals LP accounted for 26.1% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 23 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Trelegy Ellipta.
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 SYMBICORT as an associated drug or biological on 71 records involving 51 distinct recipient NPIs. Public Medicare Part D data also shows 34 claims for Symbicort by this doctor in 2024.
CSL Behring reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Haegarda as an associated drug or biological on 3692 records involving 1703 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Haegarda by this doctor in 2024.
GlaxoSmithKline, 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 TRELEGY ELLIPTA as an associated drug or biological on 131532 records involving 37148 distinct recipient NPIs. Public Medicare Part D data also shows 15 claims for Trelegy Ellipta by this doctor in 2024.
Grifols 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 Gamunex-C as an associated drug or biological on 3977 records involving 2134 distinct recipient NPIs. Public Medicare Part D data also shows 22 claims for Gamunex-C 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 |
|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $684.80 | 26.1% | 15 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $372.71 | 14.2% | 8 | 2025 |
| Cycle Pharmaceuticals Inc | Unresolved — no canonical attribution shown | $268.19 | 10.2% | 10 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $241.86 | 9.2% | 10 | 2025 |
| Pharming Healthcare, Inc. | Unresolved — no canonical attribution shown | $201.40 | 7.7% | 6 | 2025 |
| Regeneron Healthcare Solutions, Inc. | Unresolved — no canonical attribution shown | $177.09 | 6.8% | 8 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $136.62 | 5.2% | 6 | 2025 |
| Blueprint Medicines Corporation | Unresolved — no canonical attribution shown | $121.44 | 4.6% | 3 | 2025 |
| BioCryst US Sales Co., LLC | Unresolved — no canonical attribution shown | $111.81 | 4.3% | 5 | 2025 |
| CSL Behring | Unresolved — no canonical attribution shown | $103.89 | 4.0% | 4 | 2025 |
| Genentech USA, Inc. | Unresolved — no canonical attribution shown | $64.44 | 2.5% | 2 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $43.54 | 1.7% | 2 | 2025 |
| Ionis Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $36.37 | 1.4% | 1 | 2025 |
| Kedrion Biopharma, Inc. | Unresolved — no canonical attribution shown | $20.90 | 0.8% | 1 | 2025 |
| Grifols USA, LLC | Unresolved — no canonical attribution shown | $19.40 | 0.7% | 1 | 2025 |
| ARS Pharmaceuticals Operations, Inc. | Unresolved — no canonical attribution shown | $18.49 | 0.7% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $2,622.95 | 83 |
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 |
|---|---|---|---|---|---|
| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $493.63 | 5 | 2025 |
Source payment records
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| FASENRA Normalized: fasenra |
Biological | AstraZeneca Pharmaceuticals LP | $414.91 | 6 | 2025 |
Source payment records
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| TEZSPIRE Normalized: tezspire |
Biological | Amgen Inc., AstraZeneca Pharmaceuticals LP | $405.93 | 5 | 2025 |
Source payment records
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| BREZTRI Normalized: breztri |
Drug | AstraZeneca Pharmaceuticals LP | $364.18 | 3 | 2025 |
Source payment records
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| NUCALA Normalized: nucala |
Biological | GlaxoSmithKline, LLC. | $332.02 | 6 | 2025 |
Source payment records
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| DUPIXENT Normalized: dupixent |
Biological | GENZYME CORPORATION, Regeneron Healthcare Solutions, Inc. | $273.64 | 15 | 2025 |
Source payment records
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| Sajazir Normalized: sajazir |
Drug | Cycle Pharmaceuticals Inc | $268.19 | 10 | 2025 |
Source payment records
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| RUCONEST Normalized: ruconest |
Biological | Pharming Healthcare, Inc. | $201.40 | 6 | 2025 |
Source payment records
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| AYVAKIT Normalized: ayvakit |
Biological, Drug | Blueprint Medicines Corporation, GENZYME CORPORATION | $197.07 | 4 | 2025 |
Source payment records
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| XOLAIR Normalized: xolair |
Biological, Drug | Genentech USA, Inc., Novartis Pharmaceuticals Corporation | $123.02 | 5 | 2025 |
Source payment records
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| ORLADEYO Normalized: orladeyo |
Drug | BioCryst US Sales Co., LLC | $111.81 | 5 | 2025 |
Source payment records
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| Andembry Normalized: andembry |
Biological | CSL Behring | $59.58 | 2 | 2025 |
Source payment records
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| Hizentra Normalized: hizentra |
Biological | CSL Behring | $44.31 | 2 | 2025 |
Source payment records
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| TRELEGY ELLIPTA Normalized: trelegy ellipta |
Drug | GlaxoSmithKline, LLC. | $40.69 | 2 | 2025 |
Source payment records
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| Rhapsido Normalized: rhapsido |
Drug | Novartis Pharmaceuticals Corporation | $32.10 | 1 | 2025 |
Source payment records
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| Albuked Normalized: albuked |
Biological | Kedrion Biopharma, Inc. | $20.90 | 1 | 2025 |
Source payment records
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| GAMMAKED Normalized: gammaked |
Biological | Kedrion Biopharma, Inc. | $20.90 | 1 | 2025 |
Source payment records
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| KEDRAB Normalized: kedrab |
Biological | Kedrion Biopharma, Inc. | $20.90 | 1 | 2025 |
Source payment records
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| KOATE Normalized: koate |
Biological | Kedrion Biopharma, Inc. | $20.90 | 1 | 2025 |
Source payment records
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| RhoGAM Ultra-Filtered PLUS Normalized: rhogam ultra filtered plus |
Biological | Kedrion Biopharma, Inc. | $20.90 | 1 | 2025 |
Source payment records
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| Xembify Normalized: xembify |
Biological | Grifols USA, LLC | $19.40 | 1 | 2025 |
Source payment records
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| NEFFY Normalized: neffy |
Drug | ARS Pharmaceuticals Operations, Inc. | $18.49 | 1 | 2025 |
Source payment records
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| WAYRILZ Normalized: wayrilz |
Drug | GENZYME CORPORATION | $18.24 | 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 |
|---|---|---|---|---|---|---|
| TRELEGY ELLIPTA trelegy ellipta |
2025 | Trelegy Ellipta | 2024 | 15 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 |
|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | SYMBICORT open payments reported associated product |
CMS Open Payments — General Payments 71 supporting records · 51 recipient NPIs · example record 1206132610 |
Symbicort · 2024 Exact normalized brand match · 1 Part D row |
34 | suppressed by CMS |
| CSL Behring Exact reporting entity; no affiliate inference |
2025 | Haegarda open payments reported associated product |
CMS Open Payments — General Payments 3692 supporting records · 1703 recipient NPIs · example record 1232339032 |
Haegarda · 2024 Exact normalized brand match · 1 Part D row |
11 | suppressed by CMS |
| GlaxoSmithKline, LLC. Exact reporting entity; no affiliate inference |
2025 | TRELEGY ELLIPTA open payments reported associated product |
CMS Open Payments — General Payments 131532 supporting records · 37148 recipient NPIs · example record 1190332369 |
Trelegy Ellipta · 2024 Exact normalized brand match · 1 Part D row |
15 | suppressed by CMS |
| Grifols USA, LLC Exact reporting entity; no affiliate inference |
2025 | Gamunex-C open payments reported associated product |
CMS Open Payments — General Payments 3977 supporting records · 2134 recipient NPIs · example record 1249529381 |
Gamunex-C · 2024 Exact normalized brand match · 1 Part D row |
22 | 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 |
|---|---|---|---|
| Azelastine Hcl | Azelastine Hcl | 336 | 141 |
| Montelukast Sodium | Montelukast Sodium | 202 | 76 |
| Ipratropium Bromide | Ipratropium Bromide | 191 | 79 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 173 | 48 |
| Fluticasone Propionate | Fluticasone Propionate | 105 | 47 |
| Famotidine | Famotidine | 64 | 27 |
| Prednisone | Prednisone | 48 | 33 |
| Symbicort | Budesonide/Formoterol Fumarate | 34 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 29 | 15 |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 28 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 26 | 19 |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 25 | suppressed |
| Spiriva Respimat | Tiotropium Bromide | 25 | suppressed |
| Arnuity Ellipta | Fluticasone Furoate | 22 | suppressed |
| Gamunex-C | Immune Globul G/Gly/Iga Avg 46 | 22 | suppressed |
| Fluticasone Propionate Hfa | Fluticasone Propionate | 20 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 15 | suppressed |
| Sodium Chloride | 0.9 % Sodium Chloride | 13 | suppressed |
| Haegarda | C1 Esterase Inhibitor | 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 | $2,622.95 · 83 records | AstraZeneca Pharmaceuticals LP | AIRSUPRA, AYVAKIT, Albuked, Andembry, BREZTRI, DUPIXENT, FASENRA, GAMMAKED, Hizentra, KEDRAB, KOATE, NEFFY, NUCALA, ORLADEYO, RUCONEST, Rhapsido, RhoGAM Ultra-Filtered PLUS, Sajazir, TEZSPIRE, TRELEGY ELLIPTA, WAYRILZ, XOLAIR, Xembify | 4 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Trelegy Ellipta play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with AstraZeneca Pharmaceuticals LP?
- 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