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Welcome to Navitus
# Welcome to Navitus
## Redefining Pharmacy Benefits with People in Mind.
With innovative, people-centered solutions, Navitus is transforming pharmacy benefit management to deliver cost-effective medication plans for plan sponsors and health plans.
## Who We Serve
## Innovative Pharmacy Benefit Solutions
## Navitus News & Industry Insights
## We make medications more affordable for the people who need them, so they can live their lives more fully.
At Navitus, we are driven by a singular purpose: to improve lives by making medications more affordable. Our team is passionate about reimagining the pharmacy benefit model, delivering solutions that lower costs while maintaining the highest standards of care.
We partner with health plans, employer groups, government programs and other key segments to create customized solutions that put people first.
### Member Satisfaction Rate
Navitus is trusted by its members for transparent, affordable, and patient-centered pharmacy benefit solutions.
### Lower Medication Costs
Our transparent pricing model reduces prescription drug costs by up to 20% compared to traditional PBMs.
### Pass-through Model
All savings from manufacturer rebates and discounts are passed directly to clients—no hidden fees, ever.
## Real Stories. Real Impact.
At Navitus, we’re proud to partner with organizations and individuals who trust us to provide affordable, transparent pharmacy benefits.
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, Former Chief Human Resources Officer, West Tennessee Healthcare
We wanted the flexibility to craft a customized program to best meet the needs of our team members. Navitus listened and together we designed a program that allows us to maintain excellent coverage while providing substantial savings to our employees.
— Fred Houghland, Corporate Vice President of Human Resources, American Casino & Entertainment Properties, LLC
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.
We are very pleased with our new PBM service with Navitus. Not only are we receiving better customer service, but Navitus has greatly enhanced our prescription drug program because the Cooperative has more involvement in the management of this self-funded program.
— Joseph R. Smothers, Manager, Human Resources, East Kentucky Power Cooperative
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A clear focus on improving affordability, access, and health outcomes.
## Partnering with You for Better Health and Lower Costs
At Navitus, we serve a diverse range of partners—from patients and members to prescribers, pharmacies, employers, and health plans. Our tailored pharmacy benefit solutions ensure everyone has access to affordable medications, improving health outcomes while driving down costs.
Members!
### Members
#### Maximize Your Benefits, Minimize Your Costs
Helping people is the core of everything we do at Navitus—always has been, always will be. Log in to your member portal or register for your account to see detailed information about your plan.
Pharmacies!
### Pharmacies
#### Supporting Pharmacies for Seamless Care
Pharmacies play a key role in protecting the health of members. Together, we’re transforming how medications are delivered, helping you better serve your patients.
Employers!
### Employers
#### Lower Costs, Healthier Employees
For over 20 years, Navitus has upheld a transparent, full pass-through PBM model, enabling plan sponsor clients—ranging from employers to health systems—to optimize benefits with clarity and fiduciary responsibility.
Health Plans!
### Health Plans
#### Tailored Solutions for Health Plans
Navitus partners with pharmacies to ensure smooth operations, from processing prescriptions to delivering cost-effective medications.
Residency Program!
### Residency Program
#### Developing the Next Generation of Pharmacy Leaders
Our mission is to make medications accessible and affordable so patients can focus on their health, not the cost.
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## Trusted by Leading Organizations Nationwide
Join the growing list of employers, health plans, and providers who rely on Navitus for transparent, cost-effective pharmacy benefit solutions that improve care and lower costs.
Lands’ End!Montana!L.A. Care!University Hospital!Trek!Hendrick Automotive Group!Linde!
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## Case Studies
Putnam | Northern Westchester Health Benefits Consortium (PNW HBC) was the first municipal cooperative…
Self-Insured Schools of California (SISC), the largest health benefits pool of public schools…
## Navitus Solutions
## Innovative Solutions for Better Health Outcomes
## 100% Pass-through Model
We make decisions that align with your organization’s goals, regardless of the potential impact to spread, margins or rebate dollars.
## 100% Financial and Operational Transparency
Our clients have clarity of contract, terms, data down to the claims level, our financials, and are even invited to participate in our formulary management process—helping them make well-informed decisions for their plans and their members.
## Lowest-net-cost Formulary Management
Our formularies are rooted in clinical data and designed to manage cost while keeping quality of care high – rather than hiking prices and padding our profits.
## Cost-plus Specialty Pharmacy
Specialty drugs are one of the largest cost-drivers, for plan sponsors and members, so we’re proud to have the first cost-plus specialty pharmacy in the nation.
## Government Programs Support
Our tenured team of experts deliver on clinical quality, member services and operational excellence while helping you remain compliant and adherent to industry, federal and state regulations.
## Member Enablement and Support Services
We make navigating benefits less daunting for members—helping them understand their benefits and how to get the most out of them with convenient, personalized support options.
## Discover how Navitus can help transform your pharmacy benefits.
## Latest Insights
## Navigating Healthcare and Improving Outcomes
Achieving Outstanding Results with Tailored Network Strategies!
### Achieving Outstanding Results with Tailored Network Strategies
A medium-sized city in Michigan with 1,350 members was seeking ways to lower its pharmacy benefit costs, which were growing under its existing traditional pharmacy benefit manager (PBM). With its member covered by a two-tier, open formulary including…
Breaking Through Barriers with Value-Based Plan Design!
### Breaking Through Barriers with Value-Based Plan Design
Facing increased pharmacy benefit expenses, Blain’s Farm and Fleet, a Midwestern employer group, desired to improve plan performance. Specifically it was interested in educating eligible members about the benefits available to them, promoting cost-effective…
Finding a Solution to Lower Prescription Drug Costs!
### Finding a Solution to Lower Prescription Drug Costs
The Rural Arizona Group Health Trust (RAGHT) wanted to gain better control of its escalating drug trend with its large, traditional pharmacy benefit manager (PBM). Having only worked with traditional PBMs in the past, RAGHT was interested in exploring…
Empowered by Strategic Opportunities and Service Excellence!
### Empowered by Strategic Opportunities and Service Excellence
Putnam | Northern Westchester Health Benefits Consortium (PNW HBC) was the first municipal cooperative health plan in the state of New York to become certified by the Department of Insurance. They are dedicated to meeting — and exceeding — the standards…
QUALYiQ Program Delivers Significant Savings for Both Members and Health Plans!
### QUALYiQ Program Delivers Significant Savings for Both Members and Health Plans
As part of their treatment plan for hypophosphatasia (HPP), a rare genetic disorder affecting bone and teeth development, one of our members required Strensiq, a medication designed to manage HPP. However, Strensiq’s annual treatment costs ranged from…
RISE: Reporting and Intervention for Stars Excellence!
### RISE: Reporting and Intervention for Stars Excellence
RISE is a comprehensive Star Ratings Improvement program that focuses on positive outcomes for Medicare Part D (Part D) clinical measures, including: medication adherence for diabetes medications, medication adherence for hypertension, medication adherence…
Medication Therapy Management: Improving Health Outcomes and Reducing Cost!
### Medication Therapy Management: Improving Health Outcomes and Reducing Cost
Patients with chronic diseases can face greater risks for medication-related challenges such as non-adherence. This can lead to poor health outcomes and higher plan costs. That’s why we developed an MTM program, offered through our Clinical Engagement…
Personalized Member Transitions: Creating a Smoother Benefit Transition!
### Personalized Member Transitions: Creating a Smoother Benefit Transition
Navigating benefit transitions is no easy task. Our personalized member transition (PMT) program makes it smoother for both plan sponsors and members. Through our high-touch outreach to members, we eliminate gaps in care, minimize member disruption, improve…
Pharmacy and Practitioner Exclusions and How to Resolve Them!
### Pharmacy and Practitioner Exclusions and How to Resolve Them
Prescribers and Pharmacies can be deemed ineligible for providing services to government programs like Medicare, Medicaid or even to payers who are participating in government programs. Being ineligible to provide those services is commonly referred to…
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