Glossary of Drug Pricing Terms Abbreviations

AcronymFull Phrase
AACActual Acquisition Cost or Average Acquisition Cost
ACAAffordable Care Act
AMPAverage Manufacturer Price
ASPAverage Sales Price
AWPAverage Wholesale Price or Any Willing Pharmacy
BERBrand Effective Rate
CAHPS
Consumer Assessment of Healthcare Providers and Systems
CBERCenter for Biologics Evaluation and Research
CDERCenter for Drug Evaluation and Research
CERComparative Effectiveness Research
CMRComprehensive Medication Review (Part of MTM)
CMSCenters for Medicare & Medicaid Services
COCCertificate of Coverage
DEADrug Enforcement Agency
DIRDirect and Indirect Remuneration
DOLDepartment of Labor
DURDrug Utilization Review
EDIElectronic Data Interchange
EOBExplanation of Benefit
ePAElectronic Prior Authorization
EPCS ERISA
Electronic Prescribing for Controlled Substances Employee Retirement Income Security Act
FDAFood and Drug Administration
FFSFee-for-Service
FSAFlexible Spending Account
GERGeneric Effective Rate
GPIGeneric Product Identifier
GPOGroup Purchasing Organization
HDHPHigh-Deductible Health Plan
HEDISHealthcare Effectiveness Data and Information Set
HIPAAHealth Insurance Portability and Accountability Act
HRAHealth Reimbursement Arrangement
HSAHealth Savings Account
IRAInflation Reduction Act
MACMaximum Allowable Cost
MAFManufacturer Administrative Fee
MA-PDPMedicare Advantage-Prescription Drug Plan
MCOManaged Care Organization
MDRPMedicaid Drug Rebate Program
MLRMedical Loss Ratio
MPRMedication Possession Ratio
MTMMedication Therapy Management
NADACNational Average Drug Acquisition Cost
NCPDPNational Council for Prescription Drug Programs
NCQANational Committee for Quality Assurance
NDCNational Drug Code
NPINational Provider Identifier
OOPOut-of-Pocket
OTCOver-the-Counter
P&TPharmacy and Therapeutics (as in P&T Committee)
PAPrior Authorization
PBMPharmacy Benefit Manager
PDPPart D Prescription Drug Plan
PCMHPatient Centered Medical Health/Homes
PCPPrimary Care Provider
PHSPublic Health Service
PHSAPublic Health Service Act
PQAPharmacy Quality Alliance
PSAOPharmacy Services Administrative Organizations
QLQuantity Limit
QRSQuality Rating System
RFPRequest for Proposal
RTBTReal-Time Benefit Tools
UMUtilization Management
URACUtilization Review Accreditation Commission
WACWholesale Acquisition Cost