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CVS

Transcript: Key Financials (last fiscal year) $ millions % change Revenues ($M) 139367 9% Profits ($M) 4644 1% Total Stockholder Equity : 37958 Employees :177800 Market Value (as of March 31, 2015): 117171 Profit Ratios Profit as % of Revenues: 3% Profits as % of Assets: 6% Profits as % of Stockholder Equity: 12% Earnings Per Share Earnings Per Share: ($) 3 EPS % Change (from 2013): 5% EPS % Change (5 year annual rate): 9% EPS % Change (10 year annual rate): 13% Total Return Total Return to Investors (2014): 36% Total Return to Investors (5 year, annualized): 26% Total Return to Investors (10 year, annualized): 16% -CVS health capital increed in capital spending by 231,000 between december 2014 and december 2015. History of CVS CONSTANT CHANGE IMPLEMENTATION RITE AID 1.Focus on beauty 2.The most important aspect of our success at MinuteClinic has been the extremely high rate of patient satisfaction achieved by the practitioners treating our patients across the MinuteClinic network every day. 3.Personalization new signage and revamped merchandising, making these stores more inviting to the Hispanic customer. Management notes that sales have increased by 10% in the remodeled stores 700 locations have been remoled. Strategic Implementation plan 2; We stopped selling cigarettes and other tobacco products at its more than 7,600 CVS/pharmacy stores across the U.S. by October 1, 2014, making CVS/pharmacy the first national pharmacy chain to take this step in support of the health and well-being of its patients and customers. Drug Store Market Share EMPLOYEE TRENDS MinuteClinic, CVS Caremark's network of walk-in medical clinics, was highlighted as a breakthrough innovator in healthcare delivery by the World Economic Forum's Innovative Health Care Delivery Project. We can treat Children as well as Adults offering a huge advantage to the consumer. CRITICAL SUCCESS FACTORS CVS should form another committee that focuses on creative new ideas that can be instituted, lest the competition should begin to offer similar services as their firm. Perhaps this could be a less formal committee than the existing ones. It may be a good idea for the members to meet at each others' homes or in eateries. The more comfortable environment may help the involved parties to express new ideas without feeling pressured to do so in as time-sensitive of a manner as a more formal meeting Strong earnings and cashflow, coupled by disciplined authority. Shareholder Value CAPITAL SPENDING TREND -CVS came across an advantageous growth opportunity in 2006 when the chain decided to buy hundreds of properties that were once known as OscoDrug™ stores. The store conversion from Osco to CVS occurred in several states, including the most heavily populated state of California. Predictably, the already prominent chain had grown economically because of this purchasing STRATEGIC ALTERNATIVES MINUTE CLINIC HUMAN RESOURCE MANAGMENT *The medical field is constantly changing and so is the pharmaceutical industry. Because CVS is connected to healthcare as well, there will always be constant change, including medications. Christine, Jeff, Lacita Extra Care Loyalty Program( Extrabucks): for CVS Caremark is the front store, as its new feature with Extra Care Loyalty Program; offering extra bucks actually money back and coupons for various items purchased. The more you spend at CVS the more you get back, they’ve created these electronic machines that you walk right up to and scan your card. Attracting more consumers, infact the company sees a $1.5 billion dollar goal in beauty alone. CON: They do not reward non loyalty care consumers and they expire 30 days after the date you are given them. EXTERNAL ENVIROMENT Due to the fact that CVS employees deal with foods, drugs, and medical supplies, it is important that the staff members are ethical. Caring about the health and well-being of the community that the chain serves is essential in regard to building and maintaining trust and recurring patronage. To handle this situation, CVS has implemented a telephone line called Ethics Point. This service enables parties to make confidential reports lest they sense that unethical actions have occurred. CVS Mission Statement: We will be the easiest pharmacy retailer for customers to use Vision Statement: We help people live longer, healthier, happier lives "We are capitalizing on our integration sweet spots to introduce innovative products and services into the marketplace." - CEO Larry Merlo strategic implementation Minute Clinic; this new broad approach to acute illness care has flourished since first implemented in 2011. The clinic operator has more than 650 clinics in 25 states. This Strategic is abundant PRO a huge win for the company as a whole. Since its inception in 2000, Minute Clinic NP’s and PA’s have seen more than 10 million in the last five years. “We are continuing to expand the scope of services we provide. Non-acute care is our fastest growing segment and we expect non-acute

CVS

Transcript: 1. Assess the risk factors 2. Identify causes of hypertension : To check if patient has any secondary cause contributing to hypertension (e.g: snoring) 3. Total organ damage : To check if there are any organ damage as the effect of hypertension 4. History checking (Dietary, physical activity, daily life) 5. Physical examination 6. Laboratory test such as blood test and urine test DASH stands for "Dietary Approaches to Stop Hypertension Types of DASH DASH standard DASH sodium In DASH diet, less salt and sodium is used while spices like herbs garlic, onion is used as subtitutues to make the food delicious Eating food lower in salt and sodium can help in reducing blood pressure DASH eating plan has more daily servings in fruits vegetables grains 1. Change gradually if you do not eat fruit now, you can start adding a serving to your meals or having it as a snack 2. Treat meat as part of the whole meal instead of the focus cut the portion of large meat into half or third at each meal 3. Use fruits or other food low in saturated fat, trans fat, cholesterol, sodium, and sugar 4. If a person having trouble digesting milk and milk product, they can try taking lactase enzyme pills or taking lactose-free milk 5. if they allergic to nuts, they can try seeds or legumes 6. Use fresh, frozen, low-sodium canned vegetables and fruits - Maintain normal body weight (18.5<BMI<25) - Eat a diet high in fiber, low in fat - Low cosumption of sodium (Na <2.4g per day) - Do aerobic activity (30 minutes at least 4 days per week) - Consume less alcoholic drink - Manage stress Compliance 1. allow follow up within 1 week by phone or email 2. take a moment to educate patients 3. Asses patients knowledge level and determine whether misinformation or perspectives from outside sources including internet sources 4. online consultation 5. Apps for appointment scheduler for medical and healthcare Effect of regular physical activity or 10kg loss of weight on Mr Baharom blood pressure? -Effect regular physical activity aerobic activities 30 min most day of the week being active can lower systolic BP by an average 4-9 mmHg -Effect 10kg weight reduction small weight loss can help manage or prevent HBP BMI aimed between 18.5-24.9 short term studies indicate 1:1 ratio drop BP with weight loss 10kg loss of weight can drop systolic BP 5-20mmHg There is correlation between the waist measurement with the risk of hypertension Waist measurement measures the central distribution of fat. Higher risk of hypertension in men with >102 cm while >88 cm in women Statins (or HMG-CoA reductase inhibitors) are a class of lipid-lowering medications that inhibit the enzyme HMG-CoA reductase which plays a central role in the production of cholesterol. High cholesterol levels have been associated with cardiovascular disease (CVD). The mechanism of action simvastatin is to inhibit enzyme HMG-coA reductase which is vital for cholestrol biosynthesis. The reduction level of cholestrol stimulate compensatory mechanism by increasing number of LDL receptors,thus removing LDL and VLDL remnants from blood. Thus, it reduce LDL level. In this cases, Mr Baharom should take statin at night because cholestrol synthesis do their synthesizing process at night. -is a biguanide anti-dibetic drug -act as first line treatment for diabetes mellitus type 2 -MOA : -will bind to cells to increase insulin sensitization. More insulin will bind to cell and increase glucose uptake from blood into cell. This resulting decrease in the blood sugar level. - Perindopril is a drug under angiotensin-converted enzyme (ACE) inhibitor - The function ACE is to convert angiotensin 1 into angiotensin 2 and angiotensin 2 is very potent vasoconstriction - For the ACE inhibitor in action will prevent the convention of angiotensin 1 into angiotensin 2, hence prevent the vasoconstriction. This lead to decreasing peripheral vascular resistance without increasing cardiac output, heart rate and contractility - This is the reason why GP prescribe perindopril to Mr Baharom is to treat his hypertension problem How to Diagnose? RATIO TOTAL CHOLESTEROL TO HDL as to predict arteriosclerosis the higher the no of ratio, the greater the risk of heart disease the optimal ratio is 3.5 for En Baharom case, he is 4.4 and he is at risk of heart disease. Waist Measurement MOA blockade of beta receptor at kidney inhibit release the release of renin from juxta-glomerular cell and reduce RAAS • Blockade of beta receptor in SA node of heart reduce heart rate & blockade of beta receptor in myocardium reduce cardiac contractility • Blockade of beta receptor in brainstem & blockade of beta receptor in periphery inhibit release neurotransmitter and decrease sympathetic nervous activity (sympatholytic) 1. Use fresh meat. 2. Eat fresh fruit & vegetables. 3. Check sodium content at food label. 4. Compare various brand of the same item. 5. Rinse canned food with water before consumption. Reabsorption of sodium in the kidney will also cause the

CVS

Transcript: CVS is one of the largest U.S pharmacy services provider $126.8 Billion in Net Revenue $4.58 Billion in Net Income Large Market Share ExtraCare Cards myWeeklyAd ExtraCare Bucks In-store promotions Mobile App Ally Tremblay, Emma Weinreb, Kristen Vergine, Greg Bennett, Matthew Lague Mission Statement Banning Tobacco Multiple distribution centers Strong supplier relationships Not selling tobacco products anymore People will go elsewhere for their pharmacy and convenience store needs CVS Stock -Prioritizes strategies around a “super customer” -Women -Young 50's Postioning Price Goods and services Front store and pharmacy Store brands and generic drugs Exclusive co-brands Seasonal products Immunizations First to market products Quality brand name products at reasonable prices Reliable CVS brand products Continue to produce better generic brands at a lower cost to the consumer International growth opportunities in South America Expansion of MinuteClinics Expansion of the services offered at these clinics ExtraCare rewards program Highly knowledgeable employees Four Theories of Excellence STP Marketing Mix - Make up 80% of CVS's customers Other drug/convenience stores Walgreens, Rite Aid, Target and Walmart Government intervention Segmentation Thousands of stores across the nation Marketing Metrics Product Excellence -Focus on specific purchase intervals EX: Holidays Targeting E-Commerce Growth Strategies Threats Locational Excellence "Above all else … our mission is to improve the lives of those we serve by making innovative and high-quality health and pharmacy services safe, affordable and easy to access." Higher drug costs compared to "big box" stores Offer low costs generics with higher profit margins Discounts for bulk purchases Pharmacuetical products = inelastic Front Store products = elastic -Grouping customers based on the specific functional or emotional benefits they seek Ex: Beauty Products Occasion Segmentation Strengths Promotion SWOT Analysis Psychographic Segmentation Customer Excellence Weaknesses Place Benefit Segmentation Brand recognition Reliability Loyalty Convenience Boldness -Focuses on making it easier for customers to engage with CVS at any moment and most importantly to help our shoppers lead healthier lives, Product Middle-Aged Women 7,600+ stores 46 states, District of Columbia, & Puerto Rico 900+ Minute Clinics 31 Specialty Pharmacys CVS.com Operational Excellence 2012 Stock Price: $48.35 2013 Stock Price: $71.57 Current Stock Price: $89.84 Walgreens Stock Price: $68.60 Opportunities -First major pharmacy chain to stop selling tobacco "We strive to improve the quality of human life." CVS Growth Rate 7.8% Due to: Increased Demand Generic Brands Recall Ex. Johnson and Johnson Plans for the future

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