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Shareholders in pharmaceutical companies make money through dividends and capital appreciation. Dividends are payments made by the company to shareholders out of its profits, while capital appreciation refers to an increase in the value of the shares over time. This can happen if the company's financial performance improves, or if investors become more optimistic about the company's future prospects. Additionally, pharmaceutical companies generate revenue by selling drugs, and if these drugs are successful in the market, the company's profits and stock price may increase. This can lead to an increase in the value of shares held by shareholders, and potentially higher dividends.