Solutions

Patient affordability

Comprehensive medication affordability offerings that go beyond traditional copay programs to help patients afford their medications and reduce therapy abandonment.

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A patient and his spouse use a discount card at the pharmacy to help pay for a prescription.

The challenge

More patients than ever are struggling to afford their medications for a variety of reasons, including high out-of-pocket costs or being underinsured. These difficulties increase the risk that people won’t adhere to their prescribed therapy, either by skipping doses to make their prescription last longer, or not starting therapy at all.

  • 52%

    of patients[0]CoverMyMeds Patient and Provider Surveys, 2020

    When patients can’t afford their prescriptions, 52% seek affordability options through their provider — and 29% go without their medications.

    Illustration: When patients can’t afford their prescriptions, 52% seek affordability options through their provider — and 29% go without their medications.
  • 1 in 3

    patients[0]CoverMyMeds Patient Survey, 2020

  • 60%

    of patients[0]CoverMyMeds Patient Survey, 2022

Minimizing patient affordability barriers

We help to minimize barriers throughout the prescription journey. Whether it's giving providers visibility into a patient's plan benefit or leveraging our leading pharmacy network to surface cash and pharma-sponsored savings, we help ensure patients access affordable medications when and where it matters. We align with your business goals to help you enable patients to afford their medications.

  • Unlock actionable data

    Leveraging actionable data and insights enables us to tailor recommendations that support your strategic goals.

  • Support patient outcomes

    Reducing prescription abandonment and improving patient outcomes where it matters – whether it’s at the provider’s office or the pharmacy.

  • Simplify prescription affordability

    Expanded patient reach through pharma-sponsored copay savings, accessible via a copay card program and/or automatic application of savings at the point of dispense in approximately 50,000 pharmacies nationwide.

  • Configurable program design

    Offering configurable solutions with a flexible design allows us to quickly adjust programs and benefits, helping to ensure they align seamlessly with your business requirements.

Solution impact

CoverMyMeds is making a measurable impact with our comprehensive affordability solutions

Remove
  • 19%

    More fulfillment[0]CoverMyMeds case study, 2019

  • $150M

    in brand savings using CoverMyMeds’ Copay Maximizer mitigation functionality[0]CoverMyMeds data on file; January 2023 – December 2023

  • ~61M

    Commercial claims processed on the CoverMyMeds switch network, spanning over 50,000 pharmacies[0]CoverMyMeds Claims Data on File. Date range: January–December 2023

  • $8.8B

    in patient savings on specialty and brand medications[0]CoverMyMeds data on file, 2024

Patient affordability solutions in action

Keeping patients at the center of affordability program design is crucial to overall success. Learn more about how CoverMyMeds is paving the way forward for medication affordability — impacting access and adherence to prescribed therapies.

Overcoming medication affordability challenges with patient-centered solutions

Affordability barriers present an opportunity for pharma companies to explore new solutions for more patients to access their prescribed therapies. The right data and insights can help inform these efforts to create real-world solutions to affordability problems. In this report, we discuss common factors impacting patients' ability to afford their medications and how pharma companies can respond.

47%

There has been a 47% increase in average family premium cost over the last 10 years.[8]

$119B

Total drug spend in the U.S. is expected to increase to $119 billion by 2026, partially driven by a rise in high-cost specialty therapies.[9]
READ OUR WHITE PAPER
Patient receiving medication from a pharmacist while spouse puts wallet away.
Patient Affordability

It’s scary for patients to be stuck with a huge, unexpected cost, and it impacts their health, no matter what condition they have...Treatment these days is prevention.

Director of a nonprofit HIV/Aids patient advocacy organization  

Join CoverMyMeds’
ever-growing network.

  • 950,000+ providers, with 350+ EHRs integrated
  • 50,000+ pharmacies, inclusive of top 10 chains
  • 650+ brands across 95% of therapeutic areas Connect with our team to see how CoverMyMeds can help deliver comprehensive solutions to improve patient access, affordability and adherence.
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