Vertex earns almost all of its revenue from product sales of patented specialty medicines. Cystic fibrosis is the base: TRIKAFTA/KAFTRIO, the newer once-daily ALYFTREK, and older modulators such as KALYDECO, ORKAMBI, and SYMDEKO are sold to a relatively small, well-defined patient population at high per-patient prices that are negotiated with US payers and national health systems. Newer revenue comes from CASGEVY, the CRISPR-edited cell therapy for sickle cell disease and transfusion-dependent beta thalassemia that Vertex co-owns with CRISPR Therapeutics and delivers through authorized treatment centers, from JOURNAVX (suzetrigine), a non-opioid pill for moderate-to-severe acute pain, and, since September 2026, from PALSONIFY for acromegaly, acquired with Crinetics. Cash flow from cystic fibrosis funds a large R&D budget and acquisitions such as Alpine Immune Sciences (2024) and Crinetics (2026).