definiens: means ( a ) the fees and discounts provided to wholesalers t o the extent they relate to any program pertaining to Pro duct, including, without limitation, trade and cash discounts and, as evidenced in the form of receipte d invoices or other reasonable evidence thereof, to distribute Product to patients or hospitals, ( b ) rebates charg ed by state authorities for the scripts relating to Product purchased for their Medicaid patients as evidenced in the form of written acknowledgement from Medicai d of such rebate and payment of such and supported by Pr estwick ’s Medicaid reconciliation, ( c ) discounts gi ven to the federal government for their purchases of Produ ct evidenced in the form of receipted invoices, ( d ) fees and discounts provided to specialty pharmacy distributo rs to the extent they relate to any program pertain ing to Product, including, without limitation, trade and c ash discounts and, as evidenced in the fo rm of receipted invoices or other reasonable evidence the reof, to distribute Product to patients or hospital s, ( e ) the fees associated with any patient assistance program pert aining to Product that have been agreed to with Lic ensor in the Cambridge Amendment, including, without limitat ion, agreed cost of goods and agreed administrative fees associated with such programs and ( f ) the fees asso ciated with any co - pay assistance programs pertaini ng to Product that have been agreed to by 3 Licensor in the Cambridge Amendment, including with out limitation, agreed administrative fees associat ed with such program, provided, the above shall be subject to modification as provided in the Marketing Plan a ttached hereto as Schedule 1.39