The drugs and devices behind the most payments to doctors
Every product named in Sunshine Act reports, ranked by the total paid to clinicians in connection with it.
How to read this list. This ranks promotional and consulting spend attached to a product, not how good, how widely used, or how expensive that product is. A drug promoted to hundreds of thousands of physicians through meals will rank high on small payments repeated at enormous scale.
Ranked
| 1 | ARTHREX934 providers | $1,832,308,812 |
| 2 | COMIRNATY98,288 providers | $1,784,704,705 |
| 3 | Da Vinci Surgical System47,056 providers | $333,661,463 |
| 4 | TECENTRIQ10,733 providers | $321,817,535 |
| 5 | ATTUNE3,682 providers | $240,097,846 |
| 6 | IT VitE XLPE Liners0 providers | $204,176,412 |
| 7 | E113 providers | $199,646,755 |
| 8 | BOTOX65,305 providers | $198,465,550 |
| 9 | Persona6,008 providers | $190,839,559 |
| 10 | DUPIXENT82,131 providers | $185,680,178 |
| 11 | IMFINZI16,273 providers | $165,305,625 |
| 12 | ACCOLADE5,085 providers | $164,393,039 |
| 13 | DJO SURGICAL1,564 providers | $151,700,160 |
| 14 | GENERAL - THERAPIES21,840 providers | $140,892,720 |
| 15 | Entyvio28,739 providers | $131,462,283 |
| 16 | PLUVICTO11,816 providers | $130,118,222 |
| 17 | MAKO16,348 providers | $128,969,420 |
| 18 | VRAYLAR152,710 providers | $118,305,808 |
| 19 | LYBALVI38,596 providers | $106,508,479 |
| 20 | ARISTADA38,523 providers | $101,527,757 |
| 21 | OCREVUS7,597 providers | $94,997,518 |
| 22 | Ellipsys827 providers | $94,113,588 |
| 23 | Invisalign57,224 providers | $92,279,845 |
| 24 | JARDIANCE165,420 providers | $90,941,829 |
| 25 | Shoulder - Implants - Rotator Cuff - SwiveLocks1 providers | $89,457,457 |
| 26 | Tremfya53,024 providers | $87,152,271 |
| 27 | Rinvoq53,868 providers | $86,640,336 |
| 28 | TRIDENT1,763 providers | $85,464,673 |
| 29 | TRIATHLON7,535 providers | $82,381,558 |
| 30 | CD HORIZON SPINAL SYSTEM2,854 providers | $81,025,392 |
| 31 | UBRELVY137,638 providers | $80,058,608 |
| 32 | DAVINCI XI11,247 providers | $79,536,599 |
| 33 | Skyrizi52,619 providers | $72,003,708 |
| 34 | INGREZZA59,090 providers | $70,575,905 |
| 35 | XARELTO156,709 providers | $69,760,693 |
| 36 | VNS THERAPY SENTIVA MODEL 1000 GENERATOR5,387 providers | $69,234,605 |
| 37 | Ozempic171,298 providers | $69,207,104 |
| 38 | Rituxan3,435 providers | $67,484,938 |
| 39 | CERDELGA2,426 providers | $64,050,892 |
| 40 | PINNACLE485 providers | $63,226,344 |
| 41 | RECLAIM419 providers | $59,427,227 |
| 42 | FARXIGA143,382 providers | $58,095,134 |
| 43 | CD HORIZON1,632 providers | $57,913,064 |
| 44 | Perjeta4,492 providers | $55,614,868 |
| 45 | Herceptin1,049 providers | $54,964,023 |
| 46 | REXULTI105,433 providers | $54,503,115 |
| 47 | SHOULDER IMPLANTS SPEEDBRIDGE COMPOSITE ANCHORS124 providers | $52,506,411 |
| 48 | RYBELSUS150,288 providers | $52,305,741 |
| 49 | BOTOX COSMETIC9,287 providers | $52,057,631 |
| 50 | ALLODERM3,458 providers | $51,334,230 |
| 51 | Otezla96,853 providers | $50,631,249 |
| 52 | CAPLYTA72,636 providers | $50,238,937 |
| 53 | Journey II2,632 providers | $49,222,295 |
| 54 | SUMMIT116 providers | $47,784,235 |
| 55 | Repatha132,095 providers | $47,175,785 |
| 56 | MOUNJARO121,525 providers | $46,331,518 |
| 57 | AEQUALIS PERFORM2,488 providers | $46,061,410 |
| 58 | Avastin3,059 providers | $45,184,520 |
| 59 | Shoulder - Implants - Rotator Cuff - SPEEDBRIDGE1 providers | $44,728,729 |
| 60 | Knee & Hip - Implants - Knee Anchors - ACL Backup1 providers | $44,728,729 |
| 61 | Shoulder - Implants - Biceps - Swivelock Tenodesis1 providers | $44,728,729 |
| 62 | KEYTRUDA34,073 providers | $43,840,653 |
| 63 | Engage Partial Knee System329 providers | $43,572,057 |
| 64 | SHOULDER IMPLANTS SWIVELOCKS COMPOSITE ANCHORS43 providers | $43,461,508 |
| 65 | SHOULDER IMPLANTS PUSHLOCKS COMPOSITE ANCHORS10 providers | $43,205,933 |
| 66 | SHOULDER IMPLANTS SWIVELOCKS PEEK ANCHORS8 providers | $42,791,132 |
| 67 | Lapiplasty System6,615 providers | $42,301,411 |
| 68 | InPen4,186 providers | $42,053,590 |
| 69 | XIFAXAN93,514 providers | $41,873,258 |
| 70 | ACTIS2,816 providers | $39,594,007 |
| 71 | EVOS4,342 providers | $39,210,041 |
| 72 | QULIPTA109,452 providers | $38,925,201 |
| 73 | NA22,284 providers | $38,751,034 |
| 74 | Impella37,815 providers | $38,173,954 |
| 75 | NURTEC ODT134,739 providers | $37,883,944 |
| 76 | RELINE2,083 providers | $36,994,087 |
| 77 | NATRELLE SALINE-FILLED BREAST IMPLANTS8,866 providers | $36,148,260 |
| 78 | TRELEGY ELLIPTA98,219 providers | $35,924,411 |
| 79 | Kerendia102,537 providers | $35,717,867 |
| 80 | Edwards SAPIEN 3 Transcatheter Heart Valve14,282 providers | $35,714,887 |
| 81 | VONVENDI615 providers | $34,474,398 |
| 82 | Auvelity51,768 providers | $33,688,156 |
| 83 | KRYSTEXXA35,154 providers | $32,753,280 |
| 84 | TALTZ25,555 providers | $31,886,331 |
| 85 | Auryon Laser System 100-120 Vac5,403 providers | $31,850,718 |
| 86 | ELEKTA MEDICAL LINEAR ACCELERATOR647 providers | $31,795,216 |
| 87 | XOLAIR17,890 providers | $31,417,978 |
| 88 | NUCALA32,938 providers | $31,308,382 |
| 89 | INFINITY7,672 providers | $31,286,152 |
| 90 | Mavenclad7,338 providers | $31,251,268 |
| 91 | DISTAL EXTREMITIES IMPLANTS SOFT TISSUE ACHILLES53 providers | $31,249,313 |
| 92 | ACTHAR31,911 providers | $31,229,371 |
| 93 | EQUINOXE1,298 providers | $31,038,574 |
| 94 | Lutathera7,072 providers | $30,720,777 |
| 95 | SPRAVATO47,057 providers | $30,166,669 |
| 96 | BREZTRI87,308 providers | $29,932,232 |
| 97 | STELARA41,588 providers | $29,632,546 |
| 98 | FASENRA34,024 providers | $29,552,242 |
| 99 | Other - Miscellaneous2,182 providers | $28,365,510 |
| 100 | ELIQUIS142,788 providers | $28,319,086 |
| 101 | INVICTUS OPEN663 providers | $27,657,565 |
| 102 | LIBTAYO25,948 providers | $27,228,049 |
| 103 | EXPAREL38,364 providers | $27,006,445 |
| 104 | REUNION2,422 providers | $26,907,897 |
| 105 | Bimzelx22,270 providers | $26,781,795 |
| 106 | TRULICITY81,020 providers | $26,719,767 |
| 107 | VNS Therapy4,230 providers | $26,708,525 |
| 108 | Arsenal Degenerative17 providers | $26,563,747 |
| 109 | Knees-Subchondroplasty1 providers | $26,509,059 |
| 110 | COREVALVE EVOLUT R12,057 providers | $26,490,552 |
| 111 | SIGMA146 providers | $26,209,347 |
| 112 | AIRSUPRA80,952 providers | $25,987,030 |
| 113 | Wegovy119,615 providers | $25,962,654 |
| 114 | BIOHORIZONS11,198 providers | $25,612,139 |
| 115 | CT THROMBECTOMY SYSTEM KIT29,480 providers | $25,551,005 |
| 116 | AUSTEDO33,508 providers | $25,283,203 |
| 117 | Humira44,037 providers | $24,879,275 |
| 118 | OPDIVO17,048 providers | $24,549,634 |
| 119 | COSENTYX26,200 providers | $24,454,258 |
| 120 | LifeVest62,108 providers | $24,414,079 |
| 121 | FLOWTRIEVER CATHETER, S30,807 providers | $23,691,902 |
| 122 | CYTOFLEX4 providers | $23,654,772 |
| 123 | ATRICLIP LAA EXCLUSION SYSTEM10,898 providers | $23,576,134 |
| 124 | Kerecis Omega3 Marigen16,412 providers | $23,507,465 |
| 125 | NAVIOS42 providers | $23,419,352 |
| 126 | TEZSPIRE21,547 providers | $23,269,395 |
| 127 | UPLIZNA10,975 providers | $23,071,653 |
| 128 | Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter14,164 providers | $22,998,503 |
| 129 | Taperloc576 providers | $22,929,269 |
| 130 | EVENITY79,738 providers | $22,920,039 |
| 131 | ZEPOSIA21,460 providers | $22,895,351 |
| 132 | ACUMED3,376 providers | $22,820,207 |
| 133 | Invictus MIS644 providers | $22,618,432 |
| 134 | LYNPARZA25,876 providers | $22,475,888 |
| 135 | Carto 38,820 providers | $22,367,010 |
| 136 | DJO Surgical AltiVate Reverse552 providers | $22,195,217 |
| 137 | LENVIMA18,689 providers | $22,193,806 |
| 138 | IFUSE IMPLANT SYSTEM1,230 providers | $22,089,457 |
| 139 | Actemra4,886 providers | $22,039,912 |
| 140 | AIMOVIG61,629 providers | $21,790,493 |
| 141 | Precept33 providers | $21,701,602 |
| 142 | JUXTAPID1,667 providers | $21,467,830 |
| 143 | PREVENA19,622 providers | $21,421,114 |
| 144 | Epclusa12,725 providers | $21,415,045 |
| 145 | ARISTADA INITIO24,433 providers | $21,184,903 |
| 146 | Enhertu19,434 providers | $20,796,956 |
| 147 | NEXPLANON48,598 providers | $20,659,127 |
| 148 | Austedo XR40,387 providers | $20,613,338 |
| 149 | TEPEZZA20,664 providers | $20,260,233 |
| 150 | TRIGEN InterTAN2,801 providers | $20,250,975 |
| 151 | REAL INTELLIGENCE3,126 providers | $20,227,275 |
| 152 | XLIF3,177 providers | $19,998,156 |
| 153 | ABILIFY MAINTENA37,373 providers | $19,963,787 |
| 154 | INVEGA SUSTENNA32,547 providers | $19,917,288 |
| 155 | OPZELURA21,204 providers | $19,872,882 |
| 156 | ZEPBOUND97,317 providers | $19,787,596 |
| 157 | DOVATO9,966 providers | $19,473,026 |
| 158 | Nanoknife2,435 providers | $19,456,683 |
| 159 | InnovaMatrix AC7,011 providers | $19,389,665 |
| 160 | OASYS389 providers | $19,092,676 |
| 161 | ENTRESTO95,039 providers | $18,922,351 |
| 162 | SIMPONI ARIA30,457 providers | $18,912,502 |
| 163 | NUPLAZID19,328 providers | $18,842,427 |
| 164 | ENROUTE Transcarotid Neuroprotection System10,296 providers | $18,804,474 |
| 165 | UPTRAVI26,325 providers | $18,632,721 |
| 166 | Omnipod17,324 providers | $18,597,520 |
| 167 | Q-FIX2,619 providers | $18,455,719 |
| 168 | Acuvue24,848 providers | $18,414,839 |
| 169 | CoreValve Evolut7,489 providers | $18,322,350 |
| 170 | Kerecis Omega3 SurgiClose17,132 providers | $18,321,594 |
| 171 | REZDIFFRA20,116 providers | $18,208,932 |
| 172 | HOFFMANN7,090 providers | $18,097,429 |
| 173 | Vascepa67,892 providers | $18,041,394 |
| 174 | G71,301 providers | $17,993,295 |
| 175 | OPSUMIT27,736 providers | $17,895,067 |
| 176 | Mavyret28,076 providers | $17,493,585 |
| 177 | EXPEDIUM2,104 providers | $17,474,220 |
| 178 | Brigade124 providers | $17,435,563 |
| 179 | Prolia78,091 providers | $17,293,219 |
| 180 | Indigo System12,515 providers | $17,190,063 |
| 181 | ULTOMIRIS29,460 providers | $17,004,872 |
| 182 | EVEREST SPINAL SYSTEM2,869 providers | $16,967,198 |
| 183 | VTAMA16,503 providers | $16,775,337 |
| 184 | OFEV26,227 providers | $16,762,367 |
| 185 | Erleada23,404 providers | $16,750,045 |
| 186 | SHOULDER IMPLANTS FIBERTAK KNOTLESS231 providers | $16,671,263 |
| 187 | VERQUVO44,112 providers | $16,635,407 |
| 188 | XTANDI23,553 providers | $16,630,632 |
| 189 | RIGIDLOOP865 providers | $16,611,948 |
| 190 | Cabometyx10,466 providers | $16,609,868 |
| 191 | BASE256 providers | $16,603,000 |
| 192 | Intracept10,265 providers | $16,566,749 |
| 193 | Korlym31,551 providers | $16,535,633 |
| 194 | Orilissa27,997 providers | $16,521,302 |
| 195 | Modulus1,184 providers | $16,214,846 |
| 196 | SQ RX PULSE GENERATOR831 providers | $16,181,746 |
| 197 | Sotyktu17,460 providers | $16,138,986 |
| 198 | QELBREE37,973 providers | $16,058,904 |
| 199 | Avenir2,081 providers | $16,049,330 |
| 200 | JAKAFI15,079 providers | $16,041,425 |
| 201 | INVEGA TRINZA19,357 providers | $16,031,307 |
| 202 | Illico10 providers | $16,010,998 |
| 203 | Arcos1,107 providers | $15,958,908 |
| 204 | VOQUEZNA52,266 providers | $15,921,345 |
| 205 | ACCESS 268 providers | $15,912,764 |
| 206 | UNICEL DXI ACCESS105 providers | $15,875,474 |
| 207 | DISTAL EXTREMITIES IMPLANTS SOFT TISSUE TENODESIS7 providers | $15,776,701 |
| 208 | Polaris S.S. Spinal System24 providers | $15,729,251 |
| 209 | INTEGRA20,312 providers | $15,706,214 |
| 210 | ROSA4,188 providers | $15,514,948 |
| 211 | ARTHROPLASTY IMPLANTS SHOULDER ARTHROPLASTY & FRACTURE REVERS100 providers | $15,428,786 |
| 212 | AEQUALIS831 providers | $15,422,127 |
| 213 | XIIDRA27,725 providers | $15,280,952 |
| 214 | Kerecis SurgiClose9,650 providers | $15,230,118 |
| 215 | Zodiac6 providers | $15,192,774 |
| 216 | OCALIVA16,863 providers | $15,130,940 |
| 217 | LINZESS66,122 providers | $15,053,824 |
| 218 | Trabecular Metal (TM)817 providers | $15,042,141 |
| 219 | UZEDY21,966 providers | $14,888,236 |
| 220 | RXSIGHT CONTACT LENS8,545 providers | $14,871,886 |
| 221 | RXSIGHT INJECTOR CARTRIDGE8,545 providers | $14,871,886 |
| 222 | RXSIGHT INJECTOR HANDPIECE8,545 providers | $14,871,886 |
| 223 | RXSIGHT LIGHT DELIVERY DEVICE (LDD)8,545 providers | $14,871,886 |
| 224 | AREXVY71,229 providers | $14,871,831 |
| 225 | PIVOX Oblique Lateral Spinal System1,571 providers | $14,869,618 |
| 226 | PROCLAIM24,347 providers | $14,811,931 |
| 227 | TAGRISSO12,055 providers | $14,769,692 |
| 228 | SIR-Spheres Microspheres4,751 providers | $14,693,786 |
| 229 | TITAN6,143 providers | $14,673,172 |
| 230 | Lucentis2,616 providers | $14,619,576 |
| 231 | Creon49,774 providers | $14,613,995 |
| 232 | TRITANIUM3,335 providers | $14,473,834 |
| 233 | XELJANZ19,075 providers | $14,460,844 |
| 234 | CALQUENCE10,206 providers | $14,370,047 |
| 235 | AQUIOS4 providers | $14,335,683 |
| 236 | Cytomics FC5001 providers | $14,335,087 |
| 237 | Vanguard120 providers | $14,172,862 |
| 238 | ALIF1,695 providers | $14,152,078 |
| 239 | Geminus2,288 providers | $14,063,423 |
| 240 | BRIUMVI5,921 providers | $14,062,956 |
| 241 | Align2,289 providers | $14,049,965 |
| 242 | IJS2,289 providers | $14,026,490 |
| 243 | LOKELMA31,668 providers | $14,000,527 |
| 244 | CIBINQO20,595 providers | $13,932,228 |
| 245 | TYSABRI9,446 providers | $13,928,097 |
| 246 | XEOMIN23,097 providers | $13,872,946 |
| 247 | ILUMYA16,433 providers | $13,869,158 |
| 248 | COBENFY24,179 providers | $13,795,104 |
| 249 | XYWAV11,408 providers | $13,737,421 |
| 250 | Oxford-Knees214 providers | $13,694,237 |