Full-year EPS guidance raised to $38.80-$39.20, 17-19% growth
Guidance tone
McKesson reported a strong Q3 FY26 with double-digit revenue and EPS growth, driven by oncology, biopharma services, and North American distribution, and raised full-year EPS guidance to $38.80-$39.20 (17-19% growth). Management highlighted continued strength in specialty distribution, stable utilization trends, and successful integration of Prism Vision and Florida Cancer, while the medical-surgical segment saw weakness due to a soft illness season. The company also completed its European exit with the Norway divestiture and remains on track for the medical-surgical IPO in calendar 2027. Raised FY26 EPS guidance to $38.80-$39.20, implying 17-19% growth.
McKesson reported a strong Q3 FY26 with double-digit revenue and EPS growth, driven by oncology, biopharma services, and North American distribution, and raised full-year EPS guidance to $38.80-$39.20 (17-19% growth). Management highlighted continued strength in specialty distribution, stable utilization trends, and successful integration of Prism Vision and Florida Cancer, while the medical-surgical segment saw weakness due to a soft illness season. The company also completed its European exit with the Norway divestiture and remains on track for the medical-surgical IPO in calendar 2027. Raised FY26 EPS guidance to $38.80-$39.20, implying 17-19% growth.
Guidance tone
Raised FY26 EPS guidance to $38.80-$39.20, implying 17-19% growth.
Q3 revenue of $106.2B (+11% YoY) and EPS of $9.34 (+16% YoY).
Management discussed leveraging AI and automation to drive efficiencies, citing examples like an AI chat tool for DSCSA inquiries that prevented 75% of escalations and improved first contact resolution, and early pilots in Canada showing near 100% service accuracy. These…
Management discussed leveraging AI and automation to drive efficiencies, citing examples like an AI chat tool for DSCSA inquiries that prevented 75% of escalations and improved first contact resolution, and early pilots in Canada showing near 100% service accuracy. These investments are positioned as enhancing operational excellence and customer experience, contributing to margin improvements.
GLP-1 distribution revenue up 26% year-over-year in Q3. Management expressed strong confidence in the business trajectory, raising full-year guidance and emphasizing consistent momentum across strategic growth platforms.
Management highlighted ongoing investments in technology, automation, and infrastructure, including a multi-year plan to expand refrigerated capacity across distribution centers by over 50%, halfway through completion. They also noted increased technology infrastructure investments in corporate expenses and plan for incremental technology costs in Q4, while maintaining a strong balance sheet for c
Management expressed strong confidence in the business trajectory, raising full-year guidance and emphasizing consistent momentum across strategic growth platforms.
“GLP-1 distribution revenues were $14 billion in the quarter, up $3 billion, or 26%, when compared to the prior year. GLP-1 sequential revenue growth was 7%.”
“The report highlights our role in helping community providers navigate a dynamic policy environment.”
“In the third quarter, held for sale accounting from Norway contributed $0.05 to adjusted earnings per diluted share.”
“we're digitizing enrollment for more than 1,600 specialty medications”
| Metric | Period | Range | Midpoint | Status |
|---|---|---|---|---|
| EPS | FY2026 | $38.80–$39.20 | $39.00 | RAISED |
| EPS | FY2026 | $0.05 | $0.05 | GUIDED |
| Free cash flow | FY2026 | $4.4B–$4.8B | $4.6B | GUIDED |
| Op marginPRESCRIPTION_TECHNOLOGY_ | FY2026 | 14%–18% | 16% | GUIDED |
| Op marginONCOLOGY_MULTISPECIALTY | FY2026 | 51%–55% | 53% | GUIDED |
| Op margin | FY2026 | 13%–17% | 15% | RAISED |
| Op marginNORTH_AMERICAN_PHARMACEU | FY2026 | 8%–12% | 10% | RAISED |
| RevenuePRESCRIPTION_TECHNOLOGY_ | FY2026 | 9%–13% | 11% | GUIDED |
| RevenueONCOLOGY_MULTISPECIALTY | FY2026 | 29%–33% | 31% | GUIDED |
| RevenueNORTH_AMERICAN_PHARMACEU | FY2026 | 10%–14% | 12% | GUIDED |
| RevenueMEDICAL_SURGICAL | FY2026 | 2%–6% | 4% | LOWERED |
The Rite Aid bankruptcy resulted in a one-time credit for McKesson, likely due to a settlement or claim recovery, which is not expected to recur as an ongoing business signal though the customer loss is already factored in.
“we recorded a gap-only pre-tax credit of $160 million, or $118 million after tax, within the North American pharmaceutical segment related to the bankruptcy of Rite Aid.”
… to contribute approximately $1 billion of revenue and approximately $70 million of adjusted operating profit, which is inclusive of approximately $0.10 adjusted earnings per share accretion due to health of sale accounting. The completion of this transaction reflects disciplined execution, strategic clarity, and commitment to sustain long-term value creation for our shareholders. Additionally, during the third quarter, we recorded a gap-only pre-tax credit of $160 million, or $118 million after tax, within the North American pharmaceutical segment related to the bankruptcy of Rite Aid. The remainder of my comments today will refer to our adjusted results. I'll begin with our third quarter fiscal 2026 performance and then address our full year outlook. Consolidated revenues increased 11% to $106.2 billion, reflecting broad-based growth across the business. Higher prescription volumes from retail national account customers within our North American pharmaceutical segment. Continued momentum in our oncology and multi-specialty segment. including expanded distribution of oncology and multispecialty products, and contributions from recent acquisitions contributed …
GLP-1 distribution revenue of $14 billion in the quarter grew 26% year-over-year but only 7% sequentially, indicating a rapid deceleration from the high double-digit sequential growth rates seen in prior quarters. — The deceleration in GLP-1 growth suggests the distribution boost from injectables is plateauing, and while oral GLP-1s are a new opportunity, they are not yet compensating for the pace of injectable growth.
… including contributions from acquisitions within the oncology and multispecialty segments. Turning now to third quarter segment results, which can be found on slides 8 through 12, and starting with North American Pharmaceutical. Revenues were $88.3 billion, an increase of 9%, driven by higher prescription volumes, including higher volumes across retail national account customers and continued specialty product distribution strength. GLP-1 distribution revenues were $14 billion in the quarter, up $3 billion, or 26%, when compared to the prior year. GLP-1 sequential revenue growth was 7%. The segment operating profit increased 6% to $872 million, benefiting from growth in the distribution of specialty products, including to health systems. As a reminder, prior year results included a $19 million benefit from held-for-sale accounting related to the sale of our Canada-based Rexall and Well.ca businesses. The prior year held-for-sale accounting benefit had an approximate 3% impact on year-over-year segment growth. Turning to the oncology and multi-specialty segment, We delivered another strong quarter, demonstrating the strength of our differentiated platform and the value we deliver …
Management described the U.S. Oncology Network as having approximately 3,400 providers, and Prism Vision over 200 providers, but the 'Advancing Community Oncology' report and the Accelerate conference signal a competitive push into community-based care. — This expansion of community oncology and biopharma services strengthens McKesson's moat against payer-centric models and reinforces the shift of cancer care out of hospital systems.
… Recently, we released our Advancing Community Oncology Report, highlighting the central role of community practice in cancer care and the anticipated growth in precision medicine and innovative therapies. These insights underscore the strength of our platform and the opportunity to leverage our solutions to deepen provider and biopharma partnerships, to expand access to next-generation treatments, and to address barriers to care in the community setting. The report highlights our role in helping community providers navigate a dynamic policy environment. We have and we will continue to be actively engaged with lawmakers, patient coalitions, and provider organizations to advocate for changes that will expand patient access and support the growth of community practices. We firmly believe in the unique value of community-based care and the importance of advancing high-quality local cancer care in particular. In November, we hosted our inaugural McKesson Accelerate Conference, an annual event focused on the future of community oncology. With more than 1,500 industry leaders in attendance, the event brought together the people, the insights, and the innovations that will strengthen …
The health of sale accounting for Norway contributed $0.05 to adjusted EPS this quarter, and the full-year guidance includes a $70 million operating profit contribution from the divested business, which is a low-margin drag that will be removed from FY2027. — Pro forma for the exit, distribution margins and growth rates will appear cleaner in the next fiscal year, potentially making the core business look stronger vs. peers like Cardinal Health and AmerisourceBergen.
… disciplined and consistent strategy, deep customer relationships, and the scale and breadth of McKesson's portfolio. Before turning to our adjusted results, I want to begin with two brief updates, starting with the divestiture of our Norway operations. On January 30th, we completed the divestiture of our retail and distribution businesses in Norway, included in our other segments. This transaction marks the final step in our planned exit of Europe. In the third quarter, held for sale accounting from Norway contributed $0.05 to adjusted earnings per diluted share. For fiscal 2026, we now anticipate the Norwegian businesses to contribute approximately $1 billion of revenue and approximately $70 million of adjusted operating profit, which is inclusive of approximately $0.10 adjusted earnings per share accretion due to health of sale accounting. The completion of this transaction reflects disciplined execution, strategic clarity, and commitment to sustain long-term value creation for our shareholders. Additionally, during the third quarter, we recorded a gap-only pre-tax credit of $160 million, or $118 million after tax, within the North American pharmaceutical segment related to …
The 50 new programs added across 43 unique brands in the biopharma services segment, and the digitization of enrollment for more than 1,600 specialty drugs, points to a structural volume ramp in the prior authorization space. — This positions McKesson's PTS segment as the 'plumbing' for prior authorizations, having scale advantages that are hard to replicate, and is a volume story independent of specific drug class (e.g., oral GLP-1s).
… impact. To achieve this goal, we continue to invest thoughtfully across the business, modernizing and expanding the services we provide to our biopharma partners and building next-generation patient access and affordability solutions. As an example, we're investing in capabilities to simplify the electronic patient enrollment process reducing time from days or weeks to sometimes just minutes, while reducing administrative errors and improving accuracy. Today, we're digitizing enrollment for more than 1,600 specialty medications, creating an opportunity to apply our experience in improving access to retail medications and helping stakeholders navigate through the complex enrollment process for specialty medications. Our evolving suite of solutions will accelerate the patient authorization workflow speed up the process for patients to access medications, introduce transparency with real-time prescription benefit check, and improve affordability with automated searches for financial assistance programs. We're also focused on opportunities that improve our own workflow efficiency. By applying technology automation and enhancing training to streamline our operations and …