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 2020

This is a summary of how prescription drug benefits work for Uniform Medical Plan (UMP) Classic, UMP Plus, and UMP CDHP for benefit year 2020, 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).

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UMP (PEBB) monthly premiums comparison 2019-2020

This document lists the 2019 and 2020 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) WSRxS Welcome post card 2020

This Washington State Rx Services (WSRxS) postcard briefly introduces UMP (SEBB) members to their 2020 prescription drug benefit and where they can find more information.

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UMP (PEBB): Preferred Drug List Changes (2020-1)

This Washington State Rx Services (WSRxS) document lists all anticipated changes to the UMP Preferred Drug List (PDL) effective January 1, 2020.

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UMP (PEBB): Preferred Drug List Changes (2020-3)

This Washington State Rx Services (WSRxS) document lists all anticipated changes to the UMP Preferred Drug List (PDL) effective March 1, 2020.

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UMP (PEBB): Preferred Drug List Changes (2020-4)

This Washington State Rx Services (WSRxS) document lists all anticipated changes to the UMP Preferred Drug List (PDL) effective April 1, 2020.

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UMP (PPS) Prescription drug mail-order form

This form is to order prescription drugs from the UMP network mail-order pharmacy, Postal Prescription Services (PPS), which is a member of Washington State Rx Services (WSRxS).

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UMP (Regence) International medical claim form

This form is for sending in a claim for medical services received internationally for all Uniform Medical Plans (UMP) (Regence).

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UMP (Regence) Medical appeals and grievance form

This form may be included in an appeal or complaint, but is not required. It helps the member include all the necessary information for an appeal or complaint, and it includes the address and fax number where they should be submitted.

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