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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. 

Filling prescriptions outside the network

We have network pharmacies outside of the service area where you can get your drugs covered as a member of our plan. Generally, we only cover drugs filled at an out-of-network pharmacy in limited circumstances when a network pharmacy is not available. You may have to pay more than your normal cost-sharing amount if you get your drugs at an out-of-network pharmacy. In addition, you will likely have to pay the pharmacy's full charge for the drug and submit documentation to receive the reimbursement. Before you fill a prescription at an out- of-network pharmacy, please call Member Services Department.

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.