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Manulife Group Benefits (Manulife Financial) fax number

(855) 752-0404

Health Claims – Prior Authorization Team

Used for: Submitting drug prior authorization forms for group benefits; processing of prior authorization requests and related health claim information

Fax destination details

Department
Health Claims – Prior Authorization Team
Purpose
Submitting drug prior authorization forms for group benefits; processing of prior authorization requests and related health claim information
Form
Drug Prior Authorization Form — Drug Prior Authorization Form (GL5197E)
Address
Quebec: PO BOX 2580, STATION B, MONTREAL QC H3B 5C6; Outside Quebec: PO BOX 1653, WATERLOO ON N2J 4W1

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Please mail or fax your completed form to the appropriate address. If you live in Quebec, use PO BOX 2580, STATION B, MONTREAL QC H3B 5C6; outside Quebec, use PO BOX 1653, WATERLOO ON N2J 4W1. Fax: 1-855-752-0404.

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