Documents Relevant to Formulary – SCAN Health Plan

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Documents Relevant to Formulary

SCAN Print Formularies

2025 SCAN Health Plan Formulary (English/Spanish) Last Modified: 5/31/2025
2025 SCAN Health Plan Formulary (English/Chinese) Last Modified: 5/31/2025
2025 SCAN Health Plan Formulary (English/Korean) Last Modified: 5/31/2025
2025 SCAN Connections (HMO D-SNP) and SCAN Connections at Home (HMO D-SNP) Formulary (English/Spanish) Last Modified: 5/31/2025
2025 SCAN Connections (HMO D-SNP) and SCAN Connections at Home (HMO D-SNP) Formulary (English/Chinese) Last Modified: 5/31/2025
2025 SCAN Connections (HMO D-SNP) and SCAN Connections at Home (HMO D-SNP) Formulary (English/Korean) Last Modified: 5/31/2025
2025 SCAN Desert Health Plan Formulary (English/Spanish) Last Modified: 5/31/2025
2025 SCAN Health Plan Formulary - New Mexico (English/Spanish) Last Modified: 5/31/2025
2025 SCAN Health Plan Formulary - Clark and Nye Counties (English/Spanish) Last Modified: 5/31/2025
2025 SCAN Health Plan Formulary - Texas (English/Spanish) Last Modified: 5/31/2025
2025 VillageHealth Formulary – Los Angeles/Riverside/San Bernardino County (English/Spanish) Last Modified: 5/31/2025

Additional Documents

2025 Prior Authorization Criteria Last Modified: 5/30/2025

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