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Top Healthcare Stocks by Gross Margin

Top healthcare companies ranked by gross margin, latest annual filings.

What Gross Margin Means for Healthcare Companies

Gross margin in healthcare spans a wider range than almost any other sector, because the category mixes branded pharmaceutical makers, generic manufacturers, medical device firms, biotech labs, hospitals, insurers, and distributors, each with very different cost bases. Branded drug developers tend to show high gross margins thanks to patent-protected pricing, while generic producers and healthcare distributors work on much thinner gross economics dominated by volume.

Why It Matters in Healthcare

In branded pharma and specialty devices, a durable gross margin often reflects regulatory moats, patent protection, or clinical differentiation that lets the firm set price rather than take it. In generics, distribution, and services, gross margin is compressed and the business competes on throughput. It is worth noting that payer mix, rebates, and contract structures can move reported gross margin period to period in ways that obscure the underlying economics, especially around list-to-net adjustments.

What to Read Alongside

Pair gross margin with Revenue to frame the commercial scale behind the margin, Operating Margin to account for research spend that weighs heavily on drug developers, and Net Margin for the bottom-line view.

Data as of FY 2025 60 companies Rhea AI
# Symbol Company Sector
1 EXEL Exelixis, Inc. Healthcare 96.39% $13.49B
2 NVAX Novavax, Inc. Healthcare 93.50% $1.53B
3 INCY Incyte Corporation Healthcare 92.76% $25.21B
4 UTHR United Therapeutics Corporation Healthcare 87.92% $22.11B
5 ALKS Alkermes plc Healthcare 86.69% $7.95B
6 VRTX Vertex Pharmaceuticals Incorporated Healthcare 86.24% $137.30B
7 HALO Halozyme Therapeutics, Inc. Healthcare 83.62% $11.96B
8 LLY Eli Lilly and Company Healthcare 83.04% $1047.00B
9 ALNY Alnylam Pharmaceuticals, Inc. Healthcare 81.77% $31.73B
10 INDV Indivior Pharmaceuticals, Inc. Healthcare 80.23% $4.12B
11 GILD Gilead Sciences, Inc. Healthcare 78.83% $180.64B
12 EW Edwards Lifesciences Corporation Healthcare 78.01% $52.00B
13 BMRN BioMarin Pharmaceutical Inc. Healthcare 77.73% $12.52B
14 BIIB Biogen Inc. Healthcare 75.69% $32.28B
15 VEEV Veeva Systems Inc. Healthcare 75.53% $44.80B
16 MRK Merck & Co., Inc. Healthcare 74.80% $366.00B
17 PFE Pfizer Inc. Healthcare 74.33% $159.36B
18 HIMS Hims & Hers Health, Inc. Healthcare 73.84% $6.73B
19 ZTS Zoetis Inc. Healthcare 71.84% $31.96B
20 PODD Insulet Corporation Healthcare 71.63% $10.07B
21 BMY Bristol-Myers Squibb Company Healthcare 71.08% $136.00B
22 ABBV AbbVie Inc. Healthcare 70.24% $469.68B
23 ZBH Zimmer Biomet Holdings, Inc. Healthcare 69.71% $19.25B
24 HQY HealthEquity, Inc. Healthcare 69.52% $7.97B
25 BSX Boston Scientific Corporation Healthcare 69.01% $67.88B
26 WAY Waystar Holding Corp. Healthcare 68.33% $5.03B
27 JNJ Johnson & Johnson Healthcare 67.88% $645.95B
28 LIVN LivaNova PLC Healthcare 67.71% $4.43B
29 GMED Globus Medical, Inc. Healthcare 67.41% $11.14B
30 AMGN Amgen Inc. Healthcare 67.25% $233.78B
31 ALGN Align Technology, Inc. Healthcare 67.19% $11.19B
32 PEN Penumbra, Inc. Healthcare 67.14% $12.67B
33 ILMN Illumina, Inc. Healthcare 66.08% $32.55B
34 ISRG Intuitive Surgical, Inc. Healthcare 66.00% $131.63B
35 TECH Bio-Techne Corporation Healthcare 65.77% $11.35B
36 COO The Cooper Companies, Inc. Healthcare 65.54% $13.88B
37 MDT Medtronic plc Healthcare 65.02% $116.77B
38 SYK Stryker Corporation Healthcare 63.96% $126.84B
39 EMBC Embecta Corp. Healthcare 62.64% $0.29B
40 QGEN Qiagen N.V. Healthcare 62.18% $8.90B
41 MASI Masimo Corporation Healthcare 61.90% $9.42B
42 IDXX IDEXX Laboratories, Inc. Healthcare 61.80% $43.72B
43 LNTH Lantheus Holdings, Inc. Healthcare 61.10% $6.58B
44 RMD ResMed Inc. Healthcare 61.06% $34.67B
45 TRLV Trulieve Cannabis Corp. Healthcare 60.21% $2.28B
46 DXCM DexCom, Inc. Healthcare 60.10% $34.27B
47 MTD Mettler-Toledo International Inc. Healthcare 59.37% $28.02B
48 WAT Waters Corporation Healthcare 59.28% $40.74B
49 DHR Danaher Corporation Healthcare 59.11% $151.89B
50 HAE Haemonetics Corporation Healthcare 59.04% $4.73B
51 ABT Abbott Laboratories Healthcare 56.42% $200.95B
52 TFX Teleflex Incorporated Healthcare 56.24% $5.92B
53 SHC Sotera Health Company Healthcare 55.48% $5.50B
54 ELAN Elanco Animal Health Incorporated Healthcare 54.99% $12.05B
55 PBH Prestige Consumer Healthcare Inc. Healthcare 54.71% $2.49B
56 NVST Envista Holdings Corporation Healthcare 54.67% $4.36B
57 CNMD CONMED Corporation Healthcare 54.59% $1.50B
58 MMED MiniMed Group, Inc. Healthcare 54.16% $5.66B
59 SOLV Solventum Corporation Healthcare 53.47% $15.51B
60 OGN Organon & Co. Healthcare 53.30% $3.61B

How this ranking is built

Companies are ranked by gross margin as reported in their most recent annual filing with the SEC. Figures shown are in US dollars (or percent, as noted), rounded to two decimals.

  • Source: annual 10-K / 20-F filings from companies trading on US exchanges (NYSE, Nasdaq, AMEX).
  • Fiscal year: whichever annual period the company has most recently filed. Fiscal years don't always align with the calendar year, so the "as of FY" stamp above reflects the most common year across the table.
  • Filtered out: warrants, preferred shares, and duplicate listings that share a parent company's financials.
  • Update cadence: refreshed as companies file new annual reports (typically within 60–90 days of fiscal year end).

Not financial advice. This is a research tool, not a recommendation.