Business Strategy & Outlook
Adept at partnerships and acquisitions, Bristol-Myers Squibb has built a strong portfolio of drugs and a robust pipeline. This strategy is seen with its large acquisition of Celgene, which netted the firm an excellent pipeline and a strong entrenchment in blood cancer. The strong overall pipeline helps support its wide moat. Bristol has created a strong pipeline and brought in partners to share the development costs and diversify the risks of clinical and regulatory failure. The cardiovascular partnership with Pfizer represents one of the most important partnerships, managing the blockbuster potential of Eliquis in atrial fibrillation. While Bristol discovered the drug internally, its strategic partnering decisions, as the moves reduce risks and lower development and marketing costs. Within the pipeline, the astute acquisition of Medarex helps secure Bristol’s strong first-mover advantage in cancer immunotherapy, which should yield several major blockbuster compounds.
Bristol’s PD-1 cancer drug Opdivo holds the potential to revolutionize cancer treatment and should drive multi-billion-dollar sales annually based on solid efficacy, combination potential with other drugs and strong pricing power. However, competition from Merck’s Keytruda will likely limit Opdivo in some segments of the market, including lung cancer. Bristol is aggressively repositioning itself to expand through challenging patent losses. The company has shed its diabetes business, medical imaging group, wound care division, and nutritional business in an effort to focus on the high-margin specialty drug group. The Celgene acquisition moves Bristol significantly further into the specialty pharmaceutical segment of the market. Celgene’s drugs largely target cancer, which tends to be an area with strong drug pricing power, which should help Bristol maintain its drug pricing ability in a time when both governments and private payers are pushing back on drug prices.
Financial Strengths
Following the Celgene acquisition, Bristol carries a fairly high debt load with close to $30 billion in net debt as of the end of 2021, but the debt/EBITDA to fall close to 1.3 times by 2023 based on the strong cash flows from several well-positioned cancer drugs. Bristol’s cash flows combined with Celgene’s cash flows should put the firm on solid financial footing before the worst of the patent losses, which begin in 2022-23. The firm continues to make small to midsize acquisitions, such as the recent $13 billion purchase of MyoKardia, as it needs to further build out its pipeline to drive long-term growth.
Bulls Say
- Bristol’s growth prospects are focused on new cancer indications for Opdivo and cardiovascular drug Eliquis, which holds leading efficacy data in the atrial fibrillation class.
- Oncology drug Opdivo holds the potential to radically shift the treatment paradigm in several cancer indications, which should result in peak sales of more than $10 billion annually.
- The majority of Bristol’s late-stage pipeline focuses on immunology and cancer–indications where the FDA aggressively approves drugs and which typically hold strong pricing power.
Company Description
Bristol-Myers Squibb discovers, develops, and markets drugs for various therapeutic areas, such as cardiovascular, cancer, and immune disorders. A key focus for Bristol is immuno-oncology, where the firm is a leader in drug development. Unlike some of its more diversified peers, Bristol has exited several non pharmaceutical businesses to focus on branded specialty drugs, which tend to support strong pricing power.
(Source: Morningstar)
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