Patient impact

Reducing
medication access barriers

Our innovative solutions tackle medication access barriers throughout the patient journey so people can get the medicine they need to live healthier lives.

An oncology patient talking with a family member after receiving home delivery of a specialty medication.

Medication access is key to patient health

Patients depend on the healthcare system to help them get the medicine they need as quickly and easily as possible. Medication access barriers can lead to delays in starting therapy and medication abandonment, which can critically impact their health.

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    27% of prescription abandonment is related to access challenges

    CoverMyMeds’ access solutions provide visibility into the patient’s journey and electronically connect the patient’s care teams, which may lead to reduced prescription abandonment and ultimately improve time to therapy.[0]IQVIA Medicine Use and Spending in the US: A Review of 2016 and Outlook to 2021

    Clearing the path for patients

    Whether it’s implementing processes to improve time to therapy or raising awareness around support services, patients are prioritized throughout the access journey through automated actions taken to help reduce barriers and increase visibility.

    The challenge

    Access-related barriers can ultimately lead to providers switching to an alternative therapy or patients abandoning therapy due to delays or lack of coverage.

    82%

    of providers said issues related to prior auth led to patient therapy abandonment.[0]2021 AMA prior authorization (PA) physician survey: American Medical Association 01/22

    21%

    of patients experienced a delay in receiving medication over the last 12 months due to prior auth.[0]CoverMyMeds Medication Access Report, 2022
    A provider and care team member reviewing patient benefit information at a workstation in an exam room, with patients visible in the background.
    Our solution

    Access-related barriers can ultimately lead to providers switching to an alternative therapy or patients abandoning therapy due to delays or lack of coverage.

    A patient speaking on the phone to a member of his healthcare team
    Patient support

    Provide personalized support with our highly trained and experienced specialists across a broad range of specialty therapeutic areas.

    Care team members review an electronic prior authorization on a computer screen in a clinical setting
    Prior authorization

    Avoid delays to originally prescribed therapies through in-workflow solutions that streamline prior auth requests.

    Provider and care team member looking at laptop monitor in exam room.
    Patient cost predictability

    Leverage powerful data that helps predict drug costs and provides patients with better access options.

    How CoverMyMeds supports all healthcare stakeholders

    We develop and accelerate innovative solutions designed to benefit all stakeholders in the healthcare industry. Our goal is to help increase speed to therapy, reduce prescription abandonment and support improved patient health outcomes.

    Pharma Decision-maker Portrait
    Pharma

    Address access challenges across the medication lifecycle with tailored approaches, including provider prior authorization support, technology-enabled visibility into patient access status and experienced case managers on staff to facilitate support.

      View all pharma Solutions
      Pharmacist portrait
      Pharmacy

      Help remove medication access barriers before or at the point of claim adjudication with targeted interventions and other automated solutions. Our technology helps to mitigate prescription denials, reduce script abandonment and minimize workflow interruptions for pharmacists – ultimately helping pharmacies serve more customers.

      Retail Pharmacy

      View all pharmacy Solutions
      Provider portrait
      Provider

      Identify patient access barriers directly within prescribers’ existing workflows at the point of prescribing. Proactively complete any necessary prior authorization requests if the patient's plan requires it. These barriers can be addressed at the point of medication selection, either within an integrated EHR or through the CoverMyMeds online portal.

      View all Provider Solutions
      Payer decision-maker Portrait
      Payer

      Implement workload efficiencies that can reduce phone calls and faxes through direct connections for electronic prior authorization, electronic benefits verification and specialty pharmacies. Our technology can enable real-time determinations and support formulary compliance.

        View all Payer Solutions
        Pharma Decision-maker Portrait
        Pharma

        Address access challenges across the medication lifecycle with tailored approaches, including provider prior authorization support, technology-enabled visibility into patient access status and experienced case managers on staff to facilitate support.

          View all pharma Solutions
          Pharmacist portrait
          Pharmacy

          Help remove medication access barriers before or at the point of claim adjudication with targeted interventions and other automated solutions. Our technology helps to mitigate prescription denials, reduce script abandonment and minimize workflow interruptions for pharmacists – ultimately helping pharmacies serve more customers.

          Retail Pharmacy

          View all pharmacy Solutions
          Provider portrait
          Provider

          Identify patient access barriers directly within prescribers’ existing workflows at the point of prescribing. Proactively complete any necessary prior authorization requests if the patient's plan requires it. These barriers can be addressed at the point of medication selection, either within an integrated EHR or through the CoverMyMeds online portal.

          View all Provider Solutions
          Payer decision-maker Portrait
          Payer

          Implement workload efficiencies that can reduce phone calls and faxes through direct connections for electronic prior authorization, electronic benefits verification and specialty pharmacies. Our technology can enable real-time determinations and support formulary compliance.

            View all Payer Solutions

            Improving patient outcomes

            See how CoverMyMeds’ people-first approach and leading medication access solutions have made an impact that speaks for itself.

            • 4 days

              Faster time to therapy[0]CoverMyMeds time to triage study which included three drugs over a period of two years and 33k enrollments

              With e-enrollment through CoverMyMeds hub services, providers may see a decrease in time to therapy by up to four days.

              Illustration: With e-enrollment through CoverMyMeds hub services, providers may see a decrease in time to therapy by up to four days.
            • 1 in 3

              Prior auth denials overturned[0]CoverMyMeds ePA Data, HubExpress Appeals 2023

            • 94M+

              Prescriptions accessed [0]Based on CoverMyMeds prior authorization volume data for calendar year 2023

            Patient at the pharmacy counter using credit card to pay for medications.

            Patients are the core of our network approach

            By focusing on the patient journey, from diagnosis to treatment and beyond, our network solutions can help anticipate barriers, provide proactive support and help ensure no patient faces healthcare challenges alone.

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