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Nous considérons la terre comme un acte de réconciliation et de gratitude envers ceux sur le territoire desquels nous résidons, travaillons ou sommes en visite, comme le recommandent les 94 appels à l’action de la Commission de vérité et de réconciliation. 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C11.5795635,0.235249995 11.8148135,0 12.1062569,0 Z M12.1062569,4.21059394 C14.1377882,4.21059394 15.7902527,5.86305847 15.7902527,7.89458981 C15.7902527,8.18508069 15.5540503,8.42128311 15.2635594,8.42128311 C14.974021,8.42128311 14.7378185,8.18508069 14.7378185,7.89458981 C14.7378185,6.44404024 13.5568064,5.26302812 12.1062569,5.26302812 C11.8148135,5.26302812 11.5795635,5.0268257 11.5795635,4.73633481 C11.5795635,4.44584393 11.8148135,4.21059394 12.1062569,4.21059394 Z"></path></g></g></g></g></g></svg><span class="sc-deXhhX dPDVAw">Nous joindre</span></div></a></div></div></nav><div class="sc-leSDtu kuPHhh"><div class="sc-jxOSlx cRQXuQ"><hr class="sc-dycYrt jaqGqN"/></div></div></div><div class="sc-hoLEA jRgtLm"><div class="sc-jxOSlx fJgrHx"><h3 class="sc-bddgXz aHBBC">Reconnaissance du territoire</h3><span id="ge-footer-landMark-mobile" data-testid="ge-footer-landMark-mobile" alt="LandMark" name="LandMark" aria-label="LandMark" class="sc-fyVfxW eyGYaV">L'équipe TELUS reconnaît que 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Nous considérons la terre comme un acte de réconciliation et de gratitude envers ceux sur le territoire desquels nous résidons, travaillons ou sommes en visite, comme le recommandent les 94 appels à l’action de la Commission de vérité et de réconciliation. 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Créons un futur meilleur" loading="lazy" class="Image__StyledImage-components-web__sc-blwu4l-0 OGrSh"/></a><span class="sc-kFWlue jCDfyX">©<!-- -->2023<!-- --> TELUS</span></div></div></footer><script> window.__INITIAL_STATE__ = {"backendMsg":{"status":"UNINIT","message":""},"backendVersion":{"status":"SUCCESS","version":"1.0.0"},"paContent":{"status":"SUCCESS","content":{"en":{"introText":"Please enter and submit your Carrier and Group Number to access TELUS Health prior authorization forms for download.\n\n__Important:__ \nPlease consult with your insurer\u002Fplan administrator and\u002For their member website if you require confirmation of drug eligibility and which, if any, prior authorization form should be used.\n\nListing of a Prior Authorization Form within the current TELUS Health Prior Authorization Form Portal does not confirm coverage of a drug and\u002For the requirement of prior authorization specific to your drug plan; nor does it confirm that your drug plan uses TELUS Health Prior Authorization Forms.","introImage":{"url":"\u002F\u002Fimages.ctfassets.net\u002F1izjqx4qtt8c\u002F6cvru0k1ADBsK62reUKTcO\u002F3f3008aca3d894710b136c5c2c38e3b1\u002FTHS3737_Prior_Authorization_Image-group-8_3x_EN.png","title":"THS3737 Prior Authorization Image-group-8 3x EN","description":"","contentType":"image\u002Fpng","dimensions":{"width":1338,"height":1110},"size":329818,"version":3},"formListingText":"Used in conjunction with a [formulary](https:\u002F\u002Fwww.telus.com\u002Fen\u002Fhealth\u002Forganizations\u002Fgroup-health-benefits\u002Finsurers\u002Fdrug-claims#forms_7hopqUv5t93fBaf5WH9gwO \"Formulary information\"), the Prior Authorization Program allows plan sponsors to limit the use of certain drugs by requiring patients to obtain a prior authorization before coverage is issued.\n\nPlease find the forms available in alphabetical order of medication below. \n\n__Important:__ Please consult with your insurer\u002Fplan administrator and\u002For their member website if you require confirmation of drug eligibility and which, if any, prior authorization form should be used.\n\nListing of a Prior Authorization Form within the current TELUS Health Prior Authorization Form Portal does not confirm coverage of a drug and\u002For the requirement of prior authorization specific to your drug plan; nor does it confirm that your drug plan uses TELUS Health Prior Authorization Forms.\n\nFor QUEBEC residents ONLY: if a form for the specific drug being requested is not found below, please complete and submit the [Medication Exception form](https:\u002F\u002Fpage.telushealth.com\u002Frs\u002F655-URY-133\u002Fimages\u002Fform_ramq-medication-exception_en.pdf) for any drugs listed on the [RAMQ exception drug list](https:\u002F\u002Fwww.ramq.gouv.qc.ca\u002Fen\u002Fabout-us\u002Flist-medications). If the patient qualifies for the patient d’exception measure, please complete and submit the [Patient Exception form](https:\u002F\u002Fpage.telushealth.com\u002Frs\u002F655-URY-133\u002Fimages\u002Fform_ramq-patient-exception_en.pdf). 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