Offering a Better Solution
Pharmacy Benefits Reinvented
As the industry’s alternative pharmacy benefit manager (PBM), we’re committed to making prescriptions more affordable for you and your members. That’s why we work hard every day to take the unnecessary costs out of pharmacy benefits. To that end, we’ve reinvented pharmacy benefits to work smarter to deliver real savings and improve member health. As a result, many of our first-year clients see anywhere from a 10-15% savings.
Services
Pharmacy Benefits Management
Our modern, alternative solution leverages a powerful PBM engine built on a transformative pass-through approach, lowest net-cost philosophy and outstanding clinical model that works smarter and harder to deliver greater results. With this engine in place, ordinary PBM tools – such as utilization management, formulary, and networks – perform at a higher level to improve health more effectively and generate even more savings.
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100% Pass-Through
We pass 100% of all discounts or rebates we receive directly back to you. All of our revenue is based on a set admin fee.
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Lowest Net-Cost
While rebates and discounts are important, we focus on all factors to reduce overall cost, including formulary and drug mix.
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Clinical Care Model
Our patient-centered model works to improve health outcomes, which also improves long-term financial performance.
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Services
Specialty Pharmacy
Our full-service specialty pharmacy, Lumicera Health Services, a subsidiary of Navitus, combines high-touch care and clinical support with a stringent cost management model. Our pharmacists and clinical experts provide a personalized approach to care, guiding members every step of the way to improve health and quality of life. Our unique acquisition cost-plus pricing model combined with first-in, first-out (FIFO) methodology, works to keep costs in check.
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Clinical Care Model
Our patient-centered model works to improve health outcomes, which also improves long-term financial performance.
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Cost Management
Strikes the right balance between high-touch support to meet your members’ needs and cost management to control expenses.
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The Bottom Line
When you work with a fully transparent and pass through PBM the results are a given, but the experience is unique. Our expert advisors will lead you into a new adventure in pharmacy benefit management where you’ll get:
• Clarity into your pharmacy benefit costs and savings opportunities
• The Guidance to get your benefit management going in the right direction
• Peace of mind that our expertise and experience are on your side every day
As a result, we make managing your Rx benefits feel less like work and more play. On top of that, our clients experience a substantial savings of 10-15%. We call it Pharmacy Benefits Reinvented.
Here are a few highlights of our results:
Navitus Results and Highlights
New Client Savings
Our true pass-through approach, lowest-net-cost formulary and outstanding clinical care model take the unnecessary costs out of pharmacy benefit management, helping clients that switched to Navitus in 2020 save an average of 18% in drug spend.
Navitus Results and Highlights
Industry-Leading Value
Despite numerous factors driving up the cost of health care last year, we achieved a commercial book-of-business PMPM that was 12% lower than the forecasted industry average. In addition, nearly a third of our established commercial clients experienced negative PMPM trend compared to the previous year.
Navitus Results and Highlights
5-Year Cumulative Savings
The savings don’t stop after year one. What makes us different from other PBMs is our ability to sustain savings over time. We’ve consistently held down PMPM costs at a rate substantially below the industry average year over year (YOY), and helped our clients save a cumulative $61.44 PMPM over the last five years.
Who's Chosen Navitus Already?
We are the PBM of choice for government entities, self-funded employers, and associations. This includes health exchanges and organizations providing managed Medicaid and Medicare Part D.
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4.5 out of 5 Overall CMS STAR RATING
For our Medicare Employer Group Waiver Plan (EGWP)
2021
100% SATISFACTION
Survey results from clients post-implementation
2013-2020
