An Industry Source
of Truth
Solutions for Payers, Providers and Pharmacies
Establish reimbursement policies, formulary positioning and access financial assistance that make therapies affordable for patients.
Answer Physicians’ Access Questions on the Spot
Access detailed drug formulary status and medical policies with Coverage Search for iPad, iPhone, and Android devices.
Simplify Your Drug Fee Schedule Workflow
Our Fee Scheduler solution provides a single platform for building and managing fee schedules based on pricing methodologies that map to each contract and use case. Optimize medical drug spend by creating fee schedules by drug type.
Manage and Distribute Medical Pharmacy Coverage Data
Our Medical Drug Lists extends Navigator’s functionality to help you manage both pharmacy and medical benefit drugs in one platform. Leverage crosswalk data and stay current with drug compendiums and procedural codes.
Streamline Formulary Management and Publication
Our Navigator solution helps payers publish formulary data on searchable member and physician portals. Stay ahead of regulations, align with compendia changes, and drive utilization of preferred therapies across provider networks.
Benchmark Against Your Competitors by Therapeutic Area
Use our satisfaction surveys to learn what patients and providers think of your specialty pharmacies so you can capitalize on effective strategies and increase scripts.
Support Accurate Provider Payments
Avoid incorrect submissions of claims with a fast and intuitive way to crosswalk HCPCS/CPT drug codes and verify drug units.
Reduce Incorrect Payments and Submissions
Streamline claims workflows with our industry-leading data and workflow applications for medical coding, pricing, and reimbursement.