Product Program year 2025 Source: CMS Open Payments

Lybalvi

Drug Cns

NDC 65757-654-42

Open in the dashboard

General payments

$24,949,839

89,508 payments

Research payments

$8,666,416

2,633 payments

Through program year 2025, $24,949,839 in general payments and $8,666,416 in research payments were reported against Lybalvi (Cns).

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

10 rows
Year Kind Amount Payments
2025 General $5,889,293 21,895
2025 Research $3,353,075 722
2024 General $4,877,809 16,955
2024 Research $1,384,586 520
2023 General $6,037,880 21,418
2023 Research $1,184,904 459
2022 General $6,623,787 23,926
2022 Research $2,030,156 770
2021 General $1,521,071 5,314
2021 Research $713,695 162

Breakdown

Who paid General payments · program years 2021–2025
  1. Alkermes, Inc. $24,949,839 89,508 payments
Top recipients General payments · program year 2025
  1. Tarrah Holliday Nurse Practitioner, Psychiatric/Mental Health · Atlantic, IA $116,409 2% · 167 payments
  2. Kevin Ware Psychiatry · Columbus, OH $114,537 2% · 146 payments
  3. Richard Jackson Psychiatry · Boca Raton, FL $113,860 2% · 101 payments
  4. George Kruse Psychiatry · Bronx, NY $112,900 2% · 134 payments
  5. Rebecca Roma Psychiatry · Pittsburgh, PA $111,582 2% · 166 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. Psychiatry Psychiatry & Neurology $4,293,924 73% · 1,859 practitioners
  2. Nurse Practitioner, Psychiatric/Mental Health Nurse Practitioner $1,013,990 17% · 4,038 practitioners
  3. Physician Assistant $124,830 2% · 514 practitioners
  4. Nurse Practitioner, Family Nurse Practitioner $100,126 2% · 790 practitioners
  5. Nurse Practitioner $70,169 1% · 294 practitioners

The top 5 of 94 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. New York $613,161 10% · 656 recipients
  2. Texas $599,617 10% · 747 recipients
  3. California $575,273 10% · 691 recipients
  4. Florida $299,314 5% · 845 recipients
  5. Ohio $288,944 5% · 337 recipients

The top 5 of 50 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

57,102

Prescriptions dispensed, refills included

Drug cost

$91,004,428

Paid at the pharmacy, in all

Prescribers

2,345

With 11 or more claims of it

Medicare Part D drugs matched to LYBALVI, 2024
Part D drug Name match Relative to the largest Prescribers Claims Drug cost
Lybalvi Olanzapine/Samidorphan Malate Same name 2,345 57,102 $91,004,428

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
Robert Morton Psychiatry OK 705 $1,045,681 $33,858
Laurel Owens Nurse Practitioner MO 409 $656,570 $13,205
Vadim Baram Psychiatry MO 406 $614,490 $38,549
Shahzad Hashmi Psychiatry GA 364 $587,708 $280
Tarrah Holliday Nurse Practitioner IA 356 $583,102 $110,149

"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
89,508 general · 2,633 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.

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