Payment overview · 2025
General Payments
$233.43
15 reported records · 5 companies
Healthcare provider profile · identity verified
Trisha A Spray, APRN
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner · LONDON, KY · NPI 1447773320
Verified facts
What the public records show
CMS Open Payments records show Trisha A Spray, APRN received $233.43 in general payments during 2025 across 15 reported records.
ABBVIE INC. accounted for 59.4% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 7 associated products.
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 LINZESS as an associated drug or biological on 87954 records involving 21815 distinct recipient NPIs. Public Medicare Part D data also shows 16 claims for Linzess 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 SYNTHROID as an associated drug or biological on 10655 records involving 4881 distinct recipient NPIs. Public Medicare Part D data also shows 25 claims for Synthroid 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 ELIQUIS as an associated drug or biological on 87112 records involving 36032 distinct recipient NPIs. Public Medicare Part D data also shows 62 claims for Eliquis 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 |
|---|---|---|---|---|---|
| ABBVIE INC. | Unresolved — no canonical attribution shown | $138.59 | 59.4% | 10 | 2025 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | Unresolved — no canonical attribution shown | $41.45 | 17.8% | 2 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $20.39 | 8.7% | 1 | 2025 |
| VERTEX PHARMACEUTICALS INCORPORATED | Unresolved — no canonical attribution shown | $18.88 | 8.1% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $14.12 | 6.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $233.43 | 15 |
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 |
|---|---|---|---|---|---|
| QULIPTA Normalized: qulipta |
Drug | ABBVIE INC. | $138.59 | 10 | 2025 |
Source payment records
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| UBRELVY Normalized: ubrelvy |
Drug | ABBVIE INC. | $93.19 | 7 | 2025 |
Source payment records
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| RELISTOR Normalized: relistor |
Drug | Salix Pharmaceuticals, a division of Bausch Health US, LLC | $41.45 | 2 | 2025 |
Source payment records
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| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $20.39 | 1 | 2025 |
Source payment records
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| JOURNAVX Normalized: journavx |
Drug | VERTEX PHARMACEUTICALS INCORPORATED | $18.88 | 1 | 2025 |
Source payment records
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| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $14.12 | 1 | 2025 |
Source payment records
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| ZAVZPRET Normalized: zavzpret |
Drug | PFIZER INC. | $14.12 | 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
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
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 | LINZESS open payments reported associated product |
CMS Open Payments — General Payments 87954 supporting records · 21815 recipient NPIs · example record 1201352608 |
Linzess · 2024 Exact normalized brand match · 1 Part D row |
16 | suppressed by CMS |
| 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 |
25 | 11 |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | ELIQUIS open payments reported associated product |
CMS Open Payments — General Payments 87112 supporting records · 36032 recipient NPIs · example record 1228794063 |
Eliquis · 2024 Exact normalized brand match · 1 Part D row |
62 | 17 |
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 |
|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 750 | 407 |
| Gabapentin | Gabapentin | 622 | 260 |
| Atorvastatin Calcium | Atorvastatin Calcium | 150 | 43 |
| Pregabalin | Pregabalin | 142 | 57 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 130 | 51 |
| Amlodipine Besylate | Amlodipine Besylate | 122 | 42 |
| Levothyroxine Sodium | Levothyroxine Sodium | 119 | 43 |
| Lisinopril | Lisinopril | 119 | 45 |
| Montelukast Sodium | Montelukast Sodium | 108 | 38 |
| Omeprazole | Omeprazole | 108 | 37 |
| Tizanidine Hcl | Tizanidine Hcl | 85 | 41 |
| Metoprolol Succinate | Metoprolol Succinate | 83 | 26 |
| Pantoprazole Sodium | Pantoprazole Sodium | 75 | 26 |
| Meloxicam | Meloxicam | 74 | 31 |
| Diclofenac Sodium | Diclofenac Sodium | 71 | 35 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 68 | 33 |
| Eliquis | Apixaban | 62 | 17 |
| Famotidine | Famotidine | 62 | 15 |
| Buspirone Hcl | Buspirone Hcl | 50 | 21 |
| Tamsulosin Hcl | Tamsulosin Hcl | 50 | 16 |
| Hydrochlorothiazide | Hydrochlorothiazide | 49 | 16 |
| Baclofen | Baclofen | 48 | 19 |
| Tramadol Hcl | Tramadol Hcl | 48 | 27 |
| Atenolol | Atenolol | 47 | 17 |
| Celecoxib | Celecoxib | 44 | 19 |
| Amoxicillin | Amoxicillin | 43 | 42 |
| Cefdinir | Cefdinir | 42 | 40 |
| Ropinirole Hcl | Ropinirole Hcl | 42 | 19 |
| Alprazolam | Alprazolam | 41 | 13 |
| Losartan Potassium | Losartan Potassium | 40 | 18 |
| Duloxetine Hcl | Duloxetine Hcl | 39 | 15 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 39 | 17 |
| Clopidogrel | Clopidogrel Bisulfate | 38 | 12 |
| Donepezil Hcl | Donepezil Hcl | 36 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 35 | 33 |
| Ondansetron Hcl | Ondansetron Hcl | 34 | 23 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 33 | 22 |
| Methylprednisolone | Methylprednisolone | 33 | 33 |
| Ozempic | Semaglutide | 33 | 15 |
| Metformin Hcl Er | Metformin Hcl | 32 | 12 |
| Sertraline Hcl | Sertraline Hcl | 32 | 12 |
| Lorazepam | Lorazepam | 31 | 13 |
| Amitriptyline Hcl | Amitriptyline Hcl | 30 | 14 |
| Escitalopram Oxalate | Escitalopram Oxalate | 30 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 30 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 30 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 30 | 12 |
| Mirtazapine | Mirtazapine | 30 | suppressed |
| Carvedilol | Carvedilol | 29 | suppressed |
| Spironolactone | Spironolactone | 29 | suppressed |
| Methocarbamol | Methocarbamol | 28 | 16 |
| Trulicity | Dulaglutide | 28 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 27 | suppressed |
| Fluconazole | Fluconazole | 26 | 18 |
| Allopurinol | Allopurinol | 25 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 25 | 13 |
| Synthroid | Levothyroxine Sodium | 25 | 11 |
| Metformin Hcl | Metformin Hcl | 24 | 13 |
| Topiramate | Topiramate | 24 | suppressed |
| Finasteride | Finasteride | 23 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 22 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 21 | 20 |
| Ibuprofen | Ibuprofen | 21 | 11 |
| Potassium Chloride | Potassium Chloride | 21 | suppressed |
| Mounjaro | Tirzepatide | 18 | suppressed |
| Nortriptyline Hcl | Nortriptyline Hcl | 18 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 17 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 17 | suppressed |
| Cephalexin | Cephalexin | 16 | 15 |
| Estradiol | Estradiol | 16 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 16 | suppressed |
| Linzess | Linaclotide | 16 | suppressed |
| Tradjenta | Linagliptin | 16 | suppressed |
| Ondansetron Odt | Ondansetron | 15 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 15 | suppressed |
| Autoshield Duo Pen Needle | Pen Needle,dual Safety,diabetc | 14 | suppressed |
| Bethanechol Chloride | Bethanechol Chloride | 14 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 14 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 14 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 14 | suppressed |
| Simvastatin | Simvastatin | 14 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 13 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 13 | suppressed |
| Januvia | Sitagliptin Phosphate | 13 | suppressed |
| Lidocaine | Lidocaine | 13 | suppressed |
| Dexamethasone | Dexamethasone | 12 | 11 |
| Furosemide | Furosemide | 12 | suppressed |
| Lansoprazole | Lansoprazole | 12 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 12 | suppressed |
| Fondaparinux Sodium | Fondaparinux Sodium | 11 | suppressed |
| Jardiance | Empagliflozin | 11 | suppressed |
| Movantik | Naloxegol Oxalate | 11 | suppressed |
| Xarelto | Rivaroxaban | 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 | $233.43 · 15 records | ABBVIE INC. | JOURNAVX, LEQVIO, NURTEC ODT, QULIPTA, RELISTOR, UBRELVY, ZAVZPRET | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- 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