Healthcare provider profile · identity verified

Axel E. Martinez Irizarry, M.D.

Allopathic & Osteopathic Physicians|Family Medicine · OCALA, FL · NPI 1689860421

Profile state: payments and partd Open Payments: 2025 Medicare Part D: 2024 Last identity check: 2026-08-10 Page data build: 2026-08-12

Verified facts

What the public records show

CMS Open Payments records show Axel E. Martinez Irizarry, M.D. received $2,000.00 in general payments during 2025 across 1 reported records.

Cipher Pharmaceuticals US LLC accounted for 100.0% of that reported general-payment amount.

The Open Payments records used for this analysis explicitly named 2 associated products.

A separate comparison found the same explicitly named product in public Medicare Part D data: Natroba.

Cipher Pharmaceuticals US 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 Natroba as an associated drug or biological on 3827 records involving 3827 distinct recipient NPIs. Public Medicare Part D data also shows 15 claims for Natroba by this doctor in 2024.

These records do not establish that a payment influenced prescribing or medical care.

Payment overview · 2025

General Payments

$2,000.00

1 reported records · 1 companies

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
Cipher Pharmaceuticals US LLC	Unresolved — no canonical attribution shown	$2,000.00	100.0%	1	2025

What were the payments for?

Payment categories

Category	Amount	Records
Grant	$2,000.00	1

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
Natroba Normalized: natroba	Drug	Cipher Pharmaceuticals US LLC	$2,000.00	1	2025
Source payment records 2025-02-04 · Cipher Pharmaceuticals US LLC · $2,000.00 · Open Payments source
Spinosad Normalized: spinosad	Drug	Cipher Pharmaceuticals US LLC	$2,000.00	1	2025
Source payment records 2025-02-04 · Cipher Pharmaceuticals US LLC · $2,000.00 · Open Payments source

* 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
Natroba natroba	2025	Natroba	2024	15	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
Cipher Pharmaceuticals US LLC Exact reporting entity; no affiliate inference	2025	Natroba open payments reported associated product	CMS Open Payments — General Payments 3827 supporting records · 3827 recipient NPIs · example record 1250589349	Natroba · 2024 Exact normalized brand match · 1 Part D row	15	15

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
Atorvastatin Calcium	Atorvastatin Calcium	3529	570
Levothyroxine Sodium	Levothyroxine Sodium	2689	401
Furosemide	Furosemide	2670	461
Eliquis	Apixaban	2647	303
Potassium Chloride	Potassium Chloride	2479	449
Gabapentin	Gabapentin	2361	372
Amlodipine Besylate	Amlodipine Besylate	1851	341
Metoprolol Tartrate	Metoprolol Tartrate	1577	300
Trazodone Hcl	Trazodone Hcl	1559	320
Lisinopril	Lisinopril	1465	246
Sertraline Hcl	Sertraline Hcl	1435	263
Donepezil Hcl	Donepezil Hcl	1367	206
Pantoprazole Sodium	Pantoprazole Sodium	1343	287
Clopidogrel	Clopidogrel Bisulfate	1250	224
Losartan Potassium	Losartan Potassium	1216	236
Tamsulosin Hcl	Tamsulosin Hcl	1145	213
Mirtazapine	Mirtazapine	1139	265
Memantine Hcl	Memantine Hcl	1119	156
Divalproex Sodium	Divalproex Sodium	1007	193
Buspirone Hcl	Buspirone Hcl	1001	200
Metformin Hcl	Metformin Hcl	961	158
Metoprolol Succinate	Metoprolol Succinate	872	182
Carvedilol	Carvedilol	867	155
Levetiracetam	Levetiracetam	795	121
Rosuvastatin Calcium	Rosuvastatin Calcium	786	133
Quetiapine Fumarate	Quetiapine Fumarate	755	158
Meloxicam	Meloxicam	742	154
Tramadol Hcl	Tramadol Hcl	703	200
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	665	166
Duloxetine Hcl	Duloxetine Hcl	647	114
Sulfamethoxazole-Trimethoprim	Sulfamethoxazole/Trimethoprim	623	321
Omeprazole	Omeprazole	575	138
Spironolactone	Spironolactone	521	112
Levofloxacin	Levofloxacin	514	267
Escitalopram Oxalate	Escitalopram Oxalate	493	109
Xarelto	Rivaroxaban	488	50
Januvia	Sitagliptin Phosphate	486	55
Tizanidine Hcl	Tizanidine Hcl	477	101
Gemtesa	Vibegron	460	36
Ipratropium-Albuterol	Ipratropium/Albuterol Sulfate	437	225
Famotidine	Famotidine	433	84
Baclofen	Baclofen	430	68
Simvastatin	Simvastatin	428	71
Amiodarone Hcl	Amiodarone Hcl	410	81
Cephalexin	Cephalexin	408	189
Prednisone	Prednisone	399	196
Risperidone	Risperidone	397	81
Lactulose	Lactulose	394	82
Ropinirole Hcl	Ropinirole Hcl	385	61
Pregabalin	Pregabalin	374	72
Oxycodone Hcl	Oxycodone Hcl	372	70
Azithromycin	Azithromycin	371	250
Methylprednisolone	Methylprednisolone	367	235
Hydralazine Hcl	Hydralazine Hcl	364	91
Citalopram Hbr	Citalopram Hydrobromide	363	61
Midodrine Hcl	Midodrine Hcl	363	96
Ondansetron Hcl	Ondansetron Hcl	360	227
Lantus Solostar	Insulin Glargine,hum.Rec.Anlog	353	68
Fluoxetine Hcl	Fluoxetine Hcl	348	52
Finasteride	Finasteride	336	52
Clonazepam	Clonazepam	333	56
Clonidine Hcl	Clonidine Hcl	333	108
Allopurinol	Allopurinol	325	62
Montelukast Sodium	Montelukast Sodium	316	63
Basaglar Kwikpen U-100	Insulin Glargine,hum.Rec.Anlog	313	54
Latanoprost	Latanoprost	310	67
Sucralfate	Sucralfate	309	47
Paroxetine Hcl	Paroxetine Hcl	300	57
Primidone	Primidone	299	53
Carbidopa-Levodopa	Carbidopa/Levodopa	298	57
Isosorbide Mononitrate Er	Isosorbide Mononitrate	292	35
Fluticasone Propionate	Fluticasone Propionate	284	86
Lorazepam	Lorazepam	283	84
Metolazone	Metolazone	273	60
Oxybutynin Chloride Er	Oxybutynin Chloride	269	52
Nifedipine Er	Nifedipine	267	46
Alprazolam	Alprazolam	263	63
Fluconazole	Fluconazole	250	134
Pravastatin Sodium	Pravastatin Sodium	249	39
Hydrochlorothiazide	Hydrochlorothiazide	236	47
Entresto	Sacubitril/Valsartan	235	29
Warfarin Sodium	Warfarin Sodium	233	19
Aripiprazole	Aripiprazole	229	37
Ertapenem	Ertapenem Sodium	229	129
Jardiance	Empagliflozin	228	29
Olanzapine	Olanzapine	222	36
Albuterol Sulfate Hfa	Albuterol Sulfate	215	88
Oxcarbazepine	Oxcarbazepine	215	29
Sodium Chloride	0.9 % Sodium Chloride	214	126
Fludrocortisone Acetate	Fludrocortisone Acetate	213	49
Topiramate	Topiramate	205	26
Nitrofurantoin Mono-Macro	Nitrofurantoin Monohyd/M-Cryst	199	106
Divalproex Sodium Er	Divalproex Sodium	195	40
Hydroxyzine Hcl	Hydroxyzine Hcl	194	64
Bumetanide	Bumetanide	189	48
Ezetimibe	Ezetimibe	188	36
Lidocaine Hcl	Lidocaine Hcl	187	120
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	185	52
Linzess	Linaclotide	182	27
Nystatin	Nystatin	179	100
Novolog Flexpen	Insulin Aspart	176	39
Glipizide	Glipizide	175	33
Lantus	Insulin Glargine,hum.Rec.Anlog	175	39
Propranolol Hcl	Propranolol Hcl	175	26
Insulin Lispro Kwikpen U-100	Insulin Lispro	172	59
Cyclobenzaprine Hcl	Cyclobenzaprine Hcl	166	41
Venlafaxine Hcl Er	Venlafaxine Hcl	164	27
Doxycycline Hyclate	Doxycycline Hyclate	162	84
Ciprofloxacin Hcl	Ciprofloxacin Hcl	157	112
Diclofenac Sodium	Diclofenac Sodium	157	57
Metoclopramide Hcl	Metoclopramide Hcl	151	37
Fluticasone-Salmeterol	Fluticasone Propion/Salmeterol	145	41
Myrbetriq	Mirabegron	140	15
Amoxicillin-Clavulanate Potass	Amoxicillin/Potassium Clav	137	71
Autoshield Duo Pen Needle	Pen Needle,dual Safety,diabetc	136	30
Alendronate Sodium	Alendronate Sodium	135	35
Methocarbamol	Methocarbamol	132	45
Farxiga	Dapagliflozin Propanediol	127	27
Trulicity	Dulaglutide	127	14
Hydroxyzine Pamoate	Hydroxyzine Pamoate	126	35
Ceftriaxone	Ceftriaxone Sodium	124	81
Triamcinolone Acetonide	Triamcinolone Acetonide	124	65
Trintellix	Vortioxetine Hydrobromide	123	suppressed
Insulin Glargine-Yfgn	Insulin Glargine-Yfgn	120	53
Benztropine Mesylate	Benztropine Mesylate	117	21
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	114	25
Bupropion Xl	Bupropion Hcl	112	23
Acetaminophen-Codeine	Acetaminophen With Codeine	110	27
Humalog Kwikpen U-100	Insulin Lispro	110	33
Atenolol	Atenolol	107	22
Brimonidine Tartrate	Brimonidine Tartrate	103	23
Oxybutynin Chloride	Oxybutynin Chloride	103	23
Labetalol Hcl	Labetalol Hcl	102	15
Diltiazem Hcl	Diltiazem Hcl	100	21
Digoxin	Digoxin	99	24
Insulin Lispro	Insulin Lispro	99	37
Phenytoin Sodium Extended	Phenytoin Sodium Extended	98	suppressed
Lacosamide	Lacosamide	96	16
Timolol Maleate	Timolol Maleate	96	22
Clotrimazole-Betamethasone	Clotrimazole/Betamethasone Dip	95	43
Amitriptyline Hcl	Amitriptyline Hcl	93	20
Xifaxan	Rifaximin	92	suppressed
Ivermectin	Ivermectin	91	51
Ranolazine Er	Ranolazine	91	15
Ozempic	Semaglutide	90	16
Budesonide	Budesonide	87	26
Insulin Aspart Flexpen	Insulin Aspart	87	31
Fentanyl	Fentanyl	86	23
Ibuprofen	Ibuprofen	86	25
Amantadine	Amantadine Hcl	85	11
Nuedexta	Dextromethorphan Hbr/Quinidine	85	suppressed
Bupropion Hcl	Bupropion Hcl	84	11
Rivastigmine	Rivastigmine Tartrate	84	20
Lamotrigine	Lamotrigine	83	15
Permethrin	Permethrin	83	53
Gentamicin Sulfate	Gentamicin Sulfate	81	32
Megestrol Acetate	Megestrol Acetate	81	27
Terazosin Hcl	Terazosin Hcl	81	12
Albuterol Sulfate	Albuterol Sulfate	80	29
Brilinta	Ticagrelor	80	suppressed
Anastrozole	Anastrozole	79	12
Pioglitazone Hcl	Pioglitazone Hcl	79	18
Tobramycin	Tobramycin	79	53
Dicyclomine Hcl	Dicyclomine Hcl	78	19
Doxazosin Mesylate	Doxazosin Mesylate	76	19
Levemir Flexpen	Insulin Detemir	75	13
Nitroglycerin	Nitroglycerin	75	61
Metformin Hcl Er	Metformin Hcl	74	15
Ondansetron Odt	Ondansetron	74	51
Solifenacin Succinate	Solifenacin Succinate	74	13
Diltiazem 24hr Er (Cd)	Diltiazem Hcl	73	19
Meclizine Hcl	Meclizine Hcl	73	23
Sevelamer Carbonate	Sevelamer Carbonate	73	18
Valsartan	Valsartan	72	12
Methimazole	Methimazole	71	12
Valproic Acid	Valproic Acid (As Sodium Salt)	70	18
Doxycycline Monohydrate	Doxycycline Monohydrate	69	13
Lidocaine Hcl	Lidocaine Hcl/Pf	68	54
Diltiazem 24hr Er (La)	Diltiazem Hcl	67	suppressed
Diazepam	Diazepam	66	13
Humalog	Insulin Lispro	66	24
Lansoprazole	Lansoprazole	66	suppressed
Nystop	Nystatin	66	43
Fenofibrate	Fenofibrate,micronized	65	suppressed
Lithium Carbonate	Lithium Carbonate	64	suppressed
Breo Ellipta	Fluticasone/Vilanterol	62	17
Pramipexole Dihydrochloride	Pramipexole Di-Hcl	62	11
Prednisolone Acetate	Prednisolone Acetate	62	16
Sps	Sodium Polystyrene Sulfon/Sorb	62	19
Lidocaine	Lidocaine	60	16
Valproic Acid	Valproic Acid	60	suppressed
Fiasp Flextouch	Insulin Aspart (Niacinamide)	59	19
Doxepin Hcl	Doxepin Hcl	58	suppressed
Celecoxib	Celecoxib	57	12
Clozapine	Clozapine	56	suppressed
Incruse Ellipta	Umeclidinium Bromide	56	18
Methenamine Hippurate	Methenamine Hippurate	56	11
Morphine Sulfate Er	Morphine Sulfate	56	suppressed
Carbamazepine Er	Carbamazepine	55	suppressed
Retacrit	Epoetin Alfa-Epbx	55	13
Clobetasol Propionate	Clobetasol Propionate	54	20
Dapagliflozin	Dapagliflozin Propanediol	54	28
Morphine Sulfate	Morphine Sulfate	54	15
Tresiba Flextouch U-100	Insulin Degludec	54	13
Azelastine Hcl	Azelastine Hcl	53	11
Glucagon Emergency Kit	Glucagon	53	26
Cilostazol	Cilostazol	52	13
Esomeprazole Magnesium	Esomeprazole Magnesium	52	suppressed
Glimepiride	Glimepiride	52	15
Zolpidem Tartrate	Zolpidem Tartrate	51	13
Lovastatin	Lovastatin	50	suppressed
Naproxen	Naproxen	50	14
Dorzolamide-Timolol	Dorzolamide Hcl/Timolol Maleat	49	16
Enulose	Lactulose	49	15
Fluvoxamine Maleate	Fluvoxamine Maleate	49	suppressed
Estradiol	Estradiol	48	11
Folic Acid	Folic Acid	47	11
Bupropion Hcl Sr	Bupropion Hcl	46	suppressed
Enalapril Maleate	Enalapril Maleate	46	suppressed
Hydroxychloroquine Sulfate	Hydroxychloroquine Sulfate	46	suppressed
Medroxyprogesterone Acetate	Medroxyprogesterone Acetate	46	suppressed
Metronidazole	Metronidazole	46	30
Mupirocin	Mupirocin	46	24
Solu-Medrol	Methylprednisolone Sod Succ/Pf	46	39
Ziprasidone Hcl	Ziprasidone Hcl	46	suppressed
Phenytoin	Phenytoin	44	suppressed
Acetic Acid	Acetic Acid	43	suppressed
Carbidopa-Levodopa Er	Carbidopa/Levodopa	43	11
Memantine Hcl Er	Memantine Hcl	43	suppressed
Liothyronine Sodium	Liothyronine Sodium	42	suppressed
Novolog	Insulin Aspart	42	16
Tradjenta	Linagliptin	42	suppressed
Clonidine	Clonidine	41	suppressed
Fenofibrate	Fenofibrate Nanocrystallized	41	suppressed
Glycopyrrolate	Glycopyrrolate	41	suppressed
Anoro Ellipta	Umeclidinium Brm/Vilanterol Tr	40	suppressed
Hydromorphone Hcl	Hydromorphone Hcl	40	suppressed
Isosorbide Dinitrate	Isosorbide Dinitrate	40	11
Ventolin Hfa	Albuterol Sulfate	40	18
Amoxicillin	Amoxicillin	39	26
Namzaric	Memantine Hcl/Donepezil Hcl	39	suppressed
Cevimeline Hcl	Cevimeline Hcl	38	suppressed
Lubiprostone	Lubiprostone	38	suppressed
Oxycontin	Oxycodone Hcl	38	suppressed
Prazosin Hcl	Prazosin Hcl	38	suppressed
Rexulti	Brexpiprazole	38	suppressed
Torsemide	Torsemide	38	suppressed
Fenofibrate	Fenofibrate	36	suppressed
Ketorolac Tromethamine	Ketorolac Tromethamine	36	suppressed
Losartan-Hydrochlorothiazide	Losartan/Hydrochlorothiazide	36	suppressed
Promethazine Hcl	Promethazine Hcl	36	25
Venlafaxine Hcl	Venlafaxine Hcl	36	suppressed
Butalbital-Acetaminophen-Caffe	Butalb/Acetaminophen/Caffeine	35	suppressed
Alogliptin	Alogliptin Benzoate	34	suppressed
Colchicine	Colchicine	34	suppressed
Fluticasone-Vilanterol	Fluticasone/Vilanterol	34	18
Lisinopril-Hydrochlorothiazide	Lisinopril/Hydrochlorothiazide	34	suppressed
Methotrexate	Methotrexate Sodium	34	suppressed
Vitamin D2	Ergocalciferol (Vitamin D2)	34	suppressed
Nitrofurantoin	Nitrofurantoin Macrocrystal	33	21
Temazepam	Temazepam	33	suppressed
Ketoconazole	Ketoconazole	32	16
Vascepa	Icosapent Ethyl	32	suppressed
Chlorhexidine Gluconate	Chlorhexidine Gluconate	31	17
Cyclosporine	Cyclosporine	31	suppressed
Haloperidol	Haloperidol	31	13
Methadone Hcl	Methadone Hcl	31	suppressed
Premarin	Estrogens, Conjugated	31	suppressed
Rivastigmine	Rivastigmine	31	suppressed
Santyl	Collagenase Clostridium Hist.	31	21
Cefdinir	Cefdinir	30	22
Creon	Lipase/Protease/Amylase	30	suppressed
Levemir	Insulin Detemir	30	suppressed
Lumigan	Bimatoprost	30	suppressed
Methylprednisolone Acetate	Methylprednisolone Acetate	30	19
Mounjaro	Tirzepatide	30	suppressed
Gemfibrozil	Gemfibrozil	29	suppressed
Humulin R	Insulin Regular, Human	29	suppressed
Kapspargo Sprinkle	Metoprolol Succinate	29	12
Acyclovir	Acyclovir	28	21
Bisoprolol Fumarate	Bisoprolol Fumarate	27	suppressed
Movantik	Naloxegol Oxalate	27	suppressed
Silver Sulfadiazine	Silver Sulfadiazine	27	15
Breztri Aerosphere	Budesonide/Glycopyr/Formoterol	26	suppressed
Combigan	Brimonidine Tartrate/Timolol	26	suppressed
Fetzima	Levomilnacipran Hcl	26	suppressed
Klor-Con 10	Potassium Chloride	26	suppressed
Moxifloxacin	Moxifloxacin Hcl	26	16
Valacyclovir	Valacyclovir Hcl	26	14
Atrovent Hfa	Ipratropium Bromide	25	suppressed
Caplyta	Lumateperone Tosylate	25	suppressed
Cholestyramine	Cholestyramine (With Sugar)	25	suppressed
Invega Sustenna	Paliperidone Palmitate	25	suppressed
Zenpep	Lipase/Protease/Amylase	25	suppressed
Chlorthalidone	Chlorthalidone	24	suppressed
Linezolid	Linezolid	24	16
Nyamyc	Nystatin	24	16
Ramipril	Ramipril	24	suppressed
Toujeo Solostar	Insulin Glargine,hum.Rec.Anlog	24	suppressed
Vancomycin Hcl	Vancomycin Hcl	24	suppressed
Irbesartan	Irbesartan	23	suppressed
Verapamil Er	Verapamil Hcl	23	suppressed
Enoxaparin Sodium	Enoxaparin Sodium	22	12
Hydrocortisone	Hydrocortisone	22	12
Acetylcysteine	Acetylcysteine	21	suppressed
Aptiom	Eslicarbazepine Acetate	21	suppressed
Dutasteride	Dutasteride	21	suppressed
Haloperidol Lactate	Haloperidol Lactate	21	15
Methylprednisolone Sodium Succ	Methylprednisolone Sod Succ	21	19
Oseltamivir Phosphate	Oseltamivir Phosphate	21	17
Paxlovid	Nirmatrelvir/Ritonavir	21	20
Dextrose 5%-0.45% Nacl	Dextrose 5 %-0.45 % Sod Chlord	20	12
Donepezil Hcl Odt	Donepezil Hcl	20	suppressed
Galantamine Hbr	Galantamine Hbr	20	suppressed
Levobunolol Hcl	Levobunolol Hcl	20	suppressed
Phenobarbital	Phenobarbital	20	suppressed
Procrit	Epoetin Alfa	20	suppressed
Quetiapine Fumarate Er	Quetiapine Fumarate	20	suppressed
Spiriva Respimat	Tiotropium Bromide	20	suppressed
Alphagan P	Brimonidine Tartrate	19	suppressed
Ipratropium Bromide	Ipratropium Bromide	19	suppressed
Propafenone Hcl	Propafenone Hcl	19	suppressed
Ropinirole Er	Ropinirole Hcl	19	suppressed
Alfuzosin Hcl Er	Alfuzosin Hcl	18	suppressed
Dorzolamide Hcl	Dorzolamide Hcl	18	suppressed
Icosapent Ethyl	Icosapent Ethyl	18	suppressed
Nuplazid	Pimavanserin Tartrate	18	suppressed
Olanzapine Odt	Olanzapine	18	suppressed
Pentoxifylline	Pentoxifylline	18	suppressed
Roflumilast	Roflumilast	18	suppressed
Valsartan-Hydrochlorothiazide	Valsartan/Hydrochlorothiazide	18	suppressed
Dexamethasone	Dexamethasone	17	suppressed
Ramelteon	Ramelteon	17	suppressed
Spiriva Handihaler	Tiotropium Bromide	17	suppressed
Steglatro	Ertugliflozin Pidolate	17	suppressed
Biktarvy	Bictegrav/Emtricit/Tenofov Ala	16	suppressed
Dextroamphetamine-Amphet Er	Dextroamphetamine/Amphetamine	16	suppressed
Ingrezza	Valbenazine Tosylate	16	suppressed
Naloxone Hcl	Naloxone Hcl	16	13
Novolin N	Insulin Nph Human Isophane	16	suppressed
Prasugrel Hcl	Prasugrel Hcl	16	suppressed
Admelog Solostar	Insulin Lispro	15	suppressed
Bicalutamide	Bicalutamide	15	suppressed
Budesonide-Formoterol Fumarate	Budesonide/Formoterol Fumarate	15	suppressed
Buprenorphine Hcl	Buprenorphine Hcl	15	suppressed
Calcitriol	Calcitriol	15	suppressed
Carbamazepine	Carbamazepine	15	suppressed
Clindamycin Hcl	Clindamycin Hcl	15	11
Insulin Aspart	Insulin Aspart	15	suppressed
Loperamide	Loperamide Hcl	15	13
Naltrexone Hcl	Naltrexone Hcl	15	suppressed
Natroba	Spinosad	15	15
Nebivolol Hcl	Nebivolol Hcl	15	suppressed
Repatha Syringe	Evolocumab	15	suppressed
Sildenafil Citrate	Sildenafil Citrate	15	suppressed
Zonisamide	Zonisamide	15	suppressed
Heparin Sodium	Heparin Sodium,porcine	14	suppressed
Insulin Degludec Pen (U-100)	Insulin Degludec	14	suppressed
Mesalamine	Mesalamine	14	suppressed
Misoprostol	Misoprostol	14	suppressed
Nystatin-Triamcinolone	Nystatin/Triamcinolone Acet	14	suppressed
Paroxetine Cr	Paroxetine Hcl	14	suppressed
Simbrinza	Brinzolamide/Brimonidine Tart	14	suppressed
Ssd	Silver Sulfadiazine	14	suppressed
Symbicort	Budesonide/Formoterol Fumarate	14	suppressed
Tobramycin-Dexamethasone	Tobramycin/Dexamethasone	14	suppressed
Breyna	Budesonide/Formoterol Fumarate	13	suppressed
Brimonidine Tartrate-Timolol	Brimonidine Tartrate/Timolol	13	suppressed
Chlorpromazine Hcl	Chlorpromazine Hcl	13	suppressed
Dexamethasone Sodium Phosphate	Dexamethasone Sodium Phosphate	13	suppressed
Dextroamphetamine-Amphetamine	Dextroamphetamine/Amphetamine	13	suppressed
Lupron Depot	Leuprolide Acetate	13	suppressed
Pyridostigmine Bromide	Pyridostigmine Bromide	13	suppressed
Synthroid	Levothyroxine Sodium	13	suppressed
Zafirlukast	Zafirlukast	13	suppressed
Austedo	Deutetrabenazine	12	suppressed
Briviact	Brivaracetam	12	suppressed
Cefuroxime	Cefuroxime Axetil	12	suppressed
Combivent Respimat	Ipratropium/Albuterol Sulfate	12	suppressed
Dipyridamole	Dipyridamole	12	suppressed
Entacapone	Entacapone	12	suppressed
Glipizide Er	Glipizide	12	suppressed
Omega-3 Acid Ethyl Esters	Omega-3 Acid Ethyl Esters	12	suppressed
Triamterene-Hydrochlorothiazid	Triamterene/Hydrochlorothiazid	12	suppressed
Airsupra	Albuterol Sulfate/Budesonide	11	suppressed
Amlodipine Besylate-Benazepril	Amlodipine Besylate/Benazepril	11	suppressed
Benazepril Hcl	Benazepril Hcl	11	suppressed
Desvenlafaxine Succinate Er	Desvenlafaxine Succinate	11	suppressed
Emgality Syringe	Galcanezumab-Gnlm	11	suppressed
Galantamine Er	Galantamine Hbr	11	suppressed
Juluca	Dolutegravir/Rilpivirine	11	suppressed
Mayzent	Siponimod	11	suppressed
Mercaptopurine	Mercaptopurine	11	suppressed
Mycophenolate Mofetil	Mycophenolate Mofetil	11	suppressed
Novolog Mix 70-30 Flexpen	Insulin Aspart Prot/Insuln Asp	11	suppressed
Ondansetron Hcl	Ondansetron Hcl/Pf	11	suppressed
Rhopressa	Netarsudil Mesylate	11	suppressed
Saxagliptin Hcl	Saxagliptin Hcl	11	suppressed
Trifluoperazine Hcl	Trifluoperazine Hcl	11	suppressed
Wixela Inhub	Fluticasone Propion/Salmeterol	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	$2,000.00 · 1 records	Cipher Pharmaceuticals US LLC	Natroba, Spinosad	1	—
2024	—	—	—	—	Complete

Questions to ask

Questions you could discuss with your doctor

What role, if any, does Natroba play in your treatment recommendations for me?
How do you evaluate evidence when you have a financial relationship with Cipher Pharmaceuticals US LLC?
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

Methodology version: 2.1

Editorial template version: 2.4

Product contract version: 2.0

Schema version: 0.7.0

Page data build: 2026-08-12T23:34:59.370714+00:00

Publication policy: eligible for indexing after public-launch controls are enabled

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