Pharmacy Partner for UMR & Surest plans: EpiphanyRX is a dedicated partner in pharmacy management for UMR HDHP plans. While the Surest PPO plan partners with Navitus, as PMB for its prescription coverage. For UMR plans, you will have access to pharmacy services and information using web page, mobile app or on demand. Surest enrollees should contact Surest at the number or website on the back of their medical ID card for pharmacy related questions. Provide your UMR or Surest Medical ID card when you fill or refill your RX at the pharmacy. Don’t forget to update your mail order provider to EpiphanyRX. The Expanded Preventive RX listing for UMR members includes commonly prescribed preventive or maintenance medications with no cost to you. For a complete listing of Expanded Preventive medications, please log onto: https://www.epiphanyrx.com Costco Mail Order Pharmacy Services are for UMR Members only. Surest Members should contact Surest for information and to set up Mail Order Pharmacy services. Page 6 | ACME | Plan Year 2024 Open Enrollment This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations, and exclusions set forth in each insurance carrier or provider’s contract.