Healthcare

Healthcare

Key figures

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Change

€ million

 

2025

 

2024

 

€ million

 

%

Net sales

 

8,607

 

8,455

 

153

 

1.8%

Operating result (EBIT)1

 

2,165

 

2,481

 

-316

 

-12.7%

Margin (% of net sales)1

 

25.2%

 

29.3%

 

 

 

 

EBITDA2

 

2,864

 

3,021

 

-156

 

-5.2%

Margin (% of net sales)1

 

33.3%

 

35.7%

 

 

 

 

EBITDA pre1

 

3,080

 

2,995

 

85

 

2.8%

Margin (% of net sales)1

 

35.8%

 

35.4%

 

 

 

 

1

Not defined by IFRS Accounting Standards.

2

Not defined by IFRS Accounting Standards; EBITDA corresponds to operating result (EBIT) adjusted by depreciation, amortization, impairment losses, and reversals of impairment losses.

Development of sales and results of operations

The development of net sales in the individual quarters in comparison with 2024 as well as the respective organic growth rates are presented in the following chart:

Healthcare

Net sales and organic growth1 by quarter2
€ million/organic growth in %

Healthcare – Net sales and organic growth by quarter (Bar chart)
1 Not defined by IFRS Accounting Standards.
2 Quarterly breakdown unaudited.

Net sales of the key product lines and products developed as follows in 2025:

Healthcare

Net sales by major product lines/products

 

 

€ million

 

2025

 

Share

 

Organic growth1

 

Exchange rate effects1

 

Acqui­sitions/divest­ments1

 

Total change1

 

2024

 

Share

Oncology

 

1,926

 

22%

 

0.3%

 

-4.5%

 

 

-4.2%

 

2,009

 

24%

thereof: Erbitux®

 

1,176

 

14%

 

6.6%

 

-5.5%

 

 

1.2%

 

1,162

 

14%

thereof: Bavencio®

 

612

 

7%

 

-13.8%

 

-2.9%

 

 

-16.7%

 

735

 

9%

Rare Diseases

 

188

 

3%

 

 

 

 

 

 

 

 

 

 

 

 

thereof: Ogsiveo®

 

134

 

2%

 

 

 

 

 

 

 

 

 

 

 

 

thereof: Gomekli®

 

55

 

1%

 

 

 

 

 

 

 

 

 

 

 

 

Neurology & Immunology

 

1,659

 

19%

 

1.9%

 

-3.6%

 

 

-1.7%

 

1,688

 

20%

thereof: Mavenclad®

 

1,194

 

14%

 

16.6%

 

-4.1%

 

 

12.4%

 

1,062

 

13%

thereof: Rebif®

 

465

 

5%

 

-23.0%

 

-2.8%

 

 

-25.8%

 

626

 

7%

Fertility

 

1,457

 

17%

 

0.4%

 

-5.1%

 

 

-4.6%

 

1,528

 

18%

thereof: Gonal-f®

 

735

 

9%

 

-6.7%

 

-5.0%

 

 

-11.7%

 

833

 

10%

thereof: Pergoveris®

 

329

 

4%

 

22.6%

 

-5.2%

 

 

17.4%

 

280

 

3%

Cardiovascular, Metabolism & Endocrinology

 

3,050

 

35%

 

7.3%

 

-3.8%

 

 

3.4%

 

2,949

 

35%

thereof: Glucophage®

 

975

 

11%

 

5.9%

 

-3.7%

 

 

2.3%

 

954

 

11%

thereof: Concor®

 

625

 

7%

 

4.7%

 

-2.3%

 

 

2.4%

 

611

 

7%

thereof: Euthyrox®

 

653

 

8%

 

9.4%

 

-3.9%

 

 

5.4%

 

619

 

7%

thereof: Saizen®

 

388

 

5%

 

13.0%

 

-6.8%

 

 

6.2%

 

366

 

4%

Other

 

328

 

4%

 

 

 

 

 

 

 

 

 

280

 

3%

Healthcare

 

8,607

 

100%

 

3.7%

 

-4.1%

 

2.2%

 

1.8%

 

8,455

 

100%

1

Not defined by IFRS Accounting Standards.

  • The oncology drug Erbitux® (cetuximab) recorded strong organic sales growth in fiscal 2025, supported by the Latin America, Europe and Middle East and Africa regions in particular. Growth in these regions was driven by increased demand compared with the year-earlier period.

  • In immuno-oncology, the oncology drug Bavencio® (avelumab) recorded a decline in the mid-teen percentage range in the reporting period. This sales decline was attributable to reduced demand in North America in particular, but also in Asia-Pacific and Europe, as alternative treatment methods for patients with locally advanced or metastatic urothelial carcinoma were increasingly preferred.

  • The Rare Diseases franchise includes sales from the products Ogsiveo® (nirogacestat), which is used to treat progressing desmoid tumors, and Gomekli® (mirdametinib), which is the first and only medicine for both adults and children aged two years and older with NF1-associated plexiform neurofibromas (NF1-PN). Both products were gained as a result of the acquisition of SpringWorks Therapeutics, Inc., USA, (SpringWorks), on July 1, 2025, and have since contributed to our portfolio and overall growth. This is reflected in acquisition-related growth of 2.2% for Healthcare.

  • Mavenclad®, for the oral short-course treatment of highly active relapsing forms of multiple sclerosis (MS), generated organic sales growth in the high-teen percentage range in fiscal 2025, maintaining its blockbuster status for the third year in a row with net sales of more than US$ 1 billion. This favorable growth was driven primarily by increasing demand in North America and Europe.

  • Sales of the drug Rebif®, which is used to treat relapsing forms of MS, decreased organically in the low-twenties percentage range in fiscal 2025. This was attributable to the ongoing difficult competitive situation in the interferon market due to challenges from oral dosage forms and high-efficacy MS therapies.

  • Sales of the Fertility franchise remained around stable organically in fiscal 2025 compared with the year-earlier period. Gonal-f®, the leading recombinant hormone used in the treatment of infertility, saw a strong organic sales decline. This development was primarily influenced by the North America region. In the same period, Pergoveris®, which combines recombinant human follicle-stimulating hormone (r-hFSH) and recombinant human luteinizing hormone (r-hLH), posted organic sales growth in the low-twenties percentage range, to which all regions contributed.

  • The Cardiovascular, Metabolism & Endocrinology franchise, which commercializes drugs for the treatment of cardiovascular diseases, thyroid disorders, diabetes, and growth disorders, delivered strong organic sales growth in fiscal 2025 thanks to increased demand. The diabetes medicine Glucophage® posted solid sales growth, driven primarily by the Latin America and Asia-Pacific regions. The beta-blocker Concor® also saw solid organic sales growth, driven mainly by the Asia-Pacific region. The thyroid medicine Euthyrox® achieved strong organic sales growth compared with the year-earlier period, to which all regions except North America contributed. The product Saizen® for the treatment of various growth hormone disorders recorded organic sales growth in the low-teens percentage range compared with the year-earlier period. This was mainly influenced by the development in the Middle East and Africa, Latin America and Europe regions.

Healthcare

Product sales and organic growth1 of Mavenclad®, Erbitux® and Glucophage® by region – 2025

 

 

 

 

Total

 

Europe

 

North America

 

Asia-Pacific (APAC)

 

Latin America

 

Middle East and Africa (MEA)

Mavenclad®

 

€ million

 

1,194

 

423

 

635

 

19

 

69

 

48

 

Organic growth1

 

16.6%

 

13.3%

 

18.1%

 

-3.3%

 

31.9%

 

14.6%

 

Share

 

100%

 

35%

 

53%

 

2%

 

6%

 

4%

Erbitux®

 

€ million

 

1,176

 

483

 

 

476

 

138

 

79

 

Organic growth1

 

6.6%

 

5.5%

 

 

-1.3%

 

31.3%

 

24.9%

 

Share

 

100%

 

41%

 

 

40%

 

12%

 

7%

Glucophage®

 

€ million

 

975

 

142

 

 

509

 

229

 

95

 

Organic growth1

 

5.9%

 

2.5%

 

 

5.3%

 

14.1%

 

-3.2%

 

Share

 

100%

 

15%

 

 

52%

 

23%

 

10%

1

Not defined by IFRS Accounting Standards.

Net sales in the Healthcare business sector by region in 2025 developed as follows:

Healthcare

Net sales by region

 

 

 

 

 

 

 

 

€ million

 

2025

 

Share

 

Organic growth1

 

Exchange rate effects1

 

Acqui­sitions/divest­ments1

 

Total change

 

2024

 

Share

Europe

 

2,835

 

33%

 

4.6%

 

-0.7%

 

0.4%

 

4.3%

 

2,720

 

32%

North America

 

1,810

 

21%

 

-4.2%

 

-4.0%

 

10.0%

 

1.8%

 

1,778

 

21%

Asia-Pacific (APAC)

 

2,277

 

27%

 

3.0%

 

-4.3%

 

 

-1.2%

 

2,305

 

27%

Latin America

 

1,062

 

12%

 

13.1%

 

-12.5%

 

 

0.5%

 

1,056

 

11%

Middle East and Africa (MEA)

 

622

 

7%

 

9.4%

 

-4.8%

 

 

4.6%

 

595

 

7%

Healthcare

 

8,607

 

100%

 

3.7%

 

-4.1%

 

2.2%

 

1.8%

 

8,455

 

100%

1

Not defined by IFRS Accounting Standards.

The following table presents the composition of EBITDA pre in fiscal 2025 in comparison with 2024. The IFRS Accounting Standards figures have been modified to reflect the elimination of adjustments included in the functional costs.

Healthcare

Reconciliation EBITDA pre1

 

 

 

 

 

 

 

 

 

 

2025

 

2024

 

Change

€ million

 

IFRS

 

Elimination of adjust­ments

 

Pre1

 

IFRS

 

Elimination of adjust­ments

 

Pre1

 

Pre1

Net sales

 

8,607

 

 

8,607

 

8,455

 

 

8,455

 

1.8%

Cost of sales

 

-2,368

 

54

 

-2,314

 

-2,201

 

 

-2,201

 

5.2%

Gross profit

 

6,239

 

54

 

6,293

 

6,254

 

 

6,254

 

0.6%

Marketing and selling expenses

 

-1,832

 

62

 

-1,770

 

-1,713

 

3

 

-1,710

 

3.5%

Administration expenses

 

-355

 

32

 

-323

 

-313

 

12

 

-301

 

7.2%

Research and development costs

 

-1,661

 

34

 

-1,627

 

-1,503

 

9

 

-1,493

 

8.9%

Impairment losses and reversals of impairment losses on financial assets (net)

 

22

 

 

22

 

2

 

 

2

 

>100.0%

Other operating income and expenses

 

-248

 

229

 

-18

 

-247

 

110

 

-137

 

-86.6%

Operating result (EBIT)1

 

2,165

 

 

 

 

 

2,481

 

 

 

 

 

 

Depreciation/amortization/impairment losses/reversals of impairment losses

 

699

 

-197

 

502

 

540

 

-160

 

380

 

32.3%

EBITDA2

 

2,864

 

 

 

 

 

3,021

 

 

 

 

 

 

Restructuring expenses

 

65

 

-65

 

 

8

 

-8

 

 

 

Integration expenses/IT expenses

 

112

 

-112

 

 

11

 

-11

 

 

 

Gains (-)/losses (+) on the divestment of businesses

 

1

 

-1

 

 

-45

 

45

 

 

 

Acquisition-related adjustments

 

38

 

-38

 

 

 

 

 

 

Other adjustments

 

 

 

 

 

 

 

 

EBITDA pre1

 

3,080

 

 

3,080

 

2,995

 

 

2,995

 

2.8%

of which: organic growth1

 

 

 

 

 

 

 

 

 

 

 

 

 

11.5%

of which: exchange rate effects

 

 

 

 

 

 

 

 

 

 

 

 

 

-8.5%

of which: acquisitions/divestments

 

 

 

 

 

 

 

 

 

 

 

 

 

-0.1%

1

Not defined by IFRS Accounting Standards.

2

Not defined by IFRS Accounting Standards; EBITDA corresponds to operating result (EBIT) adjusted by depreciation, amortization, impairment losses, and reversals of impairment losses.

  • In fiscal 2025, gross profit after the elimination of adjustments remained around stable, whereas the gross margin, at 73.1% (2024: 74.0%), decreased slightly year-on-year.

  • After the elimination of adjustments, marketing and selling expenses increased moderately in the reporting period. Moreover, after eliminating adjustments in both cases, research and development costs and administration expenses increased significantly in fiscal 2025. This development was driven primarily by the additional follow-on costs resulting from the acquisition of SpringWorks. The continuous intensification of research and development projects caused an additional increase in research and development costs.

  • In fiscal 2025, the negative net balance of other operating expenses and income after eliminating adjustments declined considerably compared with the previous year. This was especially attributable to income of € 61 million from the sale of an intangible asset that entitles the holder to priority review by the U.S. Food and Drug Administration.

  • In fiscal 2025, EBITDA pre recorded an organic increase in the low-teens percentage range. However, strong negative foreign exchange effects meant that EBITDA pre increased moderately overall. In fiscal 2025, the EBITDA pre margin was 35.8% (2024: 35.4%) and thus remained around stable.

The development of EBITDA pre in the individual quarters in comparison with 2024 is presented in the following overview:

Healthcare

EBITDA pre1 and change by quarter2
€ million/change in %

Healthcare – EBITDA pre and change by quarter (Bar chart)
1 Not defined by IFRS Accounting Standards.
2 Quarterly breakdown unaudited.

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