


Certain groups, including children, terminally ill individuals, and individuals residing in an institution are exempt from cost sharing. **All out-of-pocket charges are based on the specific state’s defined payment amount for that service. Maximum Allowable Copayments Determined by Eligible Population’s Household Income. Medicaid and CHIP Overview for Assisters. ģ Centers for Medicare & Medicaid Services (CMS). ©Ģ Based on information licensed from IQVIA: IQVIATM, Real-World Evidence Claims Data for the period reflecting estimates of real-world activity. Reprinted with permission by First Databank, Inc. 1 List price, also referred to as wholesale acquisition cost or WAC, is the price at which Lilly sells its products to wholesalers and may not represent actual transactional prices patients pay at the pharmacy.
