WebGREEN SHIELD CANADA CLAIM SUBMISSION INSTRUCTIONS Please call our Customer Service Centre at 1-844-997-9888 if you require any assistance in completing … WebOnce completed, return request form along with any original paid “Official Pharmacy” receipts to: Green Shield Canada, Drug Special Authorization Department, P.O. Box 1606, Windsor ON N9A 6W1 Forms can be faxed or emailed: Fax: 1.519.739.6483 or Toll Free: 1.866.797.6483 or Email: [email protected]

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Web1. Please complete all sections of the form in full. 2. Fax the completed form to the Green Shield Canada Drug Special Authorization Department at 519-739-6483 or toll free 1-866-797-6483. -3. You will receive notification of approval or denial via faxed response. 4. A copy of this form should be retained in the pharmacy. WebHow to use the Green Shield App Here are the forms you need to utilize the health plan and/or make changes to your coverage. Opt-In Form: Use this digital form to opt-in or change your plan type. Appeal Form: The appeal form will be active for two weeks after the Health Plan opt-out deadline. fig tree hillcrest

Simple steps to find out if your private insurance covers …

WebGreenshield Prescription Drug Form is designed to facilitate the approval of medication for members enrolled in a pharmacist's network. It has multiple access points, including … WebGreen Shield Canada, Drug Special Authorization Department, P.O. Box 1606, Windsor ON N9A 6W1 Forms can be faxed or emailed: Fax: 1-519-739-6483 or Toll Free: 1-866-797-6483 or Email: [email protected] WebOnce completed, return request form along with any original paid “Official Pharmacy” receipts to: Green Shield Canada, Drug Special Authorization Department, P.O. Box … grm1554c1h1r3ba01