At-a-glance

2025 Medication Access Report

As healthcare innovation accelerates, fragmentation has the potential to intensify — widening existing gaps and forming new barriers. Discover how the landscape is shifting and what is needed to bridge the gaps between patients, prescribers, payers and pharmacies. Get an overview of key insights below, then request a full report for deeper analysis and data.

Cover of the 2025 Medication Access Report, slightly lifted to reveal a page from the body of the report.

Current challenges facing medication access

Rising costs, complex therapies and regulatory reforms heighten the urgency for patients seeking access to medications. Integrated solutions designed to close adherence gaps and improve patient outcomes are more essential — and more achievable — than ever before.

Patient sorting medications in pill organizer.

Building bridges for seamless care

Gain actionable insights into the evolving dynamics of affordability, drug pricing and patient support programs shaping the future of healthcare.

  • Affordability & drug pricing

    Tension is growing between innovation and cost. How can stakeholders balance rising 
drug prices with patient affordability?

  • Patient support programs

    Well-funded patient support programs remain underutilized. What's keeping these resources from reaching those who need them most?

Headshot of Kevin Kettler, CoverMyMeds President

Transforming Healthcare, together

Every day, patients face barriers to accessing the medications they need to live healthier lives. The 2025 Medication Access Report: Barriers to Bridges challenges us to think differently, work together and build a healthcare future that is more connected, compassionate and accessible for all.

Download our most recent report on the barriers to medication access and explore this year's key insights.

— Kevin Kettler, President, CoverMyMeds

Patient on the phone reviewing healthcare paperwork

Embracing a more dynamic patient journey

Rethinking the outdated, linear patient journey helps unlock more comprehensive access strategies — turning today's challenges into opportunities for better patient outcomes.

Patients face unique and evolving challenges across access, affordability and adherence. These factors are deeply interconnected, requiring multidimensional solutions tailored to individual needs.

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Pharmacist on the phone while reviewing computer screen

Bridging the gaps

  • Prioritize data visibility and sharing
  • Enhance collaboration with interoperable systems
  • Pair human support with tech
REQUEST THE FULL REPORT
A patient dispensing a single pill from a prescription bottle into her hand.

Affordability & drug pricing

Patients bear the costs

Affordability remains one of the biggest barriers in healthcare, but growing inconsistencies between pharmacy benefits and medical benefits blur the lines 
between specialty and retail medications.

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Growing demand for specialty medications

Specialty pharmacies have become critical to the prior auth and insurance processes, demanding more data-driven, automated solutions to provide personalized support, streamline care coordination and improve outcomes for patients with complex health conditions.

  • $68b+

    is the estimated value of the specialty drug market.[0]Josh Nelson, Megan Preiner, Joan Thompson, and Ben Stern. “Navigating the Complexities of the Specialty Drug Market.” THL, 17 May 2024.

    In 2023, the specialty pharmaceutical market was valued at around $68.3 billion and is expected to reach approximately $1,532.8 billion by 2033.

    Illustration: In 2023, the specialty pharmaceutical market was valued at around $68.3 billion and is expected to reach approximately $1,532.8 billion by 2033.
  • 75%

    of drug launches are expected to be specialty[0]PharmD, Andy Szczotka. “Navigating the Rapid Growth of Specialty Drugs: Opportunities, Challenges, and the Path Ahead.” Pharmacy Times, 30 Aug. 2024.

  • 56%

    of total drug spend is on specialty drugs[0]Josh Nelson, Megan Preiner, Joan Thompson, and Ben Stern. “Navigating the Complexities of the Specialty Drug Market.” THL, 17 May 2024.

“Medication is the most powerful tool 
we have to keep our patients out of 
the hospital.”

Chief Medical Officer, Large Health System
A gentleman stands on his porch, gazing into the distance.

patient support programs

Funded but underutilized

Patient support programs help people access, afford, and adhere to their prescribed medications. Yet too many patients don’t know these programs exist, or they struggle to navigate the process.

Stay ahead of the curve

Step beyond traditional solutions and explore the potential of dimensionalized access strategies. Join industry leaders shaping the future of healthcare — fill out the form to get the full 2025 Medication Access Report delivered straight to your inbox.

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