Dollars for Docs
How Industry Dollars Reach Your Doctors
This database was last updated in October 2019 and should only be used as a historical snapshot. Newer data is available at the Centers for Medicare and Medicaid Services Open Payments site.
MOHAMMAD AFZAL
Listed Specialty: Internal Medicine
110 HARDIN LN, SUITE 2-B, SOMERSET, KY, 42503-3818
MOHAMMAD AFZAL,
Yearly Payment Breakdown:
2018 Payments At a Glance
158
payments
$1,715
payment total
18
companies paid this doctor
Payment Calendar in 2018
This doctor received a payment on days in 2018.
Each box below represents a single day during the disclosure period. A gray box indicates no payments. The darker the color, the more payments a doctor received that day.
2018
Types of Payments in 2018
Category | Payments | Payment Value |
---|---|---|
Food and Beverage |
155 | $1,674 |
Education |
3 | $40 |
Drugs & Devices in 2018
Totals listed below account for all payments from that mention this product. Beginning in 2016, the government began classifying products as drugs, devices, biologics or medical supplies. Below, you will see drugs (drugs and biologics) and devices (devices and medical supplies). If a payment record mentions more than one product, the entire value will be included in each of those products. When no products are listed, they are not included in the list below.
Product Name | Product Type | Payments† |
---|---|---|
INVOKANA |
drug |
$153 |
XARELTO |
drug |
$153 |
TOUJEO |
drug |
$144 |
TRULANCE |
drug |
$120 |
TRELEGY ELLIPTA |
drug |
$116 |
LONHALA MAGNAIR |
drug |
$116 |
BASAGLAR |
drug |
$98 |
TRULICITY |
drug |
$98 |
BREO |
drug |
$98 |
TRESIBA |
drug |
$93 |
ANORO |
drug |
$90 |
UTIBRON |
drug |
$82 |
VICTOZA |
drug |
$75 |
SPIRIVA RESPIMAT |
drug |
$74 |
STIOLTO RESPIMAT |
drug |
$74 |
BROVANA |
drug |
$72 |
SEEBRI |
drug |
$72 |
OZEMPIC |
drug |
$70 |
SYMBICORT |
drug |
$67 |
INVOKAMET |
drug |
$65 |
JARDIANCE |
drug |
$61 |
MYRBETRIQ |
drug |
$59 |
VESICARE |
drug |
$47 |
LYRICA |
drug |
$40 |
XULTOPHY 100/3.6 |
drug |
$33 |
VRAYLAR |
drug |
$30 |
VASCEPA |
drug |
$29 |
CHANTIX |
drug |
$28 |
ELIQUIS |
drug |
$28 |
BEVESPI AEROSPHERE |
drug |
$26 |
ENTRESTO |
drug |
$25 |
SOLIQUA |
drug |
$24 |
EUCRISA |
drug |
$23 |
JANUMET |
drug |
$22 |
JANUMET XR |
drug |
$22 |
JANUVIA |
drug |
$22 |
EMBEDA |
drug |
$17 |
FLECTOR PATCH |
drug |
$17 |
LINZESS |
drug |
$17 |
EMGALITY |
drug |
$15 |
FARXIGA |
drug |
$14 |
NORTHERA |
drug |
$13 |
LIVALO |
drug |
$11 |
ASMANEX |
drug |
$11 |
STEGLATRO |
drug |
$11 |
COLOGUARD |
device |
$11 |
PRALUENT |
drug |
$10 |
† May not add up to dollar total at top of page, since a payment record may not be associated with any product or can be associated with several products. |
Payment Details in 2018
When | How Much | Related To | What For | From | Third Party Payee |
---|---|---|---|---|---|
Mar 21, 2018 | $30 | VRAYLAR | Education | ALLERGAN INC. | |
Aug 16, 2018 | $20 | TRULICITY JARDIANCE BASAGLAR | Food and Beverage | LILLY USA, LLC | |
Sep 12, 2018 | $20 | VESICARE MYRBETRIQ | Food and Beverage | ASTELLAS PHARMA US INC | |
May 15, 2018 | $20 | TRULANCE | Food and Beverage | SYNERGY PHARMACEUTICALS INC | |
Mar 6, 2018 | $19 | BREO | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Nov 6, 2018 | $18 | VASCEPA | Food and Beverage | AMARIN PHARMA INC. | |
Oct 25, 2018 | $18 | OZEMPIC | Food and Beverage | NOVO NORDISK INC | |
Aug 20, 2018 | $17 | LYRICA EMBEDA FLECTOR PATCH | Food and Beverage | PFIZER INC. | |
Aug 8, 2018 | $17 | LINZESS | Food and Beverage | ALLERGAN INC. | |
Dec 19, 2018 | $17 | XARELTO INVOKANA INVOKAMET | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
Oct 9, 2018 | $17 | TRULICITY BASAGLAR | Food and Beverage | LILLY USA, LLC | |
Dec 6, 2018 | $16 | TRELEGY ELLIPTA | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Aug 28, 2018 | $16 | UTIBRON SEEBRI LONHALA MAGNAIR BROVANA | Food and Beverage | SUNOVION PHARMACEUTICALS INC. | |
Oct 30, 2018 | $16 | TRELEGY ELLIPTA | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Aug 6, 2018 | $16 | XARELTO INVOKANA | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
Apr 2, 2018 | $16 | SYMBICORT | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
May 18, 2018 | $16 | TRULANCE | Food and Beverage | SYNERGY PHARMACEUTICALS INC | |
Oct 17, 2018 | $16 | CHANTIX ELIQUIS | Food and Beverage | PFIZER INC. | |
Mar 7, 2018 | $15 | VESICARE MYRBETRIQ | Food and Beverage | ASTELLAS PHARMA US INC | |
Dec 18, 2018 | $15 | LONHALA MAGNAIR | Food and Beverage | SUNOVION PHARMACEUTICALS INC. | |
Oct 23, 2018 | $15 | EMGALITY | Food and Beverage | LILLY USA, LLC | |
May 2, 2018 | $15 | TOUJEO | Food and Beverage | SANOFI-AVENTIS U.S. LLC | |
Jul 19, 2018 | $15 | TRULANCE | Food and Beverage | SYNERGY PHARMACEUTICALS INC | |
Dec 11, 2018 | $15 | STIOLTO RESPIMAT SPIRIVA RESPIMAT | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
Aug 2, 2018 | $14 | SOLIQUA | Food and Beverage | SANOFI-AVENTIS U.S. LLC | |
Mar 1, 2018 | $14 | ANORO | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Jul 24, 2018 | $14 | TOUJEO | Food and Beverage | SANOFI-AVENTIS U.S. LLC | |
Dec 12, 2018 | $14 | TRULANCE | Food and Beverage | SYNERGY PHARMACEUTICALS INC | |
Sep 20, 2018 | $14 | JARDIANCE | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
Nov 5, 2018 | $14 | SYMBICORT | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
Jan 23, 2018 | $14 | STIOLTO RESPIMAT SPIRIVA RESPIMAT | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
Aug 1, 2018 | $14 | BREO | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Jul 26, 2018 | $14 | ENTRESTO | Food and Beverage | NOVARTIS PHARMACEUTICALS CORPORATION | |
Feb 14, 2018 | $14 | UTIBRON SEEBRI LONHALA MAGNAIR BROVANA | Food and Beverage | SUNOVION PHARMACEUTICALS INC. | |
May 10, 2018 | $14 | STIOLTO RESPIMAT SPIRIVA RESPIMAT | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
May 1, 2018 | $14 | VICTOZA TRESIBA | Food and Beverage | NOVO NORDISK INC | |
Oct 2, 2018 | $14 | XARELTO INVOKANA | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
Feb 6, 2018 | $14 | JARDIANCE | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
Feb 5, 2018 | $13 | BEVESPI AEROSPHERE | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
Mar 22, 2018 | $13 | UTIBRON SEEBRI LONHALA MAGNAIR BROVANA | Food and Beverage | SUNOVION PHARMACEUTICALS INC. | |
Jul 16, 2018 | $13 | OZEMPIC | Food and Beverage | NOVO NORDISK INC | |
Jul 17, 2018 | $13 | TRULICITY BASAGLAR | Food and Beverage | LILLY USA, LLC | |
Apr 23, 2018 | $13 | TRULICITY BASAGLAR | Food and Beverage | LILLY USA, LLC | |
Sep 26, 2018 | $13 | ANORO | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Sep 10, 2018 | $13 | SYMBICORT | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
Sep 6, 2018 | $13 | TRULANCE | Food and Beverage | SYNERGY PHARMACEUTICALS INC | |
Jan 8, 2018 | $13 | BEVESPI AEROSPHERE | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
Dec 4, 2018 | $13 | JARDIANCE | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
Mar 27, 2018 | $13 | XARELTO INVOKANA INVOKAMET | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
Jun 4, 2018 | $13 | SYMBICORT | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
Jun 6, 2018 | $13 | TOUJEO | Food and Beverage | SANOFI-AVENTIS U.S. LLC | |
Nov 26, 2018 | $13 | TRULICITY BASAGLAR | Food and Beverage | LILLY USA, LLC | |
May 7, 2018 | $13 | NORTHERA | Food and Beverage | LUNDBECK LLC | |
Feb 7, 2018 | $12 | XARELTO INVOKANA | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
Jun 20, 2018 | $12 | XARELTO INVOKANA INVOKAMET | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
Oct 22, 2018 | $12 | TOUJEO | Food and Beverage | SANOFI-AVENTIS U.S. LLC | |
Jun 7, 2018 | $12 | CHANTIX LYRICA EUCRISA | Food and Beverage | PFIZER INC. | |
Feb 13, 2018 | $12 | VICTOZA TRESIBA | Food and Beverage | NOVO NORDISK INC | |
Aug 15, 2018 | $12 | ELIQUIS | Food and Beverage | E.R. SQUIBB & SONS, L.L.C. | |
Apr 26, 2018 | $12 | TRESIBA | Food and Beverage | NOVO NORDISK INC | |
May 8, 2018 | $12 | MYRBETRIQ | Food and Beverage | ASTELLAS PHARMA US INC | |
Oct 24, 2018 | $12 | TRULANCE | Food and Beverage | SYNERGY PHARMACEUTICALS INC | |
Nov 14, 2018 | $12 | TRESIBA | Food and Beverage | NOVO NORDISK INC | |
Oct 31, 2018 | $12 | STIOLTO RESPIMAT SPIRIVA RESPIMAT | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
Jan 22, 2018 | $12 | VICTOZA | Food and Beverage | NOVO NORDISK INC | |
Sep 4, 2018 | $12 | TOUJEO | Food and Beverage | SANOFI-AVENTIS U.S. LLC | |
May 31, 2018 | $12 | TRULICITY BASAGLAR | Food and Beverage | LILLY USA, LLC | |
Oct 1, 2018 | $12 | SYMBICORT | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
Mar 29, 2018 | $12 | VICTOZA | Food and Beverage | NOVO NORDISK INC | |
May 29, 2018 | $11 | UTIBRON SEEBRI LONHALA MAGNAIR BROVANA | Food and Beverage | SUNOVION PHARMACEUTICALS INC. | |
Jul 10, 2018 | $11 | VESICARE MYRBETRIQ | Food and Beverage | ASTELLAS PHARMA US INC | |
Dec 5, 2018 | $11 | XARELTO INVOKANA | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
Nov 21, 2018 | $11 | TOUJEO | Food and Beverage | SANOFI-AVENTIS U.S. LLC | |
May 17, 2018 | $11 | XARELTO INVOKANA | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
Feb 26, 2018 | $11 | JANUVIA JANUMET JANUMET XR | Food and Beverage | MERCK SHARP & DOHME CORPORATION | |
Oct 18, 2018 | $11 | ENTRESTO | Food and Beverage | NOVARTIS PHARMACEUTICALS CORPORATION | |
Feb 22, 2018 | $11 | TRULICITY BASAGLAR | Food and Beverage | LILLY USA, LLC | |
May 16, 2018 | $11 | ANORO | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Jul 30, 2018 | $11 | TRESIBA | Food and Beverage | NOVO NORDISK INC | |
Dec 3, 2018 | $11 | TRESIBA | Food and Beverage | NOVO NORDISK INC | |
Mar 8, 2018 | $11 | TOUJEO | Food and Beverage | SANOFI-AVENTIS U.S. LLC | |
Mar 6, 2018 | $11 | VICTOZA TRESIBA | Food and Beverage | NOVO NORDISK INC | |
Sep 18, 2018 | $11 | LIVALO VASCEPA | Food and Beverage | KOWA PHARMACEUTICALS AMERICA, INC. | |
Nov 1, 2018 | $11 | XARELTO INVOKANA | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
Aug 22, 2018 | $11 | JANUVIA JANUMET ASMANEX JANUMET XR STEGLATRO | Food and Beverage | MERCK SHARP & DOHME CORPORATION | |
Feb 12, 2018 | $11 | BREO | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Aug 7, 2018 | $11 | STIOLTO RESPIMAT SPIRIVA RESPIMAT | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
Jan 29, 2018 | $11 | ANORO | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Mar 19, 2018 | $11 | TOUJEO | Food and Beverage | SANOFI-AVENTIS U.S. LLC | |
Aug 9, 2018 | $11 | LONHALA MAGNAIR | Food and Beverage | SUNOVION PHARMACEUTICALS INC. | |
Oct 29, 2018 | $11 | LYRICA EUCRISA COLOGUARD | Food and Beverage | PFIZER INC. | |
Apr 30, 2018 | $10 | TRELEGY ELLIPTA | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Jan 17, 2018 | $10 | BREO | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
May 21, 2018 | $10 | TRELEGY ELLIPTA | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Aug 27, 2018 | $10 | XARELTO INVOKANA INVOKAMET | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
Aug 21, 2018 | $10 | TOUJEO | Food and Beverage | SANOFI-AVENTIS U.S. LLC | |
Mar 28, 2018 | $10 | BREO | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Jan 24, 2018 | $10 | UTIBRON | Food and Beverage | SUNOVION PHARMACEUTICALS INC. | |
Jan 4, 2018 | $10 | XULTOPHY 100/3.6 | Food and Beverage | NOVO NORDISK INC | |
Jul 11, 2018 | $10 | ANORO | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Dec 13, 2018 | $10 | TOUJEO | Food and Beverage | SANOFI-AVENTIS U.S. LLC | |
Jun 12, 2018 | $10 | LONHALA MAGNAIR | Food and Beverage | SUNOVION PHARMACEUTICALS INC. | |
May 31, 2018 | $10 | OZEMPIC | Food and Beverage | NOVO NORDISK INC | |
Apr 19, 2018 | $10 | UTIBRON SEEBRI LONHALA MAGNAIR BROVANA | Food and Beverage | SUNOVION PHARMACEUTICALS INC. | |
Jun 13, 2018 | $10 | BREO | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Nov 13, 2018 | $10 | TRELEGY ELLIPTA | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Jan 15, 2018 | $10 | PRALUENT | Food and Beverage | SANOFI-AVENTIS U.S. LLC | |
May 22, 2018 | $10 | TOUJEO | Food and Beverage | SANOFI-AVENTIS U.S. LLC | |
May 10, 2018 | $10 | BREO | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Mar 21, 2018 | $10 | TRULANCE | Food and Beverage | SYNERGY PHARMACEUTICALS INC | |
Sep 5, 2018 | $10 | TRELEGY ELLIPTA | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Aug 29, 2018 | $9 | ANORO | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Mar 20, 2018 | $9 | STIOLTO RESPIMAT SPIRIVA RESPIMAT | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
Jun 11, 2018 | $9 | TRESIBA | Food and Beverage | NOVO NORDISK INC | |
Feb 1, 2018 | $9 | SOLIQUA | Food and Beverage | SANOFI-AVENTIS U.S. LLC | |
Mar 20, 2018 | $9 | TRULANCE | Food and Beverage | SYNERGY PHARMACEUTICALS INC | |
Nov 14, 2018 | $9 | FARXIGA | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
Mar 13, 2018 | $9 | XULTOPHY 100/3.6 | Food and Beverage | NOVO NORDISK INC | |
Aug 30, 2018 | $9 | OZEMPIC | Food and Beverage | NOVO NORDISK INC | |
Jul 23, 2018 | $9 | TRELEGY ELLIPTA | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Sep 13, 2018 | $9 | LONHALA MAGNAIR | Food and Beverage | SUNOVION PHARMACEUTICALS INC. | |
Feb 21, 2018 | $9 | XULTOPHY 100/3.6 | Food and Beverage | NOVO NORDISK INC | |
May 21, 2018 | $8 | ANORO | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Apr 11, 2018 | $8 | VICTOZA | Food and Beverage | NOVO NORDISK INC | |
Apr 9, 2018 | $8 | ANORO | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Aug 14, 2018 | $8 | TRELEGY ELLIPTA | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Jun 14, 2018 | $8 | XARELTO INVOKANA | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
Jan 2, 2018 | $8 | TOUJEO | Food and Beverage | SANOFI-AVENTIS U.S. LLC | |
Apr 18, 2018 | $8 | BREO | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Apr 16, 2018 | $8 | TOUJEO | Food and Beverage | SANOFI-AVENTIS U.S. LLC | |
Nov 7, 2018 | $8 | TRELEGY ELLIPTA | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Mar 5, 2018 | $7 | TRELEGY ELLIPTA | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Jul 18, 2018 | $7 | XARELTO INVOKANA INVOKAMET | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
Mar 21, 2018 | $7 | UTIBRON SEEBRI LONHALA MAGNAIR BROVANA | Food and Beverage | SUNOVION PHARMACEUTICALS INC. | |
Feb 27, 2018 | $7 | TRELEGY ELLIPTA | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Nov 29, 2018 | $7 | OZEMPIC | Food and Beverage | NOVO NORDISK INC | |
Sep 27, 2018 | $7 | OZEMPIC | Food and Beverage | NOVO NORDISK INC | |
Jul 24, 2018 | $7 | OZEMPIC | Food and Beverage | NOVO NORDISK INC | |
Nov 27, 2018 | $6 | TRULANCE | Food and Beverage | SYNERGY PHARMACEUTICALS INC | |
Mar 21, 2018 | $6 | TRULANCE | Food and Beverage | SYNERGY PHARMACEUTICALS INC | |
Jul 30, 2018 | $5 | FARXIGA | Education | ASTRAZENECA PHARMACEUTICALS LP | |
May 14, 2018 | $5 | XULTOPHY 100/3.6 | Food and Beverage | NOVO NORDISK INC | |
May 21, 2018 | $5 | TRELEGY ELLIPTA | Education | GLAXOSMITHKLINE, LLC. | |
Feb 13, 2018 | $5 | VICTOZA | Food and Beverage | NOVO NORDISK INC | |
Sep 18, 2018 | $4 | BREO | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Jan 29, 2018 | $3 | ANORO | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Oct 2, 2018 | $3 | XARELTO INVOKANA | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
Feb 13, 2018 | $3 | XARELTO INVOKANA INVOKAMET | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
Jan 11, 2018 | $3 | VICTOZA | Food and Beverage | NOVO NORDISK INC | |
Aug 27, 2018 | $2 | XARELTO INVOKANA INVOKAMET | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
Aug 6, 2018 | $2 | XARELTO INVOKANA | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
Mar 28, 2018 | $1 | BREO | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Sep 6, 2018 | $1 | TRULANCE | Food and Beverage | SYNERGY PHARMACEUTICALS INC | |
Jul 11, 2018 | $1 | ANORO | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Aug 1, 2018 | $1 | BREO | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
Dec 3, 2018 | $1 | TRESIBA | Food and Beverage | NOVO NORDISK INC | |
Mar 27, 2018 | $1 | XARELTO INVOKANA INVOKAMET | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
Jul 11, 2018 | $0 | ANORO | Food and Beverage | GLAXOSMITHKLINE, LLC. |
See this doctor’s Open Payments page →
Note: We have made some effort to normalize the data and eliminate duplicates, but the data is primarily as it has been reported by the companies to the Centers for Medicare and Medicaid Services. To purchase the normalized data, please visit the ProPublica Data Store. If you spot an error, please let us know at [email protected].
This site includes data published by the Centers for Medicare and Medicaid Services on June 28, 2019.