Payment overview · 2025
General Payments
$251.75
13 reported records · 8 companies
Healthcare provider profile · identity verified
Troy West Pulliam, PAC
Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant|Medical · VICTORIA, VA · NPI 1821068024
Verified facts
What the public records show
CMS Open Payments records show Troy West Pulliam, PAC received $251.75 in general payments during 2025 across 13 reported records.
Lilly USA, LLC accounted for 34.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 10 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Mounjaro.
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 100 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 20 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 40 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 33 claims for Ozempic 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 Rybelsus as an associated drug or biological on 161257 records involving 55409 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Rybelsus 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 111 claims for Eliquis 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 | $85.72 | 34.0% | 5 | 2025 |
| Baxter Healthcare | Unresolved — no canonical attribution shown | $37.12 | 14.7% | 1 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $29.09 | 11.6% | 2 | 2025 |
| Dexcom, Inc. | Unresolved — no canonical attribution shown | $24.10 | 9.6% | 1 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $23.02 | 9.1% | 1 | 2025 |
| Seqirus USA Inc | Unresolved — no canonical attribution shown | $21.53 | 8.6% | 1 | 2025 |
| Inspire Medical Systems, Inc. | Unresolved — no canonical attribution shown | $17.22 | 6.8% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $13.95 | 5.5% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $214.63 | 12 |
| Long term medical supply or device loan | $37.12 | 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 |
|---|---|---|---|---|---|
| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $85.72 | 5 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $59.83 | 4 | 2025 |
Source payment records
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| Hillrom - Spot Vision Screener Normalized: hillrom spot vision screener |
Device | Baxter Healthcare | $37.12 | 1 | 2025 |
Source payment records
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| Dexcom G6 Transmitter Normalized: dexcom g6 transmitter |
Medical Supply | Dexcom, Inc. | $24.10 | 1 | 2025 |
Source payment records
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| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $23.02 | 1 | 2025 |
Source payment records
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| Flucelvax Normalized: flucelvax |
Biological | Seqirus USA Inc | $21.53 | 1 | 2025 |
Source payment records
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| INSPIRE Normalized: inspire |
Device | Inspire Medical Systems, Inc. | $17.22 | 1 | 2025 |
Source payment records
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| ABRYSVO Normalized: abrysvo |
Biological | PFIZER INC. | $13.95 | 1 | 2025 |
Source payment records
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| COMIRNATY Normalized: comirnaty |
Biological | PFIZER INC. | $13.95 | 1 | 2025 |
Source payment records
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| PREVNAR 20 Normalized: prevnar 20 |
Biological | PFIZER INC. | $13.95 | 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 |
|---|---|---|---|---|---|---|
| MOUNJARO mounjaro |
2025 | Mounjaro | 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 |
100 | 12 |
| 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 |
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 |
40 | suppressed by CMS |
| 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 |
33 | suppressed by CMS |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Rybelsus open payments reported associated product |
CMS Open Payments — General Payments 161257 supporting records · 55409 recipient NPIs · example record 1188130076 |
Rybelsus · 2024 Exact normalized brand match · 1 Part D row |
11 | 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 |
111 | 20 |
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 | 517 | 138 |
| Amlodipine Besylate | Amlodipine Besylate | 471 | 128 |
| Omeprazole | Omeprazole | 332 | 92 |
| Lisinopril | Lisinopril | 329 | 87 |
| Metformin Hcl | Metformin Hcl | 265 | 76 |
| Pantoprazole Sodium | Pantoprazole Sodium | 262 | 68 |
| Metoprolol Succinate | Metoprolol Succinate | 246 | 55 |
| Gabapentin | Gabapentin | 225 | 52 |
| Losartan Potassium | Losartan Potassium | 203 | 53 |
| Levothyroxine Sodium | Levothyroxine Sodium | 198 | 49 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 193 | 44 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 181 | 50 |
| Tizanidine Hcl | Tizanidine Hcl | 176 | 57 |
| Pravastatin Sodium | Pravastatin Sodium | 171 | 42 |
| Furosemide | Furosemide | 167 | 51 |
| Montelukast Sodium | Montelukast Sodium | 161 | 34 |
| Allopurinol | Allopurinol | 160 | 36 |
| Hydrochlorothiazide | Hydrochlorothiazide | 151 | 47 |
| Tamsulosin Hcl | Tamsulosin Hcl | 144 | 33 |
| Alprazolam | Alprazolam | 131 | 21 |
| Metoprolol Tartrate | Metoprolol Tartrate | 115 | 34 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 114 | 23 |
| Eliquis | Apixaban | 111 | 20 |
| Simvastatin | Simvastatin | 101 | 22 |
| Jardiance | Empagliflozin | 100 | 12 |
| Tramadol Hcl | Tramadol Hcl | 100 | 20 |
| Escitalopram Oxalate | Escitalopram Oxalate | 96 | 16 |
| Famotidine | Famotidine | 96 | 26 |
| Citalopram Hbr | Citalopram Hydrobromide | 93 | 20 |
| Glipizide Er | Glipizide | 92 | 24 |
| Potassium Chloride | Potassium Chloride | 92 | 23 |
| Fluticasone Propionate | Fluticasone Propionate | 91 | 25 |
| Sertraline Hcl | Sertraline Hcl | 90 | 21 |
| Celecoxib | Celecoxib | 88 | 35 |
| Valsartan | Valsartan | 86 | 19 |
| Topiramate | Topiramate | 83 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 82 | 14 |
| Methocarbamol | Methocarbamol | 80 | 23 |
| Trazodone Hcl | Trazodone Hcl | 80 | 18 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 79 | 21 |
| Carvedilol | Carvedilol | 78 | 22 |
| Torsemide | Torsemide | 78 | 18 |
| Glipizide | Glipizide | 72 | 19 |
| Prednisone | Prednisone | 72 | 45 |
| Buspirone Hcl | Buspirone Hcl | 71 | 15 |
| Clonidine Hcl | Clonidine Hcl | 71 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 70 | 18 |
| Pregabalin | Pregabalin | 70 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 69 | 20 |
| Atenolol | Atenolol | 62 | 15 |
| Clonazepam | Clonazepam | 61 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 61 | 17 |
| Spironolactone | Spironolactone | 60 | 13 |
| Zolpidem Tartrate | Zolpidem Tartrate | 59 | 11 |
| Metformin Hcl Er | Metformin Hcl | 58 | 16 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 57 | suppressed |
| Lorazepam | Lorazepam | 55 | 12 |
| Alendronate Sodium | Alendronate Sodium | 50 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 50 | 11 |
| Donepezil Hcl | Donepezil Hcl | 48 | 14 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 48 | 12 |
| Colchicine | Colchicine | 47 | 15 |
| Warfarin Sodium | Warfarin Sodium | 47 | suppressed |
| Ezetimibe | Ezetimibe | 46 | 11 |
| Bupropion Xl | Bupropion Hcl | 45 | 11 |
| Doxazosin Mesylate | Doxazosin Mesylate | 45 | 12 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 44 | 13 |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 44 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 44 | suppressed |
| Mirtazapine | Mirtazapine | 43 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 42 | 31 |
| Fluconazole | Fluconazole | 41 | 20 |
| Trulicity | Dulaglutide | 40 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 39 | 12 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 39 | 11 |
| Fluoxetine Hcl | Fluoxetine Hcl | 37 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 37 | suppressed |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 36 | 32 |
| Finasteride | Finasteride | 36 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 36 | 11 |
| Xarelto | Rivaroxaban | 36 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 35 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 35 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 33 | suppressed |
| Ketoconazole | Ketoconazole | 33 | 11 |
| Ozempic | Semaglutide | 33 | suppressed |
| Cephalexin | Cephalexin | 32 | 28 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 32 | 19 |
| Dicyclomine Hcl | Dicyclomine Hcl | 29 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 29 | 26 |
| Levetiracetam | Levetiracetam | 29 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 28 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 28 | suppressed |
| Ondansetron Odt | Ondansetron | 26 | 14 |
| Nystatin | Nystatin | 25 | 13 |
| Aripiprazole | Aripiprazole | 24 | suppressed |
| Azithromycin | Azithromycin | 24 | 22 |
| Chlorthalidone | Chlorthalidone | 24 | suppressed |
| Ibuprofen | Ibuprofen | 23 | suppressed |
| Meloxicam | Meloxicam | 23 | suppressed |
| Novolog Flexpen | Insulin Aspart | 23 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 23 | suppressed |
| Amoxicillin | Amoxicillin | 22 | 17 |
| Doxepin Hcl | Doxepin Hcl | 22 | suppressed |
| Glimepiride | Glimepiride | 22 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 22 | suppressed |
| Tradjenta | Linagliptin | 22 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 22 | 11 |
| Ultra-Fine Short Pen Needle | Pen Needle, Diabetic | 22 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 22 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 21 | suppressed |
| Carbidopa-Levodopa Er | Carbidopa/Levodopa | 21 | suppressed |
| Entresto | Sacubitril/Valsartan | 21 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 21 | suppressed |
| Acyclovir | Acyclovir | 20 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 20 | suppressed |
| Humalog Kwikpen U-100 | Insulin Lispro | 20 | suppressed |
| Mounjaro | Tirzepatide | 20 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 19 | 18 |
| Baclofen | Baclofen | 19 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 19 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 19 | suppressed |
| Imipramine Hcl | Imipramine Hcl | 19 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 18 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 18 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 18 | suppressed |
| Ultra-Fine Nano Pen Needle | Pen Needle, Diabetic | 18 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 17 | suppressed |
| Januvia | Sitagliptin Phosphate | 17 | suppressed |
| Dexilant | Dexlansoprazole | 16 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 15 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 15 | suppressed |
| Fenofibrate | Fenofibrate | 15 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 15 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 15 | 15 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 15 | 14 |
| Synthroid | Levothyroxine Sodium | 15 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 15 | suppressed |
| Albuterol Sulfate | Albuterol Sulfate | 14 | suppressed |
| Incruse Ellipta | Umeclidinium Bromide | 14 | suppressed |
| Janumet Xr | Sitagliptin Phos/Metformin Hcl | 14 | suppressed |
| Lovastatin | Lovastatin | 14 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 13 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 13 | suppressed |
| Levemir Flexpen | Insulin Detemir | 13 | suppressed |
| Medroxyprogesterone Acetate | Medroxyprogesterone Acetate | 13 | suppressed |
| Norethindron-Ethinyl Estradiol | Norethindrone Ac/Eth Estradiol | 13 | suppressed |
| Spiriva Handihaler | Tiotropium Bromide | 13 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 12 | suppressed |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 12 | suppressed |
| Fiasp Flextouch | Insulin Aspart (Niacinamide) | 12 | suppressed |
| Nadolol | Nadolol | 12 | suppressed |
| Nortriptyline Hcl | Nortriptyline Hcl | 12 | suppressed |
| Calcitriol | Calcitriol | 11 | suppressed |
| Dapagliflozin | Dapagliflozin Propanediol | 11 | suppressed |
| Folic Acid | Folic Acid | 11 | suppressed |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 11 | suppressed |
| Nateglinide | Nateglinide | 11 | suppressed |
| Risperidone | Risperidone | 11 | suppressed |
| Rybelsus | Semaglutide | 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 | $251.75 · 13 records | Lilly USA, LLC | ABRYSVO, COMIRNATY, Cologuard Collection Kit, Dexcom G6 Transmitter, Flucelvax, Hillrom - Spot Vision Screener, INSPIRE, MOUNJARO, PREVNAR 20, ZEPBOUND | 6 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Mounjaro 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