Report date: 2026-06-07
Analysis focus
Provide a balanced, comprehensive analysis: fundamentals and valuation, the Wall Street view, technical posture, and the key forward risks and catalysts.
Summary
Findings (16)
Q1 2026 revenue was $19.8B, up 56% YoY, with non-GAAP EPS of $8.55 (up ~156% YoY) and GAAP EPS of $8.26, beating consensus near $6.85.
High confidenceLilly's own press release confirms $19.8B revenue (+56%), GAAP EPS $8.26, non-GAAP EPS $8.55; multiple outlets corroborate the 56% growth and the EPS beat versus a ~$6.85 estimate.
Mounjaro Q1 2026 global sales were ~$8.7B (up ~125% YoY) and Zepbound U.S. sales were ~$4.1B (up ~79%); combined GLP-1 revenue was ~$12.8B, adding ~$6.7B of YoY growth.
High confidenceThe Lilly release lists Mounjaro $8.7B (+125%) and Zepbound $4.1B U.S. (+79%); TIKR and other coverage report combined $12.8B and ~$6.7B of incremental growth, with GLP-1 now ~65% of revenue.
Lilly raised full-year 2026 guidance to revenue of $82-85B and non-GAAP EPS of $35.50-37.00, with performance margin guided to 47.0-48.5%.
High confidenceThe press release shows revenue raised to $82-85B (from $80-83B), non-GAAP EPS to $35.50-37.00, and performance margin to 47.0-48.5%; multiple outlets confirm the raise.
Q1 2026 gross margin was approximately 82% (81.9% in the release; ~82.8% on a TTM basis), among the highest in large-cap pharma.
High confidenceLilly reported gross margin of 81.9% of revenue for Q1 2026 (down 0.6 pp); StockAnalysis lists a TTM gross margin of ~82.8%.
The FDA approved Foundayo (orforglipron), Lilly's once-daily oral GLP-1 pill for chronic weight management, which can be taken any time of day without food or water restrictions.
High confidenceLilly's investor release and AJMC confirm FDA approval of orforglipron (brand Foundayo) for obesity/overweight with comorbidity, marketed as the only GLP-1 pill without food/water timing restrictions.
Orforglipron beat oral semaglutide head-to-head in type 2 diabetes (ACHIEVE-3, n=1,698), delivering superior A1C and weight reduction across primary and key secondary endpoints.
High confidenceLilly's release on ACHIEVE-3 reports superiority over oral semaglutide on A1C and weight; AJMC corroborates the head-to-head win across primary and all key secondary endpoints in the 52-week, 1,698-patient trial.
Orforglipron's weight-loss efficacy (~12% at the highest dose) trails injectable tirzepatide (~20%+) and Novo's semaglutide injectable (~14%), positioning the pill on convenience/scale rather than peak efficacy.
Medium confidenceGoodRx cites ~12% average weight loss for orforglipron at top dose over 72 weeks vs 20%+ for injectables; 24/7 Wall St notes tirzepatide delivers ~20% body-weight reduction vs ~14% for semaglutide. Exact figures vary by trial/duration.
LLY traded around $1,123-1,133 in early June 2026, closing at a record $1,131.42 on June 5 and hitting a fresh all-time intraday high of $1,166.29 on June 7; 52-week range is roughly $624-$1,166.
High confidenceStockAnalysis and MarketBeat list the June 5 close at ~$1,131-1,133; a search of recent data shows June 7 intraday high of $1,166.29 with shares near $1,123, and a 52-week low near $623.78.
LLY is up roughly 42-48% over the trailing twelve months but modestly negative year-to-date (~-3%).
Medium confidenceStockAnalysis cites a 52-week change of +47.74%; Public reports ~+41.84% over the past year and a YTD total return of -3.03%. The 1Y figure drifts with the measurement window.
Price sits well above its 50-day MA (~$973) and 200-day MA (~$948), a bullish moving-average alignment.
Medium confidenceStockAnalysis lists a 50-day MA of $973.02 and 200-day MA of $947.62; Investing.com shows the price above both. Some vendors show stale/lagged MA values around $930-1,030, reflecting different update dates.
14-day RSI in early June 2026 was broadly neutral, with vendor readings ranging from the mid-30s to low-50s.
Low confidenceSources reported RSI values of ~36, ~46.7 and ~51.7 in early June; the spread reflects differing snapshot times. None indicate overbought (>70) conditions.
Valuation is premium: trailing P/E ~40x and forward P/E ~30x; PEG estimates are contested, ranging from ~0.30 to ~1.40 across vendors.
Medium confidenceStockAnalysis lists trailing P/E 40.19 and forward P/E 30.34 with PEG 1.40; GuruFocus cites PEG 1.21 and FinanceCharts ~0.30. PEG varies widely with the growth-rate input, so it is treated as contested.
Analyst consensus is Buy/Moderate Buy across ~30-31 analysts, with an average 12-month target around $1,215-1,265 and a range from roughly $850 to $1,400-1,500.
High confidenceMarketBeat shows Moderate Buy (30 analysts), avg target $1,227 (high $1,400, low $850); StockAnalysis shows Buy, avg $1,215, median $1,251, range $850-$1,500 across 31 analysts.
Under most-favored-nation deals with the Trump administration, tirzepatide is sold at ~$346/month average via TrumpRx and ~$245/month for Medicare patients (with a $50 copay), pressuring realized prices.
Medium confidencePharmacy Times details TrumpRx tirzepatide at ~$346/month and Medicare at $245/month with $50 copay; Lilly's Q1 release notes growth was partially offset by lower realized prices on obesity/diabetes drugs. Exact net-price impact is not disclosed.
Competition is intensifying: Novo launched an oral Wegovy in January 2026 (~50,000 weekly scripts) and is down to ~40% GLP-1 share vs Lilly's ~60%, while Amgen and Roche advance obesity candidates.
Medium confidence24/7 Wall St reports Lilly ~60% vs Novo ~40% share and Novo's oral Wegovy at ~50,000 weekly scripts; CNBC documents Novo's decline. Share figures are estimates and vary by segment (diabetes vs obesity).
Lilly is funding capacity with a U.S. manufacturing build-out exceeding $50B since 2020, including a $3.5B Lehigh Valley (PA) injectables plant and a $1.2B Puerto Rico oral-solids site, both with construction beginning in 2026.
High confidenceLilly's releases and BioPharma Dive confirm planned U.S. capex exceeding $50B since 2020, with $27B in new investment for four facilities, plus the $3.5B PA and $1.2B Puerto Rico sites breaking ground in 2026.
Sources (39)
- https://www.prnewswire.com/news-releases/lilly-reports-first-quarter-2026-financial-results-raises-full-year-guidance-and-highlights-momentum-of-new-medicines-302758113.htmlfundamentalsPrimary
- https://investor.lilly.com/news-releases/news-release-details/lilly-reports-first-quarter-2026-financial-results-raises-fullfundamentalsPrimary
- https://www.tikr.com/blog/eli-lilly-reports-19-8b-q1-revenue-as-glp-1-sales-surge-56-year-over-yearfundamentalsSecondary
- https://www.pharmaceutical-technology.com/news/eli-lilly-lifts-2026-revenue-guidance-as-q1-marks-dominant-opening/fundamentalsSecondary
- https://www.alphaspread.com/market-news/earnings/eli-lilly-rises-after-q1-earnings-beat-and-higher-2026-outlook-on-strong-mounjaro-and-zepbound-demandfundamentalsSecondary
- https://www.heygotrade.com/en/news/eli-lilly-q1-2026-mounjaro-zepbound-guidance-raise/fundamentalsSecondary
- https://finance.yahoo.com/sectors/healthcare/articles/eli-lilly-q1-2026-earnings-111020291.htmlfundamentalsSecondary
- https://www.sec.gov/Archives/edgar/data/0000059478/000005947826000043/q126lillysalesandearningsp.htmfundamentalsPrimary
- https://www.sec.gov/Archives/edgar/data/0000059478/000005947826000045/lly-20260331.htmfundamentalsPrimary
- https://investor.lilly.com/news-releases/news-release-details/fda-approves-lillys-foundayotm-orforglipron-only-glp-1-pillfundamentalsPrimary
- https://investor.lilly.com/news-releases/news-release-details/lillys-oral-glp-1-orforglipron-delivered-superior-blood-sugarfundamentalsPrimary
- https://investor.lilly.com/news-releases/news-release-details/lillys-oral-glp-1-orforglipron-demonstrated-statisticallyfundamentalsPrimary
- https://investor.lilly.com/news-releases/news-release-details/lillys-oral-glp-1-orforglipron-demonstrated-superior-glycemicfundamentalsPrimary
- https://www.ajmc.com/view/fda-approves-lilly-s-oral-glp-1-orforglipron-for-obesityfundamentalsSecondary
- https://www.goodrx.com/conditions/weight-loss/orforglipron-danuglipron-new-weight-loss-drugfundamentalsSecondary
- https://www.managedhealthcareexecutive.com/view/could-orforglipron-reshape-the-glp-1-market-fundamentalsSecondary
- https://investor.lilly.com/news-releases/news-release-details/lilly-plans-more-double-us-manufacturing-investment-2020fundamentalsPrimary
- https://www.biopharmadive.com/news/lilly-50-billion-drug-manufacturing-reshoring-trump/740931/fundamentalsSecondary
- https://investor.lilly.com/news-releases/news-release-details/lilly-announces-more-12-billion-investment-puerto-rico-facilityfundamentalsPrimary
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Caveats
All prices, technicals (RSI, MAs) and analyst targets are time-sensitive snapshots from approximately June 5-7, 2026 and will drift; intraday on June 7 LLY hit an all-time high of $1,166.29 while quotes near the close were ~$1,123-1,133. Current price is contested across vendors (a stale ~$1,064.74 figure appeared in one aggregate vs ~$1,131 confirmed June 5 close). RSI is marked low confidence given vendor spread (~36 to ~52); some moving-average vendors show lagged values (~$930-1,030). PEG is contested (~0.30 to ~1.40) due to differing growth inputs and is treated as such. The net financial impact of the MFN/TrumpRx pricing deals on Lilly's realized prices and margins is not quantified in disclosures and is an estimate. Orforglipron weight-loss percentages vary by trial and duration. Lilly investor-relations and AJMC pages could not be fetched directly (timeout/403) and were corroborated via the PRNewswire mirror and secondary outlets. This report is an information synthesis only and does not constitute a buy, sell, or hold recommendation.
This report is for informational purposes only and is not investment advice. No buy / sell / hold recommendation is made or implied.