Forms & publications

This documents provides a list of UMP Classic Medicare with Part D (PDP) network pharmacies. This directory is for network pharmacies in Washington State and Oregon. ArrayRx does cover a service larger area and more network pharmacies may be available to members upon request.

This form is for UMP Classic Medicare with Part D (PDP) members to use when authorizing a representative to act on your behalf.

This form is used as a request for Medicare prescription drug coverage. ArrayRx administers all prescription drug coverage for UMP Medicare members.

This form is used for appeals when UMP Medicare members have been denied prescription drug coverage. ArrayRx administers all prescription drug benefits for UMP Medicare members.

This is a summary of how prescription drug benefits work for Uniform Medical Plan (UMP) Classic (non-Medicare), UMP Select, UMP CDHP, and UMP Plus (PEBB) for benefit year 2025, including what you'll pay for drugs. UMP prescription drug benefits are administered by ArrayRx.

myStrength is a self-guided health and resiliency online tool for UMP members age 13 and older. This Regence brochure explains how to sign up for the myStrength tool.

This is an overview of new Uniform Medical Plan (UMP) benefits and changes to benefits for plan year 2024 for Public Employees Benefits Board (PEBB) Program members. UMP medical benefits are administered by Regence BlueShield and prescription drug benefits are administered by Washington State Rx Services.

This is a summary of how prescription drug benefits work for Uniform Medical Plan (UMP) Classic, UMP Select, UMP CDHP, and UMP Plus (PEBB) for benefit year 2024, including what you'll pay for drugs. UMP prescription drug benefits are administered by Washington State Rx Services (WSRxS).

This document lists the 2023 and 2024 monthly premiums for Uniform Medical Plan (UMP) members who are employees and retirees. UMP is administered by Regence BlueShield and Washington State Rx Services under contract with the Washington State Health Care Authority.

This is the Vision Service Plan's (VSP reimbursement form for UMP (PEBB) members. UMP (PEBB) stands for Uniform Medical Plan (Public Employees Benefits Board)