Novartis is one of the world's largest drugmakers by sales and the larger of Basel's two pharmaceutical groups alongside Roche. Created by the 1996 merger of Ciba-Geigy and Sandoz, it shed eye care (Alcon, 2019) and generics (Sandoz, 2023) and now sells only innovative medicines. Its best-known products include Entresto for heart failure, Cosentyx for psoriasis and arthritis, Kisqali for breast cancer, Kesimpta for multiple sclerosis and Pluvicto for prostate cancer. The company is headquartered in Basel, Switzerland.
Novartis earns almost all of its revenue by selling patented prescription medicines to wholesalers, hospitals, pharmacies and national health systems in about 140 countries. FY2025 net sales of $54.5 billion came from four core areas (cardiovascular-renal-metabolic, immunology, neuroscience and oncology) plus established brands. The model depends on reinvesting roughly a fifth of sales into R&D and acquisitions so that new launches replace drugs losing exclusivity. Since the 2023 Sandoz spin-off, Novartis has no generics business; it also earns smaller "other revenues" (about $2.1 billion in 2025) from royalties and milestones.