Prior Authorization Drug List and Forms

Prior Authorization Drug List and Forms

Please enter your group contract number to verify if your drug plan includes Prior Authorization. If you're not sure what your contract number is, please contact your Benefits Administrator.

Please choose the form you need from the list below. If the form doesn’t load, try using a different web browser. You can also save the form to your computer:

  1. Click the download icon in the upper right corner of the “Please wait” page.
  2. Save the form to your computer.
  3. Open the file from where you saved it on your computer.
  4. Work with your doctor to complete the form. 
  5. Fax or mail all completed pages of the form to the claims office nearest you:

    Fax number: 1-855-342-9915

    Claims Office Montreal, QC
    Sun Life Assurance Company of Canada
    Attention: Claims Dept.
    PO Box 11658 Stn CV
    Montreal, QC
    H3C 6C1

    Claims Office Waterloo, ON
    Sun Life Assurance Company of Canada
    Attention: Claims Dept.
    PO Box 2010 Stn Waterloo
    Waterloo, ON
    N2J OA6

  6. If approved, Sun Life will mail you confirmation of the approval letter. If you are enrolled in
    Sun Life's Preferred Pharmacy Network, you’ll also receive a call from our partner Express Scripts Canada who will provide additional information on your coverage.
Table containing drug list
Drug Category Drugs Prior Authorization Form