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      Pharmacy benefits that make a real difference for health plans

      You’ve got a clear vision. We’ll help you move it forward.

      Your clients and members count on you to improve health outcomes, manage costs and deliver exceptional experiences that offer peace of mind. By meeting members where they are, you help ensure they can access the right care at the right time — supporting their health, their families and their futures.

      Our pharmacy benefit solutions flex to your needs — so you can stand out and stay ahead.

      You’re focused on results. We are, too.

      Aligning to your vision

      Pharmacy benefits connect directly to your bigger goals. We’re here to support you in delivering clinical excellence, boosting member satisfaction, engaging providers and driving smart, sustainable growth — all while keeping care affordable and accessible.

      Supporting smart growth

      We work alongside you, leveraging our scale, expertise and data-driven insights to support retention and growth. That includes modeling pricing structures, uncovering market opportunities, tailoring product offerings and implementing strategies that reflect your values and elevate your brand.

      Delivering seamless experiences

      And because everything we do ultimately supports your members, we focus on making their experience as smooth as possible, with minimal disruptions. That means supporting better care at every step of the health care journey — from the prescriber’s office to the pharmacy and even in the member’s home.

      Simplifying through tech

      Through streamlined prior authorizations, connected call centers and intuitive self-service tools, we make it easy for members to manage their prescriptions and get support during key moments that matter most.

      A couple reads a medication bottle while sorting pills into a weekly container.

      Success spotlight

      [Instrumental background music plays. Text description follows.] 
      0:01 Health Plan Success Spotlight

      0:03 Helping a small regional health plan grow their member population by 45%

      0:07 Situation

      0:09 A small Medicare plan with limited staff and resources was looking for a partner who could help them grow without overwhelming their team.

      0:14 Approach

      0:16 A hands-on approach supplemented the small client team and ensured a seamless implementation with no missed milestones.

      0:22 Working collaboratively, the CVS Caremark implementation was completed successfully in just 9 months.

      0:27 Results

      0:29 {5 stars} “The CVS implementation has been outstanding… their partnership, collaboration and response time are best in class.” – Vice President, Pharmacy

      0:38 9/10 likelihood of recommending CVS Caremark

      0:41 4/5 overall satisfaction score

      0:45 [CVS Caremark™ logo] 

      Helping health plans grow

      A small regional health plan needed support for rapid growth. With tailored programs and hands-on support, they saw a 45% membership increase — and gave high marks for satisfaction and collaboration.

      In a fast-changing market, you need to lead — not just keep up.

      We’re always evolving to meet the moment, making smart, bold decisions that create real value.

      • We were the first PBM to use formulary exclusions to drive competition and offer lower cost options, including biosimilars.
      • We’re reimagining pricing models, bringing more transparency and predictability, with flexible options to suit your financial goals.
      • And we keep you informed and prepared, advocating for policies that protect your ability to offer affordable, high-quality prescription drug benefits.
      • We're also investing in tech to make pharmacy benefits work better for everyone.

      52%

      overall program savings for health plans1

      up to $114

      savings per member, per month for health plans1

      20M

      Commercial members

      14M

      Medicaid members

      13M

      Medicare members

      We’re not just supporting your strategy. Together, we’re reshaping health care.

      Large black text showing ‘93%’ with smaller black text below reading ‘member satisfaction.’ Two red curved lines are drawn underneath for emphasis.

      We can help you bring it all together.

      When your pharmacy benefit programs work in sync and coordinate with your other benefits, you get more than efficiency — you get impact. Our integrated model connects the dots across cost management, member experience and clinical outcomes, helping you deliver on your goals. Members agree, giving us a 93% member satisfaction score.2

      Ready to do more with your pharmacy benefits?

      Let’s talk about how we can help you deliver smarter solutions, stronger outcomes and a better experience for your members.

      Let's talk

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      • 1 CVS Health Analytics, 2025. CVS Commercial Health Plan clients January 2024–December 2024. Total savings by program is for all commercial clients with adoption. Savings taken from non-specialty prior authorization (PA), Standard Specialty Guideline Management (SGM), quantity limits (QL) and rebates. Standard and custom criteria both included for PA/SGM savings. 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.​​ P1018231025

      • 2 CVS Caremark Member Experience Survey, 2025.