AZN vs NVS vs VRTX Stock Comparison

Astrazeneca, Novartis Ag and Vertex Pharmaceuticals Prices as of Oct 29, 2026 Peers: Industry group
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AZN Astrazeneca Plc
$174.51 +6.3% 1M +6.1% 1Y
Market cap
$270.49B
P/E
25.9x
Revenue (TTM)
$58.67B
Div. yield
1.37%
Pharmaceuticals Healthcare
1 win
NVS Novartis Ag
$161.05 +10.5% 1M +32.2% 1Y
Market cap
$307.31B
P/E
17.9x
Revenue (TTM)
—
Div. yield
2.94%
Pharmaceuticals Healthcare
5 wins

Head to Head

10 decided of 12

Novartis Ag leads on 5 of the 12 questions below (Novartis Ag 5, Vertex Pharmaceuticals 4, Astrazeneca 1). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionAZNNVSVRTXLeader
Larger companyMarket capitalisation $270.49B $307.31B $136.81B NVS
Cheaper on earningsLower P/E, profitable companies only 25.9x 17.9x 31.1x NVS
Cheaper on forward earningsLower price / next fiscal year consensus EPS 17.5x 17.4x 29.6x NVS
Faster revenue growthRevenue growth, trailing twelve months +9.4% — +10.2% VRTX
More profitableNet margin, trailing twelve months 17.8% — 35.0% VRTX
Better return on capitalReturn on invested capital 23.3% — — –
Less leveragedLower net debt / EBITDA 1.4x — — –
Higher dividend yieldTrailing dividend yield 1.37% 2.94% — NVS
Better 1-year returnPrice return, last 12 months +6.1% +32.2% +29.4% NVS
Better 5-year returnAnnualised price return, 5 years +6.9%/yr +14.3%/yr +23.9%/yr VRTX
Less volatileAnnualised volatility, 1 year 27.5% 27.6% 29.1% AZN
Higher overall scoreMean of the five percentile scores vs peers 71/100 — 76/100 VRTX

Percentile Scorecard

AZNNVSVRTX

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

AxisAZNNVSVRTX
Valuation 85 #96 of 624 97 #18 of 624 80 #124 of 624
Growth 70 #183 of 601 – 59 #245 of 601
Profitability 94 #33 of 541 – 95 #29 of 541
Financial Health 36 #415 of 647 – 54 #300 of 647
Shareholder Returns 70 #110 of 359 81 #68 of 359 92 #29 of 359
Overall 71 – 76
  • AZN ranked among 671 companies in Pharmaceuticals and Biotechnology
  • NVS ranked among 671 companies in Pharmaceuticals and Biotechnology
  • VRTX ranked among 671 companies in Pharmaceuticals and Biotechnology

Price Performance

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

Returns

PeriodAZNNVSVRTXSPY
1 month +6.3%+10.5%+2.5% +0.7%
3 months +1.8%+1.7%+12.1% +3.7%
6 months -6.9%+8.9%+26.4% +7.1%
Year to date -5.1%+16.8%+19.1% +12.8%
1 year +6.1%+32.2%+29.4% +11.9%
3 years +38.6%+71.8%+51.1% +85.2%
3 years, per year +11.5%+19.8%+14.8% +22.8%
5 years +39.9%+94.6%+192.0% +67.6%
5 years, per year +6.9%+14.3%+23.9% +10.9%
10 years +205.1%+126.6%+596.1% +262.0%
10 years, per year +11.8%+8.5%+21.4% +13.7%

Risk

MeasureAZNNVSVRTXSPY
Volatility, 1Y 27.5%27.6%29.1% 12.7%
Downside volatility, 1Y 27.2%30.1%25.8% 12.6%
Beta vs S&P 500, 1Y 0.210.340.49 1.00
Return / volatility, 1Y 0.221.171.01 0.94
Max drawdown, 5Y -27.9%-20.4%-29.1% -25.4%
From 52-week high -16.7%-4.5%-3.2% -1.2%
52-week high $209.48$168.62$557.96 $779.14
52-week low $155.60$121.80$409.47 $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.

MultipleAZNNVSVRTX
P/E now vs peer median 25.9xmedian 17.8x 17.9xmedian 17.8x 31.1xmedian 17.8x
P/S now vs peer median 4.6xmedian 9.1x 5.1xmedian 9.1x 10.9xmedian 9.1x
EV/EBITDA now vs peer median 14.7xmedian 15.0x —median 15.0x 25.8xmedian 15.0x
P/FCF now vs peer median 25.4xmedian 21.7x 14.3xmedian 21.7x 36.0xmedian 21.7x
P/B now vs peer median 5.4xmedian 2.2x —median 2.2x 6.8xmedian 2.2x
PEG now vs peer median 1.35median 0.35 —median 0.35 3.07median 0.35

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 monthsAZNNVSVRTX
Revenue $58.67B – $12.59B
Gross profit $50.25B – $10.82B
Operating income $13.97B – $4.78B
Net income $10.45B – $4.41B
Free cash flow $10.67B – $3.80B
R&D $15.07B – $3.91B
EPS (diluted) $6.69 – $17.26
Cash & equivalents $4.90B $400.00M $6.14B
Total debt $32.35B – –
Shares (diluted) 1.56B 1.96B 255.20M
Enterprise value $244.25B $280.88B $108.81B

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
MetricAZNNVSVRTX
P/E 25.9x 17.9x 31.1x
P/FCF 25.4x 14.3x 36.0x
P/Operating cash flow 19.7x – 31.9x
P/S 4.6x 5.1x 10.9x
P/B 5.4x – 6.8x
P/Tangible book 21.4x – 6.9x
EV/EBITDA 14.7x – 25.8x
EV/EBIT 21.3x – 27.0x
EV/Revenue 5.1x – 10.2x
EV/FCF 27.9x – 34.0x
EV/Operating cash flow 21.7x – 30.0x
PEG (3Y EPS CAGR) 1.35 – 3.07

Growth

14 metrics
MetricAZNNVSVRTX
Revenue growth (1Y) 9.4% – 10.2%
Revenue CAGR (3Y) 10.6% – 9.8%
Gross profit growth (1Y) 9.3% – 10.1%
Gross profit CAGR (3Y) 13.1% – 9.0%
Operating income growth (1Y) 23.4% – 21.8%
Operating income CAGR (3Y) 23.9% – 6.4%
Net income growth (1Y) 25.9% – 21.1%
Net income CAGR (3Y) 19.2% – 9.4%
EPS growth (1Y) 26.0% – 22.9%
EPS CAGR (3Y) 19.2% – 10.1%
Operating cash flow growth (1Y) 2.3% – 11.6%
Operating cash flow CAGR (3Y) 13.7% – 1.8%
Free cash flow growth (1Y) -4.5% – 8.5%
Free cash flow CAGR (3Y) 8.5% – -0.7%

Profitability

14 metrics
MetricAZNNVSVRTX
Gross margin 85.6% – 86.0%
EBITDA margin 34.6% – 39.7%
Operating margin 23.8% – 38.0%
Pretax margin 21.5% – 41.9%
Net margin 17.8% – 35.0%
FCF margin 18.2% – 30.2%
Operating cash flow margin 23.3% – 34.1%
Return on equity 21.4% – 22.2%
Return on assets 9.1% – 16.3%
Return on invested capital 23.3% – –
Return on capital employed 16.8% – 20.8%
Asset turnover 0.5x – 0.5x
Cash conversion (OCF / net income) 1.3x – 1.0x
Stock comp / revenue – – 5.5%

Financial Health

11 metrics
MetricAZNNVSVRTX
Debt / assets 27.9% – –
Debt / equity 0.6x – –
Net debt / EBITDA 1.4x – –
Debt / FCF 3.0x – –
Liabilities / assets 56.5% – 26.2%
Equity / assets 43.5% – 73.8%
Interest coverage 15.9x – –
Current ratio 0.9x – 3.2x
Quick ratio 0.7x – 2.5x
Cash ratio 0.2x – 2.0x
Altman Z-score 3.50 – 13.65

Shareholder Returns

7 metrics
MetricAZNNVSVRTX
Dividend yield 1.4% 2.9% –
Net buyback yield 0.0% – 1.4%
Shareholder yield 1.4% 2.9% 1.4%
Payout ratio (earnings) – – –
Payout ratio (FCF) – – –
Dividend growth (1Y) – – –
Dividend CAGR (3Y) – – –

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.

ConsensusAZNNVSVRTX
Forward P/E 17.5xFY2026 17.4xFY2026 29.6xFY2026
EPS, next fiscal year $10.00FY2026 $9.26FY2026 $18.24FY2026
EPS growth, next FY +9.2%FY2026 +3.1%FY2026 -0.9%FY2026
EPS growth, the year after +6.1% +1.2% +23.0%
Revenue, next fiscal year $59.02BFY2026 $53.95BFY2026 $12.67BFY2026
Revenue growth, next FY +0.5%FY2026 -1.1%FY2026 +5.8%FY2026
Revenue growth, the year after +8.0% +19.1% +18.8%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersAZNNVSVRTX
Held by institutions 52.1% 7.0% 95.1%
Institutions holding 1,497 1,608 1,746
Change in shares held, QoQ +7.8% -5.9% +3.9%
Institutions buying 809 662 903
Institutions selling 468 561 605
Buyers to sellers 1.73 1.18 1.49

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.

AZNNVSVRTX
AZN 1.00 0.56 0.45
NVS 0.56 1.00 0.48
VRTX 0.45 0.48 1.00

Add a Peer

Largest companies in the same industry

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Frequently Asked Questions

Which is bigger, AZN, NVS and VRTX?

Novartis Ag (NVS) is the largest by market capitalisation: Astrazeneca (AZN) $270.49B, Novartis Ag (NVS) $307.31B, Vertex Pharmaceuticals (VRTX) $136.81B.

Which stock is cheaper, AZN, NVS and VRTX?

Novartis Ag (NVS) trades on the lowest price-to-earnings ratio (Astrazeneca (AZN) 25.9x, Novartis Ag (NVS) 17.9x, Vertex Pharmaceuticals (VRTX) 31.1x). On next year's consensus earnings, Novartis Ag (NVS) is cheapest (Astrazeneca (AZN) 17.5x, Novartis Ag (NVS) 17.4x, Vertex Pharmaceuticals (VRTX) 29.6x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Vertex Pharmaceuticals (VRTX) grew revenue fastest over the trailing twelve months: Astrazeneca (AZN) +9.4%, Vertex Pharmaceuticals (VRTX) +10.2%.

Which company is more profitable?

Vertex Pharmaceuticals (VRTX) has the highest net margin (Astrazeneca (AZN) 17.8%, Vertex Pharmaceuticals (VRTX) 35.0%).

Which stock has performed better?

Over the past year Novartis Ag (NVS) returned the most: Astrazeneca (AZN) +6.1%, Novartis Ag (NVS) +32.2%, Vertex Pharmaceuticals (VRTX) +29.4%. Over five years, Vertex Pharmaceuticals (VRTX) compounded fastest (Astrazeneca (AZN) +6.9%/yr, Novartis Ag (NVS) +14.3%/yr, Vertex Pharmaceuticals (VRTX) +23.9%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Novartis Ag (NVS) has the highest dividend yield: Astrazeneca (AZN) 1.37%, Novartis Ag (NVS) 2.94%. Vertex Pharmaceuticals (VRTX) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Astrazeneca (AZN) has been the steadiest (Astrazeneca (AZN) 27.5%, Novartis Ag (NVS) 27.6%, Vertex Pharmaceuticals (VRTX) 29.1%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, AZN, NVS and VRTX?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Novartis Ag (NVS) leads on 5. 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.