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Neurocrine (NBIX)
NASDAQ:NBIX
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Neurocrine (NBIX) AI Stock Analysis

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NBIX

Neurocrine

(NASDAQ:NBIX)

Rating:77Outperform
Price Target:
$153.00
▲(16.23%Upside)
Neurocrine's strong financial performance and encouraging earnings call, highlighting growth in patient starts and R&D advancements, are significant positives. However, the technical analysis shows overbought conditions, and the high P/E ratio suggests valuation concerns. The combination of these factors results in a moderately strong overall stock score.
Positive Factors
Growth Opportunity
Crenessity has shown strong uptake with a high reimbursement rate, suggesting a significant opportunity in the CAH market.
Market Position
Ingrezza remains the market leader for the treatment of tardive dyskinesia and is poised to generate significant sales, providing stable cash flow into 2038.
Product Launch
The launch of Crenessity, NBIX's second commercial product, is expected to beat expectations and drive growth for the company.
Negative Factors
Growth Concerns
Despite its attractive growth profile, Neurocrine Biosciences trades at a discount to peers reflecting concerns on the company's growth outlook into the next decade.
Pricing Pressure
Expansion of Part D formulary coverage is expected to worsen gross to net quarter over quarter.
Regulatory Risks
Safety, clinical, regulatory, competition, and financing are all risks inherent to commercial stage biotechs including NBIX.

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

Neurocrine Business Overview & Revenue Model

Company DescriptionNeurocrine Biosciences, Inc. (NBIX) is a biopharmaceutical company that focuses on the development and commercialization of innovative treatments for neurological, endocrine, and psychiatric disorders. Founded in 1992 and headquartered in San Diego, California, the company is committed to addressing unmet medical needs through its proprietary drug discovery platform and a robust pipeline of therapeutic candidates. Neurocrine's flagship product is INGREZZA (valbenazine), the first FDA-approved medication for the treatment of tardive dyskinesia, a movement disorder. Additionally, the company has other products and candidates targeting conditions such as Parkinson's disease, endometriosis, and congenital adrenal hyperplasia.
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: 19.95%|
Next Earnings Date:Jul 30, 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 robust with low leverage and strong equity, while cash flows are positive but require focus on 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.
BreakdownDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue2.36B1.89B1.49B1.13B1.05B
Gross Profit2.32B1.85B1.47B1.12B1.04B
EBITDA639.70M358.00M264.60M218.70M336.10M
Net Income341.30M249.70M154.50M89.60M407.30M
Balance Sheet
Total Assets3.72B3.25B2.37B2.07B1.73B
Cash, Cash Equivalents and Short-Term Investments1.08B1.03B989.30M711.30M801.00M
Total Debt455.10M428.40M262.90M440.40M412.30M
Total Liabilities1.13B1.02B660.90M698.50M608.50M
Stockholders Equity2.59B2.23B1.71B1.37B1.13B
Cash Flow
Free Cash Flow557.20M361.60M322.90M233.10M217.60M
Operating Cash Flow595.40M389.90M339.40M256.50M228.50M
Investing Cash Flow-126.80M-467.10M-177.10M-130.20M4.10M
Financing Cash Flow-486.70M65.30M-234.30M27.40M-157.80M

Neurocrine Technical Analysis

Technical Analysis Sentiment
Positive
Last Price131.64
Price Trends
50DMA
126.55
Positive
100DMA
117.03
Positive
200DMA
122.64
Positive
Market Momentum
MACD
2.10
Positive
RSI
54.74
Neutral
STOCH
31.15
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 131.64 is above the 20-day moving average (MA) of 130.93, above the 50-day MA of 126.55, and above the 200-day MA of 122.64, indicating a bullish trend. The MACD of 2.10 indicates Positive momentum. The RSI at 54.74 is Neutral, neither overbought nor oversold. The STOCH value of 31.15 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 (52)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
77
Outperform
$13.23B45.3212.43%21.73%-19.24%
71
Outperform
$12.20B18.2618.36%0.03%13.03%-0.49%
63
Neutral
$3.87B-3.64%4.03%-4.85%-4290.31%
55
Neutral
$19.15B-18.98%3.38%-175.90%
54
Neutral
$11.00B-21.25%5.12%-6.88%-6809.78%
52
Neutral
$7.60B0.10-62.94%2.08%16.16%0.34%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
NBIX
Neurocrine
131.64
-14.46
-9.90%
RDY
Dr Reddy's Laboratories
14.71
-1.38
-8.58%
VTRS
Viatris
9.35
-1.88
-16.74%
PRGO
Perrigo Company
28.11
1.14
4.23%
TEVA
Teva Pharmaceutical
16.33
-0.47
-2.80%

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.

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.Date of analysis: Jul 11, 2025