Glossary of Drug Pricing Terms Abbreviations
Acronym | Full Phrase |
AAC | Actual Acquisition Cost or Average Acquisition Cost |
ACA | Affordable Care Act |
AMP | Average Manufacturer Price |
ASP | Average Sales Price |
AWP | Average Wholesale Price or Any Willing Pharmacy |
BER | Brand Effective Rate |
CAHPS | Consumer Assessment of Healthcare Providers and Systems |
CBER | Center for Biologics Evaluation and Research |
CDER | Center for Drug Evaluation and Research |
CER | Comparative Effectiveness Research |
CMR | Comprehensive Medication Review (Part of MTM) |
CMS | Centers for Medicare & Medicaid Services |
COC | Certificate of Coverage |
DEA | Drug Enforcement Agency |
DIR | Direct and Indirect Remuneration |
DOL | Department of Labor |
DUR | Drug Utilization Review |
EDI | Electronic Data Interchange |
EOB | Explanation of Benefit |
ePA | Electronic Prior Authorization |
EPCS ERISA | Electronic Prescribing for Controlled Substances Employee Retirement Income Security Act |
FDA | Food and Drug Administration |
FFS | Fee-for-Service |
FSA | Flexible Spending Account |
GER | Generic Effective Rate |
GPI | Generic Product Identifier |
GPO | Group Purchasing Organization |
HDHP | High-Deductible Health Plan |
HEDIS | Healthcare Effectiveness Data and Information Set |
HIPAA | Health Insurance Portability and Accountability Act |
HRA | Health Reimbursement Arrangement |
HSA | Health Savings Account |
IRA | Inflation Reduction Act |
MAC | Maximum Allowable Cost |
MAF | Manufacturer Administrative Fee |
MA-PDP | Medicare Advantage-Prescription Drug Plan |
MCO | Managed Care Organization |
MDRP | Medicaid Drug Rebate Program |
MLR | Medical Loss Ratio |
MPR | Medication Possession Ratio |
MTM | Medication Therapy Management |
NADAC | National Average Drug Acquisition Cost |
NCPDP | National Council for Prescription Drug Programs |
NCQA | National Committee for Quality Assurance |
NDC | National Drug Code |
NPI | National Provider Identifier |
OOP | Out-of-Pocket |
OTC | Over-the-Counter |
P&T | Pharmacy and Therapeutics (as in P&T Committee) |
PA | Prior Authorization |
PBM | Pharmacy Benefit Manager |
PDP | Part D Prescription Drug Plan |
PCMH | Patient Centered Medical Health/Homes |
PCP | Primary Care Provider |
PHS | Public Health Service |
PHSA | Public Health Service Act |
PQA | Pharmacy Quality Alliance |
PSAO | Pharmacy Services Administrative Organizations |
QL | Quantity Limit |
QRS | Quality Rating System |
RFP | Request for Proposal |
RTBT | Real-Time Benefit Tools |
UM | Utilization Management |
URAC | Utilization Review Accreditation Commission |
WAC | Wholesale Acquisition Cost |