Payment overview · 2025
General Payments
$997.85
43 reported records · 12 companies
Healthcare provider profile · identity verified
Ralph L Aquadro, MD
Allopathic & Osteopathic Physicians|Internal Medicine · FLORENCE, AL · NPI 1396797288
Verified facts
What the public records show
CMS Open Payments records show Ralph L Aquadro, MD received $997.85 in general payments during 2025 across 43 reported records.
Novo Nordisk Inc accounted for 29.9% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 18 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Farxiga, Ozempic.
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 SYNTHROID as an associated drug or biological on 10655 records involving 4881 distinct recipient NPIs. Public Medicare Part D data also shows 16 claims for Synthroid 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 FARXIGA as an associated drug or biological on 106133 records involving 42906 distinct recipient NPIs. Public Medicare Part D data also shows 126 claims for Farxiga 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 71 claims for Ozempic 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 |
|---|---|---|---|---|---|
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $298.90 | 29.9% | 11 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $260.69 | 26.1% | 11 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $86.62 | 8.7% | 5 | 2025 |
| REVANCE THERAPEUTICS, INC. | Unresolved — no canonical attribution shown | $75.00 | 7.5% | 1 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $74.24 | 7.4% | 4 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $52.62 | 5.3% | 3 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $42.48 | 4.3% | 2 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $27.62 | 2.8% | 2 | 2025 |
| SHIELD THERAPEUTICS INC | Unresolved — no canonical attribution shown | $22.98 | 2.3% | 1 | 2025 |
| Corcept Therapeutics | Unresolved — no canonical attribution shown | $22.81 | 2.3% | 1 | 2025 |
| Inspire Medical Systems, Inc. | Unresolved — no canonical attribution shown | $18.09 | 1.8% | 1 | 2025 |
| Bausch Health US, LLC | Unresolved — no canonical attribution shown | $15.80 | 1.6% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $997.85 | 43 |
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 |
|---|---|---|---|---|---|
| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $230.58 | 8 | 2025 |
Source payment records
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $193.21 | 6 | 2025 |
Source payment records
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| DAXXIFY Normalized: daxxify |
Drug | REVANCE THERAPEUTICS, INC. | $75.00 | 1 | 2025 |
Source payment records
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| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $74.24 | 4 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $68.32 | 3 | 2025 |
Source payment records
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| FARXIGA Normalized: farxiga |
Drug | AstraZeneca Pharmaceuticals LP | $53.99 | 4 | 2025 |
Source payment records
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| Kerendia Normalized: kerendia |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $52.62 | 3 | 2025 |
Source payment records
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| VRAYLAR Normalized: vraylar |
Drug | ABBVIE INC. | $52.33 | 3 | 2025 |
Source payment records
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| CAPVAXIVE Normalized: capvaxive |
Biological | Merck Sharp & Dohme LLC | $42.48 | 2 | 2025 |
Source payment records
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| QULIPTA Normalized: qulipta |
Drug | ABBVIE INC. | $34.29 | 2 | 2025 |
Source payment records
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| UBRELVY Normalized: ubrelvy |
Drug | ABBVIE INC. | $34.29 | 2 | 2025 |
Source payment records
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| EVENITY Normalized: evenity |
Biological | Amgen Inc. | $27.62 | 2 | 2025 |
Source payment records
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| ACCRUFER Normalized: accrufer |
Drug | SHIELD THERAPEUTICS INC | $22.98 | 1 | 2025 |
Source payment records
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| Korlym Normalized: korlym |
Drug | Corcept Therapeutics | $22.81 | 1 | 2025 |
Source payment records
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| INSPIRE Normalized: inspire |
Device | Inspire Medical Systems, Inc. | $18.09 | 1 | 2025 |
Source payment records
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| APLENZIN Normalized: aplenzin |
Drug | Bausch Health US, LLC | $15.80 | 1 | 2025 |
Source payment records
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| PROLIA Normalized: prolia |
Biological | Amgen Inc. | $13.81 | 1 | 2025 |
Source payment records
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| BREZTRI Normalized: breztri |
Drug | AstraZeneca Pharmaceuticals LP | $13.49 | 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 |
|---|---|---|---|---|---|---|
| FARXIGA farxiga |
2025 | Farxiga | 2024 | 126 | exact normalized | Medicare Part D |
| Ozempic ozempic |
2025 | Ozempic | 2024 | 71 | 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 |
|---|---|---|---|---|---|---|
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | SYNTHROID open payments reported associated product |
CMS Open Payments — General Payments 10655 supporting records · 4881 recipient NPIs · example record 1201352636 |
Synthroid · 2024 Exact normalized brand match · 1 Part D row |
16 | suppressed by CMS |
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | FARXIGA open payments reported associated product |
CMS Open Payments — General Payments 106133 supporting records · 42906 recipient NPIs · example record 1206131362 |
Farxiga · 2024 Exact normalized brand match · 1 Part D row |
126 | 21 |
| 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 |
71 | 13 |
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 |
|---|---|---|---|
| Amlodipine Besylate | Amlodipine Besylate | 656 | 175 |
| Omeprazole | Omeprazole | 494 | 129 |
| Atorvastatin Calcium | Atorvastatin Calcium | 443 | 123 |
| Levothyroxine Sodium | Levothyroxine Sodium | 350 | 73 |
| Eliquis | Apixaban | 305 | 45 |
| Methylprednisolone | Methylprednisolone | 274 | 182 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 238 | 66 |
| Levofloxacin | Levofloxacin | 222 | 145 |
| Metoprolol Succinate | Metoprolol Succinate | 206 | 60 |
| Jardiance | Empagliflozin | 181 | 33 |
| Pantoprazole Sodium | Pantoprazole Sodium | 181 | 50 |
| Citalopram Hbr | Citalopram Hydrobromide | 180 | 48 |
| Hydrochlorothiazide | Hydrochlorothiazide | 180 | 46 |
| Sertraline Hcl | Sertraline Hcl | 161 | 44 |
| Lisinopril | Lisinopril | 157 | 45 |
| Zolpidem Tartrate | Zolpidem Tartrate | 150 | 42 |
| Alprazolam | Alprazolam | 146 | 31 |
| Allopurinol | Allopurinol | 145 | 37 |
| Farxiga | Dapagliflozin Propanediol | 126 | 21 |
| Metformin Hcl Er | Metformin Hcl | 124 | 38 |
| Losartan Potassium | Losartan Potassium | 120 | 35 |
| Metformin Hcl | Metformin Hcl | 120 | 34 |
| Lovastatin | Lovastatin | 115 | 34 |
| Ezetimibe | Ezetimibe | 114 | 31 |
| Metoprolol Tartrate | Metoprolol Tartrate | 110 | 34 |
| Potassium Chloride | Potassium Chloride | 110 | 30 |
| Valsartan | Valsartan | 108 | 29 |
| Diclofenac Sodium | Diclofenac Sodium | 105 | 41 |
| Gabapentin | Gabapentin | 101 | 24 |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 100 | 74 |
| Atenolol | Atenolol | 98 | 31 |
| Tamsulosin Hcl | Tamsulosin Hcl | 96 | 28 |
| Montelukast Sodium | Montelukast Sodium | 93 | 32 |
| Clopidogrel | Clopidogrel Bisulfate | 90 | 26 |
| Escitalopram Oxalate | Escitalopram Oxalate | 89 | 19 |
| Donepezil Hcl | Donepezil Hcl | 87 | 23 |
| Furosemide | Furosemide | 87 | 24 |
| Spironolactone | Spironolactone | 83 | 24 |
| Tramadol Hcl | Tramadol Hcl | 82 | 14 |
| Fluticasone Propionate | Fluticasone Propionate | 81 | 25 |
| Trazodone Hcl | Trazodone Hcl | 77 | 23 |
| Pioglitazone Hcl | Pioglitazone Hcl | 72 | 15 |
| Carvedilol | Carvedilol | 71 | 21 |
| Meloxicam | Meloxicam | 71 | 27 |
| Ozempic | Semaglutide | 71 | 13 |
| Lorazepam | Lorazepam | 67 | 12 |
| Duloxetine Hcl | Duloxetine Hcl | 66 | 20 |
| Clonazepam | Clonazepam | 65 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 63 | 18 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 59 | 15 |
| Finasteride | Finasteride | 57 | 13 |
| Mounjaro | Tirzepatide | 54 | suppressed |
| Ramipril | Ramipril | 53 | 13 |
| Tizanidine Hcl | Tizanidine Hcl | 53 | 33 |
| Benazepril Hcl | Benazepril Hcl | 52 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 50 | 13 |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 48 | suppressed |
| Lansoprazole | Lansoprazole | 46 | 15 |
| Prednisone | Prednisone | 45 | 27 |
| Memantine Hcl | Memantine Hcl | 44 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 42 | 14 |
| Azithromycin | Azithromycin | 41 | 31 |
| Felodipine Er | Felodipine | 39 | 11 |
| Simvastatin | Simvastatin | 39 | 13 |
| Ibuprofen | Ibuprofen | 38 | 11 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 38 | 29 |
| Fenofibrate | Fenofibrate | 37 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 35 | suppressed |
| Glimepiride | Glimepiride | 35 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 34 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 34 | 16 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 33 | 11 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 33 | suppressed |
| Famotidine | Famotidine | 31 | suppressed |
| Fluconazole | Fluconazole | 31 | 21 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 27 | suppressed |
| Ondansetron Odt | Ondansetron | 27 | 17 |
| Xarelto | Rivaroxaban | 27 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 26 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 26 | suppressed |
| Diazepam | Diazepam | 25 | suppressed |
| Mometasone Furoate | Mometasone Furoate | 25 | 17 |
| Clindamycin Hcl | Clindamycin Hcl | 24 | 19 |
| Doxazosin Mesylate | Doxazosin Mesylate | 24 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 24 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 22 | suppressed |
| Labetalol Hcl | Labetalol Hcl | 22 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 22 | suppressed |
| Celecoxib | Celecoxib | 21 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 21 | 16 |
| Indapamide | Indapamide | 20 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 20 | suppressed |
| Mupirocin | Mupirocin | 20 | 16 |
| Tresiba Flextouch U-200 | Insulin Degludec | 20 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 19 | suppressed |
| Irbesartan | Irbesartan | 19 | suppressed |
| Metronidazole | Metronidazole | 19 | 14 |
| Mirtazapine | Mirtazapine | 19 | suppressed |
| Pregabalin | Pregabalin | 19 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 18 | 12 |
| Metolazone | Metolazone | 18 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 17 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 17 | suppressed |
| Verapamil Er | Verapamil Hcl | 17 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 16 | suppressed |
| Flecainide Acetate | Flecainide Acetate | 16 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 16 | 11 |
| Nortriptyline Hcl | Nortriptyline Hcl | 16 | suppressed |
| Synthroid | Levothyroxine Sodium | 16 | suppressed |
| Terbinafine Hcl | Terbinafine Hcl | 16 | suppressed |
| Tramadol Hcl-Acetaminophen | Tramadol Hcl/Acetaminophen | 16 | 13 |
| Bupropion Hcl Sr | Bupropion Hcl | 15 | suppressed |
| Cefuroxime | Cefuroxime Axetil | 15 | 11 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 15 | suppressed |
| Diphenoxylate-Atropine | Diphenoxylate Hcl/Atropine | 15 | suppressed |
| Topiramate | Topiramate | 15 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 15 | suppressed |
| Methocarbamol | Methocarbamol | 14 | suppressed |
| Sildenafil Citrate | Sildenafil Citrate | 14 | suppressed |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 14 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 14 | suppressed |
| Colesevelam Hcl | Colesevelam Hcl | 13 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 13 | suppressed |
| Rivastigmine | Rivastigmine | 13 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 12 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 12 | suppressed |
| Clorazepate Dipotassium | Clorazepate Dipotassium | 12 | suppressed |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 12 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 12 | suppressed |
| Acyclovir | Acyclovir | 11 | suppressed |
| Chlorthalidone | Chlorthalidone | 11 | suppressed |
| Galantamine Hbr | Galantamine Hbr | 11 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 11 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 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 | $997.85 · 43 records | Novo Nordisk Inc | ACCRUFER, AIRSUPRA, APLENZIN, BREZTRI, CAPVAXIVE, Cologuard Collection Kit, DAXXIFY, EVENITY, FARXIGA, INSPIRE, Kerendia, Korlym, Ozempic, PROLIA, QULIPTA, UBRELVY, VRAYLAR, Wegovy | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Farxiga play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with ABBVIE 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