Payment overview · 2025
General Payments
$2,835.03
122 reported records · 29 companies
Healthcare provider profile · identity verified
Sandra E.D. Estrada, ARNP
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner · SILVERDALE, WA · NPI 1427082833
Verified facts
What the public records show
CMS Open Payments records show Sandra E.D. Estrada, ARNP received $2,835.03 in general payments during 2025 across 122 reported records.
PFIZER INC. accounted for 10.3% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 35 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Briviact, Nurtec Odt, Qulipta, Ubrelvy.
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 QULIPTA as an associated drug or biological on 298617 records involving 58957 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Qulipta by this doctor in 2024.
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 UBRELVY as an associated drug or biological on 299803 records involving 61203 distinct recipient NPIs. Public Medicare Part D data also shows 15 claims for Ubrelvy by this doctor in 2024.
Biogen, 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 TECFIDERA as an associated drug or biological on 28 records involving 22 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Tecfidera 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 NURTEC ODT as an associated drug or biological on 217574 records involving 54025 distinct recipient NPIs. Public Medicare Part D data also shows 51 claims for Nurtec Odt by this doctor in 2024.
SK Life Science, 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 XCOPRI as an associated drug or biological on 1992 records involving 782 distinct recipient NPIs. Public Medicare Part D data also shows 39 claims for Xcopri by this doctor in 2024.
UCB, 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 Briviact as an associated drug or biological on 13595 records involving 4444 distinct recipient NPIs. Public Medicare Part D data also shows 22 claims for Briviact 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 |
|---|---|---|---|---|---|
| PFIZER INC. | Unresolved — no canonical attribution shown | $291.83 | 10.3% | 16 | 2025 |
| EMD Serono, Inc. | Unresolved — no canonical attribution shown | $206.36 | 7.3% | 9 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $183.20 | 6.5% | 9 | 2025 |
| Janssen Biotech, Inc. | Unresolved — no canonical attribution shown | $181.52 | 6.4% | 5 | 2025 |
| TG Therapeutics, Inc. | Unresolved — no canonical attribution shown | $180.00 | 6.3% | 7 | 2025 |
| Merz Pharmaceuticals, LLC | Unresolved — no canonical attribution shown | $161.12 | 5.7% | 5 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $141.28 | 5.0% | 6 | 2025 |
| Neurelis, Inc. |
Neurelis, Inc. exact · evidence 2025-02-20 |
$125.00 | 4.4% | 5 | 2025 |
| UCB, Inc. | Unresolved — no canonical attribution shown | $121.60 | 4.3% | 5 | 2025 |
| Alexion Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $119.71 | 4.2% | 5 | 2025 |
| Celgene Corporation | Unresolved — no canonical attribution shown | $107.68 | 3.8% | 4 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $107.35 | 3.8% | 5 | 2025 |
| Lundbeck LLC | Unresolved — no canonical attribution shown | $96.14 | 3.4% | 5 | 2025 |
| CSL Behring | Unresolved — no canonical attribution shown | $91.24 | 3.2% | 4 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $90.95 | 3.2% | 4 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $68.21 | 2.4% | 2 | 2025 |
| ACADIA Pharmaceuticals Inc | Unresolved — no canonical attribution shown | $65.58 | 2.3% | 3 | 2025 |
| Alnylam Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $60.82 | 2.1% | 3 | 2025 |
| Genentech USA, Inc. | Unresolved — no canonical attribution shown | $60.82 | 2.1% | 3 | 2025 |
| ARGENX US, INC. | Unresolved — no canonical attribution shown | $60.27 | 2.1% | 3 | 2025 |
| Teva Pharmaceuticals USA, Inc. | Unresolved — no canonical attribution shown | $50.76 | 1.8% | 2 | 2025 |
| GE HEALTHCARE | Unresolved — no canonical attribution shown | $49.66 | 1.8% | 2 | 2025 |
| Eisai Inc. | Unresolved — no canonical attribution shown | $49.37 | 1.7% | 2 | 2025 |
| SK Life Science, Inc. |
SK Life Science, Inc. exact · evidence 2025-04-03 |
$46.42 | 1.6% | 2 | 2025 |
| Collegium Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $37.91 | 1.3% | 2 | 2025 |
| Biogen, Inc. | Unresolved — no canonical attribution shown | $28.74 | 1.0% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $20.09 | 0.7% | 1 | 2025 |
| JAZZ PHARMACEUTICALS INC. | Unresolved — no canonical attribution shown | $17.22 | 0.6% | 1 | 2025 |
| Amneal Pharmaceuticals LLC | Unresolved — no canonical attribution shown | $14.18 | 0.5% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $2,735.04 | 121 |
| Education | $99.99 | 1 |
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 |
|---|---|---|---|---|---|
| BRIUMVI Normalized: briumvi |
Drug | TG Therapeutics, Inc. | $180.00 | 7 | 2025 |
Source payment records
|
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| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $139.40 | 8 | 2025 |
Source payment records
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| Xeomin Normalized: xeomin |
Biological | Merz Pharmaceuticals, LLC | $130.04 | 4 | 2025 |
Source payment records
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| VALTOCO Normalized: valtoco |
Drug | Neurelis, Inc. | $125.00 | 5 | 2025 |
Source payment records
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| INBRIJA Normalized: inbrija |
Drug | Merz Pharmaceuticals, LLC | $124.06 | 4 | 2025 |
Source payment records
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| PANZYGA Normalized: panzyga |
Biological | PFIZER INC. | $116.65 | 5 | 2025 |
Source payment records
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| ZEPOSIA Normalized: zeposia |
Drug | Celgene Corporation | $107.68 | 4 | 2025 |
Source payment records
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| KISUNLA Normalized: kisunla |
Drug | Lilly USA, LLC | $107.35 | 5 | 2025 |
Source payment records
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| REXULTI Normalized: rexulti |
Drug | Lundbeck LLC | $96.14 | 5 | 2025 |
Source payment records
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| QULIPTA Normalized: qulipta |
Drug | ABBVIE INC. | $92.49 | 6 | 2025 |
Source payment records
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| UBRELVY Normalized: ubrelvy |
Drug | ABBVIE INC. | $92.49 | 6 | 2025 |
Source payment records
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| Hizentra Normalized: hizentra |
Biological | CSL Behring | $91.24 | 4 | 2025 |
Source payment records
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| KESIMPTA Normalized: kesimpta |
Drug | Novartis Pharmaceuticals Corporation | $90.95 | 4 | 2025 |
Source payment records
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| VYALEV Normalized: vyalev |
Drug | ABBVIE INC. | $90.71 | 3 | 2025 |
Source payment records
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| ZAVZPRET Normalized: zavzpret |
Drug | PFIZER INC. | $76.97 | 4 | 2025 |
Source payment records
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| ULTOMIRIS Normalized: ultomiris |
Biological | Alexion Pharmaceuticals, Inc. | $76.81 | 3 | 2025 |
Source payment records
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| Rystiggo Normalized: rystiggo |
Drug | UCB, Inc. | $72.68 | 3 | 2025 |
Source payment records
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| HYQVIA Normalized: hyqvia |
Biological | Takeda Pharmaceuticals U.S.A., Inc. | $68.21 | 2 | 2025 |
Source payment records
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| NUPLAZID Normalized: nuplazid |
Drug | ACADIA Pharmaceuticals Inc | $65.58 | 3 | 2025 |
Source payment records
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| AMVUTTRA Normalized: amvuttra |
Drug | Alnylam Pharmaceuticals Inc. | $60.82 | 3 | 2025 |
Source payment records
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| Ocrevus Zunovo Normalized: ocrevus zunovo |
Biological | Genentech USA, Inc. | $60.82 | 3 | 2025 |
Source payment records
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| AUSTEDO XR Normalized: austedo xr |
Drug | Teva Pharmaceuticals USA, Inc. | $50.76 | 2 | 2025 |
Source payment records
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| Leqembi Normalized: leqembi |
Drug | Eisai Inc. | $49.37 | 2 | 2025 |
Source payment records
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| VYVGART HYTRULO Normalized: vyvgart hytrulo |
Drug | ARGENX US, INC. | $39.00 | 2 | 2025 |
Source payment records
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| Jornay PM Normalized: jornay pm |
Drug | Collegium Pharmaceutical, Inc. | $37.91 | 2 | 2025 |
Source payment records
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| FABRAZYME Normalized: fabrazyme |
Biological | GENZYME CORPORATION | $34.04 | 1 | 2025 |
Source payment records
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| TYSABRI Normalized: tysabri |
Biological | Biogen, Inc. | $28.74 | 1 | 2025 |
Source payment records
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| VUMERITY Normalized: vumerity |
Drug | Biogen, Inc. | $28.74 | 1 | 2025 |
Source payment records
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| OCTAGAM IMMUNE GLOBULIN (HUMAN) Normalized: octagam immune globulin human |
Drug | PFIZER INC. | $28.28 | 1 | 2025 |
Source payment records
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| Nayzilam Normalized: nayzilam |
Drug | UCB, Inc. | $27.43 | 1 | 2025 |
Source payment records
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| CEREZYME Normalized: cerezyme |
Biological | GENZYME CORPORATION | $25.94 | 1 | 2025 |
Source payment records
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| Briviact Normalized: briviact |
Drug | UCB, Inc. | $21.49 | 1 | 2025 |
Source payment records
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| VYVGART Normalized: vyvgart |
Drug | ARGENX US, INC. | $21.27 | 1 | 2025 |
Source payment records
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| EPIDIOLEX Normalized: epidiolex |
Drug | JAZZ PHARMACEUTICALS INC. | $17.22 | 1 | 2025 |
Source payment records
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| CREXONT Normalized: crexont |
Drug | Amneal Pharmaceuticals LLC | $14.18 | 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 |
|---|---|---|---|---|---|---|
| Briviact briviact |
2025 | Briviact | 2024 | 22 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| NURTEC ODT nurtec odt |
2025 | Nurtec Odt | 2024 | 51 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| QULIPTA qulipta |
2025 | Qulipta | 2024 | 12 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| UBRELVY ubrelvy |
2025 | Ubrelvy | 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 |
|---|---|---|---|---|---|---|
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | QULIPTA open payments reported associated product |
CMS Open Payments — General Payments 298617 supporting records · 58957 recipient NPIs · example record 1201352530 |
Qulipta · 2024 Exact normalized brand match · 1 Part D row |
12 | suppressed by CMS |
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | UBRELVY open payments reported associated product |
CMS Open Payments — General Payments 299803 supporting records · 61203 recipient NPIs · example record 1201352530 |
Ubrelvy · 2024 Exact normalized brand match · 1 Part D row |
15 | suppressed by CMS |
| Biogen, Inc. Exact reporting entity; no affiliate inference |
2025 | TECFIDERA open payments reported associated product |
CMS Open Payments — General Payments 28 supporting records · 22 recipient NPIs · example record 1208304358 |
Tecfidera · 2024 Exact normalized brand match · 1 Part D row |
12 | suppressed by CMS |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | NURTEC ODT open payments reported associated product |
CMS Open Payments — General Payments 217574 supporting records · 54025 recipient NPIs · example record 1228794063 |
Nurtec Odt · 2024 Exact normalized brand match · 1 Part D row |
51 | suppressed by CMS |
| SK Life Science, Inc. Exact reporting entity; no affiliate inference |
2025 | XCOPRI open payments reported associated product |
CMS Open Payments — General Payments 1992 supporting records · 782 recipient NPIs · example record 1252276115 |
Xcopri · 2024 Exact normalized brand match · 1 Part D row |
39 | suppressed by CMS |
| UCB, Inc. Exact reporting entity; no affiliate inference |
2025 | Briviact open payments reported associated product |
CMS Open Payments — General Payments 13595 supporting records · 4444 recipient NPIs · example record 1224348489 |
Briviact · 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 |
|---|---|---|---|
| Levetiracetam | Levetiracetam | 277 | 44 |
| Lamotrigine | Lamotrigine | 164 | 23 |
| Topiramate | Topiramate | 122 | 20 |
| Lacosamide | Lacosamide | 113 | 11 |
| Zonisamide | Zonisamide | 73 | 13 |
| Emgality Pen | Galcanezumab-Gnlm | 70 | 11 |
| Gabapentin | Gabapentin | 63 | suppressed |
| Nurtec Odt | Rimegepant Sulfate | 51 | suppressed |
| Rizatriptan | Rizatriptan Benzoate | 51 | 14 |
| Levetiracetam Er | Levetiracetam | 47 | suppressed |
| Naratriptan Hcl | Naratriptan Hcl | 39 | 14 |
| Xcopri | Cenobamate | 39 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 33 | 13 |
| Baclofen | Baclofen | 30 | suppressed |
| Diazepam | Diazepam | 29 | suppressed |
| Lamotrigine Er | Lamotrigine | 29 | suppressed |
| Oxcarbazepine | Oxcarbazepine | 29 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 28 | suppressed |
| Aimovig Autoinjector | Erenumab-Aooe | 27 | suppressed |
| Modafinil | Modafinil | 25 | suppressed |
| Carbamazepine Er | Carbamazepine | 24 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 24 | suppressed |
| Briviact | Brivaracetam | 22 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 22 | suppressed |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 22 | suppressed |
| Glatopa | Glatiramer Acetate | 20 | suppressed |
| Phenobarbital | Phenobarbital | 20 | suppressed |
| Pregabalin | Pregabalin | 20 | suppressed |
| Carbamazepine | Carbamazepine | 15 | suppressed |
| Dimethyl Fumarate | Dimethyl Fumarate | 15 | suppressed |
| Phenytoin | Phenytoin | 15 | suppressed |
| Ubrelvy | Ubrogepant | 15 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 14 | suppressed |
| Fycompa | Perampanel | 13 | suppressed |
| Glatiramer Acetate | Glatiramer Acetate | 13 | suppressed |
| Keppra | Levetiracetam | 13 | suppressed |
| Lidocaine | Lidocaine | 13 | suppressed |
| Valproic Acid | Valproic Acid (As Sodium Salt) | 13 | suppressed |
| Dalfampridine Er | Dalfampridine | 12 | suppressed |
| Emgality Syringe | Galcanezumab-Gnlm | 12 | suppressed |
| Primidone | Primidone | 12 | suppressed |
| Qulipta | Atogepant | 12 | suppressed |
| Tecfidera | Dimethyl Fumarate | 12 | suppressed |
| Teriflunomide | Teriflunomide | 12 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 12 | suppressed |
| Zolmitriptan Odt | Zolmitriptan | 12 | suppressed |
| Ajovy Autoinjector | Fremanezumab-Vfrm | 11 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 11 | suppressed |
| Fingolimod | Fingolimod Hcl | 11 | suppressed |
| Vimpat | Lacosamide | 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 | $2,835.03 · 122 records | PFIZER INC. | AMVUTTRA, AUSTEDO XR, BRIUMVI, Briviact, CEREZYME, CREXONT, EPIDIOLEX, FABRAZYME, HYQVIA, Hizentra, INBRIJA, Jornay PM, KESIMPTA, KISUNLA, Leqembi, NUPLAZID, NURTEC ODT, Nayzilam, OCTAGAM IMMUNE GLOBULIN (HUMAN), Ocrevus Zunovo, PANZYGA, QULIPTA, REXULTI, Rystiggo, TYSABRI, UBRELVY, ULTOMIRIS, VALTOCO, VUMERITY, VYALEV, VYVGART, VYVGART HYTRULO, Xeomin, ZAVZPRET, ZEPOSIA | 6 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Briviact 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