Categories
Prior Authorization Forms
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Alberta Blue Cross https://www.ab.bluecross.ca/dbl/forms.php
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Assumption Life https://www.assumption.ca/getmedia/ad77aa57-fe29-4dca-a699-8c0c3ed072da/4879-00A-Special-Authorization-Request
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Claimsecure http://www.claimsecure.com/content/forms/00747/specialauth_en.pdf
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Desjardins https://www.desjardinslifeinsurance.com/en/dfs-forms/group-insurance-forms/prior-authorization-drugs
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Express Scripts - For Empire Life, GMS Insurance https://www.express-scripts.ca/healthcare-providers/health-care-downloads-and-resources
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Great West Life / Canada Life https://www.greatwestlife.com/you-and-your-family/forms/group-claim-forms/prior-authorization-forms.html
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Green Shield https://www.providerconnect.ca/AdminContent/DrugAuthorizationForms.aspx
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Industrial Alliance https://ia.ca/individuals/find-a-form/group-insurance
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Manitoba Blue Cross https://mishp.ca/Assets/files/MISHP%20EDS%20Form.pdf
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Manulife https://www.manulife.ca/personal/support/find-a-form.html
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Medavie Blue Cross https://www.medaviebc.ca/en/members/your-coverage/prior-authorization-requests
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Ontario Blue Cross https://on.bluecross.ca/advisor-resources/documents
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Ontario Teachers Insurance Plan (OTIP) https://pa.otip.com/en/forms/
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Pacific Blue Cross https://www.pac.bluecross.ca/advicecentre/story/prior-authorization-drugs#priorauthforms
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RBC Insurance https://www.rbcinsurance.com/group-benefits/_assets-custom/popups/understanding-prescription-drug-prior-authorization.html
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SSQ Financial Group https://ssq.ca/en/forms/prior-authorization-forms
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Sun Life - Group Contract Number Needed https://www.sunlife.ca/workplace/en/group-benefits/forms/prior-authorization-drug-list-and-forms/
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The Co-operators Life Insurance https://www.cooperators.ca/en/Group/group-benefits/forms/prior-authorization-forms.aspx