Managed Care Pharmacy Practice

Robert Navarro consults to pharmaceutical companies, the managed care industry, and the legal profession on managed prescription drug benefit reimbursement, health economic outcomes applications, drug contracting, benefit design, and pharmaceutical marketing issues.He qualified for his B.S. and Doctor of Pharmacy degrees at the University of Minnesota College of Pharmacy. He has practiced in acute care, community pharmacy, long-term care, and managed care. He began his managed care career in 1983 with United HealthCare (UHC), where he wrote UHC’s first drug formulary and initiated the first brand drug rebate contracting program. While a pharmacy director at UHC, he was involved in the creation of the PBM Diversified Pharmaceutical Services (DPS), now part of Express Scripts, Inc. (ESI). While in Minnesota, Navarro also served as pharmacy director of Physicians Health Plan (now Medica). He developed and operated the pharmacy program at Health Net in California where he was a Vice President of Provider Services. Navarro was also Vice President, Pharmacy & Therapeutics at Express Scripts, Inc., before beginning his consulting practice twelve years ago. Navarro was a co-founder and first president of the Academy of Managed Care Pharmacy (AMCP). He is chief editor of the textbook Managed Care Pharmacy Practice, currently in revision. He also co-authored the “Prescription Drug Benefits in Managed Care” chapter in the Essentials of Managed Health Care, 5thEdition textbook, as well as the chapter “Evolution of the management of US health care: managing cost to care management” in the ASHP Handbook of Institutional Pharmacy Practice, 4th Edition. Navarro serves of the editorial review committees of Journal of Managed Care Pharmacyand Managed Care Interface.