ALVO vs AMRX vs CAH Stock Comparison

Alvotech, Amneal Pharmaceuticals and Cardinal Health Prices as of Oct 28, 2026 Peers: Industry group
ALVO Alvotech
$4.94 -19.7% 1M -37.2% 1Y
Market cap
$1.42B
P/E
–
Revenue (TTM)
$105.94M
Div. yield
–
Generic Drugs Healthcare
CAH Cardinal Health Inc
$244.90 +11.5% 1M +50.4% 1Y
Market cap
$59.30B
P/E
34.6x
Revenue (TTM)
$254.25B
Div. yield
0.01%
Drug Distribution Healthcare
8 wins

Head to Head

11 decided of 12

Cardinal Health leads on 8 of the 12 questions below (Cardinal Health 8, Amneal Pharmaceuticals 3). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionALVOAMRXCAHLeader
Larger companyMarket capitalisation $1.42B $6.80B $59.30B CAH
Cheaper on earningsLower P/E, profitable companies only -5.4x 43.2x 34.6x CAH
Cheaper on forward earningsLower price / next fiscal year consensus EPS — 21.8x 20.4x CAH
Faster revenue growthRevenue growth, trailing twelve months -74.3% +9.3% +14.2% CAH
More profitableNet margin, trailing twelve months -248.0% 5.0% 0.7% AMRX
Better return on capitalReturn on invested capital 4.4% 17.4% 33.9% CAH
Less leveragedLower net debt / EBITDA 13.1x 3.8x 1.1x CAH
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.01% –
Better 1-year returnPrice return, last 12 months -37.2% +105.4% +50.4% AMRX
Better 5-year returnAnnualised price return, 5 years -13.0%/yr +31.0%/yr +38.7%/yr CAH
Less volatileAnnualised volatility, 1 year 81.7% 35.1% 29.4% CAH
Higher overall scoreMean of the five percentile scores vs peers 48/100 70/100 67/100 AMRX

Percentile Scorecard

ALVOAMRXCAH

Each axis is the mean percentile of its metrics against the company's industry group. 100 is the best in the group, 50 the middle.

Scores by Axis

AxisALVOAMRXCAH
Valuation 72 #173 of 625 91 #55 of 625 75 #7 of 25
Growth 35 #394 of 602 74 #157 of 602 78 #6 of 24
Profitability 68 #174 of 549 84 #88 of 549 61 #10 of 24
Financial Health 16 #553 of 654 12 #579 of 654 40 #16 of 26
Shareholder Returns – 87 #47 of 367 80 #4 of 16
Overall 48 70 67
  • ALVO ranked among 672 companies in Pharmaceuticals and Biotechnology
  • AMRX ranked among 672 companies in Pharmaceuticals and Biotechnology
  • CAH ranked among 27 companies in Healthcare Payers and Distributors

Price Performance

Price return, split-adjusted, before dividends. Click a name to hide or show it.

Returns

PeriodALVOAMRXCAHSPY
1 month -19.7%+3.1%+11.5% +0.9%
3 months +39.9%+10.7%+6.9% +5.9%
6 months +49.7%+65.2%+20.7% +8.5%
Year to date -3.7%+67.8%+19.2% +13.3%
1 year -37.2%+105.4%+50.4% +12.4%
3 years -45.0%+460.7%+168.0% +88.1%
3 years, per year -18.1%+77.7%+38.9% +23.5%
5 years -50.1%+285.1%+412.2% +68.2%
5 years, per year -13.0%+31.0%+38.7% +11.0%
10 years ——+262.8% +263.4%
10 years, per year ——+13.8% +13.8%

Risk

MeasureALVOAMRXCAHSPY
Volatility, 1Y 81.7%35.1%29.4% 12.7%
Downside volatility, 1Y 86.3%30.9%24.6% 12.7%
Beta vs S&P 500, 1Y 0.750.70-0.10 1.00
Return / volatility, 1Y -0.463.011.72 0.98
Max drawdown, 5Y -82.6%-78.2%-21.0% -25.4%
From 52-week high -37.5%-1.4%-4.9% -0.9%
52-week high $7.90$21.44$257.54 $779.14
52-week low $3.00$10.00$162.79 $631.97

Valuation History

Weekly multiples on trailing twelve-month fundamentals. Negative or extreme readings (a loss year, a collapsed denominator) are left out so the chart stays readable.

MultipleALVOAMRXCAH
P/E now vs peer median -5.4xmedian 17.4x 42.9xmedian 17.4x 33.7xmedian 23.9x
P/S now vs peer median 14.5xmedian 9.1x 2.2xmedian 9.1x 0.2xmedian 0.3x
EV/EBITDA now vs peer median 30.4xmedian 17.1x 14.0xmedian 17.1x 17.1xmedian 12.7x
P/FCF now vs peer median -5.9xmedian 19.0x 81.2xmedian 19.0x 12.6xmedian 15.4x
P/B now vs peer median -8.0xmedian 2.2x 204.4xmedian 2.2x -19.8xmedian 2.5x
PEG now vs peer median -0.22median 0.34 0.18median 0.34 0.49median 1.34

Financial History

Reported figures by fiscal period, placed on the calendar year (or quarter) each period ended in, so companies with different fiscal years line up.

Trailing twelve monthsALVOAMRXCAH
Revenue $105.94M $3.12B $254.25B
Gross profit $7.66M $1.23B $9.77B
Operating income $47.54M $453.92M $2.61B
Net income -$179.60M $215.32M $1.72B
Free cash flow -$261.39M $83.11M $4.53B
R&D $46.37M $175.57M –
EPS (diluted) $-0.90 $0.48 $7.23
Cash & equivalents $142.80M $127.64M $4.86B
Total debt $1.31B $2.67B $8.89B
Shares (diluted) 291.34M 328.10M 237.00M
Enterprise value $980.51M $5.99B $43.13B

All Metrics

58 metrics · best in bold

Bold marks the best reading: the lowest positive value for multiples, leverage and payout, the highest for everything else. The bar under each value is its percentile against that company's own peers. Hover a value for its rank and the peer median.

Valuation

12 metrics
MetricALVOAMRXCAH
P/E -5.4x 42.9x 33.7x
P/FCF -5.9x 81.2x 12.6x
P/Operating cash flow -7.8x 33.6x 11.0x
P/S 14.5x 2.2x 0.2x
P/B -8.0x 204.4x -19.8x
P/Tangible book -4.6x -12.2x -19.8x
EV/EBITDA 30.4x 14.0x 17.1x
EV/EBIT 56.9x 20.5x 23.3x
EV/Revenue 25.5x 3.0x 0.2x
EV/FCF -10.3x 111.8x 13.5x
EV/Operating cash flow -13.6x 46.3x 11.8x
PEG (3Y EPS CAGR) -0.22 0.18 0.49

Growth

14 metrics
MetricALVOAMRXCAH
Revenue growth (1Y) -74.3% 9.3% 14.2%
Revenue CAGR (3Y) 104.2% 10.5% 7.4%
Gross profit growth (1Y) -95.0% 14.1% 19.7%
Gross profit CAGR (3Y) 27.6% 14.9% 12.3%
Operating income growth (1Y) -13.3% 20.6% 14.9%
Operating income CAGR (3Y) 28.9% 32.5% 50.2%
Net income growth (1Y) -383.6% 426.4% 9.8%
Net income CAGR (3Y) 24.4% 139.1% 63.8%
EPS growth (1Y) -481.6% 4,481% 12.1%
EPS CAGR (3Y) 24.6% 237.0% 69.2%
Operating cash flow growth (1Y) -367.1% -42.8% 115.9%
Operating cash flow CAGR (3Y) 12.8% 0.4% 22.1%
Free cash flow growth (1Y) -113.0% -69.3% 144.6%
Free cash flow CAGR (3Y) 8.6% -17.3% 24.2%

Profitability

14 metrics
MetricALVOAMRXCAH
Gross margin 7.2% 39.3% 3.8%
EBITDA margin 83.9% 21.3% 1.4%
Operating margin 44.9% 14.6% 1.0%
Pretax margin -62.1% 6.5% 0.9%
Net margin -248.0% 5.0% 0.7%
FCF margin -246.7% 2.7% 1.8%
Operating cash flow margin -187.6% 6.4% 2.0%
Return on equity – – –
Return on assets -17.5% 5.9% 3.0%
Return on invested capital 4.4% 17.4% 33.9%
Return on capital employed 4.1% 16.4% 20.0%
Asset turnover 0.1x 0.9x 4.5x
Cash conversion (OCF / net income) 1.1x 0.9x 3.0x
Stock comp / revenue 8.7% 1.1% 0.1%

Financial Health

11 metrics
MetricALVOAMRXCAH
Debt / assets 82.3% 70.7% 15.5%
Debt / equity -6.8x 80.9x -3.1x
Net debt / EBITDA 13.1x 3.8x 1.1x
Debt / FCF -5.0x 32.1x 2.0x
Liabilities / assets 112.1% 99.1% 105.0%
Equity / assets -12.1% 0.9% -5.0%
Interest coverage 0.8x – 7.5x
Current ratio 1.6x 2.2x 0.9x
Quick ratio 1.1x 1.3x 0.4x
Cash ratio 0.4x 0.1x 0.1x
Altman Z-score -1.34 2.49 5.10

Shareholder Returns

7 metrics
MetricALVOAMRXCAH
Dividend yield – – 0.8%
Net buyback yield – 0.0% 2.4%
Shareholder yield – 0.0% 3.2%
Payout ratio (earnings) – – 28.5%
Payout ratio (FCF) – – 10.9%
Dividend growth (1Y) – – -0.6%
Dividend CAGR (3Y) – – -2.2%

Analyst Estimates

Solid lines are reported fiscal-year results; dashed lines are the consensus for the years ahead. Hover a year for the analysts' high and low, and how each result compared with its estimate.

ConsensusALVOAMRXCAH
Forward P/E – 21.8xFY2026 20.4xFY2027
EPS, next fiscal year $-0.01FY2026 $0.97FY2026 $12.03FY2027
EPS growth, next FY – +16.9%FY2026 +6.8%FY2027
EPS growth, the year after – +26.8% +13.5%
Revenue, next fiscal year $556.32MFY2026 $3.24BFY2026 $272.90BFY2027
Revenue growth, next FY -6.2%FY2026 +7.4%FY2026 +7.3%FY2027
Revenue growth, the year after +23.2% +12.4% -3.5%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersALVOAMRXCAH
Held by institutions 14.7% 51.1% 87.4%
Institutions holding 72 310 1,491
Change in shares held, QoQ +152.4% +1.3% +2.8%
Institutions buying 44 182 711
Institutions selling 17 86 556
Buyers to sellers 2.59 2.12 1.28

Return Correlation

Daily returns, last 12 months

1.00 means two stocks move in lockstep, 0 that they move independently. Pairs below about 0.5 diversify each other.

ALVOAMRXCAH
ALVO 1.00 0.09 0.02
AMRX 0.09 1.00 0.21
CAH 0.02 0.21 1.00

Add a Peer

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Frequently Asked Questions

Which is bigger, ALVO, AMRX and CAH?

Cardinal Health (CAH) is the largest by market capitalisation: Alvotech (ALVO) $1.42B, Amneal Pharmaceuticals (AMRX) $6.80B, Cardinal Health (CAH) $59.30B.

Which stock is cheaper, ALVO, AMRX and CAH?

Cardinal Health (CAH) trades on the lowest price-to-earnings ratio (Alvotech (ALVO) -5.4x, Amneal Pharmaceuticals (AMRX) 43.2x, Cardinal Health (CAH) 34.6x). On next year's consensus earnings, Cardinal Health (CAH) is cheapest (Amneal Pharmaceuticals (AMRX) 21.8x, Cardinal Health (CAH) 20.4x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Cardinal Health (CAH) grew revenue fastest over the trailing twelve months: Alvotech (ALVO) -74.3%, Amneal Pharmaceuticals (AMRX) +9.3%, Cardinal Health (CAH) +14.2%.

Which company is more profitable?

Amneal Pharmaceuticals (AMRX) has the highest net margin (Alvotech (ALVO) -248.0%, Amneal Pharmaceuticals (AMRX) 5.0%, Cardinal Health (CAH) 0.7%). On return on invested capital, Cardinal Health (CAH) leads (Alvotech (ALVO) 4.4%, Amneal Pharmaceuticals (AMRX) 17.4%, Cardinal Health (CAH) 33.9%).

Which stock has performed better?

Over the past year Amneal Pharmaceuticals (AMRX) returned the most: Alvotech (ALVO) -37.2%, Amneal Pharmaceuticals (AMRX) +105.4%, Cardinal Health (CAH) +50.4%. Over five years, Cardinal Health (CAH) compounded fastest (Alvotech (ALVO) -13.0%/yr, Amneal Pharmaceuticals (AMRX) +31.0%/yr, Cardinal Health (CAH) +38.7%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: Alvotech (ALVO) 0.00%, Amneal Pharmaceuticals (AMRX) 0.00%, Cardinal Health (CAH) 0.01%. Alvotech (ALVO) and Amneal Pharmaceuticals (AMRX) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Cardinal Health (CAH) has been the steadiest (Alvotech (ALVO) 81.7%, Amneal Pharmaceuticals (AMRX) 35.1%, Cardinal Health (CAH) 29.4%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, ALVO, AMRX and CAH?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Cardinal Health (CAH) leads on 8. Business Quant does not give investment advice; use the comparison as a starting point for your own research.

Data from SEC filings, exchange prices and consensus estimates, via Business Quant. Percentile scores compare each company with its own peer group, so two companies' scores are each relative to different peers unless you rank against the whole market. Price returns exclude dividends. Nothing on this page is investment advice.