definiens: means, for any period and for any country in the Territory, the total aggregate amount billed duringsuch period in such country by MedCo, its Affiliates and its Sublicensees in such country for all sales of the Licensed Productsto Third Parties ( other than to a Sublicensee of MedCo or its Affiliates ) after deducting, if not previously deducted, from theamount invoiced or received, the following deductions to the extent actually applied or taken with respect to such sales ofLicensed Products:(a ) discounts ( including trade, cash and quantity discounts ), cash and non - cash coupons, charge back payments andrebates granted to managed health care organizations or to federal, state and local governments, their agencies, and purchasersand reimbursers or to customers ; CERTAIN CONFIDENTIAL PORTIONS OF THIS EXHIBIT WERE OMITTED AND REPLACED WITH . ACOMPLETE VERSION OF THIS EXHIBIT HAS BEEN FILED SEPARATELY WITH THE SECRETARY OF THESECURITIES AND EXCHANGE COMMISSION PURSUANT TO AN APPLICATION REQUESTING CONFIDENTIALTREATMENT UNDER RULE 24b-2 OF THE SECURITIES EXCHANGE ACT OF 1934