Eli Lilly Raises 2026 Guidance to $82B-$85B as Novo Nordisk Guides to Sales Decline and Cuts 9,000 Jobs

Earnings Impact 4
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Summary · why it matters

Eli Lilly raised its 2026 revenue guidance to between $82 billion and $85 billion after first-quarter results showed Mounjaro sales surging 125% to $8.66 billion and Zepbound climbing 80% to $4.16 billion, while Novo Nordisk guided to an adjusted sales decline of 4% to 12% at constant currency and announced roughly 9,000 job cuts. Novo’s headline revenue of $96.82 billion included a $4.20 billion non-cash reversal of a US 340B provision, and stripping that out left adjusted sales down 4% at constant exchange rates, with Ozempic falling 8% to $27.83 billion. The company pre-announced list price cuts of roughly 50% for Wegovy and 35% for Ozempic effective January 1, 2027, capping future cash flow but protecting volume, and its once-marquee follow-on CagriSema was terminated as a co-formulation after missing its primary endpoint. Lilly’s first quarter also featured the launch of Foundayo, the first approved GLP-1 pill with no food or water restrictions, and the company announced four acquisitions while Novo trades at a price-to-earnings ratio near 12 with a 3% dividend.

Impact on stocks 3

Biotech & Genomic Medicine± Mixed · 3 stocks
Eli Lilly and Company
LLY
▲ PositiveDemandrelevance

Mounjaro and Zepbound sales surge 125% and 80%, driving raised 2026 guidance.

Novo Nordisk A/S
NOV
▼ NegativeDemandrelevance

Guides to sales decline, Ozempic falls 8%, and CagriSema terminated after missing endpoint.

Theme Impact 1

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