Uniform Medical Plan (UMP)

The UMP website is moving. This website contains 2019 UMP information for PEBB members only (through the end of 2019). If you are a PEBB member and/or you will be a new School Employees Benefits Board (SEBB) member and you need 2020 UMP benefits information, visit our new UMP website.

Find drugs

Find prescription drugs and network pharmacies 

UMP Classic

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UMP CDHP

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UMP Plus

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For some examples of network pharmacies read "What you need to know about the prescription drug benefit." 

​Search for more network pharmacies using the links under your plan name above. You can also call Washington State Rx Services at 1-888-361-1611 (TRS: 711) to check the status of a specific pharmacy.

Note: To make sure you pay the right amount for your prescriptions, always show your UMP ID card first. If you have a prescription drug discount card, show that card second to see if you can get a discount on prescriptions UMP does not cover. To learn more, read the "Use network pharmacies and show your ID card to get the plan discount" section in your plan's certificate of coverage

Using the Price Check and the Preferred Drug List

Use the prescription price check if you want to know how much your drug will cost. To get information specific to your account (for example, your prescription drug claims history), log in to your pharmacy account and use the prescription price check tool.

The UMP Preferred Drug List is a better bet if you are looking for the following:

  • If a drug is covered by the plan.
  • If the drug must be preauthorized​.
  • If the drug must be purchased from the plan’s specialty pharmacy, Ardon Health.
  • If there are any limits on a drug’s coverage.
  • If there are less expensive alternatives.

Changes to the UMP Preferred Drug list are posted online at least once a month. However, not all drugs are listed on the UMP Preferred Drug List. 

For questions about your prescription drugs, or to check if a new drug is covered, call Washington State Rx Services at 1-888-361-1611 (TRS: 711).

Find vaccinating pharmacies

Network vaccination pharmacies give covered, preventive immunizations at no cost to you. Not all network pharmacies offer vaccinations, so call the pharmacy before you go. 

You can also visit your preferred provider (network provider for UMP Plus) or a public health department to get vaccinated. However, if you go to a public health department, you usually have to pay and get reimbursed later by submitting a claim through your Regence account or sending Regence a medical claim form

To find out which covered immunizations are considered preventive, read the Centers for Disease Control (CDC) immunization schedules. Note that some covered immunizations are classified as “may be recommended” by the CDC depending on medical condition or lifestyle. For those immunizations to be covered as preventive, you must meet the criteria described on the CDC schedule.

    If you see an out-of-network provider for covered immunizations, you may need to submit a medical claim form.  You will pay 40 percent of the allowed amount and the provider may balance bill you. Please call Washington State Rx Services at 1-888-361-1611 (TRS: 711) to learn more.

    Tip: Not all pharmacies have all vaccines. Call the pharmacy ahead of time to make sure it has the one you need.

    Emergency fill

    Emergency fill lets you get a limited quantity of certain drugs while the plan processes your preauthorization request. This option is only available when a delay could result in emergency care, hospital admission, or a serious threat to your health or others in contact with you. To learn how this works, read the "Emergency Fill" section in your UMP certificate of coverage (Classic, CHDP, PSHVN, or UW Medicine ACN)

    Your online pharmacy account

    Register for or log in to your online pharmacy account with Washington State Rx Services, where you can:

    • View your prescription drug claims history.
    • Find forms and member resources.
    • Use the Drug Information and Interaction Checker to learn more about your prescription drugs, how they interact with each other, and how they interact with over-the-counter drugs.

    Contact

    Washington State Rx Services
    Online: Your pharmacy account
    Phone: 1-888-361-1611
    TRS: 711
    Business hours: 24 hours a day, 7 days a week