CoverMyMeds is an online tool for electronic completion and submission of benefit prior authorization (PA) requests for prescription drugs that are part of the Blue Cross and Blue Shield of New Mexico (BCBSNM) pharmacy PA program.
You must be a BCBSNM independently contracted provider to use CoverMyMeds. The tool is available for most BCBSNM members whose pharmacy benefits are administered by Prime Therapeutics.*
Using CoverMyMeds replaces the need to fax paper PA request forms to BCBSNM. Additionally, it provides immediate confirmation upon receipt, without the need to call to check status or resubmit requests.
- To submit an electronic PA request, go to the CoverMyMeds login page
. - For general assistance, visit the CoverMyMeds Support Center .
A link to CoverMyMeds is also available to registered users on the AvailityTM Web portal , under the Authorizations menu.
Related Resources:
*Exclusions may apply.
CoverMyMeds is a registered trademark of CoverMyMeds LLC, an independent third party vendor that is solely responsible for its products and services.
Prime Therapeutics LLC es una compañía administradora de beneficios farmacéuticos. BCBSNM contracts with Prime to provide pharmacy benefit management, prescription home delivery and specialty pharmacy services. BCBSNM, as well as several other independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime.
Availity es una marca comercial de Availity, LLC, una compañía independiente que opera una red de información de salud para prestar servicios de intercambio de información electrónica para profesionales médicos. Availity presta servicios administrativos a BCBSNM. BCBSNM makes no endorsement, representations or warranties regarding any products or services offered by independent third party vendors such as Availity. Si tiene alguna pregunta acerca de los productos o servicios ofrecidos por estos proveedores, debe comunicarse con el proveedor directamente.
Please note that the fact that a service has been preauthorized/pre-certified is not a guarantee of payment. Los beneficios se determinarán una vez que se reciba el reclamo y se basarán, entre otras cosas, en la elegibilidad del asegurado y los términos del certificado de asegurado de la cobertura aplicable en la fecha en la que se prestaron los servicios. Members should refer to their certificate of coverage for more details, including benefits, limitations and exclusions. Regardless of benefits, the final decision about any medication is between the member and their health care provider.