Streamlining operations

Delivering tools for agility and efficiency that keep hospital outpatient pharmacies prepared for whatever comes their way.

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Pharmacist handing over prescription to a patient at a hospital outpatient pharmacy counter

The challenge

From staff shortages to complex regulatory compliance, the list of challenges for outpatient pharmacies is long and ever-changing. Pharmacy teams face growing pressure to process prescriptions quickly and accurately while navigating regulations — all with the knowledge that errors in dispensing, inaccurate claims and delayed reimbursements could lead to financial risk and compromise patient safety.

Outpatient hospital pharmacy solutions

CoverMyMeds provides a comprehensive bundle of integrated, real-time solutions easily accessible in the pharmacy workflow — helping outpatient hospital pharmacies increase claim accuracy, reduce audit risk and optimize reimbursement.

Reduce audit risk
Identify and address claim discrepancies in real time to help reduce audit exposure and support compliance with regulations.
Enhance patient access
Simplify the prior authorization process and help reduce prescription abandonment by resolving coverage issues early in the workflow.
Improve workflow efficiencies
Automate key processes and integrate real-time tools to streamline claims, reduce manual tasks and optimize pharmacy operations.
Protect reimbursements
Recover lost revenue and optimize reimbursement accuracy by identifying outdated information and assessing claims against updated parameters.
Prevent medication errors
Receive real-time clinical and safety notifications during dispensing to enhance accuracy and support patient wellness.
Support patient adherence
Reduce out-of-pocket costs and streamline prior authorizations to help patients start and stay on their medications, minimizing abandonment and improving adherence.

Care team member sitting at the computer in a provider's office processing prior authorizations

Solution Spotlight: PriorAuthPlus™

Once a therapy is prescribed, PriorAuthPlus initiates the prior auth request at the pharmacy. The request arrives at the provider’s office with auto-populated patient, medication and prescriber information from the original claim.

Patient uses credit card to pay for medication at the pharmacy counter

Solution spotlight: eVoucherRx™

eVoucherRx from CoverMyMeds automatically applies electronic coupons for selected brand-name medications when the prescription is processed by the pharmacy system. In 2024 alone, it saved patients over $4.3 billion, helping to reduce patients’ out-of-pocket costs and avoid prescription abandonment without taking staff out of their normal workflow.^[0]

Delivering impact for pharmacies

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The impact of our network speaks for itself. Together, our work helps improve time to therapy, ^[0] breaks through medication affordability obstacles and promotes greater connectivity among care teams to achieve better health outcomes.