Record Annual Revenue and Strong Top-Line Growth
Total product sales exceeded $2.8 billion in FY2025, representing 22% year-over-year growth versus FY2024.
INGREZZA: Durable Franchise with Double-Digit Volume Growth
INGREZZA generated just over $2.5 billion in revenue in 2025 (up 9% YoY). Management guides INGREZZA sales of $2.7–$2.8 billion for 2026 (~10% growth) driven by double-digit volume growth and an expanded sales force; net pricing expected to be relatively consistent with exit-2025 levels.
CRENESSITY: Very Strong First Full-Year Launch
CRENESSITY delivered more than $300 million in net product sales in its first full commercial year (2025) and reached ~10% of the addressable classic CAH population. Real-world signals include rapid reimbursement, strong refill/persistence behavior, and >550 patient-years of real-world exposure.
Compelling Clinical Differentiation and Safety Data
CRENESSITY open-label extension: durable ACTH and androgen reductions through 2 years, ~80% retention at 2 years, 0% pediatric adrenal insufficiency in double-blind study and 1.6% in adults, slowing of bone-age advancement in prepubertal subset (predicted adult height gain >2 inches), ~70% of adults brought into physiologic steroid range, and ~40% of overweight/obese adults lost ≥5% body weight over 2 years.
INGREZZA Receptor-Occupancy Edge vs Competitor
Head-to-head PET data showed INGREZZA produced nearly twofold higher VMAT2 target occupancy versus AUSTEDO XR at therapeutic doses, supporting differentiated efficacy claims.
Strong Cash Position and Profitability
Cash and investments rose by approximately $700 million to $2.5 billion at year-end 2025 (from $1.8 billion), and the company delivered ~30% non-GAAP operating margin (~$850 million non-GAAP operating income) in 2025.
Productivity and Pipeline Momentum
2025 was the most productive clinical year (met Phase I–III objectives). Pipeline highlights include NBI-'890 entering Phase II (VMAT2 follow-on), NBI-'675 advancing, and two late-stage Phase III neuropsychiatry programs (osavampator in MDD and direclidine in schizophrenia) with top-line data expected in 2027.
Commercial Investments to Drive Growth
Planned sales force expansions for both INGREZZA and CRENESSITY (CRENESSITY field additions deploying in April 2026) and investments in AI/patient-finding and medical education aimed at expanding reach into endocrinology and non-endocrinology prescribers.