Navitus Health Solutions

Overview

Navitus Health Solutions is a pharmacy benefit manager (PBM) founded in 2003 and based in Madison, Wisconsin. Owned by SSM Health and Costco Wholesale Corporation, it serves nearly 18 million members across about 800 clients, including employers, unions, health plans, and government programs. The company focuses on lowering drug costs, improving member health, and enhancing medication adherence through a fully transparent PBM model that returns 100% of negotiated rebates and discounts to clients.

Navitus offers services including financial and operational transparency, cost reduction strategies, and a specialty pharmacy through its URAC-accredited Lumicera Health Services. The organization provides customizable plans for stakeholders with an emphasis on affordable medications and individual member care. Led by President and CEO David Fields, it has been recognized as a Great Place to Work for 2025-2026, highlighting its commitment to employee development and a positive workplace culture.

Basic Information

Contact Details

• Phone: +1 877-571-7500
• Website: navitus.com
• LinkedIn: linkedin.com/company/navitus-health-solutions

Key Focus Areas & Initiatives

• Pharmacy benefit manager & health care services
• Hospitals & health care
• Patient care focus
• Cost-effective medications
• Pharmacy benefit transparency
• Formulary management
• Government
• Cost reduction strategies
• Employee development
• Member support services
• PBM
• Ambulance services
• Public school health benefits
• Member-centered pharmacy
• Ethical business practices
• Cost transparency
• Clinical management
• Cost-effective specialty drugs
• Municipal health plans
• B2B
• Pharmacy benefit management
• Pharmacy network management
• Rebate pass-through model
• Drug affordability
• Client partnership
• Insurance
• Data analytics
• Transparent formulary management
• Specialty pharmacy
• Pharmacy benefit consulting
• Pharmacy benefit solutions
• Healthcare services
• Private sector PBM
• Healthcare transparency
• Employee benefits
• Health outcomes improvement
• Fully transparent PBM
• Specialty drug cost control
• Patient care
• Health outcomes
• Public sector PBM
• Drug cost transparency
• Regulatory compliance
• Pharmaceuticals
• Cost containment
• Industry transparency
• Pharmacy solutions
• Medication adherence
• Pass-through model
• Rebate pass-through
• Revenue transparency
• Cost-plus pharmacy
• Medication access
• Pharmacy benefit ethics
• Specialty drug management
• Healthcare
• Cost-plus specialty pharmacy
• Healthcare cost management
• Drug cost reduction
• Public and private sector clients
• Services
• Public health programs
• Federal and state compliance
• Healthcare cost savings
• Pharmacy benefits
• Pharmacy benefit innovation
• Industry disruption
• Member-centered care
• Private health plans
• Pharmacy benefit manager
• Affordable medications
• Drug formularies
• Prescription drug benefits
• Cost management
• Member engagement
• Prior authorization
• Navigating drug costs
• Transparency in PBM
• Clinical care
• Medication therapy management
• Healthcare plan support
• Healthcare savings
• Plan sponsors
• Pharmacy network
• Specialty pharmacy management
• Drug utilization review
• Patient safety
• Claims processing
• Rx discounts
• Pharmacy services
• Clinical guidelines
• Patient care solutions
• Cost-effective prescription programs
• Drug trend reporting
• Zero-based financing
• Benefit design
• Chronic care management
• Drug recall process
• Health coverage optimization
• Healthcare cost reduction
• Drug pricing transparency
• Health plan performance
• Healthcare compliance
• Rx cost control
• Benefit plan management
• Clinical effectiveness
• Patient-centric care
• Pharmacy operations
• Healthcare outcomes
• Medicarerx services
• Member education
• Plan design flexibility
• Drug access solutions
• Cost-saving strategies
• Hospital & health care
• Medical practice
• Health care
• Health, wellness & fitness
• Medical

Technologies Used

• AI
• Outlook
• Remedy Single Sign On
• Remote
• Route 53

Affiliated Organizations & Regional Branches

• EpiphanyRx