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Prior Authorization is a pre-approval process to determine if certain prescription drugs will be reimbursed under a member’s benefit plan. Requests will be confidentially reviewed according to payment criteria developed by Blue Cross in consultation with independent health care consultants. In some cases, additional testing or clinical information may be required.

Certain medications may require confirmed enrolment into the respective Patient Support Program prior to approval.

Please note: these forms are applicable to private health plans only. If you are unable to locate the Prior Authorization Request form for the drug you’ve been prescribed in the list of Prior Authorization Forms available, please follow the instructions below based on your province of residence. 

Specialty Prescription Drugs

  Quebec residents

Please contact our Customer Contact Center at 1-888-873-9200 to obtain the appropriate drug specific form, as the general forms may not be used in Quebec. 


  Atlantic Canadian and Ontario residents

  1. Download the general specialty prescription drug prior authorization request form
  2. Complete the form and return it to us for review


Non-Specialty Prescription Drugs

(Health Wise plans)

  Quebec residents

Please contact our Customer Contact Center at 1-888-873-9200 to obtain the appropriate drug specific form, as the general forms may not be used in Quebec. 


  Atlantic Canadian and Ontario residents

  1. Download the non-specialty Prescription Drug Authorization Request Form 
  2. Complete the form and return it to us for review