The following is excerpted from the question-and-answer section of the transcript.
(Questions from industry analysts are provided in full, but answers are omitted - download the transcript to see the full question-and-answer session)
Question: Justin Lake - Wolfe Research, LLC - Analyst
: I wanted to focus on your comments around Medicare Advantage, specifically -- it sounds like you're seeing early trends better in
individual and Part D, maybe some pressure incrementally in (inaudible). So hoping you can give us some more color there across
those 3 segments. And also maybe give us your early impression of trend versus that high single-digit medical trend you put in
guidance for MA?
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MAY 01, 2025 / 12:00PM, CVS.N - Q1 2025 CVS Health Corp Earnings Call
Question: Lisa Gill - J.P. Morgan Securities LLC - Analyst
: I'm going to shift over to the relationship that you announced today with Novo for Wegovy. David, can you help me understand a
few things. One, when we think about your preferred formulary, can you talk about the number of lives that are on there? Two, when
we think about coverage, I know we've been talking in the last few years around how expensive this is for employers to cover, where
are we on coverage today for weight loss? And will this increase the number of potential lives that could be covered with this
program?
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MAY 01, 2025 / 12:00PM, CVS.N - Q1 2025 CVS Health Corp Earnings Call
And then just wrapping that around, you talked about clinical services, and this will come through Caremark, can you maybe just
talk about the economic value of this for both care markets as well as the member? And then just lastly, when I think about the
pricing, should I assume that you've been able to negotiate through Caremark is going to be better than the 499 that you also
announced at retail?
Question: Stephen Baxter - Wells Fargo Securities, LLC - Analyst
: Just a follow-up on the Health Care Benefits guidance. It looks like you had close to $1.6 billion worth of prior year development and
understanding it, it seems like the individual losses are also increasing inside the P&L. But just trying to understand better what are
these prior period sort of revenue adjustments that you're talking about, I guess what businesses actually relate to? And how do we
think about there's an impact to the prior year? Is there an impact to 2025 to consider?
And then as we just think about your expectations around the kind of earnings that you can generate from exiting the individual
business, I know you gave us the variable loss figure for the year. Is that the right way to think about the potential for year-over-year
earnings contribution from (inaudible) the exchanges? Or are there other considerations we should be keeping in mind?
Question: Elizabeth Anderson - Evercore ISI Institutional Equities - Analyst
: I was wondering if -- two questions about your sort of guidance expectations. One, are you having any change in your guidance
expectation on the back of the Wegovy announcement? It doesn't look like it, but I just wanted to check on that.
And two, could you comment on how you see the potential tariff impact? I know some of the pieces are still very much moving, but
maybe you could at least sort of comment on the front end of the store? And then maybe some of your broader thoughts on potential
other impact to the business?
Question: Andrew Mok - Barclays Capital - Analyst
: I wanted to follow up on your comments at Oak Street, where you noted some early signs of pressure. Can you elaborate on the
nature and timing of what you're seeing there? And relatedly, is there anything that changed from year one to year two of B-28 that
was either unanticipated or more challenging from an operational perspective?
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MAY 01, 2025 / 12:00PM, CVS.N - Q1 2025 CVS Health Corp Earnings Call
Question: Michael Cherny - Leerink Partners - Analyst
: Maybe just a follow-up on PCW. Obviously, this is the first quarter that you've had the cost vantage impact. Anything you can say
about the market impact, how it's trended based to your expectations? And then going forward, you've talked about the potential
to roll this into government. Any updated thoughts there?
Question: Charles Rhyee - TD Cowen - Analyst
: David, I wanted to circle back to your comments earlier about the (inaudible) pass in Arkansas. And obviously, I think it's been reported
that you could end up potentially closing sort of your retail locations in the state. Obviously, some other states are considering kind
of similar legislation and certainly, maybe Arkansas is an easy state to exit from if you had to -- if we think this gets adopted more
broadly. And I think back to the (inaudible) California contract where you -- they kind of split that contract up and you guys ended
up retaining the specialty pharmacy part of the business. And I think at the time, you guys had said that was obviously the most
profitable part of the business.
If that's the case, and we see a future where sort of splitting these business, and I understand the argument why having a vertically
integrated business makes more sense, but if you have to divest or the other, is it fair to think that you would look to divest maybe
the PBM part of the business and retain specialty pharmacy? And if that's the case, is that a difficult kind of process to enact if you
had to?
And just a quick follow-up to Lisa's question earlier, Wegovy being on the national formulary, I assume that comes with a better
rebate structure?
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MAY 01, 2025 / 12:00PM, CVS.N - Q1 2025 CVS Health Corp Earnings Call
Question: Ann Hynes - Mizuho Securities USA Inc. - Analyst
: Yes. Can you just provide a little bit more commentary on your -- commentary on the flu in your prepared remarks. I guess what
makes you a little bit more concerned? Is it just less support from the CDC? And can you remind us how much of your -- how many
flu vaccines you do a year and what you have embedded in guidance for a potential change in behavior?
And then additionally, is it -- are you just worried about the flu? Are you just -- or is it your entire vaccine portfolio that you might
be a little bit more worried about given the Washington environment?
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MAY 01, 2025 / 12:00PM, CVS.N - Q1 2025 CVS Health Corp Earnings Call
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