PayerIQ
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Tier 1AZPBM

CVS Caremark PBM

Priority engagement — executive meetings + contract acceleration

Composite
75.5
Rank
#15
Members
37.4M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
100
+25.0
Lives
20%
100
+20.0
Geography
20%
70
+14.0
Restrictions
15%
53
+7.9
Relationship
10%
46
+4.6
Financials
10%
40
+4.0
Composite Score75.5
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 25.0 + 20.0 + 14.0 + 7.9 + 4.6 + 4.0 = 75.5
Intelligence

Qualitative intelligence

Members
37.4M
Drug spend
$16.2B
Formulary
6-tier
PA / RA level
Very High
Biosimilar policy
Mandatory substitution
Avg reimbursement
71 days
Strategic notes

Prior collaboration on REMS program; account trust level high

Peer set

Closest peers in PBM

Rightway Healthcare
HI · Tier 1
76.1
+0.5
Magellan Rx Management
AZ · Tier 1
75.0
-0.6
InfuSystem Holdings Insurance
MN · Tier 1
74.8
-0.8
MedImpact Healthcare Systems
OK · Tier 2
71.9
-3.6
Abarca Health
MA · Tier 2
67.2
-8.3
Playbook · Tier 1

Engagement timeline

Week 1
Executive sponsor outreach · contract review
Week 2
Account team alignment · data sharing MoU
Week 4
Strategic roadmap session
Quarterly
C-suite QBR · joint planning