Payment overview · 2025
General Payments
$144.05
7 reported records · 6 companies
Healthcare provider profile · identity verified
Ralph A Jackson, MD
Allopathic & Osteopathic Physicians|General Practice · DULUTH, GA · NPI 1558467043
Verified facts
What the public records show
CMS Open Payments records show Ralph A Jackson, MD received $144.05 in general payments during 2025 across 7 reported records.
AstraZeneca Pharmaceuticals LP accounted for 23.4% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 4 associated products.
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 36 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 36 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 22 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 25 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 |
|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $33.74 | 23.4% | 2 | 2025 |
| VERTEX PHARMACEUTICALS INCORPORATED | Unresolved — no canonical attribution shown | $30.67 | 21.3% | 1 | 2025 |
| Dexcom, Inc. | Unresolved — no canonical attribution shown | $22.43 | 15.6% | 1 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $21.90 | 15.2% | 1 | 2025 |
| Gilead Sciences, Inc. | Unresolved — no canonical attribution shown | $17.96 | 12.5% | 1 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $17.35 | 12.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $144.05 | 7 |
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 |
|---|---|---|---|---|---|
| JOURNAVX Normalized: journavx |
Drug | VERTEX PHARMACEUTICALS INCORPORATED | $30.67 | 1 | 2025 |
Source payment records
|
|||||
| Dexcom G6 Transmitter Normalized: dexcom g6 transmitter |
Medical Supply | Dexcom, Inc. | $22.43 | 1 | 2025 |
Source payment records
|
|||||
| KRYSTEXXA Normalized: krystexxa |
Biological | Amgen Inc. | $21.90 | 1 | 2025 |
Source payment records
|
|||||
| KISUNLA Normalized: kisunla |
Drug | Lilly USA, LLC | $17.35 | 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
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
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 |
36 | 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 |
36 | 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 |
22 | 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 |
25 | 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 |
|---|---|---|---|
| Oxycodone Hcl | Oxycodone Hcl | 413 | 41 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 370 | 83 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 306 | 41 |
| Atorvastatin Calcium | Atorvastatin Calcium | 296 | 86 |
| Amlodipine Besylate | Amlodipine Besylate | 265 | 82 |
| Gabapentin | Gabapentin | 260 | 56 |
| Tizanidine Hcl | Tizanidine Hcl | 195 | 54 |
| Diclofenac Sodium | Diclofenac Sodium | 189 | 78 |
| Pantoprazole Sodium | Pantoprazole Sodium | 175 | 50 |
| Metoprolol Succinate | Metoprolol Succinate | 166 | 49 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 163 | 45 |
| Trazodone Hcl | Trazodone Hcl | 154 | 34 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 151 | 40 |
| Levothyroxine Sodium | Levothyroxine Sodium | 151 | 37 |
| Alprazolam | Alprazolam | 148 | 28 |
| Omeprazole | Omeprazole | 124 | 33 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 116 | 31 |
| Metformin Hcl | Metformin Hcl | 114 | 39 |
| Ondansetron Odt | Ondansetron | 111 | 42 |
| Quetiapine Fumarate | Quetiapine Fumarate | 94 | 19 |
| Lisinopril | Lisinopril | 92 | 28 |
| Sertraline Hcl | Sertraline Hcl | 91 | 28 |
| Simvastatin | Simvastatin | 90 | 22 |
| Methylprednisolone | Methylprednisolone | 85 | 62 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 83 | 22 |
| Hydrochlorothiazide | Hydrochlorothiazide | 83 | 25 |
| Clonazepam | Clonazepam | 80 | 12 |
| Baclofen | Baclofen | 79 | 11 |
| Buspirone Hcl | Buspirone Hcl | 78 | 16 |
| Alendronate Sodium | Alendronate Sodium | 77 | 20 |
| Losartan Potassium | Losartan Potassium | 77 | 23 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 77 | 25 |
| Meloxicam | Meloxicam | 76 | 24 |
| Promethazine Hcl | Promethazine Hcl | 75 | 20 |
| Tramadol Hcl | Tramadol Hcl | 75 | 35 |
| Carvedilol | Carvedilol | 73 | 25 |
| Cephalexin | Cephalexin | 73 | 62 |
| Sumatriptan Succinate | Sumatriptan Succinate | 71 | suppressed |
| Ozempic | Semaglutide | 69 | 17 |
| Clopidogrel | Clopidogrel Bisulfate | 67 | 17 |
| Furosemide | Furosemide | 67 | 22 |
| Lorazepam | Lorazepam | 67 | suppressed |
| Allopurinol | Allopurinol | 65 | 16 |
| Zolpidem Tartrate | Zolpidem Tartrate | 65 | 14 |
| Glimepiride | Glimepiride | 64 | 19 |
| Duloxetine Hcl | Duloxetine Hcl | 63 | 17 |
| Dicyclomine Hcl | Dicyclomine Hcl | 62 | 20 |
| Ibuprofen | Ibuprofen | 58 | 20 |
| Meclizine Hcl | Meclizine Hcl | 58 | 21 |
| Fluconazole | Fluconazole | 57 | 14 |
| Metoprolol Tartrate | Metoprolol Tartrate | 57 | 13 |
| Tamsulosin Hcl | Tamsulosin Hcl | 55 | 21 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 53 | 19 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 53 | suppressed |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 51 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 51 | 13 |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 47 | 11 |
| Clonidine Hcl | Clonidine Hcl | 47 | 18 |
| Solifenacin Succinate | Solifenacin Succinate | 46 | 15 |
| Donepezil Hcl | Donepezil Hcl | 41 | 13 |
| Fluticasone Propionate | Fluticasone Propionate | 41 | 17 |
| Clobetasol Propionate | Clobetasol Propionate | 40 | 22 |
| Pregabalin | Pregabalin | 39 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 38 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 38 | 15 |
| Temazepam | Temazepam | 37 | 11 |
| Citalopram Hbr | Citalopram Hydrobromide | 36 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 36 | suppressed |
| Methadone Hcl | Methadone Hcl | 36 | suppressed |
| Morphine Sulfate Er | Morphine Sulfate | 36 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 36 | suppressed |
| Atenolol | Atenolol | 35 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 35 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 35 | 13 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 35 | suppressed |
| Methocarbamol | Methocarbamol | 34 | 11 |
| Azithromycin | Azithromycin | 33 | 24 |
| Bupropion Xl | Bupropion Hcl | 32 | suppressed |
| Eliquis | Apixaban | 32 | suppressed |
| Mirtazapine | Mirtazapine | 32 | suppressed |
| Spironolactone | Spironolactone | 31 | 11 |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 31 | suppressed |
| Potassium Chloride | Potassium Chloride | 30 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 29 | 22 |
| Fenofibrate | Fenofibrate | 29 | suppressed |
| Mupirocin | Mupirocin | 29 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 29 | suppressed |
| Ezetimibe | Ezetimibe | 28 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 28 | suppressed |
| Naloxone Hcl | Naloxone Hcl | 26 | 21 |
| Synthroid | Levothyroxine Sodium | 26 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 25 | suppressed |
| Diphenoxylate-Atropine | Diphenoxylate Hcl/Atropine | 25 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 25 | suppressed |
| Glipizide | Glipizide | 25 | suppressed |
| Trulicity | Dulaglutide | 25 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 24 | 20 |
| Linzess | Linaclotide | 24 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 24 | suppressed |
| Prednisone | Prednisone | 24 | 18 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 23 | 21 |
| Levofloxacin | Levofloxacin | 23 | 21 |
| Levetiracetam | Levetiracetam | 22 | suppressed |
| Mounjaro | Tirzepatide | 22 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 21 | 14 |
| Megestrol Acetate | Megestrol Acetate | 21 | suppressed |
| Metronidazole | Metronidazole | 21 | 12 |
| Primidone | Primidone | 21 | suppressed |
| Clindamycin Hcl | Clindamycin Hcl | 20 | 11 |
| Celecoxib | Celecoxib | 19 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 19 | suppressed |
| Nifedipine Er | Nifedipine | 19 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 19 | suppressed |
| Diazepam | Diazepam | 18 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 18 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 18 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 18 | suppressed |
| Sildenafil Citrate | Sildenafil Citrate | 18 | suppressed |
| Amoxicillin | Amoxicillin | 17 | suppressed |
| Ketoconazole | Ketoconazole | 17 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 17 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 17 | suppressed |
| Silodosin | Silodosin | 17 | suppressed |
| Tobramycin-Dexamethasone | Tobramycin/Dexamethasone | 17 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 16 | suppressed |
| Naproxen | Naproxen | 16 | suppressed |
| Olmesartan-Hydrochlorothiazide | Olmesartan/Hydrochlorothiazide | 16 | suppressed |
| Rybelsus | Semaglutide | 16 | suppressed |
| Acyclovir | Acyclovir | 15 | suppressed |
| Venlafaxine Hcl | Venlafaxine Hcl | 15 | suppressed |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 14 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 14 | suppressed |
| Famotidine | Famotidine | 14 | suppressed |
| Gemtesa | Vibegron | 14 | suppressed |
| Methotrexate | Methotrexate Sodium | 13 | suppressed |
| Verapamil Er | Verapamil Hcl | 13 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 12 | suppressed |
| Lansoprazole | Lansoprazole | 12 | suppressed |
| Memantine Hcl | Memantine Hcl | 12 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 12 | suppressed |
| Morphine Sulfate | Morphine Sulfate | 12 | suppressed |
| Nystatin | Nystatin | 12 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 12 | suppressed |
| Colchicine | Colchicine | 11 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 11 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 11 | suppressed |
| Hydromorphone Hcl | Hydromorphone Hcl | 11 | suppressed |
| Januvia | Sitagliptin Phosphate | 11 | suppressed |
| Lovastatin | Lovastatin | 11 | suppressed |
| Tradjenta | Linagliptin | 11 | suppressed |
| Vilazodone Hcl | Vilazodone 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 | $144.05 · 7 records | AstraZeneca Pharmaceuticals LP | Dexcom G6 Transmitter, JOURNAVX, KISUNLA, KRYSTEXXA | 4 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- 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