CloudRx Partners with Lamar Health to achieve great numbers

The Challenge

CloudRx is a leading nationwide specialty pharmacy with deep expertise in fertility medications and prior authorizations. Their team is skilled at navigating carve-outs, complex routing, and payer requirements - but scaling this work was becoming increasingly difficult.

As CloudRx grew to support more than 8,000 patients per month, the manual prior authorization process consumed too much staff time. Each request could take 15-20 minutes to complete, limiting throughput and requiring additional headcount. To maintain accuracy and timeliness, CloudRx needed a way to scale operations without sacrificing quality.

The Solution

CloudRx partnered with Lamar Health to bring AI automation into their prior authorization workflow. Lamar’s AI workflows verified provider referral packets and validated the necessary data, and completes submissions in a fraction of the time.

The Results

With Lamar’s automation in place, CloudRx achieved measurable improvements: 97% decreased employee time spent on PA's, 98% accuracy on intake, 7% increase in first time approvals.

CloudRx can now process thousands of prior authorizations each month without adding headcount. The partnership has transformed a high-volume, error-prone process into a reliable, scalable system-allowing CloudRx to continue expanding with new providers and life science partners while maintaining operational excellence.

What once required 20-30 minutes of staff time is now done in about 30 seconds- with >98% accuracy and minimal change management. The system fits directly into CloudRx’s existing workflow, allowing staff to stay focused on exceptions and higher-value clinical work rather than repetitive data entry.