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Cencora beats quarterly profit estimates on strong demand for specialty medicines

By Thomson Reuters Feb 4, 2026 | 7:20 AM

Feb 4 (Reuters) – Cencora on Wednesday beat Wall Street estimates for first-quarter profit, as the drug distributor rode the wave of sustained demand ‍for specialty medicines and GLP-1 therapies.

Cencora is capitalizing on surging demand for high-cost specialty drugs treating rheumatoid arthritis and cancer, which are generating strong margins.

The company in November said it would invest $1 billion to expand its ‌U.S. network, responding to the Trump ‌administration’s onshoring push to encourage localized operations and reduce dependence on overseas hubs.

Cencora said it completed its $5 billion acquisition of OneOncology, which it bought from private investment firm ​TPG in December, deepening its presence in cancer care networks.

The company updated its fiscal 2026 forecast ‍to reflect the completion of ​its acquisition of OneOncology, raising adjusted ​operating income growth expectations to 11.5% to 13.5% from ‍a previous range of 8% to 10%.

It recorded quarterly revenue of $85.93 billion, falling short of expectations of $86.03 billion. The company’s shares were down 5% in premarket trading.

Cencora also reaffirmed its full-year adjusted profit ‍forecast of $17.45 to $17.75 per share. Analysts were expecting $17.61, according to data compiled by LSEG.

Sales at Cencora’s U.S. healthcare solutions ‍unit, its biggest ‍revenue driver, rose 5% year-over-year to $76.2 ​billion, in the quarter ended December ​31, ⁠buoyed by strong prescription volumes of GLP-1 ‌class weight-loss and diabetes drugs, as well as higher sales of specialty medicines.

The company reported adjusted earnings of $4.08 per share for the quarter, narrowly beating analysts’ estimate of $4.04 per share.

(Reporting by Padmanabhan Ananthan in Bengaluru; Editing ⁠by Maju Samuel)