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

Total Revenue

$13.1B

No prior period
EPS (adj)

$1.99

No prior period
Core operating income margin

37.3%

No prior period
Core operating income

$4.9B

No prior period
Net debt

$38.1B

No prior period
Free Cash Flow

$3.33B

No prior period
Net Income

$3.16B

No prior period
Operating Income

$4.24B

No prior period

Revenue & EPS history

Novartis · Revenue · Quarterly

$13.1B

Q1 2026
Beat estimate in 6 of 13 quarters(46%)
ActualEstimate

Revenue by segment

Novartis · $6.19B total across 5 segments · Q1 2026

  • Cosentyx
    $1.57B
  • Kisqali
    $1.52B
  • Entresto
    $1.31B
  • Kesimpta
    $1.16B
  • Pluvicto
    $642M

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

Historical avgQ1 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

Earnings price reactions
QuarterReport dateReaction (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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