Documents Relevant to Formulary
SCAN Print Formularies
- 2022 SCAN Health Plan Formulary (English/Spanish) Last Modified: 8/1/2022
- 2022 SCAN Health Plan Formulary (English/Chinese) Last Modified: 8/1/2022
- 2022 SCAN Health Plan Formulary (English/Korean) Last Modified: 8/1/2022
- 2022 SCAN Desert Health Plan Formulary (English/Spanish) Last Modified: 8/1/2022
- 2022 SCAN Health Plan Formulary - Clark County (English/Spanish) Last Modified: 8/1/2022
- 2022 VillageHealth Formulary – Los Angeles/Riverside/San Bernardino County (English/Spanish) Last Modified: 8/1/2022
Additional Documents
- 2022 Prior Authorization Criteria Last Modified: 7/29/2022
- 2022 Step Therapy Criteria Last Modified: 7/29/2022
- Additional Drug Listings for Medicare and Medi-Cal Members (For SCAN Connections (HMO SNP) and SCAN Connections at Home (HMO SNP)) Last Modified: 12/31/2021
