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Guardian Pharmacy Services Reiterates 2025 Guidance and Provides 2026 Outlook

Guardian Pharmacy Services (GRDN) | January 14, 2026

By Laura Young

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Guardian Pharmacy Services, a leading long-term care pharmacy services company, reaffirms its 2025 guidance and offers a glimpse into its financial outlook for 2026.

Expecting continued low double-digit adjusted EBITDA growth in 2026 due to operational strength and anticipated drug pricing changes.

Presentation at the J.P. Morgan Healthcare Conference will cover business updates and future projections.

Guardian Pharmacy Services strategically positions itself for sustainable growth by aligning with regulatory changes, maintaining operational efficiency, and pursuing strategic acquisitions.

Financial Outlook

Guardian Pharmacy Services reiterates 2025 revenue guidance of $1.43B to $1.45B and adjusted EBITDA guidance of $104M to $106M, with a 2026 outlook of $1.40B to $1.42B in revenue and $115M to $118M in adjusted EBITDA.

Acquisition Update

The recent acquisition of a pharmacy location in Montana enhances growth opportunities and aligns with the company's expansion plans, indicating a strategic focus on geographical diversification and market penetration.

Operational Strategy

Guardian Pharmacy Services prioritizes sustaining its growth trajectory while ensuring high-quality resident care and facility support amidst evolving regulatory landscapes, demonstrating a commitment to operational excellence and compliance.

  • Guardian projects a revenue impact in 2026 due to anticipated drug pricing reforms and reductions in Wholesale Acquisition Cost (WAC), with an expected growth in adjusted EBITDA margin exceeding 8%, reflecting the company's proactive stance towards pricing dynamics and margin improvement.
  • The strategic acquisition in Montana not only contributes to Guardian's expansion plans but also enhances operational synergies, cost efficiencies, and competitive positioning, reinforcing the company's growth strategy and value creation potential.

Guardian Pharmacy Services remains optimistic about its future growth prospects and commitment to providing quality services to long-term care facilities and residents, leveraging strategic initiatives to drive sustainable value creation and market differentiation.