In Q1 fiscal 2027 (the quarter ended June 30, 2026), McKesson's largest business segment was North American Pharmaceutical, with $86.77 billion or 82% of revenue, up 4.9% from a year earlier. Next: Oncology and Multispecialty (13%), Medical-Surgical Solutions (3%) and Prescription Technology Solutions (1%).
By country, UNITED STATES brought in 85% and Non-US brought in 15% of revenue in Q1 fiscal 2021.
The fastest-growing business segment from a year earlier was Oncology and Multispecialty (+33.4%).
From company filings, in USD; latest quarter ended June 30, 2026; quarterly data from Q2 fiscal 2018.

Fiscal quarters, from company filings
| Business segment | Q1 FY27 | Q3 FY26 | Q2 FY26 | Q1 FY26 | Share |
|---|---|---|---|---|---|
| North American Pharmaceutical | $86.8B | $88.3B | $86.5B | $82.7B | 82% |
| Oncology and Multispecialty | $14.2B | $13.0B | $12.0B | $10.7B | 13% |
| Medical-Surgical Solutions | $2.8B | $3.0B | $2.9B | $2.7B | 3% |
| Prescription Technology Solutions | $1.6B | $1.5B | $1.4B | $1.4B | 1% |
In USD, fiscal quarters as reported; share = part of Q1 FY27 revenue.
| Country | Q1 FY21 | Q3 FY20 | Q2 FY20 | Q1 FY20 | Share |
|---|---|---|---|---|---|
| UNITED STATES | $47.1B | $49.3B | $48.3B | $46.3B | 85% |
| Non-US | $8.6B | $9.9B | $9.3B | $9.4B | 15% |
In USD, fiscal quarters as reported; share = part of Q1 FY21 revenue.
North American Pharmaceutical, Oncology and Multispecialty, Medical-Surgical Solutions and Prescription Technology Solutions (as reported for Q1 fiscal 2027).
North American Pharmaceutical: $86.77 billion, or 82% of revenue, in Q1 fiscal 2027.
By country in Q1 fiscal 2021: UNITED STATES (85%) and Non-US (15%).
Click a bar to see that period below. Striped bars are calculated fourth quarters; an empty slot means it could not be calculated on the same basis i
Fiscal quarter ended Jun 30, 2026
| Item | Revenue | Share |
|---|---|---|
| North American Pharmaceutical | USD 86.77B | 82.3% |
| Oncology and Multispecialty | USD 14.22B | 13.5% |
| Medical-Surgical Solutions | USD 2.82B | 2.7% |
| Prescription Technology Solutions | USD 1.57B | 1.5% |
Sum of items USD 105.38B. Shares are of the items shown. Click an item with › to see its parts.
Every item and period in one grid. Purple = calculated; "–" = not available.
| Item | Q1 FY27 | Q4 FY26 | Q3 FY26 | Q2 FY26 | Q1 FY26 | Q4 FY25 | Q3 FY25 | Q2 FY25 | Q1 FY25 | Q4 FY24 | Q3 FY24 | Q2 FY24 | Q1 FY24 | Q4 FY23 | Q3 FY23 | Q2 FY23 | Q1 FY23 | Q4 FY22 | Q3 FY22 | Q2 FY22 | Q1 FY22 | Q4 FY21 | Q3 FY21 | Q2 FY21 | Q1 FY21 | Q4 FY20 | Q3 FY20 | Q2 FY20 | Q1 FY20 | Q4 FY19 | Q3 FY19 | Q2 FY19 | Q1 FY19 | Q4 FY18 | Q3 FY18 | Q2 FY18 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| U.S. Pharmaceutical | – | – | – | – | – | – | 87.1B | 85.7B | 71.7B | 68.8B | 73.0B | 69.8B | 67.2B | – | 61.9B | 60.1B | 56.9B | – | 55.0B | 53.4B | 50.0B | 47.0B | 49.5B | 48.1B | – | – | – | 45.6B | – | – | – | – | – | – | – | – |
| U.S. Pharmaceutical and Specialty Solutions | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | 45.1B | 46.3B | 46.9B | – | 44.2B | 40.9B | 44.3B | 41.6B | 41.0B | – | 42.0B | 40.6B |
| North American Pharmaceutical | 86.8B | 79.1B | 88.3B | 86.5B | 82.7B | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – |
| International | – | – | – | – | – | – | 3.9B | 3.7B | 3.7B | 3.5B | 3.6B | 3.5B | 3.5B | – | 4.4B | 6.2B | 6.5B | – | 9.5B | 9.1B | 9.2B | 8.6B | 9.3B | 9.5B | – | – | – | 9.3B | – | – | – | – | – | – | – | – |
| Medical-Surgical Solutions | 2.8B | 2.9B | 3.0B | 2.9B | 2.7B | – | 2.9B | 2.9B | 2.6B | 2.8B | 3.0B | 2.8B | 2.6B | – | 3.0B | 2.8B | 2.6B | – | 3.1B | 3.1B | 2.5B | 2.7B | 3.1B | 2.5B | 1.8B | 2.2B | 2.1B | 2.1B | 1.9B | 2.0B | 2.0B | 1.9B | 1.7B | – | 1.7B | 1.7B |
| European Pharmaceutical Solutions | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | 6.2B | 7.2B | 6.9B | – | 6.7B | 6.8B | 6.9B | 6.6B | 6.9B | – | 7.0B | 6.8B |
| Oncology and Multispecialty | 14.2B | 12.7B | 13.0B | 12.0B | 10.7B | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – |
| Prescription Technology Solutions | 1.6B | 1.5B | 1.5B | 1.4B | 1.4B | – | 1.4B | 1.3B | 1.2B | 1.2B | 1.2B | 1.1B | 1.2B | – | 1.1B | 1.0B | 1.1B | – | 1.0B | 932.0M | 881.0M | 789.0M | 777.0M | 668.0M | – | – | – | 626.0M | – | – | – | – | – | – | – | – |
| All other segments | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | 2.6B | 2.9B | 3.2B | – | 3.0B | 2.8B | 3.0B | – | – | – | – | – |
| Other Operating | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | 2.9B | 3.0B | – | 3.0B | 3.0B |
| Reconciling items | – | 101.0M | 335.0M | 302.0M | 305.0M | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – |