Product Program year 2025 Source: CMS Open Payments

Tysabri

Biological Neurology

NDC 64406-008-01

Open in the dashboard

General payments

$13,928,020

101,610 payments

Research payments

$20,094,801

450 payments

Through program year 2025, $13,928,020 in general payments and $20,094,801 in research payments were reported against Tysabri (Neurology).

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

13 rows
Year Kind Amount Payments
2025 General $964,969 12,621
2024 General $785,071 11,794
2024 Research $46,436 3
2023 General $1,185,199 15,439
2023 Research $464,620 10
2022 General $2,543,794 18,502
2022 Research $1,333,439 37
2021 General $2,804,419 17,016
2021 Research $2,521,502 93
2020 General $2,750,233 8,128
2020 Research $7,317,448 110
2019 General $2,894,336 18,110
2019 Research $8,411,356 197

Breakdown

Who paid General payments · program years 2019–2025
  1. Biogen, Inc. $13,928,020 101,610 payments
Top recipients General payments · program year 2025
  1. Regina Berkovich Neurology · West Hollywood, CA $60,902 6% · 64 payments
  2. Heidi Crayton Neurology · Vienna, VA $32,333 3% · 61 payments
  3. Daniel Bandari Neurology · Newport Beach, CA $19,518 2% · 28 payments
  4. Angel Chinea Neurology · Guaynabo, PR $19,200 2% · 33 payments
  5. Kenneth Mankowski Neurology · Columbus, OH $18,805 2% · 9 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. Neurology Psychiatry & Neurology $758,030 81% · 1,885 practitioners
  2. Nurse Practitioner, Family Nurse Practitioner $60,239 6% · 447 practitioners
  3. Nurse Practitioner $26,228 3% · 203 practitioners
  4. Physician Assistant $20,847 2% · 243 practitioners
  5. Physician Assistant, Medical Physician Assistant $15,595 2% · 82 practitioners

The top 5 of 85 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. California $116,946 12% · 243 recipients
  2. Virginia $79,398 8% · 113 recipients
  3. Florida $65,175 7% · 265 recipients
  4. Texas $65,119 7% · 362 recipients
  5. Ohio $50,724 5% · 158 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

3,383

Prescriptions dispensed, refills included

Drug cost

$28,121,785

Paid at the pharmacy, in all

Prescribers

174

With 11 or more claims of it

Medicare Part D drugs matched to TYSABRI, 2024
Part D drug Name match Relative to the largest Prescribers Claims Drug cost
Tysabri Natalizumab Same name 174 3,383 $28,121,785

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
Amanda Greene Nurse Practitioner MS 168 $1,394,594 $128
Derek Smith Neurology CT 78 $688,952 $258
Danny Bartel Neurology TX 74 $625,686 $101
Mark Gudesblatt Neurology NY 67 $553,405 $41
Ruth Fredericks Neurology MS 67 $549,160 $13,705

"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

Given in the clinic

Part B · billing code
Medicare Part B billing codes matched to TYSABRI
Billing code Providers Services Paid by Medicare
Injection, natalizumab, 1 mg J2323 31 870,734 $15,576,531

Drugs given by a clinician are billed to Medicare Part B, not Part D. The product is tied to a billing code through the NDC on CMS's crosswalk, which was published for a later quarter than the payments, so a code that changed in between can be missed. Providers with fewer than 11 patients for the code are not published. Medicare's payment here is what it paid for the services, to the billing practice.

101,610 general · 450 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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