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biopharma

Auto-Convert Solutions

Move patients and your brand forward with a flexible suite of auto-conversion solutions designed to work together to turn rejected claims into paid prescriptions, in real time.

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Built to turn rejection into action

When a claim is rejected at the pharmacy, therapy can stall, providers can seek alternative options and patients can abandon their treatment before it even begins. CoverMyMeds converted more than 6 million rejected clams to paid last year for sponsored brands, helping overcome coverage barriers with a suite of auto-conversion solutions.

More ways to move patients forward

Our auto-conversion solutions help brands turn eligible rejected claims into paid prescriptions by reducing patient costs at the right moment. Support can be activated at the time of rejection, at the time of rejection with prior authorization initiation for future fills, or after a prior authorization denial.

  • Seamless pharmacy integration

    Integrate support within a pharmacy network of 50,000+ pharmacies, helping convert eligible rejected claims with no additional action required at the pharmacy counter.

  • Flexible program design

    Configure your program to brand strategy, budget and patient needs, including patient cost, number of fills and eligible patient populations.

  • Continuous visibility to optimize strategy

    Auto-conversion is powered by an owned adjudication platform that provides claim visibility and supports ongoing program optimization.

Auto-convert solutions in action 

6M+

rejected patient claims converted to paid in one year

50,000+

pharmacies integrated into CoverMyMeds ecosystem

15+

years building and scaling biopharma programs

Catch up on our Access & Affordability Insights Series

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Turn rejections into starts

When claims are rejected, therapy can stall. Our auto-conversion solution helps turn eligible rejections into paid prescriptions in real time, keeping patients on track and your brand moving forward. 

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Access & Affordability insights

View More Insights
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Webinar

Scaling Field Reimbursement with Confidence: Why Maturity Matters

Jun 26, 202630 min

In this webinar, field reimbursement leaders from across the industry's most complex access environments share what it takes to evolve a program from reactive support to a strategic access asset.

By CoverMyMeds Editorial Team
Image of a pharmacist handing a prescription to a patient at a pharmacy counter
Case Study

Reversing Access Decline: What mature brands can do

Jun 24, 202615 min

Access our case study to see how one pharmaceutical brand responded to declining access as competition increased and prior authorization pressure intensified.

By CoverMyMeds Editorial Team
Image of a pharmacist handing a prescription to a patient. Image reads: Access & Affordability Blog Series
Insight

From Script to Start: Three Make-or-Break Moments

Jun 17, 202610 min

The disruptions that can occur between Rx capture and the patient going home with your brand fall into three categories. CoverMyMeds helps your pharmaceutical brand solve all three.

By CoverMyMeds Editorial Team
Image of a patient examining mail-order prescription
Insight

Affordability and the Approval Paradox: When a Yes Still Means No

Jun 17, 202610 min

Patient abandonment risk remains even after approval when cost is a factor. CoverMyMeds layered copay solutions ensure approved claims become patient starts.

By CoverMyMeds Editorial Team
A pharmacist handing a patient a prescription across the pharmacy counter. Image Reads: Access and Affordability Blog Series
Insight

The invisible Intervention: A Case for Real-time Claim Conversion in Access Strategy

Jun 17, 202610 min

When a claim is rejected at the pharmacy with low chance of PA approval, CoverMyMeds can fill the gap by converting to paid in real time, preventing abandonment.

By CoverMyMeds Editorial Team
Image of patient in doctor's office. Image reads "Access and Affordability Blog Series"
Insight

Staying in the Room: How Brands Maintain Control Through the Prior Authorization Journey

Jun 17, 202610 min

CoverMyMeds offers layers of comprehensive PA support for Biopharma brands, automating processes with intelligent form support and reducing provider burdens.

By CoverMyMeds Editorial Team
Image of patient bringing in a mail-order prescription from her front door
Webinar

How Integrated Care Models Simplify Specialty Medication Access

Apr 1, 202630 min

This is a reprint of 'The Future of Integrated Care: Redefining Specialty Medication Access and Affordability' originally published on beckershospitalreview.com on April 1, 2026.

By CoverMyMeds Editorial Team
Image shows a doctor handing a patient a copay card
Insight

Blueprint for the Future: Designing Scalable Copay Programs in a Rapidly Evolving Landscape

Dec 18, 202510 min

Copay programs need to be highly scalable and flawlessly compliant in an increasingly complex healthcare space. Find out how CoverMyMeds can help.

By Tate Williams
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Insight

How do access and affordability challenges evolve over the lifecycle of a medication?

Dec 3, 20255 min

Access and affordability challenges and their solutions are different for drug brands depending on their lifecycle stage. CoverMyMeds presented a webinar with Fierce Pharma discussing their findings, summarized here.

By CoverMyMeds Editorial Team
HLTH Hero Image
Insight

Kevin Kettler's Key Takeaways from HLTH 2025

Nov 4, 20255 min

At HLTH USA 2025, Kevin Kettler, President of CoverMyMeds, joined fellow healthcare leaders on the panel session, “Patients Know First,” to explore how the industry can better align with the evolving expectations to ensure patients remain at the center of all decisions.

By Kevin Kettler

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