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Coram CVS Specialty Infusion Services uses new sustainable packaging

April 14, 2026 |2 minute read

Two cardboard packages with the CVS Health heart icon sit on a front doorstep, showing minimal, eco‑friendly packaging for home delivery.

Key points

  • Coram CVS Specialty Infusion Services transitioned to recyclable, compostable packaging for temperature-sensitive medications — replacing bulky legacy packaging with wood and paper-based insulation.
  • The new innovative packaging is easier to handle, more compact, and designed to improve the patient experience, especially for those with mobility challenges.
  • This change supports our enterprise-wide sustainability objectives while maintaining the same high standards for safety, reliability, care and exceptional patient experiences.

Coram CVS Specialty Infusion Services launched a new innovative packaging solution that supports our enterprise-wide sustainability objectives and that has been tested to perform better than current packaging. Patients have already begun receiving their temperature-sensitive medications in recyclable, paper-based packaging. 

  • The new packaging replaces expanded polystyrene (EPS), commonly known as Styrofoam.

Why Coram's sustainable packaging matters

The transition reflects our commitment to sustainability objectives and patient-centered care. The new packaging is expected to lead to increased efficiency across our business operations, logistics and workflow. 

It will also help optimize the use of storage space, deliver a better experience for patients and reduce plastic use and waste. Coram provides specialty infusion and nutrition therapies for patients with chronic and complex conditions. Before this, the life-sustaining medications for these patients were typically sent in EPS coolers and packaging that are bulky and difficult for patients to maneuver, dispose of, store or recycle. The legacy materials can take many years to break down in landfills. 

  • Patient feedback had indicated that the old packaging wasn’t delivering the high-quality experience they expect from Coram.

“By replacing difficult-to-recycle materials with compostable and recyclable alternatives, we’re reducing waste, improving the patient experience, and removing thousands of pounds of plastic each year — a win for both patients and the planet,” says Jenny McColloch, Chief Sustainability Officer and VP, Community Impact. 

  • “This packaging innovation reflects our commitment to embedding sustainability across our business and advancing our Healthy 2030 impact strategy.”

How the new packaging improves patient experience

The new packaging has been rigorously tested to meet — and in many cases exceed — performance standards for temperature control and durability. 

It’s compact, easier to break down, and can be recycled or composted, making it more accessible and convenient for patients, including those with mobility limitations. Much of the new packaging uses a "nested box" approach, which helps keep the delivery consolidated to a single box. 

  • Patients will continue to receive their medications safely and reliably. There are no changes to medication quality, delivery timelines, or pharmacy and nursing support. 

What patients are saying: “The new packaging is much easier for me to manage physically. And discarding it is more convenient — and less stressful,” notes Beth Krom, a 70-year-old Coram patient in rural upstate New York and an early recipient of the new packaging.

  • “Before, the boxes were really heavy — like 50 pounds — and packed with multiple ice packs and yards of bubble wrap. It was a lot to deal with every month. I only have one small garbage can permitted for the week, so breaking everything down took a lot of time and effort,” she says. “Now, the boxes are really light!”

Beth is also considering using the compostable material in her garden.

Next steps for Coram and CVS Health

Coram has implemented this packaging innovation, starting with pharmacies in Mendota Heights, Minnesota, Malvern, Pennsylvania and San Diego. 

“We’re exploring opportunities to extend these learnings to other segments — and build on the success of the integrated, cross-functional team that demonstrated the power of enterprise-wide collaboration to drive meaningful change,” says Tom Underkoffler, Executive Director of Logistics and Packaging.

Learn more about our sustainability efforts and how we’re improving the Coram patient experience at cvs.co/smartpack.

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