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last_updated: 2026-05-05T20:48:21.253Z
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# Cencora, Inc. (COR) Q4 FY2026 Earnings Preview

> **[stale-preview-note]** Note: this preview was published before the 2026-05-06 earnings report. Results have since been released — verify against the latest filings.

> This content was automatically generated with FMP live data + Q1 FY2026 earnings call transcript. Generated: 2026-05-05T20:48:20.947Z. Educational tool, not investment advice.

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## Quick Summary

| Field | Value | Source |
|---|---|---|
| Price | $305.90 (▲ 0.74%) | fmp:quote |
| Market Cap | $59.5B | fmp:profile |
| 52w range | $271.00 – $377.54 | fmp:quote |
| Earnings | Wed 6 May | fmp:earnings-history |
| EPS estimate | $4.80 (+9% YoY) | fmp:earnings-estimate |
| Revenue estimate | $81.1B | fmp:earnings-estimate |
| Beat streak | 8/4 | fmp:earnings-history |
| Rating | B+ (overall 3/5) | fmp:ratings |
| Analyst median target | $415 (+35.7% upside) | fmp:price-target-consensus |
| MoonshotScore | 36/100 | derived |
| Council | 4/6 bullish | derived |
| Munger verdict | Undervalued | derived |

## Cencora, Inc. — Q4 FY2026 Expectations

Q4 consensus: revenue <strong data-source="fmp:earnings-estimate" data-field="estimates.next.revenueAvgLabel">$81.1B</strong><sup class="cite" data-source="fmp:earnings-estimate" data-field="estimates.next.revenueAvg" title="FMP est">[FMP est]</sup>, EPS <strong data-source="fmp:earnings-estimate" data-field="estimates.next.epsAvg">$4.80</strong><sup class="cite" data-source="fmp:earnings-estimate" data-field="estimates.next.epsAvg" title="FMP est">[FMP est]</sup>. 8 consecutive quarters of beat<sup class="cite" data-source="fmp:earnings-history" data-field="earnings.beatStreakCount" title="FMP earnings">[FMP earnings]</sup>.

## Quick Take

**Score:** B+ · **Stance:** BUY · **Council:** 4/6 · **Moonshot:** 36

= MoonshotScore <strong>36</strong><sup class="cite" data-source="derived" data-field="moonshot.score" title="9-pillar formula">[9-pillar formula]</sup> + Council <strong>4/6</strong><sup class="cite" data-source="derived" data-field="council.bullishCount" title="6-lens rule">[6-lens rule]</sup>. Form 4: 0 transactions<sup class="cite" data-source="fmp:insider-trading" data-field="insider.txCount" title="FMP Form 4">[FMP Form 4]</sup>.

## Watchlist (5 metrics)

### 1. Fy26 Operating Income Guidance

Cencora is raising its fiscal 2026 guidance to reflect year-over-year adjusted operating income growth of 11.5% to 13.5%, driven by the contribution from OneOncology.

> "To reflect our performance and the contribution from our recently completed acquisition of OneOncology, we are raising our fiscal 2026 guidance to reflect year-over-year adjusted operating income growth of 11.5% to 13.5%."
> — Robert Mauch, President and CEO, Expectation / Guide · Q1 FY2026

### 2. Us Healthcare Solutions Growth

The US healthcare solutions segment operating income growth expectation is increased to a range of 14% to 16% due to the strong performance and the acquisition of OneOncology.

> "This is primarily driven by our increased growth expectations for the US healthcare solutions segment, where we now expect operating income growth to be in the range of 14% to 16% due to our acquisition of OneOncology and the continued strong execution and performance of the segment."
> — James Cleary, Executive Vice President and CFO, Investor Focus · Q1 FY2026

### 3. Us Healthcare Solutions Revenue

US healthcare solutions revenue was $76.2 billion, up 5% as we continue to see good volumes and revenue growth across our customer segments, including growth in GLP-1s, and in specialty sales to health systems and physicians.

> "US healthcare solutions revenue was $76.2 billion, up 5% as we continue to see good volumes and revenue growth across our customer segments, including growth in GLP-1s, and in specialty sales to health systems and physicians."
> — James Cleary, Executive Vice President and CFO, Investor Focus · Q1 FY2026

### 4. Glp 1 Sales Growth

In the quarter, we continued to see strong sales growth in the US for GLP-1 products, which increased by $1 billion or 11% over the prior year quarter.

> "In the quarter, we continued to see strong sales growth in the US for GLP-1 products, which increased by $1 billion or 11% over the prior year quarter."
> — James Cleary, Executive Vice President and CFO, Investor Focus · Q1 FY2026

### 5. International Healthcare Solutions Outlook

In the International Healthcare Solutions segment, revenue growth is now expected to be in the range of 7% to 9% on an as-reported basis to reflect the weakening of the US dollar against many currencies.

> "In the International Healthcare Solutions segment, we now expect revenue growth to be in the range of 7% to 9% on an as-reported basis to reflect the weakening of the US dollar against many currencies."
> — James Cleary, Executive Vice President and CFO, Expectation / Guide · Q1 FY2026


## MoonshotScore Pillars

| Pillar | Score | Level | Evidence |
|---|---|---|---|
| Revenue Growth | 7.0 | strong | Q1 vs Q2: healthy growth (+13.9%) |
| Gross Margin | 0.0 | weak | Q1: low margin (3.3%, capital-intensive or commodity) |
| Operating Leverage | 0.0 | weak | op margin weak (1.2%, under pressure) |
| Cash Runway | 3.0 | weak | FCF negative ($-2.4B, external financing needed) |
| R&D Intensity | 3.0 | weak | low R&D investment (0.0%, weak innovation) |
| Price Momentum | 4.0 | medium | RSI 37.4 weak momentum, 50d below |
| News Sentiment | 8.0 | strong | strong buy consensus (79%) |

**Formula:** sum(pillar.score) / (count * 10) * 100. Each pillar deterministic from FMP. Source maps in pillar.formula.

## Council (7-Lens)

| Name | Stance | Context |
|---|---|---|
| Ray Dalio | bull | macro · target upside +35.7% |
| Ken Griffin | bear | flow · 50d MA below |
| Jim Simons | neutral | quant · RSI 37 |
| Klarman | bull | value · target upside +35.7% |
| Buffett | bull | quality · ROE score 5/5 |
| Munger | bull | valuation · target upside +35.7% |

**Formula:** Each lens uses deterministic rule on bundle data. Logged in member.contextTr.

## Munger Lens

- **Verdict:** Undervalued
- **Financial Health:** Moderate
- **Margin of Safety:** Strong
- **Interest Coverage:** Adequate
- **ROIC vs WACC:** Healthy

**Formula:** verdict=upside>25?Undervalued:>0?Fairly Valued:Overvalued. Each lens deterministic from FMP ratings + priceTarget.

## Technical Levels

- **RSI(14):** 37.4 — momentum zayıf — oversold yakınında değil ama alıcı baskısı az
- **50d MA:** $331 — hisse %7.5 altında — kısa vadeli direnç
- **200d MA:** $328 — hisse %6.8 altında — uzun vadeli baskı
- **Volume (10d):** -42%

## Past Performance (4 Quarters)

| Quarter | EPS Actual | EPS Estimate | Result | Reaction |
|---|---|---|---|---|
| Q2 FY25 | $4.42 | $4.11 | BEAT | -6.8% |
| Q3 FY25 | $4.00 | $3.85 | BEAT | -1.9% |
| Q4 FY25 | $3.84 | $3.79 | BEAT | +1.8% |
| Q1 FY26 | $4.08 | $4.05 | +0.7% EPS | +6.7% |

Q1 (February 4, 2026): EPS $4.08 vs $4.05 est<sup class="cite" data-source="fmp:earnings-history" data-field="earnings.history.0" title="FMP">[FMP]</sup>, +0.7% beat. D+1 movement: +6.7%<sup class="cite" data-source="fmp:earnings-history" data-field="earnings.timeline.3.reactionLabel" title="FMP D+1">[FMP D+1]</sup>. Decline despite beat — market reacted to guidance, not numbers.

## 3 Scenarios

### Scenario A · Beat
**Q4 EPS > $4.80 + CapEx discipline**

Threshold: EPS > $4.80<sup class="cite" data-source="fmp:earnings-estimate" data-field="estimates.next.epsAvg">[FMP est]</sup>.

Target: Break above median target $415<sup class="cite" data-source="fmp:price-target-consensus" data-field="priceTarget.median">[FMP target]</sup>; high target $440<sup class="cite" data-source="fmp:price-target-consensus" data-field="priceTarget.high">[FMP]</sup> upper bound.

### Scenario B · In-Line
**EPS ≈ $4.80 + CapEx < $119.4M**

Threshold: EPS ≈ $4.80<sup class="cite" data-source="fmp:earnings-estimate" data-field="estimates.next.epsAvg">[FMP est]</sup>, Q4 CapEx < $119.4M<sup class="cite" data-source="fmp:cashflow" data-field="cashflow.qPrev.capexLabel">[FMP]</sup>.

Target: Consolidation in the band between current $306<sup class="cite" data-source="fmp:quote" data-field="quote.price">[FMP]</sup> and median $415<sup class="cite" data-source="fmp:price-target-consensus" data-field="priceTarget.median">[FMP]</sup>.

### Scenario C · Miss
**EPS < $4.66 or CapEx ≥ $119.4M**

Threshold: EPS < $4.66<sup class="cite" data-source="fmp:earnings-estimate" data-field="estimates.next.epsAvg">[FMP est×0.97]</sup>.

Target: Current $306 below SMA200 $328<sup class="cite" data-source="fmp:technical" data-field="technical.sma200">[FMP]</sup>, if rejection continues, $279<sup class="cite" data-source="derived" data-field="technical.sma200" data-formula="round(sma200*0.85)">[derived]</sup> support activates.

## Risk Notes

### Primary segment below threshold
Q1: EPS $4.08 vs $4.05 beat<sup class="cite" data-source="fmp:earnings-history" data-field="earnings.history.0" title="FMP">[FMP]</sup>, stock +6.7% D+1<sup class="cite" data-source="fmp:earnings-history" data-field="earnings.timeline.3.reactionLabel" title="FMP">[FMP]</sup>.

### Backlog concentration
No RPO/backlog concentration disclosed in Q1 earnings call.

### Insider trading
Form 4 data is marked in the table — this page does not generate assumptions for this stock.

| Executive | Action | Amount | Date |
|---|---|---|---|


**Net:** — (0 transactions · 0 sells · 0 buys) · Q1 FY26

### CapEx shock
Q1 CapEx $119.4M<sup class="cite" data-source="fmp:cashflow" data-field="cashflow.qPrev.capexLabel" title="FMP cashflow">[FMP cashflow]</sup>. Q1 op margin 1.2%<sup class="cite" data-source="fmp:income" data-field="income.quarters.0.operatingMargin" title="FMP op margin">[FMP op margin]</sup> — this level in Q4 is sensitive to CapEx revision risk.

## Wall Street Consensus

- **Median target:** $415 (+35.7% upside vs current $306)
- **High / Low:** $440 / $360
- **Buy / Hold / Sell:** 11 / 3 / 0
- **Analyst count:** 4 (last quarter), 43 all-time

## Additional Transcript Insights

### 1. fy26_operating_income_guidance

**Claim:** Cencora is raising its fiscal 2026 guidance to reflect year-over-year adjusted operating income growth of 11.5% to 13.5%, driven by the contribution from OneOncology.

**Evidence (transcript):** "To reflect our performance and the contribution from our recently completed acquisition of OneOncology, we are raising our fiscal 2026 guidance to reflect year-over-year adjusted operating income growth of 11.5% to 13.5%."

**Numbers:** 11.5%, 13.5%, 2026

### 2. oneoncology_acquisition_impact

**Claim:** The OneOncology acquisition is expected to be neutral, net of financing costs, to adjusted diluted EPS in its first twelve months.

**Evidence (transcript):** "As a reminder, we expect OneOncology to be neutral, net of financing costs, to adjusted diluted EPS in its first twelve months."

**Numbers:** —

### 3. us_healthcare_solutions_growth

**Claim:** The US healthcare solutions segment operating income growth expectation is increased to a range of 14% to 16% due to the strong performance and the acquisition of OneOncology.

**Evidence (transcript):** "This is primarily driven by our increased growth expectations for the US healthcare solutions segment, where we now expect operating income growth to be in the range of 14% to 16% due to our acquisition of OneOncology and the continued strong execution and performance of the segment."

**Numbers:** 14%, 16%

### 4. international_healthcare_solutions_outlook

**Claim:** In the International Healthcare Solutions segment, revenue growth is now expected to be in the range of 7% to 9% on an as-reported basis to reflect the weakening of the US dollar against many currencies.

**Evidence (transcript):** "In the International Healthcare Solutions segment, we now expect revenue growth to be in the range of 7% to 9% on an as-reported basis to reflect the weakening of the US dollar against many currencies."

**Numbers:** 7%, 9%

### 5. us_healthcare_solutions_revenue

**Claim:** US healthcare solutions revenue was $76.2 billion, up 5% as we continue to see good volumes and revenue growth across our customer segments, including growth in GLP-1s, and in specialty sales to health systems and physicians.

**Evidence (transcript):** "US healthcare solutions revenue was $76.2 billion, up 5% as we continue to see good volumes and revenue growth across our customer segments, including growth in GLP-1s, and in specialty sales to health systems and physicians."

**Numbers:** 76.2, 5%

### 6. glp_1_sales_growth

**Claim:** In the quarter, we continued to see strong sales growth in the US for GLP-1 products, which increased by $1 billion or 11% over the prior year quarter.

**Evidence (transcript):** "In the quarter, we continued to see strong sales growth in the US for GLP-1 products, which increased by $1 billion or 11% over the prior year quarter."

**Numbers:** $1 billion, 11%


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*Data source: FMP (live query, 2026-05-05), Q1 FY2026 earnings call transcript (Translated to EN with Gemini 2.0 Flash). Educational tool, not investment advice.*
