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.

Prescription drugs

Quick find

Note: If UMP is your primary insurance coverage, always show your UMP ID card first at the pharmacy to make sure you pay the right amount for your prescription.

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. If UMP does not cover your prescription, and you have a prescription drug discount card, show that card at the pharmacy to see if you can get a discount on prescriptions UMP does not cover.

Prescription price check or UMP Preferred Drug List?

Use the prescription price check tool and get an estimated cost for your prescription drugs.

The UMP Preferred Drug List is a list available online that specifies how prescription drugs are covered by the plan. By using this list, you can find out if a drug is covered, if the drug must be ordered through the plan’s specialty drug pharmacy, whether the drug has any limitations (such as needing preauthorization or quantity limits), and if there are less expensive alternatives.

Note: The UMP Preferred Drug List is updated online at least monthly. However, not all drugs are listed on the UMP Preferred Drug List. If your drug isn't listed, call Washington State Rx Services at 1-888-361-1611 (TRS: 711).

New brand-name drugs may not be covered during the first 180 days they are available. To check if a new drug is covered, call Washington State Rx Services at 1-888-361-1611 (TRS: 711).

Who is Washington State Rx Services?

Washington State Rx Services manages your prescription drug benefit. Washington State Rx Services is a partnership of companies that provide prescription drug claims processing, customer service, a network mail-order pharmacy, and a network specialty drug pharmacy. These companies are Moda Health, MedImpact Healthcare Systems Inc., Postal Prescription Services, and Ardon Health.

When you have questions about your prescription drug coverage or need help finding a network pharmacy, call Washington State Rx Services at 1-888-361-1611 (TRS: 711). Contact the mail-order or specialty pharmacy directly (see bottom of page) for help placing or tracking prescription orders.

Use your online pharmacy account

Using your pharmacy account, 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.

Register for or log in to your online pharmacy account

Find guidelines for drugs covered

To find the criteria a prescription drug must meet to be covered by UMP, and covered exceptions, read the "Guidelines for drugs UMP covers" section in your certificate of coverage. This section also explains which products are covered as preventive (no cost to you). You can also find the "Guidelines for drugs UMP does not cover" in your certificate of coverage.

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

Postal Prescription Services (PPS) - mail-order prescriptions
Online: Your PPS account
Phone: 1-800-552-6694
Business hours: Monday through Friday 6 a.m. to 6 p.m. and  Saturday 9 a.m. to 2 p.m. (Pacific)

Ardon Health - specialty drugs
Phone: 1-855-425-4085
Business hours: Monday through Friday 8 a.m. to 7 p.m. and Saturday 8 a.m. to 12 p.m. (Pacific)