Lilly's Sales Rose 51% in the First Half; Its Raised Guidance Implies 14% to 20% in the Second

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Article published Sep 29, 2026. Prices below use latest available snapshots.

LLY Price Structure

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Lilly is doing well, not cratering: revenue has grown between 37.6% and 55.5% a year in each of the last six quarters (SEC), and the stock is up 63.08% on the year and 10.6% above its 200-day average. It has also gone sideways for 17 weeks. The shares closed at $1,280.34 on August 19, two weeks after a beat-and-raise second quarter, gave all of it back by September 11, and have climbed back to the 50-day. The raised revenue range of $85–87 billion implies second-half growth of 14% to 20%, against 51% in the first half, and the June quarter leaned on rebate-estimate adjustments. The call is buy, medium conviction: enter between $1,160 and $1,197, stop at $1,110 under the September low, first target $1,292, with the October 29 report inside the window.

Data as of 2026-09-28 close: LLY $1,184.78, RSI 56, +2.9% vs SMA20, +0.6% vs SMA50, +10.6% vs SMA200, 7D +1.71%, 30D +0.87%, 3M −3.67%, 1Y +63.08%, −8.34% from the 52-week high, volume 0.84× average.

Business facts come from Lilly's 2025 10-K and June-quarter 10-Q. The raised revenue range is as reported by Endpoints; the earnings release text is not on file. X posts cited below are attributed context, not evidence.

Quick Snapshot (as of 2026-09-28)

Question Answer
The call 🟢 Buy the flag between $1,160 and $1,197 while the September low holds. Entry $1,160–$1,197 · stop $1,110 · first target $1,292 · medium conviction.
What it is The drugmaker whose market value now exceeds every other healthcare company's (Endpoints). Tirzepatide, sold as Mounjaro for diabetes and Zepbound for obesity, was 65% of first-half revenue (10-Q). Verzenio, Jardiance, Trulicity and Taltz follow, plus the new oral GLP-1 pill Foundayo.
Why now Second-quarter revenue was $22.97 billion, up 48%: volume +60%, realized price −13%, currency +1 (10-Q). The full-year revenue range went to $85–87 billion (Endpoints). Medicare access to discounted Lilly obesity drugs began July 1, so the September quarter is the first with it.
Proof First-half revenue $42.77 billion, +51%. First-half operating cash flow $16.02 billion against $4.75 billion a year earlier. Gross margin 85.8% in the quarter against 84.3%. Mounjaro sold $5.15 billion outside the U.S. in the quarter, up from $1.90 billion (10-Q).
Objection Growth is volume bought with price: realized price fell 36% outside the U.S. after Mounjaro joined China's national reimbursement list, and U.S. price declines were partly offset by rebate-estimate adjustments (10-Q). The guidance implies a slower second half. Two brands carry 65% of revenue. The stock trades near 40 times trailing GAAP earnings.
Stock setup A 17-week base inside an intact uptrend: up 63.08% on the year, 10.6% above the 200-day. The base pivot is $1,292.65; the September 11 close of $1,115.70 is the low. The price sits on the 50-day ($1,177.53) and just under the top of the one-year value area ($1,196.56).

Action Matrix (as of 2026-09-28)

Signal If Then
🟢 Buy A daily close between $1,160 and $1,197 while the September 11 close ($1,115.70) holds Entry $1,160–$1,197. The zone runs from the support shelf ($1,160.52) to the top of the one-year value area ($1,196.56), with the 50-day ($1,177.53) inside it.
🟡 Wait Price above $1,197 and below $1,292.65 Do not chase into the August range; let it come back to the zone.
🔴 Out A daily close below $1,110 The September low failed. Stand aside, and do not widen the stop to the 200-day ($1,071.11). A gap on the October 29 report can open below the stop.
🟠 Target $1,292 Trim or trail at the base pivot ($1,292.65), just above the August 19 close of $1,280.34. A close above it on rising volume restarts the trend leg; trail rather than sell.
🔴 Thesis breaks The October 29 report cuts the $85–87 billion revenue range, or U.S. tirzepatide volume growth stalls in the first quarter of Medicare access The volume engine is slowing faster than price cuts can be absorbed.

The Story Right Now (as of 2026-09-28)

Lilly is doing well, not cratering: revenue grew 47.7% in the June quarter and 49.6% over the trailing twelve months (SEC, reconciled against Massive), and the stock is up 63.08% on the year. The stock has not moved with the business since June: it is down 3.67% over three months.

The beat-and-raise rally faded. Lilly closed at $1,148.84 on July 31 and reported on August 5. The shares closed at $1,280.34 on August 19, about 1% under the 52-week high. By September 11 they closed at $1,115.70, 14% off the high. September 8 was a bad day for drug stocks, with Novartis down 10% on trial setbacks and a generic-drug tariff threat in the news (CNBC); nothing on file explains the rest of the slide. The long trend held: the price stayed above its 200-day the whole way. The recovery came in small steps. Lilly rose 1.04% on September 21 as Novo Nordisk's U.S. ADR ($NVO) fell 7.96% on its 2030 targets, and 2.68% on September 24 as Viking ($VKTX) fell on a financing (the September 21 and 24 market briefs).

The guidance implies a slower second half. Endpoints reported the full-year revenue range raised to $85–87 billion. First-half revenue was $42.77 billion, so the range implies $42.2–44.2 billion for July through December. That is 14% to 20% above the second half of 2025, against 51% growth in the first half. It is also 4% to 8% below two more quarters at June's pace (script-computed). Part of the gap is the June quarter itself. The 10-Q says lower U.S. realized prices on Zepbound and Mounjaro were "partially offset by adjustments to estimates for rebates and discounts." Investing.com's summary of the slides says management flagged that some of those rebate benefits will not repeat (attributed; the slides are not on file). Lilly has raised its outlook at both 2026 reports (Yahoo Finance for April, Endpoints for August). A range that implies this much slowing leaves room for a third raise on October 29; it also matches a stock that has gone sideways since June.

The volume engine has three new inputs.

  • Medicare. Under the GLP-1 Bridge program, Medicare patients got discounted Lilly obesity drugs from July 1, 2026 through the end of 2027. The 10-Q says "the uptake from this expanded access is unknown."
  • The pill. Foundayo (orforglipron) won FDA approval for obesity and launched in the second quarter. Barron's reported the shares slipping on weak early prescription data on April 27. On September 21 CNBC reported the CEO saying one-third of new GLP-1 pill patients are taking Foundayo.
  • Outside the U.S. Revenue there rose 80% in the quarter on volume up 113% and price down 36%, and is now 37% of the total (10-Q, script-computed share).

The 13F that put Lilly in the news is a token. A September 26 X post listed Lilly among new positions in Stanley Druckenmiller's Duquesne Family Office. Its June-quarter 13F does show a new stake: 12,380 shares, reported at about $14.8 million, 0.28% of the filing's reported value and 67th of 95 rows. The post's 603,000 shares is the Delta Air Lines row. The filing is three months stale at period end and was public six weeks before the post. It is a reason to look, not a reason to buy.

The call: buy, medium conviction. The entry is the flag inside the base, not a breakout. The zone runs from the $1,160.52 support shelf to the $1,196.56 top of the one-year value area, with the 50-day inside it. The stop at $1,110 sits just under the September 11 close. That is 4.3% below the bottom of the zone, 7.3% below its top, and 6.3% below the September 28 close (script-computed). It is structural and close, not the 200-day 9.6% below. The first target, $1,292, is the base pivot, 9.1% above the close. There, trim or trail.

Conviction is medium because of three things:

  • the October 29 report lands inside the window, and a gap can open below the stop
  • the second-half guide already implies slowing
  • the stock gave back its whole post-report rally within five weeks in August and September

Two things would raise it:

  • a third revenue raise on October 29 with U.S. volume growth intact in the first Medicare quarter
  • a close above $1,292.65

A close below $1,110 or a cut to the range ends it.

Extended analysis