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SCAN Health Plan Resources
Formulary
Documents Relevant to Formulary

Documents Relevant to Formulary

2019 SCAN Print Formulary

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

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

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Last Updated on 10/1/2018
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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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