Payment overview · 2025
General Payments
$691.31
28 reported records · 13 companies
Healthcare provider profile · identity verified
Rafael Lastra, M.D.
Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease · SAN JUAN, PR · NPI 1477550150
Verified facts
What the public records show
CMS Open Payments records show Rafael Lastra, M.D. received $691.31 in general payments during 2025 across 28 reported records.
PBG PUERTO RICO LLC accounted for 20.9% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 14 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Eliquis, Jardiance.
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 BRILINTA as an associated drug or biological on 993 records involving 512 distinct recipient NPIs. Public Medicare Part D data also shows 23 claims for Brilinta 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 200 claims for Farxiga by this doctor in 2024.
Boehringer Ingelheim Pharmaceuticals, 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 JARDIANCE as an associated drug or biological on 123636 records involving 49438 distinct recipient NPIs. Public Medicare Part D data also shows 38 claims for Jardiance by this doctor in 2024.
Janssen Pharmaceuticals, 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 XARELTO as an associated drug or biological on 28 records involving 28 distinct recipient NPIs. Public Medicare Part D data also shows 179 claims for Xarelto by this doctor in 2024.
PBG PUERTO RICO 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 ELIQUIS as an associated drug or biological on 738 records involving 435 distinct recipient NPIs. Public Medicare Part D data also shows 405 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 |
|---|---|---|---|---|---|
| PBG PUERTO RICO LLC | Unresolved — no canonical attribution shown | $144.41 | 20.9% | 7 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $88.36 | 12.8% | 4 | 2025 |
| Edwards Lifesciences Corporation | Unresolved — no canonical attribution shown | $75.06 | 10.9% | 1 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $74.78 | 10.8% | 3 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $59.72 | 8.6% | 3 | 2025 |
| Janssen Pharmaceuticals, Inc | Unresolved — no canonical attribution shown | $50.00 | 7.2% | 2 | 2025 |
| Actelion Pharmaceuticals US, Inc. | Unresolved — no canonical attribution shown | $48.99 | 7.1% | 1 | 2025 |
| Bayer Puerto Rico Inc. | Unresolved — no canonical attribution shown | $40.85 | 5.9% | 2 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $25.19 | 3.6% | 1 | 2025 |
| SCPHARMACEUTICALS INC. | Unresolved — no canonical attribution shown | $25.00 | 3.6% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $23.83 | 3.5% | 1 | 2025 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | Unresolved — no canonical attribution shown | $20.12 | 2.9% | 1 | 2025 |
| CORDIS US CORP. | Unresolved — no canonical attribution shown | $15.00 | 2.2% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $642.32 | 27 |
| Education | $48.99 | 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 |
|---|---|---|---|---|---|
| UPTRAVI Normalized: uptravi |
Drug | Actelion Pharmaceuticals US, Inc., Janssen Pharmaceuticals, Inc | $98.99 | 3 | 2025 |
Source payment records
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| ELIQUIS Normalized: eliquis |
Drug | PBG PUERTO RICO LLC | $94.50 | 4 | 2025 |
Source payment records
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| WINREVAIR Normalized: winrevair |
Biological | Merck Sharp & Dohme LLC | $88.36 | 4 | 2025 |
Source payment records
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| JARDIANCE Normalized: jardiance |
Drug | Boehringer Ingelheim Pharmaceuticals, Inc. | $74.78 | 3 | 2025 |
Source payment records
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| NURTEC ODT Normalized: nurtec odt |
Drug | PBG PUERTO RICO LLC | $69.50 | 3 | 2025 |
Source payment records
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $59.72 | 3 | 2025 |
Source payment records
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| VYNDAQEL Normalized: vyndaqel |
Drug | PBG PUERTO RICO LLC | $49.91 | 3 | 2025 |
Source payment records
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| OPSUMIT Normalized: opsumit |
Drug | Actelion Pharmaceuticals US, Inc. | $48.99 | 1 | 2025 |
Source payment records
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| Kerendia Normalized: kerendia |
Drug | Bayer Puerto Rico Inc. | $40.85 | 2 | 2025 |
Source payment records
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| GALLANT Normalized: gallant |
Device | Abbott Laboratories | $25.19 | 1 | 2025 |
Source payment records
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| FUROSCIX Normalized: furoscix |
Drug | SCPHARMACEUTICALS INC. | $25.00 | 1 | 2025 |
Source payment records
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| WAINUA Normalized: wainua |
Drug | AstraZeneca Pharmaceuticals LP | $23.83 | 1 | 2025 |
Source payment records
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| LifeVest Normalized: lifevest |
Device | ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $20.12 | 1 | 2025 |
Source payment records
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| MYNX CONTROL VENOUS Normalized: mynx control venous |
Device | CORDIS US CORP. | $15.00 | 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 |
|---|---|---|---|---|---|---|
| ELIQUIS eliquis |
2025 | Eliquis | 2024 | 405 | exact normalized | Medicare Part D |
| JARDIANCE jardiance |
2025 | Jardiance | 2024 | 38 | 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 | BRILINTA open payments reported associated product |
CMS Open Payments — General Payments 993 supporting records · 512 recipient NPIs · example record 1206131430 |
Brilinta · 2024 Exact normalized brand match · 1 Part D row |
23 | 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 |
200 | 58 |
| Boehringer Ingelheim Pharmaceuticals, Inc. Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 123636 supporting records · 49438 recipient NPIs · example record 1221811583 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
38 | 13 |
| Janssen Pharmaceuticals, Inc Exact reporting entity; no affiliate inference |
2025 | XARELTO open payments reported associated product |
CMS Open Payments — General Payments 28 supporting records · 28 recipient NPIs · example record 1174296970 |
Xarelto · 2024 Exact normalized brand match · 1 Part D row |
179 | 46 |
| PBG PUERTO RICO LLC Exact reporting entity; no affiliate inference |
2025 | ELIQUIS open payments reported associated product |
CMS Open Payments — General Payments 738 supporting records · 435 recipient NPIs · example record 1228798592 |
Eliquis · 2024 Exact normalized brand match · 1 Part D row |
405 | 97 |
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 | 1140 | 282 |
| Metoprolol Succinate | Metoprolol Succinate | 1102 | 280 |
| Atorvastatin Calcium | Atorvastatin Calcium | 945 | 236 |
| Losartan Potassium | Losartan Potassium | 754 | 208 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 555 | 176 |
| Carvedilol | Carvedilol | 517 | 125 |
| Irbesartan | Irbesartan | 414 | 104 |
| Simvastatin | Simvastatin | 409 | 101 |
| Clopidogrel | Clopidogrel Bisulfate | 407 | 104 |
| Eliquis | Apixaban | 405 | 97 |
| Synthroid | Levothyroxine Sodium | 314 | 85 |
| Hydrochlorothiazide | Hydrochlorothiazide | 238 | 72 |
| Valsartan | Valsartan | 232 | 65 |
| Furosemide | Furosemide | 221 | 54 |
| Lisinopril | Lisinopril | 209 | 51 |
| Candesartan Cilexetil | Candesartan Cilexetil | 207 | 52 |
| Metformin Hcl | Metformin Hcl | 205 | 60 |
| Entresto | Sacubitril/Valsartan | 202 | 40 |
| Farxiga | Dapagliflozin Propanediol | 200 | 58 |
| Atenolol | Atenolol | 195 | 42 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 195 | 51 |
| Nifedipine Er | Nifedipine | 186 | 48 |
| Xarelto | Rivaroxaban | 179 | 46 |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 173 | 32 |
| Gabapentin | Gabapentin | 168 | 60 |
| Spironolactone | Spironolactone | 155 | 54 |
| Doxazosin Mesylate | Doxazosin Mesylate | 145 | 42 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 145 | 49 |
| Ramipril | Ramipril | 127 | 27 |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 125 | 26 |
| Irbesartan-Hydrochlorothiazide | Irbesartan/Hydrochlorothiazide | 123 | 31 |
| Warfarin Sodium | Warfarin Sodium | 116 | 17 |
| Ezetimibe | Ezetimibe | 112 | 33 |
| Pantoprazole Sodium | Pantoprazole Sodium | 106 | 39 |
| Amiodarone Hcl | Amiodarone Hcl | 104 | 32 |
| Hydralazine Hcl | Hydralazine Hcl | 98 | 22 |
| Levothyroxine Sodium | Levothyroxine Sodium | 98 | 32 |
| Famotidine | Famotidine | 93 | 36 |
| Montelukast Sodium | Montelukast Sodium | 92 | 22 |
| Pravastatin Sodium | Pravastatin Sodium | 85 | 23 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 81 | 21 |
| Glimepiride | Glimepiride | 78 | 21 |
| Fenofibric Acid | Fenofibric Acid (Choline) | 76 | 19 |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 74 | 19 |
| Torsemide | Torsemide | 68 | 23 |
| Indapamide | Indapamide | 64 | 14 |
| Sertraline Hcl | Sertraline Hcl | 62 | 19 |
| Omeprazole | Omeprazole | 61 | 24 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 60 | 17 |
| Bisoprolol Fumarate | Bisoprolol Fumarate | 55 | 17 |
| Enalapril Maleate | Enalapril Maleate | 55 | 18 |
| Tamsulosin Hcl | Tamsulosin Hcl | 55 | 22 |
| Allopurinol | Allopurinol | 54 | 18 |
| Candesartan-Hydrochlorothiazid | Candesartan/Hydrochlorothiazid | 52 | 11 |
| Metformin Hcl Er | Metformin Hcl | 49 | 18 |
| Verapamil Er | Verapamil Hcl | 48 | 13 |
| Metoprolol Tartrate | Metoprolol Tartrate | 46 | 14 |
| Digoxin | Digoxin | 45 | 12 |
| Fenofibrate | Fenofibrate Nanocrystallized | 45 | 15 |
| Nebivolol Hcl | Nebivolol Hcl | 41 | suppressed |
| Chlorthalidone | Chlorthalidone | 39 | 11 |
| Jardiance | Empagliflozin | 38 | 13 |
| Januvia | Sitagliptin Phosphate | 36 | suppressed |
| Bumetanide | Bumetanide | 31 | 12 |
| Janumet Xr | Sitagliptin Phos/Metformin Hcl | 31 | suppressed |
| Telmisartan | Telmisartan | 28 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 27 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 26 | 12 |
| Duloxetine Hcl | Duloxetine Hcl | 25 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 24 | suppressed |
| Janumet | Sitagliptin Phos/Metformin Hcl | 24 | suppressed |
| Nitroglycerin | Nitroglycerin | 24 | 22 |
| Brilinta | Ticagrelor | 23 | suppressed |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 23 | suppressed |
| Finasteride | Finasteride | 21 | suppressed |
| Multaq | Dronedarone Hcl | 20 | suppressed |
| Ezetimibe-Simvastatin | Ezetimibe/Simvastatin | 19 | suppressed |
| Potassium Chloride | Potassium Chloride | 18 | suppressed |
| Propafenone Hcl | Propafenone Hcl | 18 | suppressed |
| Glipizide | Glipizide | 17 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 17 | suppressed |
| Alprazolam | Alprazolam | 16 | suppressed |
| Cilostazol | Cilostazol | 15 | suppressed |
| Glipizide Er | Glipizide | 15 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 15 | suppressed |
| Acebutolol Hcl | Acebutolol Hcl | 14 | suppressed |
| Clonazepam | Clonazepam | 14 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 14 | suppressed |
| Fosinopril Sodium | Fosinopril Sodium | 13 | suppressed |
| Gemfibrozil | Gemfibrozil | 13 | suppressed |
| Metolazone | Metolazone | 13 | suppressed |
| Ranolazine Er | Ranolazine | 13 | suppressed |
| Vyndamax | Tafamidis | 13 | suppressed |
| Memantine Hcl | Memantine Hcl | 12 | suppressed |
| Pitavastatin Calcium | Pitavastatin Calcium | 12 | suppressed |
| Fenofibrate | Fenofibrate,micronized | 11 | suppressed |
| Keppra | Levetiracetam | 11 | suppressed |
| Pentoxifylline | Pentoxifylline | 11 | suppressed |
| Tradjenta | Linagliptin | 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 | $691.31 · 28 records | PBG PUERTO RICO LLC | ELIQUIS, FUROSCIX, GALLANT, JARDIANCE, Kerendia, LifeVest, MYNX CONTROL VENOUS, NURTEC ODT, OPSUMIT, REPATHA, UPTRAVI, VYNDAQEL, WAINUA, WINREVAIR | 5 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Eliquis 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