PayerIQ
Production
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Tier 2KSPBM

WellDyneRx

Active pursuit — access summits + value dossier

Composite
59.4
Rank
#138
Members
19.4M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
84
+21.0
Lives
20%
40
+8.0
Geography
20%
77
+15.4
Restrictions
15%
57
+8.5
Relationship
10%
10
+1.0
Financials
10%
54
+5.4
Composite Score59.4
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 21.0 + 8.0 + 15.4 + 8.5 + 1.0 + 5.4 = 59.4
Intelligence

Qualitative intelligence

Members
19.4M
Drug spend
$8.0B
Formulary
4-tier
PA / RA level
Low
Biosimilar policy
Case-by-case review
Avg reimbursement
64 days
Strategic notes

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

Peer set

Closest peers in PBM

BioScrip
MN · Tier 2
59.3
-0.1
OptumRx
CT · Tier 2
58.3
-1.1
InfuSystem Holdings Health Plan
ND · Tier 2
60.5
+1.2
OptumRx MCO
MD · Tier 3
56.9
-2.5
Zinc Health Services HMO
WA · Tier 3
56.9
-2.5
Playbook · Tier 2

Engagement timeline

Week 1
Senior medical director engagement
Week 3
Formulary review submission
Quarterly
Account QBR + utilization review