Articles from Navitus Health Solutions

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.

Navitus, the nation’s first transparent, pass-through pharmacy benefit manager (PBM), released its ninth annual Drug Trend Report today, revealing how commercial plan sponsors saved millions in prescription costs while maintaining high-quality member care. 30% of Navitus clients spent less in 2024 than in the previous year, while overall client book of business drug cost trend was managed to 7%. The data shows that medications such as glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are creating unprecedented financial pressure on plan sponsors as utilization for diabetes treatment increased 26% year-over-year.

Navitus Health Solutions announced today a partnership with Learn to Live, making Learn to Live’s industry-leading digital cognitive behavioral therapy (CBT) and clinician coaching platform available to Navitus clients. This will complement existing and emerging solutions to help payers manage health costs for their member populations by extending reach and access to clinically proven mental health services.

Navitus Health Solutions, a pioneering pharmacy solutions provider, today released the findings of a survey of 2,000 Americans, revealing that 48% reported that the price of medication had affected their ability to get a medicine they needed at least once. The survey looked at consumer attitudes around drug pricing and awareness around issues impacting pricing. Notably, 88% believe prescription drug pricing should be a priority for the next administration following the election.

Navitus Health Solutions, announced today the appointment of Sharon Faust, PharmD, MBA, CSP, as its new Chief Pharmacy Officer (CPO). She succeeds Brent Eberle, RPh, who is departing to become President of CivicaScript. Also announced today is the appointment of Carrie Aiken as Chief Administrative Officer (CAO), and Darryl Munden as Chief Operating Officer (COO). Each of them will be expanding their current roles with these new responsibilities and all will report directly to Navitus Health Solutions CEO, David Fields. This furthers the company’s focus to grow as a pharmacy solutions provider, uniquely championing a transparent business model and a people-first mission.

David Fields, CEO of Navitus Health Solutions, made the following statement regarding today's FTC report of PBMs:

Navitus Health Solutions released its 2022 Drug Trend Report summarizing excellence in managing pharmacy benefit costs for plan sponsors and health plans serving commercial markets. The Report highlights a year-over-year trend of 2.6%, considering both specialty and non-specialty products with half of Navitus’ commercial clients experiences a drug spend decrease compared to 2021.

Navitus Health Solutions announced today it has engaged Amazon Web Services (AWS) to design, develop and deploy a new cloud-based technical foundation to streamline operations and enable new capabilities that will enhance customer experiences.

Navitus Health Solutions announced today that they have chosen Banjo Health as their partner to modernize and streamline prior authorization workflows for plan sponsor and health plan clients, members, and prescribers.

Navitus Health Solutions, an industry-disrupting pharmacy benefit manager (PBM) that’s committed to bringing humanity to pharmacy benefits management through greater transparency and affordability, announced today that it has again been granted full URAC accreditation for Pharmacy Benefit Management. URAC is the independent leader in promoting health care quality by setting high standards for clinical practice, consumer protections, performance measurement, operations infrastructure and risk management. Achievement of this re-accreditation demonstrates Navitus’ continued commitment to quality care and improved outcomes.

Navitus Health Solutions, a pharmacy benefit manager (PBM) committed to furthering access and affordability of important medications for the people who need them, announced the promotion of Cory Super, PharmD, to Vice President of Sales.

Navitus Health Solutions, an industry-disrupting pharmacy benefit manager (PBM) that’s committed to bringing humanity to pharmacy benefits management through greater transparency and affordability, announced the promotion of Ken Goodnight to Chief Transformation & Digital Officer.

Lumicera Health Services, a specialty pharmacy wholly owned by Navitus Health Solutions, announced today that it will be offering abiraterone acetate 250 mg tablets – the first landmark generic drug made available by CivicaScript™. Availability of this new generic medicine through Lumicera expands access for patients to clinically-proven, cost-effective drugs.

Navitus Health Solutions, an industry-disrupting pharmacy benefit manager (PBM) that’s committed to bringing humanity to pharmacy benefits management through greater transparency and affordability, announced today that it has been selected as a partner by the Health Transformation Alliance (HTA) to provide best-in-class PBM services for its members. Through this partnership, Navitus will offer its 100% pass-through model, formulary management expertise to lowest net cost, and superior clinical care to the 50+ U.S. employers represented by HTA, collectively serving more than 4 million Americans.

Navitus Health Solutions, an industry-disrupting pharmacy benefit manager (PBM) that’s committed to bringing humanity to pharmacy benefits management through greater transparency and affordability, announced today that Shayna Schulz has joined the company as Chief Operations Officer. Shayna is responsible for providing strategic direction and oversight to the eligibility, claims administration and customer care operations to ensure Navitus continues to reach the highest operational efficiency and service delivery standards.

Navitus Health Solutions, an industry-disrupting pharmacy benefit manager (PBM) that’s committed to bringing humanity to pharmacy benefits management, released its 2021 Annual Drug Trend Report demonstrating pharmacy benefit cost savings for its customers and improved affordability for members. Navitus’ new report shows that new clients who moved to Navitus from another PBM in 2021 saved an average of 16%, with additional data on existing clients that savings continued years two through six after implementation.

For the sixth year in a row, Navitus Health Solutions, a full pass-through pharmacy benefit manager (PBM), has received the Pharmacy Quality Alliance (PQA) Laura Cranston Excellence in Quality Award for its prescription drug plan (PDP), Navitus MedicareRx. The award was announced during the 2022 PQA Annual Meeting on May 4, 2022.

Lumicera Health Services, a specialty pharmacy, wholly owned by Navitus Health Solutions, has entered a multiyear strategic partnership with CassianRx, a brand of Cassian Solutions, Inc. and a leading provider of patient engagement services.

Navitus Health Solutions, a full pass-through pharmacy benefit manager (PBM), announced today that it won the platinum award for Best Healthcare Podcast from the 22nd Annual eHealthcare Leadership Awards. Announced during the Healthcare Internet Conference (HCIC) in Las Vegas, the eHealthcare Leadership Awards honor the best websites and digital communications from a broad spectrum of healthcare organizations.

Navitus Health Solutions today announced that Lumicera Health Services, its wholly-owned specialty pharmacy, has joined Turning Point, a specialty pharmacy network comprised of industry-leading, independent specialty pharmacies.

Navitus Health Solutions announced today that it earned a 5 out of 5 Overall Star Rating from the Centers for Medicare and Medicaid Services (CMS) for its MedicareRx Employer Group Waiver Plan (EGWP) for the 2022 plan year, giving it the highest score among pharmacy benefit management (PBM) sponsored EGWP plans in the nation. Navitus’ rating improved from a 4.5 the past three years to a 5 Star Rating, which is the company’s sixth year to rank higher than any other PBM. According to CMS, an overall 5 Star Rating assures EGWP clients and their members that the program provides high-quality clinical care and customer service.

Navitus Health Solutions, a full pass-through pharmacy benefit manager (PBM), announced today its accreditation by the National Committee for Quality Assurance (NCQA) in Utilization Management (UM). NCQA Utilization Management Accreditation focuses on consumer protection and improvement in service to customers. Standards recognize that organizations that apply for accreditation have open access networks and can improve service quality and utilize customized structures to meet purchaser needs.

Navitus Health Solutions, a full pass-through pharmacy benefit manager (PBM), today announced its partnership with SWORD Health, the world’s fastest-growing virtual musculoskeletal care provider, to bring its best-in-class virtual MSK solution to Navitus’ clients and their plan members nationwide.

Navitus Health Solutions, a full pass-through pharmacy benefit manager (PBM), today announced that it has acquired EpiphanyRx, a next-generation PBM solution headquartered in Brentwood, TN, strengthening Navitus’ ability to serve the unique needs of employers. Lumicera Health Services, Navitus’ wholly-owned specialty pharmacy, has also purchased Quality Drug Clinical Care, a specialty pharmacy serving patients with HIV in Irvine, CA, to better serve patients located in the western United States.

Navitus Health Solutions, a full pass-through pharmacy benefit manager (PBM), recently launched its latest addition to the suite of Opioid Safety Solutions – Predictive Analytics for the Misuse of Opioids (PAMO) – as part of the company’s ongoing initiative to combat the public health epidemic.

Navitus Health Solutions, a full pass-through pharmacy benefit manager (PBM), today announced that it received the 2021 Pharmacy Quality Alliance (PQA) Laura Cranston Excellence in Quality Award for its prescription drug plan (PDP), Navitus MedicareRx. The award was announced at PQA’s annual meeting on May 13, 2021.