Forms & publications

UMP (Ardon Health) Non-safety caps on prescription containers request form

Members can use this form when purchasing specialty drugs through Ardon Health to request that Ardon Health not use child-resistant caps ("safety caps") to package a member's medication. Ardon Health is a member of Washington State Rx Services (WSRxS)
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UMP (Ardon Health) Specialty prescription drug release form

This is a form that members must complete and send with initial order for specialty drugs from the Uniform Medical Plan (UMP) network specialty pharmacy, Ardon Health. Ardon Health is a member of Washington State Rx Services (WSRxS).

UMP (ArrayRx) Classic Medicare with Part D (PDP) Pharmacy Directory

This documents provides a list of UMP Classic Medicare with Part D (PDP) network pharmacies. This directory is for network pharmacies in Washington State and Oregon. ArrayRx does cover a service larger area and more network pharmacies may be available to members upon request.