Navitus Health Solutions

Navitus Health Solutions (Navitus) operates as a pharmacy benefit manager. It is known for its 100% pass-through business model, which aims to reduce unnecessary costs and make prescription medications more affordable. This model emphasizes transparency and aligns closely with the needs of plan sponsors. 

In July 2021, Navitus acquired EpiphanyRx and Quality Drug Clinical Care for undisclosed sums. EpiphanyRx is a next-generation PBM solution, while Quality Drug Clinical Care is a specialty pharmacy catering to patients with HIV. Following these acquisitions, Navitus aimed to enhance its services catering to the unique demands of employers, while achieving more efficient delivery of clinical value and reduced net costs to its customers. Moreover, the added capacity from Quality Drug Clinical Care was expected to allow Navitus to better cater to individuals with complex chronic conditions, specifically HIV patients across the western US.

Key customers and partnerships

Navitus operates on a B2B2C model and serves business clients, like plan sponsors and health plan providers, and, through them, provides services to the end consumers—members who benefit from the prescription drug savings. As of August 2023, the company served more than 9 million people through more than 1,000 plan sponsor and health plan client relationships.

In October 2023, Navitus partnered with Noom's division, Noom for Work, with a focus on tackling weight issues and stress management by offering three proactive health regimes. These preventive health programs were aimed at assisting Navitus's clients and members, stimulating healthy lifestyle changes. The joint venture planned to tackle health problems like obesity, diabetes, and stress at their initial stages, reducing healthcare expenses. During that same month, Navitus also partnered with Virta Health, a pioneer in combating chronic ailments like diabetes and obesity. This collaboration aimed to amplify the current and forthcoming strategies to aid payors in managing these conditions.