Payment overview · 2025
General Payments
$308.00
14 reported records · 8 companies
Healthcare provider profile · identity verified
Brandy Lynn Trepkowski, FNP-BC
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · SANDUSKY, MI · NPI 1841432176
Verified facts
What the public records show
CMS Open Payments records show Brandy Lynn Trepkowski, FNP-BC received $308.00 in general payments during 2025 across 14 reported records.
Neurocrine BioSciences, Inc. accounted for 33.6% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 9 associated products.
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 |
|---|---|---|---|---|---|
| Neurocrine BioSciences, Inc. | Unresolved — no canonical attribution shown | $103.44 | 33.6% | 4 | 2025 |
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $52.77 | 17.1% | 3 | 2025 |
| E.R. Squibb & Sons, L.L.C. | Unresolved — no canonical attribution shown | $50.02 | 16.2% | 2 | 2025 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | Unresolved — no canonical attribution shown | $23.91 | 7.8% | 1 | 2025 |
| Lundbeck LLC | Unresolved — no canonical attribution shown | $23.50 | 7.6% | 1 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $18.53 | 6.0% | 1 | 2025 |
| Axsome Therapeutics, Inc. | Unresolved — no canonical attribution shown | $18.27 | 5.9% | 1 | 2025 |
| Supernus Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $17.56 | 5.7% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $308.00 | 14 |
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 |
|---|---|---|---|---|---|
| INGREZZA Normalized: ingrezza |
Drug | Neurocrine BioSciences, Inc. | $103.44 | 4 | 2025 |
Source payment records
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| COBENFY Normalized: cobenfy |
Drug | E.R. Squibb & Sons, L.L.C. | $50.02 | 2 | 2025 |
Source payment records
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| REXULTI Normalized: rexulti |
Drug | Lundbeck LLC, Otsuka America Pharmaceutical, Inc. | $39.49 | 2 | 2025 |
Source payment records
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| ABILIFY ASIMTUFII Normalized: abilify asimtufii |
Drug | Otsuka America Pharmaceutical, Inc. | $36.78 | 2 | 2025 |
Source payment records
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| ABILIFY MAINTENA Normalized: abilify maintena |
Drug | Otsuka America Pharmaceutical, Inc. | $36.78 | 2 | 2025 |
Source payment records
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| CAPLYTA Normalized: caplyta |
Drug | ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $23.91 | 1 | 2025 |
Source payment records
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| VRAYLAR Normalized: vraylar |
Drug | ABBVIE INC. | $18.53 | 1 | 2025 |
Source payment records
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| Auvelity Normalized: auvelity |
Drug | Axsome Therapeutics, Inc. | $18.27 | 1 | 2025 |
Source payment records
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| Qelbree Normalized: qelbree |
Drug | Supernus Pharmaceuticals, Inc. | $17.56 | 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
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
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.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
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 | 190 | 57 |
| Lisinopril | Lisinopril | 141 | 42 |
| Omeprazole | Omeprazole | 136 | 41 |
| Amlodipine Besylate | Amlodipine Besylate | 121 | 31 |
| Levothyroxine Sodium | Levothyroxine Sodium | 121 | 35 |
| Losartan Potassium | Losartan Potassium | 106 | 27 |
| Metformin Hcl | Metformin Hcl | 83 | 19 |
| Metformin Hcl Er | Metformin Hcl | 79 | 21 |
| Simvastatin | Simvastatin | 73 | 18 |
| Hydrochlorothiazide | Hydrochlorothiazide | 65 | 24 |
| Meloxicam | Meloxicam | 64 | 20 |
| Montelukast Sodium | Montelukast Sodium | 62 | 12 |
| Potassium Chloride | Potassium Chloride | 59 | 11 |
| Sertraline Hcl | Sertraline Hcl | 53 | 13 |
| Metoprolol Tartrate | Metoprolol Tartrate | 45 | 16 |
| Trazodone Hcl | Trazodone Hcl | 45 | 16 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 42 | suppressed |
| Alprazolam | Alprazolam | 41 | 14 |
| Lovastatin | Lovastatin | 41 | 13 |
| Pravastatin Sodium | Pravastatin Sodium | 37 | 14 |
| Metoprolol Succinate | Metoprolol Succinate | 36 | 14 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 35 | 17 |
| Jardiance | Empagliflozin | 35 | suppressed |
| Ozempic | Semaglutide | 35 | suppressed |
| Prednisone | Prednisone | 35 | 30 |
| Tamsulosin Hcl | Tamsulosin Hcl | 34 | suppressed |
| Atenolol | Atenolol | 32 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 32 | 16 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 32 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 31 | 12 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 31 | 11 |
| Fluoxetine Hcl | Fluoxetine Hcl | 29 | suppressed |
| Bupropion Xl | Bupropion Hcl | 28 | suppressed |
| Gabapentin | Gabapentin | 26 | suppressed |
| Ibuprofen | Ibuprofen | 26 | suppressed |
| Furosemide | Furosemide | 24 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 22 | 11 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 21 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 20 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 18 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 18 | suppressed |
| Xarelto | Rivaroxaban | 18 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 17 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 17 | suppressed |
| Tresiba Flextouch U-200 | Insulin Degludec | 17 | suppressed |
| Famotidine | Famotidine | 16 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 15 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 15 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 15 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 14 | suppressed |
| Allopurinol | Allopurinol | 14 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 14 | suppressed |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 14 | suppressed |
| Rybelsus | Semaglutide | 14 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 13 | suppressed |
| Levetiracetam | Levetiracetam | 13 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 13 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 13 | suppressed |
| Aripiprazole | Aripiprazole | 12 | suppressed |
| Carvedilol | Carvedilol | 12 | suppressed |
| Ezetimibe | Ezetimibe | 12 | suppressed |
| Glimepiride | Glimepiride | 12 | suppressed |
| Olanzapine | Olanzapine | 12 | suppressed |
| Sucralfate | Sucralfate | 12 | suppressed |
| Trulicity | Dulaglutide | 12 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 11 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 11 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 11 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 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 | $308.00 · 14 records | Neurocrine BioSciences, Inc. | ABILIFY ASIMTUFII, ABILIFY MAINTENA, Auvelity, CAPLYTA, COBENFY, INGREZZA, Qelbree, REXULTI, VRAYLAR | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- 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