Eli Lilly has delivered a powerful statement with its latest financial results, sharply contrasting with recent warnings from its key competitor. The pharmaceutical giant not only surpassed all expectations for the fourth quarter but also significantly raised its long-term outlook, reinforcing its commanding position in the lucrative weight-loss and diabetes drug market.
Soaring Revenue and Profits Exceed Forecasts
The company’s financial performance for Q4 2025 was nothing short of exceptional. Revenue surged by 43% to reach $19.3 billion, a figure that comfortably exceeded analyst estimates of just under $18 billion. Profitability metrics were equally impressive, with adjusted earnings per share climbing 42% year-over-year to $7.54. This result significantly outperformed the consensus forecast of $6.67 per share.
This explosive growth is primarily fueled by the company’s GLP-1 agonist medications. Global revenue for the diabetes treatment Mounjaro doubled, hitting $7.4 billion. Even more dramatic was the performance of the anti-obesity drug Zepbound in the U.S. market, where sales skyrocketed by 122% to $4.2 billion. A substantial increase in volume more than compensated for a slight decline in the average realized price for these therapies.
Ambitious Guidance Underscores Confidence
Management’s outlook for the full 2026 fiscal year reflects considerable optimism. The company issued a revenue forecast ranging from $80 to $83 billion, well ahead of the Wall Street consensus estimate of $77.6 billion. Similarly, the earnings per share guidance of $33.50 to $35.00 sits above the range anticipated by market experts.
Should investors sell immediately? Or is it worth buying Eli Lilly?
A potential catalyst for the stock in the near term is the anticipated launch of the oral weight-loss drug, Orforglipron. A U.S. market introduction is scheduled for the second quarter of 2026, pending FDA approval expected in April. An orally administered alternative is viewed as a significant competitive advantage, likely appealing to a broader patient base than injectable treatments.
A Study in Competitive Contrast
The quarterly report sends a clear message of resilience, particularly when viewed alongside recent updates from rivals. Just one day before Eli Lilly’s announcement, Danish competitor Novo Nordisk cautioned investors about potential revenue declines for 2026. Market strategists interpret this divergence as evidence that Eli Lilly is better positioned to navigate intense competition and pricing pressures within the U.S. healthcare system while maintaining profitable expansion.
These results solidify the company’s landmark achievement from November 2025, when it became the first pharmaceutical firm to reach a $1 trillion market capitalization. The combination of a robust drug pipeline and a consistent ability to outperform expectations appears to be cementing the company’s market leadership for the foreseeable future.
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