Email Prior Authorization Form

Review results

View coverage

View confirmation message

• 1 Select a patient, and choose the province where the drug will be purchased.
• 2 Enter the drug name or DIN.
• 3 Click "Search".

• 1 Click on a drug name to view your coverage.

• 1 Scroll down to view coverage amount and an explanation of your coverage.
• 2 Complete the prior authorization email form fields.
• 3 Click "Send".

• 1 View confirmation that the email has been sent.
• 2 That's it! Thank you for using the Manulife Group Benefits mobile site demo.

Try next simulation