CVS Health Stock Rallies 38% in May: Is it a Buy Amid PBM Pressure?

Core Viewpoint - CVS Health shares have increased nearly 38% this month due to stronger-than-expected Q1 2025 results, despite concerns over store closures related to new PBM reform legislation [1][2] Financial Performance - CVS Health reported Q1 2025 adjusted EPS of $2.25 and adjusted operating income of $4.6 billion, exceeding market expectations [5] - The company raised its full-year adjusted EPS guidance to a range of $6 to $6.20, up from $5.75 to $6, reflecting confidence in operational strength across its core businesses [5] Management Changes - Brian Newman was appointed as CFO and Amy Compton-Phillips as CMO, positioning CVS to advance its long-term vision of becoming a trusted healthcare company [6] Digital Innovation - The CVS Health app is enhancing customer engagement by providing better visibility into care and real-time AI recommendations [7] Operational Efficiency - CVS Health is streamlining prior authorizations, with 95% of Aetna's requests processed within 24 hours, and is expanding its bundled cancer care model [8] - The pharmacy segment processes over 1.7 billion prescriptions annually, with strategic investments in technology driving performance [9] Affordability Initiatives - CVS is expanding access to therapies, partnering with Novo Nordisk to offer Wegovy at lower costs and leading the U.S. market with its low-cost Humira biosimilar, generating over $1 billion in savings for clients [10] Strategic Focus - CVS Health will exit the ACA individual exchange markets by 2026 due to losses, focusing instead on Medicare, commercial, and Medicaid plans [11] Regulatory Challenges - CVS is closing 23 pharmacies in Arkansas due to new legislation banning PBMs from owning pharmacies, which CVS argues will limit access and increase drug spending [12][14] Valuation Insights - CVS Health's forward P/E ratio is 9.46X, lower than the S&P 500's 21.37X, but higher than competitors Walgreens Boots and Herbalife [15][17] - The stock's premium may be justified by its scale and strategic focus on digital health and value-based care [17] Analyst Outlook - CVS Health is trading nearly 22% below its average price target according to 22 analysts, indicating strong upside potential [19] Investment Recommendation - Despite regulatory challenges, CVS Health remains a strong long-term investment due to its diversified business model and advancements in digital health [20]