Payment overview · 2025
General Payments
$255.62
11 reported records · 7 companies
Healthcare provider profile · identity verified
Roxanne Cech, M.D.
Allopathic & Osteopathic Physicians|Family Medicine · MARIETTA, OH · NPI 1497830566
Verified facts
What the public records show
CMS Open Payments records show Roxanne Cech, M.D. received $255.62 in general payments during 2025 across 11 reported records.
Boston Scientific Corporation accounted for 48.3% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 9 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Mounjaro.
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 19 claims for Farxiga 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 SYMBICORT as an associated drug or biological on 71 records involving 51 distinct recipient NPIs. Public Medicare Part D data also shows 21 claims for Symbicort 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 16 claims for Mounjaro 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 TRULICITY as an associated drug or biological on 71 records involving 57 distinct recipient NPIs. Public Medicare Part D data also shows 53 claims for Trulicity 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 |
|---|---|---|---|---|---|
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $123.41 | 48.3% | 4 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $35.82 | 14.0% | 2 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $23.69 | 9.3% | 1 | 2025 |
| Inspire Medical Systems, Inc. | Unresolved — no canonical attribution shown | $20.65 | 8.1% | 1 | 2025 |
| Xeris Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $20.00 | 7.8% | 1 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $17.56 | 6.9% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $14.49 | 5.7% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $255.62 | 11 |
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 |
|---|---|---|---|---|---|
| WATCHMAN Access System Normalized: watchman access system |
Device | Boston Scientific Corporation | $123.41 | 4 | 2025 |
Source payment records
|
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $35.82 | 2 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $35.82 | 2 | 2025 |
Source payment records
|
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| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $23.69 | 1 | 2025 |
Source payment records
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| INSPIRE Normalized: inspire |
Device | Inspire Medical Systems, Inc. | $20.65 | 1 | 2025 |
Source payment records
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| GVOKE HYPOPEN Normalized: gvoke hypopen |
Drug | Xeris Pharmaceuticals, Inc. | $20.00 | 1 | 2025 |
Source payment records
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| OTEZLA Normalized: otezla |
Drug | Amgen Inc. | $17.56 | 1 | 2025 |
Source payment records
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $17.56 | 1 | 2025 |
Source payment records
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $14.49 | 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 | 16 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 |
|---|---|---|---|---|---|---|
| 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 |
19 | suppressed by CMS |
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | SYMBICORT open payments reported associated product |
CMS Open Payments — General Payments 71 supporting records · 51 recipient NPIs · example record 1206132610 |
Symbicort · 2024 Exact normalized brand match · 1 Part D row |
21 | 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 |
16 | suppressed by CMS |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | TRULICITY open payments reported associated product |
CMS Open Payments — General Payments 71 supporting records · 57 recipient NPIs · example record 1186464601 |
Trulicity · 2024 Exact normalized brand match · 1 Part D row |
53 | 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 |
|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 524 | 137 |
| Atorvastatin Calcium | Atorvastatin Calcium | 516 | 146 |
| Lisinopril | Lisinopril | 459 | 124 |
| Amlodipine Besylate | Amlodipine Besylate | 318 | 85 |
| Omeprazole | Omeprazole | 289 | 79 |
| Losartan Potassium | Losartan Potassium | 267 | 78 |
| Metoprolol Succinate | Metoprolol Succinate | 260 | 77 |
| Pantoprazole Sodium | Pantoprazole Sodium | 235 | 63 |
| Metformin Hcl | Metformin Hcl | 210 | 57 |
| Furosemide | Furosemide | 204 | 58 |
| Sertraline Hcl | Sertraline Hcl | 199 | 54 |
| Eliquis | Apixaban | 181 | 33 |
| Metoprolol Tartrate | Metoprolol Tartrate | 172 | 54 |
| Pravastatin Sodium | Pravastatin Sodium | 167 | 45 |
| Hydrochlorothiazide | Hydrochlorothiazide | 165 | 44 |
| Gabapentin | Gabapentin | 159 | 38 |
| Allopurinol | Allopurinol | 150 | 42 |
| Potassium Chloride | Potassium Chloride | 138 | 40 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 128 | 35 |
| Escitalopram Oxalate | Escitalopram Oxalate | 123 | 30 |
| Januvia | Sitagliptin Phosphate | 113 | 18 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 110 | 39 |
| Tamsulosin Hcl | Tamsulosin Hcl | 107 | 26 |
| Citalopram Hbr | Citalopram Hydrobromide | 104 | 26 |
| Glimepiride | Glimepiride | 103 | 27 |
| Simvastatin | Simvastatin | 97 | 26 |
| Clopidogrel | Clopidogrel Bisulfate | 86 | 26 |
| Meloxicam | Meloxicam | 86 | 21 |
| Synthroid | Levothyroxine Sodium | 86 | 22 |
| Warfarin Sodium | Warfarin Sodium | 86 | 15 |
| Tramadol Hcl | Tramadol Hcl | 83 | 18 |
| Montelukast Sodium | Montelukast Sodium | 82 | 23 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 81 | 34 |
| Duloxetine Hcl | Duloxetine Hcl | 80 | 20 |
| Trazodone Hcl | Trazodone Hcl | 78 | 23 |
| Oxycodone Hcl | Oxycodone Hcl | 76 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 73 | 19 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 69 | 14 |
| Spironolactone | Spironolactone | 68 | 18 |
| Atenolol | Atenolol | 67 | 19 |
| Pioglitazone Hcl | Pioglitazone Hcl | 67 | 21 |
| Lorazepam | Lorazepam | 65 | 15 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 63 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 59 | 14 |
| Hydralazine Hcl | Hydralazine Hcl | 58 | 21 |
| Alendronate Sodium | Alendronate Sodium | 56 | 15 |
| Ozempic | Semaglutide | 56 | suppressed |
| Alprazolam | Alprazolam | 54 | 15 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 53 | 18 |
| Trulicity | Dulaglutide | 53 | suppressed |
| Famotidine | Famotidine | 51 | 15 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 51 | 17 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 49 | 14 |
| Pregabalin | Pregabalin | 48 | suppressed |
| Xarelto | Rivaroxaban | 44 | 13 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 43 | 13 |
| Ezetimibe | Ezetimibe | 42 | 11 |
| Irbesartan | Irbesartan | 40 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 38 | 12 |
| Paroxetine Hcl | Paroxetine Hcl | 38 | 11 |
| Ropinirole Hcl | Ropinirole Hcl | 38 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 37 | 19 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 36 | 12 |
| Mirtazapine | Mirtazapine | 36 | suppressed |
| Carvedilol | Carvedilol | 33 | 11 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 33 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 33 | suppressed |
| Bupropion Xl | Bupropion Hcl | 31 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 30 | suppressed |
| Estradiol | Estradiol | 30 | 12 |
| Valsartan | Valsartan | 29 | suppressed |
| Baclofen | Baclofen | 28 | suppressed |
| Prednisone | Prednisone | 27 | 14 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 27 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 26 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 26 | suppressed |
| Fenofibrate | Fenofibrate | 25 | suppressed |
| Diazepam | Diazepam | 24 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 24 | suppressed |
| Azithromycin | Azithromycin | 23 | 21 |
| Diclofenac Sodium | Diclofenac Sodium | 23 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 23 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 22 | suppressed |
| Cephalexin | Cephalexin | 22 | 20 |
| Levetiracetam | Levetiracetam | 22 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 22 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 21 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 21 | suppressed |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 20 | suppressed |
| Finasteride | Finasteride | 20 | suppressed |
| Celecoxib | Celecoxib | 19 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 19 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 19 | suppressed |
| Incruse Ellipta | Umeclidinium Bromide | 18 | suppressed |
| Myrbetriq | Mirabegron | 18 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 18 | suppressed |
| Verapamil Er | Verapamil Hcl | 18 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 17 | suppressed |
| Mounjaro | Tirzepatide | 16 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 16 | 12 |
| Amoxicillin | Amoxicillin | 15 | 13 |
| Benazepril Hcl | Benazepril Hcl | 15 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 15 | suppressed |
| Bydureon Bcise | Exenatide Microspheres | 14 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 14 | suppressed |
| Nifedipine Er | Nifedipine | 14 | suppressed |
| Nystatin | Nystatin | 14 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 14 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 14 | suppressed |
| Teriparatide | Teriparatide | 14 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 13 | suppressed |
| Diltiazem 24hr Er | Diltiazem Hcl | 13 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 13 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 13 | 13 |
| Indomethacin | Indomethacin | 13 | suppressed |
| Risperidone | Risperidone | 13 | suppressed |
| Tradjenta | Linagliptin | 13 | suppressed |
| Advair Diskus | Fluticasone Propion/Salmeterol | 12 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 12 | suppressed |
| Lovastatin | Lovastatin | 12 | suppressed |
| Ramipril | Ramipril | 12 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 12 | suppressed |
| Zolpidem Tartrate Er | Zolpidem Tartrate | 12 | suppressed |
| Cinacalcet Hcl | Cinacalcet Hcl | 11 | suppressed |
| Ibuprofen | Ibuprofen | 11 | suppressed |
| Ipratropium Bromide | Ipratropium Bromide | 11 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 11 | 11 |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 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 | $255.62 · 11 records | Boston Scientific Corporation | AIRSUPRA, Cologuard Collection Kit, GVOKE HYPOPEN, INSPIRE, MOUNJARO, OTEZLA, REPATHA, WATCHMAN Access System, ZEPBOUND | 4 | — |
| 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 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