Payment overview · 2025
General Payments
$86.24
5 reported records · 5 companies
Healthcare provider profile · identity verified
Heather Grigsby, APRN
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · MALVERN, AR · NPI 1881002756
Verified facts
What the public records show
CMS Open Payments records show Heather Grigsby, APRN received $86.24 in general payments during 2025 across 5 reported records.
Novo Nordisk Inc accounted for 23.5% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 5 associated products.
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 13 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 16 claims for Symbicort 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 68 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 | $20.24 | 23.5% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $19.27 | 22.3% | 1 | 2025 |
| Xeris Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $17.36 | 20.1% | 1 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $15.16 | 17.6% | 1 | 2025 |
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $14.21 | 16.5% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $86.24 | 5 |
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 |
|---|---|---|---|---|---|
| BREZTRI Normalized: breztri |
Drug | AstraZeneca Pharmaceuticals LP | $19.27 | 1 | 2025 |
Source payment records
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| GVOKE HYPOPEN Normalized: gvoke hypopen |
Drug | Xeris Pharmaceuticals, Inc. | $17.36 | 1 | 2025 |
Source payment records
|
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| CAPVAXIVE Normalized: capvaxive |
Biological | Merck Sharp & Dohme LLC | $15.16 | 1 | 2025 |
Source payment records
|
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| GARDASIL 9 Normalized: gardasil 9 |
Biological | Merck Sharp & Dohme LLC | $15.16 | 1 | 2025 |
Source payment records
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| REXULTI Normalized: rexulti |
Drug | Otsuka America Pharmaceutical, Inc. | $14.21 | 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.
| 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 |
13 | suppressed by CMS |
| 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 |
16 | 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 |
68 | 15 |
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 |
|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 368 | 80 |
| Gabapentin | Gabapentin | 344 | 63 |
| Lisinopril | Lisinopril | 299 | 71 |
| Atorvastatin Calcium | Atorvastatin Calcium | 297 | 76 |
| Omeprazole | Omeprazole | 263 | 57 |
| Amlodipine Besylate | Amlodipine Besylate | 253 | 64 |
| Losartan Potassium | Losartan Potassium | 220 | 53 |
| Levothyroxine Sodium | Levothyroxine Sodium | 201 | 43 |
| Lorazepam | Lorazepam | 170 | 35 |
| Potassium Chloride | Potassium Chloride | 169 | 40 |
| Pantoprazole Sodium | Pantoprazole Sodium | 163 | 38 |
| Hydrochlorothiazide | Hydrochlorothiazide | 154 | 41 |
| Tizanidine Hcl | Tizanidine Hcl | 146 | 30 |
| Alprazolam | Alprazolam | 145 | 24 |
| Tramadol Hcl | Tramadol Hcl | 145 | 48 |
| Clonazepam | Clonazepam | 142 | 21 |
| Metformin Hcl | Metformin Hcl | 137 | 40 |
| Cephalexin | Cephalexin | 136 | 92 |
| Meloxicam | Meloxicam | 133 | 33 |
| Sertraline Hcl | Sertraline Hcl | 133 | 26 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 131 | 39 |
| Metoprolol Succinate | Metoprolol Succinate | 129 | 27 |
| Metoprolol Tartrate | Metoprolol Tartrate | 129 | 43 |
| Trazodone Hcl | Trazodone Hcl | 124 | 23 |
| Famotidine | Famotidine | 122 | 34 |
| Duloxetine Hcl | Duloxetine Hcl | 108 | 18 |
| Furosemide | Furosemide | 103 | 31 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 97 | 27 |
| Citalopram Hbr | Citalopram Hydrobromide | 96 | 25 |
| Prednisone | Prednisone | 95 | 59 |
| Simvastatin | Simvastatin | 95 | 33 |
| Zolpidem Tartrate | Zolpidem Tartrate | 94 | 21 |
| Diclofenac Sodium | Diclofenac Sodium | 90 | 27 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 90 | 17 |
| Buspirone Hcl | Buspirone Hcl | 89 | 21 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 88 | 35 |
| Fluoxetine Hcl | Fluoxetine Hcl | 81 | 13 |
| Lovastatin | Lovastatin | 80 | 21 |
| Glipizide | Glipizide | 78 | 22 |
| Ozempic | Semaglutide | 68 | 15 |
| Clonidine Hcl | Clonidine Hcl | 67 | 21 |
| Montelukast Sodium | Montelukast Sodium | 66 | 15 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 66 | 11 |
| Pioglitazone Hcl | Pioglitazone Hcl | 62 | 14 |
| Pravastatin Sodium | Pravastatin Sodium | 59 | 16 |
| Alendronate Sodium | Alendronate Sodium | 58 | 13 |
| Escitalopram Oxalate | Escitalopram Oxalate | 57 | 12 |
| Eliquis | Apixaban | 56 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 56 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 55 | 23 |
| Pregabalin | Pregabalin | 55 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 55 | suppressed |
| Sucralfate | Sucralfate | 55 | 13 |
| Azithromycin | Azithromycin | 53 | 42 |
| Promethazine Hcl | Promethazine Hcl | 53 | 15 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 52 | suppressed |
| Methocarbamol | Methocarbamol | 51 | 13 |
| Ropinirole Hcl | Ropinirole Hcl | 50 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 46 | 12 |
| Amoxicillin | Amoxicillin | 44 | 37 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 44 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 44 | 30 |
| Tamsulosin Hcl | Tamsulosin Hcl | 44 | 13 |
| Carvedilol | Carvedilol | 43 | 14 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 43 | 15 |
| Diazepam | Diazepam | 42 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 41 | suppressed |
| Atenolol | Atenolol | 40 | 11 |
| Nystatin | Nystatin | 40 | 19 |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 38 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 36 | suppressed |
| Fluconazole | Fluconazole | 36 | 19 |
| Glipizide Er | Glipizide | 36 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 36 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 35 | 19 |
| Ibuprofen | Ibuprofen | 32 | 14 |
| Breo Ellipta | Fluticasone/Vilanterol | 31 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 31 | 11 |
| Ondansetron Odt | Ondansetron | 31 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 30 | suppressed |
| Memantine Hcl | Memantine Hcl | 29 | suppressed |
| Tradjenta | Linagliptin | 29 | suppressed |
| Allopurinol | Allopurinol | 28 | suppressed |
| Cefdinir | Cefdinir | 28 | 22 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 27 | 11 |
| Spironolactone | Spironolactone | 27 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 27 | suppressed |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 26 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 26 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 25 | suppressed |
| Mounjaro | Tirzepatide | 25 | suppressed |
| Primidone | Primidone | 25 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 25 | 20 |
| Aripiprazole | Aripiprazole | 24 | suppressed |
| Ezetimibe | Ezetimibe | 23 | suppressed |
| Levetiracetam | Levetiracetam | 23 | suppressed |
| Temazepam | Temazepam | 23 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 23 | 17 |
| Bupropion Xl | Bupropion Hcl | 22 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 21 | 14 |
| Xarelto | Rivaroxaban | 21 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 20 | suppressed |
| Jardiance | Empagliflozin | 20 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 19 | 13 |
| Metoclopramide Hcl | Metoclopramide Hcl | 19 | suppressed |
| Myrbetriq | Mirabegron | 19 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 19 | suppressed |
| Finasteride | Finasteride | 18 | suppressed |
| Gemfibrozil | Gemfibrozil | 18 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 18 | suppressed |
| Celecoxib | Celecoxib | 17 | suppressed |
| Chlorthalidone | Chlorthalidone | 17 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 17 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 16 | suppressed |
| Linzess | Linaclotide | 16 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 16 | suppressed |
| Synthroid | Levothyroxine Sodium | 16 | suppressed |
| Topiramate | Topiramate | 16 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 16 | 12 |
| Carisoprodol | Carisoprodol | 15 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 15 | suppressed |
| Terbinafine Hcl | Terbinafine Hcl | 15 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 15 | suppressed |
| Baclofen | Baclofen | 14 | suppressed |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 14 | suppressed |
| Bumetanide | Bumetanide | 14 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 14 | suppressed |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 14 | suppressed |
| Eszopiclone | Eszopiclone | 14 | suppressed |
| Mirtazapine | Mirtazapine | 14 | suppressed |
| Naproxen | Naproxen | 14 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 14 | suppressed |
| Risedronate Sodium | Risedronate Sodium | 14 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 14 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 13 | suppressed |
| Etodolac | Etodolac | 13 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 13 | suppressed |
| Mupirocin | Mupirocin | 13 | 11 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 13 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 12 | suppressed |
| Calcitriol | Calcitriol | 12 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 12 | suppressed |
| Clonidine | Clonidine | 11 | suppressed |
| Prazosin Hcl | Prazosin Hcl | 11 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 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 | $86.24 · 5 records | Novo Nordisk Inc | BREZTRI, CAPVAXIVE, GARDASIL 9, GVOKE HYPOPEN, REXULTI | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- 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