Negotiated price

Negotiated price for purposes of the Discount Program, means the price for a covered Part D drug that -
(1) The Part D sponsor (or other intermediary contracting organization) and the network dispensing pharmacy or other network dispensing provider have negotiated as the amount such network entity will receive, in total, for a particular drug;
(2) Is reduced by those discounts, direct or indirect subsidies, rebates, other price concessions, and direct or indirect remuneration that the Part D sponsor has elected to pass through to Part D enrollees at the point-of-sale; and
(3) Excludes any dispensing fee or vaccine administration fee for the applicable drug.

Source

42 CFR § 423.2305


Scoping language

As used in this subpart, unless otherwise specified -

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