For Prescribers and Pharmacies

Simpra Advantage provides Medicare Part D prescription drug coverage through Navitus, a full-service pharmacy benefit management company committed to lowering drug costs, improving health, and providing superior customer service.

Claims and remittance advices can be submitted and retrieved electronically through your existing clearinghouse or billing company. The following steps will guide you through the process.

For Prescribers

  • Access Formulary and Prior Authorization Forms at https://www.navitus.com 
  • Select “Prescribers” and click on “Prior Authorization”
  • Enter your NPI number and State to access the prescriber portal
  • Navitus Health Solutions Pharmacy Helpdesk phone number: 1-866-270-3877 (TTY 711)
  • Refer to the Member Resources page for formulary, prior authorization criteria, and step therapy criteria

For Pharmacies

  • Access Formulary and Prior Authorization Forms at https://www.navitus.com 
  • Select “Prescribers” and click on “Prior Authorization”
  • Enter your NPI number and State to access the prescriber portal
  • Navitus Health Solutions Pharmacy Helpdesk phone number: 1-866-270-3877 (TTY 711)
  • Refer to the Member Resources page for formulary, prior authorization criteria, and step therapy criteria