2012 SCAN Drug Formulary Guide

The SCAN formulary is a continually updated list of prescription medications covered by SCAN Health Plan. The SCAN Formulary is developed by the SCAN Pharmacy and Therapeutics Committee to ensure that included drugs are safe, effective, FDA approved and appropriate. The committee is comprised of physicians and pharmacists, many of whom have clinical expertise in geriatrics. The formulary contains both brand and generic drugs.

SCAN Health Plan covers both brand name drugs and generic drugs. Generic drugs have the same active ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs.

The Medicare program allows us to make changes in our prescription drug formulary list at any time during the calendar year. As previously explained, the formulary is a list of drugs. A change in our drug formulary could affect which drugs are covered, the members co pay and the limit on usage.

Extra Help for Prescription Drug Costs:
You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for extra help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week; The Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or Your State Medicaid Office.

People with limited incomes may qualify for Extra Help to pay for their prescription drug costs. If eligible, Medicare could pay for up to one hundred (100) percent of drug costs including monthly prescription drug premiums, annual deductibles, and coinsurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don’t even know it. For more information about this Extra Help, contact your local Social Security office or call 1-800-MEDICARE (1-800-633-4227), 24 hours per day, 7 days per week. TTY users should call 1-877-486-2048.

For more information contact Member Services at 1-800-559-3500. We are available to help you between the hours of 7:00 a.m. and 8:00 p.m., seven days a week. TTY users call: 1-800-735-2929.

This formulary services the counties covered under the SCAN service area. For a complete listing of covered areas, click here.

To download the 2012 formulary introduction in Spanish Chinese Vietnamese , click here.

To download a list of the 2012 Formulary Drugs, click here.

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Transition Policy Statement

To download the 2012 transition policy in English Spanish Chinese Vietnamese , click here.