Key Takeaways Bristol Myers emerges as the stronger near-term pick over Merck.BMY's new drugs, label expansions and $2B cost-savings plan support 2026 margins.MRK faces Gardasil weakness, Keytruda exclusivity loss and a $2.5B generic headwind.Merck & Co. (MRK) and Bristol Myers Squibb (BMY) are major global drugmakers with expansive, diversified portfolios.Merck stands out for its leadership in oncology, complemented by strong positions in infectious diseases and vaccines.Bristol Myers, meanwhile, concentra ...

Financial Data and Key Metrics Changes - The company reported total revenue in Q4 2025 was approximately $12.5 billion, flat year-over-year, while the growth portfolio revenue increased by 15% to $7.4 billion, representing close to 60% of total revenue in the quarter [14][15] - For the full year, the growth portfolio grew 17%, offsetting a decline of roughly $4 billion in revenue from the legacy portfolio [6][7] - Adjusted diluted earnings per share for Q4 were $1.26, and for the full year, it was $6.15, both figures including a net charge related to in-process R&D and licensing income [20] Business Line Data and Key Metrics Changes - Opdivo revenue grew 7% to nearly $2.7 billion in Q4, driven by new indications and share growth in first-line non-small cell lung cancer [15] - Reblozyl delivered 21% growth, reflecting solid uptake across first- and second-line MDS-associated anemia patients [16] - Breyanzi's revenue increased by 47% in Q4, driven by strong demand across its approved indications [16] - Eliquis revenue was nearly $3.5 billion in Q4, an increase of 6%, driven by demand growth and market share gains [16] Market Data and Key Metrics Changes - The company anticipates 2026 revenue in the range of $46 billion to $47.5 billion, reflecting strong performance from the growth portfolio and a projected revenue decline for the legacy portfolio of 12%-16% [12][21] - Eliquis is expected to grow 10%-15% in 2026, driven by global demand growth and a recent price reduction [12] Company Strategy and Development Direction - The company aims to deliver industry-leading sustainable growth into the 2030s and beyond, focusing on executing its growth strategy and advancing its pipeline [11][23] - The company plans to introduce more than 10 new medicines and over 30 meaningful launch opportunities by 2030, with a data-rich period expected in 2026 [9][10] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's ability to deliver long-term value for patients and shareholders, emphasizing the importance of executing growth strategies and optimizing cost structures [23] - The company is focused on maintaining a strong say-to-do ratio and embedding this culture into its operations [11] Other Important Information - The company completed its targeted $10 billion debt paydown ahead of schedule and generated strong cash flow from operations of approximately $2 billion in Q4 [20] - The effective tax rate in Q4 was 22.1%, reflecting a one-time non-tax deductible in-process R&D charge related to the Orbital acquisition [19] Q&A Session Summary Question: Insights on pivotal catalysts for 2026 - Management highlighted the potential for over 10 phase III data readouts in 2026, with a focus on products like CELMoDs and Milvexian [25][28] Question: Eliquis dynamics for 2026 - Eliquis is expected to maintain strong performance with a 75% market share in the U.S., supported by recent pricing strategy adjustments [38][39] Question: Update on Milvexian and AFib study - The study is progressing well, with a focus on demonstrating non-inferiority to Eliquis while also aiming for a better bleeding profile [46][66] Question: Cost savings in 2026 - The company achieved over $1 billion in cost savings in 2025 and expects to continue reducing expenses while reinvesting in growth drivers [51][52] Question: Admilparant's hypotension risk - Management indicated that the hypotension risk observed in phase II was well managed in phase III studies, with ongoing monitoring [89]

Financial Data and Key Metrics Changes - In Q4 2025, total revenue was approximately $12.5 billion, flat year-over-year, while the growth portfolio revenue increased by 15% to $7.4 billion, representing nearly 60% of total revenue [14][15] - For the full year, the growth portfolio grew 17%, offsetting a decline of roughly $4 billion in revenue from the legacy portfolio [6][7] - Adjusted diluted earnings per share for Q4 were $1.26, and for the full year, it was $6.15, both including a net charge related to in-process R&D and licensing income [20] Business Line Data and Key Metrics Changes - Opdivo revenue grew 7% to nearly $2.7 billion in Q4, driven by new indications and share growth in first-line non-small cell lung cancer [15] - Reblozyl achieved 21% growth, reflecting solid uptake across MDS-associated anemia patients [16] - Breyanzi's revenue increased by 47% in Q4, driven by strong demand across its approved indications [16] - Eliquis revenue was nearly $3.5 billion in Q4, up 6%, supported by demand growth and market share gains [16] Market Data and Key Metrics Changes - The U.S. market for Eliquis saw a 4% revenue increase, contributing to its overall growth [16] - Camzyos revenue grew 57% to $353 million in Q4, benefiting from global demand growth [17] - Sotyktu's global revenue grew 3%, with upcoming PDUFA dates for psoriatic arthritis and phase III readouts for lupus and Sjögren's disease [17] Company Strategy and Development Direction - The company aims to deliver industry-leading sustainable growth into the 2030s, focusing on executing its growth strategy and advancing its pipeline [11][23] - A multi-year plan is in place to rewire the company for long-term growth, with expectations to introduce over 10 new medicines and 30 meaningful launch opportunities by 2030 [9][10] - The company is expanding the use of AI to enhance operational efficiency and reinvest strategically in growth [11] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the growth portfolio's ability to drive revenue despite anticipated declines in the legacy portfolio due to ongoing LOE impacts [12] - The company expects 2026 revenue in the range of $46-$47.5 billion, with a projected decline of 12%-16% in the legacy portfolio [12][21] - Management highlighted the importance of maintaining a strong say-to-do ratio and delivering on commitments as part of the company culture [11] Other Important Information - The company completed a targeted $10 billion debt paydown ahead of schedule and generated strong cash flow from operations of approximately $2 billion in Q4 [20] - The effective tax rate for Q4 was 22.1%, reflecting a one-time non-tax deductible in-process R&D charge related to the Orbital acquisition [19] Q&A Session Summary Question: Insights on pivotal catalysts for 2026 - Management highlighted the potential for over 10 phase III data readouts this year, with a focus on products like Milvexian and Admilparant [25][28] Question: Eliquis dynamics for 2026 - Eliquis is expected to grow 10%-15% in 2026, driven by market share gains and pricing strategy adjustments [39] Question: Business development priorities - The company is focused on deepening its presence in existing therapeutic areas while remaining opportunistic for new opportunities [37] Question: Milvexian AFib study updates - The study is progressing well, with a focus on demonstrating non-inferiority to Eliquis and potential benefits in bleeding risks [46] Question: Admilparant's hypotension risk - Management indicated that the hypotension risk is being well managed in the phase three studies, with a focus on higher dosing [89]

Bristol Myers Squibb: Built for Growth 44th Annual J.P. Morgan Healthcare Conference Christopher Boerner, Ph.D., Board Chair & CEO January 12th, 2026 Forward Looking Statements This presentation (as well as the oral statements made with respect to the information contained in this presentation) contains statements about Bristol-Myers Squibb Company's (the "Company") future financial results, plans, business development strategy, anticipated clinical trials, results and regulatory approvals that constitute f ...

© 2 0 2 6 O R U K A T H E R A P E U T I C S Disclaimers The information contained in this presentation has been prepared by Oruka Therapeutics, Inc. (the "Company") and contains information pertaining to the business and operations of the Company. The information contained in this presentation: (a) is provided as at the date hereof, is subject to change without notice, and is based on publicly available information, internally developed data as well as third party information from other sources; (b) does no ...

Core Insights - Bristol Myers Squibb (BMY) has reached a pricing agreement with the U.S. government to provide Eliquis at no cost to Medicaid starting January 1, 2026, and will donate over 7 tons of the active pharmaceutical ingredient to ensure supply-chain resilience [1][8]. Group 1: Eliquis Overview - Eliquis is a prescription medication used to reduce the risk of stroke and blood clots in adults with atrial fibrillation, and it is co-developed and co-commercialized with Pfizer [2]. - Eliquis is one of the most widely prescribed oral blood thinners, generating $11 billion in sales in the first nine months of 2025, reflecting an 8% year-over-year increase [2][3]. Group 2: Financial Implications - The financial impact of the pricing deal on Eliquis sales remains uncertain, as it is the top revenue generator for BMY [3]. - The agreement also includes offering other drugs at an 80% discount to cash-paying patients, which may affect overall revenue [3]. Group 3: Competitive Landscape - BMY faces competition from Johnson & Johnson's Xarelto, which is also a Factor Xa inhibitor, but JNJ is currently dealing with patent challenges in the U.S. [5]. - Opdivo, another significant revenue generator for BMY, competes in the immuno-oncology space, which is dominated by Merck's Keytruda [5][6]. Group 4: Company Performance and Valuation - BMY's shares have decreased by 5.3% over the past year, contrasting with the industry's growth of 15.5% [7]. - BMY is trading at a price/earnings ratio of 9.07x forward earnings, which is higher than its historical mean of 8.40x but lower than the large-cap pharma industry's average of 17.27x [10]. Group 5: Earnings Estimates - The Zacks Consensus Estimate for 2025 earnings per share has increased, while the estimate for 2026 has decreased [12].

Group 1: Drug Approvals and Clinical Trials - AstraZeneca and Daiichi Sankyo's drug combination Enhertu and Perjeta received FDA approval as a first-line treatment for HER2-positive metastatic breast cancer, marking the first new first-line therapy in over a decade, showing a 44% reduction in disease progression or death risk compared to traditional THP therapy [1] - Takeda's oral TYK2 inhibitor zasocitinib demonstrated strong performance in two Phase III trials for moderate to severe plaque psoriasis, with over 75% improvement in key metrics after 16 weeks, and plans to submit for FDA approval in 2026 [2] Group 2: Clinical Trial Setbacks - Daiichi Sankyo's ADC drug ifinatamab deruxtecan has paused patient recruitment in its global Phase III trial due to unexpected interstitial lung disease deaths, which affects its accelerated approval plans based on Phase II data [1] Group 3: Mergers and Acquisitions - Fosun Pharma plans to acquire a 53% stake in Green Valley Pharmaceutical for approximately $200 million to revive the controversial Alzheimer's drug GV-971, which did not receive regulatory renewal in China [4] - Harbour BioMed entered into a collaboration agreement with Bristol-Myers Squibb worth up to $1.1 billion, including an initial payment of $90 million, for a multispecific antibody [5] - Sanofi signed two biotechnology collaboration agreements, including a deal worth up to $1.04 billion for the Alzheimer's candidate ADEL-Y01, with an initial payment of $80 million [6] Group 4: Regulatory Changes - The U.S. Congress passed the revised Biosecure Act as part of the annual defense bill, which is expected to raise entry barriers for Chinese life sciences companies into the U.S. market [3]

Financial Data and Key Metrics Changes - The company reported a strong year in 2025, with over 50% of the business transitioning to a growth portfolio that grew by 18% in the most recent quarter [23] - The growth portfolio now includes four products that are annualizing over $1 billion, with Reblozyl annualizing over $2 billion [23][24] - The company achieved a reduction in its expense base from $17.8 billion last year to $16.5 billion this year, with a target of an additional $1 billion in savings for 2026 and 2027 [26][27] Business Line Data and Key Metrics Changes - Cobenfy, a product for schizophrenia, has surpassed 2,700 TRXs weekly and is approaching 3,000 TRXs, significantly exceeding other recent schizophrenia launches [10][11] - Camzyos is annualizing over $1 billion, with expectations for continued significant growth as awareness and diagnosis rates improve [76] - The company is focusing on expanding its pipeline with multiple studies in areas such as Alzheimer's disease, bipolar disorder, and autism irritability [17][21] Market Data and Key Metrics Changes - The company has established a strong access position in Medicaid, Medicare, and commercial settings for Cobenfy, which is critical given the dominance of government payers in this space [10] - The launch of Cuvantic has seen a strong conversion from IV to subcutaneous administration, with expectations that 30%-40% of the IV business will convert by 2028 [44] Company Strategy and Development Direction - The company aims to continue driving its growth portfolio and executing against its pipeline, with a focus on operational efficiencies and cash flow generation [25][27] - The company is leveraging AI to enhance efficiency in drug development and manufacturing processes, which is expected to drive shareholder value [29][30] - The company is actively seeking partnerships and acquisitions in therapeutic areas with high unmet needs, particularly in immunology and oncology [39][40] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the growth trajectory and operational efficiencies, with a strong cash position of $17 billion at the end of Q3 [28] - The company is optimistic about upcoming data readouts and the potential for new product launches, particularly in the areas of atrial fibrillation and Alzheimer's disease [66][70] Other Important Information - The company is engaging with policymakers on tariff and healthcare policy issues, emphasizing the importance of access to medicines and the normalization of cost differentials [94][95] - The company has implemented direct-to-patient initiatives, significantly reducing costs for patients, which aligns with broader industry trends [97][98] Q&A Session Summary Question: Can you discuss the recent developments in the COVID study? - The company announced that the ADEPT 2 study will continue with additional patient enrollment after addressing irregularities found during clinical trial site reviews [5][6] Question: What is the current status of Cobenfy in the market? - Cobenfy has achieved strong access in Medicaid, Medicare, and commercial settings, with TRXs approaching 3,000 weekly, indicating significant market traction [10][11] Question: How is the company leveraging AI for efficiencies? - AI is being used to enhance drug development processes, improve manufacturing efficiency, and streamline internal operations, which is expected to drive shareholder value [29][30] Question: What are the company's plans for future product development? - The company has multiple studies underway in various therapeutic areas, including Alzheimer's disease and bipolar disorder, and is confident in the potential for positive outcomes [17][21] Question: How is the company addressing the competitive landscape in oncology? - The company is focusing on partnerships and acquisitions in areas with high unmet needs, particularly in immunology and oncology, to strengthen its market position [39][40]

Financial Data and Key Metrics Changes - The company reported a strong year in 2025, with the growth portfolio now comprising over 50% of the business and growing at 18% [30] - The growth portfolio includes four products annualizing over $1 billion, with Reblozyl exceeding $2 billion [31] - The company achieved a reduction in expense base from $17.8 billion last year to $16.5 billion this year, with an additional $1 billion in savings expected for 2026 and 2027 [33] Business Line Data and Key Metrics Changes - Cobenfy has surpassed 2,700 TRXs weekly, approaching 3,000 TRXs, significantly exceeding other recent schizophrenia launches [12] - Camzyos is annualizing over $1 billion, with expectations for continued significant growth as awareness and diagnosis rates improve [87] - The Cuvantic launch has seen strong conversion from IV to subcutaneous administration, with expectations of 30%-40% conversion of IV business by 2028 [51] Market Data and Key Metrics Changes - The company has a strong access position in Medicaid, Medicare, and commercial settings, which is critical in the schizophrenia market [12] - The company is seeing broad utility across various tumor types for Cuvantic, indicating a strong market presence [50] - The company is actively pursuing opportunities in China, recognizing the increasing percentage of INDs coming from that region [75] Company Strategy and Development Direction - The focus for 2026 is to continue driving the growth portfolio and executing against the pipeline, with a strong emphasis on operational efficiencies [32] - The company is leveraging AI to enhance drug development processes and improve operational efficiencies [35] - The company is committed to exploring high unmet needs in therapeutic areas where they have scientific expertise and commercial acumen [42] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the ADEPT program and the broader Cobenfy development program, projecting positive outcomes from ongoing studies [7] - The company is optimistic about the upcoming phase 3 data readouts and the potential for new NMEs by the end of the decade [32] - Management highlighted the importance of direct-to-patient initiatives to improve access and affordability of medications [114] Other Important Information - The company is actively engaging with policymakers regarding tariffs and supply chain flexibility, emphasizing the importance of access to medicines [108] - The company has made significant investments in AI to enhance efficiency in drug development and manufacturing processes [35] - The company is exploring partnerships and acquisitions in areas with high unmet medical needs, particularly in immunology and oncology [45] Q&A Session Summary Question: What is the outlook for the ADEPT studies? - Management is confident in the ADEPT program and has already initiated studies in various indications, including Alzheimer's and bipolar disorder [22][24] Question: How is the company leveraging AI for efficiencies? - AI is being used to accelerate drug development, improve site selection, and enhance manufacturing processes, driving overall efficiency [35][36] Question: What is the strategy for capital deployment moving forward? - The company will continue to focus on high unmet needs within existing therapeutic areas while also exploring new opportunities for partnerships and acquisitions [42][45] Question: How is the Cuvantic launch performing? - The Cuvantic launch has seen strong conversion rates and broad utility across multiple tumor types, with expectations for continued growth [50][51] Question: What are the expectations for Camzyos? - Camzyos is expected to see significant growth as awareness and diagnosis rates improve, with a focus on expanding its use in community cardiology [87][90]

Financial Data and Key Metrics Changes - Total company sales for Q3 2025 were approximately $12.2 billion, reflecting strong demand across the business, with a year-over-year increase of 17% [17][6] - Gross margin was approximately 73%, primarily due to product mix, while operating expenses decreased by approximately $100 million to roughly $4.2 billion compared to the same period last year [22][23] - Overall diluted earnings per share was $1.63, including net charges of approximately $530 million, or $0.20 per share, attributed to acquired in-process R&D and licensing income [22][24] Business Line Data and Key Metrics Changes - The oncology portfolio saw OPDIVO global sales of approximately $2.5 billion, up 6%, driven by demand in various indications [17][18] - REBLOZYL global sales were $615 million, reflecting a 38% increase in the U.S. and a 31% increase outside the U.S. [19] - CAMZYOS global sales increased 88% to $296 million, while Eliquis global sales reached $3.7 billion, growing 23% [20][21] Market Data and Key Metrics Changes - Global sales of the growth portfolio increased 17%, driven by multiple brands including the IO portfolio, REBLOZYL, CAMZYOS, and BREYANZI [6][17] - Sales of COBENFY were $43 million in the quarter, with a year-to-date total of $105 million, indicating steady growth [21][22] Company Strategy and Development Direction - The company is focused on long-term sustainable growth, with plans to introduce 10 new medicines to the market by the end of the decade [14] - Recent acquisitions, such as Orbital Therapeutics, aim to strengthen the cell therapy franchise and enhance the company's capabilities in RNA technology [10][11] - The company is integrating digital technology and AI to drive efficiencies and enhance organizational agility [15] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the growth portfolio's performance and the ability to navigate through the upcoming challenges, emphasizing financial discipline and strategic investments [66][67] - The company anticipates a data-rich period ahead, with multiple pivotal readouts expected in the next 12-24 months [13][14] Other Important Information - The company is maintaining its full-year revenue guidance, increasing it by $750 million at the midpoint to a range of $47.5 billion-$48 billion [24] - The effective tax rate for the quarter was 22.3%, reflecting the earnings mix [22] Q&A Session Summary Question: Updates on ADEPT program and confidence in studies - Management reiterated confidence in the ADEPT program, with results expected by the end of the year, and emphasized the importance of execution across the company [31][32] Question: Commercialization of COBENFY and prescriber engagement - The company is pleased with COBENFY's progress, noting positive physician feedback and a significant number of new trialists being added weekly [40][41] Question: Competitive landscape for PD-1/VEGF bispecifics - Management expressed confidence in the partnership with BioNTech and the potential of pomitomig to become a new standard of care [49][51] Question: Barriers to adoption for COBENFY - Management acknowledged the entrenched market dynamics and emphasized ongoing efforts to educate prescribers and increase adoption [56][58] Question: Cost management and strategic productivity initiatives - The company is on track for $1 billion in cost savings this year and has clear visibility on achieving $2 billion by 2027 [66][67]