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Gilead hikes 2026 sales outlook, says Medicare cuts Biktarvy price by 38% starting in 2028

Reuters

By Deena Beasley

Oct 29 (Reuters) - Gilead Sciences hiked ‌its full-year sales outlook on Thursday and reported third-quarter product sales rose 13%, driven by a double-digit percentage jump for its flagship ​HIV drug ‌franchise.

The company reported quarterly adjusted earnings of $2.55 per share on revenue of $8.3 ‌billion, beating the average analysts' estimates of $2.19 a share and $7.8 billion in revenue, according to LSEG data.

Gilead's shares, which rose 4% in regular trading, were up another ‌2.2% at $169.25 after hours.

The Foster City, California-based company said sales of HIV drug Biktarvy rose 10% to $4.1 billion, beating analyst expectations of $3.86 billion.

Gilead said the US Centers for Medicare & Medicaid Services will reduce by 38% the price it pays for Biktarvy starting January 1, ⁠2028, under the Medicare health program for people age 65 and over. The ‌HIV drug was one of 15 medications ⁠selected for the third round of annual price negotiations under the Inflation Reduction Act ​of 2022.

The new "maximum fair price" of $2,600 for a 30-day supply will reduce Gilead's 2028 Biktarvy sales by about $1.5 billion, although the drugmaker still expects overall ​HIV revenue to increase compared to 2027, Chief Financial Officer Andrew Dickinson ​said during ‌a conference call.

Gilead's quarterly results met "increasing expectations," RBC Capital Markets analyst Brian Abrahams said ​in a research note. But he added, after the stock's performance, "some may begin ⁠to wonder how much their HIV franchise revenue growth ‌can persist ​longer-term given potential branded/generic competition and IRA (pricing) effects."

Year to ​date, Gilead's shares have gained 36%.

For 2026, Gilead said it now expects product sales of $31 billion to $31.3 billion, up from a previous estimate of $30.1 billion to $30.4 billion.

The drugmaker, however, also increased its estimated full-year adjusted loss per share to ‌between $1.20 and $0.85, from a previous range of $0.65 to $0.30, citing the impact of $12.4 billion in deal-related charges.

Overall HIV sales for the quarter rose 18% to $6.2 billion, mainly driven by higher ‌prices, higher demand ​for HIV prevention drugs and favorable inventory dynamics.

Third-quarter sales for the company's liver disease portfolio rose 13% to $927 million.

Gilead said cell therapy sales decreased 18% to $355 million, reflecting ongoing competition, while sales of cancer drug Trodelvy rose 42% to $506 million, primarily driven by ‌higher demand.

(Reporting By Deena Beasley in Los Angeles; Editing by Bill Berkrot)