Product Program year 2025 Source: CMS Open Payments

Jynarque

Drug Nephrology

NDC 59148-088-28

Open in the dashboard

General payments

$5,672,760

62,328 payments

Research payments

$50,478

9 payments

Through program year 2025, $5,672,760 in general payments and $50,478 in research payments were reported against Jynarque (Nephrology).

No combined total These are different kinds of money, reported under different rules. A meal and a clinical trial grant do not add up to anything meaningful, so this site does not add them.

By program year

9 rows
Year Kind Amount Payments
2025 General $524,809 11,211
2024 General $910,632 13,287
2023 General $1,143,327 11,791
2022 General $885,066 10,725
2021 General $924,707 8,147
2021 Research $15,903 1
2020 General $1,282,633 7,117
2020 Research $34,575 8
2019 General $1,587 50

Breakdown

Who paid General payments · program years 2019–2025
  1. Otsuka America Pharmaceutical, Inc. $5,058,733 61,090 payments
  2. Otsuka Pharmaceutical Development & Commercialization, Inc. $614,027 1,238 payments
Top recipients General payments · program year 2025
  1. Jayakumar Vidhun Nephrology · Whittier, CA $44,416 8% · 65 payments
  2. Gerard Tepedino Nephrology · Manhasset, NY $31,392 6% · 57 payments
  3. Osama Amro Nephrology · Seattle, WA $25,140 5% · 25 payments
  4. Gregory Greenwood Nephrology · Winston-Salem, NC $22,699 4% · 23 payments
  5. Ashte Collins Nephrology · Washington, DC $21,398 4% · 21 payments

The top 5 of the 100 largest recipients; each share is of general payments naming this product in 2025.

The top 25 recipients, free in the app

Specialties paid General payments · program year 2025
  1. Nephrology Internal Medicine $429,747 84% · 2,639 practitioners
  2. Nurse Practitioner, Family Nurse Practitioner $21,851 4% · 376 practitioners
  3. Nurse Practitioner $16,330 3% · 257 practitioners
  4. Internal Medicine $12,528 2% · 250 practitioners
  5. Physician Assistant $7,781 2% · 119 practitioners

The top 5 of 68 specialties; each share is of general payments naming this product to practitioners with a specialty in 2025. Each practitioner is counted under their primary specialty.

The top 25 specialties, free in the app

Where the money went General payments · program year 2025
  1. Texas $83,553 16% · 415 recipients
  2. California $72,604 14% · 396 recipients
  3. New York $43,785 8% · 189 recipients
  4. North Carolina $37,388 7% · 150 recipients
  5. Washington $25,837 5% · 11 recipients

The top 5 of 51 states; each share is of general payments naming this product in 2025 where a state was reported.

The top 25 states, free in the app

Prescribed to Medicare patients

Part D · data year 2024

Part D claims

3,992

Prescriptions dispensed, refills included

Drug cost

$76,346,317

Paid at the pharmacy, in all

Prescribers

264

With 11 or more claims of it

Medicare Part D drugs matched to JYNARQUE, 2024
Part D drug Name match Relative to the largest Prescribers Claims Drug cost
Jynarque Tolvaptan Same name 264 3,992 $76,346,317

Matched to this product by name; CMS does not link its files to Open Payments, so a similar name can be a different strength, form or brand. Prescriber counts include only prescribers with 11 or more claims of the drug, because CMS publishes nothing below that. Part D covers drugs dispensed to Medicare beneficiaries at a pharmacy; it does not include drugs given in a clinic or hospital, or patients with other insurance.

Largest prescribers

First 5 of 100 by claims · 2024

Two separate records. Claims come from Medicare and related payments from Open Payments. They are shown in one row because they name the same product; they do not show that a payment affected a prescription.

The prescribers with the most Part D claims of this drug in 2024
Prescriber Specialty State Claims Drug cost Related payments
Francisco Pons Internal Medicine FL 50 $983,479 None on record
Wei Sun Nephrology NY 47 $897,520 $247
Nagaraja Sridhar Nephrology NY 39 $750,504 None on record
Arzu Hatipoglu Nephrology LA 37 $733,793 $50
Osama Amro Nephrology WA 37 $726,243 $24,767

"No profile" means the prescriber has no Open Payments record here; "None on record" means no payment naming this product in the payment year. Related payments are general payments, and one that names several products is split evenly, so an amount is payments related to the product, not money paid for it. The list is the prescribers with the most claims, up to 100 per drug.

See more in the dashboard: 25 with a free account, all 100 with Patron
62,328 general · 9 research

Every payment, record by record

Date, amount, who was paid and what for — filter by year and kind, or download as CSV, free, in files of 5,000 rows.

What you are looking at

Manufacturers name the drug, biological or device a payment relates to. CMS does not give products their own identifiers, so a product here is assembled from how it was reported — a brand may appear under more than one spelling, and this page covers one of them rather than the brand as a whole.

Provenance

Source: CMS Open Payments · through program year 2025

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

How to dispute or correct a record