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CoverMyMeds Will Provide an Electronic Solution for Rx Prior Review Requests

Blue Cross and Blue Shield of North Carolina (BCBSNC) wants to help you streamline the Rx prior review process, so you and your staff can focus less on administrative tasks and more on patient adherence.  That’s why we’re working with CoverMyMeds® to provide you with the convenience of completing and submitting your pharmacy-related utilization management review requests via their free and secure online portal starting this June.

With CoverMyMeds, which is a multi-payer system many of our network physicians and pharmacies already use, you’ll be able to access all of BCBSNC’s Rx fax forms and submit them directly to BCBSNC, check member eligibility, as well as submit medical details necessary for us to complete prior review for medications requiring it. 

Have your provider NPI handy, as it will be required on all BCBSNC pharmacy-related prior review fax forms as of June 9, 2014, regardless of whether you choose to use CoverMyMeds or continue faxing your requests to BCBSNC as you do today.  Updated fax forms, including a space for your NPI, will be available online by the end of May (Update: Now available as of May 16).

There’s no requirement to use CoverMyMeds*, but we think you’ll welcome the efficiencies and real-time responses gained with this free and effiicent electronic solution you can use on behalf of your BCBSNC patients.**

Take a tour of how CoverMyMeds works at and start using it in June!  To schedule a Webinar and receive a free demonstration of this free service for your office and billing staff, please contact Amber Harner at to find a time and date that will work for your office.


*CoverMyMeds® is an independent company not affiliated with BCBSNC.  It is your responsibility to review and decide whether to use CoverMyMeds’ services.

**CoverMyMeds can be used for pharmacy prior authorization requests for commercial BCBSNC patients, who use Prime as their pharmacy benefits manager.  At this time, CoverMyMeds cannot be used for requests for State Health Plan, Federal Employee Program, or Blue Medicare patients, even if their plans use Prime.