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View all items in: Prescription Drug Benefits
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Question/Topic
Does UMP have a list of preferred drugs (formulary), and how does it work?
Answer/Article

UMP's list of covered prescription drugs (sometimes called a "formulary") is called the Washington State Rx Services Preferred Drug List  (PDL). By looking at the PDL, you can find out:

The PDL is updated online weekly. However, a drug may change tier or the ancillary charge may apply at any time, in particular when a generic equivalent becomes available. You can look up your prescription drugs by checking the online PDL or by calling Washington State Rx Services at 1-888-361-1611.

ALERT! When a generic equivalent for a brand-name drug becomes available, the brand-name drug immediately becomes Tier 3 with an ancillary charge. Always ask your doctor to allow substitution on your prescriptions to save you money.

Please note that certain drugs are not covered even when prescribed by your provider. In addition, if you get certain nonpreferred drugs, the pharmacist can switch the nonpreferred drug for an equivalent preferred drug through the Therapeutic Interchange Program.

For more information on the prescription drug benefit, including what you'll pay for prescription drugs, see the UMP Prescription Drug Information pages.


Related Items Related Links
Will a drug be covered under the same tier for the entire year under UMP?
PDL Help: The Therapeutic Interchange Program (TIP)
How does preauthorization for prescription drugs work under UMP?
UMP definition: "nonpreferred drug"
How does UMP notify enrollees of changes to the UMP Preferred Drug List (UMP PDL)?
How does UMP decide which prescription drugs are preferred?
What is the Washington State Preferred Drug List, and what does it have to do with the UMP Preferred Drug List?
The Therapeutic Interchange Program (TIP): When the pharmacist can switch your prescriptions
 
KBID 753
Date Modified 1/27/2010
Date Created 10/18/2007

The Certificate of Coverage (COC) is the source of coverage provisions offered under UMP. If information given here is inconsistent with the UMP COC, the rules in the COC will apply. Also, the COC may have additional information on this subject.

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