PayerIQ
Production
Back to universe
Tier 3HIPBM

AllianceRx Walgreens Prime Health Plan

Monitor & nurture — quarterly touchpoints + data sharing

Composite
56.2
Rank
#176
Members
27.1M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
51
+12.8
Lives
20%
67
+13.4
Geography
20%
50
+10.0
Restrictions
15%
61
+9.2
Relationship
10%
46
+4.6
Financials
10%
63
+6.3
Composite Score56.2
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 12.8 + 13.4 + 10.0 + 9.2 + 4.6 + 6.3 = 56.2
Intelligence

Qualitative intelligence

Members
27.1M
Drug spend
$10.1B
Formulary
5-tier
PA / RA level
Low
Biosimilar policy
Preferred substitution
Avg reimbursement
61 days
Strategic notes

PBM-managed rebate structure; volume-based rebate negotiation is primary lever

Peer set

Closest peers in PBM

Elixir Industries
OR · Tier 3
56.1
-0.1
Zinc Health Services HMO
WA · Tier 3
56.9
+0.6
OptumRx MCO
MD · Tier 3
56.9
+0.7
OptumRx
CT · Tier 2
58.3
+2.0
BioScrip
MN · Tier 2
59.3
+3.0
Playbook · Tier 3

Engagement timeline

Week 2
Account manager check-in
Bi-annually
Formulary monitoring report