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Zepbound vial
Zepbound vials (Eli Lilly)

Eli Lilly’s telehealth deals require platforms to stop compounding GLP-1s, CFO says

Telehealth companies have to stop compounding GLP-1s if they want access to branded Zepbound, Lilly’s CFO said on Tuesday.

Eli Lilly’s deals with telehealth companies to sell cheaper versions of its popular weight-loss drug Zepbound come with a caveat: the telehealth companies cannot sell compounded versions of its GLP-1 drug, nor its competitors’.

Lucas Montarce, Lilly’s chief financial officer, on Tuesday shed some light on some of the deals the drugmaker has cut with telehealth providers that have become an important pillar of the weight-loss market. Many of the telehealth companies began selling copycat versions of Zepbound, as well as Novo Nordisk’s weight-loss drug Wegovy, while they were in shortage.

Now that the shortage of those drugs is over, many telehealth platforms have sought to keep selling compounded versions of the weight-loss drugs made by Lilly and Novo, nibbling at their market share and irritating the drugmakers. Lilly has reached deals with some of those providers to sell branded Zepbound, but few details were known before Tuesday.

Ro zepbound vial
(A screenshot from Ro’s website.)

“We are enforcing in those agreements that, as long as the product is out of the shortage list, that those telehealth services are not compounding either tirzepatide or semaglutide, right?” Montarce said at the Goldman Sachs Global Healthcare Conference on Tuesday, referring to the two active ingredients in Zepbound and Wegovy.

Telehealth company Ro does not promote compounded GLP-1s on its website, though it is presented as an option after filling out the survey. Noom lists compounded GLP-1s as an offering on its site. Both have partnerships with Lilly. A Lilly spokesperson didn’t immediately respond to a request for comment.

Other telehealth companies, like Hims & Hers, have gone all in on compounding, which they say offers “personalized” treatments for their patients. Selling branded, compounded drugs is also more profitable for them than flipping generics or brand-name drugs. Lilly and Novo have sued some of the telehealth providers selling compounded versions of their drugs.

The drugmakers have also lowered their prices in an effort to capture customers previously on compounded prescriptions. Both Lilly and Novo both introduced special rates for uninsured patients starting at about $400 a month, which is higher than the roughly $200 compounders charge, but significantly lower than the upward of $1,000 those companies charge insured patients.

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eBay stock slumps on gloomy Q4 outlook despite solid Q3 earnings

Shares of eBay fell as much as 10.5% in premarket trading on Thursday morning after the company gave a lower-than-expected profit forecast for the important holiday shopping season.

The e-commerce giant reported solid numbers for the third quarter on Wednesday, with revenue up 9% as reported to $2.8 billion and gross merchandise volume rising 10% to $20.1 billion, topping the average analyst forecast of $19.4 billion, per Bloomberg.

However, concerns about the future somewhat overshadowed these results.

eBay outlined its profit outlook for the period ending in December to $1.31 to $1.36 a share, with revenue at $2.83 billion to $2.89 billion. According to Bloomberg-compiled data, this broadly matches Wall Street’s estimates for the top line, but misses on the bottom line, with analysts forecasting EPS to come in at $1.39 — suggesting the company expects some further margin pressure.

The company has been facing macroeconomic challenges since the US ended the de minimis tariff exemption in late August, with the online marketplace reliant on shipments. One small silver lining? CFO Peggy Alford highlighted a “less durable trend” on a post-earnings call: that as commodity prices for precious metals boomed, demand for bullion and collectible coins on eBay spiked.

However, concerns about the future somewhat overshadowed these results.

eBay outlined its profit outlook for the period ending in December to $1.31 to $1.36 a share, with revenue at $2.83 billion to $2.89 billion. According to Bloomberg-compiled data, this broadly matches Wall Street’s estimates for the top line, but misses on the bottom line, with analysts forecasting EPS to come in at $1.39 — suggesting the company expects some further margin pressure.

The company has been facing macroeconomic challenges since the US ended the de minimis tariff exemption in late August, with the online marketplace reliant on shipments. One small silver lining? CFO Peggy Alford highlighted a “less durable trend” on a post-earnings call: that as commodity prices for precious metals boomed, demand for bullion and collectible coins on eBay spiked.

A screenshot from Hims & Hers' website. (Sherwood News)

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