IQV options flow: unusual options activity in IQVIA Holdings Inc.
Updated 28 September 2026, 09:54 ET
Over the last week the tape recorded 8 unusual options prints in IQVIA Holdings Inc. (IQV), $984K of tracked premium, close to even between bullish and bearish premium. Bullish premium was $479K against $436K bearish; $927K went into calls and $57K into puts, a put call ratio of 0.06. The largest print was $396K of IQV 20 Nov 2026 $290 calls on 23 September 2026, swept at ask. The last session with prints, 23 September 2026, added 6 prints and $918K of premium. IQV closed at $270.37 on 25 September 2026, down 1.7%.
This week's unusual flow
Prints from 22 September 2026 to 23 September 2026, 2 sessions. Delayed tier: every print is shown twenty minutes after it executed, and the page is rebuilt after each session.
Net premium is bullish minus bearish premium. The put call ratio is put premium divided by call premium, weighted by money rather than by contract count. Sweeps is the share of prints executed across several exchanges at once. Read the guide: Reading the Pulse.
Largest prints of the week
| Date | Contract | Type | Size | Open int. | Premium | Execution | Sentiment | Tier |
|---|---|---|---|---|---|---|---|---|
| 23 Sep 2026 | IQV 20 Nov 2026 $290 calls | Sweep | 336 | 70 | $396K | At ask | Bullish | Whale |
| 23 Sep 2026 | IQV 21 May 2027 $260 calls | Trade | 70 | 0 | $318K | At bid | Bearish | Notable |
| 23 Sep 2026 | IQV 15 Jan 2027 $300 calls | Trade | 47 | 86 | $69K | At ask | Neutral | |
| 23 Sep 2026 | IQV 20 Nov 2026 $240 puts | Sweep | 89 | 196 | $57K | At bid | Bullish | |
| 23 Sep 2026 | IQV 15 Jan 2027 $290 calls | Trade | 23 | 36 | $42K | At bid | Bearish | |
| 22 Sep 2026 | IQV 20 Nov 2026 $250 calls | Sweep | 13 | 183 | $40K | At bid | Bearish | |
| 23 Sep 2026 | IQV 20 Nov 2026 $290 calls | Sweep | 31 | 70 | $37K | At bid | Bearish | |
| 22 Sep 2026 | IQV 16 Oct 2026 $280 calls | Sweep | 43 | 194 | $26K | At ask | Bullish | Notable |
Size above open interest means the trade opened a position larger than everything that existed in the contract the night before. Above ask and below bid are the most aggressive executions. Read the guide: Size versus open interest.
Where the money is aimed
| Expiry | Prints | Premium | Calls share | Net premium |
|---|---|---|---|---|
| 20 Nov 2026 | 4 | $530K | 89% | +$377K |
| 21 May 2027 | 1 | $318K | 100% | -$318K |
| 15 Jan 2027 | 2 | $110K | 100% | -$42K |
| 16 Oct 2026 | 1 | $26K | 100% | +$26K |
The most premium, $530K, is aimed at the 20 Nov 2026 expiry; the nearest expiry with unusual prints is 16 Oct 2026.
A print in a contract expiring this week is a view about the next few days, often about a known event; a print months out is a different kind of statement. Read the guide: 0DTE options flow.
The last session, 23 September 2026
| Date | Contract | Type | Size | Open int. | Premium | Execution | Sentiment | Tier |
|---|---|---|---|---|---|---|---|---|
| 23 Sep 2026 | IQV 20 Nov 2026 $290 calls | Sweep | 336 | 70 | $396K | At ask | Bullish | Whale |
| 23 Sep 2026 | IQV 21 May 2027 $260 calls | Trade | 70 | 0 | $318K | At bid | Bearish | Notable |
| 23 Sep 2026 | IQV 15 Jan 2027 $300 calls | Trade | 47 | 86 | $69K | At ask | Neutral | |
| 23 Sep 2026 | IQV 20 Nov 2026 $240 puts | Sweep | 89 | 196 | $57K | At bid | Bullish | |
| 23 Sep 2026 | IQV 15 Jan 2027 $290 calls | Trade | 23 | 36 | $42K | At bid | Bearish |
Every print in IQV with its full detail, the live tape, one tap filters and saved screeners: open IQV in Options Sentiment Screener.
Price
The live quote and the price chart sit beside the ticker's flow in the app: open IQV in Options Sentiment Screener.
Analysts
The most recent analyst targets on file, from 9 firms, have a median of $270, 0.1% below the last close.
Calls bought at a strike above the average target are a bet that the analysts are too cautious; puts far below the price in a name they like are protection or a strong disagreement. Read the guide: Reading one ticker's flow.
About IQVIA Holdings Inc.
- Exchange
- NYSE
- Sector
- Health Care
- Industry
- Business Services
- Headquarters
- DURHAM, North Carolina
- Website
- iqvia.com
IQVIA Holdings Inc. provides advanced analytics, technology solutions, and clinical research services to the life sciences industry in the Americas, Europe, Africa, and Asia-Pacific. The Technology & Analytics Solutions segment offers a range of cloud-based applications and related implementation services. The Research & Development Solutions segment provides project management and clinical monitoring; clinical trial support; virtual trials; and strategic planning and design services.
In the same sector
Flow pages for other Health Care names in the S&P 500:
LLY Eli Lilly & Co.JNJ Johnson & JohnsonABBV AbbVie Inc.MRK Merck & Co. Inc.UNH UnitedHealth Group Inc.TMO Thermo Fisher Scientific Inc.AMGN Amgen Inc.GILD Gilead Sciences, Inc.
Learn
- What unusual options activity means
- Reading one ticker's flow
- Sweeps, blocks and where a trade printed
- Size versus open interest
- Bullish or bearish, how a print's sentiment is inferred
- The conviction score and whale prints
The live tape for IQV with every print's execution detail, one tap filters for calls, puts, sweeps and 0DTE, saved screeners and, for Realtime subscribers, push alerts and no delay. The same screen is in the iOS and Android apps.
Open IQV in Options Sentiment Screener