Medicare AdvantageAdministrativeMedium impact
Obtaining Prior Authorization for Part D Drug Therapy Reviews
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Nov 1, 2025
We identified it
Jun 19, 2026
Summary
BCBSRI and Prime Therapeutics now offer CoverMyMeds, a free electronic prior authorization (ePA) tool for Part D drug therapy reviews, replacing manual fax and mail submissions. The electronic system integrates with EHR systems and provides faster determinations with live chat support.
Action Required
By November 1, 2025: All staff who submit drug prior authorizations must create CoverMyMeds accounts at www.covermymeds.com and transition to using the electronic system as the primary method for Part D drug therapy review requests. Update workflow procedures to use ePA instead of fax (1-855-212-8110) or mail submissions to Prime Therapeutics.