Prior authorization solutions

CoverMyMeds helps remove obstacles with electronic prior authorization (ePA) solutions designed to keep therapy moving forward. Complete requests up to 3x faster than phone or fax and accelerate therapy starts by up to 13 days^{[0]CoverMyMeds Data on File, 2025. Reverification Season: January 1- March 31} —for all drugs and all health plans.

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Two care team members at their office workstation collaborating to submit prior authorization requests.

The challenge

Manual prior authorization processes between providers, payers and pharmacies can create significant delays and frustration for all parties involved. Providers may switch therapies to avoid the time-consuming prior authorization process, while pharmacists often need to contact providers for additional information. Patients often experience delays and may abandon treatment plans due to these inefficiencies.

66%
of patients experience delays^{[0]CoverMyMeds 2023 Patient Survey}
66% of patients surveyed said they were delayed at least 24 hours in getting their medications.
80%
of providers^{[0]American Medical Association, 2022 AMA prior authorization physician survey, Feb 2023}
91%
of providers^{[0]American Medical Association, 2021 AMA prior authorization physician survey, Jan 2022}

Electronic prior authorization benefits

CoverMyMeds clears the way for faster, more confident prior authorizations through a connected network of providers, pharmacies, and payers. With direct payer connections and in-workflow support, our ePA solution helps streamline administrative processes, minimize therapy switching and prevent medication abandonment — so patients can start therapy sooner and providers can stay focused on care.

Seamless pharmacy integrations
Pharmacists can initiate prior authorizations directly at the point of claim rejection through integrated workflows—reducing phone calls and keeping therapy on track.
Direct payer and provider connections
Electronic connections enable fast, secure transmission of prior authorization information between payers and providers for quicker determinations.
All Drug Solution
CoverMyMeds streamlines prior authorization for all medications and health plans, connecting providers, pharmacies, and payers to reduce delays and speed patient access to therapy.
Simplified provider workflow
Providers and staff can initiate or complete pharmacy-initiated prior authorizations in-workflow, minimizing disruptions and accelerating therapy starts.
Faster speed to therapy
Electronic prior authorization helps patients start therapy up to 13 days sooner^{[0]CoverMyMeds Data on File, 2025. Reverification Season: January 1-March 31} compared to manual methods, reducing stress and improving outcomes.

Explore Prior Authorization solutions that fit your needs

Prior authorization challenges vary across providers, pharmacies, payers and pharma partners. Use the options below to find resources and tools designed to simplify workflows, accelerate approvals and keep patient care moving forward.
Leading patients to care, faster: CoverMyMeds’ ePA streamlines medication access in your EHR workflow, reducing administrative burden and accelerating therapy starts.

Care Teams

Health Systems
Connecting patients to therapies: Our ePA technology helps patients get on—and stay on—their prescribed therapies by minimizing delays and improving access.

View all Pharma solutions
Optimizing pharmacy workflows: CoverMyMeds supports retail and virtual pharmacies with integrated ePA solutions that reduce back-and-forth calls and speed up prior authorizations.

Retail Pharmacy

Digital Health & Telemedicine
Managing drug costs for payers and patients: Direct electronic connections accelerate determinations, reduce operational costs and help patients access medications faster.

View all Payer solutions

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Solution impact

CoverMyMeds is making a measurable impact with our prior authorization solutions

DISCOVER OUR IMPACT

1 of 3
Appeal requests submitted using CoverMyMeds’ technology were approved on average.^{[0]HubExpress Program data, May 2023}
2 days
Faster time to therapy for patients notified of approved requests, on average.^{[0]CoverMyMeds PA Notify data for approved prior authorizations, 2023}
14%
Average increase in paid claims at pharmacies using CoverMyMeds’ IntelligentPA solution.^{[0]CoverMyMeds analysis of pharmacies using an IntelligentPA-enabled system vendor vs. the EasyButton solution, Jan 2016–Jan 2019}
5.1M
CoverMyMeds-facilitated prior authorization renewals in 2023.^{[0]CoverMyMeds Prior Authorization Data, 2023}

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Our team is here to help you get the most out of CoverMyMeds. Start a chat or call us at 1-866-452-5017 during normal US business hours for live support, or review our knowledge articles and frequently asked questions any time!

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950,000+ providers, with 350+ EHRs integrated
50,000+ pharmacies, inclusive of top 10 chains
650+ brands across 95% of therapeutic areas

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Prior authorization solutions