PayerIQ
Production
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Tier 2TXPBM

AllianceRx Walgreens Prime

Active pursuit — access summits + value dossier

Composite
63.0
Rank
#94
Members
24.9M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
54
+13.5
Lives
20%
60
+12.0
Geography
20%
66
+13.2
Restrictions
15%
37
+5.5
Relationship
10%
100
+10.0
Financials
10%
87
+8.7
Composite Score63.0
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 13.5 + 12.0 + 13.2 + 5.5 + 10.0 + 8.7 = 63.0
Intelligence

Qualitative intelligence

Members
24.9M
Drug spend
$11.7B
Formulary
2-tier
PA / RA level
Moderate
Biosimilar policy
Case-by-case review
Avg reimbursement
33 days
Strategic notes

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

Peer set

Closest peers in PBM

Zinc Health Services
GA · Tier 2
63.8
+0.8
InfuSystem Holdings Health Plan
ND · Tier 2
60.5
-2.4
Abarca Health Managed Care
TN · Tier 2
65.5
+2.5
WellDyneRx
KS · Tier 2
59.4
-3.6
BioScrip
MN · Tier 2
59.3
-3.7
Playbook · Tier 2

Engagement timeline

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