Important: Are you enrolled in Medi-Cal? Has your contact information changed in the past two years? Give your county office your updated contact information so you can stay enrolled. Find your local county office. For more information click here.

Documents Relevant to Formulary

SCAN Print Formularies

2023 SCAN Health Plan Formulary (English/Spanish) Last Modified: 8/31/2023
2023 SCAN Health Plan Formulary (English/Chinese) Last Modified: 8/31/2023
2023 SCAN Health Plan Formulary (English/Korean) Last Modified: 8/31/2023
2023 SCAN Desert Health Plan Formulary (English/Spanish) Last Modified: 8/31/2023
2023 SCAN Health Plan Formulary - Clark and Nye Counties (English/Spanish) Last Modified: 8/31/2023
2023 SCAN Health Plan Formulary - Texas (English/Spanish) Last Modified: 8/31/2023
2023 VillageHealth Formulary – Los Angeles/Riverside/San Bernardino County (English/Spanish) Last Modified: 8/31/2023

Additional Documents

2023 Prior Authorization Criteria Last Modified: 8/31/2023
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

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