Gravity

GROSS ~$402B/yr routed — Caremark PBM 75M+ members, ~9,100-9,600 pharmacies (~1/5 of US scripts), Aetna medical members; a payer-PBM-pharmacy triple choke-point.

med confidence · as of 2026-07-26 · about Cvs Health

Sourced figures 2

Wikipedia — CVS Health Caremark 75M+ plan members; 9,135 stores (2024) / 9,600+ CVS Pharmacy locations; MinuteClinic 1,100+
2026-07 med
kestrel board.yaml cvs-health gravity axis — estimate ~$340B+/yr GROSS routed, ~1/5 of US scripts, Aetna
2026-07 low

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