definiens: means : ( a ) trade discounts, trade credits or returns, recalls, chargebacks, rebates and prompt payment discounts, ( b ) transportation chargt:(s . and insurance expenses, ( c ) Medicare, Medicaid and managed care rebates, fees or refunds actually granted to health care organizations, governments and their agencies, purchasers and reimbursers, all of which are granted in the ordinary course ofBI 's business, ( d ) any government imposed fees, other than income taxes, required to permit manufacture, marketing, or sale of the Product in the Territory, such fees include, but are not limited to, establishment fees, submission review fees, and product registration fees, and ( e ) sales taxes, use taxes, duties and other similar taxes borne by BI, its Affiliates, Recognized Agents or permitted sublicensees provided, in each case, to the extent such items are actually included in the price charged to such Third Parties for the Product