Important information regarding COVID-19

For Participating Providers  For Members

Pharmacy Benefits

Navitus Health Solutions (Navitus) is Vantage Health Plan’s contracted Pharmacy Benefit Manager, often known simply as a "PBM”. PBM’s are responsible for processing and paying prescription drug claims within a prescription benefit plan. PBM’s also help to encourage the use of safe, effective, lower-cost medications, including generic drugs, so that you may have the best possible health outcomes.

Log in to your Vantage Member Portal, click the “Pharmacy” tab, and then the Navitus logo or “Navitus Member Portal” link to access the Navitus Member Portal. In the Navitus Member Portal, you can:

  • Find your drug cost and out-of-pocket expenses
  • Begin a formulary exceptions process for noncovered drugs
  • Order a refill of an existing, unexpired prescription
  • Find the location of an in-network pharmacy near you or within a certain zip code
  • Find potentially harmful drug interactions and unsafe combinations of prescription medications. This can help you determine if your medications have any adverse interactions with each other, result in unwanted side effects, or change the effectiveness of certain medications.
  • Find your drug’s common side effects or potential risks
  • See if there is a generic substitution for brand name drugs. For example, if you are taking brand name Crestor, you will find that rosuvastation is a cheaper, generic alternative medication. A generic drug is approved by the FDA and works in the same way as its brand-name version.
  • Check for drug recalls

DISCLAIMER: The information provided in the Navitus Member Portal should NOT be substituted for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided is for informational purposes only. The Navitus Member Portal may not cover all possible drug interactions, side effects or substitutions. Please check with your health care provider if you have health questions or concerns.

Results of prescription drug searches are based on the benefit plan and pharmacy information at the time of the search. Pricing and availability may change. Rules on how to take the prescription or Vantage’s pharmacy management procedures may affect the actual amount and/or days’ supply you may receive. Legal restrictions may also impact the amount dispensed. Costs outside of the benefit plan and sales tax are not included in the cost shown in the online drug search. Access to prescriptions may be restricted based on your plan.

Medicare Drug Coverage Information

Formularies - Louisiana

Formularies - Arkansas

Formularies - Mississippi

Other Medicare drug coverage information

Commercial/Marketplace Drug Coverage Information

Online Pharmacy Tools

All VantagePerks may not be available in every plan. Please see your plan materials or contact Member Services at (888) 823-1910 for more information!

Vantage Health Plan, Inc., Insurance  Health, Monroe, LA