What you pay for drugs
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Until you meet your deductible, you will pay the entire cost of your prescription drugs.
Once you have met your deductible for the year, you pay 15 percent of the drug’s cost for covered prescription drugs.
Note: You may use your Health Savings Account (HSA) to pay for many drugs not covered by the plan.
When you use network pharmacies, retail or mail-order, you pay based on the drug’s allowed amount, a discounted price negotiated for the plan.
If you use a non-network pharmacy of any type, the pharmacy may charge more than the allowed amount. You will have to pay this amount, which does not count toward your deductible or out-of-pocket limit and is not payable by the plan.
You will need to submit your own prescription drug claim to Washington State Rx Services for reimbursement if you purchase drugs at a non-network pharmacy.
Note: Prescriptions ordered through mail-order pharmacies located outside the U.S. are not covered, even if you send in a claim.
If a dependent has primary coverage through another plan that covers prescription drugs, read the "How much will I pay for prescription drugs?" section of your certificate of coverage. This section explains possible limits and restrictions to prescription drug coverage, how to use a network pharmacy when UMP CDHP is secondary, and how to use a mail-order pharmacy when UMP CHDP is secondary.
If you are a Washington State resident and have a prescription UMP does not cover, you may be able get a discount with the Washington Prescription Drug Program (WPDP) Discount Card. All Washington State residents are eligible for a card, and joining the discount card program is free.
To make sure you pay the right amount for your prescriptions, always show your UMP ID card to the pharmacy first. If UMP does not cover the prescription, show your prescription drug discount card to see if you can get a discount.
To learn more about the WPDP Discount Card, including how to enroll, visit Alternate help with prescriptions.