Eli Lilly and CompanyOrforglipron net price commentary could show accelerated price decline from 13% in Q1, impacting Mounjaro/Zepbound franchise.
The Health Care Select Sector SPDR ETF sits at $149, down 3% year-to-date but up 14% over the past year, with its 2026 performance hinging on two specific factors. A 15% cap on pharmaceutical imports in recent US bilateral trade deals is lifting the policy discount that compressed XLV multiples in 2025, though any reversal would hit Merck and AbbVie hardest given KEYTRUDA's roughly $8 billion quarterly run rate and AbbVie's reliance on Skyrizi and Rinvoq pricing. Eli Lilly, the fund's largest holding with a nearly $1 trillion market cap, saw its Mounjaro and Zepbound franchise drive 65% of Q1 revenue, making the orforglipron net price commentary on Lilly's early August earnings call the single most important data point for XLV holders this summer. Lilly posted 65% volume growth against a 13% realized price decline in Q1, and if insurer formularies force aggressive rebates on the newly approved oral GLP-1 Foundayo, the price decline could accelerate and re-rate the fund's largest constituent lower.
Eli Lilly and CompanyOrforglipron net price commentary could show accelerated price decline from 13% in Q1, impacting Mounjaro/Zepbound franchise.
AbbVie IncReversal of 15% import cap would hit AbbVie hardest due to Skyrizi and Rinvoq pricing.
Merck & Company IncReversal of 15% import cap would hit Merck hardest due to KEYTRUDA's $8B quarterly run rate.
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NVIDIA Corporation
Merck KGaA
UnitedHealth Group Incorporated