Rachelle Janush, DO
Pain Medicine · Montgomery, ALNPI 1780656959
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 198 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 26 manufacturers reported payments, led by Forte Bio-pharma LLC at 30.8% of the total. Reporting peaked in 2019 at $862 and has fallen 63.1% since, to $318 in 2025.
Across 198 payments — averaging $18.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Forte Bio-pharma LLC$1K
- Teva Pharmaceuticals USA, Inc.$373
- AbbVie$335
- Collegium Pharmaceutical, Inc.$293
- Lilly USA, LLC$269
- Arbor Pharmaceuticals, Inc.$241
- plus $1K from 20 others
What the payments were for
- Food & beverage$3,634100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Forte Bio-pharma LLC | 58 | $1,120 |
| Teva Pharmaceuticals USA, Inc. | 22 | $373 |
| AbbVie(2 entities) | 16 | $335 |
| Collegium Pharmaceutical, Inc. | 15 | $293 |
| Lilly USA, LLC | 17 | $269 |
| Arbor Pharmaceuticals, Inc. | 14 | $241 |
| Amgen | 8 | $180 |
| Scilex Pharmaceuticals Inc. | 7 | $112 |
| Virtus Pharmaceuticals LLC | 6 | $97 |
| Acadia Pharmaceuticals Inc | 2 | $93 |
| Novartis | 3 | $62 |
| Almatica Pharma LLC | 3 | $56 |
| Biodelivery Sciences International, Inc. | 3 | $54 |
| Sentynl Therapeutics, Inc. | 4 | $48 |
| Pfizer | 3 | $45 |
| Daiichi Sankyo Inc. | 3 | $44 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $34 |
| Assertio Therapeutics, Inc. | 2 | $34 |
| Biohaven Pharmaceuticals, Inc. | 2 | $28 |
| MDD US Operations, LLC | 2 | $23 |
| Pacira Therapeutics, Inc. | 1 | $20 |
| Supernus Pharmaceuticals, Inc. | 1 | $19 |
| Bioventus LLC | 1 | $18 |
| Upsher-smith Laboratories LLC | 1 | $13 |
| Boston Scientific | 1 | $12 |
| Shionogi Inc | 1 | $12 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$3,634 in reported general payments places this provider in the 70th percentile of 77 pain medicine providers in Alabama.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 170 | $109,287 |
| ProlateOxycodone Hcl/Acetaminophen | 20 | $49,546 |
| BelbucaBuprenorphine Hcl | 40 | $40,161 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 349 | $11,133 |
| Morphine Sulfate ErMorphine Sulfate | 143 | $6,445 |
| Gabapentin | 183 | $3,733 |
| Buprenorphine Hcl | 52 | $3,208 |
| Buprenorphine | 14 | $2,891 |
| Fentanyl | 32 | $2,326 |
| Hydroxychloroquine Sulfate | 43 | $2,325 |
| Duloxetine Hcl | 49 | $1,713 |
| Naloxone Hcl | 15 | $1,047 |
| Baclofen | 66 | $1,024 |
| Oxycodone Hcl | 41 | $935 |
| Doxepin Hcl | 22 | $699 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Forte Bio-pharma LLCProlate | $1,120 | $49,54620 claims |
| Collegium Pharmaceutical, Inc.Belbuca | $293 | $40,16140 claims |
| Upsher-smith Laboratories LLCTopiramate | $13 | $7815 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 70th percentile of 77 pain medicine providers in Alabama.
Other pain medicine in Montgomery
- Casey LongMontgomery$9K
- Mathew WallaceMontgomery$407
- Christopher PaulBirmingham$64K
- Michael CosgroveHuntsville$25K
- Ron PitkanenMountain Brk$16K
- Elliott PenningtonDaphne$15K
- James ThackerHuntsville$13K
- Grant StoneMobile$11K
- Hayden HundleyDothan$11K
- Hugh MaddoxAnniston$10K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.