UMP (Ardon Health) Non-safety caps on prescription containers request form

Members can use this form when purchasing specialty drugs through Ardon Health to request that Ardon Health not use child-resistant caps ("safety caps") to package a member's medication. Ardon Health is a member of Washington State Rx Services (WSRxS)

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UMP (Ardon Health) Prescription drug protected health information (PHI) disclosure authorization form

Ardon Health Protected health information (PHI) disclosure authorization form. Ardon Health is a member of Washington State Rx Services (WSRxS).

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UMP (Ardon Health) Specialty prescription drug release form

This is a form that members must complete and send with initial order for specialty drugs from the Uniform Medical Plan (UMP) network specialty pharmacy, Ardon Health. Ardon Health is a member of Washington State Rx Services (WSRxS).

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UMP (PEBB) (Regence) What’s new for 2021

Overview of new Uniform Medical Plan (UMP) benefits for plan year 2021. UMP medical benefits are administered by Regence.

Publication

UMP (PEBB) (Regence) What’s new for 2022

This is an overview of new Uniform Medical Plan (UMP) benefits and changes to benefits for plan year 2022 for Public Employees Benefits Board (PEBB) members. UMP medical benefits are administered by Regence BlueShield and prescription drug benefits are administered by Washington State Rx Services.

Publication

UMP (PEBB) (WSRxS) Prescription drug authorization for release of confidential information

Washington State Rx Services (WSRxS) form for Uniform Medical Plan (UMP) (PEBB) members to authorize release of confidential health information.

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UMP (PEBB) (WSRxS) Prescription drug benefits comparison for 2021

This is a summary of how prescription drug benefits work for Uniform Medical Plan (UMP) Classic, UMP Select, UMP CDHP, and UMP Plus for benefit year 2021, including what you'll pay for drugs and a partial list of network pharmacies. UMP prescription drug benefits are administered by Washington State Rx Services (WSRxS).

Publication

UMP (PEBB) (WSRxS) Prescription drug benefits comparison for 2022

This is a summary of how prescription drug benefits work for Uniform Medical Plan (UMP) Classic, UMP Select, UMP CDHP, and UMP Plus for benefit year 2022, including what you'll pay for drugs and a partial list of network pharmacies. UMP prescription drug benefits are administered by Washington State Rx Services (WSRxS).

Publication

UMP (PEBB) monthly premiums comparison 2020-2021

54-510

This document lists the 2020 and 2021 monthly premiums for 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.

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UMP (PEBB) monthly premiums comparison 2021-2022

54-510

This document lists the 2021 and 2022 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.

Publication

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