William O'Neil
"From a strict O’Neil lens, NVO is not a buy: negative quarterly EPS growth, deep under its moving averages, and a relative laggard vs LLY. However, the franchise remains strategic with large end-markets, durable GLP-1 economics, tangible pipeline catalysts (Wegovy pill, comorbidity labels, CagriSema/amycretin), and mid-teens underlying OP growth ex one-offs. Valuation (~12–14x EPS) prices in substantial bad news. For growth investors, wait for a new base and breakout on volume after EPS re-accelerates or catalysts land. For long-term investors, HOLD pending proof of regained share and improving price/volume action."
Overview
An investor-focused, William J. O’Neil (CAN SLIM) style analysis of Novo Nordisk A/S (NVO), integrating structured financials and recent reports to assess fundamentals, competitive position, price/volume action, and risk-reward for a potential buy/sell/hold decision.
Financial and Business Overview
Novo Nordisk is a global leader in diabetes and obesity care with a GLP-1-centric portfolio (Ozempic for T2D, Wegovy for obesity, oral semaglutide/Rybelsus), plus insulin and select rare disease assets. As of the latest structured data, shares trade at $49.35 (USD), market cap ~$219.3B, trailing P/E ~13.6x and forward P/E ~12.1x, EPS TTM $3.62 and forward EPS $4.07. 9M’25 results: sales +12% in DKK (+15% CER) and operating profit +5% DKK (+10% CER), with underlying OP up ~+16% DKK excluding ~DKK 9B restructuring charges. Management narrowed FY’25 guidance to +8–11% sales growth and +4–7% OP growth (CER) amid intensified competition, pricing pressure, U.S. compounding headwinds, and restructuring to refocus on diabetes/obesity and improve agility. Free cash flow for 9M’25 was DKK 63.9B; the company announced ~9,000 position reductions targeting ~DKK 8B in annual savings by end-2026. Note: the reported trailing dividend yield appears unusually high due to special payments and currency/ADR mechanics; buybacks have been paused during a high-investment period. Sources: company Q3/9M’25 updates and transcript.
Market Position & Competitive Advantages
Novo’s durable moat stems from: (1) scientific leadership in GLP-1s (semaglutide family) across T2D, obesity, and cardiometabolic comorbidities; (2) global manufacturing capacity and capex expansion; (3) an advancing pipeline (Wegovy pill under review; indications like MASH approved; CagriSema and amycretin in development); and (4) deep commercial infrastructure and payer relationships. However, Eli Lilly’s tirzepatide (Mounjaro/Zepbound) now leads U.S. obesity starts and is growing faster, with efficacy and access advantages. Management reset strategy and governance (CEO transition, board overhaul) to accelerate decision-making, push direct-to-consumer/cash channels, expand telehealth partnerships, and re-allocate capital to core assets. Regulatory and pricing dynamics (IRA’s MFP in 2027; U.S. price agreements for Medicare access; semaglutide patent expirations in some Int’l markets in 2026) add near-term margin pressure but may broaden access. Overall, Novo remains a top-two GLP-1 franchise globally, but near-term share, pricing, and governance execution are the swing factors. Risks: (i) Lilly’s pipeline (retatrutide/orforglipron) and capacity ramp; (ii) compounding erosion and device bottlenecks; (iii) pricing/coverage pressure; (iv) governance turbulence (foundation-driven board reset); (v) pipeline readout risk.
Stock Performance
Price $49.35 is below the 50-day ($53.06) and 200-day ($63.76) moving averages; shares are down ~-54.6% YoY and ~-56% from the 52-week high ($112.52), and ~+14.6% above the 52-week low ($43.08). 10-day average volume (23.1M) exceeds 3-month average (16.6M), reflecting elevated activity during the guidance reset and governance changes. The stock is in a downtrend with no current O’Neil-style buy point; it needs to build a new base and reclaim key moving averages on rising volume.
CAN SLIM Analysis
Current Quarterly Earnings Per Share (EPS) Growth:
Miss. Q3’25 EPS fell YoY (DKK 4.50 vs DKK 6.12 in Q3’24; ~-26%) due to competition, pricing, and restructuring costs. Revenue grew modestly (+5.1% DKK), but EPS contraction fails CAN SLIM’s ‘C’ test. Data: ProactiveInvestors, company updates.
Annual Earnings Increases:
Mixed but resilient. Multi-year trend has been strong, supported by GLP-1 growth. For 9M’25: sales +12% DKK (+15% CER), OP +5% DKK (+10% CER), with underlying OP +16% DKK (ex-restructuring). FY’25 guidance narrowed to +8–11% sales and +4–7% OP growth (CER), signaling a slower—but still positive—annual trajectory. Forward EPS ($4.07) implies ~12% growth vs TTM ($3.62).
New Products, Management, or Price Highs:
Some ‘N’ positives, but no price highs. Pipeline/label momentum: (i) FDA approval of Wegovy for MASH; (ii) expected FDA decision for Wegovy pill (end-2025) to expand obesity access; (iii) CagriSema and amycretin advancing; (iv) acquisitions (Akero FGF21 in MASH, Omeros MASP-3 inhibitor) add late-stage depth; (v) new CEO and board overhaul. However, shares are far from new highs, so price-action ‘N’ is absent.
Supply and Demand:
Neutral-to-negative. Shares outstanding ~3.37B; recent buybacks paused; 10-day avg volume > 3-month avg signals distribution/volatility. O’Neil favors shrinking supply and accumulation near breakouts—conditions not currently present. The Foundation controls >75% of voting rights, which stabilizes governance but limits float influence on control.
Leader or Laggard:
Laggard currently. Relative performance trails Eli Lilly, which is taking obesity share and growing faster. NVO is trading below moving averages with a sharp YoY decline; CAN SLIM prefers leaders at/near highs outperforming their group.
Institutional Sponsorship:
Adequate/complex. NVO is widely held by institutions; controlling shareholder (Novo Nordisk Foundation) tightened oversight with a board reset to accelerate transformation. While sponsorship exists, CAN SLIM prefers increasing high-quality sponsorship alongside improving price/volume trends—yet price action is weak.
Market Direction:
Caution. CAN SLIM buys in confirmed uptrends. NVO is in a downtrend below 50/200-day averages; broader market mixed by sector. Wait for a follow-through day and NVO to build a sound base, then reclaim MAs on strong volume.
Conclusion
From a strict O’Neil lens, NVO is not a buy: negative quarterly EPS growth, deep under its moving averages, and a relative laggard vs LLY. However, the franchise remains strategic with large end-markets, durable GLP-1 economics, tangible pipeline catalysts (Wegovy pill, comorbidity labels, CagriSema/amycretin), and mid-teens underlying OP growth ex one-offs. Valuation (~12–14x EPS) prices in substantial bad news. For growth investors, wait for a new base and breakout on volume after EPS re-accelerates or catalysts land. For long-term investors, HOLD pending proof of regained share and improving price/volume action.
Research Sources (23 found)
Earnings call transcript: Novo Nordisk narrows guidance amid Q3 2025 growth
Published: 11/7/2025
Novo Nordisk Has Downgraded Its Outlook for the Fourth Time This Year. Here's What Investors Need to Know. | The Motley Fool
Published: 11/6/2025
Novo Nordisk (Q3 results): another downgrade
Published: 11/5/2025
Novo Nordisk: A Rare Second Chance
Published: 11/18/2025
Down 64% From Record Highs, Can Novo Nordisk Stock Recover in Q4 of 2025?
Published: 10/27/2025
Novo Nordisk vs. Eli Lilly: The Battle for GLP-1 Supremacy - Pharmacy Business Hub
Published: 9/30/2025
Novo Nordisk and Eli Lilly: New Obesity Drug Prices, Orforglipron Voucher, and Eloralintide Data | Morningstar Nordics
Published: 11/13/2025
Novo Nordisk Competitors and Alternatives
Published: 8/31/2025
Novo Nordisk vs. Eli Lilly: A Tale of Two Strategies in the Obesity Drug Boom
Published: 7/2/2025
Novo Nordisk ($NVO) and Eli Lilly ($LLY): Leaders in the expanding global obesity market
Published: 8/14/2025
Novo Nordisk's shareholders approve chaotic board overhaul as weight loss market challenges loom
Published: 11/14/2025
NVO Stock Falls Amid Governance Shift as Foundation Seeks New Board
Published: 10/22/2025
Novo Nordisk Announces Major Shake Ups to Board
Published: 12/1/2025
What’s going on at Novo Nordisk? - The Corporate Governance Institute
Published: 10/22/2025
Novo Nordisk Shares Tumble Amid Sweeping Board Overhaul
Published: 10/22/2025
Novo Nordisk Lowers Growth Outlook and Reports Mixed Results Amid Restructuring and Competition
Published: 11/17/2025
Novo Nordisk slashes sales forecast amid competition, pricing pressure in diabetes and obesity markets
Published: 11/5/2025
Uncertainty surrounding Novo Nordisk: Following management turmoil and falling share prices, the figures must now speak for themselves
Published: 11/4/2025
Novo Nordisk's pipeline plan: How the pharma giant is refocusing amid major restructuring
Published: 11/5/2025
Novo Nordisk's sales increased by 12% in Danish kroner and by 15% at CER in the first nine months of 2025; R&D pipeline progress continues
Published: 11/5/2025
Novo Nordisk's Strategic Shift: Implications for Its Diabetes Portfolio and Long-Term Growth in the EU/EEA
Published: 9/5/2025
ADA 2025: Novo Nordisk highlights strong portfolio data with new semaglutide and CagriSema results, redefining possibilities in obesity and diabetes care | Company Announcement | Investegate
Published: 11/21/2025
Regulatory tracker: Eisai finalizes FDA filing for subcutaneous Leqembi starter dose
Published: 11/26/2025
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