But COVID-19 vaccine sales exceeded diminished expectations and demand for cancer drug Darzalex helped drive the fourth-quarter profit beat.
The company reported $689 million in quarterly COVID-19 vaccine sales from outside the United States.
J&J said it expects U.S. sales of Stelara to be flat to lower in 2023 due to competition from less expensive biosimilars in certain regions.
It forecast adjusted 2023 earnings of $10.45 to $10.65 per share, above analysts' estimates of $10.35.
Excluding items, J&J earned $2.35 per share for the quarter, topping analysts' estimates by 12 cents, according to IBES data from Refinitiv.
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