Payment overview · 2025
General Payments
$570.32
28 reported records · 9 companies
Healthcare provider profile · identity verified
John Vernon Custer, M.D.
Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Psychiatry · CHARLESTON, SC · NPI 1578679452
Verified facts
What the public records show
CMS Open Payments records show John Vernon Custer, M.D. received $570.32 in general payments during 2025 across 28 reported records.
Teva Pharmaceuticals USA, Inc. accounted for 31.1% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 13 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Invega Sustenna, Uzedy.
Janssen 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 INVEGA SUSTENNA as an associated drug or biological on 39068 records involving 11966 distinct recipient NPIs. Public Medicare Part D data also shows 24 claims for Invega Sustenna by this doctor in 2024.
Otsuka America Pharmaceutical, 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 ABILIFY MAINTENA as an associated drug or biological on 27924 records involving 10497 distinct recipient NPIs. Public Medicare Part D data also shows 17 claims for Abilify Maintena by this doctor in 2024.
Teva Pharmaceuticals USA, 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 AUSTEDO as an associated drug or biological on 28 records involving 15 distinct recipient NPIs. Public Medicare Part D data also shows 23 claims for Austedo by this doctor in 2024.
Teva Pharmaceuticals USA, 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 UZEDY as an associated drug or biological on 46702 records involving 13355 distinct recipient NPIs. Public Medicare Part D data also shows 18 claims for Uzedy 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 |
|---|---|---|---|---|---|
| Teva Pharmaceuticals USA, Inc. | Unresolved — no canonical attribution shown | $177.25 | 31.1% | 9 | 2025 |
| E.R. Squibb & Sons, L.L.C. | Unresolved — no canonical attribution shown | $117.36 | 20.6% | 5 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $65.43 | 11.5% | 4 | 2025 |
| Alkermes, Inc. | Unresolved — no canonical attribution shown | $57.64 | 10.1% | 3 | 2025 |
| Noven Therapeutics, LLC | Unresolved — no canonical attribution shown | $41.74 | 7.3% | 2 | 2025 |
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $40.81 | 7.2% | 2 | 2025 |
| Supernus Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $26.42 | 4.6% | 1 | 2025 |
| Janssen Pharmaceuticals, Inc | Unresolved — no canonical attribution shown | $22.47 | 3.9% | 1 | 2025 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | Unresolved — no canonical attribution shown | $21.20 | 3.7% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $570.32 | 28 |
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 |
|---|---|---|---|---|---|
| COBENFY Normalized: cobenfy |
Drug | E.R. Squibb & Sons, L.L.C. | $117.36 | 5 | 2025 |
Source payment records
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| AUSTEDO XR Normalized: austedo xr |
Drug | Teva Pharmaceuticals USA, Inc. | $88.93 | 5 | 2025 |
Source payment records
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| VRAYLAR Normalized: vraylar |
Drug | ABBVIE INC. | $65.43 | 4 | 2025 |
Source payment records
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| ARISTADA Normalized: aristada |
Drug | Alkermes, Inc. | $57.64 | 3 | 2025 |
Source payment records
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| LYBALVI Normalized: lybalvi |
Drug | Alkermes, Inc. | $57.64 | 3 | 2025 |
Source payment records
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| UZEDY Normalized: uzedy |
Drug | Teva Pharmaceuticals USA, Inc. | $51.48 | 3 | 2025 |
Source payment records
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| Xelstrym Normalized: xelstrym |
Drug | Noven Therapeutics, LLC | $41.74 | 2 | 2025 |
Source payment records
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| Qelbree Normalized: qelbree |
Drug | Supernus Pharmaceuticals, Inc. | $26.42 | 1 | 2025 |
Source payment records
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| ABILIFY ASIMTUFII Normalized: abilify asimtufii |
Drug | Otsuka America Pharmaceutical, Inc. | $23.03 | 1 | 2025 |
Source payment records
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| INVEGA SUSTENNA Normalized: invega sustenna |
Drug | Janssen Pharmaceuticals, Inc | $22.47 | 1 | 2025 |
Source payment records
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| INVEGA TRINZA Normalized: invega trinza |
Drug | Janssen Pharmaceuticals, Inc | $22.47 | 1 | 2025 |
Source payment records
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| CAPLYTA Normalized: caplyta |
Drug | ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $21.20 | 1 | 2025 |
Source payment records
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| REXULTI Normalized: rexulti |
Drug | Otsuka America Pharmaceutical, Inc. | $17.78 | 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 |
|---|---|---|---|---|---|---|
| INVEGA SUSTENNA invega sustenna |
2025 | Invega Sustenna | 2024 | 24 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| UZEDY uzedy |
2025 | Uzedy | 2024 | 18 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 |
|---|---|---|---|---|---|---|
| Janssen Pharmaceuticals, Inc Exact reporting entity; no affiliate inference |
2025 | INVEGA SUSTENNA open payments reported associated product |
CMS Open Payments — General Payments 39068 supporting records · 11966 recipient NPIs · example record 1174223262 |
Invega Sustenna · 2024 Exact normalized brand match · 1 Part D row |
24 | suppressed by CMS |
| Otsuka America Pharmaceutical, Inc. Exact reporting entity; no affiliate inference |
2025 | ABILIFY MAINTENA open payments reported associated product |
CMS Open Payments — General Payments 27924 supporting records · 10497 recipient NPIs · example record 1227267721 |
Abilify Maintena · 2024 Exact normalized brand match · 1 Part D row |
17 | suppressed by CMS |
| Teva Pharmaceuticals USA, Inc. Exact reporting entity; no affiliate inference |
2025 | AUSTEDO open payments reported associated product |
CMS Open Payments — General Payments 28 supporting records · 15 recipient NPIs · example record 1247249192 |
Austedo · 2024 Exact normalized brand match · 1 Part D row |
23 | suppressed by CMS |
| Teva Pharmaceuticals USA, Inc. Exact reporting entity; no affiliate inference |
2025 | UZEDY open payments reported associated product |
CMS Open Payments — General Payments 46702 supporting records · 13355 recipient NPIs · example record 1247244226 |
Uzedy · 2024 Exact normalized brand match · 1 Part D row |
18 | 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 |
|---|---|---|---|
| Alprazolam | Alprazolam | 191 | 27 |
| Trazodone Hcl | Trazodone Hcl | 149 | 32 |
| Quetiapine Fumarate | Quetiapine Fumarate | 143 | 26 |
| Benztropine Mesylate | Benztropine Mesylate | 138 | 25 |
| Clonazepam | Clonazepam | 130 | 20 |
| Duloxetine Hcl | Duloxetine Hcl | 117 | 23 |
| Aripiprazole | Aripiprazole | 115 | 19 |
| Zolpidem Tartrate | Zolpidem Tartrate | 104 | 18 |
| Mirtazapine | Mirtazapine | 94 | 20 |
| Olanzapine | Olanzapine | 93 | 19 |
| Risperidone | Risperidone | 91 | 14 |
| Lamotrigine | Lamotrigine | 87 | 20 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 84 | 13 |
| Divalproex Sodium Er | Divalproex Sodium | 82 | 17 |
| Bupropion Xl | Bupropion Hcl | 75 | 13 |
| Lithium Carbonate | Lithium Carbonate | 73 | 12 |
| Lorazepam | Lorazepam | 72 | 13 |
| Haloperidol Decanoate | Haloperidol Decanoate | 71 | 11 |
| Haloperidol | Haloperidol | 67 | 11 |
| Temazepam | Temazepam | 60 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 57 | 11 |
| Citalopram Hbr | Citalopram Hydrobromide | 56 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 47 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 45 | 17 |
| Belsomra | Suvorexant | 43 | suppressed |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 40 | suppressed |
| Gabapentin | Gabapentin | 37 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 34 | suppressed |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 31 | suppressed |
| Eszopiclone | Eszopiclone | 29 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 28 | suppressed |
| Lurasidone Hcl | Lurasidone Hcl | 26 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 25 | suppressed |
| Concerta | Methylphenidate Hcl | 24 | suppressed |
| Invega Sustenna | Paliperidone Palmitate | 24 | suppressed |
| Austedo | Deutetrabenazine | 23 | suppressed |
| Trintellix | Vortioxetine Hydrobromide | 20 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 19 | suppressed |
| Diazepam | Diazepam | 19 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 18 | suppressed |
| Uzedy | Risperidone | 18 | suppressed |
| Abilify Maintena | Aripiprazole | 17 | suppressed |
| Ingrezza | Valbenazine Tosylate | 17 | suppressed |
| Methylphenidate Hcl | Methylphenidate Hcl | 17 | suppressed |
| Quetiapine Fumarate Er | Quetiapine Fumarate | 17 | suppressed |
| Lithium Carbonate Er | Lithium Carbonate | 16 | suppressed |
| Dayvigo | Lemborexant | 12 | suppressed |
| Seroquel Xr | Quetiapine Fumarate | 12 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 11 | suppressed |
| Olanzapine Odt | Olanzapine | 11 | suppressed |
| Oxcarbazepine | Oxcarbazepine | 11 | suppressed |
| Prazosin Hcl | Prazosin 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 | $570.32 · 28 records | Teva Pharmaceuticals USA, Inc. | ABILIFY ASIMTUFII, ARISTADA, AUSTEDO XR, CAPLYTA, COBENFY, INVEGA SUSTENNA, INVEGA TRINZA, LYBALVI, Qelbree, REXULTI, UZEDY, VRAYLAR, Xelstrym | 4 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Invega Sustenna play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Janssen Pharmaceuticals, 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