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Beneva Prior Authorization Drug Forms (Group Plans)

Beneva calls prior authorization drugs exception drugs: drugs it must authorize before reimbursing them under a group plan. Its online search tool finds the right form for a drug based on the medical condition, alongside a general form (COL-F0344A) and exception forms for generic substitution (COL-F0071A) and the mandatory transition to biosimilars (COL-F0072A). The prescriber's section confirms the drug will be used correctly.

Who completes it

The plan member completes Section A, including any other private or provincial drug coverage, and signs; the prescriber completes Section B for an initial request or Section C for a renewal and signs.

Submitting and payment

How to submit it
The general form lists fax and mail as the ways to submit it, with Beneva's customer service and Client Centre for questions.
Who pays
The general form states the plan member is responsible for any fees charged for completing it.

Good to know

  • Do not include genetic test results; the form asks for pre-treatment lab results, severity scales such as DLQI, HAQ or ECOG, and imaging or BMI.
  • Biosimilar transition exceptions (COL-F0072A) cover pregnancy, patients under 18, an incompatible insulin pump, monocular patients and failure of at least two other biologics.
  • If the patient has other private or provincial drug coverage, attach the acceptance or denial documents to the request.
  • Beneva's list of prior authorization drugs, dated October 2, 2026, warns that a drug's eligibility status may change at any time.

Get the official form

Download the current version from the source each time; forms change without notice.

Prior authorization drugs

Official page

Fill it with Vero

If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.

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How this list is checked

A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms change without notice, so download the current version from the official page before you fill it in.

Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.

Frequently asked questions

How do I find the right Beneva prior authorization form?

Use the search tool on Beneva's exception drugs page: search for the prescribed drug, and Beneva shows which form to fill out based on the medical condition. If no specific form applies, the page offers the general form (COL-F0344A), and a full list of prior authorization drugs is posted.

What is the difference between an initial and a renewal request?

On Beneva's general form, an initial request uses Section B, with the diagnosis, test results before treatment and previous medications with the reason each was stopped. A renewal uses Section C, which compares the initial evaluation with the most recent results to support continuing treatment.

Who pays for completing a Beneva prior authorization form?

The plan member. Beneva's general form states the plan member is responsible for any fees charged for completing it. The member also signs a statement authorizing healthcare professionals and others to share the information Beneva needs to administer the group insurance contract and assess the claim.