Sec. 7. A covered individual‘s defined cost sharing for a prescription drug must be:

(1) calculated at the point of sale; and

Terms Used In Indiana Code 27-1-49-7

  • covered individual: means an individual who is entitled to health insurance coverage. See Indiana Code 27-1-49-1
  • defined cost sharing: means a deductible payment or coinsurance amount imposed on a covered individual for a covered prescription drug under the covered individual's health insurance coverage. See Indiana Code 27-1-49-2
(2) based on a price that is reduced by an amount equal to at least eighty-five percent (85%) of all rebates in connection with the dispensing or administration of the prescription drug.

As added by P.L.166-2023, SEC.2.