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Health plans

Long-term, trusted relationships with your members and our data-driven engagement model can help drive improved quality outcomes and plan performance.

We support your members when and where they need it

Trusted care, improved outcomes

Your members face challenges in navigating a fragmented health care system, managing multiple medications and keeping up with necessary screenings and immunizations.

We maintain trusted, long-term relationships that position us to reach, engage and motivate them to adopt and maintain healthy behaviors that help lead to improved quality outcomes and plan performance.

100M+

are signed up to receive our SMS prompts

#1

in Stars adherence performance* for major health plans

Explore enhanced solutions from CVS Pharmacy®

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    Vaccination services

    Help protect your members with flexible, convenient vaccination options, available at on-site clinics or a nearby CVS Pharmacy location.

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    Adherence

    Help members with diabetes, cholesterol or hypertension achieve or maintain optimal adherence to their medications with high-touch, personalized adherence support from our trusted pharmacy teams.

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    Gaps in care

    Close critical gaps in care tied to quality performance with personalized outreach and omnichannel support.

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    Formulary optimization

    Support your formulary strategy by driving therapeutic conversion to desired, cost-effective medication alternatives.

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    Comprehensive Medication Reviews (CMR)

    Maximize CMR closure with our enhanced patient engagement model to address medication-related challenges and lower downstream medical costs.

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    Additional solutions

    Explore additional solutions that help you engage and support your members to promote plan differentiation, enrollment and overall performance.

How we’re enhancing care for your members

Training and talent

We support pharmacy colleagues with a passion for patient care and equip them with the right tools and training to deliver better outcomes and experiences.

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Engagement excellence

We are continuously improving our patient engagement model, exploring new channels and personalization efforts to deliver the right message to the right patient at the right time.

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Systems and technology

We are investing in systems and technology to advance self-service capabilities on the CVS Pharmacy app and engage our patients in new and meaningful ways.

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Let’s discuss how we can support your business

Ready to learn more about our solutions?

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Discover our latest news and insights

  • *FOR 10–12 YEARS AVERAGE TENURE: CVS Health® Enterprise Analytics. Selection criteria: Filled 1 prescription in 2023 and on commercial health plan (10yr), > 65 and on Medicare (12yr). 2023.

  • *FOR #1 IN STARS ADHERENCE: Pharmacy Quality Solutions (PQS); based on CVS Pharmacy® patient Proportion of Days Covered (PDC) medication target attainment for hypertension, cholesterol and diabetes conditions.