BIOPHARMA SOLUTIONS

Access & Affordability Solutions

Maximize patient reach with access and affordability solutions that create a seamless patient journey from prescribing to pickup. For both approved and rejected pharmacy claims, your brand can enable solutions that help turn barriers into patient starts.

Pharmacist hands over a prescription bag of medication to patient across the counter

Build a foundation for seamless patient access and affordability

Embedded directly into provider and pharmacy workflows, our integrated digital solutions simplify prior authorization and copay support — removing barriers and accelerating access to therapy for patients who need it most.

Based on complexity of brand needs

Access & Affordability Support
Enhanced prior auth workflow and tools

Increase submissions to plan with optimized prior auth workflows and a provider-level data tool for field teams.

Comprehensive copay programs

Reduce cost-related abandonment by pairing an automatic copay coupon with a traditional program.

Auto-conversion of rejected pharmacy claims

Instantly establish patients with a rejected claim by auto-converting to paid at the pharmacy counter.

Field reimbursement services

Leverage patient-level insights with CoverMyMeds’ field reimbursement staff to extend brand reach.[0]Patient-level data available when used in combination with other solutions

Medication alerts to providers

Increase the rate of accurate prescriptions by surfacing messages at critical points in the provider workflow.

Help improve access and reduce abandonment

Design strategic programs that activate provider support to help improve patient access and apply pharmacy solutions to reduce abandonment due to cost.

  • Increase prior auth submissions and patient access

    Drive more prior auth submissions, with a subsequent 14%-point improvement in claim approval rates observed[0]CoverMyMeds data on file, Komodo studies 2024

  • Decrease time to therapy

    2 days faster pickup with patient notification on approved prior auth[0]PA Notify data for approved prior authorizations

  • Integrate broad copay support reach

    69+ million copay claims processed via our pharmacy network and adjudication platform[0]CoverMyMeds claims data on file. Date range: January–December 2024

  • Enable brand savings with maximizer mitigation​

    $176M saved by brands through copay maximizer mitigation[0]CoverMyMeds maximizer support data on file. Date range: January– December 2024

  • Gain field expertise and patient line of sight​

    Deploy a field team in as little as 2 months, strategically placed where they’re needed most—guided by critical patient journey insights.

  • Increase rate of accurate prescriptions​

    30% average increase in rate of accurate prescriptions via enabled EHRs with provider alerts[0]CoverMyMeds Real-time Benefit transaction data, Jan 2022-Dec 2022

Pharma decision-makers in conference room reviewing presentation on screen.

Delivering data along with experienced guidance​

By bringing together scale, data and strategic experience, we can help your brand drive smarter patient access and affordability decisions.

  • Optimize Patient Savings: 60M+[0]Calendar Year 2024; CoverMyMeds data on file claims processed annually via our adjudication platform—delivering timely data to inform affordability strategies.

  • Inform Provider Outreach: 100M+[0]Calendar Year 2024; CoverMyMeds data on file prior auths processed annually, providing data reporting and field team tools to strengthen provider outreach.

  • Align to Evolving Needs: Pairing data with experienced strategy, our team helps you create an informed approach to confidently respond to market events.

Specialized experience that turns complexity into strategic brand growth

Proactively shape a smarter approach with the support of a customer success team who helps you filter through challenges, analyze the data and make smart, tailored decisions.

  • Team Director
  • Account Manager
  • Strategic Data Scientist
  • Clinical Sales Support
  • Commercial Solutions Sales Director
  • Critical Success Partners

Patient access solutions that move your brand forward

Patients face barriers at every stage of their journey. With deep insight into friction points that hinder access, CoverMyMeds provides specialized experience to deliver connected, scalable solutions that improve affordability, reduce abandonment and help more patients start and stay on therapy.

  • 111M+​

    patients supported[0]Calendar Year 2024; CoverMyMeds data on file​

    Through electronic prior authorization and patient assistance program management, we helped millions of patients overcome access barriers in the last year by connecting them to the therapies they need.

    Illustration: Through electronic prior authorization and patient assistance program management, we helped 111M+ patients overcome access barriers in the last year by connecting them to the therapies they need.
  • 12.5M+​

    times Rx not abandoned[0]Calendar Year 2024; CoverMyMeds data on file

  • $10B+​

    in patient savings[0]Calendar Year 2024; CoverMyMeds data on file​

Explore solutions that scale with your brand

Access and Affordability Support
  • Enhanced prior auth workflow and tools
  • Comprehensive copay programs
  • Auto-conversion of rejected pharmacy claims
  • Field reimbursement services
  • Medication alerts to providers
Light Patient Support
  • Can include Access & Affordability Support
  • e-Enrollment
  • Prior auth appeal support
  • Benefits investigation
Complex Patient Support
  • Can include Light Patient Support
  • Patient assistance program management
  • Specialized case management
  • Free drug enrollment and dispensing
  • Clinical adherence and education

Join the 650+ brands that have benefited from the CoverMyMeds’ continuum of pharma solutions.

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