As a Valley Health Plan Member, you will have access to any Network Plan Pharmacy located in and out of Santa Clara County. Select locations offer convenient services such as:
- Drive-thru pharmacy services
- 24/7 pharmacy hours
- Prescription transfer online
- Option to pick up or mail
Valley Health Plan Members will enjoy the expanded prescription benefit with a continued $0 co-pay.
Navitus Health Solutions
Navitus Health Solutions is Valley Health Plan’s (VHP) prescription drug benefit manager (PBM). Navitus Health Solutions offers you a pharmacy benefit including a designated 24/7 Pharmacy Customer Care Service Line, a Specialty Pharmacy, an optional Mail Order Pharmacy, and an updated Formulary. VHP Members also have access to an extended network of conveniently located pharmacies in and out of Santa Clara County.
Member PortalNavitus Health Solutions offers VHP Members access to a Member portal to view important pharmacy benefit information. Visit
www.navitus.com and go to Members > Member Login to register for a User ID and password. After signing in, you will have access to the following information:
- Claim forms for reimbursements
- Formulary
- Mail Order service
- Specialty Pharmacy
- Pharmacy and Therapeutics Committee updates
- Medication history
- Drug search
- Prescription benefits
New VHP ID Card
Your new VHP ID card includes pharmacy information needing when filling prescriptions. You must show your new VHP ID card when filling prescriptions at your Plan Pharmacy.
Pharmacy Complaints and Appeals
When you have a concern about a benefit, claim or other service, please call Navitus Customer Care, 24 hours/daily, at 1.866.333.2757 (toll-free). The Customer Care Specialists will answer your questions and resolve your concerns quickly. If your issue or concern is not resolved by calling Customer Care, you have the right to file a writt en appeal with Navitus Health Solutions. Please send this appeal, along with related information from your doctor, to:
Navitus Health Solutions
Attn: Appeals Department
P.O. Box 999
Appleton, WI 54912-0999
If your issue or concern is not resolved by calling Navitus Customer Care, you can also contact VHP Member Services at 408.885.4670 or 1.888.421.8444 (toll-free).