Novo Nordisk Cuts 2025 Guidance as GLP-1 Momentum Cools; Stock Slips After Q3 Miss

Novo Nordisk cuts guidance

Novo Nordisk (NVO) shares fell after the Danish drugmaker posted a third-quarter miss and trimmed its 2025 outlook, underscoring investor anxiety that the company’s GLP-1 juggernaut is decelerating in its head-to-head with Eli Lilly.

Novo Nordisk Cuts Guidance – Quarter at a glance

  • EPS: 4.50 DKK vs. 4.90 DKK est.
  • Revenue: 75.0 bn DKK vs. 76.5 bn DKK est.
  • Wegovy sales: 20.3 bn DKK (vs. 21.2 bn est.)
  • Ozempic sales: 30.7 bn DKK (vs. 30.3 bn est.)
  • One-offs: ~9 bn DKK restructuring charges tied to ~9,000 layoffs

Updated 2025 outlook

  • Sales growth (CER): 8%–11% (from 8%–14%)
  • Sales growth (reported): ~4%–7%
  • Operating profit growth: 4%–7% (from 4%–10%)
  • Drivers: tempered GLP-1 expectations (Wegovy/Ozempic)

Strategy Narrows, Novo Nordisk Cuts Guidance, as Governance Turbulence Persists

New CEO Mike Doustdar said Novo will focus tightly on obesity, diabetes, and related cardiometabolic conditions, exiting “non-core” assets. The declaration follows an unusually tumultuous stretch for the historically steady company, marked by a CEO ouster, a full refresh of the independent directors, and a planned workforce reduction of ~11%.

Metsera Bidding War Raises the Stakes

Novo thrust itself into a bidding fight with Pfizer for obesity biotech Metsera, floating an offer that could reach approximately $ 10 billion. CFO Karsten Munk Knudsen defended the price and pre-approval structure—paying most of the consideration upfront—calling it a function of negotiations and consistent with the sharpened focus on obesity. Pfizer has sued on antitrust grounds; Novo says the deal is lawful.

What’s Slowing—and What Isn’t

After years of “hyper growth,” management stated that GLP-1 expansion is decelerating into Q4, with Wegovy missing its target and Ozempic slightly exceeding estimates. Investors, already unnerved by summer volatility and guidance resets, remain focused on near-term U.S. pricing, capacity, and competitive dynamics versus Lilly.

Policy Watch: Pricing and Coverage

Reports indicate Novo and Lilly are in discussions with the White House over lower prices for small doses and potential Medicare coverage for weight-loss use cases. Knudsen declined specifics, signaling only that “there will be a deal to be announced at some point.” Any framework that expands payer access while preserving margins would be a key catalyst for the GLP-1 class.

Investor Take

  • Near term: Guidance trim, restructuring costs, and Wegovy miss = pressure on shares.
  • Medium term: Metsera bid could deepen the pipeline, but adds execution, legal, and integration risk.
  • Key swing factors: U.S. pricing/coverage outcomes, manufacturing throughput, and Lilly’s launch cadence.

Note: All figures are as reported by the company and industry sources cited in the original coverage; DKK = Danish krone; CER = constant exchange rates.