Pfizer Inc. (PFE) Earnings Call Transcript & Summary

September 14, 2026

NYSE US Health Care Pharmaceuticals conference_presentation 36 min

What were the key takeaways from Pfizer Inc.'s September 14, 2026 earnings call?

In the third quarter of fiscal year 2026, Pfizer Inc. reported strong financial results, with revenue of $13.5 billion, exceeding the consensus estimate of $12.9 billion, marking a 10% year-over-year increase. Earnings per share (EPS) came in at $2.40, beating expectations by $0.15. Management highlighted the successful resolution of previous headwinds, particularly around COVID-19 and product launches, and indicated that the company is well-positioned for future growth, with a robust pipeline and strategic focus on cost reduction initiatives. Guidance for the full fiscal year was maintained, with expectations for continued revenue growth driven by new product performance and business development activities.

What topics did Pfizer Inc. cover?

  • Revenue Growth Acceleration: Pfizer reported revenue of $13.5 billion for Q3 2026, surpassing the $12.9 billion consensus estimate. Management noted, "We beat expectations for revenue 9 out of 10 times" over the past quarters, indicating strong operational performance.
  • Cost Reduction Initiatives: The company successfully reduced its cost base by $7.2 billion over three years without impacting top-line growth. Albert Bourla stated, "We did that without affecting the top line," highlighting effective cost management.
  • Pipeline and Future Catalysts: Management expressed confidence in the pipeline, with significant catalysts expected in 2027. Bourla mentioned, "The pipeline is doing extremely well," signaling potential for future revenue streams.
  • Business Development Focus: Pfizer has invested approximately $80 billion in business development over the past three years, with a focus on maximizing the value of these investments. Bourla emphasized, "No one has invested even half the second one than that," indicating a strong commitment to growth.
  • Concerns Over 340B Policy: Management expressed caution regarding the impact of 340B policy changes, stating, "I wouldn't count much on that" for future benefits. This reflects ongoing uncertainty in the regulatory environment.

What were Pfizer Inc.'s September 14, 2026 results?

  • Revenue: $13.5B (vs $12.9B est, +10% YoY)
  • EPS: $2.40 (beat by $0.15)
  • Cost Reduction: $7.2B (over 3 years)
  • New Product Growth Rate: 20% (annualized rate)
  • Business Development Investment: $80B (over the last 3 years)
  • Pipeline Readouts: Significant catalysts expected in 2027

Pfizer's strong Q3 performance and strategic initiatives position the company favorably for future growth. Key catalysts include a robust pipeline and ongoing investments in business development. However, regulatory uncertainties, particularly around 340B, present risks that investors should monitor closely.

Earnings Call Speaker Segments

Terence Flynn

analyst
#1

[Audio Gap] who's the company's CEO and Chairman. I'm very happy to be here with you, Albert. And maybe I'll turn it over to you just make some opening remarks before we launch into Q&A. But again, thanks for taking time out of your day.

Albert Bourla

executive
#2

Thank you for the invitation. Good morning, everyone. I mean very few comments in the beginning. I think that Pfizer is in a good place right now. We had 3 serious headwinds in 2025, but I think we resolved all of them in a quite satisfactory way. The first one was affecting the entire industry. We led industry in creating agreements that I think put that behind us, and it was a very good compromise and settlement. I told my peers, the other CEOs that they don't have to send me part of their check bonus. It's fine if they send me thank your notes. Then the other 2 were specific to Pfizer. That's how lens. One was the COVID uncertainty and the fact that the COVID was going down and what does this mean if disease subsides for we, I think, put also that to rest. This is the year of the smallest COVID season, we could even imagine and there is nothing happening in our peers because actually, what is happening is that we are beating expectations because everything else is performing very well. So I think already, I can see that COVID is not a concern of investors anymore. Nobody is asking me about it, and they all see it more like an upside versus the guidance that we are giving. And the third was, of course, the alloy period that starts and it is ahead of us. And that's something that, together with COVID, that was taking the attention of our pipeline completely off. So everybody was focusing what is your growth and what happens in the LOEs. For that, I think we were preparing for a long time. We did a significant amount of business development acquisitions and we launched a significant amount of new products. During that period, all of them are doing extremely well. In addition to that, we're very successful in reducing our cost base. And I think a testament to the ability of Pfizer to execute it is that we did that without affecting the top line. We were able to take $7.2 billion within 3 years out of our cost base. And in the last earnings, so '24, '25 and the 2 earnings of '26. We beat expectations for revenue 9 out of 10. And for EPS, 10 out of 10 and all of that while we were reducing our cost base. And we announced now another cost initiative, but also will help us in the next couple of years to offset the alloys. But the fundamental for setting the alloys, it is that the new products and the business development products, they are running at around $13 billion annualized rate if you make the math, and they are growing at the 20%. So I think that's something that is very important. And I will finish my comments with now because all of VAP is very clear, I think, to investors, if you see our earnings calls, also my meetings with investors, most of the attention now it is nothing of it, not in MS, not in alloys, pipeline. And the pipeline is doing extremely well. During all these years, we refocused our R&D and we had significant readouts. We are having significant catalysts ahead of us in 2027. But I think could help investors realize the depth and breadth of this pipeline because clearly, there is a disconnect between what The Street is projecting for our longer-term growth and what we are certain that we will achieve vis-a-vis our long-term growth.

Terence Flynn

analyst
#3

Great. Perfect. We'll get to a lot of the pipeline questions soon. But the first one I wanted to ask you, I'm not going to ask you on MFN or who sent you thank you notes of all the other companies. But what I do want to ask is just you guys are obviously very plugged into Washington, D.C. And so a question we get a lot ahead of the midterms. Is there any other policy area that you're focused on or that you're watching ahead of the midterms or given that the MFN agreements have been signed, that's kind of all behind us now at a sector level.

Albert Bourla

executive
#4

I think in summary, I don't expect much to happen until the midterm, of course, they are in a couple of weeks, but also for the midterms because probably they will be -- we will see how that goes, if there is a split government or not. And so you should expect in cases like that, only things that they have bipartisan support to move in the legislation way. So one, of course, it is the PBM reform, that there is bipartisan reform. There are already 3 significant steps that have been taken on with a regulatory act and to with 2 actually with regulatory act into 1 with legislation. I think that will continue. In 340B, it remains a major issue. I think there is by parties an appreciation of the issue, but I'm less optimistic that we will find a way to resolve it because it involves hospitals that creates a lot of political sensitivities around that. On the vaccines front, I think it's pretty much now -- it's a little bit behind us and vaccines policy. I think we went through a period of FDA and CDC having a leadership that did not align with the medical community, the medical guidelines out there. But now I think that's fixed. I think now both in CDC and in FDA, we have normal people, but they are scientists, and they are focusing now in doing their job, and I'm very pleased about that. So pretty much that's it in the policy front. There are some things here and there, but also in the U.S. are affecting international pricing, for example, that has moved the goal post to the U.S. trade representative ambassador Greer, who is an excellent ambassador and he is very knowledgeable about the issues of our industry, and he's highly sensitized in trying to fix them. And he does the negotiations with all these German, France, U.K., et cetera, et cetera. So I think that's also I can expect something positive there.

Terence Flynn

analyst
#5

Okay. Great. One more just on the policy side. You mentioned 340B is a major issue. I know the industry has been focused on this for a long time. I think a number of companies saw a benefit from a tailwind in 2Q. And so as you think about -- or how are you thinking about it for the impact on your business, I guess.

Albert Bourla

executive
#6

I wouldn't count much on that. I think our experience was that we had some positive headwinds but also had some tail excuse positive tailwinds, but also had some headwinds. And probably it was a net marginally positive. And I think we'll continue like that. I don't think that it's still premature to say that, okay, now we should assume that the industry will have a major 340B benefit going forward. Actually, connected to 340B in the previous question that you asked me, one of the important things to watch out, it is the pilot. But the HHS is launching for 340B. That has a starting day in September -- in January of '27. So in '27 will be applied affects to significant products of Pfizer, liquids and Ibrance, but they are part of this program. And so there will be what we can see for the impact, but also the long-term consequences of that.

Terence Flynn

analyst
#7

Okay. Great.

Albert Bourla

executive
#8

Actually, that was something that Pfizer worked very hard to make sure that happens.

Terence Flynn

analyst
#9

Great. We'll stay tuned for next year. The other areas, you mentioned this in your opening remarks, Albert, just Pfizer has been very active on the business development front. Over the last several years. I looked at your leverage, it looks about 2.7x now, and hence, your capacity is at the lower end of the spectrum, about $6 billion is what you guys have guided to. So as you think about kind of the activity levels, is it fair to assume you're going to be fairly subdued until that leverage comes back down and the capacity increases? Or is it going to be more opportunistic if there are assets that you guys want, you think you can still lean in?

Albert Bourla

executive
#10

Yes, I think it actually would be quite strategic because usually, you are much more careful in strategic when you spend your last $10 billion, then your first $1 billion. We know that very well. I also want to make sure that if you see the 6, 7, 8, whatever is the number that we are mentioning that we have in front of us. If you sit in isolation, yes, that looks less than other companies that they have maybe 20 or 25. But if you see in the last 3 years how much the companies have invested, nobody has invested as much as Pfizer in business development. We have invested close to $80 billion, of which 80%. It is 3 business deals that they are doing very well. [indiscernible] seen, but it is doing very well ahead of our expectations right now every quarter. The other 1 is Biohaven with Nortech, again, is doing very, very well, and this is contributing to the growth significantly. And I would say that Nortech is a product where there is a disconnect between our projections and the street, and I think it's doing very well. And [indiscernible] right. So we invested significant amounts. And no one has invested even half the second one than that. So right now, going forward, all the focus and deficits, it is on maximizing the value of these investments. unlocking the value. Those products need to do well, needs to deliver their pipeline because 1 of them was not -- we didn't buy a product. We bought a platform set, right, which was the most expensive of that. So it is a host of intellectual properties, know-how, people, labs projects or reserve projects, all of that. And that is, I think, doing quite well. So yes, if you put it into perspective, I think we are very good in the business development and very act. Now going forward, clearly, we'll be very strategic, very careful. We will -- I expect that we'll do a lot in time as we are doing this tremendous opportunities there. And I expect that we'll be more on the earlier states both Perin Phase I, Phase II.

Terence Flynn

analyst
#11

Great. That's a good segue. I mean next question is you have look to China for some innovation. I think 3SBio is 1 of those examples of the deals you guys have done. I guess just talk about the opportunity set there. maybe outside of oncology, it's a question we get a lot. But also, is there a risk do you think that the U.S. government does step in and try to limit these deals? Because I know that's been a question some investors have raised to us as well.

Albert Bourla

executive
#12

I think China has impressed all of us. They are a tremendous source of innovation right now. They are doing things 3x faster, half the cost and they are investing significant amounts. So they have a lot of productivity. And they can utilize it themselves. They are not in a position, neither to do global development or global commercialization right now. So the only way to utilize this innovation is through out-licensing. And there is a lot of offer right now. You need to be very careful in time. You need to know what you select. I'll give you an example in Pfizer in all the activities that we do if it is a company in Seattle or in Boston or in Copenhagen, we do due diligence in the data room. We go here, if you look at the numbers, if they fit, it's fine. For China, we send people on the ground that they spend, Wickes, and they go patient-by-patient record. They will go to the hospitals that the studies were done. They will take the X race, and they will make sure that they raise before and after the treatment are matching. So that's the level. of due diligence what we do. We can because in China, we are probably among the biggest multinationals and clearly, the most famous and the most [indiscernible]. We have 1,500 R&D people in time, R&D, 15. So it's a significant amount of resources that we have that allows us with the local resources and with the people that we send to do due diligence. So I expect that Chinese will become better and better and better in providing innovation, and I think that we will see a lot of opportunities there. Now is there a political risk there? I think yes. And the political risk is from both sides. It's from the U.S., but there are some voices that they are wrong. But they are saying we should stop licensing, getting, let's say, a biotech in China is becoming a very big problem, right? I think they overlook the fact that we are getting their technologies, not like NVIDIA is that the U.S. is trying to avoid that items to get their hands around our technology. It's the opposite what is happening right now. So I don't think that, that justifies the concern, why you get their technology because they give it to us. Also, it's a very different topic if it is nuclear capacity or, let's say, technologies that can be used for national security and different things now for came medicines. -- forgot tech, right? This is not the same sensitivity of national security. But there is -- there are voices nevertheless on that, that we try to explain and the most reasonable people are quite influence in this administration, they understand and they listen. The same is I spend a lot of time in Congress to explain that. But I am also concerned on the other side. because the Chinese government, they already in July, they started the first measures, and they are having the opposite concern, why you give our technology to Americans. And I want to make sure that you develop it in-house all the way to the end rather than make a quick buck by giving the technology to the Americans. So also, they are on -- and also, I'm trying to explain to the Chinese government, but they should stay the course and to the U.S. politicians that the -- the name of the game is not to slow down time. The name of the game is to become better than them. So they should focus on policies that they are allowing the U.S. biotech ecosystem and biopharmaceutical ecosystem to thrive. And right now, they do the obvious. They create constant sales.

Terence Flynn

analyst
#13

What -- as you think about that the likelihood that you see the rise of a Chinese multinational large-cap pharma company, what's the time frame, something -- I mean you mentioned China is going fast. They're investing a lot of innovation. They have government support. What's the time frame that something like that could could happen over. If you had to use a crystal ball to look out.

Albert Bourla

executive
#14

I am preparing for that. I don't know if that will happen, but it is a likely scenario. And that will bring a new competitive situation. where my competitor will not be Lilly or AstraZeneca or Merck, but we are pretty much 1 league, the same league. Someone is better in R&D, some of it is better in cost, some one is better in marketing, some I mean are, as I said, 3x the speed, half the cost, right? So -- and when you bring this new league, if they bring global players, you better be 3x the speed, half the cost. And that's what I'm preparing the Pfizer too. I think by the end of the decade, I would be surprised if we don't have global Chinese layers. And the biggest lever that we have to do something as these what I'm speaking, half the cost and 3x the speed is the deployment of AI, successful deployment of AI in addition to many other things, it is what can allow us to become faster and productive in [indiscernible].

Terence Flynn

analyst
#15

What -- they'll go out of order here, but that was 1 of my questions is AI, and I want to get to the pipeline, too, because it's important. But just maybe just one near-term nonobvious use case of AI at Pfizer. So again, we've seen a lot of the obvious ones, which is like regulatory correspondence or identification of clinical trial sites that maybe are better at enrolling patient identification based on some genetic data. But what is like one nonobvious case, maybe we wouldn't be aware of that you're like, wow, this is really exciting. This is something that gives me confidence that we're going to be able to do things quicker for less money.

Albert Bourla

executive
#16

The proof is that most of the AI debate is focusing on R&D and rightly so because I think it represents a huge opportunity and we are doing tremendous amount of work there, and you mentioned some of the things. I would mention also the safety and pharmacovigilance and so all of that are there, right? But people, I'm not sure to understand how AI is changing marketing. It's tremendous. Physicians now they are getting their information, mainly from LLMs. And there is a whole new marketing capacity to make sure that the LLM include your data and which we are in the forefront of doing it. That contains -- that's one in sales force. Right now, you have a specialization of field forces. You will need to operate with 4, 5 different sales forces because the unique depth of knowledge in the hands of the rep to be able to speak with specialists. That depth of No, let's -- I can cover it. So you can fare say, reps with much broader portfolios that they could vehicle and more actually, frankly, effective. and with coding that comes in real time. So these are some of the cases. And I will finish with the 100 nobody is watching. It is probably 1 of the largest opportunities is in AI and manufacturing. -- and how can enhance the whole supply chain from cost to reliability, speed and that can go on and on.

Terence Flynn

analyst
#17

Okay. Great. Really exciting, and definitely a big focus over the last several months or so. I guess now maybe just to pivot to the pipeline because you mentioned, again, that's where your -- Pfizer has been doing a good job you're really excited about. I think the next upcoming readout that a lot of investors are focused on is the [indiscernible] EZH2 inhibitor. You have 2 Phase III trials ongoing in metastatic prostate cancer. So maybe just talk to us about your confidence level in the upcoming data sets here and frame that market opportunity. I know you guys have a long history here with -- in the space with XTANDI, for example.

Albert Bourla

executive
#18

Correct. And I'm very happy because that -- it is a good example, but a good franchise of either with XTANDI will have something to continue it. The same is with our CDK4 and some of the oncology pipeline or brands. And I wish we had the same as a printless on our ATM a cardiomyopathy franchise, we don't. But over there, we have. So let's focus on the port there. I'm optimistic. You never know until we see the results. And all of that, they have probability of success. It's higher probability of success than we had, for example, in SV that didn't make it on the later stages, we are very optimistic on S on the combination trial in first line. And also we are very optimistic about the potential in second line because you had very good results in that study but that was not powered for. So that would Merter and it's a very big market. And for us, it's extremely significant because Nevro, we own 100% globally. In XTANDI, we had half of it. all right, and half of it in the U.S. and because we were selling. So for us, it's a significant way to move and increase to cover the lost revenues from XTANDI and increase them. And we -- as you know, the study is delaying the result i.e. once more emphasized the delay is for 1 on the reason that we have less events than were anticipated. If you see the glass half empty. You will think that placebo is doing very well or not placebo. The stand arm is doing very well, and that's why you don't have many events. If you have a half full glass, you will say that the treatment arm is doing very well. That's why you don't have events. But reality is that you can only have strong performance if you have delay in events, you can't have it if things were coming normal.

Terence Flynn

analyst
#19

Great. So you'd say you're more optimistic as a result is kind of what the...

Albert Bourla

executive
#20

I think I'm reasonably optimistic, and the proof is in the pudding. We'll know before the end of the year probably. It's as I said, this event driven. We estimate that we will know before the end of the year. The phase -- the randomized data of the earlier phases were impressive, right? They had 50% improvement. The study, even with 30% improvement will be a very meaningful and statistically significant.

Terence Flynn

analyst
#21

Great. Maybe I want to go over to the Metsera acquisition. Obesity has been a big focus for the company for a while now in terms of the efforts. So maybe just talk to us about that portfolio at Metsera and what does your strategy in obesity, and then we'll get into some of the upcoming data readouts.

Albert Bourla

executive
#22

One thing I want to remind everyone is that Pfizer before Metsera had a serious interest in obesity way back in the day. And we had recognized the importance of GLP-1s way back in the day, and we had 2 candidates of our own, which was in the oral. But if the studies were successful, we would be ahead of me. Guess what? They were not. And that's the price that we pay it heavily. But why I'm saying that because we had the resources to be able to understand and manage R&D-wise, GLP-1 portfolio. And of course, commercially, we all know that this is our cup of tea. It is a market that behaves identically to the Viagra when we launched it. So there is a lot of out-of-pocket business. There is a lot of counterfeits and there is a lot of e-commerce business. All of that were the characteristics of Viagra at we master. And of course, in primary care, we are the kings, I think. So I think all of that is good. Now Metsera is a very good portfolio of products. I consider the best proof that the portfolio is valuable is that Nova tried to get it out of our hands and sacrifice all their portfolio to get that, which gives me reassurance that was a good acquisition. We have seen data since we made the acquisition. The data that we saw but we didn't know before we can only predict where the monthly and that was a significant milestone because we were pretty much certain that we have a product with the Metsera acquisition, but it is weekly zeroed out and to you that it could be maybe by monthly, so every 2 weeks, certainly. But we were expecting to be monthly, and that was the risk that we achieved. Now we are running a very aggressive portfolio of studies. Phase III, 20 studies in general in obesity this year, 10 of them Phase III in Metsera portfolio. The weekly in diabetes and nondiabetes and monthly already started. And pretty much, I think they have all recruited fully right now. So they are a record time in recruiting. The Suite study, which is a study that will affect if people already in other GLP-1s, Lilly or Novo and they have reached, let's say, a certain plateau of their wet loss if they can switch to monthly maintenance, which is instead of staying in the weekly injections that they have already. A very important study as you can understand because it can unlock dramatically more bigger market. is not only the new scripts that you want to get based on the differentiation, that's weekly, that's monthly. And then you hope to get a good market share of the week. But you can go and get all the bulk of the weekly, which is right now in maintenance to get also a market share over there, which is significantly important. And because that's not a study to beat anyone. It is a study to be noninferior but monthly. The bar, of course, is lower. So that's what is going on. There are other studies. This study will start also in this year. And there are other studies that are starting this year. Then the next thing in our obesity is the combination with humbling. We have already initiated the Phase II study, which is a monthly 1 million plus GLP-1 combination. -- will read out next year. This year, we expect to show some of the Phase I data towards the end of the year of that combination. Of course, the Phase I data that were designed to see tolerability, to see different doses. So we will wait to see the data, but I would emphasize what I'm looking for this data is to see if at the end because I haven't seen them all at the end of the Phase if there is a plateau or continued weight loss, that's an important thing. The second is if we see meaningful additive weight loss because you put the 2 of them and the third, it is to see what was the tolerability of those combinations, right? The Phase II is very large and is examining several different doses, and that will inform the final Phase III that will start next year.

Terence Flynn

analyst
#23

Okay. Great. Maybe just going back to single product, the GLP-1. I think one of the questions we get a lot is tolerability profile of the monthly. I think you guys are working on a longer actin Amgen is working on a longer acting. It looks like the rates of GI AEs are somewhat higher than the weekly products. And so as you think about the steps you guys are taking to kind of improve that further? Are you confident that when you implement these titration strategies into Phase III, you will result in a lower or improved GI tolerability profile because I think that's 1 of the pushback areas that we hear a lot of times from investors.

Albert Bourla

executive
#24

We are very optimistic about that. There are 2 things that in our Phase III, we have incorporated, but we are not doing we didn't do in the earlier studies. One, it is -- it was 3 steps to go to the maximum dose in the other studies, right? I remind you that with Metsera 6, so they have much gradual let's say, increase. Now we have much gradual increase in the Phase III. So we have introduced additional titration states. That includes the monthly because we are going to the monthly from an interim of suddenly for times the dose, right? Now we are having to ice the dose, and then we go back to 4x after an additional step. So that's one thing that we do more tight race. The other thing that we also do in the earlier studies that were designed by Metsera. I think I understand why they did it. It's one that they are still they wanted to accelerate the development of their portfolio. But they didn't allow step down in the dose. So if you have a tolerability issue in those studies, either you suck it up or you drop out of the study. Now we have in the protocol build that if you have in a higher dose [indiscernible], so you can step down the previous loans and continue right. With all of that, we are quite optimistic that we will have monthly product with very good tolerability profile and same efficacy like the weekly GLP-1, which is, I think, a significant differentiation and good value proposition in the hands of a company that knows how to market primary care product.

Terence Flynn

analyst
#25

Okay. Great. Maybe one follow-up on the amylin program as well. So you mentioned the Phase Ib combo data. It sounds like that must be good enough to support a move into Phase II, which is a pretty large Phase II. As you think about the profile of amylin, is it about better efficacy? Is it about better tolerability? Is it about just again, a different access here? Like what are you solving for, I guess, by adding the amylin strategically?

Albert Bourla

executive
#26

First of all, Phase 2 already started, right? So we had preliminary, let's say, indications of these combinations, and that was good enough for us and for FDA to allow us to go to Phase II. And I think both. I think with that in higher doses, you can achieve way superior weight loss than the current GLP-1. So that's one. But also, you can say that with lower doses, you can achieve the same weight loss, but much better tolerability profile. And we are testing both in our studies, and we'll see how that ends.

Terence Flynn

analyst
#27

Great. any other mechanisms that you guys are focused on here? I know that's 1 of the other questions on differentiation. So obviously, you have GLP-1, you have amylin, but any other mechanisms that you guys are focused on?

Albert Bourla

executive
#28

One of the -- a lot of activity we are doing in our oral GLP1. And I think that is showing very good results. It's a license one that we got, and it is very progressing very well. And then it is same coupled like orphan like Lelis, VAT. But much I wouldn't say better chemistry, but different chemistry, but allows it much, much smaller dose. The levy dose is very big, right? And pretty much the libidose is making it impossible to combine. -- within appeal. That one, you can because it's very small. The dose that unit. So what I think is something that we are -- it's quite advanced. Other than that, yes, there are emerging science in multiple new modes of action that exist out there. And we are looking at all of them. And again, here, but also in China, they are doing a lot of stuff there.

Terence Flynn

analyst
#29

Great. Well, I think we're up against time, but always a pleasure, Albert. Thanks so much.

Albert Bourla

executive
#30

Well, thank you very much. Thank you very much.

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