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Documents Relevant to Formulary

2020 SCAN Print Formulary

2020 SCAN Health Plan Formulary (English/Spanish)
2020 SCAN Health Plan Formulary (English/Chinese)
2020 VillageHealth Formulary – Los Angeles/Orange/Riverside/San Bernardino County (English/Spanish)

Additional Documents

2020 Additional Drug Listings for Medicare and Medi-Cal Members (For SCAN Connections (HMO SNP) and SCAN Connections at Home (HMO SNP))
2020 Step Therapy Criteria
2020 Prior Authorization Criteria

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2020 SCAN Print Formulary

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