CVS Q4 2025 Earnings
Reported Feb 10, 2026 at 6:31 AM ET · SEC Source
Q4 25 EPS
$1.09
BEAT +9.00%
Est. $1.00
Q4 25 Revenue
$105.69B
BEAT +2.02%
Est. $103.60B
vs S&P Since Q4 25
+3.5%
BEATING MARKET
CVS +7.6% vs S&P +4.1%
Full Year 2025 Results
FY 25 EPS
$6.75
BEAT +1.36%
Est. $6.66
FY 25 Revenue
$402.07B
BEAT +0.52%
Est. $399.97B
Market Reaction
Did CVS Beat Earnings? Q4 2025 Results
CVS Health delivered a stronger-than-expected fourth quarter, posting adjusted EPS of $1.09 against the $1.00 consensus estimate for a 9% beat, while revenue climbed 8.2% year-over-year to $105.69 billion, topping the $103.60 billion forecast. The he… Read more CVS Health delivered a stronger-than-expected fourth quarter, posting adjusted EPS of $1.09 against the $1.00 consensus estimate for a 9% beat, while revenue climbed 8.2% year-over-year to $105.69 billion, topping the $103.60 billion forecast. The headline numbers, however, tell only part of the story; the quarter's underlying pressures were most visible in the Health Care Benefits segment, which posted an adjusted operating loss of $676 million as Medicare Part D seasonality shifts under the Inflation Reduction Act weighed heavily on margins. Partially offsetting that drag, the Pharmacy and Consumer Wellness segment was a standout, with revenue rising 12.4% to $37.66 billion and same-store prescription volume surging 9.7%. GAAP diluted EPS jumped to $2.30 from $1.30, aided by a roughly $1.90 billion tax benefit tied to the Omnicare bankruptcy. Looking ahead, CVS guided for 2026 adjusted EPS of $7.00 to $7.20, though it trimmed its operating cash flow outlook to at least $9.00 billion from a prior target of at least $10.00 billion, a revision investors will be watching closely.
Key Takeaways
- • Health Care Benefits revenue growth driven by Government business and impact of IRA on Medicare Part D
- • Health Services revenue growth driven by pharmacy drug mix and brand inflation
- • Pharmacy & Consumer Wellness revenue growth driven by pharmacy drug mix, increased prescription volume, and Rite Aid prescription file acquisitions
- • Same store prescription volume increased 9.7% in Q4 on a 30-day equivalent basis
- • Improved purchasing economics in Health Services segment
- • Full-year MBR improved to 91.2% from 92.5% driven by improved Government business performance
- • Prior years' health care costs payable estimates developed favorably by $2.0 billion during 2025
CVS Forward Guidance & Outlook
CVS Health confirmed 2026 full-year guidance with GAAP diluted EPS of $5.94 to $6.14 and Adjusted EPS of $7.00 to $7.20. The company updated its cash flow from operations guidance downward to at least $9.0 billion from at least $10.0 billion. Caremark closes 2025 with significant customer wins and strong retention providing momentum into 2026. CVS Pharmacy completed its transition to cost-based reimbursement across Commercial, Third-Party Discount, Medicare and Medicaid businesses.
CVS YoY Financials
Q4 2025 vs Q4 2024, source: SEC Filings
CVS Revenue by Segment
With YoY comparisons, source: SEC Filings
“Our fourth quarter and full-year results demonstrate the progress we are making in transforming the health care experience with our unique collection of businesses. From lowering drug prices, to improving navigation of health care, to being the front door of care across our country, we are well positioned to achieve our ambition to be the most trusted health care company in America.”
— David Joyner, Q4 2025 Earnings Press Release
CVS Earnings Trends
CVS vs Market 30 Day Price Reactions
30-day stock return vs benchmark after each earnings
CVS EPS Trend
Earnings per share: estimate vs actual
CVS Revenue Trend
Quarterly revenue: estimate vs actual
CVS Quarterly Results
4 quarters of earnings data
| Quarter | EPS Est. | EPS Act. | Surprise | Revenue | Rev. Surprise |
|---|---|---|---|---|---|
| Q4 25 BEAT FY | $1.00 | $1.09 | +9.00% | $105.69B | +2.02% |
| FY Full Year | $6.66 | $6.75 | +1.36% | $402.07B | +0.52% |
| Q3 25 BEAT | $1.36 | $1.60 | +17.93% | $102.87B | +4.08% |
| Q2 25 BEAT | $1.46 | $1.81 | +23.85% | $98.92B | +4.57% |
| Q1 25 BEAT | $1.67 | $2.25 | +34.55% | $94.59B | +1.31% |