NYSE$NVS
Novartis ADR · Q1 2026 earnings
Q1 2026 earnings · · Investor relations
Briefing
Novartis Q1 2026: $13.1B net sales, core EPS $1.99 as priority brands offset US generic erosion
Novartis reported Q1 2026 net sales of $13.1 billion, down 1% in USD and 5% at constant currency, as strong growth from priority brands including Kisqali, Pluvicto, Kesimpta, and Scemblix was more than offset by US generic erosion. Operating income was $4.2 billion (-9% USD) and net income $3.2 billion (-13%). Core operating income was $4.9 billion with a 37.3% margin, while core EPS declined 13% to $1.99. Free cash flow was $3.3 billion, broadly in line with the prior-year quarter. The company completed the Avidity acquisition and reaffirmed full-year 2026 guidance for low single-digit net sales growth and low single-digit core operating income decline at constant currency.
- Net sales were $13.1B (-1% USD, -5% cc); volume contributed +13pp but generic competition subtracted 14pp.
- Core EPS was $1.99 (-13% USD); core operating income $4.9B at 37.3% margin; reported EPS $1.65.
- Priority brands drove growth: Kisqali $1.5B (+55% cc), Pluvicto $642M (+70% cc), Kesimpta $1.2B (+26% cc), Scemblix $433M (+79% cc).
- Free cash flow $3.3B; net debt rose to $38.1B after Avidity acquisition and dividend payments.
- FY 2026 guidance reaffirmed: low single-digit net sales growth and low single-digit core operating income decline at cc.
Headline financials
Revenue & EPS history
Novartis · Revenue · Quarterly
$13.1B
Revenue by segment
Novartis · $6.19B total across 5 segments · Q1 2026
- Cosentyx$1.57B—25.3%
- Kisqali$1.52B—24.5%
- Entresto$1.31B—21.1%
- Kesimpta$1.16B—18.8%
- Pluvicto$642M—10.4%
Forward guidance
Novartis reaffirmed FY 2026 guidance for low single-digit net sales growth and low single-digit core operating income decline at constant currency, barring unforeseen events.
Tailwinds
- Strong momentum in priority brands and pipeline readouts expected in H2 2026
- FX tailwind of +2pp on net sales if April rates persist
Headwinds
- Continued US generic erosion expected to weigh on Entresto and other mature brands
- Core operating income guided to decline low single-digit at cc due to R&D investment
Historical earnings impact
How earnings announcements have historically affected this stock's price.
Avg. return before/after earnings
Based on 20 quarterly earnings reports · overlaid with Q1 2026
-0.2%
Avg return
Earnings day
-0.3%
Avg return
5 days after
+0.7%
Avg return
30 days after
57%
34 / 60 earnings
Positive
+7.4%
Q4 2017
Best reaction
-7.4%
Q4 2015
Worst reaction
| Quarter | Report date | Reaction (Day 0) | +5 days | +30 days |
|---|---|---|---|---|
| Q1 2026 | -0.9% | +1.7% | +5.0% | |
| Q1 2025 | +0.7% | +1.5% | -0.0% | |
| Q3 2024 | -4.9% | -5.4% | -9.3% | |
| Q2 2024 | -5.1% | -3.7% | +2.6% | |
| Q1 2024 | +3.4% | +2.4% | +6.3% | |
| Q3 2023 | +0.8% | -2.6% | +2.5% | |
| Q2 2023 | +4.3% | +6.1% | +2.8% | |
| Q1 2023 | +1.9% | +2.0% | -2.8% | |
| Q4 2022 | -5.0% | -5.7% | -6.6% | |
| Q3 2022 | +2.4% | +3.9% | +12.3% | |
| Q2 2022 | +1.8% | +3.8% | +2.7% | |
| Q1 2022 | -1.1% | -2.7% | +0.9% | |
| Q4 2021 | -2.0% | -1.1% | -3.9% | |
| Q3 2021 | -0.8% | -0.7% | -1.7% | |
| Q2 2021 | +0.9% | +0.8% | +3.4% | |
| Q1 2021 | -1.1% | -2.9% | +0.8% | |
| Q4 2020 | -5.7% | -8.1% | -11.9% | |
| Q3 2020 | -6.9% | -7.2% | +5.9% | |
| Q2 2020 | -1.7% | -4.3% | -1.0% | |
| Q1 2020 | -4.3% | -6.9% | -3.7% | |
| Q4 2019 | +0.4% | -1.4% | -12.1% | |
| Q3 2019 | +0.1% | +0.9% | +4.6% | |
| Q2 2019 | +3.7% | +3.8% | -0.8% | |
| Q1 2019 | +6.2% | +6.9% | +15.3% | |
| Q4 2018 | +1.1% | +2.1% | +5.6% | |
| Q3 2018 | +2.2% | +3.2% | +2.9% | |
| Q2 2018 | +2.7% | +4.5% | +5.5% | |
| Q1 2018 | -4.7% | -5.8% | -5.7% | |
| Q4 2017 | +7.4% | +6.6% | -2.2% | |
| Q3 2017 | -5.3% | -6.0% | -1.7% | |
| Q2 2017 | +2.1% | +2.1% | -0.1% | |
| Q1 2017 | +2.3% | +3.2% | +9.0% | |
| Q4 2016 | +2.7% | +3.2% | +10.4% | |
| Q3 2016 | -5.7% | -5.8% | -8.8% | |
| Q2 2016 | +1.2% | +1.8% | -0.1% | |
| Q1 2016 | -0.1% | — | — | |
| Q4 2015 | -7.4% | — | — | |
| Q3 2015 | -1.3% | — | — | |
| Q2 2015 | -4.6% | — | — | |
| Q1 2015 | +0.8% | — | — | |
| Q4 2014 | +0.6% | — | — | |
| Q3 2014 | -0.4% | — | — | |
| Q2 2014 | +1.2% | — | — | |
| Q1 2014 | +3.6% | — | — | |
| Q4 2013 | +0.5% | — | — | |
| Q2 2013 | +1.0% | — | — | |
| Q3 2013 | +1.0% | — | — | |
| Q1 2013 | -0.3% | — | — | |
| Q4 2012 | +3.5% | — | — | |
| Q3 2012 | +0.8% | — | — | |
| Q2 2012 | +0.4% | — | — | |
| Q1 2012 | +1.6% | — | — | |
| Q4 2011 | -1.9% | — | — | |
| Q3 2011 | -3.3% | — | — | |
| Q2 2011 | +1.1% | — | — | |
| Q1 2011 | -0.4% | — | — | |
| Q4 2010 | -3.5% | — | — | |
| Q3 2010 | -1.5% | — | — | |
| Q2 2010 | +0.3% | — | — | |
| Q1 2010 | +0.3% | — | — |
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