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Drug Card

Telus Health Solutions (Assure) Drug Card

Under normal circumstances, when you use your Assure pay-direct drug card to purchase prescription medicines, you pay only the Member’s share at time of purchase and no claim form is needed. Rarely, you may find that the pharmacy is not able to process your prescription using your pay-direct drug card due to technical difficulties with the pay-direct computer system or the fact that the pharmacy doesn’t participate in the drug card program. In these rare cases or, if you don’t have your drug card with you, to present to your pharamacist, you may have to pay the full amount for your prescription and file a claim directly with Telus Health Solutions (Assure) for reimbursement.

Use the Telus Health Solutions (Assure) Drug Claim form if you’ve paid for prescription drug purchases that would normally be covered when using your pay-direct drug card and you wish to be reimbursed.

Information Needed to Complete the Form

In addition to your personal information, the following information is needed to complete the form:

  • employee ID number from your Assure Card,
  • claimant information, and
  • information on coordination of benefits

Please submit completed forms to:

TELUS Health Solutions
Claims Payment Department
630 Rene-Levesque Blvd. West
Suite 2200
Montreal, Quebec H3B 1S6

More Information
Questions on completing the form should be directed to the Plan Administrator.

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