PayerIQ
Sun, May 24, 2026
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Tier 2DCBCBS
Florida Blue MCO
Active pursuit — access summits + value dossier
Composite
70.6
Rank
#31
Members
6.7M
Scoring profile
Six-criterion radar
Breakdown
Weighted score contribution
Claims
25%
67
+16.8
Lives
20%
78
+15.6
Geography
20%
69
+13.8
Restrictions
15%
49
+7.3
Relationship
10%
71
+7.1
Financials
10%
100
+10.0
Composite Score70.6
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 16.8 + 15.6 + 13.8 + 7.3 + 7.1 + 10.0 = 70.6
Intelligence
Qualitative intelligence
Members
6.7M
Drug spend
$2.0B
Formulary
5-tier
PA / RA level
High
Biosimilar policy
Preferred substitution
Avg reimbursement
62 days
Strategic notes
Medicare Part D plan with stable formulary; step edit removal is key ask
Peer set
Closest peers in BCBS
Anthem Blue Cross Blue Shield of Indiana
AK · Tier 2
71.5
+1.0
Blue Cross Blue Shield of Rhode Island Managed Care
KS · Tier 2
69.6
-1.0
Blue Cross Blue Shield of Alabama
ID · Tier 2
69.3
-1.3
Anthem Blue Cross Blue Shield of Kentucky
NH · Tier 1
72.1
+1.5
Anthem Blue Cross Blue Shield of Maine HMO
IA · Tier 2
69.0
-1.6
Playbook · Tier 2
Engagement timeline
Week 1
Senior medical director engagement
Week 3
Formulary review submission
Quarterly
Account QBR + utilization review