definiens: means with respect to a Licensed Product, the gross amount invoiced by PFIZER, its Affiliates and its sublicensees of such License d Product to Third Parties, less, without duplicati on, ( i ) bad debts related to such Licensed Product and ( ii ) sal es returns and allowances actually paid, granted or accrued, including, trade, quantity and cash discounts and a ny other adjustments, including, those granted on a ccount of price adjustments, billing errors, rejected goods, damaged or defective goods, recalls, returns, rebat es, chargeback rebates, reimbursements or similar payme nts granted or given to wholesalers or other distri butors, buying groups, health care insurance carriers or ot her institutions, adjustments arising from consumer discount programs or other similar programs, customs or exci se duties, sales tax, consumption tax, value added tax, and other taxes ( except income taxes ) or duties relatin g to sales, any reductions of payment in respect of sales to the United States government, any state government or a ny foreign government, or to any other Governmental Authority, or with respect to any government - subsid ized program or managed care organization ( provided that any reductions, discounts or adjustments that apply collectively to multiple products shall be allocat ed pro rata to the amounts invoiced for Licensed Products ), and fr eight and insurance ( to the extent that PFIZER bear s the cost of freight and insurance for a Licensed Product ) . N et Sales shall be determined from books and records maintained in accordance with generally acceptable accounting principles in the United States, as cons istently applied by PFIZER with respect to sales of all its pharmaceutical or biologic products