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J&J beats earnings estimates; Middle East conflict weighs on medical device sales

By Thomson Reuters Oct 13, 2026 | 5:21 AM

By Michael Erman

Oct 13 (Reuters) – Johnson & Johnson reported a slightly higher-than-expected profit on Tuesday, driven by strong sales of immune disease treatment Tremfya, but geopolitical issues including the Middle East conflict were a drag on its ​medical devices business.

Shares of the company fell more than 2% before ‌the bell.

The company posted third-quarter revenue of $25.4 billion, above analysts’ average estimate of $25.28 billion, according to LSEG data. Adjusted earnings of $2.59 per share also topped Wall Street expectations of $2.54.

Pharmaceutical sales jumped 7.7% in the quarter to $16.76 billion. Medical technology division sales rose only 2.5% to $8.6 billion overall. Outside ‌the US, ​sales in the division were basically flat.

J&J Chief ⁠Financial Officer Joe Wolk, in an ⁠interview, said the Mideast conflict, austerity measures in Europe and pricing in China continued to weigh on results internationally, “but maybe in a little bit more pronounced way.”

He said the Mideast conflict, which has led to soaring fuel costs ​at home and abroad, has yet to impact the company’s costs, but has hurt sales in the region.

“These are countries that still value and actually want premium ⁠healthcare systems, think Kuwait, UAE, Saudi Arabia. They ⁠pride themselves on having solid healthcare, very good healthcare,” Wolk ​said. “But their budgets now are being resourced and allocated towards defense.”

Sales at its Abiomed heart ​pump business also remained slow after a UK study earlier this ‌year raised questions about the use of Impella pumps during certain high-risk coronary procedures.

The company had late last year said it intended to separate its orthopedics unit. J&J is leaning toward spinning out its hips-and-knees business, Wolk told the Wall Street Journal.

Tremfya ⁠sales rose 68% to $2.4 billion, exceeding analyst estimates of about $2.19 billion, while sales of Stelara, which is facing generic competition, fell 54% to $716 million, still well above Wall Street ⁠expectations of $591 million. Tremfya has ‌increasingly replaced lost Stelara revenue following recent approvals in ⁠inflammatory bowel diseases.

Sales of blood cancer treatment Darzalex rose about ​16% to $4.24 ‌billion, short of analyst expectations of $4.4 billion.

The company raised its ​full-year forecast ⁠for reported sales to about $101.2 billion at the midpoint, from $101.1 billion previously. It increased its adjusted earnings forecast range with a new midpoint of $11.10 per share, up from $11.04.

J&J shares closed at $263.73 on Monday. They have risen 27% this year, outperforming both the broader market and most healthcare peers.

(Reporting by Michael Erman in New York; Editing by Bill ​Berkrot and Leroy Leo)