CoverMyMeds Platform (2024)

• Industry: Mental Health Care
• Company size: 2–10 Employees
• Used Daily for 2+ years
• Review Source

Pros

This platform is the premier go-to choice for pharmacy prior authorizations. Medical providers (e.g. physician offices) can use it at no charge. Filling out a form is takes far less time than waiting on hold to speak with someone from the insurance company on the phone, who will wind up asking the same questions or filling out the same form. The system can often get a response instantly, or within minutes.

Cons

Some insurance companies (e.g. Georgia Medicaid) are not yet integrated with covermymeds. This is not really shortcoming for covermymeds, though. Some insurance companies need to take the initiative to become integrated.

Lauren

• Industry: Medical Practice
• Company size: 2–10 Employees
• Used Weekly for 1+ year
• Review Source

Pros

Usually prior authorizations (Pas) take up time that nobody has and are hassle for doctors, patients, and pharmacies. This has transformed the process from requiring paper forms, written data entry, and old school faxes to a streamlined online form. We receive the PA request almost immediately, so a lot of time is saved during the PA process. Ultimately, this helps the patient receive the meds that they need in a more timely fashion. Considering how challenging and inescapable PAs can be, platforms like CoverMyMeds are important to provide patients with the best medical care we can. Also, we love that this is a free tool and it is simple to create your own account in minutes.

Cons

The interface is a little busy and there is a lot of information on the computer screen at once. It would be nice if it were a little easier to read and navigate. Also, customer service can be tricky to get a hold of but the reps are usually really helpful once connected. There was a time when a PA was entered with an error on it and the process to fix it was quite the ordeal, so maybe if there were ways that CoverMyMeds could work on that?

Jenna

• Industry: Hospital & Health Care
• Company size: 201–500 Employees
• Used Daily for 2+ years
• Review Source

Pros

This used to be one of the best platforms to submit authorizations on, now it is useless and you are not able to complete the process

Cons

We are no longer able to complete our requests on this platform. Every single request comes back with various errors and provider support has no answers

Taylor

• Industry: Medical Practice
• Company size: 10,000+ Employees
• Used Daily for 2+ years
• Review Source

Pros

Makes the link between medical offices/insurance/pharmacies easy to communicate and get the medication approved as quickly as possible for patients.

Cons

The only negative I have found on my 5+ years using CoverMyMeds is some of the questions they ask about a medication can be repetitive. Same question asked with different wording.

Bryan

• Industry: Hospital & Health Care
• Company size: 51–200 Employees
• Used Daily for 2+ years
• Review Source

Pros

I appreciate a traceable tool that serves as a patient advocate to navigate the craziness that is the pharmaceutical situation in the US. It allows clinicians to care for patients and can be managed by one user in the office with minimal overhead.

Cons

There is delays in return of information insurer specific. There is still paperwork and appeal processes that add manual labor if the automation logic fails.