PayerIQ
Production
Back to universe
Tier 3ORPBM

Elixir Industries

Monitor & nurture — quarterly touchpoints + data sharing

Composite
56.1
Rank
#177
Members
28.8M
Scoring profile

Six-criterion radar

Breakdown

Weighted score contribution

Claims
25%
42
+10.5
Lives
20%
79
+15.8
Geography
20%
51
+10.2
Restrictions
15%
42
+6.3
Relationship
10%
57
+5.7
Financials
10%
76
+7.6
Composite Score56.1
Composite = Claims×0.25 + Lives×0.20 + Geography×0.20 + Restrictions×0.15 + Relationship×0.10 + Financials×0.10
= 10.5 + 15.8 + 10.2 + 6.3 + 5.7 + 7.6 = 56.1
Intelligence

Qualitative intelligence

Members
28.8M
Drug spend
$10.7B
Formulary
4-tier
PA / RA level
Moderate
Biosimilar policy
Preferred biosimilar policy
Avg reimbursement
20 days
Strategic notes

Executive sponsor identified at VP of Pharmacy level; schedule quarterly touchpoint

Peer set

Closest peers in PBM

AllianceRx Walgreens Prime Health Plan
HI · Tier 3
56.2
+0.1
Zinc Health Services HMO
WA · Tier 3
56.9
+0.8
OptumRx MCO
MD · Tier 3
56.9
+0.8
OptumRx
CT · Tier 2
58.3
+2.1
BioScrip
MN · Tier 2
59.3
+3.1
Playbook · Tier 3

Engagement timeline

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