What you pay for drugs
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- Before you meet your deductible, you pay the entire allowed amount for your prescription.
- After you meet your deductible, you pay 15 percent of the allowed amount for covered prescriptions.
You can get up to a 90-day supply for most drugs, except for specialty drugs.
Note: You may use your Health Savings Account to pay for drugs, including those 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. And the pharmacy submits the claim to the plan, which counts toward your deductible and out-of-pocket limit.
If you use a non-network pharmacy, they may charge more than the plan allowed amount. Only the allowed amount counts toward your deductible or out-of-pocket limit; any amount charged by the non-network pharmacy exceeding the allowed amount does not count.
In addition, a non-network pharmacy may not submit claims on your behalf. A claim must be submitted to the plan to count toward your deductible or out-of-pocket limit.
UMP Prescription Drug Customer Service
Washington State Rx Services
Business hours: Monday-Friday 7:30 a.m. to 5:30 p.m. Pacific Time (PT)