Eli Lilly Q2 growth focus: Mounjaro and Zepbound seen as drivers for up to 98% of quarterly increase

Eli Lilly Q2 growth focus: Mounjaro and Zepbound seen as drivers for up to 98% of quarterly increase

NEW YORK, August 5, 2026, 06:07 EDT

  • Eli Lilly rose 2.2% in premarket trading, rebounding following an 8.6% drop over the past five sessions.
  • Initial figures show Mounjaro and Zepbound accounted for 65.7% of revenue during the quarter.
  • Lilly is set to report results on Wednesday, with its investor call scheduled for 10:00 a.m. EDT.

Eli Lilly and Company is set for a tight earnings test on Wednesday. Initial projections indicate that Mounjaro and Zepbound will account for about 98% of the revenue increase in the second quarter.

Stock chart for NYSE:LLY

The combined sales of the two drugs are expected to reach $13.54 billion, making up approximately 65.7% of Eli Lilly’s forecasted quarterly revenue of $20.62 billion.

At the dateline, the NYSE had finished its regular session and premarket trading had begun. According to WSJ data, Lilly was at $1,140.48 as of 5:41 a.m. EDT, marking a 2.2% increase.

The share price does not reflect expectations for a typical quarter. At Tuesday’s close, Lilly was valued at $1.05 trillion with a trailing earnings multiple of 40.2 times. Options markets suggested the stock could move about 6% following the results.

Novo Nordisk is the most comparable case. The company’s U.S.-listed shares dropped 6% on Tuesday even though it raised its full-year guidance.

Data from WSJ highlight the difference in valuation. The weekly returns listed below are based on closing prices.

Market measureEli LillyNovo Nordisk
August 4 close$1,115.68$44.28
August 4 move-0.5%-6.0%
Prior week, July 24–31-3.9%-3.5%
Current week through August 4-2.9%-5.9%
Latest premarket indication+2.2%+1.7%
Trailing P/E40.2 times10.4 times
Market value$1.05 trillion$210.2 billion

Visible Alpha’s initial projections, alongside Lilly’s results from the previous year, generate the growth bridge displayed below. The figure for “All other revenue” is determined by subtracting other components. Investopedia

Revenue itemQ2 2025 actualQ2 2026 preliminaryYear-on-year change
Total revenue$15.56 billion$20.62 billionup 32.5%
Mounjaro$5.20 billion$8.88 billionup 70.8%
Zepbound$3.38 billion$4.66 billionup 37.8%
All other revenue$6.98 billion$7.08 billionup 1.5%

Mounjaro and Zepbound are projected to contribute $4.96 billion of additional revenue compared to last year. Lilly’s total revenue growth is expected to reach $5.06 billion. As a result, the franchise accounts for roughly 98.0% of the anticipated increase.

Sales concentration increased significantly, with the two brands accounting for 55.2% of revenue a year ago and reaching 64.8% last quarter.

PeriodMounjaro plus ZepboundTotal revenueRevenue share
Q2 2025 actual$8.58 billion$15.56 billion55.2%
Q1 2026 actual$12.82 billion$19.80 billion64.8%
Q2 2026 preliminary$13.54 billion$20.62 billion65.7%

This puts an emphasis on growth quality. During the first quarter, volume increased by 65%, but a decline in realized prices resulted in a 13% reduction. Gross margin slipped by 0.6 percentage points to reach 81.9%.

Lilly projects annual revenue to range between $82 billion and $85 billion. Raising guidance would reinforce projections that volume growth is exceeding pricing challenges.

Reporting hurdleCurrent benchmark
Q2 revenue$20.62 billion, preliminary
Mounjaro sales$8.88 billion, preliminary
Zepbound sales$4.66 billion, preliminary
2026 revenue guidance$82 billion–$85 billion
Options-implied stock moveRoughly 6%
Investor conference callAugust 5, 10:00 a.m. EDT

Novo’s response highlights that meeting projections alone may not be enough. “Just in line with expectations,” said Markus Manns, portfolio manager at Union Investment, referring to oral Wegovy. Reuters

Novo stated its CagriSema candidate achieved similar weight loss to Lilly’s tirzepatide. However, it did not surpass tirzepatide in controlling blood sugar, maintaining Lilly’s standing in clinical performance while increasing anticipation for future data updates.

Pipeline momentum increased this week as Lilly granted restricted early access to its experimental drug retatrutide for specific patients. The company is targeting an FDA submission in the first quarter of 2027. The programme could create future opportunities, rather than boosting present revenues.

During the week ending August 12, attention centers on Wednesday’s results and conference call as the primary confirmed catalyst. Market participants are set to concentrate on guidance, net pricing, capacity, and margins instead of just headline demand.

Risks: More rapid net price declines could outpace gains in prescriptions. Constraints on supply, higher launch costs, sluggish non-obesity market performance, or an underwhelming guidance revision may also weigh on the premium valuation.

Quarterly revenue alone does not tell the full story. Lilly needs to demonstrate that a leading franchise can continue expanding while maintaining margins and not overshadowing other assets in its lineup.

TS2 TECH • EXTENDED COVERAGE

Further analysis

Can Lilly beat high second-quarter expectations and raise guidance again?
Visible Alpha expects $20.62 billion of revenue, up more than 30%. Adjusted EPS estimates differ: $6.68 at Visible Alpha and $6.01 at FactSet. Mounjaro and Zepbound sales are estimated at $13.54 billion combined. The main upside catalyst is another increase to Lilly’s $82–$85 billion revenue guide. Lilly’s call begins at 10 a.m. Eastern on August 5. Investopedia
Can volume growth keep offsetting lower drug prices?
Q1 volume rose 65%, while realized prices fell 13%. Revenue still climbed 56% to $19.8 billion. Mounjaro and Zepbound supplied $12.82 billion, nearly 65% of sales. Gross margin slipped 60 basis points to 81.9%. Pricing is the clearest operating risk. Eli Lilly and Company
Will Foundayo become a second major obesity franchise?
Visible Alpha expects only $101 million of Q2 sales after April approval. Brokerage forecasts for 2026 range from $1.5 billion to $2.8 billion. Lilly built $1.5 billion of prelaunch inventory. The wide range reflects uncertain uptake, pricing and refill rates. Easier dosing and manufacturing support the long-term case. Investopedia
How much future value can retatrutide support?
Two Phase 3 trials showed average weight loss of 20.8% and 22.6%. Lilly plans an FDA filing during the first quarter of 2027. Higher-dose adverse-event discontinuations ranged from 7.7% to 13.5%. Cardiovascular confidence intervals crossed one, leaving benefit unproven. Full peer-reviewed results remain pending. Eli Lilly and Company
Is enough upside left at today’s valuation?
LLY closed August 4 at $1,115.68. That equals roughly 30–31 times Lilly’s 2026 adjusted EPS guidance. FactSet’s median target is $1,317, implying about 18% upside. Targets span $850 to $1,680. Twenty-five of 31 analysts rate the stock Buy or Overweight. The spread shows high execution risk. The Wall Street Journal

Shan Ahmed Khan is a senior markets reporter at TS2.tech, specializing in stocks, technology and macroeconomic trends. A graduate of the Lahore University of Management Sciences (LUMS), he previously worked in investment research and market analysis. His coverage helps readers understand the key developments influencing global financial markets and emerging industries.

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