Payment overview · 2025
General Payments
$1,684.83
79 reported records · 33 companies
Healthcare provider profile · identity verified
Frank T Klima, APRN-BC
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · FREDERICKTOWN, MO · NPI 1467756809
Verified facts
What the public records show
CMS Open Payments records show Frank T Klima, APRN-BC received $1,684.83 in general payments during 2025 across 79 reported records.
AstraZeneca Pharmaceuticals LP accounted for 8.7% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 45 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Mounjaro, Ozempic.
Lilly 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 JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Jardiance by this doctor in 2024.
Lilly 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 MOUNJARO as an associated drug or biological on 186719 records involving 66436 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Mounjaro 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 26 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 |
|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $146.07 | 8.7% | 6 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $143.66 | 8.5% | 12 | 2025 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | Unresolved — no canonical attribution shown | $132.57 | 7.9% | 6 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $105.79 | 6.3% | 3 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $104.02 | 6.2% | 4 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $94.25 | 5.6% | 5 | 2025 |
| SANOFI-AVENTIS U.S. LLC | Unresolved — no canonical attribution shown | $91.42 | 5.4% | 3 | 2025 |
| Aimmune Therapeutics, Inc. | Unresolved — no canonical attribution shown | $87.32 | 5.2% | 2 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $85.68 | 5.1% | 5 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $76.11 | 4.5% | 4 | 2025 |
| Edwards Lifesciences Corporation | Unresolved — no canonical attribution shown | $63.66 | 3.8% | 2 | 2025 |
| Gilead Sciences, Inc. | Unresolved — no canonical attribution shown | $47.21 | 2.8% | 1 | 2025 |
| KYOWA KIRIN, INC. | Unresolved — no canonical attribution shown | $44.33 | 2.6% | 2 | 2025 |
| Dexcom, Inc. | Unresolved — no canonical attribution shown | $41.51 | 2.5% | 2 | 2025 |
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $35.29 | 2.1% | 2 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $34.69 | 2.1% | 2 | 2025 |
| CSL Behring | Unresolved — no canonical attribution shown | $29.89 | 1.8% | 1 | 2025 |
| Inspire Medical Systems, Inc. | Unresolved — no canonical attribution shown | $29.49 | 1.8% | 1 | 2025 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | Unresolved — no canonical attribution shown | $28.10 | 1.7% | 2 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $24.72 | 1.5% | 1 | 2025 |
| Sumitomo Pharma America, Inc. | Unresolved — no canonical attribution shown | $22.97 | 1.4% | 1 | 2025 |
| Janssen Pharmaceuticals, Inc | Unresolved — no canonical attribution shown | $22.09 | 1.3% | 1 | 2025 |
| Amphastar Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $22.08 | 1.3% | 1 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $21.29 | 1.3% | 1 | 2025 |
| Xeris Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $19.67 | 1.2% | 1 | 2025 |
| Viatris Specialty LLC | Unresolved — no canonical attribution shown | $18.34 | 1.1% | 1 | 2025 |
| E.R. Squibb & Sons, L.L.C. | Unresolved — no canonical attribution shown | $18.05 | 1.1% | 1 | 2025 |
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $17.49 | 1.0% | 1 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $17.13 | 1.0% | 1 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $16.27 | 1.0% | 1 | 2025 |
| Antares Pharma, Inc. | Unresolved — no canonical attribution shown | $15.82 | 0.9% | 1 | 2025 |
| Lundbeck LLC | Unresolved — no canonical attribution shown | $14.18 | 0.8% | 1 | 2025 |
| Organon LLC | Unresolved — no canonical attribution shown | $13.67 | 0.8% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,684.83 | 79 |
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 |
|---|---|---|---|---|---|
| CAPLYTA Normalized: caplyta |
Drug | ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $132.57 | 6 | 2025 |
Source payment records
|
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $104.02 | 4 | 2025 |
Source payment records
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| VRAYLAR Normalized: vraylar |
Drug | ABBVIE INC. | $99.27 | 9 | 2025 |
Source payment records
|
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $95.31 | 4 | 2025 |
Source payment records
|
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| TZIELD Normalized: tzield |
Biological | SANOFI-AVENTIS U.S. LLC | $91.42 | 3 | 2025 |
Source payment records
|
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $77.15 | 3 | 2025 |
Source payment records
|
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| OTEZLA Normalized: otezla |
Drug | Amgen Inc. | $76.11 | 4 | 2025 |
Source payment records
|
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $76.11 | 4 | 2025 |
Source payment records
|
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| The Cologuard Plus Collection Kit Normalized: the cologuard plus collection kit |
Device | Exact Sciences Corporation | $69.16 | 4 | 2025 |
Source payment records
|
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $65.87 | 1 | 2025 |
Source payment records
|
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| Edwards SAPIEN 3 Ultra Transcatheter Heart Valve Normalized: edwards sapien 3 ultra transcatheter heart valve |
Device | Edwards Lifesciences Corporation | $63.66 | 2 | 2025 |
Source payment records
|
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| ZENPEP Normalized: zenpep |
Drug | Aimmune Therapeutics, Inc. | $63.57 | 1 | 2025 |
Source payment records
|
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| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $57.97 | 3 | 2025 |
Source payment records
|
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| ZAVZPRET Normalized: zavzpret |
Drug | PFIZER INC. | $57.97 | 3 | 2025 |
Source payment records
|
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| BREZTRI Normalized: breztri |
Drug | AstraZeneca Pharmaceuticals LP | $50.76 | 2 | 2025 |
Source payment records
|
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| REXULTI Normalized: rexulti |
Drug | Lundbeck LLC, Otsuka America Pharmaceutical, Inc. | $49.47 | 3 | 2025 |
Source payment records
|
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| UBRELVY Normalized: ubrelvy |
Drug | ABBVIE INC. | $44.39 | 3 | 2025 |
Source payment records
|
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| CRYSVITA Normalized: crysvita |
Drug | KYOWA KIRIN, INC. | $44.33 | 2 | 2025 |
Source payment records
|
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| Dexcom G6 Transmitter Normalized: dexcom g6 transmitter |
Medical Supply | Dexcom, Inc. | $41.51 | 2 | 2025 |
Source payment records
|
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| ABRYSVO Normalized: abrysvo |
Biological | PFIZER INC. | $36.28 | 2 | 2025 |
Source payment records
|
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| COMIRNATY Normalized: comirnaty |
Biological | PFIZER INC. | $36.28 | 2 | 2025 |
Source payment records
|
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| PREVNAR 20 Normalized: prevnar 20 |
Biological | PFIZER INC. | $36.28 | 2 | 2025 |
Source payment records
|
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| AREXVY Normalized: arexvy |
Biological | GlaxoSmithKline, LLC. | $34.69 | 2 | 2025 |
Source payment records
|
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| SHINGRIX Normalized: shingrix |
Biological | GlaxoSmithKline, LLC. | $34.69 | 2 | 2025 |
Source payment records
|
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| FARXIGA Normalized: farxiga |
Drug | AstraZeneca Pharmaceuticals LP | $31.47 | 1 | 2025 |
Source payment records
|
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| Hizentra Normalized: hizentra |
Biological | CSL Behring | $29.89 | 1 | 2025 |
Source payment records
|
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| INSPIRE Normalized: inspire |
Device | Inspire Medical Systems, Inc. | $29.49 | 1 | 2025 |
Source payment records
|
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| XIFAXAN Normalized: xifaxan |
Drug | Salix Pharmaceuticals, a division of Bausch Health US, LLC | $28.10 | 2 | 2025 |
Source payment records
|
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| Kerendia Normalized: kerendia |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $24.72 | 1 | 2025 |
Source payment records
|
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| VOWST Normalized: vowst |
Biological | Aimmune Therapeutics, Inc. | $23.75 | 1 | 2025 |
Source payment records
|
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $23.09 | 1 | 2025 |
Source payment records
|
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| GEMTESA Normalized: gemtesa |
Drug | Sumitomo Pharma America, Inc. | $22.97 | 1 | 2025 |
Source payment records
|
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| SPRAVATO Normalized: spravato |
Drug | Janssen Pharmaceuticals, Inc | $22.09 | 1 | 2025 |
Source payment records
|
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| FREESTYLE LIBRE Normalized: freestyle libre |
Device | Abbott Laboratories | $21.29 | 1 | 2025 |
Source payment records
|
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| RECORLEV Normalized: recorlev |
Drug | Xeris Pharmaceuticals, Inc. | $19.67 | 1 | 2025 |
Source payment records
|
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| YUPELRI Normalized: yupelri |
Drug | Viatris Specialty LLC | $18.34 | 1 | 2025 |
Source payment records
|
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| ELIQUIS Normalized: eliquis |
Drug | E.R. Squibb & Sons, L.L.C. | $18.05 | 1 | 2025 |
Source payment records
|
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| Veozah Normalized: veozah |
Drug | Astellas Pharma US Inc | $17.49 | 1 | 2025 |
Source payment records
|
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| TRINTELLIX Normalized: trintellix |
Drug | Takeda Pharmaceuticals U.S.A., Inc. | $17.13 | 1 | 2025 |
Source payment records
|
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| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $16.52 | 1 | 2025 |
Source payment records
|
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| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $16.27 | 1 | 2025 |
Source payment records
|
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| XYOSTED Normalized: xyosted |
Drug | Antares Pharma, Inc. | $15.82 | 1 | 2025 |
Source payment records
|
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| BEXSERO Normalized: bexsero |
Biological | GlaxoSmithKline, LLC. | $15.27 | 1 | 2025 |
Source payment records
|
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| NEXPLANON Normalized: nexplanon |
Drug | Organon LLC | $13.67 | 1 | 2025 |
Source payment records
|
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| QULIPTA Normalized: qulipta |
Drug | ABBVIE INC. | $4.29 | 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 |
|---|---|---|---|---|---|---|
| MOUNJARO mounjaro |
2025 | Mounjaro | 2024 | 12 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| Ozempic ozempic |
2025 | Ozempic | 2024 | 26 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 |
|---|---|---|---|---|---|---|
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 47708 supporting records · 23833 recipient NPIs · example record 1186464557 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
12 | suppressed by CMS |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | MOUNJARO open payments reported associated product |
CMS Open Payments — General Payments 186719 supporting records · 66436 recipient NPIs · example record 1186464455 |
Mounjaro · 2024 Exact normalized brand match · 1 Part D row |
12 | suppressed by CMS |
| 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 |
26 | 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 |
|---|---|---|---|
| Gabapentin | Gabapentin | 59 | 25 |
| Levothyroxine Sodium | Levothyroxine Sodium | 51 | 24 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 41 | 20 |
| Azelastine Hcl | Azelastine Hcl | 35 | 26 |
| Tizanidine Hcl | Tizanidine Hcl | 34 | 18 |
| Prednisone | Prednisone | 31 | 27 |
| Escitalopram Oxalate | Escitalopram Oxalate | 27 | 11 |
| Sertraline Hcl | Sertraline Hcl | 27 | 11 |
| Trazodone Hcl | Trazodone Hcl | 27 | 12 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 26 | 25 |
| Ozempic | Semaglutide | 26 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 25 | 12 |
| Lisinopril | Lisinopril | 23 | 12 |
| Pantoprazole Sodium | Pantoprazole Sodium | 23 | 14 |
| Amlodipine Besylate | Amlodipine Besylate | 22 | 12 |
| Atorvastatin Calcium | Atorvastatin Calcium | 22 | 14 |
| Metoprolol Succinate | Metoprolol Succinate | 22 | suppressed |
| Meloxicam | Meloxicam | 21 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 21 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 20 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 19 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 19 | suppressed |
| Omeprazole | Omeprazole | 18 | suppressed |
| Furosemide | Furosemide | 16 | 11 |
| Diclofenac Sodium | Diclofenac Sodium | 15 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 15 | suppressed |
| Potassium Chloride | Potassium Chloride | 15 | suppressed |
| Azithromycin | Azithromycin | 14 | 14 |
| Tamsulosin Hcl | Tamsulosin Hcl | 14 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 13 | suppressed |
| Metformin Hcl | Metformin Hcl | 13 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 12 | 12 |
| Famotidine | Famotidine | 12 | suppressed |
| Jardiance | Empagliflozin | 12 | suppressed |
| Mirtazapine | Mirtazapine | 12 | suppressed |
| Mounjaro | Tirzepatide | 12 | suppressed |
| Losartan Potassium | Losartan Potassium | 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 | $1,684.83 · 79 records | AstraZeneca Pharmaceuticals LP | ABRYSVO, AIRSUPRA, AREXVY, BEXSERO, BREZTRI, CAPLYTA, COMIRNATY, CRYSVITA, Cologuard Collection Kit, Dexcom G6 Transmitter, ELIQUIS, Edwards SAPIEN 3 Ultra Transcatheter Heart Valve, FARXIGA, FREESTYLE LIBRE, GEMTESA, Hizentra, INSPIRE, Kerendia, LEQVIO, MOUNJARO, NEXPLANON, NURTEC ODT, OTEZLA, Ozempic, PREVNAR 20, QULIPTA, RECORLEV, REPATHA, REXULTI, SHINGRIX, SPRAVATO, TRINTELLIX, TZIELD, The Cologuard Plus Collection Kit, UBRELVY, VOWST, VRAYLAR, Veozah, Wegovy, XIFAXAN, XYOSTED, YUPELRI, ZAVZPRET, ZENPEP, ZEPBOUND | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Mounjaro play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Lilly USA, LLC?
- 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