Payment overview · 2025
General Payments
$33,786.61
203 reported records · 15 companies
Healthcare provider profile · identity verified
Istvan P Tomaschek, MD
Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology · AMHERST, NY · NPI 1487188819
Verified facts
What the public records show
CMS Open Payments records show Istvan P Tomaschek, MD received $33,786.61 in general payments during 2025 across 203 reported records.
ABBVIE INC. accounted for 53.8% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 21 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: 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 123 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 57 claims for Ubrelvy 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 80 claims for Nurtec Odt 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 | $18,170.91 | 53.8% | 75 | 2025 |
| Axsome Therapeutics, Inc. | Unresolved — no canonical attribution shown | $7,729.13 | 22.9% | 16 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $6,431.41 | 19.0% | 23 | 2025 |
| Teva Pharmaceuticals USA, Inc. | Unresolved — no canonical attribution shown | $422.69 | 1.2% | 22 | 2025 |
| Lundbeck LLC | Unresolved — no canonical attribution shown | $381.13 | 1.1% | 15 | 2025 |
| Tonix Medicines, Inc. | Unresolved — no canonical attribution shown | $268.56 | 0.8% | 34 | 2025 |
| UCB, Inc. | Unresolved — no canonical attribution shown | $92.40 | 0.3% | 4 | 2025 |
| Eisai Inc. | Unresolved — no canonical attribution shown | $70.72 | 0.2% | 3 | 2025 |
| Averitas Pharma Inc. | Unresolved — no canonical attribution shown | $62.54 | 0.2% | 3 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $55.91 | 0.2% | 3 | 2025 |
| CSL Behring | Unresolved — no canonical attribution shown | $27.72 | 0.1% | 1 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $24.16 | 0.1% | 1 | 2025 |
| IBSA Pharma Inc. | Unresolved — no canonical attribution shown | $17.63 | 0.1% | 1 | 2025 |
| Currax Pharmaceuticals LLC | Unresolved — no canonical attribution shown | $16.15 | 0.1% | 1 | 2025 |
| SCILEX PHARMACEUTICALS INC. | Unresolved — no canonical attribution shown | $15.55 | 0.1% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $20,776.25 | 8 |
| Honoraria | $7,200.00 | 3 |
| Food and Beverage | $3,825.12 | 182 |
| Consulting Fee | $1,525.00 | 1 |
| Travel and Lodging | $338.24 | 7 |
| Education | $122.00 | 2 |
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 |
|---|---|---|---|---|---|
| UBRELVY Normalized: ubrelvy |
Drug | ABBVIE INC. | $12,449.51 | 44 | 2025 |
Source payment records
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| Symbravo Normalized: symbravo |
Drug | Axsome Therapeutics, Inc. | $7,729.13 | 16 | 2025 |
Source payment records
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| QULIPTA Normalized: qulipta |
Drug | ABBVIE INC. | $5,692.22 | 42 | 2025 |
Source payment records
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| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $5,070.88 | 21 | 2025 |
Source payment records
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| ZAVZPRET Normalized: zavzpret |
Drug | PFIZER INC. | $1,490.89 | 19 | 2025 |
Source payment records
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| BOTOX Normalized: botox |
Biological | ABBVIE INC. | $467.01 | 25 | 2025 |
Source payment records
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| VYEPTI Normalized: vyepti |
Biological | Lundbeck LLC | $381.13 | 15 | 2025 |
Source payment records
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| AJOVY Normalized: ajovy |
Biological | Teva Pharmaceuticals USA, Inc. | $300.69 | 20 | 2025 |
Source payment records
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| ZEMBRACE SYMTOUCH Normalized: zembrace symtouch |
Drug | Tonix Medicines, Inc. | $268.56 | 34 | 2025 |
Source payment records
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| Nayzilam Normalized: nayzilam |
Drug | UCB, Inc. | $92.40 | 4 | 2025 |
Source payment records
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| Leqembi Normalized: leqembi |
Drug | Eisai Inc. | $70.72 | 3 | 2025 |
Source payment records
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| QUTENZA Normalized: qutenza |
Drug | Averitas Pharma Inc. | $62.54 | 3 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $55.91 | 3 | 2025 |
Source payment records
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| Hizentra Normalized: hizentra |
Biological | CSL Behring | $27.72 | 1 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $24.16 | 1 | 2025 |
Source payment records
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| Flector Normalized: flector |
Drug | IBSA Pharma Inc. | $17.63 | 1 | 2025 |
Source payment records
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| Licart Normalized: licart |
Drug | IBSA Pharma Inc. | $17.63 | 1 | 2025 |
Source payment records
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| Tirosint Normalized: tirosint |
Drug | IBSA Pharma Inc. | $17.63 | 1 | 2025 |
Source payment records
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| CONTRAVE Normalized: contrave |
Drug | Currax Pharmaceuticals LLC | $16.15 | 1 | 2025 |
Source payment records
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| ONZETRA XSAIL Normalized: onzetra xsail |
Drug | Currax Pharmaceuticals LLC | $16.15 | 1 | 2025 |
Source payment records
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| ELYXYB - CELECOXIB Normalized: elyxyb celecoxib |
Drug | SCILEX PHARMACEUTICALS INC. | $15.55 | 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 |
|---|---|---|---|---|---|---|
| NURTEC ODT nurtec odt |
2025 | Nurtec Odt | 2024 | 80 | exact normalized | Medicare Part D |
| QULIPTA qulipta |
2025 | Qulipta | 2024 | 123 | exact normalized | Medicare Part D |
| UBRELVY ubrelvy |
2025 | Ubrelvy | 2024 | 57 | 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 |
123 | 31 |
| 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 |
57 | 30 |
| 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 |
80 | 32 |
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 |
|---|---|---|---|
| Amitriptyline Hcl | Amitriptyline Hcl | 153 | 40 |
| Qulipta | Atogepant | 123 | 31 |
| Gabapentin | Gabapentin | 91 | 27 |
| Nurtec Odt | Rimegepant Sulfate | 80 | 32 |
| Ajovy Autoinjector | Fremanezumab-Vfrm | 61 | 11 |
| Emgality Pen | Galcanezumab-Gnlm | 57 | 12 |
| Ubrelvy | Ubrogepant | 57 | 30 |
| Sumatriptan Succinate | Sumatriptan Succinate | 49 | 20 |
| Aimovig Autoinjector | Erenumab-Aooe | 35 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 28 | suppressed |
| Methylprednisolone | Methylprednisolone | 24 | 23 |
| Oxcarbazepine | Oxcarbazepine | 24 | suppressed |
| Emgality Syringe | Galcanezumab-Gnlm | 18 | suppressed |
| Topiramate | Topiramate | 18 | suppressed |
| Lorazepam | Lorazepam | 16 | 13 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 13 | 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 | $33,786.61 · 203 records | ABBVIE INC. | AJOVY, BOTOX, CONTRAVE, ELYXYB - CELECOXIB, Flector, Hizentra, Leqembi, Licart, NURTEC ODT, Nayzilam, ONZETRA XSAIL, QULIPTA, QUTENZA, Symbravo, Tirosint, UBRELVY, VYEPTI, Wegovy, ZAVZPRET, ZEMBRACE SYMTOUCH, ZEPBOUND | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Nurtec Odt 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