Part D Coverage Determinations and Appeals

Information on appealing a Medicare Part D coverage determination.

SCAN Drug Formulary Guide

Category: Formulary SCAN Health Plan Comprehensive Formulary A Formulary is a list of covered drugs selected by SCAN Health Plan in consultation with...

Part D Coverage Determination Process

Coverage Determination A coverage determination is an initial coverage decision made by SCAN regarding your Medicare Part D prescription drug. Coverage...

Pharmacy Benefits

Prescription medications are widely used. That’s why we put so much thought into our pharmacy benefits. We understand what matters most: Medication you...

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2025 Prior Authorization Forms

Medicare Part B Prescription Drug Costs Documents

Medicare Part B Prescription Drug Costs Documents

Clinical Quality Resources

Clinical Quality Resources

Benefit Program Reimbursement Forms

Find a Benefit Program Reimbursement Form

Providers and Provider Groups

This section includes best practices and tip sheets for important 5-Star measures such as Annual Flu Vaccine, Adult BMI Assessment, Breast Cancer Screening,...