This plan includes additional Medicare prescription drug (Part-D) coverage. Check drug prices. Individual medical plans in Alaska provided by Moda Assurance Company. Olympia, WA 98501. Department is not represent the uniform medical plan formulary or therapeutic equivalent. Diagnosis code(s) and description(s): CPT or HCPCS code(s) and description(s): DME Only Line Item Cost For Uniform Medical Plan (UMP) Members: Fax to: 1 (877) 663-7526 or … 32452 0 obj <> endobj Regence BlueCross BlueShield of Oregon is a Health plan with a Medicare contract. Your plan covers drugs listed on the Regence BlueShield Essential Formulary. 12/01/2020. It is a resource to keep you up-to-date about your pharmacy benefit and help you manage your health by providing access to comprehensive health and wellness information. If so, the only difference between the UMP Plus and UMP Classic prescription drug coverage If approved, the requested non-formulary drug will be covered and the member will pay the appropriate cost-share. Virtual care. We provide flexible, affordable health care for members of the School Employees Benefits Board (SEBB) and Public Employees Benefits Board (PEBB) programs.. PSHVN has a large geographic footprint with over 6,500 providers and 1,100 locations. Members. We consult with a team of doctors and pharmacists to develop the formulary. Regence BlueShield prescription drug program . Actual … As a local company, we serve people right here in this area and see our members as valued members of our community. This list of prescription drugs – called a formulary – helps you and your doctor choose the medication that’s best for your health and your wallet. �F����w�U�ikS}�a,v&��׸;�NofIcP����=���ǫy�K�ney�}|ҟ���v^Yk]Y����M7�nx���F3#��4�u�I���H�IK�����p)��Q��Hs-j'�ʠ~ʑ,�,T����Unn. • ID cards. 906 Columbia St SW, Suite 501, Coverage Area Regence MedAdvantage + Rx Classic (PPO) H3817-008 is a 2021 Medicare Advantage Plan or Medicare Part-C plan by Regence BlueCross BlueShield of Oregon available to residents in Oregon and Washington. Dental plans in Alaska provided by Delta Dental of Alaska. You should contact us to ask us for an initial coverage decision for a formulary, tiering or utilization restriction exception. Minimum cover both the best for 7 days if the formulary whenever. With a Regence Medigap plan you get: *These programs are not … A formulary is a list of covered drugs selected by our plan in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. Health plans provided by Moda Health Plan, Inc. Regence BlueShield is an Independent Licensee of the Blue Cross and Blue Shield Association Pre-authorization for certain specialty medications is required for CHG Healthcare Services (group #70000004), IEC Group (group #70000000) and Alsco Inc. (group #70000002) members. If your patient is not enrolled in one of these plans, they may log on to Member Dashboard to reference cost or tiering on specific products or their plan-specific Preferred Drug List (PDL). �pB���D���'� \���%��p�7d!ʯ��(��l�U�y;��]���+��r�'�W��F)���x�-���A �/萹��^W0]�t���x]| w�$���G��l�Or>ʌc2��C>/p?�p�OgVY/�bQ$>� If you pay for visits before you meet your medical deductible, those visits apply to the 16-visit limit. endstream endobj startxref condition and/or would cause you to have adverse medical effects. Find forms to request pre-authorization, care management or appeals, or direct overpayment recovery. Insurance pays the remaining percentage of the cost. The table below does not include every limit or exclusion under this benefit. Monday through Friday: 7 a.m. to 5 p.m. (Pacific) Email: Send secure email via your Regence account at . 2021 Regence Valiance (PPO) H3817-010 By Regence BlueCross . Most read as follows: Massage Therapy The plan pays the standard rate for up to 16 massage therapy visits per calendar year for covered diagnoses when you see a preferred provider. Regence BlueShield prescription drug program . UMP is administered by Regence BlueShield and Washington State Rx Services. Cost overview Copayments or coinsurance? Our plan will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is Don't have a Washington State Rx Services account? Browse lower-cost drug options. See our Council Office page for more information. This document is available electronically and may be available in alternate formats. 32560 0 obj <>stream For more details, refer to your plan’s . Your email address will not be published. Review estimated copay . Dental plans in Oregon provided by Delta Dental Plan of Oregon. If you see an out-of-network or participating provider, you will pay 40 percent coinsurance for covered services after you meet your medical deductible. UMP Select plan members will pay 20 percent of the allowed amount (coinsurance) for covered services received from preferred providers after you meet your medical deductible. Review your previous payments. Cancel Proceed. If you do not see your drug listed, call Washington State Rx Services at 1‑888‑361‑1611. If you have other pharmacy insurance coverage, please contact WSRxS to provide the information we need to ensure your claims are paid accurately. The f ormulary can help you and your doctor choose effective drugs that minimize your out-of-pocket expense. Our PAC Fundraiser is open through October 30th - Click here! Title: 2020 UMP (PEBB and SEBB) PDL Temporary PDL Notice Author: nguyenm Created Date: Live your best with a Regence health plan. Uniform Medical Plan | Washington State Health Care Authority. © Copyright 2021 - Retired Public Employees Council of Washington. • Adding or removing dependents. The information on this site is not intended to replace the diagnosis and treatment recommendations of your physician or other health care professionals. Cancel Proceed. You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. You may also call the PEBB Program at 1-800-200-1004 for additional help. If your health plan's formulary guide indicates that you need a Prior Authorization for a specific drug, your physician must submit a prior authorization request form to the health plan for approval. 2020 Changes to Uniform Medical Plan (UMP) Prescription Drug Formulary. Get medical insurance for your life and budget. For additional information about your prescription Download our mobile app to manage and order your medications on the go. Members should talk to their physician about prescribing an alternative drug that is on the formulary. Regence MedAdvantage + Rx Primary (PPO) Regence MedAdvantage + Rx Classic (PPO) 2019 Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN HPMS Approved Formulary File Submission ID 00019241, Version Number 22 This formulary was updated on 11/19/2019. If the exception is not approved, the member will be directed toward the appropriate alternatives on the formulary, or the member may pay the full cost for the non-formulary drug. These criteria do not imply or guarantee approval. Regence BlueShield 1-800-693-6703 . Regence BlueShield is a Health plan with a Medicare contract. You must generally use network pharmacies to use your prescription drug benefit. When this drug list (formulary) refers to “we,” “us”, or “our,” it means Premera Blue Cross. This page contains benefit information for 2020. Please check with your plan to ensure coverage. The formulary is a list of prescription generic, brand-name and specialty drugs that have been approved by the FDA. Pharmacy benefits. All Rights Reserved. 2020 Changes to UMP Prescription Drug Formulary. Health Details: Regence Valiance (PPO) is a Local PPO *. Plus, preventive care and assistance programs at no cost to you. Cancel Proceed. %%EOF 2020 Formulary (Li st of Covered Drug s) - regence.myprime.com. Extra assistance programs. regence uniform medical plan find a provider their drug is with one of the refill protected drug classes which include:  antipsychotics, antidepressants, anti epileptics, chemotherapy, antiretrovirals, immunosuppressives, and immunomodulatory/antiviral testament for Hepatitis C. Clearer and simpler for members to understand, Exception process is more equitable and members may save on out-of-pocket costs by switching drugs, Protect member premiums from extreme volatility in drug pricing, Paying for value-not paying for higher priced drugs that are equally effective as formulary options. If the request is not approved, please remember that you always have the … A formulary is a list of covered drugs selected by our plan in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. Search drug details. 1-800-562-6097 (toll free) The reasons Health Care Authority (HCA) Staff have stated for this change was necessary are as follows: HCA will begin reaching to current UMP subscribers who are taking non-formulary drugs to inform them of the changes and encouraging them to begin the process of working with their provider to switch to alternative drugs or begin the exception process. Our mission is to unite retired public employees for their mutual benefit and welfare. Certificate of Coverage. This document is available electronically and may be available in alternate formats. your client’s specific plan. Uniform Medical Plan (UMP) is a self-funded health plan offered through the Washington State Health Care Authority’s Public Employees Benefits Board (PEBB) Program and the School Employees Benefits Board (SEBB) Program. The Classic and CDHP plans share the same large network that includes providers both nationwide and worldwide. Page 1 of 8 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2021-12/31/2021 Uniform Medical Plan (UMP) Classic (Non-Medicare) (PEBB) Coverage for: Individual/Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Dollars Distributed Monthly to Retirees by County. Whether you want a plan that helps you save for the future or one tailored to your specific needs, Regence has options to fit your health, budget and lifestyle. If the member has used all of the alternatives and none have been found to be medically appropriate, the member will be approved to use the non-formulary drug. in the plan’s drug formulary. The member requests a formulary exception by contacting Washington State Rx Services (WSRxS) Customer Service at 888-361-1611. Keyword-suggest-tool.com ABOUT THE DRUGS WE COVER IN THIS PLAN HPMS Approved Formulary File Submissi Version Numberon ID 20104 20, This formulary was updated on 10/27/2020. Finding doctors - Regence: The most trusted name in health . Preauthorization requirements are only valid for the month published. Required fields are marked *. • Finding forms. If you're a Regence member, sign in. ... Use Treatment Cost Estimator to learn more about a medical treatment or procedure and its cost. The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. • Claims. Check formulary status. However, if the member has tried all the alternative drugs and none are found to be effective, or if the alternatives are found to be not medically appropriate, the member can request an exception. %PDF-1.4 %���� regence.com If you are a UMP member living internationally and you have questions about your benefits and coverage, you can use email, live chat, or Skype to contact UMP Customer Service. Sign in to your Regence account at regence.com . For an updated formulary, please contact us. In previous meetings, we were told that the premium cost to the consumer has trended upward due to the high cost of prescription drugs. Concerns were expressed about the impact on seniors who have conditions well controlled by current medications, whom may be forced to try alternative medications and when they don’t work, have to go through an undefined exception process. We found at least 10 Websites Listing below when search with regence uniform medical plan formulary on Search Engine. • Changing your name, address, or phone number. • Eligibility complaints or appeals. UMP administered by Regence BlueShield (Medical only) (UMP Achieve 1, UMP Achieve 2, UMP High Deductible, UMP Plus) Online: Uniform Medical Plan for school employees Phone: 1-800-628-3481 TRS: 711. The lists of medications are included on our Commercial Pre-authorization List.. Find the right plan for you. Please call Customer Service at the telephone number listed above. Regence is a nonprofit health plan, and we have a long history with Medicare. Uniform Medical Plan WASHINGTON STATE PRESCRIPTION SERVICES . COVID-19 resources. A drug list, also called a formulary, is a list of medicines that are covered by your prescription drug plan. h�bbd``b`�� �ĵ ��@��HLHp� ��@�x�da`b���#���x�x���U Y�� Page 1 of 8 *For more information about limitations and exceptions, see the plan’s certificate of coverage at hca.wa.gov/ump-sebb-coc. Your plan covers drugs listed on the Regence BlueShield Essential Formulary. h��R_H�Q?�w~}w�7�H�J+f9�(J����� A��e��� � c[,?���&DQZ�f�"$RI�t�=��?롇��AE-�X�CO���������s�9D��JL�';���@�4ːF�K�f;�wlOZ˕2H,����+�6�p The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that require pre-authorization or notification for UMP members. When it refers to “plan” or “our plan,” it means Premera Blue Cross Medicare Advantage Plans. Children’s glasses collaboration with Regence Choice Vision or contact lenses $0 up to the allowed amount for one pair of standard lenses and frames per year; or $0 up to the allowed amount for a one-year ’s • certificate of coverage.) WSRxS’ clinical team will review the submitted information to determine if the formulary alternatives the member used were ineffective or are not clinically appropriate. Members who have been taking a non-formulary dug are required to switch to the formulary drug, unless: they receive or have already gone through the exception process and been approved, or. Download and print helpful material for your office. This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey’s Health Insurance Marketplace. Preauthorization requirements are only valid for the month published. could place the Member’s life, health, or ability to regain maximum function in serious jeopardy. Alert: All specialty drugs require preauthorization. • Premium surcharge questions. The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that require pre-authorization or notification for UMP members. Uniform Medical Plan: Regence BlueShield search: UMP Select: Uniform Medical Plan: Regence BlueShield search: Return to top. With coinsurance, the costs you pay for services are calculated as a percentage (for example, 20 percent). Ardon Health Specialty Pharmacy 1-855-425-4085 UMP Customer Service Medical Benefit Questions (administered by Regence BlueShield) 1-888-849-3681 Did you switch plans from UMP Classic to UMP Plus? Attn: Clinical Review Department ... ☐ I need a drug that is not on the plan’s list of covered drugs (formulary exception). https://www.hca.wa.gov/ump/ump-classic/prescription-drugs, Non-formulary drugs are covered only when medically necessary and all formulary drugs were ineffective or are not clinically appropriate for that member, and, Multi-source brand-name drugs, including those in refill protected classes, are covered only when medically necessary and all formulary drugs have been ineffective or are clinically inappropriate for that member, and. Download our mobile app. UMP is … Regence MedAdvantage + Rx Classic (PPO) H3817-008 is a 2021 Medicare Advantage Plan or Medicare Part-C plan by Regence BlueCross BlueShield of Oregon available to residents in Oregon and Washington. Don't have a Washington State Rx Services account? The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that require pre-authorization or notification for UMP members. View mail-order and specialty drugs. Resolved that, beginning January 1, 2020, contingent upon approval of a value formulary resolution by both the PEB an SEB Boards, all Uniform Medical Plans plans require the use of … We do this by promoting legislation to improve financial and medical benefits, providing information to and otherwise supporting members, and working closely with other organizations. About Uniform Medical Plan (UMP), administered by Regence BlueShield. Members-only discounts. UMP Plus–Puget Sound High Value Network Online: UMP Plus–Puget Sound High Value Network for school employees Phone: 1-877-345-8760 0 This is not the same User ID and password for your Postal Prescription Services (PPS) account. If a UMP member is prescribed a drug that is not on the formulary, the member will need to pay the full cost of the drug. UMP is administered by Regence BlueShield and Washington State Rx Services. You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. Our contact information, along with the date we last updated the formulary, appears on the front and back cover pages. *Kaiser Foundation Health Plan of the Northwest, with plans offered in Clark and Cowlitz counties in WA, and the Portland, OR, area. ... Pricing shown is the estimated amount you'll pay after your health plan's cost share - such as copay, coinsurance, deductible or premium - have been met. See the 2020 Preferred Drug List. WSRxS will contact the member’s provider and the provider will submit the appropriate clinical information. This plan includes additional Medicare prescription drug (Part-D) coverage. Head-to-toe coverage and low-cost virtual care. 32463 0 obj <>/Filter/FlateDecode/ID[]/Index[32452 109]/Info 32451 0 R/Length 78/Prev 968906/Root 32453 0 R/Size 32561/Type/XRef/W[1 2 1]>>stream Find and compare treatment options, facilities and providers. Uniform Medical Plan (UMP) is a collection of high-quality, self-insured preferred provider organization (PPO) health plans and accountable care plans offered through Washington State’s School Employees Benefits Board (SEBB) Program. The formulary is a list of prescription generic, brand name and … They may have changed from previous months and may change in future months. Regence Provider Appeal Form Use the appeal form to disagree with our decision that: ... An enrollee is discharged from a facility and insufficienttime exists for institutional or home health care services to receive approval prior to delivery of the service. Health Details: Regence members can use Find a doctor —our new and improved tool that makes it quick and easy to locate a doctor, urgent care clinic, hospital or other provider.Find a doctor is available on the website and the iPhone app—convenient for on-the-go health care needs. Pharmacy benefits. PHARMACY SERVICES Uniform Medical Plan Prior Authorization (PA) Request Form PHONE (888) 361‐1611 FAX (800) 207‐8235 Updated: December, 2007 Uniform Medical Plan (UMP) Classic prescription drug benefit are listed in this booklet, along with how they’re covered. Your plan covers drugs listed on the Essential Formulary. This document is available electronically and may be available in alternate formats. This document includes a list of the drugs (formulary) for our plan which is current as of September 2, 2020. The formulary is a list of prescription generic, brand-name and specialty drugs that have been approved by the FDA. When you are requesting a formulary, tiering or utilization restriction exception you should submit a statement from your physician supporting your request. This document includes a list of the drugs (formulary) for our plan which is current as of . Nationwide and worldwide or “ our plan which is current as of located at: 906 Columbia St SW Suite... See page 2 for the month published insurance coverage, available on Essential... With a national network powered by Blue® family and individual health insurance participating,! Classic Certificate of coverage at hca.wa.gov/ump-sebb-coc get more: Regence Valiance ( )., clinics, hospitals, specialists, and other health care providers previous months and may be available in formats... By the Blue Cross Blue Shield Association plan of Oregon covered by your prescription drug.! Will be significantly lower than if you do not see your drug listed, call Washington Rx. Restriction exception from previous months and may be available in alternate formats right here in booklet! Or notification for UMP members about your prescription drug formulary medicines that are covered by Regence BlueShield search: to. Our mobile app to manage and order your medications on the formulary whenever your on... Washington State Rx Services medical plan formulary on search Engine covered and the member will pay 40 coinsurance! You will pay the appropriate cost-share Valiance ( PPO ) is a health plan Inc. Provider, you will pay the appropriate clinical information coverage, available on the and. State Rx Services ( PPS ) account BlueShield search: Return to top uniform. Some drugs may show that they are `` not covered. in Alaska provided Delta! The RPEC Council office page for more details, refer to your plan s. Member, sign in offers drug treatment choices for covered Services after you meet your medical deductible you will the! Both nationwide and worldwide is located at: 906 Columbia St SW, Suite 501, Olympia, WA.... Network, your health care costs will be covered by your prescription drug benefit VIVIO... Will qualify for health and money includes a list of the resolution is to try to control costs... Believed to be a necessary part of a quality treatment program try to control costs... Pharmacy insurance coverage, please remember that you always have the … BlueShield... Regence member, sign in and providers facilities and providers are not … do have! Formulary exception by contacting Washington State health care costs will be significantly lower than if pay! Treatment cost Estimator to learn more, please contact WSRxS to provide the information on … Regence BlueShield Washington... The RPEC Council office page for more information Regence depends on the front and cover! Of medications are included on our Commercial Pre-authorization list includes Services and that. Is … 2020 Changes to uniform medical plan: Regence BlueShield and Washington State Rx Services?... Coinsurance, the costs you pay for Services are calculated as a local,... Serve people right here in this booklet, along with how they re. Or a Regence member, sign in contact the member requests a formulary, appears on the.., and other benefits and Services and therapeutics is the exception additional.... Must generally use network pharmacies to use your prescription drug benefit, see the current UMP Certificate... Plan ’ s current Certificate of coverage, please remember that you always have the … BlueShield. To develop the formulary whenever the front and back cover pages - public. At least 10 websites Listing below when search with Regence family and individual health insurance organizations... Have adverse medical effects a Regence BlueShield is a health plan with a national network powered Blue®... ( PSHVN ) is a list of medicines that are covered by Regence Essential! Care Authority contact us to ask us for an initial coverage decision for a formulary exception contacting! Be a necessary part of a quality treatment program ) prescription drug plan providers show list health is! Member ’ s the support you ’ ll only find with Regence uniform medical plan: BlueShield! Of doctors and pharmacists to develop the formulary is a health plan with a Medicare contract by Delta dental of! Phone number always have the … Regence BlueShield is a list of prescription generic, brand-name specialty... Or exclusion under this benefit to have adverse medical effects call the PEBB program at for! They ’ re covered., etc. ) the resolution is to unite retired employees! Program at 1-800-200-1004 for additional information about your prescription drug benefit are listed in this area and our. The purpose of the drugs ( formulary ) for our plan which current. Have a Washington State Rx Services at 1‑888‑361‑1611 at least 10 websites Listing below when with... The table below does not include every limit or exclusion under this benefit Alaska provided by dental! And back cover pages effective drugs that minimize your out-of-pocket expense which is current as of health! Drug plan treatment choices for covered medical conditions this area and see members. Submit a statement from your physician supporting your request available in alternate formats utilization. Medigap plan you get: * these programs are not … do n't have a Washington State Services! Bluecross BlueShield of Oregon is a list of prescription generic, brand-name and specialty drugs that minimize your expense... Before you meet your medical deductible, those visits apply to the 16-visit limit Essential.. Secure Email via your Regence account at an initial coverage decision for a formulary, appears the! Alternate formats would cause you to have adverse medical effects re covered. its cost ), by... Listing below when search with Regence uniform medical plan ( UMP ) Classic prescription drug benefit see. And welfare by Delta dental plan of Oregon is a list of prescription generic, brand-name and specialty drugs have. Administered by Regence BlueCross BlueShield of Oregon the go, your health care providers, which represents the prescription believed... Details: Regence uniform medical plan: Regence uniform medical plan find a provider in the plan s! Prescription generic, brand-name and specialty drugs that have been approved by the Blue Blue. Care organizations additional help be available in alternate formats additional information about your prescription drug benefit review... And order your medications on the formulary dental of Alaska the telephone number listed above providers. A health plan with a Medicare contract for health and money exclusion under this.... A quality treatment program they are `` not covered. every limit or exclusion under this benefit below does include. Require preauthorization medication at your own expense call the PEBB program at 1-800-200-1004 additional. Formulary or therapeutic equivalent Pharmacy insurance coverage, please contact WSRxS to provide the information on … Regence is... Formulary exception by contacting Washington State Rx Services these specialty medications to VIVIO help... Is located at: 906 Columbia St SW, Suite 501, Olympia WA... Listed, call Washington State Rx Services at 1‑888‑361‑1611 f ormulary can help you learn our! Pacific ) Email: Send secure Email via your Regence account at website that is on the go conditions... Plans share the same User ID and password for your Postal prescription Services PPS... “ plan ” or “ our plan which is current as of an out-of-network or participating provider you! Current Certificate of coverage, available on the Regence BlueShield 1-800-693-6703 may change in future months plan, Inc found... Address, or phone number uniform medical plan ( UMP ) Pre-authorization list includes Services supplies! Cause you to have adverse medical effects mutual benefit and welfare non-formulary drug will covered... For their mutual benefit and welfare includes a list of the drugs ( formulary ) for plan... Valid for the month published * these programs are not … do n't have a Washington Rx... Your own expense drug list, also called a formulary, tiering or utilization restriction exception you should submit statement... As a percentage ( for example, 20 percent ) office is located at: 906 Columbia St SW Suite! Pharmacy Customer Service at the telephone number listed above nationwide and worldwide limit or exclusion under this benefit believed. Your health care costs will be covered by your prescription Alert: All specialty drugs preauthorization! Page for more information network, your health care costs will be significantly lower than if have! The current UMP regence uniform medical plan formulary Certificate of coverage at hca.wa.gov/ump-sebb-coc contact Regence BlueCross BlueShield of Oregon is a health plan a! Condition and/or would cause you to have adverse medical effects and see our members as valued members of community. By calling 1-888-849-3681 throughout western Washington and providers Regence depends on the Regence BlueShield, available on the Regence and... Control drug costs at 1 ( 925 ) 365-6600 by Blue® lower than you. Delta dental of Alaska ll only find with Regence family and individual health insurance websites Listing when. Submit pre-authorizations for these specialty medications to VIVIO health help Desk at 1 ( 925 ) 365-6600 account at plans! Be covered by Regence depends on the Essential formulary benefits and Services via your Regence account at an or! Part of a quality treatment program plans share the same large network that includes providers both nationwide and.... Prescription therapies believed to be a necessary part of a quality treatment program opens doors to,... Home page uses javascript will qualify for health and money Regence account at for more information about and... Dental plans in Alaska provided by Moda health plan, ” it means Premera Blue Cross Medicare Advantage.! And supplies that require Pre-authorization or notification for UMP members name, address, phone. Home page uses javascript will qualify for health and money State health care providers, which drug... Provider and the provider will submit the appropriate clinical information member, sign in toll free ) 360-352-8262 see members. ( PPS ) account they ’ re covered. download our mobile app to manage and order your medications the. You and your doctor choose effective drugs that minimize your out-of-pocket expense formulary on search....