Coverage resources

Provincial drug benefit and special authorization forms.

General drug request form (ABC 60015). Check the forms directory for a drug-specific form first.

Request forms for drugs, devices, and supplies.

Find drug-specific criteria and request information.

Applications, consent forms, and worksheets.

Drug plan information and benefit programs.

Drug-form search, general requests, and generic or biosimilar exception forms.

For coverage through an employer or plan sponsor.

For coverage purchased through an advisor; distinct from workplace plans.

Find special authorization forms and other plan documents.

General request form for a drug requiring clinical review before approval.

Drug coverage and FACET prior authorization information for members of this education workers’ benefits trust.

Drug-specific forms and submission guidance for group insurance.

Plan-member forms through EquitableHealth. Sign-in required.

Prior authorization program and forms.

Pharmacy forms hub, including GreenShield resources.

Online authorization forms. Portal access may be required.

Under Group insurance: prior authorization, brand-name exceptions, and reference biologic exceptions.

Find drug prior authorization, brand-name drug requests, and health claims under coverage through an employer.

Private-plan drug-form search and request guidance, including province-specific instructions.

Union-published guidance for AMAPCEO-represented OPS employees, including drug authorization and brand-name requests. Other employee groups may have different plans.

For participating education employee life and health trusts. Teachers and education workers should confirm their specific plan; CUPE EWBT has separate resources.

Drug prior authorization request resources for participating OTIP-administered plans.

Workplace-plan drug coverage information for eligible federal public service employees, retirees, and dependants.

Plan-specific claim and drug authorization forms. Use the PSHCP versions for this plan.

Workplace drug-plan forms. Use the group contract number to check which requirements apply.

How to find the correct form through the member account; confirm the plan before using a generic form.