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