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🔧 Navitus Health Solutions

Navitus Health Solutions

The PBM that dares to be different.

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Overview

Navitus Health Solutions is a full-service PBM that serves government entities, self-funded employers, and health plans. The company was founded on the principles of transparency and cost-effectiveness, operating on a 100% pass-through model where all discounts and rebates are returned to the client. Their services include formulary management, clinical care programs, and specialty pharmacy solutions with a focus on achieving the lowest net cost.

✨ Key Features

  • 100% Pass-Through Financial Model
  • Formulary and Utilization Management
  • Lowest-Net-Cost Philosophy
  • Specialty Pharmacy Solutions (Navitus SpecialtyRx)
  • Clinical Engagement Programs
  • Full Financial and Operational Transparency

🎯 Key Differentiators

  • Strict adherence to a 100% pass-through, fully transparent model
  • Lowest-net-cost philosophy drives all formulary and clinical decisions
  • Client-aligned model with no hidden revenue streams

Unique Value: Provides complete financial transparency and alignment with clients through a 100% pass-through model, ensuring that all negotiated savings on rebates and discounts are returned to the plan sponsor.

🎯 Use Cases (3)

Administering pharmacy benefits for organizations seeking a transparent, auditable PBM. Implementing strategies to minimize net drug spend through formulary choices and rebate pass-through. Providing clinical oversight to ensure appropriate medication use.

✅ Best For

  • Managing pharmacy benefits for millions of members with a focus on transparency.

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • Clients who prefer a traditional, spread-pricing PBM model.

🏆 Alternatives

Capital Rx Abarca Health Prime Therapeutics

Unlike traditional PBMs that may profit from the spread on drugs or retain a portion of rebates, Navitus's business model is designed to have no conflicts of interest, focusing solely on achieving the lowest possible net cost for clients.

💻 Platforms

Web API

🔌 Integrations

Integrates with client health plans and third-party administrators.

🛟 Support Options

  • ✓ Email Support
  • ✓ Phone Support
  • ✓ Dedicated Support (Client tier)

🔒 Compliance & Security

✓ SOC 2 ✓ HIPAA ✓ BAA Available ✓ SSO ✓ URAC ✓ NCQA ✓ SOC 1

💰 Pricing

Contact for pricing

Free tier: NA

Visit Navitus Health Solutions Website →