Horizon: $27.8 Billion for Rare DiseaseNarrow moat

Amgen (AMGN) — moat facet

Amgen paid $27.8 billion for Horizon's rare-disease drugs, which sold $4.6 billion in 2025 and have no direct competitors in their main markets.

Amgen bought Horizon Therapeutics on 6 October 2023 for $116.50 a share, a total consideration of approximately $27.8 billion1. It was the defining act of the current strategy: pay heavily for drugs that treat rare diseases, where there are few competitors and payers have less leverage.

Horizon products sales ($M)9492023 (from Oct)4,17320244,61720255,840Q2 2026 x4Amgen results releases; TEPEZZA, KRYSTEXXA, UPLIZNA, Ultra-Rare; calculated
A $4.6 billion business bought for $27.8 billion.

The purchase allocated $19,590 million to developed-product rights, $1,060 million to research in progress and $3,111 million to goodwill, and included $5,025 million of inventory2. That inventory was stepped up to fair value, and selling it has cost Amgen $656 million in 2023, $2.4 billion in 2024 and $1.3 billion in 2025 of extra cost of sales3.

What Amgen got is four businesses. In 2025 TEPEZZA, for thyroid eye disease, sold $1,903 million; KRYSTEXXA, for chronic gout, $1,340 million; UPLIZNA $655 million; and the ultra-rare products $719 million4. Together that is $4,617 million5, about 16.6% of the price in one year's revenue6. In the second quarter of 2026 the four sold $1,460 million, an annualised rate of about $5.8 billion78.

The logic is sound. TEPEZZA and KRYSTEXXA currently do not face any direct competitors in the United States, Europe or Japan9, which protects them from the rebate spiral that affects the rest of the portfolio.

The Horizon drugs are almost entirely American. In the second quarter of 2026 TEPEZZA sold $520 million in the United States and $56 million elsewhere, and KRYSTEXXA $399 million and $1 million10. The foreign opportunity is only beginning: the European Commission approved TEPEZZA for thyroid eye disease in June 202511. That concentration is also a risk, since American pricing is exactly what Washington is trying to change.

The cost is that the deal was financed with debt and the returns come slowly. The figure to follow is the four products' combined quarterly sales; holding growth above 10% a year would justify the price, while a stall below the 2025 rate of about $4.6 billion would mean Amgen paid a growth multiple for a mature business.

Moat trajectory: Widening

Horizon products at about $5.8bn annualised in Q2 2026, from $4.6bn in 2025.

The number that tests this moat
Moat Explorer calc
Horizon rare-disease products, latest quarter
$1,460M (Q2 2026: TEPEZZA 576, KRYSTEXXA 400, UPLIZNA 335, Ultra-Rare 149)

The return on the $27.8bn purchase; a stall below the 2025 run rate would mean Amgen paid for growth it did not get.

How it's calculated: TEPEZZA plus KRYSTEXXA plus UPLIZNA plus Ultra-Rare products sales in Q2 2026, from Amgen's Q2 2026 results release.
Source: Moat Explorer calculation from Amgen filings ↗
⚠ Threats to the moat
⚠ THREAT 01
$24 Billion of Notes and a Downgrade
Horizon doubled Amgen's debt to about $56 billion, and interest now takes about 30% of operating income.
References
  1. ReportedAmgen bought Horizon Therapeutics on 6 October 2023 for $116.50 a share, a total consideration of approximately $27.8 billion.
    Amgen Form 10-K for fiscal 2023 - the Horizon and ChemoCentryx acquisitions, their purchase-price allocation and the debt that funded them; sales deductions for 2021-2023. — FY2023 · publ. February 2024 · source ↗
  2. ReportedThe purchase allocated $19,590 million to developed-product rights, $1,060 million to research in progress and $3,111 million to goodwill, and included $5,025 million of inventory.
    Amgen Form 10-K for fiscal 2023 - the Horizon and ChemoCentryx acquisitions, their purchase-price allocation and the debt that funded them; sales deductions for 2021-2023. — FY2023 · publ. February 2024 · source ↗
  3. ReportedThat inventory was stepped up to fair value, and selling it has cost Amgen $656 million in 2023, $2.4 billion in 2024 and $1.3 billion in 2025 of extra cost of sales.
    Amgen Form 10-K for fiscal 2025 - financial statements and notes: earnings, cash flow, debt, intangibles and impairments. — FY2025 · publ. 13 February 2026 · source ↗
  4. ReportedIn 2025 TEPEZZA, for thyroid eye disease, sold $1,903 million; KRYSTEXXA, for chronic gout, $1,340 million; UPLIZNA $655 million; and the ultra-rare products $719 million.
    Amgen fourth-quarter and full-year 2025 results release, Form 8-K exhibit 99.1 - product sales for 2024-2025, non-GAAP EPS and 2026 guidance. — FY2025 · publ. 3 February 2026 · source ↗
  5. Moat Explorer calcTogether that is $4,617 million, about 16.6% of the price in one year's revenue.
    Moat Explorer calculation from Amgen's reported product sales and financial statements ($ millions unless stated). Sales deductions: 2019 rebates 6,825 + chargebacks 7,090 + other 1,292 = 15,207; 2025 21,697 + 16,988 + 3,298 = 41,983; 41,983 / 35,148 = 1.19 times net product sales; implied gross product sales 35,148 + 41,983 = 77,131. Growth 2019-2025: deductions 41,983 / 15,207 = 2.76 times; net product sales 35,148 / 22,204 = 1.58 times (up 58%); rebates 21,697 / 6,825 = 3.18 times; chargebacks 16,988 / 7,090 = 2.4 times. Wholesalers 2025 gross: 26,253 + 20,986 + 12,562 = 59,801; 59,801 / 36,751 = 1.63 times total revenues; McKesson 26,253 / 36,751 = 71%. ENBREL: 2,226 / 5,433 - 1 = -59%; share of product sales 5,226 / 22,204 = 23.5% (2019), 2,226 / 35,148 = 6.3% (2025). ENBREL + Otezla 2025: 2,226 + 2,265 = 4,491; 4,491 / 36,751 = 12%. Otezla sales 2020-2025: 2,195 + 2,249 + 2,288 + 2,188 + 2,126 + 2,265 = 13,311; impairment 1,200 / 13,400 = 9%. Horizon products: 2023 448 + 272 + 65 + 164 = 949; 2024 1,851 + 1,185 + 379 + 758 = 4,173; 2025 1,903 + 1,340 + 655 + 719 = 4,617, 4,617 / 27,800 = 16.6%; Q2 2026 576 + 400 + 335 + 149 = 1,460, x4 = 5,840. TEPEZZA + KRYSTEXXA 2025 1,903 + 1,340 = 3,243; KRYSTEXXA 1,340 / 1,185 - 1 = 13.1%; TEPEZZA 1,903 / 1,851 - 1 = 2.8%; UPLIZNA 655 / 379 - 1 = 72.8%; H1 2026 262 + 335 = 597; ultra-rare 719 / 758 - 1 = -5.1%; UPLIZNA + ultra-rare 655 + 719 = 1,374. TAVNEOS H1 2026 119 + 150 = 269. Acquisitions: 13.4 + 3.9 + 27.8 = 45.1 bn; acquired products 2025 2,265 + 459 + 4,617 = 7,341, 7,341 / 36,751 = 20%. Interest 2,755 / 9,080 = 30%. Net debt 30 June 2026: 57.3 - 13.989 = 43.3 bn. Goodwill + intangibles 18,680 + 22,276 = 40,956, 40,956 / 90,586 = 45%. EPS gap 21.84 - 14.23 = 7.61. R&D 7,272 / 4,784 - 1 = 52%; 7,272 / 36,751 = 19.8%. Growth drivers 2025: Repatha 3,016 + EVENITY 2,100 + TEZSPIRE 1,478 + BLINCYTO 1,559 = 8,153 (2024: 2,222 + 1,563 + 972 + 1,216 = 5,973; 2023: 1,635 + 1,160 + 567 + 861 = 4,223; 2021: 1,117 + 530 + 0 + 472 = 2,119; 2019: 661 + 189 + 0 + 312 = 1,162); 8,153 / 5,973 - 1 = 36.5%, about 37%; 8,153 / 36,751 = 22%. Repatha 3,016 / 661 = 4.6 times, 3,016 / 2,222 - 1 = 36%; EVENITY 2,100 / 189 = 11 times; BLINCYTO 1,559 / 312 = 5.0 times. KYPROLIS 1,412 / 1,503 - 1 = -6%; KYPROLIS + Nplate 1,412 + 1,524 = 2,936, 2,936 / 6,660 = 44%; BLINCYTO + IMDELLTRA 1,559 + 627 = 2,186; Q2 2026 472 + 288 = 760. IMDELLTRA run rate 288 x 4 = 1,152, 1,152 / 6,498 = 18%. Biosimilars: 2025 AMJEVITA 597 + PAVBLU 700 + WEZLANA 273 + MVASI 771 + in other products 683 = 3,024; 3,024 / 35,148 = 8.6% of product sales; 3,024 / 36,751 = 8.2% of total revenues; PAVBLU 700 / 3,024 = 23%; AMJEVITA 597 / 761 - 1 = -22%; band 2022 1,831 / 2,177 - 1 = -16%; in other products 683 / 667 - 1 = 2%; WEZLANA and other biosimilars added (273 - 27) + (683 - 667) = 262; Q2 2026 155 + 287 + 61 + 153 + 199 = 855; Q2 2025 133 + 130 + 35 + 191 + 172 = 661; 855 / 661 - 1 = 29%; shares of total revenues 568 / 23,362 = 2.4% (2019), 2,177 / 25,979 = 8.4% (2021), 1,916 / 28,190 = 6.8% (2023). Bands 2025: general medicine and bone 3,016 + 2,100 + 4,414 + 2,084 = 11,614 (31.6%); inflammation and rare disease 2,226 + 2,265 + 1,478 + 1,903 + 1,340 + 655 + 459 + 719 = 11,045 (30.1%); oncology 1,559 + 627 + 1,175 + 1,412 + 363 + 1,524 = 6,660 (18.1%); biosimilars 3,024 (8.2%); established and other 1,389 + 435 + 353 + (1,311 - 683 = 628) + 1,603 = 4,408 (12.0%); total 36,751. 2019 bands 5,457; 5,404; 2,895; 568; 9,038; total 23,362. General medicine 11,614 / 5,457 = 2.1 times, 11,614 / 10,384 - 1 = 11.8%; inflammation 2020 7,191, 2024 10,870 / 7,535 - 1 = 44%, 2025 11,045 / 10,870 - 1 = 1.6%, non-ENBREL-Otezla 11,045 - 4,491 = 6,554; oncology 6,660 / 2,895 = 2.3 times, 6,660 / 5,685 - 1 = 17.2%; established 4,408 / 9,038 = 0.49. Q2 bands 2026 vs 2025: general medicine 953 + 714 + 759 + 352 = 2,778 vs 696 + 518 + 1,122 + 532 = 2,868, down 3%; Repatha + EVENITY 1,667 vs 1,214; denosumab 1,111 vs 1,654, down 33%; inflammation 3,167 vs 604 + 618 + 342 + 505 + 349 + 176 + 110 + 183 = 2,887, up 9.7%; oncology 1,953 vs 384 + 134 + 305 + 378 + 90 + 369 = 1,660, up 17.7%; established and other 632 + (351 - 199) + 517 = 1,301 vs 359 + 82 + 92 + (334 - 172) + 408 = 1,103, up 18%. Denosumab 2025 4,414 + 2,084 = 6,498, 6,498 / 36,751 = 17.7%; Q1 2026 727 + 411 = 1,138; H1 2026 1,486 + 763 = 2,249 vs 2,221 + 1,098 = 3,319. Neulasta 435 / 4,534 - 1 = -90%. Geography: US 25,656 / 35,148 = 73%; rest of world 9,492 / 35,148 = 27.0%; Q2 2026 2,547 / 9,537 = 26.7%; AMJEVITA 129 / 155 = 83.2%; Aranesp 258 / 352 = 73.3%; ENBREL 6 / 580 = 1.0%. Novartis-facing 2025 3,016 + 2,265 + 2,226 + 1,524 + 1,478 = 10,509, 10,509 / 36,751 = 29%. Other revenues 1,603 / 36,751 = 4.4%. Receivables 9,570 / 6,782 - 1 = 41%. Guidance midpoints: (37.0 + 38.4) / 2 = 37.7; (37.1 + 38.5) / 2 = 37.8; (38.2 + 39.4) / 2 = 38.8; non-GAAP EPS (22.30 + 23.50) / 2 = 22.90. IRS: 3.6 + 5.1 + 2.0 = 10.7 bn before interest; offsets 0.9 + 2.2 = 3.1 bn; 10.7 / 7.711 = 1.4 times 2025 net income; 10.7 / 224.15 = 4.8% of market value. Trailing free cash flow 8,100 - 2,891 + 4,966 = 10,175; 10,175 / 224,150 = 4.5%. Shares 538.8 / 629.6 - 1 = -14%. Gross margin (total revenues - cost of sales) / total revenues: (28,190 - 8,451) / 28,190 = 70.0% (2023); (33,424 - 12,858) / 33,424 = 61.5% (2024); (36,751 - 12,037) / 36,751 = 67.2% (2025). Pre-tax income 2025 7,711 + 1,265 = 8,976. Total revenues 36,751 / 21,662 = 1.70 times 2015. Market value 224.15 / 176.25 - 1 = 27% in 2026; added 224.15 - 176.25 = 47.9 bn against 176.25 - 122.45 = 53.8 bn in 2015-2025. Trailing net income 7,711 - 3,162 + 4,194 = 8,743; trailing revenue 36,751 - 17,328 + 18,672 = 38,095 - product and band totals, growth and sales deductions. — 2015-2026 · publ. September 2026 · source ↗
    Method: Arithmetic on figures reported in Amgen's Forms 10-K, 10-Q, results releases and market data; operands shown in the source line.
  6. Moat Explorer calcTogether that is $4,617 million, about 16.6% of the price in one year's revenue.
    Moat Explorer calculation from Amgen's reported product sales and financial statements ($ millions unless stated). Sales deductions: 2019 rebates 6,825 + chargebacks 7,090 + other 1,292 = 15,207; 2025 21,697 + 16,988 + 3,298 = 41,983; 41,983 / 35,148 = 1.19 times net product sales; implied gross product sales 35,148 + 41,983 = 77,131. Growth 2019-2025: deductions 41,983 / 15,207 = 2.76 times; net product sales 35,148 / 22,204 = 1.58 times (up 58%); rebates 21,697 / 6,825 = 3.18 times; chargebacks 16,988 / 7,090 = 2.4 times. Wholesalers 2025 gross: 26,253 + 20,986 + 12,562 = 59,801; 59,801 / 36,751 = 1.63 times total revenues; McKesson 26,253 / 36,751 = 71%. ENBREL: 2,226 / 5,433 - 1 = -59%; share of product sales 5,226 / 22,204 = 23.5% (2019), 2,226 / 35,148 = 6.3% (2025). ENBREL + Otezla 2025: 2,226 + 2,265 = 4,491; 4,491 / 36,751 = 12%. Otezla sales 2020-2025: 2,195 + 2,249 + 2,288 + 2,188 + 2,126 + 2,265 = 13,311; impairment 1,200 / 13,400 = 9%. Horizon products: 2023 448 + 272 + 65 + 164 = 949; 2024 1,851 + 1,185 + 379 + 758 = 4,173; 2025 1,903 + 1,340 + 655 + 719 = 4,617, 4,617 / 27,800 = 16.6%; Q2 2026 576 + 400 + 335 + 149 = 1,460, x4 = 5,840. TEPEZZA + KRYSTEXXA 2025 1,903 + 1,340 = 3,243; KRYSTEXXA 1,340 / 1,185 - 1 = 13.1%; TEPEZZA 1,903 / 1,851 - 1 = 2.8%; UPLIZNA 655 / 379 - 1 = 72.8%; H1 2026 262 + 335 = 597; ultra-rare 719 / 758 - 1 = -5.1%; UPLIZNA + ultra-rare 655 + 719 = 1,374. TAVNEOS H1 2026 119 + 150 = 269. Acquisitions: 13.4 + 3.9 + 27.8 = 45.1 bn; acquired products 2025 2,265 + 459 + 4,617 = 7,341, 7,341 / 36,751 = 20%. Interest 2,755 / 9,080 = 30%. Net debt 30 June 2026: 57.3 - 13.989 = 43.3 bn. Goodwill + intangibles 18,680 + 22,276 = 40,956, 40,956 / 90,586 = 45%. EPS gap 21.84 - 14.23 = 7.61. R&D 7,272 / 4,784 - 1 = 52%; 7,272 / 36,751 = 19.8%. Growth drivers 2025: Repatha 3,016 + EVENITY 2,100 + TEZSPIRE 1,478 + BLINCYTO 1,559 = 8,153 (2024: 2,222 + 1,563 + 972 + 1,216 = 5,973; 2023: 1,635 + 1,160 + 567 + 861 = 4,223; 2021: 1,117 + 530 + 0 + 472 = 2,119; 2019: 661 + 189 + 0 + 312 = 1,162); 8,153 / 5,973 - 1 = 36.5%, about 37%; 8,153 / 36,751 = 22%. Repatha 3,016 / 661 = 4.6 times, 3,016 / 2,222 - 1 = 36%; EVENITY 2,100 / 189 = 11 times; BLINCYTO 1,559 / 312 = 5.0 times. KYPROLIS 1,412 / 1,503 - 1 = -6%; KYPROLIS + Nplate 1,412 + 1,524 = 2,936, 2,936 / 6,660 = 44%; BLINCYTO + IMDELLTRA 1,559 + 627 = 2,186; Q2 2026 472 + 288 = 760. IMDELLTRA run rate 288 x 4 = 1,152, 1,152 / 6,498 = 18%. Biosimilars: 2025 AMJEVITA 597 + PAVBLU 700 + WEZLANA 273 + MVASI 771 + in other products 683 = 3,024; 3,024 / 35,148 = 8.6% of product sales; 3,024 / 36,751 = 8.2% of total revenues; PAVBLU 700 / 3,024 = 23%; AMJEVITA 597 / 761 - 1 = -22%; band 2022 1,831 / 2,177 - 1 = -16%; in other products 683 / 667 - 1 = 2%; WEZLANA and other biosimilars added (273 - 27) + (683 - 667) = 262; Q2 2026 155 + 287 + 61 + 153 + 199 = 855; Q2 2025 133 + 130 + 35 + 191 + 172 = 661; 855 / 661 - 1 = 29%; shares of total revenues 568 / 23,362 = 2.4% (2019), 2,177 / 25,979 = 8.4% (2021), 1,916 / 28,190 = 6.8% (2023). Bands 2025: general medicine and bone 3,016 + 2,100 + 4,414 + 2,084 = 11,614 (31.6%); inflammation and rare disease 2,226 + 2,265 + 1,478 + 1,903 + 1,340 + 655 + 459 + 719 = 11,045 (30.1%); oncology 1,559 + 627 + 1,175 + 1,412 + 363 + 1,524 = 6,660 (18.1%); biosimilars 3,024 (8.2%); established and other 1,389 + 435 + 353 + (1,311 - 683 = 628) + 1,603 = 4,408 (12.0%); total 36,751. 2019 bands 5,457; 5,404; 2,895; 568; 9,038; total 23,362. General medicine 11,614 / 5,457 = 2.1 times, 11,614 / 10,384 - 1 = 11.8%; inflammation 2020 7,191, 2024 10,870 / 7,535 - 1 = 44%, 2025 11,045 / 10,870 - 1 = 1.6%, non-ENBREL-Otezla 11,045 - 4,491 = 6,554; oncology 6,660 / 2,895 = 2.3 times, 6,660 / 5,685 - 1 = 17.2%; established 4,408 / 9,038 = 0.49. Q2 bands 2026 vs 2025: general medicine 953 + 714 + 759 + 352 = 2,778 vs 696 + 518 + 1,122 + 532 = 2,868, down 3%; Repatha + EVENITY 1,667 vs 1,214; denosumab 1,111 vs 1,654, down 33%; inflammation 3,167 vs 604 + 618 + 342 + 505 + 349 + 176 + 110 + 183 = 2,887, up 9.7%; oncology 1,953 vs 384 + 134 + 305 + 378 + 90 + 369 = 1,660, up 17.7%; established and other 632 + (351 - 199) + 517 = 1,301 vs 359 + 82 + 92 + (334 - 172) + 408 = 1,103, up 18%. Denosumab 2025 4,414 + 2,084 = 6,498, 6,498 / 36,751 = 17.7%; Q1 2026 727 + 411 = 1,138; H1 2026 1,486 + 763 = 2,249 vs 2,221 + 1,098 = 3,319. Neulasta 435 / 4,534 - 1 = -90%. Geography: US 25,656 / 35,148 = 73%; rest of world 9,492 / 35,148 = 27.0%; Q2 2026 2,547 / 9,537 = 26.7%; AMJEVITA 129 / 155 = 83.2%; Aranesp 258 / 352 = 73.3%; ENBREL 6 / 580 = 1.0%. Novartis-facing 2025 3,016 + 2,265 + 2,226 + 1,524 + 1,478 = 10,509, 10,509 / 36,751 = 29%. Other revenues 1,603 / 36,751 = 4.4%. Receivables 9,570 / 6,782 - 1 = 41%. Guidance midpoints: (37.0 + 38.4) / 2 = 37.7; (37.1 + 38.5) / 2 = 37.8; (38.2 + 39.4) / 2 = 38.8; non-GAAP EPS (22.30 + 23.50) / 2 = 22.90. IRS: 3.6 + 5.1 + 2.0 = 10.7 bn before interest; offsets 0.9 + 2.2 = 3.1 bn; 10.7 / 7.711 = 1.4 times 2025 net income; 10.7 / 224.15 = 4.8% of market value. Trailing free cash flow 8,100 - 2,891 + 4,966 = 10,175; 10,175 / 224,150 = 4.5%. Shares 538.8 / 629.6 - 1 = -14%. Gross margin (total revenues - cost of sales) / total revenues: (28,190 - 8,451) / 28,190 = 70.0% (2023); (33,424 - 12,858) / 33,424 = 61.5% (2024); (36,751 - 12,037) / 36,751 = 67.2% (2025). Pre-tax income 2025 7,711 + 1,265 = 8,976. Total revenues 36,751 / 21,662 = 1.70 times 2015. Market value 224.15 / 176.25 - 1 = 27% in 2026; added 224.15 - 176.25 = 47.9 bn against 176.25 - 122.45 = 53.8 bn in 2015-2025. Trailing net income 7,711 - 3,162 + 4,194 = 8,743; trailing revenue 36,751 - 17,328 + 18,672 = 38,095 - product and band totals, growth and sales deductions. — 2015-2026 · publ. September 2026 · source ↗
    Method: Arithmetic on figures reported in Amgen's Forms 10-K, 10-Q, results releases and market data; operands shown in the source line.
  7. ReportedIn the second quarter of 2026 the four sold $1,460 million, an annualised rate of about $5.8 billion.
    Amgen second-quarter 2026 results release, Form 8-K exhibit 99.1 - product sales performance: inflammation, rare disease and established products, and sales by region. — Q2 2026 · publ. 4 August 2026 · source ↗
  8. Moat Explorer calcIn the second quarter of 2026 the four sold $1,460 million, an annualised rate of about $5.8 billion.
    Moat Explorer calculation from Amgen's reported product sales and financial statements ($ millions unless stated). Sales deductions: 2019 rebates 6,825 + chargebacks 7,090 + other 1,292 = 15,207; 2025 21,697 + 16,988 + 3,298 = 41,983; 41,983 / 35,148 = 1.19 times net product sales; implied gross product sales 35,148 + 41,983 = 77,131. Growth 2019-2025: deductions 41,983 / 15,207 = 2.76 times; net product sales 35,148 / 22,204 = 1.58 times (up 58%); rebates 21,697 / 6,825 = 3.18 times; chargebacks 16,988 / 7,090 = 2.4 times. Wholesalers 2025 gross: 26,253 + 20,986 + 12,562 = 59,801; 59,801 / 36,751 = 1.63 times total revenues; McKesson 26,253 / 36,751 = 71%. ENBREL: 2,226 / 5,433 - 1 = -59%; share of product sales 5,226 / 22,204 = 23.5% (2019), 2,226 / 35,148 = 6.3% (2025). ENBREL + Otezla 2025: 2,226 + 2,265 = 4,491; 4,491 / 36,751 = 12%. Otezla sales 2020-2025: 2,195 + 2,249 + 2,288 + 2,188 + 2,126 + 2,265 = 13,311; impairment 1,200 / 13,400 = 9%. Horizon products: 2023 448 + 272 + 65 + 164 = 949; 2024 1,851 + 1,185 + 379 + 758 = 4,173; 2025 1,903 + 1,340 + 655 + 719 = 4,617, 4,617 / 27,800 = 16.6%; Q2 2026 576 + 400 + 335 + 149 = 1,460, x4 = 5,840. TEPEZZA + KRYSTEXXA 2025 1,903 + 1,340 = 3,243; KRYSTEXXA 1,340 / 1,185 - 1 = 13.1%; TEPEZZA 1,903 / 1,851 - 1 = 2.8%; UPLIZNA 655 / 379 - 1 = 72.8%; H1 2026 262 + 335 = 597; ultra-rare 719 / 758 - 1 = -5.1%; UPLIZNA + ultra-rare 655 + 719 = 1,374. TAVNEOS H1 2026 119 + 150 = 269. Acquisitions: 13.4 + 3.9 + 27.8 = 45.1 bn; acquired products 2025 2,265 + 459 + 4,617 = 7,341, 7,341 / 36,751 = 20%. Interest 2,755 / 9,080 = 30%. Net debt 30 June 2026: 57.3 - 13.989 = 43.3 bn. Goodwill + intangibles 18,680 + 22,276 = 40,956, 40,956 / 90,586 = 45%. EPS gap 21.84 - 14.23 = 7.61. R&D 7,272 / 4,784 - 1 = 52%; 7,272 / 36,751 = 19.8%. Growth drivers 2025: Repatha 3,016 + EVENITY 2,100 + TEZSPIRE 1,478 + BLINCYTO 1,559 = 8,153 (2024: 2,222 + 1,563 + 972 + 1,216 = 5,973; 2023: 1,635 + 1,160 + 567 + 861 = 4,223; 2021: 1,117 + 530 + 0 + 472 = 2,119; 2019: 661 + 189 + 0 + 312 = 1,162); 8,153 / 5,973 - 1 = 36.5%, about 37%; 8,153 / 36,751 = 22%. Repatha 3,016 / 661 = 4.6 times, 3,016 / 2,222 - 1 = 36%; EVENITY 2,100 / 189 = 11 times; BLINCYTO 1,559 / 312 = 5.0 times. KYPROLIS 1,412 / 1,503 - 1 = -6%; KYPROLIS + Nplate 1,412 + 1,524 = 2,936, 2,936 / 6,660 = 44%; BLINCYTO + IMDELLTRA 1,559 + 627 = 2,186; Q2 2026 472 + 288 = 760. IMDELLTRA run rate 288 x 4 = 1,152, 1,152 / 6,498 = 18%. Biosimilars: 2025 AMJEVITA 597 + PAVBLU 700 + WEZLANA 273 + MVASI 771 + in other products 683 = 3,024; 3,024 / 35,148 = 8.6% of product sales; 3,024 / 36,751 = 8.2% of total revenues; PAVBLU 700 / 3,024 = 23%; AMJEVITA 597 / 761 - 1 = -22%; band 2022 1,831 / 2,177 - 1 = -16%; in other products 683 / 667 - 1 = 2%; WEZLANA and other biosimilars added (273 - 27) + (683 - 667) = 262; Q2 2026 155 + 287 + 61 + 153 + 199 = 855; Q2 2025 133 + 130 + 35 + 191 + 172 = 661; 855 / 661 - 1 = 29%; shares of total revenues 568 / 23,362 = 2.4% (2019), 2,177 / 25,979 = 8.4% (2021), 1,916 / 28,190 = 6.8% (2023). Bands 2025: general medicine and bone 3,016 + 2,100 + 4,414 + 2,084 = 11,614 (31.6%); inflammation and rare disease 2,226 + 2,265 + 1,478 + 1,903 + 1,340 + 655 + 459 + 719 = 11,045 (30.1%); oncology 1,559 + 627 + 1,175 + 1,412 + 363 + 1,524 = 6,660 (18.1%); biosimilars 3,024 (8.2%); established and other 1,389 + 435 + 353 + (1,311 - 683 = 628) + 1,603 = 4,408 (12.0%); total 36,751. 2019 bands 5,457; 5,404; 2,895; 568; 9,038; total 23,362. General medicine 11,614 / 5,457 = 2.1 times, 11,614 / 10,384 - 1 = 11.8%; inflammation 2020 7,191, 2024 10,870 / 7,535 - 1 = 44%, 2025 11,045 / 10,870 - 1 = 1.6%, non-ENBREL-Otezla 11,045 - 4,491 = 6,554; oncology 6,660 / 2,895 = 2.3 times, 6,660 / 5,685 - 1 = 17.2%; established 4,408 / 9,038 = 0.49. Q2 bands 2026 vs 2025: general medicine 953 + 714 + 759 + 352 = 2,778 vs 696 + 518 + 1,122 + 532 = 2,868, down 3%; Repatha + EVENITY 1,667 vs 1,214; denosumab 1,111 vs 1,654, down 33%; inflammation 3,167 vs 604 + 618 + 342 + 505 + 349 + 176 + 110 + 183 = 2,887, up 9.7%; oncology 1,953 vs 384 + 134 + 305 + 378 + 90 + 369 = 1,660, up 17.7%; established and other 632 + (351 - 199) + 517 = 1,301 vs 359 + 82 + 92 + (334 - 172) + 408 = 1,103, up 18%. Denosumab 2025 4,414 + 2,084 = 6,498, 6,498 / 36,751 = 17.7%; Q1 2026 727 + 411 = 1,138; H1 2026 1,486 + 763 = 2,249 vs 2,221 + 1,098 = 3,319. Neulasta 435 / 4,534 - 1 = -90%. Geography: US 25,656 / 35,148 = 73%; rest of world 9,492 / 35,148 = 27.0%; Q2 2026 2,547 / 9,537 = 26.7%; AMJEVITA 129 / 155 = 83.2%; Aranesp 258 / 352 = 73.3%; ENBREL 6 / 580 = 1.0%. Novartis-facing 2025 3,016 + 2,265 + 2,226 + 1,524 + 1,478 = 10,509, 10,509 / 36,751 = 29%. Other revenues 1,603 / 36,751 = 4.4%. Receivables 9,570 / 6,782 - 1 = 41%. Guidance midpoints: (37.0 + 38.4) / 2 = 37.7; (37.1 + 38.5) / 2 = 37.8; (38.2 + 39.4) / 2 = 38.8; non-GAAP EPS (22.30 + 23.50) / 2 = 22.90. IRS: 3.6 + 5.1 + 2.0 = 10.7 bn before interest; offsets 0.9 + 2.2 = 3.1 bn; 10.7 / 7.711 = 1.4 times 2025 net income; 10.7 / 224.15 = 4.8% of market value. Trailing free cash flow 8,100 - 2,891 + 4,966 = 10,175; 10,175 / 224,150 = 4.5%. Shares 538.8 / 629.6 - 1 = -14%. Gross margin (total revenues - cost of sales) / total revenues: (28,190 - 8,451) / 28,190 = 70.0% (2023); (33,424 - 12,858) / 33,424 = 61.5% (2024); (36,751 - 12,037) / 36,751 = 67.2% (2025). Pre-tax income 2025 7,711 + 1,265 = 8,976. Total revenues 36,751 / 21,662 = 1.70 times 2015. Market value 224.15 / 176.25 - 1 = 27% in 2026; added 224.15 - 176.25 = 47.9 bn against 176.25 - 122.45 = 53.8 bn in 2015-2025. Trailing net income 7,711 - 3,162 + 4,194 = 8,743; trailing revenue 36,751 - 17,328 + 18,672 = 38,095 - product and band totals, growth and sales deductions. — 2015-2026 · publ. September 2026 · source ↗
    Method: Arithmetic on figures reported in Amgen's Forms 10-K, 10-Q, results releases and market data; operands shown in the source line.
  9. ReportedTEPEZZA and KRYSTEXXA currently do not face any direct competitors in the United States, Europe or Japan, which protects them from the rebate spiral that affects the rest of the portfolio.
    Amgen Form 10-K for fiscal 2025 - Item 1 patents, biosimilars and competitors. — FY2025 · publ. 13 February 2026 · source ↗
  10. ReportedIn the second quarter of 2026 TEPEZZA sold $520 million in the United States and $56 million elsewhere, and KRYSTEXXA $399 million and $1 million.
    Amgen second-quarter 2026 results release, Form 8-K exhibit 99.1 - product sales performance: inflammation, rare disease and established products, and sales by region. — Q2 2026 · publ. 4 August 2026 · source ↗
  11. ReportedThe foreign opportunity is only beginning: the European Commission approved TEPEZZA for thyroid eye disease in June 2025.
    Amgen Form 10-K for fiscal 2025 - Item 1 business: products, collaborations, staff and pipeline. — FY2025 · publ. 13 February 2026 · source ↗
Sources
Generated September 28, 2026