Operator
Good morning and welcome to the Amneal Pharmaceuticals second quarter 2026 earnings call. I will now turn the call over to Amneal's Head of Investor Relations, Tony DiMeo.
Tony DiMeo
Good morning, and thank you for joining Amneal Pharmaceuticals second quarter 2026 earnings call. Today, we issued a press release reporting Q2 results.
The earnings press release and presentation are available on the IR page of amneal.com. Certain statements made on this call regarding matters that are not historical facts, including, but not limited to, management's outlook or predictions, are forward-looking statements that are based solely on information that is now available to us.
Please see the sections entitled "Cautionary Statements on Forward-Looking Statements" in our press release and presentation for factors that may impact future performance. We also discuss non-GAAP measures.
Information on use of these measures and reconciliations to GAAP are in the earnings release and presentation. On the call today are Chirag and Chintu Patel, Co-Founders and Co-CEOs; Tasos Konidaris, CFO; Joe Renda, for Specialty; and Jason Daley, Chief Legal Officer.
I will now hand the call over to Chirag.
Chirag Patel
Thank you. Good morning, everyone.
Amneal is in the midst of the most transformative period in our company's history. We are growing as one of the America's leading affordable medicines businesses with an increasingly diversified and high-impact medicines portfolio, including specialty brands, biosimilars, GLP-1s, and complex generics across dosage forms such as transdermals and injectables.
As we execute our strategy, we're building a larger, more impactful Amneal. That continued momentum is reflected in our second quarter results, where the company delivered revenue of $796 million, adjusted EBITDA of $206 million, and adjusted EPS of 30 cents.
At the halfway point of the year, we're pleased to once again raise our 2026 outlook. This year reflects our seventh consecutive year of top and bottom-line growth.
As a purpose-driven company, we have a tremendous opportunity to help the next era of affordable medicines here in the United States and globally by expanding access for patients and providers. While Amneal has always been a growth-oriented, the scale of the opportunity in front of us today has never been greater.
With that, let me touch on key growth opportunities. First, in affordable medicines, our base business remains strong, resilient, and growing, with highly relevant and in-demand therapies.
In women's health, demand for transdermal patches increased following the revised FDA guidance late last year. We are increasing our capacity.
Looking forward, our pipeline remains focused on high-value opportunities such as lanreotide, where complexity, reliable supply, customer relationship, and executions are key. Second, in biosimilars, we're building a new, large growth platform for Amneal.
With the pending acquisition of Kashiv, we would become a fully integrated global biosimilar player from development to commercial supply. The timing is incredibly compelling.
The U.S. biosimilars market is entering a major growth cycle, driven by an unprecedented wave of biologics losing exclusivity, streamlined regulatory pathways, attractive commercial structures emerging, including private labels, and accelerating market adoption.
Over the next decade, 118 biologics are expected to lose exclusivity in the United States alone. With relatively limited development expected for most molecules, accordingly, we see a broad set of biosimilar opportunities with limited competition that can support reliable and repeatable value creation.
Amneal is well-positioned to capitalize on these opportunities. Approximately 75% of our biosimilar portfolio will be focused on targeted, lower competition, while 25% will address larger market opportunities.
That mix gives us significant growth potential and meaningful upside. Biosimilars align with our commercial strength as well.
Through private label and customer relationship, we can bring products to market efficiently, leveraging our leading U.S. retail and institutional presence, channel access, and scale.
This is a natural extension of our affordable medicines strategy. Overall, biosimilars are the next major growth area for Amneal, and fit directly in our mission: expanding access, providing affordability, and building a durable, long-term growth platform.
Third, in specialty, we have differentiated branded product portfolio. Crexont continues to gain traction, and recent Phase 4 data reinforces its potential to become a first-line treatment option for Parkinson's patients.
Also, Bekeyra continues to see very strong uptake in its first several quarters on the market, as it addresses an important unmet need for migraine and cluster headache sufferers. Fourth, in distribution, AvKARE continues to provide diversification and access to important government and institutional channels, representing a meaningful opportunity to grow this business over time.
In summary, we are incredibly excited about the ongoing strategic evolution of Amneal and highly confident in our ability to sustain this momentum going forward. I'll now turn it over to Chintu.
Chintu Patel
Thank you, Chirag, and good morning, everyone. I would like to thank our Amneal team for another quarter of very strong execution.
Our team continues to deliver across operations, quality, supply chain, R&D, commercial execution, and customer service. This consistency allows us to grow while also building towards the next generation of opportunities such as specialty, biosimilars, and GLP-1s.
Let me begin with an update on one of our manufacturing sites in India. One week ago, the Gujarat region experienced a severe rainfall and flooding, which impacted one of our facilities in India.
Most importantly, all Amneal employees are safe and accounted for. We expect a limited impact on a select number of products.
We look to resume operation within the next few weeks. I will provide an update on three areas: first, the strength of our operating platform; second, the strategic fit and capabilities Kashiv brings in biosimilar; and third, the continued momentum across our pipeline.
First, in operations, our global high-quality manufacturing and supply chain capabilities remain a core competitive advantage. If you walk into an Amneal facility today, it looks remarkably different than just a several years ago.
Through digitization, automation, and deploying AI tools in different areas, we are unveiling our next generation of manufacturing and quality while also driving continued efficiencies. Strategically, we have built a broad operational network with deep expertise across dosage forms.
This matters more than ever. Patients, providers, and all stakeholders of the healthcare system are focused on the quality, reliability, and resiliency of the pharmaceutical supply chain.
We are excited to expand our capabilities and capacity in complex dosage forms, including transdermals, sterile injectables, and long-acting depots, enabling Amneal to increase our volumes and drive very meaningful near-term growth. Our scale, leading U.S.
manufacturing footprint, and strong technical capabilities positions us to deliver reliable, high-quality supply while addressing important market needs and drug shortages. To that point, we are pleased to share that Amneal's Brookhaven, New York site was recently selected as one of only seven companies in the FDA's PRE-CHECK pilot program, alongside other leading companies such as Eli Lilly and Regeneron.
The program is intended to advance U.S. drug manufacturing and strengthen supply chain resiliency by allowing earlier FDA engagement on facility readiness and support access to critical medicines.
For Amneal, it is an important recognition of our robust U.S. manufacturing, particularly as we expand into sterile injectable manufacturing here in the U.S.
over the next few years. Second, we are very excited about the Kashiv acquisition, which will add the in-house biologics capabilities we need to succeed in biosimilars.
The end-to-end capabilities will span cell line and clone development, protein characterization, process development, clinical execution, regulatory expertise, and scaled biologics manufacturing in India and U.S. Kashiv is a biologics platform built over a decade with deep scientific expertise across monoclonal antibodies, fusion proteins, cytokines, microbial products, and other complex modalities.
Kashiv's drug substance capacity is expected to expand from approximately 26,000 L by the end of 2026 to approximately 75,000 L by 2028. With Kashiv, we will be able to do it all in biologics.
Kashiv brings the science, development, and manufacturing engine, and Amneal brings the U.S. commercial engine with our leading retail position and channel expertise.
This is a powerful combination. Together, this combined model will allow us to advance multiple molecules at the same time, make smart portfolio decisions, move quickly, and capture more economics across the value chain.
With our current and future biosimilar capacity, we are well-positioned to supply a meaningful share at launch, with excess capacity to respond to market demand as needed. In addition, the combined pipeline of over 20 biosimilar programs supports a meaningful number of new launches over time.
We are very excited about upcoming biosimilar opportunities for Xolair, Orencia, Cimzia, and Nplate, which are attractive molecules with significant market potential and relatively limited competition. We believe each has the potential to become a meaningful growth driver.
Longer term, the pipeline extends well into the 2030s, providing substantial runway for growth. Third, turning to our affordable medicine pipeline, we are in the midst of the most concentrated and impactful wave of high-value new launches in our company's history.
Importantly, it is not just the number of launches that matters, it is the value, complexity, and durability of these products. This momentum is the result of choices we made many years ago.
We deliberately prioritized complex generics and differentiated dosage forms, including injectables, ophthalmics, inhalation products, drug-device combinations, 505(b)(2) opportunities, and other non-oral solid dosage forms, where technical complexity and execution create long-term durable value. Our recent approvals and upcoming launches show the strategy is working.
This includes the recent approval of romidepsin in oncology, additional strengths of presentation of iohexol, and ready-to-use sodium bicarbonate, our latest 505(b)(2) injectable, along with potential approval of lanreotide in Q3. Each product reflects the high-impact opportunities that we have been building towards and demonstrate the strength of our affordable medicines pipeline.
The wheel of innovation continues to turn, with another 12 to 15 high-value complex ANDA filings planned this year, including two more metered dose inhalation products. These opportunities exemplify Amneal's core strengths: strong R&D, complex manufacturing, deep customer relationships, and a track record of reliable supply.
We are using the same playbook that built our affordable medicines business and applying it to biosimilars. In specialty, we are pleased with the continued strong performance of Crexont and Bekeyra.
These successful product launches reflect our ability to develop new medicines, build brands, and bring forward therapies that improve patient care. For Crexont, the real-world evidence for Parkinson's patients is very compelling.
We recently shared data from our first Phase 4 open-label study that showed patients converting to Crexont had three or more hours of good on-time per day versus Rytary and other carbidopa/levodopa therapies, and a meaningful improvement in symptom control. In Q4, we are starting a new Phase 4 study looking at the impact of Crexont on treatment-naive patients recently diagnosed with PD and disease progression.
More broadly, we are building on this specialty foundation with additional R&D pipeline opportunities. While Crexont and Bekeyra are key growth drivers today, they represent the beginning of a broader specialty pipeline that we are advancing, and we look to share more in the future.
Taken together, we are well-positioned for continued growth and remain laser-focused on executing across our key operational, commercial, and pipeline opportunities. I will now hand it over to Tasos.
Tasos Konidaris
Thank you, Chintu, and good morning, everyone. The second quarter played out as expected, with revenue growth accelerating and broad-based momentum building across our business.
Consequently, we are very pleased with our continued strong financial performance and ability to raise our 2026 outlook again this quarter, reflecting the strength and diversification of our business, a number of key growth drivers, and the success of the business model we have strategically built over several years. We expect this momentum to continue through the balance of 2026 and into 2027 and beyond.
For the second quarter, total net revenue was $796 million, up 10%; adjusted EBITDA was $206 million, up 12%; and adjusted EPS was 30 cents, up 20%. Our results were driven by strong execution across our three business segments, favorable product mix, and operating expense discipline.
For the second quarter, affordable medicines delivered revenue of $490 million, up 13%, reflecting the strength of our broad-based complex portfolio, including our women's health products, injectables, and higher naloxone sales. In addition, new product launches added $45 million to second quarter revenue growth, including two recently launched products: one in ophthalmology and one in urology.
Our specialty revenue was $149 million, up 17%, driven by continued momentum in Crexont, Unithroid, and Bekeyra, all ahead of expectations. Moving on to AvKARE, where second quarter revenue was $157 million, down 4%, similar to the first quarter, as growth in the government channel was offset by the low-margin distribution business, as we expected.
As we have shared in the past, we remain focused on the unique value we provide in the government channel and continue to expand AvKARE's profitability. Moving down the P&L, our second quarter adjusted gross margin was strong at 46.2%, up 60 basis points year-over-year, reflecting favorable mix and continued operating efficiencies.
Adjusted EBITDA grew 12% due to strong revenue growth, gross margin expansion, and disciplined expense management. From an adjusted EPS perspective, the second quarter grew 20%, reflecting the adjusted EBITDA growth and lower interest expense.
Let me take a moment to acknowledge the strength of our first half financial performance, with total revenues up 7%, adjusted EBITDA up 16%, and adjusted EPS growth of 27%. Furthermore, I'm pleased to report that we recently repriced our $2.4 billion Term Loan B due in 2032 and reduced our interest expense by 50 basis points, which equate to $12 million in annual interest expense savings.
Given the strength of our business, we are very pleased to raise our full-year 2026 guidance again this quarter. We are increasing our revenue outlook by $50 million to $3.1 billion to $3.2 billion, with high single-digit growth expected in both specialty and affordable medicines.
Also, we are raising our adjusted EBITDA guidance by $10 million between $750 and $780 million, reflecting strong revenues and higher gross margin. This guidance include and includes an estimated $20 million of negative impact anticipated as a result of the recent flood in our India facility, as Chintu mentioned earlier on.
From an EPS perspective, we're increasing our guidance by a penny between 96 cents and $1.06, due to our higher profitability and lower interest expense following our most recent successful debt repricing. From a CapEx perspective, we are increasing our expectations from about $110 million to about $150 million to capitalize on multiple near-term opportunities that we see in the marketplace, such as greater market demand for our women's health products and injectable expansion in the U.S.
Finally, we're maintaining our operating cash flow guidance. Turning to Kashiv for a second, we're entering the transaction from a position of strength, supported by a diverse set of growth drivers, strong cash flow, and disciplined balance sheet management.
This progress was further validated in April when we received a one-notch credit rating upgrade and our most recent successful Term Loan B repricing. As we have outlined, the Kashiv transaction is compelling both strategically and financially.
First, the acquisition enable us enables us to be a leader in the multibillion-dollar global biosimilars market that is growing rapidly. Second, we expect to capture $400 to $500 million in financial benefits driven by tax and local incentives, as well as eliminating milestone and profit-sharing obligations.
Third, we see a clear path to deleveraging, with net leverage below 3x by 2028. We expect the Kashiv transaction to close over the next few weeks, pending shareholder vote tomorrow and satisfaction of closing conditions.
With that, I will turn the call back to Chirag.
Chirag Patel
Thank you, Tasos. Our Q2 results demonstrate the strength of Amneal's diversified business and the momentum across our growth platforms.
We're delivering strong performance today, with more significant opportunities ahead than any point in our company's history. The pending Kashiv acquisition is a natural extension of our strategy that will create a fully integrated global biosimilar platform, provide us access to a very large market opportunity, and establish a major new long-term growth pillar.
We're excited about the future and the substantial value creation ahead. Our goal remains clear: to become America's number one affordable medicines company and a leading global provider of essential medicines, because innovation only matters when it reaches the patient.
With that, let's open the call for Q&A.
Operator
We will now begin the question-and-answer session. Please limit yourself to one question and one follow-up question.
If you would like to ask a question, please press *1 to raise your hand. To withdraw your question, press *1 again.
We ask that you pick up your handset when asking a question to allow for optimum sound quality. If you are muted locally, please remember to unmute your device.
Please stand by while we compile the Q&A roster. Your first question is from the line of Glen Santangelo from Barclays.
Your line is now open, please go ahead. Oh, yeah,
Glen Santangelo
thanks, and good morning. Thanks for taking the question.
Just two quick ones for me. Chirag, I think I heard you said you're still expecting the timing for lanreotide to be 3Q.
If memory serves me correct, the biosimilar for Xolair, you're expecting later in the fourth quarter. I'm just kind of curious as to maybe what you have included in the second half fiscal '26 guide for these launches.
Then my second question is really around Kashiv. I think at the time of the deal, you said you're expecting to have six commercial biosimilars in the market by 2027 with a $14 billion TAM.
I was just wondering if you could just give us an update on the timing and maybe a little bit more transparency into which launches will be more meaningful here. Thanks.
Glen,
Chintu Patel
good morning, Glen. Lanreotide is on its way.
That's what we feel as of today. It has official goal date in Q3.
That, we have included some of the forecast number, but not probably the market total. A
Glen Santangelo
very conservative—
Chirag Patel
Conservative is included. Xolair towards very late end of the year or could spill into the January 5th.
Nothing is included for Xolair for this year. In Kashiv BioSciences, your question on the six commercial biosimilars, as we market ALMSYS, [unclear], FYLNETRA, we are launching Prolia and XGEVA, and look forward to launch Xolair sometimes next year, hopefully very early.
That becomes six biosimilars commercialized by next year and more to follow thereon in '27, '28, '29. Very exciting for that pipeline.
Thank you.
Glen Santangelo
Thank you.
Operator
Your next question comes from Chris Schott with J.P. Morgan.
Your line is now open, please go ahead. Oh,
thank you so much. This is Katerina on for Chris.
Just two questions from us. First, just on tariffs, your thoughts on some of these recent headlines from the administration.
How should we think about potential impact both for Amneal and the industry? Have there been any discussions between generic manufacturers and the administration since the announcement?
Then second question is just on Crexont. Seems like another very strong quarter for the product.
Just any interesting trends you guys are seeing in terms of where uptake is coming from or anything else here kind of seeing in that market? Thank you.
Chirag Patel
Thank you. Good morning.
As Amneal has a very vast manufacturing network in the United States. We always look, and also expanding our capacity in the United States in sterile and patches as well.
As far as the recent announcement, we look forward for more information and would collaborate with administration as we move forward. Your second question on Crexont, we are seeing 80% of the scripts coming from general neuro, which wasn't the case for Rytary.
That continues to happen. As 80% prescription are written by the general neurologist.
Very exciting. The Phase 4 data is exciting as well, well-received, and the script trend is keep going up every week.
It's truly a needed therapy for the Parkinson's patient, and our goal will be to make that a first-line therapy, replace the immediate-release product.
Thanks.
Operator
Your next question comes from David Amsellem from Piper Sandler. Your line is now open, please go ahead.
David Amsellem
Thanks. A couple for me.
First on iohexol with the additional SKUs approved, can you talk about how big of an opportunity that could be not just this year, but also in '27, if you can quantify that? Your views on how long that could be a situation where there's limited competition?
A similar question on lanreotide: can you just level-set for us to the extent you get approved, how long that could be a limited competition situation? Then lastly on your specialty business and particularly neurology, what's your appetite for adding assets where you can leverage your existing commercial infrastructure in neuro?
Thank you.
Chintu Patel
Hi David. Good morning.
Iohexol is a very complex product, and it requires very good supply chain control and a manufacturing footprint. We're very excited with the new SKUs that are getting approved.
We are expecting other one or two more strengths to get approved by end of the year. I think going into next year, we'll complete the entire basket because it has multiple strengths.
Same times, we have increased our capacity this year, and we look forward to capitalize on the full market potential next year. From quantification perspective, we think this as a $50-plus million opportunity, maybe more going forward, and we have secured a very good supply chain.
Regarding lanreotide, it's the same thing. It's a very complex manufacturing.
As it's a drug-device combination, it's a peptide, it's a very unique formulation. It has lots of multiple barriers of entry from coming into the market.
We have dedicated site and facility, we have controlling our in-house supply chain. We are very positive and optimistic on staying a market leader upon the launch in Q3 as anticipated.
Lanreotide, and we have inventory to go. We have perfected the manufacturing, we look forward to lanreotide launch in Q3 of this year.
Great. I'll take the second one on specialty M&A potential.
As we have stated before, company's focus and goal will turn to the specialty side going from next year and many years to come after that. We have a full mass and great infrastructure for small molecule and large molecule with pending Kashiv acquisition.
We'll keep investing in our internal growth, R&D, and CapEx for affordable medicines, and not take our eyes off. It's great business.
Even the existing business is growing remarkably, with the new pipeline launches, the women's health, with the lidocaine expansion, with injectable expansion in the United States. We could not even supply more.
That is just very positive sign. As David, that would be positive because 90% scripts are written using generics product, and always the complex products run in shortages, and we are there to support that.
Very excited about that. Biosimilars, we have enough, and we will keep expanding with CapEx.
Now, with excess cash and other means, we would be focusing on CNS assets, our team is looking at it, and we are also looking at oncology assets. We'll be adding pipeline internally and externally, and we'll share with you when we are ready.
Operator
Your next question comes from Ash Verma with UBS. Your line is now open, please go ahead.
Oh,
Ash Verma
great. Thanks so much for taking our questions, and congrats on the progress here.
I had two questions on both the individual products. Maybe just on lanreotide, yeah, you've been reiterating 3Q as an approval and launch.
Just help us understand if there could be any gating items from FDA side on granting the approval. Have you had any kind of a late-cycle review meeting recently, any back-and-forth with the FDA that you can talk about?
Then on iohexol, this one, yeah, you're building out the SKU portfolio. Obviously, is the adoption of iohexol contingent on you having first all the SKUs, or can we start to see meaningful revenue contribution from what you have right now, and then it sort of builds out from the later dosing after that?
If you can give any comment on that, that would be great. Thanks.
Chintu Patel
Hi, Ash, good morning. On lanreotide, I'll take the first one.
We responded to all the queries of FDA with very comprehensive response. We are very optimistic.
As of today, we haven't had any negative feedback from FDA, we believe no news is a good news. It is under priority review, as FDA understand it's an unmet need.
We remain very, very optimistic about 3Q launch, and we have inventory to go upon the approval of the product immediately. On iohexol, our strategy was to get all the SKUs together, our R&D has completed all the work.
It's not necessary to have all the SKUs, but I think we took a strategic position so that way we can get a bigger bite at the market share. Also, we are expanding the capacity.
In '26, iohexol does not have meaningful revenue, but in '27 onward, it will add substantial revenue growth.
Ash Verma
Great. Thank you.
Operator
Your next question comes from Matt DellaTorre with Goldman Sachs. Your line is now open, please go ahead.
Matt Dellatorre
Great. Thanks.
Good morning, guys, and congrats on the strong quarter. Maybe stepping back a bit, Chirag, you kicked off the call highlighting how Amneal is in the most transformative period in the company's history.
I think two big things that come to mind here is obviously the recent biosimilars integration and also the Pfizer GLP-1 partnership. I know you discussed the biosimilar side a bit already, but maybe just walk us through what you're most focused on perspective both of these programs over the next 6 to 12 months.
Then what would you maybe highlight beyond these programs that you're most excited about that you think we should start paying attention to? Then just on the affordable medicine side, you guys have highlighted significant pick-up in demand for estrogen patches post the recent black box removal for those types of products.
Maybe just walk us through how large is that market potential there and how much is Amneal positioned to capture? Thank you.
Chirag Patel
Great. I'll start with affordable medicines, the existing business.
As I said, we're the most excited since last 7 years. We used to have this kind of excitement from 2010 to 2018, and those times have come back.
Existing, the two reasons: existing products, huge demand for the patches, the estrogen patches, and we make them right here in New Jersey. Expansion is underway 24/7.
Our teams are working. We're fortunate to work with the equipment supply to bring the equipment earlier, and we look to triple the capacity by next year.
It's a huge addition in revenue. Also, we're expanding lidocaine.
That is also in shortage, so that demand is going up as well, the lidocaine patches. With patches, with ophthalmics in high demand, with even the regular products being in a high demand, and new product launches, affordable medicines could add—it's a bigger range, but could add $1 to $2 billion of new revenue from now to 2030.
We're very excited with our existing pipeline, new product launches, and in-line products. Amazing times coming up in affordable medicines category.
Biosimilars, we've spoken enough, a huge growth opportunity. Now in specialty, Crexont keep expanding.
Bekeyra is breaking the records. Unithroid is steady-eddy growth.
We expect these three brands to continue to grow. On top of it, organic pipeline would be revealed within probably in first quarter next year.
We will also look to be active in potential partnership, acquisitions of branded products that fits our commercial infrastructure and fits the category we play in. We'll keep expanding and we may add oncology assets as well, since we have the biosimilar oncology team already, more market knowledge over the last 3 years.
That's very exciting news on specialty, and we look to share that as we have that information. On GLP-1 peptides, Pfizer's results are good on clinical trials, and our partnership's moving extremely well.
We look to expand the partnership, and our both plants are coming up as fast as they can and should be operational 2029 and '30. We look to start supplying in 2030.
Also, we have evaluated the markets that we have given the exclusive commercial rights, like India and Egypt, and those are looking good as well. Very excited on a GLP-1 peptide opportunity.
Also with this large infrastructure, it opens up for additional manufacturing of peptides as well as finished products for either other branded companies or in the future some generics products.
Chintu Patel
On biosimilar, Matt, I just wanted to add: in next 6-12 months, we are very much focused on integrating Kashiv and also advancing our pipeline on abatacept, Nplate, and Cimzia. Because R&D is going to be key, and that's where Amneal is always shining.
To work with Kashiv and enhance R&D capabilities where we can file three or four biosimilars a year, which is potentially possible. New into biologics, we are also looking into different platforms within the biologics and look at some new drug-device combination within the biologics to come out with the kind of a 505(b)(2) of biosimilar.
We are just focused on biosimilar. There are plenty of products to go, advancing our pipeline and infrastructure and some of the 505(b)(2)s within the biosimilars.
Matt Dellatorre
Great. Thank you so much.
Chintu Patel
I think we have Thank you, Matt.
Operator
We have reached the end of the Q&A session. I will now turn the call back to Co-CEO, Chirag Patel, for closing remarks.
Chirag Patel
Thank you very much, everybody, and have a great Thursday. Take care.
Operator
This concludes today's call. Thank you for attending.
You may now disconnect.