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.