Payment overview · 2025
General Payments
$2,262.93
108 reported records · 19 companies
Healthcare provider profile · identity verified
Ammar Alrefai, M.D.
Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Psychiatry · MADISON, AL · NPI 1720044076
Verified facts
What the public records show
CMS Open Payments records show Ammar Alrefai, M.D. received $2,262.93 in general payments during 2025 across 108 reported records.
Alkermes, Inc. accounted for 17.8% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 21 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Auvelity, Caplyta, Lybalvi, Spravato, Trintellix, Vraylar.
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 VRAYLAR as an associated drug or biological on 377741 records involving 62704 distinct recipient NPIs. Public Medicare Part D data also shows 40 claims for Vraylar by this doctor in 2024.
Alkermes, 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 LYBALVI as an associated drug or biological on 93784 records involving 20135 distinct recipient NPIs. Public Medicare Part D data also shows 14 claims for Lybalvi by this doctor in 2024.
Axsome Therapeutics, 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 Auvelity as an associated drug or biological on 116023 records involving 35298 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Auvelity by this doctor in 2024.
ITI, Inc. (d/b/a Intra-Cellular Therapies, 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 CAPLYTA as an associated drug or biological on 211855 records involving 46143 distinct recipient NPIs. Public Medicare Part D data also shows 31 claims for Caplyta by this doctor in 2024.
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 Caplyta as an associated drug or biological on 11 records involving 9 distinct recipient NPIs. Public Medicare Part D data also shows 31 claims for Caplyta by this doctor in 2024.
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 SPRAVATO as an associated drug or biological on 43813 records involving 17025 distinct recipient NPIs. Public Medicare Part D data also shows 52 claims for Spravato by this doctor in 2024.
Takeda Pharmaceuticals U.S.A., 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 TRINTELLIX as an associated drug or biological on 37075 records involving 14402 distinct recipient NPIs. Public Medicare Part D data also shows 30 claims for Trintellix 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 13 claims for Austedo 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 |
|---|---|---|---|---|---|
| Alkermes, Inc. | Unresolved — no canonical attribution shown | $403.77 | 17.8% | 16 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $324.50 | 14.3% | 23 | 2025 |
| Neurocrine BioSciences, Inc. | Unresolved — no canonical attribution shown | $323.20 | 14.3% | 12 | 2025 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | Unresolved — no canonical attribution shown | $250.65 | 11.1% | 13 | 2025 |
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $150.37 | 6.6% | 7 | 2025 |
| Indivior Inc. | Unresolved — no canonical attribution shown | $128.89 | 5.7% | 4 | 2025 |
| Corium, LLC | Unresolved — no canonical attribution shown | $108.02 | 4.8% | 5 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $97.94 | 4.3% | 5 | 2025 |
| Teva Pharmaceuticals USA, Inc. | Unresolved — no canonical attribution shown | $85.09 | 3.8% | 4 | 2025 |
| Axsome Therapeutics, Inc. | Unresolved — no canonical attribution shown | $65.34 | 2.9% | 4 | 2025 |
| Janssen Pharmaceuticals, Inc | Unresolved — no canonical attribution shown | $58.54 | 2.6% | 3 | 2025 |
| E.R. Squibb & Sons, L.L.C. | Unresolved — no canonical attribution shown | $48.33 | 2.1% | 2 | 2025 |
| HARMONY BIOSCIENCES LLC | Unresolved — no canonical attribution shown | $44.14 | 1.9% | 1 | 2025 |
| Bausch Health US, LLC | Unresolved — no canonical attribution shown | $41.98 | 1.9% | 2 | 2025 |
| Almatica Pharma LLC | Unresolved — no canonical attribution shown | $38.53 | 1.7% | 2 | 2025 |
| Vanda Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $36.66 | 1.6% | 2 | 2025 |
| Braeburn Inc. | Unresolved — no canonical attribution shown | $23.81 | 1.1% | 1 | 2025 |
| Supernus Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $16.74 | 0.7% | 1 | 2025 |
| Collegium Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $16.43 | 0.7% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $2,262.93 | 108 |
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 |
|---|---|---|---|---|---|
| ARISTADA Normalized: aristada |
Drug | Alkermes, Inc. | $375.77 | 15 | 2025 |
Source payment records
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| LYBALVI Normalized: lybalvi |
Drug | Alkermes, Inc. | $375.77 | 15 | 2025 |
Source payment records
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| VRAYLAR Normalized: vraylar |
Drug | ABBVIE INC. | $324.50 | 23 | 2025 |
Source payment records
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| INGREZZA Normalized: ingrezza |
Drug | Neurocrine BioSciences, Inc. | $323.20 | 12 | 2025 |
Source payment records
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| CAPLYTA Normalized: caplyta |
Drug | ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $250.65 | 13 | 2025 |
Source payment records
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| REXULTI Normalized: rexulti |
Drug | Otsuka America Pharmaceutical, Inc. | $150.37 | 7 | 2025 |
Source payment records
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| SUBLOCADE Normalized: sublocade |
Drug | Indivior Inc. | $128.89 | 4 | 2025 |
Source payment records
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| Azstarys Normalized: azstarys |
Drug | Corium, LLC | $108.02 | 5 | 2025 |
Source payment records
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| TRINTELLIX Normalized: trintellix |
Drug | Takeda Pharmaceuticals U.S.A., Inc. | $97.94 | 5 | 2025 |
Source payment records
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| AUSTEDO XR Normalized: austedo xr |
Drug | Teva Pharmaceuticals USA, Inc. | $85.09 | 4 | 2025 |
Source payment records
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| Auvelity Normalized: auvelity |
Drug | Axsome Therapeutics, Inc. | $65.34 | 4 | 2025 |
Source payment records
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| SPRAVATO Normalized: spravato |
Drug | Janssen Pharmaceuticals, Inc | $58.54 | 3 | 2025 |
Source payment records
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| COBENFY Normalized: cobenfy |
Drug | E.R. Squibb & Sons, L.L.C. | $48.33 | 2 | 2025 |
Source payment records
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| WAKIX Normalized: wakix |
Drug | HARMONY BIOSCIENCES LLC | $44.14 | 1 | 2025 |
Source payment records
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| APLENZIN Normalized: aplenzin |
Drug | Bausch Health US, LLC | $41.98 | 2 | 2025 |
Source payment records
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| LOREEV XR Normalized: loreev xr |
Drug | Almatica Pharma LLC | $38.53 | 2 | 2025 |
Source payment records
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| FANAPT Normalized: fanapt |
Drug | Vanda Pharmaceuticals Inc. | $36.66 | 2 | 2025 |
Source payment records
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| VIVITROL Normalized: vivitrol |
Drug | Alkermes, Inc. | $28.00 | 1 | 2025 |
Source payment records
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| BRIXADI Normalized: brixadi |
Drug | Braeburn Inc. | $23.81 | 1 | 2025 |
Source payment records
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| Qelbree Normalized: qelbree |
Drug | Supernus Pharmaceuticals, Inc. | $16.74 | 1 | 2025 |
Source payment records
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| Jornay PM Normalized: jornay pm |
Drug | Collegium Pharmaceutical, Inc. | $16.43 | 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 |
|---|---|---|---|---|---|---|
| Auvelity auvelity |
2025 | Auvelity | 2024 | 11 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| CAPLYTA caplyta |
2025 | Caplyta | 2024 | 31 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| LYBALVI lybalvi |
2025 | Lybalvi | 2024 | 14 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| SPRAVATO spravato |
2025 | Spravato | 2024 | 52 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| TRINTELLIX trintellix |
2025 | Trintellix | 2024 | 30 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| VRAYLAR vraylar |
2025 | Vraylar | 2024 | 40 | 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 | VRAYLAR open payments reported associated product |
CMS Open Payments — General Payments 377741 supporting records · 62704 recipient NPIs · example record 1201352550 |
Vraylar · 2024 Exact normalized brand match · 1 Part D row |
40 | 14 |
| Alkermes, Inc. Exact reporting entity; no affiliate inference |
2025 | LYBALVI open payments reported associated product |
CMS Open Payments — General Payments 93784 supporting records · 20135 recipient NPIs · example record 1222428566 |
Lybalvi · 2024 Exact normalized brand match · 1 Part D row |
14 | suppressed by CMS |
| Axsome Therapeutics, Inc. Exact reporting entity; no affiliate inference |
2025 | Auvelity open payments reported associated product |
CMS Open Payments — General Payments 116023 supporting records · 35298 recipient NPIs · example record 1235293064 |
Auvelity · 2024 Exact normalized brand match · 1 Part D row |
11 | suppressed by CMS |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) Exact reporting entity; no affiliate inference |
2025 | CAPLYTA open payments reported associated product |
CMS Open Payments — General Payments 211855 supporting records · 46143 recipient NPIs · example record 1241243071 |
Caplyta · 2024 Exact normalized brand match · 1 Part D row |
31 | suppressed by CMS |
| Janssen Pharmaceuticals, Inc Exact reporting entity; no affiliate inference |
2025 | Caplyta open payments reported associated product |
CMS Open Payments — General Payments 11 supporting records · 9 recipient NPIs · example record 1174547314 |
Caplyta · 2024 Exact normalized brand match · 1 Part D row |
31 | suppressed by CMS |
| Janssen Pharmaceuticals, Inc Exact reporting entity; no affiliate inference |
2025 | SPRAVATO open payments reported associated product |
CMS Open Payments — General Payments 43813 supporting records · 17025 recipient NPIs · example record 1174223254 |
Spravato · 2024 Exact normalized brand match · 1 Part D row |
52 | suppressed by CMS |
| Takeda Pharmaceuticals U.S.A., Inc. Exact reporting entity; no affiliate inference |
2025 | TRINTELLIX open payments reported associated product |
CMS Open Payments — General Payments 37075 supporting records · 14402 recipient NPIs · example record 1223616266 |
Trintellix · 2024 Exact normalized brand match · 1 Part D row |
30 | 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 |
13 | 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 |
|---|---|---|---|
| Clonazepam | Clonazepam | 1002 | 152 |
| Alprazolam | Alprazolam | 603 | 99 |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 492 | 68 |
| Lorazepam | Lorazepam | 401 | 70 |
| Quetiapine Fumarate | Quetiapine Fumarate | 355 | 80 |
| Gabapentin | Gabapentin | 335 | 45 |
| Bupropion Xl | Bupropion Hcl | 320 | 70 |
| Trazodone Hcl | Trazodone Hcl | 255 | 77 |
| Dextroamphetamine-Amphet Er | Dextroamphetamine/Amphetamine | 254 | 35 |
| Diazepam | Diazepam | 252 | 39 |
| Zolpidem Tartrate | Zolpidem Tartrate | 250 | 48 |
| Fluoxetine Hcl | Fluoxetine Hcl | 220 | 48 |
| Buspirone Hcl | Buspirone Hcl | 218 | 50 |
| Duloxetine Hcl | Duloxetine Hcl | 198 | 52 |
| Lamotrigine | Lamotrigine | 157 | 44 |
| Mirtazapine | Mirtazapine | 146 | 37 |
| Escitalopram Oxalate | Escitalopram Oxalate | 136 | 32 |
| Sertraline Hcl | Sertraline Hcl | 128 | 39 |
| Buprenorphine-Naloxone | Buprenorphine Hcl/Naloxone Hcl | 118 | 17 |
| Temazepam | Temazepam | 118 | 20 |
| Aripiprazole | Aripiprazole | 111 | 41 |
| Risperidone | Risperidone | 106 | 33 |
| Olanzapine | Olanzapine | 98 | 20 |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 94 | 21 |
| Eszopiclone | Eszopiclone | 85 | 29 |
| Oxcarbazepine | Oxcarbazepine | 85 | 22 |
| Methylphenidate Hcl | Methylphenidate Hcl | 79 | 12 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 67 | 19 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 63 | 19 |
| Topiramate | Topiramate | 57 | 14 |
| Zolpidem Tartrate Er | Zolpidem Tartrate | 56 | suppressed |
| Ziprasidone Hcl | Ziprasidone Hcl | 55 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 52 | 14 |
| Spravato | Esketamine Hcl | 52 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 51 | 18 |
| Lisdexamfetamine Dimesylate | Lisdexamfetamine Dimesylate | 50 | 15 |
| Belsomra | Suvorexant | 48 | 11 |
| Prazosin Hcl | Prazosin Hcl | 46 | 12 |
| Vilazodone Hcl | Vilazodone Hcl | 46 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 43 | 11 |
| Doxepin Hcl | Doxepin Hcl | 40 | 11 |
| Vraylar | Cariprazine Hcl | 40 | 14 |
| Alprazolam Er | Alprazolam | 34 | suppressed |
| Haloperidol | Haloperidol | 34 | suppressed |
| Modafinil | Modafinil | 34 | 11 |
| Citalopram Hbr | Citalopram Hydrobromide | 33 | 11 |
| Divalproex Sodium Er | Divalproex Sodium | 33 | 11 |
| Methylphenidate Er | Methylphenidate Hcl | 33 | suppressed |
| Dextroamphetamine Sulfate | Dextroamphetamine Sulfate | 32 | suppressed |
| Lithium Carbonate | Lithium Carbonate | 32 | suppressed |
| Caplyta | Lumateperone Tosylate | 31 | suppressed |
| Guanfacine Hcl Er | Guanfacine Hcl | 31 | suppressed |
| Vyvanse | Lisdexamfetamine Dimesylate | 31 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 30 | suppressed |
| Trintellix | Vortioxetine Hydrobromide | 30 | suppressed |
| Benztropine Mesylate | Benztropine Mesylate | 27 | 13 |
| Clozapine | Clozapine | 27 | suppressed |
| Buprenorphine Hcl | Buprenorphine Hcl | 26 | suppressed |
| Carbamazepine | Carbamazepine | 24 | suppressed |
| Atomoxetine Hcl | Atomoxetine Hcl | 23 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 23 | suppressed |
| Nortriptyline Hcl | Nortriptyline Hcl | 23 | suppressed |
| Quetiapine Fumarate Er | Quetiapine Fumarate | 21 | suppressed |
| Lurasidone Hcl | Lurasidone Hcl | 20 | suppressed |
| Paliperidone Er | Paliperidone | 20 | suppressed |
| Liothyronine Sodium | Liothyronine Sodium | 19 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 19 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 18 | suppressed |
| Zaleplon | Zaleplon | 18 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 17 | suppressed |
| Clomipramine Hcl | Clomipramine Hcl | 16 | suppressed |
| Alprazolam Xr | Alprazolam | 15 | suppressed |
| Methylphenidate Hcl Er (Cd) | Methylphenidate Hcl | 15 | suppressed |
| Ondansetron Odt | Ondansetron | 15 | suppressed |
| Chlorpromazine Hcl | Chlorpromazine Hcl | 14 | suppressed |
| Lithium Carbonate Er | Lithium Carbonate | 14 | suppressed |
| Lybalvi | Olanzapine/Samidorphan Malate | 14 | suppressed |
| Austedo | Deutetrabenazine | 13 | suppressed |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 13 | suppressed |
| Alprazolam Odt | Alprazolam | 12 | suppressed |
| Bupropion Hcl | Bupropion Hcl | 12 | suppressed |
| Lacosamide | Lacosamide | 12 | suppressed |
| Quviviq | Daridorexant Hcl | 12 | suppressed |
| Auvelity | Dextromethorphan Hbr/Bupropion | 11 | suppressed |
| Latuda | Lurasidone Hcl | 11 | suppressed |
| Methylphenidate Er (La) | Methylphenidate 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 | $2,262.93 · 108 records | Alkermes, Inc. | APLENZIN, ARISTADA, AUSTEDO XR, Auvelity, Azstarys, BRIXADI, CAPLYTA, COBENFY, FANAPT, INGREZZA, Jornay PM, LOREEV XR, LYBALVI, Qelbree, REXULTI, SPRAVATO, SUBLOCADE, TRINTELLIX, VIVITROL, VRAYLAR, WAKIX | 8 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Auvelity 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