Payment overview · 2025
General Payments
$23.72
1 reported records · 1 companies
Healthcare provider profile · identity verified
Manirul Tamal, MD
Allopathic & Osteopathic Physicians|Internal Medicine · CHESTERFIELD, MO · NPI 1932638129
Verified facts
What the public records show
CMS Open Payments records show Manirul Tamal, MD received $23.72 in general payments during 2025 across 1 reported records.
Salix Pharmaceuticals, a division of Bausch Health US, LLC accounted for 100.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 1 associated product.
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 |
|---|---|---|---|---|---|
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | Unresolved — no canonical attribution shown | $23.72 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $23.72 | 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 |
|---|---|---|---|---|---|
| XIFAXAN Normalized: xifaxan |
Drug | Salix Pharmaceuticals, a division of Bausch Health US, LLC | $23.72 | 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 | 535 | 95 |
| Gabapentin | Gabapentin | 387 | 56 |
| Eliquis | Apixaban | 370 | 42 |
| Furosemide | Furosemide | 340 | 69 |
| Amlodipine Besylate | Amlodipine Besylate | 321 | 71 |
| Sertraline Hcl | Sertraline Hcl | 292 | 37 |
| Trazodone Hcl | Trazodone Hcl | 275 | 49 |
| Mirtazapine | Mirtazapine | 208 | 42 |
| Metformin Hcl | Metformin Hcl | 202 | 33 |
| Pantoprazole Sodium | Pantoprazole Sodium | 193 | 53 |
| Lisinopril | Lisinopril | 186 | 37 |
| Levothyroxine Sodium | Levothyroxine Sodium | 180 | 28 |
| Losartan Potassium | Losartan Potassium | 164 | 35 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 156 | 27 |
| Metoprolol Tartrate | Metoprolol Tartrate | 150 | 32 |
| Divalproex Sodium | Divalproex Sodium | 149 | 23 |
| Metoprolol Succinate | Metoprolol Succinate | 145 | 36 |
| Carvedilol | Carvedilol | 140 | 41 |
| Tamsulosin Hcl | Tamsulosin Hcl | 138 | 31 |
| Fluoxetine Hcl | Fluoxetine Hcl | 132 | 19 |
| Potassium Chloride | Potassium Chloride | 127 | 39 |
| Spironolactone | Spironolactone | 123 | 28 |
| Levetiracetam | Levetiracetam | 121 | 15 |
| Tramadol Hcl | Tramadol Hcl | 117 | 26 |
| Memantine Hcl | Memantine Hcl | 112 | 17 |
| Jardiance | Empagliflozin | 101 | 15 |
| Donepezil Hcl | Donepezil Hcl | 100 | 21 |
| Myrbetriq | Mirabegron | 99 | suppressed |
| Haloperidol | Haloperidol | 90 | 12 |
| Olanzapine | Olanzapine | 78 | 17 |
| Entresto | Sacubitril/Valsartan | 74 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 73 | 17 |
| Quetiapine Fumarate | Quetiapine Fumarate | 73 | 16 |
| Aripiprazole | Aripiprazole | 71 | 15 |
| Fluticasone Propionate | Fluticasone Propionate | 71 | 24 |
| Doxycycline Hyclate | Doxycycline Hyclate | 64 | 38 |
| Hydralazine Hcl | Hydralazine Hcl | 64 | 17 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 61 | 22 |
| Escitalopram Oxalate | Escitalopram Oxalate | 58 | suppressed |
| Prednisone | Prednisone | 58 | 26 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 57 | suppressed |
| Baclofen | Baclofen | 55 | 11 |
| Buspirone Hcl | Buspirone Hcl | 55 | 13 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 54 | 16 |
| Benztropine Mesylate | Benztropine Mesylate | 53 | suppressed |
| Famotidine | Famotidine | 51 | 11 |
| Duloxetine Hcl | Duloxetine Hcl | 50 | 12 |
| Finasteride | Finasteride | 49 | 11 |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 47 | 16 |
| Cefdinir | Cefdinir | 46 | 32 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 46 | suppressed |
| Ipratropium-Albuterol | Ipratropium/Albuterol Sulfate | 43 | 22 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 42 | 24 |
| Midodrine Hcl | Midodrine Hcl | 42 | 12 |
| Nifedipine Er | Nifedipine | 42 | suppressed |
| Omeprazole | Omeprazole | 41 | 14 |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 40 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 40 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 39 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 38 | suppressed |
| Lorazepam | Lorazepam | 38 | 12 |
| Alendronate Sodium | Alendronate Sodium | 36 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 36 | 25 |
| Allopurinol | Allopurinol | 35 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 34 | 22 |
| Topiramate | Topiramate | 34 | suppressed |
| Alprazolam | Alprazolam | 33 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 33 | suppressed |
| Nystatin | Nystatin | 33 | 18 |
| Latanoprost | Latanoprost | 32 | suppressed |
| Risperidone | Risperidone | 32 | suppressed |
| Celecoxib | Celecoxib | 31 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 31 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 31 | suppressed |
| Insulin Aspart Flexpen | Insulin Aspart | 30 | 15 |
| Ropinirole Hcl | Ropinirole Hcl | 30 | suppressed |
| Levofloxacin | Levofloxacin | 29 | 19 |
| Metformin Hcl Er | Metformin Hcl | 29 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 29 | suppressed |
| Brilinta | Ticagrelor | 28 | suppressed |
| Ondansetron Odt | Ondansetron | 28 | 15 |
| Torsemide | Torsemide | 28 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 27 | suppressed |
| Bupropion Xl | Bupropion Hcl | 27 | suppressed |
| Clozapine | Clozapine | 26 | suppressed |
| Nystop | Nystatin | 26 | 15 |
| Autoshield Duo Pen Needle | Pen Needle,dual Safety,diabetc | 25 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 25 | suppressed |
| Lacosamide | Lacosamide | 25 | suppressed |
| Methotrexate | Methotrexate Sodium | 25 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 24 | 14 |
| Folic Acid | Folic Acid | 24 | suppressed |
| Metolazone | Metolazone | 24 | suppressed |
| Namzaric | Memantine Hcl/Donepezil Hcl | 24 | suppressed |
| Trulicity | Dulaglutide | 24 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 23 | suppressed |
| Humalog Kwikpen U-100 | Insulin Lispro | 23 | suppressed |
| Santyl | Collagenase Clostridium Hist. | 23 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 22 | suppressed |
| Memantine Hcl Er | Memantine Hcl | 22 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 22 | suppressed |
| Amantadine | Amantadine Hcl | 21 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 21 | suppressed |
| Lovastatin | Lovastatin | 21 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 21 | suppressed |
| Digoxin | Digoxin | 19 | suppressed |
| Lamotrigine | Lamotrigine | 19 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 18 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 18 | suppressed |
| Abrysvo | Rsv Vacc, Pref A And Pref B/Pf | 17 | 17 |
| Farxiga | Dapagliflozin Propanediol | 17 | suppressed |
| Gemtesa | Vibegron | 17 | suppressed |
| Nitroglycerin | Nitroglycerin | 17 | 11 |
| Bupropion Hcl Sr | Bupropion Hcl | 16 | suppressed |
| Glycopyrrolate | Glycopyrrolate | 16 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 16 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 16 | suppressed |
| Vascepa | Icosapent Ethyl | 16 | suppressed |
| Velphoro | Sucroferric Oxyhydroxide | 16 | suppressed |
| Bethanechol Chloride | Bethanechol Chloride | 15 | suppressed |
| Combigan | Brimonidine Tartrate/Timolol | 15 | suppressed |
| Diltiazem Hcl | Diltiazem Hcl | 15 | suppressed |
| Ezetimibe | Ezetimibe | 15 | suppressed |
| Glipizide Er | Glipizide | 15 | suppressed |
| Ibuprofen | Ibuprofen | 15 | suppressed |
| Lactulose | Lactulose | 15 | suppressed |
| Levemir Flexpen | Insulin Detemir | 15 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 15 | suppressed |
| Cephalexin | Cephalexin | 14 | suppressed |
| Chlorpromazine Hcl | Chlorpromazine Hcl | 14 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 14 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 14 | suppressed |
| Brimonidine Tartrate | Brimonidine Tartrate | 13 | suppressed |
| Glimepiride | Glimepiride | 13 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 13 | suppressed |
| Methimazole | Methimazole | 13 | suppressed |
| Oseltamivir Phosphate | Oseltamivir Phosphate | 13 | 13 |
| Ozempic | Semaglutide | 13 | suppressed |
| Primidone | Primidone | 13 | suppressed |
| Sucralfate | Sucralfate | 13 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 13 | suppressed |
| Cinacalcet Hcl | Cinacalcet Hcl | 12 | suppressed |
| Desmopressin Acetate | Desmopressin Acetate | 12 | suppressed |
| Exemestane | Exemestane | 12 | suppressed |
| Hydrocortisone | Hydrocortisone | 12 | suppressed |
| Metronidazole | Metronidazole | 12 | suppressed |
| Novolin R Flexpen | Insulin Regular, Human | 12 | suppressed |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 12 | suppressed |
| Proair Respiclick | Albuterol Sulfate | 12 | suppressed |
| Rivastigmine | Rivastigmine | 12 | suppressed |
| Sevelamer Carbonate | Sevelamer Carbonate | 12 | suppressed |
| Simvastatin | Simvastatin | 12 | suppressed |
| Tacrolimus | Tacrolimus | 12 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 12 | suppressed |
| Zonisamide | Zonisamide | 12 | suppressed |
| Bumetanide | Bumetanide | 11 | suppressed |
| Fingolimod | Fingolimod Hcl | 11 | suppressed |
| Incruse Ellipta | Umeclidinium Bromide | 11 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 11 | suppressed |
| Mupirocin | Mupirocin | 11 | suppressed |
| Mycophenolate Mofetil | Mycophenolate Mofetil | 11 | suppressed |
| Pentoxifylline | Pentoxifylline | 11 | suppressed |
| Prazosin Hcl | Prazosin Hcl | 11 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 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 | $23.72 · 1 records | Salix Pharmaceuticals, a division of Bausch Health US, LLC | XIFAXAN | — | — |
| 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