Plan Sponsors
We work closely with public and private sector employers, labor unions and health systems to control trend over time and optimize the pharmacy benefit.
Pass-through Model
Financial and Operational Transparency
Commitment to More Affordable Medications
Trust Through Transparency
Providing our Clients Exceptional Clarity
We believe the status quo of the PBM industry — where the financial interests of traditional PBMs stand in the way of offering the lowest cost for plan sponsors — can no longer serve as the benchmark.
As the first fully transparent, pass-through PBM:
Clients trust our approach because of the transparency at every step along the way — from contracts and financial transactions to our business operations and outcomes.
products & Services
As a full-service PBM, we offer a range of bundled and flexible offerings including:
Lowest-net-cost formulary management and utilization management services to control per member per month (PMPM) cost
24/7 call center and outbound member support services to assist member transitions and benefit use
Clinical interventions to support member adherence and safety
Unparalleled data access and modeling for insight to benefit cost and value
For self-funded employers with 5,000 members or less, Navitus Key is a fully bundled solution, purpose-built for this market segment.
Interested in learning more about Navitus?
Latest Insights
Plan Sponsor Insights: Navigating Healthcare and Improving Outcomes
Rx Money Saving Tips
3 Ways to Lower Your Drug Costs One out of every three Americans are unable to afford to take their medication as prescribed, and 45% haven’t filled a prescription due to cost.1 Here are a few strategies to help you save on your prescriptions and have…
Fraud, Waste, and Abuse
What is Fraud, Waste, and Abuse? Fraud is when someone knowingly uses false information or statements to obtain prescription drugs or payment for prescription drugs when the person is not entitled to the drugs or payment. Some examples of fraud are: Steps…
Participating Pharmacy Network Listing – National and Regional Chains/Groups
Updated July 1, 2024 IMPORTANT: Many independent pharmacies throughout the nation and the chains listed below are participating in the Navitus Pharmacy Network. Please keep this list as a reference in the event you need prescriptions filled while traveling….
Prior Authorization
Prior authorization (PA) is one of the many tools that support our mission to improve member health and lower costs. It’s a standard health care process that most pharmacy benefit managers (PBM) use to ensure you’re taking safe, cost-effective medications….
Eddie – His Story
Eddie is more than just a member ID number. He’s a husband, a father, and a cancer survivor. When an unexpected diagnosis and expensive drug costs threatened his way of life, we worked tirelessly with Eddie and his family to find a solution that wouldn’t…
Member Rights and Responsibilities
The root of Navitus’ customer care philosophy is to provide consistent, knowledgeable and timely responses with a personal touch. We work to answer each question or request correctly, completely, and professionally the first time. Listening to our customers’…
Know Your Options for At-Home COVID-19 Test Kits
As a member, plan sponsor or consultant, do you understand what the new federal guidance on free at-home COVID-19 tests means to you? As part of Navitus’ mission to improve health outcomes, we want to make sure that you know the variety of options that…
COVID-19 Vaccine Update: Booster Shots
As the country strives to get ahead of the Coronavirus by getting as many vaccinated as possible, booster shots may help extend protection. Get the latest developments in today’s blog! COVID-19 is now reported to be the deadliest virus in the United States,…
Opioid Awareness: Combatting a Nationwide Epidemic
It’s time to put an end to prescription opioid misuse and abuse. Here are four tips to help ensure safe and effective use by your members. According to the CDC, over 70% of drug overdose deaths involve an opioid, making opioids the main driver of drug…
