2022 Drug Trend Report

EpiphanyRx, acquired by Navitus in 2021, is Navitus’ in-house specialized solution for self-insured employers with ~3000 lives or less. 

Through the acquisition, by leveraging Navitus’ purchasing power, EpiphanyRx clients realized a:

$29 PMPM COST REDUCTION COMPARED TO PROJECTED PRE-AQUISITION COSTS

EpiphanyRx provides a standard suite of products designed to decrease costs and support a rich benefit offering for employers this size.

 

ERX with photo

COST TREND WAS ACHIEVED BY:

  • One modular, cost-effective formulary designed to drive results
  • Strategies to lower member and plan cost on both traditional and specialty drugs

Net Total Cost PMPM-01-01

 

5.7 average net total cost-01

orange vertical bar-01-01 A LOOK BACK

Targeted immunomodulators (TIMs) and diabetes were also the two primary drug class cost drivers for specialty and non-specialty respectively. 

97 of ERx trend-01-2

Moving forward, programs to drive down costs for these two drug classes are a key focus.


To learn more, visit epiphanyrx.com

1Net total cost paid by plans and members minus manufacturer rebates