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Novartis (NOVN) investor relations material

Novartis Q1 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q1 2026 earnings summary28 Apr, 2026

Executive summary

  • Net sales declined 1% year-over-year to $13.1 billion, with strong growth in priority brands and new launches offset by significant US generic erosion and pricing pressures.

  • Core operating income fell 14% in constant currency to $4.9 billion, with margin at 37.3%, due to lower sales and higher R&D investment.

  • Net income decreased 13% to $3.2 billion, with core EPS down 13% to $1.99.

  • Free cash flow remained stable at $3.3 billion.

  • Pipeline progress included the completed Avidity acquisition, multiple positive clinical readouts, and regulatory milestones for key assets.

Financial highlights

  • Q1 2026 net sales: $13.1 billion (-1% USD, -5% cc); core operating income: $4.9 billion (-12% USD, -14% cc); core margin at 37.3% (down 4.8 pts YoY).

  • Net income: $3.2 billion (-13% USD); core EPS: $1.99 (-13% USD); free cash flow: $3.3 billion, broadly stable year-over-year.

  • Net debt increased to $38.1 billion, mainly due to M&A and dividend payments.

  • Paid $9.1 billion in dividends and continued share buybacks, with $6.1 billion remaining in the program.

Outlook and guidance

  • Full-year 2026 guidance reaffirmed: net sales expected to grow low single-digit, core operating income to decline low single-digit (cc).

  • H1 expected to see low single-digit sales decline and low double-digit core operating decline; H2 expected to return to mid-single-digit sales and mid-to-high single-digit core operating growth.

  • Foreign exchange at late April levels would add +2% to full-year sales and +1% to core operating income.

Kisqali US eBC NBRx market share performance
Pluvicto mHSPC approval impact on patient pool
Brands driving US generic erosion in H1 2026
Generic erosion impact on FY26 margin guidance
Implications of Pluvicto EMA filing withdrawal
Strategy to manage the $38.1B net debt position
Kisqali's EBC market share in US and Germany
Pluvicto's growth in hormone-sensitive setting
MFN policy implications for ianalumab launch
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