Often, patients can’t start or continue therapy on time because of prior authorization delays. Our prior authorization support is available through a familiar portal and integrated EHR workflows that more than 1 million providers already know and use, making it easier to get requests started and submitted. The result: more submissions to plan, with brands observing up to a 14-point improvement in claim approval rates.[0]
Our prior authorization support plugs your brand into one of the industry’s most connected networks of 1M+ providers, 350+ EHRs, 50,000+ pharmacies, and all major health plans and PBMs, allowing you to layer and scale support for providers submitting prior authorizations for your therapy.
Explore case studies to see our prior auth tools in action and the impact they deliver.
Brand Y launched with strong momentum and favorable formulary coverage in the competitive GLP-1 market. As more therapies entered the category, the brand needed a way to make prescribing easier and help protect market share.
By implementing prior authorization support through the CoverMyMeds network, providers had a simpler way to start and submit brand-specific requests to plan.
When Brand X, a genito-urinary therapy, lost coverage with a major health plan, prior authorization volume surged by as much as 130%. The brand needed a fast way to help providers manage the increase and keep patients moving toward therapy.
CoverMyMeds provided brand-specific prior authorization support, approved outcome notifications and appeal initiation for denied requests, helping providers navigate coverage requirements more efficiently.
Brand Z wanted to give their field reimbursement managers better visibility into which provider offices were struggling with prior authorization.
Using a field team data tool, Brand Z's field teams gained access to provider-level prior authorization data updated daily. With clearer insights, they were able to prioritize outreach and have more productive conversations with office staff.
Prior authorization barriers can delay therapy starts and contribute to abandonment before treatment begins. CoverMyMeds helps more requests get submitted to plan, supports more timely patient pickup when approved outcome notifications are used, and gives brand teams the data needed to identify access barriers.
Help more patients start therapy while giving your brand clearer visibility into prior authorization barriers, denial trends and provider support opportunities.
Become a strategic partner with CoverMyMeds to expand patient access and improve therapy experiences.
