EDUCATION

Glossary

The Glossary is an educational tool to help people understand the different aspects of product functionality and domain terminology.

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Acquisition Cost

is the price that a certain Covered Entity or Pharmacy pays to purchase or acquire the drug.

Adjustment Date

is the date on which the Inventory Stock was adjusted.

Average Inventory

indicates the average quantity of inventory on hand during a specific period.

AWP

Average Wholesale Price is a benchmark used to provide a reference point for the pricing of prescription drugs. AWP represents the average price at which wholesalers purchase drugs from manufacturers.

Balance On Hand

(BOH) refers to the actual quantity of drugs currently in inventory stock.

BOH Change

denotes the adjustment to the inventory that results in a change to the balance on hand.

Covered Entity Program Income

represents the income earned by the Covered Entity during the period in question. It equals the total Covered Entity revenue minus the total Covered Entity expense.

Current Balance on Hand

indicates the current quantity of drugs in the chosen inventory group of the pharmacy and covered entity.

Days on Hand

indicator shows the average time it takes to dispense an NDC’S inventory within the inventory group.

Distributor Name

is the name of the company that supplies drugs to Pharmacies and Covered Entities from Manufacturers.

End Balance

shows the number of drug units in the inventory at the end of the selected period.

Gross Profit

is the amount of money Covered Entity makes after considering all the costs associated with selling the products.

Inventory Group

is a “bucket” of drugs associated with a single Covered Entity that a Pharmacy may dispense to the Patients it serves.

Inventory Stock

refers to the quantity of NDC within a specific inventory group

Labeler Name

is any firm that manufactures (including repackers or relabelers) or distributes (under its own name) the NDC.

NDC

(National Drug Code) is a unique, three-segment number, separated by hyphens (Labeler Code – Product Code – Package Code), which serves as a universal product identifier for drugs.

Net Subsidized Program Expenses

are the amount of copay that some Covered Entities pay for patients.

New BOH

indicates the number of units of a particular drug in an inventory group after the adjustment.

New Patients

is the number of new unique patients who had their first-ever fill during a specific period.

New Rx

shows the count of Rxs that are not refills, i.e., the very first fill for a prescription.

Other Payments

encompass copayments contributed by auxiliary insurance providers and the patients themselves.

Payer

is the Insurance entity that covers the price of prescription drugs

Payer Paid Amount

represents the total sum approved by the insurer during adjudication.

PBM

Pharmacy Benefit Manager is a third-party entity that acts as intermediaries between health plan sponsors, pharmacies, and pharmaceutical manufacturers, helping to ensure cost-effective and efficient access to prescription medications for plan members.

Pharmacy Dispensing / TPA Fees

are an amount charged to a Covered Entity each time a covered drug is dispensed by filling a prescription.

Primary Payer BIN

bank identification number on the health insurance card) is the first insurance provider to receive the prescription claim.

Prior BOH

indicates the number of units of a particular drug in an inventory group before the adjustment.

Proprietary Name

is the name of the drug chosen by the labeler/manufacturer.

Provider

is a person who is trained and licensed to give health care. Also, a place that is licensed to give health care. Doctors, nurses, and hospitals are examples of healthcare providers.

Purchase Frequency

is a measurement of how often a Covered Entity or Pharmacy purchases a drug from a distributor/wholesaler.

Reason for Adjustment

is a description of the reason for the inventory adjustment.

Rebate

A financial incentive offered by a pharmaceutical manufacturer, rebates is a percentage of the medication’s list price. Rebates are used to reduce the overall cost of medications for payers.

Revenue

is a price that includes any payments by insurance companies or patients.

Start Balance

indicates the number of drug units in the inventory at the beginning of the selected period.

Stock In

is the number of drug units added to the inventory during the selected period.

Stock Out

is the number of drug units removed from the inventory during the selected period.

The Inventory Adjustment Type

describes the type of adjustment made to inventory. There are several different forms of adjustments, including returns, dispensed, received, correcting, manual, verify, replace, inventory, expired, and multiple. The multiple adjustment type denotes the potential for two or more adjustment types, such as manual, corrective, and return.

Therapeutic Class

is a grouping of medications by the pathology they are used to treat.

Total Rx

shows the total count of Rx prescriptions. This includes the initial fill and subsequent refills.

Unique Patients

are the number of patients that filled out a prescription during the selected period.

WAC

The Wholesale Acquisition Cost, is a pricing benchmark used to represent the manufacturer’s list price for a medication when sold to wholesalers, pharmacies, or other large purchasers.