CoverMyMeds Platform Reviews (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.

Gayle

• Industry: Health, Wellness & Fitness
• Company size: 10,000+ Employees
• Used Daily for 2+ years
• Review Source

Pros

Online is it. There is not else I can really positively comment on

Cons

Now it is basically everything. Software upgrade is not an upgrade. Current customer service individuals do not know what they are doing.

• Industry: Mental Health Care
• Company size: Self Employed
• Used Daily for 2+ years
• Review Source

Pros

It is a free product that helps physicians manage the ever-increasing number of inane medication prior authorizations.

Cons

In Massachusetts we are now having to use a Standardized State Form for many of the insurances, and CoverMyMeds has not updated their software to make this form available. Although it shows up as the correct form, when you click on it, you get one associated with the pharmacy-benefits manager, which is the one from last year. I have chatted twice with their help desk, with no update to the website.

Abigail

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

Pros

Cover My Meds is more convenient than calling each individual insurance to submit medication prior authorizations.

Cons

Cover My Meds is a useful platform, most of the issues I have with it are not with the platform itself.One mild irritation is that if a pharmacy submits and sends you a prior authorization and inputs the provider's information incorrectly, it will update the provider's information to the wrong information on your end as well. It is an easy fix, however, and is due to user error (just not on my end).

John

• Industry: Health, Wellness & Fitness
• Company size: Self Employed
• Used Daily for 1+ year
• Review Source

Pros

What I like most is how quick CoverMyMeds is to alert you that an Rx needs a PA, the ease of filling out the PA and the response time (within minutes!)

Cons

There is truly nothing bad I have to say about cover my meds. It has never not worked for me

Amrish

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

Pros

I really can not thank enough to CoverMymeds Platform for getting Prior authorizations done for us retail pharmacies.

Cons

I like everything so much. They provide such a great service.

Larry

• Industry: Medical Practice
• Company size: 501–1,000 Employees
• Used Daily for 2+ years
• Review Source

Pros

None, another layer for medical practice to jump through for prior auth's. This program in no way makes it any easier or beneficial to the provider trying to get medications approved. It would be of some use if it gave an alternatively preferred drug that we, as the provider's, could select or like the previous MD noted give the guidelines needed to get the drug we wanted to use approved. This does not improve the process in any way shape or form.

Cons

as noted above, from a provider stance, this does not improve the prior auth process at all.

Kera

• Industry: Pharmaceuticals
• Company size: 51–200 Employees
• Used Daily for 1+ year
• Review Source

Pros

I love how easy it is to use. Most of the time when I am submitting prior authorizations all I have to do is click a few things and sent it to the prescribing doctor. I would absolutely recommend to any pharmacy that likes making their jobs a little easier.

Cons

Sometimes it wont allow me to look at past prior authorizations that I have sent in. There was one time when I know I sent the form to the doctors office but they kept calling in saying that they were not getting it. Restarting my computer resolved that issue and I have not had any since.

Lauren

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

Pros

It allows me to help my patients get the medicines prescribed by our doctor. Their technical support is also very helpful when needing to find more detailed information about the members rx bin numbers. The chat function is my favorite.

Cons

Sometimes get weird rejections after a Prior Authorization is created by the pharmacy. I shouldn't get them unless they are actually sent to the correct place.

Sallie

• Industry: Medical Practice
• Company size: 5,001–10,000 Employees
• Used Weekly for 2+ years
• Review Source

Pros

It is convenient. Sometimes it says forms not available.

Cons

I submitted a claim for a child's regular meds early on 8/18/22. He has been doing well on the medication for the last year. He was in foster care and is now adopted. He is 8 y/o. It was not processed by Select Health until today after multiple phone calls. I see on Cover my meds that it was not referred to Select Health until 8/22/22 - three days after I submitted the online form. I am very dissatisfied with Cover My Meds but am required to use it by SC Medicaid plans.

Melinda

• Industry: Mental Health Care
• Company size: 11–50 Employees
• Used Daily for 1+ year
• Review Source

Pros

Fairly easy to use, you dont have to talk with anyone, or be on a delayed hold, all you do is fill out the form and send. Turn around is normally quick but it depends on the insurance carrier.

Cons

Depending on the insurance carrier, it can sometimes be difficult to find the forms on line while trying to obtain a prior auth.

Sandip

• Industry: Pharmaceuticals
• Company size: 2–10 Employees
• Used Daily for 1+ year
• Review Source

Pros

This tool makes it very for a doctors office to have prior auths done for patients, they also like the fact that it pre-populates patient information which is less work for the office staff.

Cons

You have to be specific as to which plan you choose for a patient, they may end up sending a prior auth form to the doctors office for a different insurance which wastes their time and delays the whole process.

Michael

• Industry: Medical Practice
• Company size: 501–1,000 Employees
• Used Weekly for 1+ year
• Review Source

Pros

The program is easily accessible as opposed to calling the insurance carrier for prior authorization

Cons

The software calls for entering patient data that the insurance carrier already has and simply serves to make the process of prior authorization that much more time consuming. Most infuriating if a generic medication can be acceptably substituted for a branded medication, rather than just clicking a button to confirm this, an entire new prior authorization has to be initiated. This is such an obvious defect that I can only assume the program is written that way to make the process more onerous thereby discouraging the use of medications requiring authorization.

Patti

• Used Daily for 2+ years
• Review Source

Pros

Cover My Meds is very easy to use. It automatically comes up on the screen when you get a rejection. Super easy to use.

Cons

I don't have anything that I don't like about it. It has always worked correct for me when I am processing.

Caroline

• Industry: Pharmaceuticals
• Company size: 2–10 Employees
• Used Weekly for 2+ years
• Review Source

Pros

I like that the software can connect directly to my pharmacy software and submit prior authorization claims directly to the doctor's office automatically, effectively eliminating paperwork for my staff.

Cons

I wish the software would delete PA requests after a certain amount of time. Currently, a user has to go in and manually delete PA requests. As another user said, it would also be nice if they listed formulary alternatives for recommendation to a doctor's office.

Amber

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

Pros

This software makes it easy for Technicians and Doctors to get medications approved quickly for patients.

Cons

Sometimes the doctors don’t have fax numbers on file and it doesn’t send propwrly

Jim

• Industry: Pharmaceuticals
• Company size: 2–10 Employees
• Used Daily for 1+ year
• Review Source

Pros

The thing I like most about covermymeds is that it sends prior authorization requests automatically. This saves me a lot of time to have to either call or fax a request.

Cons

The thing I like east about the product is the fact that I can't print a copy of the request sent to the doctor , or at least I can't figure it out.

Marsha

• Industry: Medical Practice
• Company size: 11–50 Employees
• Used Weekly for 2+ years
• Review Source

Pros

You can access form anywhere. I like that it saves the patients information so if you need to do a prior auth on another prescription or the follow ing year the patients information is saved for future prior auth. You look quickly to see if they are approved and not have to wait on the phone.

Cons

I do not like that if you have to use another way to get the prior auth they do not always let you know in a timely fashion.

Sheryl

• Industry: Medical Practice
• Company size: 2–10 Employees
• Used Monthly for 2+ years
• Review Source

Pros

check on patient's meds. The website says the pro info i added was too short. won't let me leave a review without adding pros

Cons

terrible idea that most healthcare (labs/imaging) is switching to. Basically making the physician do all the data entry work for the pharmacy. Doctor prescribes. Doctor should not be taking up valuable time to enter in Rx group numbers, patient addresses and other info into the covermymeds pharmacy system. I took time to write this review out of my busy practice because 2 patients didn't get their meds today because they are supposed to use this software according to their insurance. It's terrible. i hate it.

Ravin

• Industry: Retail
• Company size: 11–50 Employees
• Used Daily for 2+ years
• Review Source

Pros

Covermy meds for PA Is what we use for.

Cons

Not easy to follow up on a prior authorization.

Tamara

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

Pros

sometimes it works
customer service people seem ok though sometimes innefectual
occasionally we dsid get a prior auth done this way!

Cons

not able to get on the site reliably and they did nto stop sending e mails until I really insisted several times