Payment overview · 2025
General Payments
$7,718.06
99 reported records · 11 companies
Healthcare provider profile · identity verified
Erik D Istre, MD
Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology · QUEENSBURY, NY · NPI 1912228669
Verified facts
What the public records show
CMS Open Payments records show Erik D Istre, MD received $7,718.06 in general payments during 2025 across 99 reported records.
ABBVIE INC. accounted for 88.9% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 15 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Nurtec Odt, Qulipta, Ubrelvy.
ABBVIE 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 QULIPTA as an associated drug or biological on 298617 records involving 58957 distinct recipient NPIs. Public Medicare Part D data also shows 41 claims for Qulipta by this doctor in 2024.
ABBVIE 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 UBRELVY as an associated drug or biological on 299803 records involving 61203 distinct recipient NPIs. Public Medicare Part D data also shows 97 claims for Ubrelvy by this doctor in 2024.
Axsome Therapeutics, 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 Auvelity as an associated drug or biological on 116023 records involving 35298 distinct recipient NPIs. Public Medicare Part D data also shows 31 claims for Auvelity by this doctor in 2024.
Novartis Pharmaceuticals Corporation reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported MAYZENT as an associated drug or biological on 26 records involving 26 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Mayzent 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 NURTEC ODT as an associated drug or biological on 217574 records involving 54025 distinct recipient NPIs. Public Medicare Part D data also shows 105 claims for Nurtec Odt 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 |
|---|---|---|---|---|---|
| ABBVIE INC. | Unresolved — no canonical attribution shown | $6,858.00 | 88.9% | 59 | 2025 |
| EMD Serono, Inc. | Unresolved — no canonical attribution shown | $210.48 | 2.7% | 2 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $184.42 | 2.4% | 23 | 2025 |
| Genentech USA, Inc. | Unresolved — no canonical attribution shown | $137.43 | 1.8% | 2 | 2025 |
| E.R. Squibb & Sons, L.L.C. | Unresolved — no canonical attribution shown | $121.84 | 1.6% | 1 | 2025 |
| Axsome Therapeutics, Inc. | Unresolved — no canonical attribution shown | $88.31 | 1.1% | 5 | 2025 |
| SCILEX PHARMACEUTICALS INC. | Unresolved — no canonical attribution shown | $34.73 | 0.5% | 2 | 2025 |
| Alexion Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $34.68 | 0.5% | 2 | 2025 |
| Impel Pharmaceuticals LLC | Unresolved — no canonical attribution shown | $18.22 | 0.2% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $16.18 | 0.2% | 1 | 2025 |
| TG Therapeutics, Inc. | Unresolved — no canonical attribution shown | $13.77 | 0.2% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $5,512.50 | 3 |
| Food and Beverage | $2,205.56 | 96 |
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 |
|---|---|---|---|---|---|
| UBRELVY Normalized: ubrelvy |
Drug | ABBVIE INC. | $6,797.79 | 55 | 2025 |
Source payment records
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| QULIPTA Normalized: qulipta |
Drug | ABBVIE INC. | $5,275.81 | 56 | 2025 |
Source payment records
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| Mavenclad Normalized: mavenclad |
Drug | EMD Serono, Inc. | $210.48 | 2 | 2025 |
Source payment records
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| KESIMPTA Normalized: kesimpta |
Drug | Novartis Pharmaceuticals Corporation | $184.42 | 23 | 2025 |
Source payment records
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| ZEPOSIA Normalized: zeposia |
Drug | E.R. Squibb & Sons, L.L.C. | $121.84 | 1 | 2025 |
Source payment records
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| Ocrevus Zunovo Normalized: ocrevus zunovo |
Biological | Genentech USA, Inc. | $114.87 | 1 | 2025 |
Source payment records
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| Sunosi Normalized: sunosi |
Drug | Axsome Therapeutics, Inc. | $88.31 | 5 | 2025 |
Source payment records
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| ZTLido Normalized: ztlido |
Drug | SCILEX PHARMACEUTICALS INC. | $34.73 | 2 | 2025 |
Source payment records
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| ULTOMIRIS Normalized: ultomiris |
Biological | Alexion Pharmaceuticals, Inc. | $34.68 | 2 | 2025 |
Source payment records
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| Ocrevus Normalized: ocrevus |
Biological | Genentech USA, Inc. | $22.56 | 1 | 2025 |
Source payment records
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| TRUDHESA Normalized: trudhesa |
Drug | Impel Pharmaceuticals LLC | $18.22 | 1 | 2025 |
Source payment records
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| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $16.18 | 1 | 2025 |
Source payment records
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| ZAVZPRET Normalized: zavzpret |
Drug | PFIZER INC. | $16.18 | 1 | 2025 |
Source payment records
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| BRIUMVI Normalized: briumvi |
Drug | TG Therapeutics, Inc. | $13.77 | 1 | 2025 |
Source payment records
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| VRAYLAR Normalized: vraylar |
Drug | ABBVIE INC. | $7.18 | 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 |
|---|---|---|---|---|---|---|
| NURTEC ODT nurtec odt |
2025 | Nurtec Odt | 2024 | 105 | exact normalized | Medicare Part D |
| QULIPTA qulipta |
2025 | Qulipta | 2024 | 41 | exact normalized | Medicare Part D |
| UBRELVY ubrelvy |
2025 | Ubrelvy | 2024 | 97 | 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 |
|---|---|---|---|---|---|---|
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | QULIPTA open payments reported associated product |
CMS Open Payments — General Payments 298617 supporting records · 58957 recipient NPIs · example record 1201352530 |
Qulipta · 2024 Exact normalized brand match · 1 Part D row |
41 | 15 |
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | UBRELVY open payments reported associated product |
CMS Open Payments — General Payments 299803 supporting records · 61203 recipient NPIs · example record 1201352530 |
Ubrelvy · 2024 Exact normalized brand match · 1 Part D row |
97 | 23 |
| Axsome Therapeutics, Inc. Exact reporting entity; no affiliate inference |
2025 | Auvelity open payments reported associated product |
CMS Open Payments — General Payments 116023 supporting records · 35298 recipient NPIs · example record 1235293064 |
Auvelity · 2024 Exact normalized brand match · 1 Part D row |
31 | suppressed by CMS |
| Novartis Pharmaceuticals Corporation Exact reporting entity; no affiliate inference |
2025 | MAYZENT open payments reported associated product |
CMS Open Payments — General Payments 26 supporting records · 26 recipient NPIs · example record 1200006493 |
Mayzent · 2024 Exact normalized brand match · 1 Part D row |
11 | suppressed by CMS |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | NURTEC ODT open payments reported associated product |
CMS Open Payments — General Payments 217574 supporting records · 54025 recipient NPIs · example record 1228794063 |
Nurtec Odt · 2024 Exact normalized brand match · 1 Part D row |
105 | 25 |
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 |
|---|---|---|---|
| Venlafaxine Hcl Er | Venlafaxine Hcl | 333 | 57 |
| Clonazepam | Clonazepam | 319 | 32 |
| Lamotrigine | Lamotrigine | 307 | 47 |
| Trazodone Hcl | Trazodone Hcl | 273 | 20 |
| Escitalopram Oxalate | Escitalopram Oxalate | 268 | 43 |
| Quetiapine Fumarate | Quetiapine Fumarate | 254 | 24 |
| Gabapentin | Gabapentin | 244 | 46 |
| Baclofen | Baclofen | 210 | 45 |
| Xcopri | Cenobamate | 200 | 17 |
| Methylphenidate Hcl | Methylphenidate Hcl | 156 | 32 |
| Topiramate | Topiramate | 155 | 21 |
| Lorazepam | Lorazepam | 149 | 25 |
| Olanzapine | Olanzapine | 144 | 29 |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 138 | 23 |
| Lithium Carbonate | Lithium Carbonate | 137 | 22 |
| Aripiprazole | Aripiprazole | 135 | 15 |
| Duloxetine Hcl | Duloxetine Hcl | 134 | 34 |
| Clonidine Hcl | Clonidine Hcl | 131 | 15 |
| Fluoxetine Hcl | Fluoxetine Hcl | 131 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 120 | 13 |
| Risperidone | Risperidone | 119 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 108 | 19 |
| Vilazodone Hcl | Vilazodone Hcl | 107 | 18 |
| Alprazolam | Alprazolam | 105 | 23 |
| Nurtec Odt | Rimegepant Sulfate | 105 | 25 |
| Dalfampridine Er | Dalfampridine | 102 | 24 |
| Haloperidol | Haloperidol | 98 | suppressed |
| Ubrelvy | Ubrogepant | 97 | 23 |
| Benztropine Mesylate | Benztropine Mesylate | 94 | suppressed |
| Briviact | Brivaracetam | 83 | suppressed |
| Bupropion Xl | Bupropion Hcl | 82 | 24 |
| Aptiom | Eslicarbazepine Acetate | 79 | suppressed |
| Carbamazepine Er | Carbamazepine | 78 | suppressed |
| Memantine Hcl | Memantine Hcl | 78 | 13 |
| Pregabalin | Pregabalin | 78 | 16 |
| Sertraline Hcl | Sertraline Hcl | 78 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 78 | 13 |
| Fluvoxamine Maleate | Fluvoxamine Maleate | 73 | suppressed |
| Levetiracetam | Levetiracetam | 71 | 15 |
| Mirtazapine | Mirtazapine | 64 | suppressed |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 62 | 21 |
| Rizatriptan | Rizatriptan Benzoate | 60 | 11 |
| Divalproex Sodium Er | Divalproex Sodium | 58 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 56 | 11 |
| Propranolol Hcl | Propranolol Hcl | 56 | 11 |
| Tizanidine Hcl | Tizanidine Hcl | 56 | 14 |
| Chlorpromazine Hcl | Chlorpromazine Hcl | 53 | suppressed |
| Modafinil | Modafinil | 50 | 20 |
| Zonisamide | Zonisamide | 49 | suppressed |
| Qulipta | Atogepant | 41 | 15 |
| Emgality Pen | Galcanezumab-Gnlm | 40 | suppressed |
| Naltrexone Hcl | Naltrexone Hcl | 39 | suppressed |
| Dextroamphetamine-Amphet Er | Dextroamphetamine/Amphetamine | 37 | suppressed |
| Diazepam | Diazepam | 37 | suppressed |
| Oxcarbazepine | Oxcarbazepine | 36 | suppressed |
| Ampyra | Dalfampridine | 33 | suppressed |
| Nortriptyline Hcl | Nortriptyline Hcl | 32 | suppressed |
| Auvelity | Dextromethorphan Hbr/Bupropion | 31 | suppressed |
| Nuedexta | Dextromethorphan Hbr/Quinidine | 31 | suppressed |
| Ziprasidone Hcl | Ziprasidone Hcl | 29 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 26 | suppressed |
| Trihexyphenidyl Hcl | Trihexyphenidyl Hcl | 26 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 25 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 25 | suppressed |
| Clozapine | Clozapine | 24 | suppressed |
| Eletriptan Hbr | Eletriptan Hydrobromide | 24 | suppressed |
| Perphenazine | Perphenazine | 24 | suppressed |
| Thioridazine Hcl | Thioridazine Hcl | 24 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 23 | suppressed |
| Aimovig Autoinjector | Erenumab-Aooe | 22 | suppressed |
| Ajovy Autoinjector | Fremanezumab-Vfrm | 21 | suppressed |
| Venlafaxine Hcl | Venlafaxine Hcl | 21 | suppressed |
| Famotidine | Famotidine | 20 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 20 | suppressed |
| Amantadine | Amantadine Hcl | 19 | suppressed |
| Gilenya | Fingolimod Hcl | 19 | suppressed |
| Glatopa | Glatiramer Acetate | 18 | suppressed |
| Prednisone | Prednisone | 18 | 12 |
| Teriflunomide | Teriflunomide | 18 | suppressed |
| Carbamazepine | Carbamazepine | 17 | suppressed |
| Quetiapine Fumarate Er | Quetiapine Fumarate | 17 | suppressed |
| Glatiramer Acetate | Glatiramer Acetate | 16 | suppressed |
| Naratriptan Hcl | Naratriptan Hcl | 16 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 16 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 15 | suppressed |
| Lacosamide | Lacosamide | 15 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 15 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 15 | suppressed |
| Tecfidera | Dimethyl Fumarate | 15 | suppressed |
| Copaxone | Glatiramer Acetate | 14 | suppressed |
| Fluvoxamine Maleate Er | Fluvoxamine Maleate | 14 | suppressed |
| Kesimpta Pen | Ofatumumab | 14 | suppressed |
| Fycompa | Perampanel | 13 | suppressed |
| Valproic Acid | Valproic Acid (As Sodium Salt) | 13 | suppressed |
| Abilify Maintena | Aripiprazole | 12 | suppressed |
| Guanfacine Hcl | Guanfacine Hcl | 12 | suppressed |
| Guanfacine Hcl Er | Guanfacine Hcl | 12 | suppressed |
| Loxapine | Loxapine Succinate | 12 | suppressed |
| Nuplazid | Pimavanserin Tartrate | 12 | suppressed |
| Vimpat | Lacosamide | 12 | suppressed |
| Zyprexa Zydis | Olanzapine | 12 | suppressed |
| Atenolol | Atenolol | 11 | suppressed |
| Clozapine Odt | Clozapine | 11 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 11 | suppressed |
| Mayzent | Siponimod | 11 | suppressed |
| Zonisade | Zonisamide | 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 | $7,718.06 · 99 records | ABBVIE INC. | BRIUMVI, KESIMPTA, Mavenclad, NURTEC ODT, Ocrevus, Ocrevus Zunovo, QULIPTA, Sunosi, TRUDHESA, UBRELVY, ULTOMIRIS, VRAYLAR, ZAVZPRET, ZEPOSIA, ZTLido | 5 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Nurtec Odt play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with ABBVIE INC.?
- 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