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Cvs Health Corporation  (NYSE: CVS)
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Description of Cvs Health's Business Segments


CVS Health Corporation is a diversified healthcare company operating through various segments, providing a wide array of products and services designed to enhance overall health and wellness. Below is an extensive overview of CVS Healths offerings, focusing particularly on their Pharmacy Benefit Management (PBM) services and broader segments.

Pharmacy Benefit Management (PBM) Services

CVS Health operates one of the largest PBM services in the United States, which encompass various critical functions aimed at managing prescription drug costs and ensuring efficient healthcare delivery. Here are the key components of their PBM services:

Plan Design and Administration
CVS Health aids clients, such as employers and health plans, in designing pharmacy benefit plans that promote safe and effective medication use while minimizing overall costs. This involves:
- Customizing Benefit Plans: Creating tailored plans that encourage the use of affordable yet clinically suitable medications.
- Cost Management: Implementing strategies to minimize client expenditures, including promoting generic drug use.
- Monitoring and Support: Conducting ongoing evaluations of the plans effectiveness through regular communications and a formalized annual review process.

Formulary Management
The company employs a specialized Pharmacy and Therapeutics Committee composed of healthcare professionals who evaluate and select drugs based on safety, efficacy, and cost-effectiveness. Key features include:
- Independent Review Process: Continuous assessment of medications on the formulary to ensure quality and accessibility.
- Clinical Support: Regular updates and recommendations for clients' drug lists to optimize therapy options for patients.

Discounted Drug Purchase Arrangements
CVS Health negotiates arrangements with pharmaceutical manufacturers to secure discounted pricing on prescription drugs. These agreements involve:
- Volume Discounts and Rebates: Securing lower prices based on the volume of drugs purchased and potential rebates.
- Cost Reductions: Direct discounts applied at the time of drug acquisition, benefiting clients and pharmacies alike.

Medicare Part D Services
CVS Health provides comprehensive services for Medicare Part D, which integrates prescription drug coverage into Medicare. These services include:
- PDP Administration: Operations through SilverScript, a CMS-approved prescription drug plan, providing essential medication coverage for eligible individuals.
- Retiree Drug Subsidy Support: Assisting employers and unions in obtaining subsidies to lower costs associated with retiree drug coverage.

Mail Order Pharmacy
CVS Health operates multiple mail service pharmacies, primarily serving members requiring maintenance medications. This service emphasizes:
- Convenient Prescription Fulfillment: Utilization of various communication channels for prescription submission (mail, phone, online).
- Quality Assurance: Pharmacists conduct thorough reviews of prescriptions to ensure accuracy, safety, and cost efficiency, and are accredited by URAC.

Specialty Pharmacy
Specialty pharmacies cater to patients needing high-cost and complex therapies. Features include:
- Accredited Facilities: Ensuring high standards of care through accreditation by recognized organizations like the Joint Commission and URAC.
- Comprehensive Services: Focus on managing therapies for chronic and rare diseases, including infusion services via Coram, enhancing patient support and treatment efficacy.

Retail Pharmacy Segment

CVS Health also operates an extensive retail pharmacy network that significantly enhances its service provision capabilities:

Retail Drugstores
With nearly 68,000 retail locations, CVS Health is a major player in the U.S. pharmaceutical market, operating under well-known brands such as CVS/pharmacy, Longs Drugs, and Drogaria Onofre. Features of this segment include:
- Diverse Product Offerings: Retail stores provide a comprehensive selection of prescription medications, over-the-counter drugs, personal care products, beauty items, and general merchandise (front storeproducts).
- Strategic Market Coverage: Presence in 95 of the top 100 U.S. drugstore markets, with significant market share'ranking first or second in 86 of those markets.
- Store Formats: Retail locations vary in size from approximately 5,000 to 30,000 square feet, with modern designs often including amenities like drive-thru pharmacies.

Clinical Services and Disease Management Programs

CVS Health emphasizes clinical services as part of a holistic approach to patient care:
- Medication Management: Programs that ensure patients adhere to their medication regimens and reduce adverse events.
- Disease Management: Targeted programs for complex conditions, supported by advanced clinical protocols, to optimize patient outcomes.

The combination of PBM services, retail pharmacies, and clinical programs allows CVS Health to provide integrated healthcare solutions, enhancing their clients and patients health outcomes while controlling costs in an increasingly complex healthcare landscape. Through their wide-ranging services, CVS Health aims to improve adherence to treatment plans, manage expensive drug therapies, and foster better health amongst their members.

 

Composition of Cvs Health Corporation Revenues by Segments

 
Pharmacy    57.28 % of total Revenue
Front Store    5.44 % of total Revenue
Premiums    32.41 % of total Revenue
Other    4.29 % of total Revenue
Health Care Benefits    34.58 % of total Revenue
Health Care Benefits Premiums    32.4 % of total Revenue
Health Care Benefits Other    1.74 % of total Revenue
Health Services    46.24 % of total Revenue
Health Services Pharmacy network    25.29 % of total Revenue
Health Services Mail specialty    18.04 % of total Revenue
Health Services Other    2.91 % of total Revenue
Health Services Pharmacy    43.33 % of total Revenue
Pharmacy Consumer Wellness    33.98 % of total Revenue
Pharmacy Consumer Wellness Pharmacy    27.94 % of total Revenue
Pharmacy Consumer Wellness Front Store    5.44 % of total Revenue
Pharmacy Consumer Wellness Other    0.59 % of total Revenue
Corporate Other Corporate Other    0.15 % of total Revenue
Corporate Other Corporate Other Premiums    0.01 % of total Revenue
Corporate Other Corporate Other Other    0 % of total Revenue
InterEliminations    -14.95 % of total Revenue
InterEliminations Pharmacy    -14 % of total Revenue
InterEliminations Other    -0.95 % of total Revenue
InterEliminations Health Care Benefits    0.02 % of total Revenue
InterEliminations Health Services    3.5 % of total Revenue
InterEliminations Pharmacy Consumer Wellness    11.43 % of total Revenue

Q3 three months ended (Sep 30 2024)
Revenues by Business Segments Revenues
(in millions $)
%
(of total Revenues)
Pharmacy 54,659.00 57.28 %
Front Store 5,196.00 5.44 %
Premiums 30,925.00 32.41 %
Other 4,098.00 4.29 %
Health Care Benefits 32,996.00 34.58 %
Health Care Benefits Premiums 30,914.00 32.4 %
Health Care Benefits Other 1,659.00 1.74 %
Health Services 44,129.00 46.24 %
Health Services Pharmacy network 24,136.00 25.29 %
Health Services Mail specialty 17,214.00 18.04 %
Health Services Other 2,780.00 2.91 %
Health Services Pharmacy 41,350.00 43.33 %
Pharmacy Consumer Wellness 32,423.00 33.98 %
Pharmacy Consumer Wellness Pharmacy 26,666.00 27.94 %
Pharmacy Consumer Wellness Front Store 5,196.00 5.44 %
Pharmacy Consumer Wellness Other 561.00 0.59 %
Corporate Other Corporate Other 142.00 0.15 %
Corporate Other Corporate Other Premiums 11.00 0.01 %
Corporate Other Corporate Other Other 3.00 0 %
InterEliminations -14,262.00 -14.95 %
InterEliminations Pharmacy -13,357.00 -14 %
InterEliminations Other -905.00 -0.95 %
InterEliminations Health Care Benefits 18.00 0.02 %
InterEliminations Health Services 3,336.00 3.5 %
InterEliminations Pharmacy Consumer Wellness 10,908.00 11.43 %
Total 95,428.00 100 %




Q3 three months ended (Sep 30 2024)
Revenue Growth rates by Segment Y/Y Revenue
%
Q/Q Revenue
%
Pharmacy -2.74 % 7.22 %
Front Store -3.26 % -1.61 %
Premiums 25.42 % 0.84 %
Other 25.67 % 4.75 %
Health Care Benefits 25.48 % 1.6 %
Health Care Benefits Premiums 25.44 % -
Health Care Benefits Other 13.32 % -
Health Services -5.89 % 4.64 %
Health Services Pharmacy network -13.74 % -
Health Services Mail specialty 1.24 % -
Health Services Other 45.86 % -
Health Services Pharmacy -8.08 % -
Pharmacy Consumer Wellness 12.3 % -
Pharmacy Consumer Wellness Pharmacy 16.06 % -
Pharmacy Consumer Wellness Front Store -3.26 % -
Pharmacy Consumer Wellness Other 6.65 % -
Corporate Other Corporate Other 35.24 % -
Corporate Other Corporate Other Premiums -8.33 % -
Corporate Other Corporate Other Other 200 % -
InterEliminations - -
InterEliminations Pharmacy - -
InterEliminations Other - -
InterEliminations Health Care Benefits -10 % -
InterEliminations Health Services 18 % -
InterEliminations Pharmacy Consumer Wellness 14.18 % -
Total - 4.6 %




Q3 three months ended (Sep 30 2024)
Income by Business Segments Income
(in millions $)
%
(Profit Margin)
Total 71.00 0.07 %




Q3 three months ended (Sep 30 2024)
Income Growth rates by Segment Y/Y Income
%
Q/Q Income
%
Total - -




Annual Report on Cvs Health Corporation Divisions, Sales by Country

 
Pharmacy   Pharmacy Segment contribution to total sales 56.4 % of total Revenue
Front Store   Front Store Segment contribution to total sales 5.77 % of total Revenue
Premiums   Premiums Segment contribution to total sales 32.96 % of total Revenue
Other   Other Segment contribution to total sales 4.28 % of total Revenue
Health Care Benefits   Health Care Benefits Segment contribution to total sales 35.05 % of total Revenue
Health Care Benefits Premiums   Health Care Benefits Premiums Segment contribution to total sales 32.95 % of total Revenue
Health Care Benefits Other   Health Care Benefits Other Segment contribution to total sales 1.7 % of total Revenue
Health Services   Health Services Segment contribution to total sales 46.57 % of total Revenue
Health Services Pharmacy network   Health Services Pharmacy network Segment contribution to total sales 24.58 % of total Revenue
Health Services Other   Health Services Other Segment contribution to total sales 2.9 % of total Revenue
Health Services Pharmacy   Health Services Pharmacy Segment contribution to total sales 43.6 % of total Revenue
Pharmacy Consumer Wellness   Pharmacy Consumer Wellness Segment contribution to total sales 33.4 % of total Revenue
Pharmacy Consumer Wellness Pharmacy   Pharmacy Consumer Wellness Pharmacy Segment contribution to total sales 27.01 % of total Revenue
Pharmacy Consumer Wellness Front Store   Pharmacy Consumer Wellness Front Store Segment contribution to total sales 5.77 % of total Revenue
Pharmacy Consumer Wellness Other   Pharmacy Consumer Wellness Other Segment contribution to total sales 0.61 % of total Revenue
Corporate Other Corporate Other   Corporate Other Corporate Other Segment contribution to total sales 0.12 % of total Revenue
Corporate Other Corporate Other Premiums   Corporate Other Corporate Other Premiums Segment contribution to total sales 0.01 % of total Revenue
Corporate Other Corporate Other Other   Corporate Other Corporate Other Other Segment contribution to total sales 0 % of total Revenue
InterEliminations   InterEliminations Segment contribution to total sales -15.13 % of total Revenue
InterEliminations Pharmacy   InterEliminations Pharmacy Segment contribution to total sales -14.2 % of total Revenue
InterEliminations Other   InterEliminations Other Segment contribution to total sales -0.93 % of total Revenue
InterEliminations Health Care Benefits   InterEliminations Health Care Benefits Segment contribution to total sales -0.02 % of total Revenue
InterEliminations Health Services   InterEliminations Health Services Segment contribution to total sales -4.11 % of total Revenue
InterEliminations Pharmacy Consumer Wellness   InterEliminations Pharmacy Consumer Wellness Segment contribution to total sales -11.01 % of total Revenue
Corporate Other   Corporate Other Segment contribution to total sales 0.02 % of total Revenue
Health Services Mail choice   Health Services Mail choice Segment contribution to total sales 19.01 % of total Revenue


Twelve months ended 2024
CVS s Annual Revenue by Geography and Business Segments Sales
(in millions $)
%
(of total Sales)
Pharmacy 210,272.00 56.4 %
Front Store 21,522.00 5.77 %
Premiums 122,896.00 32.96 %
Other 15,966.00 4.28 %
Health Care Benefits 130,665.00 35.05 %
Health Care Benefits Premiums 122,849.00 32.95 %
Health Care Benefits Other 6,343.00 1.7 %
Health Services 173,605.00 46.57 %
Health Services Pharmacy network 91,650.00 24.58 %
Health Services Other 10,793.00 2.9 %
Health Services Pharmacy 162,527.00 43.6 %
Pharmacy Consumer Wellness 124,500.00 33.4 %
Pharmacy Consumer Wellness Pharmacy 100,687.00 27.01 %
Pharmacy Consumer Wellness Front Store 21,522.00 5.77 %
Pharmacy Consumer Wellness Other 2,291.00 0.61 %
Corporate Other Corporate Other 451.00 0.12 %
Corporate Other Corporate Other Premiums 47.00 0.01 %
Corporate Other Corporate Other Other 9.00 0 %
InterEliminations -56,412.00 -15.13 %
InterEliminations Pharmacy -52,942.00 -14.2 %
InterEliminations Other -3,470.00 -0.93 %
InterEliminations Health Care Benefits -72.00 -0.02 %
InterEliminations Health Services -15,304.00 -4.11 %
InterEliminations Pharmacy Consumer Wellness -41,036.00 -11.01 %
Total 372,809.00 100 %
Corporate Other 56.00 0.02 %
Health Services Mail choice 70,877.00 19.01 %


Twelve months ended 2024
CVS s Annual Income by Country and Business Segments Income
(in millions $)
%
(Profit Margin)
Total 4,586.00 1.23 %

Twelve months ended 2024
Annual Revenue and Income Growth by Country and Business Segments % Y/Y Sales Growth % Y/Y Income Growth
Pharmacy -5.9 % -
Front Store -4.17 % -
Premiums 23.9 % -
Other 38.58 % -
Health Care Benefits 23.68 % -
Health Care Benefits Premiums 23.91 % -
Health Care Benefits Other 10.56 % -
Health Services -7.09 % -
Health Services Pharmacy network -18.69 % -
Health Services Other 75.95 % -
Health Services Pharmacy -10.06 % -
Pharmacy Consumer Wellness 6.63 % -
Pharmacy Consumer Wellness Pharmacy 9.31 % -
Pharmacy Consumer Wellness Front Store -4.17 % -
Pharmacy Consumer Wellness Other 4.18 % -
Corporate Other Corporate Other 0 % -
Corporate Other Corporate Other Premiums -2.08 % -
Corporate Other Corporate Other Other 0 % -
InterEliminations - -
InterEliminations Pharmacy - -
InterEliminations Other - -
InterEliminations Health Care Benefits - -
InterEliminations Health Services - -
InterEliminations Pharmacy Consumer Wellness - -
Corporate Other -1.75 % -
Health Services Mail choice 4.24 % -



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