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Stock Comparison

NVO vs LLY vs SNY vs AZN vs NVS

Revenue, margins, valuation, and 5-year total return — side by side.

Live fundamentals10-year financials5-year price chart
NVO
Novo Nordisk A/S

Drug Manufacturers - General

HealthcareNYSE • DK
Market Cap$203.48B
5Y Perf.+38.9%
LLY
Eli Lilly and Company

Drug Manufacturers - General

HealthcareNYSE • US
Market Cap$921.16B
5Y Perf.+537.4%
SNY
Sanofi

Drug Manufacturers - General

HealthcareNASDAQ • FR
Market Cap$104.28B
5Y Perf.-12.1%
AZN
AstraZeneca PLC

Drug Manufacturers - General

HealthcareNASDAQ • GB
Market Cap$282.96B
5Y Perf.+70.2%
NVS
Novartis AG

Drug Manufacturers - General

HealthcareNYSE • CH
Market Cap$277.42B
5Y Perf.+75.7%

NVO vs LLY vs SNY vs AZN vs NVS — Key Financials

Market cap, revenue, margins, and valuation side-by-side.

Company Snapshot
NVO logoNVO
LLY logoLLY
SNY logoSNY
AZN logoAZN
NVS logoNVS
IndustryDrug Manufacturers - GeneralDrug Manufacturers - GeneralDrug Manufacturers - GeneralDrug Manufacturers - GeneralDrug Manufacturers - General
Market Cap$203.48B$921.16B$104.28B$282.96B$277.42B
Revenue (TTM)$327.80B$72.25B$46.72B$60.44B$56.05B
Net Income (TTM)$121.96B$25.27B$7.81B$10.39B$13.53B
Gross Margin81.8%83.5%72.3%81.7%75.3%
Operating Margin45.3%45.9%13.6%23.7%30.5%
Forward P/E2.1x28.2x10.3x17.7x16.6x
Total Debt$130.96B$42.50B$21.79B$29.70B$37.03B
Cash & Equiv.$26.46B$7.16B$7.66B$5.71B$11.44B

NVO vs LLY vs SNY vs AZN vs NVSLong-Term Stock Performance

Price return indexed to 100 at period start. Dividends excluded.

NVO
LLY
SNY
AZN
NVS
StockMay 20May 26Return
Novo Nordisk A/S (NVO)100138.9+38.9%
Eli Lilly and Compa… (LLY)100637.4+537.4%
Sanofi (SNY)10087.9-12.1%
AstraZeneca PLC (AZN)100170.2+70.2%
Novartis AG (NVS)100175.7+75.7%

Price return only. Dividends and distributions are not included.

Quick Verdict: NVO vs LLY vs SNY vs AZN vs NVS

Each card shows where this stock fits in a portfolio — not just who wins on paper.

Bottom line: NVO leads in 3 of 7 categories (5-stock set), making it the strongest pick for valuation and capital efficiency and profitability and margin quality. Novartis AG is the stronger pick specifically for capital preservation and lower volatility and recent price momentum and sentiment. LLY and SNY also each lead in at least one category. As sector peers, any of these can serve as alternatives in the same allocation.
NVO
Novo Nordisk A/S
The Value Pick

NVO carries the broadest edge in this set and is the clearest fit for valuation efficiency.

  • PEG 0.10 vs NVS's 1.08
  • Lower P/E (2.1x vs 16.6x), PEG 0.10 vs 1.08
  • 37.2% margin vs SNY's 16.7%
  • 23.3% ROA vs SNY's 6.1%, ROIC 36.2% vs 5.5%
Best for: valuation efficiency
LLY
Eli Lilly and Company
The Growth Play

LLY ranks third and is worth considering specifically for growth exposure and long-term compounding.

  • Rev growth 44.7%, EPS growth 96.0%, 3Y rev CAGR 31.7%
  • 12.4% 10Y total return vs AZN's 268.6%
  • 44.7% revenue growth vs SNY's 5.5%
Best for: growth exposure and long-term compounding
SNY
Sanofi
The Defensive Pick

SNY is the clearest fit if your priority is sleep-well-at-night.

  • Lower volatility, beta 0.51, Low D/E 30.4%, current ratio 1.09x
  • 5.1% yield, vs LLY's 0.6%
Best for: sleep-well-at-night
AZN
AstraZeneca PLC
The Lower-Volatility Pick

Among these 5 stocks, AZN doesn't own a clear edge in any measured category.

Best for: healthcare exposure
NVS
Novartis AG
The Income Pick

NVS is the #2 pick in this set and the best alternative if income & stability and defensive is your priority.

  • Dividend streak 6 yrs, beta 0.42, yield 2.8%
  • Beta 0.42, yield 2.8%, current ratio 1.12x
  • Beta 0.42 vs NVO's 1.56
  • +34.4% vs NVO's -29.5%
Best for: income & stability and defensive
See the full category breakdown
CategoryWinnerWhy
GrowthLLY logoLLY44.7% revenue growth vs SNY's 5.5%
ValueNVO logoNVOLower P/E (2.1x vs 16.6x), PEG 0.10 vs 1.08
Quality / MarginsNVO logoNVO37.2% margin vs SNY's 16.7%
Stability / SafetyNVS logoNVSBeta 0.42 vs NVO's 1.56
DividendsSNY logoSNY5.1% yield, vs LLY's 0.6%
Momentum (1Y)NVS logoNVS+34.4% vs NVO's -29.5%
Efficiency (ROA)NVO logoNVO23.3% ROA vs SNY's 6.1%, ROIC 36.2% vs 5.5%

NVO vs LLY vs SNY vs AZN vs NVS — Revenue Breakdown by Segment

How each company's revenue is distributed across its business units

NVONovo Nordisk A/S

Segment breakdown not available.

LLYEli Lilly and Company
FY 2025
Product
93.5%$61.0B
Collaboration and Other Revenue
6.5%$4.2B
SNYSanofi

Segment breakdown not available.

AZNAstraZeneca PLC
FY 2025
Total Oncology
23.9%$23.7B
CVRM
12.9%$12.8B
Rare Disease
9.2%$9.1B
Farxiga
8.5%$8.4B
Tagrisso
7.3%$7.3B
Imfinzi
6.1%$6.1B
Ultomiris
4.8%$4.7B
Other (22)
27.3%$27.1B
NVSNovartis AG
FY 2022
Top 20 products
74.3%$32.1B
Rest of portfolio
21.2%$9.2B
Total anti-infectives net sales
2.8%$1.2B
Anti Infectives sold under Sandoz name
1.8%$777M

NVO vs LLY vs SNY vs AZN vs NVS — Financial Metrics

Side-by-side numbers across 5 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLLLYLAGGINGNVS

Income & Cash Flow (Last 12 Months)

LLY leads this category, winning 3 of 6 comparable metrics.

NVO is the larger business by revenue, generating $327.8B annually — 7.0x SNY's $46.7B. NVO is the more profitable business, keeping 37.2% of every revenue dollar as net income compared to SNY's 16.7%. On growth, SNY holds the edge at +59.9% YoY revenue growth, suggesting stronger near-term business momentum.

MetricNVO logoNVONovo Nordisk A/SLLY logoLLYEli Lilly and Com…SNY logoSNYSanofiAZN logoAZNAstraZeneca PLCNVS logoNVSNovartis AG
RevenueTrailing 12 months$327.8B$72.2B$46.7B$60.4B$56.1B
EBITDAEarnings before interest/tax$170.2B$34.7B$9.6B$20.1B$22.5B
Net IncomeAfter-tax profit$122.0B$25.3B$7.8B$10.4B$13.5B
Free Cash FlowCash after capex$31.0B$13.6B$8.3B$9.1B$16.4B
Gross MarginGross profit ÷ Revenue+81.8%+83.5%+72.3%+81.7%+75.3%
Operating MarginEBIT ÷ Revenue+45.3%+45.9%+13.6%+23.7%+30.5%
Net MarginNet income ÷ Revenue+37.2%+35.0%+16.7%+17.2%+24.1%
FCF MarginFCF ÷ Revenue+9.5%+18.8%+17.7%+15.1%+29.2%
Rev. Growth (YoY)Latest quarter vs prior year+24.0%+55.5%+59.9%+12.5%-0.7%
EPS Growth (YoY)Latest quarter vs prior year+67.1%+169.9%-5.2%+5.3%-9.3%
LLY leads this category, winning 3 of 6 comparable metrics.

Valuation Metrics

NVO leads this category, winning 4 of 7 comparable metrics.

At 12.6x trailing earnings, NVO trades at a 70% valuation discount to LLY's 42.5x P/E. Adjusting for growth (PEG ratio), NVO offers better value at 0.61x vs LLY's 1.47x — a lower PEG means you pay less per unit of expected earnings growth.

MetricNVO logoNVONovo Nordisk A/SLLY logoLLYEli Lilly and Com…SNY logoSNYSanofiAZN logoAZNAstraZeneca PLCNVS logoNVSNovartis AG
Market CapShares × price$203.5B$921.2B$104.3B$283.0B$277.4B
Enterprise ValueMkt cap + debt − cash$219.9B$956.5B$120.9B$306.9B$303.0B
Trailing P/EPrice ÷ TTM EPS12.64x42.48x18.10x27.91x20.22x
Forward P/EPrice ÷ next-FY EPS est.2.15x28.24x10.26x17.74x16.58x
PEG RatioP/E ÷ EPS growth rate0.61x1.47x1.28x1.32x
EV / EBITDAEnterprise value multiple9.34x30.60x10.77x15.76x13.51x
Price / SalesMarket cap ÷ Revenue4.19x14.13x1.90x4.82x5.06x
Price / BookPrice ÷ Book value/share6.67x32.99x1.25x5.85x6.11x
Price / FCFMarket cap ÷ FCF44.63x102.67x9.98x24.05x15.69x
NVO leads this category, winning 4 of 7 comparable metrics.

Profitability & Efficiency

LLY leads this category, winning 5 of 9 comparable metrics.

LLY delivers a 101.2% return on equity — every $100 of shareholder capital generates $101 in annual profit, vs $11 for SNY. SNY carries lower financial leverage with a 0.30x debt-to-equity ratio, signaling a more conservative balance sheet compared to LLY's 1.60x. On the Piotroski fundamental quality scale (0–9), LLY scores 8/9 vs NVO's 5/9, reflecting strong financial health.

MetricNVO logoNVONovo Nordisk A/SLLY logoLLYEli Lilly and Com…SNY logoSNYSanofiAZN logoAZNAstraZeneca PLCNVS logoNVSNovartis AG
ROE (TTM)Return on equity+66.4%+101.2%+10.8%+22.2%+31.4%
ROA (TTM)Return on assets+23.3%+22.7%+6.1%+9.1%+12.1%
ROICReturn on invested capital+36.2%+41.8%+5.5%+14.9%+18.8%
ROCEReturn on capital employed+44.4%+46.6%+6.3%+17.2%+21.1%
Piotroski ScoreFundamental quality 0–958786
Debt / EquityFinancial leverage0.67x1.60x0.30x0.61x0.80x
Net DebtTotal debt minus cash$104.5B$35.3B$14.1B$24.0B$25.6B
Cash & Equiv.Liquid assets$26.5B$7.2B$7.7B$5.7B$11.4B
Total DebtShort + long-term debt$131.0B$42.5B$21.8B$29.7B$37.0B
Interest CoverageEBIT ÷ Interest expense18.90x35.68x17.51x8.43x13.92x
LLY leads this category, winning 5 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

LLY leads this category, winning 4 of 6 comparable metrics.

A $10,000 investment in LLY five years ago would be worth $51,115 today (with dividends reinvested), compared to $10,252 for SNY. Over the past 12 months, NVS leads with a +34.4% total return vs NVO's -29.5%. The 3-year compound annual growth rate (CAGR) favors LLY at 31.8% vs NVO's -16.0% — a key indicator of consistent wealth creation.

MetricNVO logoNVONovo Nordisk A/SLLY logoLLYEli Lilly and Com…SNY logoSNYSanofiAZN logoAZNAstraZeneca PLCNVS logoNVSNovartis AG
YTD ReturnYear-to-date-10.2%-9.6%-6.8%+1.1%+8.4%
1-Year ReturnPast 12 months-29.5%+26.3%-9.8%+33.9%+34.4%
3-Year ReturnCumulative with dividends-40.7%+129.1%-7.0%+30.4%+58.5%
5-Year ReturnCumulative with dividends+36.4%+411.1%+2.5%+82.2%+94.4%
10-Year ReturnCumulative with dividends+99.6%+1237.7%+57.1%+268.6%+178.5%
CAGR (3Y)Annualised 3-year return-16.0%+31.8%-2.4%+9.3%+16.6%
LLY leads this category, winning 4 of 6 comparable metrics.

Risk & Volatility

Evenly matched — LLY and NVS each lead in 1 of 2 comparable metrics.

NVS is the less volatile stock with a 0.42 beta — it tends to amplify market swings less than NVO's 1.56 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. LLY currently trades 86.0% from its 52-week high vs NVO's 56.2% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricNVO logoNVONovo Nordisk A/SLLY logoLLYEli Lilly and Com…SNY logoSNYSanofiAZN logoAZNAstraZeneca PLCNVS logoNVSNovartis AG
Beta (5Y)Sensitivity to S&P 5001.56x0.71x0.51x0.67x0.42x
52-Week HighHighest price in past year$81.44$1133.95$53.36$212.71$170.46
52-Week LowLowest price in past year$35.12$623.78$43.09$91.44$104.93
% of 52W HighCurrent price vs 52-week peak+56.2%+86.0%+80.9%+85.8%+85.3%
RSI (14)Momentum oscillator 0–10073.461.434.139.148.7
Avg Volume (50D)Average daily shares traded18.4M2.6M3.2M1.9M1.9M
Evenly matched — LLY and NVS each lead in 1 of 2 comparable metrics.

Analyst Outlook

Evenly matched — LLY and SNY each lead in 1 of 2 comparable metrics.

Analyst consensus: NVO as "Buy", LLY as "Buy", SNY as "Buy", AZN as "Buy", NVS as "Hold". Consensus price targets imply 29.1% upside for LLY (target: $1258) vs -3.0% for NVS (target: $141). For income investors, SNY offers the higher dividend yield at 5.11% vs LLY's 0.61%.

MetricNVO logoNVONovo Nordisk A/SLLY logoLLYEli Lilly and Com…SNY logoSNYSanofiAZN logoAZNAstraZeneca PLCNVS logoNVSNovartis AG
Analyst RatingConsensus buy/hold/sellBuyBuyBuyBuyHold
Price TargetConsensus 12-month target$47.00$1258.47$50.00$211.00$141.00
# AnalystsCovering analysts3945274125
Dividend YieldAnnual dividend ÷ price+4.0%+0.6%+5.1%+1.8%+2.8%
Dividend StreakConsecutive years of raises811046
Dividend / ShareAnnual DPS$11.64$6.00$1.88$3.25$4.02
Buyback YieldShare repurchases ÷ mkt cap+0.1%+0.4%+5.4%+0.3%+3.3%
Evenly matched — LLY and SNY each lead in 1 of 2 comparable metrics.
Key Takeaway

LLY leads in 3 of 6 categories (Income & Cash Flow, Profitability & Efficiency). NVO leads in 1 (Valuation Metrics). 2 tied.

Best OverallEli Lilly and Company (LLY)Leads 3 of 6 categories
Loading custom metrics...

NVO vs LLY vs SNY vs AZN vs NVS: Key Questions Answered

10 questions · data-driven answers · updated daily

01

Is NVO or LLY or SNY or AZN or NVS a better buy right now?

For growth investors, Eli Lilly and Company (LLY) is the stronger pick with 44.

7% revenue growth year-over-year, versus 5. 5% for Sanofi (SNY). Novo Nordisk A/S (NVO) offers the better valuation at 12. 6x trailing P/E (2. 1x forward), making it the more compelling value choice. Analysts rate Novo Nordisk A/S (NVO) a "Buy" — based on 39 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.

02

Which has the better valuation — NVO or LLY or SNY or AZN or NVS?

On trailing P/E, Novo Nordisk A/S (NVO) is the cheapest at 12.

6x versus Eli Lilly and Company at 42. 5x. On forward P/E, Novo Nordisk A/S is actually cheaper at 2. 1x. The PEG ratio (P/E divided by earnings growth rate) is the most growth-adjusted single valuation metric: Novo Nordisk A/S wins at 0. 10x versus Novartis AG's 1. 08x — a PEG below 1. 0 traditionally signals the market is underpricing earnings growth.

03

Which is the better long-term investment — NVO or LLY or SNY or AZN or NVS?

Over the past 5 years, Eli Lilly and Company (LLY) delivered a total return of +411.

1%, compared to +2. 5% for Sanofi (SNY). Over 10 years, the gap is even starker: LLY returned +1238% versus SNY's +57. 1%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

04

Which is safer — NVO or LLY or SNY or AZN or NVS?

By beta (market sensitivity over 5 years), Novartis AG (NVS) is the lower-risk stock at 0.

42β versus Novo Nordisk A/S's 1. 56β — meaning NVO is approximately 267% more volatile than NVS relative to the S&P 500. On balance sheet safety, Sanofi (SNY) carries a lower debt/equity ratio of 30% versus 160% for Eli Lilly and Company — giving it more financial flexibility in a downturn.

05

Which is growing faster — NVO or LLY or SNY or AZN or NVS?

By revenue growth (latest reported year), Eli Lilly and Company (LLY) is pulling ahead at 44.

7% versus 5. 5% for Sanofi (SNY). On earnings-per-share growth, the picture is similar: AstraZeneca PLC grew EPS 190. 7% year-over-year, compared to -7. 3% for Sanofi. Over a 3-year CAGR, LLY leads at 31. 7% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.

06

Which has better profit margins — NVO or LLY or SNY or AZN or NVS?

Novo Nordisk A/S (NVO) is the more profitable company, earning 33.

1% net margin versus 16. 7% for Sanofi — meaning it keeps 33. 1% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: LLY leads at 45. 6% versus 13. 6% for SNY. At the gross margin level — before operating expenses — LLY leads at 83. 8%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.

07

Is NVO or LLY or SNY or AZN or NVS more undervalued right now?

The PEG ratio (forward P/E divided by expected earnings growth rate) is the most precise measure of undervaluation relative to growth potential.

By this metric, Novo Nordisk A/S (NVO) is the more undervalued stock at a PEG of 0. 10x versus Novartis AG's 1. 08x. A PEG below 1. 0 is traditionally considered the threshold for growth-adjusted undervaluation. On forward earnings alone, Novo Nordisk A/S (NVO) trades at 2. 1x forward P/E versus 28. 2x for Eli Lilly and Company — 26. 1x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for LLY: 29. 1% to $1258. 47.

08

Which pays a better dividend — NVO or LLY or SNY or AZN or NVS?

All stocks in this comparison pay dividends.

Sanofi (SNY) offers the highest yield at 5. 1%, versus 0. 6% for Eli Lilly and Company (LLY).

09

Is NVO or LLY or SNY or AZN or NVS better for a retirement portfolio?

For long-horizon retirement investors, Eli Lilly and Company (LLY) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0.

71), 0. 6% yield, +1238% 10Y return). Novo Nordisk A/S (NVO) carries a higher beta of 1. 56 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (LLY: +1238%, NVO: +99. 6%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.

10

What are the main differences between NVO and LLY and SNY and AZN and NVS?

Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.

In terms of investment character: NVO is a large-cap deep-value stock; LLY is a large-cap high-growth stock; SNY is a mid-cap income-oriented stock; AZN is a large-cap quality compounder stock; NVS is a large-cap quality compounder stock. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.

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Beat Both

Find stocks that outperform NVO and LLY and SNY and AZN and NVS on the metrics below

Revenue Growth>
%
(NVO: 24.0% · LLY: 55.5%)
Net Margin>
%
(NVO: 37.2% · LLY: 35.0%)
P/E Ratio<
x
(NVO: 12.6x · LLY: 42.5x)

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