Specialty Pharmacy Solutions

Streamlining operations in specialty

CoverMyMeds empowers specialty pharmacies with solutions that streamline operations and simplify the demands of dispensing high-cost, high-touch therapies.

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Pharmacist accesses specialty biologics medication from cold storage

The challenge

With the rapid rise of specialty medications and their expanding role in patient care, specialty pharmacies are more critical than ever in navigating prior authorizations and care coordination. Managing these high-cost, high-touch therapies while ensuring compliance requires precise, data-driven solutions. To meet growing industry demands and improve patient outcomes, specialty pharmacies need integrated, automated tools that streamline operations, enhance efficiency and enable personalized support.

75%
of drugs under development are specialty therapies^[0]
Current estimates expect specialty medications to represent more than 75% of newly launched drugs in the next 5 years.
56%
of drug spend is specialty medications^[0]
$68B
value of the specialty market^[0]

Specialty pharmacy solutions

We deliver solutions that help streamline high-touch workflows, optimize reimbursement and improve patient care coordination — supporting the increasing demands on pharmacies dispensing complex, high-cost therapies.

Compliance Safeguards & Audit Prevention
Screen for excluded prescribers, validate DEA schedule authority and surface quantity, days' supply and plan-specific issues before submission to prevent audit triggers and reduce compliance exposure.
Enhanced Financial Performance & Revenue Protection
Identify and recover dollars lost to outdated AWP values, convert denied claims into paid claims and use real-time rules engines to validate claims, capture revenue and reduce rework.
Operational Efficiency & Streamlined Access
Automate routine tasks to reduce interruptions, streamline access and reimbursement workflows to accelerate therapy starts and leverage the CMM pharmacy switch that connects 50,000+ pharmacies and 1,000+ payers.
Improved Patient Access & Affordability
Auto-applied savings on 100% of eligible commercial claims display real-time benefit details, including copays and lower-cost alternatives, and identify accurate billing routes to reduce abandonment and delays.
Reduce medication errors
Improve pharmacy compliance with technology that checks for potential errors in real time during the prescription medication process.
Real-Time Safety & Clinical Quality
Deliver clinical and consumer safety notifications at the point of dispense, provide real time safety checks to reduce medication errors including look-alike/sound-alike risks and strengthen patient safety.

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]

“Pharmacies can absolutely count on us to set up their systems in a way that helps them grow and meet the changing needs and expectations of today’s patients.”

Kristina Crockett, Vice President of Product Management at CoverMyMeds