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Pacira BioSciences, Inc.: Q1 FY2026 earnings call

What management said about Q1 FY2026, from the documents filed with the SEC on 30 April 2026: press release. Guidance figures: 9 kept. The quarter’s numbers.

Key takeaways

  • Revenue grew 5 percent: Total revenue was $177.4 million, up 5 percent, with growth across the commercial portfolio and EXPAREL volume up 7 percent. Source
  • Adjusted EBITDA declined year over year: Adjusted EBITDA was $40.2 million, compared with $44.1 million in the first quarter of 2025. Source
  • EXPAREL sales rose 5 percent: EXPAREL net product sales were $143.3 million, up 5 percent from $136.5 million in the first quarter of 2025. Source
  • Volume gains partly offset by mix and discounting: EXPAREL volume rose 7 percent, but a shift in vial mix, discounting tied to the third GPO partnership and January storm returns partly offset the gain. Source
  • ZILRETTA shoulder enrollment completed: Enrollment in the Phase 3 registration study of ZILRETTA for shoulder OA pain was completed in April 2026. Source
  • PCRX-201 Phase 2 readouts this year: PCRX-201, a locally administered gene therapy in Phase 2 for knee osteoarthritis, has Part A readouts expected this year. Source
  • Repurchased $50 million of stock: The company bought back 2.2 million shares in the quarter at an average price of $22.28, for $50.0 million. Source

“This performance is fueled by a powerful combination of expanding market access, growing awareness and adoption, and mounting real world evidence”

Frank D. Lee, chief executive officer of Pacira BioSciences

Guidance

AreaPeriodFigureAgainst last quarter
EXPAREL net product sales Sourcefull-year 2026$600 million to $620 millionKept
Total revenue Sourcefull-year 2026$745 million to $770 millionKept
Non-GAAP gross margin Sourcefull-year 202677 percent to 79 percentKept
Non-GAAP R&D expense Sourcefull-year 2026$105 million to $115 millionKept
Non-GAAP SG&A expense Sourcefull-year 2026$320 million to $340 millionKept
Stock-based compensation Sourcefull-year 2026$54 million to $62 millionKept
GAAP gross margin Sourcefull-year 202676% to 78%Kept
GAAP R&D expense Sourcefull-year 2026$116 million to $128 millionKept
GAAP SG&A expense Sourcefull-year 2026$359 million to $386 millionKept

What changed from last quarter

  • Guidance kept: Full-year 2026 guidance was reiterated with no change to the figures given in the February 2026 release. Source
  • New: Enrollment in the Phase 3 ZILRETTA shoulder study was completed in April 2026, after the February 2026 release. Source
  • New: Three real-world EXPAREL studies were presented in April 2026, after the February 2026 release. Source

Results and growth drivers

  • Revenue grew 5 percent: Total revenue was $177.4 million, up 5 percent, with growth across the commercial portfolio and EXPAREL volume up 7 percent. Source
  • GAAP net income was lower: GAAP net income was $2.9 million, or $0.07 per share, against $4.8 million, or $0.10 per share, in the first quarter of 2025. Source
  • Non-GAAP earnings per share was $0.60: Non-GAAP net income was $24.5 million, or $0.60 per share, compared with $30.0 million, or $0.62 per diluted share, a year earlier. Source
  • Adjusted EBITDA declined year over year: Adjusted EBITDA was $40.2 million, compared with $44.1 million in the first quarter of 2025. Source

Product sales by drug

  • EXPAREL sales rose 5 percent: EXPAREL net product sales were $143.3 million, up 5 percent from $136.5 million in the first quarter of 2025. Source
  • Volume gains partly offset by mix and discounting: EXPAREL volume rose 7 percent, but a shift in vial mix, discounting tied to the third GPO partnership and January storm returns partly offset the gain. Source
  • ZILRETTA sales rose 15 percent: ZILRETTA net product sales were $26.8 million, up 15 percent from $23.3 million a year earlier. Source
  • Iovera sales rose 21 percent: iovera net product sales were $6.2 million, up 21 percent from $5.1 million a year earlier. Source
  • Third-party licensee sales declined: Bupivacaine liposome sales to third-party licensees were $1.2 million, versus $2.6 million in the first quarter of 2025. Source

“In the first quarter, we delivered solid topline performance, highlighted by renewed growth across our commercial portfolio.”

Frank D. Lee, chief executive officer of Pacira BioSciences

Costs, margins and tax

  • Total operating expenses rose: Total operating expenses were $170.5 million, up from $166.9 million in the first quarter of 2025. Source
  • R&D spending increased: R&D expenses were $28.1 million, compared with $25.3 million a year earlier. Source
  • SG&A spending increased: SG&A expenses were $93.9 million, compared with $86.8 million a year earlier. Source
  • Non-GAAP gross margin was 80 percent: Non-GAAP gross margin was 80 percent, compared with 81 percent in the first quarter of 2025. Source
  • Non-GAAP tax rate eased: The non-GAAP effective income tax rate was approximately 22 percent, against approximately 24 percent a year earlier. Source

Pipeline and clinical programs

  • ZILRETTA shoulder enrollment completed: Enrollment in the Phase 3 registration study of ZILRETTA for shoulder OA pain was completed in April 2026. Source
  • Possible first shoulder on-label indication: If the study is successful, ZILRETTA could be the first product with an on-label indication for OA pain of the shoulder. Source
  • Iovera spasticity study pending: A registrational study of iovera in spasticity is among the readouts management expects this year. Source
  • PCRX-201 Phase 2 readouts this year: PCRX-201, a locally administered gene therapy in Phase 2 for knee osteoarthritis, has Part A readouts expected this year. Source

“As we move through 2026, we will continue to execute our 5x30 strategy to drive durable revenue growth, deliver clinical innovation, and create long-term value for patients and shareholders into and beyond 2030”

Frank D. Lee, chief executive officer of Pacira BioSciences

Real-world evidence and payer data

  • EXPAREL lowers total costs in THA and TKA: Three real-world studies in outpatient THA and TKA linked EXPAREL to lower or comparable total healthcare costs and less opioid use in some groups. Source
  • EXPAREL lowers cost of care in spine and knee: Two March 2026 studies linked EXPAREL to lower total cost of care versus ropivacaine or non-liposomal bupivacaine, in outpatient and inpatient settings. Source
  • Iovera pain relief lasts longer in registry: IGOR registry data showed iovera treatment associated with longer-term improvement in pain and function for up to 12 months. Source

Capital, cash and share repurchases

  • Repurchased $50 million of stock: The company bought back 2.2 million shares in the quarter at an average price of $22.28, for $50.0 million. Source
  • Cash ended the quarter at $202.2 million: Cash, cash equivalents and available-for-sale investments totaled $202.2 million at March 31, 2026. Source
  • Diluted share count fell: Diluted weighted average shares were 40.9 million, down from 46.5 million in the first quarter of 2025. Source
  • Shares outstanding at quarter end: The company had 39.3 million shares of common stock outstanding at March 31, 2026. Source

Strategy and long-term targets

  • 5x30 strategy continues into 2030: Management said the 5x30 strategy is meant to drive durable revenue growth, clinical innovation and long-term value into and beyond 2030. Source
  • 2026 described as data-rich: Management describes 2026 as a data-rich period, with several readouts expected this year. Source
  • Access and awareness cited as drivers: Management attributes growth to expanding market access, growing awareness and adoption, and real world evidence, which it says reinforce each other. Source

Coming up, as management said on 30 April 2026

  • ZILRETTA shoulder topline results: Topline results from the Phase 3 ZILRETTA shoulder study are expected by the end of 2026. Source
  • Iovera spasticity registrational readout: Readout from the registrational study of iovera in spasticity is expected this year. Source
  • PCRX-201 Part A readout: Key readouts from Part A of the PCRX-201 Phase 2 study in knee osteoarthritis are expected this year. Source
  • Repurchase authorization expires: The company had $100.0 million remaining on its share repurchase authorization, which expires December 31, 2026. Source

Figures management reported

FigureReported
EXPAREL net product sales Source$143.3 million, up 5 percent from $136.5 million
ZILRETTA net product sales Source$26.8 million, up 15 percent from $23.3 million
Iovera net product sales Source$6.2 million, up 21 percent from $5.1 million
Bupivacaine liposome sales to third-party licensees Source$1.2 million, versus $2.6 million
R&D expense Source$28.1 million, compared with $25.3 million
Pipeline milestone SourceZILRETTA shoulder Phase 3 enrollment concluded in April 2026

Risks management discussed

  • Operational: Returns linked to a January winter storm reduced EXPAREL sales in the quarter. Source
  • Demand: A shift in EXPAREL vial mix partly offset volume growth in the quarter. Source
  • Financial: Discounting tied to the third GPO partnership launched last year reduced EXPAREL net sales. Source

Earlier plans management reported on

  • On track: Management said the study remains on track for topline readout by the end of 2026. Source
  • Not stated: Management reiterated its full-year 2026 guidance, with the figures unchanged from the February 2026 release. Source
  • Not stated: Management said it will continue to execute the 5x30 strategy through 2026 and into and beyond 2030. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.