Novartis CEO: We're never done with M&A

Core Viewpoint - The company has shown consistent performance over the last 10 quarters, beating expectations but has become more cautious due to generic expiries impacting sales, particularly for its heart failure drug Inresto, while other drugs in its portfolio continue to perform well and drive future growth [1][2][4]. Financial Performance - The company reported a narrow beat in its latest quarter but did not raise its guidance, marking a shift in outlook due to the loss of exclusivity for Inresto [1][2]. - The full impact of Inresto's loss of exclusivity is expected to be felt in Q4, with continued strong performance from other growth drivers anticipated to support recovery [4]. Product Pipeline and Approvals - The company is optimistic about upcoming drug approvals, including Rapsido for chronic spontaneous urticaria, which could be a multi-billion dollar asset, and additional indications for its prostate cancer drug [6][7]. - Three significant approvals are expected next year, which are anticipated to drive future growth [8]. M&A Activity - The company recently completed a $12 billion acquisition of Aidity, aimed at enhancing its neuromuscular pipeline, which is seen as a strategic fit for long-term growth [8][9][11]. - This acquisition is part of a broader strategy, with over 35 deals made in the past year, focusing on scientific and technological alignment [12][13]. Regulatory Environment - The company is actively engaged in discussions with the White House regarding drug pricing and tariffs, aiming to find solutions that will not adversely affect profits [16][19]. - The administration's focus is on ensuring that international markets reward innovation appropriately, which could impact future product launches [20][21]. Investment in US Facilities - The company plans to invest $23 billion in US facilities, which is expected to help mitigate tariff impacts and support domestic production [23][24][25].