Documents Relevant to Formulary
2019 and 2018 SCAN Print Formulary
- 2018 SCAN Health Plan Formulary (English/Spanish)
- 2018 SCAN Health Plan Formulary (English/Chinese)
- 2018 VillageHealth Formulary – Los Angeles/Orange/Riverside/San Bernardino County (English/Spanish)
- 2019 SCAN Health Plan Formulary (English/Spanish)
- 2019 SCAN Health Plan Formulary (English/Chinese)
- 2019 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 MediCal Members
- 2019 Additional Drug Listings for Medicare and Medi-Cal Members (For SCAN Connections (HMO SNP) and SCAN Connections at Home (HMO SNP))
- 2019 Step Therapy Criteria
- 2019 Prior Authorization Criteria
