Record Quarterly Revenue and Strong EPS
Consolidated revenues increased 11% year-over-year to $106.2 billion. Third quarter diluted EPS increased 16% to $9.34, driven by operational performance and acquisitions.
Raised Full-Year Guidance
Full-year adjusted EPS guidance raised to $38.80–$39.20 (17–19% YoY growth). Company also set revenue growth guidance of 12–16% and operating profit growth guidance of 13–17% for fiscal 2026.
Oncology & Multispecialty: Rapid Growth and Accretion from Acquisitions
Oncology and multispecialty revenues grew 37% year-over-year to $13.0 billion; operating profit rose 57% to $366 million. Acquisitions (Prism and Core Ventures) contributed ~13% to Q3 segment revenue growth and are expected to contribute ~30–34% to fiscal 2026 segment operating profit growth.
North American Pharmaceutical Distribution Momentum
North American Pharmaceutical revenues were $88.3 billion, up 9% YoY, supported by higher prescription volumes, specialty distribution strength, and health system volumes. Segment operating profit increased 6% to $872 million.
Substantial GLP-1 Distribution Growth
GLP-1 distribution revenues were $14.0 billion in the quarter, up $3.0 billion (26% YoY) with sequential growth of 7%.
Prescription Technology Solutions (RxTS) Performance
RxTS revenues increased 9% to $1.5 billion and operating profit rose 18% to $277 million, driven by demand for access, affordability, and prior authorization services and new program additions (50 new programs across 43 brands).
Profitability, Efficiency and Cash Generation
Gross profit increased 10% to $3.7 billion; operating profit rose 13% to $1.7 billion. Operating expense improvement of 138 basis points as a percentage of gross profit. Q3 free cash flow was $1.1 billion; trailing twelve months free cash flow was $9.6 billion. Ended quarter with $3.0 billion in cash and returned $781 million to shareholders (including $680 million in repurchases).
Balance Sheet Strength and Capital Return Plan
Company plans ~ $2.0 billion in share repurchases for fiscal 2026, expects free cash flow of $4.4–$4.8 billion, and maintains an investment-grade balance sheet. Return on invested capital improved by ~1,900 basis points since fiscal 2020, now exceeding 30%.
Progress on Portfolio Actions and Separation
Completed divestiture of Norway (final exit from Europe) and achieved transition service agreements for the medical-surgical separation. Tracking toward an IPO of the medical-surgical business by H2 calendar 2027 (subject to market/regulatory conditions).
Technology & Automation Wins
AI and automation initiatives improved productivity (each FTE supporting ~120 more patients in annual verification season), DSCSA AI chat tool prevented 75% of inquiries from escalating, and Canadian contact-center pilots approaching ~100% service accuracy.