Reminder: Sun Life’s prior authorization program is coming to your group benefits plan on March 1, 2013

Special Edition - January 30, 2013

PDF version

As we communicated to you in November, Sun Life is adding the prior authorization (PA) program to your contract on March 1, 2013.  The inclusion of the PA program as a part of your Pay-Direct Drug (PDD) group benefits plan will be a seamless process.  PA will help manage costs and make extended health care more affordable for plan sponsors and plan members in the long run. 

More information for you and your plan members

We have created a “toolkit” of information brochures for you about the PA program.  These communications provide further details about the PA program, such as how to find forms,  the list of PA drugs, grandfathering, cost containment, and more.  You can access these resources by clicking the links below:

Plan sponsor brochures

Plan member brochures

How it works How it works
FAQs FAQs
  Talking to your doctor

 

Note: The Prior Authorization drug lists and forms will not be available to you on mysunlife.ca under your group contract number until the PA program has been activated on your group benefits plan. Until the activation, please enter "******" when asked for your group contract number and press "submit" to view the lists and forms.

We are also attaching a plan member communication for you to share with your plan members.  This communication will introduce the plan members to the PA program and share with them important information about grandfathering, the approval process, and how to find more details about the program.

Important note
Our previous communications regarding our prior authorization specialty categories mentioned the category “oral cancer.” The category name was incorrectly identified as “drugs to treat cancer of the mouth” when it actually refers to “drugs for cancer that are administered orally.”  We apologize for any confusion this may have caused and have since updated our wording to clarify this category’s definition.


Questions?

Please contact your Client Service Administrator at 1-877-786-7227.