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Our connections make the healthy difference

We’re making health care more affordable and accessible for the millions of people we serve.

 

 

We help you lower costs while improving lives

CVS Caremark is more than a manager of pharmacy benefits - we are collaborators with our customers. Our services are powered by innovative technologies and solutions that help our customers provide affordable coverage, so your plan members can get and stay healthy.

Our unmatched connections with providers, pharmacists, and members allow us to use real-time data to analyze trends, identify opportunities, and provide solutions to optimize your pharmacy benefit spend.

And as part of CVS Health, our enterprise assets – in the community, in the home, and virtually – enable us to maximize the impact of our programs and fuel your ability to deliver truly healthy benefits. Our extensive physical footprint augments our extensive capabilities that make healthier happen together.

Low cost without compromise

Through our scale, expertise, and negotiating power, we can help you drive to low trend and spend across both traditional and specialty drugs. It’s our job to go head-to-head with pharmaceutical manufacturers to negotiate the lowest possible prices on behalf of our clients. By removing as many drug pricing challenges as possible, we can help increase access and adherence, close gaps in care, and lower overall health care spend.

  • 5.3% overall drug trend and 33.6% clients had negative specialty trend.4

Surrounding members with care and support

We provide superior member service through our integrated touchpoints, delivering access to care that is less fragmented and more connected.

Our ability to engage members and providers (prescribers and our own clinicians) in real time means access to critical data and more opportunities to help lower costs and improve care. Real-time data also helps to decrease barriers and increase speed to therapy.

When members receive ongoing, personalized support to manage their conditions, we see improved adherence, slower disease progression, fewer avoidable hospital visits, and improved health outcomes. 

It’s also critical that medications are both accessible and affordable.  When people can afford their medications, they are more likely to take them. Adherence can mean not only better outcomes, but also less spending on complications and hospitalizations. We work to provide options to help keep costs low for you and your members for the drugs they rely on to stay healthy.

 

 

Committed to service excellence and transparency

CVS Caremark is committed to service excellence and transparency. You and your members aren't one-size-fits-all. We customize our approach to support your unique goals. Along with your in-house benefits team, we work together to help you achieve successful outcomes that meet your needs and the commitment you have made to your business.  Your dedicated team of account service experts provides proactive guidance to help you make smarter decisions about the future of your plan, and their performance is measured against your specific priorities and goals

Our transparent reporting enables actionable insights on plan performance to assess progress and inform future management strategies. Available reporting ranges from therapy-level reporting to help you understand your key spend drivers, to analysis of patient engagement to ensure we’re optimizing the way we communicate with your members.

Investing in continuous innovation

Finally, our size, scale, and expertise enable us to continue to innovate for you. Taking the learnings from supporting over 110M plan members and filling more than 2.4B scripts, we continue to improve the way we operate by investing in advanced technologies, processes, and solutions to help you provide affordable coverage of the medications and support your members need to stay happy and healthy.

Our connected model means that we can deliver the most value when our programs work together – we can save up to $91PMPM, or 44% on overall drug spend.9

A complete health care ecosystem

 

Mail order pharmacy

At CVS Caremark, we work to ensure prescriptions are available at the lowest cost. And we make it easy for members to get their medicines.

About our mail order pharmacy

Neighborhood pharmacy

With more than 9,000 locations, there’s a CVS Pharmacy within ten miles of most Americans. Along with a growing number of services and convenience, our pharmacy teams provide trusted advice.

How pharmacies help

Specialty pharmacy

People with rare or chronic conditions often require complex treatments and specialty medications that can be costly for payors and patients. CVS Specialty Pharmacy is there to help.

About our specialty pharmacy

Primary care

CVS Health is committed to meeting patients where they are. And each year, millions of people trust our team of doctors, pharmacists, nurse practitioners, physician assistants and behavioral health professionals to provide them with a broad slate of health services — from comprehensive primary care at our Oak Street Health clinics, to vaccinations and chronic care at MinuteClinic locations to 24/7 virtual care to help with common illnesses or medicine refills.

From local clinics to virtual and in-home services, see how we’re delivering care to more people in more ways.

Condition and disease management

America’s aging population and lifestyle changes are fueling an increase in chronic conditions. For many, getting ongoing care can seem complicated, inaccessible, even hard to understand.

CVS Health is working to change that. As the country’s largest health solutions company, we’re developing approaches that help improve patient accessibility, connect them to care more seamlessly, and take their unique needs to heart.

See how we’re reinventing chronic condition care

Infusion services

As a leading provider of home infusion and tube feeding therapy, Coram CVS Specialty Infusion Services helps patients avoid extended hospital stays.

About infusion services

Meet our leaders

  • David Joyner

    Executive Vice President, CVS Health and President, CVS Caremark

  • Michelle Gourdine, MD

    Senior Vice President and Chief Medical Officer for CVS Caremark

  • Joshua Fredell, PharmD

    Vice President and Head of PBM & Specialty Product Innovation

Who we support

We bring together clinical expertise and innovative solutions to help our clients provide affordable coverage, and keep their members healthy.

Let’s work together to find a solution that works for you

 

  • 1 Source: CVS Health Analytics, 2022. P1013840223

  • 2 Source: CVS Caremark Analysis of 2022 Fortune 100 rankings. P1013930223

  • Source: Member Experience Survey - CVS Caremark, 2022. P1012460822

  • 4 Source: CVS Health Analytics, 2023. Adherence results and savings may vary based upon a variety of factors such as plan design, demographics and programs adopted by the plan. Client-specific modeling available upon request. CVS Health uses and shares data as allowed by applicable law, our agreements and our information firewall. P1011890422

  • 5 Source: Member Experience Survey - CVS Caremark, 2022. P1012460822

  • 6 Source: 2022 Specialty Drug Trend. CVS Health Analytics, 2023. Adherence results and savings may vary based upon a variety of factors such as plan design, demographics and programs adopted by the plan. Client-specific modeling available upon request. CVS Health uses and shares data as allowed by applicable law, our agreements and our information firewall. S1013800223

  • 7 Source: Full Year 2022 Overall Client Satisfaction with CVS Caremark for total book of business - Top-Three Box (Percent Satisfied or better on a five-point scale) = 98%. P1013960223

  • 8 Source: CVS Health Investor Relations, 3Q 2021. P1010211121 

  • 9 Source: Up to 44% savings or $91 PMPM savings on overall pharmacy spend with full program adoption: CVS Health Analytics, 2023. CVS Health Q4 2022 commercial employer cohort that have implemented ACSF (>95% of plan lives), Exclusive Specialty (>95% of plan lives), and Standard SGM (>95% of activity in standard criteria), Jan 2022 – Dec 2022. Total $ savings by program is for all commercial employer clients with adoption. All data sharing complies with applicable law, our information firewall and any applicable contractual limitations. Savings projections are based on CVS Caremark data. Actual results may vary depending on benefit plan design, member demographics, programs implemented by the plan and other factors. Client-specific modeling available upon request. P1014320423