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Gilead Sciences, Inc.

GILD · NASDAQ Global Select Market

Market cap (USD)$156.7B
SectorHealthcare
IndustryDrug Manufacturers - General
CountryUS
Data as of
Moat score
76/ 100

Weighted average of segment moat scores, combining moat strength, durability, confidence, market structure, pricing power, and market share.

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Overview

Gilead is a biopharmaceutical company with Q1 2026 product sales concentrated in HIV (~72%), plus oncology, liver disease, Veklury and mature products. The HIV moat is Biktarvy’s de facto clinical-standard position plus time-bounded patent protection, including 2036 settlement timing for certain U.S. generic entrants; generic clinical competition factors did not prove separate patient switching costs. Oncology retains cell-therapy manufacturing know-how, but required treatment sites, REMS programs and an acquired pipeline filing were not separate moats. Liver disease retains patent protection. Veklury and Other have no durable moat under the available evidence. Key pressures are Medicare negotiation, patent cliffs, rebates, modality competition and oncology execution.

Primary segment

HIV

Market structure

Oligopoly

Market share

HHI:

Coverage

5 segments · 8 tags

Updated 2026-07-12

Segments

HIV

HIV treatment and prevention medicines (antiretroviral therapy and PrEP)

Revenue

72.4%

Structure

Oligopoly

Pricing

moderate

Share

Peers

GSKJNJMRK

Oncology (Cell Therapy + Trodelvy)

Oncology therapeutics focused on CAR T-cell therapy and antibody-drug conjugates (ADC)

Revenue

11.6%

Structure

Oligopoly

Pricing

moderate

Share

Peers

BMYNVSJNJAZN

Liver Disease

Liver disease therapeutics (viral hepatitis and cholestatic liver disease)

Revenue

11%

Structure

Oligopoly

Pricing

weak

Share

Peers

ABBVMRK

Veklury (Remdesivir)

Hospital antiviral therapies for COVID-19

Revenue

2.1%

Structure

Competitive

Pricing

weak

Share

Peers

PFEMRK

Other Products

Other specialty and legacy therapeutics (e.g., antifungals, PAH, other mature products)

Revenue

2.8%

Structure

Competitive

Pricing

weak

Share

Peers

PFENVS

Moat Claims

HIV

HIV treatment and prevention medicines (antiretroviral therapy and PrEP)

Revenue_share computed from Q1 2026 product sales in the earnings release: HIV $5,032m / total product sales $6,946m. Current proxy supports HIV leadership but does not provide a numeric Biktarvy treatment market share, so the prior share estimate was removed.

Oligopoly

De Facto Standard

Network

Strength

Strength 4 of 5

Durability

Durability 3 of 3

Confidence

Confidence 4 of 5

Evidence

Evidence 1 of 5

Biktarvy's position as the most-prescribed HIV treatment regimen makes it a de facto clinical standard, reinforced by broad use and payer access.

De Facto Standard moat: definition, examples, and stocks

Erosion risks

  • Competitor long-acting regimens (e.g., injectable treatment/PrEP) gaining share
  • Generic entry after patent expiry
  • Payer/formulary actions increasing rebates or steering to alternatives

Leading indicators

  • Biktarvy and overall HIV portfolio market share trends
  • Net realized price and gross-to-net deductions
  • Guideline placement and new-start share

Counterarguments

  • High-performing alternatives (including long-acting options) can shift prescriber behavior
  • Formulary restrictions can override prescriber preference

IP Choke Point

Legal

Strength

Strength 4 of 5

Durability

Durability 2 of 3

Confidence

Confidence 4 of 5

Evidence

Evidence 2 of 5

Patents and regulatory exclusivities (and related litigation/settlements) delay generic entry for major HIV products, though timing is finite and litigated.

IP Choke Point moat: definition, examples, and stocks

Erosion risks

  • Adverse court rulings or settlements enabling earlier generic entry
  • Patent expirations and loss of exclusivity cycles
  • Regulatory actions affecting exclusivity or pricing

Leading indicators

  • Key patent litigation milestones and outcomes
  • Patent expiry timelines for core HIV products
  • Generic or authorized-generic launches

Counterarguments

  • Strong brands can still see rapid erosion when generics enter
  • Competitors can innovate around patents with new mechanisms or delivery

Oncology (Cell Therapy + Trodelvy)

Oncology therapeutics focused on CAR T-cell therapy and antibody-drug conjugates (ADC)

Revenue_share computed from Q1 2026 product sales in the earnings release: Cell Therapy $407m plus Trodelvy $402m / total product sales $6,946m. Trodelvy grew 37% year over year, while cell therapy sales fell 12% from competitive headwinds.

Oligopoly

Capex Knowhow Scale

Supply

Strength

Strength 4 of 5

Durability

Durability 2 of 3

Confidence

Confidence 3 of 5

Evidence

Evidence 1 of 5

Scaled cell therapy manufacturing know-how (speed, reliability) is a differentiator; faster turnaround can expand treatable patients and clinician preference.

Capex Knowhow Scale moat: definition, examples, and stocks

Erosion risks

  • Manufacturing disruptions or capacity constraints
  • Process improvements adopted by competitors
  • Technology shifts to off-the-shelf or in-vivo approaches

Leading indicators

  • Turnaround time and capacity expansion disclosures
  • Regulatory inspection outcomes for manufacturing sites
  • Adoption of next-generation products/indications

Counterarguments

  • Turnaround time alone may not determine choice if efficacy/safety differs
  • Next-gen therapies could reset learning curves and reduce incumbency advantages

Liver Disease

Liver disease therapeutics (viral hepatitis and cholestatic liver disease)

Revenue_share computed from Q1 2026 product sales in the earnings release: Liver Disease $767m / total product sales $6,946m. Q1 growth reflected higher Livdelzi demand offset by inventory dynamics and lower HCV sales.

Oligopoly

IP Choke Point

Legal

Strength

Strength 3 of 5

Durability

Durability 2 of 3

Confidence

Confidence 3 of 5

Evidence

Evidence 1 of 5

Patents and settlement agreements around TAF support exclusivity defense for products including Vemlidy, but this protection is time-bounded.

IP Choke Point moat: definition, examples, and stocks

Erosion risks

  • Loss of exclusivity for core components
  • Generic/authorized-generic launches
  • Competitor innovation in HBV/HDV/PBC

Leading indicators

  • Key patent expiry and litigation milestones
  • Net price trajectory for Vemlidy and other liver products
  • Competitor trial readouts and approvals

Counterarguments

  • IP has a finite timeline; erosion can be rapid post-LOE
  • Novel competitors can leapfrog legacy mechanisms

Veklury (Remdesivir)

Hospital antiviral therapies for COVID-19

Revenue_share computed from Q1 2026 product sales in the earnings release: Veklury $144m / total product sales $6,946m. Veklury sales fell 52% year over year due to lower COVID-19 hospitalization rates. Six months of pediatric exclusivity is too short and fragile to assign a durable moat.

Competitive

Insufficient segment-specific evidence to assign a moat claim.

Other Products

Other specialty and legacy therapeutics (e.g., antifungals, PAH, other mature products)

Revenue_share computed as residual Q1 2026 product sales: total product sales $6,946m less HIV, Oncology, Liver Disease and Veklury = $194m. A proprietary formulation description without evidence of protected exclusivity or durable preference was not treated as a brand moat.

Competitive

Insufficient segment-specific evidence to assign a moat claim.

Evidence

sec_filing

Biktarvy is the most-prescribed HIV treatment regimen

Proxy statement describes Biktarvy as the most-prescribed HIV regimen with over one million users and notes Yeztugo reached about 90% U.S. payer coverage by year-end 2025.

sec_filing

Patents and other proprietary rights are very important

The 10-K emphasizes reliance on patents and proprietary rights to protect key products.

sec_filing

no generic entry by the parties

The 10-K discloses settlement agreements with generic manufacturers that delay U.S. Biktarvy generic entry for those parties until 2036, subject to acceleration provisions.

sec_filing

The 10-K highlights that quality, reliability and speed are critical in cell therapy manufacturing, underscoring the operational barrier.

sec_filing

The 10-K discusses agreements settling patent litigation to protect TAF across multiple products, including Vemlidy.

Risks & Indicators

Erosion risks

  • Competitor long-acting regimens (e.g., injectable treatment/PrEP) gaining share
  • Generic entry after patent expiry
  • Payer/formulary actions increasing rebates or steering to alternatives
  • Adverse court rulings or settlements enabling earlier generic entry
  • Patent expirations and loss of exclusivity cycles
  • Regulatory actions affecting exclusivity or pricing

Leading indicators

  • Biktarvy and overall HIV portfolio market share trends
  • Net realized price and gross-to-net deductions
  • Guideline placement and new-start share
  • Key patent litigation milestones and outcomes
  • Patent expiry timelines for core HIV products
  • Generic or authorized-generic launches

Keep the research going

Created 2025-12-30
Updated 2026-07-12

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