PayerIQ
Sun, May 24, 2026
Universe
Payer universe
250 of 250 payers · sorted by composite desc
| Tier | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| 059 | Blue Cross Blue Shield Wyoming Insurance | BCBS | UT | 100 | 100 | 100 | 49 | 51 | 62 | 83.7 | Tier 1 |
| 234 | Rocky Mountain Health Plans Insurance | Commercial | VT | 100 | 94 | 79 | 38 | 93 | 77 | 82.3 | Tier 1 |
| 120 | Denver Health Medical Plan of Minnesota | Regional | MN | 89 | 82 | 100 | 37 | 77 | 72 | 79.1 | Tier 1 |
| 217 | Blue Cross Blue Shield of Oklahoma | BCBS | ME | 64 | 98 | 100 | 31 | 96 | 81 | 78.0 | Tier 1 |
| 004 | Anthem Blue Cross Blue Shield Nevada | BCBS | WA | 100 | 58 | 100 | 22 | 100 | 79 | 77.8 | Tier 1 |
| 156 | CareFirst of Massachusetts | Regional | MA | 97 | 84 | 100 | 37 | 48 | 57 | 77.1 | Tier 1 |
| 199 | HealthMarket | National | VT | 92 | 99 | 77 | 27 | 94 | 54 | 77.0 | Tier 1 |
| 188 | Blue Cross Blue Shield Wyoming HMO | BCBS | SD | 77 | 100 | 79 | 27 | 86 | 93 | 77.0 | Tier 1 |
| 019 | Community Care Alliance Vermont | Medicaid | VT | 100 | 74 | 56 | 64 | 100 | 63 | 76.9 | Tier 1 |
| 112 | Rocky Mountain Health Plans | Commercial | IL | 80 | 100 | 76 | 35 | 74 | 90 | 76.8 | Tier 1 |
| 009 | Sunshine Health of South Carolina | Regional | SC | 84 | 100 | 100 | 13 | 72 | 65 | 76.7 | Tier 1 |
| 158 | Rightway Healthcare | PBM | HI | 91 | 99 | 51 | 79 | 61 | 54 | 76.1 | Tier 1 |
| 171 | Optum Rx | National | IL | 98 | 96 | 49 | 50 | 59 | 92 | 76.1 | Tier 1 |
| 250 | Aetna Medicare Select Managed Care | Medicare Advantage | FL | 100 | 100 | 70 | 29 | 77 | 48 | 75.8 | Tier 1 |
| 114 | CVS Caremark PBM | PBM | AZ | 100 | 100 | 70 | 53 | 46 | 40 | 75.5 | Tier 1 |
| 085 | CHAMPVA (Civilian Health and Medical Program of VA) | Federal | MD | 100 | 74 | 93 | 32 | 42 | 81 | 75.5 | Tier 1 |
| 110 | Sharp Health Plan | Commercial | ND | 93 | 86 | 84 | 20 | 81 | 66 | 75.0 | Tier 1 |
| 161 | Magellan Rx Management | PBM | AZ | 100 | 67 | 83 | 57 | 49 | 65 | 75.0 | Tier 1 |
| 167 | InfuSystem Holdings Insurance | PBM | MN | 79 | 67 | 86 | 68 | 65 | 77 | 74.8 | Tier 1 |
| 148 | Hawaii Medical Service Association PPO | BCBS | AK | 100 | 75 | 67 | 10 | 100 | 88 | 73.7 | Tier 1 |
| 219 | Imperial Health Holdings Insurance | Medicare Advantage | TX | 100 | 70 | 70 | 37 | 97 | 49 | 73.2 | Tier 1 |
| 233 | Providence Health of Connecticut | Regional | CT | 88 | 100 | 69 | 47 | 46 | 52 | 72.7 | Tier 1 |
| 215 | Anthem Blue Cross Blue Shield of Kentucky | BCBS | NH | 90 | 98 | 45 | 30 | 71 | 94 | 72.1 | Tier 1 |
| 031 | MedImpact Healthcare Systems | PBM | OK | 54 | 87 | 85 | 42 | 100 | 77 | 71.9 | Tier 2 |
| 210 | Cenpatico West Virginia | Medicaid | WV | 100 | 66 | 83 | 37 | 73 | 40 | 71.7 | Tier 2 |
| 165 | Anthem Blue Cross Blue Shield of Indiana | BCBS | AK | 61 | 89 | 100 | 24 | 69 | 80 | 71.5 | Tier 2 |
| 011 | Highmark Health | National | HI | 65 | 58 | 82 | 64 | 98 | 77 | 71.3 | Tier 2 |
| 176 | Medicare Part D National Program HMO | Federal | VA | 75 | 100 | 57 | 30 | 97 | 69 | 71.3 | Tier 2 |
| 137 | Clover Health | Medicare Advantage | NY | 94 | 86 | 64 | 33 | 53 | 73 | 71.0 | Tier 2 |
| 008 | ConnectiCare of North Carolina | Regional | NC | 64 | 90 | 60 | 60 | 71 | 88 | 70.9 | Tier 2 |
| 180 | Florida Blue MCO | BCBS | DC | 67 | 78 | 69 | 49 | 71 | 100 | 70.6 | Tier 2 |
| 020 | Friday Health Plans | Medicare Advantage | CA | 71 | 86 | 80 | 10 | 95 | 86 | 70.5 | Tier 2 |
| 062 | UCare | Commercial | IA | 70 | 85 | 66 | 62 | 76 | 59 | 70.5 | Tier 2 |
| 147 | Imperial Health Holdings HMO | Medicare Advantage | GA | 88 | 64 | 81 | 69 | 38 | 52 | 70.3 | Tier 2 |
| 186 | Dean Health Plan of Mississippi | Regional | MS | 62 | 97 | 56 | 55 | 55 | 100 | 69.8 | Tier 2 |
| 220 | Blue Cross Blue Shield of Rhode Island Managed Care | BCBS | KS | 95 | 100 | 45 | 47 | 45 | 53 | 69.6 | Tier 2 |
| 135 | Cigna-HealthSpring PPO | Medicare Advantage | DE | 52 | 68 | 85 | 47 | 91 | 98 | 69.5 | Tier 2 |
| 045 | Blue Cross Blue Shield of Alabama | BCBS | ID | 62 | 83 | 100 | 10 | 97 | 60 | 69.3 | Tier 2 |
| 236 | Anthem Blue Cross Blue Shield of Maine HMO | BCBS | IA | 100 | 58 | 69 | 61 | 21 | 73 | 69.0 | Tier 2 |
| 064 | Paramount Health Care | Commercial | MA | 63 | 100 | 88 | 33 | 71 | 35 | 68.9 | Tier 2 |
| 178 | L.A. Care Health Plan of Pennsylvania | Regional | PA | 100 | 60 | 60 | 54 | 64 | 54 | 68.9 | Tier 2 |
| 201 | Indian Health Service | Federal | MD | 90 | 69 | 87 | 17 | 39 | 86 | 68.8 | Tier 2 |
| 247 | CareFirst BlueCross BlueShield Managed Care | BCBS | MA | 93 | 64 | 81 | 63 | 44 | 26 | 68.7 | Tier 2 |
| 044 | AARP Medicare Complete | Medicare Advantage | TX | 48 | 100 | 82 | 39 | 70 | 74 | 68.7 | Tier 2 |
| 076 | Imperial Health Holdings | Medicare Advantage | WY | 80 | 81 | 63 | 27 | 88 | 70 | 68.7 | Tier 2 |
| 049 | FirstChoice of Illinois | Regional | IL | 99 | 76 | 53 | 47 | 45 | 64 | 68.5 | Tier 2 |
| 182 | Medicaid Federal Match Program | Federal | VA | 75 | 59 | 89 | 52 | 39 | 83 | 68.3 | Tier 2 |
| 109 | Florida Blue | BCBS | ME | 68 | 100 | 74 | 12 | 91 | 54 | 68.1 | Tier 2 |
| 228 | Blue Cross Blue Shield of Massachusetts Insurance | BCBS | GA | 69 | 100 | 73 | 42 | 42 | 56 | 68.0 | Tier 2 |
| 101 | Anthem Blue Cross Blue Shield of Colorado | BCBS | AK | 90 | 63 | 69 | 10 | 85 | 89 | 67.8 | Tier 2 |
| 108 | Scott and White Health Plan of West Virginia | Regional | WV | 73 | 99 | 68 | 62 | 57 | 10 | 67.7 | Tier 2 |
| 153 | Blue Cross Blue Shield of Rhode Island Health Plan | BCBS | TN | 100 | 81 | 65 | 19 | 64 | 42 | 67.7 | Tier 2 |
| 173 | MedStar Health of Washington DC | Regional | DC | 66 | 66 | 72 | 71 | 73 | 56 | 67.7 | Tier 2 |
| 067 | UCare of Alaska | Regional | AK | 68 | 98 | 64 | 48 | 57 | 53 | 67.6 | Tier 2 |
| 061 | Hawaii Medical Service Association | BCBS | SC | 66 | 57 | 65 | 63 | 87 | 85 | 67.5 | Tier 2 |
| 138 | Hennepin Health | Commercial | ND | 73 | 79 | 81 | 20 | 50 | 90 | 67.3 | Tier 2 |
| 169 | CareOregon Managed Care | Commercial | DC | 51 | 68 | 75 | 42 | 96 | 100 | 67.3 | Tier 2 |
| 030 | Abarca Health | PBM | MA | 100 | 64 | 45 | 44 | 47 | 91 | 67.2 | Tier 2 |
| 002 | CareOregon | Commercial | NH | 66 | 71 | 58 | 81 | 84 | 43 | 67.2 | Tier 2 |
| 071 | Medicare Advantage National | Federal | DC | 67 | 75 | 90 | 20 | 74 | 70 | 67.2 | Tier 2 |
| 116 | SelectCare of Utah | Regional | UT | 65 | 63 | 63 | 60 | 68 | 98 | 67.0 | Tier 2 |
| 040 | Wellmark Blue Cross Blue Shield Iowa | BCBS | WY | 83 | 73 | 92 | 18 | 71 | 32 | 66.8 | Tier 2 |
| 237 | Inland Empire Health Plan | National | DE | 100 | 50 | 69 | 51 | 60 | 43 | 66.8 | Tier 2 |
| 096 | MetroPlus Health Plan of Kansas | Regional | KS | 76 | 47 | 58 | 76 | 65 | 86 | 66.5 | Tier 2 |
| 079 | WPS Health Solutions of California | Regional | CA | 48 | 54 | 98 | 54 | 66 | 91 | 66.2 | Tier 2 |
| 027 | HarmonyCare of Virginia | Regional | VA | 98 | 67 | 47 | 31 | 69 | 73 | 66.2 | Tier 2 |
| 166 | WellCare of Alabama | Medicaid | AL | 52 | 92 | 100 | 28 | 70 | 35 | 66.1 | Tier 2 |
| 177 | Harvard Pilgrim Health Plan | National | VT | 79 | 39 | 100 | 18 | 77 | 81 | 66.0 | Tier 2 |
| 202 | Crystal Run Health Plan of Illinois | Regional | IL | 61 | 74 | 94 | 23 | 68 | 69 | 66.0 | Tier 2 |
| 129 | Harvard Pilgrim | National | NH | 55 | 99 | 86 | 38 | 34 | 60 | 65.8 | Tier 2 |
| 240 | Capital BlueCross | National | GA | 62 | 70 | 90 | 31 | 100 | 35 | 65.7 | Tier 2 |
| 037 | Alignment Healthcare | Medicare Advantage | IA | 74 | 88 | 61 | 30 | 65 | 63 | 65.6 | Tier 2 |
| 066 | Arkansas Blue Cross and Blue Shield | BCBS | PA | 66 | 79 | 53 | 46 | 84 | 73 | 65.5 | Tier 2 |
| 249 | Abarca Health Managed Care | PBM | TN | 67 | 27 | 100 | 61 | 71 | 71 | 65.5 | Tier 2 |
| 183 | Mountain Health | National | DE | 100 | 54 | 71 | 10 | 77 | 62 | 65.4 | Tier 2 |
| 103 | CareFirst | National | OR | 67 | 88 | 61 | 10 | 90 | 83 | 65.3 | Tier 2 |
| 181 | HarmonyCare of California | Regional | CA | 47 | 67 | 79 | 57 | 74 | 79 | 64.8 | Tier 2 |
| 015 | Paramount Health Care of New Mexico | Regional | NM | 62 | 85 | 69 | 56 | 53 | 47 | 64.7 | Tier 2 |
| 055 | Washington Medicaid Health Plan | Medicaid | WA | 69 | 84 | 53 | 60 | 51 | 59 | 64.7 | Tier 2 |
| 133 | Senior Whole Health | Medicare Advantage | PA | 62 | 86 | 63 | 14 | 77 | 95 | 64.6 | Tier 2 |
| 184 | HealthNew England of Nevada | Regional | NV | 66 | 45 | 77 | 48 | 72 | 92 | 64.5 | Tier 2 |
| 084 | Aetna Medicare Select | Medicare Advantage | AR | 91 | 83 | 34 | 39 | 23 | 100 | 64.3 | Tier 2 |
| 122 | Highmark Health Insurance | National | VT | 60 | 80 | 44 | 47 | 95 | 77 | 64.0 | Tier 2 |
| 063 | Commonwealth Care Alliance | Medicare Advantage | AZ | 56 | 76 | 67 | 47 | 48 | 94 | 63.9 | Tier 2 |
| 092 | Centene Medicaid Wyoming | Medicaid | WY | 79 | 73 | 91 | 39 | 43 | 11 | 63.8 | Tier 2 |
| 141 | Blue Cross Blue Shield Nebraska | BCBS | ND | 32 | 100 | 78 | 55 | 55 | 64 | 63.8 | Tier 2 |
| 226 | Zinc Health Services | PBM | GA | 46 | 69 | 100 | 51 | 54 | 54 | 63.8 | Tier 2 |
| 125 | MDwise HMO | Commercial | HI | 69 | 69 | 47 | 69 | 51 | 75 | 63.4 | Tier 2 |
| 157 | Blue Cross Blue Shield of Louisiana | BCBS | VT | 100 | 61 | 50 | 10 | 100 | 47 | 63.4 | Tier 2 |
| 195 | Blue Shield Medicare Advantage | Medicare Advantage | AL | 82 | 63 | 52 | 47 | 27 | 100 | 63.3 | Tier 2 |
| 021 | GuildNet of Tennessee | Regional | TN | 55 | 87 | 63 | 69 | 35 | 54 | 63.0 | Tier 2 |
| 089 | InnovAge PACE | Medicare Advantage | AK | 50 | 100 | 67 | 10 | 77 | 79 | 63.0 | Tier 2 |
| 028 | Arkansas Blue Cross | Commercial | OK | 58 | 70 | 74 | 45 | 70 | 59 | 63.0 | Tier 2 |
| 069 | AllianceRx Walgreens Prime | PBM | TX | 54 | 60 | 66 | 37 | 100 | 87 | 63.0 | Tier 2 |
| 111 | Blue Cross Blue Shield of Georgia | BCBS | NH | 72 | 68 | 82 | 10 | 95 | 39 | 62.9 | Tier 2 |
| 115 | United AARP MedicareComplete | Medicare Advantage | KS | 81 | 56 | 64 | 13 | 65 | 100 | 62.7 | Tier 2 |
| 175 | WellStar Health of Arizona | Regional | AZ | 62 | 46 | 78 | 43 | 73 | 86 | 62.6 | Tier 2 |
| 035 | UCare of Nebraska | Regional | NE | 63 | 83 | 69 | 17 | 60 | 78 | 62.5 | Tier 2 |
| 086 | Humana Gold Plus HMO | Medicare Advantage | GA | 86 | 34 | 77 | 30 | 66 | 76 | 62.4 | Tier 2 |
| 042 | Blue Cross Blue Shield Montana | BCBS | VA | 62 | 53 | 83 | 33 | 98 | 49 | 62.4 | Tier 2 |
| 126 | United AARP MedicareComplete Managed Care | Medicare Advantage | IL | 78 | 58 | 82 | 31 | 57 | 45 | 62.4 | Tier 2 |
| 025 | Blue Care Network of Pennsylvania | Regional | PA | 49 | 64 | 82 | 61 | 52 | 64 | 62.2 | Tier 2 |
| 150 | Independence Blue Cross Managed Care | National | NE | 68 | 71 | 55 | 28 | 77 | 80 | 62.1 | Tier 2 |
| 189 | MetroPlus Health Plan | National | KY | 100 | 63 | 67 | 10 | 34 | 61 | 62.0 | Tier 2 |
| 243 | Medicare Advantage National HMO | Federal | DC | 32 | 83 | 63 | 63 | 85 | 68 | 62.0 | Tier 2 |
| 050 | Humana | National | TN | 56 | 81 | 100 | 10 | 46 | 56 | 61.9 | Tier 2 |
| 043 | WellCare Health Plans | National | CO | 42 | 99 | 74 | 29 | 41 | 82 | 61.8 | Tier 2 |
| 072 | Medica Health Plans of Tennessee | Regional | TN | 74 | 86 | 63 | 17 | 49 | 60 | 61.8 | Tier 2 |
| 090 | Centers for Medicare & Medicaid Services (CMS) HMO | Federal | VA | 65 | 88 | 40 | 10 | 99 | 84 | 61.6 | Tier 2 |
| 223 | Anthem Blue Cross Blue Shield of Maine MCO | BCBS | CT | 84 | 59 | 51 | 17 | 90 | 71 | 61.6 | Tier 2 |
| 194 | Dean Health Plan | National | CA | 96 | 60 | 66 | 10 | 23 | 86 | 61.6 | Tier 2 |
| 046 | Blue Cross Blue Shield Wyoming | BCBS | NJ | 100 | 34 | 54 | 31 | 69 | 73 | 61.5 | Tier 2 |
| 143 | PreferredOne of Wyoming | Regional | WY | 81 | 35 | 55 | 77 | 78 | 38 | 61.4 | Tier 2 |
| 142 | Sunshine Health MCO | Commercial | NH | 83 | 58 | 35 | 41 | 89 | 68 | 61.2 | Tier 2 |
| 155 | Blue Cross Blue Shield Nebraska HMO | BCBS | ME | 50 | 100 | 56 | 21 | 65 | 78 | 61.1 | Tier 2 |
| 151 | Humana Insurance | National | NC | 82 | 62 | 81 | 14 | 39 | 60 | 61.1 | Tier 2 |
| 163 | Johns Hopkins Health Plans of Oregon | Regional | OR | 47 | 37 | 67 | 73 | 81 | 95 | 61.1 | Tier 2 |
| 149 | Idaho Department of Medicaid | Medicaid | ID | 82 | 34 | 81 | 26 | 46 | 89 | 60.9 | Tier 2 |
| 077 | Medicaid Managed Care New Jersey | Medicaid | NJ | 41 | 68 | 70 | 61 | 62 | 76 | 60.8 | Tier 2 |
| 196 | Hennepin Health of Colorado | Regional | CO | 55 | 47 | 70 | 98 | 55 | 34 | 60.8 | Tier 2 |
| 119 | Martin's Point Health Care of Oklahoma | Regional | OK | 97 | 63 | 33 | 38 | 42 | 72 | 60.5 | Tier 2 |
| 121 | Blue Cross Blue Shield of Kansas | BCBS | NV | 62 | 93 | 66 | 19 | 46 | 58 | 60.5 | Tier 2 |
| 203 | InfuSystem Holdings Health Plan | PBM | ND | 100 | 45 | 46 | 25 | 71 | 65 | 60.5 | Tier 2 |
| 051 | Cigna-HealthSpring | Medicare Advantage | MS | 48 | 58 | 86 | 36 | 64 | 79 | 60.5 | Tier 2 |
| 230 | CVS Caremark | National | MO | 79 | 64 | 64 | 35 | 48 | 51 | 60.5 | Tier 2 |
| 083 | Florida Blue of South Dakota | Regional | SD | 94 | 29 | 60 | 37 | 45 | 91 | 60.5 | Tier 2 |
| 024 | Gateway Health Plan of Maine | Regional | ME | 63 | 78 | 31 | 71 | 73 | 49 | 60.4 | Tier 2 |
| 213 | SCAN Health Plan of South Carolina | Regional | SC | 64 | 20 | 76 | 62 | 73 | 85 | 60.3 | Tier 2 |
| 224 | Regence BlueCross BlueShield Oregon HMO | BCBS | GA | 92 | 54 | 67 | 40 | 10 | 58 | 60.0 | Tier 2 |
| 131 | EmblemHealth of Connecticut | Regional | CT | 76 | 84 | 31 | 35 | 91 | 36 | 60.0 | Tier 2 |
| 073 | Medicare Part D National Program | Federal | MD | 84 | 84 | 10 | 10 | 85 | 100 | 59.8 | Tier 2 |
| 102 | Centers for Medicare & Medicaid Services (CMS) Health Plan | Federal | DC | 100 | 58 | 35 | 13 | 78 | 64 | 59.8 | Tier 2 |
| 179 | Horizon Blue Cross Blue Shield NJ | BCBS | OR | 57 | 76 | 43 | 58 | 60 | 70 | 59.8 | Tier 2 |
| 221 | Blue Shield of California | BCBS | HI | 79 | 64 | 74 | 28 | 49 | 33 | 59.8 | Tier 2 |
| 140 | Buckeye Health Plan of Texas | Regional | TX | 100 | 38 | 70 | 23 | 64 | 30 | 59.5 | Tier 2 |
| 218 | MedStar Health of Utah | Regional | UT | 77 | 51 | 83 | 10 | 71 | 48 | 59.5 | Tier 2 |
| 216 | WellStar Health of New Hampshire | Regional | NH | 46 | 83 | 40 | 50 | 80 | 78 | 59.4 | Tier 2 |
| 212 | WellDyneRx | PBM | KS | 84 | 40 | 77 | 57 | 10 | 54 | 59.4 | Tier 2 |
| 200 | Mountain Health of Idaho | Regional | ID | 62 | 100 | 73 | 19 | 17 | 46 | 59.3 | Tier 2 |
| 229 | BioScrip | PBM | MN | 100 | 67 | 48 | 31 | 10 | 56 | 59.3 | Tier 2 |
| 235 | UPMC Health Plan of Nevada | Regional | NV | 62 | 91 | 60 | 10 | 56 | 63 | 59.1 | Tier 2 |
| 118 | WellCare of Alaska | Medicaid | AK | 78 | 61 | 56 | 53 | 36 | 45 | 59.0 | Tier 2 |
| 107 | Medicaid Managed Care Delaware | Medicaid | DE | 69 | 53 | 82 | 33 | 56 | 41 | 58.9 | Tier 2 |
| 222 | Anthem HealthKeepers Virginia | BCBS | AZ | 70 | 61 | 67 | 10 | 81 | 62 | 58.9 | Tier 2 |
| 033 | Centers for Medicare & Medicaid Services (CMS) | Federal | VA | 55 | 100 | 29 | 30 | 69 | 78 | 58.8 | Tier 2 |
| 139 | Tufts Health Plan of New York | Regional | NY | 61 | 55 | 50 | 50 | 71 | 79 | 58.8 | Tier 2 |
| 003 | Blue Cross Blue Shield North Dakota | BCBS | MA | 77 | 64 | 54 | 10 | 84 | 58 | 58.5 | Tier 2 |
| 017 | Arkansas Blue Cross of Oklahoma | Regional | OK | 68 | 59 | 54 | 31 | 78 | 65 | 58.5 | Tier 2 |
| 010 | Superior HealthPlan | Commercial | LA | 57 | 66 | 71 | 57 | 42 | 39 | 58.3 | Tier 2 |
| 241 | SelectCare of New York | Regional | NY | 43 | 76 | 99 | 19 | 19 | 78 | 58.3 | Tier 2 |
| 026 | OptumRx | PBM | CT | 61 | 65 | 52 | 36 | 68 | 74 | 58.3 | Tier 2 |
| 082 | TRICARE (Defense Health Agency) | Federal | DC | 48 | 91 | 71 | 21 | 42 | 65 | 58.3 | Tier 2 |
| 098 | Blue Cross Blue Shield Association | National | LA | 100 | 72 | 32 | 34 | 38 | 35 | 58.2 | Tier 2 |
| 123 | Centers for Medicare & Medicaid Services (CMS) Insurance | Federal | MD | 73 | 70 | 36 | 43 | 70 | 53 | 58.2 | Tier 2 |
| 152 | Johns Hopkins Health Plans of Missouri | Regional | MO | 64 | 43 | 58 | 44 | 90 | 64 | 58.2 | Tier 2 |
| 093 | Meridian Health Plan of Kentucky | Medicaid | KY | 91 | 27 | 67 | 30 | 42 | 77 | 58.0 | Tier 3 |
| 225 | PreferredOne | Commercial | RI | 69 | 49 | 56 | 48 | 35 | 90 | 58.0 | Tier 3 |
| 039 | CareFirst of Ohio | Regional | OH | 22 | 71 | 80 | 78 | 42 | 62 | 57.8 | Tier 3 |
| 238 | Highmark Freedom Blue | Medicare Advantage | ND | 64 | 53 | 68 | 38 | 51 | 67 | 57.7 | Tier 3 |
| 211 | CareFirst BlueCross BlueShield | BCBS | MO | 96 | 47 | 60 | 12 | 71 | 33 | 57.6 | Tier 3 |
| 232 | Cenpatico California | Medicaid | CA | 72 | 42 | 72 | 66 | 47 | 21 | 57.5 | Tier 3 |
| 006 | Regence BlueCross BlueShield | National | MN | 97 | 62 | 34 | 10 | 93 | 32 | 57.5 | Tier 3 |
| 164 | Sharp Health Plan of Arkansas | Regional | AR | 39 | 68 | 51 | 67 | 67 | 71 | 57.4 | Tier 3 |
| 022 | Sutter Health Plus | Commercial | OH | 69 | 68 | 53 | 35 | 51 | 54 | 57.2 | Tier 3 |
| 227 | Kaiser Permanente Insurance | National | MT | 52 | 60 | 56 | 44 | 50 | 93 | 57.1 | Tier 3 |
| 162 | OptumRx MCO | PBM | MD | 66 | 88 | 30 | 28 | 43 | 83 | 56.9 | Tier 3 |
| 231 | Zinc Health Services HMO | PBM | WA | 62 | 54 | 64 | 29 | 63 | 71 | 56.9 | Tier 3 |
| 099 | Centene Corporation | National | GA | 51 | 65 | 67 | 45 | 53 | 56 | 56.8 | Tier 3 |
| 106 | Arkansas Blue Cross and Blue Shield HMO | BCBS | TX | 36 | 76 | 64 | 26 | 74 | 85 | 56.8 | Tier 3 |
| 174 | Tufts Health Plan of Tennessee | Regional | TN | 66 | 40 | 78 | 57 | 28 | 53 | 56.8 | Tier 3 |
| 034 | Anthem Blue Cross Blue Shield New Hampshire | BCBS | TX | 100 | 44 | 60 | 18 | 35 | 45 | 56.5 | Tier 3 |
| 097 | Molina Medicaid Iowa | Medicaid | IA | 18 | 70 | 67 | 75 | 50 | 83 | 56.5 | Tier 3 |
| 023 | Medicaid Managed Care Hawaii | Medicaid | HI | 56 | 53 | 67 | 43 | 55 | 64 | 56.4 | Tier 3 |
| 244 | Community Health Options of North Dakota | Regional | ND | 46 | 70 | 68 | 36 | 61 | 57 | 56.3 | Tier 3 |
| 065 | Medical Mutual of Ohio | BCBS | MN | 37 | 75 | 68 | 18 | 57 | 100 | 56.3 | Tier 3 |
| 187 | AllianceRx Walgreens Prime Health Plan | PBM | HI | 51 | 67 | 50 | 61 | 46 | 63 | 56.2 | Tier 3 |
| 095 | Elixir Industries | PBM | OR | 42 | 79 | 51 | 42 | 57 | 76 | 56.1 | Tier 3 |
| 160 | Meridian Health Plan of Louisiana | Medicaid | LA | 81 | 55 | 79 | 14 | 40 | 29 | 56.0 | Tier 3 |
| 091 | Excellus BlueCross BlueShield | Commercial | MS | 61 | 66 | 62 | 22 | 63 | 55 | 56.0 | Tier 3 |
| 117 | New Mexico Medicaid Health Plan | Medicaid | NM | 61 | 86 | 25 | 73 | 26 | 49 | 55.9 | Tier 3 |
| 070 | Community Care Alliance Vermont Health Plan | Medicaid | VT | 69 | 37 | 63 | 43 | 58 | 63 | 55.8 | Tier 3 |
| 193 | Rocky Mountain Health Plans of North Dakota | Regional | ND | 57 | 58 | 53 | 41 | 69 | 61 | 55.6 | Tier 3 |
| 048 | ConnectiCare | Commercial | DE | 58 | 67 | 47 | 48 | 22 | 80 | 54.7 | Tier 3 |
| 185 | Blue Cross Blue Shield of Michigan | BCBS | WV | 48 | 57 | 70 | 27 | 64 | 68 | 54.6 | Tier 3 |
| 206 | SilverSummit Healthplan | Commercial | MD | 79 | 10 | 47 | 70 | 40 | 88 | 54.5 | Tier 3 |
| 104 | CHAMPVA (Civilian Health and Medical Program of VA) Managed Care | Federal | DC | 44 | 57 | 52 | 44 | 55 | 94 | 54.3 | Tier 3 |
| 081 | Independence Blue Cross | National | KS | 31 | 56 | 69 | 68 | 50 | 63 | 54.3 | Tier 3 |
| 113 | AmeriHealth | National | UT | 64 | 41 | 80 | 10 | 83 | 41 | 54.1 | Tier 3 |
| 172 | MedStar Health of Vermont | Regional | VT | 69 | 62 | 40 | 35 | 25 | 87 | 54.1 | Tier 3 |
| 134 | HealthSpring | National | AR | 78 | 48 | 62 | 13 | 40 | 66 | 54.0 | Tier 3 |
| 192 | Regence BlueCross BlueShield Oregon | BCBS | OR | 34 | 65 | 75 | 10 | 100 | 58 | 53.8 | Tier 3 |
| 128 | Cherokee Health Systems of New Jersey | Regional | NJ | 75 | 70 | 26 | 10 | 92 | 47 | 53.4 | Tier 3 |
| 038 | Blue Cross Blue Shield of Rhode Island | BCBS | NM | 24 | 100 | 32 | 41 | 100 | 44 | 53.0 | Tier 3 |
| 214 | Crystal Run Health Plan | Commercial | ID | 42 | 49 | 67 | 48 | 36 | 84 | 52.9 | Tier 3 |
| 074 | Capital Rx | PBM | MD | 71 | 46 | 52 | 10 | 82 | 55 | 52.5 | Tier 3 |
| 053 | Dean Health Plan of Georgia | Regional | GA | 78 | 70 | 34 | 10 | 51 | 54 | 52.3 | Tier 3 |
| 068 | Paramount Health Care of Oklahoma | Regional | OK | 44 | 42 | 74 | 41 | 47 | 72 | 52.3 | Tier 3 |
| 168 | SilverSummit Healthplan of New Mexico | Regional | NM | 59 | 39 | 65 | 10 | 96 | 54 | 52.0 | Tier 3 |
| 239 | PreferredOne PPO | Commercial | CA | 51 | 100 | 48 | 10 | 50 | 31 | 52.0 | Tier 3 |
| 124 | Cenpatico Arizona | Medicaid | AZ | 63 | 39 | 45 | 55 | 67 | 42 | 51.7 | Tier 3 |
| 041 | Fallon Health of Wyoming | Regional | WY | 67 | 41 | 44 | 66 | 38 | 38 | 51.3 | Tier 3 |
| 207 | Tufts Health Plan | Commercial | WA | 47 | 66 | 59 | 17 | 63 | 52 | 50.8 | Tier 3 |
| 100 | Blue Cross Blue Shield of Texas | BCBS | NY | 58 | 58 | 55 | 10 | 68 | 53 | 50.7 | Tier 3 |
| 205 | Medicaid Managed Care Maryland | Medicaid | MD | 60 | 73 | 61 | 10 | 10 | 62 | 50.5 | Tier 3 |
| 047 | Bright Health | Medicare Advantage | MS | 39 | 79 | 36 | 34 | 36 | 90 | 50.5 | Tier 3 |
| 014 | Northeast Health | National | HI | 74 | 50 | 26 | 40 | 46 | 61 | 50.4 | Tier 3 |
| 245 | New Mexico Health Connections of Wyoming | Regional | WY | 21 | 52 | 51 | 58 | 100 | 53 | 49.9 | Tier 3 |
| 052 | Veterans Affairs Pharmacy Benefits | Federal | DC | 54 | 43 | 66 | 19 | 40 | 75 | 49.6 | Tier 3 |
| 054 | UPMC Health Plan | Commercial | AK | 60 | 59 | 39 | 35 | 27 | 71 | 49.6 | Tier 3 |
| 013 | Amerigroup Alabama | Medicaid | AL | 59 | 42 | 45 | 44 | 46 | 61 | 49.5 | Tier 3 |
| 159 | Blue Cross Blue Shield of Massachusetts | BCBS | LA | 39 | 82 | 41 | 21 | 75 | 40 | 49.0 | Tier 3 |
| 246 | CareFirst of Kentucky | Regional | KY | 68 | 65 | 35 | 18 | 57 | 36 | 49.0 | Tier 3 |
| 198 | New Mexico Health Connections of Kansas | Regional | KS | 57 | 10 | 74 | 32 | 75 | 54 | 48.8 | Tier 3 |
| 242 | WellCare of Texas | Medicaid | TX | 48 | 58 | 53 | 19 | 55 | 62 | 48.8 | Tier 3 |
| 080 | Tufts Health Plan of Connecticut | Regional | CT | 51 | 70 | 34 | 23 | 82 | 35 | 48.7 | Tier 3 |
| 136 | WellStar Health | Commercial | WI | 36 | 48 | 51 | 60 | 92 | 16 | 48.6 | Tier 3 |
| 007 | Premera Blue Cross of Louisiana | Regional | LA | 75 | 36 | 57 | 10 | 37 | 55 | 48.0 | Tier 3 |
| 029 | Humana Gold Plus | Medicare Advantage | ME | 44 | 71 | 44 | 16 | 51 | 63 | 47.8 | Tier 3 |
| 208 | New Mexico Health Connections of Washington | Regional | WA | 40 | 49 | 66 | 10 | 50 | 83 | 47.8 | Tier 3 |
| 056 | HarmonyCare of Delaware | Regional | DE | 57 | 44 | 44 | 28 | 50 | 66 | 47.6 | Tier 3 |
| 170 | Oscar Health of Oklahoma | Regional | OK | 44 | 62 | 59 | 10 | 75 | 32 | 47.4 | Tier 3 |
| 154 | Excellus BlueCross BlueShield HMO | Commercial | TX | 46 | 33 | 45 | 67 | 62 | 40 | 47.4 | Tier 3 |
| 036 | Wisconsin Community Health Alliance | Medicaid | WI | 30 | 62 | 65 | 44 | 27 | 49 | 47.1 | Tier 3 |
| 132 | Cenpatico Michigan | Medicaid | MI | 51 | 42 | 43 | 32 | 68 | 57 | 47.0 | Tier 3 |
| 012 | Sunshine Health | Commercial | WI | 52 | 71 | 31 | 39 | 65 | 10 | 46.8 | Tier 3 |
| 197 | Wellcare Medicare Advantage | Medicare Advantage | DC | 56 | 65 | 38 | 10 | 23 | 81 | 46.5 | Tier 3 |
| 209 | Group Health of Delaware | Regional | DE | 45 | 57 | 65 | 12 | 34 | 56 | 46.5 | Tier 3 |
| 088 | Priority Health of New York | Regional | NY | 38 | 35 | 58 | 42 | 31 | 88 | 46.3 | Tier 3 |
| 018 | Minnesota Medicaid Health Plan | Medicaid | MN | 29 | 30 | 51 | 47 | 78 | 78 | 46.1 | Tier 3 |
| 204 | Denver Health Medical Plan of Montana | Regional | MT | 38 | 56 | 55 | 29 | 60 | 40 | 46.0 | Tier 3 |
| 078 | GuildNet of Virginia | Regional | VA | 70 | 22 | 50 | 26 | 59 | 42 | 45.9 | Tier 4 |
| 058 | Molina Medicaid Louisiana | Medicaid | LA | 54 | 47 | 35 | 70 | 10 | 43 | 45.7 | Tier 4 |
| 057 | MDwise | Commercial | AK | 41 | 51 | 43 | 21 | 54 | 79 | 45.5 | Tier 4 |
| 248 | WellCare of Florida | Medicaid | FL | 43 | 15 | 70 | 41 | 55 | 60 | 45.4 | Tier 4 |
| 191 | Tufts Health Plan of Texas | Regional | TX | 52 | 37 | 52 | 47 | 52 | 21 | 45.1 | Tier 4 |
| 146 | Humana Gold Plus PPO | Medicare Advantage | MI | 38 | 58 | 28 | 26 | 65 | 78 | 44.9 | Tier 4 |
| 016 | Sunshine State Health Alaska | Medicaid | AK | 45 | 35 | 38 | 53 | 53 | 53 | 44.4 | Tier 4 |
| 075 | Kaiser Permanente | National | IN | 55 | 48 | 28 | 15 | 75 | 56 | 44.3 | Tier 4 |
| 127 | Pennsylvania Department of Medicaid | Medicaid | PA | 48 | 67 | 28 | 28 | 50 | 32 | 43.4 | Tier 4 |
| 001 | Physicians Health Plan of Maryland | Regional | MD | 21 | 35 | 59 | 41 | 72 | 57 | 43.1 | Tier 4 |
| 144 | Oscar Health of Kentucky | Regional | KY | 27 | 37 | 44 | 46 | 25 | 100 | 42.4 | Tier 4 |
| 145 | UCare of Colorado | Regional | CO | 72 | 26 | 13 | 29 | 52 | 70 | 42.4 | Tier 4 |
| 060 | Capital Health Plan of South Carolina | Regional | SC | 43 | 41 | 35 | 24 | 59 | 62 | 41.6 | Tier 4 |
| 005 | Anthem Blue Cross Blue Shield of Maine | BCBS | NE | 23 | 71 | 29 | 13 | 86 | 53 | 41.6 | Tier 4 |
| 190 | Molina Medicaid New York | Medicaid | NY | 10 | 42 | 42 | 44 | 76 | 76 | 41.1 | Tier 4 |
| 105 | Physicians Plus | Commercial | VT | 30 | 30 | 68 | 43 | 43 | 28 | 40.6 | Tier 4 |
| 087 | CareFirst of Wisconsin | Regional | WI | 43 | 10 | 51 | 26 | 75 | 60 | 40.4 | Tier 4 |
| 130 | Centene Medicaid California | Medicaid | CA | 68 | 17 | 41 | 24 | 35 | 46 | 40.3 | Tier 4 |
| 094 | InfuSystem Holdings | PBM | MT | 50 | 10 | 23 | 38 | 61 | 71 | 38.0 | Tier 4 |
| 032 | Humana Gold Plus Health Plan | Medicare Advantage | OH | 10 | 55 | 23 | 10 | 41 | 58 | 29.5 | Tier 4 |