Stock Analysis

AstraZeneca (LSE:AZN): Evaluating Valuation Strength After a 36% Total Shareholder Return

AstraZeneca (LSE:AZN) has seen its stock steadily climb over the past month, drawing attention from investors who are watching the company’s long-term growth. Recent performance figures point to an interesting valuation story.

See our latest analysis for AstraZeneca.

AstraZeneca’s strong 11.2% one-month share price return stands out, especially as the company has now delivered a total shareholder return of nearly 36% over the past year. The upward momentum suggests that investors are increasingly optimistic about its growth prospects and are reassessing the company’s valuation in light of recent developments.

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With shares reaching new highs, the question now is whether AstraZeneca remains undervalued given its performance, or if all future growth has already been factored into its price. Is there still a buying opportunity, or have markets already priced in the next chapter?

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Most Popular Narrative: 4.2% Undervalued

AstraZeneca’s fair value, according to the most followed narrative, is slightly above its latest close price. Investors are weighing new growth initiatives against rising competition and changing policy, which are reshaping the company’s outlook.

The company's robust and diversified late-stage pipeline, particularly in oncology, rare diseases, and cardiovascular/metabolic therapies, is set to deliver multiple blockbuster launches over the next several years. Management estimates these new medicines could generate $10+ billion in peak risk-adjusted revenue and directly support both long-term high-margin revenue growth and future earnings expansion.

Read the complete narrative.

Curious what bold projections justify today’s bullish stance? Hint: underlying the narrative are ambitious profit and revenue growth targets supported by confidence in margin expansion. Want to see which strategic plays anchor the future forecasts? Uncover the standout numbers and pivotal assumptions shaping this valuation outlook.

Result: Fair Value of $145.43 (UNDERVALUED)

Have a read of the narrative in full and understand what's behind the forecasts.

However, impending patent expirations and growing regulatory pressures could challenge AstraZeneca’s growth story if key medicines face stiff competition or if pricing reforms emerge.

Find out about the key risks to this AstraZeneca narrative.

Another View: Multiples Tell a Different Story

While the fair value approach points to AstraZeneca being undervalued, a look at its price-to-earnings ratio gives pause. At 30.1 times earnings, the shares are far more expensive than both industry peers (23.8x) and the sector average (13.2x). This suggests investors are willing to pay a premium. Even compared to the fair ratio of 31.5x, the current price is high, which raises the risk of disappointment if growth slows. Is this premium justified, or could expectations be running ahead of reality?

See what the numbers say about this price — find out in our valuation breakdown.

LSE:AZN PE Ratio as at Nov 2025
LSE:AZN PE Ratio as at Nov 2025

Build Your Own AstraZeneca Narrative

If you think this perspective doesn't capture the full story or you prefer to dive into the numbers yourself, you can easily build your own narrative in just a few minutes. Do it your way.

A great starting point for your AstraZeneca research is our analysis highlighting 3 key rewards and 2 important warning signs that could impact your investment decision.

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This article by Simply Wall St is general in nature. We provide commentary based on historical data and analyst forecasts only using an unbiased methodology and our articles are not intended to be financial advice. It does not constitute a recommendation to buy or sell any stock, and does not take account of your objectives, or your financial situation. We aim to bring you long-term focused analysis driven by fundamental data. Note that our analysis may not factor in the latest price-sensitive company announcements or qualitative material. Simply Wall St has no position in any stocks mentioned.

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