Formulary Documents

The SCAN Formulary is a list of prescription drugs covered by your plan.

To review or download your plan Formulary, please choose from the list below.

To search for a prescription drug in the Formulary, please use our Find a Formulary Drug search tool by clicking here.

If you’d like a printed copy of the Formulary mailed to your home, please click here and fill out the Formulary request form.

NOTE: If you choose to have your Formulary mailed to your home, all future Formularies will also be mailed to your home until you request otherwise by contacting Member Services.