Clarity Starts Here
Healthcare costs are rising—and pharmacy benefits have become one of the most complex and misunderstood parts of the system. These FAQs break down how Navion helps organizations reduce costs, optimize PBM contracts, and navigate pharmacy benefits with clarity and confidence.
What is a pharmacy benefit consultant?
A pharmacy benefit consultant helps employers, brokers, and health plans manage prescription drug costs by analyzing PBM contracts, identifying savings opportunities, and improving overall pharmacy benefit strategy.
How does Navion reduce pharmacy costs?
Navion uses a combination of data analysis, clinical expertise, and market competition to identify inefficiencies, renegotiate contracts, and implement cost-containment strategies that can significantly lower pharmacy spend.
What is PBM contract optimization?
PBM contract optimization involves reviewing and improving your pharmacy benefit manager agreement to ensure accurate pricing, enforce guarantees, and maximize rebates and savings opportunities.
How much can companies save on pharmacy benefits?
Savings vary by organization, but Navion clients often see reductions of 20–40% in pharmacy costs through better contracts, audits, and targeted cost-containment programs.
What is pharmacy benefit navigation?
Pharmacy benefit navigation is the process of simplifying how pharmacy benefits are managed—helping organizations make informed decisions, improve member experience, and reduce unnecessary spending.
Why is independent pharmacy consulting important?
Independent consultants provide unbiased guidance, ensuring recommendations are based on your best interests—not tied to a specific PBM or vendor.
Why are pharmacy costs increasing so quickly?
Pharmacy costs are rising due to the growth of specialty drugs, gene therapies, and high-cost medications like GLP-1s, which now represent a significant portion of overall healthcare spend.
Does Navion replace a PBM?
No. Navion works independently alongside your PBM to ensure transparency, optimize contracts, and hold vendors accountable—helping you get the most value from your existing relationships.
Who does Navion work with?
Navion partners with brokers, TPAs, employers, health plans, and other organizations to improve pharmacy benefit performance and reduce costs.
How do you know if your PBM contract is performing?
Regular audits, market checks, and performance monitoring are essential to ensure your PBM contract is delivering expected savings and meeting all guarantees.
What are cost-containment strategies in pharmacy benefits?
Cost-containment strategies include specialty drug management, rebate optimization, contract audits, and alternative sourcing solutions designed to reduce overall pharmacy spend.
What is a PBM reprice or savings analysis?
A PBM reprice analyzes your current pharmacy spend against alternative contract options to identify potential savings and better pricing structures.
