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Clinical Care Model

Providing high-touch care and clinical support

Improving health and quality of life is a key part of the Lumicera solution. We take a proactive approach focused on patient education, empathic communication, and establishing a relationship of trust with the patient. Then, each patient receives a tailored care plan with outcome goals to help them through every treatment step. Our advanced adherence programs—steeped in behavioral science and motivational interviewing techniques— work to encourage patients to take medications correctly and help to slow disease progression, minimize complications and reduce additional health expenditures, such as emergency room visits. Proactive communication and collaboration with prescribers keeps physicians informed of patient status following scheduled refill consultations and other touch point.

Covered Pharmacy Disease States

Lumicera Health Services provides treatment for many rare and complex conditions. Areas of specialty service include, but are not limited to:

  • Allergy/Asthma
  • Cystic Fibrosis
  • Dermatology
  • Gastroenterology
  • Hepatitis
  • HIV/AIDS
  • Oncology/Hematology
  • Multiple Sclerosis
  • Rheumatology
  • and more

Cost Management

Controlling Specialty Pharmacy Costs

With specialty pharmacy’s skyrocketing growth, it’s a bigger slice of drug spend – often up to 55 percent. The good news is that we apply our same passion for affordability and commitment to transparency to specialty. So we can help you better manage your spend. We are the first pass through, fee-for-services specialty pharmacy, that passes through 100% of all wholesale discounts and manufacturer rebates to our clients. We also use a first-in, first-out (FIFO) accounting methodology to ensure fair pricing and keep costs lower over time. Clients also enjoy full disclosure and audit rights to confirm the savings.

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 extremely positive feedback. We know we are in good hands with Navitus and couldn’t be happier with our new specialty partner, Lumicera.

Yana Paulson

Chief Pharmacy Officer, L.A. Care

We wanted to partner with a PBM that is aligned with our requirement of transparency and disclosure. The Navitus business model is a great fit with true pass-through pricing, low net cost, superior customer service and proven experience to transition our membership with minimal impact.

Nick Kouklis

Chief Executive Officer, Self-Insured Schools of California (SISC)

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

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