definiens: means the direct costs that are specifically identifiable to the sales andmarketing of a Product in the U.S. and that are compliant with U.S. federal regulations, including : ( a ) activities directed to theadvertising and marketing of a Product in the U.S. ; ( b ) professional education in the U.S. for U.S.-based professionals ( to theextent not performed by sales representatives ), including launch meetings ; ( c ) costs of advertising, public relations andmedical education agencies with respect to a Product in the U.S. ; ( d ) peer - to - peer activities with respect to a Product in theU.S., such as continuing medical education, grand rounds, and lunch and dinner meetings ; ( e ) speaker programs with respectto a Product in the U.S., including the training of such speakers ; ( f ) grants to support continuing medical education or research(excluding Clinical Costs ) ; ( g ) development, publication and dissemination of publications with respect to a Product in theU.S. ; ( h ) developing, obtaining and providing training with respect to a Product in the U.S., as well as training * Certain information on this page has been omitted and filed separately with the SEC . Confidential treatment has beenrequested with respect to the omitted portions