Introducing NavitusClear with Costco® Cost Plus Model
The pharmacy landscape is under growing pressure as drug costs continue to rise and stakeholders demand more transparency. Traditional pharmacy benefit models, which often include opaque pricing and complex rebate structures, are no longer meeting the needs of plan sponsors.
Cost-plus is a pricing model in which the price of a prescription drug is based on its actual cost to acquire, plus a fee for pharmacy services provided. Cost-plus pricing cuts through the confusion of traditional drug pricing, focusing on transparency, fairness and simplicity.
Limitations of Current Cost-plus Models:
Despite their promise, most cost-plus models fall short in key areas:
Opaque acquisition costs: Most cost-plus models offer limited visibility into what pharmacies pay for drugs
Weak accountability: Plan sponsors struggle to verify drug costs and lack access to real-time, claim-level data
Transparency gap: Current cost-plus models don’t completely resolve the transparency gap
Navitus is Proud to Announce Our Exclusive NavitusClear with Costco Cost Plus Pricing Model with Costco Pharmacy
NavitusClear is our designation awarded to partners that exemplify the level of transparency in drug pricing we believe should be the industry norm. This solution reflects the shared commitment between Navitus and Costco to address rising drug costs. Aligned with the core Navitus solution – pass-through pricing, a client-first approach and data-driven accountability – this model delivers measurable value to both plan sponsors and members.
Starting January 1, 2026, plan sponsors and members will benefit from:
Transparent, auditable pricing: Plan sponsors receive visibility into the drug costs and dispensing fees. All pricing is claim-level and auditable, supporting fiduciary accountability and enabling better-informed decision-making.
Broad access: The model supports brand, generic and non-specialty medications at either retail locations or via mail order. It also expands the cost-plus options that clients can access, which include Lumicera Health Services for specialty medications.
Seamless experience: Members can fill prescriptions at over 500 Costco retail pharmacies or use convenient mail order. There is also a $0 same-day delivery option. Importantly, members do not need a Costco membership to use the benefit.
Exclusivity: Other PBMs may claim transparency or cost-plus pricing, but they typically don’t provide visibility into the actual acquisition cost or allow this level of auditability. Combined with Costco’s trusted reputation and purchasing power, this program delivers both affordability and accountability.
More Than Just a Pricing Alternative
It delivers visibility, control and seamless member access in a transparent, auditable model designed for plan sponsors. Clients gain the clarity needed to manage pharmacy benefit performance with confidence.
Learn More
Discover how Navitus and Costco Pharmacy can help you reach your plan goals. Reach out to [email protected].
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