Payment overview · 2025
General Payments
$3,846.20
122 reported records · 26 companies
Healthcare provider profile · identity verified
Gabriela Mroueh, MD
Allopathic & Osteopathic Physicians|Internal Medicine|Endocrinology, Diabetes & Metabolism · SAN ANTONIO, TX · NPI 1548657661
Verified facts
What the public records show
CMS Open Payments records show Gabriela Mroueh, MD received $3,846.20 in general payments during 2025 across 122 reported records.
Medtronic, Inc. accounted for 34.9% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 32 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Jardiance, Ozempic, Rybelsus, Synthroid.
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 SYNTHROID as an associated drug or biological on 10655 records involving 4881 distinct recipient NPIs. Public Medicare Part D data also shows 28 claims for Synthroid 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 76 claims for Jardiance 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 SYNJARDY as an associated drug or biological on 33 records involving 33 distinct recipient NPIs. Public Medicare Part D data also shows 21 claims for Synjardy 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 JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 76 claims for Jardiance 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 349 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 56 claims for Trulicity by this doctor in 2024.
Novo Nordisk 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 Ozempic as an associated drug or biological on 261625 records involving 77793 distinct recipient NPIs. Public Medicare Part D data also shows 192 claims for Ozempic by this doctor in 2024.
Novo Nordisk 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 Rybelsus as an associated drug or biological on 161257 records involving 55409 distinct recipient NPIs. Public Medicare Part D data also shows 23 claims for Rybelsus by this doctor in 2024.
SANOFI-AVENTIS U.S. 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 SOLIQUA 100/33 as an associated drug or biological on 43 records involving 15 distinct recipient NPIs. Public Medicare Part D data also shows 23 claims for Soliqua 100-33 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 |
|---|---|---|---|---|---|
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$1,342.28 | 34.9% | 8 | 2025 |
| Dexcom, Inc. | Unresolved — no canonical attribution shown | $600.03 | 15.6% | 20 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $384.55 | 10.0% | 11 | 2025 |
| Corcept Therapeutics | Unresolved — no canonical attribution shown | $252.45 | 6.6% | 16 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $179.05 | 4.7% | 12 | 2025 |
| Mannkind Corporation | Unresolved — no canonical attribution shown | $178.14 | 4.6% | 5 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $152.62 | 4.0% | 11 | 2025 |
| CeQur Corporation | Unresolved — no canonical attribution shown | $89.59 | 2.3% | 1 | 2025 |
| Sequel Med Tech, LLC | Unresolved — no canonical attribution shown | $87.18 | 2.3% | 5 | 2025 |
| SANOFI-AVENTIS U.S. LLC | Unresolved — no canonical attribution shown | $73.12 | 1.9% | 4 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $61.62 | 1.6% | 3 | 2025 |
| RECORDATI_RARE_DISEASES_INC. | Unresolved — no canonical attribution shown | $49.59 | 1.3% | 3 | 2025 |
| Xeris Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $48.93 | 1.3% | 3 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $46.33 | 1.2% | 2 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $45.18 | 1.2% | 3 | 2025 |
| Insulet Corporation | Unresolved — no canonical attribution shown | $36.25 | 0.9% | 2 | 2025 |
| BETA BIONICS, INC. | Unresolved — no canonical attribution shown | $36.07 | 0.9% | 2 | 2025 |
| Neurocrine BioSciences, Inc. | Unresolved — no canonical attribution shown | $35.49 | 0.9% | 2 | 2025 |
| Ascensia Diabetes Care Us Inc. | Unresolved — no canonical attribution shown | $24.81 | 0.7% | 1 | 2025 |
| Ascendis Pharma Endocrinology Inc | Unresolved — no canonical attribution shown | $23.61 | 0.6% | 1 | 2025 |
| Radius Health, Inc. | Unresolved — no canonical attribution shown | $21.29 | 0.6% | 1 | 2025 |
| Madrigal Pharmaceuticals | Unresolved — no canonical attribution shown | $17.57 | 0.5% | 1 | 2025 |
| Acella Pharmaceuticals, LLC | Unresolved — no canonical attribution shown | $16.67 | 0.4% | 1 | 2025 |
| Amneal Pharmaceuticals LLC | Unresolved — no canonical attribution shown | $15.74 | 0.4% | 1 | 2025 |
| Tandem Diabetes Care, Inc. | Unresolved — no canonical attribution shown | $14.12 | 0.4% | 2 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $13.92 | 0.4% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $2,725.14 | 119 |
| Travel and Lodging | $1,121.06 | 3 |
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 |
|---|---|---|---|---|---|
| MINIMED 780G Normalized: minimed 780g |
Device | Medtronic, Inc. | $1,323.16 | 7 | 2025 |
Source payment records
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| Dexcom G6 Transmitter Normalized: dexcom g6 transmitter |
Medical Supply | Dexcom, Inc. | $600.03 | 20 | 2025 |
Source payment records
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| FREESTYLE LIBRE 3 Normalized: freestyle libre 3 |
Device | Abbott Laboratories | $384.55 | 11 | 2025 |
Source payment records
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| Korlym Normalized: korlym |
Drug | Corcept Therapeutics | $252.45 | 16 | 2025 |
Source payment records
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| AFREZZA Normalized: afrezza |
Drug | Mannkind Corporation | $178.14 | 5 | 2025 |
Source payment records
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| CeQur Simplicity Normalized: cequr simplicity |
Device | CeQur Corporation | $89.59 | 1 | 2025 |
Source payment records
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| TWIIST Normalized: twiist |
Device | Sequel Med Tech, LLC | $87.18 | 5 | 2025 |
Source payment records
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| TEPEZZA Normalized: tepezza |
Biological | Amgen Inc. | $82.53 | 5 | 2025 |
Source payment records
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| JARDIANCE Normalized: jardiance |
Drug | Boehringer Ingelheim Pharmaceuticals, Inc., Lilly USA, LLC | $81.18 | 4 | 2025 |
Source payment records
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $77.18 | 4 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $77.18 | 4 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $75.44 | 7 | 2025 |
Source payment records
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| TZIELD Normalized: tzield |
Biological | SANOFI-AVENTIS U.S. LLC | $73.12 | 4 | 2025 |
Source payment records
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $61.19 | 4 | 2025 |
Source payment records
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| GVOKE HYPOPEN Normalized: gvoke hypopen |
Drug | Xeris Pharmaceuticals, Inc. | $48.93 | 3 | 2025 |
Source payment records
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| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $45.18 | 3 | 2025 |
Source payment records
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| Omnipod Normalized: omnipod |
Device | Insulet Corporation | $36.25 | 2 | 2025 |
Source payment records
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| iLet Bionic Pancreas Normalized: ilet bionic pancreas |
Device | BETA BIONICS, INC. | $36.07 | 2 | 2025 |
Source payment records
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| iLet Insulin Infusion Kit Contact Detach Normalized: ilet insulin infusion kit contact detach |
Device | BETA BIONICS, INC. | $36.07 | 2 | 2025 |
Source payment records
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| iLet Insulin Infusion Kit Inset Normalized: ilet insulin infusion kit inset |
Device | BETA BIONICS, INC. | $36.07 | 2 | 2025 |
Source payment records
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| CRENESSITY Normalized: crenessity |
Drug | Neurocrine BioSciences, Inc. | $35.49 | 2 | 2025 |
Source payment records
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| EVENITY Normalized: evenity |
Biological | Amgen Inc. | $35.33 | 3 | 2025 |
Source payment records
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| ISTURISA Normalized: isturisa |
Drug | RECORDATI_RARE_DISEASES_INC. | $31.50 | 2 | 2025 |
Source payment records
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| Yorvipath Normalized: yorvipath |
Drug | Ascendis Pharma Endocrinology Inc | $23.61 | 1 | 2025 |
Source payment records
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| Tymlos Normalized: tymlos |
Drug | Radius Health, Inc. | $21.29 | 1 | 2025 |
Source payment records
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| INCEPTIV Normalized: inceptiv |
Device | Medtronic, Inc. | $19.12 | 1 | 2025 |
Source payment records
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| SIGNIFOR LAR Normalized: signifor lar |
Drug | RECORDATI_RARE_DISEASES_INC. | $18.09 | 1 | 2025 |
Source payment records
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| REZDIFFRA Normalized: rezdiffra |
Drug | Madrigal Pharmaceuticals | $17.57 | 1 | 2025 |
Source payment records
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| NP Thyroid 60 Normalized: np thyroid 60 |
Drug | Acella Pharmaceuticals, LLC | $16.67 | 1 | 2025 |
Source payment records
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| UNITHROID Normalized: unithroid |
Drug | Amneal Pharmaceuticals LLC | $15.74 | 1 | 2025 |
Source payment records
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| t:slim X2 Insulin Pump with Control-IQ Normalized: t slim x2 insulin pump with control iq |
Device | Tandem Diabetes Care, Inc. | $14.12 | 2 | 2025 |
Source payment records
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| SYNTHROID Normalized: synthroid |
Drug | ABBVIE INC. | $13.92 | 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 |
|---|---|---|---|---|---|---|
| JARDIANCE jardiance |
2025 | Jardiance | 2024 | 76 | exact normalized | Medicare Part D |
| Ozempic ozempic |
2025 | Ozempic | 2024 | 192 | exact normalized | Medicare Part D |
| Rybelsus rybelsus |
2025 | Rybelsus | 2024 | 23 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| SYNTHROID synthroid |
2025 | Synthroid | 2024 | 28 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 |
|---|---|---|---|---|---|---|
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | SYNTHROID open payments reported associated product |
CMS Open Payments — General Payments 10655 supporting records · 4881 recipient NPIs · example record 1201352636 |
Synthroid · 2024 Exact normalized brand match · 1 Part D row |
28 | suppressed by CMS |
| 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 |
76 | 27 |
| Boehringer Ingelheim Pharmaceuticals, Inc. Exact reporting entity; no affiliate inference |
2025 | SYNJARDY open payments reported associated product |
CMS Open Payments — General Payments 33 supporting records · 33 recipient NPIs · example record 1222725005 |
Synjardy · 2024 Exact normalized brand match · 1 Part D row |
21 | suppressed by CMS |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 47708 supporting records · 23833 recipient NPIs · example record 1186464557 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
76 | 27 |
| 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 |
349 | 69 |
| 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 |
56 | 14 |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Ozempic open payments reported associated product |
CMS Open Payments — General Payments 261625 supporting records · 77793 recipient NPIs · example record 1188130076 |
Ozempic · 2024 Exact normalized brand match · 1 Part D row |
192 | 44 |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Rybelsus open payments reported associated product |
CMS Open Payments — General Payments 161257 supporting records · 55409 recipient NPIs · example record 1188130076 |
Rybelsus · 2024 Exact normalized brand match · 1 Part D row |
23 | suppressed by CMS |
| SANOFI-AVENTIS U.S. LLC Exact reporting entity; no affiliate inference |
2025 | SOLIQUA 100/33 open payments reported associated product |
CMS Open Payments — General Payments 43 supporting records · 15 recipient NPIs · example record 1233224976 |
Soliqua 100-33 · 2024 Exact normalized brand match · 1 Part D row |
23 | 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 |
|---|---|---|---|
| Mounjaro | Tirzepatide | 349 | 69 |
| Ozempic | Semaglutide | 192 | 44 |
| Levothyroxine Sodium | Levothyroxine Sodium | 135 | 49 |
| Farxiga | Dapagliflozin Propanediol | 82 | 26 |
| Atorvastatin Calcium | Atorvastatin Calcium | 81 | 29 |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 78 | 41 |
| Jardiance | Empagliflozin | 76 | 27 |
| Toujeo Max Solostar | Insulin Glargine,hum.Rec.Anlog | 63 | 17 |
| Trulicity | Dulaglutide | 56 | 14 |
| Lisinopril | Lisinopril | 53 | 15 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 46 | 16 |
| Tresiba Flextouch U-100 | Insulin Degludec | 43 | 17 |
| Tresiba Flextouch U-200 | Insulin Degludec | 40 | 18 |
| Metformin Hcl Er | Metformin Hcl | 39 | 15 |
| Humalog Kwikpen U-100 | Insulin Lispro | 37 | 15 |
| Glimepiride | Glimepiride | 36 | 11 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 32 | suppressed |
| Humalog | Insulin Lispro | 31 | 11 |
| Losartan Potassium | Losartan Potassium | 31 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 31 | 11 |
| Humulin R U-500 Kwikpen | Insulin Regular, Human | 30 | suppressed |
| Metformin Hcl | Metformin Hcl | 28 | 13 |
| Synthroid | Levothyroxine Sodium | 28 | suppressed |
| V-Go 30 | Sub-Q Insulin Device, 30 Unit | 28 | suppressed |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 26 | suppressed |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 25 | suppressed |
| Novolog | Insulin Aspart | 23 | suppressed |
| Rybelsus | Semaglutide | 23 | suppressed |
| Soliqua 100-33 | Insulin Glargine/Lixisenatide | 23 | suppressed |
| Liothyronine Sodium | Liothyronine Sodium | 22 | suppressed |
| Novolog Flexpen | Insulin Aspart | 22 | 13 |
| Synjardy | Empagliflozin/Metformin Hcl | 21 | suppressed |
| Synjardy Xr | Empagliflozin/Metformin Hcl | 21 | suppressed |
| Glipizide | Glipizide | 20 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 18 | suppressed |
| Gabapentin | Gabapentin | 17 | suppressed |
| Hydrocortisone | Hydrocortisone | 17 | suppressed |
| Teriparatide | Teriparatide | 17 | suppressed |
| V-Go 20 | Sub-Q Insulin Device, 20 Unit | 17 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 17 | suppressed |
| Amlodipine Besylate | Amlodipine Besylate | 16 | suppressed |
| Repatha Sureclick | Evolocumab | 16 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 15 | suppressed |
| Cinacalcet Hcl | Cinacalcet Hcl | 13 | suppressed |
| Alcohol Prep Pads | Alcohol Antiseptic Pads | 12 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 12 | suppressed |
| Methimazole | Methimazole | 12 | suppressed |
| Xigduo Xr | Dapaglifloz Propaned/Metformin | 12 | 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 | $3,846.20 · 122 records | Medtronic, Inc. | AFREZZA, CRENESSITY, CeQur Simplicity, Dexcom G6 Transmitter, EVENITY, FREESTYLE LIBRE 3, GVOKE HYPOPEN, INCEPTIV, ISTURISA, JARDIANCE, Korlym, LEQVIO, MINIMED 780G, NP Thyroid 60, Omnipod, Ozempic, REPATHA, REZDIFFRA, Rybelsus, SIGNIFOR LAR, SYNTHROID, TEPEZZA, TWIIST, TZIELD, Tymlos, UNITHROID, Wegovy, Yorvipath, iLet Bionic Pancreas, iLet Insulin Infusion Kit Contact Detach, iLet Insulin Infusion Kit Inset, t:slim X2 Insulin Pump with Control-IQ | 9 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Jardiance 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