Retail pharmacies FOR MEDICARE RETIREES: See the “How UMP Classic prescription drug coverage works with Medicare” section for more information on how UMP prescription drug coverage works with Medicare. WSRxS has a large national network of retail pharmacies, which includes many independent and regional pharmacies in Washington State, as well as national chains. Search for a network pharmacy on the UMP Prescription drug coverage webpage or contact WSRxS Customer Service (see Directory for link and contact information). When you get your prescriptions at a network pharmacy, the pharmacy sends the claim to the plan for you, and you pay only your cost-share (coinsurance and prescription drug deductible) as described in the “What you pay for prescription drugs” section. Covered insulin prescriptions filled at network pharmacies are not subject to your prescription drug deductible. Note: You will pay the entire cost for any prescription drug not covered by the plan, which does not apply to your prescription drug deductible or your prescription drug out-of-pocket limit. 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 106 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. 2024 UMP Classic (PEBB) Certificate of Coverage 99