CoverMyMeds offers an electronic prior authorization (ePA) solution that helps reduce delays associated with manual medication approval processes. Traditional prior authorization methods (phone calls, faxes, and paperwork) frequently cause treatment disruptions, provider frustration, and patient nonadherence. According to CoverMyMeds’ 2023 Patient Survey, 66% of patients reported experiencing medication delays of at least 24 hours due to prior authorization-related issues.
The CoverMyMeds platform streamlines the prior authorization process by enabling real-time, electronic submission of requests directly within pharmacy and provider workflows. Pharmacists can initiate a request at the point of claim rejection, reducing administrative back-and-forth and helping patients begin therapy faster. With integration into pharmacy management systems and EHRs, both pharmacists and prescribers can submit, track, and resolve prior authorizations without leaving their systems, minimizing workflow disruptions and enhancing efficiency.
Through direct connectivity with payers and providers, CoverMyMeds accelerates the transmission of clinical information, supports brand-specific prior authorization programs, and helps patients access medications up to two days sooner than traditional methods. The platform also ensures compliance with payer-specific requirements and maintains audit trails for accurate documentation and regulatory oversight.
Key features include:
- Seamless pharmacy integration for PA requests at the point of rejection
- Direct connections with payers and providers for faster processing
- Support for provider-initiated and pharmacy-initiated PA requests
- Brand-specific support for appeals and approvals
- Faster medication access and reduced abandonment rates
By digitizing and standardizing the prior authorization workflow, CoverMyMeds helps pharmacies improve care continuity, reduce operational friction, and support better medication adherence across the healthcare ecosystem.
