What you pay for drugs

Now that you know how it works...

Find the cost for your drug

What you pay for prescription drugs under UMP CDHP

  • Before you meet your deductible, you pay the entire allowed amount for your prescription.
  • After you meet your deductible, you pay 15 percent of the allowed amount for covered prescriptions.

You can get up to a 90-day supply for most drugs, except for specialty drugs.

If a prescription drug isn't covered by the plan, it does not count toward your deductible or out-of-pocket limit.

Note: You may use your Health Savings Account to pay for drugs, including those not covered by the plan.

Why you should use network pharmacies

When you use network pharmacies (retail or mail-order) you pay based on the drug's allowed amount, a discounted price negotiated for the plan. And the pharmacy submits the claim to the plan, which counts toward your deductible and out-of-pocket limit.

If you use a non-network pharmacy, they may charge more than the plan allowed amount. Only the allowed amount counts toward your deductible or out-of-pocket limit; any amount charged by the non-network pharmacy exceeding the allowed amount does not count.

In addition, a non-network pharmacy may not submit claims on your behalf. A claim must be submitted to the plan to count toward your deductible or out-of-pocket limit.

How the UMP CDHP deductible and out-of-pocket limit work with prescription drugs

Most covered services, including prescription drugs, count toward your deductible and out-of-pocket limit.

Contact

UMP Prescription Drug Customer Service

Washington State Rx Services
Phone: 1-888-361-1611
TDD: 1-800-433-6313
Business hours: Monday-Friday 7:30 a.m. to 5:30 p.m. Pacific Time (PT)