"Provisions of the U.S. health-care overhaul law, including one that increases fees paid by drugmakers, cost Amgen $33 million in the first quarter and will increase costs by $200 million to $250 million this year, said George Morrow, the company’s executive vice president for global operations, in a conference call with analysts. The company won’t benefit from greater numbers of Americans being covered by health insurance until 2014, he said."
So far, NVS is the only Big Pharma that hasn’t lowered sales and EPS guidance to account for ObamaCare. Why hasn’t it? Simple arithmetic: 60% of NVS’ sales come from the pharma division and only one-third half of that comes from the US
The other side of the coin - NVS is much more exposed to Europe/Euro and might face headwind from the crisis there.