X0609 4 2026-03-19 0 0000874015 IONIS PHARMACEUTICALS INC IONS 0001838539 Schneider Eugene false C/O IONIS PHARMACEUTICALS 2855 GAZELLE CT CARLSBAD CA 92010 0 1 0 0 EVP, Chf Clinical Develop Ofcr 1 Common Stock 2026-03-19 4 S 0 5812 70.9715 D 63890 D Shares sold pursuant to a Rule 10b5-1 Trading Plan adopted by the reporting person on November 19, 2025. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $70.76 to $71.375 inclusive. The reporting person undertakes to provide to Ionis Pharmaceuticals, Inc. any security holder of Ionis Pharmaceuticals, Inc. or the staff of the Securities and Exchange Commission,upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (2) on this Form 4. Patrick R. O'Neil, attorney-in-fact For: Eugene Schneider 2026-03-23