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GLOSSARY OF TERMS


AWPAverage Wholesale Price
BENEBeneficiaries
BPIBureau of Program Integrity
BPOABureau of Professional & Occupational Affairs
CFRCode of Federal Regulations
CMSCenter for Medicare and Medicaid Services
DAWDispense as Written
DEADrug Enforcement Agency
DESIDrug Product Efficacy Study and Implementation
DOJDepartment of Justice
DOSDate of Service
DPDirect Price
DPWDepartment of Public Welfare
DURDrug Utilization Review
EDIElectronic Data Interchange
EPHIElectronic Protected Health Information
ERISAEmployee Retirement Income Security Act
FBIFederal Bureau of Investigation
FDAFood & Drug Administration
FDBFirst DataBank
FTPFile Transfer Protocol
FULFull Upper Limit (formerly HCFA MAC)
FWAFraud, Waste & Abuse
GCNGeneric Code Number
GNIGeneric Named Drug Indicator
GPIGeneric Price Indicator
HIPAAHealth Insurance Portability & Accountability Act
ITInformation Technology
LLCLimited Liability Company
MACMaximum Allowable Cost
MEDICMedicare Drug Integrity Contractor
MHAMorgan Healthcare Audits, LLC
NABPNational Association of Board of Pharmacists
NDCNational Drug Code
NPINational Prescriber Identifier
OAGOffice of Attorney General
PAPrior Authorization
PBMPharmacy Benefit Manager
PHIProtected Health Information
POSPoint of Sale
RBRedbook
RDSRetiring Drug Subsidy
ROAReport of Audit
QTYQuantity
ROIReturn on Investment
SOXSarbanes Oxley
SURSSurveillance Utilization & Review System
SVRSStatistically Valid Random Sampling
TPAThird Party Administrator
U&CUsual and Customary
WACWholesale Acquisition Cost
ZBLZero Balance Logic


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