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2023 DRUG TREND REPORT

Year-One Success Stories

The Navitus difference is something clients see within the first year. We consistently receive feedback that unmatched data access, our 100% pass-through model that eliminates spread pricing and our people-first approach produces positive change compared to experiences with a previous PBM. 

We serve a wide spectrum of commercial clients including public and private employers, health systems, public service entities and school districts. Across market segments, clients realized a negative trend in PMPM costs within the first year with Navitus. Two examples are included below that demonstrate an average cost difference of –11%.  

 

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Download Your Free Copy of the 2023 Drug Trend Report Executive Summary

An in-depth analysis of trend, pipeline and GLP-1 management approaches
 
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Methodology

The Navitus drug trend is calculated by comparing the net total cost per member per month (PMPM) for 2023 to that for 2022. Net cost PMPM represents full-year (Q1-Q4) data for total member copays and plan paid amounts minus manufacturer rebates and fees. This value is divided by the total number of members and by 12 months of the year.

Net total cost PMPM trend consists of two components: utilization and cost and includes both specialty and non-specialty drugs. Utilization trend measures the change in total days of therapy. Cost trend measures the change in net total drug cost per the above. This analysis included data for more than 500 clients, representing 3M members within Navitus’ commercial book of business, including plan sponsors and health plans. To be included, these organizations must have been clients of Navitus in both 2022 and 2023. Exclusions from this analysis include products administered at physicians’ offices, clinics and hospitals, COVID-19 vaccines and supplies, weight loss products and any additional savings from copay assistance programs.