GILD options flow: unusual options activity in Gilead Sciences, Inc.
Updated 28 September 2026, 09:54 ET
Over the last week the tape recorded 71 unusual options prints in Gilead Sciences, Inc. (GILD), $3.8M of tracked premium, leaning firmly bullish. Bullish premium was $3.4M against $271K bearish; $3.8M went into calls and $44K into puts, a put call ratio of 0.01. The largest print was $448K of GILD 21 Jan 2028 $150 calls on 25 September 2026, swept at ask. The last session with prints, 25 September 2026, added 7 prints and $759K of premium. GILD closed at $150.93 on 25 September 2026, up 0.8%.
This week's unusual flow
Prints from 21 September 2026 to 25 September 2026, 5 sessions. Delayed tier: every print is shown twenty minutes after it executed, and the page is rebuilt after each session.
Net premium is bullish minus bearish premium. The put call ratio is put premium divided by call premium, weighted by money rather than by contract count. Sweeps is the share of prints executed across several exchanges at once. Read the guide: Reading the Pulse.
Largest prints of the week
| Date | Contract | Type | Size | Open int. | Premium | Execution | Sentiment | Tier |
|---|---|---|---|---|---|---|---|---|
| 25 Sep 2026 | GILD 21 Jan 2028 $150 calls | Sweep | 200 | 448 | $448K | At ask | Bullish | High conviction |
| 22 Sep 2026 | GILD 16 Oct 2026 $155 calls | Trade | 350 | 1,480 | $131K | At ask | Bullish | Notable |
| 25 Sep 2026 | GILD 21 Jan 2028 $150 calls | Sweep | 50 | 448 | $112K | At ask | Bullish | Notable |
| 21 Sep 2026 | GILD 15 Jan 2027 $130 calls | Trade | 39 | 1,584 | $100K | At ask | Bullish | |
| 21 Sep 2026 | GILD 15 Jan 2027 $130 calls | Trade | 38 | 1,584 | $95K | At ask | Bullish | |
| 21 Sep 2026 | GILD 15 Jan 2027 $130 calls | Trade | 37 | 1,584 | $94K | At ask | Bullish | |
| 21 Sep 2026 | GILD 15 Jan 2027 $130 calls | Trade | 36 | 1,584 | $92K | At ask | Bullish | |
| 21 Sep 2026 | GILD 15 Jan 2027 $130 calls | Trade | 37 | 1,584 | $91K | At ask | Bullish | |
| 21 Sep 2026 | GILD 15 Jan 2027 $130 calls | Trade | 36 | 1,584 | $91K | At ask | Bullish | |
| 21 Sep 2026 | GILD 15 Jan 2027 $130 calls | Trade | 35 | 1,584 | $90K | At ask | Bullish | |
| 21 Sep 2026 | GILD 15 Jan 2027 $130 calls | Trade | 35 | 1,584 | $89K | At ask | Bullish | |
| 21 Sep 2026 | GILD 15 Jan 2027 $130 calls | Trade | 36 | 1,584 | $89K | At ask | Bullish |
Size above open interest means the trade opened a position larger than everything that existed in the contract the night before. Above ask and below bid are the most aggressive executions. Read the guide: Size versus open interest.
Where the money is aimed
| Expiry | Prints | Premium | Calls share | Net premium |
|---|---|---|---|---|
| 15 Jan 2027 | 52 | $2.5M | 100% | +$2.3M |
| 21 Jan 2028 | 4 | $647K | 100% | +$583K |
| 16 Oct 2026 | 4 | $251K | 100% | +$214K |
| 2 Oct 2026 | 4 | $192K | 77% | +$192K |
| 30 Oct 2026 | 2 | $89K | 100% | -$44K |
| 20 Nov 2026 | 2 | $70K | 100% | +$14K |
The most premium, $2.5M, is aimed at the 15 Jan 2027 expiry; the nearest expiry with unusual prints is 2 Oct 2026.
A print in a contract expiring this week is a view about the next few days, often about a known event; a print months out is a different kind of statement. Read the guide: 0DTE options flow.
The last session, 25 September 2026
| Date | Contract | Type | Size | Open int. | Premium | Execution | Sentiment | Tier |
|---|---|---|---|---|---|---|---|---|
| 25 Sep 2026 | GILD 21 Jan 2028 $150 calls | Sweep | 200 | 448 | $448K | At ask | Bullish | High conviction |
| 25 Sep 2026 | GILD 21 Jan 2028 $150 calls | Sweep | 50 | 448 | $112K | At ask | Bullish | Notable |
| 25 Sep 2026 | GILD 30 Oct 2026 $149 calls | Sweep | 75 | 2 | $45K | At bid | Neutral | Notable |
| 25 Sep 2026 | GILD 2 Oct 2026 $148 puts | Sweep | 212 | 44 | $44K | At bid | Bullish | High conviction |
| 25 Sep 2026 | GILD 30 Oct 2026 $142 calls | Trade | 45 | 0 | $44K | At bid | Bearish | Notable |
Every print in GILD with its full detail, the live tape, one tap filters and saved screeners: open GILD in Options Sentiment Screener.
Price
The live quote and the price chart sit beside the ticker's flow in the app: open GILD in Options Sentiment Screener.
Analysts
The most recent analyst targets on file, from 10 firms, have a median of $160, 6.3% above the last close. The last 90 days brought 1 upgrade and 1 downgrade.
Calls bought at a strike above the average target are a bet that the analysts are too cautious; puts far below the price in a name they like are protection or a strong disagreement. Read the guide: Reading one ticker's flow.
About Gilead Sciences, Inc.
- Exchange
- Nasdaq
- Sector
- Health Care
- Industry
- Pharmaceutical Products
- Headquarters
- Foster City, California
- Website
- gilead.com
Gilead Sciences discovers, develops, and commercializes medicines in the areas of unmet medical need in the United States, Europe, and internationally. The company provides Biktarvy, Genvoya, Descovy, Odefsey, Truvada, Complera/ Eviplera, and Atripla products for the treatment of HIV/AIDS.
In the same sector
Flow pages for other Health Care names in the S&P 500:
LLY Eli Lilly & Co.JNJ Johnson & JohnsonABBV AbbVie Inc.MRK Merck & Co. Inc.UNH UnitedHealth Group Inc.TMO Thermo Fisher Scientific Inc.AMGN Amgen Inc.ABT Abbott Laboratories
Learn
- What unusual options activity means
- Reading one ticker's flow
- Sweeps, blocks and where a trade printed
- Size versus open interest
- Bullish or bearish, how a print's sentiment is inferred
- The conviction score and whale prints
The live tape for GILD with every print's execution detail, one tap filters for calls, puts, sweeps and 0DTE, saved screeners and, for Realtime subscribers, push alerts and no delay. The same screen is in the iOS and Android apps.
Open GILD in Options Sentiment Screener