; or (2) an alternative amount to be determined by the Secretary. (d) Definitions In this section— (1) the term insulin means any insulin product approved by the Food and Drug Administration to improve glycemic control in patients with diabetes mellitus; (2) the term list price has the meaning given the term wholesale acquisition cost in section 1847A(c)(6)(B) of the Social Security Act (42 U.S.C. 1395w–3a(c)(6)(B)); and (3) the term Secretary means the Secretary of Health and Human Services.