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.

ALERT! Drugs classified as proton pump inhibitors (commonly called PPIs) have over-the-counter alternatives and are not covered under the plans for persons age 18 and over. The plan does cover PPIs for persons under age 18 when prescribed, because the available over-the-counter alternatives are not approved for persons under age 18.

Drugs not covered under the plans include but are not limited to:

The plans also do not cover drugs to treat conditions that are not covered under the medical benefit. These include, but aren't limited to, drugs for:

  • Cosmetic purposes
  • Infertility
  • Obesity (or weight loss)
  • Sexual dysfunction

Exceptions Covered

The plans cover the following prescription products as exceptions to the above rules:

  • Limited products for the treatment of congenital metabolic disorders such as phenylketonuria (PKU) detected by newborn screening when specialized formulas are medically necessary; and
  • Elemental formulas for Eosinophilic Gastrointestinal Disorders (EGIDs).

See also Expenses Not Covered, Exclusions, and Limitations.