Johnson & Johnson’s Next Growth Engine Is Taking Shape
Johnson & Johnson's oncology and immunology pipeline is firing on multiple cylinders, but a collapsing blockbuster drug and mounting litigation costs threaten to cancel out every gain. Here is whether the bull case or the headwinds win.
Johnson & Johnson (NYSE:JNJ | JNJ Price Prediction) trades at $270.26. The 24/7 Wall St. price target points to $311.49 over the next 12 months, which means 15.3% upside. Our model rates the stock a buy with 90% confidence, which is a high-conviction reading.

24/7 Wall St. Price Target Summary
| Metric | Value |
|---|---|
| Current Price | $270.26 |
| Price Target from 24/7 Wall St. | $311.49 |
| Upside/Downside | 15.3% |
| Recommendation | BUY |
| Confidence Level | 90% |
On September 25, J&J reported CARVYKTI infusion led to five-year treatment-free remissions in 50% of patients with early line multiple myeloma.
The same day, TREMFYA became the first and only IL-23 inhibitor to significantly improve spinal pain in axial psoriatic arthritis. Management says it has “line of sight to double-digit growth by the end of the decade.”
A 56% Rally Has J&J Knocking on Its Record High
Shares gained 56.4% over the past year and 32.69% year to date. The stock sits 3.8% below its 52-week high of $281.07.
July’s second-quarter report supported the run: sales reached $25.3 billion, up 5.6% operationally, and adjusted EPS of $2.90 rose 4.7%. Excluding STELARA, J&J grew at double-digit rates. Management raised adjusted operational EPS guidance to $11.50 to $11.65.
Oncology and Immunology Could Carry J&J to $357
Management expects J&J to become the No. 1 oncology company by 2030, with oncology sales above $50 billion. Last quarter, DARZALEX topped $4 billion, CARVYKTI grew 47.7% and TECVAYLI grew 56.1%. TREMFYA rose 71% to $2 billion, and more than 11,000 patients started oral psoriasis drug ICOTYDE.
Catalysts include a milvexian results, possible FDA clearance for the OTTAVA surgical robot and the DePuy Synthes separation targeted for mid-2027. Analysts lean positive with 5 Strong Buy and 11 Buy ratings against 1 Sell and consensus target of $277.91. Bulls see $357.69, a 32.4% gain.
Stelara Erosion and Litigation Could Stall the Rally
JNJ’s STELARA sales fell 59.7% to $656 million in Q1. Biosimilar competition cut second-quarter growth by about 460 basis points. Litigation charges were $330 million in Q1 2026, following $854 million in Q4 2025. Analysts lowered consensus fiscal 2026 EPS to $11.0733 from $11.5743 90 days ago.
Q1 free cash flow fell 55.42%, but management expects full-year free cash flow approaching $21 billion, above the $19.7 billion generated in 2025. A bear case of $264.49 means a fall of just 2.1%.
J&J Trades at a Premium to Merck and AbbVie for Good Reason
Merck (NYSE:MRK) is J&J’s most direct oncology rival, trading at 15 times forward earnings. KEYTRUDA sales rose 12% to $8.03 billion in Q1. The discount reflects concentration risk: KEYTRUDA makes up nearly half of pharmaceutical revenue as its patent expiration approaches.
AbbVie (NYSE:ABBV) competes through Skyrizi, which grew 24.4% to $5.505 billion last quarter. AbbVie trades at 16 times forward earnings with revenue up 10.2%. It offers a cheaper growth profile, though Humira’s fall mirrors J&J’s STELARA problem.
| Company | Forward P/E | Consensus Target |
|---|---|---|
| Johnson & Johnson | 21 | $277.91 |
| Merck | 15 | $153.65 |
| AbbVie | 16 | $278.61 |
J&J trades at a premium multiple, so further gains must come from earnings growth. Compared with these peers, the 24/7 Wall St. price target looks reasonable.
Pipeline Breadth Tips the Scale Toward J&J
The 24/7 Wall St. price target of $311.49 carries a buy rating and 90% confidence. Breadth tips the scale: 28 products and platforms each generate more than $1 billion annually.
The case strengthens if TREMFYA, ICOTYDE and myeloma drugs grow faster than STELARA declines heading into the December 8 Enterprise Business Review. The case weakens if litigation costs rise or the orthopaedics separation is delayed. J&J’s growth engine is working.
| Year | Price Target from 24/7 Wall St. |
|---|---|
| 2026 | $281.04 |
| 2027 | $311.78 |
| 2028 | $345.98 |
| 2029 | $372.01 |
| 2030 | $398.71 |
The projections depend on J&J continuing to execute on its current strategy. Milvexian trial results or a faster STELARA fall could drove the numbers well above or below these levels.
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