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                             April 5, 2024

       James Cleary
       Executive Vice President and Chief Financial Officer
       Cencora, Inc.
       1 West First Avenue
       Conshohocken, PA 19428

                                                        Re: Cencora, Inc.
                                                            Form 10-K for 
Fiscal Year Ended September 30, 2023
                                                            File No. 001-16671

       Dear James Cleary:

              We have limited our review of your filing to the financial 
statements and related
       disclosures and have the following comment(s).

              Please respond to this letter within ten business days by 
providing the requested
       information or advise us as soon as possible when you will respond. If 
you do not believe a
       comment applies to your facts and circumstances, please tell us why in 
your response.

                                                        After reviewing your 
response to this letter, we may have additional comments.

       Form 10-K for Fiscal Year Ended September 30, 2023

       Management's Discussion and Analysis of Financial Condition and Results 
of Operations
       Results of Operations
       Fiscal Year Ended September 30, 2023 compared to the Fiscal Year Ended 
September 30, 2022,
       page 31

   1.                                                   So investors have a 
better understanding of the relative impact of each of the factors
                                                        listed, please quantify 
all material individual factors cited. For example, you disclose
                                                        without quantification 
that revenue in International Healthcare Solutions increased from
                                                        the prior fiscal year 
due to increased sales at Alliance Healthcare, increased revenue from
                                                        [y]our 
less-than-wholly-owned Brazil full-line distribution business, incremental 
revenue
                                                        from [y]our January 
2023 acquisition of PharmaLex, and increased sales at [y]our
                                                        Canadian business, and 
these increases were offset in part due to the June 2022 divestiture
                                                        of [y]our Brazil 
specialty business. You also disclose [y]our European distribution
                                                        business' revenue in 
the current fiscal year was negatively impacted by unfavorable
                                                        foreign currency 
exchange rates in comparison to the prior fiscal year without
                                                        quantification. Refer 
to Item 303(b) of Regulation S-K and section III.D of Release No.
 James Cleary
Cencora, Inc.
April 5, 2024
Page 2
         33-6835 for guidance.
Liquidity and Capital Resources
Cash Flows, page 38

2.       The reported amount of net cash provided by operating activities 
increased $1.2 billion, or
         approximately 45%, in fiscal 2023 compared to fiscal 2022. Please 
provide an analysis of
         the reason(s) for this variance. Refer to item 303(b) regarding 
analysis of material
         changes in line items from period to period. Also refer to the 
introductory paragraph of
         section IV.B and B.1 of Release No. 33-8350 for guidance regarding the 
content of the
         analysis. For example, when preparing the discussion and analysis of 
operating cash
         flows, address material changes in the underlying drivers (e.g., cash 
receipts from the sale
         of goods and services and cash payments to acquire materials for 
manufacture or goods
         for resale) rather than merely describe items identified on the face 
of the statement of cash
         flows, such as the reconciling items used in the indirect method of 
presenting cash flows.
Notes to Consolidated Financial Statements
Note 2. Acquisitions and Equity Method Investment
PharmaLex Acquisition, page 59

3.       In several areas in MD&A you disclose the acquisition of Pharmalex 
impacted your
         results. Regarding this acquisition, please tell us of your 
consideration of providing the
         disclosures required by ASC 805-10-50-2(h) as well as 2(f).
Note 15. Business Segment Information, page 78

4.       Please disclose total assets for each of your reportable segments 
pursuant to ASC 280-10-
         50-2.
       In closing, we remind you that the company and its management are 
responsible for the
accuracy and adequacy of their disclosures, notwithstanding any review, 
comments, action or
absence of action by the staff.

       Please contact Patrick Kuhn at 202-551-3308 or Doug Jones at 
202-551-3309 with any
questions.



FirstName LastNameJames Cleary                                  Sincerely,
Comapany NameCencora, Inc.
                                                                Division of 
Corporation Finance
April 5, 2024 Page 2                                            Office of Trade 
& Services
FirstName LastName