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To SCAN members impacted by the fires in Southern California: If you are having trouble getting needed medical care, supplies or medications, please let us know: 1-800-559-3500 (TTY 711) 8 a.m. to 8 p.m. Monday – Friday. Click here to learn more.

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SCAN Health Plan Resources
Formulary
Documents Relevant to Formulary

Documents Relevant to Formulary

2018 SCAN Print Formulary

2018 SCAN Health Plan Formulary (English/Spanish)
2018 SCAN Health Plan Formulary (Chinese)
2018 VillageHealth Formulary - Los Angeles/Orange/Riverside/San Bernardino County (English/Spanish)

Additional Documents

2018 Step Therapy Criteria
2018 Prior Authorization Criteria
2018 Additional Drug Listings for Medicare and Medi-Cal Members

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Last Updated on 12/21/2017
Y0057_SCAN_10549_2017
CMS Approved
12212017

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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