Tailored market solutions address a diverse range of clients and program management needs to enhance client control, cost containment, and member health.
Our proven business model and aligned approach deliver extraordinary value, as evidenced by our client success stories, drug trend rate performance that is consistently well below the national trend, and outstanding generic fill rate.
Health Plans and Hospital Systems
As a PBM with managed care roots, Navitus understands the health care delivery system and the need for innovative solutions to provide affordable coverage for members, contain overall costs, and facilitate interaction with affiliated providers and hospitals. We understand the increasing pressure healthcare providers face to adopt new standards of accountability for patient care to improve health outcomes and contain costs in order to stay competitive. Our health plan and hospital system clients enjoy complete program management flexibility to leverage their clinical resources, promote and grow their ambulatory pharmacy capabilities, and customize programs and services as appropriate to their goals. Our Medication Therapy Management and Navitus SpecialtyRx programs can be integrated with your disease management and wellness programs to improve the health of your members.
Self-Funded Employer Groups
Addressing today’s market dynamics requires focused attention, flexible solutions, and targeted management strategies. We understand your resources are limited. Your Navitus team will consult with you to understand your needs, make recommendations, and help guide you to a tailored benefits program that addresses your financial and health improvement objectives. A full-service suite of customizable PBM services enables us to tailor solutions to meet your specific needs. Our goal is to simplify the process so that you can devote your energies to your first priority—operating your business.
An integrated approach to government programs management ensures strict adherence and continued compliance to State and Federal regulatory requirements and processes. We consult with our clients to co-develop programs and services to address growing enrollments, management of more complex higher-cost therapies, and the cost-containment challenges these dynamics represent. These vital controls, coupled with lowest-net PMPM drug cost-containment strategies, minimize risk, ensure quality of care, and address budgetary constraints.
Labor and Municipal Organizations
The complexity and unique challenges of labor and municipal organizations require creative pharmacy benefit management solutions. We understand and respect the collective bargaining rights of labor and the potential constraints these populations represent. Through collaboration, we leverage our experience serving unions to design pharmacy services to optimize your organization's financial performance and deliver exceptional health outcomes.
Third Party Administrators
We provide the flexibility and full pass-through business model TPAs need from their PBM partner to mitigate risk across a diverse population—a partner that can manage trend in alignment with their unique operating philosophies. We offer our TPA partners targeted solutions to address the complexities of multiple benefit plan management and medical program interfaces to promote member well-being and achieve cost-containment. Achieving your clients’ goals involves more than just controlling costs, so we work closely with each TPA to tailor programs and services to the specific needs of its clients. Through an in-depth analysis of your client's savings potential, we help you make more informed choices and provide you with the tools and expert knowledge to achieve client goals. Through regularly scheduled consultative meetings, your Navitus account team will review client-specific performance and make targeted recommendations to support the best fiscal and health decisions for your members.
Navitus puts people first, provides the tools to drive better outcomes, and uses data to Share a Clear View to support informed decisions.
We invite you to Share a Clear View with us.