MCK

MCK

McKesson Corporation

Dividend / Cash flow

★ Quality 83/100
Fair price

Price today

$907.99

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A monopoly position

This company has a competitive advantage so strong that its rivals find it practically impossible to replicate.

What this business is made of

83qualityReturnsMoatBalance sheetPricing powerReinvestment

The business

McKesson is the artery every box of medicine in North America passes through.

McKesson distributes drugs. It buys pharmaceuticals from manufacturers and delivers them to pharmacies, hospitals, and clinics across North America. It moves $403B in revenue with barely a 4% gross margin — it earns on volume, not margin, pocketing a fraction of every box that passes through.

It's one of three distributors that control 90% of the U.S. market. Replicating its logistics network, its manufacturer contracts, and its scale would take decades and billions. The margin is so thin that no newcomer wants to enter — and that's precisely the barrier.

Revenue history

$263.9B
2022
$276.7B
2023
$308.9B
2024
$359.1B
2025
$403.4B
2026
CAGR 5 años: +11%

From $263.9B to $403.4B in 4 years. The business grows steadily.

Where each $100 of sales goes

Revenue $403.4B · FY2026

Cost of sales$388.9B · 96%
Operations$9.8B · 2%
Net profit$4.8B · 1%

Of every $100 in sales, $99 goes to costs and operations; $1 is left as net profit (1% margin).

Catalysts and risks

Oncology segment (US Oncology Network) growing double digits, with a higher margin than base distribution.

Aggressive buybacks: the company reduces shares year after year, pushing FCF per share toward $47.

FY2026 closed at $403.4B in revenue, +12% year-over-year, with FCF of $5.7B fueling the dividend and buybacks.

⚠️

4% gross margin: any logistics disruption or regulatory pressure on prices hits hard.

⚠️

Opioid litigation still weighs on cash flow with settlement payments stretching out over years.

⚠️

Customer concentration: losing a big contract (CVS, a chain) moves the needle.

Charlie's note

Paying 22x for a 4%-margin business growing at 11% requires that the logistics machine stays untouchable; the moat of the big three justifies it, but only if you have the patience not to overpay for the privilege.

Analysis · June 2026

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