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FAQ

How will I know if the drug I’ve been prescribed is covered by SCAN?

Our formulary has a list of all of the drugs covered by SCAN Health Plan. If you’re looking for a specific drug, use our formulary search tool to see if...

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List of Covered Drugs

Here, you’ll find information about which drugs are covered by SCAN and get important prescription drug updates.

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Prior Authorization and Step Therapy Forms

Where prior authorization is needed, please provide the information below. Call the ESI Prior Authorization Department for faster service. If complete...

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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...

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Part D Coverage Determination Process

Category: Part D Coverage Determinations & Appeals Coverage Determination A coverage determination is an initial coverage decision made by SCAN regarding...

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Medicare Part D Prescription Benefits: File a Redetermination/Appeal

Category: File an Appeal An appeal to the plan about a Part D Drug Coverage Decision we made is called a Redetermination (Appeal). Use this process to...

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Claims and Reimbursement Request Forms

Find a claim forms in English and in Spanish