RxCheckUp

RxCheckUp vs CoverMyMeds

CoverMyMeds is a prior auth automation platform (owned by mckesson). RxCheckUp generates the actual Letter of Medical Necessity with AI, cites clinical evidence, and matches payer-specific criteria. CoverMyMeds handles the plumbing; we handle the persuasion.

Feature-by-Feature Comparison

FeatureRxCheckUpCoverMyMeds
Electronic PA form submission
AI-generated Letter of Medical Necessity
Clinical evidence citations
Payer-specific criteria matching42 payers built in
ICD-10 & drug catalog lookup
Appeal letter drafting
EHR integration
Learns from approval/denial outcomes
Time to generate clinical justification2 minutesN/A — does not generate
What you getSignable LMN with evidenceRouted PA form

Key Differentiators

1We write the letter; they route the form

CoverMyMeds automates the submission workflow. RxCheckUp generates the actual Letter of Medical Necessity with AI, citing peer-reviewed evidence and matching each payer's specific coverage criteria.

2Payer-specific intelligence

RxCheckUp has 42 payer-specific policy sets built in. Every letter is tailored to the exact criteria, step therapy requirements, and documentation standards that the target payer uses to evaluate PA requests.

3Better together

Use RxCheckUp to generate the clinical justification letter, then use CoverMyMeds to submit the PA request electronically. Persuasion + plumbing.

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