Navitus’s Transparent, Pass-Through PBM Model Finding Success

Navitus Health Solutions, LLC (Navitus), owned by SSM Health and Costco Wholesale Corporation, serves as a full pass-through pharmacy benefit manager (PBM) and industry alternative to traditional models for 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. Navitus assesses an administrative fee through its transparent, pass-through model.

Navitus’s recent activities will continue to drive growth.

Navitus recently 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.

EpiphanyRx’s industry-leading co-pay assistance, specialty management program and technology platforms add to Navitus’ best-in-class solutions and increase savings for plan sponsors and members. EpiphanyRx’s expertise in working with mid-market employers and organizations also multiplies Navitus’ ability to service the pharmacy benefit needs of this unique market segment. 

Navitus has also been focused on expanding the strategic footprint of Lumicera Health Services across the United States with specialty pharmacies in Madison, WI, Phoenix, AZ, Gaithersburg, MD, and now Irvine, CA, through the acquisition of Quality Drug Clinical Care. This amplified capacity allows the company to provide specialty medications and personalized clinical support to millions of people across the U.S. who live with complex chronic conditions. 

Navitus, earlier this year, 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.


Takeaway: Navitus’s recent activities will help the company continue to differentiate itself in the PBM market