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European pharmaceuticals

The 5 companies in this industry listed on the NYSE and Nasdaq are worth $806 bn combined; the largest are Novartis (NVS), AstraZeneca (AZN) and GSK plc (GSK). For each one: what it does, revenue, margin, free cash flow over the last five years and a score from 0 to 10.

Data as of October 2026

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5 companies value 806 bn revenue 240 bn margin 14.7% free cash flow 55 bn avg. score 6.4
NVS holds 35.6% of the group's value, 1.1x the runner-up
Rank Ticker Company Share Value Revenue Margin FCF 5 years FCF/px Yield What it does · why it is here
1 NVS Novartis
Switzerland · score 7.2
36% 287 bn 55 bn 23.3% 17 bn 5.8% 3.2% Innovative medicines and advanced therapies, from Switzerland · Leader in innovative therapies with a diversified pipeline
2 AZN AstraZeneca
United Kingdom · score 6.5
32% 254 bn 61 bn 17.0% 11 bn 4.2% 1.9% Biopharma in oncology, cardiometabolic and respiratory · One of the global leaders in oncology, with strong growth
3 GSK GSK plc
United Kingdom · score 7.4
13% 107 bn 44 bn 19.3% 8.5 bn 8.0% 3.2% Biopharma in vaccines, HIV and respiratory · Leader in vaccines (shingles) and respiratory diseases
4 SNY Sanofi
France · score 6.8
12% 97 bn 51 bn 8.7% 13 bn 13.8% — Medicines and vaccines, with Dupixent, from France · Dupixent, one of the world's fastest-growing drugs; strong in vaccines
5 TAK Takeda Pharmaceutical
Japan · score 4.1
8% 62 bn 28 bn -3.4% 5.5 bn 8.8% 3.2% Biopharma in gastro, oncology and neuroscience, from Japan · Japan's largest drugmaker; strong in rare diseases

Other industries in the same sector

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What this is. A catalogue, not a guide. Every industry with stocks listed on the NYSE or NASDAQ, the companies contending for its leadership, what each one does according to its own annual report, and the balance sheet it filed with the SEC.

The score runs from 0 to 10 and compares each company with every other one in the almanac on cash generation, profitability, debt, dividends and consistency over the last five years. The higher it is, the better the company fares in that comparison. Curious how much each part weighs? Ask at the bottom of the page.

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