Over-the-counter alternative An over-the-counter alternative is a drug that you may buy without a prescription that has similar safety, efficacy, and ingredients as a prescription drug. Over-the-counter drugs Over-the-counter drugs are medications you may get without a prescription. Over-the-counter equivalent An over-the-counter equivalent is a drug you may buy without a prescription that has identical active ingredients and strengths as a prescription drug or product in a comparable dosage form. P&T Committee See the “Pharmacy & Therapeutics (P&T) Committee” definition. Partial Hospitalization Program Partial Hospitalization Program (PHP) is an outpatient program that is provided under the supervision of an attending psychiatrist or psychiatric extender. PHP is intended to provide treatment on an outpatient basis, does not include boarding or housing, and is intended to provide treatment interventions in a structured setting, with patients returning to their home environments each day. PHP is a minimum of five hours per day, five days per week. Participating provider A participating provider is: • Contracted with Regence BlueShield but is not in your plan’s preferred network, and they cannot balance bill you. • Considered out of network for your plan, except for the following services: ▪ Covered preventive services. ▪ Mental health or substance use disorder. ▪ Emergency services for a medical emergency (including air ambulance). Peer-reviewed medical literature Peer-reviewed medical literature is scientific studies printed in journals or other publications in which original manuscripts are published only after being critically reviewed for scientific accuracy, validity, and reliability by unbiased independent experts. Peer-reviewed medical literature, for example, does not include information from health-related websites or in-house publications of pharmaceutical manufacturers. Pharmacy & Therapeutics (P&T) Committee Pharmacy & Therapeutics (P&T) Committee is a group of providers and other health care professionals who review prescription drugs and make recommendations on the status of prescription drugs on the UMP Preferred Drug List (see “The UMP Preferred Drug List” section for more information). 188 2024 UMP Select (PEBB) Certificate of Coverage