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Investor Presentaiton

Term Appendix A: Glossary of Terms 340B pharmacy program Actual acquisition cost Administrative Fee Average wholesale price Brand Drug Clawback Coordinated Care Organization (CCO) Department of Consumer and Business Services (DCBS) Definition A federal program requiring drug manufacturers participating in Medicaid to provide outpatient drugs to covered entities at significantly reduced prices. State Medicaid agencies are prohibited from billing manufacturers for Medicaid rebates for drugs dispensed to Medicaid patients that have already been discounted under the 340B Program. Actual acquisition cost is the state Medicaid agency's determination of pharmacy providers' actual prices paid to acquire drug products marketed or sold by a specific manufacturer and is the current Medicaid benchmark to set payment for drug ingredients. Administrative and service fees charged by pharmacy benefit managers to manufacturers and to plan sponsors. These fees are typically a percentage of the list (wholesale acquisition cost) price of a medicine. The published list price for a drug sold by wholesalers to retail pharmacies and nonretail providers. It is akin to a sticker price and used as a starting point for negotiation for payments to retail pharmacies. Branded products are not generic drugs or products. A brand can be an innovator (first-in-class) or not. It is protected by a patent or has an expired patent. A contractual provision that reclaims money already paid out. As applied to independent pharmacies, clawback clauses appear in many pharmacy benefit manager contracts in the form of direct and indirect remuneration fees, as well as generic effective rate and brand effective rate post-adjudication recoupments. A network of all types of health care providers (physical, behavioral, and dental care providers) who work together in their local communities to serve people who receive coverage under Medicaid. CCOs focus on prevention and helping people manage chronic conditions. Oregon's largest business regulatory and consumer protection agency. The department administers state laws and rules to protect consumers and workers in the areas of workers' compensation, occupational safety and health, financial services, insurance and building codes. The department serves as an integrated umbrella agency over most state functions affecting businesses in order to improve efficiency and effectiveness. Oregon Secretary of State | Report 2023-25 | August 2023 | page 36
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