UMP Plus members: Your prescription drug coverage is the same as UMP Classic's, except you do not pay a prescription drug deductible. UMP Plus benefits are effective on January 1, 2016.
Drugs that have over-the-counter alternatives
available are not covered. That is, if you can get an equivalent or alternative drug over-the-counter (without a prescription), the plan does not pay for the drug, even if you have a prescription and buy it from a pharmacy. Therefore, if you use a PPI, you pay the entire cost of the drug. As for all noncovered drugs, what you pay does not count toward the following:
- UMP Classic: Your prescription drug deductible or prescription drug out-of-pocket limit.
- UMP CDHP: Your deductible or out-of-pocket limit.
- UMP Plus: Your prescription drug out-of-pocket limit.
For advice on alternative medications, talk to your prescribing provider.
ALERT! PPIs prescribed for persons under age 18 are covered, because the available over-the-counter alternatives are not approved for persons under age 18. Contact Washington State Rx Services at 1-888-361-1611 for more information.
*Drugs commonly used to treat chronic heartburn or GERD: For example, Prilosec/omeprazole, Prevacid/lansoprazole, Nexium/esomeprazole