definiens: means with respect to sales of a Product by Buyer, and its Affiliates and/or licensees, sublicensees, distributorsor other agents, the amount of gross sales ( in dollars or other currencies ) for such Product, reduced by the sum of thefollowing items relating to such sales that are actually given to or taken by, as applicable, Buyer and its Affiliates, licensees, sublicensees, distributors or other agents, to the extent such deductions are accrued and recognized under and in accordancewith GAAP ( or other internationally recognized accounting standard in use by Buyer ): ( a ) trade, quantity and cash discounts ; ( b ) adjustments for price adjustments, billing errors, rejected goods, returns, product recalls and damaged goods(excluding goods damaged while under the control of Buyer or its Affiliates or their respective licensees, sub - licensees, ordistributors ) ; ( c ) credits, charge - backs, reimbursements, and similar payments provided to wholesalers and other distributors, buyinggroups, health care insurance carriers, pharmacy benefit management companies, health maintenance organizations, otherinstitutions or health care organizations or other customers ; ( d ) rebates or other price reductions provided to any Regulatory Authority with respect to any state or federal Medicare, Medicaid or similar programs ; ( e ) any invoiced charge for freight, insurance, handling, or other transportation costs directly related to delivery of theProducts ; ( f ) distributor fees per Contract based solely as a percentage of gross sales and ( g ) Taxes that are in the nature of tariffs, duties, excise, sales, use or value - added Taxes;provided, however, that the foregoing deductions shall only be deducted once and only to the extent not otherwise deductedfrom gross sales