Hudson Health Plan

Pharmacy Benefit Manager is Maxor Plus
Their phone number is (800) 687-0707

Their representative told me that they do not have a standard form.

When the community pharmacy processes the claim, it will reject if it needs a prior approval.  If the pharmacist calls the plan, the plan will automatically generate a patient specific prior approval form and the plan will fax it to the prescriber.

The representative said that there would be a fax number preprinted on the form so that the prescriber would know where to send the completed form.

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