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Our robust patient-centered clinical care model, which is URAC accredited, enables us to deliver high-touch support to promote adherence, close gaps in care and improve health outcomes. Using our highly informative claims data and 360-degree view of the patient, we can identify patients who can benefit from additional support. By combining this knowledge with evidence-based guidelines, and leveraging our relationships with members, pharmacists and prescribers, we can deliver meaningful interventions that improve health.

Built on proven practices, our service model is focused on providing superior service for members. Through our outstanding customer care center, award-winning web portal and best-in-class communications we ensure that education and engagement work together to improve health.

  • Get proven clinical programs that offer additional support for adherence, misuse and abuse (i.e. opioids) and condition-specific needs
  • Receive real time, 24/7 personalized support for members via the latest in omni-channel engagement
  • Get best-in-class care with our use of 360-degree patient data and evidence-based guidelines
  • Experience improved outcomes with robust member support to promote adherence and close gaps in care
  • Give members secure, user-friendly access to Navi-Gate® for Members Web portal to answer benefit questions
Why Choose Us

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:
•    A Clear View 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 pass-through model is so successful that in 2017, clients that switched to Navitus from another PBM saved 17 percent, on average, in drug cost. Although these clients come from a wide range of industry sectors, by adopting our model and using recommend cost-reduction strategies, they achieved substantial PMPM trend savings.

Navitus Results and Highlights

Gross Profit Per Claim

We take the unnecessary costs out of pharmacy spend to ensure our clients receive all of the savings. All discounts and rebates are returned to the client. As you can see from this graph, traditional PBMs tend to keep a portion of the revenue for themselves. An agreed upon admin. fee is the only way that we earn money.

Navitus Results and Highlights

5-Year Cumulative Savings

Navitus clients experience lower than average PMPM. In fact, in 2017 we helped our commercial clients achieve a PMPM of $76.56, which is 15.5 percent lower than the industry average of $90.66. But the savings aren’t limited to one year. Looking back over 5 years we held PMPM costs to a significantly lower number than the industry average, helping our clients save more.

4.5 out of 5 CMS STAR RATING

For our Medicare Employer Group Waiver Plan (EGWP)

2019

97% SATISFACTION

Survey results from clients post-implementation

2017-2018

We cannot say enough positive things about transitioning our specialty pharmacy services to Lumicera. The Navitus account team had a high level of engagement prior to and post migration to ensure quality continuity of care. L.A. Care is delighted with the smooth transition and our members have provided extrememly positive feedback. We know we are in good hands with Navitus and couldn’t be happier with our new specialty partner, Lumicera.

Yana Paulson

Senior Director, Pharmacy, L.A. Care

With this insight into Navitus’ operations and access to data, I am able to make sensible decisions with the best interest of the Trust in mind.

Ken Stuart

Administrative Manager, San Diego Electrical Health and Welfare Trust

Navitus made my job so much easier and less worrisome. They assisted us in ensuring our significant formulary change went smoothly. The financial savings we experienced have exceeded what we anticipated. Navitus has lived up to its promises.

Wendie Carlson

Chief Human Resources Officer, West Tennessee Healthcare

Our holistic approach to well-being will always include solutions with innovative partners like Navitus that allow our staff to save money while enhancing their quality of life. The integration of pharmacy benefits and our other well-being solutions are key to our staff's success.

Elizabeth Rhoads

Benefits Manager, Compassion International

Consultants & plan sponsors: Have a question?

Members: Please call the number on back of your ID card. Clients: Contact your client services rep.