Lilly reports fourth-quarter 2025 financial results and provides 2026 guidance
Rhea-AI Summary
Eli Lilly (NYSE: LLY) reported Q4 2025 revenue of $19.3B, up 43%, and reported EPS of $7.39 (non-GAAP EPS $7.54). Full-year 2026 guidance targets $80–$83B revenue and non-GAAP EPS of $33.50–$35.00. Key drivers were strong volume growth for Mounjaro and Zepbound, regulatory progress on tirzepatide and Jaypirca, Phase 3 clinical wins, and a U.S. agreement to expand access to obesity medicines.
R&D and SG&A rose on pipeline and launches; gross margin was 82.5% in Q4 2025. 2026 performance margin guidance is 46.0%–47.5%.
Positive
- Revenue +43% Q4 to $19.3B driven by Mounjaro and Zepbound volume
- Mounjaro +110% Q4 to $7.4B, showing rapid uptake
- 2026 guidance of $80–$83B revenue and non-GAAP EPS $33.50–$35.00
Negative
- Lower realized prices reduced revenue growth by ~5% in Q4
- R&D +26% and SG&A +29% Q4, increasing expense pressure on margins
Market Reaction
Following this news, LLY has gained 7.74%, reflecting a notable positive market reaction. Our momentum scanner has triggered 18 alerts so far, indicating notable trading interest and price volatility. The stock is currently trading at $1081.09. This price movement has added approximately $73.42B to the company's valuation.
Data tracked by StockTitan Argus (15 min delayed). Upgrade to Silver for real-time data.
Key Figures
Market Reality Check
Peers on Argus
Peers show a mixed picture: NVO is down 13.8%, while ABBV, JNJ, and NVS are modestly positive and AZN is negative. With limited peer downside and only NVO in momentum scans, LLY’s move appears more company-specific than broad sector rotation.
Previous Earnings Reports
| Date | Event | Sentiment | Move | Catalyst |
|---|---|---|---|---|
| Oct 30 | Q3 2025 earnings | Positive | +3.8% | Q3 2025 revenue up 54% with EPS beat and raised 2025 guidance. |
| Aug 07 | Q2 2025 earnings | Positive | -14.1% | Q2 2025 revenue up 38%, EPS up sharply and guidance raised again. |
| May 01 | Q1 2025 earnings | Positive | -11.7% | Q1 2025 revenue up 45% with strong Mounjaro and Zepbound growth. |
| Feb 06 | Q4 2024 earnings | Positive | +3.4% | Q4 2024 revenue up 45% and new 2025 guidance introduced. |
| Oct 30 | Q3 2024 earnings | Positive | -6.3% | Q3 2024 revenue growth led by new products Mounjaro and Zepbound. |
Earnings releases often feature strong growth and raised guidance, but price reactions have skewed negative, with more divergences than alignments.
Over the last five earnings cycles, Lilly has consistently reported strong volume‑driven growth from Mounjaro and Zepbound, alongside recurring guidance raises. Q3 and Q2 2025 highlighted double‑digit revenue and EPS gains and higher full‑year outlooks, while Q1 2025 and Q4 2024 also showed robust expansion. Despite this, three of five earnings days saw negative price reactions, indicating that strong fundamentals have not always translated into immediate share gains. Today’s Q4 2025 report and 2026 guidance continue this growth narrative.
Historical Comparison
Across five recent earnings releases, LLY’s average next‑day move was -4.98%, despite consistently strong growth and frequent guidance raises.
Earnings updates from Q3, Q2, and Q1 2025 through Q4 2024 trace a steady ramp in revenue and EPS powered by Mounjaro and Zepbound, with multiple upward revisions to annual guidance. The latest Q4 2025 release and 2026 outlook extend this trajectory, emphasizing continued topline expansion, margin focus, and a deepening pipeline rather than a shift in strategic direction.
Market Pulse Summary
The stock is up +7.7% following this news. A strong positive reaction aligns with the earnings track record of rapid revenue and EPS growth driven by Mounjaro and Zepbound. Historically, however, average next‑day moves around earnings have been -4.98%, showing that prior strength did not always sustain initial spikes. Investors would have weighed ambitious 2026 guidance of $80–$83B revenue and $33.50–$35.00 EPS against execution risks and ongoing investment needs.
Key Terms
non-gaap financial
breakthrough therapy designation regulatory
progression-free survival medical
phase 3 medical
phase 2 medical
glp-1 medical
ipr&d financial
AI-generated analysis. Not financial advice.
- Revenue in Q4 2025 increased
43% to driven by volume growth from Mounjaro and Zepbound.$19.3 billion - Q4 2025 EPS increased by
51% to on a reported basis and increased by$7.39 42% to on a non-GAAP basis, both inclusive of$7.54 of acquired IPR&D charges.$0.52 - Regulatory progress included FDA approval of Kwikpen for tirzepatide and an expanded indication for Jaypirca, and submissions for orforglipron for obesity to regulatory authorities in the
U.S. andJapan and for obesity and type 2 diabetes in the EU. - Pipeline progress included positive Phase 3 results from Taltz and Zepbound used together for adults with active psoriatic arthritis and obesity, orforglipron for people who switched from injectable incretins to oral GLP-1 therapy, and retatrutide for people with obesity and knee osteoarthritis.
- Announced an agreement with the
U.S. government to expand access to obesity medicines for millions of Americans. - 2026 guidance issued with revenue in the range of
to$80 billion and non-GAAP EPS in the range of$83 billion to$33.50 .$35.00
"2025 was an important year for Lilly," said David A. Ricks, Lilly's chair and CEO. "We reached millions more patients—launching Inluriyo, expanding Mounjaro and Kisunla globally, and submitting orforglipron for approval. We expanded our manufacturing capacity, and through our
Financial Results
$ in millions, except per share data | Fourth-Quarter | ||||
2025 | 2024 | % Change | |||
Revenue | $ 19,292 | $ 13,533 | 43 % | ||
Net income – Reported | 6,636 | 4,410 | 50 % | ||
Earnings per share – Reported | 7.39 | 4.88 | 51 % | ||
Net income – Non-GAAP | 6,771 | 4,806 | 41 % | ||
Earnings per share – Non-GAAP | 7.54 | 5.32 | 42 % | ||
A discussion of the non-GAAP financial measures is included below under "Reconciliation of GAAP Reported to Selected Non-GAAP Adjusted Information (Unaudited)."
Fourth-Quarter Reported Results
In Q4 2025, worldwide revenue was
Revenue in the
Revenue outside the
1 The Company defines Key Products as Ebglyss, Inluriyo (effective Q4 2025), Jaypirca, Kisunla, Mounjaro, Omvoh, Verzenio and Zepbound. |
Gross margin increased
In Q4 2025, research and development expenses increased
Marketing, selling and administrative expenses increased
The effective tax rate was
In Q4 2025, net income and earnings per share (EPS) were
Fourth-Quarter Non-GAAP Measures
On a non-GAAP basis, Q4 2025 gross margin increased
The non-GAAP effective tax rate was
On a non-GAAP basis, Q4 2025 net income and EPS were
For further detail on non-GAAP measures, see the reconciliation below as well as the "Reconciliation of GAAP Reported to Selected Non-GAAP Adjusted Information (Unaudited)" table later in this press release.
Fourth-Quarter | |||||
2025 | 2024 | % Change | |||
Earnings per share (reported) | $ 7.39 | $ 4.88 | 51 % | ||
Amortization of intangible assets | .11 | .12 | |||
Asset impairment, restructuring and other special charges | .07 | .30 | |||
Net losses (gains) on investments in equity securities | (.03) | .02 | |||
Earnings per share (non-GAAP) | $ 7.54 | $ 5.32 | 42 % | ||
Acquired IPR&D | .52 | .19 | 174 % | ||
Numbers may not add due to rounding | |||||
Selected Revenue Highlights
(Dollars in millions) | Fourth-Quarter | Full Year | |||||||||
Selected Products | 2025 | 2024 | % Change | 2025 | 2024 | % Change | |||||
Mounjaro | $ 7,409 | $ 3,530 | 110 % | $ 22,965 | $ 11,540 | 99 % | |||||
Zepbound(1) | 4,261 | 1,907 | 123 % | 13,542 | 4,926 | 175 % | |||||
Verzenio | 1,604 | 1,555 | 3 % | 5,723 | 5,307 | 8 % | |||||
Total Revenue | 19,292 | 13,533 | 43 % | 65,179 | 45,043 | 45 % | |||||
(1) Tirzepatide is marketed for obesity under the brand name Zepbound in | |||||||||||
Mounjaro
For Q4 2025, worldwide Mounjaro revenue increased
Zepbound
For Q4 2025,
Verzenio
For Q4 2025, worldwide Verzenio revenue increased
Lilly shared numerous updates recently on key regulatory, clinical, business development and other events, including:
Regulatory | Lilly's sofetabart mipitecan receives |
Clinical | Lilly's Taltz (ixekizumab) and Zepbound (tirzepatide) used together delivered superior efficacy in first-of-its-kind Phase 3b trial for adults with active psoriatic arthritis and obesity or overweight (announcement) |
Lilly's orforglipron helped people maintain weight loss after switching from injectable incretins to oral GLP-1 therapy in first-of-its-kind Phase 3 trial (announcement) | |
Updated data for Lilly's Inluriyo™ (imlunestrant) reinforce efficacy results as monotherapy and in combination with Verzenio® (abemaciclib) in ER+, HER2- advanced breast cancer (announcement) | |
Lilly's triple agonist, retatrutide, delivered weight loss of up to an average of 71.2 lbs along with substantial relief from osteoarthritis pain in first successful Phase 3 trial (announcement) | |
Lilly's Jaypirca (pirtobrutinib) significantly improved progression-free survival, reducing the risk of progression or death by | |
Lilly's Jaypirca (pirtobrutinib) met its primary endpoint in first-of-its-kind, head-to-head Phase 3 study versus Imbruvica (ibrutinib) (announcement) | |
Lilly's selective amylin agonist, eloralintide, demonstrated meaningful weight loss and favorable tolerability in a Phase 2 study of adults with obesity or overweight (announcement) | |
Other | Lilly selects |
NVIDIA and Lilly Announce Co-Innovation AI Lab to Reinvent Drug Discovery In the Age of AI (announcement) | |
Lilly to acquire Ventyx Biosciences to advance oral therapies targeting inflammatory-mediated diseases (announcement) | |
Lilly to build | |
Lilly and Adverum announce expiration and completion of Adverum tender offer and acquisition (announcement) | |
Carolyn Bertozzi returns to Lilly board of directors (announcement) | |
Lilly announces plans to open Lilly Gateway Labs site in | |
Lilly announces two new Executive Committee members and expansion of leadership roles to prepare for next wave of growth (announcement) | |
Lilly and | |
Lilly plans to build a new |
For information on important public announcements, visit the news section of Lilly's website.
2026 Financial Guidance
In addition to providing guidance for GAAP revenue, Lilly provides guidance for certain non-GAAP measures. Lilly does not provide reconciliations of forward-looking non-GAAP measures to the most directly comparable GAAP measures because comparable GAAP measures are not reasonably accessible or reliable due to the inherent difficulty in forecasting and quantifying measures that would be necessary for a reconciliation. In particular, Lilly cannot reasonably predict certain items including net gains and losses on equity securities, asset impairment, acquisition or divestiture-related items, restructuring and other adjustments, without unreasonable effort. These items are uncertain, depend on various factors, and could have a material impact on Lilly's reported results in accordance with GAAP.
The following table summarizes the company's full-year 2026 financial guidance:
2026 Guidance | |||
Revenue | |||
Performance Margin(1)(2) | |||
Tax Rate(2)(3) | |||
Earnings per Share(2)(3)(4) | |||
(1) The Company defines performance margin as gross margin less research and development | |||
(2) Excludes the impact of intangible asset amortization. | |||
(3) Guidance does not include acquired in-process research and development (IPR&D) either | |||
(4) 2026 assumes shares outstanding of approximately 894 million | |||
Webcast of Conference Call
As previously announced, investors and the general public can access a live webcast of the Q4 2025 financial results conference call through a link on Lilly's website at investor.lilly.com/webcasts-and-presentations. The conference call will begin at 10 a.m. Eastern time today and will be available for replay via the website.
Non-GAAP Financial Measures
Certain financial information is presented on both a reported and a non-GAAP basis. Some numbers in this press release may not add due to rounding. Reported results were prepared in accordance with
About Lilly
Lilly is a medicine company turning science into healing to make life better for people around the world. We've been pioneering life-changing discoveries for nearly 150 years, and today our medicines help tens of millions of people across the globe. Harnessing the power of biotechnology, chemistry and genetic medicine, our scientists are urgently advancing new discoveries to solve some of the world's most significant health challenges: redefining diabetes care; treating obesity and curtailing its most devastating long-term effects; advancing the fight against Alzheimer's disease; providing solutions to some of the most debilitating immune system disorders; and transforming the most difficult-to-treat cancers into manageable diseases. With each step toward a healthier world, we're motivated by one thing: making life better for millions more people. That includes delivering innovative clinical trials that reflect the diversity of our world and working to ensure our medicines are accessible and affordable. To learn more, visit Lilly.com and Lilly.com/news. F-LLY
Cautionary Statement Regarding Forward-Looking Statements
This press release and the related attachments contain management's intentions and expectations for the future, all of which are forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. The words "estimate", "project", "intend", "expect", "believe", "target", "plan", "anticipate", "may", "could", "aim", "seek", "will", "continue", and similar expressions are intended to identify forward-looking statements. Actual results may differ materially due to various factors. The following include some but not all of the factors that could cause actual results or events to differ from those anticipated, including the significant costs and uncertainties in the pharmaceutical research and development process, including with respect to the timing and process of obtaining regulatory approvals and the ability of the company's clinical trials to meet expectations; the impact and uncertain outcome of acquisitions and business development transactions and related costs; intense competition affecting the company's products, pipeline, or industry; market uptake of launched products and indications; continued pricing pressures and the impact of actions of governmental and private actors affecting pricing of, reimbursement for, and patient access to pharmaceuticals, or reporting obligations related thereto; the negotiation and implementation of our voluntary agreement with the
Website Information
The information contained on, or that may be accessed through, our website or any third-party website is not incorporated by reference into, and is not a part of, this earnings release.
Trademarks and Trade Names
All trademarks or trade names referred to in this press release are the property of the company, or, to the extent trademarks or trade names belonging to other companies are referenced in this press release, the property of their respective owners. Solely for convenience, the trademarks and trade names in this press release are referred to without the ® and ™ symbols, but such references should not be construed as any indicator that the company or, to the extent applicable, their respective owners will not assert, to the fullest extent under applicable law, the company's or their rights thereto. We do not intend the use or display of other companies' trademarks and trade names to imply a relationship with, or endorsement or sponsorship of us by, any other companies.
Eli Lilly and Company Operating Results (Unaudited) – REPORTED (Dollars in millions, except per share data; numbers may not add due to rounding)
| |||||||||||||
Three Months Ended | Twelve Months Ended | ||||||||||||
December 31, | December 31, | ||||||||||||
2025 | 2024 | % Chg. | 2025 | 2024 | % Chg. | ||||||||
Revenue | $ | 19,292 | $ | 13,533 | 43 % | $ | 65,179 | $ | 45,043 | 45 % | |||
Cost of sales | 3,372 | 2,404 | 40 % | 11,052 | 8,418 | 31 % | |||||||
Research and development | 3,802 | 3,023 | 26 % | 13,337 | 10,991 | 21 % | |||||||
Marketing, selling and administrative | 3,132 | 2,424 | 29 % | 11,094 | 8,594 | 29 % | |||||||
Acquired IPR&D | 529 | 189 | 180 % | 2,910 | 3,280 | (11) % | |||||||
Asset impairment, restructuring and other special charges | 84 | 344 | (76) % | 484 | 861 | (44) % | |||||||
Operating income | 8,373 | 5,149 | 63 % | 26,302 | 12,899 | 104 % | |||||||
Net interest income (expense) | (123) | (181) | (642) | (606) | |||||||||
Net other income (expense) | 15 | 71 | 71 | 387 | |||||||||
Other income (expense) | (108) | (110) | (2) % | (571) | (219) | 161 % | |||||||
Income before income taxes | 8,265 | 5,039 | 64 % | 25,731 | 12,680 | 103 % | |||||||
Income tax expense | 1,629 | 629 | 159 % | 5,091 | 2,090 | 144 % | |||||||
Net income | $ | 6,636 | $ | 4,410 | 50 % | $ | 20,640 | $ | 10,590 | 95 % | |||
Earnings per share - diluted | $ | 7.39 | $ | 4.88 | 51 % | $ | 22.95 | $ | 11.71 | 96 % | |||
Dividends paid per share | $ | 1.50 | $ | 1.30 | 15 % | $ | 6.00 | $ | 5.20 | 15 % | |||
Weighted-average shares outstanding (thousand) - diluted | 898,002 | 903,158 | 899,301 | 904,059 | |||||||||
Eli Lilly and Company | ||||||
Reconciliation of GAAP Reported to Selected Non-GAAP Adjusted Information (Unaudited) | ||||||
(Dollars in millions, except per share data; numbers may not add due to rounding) | ||||||
Three Months Ended | Twelve Months Ended, December 31, | |||||
2025 | 2024 | 2025 | 2024 | |||
Gross Margin - As Reported | $ 15,920 | $ 11,129 | $ 54,127 | $ 36,625 | ||
Increase for excluded items: | ||||||
Amortization of intangible assets (Cost of sales)(1) | 124 | 136 | 488 | 553 | ||
Gross Margin - Non-GAAP | $ 16,044 | $ 11,265 | $ 54,615 | $ 37,178 | ||
Gross Margin as a percent of revenue - As Reported | 82.5 % | 82.2 % | 83.0 % | 81.3 % | ||
Gross Margin as a percent of revenue - Non-GAAP(2) | 83.2 % | 83.2 % | 83.8 % | 82.5 % | ||
1. | Excludes amortization of intangibles primarily associated with costs of marketed products acquired or licensed from third parties. |
2. | Non-GAAP gross margin as a percent of revenue reflects the gross margin effects of the adjustments presented above. |
Reconciliation of GAAP Reported to Selected Non-GAAP Adjusted Information (Unaudited) | ||||||
(Dollars in millions, except per share data; numbers may not add due to rounding) | ||||||
Three Months Ended | Twelve Months Ended, December 31, | |||||
2025 | 2024 | 2025 | 2024 | |||
Net income - Reported | $ 6,636 | $ 4,410 | $ 20,640 | $ 10,590 | ||
Increase (decrease) for excluded items: | ||||||
Amortization of intangible assets (Cost of sales)(1) | 124 | 136 | 488 | 553 | ||
Asset impairment, restructuring and other special charges(2) | 84 | 344 | 484 | 861 | ||
Net (gains) losses on investments in equity securities (Other income/expense) | (39) | 17 | (33) | 39 | ||
— | — | 350 | — | |||
Corresponding tax effects (Income taxes) | (34) | (101) | (161) | (296) | ||
Net income - Non-GAAP | $ 6,771 | $ 4,806 | $ 21,768 | $ 11,747 | ||
Effective tax rate - Reported | 19.7 % | 12.5 % | 19.8 % | 16.5 % | ||
Effective tax rate - Non-GAAP(4) | 19.7 % | 13.2 % | 18.4 % | 16.9 % | ||
Earnings per share (diluted) - Reported | $ 7.39 | $ 4.88 | $ 22.95 | $ 11.71 | ||
Earnings per share (diluted) - Non-GAAP | $ 7.54 | $ 5.32 | $ 24.21 | $ 12.99 | ||
1. | Excludes amortization of intangibles primarily associated with costs of marketed products acquired or licensed from third parties. |
2. | For the three months ended December 31, 2025, excluded charges primarily related to an intangible asset impairment acquired through POINT BioPharma Global Inc.. For the twelve months ended December 31, 2025, also excluded charges primarily related to litigation, as well as acquisition and integration costs associated with Verve Therapeutics, Inc. For the three months ended December 31, 2024, excluded charges related to intangible asset impairment for Vitrakvi. For the twelve months ended December 31, 2024, also excluded charges related to litigation. |
3. | Relates to adjusting our income tax provision for prior periods and remeasuring our deferred tax assets and liabilities. |
4. | Non-GAAP tax rate reflects the tax effects of the adjustments presented above. |
Refer to: | Ashley Hennessey; gentry_ashley_jo@lilly.com; (317) 416-4363 (Media) |
Mike Czapar; czapar_michael_c@lilly.com; (317) 617-0983 (Investors) |
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SOURCE Eli Lilly and Company
