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Prescription drugs represented the largest portion of the Medicaid programâs asthma-related expenses âgrowing from $223.5 million, or 53.1 percent of all asthma-related Medicaid spending, in SFY 200809 to $306.- 6 million, or 57.6 percent, in SFY 2012-13.
Let's say your allowance amounts are $30 / $20 / $10 / $5 and you take Lisinopril for high blood pressure. The retail cost for Lisinopril is $25.00. It's in group B, which has a $20 allowance.Your plan pays $20 toward the cost of the drug, and you pay the remaining $5.ow it works example-Rx4. Let's say your copayment amounts are $10 / $25 /$50 / 25% and you fill a prescription for Albuterol, a generic asthma medication. The retail cost for Albuterol is $15.60. Because it's in Level One, you pay a $10 copayment, and the plan picks up the remaining $5.60.