PayerIQ
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Tier 1AZPBM

Magellan Rx Management

Priority engagement — executive meetings + contract acceleration

Composite
75.0
Rank
#18
Members
25.9M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
100
+25.0
Lives
20%
67
+13.4
Geography
20%
83
+16.6
Restrictions
15%
57
+8.5
Relationship
10%
49
+4.9
Financials
10%
65
+6.5
Composite Score75.0
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 25.0 + 13.4 + 16.6 + 8.5 + 4.9 + 6.5 = 75.0
Intelligence

Qualitative intelligence

Members
25.9M
Drug spend
$9.8B
Formulary
3-tier
PA / RA level
Very High
Biosimilar policy
Step therapy required
Avg reimbursement
40 days
Strategic notes

Medicare Part D plan with stable formulary; step edit removal is key ask

Peer set

Closest peers in PBM

InfuSystem Holdings Insurance
MN · Tier 1
74.8
-0.2
CVS Caremark PBM
AZ · Tier 1
75.5
+0.6
Rightway Healthcare
HI · Tier 1
76.1
+1.1
MedImpact Healthcare Systems
OK · Tier 2
71.9
-3.0
Abarca Health
MA · Tier 2
67.2
-7.8
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