CoverMyMeds and PDX Establish Relationship to Help Pharmacies Streamline Prior Authorization Rejection Process

COLUMBUS, Ohio, March 18, 2013 (GLOBE NEWSWIRE) -- Available later this year, in both PDX Classic and the PDX Enterprise Pharmacy System, the integration with CoverMyMeds' prior authorization resolution service will help PDX pharmacies expedite the submission of PA forms to health insurance plans, at no cost to pharmacies. This service will significantly decrease the administrative hassles of PAs, improve turnaround time, and most important — help stop the disturbing trend of prescription abandonment.

"It is important that pharmacies have technologies they need to work smarter and faster. By partnering with CoverMyMeds, PDX customers will have access to another utility that will help streamline the prior authorization rejection process," said Jeff Farris, CEO of PDX, Inc. "We remain focused on delivering solutions and services our pharmacy partners require to remain efficient, such as those offered by CoverMyMeds."

PDX pharmacies that use CoverMyMeds can immediately begin taking advantage of the integration once it's available.

If, during claims transmission, a user receives a specific third party rejection that requires a prior authorization —based on a list of pre-identified NCPDP D.0 rejection codes— the system will prompt the user to securely route the prescription and claims data to CoverMyMeds for assistance. CoverMyMeds will then automatically pre-populate the appropriate request(s) with the data from the prescription claim and send the pharmacy a URL to access that PA request. From that link, the pharmacy staff will use the online application to complete and submit the request to the prescriber for completion and delivery to the patient's insurance company.

"We are pleased to provide PDX customers with an exceptional no-cost opportunity to reduce operating expense and to increase prescription fills. With continued rapid integration across the pharmacy community, the CoverMyMeds application will help increase patient adherence to their prescriptions," said Alan Scantland, CEO.

About CoverMyMeds

CoverMyMeds is the leader in automating Prior Authorizations (PAs), and the first step in patient adherence, helping medical offices and pharmacies submit prior authorizations and other coverage determination forms for any drug and nearly all plans. By automating the once paper-based workflow, CoverMyMeds has created a PA model that improves efficiency, which ultimately results in lower prescription abandonment.

Organizations that wish to benefit from electronic prior authorization for prescription drugs should contact CoverMyMeds at 866.452.5017 or visit

About PDX, Inc.

Almost 10,000 pharmacies across the U.S. benefit from technologies provided by PDX® and affiliates® and NHIN®. PDX continues to build on its 25+ year commitment to excellence in retail pharmacy and patient care. Its single-source, integrated solution is unmatched by any other single provider or group of technology providers. It features the fast, intuitive, and advanced Enterprise Pharmacy System—already the choice of 21 chains and one major managed care plan; the portable, interoperable Electronic Pharmacy Record which contains almost two billion prescriptions and 90 million patients; industry-leading accounts receivable services from AbsoluteAR; store-based mail order and central fill services from; pharmaceutical manufacturer performance programs from Manufacturer Services; and more.

CONTACT: Media contact for CoverMyMeds Michael A. Bukach Senior Writer Media contact for PDX, Inc. Todd Whitley Director, Communications

Source: CoverMyMeds