The global pharmaceutical industry continues to thrive with significant contributions from leading pharmaceutical giants. These companies are constantly innovating and introducing groundbreaking medications to address a wide array of medical conditions. The year 2024 promises to be a landmark year, where several major pharmaceutical firms are expected to see increased revenues from their top-selling medications. In this article, we will take a deep dive into the top-selling medicines from 10 of the leading pharmaceutical giants in 2024, shedding light on the blockbuster drugs that are transforming lives and the industry itself.
10 Best Selling Medicines of Pharmaceutical Giants in 2024

1. Lilly: Trulicity (Dulaglutide)
Therapeutic Area: Diabetes
Sales Forecast (2024): $10 billion+
Eli Lilly’s Trulicity has become one of the most significant drugs in the treatment of Type 2 diabetes, and its sales continue to rise steadily. Trulicity, a glucagon-like peptide-1 (GLP-1) receptor agonist, helps to lower blood sugar levels by increasing insulin secretion and decreasing glucagon release. The medication has gained widespread acceptance among patients and healthcare professionals due to its efficacy and ease of use, being administered as a once-weekly injection.
In 2024, Trulicity is expected to maintain its dominant position in the diabetes market, contributing massively to Lilly’s revenue. With the increasing global prevalence of diabetes and the expanding market for diabetes management solutions, Trulicity’s sales could exceed $10 billion, cementing its status as one of the top-selling drugs worldwide.
2. Bristol Myers Squibb: Revlimid (Lenalidomide)
Therapeutic Area: Oncology
Sales Forecast (2024): $10 billion
Revlimid, Bristol Myers Squibb’s flagship product, has been a leader in the treatment of hematologic malignancies such as multiple myeloma and certain types of lymphoma. Although it is facing competition from biosimilars and generics, Revlimid’s strong efficacy and established clinical track record continue to drive its sales.
In 2024, Revlimid is expected to generate around $10 billion in sales. As the treatment of cancer remains a high priority for healthcare systems globally, Revlimid will likely retain a prominent place in the oncology treatment landscape, even as newer therapies continue to emerge. Furthermore, ongoing research into combination therapies may also enhance Revlimid’s utility.
3. Novartis: Cosentyx (Secukinumab)
Therapeutic Area: Immunology (Autoimmune Disorders)
Sales Forecast (2024): $7.5 billion
Cosentyx is one of the cornerstones of Novartis’s immunology portfolio, and it is used in the treatment of autoimmune diseases like psoriasis, ankylosing spondylitis, and rheumatoid arthritis. The drug, a monoclonal antibody that inhibits interleukin-17A, has been a massive commercial success, owing to its efficacy and favorable safety profile.
By 2024, Cosentyx is expected to generate more than $7 billion in global sales. As the prevalence of autoimmune disorders increases worldwide, particularly in aging populations, the demand for Cosentyx is anticipated to remain strong. Novartis’s commitment to expanding the indications for Cosentyx will likely bolster its revenue further.
4. Roche: Ocrevus (Ocrelizumab)
Therapeutic Area: Neurology (Multiple Sclerosis)
Sales Forecast (2024): $6 billion
Ocrevus, an anti-CD20 monoclonal antibody developed by Roche, is considered one of the most effective treatments for multiple sclerosis (MS). It is used for both relapsing-remitting MS and primary progressive MS, the latter being a form of the disease that was previously challenging to treat.
Ocrevus has shown impressive results in clinical trials and is expected to maintain strong sales in 2024, potentially exceeding $6 billion. Roche continues to invest heavily in the development of new MS therapies, but Ocrevus remains one of the company’s most lucrative assets, benefiting from increasing demand for more effective MS treatments.
5. AstraZeneca: Farxiga (Dapagliflozin)
Therapeutic Area: Cardiovascular & Diabetes
Sales Forecast (2024): $6 billion
AstraZeneca’s Farxiga is a sodium-glucose co-transporter-2 (SGLT2) inhibitor that has proven beneficial for the treatment of Type 2 diabetes, chronic kidney disease, and heart failure. Farxiga’s dual-action on both blood sugar and kidney function makes it a highly attractive treatment for patients with multiple comorbidities.
As cardiovascular diseases and diabetes continue to rise globally, Farxiga’s market share is poised for continued growth. The drug is expected to contribute more than $6 billion to AstraZeneca’s revenues in 2024. Its inclusion in treatment guidelines for multiple conditions ensures its dominant position in the market.

6. AbbVie: Humira (Adalimumab)
Therapeutic Area: Autoimmune Disorders
Sales Forecast (2024): $8 billion (down from peak)
Humira, AbbVie’s flagship medication for autoimmune diseases like rheumatoid arthritis, Crohn’s disease, and psoriasis, has been one of the top-selling drugs globally for many years. However, with the advent of biosimilars, Humira’s dominance is expected to decrease gradually. Despite this, Humira is still anticipated to generate around $8 billion in sales in 2024, although this will mark a significant decline from its peak sales of $20 billion.
AbbVie’s strategy to manage this decline includes transitioning patients to Rinvoq (upadacitinib) and Skyrizi (risankizumab), both of which show significant promise in treating autoimmune diseases. Even with Humira’s waning influence, AbbVie’s diversified portfolio will likely cushion the blow of losing exclusivity.
7. Johnson & Johnson: Stelara (Ustekinumab)
Therapeutic Area: Immunology
Sales Forecast (2024): $7 billion
Stelara, a monoclonal antibody that targets interleukin-12 and interleukin-23, is a critical treatment for conditions like psoriasis, Crohn’s disease, and ulcerative colitis. Johnson & Johnson’s investment in Stelara has paid off with robust sales across its various indications. The drug is expected to continue its upward trajectory in 2024, contributing more than $7 billion to the company’s revenue.
With the rising incidence of autoimmune diseases and J&J’s focus on expanding Stelara’s indications, it is likely to remain a top seller in the immunology space, providing a strong revenue stream for the company.
8. Sanofi: Dupixent (Dupilumab)
Therapeutic Area: Immunology (Allergic and Asthma Disorders)
Sales Forecast (2024): $11 billion+
Sanofi’s Dupixent has emerged as one of the most innovative treatments for allergic diseases, asthma, and eczema. The drug works by inhibiting interleukin-4 and interleukin-13, key cytokines involved in inflammation. Dupixent has expanded its indications rapidly, and as of 2024, it is expected to exceed $11 billion in annual sales.
The growing burden of allergic and respiratory diseases, combined with Dupixent’s proven efficacy, means that Sanofi’s flagship biologic will continue to be a major revenue driver in 2024. Its success has helped Sanofi solidify its leadership position in immunology treatments.
9. Merck: Keytruda (Pembrolizumab)
Therapeutic Area: Oncology
Sales Forecast (2024): $24 billion
Merck’s Keytruda is widely regarded as one of the most groundbreaking immuno-oncology therapies of the decade. It is an anti-PD-1 monoclonal antibody used to treat a variety of cancers, including melanoma, lung cancer, head and neck cancer, and more. With its expanding indications and impressive clinical data, Keytruda is expected to generate over $24 billion in sales in 2024.
The drug’s unparalleled success in the immunotherapy field, paired with Merck’s ongoing research into combination therapies, ensures that Keytruda will remain a cornerstone of Merck’s oncology portfolio for the foreseeable future.
10. Pfizer: Comirnaty (COVID-19 Vaccine)
Therapeutic Area: Vaccines
Sales Forecast (2024): $12 billion
Pfizer’s Comirnaty, developed in collaboration with BioNTech, became a global blockbuster after its approval for COVID-19 vaccination. While demand for COVID-19 vaccines has fluctuated, Comirnaty remains a top-seller, especially with the potential for booster shots and ongoing vaccination campaigns in some regions.
In 2024, Pfizer expects Comirnaty to contribute around $12 billion in sales. The drug’s future growth is largely dependent on the evolution of the pandemic, new variants of the virus, and booster vaccine campaigns. Additionally, Pfizer’s continued work on vaccine formulations for other diseases might help broaden its portfolio.

Conclusion
The pharmaceutical industry continues to be shaped by these powerful pharmaceutical giants, each contributing groundbreaking therapies across various therapeutic areas. From diabetes to oncology, immunology, and vaccines, the top-selling medicines from Lilly, Bristol Myers Squibb, Novartis, Roche, AstraZeneca, AbbVie, Johnson & Johnson, Sanofi, Merck, and Pfizer in 2024 demonstrate how these companies are addressing some of the most pressing medical needs worldwide.
As we move further into 2024, we can expect continued growth in the sales of these medications, spurred by innovations, expanding indications, and increasing patient populations. The success of these drugs not only benefits the companies behind them but also represents hope for patients who rely on these treatments for improved health outcomes. The pharmaceutical industry is expected to remain one of the most dynamic sectors of the global economy, with these medications leading the way in shaping the future of healthcare.
Also Read:
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https://lifescienceinsights360.com/biotech/the-rising-issue-of-human-metapneumovirus-hmpv/