BIOPHARMA SOLUTIONS

Access & Affordability Solutions

Maximize patient reach with access and affordability solutions that create a seamless patient journey from prescription 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

Built to move access and affordability forward

Our configurable digital solutions simplify prior auth and copay support — removing barriers so patients can start on your therapy sooner.

Based on complexity of brand needs

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 and field reimbursement manager support to help address access and reimbursement barriers.

Real-time messaging to clinicians

Deliver integrated, real-time brand messages at the highest points of clinical impact: prescribing and dispensing.

Improve access. Reduce abandonment.

Design strategic programs that activate provider support to 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 brands observing up to a 14-point improvement in claim approval rates

  • Decrease time to therapy

    Patient notifications following approved prior authorizations were associated with pickup occurring up to 2 days sooner

  • Integrate broad copay support reach

    69+ million copay claims processed via our pharmacy network and adjudication platform

  • Enable brand savings with maximizer mitigation​

    $176M saved by brands through copay maximizer mitigation

  • Gain experienced field support 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​

    Enabled EHR workflows have supported an average increase of up to 30% in prescription accuracy for select programs

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

Pairing timely data with experienced guidance

By bringing together scale, timely data and strategic experience, CoverMyMeds helps brands identify access barriers, optimize affordability strategies and support expedited therapy starts.

Optimize Patient Savings: 60M+ claims processed annually via our adjudication platform — delivering timely data to inform affordability strategies.

Inform Provider Outreach: 100M+ 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

Reduce access barriers and improve program performance with a customer success team that analyzes data, identifies opportunities and configures strategies to your brand’s needs.

  • 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 delivers connected, scalable solutions that improve affordability, reduce abandonment and support more timely starts, helping more patients start and stay on therapy.

129M+​

times helping patients access medication in 2025. Through electronic prior authorization we've helped millions of patients overcome access barriers in the last year by connecting them to the therapies they need.

11.4M+

times Rx not abandoned in 2025

$9.2B

in patient savings in 2025

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
  • Clinical adherence and education

Catch up on our Access & Affordability Insights Series

Access & Affordability insights

View More Insights

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

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