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Neurocrine (NBIX)
NASDAQ:NBIX

Neurocrine (NBIX) AI Stock Analysis

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Neurocrine

(NASDAQ:NBIX)

Rating:74Outperform
Price Target:
$133.00
▲(6.39%Upside)
Neurocrine's stock score reflects its strong financial performance and promising developments in R&D, tempered by valuation concerns and operational challenges. While the company's financial stability and growth potential are significant strengths, high P/E ratio and reimbursement challenges pose risks. The technical analysis suggests mixed signals, indicating potential volatility.
Positive Factors
Clinical Trials
The clinical profile for NBI-568 is viewed positively, boosting confidence in progressing to Phase 3 trials.
New Patient Starts
Record new patient starts were attributed to the sales force expansion pull-through and improving formulary access.
Sales Performance
Investors will be highly pleased with 1Q25 Ingrezza sales of $545M, which exceeded expectations.
Negative Factors
Financial Performance
Non-GAAP EPS of $0.70 was below consensus due to higher-than-expected spending.
Growth Challenges
The Ingrezza growth debate - slower but still robust: NBIX reaffirmed 2025 Ingrezza growth of +8-12% due to a higher base effect, increased competitive pressure, payer-related challenges, and sales force expansion & disruption.

Neurocrine (NBIX) vs. SPDR S&P 500 ETF (SPY)

Neurocrine Business Overview & Revenue Model

Company DescriptionNeurocrine Biosciences, Inc. discovers, develops, and markets pharmaceuticals for neurological, endocrine, and psychiatric disorders. The company's portfolio includes treatments for tardive dyskinesia, Parkinson's disease, endometriosis, and uterine fibroids, as well as clinical programs in various therapeutic areas. Its lead asset is INGREZZA, a VMAT2 inhibitor for the treatment of tardive dyskinesia. The company's commercial products include ONGENTYS, a catechol-O-methyltransferase inhibitor used as an adjunct therapy to levodopa/DOPA decarboxylase inhibitors for patients with Parkinson's disease; ORILISSA for the management of moderate to severe endometriosis pain in women; and ORIAHNN, a non-surgical oral medication option for the management of heavy menstrual bleeding associated with uterine fibroids in pre-menopausal women. Its product candidates in clinical development include NBI-921352 for treating pediatric patients, as well as adult focal epilepsy indications; and NBI-827104 to treat rare pediatric epilepsy and essential tremor. The company's products in clinical development also comprise NBI-1065845 for the treatment of major depressive disorder; NBI-1065846 for treating anhedonia in major depressive disorder; and NBI-118568 for the treatment of schizophrenia. It has license and collaboration agreements with Heptares Therapeutics Limited; Takeda Pharmaceutical Company Limited; Idorsia Pharmaceuticals Ltd; Xenon Pharmaceuticals Inc.; Voyager Therapeutics, Inc.; BIAL Portela & Ca, S.A.; Mitsubishi Tanabe Pharma Corporation; and AbbVie Inc. Neurocrine Biosciences, Inc. was incorporated in 1992 and is headquartered in San Diego, California.
How the Company Makes MoneyNeurocrine Biosciences generates revenue primarily through the sale of its commercialized products, with INGREZZA being the primary driver of its revenues due to its position as a leading treatment for tardive dyskinesia. The company also earns income from collaborations and partnerships with other pharmaceutical companies, which may include milestone payments, royalties, and research and development funding. Neurocrine's strategic partnerships, such as those with AbbVie for the commercialization of ORILISSA (elagolix) for endometriosis and with Voyager Therapeutics for gene therapy research, further contribute to its earnings by expanding its product offerings and enhancing its research capabilities. Additionally, ongoing investments in research and development are aimed at maintaining a strong pipeline of potential new therapies, which can eventually lead to new revenue streams as these candidates are commercialized.

Neurocrine Key Performance Indicators (KPIs)

Any
Any
Revenue by Segment
Revenue by Segment
Shows how revenue is distributed across different business areas, highlighting which segments are driving growth and which may need strategic focus or improvement.
Chart InsightsIngrezza's revenue has shown robust growth, peaking in late 2024, but faced a dip in early 2025 due to reauthorization challenges and gross-to-net dynamics. Despite these hurdles, Neurocrine remains optimistic, projecting $2.5–2.6 billion in sales for 2025, supported by record new patient starts and expanded formulary coverage. The successful launch of CRENESSITY and a strong R&D pipeline further bolster growth prospects, though the Inflation Reduction Act's impact on reimbursement dynamics poses a risk.
Data provided by:Main Street Data

Neurocrine Earnings Call Summary

Earnings Call Date:May 05, 2025
(Q1-2025)
|
% Change Since: 13.90%|
Next Earnings Date:Aug 05, 2025
Earnings Call Sentiment Positive
The earnings call reflected strong performance in new patient starts for INGREZZA and a successful launch of CRENESSITY, highlighting significant achievements in R&D and financial strength. However, challenges in reauthorization and the impact of the Inflation Reduction Act were noted, affecting reimbursement dynamics and sales. Despite these challenges, the company remains well-positioned for future growth.
Q1-2025 Updates
Positive Updates
Record New Patient Starts for INGREZZA
The first quarter reflected strong execution across both brands with record new patient starts for INGREZZA.
Successful Launch of CRENESSITY
Neurocrine reported encouraging early adoption of CRENESSITY, achieving net revenue of $15 million in its first full quarter of launch.
Advancement in R&D Portfolio
Progression of osavampator and NBI-'568 into Phase 3 registrational studies, with further expansion of the muscarinic portfolio into new Phase 2 studies later this year.
Financial Strength and Flexibility
Retained a strong balance sheet with approximately $1.8 billion in cash to support commercial and clinical development strategies for continued growth.
Increase in Formulary Coverage
Expanded formulary coverage in Medicare Part D, significantly increasing patient access and providing a foundation to expand the customer base.
Negative Updates
Challenges with INGREZZA Reauthorization
The reauthorization process for continuing patients was more challenging versus prior years, contributing to slightly higher drop-offs and delayed refills.
Impact of Inflation Reduction Act
The Inflation Reduction Act influenced payer behavior and reimbursement dynamics, particularly affecting the prior authorization process.
Gross-to-Net Impact on INGREZZA
Gross-to-net dynamics negatively impacted first-quarter sales for INGREZZA, with expectations of a sequential hit in the second quarter.
Company Guidance
During the Q1 2025 earnings call, Neurocrine Biosciences provided guidance on several key metrics and forward-looking statements. The company reaffirmed its 2025 sales guidance for INGREZZA, projecting a range of $2.5 billion to $2.6 billion, despite a challenging first quarter affected by one less order week, patient reauthorization processes, and gross-to-net dynamics. The quarter saw record new patient starts for INGREZZA and a promising early adoption of CRENESSITY, which achieved $15 million in net revenue from 413 enrollment forms with 70% of dispenses receiving reimbursement. Neurocrine also reported a strong financial foundation with approximately $1.8 billion in cash, enabling continued investment in their robust clinical pipeline. On the R&D front, the company highlighted the progression of osavampator and NBI-'568 into Phase 3 registrational studies, as well as plans to expand their muscarinic portfolio into new Phase 2 studies later this year. The call also noted the strategic transition in leadership, with Dr. Sanjay Keswani set to join as the new Chief Medical Officer.

Neurocrine Financial Statement Overview

Summary
Neurocrine demonstrates strong financial performance with consistent revenue growth and solid profitability. The balance sheet is stable with low leverage and a strong equity base, though there is room for improvement in free cash flow growth.
Income Statement
85
Very Positive
Neurocrine's income statement shows strong growth and profitability. The revenue has increased significantly over the years, with a TTM (Trailing-Twelve-Months) revenue growth rate of 2.43% compared to the previous year. Gross profit margin has consistently remained above 98%, indicating efficient cost management. The net profit margin for the TTM is 12.67%, showcasing solid profitability. However, EBIT and EBITDA margins have slightly declined compared to the annual figures, suggesting a need for operational improvements.
Balance Sheet
80
Positive
The balance sheet of Neurocrine reflects a healthy financial position with a strong equity base. The debt-to-equity ratio stands at 0.18, indicating low leverage and financial stability. Return on equity (ROE) is 12.06% for the TTM, suggesting efficient use of equity to generate profits. The equity ratio is robust at 68.76%, demonstrating a solid capital structure. Overall, the company maintains a stable balance sheet with manageable debt levels.
Cash Flow
78
Positive
Neurocrine's cash flow statement reveals positive cash generation with a TTM free cash flow of $492.2 million. The operating cash flow to net income ratio is 1.73, indicating strong cash conversion efficiency. However, the free cash flow has decreased from the previous year, showing a decline in free cash flow growth rate. The company needs to focus on enhancing its free cash flow generation for improved financial flexibility.
Breakdown
TTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income StatementTotal Revenue
2.41B2.36B1.89B1.49B1.13B1.05B
Gross Profit
2.37B2.32B1.85B1.47B1.12B1.04B
EBIT
497.30M570.50M250.90M249.00M196.90M318.90M
EBITDA
539.80M639.70M358.00M264.60M218.70M336.10M
Net Income Common Stockholders
305.80M341.30M249.70M154.50M89.60M407.30M
Balance SheetCash, Cash Equivalents and Short-Term Investments
943.50M1.08B1.03B989.30M711.30M801.00M
Total Assets
3.69B3.72B3.25B2.37B2.07B1.73B
Total Debt
447.50M455.10M428.40M262.90M440.40M412.30M
Net Debt
253.40M222.10M177.30M0.0099.60M-388.70M
Total Liabilities
1.15B1.13B1.02B660.90M698.50M608.50M
Stockholders Equity
2.54B2.59B2.23B1.71B1.37B1.13B
Cash FlowFree Cash Flow
492.20M557.20M361.60M322.90M233.10M217.60M
Operating Cash Flow
529.90M595.40M389.90M339.40M256.50M228.50M
Investing Cash Flow
-57.60M-126.80M-467.10M-177.10M-130.20M4.10M
Financing Cash Flow
-674.50M-486.70M65.30M-234.30M27.40M-157.80M

Neurocrine Technical Analysis

Technical Analysis Sentiment
Positive
Last Price125.01
Price Trends
50DMA
112.31
Positive
100DMA
117.83
Positive
200DMA
121.58
Positive
Market Momentum
MACD
2.99
Positive
RSI
62.86
Neutral
STOCH
52.04
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For NBIX, the sentiment is Positive. The current price of 125.01 is above the 20-day moving average (MA) of 123.15, above the 50-day MA of 112.31, and above the 200-day MA of 121.58, indicating a bullish trend. The MACD of 2.99 indicates Positive momentum. The RSI at 62.86 is Neutral, neither overbought nor oversold. The STOCH value of 52.04 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for NBIX.

Neurocrine Risk Analysis

Neurocrine disclosed 44 risk factors in its most recent earnings report. Neurocrine reported the most risks in the "Legal & Regulatory" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Neurocrine Peers Comparison

Overall Rating
UnderperformOutperform
Sector (54)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
RDRDY
77
Outperform
$13.11B19.8418.36%0.60%13.26%1.33%
74
Outperform
$12.29B42.3912.43%21.73%-19.24%
63
Neutral
$3.79B-3.64%4.26%-4.85%-4290.31%
63
Neutral
$14.05B-8.58%46.62%50.50%
57
Neutral
$19.97B-18.98%3.38%-175.90%
54
Neutral
$5.38B3.31-45.11%3.29%16.82%0.04%
53
Neutral
$10.61B-21.25%5.34%-6.88%-6809.78%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
NBIX
Neurocrine
125.01
-10.44
-7.71%
RDY
Dr Reddy's Laboratories
16.17
1.87
13.08%
VTRS
Viatris
8.92
-0.79
-8.14%
PRGO
Perrigo Company
27.25
1.46
5.66%
TEVA
Teva Pharmaceutical
17.71
0.55
3.21%
ITCI
Intra-Cellular Therapies
131.87
64.10
94.58%

Neurocrine Corporate Events

Executive/Board Changes
Neurocrine Announces Leadership Transition with New CMO
Neutral
May 30, 2025

Neurocrine has announced a leadership transition with Sanjay Keswani, M.D. set to succeed Eiry W. Roberts, M.D. as Chief Medical Officer effective June 2, 2025. Dr. Roberts, who has served in the role for seven years, will continue with the company as a Strategic Advisor to the CEO until the end of 2025. The transition involves an amended employment agreement for Dr. Roberts, maintaining her salary and bonus eligibility while ensuring her equity awards continue to vest.

The most recent analyst rating on (NBIX) stock is a Buy with a $150.00 price target. To see the full list of analyst forecasts on Neurocrine stock, see the NBIX Stock Forecast page.

Executive/Board ChangesShareholder Meetings
Neurocrine Holds Annual Meeting, Approves Key Matters
Neutral
May 22, 2025

On May 21, 2025, Neurocrine held its Annual Meeting where stockholders voted on several key matters. The election of four Class II Directors was confirmed, and the compensation for named executive officers was approved. Additionally, the 2025 Plan and the Amended and Restated ESPP were sanctioned, and Ernst & Young LLP’s appointment as the independent registered public accounting firm for the fiscal year ending December 31, 2025, was ratified.

The most recent analyst rating on (NBIX) stock is a Buy with a $150.00 price target. To see the full list of analyst forecasts on Neurocrine stock, see the NBIX Stock Forecast page.

Executive/Board Changes
Neurocrine Biosciences Appoints Dr. Keswani as CMO
Neutral
Apr 4, 2025

Neurocrine Biosciences announced the appointment of Dr. Sanjay Keswani as Chief Medical Officer effective June 2, 2025, succeeding Dr. Eiry W. Roberts, who will remain as a strategic advisor. Dr. Keswani brings over 20 years of pharmaceutical industry experience and will lead clinical development and medical affairs, enhancing the company’s capabilities as it explores new therapeutic modalities.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.