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Apr 27, 2026
Novartis (NVS): Q1 2026 Earnings Preview with +2.5% Sales Growth Expected

Novartis (NVS): Q1 2026 Earnings Preview with +2.5% Sales Growth Expected

Key Takeaways

  • Analysts forecast Q1 2026 revenue of approximately $13.6 billion, a modest 2.5% increase year-over-year.
  • Consensus EPS estimate stands at $2.11 per share, reflecting steady profitability.
  • Key focus on growth drivers like Kisqali, Cosentyx, and Entresto amid patent pressures.
  • Q1 2025 saw 15% sales growth at constant currencies (cc), setting a high bar.
  • Investors watching for updates on FY 2026 guidance navigating major patent expiries.
  • Stock has historically risen 1.3% on average in the two weeks before earnings.

Earnings Context and Why It Matters

Novartis (NVS), a global leader in innovative medicines, enters Q1 2026 earnings with momentum from its priority brands amid a challenging pharma landscape. The company reported robust Q1 2025 results, with net sales up 15% at constant currencies and core operating income rising 27%, driven by strong demand for oncology and immunology drugs. FY 2025 delivered high single-digit sales growth, achieving a 40% core margin. In my view, this report matters because it will signal progress against 2026 goals, including growth through the largest patent expiry in company history, providing insights into pipeline execution and margin resilience for investors eyeing long-term value in healthcare.

Earnings Expectations

Wall Street anticipates Q1 2026 net sales of around $13.6 billion for NVS, up 2.5% from the prior year, with some estimates reaching $13.5-14.2 billion. Consensus EPS is pegged at $2.11-$2.13, building on Q1 2025's $2.28 core EPS growth of 31%. Investors are focused on core net sales growth (cc), expected in mid-single digits per ongoing trends, and core operating margin expansion toward 40%+. I also checked recent trends using Tickeron’s AI Trend Prediction Engine, which supports these expectations.

Key metrics include performance of top products: Kisqali (breast cancer), with peak sales potential over $10 billion and prior +56% growth; Cosentyx (immunology, +11%); and Entresto (heart failure), facing generic competition. Guidance updates for FY 2026, projecting sales CAGR of 5-6% through 2030, will be critical. Historically, NVS stock has reacted positively to beats on volume-driven growth from these franchises.

Market Reaction and Investor Sentiment

Heading into earnings, sentiment around NVS is cautiously optimistic, with shares trading around $145, near recent highs. The stock has gained modestly pre-earnings, aligning with historical patterns of +1.3% average move in the prior two weeks. Key risks include slower-than-expected growth in mature products like Entresto or delays in pipeline readouts. From what I see, a beat on core metrics could drive upside, while guidance reaffirmation would support stability.

One Tool I Use: Tickeron’s AI Screener

In my research on stocks like NVS, Tickeron’s AI Screener has become a go-to resource. This AI-powered stock and ETF discovery tool helps me filter the market based on technical patterns, fundamentals, trends, volatility, and AI-driven signals. I can scan thousands of stocks and ETFs using customizable filters such as industry, market capitalization, technical indicators, price patterns, and performance metrics. It identifies trade ideas, trending stocks, breakout candidates, and market opportunities more efficiently than manual screening, which is especially useful when comparing pharma peers.

Forward Outlook and Key Factors to Monitor

Following Q1 results, attention will shift to Novartis (NVS)'s FY 2026 guidance, particularly how it addresses the largest patent cliff in company history. The firm expects to sustain growth, backed by eight high-potential brands like Kisqali and Cosentyx with peak sales of $3-10 billion each. One thing that stands out is the potential for sales trends in immunology and oncology segments, where volume growth from new indications (e.g., Cosentyx in hidradenitis suppurativa) could offset pressures on cardiovascular drugs like Entresto.

Pipeline catalysts, including Pluvicto expansions and radioligand therapies, remain pivotal for long-term revenue diversification. Margin dynamics will be key, with core operating margins targeted above 40% amid cost discipline and R&D efficiency (R&D meaning research and development). Broader industry factors like U.S. pricing reforms and biosimilar competition could influence outlook. Upcoming events include Q2 results in July 2026. I’m watching this closely for signs of resilience.

Disclaimer

The information on this webpage is provided for general informational and educational purposes only and is not intended as investment advice, a recommendation to purchase or sell any security, or an offer or solicitation related to investments. It does not consider your personal financial situation, goals, or risk profile, and all investing carries inherent risks, including the possibility of losing your entire investment. For more details, please review our full disclaimer.

Disclaimers and Limitations

Related Ticker: NVS

Contributor

Financial writer and active order flow futures trader with a focus on fundamental analysis, macroeconomic factors, and equity research. I make in-depth blogs on stocks and ETFs, bridging the gap between raw market data and real-world trading decisions.


NVS's RSI Oscillator climbs out of oversold territory

The RSI Oscillator for NVS moved out of oversold territory on September 14, 2026. This could be a sign that the stock is shifting from a downward trend to an upward trend. Traders may want to buy the stock or call options. The A.I.dvisor looked at 24 similar instances when the indicator left oversold territory. In 14 of the 24 cases the stock moved higher. This puts the odds of a move higher at 58%.

Price Prediction Chart

Technical Analysis (Indicators)

Bullish Trend Analysis

The Stochastic Oscillator suggests the stock price trend may be in a reversal from a downward trend to an upward trend. 31 of 54 cases where NVS's Stochastic Oscillator exited the oversold zone resulted in an increase in price. Tickeron's analysis proposes that the odds of a continued upward trend are 57%.

The Moving Average Convergence Divergence (MACD) for NVS just turned positive on September 24, 2026. Looking at past instances where NVS's MACD turned positive, the stock continued to rise in 26 of 46 cases over the following month. The odds of a continued upward trend are 57%.

Following a +2.31% 3-day Advance, the price is estimated to grow further. Considering data from situations where NVS advanced for three days, in 182 of 339 cases, the price rose further within the following month. The odds of a continued upward trend are 54%.

Bearish Trend Analysis

The Momentum Indicator moved below the 0 level on October 08, 2026. You may want to consider selling the stock, shorting the stock, or exploring put options on NVS as a result. In 42 of 83 cases where the Momentum Indicator fell below 0, the stock fell further within the subsequent month. The odds of a continued downward trend are 51%.

NVS moved below its 50-day moving average on September 08, 2026 date and that indicates a change from an upward trend to a downward trend.

The 10-day moving average for NVS crossed bearishly below the 50-day moving average on September 09, 2026. This indicates that the trend has shifted lower and could be considered a sell signal. In 6 of 16 past instances when the 10-day crossed below the 50-day, the stock continued to move higher over the following month. The odds of a continued downward trend are 38%.

The 50-day moving average for NVS moved below the 200-day moving average on October 07, 2026. This could be a long-term bearish signal for the stock as the stock shifts to an downward trend.

Following a 3-day decline, the stock is projected to fall further. Considering past instances where NVS declined for three days, the price rose further in 50 of 62 cases within the following month. The odds of a continued downward trend are 45%.

NVS broke above its upper Bollinger Band on September 25, 2026. This could be a sign that the stock is set to drop as the stock moves back below the upper band and toward the middle band. You may want to consider selling the stock or exploring put options.

Fundamental Analysis (Ratings)

The Tickeron Valuation Rating of 4 (best 1 - 100 worst) indicates that the company is seriously undervalued in the industry. This rating compares market capitalization estimated by our proprietary formula with the current market capitalization. This rating is based on the following metrics, as compared to industry averages: P/B Ratio (6.720) is normal, around the industry mean (19.199). P/E Ratio (22.187) is within average values for comparable stocks, (34.793). Projected Growth (PEG Ratio) (3.441) is also within normal values, averaging (5.738). Dividend Yield (0.032) settles around the average of (0.025) among similar stocks. P/S Ratio (4.715) is also within normal values, averaging (4.033).

The Tickeron Profit vs. Risk Rating rating for this company is 10 (best 1 - 100 worst), indicating low risk on high returns. The average Profit vs. Risk Rating rating for the industry is 63, placing this stock better than average.

The Tickeron PE Growth Rating for this company is 21 (best 1 - 100 worst), pointing to outstanding earnings growth. The PE Growth rating is based on a comparative analysis of stock PE ratio increase over the last 12 months compared against S&P 500 index constituents.

The Tickeron SMR rating for this company is 33 (best 1 - 100 worst), indicating very strong sales and a profitable business model. SMR (Sales, Margin, Return on Equity) rating is based on comparative analysis of weighted Sales, Income Margin and Return on Equity values compared against S&P 500 index constituents. The weighted SMR value is a proprietary formula developed by Tickeron and represents an overall profitability measure for a stock.

The Tickeron Price Growth Rating for this company is 51 (best 1 - 100 worst), indicating fairly steady price growth. NVS’s price grows at a lower rate over the last 12 months as compared to S&P 500 index constituents.

Notable companies

The most notable companies in this group are Eli Lilly & Co (NYSE:LLY), Johnson & Johnson (NYSE:JNJ), ABBVIE (NYSE:ABBV), Merck & Co (NYSE:MRK), AstraZeneca PLC (NYSE:AZN), Amgen (NASDAQ:AMGN), Gilead Sciences (NASDAQ:GILD), Pfizer (NYSE:PFE), Bristol-Myers Squibb Co (NYSE:BMY), Biogen (NASDAQ:BIIB).

Industry description

The Major Pharmaceuticals industry includes companies that are involved in various processes of creating drugs to treat/prevent diseases. These companies engage in research, testing and manufacturing, as well as the distribution of pharmaceuticals into markets. Johnson & Johnson, Merck & Co., Inc., Pfizer Inc. and Novartis are among the largest companies in this category.

Market Cap

The average market capitalization across the Pharmaceuticals: Major Industry is 200.13B. The market cap for tickers in the group ranges from 4.8K to 1.06T. LLY holds the highest valuation in this group at 1.06T. The lowest valued company is NEWG at 4.8K.

High and low price notable news

The average weekly price growth across all stocks in the Pharmaceuticals: Major Industry was 98%. For the same Industry, the average monthly price growth was 99%, and the average quarterly price growth was 60%. ABBV experienced the highest price growth at 5%, while MDCX experienced the biggest fall at -43%.

Volume

The average weekly volume growth across all stocks in the Pharmaceuticals: Major Industry was -17%. For the same stocks of the Industry, the average monthly volume growth was -1% and the average quarterly volume growth was -32%

Fundamental Analysis Ratings

The average fundamental analysis ratings, where 1 is best and 100 is worst, are as follows

Valuation Rating: 27
P/E Growth Rating: 53
Price Growth Rating: 49
SMR Rating: 59
Profit Risk Rating: 63
Seasonality Score: 6 (-100 ... +100)
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a manufacturer of health care and nutritional products

Industry PharmaceuticalsMajor

Industry
Pharmaceuticals Major
Address
Lichtstrasse 35
Phone
+41 613241111
Employees
75267
Web
https://www.novartis.com
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