On Point with Navion

Pharmacy is one of the fastest-growing costs on any health plan, and the hardest to see. PBM contracts, rebate structures, specialty drugs, and GLP-1s are reshaping plan economics faster than organizations can track. In On Point with Navion, you'll find practical, plain-language insights on the decisions that move the needle most: PBM strategy and contract reviews, rebates, specialty cost containment, GLP-1 coverage, formulary design, and how pharmacy strategy changes across fully insured, level-funded, and self-funded plans. Whether you're overseeing a pharmacy benefit, advising clients or managing a health plan, our goal is simple: help you understand the market, ask the right questions, and make decisions you can stand behind. Whether you're overseeing a pharmacy benefit, advising clients or managing a health plan, our goal is simple: help you understand the market, ask the right questions, and make decisions you can stand behind.

Episodes

Latest Episodes

4 days ago

4 min

Rebates are shrinking, list prices are dropping and PBM contracts are quietly changing to keep up. Host Monica Gindhart unpacks how regulation is pushing manufacturers away from the high list price, high rebate model, what rebate credit clauses mean for your groups’ guarantees, and why lowest net cost, not the biggest rebate, should drive your next contract decision. No fluff — just what you need to know this month.

4 days ago

4 min

Sep 30, 2026

4 min

GLP-1 spend is climbing, approved uses are multiplying, and direct-to-consumer cash pricing is creating new pressures outside the pharmacy benefit. Host Brian Shonat unpacks why GLP-1 coverage decisions are getting more complicated for employers, why a blanket yes or no may not fit every group, and what to review before 1/1 renewals. Five minutes, no fluff — just what you need to know this month.

Sep 30, 2026

4 min

Sep 16, 2026

3 min

Rx spend is quietly one of the biggest variables in a group's move from fully insured to self-funded — and one of the easiest things to leave unmanaged once they get there.
Host Lad Williamson unpacks why carrier formularies and PBM contracts don't manage themselves, why pharmacy now regularly exceeds 30% of total plan spend, and the two questions every broker should be asking their groups before 1/1 renewals.
Five minutes, no fluff — just what you need to know this month.

Sep 16, 2026

3 min