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Walmart Pharmacy
Walmart began adding in-store pharmacy counters to its supercenters starting in the 1970s and 1980s as part of the company's broader strategy of consolidating a wide range of everyday shopping needs, including groceries and prescriptions, under one roof. Walmart Pharmacy grew to become one of the largest pharmacy operations in the country by prescription volume, leveraging Walmart's massive existing store footprint across thousands of supercenter locations nationwide rather than building freestanding drugstore locations like its dedicated pharmacy-chain competitors. The company became particularly well known for its long-running $4 generic prescription drug program, introduced in 2006, which pressured competitors nationwide to offer similarly discounted generic drug pricing and reshaped consumer expectations around prescription costs. Walmart Pharmacy's combination of its integration into the country's largest retail footprint and its influential $4 generic drug pricing program has made it one of the most consequential forces in American prescription drug retail.
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CVS Pharmacy
CVS was founded in 1963 in Lowell, Massachusetts by brothers Stanley and Sidney Goldstein along with Ralph Hoagland, originally opening as a health and beauty aid discount store before adding pharmacy counters to its locations starting in 1967. The company grew into the largest pharmacy chain in the United States by store count and revenue, and its 2007 acquisition of Caremark, a major pharmacy benefit manager, along with its 2018 acquisition of health insurer Aetna, transformed CVS Health into one of the largest integrated healthcare companies in the country. CVS drew significant national attention in 2014 when it became the first major U.S. pharmacy chain to voluntarily stop selling tobacco products in all of its stores, a decision the company framed as aligning its retail business with its broader healthcare mission. CVS's combination of its growth into the largest pharmacy chain in the country and its transformation into a vertically integrated healthcare and insurance conglomerate has made it one of the most structurally significant companies in the American pharmacy industry.
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