Payment overview · 2025
General Payments
$2,248.33
108 reported records · 20 companies
Healthcare provider profile · identity verified
Carl Andre Smart, M.D.
Allopathic & Osteopathic Physicians|Internal Medicine|Pulmonary Disease · MONROE, NC · NPI 1518986652
Verified facts
What the public records show
CMS Open Payments records show Carl Andre Smart, M.D. received $2,248.33 in general payments during 2025 across 108 reported records.
GlaxoSmithKline, LLC. accounted for 21.9% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 30 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Airsupra, Nucala, Tezspire, Trelegy Ellipta, Zemaira.
Amgen 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 TEZSPIRE as an associated drug or biological on 22824 records involving 7320 distinct recipient NPIs. Public Medicare Part D data also shows 45 claims for Tezspire 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 AIRSUPRA as an associated drug or biological on 165148 records involving 56069 distinct recipient NPIs. Public Medicare Part D data also shows 16 claims for Airsupra 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 112 claims for Symbicort 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 TEZSPIRE as an associated drug or biological on 33983 records involving 10291 distinct recipient NPIs. Public Medicare Part D data also shows 45 claims for Tezspire by this doctor in 2024.
GlaxoSmithKline, 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 NUCALA as an associated drug or biological on 100127 records involving 16970 distinct recipient NPIs. Public Medicare Part D data also shows 20 claims for Nucala by this doctor in 2024.
GlaxoSmithKline, 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 TRELEGY ELLIPTA as an associated drug or biological on 131532 records involving 37148 distinct recipient NPIs. Public Medicare Part D data also shows 894 claims for Trelegy Ellipta by this doctor in 2024.
Vifor Pharma, 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 Zemaira as an associated drug or biological on 1409 records involving 818 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Zemaira 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 |
|---|---|---|---|---|---|
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $492.96 | 21.9% | 22 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $452.62 | 20.1% | 14 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $247.28 | 11.0% | 18 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $220.42 | 9.8% | 12 | 2025 |
| Philips North America LLC | Unresolved — no canonical attribution shown | $166.91 | 7.4% | 12 | 2025 |
| Insmed, Inc. | Unresolved — no canonical attribution shown | $118.98 | 5.3% | 5 | 2025 |
| ANI Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $99.83 | 4.4% | 4 | 2025 |
| Inspire Medical Systems, Inc. | Unresolved — no canonical attribution shown | $76.15 | 3.4% | 3 | 2025 |
| Regeneron Healthcare Solutions, Inc. | Unresolved — no canonical attribution shown | $68.58 | 3.0% | 3 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $53.30 | 2.4% | 2 | 2025 |
| Grifols USA, LLC | Unresolved — no canonical attribution shown | $48.46 | 2.2% | 2 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $39.48 | 1.8% | 2 | 2025 |
| Verona Pharma, Inc. | Unresolved — no canonical attribution shown | $27.47 | 1.2% | 2 | 2025 |
| Viatris Specialty LLC | Unresolved — no canonical attribution shown | $23.16 | 1.0% | 1 | 2025 |
| INOGEN, INC. | Unresolved — no canonical attribution shown | $23.10 | 1.0% | 1 | 2025 |
| Vifor Pharma, Inc. | Unresolved — no canonical attribution shown | $22.18 | 1.0% | 1 | 2025 |
| Pulmonx Corporation | Unresolved — no canonical attribution shown | $19.19 | 0.8% | 1 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $18.40 | 0.8% | 1 | 2025 |
| Electromed, Inc. | Unresolved — no canonical attribution shown | $16.34 | 0.7% | 1 | 2025 |
| Tactile Systems Technology Inc | Unresolved — no canonical attribution shown | $13.52 | 0.6% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $2,248.33 | 108 |
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 |
|---|---|---|---|---|---|
| TEZSPIRE Normalized: tezspire |
Biological | Amgen Inc., AstraZeneca Pharmaceuticals LP | $439.57 | 21 | 2025 |
Source payment records
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| NUCALA Normalized: nucala |
Biological | GlaxoSmithKline, LLC. | $409.02 | 17 | 2025 |
Source payment records
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| FASENRA Normalized: fasenra |
Biological | AstraZeneca Pharmaceuticals LP | $355.22 | 9 | 2025 |
Source payment records
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| DUPIXENT Normalized: dupixent |
Biological | GENZYME CORPORATION, Regeneron Healthcare Solutions, Inc. | $289.00 | 15 | 2025 |
Source payment records
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $191.66 | 3 | 2025 |
Source payment records
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| Vest Therapy Und Normalized: vest therapy und |
Device | Philips North America LLC | $166.91 | 12 | 2025 |
Source payment records
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| BREZTRI Normalized: breztri |
Drug | AstraZeneca Pharmaceuticals LP | $153.69 | 1 | 2025 |
Source payment records
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| Arikayce Normalized: arikayce |
Drug | Insmed, Inc. | $118.98 | 5 | 2025 |
Source payment records
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| PURIFIED CORTROPHIN GEL Normalized: purified cortrophin gel |
Drug | ANI Pharmaceuticals, Inc. | $99.83 | 4 | 2025 |
Source payment records
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| INSPIRE Normalized: inspire |
Device | Inspire Medical Systems, Inc. | $76.15 | 3 | 2025 |
Source payment records
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| Brinsupri Normalized: brinsupri |
Drug | Insmed, Inc. | $65.08 | 3 | 2025 |
Source payment records
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| TRELEGY ELLIPTA Normalized: trelegy ellipta |
Drug | GlaxoSmithKline, LLC. | $63.92 | 4 | 2025 |
Source payment records
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| Prolastin-C Liquid Normalized: prolastin c liquid |
Biological | Grifols USA, LLC | $48.46 | 2 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $39.48 | 2 | 2025 |
Source payment records
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| Ohtuvayre Normalized: ohtuvayre |
Drug | Verona Pharma, Inc. | $27.47 | 2 | 2025 |
Source payment records
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| CUVITRU Normalized: cuvitru |
Biological | Takeda Pharmaceuticals U.S.A., Inc. | $27.26 | 1 | 2025 |
Source payment records
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| GLASSIA Normalized: glassia |
Biological | Takeda Pharmaceuticals U.S.A., Inc. | $26.04 | 1 | 2025 |
Source payment records
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| YUPELRI Normalized: yupelri |
Drug | Viatris Specialty LLC | $23.16 | 1 | 2025 |
Source payment records
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| INOGEN ONE G5 OXYGEN CONCENTRATOR - BLUETOOTH Normalized: inogen one g5 oxygen concentrator bluetooth |
Device | INOGEN, INC. | $23.10 | 1 | 2025 |
Source payment records
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| Zemaira Normalized: zemaira |
Biological | Vifor Pharma, Inc. | $22.18 | 1 | 2025 |
Source payment records
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| AREXVY Normalized: arexvy |
Biological | GlaxoSmithKline, LLC. | $20.02 | 1 | 2025 |
Source payment records
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| SHINGRIX Normalized: shingrix |
Biological | GlaxoSmithKline, LLC. | $20.02 | 1 | 2025 |
Source payment records
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| CHARTIS CATHETER Normalized: chartis catheter |
Device | Pulmonx Corporation | $19.19 | 1 | 2025 |
Source payment records
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| PULMONX CHARTIS TABLET CONSOLE Normalized: pulmonx chartis tablet console |
Device | Pulmonx Corporation | $19.19 | 1 | 2025 |
Source payment records
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| ZEPHYR DELIVERY CATHETER Normalized: zephyr delivery catheter |
Device | Pulmonx Corporation | $19.19 | 1 | 2025 |
Source payment records
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| ZEPHYR ENDOBRONCHIAL VALVE Normalized: zephyr endobronchial valve |
Device | Pulmonx Corporation | $19.19 | 1 | 2025 |
Source payment records
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| JASCAYD Normalized: jascayd |
Drug | Boehringer Ingelheim Pharmaceuticals, Inc. | $18.40 | 1 | 2025 |
Source payment records
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| SMARTVEST Normalized: smartvest |
Device | Electromed, Inc. | $16.34 | 1 | 2025 |
Source payment records
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| Flexitouch Plus Normalized: flexitouch plus |
Device | Tactile Systems Technology Inc | $13.52 | 1 | 2025 |
Source payment records
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| Nimbl Normalized: nimbl |
Device | Tactile Systems Technology Inc | $13.52 | 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 |
|---|---|---|---|---|---|---|
| AIRSUPRA airsupra |
2025 | Airsupra | 2024 | 16 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| NUCALA nucala |
2025 | Nucala | 2024 | 20 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| TEZSPIRE tezspire |
2025 | Tezspire | 2024 | 45 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| TRELEGY ELLIPTA trelegy ellipta |
2025 | Trelegy Ellipta | 2024 | 894 | exact normalized | Medicare Part D |
| Zemaira zemaira |
2025 | Zemaira | 2024 | 12 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 |
|---|---|---|---|---|---|---|
| Amgen Inc. Exact reporting entity; no affiliate inference |
2025 | TEZSPIRE open payments reported associated product |
CMS Open Payments — General Payments 22824 supporting records · 7320 recipient NPIs · example record 1226871881 |
Tezspire · 2024 Exact normalized brand match · 1 Part D row |
45 | suppressed by CMS |
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | AIRSUPRA open payments reported associated product |
CMS Open Payments — General Payments 165148 supporting records · 56069 recipient NPIs · example record 1206131344 |
Airsupra · 2024 Exact normalized brand match · 1 Part D row |
16 | 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 |
112 | 28 |
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | TEZSPIRE open payments reported associated product |
CMS Open Payments — General Payments 33983 supporting records · 10291 recipient NPIs · example record 1206131392 |
Tezspire · 2024 Exact normalized brand match · 1 Part D row |
45 | suppressed by CMS |
| GlaxoSmithKline, LLC. Exact reporting entity; no affiliate inference |
2025 | NUCALA open payments reported associated product |
CMS Open Payments — General Payments 100127 supporting records · 16970 recipient NPIs · example record 1190332378 |
Nucala · 2024 Exact normalized brand match · 1 Part D row |
20 | suppressed by CMS |
| GlaxoSmithKline, LLC. Exact reporting entity; no affiliate inference |
2025 | TRELEGY ELLIPTA open payments reported associated product |
CMS Open Payments — General Payments 131532 supporting records · 37148 recipient NPIs · example record 1190332369 |
Trelegy Ellipta · 2024 Exact normalized brand match · 1 Part D row |
894 | 232 |
| Vifor Pharma, Inc. Exact reporting entity; no affiliate inference |
2025 | Zemaira open payments reported associated product |
CMS Open Payments — General Payments 1409 supporting records · 818 recipient NPIs · example record 1172020727 |
Zemaira · 2024 Exact normalized brand match · 1 Part D row |
12 | 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 |
|---|---|---|---|
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 894 | 232 |
| Prednisone | Prednisone | 469 | 236 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 412 | 146 |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 246 | 75 |
| Azelastine Hcl | Azelastine Hcl | 233 | 111 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 215 | 78 |
| Breo Ellipta | Fluticasone/Vilanterol | 210 | 48 |
| Azithromycin | Azithromycin | 179 | 94 |
| Symbicort | Budesonide/Formoterol Fumarate | 112 | 28 |
| Montelukast Sodium | Montelukast Sodium | 88 | 39 |
| Fluticasone Propionate | Fluticasone Propionate | 85 | 38 |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 81 | 25 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 80 | 73 |
| Ambrisentan | Ambrisentan | 77 | 12 |
| Famotidine | Famotidine | 76 | 26 |
| Ventolin Hfa | Albuterol Sulfate | 72 | 27 |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 70 | 21 |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 52 | 15 |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 51 | suppressed |
| Stiolto Respimat | Tiotropium Br/Olodaterol Hcl | 47 | 17 |
| Tezspire | Tezepelumab-Ekko | 45 | suppressed |
| Amoxicillin | Amoxicillin | 43 | 39 |
| Levalbuterol Tartrate Hfa | Levalbuterol Tartrate | 43 | 12 |
| Clindamycin Hcl | Clindamycin Hcl | 36 | 29 |
| Opsumit | Macitentan | 36 | suppressed |
| Spiriva Respimat | Tiotropium Bromide | 33 | 12 |
| Arnuity Ellipta | Fluticasone Furoate | 32 | suppressed |
| Combivent Respimat | Ipratropium/Albuterol Sulfate | 32 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 31 | 31 |
| Furosemide | Furosemide | 27 | 14 |
| Carbinoxamine Maleate | Carbinoxamine Maleate | 24 | 11 |
| Eliquis | Apixaban | 24 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 24 | 12 |
| Omeprazole | Omeprazole | 23 | 14 |
| Sildenafil Citrate | Sildenafil Citrate | 23 | suppressed |
| Roflumilast | Roflumilast | 21 | suppressed |
| Levofloxacin | Levofloxacin | 20 | 20 |
| Nucala | Mepolizumab | 20 | suppressed |
| Tadalafil | Tadalafil | 20 | suppressed |
| Ipratropium Bromide | Ipratropium Bromide | 19 | 11 |
| Orenitram Er | Treprostinil Diolamine | 18 | suppressed |
| Airsupra | Albuterol Sulfate/Budesonide | 16 | suppressed |
| Fluconazole | Fluconazole | 16 | 15 |
| Epinephrine | Epinephrine | 15 | 11 |
| Mycophenolate Mofetil | Mycophenolate Mofetil | 14 | suppressed |
| Gabapentin | Gabapentin | 13 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 13 | suppressed |
| Fluticasone-Vilanterol | Fluticasone/Vilanterol | 12 | suppressed |
| Letairis | Ambrisentan | 12 | suppressed |
| Sucralfate | Sucralfate | 12 | suppressed |
| Zemaira | Alpha-1-Proteinase Inhibitor | 12 | suppressed |
| Incruse Ellipta | Umeclidinium Bromide | 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 | $2,248.33 · 108 records | GlaxoSmithKline, LLC. | AIRSUPRA, AREXVY, Arikayce, BREZTRI, Brinsupri, CHARTIS CATHETER, CUVITRU, DUPIXENT, FASENRA, Flexitouch Plus, GLASSIA, INOGEN ONE G5 OXYGEN CONCENTRATOR - BLUETOOTH, INSPIRE, JASCAYD, NUCALA, Nimbl, Ohtuvayre, PULMONX CHARTIS TABLET CONSOLE, PURIFIED CORTROPHIN GEL, Prolastin-C Liquid, SHINGRIX, SMARTVEST, TEZSPIRE, TRELEGY ELLIPTA, Vest Therapy Und, YUPELRI, ZEPBOUND, ZEPHYR DELIVERY CATHETER, ZEPHYR ENDOBRONCHIAL VALVE, Zemaira | 7 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Airsupra play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Amgen 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