Tearsheet

Vertex Pharmaceuticals (VRTX)


Market Price (10/20/2025): $417.0 | Market Cap: $107.0 Bil
Sector: Health Care | Industry: Biotechnology

Vertex Pharmaceuticals (VRTX)


Market Price (10/20/2025): $417.0
Market Cap: $107.0 Bil
Sector: Health Care
Industry: Biotechnology

Investment Highlights Why It Matters Which of these 2 stories sounds closer for this stock?

1. Generates cash flow

The stock generated 4% or more of the share price (called cash flow yield), and shows moderate 10-15% or more growth.

2. Riding a trend

Think Tesla during the pandemic of 2020 when EVs were riding a cultural high, or Nvidia in the current AI boom, or even Figma. These companies don’t have enough yield, or, enough growth, or both - however - they are riding a trend. They have momentum. These can be more volatile - they don’t have the floor of strong cash flow


0 Attractive cash flow generation
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is 34%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is 31%, CFO LTM is 3.8 Bil, FCF LTM is 3.5 Bil
Weak multi-year price returns
2Y Excs Rtn is -42%, 3Y Excs Rtn is -43%
Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -199 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -1.7%
1 Low stock price volatility
Vol 12M is 36%
  Expensive valuation multiples
P/EBITPrice/EBIT or Price/(Operating Income) ratio is 24x, P/CFOPrice/(Cash Flow from Operations). CFO is cash before capital expenditures. is 28x, P/EPrice/Earnings or Price/(Net Income) is 29x
0 Attractive cash flow generation
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is 34%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is 31%, CFO LTM is 3.8 Bil, FCF LTM is 3.5 Bil
1 Low stock price volatility
Vol 12M is 36%
2 Weak multi-year price returns
2Y Excs Rtn is -42%, 3Y Excs Rtn is -43%
3 Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -199 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -1.7%
4 Expensive valuation multiples
P/EBITPrice/EBIT or Price/(Operating Income) ratio is 24x, P/CFOPrice/(Cash Flow from Operations). CFO is cash before capital expenditures. is 28x, P/EPrice/Earnings or Price/(Net Income) is 29x

Market Valuation & Key Metrics

VRTX Stock


Return vs. Risk


Price Returns Compared

 202020212022202320242025Total [1]
Returns
VRTX Return8%-7%32%41%-1%4%90%
Peers Return1%-26%6%29%-36%24%-18%
S&P 500 Return16%27%-19%24%23%13%106%

Monthly Win Rates [3]
VRTX Win Rate67%42%67%58%50%78% 
Peers Win Rate48%46%50%50%29%50% 
S&P 500 Win Rate58%75%42%67%75%67% 

Max Drawdowns [4]
VRTX Max Drawdown-9%-25%0%-2%-3%-9% 
Peers Max Drawdown-23%-38%-22%-14%-42%-24% 
S&P 500 Max Drawdown-31%-1%-25%-1%-2%-15% 


[1] Cumulative total returns since the beginning of 2020
[2] Peers: BIIB, BMRN, IONS, ACAD, ACSB. See VRTX Returns vs. Peers.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2025 data is for the year up to 10/17/2025 (YTD)

Downturns Compared

Unique KeyEventVRTXS&P 500
2022 Inflation Shock2022 Inflation Shock  
2022 Inflation Shock% Loss% Loss-26.6%-25.4%
2022 Inflation Shock% Gain to Breakeven% Gain to Breakeven36.3%34.1%
2022 Inflation ShockTime to BreakevenTime to Breakeven115 days464 days
2020 Covid Pandemic2020 Covid Pandemic  
2020 Covid Pandemic% Loss% Loss-31.7%-33.9%
2020 Covid Pandemic% Gain to Breakeven% Gain to Breakeven46.4%51.3%
2020 Covid PandemicTime to BreakevenTime to Breakeven655 days148 days
2018 Correction2018 Correction  
2018 Correction% Loss% Loss-21.2%-19.8%
2018 Correction% Gain to Breakeven% Gain to Breakeven26.9%24.7%
2018 CorrectionTime to BreakevenTime to Breakeven25 days120 days
2008 Global Financial Crisis2008 Global Financial Crisis  
2008 Global Financial Crisis% Loss% Loss-64.0%-56.8%
2008 Global Financial Crisis% Gain to Breakeven% Gain to Breakeven178.0%131.3%
2008 Global Financial CrisisTime to BreakevenTime to Breakeven610 days1480 days


How Low Can It Go?

Vertex Pharmaceuticals's stock fell -26.6% during the 2022 Inflation Shock from a high on 1/25/2021. A -26.6% loss requires a 36.3% gain to breakeven.

Preserve Wealth

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Asset Allocation

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Better Bets than Vertex Pharmaceuticals (VRTX)

Latest Trefis Analyses

Trade Ideas

Select past ideas related to VRTX. For more, see Trefis Trade Ideas.

Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
ADMA_9302025_Dip_Buyer_ValueBuy09302025ADMAADMA BiologicsDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
-2.0%-2.0%-4.6%
REGN_9302025_Dip_Buyer_ValueBuy09302025REGNRegeneron PharmaceuticalsDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
2.8%2.8%-0.8%
HAE_9262025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG09262025HAEHaemoneticsDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
4.3%4.3%-0.1%
WAT_9192025_Monopoly_xInd_xCD_Getting_Cheaper09192025WATWatersMonopolyMY | Getting CheaperMonopoly-Like with P/S Decline
Large cap with monopoly-like margins or cash flow generation and getting cheaper based on P/S multiple
11.2%11.2%-4.3%
ISRG_9052025_Monopoly_xInd_xCD_Getting_Cheaper09052025ISRGIntuitive SurgicalMonopolyMY | Getting CheaperMonopoly-Like with P/S Decline
Large cap with monopoly-like margins or cash flow generation and getting cheaper based on P/S multiple
-4.4%-4.4%-8.0%
VRTX_12312022_Quality_Momentum_RoomToRun_10%12312022VRTXVertex PharmaceuticalsQualityQ | Momentum | UpsideQuality Stocks with Momentum and Upside
Buying quality stocks with strong momentum but still having room to run
21.9%40.9%-1.9%
VRTX_10312020_Dip_Buyer_ValueBuy10312020VRTXVertex PharmaceuticalsDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
4.7%-11.2%-15.0%
Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
ADMA_9302025_Dip_Buyer_ValueBuy09302025ADMAADMA BiologicsDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
-2.0%-2.0%-4.6%
REGN_9302025_Dip_Buyer_ValueBuy09302025REGNRegeneron PharmaceuticalsDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
2.8%2.8%-0.8%
HAE_9262025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG09262025HAEHaemoneticsDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
4.3%4.3%-0.1%
WAT_9192025_Monopoly_xInd_xCD_Getting_Cheaper09192025WATWatersMonopolyMY | Getting CheaperMonopoly-Like with P/S Decline
Large cap with monopoly-like margins or cash flow generation and getting cheaper based on P/S multiple
11.2%11.2%-4.3%
ISRG_9052025_Monopoly_xInd_xCD_Getting_Cheaper09052025ISRGIntuitive SurgicalMonopolyMY | Getting CheaperMonopoly-Like with P/S Decline
Large cap with monopoly-like margins or cash flow generation and getting cheaper based on P/S multiple
-4.4%-4.4%-8.0%
VRTX_12312022_Quality_Momentum_RoomToRun_10%12312022VRTXVertex PharmaceuticalsQualityQ | Momentum | UpsideQuality Stocks with Momentum and Upside
Buying quality stocks with strong momentum but still having room to run
21.9%40.9%-1.9%
VRTX_10312020_Dip_Buyer_ValueBuy10312020VRTXVertex PharmaceuticalsDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
4.7%-11.2%-15.0%

Recent Active Movers

Recent Active Movers

More From Trefis

Peer Comparisons for Vertex Pharmaceuticals

Financials

VRTXBIIBBMRNIONSACADACSBMedian
NameVertex P.Biogen BioMarin.Ionis Ph.ACADIA P.Acesis  
Mkt Price416.81143.0053.2973.0920.89-73.09
Mkt Cap107.020.910.211.63.5-11.6
Rev LTM11,4199,8163,0647171,019-3,064
Op Inc LTM-1992,274776-47290-90
FCF LTM3,5002,296691-56388-691
FCF 3Y Avg1,9841,667315-43845-315
CFO LTM3,8462,582767-502188-767
CFO 3Y Avg2,3241,968419-40178-419

Growth & Margins

VRTXBIIBBMRNIONSACADACSBMedian
NameVertex P.Biogen BioMarin.Ionis Ph.ACADIA P.Acesis  
Rev Chg LTM10.5%1.6%18.4%-7.6%14.4%-10.5%
Rev Chg 3Y Avg11.0%-3.1%17.0%-1.4%27.9%-11.0%
Rev Chg Q12.1%6.1%15.9%10.1%9.3%-10.1%
QoQ Delta Rev Chg LTM2.9%1.5%3.8%1.7%2.3%-2.3%
Op Mgn LTM-1.7%23.2%25.3%-65.9%8.9%-8.9%
Op Mgn 3Y Avg26.5%23.4%14.0%-65.7%-3.9%-14.0%
QoQ Delta Op Mgn LTM2.0%0.2%4.3%1.5%-0.0%-1.5%
CFO/Rev LTM33.7%26.3%25.0%-70.0%18.4%-25.0%
CFO/Rev 3Y Avg22.5%20.0%15.0%-59.0%7.1%-15.0%
FCF/Rev LTM30.6%23.4%22.6%-78.5%8.7%-22.6%
FCF/Rev 3Y Avg19.2%16.9%10.9%-64.4%3.8%-10.9%

Valuation

VRTXBIIBBMRNIONSACADACSBMedian
NameVertex P.Biogen BioMarin.Ionis Ph.ACADIA P.Acesis  
Mkt Cap107.020.910.211.63.5-11.6
P/S9.42.13.316.23.4-3.4
P/EBIT24.410.512.0-30.738.8-12.0
P/E29.414.115.6-25.315.8-15.6
P/CFO27.88.113.3-23.118.7-13.3
Total Yield3.4%7.1%6.4%-3.9%6.3%-6.3%
Dividend Yield0.0%0.0%0.0%0.0%0.0%-0.0%
FCF Yield 3Y Avg2.1%6.6%2.7%-7.0%1.5%-2.1%
D/E0.00.30.10.10.0-0.1
Net D/E-0.00.2-0.1-0.1-0.2--0.1

Returns

VRTXBIIBBMRNIONSACADACSBMedian
NameVertex P.Biogen BioMarin.Ionis Ph.ACADIA P.Acesis  
1M Rtn8.8%0.4%-2.0%19.8%-14.5%-0.4%
3M Rtn-9.4%14.4%-7.0%75.0%-7.4%--7.0%
6M Rtn-14.8%20.6%-9.9%157.4%41.8%-20.6%
12M Rtn-13.7%-24.8%-24.0%84.2%36.5%--13.7%
3Y Rtn43.6%-45.6%-39.9%63.0%33.2%-33.2%
1M Excs Rtn7.2%-1.0%-3.8%17.9%-16.1%--1.0%
3M Excs Rtn-14.8%10.9%-11.5%70.2%-11.9%--11.5%
6M Excs Rtn-40.9%-5.6%-36.1%131.2%15.7%--5.6%
12M Excs Rtn-28.5%-39.9%-39.0%78.6%25.5%--28.5%
3Y Excs Rtn-42.6%-129.9%-126.4%-27.5%-52.8%--52.8%

Financials

Segment Financials

Revenue by Segment

$ Mil20242023202220212020
TRIKAFTA/KAFTRIO8,9457,6875,6973,864420
Other product revenues9241,244   
KALYDECO  684803991
ORKAMBI  7729081,332
Other revenues  132
SYMDEKO/SYMKEVI  4206291,418
Total9,8698,9317,5746,2064,163


Price Behavior

Short Interest

Short Interest: As Of Date9302025
Short Interest: Shares Quantity3,557,058
Short Interest: % Change Since 9152025-12.2%
Average Daily Volume2,027,132
Days-to-Cover Short Interest1.75
Basic Shares Quantity256,700,000
Short % of Basic Shares1.4%

Earnings Returns History

Expand for More

 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
8/4/2025-20.6%-20.7%-16.0%
5/5/2025-10.0%-12.2%-10.9%
2/10/2025-3.1%-1.7%5.4%
11/4/20245.7%6.1%-1.9%
8/1/2024-2.2%-7.9%-2.0%
5/6/20241.9%6.8%20.0%
2/5/2024-3.0%-2.4%-4.0%
11/6/2023-1.9%-1.8%-8.4%
...
SUMMARY STATS   
# Positive121112
# Negative121312
Median Positive2.5%6.1%7.5%
Median Negative-3.1%-2.4%-5.1%
Max Positive9.0%11.9%20.0%
Max Negative-20.6%-20.7%-16.0%

SEC Filings

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Report DateFiling DateFiling
6302025805202510-Q 6/30/2025
3312025506202510-Q 3/31/2025
12312024213202510-K 12/31/2024
93020241105202410-Q 9/30/2024
6302024802202410-Q 6/30/2024
3312024507202410-Q 3/31/2024
12312023215202410-K 12/31/2023
93020231107202310-Q 9/30/2023
6302023802202310-Q 6/30/2023
3312023502202310-Q 3/31/2023
12312022210202310-K 12/31/2022
93020221028202210-Q 9/30/2022
6302022805202210-Q 6/30/2022
3312022506202210-Q 3/31/2022
12312021209202210-K 12/31/2021
93020211103202110-Q 9/30/2021

Insider Activity

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 OwnerTitleFiling DateActionPriceSharesTransacted
Value
Value of
Held Shares
Form
0Bhatia Sangeeta N. 8292025Sell386.69266102,8601,765,240Form
1Kewalramani ReshmaCEO & President8072025Buy389.084,2901,669,15342,899,183Form
2SACHS BRUCE I 8072025Buy389.361,634636,21416,210,614Form
3ALTSHULER DAVIDEVP, Chief Scientific Officer5192025Sell424.695222,0849,887,208Form
4ALTSHULER DAVIDEVP, Chief Scientific Officer3172025Sell510.003,2311,647,81011,873,310Form