In the News
Commitment to Service Excellence Amid Switch Provider Event
- Navitus Health Solutions
Change Healthcare security event leads to unfilled prescriptions across 30% of pharmacies, impacting members across the country.
Brent Eberle: “Not all Cost-Plus is Created Equal"
- Formulary Watch
Clients are cautious about how the cost in “cost-plus” programs is determined, how rebates factor in and the benchmarks used, says Navitus’s Brent Eberle.
Foot Locker, Teamsters Show Their Drug-Benefit Managers the Door
- The Wall Street Journal
Employers and unions are getting fed up with the firms they have used for years to help control their spending on prescription drugs—because their costs keep soaring.
Upstart PBMs aim to shake up the market
- Modern Healthcare
Pharmacy benefit managers operating in the shadows of conglomerates that dominate the industry believe now may be their moment to make inroads in the lucrative market.
Companies such as AffirmedRx, Liviniti, MedOne Pharmacy Benefit Solutions Rx, Navitus Health Solutions, RxPreferred Benefits and SmithRx are employing a twofold strategy. Part one is pitching potential customers on a more transparent business model. Part two is lobbying Congress to pass legislation that would rein in CVS Health subsidiary CVS Caremark, UnitedHealth Group subsidiary OptumRx and Cigna subsidiary Express Scripts and open the PBM business to more competition.
Soothing the Sting of Drug Costs by Choosing ‘Disruptor’ PBMs
- Health Payor Specialist
Geisinger, whose Medicaid members jumped by 45% last year, is one of the payers trying to rein in prescription drug expenses partly by using smaller, transparent PBMs. Geisinger Health Plan says it will move its prescription drug purchases next year to Navitus Health Solutions, as payers look for ways to trim prescription drug prices that are eating up tens of billions of dollars a year.
Navitus Health Solutions taps GoodRx on prescription savings
- Fierce Healthcare
GoodRx has inked another partnership with a pharmacy benefit manager, bringing its services to Navitus Health Solutions' members. Through the new Savings Connect program, members can automatically access GoodRx's pricing on generic drugs when at the pharmacy counter.
GoodRx, Navitus Health Solutions launch Connect Program
- Drug Store News
GoodRx, a resource for healthcare savings and information, and Navitus Health Solutions, a pass-through pharmacy benefit manager, are unveiling Savings Connect. This program, when elected by clients, provides members with automatic access to GoodRx prices on generic drugs in a seamless experience at the pharmacy counter.
UCare: Transparent Model Was ‘Table Stakes’ When Picking New PBM
- AIS Health
In what is only the latest sign that PBM clients are growing increasingly disillusioned with the status quo, Minnesota-based insurer UCare recently chose Navitus Health Solutions, LLC as its new PBM partner — ending a relationship with The Cigna Group’s Express Scripts that had been in place since 2010.
GoodRx and Navitus Health Solutions announce Savings Connect program
- Chain Drug Review
GoodRx and Navitus Health Solutions have launched Savings Connect. This program, when elected by clients, provides members with automatic access to GoodRx prices on generic drugs in a seamless experience at the pharmacy counter. Consumers no longer have to proactively review and choose between using their insurance or a discounted price available through GoodRx. Both prices are compared behind the scenes and the lowest one is delivered directly to the consumer.
Transparent PBMs form coalition to advance industry reforms
- Fierce Healthcare
As pharmacy benefit managers and drug manufacturers once again sparred on the Hill, a group of transparent PBMs, including Navitus Health Solutions, revealed that they had come together to form a coalition that drives industry reform.
CT promises discounts on drug prescriptions with ArrayRX
- CT Mirror
On Oct. 2, Connecticut will become the first eastern state to partner with Navitus Health, the pharmacy benefit manager behind the free ArrayRX smartphone app that provides prescription discounts...
Congress is Expected to Bring PBM Transparency Legislation
- Managed Healthcare Executive
Robyn Crosson, JD, Vice President, Government Relations at Navitus Health Solutions was one of several speakers to share her thoughts at the Pharmacy Benefit Management Institute’s annual conference in Orlando.
Drugmakers, Insurers Spend Millions on Drug-Pricing Blame Game
- Bloomberg Law
Congressional criticism of pharmaceutical industry middlemen has created a rush of spending on lobbying and advertising as insurers and drugmakers battle over blame for the price of medicine in the US. But not all pharmacy benefits managers say they oppose the legislative efforts. Robyn Crosson, vice president of government relations for Navitus Health Solutions, said the company was “quite supportive” of the bipartisan efforts.
How Pharmacy Benefits Can Benefit More People
- Fierce Healthcare
2023 Outlook: PBMs Will Focus on Humira Biosimilars, Specialty Drug Spend, FTC Probe
- RADAR on Drug Benefits
CivicaScript Launches Initial Generic Drug, Plans Several More in Coming Years
- RADAR on Drug Benefits & Health Plan Weekly
Lumicera's vice president of pharmacy operations and business development Ben Heiser talks about how partnering with CivicaScript aligns with their commitment to offering the lowest price possible.
Navitus Health Solutions Teams up with CivicaScript
- Formulary Watch
Navitus senior vice president and chief pharmacy officer Brent Eberle talks about how partnering with CivicaScript fits into its cost-plus model.
The $80+ Billion Price Tag of Healthcare Fraud
- Specialty Pharmacy Continuum
Each year, healthcare fraud and abuse drains off tens of billions of dollars that might have gone to lower medical insurance premiums and expanded prevention and treatment services for patients. Although countering these schemes can be difficult, data mining and other interventions may help to defray at least some of the damage, experts noted during a recent webinar.
3 forecasts for the PBM industry in 2022
- MedCity News
The current landscape heading into 2022 will keep pharmacy benefits under the microscope. Plan sponsors will evaluate their PBM’s pricing model to determine if their contract will deliver predictable costs, more opportunities for increased savings and improved care for their members.
Regain control of drug spend in 2022: 3 pharmacy benefits trends to watch
In an environment where health care challenges continually evolve, new opportunities emerge for plan sponsors to strategically invest in their relationships with pharmacy benefit management (PBM) partners. Here are three pharmacy benefits trends that plan sponsors should consider when making their benefits decisions for 2022.
Health tech startups vie for a piece of drug supply chain
A TECH TWIST ON DRUG BENEFITS: Can a group of health tech startups disrupt the world of pharmacy benefit managers and seize part of a market forecast to be worth as much as $700 billion by the middle of the decade? Companies such as Capital Rx, WithMe Health and Navitus see an opening, and are using high tech dashboards and data mining in a bid to supplant industry giants...
Gaining the upper hand on pharmacy benefit fraud, waste and abuse
How pharmacy benefit managers (PBMs) can help drive improved health care performance, financial results and member safety.
Kansas Investigates Obscure But Powerful Part Of The Drug Supply Chain: Pharmacy Middlemen
- NPR in Kansas City
Some states have dumped their middlemen and switched to competitors among a much smaller but growing group of companies that bill themselves as a kind of countermovement to the biggest market players.
Specialty pharmacy operator Navitus acquires EpiphanyRx
- Phoenix Business Journal
Madison, Wisconsin-based Navitus Health Solutions, which has a specialty pharmacy in Phoenix, has acquired EpiphanyRx, a pharmacy benefits management solution based in Brentwood, Tennessee.
Navitus Debuts Predictive Tool to Prevent Opioid Misuse
- RADAR on Drug Benefits
Navitus Health Solutions has added a predictive analytics product to its Opioid Safety Solutions offering. The product, Predictive Analytics for the Misuse of Opioids (PAMO), generates member-specific risk scores to help prescribers identify who may be at risk of opioid misuse and recommend non-opioid treatment options.