Drug, Device Makers Paid Physicians $12 Billion in Just Under a Decade

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Drug, Device Makers Paid Physicians $12 Billion in Just Under a Decade
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Industry payments appeared to have been little changed by public reporting in the Open Payments database.

A review of the federal Open Payments database found that the pharmaceutical and medical device industry paid physicians $12.1 billion over nearly a decade.

Excluding 2013 , the total value of payments was highest in 2019 at $1.6 billion, up from $1.34 billion in 2014. It was lowest in 2020, the peak year of the COVID-19 pandemic, but only dipped to $864 billion that year and rebounded to $1.28 billion in 2022, wrote the authors.

at Memorial Sloan Kettering Cancer Center in New York City who has studied industry-physician relationships. "The influence is not just in the dollar value," Mitchell told. "It's about the time listening to and the time in personal contact with industry representatives that these dollars are a marker for," he said.

The top drug was Janssen's Xarelto, an anticoagulant first approved in 2011 that costs about $600 a month, according to GoodRx. The drug has had annual sales of $4 to $6 billion. "I'm sure there are still a lot of physicians out there who think they're getting away with something, that they can take meals, or they can take consulting fees and not be influenced, but there's overwhelming data showing that it always influences you," said Fugh-Berman.that used the Open Payments database found that physicians increase prescribing of the drugs for which they receive payment in the months just after the payment.

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