; and (B) in subparagraph (D), in the matter preceding clause (i), by striking or wholesalers under this paragraph or under and inserting or wholesalers under this paragraph, under section 1847A(f)(2), or under . (3) Technical correction Section 1927(b)(3)(A)(iii) of such Act ( 42 U.S.C. 1396r–8(b)(3)(A)(iii) ) is amended by striking section 1881(b)(13)(A)(ii) and inserting section 1881(b)(14)(B) . 102. Inclusion of value of coupons in determination of average sales price for drugs and biologicals under Medicare part B Section 1847A(c) of the Social Security Act (42 U.S.C. 1395w–3a(c)) is amended— (1) in paragraph (3)— (A) by striking discounts .—In calculating and inserting “ discounts to purchasers and coupons provided to privately insured individuals .— (A) Discounts to purchasers In calculating ; and (B) by adding at the end the following new subparagraph: (B) Coupons provided to reduce cost-Sharing For calendar quarters beginning on or after July 1, 2021, in calculating the manufacturer's average sales price under this subsection, such price shall include the value (as defined in paragraph (6)(J)) of any coupons provided under a drug coupon program of a manufacturer (as those terms are defined in subparagraphs (K) and (L), respectively, of paragraph (6)). ; and (2) in paragraph (6), by adding at the end the following new subparagraphs: (J) Value The term value means, with respect to a coupon (as defined in subparagraph (K)), the difference, if any, between— (i) the amount of any reduction or elimination of cost-sharing or other out-of-pocket costs described in such subparagraph to a patient as a result of the use of such coupon