Product Program year 2025 Source: CMS Open Payments

Tolvaptan

Drug Nephrology

Open in the dashboard

General payments

$1,906,670

507 payments

Research payments

$2,735,739

67 payments

Through program year 2025, $1,906,670 in general payments and $2,735,739 in research payments were reported against Tolvaptan (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

12 rows
Year Kind Amount Payments
2025 General $10,313 14
2025 Research $936,170 18
2024 General $177,329 96
2024 Research $497,520 21
2023 General $427,182 162
2023 Research $1,079,270 19
2022 General $715,129 135
2022 Research $178,380 6
2021 General $554,878 91
2021 Research $650 2
2019 General $21,839 9
2019 Research $43,750 1

Breakdown

Who paid General payments · program years 2019–2025
  1. Otsuka Pharmaceutical Development & Commercialization, Inc. $1,884,763 418 payments
  2. Otsuka America Pharmaceutical, Inc. $21,908 89 payments
Top recipients General payments · program year 2025
  1. David Alpers Gastroenterology · Saint Louis, MO $2,600 25% · 2 payments
  2. William Balistreri Pediatric Gastroenterology · Cincinnati, OH $2,500 24% · 2 payments
  3. James Freston Gastroenterology · Farmington, CT $1,800 17% · 2 payments
  4. Christine Hunt Gastroenterology · Chapel Hill, NC $1,300 13% · 3 payments
  5. James Lewis Gastroenterology · Washington, DC $900 9% · 2 payments

The top 5 of 7 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. Gastroenterology Internal Medicine $6,600 64% · 4 practitioners
  2. Pediatric Gastroenterology Pediatrics $2,500 24% · 1 practitioner
  3. Pediatric Nephrology Pediatrics $1,213 12% · 2 practitioners

Each share is of general payments naming this product to practitioners with a specialty in 2025. Each practitioner is counted under their primary specialty.

Where the money went General payments · program year 2025
  1. Missouri $2,600 25% · 1 recipient
  2. Ohio $2,500 24% · 1 recipient
  3. Connecticut $1,800 17% · 1 recipient
  4. North Carolina $1,300 13% · 1 recipient
  5. District of Columbia $900 9% · 1 recipient

The top 5 of 7 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

7,963

Prescriptions dispensed, refills included

Drug cost

$94,389,956

Paid at the pharmacy, in all

Medicare Part D drugs matched to TOLVAPTAN, 2024
Part D drug Name match Relative to the largest Prescribers Claims Drug cost
Jynarque Tolvaptan Same name 264 3,992 $76,346,317
Tolvaptan Same name 205 3,666 $14,311,153
Samsca Tolvaptan Same name 25 305 $3,732,486

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 221 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
Dayan Gandhi Nephrology CA 97 $303,953 None on record
William Yang Internal Medicine CA 87 $239,805 None on record
Gaurav Verma Internal Medicine IN 85 $516,655 None on record
Nhan Luu Nephrology OH 81 $430,999 None on record
Michael Brucculeri Nephrology FL 68 $463,488 None on record

"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 221 with Patron
507 general · 67 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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