covermymeds

JSON twin: https://www.healthaidb.com/software/covermymeds.json

Company Name

CoverMyMeds

Product URL

https://www.covermymeds.health/our-solutions/prior-authorization

Company URL

https://www.covermymeds.health

Categories

Summary

CoverMyMeds is a healthcare technology platform that automates prior authorization, benefit and cost transparency, and patient support to accelerate medication access.

Description

CoverMyMeds provides electronic prior authorization (ePA), real-time benefit checks, patient cost estimates, prior authorization tracking/notifications, and patient support services. The platform integrates with EHRs, pharmacy systems, payers and specialty/pharmacy workflows to reduce administrative burden, shorten authorization turnaround times, and improve medication access and affordability.

Api Available

yes

Certifications

Company Founding

2008

Company Offices

Compliance

Customers

Data Residency

Data Standards

Deployment Model

Features

Id

P0418

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-04

License

commercial/proprietary

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Contact vendor for pricing and deployment options; enterprise contracts and custom quotes typical.

Pricing Model

enterprise_quote

Privacy Features

Ratings

Regions Available

Release Year

2008

Security Features

Specialties

Support Channels

System Requirements

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "CoverMyMeds",
  "company_url": "https://www.covermymeds.health",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2008",
  "product_url": "https://www.covermymeds.health/our-solutions/prior-authorization",
  "categories": [
    "administrative",
    "clinical",
    "pharmacy",
    "patient-facing",
    "workflow automation",
    "prior authorization"
  ],
  "market_segment": [
    "enterprise",
    "smb",
    "health system",
    "pharmacy"
  ],
  "links": [
    "https://www.covermymeds.health/",
    "https://www.covermymeds.health/about",
    "https://www.covermymeds.health/our-solutions/prior-authorization",
    "https://www.covermymeds.health/contact-us",
    "https://www.covermymeds.com/main/support/",
    "https://www.mckesson.com/about-mckesson/businesses/covermymeds/",
    "https://en.wikipedia.org/wiki/CoverMyMeds",
    "https://www.g2.com/products/covermymeds-platform/reviews",
    "https://www.capterra.com/p/154792/CoverMyMeds-Platform/reviews"
  ],
  "summary": "CoverMyMeds is a healthcare technology platform that automates prior authorization, benefit and cost transparency, and patient support to accelerate medication access.",
  "description": "CoverMyMeds provides electronic prior authorization (ePA), real-time benefit checks, patient cost estimates, prior authorization tracking/notifications, and patient support services. The platform integrates with EHRs, pharmacy systems, payers and specialty/pharmacy workflows to reduce administrative burden, shorten authorization turnaround times, and improve medication access and affordability.",
  "target_users": [
    "clinicians",
    "pharmacists",
    "pharmacy technicians",
    "health system administrators",
    "payers/PBMs",
    "pharmaceutical manufacturers",
    "patients",
    "care teams",
    "field reimbursement teams"
  ],
  "specialties": [
    "pharmacy",
    "primary care",
    "oncology",
    "endocrinology",
    "cardiology",
    "pulmonology",
    "rheumatology",
    "neurology",
    "psychiatry",
    "specialty pharmacy"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Contact vendor for pricing and deployment options; enterprise contracts and custom quotes typical.",
  "license": "commercial/proprietary",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Electronic prior authorization (ePA) submission and tracking",
    "EHR-embedded ePA workflow",
    "Payer connectivity for automated determinations",
    "Provider and pharmacy portals for PA management",
    "Prior authorization forms and templates",
    "Bi-directional status updates between EHR and payer",
    "Real-time benefit / formulary awareness",
    "Clinical rule / criteria guidance for PA",
    "Notifications and task routing for care teams",
    "Reporting and audit of PA activity"
  ],
  "optional_modules": [
    "Real-time prescription benefits",
    "Specialty medication workflow",
    "Payer connectivity expansion / custom payer integrations"
  ],
  "integrations": [
    "Epic",
    "Cerner",
    "Allscripts",
    "Surescripts",
    "Major PBMs / payer systems",
    "Pharmacy management systems"
  ],
  "data_standards": [
    "NCPDP SCRIPT (ePA)",
    "HL7 FHIR",
    "OAuth2"
  ],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "HIPAA"
  ],
  "certifications": [],
  "security_features": [
    "Encryption (in transit and at rest)",
    "Role-based access control",
    "SSO / SAML support",
    "Audit logging"
  ],
  "privacy_features": [
    "Business Associate Agreement (BAA) available"
  ],
  "data_residency": "",
  "customers": [
    "McKesson",
    "Epic",
    "Cerner",
    "Allscripts",
    "Rite Aid",
    "Blue Cross Blue Shield of Michigan",
    "NextGen",
    "eClinicalWorks",
    "Surescripts"
  ],
  "user_reviews": [
    "I absolutely loved the convenience of being able to manage my prior authorizations in one place, and virtually. No phone calls.",
    "The thing I like most about CoverMyMeds is that it sends prior authorization requests automatically. This saves me a lot of time.",
    "Easier to complete Prior Authorizations — positive experience, will use it in the future.",
    "Nothing. This is absolutely useless and time-consuming bureaucratic software. I prefer never use it."
  ],
  "ratings": [
    "G2: 3.7/5 (CoverMyMeds Platform, aggregated G2 reviews)",
    "Comparably / product quality indicators: ~3.7/5 (user-reported aggregated score)"
  ],
  "support_channels": [
    "phone",
    "chat",
    "email",
    "ticketing",
    "business_hours_support"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online",
    "onboarding_guides"
  ],
  "release_year": "2008",
  "integration_partners": [
    "Epic",
    "Cerner",
    "Allscripts",
    "NextGen",
    "eClinicalWorks",
    "Surescripts",
    "McKesson",
    "Blue Cross Blue Shield (regional plans)",
    "Rite Aid"
  ],
  "id": "P0418",
  "slug": "covermymeds",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-04",
  "links_json": {
    "self": "https://www.healthaidb.com/software/covermymeds.json"
  }
}