Prior Authorization Forms

A Prior Authorization Form must be submitted if the prescribed medication requires approval. Follow these simple steps in order to complete and submit a Prior Authorization form for review.

4 Easy Steps

STEP 1 Patient completes Part A.
STEP 2 Prescribing physician completes Part B.
STEP 3 Send the completed form to Sun Life.
STEP 4

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 Express Scripts Canada who will provide additional information on your coverage.

Search Prior Authorization Forms

Please note that coverage eligibility for drugs listed on this page may vary depending on your plan design.

If you require an accessible format please Contact Us.

Touch Device

You can submit all pages of this form through the my Sun Life Mobile app or mysunlife.ca. 
Please use ‘prior auth’ as the reference number.

Or

Please fax or mail the completed form to Sun Life Assurance Company of Canada ®

Fax

Sun Life Assurance Company of Canada
1-855-342-9915
Mail Sun Life Assurance Company of Canada
Attention: Claims Dept.
PO Box 11658 Stn CV
Montreal, QC H3C 6C1

Sun Life Assurance Company of Canada
Attention: Claims Dept.
PO Box 2010 Stn Waterloo
Waterloo, ON N2J 0A6