Get Sunlife Drug Exception Form

Filling out the Sunlife Drug Exception Form online can be straightforward if you follow these guidelines. This form is essential for requesting coverage for medications that are not fully covered by your insurance plan.

Follow the steps to successfully complete the Sunlife Drug Exception Form.

1. Click the ‘Get Form’ button to access the form online. This will allow you to open and begin filling it out in the appropriate format.
2. Fill out the plan member information section. Ensure to provide your contract number, member ID number, your last name, first name, and address. Also, select your preferred language of correspondence and provide your date of birth and daytime telephone number.
3. Complete the claimant information section if applicable. This includes the claimant's last name, first name, date of birth, and the relationship to the plan member.
4. Provide the reason for the request. Indicate whether it is a request for the full cost of the drug due to inability to take a lower-priced equivalent.
5. Sign the authorization and certification section, confirming the information provided is accurate. Ensure to include your signature and date.
6. The prescribing physician must fill out the reverse side of the form. They will need to provide information on the diagnosis, medical condition, and details of the drug exception requested.
7. Ensure the prescribing physician includes their contact information and signature. This section must be completed for your request to be valid.
8. Once all sections of the form are complete, review all information for accuracy. You may then save changes, download, print, or share the form as required.

Complete your Sunlife Drug Exception Form online today to ensure proper access to necessary medications.