Lamar Health

Lamar Health is workflow software for specialty pharmacies, infusion clinics and home infusion pharmacies. It addresses the manual, scattered work of patient intake, benefits verification, medical necessity checks and prior authorization submission and tracking. The platform sits on top of existing EHRs, pharmacy management systems and payer portals rather than replacing them, coordinating work across those systems.

Core capabilities include unifying referrals from fax, EHRs, portals and email; confirming insurance eligibility and patient responsibility; validating medical necessity against documentation and ICD-10 requirements; and automating prior authorization form completion, packet assembly, submission and status tracking for both Pharmacy and Medical Benefit. Configurable workflows and business logic support different teams or locations, and the system works alongside CoverMyMeds. A proprietary process combining three AI models and several datasets supports prior authorization outcomes, and real-time visibility shows leaders where work is in progress or stuck. A separate offering for life science companies provides eligibility verification, PA criteria, simplified submission, integrated services and analytics for field reimbursement agents.

The product is aimed at high-volume specialty pharmacies and infusion organizations managing complex prior authorization workflows, as well as life science companies supporting specialty brands. Pricing is customized rather than packaged into fixed tiers, driven primarily by monthly authorization and transaction volume, the modules deployed (prior authorization, intake, benefits investigation, custom automation), and implementation scope including integrations. No free plan or trial is stated.