Solutions

Operational efficiencies

Supporting pharmacies with automated solutions that simplify operations, help to reduce delays and enhance collaboration with prescribers.

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Pharmacist advising patient at the pharmacy counter

The challenge

Prior authorizations are a common bottleneck in pharmacy workflows, causing claim rejections, delays in medication access and added burden on pharmacy staff. Manual processes require extensive follow-up with prescribers, leading to inefficiencies, increased prescription abandonment and frustration for both patients and pharmacy teams.

Operational efficiencies benefits

CoverMyMeds’ Pharmacy Operations solutions help more than 50,000 U.S. retail pharmacies optimize financial and operational performance. Our integrated, in-workflow solutions automate prior authorization initiation when a claim is rejected.

Reduce claim rejections
Automatically detects prior auth requirements and initiates requests, helping pharmacies get determinations faster.
Enhance patient access
Accelerates the medication approval process, minimizing delays that can lead to prescription abandonment.
Improve workflows
Automates time-consuming processes, reducing manual data entry and provider follow-up.
Encourage collaboration
Creates a seamless, actionable workflow that improves coordination between pharmacies and providers.

Operational efficiencies are best for:

Retail Pharmacy

Digital Health & Telemedicine

Specialty Pharmacy

Care team member sitting at the computer in a provider's office processing prior authorizations

Solution Spotlight: PriorAuthPlus™

Once a therapy is prescribed, PriorAuthPlus initiates the prior auth request at the pharmacy. The request arrives at the provider’s office with auto-populated patient, medication and prescriber information from the original claim.