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Novartis Ag (NVS)
NYSE:NVS

Novartis (NVS) AI Stock Analysis

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NVS

Novartis

(NYSE:NVS)

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Outperform 77 (OpenAI - 5.2)
Rating:77Outperform
Price Target:
$175.00
▲(7.58% Upside)
Action:ReiteratedDate:02/06/26
Score is driven primarily by strong underlying financial quality (high margins and strong free cash flow) and a bullish technical trend. The key constraints are management’s softer 2026 profit outlook amid significant LOE/generic headwinds and a valuation that looks reasonable rather than clearly discounted.
Positive Factors
High margins & strong free cash flow
Sustained high profitability and cash generation underpin durable financial flexibility. Novartis delivered a 40.1% core margin and $17.6B FCF in 2025; FCF tracked net income (~0.78–0.92x 2023–25), supporting continued R&D, dividends and buybacks even through medium-term headwinds.
Broad multi-blockbuster portfolio
Multiple high-growth brands provide durable revenue diversification. Several priority products posted double- to triple-digit growth in 2025, reducing single-product concentration risk and improving the company’s ability to offset patent expiries and generic erosion over the next 2–6 months and beyond.
Deep late-stage pipeline & disciplined capital allocation
A rich late-stage pipeline plus strategic deals and clear capital return priorities enhance long-term growth optionality. Multiple pivotal readouts in 2026, the Avidity deal and sustained >$10B R&D spend, together with buybacks/dividend increases, support medium-term growth and shareholder returns.
Negative Factors
Rising leverage
Leverage has increased materially, reducing financial flexibility if earnings weaken. Debt-to-equity climbed to ~0.80 by 2025 and operating cash flow still covers only a modest portion of total debt (coverage <1x though improving), heightening sensitivity to slower growth or higher funding costs.
Major 2026 generic/LOE headwinds
Planned and recent U.S. generics (e.g., Entresto, Promacta, Tasigna) create structural near-term revenue pressure. Management expects H1 sales down low-single-digit and H1 core operating income down low-double-digit, meaning margin and earnings headwinds that require sustained offset from new launches.
Regulatory & clinical timing uncertainty
Multiple program timing and data uncertainties can delay launches and revenue realization. Event-rate shortfalls, additional monitoring requests and protocol amendments push pivotal readouts or filings into later periods, increasing development costs and deferring potential commercial contributions.

Novartis (NVS) vs. SPDR S&P 500 ETF (SPY)

Novartis Business Overview & Revenue Model

Company DescriptionNovartis AG researches, develops, manufactures, and markets healthcare products worldwide. The company operates through two segments, Innovative Medicines and Sandoz. The Innovative Medicines segment offers prescription medicines for patients and healthcare providers. It also provides ophthalmology, neuroscience, immunology, hepatology, dermatology, respiratory, cardiovascular, renal, and metabolism medicine products. The Sandoz segment develops, manufactures, and markets finished dosage form medicines; active ingredients and finished dosage forms of small molecule pharmaceuticals to third parties; and retail generics and anti-infectives. It also provides active pharmaceutical ingredients and intermediates primarily antibiotics; protein- or other biotechnology-based products, including biosimilars; and biotechnology manufacturing services. Novartis AG has a license and collaboration agreement with Alnylam Pharmaceuticals to develop, manufacture, and commercialize inclisiran; and a clinical collaboration with Kura Oncology, Inc. to evaluate the combination of Tipifarnib and Alpelisib in patients with head and neck squamous cell carcinoma. The company was incorporated in 1996 and is headquartered in Basel, Switzerland.
How the Company Makes MoneyNovartis generates revenue primarily through the sale of patented prescription medications, which are marketed globally. The Innovative Medicines segment contributes the majority of the company's revenue, encompassing sales from both patented drugs and recently launched therapies. The Sandoz division provides a secondary revenue stream through the sale of generic medications and biosimilars, which allow for cost-effective alternatives to branded drugs. Additionally, Novartis engages in partnerships and collaborations with other pharmaceutical companies and research institutions, which can lead to co-development agreements and licensing deals that bolster its earnings. The company also invests in research and development to drive innovation, aiming to bring new products to market that can significantly enhance its revenue potential.

Novartis Earnings Call Summary

Earnings Call Date:Feb 04, 2026
(Q4-2025)
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% Change Since: |
Next Earnings Date:Apr 28, 2026
Earnings Call Sentiment Positive
The call conveyed strong multi-product commercial momentum, record profitability and cash generation, and a robust late-stage pipeline with multiple potential catalysts in 2026. Management acknowledged notable near-term headwinds — chiefly mid-2025 generic entries (Entresto, Promacta, Tasigna), noisy Q4 gross-to-net adjustments, the largest GX impact expected in 2026, and some clinical/regulatory timing uncertainties (pelacarsen event rates, remibrutinib monitoring, zigakibart timing). However, the breadth of blockbuster growth across key brands, record margins and cash flow, clear capital allocation, and a defined plan to return to 40%+ core margins by 2029 outweigh the near-term challenges.
Q4-2025 Updates
Positive Updates
Full-Year Sales and Profitability
FY2025 sales up 8% (constant currency); Core operating income up 14% to $21.9 billion; achieved 40.1% core margin (target met 2 years early); core EPS up 17% to $8.98; record free cash flow $17.6 billion (+8%).
Kisqali Strong Growth and Market Traction
Kisqali up 57% for the year (Q4 growth 44%; adjusted global growth 54%; U.S. +62% when removing RD adjustments). Management reiterates $10 billion peak sales outlook and notes >60% U.S. eBC NBRx and >80% NBRx share in Germany early breast cancer.
Multiple Blockbuster Brand Performances
Kesimpta +36% to $4.4 billion (expanding first-line adoption to ~50% of NBRx); Pluvicto +42% CC, reached $2 billion (U.S. pre-taxane +75%, PSMA share up 4x to 16%); Scemblix blockbuster with Q4 +87% and 41% U.S. NBRx share across all lines; Leqvio blockbuster (FY +57%, Q4 +46%).
Cosentyx and Specialty Launches
Cosentyx up 8% to $6.7 billion (Q4 +11%); #1 prescribed IL-17 across indications; U.S. growth driven by hidradenitis and IV revenue; U.S. polymyalgia rheumatica submission completed.
Renal Portfolio and Lifecycle Advances
IgAN brands (Vanrafia, Fabhalta) drove 50% of NBRx market growth year-over-year; Fabhalta approved in C3G in 45 countries; management expects full eGFR datasets and filings for Fabhalta and Vanrafia in H1 2026.
Rhapsido Launch Momentum
U.S. launch showing encouraging early demand: >2,000 HCP starts via sampling/bridge program, positive feedback from allergists/dermatologists, expect stronger uptake as access expands (notable pick-up expected in 2H2026).
Pelabresib & Other Pipeline Advances
Pelabresib 96-week MANIFEST data showed deep/durable responses and comparable safety vs ruxolitinib; EU filing path in 2026 and new U.S./China/Japan Phase III planned targeting high-TSS50 patients. Company expects 7 pivotal readouts in 2026 to drive midterm outlook.
Global Health Progress
KLU156 (ganaplacide + lumefantrine) shows strong malaria cure rates (adjusted 99.2% vs 96.4% comparator) and potential to be first new malaria medicine in ~25 years, supporting Novartis' global health mission.
Capital Allocation and Shareholder Returns
Invested >$10 billion in R&D (+8% YoY); completed $15 billion buyback and launched new up-to-$10 billion buyback (≈$7.7 billion remaining); proposing CHF 3.70 dividend (+6% in CHF; 29th consecutive CHF increase).
Negative Updates
Q4 Sales Softness and Gross-to-Net Noise
Q4 sales declined 1% (impacted by higher gross-to-net adjustments and Entresto LOE); company notes noisy quarter due to U.S. R&D accounting adjustments and out-of-period gross-to-net items (Entresto, Promacta, Tasigna).
Generic/LOE Headwinds and 2026 GX Impact
Mid-2025 U.S. generic entries (Entresto, Promacta, Tasigna) weighed on results. Company forecasts 2026 will include the largest GX (generic) impact in its history, with H1 sales expected to decline low single digits and core operating income to decline low double digits.
Near-Term Guidance and Avidity Dilution
2026 guidance: sales low single-digit growth but core operating income expected to decline low single digits; management cites 1–2 percentage point core-margin dilution related to the Avidity acquisition (primarily debt-funded development costs and higher funding costs).
Pelacarsen Event-Rate Uncertainty
HORIZON (pelacarsen) event rates were lower than modeled, pushing the readout timing into mid-2026 and creating uncertainty about baseline risk vs. treatment effect; lower-than-expected event rates may complicate powering and interpretation of results.
Regulatory and Clinical Risks / Delays
Remibrutinib faces limited liver-monitoring requests from FDA (uncertainty remains though no liver signals seen); pelabresib requires additional Phase III in some regions; zigakibart Phase III protocol amended to align UPCR with interim eGFR readout, shifting eGFR readout to H1 2027 and delaying potential label timing.
Pricing / Market Access Challenges from MFN Dynamics
Management flagged Most-Favored-Nation (MFN)-style pricing impacts as complicating ex-U.S. launch strategies for assets like ianalumab; potential pricing corridors may require tactical launch/pricing adjustments outside the U.S.
In-Quarter One-Offs and Noisy Comparators
Some growth misses were attributed to one-time adjustments (e.g., higher-than-expected Medicare utilization affecting gross-to-net for Kisqali in Q4), creating temporary comparability issues and a lower Q4 baseline vs underlying momentum.
Company Guidance
Novartis guided 2026 sales to grow low single‑digit while core operating income is expected to decline low single‑digit (reflecting a 1–2 percentage‑point core‑margin dilution from the Avidity deal); core net financial expenses are expected at about $1.7 billion and the core tax rate around 16.5%. Management said 2026 will be a year of two halves — H1 sales down low single‑digit and H1 core operating income down low double‑digit (Q1 also affected by a ~2% positive gross‑to‑net in the Q1‑2025 base), then H2 sales up mid‑single‑digit and H2 core operating income up mid‑ to high‑single‑digit — producing the full‑year low‑single‑digit top‑line guidance; at late‑January FX levels they expect a ~+2–3 percentage‑point boost to sales and ~+1 percentage‑point to core operating income. They reiterated a 5–6% sales CAGR for 2025–2030 and a return to 40%+ core margin in 2029 (after achieving a 40.1% core margin, $21.9B core operating income, $8.98 core EPS and $17.6B free cash flow in 2025), and announced a proposed dividend of CHF 3.70 (up 6%) plus a new up‑to‑$10B buyback (≈$7.7B remaining).

Novartis Financial Statement Overview

Summary
Strong profitability and expanding margins (EBIT/EBITDA into the low-30%/low-40% range) with robust, improving free cash flow. Offsets include a modest 2025 revenue decline and a clear upward leverage trend (debt-to-equity rising to ~0.80), which increases sensitivity if growth softens.
Income Statement
82
Very Positive
Novartis shows strong profitability with consistently high gross margins (~70–75%) and improving operating efficiency since 2022, as EBIT and EBITDA margins expanded into the low-30% and low-40% range in 2024–2025. Revenue has grown solidly from 2022–2024, though 2025 saw a modest revenue decline (about -2.8%), which is the key near-term softness. Net margins are healthy in 2024–2025 (~23–26%) but have been volatile across the period (notably the unusually high 2021 level), indicating earnings can be influenced by non-recurring factors.
Balance Sheet
71
Positive
The balance sheet is generally solid with strong shareholder returns (return on equity around ~27–32% in 2023–2025). Leverage is moderate but has been trending higher, with debt-to-equity rising from ~0.47 (2022) to ~0.80 (2025) and total debt increasing materially over the last two years. The company remains well-capitalized (equity base is sizable relative to assets), but the upward leverage trend is a clear watch item if profitability or revenue growth softens.
Cash Flow
78
Positive
Cash generation is strong and improving: operating cash flow and free cash flow both increased from 2023 to 2025, and free cash flow growth turned positive in 2024 and accelerated in 2025. Free cash flow closely tracks net income (roughly ~0.78–0.92x in 2023–2025), supporting earnings quality. A key weakness is that operating cash flow covers only a modest portion of total debt (coverage improving but still under 1x), which matters given the rising leverage profile.
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue54.81B51.72B46.66B43.46B43.97B
Gross Profit41.12B38.90B34.19B31.88B32.24B
EBITDA22.99B20.71B18.25B14.68B30.91B
Net Income14.06B11.94B14.85B6.96B24.02B
Balance Sheet
Total Assets115.57B102.25B99.94B117.45B131.79B
Cash, Cash Equivalents and Short-Term Investments11.59B13.35B13.96B18.61B28.11B
Total Debt37.03B31.26B26.35B27.91B31.02B
Total Liabilities69.02B58.12B53.20B58.03B63.97B
Stockholders Equity46.13B44.05B46.67B59.34B67.66B
Cash Flow
Free Cash Flow17.69B13.80B11.71B12.00B12.52B
Operating Cash Flow19.24B17.62B14.46B14.24B15.07B
Investing Cash Flow-4.90B-7.51B5.60B1.47B4.21B
Financing Cash Flow-14.94B-11.74B-14.28B-20.56B-16.26B

Novartis Technical Analysis

Technical Analysis Sentiment
Positive
Last Price162.67
Price Trends
50DMA
145.68
Positive
100DMA
137.44
Positive
200DMA
128.29
Positive
Market Momentum
MACD
5.64
Negative
RSI
70.90
Negative
STOCH
70.97
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For NVS, the sentiment is Positive. The current price of 162.67 is above the 20-day moving average (MA) of 155.79, above the 50-day MA of 145.68, and above the 200-day MA of 128.29, indicating a bullish trend. The MACD of 5.64 indicates Negative momentum. The RSI at 70.90 is Negative, neither overbought nor oversold. The STOCH value of 70.97 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for NVS.

Novartis Risk Analysis

Novartis disclosed 26 risk factors in its most recent earnings report. Novartis 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

Novartis Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
78
Outperform
$301.96B16.713.12%1.59%58.02%
77
Outperform
$312.45B22.8131.14%2.87%11.53%-15.21%
73
Outperform
$155.62B20.136.65%4.44%128.96%
73
Outperform
£240.98B31.0522.34%1.53%10.20%40.57%
69
Neutral
$110.69B19.186.76%4.58%-9.32%120.62%
60
Neutral
$404.24B95.969999.00%2.87%7.40%-53.78%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
NVS
Novartis
162.67
56.66
53.46%
MRK
Merck & Company
122.26
34.30
38.99%
PFE
Pfizer
26.65
1.80
7.26%
SNY
Sanofi
46.76
-5.33
-10.23%
ABBV
AbbVie
224.81
27.35
13.85%
GB:AZN
AstraZeneca
15,270.00
3,699.65
31.98%

Novartis Corporate Events

Novartis Posts Strong 2025 Results and Pipeline Wins as It Enters Major Patent-Expiry Year
Feb 4, 2026

On February 4, 2026, Novartis reported its financial results for the fourth quarter and full year 2025, highlighting robust full-year performance despite mounting US generic competition. For 2025, net sales rose 8% to USD 54.5 billion with core operating income up 14% at constant currencies and a core operating margin of 40.1%, driven by strong growth in priority brands such as Kisqali, Kesimpta, Pluvicto, Scemblix and Cosentyx, while operating income climbed 25% at constant currencies and net income increased 19%. Free cash flow for the year reached USD 17.6 billion, up 8%, underpinning a proposed 5.7% dividend increase to CHF 3.70 per share for 2025. In the fourth quarter of 2025, net sales were broadly flat at USD 13.3 billion (-1% in constant currencies) as volume gains were offset by generic erosion and US revenue-deduction adjustments, but core operating income still edged higher and key growth brands maintained strong double‑digit momentum. The company also reported multiple late‑stage pipeline advances and regulatory milestones in the quarter, including FDA approval of Itvisma for a broad spinal muscular atrophy population, European approval of Scemblix for newly diagnosed Ph+ chronic myeloid leukemia, and FDA submissions for remibrutinib in chronic inducible urticaria and Pluvicto in an earlier prostate cancer setting. Management emphasized that this performance, combined with strategic pipeline deals such as the planned acquisition of Avidity and solid cash generation, positions Novartis to navigate what it describes as the largest patent expiry in its history in 2026 while remaining on track with its mid‑term financial ambitions.

The most recent analyst rating on (NVS) stock is a Buy with a $171.00 price target. To see the full list of analyst forecasts on Novartis stock, see the NVS Stock Forecast page.

Novartis Files 2025 Annual and Nonfinancial Reports with U.S. SEC
Feb 4, 2026

On February 4, 2026, Novartis AG, acting as a foreign private issuer under the U.S. Securities Exchange Act of 1934, filed a Form 6-K with the U.S. Securities and Exchange Commission to furnish its Annual Report 2025 and its Report on Nonfinancial Matters 2025 as exhibits. The filing formally places the company’s 2025 financial and non-financial disclosures into the U.S. public record, reinforcing its ongoing compliance with U.S. reporting requirements and providing investors and other stakeholders with updated transparency on its performance and sustainability-related matters for the 2025 financial year.

The most recent analyst rating on (NVS) stock is a Buy with a $171.00 price target. To see the full list of analyst forecasts on Novartis stock, see the NVS Stock Forecast page.

Novartis Gains FDA Approval for Groundbreaking SMA Gene Therapy
Nov 25, 2025

On November 24, 2025, Novartis announced that the FDA approved Itvisma, a gene replacement therapy for spinal muscular atrophy (SMA), making it the first of its kind available for children two years and older, teens, and adults. This approval marks a significant advancement in SMA treatment, offering a one-time dose that replaces the SMN1 gene, potentially reducing the need for chronic treatment. The therapy demonstrated improved motor function and stabilization in clinical trials, with a consistent safety profile. This development is expected to transform the care landscape for SMA and expand access to treatment for older patients, addressing unmet needs in the community.

The most recent analyst rating on (NVS) stock is a Buy with a $151.00 price target. To see the full list of analyst forecasts on Novartis stock, see the NVS Stock Forecast page.

Novartis Projects Strong Growth with Updated Sales Guidance and Strategic Acquisitions
Nov 20, 2025

On November 20, 2025, Novartis announced an updated sales growth forecast for 2025-2030, projecting a compound annual growth rate (CAGR) of 5-6%. The company has upgraded its peak sales guidance for key products like Kisqali and Scemblix, reflecting strong momentum from in-market growth drivers and upcoming product launches. Novartis is entering a catalyst-rich period with over 15 potential submission-enabling readouts expected in the next two years, supported by a pipeline of more than 30 potential high-value medicines. The company’s strategic acquisitions, including the planned acquisition of Avidity Biosciences, are expected to bolster its pipeline and strengthen its market position, ensuring continued growth beyond 2030.

The most recent analyst rating on (NVS) stock is a Buy with a $151.00 price target. To see the full list of analyst forecasts on Novartis stock, see the NVS 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: Feb 06, 2026