Payment overview · 2025
General Payments
$878.51
39 reported records · 11 companies
Healthcare provider profile · identity verified
Gretchen F Toler, MD
Allopathic & Osteopathic Physicians|Internal Medicine · DALLAS, TX · NPI 1477629699
Verified facts
What the public records show
CMS Open Payments records show Gretchen F Toler, MD received $878.51 in general payments during 2025 across 39 reported records.
Avadel CNS Pharmaceuticals, LLC accounted for 22.4% 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: Paxlovid.
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 30 claims for Eliquis 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 PAXLOVID as an associated drug or biological on 24465 records involving 15715 distinct recipient NPIs. Public Medicare Part D data also shows 17 claims for Paxlovid 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 |
|---|---|---|---|---|---|
| Avadel CNS Pharmaceuticals, LLC | Unresolved — no canonical attribution shown | $196.33 | 22.4% | 6 | 2025 |
| Bausch Health US, LLC | Unresolved — no canonical attribution shown | $194.99 | 22.2% | 10 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $125.50 | 14.3% | 6 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $84.77 | 9.7% | 4 | 2025 |
| Esperion Therapeutics, Inc. | Unresolved — no canonical attribution shown | $63.79 | 7.3% | 4 | 2025 |
| MILLICENT US INC | Unresolved — no canonical attribution shown | $62.79 | 7.2% | 3 | 2025 |
| Axsome Therapeutics, Inc. | Unresolved — no canonical attribution shown | $53.49 | 6.1% | 2 | 2025 |
| HARMONY BIOSCIENCES LLC | Unresolved — no canonical attribution shown | $30.26 | 3.4% | 1 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $26.61 | 3.0% | 1 | 2025 |
| IDORSIA PHARMACEUTICALS US INC | Unresolved — no canonical attribution shown | $24.91 | 2.8% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $15.07 | 1.7% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $878.51 | 39 |
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 |
|---|---|---|---|---|---|
| LUMRYZ Normalized: lumryz |
Drug | Avadel CNS Pharmaceuticals, LLC | $196.33 | 6 | 2025 |
Source payment records
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| APLENZIN Normalized: aplenzin |
Drug | Bausch Health US, LLC | $194.99 | 10 | 2025 |
Source payment records
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| WELLBUTRIN Normalized: wellbutrin |
Drug | Bausch Health US, LLC | $194.99 | 10 | 2025 |
Source payment records
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $125.50 | 6 | 2025 |
Source payment records
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| OTEZLA Normalized: otezla |
Drug | Amgen Inc. | $100.76 | 5 | 2025 |
Source payment records
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| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $84.77 | 4 | 2025 |
Source payment records
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| NEXLETOL Normalized: nexletol |
Drug | Esperion Therapeutics, Inc. | $63.79 | 4 | 2025 |
Source payment records
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| INTRAROSA Normalized: intrarosa |
Drug | MILLICENT US INC | $62.79 | 3 | 2025 |
Source payment records
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| Sunosi Normalized: sunosi |
Drug | Axsome Therapeutics, Inc. | $53.49 | 2 | 2025 |
Source payment records
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| WAKIX Normalized: wakix |
Drug | HARMONY BIOSCIENCES LLC | $30.26 | 1 | 2025 |
Source payment records
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| Quviviq Normalized: quviviq |
Drug | IDORSIA PHARMACEUTICALS US INC | $24.91 | 1 | 2025 |
Source payment records
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| FEMLYV Normalized: femlyv |
Drug | MILLICENT US INC | $21.30 | 1 | 2025 |
Source payment records
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| FEMRING Normalized: femring |
Drug | MILLICENT US INC | $20.64 | 1 | 2025 |
Source payment records
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| PAXLOVID Normalized: paxlovid |
Drug | PFIZER INC. | $15.07 | 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 |
|---|---|---|---|---|---|---|
| PAXLOVID paxlovid |
2025 | Paxlovid | 2024 | 17 | 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 |
|---|---|---|---|---|---|---|
| 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 |
30 | suppressed by CMS |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | PAXLOVID open payments reported associated product |
CMS Open Payments — General Payments 24465 supporting records · 15715 recipient NPIs · example record 1228794432 |
Paxlovid · 2024 Exact normalized brand match · 1 Part D row |
17 | 16 |
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 |
|---|---|---|---|
| Rosuvastatin Calcium | Rosuvastatin Calcium | 247 | 72 |
| Levothyroxine Sodium | Levothyroxine Sodium | 175 | 41 |
| Telmisartan | Telmisartan | 117 | 33 |
| Metformin Hcl Er | Metformin Hcl | 113 | 33 |
| Atorvastatin Calcium | Atorvastatin Calcium | 94 | 23 |
| Amlodipine Besylate | Amlodipine Besylate | 93 | 25 |
| Azithromycin | Azithromycin | 83 | 55 |
| Trazodone Hcl | Trazodone Hcl | 80 | 17 |
| Gabapentin | Gabapentin | 74 | 18 |
| Hydrochlorothiazide | Hydrochlorothiazide | 68 | 19 |
| Mounjaro | Tirzepatide | 67 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 66 | 11 |
| Lisinopril | Lisinopril | 63 | 15 |
| Sertraline Hcl | Sertraline Hcl | 63 | 16 |
| Synthroid | Levothyroxine Sodium | 59 | 14 |
| Metoprolol Succinate | Metoprolol Succinate | 55 | 12 |
| Bupropion Xl | Bupropion Hcl | 54 | 12 |
| Repatha Sureclick | Evolocumab | 54 | suppressed |
| Meloxicam | Meloxicam | 53 | 11 |
| Ezetimibe | Ezetimibe | 49 | 15 |
| Pravastatin Sodium | Pravastatin Sodium | 49 | 12 |
| Alendronate Sodium | Alendronate Sodium | 46 | 14 |
| Losartan Potassium | Losartan Potassium | 46 | 12 |
| Pantoprazole Sodium | Pantoprazole Sodium | 44 | 13 |
| Celecoxib | Celecoxib | 39 | suppressed |
| Methylprednisolone | Methylprednisolone | 39 | 27 |
| Valsartan | Valsartan | 37 | 11 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 36 | 27 |
| Estradiol | Estradiol | 35 | 14 |
| Montelukast Sodium | Montelukast Sodium | 35 | suppressed |
| Ozempic | Semaglutide | 33 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 32 | 12 |
| Tamsulosin Hcl | Tamsulosin Hcl | 31 | suppressed |
| Eliquis | Apixaban | 30 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 29 | 21 |
| Zolpidem Tartrate | Zolpidem Tartrate | 28 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 27 | suppressed |
| Atenolol | Atenolol | 25 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 25 | 16 |
| Jardiance | Empagliflozin | 25 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 25 | suppressed |
| Omeprazole | Omeprazole | 24 | suppressed |
| Estradiol (Twice Weekly) | Estradiol | 23 | suppressed |
| Furosemide | Furosemide | 21 | suppressed |
| Fluconazole | Fluconazole | 20 | 11 |
| Irbesartan | Irbesartan | 20 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 20 | suppressed |
| Spironolactone | Spironolactone | 20 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 19 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 19 | suppressed |
| Lorazepam | Lorazepam | 17 | suppressed |
| Ondansetron Odt | Ondansetron | 17 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 17 | 16 |
| Progesterone | Progesterone, Micronized | 17 | suppressed |
| Carvedilol | Carvedilol | 16 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 15 | suppressed |
| Cefdinir | Cefdinir | 15 | 13 |
| Metformin Hcl | Metformin Hcl | 15 | suppressed |
| Mupirocin | Mupirocin | 15 | 13 |
| Tizanidine Hcl | Tizanidine Hcl | 15 | suppressed |
| Baclofen | Baclofen | 14 | suppressed |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 14 | suppressed |
| Januvia | Sitagliptin Phosphate | 14 | suppressed |
| Premarin | Estrogens, Conjugated | 14 | suppressed |
| Alprazolam | Alprazolam | 13 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 13 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 13 | suppressed |
| Aripiprazole | Aripiprazole | 12 | suppressed |
| Benicar | Olmesartan Medoxomil | 12 | suppressed |
| Eszopiclone | Eszopiclone | 12 | suppressed |
| Liothyronine Sodium | Liothyronine Sodium | 12 | suppressed |
| Modafinil | Modafinil | 12 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 12 | suppressed |
| Pentoxifylline | Pentoxifylline | 12 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 11 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 11 | suppressed |
| Simvastatin | Simvastatin | 11 | suppressed |
| Spiriva Handihaler | Tiotropium Bromide | 11 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 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 | $878.51 · 39 records | Avadel CNS Pharmaceuticals, LLC | APLENZIN, FEMLYV, FEMRING, INTRAROSA, LEQVIO, LUMRYZ, NEXLETOL, OTEZLA, PAXLOVID, Quviviq, REPATHA, Sunosi, WAKIX, WELLBUTRIN | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Paxlovid play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with PFIZER 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