On February 5, 2014, CVS Caremark announced its commitment to remove all tobacco products from its more than 7,600 pharmacies across the United States. The company’s CEO stated that it is “the right thing for us to do for our customers and our company to help people on their path to better health. Put simply, the sale of tobacco products is inconsistent with our purpose.” This decision is an element of the corporation’s long-term plan to position CVS Caremark for “future growth and the opportunity to play a bigger role in our evolving healthcare system.”
Analysts who expect the need for primary care to continue to grow also anticipate that community pharmacies and clinics located within retail pharmacies will play an enhanced role in the care of patients with chronic health conditions, many of which are affected by tobacco use.
The leading known cause of preventable disease and death
How can members of the pharmacy profession credibly advance their efforts to serve as healthcare providers in a reformed U.S. healthcare system if the most visible and frequented area in community pharmacies, the area behind the checkout counter, prominently displays tobacco, the leading known cause of preventable disease and death?
By virtue of the company’s size and the historical volume of its tobacco sales, the CVS Caremark announcement represents a landmark decision. With a few notable exceptions (e.g., Wegmans, Target), to date retail chain pharmacies have turned a blind eye and a deaf ear to the strong opposition to tobacco sales in pharmacies voiced by virtually every facet of our profession.
Over the past four decades, numerous resolutions and formal position statements have been set forth by state and national pharmacy organizations, including the American Pharmacists Association, the American Society of Health-System Pharmacists, and the American Association of Colleges of Pharmacy. Ample research demonstrating that fewer than 2% of pharmacists are in favor of tobacco sales in pharmacies further supports this stance.
Regional legislative initiatives have achieved success in removing tobacco from pharmacy shelves in several cities, including San Francisco and Boston, but these municipalities are outliers in the U.S. pharmacy landscape. Retail chains have frequently cited economic hardship and the need for a “level playing field” as their reasons for continued sales of tobacco products, stating a need to balance customer choices with health needs.