Dollars for Docs: Talk With Your Doctor

https://projects.propublica.org/docdollars/
You can print this page and show it to your doctor.

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.

ProPublica's Dollars for Docs database lets you search for payments to U.S.-based doctors made by pharmaceutical and medical device companies between August 2013 and December 2018. The disclosure of these payments is required under the Physician Payments Sunshine Act, a provision of the 2010 Affordable Care Act.

About This Information

  • The information that appears here comes directly from the federal government. Companies must attest to its accuracy, and doctors have the ability to contest information they believe is in error.
  • This site includes payments for such activities as speaking, consulting, meals, travel and royalties. It does not include payments for clinical research.
  • It is legal for companies to make payments to doctors as long as the payments are not a kickback or inducement to use their products.
  • Some doctors say collaborative relationships, particularly those involving research, are necessary to develop new treatments and cures. But many ethicists have raised questions about the payments, and studies show that they may influence doctors' prescribing decisions.
  • Only you can decide if this matters to you and if so, whether you want to talk with your doctor about it. If you plan to talk with your doctor (or if you already have), please help us by filling out this short survey: propub.li/participate-d4d

Preparing for Your Conversation

If you decide you'd like to talk to your doctor about this, please keep in mind:

  • Many health care professionals in our database have similar names, so you should start by asking your doctor if the person mentioned in this payment record is really him/her.
  • Your doctor may not know he or she is listed as receiving payments, especially if the payments are small. You can direct your doctor to this site (the URL will be printed at the top of the payment record) or directly to the government's site here: https://openpaymentsdata.cms.gov/physician/163707
  • Some doctors are happy to discuss this information with you. Others might not be. The best approach is to ask questions and to not be accusatory.

Questions You Might Want to Ask

  • Is this you?
  • What type of work do you do with these companies?
  • Have you prescribed me any drugs that are manufactured by companies you've taken payments from?
  • Are there non-drug alternatives that I may want to consider first?
  • Are there less expensive generic alternatives to the drugs you have prescribed?
  • What devices have you used in my care that are manufactured by companies you've taken payments from?

Dollars for Docs: Talk With Your Doctor

https://projects.propublica.org/docdollars/doctors/pid/163707
If you spot an error, please let us know at [email protected].

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.

ANTHONY GUARINO

Listed Specialty: Pain Medicine
969 N MASON RD, STE 240, SAINT LOUIS, MO, 63141-6338

2018 Payments: At a Glance

153

payments

$100,275

payment total

17

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 23 $66,175
Travel and Lodging
 42 $16,259
Consulting
 3 $9,890
Honoraria
 2 $4,775
Food and Beverage
 83 $3,176

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†
MORPHABOND ER

drug

 $35,020
ZOHYDRO ER

drug

 $19,655
MOVANTIK

drug

 $16,446
AMITIZA

drug

 $13,910
XTAMPZA

drug

 $8,587
BELBUCA

drug

 $5,804
NUCYNTA

drug

 $5,577
LYRICA

drug

 $167
PRODIGY FAMILY OF SCS IPGS

device

 $128
RESTORE

device

 $125
RELISTOR

drug

 $92
PROCLAIM FAMILY OF SCS IPGS

device

 $87
DRG IPGS

device

 $43
SYMPROIC

drug

 $41
LEVORPHANOL

drug

 $40
GENERAL PAIN MANAGEMENT

device

 $32
EMBEDA

drug

 $27
LUCEMYRA

drug

 $24
BUNAVAIL

drug

 $17
SYNCHROMED

device

 $12
† 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.

For ease of printing, only the 20 drugs and devices with the highest payments are displayed. For a complete list, please visit: https://projects.propublica.org/docdollars/doctors/pid/163707

Payment Details

When How Much Related To What For From Third Party Payee
Feb 13, 2018 $4,995 MORPHABOND ER Promotional Speaking/Other DAIICHI SANKYO INC. Guarino Education Services
Jun 25, 2018 $4,995 MORPHABOND ER Promotional Speaking/Other DAIICHI SANKYO INC. Guarino Education Services
Apr 19, 2018 $4,930 AMITIZA Promotional Speaking/Other TAKEDA PHARMACEUTICALS U.S.A., INC. guarino education services
Sep 7, 2018 $4,930 AMITIZA Promotional Speaking/Other TAKEDA PHARMACEUTICALS U.S.A., INC. guarino education services
Jun 14, 2018 $4,730 XTAMPZA NUCYNTA Consulting COLLEGIUM PHARMACEUTICAL, INC.
Feb 22, 2018 $4,718 MORPHABOND ER Promotional Speaking/Other DAIICHI SANKYO INC. Guarino Education Services
Jun 12, 2018 $4,500 BELBUCA Honoraria BIODELIVERY SCIENCES INTERNATIONAL, INC.
Feb 13, 2018 $4,440 MORPHABOND ER Promotional Speaking/Other DAIICHI SANKYO INC. Guarino Education Services
Mar 21, 2018 $4,300 MOVANTIK Promotional Speaking/Other DAIICHI SANKYO INC. Guarino Education Services
Oct 12, 2018 $3,440 ZOHYDRO ER Consulting PERNIX THERAPEUTICS HOLDINGS, INC.
Nov 15, 2018 $3,330 MORPHABOND ER Promotional Speaking/Other DAIICHI SANKYO INC. Guarino Education Services
Mar 19, 2018 $3,320 MORPHABOND ER Promotional Speaking/Other DAIICHI SANKYO INC. Guarino Education Services
Apr 26, 2018 $3,060 ZOHYDRO ER Promotional Speaking/Other PERNIX THERAPEUTICS HOLDINGS, INC.
May 30, 2018 $3,060 ZOHYDRO ER Promotional Speaking/Other PERNIX THERAPEUTICS HOLDINGS, INC.
Mar 7, 2018 $2,775 MORPHABOND ER Promotional Speaking/Other DAIICHI SANKYO INC. Guarino Education Services
Jan 26, 2018 $2,150 XTAMPZA Promotional Speaking/Other COLLEGIUM PHARMACEUTICAL, INC.
Jan 12, 2018 $2,150 MOVANTIK Promotional Speaking/Other DAIICHI SANKYO INC. Guarino Education Services
Feb 21, 2018 $2,150 MOVANTIK Promotional Speaking/Other ASTRAZENECA PHARMACEUTICALS LP
Mar 8, 2018 $2,000 ZOHYDRO ER Promotional Speaking/Other PERNIX THERAPEUTICS HOLDINGS, INC.
Oct 17, 2018 $1,870 AMITIZA Promotional Speaking/Other TAKEDA PHARMACEUTICALS U.S.A., INC. guarino education services

For ease of printing, 20 payments are displayed, the largest appearing on top. For a full list of payments, please visit: https://projects.propublica.org/docdollars/doctors/pid/163707

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.