Pharmacy Provider Training - Texas Managed Care Medicaid STAR and CHIP Programs July 24, 2013 - PH-0613-061 - Anti-Trust Statement

Sep 17, 2026

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Training materials for pharmacy providers in Texas Managed Care Medicaid STAR and CHIP programs, dated July 24, 2013, document code PH-0613-061. Covers an anti-trust statement outlining prohibited discussions about pricing, contract terms, competitors, and deceptive or restricting advertising. Introduces Navitus Health Solutions as a 100 percent pass-through pharmacy benefit company focused on lowering drug costs, improving health through formulary and quality review, and delivering superior pharmacy benefit management services.

LanguageEnglish

CategoryPresentations

FormatPDF

Pages29

Reading Time10 min

AccessFree to download

ANTI-TRUST STATEMENT

Prohibited discussions and information exchanges

ABOUT NAVITUS

Mission

Lowering Drug Costs

Improving Health

Superior Customer Service

TEXAS MANAGED MEDICAID

Authorized Texas MCO plans serviced by Navitus

STAR Service Areas and MRSA (effective March 1, 2012)

Pharmacy Provider Training Texas Managed Care Medicaid STAR and CHIP Programs July 24, 2013 PH-0613-061 ANTI-TRUST STATEMENT The association or any committee, section, chapter of activity of the Pharmacy Panel shall not be used for the purpose of bringing about or attempting to bring about any understanding or agreement, written or oral, formal or informal, expressed or implied, among two or more members or other competitors with regard to prices or terms and conditions of contracts for services or products. Therefore, discussions and exchanges of information about such topics will not be permitted during the Pharmacy Panel meeting or other activities. • There will be no discussions discouraging or withholding support or services from, or encouraging exclusive dealing with any suppliers or purchasers of products or services, any actual or potential competitor or group of actual potential competitors, or any private or governmental entity. • There will be no discussions about restricting, limiting, prohibiting, or sanctioning advertising or solicitation that is not false, misleading, deceptive or directly competitive with pharmacy products or services. • There will be no discussions about discouraging entry into or competition in any segment of the marketplace. 2 ABOUT NAVITUS Navitus Health Solutions is a 100 percent pass-through pharmacy benefit company committed to lowering drug costs, improving health and providing superior customer service in a manner that instills trust and confidence. Our Mission Navitus Health Solutions LLC is a pharmacy benefit company committed to lowering drug costs, improving health and providing superior customer service in a manner that instills trust and confidence. Lowering Drug Costs Through Navitus’ completely transparent business model, all hidden costs associated with the purchase of prescription drugs are eliminated. We negotiate discounts andrebates with drug manufacturers and contract with pharmacies on behalf of plan sponsors--enabling us to pass 100 percent of savings onto our plan sponsors. Improving Health In addition, by ensuring formulary development and quality improvement decisions are reviewed and approved by prescribers and pharmacists, Navitus provides the highest quality pharmaceutical care to our members. Superior Customer Service At Navitus, we offer a wide variety of pharmacy benefit management services, including benefit design and consulting, formulary management, pharmacy network management and clinical programs. All efforts are developed and implemented with our members’best interests in mind. 3 ABOUT NAVITUS We Share A Clear View – Texas Managed Care Medicaid health plans benefit from a high touch, proactive account management team – True partnership with aligned incentives – Full pass-through, transparent model free of conflict of interest, shareholder influence and third-party control 4 TEXAS MANAGED MEDICAID Authorized Texas MCO Plans Serviced by Navitus | MCO Plan | Service Area | | MCO Plan | Service Area | | --- | --- | --- | --- | --- | | Community First Health Plans | Bexar Service Area | | Driscoll Children’s Health Plan | Hidalgo Service Area Nueces Service Area | | Parkland HEALTHfirst | Dallas Service Area | | FirstCare | Lubbock Service Area MRSA West Texas | | El Paso First Premier | El Paso Service Area | | Cook Children’s Health Plan | Tarrant Service Area | | Community Health Choice | Harris Service Area Jefferson Service Area | | Sendero Health Plan | Travis Service Area | | Texas Children’s Health Plan | Harris Service Area Jefferson Service Area | | Seton Health Plan | Travis Service Area | | Navitus MCO clients are authorized to provide STAR and/or CHIP services within respective Texas service
areas | | | | | 5 TEXAS MANAGED MEDICAID Wheeler Castro Howard Presidio Reagan Loving Winkler Ward Reeves Medina Wells Kerr Bandera Menard Irion Glasscock St

FAQs

What is the anti-trust statement in this training?

It states that Pharmacy Panel activities must not be used to reach understandings or agreements between competitors about prices or contract terms, and that discussions and exchanges on these topics are not permitted during meetings or other activities.

How does Navitus describe its business model for lowering drug costs?

Navitus describes a completely transparent pass-through model that eliminates hidden costs, negotiates discounts and rebates with manufacturers, contracts with pharmacies on behalf of plan sponsors, and passes 100% of savings to plan sponsors.

What areas and programs does the Texas Managed Medicaid section cover?

It lists authorized Texas MCO plans serviced by Navitus for STAR and/or CHIP and includes STAR service areas and MRSA (effective March 1, 2012).

Sep 17, 2026

Upload by Maeve