1. Innovations in health care delivery Angela Patterson, MSN, FNP-BC Chief Nurse Practitioner Officer, CVS/minuteclinic November 13, 2014

2. Inconsistency ≠ 2

3. Tobacco facts deaths from smoking in the United States annually 42 million American adults and 3 million middle and high school students still smoke of smokers start as kids $300 billion annual estimated economic costs 480,000 80% 9 in 10 lung cancers are caused by smoking 14 years earlier smokers die approximately than non-smokers 3

4. Tobacco Impacts in Indiana 16% of pregnant women in Indiana smoke Economic burden $3,391 per year per smoker $2 billion in annual health care costs 4 deaths from smoking in the state 9700 $559 per year per household Everyone is impacted

5. Our journey 5

6. Our purpose 6

7. Where we are today 26,000 pharmacists and nurse practitioners more than 7,800 stores and 5 million customers per day 21% market share 26% market share 65 million PBM members 925 MinuteClinics in 30 states and DC with more than 22 million patient visits 25.6 million visits on CVS.com per month 7

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9. Smoking cessation BROCHURES, LAST PACK QUIT-KIT TOLL-FREE QUIT LINE OPERATED BY AMERICAN CANCER SOCIETY START TO STOP™ OFFERED THROUGH MINUTECLINIC 9

10. Broad support beyond core supporters Journal of the American Medical Association article Now is the time for retailers… to eliminate sales of cigarettes and other tobacco products by institutions that also have pharmacies -Troy Brennan CVS Caremark is stepping forward to save lives and safeguard the public health of millions of American women, men and youth The Response

11. Surgeon General’s Report of 1964 “Cigarette smoking is a health hazard of sufficient importance in the United States to warrant appropriate remedial action.” 11 Tobacco: Where We’ve Been U.S. Surgeon General Luther L. Terry, M.D

12. © 2014 CVS Health Confidential & Proprietary 12 Private – Public Partnerships

13. © 2014 CVS Health Confidential & Proprietary 13 Indiana Baby & Me Tobacco Free

14. Smoking and Pregnancy © 2014 CVS Health Confidential & Proprietary 14 WE KNOW THAT PREGNANT WOMEN ARE HIGHLY MOTIVATED TO MAKE CHANGES THAT WILL BENEFIT THEIR BABY AND THE MAJORITY OF WOMEN WHO ARE SUCCESSFUL AT QUITTING SMOKING WHILE PREGNANT RETURN TO SMOKING SHORTLY AFTER THE BABY BORN. HELPING WOMEN TO STAY SMOKE FREE POST DELIVERY IS CRITICAL TO REDUCING SIDS/SUIDS, WHICH CONTRIBUTES TO INFANT MORTALITY.

15. Thank you 15