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Pharmacy Benefits

Prescription medications are widely used. That’s why we put so much thought into our pharmacy benefits. We understand what matters most: Medication you need at a cost you can afford and programs that help you stay on track.

SCAN makes it possible to get more from your prescription benefits: Savings. Convenience. Over 700 medications at Express Scripts mailorder pharmacy for a $0 copay. Lower copays at Preferred Retail Pharmacies. 90‐day supply discounts on most medications you take regularly.

We understand the importance of taking your medications. So you might hear from SCAN at times with medication tips, refill reminders or an offer to help you manage your medications. We invite you to reach out to us as well. We have a specially trained Member Services team who are experts in your pharmacy benefits and aim to provide you the highest quality of service. Together, we can help optimize your health to be the best it can be.

Pharmacy Guide

SCAN Health Plan has contracts with 68,000 pharmacies. Eligible beneficiaries must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances. Quantity limitations, copayments and restrictions may apply.

Refer to your Evidence of Coverage (EOC) document for details. Limitations, copayments, and restrictions may apply. The pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Benefits and/or copayments/coinsurance may change on January 1 of each year.

To search for participating pharmacies in your area, click here. 

Call Member Services at 1-800-559-3500 for additional information. (TTY Users: 711). Hours are 8 a.m. to 8 p.m., seven days a week from October 1 to March 31.

From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. Messages received on holidays and outside of our business hours will be returned within one business day.

Filling Prescriptions Outside Our Network

Before you buy prescription drugs at a pharmacy that isn’t part of the SCAN network of pharmacies, please call Member Services.

Generally, prescriptions filled at an out-of-network pharmacy will only be covered if an in-network pharmacy isn’t available to you. If you use an out-of-network pharmacy for your medication, you may have to pay more than normal, and you’ll most likely have to pay the full amount when you pick up the prescription. You would then submit a prescription drug claim form to us to receive any reimbursement.