Navitus Announces a Specialty Pharmacy Purchase from CareMetx to Expand Geographical Footprint

February 11, 2021

MADISON, Wis., February 11, 2021 – Navitus Health Solutions, a full pass-through pharmacy benefit manager (PBM), today announced that Lumicera Health Services, its wholly-owned specialty pharmacy, has purchased a specialty pharmacy from CareMetx, a leading technology-enabled hub services company committed to improving patient access to specialty medications. The specialty pharmacy, CareMetx Health, located in Gaithersburg, Maryland, will allow Lumicera to better serve patients located in the eastern United States.

“As Navitus and Lumicera continue to grow their specialty pharmacy business, adding another specialty pharmacy to our portfolio will allow us to expand and deliver specialty services to clients throughout the U.S.,” said Brent Eberle, SVP and Chief Pharmacy Officer at Navitus. “Improving health and quality of life is the key mission of our specialty solutions, and we’re excited for the opportunity to collaborate with CareMetx to better serve our clients and their members across multiple geographies.”

Lumicera’s existing specialty pharmacies are located in Madison, Wisconsin and Phoenix, Arizona. Lumicera provides specialty medications and personalized clinical support to patients across the nation who live with complex chronic conditions such as multiple sclerosis, rheumatoid arthritis, genetic disorders and cancer. By adding an additional state-of-the-art specialty pharmacy to its portfolio, Lumicera will further expand its capacity and continue to enhance its strategic footprint across the U.S. to better serve its members.

“Helping Navitus and Lumicera enhance their specialty pharmacy capabilities will provide greater value and access to the millions of patients across the U.S. who rely on specialty medications,” said Mark Hansan, Chief Executive Officer at CareMetx. “We view this as a win-win for our current and future clients by helping Lumicera to expand their reach to better serve patients and become our preferred pharmacy partner for non-commercial dispensing needs for our clients.”

About Navitus Health Solutions

Navitus Health Solutions, owned by SSM Health and Costco Wholesale Corporation, serves as a full pass-through pharmacy benefit manager (PBM) and industry alternative to traditional models. As such, Navitus is committed to taking the unnecessary costs out of pharmacy benefits to make prescriptions more affordable for hundreds of plan sponsors (i.e. employers, health plans, unions, governments, etc.) and their 7 million members. By combining a unique pass-through approach that returns 100% of rebates and discounts with a focus on lowest-net-cost medications and comprehensive clinical care programs, Navitus helps reduce costs and improve member health. To learn more about Navitus, call 877.571.7500 or visit www.navitus.com.

About Lumicera Health Services

Lumicera offers innovative specialty pharmacy solutions, framed in the core principles of transparency and stewardship. Lumicera is defining the “new norm” in specialty pharmacy to optimize patient well-being. We are dedicated to improving specialty pharmacy care, one patient at a time, through educational, clinical, financial and service excellence.

About CareMetx

CareMetx, LLC is a leading technology-enabled hub services platform facilitating patient access to specialty medications. Serving pharmaceutical, biotechnology and device manufacturers, CareMetx leverages digital eServices integrated in a cohesive platform to promote efficiency in the healthcare ecosystem and remove barriers for patients and providers. CareMetx is committed to delivering compassionate advocacy to patients, decision-making data and confidence-building insight to manufacturer clients. Headquartered in Bethesda, Maryland and with over 600 employees, CareMetx serves more than 80 brands. Learn more at www.caremetx.com.

For questions and media inquiries, contact [email protected].

More About BRENT EBERLE

As Senior Vice President, Chief Pharmacy Officer, Brent oversees Navitus’ health strategies division, which is responsible for clinical and population health initiatives, drug utilization review programs, formulary and rebate management, and specialty pharmacy operations.

Stay Informed and Connected

Receive expert insights, healthcare tips, and important updates on pharmacy benefits, drug recalls, and more—straight to your inbox.

Examining Trends that Drive Informed Decisions

Now Available: 8th Annual Drug Trend Report

See the latest results and access industry insights you need to navigate current trend drivers.

Related blogs

Navigating Healthcare and Improving Outcomes

Real-world Data Demonstrates Successful Transitions from Humira to Biosimilars

Real-world Data Demonstrates Successful Transitions from Humira to Biosimilars

Authors: Justin Arzt, PharmD; Agata Siwak, PharmD, MSBA; Marnie Wickizer, PharmD, AE-C, CDCES; Ryan Schmidt, PharmD; Robert Topp, RN, PhD; Matt Hustad, PharmD All authors are employees of Navitus Health Solutions. Abstract Adalimumab biosimilar adoption…

PBM 101: Why the Model Matters

PBM 101: Why the Model Matters

In the pharmaceutical and healthcare industry, pharmacy benefit managers (PBMs) are conduits of expertise, analytics and savings opportunities, poised to deliver exceptional health care while driving down costs. They coordinate between drug manufacturers,…

Associate Resource Group Spotlight: Green Team

Associate Resource Group Spotlight: Green Team

The Green Team believes that small changes lead to significant impact. Whether its reducing waste, conserving energy or implementing eco-friendly initiatives, they serve as an internal hub for expertise regarding environmental sustainability….

PBM 101: The Three PBM Business Models

PBM 101: The Three PBM Business Models

In the pharmaceutical and healthcare industry, pharmacy benefit managers (PBMs) are regarded by the media as intermediaries between drug manufacturers, pharmacies, health plans and plan sponsors. But they’re so much more than that. PBMs act as conduits…

An Automated Approach to Diagnosis Verification of GLP-1 RA for Type 2 Diabetes Mellitus (T2DM)

An Automated Approach to Diagnosis Verification of GLP-1 RA for Type 2 Diabetes Mellitus (T2DM)

This study examines the impact of implementing an automated point-of-sale diagnosis verification system for glucagon-like peptide-1 receptor agonists (GLP-1 RAs) compared to traditional utilization management approaches….

Navitus to Remove Stelara® from Formulary July 1, 2025, Adds Biosimilars to Drive $120 Million in Savings 

Navitus to Remove Stelara® from Formulary July 1, 2025, Adds Biosimilars to Drive $120 Million in Savings 

As the nation’s first 100% transparent, pass-through PBM, we continue to advance medication affordability by prioritizing upfront, real-time savings over rebated models….

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…

previous arrow
next arrow