CVS Health Shares Dip Despite Fourth-Quarter Earnings and Revenue Beat

Core Insights - CVS Health Corporation reported fourth-quarter results that exceeded analyst expectations, with adjusted earnings per share of $1.09, surpassing the estimate of $1.00, and revenue of $105.7 billion, up 8.2% year over year, exceeding the forecast of $103.63 billion [1][2] Financial Performance - For full-year 2025, CVS achieved record revenue of $402.1 billion, reflecting a 7.8% year-over-year growth, while adjusted earnings per share increased by 24.5% to $6.75 [2] - The company reduced its 2026 cash flow from operations guidance to at least $9.0 billion, down from the previous target of at least $10.0 billion, while maintaining its full-year 2026 adjusted EPS guidance of $7.00 to $7.20, aligning with analyst expectations of $7.17 [2] Segment Performance - The Pharmacy & Consumer Wellness segment showed strong fourth-quarter performance, with revenue increasing by 12.4% due to higher prescription volumes and a favorable pharmacy drug mix, and same-store prescription volume rose by 9.7% on a 30-day equivalent basis [3] - The Health Services segment, which includes pharmacy benefit management, reported a 9.0% revenue increase, while the Health Care Benefits segment experienced 10.1% revenue growth but recorded an adjusted operating loss due to Medicare Part D seasonality changes under the Inflation Reduction Act [3]