NVO vs RMD: Which Is the Better Buy in 2026?

Last updated August 2026

Short answer

NVO is the larger of the two ($208.18B market cap): the incumbent the market prices for continued execution (14.37x forward earnings, beta 0.36). RMD is the smaller challenger ($33.40B), actually pricier on forward earnings (17.52x): more room to run, but more to prove. The real question is which set of drivers you believe, and whether owning one (or both) leaves you over-concentrated.

NVO vs RMD: the tie-breaker metrics

Same yardstick, side by side (as of August 2026). Valuation lined up like this is most meaningful for two names in the same corner of the market, which these are. Figures are approximate; verify before investing.

MetricNVORMDWhat it tells you
Market cap$208.18B$33.40BSize. The larger name is the incumbent; the smaller has more room to grow and more to prove.
Forward P/E14.3717.52Valuation on next year's expected earnings, the same yardstick for both. Lower is cheaper for that growth; higher means the market is paying up.
Trailing P/E11.2122.18Valuation on the last 12 months. A big drop from trailing to forward means the market expects earnings to jump, so more growth is already in the price.
Beta0.360.75Volatility vs the market. Above 1 swings harder than the index; below 1 is steadier. Higher beta means bigger drawdowns to hold through.
Price vs 52-week range41% of range45% of rangeWhere today's price sits between the 52-week low and high. Near the high is momentum with less margin of safety; near the low is out of favor or a discount, depending on why.
Price / book6.725.09How much you pay over book value. Very high can signal an asset-light, high-return business or a rich price.

Reading it: NVO is the cheaper of the two on forward earnings, but cheaper is not the same as better. Pair the valuation with growth (how far the forward P/E sits below the trailing P/E) and risk (beta) before you decide.

Before you buy: how NVO and RMD affect your concentration

The metrics above tell you which is the marginally better business. The bigger risk for most people is not picking the slightly worse stock, it is over-concentrating. NVO and RMD share themes, so owning both, or adding either to what you already hold, can quietly push a large share of your portfolio into one bet.

This is the part a generic comparison page cannot answer, because it depends on what you own. Connect your brokerage and Walnut shows your real, combined NVO and RMD exposure, flags overlap with your existing positions, and tells you if adding one would tip you past a concentration you are comfortable with, read-only by default, with your login staying at your broker. Walnut is not an investment adviser.

What does Novo Nordisk (NVO) do?

Novo Nordisk (NVO) is a Danish pharmaceutical company and a global leader in diabetes and obesity care. Its franchise centers on GLP-1 receptor agonists, most notably semaglutide, sold as Ozempic and Rybelsus for type 2 diabetes and as Wegovy for chronic weight management. Novo Nordisk also holds a long-standing leadership position in insulin and broader diabetes therapies, and maintains smaller franchises in rare blood and endocrine disorders. The company is headquartered in Bagsvaerd, Denmark, and is controlled by the Novo Nordisk Foundation through a dual-share structure. US investors typically access it through the NVO American Depositary Receipt listed on the New York Stock Exchange, which represents the Danish B shares. The explosive demand for GLP-1 drugs for both diabetes and weight loss has made Novo Nordisk one of Europe's most valuable companies, while also straining its manufacturing capacity for injectable medicines.

Full NVO guide

What does ResMed (RMD) do?

ResMed sells the equipment and software used to treat sleep apnea, chronic obstructive pulmonary disease and other respiratory conditions outside the hospital. The hardware side splits into flow generators (the AirSense and AirCurve device families, plus the Astral and Stellar life support ventilators) and the masks, cushions, tubing and filters patients replace on a rolling schedule. In fiscal 2026, the year ended June 30, 2026, Americas devices produced ~$1.77 billion and Americas masks and other ~$1.51 billion, while the rest of the world contributed ~$1.12 billion in devices and ~$572 million in masks. A third line, Residential Care Software, brought in ~$676 million from Brightree, MEDIFOX DAN and MatrixCare, the back office systems that home medical equipment dealers, out of hospital care providers and skilled nursing operators use for billing, resupply and scheduling. Roughly 11,370 employees support ~35 million cloud connected devices and ~37 million patients registered in AirView, the remote monitoring platform. Manufacturing is concentrated in Singapore, Sydney and Tijuana. The company is incorporated in Delaware, reports in US dollars, lists on the NYSE, and also trades in Australia as CHESS Depositary Interests.

Full RMD guide

NVO vs RMD: how do they differ?

Both fit overlapping themes, but they are not interchangeable. The useful comparison is which set of drivers and risks you want exposure to.

  • NVO drivers: GLP-1 obesity and diabetes demand; Pipeline and next-generation candidates.
  • RMD drivers: Resupply, not new device placements, carries the growth; The Astral recall is a sized, dated hole rather than an open ended one.

Which fits which kind of investor

A faster-growing, richer-valued name usually swings harder, so it suits a longer horizon and a higher tolerance for volatility; a steadier, more cash-generative business suits a more conservative or income-minded investor. The honest test is which set of risks you could hold through a drawdown: Novo Nordisk is heavily concentrated in a single drug class, so any clinical setback, safety signal, or faster-than-expected competition from Eli Lilly's tirzepatide (Mounjaro, Zepbound) and newer entrants directly threatens the core franchise. For RMD, philips is the single largest competitive variable.

NVO or RMD: which should you pick?

Growth-minded investors who believe the theme has years to run tend to accept the richer multiple for more upside; value-minded investors lean toward the cheaper forward earnings and steadier profile. Pick NVO if you believe its drivers more; RMD if you believe its. Many investors hold both, but since they share themes, that is a concentrated bet, not diversification. Decide deliberately and check overlap. For the full detail, see the NVO and RMD guides.

NVO vs RMD: the full fundamentals

NVO. Novo Nordisk has historically commanded a premium pharma multiple on the strength of GLP-1 growth and very high margins. The multiple is sensitive to GLP-1 market-share dynamics versus Eli Lilly, supply progress, and US pricing news; disappointing trial data or share loss can compress it quickly. All figures are approximate, are reported in Danish kroner and translated to dollars, and should be verified against the latest filings.

RMD. Fiscal 2027 guidance calls for revenue of $5.75 billion to $5.85 billion with core constant currency growth of 5% to 7%, and non-GAAP EPS of $12.00 to $12.25, up 12% to 14%. Both figures absorb the ~$75 million Astral headwind and the MatrixCare divestiture, so the underlying growth rate is higher than the headline. At ~19x that guidance ResMed prices closer to a mature medtech than to the ~30x it commanded before the GLP-1 debate began, which is the whole valuation argument in one number.

Headline figures (approximate, early 2026): NVO shows revenue (ttm) ~$40 billion (approximate, verify; reported in Danish kroner), operating margin ~45% (approximate, verify), net margin ~35% (approximate, verify), glp-1 share of revenue Majority of sales from semaglutide products (approximate); RMD shows revenue (fiscal 2026, trailing twelve months) ~$5.65 billion for fiscal 2026, the twelve months ended June 30, 2026, up ~10% reported and ~8% in constant currency from ~$5.15 billion in fiscal 2025, ~$4.69 billion in fiscal 2024 and ~$4.22 billion in fiscal 2023. Fourth quarter revenue was ~$1.46 billion, a record, up 9% reported and 8% in constant currency, though slightly below the ~$1.47 billion consensus., earnings and margins GAAP net income of ~$1.52 billion and diluted EPS of $10.43, up ~10%; non-GAAP net income ~$1.63 billion and non-GAAP diluted EPS $11.17, up 17%. GAAP gross margin 61.1% (up 170 basis points) and non-GAAP 62.4% (up 240 basis points). GAAP operating margin 33.4%; non-GAAP 36.1%. Research and development ran ~$378 million and SG&A ~$1.12 billion. Fourth quarter GAAP EPS of $2.64 grew only 2% because of the $42 million Astral provision, while non-GAAP EPS of $2.95 rose 16%., revenue mix (the line a screener misses) Fiscal 2026 devices totalled ~$2.89 billion (~$1.77 billion Americas, ~$1.12 billion rest of world), masks and other consumables ~$2.09 billion (~$1.51 billion Americas, ~$572 million rest of world), and Residential Care Software ~$676 million. Sleep and Breathing Health was ~$4.98 billion of the total. Masks grew 10% in the Americas and 12% internationally in the fourth quarter on a constant currency basis, against ~4% constant currency growth for software across the year., cash flow and balance sheet Operating cash flow of ~$1.81 billion in fiscal 2026 (up ~3%) and free cash flow of ~$1.65 billion (down ~1%). Cash and equivalents of ~$1.47 billion at June 30, 2026 against ~$659 million of total debt ($260 million short term, $399 million long term), for a net cash position and a debt to equity ratio near 0.13. Assets held for sale of ~$457 million reflect the pending MatrixCare disposal. Return on equity ran ~24% and return on invested capital ~26%..

The bottom line: NVO vs RMD

NVO and RMD are related but distinct: same themes, different businesses and risks. Neither wins in the abstract; the right pick is whichever thesis you actually believe, sized so you are not over-concentrated in one theme. Walnut can show your combined NVO and RMD exposure against your real portfolio. It is not an investment adviser.

Wondering how NVO or RMD fits the portfolio you already own? Walnut is an AI investing app that connects your brokerage read-only and answers questions like that about your actual holdings: overlap, concentration, and how each position tracks the S&P 500. Compare the best AI portfolio analyzers or see the best AI investing apps in 2026.

Investing in Novo Nordisk with AI

Connect the broker you already use and ask Walnut's AI how NVO fits what you actually hold: whether you own it already through a fund, what it would do to your concentration, and how it has tracked the S&P 500. Read-only by default, and you approve anything before it reaches your broker.

FAQ

What is the difference between NVO and RMD?

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Novo Nordisk (NVO) is a Danish pharmaceutical company and a global leader in diabetes and obesity care. ResMed sells the equipment and software used to treat sleep apnea, chronic obstructive pulmonary disease and other respiratory conditions outside the hospital. They show up together because they share investment themes, but they are different businesses, so the better fit depends on which thesis you are expressing.

Is NVO or RMD the better stock?

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Neither is universally better. NVO is the larger incumbent; RMD is the smaller challenger and looks pricier on forward earnings. Walnut is informational, not investment advice. Compare what each does, the tie-breaker metrics above, and the risks, then decide which fits your thesis and what you already own.

Which is cheaper, NVO or RMD?

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On forward P/E (as of August 2026), NVO trades at 14.37x and RMD at 17.52x, so NVO is the cheaper of the two on next year's expected earnings. A lower multiple is not automatically the better buy: a richer valuation can be justified by faster growth, and a lower one can reflect real risk. Weigh the multiple against how fast each business is compounding.

Should you own both NVO and RMD?

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Because they share themes, owning both concentrates you in that theme. That can be intentional (a focused bet) or accidental (less diversification than it looks). Walnut can show your combined exposure across both, and whether adding either over-concentrates you, before you buy.

What are the risks of NVO vs RMD?

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NVO: Novo Nordisk is heavily concentrated in a single drug class, so any clinical setback, safety signal, or faster-than-expected competition from Eli Lilly's tirzepatide (Mounjaro, Zepbound) and newer entrants directly threatens the core franchise. Manufacturing capacity has been a persistent constraint, limiting how much demand it can serve. US drug pricing, payer coverage decisions, and potential price negotiation add reimbursement risk to its largest market. As an ADR, NVO carries Danish krone currency exposure and is influenced by European regulation. Patent expiries and the eventual arrival of biosimilar or generic competition loom over the long-term semaglutide economics. RMD: Philips is the single largest competitive variable. Its Respironics business exited most of the US new device market after the 2021 foam recall and the subsequent consent decree, handing ResMed several points of share it did not have to compete for. Any credible return of Philips capacity to the US sleep market would meet a ResMed that has been pricing and allocating capital against a diminished rival for five years, and mask share, where switching costs are lowest, would be the first place to show it. The GLP-1 question is genuinely open. ResMed's 2.5 million patient study is observational and self published, and it measures behaviour in the early years of drug adoption rather than the steady state after sustained weight loss; a cohort that loses enough weight to fall below the diagnostic threshold would leave the resupply base entirely. Quality systems are the second live risk. A Class 1 designation on 168,069 Astral units invites FDA scrutiny that can extend past the specific defect into inspection findings, warning letters or a consent decree, and Philips is the cautionary case for how far that can go. Reimbursement adds pressure from the other side: most US revenue passes through home medical equipment suppliers paid by Medicare and commercial plans, so competitive bidding rounds and prior authorisation tightening compress the distributor before they reach ResMed. Manufacturing is concentrated in Singapore, Sydney and Tijuana, which leaves the gross margin exposed to tariffs and freight. Roughly a third of revenue is non-US, so a stronger dollar reduces reported growth. Finally, ~10.9% short interest and a 52 week range of $180.27 to $293.81 mean sentiment, not fundamentals, has been setting the price.

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Walnut is informational, not investment advice. This page is descriptive and not a recommendation to buy or sell NVO or RMD; figures are approximate and dated (as of August 2026). Verify current data before investing.

    NVO vs RMD: Which Is the Better Buy in 2026? - Walnut AI Investing App