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VRTX vs SRPT vs BMRN vs ALNY vs IONS

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

Live fundamentals10-year financials5-year price chart
VRTX
Vertex Pharmaceuticals Incorporated

Biotechnology

HealthcareNASDAQ • US
Market Cap$108.10B
5Y Perf.+47.6%
SRPT
Sarepta Therapeutics, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$2.18B
5Y Perf.-86.3%
BMRN
BioMarin Pharmaceutical Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$10.41B
5Y Perf.-49.2%
ALNY
Alnylam Pharmaceuticals, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$39.48B
5Y Perf.+118.8%
IONS
Ionis Pharmaceuticals, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$12.56B
5Y Perf.+35.2%

VRTX vs SRPT vs BMRN vs ALNY vs IONS — Key Financials

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

Company Snapshot
VRTX logoVRTX
SRPT logoSRPT
BMRN logoBMRN
ALNY logoALNY
IONS logoIONS
IndustryBiotechnologyBiotechnologyBiotechnologyBiotechnologyBiotechnology
Market Cap$108.10B$2.18B$10.41B$39.48B$12.56B
Revenue (TTM)$12.26B$2.18B$3.24B$4.29B$1.06B
Net Income (TTM)$4.34B$65M$269M$577M$-327M
Gross Margin86.3%34.4%75.9%80.9%98.3%
Operating Margin39.0%-1.9%13.8%17.5%-33.3%
Forward P/E22.2x6.9x12.6x44.2x
Total Debt$3.88B$1.04B$643M$1.28B$2.61B
Cash & Equiv.$5.09B$801M$1.31B$1.66B$372M

VRTX vs SRPT vs BMRN vs ALNY vs IONSLong-Term Stock Performance

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

VRTX
SRPT
BMRN
ALNY
IONS
StockMay 20May 26Return
Vertex Pharmaceutic… (VRTX)100147.6+47.6%
Sarepta Therapeutic… (SRPT)10013.7-86.3%
BioMarin Pharmaceut… (BMRN)10050.8-49.2%
Alnylam Pharmaceuti… (ALNY)100218.8+118.8%
Ionis Pharmaceutica… (IONS)100135.2+35.2%

Price return only. Dividends and distributions are not included.

Quick Verdict: VRTX vs SRPT vs BMRN vs ALNY vs IONS

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

Bottom line: VRTX and IONS are tied at the top with 2 categories each (5-stock set) — the right choice depends on your priorities. Ionis Pharmaceuticals, Inc. is the stronger pick specifically for capital preservation and lower volatility and recent price momentum and sentiment. SRPT and ALNY also each lead in at least one category. As sector peers, any of these can serve as alternatives in the same allocation.
VRTX
Vertex Pharmaceuticals Incorporated
The Quality Compounder

VRTX has the current edge in this matchup, primarily because of its strength in quality and efficiency.

  • 35.4% margin vs IONS's -30.9%
  • 17.1% ROA vs IONS's -10.1%, ROIC 23.0% vs -12.8%
Best for: quality and efficiency
SRPT
Sarepta Therapeutics, Inc.
The Value Play

SRPT ranks third and is worth considering specifically for value.

  • Better valuation composite
Best for: value
BMRN
BioMarin Pharmaceutical Inc.
The Defensive Pick

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

  • Lower volatility, beta 0.65, Low D/E 10.6%, current ratio 5.21x
Best for: sleep-well-at-night
ALNY
Alnylam Pharmaceuticals, Inc.
The Growth Play

ALNY is the clearest fit if your priority is growth exposure and long-term compounding.

  • Rev growth 65.2%, EPS growth 206.9%, 3Y rev CAGR 53.0%
  • 411.9% 10Y total return vs VRTX's 382.6%
  • 65.2% revenue growth vs VRTX's 9.6%
Best for: growth exposure and long-term compounding
IONS
Ionis Pharmaceuticals, Inc.
The Income Pick

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

  • beta 0.55
  • Beta 0.55, current ratio 3.83x
  • Beta 0.55 vs SRPT's 2.02
  • +129.9% vs SRPT's -43.4%
Best for: income & stability and defensive
See the full category breakdown
CategoryWinnerWhy
GrowthALNY logoALNY65.2% revenue growth vs VRTX's 9.6%
ValueSRPT logoSRPTBetter valuation composite
Quality / MarginsVRTX logoVRTX35.4% margin vs IONS's -30.9%
Stability / SafetyIONS logoIONSBeta 0.55 vs SRPT's 2.02
DividendsTieNone of these 5 stocks pay a meaningful dividend
Momentum (1Y)IONS logoIONS+129.9% vs SRPT's -43.4%
Efficiency (ROA)VRTX logoVRTX17.1% ROA vs IONS's -10.1%, ROIC 23.0% vs -12.8%

VRTX vs SRPT vs BMRN vs ALNY vs IONS — Revenue Breakdown by Segment

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

VRTXVertex Pharmaceuticals Incorporated
FY 2025
TRIKAFTA/KAFTRIO
86.2%$10.3B
ALYFTREK
7.0%$838M
Manufactured Product, Other
6.9%$820M
SRPTSarepta Therapeutics, Inc.

Segment breakdown not available.

BMRNBioMarin Pharmaceutical Inc.
FY 2025
Product
98.3%$3.2B
Royalty And Other
1.7%$53M
ALNYAlnylam Pharmaceuticals, Inc.
FY 2025
GIVLAARI
64.1%$308M
ONPATTRO
35.9%$173M
IONSIonis Pharmaceuticals, Inc.
FY 2025
Commercial Member
52.1%$436M
Royalty
34.1%$286M
Product
13.8%$115M

VRTX vs SRPT vs BMRN vs ALNY vs IONS — Financial Metrics

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

BEST OVERALLVRTXLAGGINGALNY

Income & Cash Flow (Last 12 Months)

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

VRTX is the larger business by revenue, generating $12.3B annually — 11.6x IONS's $1.1B. VRTX is the more profitable business, keeping 35.4% of every revenue dollar as net income compared to IONS's -30.9%. On growth, ALNY holds the edge at +96.4% YoY revenue growth, suggesting stronger near-term business momentum.

MetricVRTX logoVRTXVertex Pharmaceut…SRPT logoSRPTSarepta Therapeut…BMRN logoBMRNBioMarin Pharmace…ALNY logoALNYAlnylam Pharmaceu…IONS logoIONSIonis Pharmaceuti…
RevenueTrailing 12 months$12.3B$2.2B$3.2B$4.3B$1.1B
EBITDAEarnings before interest/tax$4.9B-$6M$521M$677M$4.5B
Net IncomeAfter-tax profit$4.3B$65M$269M$577M-$327M
Free Cash FlowCash after capex$3.7B$107M$767M$641M-$971M
Gross MarginGross profit ÷ Revenue+86.3%+34.4%+75.9%+80.9%+98.3%
Operating MarginEBIT ÷ Revenue+39.0%-1.9%+13.8%+17.5%-33.3%
Net MarginNet income ÷ Revenue+35.4%+3.0%+8.3%+13.5%-30.9%
FCF MarginFCF ÷ Revenue+30.3%+4.9%+23.7%+15.0%-91.8%
Rev. Growth (YoY)Latest quarter vs prior year+7.8%-1.9%+2.8%+96.4%+87.0%
EPS Growth (YoY)Latest quarter vs prior year+61.4%+162.6%-43.2%+4.4%+39.8%
VRTX leads this category, winning 3 of 6 comparable metrics.

Valuation Metrics

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

At 27.7x trailing earnings, VRTX trades at a 78% valuation discount to ALNY's 127.0x P/E. On an enterprise value basis, BMRN's 15.9x EV/EBITDA is more attractive than ALNY's 70.2x.

MetricVRTX logoVRTXVertex Pharmaceut…SRPT logoSRPTSarepta Therapeut…BMRN logoBMRNBioMarin Pharmace…ALNY logoALNYAlnylam Pharmaceu…IONS logoIONSIonis Pharmaceuti…
Market CapShares × price$108.1B$2.2B$10.4B$39.5B$12.6B
Enterprise ValueMkt cap + debt − cash$106.9B$2.4B$9.7B$39.1B$14.8B
Trailing P/EPrice ÷ TTM EPS27.74x-2.92x30.07x127.00x-31.94x
Forward P/EPrice ÷ next-FY EPS est.22.18x6.93x12.60x44.18x
PEG RatioP/E ÷ EPS growth rate3.35x
EV / EBITDAEnterprise value multiple21.52x15.89x70.17x
Price / SalesMarket cap ÷ Revenue8.95x0.99x3.23x10.63x13.31x
Price / BookPrice ÷ Book value/share5.87x1.91x1.75x50.50x24.87x
Price / FCFMarket cap ÷ FCF33.85x14.36x84.84x
BMRN leads this category, winning 3 of 6 comparable metrics.

Profitability & Efficiency

VRTX leads this category, winning 4 of 9 comparable metrics.

ALNY delivers a 98.3% return on equity — every $100 of shareholder capital generates $98 in annual profit, vs $-59 for IONS. BMRN carries lower financial leverage with a 0.11x debt-to-equity ratio, signaling a more conservative balance sheet compared to IONS's 5.35x. On the Piotroski fundamental quality scale (0–9), ALNY scores 6/9 vs IONS's 3/9, reflecting solid financial health.

MetricVRTX logoVRTXVertex Pharmaceut…SRPT logoSRPTSarepta Therapeut…BMRN logoBMRNBioMarin Pharmace…ALNY logoALNYAlnylam Pharmaceu…IONS logoIONSIonis Pharmaceuti…
ROE (TTM)Return on equity+23.9%+4.9%+4.4%+98.3%-58.6%
ROA (TTM)Return on assets+17.1%+1.9%+3.4%+11.8%-10.1%
ROICReturn on invested capital+23.0%-31.4%+7.4%+33.4%-12.8%
ROCEReturn on capital employed+23.1%-24.0%+8.1%+15.3%-14.1%
Piotroski ScoreFundamental quality 0–944563
Debt / EquityFinancial leverage0.21x0.91x0.11x1.62x5.35x
Net DebtTotal debt minus cash-$1.2B$238M-$669M-$379M$2.2B
Cash & Equiv.Liquid assets$5.1B$801M$1.3B$1.7B$372M
Total DebtShort + long-term debt$3.9B$1.0B$643M$1.3B$2.6B
Interest CoverageEBIT ÷ Interest expense488.09x-14.00x16.96x2.02x-3.64x
VRTX leads this category, winning 4 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

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

A $10,000 investment in ALNY five years ago would be worth $22,537 today (with dividends reinvested), compared to $2,789 for SRPT. Over the past 12 months, IONS leads with a +129.9% total return vs SRPT's -43.4%. The 3-year compound annual growth rate (CAGR) favors IONS at 29.3% vs SRPT's -45.3% — a key indicator of consistent wealth creation.

MetricVRTX logoVRTXVertex Pharmaceut…SRPT logoSRPTSarepta Therapeut…BMRN logoBMRNBioMarin Pharmace…ALNY logoALNYAlnylam Pharmaceu…IONS logoIONSIonis Pharmaceuti…
YTD ReturnYear-to-date-6.0%-2.4%-9.0%-26.1%-4.6%
1-Year ReturnPast 12 months-2.3%-43.4%-8.8%+7.0%+129.9%
3-Year ReturnCumulative with dividends+23.5%-83.6%-43.6%+40.9%+116.1%
5-Year ReturnCumulative with dividends+97.7%-72.1%-30.4%+125.4%+108.0%
10-Year ReturnCumulative with dividends+382.6%+18.0%-35.6%+411.9%+121.1%
CAGR (3Y)Annualised 3-year return+7.3%-45.3%-17.4%+12.1%+29.3%
IONS leads this category, winning 3 of 6 comparable metrics.

Risk & Volatility

IONS leads this category, winning 2 of 2 comparable metrics.

IONS is the less volatile stock with a 0.55 beta — it tends to amplify market swings less than SRPT's 2.02 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. IONS currently trades 87.6% from its 52-week high vs SRPT's 47.1% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricVRTX logoVRTXVertex Pharmaceut…SRPT logoSRPTSarepta Therapeut…BMRN logoBMRNBioMarin Pharmace…ALNY logoALNYAlnylam Pharmaceu…IONS logoIONSIonis Pharmaceuti…
Beta (5Y)Sensitivity to S&P 5000.82x2.02x0.65x0.71x0.55x
52-Week HighHighest price in past year$507.92$44.14$66.28$495.55$86.74
52-Week LowLowest price in past year$362.50$10.42$50.76$245.96$31.66
% of 52W HighCurrent price vs 52-week peak+83.7%+47.1%+81.7%+59.7%+87.6%
RSI (14)Momentum oscillator 0–10043.263.448.743.858.8
Avg Volume (50D)Average daily shares traded1.2M3.0M1.8M1.1M2.0M
IONS leads this category, winning 2 of 2 comparable metrics.

Analyst Outlook

Insufficient data to determine a leader in this category.

Analyst consensus: VRTX as "Buy", SRPT as "Buy", BMRN as "Buy", ALNY as "Buy", IONS as "Buy". Consensus price targets imply 65.6% upside for BMRN (target: $90) vs 18.4% for SRPT (target: $25).

MetricVRTX logoVRTXVertex Pharmaceut…SRPT logoSRPTSarepta Therapeut…BMRN logoBMRNBioMarin Pharmace…ALNY logoALNYAlnylam Pharmaceu…IONS logoIONSIonis Pharmaceuti…
Analyst RatingConsensus buy/hold/sellBuyBuyBuyBuyBuy
Price TargetConsensus 12-month target$552.27$24.63$89.64$445.67$107.27
# AnalystsCovering analysts5654415232
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap+1.9%+1.1%0.0%0.0%0.0%
Insufficient data to determine a leader in this category.
Key Takeaway

VRTX leads in 2 of 6 categories (Income & Cash Flow, Profitability & Efficiency). IONS leads in 2 (Total Returns, Risk & Volatility).

Best OverallVertex Pharmaceuticals Inco… (VRTX)Leads 2 of 6 categories
Loading custom metrics...

VRTX vs SRPT vs BMRN vs ALNY vs IONS: Key Questions Answered

10 questions · data-driven answers · updated daily

01

Is VRTX or SRPT or BMRN or ALNY or IONS a better buy right now?

For growth investors, Alnylam Pharmaceuticals, Inc.

(ALNY) is the stronger pick with 65. 2% revenue growth year-over-year, versus 9. 6% for Vertex Pharmaceuticals Incorporated (VRTX). Vertex Pharmaceuticals Incorporated (VRTX) offers the better valuation at 27. 7x trailing P/E (22. 2x forward), making it the more compelling value choice. Analysts rate Vertex Pharmaceuticals Incorporated (VRTX) a "Buy" — based on 56 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 — VRTX or SRPT or BMRN or ALNY or IONS?

On trailing P/E, Vertex Pharmaceuticals Incorporated (VRTX) is the cheapest at 27.

7x versus Alnylam Pharmaceuticals, Inc. at 127. 0x. On forward P/E, Sarepta Therapeutics, Inc. is actually cheaper at 6. 9x — notably different from the trailing picture, reflecting expected earnings growth.

03

Which is the better long-term investment — VRTX or SRPT or BMRN or ALNY or IONS?

Over the past 5 years, Alnylam Pharmaceuticals, Inc.

(ALNY) delivered a total return of +125. 4%, compared to -72. 1% for Sarepta Therapeutics, Inc. (SRPT). Over 10 years, the gap is even starker: ALNY returned +411. 9% versus BMRN's -35. 6%. 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 — VRTX or SRPT or BMRN or ALNY or IONS?

By beta (market sensitivity over 5 years), Ionis Pharmaceuticals, Inc.

(IONS) is the lower-risk stock at 0. 55β versus Sarepta Therapeutics, Inc. 's 2. 02β — meaning SRPT is approximately 272% more volatile than IONS relative to the S&P 500. On balance sheet safety, BioMarin Pharmaceutical Inc. (BMRN) carries a lower debt/equity ratio of 11% versus 5% for Ionis Pharmaceuticals, Inc. — giving it more financial flexibility in a downturn.

05

Which is growing faster — VRTX or SRPT or BMRN or ALNY or IONS?

By revenue growth (latest reported year), Alnylam Pharmaceuticals, Inc.

(ALNY) is pulling ahead at 65. 2% versus 9. 6% for Vertex Pharmaceuticals Incorporated (VRTX). On earnings-per-share growth, the picture is similar: Vertex Pharmaceuticals Incorporated grew EPS 836. 5% year-over-year, compared to -404. 7% for Sarepta Therapeutics, Inc.. Over a 3-year CAGR, ALNY leads at 53. 0% 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 — VRTX or SRPT or BMRN or ALNY or IONS?

Vertex Pharmaceuticals Incorporated (VRTX) is the more profitable company, earning 32.

7% net margin versus -40. 4% for Ionis Pharmaceuticals, Inc. — meaning it keeps 32. 7% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: VRTX leads at 39. 4% versus -40. 5% for IONS. At the gross margin level — before operating expenses — IONS leads at 98. 3%, 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 VRTX or SRPT or BMRN or ALNY or IONS more undervalued right now?

On forward earnings alone, Sarepta Therapeutics, Inc.

(SRPT) trades at 6. 9x forward P/E versus 44. 2x for Alnylam Pharmaceuticals, Inc. — 37. 3x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for BMRN: 65. 6% to $89. 64.

08

Which pays a better dividend — VRTX or SRPT or BMRN or ALNY or IONS?

None of the stocks in this comparison currently pay a material dividend.

All are effectively zero-yield and should be held for capital appreciation rather than income.

09

Is VRTX or SRPT or BMRN or ALNY or IONS better for a retirement portfolio?

For long-horizon retirement investors, Alnylam Pharmaceuticals, Inc.

(ALNY) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 71), +411. 9% 10Y return). Sarepta Therapeutics, Inc. (SRPT) carries a higher beta of 2. 02 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (ALNY: +411. 9%, SRPT: +18. 0%), 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 VRTX and SRPT and BMRN and ALNY and IONS?

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: VRTX is a mid-cap quality compounder stock; SRPT is a small-cap high-growth stock; BMRN is a mid-cap quality compounder stock; ALNY is a mid-cap high-growth stock; IONS is a mid-cap high-growth 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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VRTX

Quality Mega-Cap Compounder

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 5%
  • Net Margin > 21%
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SRPT

Quality Business

  • Sector: Healthcare
  • Market Cap > $100B
  • Gross Margin > 20%
Run This Screen
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BMRN

Quality Business

  • Sector: Healthcare
  • Market Cap > $100B
  • Net Margin > 5%
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ALNY

High-Growth Compounder

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 48%
  • Net Margin > 8%
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IONS

High-Growth Disruptor

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 43%
  • Gross Margin > 59%
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Custom Screen

Beat Both

Find stocks that outperform VRTX and SRPT and BMRN and ALNY and IONS on the metrics below

Revenue Growth>
%
(VRTX: 7.8% · SRPT: -1.9%)
Net Margin>
%
(VRTX: 35.4% · SRPT: 3.0%)

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