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CVS raises outlook after strong Q1

All of the CVS major business units, including Aetna, Caremark and retail pharmacy, posted stronger-than-expected results.

WOONSOCKET, R.I. — CVS Health easily topped analysts’ forecasts for revenue and earnings for the first quarter ended March 31.

The company posted adjusted earnings per share of $2.57, beating Wall Street’s projected $2.21.

Revenue of $100.4 billion was ahead of the consensus estimate of $95 bilion.

All of the company’s businesses, including Aetna, Caremark and its retail pharmacy and health services segment, beat analysts’ revenue expectations.

CVS raised its full-year outlook for adjusted EPS to between $7.30 and $7.50 per share from a previous guidance of $7 to $7.20.

Revenue for the year is now projected at $405 billion at minimum, up from the prior outlook of at least $400 billion.

Net income for the quarter was $2.96 billion, up 66% from the year-ago period. 

David Joyner

“CVS Health continues to provide what people want most from health care: a connected, convenient, cost-effective engagement experience across our unique collection of businesses,” said chairman and CEO David Joyner. “We build trust every day in communities across the country by providing better access, affordability and care to nearly 185 million people. Our positive performance is driven by strong execution across our enterprise. We will continue to build momentum through delivering on our strategy and a steadfast focus on our purpose — to simplify health care one person, one family and one community at a time.”

Total revenue for the quarter increased 6.2%, driven by growth across all operating segments. Aetna’s gain of about 3% was especially notable, given the struggles of insurers with increased medical expenses over the past year.

CVS’s operating income surged 38.7%, primarily due to increased adjusted operating income, as well as the absence of a $387 million legacy litigation charge and a $247 million pre-tax loss on the wind-down and sale of accountable care assets, both recorded in the prior year.

Adjusted operating income climbed 12.5%, primarily driven by a 52.6% gain in the Health Care Benefits segment (Aetna) to $3.0 billion.

Aetna’s revenue rose to $35.97 billion from $34.8 billion a year earlier.

Caremark’s revenue advanced 11% from $43.5 billion last year to $48.2 billion.

CVS Health Q1 2026

CVS beats expectations and raises full-year outlook

Strong execution across Aetna, Caremark and retail pharmacy drove higher revenue, earnings and operating income in the first quarter.

Full-year revenue outlook
$405B+
Raised from prior guidance of at least $400 billion.
Revenue
$100.4B
+6.2%
Ahead of $95B consensus.
Adjusted EPS
$2.57
Beat
Wall Street expected $2.21.
Net Income
$2.96B
+66%
Higher than the year-ago period.
2026 EPS Outlook
$7.30-$7.50
Raised
Up from $7.00-$7.20.

Segment performance

Revenue growth across CVS Health’s major businesses.

Caremark
+11%
$48.2B
Aetna
About +3%
$35.97B
Retail pharmacy and health services
Up slightly
$32.0B
Operating income
+38.7%
Boosted by higher adjusted operating income and absence of prior-year charges.
Aetna adjusted operating income
+52.6%
Health Care Benefits adjusted operating income climbed to $3.0 billion.
People reached
185M
CVS said it provides access, affordability and care across communities.
CEO commentary

“CVS Health continues to provide what people want most from health care: a connected, convenient, cost-effective engagement experience across our unique collection of businesses.”

David Joyner, chairman and CEO, CVS Health

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