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🔧 CoverMyMeds (part of McKesson)

CoverMyMeds (part of McKesson)

Helping patients get the medicine they need to live healthier lives.

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Overview

CoverMyMeds, part of McKesson, operates a large network connecting providers, pharmacies, payers, and manufacturers to streamline medication access. While its core function is automating the prior authorization (PA) process, it also plays a role in rebate and affordability programs by helping patients access manufacturer-sponsored copay cards and other assistance. This ensures that when a drug is approved, financial barriers are also addressed, which is an important component of the overall value proposition for rebated drugs.

✨ Key Features

  • Electronic Prior Authorization (ePA)
  • Patient Affordability and Assistance Programs
  • Specialty Patient Support Services
  • Prescription Decision Support
  • Pharmacy Network

🎯 Key Differentiators

  • Largest electronic prior authorization network
  • Deep integration into provider and pharmacy workflows
  • Focus on the complete medication access journey, from PA to affordability

Unique Value: Simplifies the complex process of securing medication access by automating prior authorizations and connecting patients to affordability solutions at the point of care, reducing administrative burden and improving adherence.

🎯 Use Cases (3)

Automating prior authorization requests for providers Connecting patients with copay cards and financial assistance Improving medication adherence by reducing access friction

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • A PBM looking for a rebate negotiation platform
  • A manufacturer looking for a government pricing compliance tool

🏆 Alternatives

Surescripts CenterWell (formerly Humana Pharmacy Solutions)

While PBMs manage the formulary, CoverMyMeds manages the process of getting an approved prescription filled, tackling the critical 'last mile' challenges of prior authorization and patient cost.

💻 Platforms

Web API

🔌 Integrations

Major EHR systems Pharmacy management systems

🛟 Support Options

  • ✓ Email Support
  • ✓ Phone Support
  • ✓ Dedicated Support (Enterprise tier)

🔒 Compliance & Security

✓ HIPAA ✓ BAA Available ✓ SSO

💰 Pricing

Contact for pricing
Visit CoverMyMeds (part of McKesson) Website →