TWINSBURG, Ohio — A community specialty network has teamed up with a company that helps doctors and pharmacies submit prior authorizations and other coverage determination forms for medications.
The Community Specialty Pharmacy Network said it has partnered with CoverMyMeds to automate the prior authorization process. CoverMyMeds will provide CSPN's specialty pharmacists the right PA request for every drug and health insurance plan, allowing pharmacists to easily complete and share with the prescriber PA forms at the point of a claim rejection, the companies said.
"CoverMyMeds is a very valuable service for the CSPN membership," CSPN VP industry relations Nick Calla said. "It has proven to be a great aid for a number of our pharmacies in working through the complicated prior authorization processes used by many managed care plans."
CoverMyMeds said pharmacies can benefit from the streamlined PA process by signing up for PriorAuthPlus powered by CoverMyMeds. PriorAuthPlus is a collaboration solution from RelayHealth and CoverMyMeds, used by thousands of retail pharmacies nationwide, which easily initiates the PA process within the pharmacist's workflow as the prescription claim is being processed. In five minutes or less, prescribers can complete a PA form and submit it for prescriber review. The standard process can take upward of 30 minutes, CoverMyMeds noted.
"Our partnership with CSPN helps pharmacies provide an even better level of service to their patients," CoverMyMeds VP national health plans Ron Fine said. "CSPN also will be able to provide assistance to the doctors they work with by giving them the right Prior Authorization form in a timely way. Combined with the nationwide PriorAuthPlus network used by retail pharmacies, this partnership expands the streamlined PA process to more physicians and pharmacists with the ultimate goal of ensuring patients receive their prescribed medications to improve their health."