5/28/2020; RADAR on Drug Benefits; Navitus Health Solutions, a PBM that touts a 100% rebate pass-through model and a lowest-net-cost formulary, says it is seeing success in moderating total net cost per-member per-month (PMPM), particularly for new clients. We look forward to serving you! Navitus Launches Program to Help Members Overcome Challenges Along the Prescription Journey. Health Details: A formulary is a list of covered drugs selected by Navitus MedicareRx in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. members through its PBM, Navitus, in fiscal year 2018. How will I know if my prescription drug is on it? Jan 15, 2021; Pharmacy Benefit Management; MADISON, Wis., January 15, 2021 – Navitus Health Solutions, a full pass-through pharmacy benefit manager (PBM), today launched its Clinical Engagement Center designed to improve medication adherence and reduce both member and plan … We invite you to Share a Clear View with us. Pharmacy Benefit Schedule A PBM directs prescription drug programs and processes prescription claims by negotiating drug costs with manufacturers, contracting with pharmacies and building and maintaining drug formularies. Pharmacy Benefit Management - Navitus. A formulary is a list of prescription drugs that are determined to be both medically effective and cost-effective by a committee of physicians and pharmacists. 2. Health Details: Our modern, alternative solution leverages a powerful PBM engine built on a transformative pass-through approach, lowest net-cost philosophy and outstanding clinical model that works smarter and harder to deliver greater results. Navitus Achieves Double-Digit Savings for New Clients in 2019 . What is a formulary? YOUR PHARMACY BENEFIT. What is a Pharmacy Benefit Manager? manager for ARUP Laboratories, Inc. We’re committed to lowering drug costs, improving health and delivering superior service. What is Navitus? The audit objective was to determine whether Community Health Choice and its subcontracted PBM, Navitus, administered formularies, preferred drug list, and prior authorizations in accordance with the UMCC, UMCM, and applicable rules and statutes. How is it developed? MHE Associate Editor Briana Contreras and Senior Editor Peter Wehrwein speak with Julie Olson, senior director of Population Health and Product Development at Navitus, a full pass-through pharmacy benefits management (PBM) company. What is a Lowest-Net-Cost Formulary and How it Can Lower Your Rx Benefit Plan Cost? Navitus MedicareRx (PDP) 2020 Formulary List of Covered Drugs. Our Mission: Navitus Health Solutions is a 100% pass-through pharmacy benefit company committed to lowering drug costs, improving health, and providing superior customer service in a manner that instills trust and confidence. Welcome to Navitus Health Solutions, the pharmacy benefit . Navitus offers an extensive array of full-service PBM programs and services in support of its health plan and hospital system clients. We put people first, provide the tools to drive better outcomes, and use data to Share a Clear View to support informed decisions. Managing your formulary and drug mix is critical to your pharmacy benefit plan’s performance. Navitus Health Solutions is your Pharmacy Benefits Manager (PBM). Navitus Health Solutions is the PBM for the State of Wisconsin Group Health Insurance Program. This booklet contains important information about your pharmacy benefit. The audit scope included formularies, 100% Pass Through: We pass 100% of all discounts or rebates we receive directly back to our clients.