Payment overview · 2025
General Payments
$101.21
6 reported records · 6 companies
Healthcare provider profile · identity verified
Charles E Howard, M.D.
Allopathic & Osteopathic Physicians|Family Medicine · MORRILTON, AR · NPI 1740394261
Verified facts
What the public records show
CMS Open Payments records show Charles E Howard, M.D. received $101.21 in general payments during 2025 across 6 reported records.
Lilly USA, LLC accounted for 20.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 11 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Jardiance.
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 JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 20 claims for Jardiance 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.
PFIZER 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 ELIQUIS as an associated drug or biological on 87112 records involving 36032 distinct recipient NPIs. Public Medicare Part D data also shows 16 claims for Eliquis by this doctor in 2024.
PFIZER 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 PAXLOVID as an associated drug or biological on 24465 records involving 15715 distinct recipient NPIs. Public Medicare Part D data also shows 26 claims for Paxlovid 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 |
|---|---|---|---|---|---|
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $20.28 | 20.0% | 1 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $19.25 | 19.0% | 1 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $16.10 | 15.9% | 1 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $15.34 | 15.2% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $15.34 | 15.2% | 1 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $14.90 | 14.7% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $101.21 | 6 |
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 |
|---|---|---|---|---|---|
| JARDIANCE Normalized: jardiance |
Drug | Lilly USA, LLC | $20.28 | 1 | 2025 |
Source payment records
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| CAPVAXIVE Normalized: capvaxive |
Biological | Merck Sharp & Dohme LLC | $19.25 | 1 | 2025 |
Source payment records
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| GARDASIL 9 Normalized: gardasil 9 |
Biological | Merck Sharp & Dohme LLC | $19.25 | 1 | 2025 |
Source payment records
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| ROTATEQ Normalized: rotateq |
Biological | Merck Sharp & Dohme LLC | $19.25 | 1 | 2025 |
Source payment records
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| The Cologuard Plus Collection Kit Normalized: the cologuard plus collection kit |
Device | Exact Sciences Corporation | $16.10 | 1 | 2025 |
Source payment records
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| ABRYSVO Normalized: abrysvo |
Biological | PFIZER INC. | $15.34 | 1 | 2025 |
Source payment records
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| COMIRNATY Normalized: comirnaty |
Biological | PFIZER INC. | $15.34 | 1 | 2025 |
Source payment records
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| Kerendia Normalized: kerendia |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $15.34 | 1 | 2025 |
Source payment records
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| PREVNAR 20 Normalized: prevnar 20 |
Biological | PFIZER INC. | $15.34 | 1 | 2025 |
Source payment records
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $14.90 | 1 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $14.90 | 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 |
|---|---|---|---|---|---|---|
| JARDIANCE jardiance |
2025 | Jardiance | 2024 | 20 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 |
|---|---|---|---|---|---|---|
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 47708 supporting records · 23833 recipient NPIs · example record 1186464557 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
20 | 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 |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | ELIQUIS open payments reported associated product |
CMS Open Payments — General Payments 87112 supporting records · 36032 recipient NPIs · example record 1228794063 |
Eliquis · 2024 Exact normalized brand match · 1 Part D row |
16 | suppressed by CMS |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | PAXLOVID open payments reported associated product |
CMS Open Payments — General Payments 24465 supporting records · 15715 recipient NPIs · example record 1228794432 |
Paxlovid · 2024 Exact normalized brand match · 1 Part D row |
26 | 26 |
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 | 305 | 88 |
| Amlodipine Besylate | Amlodipine Besylate | 296 | 90 |
| Lisinopril | Lisinopril | 226 | 57 |
| Metformin Hcl | Metformin Hcl | 212 | 57 |
| Potassium Chloride | Potassium Chloride | 205 | 64 |
| Omeprazole | Omeprazole | 173 | 58 |
| Prednisone | Prednisone | 168 | 109 |
| Gabapentin | Gabapentin | 165 | 54 |
| Glipizide Er | Glipizide | 145 | 34 |
| Simvastatin | Simvastatin | 137 | 35 |
| Levothyroxine Sodium | Levothyroxine Sodium | 135 | 33 |
| Azithromycin | Azithromycin | 128 | 90 |
| Fluticasone Propionate | Fluticasone Propionate | 123 | 71 |
| Furosemide | Furosemide | 120 | 33 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 112 | 36 |
| Tramadol Hcl | Tramadol Hcl | 111 | 51 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 106 | 32 |
| Tamsulosin Hcl | Tamsulosin Hcl | 96 | 27 |
| Meloxicam | Meloxicam | 88 | 34 |
| Hydrochlorothiazide | Hydrochlorothiazide | 86 | 30 |
| Trazodone Hcl | Trazodone Hcl | 85 | 23 |
| Metoprolol Succinate | Metoprolol Succinate | 82 | 27 |
| Atenolol | Atenolol | 77 | 22 |
| Metoprolol Tartrate | Metoprolol Tartrate | 75 | 21 |
| Clonazepam | Clonazepam | 66 | 18 |
| Losartan Potassium | Losartan Potassium | 65 | 21 |
| Pantoprazole Sodium | Pantoprazole Sodium | 60 | 15 |
| Clonidine Hcl | Clonidine Hcl | 58 | 19 |
| Alprazolam | Alprazolam | 54 | suppressed |
| Cefdinir | Cefdinir | 50 | 39 |
| Doxycycline Hyclate | Doxycycline Hyclate | 49 | 39 |
| Escitalopram Oxalate | Escitalopram Oxalate | 48 | 12 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 46 | 17 |
| Clopidogrel | Clopidogrel Bisulfate | 45 | 15 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 44 | 17 |
| Januvia | Sitagliptin Phosphate | 43 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 42 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 40 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 40 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 39 | 28 |
| Allopurinol | Allopurinol | 38 | 14 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 38 | 21 |
| Duloxetine Hcl | Duloxetine Hcl | 37 | 11 |
| Fenofibrate | Fenofibrate | 37 | suppressed |
| Naproxen | Naproxen | 37 | 20 |
| Nifedipine Er | Nifedipine | 36 | 12 |
| Famotidine | Famotidine | 35 | suppressed |
| Glipizide | Glipizide | 35 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 35 | 12 |
| Quetiapine Fumarate | Quetiapine Fumarate | 35 | suppressed |
| Pregabalin | Pregabalin | 34 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 34 | 15 |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 32 | suppressed |
| Xarelto | Rivaroxaban | 32 | suppressed |
| Diazepam | Diazepam | 31 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 31 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 31 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 30 | suppressed |
| Methylprednisolone | Methylprednisolone | 30 | 29 |
| Carvedilol | Carvedilol | 29 | 14 |
| Ventolin Hfa | Albuterol Sulfate | 28 | 11 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 27 | suppressed |
| Fluconazole | Fluconazole | 27 | 17 |
| Buspirone Hcl | Buspirone Hcl | 26 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 26 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 26 | 26 |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 25 | suppressed |
| Trulicity | Dulaglutide | 25 | suppressed |
| Amoxicillin | Amoxicillin | 24 | 21 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 24 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 23 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 22 | 16 |
| Cephalexin | Cephalexin | 22 | 19 |
| Symbicort | Budesonide/Formoterol Fumarate | 22 | suppressed |
| Estradiol | Estradiol | 21 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 21 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 20 | suppressed |
| Jardiance | Empagliflozin | 20 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 20 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 20 | 12 |
| Mirtazapine | Mirtazapine | 19 | suppressed |
| Glimepiride | Glimepiride | 18 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 17 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 17 | 13 |
| Spiriva Respimat | Tiotropium Bromide | 17 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 17 | suppressed |
| Digoxin | Digoxin | 16 | suppressed |
| Eliquis | Apixaban | 16 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 16 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 16 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 16 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 15 | suppressed |
| Clindamycin Hcl | Clindamycin Hcl | 15 | 15 |
| Lorazepam | Lorazepam | 15 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 15 | suppressed |
| Temazepam | Temazepam | 15 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 14 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 14 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 14 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 14 | suppressed |
| Incruse Ellipta | Umeclidinium Bromide | 14 | suppressed |
| Lovastatin | Lovastatin | 14 | suppressed |
| Pen Needle | Pen Needle, Diabetic | 14 | suppressed |
| Spironolactone | Spironolactone | 14 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 14 | suppressed |
| Bumetanide | Bumetanide | 13 | suppressed |
| Bupropion Xl | Bupropion Hcl | 13 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 13 | suppressed |
| Gemfibrozil | Gemfibrozil | 13 | suppressed |
| Klor-Con M20 | Potassium Chloride | 13 | suppressed |
| Levetiracetam | Levetiracetam | 13 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 13 | suppressed |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 13 | suppressed |
| Acyclovir | Acyclovir | 12 | suppressed |
| Candesartan Cilexetil | Candesartan Cilexetil | 12 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 12 | suppressed |
| Colchicine | Colchicine | 12 | suppressed |
| Finasteride | Finasteride | 12 | suppressed |
| Prasugrel Hcl | Prasugrel Hcl | 12 | suppressed |
| Promethazine Hcl | Promethazine Hcl | 12 | suppressed |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 11 | suppressed |
| Sucralfate | Sucralfate | 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 | $101.21 · 6 records | Lilly USA, LLC | ABRYSVO, CAPVAXIVE, COMIRNATY, GARDASIL 9, JARDIANCE, Kerendia, Ozempic, PREVNAR 20, ROTATEQ, Rybelsus, The Cologuard Plus Collection Kit | 4 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Jardiance play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Lilly USA, 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 |
Full methodology · Questions & answers · Report a possible error