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CoverMyMeds

Helping people get the medicine they need.

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Overview

CoverMyMeds, a part of McKesson, operates a large network connecting providers, pharmacies, and payers to simplify the electronic prior authorization (ePA) process. While their primary focus is on medication access, their tools often involve verifying prescription benefits.

✨ Key Features

  • Electronic Prior Authorization (ePA) for medications
  • Real-Time Benefit Check (RTBC)
  • Patient Assistance Program Enrollment
  • Prescription Decision Support

🎯 Key Differentiators

  • Largest ePA network in the U.S.
  • Deep integration into provider and pharmacy workflows (EHRs)
  • Backed by the resources of McKesson

Unique Value: Solves one of the biggest pain points in healthcareβ€”prior authorizationβ€”through its vast, integrated network, thereby accelerating patient access to necessary medications.

🎯 Use Cases (3)

Submitting electronic prior authorizations for prescriptions directly from the EHR Checking a patient's prescription benefits and cost at the point of prescribing Finding and enrolling patients in assistance programs

βœ… Best For

  • Nationwide electronic prior authorization for medications
  • Real-time prescription benefit checks

πŸ’‘ Check With Vendor

Verify these considerations match your specific requirements:

  • Verification of medical (non-pharmacy) benefits
  • General claim management

πŸ† Alternatives

AssistRx Surescripts ConnectiveRx

Offers a much larger and more deeply integrated network for ePA than competitors, making it the standard workflow for many providers and pharmacies.

πŸ’» Platforms

Web API EHR-integrated

πŸ”Œ Integrations

Over 350 EHR systems 50,000+ Pharmacies Most major PBMs and health plans

πŸ›Ÿ Support Options

  • βœ“ Email Support
  • βœ“ Live Chat
  • βœ“ Phone Support
  • βœ“ Dedicated Support (N/A tier)

πŸ”’ Compliance & Security

βœ“ SOC 2 βœ“ HIPAA βœ“ BAA Available βœ“ SSO βœ“ SOC 2 βœ“ EHNAC

πŸ’° Pricing

Contact for pricing
Free Tier Available

Free tier: Free for providers and pharmacists.

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