Documents Relevant to Formulary
SCAN Print Formularies
- 2023 SCAN Health Plan Formulary (English/Spanish) Last Modified: 10/25/2022
- 2023 SCAN Health Plan Formulary (English/Chinese) Last Modified: 10/25/2022
- 2023 SCAN Health Plan Formulary (English/Korean) Last Modified: 10/25/2022
- 2023 SCAN Desert Health Plan Formulary (English/Spanish) Last Modified: 10/26/2022
- 2023 SCAN Health Plan Formulary - Clark and Nye Counties (English/Spanish) Last Modified: 10/26/2022
- 2023 SCAN Health Plan Formulary - Texas (English/Spanish) Last Modified: 10/26/2022
- 2023 VillageHealth Formulary – Los Angeles/Riverside/San Bernardino County (English/Spanish) Last Modified: 10/25/2022
- 2022 SCAN Health Plan Formulary (English/Spanish) Last Modified: 11/1/2022
- 2022 SCAN Health Plan Formulary (English/Chinese) Last Modified: 11/1/2022
- 2022 SCAN Health Plan Formulary (English/Korean) Last Modified: 11/1/2022
- 2022 SCAN Desert Health Plan Formulary (English/Spanish) Last Modified: 11/1/2022
- 2022 SCAN Health Plan Formulary - Clark County (English/Spanish) Last Modified: 11/1/2022
- 2022 VillageHealth Formulary – Los Angeles/Riverside/San Bernardino County (English/Spanish) Last Modified: 11/1/2022
Additional Documents
- 2023 Prior Authorization Criteria Last Modified: 11/15/2022
- 2022 Prior Authorization Criteria Last Modified: 11/1/2022
- 2022 Step Therapy Criteria Last Modified: 11/1/2022
- 2023 Additional Drug Listings for Medicare and Medi-Cal Members (For SCAN Connections (HMO SNP) and SCAN Connections at Home (HMO SNP)) Last Modified: 11/10/2022
- 2022 Additional Drug Listings for Medicare and Medi-Cal Members (For SCAN Connections (HMO SNP) and SCAN Connections at Home (HMO SNP)) Last Modified: 11/10/2022
