TIP: If you take a prescription drug regularly, you may be able to save money by filling up to a 90-day supply at a network retail pharmacy or through UMP’s network mail-order pharmacies. Search for a network pharmacy and compare prices on the UMP Prescription drug coverage webpage. Network vaccination pharmacies Many network retail pharmacies have vaccination pharmacists who may give covered preventive immunizations at no cost to you. Contact a network pharmacy ahead of time to make sure the pharmacy has the vaccine you need. Present your UMP member ID card at the pharmacy counter before receiving a vaccine. Mail-order pharmacies: Costco Mail-Order Pharmacy and Postal Prescription Services (PPS) ALERT! UMP’s network mail-order pharmacies cannot ship outside of the U.S. See “Travel overrides for prescription drugs” on page 104 if you will be traveling. Costco Mail-Order Pharmacy and PPS are the plan’s only network mail-order pharmacies. Prescriptions purchased through other mail-order pharmacies will not be covered if UMP is your primary plan. For more information about mail-order, visit the UMP Prescription drug coverage webpage, contact UMP’s network mail-order pharmacies, or contact WSRxS Customer Service. See the Directory pages at the beginning of this booklet for links and contact information. Note: You may mail in a prescription, however only a provider can call, fax, or electronically submit a prescription to the pharmacy. You must follow these instructions to avoid a delay in filling your prescription. ALERT! The plan does not cover other mail-order pharmacies outside of UMP’s network mail- order pharmacies if UMP is your primary insurance. If UMP is your secondary insurance, you may use another mail-order pharmacy. Refills may be ordered through UMP’s network mail-order pharmacies. When using UMP’s network mail- order pharmacies, the same prescription drug deductible, coinsurance, preauthorization requirements, and limits on coverage apply as for prescription drugs purchased at retail network pharmacies. ALERT! Drugs can be expensive. If you are not able to be home to receive the drug in the mail, it may be a good idea to request that it be sent with a requirement for a signature or find an alternate point of delivery to ensure the package is not stolen. The plan is not responsible for replacement of lost, stolen, expired, or damaged prescription drugs or products (see the “What the plan does not cover” section). 2024 UMP Select (PEBB) Certificate of Coverage 97