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Vertex Pharmaceuticals (VRTX) earnings and revenue breakdown
Latest: Q3 2026 · 10-Q filed Nov 3, 2026 · Vertex Pharmaceuticals (VRTX) Q3 2026 earnings results →
Q3 2026 Revenue up 12% year over year to $3.4B · 19¢ of every $1 of revenue kept as net profit · operating margin 20.7%
Vertex Pharmaceuticals made $3.4B in Q3 2026 (+12% Y/Y): Total CF product revenues, net $3.3B, CASGEVY $99.2M, JOURNAVX $58.3M. Operating margin 20.7%, net earnings $654M. See where every dollar goes — costs, profit and cash — as a Sankey from the 10-Q filed Nov 3, 2026.
Drawing the Sankey…
Open the interactive Sankey → click any line for what the company wrote about it, compare Y/Y and Q/Q, export as PNG or PDF

What changed this quarter
Revenue was $3.4B in Q3 2026, up 12% year over year and up 3% from the previous quarter. TRIKAFTA/KAFTRIO was the largest line at 71% of revenue. ALYFTREK added $0.46B year over year (up 186%), 126% of the total change. TRIKAFTA/KAFTRIO declined 8%.
Operating profit was $0.71B, a 20.7% margin (down 17.8 points year over year). Operating profit fell $0.47B even though revenue rose $0.36B versus Q3 2025, so costs grew faster than sales. Total costs grew 44% against revenue growth of 12%. The fastest-growing cost line was SG&A (+90%). Net earnings were $0.65B, down 40% year over year. The effective tax rate was 16.6%.
Operating cash flow was $0.64B (down 48% year over year), 98% of net earnings. Non-cash charges added back $0.07B of depreciation and amortization and $0.17B of share-based compensation. Working capital and other items used $0.25B. Capital expenditures of $0.10B left free cash flow of $0.55B.
Quarterly history
| Quarter | Form | Filed | Revenue | Y/Y | Op. margin | Net earnings | Op. cash flow |
|---|---|---|---|---|---|---|---|
| Q3 2026 | 10-Q | Nov 3, 2026 | $3.4B | +12% | 20.7% | $654M | $643M |
| Q2 2026 | 10-Q | Aug 4, 2026 | $3.3B | +12% | 37.4% | $1.1B | $1.1B |
| Q1 2026 | 10-Q | May 5, 2026 | $3.0B | +8% | 38.1% | $1.0B | $1.4B |
| Q4 2025 | 10-K | Feb 13, 2026 | $3.2B | +10% | 37.8% | $1.2B | $498M |
| Q3 2025 | 10-Q | Nov 4, 2025 | $3.1B | +11% | 38.6% | $1.1B | $1.2B |
| Q2 2025 | 10-Q | Aug 5, 2025 | $3.0B | +12% | 38.8% | $1.0B | $1.1B |
| Q1 2025 | 10-Q | May 6, 2025 | $2.8B | +3% | 22.7% | $646M | $819M |
Charts
Interactive views
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💵Where each $1 goesinteractive
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🌏Named in Asian annual reportsinteractive
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🔄Rotation against the market and its industry (RRG)interactive
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🔍Earnings qualityinteractive
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⚖️Fair value by methodinteractive
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🔭Outlook & guidanceinteractive
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📈Investments: gains and what it boughtinteractive
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🏭Its industry’s money flow (input-output)interactive
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About Vertex Pharmaceuticals
We are a global biotechnology company that invests in scientific innovation to create transformative medicines for people with serious diseases, with a focus on specialty markets. We have seven approved medicines: five that treat the underlying cause of cystic fibrosis (“CF”), a life-threatening genetic disease, one that treats severe sickle cell disease (“SCD”) and transfusion dependent beta thalassemia (“TDT”), life shortening inherited blood disorders, and one that treats moderate-to-severe acute pain. Our clinical-stage pipeline includes programs in CF, SCD, beta thalassemia, acute and peripheral neuropathic pain, APOL1-mediated kidney disease, IgA nephropathy and other autoimmune renal diseases and cytopenias, type 1 diabetes, myotonic dystrophy type 1, and autosomal dominant polycystic kidney disease.
In its own words, from its 10-K, filed Feb 13, 2025.
Vertex Pharmaceuticals against its Pharmaceutical Preparations peers
The largest companies of the same SEC industry, each at its latest quarter. Revenue growth: +12% against the peers' median +10%. Operating margin: 20.7% against the peers' median 20.7%.
| Company | Quarter | Revenue | Y/Y | Op. margin |
|---|---|---|---|---|
| VRTX Vertex Pharmaceuticals | Q3 2026 | $3.4B | +12% | 20.7% |
| JNJ Johnson & Johnson | Q3 2026 | $25.4B | +6% | 0.1% |
| LLY ELI Lilly | Q3 2026 | $24.4B | +39% | 34.5% |
| MRK Merck | Q3 2026 | $18.1B | +5% | 30.7% |
| ABBV AbbVie | Q3 2026 | $17.4B | +10% | 36.0% |
| PFE Pfizer | Q3 2026 | $16.6B | -0.4% | 20.4% |
| BMY Bristol Myers Squibb | Q3 2026 | $13.1B | +7% | 19.4% |
| ABT Abbott Laboratories | Q3 2026 | $13.0B | +14% | 10.4% |
| REGN Regeneron Pharmaceuticals | Q3 2026 | $5.1B | +36% | 40.0% |
Source: Vertex Pharmaceuticals 10-Q on SEC EDGAR · CIK 875320 · Pharmaceutical Preparations
Guidance and outlook
13F: who owns VRTX and who is buying
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History
Every quarter: Q3 2026 results · Q2 2026 results · Q1 2026 results · Q4 2025 results · Q3 2025 results · Q2 2025 results · Q1 2025 results
- Vertex Pharmaceuticals guidance history: guided vs reported
- Vertex Pharmaceuticals operating margin by quarter
- Vertex Pharmaceuticals net income by quarter
- Vertex Pharmaceuticals free cash flow by quarter
- Vertex Pharmaceuticals R&D spending by quarter
- Vertex Pharmaceuticals capital expenditures by quarter
- Vertex Pharmaceuticals Total CF product revenues, net revenue by quarter
- Vertex Pharmaceuticals CASGEVY revenue by quarter
- Vertex Pharmaceuticals JOURNAVX revenue by quarter