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SCAN Health Plan Resources
Formulary
Documents Relevant to Formulary

Documents Relevant to Formulary

2017 SCAN Print Formulary

2017 SCAN Health Plan (Chinese)
2017 SCAN Health Plan (English/Spanish)
2017 VillageHealth - Los Angeles/Orange/Riverside/San Bernardino County (English/Spanish)

Additional Documents

2017 Step Therapy Criteria
2017 Prior Authorization Criteria
2017 Additional Drug Listings for Medicare and Medi-Cal Members

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Last Updated on 4/13/2017
Y0057_SCAN_9899_2016
CMS Approved 10242016
G10076 09/16

SCAN Health Plan is an HMO plan with a Medicare contract. Enrollment in SCAN Health Plan depends on contract renewal. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. Click here to read the full disclaimer.

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