Contact the mail-order or specialty drug pharmacy directly for help placing or tracking prescription orders. If additional help is needed, contact WSRxS Customer Service. Note: Regence BlueShield does not provide prescription drug benefits for UMP. Always contact WSRxS with questions about your prescription drug coverage. TIP: The UMP Preferred Drug List is available on the UMP Prescription drug coverage webpage (see Directory for link). On this webpage, you will also find a link to the Drug Price Check tool (the prices for drugs listed in this tool assume you have met your prescription drug deductible). The UMP Preferred Drug List The UMP Preferred Drug List (sometimes called a “formulary”) lists all of the preferred drugs that UMP covers. Drugs not listed on the Preferred Drug List are not covered unless an exception is requested and approved by UMP. Excluded prescription drugs and products are not eligible for an exception. For the exception process, refer to “Requesting an exception for noncovered prescription drugs” on page 90. The UMP Preferred Drug List includes: • How much your cost share will be based on the drug tier • If the plan must preauthorize a prescription drug (see page 103) • If you must purchase a prescription drug from the plan’s network specialty drug pharmacy (see page 104) • If there are any limits on a prescription drug’s coverage (see the "Limits on your prescription drug coverage" section) • If there are less expensive alternatives The UMP Preferred Drug List is updated online throughout the year, and how a prescription drug is covered may change at any time. You may look up your prescription drugs online on the UMP Prescription drug coverage webpage or by contacting WSRxS. New brand-name prescription drugs may not be covered during the first 180 days they are available. To check if a new prescription drug is covered, contact WSRxS Customer Service. Preferred drugs Preferred drugs, including preferred specialty drugs, have been reviewed by the Washington State Pharmacy and Therapeutics (P&T) Committee or by WSRxS and found to be safe and clinically effective when compared to other drugs in the same therapeutic class or category. HCA or WSRxS has found these drugs to be among the most cost-effective drugs for their therapeutic class or category due to their favorable pricing. Noncovered prescription drugs Noncovered prescription drugs are not covered unless a Preferred Drug List exception is requested and approved (see “Requesting an exception for noncovered prescription drugs”). These prescription drugs have been reviewed by the Washington State Pharmacy and Therapeutics (P&T) Committee or WSRxS. HCA or WSRxS has found these drugs are not as cost-effective and do not have a clinically significant therapeutic advantage over the Preferred Drug List alternative(s). 88 2024 UMP Classic (PEBB) Certificate of Coverage