
Rode two massive tailwinds: car-centric America and exploding healthcare spend. Paid up for corner real estate with drive-thrus. Pharmacy in the back forced customers past high-margin impulse buys — brilliant flywheel.
Pharmacy benefit managers (PBMs) inserted themselves between Walgreens and profits. When Walgreens tried to fight Express Scripts in 2012, they lost 20-30% of revenue overnight and capitulated. CVS vertically integrated by buying a PBM and insurer Aetna. Walgreens stayed a dumb box while Amazon entered with home delivery.
Stock down 90%, worth what it was 30 years ago. Closing 500 stores in 2025 alone. Third or fourth CEO attempting turnaround. The decisions that killed them were made years ago when they missed the window.