definiens: shall mean the total consideration, including the gross amount invoiced to or received from Third Parties by Concurrent, its Affiliates and its permitted sublicensees for all Products sold after deduction for the following items ( i ) trade, quantity and cash discounts or rebates actually allowed, paid or taken ; ( ii ) credits, rebates, charge - back rebates, reimbursements or similar payments actually granted or given to wholesalers and other distributors, buying groups, health care insurance carriers, governmental agencies and other institutions ; ( iii ) credits or allowances actually granted or given for rejection or return of such Product previously sold ; ( iv ) any tax, tariff, duty or other governmental charge ( other than an income tax ) levied on the sale, transportation or delivery of Product and actually borne by Concurrent ; ( v ) payments or rebates actually paid in connection with state or federal Medicare, Medicaid or similar programs ; and ( vi ) any charge for freight or insurance actually borne by Concurrent