United Therapeutics
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United Therapeutics (UTHR) investor relations material

United Therapeutics Q1 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q1 2026 earnings summary6 May, 2026

Executive summary

  • Q1 2026 revenues were $781.5–$782 million, down 2% year-over-year, with Tyvaso DPI sales up 9%, Nebulized Tyvaso down 22%, and Remodulin down 8%.

  • Net income for Q1 2026 was $274.9 million, a 15% decrease from the prior year, mainly due to higher cost of sales and lower revenues.

  • Orenitram achieved record quarterly revenue of $135.6–$136 million, up 12% year-over-year.

  • Positive phase III results for TYVASO in IPF (TETON-1 and TETON-2) and Ralinepag in PAH (ADVANCE OUTCOMES) support future growth and regulatory submissions.

  • Development plans announced for ralinepag DPI and expansion into organ manufacturing and regenerative medicine.

Financial highlights

  • Total revenue for Q1 2026 was $781.5–$782 million, a 2% decrease year-over-year.

  • Net income was $274.9 million, down 15% from $322.2 million in Q1 2025.

  • Operating cash flow for the trailing twelve months reached $1.6 billion.

  • Cash, cash equivalents, and marketable investments totaled $3.47–$3.5 billion at quarter-end.

  • Gross margin declined due to a 44% increase in cost of sales, mainly from higher inventory reserve expense.

Outlook and guidance

  • Near-term revenue growth expected from Tyvaso DPI, new indications for Nebulized Tyvaso, and launch of ralinepag extended-release tablets.

  • NDA submissions for Nebulized Tyvaso in IPF and ralinepag in PAH planned by end of summer, following positive phase III results.

  • Anticipates FDA approval and launch of Nebulized Tyvaso for IPF by Q2 2027 and ralinepag by mid-2027.

  • Forecasts more than doubling of revenues over the next few years with new product launches.

  • $290 million budgeted for capital expenditures through 2028, funded by cash on hand.

Medicare coverage timeline for Tyvaso in IPF
Status of '327 patent litigation for Yutrepia
Progress of the UKidney EXPAND phaseless study
Details on the $26.8M Tyvaso DPI supply loss
Ralinepag DPI once-daily dosing feasibility
Drivers for sequential revenue growth return
RALDPI clinical milestones and target markets
Tyvaso positioning versus JASCAYD in IPF
PH-COPD study design and formulation
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