RX Analytics

Take control of your prescription benefit plan. Get visibility into your pharmacy claims and discover valuable insights to drive substantial savings. Our comprehensive Prescription Benefit Analytics tool provides full transparency into the PBM world. Now you can make educated decision about your Prescription benefit program and feel confident in the results.

  • Gain visibility into plan spend at the pharmacy, physician, participant, and individual claim level.
  • Pinpoint key pricing discrepancies and identify and implement solutions that most impact plan spend.
  • Choose and manage programs with our intuitive dashboard.
  • Our powerful analytics combine with program monitoring to hold PBM’s accountable and provide dynamic contract suggestions as needed.
  • Identify opportunities for contract negotiations

Prescription Care Coordination

NavRx delivers savings and guides members in making difficult prescription decisions. No matter who your Prescription Benefit Manager is, our revolutionary pharmacy care coordination program works to deliver validated savings and gives members the assistance they need to successfully navigate the system.

This proprietary program will analyze your unique data and deliver detailed plans for immediate savings and sustained prescription utilization into the future.

A team of clinical experts review each plan’s unique utilization. We work with providers to identify generic and brand name alternatives with a focus on efficacy and clinical effectiveness. A decision to change prescriptions is finalized only when the patient’s own doctor has been conferred with and the both the patient and doctor agree.

NavRx believes that education is the first step towards empowerment, which is why patients and doctors are aware of what decisions are being taken regarding their drugs and why. Our commitment to superior service means you get validated results with a white glove experience emphasizing quality of care.

  • Prescription Care Coordinators are passionate about getting results for you and your members
  • The program can be implemented anytime throughout the year and causes little to no member disruption
  • Our proprietary system provides a highly customized program that identifies unique cost-savings opportunities for each client
  • The turnkey NavRx program enhances existing pharmacy plans and doesn't interfere with current benefit packages
  • Our Pharmacy Engagement Team builds strong relationships with physicians and their staff to cut through the red tape for you

Pharmacogenomic Testing (PGx)

Pharmacogenomic testing (PGx) is a simple oral swab test that helps doctors in selecting medications for their patients based on drug gene interaction. PGx has the capability to reduce adverse drug reactions, limit post-surgery complications, enhance drug efficacy, and even save lives.

NavRx identifies members who may benefit from PGx testing. Members receive a simple oral swab test in the mail to complete from the comfort of home. Tests are processed and the results are sent directly to the member. Results are secure and protected under HIPAA guidelines. The member can discuss test results with a medical professional via telemedicine, or develop an optimal treatment plan with their primary care provider.

A team of clinical experts review each plan’s unique utilization. We work with providers to identify generic and brand name alternatives with a focus on efficacy and clinical effectiveness. A decision to change prescriptions is finalized only when the patient’s own doctor has been conferred with and the both the patient and doctor agree.

  • Encourage informed medication decisions
  • Reduce adverse drug reactions
  • One-time test with a one-time fee
  • Complete member privacy
  • Reduced pharmacy costs and group drug spend

Rx Tourism

Do you have a drug that costs $5,000 or more per month on your PBM run? NavRx can help you save up to 70% on what you’re paying on certain drugs!

Treatments for conditions such as hemophilia, rheumatoid arthritis, colitis, psoriasis, Crohn’s disease and multiple sclerosis can be very costly with frightening potential complications for any bottom line. The NavRx solution can reduce the total treatment cost to employers, patients and plans by up to 70%.

All treatments are administered at high quality, accredited, medical facilities in the Cayman Islands. NavRx has secured discounted contract rates with PriceMDs to expedite all travel documents at a pre-negotiated discounted rate.

  • Target drugs that cost $5,000 or more per month
  • Save thousands of dollars per treatment, even after travel costs
  • Solutions for hemophilia, rheumatoid arthritis, colitis, psoriasis, Crohn’s disease, multiple sclerosis and more
  • Reduce the total treatment cost to employers, patients and plans by up to 70%
  • High quality, accredited, medical facilities in the Cayman Islands

PBM Contract Analysis

Managing prescription benefits is complicated and confusing. With constantly changing contract terms, MAC lists, Formulary considerations and even NDC switches, it’s no wonder the Prescription Benefit industry has seen soaring costs leaving employers and employees frustrated.

NavRx has the solution. Our proprietary contract review and monitoring system provides transparency into the PBM world and delivers peace of mind to employer groups.

The process is simple. Once you load your prescription claims, the proprietary NavRx system will re-adjudicate your claims against our pre-negotiated fully transparent, passthrough PBM contracts. A comprehensive analysis complete with annual savings summary will be delivered for your plan. You can continue to choose which PBM is best for you based on your unique utilization and group dynamics. NavRx will continually monitor you plan performance and provide insights into plan optimization and contract compliance.

Our team of experts will guide you through the process. There’s no reason to continue to lose money on exorbitant PBM contracts. Contact our team today to start saving and take control of your prescription drug spend.

  • Instant access to pre-negotiated, transparent, pass-through PBM contracts
  • Compare and contrast PBM’s to find the best match
  • Comprehensive analysis complete with annual savings summary
  • Dynamic contract optimization based on unique utilization
  • Ongoing monitoring & expert support to ensure contract compliance