Payment overview · 2025
General Payments
$221.19
11 reported records · 5 companies
Healthcare provider profile · identity verified
Ryan D. Rainer, M.D.
Allopathic & Osteopathic Physicians|Family Medicine · CENTRE, AL · NPI 1811916620
Verified facts
What the public records show
CMS Open Payments records show Ryan D. Rainer, M.D. received $221.19 in general payments during 2025 across 11 reported records.
Novo Nordisk Inc accounted for 38.9% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 8 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Farxiga, Mounjaro, Ozempic.
AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported FARXIGA as an associated drug or biological on 106133 records involving 42906 distinct recipient NPIs. Public Medicare Part D data also shows 78 claims for Farxiga by this doctor in 2024.
AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported SYMBICORT as an associated drug or biological on 71 records involving 51 distinct recipient NPIs. Public Medicare Part D data also shows 15 claims for Symbicort 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 JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 39 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 MOUNJARO as an associated drug or biological on 186719 records involving 66436 distinct recipient NPIs. Public Medicare Part D data also shows 121 claims for Mounjaro 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 38 claims for Trulicity by this doctor in 2024.
Novo Nordisk 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 Ozempic as an associated drug or biological on 261625 records involving 77793 distinct recipient NPIs. Public Medicare Part D data also shows 151 claims for Ozempic 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 |
|---|---|---|---|---|---|
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $86.06 | 38.9% | 4 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $64.13 | 29.0% | 3 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $33.23 | 15.0% | 2 | 2025 |
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $21.53 | 9.7% | 1 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $16.24 | 7.3% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $221.19 | 11 |
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 |
|---|---|---|---|---|---|
| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $86.06 | 4 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $48.62 | 2 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $33.23 | 2 | 2025 |
Source payment records
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| FARXIGA Normalized: farxiga |
Drug | AstraZeneca Pharmaceuticals LP | $24.52 | 1 | 2025 |
Source payment records
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $21.62 | 1 | 2025 |
Source payment records
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| WATCHMAN Access System Normalized: watchman access system |
Device | Boston Scientific Corporation | $21.53 | 1 | 2025 |
Source payment records
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| The Cologuard Plus Collection Kit Normalized: the cologuard plus collection kit |
Device | Exact Sciences Corporation | $16.24 | 1 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $16.23 | 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 |
|---|---|---|---|---|---|---|
| FARXIGA farxiga |
2025 | Farxiga | 2024 | 78 | exact normalized | Medicare Part D |
| MOUNJARO mounjaro |
2025 | Mounjaro | 2024 | 121 | exact normalized | Medicare Part D |
| Ozempic ozempic |
2025 | Ozempic | 2024 | 151 | 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 |
|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | FARXIGA open payments reported associated product |
CMS Open Payments — General Payments 106133 supporting records · 42906 recipient NPIs · example record 1206131362 |
Farxiga · 2024 Exact normalized brand match · 1 Part D row |
78 | 24 |
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | SYMBICORT open payments reported associated product |
CMS Open Payments — General Payments 71 supporting records · 51 recipient NPIs · example record 1206132610 |
Symbicort · 2024 Exact normalized brand match · 1 Part D row |
15 | suppressed by CMS |
| 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 |
39 | 13 |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | MOUNJARO open payments reported associated product |
CMS Open Payments — General Payments 186719 supporting records · 66436 recipient NPIs · example record 1186464455 |
Mounjaro · 2024 Exact normalized brand match · 1 Part D row |
121 | 33 |
| 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 |
38 | 12 |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Ozempic open payments reported associated product |
CMS Open Payments — General Payments 261625 supporting records · 77793 recipient NPIs · example record 1188130076 |
Ozempic · 2024 Exact normalized brand match · 1 Part D row |
151 | 31 |
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 |
|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 509 | 158 |
| Atorvastatin Calcium | Atorvastatin Calcium | 443 | 159 |
| Gabapentin | Gabapentin | 417 | 123 |
| Amlodipine Besylate | Amlodipine Besylate | 368 | 121 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 330 | 124 |
| Losartan Potassium | Losartan Potassium | 324 | 113 |
| Omeprazole | Omeprazole | 318 | 110 |
| Lisinopril | Lisinopril | 279 | 101 |
| Pantoprazole Sodium | Pantoprazole Sodium | 251 | 82 |
| Meloxicam | Meloxicam | 222 | 65 |
| Trazodone Hcl | Trazodone Hcl | 209 | 58 |
| Zolpidem Tartrate | Zolpidem Tartrate | 206 | 51 |
| Metoprolol Succinate | Metoprolol Succinate | 194 | 61 |
| Escitalopram Oxalate | Escitalopram Oxalate | 191 | 62 |
| Alprazolam | Alprazolam | 189 | 43 |
| Duloxetine Hcl | Duloxetine Hcl | 181 | 55 |
| Metformin Hcl Er | Metformin Hcl | 171 | 57 |
| Metformin Hcl | Metformin Hcl | 168 | 59 |
| Hydrochlorothiazide | Hydrochlorothiazide | 157 | 54 |
| Ozempic | Semaglutide | 151 | 31 |
| Montelukast Sodium | Montelukast Sodium | 126 | 45 |
| Furosemide | Furosemide | 124 | 52 |
| Tramadol Hcl | Tramadol Hcl | 124 | 49 |
| Mounjaro | Tirzepatide | 121 | 33 |
| Tizanidine Hcl | Tizanidine Hcl | 118 | 45 |
| Ezetimibe | Ezetimibe | 113 | 35 |
| Simvastatin | Simvastatin | 112 | 38 |
| Clonazepam | Clonazepam | 107 | 26 |
| Prednisone | Prednisone | 101 | 70 |
| Fluticasone Propionate | Fluticasone Propionate | 98 | 35 |
| Ropinirole Hcl | Ropinirole Hcl | 96 | 24 |
| Tamsulosin Hcl | Tamsulosin Hcl | 94 | 33 |
| Allopurinol | Allopurinol | 92 | 33 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 91 | 56 |
| Sertraline Hcl | Sertraline Hcl | 90 | 32 |
| Potassium Chloride | Potassium Chloride | 86 | 35 |
| Bupropion Xl | Bupropion Hcl | 85 | 27 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 82 | 26 |
| Temazepam | Temazepam | 80 | 17 |
| Buspirone Hcl | Buspirone Hcl | 78 | 25 |
| Farxiga | Dapagliflozin Propanediol | 78 | 24 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 78 | 23 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 76 | 38 |
| Celecoxib | Celecoxib | 74 | 26 |
| Fluoxetine Hcl | Fluoxetine Hcl | 72 | 19 |
| Lorazepam | Lorazepam | 72 | 23 |
| Pravastatin Sodium | Pravastatin Sodium | 72 | 23 |
| Pregabalin | Pregabalin | 72 | 36 |
| Famotidine | Famotidine | 69 | 24 |
| Cefdinir | Cefdinir | 68 | 64 |
| Eliquis | Apixaban | 63 | 23 |
| Carvedilol | Carvedilol | 62 | 21 |
| Azithromycin | Azithromycin | 57 | 51 |
| Clopidogrel | Clopidogrel Bisulfate | 52 | 16 |
| Valacyclovir | Valacyclovir Hcl | 52 | 28 |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 51 | 14 |
| Testosterone Cypionate | Testosterone Cypionate | 51 | 19 |
| Eszopiclone | Eszopiclone | 48 | 11 |
| Citalopram Hbr | Citalopram Hydrobromide | 47 | 15 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 47 | 17 |
| Fluconazole | Fluconazole | 47 | 30 |
| Glimepiride | Glimepiride | 47 | 15 |
| Amitriptyline Hcl | Amitriptyline Hcl | 46 | 20 |
| Paroxetine Hcl | Paroxetine Hcl | 45 | 15 |
| Synthroid | Levothyroxine Sodium | 45 | 15 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 45 | 17 |
| Pioglitazone Hcl | Pioglitazone Hcl | 43 | 13 |
| Spironolactone | Spironolactone | 43 | 17 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 41 | 13 |
| Diazepam | Diazepam | 39 | suppressed |
| Jardiance | Empagliflozin | 39 | 13 |
| Estradiol | Estradiol | 38 | 16 |
| Metoprolol Tartrate | Metoprolol Tartrate | 38 | 13 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 38 | 13 |
| Trulicity | Dulaglutide | 38 | 12 |
| Doxycycline Hyclate | Doxycycline Hyclate | 37 | 34 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 37 | 12 |
| Levofloxacin | Levofloxacin | 37 | 31 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 36 | 30 |
| Ondansetron Odt | Ondansetron | 36 | 19 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 35 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 35 | 32 |
| Topiramate | Topiramate | 35 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 34 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 34 | 11 |
| Hydralazine Hcl | Hydralazine Hcl | 32 | suppressed |
| Lamotrigine | Lamotrigine | 32 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 31 | 19 |
| Valsartan | Valsartan | 31 | suppressed |
| Irbesartan | Irbesartan | 29 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 29 | 15 |
| Quetiapine Fumarate | Quetiapine Fumarate | 29 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 28 | 11 |
| Fenofibrate | Fenofibrate,micronized | 28 | suppressed |
| Finasteride | Finasteride | 27 | suppressed |
| Dextroamphetamine-Amphet Er | Dextroamphetamine/Amphetamine | 26 | suppressed |
| Fenofibrate | Fenofibrate | 26 | suppressed |
| Lovastatin | Lovastatin | 26 | suppressed |
| Rizatriptan | Rizatriptan Benzoate | 26 | suppressed |
| Acyclovir | Acyclovir | 25 | suppressed |
| Mirtazapine | Mirtazapine | 25 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 25 | 17 |
| Sucralfate | Sucralfate | 25 | 13 |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 23 | suppressed |
| Atenolol | Atenolol | 23 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 23 | 12 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 22 | suppressed |
| Lansoprazole | Lansoprazole | 22 | suppressed |
| Aripiprazole | Aripiprazole | 21 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 21 | suppressed |
| Hydroxychloroquine Sulfate | Hydroxychloroquine Sulfate | 21 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 21 | suppressed |
| Linzess | Linaclotide | 20 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 20 | 20 |
| Ramipril | Ramipril | 20 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 20 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 19 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 19 | suppressed |
| Memantine Hcl | Memantine Hcl | 19 | suppressed |
| Colchicine | Colchicine | 18 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 18 | suppressed |
| Mupirocin | Mupirocin | 18 | 11 |
| Nortriptyline Hcl | Nortriptyline Hcl | 18 | suppressed |
| Nystatin | Nystatin | 18 | 13 |
| Propranolol Hcl Er | Propranolol Hcl | 17 | suppressed |
| Repatha Sureclick | Evolocumab | 16 | suppressed |
| Belsomra | Suvorexant | 15 | suppressed |
| Bumetanide | Bumetanide | 15 | suppressed |
| Ketoconazole | Ketoconazole | 15 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 15 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 15 | suppressed |
| Amoxicillin | Amoxicillin | 14 | 13 |
| Benazepril Hcl | Benazepril Hcl | 14 | suppressed |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 14 | suppressed |
| Creon | Lipase/Protease/Amylase | 14 | suppressed |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 14 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 14 | suppressed |
| Methotrexate | Methotrexate Sodium | 14 | suppressed |
| Premarin | Estrogens, Conjugated | 14 | suppressed |
| Telmisartan | Telmisartan | 14 | suppressed |
| Testosterone | Testosterone | 14 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 13 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 13 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 13 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 13 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 13 | suppressed |
| Tolterodine Tartrate Er | Tolterodine Tartrate | 13 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 13 | suppressed |
| Zaleplon | Zaleplon | 13 | suppressed |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 12 | suppressed |
| Liothyronine Sodium | Liothyronine Sodium | 12 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 12 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 12 | suppressed |
| Zolpidem Tartrate Er | Zolpidem Tartrate | 12 | suppressed |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 11 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 11 | suppressed |
| Diltiazem 24hr Er (Xr) | Diltiazem Hcl | 11 | suppressed |
| Glipizide | Glipizide | 11 | suppressed |
| Ibuprofen | Ibuprofen | 11 | suppressed |
| Methocarbamol | Methocarbamol | 11 | suppressed |
| Movantik | Naloxegol Oxalate | 11 | suppressed |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 11 | suppressed |
| Verapamil Er | Verapamil 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 | $221.19 · 11 records | Novo Nordisk Inc | AIRSUPRA, FARXIGA, MOUNJARO, Ozempic, Rybelsus, The Cologuard Plus Collection Kit, WATCHMAN Access System, ZEPBOUND | 6 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Farxiga play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with AstraZeneca Pharmaceuticals LP?
- 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