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Eli Lilly and Company LLY

Latest Deep Dive · Written · AI research note

Bro's Verdict
Deep Dive

Rating

BUY

Confidence

72%

Target Price

$1350.00

Upside

+14.2%

Horizon

medium

LLY trades at 26.5x current NTM EPS of $44.71, a 23% discount to its own two-year average forward P/E of 34.3x, while the cardiometabolic franchise compounds with ~45% revenue growth and 2026 guidance raised to up to $83b. The analyst's $1350 target blends mean reversion on P/E with a conservative DCF base of $1,000-$1,150 and sits just below the sell-side median of $1376, implying ~14% upside. The setup favours investors willing to underwrite the 2026 orforglipron launch and retatrutide Phase 3 readouts, though capital-based multiples (EV/Revenue +67% vs history, P/BV 31.1x) leave little room for execution error.

Executive Summary

•LLY trades at ~26.5x current NTM EPS of $44.71, a 23% discount to its own 2 year average forward P/E of 34.3x; the stale $35.23 consensus figure implies 33.6x, so the multiple debate hinges on which EPS base is correct
•The cardiometabolic franchise is compounding hard, with 2025 revenue growth of ~45%, Mounjaro up 91%, and 2026 guidance raised to up to $83b
•The 2026 orforglipron oral GLP-1 launch plus retatrutide Phase 3 readouts are the two largest swing factors for the forward earnings curve
•Valuation is bifurcated: mean reversion on P/E and EV/EBITDA points to $1,221 to $1,530, while EV/Revenue at +67% vs history and P/BV at 31.1x flag the stock as expensive on capital intensity

Financial Snapshot

•Revenue TTM: $79.67b
•Q4 revenue: $22.97b (+16% QoQ)
•Q3 revenue: $19.80b
•Q2 revenue: $19.29b
•Q1 revenue: $17.60b
•Net income TTM: $26.71b
•Q4 net income: $7.09b (30.9% net margin)
•Q3 net income: $7.40b (37.4% net margin)
•Q2 net income: $6.64b
•Q1 net income: $5.58b
•Gross margin: 83.4%
•Operating margin: 54.2%
•Net margin: 33.5%
•ROE: 102.3%
•Debt/Equity: 162.1%
•Quarterly EPS: Not disclosed

Forward Outlook

•NTM revenue: $88.70b (+15.6% YoY)
•FY+2 revenue: $102.52b, implying a low double digit growth glide path
•2026 revenue guidance: up to $83b, raised after the Q2 beat
•NTM EPS: $44.71 as of October 2026, up +2.6% over one month
•FY+2 EPS: $47.25, implying only +5.7% growth off the current NTM figure, a deceleration worth stress testing
•Forward EPS growth: 34.1% on the stale $35.23 base
•Margin trajectory: operating margin of 54.2% should hold as GLP-1 volume absorbs fixed manufacturing cost, though capex driven depreciation is a headwind
•Mounjaro/Zepbound volume growth is the primary revenue lever, with international launches adding units but at lower realised price per script
•Orforglipron approval expected 2026, the single largest incremental revenue catalyst
•Retatrutide Phase 3 readouts and Kisunla Alzheimer's traction are secondary but material optionality
•Analyst count: 16 consensus contributors

Valuation Analysis

•Current price: $1182.62
•52 week range: $783.85 to $1292.65
•NTM P/E: 26.5x on current $44.71 EPS
•NTM P/E: 33.6x on stale $35.23 EPS (flagging the discrepancy)
•FY+2 P/E: 25.0x on $47.25 EPS
•NTM P/S: 11.88x on $88.70b revenue
•NTM EV/EBIT: 23.1x
•NTM EV/EBITDA: 20.8x
•LF P/BV: 31.1x (trailing)

Relative Valuation vs Own History (forward multiples on subsequently reported results)

•BF P/E 26.5x vs 2 year average 34.3x, -23% vs average, implied price at average $1530.27
•BF EV/EBITDA 20.8x vs 2 year average 21.4x, -3% vs average, implied price $1221.07
•BF EV/EBIT 23.1x vs 2 year average 22.5x, +3% vs average, implied price $1150.51
•BF EV/Revenue 11.1x vs 2 year average 6.6x, +67% vs average, implied price $687.22
•LF P/BV 31.1x vs 2 year average 22.0x, +42% vs average, implied price $835.59

DCF (WACC 9 to 10%, terminal growth 2 to 3%)

•Base case fair value: ~$1,000 to $1,150, using net income as FCF proxy and a 7 year explicit forecast
•Bull case fair value: ~$1,300 to $1,400, assuming a longer obesity runway and 3% terminal growth
•DCF is conservative for a name with this optionality, so weight forward multiples more heavily

Peer Comparison (TTM P/E unless noted)

•NVO: ~9.4x TTM P/E, $170.3b market cap, GLP-1 incumbent losing share and de rating hard
•MRK: ~115.4x TTM P/E, $358.9b market cap, depressed earnings base, oncology and vaccines
•PFE: ~37.4x TTM P/E, $161.9b market cap, post COVID reset, no obesity exposure
•AMGN: ~25.9x TTM P/E, $225.8b market cap, obesity entrant via MariTide
•LLY at 26.5x NTM P/E carries a premium to NVO and AMGN that is justified only by superior growth

Price Targets

•Sell side consensus: $1345.8, median $1376, range $940 to $1500
•My 12 month target: $1350, ~30x NTM EPS and ~28.6x FY+2 EPS
•Implied upside from current price: ~14%

Key Risks & Catalysts

Risks

•US and international pricing pressure compressing realised price per GLP-1 script even as volumes rise
•IRA Medicare price negotiation exposure, with incretins a likely future selection target
•FY+2 EPS growth of only +5.7% off NTM implies a sharp deceleration that the market may not be discounting
•Manufacturing capex ramp and capacity constraints across the incretin supply chain could cap upside volume
•Insider selling: 3 open market sells, 0 buys, net -$15.96m over 90 days
•Institutional 13F holders fell by 4538 QoQ with 4416 positions closed, a breadth warning
•Novo Nordisk price competition and compounded semaglutide supply undercutting branded pricing
•P/BV at 31.1x and EV/Revenue at +67% vs history leave little room for execution error

Catalysts

•Orforglipron oral GLP-1 approval in 2026, the largest single re rating lever
•Retatrutide Phase 3 readouts confirming triple agonist efficacy
•Kisunla Alzheimer's traction building a second growth franchise
•Continued Mounjaro/Zepbound volume growth and international expansion
•$25b+ M&A and 11 licensing deals broadening the pipeline
•Q2 2026 beat and raised guidance, with further upward revisions possible
•NTM EPS revision trend positive at +2.6% over one month
•Share price momentum: +6.0% over 1 month, +27.2% over 6 months

Investment Thesis

LLY remains the dominant franchise in the largest new pharmaceutical market of the decade, and the numbers support the premium. Revenue of $79.67b is compounding at ~45% with an 83.4% gross margin and a 54.2% operating margin, and the forward curve points to $88.70b NTM and $102.52b in FY+2. The critical question is valuation, and here the picture is genuinely mixed. At 26.5x current NTM EPS of $44.71, LLY sits 23% below its own 2 year average forward P/E of 34.3x, which on mean reversion implies $1530. But EV/Revenue at 11.1x versus a 6.6x average and P/BV at 31.1x versus 22.0x show the stock is expensive on capital and sales based measures, reflecting how far margins have already expanded.

The forward outlook is catalyst rich but not without risk. Orforglipron's 2026 oral launch and retatrutide readouts are the two levers that could reset the earnings curve higher, while the FY+2 EPS estimate of $47.25 implies only +5.7% growth off NTM, a deceleration that looks too conservative if volume momentum holds. Against that, pricing pressure, IRA exposure, and a heavy capex ramp are real drags, and insider selling alongside a 4538 drop in 13F holders signals some smart money is trimming.

I recommend accumulating LLY with a 12 month price target of $1350, ~30x NTM EPS, implying ~14% upside. This blends the mean reversion case on P/E with a conservative DCF base of $1,000 to $1,150, and it sits just below the sell side median of $1376. The setup favours investors willing to underwrite the orforglipron and retatrutide catalysts; the risk is that any efficacy or supply disappointment compresses a multiple that still embeds a lot of optimism on capital based measures.

Written by Buy Side Bro's AI analyst from financials, consensus, filings and recent news. General information only, not financial advice.

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