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Drug exception application form - Sun Life Financial 2026
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- Click ‘Get Form’ to open the Drug exception application form in the editor.
- Begin by filling out the Plan Member information section. Enter your Contract number, Member ID number, last name, first name, address, and date of birth. Ensure all fields are completed accurately.
- In the Claimant information section, provide details about the claimant including their last name, first name, date of birth, and relationship to the Plan Member. Select the appropriate reason for your request.
- Review the Authorization and signature section. Confirm that all provided information is true and complete before signing and dating the form.
- If applicable, have your prescribing physician complete the reverse side of the form. This includes providing a diagnosis, drug exceptions requested, and any relevant medical information.
- Once all sections are filled out correctly, save your document and follow mailing instructions to submit it to Sun Life Assurance Company of Canada.
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What is a drug exception for Sun Life?
If this is your situation, you can request that Sun Life Assurance Company of Canada make an exception. Exceptions will only be made for drugs which legally require a prescription. To be eligible for coverage, trials with two alternative drugs covered on your plan may be required.
What is a prescription drug coverage exception?
Drugs Medicare does not cover Drugs used to treat anorexia, weight loss, or weight gain. Fertility drugs. Drugs used for cosmetic purposes or hair growth. Drugs that are only for the relief of cold or cough symptoms. Drugs used to treat erectile dysfunction. Prescription. Non-prescription drugs (over-the-counter drugs)
What is the drug exception form?
Use this form to request coverage of a drug that is not automatically covered under your drug plan. Provide the requested information to ensure timely assessment of your claim.
How to get an excluded drug covered?
A formulary exception is a request to your insurance company to cover a non-formulary drug. This request is typically initiated by your provider, who will provide supporting documentation, accompanied by a letter of medical necessity (LMN), to explain why the requested medication is necessary for your treatment.
What is a drug exception option?
A doctor or other health care provider whos legally allowed to write prescriptions. believes none of the drugs on your plans drug list will work for your condition, you can ask for an exception. An exception is when a drug plan decides to cover a drug thats not on its drug list, or to waive a coverage rule.
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