Payment overview · 2025
General Payments
$569.99
10 reported records · 3 companies
Healthcare provider profile · identity verified
Edwin Afena, PA
Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant · ALBANY, NY · NPI 1699412288
Verified facts
What the public records show
CMS Open Payments records show Edwin Afena, PA received $569.99 in general payments during 2025 across 10 reported records.
Teva Pharmaceuticals USA, Inc. accounted for 51.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 3 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Austedo Xr, Rexulti.
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 NUEDEXTA as an associated drug or biological on 393 records involving 285 distinct recipient NPIs. Public Medicare Part D data also shows 15 claims for Nuedexta 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 REXULTI as an associated drug or biological on 160756 records involving 46288 distinct recipient NPIs. Public Medicare Part D data also shows 28 claims for Rexulti 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 29 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 AUSTEDO XR as an associated drug or biological on 86263 records involving 23643 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Austedo Xr 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 | $290.40 | 51.0% | 5 | 2025 |
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $257.53 | 45.2% | 4 | 2025 |
| ACADIA Pharmaceuticals Inc | Unresolved — no canonical attribution shown | $22.06 | 3.9% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $458.50 | 9 |
| Education | $111.49 | 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 |
|---|---|---|---|---|---|
| REXULTI Normalized: rexulti |
Drug | Otsuka America Pharmaceutical, Inc. | $257.53 | 4 | 2025 |
Source payment records
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| AUSTEDO XR Normalized: austedo xr |
Drug | Teva Pharmaceuticals USA, Inc. | $178.91 | 4 | 2025 |
Source payment records
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| NUPLAZID Normalized: nuplazid |
Drug | ACADIA Pharmaceuticals Inc | $22.06 | 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 |
|---|---|---|---|---|---|---|
| AUSTEDO XR austedo xr |
2025 | Austedo Xr | 2024 | 12 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| REXULTI rexulti |
2025 | Rexulti | 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 |
|---|---|---|---|---|---|---|
| Otsuka America Pharmaceutical, Inc. Exact reporting entity; no affiliate inference |
2025 | NUEDEXTA open payments reported associated product |
CMS Open Payments — General Payments 393 supporting records · 285 recipient NPIs · example record 1227268901 |
Nuedexta · 2024 Exact normalized brand match · 1 Part D row |
15 | suppressed by CMS |
| Otsuka America Pharmaceutical, Inc. Exact reporting entity; no affiliate inference |
2025 | REXULTI open payments reported associated product |
CMS Open Payments — General Payments 160756 supporting records · 46288 recipient NPIs · example record 1227267708 |
Rexulti · 2024 Exact normalized brand match · 1 Part D row |
28 | 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 |
29 | suppressed by CMS |
| Teva Pharmaceuticals USA, Inc. Exact reporting entity; no affiliate inference |
2025 | AUSTEDO XR open payments reported associated product |
CMS Open Payments — General Payments 86263 supporting records · 23643 recipient NPIs · example record 1247244228 |
Austedo Xr · 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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 291 | 97 |
| Eliquis | Apixaban | 253 | 47 |
| Levothyroxine Sodium | Levothyroxine Sodium | 221 | 63 |
| Oxycodone Hcl | Oxycodone Hcl | 184 | 29 |
| Gabapentin | Gabapentin | 148 | 51 |
| Clonazepam | Clonazepam | 135 | 13 |
| Trazodone Hcl | Trazodone Hcl | 128 | 41 |
| Sertraline Hcl | Sertraline Hcl | 124 | 35 |
| Amlodipine Besylate | Amlodipine Besylate | 122 | 38 |
| Tamsulosin Hcl | Tamsulosin Hcl | 122 | 45 |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 99 | 18 |
| Losartan Potassium | Losartan Potassium | 97 | 33 |
| Metformin Hcl | Metformin Hcl | 96 | 29 |
| Sodium Chloride | 0.9 % Sodium Chloride | 91 | 67 |
| Divalproex Sodium | Divalproex Sodium | 90 | 25 |
| Tramadol Hcl | Tramadol Hcl | 90 | 31 |
| Lorazepam | Lorazepam | 86 | 21 |
| Lisinopril | Lisinopril | 84 | 31 |
| Jardiance | Empagliflozin | 83 | 17 |
| Metoprolol Succinate | Metoprolol Succinate | 83 | 34 |
| Mirtazapine | Mirtazapine | 83 | 25 |
| Quetiapine Fumarate | Quetiapine Fumarate | 82 | 31 |
| Risperidone | Risperidone | 78 | 17 |
| Olanzapine | Olanzapine | 77 | 24 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 73 | 14 |
| Pantoprazole Sodium | Pantoprazole Sodium | 72 | 33 |
| Furosemide | Furosemide | 61 | 26 |
| Fluoxetine Hcl | Fluoxetine Hcl | 60 | 18 |
| Levetiracetam | Levetiracetam | 60 | 19 |
| Buspirone Hcl | Buspirone Hcl | 59 | 21 |
| Donepezil Hcl | Donepezil Hcl | 59 | 16 |
| Metoprolol Tartrate | Metoprolol Tartrate | 57 | 23 |
| Entresto | Sacubitril/Valsartan | 48 | suppressed |
| Aripiprazole | Aripiprazole | 47 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 47 | 16 |
| Pregabalin | Pregabalin | 45 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 43 | 12 |
| Famotidine | Famotidine | 41 | 25 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 40 | 11 |
| Clopidogrel | Clopidogrel Bisulfate | 37 | 14 |
| Omeprazole | Omeprazole | 37 | 20 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 37 | 12 |
| Sucralfate | Sucralfate | 37 | 11 |
| Ondansetron Hcl | Ondansetron Hcl | 35 | 26 |
| Bupropion Xl | Bupropion Hcl | 34 | 11 |
| Paroxetine Hcl | Paroxetine Hcl | 34 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 33 | suppressed |
| Finasteride | Finasteride | 33 | 11 |
| Farxiga | Dapagliflozin Propanediol | 32 | suppressed |
| Januvia | Sitagliptin Phosphate | 32 | suppressed |
| Topiramate | Topiramate | 32 | suppressed |
| Carvedilol | Carvedilol | 31 | 15 |
| Latanoprost | Latanoprost | 31 | 12 |
| Clozapine | Clozapine | 30 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 30 | 11 |
| Austedo | Deutetrabenazine | 29 | suppressed |
| Lactulose | Lactulose | 29 | 18 |
| Nifedipine Er | Nifedipine | 29 | suppressed |
| Lamotrigine | Lamotrigine | 28 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 28 | suppressed |
| Rexulti | Brexpiprazole | 28 | suppressed |
| Santyl | Collagenase Clostridium Hist. | 26 | 11 |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 25 | 12 |
| Potassium Chloride | Potassium Chloride | 25 | 12 |
| Alprazolam | Alprazolam | 23 | suppressed |
| Diazepam | Diazepam | 22 | suppressed |
| Ezetimibe | Ezetimibe | 22 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 22 | suppressed |
| Insulin Glargine-Yfgn | Insulin Glargine-Yfgn | 22 | 14 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 22 | suppressed |
| Xarelto | Rivaroxaban | 22 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 21 | 19 |
| Humalog Kwikpen U-100 | Insulin Lispro | 21 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 21 | suppressed |
| Lacosamide | Lacosamide | 21 | suppressed |
| Megestrol Acetate | Megestrol Acetate | 21 | suppressed |
| Sevelamer Carbonate | Sevelamer Carbonate | 21 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 20 | 11 |
| Pentoxifylline | Pentoxifylline | 20 | suppressed |
| Baclofen | Baclofen | 19 | suppressed |
| Tradjenta | Linagliptin | 19 | suppressed |
| Fiasp Flextouch | Insulin Aspart (Niacinamide) | 18 | suppressed |
| Lokelma | Sodium Zirconium Cyclosilicate | 18 | suppressed |
| Metolazone | Metolazone | 18 | suppressed |
| Spironolactone | Spironolactone | 18 | suppressed |
| Ipratropium-Albuterol | Ipratropium/Albuterol Sulfate | 17 | 13 |
| Meloxicam | Meloxicam | 17 | suppressed |
| Methadone Hcl | Methadone Hcl | 17 | suppressed |
| Bumetanide | Bumetanide | 16 | suppressed |
| Prednisone | Prednisone | 16 | suppressed |
| Rivastigmine | Rivastigmine Tartrate | 16 | suppressed |
| Amantadine | Amantadine Hcl | 15 | suppressed |
| Celecoxib | Celecoxib | 15 | suppressed |
| Hydrocortisone | Hydrocortisone | 15 | suppressed |
| Nuedexta | Dextromethorphan Hbr/Quinidine | 15 | suppressed |
| Atenolol | Atenolol | 14 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 14 | suppressed |
| Colchicine | Colchicine | 14 | suppressed |
| Enoxaparin Sodium | Enoxaparin Sodium | 14 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 14 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 14 | suppressed |
| Oxcarbazepine | Oxcarbazepine | 14 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 14 | 13 |
| Torsemide | Torsemide | 14 | suppressed |
| Admelog Solostar | Insulin Lispro | 13 | suppressed |
| Benztropine Mesylate | Benztropine Mesylate | 13 | suppressed |
| Chlorpromazine Hcl | Chlorpromazine Hcl | 13 | suppressed |
| Dorzolamide-Timolol | Dorzolamide Hcl/Timolol Maleat | 13 | suppressed |
| Gemtesa | Vibegron | 13 | suppressed |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 13 | suppressed |
| Morphine Sulfate | Morphine Sulfate | 13 | suppressed |
| Ranolazine Er | Ranolazine | 13 | suppressed |
| Simvastatin | Simvastatin | 13 | suppressed |
| Austedo Xr | Deutetrabenazine | 12 | suppressed |
| Dextrose In Water | Dextrose 5 % In Water | 12 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 12 | suppressed |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 12 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 12 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 11 | suppressed |
| Ceftriaxone | Ceftriaxone Sodium | 11 | suppressed |
| Cephalexin | Cephalexin | 11 | 11 |
| Fluconazole | Fluconazole | 11 | suppressed |
| Insulin Aspart Flexpen | Insulin Aspart | 11 | suppressed |
| Nitroglycerin | Nitroglycerin | 11 | suppressed |
| Ozempic | Semaglutide | 11 | suppressed |
| Timolol Maleate | Timolol Maleate | 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 | $569.99 · 10 records | Teva Pharmaceuticals USA, Inc. | AUSTEDO XR, NUPLAZID, REXULTI | 4 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Austedo Xr play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Otsuka America Pharmaceutical, 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