Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

Covered recipient · General Payments record

RALPH J LAGUARDIA

Allopathic & Osteopathic Physicians Internal Medicine

NPI: 1902805781
CMS profile: 130931
Location: MANSFIELD CENTER, CT

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

General Payments · PY2019–2025

CMS publication 2026-06-30

Latest program year · PY2025

$6,208.33

339 records · 0 disputed

“Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.”
— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated

This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. Nothing is estimated, weighted, or combined across categories.
General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
Featured-page threshold (a presentation gate, not a judgment): (records>=3 OR total>=100) AND records>=2 AND NPI identity (all years).
Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$6,160.85	335
Education	$47.48	4

By paying entity

PY2025 · sorted by reported total

Paying entity	Amount	Records
ABBVIE INC.	$1,105.02	75
Acerta Pharma LLC	$659.75	28
Novo Nordisk AS	$442.23	20
Vanda Pharmaceuticals Inc.	$438.22	23
Ardelyx, Inc.	$421.01	21
GlaxoSmithKline, LLC.	$379.11	20
PFIZER INC.	$359.23	24
Bayer HealthCare Pharmaceuticals Inc.	$317.62	17
Lundbeck LLC	$289.08	14
Takeda Pharmaceuticals U.S.A., Inc.	$260.79	14
ITI, Inc.	$221.26	13
Merck Sharp & Dohme Corporation	$200.97	10
Otsuka America Pharmaceutical, Inc.	$187.90	10
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$149.01	10
Phathom Pharmaceuticals, Inc.	$109.87	6
Lilly USA, LLC	$89.96	5
Paratek Pharmaceuticals, Inc.	$88.78	5
Exact Sciences Corporation	$66.50	3
Boehringer Ingelheim Pharmaceuticals, Inc.	$58.15	3
Astellas Pharma US Inc	$56.33	2
Collegium Pharmaceutical, Inc.	$50.82	3
Axsome Therapeutics, Inc.	$45.80	2
Azurity Pharmaceuticals, Inc.	$29.89	2
Actelion Pharmaceuticals US, Inc.	$23.87	1
Sumitomo Pharma America, Inc.	$22.87	1
NOVARTIS PHARMACEUTICALS CORPORATION	$22.21	1
Teva Pharmaceuticals USA, Inc.	$21.96	1
Corcept Therapeutics	$20.58	1
Verona Pharma, Inc.	$20.13	1
TONIX PHARMACEUTICALS, INC.	$18.47	1
Xeris Pharmaceuticals, Inc.	$16.67	1
Acella Pharmaceuticals, LLC	$14.27	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2019	$2,220.13	210
PY2020	$2,354.45	182
PY2021	$4,840.52	307
PY2022	$5,019.17	306
PY2023	$5,753.71	332
PY2024	$6,585.29	356
PY2025	$6,208.33	339

Payment records · PY2025 (339)

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

Program year 2025 2019 2020 2021 2022 2023 2024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
Lilly USA, LLC	$13.57	12/22/2025	Food and Beverage	No dispute reported	06/30/2026	1186871195	CMS
Otsuka America Pharmaceutical, Inc.	$22.06	12/22/2025	Food and Beverage	No dispute reported	06/30/2026	1227385314	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$18.09	12/21/2025	Food and Beverage	No dispute reported	06/30/2026	1231985503	CMS
ABBVIE INC.	$8.24	12/18/2025	Food and Beverage	No dispute reported	06/30/2026	1202256576	CMS
GlaxoSmithKline, LLC.	$28.01	12/18/2025	Food and Beverage	No dispute reported	06/30/2026	1190410299	CMS
Novo Nordisk Inc	$20.57	12/18/2025	Food and Beverage	No dispute reported	06/30/2026	1189056461	CMS
ABBVIE INC.	$20.55	12/17/2025	Food and Beverage	No dispute reported	06/30/2026	1202256574	CMS
GlaxoSmithKline, LLC.	$4.53	12/16/2025	Food and Beverage	No dispute reported	06/30/2026	1190492103	CMS
GlaxoSmithKline, LLC.	$20.75	12/16/2025	Food and Beverage	No dispute reported	06/30/2026	1191253332	CMS
Novo Nordisk Inc	$125.00	12/16/2025	Food and Beverage	No dispute reported	06/30/2026	1188247939	CMS
ABBVIE INC.	$7.53	12/15/2025	Food and Beverage	No dispute reported	06/30/2026	1202256572	CMS
Ardelyx, Inc.	$22.35	12/15/2025	Food and Beverage	No dispute reported	06/30/2026	1247861562	CMS
Vanda Pharmaceuticals Inc.	$20.48	12/12/2025	Food and Beverage	No dispute reported	06/30/2026	1232979844	CMS
Vanda Pharmaceuticals Inc.	$34.22	12/11/2025	Food and Beverage	No dispute reported	06/30/2026	1232979842	CMS
ABBVIE INC.	$27.89	12/09/2025	Food and Beverage	No dispute reported	06/30/2026	1202256566	CMS
ABBVIE INC.	$9.07	12/09/2025	Food and Beverage	No dispute reported	06/30/2026	1202256568	CMS
ABBVIE INC.	$4.49	12/09/2025	Food and Beverage	No dispute reported	06/30/2026	1202256570	CMS
AstraZeneca Pharmaceuticals LP	$18.64	12/09/2025	Food and Beverage	No dispute reported	06/30/2026	1206949013	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$24.27	12/08/2025	Food and Beverage	No dispute reported	06/30/2026	1241351878	CMS
Ardelyx, Inc.	$19.90	12/04/2025	Food and Beverage	No dispute reported	06/30/2026	1247861560	CMS
GlaxoSmithKline, LLC.	$6.35	12/04/2025	Food and Beverage	No dispute reported	06/30/2026	1190352284	CMS
ABBVIE INC.	$25.60	12/02/2025	Food and Beverage	No dispute reported	06/30/2026	1202256564	CMS
AstraZeneca Pharmaceuticals LP	$19.01	12/01/2025	Food and Beverage	No dispute reported	06/30/2026	1206944624	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$0.84	12/01/2025	Food and Beverage	No dispute reported	06/30/2026	1231985499	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.10	12/01/2025	Food and Beverage	No dispute reported	06/30/2026	1231985501	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$17.02	12/01/2025	Food and Beverage	No dispute reported	06/30/2026	1223772683	CMS
ABBVIE INC.	$6.82	11/26/2025	Food and Beverage	No dispute reported	06/30/2026	1202256562	CMS
Tonix Medicines, Inc.	$18.47	11/26/2025	Food and Beverage	No dispute reported	06/30/2026	1235872396	CMS
ABBVIE INC.	$20.64	11/25/2025	Food and Beverage	No dispute reported	06/30/2026	1202256560	CMS
AstraZeneca Pharmaceuticals LP	$23.50	11/25/2025	Food and Beverage	No dispute reported	06/30/2026	1206312130	CMS
AstraZeneca Pharmaceuticals LP	$14.86	11/25/2025	Food and Beverage	No dispute reported	06/30/2026	1206365240	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$23.13	11/24/2025	Food and Beverage	No dispute reported	06/30/2026	1241351876	CMS
Merck Sharp & Dohme LLC	$19.28	11/20/2025	Food and Beverage	No dispute reported	06/30/2026	1238109034	CMS
PFIZER INC.	$23.28	11/20/2025	Food and Beverage	No dispute reported	06/30/2026	1229532502	CMS
ABBVIE INC.	$19.55	11/19/2025	Food and Beverage	No dispute reported	06/30/2026	1202256558	CMS
GlaxoSmithKline, LLC.	$22.16	11/19/2025	Food and Beverage	No dispute reported	06/30/2026	1190679121	CMS
GlaxoSmithKline, LLC.	$6.78	11/19/2025	Food and Beverage	No dispute reported	06/30/2026	1191694575	CMS
Lundbeck LLC	$23.01	11/19/2025	Food and Beverage	No dispute reported	06/30/2026	1251816657	CMS
AstraZeneca Pharmaceuticals LP	$18.07	11/18/2025	Food and Beverage	No dispute reported	06/30/2026	1207141887	CMS
PFIZER INC.	$18.94	11/17/2025	Food and Beverage	No dispute reported	06/30/2026	1230006724	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.73	11/17/2025	Food and Beverage	No dispute reported	06/30/2026	1231985497	CMS
Vanda Pharmaceuticals Inc.	$23.23	11/14/2025	Food and Beverage	No dispute reported	06/30/2026	1232979838	CMS
Vanda Pharmaceuticals Inc.	$19.73	11/14/2025	Food and Beverage	No dispute reported	06/30/2026	1232979840	CMS
Novo Nordisk Inc	$2.93	11/13/2025	Food and Beverage	No dispute reported	06/30/2026	1188536122	CMS
Vanda Pharmaceuticals Inc.	$5.39	11/13/2025	Food and Beverage	No dispute reported	06/30/2026	1232979836	CMS
ABBVIE INC.	$19.07	11/12/2025	Food and Beverage	No dispute reported	06/30/2026	1202256556	CMS
Novo Nordisk Inc	$18.43	11/12/2025	Food and Beverage	No dispute reported	06/30/2026	1188926055	CMS
ABBVIE INC.	$23.21	11/11/2025	Food and Beverage	No dispute reported	06/30/2026	1202256554	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$4.20	11/11/2025	Food and Beverage	No dispute reported	06/30/2026	1241351874	CMS
Ardelyx, Inc.	$20.57	11/10/2025	Food and Beverage	No dispute reported	06/30/2026	1247861558	CMS
Lundbeck LLC	$27.12	11/06/2025	Food and Beverage	No dispute reported	06/30/2026	1251816655	CMS
Otsuka America Pharmaceutical, Inc.	$25.10	11/06/2025	Food and Beverage	No dispute reported	06/30/2026	1227385311	CMS
Novo Nordisk Inc	$19.12	11/04/2025	Food and Beverage	No dispute reported	06/30/2026	1188928718	CMS
PFIZER INC.	$17.83	11/04/2025	Food and Beverage	No dispute reported	06/30/2026	1229556298	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$17.99	11/03/2025	Food and Beverage	No dispute reported	06/30/2026	1223772687	CMS
Vanda Pharmaceuticals Inc.	$32.80	10/30/2025	Food and Beverage	No dispute reported	06/30/2026	1232979832	CMS
Vanda Pharmaceuticals Inc.	$11.87	10/30/2025	Education	No dispute reported	06/30/2026	1232979834	CMS
ABBVIE INC.	$23.12	10/29/2025	Food and Beverage	No dispute reported	06/30/2026	1202256552	CMS
Merck Sharp & Dohme LLC	$19.05	10/28/2025	Food and Beverage	No dispute reported	06/30/2026	1238257539	CMS
PFIZER INC.	$12.37	10/28/2025	Food and Beverage	No dispute reported	06/30/2026	1229763444	CMS
AstraZeneca Pharmaceuticals LP	$21.20	10/23/2025	Food and Beverage	No dispute reported	06/30/2026	1207314842	CMS
ABBVIE INC.	$11.12	10/22/2025	Food and Beverage	No dispute reported	06/30/2026	1202256550	CMS
Ardelyx, Inc.	$18.64	10/22/2025	Food and Beverage	No dispute reported	06/30/2026	1247861556	CMS
GlaxoSmithKline, LLC.	$18.84	10/22/2025	Food and Beverage	No dispute reported	06/30/2026	1191100455	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$4.25	10/22/2025	Food and Beverage	No dispute reported	06/30/2026	1241351872	CMS
Lundbeck LLC	$23.28	10/22/2025	Food and Beverage	No dispute reported	06/30/2026	1251816653	CMS
Vanda Pharmaceuticals Inc.	$6.42	10/22/2025	Food and Beverage	No dispute reported	06/30/2026	1232979828	CMS
Vanda Pharmaceuticals Inc.	$11.87	10/22/2025	Education	No dispute reported	06/30/2026	1232979830	CMS
ABBVIE INC.	$24.39	10/21/2025	Food and Beverage	No dispute reported	06/30/2026	1202256548	CMS
Ardelyx, Inc.	$130.38	10/21/2025	Food and Beverage	No dispute reported	06/30/2026	1247861554	CMS
ABBVIE INC.	$6.44	10/20/2025	Food and Beverage	No dispute reported	06/30/2026	1202256546	CMS
Teva Pharmaceuticals USA, Inc.	$21.96	10/20/2025	Food and Beverage	No dispute reported	06/30/2026	1247457696	CMS
Vanda Pharmaceuticals Inc.	$35.06	10/17/2025	Food and Beverage	No dispute reported	06/30/2026	1232979826	CMS
ABBVIE INC.	$19.06	10/15/2025	Food and Beverage	No dispute reported	06/30/2026	1202256544	CMS
Lilly USA, LLC	$20.76	10/15/2025	Food and Beverage	No dispute reported	06/30/2026	1186846497	CMS
Ardelyx, Inc.	$5.27	10/09/2025	Food and Beverage	No dispute reported	06/30/2026	1247861552	CMS
Novo Nordisk Inc	$15.64	10/09/2025	Food and Beverage	No dispute reported	06/30/2026	1188247084	CMS
ABBVIE INC.	$19.26	10/08/2025	Food and Beverage	No dispute reported	06/30/2026	1202256542	CMS
AstraZeneca Pharmaceuticals LP	$26.72	10/07/2025	Food and Beverage	No dispute reported	06/30/2026	1206581786	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$16.95	10/06/2025	Food and Beverage	No dispute reported	06/30/2026	1231985493	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$18.99	10/06/2025	Food and Beverage	No dispute reported	06/30/2026	1223772691	CMS
ABBVIE INC.	$13.68	10/01/2025	Food and Beverage	No dispute reported	06/30/2026	1202256540	CMS
ABBVIE INC.	$14.49	09/24/2025	Food and Beverage	No dispute reported	06/30/2026	1202256538	CMS
PFIZER INC.	$17.42	09/23/2025	Food and Beverage	No dispute reported	06/30/2026	1229449103	CMS
Vanda Pharmaceuticals Inc.	$28.15	09/22/2025	Food and Beverage	No dispute reported	06/30/2026	1232979824	CMS
Otsuka America Pharmaceutical, Inc.	$18.44	09/19/2025	Food and Beverage	No dispute reported	06/30/2026	1227385306	CMS
ABBVIE INC.	$10.21	09/17/2025	Food and Beverage	No dispute reported	06/30/2026	1202256536	CMS
AstraZeneca Pharmaceuticals LP	$17.24	09/17/2025	Food and Beverage	No dispute reported	06/30/2026	1207201024	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$19.84	09/16/2025	Food and Beverage	No dispute reported	06/30/2026	1231985491	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.36	09/15/2025	Food and Beverage	No dispute reported	06/30/2026	1223772697	CMS
PFIZER INC.	$17.39	09/12/2025	Food and Beverage	No dispute reported	06/30/2026	1229291019	CMS
Ardelyx, Inc.	$1.66	09/11/2025	Food and Beverage	No dispute reported	06/30/2026	1247861548	CMS
Ardelyx, Inc.	$10.24	09/11/2025	Food and Beverage	No dispute reported	06/30/2026	1247861550	CMS
GlaxoSmithKline, LLC.	$26.48	09/11/2025	Food and Beverage	No dispute reported	06/30/2026	1191829934	CMS
Merck Sharp & Dohme LLC	$22.83	09/11/2025	Food and Beverage	No dispute reported	06/30/2026	1238355602	CMS
ABBVIE INC.	$21.33	09/10/2025	Food and Beverage	No dispute reported	06/30/2026	1202256534	CMS
GlaxoSmithKline, LLC.	$3.99	09/10/2025	Food and Beverage	No dispute reported	06/30/2026	1190461088	CMS
Novo Nordisk Inc	$16.29	09/09/2025	Food and Beverage	No dispute reported	06/30/2026	1188315640	CMS
AstraZeneca Pharmaceuticals LP	$22.12	09/08/2025	Food and Beverage	No dispute reported	06/30/2026	1207206650	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$21.23	09/08/2025	Food and Beverage	No dispute reported	06/30/2026	1231985488	CMS
Lundbeck LLC	$7.75	09/07/2025	Food and Beverage	No dispute reported	06/30/2026	1251816651	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$16.10	09/05/2025	Food and Beverage	No dispute reported	06/30/2026	1223772679	CMS
ABBVIE INC.	$17.15	09/04/2025	Food and Beverage	No dispute reported	06/30/2026	1202256532	CMS
Vanda Pharmaceuticals Inc.	$20.40	09/04/2025	Food and Beverage	No dispute reported	06/30/2026	1232979822	CMS
ABBVIE INC.	$24.17	09/03/2025	Food and Beverage	No dispute reported	06/30/2026	1202256530	CMS
ABBVIE INC.	$20.92	09/02/2025	Food and Beverage	No dispute reported	06/30/2026	1202256528	CMS
Bayer Healthcare Pharmaceuticals Inc.	$20.02	08/29/2025	Food and Beverage	No dispute reported	06/30/2026	1225615998	CMS
ABBVIE INC.	$19.14	08/27/2025	Food and Beverage	No dispute reported	06/30/2026	1202256526	CMS
GlaxoSmithKline, LLC.	$23.61	08/25/2025	Food and Beverage	No dispute reported	06/30/2026	1190647290	CMS
Ardelyx, Inc.	$20.88	08/21/2025	Food and Beverage	No dispute reported	06/30/2026	1247861546	CMS
AstraZeneca Pharmaceuticals LP	$15.22	08/21/2025	Food and Beverage	No dispute reported	06/30/2026	1206264711	CMS
AstraZeneca Pharmaceuticals LP	$26.04	08/20/2025	Food and Beverage	No dispute reported	06/30/2026	1206684806	CMS
Paratek Pharmaceuticals, Inc.	$17.56	08/15/2025	Food and Beverage	No dispute reported	06/30/2026	1181752472	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$21.19	08/15/2025	Food and Beverage	No dispute reported	06/30/2026	1223772703	CMS
PFIZER INC.	$19.92	08/14/2025	Food and Beverage	No dispute reported	06/30/2026	1229138002	CMS
ABBVIE INC.	$24.84	08/13/2025	Food and Beverage	No dispute reported	06/30/2026	1202256524	CMS
GlaxoSmithKline, LLC.	$31.47	08/13/2025	Food and Beverage	No dispute reported	06/30/2026	1190875006	CMS
Novo Nordisk Inc	$17.96	08/12/2025	Food and Beverage	No dispute reported	06/30/2026	1189093352	CMS
PFIZER INC.	$19.93	08/12/2025	Food and Beverage	No dispute reported	06/30/2026	1231675854	CMS
GlaxoSmithKline, LLC.	$22.53	08/10/2025	Food and Beverage	No dispute reported	06/30/2026	1190830585	CMS
AstraZeneca Pharmaceuticals LP	$14.24	08/07/2025	Food and Beverage	No dispute reported	06/30/2026	1207050075	CMS
Vanda Pharmaceuticals Inc.	$14.80	08/07/2025	Food and Beverage	No dispute reported	06/30/2026	1232979820	CMS
ABBVIE INC.	$17.54	08/06/2025	Food and Beverage	No dispute reported	06/30/2026	1202256522	CMS
Lilly USA, LLC	$15.74	08/06/2025	Food and Beverage	No dispute reported	06/30/2026	1186846495	CMS
Lundbeck LLC	$22.90	08/05/2025	Food and Beverage	No dispute reported	06/30/2026	1251816649	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.73	08/04/2025	Food and Beverage	No dispute reported	06/30/2026	1231985486	CMS
ABBVIE INC.	$7.00	08/01/2025	Food and Beverage	No dispute reported	06/30/2026	1202256520	CMS
Otsuka America Pharmaceutical, Inc.	$17.71	08/01/2025	Food and Beverage	No dispute reported	06/30/2026	1227385303	CMS
ABBVIE INC.	$12.56	07/31/2025	Food and Beverage	No dispute reported	06/30/2026	1202256518	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$19.79	07/31/2025	Food and Beverage	No dispute reported	06/30/2026	1223772695	CMS
ABBVIE INC.	$19.88	07/30/2025	Food and Beverage	No dispute reported	06/30/2026	1202256516	CMS
Ardelyx, Inc.	$23.18	07/29/2025	Food and Beverage	No dispute reported	06/30/2026	1247861544	CMS
PFIZER INC.	$11.54	07/25/2025	Food and Beverage	No dispute reported	06/30/2026	1229042630	CMS
ABBVIE INC.	$12.39	07/23/2025	Food and Beverage	No dispute reported	06/30/2026	1202256514	CMS
AstraZeneca Pharmaceuticals LP	$24.80	07/23/2025	Food and Beverage	No dispute reported	06/30/2026	1206222488	CMS
Actelion Pharmaceuticals US, Inc.	$23.87	07/22/2025	Food and Beverage	No dispute reported	06/30/2026	1174193603	CMS
Otsuka America Pharmaceutical, Inc.	$20.51	07/21/2025	Food and Beverage	No dispute reported	06/30/2026	1227385299	CMS
Paratek Pharmaceuticals, Inc.	$22.82	07/18/2025	Food and Beverage	No dispute reported	06/30/2026	1181752470	CMS
Xeris Pharmaceuticals, Inc.	$16.67	07/18/2025	Food and Beverage	No dispute reported	06/30/2026	1250172578	CMS
ABBVIE INC.	$20.21	07/16/2025	Food and Beverage	No dispute reported	06/30/2026	1202256512	CMS
GlaxoSmithKline, LLC.	$30.29	07/16/2025	Food and Beverage	No dispute reported	06/30/2026	1190614496	CMS
Novo Nordisk Inc	$15.42	07/15/2025	Food and Beverage	No dispute reported	06/30/2026	1188262527	CMS
Acella Pharmaceuticals, LLC	$14.27	07/11/2025	Food and Beverage	No dispute reported	06/30/2026	1241767545	CMS
AstraZeneca Pharmaceuticals LP	$21.96	07/10/2025	Food and Beverage	No dispute reported	06/30/2026	1206400246	CMS
ABBVIE INC.	$10.93	07/09/2025	Food and Beverage	No dispute reported	06/30/2026	1202256510	CMS
PFIZER INC.	$18.76	07/09/2025	Food and Beverage	No dispute reported	06/30/2026	1229011037	CMS
Axsome Therapeutics, Inc.	$17.62	07/08/2025	Food and Beverage	No dispute reported	06/30/2026	1235426984	CMS
Vanda Pharmaceuticals Inc.	$20.71	07/03/2025	Food and Beverage	No dispute reported	06/30/2026	1232979818	CMS
Bayer Healthcare Pharmaceuticals Inc.	$18.85	07/02/2025	Food and Beverage	No dispute reported	06/30/2026	1225615996	CMS
AstraZeneca Pharmaceuticals LP	$22.38	07/01/2025	Food and Beverage	No dispute reported	06/30/2026	1206219698	CMS
ABBVIE INC.	$22.28	06/30/2025	Food and Beverage	No dispute reported	06/30/2026	1202256508	CMS
Bayer Healthcare Pharmaceuticals Inc.	$19.49	06/26/2025	Food and Beverage	No dispute reported	06/30/2026	1225615994	CMS
ABBVIE INC.	$14.85	06/25/2025	Food and Beverage	No dispute reported	06/30/2026	1202256506	CMS
AstraZeneca Pharmaceuticals LP	$27.23	06/25/2025	Food and Beverage	No dispute reported	06/30/2026	1206495067	CMS
Ardelyx, Inc.	$5.57	06/24/2025	Food and Beverage	No dispute reported	06/30/2026	1247861542	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$17.88	06/24/2025	Food and Beverage	No dispute reported	06/30/2026	1241351870	CMS
GlaxoSmithKline, LLC.	$23.77	06/20/2025	Food and Beverage	No dispute reported	06/30/2026	1190372002	CMS
Novo Nordisk Inc	$22.75	06/19/2025	Food and Beverage	No dispute reported	06/30/2026	1188865021	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$19.69	06/18/2025	Food and Beverage	No dispute reported	06/30/2026	1223772693	CMS
ABBVIE INC.	$13.61	06/17/2025	Food and Beverage	No dispute reported	06/30/2026	1202256502	CMS
ABBVIE INC.	$7.78	06/17/2025	Food and Beverage	No dispute reported	06/30/2026	1202256504	CMS
Otsuka America Pharmaceutical, Inc.	$16.23	06/17/2025	Food and Beverage	No dispute reported	06/30/2026	1227385295	CMS
ABBVIE INC.	$6.32	06/16/2025	Food and Beverage	No dispute reported	06/30/2026	1202256500	CMS
AstraZeneca Pharmaceuticals LP	$22.37	06/16/2025	Food and Beverage	No dispute reported	06/30/2026	1206622446	CMS
PFIZER INC.	$13.68	06/16/2025	Food and Beverage	No dispute reported	06/30/2026	1231732402	CMS
Collegium Pharmaceutical, Inc.	$16.17	06/13/2025	Food and Beverage	No dispute reported	06/30/2026	1224244013	CMS
Vanda Pharmaceuticals Inc.	$23.15	06/13/2025	Food and Beverage	No dispute reported	06/30/2026	1232979816	CMS
Novo Nordisk Inc	$19.76	06/12/2025	Food and Beverage	No dispute reported	06/30/2026	1188698897	CMS
Paratek Pharmaceuticals, Inc.	$16.36	06/12/2025	Food and Beverage	No dispute reported	06/30/2026	1181752468	CMS
Bayer Healthcare Pharmaceuticals Inc.	$21.73	06/11/2025	Food and Beverage	No dispute reported	06/30/2026	1225615980	CMS
ABBVIE INC.	$13.44	06/10/2025	Food and Beverage	No dispute reported	06/30/2026	1202256498	CMS
Ardelyx, Inc.	$26.69	06/10/2025	Food and Beverage	No dispute reported	06/30/2026	1247861540	CMS
Lundbeck LLC	$20.97	06/10/2025	Food and Beverage	No dispute reported	06/30/2026	1251816647	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$15.19	06/09/2025	Food and Beverage	No dispute reported	06/30/2026	1241351868	CMS
Lundbeck LLC	$20.50	06/09/2025	Food and Beverage	No dispute reported	06/30/2026	1251816645	CMS
Lundbeck LLC	$20.93	06/06/2025	Food and Beverage	No dispute reported	06/30/2026	1251816643	CMS
Merck Sharp & Dohme LLC	$19.75	06/06/2025	Food and Beverage	No dispute reported	06/30/2026	1238118040	CMS
Phathom Pharmaceuticals, Inc.	$17.17	06/06/2025	Food and Beverage	No dispute reported	06/30/2026	1219385913	CMS
GlaxoSmithKline, LLC.	$29.88	06/04/2025	Food and Beverage	No dispute reported	06/30/2026	1191574850	CMS
ABBVIE INC.	$9.85	06/03/2025	Food and Beverage	No dispute reported	06/30/2026	1202256494	CMS
ABBVIE INC.	$18.41	06/03/2025	Food and Beverage	No dispute reported	06/30/2026	1202256496	CMS
AstraZeneca Pharmaceuticals LP	$19.63	06/03/2025	Food and Beverage	No dispute reported	06/30/2026	1207284964	CMS
Collegium Pharmaceutical, Inc.	$19.40	05/31/2025	Food and Beverage	No dispute reported	06/30/2026	1224244011	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$15.79	05/30/2025	Food and Beverage	No dispute reported	06/30/2026	1223772677	CMS
Bayer Healthcare Pharmaceuticals Inc.	$16.70	05/29/2025	Food and Beverage	No dispute reported	06/30/2026	1225615968	CMS
ABBVIE INC.	$15.52	05/27/2025	Food and Beverage	No dispute reported	06/30/2026	1202256492	CMS
Vanda Pharmaceuticals Inc.	$14.22	05/23/2025	Food and Beverage	No dispute reported	06/30/2026	1232979814	CMS
Ardelyx, Inc.	$3.85	05/22/2025	Food and Beverage	No dispute reported	06/30/2026	1247861538	CMS
Merck Sharp & Dohme LLC	$21.82	05/21/2025	Food and Beverage	No dispute reported	06/30/2026	1238304831	CMS
ABBVIE INC.	$19.15	05/20/2025	Food and Beverage	No dispute reported	06/30/2026	1202256488	CMS
ABBVIE INC.	$11.12	05/20/2025	Food and Beverage	No dispute reported	06/30/2026	1202256490	CMS
Novo Nordisk Inc	$20.23	05/20/2025	Food and Beverage	No dispute reported	06/30/2026	1188382029	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$19.77	05/19/2025	Food and Beverage	No dispute reported	06/30/2026	1241351866	CMS
Exact Sciences Corporation	$22.25	05/15/2025	Food and Beverage	No dispute reported	06/30/2026	1235597833	CMS
Bayer Healthcare Pharmaceuticals Inc.	$18.58	05/14/2025	Food and Beverage	No dispute reported	06/30/2026	1225615966	CMS
Novo Nordisk Inc	$12.51	05/14/2025	Food and Beverage	No dispute reported	06/30/2026	1188267521	CMS
ABBVIE INC.	$15.74	05/13/2025	Food and Beverage	No dispute reported	06/30/2026	1202256486	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.59	05/13/2025	Food and Beverage	No dispute reported	06/30/2026	1223062080	CMS
Ardelyx, Inc.	$19.51	05/12/2025	Food and Beverage	No dispute reported	06/30/2026	1247861536	CMS
GlaxoSmithKline, LLC.	$18.96	05/12/2025	Food and Beverage	No dispute reported	06/30/2026	1190487237	CMS
PFIZER INC.	$13.83	05/12/2025	Food and Beverage	No dispute reported	06/30/2026	1228826649	CMS
Lundbeck LLC	$16.27	05/09/2025	Food and Beverage	No dispute reported	06/30/2026	1251816641	CMS
PFIZER INC.	$22.06	05/08/2025	Food and Beverage	No dispute reported	06/30/2026	1231719793	CMS
ABBVIE INC.	$24.99	05/07/2025	Food and Beverage	No dispute reported	06/30/2026	1202256484	CMS
ABBVIE INC.	$11.57	05/06/2025	Food and Beverage	No dispute reported	06/30/2026	1202256482	CMS
AstraZeneca Pharmaceuticals LP	$26.98	05/06/2025	Food and Beverage	No dispute reported	06/30/2026	1206403959	CMS
Otsuka America Pharmaceutical, Inc.	$17.07	05/06/2025	Food and Beverage	No dispute reported	06/30/2026	1227385291	CMS
ABBVIE INC.	$17.89	04/29/2025	Food and Beverage	No dispute reported	06/30/2026	1202256480	CMS
Vanda Pharmaceuticals Inc.	$11.87	04/29/2025	Education	No dispute reported	06/30/2026	1232979812	CMS
Collegium Pharmaceutical, Inc.	$15.25	04/28/2025	Food and Beverage	No dispute reported	06/30/2026	1224244009	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$17.35	04/28/2025	Food and Beverage	No dispute reported	06/30/2026	1241351864	CMS
Bayer Healthcare Pharmaceuticals Inc.	$24.11	04/26/2025	Food and Beverage	No dispute reported	06/30/2026	1225615984	CMS
Phathom Pharmaceuticals, Inc.	$18.95	04/25/2025	Food and Beverage	No dispute reported	06/30/2026	1219385911	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$16.75	04/25/2025	Food and Beverage	No dispute reported	06/30/2026	1223772681	CMS
ABBVIE INC.	$4.35	04/24/2025	Food and Beverage	No dispute reported	06/30/2026	1202256478	CMS
Ardelyx, Inc.	$21.11	04/23/2025	Food and Beverage	No dispute reported	06/30/2026	1247861534	CMS
Astellas Pharma US Inc	$34.03	04/23/2025	Food and Beverage	No dispute reported	06/30/2026	1238786169	CMS
Vanda Pharmaceuticals Inc.	$16.24	04/23/2025	Food and Beverage	No dispute reported	06/30/2026	1232979808	CMS
Vanda Pharmaceuticals Inc.	$11.87	04/23/2025	Education	No dispute reported	06/30/2026	1232979810	CMS
ABBVIE INC.	$17.08	04/22/2025	Food and Beverage	No dispute reported	06/30/2026	1202256476	CMS
Bayer Healthcare Pharmaceuticals Inc.	$21.39	04/22/2025	Food and Beverage	No dispute reported	06/30/2026	1225615982	CMS
Paratek Pharmaceuticals, Inc.	$15.91	04/22/2025	Food and Beverage	No dispute reported	06/30/2026	1181752466	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$3.26	04/22/2025	Food and Beverage	No dispute reported	06/30/2026	1231985483	CMS
Axsome Therapeutics, Inc.	$28.18	04/21/2025	Food and Beverage	No dispute reported	06/30/2026	1235707225	CMS
PFIZER INC.	$14.12	04/21/2025	Food and Beverage	No dispute reported	06/30/2026	1228941735	CMS
Novo Nordisk Inc	$20.31	04/17/2025	Food and Beverage	No dispute reported	06/30/2026	1188472747	CMS
ABBVIE INC.	$16.08	04/15/2025	Food and Beverage	No dispute reported	06/30/2026	1202256474	CMS
AstraZeneca Pharmaceuticals LP	$25.42	04/14/2025	Food and Beverage	No dispute reported	06/30/2026	1207065132	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$17.69	04/14/2025	Food and Beverage	No dispute reported	06/30/2026	1241351862	CMS
Sumitomo Pharma America, Inc.	$22.87	04/11/2025	Food and Beverage	No dispute reported	06/30/2026	1176679873	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$17.12	04/11/2025	Food and Beverage	No dispute reported	06/30/2026	1223772685	CMS
ABBVIE INC.	$6.96	04/10/2025	Food and Beverage	No dispute reported	06/30/2026	1202256472	CMS
Lundbeck LLC	$27.29	04/10/2025	Food and Beverage	No dispute reported	06/30/2026	1251816639	CMS
Ardelyx, Inc.	$5.79	04/09/2025	Food and Beverage	No dispute reported	06/30/2026	1247861532	CMS
AstraZeneca Pharmaceuticals LP	$19.46	04/09/2025	Food and Beverage	No dispute reported	06/30/2026	1206948651	CMS
ABBVIE INC.	$16.53	04/08/2025	Food and Beverage	No dispute reported	06/30/2026	1202256470	CMS
Novo Nordisk Inc	$18.18	04/08/2025	Food and Beverage	No dispute reported	06/30/2026	1188455827	CMS
PFIZER INC.	$15.06	04/07/2025	Food and Beverage	No dispute reported	06/30/2026	1229666647	CMS
Azurity Pharmaceuticals, Inc.	$16.39	04/03/2025	Food and Beverage	No dispute reported	06/30/2026	1242674193	CMS
Lundbeck LLC	$14.32	04/03/2025	Food and Beverage	No dispute reported	06/30/2026	1251816637	CMS
Bayer Healthcare Pharmaceuticals Inc.	$20.78	04/02/2025	Food and Beverage	No dispute reported	06/30/2026	1225615990	CMS
Merck Sharp & Dohme LLC	$18.74	04/02/2025	Food and Beverage	No dispute reported	06/30/2026	1238352060	CMS
ABBVIE INC.	$18.67	04/01/2025	Food and Beverage	No dispute reported	06/30/2026	1202256466	CMS
ABBVIE INC.	$5.93	04/01/2025	Food and Beverage	No dispute reported	06/30/2026	1202256468	CMS
Merck Sharp & Dohme LLC	$18.87	04/01/2025	Food and Beverage	No dispute reported	06/30/2026	1238126679	CMS
GlaxoSmithKline, LLC.	$19.74	03/31/2025	Food and Beverage	No dispute reported	06/30/2026	1191367082	CMS
Bayer Healthcare Pharmaceuticals Inc.	$17.68	03/27/2025	Food and Beverage	No dispute reported	06/30/2026	1225615992	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$19.00	03/27/2025	Food and Beverage	No dispute reported	06/30/2026	1241351860	CMS
Ardelyx, Inc.	$2.83	03/26/2025	Food and Beverage	No dispute reported	06/30/2026	1247861530	CMS
Lilly USA, LLC	$20.55	03/26/2025	Food and Beverage	No dispute reported	06/30/2026	1186887599	CMS
ABBVIE INC.	$15.87	03/25/2025	Food and Beverage	No dispute reported	06/30/2026	1202256464	CMS
Ardelyx, Inc.	$17.18	03/22/2025	Food and Beverage	No dispute reported	06/30/2026	1247861528	CMS
AstraZeneca Pharmaceuticals LP	$14.17	03/20/2025	Food and Beverage	No dispute reported	06/30/2026	1206858347	CMS
Phathom Pharmaceuticals, Inc.	$14.63	03/20/2025	Food and Beverage	No dispute reported	06/30/2026	1219385863	CMS
Vanda Pharmaceuticals Inc.	$18.70	03/20/2025	Food and Beverage	No dispute reported	06/30/2026	1232979806	CMS
ABBVIE INC.	$10.36	03/19/2025	Food and Beverage	No dispute reported	06/30/2026	1202256462	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.94	03/19/2025	Food and Beverage	No dispute reported	06/30/2026	1223062078	CMS
ABBVIE INC.	$18.71	03/18/2025	Food and Beverage	No dispute reported	06/30/2026	1202256460	CMS
AstraZeneca Pharmaceuticals LP	$19.54	03/18/2025	Food and Beverage	No dispute reported	06/30/2026	1207253731	CMS
PFIZER INC.	$12.74	03/17/2025	Food and Beverage	No dispute reported	06/30/2026	1231502276	CMS
Vanda Pharmaceuticals Inc.	$20.62	03/15/2025	Food and Beverage	No dispute reported	06/30/2026	1232979804	CMS
Corcept Therapeutics	$20.58	03/14/2025	Food and Beverage	No dispute reported	06/30/2026	1214228181	CMS
Lilly USA, LLC	$19.34	03/14/2025	Food and Beverage	No dispute reported	06/30/2026	1186846493	CMS
Exact Sciences Corporation	$20.85	03/13/2025	Food and Beverage	No dispute reported	06/30/2026	1235597817	CMS
Novo Nordisk Inc	$18.41	03/12/2025	Food and Beverage	No dispute reported	06/30/2026	1189068716	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.58	03/12/2025	Food and Beverage	No dispute reported	06/30/2026	1223772699	CMS
ABBVIE INC.	$18.16	03/11/2025	Food and Beverage	No dispute reported	06/30/2026	1202256458	CMS
PFIZER INC.	$15.10	03/10/2025	Food and Beverage	No dispute reported	06/30/2026	1231370236	CMS
Verona Pharma, Inc.	$20.13	03/08/2025	Food and Beverage	No dispute reported	06/30/2026	1233816685	CMS
Azurity Pharmaceuticals, Inc.	$13.50	03/07/2025	Food and Beverage	No dispute reported	06/30/2026	1242674191	CMS
Bayer Healthcare Pharmaceuticals Inc.	$18.99	03/07/2025	Food and Beverage	No dispute reported	06/30/2026	1225615988	CMS
ABBVIE INC.	$6.95	03/06/2025	Food and Beverage	No dispute reported	06/30/2026	1202256456	CMS
Ardelyx, Inc.	$16.27	03/05/2025	Food and Beverage	No dispute reported	06/30/2026	1247861526	CMS
Otsuka America Pharmaceutical, Inc.	$20.26	03/05/2025	Food and Beverage	No dispute reported	06/30/2026	1227385288	CMS
ABBVIE INC.	$16.74	03/04/2025	Food and Beverage	No dispute reported	06/30/2026	1202256454	CMS
Otsuka America Pharmaceutical, Inc.	$12.45	03/04/2025	Food and Beverage	No dispute reported	06/30/2026	1227385284	CMS
AstraZeneca Pharmaceuticals LP	$19.91	03/03/2025	Food and Beverage	No dispute reported	06/30/2026	1207118075	CMS
ABBVIE INC.	$14.86	02/26/2025	Food and Beverage	No dispute reported	06/30/2026	1202256452	CMS
Phathom Pharmaceuticals, Inc.	$23.85	02/25/2025	Food and Beverage	No dispute reported	06/30/2026	1219385859	CMS
PFIZER INC.	$14.97	02/24/2025	Food and Beverage	No dispute reported	06/30/2026	1229050413	CMS
ABBVIE INC.	$20.79	02/19/2025	Food and Beverage	No dispute reported	06/30/2026	1202256450	CMS
Bayer Healthcare Pharmaceuticals Inc.	$20.59	02/18/2025	Food and Beverage	No dispute reported	06/30/2026	1225615978	CMS
Bayer Healthcare Pharmaceuticals Inc.	$3.00	02/18/2025	Food and Beverage	No dispute reported	06/30/2026	1225615986	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$18.67	02/17/2025	Food and Beverage	No dispute reported	06/30/2026	1241351858	CMS
Lundbeck LLC	$22.13	02/17/2025	Food and Beverage	No dispute reported	06/30/2026	1251816635	CMS
Novo Nordisk Inc	$19.49	02/12/2025	Food and Beverage	No dispute reported	06/30/2026	1188985141	CMS
GlaxoSmithKline, LLC.	$3.46	02/11/2025	Food and Beverage	No dispute reported	06/30/2026	1190666378	CMS
GlaxoSmithKline, LLC.	$8.82	02/11/2025	Food and Beverage	No dispute reported	06/30/2026	1190708265	CMS
PFIZER INC.	$13.36	02/10/2025	Food and Beverage	No dispute reported	06/30/2026	1231637432	CMS
Bayer Healthcare Pharmaceuticals Inc.	$23.14	02/07/2025	Food and Beverage	No dispute reported	06/30/2026	1225615972	CMS
Bayer Healthcare Pharmaceuticals Inc.	$7.73	02/07/2025	Food and Beverage	No dispute reported	06/30/2026	1225615976	CMS
Merck Sharp & Dohme LLC	$18.78	02/07/2025	Food and Beverage	No dispute reported	06/30/2026	1238075601	CMS
AstraZeneca Pharmaceuticals LP	$24.90	02/06/2025	Food and Beverage	No dispute reported	06/30/2026	1206922224	CMS
ABBVIE INC.	$4.25	02/05/2025	Food and Beverage	No dispute reported	06/30/2026	1202256448	CMS
Vanda Pharmaceuticals Inc.	$18.10	02/05/2025	Food and Beverage	No dispute reported	06/30/2026	1232979802	CMS
ABBVIE INC.	$14.48	02/04/2025	Food and Beverage	No dispute reported	06/30/2026	1202256446	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.87	02/04/2025	Food and Beverage	No dispute reported	06/30/2026	1223772701	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$16.16	02/03/2025	Food and Beverage	No dispute reported	06/30/2026	1241351856	CMS
Novo Nordisk Inc	$12.81	02/03/2025	Food and Beverage	No dispute reported	06/30/2026	1188221225	CMS
Novo Nordisk Inc	$5.92	02/03/2025	Food and Beverage	No dispute reported	06/30/2026	1188411960	CMS
Phathom Pharmaceuticals, Inc.	$19.94	02/01/2025	Food and Beverage	No dispute reported	06/30/2026	1219385855	CMS
Bayer Healthcare Pharmaceuticals Inc.	$15.73	01/31/2025	Food and Beverage	No dispute reported	06/30/2026	1225615974	CMS
Novartis Pharmaceuticals Corporation	$22.21	01/31/2025	Food and Beverage	No dispute reported	06/30/2026	1200676782	CMS
ABBVIE INC.	$3.27	01/30/2025	Food and Beverage	No dispute reported	06/30/2026	1202256444	CMS
Paratek Pharmaceuticals, Inc.	$16.13	01/30/2025	Food and Beverage	No dispute reported	06/30/2026	1181752464	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$23.70	01/29/2025	Food and Beverage	No dispute reported	06/30/2026	1241351854	CMS
ABBVIE INC.	$13.65	01/28/2025	Food and Beverage	No dispute reported	06/30/2026	1202256442	CMS
Otsuka America Pharmaceutical, Inc.	$18.07	01/28/2025	Food and Beverage	No dispute reported	06/30/2026	1227385280	CMS
PFIZER INC.	$17.04	01/27/2025	Food and Beverage	No dispute reported	06/30/2026	1231389550	CMS
ABBVIE INC.	$11.11	01/23/2025	Food and Beverage	No dispute reported	06/30/2026	1202256440	CMS
Ardelyx, Inc.	$6.12	01/23/2025	Food and Beverage	No dispute reported	06/30/2026	1247861524	CMS
GlaxoSmithKline, LLC.	$28.69	01/23/2025	Food and Beverage	No dispute reported	06/30/2026	1190699328	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$20.24	01/23/2025	Food and Beverage	No dispute reported	06/30/2026	1231985481	CMS
Astellas Pharma US Inc	$22.30	01/22/2025	Food and Beverage	No dispute reported	06/30/2026	1238728284	CMS
Bayer Healthcare Pharmaceuticals Inc.	$29.11	01/22/2025	Food and Beverage	No dispute reported	06/30/2026	1225615970	CMS
Lundbeck LLC	$20.02	01/22/2025	Food and Beverage	No dispute reported	06/30/2026	1251816633	CMS
ABBVIE INC.	$20.77	01/21/2025	Food and Beverage	No dispute reported	06/30/2026	1202256438	CMS
Phathom Pharmaceuticals, Inc.	$15.33	01/18/2025	Food and Beverage	No dispute reported	06/30/2026	1219385909	CMS
ABBVIE INC.	$6.11	01/17/2025	Food and Beverage	No dispute reported	06/30/2026	1202256436	CMS
AstraZeneca Pharmaceuticals LP	$23.44	01/17/2025	Food and Beverage	No dispute reported	06/30/2026	1206791747	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.62	01/16/2025	Food and Beverage	No dispute reported	06/30/2026	1223062076	CMS
Exact Sciences Corporation	$23.40	01/16/2025	Food and Beverage	No dispute reported	06/30/2026	1235597813	CMS
ABBVIE INC.	$16.30	01/15/2025	Food and Beverage	No dispute reported	06/30/2026	1202256434	CMS
Novo Nordisk Inc	$20.50	01/15/2025	Food and Beverage	No dispute reported	06/30/2026	1188730551	CMS
Lundbeck LLC	$22.59	01/14/2025	Food and Beverage	No dispute reported	06/30/2026	1251816631	CMS
PFIZER INC.	$13.33	01/13/2025	Food and Beverage	No dispute reported	06/30/2026	1231111789	CMS
PFIZER INC.	$1.72	01/13/2025	Food and Beverage	No dispute reported	06/30/2026	1231115331	CMS
Vanda Pharmaceuticals Inc.	$18.32	01/10/2025	Food and Beverage	No dispute reported	06/30/2026	1232979800	CMS
Merck Sharp & Dohme LLC	$19.50	01/09/2025	Food and Beverage	No dispute reported	06/30/2026	1238249795	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$18.55	01/09/2025	Food and Beverage	No dispute reported	06/30/2026	1223772689	CMS
ABBVIE INC.	$12.25	01/08/2025	Food and Beverage	No dispute reported	06/30/2026	1202256430	CMS
ABBVIE INC.	$5.10	01/08/2025	Food and Beverage	No dispute reported	06/30/2026	1202256432	CMS
Ardelyx, Inc.	$23.02	01/08/2025	Food and Beverage	No dispute reported	06/30/2026	1247861522	CMS
AstraZeneca Pharmaceuticals LP	$15.26	01/07/2025	Food and Beverage	No dispute reported	06/30/2026	1206345355	CMS
PFIZER INC.	$1.17	01/06/2025	Food and Beverage	No dispute reported	06/30/2026	1231105931	CMS
PFIZER INC.	$13.67	01/06/2025	Food and Beverage	No dispute reported	06/30/2026	1231121659	CMS
ABBVIE INC.	$4.68	01/02/2025	Food and Beverage	No dispute reported	06/30/2026	1202256428	CMS
AstraZeneca Pharmaceuticals LP	$95.44	01/02/2025	Food and Beverage	No dispute reported	06/30/2026	1206809727	CMS
Merck Sharp & Dohme LLC	$22.35	01/02/2025	Food and Beverage	No dispute reported	06/30/2026	1238026316	CMS

Source & provenance

Dataset: CMS Open Payments — General Payments
Publisher of source data: Centers for Medicare & Medicaid Services
CMS publication date: 2026-06-30
Program years on this page: 2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files: Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from: OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.

Cite this record.

Permalink https://industrypayments.org/provider/npi-1902805781

Plain: RALPH J LAGUARDIA, NPI 1902805781. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1902805781.
APA 7: IndustryPayments. (2026). RALPH J LAGUARDIA, NPI 1902805781 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1902805781
Bluebook: RALPH J LAGUARDIA, NPI 1902805781, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1902805781.

Source: Centers for Medicare & Medicaid Services, Open Payments.