CoverMyMeds Reviews

“Easy precertifications reduce stress

Pros

Handling medication precertifications through this tool has been very easy for me. It reduces my stress significantly because the process is quick, convenient and most of the time I receive a response almost immediately.

Cons

So far I haven't run into any real downsides. Over the past year I've used this application roughly twenty to twenty-five times and every single interaction has been positive and smooth.

“Traceable tool supports patient advocacy

Pros

I really value having a tool that's fully traceable and acts almost like a patient advocate in the chaotic US pharmaceutical environment. It lets clinicians focus on patient care while one person in the office can manage it without extra overhead or effort.

Cons

That said, I've run into delays getting insurer-specific information back and when the automation logic doesn't handle cases properly I end up doing paperwork and appeals which brings extra manual effort.

“aligned PA workflow for pharmacies

Pros

Using this app is incredibly easy. When I submit prior authorizations, most of the time I just click a few options and send everything directly to the prescribing doctor. That aligned workflow saves me a lot of time during busy shifts and I'd definitely recommend it to any pharmacy looking to simplify daily tasks.

Cons

Every so often the system won't let me access past prior authorizations I've already submitted. There was one occasion when I was sure I had sent a form to the doctor's office, yet they kept phoning to say they never got it. Restarting my computer fixed the issue that time and I haven't run into the problem since.

“Cuts phone time in clinics

Pros

In my clinical work, I've found this program extremely useful. It's easy to navigate and has cut down our clinic's phone time significantly, giving us more freedom to focus on patients rather than routine calls.

Cons

no complaints about this tool, it's simple to operate and has saved our team a lot of time and effort when securing prior authorizations.

“easy medication approvals

Pros

From my perspective, the process of obtaining medication approval is very feasible and it doesn't take up too much of our valuable time.

Cons

We don't consistently get the prior authorization alerts through our EHR system, so we end up depending on faxes to reach us. Personally, I'd love for those notifications to appear directly in our EHR exclusively, though I realize the pharmacy might be choosing to send them differently.

“Helpful support and in-app chat

Pros

I rely on this system to help patients get the medications prescribed by their physician. Their technical support team has been very helpful whenever I need to look up specific RX BIN details and I especially like using the in-app chat, it's fast and convenient.

Cons

occasionally I receive odd denial notices after the pharmacy has already submitted a Prior Authorization. I shouldn't be getting those messages unless the PA was routed to the proper destination, so it's confusing and creates unnecessary follow-up work for me.

“Centralized and easy to navigate tool

Pros

Everything feels centralized and easy to use, with all my patients in one place and instructions that are crystal clear which I really appreciate.

Cons

Honestly, I am not able to think of any drawbacks at the moment, since this is the only software of this kind I've ever had the chance to use, so I can't compare it to alternatives.

“Free tool for managing PAs

Pros

As a physician, I'm thankful for this free tool because it helps me manage the growing number of unnecessary medication prior authorizations.

Cons

I live in Massachusetts, where several insurers now require a Standardized State Form for many coverage decisions, unfortunately, this software hasn't been updated to actually provide that current form. Although the correct form appears in the list, clicking it opens a document linked to the pharmacy-benefits manager which is the outdated version from last year. I've reached out to their help desk via chat two times, explained the problem and so far nothing on the website has been fixed or updated.

“Quick authorizations with saved details

Pros

I've found it to be a quick and simple way to obtain medication authorizations. The app stores most of the insurance paperwork and remembers our details, so I don't have to re-enter facility information every time I use it.

Cons

At the moment, can't think of any downsides to this tool. From what I've seen, some forms used to be outdated but I feel like everything seems up to date now.

“Simplifies prior authorization workflow

Pros

Watching my team use this program has shown me how feasible it is for handling prior authorizations. Even though I don't personally manage it much, I've noticed how much it simplifies the entire authorization workflow.

Cons

it can be unreliable at times, some requests either fail or take ages to go through. One practical tip for a practice, make sure every member of your staff knows how to operate it so that if someone is absent, those pending requests don't just sit untouched for days.

“Easier than fax-based PAs

Pros

Using the system, I really appreciated how much easier it made completing prior authorizations for medications electronically, especially when compared to the old fax-based process.

Cons

I didn't like that we continued to receive faxes containing the authorization key, meaning I'm still forced to sift through multiple fax pages to find what I need which defeats much of the convenience.

“Fast real-time prior authorization decisions

Pros

One thing I really appreciate is how simple and fast it is to start and finish a prior authorization, plus I can get a real-time decision on the auth. It also remembers my information and fills fields automatically.

Cons

Occasionally the system will freeze while it's waiting for a response or decision and I end up having to sign out and sign back in to get it working again.

“Efficient and free PA solution

Pros

Prior authorizations usually gobble up time nobody has and create headaches for me, my patients and the pharmacies we work with. This platform has flipped the old workflow from filling out paper forms, typing written data and sending antiquated faxes into an efficient online form. I get the PA request almost instantly, so a lot of hours are saved throughout the PA workflow. In the end, that helps my patients get the medications they need much sooner. Given how unavoidable and frustrating PAs can be, tools like this are essential so I can offer patients the best care possible. Plus, I really appreciate that it's free and signing up only takes a few minutes in clinical practice.

Cons

The interface feels a bit crowded, with so much information crammed onto the screen at once. I wish it were a touch clearer and easier to move through. Also, getting hold of customer service can be a challenge, though when I reach a rep they tend to be very helpful. Once, a PA was submitted with an incorrect detail and correcting it turned into quite an ordeal, so I'd love to see features that make fixing those kinds of mistakes simpler and less time consuming for users and more reliable.

“Speeds up medication approvals

Pros

this software makes it simple for our technicians and doctors to secure medication approvals quickly for patients.

Cons

sometimes in my opinion doctors lack fax numbers in their records and then the information doesn't send properly.

“unreliable site access

Pros

Every now and then it actually works and I find the customer support people are decent, though they can be ineffective at times, on occasions I even managed to get a prior authorization completed this way!

Cons

I couldn't reliably access the site and they didn't stop sending emails until I pushed back repeatedly and insisted several times before they finally stopped.

“Reduces insurance hurdles for PAs

Pros

This tool has been incredibly helpful for handling prior authorizations, letting my patients get their medications more affordably. It removes a lot of the tedious hoops I used to jump through with insurers.

Cons

it took a little while to find my way around and to figure out exactly which pieces of information the system expects.

“No more long hold times

Pros

I no longer have to sit on hold for half an hour or more to get authorizations! Once it's set up, the tool is very easy to use and honestly, the setup itself was simple. I really like this program.

Cons

Everything appeals to me! My only question is how I remove patients from the dashboard after they've been approved, though I expect that's a simple setting to change.

“Easy PA submission and tracking

Pros

For medical pre-authorizations, I'm satisfied with this tool because it lets me submit PAs and track their progress efficiently.

Cons

We end up juggling two systems because it doesn't sync with our EMR, so we're constantly switching between sites.

“Fast medication management

Pros

Whenever I need to manage medications, I find it fast and simple to use which saves me time every day.

Cons

Honestly, I get frustrated because the system forces me to change passwords so frequently that I can't keep up.

“Does not improve PA process

Pros

it doesn't help at all, it just adds another hoop for prior authorizations. In my experience, it doesn't make getting medications approved any easier. It would be useful if it suggested alternate preferred drugs or clearly showed the approval criteria like older tools did. As it stands, I don't see it improving the workflow for prescribers.

Cons

I agree with what I mentioned earlier, from a provider's point of view this absolutely doesn't make the prior authorization process any better at all.