The top competitors and alternatives to Eli Lilly in 2024 include Johnson & Johnson (JNJ), Merck & Co., Inc. (MRK), AbbVie (ABBV), Novo Nordisk A/S (NVO), AstraZeneca (AZN), Novartis (NVS), UnitedHealth Group (UNH), Thermo Fisher Scientific (TMO), Pfizer (PFE), and Bristol-Myers Squibb (BMY).