Pharmacy Benefit Navigation

Unmatched Pharmacy Expertise and Savings

Navion combines expert contract knowledge, a vast PBM network, and a data-driven RFP process to unlock hidden savings to secure the most competitive deals.

Unbiased Insights to Help Choose the PBM that’s Right for You

Unlike other healthcare contracts, which typically come up for renewal annually, pharmacy contracts often linger for years without updates. This can leave groups stuck in outdated, suboptimal deals that fail to take advantage of cost-saving strategies. While the thought of moving contracts can seem like a daunting task, it doesn’t have to be!

We make it simple.

Conduct a full RFP or Market Check
Need a higher level of customization? Our PBM procurement process is the most meticulous in the industry.
Negotiate your existing PBM contract
No disruption. Keep the same PBM but get a stronger deal.
Access our market-leading PBM contracts
Benefit from more choice, leverage and savings in your PBM contract.

Ongoing PBM Contract Management & Optimization

Need a higher level of customization? Our PBM procurement process is the most meticulous in the industry.

Performance Monitoring

Our team conducts regular, in-depth assessments to ensure your PBM contract consistently meets or exceeds expectations. By closely tracking key performance metrics, we identify areas for improvement and make recommendations to enhance overall contract performance.

Routine evaluations of contract performance
Identification of opportunities for improved service and savings
Ongoing insights to ensure sustained value

Guarantee Enforcement & Reconciliation

We ensure that every guarantee outlined in your PBM contract is delivered in full. Our detailed verification process holds PBMs accountable to their commitments, protecting your organization’s interests and maximizing the value of your pharmacy benefits.

Verification of all negotiated contract guarantees
Assurance of compliance with PBM obligations
Protection of your investment through accountability

Cost & Utilization Optimization

Our team develops targeted strategies to drive cost savings and optimize pharmacy benefit utilization, helping your organization achieve maximum impact. Through ongoing analysis and adjustments, we ensure your benefits remain cost-effective and aligned with organizational goals.

Tailored cost-containment strategies
Utilization management to reduce unnecessary spend
Continuous improvement to enhance cost efficiency

Ongoing Market Analysis

Navion’s market analysis includes benchmarking and trend assessments that keep your PBM contract competitive. By staying aligned with industry shifts, we ensure that your benefits package is optimized for current and future needs.

Benchmarking to compare with industry standards
Trend analysis for proactive adjustments
Adaptability to stay competitive in a changing market

CASE STUDY

Seamless Improvement in Client’s Pharmacy Benefits

1,450

Integrated Members

$1.86M

Annual Plan Costs

$491K

Annual Savings

We simplify your entire pharmacy experience.

We streamline every aspect of your pharmacy benefit navigation, providing tailored solutions that enhance member support and optimize savings. Our expert team leverages over 30 years of industry experience to deliver comprehensive reporting, efficient issue resolution, and strategic insights, ensuring a seamless and efficient pharmacy experience for your organization and its members.

Member-Level Support

Receive exceptional pharmacy assistance that alleviates HR burdens and minimizes disruptions during transitions, ensuring a smooth experience for members and organizations alike.

Comprehensive Reporting & Management

Benefit from robust PBM management, data analytics, market support and trend and clinical management.

Efficient Resolution

We promptly address member issues beyond just PBM/Group concerns.

In-Depth Expertise

30+ years of direct pharmacy benefit experience allows us to effectively navigate the industry —offering agnostic views to discern the true value of different Rx solutions.

Tailored Solutions, Maximized Savings

A coalition contract might not be right for your group. Our PBM experts can run an RFP and even negotiate a stronger contract with your existing PBM to create the best scenario for you!

Explore our Pharmacy Solutions

Cost-Containment Solutions

Our programs are tailored to each client, combining clinical expertise, data-driven strategies, and a seamless customer experience to maximize savings.