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Navitus Announces Navitus Key, a Best-in-Class PBM Solution for Employers with Less than 5,000 Members

via Business Wire

First acquired in 2021, EpiphanyRx is now the Navitus Key solution under the Navitus PBM brand

Navitus Health Solutions today announced it will sunset the EpiphanyRx brand within its portfolio, effective January 1, 2026. This decision follows the acquisition of EpiphanyRx in 2021 and the strategic decision to deliver a range of pharmacy benefit management (PBM) solutions across multiple lines of business under a single brand, Navitus.

KFF estimates that 164 million people in the United States receive health insurance through an employer. Nearly three-quarters of these employers have 5,000 employees or less. Within this market segment, the breadth and level of support provided in the health benefit can vary widely and employers are often underserved by traditional PBMs. In contrast, Navitus Key is the market-leading solution for employers with 5,000 members or less, providing a tailored offering designed to manage costs and lower drug spend while providing high-touch clinical and account support.

Founded as the nation’s first transparent and 100% pass-through PBM more than 20 years ago, Navitus Health Solutions currently serves over 18 million lives across 800 clients including employers, unions, government plans, payers and health systems.

“For businesses with fewer than 5,000 members, just one high-cost prescription can significantly impact their pharmacy benefit spend,” said Diana Gibson Pace, Chief Growth Officer at Navitus Health Solutions. “This critical challenge is precisely why we acquired EpiphanyRx and reinforces our dedication to this often-overlooked market.”

Navitus Key is optimized to provide a comprehensive, fully-bundled PBM offering that controls drug cost trends over time. The solution focuses on:

  • Clinical Value: Low net-cost strategies provide value for clients and members
  • Specialty Drug Management: Built-in strategies are designed to lower costs by managing specialty drug spend within the benefit and through our cost-plus specialty pharmacy, Lumicera Health Services
  • Service Excellence: Employers experience a differentiated degree of hands-on, high-touch clinical and account support

“Our clinical approach to managing specialty drug costs includes Lumicera, our cost-plus specialty pharmacy. When combined with our pass-through PBM model that leverages generic-first strategies and timely adoption of biosimilars, the result is a powerful combination for employers striving to deliver impactful benefits that help employees care for themselves and their families," said Sharon Faust, PharmD, MBA, CSP, Chief Pharmacy Officer at Navitus Health Solutions.

“We are incredibly proud of what the EpiphanyRx brand has represented over the years,” said Gibson Pace. “We are committed to continuing to deliver best-in-class service through the Navitus Key solution to maximize savings and value for our clients.”

To learn about Navitus Key, visit: https://navitus.com/product/navitus-key/

About Navitus Health Solutions

Navitus Health Solutions is a pioneering pharmacy solutions provider that first launched a transparent pharmacy benefit manager (PBM) to pass through 100% of negotiated drug rebates and discounts to health plans and plan sponsors. The Navitus PBM is an alternative to traditional PBMs which divert rebates and discounts for profit. It leads the way in driving meaningful cost savings to help make medications more affordable. More than 20 years after its founding, the Navitus Health Solutions organization delivers a range of services through portfolio brands including Navitus, Lumicera, and Archimedes. Owned by SSM Health and Costco Wholesale Corporation, the company serves over 18 million members across 800 clients, including public and private sector employers, unions, health plans and health systems. For more information, please visit www.navitus.com.

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