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Dr. Mitchell Todd Forman

NPI1639244486
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Note

The following payment details are based on a national transparency program known as the Sunshine Act that collects and publishes information about financial relationships between the health care industry (i.e. drug and device manufactures) and providers. These relationships may involve payment to providers for things such as research, speaking engagment, travel, gifts etc. Not all of these payment involve monetary compensations and may include batering of drugs or devices.

Total Payment Worth

$1,438.14
from 90 payments in the last 6 years

Total Cash or Cash Equivalent

$0.00
from 0 payments in the last 6 years

Total In-kind Items & Services

$1,438.14
from 90 payments in the last 6 years

Nature of Payments

Last 6 Years
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Yearly Breakdown

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Payment Details

Date Payment Type Form of Payment Item/Service Payment Amount
10/05/2021 General (Non-Research) In-kind items and services Food and Beverage $22.00 Details
Payment from Genentech USA, Inc.
Payment Record ID 835954031
02/15/2021 General (Non-Research) In-kind items and services Food and Beverage $20.25 Details
Payment from Genentech USA, Inc.
Payment Record ID 835954027
11/19/2021 General (Non-Research) In-kind items and services Food and Beverage $14.67 Details
Payment from Genentech USA, Inc.
Payment Record ID 835954025
04/30/2021 General (Non-Research) In-kind items and services Food and Beverage $19.79 Details
Payment from AbbVie Inc.
Payment Record ID 794494649
03/05/2020 General (Non-Research) In-kind items and services Food and Beverage $13.17 Details
Payment from Genentech USA, Inc.
Payment Record ID 743066611
02/26/2020 General (Non-Research) In-kind items and services Food and Beverage $16.47 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 736273331
12/16/2019 General (Non-Research) In-kind items and services Food and Beverage $15.32 Details
Payment from Genentech USA, Inc.
Payment Record ID 708855523
11/30/2018 General (Non-Research) In-kind items and services Food and Beverage $14.97 Details
Payment from Genentech USA, Inc.
Payment Record ID 708826177
12/28/2018 General (Non-Research) In-kind items and services Food and Beverage $18.54 Details
Payment from Genentech USA, Inc.
Payment Record ID 708818911
10/11/2019 General (Non-Research) In-kind items and services Food and Beverage $16.78 Details
Payment from EUSA Pharma (US) LLC
Payment Record ID 707748357
09/21/2019 General (Non-Research) In-kind items and services Food and Beverage $10.98 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 685931365
05/20/2019 General (Non-Research) In-kind items and services Food and Beverage $11.65 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 685786343
02/21/2019 General (Non-Research) In-kind items and services Food and Beverage $15.81 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 685760317
01/09/2019 General (Non-Research) In-kind items and services Food and Beverage $16.40 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 685653737
01/28/2019 General (Non-Research) In-kind items and services Food and Beverage $22.07 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 685334325
03/20/2019 General (Non-Research) In-kind items and services Food and Beverage $11.66 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 685116121
06/24/2019 General (Non-Research) In-kind items and services Food and Beverage $16.80 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 685101507
01/22/2019 General (Non-Research) In-kind items and services Food and Beverage $16.17 Details
Payment from Genentech USA, Inc.
Payment Record ID 681322729
02/11/2019 General (Non-Research) In-kind items and services Food and Beverage $12.85 Details
Payment from GlaxoSmithKline, LLC.
Payment Record ID 671551751
04/03/2019 General (Non-Research) In-kind items and services Food and Beverage $14.01 Details
Payment from GlaxoSmithKline, LLC.
Payment Record ID 671469951
03/13/2019 General (Non-Research) In-kind items and services Food and Beverage $15.20 Details
Payment from GlaxoSmithKline, LLC.
Payment Record ID 670998089
08/26/2019 General (Non-Research) In-kind items and services Food and Beverage $12.38 Details
Payment from GlaxoSmithKline, LLC.
Payment Record ID 670219479
12/12/2018 General (Non-Research) In-kind items and services Food and Beverage $17.35 Details
Payment from GlaxoSmithKline, LLC.
Payment Record ID 596608733
11/13/2018 General (Non-Research) In-kind items and services Food and Beverage $15.40 Details
Payment from GlaxoSmithKline, LLC.
Payment Record ID 596456461
10/16/2018 General (Non-Research) In-kind items and services Food and Beverage $16.22 Details
Payment from GlaxoSmithKline, LLC.
Payment Record ID 596252705
09/13/2018 General (Non-Research) In-kind items and services Food and Beverage $14.14 Details
Payment from GlaxoSmithKline, LLC.
Payment Record ID 595896419
08/27/2018 General (Non-Research) In-kind items and services Food and Beverage $22.45 Details
Payment from GlaxoSmithKline, LLC.
Payment Record ID 595739161
07/30/2018 General (Non-Research) In-kind items and services Food and Beverage $18.74 Details
Payment from GlaxoSmithKline, LLC.
Payment Record ID 595411677
07/20/2018 General (Non-Research) In-kind items and services Food and Beverage $16.91 Details
Payment from GlaxoSmithKline, LLC.
Payment Record ID 595239887
06/01/2018 General (Non-Research) In-kind items and services Food and Beverage $17.06 Details
Payment from GlaxoSmithKline, LLC.
Payment Record ID 594552625
05/03/2018 General (Non-Research) In-kind items and services Food and Beverage $16.61 Details
Payment from GlaxoSmithKline, LLC.
Payment Record ID 594256357
02/22/2018 General (Non-Research) In-kind items and services Food and Beverage $13.66 Details
Payment from GlaxoSmithKline, LLC.
Payment Record ID 594058949
01/25/2018 General (Non-Research) In-kind items and services Food and Beverage $18.60 Details
Payment from GlaxoSmithKline, LLC.
Payment Record ID 594047462
03/21/2018 General (Non-Research) In-kind items and services Food and Beverage $14.92 Details
Payment from GlaxoSmithKline, LLC.
Payment Record ID 593547829
05/25/2018 General (Non-Research) In-kind items and services Food and Beverage $19.69 Details
Payment from AbbVie, Inc.
Payment Record ID 570986389
02/12/2018 General (Non-Research) In-kind items and services Food and Beverage $18.21 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 562057063
02/26/2018 General (Non-Research) In-kind items and services Food and Beverage $15.41 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 561722383
05/14/2018 General (Non-Research) In-kind items and services Food and Beverage $11.78 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 560530903
07/16/2018 General (Non-Research) In-kind items and services Food and Beverage $19.57 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 560361025
06/04/2018 General (Non-Research) In-kind items and services Food and Beverage $19.74 Details
Payment from ARBOR PHARMACEUTICALS, INC.
Payment Record ID 560148191
08/16/2018 General (Non-Research) In-kind items and services Food and Beverage $18.05 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 560087473
08/27/2018 General (Non-Research) In-kind items and services Food and Beverage $19.85 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 559755895
01/12/2018 General (Non-Research) In-kind items and services Food and Beverage $13.62 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 559674709
05/12/2017 General (Non-Research) In-kind items and services Food and Beverage $22.64 Details
Payment from Egalet US Inc
Payment Record ID 501581089
10/12/2017 General (Non-Research) In-kind items and services Food and Beverage $12.02 Details
Payment from Vertical Pharmaceuticals, LLC
Payment Record ID 489453565
08/25/2017 General (Non-Research) In-kind items and services Food and Beverage $12.58 Details
Payment from Vertical Pharmaceuticals, LLC
Payment Record ID 489453561
05/05/2017 General (Non-Research) In-kind items and services Food and Beverage $14.97 Details
Payment from Vertical Pharmaceuticals, LLC
Payment Record ID 489453553
12/04/2017 General (Non-Research) In-kind items and services Food and Beverage $13.07 Details
Payment from GlaxoSmithKline, LLC.
Payment Record ID 478753617
10/18/2017 General (Non-Research) In-kind items and services Food and Beverage $12.38 Details
Payment from GlaxoSmithKline, LLC.
Payment Record ID 478753615
11/06/2017 General (Non-Research) In-kind items and services Food and Beverage $17.23 Details
Payment from GlaxoSmithKline, LLC.
Payment Record ID 478753613
09/05/2017 General (Non-Research) In-kind items and services Food and Beverage $15.54 Details
Payment from GlaxoSmithKline, LLC.
Payment Record ID 478753611
08/08/2017 General (Non-Research) In-kind items and services Food and Beverage $16.34 Details
Payment from GlaxoSmithKline, LLC.
Payment Record ID 478753609
05/15/2017 General (Non-Research) In-kind items and services Food and Beverage $15.11 Details
Payment from GlaxoSmithKline, LLC.
Payment Record ID 478753607
06/09/2017 General (Non-Research) In-kind items and services Food and Beverage $16.13 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 446363143
02/06/2017 General (Non-Research) In-kind items and services Food and Beverage $16.04 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 446163613
03/24/2017 General (Non-Research) In-kind items and services Food and Beverage $12.84 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 446146989
01/18/2017 General (Non-Research) In-kind items and services Food and Beverage $18.86 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 445959711
08/14/2017 General (Non-Research) In-kind items and services Food and Beverage $16.12 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 445789309
12/04/2017 General (Non-Research) In-kind items and services Food and Beverage $13.85 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 445768999
04/12/2017 General (Non-Research) In-kind items and services Food and Beverage $4.14 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 445631949
03/27/2017 General (Non-Research) In-kind items and services Food and Beverage $15.99 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 445518483
10/11/2017 General (Non-Research) In-kind items and services Food and Beverage $13.87 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 445488709
01/27/2017 General (Non-Research) In-kind items and services Food and Beverage $11.28 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 445379919
05/30/2017 General (Non-Research) In-kind items and services Food and Beverage $12.80 Details
Payment from Mission Pharmacal Company
Payment Record ID 423126717
09/26/2016 General (Non-Research) In-kind items and services Food and Beverage $11.64 Details
Payment from Vertical Pharmaceuticals, LLC
Payment Record ID 418754455
09/14/2016 General (Non-Research) In-kind items and services Food and Beverage $14.16 Details
Payment from Vertical Pharmaceuticals, LLC
Payment Record ID 418754451
08/09/2016 General (Non-Research) In-kind items and services Food and Beverage $14.16 Details
Payment from Vertical Pharmaceuticals, LLC
Payment Record ID 418754447
08/03/2016 General (Non-Research) In-kind items and services Food and Beverage $20.64 Details
Payment from Vertical Pharmaceuticals, LLC
Payment Record ID 418754445
07/06/2016 General (Non-Research) In-kind items and services Food and Beverage $10.20 Details
Payment from Vertical Pharmaceuticals, LLC
Payment Record ID 418754441
05/25/2016 General (Non-Research) In-kind items and services Food and Beverage $14.98 Details
Payment from Vertical Pharmaceuticals, LLC
Payment Record ID 418754437
03/16/2016 General (Non-Research) In-kind items and services Food and Beverage $16.71 Details
Payment from Vertical Pharmaceuticals, LLC
Payment Record ID 418754433
08/08/2016 General (Non-Research) In-kind items and services Food and Beverage $18.26 Details
Payment from Iroko Pharmaceuticals, LLC
Payment Record ID 417341213
03/04/2016 General (Non-Research) In-kind items and services Food and Beverage $23.61 Details
Payment from Lupin Pharmaceuticals, Inc
Payment Record ID 415037669
10/26/2016 General (Non-Research) In-kind items and services Food and Beverage $12.92 Details
Payment from Teva Pharmaceuticals USA, Inc.
Payment Record ID 414450013
10/17/2016 General (Non-Research) In-kind items and services Food and Beverage $16.18 Details
Payment from Teva Pharmaceuticals USA, Inc.
Payment Record ID 414450011
04/08/2016 General (Non-Research) In-kind items and services Food and Beverage $18.55 Details
Payment from AbbVie, Inc.
Payment Record ID 397230044
08/12/2016 General (Non-Research) In-kind items and services Food and Beverage $13.64 Details
Payment from GlaxoSmithKline, LLC.
Payment Record ID 386377088
04/11/2016 General (Non-Research) In-kind items and services Food and Beverage $14.73 Details
Payment from GlaxoSmithKline, LLC.
Payment Record ID 386377082
07/18/2016 General (Non-Research) In-kind items and services Food and Beverage $20.97 Details
Payment from Lilly USA, LLC
Payment Record ID 385651334
06/01/2016 General (Non-Research) In-kind items and services Food and Beverage $24.71 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 363277146
08/16/2016 General (Non-Research) In-kind items and services Food and Beverage $14.39 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 363202978
10/19/2016 General (Non-Research) In-kind items and services Food and Beverage $16.02 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 363194206
07/19/2016 General (Non-Research) In-kind items and services Food and Beverage $12.15 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 363152842
03/10/2016 General (Non-Research) In-kind items and services Food and Beverage $23.35 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 363127486
10/19/2016 General (Non-Research) In-kind items and services Food and Beverage $0.79 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 363092976
04/18/2016 General (Non-Research) In-kind items and services Food and Beverage $22.06 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 363044572
02/01/2016 General (Non-Research) In-kind items and services Food and Beverage $21.53 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 362704334
10/28/2016 General (Non-Research) In-kind items and services Food and Beverage $21.13 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 362419330
08/22/2016 General (Non-Research) In-kind items and services Food and Beverage $16.92 Details
Payment from AstraZeneca Pharmaceuticals LP
Payment Record ID 362377182
09/04/2016 General (Non-Research) In-kind items and services Food and Beverage $14.02 Details
Payment from Mission Pharmacal Company
Payment Record ID 346121656
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