UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Form 10-K
ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the fiscal year ended December 31, 2020

2022
or
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
Commission file number: 0-19311
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BIOGEN INC.
(Exact name of registrant as specified in its charter)
Delaware33-0112644
(State or other jurisdiction of incorporation or organization)(I.R.S. Employer Identification No.)
225 Binney Street, Cambridge, MA 02142
(617) 679-2000
(Address, including zip code, and telephone number, including area code, of Registrant’s principal executive offices)
Securities registered pursuant to Section 12(b) of the Act:
Title of Each ClassTrading Symbol(s)Name of Each Exchange Whereon Which Registered
Common Stock, $0.0005 par valueBIIBTheNasdaq Global Select Market
Securities registered pursuant to Section 12(g) of the Act:
None
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.    Yes x        No o
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act.    Yes o        No x
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes x       No o
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).    Yes x        No o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company” and "emerging growth company" in Rule 12b-2 of the Exchange Act. x
Large accelerated filerxAccelerated filer
Non-accelerated filerSmaller reporting company
Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.
Indicate by check mark whether the registrant has filed a report on and attestation to its management's assessment of the effectiveness of its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that prepared or issued its audit report. x
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act).    Yes         No x
The aggregate market value of the registrant’s common stock held by non-affiliates of the registrant (without admitting that any person whose shares are not included in such calculation is an affiliate) computed by reference to the price at which the common stock was last sold as of the last business day of the registrant’s most recently completed second fiscal quarter was $42,102,640,463.$29,397,964,818.
As of February 2, 2021,14, 2023, the registrant had 152,335,731144,485,646 shares of common stock, $0.0005 par value, outstanding.
DOCUMENTS INCORPORATED BY REFERENCE
Portions of the definitive proxy statement for our 20212023 Annual Meeting of Stockholders are incorporated by reference into Part III of this report.


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BIOGEN INC.
ANNUAL REPORT ON FORM 10-K
For the Year Ended December 31, 20202022
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NOTE REGARDING FORWARD-LOOKING STATEMENTS
This report contains forward-looking statements that are being made pursuant to the provisions of the Private Securities Litigation Reform Act of 1995 (the Act) with the intention of obtaining the benefits of the “Safe Harbor” provisions of the Act. These forward-looking statements may be accompanied by such words as “aim,” “anticipate,” “believe,” “could,” “estimate,” “expect,” “forecast,” "goal," “intend,” “may,” “plan,” “potential,” “possible,” “will,” “would” and other words and terms of similar meaning. Reference is made in particular to forward-looking statements regarding:
the anticipated amount, timing and accounting of revenues;revenue; contingent, milestone, royalty and other payments under licensing, collaboration, acquisition or divestiture agreements; tax positions and contingencies; collectability of receivables; pre-approval inventory; cost of sales; research and development costs; compensation and other selling, general and administrative expenses;expense; amortization of intangible assets; foreign currency exchange risk; estimated fair value of assets and liabilities; and impairment assessments;
expectations, plans and prospects relating to sales, pricing, growth, reimbursement and launch of our marketed and pipeline products;
the potential impact of increased product competition in the markets in which we compete, including increased competition from new originator therapies, generics, prodrugs and biosimilars of existing products and products approved under abbreviated regulatory pathways, including generic or biosimilar versions of our products or competing products;
patent terms, patent term extensions, patent office actions and expected availability and period of regulatory exclusivity;
our plans and investments in our core and emerging growth areasportfolio as well as implementation of our corporate strategy;
the drivers for growing our business, including our plans and intention to commit resources relating to discovery, research and development programs and business development opportunities as well as the potential benefits and results of, and the anticipated completion of, certain business development transactions;transactions and cost-reduction measures;
the expectations, development plans and anticipated timelines, including costs and timing of potential clinical trials, filings and approvals, of our products, drug candidates and pipeline programs, including collaborations with third-parties, as well as the potential therapeutic scope of the development and commercialization of our and our collaborators’ pipeline products;
the timing, outcome and impact of administrative, regulatory, legal and other proceedings related to our patents and other proprietary and intellectual property rights, tax audits, assessments and settlements, pricing matters, sales and promotional practices, product liability and other matters;
our ability to finance our operations and business initiatives and obtain funding for such activities;
adverse safety events involving our marketed products, generic or biosimilar versions of our marketed products or any other products from the same class as one of our products;
the direct and indirect impact of the COVID-19 pandemic and other global health outbreaks on our business and operations, including sales, expenses,expense, reserves and allowances, the supply chain, manufacturing, cyber-attacks or other privacy or data security incidents, research and development costs, clinical trials and employees;
the current and potential impacts of the conflict in Ukraine, including impacts on our operations, sales and the possible disruptions or delays in our plans to conduct clinical trial activities in affected regions;
the potential impact of healthcare reform in the United States (U.S.), including the Inflation Reduction Act of 2022 (IRA), and measures being taken worldwide designed to reduce healthcare costs and limit the overall level of government expenditures, including the impact of pricing actions and reduced reimbursement for our products;
our manufacturing capacity, use of third-party contract manufacturing organizations, plans and timing relating to changes in our manufacturing capabilities, activities in new or existing manufacturing facilities and the expected timeline for the remaining portion of the Solothurn manufacturing facility to begin manufacturing products or product candidates and for the gene therapy manufacturing facility in Research Triangle Park (RTP), NC to be partially operational;


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the impact of the continued uncertainty of the credit and economic conditions in certain countries in Europe and our collection of accounts receivable in such countries;
the potential impact on our results of operations and liquidity of the United Kingdom's (U.K.) departure from the European Union (E.U.);
lease commitments, purchase obligations and the timing and satisfaction of other contractual obligations; and


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the impact of new laws (including tax), regulatory requirements, judicial decisions and accounting standards.
These forward-looking statements involve risks and uncertainties, including those that are described in Item 1A. Risk Factors included in this report and elsewhere in this report, that could cause actual results to differ materially from those reflected in such statements. You should not place undue reliance on these statements. Forward-looking statements speak only as of the date of this report. Except as required by law, we do not undertake any obligation to publicly update any forward-looking statements, whether as a result of new information, future developments or otherwise.
NOTE REGARDING COMPANY AND PRODUCT REFERENCES
References in this report to:
“Biogen,” the “company,” “we,” “us” and “our” refer to Biogen Inc. and its consolidated subsidiaries; and
“RITUXAN” refers to both RITUXAN (the trade name for rituximab in the U.S., Canada and Japan) and MabThera (the trade name for rituximab outside the U.S., Canada and Japan).
NOTE REGARDING TRADEMARKS
ADUHELM®, AVONEX®, PLEGRIDY®, RITUXAN®, RITUXAN HYCELA®, SPINRAZA®, TECFIDERA®, TYSABRI®, and VUMERITY® and ZINBRYTA®are registered trademarks of Biogen.
BENEPALI, BYOOVIZ, FLIXABI, FUMADERM,IMRALDIand Healthy Climate, Healthy Lives are trademarks of Biogen.
ACTEMRA®, CIMZIA®, ENBREL®, EYLEA®, FAMPYRA, GAZYVA®, HUMIRA®, LEQEMBI, LUCENTIS®, LUNSUMIO, OCREVUS®, REMICADE® and other trademarks referenced in this report are the property of their respective owners.



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PART I
ItemITEM 1. BusinessBUSINESS
Overview
Biogen is a global biopharmaceutical company focused on discovering, developing and delivering worldwide innovative therapies for people living with serious neurological and neurodegenerativecomplex diseases as well as related therapeutic adjacencies. Our core growth areas includeworldwide. We have a broad portfolio of medicines to treat multiple sclerosis (MS) and neuroimmunology; Alzheimer’s disease and dementia; neuromuscular disorders, including, have introduced the first approved treatment for spinal muscular atrophy (SMA) and amyotrophic lateral sclerosis (ALS); movement disorders, including Parkinson's disease; ophthalmology; and neuropsychiatry.co-developed two treatments to address a defining pathology of Alzheimer’s disease. We are also focused on discovering, developingadvancing our pipeline in neurology, neuropsychiatry, specialized immunology and delivering worldwide innovative therapies in our emerging growth areas of immunology; acute neurology; and neuropathic pain. In addition, we commercialize biosimilars of advanced biologics.rare diseases. We support our drug discovery and development efforts through the commitment of significant resources to discovery,internal research and development programs and business development opportunities.external collaborations.
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Our marketed products include TECFIDERA, VUMERITY, AVONEX, PLEGRIDY, TYSABRI and FAMPYRA for the treatment of MS; SPINRAZA for the treatment of SMA; ADUHELM for the treatment of Alzheimer's disease; and FUMADERM for the treatment of severe plaque psoriasis. We also collaborate with Eisai Co., Ltd. (Eisai) on the commercialization of LEQEMBI for the treatment of Alzheimer's disease, which was granted accelerated approval by the U.S. Food and Drug Administration (FDA) in January 2023. We have certain business and financial rights with respect to RITUXAN for the treatment of non-Hodgkin's lymphoma, chronic lymphocytic leukemia (CLL) and other conditions; RITUXAN HYCELA for the treatment of non-Hodgkin's lymphoma and CLL; GAZYVA for the treatment of CLL and follicular lymphoma; OCREVUS for the treatment of primary progressive MS (PPMS) and relapsing MS (RMS); LUNSUMIO (mosunetuzumab), which was granted accelerated approval in the U.S. during the fourth quarter of 2022 for the treatment of relapsed or refractory follicular lymphoma; glofitamab, an investigational bispecific antibody for the potential treatment of non-Hodgkin's lymphoma; and have the option to add other potential anti-CD20 therapies, pursuant to our collaboration arrangements with Genentech, Inc. (Genentech), a wholly-owned member of the Roche Group. For additional information on our collaboration arrangements with Genentech, please read Note 18, Collaborative and Other Relationships,
In addition to our consolidated financial statements included in this report.
For over two decades we have led in the research and development of new therapies to treat MS, resulting in our leading portfolio of MS treatments. Now our research is focused on developing next generation treatments for MS. We introduced the first approved treatment for SMA and are continuing to pursue researchinvest in new potential innovation in MS and developmentSMA we are advancing our mid-to-late stage programs including zuranolone for potential advancements in the treatment of SMA. We are also applying our scientific expertise to solve some of the most challenging and complex diseases, including Alzheimer's disease, ALS, Parkinson's disease, choroideremia (CHM), major depressive disorder (MDD) and postpartum depression X-linked retinitis pigmentosa (XLRP)(PPD), systemic lupus erythematosus (SLE), cutaneous lupus erythematosus (CLE), cognitive impairment associated with schizophrenia (CIAS), strokeBIIB080 for Alzheimer's disease, tofersen for amyotrophic lateral sclerosis (ALS) and neuropathic pain.both litifilimab and dapirolizumab pegol for certain forms of lupus.
Our innovative drug development and commercialization activities are complemented by our biosimilar business that expands access to medicines and reduces the cost burden for healthcare systems. Through our agreements with Samsung Bioepis Co., Ltd. (Samsung Bioepis), our joint venture with Samsung BioLogics Co., Ltd. (Samsung BioLogics), we market and sellWe also commercialize biosimilars of advanced biologics including BENEPALI, an etanercept biosimilar referencing ENBREL, IMRALDI, an adalimumab biosimilar referencing HUMIRA, and FLIXABI, an infliximab biosimilar referencing REMICADE, in certain countries in Europe, and have an option to acquire exclusive rights to commercialize these products in China. Additionally, we have exclusive rights to commercialize two potential ophthalmology biosimilar products, SB11,as well as BYOOVIZ, a proposed ranibizumab biosimilar referencing LUCENTIS, in the U.S. We continue to develop potential biosimilar products including BIIB800, a proposed tocilizumab biosimilar referencing ACTEMRA, and SB15, a proposed aflibercept biosimilar referencing EYLEA, in major markets worldwide, including the U.S., Canada, Europe, Japan and Australia. EYLEA.
For additional information on our collaboration arrangements, with Samsung Bioepis, please read Note 18,19, Collaborative and Other Relationships, to our consolidated financial statements included in this report.
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Key Business Developments
The following is a summary of key developments affecting our business since the beginning of 2020.2022.
For additional information on our acquisitions, collaborative and other relationships discussed below, please read Note 2, Acquisitions, Note 18,19, Collaborative and Other Relationships,and Note 19, Investments in Variable Interest Entities, to our consolidated financial statements included in this report.
Acquisitions,Developments in Key Collaborative and Other Relationships
BIIB118 AcquisitionEisai Collaboration Agreements
LEQEMBI (lecanemab) Collaboration Agreement
In March 2020January 2023 we acquired BIIB118 (CK1 inhibitor), a novel CNS-penetrant small molecule inhibitorand Eisai announced that the FDA granted accelerated approval of casein kinase 1,LEQEMBI, an anti-amyloid antibody for the potential treatment of patients with behavioralAlzheimer's disease. Additionally, in January 2023 we and neurological symptoms across various psychiatric and neurological diseases from Pfizer Inc. (Pfizer). We are developing BIIB118 forEisai announced the potential treatment of irregular sleep wake rhythm disorder (ISWRD) in Parkinson’s disease and plan to develop BIIB118 for the potential treatment of sundowning in Alzheimer's disease.
Sangamo Therapeutics, Inc.
In April 2020 we closed a collaboration and license agreement with Sangamo Therapeutics, Inc. (Sangamo) to develop and commercialize ST-501 for tauopathies, including Alzheimer’s disease; ST-502 for synucleinopathies, including, Parkinson’s disease; a third neuromuscular disease target; and up to nine additional neurological disease targets to be identified and selected within a five-year period. The companies are leveraging Sangamo's proprietary zinc finger protein technology delivered via adeno-associated virus to modulate the expression of key genes involved in neurological diseases. In connection with the closing of this transaction, we purchased $225.0 million of Sangamo common stock, or approximately 24 million shares at approximately $9.21 per share.
Denali Therapeutics Inc.
In October 2020 we closed a collaboration and license agreement with Denali Therapeutics Inc. (Denali) to co-develop and co-commercialize Denali’s small molecule inhibitors of leucine-rich repeat kinase 2 (LRRK2) for Parkinson’s disease. In addition to the LRRK2 program, we also have an exclusive option to license two preclinical programs from Denali’s Transport Vehicle platform, including its Antibody Transport Vehicle (ATV): ATV enabled anti-amyloid beta (Abeta) program and a second program utilizing its Transport Vehicle technology. Further, we have a right of first negotiation on two additional Transport Vehicle-enabled therapeutics, should Denali decide to seek a collaboration for such programs. As part of this collaboration we purchased approximately $465.0 million of Denali common stock in September 2020, or approximately 13 million shares at approximately $34.94 per share.
Sage Therapeutics, Inc.
In December 2020 we closed a global collaboration and license agreement with Sage Therapeutics, Inc. (Sage) to jointly develop and commercialize zuranolone (SAGE-217) for the potential treatment of major depressive disorder, postpartum depression and other psychiatric disorders and SAGE-324 for the potential treatment of essential tremor and other neurological disorders. In connection with the closing of this transaction we purchased $650.0 million of Sage common stock, or approximately 6.2 million shares at approximately $104.14 per share.
Other Key Developments
Aducanumab (Aβ mAb)
In July 2020 we completed the submission of a supplemental Biologics License Application (BLA) to the U.S. Food and Drug Administration (FDA)FDA for thetraditional approval of aducanumab, an anti-amyloid beta antibody candidate for the potential treatment of Alzheimer's disease that we are developing in collaboration with Eisai Co., Ltd. (Eisai). In August 2020 the FDA accepted the BLA and granted Priority Review with a Prescription Drug User Fee Act (PDUFA) action date on March 7, 2021.
In November 2020 the FDA held a virtual meeting of the Peripheral and Central Nervous System Drugs Advisory Committee (the Advisory Committee) to review data supporting the BLA for aducanumab and to vote on questions presented at the meeting. A majority of the Advisory Committee members voted against each of the questions presented at the meeting.LEQEMBI.
In January 2021 the FDA extended the review period for the BLA for aducanumab by three months. The updated PDUFA action date is June 7, 2021. As part of the ongoing review, we submitted a response to an information request by the FDA, including additional analyses and clinical data, which the FDA considered a Major Amendment to the application that will require additional time for review.
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In October 20202023 the European Medicines Agency (EMA) accepted for review the Marketing Authorization Application (MAA) for aducanumab.lecanemab.
In December 2020January 2023 Eisai completed the submission of a MAA to the Pharmaceuticals and Medical Devices Agency (PMDA) in Japan for lecanemab, and was granted Priority Review by the Japanese Ministry of Health, Labor and Welfare acceptedWelfare.
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In December 2022 Eisai initiated a rolling submission of a BLA to the National Medicinal Products Administration (NMPA) of China for review the Japaneseapproval of lecanemab.
In March 2022 we extended our supply agreement with Eisai related to LEQEMBI from five years to ten years for the manufacture of LEQEMBI drug substance.
ADUHELM Collaboration Agreement
On March 14, 2022, we amended our ADUHELM Collaboration Agreement with Eisai. As of the amendment date, we have sole decision making and commercialization rights worldwide on ADUHELM, and beginning January 1, 2023, Eisai receives only a tiered royalty based on net sales of ADUHELM, and no longer participates in sharing ADUHELM's global profits and losses. Eisai's share of development, commercialization and manufacturing expense was limited to $335.0 million for the period from January 1, 2022 to December 31, 2022, which was achieved as of December 31, 2022. Once this limit was achieved, we became responsible for all ADUHELM related costs.
For additional information on our collaboration arrangements with Eisai, please read Note 19, Collaborative and Other Relationships, to our consolidated financial statements included in this report.
Zuranolone (BIIB125)
In June 2022 we and our collaboration partner Sage Therapeutics, Inc. (Sage) announced that the Phase 3 SKYLARK study of zuranolone, for the potential treatment of MDD and PPD, met its primary and all key secondary endpoints.
In December 2022 we and Sage completed the rolling submission of a New Drug Application (NDA) to the FDA for aducanumab.
SB11 (referencing LUCENTIS)the approval of zuranolone for the potential treatment of MDD and PPD. This submission completes the NDA filing initiated earlier in 2022.
In October 2020 the EMA accepted for review the MAA for SB11 and in November 2020February 2023 the FDA accepted the BLANDA and granted Priority Review for SB11. We have exclusive rights to commercialize SB11 in major markets worldwide, including the U.S., Canada, Europe, Japanzuranolone, with a Prescription Drug User Fee Act (PDUFA) action date of August 5, 2023.
For additional information on our collaboration arrangement with Sage, please read Note 19, Collaborative and Australia, pursuantOther Relationships, to our 2019consolidated financial statements included in this report.
Genentech
LUNSUMIO (mosunetuzumab)
In January 2022 we exercised our option with Genentech to participate in the joint development and commercialization of LUNSUMIO (mosunetuzumab), a bispecific antibody for the treatment of relapsed or refractory follicular lymphoma. In connection with this exercise, we recorded a $30.0 million option exercise fee payable to Genentech in December 2021.
In December 2022 Genentech announced that the FDA granted accelerated approval of LUNSUMIO, which was also approved by the European Commission (EC) in June 2022.
Glofitamab
In December 2022 we reached an agreement with Samsung Bioepis.Genentech related to the commercialization and sharing of economics for glofitamab, an investigational T-cell engaging bispecific antibody targeting CD20 and CD3 for the potential treatment of B-cell non-Hodgkin's lymphoma.
2020 Share Repurchase ProgramsFor additional information on our collaboration arrangements with Genentech, please read Note 19, Collaborative and Other Relationships, to our consolidated financial statements included in this report.
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Other Collaborative Relationships
Alcyone Therapeutics
In October 2020December 2022 we entered into a license and collaboration agreement with Alcyone Therapeutics (Alcyone) to jointly develop the ThecaFlex DRx™ System, an implantable medical device intended for subcutaneous delivery of antisense oligonucleotide (ASO) therapies with a goal of improving the patient treatment experience and accessibility for people suffering from neurological disorders, such as SMA and ALS. Under the terms of this collaboration, we and Alcyone will jointly develop the ThecaFlex DRx™ System and Alcyone will be solely responsible for its manufacture and commercialization. In connection with this transaction, we made an upfront payment of $10.0 million to Alcyone.
Corporate Matters
Samsung Bioepis - Biogen's Joint Venture with Samsung BioLogics
In April 2022 we completed the sale of our Board49.9% equity interest in Samsung Bioepis to Samsung BioLogics Co., Ltd. (Samsung BioLogics). Under the terms of Directors authorized a programthis transaction, we received approximately $1.0 billion in cash at closing and expect to repurchasereceive approximately $1.3 billion in cash to be deferred over two payments of approximately $812.5 million due at the first anniversary and approximately $437.5 million due at the second anniversary of the closing of this transaction.
As part of this transaction, we are also eligible to receive up to $5.0 billionan additional $50.0 million upon the achievement of certain commercial milestones. Our policy for contingent payments of this nature is to recognize the payments in the period that they become realizable, which is generally the same period in which the payments are earned.
For additional information on the sale of our common stock (2020 Share Repurchase Program). Our 2020 Share Repurchase Program does not have an expiration date. All share repurchases underequity interest in Samsung Bioepis, please read Note 3, Dispositions, to our 2020 Share Repurchase Programconsolidated financial statements included in this report.
2022 Cost Saving Initiatives
In December 2021 and May 2022 we announced our plans to implement a series of cost-reduction measures that when completed we expect may yield approximately $1.0 billion in expense savings. These savings are being achieved through a number of initiatives, including reductions to our workforce, the substantial elimination of our commercial ADUHELM infrastructure, the consolidation of certain real estate locations and operating efficiency gains across our selling, general and administrative and research and development functions.
Under these initiatives, we estimate we will incur total restructuring charges of approximately $131.0 million, primarily related to severance. These amounts were substantially incurred during 2022. As of December 31, 2022, approximately $35.9 million remained in our restructuring reserve and payments are expected to be retired.made through 2026.
Healthy Climate, Healthy LivesFor additional information on our 2022 cost saving initiatives, please read Note 4, Restructuring, to our consolidated financial statements included in this report.
125 Broadway Sale and Leaseback Transaction
In September 20202022 we announced Healthy Climate, Healthy Lives,completed the sale of our building and land parcel located at 125 Broadway, Cambridge, MA (125 Broadway) for an aggregate sales price of approximately $603.0 million, which is inclusive of a $250.0$10.8 million 20-year initiative to eliminate our fossil fuels across our operations and collaborate with renowned institutionstenant allowance. Simultaneously, with the aimclose of this transaction we leased back the building for a term of approximately 5.5 years.
For additional information on our 125 Broadway sale and leaseback transaction, please read Note 11, Property, Plant and Equipment and Note 12, Leases, to improve health, especially for the world's most vulnerable populations.our consolidated financial statements included in this report.
Management Changes
In July 2020November 2022 we announced the appointment of Michael R. McDonnellChristopher A. Viehbacher as President and Chief Executive Officer.
In February 2022 we announced the appointment of Nicole Murphy as Executive Vice President, Pharmaceutical Operations and Chief Financial Officer.Technology.
In January 2023 we announced the appointment of Priya Singhal as Executive Vice President, Head of Development.
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Board of Directors Update
In June 2022 Nancy Leaming and Brian Posner retired from our Board of Directors.
In November 2022 Christopher A. Viehbacher joined our Board of Directors.
For additional information on our executive officers, please read the subsection entitled "Information about our Executive Officers" included in this report.
Product and Pipeline Developments
Core Growth Areas
Multiple Sclerosis and Neuroimmunology
TYSABRI (natalizumab)TECFIDERA (dimethyl fumerate)
In March 2020 we madeJune 2022 the European Patent Office (EPO) granted a regulatory submissionpatent that expires in February 2028 related to the EMA for a subcutaneous (SC) formulation of TYSABRI (natalizumab). In June 2020 we submitted a Supplemental Biologics License Application for a SC formulation of natalizumab to the FDA. The filings are supported by data from the DELIVER and REFINE studies, which demonstrated that natalizumab 300 mg SC every 4 weeks (Q4W) was comparable to standard 300 mg intravenous Q4W dosing with respect to clinical and magnetic resonance imaging (MRI) efficacy, pharmacokinetics/pharmacodynamics, immunogenicity and safety.TECFIDERA.
In May 2020, throughOctober 2022 the 2020 American Academy of Neurology (AAN) Science Highlights virtual platform, an analysis of TYSABRI contributed to data demonstrating the reduced risk of progressive multifocal leukoencephalopathy (PML) through extended interval dosing (approximately every six weeks) as compared to the currently approved Q4W dosing.
In September 2020, at MSVirtual2020, the eighth joint meetingAdvocate General of the Americas Committee for Treatment and Research in Multiple Sclerosis andCourt of Justice of the European CommitteeUnion (CJEU) issued a nonbinding advisory opinion in Biogen's favor relating to regulatory data protection for Treatment and Research in Multiple Sclerosis (ACTRIMS-ECTRIMS), we presented new real-world MRI data suggestingTECFIDERA. This opinion recommends that the effectivenessCJEU set aside the earlier judgement of extended interval dosing of TYSABRI is similar to the approved Q4W dosing.
VUMERITY (diroximel fumarate; DRF)
In May 2020, through the 2020 AAN Science Highlights virtual platform, we announced new data that support VUMERITY as an important oral treatment option in RMS.
In September 2020, at MSVirtual2020, the eighth joint meeting of ACTRIMS-ECTRIMS, we presented new data further defining the effectiveness and safety profile of VUMERITY.
In November 2020 we submitted a MAA for VUMERITY to the EMA.
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PLEGRIDY (peginterferon beta-1a)
In December 2020 the European Commission (EC) approvedGeneral Court annulling the EMA's decision not to validate an application to market a new intramuscular (IM) injection routegeneric version of administration for PLEGRIDY for the treatment of relapsing-remitting MS (RRMS).TECFIDERA.
In January 2021 the FDA approved a new IM injection route of administration for PLEGRIDY for the treatment of RRMS.
Alzheimer's DiseaseMultiple Sclerosis and DementiaNeuroimmunology
Aducanumab (Aβ mAb)
In March 2020 the first patient was dosed in the aducanumab re-dosing study, EMBARK, which is a global re-dosing clinical study designed to evaluate aducanumab in eligible Alzheimer’s disease patients who were actively enrolled in aducanumab studies (PRIME, EVOLVE, EMERGE and ENGAGE) in March 2019.
In November 2020 we presented on the study design of the ongoing EMBARK re-dosing study of aducanumab at the 2020 Clinical Trials on Alzheimer's Disease digital conference.
BAN2401 (lecanemab)
In September 2020 the first patient was dosed in the Phase 3 AHEAD 3-45 clinical study of BAN2401, an anti-amyloid beta antibody, in individuals with preclinical Alzheimer’s disease who have intermediate or elevated levels of amyloid in their brains. We are collaborating with Eisai on the development of BAN2401.
Neuromuscular Disorders
SPINRAZA (nusinersen)
In March 2020 the first patient was dosed in the global DEVOTE study, which is evaluating the safety, tolerability and potential for even greater efficacy of SPINRAZA when administered at a higher dose than currently approved for the treatment of SMA.
In March 2020 a study on the efficacy and safety of SPINRAZA in teen and adult patients was published in Lancet Neurology, showing clinically meaningful improvements in motor function in a real-world cohort. This study included 139 teens and adults with later-onset SMA (age 16-65 years) from 10 neuromuscular treatment centers in Germany. Patients were followed for 6-14 months and experienced statistically significant increases in HFMSE (Hammersmith Functional Motor Scale Expanded) scores compared to baseline at 6 months, 10 months and 14 months. Clinically meaningful improvements (≥3 points increase) in HFMSE scores were seen in 28% of patients at 6 months, 35% of patients at 10 months and 40% of patients at 14 months. The most frequent adverse events were headache, back pain and nausea.TECFIDERA (dimethyl fumerate)
In June 2020 we announced new results from NURTURE, the longest study of presymptomatic patients with SMA. In infants genetically diagnosed with SMA, new data demonstrated that early and sustained treatment with SPINRAZA for up to 4.8 years enabled unprecedented survival. Patients continued to maintain and make progressive gains in motor function compared to the natural course of the disease. These results were presented at the virtual Cure SMA Research & Clinical Care Meeting.
In May 2020, through the 2020 AAN Science Highlights virtual platform, we announced additional data from the SPINRAZA clinical development program that further demonstrated the sustained efficacy and longer-term safety of SPINRAZA in a broad range of patients with SMA. The SHINE open-label extension study (NCT02594124) has enrolled 292 patients (infants through teenagers) from 5 previous SPINRAZA clinical studies, including ENDEAR. New findings from the SHINE study show that treatment with SPINRAZA resulted in motor function improvement or disease stabilization in toddlers, children and young adults who were treated continuously, some for up to six and a half years.
BIIB067 (tofersen) - ALS
In July 2020 positive results from a Phase 1/2 study of tofersen for the potential treatment of superoxide dismutase 1 (SOD1) ALS were published in The New England Journal of Medicine. Final Phase 1/2 study results demonstrated proof-of-concept and proof-of-biology of tofersen.
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BIIB105 (ataxin-2 ASO) - ALS
In September 2020 the first patient in a Phase 1 study of BIIB105, an antisense oligonucleotide (ASO) targeting ataxin-2 in ALS, was dosed.
Movement Disorders
BIIB101 (ION464) - Multiple System Atrophy
In July 2020 the first patient in the Phase 1 study of BIIB101, an ASO targeting alpha synuclein in multiple system atrophy, was dosed.
Emerging Growth Areas
Immunology
Dapirolizumab Pegol (anti-CD40L) - SLE
In August 2020 the first patient was dosed in the Phase 3 program for dapirolizumab pegol in patients with active SLE despite being treated by standard of care therapies. Dapirolizumab pegol is being developed in collaboration with UCB Pharma S.A.
BIIB059 (anti-BDCA2) - CLE/SLE
In June 2020 we shared positive data from the 16-week CLE portion of the Phase 2 LILAC study. The study evaluated the efficacy and safety of BIIB059, a fully humanized IgG1 monoclonal antibody (mAb) targeting blood dendritic cell antigen 2 (BDCA2) expressed on plasmacytoid dendritic cells (pDCs). The data were presented at2022 the European E-Congress of Rheumatology (EULAR).
In November 2020 we shared positive data from the 24-week SLE portion of the Phase 2 LILAC study (part A) demonstratingPatent Office (EPO) granted a patent that BIIB059 was associated with a statistically significant reductionexpires in total active joint count. These data, along with the previously reported findings from the CLE portion of the LILAC study, were presented at the American College of Rheumatology’s virtual ACR Convergence 2020.
Biosimilars
Samsung Bioepis - Biogen's Joint Venture with Samsung BioLogics
In May 2020 Samsung Bioepis announced that the primary endpoints were met in the randomized, double-masked, Phase 3 trial comparing the efficacy, safety and immunogenicity of SB11February 2028 related to the reference product (LUCENTIS). Ranibizumab is an anti-VEGF (vascular endothelial growth factor) for retinal vascular disorders, which are a leading cause of blindness.
In June 2020 Samsung Bioepis initiated a Phase 3 study for SB15, a proposed aflibercept biosimilar referencing EYLEA. EYLEA is widely used to treat ophthalmologic conditions such as neovascular (wet) age-related macular degeneration, macular edema following retinal vein occlusion, diabetic macular edema (DME) and diabetic retinopathy in patients with DME.
Discontinued Programs
In March 2020 we announced that the Phase 2 OPUS study investigating natalizumab as an adjunctive therapy in adults with drug-resistant focal epilepsy did not meet its primary endpoint. Safety data were in-line with the known safety profile of natalizumab. Based on these results, we discontinued development of natalizumab in drug-resistant focal epilepsy.TECFIDERA.
In October 2020 we announced2022 the Advocate General of the Court of Justice of the European Union (CJEU) issued a nonbinding advisory opinion in Biogen's favor relating to regulatory data protection for TECFIDERA. This opinion recommends that the Phase 2 AFFINITY study of opicinumab (anti-LINGO) in MS did not meet its primary or secondary endpoints. Based on these results, we discontinued development of opicinumab.
In February 2021 we announced thatCJEU set aside the Phase 2 SPARK study of BIIB054 (cinpanemab) in Parkinson's disease did not meet its primary or secondary endpoints. Based on these results, we discontinued development of BIIB054.
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Marketed Products
The following graph shows our revenues by product and revenues from anti-CD20 therapeutic programs for the years ended December 31, 2020, 2019 and 2018.
biib-20201231_g3.jpg
(1) Fumarate includes TECFIDERA and VUMERITY. VUMERITY became commercially available in the U.S. in November 2019.
(2) Interferon includes AVONEX and PLEGRIDY.
(3) For 2020, 2019 and 2018 other includes FAMPYRA, FUMADERM, BENEPALI, IMRALDI and FLIXABI. For 2020 and 2019 other also includes VUMERITY, which became commercially available in the U.S. in November 2019. For 2018 other also includes ZINBRYTA, which was voluntary withdrawn from the market in March 2018.
(4) Anti-CD20 therapeutic programs include RITUXAN, RITUXAN HYCELA, GAZYVA and OCREVUS.
Product sales for TECFIDERA, AVONEX, TYSABRI and SPINRAZA each accounted for more than 10.0% of our total revenues for the years ended December 31, 2020, 2019 and 2018. For additional financial information about our product and other revenues and geographic areas where we operate, please read Note 4, Revenues, and Note 24, Segment Information, to our consolidated financial statements included in this report and Item 6. Selected Financial Data and Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations included in this report. A discussionearlier judgement of the risks attendantEuropean General Court annulling the EMA's decision not to our operations is set forth in Item 1A. Risk Factors included in this report.validate an application to market a generic version of TECFIDERA.
Multiple Sclerosis and Neuroimmunology
TECFIDERA (dimethyl fumerate)
In June 2022 the European Patent Office (EPO) granted a patent that expires in February 2028 related to TECFIDERA.
In October 2022 the Advocate General of the Court of Justice of the European Union (CJEU) issued a nonbinding advisory opinion in Biogen's favor relating to regulatory data protection for TECFIDERA. This opinion recommends that the CJEU set aside the earlier judgement of the European General Court annulling the EMA's decision not to validate an application to market a generic version of TECFIDERA.
Alzheimer's Disease and Dementia
LEQEMBI (lecanemab)
In January 2023 we and Eisai announced that the FDA granted accelerated approval of LEQEMBI, an anti-amyloid antibody for the treatment of Alzheimer's disease. Additionally, in January 2023 we and Eisai announced the completed submission of a supplemental BLA to the FDA for traditional approval of LEQEMBI.
In September 2022 we and Eisai announced positive topline results from the confirmatory Phase 3 CLARITY Alzheimer's disease study of LEQEMBI. LEQEMBI met the primary endpoint and all key secondary endpoints with highly statistically significant results.
In November 2022 Eisai presented full results from the confirmatory Phase 3 CLARITY Alzheimer's disease study of LEQEMBI at the 2022 Clinical Trials on Alzheimer's Disease conference.
In November 2022 The New England Journal of Medicine published full results from the confirmatory Phase 3 CLARITY Alzheimer's disease study of LEQEMBI.
ADUHELM (aducanumab)
In March 2022 we announced new data showing that after nearly two and a half years of treatment (128 weeks) with ADUHELM injection 100 mg/mL for intravenous use, patients in the long-term extension phase of the Phase 3 trials continued to experience significant reductions in two key Alzheimer's disease pathologies, amyloid beta plaques and plasma p-tau181.
In March 2022 The Journal of Prevention of Alzheimer's Disease published a peer-reviewed manuscript detailing data from the pivotal Phase 3 EMERGE and ENGAGE studies of ADUHELM 100 mg/mL injection for intravenous use in early Alzheimer's disease. The publication includes results from the primary, secondary and tertiary endpoints in the trials, as well as safety data and biomarker sub-studies.
In March 2022 we submitted the final study protocol for the confirmatory Phase 4 ENVISION study of ADUHELM to the FDA for review and approval.
In April 2022 the Centers for Medicare and Medicaid Services (CMS) released a final NCD for the class of anti-amyloid treatments in Alzheimer's disease, including ADUHELM. The final NCD confirmed coverage with evidence development, in which patients with Medicare can only access treatment if they are part of an approved clinical trial. This decision effectively resulted in denying all Medicare beneficiaries access to ADUHELM.
In April 2022 we announced our plans to offer a continuity of care plan for U.S. patients currently treated with ADUHELM, as a result of the CMS decision.
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Neuropsychiatry
Zuranolone (BIIB125)
In February 2022 we and Sage announced the Phase 3 CORAL study of zuranolone in people with MDD met the trial objectives, demonstrating a rapid and statistically significant reduction in depressive symptoms at Day 3 and over the 2-week treatment period, achieving the primary and key secondary endpoints.
In June 2022 we and Sage announced that the Phase 3 SKYLARK study of zuranalone in women with PPD met its primary and all key secondary endpoints.
In October 2022 we and Sage presented additional data from the Phase 3 SKYLARK study of zuranalone in women with PPD. This data was presented at the European College of Neuropsychopharmacology (ECNP) Congress.
In December 2022 we and Sage completed the rolling submission of a NDA to the FDA for the approval of zuranolone for the potential treatment of MDD and PPD. This submission completes the NDA filing initiated earlier in 2022.
In February 2023 the FDA accepted the NDA and granted Priority Review for zuranolone, with a PDUFA action date of August 5, 2023.
Neuromuscular Disorders
SPINRAZA (nusinersen)
In March 2022 we announced the first patient was treated in the global Phase 3b ASCEND study, which is designed to evaluate the clinical outcomes and assess the safety of a higher dose of SPINRAZA in children, teens and adults with later-onset SMA who were previously treated with Evrysdi.
BIIB115
In October 2022 the first patient in the Phase 1 study of BIIB115, an investigational ASO in development for SMA, was dosed.
Tofersen (BIIB067)
In June 2022 we announced new 12-month data for tofersen demonstrating that earlier initiation of tofersen compared to delayed initiation (six months later in the open-label extension study) slowed declines in clinical function, respiratory function, muscle strength and quality of life.
In July 2022 the FDA accepted the NDA and granted Priority Review for tofersen, an investigational antisense drug being evaluated for people with superoxide dismutase 1 (SOD1) ALS, which currently has a PDUFA action date of April 25, 2023.
In September 2022 The New England Journal of Medicine published detailed results from the Phase 3 VALOR study of tofersen, including the combined analysis of the Phase 3 VALOR study and its open-label extension study evaluating tofersen for the potential treatment of SOD1 ALS.
In December 2022 the EMA accepted for review the MAA for tofersen.
Movement Disorders
BIIB122 (DNL151)
In May 2022 dosing commenced in the Phase 2b LUMA study of BIIB122, a small molecule inhibitor of leucine-rich repeat kinase 2 (LRRK2), evaluating the efficacy and safety of BIIB122 compared to placebo in approximately 640 patients with early stage Parkinson's disease.
In October 2022 we and our collaboration partnerDenali Therapeutics Inc. (Denali) announced the initiation of the Phase 3 LIGHTHOUSE study of BIIB122 in patients with Parkinson's disease and a confirmed pathogenic mutation in the LRRK2 gene.
ALO1811
In June 2022 we entered into a collaboration and license agreement with Alectos Therapeutics Inc. (Alectos) to develop and commercialize ALO1811, a novel preclinical selective GBA2 inhibitor, for the potential oral disease modifying treatment for patients with Parkinson's disease.
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Immunology
Litifilimab (BIIB059)
In July 2022 The New England Journal of Medicine published positive results from the cutaneous lupus erythematosus (CLE) portion of the two-part Phase 2 LILAC study (Part B) evaluating litifilimab, an investigational drug for the treatment of lupus. The study met its primary endpoint by demonstrating the enhanced efficacy of litifilimab compared to placebo in reducing skin disease activity.
In September 2022 The New England Journal of Medicine published a second manuscript detailing positive results from the systemic lupus erythematosus (SLE) portion of the two-part Phase 2 LILAC study (Part A) evaluating litifilimab. The study met its primary endpoint by demonstrating that litifilimab was associated with a statistically significant reduction in total active joint count compared to placebo.
In October 2022 the first patient was dosed in the Phase 2/3 AMETHYST study of litifilimab, evaluating the efficacy and safety of litifilimab compared to placebo in patients with CLE.
Biosimilars
BIIB801 (referencing CIMZIA)
In February 2022 we entered into a commercialization and license agreement with Xbrane Biopharma AB (Xbrane) to develop, manufacture and commercialize BIIB801, a proposed certolizumab pegol biosimilar referencing CIMZIA.
BYOOVIZ (referencing LUCENTIS)
In June 2022 we and Samsung Bioepis announced that BYOOVIZ, a ranibizumab biosimilar referencing LUCENTIS, launched in the U.S.
BIIB800 (referencing ACTEMRA)
In June 2022 we and our collaboration partner Bio-Thera Solutions, Ltd. (Bio-Thera) presented positive results from the Phase 3 study of BIIB800, a proposed tocilizumab biosimilar referencing ACTEMRA, an anti-interleukin-6 receptor monoclonal antibody, for the treatment of severe, active and progressive rheumatoid arthritis. The data was presented at the 2022 Annual European Congress of Rheumatology.
In September 2022 the EMA accepted for review the MAA for BIIB800.
In December 2022 the FDA accepted for review the abbreviated BLA for BIIB800.
Discontinued Programs
In March 2022 we and Ionis Pharmaceuticals Inc. (Ionis) announced that the Phase 1 study of BIIB078 in ALS did not meet any secondary efficacy endpoints and it did not demonstrate clinical benefit. Based on these results, we discontinued development of BIIB078.
In June 2022 we discontinued further development of BIIB100 for the potential treatment of certain neurological and neurodegenerative diseases, primarily in ALS, based on the decision by management as part of its strategic review process.
In July 2022 we announced that the Phase 2 TALLY study of BIIB104 in cognitive impairment associated with schizophrenia did not meet its primary or secondary efficacy endpoints. Given the consistent lack of efficacy observed across the primary and secondary measures of cognition and functioning, we decided to discontinue the BIIB104 program.
In 2022 we discontinued further development of BIIB118 (CK1 inhibitor) for the potential treatment of patients with behavioral and neurological symptoms across various psychiatric and neurological diseases, based on the decision by management as part of its strategic review process.
In December 2022 we discontinued further development of vixotrigine (BIIB074) for the potential treatment of trigeminal neuralgia (TGN) and diabetic painful neuropathy (DPN), based on regulatory, development and commercialization challenges.
In February 2023 we terminated our license and collaboration agreement with InnoCare Pharma Limited (InnoCare)for orelabrutinib, an oral small molecule Bruton's tyrosine kinase inhibitor for the potential treatment of MS.
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Marketed Products
The following graph shows our revenue by product and revenue from anti-CD20 therapeutic programs for the years ended December 31, 2022, 2021 and 2020.
biib-20221231_g2.jpg
(1) MS includes TECFIDERA, VUMERITY, AVONEX, PLEGRIDY, TYSABRI and FAMPYRA. VUMERITY became commercially available in the E.U. during the fourth quarter of 2021.
(2) SMA includes SPINRAZA.
(3) Alzheimer's disease includes ADUHELM.
(4) Biosimilars includes BENEPALI, IMRALDI, FLIXABI and BYOOVIZ. BYOOVIZ launched in the U.S. in June 2022 and became commercially available during the third quarter of 2022.
(5) Anti-CD20 therapeutic programs include RITUXAN, RITUXAN HYCELA, GAZYVA and OCREVUS.
(6) Other includes FUMADERM.
Product sales for TECFIDERA, TYSABRI and SPINRAZA each accounted for more than 10.0% of our total revenue for the years ended December 31, 2022, 2021 and 2020. For additional financial information about our product and other revenue and geographic areas where we operate, please read Note 5, Revenue and Note 25, Segment Information, to our consolidated financial statements included in this report and Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations included in this report. A discussion of the risks attendant to our operations is set forth in Item 1A. Risk Factors included in this report.
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Multiple Sclerosis
We develop, manufacture and market a number of products designed to treat patients with MS. MS is a progressive neurological disease in which the body loses the ability to transmit messages along nerve cells, leading to a loss of muscle control, paralysis and, in some cases, death. Patients with active RMS experience an uneven pattern of disease progression characterized by periods of stability that are interrupted by flare-ups of the disease after which the patient may return to a lower baseline of functioning.
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The MS products we market and our major markets are as follows:
ProductIndicationCollaboratorMajor Markets
biib-20201231_g4.jpgbiib-20221231_g3.jpg
RMS in the U.S.
RRMSRelapsing-remitting MS (RRMS) in the E.U.
NoneU.S.
France
Germany
Italy
Japan
Spain
U.K.
biib-20201231_g5.jpgbiib-20221231_g4.jpg
RMS in the U.S.
RRMS in the E.U.
Alkermes Pharma Ireland Limited, a subsidiary of Alkermes plc (Alkermes)U.S.
Germany
Israel
Switzerland
U.K.
biib-20201231_g6.jpgbiib-20221231_g5.jpg
RMSNoneU.S.
France
Germany
Italy
Japan
Spain
biib-20201231_g7.jpgbiib-20221231_g6.jpg
RMS in the U.S.
RRMS in the E.U.
NoneU.S.
France
Germany
Italy
Spain
U.K.
biib-20201231_g8.jpgbiib-20221231_g7.jpg
RMS
RRMS in the E.U.
Crohn's disease in the U.S.
NoneU.S.
France
Germany
Italy
Spain
U.K.
biib-20201231_g9.jpgbiib-20221231_g8.jpg
Walking ability for patients with MSAcorda Therapeutics, Inc. (Acorda)France
Germany
For additional information on our collaboration arrangements with Alkermes and Acorda, please read Note 19, Collaborative and Other Relationships, to our consolidated financial statements included in this report.
Neuromuscular Disorders
SMA is characterized by loss of motor neurons in the spinal cord and lower brain stem, resulting in severe and progressive muscular atrophy and weakness. Ultimately, individuals with the most severe type of SMA can become paralyzed and have difficulty performing the basic functions of life, like breathing and swallowing. Due to a deletion or mutations in the SMN1 gene, people with SMA do not produce enough survival motor neuron (SMN) protein, which is critical to the survival of the neurons that control muscles. The severity of SMA correlates with the amount of SMN protein. People with Type 1 SMA, the most severe life-threatening form, produce very little SMN protein and do not
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achieve the ability to sit without support, and typically do not live beyond two years of age without respiratory support and nutritional interventions. People with Type 2 and Type 3 SMA produce greater amounts of SMN protein and have less severe, but still life-altering, forms of SMA.
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Our SMA product and major markets are as follows:
ProductIndicationCollaboratorMajor Markets
biib-20201231_g10.jpgbiib-20221231_g9.jpg
SMAIonis Pharmaceuticals Inc. (Ionis)U.S.
Brazil
Canada
China

France
Germany
Italy
Japan
Spain
Turkey
For additional information on our collaboration arrangements with Ionis, please read Note 18,19, Collaborative and Other Relationships, to our consolidated financial statements included in this report.
Alzheimer's Disease
Alzheimer's disease is characterized by two abnormalities in the brain: amyloid plaques and neurofibrillary tangles. Amyloid plaques, which are found in the tissue between the nerve cells, are unusual clumps of a protein called beta amyloid along with degenerating bits of neurons and other cells.
Our Alzheimer's disease products and major markets are as follows:
ProductIndicationCollaboratorMajor Market
biib-20221231_g10.jpg
Alzheimer's diseaseEisaiU.S.
biib-20221231_g11.jpg
Alzheimer's diseaseEisaiU.S.
For additional information on our collaboration arrangements with Eisai, please read Note 19, Collaborative and Other Relationships, to our consolidated financial statements included in this report.
Biosimilars
Biosimilars are a group of biologic medicines that are highly similar to currently available biologic therapies developed by companies known as "originators". Under our agreements with Samsung Bioepis, we commercialize three anti-tumor necrosis factor (TNF) biosimilars in certain countries in Europe: BENEPALI, an etanercept biosimilar referencing ENBREL, IMRALDI, an adalimumab biosimilar referencing HUMIRA, and FLIXABI, an infliximab biosimilar referencing REMICADE. We have also have an option to acquiresecured the exclusive rights to commercialize BENEPALI, IMRALDI and FLIXABI in China. Additionally, we have exclusive rights to commercialize two potential ophthalmology biosimilar products, SB11,BYOOVIZ, a proposed ranibizumab biosimilar referencing LUCENTIS, and SB15, a proposed aflibercept biosimilar referencing EYLEA,which was approved in major markets worldwide, including the U.S., Canada, Europe, Japanthe E.U. and Australia.the United Kingdom (U.K.) during the third quarter of 2021. BYOOVIZ launched in the U.S. in June 2022 and became commercially available during the third quarter of 2022.
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Our current biosimilar products and major markets are as follows:
ProductIndicationMajor Markets
biib-20201231_g11.jpgbiib-20221231_g12.jpg
Rheumatoid arthritis
Juvenile idiopathic arthritis
Psoriatic arthritis
Axial spondyloarthritis
Plaque psoriasis
Paediatric plaque psoriasis
France
Germany
Italy
Spain
U.K.
biib-20201231_g12.jpgbiib-20221231_g13.jpg
Rheumatoid arthritis
Juvenile idiopathic arthritis
Axial spondyloarthritis
Psoriatic arthritis
Psoriasis
Paediatric plaque psoriasis
Hidradenitis suppurativa
Adolescent hidradenitis suppurativa
Crohn’s disease
Paediatric Crohn's disease
Ulcerative colitis
Uveitis
Paediatric Uveitis
France
Germany
Sweden
U.K.
biib-20201231_g13.jpgbiib-20221231_g14.jpg
Rheumatoid arthritis
Crohn’s disease
Paediatric Crohn’s disease
Ulcerative colitis
Paediatric ulcerative colitis
Ankylosing spondylitis
Psoriatic arthritis
Psoriasis
France
Germany
Italy
biib-20221231_g15.jpg
Neovascular (wet) age-related macular degeneration
Macular edema following retinal vein occlusion
Myopic choroidal neovascularization
U.S.
For additional information on our collaboration arrangements with Samsung Bioepis, please read Note 18,19, Collaborative and Other Relationships, to our consolidated financial statements included in this report.
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Genentech Relationships
We have agreements with Genentech that entitle us to certain business and financial rights with respect to RITUXAN, RITUXAN HYCELA, GAZYVA, OCREVUS, LUNSUMIO, which was granted accelerated approval in the U.S. during the fourth quarter of 2022, glofitamab and options to add other potential anti-CD20 therapies.
Our current anti-CD20 therapeutic programs and major markets are as follows:
ProductIndicationMajor Markets
biib-20201231_g14.jpgbiib-20221231_g16.jpg
Non-Hodgkin's lymphoma
CLL
Rheumatoid arthritis
Two forms of ANCA-associated vasculitis
Pemphigus vulgaris
U.S.
Canada
biib-20201231_g15.jpgbiib-20221231_g17.jpg
Non-Hodgkin's lymphoma
CLL
U.S.
biib-20201231_g16.jpgbiib-20221231_g18.jpg
In combination with chlorambucil for previously untreated CLL
Follicular lymphoma

In combination with chemotherapy followed by GAZYVA alone for previously untreated follicular lymphoma
U.S.
biib-20201231_g17.jpgbiib-20221231_g19.jpg
RMS
PPMS
U.S.
Australia
Germany
Switzerland
biib-20221231_g20.jpg
Relapsed or refractory follicular lymphomaU.S.
For additional information on our collaboration arrangements with Genentech, please read Note 1, Summary of Significant Accounting Policies, and Note 18,19, Collaborative and Other Relationships, to our consolidated financial statements included in this report.
Other
ProductIndicationCollaboratorMajor Markets
biib-20201231_g18.jpgbiib-20221231_g21.jpg
Moderate to severe plaque psoriasisNoneGermany
Patient Support and Access
We interact with patients, advocacy organizations and healthcare societies in order to gain insights into unmet needs. The insights gained from these engagements help us support patients with services, programs and applications that are designed to help patients lead better lives. Among other things, we provide customer service and other related programs for our products, such as disease and product specific websites, insurance research services, financial assistance programs and the
facilitation of the procurement of our marketed products.
We are dedicated to helping patients obtain access to our therapies. Our patient representatives have access to a suite of financial assistance tools.
With those tools, we help patients understand their insurance coverage and, if needed, help patients compare and select new insurance options and programs. In the U.S., we have established programs that provide co-pay assistance or free marketed product for qualified uninsured or underinsured patients, based on specific eligibility criteria. We also provide charitable contributions to
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independent charitable organizations that assist patients with out-of-pocket expenses associated with their therapy.
We believe all healthcare stakeholders have a shared responsibility to ensure patients have equitable access to new, innovative medicines. We regularly review our pricing strategy and prioritize patient access to our therapies. We have a value-based contracting program designed to align the price of our therapies to the value our therapies deliver to patients. We also work with regulators, clinical
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researchers, ethicists, physicians and patient advocacy organizations and communities, among others, to determine how best to address requests for access to our investigational therapies in a manner that is consistent with our patient-focused values and compliant with regulatory standards and protocols. In appropriate situations, patients may have access to investigational therapies through Early Access Programs, single patient access or emergency use based on humanitarian or compassionate grounds.
Marketing and Distribution
Sales Force and Marketing
We promote our marketed products worldwide, including in the U.S., Europe and Japan, primarily through our own sales forces and marketing groups. In some countries, particularly in areas where we continue to expand into new geographic areas, we partner with third parties.
We and Eisai co-promote AVONEX, TYSABRI and TECFIDERA in Japan in certain settings.
RITUXAN, RITUXAN HYCELA, GAZYVA, OCREVUS and OCREVUSLUNSUMIO are marketed by the Roche Group and its sublicensees.
We commercialize BENEPALI, IMRALDI and FLIXABI pursuant to our agreement with Samsung Bioepis in certain countries in Europe.Europe, as well as BYOOVIZ in the U.S.
We focus our sales and marketing efforts on specialist physicians in private practice or at major medical centers. We use customary industry practices to market our products and to educate physicians, such asphysicians. This includes our sales representatives calling on individual physicians,health care providers (in-person and virtually), advertisements, professional symposia, direct mail, digital marketing, point of care marketing, public relations and other methods. We focus on health care provider sales and marketing efforts on specialty providers in both private practice and at major medical centers.
Distribution Arrangements
We distribute our products in the U.S. principally through wholesale and specialty distributors of pharmaceutical products and specialty pharmacies, mail order specialty distributors or shipping service providers. In other countries, the distribution of our
products varies from country to country, including through wholesale distributors of pharmaceutical products and third-party distribution partners who are responsible for most marketing and distribution activities.
Eisai distributes AVONEX, TYSABRI, TECFIDERA and PLEGRIDY in India and other Asia-Pacific markets, excluding China.
RITUXAN, RITUXAN HYCELA, GAZYVA, OCREVUS and OCREVUSLUNSUMIO are distributed by the Roche Group and its sublicensees.
We distribute BENEPALI, IMRALDI and FLIXABI in certain countries in Europe and have an option to acquire exclusive rights to distribute these products in China.China, as well as BYOOVIZ in the U.S.
Our product sales to two wholesale distributors each accounted for more than 10.0% of our total revenuesrevenue for the years ended December 31, 2020, 20192022, 2021 and 2018,2020, and on a combined basis, accounted for approximately 37.9%, 38.9% and 45.8%, 47.0% and 50.0%respectively, of our gross product revenues for the years ended December 31, 2020, 2019 and 2018, respectively.revenue. For additional information, please read Note 4, Revenues5, Revenue, to our consolidated financial statements included in this report.
Patents and Other Proprietary Rights
Patents are important tofor obtaining and protecting exclusive rights in our products and product candidates. We regularly seek patent protection in the U.S. and in selected countries outside the U.S. for inventions originating from our research and development efforts and those we license or acquire. In addition, we license rights to various patents and patent applications.
U.S. patents, as well as most foreign patents, are generally effective for 20 years from the date the earliest application was filed; however, U.S. patents that issue on applications filed before June 8, 1995, may be effective until 17 years from the issue date, if that is later than the 20-year date. In some cases, the patent term may be extended to recapture a portion of the term lost during regulatory review of the claimed therapeutic or, in the case of the U.S., because of U.S. Patent and Trademark Office (USPTO) delays in prosecuting the application. Specifically, in the U.S., under the Drug Price Competition and Patent Term Restoration Act of 1984, commonly known as the Hatch-Waxman Act, a patent that covers a drug approved by the FDA may be eligible for patent term extension (for up to 5 years, but not beyond a total of 14 years from the date of product approval) as compensation for patent term lost during the FDA regulatory review process. The duration and extension of the term of foreign patents varies, in accordance with local law. For example, supplementary protection certificates (SPCs) on some of our products have
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been granted in a number of European countries, compensating in part for delays in obtaining marketing approval.
Regulatory exclusivity, which may consist of regulatory data protection and market protection, also can provide meaningful protection for our products. Regulatory data protection provides to the holder of a drug or biologic marketing authorization, for a set period of time, the exclusive use of the proprietary pre-clinical and clinical data that it created at
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significant cost and submitted to the applicable regulatory authority to obtain approval of its product. After the period of exclusive use, third parties are permitted to reference such data in abbreviated applications for approval and to market (subject to any applicable market protection) their generic drugs and biosimilars. Market protection provides the holder of a drug or biologic marketing authorization the exclusive right to commercialize its product for a period of time, thereby preventing the commercialization of another product containing the same active ingredient(s) during that period. Although the World Trade Organization's agreement on trade-related aspects of intellectual property rights (TRIPS) requires signatory countries to provide regulatory exclusivity to innovative pharmaceutical products, implementation and enforcement varies widely from country to country.
We also rely upon other forms of unpatented confidential information to remain competitive. We protect such information principally through refraining from public disclosure and confidentiality agreements with our employees, consultants, outside scientific collaborators, scientists whose research we sponsor and other advisers. In the case of our employees, these agreements also provide, in compliance with relevant law, that inventions and other intellectual property conceived by such employees during their employment are our exclusive property.
Our trademarks are important to us and are generally covered by trademark applications or
registrations in the USPTO and the patent or trademark offices of other countries. We also use trademarks licensed from third parties, such as the trademark FAMPYRA, which we license from Acorda. Trademark protection varies in accordance with local law, and continues in some countries as long as the trademark is used and in other countries as long as the trademark is registered. Trademark registrations generally are for fixed but renewable terms.
Our Patent Portfolio
The following table describes ourcertain patents in the U.S. and Europe that we currently consider of primary importance to our marketed products, including the territory, patent number, general subject matter and expected expiration dates. Except as otherwise noted, the expected expiration dates
include any granted patent term extensions and issued SPCs. In some instances, there are additional later-expiring patents relating to our products directed to, among other things, particular forms or compositions, methods of manufacturing or use of the drug in the treatment of particular diseases or conditions. We also continue to pursue additional patents and patent term extensions in the U.S. and other territories covering various aspects of our products that may, if issued, extend exclusivity beyond the expiration of the patents listed in the table.
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ProductTerritoryPatent No.General Subject Matter
Patent
Expiration(1)
TECFIDERAU.S.8,399,514Methods of treatment
2028(2)
Europe1131065Formulations of dialkyl fumarates and their use for treating autoimmune diseases
2024(3)
Europe2137537Methods of use
2028(4)
PLEGRIDYU.S.7,446,173Polymer conjugates of interferon beta-1a2022
U.S.8,524,660Methods of treatment2023
U.S.8,017,733Polymer conjugates of interferon beta-1a2027
Europe1656952Polymer conjugates of interferon-beta-1a and uses thereof
2024(5)
Europe1476181Polymer conjugates of interferon-beta-1a and uses thereof
2023(6)
TYSABRIU.S.7,807,167Methods of treatment2023
U.S.9,493,567Methods of treatment2027
Europe1485127Methods of use
2023(2)
Europe2676967Methods of use2027
FAMPYRAEurope1732548Sustained-release aminopyridine compositions for increasing walking speed in patients with MS
2025(7)
Europe2377536Sustained-release aminopyridine compositions for treating MS
2025(8)
VUMERITYU.S.8,669,281Compounds and pharmaceutical compositions2033
U.S.9,090,558Methods of treatment2033
U.S.10,080,733Crystalline forms, pharmaceutical compositions and methods of treatment2033
SPINRAZAU.S.7,101,993Oligonucleotides containing 2’-O-modified purines2023
U.S.7,838,657SMA treatment via targeting of SMN2 splice site inhibitory sequences2027
U.S.8,110,560SMA treatment via targeting of SMN2 splice site inhibitory sequences2025
U.S.8,361,977Compositions and methods for modulation of SMN2 splicing2030
U.S.8,980,853Compositions and methods for modulation of SMN2 splicing2030
U.S.9,717,750Compositions and methods for modulation of SMN2 splicing2030
U.S.9,926,559Compositions and methods for modulation of SMN2 splicing2034
U.S.10,266,822SMA treatment via targeting of SMN2 splice site inhibitory sequences2025
U.S.10,436,802Methods for Treating Spinal Muscular Atrophy2035
Europe1910395Compositions and methods for modulation of SMN2 splicing
2026(9)
Europe2548560Compositions and methods for modulation of SMN2 splicing
2026(10)
Europe3305302Compositions and methods for modulation of SMN2 splicing2030
Europe3308788Compositions and methods for modulation of SMN2 splicing2026
Europe3449926Compositions and methods for modulation of SMN2 splicing2030
Footnotes follow on next page.
ProductTerritoryPatent No.General Subject Matter
Patent
Expiration(1)
TECFIDERAEurope1,131,065Formulations of dialkyl fumarates and their use for treating autoimmune diseases
2024(3)
Europe2,653,873Methods of use2028
PLEGRIDYU.S.8,524,660Methods of treatment2023
U.S.8,017,733Polymer conjugates of interferon beta-1a2027
Europe1,656,952Polymer conjugates of interferon-beta-1a and uses thereof
2024(4)
Europe1,476,181Polymer conjugates of interferon-beta-1a and uses thereof
2023(5)
TYSABRIU.S.8,124,350Methods of treatment2027
U.S.8,349,321Formulation2024
U.S.8,815,236Formulation2024
U.S.8,871,449Methods of treatment2026
U.S.8,900,577Formulation2024
U.S.9,316,641Safety-related assay2032
U.S.9,493,567Methods of treatment2027
U.S.9,709,575Methods of treatment2026
U.S.10,119,976Methods of evaluating patient risk2034
U.S.10,233,245Methods of treatment2027
U.S.10,444,234Safety-related assay2031
U.S.10,677,803Methods of treatment2034
U.S.10,705,095Methods of treatment2026
U.S.11,280,794Methods of treatment2034
U.S.11,287,423Safety-related assay2031
U.S.11,292,845Methods of treatment2027
Europe1,485,127Methods of use
2023(2)
Europe2,170,390Formulation2028
Europe2,236,154Formulation2024
Europe2,676,967Methods of use2027
Europe3,339,865Safety-related assay2031
Europe3,417,875Formulation2024
Europe3,575,792Safety-related assay2032
FAMPYRAEurope1,732,548Sustained-release aminopyridine compositions for increasing walking speed in patients with MS
2025(6)
Europe2,377,536Sustained-release aminopyridine compositions for treating MS
2025(7)
VUMERITYU.S.8,669,281Compounds and pharmaceutical compositions2033
U.S.9,090,558Methods of treatment2033
U.S.10,080,733Crystalline forms, pharmaceutical compositions and methods of treatment2033
Europe2,970,101Crystalline forms, pharmaceutical compositions and methods of treatment
Prodrugs of fumarates and their use in treating various diseases
2034
SPINRAZAU.S.7,101,993Oligonucleotides containing 2’-O-modified purines2023
U.S.7,838,657SMA treatment via targeting of SMN2 splice site inhibitory sequences2027
U.S.8,110,560SMA treatment via targeting of SMN2 splice site inhibitory sequences2025
U.S.8,361,977Compositions and methods for modulation of SMN2 splicing2030
U.S.8,980,853Compositions and methods for modulation of SMN2 splicing2030
U.S.9,717,750Compositions and methods for modulation of SMN2 splicing2030
U.S.9,926,559Compositions and methods for modulation of SMN2 splicing2034
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U.S.10,266,822SMA treatment via targeting of SMN2 splice site inhibitory sequences2025
U.S.10,436,802Methods for Treating Spinal Muscular Atrophy2035
Europe1,910,395Compositions and methods for modulation of SMN2 splicing
2026(8)
Europe2,548,560Compositions and methods for modulation of SMN2 splicing
2026(9)
Europe3,305,302Compositions and methods for modulation of SMN2 splicing2030
Europe3,308,788Compositions and methods for modulation of SMN2 splicing2026
Europe3,449,926Compositions and methods for modulation of SMN2 splicing2030
ADUHELMU.S.8,906,367Method of providing disease-specific binding molecules and targets
2032(10)
U.S.10,131,708Methods of treating Alzheimer's disease2028
LEQEMBIU.S.8,025,878Protofibril selective antibodies and the use thereof
2027(1)(10)
Footnotes follow on next page.

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(1)InIn addition to patent protection, certain of our products are entitled to regulatory exclusivity in the U.S. and the E.U. expected until the dates set forth below:
ProductTerritoryExpected Expiration
TECFIDERAE.U.2024Subject to appeal
PLEGRIDYU.S.2026
E.U.2024
FAMPYRAE.U.2021
SPINRAZAU.S.2023
E.U.2029
ADUHELMU.S.2033
LEQEMBIU.S.2035
(2)For additional information as to the validity of this patent, please read Note 20,21, Litigation, to our consolidated financial statements included in this report.
(3)This patent is subject to granted SPCs in certain European countries, which extended the patent term in those countries to 2024.
(4)This patent was revoked in a European opposition. This decision is being appealed. This patent is subject to granted SPCs in certain European countries, which extended the patent term in those countries to 2029.2024.
(5)This patent is subject to granted SPCs in certain European countries, which extended the patent term in those countries to 2024.2028.
(6)This patent is subject to granted SPCs in certain European countries, which extended the patent term in those countries to 2028.2026.
(7)This patent is subject to granted SPCs in certain European countries, which extended the patent term in those countries to 2026.
(8)This patent is subject to granted SPCs in certain European countries, which extended the patent term in those countries to 2026.2031.
(9)This patent is subject to granted SPCs in certain European countries, which extended the patent term in those countries to 2031.
(10)ThisA patent iswith this subject matter may be entitled to granted SPCs in certain European countries, which extended the patent term extension in those countries to 2031.the U.S.
The existence of patents does not guarantee our right to practice the patented technology or commercialize the patented product. Patents relating to pharmaceutical, biopharmaceutical and biotechnology products, compounds and processes, such as those that cover our existing products, compounds and processes and those that we will likely file in the future, do not always provide complete or adequate protection. Litigation, interferences, oppositions, inter partes reviews, administrative challenges or other similar types of proceedings are, have been and may in the future be necessary in some instances to determine the validity and scope of certain of our patents, regulatory exclusivities or other proprietary rights, and in other instances to determine the validity, scope or non-infringement of certain patent rights claimed by third parties to be pertinent to the manufacture, use or sale of our products. We also face challenges to our patents, regulatory exclusivities or other proprietary rights covering our products by third-parties, such as manufacturers of generics, biosimilars, prodrugs and products approved under abbreviated regulatory pathways. A discussion of certain risks and uncertainties that may affect our patent position, regulatory exclusivities or other proprietary rights is set forth in Item 1A. Risk Factors included in this report, and the discussion of legal proceedings related to certain patents described above is set forth in Note 20,21, Litigation, to our consolidated financial statements included in this report.
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Competition
Competition in the biopharmaceutical industry and the markets in which we operate is intense. There are many companies, including biotechnology and pharmaceutical companies, engaged in developing products for the indications our approved products are approved to treat and the therapeutic areas we are targeting with our research and development activities. Some of our competitors may have substantially greater financial, marketing, research and development and other resources than we do.
We believe that competition and leadership in the industry is based on managerial and technological excellence and innovation as well as establishing patent and other proprietary positions through research and development. The achievement of a leadership position also depends largely upon our ability to maximize the approval, acceptance and use of our product candidates and the availability of adequate financial resources to fund facilities, equipment, personnel, clinical testing, manufacturing and marketing. Another key aspect of remaining competitive in the industry is recruiting and retaining leading scientists and technicians to conduct our research activities and advance our development programs, including with the commercial expertise to effectively market our products.
Competition among products approved for sale may be based, among other things, on patent position, product efficacy, safety, patient convenience, delivery devices, reliability, availability, reimbursement and price. In addition, early entry of a new pharmaceutical product into the market may have important advantages in gaining product acceptance and market share. Accordingly, the relative speed with which we can develop products, complete the testing and approval process and supply commercial quantities of products will have a significant impact on our competitive position.
The introduction of new products or technologies, including the development of new processes or technologies by competitors or new information about existing products or technologies, results in increased competition for our marketed products and pricing pressure on our marketed products. The development of new or improved treatment options or standards of care or cures for the diseases our products treat reduces and could eliminate the use of our products or may limit the utility and application of ongoing clinical trials for our product candidates.
In addition, the commercialization of certain of our own approved products, products of our collaborators and pipeline product candidates may
negatively impact future sales of our existing products.
We also
Our products and revenue streams continue to face increased competitive pressuresincreasing competition in many markets from the introduction of generic versions, prodrugs and biosimilars of existing products and products approved under abbreviated regulatory pathways. Such products are likely to be sold at substantially lower prices than branded products. Accordingly, the introduction of such products whichas well as other lower-priced competing products may significantly reduce both the price that we are able to charge for our products and the volume of products we sell.sell, which will negatively impact our revenue. In addition, in some markets, when a generic or biosimilar version of one of our products is commercialized, it may be automatically substituted for our product and significantly reduce our revenuesrevenue in a short period of time.
We believe our long-term competitive position depends upon our success in discovering and developing innovative, cost-effective products that serve unmet medical needs, along with our ability to manufacture products efficiently and to launch and market them effectively in a highly competitive environment.
Additional information about the competition that our marketed products face is set forth below and in Item 1A. Risk Factors included in this report.
Multiple Sclerosis
TECFIDERA, AVONEX, PLEGRIDY, TYSABRI and VUMERITY each compete with one or more of the following branded products as well as generic and biosimilar versions of suchthese products:
Competing ProductCompetitor
AUBAGIO (teriflunomide)Sanofi Genzyme
BETASERON/BETAFERON (interferon-beta-1b)Bayer Group
BRIUMVI (ublituximab-xiiy)TG Therapeutics, Inc.
COPAXONE
(glatiramer acetate)
Teva Pharmaceuticals Industries Ltd.
EXTAVIA
(interferon-beta-1b)
Novartis AG
GILENYA (fingolimod)Novartis AG
GLATOPA (glatiramer acetate)Sandoz, a division of Novartis AG
LEMTRADA (alemtuzumab)Sanofi Genzyme
MAVENCLAD (cladribine)EMD Serono
MAYZENT (siponimod)Novartis AG
OCREVUS (ocrelizumab)Genentech
PONVORY (ponesimod)Janssen Pharmaceutical Companies of Johnson & Johnson
REBIF
(interferon-beta-1)
EMD Serono
ZEPOSIA (ozanimod)BMS
BAFIERTAM (monomethyl fumarate)Banner Life Sciences
KESIMPTA (ofatumumab)Novartis AG
In addition, multipleMultiple TECFIDERA generic entrants are now in the U.S. marketNorth America, Brazil and certain E.U. countries and have deeply discounted prices compared to TECFIDERA. The generic competition for TECFIDERA significantly reduced our TECFIDERA revenues during the year ended December 31, 2020, and is expected to have a
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substantial negative impact onTECFIDERA. The generic competition for TECFIDERA has significantly reduced our TECFIDERA revenuesrevenue and we expect that TECFIDERA revenue will continue to decline in the future.
In the E.U., we are seeking to enforce a patent granted in June 2022 that relates to TECFIDERA and expires in 2028. In addition, we are litigating to affirm that TECFIDERA is entitled to regulatory data and market protection until at least February 2024. Our Company, the EMA and the EC have each appealed the May 2021 decision of the European General Court, which annulled the EMA's decision not to validate an application for approval of a TECFIDERA generic on the basis that the EMA and EC conducted the wrong assessment when determining TECFIDERA's entitlement to regulatory data and marketing protection. Our Company, the EMA and the EC have each appealed the General Court’s decision as long as therewrongly decided and the appeal is generic competition.pending. On October 6, 2022, the Advocate General of the CJEU issued a nonbinding advisory opinion in Biogen's favor. This opinion recommends that the CJEU set aside the judgment of the European General Court. We are awaiting the decision of the CJEU.
FAMPYRA is indicated as a treatment to improve walking in adult patients with MS who have a walking disability and is the first treatment that addresses this unmet medical need with demonstrated efficacy in people with all types of MS. FAMPYRA is currently the only therapy approved to improve walking in patients with MS.
Competition in the MS market is intense. Along with us, a number of companies are working to develop additional treatments for MS that may in the future compete with our MS products. One such product that was approved in the U.S. in 2017 and in the E.U. in 2018 is OCREVUS, a treatment for RMS and PPMS that was developed by Genentech. While we have a financial interest in OCREVUS, future sales of our MS products may be adversely affected if OCREVUS continues to gain market share, or if other MS products that we or our competitors are developing are commercialized.commercialized.
Spinal Muscular Atrophy
We face competition from a gene therapy product that was approved in the U.S. and the E.U. and a newan oral product that was approved in the U.S. and has been accepted for review in the E.U.product. We expect that we will experience competition from both products in additional jurisdictions in the future. future, which may adversely affect our sales of SPINRAZA.
Additionally, we are aware of other products now in development that, if launched, may also compete with SPINRAZA. Future sales of SPINRAZA may be adversely affected by the commercialization of competing products.
Psoriasis
FUMADERM competes with several different types of therapies in the psoriasis market within Germany, including oral systemics such as methotrexate and cyclosporine.
Biosimilars
BENEPALI, IMRALDI and FLIXABI, the three biosimilar products we currently commercialize in certain countries in Europe forpursuant to an agreement with Samsung Bioepis, compete with their reference products, ENBREL, HUMIRA and REMICADE, respectively, as well as other biosimilars of those reference products.
In addition, BYOOVIZ, a biosimilar product we currently commercialize in the U.S. pursuant to an agreement with Samsung Bioepis, competes with its reference product LUCENTIS, as well as other biosimilars of this reference product.
Genentech Relationships in Other Indications
RITUXAN, RITUXAN HYCELA and GAZYVA in Oncology
RITUXAN, RITUXAN HYCELA and GAZYVA compete with a number of therapies in the oncology market, including TREANDA (bendamustine HCL), ARZERRA (ofatumumab), IMBRUVICA (ibrutinib) and ZYDELIG (idelalisib).
We also expect that over time RITUXAN HYCELA and GAZYVA will increasingly compete with RITUXAN in the oncology market. In addition, we are aware of several other anti-CD20 molecules, including biosimilar products, that have recently been approved and are expected to competecompeting with RITUXAN, RITUXAN HYCELA and GAZYVA in the oncology market. In November 2019, January 2020 and Januother markets. Bary 2021 biiosimilar products referencing RITUXAN werehave launched in the U.S and are being offered at lower prices. This competition has adversely affectedhad a significant adverse impact on the pre-tax profits of our collaboration arrangements with Genentech, as the sales of RITUXAN have decreased substantially compared to prior periods. We expect that biosimilar competition will continue to increase as these products capture additional market share and couldthat this will have a significant adverse affectimpact on our co-promotion profits in the U.S. in future years.
RITUXAN in Rheumatoid Arthritis
RITUXAN competes with several different types of therapies in the rheumatoid arthritis market, including, among others, traditional disease-modifying anti-rheumatic drugs such as steroids, methotrexate and cyclosporine, TNF inhibitors, ORENCIA (abatacept), ACTEMRA (tocilizumab) and XELJANZ (tofacitinib).
We are also aware of other products, including biosimilars, in development that, if approved, may
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compete with RITUXAN in the rheumatoid arthritis market.
Research and Development Programs
A commitment to research is fundamental to our mission. Our research efforts are focused on better understanding the underlying biology of diseases so we can discover and deliver treatments that have the potential to make a real difference in the lives of patients with high unmet medical needs. By applying our expertise in biologics and our growing capabilities in small molecule, antisense, gene therapy, gene editing and other technologies, we target specific medical needs where we believe new or better treatments are needed.
We intend to continue committing significant resources to targeted research and development
opportunities where there is a significant unmet need and where a drug candidate has the potential to be highly differentiated. As part of our ongoing research and development efforts, we have devoted significant resources to conducting clinical studies to advance the development of new pharmaceutical products and technologies and to explore the utility of our existing products in treating disorders beyond those currently approved in their labels.
For additional information on our research and development expense included in our consolidated statements of income, please read Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations included in this report.

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The table below highlights our current research and development programs that are in clinical trials and the current phase of such programs. Drug development involves a high degree of risk and investment, and the status, timing and scope of our development programs are subject to change. Important factors that could adversely affect our drug development efforts are discussed in Item 1A. Risk Factors included in this report.
Core Growth AreasMSAlzheimer's Disease and Neuroimmunology
Dementia
BIIB061 (oral remyelination)Lecanemab (Aβ mAb)*** - MSAlzheimer'sPhase 1Filed in the U.S., E.U. and Japan
BIIB091 (BTK inhibitor)Lecanemab (Aβ mAb)* - MSPhase 1
BIIB107 (anti-VLA4) - MSPhase 1
Alzheimer's Disease and Dementia
Aducanumab (Aβ mAb)* -Preclinical Alzheimer's
Filed in U.S., E.U. and Japan
BAN2401 (lecanemab)* - Alzheimer's
Phase 3
BIIB092 (gosuranemab)Aducanumab (Aβ mAb)** - Alzheimer'sFiled in Japan and Other Markets
BIIB080 (tau ASO)* - Alzheimer'sPhase 2
BIIB076 (anti-tau mAb) - Alzheimer'sPhase 1
BIIB080 (tau ASO)BIIB113 (OGA inhibitor) - Alzheimer'sPhase 1
Neuromuscular Disorders,
including SMA and ALS
Neuropsychiatry
Zuranolone (GABAA PAM)* - MDD
Filed in the U.S.
Zuranolone (GABAA PAM)* - PPD
Filed in the U.S.
Specialized ImmunologyBIIB067 (tofersen)Dapirolizumab pegol (anti-CD40L)* - ALSSLEPhase 3
BIIB078 (IONIS-C9Rx)#Litifilimab (anti-BDCA2) - ALSSLE
Phase 13
Litifilimab (anti-BDCA2) - CLEPhase 2/3
Neuromuscular DisordersTofersen (SOD1 ASO)* - SOD1 ALSFiled in the U.S. and E.U.
BIIB105 (ataxin-2 ASO)# - ALS
Phase 11/2
BIIB100 (XP01 inhibitor) - ALSPhase 1
BIIB110 (ActRIIA/B ligand trap)BIIB115 (SMN ASO)* - SMAPhase 1
Parkinson's Disease and
Movement Disorders
BIIB122 (DNL151)* - LRRK2 Parkinson's
Phase 3
BIIB122 (DNL151)* - Parkinson's
Phase 2
BIIB124 (SAGE-324)* - Essential TremorPhase 2
BIIB094 (ION859)# - Parkinson's
Phase 1
BIIB118 (CK1 inhibitor) - ISWRD in Parkinson'sPhase 1
BIIB101 (ION464)# - Multiple System Atrophy
Phase 1
BIIB122 (DNL151)BIIB132 (ATXN-3 ASO)*# - Parkinson'sSCA3
Phase 1
OphthalmologyMultiple SclerosisBIIB111 (timrepigene emparvovec)BIIB091 (peripheral BTK inhibitor) - CHMMSPhase 1
BIIB107 (anti-VLA4) - MSPhase 1
NeurovascularGlibenclamide IV (SUR1-TRPM4 Inhibitor) - LHI^ StrokePhase 3
BIIB112 (RPGR gene therapy)Glibenclamide IV (SUR1-TRPM4 Inhibitor) - XLRPPhase 2/3
NeuropsychiatryBIIB125 (zuranolone)* - PPDPhase 3
BIIB125 (zuranolone)* - MDDPhase 3
BIIB104 (AMPA PAM) - CIASBrain ContusionPhase 2
Emerging Growth AreasImmunologyDapirolizumab pegol (anti-CD40L)* - SLEPhase 3
BIIB059 (anti-BDCA2)BIIB131 (TMS-007) - CLE/SLEAcute Ischemic StrokePhase 2
Acute NeurologyGenetic Neurodevelopmental Disorders
BIIB093 (glibenclamide IV) - LHI^ Stroke
Phase 3
TMS-007BIIB121 (UBE3A ASO)# - Acute Ischemic StrokeAngelman Syndrome
Phase 2
BIIB093 (glibenclamide IV) - Brain ContusionPhase 2
Neuropathic PainBIIB074 (vixotrigine) - Trigeminal NeuralgiaPhase 2
BIIB074 (vixotrigine) - Small Fiber NeuropathyPhase 2
BIIB095 (Nav 1.7) - Neuropathic PainPhase 1
Biosimilars
SB11 (referencing LUCENTIS)*
Filed in U.S. and E.U.
SB15 (referencing EYLEA)*
Phase 3
* Collaboration program
** Granted accelerated approval in the U.S. in June 2021 under the brand name ADUHELM.
*** Granted accelerated approval in the U.S. in January 2023 under the brand name LEQEMBI and filed for traditional approval in the U.S., E.U. and Japan.
# Option agreement
^ Large Hemispheric Infarction (LHI); postpartum depression (PPD); major depressive disorder (MDD)
For information about certain of our agreements with collaborators and other third parties, please read the subsection entitled Business Relationships below and Note 2, Acquisitions, Note 18,19, Collaborative and Other Relationships, and Note 19,20, Investments in Variable Interest Entities, to our consolidated financial statements included in this report.
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Business Relationships
As part of our business strategy, we establish business relationships, including entering into licenses, joint ventures and collaborative arrangements with other companies, universities and medical research institutions, to assist in the clinical development and/or commercialization of certain of our products and product candidates and to provide support for our research programs. We also evaluate opportunities for acquiring products or rights to products and technologies that are complementary to our business from other companies, universities and medical research institutions.
Below is a brief description of certain business relationships and collaborations that expand our pipeline and provide us with certain rights to existing and potential new products and technologies. For additional information on certain of these relationships, including their ongoing financial and accounting impact on our business, please read Note 2, Acquisitions, Note 18,19, Collaborative and Other Relationships and Note 19, Investments in Variable Interest Entities,, to our consolidated financial statements included in this report.
Acorda Therapeutics, Inc.
We have a collaboration and license agreement with Acorda to develop and commercialize products containing fampridine, such as FAMPYRA, in markets outside the U.S. We are responsible for all regulatory activities and the future clinical development of related products in those markets.
Alkermes
We have an exclusive license and collaboration agreement with Alkermes for VUMERITY, which was approved for the treatment of RMS in the U.S. in October 2019 and became commercially available in the U.S. in November 2019. Under this agreement, we have an exclusive, worldwide license to develop and commercialize VUMERITY.
Bristol-Myers Squibb Company
We have an exclusive license agreement with Bristol-Myers Squibb Company (BMS) for the development and potential commercialization of BIIB092 (gosuranemab), a Phase 2 investigational therapy in Alzheimer's disease. Under this agreement, we received worldwide rights to gosuranemab and are responsible for the full development and potential commercialization of gosuranemab in Alzheimer's disease.
Denali Therapeutics Inc.
We have a collaboration and license agreement with Denali to co-develop and co-commercialize Denali’s small molecule inhibitors of LRRK2 for Parkinson’s disease. In the LRRK2 collaboration, we and Denali share responsibility and costs for global development as well as profits and losses for commercialization in the U.S. and China. Outside the U.S. and China, we are responsible for commercialization and pay Denali tiered royalties.
In addition to the LRRK2 program, we also have an exclusive option to license two preclinical programs from Denali’s Transport Vehicle platform, including its Antibody Transport Vehicle: Abeta program and a second program utilizing its Transport Vehicle technology. Further, we have a right of first negotiation on two additional Transport Vehicle-enabled therapeutics, should Denali decide to seek a collaboration for such programs.
Eisai Co., Ltd.
We have a collaboration agreement with Eisai to jointly develop and commercialize BAN2401,LEQEMBI (lecanemab), an Eisai product candidateanti-amyloid antibody for the potential treatment of Alzheimer's disease. Eisai serves as the global operationallead of LEQEMBI development and regulatory lead for BAN2401submissions globally with both companies co-commercializing and allco-promoting the product, and Eisai having final decision-making authority. All costs, including research, development, sales and marketing expenses,expense, are shared equally between us and Eisai. If BAN2401 receivesUpon LEQEMBI marketing approval, we and Eisai will co-promote BAN2401LEQEMBI and share profits and losses equally. We currently manufacture LEQEMBI drug substance and drug product and in March 2022 we extended our supply agreement with Eisai related to LEQEMBI from five years to ten years for the manufacture of LEQEMBI drug substance.
We also have a collaboration agreement with Eisai to jointly develop and commercialize aducanumab (the Aducanumab Collaboration Agreement).for ADUHELM. Under the Aducanumabour initial ADUHELM Collaboration Agreement, the two companies will co-promote aducanumab with a region-based profit split and we would lead the ongoing development of aducanumab.ADUHELM, and we and Eisai would co-promote ADUHELM with a region-based profit split. On March 14, 2022, we amended our ADUHELM Collaboration Agreement with Eisai. As of the amendment date, we have sole decision making and commercialization rights worldwide on ADUHELM, and beginning January 1, 2023, Eisai receives only a tiered royalty based on net sales of ADUHELM, and no longer participates in sharing ADUHELM's global profits and losses. Eisai's share of development, commercialization and manufacturing expense was limited to $335.0 million for the period from January
We
1, 2022 to December 31, 2022, which was achieved as of December 31, 2022. Once this limit was achieved, we became responsible for all ADUHELM related costs.
In addition, we and Eisai co-promote AVONEX, TYSABRI and TECFIDERA in Japan in certain settings and Eisai distributes AVONEX, TYSABRI, TECFIDERA and PLEGRIDY in India and other Asia-Pacific markets, excluding China.
Genentech,Sage Therapeutics, Inc. (Roche Group)
We have a global collaboration arrangementsand license agreement with Genentech which entitle usSage to certain businessjointly develop and financial rightscommercialize zuranolone for the potential treatment of MDD and PPD and BIIB124 (SAGE-324) for the potential treatment of essential tremor with potential in other neurological conditions such as epilepsy. Under this collaboration, both companies will share equal responsibility and costs for development as well as profits and losses for commercialization in the U.S. Outside the U.S., we are responsible for development and commercialization, excluding Japan, Taiwan and South Korea, with respect to RITUXAN, RITUXAN HYCELA, GAZYVA, OCREVUSzuranolone and othermay pay Sage potential anti-CD20 therapies.tiered royalties in the high teens to low twenties.
Ionis Pharmaceuticals, Inc.Inc.
We have an exclusive, worldwide option and collaboration agreement with Ionis relating to the development and commercialization of antisense therapeutics for up to three gene targets. Under a
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separate collaboration and license agreement with Ionis, we have an exclusive, worldwide license to develop and commercialize SPINRAZA for the treatment of SMA. We also have a 10-year exclusive collaboration agreement with Ionis to develop novel ASO drug candidates for a broad range of neurological diseases.
In addition, we have research collaboration agreements with Ionis under which both companies perform discovery level research and will develop and commercialize new ASO drug candidates for the potential treatment of SMA and additional antisense or other therapeutics for the potential treatment of neurological diseases.
Neurimmune SubOne AGGenentech, Inc. (Roche Group)
We have agreements with Genentech that entitle us to certain business and financial rights with respect to RITUXAN, RITUXAN HYCELA, GAZYVA, OCREVUS, LUNSUMIO, which was granted accelerated approval in the U.S. during the fourth quarter of 2022, glofitamab and options to add other potential anti-CD20 therapies.
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Denali Therapeutics Inc.
We have a collaboration and license agreement with Neurimmune SubOne AG (Neurimmune)Denali to co-develop and co-commercialize Denali’s small molecule inhibitors of LRRK2 for Parkinson’s disease. Under this collaboration, both companies share responsibility and costs for global development based on specified percentages as well as profits and losses for commercialization in the developmentU.S. and commercialization of antibodies forChina. Outside the potential treatment of Alzheimer's disease, including aducanumab (as amended, the Neurimmune Agreement). WeU.S. and China, we are responsible for commercialization and may pay Denali potential tiered royalties.
In addition to the development, manufacturingLRRK2 program, we also have an exclusive option to license two preclinical programs from Denali’s Transport Vehicle platform, including its Antibody Transport Vehicle (ATV): ATV enabled anti-amyloid beta program and commercializationa second program utilizing its Transport Vehicle technology. Further, we have the right of all licensed products.first negotiation on two additional ATV-enabled therapeutics for indications within specific neurodegenerative diseases, should Denali decide to seek a collaboration for such programs.
Samsung Bioepis Co., Ltd.
We andIn February 2012 we entered into a joint venture agreement with Samsung BioLogics established a joint venture,establishing an entity, Samsung Bioepis, to develop, manufacture and market biosimilar products. We also have an agreement with Samsung Bioepis to commercialize, over a 10-year term, 3three anti-TNF biosimilar product candidates in certain countries in Europe and, in the case of BENEPALI, Japan. Under this agreement, we are commercializing BENEPALI, an etanercept biosimilar referencing ENBREL, IMRALDI, an adalimumab biosimilar referencing HUMIRA, and FLIXABI, an infliximab biosimilar referencing REMICADE, in certain countries in Europe.
In December 2019 we completed a transaction with Samsung Bioepis and secured the exclusive rights to commercialize two potential ophthalmology biosimilar products, SB11, a proposed ranibizumab biosimilar referencing LUCENTIS, and SB15, a proposed aflibercept biosimilar referencing EYLEA, in major markets worldwide, including the U.S., Canada, Europe, Japan and Australia. We also acquired an option to extend our existing commercial agreement with Samsung Bioepis for BENEPALI, IMRALDI and FLIXABI in certain countries in Europe and obtained an option to acquireEurope. We have also secured the exclusive rights to commercialize these productsBYOOVIZ, a ranibizumab biosimilar referencing LUCENTIS, which was approved in China.
the U.S., the E.U. and the U.K. during the third quarter of 2021. BYOOVIZ launched in the U.S. in June 2022 and became commercially available during the third quarter of 2022. In addition to our joint venture and commercialization agreements with Samsung Bioepis, we license certain of our proprietary technology to Samsung Bioepis in connection with Samsung
Bioepis' development, manufacture and commercialization of its biosimilar products.
Sage Therapeutics, Inc.In April 2022 we completed the sale of our 49.9% equity interest in Samsung Bioepis to Samsung BioLogics. Under the terms of this transaction, we received approximately $1.0 billion in cash at closing and expect to receive approximately
$1.3 billion in cash to be deferred over two payments of approximately $812.5 million due at the first anniversary and approximately $437.5 million due at the second anniversary of the closing of this transaction.
As part of this transaction, we are also eligible to receive up to an additional $50.0 million upon the achievement of certain commercial milestones. Our policy for contingent payments of this nature is to recognize the payments in the period that they become realizable, which is generally the same period in which the payments are earned.
For additional information on the sale of our equity interest in Samsung Bioepis, please read Note 3, Dispositions, to our consolidated financial statements included in this report.
UCB
We have a global collaboration and license agreement with SageUCB to jointly develop and commercialize zuranolonedapirolizumab pegol, an anti-CD40L pegylated Fab, for the potential treatment of major depressive disorder, postpartum depressionSLE and other psychiatric disordersfuture agreed indications. Both companies will share equally costs incurred for agreed indications, including research, development, sales and SAGE-324 for the potential treatment of essential tremormarketing expense. If marketing approval is obtained, both companies will co-promote dapirolizumab pegol and other neurological disorders. We and Sage share equal responsibility and costs for development as well as profits and losses for commercialization in the U.S. Outside the U.S., we are responsible for development and commercialization, excluding Japan, Taiwan and South Korea with respect to zuranolone, and will pay Sage tiered royalties.equally.
Sangamo Therapeutics, Inc.
We have a collaboration and license agreement with Sangamo Therapeutics, Inc. (Sangamo) to develop and commercialize ST-501 for tauopathies, including Alzheimer’s disease; ST-502 for synucleinopathies, including Parkinson’s disease; a third neuromuscular disease target; and up to nine additional neurological disease targets to be identified and selected within a five-year period. The companies are leveraging Sangamo's proprietary zinc finger protein technology delivered via adeno-associated virus to modulate the expression of key genes involved in neurological diseases. Under this collaboration, we may pay Sangamo will perform early research activities, costs for which will be shared bytiered royalties on potential net sales of any products developed under this collaboration in the companies, and we will assume responsibility and costs beyond the early research activities.high single digit to sub-teen percentages.
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Regulatory
Our current and contemplated activities and the products, technologies and processes that result from such activities are subject to substantial government regulation.
Regulation of Pharmaceuticals
Product Approval and Post-Approval Regulation in the U.S.
APPROVAL PROCESS
Before new pharmaceutical products may be sold in the U.S., preclinical studies and clinical trials of the products must be conducted and the results submitted to the FDA for approval. With limited exceptions, the FDA requires companies to register both pre-approval and post-approval clinical trials and disclose clinical trial results in public databases. Failure to register a trial or disclose study results within the required time periods could result in penalties, including civil monetary penalties. Clinical trial programs must establish efficacy, determine an
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appropriate dose and dosing regimen and define the conditions for safe use. This is a high-risk process that requires stepwise clinical studies in which the candidate product must successfully meet predetermined endpoints. The results of the preclinical and clinical testing of a product are then submitted to the FDA in the form of a BLA or a New Drug Application (NDA).NDA. In response to a BLA or NDA, the FDA may grant marketing approval, request additional information or deny the application if it determines the application does not provide an adequate basis for approval.
Product development and receipt of regulatory approval takes a number of years, involves the expenditure of substantial resources and depends on a number of factors, including the severity of the disease in question, the availability of suitable alternative treatments, potential safety signals observed in preclinical or clinical tests and the risks and benefits of the product as demonstrated in clinical trials. The FDA has substantial discretion in the product approval process, and it is impossible to predict with any certainty whether and when the FDA will grant marketing approval. The agency may require the sponsor of a BLA or NDA to conduct additional clinical studies or to provide other scientific or technical information about the product, and these additional requirements may lead to unanticipated delays or expenses. Furthermore, even if a product is approved, the approval may be subject to limitations based on the FDA's interpretation of the existing pre-clinical and/or clinical data.
The FDA has developed four distinct approaches intended to facilitate the development and expedite the regulatory review of therapeutically important drugs, especially when the drugs are the first
available treatment or have advantages over existing treatments: accelerated approval, fast track, breakthrough therapy and priority review.
Accelerated Approval: The FDA may grant “accelerated approval” to products that treat serious or life-threatening illnesses and that provide meaningful therapeutic benefits to patients over existing treatments. Under this pathway, the FDA may approve a product based on surrogate endpoints or clinical endpoints other than survival or irreversible morbidity. When approval is based on surrogate endpoints or clinical endpoints other than survival or morbidity, the sponsor will be required to provide the FDA with confirmatory data post-approval to verify and describe clinical benefit. Under the FDA's accelerated approval regulations, if the FDA concludes that a drug that has been shown to be effective can be safely used only if distribution or use is restricted, it may require
certain post-marketing restrictions to assure safe use. In addition, for products approved under accelerated approval, sponsors may be required to submit all copies of their promotional materials, including advertisements, to the FDA at least 30 days prior to initial dissemination. The FDA may withdraw approval if, for instance, post-marketing studies fail to verify clinical benefit, it becomes clear that restrictions on the distribution of the product are inadequate to ensure its safe use or if a sponsor fails to comply with the conditions of the accelerated approval.
Fast Track: The FDA may grant "fast track" status to products that treat a serious condition and have data demonstrating the potential to address an unmet medical need or a drug that has been designated as a qualified infectious disease product.
Breakthrough Therapy: The FDA may grant “breakthrough therapy” status to drugs designed to treat, alone or in combination with another drug or drugs, a serious or life-threatening disease or condition and for which preliminary clinical evidence suggests a substantial improvement over existing therapies based on a clinically significant endpoint. Breakthrough therapy status entitles the sponsor to earlier and more frequent meetings with the FDA regarding the development of nonclinical and clinical data and permits the FDA to offer product development or regulatory advice for the purpose of shortening the time to product approval. Breakthrough therapy status does not guarantee that a product will be eligible for priority review and does not ensure FDA approval.
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Priority Review: “Priority review” only applies to applications (original or efficacy supplement) for a drug that treats a serious condition and, if approved, would provide a significant improvement in safety or effectiveness of the treatment, diagnosis or prevention of a serious condition. Priority review may also be granted for any supplement that proposes a labeling change due to studies completed in response to a written request from the FDA for pediatric studies, for an application for a drug that has been designated as a qualified infectious disease product or for any application or supplement for a drug submitted with a priority review voucher.
In December 2016 the FDA issued a rare pediatric disease priority review voucher to us in connection with the approval of SPINRAZA.
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POST-MARKETING STUDIES
Regardless of the approval pathway employed, the FDA may require a sponsor to conduct additional post-marketing studies as a condition of approval to provide data on safety and effectiveness. If a sponsor fails to conduct the required studies, the FDA may withdraw its approval. In addition, if the FDA concludes that a drug that has been shown to be effective can be safely used only if distribution or use is restricted, it can mandate post-marketing restrictions to assure safe use. In such a case, the sponsor may be required to establish rigorous systems to assure use of the product under safe conditions. These systems are usually referred to as Risk Evaluation and Mitigation Strategies (REMS). The FDA can impose financial penalties for failing to comply with certain post-marketing commitments, including REMS. In addition, any changes to an approved REMS must be reviewed and approved by the FDA prior to implementation.
ADVERSE EVENT REPORTING
We monitor information on side effects and adverse events reported during clinical studies and after marketing approval and report such information and events to regulatory agencies. Non-compliance with the FDA's safety reporting requirements may result in civil or criminal penalties. Side effects or adverse events that are reported during clinical trials can delay, impede or prevent marketing approval. Based on new safety information that emerges after approval, the FDA can mandate product labeling changes, impose a new REMS or the addition of elements to an existing REMS, require new post-marketing studies (including additional clinical trials) or suspend or withdraw approval of the product. These requirements may affect our ability to maintain marketing approval of our products or require us to
make significant expenditures to obtain or maintain such approvals.
APPROVAL OF CHANGES TO AN APPROVED PRODUCT
If we seek to make certain types of changes to an approved product, such as adding a new indication, making certain manufacturing changes or changing manufacturers or suppliers of certain ingredients or components, the FDA will need to review and approve such changes in advance. In the case of a new indication, we are required to demonstrate with additional clinical data that the product is safe and effective for a use other than what was initially approved. FDA regulatory review may result in denial or modification of the planned changes, or requirements to conduct additional tests or evaluations that can substantially delay or increase the cost of the planned changes.
REGULATION OF PRODUCT ADVERTISING AND PROMOTION
The FDA regulates all advertising and promotion activities and communications for products under its jurisdiction both before and after approval. Pursuant to FDA guidance, a company can make safety and efficacy claims either in or consistent with the product label. However, physicians may prescribe legally available drugs for uses that are not described in the drug's labeling. Such off-label prescribing is common across medical specialties, and often reflects a physician's belief that the off-label use is the best treatment for patients. The FDA does not regulate the behavior of physicians in their choice of treatments, but FDA regulations do impose stringent restrictions on manufacturers' communications regarding off-label uses. Failure to comply with applicable FDA requirements may subject a company to adverse publicity, enforcement action by the FDA, corrective advertising and the full range of civil and criminal penalties available to the government.
Regulation of Combination Products
Combination products are defined by the FDA to include products comprising two or more regulated components (e.g., a biologic and a device). Biologics and devices each have their own regulatory requirements, and combination products may have additional requirements. Some of our marketed products meet this definition and are regulated under this framework and similar regulations outside the U.S., and we expect that some of our pipeline product candidates may be evaluated for regulatory approval under this framework as well.
In May 2017 new regulations governing medical devices (MDR) and in-vitro diagnostic medical devices (IVDR) entered into force in the E.U. although these are not expected to fully apply untilThe MDR regulations became applicable in May 2021 with respect toand the MDR
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IVDR regulations andbecame applicable in May 2022 with respect to the IVDR regulations.2022. All products covered by these regulations will be required to comply with them at the end of the transitional periods. These regulations introduce new requirements, including for clinical investigation of certain classifications of medical devices, require increased regulatory scrutiny, enhance the requirements for post market surveillance and vigilance and provide for greater transparency. These regulations also change the requirements for assessment of the medical device components of integral drug-device combination products, necessitating assessment of the device components under both the medical device and medicinal product regulatory regimes.
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Product Approval and Post-Approval Regulation Outside the U.S.
We market our products in numerous jurisdictions outside the U.S. Most of these jurisdictions have product approval and post-approval regulatory processes that are similar in principle to those in the U.S. In Europe, for example, where a substantial part of our ex-U.S. efforts are focused, there are several routes for marketing approval, depending on the type of product for which approval is sought. Under the centralized procedure, a company submits a single application to the EMA. The marketing authorization application is similar to the NDA or BLA in the U.S. and is evaluated by the Committee for Medicinal Products for Human Use (CHMP),CHMP, the expert scientific committee of the EMA responsible for human medicines. If the CHMP determines that the marketing authorization applicationMAA fulfills the requirements for quality, safety and efficacy and that the medicine has a positive benefit risk balance, it will adopt a positive opinion recommending the granting of the marketing authorization by the EC. The CHMP opinion is not binding, but is typically adopted by the EC. A MAA approved by the EC is valid in all member states of the E.U. The centralized procedure is required for all biological products, orphan medicinal products and new treatments for neurodegenerative disorders, and it is available for certain other products, including those which constitute a significant therapeutic, scientific or technical innovation.
In addition to the centralized procedure, the European regulatory framework includes the following options for regulatory review and approval in the E.U. member states:
a national procedure, where the first application is made to the competent authority in one E.U. countrymember state only;
a decentralized procedure, where applicants submit identical applications to several E.U. countriesmember states and receive simultaneous approval, if the medicine has not yet been authorized in any E.U. country;member state; and
a mutual recognition procedure, where applicants that have a medicine authorized in one E.U. countrymember state can apply for mutual recognition of this authorization in other E.U. countries.member states
As in the U.S., the E.U. also has distinct approaches intended to optimize the regulatory pathways for therapeutically important drugs, including the Priority Medicines Evaluation Scheme (PRIME), accelerated assessment and conditional marketing authorization. PRIME is intended to provide additional support to medicine developers throughout the
development process. Regulatory review timelines in the E.U. may be truncated under accelerated assessment for products that address an unmet medical need. In addition, conditional marketing authorizations may be granted for such products in the interest of public health, where the benefit of immediate availability outweighs the risk of having less comprehensive data than normally required. Conditional marketing authorizations are valid for one year and can be renewed annually. The marketing authorization holder is required to complete specific obligations (ongoing or new studies and, in some cases, additional activities) with a view to providing comprehensive data confirming that the benefit risk balance is positive. Once comprehensive data on the product have been obtained, the marketing authorization may be converted into a standard marketing authorization.
Aside from the U.S. and the E.U., there are countries in other regions where it is possible to receive an "accelerated" review whereby the national regulatory authority will commit to truncated review timelines for products that meet specific medical needs.
In the E.U. there is detailed legislation on pharmacovigilance and extensive guidance on good pharmacovigilance practices. A failure to comply with the E.U. pharmacovigilance obligations may result in significant financial penalties for the marketing authorization holder.
Regardless of the approval process employed, various parties share responsibilities for the monitoring, detection and evaluation of adverse events post-approval, including national competent authorities, the EMA, the EC and the marketing authorization holder. The EMA’s Pharmacovigilance Risk Assessment Committee is responsible for assessing and monitoring the safety of human medicines and makes recommendations on product safety issues. Marketing authorization holders have an obligation to inform regulatory agencies of any new information which may influence the evaluation of benefits and risks of the medicinal product concerned.
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In the U.S., the E.U. and other jurisdictions, regulatory agencies, including the FDA, conduct periodic inspections of NDA, BLA and marketing authorization holders to assess their compliance with pharmacovigilance obligations.
Good Manufacturing Practices
Regulatory agencies regulate and inspect equipment, facilities and processes used in the manufacturing and testing of pharmaceutical and biologic products prior to approving a product. If, after receiving approval from regulatory agencies, a
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company makes a material change in manufacturing equipment, location or process, additional regulatory review and approval may be required. We also must adhere to current Good Manufacturing Practices (cGMP) and product-specific regulations enforced by regulatory agencies following product approval. The FDA, the EMA and other regulatory agencies also conduct periodic visits to re-inspect equipment, facilities and processes following the initial approval of a product. If, as a result of these inspections, it is determined that our equipment, facilities or processes do not comply with applicable regulations and conditions of product approval, regulatory agencies may seek civil, criminal or administrative sanctions or remedies against us, including significant financial penalties and the suspension of our manufacturing operations.
Good Clinical Practices
The FDA, the EMA and other regulatory agencies promulgate regulations and standards for designing, conducting, monitoring, auditing and reporting the results of clinical trials to ensure that the data and results are accurate and that the rights and welfare of trial participants are adequately protected (commonly referred to as current Good Clinical Practices (cGCP)). Regulatory agencies enforce cGCP through periodic inspections of trial sponsors, principal investigators and trial sites, contract research organizations (CROs) and institutional review boards. If our studies fail to comply with applicable cGCP guidelines, the clinical data generated in our clinical trials may be deemed unreliable and relevant regulatory agencies may require us to perform additional clinical trials before approving our marketing applications. Noncompliance can also result in civil or criminal sanctions. We rely on third parties,third-parties, including CROs, to carry out many of our clinical trial-related activities. Failure of such third partiesthird-parties to comply with cGCP can likewise result in rejection of our clinical trial data or other sanctions.
In April 2014 the EC adopted a new Clinical Trial Regulation, which was effectiveentered into force in June 2014 but isdid not expected to apply until 2021.January 2022. There are transitional provisions for clinical trials which are ongoing at the date of application. Clinical trial applications may also continue to be made under the
Clinical Trial Directive (the existing regulatory framework) until January 2023. All clinical trials must fully comply with the Clinical Trial Regulation by January 2025. The regulation harmonizes the procedures for assessment and governance of clinical trials throughout the E.U. and will require that information on the authorization, conduct and results of each clinical trial conducted in the E.U. be publicly available.
Approval of Biosimilars
TheIn the U.S. the Patient Protection and Affordable Care Act (PPACA) amended the Public Health Service Act (PHSA) to authorize the FDA to approve biological products, referred to as biosimilars or follow-on biologics, that are shown to be "highly similar" to previously approved biological products based upon potentially abbreviated data packages. The biosimilar
must show it has no clinically meaningful differences in terms of safety and effectiveness from the reference product, and only minor differences in clinically inactive components are allowable in biosimilar products. The approval pathway for biosimilars does, however, grant a biologics manufacturer a 12-year period of exclusivity from the date of approval of its biological product before biosimilar competition can be introduced. There is uncertainty, however, as the approval framework for biosimilars originally was enacted as part of the PPACA. There have been, and there are likely to continue to be, federal legislative and administrative efforts to repeal, substantially modify or invalidate some or all of the provisions of the PPACA. If the PPACA is repealed, substantially modified or invalidated, it is unclear what, if any, impact such action would have on biosimilar regulation.
A biosimilars approval pathway has been in place in the E.U. since 2003. The EMA has issued a number of scientific and product specific biosimilar guidelines, including requirements for approving biosimilars containing monoclonal antibodies. In the E.U., biosimilars are generally approved under the centralized procedure. The approval pathway allows sponsors of a biosimilar to seek and obtain regulatory approval based in part on reliance on the clinical trial data of an innovator product to which the biosimilar has been demonstrated, through comprehensive comparability studies, to be “similar.” In many cases, this allows biosimilars to be brought to market without conducting the full complement of clinical trials typically required for novel biologic drugs.
Orphan Drug Act
Under the U.S. Orphan Drug Act, the FDA may grant orphan drug designation to drugs or biologics intended to treat a “rare disease or condition,” which generally is a disease or condition that affects fewer than 200,000 individuals in the U.S. If a product
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which has an orphan drug designation subsequently receives an initial FDA approval for the indication for which it has such designation, the product is entitled to orphan exclusivity, i.e., the FDA may not approve any other applications to market the same drug for the same indication for a period of seven years following marketing approval, except in certain very limited circumstances, such as if the later product is shown to be clinically superior to the orphan product. Legislation similar to the U.S. Orphan Drug Act has been enacted in other countries to encourage the research, development and marketing of medicines to treat, prevent or diagnose rare diseases. In the E.U., medicinal products that receive and maintain an orphan designation are entitled to 10 years of market exclusivity following approval, protocol assistance and access to the centralized procedure for marketing
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authorization. SPINRAZA has been granted orphan drug designation in the U.S., the E.U. and Japan.
Regulation Pertaining to Pricing and Reimbursement
In both domestic and foreign markets, sales of our products depend, to a significant extent, on the availability and amount of reimbursement by third-party payors, including governments, private health plans and other organizations. Substantial uncertainty exists regarding the pricing and reimbursement of our products, and drug prices continue to receive significant scrutiny. Governments may regulate coverage, reimbursement and pricing of our products to control cost or affect utilization of our products. Challenges to our pricing strategies, by either government or private stakeholders, could harm our business. The U.S. and foreign governments have enacted and regularly consider additional reform measures that affect health care coverage and costs. Private health plans may also seek to manage cost and utilization by implementing coverage and reimbursement limitations. Other payors, including managed care organizations, health insurers, pharmacy benefit managers, government health administration authorities and private health insurers, seek price discounts or rebates in connection with the placement of our products on their formularies and, in some cases, may impose restrictions on access, coverage or pricing of particular drugs based on perceived value.
Within the U.S.
Medicaid: Medicaid is a joint federal and state program that is administered by the states for low income and disabled beneficiaries. Under the Medicaid Drug Rebate Program, we are required to pay a rebate for each unit of product reimbursed by the state Medicaid programs. The amount of the rebate is established by law and is adjusted upward if the average manufacturer price (AMP) increases more than inflation (measured by the Consumer Price Index - Urban).
The rebate amount is calculated each quarter based on our report of current AMP and best price for each of our products to the Centers for Medicare & Medicaid Services (CMS).CMS. The requirements for calculating AMP and best price are complex. We are required to report any revisions to AMP or best price previously reported within a certain period, which revisions could affect our rebate liability for prior quarters. In addition, if we fail to provide information timely or we are found to have knowingly submitted false information to the government, the statute governing the Medicaid Drug Rebate Program provides for civil monetary penalties.
Medicare: Medicare is a federal program that is administered by the federal government. The program covers individuals age 65 and over as well as those with certain disabilities. Medicare Part B generally covers drugs that must be administered by physicians or other health care practitioners, are provided in connection with certain durable medical equipment or are certain oral anti-cancer drugs and certain oral immunosuppressive drugs. Medicare Part B pays for such drugs under a payment methodology based on the average sales price (ASP) of the drugs. Manufacturers, including us, are required to provide ASP information to the CMS on a quarterly basis. The manufacturer-submitted information is used to calculate Medicare payment rates. If a manufacturer is found to have made a misrepresentation in the reporting of ASP, the governing statute provides for civil monetary penalties.
In November 2020 CMS issued an interim final rule that seeks to lower prescription drug costs by paying no more for certain Medicare Part B drugs than the lowest price paid for such drugs in certain other countries (the "most favored nation" rule). One of the drugs subject to the rule is TYSABRI. Under the rule, the lower payment rates for affected drugs would be phased in over a period of four years, beginning in 2021. Although the rule is being challenged by industry associations on a number of grounds, if the challenges are unsuccessful, the rule could harm our business. In addition, if the rule were expanded to include other drugs or to include Medicare Part D, such expansions could cause additional harm.
Medicare Part D provides coverage to enrolled Medicare patients for self-administered drugs (i.e., drugs that are not administered by a physician). Medicare Part D is administered by private prescription drug plans approved by the U.S. government. Each drug plan establishes its own Medicare Part D formulary for prescription drug coverage and pricing, which the drug plan may modify from time-to-time. The prescription drug plans negotiate pricing with manufacturers and pharmacies, and may condition formulary placement on the availability of manufacturer discounts. In addition, manufacturers, including us, are required to provide to the CMS a discount of up to 70%70.0% on brand name prescription drugs utilized by Medicare Part D beneficiaries when those beneficiaries reach the coverage gap in their drug benefits.
On August 16, 2022, President Biden signed into law the IRA, which provides for (i) the government to negotiate prices for select high-cost Medicare Part D drugs (beginning in 2026) and Part B drugs (beginning in 2028), (ii) manufacturers to pay a rebate for Medicare Part B and Part D drugs when prices increase faster than inflation
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beginning in 2022 for Part D and 2023 for Part B, and (iii) Medicare Part D redesign which replaces the current coverage gap provisions and establishes a $2,000 cap for out-of-pocket costs for Medicare beneficiaries beginning in 2025, with manufacturers being responsible for 10.0% of costs up to the $2,000 cap and 20.0% after that cap is reached.
The result of these forthcoming changes for manufacturers, including us, may include: i) a material adverse effect on our revenue on drugs subject to “negotiation”; ii) new rebate liability for drugs subject to the inflation provisions, and iii) potential significant additional costs related to the Part D re-design. However, as the degree of impact from this legislation on our business depends on a number of forthcoming implementation actions by regulatory authorities, the full extent of the IRA’s impact on our sales and, in turn, our business, remains unclear.
Federal Agency Discounted Pricing: Our products are subject to discounted pricing when
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purchased by federal agencies via the Federal Supply Schedule (FSS). FSS participation is required for our products to be covered and reimbursed by the Veterans Administration (VA), Department of Defense, Coast Guard and Public Health Service (PHS). Coverage under Medicaid, Medicare and the PHS pharmaceutical pricing program is also conditioned upon FSS participation. FSS pricing is intended not to exceed the price that we charge our most-favored non-federal customer for a product. In addition, prices for drugs purchased by the VA, Department of Defense (including drugs purchased by military personnel and dependents through the TriCare retail pharmacy program), Coast Guard and PHS are subject to a cap on pricing equal to 76%76.0% of the non-federal average manufacturer price (non-FAMP). An additional discount applies if non-FAMP increases more than inflation (measured by the Consumer Price Index - Urban). In addition, if we fail to provide information timely or we are found to have knowingly submitted false information to the government, the governing statute provides for civil monetary penalties.
340B Discounted Pricing: To maintain coverage of our products under the Medicaid Drug Rebate Program and Medicare Part B, we are required to extend significant discounts to certain covered entities that purchase products under Section 340B of the PHS pharmaceutical pricing program. Purchasers eligible for discounts include hospitals that serve a disproportionate share of financially needy patients, community health clinics and other entities that receive certain types of grants under the PHSA. For all of
our products, we must agree to charge a price that will not exceed the amount determined under statute (the “ceiling price”) when we sell outpatient drugs to these covered entities. In addition, we may, but are not required to, offer these covered entities a price lower than the 340B ceiling price. The 340B discount formula is based on AMP and is generally similar to the level of rebates calculated under the Medicaid Drug Rebate Program.
Outside the U.S.
Outside the U.S., our products are paid for by a variety of payors, with governments being the primary source of payment. Governments may determine or influence reimbursement of products and may also set prices or otherwise regulate pricing. Negotiating prices with governmental authorities can delay commercialization of our products. Governments may use a variety of cost-containment measures to control the cost of products, including price cuts, mandatory rebates, value-based pricing and reference pricing
(i.e. (i.e., referencing prices in other countries and using those reference prices to set a price). Budgetary pressures in many countries are continuing to cause governments to consider or implement various cost-containment measures, such as price freezes, increased price cuts and rebates and expanded generic substitution and patient cost-sharing.
Regulation Pertaining to Sales and Marketing
We are subject to various federal and state laws pertaining to health care “fraud and abuse,” including anti-kickback laws and false claims laws. Anti-kickback laws generally prohibit a prescription drug manufacturer from soliciting, offering, receiving or paying any remuneration to generate business, including the purchase or prescription of a particular drug. Although the specific provisions of these laws vary, their scope is generally broad and there may be no regulations, guidance or court decisions that clarify how the laws apply to particular industry practices. There is therefore a possibility that our practices might be challenged under anti-kickback or similar laws. False claims laws prohibit anyone from knowingly and willingly presenting, or causing to be presented, for payment to third-party payors (including Medicare and Medicaid), claims for reimbursed drugs or services that are false or fraudulent, claims for items or services not provided as claimed or claims for medically unnecessary items or services. Our activities relating to the sale and marketing of our products may be subject to scrutiny under these laws. Violations of fraud and abuse laws may be punishable by criminal or civil sanctions, including fines and civil monetary penalties, and exclusion from federal health care programs (including Medicare and Medicaid). In the U.S., federal and state authorities are paying increased attention to enforcement of these laws
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within the pharmaceutical industry and private individuals have been active in alleging violations of the laws and bringing suits on behalf of the government under the federal civil False Claims Act. If we were subject to allegations concerning, or were convicted of violating, these laws, our business could be harmed.
Laws and regulations have been enacted by the federal government and various states to regulate the sales and marketing practices of pharmaceutical manufacturers. The laws and regulations generally limit financial interactions between manufacturers and health care providers or require disclosure to the government and public of such interactions. The laws include federal “sunshine” provisions. The sunshine provisions apply to pharmaceutical manufacturers with products reimbursed under certain government programs and require those manufacturers to disclose annually to the federal government (for re-disclosure to the public) certain payments made to physicians and certain other healthcare practitioners or to
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teaching hospitals. State laws may also require disclosure of pharmaceutical pricing information and marketing expenditures. Many of these laws and regulations contain ambiguous requirements. Given the lack of clarity in laws and their implementation, our reporting actions could be subject to the penalty provisions of the pertinent federal and state laws and regulations. Outside the U.S., other countries have implemented requirements for disclosure of financial interactions with healthcare providers and additional countries may consider or implement such laws.
Other Regulations
Foreign Anti-Corruption
We are subject to various federal and foreign laws that govern our international business practices with respect to payments to government officials. Those laws include the U.S. Foreign Corrupt Practices Act (FCPA), which prohibits U.S. companies and their representatives from paying, offering to pay, promising to pay or authorizing the payment of anything of value to any foreign government official, government staff member, political party or political candidate for the purpose of obtaining or retaining business or to otherwise obtain favorable treatment or influence a person working in an official capacity. In many countries, the health care professionals we regularly interact with may meet the FCPA's definition of a foreign government official. The FCPA also requires public companies to make and keep books and records that accurately and fairly reflect their transactions and to devise and maintain an adequate system of internal accounting controls.
The laws to which we are subject also include the U.K. Bribery Act 2010 (Bribery Act), which proscribes giving and receiving bribes in the public
and private sectors, bribing a foreign public official and failing to have adequate procedures to prevent employees and other agents from giving bribes. U.S. companies that conduct business in the U.K. generally will be subject to the Bribery Act. Penalties under the Bribery Act include significant fines for companies and criminal sanctions for corporate officers under certain circumstances.
NIH Guidelines
We seek to conduct research at our U.S. facilities in compliance with the current U.S. National Institutes of Health Guidelines for Research Involving Recombinant DNA Molecules (NIH Guidelines). By local ordinance, we are required to, among other things, comply with the NIH Guidelines in relation to our facilities in Research Triangle Park (RTP),RTP, NC and are required to operate pursuant to certain permits.
Other Laws
Our present and future business has been and will continue to be subject to various other laws and regulations. Various laws, regulations and recommendations relating to data privacy and protection, safe working conditions, laboratory practices, the experimental use of animals and the purchase, storage, movement, import, export and use and disposal of hazardous or potentially hazardous substances, including radioactive compounds and infectious disease agents, used in connection with our research work are or may be applicable to our activities. Certain agreements entered into by us involving exclusive license rights may be subject to national or international antitrust regulatory control, the effect of which cannot be predicted. The extent of government regulation, which might result from future legislation or administrative action, cannot accurately be predicted.
The European Parliament and the Council of the European UnionE.U. adopted a comprehensive general data privacy regulation (GDPR) in 2016 to replace the current E.U. Data Protection Directive and related country-specific legislation. The GDPR took effect in May 2018 and governs the collection and use of personal data in the E.U. The GDPR, which is wide-ranging in scope, imposes several requirements relating to the consent of the individuals to whom the personal data relates, the information provided to the individuals, the security and confidentiality of the personal data, data breach notification and the use of third-party processors in connection with the processing of the personal data. The GDPR also imposes strict rules on the transfer of personal data out of the E.U. to the U.S., provides an enforcement authority and imposes large penalties for noncompliance, including the potential for fines of up to €20.0 million or 4.0% of the annual global revenuesrevenue of the infringer, whichever is greater.
Environmental Matters
18
We strive to comply in all material respects with applicable laws and regulations concerning the environment. While it is impossible to predict accurately the future costs associated with environmental compliance and potential remediation activities, compliance with environmental laws is not expected to require significant capital expenditures and has not had, and is not expected to have, a material adverse effect on our operations or competitive position.

Manufacturing
We seek to ensure an uninterrupted supply of medicines to patients around the world. To that end, we continually review our manufacturing capacity,
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capabilities, processes and facilities. We believe that our manufacturing facilities, together with the third-party contract manufacturing organizations we outsource to, currently provide sufficient capacity for our products and to Samsung Bioepis, our joint venturecollaboration partner that develops, manufactures and markets biosimilar products, and other strategic contract manufacturing partners.
In orderMarch 2021 we announced our plans to build a new gene therapy manufacturing facility in RTP, NC to support our future growth and drug developmentgene therapy pipeline we are expanding our large molecule production capacity by building a large-scale biologicsacross multiple therapeutic areas. The new manufacturing facility in Solothurn, Switzerland. We expect this facilitywill be approximately 197,000 square feet and is expected to be partially operational by the end of 2023, with an estimated total investment of approximately $195.0 million. Construction for this new facility began during the first halffourth quarter of 2021.
Manufacturing Facilities
Our drug substance manufacturing facility includes:facilities include:
FacilityDrug Substance Manufactured
RTP, NCNorth CarolinaAVONEX
PLEGRIDY
TYSABRI
Other*
Solothurn, SwitzerlandADUHELM
LEQEMBI
* Other includes products manufactured for contract manufacturing partners.
In addition to our drug substance manufacturing facility,facilities, we have a drug product manufacturing facility and supporting infrastructure in RTP, NC, including a parenteral facility and an oral solid dose products manufacturing facility.
The parenteral facility adds capabilities and capacity for filling biologics into vials and is principally used for filling product candidates. The oral solid dose products facility can supplement our outsourced small molecule manufacturing capabilities, including the manufacture of TECFIDERA.capabilities.
We also have an oligonucleotide synthesis manufacturing facility in RTP, NC. This facility gives us the capability to manufacture ASO drugs like SPINRAZA as well as our other ASO candidates currently in our clinical pipeline.
In order to support our future growth and drug development pipeline, we are building a large-scale biologics manufacturing facility in Solothurn, Switzerland, which we expect toSwitzerland. In the second quarter of 2021 a portion of the facility received a Good Manufacturing Practice (GMP) multi-product license from the Swiss Agency for
Therapeutic Products (SWISSMEDIC). Solothurn has been approved for the manufacture of ADUHELM and LEQEMBI by the FDA. We estimate the second manufacturing suite at the Solothurn facility will be partially operational duringby the first halfend of 2021.2023.
Genentech is responsible for all worldwide manufacturing activities for bulk RITUXAN, RITUXAN HYCELA and GAZYVA and has sourced the manufacture of certain bulk RITUXAN, RITUXAN HYCELA and GAZYVA requirements to a third party. Acorda supplies FAMPYRA to us pursuant to its supply agreement with Alkermes, Inc. and Ionis supplies the active pharmaceutical ingredient (API) for SPINRAZA. Alkermes currently supplies both VUMERITY and FAMPYRA to us pursuant
to aseparate supply agreement.agreements. In October 2019 we entered into a new supply agreement and amended our license and collaboration agreement with Alkermes.Alkermes for VUMERITY. We have elected to initiate a technology transfer and, following a transition period, to manufacture VUMERITY or have VUMERITY manufactured by a third party we have engaged in exchange for paying an increased royalty rate to Alkermes on any portion of future worldwide net commercial sales of VUMERITY that is manufactured by us or our designee. In October 2022 we entered into a new supply agreement with Alkermes for FAMPYRA. Acorda previously supplied FAMPYRA to us pursuant to a sublicensing arrangement with Alkermes, which was terminated in October 2022 as a result of an arbitration outcome between Acorda and Alkermes.
Third-Party Suppliers and Manufacturers
We principally use third parties to manufacture the API and the final product for our small molecule products and product candidates, including TECFIDERA and FUMADERM, and the final drug product for our large molecule products and, to a lesser extent, product candidates.
We source allthe majority of our fill-finish and the majorityall of our final product assembly and storage operations for our products, along with a substantial part of our label and packaging operations, to a concentrated group of third-party contract manufacturing organizations. Raw materials, delivery devices, such as syringes and auto-injectors, and other supplies required for the production of our products and product candidates are procured from various third-party suppliers and manufacturers in quantities adequate to meet our needs. Continuity of supply of such raw materials, devices and supplies is assured using a strategy ofthrough inventory management and dual sourcing where possible or by a risk-based inventory strategy.as appropriate. Our third-party service providers, suppliers and manufacturers may be subject to routine cGMP inspections by the FDA or comparable agencies in other jurisdictions and undergo assessment and certification by our quality management group.
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ESG and Climate-Related Matters
Introduction
Our environmental, social and governance (ESG) efforts prioritize climate, health and equity, with a focus on vulnerable populations, as well as ongoing leadership in sustainability, governance, transparency and disclosure.
We remain committed to reducing our environmental footprint by eliminating harmful emissions and by minimizing resources used to manufacture our products. Since 2014 we have taken responsibility for our impact on climate change by matching 100% of our electricity usage with renewable energy, credits and offsets, driving efficiency initiatives internally and working with our suppliers. Green chemistry is embraced throughout our company, continually exploring new ways to make our drug development processes safer, more efficient and more sustainable while also saving resources.
Governance
ESG oversight is formally embedded into our Board of Director's governance principles and includes an annual review of our ESG strategy and short-and long-term goals. We regularly review our environmental commitments within the landscape of our business performance, rising costs and supply chain challenges. We remain committed to engaging employees and suppliers and collaborating with renowned institutions to advance the science and action to improve health outcomes.
As part of our broader commitment to these priorities, we continue to tie a portion of our employees' and executive officers' compensation to advancing our ESG efforts.
We strive to comply in all material respects with applicable laws and regulations concerning the environment. While it is impossible to predict accurately the future costs associated with environmental compliance and potential remediation activities, compliance with environmental laws is not expected to require significant capital expenditures and has not had, and is not expected to have, a material adverse effect on our operations or competitive position. Our Executive Committee has responsibility for evaluating the impact of climate change on the business and overseeing actions taken by the company to limit its adverse impact on the environment.
Our Enterprise Risk Management (ERM) framework is designed to ensure climate-related risks and opportunities are integrated into our overall business strategy. Our ERM team monitors strategic climate-related risks across all aspects of our business and utilizes climate scenarios as part of its
assessments. On an annual basis, the ERM team evaluates identified risks, including any climate-related physical and transitional risks, by engaging leaders across the company. The ERM team provides annual updates on their findings and activities to our Executive Committee and Board of Directors.
Risk Management
Addressing ESG matters is part of our long-term global strategy and investment in our future and we have seen increased interest from stakeholders and investors on our ESG practices. While we continue to to advance our ESG efforts, there is no certainty that we will manage ESG matters in ways that successfully meet rapidly changing expectations from investors, regulators, third party rankings firms, customers and society as a whole. Our inability to manage ESG matters in accordance with expectations can negatively impact our reputation and business.
Climate Risk Management
We identify climate risk as the risk of loss arising from climate change and is comprised of both physical risk and transition risk. Physical risk considers how the physical impacts of climate change (e.g., increased storms, drought, fires, floods) can directly damage physical assets or otherwise impact their value or productivity. Transition risk considers how changes in policy. regulations, culture, technology, business practices and market preferences to address climate change (e.g., carbon pricing policies, power generation shifts from fossil fuels to renewable energy) can lead to changes in the value of assets and businesses. Disruption in supply chains, changing customer expectations in the biosimilar market and potential shifts in the regulatory environment that disadvantage the use of fossil fuels, may make it difficult for us to fulfill business obligations or cause us to incur substantial expense.
Identified material risks and opportunities are reported to our ERM team, which reports to our Executive Committee and Board of Directors. We consider and address those risks and opportunities that are financially material and may impact our business model, as well as mitigation measures that are in place or need to be adopted.
For additional information on our environment-related risks, please read Item 1A. Risk Factors included in this report.
Human Capital
As of December 31, 2020,2022, we had approximately 9,1008,725 employees worldwide. Approximately 5,6754,970 employees were employed in the U.S. and approximately 3,4253,755 employees were employed in foreign countries.
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Diversity, Equity and Inclusion
At Biogen, prejudice, racism and intolerance are unacceptable. We are committed to Diversity, Equity and Inclusion (DE&I) across all aspects of our organization, including recruitment, hiring, promotion, retention and development practices. As of December 31, 2020, 28%2022, 30.4% of Biogen’s director-levelmanager-level and above positions were held by ethnic or racial minorities in the U.S. Our policies and practices are global, but the laws in many countries outside the U.S. do not permit us to collect ethnic or racial data on our employees. Globally, 48%
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47.4% of Biogen’s positions at director-level and above were held by women.women as of December 31, 2022.
In 2020 we introduced an updatedOur DE&I strategy that outlines actionable steps to deepen our commitment across the business, building upon a strong foundation. This plan includes a four-partthe strategy to build our talent and strengthen our leadership, pipeline, improve health outcomes for the African American, Black, Latinx and other minorityunderserved communities in the disease areas we treat and expand sourcing with minority-owned businesses.contribute to the communities impacting our employees and patients. We plan to create greater awareness and capability in our organization through leadership accountability and transparency. To establish and progress this strategy, we rely on a cross-company governing body of employees known as the Diversity, Equity & Inclusion Strategic Council.
We are honored to be recognized as a companyan employer of choice. WeFor the fifth consecutive year, we scored 100.0%100% on the 2020Disability:IN's Disability Equality Index, which measures our policies and practices related to disability inclusion,inclusion. Additionally, for the third consecutive year. Additionally,year, we were awarded the DI-NC Employer Award by Disability:IN North Carolina for our commitment to champion and invest in disability inclusion at the seventhaffiliate and national levels. For the ninth consecutive year, we were recognized as a Best Place to Work for LGBTQLGBTQ+ Equality by the Human Rights Campaign, scoring 100.0%100% on their Corporate Equality Index.
Strengthening our Global Competency
We are committed to strengthening the DE&I awareness and capability of our employees. We have focused on ensuring that our employees have the resources and learning they need to contribute to our strategy. Our people managers are trained on inclusive recruiting and hiring and our global employees are trained on DE&I curriculum.
In 2022 we introduced GlobeSmart®, a tool to enhance cross-cultural collaboration, increase cultural agility and further connect our global teams. Our people leaders have used GlobeSmart®, allowing them to explore different working styles, perspectives and approaches that exist around the globe, getting actionable, personalized advice for better collaboration and teamwork across cultures, and
exploring new ways for teams to build trust, strengthen collaboration and leverage diversity.
Philosophy on Pay Equity
We are committed to ensuring our employees receive equal pay for equal work. We establish components and ranges of compensation based on market and benchmark data. Within this context, we strive to pay all employees equitably within a reasonable range, taking into consideration factors such as role; market data; internal equity; job location; relevant experience; and individual, business unit and company performance. In addition, we are committed to providing flexible benefits designed to allow our diverse global workforce to have reward opportunities that meet their varied needs so that they are inspired to perform their best on behalf of patients and stockholders each day.
We regularly review our compensation practices and analyze the equity of compensation decisions, for individual employees and our workforce as a whole. IfIn 2022 we identify employees withshared the results of a global gender pay gaps, we reviewassessment, analyzing pay at the executive, management and take appropriate action to ensure fidelity between our stated philosophy and actions.other professional levels.
We institute measures, such as communications and trainings, to recognize, interrupt and prevent bias in hiring, performance management and compensation decisions and we provide resources to further develop managers and leaders to help them make equitable decisions about pay.
Talent and Development
Many factors influence employee success and well-being. We foster a workplace to allow employees to deliver on our shared mission while helping to mitigate their challenges. From career development to wellness to workplace environment, there are many opportunities to meet employee needs, and to build a workplace where people are empowered to learn, grow and build rewarding careers. Our employees are encouraged to take advantage of an array of professional development resources. Managers coach employees for performance, and also engage in employee development discussions to support growth and learning.
We provide ourOpportunities for ongoing learning can contribute to employee related engagement and success. At Biogen, development occurs through on-the-job learning, challenging new assignments, formal training, online learning, mentoring and more. With many employees accesscontinuing to over 8,000 work from home, virtual learning plays a key role. Virtual learnings are available through Biogen University as well as LinkedIn Learning. Through Biogen University we offer more than 1,200 instructor-based courses, of which approximately 300 are available virtually. Through LinkedIn Learning we provided employees with access
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to more than 20,000on-demand learning modules in 11 languages: English, German, French, German, Spanish, Japanese, Portuguese, Italian, Dutch, Polish, Turkish and Portuguese. Additionally, we have a wide selection of courses and trainings that are offered through Biogen University, our global validated learning management system.Mandarin.
To create and sustain a workplace as diverse and inclusive as the patients we serve, we offer programs that invest in our talent pipeline and in our current leaders, including:
Activate, Reflect and Co-Create: Preparing top talent for the rigors of executive roles.
Women’s Leadership Program:Addressing the unique challenges faced by female leaders to increase influence and impact.
Executive Leadership Retreat: Immersing leaders in topics designed to help them shape culture and build resilience.
The Partnership, Inc's BioDiversity Fellows Program:To continue to bolster our talent pipeline with a diverse mix of leaders, high potential, mid-career, underrepresented minorities participate in this program, which we helped create.
Women on the Rise: Addressing the unique challenges faced by mid-level female leaders to increase influence and impact.
Emerging Leaders: Preparing high-potential individual contributors for first-level leadership roles.
BetterUp: Coaching program available to support individuals as they work toward enhancing their impact in the organization.
Our Employee Resource Networks (ERNs) provide invaluable opportunities for employees to share knowledge and build connections. Our current ERNs include:
Parenting Network Group: Biogen's newest ERN provides support, networking and development opportunities to working parents and caregivers, as well as helping employees navigate the challenges of work-life balance.
IGNITE: Brings together early-career professionals and their advocates.
AccessAbility: Supports employees with disabilities and employees who are caretakers of individuals with disabilities.
Biogen Veterans Network: Encourages veterans and allies of veterans to connect and support one another.
Mosaic: Fosters awareness and appreciation of different cultural backgrounds, in addition to promoting networking and development opportunities for members.
ReachOUT:Supports a best-in-class working environment for LGBTQLGBTQ+ employees and embraces all LGBTQLGBTQ+ employees and their allies.
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Women’s Innovation Network: Creates networking, mentoring and learning opportunities for women and allies worldwide.
ourIMPACT:Advances climate, health and equity at work, in employees' personal lives and in the communities where we live and work.
Creating a culture where all colleagues feel supported and valued is paramount to our corporate mission. The ongoing COVID-19 pandemic has led to unique challenges, and we are striving to ensure the health, safety and general well-being of our employees. We continue to evolve our programs to meet our employees’ health and wellness needs, which we believe is essential to attract and retain employees of the highest caliber. For example, weWe have refreshed our flexible working arrangement policies to allow for more flexibility around work hours to help employees balance the demands of their work and home lives, shifted many of our on-site wellness services to virtual, including virtual behavior health, nutrition, fitness and overall well-being classes and counseling, rolled out the Headspace meditation app globally at no cost, provided workshops and programming to help employees cope with stress, isolation and building resilience, along with financial planning workshops and counseling sessions, expanded our child- and back-up carecaregiver services to meet the growing childcare needs of our employees and provided additional holidays and time off for recharging, voting and volunteering.
Employee surveysSurveys
We utilize an employee survey program to pulse employees through email and mobile apps as well as provide an opportunity for commentary and facilitate feedback to questions. The survey is designed to empower managers and leaders with anonymous information on their practices related to building culture, performance and an engaged workforce, allowing them to create plans and measure efficacy for continuous improvement. We care deeply about employee feedback and are building an analytics community across Human Resources to bring more rigor and sophistication to the collection and analysis of employee opinions. We use their perspectives to guide us to take actions that improve engagement and support and help maintain our reputation as a great place to work for all of our employees. An example of such an action was our 2022 Wellness Week, a weeklong mid-year shutdown.
Succession planningPlanning
Each year we conduct a talent review across our global enterprise that includes, among other important topics, a review of succession plans for many of our roles. To help ensure the long-term continuity of our business, we actively manage the development of
talent to fill the roles that are most critical to the on-going
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ongoing success of our company. In addition, each year our Board of Directors reviews the succession plan for our executives.
Workplace Health and Safety
The well-being of our employees is a topthe priority, and we believe each and every employee plays a role in creating a safe and healthy workplace. Our employees have varied roles and functions, which is why we empower them to promote a safe working environment, regardless of whether work happens in the lab, in an office or in a manufacturing plant. Our policies and practices are intended to protect not only our employees, but also the surrounding communities in whichwhere we operate.
In 20202022 we continued to make significant progress integrating Human Performance into our Environment, Health and Safety programs. We believe that, when it comes to safety, workers are part of the solution. We encourage employees to collaboratively engage in proactive problem solving through practices such as Open Reporting and Work Observation and Risk Conversations. Additionally, our physical safety program focused on detailed evaluations of critical tasks that could expose employees to serious injury or fatality if controls are absent or not used. The actions we implement as a result of these evaluations reduce the risks associated with these essential activities and ensure our operational systems are safer and more resilient for employees. We also utilizeuse “After Action Reviews” following the completion of a project. These reviews enable us to not only focus on areas for improvement, but also to learn and apply good practices from what goes well. By engaging and empowering our employees through such programs, we believe that we can help change how the entire industry approaches safety performance and risk management.
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Information about our Executive Officers (as of February 3, 2021)15, 2023)
OfficerOfficerCurrent PositionAgeYear Joined BiogenOfficerCurrent PositionAgeYear Joined Biogen
Michel VounatsosChief Executive Officer592016
Christopher A. ViehbacherChristopher A. ViehbacherPresident, Chief Executive Officer622022
Susan H. AlexanderSusan H. AlexanderExecutive Vice President, Chief Legal Officer and Secretary642006Susan H. AlexanderExecutive Vice President, Chief Legal Officer and Secretary662006
Michael R. McDonnellMichael R. McDonnellExecutive Vice President and Chief Financial Officer572020Michael R. McDonnellExecutive Vice President and Chief Financial Officer592020
Alphonse Galdes, Ph.D.Executive Vice President, Pharmaceutical Operations and Technology681995
Nicole MurphyNicole MurphyExecutive Vice President, Pharmaceutical Operations and Technology502015
Ginger Gregory, Ph.D.Ginger Gregory, Ph.D.Executive Vice President and Chief Human Resources Officer532017Ginger Gregory, Ph.D.Executive Vice President and Chief Human Resources Officer552017
Chirfi GuindoExecutive Vice President, Global Product Strategy and Commercialization552017
Rachid IzzarRachid IzzarExecutive Vice President, Global Product Strategy and Commercialization482019
Priya Singhal, M.D., M.P.H.Priya Singhal, M.D., M.P.H.Executive Vice President, Head of Development552020
Robin C. KramerRobin C. KramerSenior Vice President, Chief Accounting Officer552018Robin C. KramerSenior Vice President, Chief Accounting Officer572018
Alfred W. Sandrock, Jr., M.D., Ph.D.Executive Vice President, Research and Development631998
Michel VounatsosChristopher A. Viehbacher
Experience
Mr. VounatsosViehbacher has served as our President and Chief Executive Officer and as a member of our Board of Directors since January 2017. Prior to that, from April 2016 to December 2016, Mr. Vounatsos served as our Executive Vice President, Chief Commercial Officer.November 2022. Prior to joining Biogen, Mr. Vounatsos spent 20 years at Merck & Co., Inc. (Merck), a pharmaceutical company, where he most recentlyViehbacher served as President, Primary Care, Customer Business Line and Merck Customer Centricity. In this role, he led Merck’s global primary care business unit,Managing Partner of Gurnet Point Capital, a role which encompassed Merck’s cardiology-metabolic, general medicine, women’s health and biosimilars groups and developed and instituted a strategic framework for enhancing the company’s relationships with key constituents, including the most significant providers, payors and retailers and the world’s largest governments. Mr. Vounatsos previously held leadership positions across Europe and in China for Merck.Boston based investment fund from 2015 to 2022. Prior to that, Mr. Vounatsos held management positions at Ciba-Geigy,Viehbacher served as Global CEO of Sanofi, from 2008 to 2014. Prior to joining Sanofi, Mr. Viehbacher spent over 20 years with GlaxoSmithKline in Germany, Canada, France and, latterly, the U.S. as president of its North American pharmaceutical division. Mr. Viehbacher began his career with PricewaterhouseCoopers LLP and qualified as a pharmaceutical company.chartered accountant. Mr. Vounatsos currently serves on the advisory board of Tsinghua University School of Pharmaceutical Sciences, on the Supervisory Board of Liryc, the Electrophysiology and Heart Modeling Institute at the University of Bordeaux,Viehbacher previously served on the board of directors of N-Lorem FoundationVedanta Biosciences, Inc. as chair, BEFORE Brands, Inc., and asCrossover Health. He is also a trustee of Northeastern University and a member of the MIT Presidential CEO Advisory Board.board of fellows at Stanford Medical School.
Public Company Boards
lPerkinElmer, Inc., a global scientific technology and life science research companyPureTech Health Plc.
Education
lUniversite Victor Segalen, Bordeaux II, France, C.S.C.T. CertificateQueen's University in Medicine
lHEC School of Management - Paris, M.B.A.Kingston, Ontario, Canada, B.A.
Susan H. Alexander
Experience
Ms. Alexander has served as our Executive Vice President, Chief Legal Officer and Secretary since April 2018. Prior to that, Ms. Alexander served as our Executive Vice President, Chief Legal, Corporate Services and Secretary from March 2017 to March 2018, as our Executive Vice President, Chief Legal Officer and Secretary from December 2011 to March 2017 and as our Executive Vice President, General Counsel and Corporate Secretary from 2006 to December 2011. Prior to joining Biogen, Ms. Alexander served as the Senior Vice President, General Counsel and Corporate Secretary of PAREXEL International Corporation, a biopharmaceutical services company, from 2003 to January 2006. From 2001 to 2003 Ms. Alexander served as General Counsel of IONA Technologies, a software company. From 1995 to 2001 Ms. Alexander served as Counsel at Cabot Corporation, a specialty chemicals and performance materials company. Prior to that, Ms. Alexander was a partner at the law firms of Hinckley, Allen & Snyder and Fine & Ambrogne.
Public Company Boards
lInvacare Corporation, a medical and healthcare product company
Education
lWellesley College, B.A.
lBoston University School of Law, J.D.
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Table of ContentsContents
Michael R. McDonnell
Experience
Mr. McDonnell has served as our Executive Vice President and Chief Financial Officer since August 2020. Prior to joining Biogen, Mr. McDonnell served as Executive Vice President and Chief Financial Officer of IQVIA Holdings Inc., a leading global provider of advanced analytics, technology solutions and contract research services to the life sciences industry, from December 2015 until July 2020. Prior to that, Mr. McDonnell served as the Executive Vice President and Chief Financial Officer of Intelsat, a leading global provider of satellite services, from November 2008 to December 2015, as Executive Vice President and Chief Financial Officer of MCG Capital Corporation, a publicly-held commercial finance company, from September 2004 until October 2008 and as MCG Capital Corporation’s Chief Operating Officer from August 2006 until October 2008. Before joining MCG Capital Corporation, Mr. McDonnell served as Executive Vice President and Chief Financial Officer for EchoStar Communications Corporation (f/k/a DISH Network Corporation), a direct-to-home satellite television operator, from July 2004 until August 2004 and as its Senior Vice President and Chief Financial Officer from August 2000 to July 2004. Mr. McDonnell spent 14 years at PricewaterhouseCoopers LLP, including 4 years as a partner. Mr. McDonnell has a Bachelor of Science degree in accounting from Georgetown University and is a licensed certified public accountant.accountant (CPA).
Public Company Boards
lMerit Medical Systems, Inc.
Education
lGeorgetown University, B.S. Accounting
Alphonse Galdes, Ph.D.Nicole Murphy
Experience
Dr. GaldesMs. Murphy has served as our Executive Vice President, Pharmaceutical Operations and Technology since September 2019. Since joining Biogen in 1995, Dr. GaldesFebruary 2022. Prior to that, Ms. Murphy has held several senior executive positions at Biogen, including most recently as our Senior Vice President, Asset DevelopmentHead of Global Manufacturing & Technical Operations, from June 2019 to January 2022. In 2017, Ms. Murphy played a critical role during the successful spin-off of Biogen's hemophilia franchise, as the Vice President and Portfolio ManagementHead of Technical Operations of Bioverativ responsible for clinical and commercial development, quality, regulatory, manufacturing and procurement. Prior to the spin-off Ms. Murphy was the General Manager and Head of Cambridge Site Operations at Biogen from NovemberMay 2015 to September 2019December 2016. Prior to joining Biogen, Ms. Murphy was Executive Director, Head of Supply Chain at Amgen, a biopharmaceutical company, where her responsibilities included leadership of commercial manufacturing and Senior Vice President, Technical Developmenttechnical operations. Ms. Murphy also held numerous technical and operational roles during her time at Amgen from October 20102001 to November 2015. Dr. Galdes was2015 where she contributed significantly to various facility start-ups, business development integrations, strategic transformations and new product introductions. Prior to Amgen, Ms. Murphy held a Rhodes Scholarvariety of process development and engineering positions at Oxford UniversityImmunex Pharmaceuticals and performed post-doctoral research work at the Department of Biological Chemistry at Harvard Medical School.Monsanto Company.
Education
lUniversity of Malta, B.Sc. Chemistry and BiologyMassachusetts Amherst, B.S. Engineering
lUniversityRensselaer Polytechnic Institute, M.S. Engineering and a Masters of Malta, M.Sc. Biochemistry
lOxford University, Ph.D. BiochemistryBusiness Administration
Ginger Gregory, Ph.D.
Experience
Dr. Gregory has served as our Executive Vice President and Chief Human Resources Officer since July 2017. Prior to joining Biogen, Dr. Gregory served as Executive Vice President and Chief Human Resources Officer at Shire PLC, a global specialty biopharmaceutical company, from February 2014 to April 2017. Prior to that, Dr. Gregory held executive-level human resources positions for several multinational companies across a variety of industries, including Dunkin’ Brands Group Inc., a restaurant holding company, where she served as Chief Human Resource Officer, Novartis AG, a pharmaceutical company, where she was the division head of Human Resources for Novartis Vaccines and Diagnostics, Novartis Consumer Health and Novartis Institutes of BioMedical Research and Novo Nordisk A/S, a pharmaceutical company, where she served as Senior Vice President, Corporate People & Organization at the company’s headquarters in Copenhagen, Denmark. Earlier in her career, Dr. Gregory held a variety of human resources generalist and specialist positions at BMS, a pharmaceutical company, and served as a consultant with Booz Allen & Hamilton, an information technology consulting company, in the area of organization change and effectiveness.
Education
lUniversity of Massachusetts, B.A. Psychology
lThe George Washington University, Ph.D. Psychology

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Chirfi GuindoRachid Izzar
Experience
Mr. GuindoIzzar has served as our Executive Vice President, Head of Global Product Strategy and Commercialization since February 2019.July 2021. Prior to that Mr. GuindoIzzar served as our President for the Intercontinental Region, which includes Latin America, Australia, Asia, Japan, the Middle East and Africa, Turkey and Russia, and the Global Biogen Biosimilars Unit. Prior to joining Biogen, Mr. Izzar was a Country President for AstraZeneca in France, where his responsibilities included leadership for commercial and manufacturing operations. He held numerous roles at his time with AstraZeneca, including the position of Global Vice President of the Cardiovascular Franchise where he contributed significantly to the development of the franchise within the North American subsidiary, as well as in Europe and China. Prior to that, Mr. Izzar was Vice President Strategic Transformation, also, China Portfolio for CEO based in Shanghai and Vice President Commercial International covering China, Australia, Brazil, Russia, America Latin, Asia, Turkey, the Middle East and Africa.
Education
lUniversity of Sherbrooke, Masters of Business Administration
lHarvard Business School, Enterprise Executive Transformation Program
Priya Singhal, M.D., M.P.H.
Experience
Dr. Singhal has served as our Executive Vice President and Head of Global Marketing, Market Access and Customer Innovation from November 2017 to February 2019.Development since January 2023. Prior to joiningthat Dr. Singhal served as our Interim Head of Research and Development since 2021 in addition to serving as Head of Global Safety and Regulatory Sciences, including China and Japan Research and Development, since rejoining Biogen Mr. Guindo spent 27 years in the global pharmaceutical industry2020. Dr. Singhal was initially at Biogen from 2012 to 2018 and held several leadershipserved in positions at Merck, a pharmaceutical company, in Canada, the U.S., France, Africaof increasing seniority as Vice President Clinical Trials Benefit-Risk Management, Global Head of Safety and the Netherlands. He worked in several disciplines including Finance, Sales & Marketing, GeneralBenefit Risk Management and Global Strategy/Product Development in specialty, acuteas the Interim Co-lead and hospital care. Most recently Mr. Guindo wasSenior Vice President of Global Development. Prior to her 2020 return to Biogen, Dr. Singhal served as Head of Research and Managing DirectorDevelopment and President and Managing Director of Merck CanadaManufacturing at Zafgen Inc. from October 20142019 to November 2017.2020. From January 20112008 to October 2014 he was2012 Dr. Singhal held roles at Vertex Pharmaceuticals, including Vice President, Medical Affairs. Dr. Singhal began her drug-development career at Millennium Pharmaceuticals, Inc. in 2005 and General Manager, Global HIV Franchise at Merck.led benefit-risk management for Velcade and other compounds.
Education
lEcole Central de Paris (France), EngineeringHarvard School of Public Health, M.P.H. in International Health
lStern SchoolUniversity of Business, New York University, M.B.A. Finance/EconomicsMumbai, Doctor of Medicine (M.D.)
Robin C. Kramer
Experience
Ms. Kramer has served as our Senior Vice President, Chief Accounting Officer since December 2020. Prior to that, Ms. Kramer served as our Vice President, Chief Accounting Officer from November 2018 to December 2020. Prior to joining Biogen, Ms. Kramer served as the Senior Vice President and Chief Accounting Officer of Hertz Global Holdings, Inc., a car rental company, from May 2014 to November 2018. Prior to that, Ms. Kramer was an audit partner at Deloitte & Touche LLP (Deloitte), a professional services firm, from 2007 to 2014, including serving in Deloitte's National Office Accounting Standards and Communications Group from 2007 to 2010. From 2005 to 2007 Ms. Kramer served as Chief Accounting Officer of Fisher Scientific International, Inc., a laboratory supply and biotechnology company, and from 2004 to 2005 Ms. Kramer served as Director, External Reporting, Accounting and Control for the Gillette Company, a personal care company. Ms. Kramer also held partner positions in the public accounting firms of Ernst & Young LLP and Arthur AndersonAndersen LLP. Ms. Kramer is a licensed certified public accountant (CPA)CPA in Massachusetts. She is a member of the Massachusetts Society of CPAs and the American Institute of CPAs. Ms. Kramer currently serves on the board of directors of Samsung Bioepis and on the board of directors of the Center for Women and Enterprise. Ms. Kramer previously served as a Board Member for the Massachusetts State Board of Accountancy from September 2011 to December 2015 and Probus Insurance Company Europe DAC from 2016 to 2018.
Public Company Boards
lArmata Pharmaceuticals, Inc., a biotechnology company
Education
lSalem State University, B.B.A. Accounting
Alfred W. Sandrock, Jr., M.D., Ph.D.
Experience
Dr. Sandrock has served as our Executive Vice President, Research and Development since September 2019. Prior to that, Dr. Sandrock served as our Chief Medical Officer from October 2017 to January 2020, as our Executive Vice President, Chief Medical Officer Neurology and Neurodegeneration from October 2015 to October 2017, as our Chief Medical Officer and Group Senior Vice President from April 2013 to October 2015 and as our Chief Medical Officer and Senior Vice President of Development Sciences from February 2012 to April 2013. Prior to that, Dr. Sandrock held several other senior executive positions since joining Biogen in 1998, including Senior Vice President of Neurology Research and Development and Vice President of Clinical Development, Neurology.
Education
lStanford University, B.A. Human Biology
lHarvard Medical School, M.D.
lHarvard University, Ph.D. Neurobiology
lMassachusetts General Hospital, internship in Medicine, residency and chief residency in Neurology and clinical fellowship in Neuromuscular Disease and Clinical Neurophysiology (electromyography)

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Available Information
Our principal executive offices are located at 225 Binney Street, Cambridge, MA 02142 and our telephone number is (617) 679-2000. Our website address is www.biogen.com. We make available free of charge through the Investors section of our website our Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K and all amendments to those reports as soon as reasonably practicable after such material is
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electronically filed with or furnished to the U.S. Securities and Exchange Commission. We include our website address in this report only as an inactive textual reference and do not intend it to be an active link to our website. The contents of our website are not incorporated into this report.
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ItemITEM  1A.     Risk FactorsRISK FACTORS
Risks Related to Our Business
We are substantially dependent on revenuesrevenue from our products.
Our revenues dependrevenue depends upon continued sales of our products as well as the financial rights we have in our anti-CD20 therapeutic programs. A significant portion of our revenues arerevenue is concentrated on sales of our products in increasingly competitive markets and in markets affected directly and indirectly by the COVID-19 pandemic.markets. Any of the following negative developments relating to any of our products or any of our anti-CD20 therapeutic programs may adversely affect our revenuesrevenue and results of operations or could cause a decline in our stock price:
the introduction, or greater acceptance or more favorable reimbursement of competing products, including new originator therapies, generics, prodrugs and biosimilars of existing products and products approved under abbreviated regulatory pathways;
safety or efficacy issues;
limitations and additional pressures on product pricing or price increases, including those resulting from governmental or regulatory requirements; increased competition, including from generic or biosimilar versions of our products; or changes in, or implementation of, reimbursement policies and practices of payors and other third parties;third-parties;
adverse legal, administrative, regulatory or legislative developments;
our ability to maintain a positive reputation among patients, healthcare providers and others, which may be impacted by our pricing and reimbursement decisions; or
the inability or reluctance of patients to receive a diagnosis, prescription or administration of our products or a decision to prescribe and administer competitive therapies as a direct or indirect result of the COVID-19 pandemic.
LEQEMBI is in the early stages of commercial launch in the U.S. In addition to risks associated with new product launches and the other factors described in these Risk Factors, Biogen’s and Eisai’s ability to successfully commercialize LEQEMBI may be adversely affected due to:
Eisai’s ability to obtain and maintain adequate reimbursement for LEQEMBI;
the effectiveness of Eisai's and Biogen’s commercial strategy for marketing LEQEMBI; and
Eisai’s and Biogen’s ability to maintain a positive reputation among patients, healthcare providers and others in the Alzheimer’s disease community, which may be impacted by pricing and reimbursement decisions relating to LEQEMBI, which are made by Eisai.
The FDA may withdraw approval if Eisai and Biogen fail to comply with the conditions of the accelerated approval.
Our long-term success depends upon the successful development of new products and additional indications for our existing products.
Our long-term success will depend upon the successful development of new products and technologies from our research and development activities or our licenses or acquisitions from third parties, including our commercialization agreements with Samsung Bioepis,third-parties, as well as additional indications for our existing products.
Product development is very expensive and involves a high degree of uncertainty and risk and may not be successful. Only a small number of research and development programs result in the commercialization of a product. It is difficult to predict the success and the time and cost of product development of novel approaches for the treatment of diseases. The development of novel approaches for the treatment of diseases, including development efforts in new modalities such as those based on the ASOantisense oligonucleotide platform and gene therapy, may present additional challenges and risks, including obtaining approval from regulatory authorities that have limited experience with the development of such therapies. In addition, clinical
Clinical trial data are subject to differing interpretations and even if we view data as sufficient to support the safety, effectiveness and/or approval of an investigational therapy, regulatory authorities may disagree and may require additional data, limit the scope of the approval or deny approval altogether. Furthermore, the approval of a product candidate by one regulatory agency does not mean that other regulatory agencies will also approve such product candidate.
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Success in preclinical work or early stageearly-stage clinical trials does not ensure that later stage or larger scale clinical trials will be successful. Clinical trials may indicate that our product candidates lack efficacy, have harmful side effects, result in unexpected adverse events or raise other concerns that may significantly reduce the likelihood of regulatory approval. This may result in terminated programs, significant restrictions on use and safety warnings in an approved label, adverse placement within the treatment paradigm or significant reduction in the commercial potential of the product candidate.
Even if we could successfully develop new products or indications, we may make a strategic decision to discontinue development of a product candidate or indication if, for example, we believe commercialization will be difficult relative to the standard of care or we prefer to pursue other opportunities in our pipeline.
Sales of new products or products with additional indications may also not meet investor expectations.
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If we fail to compete effectively, our business and market position would suffer.
The biopharmaceutical industry and the markets in which we operate are intensely competitive. We compete in the marketing and sale of our products, the development of new products and processes, the acquisition of rights to new products with commercial potential and the hiring and retention of personnel. We compete with biotechnology and pharmaceutical companies that have a greater number of products on the market and in the product pipeline, substantially greater financial, marketing, research and development and other resources and other technological or competitive advantages.
Our products continue to face increasing competition from the introduction of new originator therapies, generics, prodrugs and biosimilars of existing products and products approved under abbreviated regulatory pathways. Some of these products are likely to be sold at substantially lower prices than our branded products. The introduction of such products as well as other lower-priced competing products has reduced, and may in the future, significantly reduce both the price that we are able to charge for our products and the volume of products we sell, which will negatively impact our revenues.revenue. For instance, demand and price for TECFIDERA declined significantly as a result of multiple TECFIDERA generic entrants entering the U.S. market during the year ended December 31,in 2020. In addition, in some markets, when a generic or biosimilar version of one of our products is commercialized, it may be automatically substituted for our product and significantly reduce our revenuesrevenue in a short period of time.
In the MS market, we face intense competition as the number of products and competitors continues to expand. Due to our significant reliance on sales of our MS products, our business could be harmed if we are unable to successfully compete in the MS market. More specifically, ourOur ability to compete, maintain and grow our share in the MS marketbusiness may also be adversely affected due to a number of factors, including:
the introduction of other products, including products that may be more efficacious, safer, less expensive or more convenient alternatives to our MS products, including our own products and products of our collaborators;
the introduction of generic versions of branded MS products, including our own products, biosimilars, follow-on products, prodrugs or products approved under abbreviated regulatory pathways, which would be significantly less costly than our products to bring to market and would be offered for sale at lower prices, and could result in a significant percentage of the sales of our products being lost to such products;
the off-label use by physicians of therapies indicated for other conditions to treat MS patients;
patient dynamics, including the size of the patient population and our ability to identify, attract and maintain new and current patients to our therapies;
the reluctance of physicians to prescribe, and patients to use, our products without additional data on the efficacy and safety of such products;
damage to physician and patient confidence in any of our MS products, generic or biosimilars of our MS products or any other product from the same class as one of our products, or to our sales and reputation as a result of label changes, pricing and reimbursement decisions or adverse experiences or events that may occur with patients treated with our MS products or generic or biosimilars of our MS products;
inability to obtain appropriate pricing and adequate reimbursement for our MS products compared to our competitors in key international markets; or
our ability to obtain and maintain patent, data or market exclusivity for our MS products.
In the SMA market, we face competition from a gene therapy product that was approved the U.S. and the E.U. and a new oral product that was approved in the U.S. and has been accepted for review in the E.U. We expect that we will experience competition from both products in additional jurisdictions in the future. Additionally, we are aware of other products now in development that, if launched, may compete with SPINRAZA. Future sales of SPINRAZA may be adversely affected by the commercialization of competing products as well as the delay of SPINRAZA doses due, directly or indirectly, to the COVID-19 pandemic.
Our business may be adversely affected if we do not successfully execute or realize the anticipated benefits of our strategic and growth initiatives.
The successful execution of our strategic and growth initiatives may depend upon internal development projects, commercial initiatives and external opportunities, which may include the acquisition and in-licensing of products, technologies and companies or the entry into strategic alliances and collaborations.
While we believe we have a number of promising programs in our pipeline, failure or delay of internal development projects to advance or difficulties in executing on our commercial initiatives could impact our current and future growth, resulting in additional reliance on external development opportunities for growth.
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Supporting the further development of our existing products and potential new products in our pipeline will require significant capital expenditures and management resources, including investments in research and development, sales and marketing, manufacturing capabilities and other areas of our business. We have in the past made, and may continue to make, significant operating and capital expenditures for potential new products prior to regulatory approval with no assurance that such investment will be recouped, which may adversely affect our financial condition, business and operations.
The availability of high quality, fairly valued external product development is limited and the opportunity for their acquisition is highly competitive. As such, we are not certain that we will be able to identify suitable candidates for acquisition or if we will be able to reach agreement.
We may fail to initiate or complete transactions for many reasons, andincluding failure to obtain regulatory or other approvals as well as disputes or litigation. Furthermore, we may not be able to achieve the full strategic and financial benefits expected to result from transactions, or the benefits may be delayed or not occur at all. We may also face additional costs or liabilities in completed transactions that were not contemplated prior to completion.
Any failure in the execution of a transaction, in the integration of an acquired asset or business or in achieving expected synergies could result in slower growth, higher than expected costs, the recording of asset impairment charges and other actions which could adversely affect our business, financial condition and results of operations.
Sales of our products depend, to a significant extent, on adequate coverage, pricing and reimbursement from third-party payors, which are subject to increasing and intense pressure from political, social, competitive and other sources. Our inability to obtain and maintain adequate coverage, or a reduction in pricing or reimbursement, could have an adverse effect on our business, reputation, revenuesrevenue and results of operations.
Sales of our products depend, to a significant extent, on adequate coverage, pricing and reimbursement from third-party payors. When a new pharmaceutical product is approved, the availability of government and private reimbursement for that product may be uncertain, as is the pricing and amount for which that product will be reimbursed.
Pricing and reimbursement for our products may be adversely affected by a number of factors, including:
changes in, and implementation of, federal, state or foreign government regulations or private third-party payors’ reimbursement policies;
pressure by employers on private health insurance plans to reduce costs;
consolidation and increasing assertiveness of payors seeking price discounts or rebates in connection with the placement of our products on their formularies and, in some cases, the imposition of restrictions on access or coverage of particular drugs or pricing determined based on perceived value;
our ability to receive reimbursement for our products or our ability to receive comparable reimbursement to that of competing products; and
our value-based contracting program pursuant to which we aim to tie the pricing of our products to their clinical values by either aligning price to patient outcomes or adjusting price for patients who discontinue therapy for any reason, including efficacy or tolerability concerns.
Our ability to set the price for our products varies significantly from country to country and, as a result, so can the price of our products. Governments may use a variety of cost-containment measures to control the cost of products, including price cuts, mandatory rebates, value-based pricing and reference pricing (i.e., referencing prices in other countries and using those reference prices to set a price). Drug prices are under significant scrutiny in the markets in which our products are prescribed; for example the IRA has certain provisions related to drug pricing. We expect drug pricing and other health care costs to continue to be subject to intense political and societal pressures on a global basis. Certain countries set prices by reference to the prices in other countries where our products are marketed. Our inability to obtain and maintain adequate prices in a particular country may not only limit the revenuesrevenue from our products within that country but may also adversely affect our ability to secure acceptable prices in existing and potential new markets, which may limit market growth. This may create the opportunity for third-party cross-border trade or influence our decision to sell or not to sell a product, thus adversely affecting our geographic expansion plans and revenues.revenue. Additionally and in part due to the impact of the COVID-19 pandemic, in certain jurisdictions governmental health agencies may adjust, retroactively and/or prospectively, reimbursement rates for our products.
Drug prices are under significant scrutiny in the markets in which our products are prescribed. We expect drug pricing and other health care costs to continue to be subject to intense political and societal pressures on a global basis. Competition from current and future competitors may negatively impact our ability to maintain pricing and our market share. New products marketed by our competitors could cause our revenuesrevenue to decrease due to potential price
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reductions and lower sales volumes. Additionally, the introduction of generic or biosimilar versions of our products, follow-on products, prodrugs or products approved under abbreviated regulatory pathways may significantly reduce the price that we are able to charge for our products and the volume of products we sell.
Many payors continue to adopt benefit plan changes that shift a greater portion of prescription costs to patients, including more limited benefit plan designs, higher patient co-pay or co-insurance obligations and limitations on patients' use of commercial manufacturer co-pay payment assistance programs (including through co-pay accumulator adjustment or maximization programs). Significant consolidation in the health insurance industry
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has resulted in a few large insurers and pharmacy benefit managers exerting greater pressure in pricing and usage negotiations with drug manufacturers, significantly increasing discounts and rebates required of manufacturers and limiting patient access and usage. Further consolidation among insurers, pharmacy benefit managers and other payors would increase the negotiating leverage such entities have over us and other drug manufacturers. Additional discounts, rebates, coverage or plan changes, restrictions or exclusions as described above could have a material adverse effect on sales of our affected products.
Our failure to obtain or maintain adequate coverage, pricing or reimbursement for our products could have an adverse effect on our business, reputation, revenuesrevenue and results of operations.
We depend on relationships with collaborators joint venture partners and other third partiesthird-parties for revenues,revenue, and for the development, regulatory approval, commercialization and marketing of certain of our products and product candidates, which are outside of our full control.
We rely on a number of significant collaborative joint venture and other third-party relationships for revenuesrevenue and the development, regulatory approval, commercialization and marketing of certain of our products and product candidates. We also outsource certain aspects of our regulatory affairs and clinical development relating to our products and product candidates to third parties.third-parties. Reliance on third partiesthird-parties subjects us to a number of risks, including:
we may be unable to control the resources our collaborators joint venture partners or third partiesthird-parties devote to our programs, products or product candidates;
disputes may arise under an agreement, including with respect to the achievement and payment of milestones, payment of development or commercial costs, ownership of rights to technology developed, and the underlying agreement may fail to provide us with significant protection or may fail to be effectively enforced if the collaborators joint ventures partners or third partiesthird-parties fail to perform;
the interests of our collaborators joint venture partners or third partiesthird-parties may not always be aligned with our interests, and such parties may not pursue regulatory approvals or market a product in the same manner or to the same extent that we would, which could adversely affect our revenues,revenue, or may adopt tax strategies that could have an adverse effect on our business, results of operations or financial condition;
third-party relationships require the parties to cooperate, and failure to do so effectively could adversely affect product sales or the clinical development or regulatory approvals of product candidates under joint control, could result in termination of the research, development or commercialization of product candidates or could result in litigation or arbitration;
any failure on the part of our collaborators joint venture partners or other third partiesthird-parties to comply with applicable laws, including tax laws, regulatory requirements and/or applicable contractual obligations or to fulfill any responsibilities they may have to protect and enforce any intellectual property rights underlying our products could have an adverse effect on our revenuesrevenue as well as involve us in possible legal proceedings; and
any improper conduct or actions on the part of our collaborators joint venture partners or other third partiesthird-parties could subject us to civil or criminal investigations and monetary and injunctive penalties, impact the accuracy and timing of our financial reporting and/or adversely impact our ability to conduct business, our operating results and our reputation.
Given these risks, there is considerable uncertainty regarding the success of our current and future collaborative efforts. If these efforts fail, our product development or commercialization of new products could be delayed, revenuesrevenue from products could decline and/or we may not realize the anticipated benefits of these arrangements.
Our results of operations may be adversely affected by current and potential future healthcare reforms.
In the U.S., federal and state legislatures, health agencies and third-party payors continue to focus on containing the cost of health care. Legislative and regulatory proposals, enactments to reform health care insurance programs (including those contained in the IRA) and increasing pressure from social sources could significantly
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influence the manner in which our products are prescribed, purchased and purchased.reimbursed. For example, provisions of the PPACAPatient Protection and Affordable Care Act (PPACA) have resulted in changes in the way health care is paid for by both governmental and private insurers, including increased rebates owed by manufacturers under the Medicaid Drug Rebate Program, annual fees and taxes on manufacturers of certain branded prescription drugs, the requirement that manufacturers participate in a discount program for certain outpatient drugs under Medicare Part D
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and the expansion of the number of hospitals eligible for discounts under Section 340B of the PHSA.Public Health Service Act. These changes have had and are expected to continue to have a significant impact on our business.
We may face uncertainties as a result of efforts to repeal, substantially modify or invalidate some or all of the provisions of the PPACA. There is no assurance that the PPACA, as currently enacted or as amended in the future, will not adversely affect our business and financial results, and we cannot predict how future federal or state legislative or administrative changes relating to healthcare reform will affect our business.
There is increasing public attention on the costs of prescription drugs and we expect drug pricing and other health care costs to continue to be subject to intense political and societal pressures on a global basis. For example, two committees of the U.S. House of Representatives previously investigated the approval and price of ADUHELM. In addition, there have been (including elements of the IRA), and are expected to continue to be, legislative proposals to address prescription drug pricing. Some of these proposals could have significant effects on our business, including an executive order issued in September 2020 to test a “most favored nation” model for Part B and Part D drugs that tie reimbursement rates to international drug pricing metrics. These actions and the uncertainty about the future of the PPACA and healthcare laws may put downward pressure on pharmaceutical pricing and increase our regulatory burdens and operating costs.
There is also significant economic pressure on state budgets, including as a result of the COVID-19 pandemic, that may result in states increasingly seeking to achieve budget savings through mechanisms that limit coverage or payment for our drugs. In recent years, some states have considered legislation and ballot initiatives that would control the prices of drugs, including laws to allow importation of pharmaceutical products from lower cost jurisdictions outside the U.S. and laws intended to impose price controls on state drug purchases. State Medicaid programs are increasingly requesting manufacturers to pay supplemental rebates and requiring prior authorization by the state program for use of any drug for which supplemental rebates are not being paid. Government efforts to reduce Medicaid expensesexpense may lead to increased use of managed care organizations by Medicaid programs. This may result in managed care organizations influencing prescription decisions for a larger segment of the population and a corresponding limitation on prices and reimbursement for our products.
In the E.U. and some other international markets, the government provides health care at low cost to consumers and regulates pharmaceutical prices, patient eligibility or reimbursement levels to control costs for the government-sponsored health care system. Many countries have announced or implemented measures, and may in the future implement new or additional measures, to reduce health care costs to limit the overall level of government expenditures. These measures vary by country and may include, among other things, patient access restrictions, suspensions on price increases, prospective and possible retroactive price reductions and other recoupments and increased mandatory discounts or rebates, recoveries of past price increases and greater importation of drugs from lower-cost countries. These measures have negatively impacted our revenuesrevenue and may continue to adversely affect our revenuesrevenue and results of operations in the future.
Our success in commercializing biosimilars developed by Samsung Bioepis is subject to risks and uncertainties inherent in the development, manufacture and commercialization of biosimilars. If Samsung Bioepis iswe are unsuccessful in such activities, weour business may not realize the anticipated benefitsbe adversely affected.
The development, manufacture and commercialization of our investment in Samsung Bioepis.
biosimilar products require specialized expertise and are very costly and subject to complex regulation. Our success in commercializing biosimilars developed by Samsung Bioepis is subject to a number of risks, including:
Reliance on Third Parties.Third-Parties. We are dependent, in part, on the efforts of Samsung Bioepiscollaboration partners and other third partiesthird-parties over whom we have limited or no control in the development and manufacturing of biosimilars products. If Samsung Bioepis or other third partiesthese third-parties fail to perform successfully, our biosimilar product development or commercialization of biosimilar products could be delayed, revenue from biosimilar products could decline and/or we may not realize the anticipated benefits of our investment in Samsung Bioepis;these arrangements;
Regulatory Compliance. Biosimilar products may face regulatory hurdles or delays due to the evolving and uncertain regulatory and commercial pathway of biosimilars products in certain jurisdictions;
Ability to Provide Adequate Supply. Manufacturing biosimilars is complex. If we encounter any manufacturing or supply chain difficulties we may be unable to meet demand. We are dependent on a third-party for the manufacture of our biosimilar products and such third-party may not perform its obligations in a timely and
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cost-effective manner or in compliance with applicable regulations and may be unable or unwilling to increase production capacity commensurate with demand for our existing or future biosimilar products;
Intellectual Property and Regulatory Challenges. Biosimilar products may face extensive patent clearances, patent infringement litigation, injunctions or regulatory challenges, which could prevent the commercial launch of a product or delay it for many years or result in imposition of monetary damages, penalties or other civil sanctions and damage our reputation;
Failure to Gain Market and Patient Acceptance. Market success of biosimilar products will be adversely affected if patients, physicians and/or payors do not accept biosimilar products as safe and efficacious products offering a more competitive price or other benefit over existing therapies; and
Ability to Provide Adequate Supply. Manufacturing biosimilars is complex. If we encounter any manufacturing or supply chain difficulties we may be unable to meet higher than anticipated demand. We are dependent on a third-party for the manufacture of biosimilar products and such third-party may not perform its obligations in a timely and cost-effective manner or in compliance with applicable regulations and may be
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unable or unwilling to increase production capacity commensurate with demand for our existing or future biosimilar products;
Competitive Challenges. Biosimilar products face significant competition, including from innovator products and biosimilar products offered by other companies.companies that may receive greater acceptance or more favorable reimbursement. Local tendering processes may restrict biosimilar products from being marketed and sold in some jurisdictions. The number of competitors in a jurisdiction, the timing of approval and the ability to market biosimilar products successfully in a timely and cost-effective manner are additional factors that may impact our success and/or the success of Samsung Bioepis in this business area; andarea.
Legal and Regulatory Requirements. Any improper conduct or actions on the part of Samsung Bioepis or our joint venture partner, Samsung BioLogics, could damage our reputation and be distracting to management. The former chief executive officer (the incumbent chairman of the board) and the chief financial officer of our joint venture partner, Samsung BioLogics, are currently subject to ongoing criminal proceedings that may impact its operations and business or divert the attention of the Samsung Bioepis management team from its ongoing operations.
If Samsung Bioepis is unsuccessful in the development, manufacture and commercialization of biosimilar products, we may not realize the anticipated benefits of our investment in Samsung Bioepis.
In addition, as Samsung Bioepis is a privately-held entity, our ability to liquidate our investment in Samsung Bioepis may be limited and we may realize significantly less than the value of such investment.
Risks Related to Development, Clinical Testing and Regulation of Our Products and Product Candidates
Successful preclinical work or early stage clinical trials does not ensure success in later stage trials, regulatory approval or commercial viability of a product.
Positive results in a clinical trial may not be replicated in subsequent or confirmatory trials. Additionally, success in preclinical work or early stage clinical trials does not ensure that later stage or larger scale clinical trials will be successful or that regulatory approval will be obtained. Even if later stage clinical trials are successful, regulatory authorities may delay or decline approval of our product candidates. Regulatory authorities may disagree with our view of the data, require additional studies or disagree with our trial design or endpoints. Regulatory authorities may also fail to approve the facilities or processes used to manufacture a product candidate, our dosing or delivery methods or companion devices. Regulatory authorities may grant marketing approval that is more restricted than anticipated, including limiting indications to narrow patient populations and the imposition of safety monitoring, educational requirements and risk evaluation and mitigation strategies. The occurrence of any of these events could result in significant costs and expenses, have an adverse effect on our business, financial condition and results of operations and/or cause our stock price to decline or experience periods of volatility.
Clinical trials and the development of biopharmaceutical products is a lengthy and complex process. If we fail to adequately manage our clinical activities, our clinical trials or potential regulatory approvals may be delayed or denied.
Conducting clinical trials is a complex, time-consuming and expensive process. Our ability to complete clinical trials in a timely fashion depends on a number of key factors, including protocol design, regulatory and institutional review board approval, patient enrollment rates and compliance with cGCP. If we or our third-party clinical trial providers or third-party CROs do not successfully carry out these clinical activities, our clinical trials or the potential regulatory approval of a product candidate may be delayed or denied.
We have opened clinical trial sites and are enrolling patients in a number of countries where our experience is limited. In most cases, we use the services of third parties to carry out our clinical trial related activities and rely on such parties to accurately report their results. Our reliance on third parties for these activities may impact our ability to control the timing, conduct, expense and quality of our clinical trials. One CRO has responsibility for a substantial portion of our activities and reporting related to our clinical trials and if such CRO does not adequately perform, many of our trials may be affected. We may need to replace our CROs, which may result in the delay of the affected trials or otherwise adversely affect our efforts to obtain regulatory approvals and commercialize our product candidates.
Adverse safety events or restrictions on use and safety warnings for our products can negatively affect our business, product sales and stock price.
Adverse safety events involving our marketed products, generic or biosimilar versions of our marketed products or products from the same class as one of our products may have a negative impact on our business. Discovery of safety issues with our products could create product liability and could cause additional regulatory scrutiny and
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requirements for additional labeling or safety monitoring, withdrawal of products from the market and/or the imposition of fines or criminal penalties. Adverse safety events may also damage physician, patient and/or investor confidence in our products and our reputation. Any of these could result in adverse impacts on our results of operations.
Regulatory authorities are making greater amounts of stand-alone safety information directly available to the public through periodic safety update reports, patient registries and other reporting requirements. The reporting of adverse safety events involving our products or products similar to ours and public rumors about such events may increase claims against us and may also cause our product sales to decline or our stock price to experience periods of volatility.
Restrictions on use or significant safety warnings that may be required to be included in the label of our products, such as the risk of developing PML in the label for certain of our products, may significantly reduce expected revenues for those products and require significant expense and management time.
The illegal distribution and sale by third parties of counterfeit or unfit versions of our products or stolen products could have a negative impact on our reputation and business.
Third parties might illegally distribute and sell counterfeit or unfit versions of our products, which do not meet our rigorous manufacturing, distribution and testing standards. A patient who receives a counterfeit or unfit drug may be at risk for a number of dangerous health consequences. Our reputation and business could suffer harm as a result of counterfeit or unfit drugs sold under our brand name. Inventory that is stolen from warehouses, plants or while in-transit, and that is subsequently improperly stored and sold through unauthorized channels, could adversely impact patient safety, our reputation and our business.
The increasing use of social media platforms presents new risks and challenges.
Social media is increasingly being used to communicate about our products and the diseases our therapies are designed to treat. Social media practices in the biopharmaceutical industry continue to evolve and regulations relating to such use are not always clear and creates uncertainty and risk of noncompliance with regulations applicable to our business. For example, patients may use social media channels to comment on the effectiveness of a product or to report an alleged adverse event. When such disclosures occur, there is a risk that we fail to monitor and comply with applicable adverse event reporting obligations or we may not be able to defend the company or the public's legitimate interests in the face of the political and market pressures generated by social media due to restrictions on what we may say about our products. There is also a risk of inappropriate disclosure of sensitive information or negative or inaccurate posts or comments about us on any social networking website. If any of these events were to occur or we otherwise fail to comply with applicable regulations, we could incur liability, face overly restrictive regulatory actions or incur other harm to our business.
Risks Related to Intellectual Property
If we are unable to obtain and maintain adequate protection for our data, intellectual property and other proprietary rights, our business may be harmed.
Our success, including our long-term viability and growth, depends, in part, on our ability to obtain and defend patent and other intellectual property rights, including certain regulatory forms of exclusivity, that are important to the commercialization of our products and product candidates. Patent protection and/or regulatory exclusivity in the U.S. and other important markets remains uncertain and depends, in part, upon decisions of the patent offices, courts, administrative bodies and lawmakers in these countries. We may fail to obtain or preserve patent and other intellectual property rights, including certain regulatory forms of exclusivity, or the protection we obtain may not be of sufficient breadth and degree to protect our commercial interests in all countries where we conduct business, which could result in financial, business or reputational harm to us or could cause a decline or volatility in our stock price. In addition, settlements of such proceedings often result in reducing the period of patentexclusivity and other protections, resulting in a reduction in revenue from affected products.
In many markets, including the U.S., manufacturers may be allowed to rely on the safety and efficacy data of the innovator's product and do not need to conduct clinical trials before marketing a competing version of a product after there is no longer patent or regulatory exclusivity. In such cases, manufacturers often charge significantly lower prices and a major portion of the company's revenuesrevenue may be reduced in a short period of time. In addition, manufacturers of generics and biosimilars may choose to launch or attempt to launch their products before the expiration of our patent or other intellectual property protections.
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Furthermore, our products may be determined to infringe patents or other intellectual property rights held by third parties.third-parties. Legal proceedings, administrative challenges or other types of proceedings are and may in the future be necessary to determine the validity, scope or non-infringement of certain patent rights claimed by third partiesthird-parties to be pertinent to the manufacture, use or sale of our products. Legal proceedings may also be necessary to determine the rights, obligations and payments claimed during and after the expiration of intellectual property license agreements we have entered with third parties. Such proceedings are unpredictable and are often protracted and expensive. Negative outcomes of such proceedings could hinder or prevent us from manufacturing and marketing our products, could require us to seek a license for the infringed product or technology or result in the assessment of significant monetary damages against us that may exceed amounts, if any, accrued in our financial statements. A failure to obtain necessary licenses for an infringed product or technology could prevent us from manufacturing or selling our products. Furthermore, payments under any licenses that we are able to obtain wouldcould reduce our profits from the covered products and services. Any of these circumstances could result in financial, business or reputational harm to us or could cause a decline or volatility in our stock price.
Risks Related to Development, Clinical Testing and Regulation of Our OperationsProducts and Product Candidates
The ongoing COVID-19 pandemic may, directlySuccessful preclinical work or indirectly, adversely affect our business,early stage clinical trials does not ensure success in later stage trials, regulatory approval or commercial viability of a product.
Positive results of operations and financial condition.
Our business could be materially adversely affected, directly or indirectly, by the ongoing COVID-19 pandemic. National, state and local governments in affected regions have implemented and may continue to implement safety precautions, including quarantines, border closures, increased border controls, travel restrictions, shelter in place orders and shutdowns, business closures and other measures. These measures may disrupt normal business operations both in and outside of affected areas and may have significant negative impacts on businesses and financial markets worldwide.
We continue to monitor our operations and applicable government recommendations, and we have made modifications to our normal operations because of the COVID-19 pandemic, including limiting travel and working from home. We have also suspended the vast majority of our in-person interactions by our customer-facing professionals in healthcare settings. This limits our ability to market our products and educate physicians, which, in turn, could have an adverse effect on our ability to compete in the marketing and sales of our products.
Prolonged remote working arrangements could impact employees’ productivity and morale, strain our technology resources and introduce operational risks. Operating requirements may continually change due to the COVID-19 pandemic and we may experience unpredictability in our expenses, employee productivity and employee work culture. Additionally, the risk of cyber-attacks or other privacy or data security incidents may be heightened as a result of our moving increasingly towards a remote working environment, which may be less secure and more susceptible to hacking attacks.
The COVID-19 pandemic could affect the health and availability of our workforce as well as those of the third parties we rely on. If members of our management and other key personnel in critical functions across our organization are unable to perform their duties or have limited availability due to the COVID-19 pandemic, weclinical trial may not be able to execute on our business strategy and/replicated in subsequent or our operations may be negatively impacted. Furthermore, delays and disruptions experienced by our collaborators, joint venture partnersconfirmatory trials. Additionally, success in preclinical work or other third parties due to the COVID-19 pandemic could adversely impact the ability of such parties to fulfill their obligations, which could affect product sales or the clinical development or regulatory approvals of product candidates under joint control.
Our ability to continue our existingearly stage clinical trials does not ensure that later stage or to initiate newlarger scale clinical trials maywill be adversely affected, directlysuccessful or indirectly, by the COVID-19 pandemic. For example, our Phase 3 study of BIIB093 for LHI has been delayed as this study involves administration of BIIB093 in an acute hospital setting. Restrictions on travel and/or transport of clinical materials as well as diversion of hospital staff and resources to COVID-19 infected patients could disrupt trial operations and recruitment, possibly resulting in a slowdown in enrollment and/or deviations from or disruptions in key clinical trial activities, such as clinical trial site monitoring. These challenges may lead to difficulties in meeting protocol-specified procedures. We may need to make certain adjustments to the operation ofthat regulatory approval will be obtained. Even if later stage clinical trials in an effort to minimize risks to trial data integrity during the COVID-19 pandemic. In addition, the impact of the COVID-19 pandemic on the operations of the FDA and other health authorities may delay potential approvals of our product candidates.
In response to the COVID-19 pandemic, the Coronavirus Aid, Relief and Economic Security Act (CARES Act) was signed into law in the U.S. in March 2020 and is aimed at providing emergency assistance and health care for individuals, families and businesses and generally supporting the U.S. economy. We expect that additional state and federal healthcare reform measures may be adopted in the future, any of which could limit the amounts that federal and state governments will pay for healthcare products and services, which could result in reduced demand for our products or additional pricing pressures. The COVID-19 pandemic may introduce temporary or permanent healthcare reform measures for which we cannot predict the financial implication of on our business.are successful,
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While it is not possible at this time to estimate the entiretyregulatory authorities may delay or decline approval of our product candidates. Regulatory authorities may disagree with our view of the impactdata, require additional studies, disagree with our trial design or endpoints or not approve adequate reimbursement. Regulatory authorities may also fail to approve the facilities or processes used to manufacture a product candidate, our dosing or delivery methods or companion devices. Regulatory authorities may grant marketing approval that is more restricted than anticipated, including limiting indications to narrow patient populations and the COVID-19 pandemic willimposition of safety monitoring, educational requirements, requiring confirmatory trials and risk evaluation and mitigation strategies. The occurrence of any of these events could result in significant costs and expense, have an adverse effect on our business, financial condition and results of operations employees, customers, suppliers and/or collaboration partners, continued spreadcause our stock price to decline or experience periods of COVID-19, measures taken by governments, actions taken to protect employeesvolatility.
Clinical trials and the broad impactdevelopment of biopharmaceutical products is a lengthy and complex process. If we fail to adequately manage our clinical activities, our clinical trials or potential regulatory approvals may be delayed or denied.
Conducting clinical trials is a complex, time-consuming and expensive process. Our ability to complete clinical trials in a timely fashion depends on a number of key factors, including protocol design, regulatory and institutional review board approval, patient enrollment rates and compliance with current Good Clinical Practices. If we or our third-party clinical trial providers or third-party CROs do not successfully carry out these clinical activities, our clinical trials or the pandemicpotential regulatory approval of a product candidate may be delayed or denied.
We have opened clinical trial sites and are enrolling patients in a number of countries where our experience is limited. In most cases, we use the services of third-parties to carry out our clinical trial related activities and rely on all businesssuch parties to accurately report their results. Our reliance on third-parties for these activities may materiallyimpact our ability to control the timing, conduct, expense and quality of our clinical trials. One CRO has responsibility for a substantial portion of our activities and reporting related to our clinical trials, adversely affect our expense associated with such trials and if such CRO does not adequately perform, many of our trials may be affected. We may need to replace our CROs, which may result in the delay of the affected trials or otherwise adversely affect our efforts to obtain regulatory approvals and commercialize our product candidates.
Adverse safety events or restrictions on use and safety warnings for our products can negatively affect our business, product sales and stock price.
Adverse safety events involving our marketed products, generic or biosimilar versions of our marketed products or products from the same class as one of our products may have a negative impact on our business. Discovery of safety issues with our products could create product liability and could cause additional regulatory scrutiny and requirements for additional labeling or safety monitoring, withdrawal of products from the market and/or the imposition of fines or criminal penalties. Adverse safety events may also damage physician, patient and/or investor confidence in our products and our reputation. Any of these could result in adverse impacts on our results of operationsoperations.
Regulatory authorities are making greater amounts of stand-alone safety information directly available to the public through periodic safety update reports, patient registries and financial condition.other reporting requirements. The reporting of adverse safety events involving our products or products similar to ours and public rumors about such events may increase claims against us and may also cause our product sales to decline or our stock price to experience periods of volatility.
Restrictions on use or safety warnings that may be required to be included in the label of our products may significantly reduce expected revenue for those products and require significant expense and management time.
Risks Related to Our Operations
A breakdown or breach of our technology systems could subject us to liability or interrupt the operation of our business.
We are increasingly dependent upon technology systems and data to operate our business. Further, theThe COVID-19 pandemic has caused us to modify our business practices in ways that heighten this dependence, including changing the requirement that most of our office-based employees in the U.S. and our other key markets work from home.the office, with a number of our employees now working in hybrid or full-remote positions. As a result, we are increasingly dependent upon our technology systems to operate our business and our ability to effectively manage our business depends on the security, reliability and adequacy of our technology systems and data, which includes use of cloud technologies, including Software as a Service (SaaS), Platform as a Service (PaaS) and Infrastructure as a Service (IaaS). A breakdown, invasion, corruption, destruction Breakdowns, invasions, corruptions, destructions and/or breachbreaches of our technology systems or those of our business partners, including our cloud technologies, and/or unauthorized access to our data and information could subject us to liability, or negatively impact the operationour business operations, and/or require replacement of our business.technology and/or ransom payments. Our technology systems, including our cloud technologies, continue to increase in multitude and complexity, making them potentially vulnerable to breakdown,increasing our vulnerability when breakdowns, malicious intrusionintrusions and random attack.attacks occur. Data
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privacy or security breaches also pose a risk that sensitive data, including intellectual property, trade secrets or personal information belonging to us, our patients, customers or other business partners, may be exposed to unauthorized persons or to the public.
Cyber-attacks are increasing in their frequency, sophistication and intensity, and are becoming increasingly difficult to detect.detect, when they impact vendors, customers or companies, including vendors, suppliers and other companies in our supply chain. They are often carried out by motivated, well-resourced, skilled and persistent actors, including nation states, organized crime groups, “hacktivists” and employees or contractors acting with careless or malicious intent. Geopolitical instability, including that related to Russia's invasion of Ukraine may increase cyber-attacks. Cyber-attacks could include the deployment of harmful malware and key loggers, ransomware, a denial-of-service attack, a malicious website, the use of social engineering and other means to affect the confidentiality, integrity and availability of our technology systems and data. Cyber-attacks could also include manufacturing, hardware or software supply chain attacks, which could cause a delay in the manufacturing of our products or products produced for contract manufacturing.manufacturing or lead to a data privacy or security breach. Our key business partners face similar risks and any security breach of their systems could adversely affect our security posture. In addition, our increased use of cloud technologies could heightenheightens these and other operational risks, and any failure by cloud or other technology service providers to adequately safeguard their systems and prevent cyber-attacks could disrupt our operations and result in misappropriation, corruption or loss of confidential or propriety information.
While we continue to build and improve our systems and infrastructure, including our business continuity plans, there can be no assurance that our efforts will prevent breakdowns or breaches in our systems that could adversely affect our business and operations and/or result in the loss of critical or sensitive information, which could result in financial, legal, operational or reputational harm to us, loss of competitive advantage or loss of consumer confidence. Our liability insurance may not be sufficient in type or amount to cover us against claims related to security breaches, cyber-attacks and other related breaches.
Regulators are considering new cyber security regulations. For example, the SEC has proposed amendments to its disclosure rules regarding cyber security risk management, strategy, governance and incident reporting by public companies. These proposed regulations may impact the manner in which we operate.
Regulators are imposing new data privacy and security requirements, including new and greater monetary fines for privacy violations. For example, the E.U.’s GDPRGeneral Data Protection Regulation established regulations regarding the handling of personal data, and provides an enforcement authority and imposes large penalties for noncompliance. New U.S. data privacy and security laws, such as the California Consumer Privacy Act (CCPA), and others that may be passed, similarly introduce requirements with respect to personal information, and non-compliance with the CCPA may result in liability through private actions (subject to statutorily defined damages in the event of certain data breaches) and enforcement. Failure to comply with these current and future laws, policies, industry standards or legal obligations or any security incident resulting in the unauthorized access to, or acquisition, release or transfer of personal information may result in governmental enforcement actions, litigation, fines and penalties or adverse publicity and could cause our customers to lose trust in us, which could have a material adverse effect on our business and results of operations.
Manufacturing issues could substantially increase our costs, limit supply of our products and/or reduce our revenue.
The process of manufacturing our products is complex, highly regulated and subject to numerous risks, including:
Risks of Reliance on Third-Parties and Single Source Providers. We rely on third-party suppliers and manufacturers for many aspects of our manufacturing process for our products and product candidates including VUMERITY. In some cases, due to the unique manner in which our products are manufactured, we rely on single source providers of raw materials and manufacturing supplies. These third-parties are independent entities subject to their own unique operational and financial risks that are outside of our control. These third-parties may not perform their obligations in a timely and cost-effective manner or in compliance with applicable regulations, and they may be unable or unwilling to increase production capacity commensurate with demand for our existing or future products. Finding alternative providers could take a significant amount of time and involve significant expense due to the specialized nature of the services and the need to obtain regulatory approval of any significant changes to our suppliers or manufacturing methods. We cannot be certain that we could reach agreement with alternative providers or that the FDA or other regulatory authorities would approve our use of such alternatives. Furthermore, factors such as the COVID-19 pandemic, weather events, labor or raw material shortages and other supply chain disruptions could result in difficulties and delays in manufacturing our products, which could have an adverse impact on our results in operations or result in product shortages.
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Global Bulk Supply Risks. We rely on our manufacturing facilities for the production of drug substance for our large molecule products and product candidates. Our global bulk supply of these products and product candidates depends on the uninterrupted and efficient operation of these facilities, which could be adversely affected by equipment failures, labor or raw material shortages, public health epidemics, natural disasters, power failures, cyber-attacks and many other factors.
Risks Relating to Compliance with current GMP (cGMP). We and our third-party providers are generally required to maintain compliance with cGMP and other stringent requirements and are subject to inspections by the FDA and other regulatory authorities to confirm compliance. Any delay, interruption or other issues that arise in the manufacture, fill-finish, packaging or storage of our products as a result of a failure of our facilities or operations or those of third-parties to receive regulatory approval or pass any regulatory agency inspection could significantly impair our ability to develop and commercialize our products. Significant noncompliance could also result in the imposition of monetary penalties or other civil or criminal sanctions and damage our reputation.
Risk of Product Loss. The manufacturing process for our products is extremely susceptible to product loss due to contamination, oxidation, equipment failure or improper installation or operation of equipment or vendor or operator error. Even minor deviations from normal manufacturing processes could result in reduced production yields, product defects and other supply disruptions. If microbial, viral or other contaminations are discovered in our products or manufacturing facilities, we may need to close our manufacturing facilities for an extended period of time to investigate and remediate the contaminant.
Any adverse developments affecting our manufacturing operations or the operations of our third-party suppliers and manufacturers may result in shipment delays, inventory shortages, lot failures, product withdrawals or recalls or other interruptions in the commercial supply of our products. We may also have to take inventory write-offs and incur other charges and expense for products that fail to meet specifications, undertake costly remediation efforts or seek more costly manufacturing alternatives. Such developments could increase our manufacturing costs, cause us to lose revenue or market share as patients and physicians turn to competing therapeutics, diminish our profitability or damage our reputation.
In addition, although we have business continuity plans to reduce the potential for manufacturing disruptions or delays and reduce the severity of a disruptive event, there is no guarantee that these plans will be adequate, which could adversely affect our business and operations.
Management and keyother personnel changes may disrupt our operations, and we may have difficulty retaining key personnel or attracting and retaining qualified replacements on a timely basis for the management and other key personnel who may leave the Company.
Changes in management, other personnel and other key personnel have the potential toour overall retention rate may disrupt our business, and any such disruption could adversely affect our operations, programs, growth, financial condition or results of operations. New members of management may have different perspectives on programs and opportunities for our business, which may cause us to focus on new opportunities or reduce or change emphasis on our existing programs.
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Our success is dependent upon our ability to attract and retain qualified management and keyother personnel in a highly competitive environment. Qualified individuals are in high demand, and we may incur significant costs to attract them, particularly at the executive level.or retain them. We may face difficulty in attracting and retaining key talent for a number of reasons, including management changes, the underperformance or discontinuation of one or more marketed or late stage programs, or recruitment by competitors.competitors or changes in the overall labor market. In addition, changes in our organizational structure or in our flexible working arrangements could impact employees' productivity and morale as well as our ability to attract, retain and motivate employees. We cannot ensure that we will be able to hire or retain the personnel necessary for our operations or that the loss of any personnel will not have a material impact on our financial condition and results of operations.
If we fail to comply with the extensive legal and regulatory requirements affecting the health care industry, we could face increased costs, penalties and a loss of business.
Our activities, and the activities of our collaborators, distributors and other third-party providers, are subject to extensive government regulation and oversight in the U.S. and in foreign jurisdictions.jurisdictions, and are subject to change and evolving interpretations, which could require us to incur substantial costs associated with compliance or to alter one or more of our business practices. The FDA and comparable foreign agencies directly regulate many of our most critical business activities, including the conduct of preclinical and clinical studies, product manufacturing, advertising and promotion, product distribution, adverse event reporting, product risk management and our compliance with good practice quality guidelines and regulations. Our interactions with physicians and other health
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care providers that prescribe or purchase our products are also subject to government regulation designed to prevent fraud and abuse in the sale and use of products and place significant restrictions on the marketing practices of health care companies. Health care companies are facing heightened scrutiny of their relationships with health care providers and have been the target of lawsuits and investigations alleging violations of government regulation, including claims asserting submission of incorrect pricing information, impermissible off-label promotion of pharmaceutical products, payments intended to influence the referral of health care business, submission of false claims for government reimbursement, antitrust violations or violations related to environmental matters. There is also enhanced scrutiny of company-sponsored patient assistance programs, including insurance premium and co-pay assistance programs and donations to third-party charities that provide such assistance. The U.S. government has challenged some of our donations to third-party charities that provide patient assistance. If we, or our vendors or donation recipients, are found to fail to comply with relevant laws, regulations or government guidance in the operation of these programs, we could be subject to significant fines or penalties. Risks relating to compliance with laws and regulations may be heightened as we continue to expand our global operations and enter new therapeutic areas with different patient populations, which may have different product distribution methods, marketing programs or patient assistance programs from those we currently utilize or support.
Conditions and regulations governing the health care industry are subject to change, with possible retroactive effect, including:
new laws, regulations or judicial decisions, or new interpretations of existing laws, regulations or judicial decisions, related to health care availability, pricing or marketing practices, compliance with employment practices, method of delivery, payment for health care products and services, compliance with health information and data privacy and security laws and regulations, tracking and reporting payments and other transfers of value made to physicians and teaching hospitals, extensive anti-bribery and anti-corruption prohibitions, product serialization and labeling requirements and used product take-back requirements;
changes in the FDA and foreign regulatory approval processes or perspectives that may delay or prevent the approval of new products and result in lost market opportunity;
government shutdowns or relocations may result in delays to the review and approval process, slowing the time necessary for new drug candidates to be reviewed and/or approved, which may adversely affect our business;
requirements that provide for increased transparency of clinical trial results and quality data, such as the EMA's clinical transparency policy, which could impact our ability to protect trade secrets and competitively-sensitive information contained in approval applications or could be misinterpreted leading to reputational damage, misperception or legal action, which could harm our business; and
changes in FDA and foreign regulations that may require additional safety monitoring, labeling changes, restrictions on product distribution or use or other measures after the introduction of our products to market, which could increase our costs of doing business, adversely affect the future permitted uses of approved products or otherwise adversely affect the market for our products.
Violations of governmental regulation may be punishable by criminal and civil sanctions, including fines and civil monetary penalties and exclusion from participation in government programs, including Medicare and Medicaid, as well as against executives overseeing our business. We could also be required to repay amounts we received from government payors or pay additional rebates and interest if we are found to have miscalculated the pricing
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information we submitted to the government. We cannot ensureIn addition, legal proceedings and investigations are inherently unpredictable, and large judgments or settlements sometimes occur. While we believe that ourwe have appropriate compliance controls, policies and procedures will protect us from acts committed by our employees, collaborators or third-party providers that would violatein place to comply with the laws or regulations of the jurisdictions in which we operate.operate, there is a risk that acts committed by our employees, agents, distributors, collaborators or third-party providers might violate such laws or regulations. Whether or not we have complied with the law, an investigation intoor litigation related to alleged unlawful conduct could increase our expenses,expense, damage our reputation, divert management time and attention and adversely affect our business.
Our sales and operations are subject to the risks of doing business internationally.
We are increasing our presence in international markets, subjecting us to many risks that could adversely affect our business and revenues.revenue. There is no guarantee that our efforts and strategies to expand sales in international markets will succeed. Emerging market countries may be especially vulnerable to periods of global and local political, legal, regulatory and financial instability and may have a higher incidence of corruption and fraudulent business practices. Certain countries may require local clinical trial data as part of the drug registration process in addition to global clinical trials, which can add to overall drug development and registration timelines. We may also be required
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to increase our reliance on third-party agents or distributors and unfamiliar operations and arrangements previously utilized by companies we collaborate with or acquire in emerging markets.
Our sales and operations are subject to the risks of doing business internationally, including:
the impact of public health epidemics, such as the COVID-19 pandemic, on the global economy and the delivery of healthcare treatments;
less favorable intellectual property or other applicable laws;
the inability to obtain necessary foreign regulatory or pricing approvals of products in a timely manner;
limitations and additional pressures on our ability to obtain and maintain product pricing, reimbursement or receive price increases, including those resulting from governmental or regulatory requirements;
increased cost of goods due to factors such as inflation and supply chain disruptions;
additional complexity in manufacturing internationally;
delays in clinical trials relating to geopolitical instability related to Russia's invasion of Ukraine;
the inability to successfully complete subsequent or confirmatory clinical trials in countries where our experience is limited;
longer payment and reimbursement cycles and uncertainties regarding the collectability of accounts receivable;
fluctuations in foreign currency exchange rates that may adversely impact our revenues,revenue, net income and value of certain of our investments;
the imposition of governmental controls;
diverse data privacy and protection requirements;
increasingly complex standards for complying with foreign laws and regulations that may differ substantially from country to country and may conflict with corresponding U.S. laws and regulations;
the far-reaching anti-bribery and anti-corruption legislation in the U.K., including the U.K. Bribery Act 2010, and elsewhere and escalation of investigations and prosecutions pursuant to such laws;
the effects of the U.K.'s departure from the E.U., known as Brexit;
compliance with complex import and export control laws;
changes in tax laws; and
the imposition of tariffs or embargoes and other trade restrictions.
In addition, our international operations are subject to regulation under U.S. law. For example, the FCPAU.S. Foreign Corrupt Practices Act (FCPA) prohibits U.S. companies and their representatives from paying, offering to pay, promising to pay or authorizing the payment of anything of value to any foreign government official, government staff member, political party or political candidate for the purpose of obtaining or retaining business or to otherwise obtain favorable treatment or influence a person working in an official capacity. In many countries, the health care professionals we regularly interact with may meet the FCPA's definition of a foreign government official. Failure to comply with domestic or foreign laws could result in various adverse consequences, including possible delay in approval or refusal to approve a product, recalls, seizures or withdrawal of an approved product from the market, disruption in the supply or availability of our products or suspension of export or import privileges, the imposition of civil or criminal sanctions, the prosecution of executives overseeing our international operations and damage to our reputation. Any significant impairment of our ability to sell products outside of the U.S. could adversely impact our business and financial results.
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In addition, while we believe that we have appropriate compliance controls, policies and procedures in place to comply with the FCPA, there is a risk that acts committed by our employees, agents, distributors, collaborators or third-party providers might violate the FCPA and we might be held responsible. If our employees, agents, distributors, collaborators or third-party providers are found to have engaged in such practices, we could suffer severe penalties and may be subject to other liabilities, which could negatively affect our business, operating results and financial condition.
We are building a large-scale biologics manufacturing facility, which will result in the incurrence of significant investment with no assurance that such investment will be recouped.
In order to support our future growth and drug development pipeline, we are expanding our large molecule production capacity by building a large-scale biologics manufacturing facility in Solothurn, Switzerland with no assurance that the additional capacity will be required or this investment will be recouped.
We expect the Solothurn facility to be partially operational during the first half
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If we are unable to adequately and timely manufacture and supply our products and product candidates or if we do not fully utilize our manufacturing facilities, our business may be harmed. Charges resulting from excess capacity may continue to occur and would have a negative effect on our financial condition and results of operations.
Manufacturing issues could substantially increase our costs, limit supply of our products and/or reduce our revenues.
The process of manufacturing our products is complex, highly regulated and subject to numerous risks, including:
Risks of Reliance on Third Parties and Single Source Providers. We rely on third-party suppliers and manufacturers for many aspects of our manufacturing process for our products and product candidates. In some cases, due toAlthough the unique manner in which our products are manufactured, we rely on single source providers of raw materials and manufacturing supplies. These third parties are independent entities subject to their own unique operational and financial risks that are outside of our control, including the impact of the COVID-19 pandemic. These third parties may not perform their obligations in a timely and cost-effective manner or in compliance with applicable regulations, and they may be unable or unwilling to increase production capacity commensurate with demand for our existing or future products. Finding alternative providers could take a significant amount of time and involve significant expense due to the specialized nature of the services and the need to obtain regulatory approval of any significant changes to our suppliers or manufacturing methods. We cannot be certain that we could reach agreement with alternative providers or that the FDA or other regulatory authorities would approve our use of such alternatives.
Risks Relating to Compliance with cGMP. We and our third-party providers are generally required to maintain compliance with cGMP and other stringent requirements and are subject to inspectionsSolothurn facility was approved by the FDA for ADUHELM and other regulatory authorities to confirm compliance. Any delay, interruption or other issues that arise in the manufacture, fill-finish, packaging or storage of our products as a result of a failure of our facilities or operations or those of third parties to pass any regulatory agency inspection could significantly impair our ability to develop and commercialize our products. Significant noncompliance could also result in the imposition of monetary penalties or other civil or criminal sanctions and damage our reputation.
Global Bulk Supply Risks. We rely on our manufacturing facilities for the production of drug substance for our large molecule products and product candidates. Our global bulk supply of these products and product candidates depends on the uninterrupted and efficient operation of these facilities, which could be adversely affected by equipment failures, labor shortages, public health epidemics, natural disasters, power failures, cyber-attacks and many other factors. In addition, we are building a large-scale biologics manufacturing facility in Solothurn, Switzerland, which we expect to be partially operational during the first half of 2021. However,LEQEMBI, there can be no assurance that wethe regulatory authorities will be able to meet our expected timeline or that there will not be any direct or indirect delays resulting from the COVID-19 pandemic. We have had delays, and if there are additional delays, in bringingapprove the Solothurn facility online,for the manufacturing of other products.
The ongoing COVID-19 pandemic and other global health outbreaks may, directly or indirectly, adversely affect our business, results of operations and financial condition.
Our business has and could continue to be adversely affected, directly or indirectly, by the ongoing COVID-19 pandemic and other global health outbreaks.
We continue to monitor our operations and applicable government recommendations, and we may not have sufficient large-scale manufacturing capacitymade modifications to meet our long-term manufacturing requirements.
Risknormal operations because of Product Loss. The manufacturing process forthe COVID-19 pandemic and other global health outbreaks, including limiting travel and adopting flexible working arrangements. Customer-facing professionals interactions in healthcare settings have changed as a result of the COVID-19 pandemic and other global health outbreaks. This limits our ability to market our products is extremelyand educate physicians, which, in turn, could have an adverse effect on our ability to compete in the marketing and sales of our products.
Changes in flexible working arrangements could impact employee retention, employees' productivity and morale, strain our technology resources and introduce operational risks. Additionally, the risk of cyber-attacks or other privacy or data security incidents may be heightened as a result of our moving increasingly towards a remote working environment, which may be less secure and more susceptible to product losshacking attacks.
The COVID-19 pandemic and other global health outbreaks could affect the health and availability of our workforce as well as those of the third-parties we rely on. Furthermore, delays and disruptions experienced by our collaborators or other third-parties due to contamination, oxidation, equipment failurethe COVID-19 pandemic and other global health outbreaks could adversely impact the ability of such parties to fulfill their obligations, which could affect product sales or improper installationthe clinical development or regulatory approvals of product candidates under joint control.
Our ability to continue our existing clinical trials or to initiate new clinical trials has been and may continue to be adversely affected, directly or indirectly, by the COVID-19 pandemic and other global health outbreaks. Restrictions on travel and/or transport of clinical materials as well as diversion of hospital staff and resources to COVID-19 infected patients could disrupt trial operations and recruitment, possibly resulting in a slowdown in enrollment and/or deviations from or disruptions in key clinical trial activities, such as clinical trial site monitoring. These challenges may lead to difficulties in meeting protocol-specified procedures. We may need to make certain adjustments to the operation of equipment or vendor or operator error. Even minor deviations from normal manufacturing processesclinical trials in an effort to minimize risks to trial data integrity during the COVID-19 pandemic and other global health outbreaks. In addition, the impact of the COVID-19 pandemic and other global health outbreaks on the operations of the FDA and other health authorities may delay potential approvals of our product candidates.
State and federal healthcare reform measures have been adopted in the past, and may be adopted in the future, any of which could limit the amounts that federal and state governments will pay for healthcare products and services, which could result in reduced production yields, product defects and other supply disruptions. If microbial, viral or other contaminations are discovered indemand for our products or manufacturing facilities,additional pricing pressures and have a financial impact on our business that we may need to close our manufacturing facilities for an extended period ofcannot predict.
While it is not possible at this time to investigateestimate the entirety of the impact that the COVID-19 pandemic and remediateother global health outbreaks will continue to have on our business, the contaminant.broad impact of the pandemic on all business activities may materially and adversely affect our business, supply chain and distribution systems, results of operations and financial condition.
Risk Relating to Government Actions. We and/The illegal distribution and sale by third-parties of counterfeit or unfit versions of our third-party providersproducts or stolen products could have a negative impact on our reputation and business.
Third-parties might illegally distribute and sell counterfeit or unfit versions of our products, which do not meet our rigorous manufacturing, distribution and testing standards. A patient who receives a counterfeit or unfit drug may be required byat risk for a number of dangerous health consequences. Our reputation and business could suffer harm as a result of counterfeit or unfit drugs sold under our brand name. Inventory that is stolen from warehouses, plants or while in-transit, and that is subsequently improperly stored and sold through unauthorized channels, could adversely impact patient safety, our reputation and our business.
The increasing use of social media platforms presents new risks and challenges.
Social media is increasingly being used to communicate about our products and the U.S. federal governmentdiseases our therapies are designed to manufacture medical supplies neededtreat. Social media practices in the biopharmaceutical industry continue to treat COVID-19 patients under the Defenseevolve and regulations relating to such use are not always clear and create uncertainty and risk of noncompliance with regulations
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Production Actapplicable to our business. For example, patients may use social media channels to comment on the effectiveness of a product or other actsto report an alleged adverse event. When such disclosures occur, there is a risk that we fail to monitor and comply with applicable adverse event reporting obligations or orders of government entities, whichwe may result in delaysnot be able to defend the company or the public's legitimate interests in the manufacturingface of the political and supplymarket pressures generated by social media due to restrictions on what we may say about our products. There is also a risk of our products.
Any adverse developments affecting our manufacturing operationsinappropriate disclosure of sensitive information or the operations of our third-party suppliers and manufacturers may result in shipment delays, inventory shortages, lot failures, product withdrawalsnegative or recallsinaccurate posts or other interruptions in the commercial supply of our products.comments about us on social media. We may also haveencounter criticism on social media regarding our company, management, product candidates or products. The immediacy of social media precludes us from having real-time control over postings made regarding us via social media, whether matters of fact or opinion. Our reputation could be damaged by negative publicity or if adverse information concerning us is posted on social media platforms or similar mediums, which we may not be able to take inventory write-offs andreverse. If any of these events were to occur or we otherwise fail to comply with applicable regulations, we could incur liability, face restrictive regulatory actions or incur other charges and expenses for products that failharm to meet specifications, undertake costly remediation efforts or seek more costly manufacturing alternatives. Such developments could increase our manufacturing costs, cause us to lose revenues or market share as patients and physicians turn to competing therapeutics, diminish our profitability or damage our reputation.business.
In addition, although we have business continuity plans to reduce the potential for manufacturing disruptions or delays and reduce the severity of a disruptive event, there is no guarantee that these plans will be adequate, which could adversely affect our business and operations.
Our effective tax rate fluctuates, and we may incur obligations in tax jurisdictions in excess of accrued amounts.
As a global biopharmaceutical company, we are subject to taxation in numerous countries, states and other jurisdictions. As a result, our effective tax rate is derived from a combination of applicable tax rates, including withholding taxes, in the various places that we operate. In preparing our financial statements, we estimate the amount of tax that will become payable in each of such places. Our effective tax rate may be different than experienced in the past or our current expectations due to many factors, including changes in the mix of our profitability from country to country, the results of examinations and audits of our tax filings, adjustments to the value of our uncertain tax positions, interpretations by tax authorities or other bodies with jurisdiction, the result of tax cases, changes in accounting for income taxes and changes in tax laws and regulations either prospectively or retrospectively.
Our inability to secure or sustain acceptable arrangements with tax authorities and future changes in the tax laws, among other things, may result in tax obligations in excess of amounts accrued in our financial statements.
The Tax Cuts and Jobs Act of 2017 (2017 Tax Act) resulted in significant changes to the U.S. corporate income tax system. Our estimates concerning the impact of the 2017 Tax Act on our accounting and on our business remain subject to developing interpretations of the provisions of the 2017 Tax Act, which may require further adjustments and changes in our estimates, which could have a material adverse effect on our business, results of operations or financial condition. Further, the new administration could introduce new tax laws or revise or issue new interpretations of the 2017 Tax Act.
The Swiss Federal Act on Tax Reform and AHV Financing (TRAF) resulted in significant changes to the Swiss cantonal income tax system. Final interpretation of the transitional and new regimes of the TRAF may require further adjustments and changes in our estimates, which could have a significant adverse effect on our business, results of operations or financial condition.
The enactment of some or all of the recommendations set forth or that may be forthcoming in the Organization for Economic Cooperation and Development’s project on “Base Erosion and Profit Shifting” (BEPS) by tax authorities and economic blocs in the countries in which we operate, could unfavorably impact our effective tax rate. These initiatives focus on common international principles for the entitlement to taxation of global corporate profits and minimum global tax rates.
Risks Related to Holding Our Common StockStock
Our operating results are subject to significant fluctuations.
Our quarterly revenues, expensesrevenue, expense and net income (loss) have fluctuated in the past and are likely to fluctuate significantly in the future due to the risks described in these Risk Factors as well as the timing of charges and expensesexpense that we may take. We have recorded, or may be required to record, charges that include:
the cost of restructurings or other initiatives to streamline our operations and reallocate resources;
impairments with respect to investments, fixed assets and long-lived assets, including in-process research and development (IPR&D) and other intangible assets;
inventory write-downs for failed quality specifications, recurring charges for excess or obsolete inventory and charges for inventory write downswrite-downs relating to product suspensions, expirations or recalls;
changes in the fair value of contingent consideration or our equity investments;
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bad debt expensesexpense and increased bad debt reserves;
outcomes of litigation and other legal or administrative proceedings, regulatory matters and tax matters;
payments in connection with acquisitions, divestitures and other business development activities and under license and collaboration agreements;
failure to meet certain contractual commitments; and
the impact of public health epidemics, such as the COVID-19 pandemic, on employees, the global economy and the delivery of healthcare treatments.
Our revenuesrevenue and certain assets and liabilities are also subject to foreign currency exchange rate fluctuations due to the global nature of our operations. Our efforts to mitigate the impact of fluctuating currency exchange rates may not be successful. As a result, currency fluctuations among our reporting currency, the U.S. dollar, and other currencies in which we do business will affect our operating results, often in unpredictable ways. Our net income may also fluctuate due to the impact of charges we may be required to take with respect to foreign currency hedge transactions. In particular, we may incur higher than expected charges from early termination of a hedge relationship.
Our operating results during any one period do not necessarily suggest the anticipated results of future periods.
Our investments in properties may not be fully realized.
We own or lease real estate primarily consisting of buildings that contain research laboratories, office space and manufacturing operations. We may decide to consolidate or co-locate certain aspects of our business operations or dispose of one or more of our properties, some of which may be located in markets that are experiencing high vacancy rates and decreasing property values. If we determine that the fair value of any of our owned properties is lower than their book value, we may not realize the full investment in these properties and incur significant impairment charges or additional depreciation when the expected useful lives of certain assets have been shortened due to the anticipated closing of facilities. If we decide to fully or partially vacate a property, we may incur significant cost, including facility closing costs, employee separation and retention expenses,expense, lease termination fees, rent expense in excess of sublease income and impairment of leasehold improvements and accelerated depreciation of assets. Any of these events may have an adverse impact on our results of operations.
Our investment portfolio is subject to market, interest and credit risk that may reduce its value.
We maintain a portfolio of marketable securities for investment of our cash as well as investments in equity securities of certain biotechnology companies. Changes in the value of our investment portfolio could adversely
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affect our earnings. The value of our investments may decline due to, among other things, increases in interest rates, downgrades of the bonds and other securities in our portfolio, negative company-specific news, biotechnology market sentiment, instability in the global financial markets that reduces the liquidity of securities in our portfolio, declines in the value of collateral underlying the securities in our portfolio and other factors. Each of these events may cause us to record charges to reduce the carrying value of our investment portfolio or sell investments for less than our acquisition cost. Although we attempt to mitigate these risks through diversification of our investments and continuous monitoring of our portfolio's overall risk profile, the value of our investments may nevertheless decline.
There can be no assurance that we will continue to repurchase shares or that we will repurchase shares at favorable prices.
From time to time our Board of Directors authorizes share repurchase programs. The amount and timing of share repurchases are subject to capital availability and our determination that share repurchases are in the best interest of our shareholders and are in compliance with all respective laws and our applicable agreements. Our ability to repurchase shares will depend upon, among other factors, our cash balances and potential future capital requirements for strategic transactions, our results of operations, our financial condition and other factors beyond our control that we may deem relevant. Additionally, the recently enacted IRA includes an excise tax on share repurchases, which will increase the cost of share repurchases. A reduction in repurchases under, or the completion of, our share repurchase programs could have a negative effect on our stock price. We can provide no assurance that we will repurchase shares at favorable prices, if at all.
We may not be able to access the capital and credit markets on terms that are favorable to us.
We may seek access to the capital and credit markets to supplement our existing funds and cash generated from operations for working capital, capital expenditure and debt service requirements and other business initiatives. The capital and credit markets are experiencing, and have in the past experienced, extreme volatility and disruption, which leads to uncertainty and liquidity issues for both borrowers and investors. In the event of adverse market conditions, we may be unable to obtain capital or credit market financing on favorable terms. Changes in credit
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ratings issued by nationally recognized credit rating agencies could also adversely affect our cost of financing and the market price of our securities.
Our indebtedness could adversely affect our business and limit our ability to plan for or respond to changes in our business.
Our indebtedness, together with our significant contingent liabilities, including milestone and royalty payment obligations, could have important consequences to our business; for example, such obligations could:
increase our vulnerability to general adverse economic and industry conditions;
limit our ability to access capital markets and incur additional debt in the future;
require us to dedicate a substantial portion of our cash flow from operations to payments on our indebtedness, thereby reducing the availability of our cash flow for other purposes, including business development, research and development and mergers and acquisitions; and
limit our flexibility in planning for, or reacting to, changes in our business and the industry in which we operate, thereby placing us at a competitive disadvantage compared to our competitors that have less debt.
Some of our collaboration agreements contain change in control provisions that may discourage a third partythird-party from attempting to acquire us.
Some of our collaboration agreements include change in control provisions that could reduce the potential acquisition price an acquirer is willing to pay or discourage a takeover attempt that could be viewed as beneficial to shareholders. Upon a change in control, some of these provisions could trigger reduced milestone, profit or royalty payments to us or give our collaboration partner rights to terminate our collaboration agreement, acquire operational control or force the purchase or sale of the programs that are the subject of the collaboration.
General Risk Factors
Our effective tax rate fluctuates, and we may incur obligations in tax jurisdictions in excess of accrued amounts.
As a global biopharmaceutical company, we are subject to taxation in numerous countries, states and other jurisdictions. As a result, our effective tax rate is derived from a combination of applicable tax rates, including withholding taxes, in the various places that we operate. In preparing our financial statements, we estimate the amount of tax that will become payable in each of such places. Our effective tax rate may be different than experienced in the past or our current expectations due to many factors, including changes in the mix of our
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profitability from country to country, the results of examinations and audits of our tax filings (including those related to the impact of the Tax Cuts and Jobs Act of 2017), adjustments to the value of our uncertain tax positions, interpretations by tax authorities or other bodies with jurisdiction, the result of tax cases, changes in accounting for income taxes and changes in tax laws and regulations either prospectively or retrospectively (including those related to the IRA).
Our inability to secure or sustain acceptable arrangements with tax authorities and future changes in the tax laws, among other things, may result in tax obligations in excess of amounts accrued in our financial statements.
The enactment of some or all of the recommendations set forth or that may be forthcoming in the Organization for Economic Cooperation and Development’s project on “Base Erosion and Profit Shifting” (BEPS) by tax authorities and economic blocs in the countries in which we operate, could unfavorably impact our effective tax rate. These initiatives focus on common international principles for the entitlement to taxation of global corporate profits and minimum global tax rates.
Our business involves environmental risks, which include the cost of compliance and the risk of contamination or injury.
Our business and the business of several of our strategic partners involve the controlled use of hazardous materials, chemicals, biologics and radioactive compounds. Although we believe that our safety procedures for handling and disposing of such materials comply with state, federal and foreign standards, there will always be the risk of accidental contamination or injury. If we were to become liable for an accident, or if we were to suffer an extended facility shutdown, we could incur significant costs, damages and penalties that could harm our business. Manufacturing of our products and product candidates also requires permits from government agencies for water supply and wastewater discharge. If we do not obtain appropriate permits, including permits for sufficient quantities of water and wastewater, we could incur significant costs and limits on our manufacturing volumes that could harm our business. Additionally, regulators are considering new environmental disclosure rules. For example, the SEC has proposed amendments to its disclosure rules regarding climate-related disclosure requirements. These proposed regulations may impact the manner in which we operate.
ItemITEM  1B.     Unresolved Staff CommentsUNRESOLVED STAFF COMMENTS
None.
ItemITEM  2.     PropertiesPROPERTIES
Below is a summary of our owned and leased properties as of December 31, 2020.2022.
U.S.
Massachusetts
In Cambridge, MA we own approximately 508,000263,000 square feet of real estate space, consisting of a building that houses a research laboratory and a cogeneration plant totaling approximately 263,000 square feet and a building that contains research, development and quality laboratories totaling approximately 245,000 square feet.plant.
In addition, we lease a total of approximately 1,169,0001,429,000 square feet in Massachusetts, which is summarized as follows:
800,0001,072,000 square feet in Cambridge, MA, which is comprised of offices for our corporate headquarters and other administrative and development functions and laboratories, of which 265,000289,000 square feet is subleased by multiple companies for general office space, laboratories and manufacturing facilities; and
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357,000 square feet of office space in Weston, MA, of which 174,000 square feet is subleased through the remaining term of our lease agreement; and
12,000 square feet of office space in Waltham, MA.agreement.
Our Massachusetts lease agreements expire at various dates through the year 2028.
125 Broadway Building Sale and Leaseback
In September 2022 we completed the sale of our building and land parcel located at 125 Broadway. In connection with this sale, we simultaneously leased back the building for a term of approximately 5.5 years, which resulted in the recognition of approximately $168.2 million in new lease liabilities and right-of-use assets recorded within our consolidated balance sheets as of December 31, 2022. The sale and immediate leaseback of this building qualified for sale and leaseback treatment and is classified as an operating lease. For additional information
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on our 125 Broadway sale and leaseback transaction, please read Note 11, Property, Plant and Equipment and Note 12, Leases, to our consolidated financial statements included in this report.
300 Binney Street Lease Modification
In September 2022 we entered into an agreement to partially terminate a portion of our lease located at 300 Binney Street, Cambridge, MA (300 Binney Street), as well as to reduce the lease term for the majority of the remaining space. The agreement was driven by our 2022 efforts to reduce costs by consolidating real estate locations. For additional information on our 300 Binney Street lease modification, please read Note 12, Leases, to our consolidated financial statements included in this report.
North Carolina
In RTP, NC we own approximately 1,040,000 square feet of real estate space, which is summarized as follows:
357,000 square feet of laboratory and office space;
206,000 square foot multi-purpose facility, including an ASO manufacturing suite and administrative space;
175,000 square feet related to a large-scale biologics manufacturing facility;
105,000 square feet related to a small-scale biologics manufacturing facility;
84,000 square feet of warehouse space and utilities; 
70,000 square feet related to a parenteral fill-finish facility; and
43,000 square feet related to a large-scale purification facility.
In addition, we lease approximately 65,000 square feet of warehouse space and 103,000 square feet of office space in Durham, NC. Our North Carolina lease agreements expire at various dates through the year 2031.2025.
In March 2021 we announced our plans to build a new gene therapy manufacturing facility in RTP, NC to support our gene therapy pipeline across multiple therapeutic areas. The new manufacturing facility will be approximately 197,000 square feet and is expected to be operational by the end of 2023, with an estimated total investment of approximately $195.0 million. Construction for this new facility began during the fourth quarter of 2021.
International
Switzerland
In order to support our future growth and drug development pipeline, we are building a large-scale biologics manufacturing facility in Solothurn, Switzerland. We expect this facility to be partially operational during the first half of 2021. Upon completion, thethis facility will include 393,000 square feet related to a large-scale biologics manufacturing facility, 290,000 square feet of warehouse, utilities and support space and 51,000 square feet of administrative space. In the second quarter of 2021 a portion of the facility received a GMP multi-product license from SWISSMEDIC. Solothurn has been approved for the manufacture of ADUHELM and LEQEMBI by the FDA. We estimate the second manufacturing suite at the Solothurn facility will be operational by the end of 2023.
Other International
We lease office space in Baar, Switzerland, our international headquarters; the U.K.; Germany; France; Japan; Canada and numerous other countries. Our international lease agreements expire at various dates through the year 2030.2031.
ItemITEM  3.     Legal ProceedingsLEGAL PROCEEDINGS
For a discussion of legal matters as of December 31, 2020,2022, please read Note 20,21, Litigation, to our consolidated financial statements included in this report, which is incorporated into this item by reference.
ItemITEM  4.     Mine Safety DisclosuresMINE SAFETY DISCLOSURES
Not applicable.
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PART II
ItemITEM 5.     Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity SecuritiesMARKET FOR REGISTRANT'S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND ISSUER PURCHASES OF EQUITY SECURITIES
Market and Stockholder Information
Our common stock trades on The Nasdaq Global Select Market under the symbol “BIIB.” As of February 2, 2021,14, 2023, there were approximately 505448 shareholders of record of our common stock.
Dividends
We have not paid cash dividends since our inception. While we historically have not paid cash dividends and do not have a current intention to pay cash dividends, we continually review our capital allocation strategies, including, among other things, payment of cash dividends, share repurchases and acquisitions.
Issuer Purchases of Equity Securities
The following table summarizes our common stock repurchase activity during the fourth quarter of 2020:2022:
PeriodTotal Number of
Shares Purchased
(#)
Average Price
Paid per Share
($)
Total Number of
Shares Purchased
as Part of Publicly
Announced Programs
(#)
Approximate Dollar Value
of Shares That May Yet Be
Purchased Under
Our Programs ($ in millions)
October 2020— $— — $5,000.0 
November 2020— $— — $5,000.0 
December 20201,620,969 $246.77 — $4,600.0 
Total1,620,969 $246.77 
PeriodTotal Number of
Shares Purchased
(#)
Average Price
Paid per Share
($)
Total Number of
Shares Purchased
as Part of Publicly
Announced Programs
(#)
Approximate Dollar Value
of Shares That May Yet Be
Purchased Under
Our Programs
($ in millions)
October 2022— $— — $2,050.0 
November 2022— $— — $2,050.0 
December 2022— $— — $2,050.0 
Total(1)
— $— 
(1) There were no share repurchases during the fourth quarter of 2022.
In October 2020 our Board of Directors authorized our 2020 Share Repurchase Program, which is a program to repurchase up to $5.0 billion of our common stock.stock (2020 Share Repurchase Program). Our 2020 Share Repurchase Program does not have an expiration date. All share repurchases under our 2020 Share RepurchaseRepurchase Program will be retired. Under our 2020 Share Repurchase Program, we repurchased and retired approximately 3.6 million, 6.0 million and 1.6 million shares of our common stock at a cost of approximately $750.0 million, $1.8 billion and $400.0 million during the yearyears ended December 31, 2020.2022, 2021 and 2020, respectively. Approximately $2.1 billion remained available under our 2020 Share Repurchase Program as of December 31, 2022.
In December 2019 our Board of Directors authorized a program to repurchase up to $5.0 billion of our common stock (December 2019 Share Repurchase Program), which was completed as of September 30, 2020. All shares repurchased under our December 2019 Share Repurchase Program were retired. Under our December 2019 Share Repurchase Program, we repurchased and retired approximately 16.7 million shares of our common stock at a cost of approximately $5.0 billion during the year ended December 31, 2020.
In March 2019 our Board of Directors authorized a program to repurchase up to $5.0 billion of our common stock (March 2019 Share Repurchase Program), which was completed as of March 31, 2020. All shares repurchased under our March 2019 Share Repurchase Program were retired. Under our March 2019 Share Repurchase Program, we repurchased and retired approximately 4.1 million and 14.7 million shares of our common stock at a cost of approximately $1.3 billion and $3.7 billion during the years ended December 31, 2020 and 2019, respectively.
In August 2018 our Board of Directors authorized a program to repurchase up to $3.5 billion of our common stock (2018 Share Repurchase Program), which was completed as of June 30, 2019. All share repurchases under our 2018 Share Repurchase Program were retired. Under our 2018 Share Repurchase Program, we repurchased and retired approximately 8.9 million and 4.3 million shares of our common stock at a cost of approximately $2.1 billion and $1.4 billion during the years ended December 31, 2019 and 2018, respectively.
In July 2016 our Board of Directors authorized a program to repurchase up to $5.0 billion of our common stock (2016 Share Repurchase Program), which was completed as of June 30, 2018. All share repurchases under our 2016 Share Repurchase Program were retired. Under our 2016 Share Repurchase Program, we repurchased and retired approximately 10.5 million shares of common stock at a cost of approximately $3.0 billion during the year ended December 31, 2018.2020.
In August 2022 the IRA was signed into law. Among other things, the IRA levies a 1.0% excise tax on net stock repurchases after December 31, 2022. Historically, we have made discretionary share repurchases.
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Performance Graph
The performance graph below compares the five-year cumulative total stockholder return on our common stock, the Nasdaq Pharmaceutical Index, the S&P 500 Index and the Nasdaq Biotechnology Index.
On February 1, 2017, we completed the spin-off of our hemophilia business, Bioverativ Inc. (Bioverativ), as an independent, publicly traded company. In connection with the spin-off, each Biogen shareholder received one share of Bioverativ common stock for every two shares of Biogen common stock they owned. For additional information on the spin-off of our hemophilia business, please read Note 3, Hemophilia Spin-Off, to our consolidated financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2018.
The performance graph below assumes the investment of $100.00 on December 31, 2015,2017, in our common stock and each of the three indexes, with dividends being reinvested. Our stock prices have been adjusted for the effect of the spin-off of our hemophilia business. The five-year cumulative total stockholder return for Biogen does not reflect the reinvestment by Biogen shareholders of the distribution they received in connection with the spin-off of our hemophilia business or any subsequent increase or decrease in value of Bioverativ stock subsequent to the spin-off.
The stock price performance in the graph below is not necessarily indicative of future price performance.
biib-20201231_g19.jpgbiib-20221231_g22.jpg
201520162017201820192020201720182019202020212022
Biogen Inc.Biogen Inc.$100.00$92.57$112.74$106.49$105.01$86.65Biogen Inc.$100.00$94.46$93.14$76.86$75.31$86.92
Nasdaq Pharmaceutical IndexNasdaq Pharmaceutical Index$100.00$98.91$117.83$127.20$145.65$160.97Nasdaq Pharmaceutical Index$100.00$107.95$123.62$136.62$169.94$189.23
S&P 500 IndexS&P 500 Index$100.00$111.96$136.40$130.42$171.49$203.04S&P 500 Index$100.00$95.62$125.72$148.85$191.58$156.88
Nasdaq Biotechnology IndexNasdaq Biotechnology Index$100.00$78.65$95.69$87.21$109.11$137.94Nasdaq Biotechnology Index$100.00$91.14$114.02$144.15$144.18$129.59
The information included under the heading Performance Graph is “furnished” and not “filed” for purposes of Section 18 of the Securities Exchange Act, or otherwise subject to the liabilities of that section, nor shall it be deemed to be “soliciting material” subject to Regulation 14A or incorporated by reference in any filing under the Securities Act of 1933 or the Securities Exchange Act of 1934.
ITEM 6.    RESERVED
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Item 6.     Selected Financial Data
BIOGEN INC. AND SUBSIDIARIES
SELECTED FINANCIAL DATA
Our results of operations are summarized as follows:
 For the Years Ended December 31,
(In millions, except per share amounts)20202019201820172016
Results of Operations
Product revenues, net$10,692.2 $11,379.8 $10,886.8 $10,354.7 $9,817.9 
Revenues from anti-CD20 therapeutic programs1,977.8 2,290.4 1,980.2 1,559.2 1,314.5 
Other revenues774.6 707.7 585.9 360.0 316.4 
Total revenues13,444.6 14,377.9 13,452.9 12,273.9 11,448.8 
Total cost and expenses8,894.5 7,335.3 7,564.3 6,928.1 6,297.1 
Income from operations4,550.1 7,042.6 5,888.6 5,345.8 5,151.7 
Other income (expense), net497.4 83.3 11.0 (217.0)(218.7)
Income before income tax expense and equity in loss of investee, net of tax5,047.5 7,125.9 5,899.6 5,128.8 4,933.0 
Income tax expense992.3 1,158.0 1,425.6 2,458.7 1,237.3 
Equity in loss of investee, net of tax(5.3)79.4 — — — 
Net income4,060.5 5,888.5 4,474.0 2,670.1 3,695.7 
Net income (loss) attributable to noncontrolling interests, net of tax59.9 — 43.3 131.0 (7.1)
Net income attributable to Biogen Inc.$4,000.6 $5,888.5 $4,430.7 $2,539.1 $3,702.8 
Diluted Earnings Per Share
Diluted earnings per share attributable to Biogen Inc.$24.80 $31.42 $21.58 $11.92 $16.93 
Weighted-average shares used in calculating diluted earnings per share attributable to Biogen Inc.161.3 187.4 205.3 213.0 218.8 
Our financial condition is summarized as follows:
As of December 31,
(In millions)20202019201820172016
Financial Condition
Cash, cash equivalents and marketable securities$3,382.2 $5,884.0 $4,913.9 $6,746.3 $7,724.5 
Total assets$24,618.9 $27,234.3 $25,288.9 $23,652.6 $22,876.8 
Notes payable, less current portion$7,426.2 $4,459.0 $5,936.5 $5,935.0 $6,512.7 
Total Biogen Inc. shareholders’ equity$10,700.3 $13,343.2 $13,039.6 $12,612.8 $12,140.1 
The financial data included within the tables above should be read in conjunction with our consolidated financial statements and related notes and Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations included in this report and our previously filed Annual Reports on Form 10-K.

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ItemITEM 7.     Management’s Discussion and Analysis of Financial Condition and Results of OperationsMANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
The following discussion should be read in conjunction with our consolidated financial statements and the accompanying notes beginning on page F-1 of this report.
For our discussion of the year ended December 31, 2019,2021, compared to the year ended December 31, 2018,2020, please read Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations located in our Annual Report on Form 10-K for the year ended December 31, 2019.2021.
Executive Summary
Introduction
Biogen is a global biopharmaceutical company focused on discovering, developing and delivering worldwide innovative therapies for people living with serious neurological and neurodegenerativecomplex diseases as well as related therapeutic adjacencies. Our core growth areas includeworldwide. We have a broad portfolio of medicines to treat MS, and neuroimmunology; Alzheimer's disease and dementia; neuromuscular disorders, includinghave introduced the first approved treatment for SMA and ALS; movement disorders, including Parkinson's disease; ophthalmology; and neuropsychiatry.co-developed two treatments to address a defining pathology of Alzheimer’s disease. We are also focused on discovering, developingadvancing our pipeline in neurology, neuropsychiatry, specialized immunology and delivering worldwide innovative therapies in our emerging growth areas of immunology; acute neurology; and neuropathic pain. In addition, we commercialize biosimilars of advanced biologics.rare diseases. We support our drug discovery and development efforts through the commitment of significant resources to discovery,internal research and development programs and business development opportunities.external collaborations.
Our marketed products include TECFIDERA, VUMERITY, AVONEX, PLEGRIDY, TYSABRI and FAMPYRA for the treatment of MS; SPINRAZA for the treatment of SMA; ADUHELM for the treatment of Alzheimer's disease; and FUMADERM for the treatment of severe plaque psoriasis. We also collaborate with Eisai on the commercialization of LEQEMBI for the treatment of Alzheimer's disease, which was granted accelerated approval by the FDA in January 2023. We have certain business and financial rights with respect to RITUXAN for the treatment of non-Hodgkin's lymphoma, CLL and other conditions; RITUXAN HYCELA for the treatment of non-Hodgkin's lymphoma and CLL; GAZYVA for the treatment of CLL and follicular lymphoma; OCREVUS for the treatment of PPMS and RMS; LUNSUMIO (mosunetuzumab), which was granted accelerated approval in the U.S. during the fourth quarter of 2022 for the treatment of relapsed or refractory follicular lymphoma; glofitamab, an investigational bispecific antibody for the potential treatment of non-Hodgkin's lymphoma; and have the option to add other potential anti-CD20 therapies, pursuant to our collaboration arrangements with Genentech. For additional information on our collaboration arrangements with Genentech, please read Note 18, Collaborative and Other Relationships, to our consolidated financial statements included in this report.a wholly-owned member of the Roche Group.
Our innovative drug developmentIn addition to continuing to invest in new potential innovation in MS and commercialization activitiesSMA we are complemented byadvancing our biosimilar business that expands access to medicinesmid-to-late stage programs including zuranolone for MDD and reduces the cost burdenPPD, BIIB080 for healthcare systems. Through our agreements with Samsung Bioepis, our joint venture with Samsung BioLogics, we marketAlzheimer's disease, tofersen for ALS and sellboth litifilimab and dapirolizumab pegol for certain forms of lupus.
We also commercialize biosimilars of advanced biologics including BENEPALI, an etanercept biosimilar referencing ENBREL, IMRALDI, an adalimumab biosimilar referencing HUMIRA, and FLIXABI, an infliximab biosimilar referencing REMICADE, in certain countries in Europe, and have an option to acquire exclusive rights to commercialize these products in China. Additionally, we have exclusive rights to commercialize two potential ophthalmology biosimilar products, SB11,as well as BYOOVIZ, a proposed ranibizumab biosimilar referencing LUCENTIS, in the U.S. We continue to develop potential biosimilar products including BIIB800, a proposed tocilizumab biosimilar referencing ACTEMRA, and SB15, a proposed aflibercept biosimilar referencing EYLEA, in major markets worldwide, including the U.S., Canada, Europe, Japan and Australia. EYLEA. In February 2023 we announced that we are exploring strategic options for our biosimilars business.
For additional information on our collaboration arrangements, with Samsung Bioepis, please read Note 18,19, Collaborative and Other Relationships, to our consolidated financial statements included in this report.
We seek to ensure an uninterrupted supply of medicines to our patients around the world. To that end, we continually review our manufacturing capacity, capabilities, processes and facilities. In order to support our future growth and drug development pipeline, we are expanding our large molecule production capacity by building a large-scale biologics manufacturing facility in Solothurn, Switzerland, which we expect toSwitzerland. In the second quarter of 2021 a portion of the facility received a GMP multi-product license from SWISSMEDIC. Solothurn has been approved for the manufacture of ADUHELM and LEQEMBI by the FDA. We estimate the second manufacturing suite at the Solothurn facility will be partially operational duringby the first halfend of 2021.2023. We believe that the Solothurn manufacturing facility will provide us withsupport our anticipated near-term needs for the abilitymanufacturing of biologic assets. If we are unable to further expand iffully utilize our future growthmanufacturing facilities, due to lower than forecasted demand for our products, we will incur excess capacity charges which will have a negative effect on our financial condition and drug development plans increase.results of operations.
Our revenues dependrevenue depends upon continued sales of our products as well as the financial rights we have in our anti-CD20 therapeutic programs, and, unless we develop, acquire rights to and/or commercialize new products and technologies, we will be substantially dependent on sales from our products and our financial rights in our anti-CD20 therapeutic programs for many years.
In the longer term, our revenue growth will depend upon the successful clinical development, regulatory approval and launch of new commercial
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products as well as additional indications for our existing products, our ability to obtain and maintain patents and other rights related to our marketed products, assets originating from our research and development efforts and/or successful execution of external business development opportunities.
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Business Environment
For a detailed discussion on our business environment, please read Item 1. Business, included in this report. For additional information on our competition and pricing risks that could negatively impact our product sales, please read Item 1A. Risk Factors, and Item 7A. Quantitative and Qualitative Disclosures About Market Riskincluded in this report.
TECFIDERAADUHELM (aducanumab)
U.S.
In June 2020 and September 2020 judgments were entered2021 the FDA granted accelerated approval of ADUHELM, which, until March of 2022, we had been collaborating on with Eisai, based on reduction in favoramyloid beta plaques observed in patients treated with ADUHELM. As part of the defendantsaccelerated approval, we are required to conduct a confirmatory trial to verify the clinical benefit of ADUHELM in patients with Alzheimer’s disease. The FDA may withdraw approval if, among other things, the confirmatory trial fails to verify clinical benefit of ADUHELM, ADUHELM's benefit-risk is no longer positive or we fail to comply with the conditions of the accelerated approval.
In April 2022 the CMS released a final NCD for the class of anti-amyloid treatments in Alzheimer's disease, including ADUHELM. The final NCD confirmed coverage with evidence development, in which patients with Medicare can only access treatment if they are part of an approved clinical trial. This decision effectively resulted in denying all Medicare beneficiaries access to ADUHELM. We expect that this decision will reduce future demand for ADUHELM to a minimal level.
During the first quarter of 2022, as a result of the final NCD, we recorded approximately $275.0 million of charges associated with the write-off of inventory and purchase commitments in excess of forecasted demand related to ADUHELM. Additionally, for the year ended December 31, 2022, we recorded approximately $111.0 million of aggregate gross idle capacity charges related to ADUHELM. These charges were recorded in cost of sales within our consolidated statements of income for the year ended December 31, 2022.
We have recognized approximately $197.0 million related to Eisai's 45.0% share of inventory, idle capacity charges and contractual commitments in collaboration profit (loss) sharing
within our consolidated statements of income for the year ended December 31, 2022.
Additionally, as a result of the final NCD we have substantially eliminated our commercial infrastructure supporting ADUHELM, retaining minimal resources to manage patient access programs, including a continued free drug program for patients currently on treatment in the patent infringement proceedings relatingU.S.
We expect to TECFIDERA Orange-Book listed patents pursuantcontinue funding certain regulatory and research and development activities for ADUHELM, including the continuation of the EMBARK re-dosing study and the Phase 4 post-marketing requirement study, ENVISION. Additional actions regarding ADUHELM may be informed by upcoming data readouts expected for this class of antibodies, as well as further engagement with the FDA and CMS.
On March 14, 2022, we amended our ADUHELM Collaboration Agreement with Eisai. As of the amendment date, we have sole decision making and commercialization rights worldwide on ADUHELM, and beginning January 1, 2023, Eisai receives only a tiered royalty based on net sales of ADUHELM, and no longer participates in sharing ADUHELM's global profits and losses. Eisai's share of development, commercialization and manufacturing expense was limited to $335.0 million for the Hatch-Waxman Actperiod from January 1, 2022 to December 31, 2022, which was achieved as of December 31, 2022. Once this limit was achieved, we became responsible for all ADUHELM related costs.
Rest of World
In October 2020 the EMA accepted for review the MAA for aducanumab and in West VirginiaDecember 2020 the Ministry of Health, Labor and Delaware.Welfare (MHLW) accepted for review the Japanese NDA for aducanumab.
In December 2021 the CHMP of the EMA adopted a negative opinion on the MAA for aducanumab in Europe. We have appealedsought re-examination of the judgmentsopinion by the CHMP. In April 2022 we announced our decision to withdraw our MAA for aducanumab in both actions. For additional information, please read Note 20, Litigation, to our consolidated financial statements included in this report.Europe.
TECFIDERA
Multiple TECFIDERA generic entrants are now in the U.S. marketNorth America, Brazil and certain E.U. countries and have deeply discounted prices compared to TECFIDERA. The generic competition for TECFIDERA has significantly reduced our TECFIDERA revenues duringrevenue and we expect that TECFIDERA revenue will continue to decline in the year ended December 31, 2020,future.
In the E.U., we are seeking to enforce a patent granted in June 2022 that relates to TECFIDERA and expires in 2028. In addition, we are litigating to affirm that TECFIDERA is expectedentitled to regulatory data and
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market protection until at least February 2024. Our Company, the EMA and the EC have each appealed the May 2021 decision of the European General Court, which annulled the EMA's decision not to validate an application for approval of a substantial negative impactTECFIDERA generic on our TECFIDERA revenues forthe basis that the EMA and EC conducted the wrong assessment when determining TECFIDERA's entitlement to regulatory data and marketing protection. Our Company, the EMA and the EC have each appealed the General Court’s decision as long as therewrongly decided and the appeal is generic competition. pending. On October 6, 2022, the Advocate General of the CJEU issued a nonbinding advisory opinion in Biogen's favor. This opinion recommends that the CJEU set aside the judgment of the European General Court. We are awaiting the decision of the CJEU.
For additional information, please readNote 21, Litigation, to our consolidated financial statements included in this report and the discussion under Results of Operations - Product RevenuesRevenue - Multiple Sclerosis (MS) - Fumarate below.
Business Update Regarding COVID-19 and Other Disruptions
COVID-19
The COVID-19 pandemic continues to present a substantial public health and economic challenge around the world. The length of time and full extent to which the COVID-19 pandemic directly or indirectly impacts our business, results of operations and financial condition, including sales, expense, reserves and allowances, the supply chain, manufacturing, clinical trials, research and development costs and employee-related costs, depends on future developments that are highly uncertain, subject to change and are difficult to predict, including as a result of new information that may emerge concerning COVID-19 and the actions taken to contain or treat COVID-19 as well as the economic impact on local, regional, national and international customers and markets.
We are monitoring the demand for our products, including the duration and degree to which we may see delays in starting new patients on a product due to hospitals diverting the resources that are necessary to administer certain of our products to care for COVID-19 patients, including products, such as TYSABRI and SPINRAZA, that are administered in a physician's office or hospital setting. We may also see reduced demand for immunosuppressant therapies during the COVID-19 pandemic.
While we are currently continuing the clinical trials we have underway in sites across the globe,
COVID-19 precautions have impacted the timeline for some of our clinical trials and these precautions may,
directly or indirectly, have a further impact on timing in the future. For example,
Geopolitical Tensions
The ongoing geopolitical tensions related to Russia's invasion of Ukraine have resulted in global business disruptions and economic volatility, including sanctions and other restrictions levied on the government and businesses in Russia. Although we do not have affiliates or employees, in either Russia or Ukraine, we do provide various therapies to patients in Russia through a distributor and are currently involved in clinical trials with sites in Ukraine and Russia. The timing and costs of these trials may be impacted as a result of the conflict. In addition, new government sanctions on the export of certain manufacturing materials to Russia may delay or limit our Phase 3 study of BIIB093 for LHI, a severe form of ischemic stroke, has been delayed as this study involves administration of BIIB093 in an acute hospital setting. To help mitigate theability to get new products approved.
The impact of the conflict on our operations and financial performance remains uncertain and will depend on future developments, including the severity and duration of the conflict, its impact on regional and global economic conditions and whether the conflict spreads or has effects on countries outside Ukraine and Russia. Revenue generated from sales in these regions represented less than 2.0% of total product revenue for the years ended December 31, 2022 and 2021.
We will continue to monitor the ongoing conflict between Russia and Ukraine and assess any potential impacts on our business, supply chain, partners or customers, as well as any factors that could have an adverse effect on our results of operations.
Factors such as the COVID-19 pandemic toand other global health outbreaks, adverse weather events, geopolitical events, labor or raw material shortages and other supply chain disruptions could result in product shortages or other difficulties and delays or increased costs in manufacturing our clinical trials, we are pursuing innovative approaches such as remote monitoring, remote patient visits and supporting home infusions. These alternative measures have resulted in an immaterial increase to the cost of the clinical trials underway.products.
For additional information on the various risks posed by the COVID-19 pandemic and the conflict in Ukraine, please readItem 7A. Quantitative and Qualitative Disclosures About Market Risk and Item 1A. Risk Factors, included in this report.
Brexit
Effective January 31, 2020, the U.K. ceased to be a member state of the E.U., a process known as Brexit, and began a transition period, which expired on December 31, 2020.
In December 2020 the U.K. and the E.U. agreed on a trade and cooperation agreement, under which the E.U. and the U.K. will now form two separate markets governed by two distinct regulatory and legal regimes. The trade and cooperation agreement covers the general objectives and framework of the relationship between the U.K. and the E.U., including as it relates to trade, transport and visas. Notably, under the trade and cooperation agreement, U.K. service suppliers no longer benefit from automatic access to the entire E.U. single market, U.K. goods no longer benefit from the free movement of goods and there is no longer the free movement of people between the U.K. and the E.U. Depending on the application of the terms of the trade and cooperation agreement, we could face new regulatory costs and challenges.
We do not expect Brexit to have a material impact on our consolidated results of operations as less than 4.0% of our total product revenues in 2020, 2019 and 2018 were derived from U.K. sales. However, we cannot predict the direction Brexit-related developments will take nor the impact of those developments on our European operations and the economies of the markets where we operate. Brexit could lead to legal uncertainty and potentially divergent national laws and regulations as the U.K. determines which E.U. laws to replace or replicate, including U.K. competition laws. Therefore, we will continue to monitor for developments in this area and assess any potential impacts on our business and results of operations.
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Inflation Reduction Act of 2022
In August 2022 the IRA was signed into law in the U.S. The IRA introduced new tax provisions, including a 15.0% corporate alternative minimum tax and a 1.0% excise tax on stock repurchases. The provisions of the IRA will be effective for periods after December 31, 2022. The enactment of the IRA did not result in any material adjustments to our income tax provision or net deferred tax assets as of December 31, 2022. We expect additional guidance and regulations to be issued in future periods and will continue to assess its potential impact on our business and results of operations as further information becomes available.
The IRA also contains substantial drug pricing reforms that may have a significant impact on the pharmaceutical industry in the U.S. This includes allowing CMS to negotiate a maximum fair price for certain high-priced single source Medicare drugs, as well as redesigning Medicare Part D to reduce out-of-pocket prescription drug costs for beneficiaries, potentially resulting in higher contributions from plans and manufacturers. The IRA also establishes drug inflationary rebate requirements to penalize manufacturers from raising the prices of Medicare covered single-source drugs and biologics beyond the inflation-adjusted rate. Further, to incentivize biosimilar development, the IRA provides an 8.0% Medicare Part B add-on payment for qualifying biosimilar products for a five-year period.
The overall impact that the IRA will have on our business, results of operations and financial condition, and the impact on the pharmaceutical industry as a whole is not yet known. We will continue to assess as further information becomes available.
Financial Highlights
Diluted earnings per share attributable to Biogen Inc. were $24.80$20.87 for 2020,2022, representing a decreasean increase of 21.1%100.7% as compared to $31.42$10.40 in the same period in 2019.2021.
As described below under Results of Operations, our net income and diluted earnings per share attributable to Biogen Inc. for the year ended December 31, 2020,2022, compared to the year ended December 31, 2019,2021, reflects the following:
RevenuesRevenue
Total revenues were $13,444.6revenue was $10,173.4 million for 2020,2022, representing aan $808.3 million, or 7.4%, decrease of 6.5% as compared to $14,377.9$10,981.7 million in 2019.2021.
Product revenues,revenue, net totaled $10,692.2$7,987.8 million for 2020,2022, representing aan $859.1 million, or 9.7%, decrease of 6.0% as compared to $11,379.8$8,846.9 million in 2019.2021. This decrease was primarily due to a $697.2$666.5 million, or 8.2%10.9%, decrease in MS product revenues and
revenue, a $44.9$111.6 million, or 2.1%5.9%, decrease in revenues from SPINRAZA partially offset by a $57.5product revenue and an $80.0 million, or 7.8%9.6%, increasedecrease in revenuesrevenue from our biosimilar business. Product revenues, net, compared to the same period in 2019, further reflects the unfavorable impact of foreign currency exchange of $111.6 million.
The decrease in MS product revenuesrevenue of $666.5 million, or 10.9%, from $6,096.7 million in 2021 to $5,430.2 million in 2022, was primarily due to a decrease in TECFIDERA demand and price as a result of multiple TECFIDERA generic entrants enteringin North America, Brazil and certain E.U. countries, and a decrease in Interferon demand due to competition as patients transition to higher efficacy and oral MS therapies.
The decrease in SPINRAZA revenue of $111.6 million, or 5.9%, from $1,905.1 million in 2021 to $1,793.5 million in 2022, was primarily due to country mix, the U.S. market duringunfavorable impact of foreign currency exchange and the year ended December 31, 2020.timing of shipments, partially offset by an increase in sales volumes. The increase in sales volumes reflects growth in certain Asian markets, partially offset by a decrease in sales volumes from increased competition in certain established markets, particularly Germany and Japan.
The decrease in revenue from our biosimilar business of $80.0 million, or 9.6%, from $831.1 million in 2021 to $751.1 million in 2022, was primarily due to unfavorable pricing and the unfavorable impact of foreign currency exchange, partially offset by an increase in sales volumes.
RevenuesRevenue from anti-CD20 therapeutic programs totaled $1,977.8$1,700.5 million for 2020,2022, representing a decrease of 13.6% as$42.0 million, or 2.5%, increase compared to $2,290.4$1,658.5 million in 2019.2021. This decreaseincrease was primarily due to a $490.7$144.6 million, or 31.7%14.6%, increase in royalty revenue on sales of OCREVUS, partially offset by a $103.4 million, or 18.0%, decrease in RITUXAN revenues, partially offset by a $157.9 million, or 23.0%, increase in royalty revenues on sales of OCREVUS.revenue. Sales of RITUXAN have been adversely affected primarily by the onset of biosimilars competition in the U.S.biosimilar competition.
Other revenuesrevenue totaled $774.6$485.1 million for 2020,2022, representing ana $8.8 million, or 1.8%, increase of 9.5% over $707.7from $476.3 million in 2019. This increase was due to higher contract manufacturing revenues, primarily resulting from $346.2 million in revenues related to the delivery of the license for certain of our manufacturing-related intellectual property to a contract manufacturing customer.2021.
ExpensesExpense
Total cost and expenses were $8,894.5expense was $6,581.6 million for 2020,2022, representing an increase of 21.3% from $7,335.3a $2,654.9 million, or 28.7%, decrease compared to $9,236.5 million in 2019. This increase was2021.
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Research and development expense decreased $270.1 million, or 10.8%, from $2,501.2 million in 2021 to $2,231.1 million in 2022, primarily due to a $1,710.3higher upfront payments in 2021. In 2021 we recorded approximately $285.0 million or 75.0%of upfront payments related to our collaborations with InnoCare, Ionis, Bio-Thera, Genentech, Capsigen Inc., increaseand Ginkgo Bioworks, as compared to $28.5 million in research2022. In addition, $39.1 million of estimated clinical trial closeout costs and development expense.manufacturing commitments associated with BIIB111 (timrepigene emparvovec) and BIIB112 (cotoretigene toliparvovec) were recorded in 2021.
The increase in research and development expense was primarily due to $1,893.3 million in charges recognized in connection with upfront payments associated with entering into our collaborations with Sangamo, Denali and Sage.
This increase was partially offset by:
a 5.1% decrease in amortizationAmortization and impairment of acquired intangible assets; andassets decreased $515.4 million, or 58.5%, from $881.3 million in 2021 to $365.9 million in 2022, primarily due to higher impairment charges recorded in 2021. In 2021 we recorded $629.3 million of impairment charges, as compared to $119.6 million in 2022.
The decrease in cost and expense was also due to a $92.5pre-tax gain of $503.7 million gain recognized in 2020 associated with2022 related to the divestituresale of one of our Hillerød, Denmark manufacturing operations.buildings.
Other (income) expense, net for 2022 reflected a pre-tax gain of $1.5 billion related to the sale of our 49.9% equity interest in Samsung Bioepis, partially offset by a pre-tax charge of $900.0 million, plus settlement fees and expenses, related to a litigation settlement agreement to resolve a qui tam litigation relating to conduct prior to 2015.
As described below under Financial Condition, Liquidity and Capital Resources:
We generated $4,229.8$1,384.3 million of net cash flowsflow from operations for 2020.2022.
Cash, cash equivalents and marketable securities totaled approximately $3,382.2$5,598.5 million as of December 31, 2020.2022.
We repurchased and retired approximately 22.43.6 million shares of our common stock at a cost of approximately $6.7 billion$750.0 million during 20202022 under our 2020 December 2019 and March 2019 Share Repurchase Programs.Program. Approximately $2.1 billion remained available under our 2020 Share Repurchase Program as of December 31, 2022.
Acquisitions,
Developments in Key Collaborative and Other Relationships
For additional information on our acquisitions, collaborative and other relationships discussed below, please read Note 2, Acquisitions, Note 18,19, Collaborative and Other Relationships and Note 19, Investments in Variable Interest Entities, to our consolidated financial statements included in this report.
BIIB118 AcquisitionEisai Collaboration Agreements
LEQEMBI (lecanemab) Collaboration Agreement
In January 2023 we and Eisai announced that the FDA granted accelerated approval of LEQEMBI, an anti-amyloid antibody for the treatment of Alzheimer's disease. Additionally, in January 2023 we and Eisai announced the completed submission of a supplemental BLA to the FDA for traditional approval of LEQEMBI.
In January 2023 the EMA accepted for review the MAA for lecanemab.
In January 2023 Eisai completed the submission of a MAA to the PMDA in Japan for lecanemab, and was granted Priority Review by the Japanese Ministry of Health, Labor and Welfare.
In December 2022 Eisai initiated a rolling submission of a BLA to the NMPA of China for the approval of lecanemab.
In March 20202022 we acquired BIIB118, a novel CNS-penetrant small molecule inhibitor of casein kinase 1,extended our supply agreement with Eisai related to LEQEMBI from five years to ten years for the potential treatmentmanufacture of patientsLEQEMBI drug substance.
ADUHELM Collaboration Agreement
On March 14, 2022, we amended our ADUHELM Collaboration Agreement with behavioralEisai. As of the amendment date, we have sole decision making and neurological symptoms across various psychiatriccommercialization rights worldwide on ADUHELM, and neurological diseases from Pfizer. We are developing BIIB118beginning January 1, 2023, Eisai receives only a tiered royalty based on net sales of ADUHELM, and no longer participates in sharing ADUHELM's global profits and losses. Eisai's share of development, commercialization and manufacturing expense was limited to $335.0 million for the potential treatmentperiod from January 1, 2022 to December 31, 2022, which was achieved as of ISWRD in Parkinson’s disease and plan to develop
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BIIB118December 31, 2022. Once this limit was achieved, we became responsible for the potential treatment of sundowning in Alzheimer's disease.all ADUHELM related costs.
For additional information on our acquisition of BIIB118,collaboration arrangements with Eisai, please read Note 2, Acquisitions,19, Collaborative and Other Relationships, to our consolidated financial statements included in this report.report.
Sangamo Therapeutics, Inc.
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Zuranolone (BIIB125)
In April 2020June 2022 we closedand our collaboration partner Sage announced that the Phase 3 SKYLARK study of zuranolone, for the potential treatment of MDD and PPD, met its primary and all key secondary endpoints.
In December 2022 we and Sage completed the rolling submission of a collaborationNDA to the FDA for the approval of zuranolone for the potential treatment of MDD and license agreementPPD. This submission completes the NDA filing initiated earlier in 2022.
In February 2023 the FDA accepted the NDA and granted Priority Review for zuranolone, with Sangamo to develop and commercialize ST-501 for tauopathies, including Alzheimer's disease; ST-502 for synucleinopathies, including Parkinson’s disease; a third neuromuscular disease target; and up to nine additional neurological disease targets to be identified and selected within a five-year period.PDUFA action date of August 5, 2023.
For additional information on our collaboration arrangement with Sangamo,Sage, please read Note 18,19, Collaborative and Other Relationships, to our consolidated financial statements included in this report.
DenaliGenentech
LUNSUMIO (mosunetuzumab)
In January 2022 we exercised our option with Genentech to participate in the joint development and commercialization of LUNSUMIO (mosunetuzumab), a bispecific antibody for the treatment of relapsed or refractory follicular lymphoma. In connection with this exercise, we recorded a $30.0 million option exercise fee payable to Genentech in December 2021.
In December 2022 Genentech announced that the FDA granted accelerated approval of LUNSUMIO, which was also approved by the EC in June 2022.
Glofitamab
In December 2022 we reached an agreement with Genentech related to the commercialization and sharing of economics for glofitamab, an investigational T-cell engaging bispecific antibody targeting CD20 and CD3 for the potential treatment of B-cell non-Hodgkin's lymphoma.
For additional information on our collaboration arrangements with Genentech, please read Note 19, Collaborative and Other Relationships, to our consolidated financial statements included in this report.
Other Collaborative Relationships
Alcyone Therapeutics Inc.
In December 2022 we entered into a license and collaboration agreement with Alcyone to jointly develop the ThecaFlex DRx™ System, an implantable medical device intended for subcutaneous delivery of ASO therapies with a goal of improving the patient treatment experience and accessibility for people suffering from neurological disorders, such as SMA and ALS. Under the terms of this collaboration, we
and Alcyone will jointly develop the ThecaFlex DRx™ System and Alcyone will be solely responsible for its manufacture and commercialization. In connection with this transaction, we made an upfront payment of $10.0 million to Alcyone.
Other Key Developments
Tofersen (BIIB067)
In July 2022 we announced that the FDA accepted the NDA and granted Priority Review for tofersen, an investigational antisense drug being evaluated for people with SOD1 ALS, which currently has a PDUFA action date of April 25, 2023. In December 2022 the EMA accepted for review the MAA for tofersen.
BIIB800 (referencing ACTEMRA)
In September 2022 we and our collaboration partner Bio-Thera announced that the EMA accepted for review the MAA for BIIB800, a proposed tocilizumab biosimilar referencing ACTEMRA, an anti-interleukin-6 receptor monoclonal antibody, for the treatment of severe, active and progressive rheumatoid arthritis. In December 2022 the FDA accepted for review the abbreviated BLA for BIIB800.
BIIB122 (DNL151)
In October 20202022 we closed aand our collaboration and license agreement with partnerDenali to co-develop and co-commercialize Denali's small molecule inhibitorsannounced the initiation of LRRK2the Phase 3 LIGHTHOUSE study of BIIB122 for the potential treatment of Parkinson's disease.In addition to the LRRK2 program, we also have an exclusive option to license two preclinical programs from Denali’s Transport Vehicle platform, including its Antibody Transport Vehicle: Abeta program and a second program utilizing its Transport Vehicle technology. Further, we have a right of first negotiation on two additional Transport Vehicle-enabled therapeutics, should Denali decide to seek a collaboration for such programs.
For additional information on our collaboration arrangement with Denali, please read Note 18,19, Collaborative and Other Relationships,to our consolidated financial statements included in this report.
Corporate Matters
Samsung Bioepis - Biogen's Joint Venture with Samsung BioLogics
In April 2022 we completed the sale of our 49.9% equity interest in Samsung Bioepis to Samsung BioLogics. Under the terms of this transaction, we received approximately $1.0 billion in cash at closing and expect to receive approximately $1.3 billion in cash to be deferred over two payments of approximately $812.5 million due at the first anniversary and approximately $437.5 million due at the second anniversary of the closing of this transaction.
As part of this transaction, we are also eligible to receive up to an additional $50.0 million upon the achievement of certain commercial milestones. Our policy for contingent payments of this nature is to recognize the payments in the period that they become realizable, which is generally the same period in which the payments are earned.
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For additional information on the sale of our equity interest in Samsung Bioepis, please read Note 3, Dispositions, to our consolidated financial statements included in this report.
Sage Therapeutics, Inc.2022 Cost Saving Initiatives
In December 20202021 and May 2022 we closedannounced our plans to implement a global collaborationseries of cost-reduction measures that when completed we expect may yield approximately $1.0 billion in expense savings. These savings are being achieved through a number of initiatives, including reductions to our workforce, the substantial elimination of our commercial ADUHELM infrastructure, the consolidation of certain real estate locations and license agreement with Sageoperating efficiency gains across our selling, general and administrative and research and development functions.
Under these initiatives, we estimate we will incur total restructuring charges of approximately $131.0 million, primarily related to jointly developseverance. These amounts were substantially incurred during 2022. As of December 31, 2022, approximately $35.9 million remained in our restructuring reserve and commercialize zuranolone for the
potential treatment of major depressive disorder, postpartum depression and other psychiatric disorders and SAGE-324 for the potential treatment of essential tremor and other neurological disorders.payments are expected to be made through 2026.
For additional information on our collaboration arrangement with Sage,2022 cost saving initiatives, please read Note 18, Collaborative and Other Relationships,4, Restructuring, to our consolidated financial statements included in this report.
Other Key Developments
Aducanumab (AB mAb)
Senior Note Redemption
In July 20202022 we redeemed our 3.625% Senior Notes totaling $1.0 billion in aggregate principal amount prior to their maturity on September 15, 2022.
For additional information on the redemption of our Senior Notes, please read Note 13, Indebtedness, to our consolidated financial statements included in this report.
125 Broadway Sale and Leaseback Transaction
In September 2022 we completed the submissionsale of our building and land parcel located at 125 Broadway for an aggregate sales price of approximately $603.0 million, which is inclusive of a BLA$10.8 million tenant allowance. Simultaneously, with the close of this transaction we leased back the building for the approvala term of aducanumabapproximately 5.5 years.
For additional information on our 125 Broadway sale and leaseback transaction, please read Note 11, Property, Plant and Equipment and Note 12, Leases, to the FDA. In August 2020 the FDA accepted the BLA and granted Priority Review with a PDUFA action date on March 7, 2021. In November 2020 the FDA held a virtual meeting of the Advisory Committee to review data supporting the BLA for aducanumab and to vote on questions presented at the meeting. A majority of the Advisory Committee members voted against each of the questions presented at the meeting.our consolidated financial statements included in this report.
In January 2021 the FDA extended the review period for the BLA for aducanumab by three months. The updated PDUFA action date is June 7, 2021. As part of the ongoing review, we submitted a response to an information request by the FDA, including additional analyses and clinical data, which the FDA considered a Major Amendment to the application that will require additional time for review.
In October 2020 the EMA accepted for review the MAA for aducanumab.
In December 2020 the Ministry of Health, Labor and Welfare accepted for review the Japanese New Drug Application for aducanumab.
2020 Share Repurchase Program
In October 2020 our Board of Directors authorized our 2020 Share Repurchase Program, which is a program to repurchase up to $5.0 billion of our common stock. Our 2020 Share Repurchase Program does not have an expiration date. All share repurchases under our 2020 Share Repurchase Program will be retired.
RESULTS OF OPERATIONS
Revenue
Revenue is summarized as follows:
 For the Years Ended December 31,% Change$ Change
 2022
vs.
2021
2021
vs.
2020
2022
vs.
2021
2021
vs.
2020
(In millions, except percentages)202220212020
Product revenue, net:
United States$3,469.3 $3,805.7 $5,900.1 (8.8)%(35.5)%$(336.4)$(2,094.4)
Rest of world4,518.5 5,041.2 4,792.1 (10.4)5.2 (522.7)249.1 
Total product revenue, net7,987.8 8,846.9 10,692.2 (9.7)(17.3)(859.1)(1,845.3)
Revenue from anti-CD20 therapeutic programs1,700.5 1,658.5 1,977.8 2.5 (16.1)42.0 (319.3)
Other revenue485.1 476.3 774.6 1.8 (38.5)8.8 (298.3)
Total revenue$10,173.4 $10,981.7 $13,444.6 (7.4)%(18.3)%$(808.3)$(2,462.9)
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Results of OperationsProduct Revenue
Revenues
Revenues areProduct revenue is summarized as follows:
 For the Years Ended December 31,% Change$ Change
 2020
vs.
2019
2019
vs.
2018
2020
vs.
2019
2019
vs.
2018
(In millions, except percentages)202020192018
Product revenues, net:
United States$5,900.1 $6,713.8 $6,800.5 (12.1)%(1.3)%$(813.7)$(86.7)
Rest of world4,792.1 4,666.0 4,086.3 2.7 14.2 126.1 579.7 
Total product revenues, net10,692.2 11,379.8 10,886.8 (6.0)4.5 (687.6)493.0 
Revenues from anti-CD20 therapeutic programs1,977.8 2,290.4 1,980.2 (13.6)15.7 (312.6)310.2 
Other revenues774.6 707.7 585.9 9.5 20.8 66.9 121.8 
Total revenues$13,444.6 $14,377.9 $13,452.9 (6.5)%6.9 %$(933.3)$925.0 
Product Revenues
Product revenues are summarized as follows:
For the Years Ended December 31,% Change$ Change For the Years Ended December 31,% Change$ Change
2020
vs.
2019
2019
vs.
2018
2020
vs.
2019
2019
vs.
2018
2022
vs.
2021
2021
vs.
2020
2022
vs.
2021
2021
vs.
2020
(In millions, except percentages)(In millions, except percentages)202020192018(In millions, except percentages)202220212020
Multiple Sclerosis (MS):Multiple Sclerosis (MS):Multiple Sclerosis (MS):
Fumarate*$3,905.4 $4,438.2 $4,274.1 (12.0)%3.8 %$(532.8)$164.1 
Interferon**1,877.5 2,101.8 2,363.0 (10.7)(11.1)(224.3)(261.2)
TECFIDERATECFIDERA$1,443.9 $1,951.9 $3,841.1 (26.0)%(49.2)%$(508.0)$(1,889.2)
VUMERITY(1)
VUMERITY(1)
553.4 410.4 64.3 34.8 538.3 143.0 346.1 
Total FumarateTotal Fumarate1,997.3 2,362.3 3,905.4 (15.5)(39.5)(365.0)(1,543.1)
AVONEXAVONEX973.5 1,208.7 1,491.9 (19.5)(19.0)(235.2)(283.2)
PLEGRIDYPLEGRIDY331.9 357.4 385.6 (7.1)(7.3)(25.5)(28.2)
Total InterferonTotal Interferon1,305.4 1,566.1 1,877.5 (16.6)(16.6)(260.7)(311.4)
TYSABRITYSABRI1,946.1 1,892.2 1,864.0 2.8 1.5 53.9 28.2 TYSABRI2,030.9 2,063.1 1,946.1 (1.6)6.0 (32.2)117.0 
FAMPYRAFAMPYRA103.1 97.1 92.7 6.2 4.7 6.0 4.4 FAMPYRA96.6 105.2 103.1 (8.2)2.0 (8.6)2.1 
ZINBRYTA— — 1.4 — nm— (1.4)
Subtotal: MS product revenues7,832.1 8,529.3 8,595.2 (8.2)(0.8)(697.2)(65.9)
Subtotal: MSSubtotal: MS5,430.2 6,096.7 7,832.1 (10.9)(22.2)(666.5)(1,735.4)
Spinal Muscular Atrophy:Spinal Muscular Atrophy:Spinal Muscular Atrophy:
SPINRAZASPINRAZA2,052.1 2,097.0 1,724.2 (2.1)21.6 (44.9)372.8 SPINRAZA1,793.5 1,905.1 2,052.1 (5.9)(7.2)(111.6)(147.0)
Biosimilars:Biosimilars:Biosimilars:
BENEPALIBENEPALI481.6 486.2 485.2 (0.9)0.2 (4.6)1.0 BENEPALI441.0 498.3 481.6 (11.5)3.5 (57.3)16.7 
IMRALDIIMRALDI216.3 184.0 16.7 17.6 nm32.3 167.3 IMRALDI224.5 233.4 216.3 (3.8)7.9 (8.9)17.1 
FLIXABIFLIXABI97.9 68.1 43.2 43.8 57.6 29.8 24.9 FLIXABI81.3 99.4 97.9 (18.2)1.5 (18.1)1.5 
Subtotal: Biosimilar product revenues795.8 738.3 545.1 7.8 35.4 57.5 193.2 
BYOOVIZ(2)
BYOOVIZ(2)
4.3 — — nm— 4.3 — 
Subtotal: BiosimilarsSubtotal: Biosimilars751.1 831.1 795.8 (9.6)4.4 (80.0)35.3 
Other:Other:Other:
FUMADERMFUMADERM12.2 15.2 22.3 (19.7)(31.8)(3.0)(7.1)FUMADERM8.2 11.0 12.2 (25.5)(9.8)(2.8)(1.2)
Total product revenues, net$10,692.2 $11,379.8 $10,886.8 (6.0)%4.5 %$(687.6)$493.0 
ADUHELMADUHELM4.8 3.0 — 60.0 nm1.8 3.0 
Total product revenue, netTotal product revenue, net$7,987.8 $8,846.9 $10,692.2 (9.7)%(17.3)%$(859.1)$(1,845.3)
*Fumarate includes TECFIDERA and VUMERITY. (1)VUMERITY became commercially available in the E.U. during the fourth quarter of 2021.
(2) BYOOVIZ launched in the U.S. in November 2019.
**Interferon includes AVONEXJune 2022 and PLEGRIDY.became commercially available during the third quarter of 2022.
nm Not meaningful.meaningful
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Multiple Sclerosis (MS)
Fumarate
biib-20201231_g20.jpgbiib-20221231_g23.jpg
Fumarate revenues includerevenue includes sales from TECFIDERA and VUMERITY. In October 2019During the FDAfourth quarter of 2021 VUMERITY was approved VUMERITY for the treatment of RMS and VUMERITY became commercially availableRRMS in the U.S. in November 2019.E.U., Switzerland and the U.K.
For 20202022 compared to 2019,2021, the 17.2%13.8% decrease in U.S. Fumarate revenuesrevenue was primarily due to a decrease in TECFIDERA demand and price as a result of multiple TECFIDERA generic entrants enteringin the U.S. market, during the year ended December 31, 2020. This decrease was partially offset by net price increases in TECFIDERA driven by lower pharmacy rebates, managed care rebates and co-pay assistance as well as an increase of approximately $60.0 million in VUMERITY sales which became commercially available in the U.S. in November 2019.volumes.
For 20202022 compared to 2019,2021, the 3.3% increase16.9% decrease in rest of world Fumarate revenuesrevenue was primarily due to an increaseTECFIDERA pricing reductions and a decrease in TECFIDERA sales volumes of 8.6%, partially offsetdemand as multiple TECFIDERA generic entrants entered into markets such as Germany and Canada. The decrease was also driven by pricing reductions in certain European countries and the unfavorable impact of foreign currency exchange. Theexchange, partially offset by an increase in volumes was primarily dueVUMERITY sales volumes.
In the E.U., we are seeking to continued strong patient growthenforce a patent granted in our E.U. direct markets, including Italy, SpainJune 2022 that relates to TECFIDERA and expires in 2028. In addition, we are litigating to affirm that TECFIDERA is entitled to regulatory data and market protection until at least February 2024. Our Company, the EMA and the U.K., as well as growth in Japan and Brazil.
In June 2020 and September 2020 judgments were entered in favorEC have each appealed the May 2021 decision of the defendants inEuropean General Court, which annulled the patent infringement proceedings relatingEMA's decision not to
validate an application for approval of a TECFIDERA Orange-Book listed patents pursuantgeneric on the basis that the EMA and EC conducted the wrong assessment when determining TECFIDERA's entitlement to regulatory data and marketing protection. Our Company, the Hatch-Waxman Act in West VirginiaEMA and Delaware. Wethe EC have each appealed the judgmentsGeneral Court’s decision as wrongly decided and the appeal is pending. On October 6, 2022, the Advocate General of the CJEU issued a nonbinding advisory opinion in both actions.Biogen's favor. This opinion recommends that the CJEU set aside the judgment of the European General Court. We are awaiting the decision of the CJEU.
For additional information, please read Note 20,21, Litigation, to our consolidated financial statements included in this report.
MultipleWe expect that TECFIDERA revenue will continue to decline in 2023, compared to 2022, as a result of generic entrants are nowcompetition in the U.S. marketNorth America, Latin America and have deeply discounted prices
certain E.U. countries.
compared to TECFIDERA. The generic competition for TECFIDERA significantly reduced our TECFIDERA revenues during the year ended December 31, 2020, and is expected to have a substantial negative impact on our TECFIDERA revenues for as long as there is generic competition.
We anticipate an increase in TECFIDERA sales volume in rest of world in 2021, compared to 2020, notwithstanding the increasing competition from additional treatments for MS and potential disruptions due, directly or indirectly, to the COVID-19 pandemic.
We expect an increase in VUMERITY sales volumevolumes in 2023, compared to 2022, mostly due to demand growth in the U.S., mostly driven by and select European markets. We believe that we have resolved previously reported manufacturing issues at our contract manufacturer. In addition, we are in the continued launchprocess of VUMERITY.securing regulatory approval for a secondary source of supply. We do not anticipate a supply shortage in 2023 and are currently focused on rebuilding adequate inventory.
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For additional information on our collaboration arrangement with Alkermes, please read Note 18, Collaborative and Other Relationships, to our consolidated financial statements included in this report.Table of Contents
Interferon
biib-20201231_g21.jpgbiib-20221231_g24.jpg
For 20202022 compared to 2019,2021, the 10.7%18.9% decrease in U.S. Interferon revenuesrevenue was primarily due to a decrease in Interferon sales volumes of 12.0%15.5%. The net decline in sales volumes reflects the continued decline of the Interferon market as patients transition to other higher efficacy and oral MS therapies.
For 20202022 compared to 2019,2021, the 10.5%12.9% decrease in rest of world Interferon revenuesrevenue was primarily due to a decrease in Interferon sales volumes of 7.1%, which negatively impacted comparative revenue6.0% resulting from the continued decline of $48.1 million.the Interferon market as patients transition to higher efficacy and oral MS therapies, as well as the unfavorable impact of foreign currency exchange.
We expect that Interferon revenuesrevenue will continue to decline in both the U.S. and rest of world markets in 2021,2023, compared to 2020,2022, as a result of increasing
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competition from our other MS products as well as other treatments for MS, including biosimilars, and pricing reductions in certain European markets.products.
AVONEX
TYSABRI
biib-20221231_g25.jpg
For 2020, 2019 and 2018 U.S. AVONEX revenues totaled $1,083.4 million, $1,202.1 million and $1,420.2 million, respectively.
For 2020, 2019 and 2018 rest of world AVONEX revenues totaled $408.5 million, $463.8 million and $495.3 million, respectively.
PLEGRIDY
For 2020, 2019 and 2018 U.S. PLEGRIDY revenues totaled $190.1 million, $224.5 million and $248.1 million, respectively.
For 2020, 2019 and 2018 rest of world PLEGRIDY revenues totaled $195.5 million, $211.4 million and $199.4 million, respectively.
TYSABRI
biib-20201231_g22.jpg
For 20202022 compared to 2019, the 5.3% increase in2021, U.S. TYSABRI revenuesrevenue was primarily due torelatively flat, with a modest decrease in sales volumes, partially offset by an increase in TYSABRI sales volumepricing, net of 1.0% and price increases, partially offset by higher discounts and allowance rates.allowances.
For 20202022 compared to 2019,2021, rest of world TYSABRI revenues remainedrevenue was relatively flat, with stable volumea modest decrease in pricing and pricing.the unfavorable impact of foreign currency exchange, partially offset by an increase in sales volumes.
We anticipate TYSABRI sales volumerevenue to modestly increasebe relatively flat on a global basis in 2021,2023, compared to 2020,2022, despite increasing competition from additional treatments for MS, including OCREVUS. We believe that some TYSABRI infusions may be delayed due, directly or indirectly, to the
COVID-19 pandemic.MS. We expect to continue to face price reductions in certain European markets.
Spinal Muscular Atrophy (SMA)
SPINRAZA
biib-20201231_g23.jpg
For 2020 compared to 2019, the 15.6% decrease in U.S. SPINRAZA revenues was primarily due to a decrease in sales volumes of 15.0%, resulting from increased competition as well as lower loading and maintenance doses due to the impact of site of care closures as a result of the COVID-19 pandemic.
For 2020 compared to 2019, the 8.7% increase in rest of world SPINRAZA revenues was primarily due to a net increase in sales volumes of 16.8%, which was reflective of the impact We are also aware of a shift from loading to maintenance doses and the impactpotential biosimilar entrant of site of care closures as a result of the COVID-19 pandemic. This increase was partially lower net prices and the unfavorable impact of foreign currency exchange.
In 2021 we expectTYSABRI that SPINRAZA revenues will be subject to increased competition resulting in higher discontinuations and a lower rate of new patient starts combined with the impact of loading dose dynamics as patients transition to dosing once every four months and lower prices in certain rest of world countries. We believe that some SPINRAZA doses may continue to be delayed due, directly or indirectly, to the COVID-19 pandemic.
We face competition from a gene therapy product that was approved inenter the U.S. and the E.U. and a new oral product that was approved in the U.S. and has been accepted for review in the E.U. We expect that we will experience competition from both products in additional jurisdictions in the future. Additionally, we are aware of other products now in development that,European markets as early as 2023.
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if launched, may also competeSpinal Muscular Atrophy
SPINRAZA
biib-20221231_g26.jpg
For 2022 compared to 2021, U.S. SPINRAZA revenue was relatively flat, with SPINRAZA. Futurea modest increase in sales volumes of 3.7%, resulting from the timing of shipments, partially offset by higher discounts and allowances.
For 2022 compared to 2021, the 9.4% decrease in rest of world SPINRAZA mayrevenue was primarily due to country mix, the unfavorable impact of foreign currency exchange and the timing of shipments, partially offset by an increase in sales volumes. The increase in sales volumes reflects growth in certain Asian markets, partially offset by a decrease in sales volumes from increased competition in certain established markets, particularly Germany and Japan.
Despite competition from a gene therapy product and an oral product, we anticipate SPINRAZA revenue to be adversely affected byrelatively flat in 2023, compared to 2022. Moderate growth in the commercializationU.S. as well as continued access expansion in emerging markets is expected to offset increased competition and the impact of competing products.loading dose dynamics.
For additional information on our collaboration arrangements with Ionis, please read Note 18,19, Collaborative and Other Relationships, to our consolidated financial statements included in this report.
Biosimilars
BENEPALI, IMRALDI, FLIXABI and FLIXABIBYOOVIZ
biib-20201231_g24.jpgbiib-20221231_g27.jpg
During the third quarter of 2021 BYOOVIZ, a ranibizumab biosimilar referencing LUCENTIS, was approved in the U.S., the E.U and the U.K. BYOOVIZ launched in the U.S. in June 2022 and became commercially available in July 2022 through major distributors in the U.S.
For 20202022 compared to 2019,2021, the 7.8% increase9.6% decrease in biosimilar revenuesrevenue was primarily due to higher sales volumesunfavorable pricing and a favorable foreign currency impact, partially offset by the unfavorable impact of price decreases.foreign currency exchange, partially offset by an increase in sales volumes.
In 2021 we expectWe anticipate modest to moderategrowth in revenue growth forfrom our biosimilars business depending on the impact of the COVID-19 pandemic. We expect growthin 2023, compared to be primarily2022, driven by the continued launch of IMRALDIBYOOVIZ in Europe, partiallythe U.S. and rest of world, offset in part by continued price reductions in certain European countries.markets.
In December 2019 we completed a transactionWe are currently working with Samsung Bioepisour contract manufacturer for IMRALDI to address facility regulatory inspection deficiencies at two filling locations, which could impact supply and secured the exclusive rights to commercialize two potential ophthalmology biosimilars, SB11, a proposed ranibizumab biosimilar referencing LUCENTIS,have an adverse impact on 2023 IMRALDI sales, if not resolved. Manufacturing of BENEPALI also utilizes one of these facilities and SB15, a proposed aflibercept biosimilar referencing EYLEA, in major markets worldwide, including the U.S., Canada, Europe, Japan and Australia. In October 2020 the EMA accepted for review the MAA for SB11 and in November 2020 the FDA accepted the BLA for SB11.therefore could have an adverse impact on 2023 BENEPALI sales. We also acquired an option to extendare working with our existing commercial agreement with Samsung Bioepissecondary supplier for BENEPALI IMRALDI and FLIXABI in certain countries inwith the aim to secure additional capacity.
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Europe and obtained an option to acquire exclusive rights to commercialize these products in China.
For additional information on our collaboration arrangements with Samsung Bioepis, please read Note 18,19, Collaborative and Other Relationships, to our consolidated financial statements included in this report.
RevenuesRevenue from Anti-CD20 Therapeutic Programs
Genentech (Roche Group)
Our share of RITUXAN, including RITUXAN HYCELA, and GAZYVA collaboration operating profits in the U.S., royalty revenue on sales of OCREVUS and other revenuesrevenue from anti-CD20 therapeutic programs are summarized in the table below. For purposes of this discussion, we refer to RITUXAN and RITUXAN HYCELA collectively as RITUXAN.
biib-20201231_g25.jpgbiib-20221231_g28.jpg
Biogen’s Share of Pre-tax Profits in the U.S. for RITUXAN and GAZYVA
The following table provides a summary of amounts comprising our share of pre-tax profits in the U.S. for RITUXAN and GAZYVA:
For the Years Ended December 31, For the Years Ended December 31,
(In millions)(In millions)202020192018(In millions)202220212020
Product revenues, net$3,334.1 $4,747.4 $4,484.3 
Cost and expenses433.0 622.7 669.6 
Product revenue, netProduct revenue, net$1,729.2 $2,032.0 $3,334.1 
Cost and expenseCost and expense253.6 291.8 433.0 
Pre-tax profits in the U.S.Pre-tax profits in the U.S.$2,901.1 $4,124.7 $3,814.7 Pre-tax profits in the U.S.$1,475.6 $1,740.2 $2,901.1 
Biogen's share of pre-tax profitsBiogen's share of pre-tax profits$1,080.2 $1,542.4 $1,431.9 Biogen's share of pre-tax profits$547.0 $647.7 $1,080.2 
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For 20202022 compared to 2019,2021, the decrease in U.S. product revenues,revenue, net was primarily due to a decrease in sales volumes of RITUXAN in the U.S. of 26.7%
28.4%, primarily due to the onset of competition from multiple biosimilars, and we believe RITUXAN was adversely impacted by the COVID-19 pandemic.biosimilar products.
For 20202022 compared to 2019, product revenues, net also reflects increases in GAZYVA sales volumes of 24.7%.
For 2020 compared to 2019,2021, the decrease in collaboration costs and expensesexpense was primarily due to lower cost of sales, onselling and marketing expense, distribution costs and other costs and expense related to RITUXAN.
We are aware of several other anti-CD20 molecules, including biosimilar products, that have recently been approved and are expected to competecompeting with RITUXAN and GAZYVA in the oncology market. In November 2019, January 2020 and January 2021 biosimilarother markets. Biosimilar products referencing RITUXAN werehave launched in the U.S.U.S and are being offered at lower prices. This competition has adversely affectedhad a significant adverse impact on the pre-tax profits of our collaboration arrangements with Genentech, as the sales of RITUXAN have decreased substantially compared to prior periods. We expect that biosimilar competition will continue to increase as these products capture additional market share and couldthat this will have a significant adverse affectimpact on our co-promotion profits in the U.S. in future years.
Other Revenues from Anti-CD20 Therapeutic ProgramsRoyalty Revenue on Sales of OCREVUS
Other revenues from anti-CD20 therapeutic programs consist ofFor 2022 compared to 2021, the increase in royalty revenuesrevenue on sales of
OCREVUS and our share of pre-tax co-promotion profits from RITUXAN in Canada.
For 2020 compared to 2019, the increase in other revenues from anti-CD20 therapeutic programs was primarily due to sales growth of OCREVUS. Royalty revenues recognized on sales of OCREVUS forin the years ended December 31, 2020, 2019 and 2018, totaled $845.4 million, $687.5 million and $478.3 million, respectively.U.S.
OCREVUS royalty revenues arerevenue is based on our estimates from third party and market research data of OCREVUS sales occurring during the corresponding period. Differences between actual and estimated royalty revenuesrevenue will be adjusted for in the period in which they become known, which is generally expected to be the following quarter.
Other Revenue from Anti-CD20 Therapeutic Programs
Other revenue from anti-CD20 therapeutic programs consists of our share of pre-tax co-promotion profits from RITUXAN in Canada.
In December 2022 the FDA approved LUNSUMIO, a bispecific antibody for the treatment of relapsed or refractory follicular lymphoma. Our share of pre-tax profits and losses on LUNSUMIO will be included as a component of revenue from anti-CD20 therapeutic programs in our consolidated statements of income. For the year ended December 31, 2022, LUNSUMIO revenue was immaterial.
For additional information on our collaboration arrangements with Genentech, including information regarding the pre-tax profit-sharing formula and its impact on future revenuesrevenue from anti-CD20 therapeutic programs, please read Note 18,19, Collaborative and Other Relationships, to our consolidated financial statements included in this report.
Other Revenues
Other revenues are summarized as follows:
For the Years Ended December 31,% Change$ Change
2020
vs.
2019
2019
vs.
2018
2020
vs.
2019
2019
vs.
2018
(In millions, except percentages)202020192018
Revenues from collaborative and other relationships$21.6 $106.2 $87.8 (79.7)%21.0 %$(84.6)$18.4 
Other royalty and corporate revenues753.0 601.5 498.1 25.2 20.8 151.5 103.4 
Total other revenues$774.6 $707.7 $585.9 9.5 %20.8 %$66.9 $121.8 
Revenues from Collaborative and Other Relationships
Revenues from collaborative and other relationships primarily include revenues from our technical development services and manufacturing agreements with Samsung Bioepis and royalty revenues on biosimilar products from Samsung Bioepis.
Following the divestiture of our Hillerød, Denmark manufacturing operations in August 2019, FUJIFILM Corporation (FUJIFILM) assumed responsibility for the manufacture of clinical and commercial quantities of bulk drug substance of biosimilar products for Samsung Bioepis. We no longer recognize revenues for the manufacturing
completed after the Hillerød, Denmark manufacturing operations divestiture date under our technical development services and manufacturing agreements with Samsung Bioepis.
For the years ended December 31, 2020 and 2019, we recognized $20.9 million and $106.2 million, respectively, related to the services described above provided to Samsung Bioepis.
For additional information on our collaborative and other relationships, including revenues recognized under our technical development services and manufacturing agreements with Samsung Bioepis, please read Note 18, Collaborative and Other Relationships, to our consolidated financial statements included in this report.
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For additional information on the divestiture of our Hillerød, Denmark manufacturing operations, please read Note 3, Divestitures, to our consolidated financial statements included in this report.Other Revenue
Other revenue consists of royalty revenue and contract manufacturing and other revenue and is summarized as follows:
Royalty Revenue and Corporate RevenuesContract Manufacturing and Other Revenue
biib-20201231_g26.jpgbiib-20221231_g29.jpg
Contract Manufacturing and Other Revenue
We record contract manufacturing and other revenue primarily from amounts earned under contract manufacturing agreements.
For 2022 compared to 2021, the decrease in contract manufacturing and other revenue was primarily due to lower contract manufacturing revenue related to the timing of batch releases.
Royalty Revenue
We receive royalties from net sales on products related to patents that we have out-licensed, as well as royalty revenue on biosimilar products from our collaboration arrangements with Samsung Bioepis.
For additional information on our collaborative arrangements with Samsung Bioepis, please read Note 19, Collaborative and we record other corporate revenues primarily from amounts earned under contract manufacturing agreements.
During the third quarter of 2019, we amendedOther Relationships, to our agreement with a contract manufacturing customer pursuant to which we licensed certain of our manufacturing-related intellectual property to the customer. In the second quarter of 2020, the customer received regulatory approval for its product that is being manufactured using certain of our manufacturing-related intellectual property. As a result, we are entitled to $500.0 millionconsolidated financial statements included in a series of three payments. The first payment became due upon regulatory approval of such product and was received during the second quarter of 2020. Subsequent payments are due on the first and second anniversaries of the regulatory approval.
Other corporate revenues for the year ended December 31, 2020, reflect $346.2 million related to the delivery of the license for certain of our manufacturing-related intellectual property under the amended agreement discussed above and the performance of manufacturing product supply services for such customer. We have allocated the remaining $153.8 million of the $500.0 million transaction price to the performance of manufacturing product supply services for the customer, which we expect to perform through 2026. The value allocated to the manufacturing services was based on expected
this report.
demand for supply and the fair value of comparable manufacturing and development services.
For 2020 compared to 2019, the increase in other royalty and corporate revenues was due to higher contract manufacturing revenues, primarily resulting from $346.2 million in revenues related to the delivery of the license for certain of our manufacturing-related intellectual property to a contract manufacturing customer, as discussed above.
Reserves for Discounts and Allowances
RevenuesRevenue from product sales areis recorded net of reserves established for applicable discounts and
allowances, including those associated with the implementation of pricing actions in certain international markets where we operate.
These reserves are based on estimates of the amounts earned or to be claimed on the related sales and are classified as reductions of accounts receivable (if the amount is payable to our customer) or a liability (if the amount is payable to a party other than our customer). These estimates reflect our historical experience, current contractual and statutory requirements, specific known market events and trends, industry data and forecasted customer buying and payment patterns. Actual amounts may ultimately differ from our estimates. If actual results vary, we adjust these estimates, which could have an effect on earnings in the period of adjustment.
Reserves for discounts, contractual adjustments and returns that reduced gross product revenuesrevenue are summarized as follows:
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For the years ended December 31, 2020, 2019 and 2018, reserves for discounts and allowances asbiib-20221231_g30.jpg
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For the years ended December 31, 2022, 2021 and 2020, reserves for discounts and allowances as a percentage of gross product revenuesrevenue were 27.1%30.1%, 24.3%28.6% and 23.7%27.1%, respectively.
Discounts
Discounts include trade term discounts and wholesaler incentives.
For 20202022 compared to 2019,2021, the increasedecrease in discounts was primarily due to a decrease in gross sales, driven by an increase in gross biosimilarlower TECFIDERA sales, in our international markets as well as increases in discount percentages in certain countries.offset by higher purchase discounts for TYSABRI.
Contractual Adjustments
Contractual adjustments primarily relate to Medicaid and managed care rebates in the U.S., pharmacy rebates, co-payment (copay) assistance, VA and PHSVeterans Administration, 340B discounts, specialty pharmacy program fees and other government rebates or applicable allowances.
For 20202022 compared to 2019,2021, the increasedecrease in contractual adjustments was primarily due to higher pharmacy rebates and governmental rebates in thedriven by lower
TECFIDERA sales in the U.S., resulting in lower pharmacy rebates, Medicaid rebates and managed care rebates, as well as higher governmentallower Medicaid rebates and allowances in the rest of world, dueU.S. driven by a favorable change in part to an increase in SPINRAZA sales volumes worldwide.estimates for VUMERITY.
Returns
Product return reserves are established for returns expected to be made by wholesalers. In accordance with contractual terms, wholesalers are permitted to return product for reasons such as damaged or expired product. The majority of wholesaler returns are due to product expiration. Provisions for product returns are recognized in the period the related revenues arerevenue is recognized, resulting in a reduction to product sales.
For 20202022 compared to 2019,2021, return reserves were relatively consistent.
For additional information on our revenue reserves, please read Note 4, Revenues,5, Revenue, to our consolidated financial statements included in this report.
Cost and ExpensesExpense
A summary of total cost and expensesexpense is as follows:
For the Years Ended December 31,% Change$ Change For the Years Ended December 31,% Change$ Change
2020
vs.
2019
2019
vs.
2018
2020
vs.
2019
2019
vs.
2018
2022
vs.
2021
2021
vs.
2020
2022
vs.
2021
2021
vs.
2020
(In millions, except percentages)(In millions, except percentages)202020192018(In millions, except percentages)202220212020
Cost of sales, excluding amortization and impairment of acquired intangible assetsCost of sales, excluding amortization and impairment of acquired intangible assets$1,805.2 $1,955.4 $1,816.3 (7.7)%7.7 %$(150.2)$139.1 Cost of sales, excluding amortization and impairment of acquired intangible assets$2,278.3 $2,109.7 $1,805.2 8.0 %16.9 %$168.6 $304.5 
Research and developmentResearch and development3,990.9 2,280.6 2,597.2 75.0 (12.2)1,710.3 (316.6)Research and development2,231.1 2,501.2 3,990.9 (10.8)(37.3)(270.1)(1,489.7)
Selling, general and administrativeSelling, general and administrative2,504.5 2,374.7 2,106.3 5.5 12.7 129.8 268.4 Selling, general and administrative2,403.6 2,674.3 2,504.5 (10.1)6.8 (270.7)169.8 
Amortization and impairment of acquired intangible assetsAmortization and impairment of acquired intangible assets464.8 489.9 747.3 (5.1)(34.4)(25.1)(257.4)Amortization and impairment of acquired intangible assets365.9 881.3 464.8 (58.5)89.6 (515.4)416.5 
Collaboration profit (loss) sharingCollaboration profit (loss) sharing232.9 241.6 185.0 (3.6)30.6 (8.7)56.6 Collaboration profit (loss) sharing(7.4)7.2 232.9 (202.8)(96.9)(14.6)(225.7)
(Gain) loss on divestiture of Hillerød, Denmark manufacturing operations(Gain) loss on divestiture of Hillerød, Denmark manufacturing operations(92.5)55.3 — nmnm(147.8)55.3 (Gain) loss on divestiture of Hillerød, Denmark manufacturing operations— — (92.5)— nm— 92.5 
(Gain) loss on fair value remeasurement of contingent consideration(Gain) loss on fair value remeasurement of contingent consideration(86.3)(63.7)(12.3)35.5 417.9 (22.6)(51.4)(Gain) loss on fair value remeasurement of contingent consideration(209.1)(50.7)(86.3)312.4 (41.3)(158.4)35.6 
Acquired in-process research and developmentAcquired in-process research and development75.0 — 112.5 nmnm75.0 (112.5)Acquired in-process research and development— 18.0 75.0 (100.0)(76.0)(18.0)(57.0)
Restructuring chargesRestructuring charges— 1.5 12.0 nm(87.5)(1.5)(10.5)Restructuring charges131.1 — — nm— 131.1 — 
Total cost and expenses$8,894.5 $7,335.3 $7,564.3 21.3 %(3.0)%$1,559.2 $(229.0)
Gain on sale of buildingGain on sale of building(503.7)— — nm— (503.7)— 
Other (income) expense, netOther (income) expense, net(108.2)1,095.5 (497.4)(109.9)(320.2)(1,203.7)1,592.9 
Total cost and expenseTotal cost and expense$6,581.6 $9,236.5 $8,397.1 (28.7)%10.0 %$(2,654.9)$839.4 
nm Not meaningful
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Cost of Sales, Excluding Amortization and Impairment of Acquired Intangible Assets
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Cost of sales, as a percentage of total revenues,revenue, were 13.4%22.4%, 13.6%19.2% and 13.5%13.4% for the years ended December 31, 2022, 2021 and 2020, 2019 and 2018, respectively.
Product Cost of Sales
For 20202022 compared to 2019,2021, the decreaseincrease in product cost of sales was primarily due to lowerhigher charges in 2022 associated with the write-off of excess ADUHELM inventory and purchase commitments, higher gross idle capacity charges associated with our manufacturing facilities and increased product cost of sales from contract manufacturing agreements, primarily resulting from the sale of hemophilia inventory, with a cost basis of $173.5 million, to Bioverativ in the first quarter of 2019 and FUJIFILM assuming responsibility for the manufacture of clinical and commercial quantities of bulk drug substance of biosimilar products for Samsung Bioepis during the third quarter of 2019.driven by product mix.
Inventory amounts written down as a result of excess, obsolescence or unmarketability or other reasons totaled $26.6$336.2 million, $52.2$167.6 million and $41.9$26.6 million for the years ended December 31, 2022, 2021 and 2020, 2019respectively.
For the years ended December 31, 2022 and 2018,2021, we recorded approximately $286.0 million and $170.0 million, respectively, of charges associated with the write-off of ADUHELM inventory and purchase commitments in excess of forecasted demand.
For the years ended December 31, 2022 and 2021, we recorded approximately $119.0 million and $48.0 million, respectively, of aggregate gross idle capacity charges.
We have also recognized approximately $197.0 million and $99.0 million related to Eisai's 45.0% share of inventory, idle capacity charges and contractual commitments, which was recorded in collaboration profit (loss) sharing within our consolidated statements of income for the years ended December 31, 2022 and 2021, respectively.
For additional information on our collaboration arrangements with Eisai, please read Note 19, Collaborative and Other Relationships, to our consolidated financial statements included in this report.
Royalty Cost of Sales
For 20202022 compared to 2019,2021, the decrease in royalty cost of sales was primarily due to lower royalties payable on lower sales of SPINRAZA, TYSABRI and AVONEX, and SPINRAZA.partially offset by higher royalties payable on higher sales of VUMERITY.
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We support our drug discovery and development efforts through the commitment of significant resources to discovery, research and development programs and business development opportunities.
A significant amount of our research and development costs consist of indirect costs incurred in support of overall research and development activities and non-specific programs, including activities that benefit multiple programs, such as management costs, as well as depreciation, information technology and facility-based expenses. These costs are considered other research and
development costs in the table above and are not allocated to a specific program or stage.
Research and development expense incurred in support of our marketed products includes costs associated with product lifecycle management activities including, if applicable, costs associated with the development of new indications for existing products. Late stage programs are programs in Phase 3 development or in registration stage. Early stage programs are programs in Phase 1 or Phase 2 development. Research and discovery represents costs incurred to support our discovery research and translational science efforts. Costs are reflected in the development stage based upon the program status when incurred. Therefore, the same program could be reflected in different development stages in the same year. For several of our programs, the research and development activities are part of our collaborative and other relationships. Our costs reflect our share of the total costs incurred.
For 20202022 compared to 2019,2021, the increasedecrease in research and development expense was primarily due to approximately $1,084.0 million, $601.3 millionhigher milestone payments in 2021, partially offset by the advancement of BIIB059 (anti-BDCA2) for the potential treatment of SLE and $208.0 millionCLE, the development of upfront payments madeLUNSUMIO, a a bispecific antibody for the treatment of relapsed or refractory follicular lymphoma, the development of BIIB124 (SAGE-324) for the potential treatment of essential tremor, which we are developing in connection with entering into our collaborationscollaboration with Sage, the development of BIIB122 (DNL151) for the potential treatment of Parkinson's disease, which we are developing in collaboration with Denali, and Sangamo, respectively.the development of BIIB800, a proposed tocilizumab biosimilar referencing ACTEMRA.
In 2020 we recorded significant upfront payments related to our new collaborations as part of research and development expense. Excluding upfront payments, we expect our core research and development expense to modestly increase in 2021, driven by continued investment2023, as we continue to invest in our pipeline, including significant investments related to the new assets in the Sage collaboration.pipeline. We intend to continue committing significant resources to targeted research and development opportunities where there is a significant unmet need and where a drug candidate has the potential to be highly differentiated.
At December 31, 2020, we capitalized approximately $93.8 million of pre-launch inventory for aducanumab. If aducanumab does not receive regulatory approval in the U.S., we would expense this inventory as research and development expense and, under the terms of the Aducanumab Collaboration Agreement, Eisai would reimburse us for 45.0% of the costs.
Milestone and Upfront ExpensesExpense
Research and development expense for 20202022 includes:
$1,084.037.0 million in charges to research and development expense in connection with milestone payments to Ionis;
$15.0 million charge to research and development expense in connection with the upfront payment associated with entering into our collaboration with SageAlectos in the fourthsecond quarter of 2020;2022; and
$10.0 million charge to research and development expense in connection with the upfront payment associated with entering into
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our collaboration with Alcyone in the fourth quarter of 2022.
Research and development expense for 2021 includes:
$601.3125.0 million charge to research and development expense in connection with the upfront payment associated with entering into our collaboration with DenaliInnoCare in the third quarter of 2020;2021;
$60.0 million charge to research and development expense upon the exercise of our option under our collaboration agreement with Ionis to develop and commercialize BIIB115, an investigational ASO in development for SMA;
$30.0 million charge to research and development expense related to the option exercise fee payable to Genentech to jointly develop and commercialize LUNSUMIO; and
$208.030.0 million charge to research and development expense in connection with the upfront payment associated with entering into our collaboration with Sangamo in the second quarter of 2020.
Researcha commercialization and development expense for 2019 includes:
$63.0 million charge to research and development expense in connection with ourlicense agreement with Samsung Bioepis to secure the exclusive rights to commercialize two potential ophthalmology biosimilar products; and
$45.0 million charge to research and development expense upon the exercise of our option to obtain a worldwide, exclusive, royalty-bearing license from IonisBio-Thera to develop, manufacture and commercialize BIIB080 (tau ASO) for the potential treatment of Alzheimer's disease.BIIB800.
The upfront payments associated with these collaborations are classified as research and development expense as the programs they relate to had not achieved regulatory approval as of the payment date.
For additional information about these collaboration arrangements, please read Note 18,19, Collaborative and Other Relationships, to our consolidated financial statements included in this report.
Early Stage Programs
For 20202022 compared to 2019,2021, the decrease in spending related to our early stage programs was primarily due to a decrease in costs associated with:
the discontinuation of cinpanemab (BIIB054) in Parkinson's disease;
the discontinuation of gosuranemab (BIIB092) in progressive supraneuclear palsy;Alzheimer's disease;
the discontinuation of cotoretigene toliparvovec (BIIB112) in X-linked retinitis pigmentosa;
the advancement of toferson in ALSlitifilimab (BIIB059) for the potential treatment of SLE into late stage; and
the advancement of BIIB122 for the potential treatment of Parkinson's disease into late stage;
the discontinuation of vixotrigine (BIIB074) in TGN and DPN; and
the Phase 2b studydiscontinuation of BG00011BIIB078 for the potential treatment of idiopathic pulmonary fibrosis (IPF).Alzheimer's disease.
These decreases wereThe decrease was partially offset by an increase in costs associated with:
an increase in spending in the development of BIIB112 (RPGR gene therapy) in XLRP;BIIB124 for the potential treatment of essential tremor;
an increase in spending in the development of BIIB080 in Alzheimer's disease; andlitifilimab (BIIB059) for the potential treatment of CLE;
an increase in spending in the development of gosuranemabBIIB113 for the potential treatment of Alzheimer's disease;
an increase in Alzheimer's disease.spending in the development of BIIB131 for the potential treatment of acute ischemic stroke; and
an increase in spending in the development of BIIB121 for the potential treatment of Angelman syndrome.
Late Stage Programs
For 20202022 compared to 2019,2021, the decrease in spending associated with our late stage programs was primarily due to:to a decrease in costs associated with:
a decrease in spending relatedthe advancement of ADUHELM from late stage to marketed upon the discontinuationaccelerated approval of the global Phase 3 trials of aducanumab, net of reimbursement from our collaboration partner EisaiADUHELM in the first quarter of 2019;
a decrease in spending related to the discontinuation of the global Phase 3 trials, MISSION AD1 and MISSION AD2, of elenbecestat (development code: E2609) in patients with early Alzheimer's disease in the third quarter of 2019;U.S.; and
athe discontinuation of BIIB111 in choroideremia.
The decrease in spending related to VUMERITY, which was approved by the FDA in the fourth quarter of 2019.
These decreases were partially offset by an increase in spending due to costs associated with:
the advancement of toferson in ALSlitifilimab (BIIB059) for the potential treatment of SLE into late stage,stage;
the advancement of BIIB122 for the potential treatment of Parkinson's disease into late stage; and
the advancement of BIIB800, a proposed tocilizumab biosimilar referencing ACTEMRA, into late stage.
Marketed Programs
For 2022 compared to 2021, the increase in spending associated with our marketed programs was primarily due to an increase in spending related to BAN2401 in early Alzheimer's disease, our EMBARK redosing study for aducanumab and BIIB111 (timrepigene emparvovec) in CHM.costs associated with:
In the first quarter of 2019, as a result of the decision to discontinue the Phase 3 EMERGE and ENGAGE trials following a futility analysis, we accrued approximately $45.0 million related to the termination of clinical trials and research and development contracts net of the expected 45.0% Eisai reimbursement of development costs incurred by the collaboration for the advancement of aducanumab.
In July 2020 we completedADUHELM from late stage to marketed upon the submission of a BLA for theaccelerated approval of aducanumabADUHELM in the U.S.; and
the advancement of LUNSUMIO from late stage to marketed upon the FDA. In August 2020accelerated approval of LUNSUMIO in the FDA accepted the BLAU.S.
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Other Research and granted Priority Review with a PDUFA action date on March 7, 2021. In January 2021 the FDA extended the review period for the BLA for aducanumab by three months. The updated PDUFA action date is June 7, 2021.Development
In March 2019 Eisai initiated a global Phase 3 trial for the development of BAN2401LEQEMBI in early Alzheimer's disease. Under our collaboration arrangement, Eisai serves as the global operationallead of LEQEMBI development and regulatory lead for BAN2401submissions globally with both companies co-commercializing and allco-promoting the product, and Eisai having final decision-making authority. All costs, including research, development, sales and marketing expenses,expense, are shared equally between us and Eisai. In January 2023 the FDA granted accelerated approval of LEQEMBI. Additionally, in January 2023 Eisai completed the submission of a supplemental BLA to the FDA for approval under the traditional pathway for LEQEMBI.
As of December 31, 2022, we had approximately $89.8 million of work-in-process inventory related to LEQEMBI.
For additional information on our collaboration arrangements with Eisai, please read Note 18,19, Collaborative and Other Relationships, to our
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consolidated financial statements included in this report.
Selling, General and Administrative
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For 20202022 compared to 2019,2021, the increasedecrease in selling, general and administrative expensesexpense was primarily due to increasedcost-reduction measures realized during 2022.
As a result of the final NCD we have substantially eliminated our commercial infrastructure supporting ADUHELM, retaining minimal resources to manage patient access programs, including a continued free drug program for patients currently on treatment in the U.S.
Beginning in the second quarter of 2021 reimbursement from Eisai for its share of U.S.
ADUHELM selling, general and medical investmentsadministrative expense is recognized in supportcollaboration profit (loss) sharing in our consolidated statements of pre-launch activities associated with the potential regulatory approval of aducanumab.income.
In 2021 weWe expect selling, general and administrative costs including headcount andto continue to decline in 2023 due to the implementation of our cost saving initiatives during 2022, which include the substantial elimination of our commercial infrastructure to significantly increasesupporting ADUHELM as we support activities associated with the potential regulatory approvals of aducanumab in the U.S. and rest of world markets.well as other cost-reduction measures.
Amortization and Impairment of Acquired Intangible Assets
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Our amortization expense is based on the economic consumption and impairment of intangible assets. Our most significant amortizable intangible assets are related to our TYSABRI, AVONEX, SPINRAZA, VUMERITY and TECFIDERA (rest of world) products and other programs acquired through business combinations.
For 2022 compared to 2021, the decrease in amortization and impairment of acquired intangible assets was primarily due to higher impairment charges in 2021 of approximately $629.3 million, compared to impairment charges of approximately $119.6 million in 2022.
For the year ended December 31, 2020,2022, amortization and impairment of acquired intangible assets reflects the impact of a $115.0$119.6 million impairment charge related to BIIB111, which was obtained as partvixotrigine for the potential treatment of our acquisition of Nightstar Therapeutics plc (NST), a $75.4 million impairment charge related to BIIB054 and a $19.3 million impairment charge related to one of our other IPR&D intangible assets.DPN.
For the year ended December 31, 2019,2021, amortization and impairment of acquired intangible assets reflects the impact of a $215.9$365.0 million impairment charge related to certain IPR&D assets associated with the Phase 2b study of BG00011BIIB111, a $220.0 million impairment charge related to BIIB112 and a $44.3 million impairment charge related to vixotrigine for the potential treatment of IPF, which was discontinued in the third quarterTGN.
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Amortization of acquired intangible assets, excluding impairment charges, totaled $255.1$246.3 million, $274.0$252.0 million and $381.2$255.1 million for the years ended December 31, 2022, 2021 and 2020, 2019 and 2018, respectively.
For 2020 compared to 2019, the decrease in amortization of acquired intangible assets, excluding impairment charges, was primarily due to a lower rate of amortization for acquired intangible assets.
We monitor events and expectations regarding product performance. If new information indicates that the assumptions underlying our most recent analysis are substantially different than those utilized in our current estimates, our analysis would be updated and may result in a significant change in the anticipated lifetime revenuesrevenue of the relevant products. The occurrence of an adverse event could substantially increase the amount of amortization expense related to our acquired intangible assets as compared to previous periods or our current expectations, which may result in a significant negative impact on our future results of operations.
IPR&D Related to Business Combinations
IPR&D represents the fair value assigned to research and development assets that we acquired as part of a business combination and had not yet reached technological feasibility at the date of acquisition. We review amounts capitalized as acquired IPR&D for impairment annually, as of October 31, and whenever events or changes in circumstances indicate to us that the carrying value of the assets might not be recoverable.
Overall, the value of our acquired IPR&D assets is dependent upon several variables, including estimates of future revenuesrevenue and the effects of competition, our ability to secure sufficient pricing in a competitive market, our ability to confirm safety and efficacy based on data from clinical trials and
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regulatory feedback, the level of anticipated development costs and the probability and timing of successfully advancing a particular research program from one clinical trial phase to the next. We are continually reevaluating our estimates concerning these and other variables, including our life cycle management strategies, research and development priorities and development risk, changes in program and portfolio economics and related impact of foreign currency exchange rates and economic trends and evaluating industry and company data regarding the productivity of clinical research and the development process. Changes in our estimates may result in a significant change to our valuation of our IPR&D assets.
BIIB111
During the fourth quarter of 2020 we began experiencing third-party manufacturing delays that may impact our timeline for a potential filing of a BLA for BIIB111 for regulatory approval by up to one year. In addition, we determined that forecasted costs associated with advancing the BIIB111 program through Phase 3 development and potential commercialization will exceed our original estimates. We reassessed the fair value of the program based on these changes in assumptions and determined that the program was partially impaired. We recognized an impairment charge of $115.0 million during the fourth quarter of 2020, which resulted in a reduction of the IPR&D asset from $480.0 million to $365.0 million.
BIIB054
In February 2021 we announced that we discontinued development of BIIB054 as a potential treatment of Parkinson's disease as our Phase 2 SPARK study did not meet its primary or secondary endpoints. Although we made this determination in February 2021, it was based on conditions that existed as of December 31, 2020. As a result, we recognized an impairment charge of approximately $75.4 million during the fourth quarter of 2020 to reduce the fair value of the related IPR&D intangible asset to zero.
Vixotrigine
In the periods since we acquiredfollowing our acquisition of vixotrigine, (BIIB074), there have beenwere numerous delays in the initiation of Phase 3 studies for the potential treatment of trigeminal neuralgia (TGN) as weTGN and for the potential treatment of DPN, another form of neuropathic pain. We engaged with the FDA regarding the design of the potential Phase 3 studies and awaited data and insights from mid-stage clinical trials of vixotrigine for the potential treatment of TGN and DPN and performed an additional clinical trial of vixotrigine, which was completed during 2022.
The performance of this additional clinical trial delayed the initiation of the Phase 3 studies of vixotrigine for the potential treatment of TGN, and, as a result, we recognized an impairment charge of $44.3 million related to vixotrigine for the potential treatment of TGN during the first quarter of 2021.
During the fourth quarter of 2022 we discontinued further development of vixotrigine based on regulatory, development and commercialization challenges. For the year endedDecember 31, 2022, we recognized an impairment charge of approximately $119.6 million related to vixotrigine for the potential treatment of DPN, reducing the remaining book value of this IPR&D intangible asset to zero. We also adjusted the value of our contingent consideration obligations related to this asset resulting in other indications that have since been completed. Thea pre-tax gain of approximately $209.1 million, which was recognized in (gain) loss on fair value remeasurement of contingent consideration within our consolidated statements of income.
BIIB111 and BIIB112
During the TGN asset issecond quarter of 2021 we announced that our Phase 3 STAR study of BIIB111 and our Phase 2/3 XIRIUS study of BIIB112 did not significantly in excessmeet their primary endpoints. In the third quarter of carrying value. As2021 we suspended further development on these programs based on the decision by management as part of its strategic review process. For the year ended December 31, 2020,2021, we recognized an impairment charge of $365.0 million related to BIIB111 and an impairment charge of $220.0 million related to BIIB112, reducing the carrying value associated withremaining book values of these IPR&D intangible assets to zero.
In addition, as a result of our vixotrigine IPR&D assets was $177.5 million.decision to suspend further development of BIIB111 and BIIB112, we recorded charges of approximately $39.1 million during the third quarter of 2021 related to our manufacturing arrangements and other costs that we expect to incur as a result of suspending these programs. These charges were recognized in research and development expense in our consolidated statements of income for the year ended December 31, 2021.
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For additional information on the amortization and impairment of our acquired intangible assets, please read Note 6,7, Intangible Assets and Goodwill, to our consolidated financial statements included in this report.
Collaboration Profit (Loss) Sharing
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Collaboration profit (loss) sharing primarily includes Samsung Bioepis' 50.0% share of the profit or loss related to our biosimilars 2013 commercial agreement with Samsung Bioepis.Bioepis and, beginning in the second quarter of 2021, Eisai's 45.0% share of income and expense in the U.S. related to the ADUHELM Collaboration Agreement. Beginning January 1, 2023, Eisai receives only a tiered royalty based on net sales of ADUHELM, and will no longer share global profits and losses.
For 2020, 2019the years ended December 31, 2022 and 2018 2021, we recognized a net profit-sharing expense of $266.5$217.4 million $241.6 million and $187.4 $285.4 million, respectively, to reflect Samsung Bioepis’ 50.0% sharing of the net collaboration profits.
For the years ended December 31, 2022 and 2021 we recognized net reductions to our operating expense of approximately $224.7 million and $233.2 million, respectively, to reflect Eisai's 45.0% share of net collaboration losses in the U.S.
For the year ended 2020,December 31, 2021, we also recognized net profit-sharing incomereductions to our operating expense of $33.8$45.0 million to reflect Eisai's 45.0% share of the $75.0$100.0 million milestone expensepayment made to Neurimmune related to the completed submissionlaunch of ADUHELM in the BLA forU.S. during the approvalsecond quarter of aducanumab to the FDA.2021.
For additional information on our collaboration arrangements with Samsung Bioepis and Eisai, please read Note 18,19, Collaborative and Other Relationships, to our consolidated financial statements included in this report.
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(Gain) Loss on Divestiture of Hillerød, Denmark Manufacturing Operations
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In March 2019 we entered into a share purchase agreement with FUJIFILM to sell all of the outstanding shares of our subsidiary that owned our biologics manufacturing operations in Hillerød, Denmark. The transaction closed in August 2019.
For the year ended December 31, 2019, we recognized a total net loss of approximately $124.2 million related to the transaction in our consolidated statements of income. This loss included a pre-tax loss of $55.3 million, which was recorded in loss on divestiture of Hillerød, Denmark manufacturing operations. The loss recognized was based on exchange rates and business conditions on the closing date of this transaction, and included costs to sell our Hillerød, Denmark manufacturing operations of approximately $11.2 million and our estimate of the fair value of adverse commitments of approximately $74.0 million, primarily associated with the guarantee of future minimum batch production at the Hillerød facility. We also recorded a tax expense of $68.9 million related to this transaction.
During the year ended December 31, 2020, we reduced our estimate of the fair value of the adverse commitment associated with the guarantee of future batch production by approximately $62.0 million based on our current manufacturing forecasts. Additionally, we recorded a reduction to our pre-tax loss of approximately $30.5 million due to a refund of interest paid associated with a tax matter.
For additional information on the divestiture of our Hillerød, Denmark manufacturing operations, please read Note 3, Divestitures, to our consolidated financial statements included in this report.
(Gain) Loss on Fair Value Remeasurement of Contingent Consideration
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Consideration payable for certain of our business combinations includes future payments that are contingent uponFor the occurrence of a particular event or events. We record an obligation for such contingent consideration payments at fair value on year ended December 31, 2022, the acquisition date. We then revalue our contingent consideration obligations each reporting period. Changeschanges in the fair value of our contingent consideration obligations other than changes due to payments, are recognized as a (gain) loss on fair value remeasurement of contingent consideration in our consolidated statements of income.
The gain on fair value remeasurement of contingent consideration for 2020 waswere primarily due to the remeasurementdiscontinuation of further development efforts related to vixotrigine for the potential treatment of TGN and DPN, resulting in a reduction of our contingent consideration associated with our BIIB054 program as well asobligations of approximately$195.4 million, and changes in the interest rates used to revalue our contingent consideration liabilities.
For the year ended December 31, 2021, the changes in fair value of our contingent consideration obligations were primarily due to reductions in the probability of technical and regulatory success and delays in the expected timing of the achievement of certain remaining developmental milestones changes in the interest rates usedrelated to revalue our contingent consideration liabilities and the passage of time.
The gain on fair value remeasurement of contingent consideration for 2019 was primarily due to the discontinuation of the Phase 2b study of BG00011 for the potential treatment of IPF as well as changes in the probability and expected timing of achievement of certain developmental milestones, a decrease in interest rates used to revalue our contingent consideration liabilities and the passage of time.vixotrigine programs.
For additional information on our IPR&D intangible assets, please read Note 6,7, Intangible Assets and Goodwill, to our consolidated financial statements included in this report.
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Acquired In-Process Research and DevelopmentRestructuring Charges
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BIIB118 Acquisition2022 Cost Saving Initiatives
In March 2020December 2021 and May 2022 we acquired BIIB118 from Pfizerannounced our plans to implement a series of cost-reduction measures that when completed we expect may yield approximately $1.0 billion in expense savings. These savings are being achieved through a number of initiatives, including reductions to our workforce, the substantial elimination of our commercial ADUHELM infrastructure, the consolidation of certain real estate locations and operating efficiency gains across our selling, general and administrative and research and development functions.
Under these initiatives, we estimate we will incur total restructuring charges of approximately $131.0 million, primarily related to severance. These amounts were substantially incurred during 2022. As of December 31, 2022, approximately $35.9 million remained in our restructuring reserve and payments are expected to be made through 2026.
For the year ended December 31, 2022, we recognized approximately $131.1 million of net pre-tax restructuring charges related to our 2022 cost saving initiatives, of which approximately $112.6 million consisted of employee severance costs. Our restructuring reserve is included in accrued expense and other in our consolidated balance sheets.
In September 2022 we entered into an agreement to partially terminate a portion of our lease located at 300 Binney Street, as well as to reduce the lease term for the potential treatmentmajority of patients with behavioral and neurological symptoms across various psychiatric and neurological diseases. In connection with this acquisition, we made an upfront paymentthe remaining space. This resulted in a gain of $75.0approximately $5.3 million, to Pfizer, which was accounted for as an asset acquisition and recorded as acquired IPR&Dwithin restructuring charges in our consolidated statements of income for the year ended December 31, 2022. For additional information on our 300 Binney Street lease modification, please read
Note 12, Leases, to these consolidated financial statements included in this report.
Following an evaluation of our current capacity needs, in March 2022 we ceased using a patient services office space in Durham, NC. Our decision to cease use of the facility resulted in the immediate expense of certain leasehold improvements and other assets at this facility. As a result, we recognized approximately $10.4 million of accelerated depreciation expense, which was recorded in restructuring charges in our consolidated statements of income for the year ended December 31, 2022. In May 2022 we entered into a lease assignment agreement whereby we assigned our remaining lease obligations to an external third party. As a result of the lease assignment, we derecognized the related operating lease obligation and right-of-use asset during the second quarter of 2022.
For the year ended December 31, 2022, we recognized other restructuring costs of approximately $13.2 million, which were recorded in restructuring charges in our consolidated statements of income. Other restructuring costs include items such as BIIB118 has not yet reached technological feasibility.facility closure costs, employee non-severance expense, asset write-offs and other costs.
The following table summarizes the charges and spending related to our 2022 workforce reductions for the year ended December 31, 2022:
(In millions)Total
Restructuring reserve, December 31, 2021$— 
Expense112.6 
Payment(78.0)
Foreign currency and other adjustments1.3 
Restructuring reserve, December 31, 2022$35.9 
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Gain on Sale of Building
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In September 2022 we completed the sale of our building and land parcel located at 125 Broadway for an aggregate sales price of approximately $603.0 million, which is inclusive of a $10.8 million tenant allowance. This sale resulted in a pre-tax gain on sale of approximately $503.7 million, net of transaction costs, for the year ended December 31, 2022.
Simultaneously, with the close of this transaction we leased back the building for a term of approximately 5.5 years, which resulted in the recognition of approximately $168.2 million in new lease liabilities and right-of-use assets recorded within our consolidated balance sheets as of December 31, 2022. The sale and immediate leaseback of this building qualified for sale and leaseback treatment and is classified as an operating lease.
For additional information on our acquisition of BIIB118,125 Broadway sale and leaseback transaction, please read Note 2, Acquisitions11, Property, Plant and Equipment and Note 12, Leases, to our consolidated financial statements included in this report.
Other (Income) Expense, Net
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For 2022 compared to 2021, the change in other (income) expense, net primarily reflects a pre-tax gain during 2022 of approximately $1.5 billion related to the sale of our 49.9% equity interest in Samsung Bioepis, partially offset by a pre-tax charge of $900.0 million, plus settlement fees and expenses, related to a litigation settlement agreement to resolve a qui tam litigation relating to conduct prior to 2015.
For the year ended December 31, 2022, net unrealized losses and realized (gains) losses on our holdings in equity securities were approximately $264.7 million and zero, respectively, compared to net unrealized losses and realized gains of $831.4 million and $10.3 million, respectively, in 2021.
The net unrealized losses recognized during the year ended December 31, 2022, primarily reflect a decrease in the aggregate fair value of our investments in Denali and Sangamo common stock of approximately $278.0 million.
The net unrealized losses recognized during the year ended December 31, 2021, primarily reflect decreases in the aggregate fair value of our investments in Denali, Sage, Sangamo and Ionis common stock of approximately $819.6 million.
For the year ended December 31, 2022, net interest expense was $157.3 million, compared to $242.6 million in 2021. This decrease was primarily due to higher interest income earned on our investments in 2022, compared to 2021, and lower interest expense in 2022 due to the redemption of our 3.625% Senior Notes due September 15, 2022, with an aggregate principal amount of $1.0 billion.
For 2023 compared to 2022, we anticipate a decrease in net interest expense as a result of lower average debt balances in 2023 and an increase in
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interest income driven by higher interest rates on our cash and marketable securities.
For additional information on the sale of our equity interest in Samsung Bioepis, please read Note 3, Dispositions, to our consolidated financial statements included in this report.
For additional information on the redemption of our Senior Notes, please read Note 13, Indebtedness, to our consolidated financial statements included in this report.
For additional information on the litigation settlement agreement, please read Note 18, Other Consolidated Financial Statement Detail, to our consolidated financial statements included in this report.
Other Income (Expense), Net
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For 2020 compared to 2019, the change in other income (expense), net primarily reflects an increase in our net unrealized gains on our holdings in equity securities, partially offset by higher interest expense.
For the year ended December 31, 2020, net unrealized and realized gains on our holdings in equity securities were approximately $681.8 million and $12.1 million, respectively, compared to net unrealized and realized gains of $150.1 million and $50.0 million in 2019. The net unrealized gains recognized during the year ended December 31, 2020, primarily reflects an increase in the fair value of Denali and Sangamo common stock of approximately $703.9 million.
For the year ended December 31, 2020, net interest expense was $180.5 million as compared to $67.4 million in 2019. This increase was primarily due to additional borrowings in 2020 and lower interest income earned on our investments in 2020 as compared to 2019. On April 30, 2020, we issued our senior unsecured notes for an aggregate principal amount of $3.0 billion (2020 Senior Notes).
We expect interest expense will increase in 2021, as our 2020 Senior Notes will be outstanding for the entire year.
For additional information on our 2020 Senior Notes, please read Note 12, Indebtedness, to our consolidated financial statements included in this report.
Income Tax Provision
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Our effective tax rate fluctuates from year to year due to the global nature of our operations. The factors that most significantly impact our effective tax rate include changes in tax laws, variability in the allocation of our taxable earnings among multiple jurisdictions, the amount and characterization of our research and development expenses,expense, the levels of
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certain deductions and credits, acquisitions and licensing transactions.
For the year ended December 31, 2020, as2022, compared to 2019,2021, the increase in our effective tax rate, was primarily due toexcluding the income tax expense related toimpact of the establishment of a valuation allowance against certain net Neurimmune deferred tax assets,asset, as discussed below, includes the realizationtax impacts of which is dependent on future salesthe litigation settlement agreement and the sale of TECFIDERA in the U.S.,our building at 125 Broadway. These increases were partially offset by the benefit recognized onimpact of the effective settlementcurrent year tax benefits related to an international reorganization to align with global tax developments, the impacts of certainthe sale of our equity interest in Samsung Bioepis and the tax matters. Additionally,impacts of the decision to discontinue development of vixotrigine. Further in 2021, our 2019 effective tax rate benefited from an internal reorganizationthe tax effects of certain intellectual property rightsthe BIIB111 and BIIB112 impairment charges and the enactmentnon-cash tax effects of a new taxing regimechanges in the country and certain cantons of Switzerland, partially offset by tax expense related to the divestiturevalue of our Hillerød, Denmark manufacturing operations. Although we recognized a loss on the divestiture of our Hillerød, Denmark manufacturing operations, the divestiture required us to write-off certain deferred tax assets and resulted in a taxable gain in certain jurisdictions.equity instruments.
For additional information on the divestiture of our Hillerød, Denmark manufacturing operations,litigation settlement agreement, please read Note 3, Divestitures18, Other Consolidated Financial Statement Detail, to our consolidated financial statements included in this report.
Accounting for UncertaintyNeurimmune Deferred Tax Asset
During 2021 we recorded a net deferred tax asset in Income TaxesSwitzerland of approximately $100.0 million on Neurimmune's tax basis in ADUHELM, the realization of which was dependent on future sales of ADUHELM.
During the first quarter of 2022, upon issuance of the final NCD related to ADUHELM, we recorded an increase in a valuation allowance of approximately $85.0 million to reduce the net value of this deferred tax asset to zero.
These adjustments to our net deferred tax asset are each recorded with an equal and offsetting amount assigned to net income (loss) attributable to noncontrolling interests, net of tax in our consolidated statements of income, resulting in a zero net impact to net income attributable to Biogen Inc.
For additional information on our collaboration arrangement with Neurimmune, please read Note 20, Investments in Variable Interest Entities, to our consolidated financial statements included in this report.
Inflation Reduction Act
In August 2022 the IRA was signed into law in the U.S. The IRA introduced new tax provisions, including a 15.0% corporate alternative minimum tax and a 1.0% excise tax on stock repurchases. The provisions of the IRA will be effective for periods after December 31, 2022. The enactment of the IRA did not result in any material adjustments to our income
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tax provision or net deferred tax assets as of December 31, 2022.
For additional information on our income taxes, uncertain tax positions and income tax rate reconciliation, for 2020, 2019 and 2018, please read Note 16,17, Income Taxes, to our consolidated financial statements included in this report.
Equity in (Income) Loss of Investee, Net of Tax
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In February 2012 we entered into a joint venture agreement with Samsung BioLogics establishing an entity, Samsung Bioepis, to develop, manufacture and market biosimilar products.
In June 2018April 2022 we exercisedcompleted the sale of our option under our joint venture agreement to increase our ownership percentage49.9% equity interest in Samsung Bioepis from approximately
to Samsung BioLogics. Following the sale of Samsung Bioepis we no longer recognize gains or losses associated with Samsung Bioepis' results of operations and amortization related to basis differences.
5.0%Prior to approximately 49.9%. The share purchase transaction was completed in November 2018. As of December 31, 2020, our ownership percentage remained at approximately 49.9%.
We recognizethis sale, we recognized our share of the results of operations related to our investment in Samsung Bioepis under the equity method of accounting one quarter in arrears when the results of the entity becomebecame available, which iswas reflected as equity in (income) loss of investee, net of tax in our consolidated statements of income. We recognizealso recognized amortization on certain basis differences resulting from our November 2018 investment.
The former chief executive officer (the incumbent chairman of the board) and the chief financial officer of our joint venture partner, Samsung BioLogics, are currently subject to ongoing criminal proceedings that we continue to monitor. While these proceedings could impact the operations of Samsung Bioepis and its business, we have assessed the value of our investment in Samsung Bioepis and continue to believe that the fair value of the investment is in excess of its net book value.
For the year ended December 31, 2020, equity in (income) loss2022, we recognized net income on our investment of investee,$2.6 million, reflecting our share of Samsung Bioepis' operating profits, net of tax, reflects our share of income totaling $45.3$17.0 million andoffset by amortization of basis differences totaling $40.0$14.4 million. This amount reflects our share of
results prior to the sale of Samsung Bioepis as the results are recognized one quarter in arrears.
For the year ended December 31, 2021, we recognized net income on our investment of $34.9 million, reflecting our share of Samsung Bioepis' operating profits, net of tax, totaling $64.6 million offset by amortization of basis differences totaling $29.7 million.
Net income on our investment for the year ended December 31, 2019,2021, reflects a $31.2 million benefit related to the release of a valuation allowance on deferred tax assets associated with Samsung Bioepis. The valuation allowance was released in the second quarter of 2021 based on a consideration of the positive and negative evidence, including the historic earnings of Samsung Bioepis.
For additional information on the sale of our equity interest in (income) loss of investee, net of tax reflectsSamsung Bioepis, please read Note 3, Dispositions, to our share of losses totaling $1.2 million and amortization of basis differences totaling $78.2 million.consolidated financial statements included in this report.
For additional information on our collaboration arrangements with Samsung Bioepis, please read Note 18,19, Collaborative and Other Relationships, to our consolidated financial statements included in this report.
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Noncontrolling Interests, Net of Tax
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Our consolidated financial statements include the financial results of our variable interest entity, Neurimmune, as we determined that we are the primary beneficiary.
For 20202022 compared to 2021, the change in net income (loss) attributable to noncontrolling interests, net of tax, was primarily due to a deferred tax benefit and milestone payment recorded in 2021, as discussed below.
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During 2021 we recorded a net deferred tax asset in Switzerland of approximately $100.0 million on Neurimmune's tax basis in ADUHELM, the $75.0realization of which was dependent on future sales of ADUHELM.
During the first quarter of 2022, upon issuance of the final NCD related to ADUHELM, we recorded an increase in a valuation allowance of approximately $85.0 million to reduce the net value of this deferred tax asset to zero.
These adjustments to our net deferred tax asset are each recorded with an equal and offsetting amount assigned to net income (loss) attributable to noncontrolling interests, net of tax in our consolidated statements of income, resulting in a zero net impact to net income attributable to Biogen Inc.
For 2021 the change in net income (loss) attributable to noncontrolling interests, net of tax, was also due to the $100.0 million milestone payment to Neurimmune related to the completed submissionlaunch of ADUHELM in the BLA for the approval of aducanumab to the FDA.U.S. during 2021.
For additional information on our collaboration arrangementagreement with Neurimmune, please read Note 19,20, Investments in Variable Interest Entities, to our consolidated financial statements included in this report.
For additional information on our income taxes please read Note 17, Income Taxes, to our consolidated financial statements included in this report.
Financial Condition, Liquidity and Capital Resources
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FINANCIAL CONDITION, LIQUIDITY AND CAPITAL RESOURCES
Our financial condition is summarized as follows:
As of December 31,% Change As of December 31,
(In millions, except percentages)(In millions, except percentages)202020192020
vs.
2019
(In millions, except percentages)20222021% Change$ Change
Financial assets:Financial assets:Financial assets:
Cash and cash equivalentsCash and cash equivalents$1,331.2 $2,913.7 (54.3)%Cash and cash equivalents$3,419.3 $2,261.4 51.2 %$1,157.9 
Marketable securities — currentMarketable securities — current1,278.9 1,562.2 (18.1)Marketable securities — current1,473.5 1,541.1 (4.4)(67.6)
Marketable securities — non-currentMarketable securities — non-current772.1 1,408.1 (45.2)Marketable securities — non-current705.7 892.0 (20.9)(186.3)
Total cash, cash equivalents and marketable securitiesTotal cash, cash equivalents and marketable securities$3,382.2 $5,884.0 (42.5)%Total cash, cash equivalents and marketable securities$5,598.5 $4,694.5 19.3 %$904.0 
Borrowings:Borrowings:Borrowings:
Current portion of notes payableCurrent portion of notes payable$— $1,495.8 nmCurrent portion of notes payable$— $999.1 nm$(999.1)
Notes payableNotes payable7,426.2 4,459.0 66.5 Notes payable6,281.0 6,274.0 0.1 7.0 
Total borrowingsTotal borrowings$7,426.2 $5,954.8 24.7 %Total borrowings$6,281.0 $7,273.1 (13.6)%$(992.1)
Working Capital:Working Capital:Working Capital:
Current assetsCurrent assets$6,887.1 $8,381.8 (17.8)%Current assets$9,791.2 $7,856.5 24.6 %$1,934.7 
Current liabilitiesCurrent liabilities(3,742.2)(4,863.8)(23.1)Current liabilities(3,272.8)(4,298.2)(23.9)1,025.4 
Total working capitalTotal working capital$3,144.9 $3,518.0 (10.6)%Total working capital$6,518.4 $3,558.3 83.2 %$2,960.1 
nm Not meaningful
Overview
We have historically financed and expect to continue to fund our operating and capital expenditures primarily through cash flow earned through our operations as well as our existing cash resources. We believe generic competition for TECFIDERA in the U.S. and other key markets and the impact of biosimilar competition on RITUXAN sales volumes will continue to reduce our cash flow from operations in 2023 and will have a significant adverse impact on our future cash flow from operations.
For the year ended December 31, 2020,2022, certain significant cash flows were as follows:
$4.2 billion1,384.3 million in net cash flowsflow provided by operating activities, which reflected $1.9 billion of upfront payments and the premium on stock purchases made in connection with entering into our collaborations with Sage, Denali and Sangamo and recognized as research and development expenses;activities;
$6.7 billion used for share repurchases;
$3.0 billion990.3 million in net proceeds received from the issuancesale of our 2020 Senior Notes;equity interest in Samsung Bioepis;
$1.5582.6 million in net proceeds received from the sale of one of our buildings;
$1.0 billion payment made for the redemption of our 2.90%3.625% Senior Notes due September 15, 2020, prior to their maturity;2022;
$906.7917.0 million in total net payments for a litigation settlement agreement and settlement fees and expenses;
$932.9 million in total net payments for income taxes;
$441.0750.0 million used to purchase Sage common stock;
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$423.7 million used to purchase Denali common stock;
$141.8 million used to purchase Sangamo common stock;for share repurchases; and
$424.8240.3 million used for purchases of property, plant and equipment.
For the year ended December 31, 2019,2021, certain significant cash flows were as follows:
$7.1 billion3,639.9 million in net cash flowsflow provided by operating activities;
$5.91.8 billion used for share repurchases;
$1.1 billion170.0 million used in total net paymentsconnection with our private offer to exchange (Exchange Offer) our tendered 5.200% Senior Notes due September 15, 2045 (2045 Senior Notes) for income taxes;a new series of 3.250% Senior Notes due February 15, 2051 (2051 Senior Notes) and cash, and an offer to purchase our tendered 2045 Senior Notes for cash;
$923.7 million in proceeds received on the divestiture of our Hillerød, Denmark manufacturing operations, including the sale of raw materials that were remaining at the Hillerød facility on the closing date of this transaction;
$744.4 million payment made for our acquisition of NST, net of cash acquired;
$514.5258.1 million used for purchases of property, plant and equipment;
$479.3247.9 million in proceeds received on sales of strategic investments;
$300.0 milliontotal net payments for the final contingent payment made to former shareholders of Fumapharm AG and holders of their rights;income taxes; and
$155.0100.0 million in payments mademilestone payment to Alkermes following the FDA's approval of VUMERITY.Neurimmune.
Overview
We have historically financed our operating and capital expenditures primarily through cash flows earned through our operations. On April 30, 2020, we issued our 2020 Senior Notes for an aggregate principal amount of $3.0 billion. We expect our operating expenditures, particularly those related to research and development, clinical trials, commercialization of new products and international expansion to continue to grow. However, we expect to continue funding our current and planned operating requirements primarily through our cash flows earned from our operations as well as our existing cash resources and proceeds received from the issuance of our 2020 Senior Notes. Generic competition for TECFIDERA in the U.S. has begun and we believe that this competition will reduce our cash flow from operations in 2021 and will have a significant adverse impact on our future cash flows from operations. We believe that our existing funds, when combined with
cash generated from operations and our access to additional financing resources, if needed, are sufficient to satisfy our operating, working capital, strategic alliance, milestone payment, capital expenditure and debt service requirements for the foreseeable future. In addition, we may choose to opportunistically return cash to shareholders and pursue other business initiatives, including acquisition and licensing activities. We may, from time to time, also seek additional funding through a combination of new collaborative agreements, strategic alliances and additional equity and debt financings or from other
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sources should we identify a significant new opportunity.
Aducanumab
In July 2020 we completedFor additional information on the submission of a BLA for the approval of aducanumablitigation settlement agreement, please read Note 18, Other Consolidated Financial Statement Detail, to the FDA. In August 2020 the FDA accepted the BLA and granted Priority Review with a PDUFA action date on March 7, 2021. In January 2021 the FDA extended the review period for the BLA for aducanumab by three months. The updated PDUFA action date is June 7, 2021. If we do not receive regulatory approval or are unable to successfully commercialize aducanumab, our consolidated financial condition, business and operations may be adversely affected.statements included in this report.
For additional information on certain risks that could negatively impact our financial position or future results of operations, please read Item 1A. Risk Factors and Item 7A. Quantitative and Qualitative Disclosures About Market Risk included in this report.
Cash, Cash Equivalents and Marketable Securities
Until required for another use in our business, we typically invest our cash reserves in bank deposits, certificates of deposit, commercial paper, corporate notes, U.S. and foreign government instruments, overnight reverse repurchase agreements and other interest-bearing marketable debt instruments in accordance with our investment policy. It is our policy to mitigate credit risk in our cash reserves and marketable securities by maintaining a well-diversified portfolio that limits the amount of exposure as to institution, maturity and investment type. In March 2020 there was a severe liquidity crisis in the capital markets, particularly with respect to securities with maturities of less than one year, due to the COVID-19 pandemic. This issue impacted pricing of securities in our portfolio as we attempted to decrease our marketable securities level and increase cash, leading to approximately $8.2 million in realized losses for the year ended December 31, 2020. We believe that actions taken by the U.S. Federal Reserve to enhance liquidity have stabilized the capital markets for the time being.
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As of December 31, 2020,2022, we had cash, cash equivalents and marketable securities totaling approximately $3.4$5.6 billion compared to approximately $5.9$4.7 billion as of December 31, 2019.2021. The net decreasechange in cash, cash equivalents and marketable securities at December 31, 2020,2022, from December 31, 2019,2021, was primarily due to net cash flow provided by operating activities, which includes $917.0 million in total net payments for a litigation settlement agreement and settlement fees and expenses, and $990.3 million in net proceeds received from the sale of our equity interest in Samsung Bioepis and $582.6 million in net proceeds received from the sale of one of our buildings, partially offset by $1.0 billion of cash used for share repurchases, the redemption of our 2.90%3.625% Senior Notes due September 15, 2020, upfront payments2022 and stock purchases totaling $2.9 billion made in connection with entering into our collaborations with Sage, Denali and Sangamo and net purchases of property, plant and equipment, partially offset by cash flows from operations and net proceeds from$750.0 million used for share repurchases.
The following table summarizes the issuance of our 2020 Senior Notes.
Investments and other assets in our consolidated balance sheet as of December 31, 2020 and 2019, include the carryingfair value of our investmentsignificant common stock investments:
As of December 31,
(In millions)20222021
Denali$370.2 $550.7 
Sage238.0 231.9 
Sangamo74.3 173.7 
Ionis108.6 87.5 
$791.1 $1,043.8 
Although the contractual holding period restrictions on our investments in Samsung Bioepis of $620.2 millionDenali, Sage,
Sangamo and $580.2 million, respectively. As Samsung Bioepis is a privately-held entity,Ionis have expired, our ability to liquidate our investment in Samsung Bioepisthese investments may be limited by the size of our interest, the volume of market related activity, our concentrated level of ownership and potential restrictions resulting from our status as a collaborator. Therefore, we may realize significantly less than the current value of such investment. The investment is also subject to foreign currency exchange fluctuations.
In connection with our collaboration with Sangamo, we purchased approximately 24 million shares of Sangamo common stock in April 2020. As of December 31, 2020, the fair value of this investment was $333.7 million. In connection with our collaboration with Denali, we purchased approximately 13 million shares of Denali common stock in September 2020. As of December 31, 2020, the fair value of this investment was $935.7 million. In connection with our collaboration with Sage, we purchased approximately 6.2 million shares of Sage common stock in December 2020. As of December 31, 2020, the fair value of this investment was $433.9 million.
Our investment in Ionis common stock had a fair value of $249.1 million and $329.6 million as of December 31, 2020 and 2019, respectively.investments.
For additional information on our collaboration arrangements, with Ionis, Samsung Bioepis, Sangamo, Denali and Sage, please read Note 18,19, Collaborative and Other Relationships, to our consolidated financial statements included in this report.
Investments and Other Assets
Investments and other assets in our consolidated balance sheet as of December 31, 2021, includes the carrying value of our investment in Samsung Bioepis of $599.9 million. In April 2022 we completed the sale of our 49.9% equity interest in Samsung Bioepis to Samsung BioLogics. Under the terms of this transaction, we received approximately $1.0 billion in cash at closing and expect to receive approximately $1.3 billion in cash to be deferred over two payments of approximately $812.5 million due at the first anniversary and approximately $437.5 million due at the second anniversary of the closing of this transaction.
As part of this transaction, we are also eligible to receive up to an additional $50.0 million upon the achievement of certain commercial milestones. If any payments due to us remain outstanding after the second anniversary of the closing of this transaction, we may elect to receive shares of Samsung BioLogics common stock at a 5.0% discount in lieu of a cash payment for the remaining amount due. Currently, we believe that the likelihood of Samsung BioLogics failing to make timely payments to us for the amounts due is remote.
For additional information on the sale of our equity interest in Samsung Bioepis, please read Note 3, Dispositions, to our consolidated financial statements included in this report.
Capital Expenditures
In March 2021 we announced our plans to build a new gene therapy manufacturing facility in RTP, NC to support our gene therapy pipeline across multiple therapeutic areas. The new manufacturing facility will be approximately 197,000 square feet and is expected to be operational by the end of 2023, with an estimated total investment of approximately $195.0 million. Construction for this new facility began during the fourth quarter of 2021.
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Borrowings
In April 2020February 2021 we issuedcompleted our 2020 Senior Notes for anExchange Offer, consisting of the following:
$624.6 million aggregate principal amount of $3.0 billion, consistingour 2045 Senior Notes was exchanged for $700.7 million aggregate principal amount of the following:our 2051 Senior Notes and approximately $151.8 million of aggregate cash payments; and
$8.9 million aggregate principal amount of our 2045 Senior Notes was redeemed for approximately $12.1 million of aggregate cash payments, excluding accrued and unpaid interest.
The following is a summary of our currently outstanding senior unsecured notes issued in 2020 (2020 Senior Notes):
$1.5 billion aggregate principal amount of 2.25% Senior Notes due May 1, 2030; and
$1.5 billion aggregate principal amount of 3.15% Senior Notes due May 1, 2050.
The following is a summary of our currently outstanding senior securedunsecured notes issued in 2015 (2015 Senior Notes):
$1.0 billion aggregate principal amount of 3.625% Senior Notes due September 15, 2022;
$1.75 billion aggregate principal amount of 4.05% Senior Notes due September 15, 2025; and
$1.751.12 billion aggregate principal amount of 5.20% Senior Notes due September 15, 2045.
Our 2020 Senior Notes and our 2015 Senior Notes were issued at a discount, andwhich are amortized as additional interest expense over the period from issuance through maturity.
In May 2020July 2022 we redeemed our 2.90%3.625% Senior Notes due September 15, 2020,2022, with an aggregate principal amount of $1.5$1.0 billion.
For additional information on our Senior Notes, please read Note 13, Indebtedness, to our consolidated financial statements included in this report.
For a summary of the fair values of our outstanding borrowings as of December 31, 20202022 and 2019,2021, please read Note 7,8, Fair Value Measurements, to our consolidated financial statements included in this report.
2020 Credit Facility
In January 2020 we entered into a $1.0 billion, five-year senior unsecured revolving credit facility under which we are permitted to draw funds for working capital and general corporate purposes. The terms of the revolving credit facility include a financial
covenant that requires us not to exceed a maximum consolidated leverage ratio. This revolving credit facility replaced the revolving credit facility entered into in August 2015.
As of December 31, 2020,2022 and 2021, we had no outstanding borrowings and were in compliance with all covenants under this facility.
Working Capital
Working capital is defined as current assets less current liabilities. Working capital was $3.1$6.5 billion and $3.5$3.6 billion as of December 31, 20202022 and December 31, 2019,2021, respectively. The change in working capital reflects a decreasean increase in total current assets of approximately $1.5$1.9 billion and a decrease in total current liabilities of approximately $1.1$1.0 billion.
Current Assets
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The decreaseincrease in total current assets was primarily driven by a decreasethe following:
net increase in net cash, cash equivalents and marketable securities due to net cash flow provided by operating activities of approximately $1,384.3 million;
receipt of approximately $990.3 million in cash, net of expenses, from the sale of our equity interest in Samsung Bioepis;
recording of a receivable from Samsung BioLogics for approximately $798.8 million as part of the sale of our equity interest in Samsung Bioepis; and
cash receipt of approximately $582.6 million related to the sale of one of our buildings.
The increase was partially offset by cash used for share repurchases, the redemption of our 2.90%3.625% Senior Notes due September 15, 2020, upfront2022, of approximately $1.0 billion and share repurchases of $750.0 million and $917.0 million in total net payments for a litigation settlement agreement and stock purchases totaling $2.9 billion made in connection with entering into our collaborations with Sage, Denalisettlement fees and Sangamo and net purchases of property, plant and equipment, partially offset by cash flows from operations and net proceeds from the issuance of our 2020 Senior Notes.expenses.
Current Liabilities
The net decrease in total current liabilities was primarily due to the following:
redemption of our 2.90%3.625% Senior Notes due September 15, 2020,2022, of approximately $1.0 billion, which were classified within current liabilities as of December 31, 2019, partially offset by an increase in accrued expenses2021; and other.
a reduction in our accounts payable.
Share Repurchase Programs
In October 2020 our Board of Directors authorized our 2020 Share Repurchase Program, which is a program to repurchase up to $5.0 billion of our common stock. Our 2020 Share Repurchase Program does not have an expiration date. All share repurchases under our 2020 Share Repurchase Repurchase
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Program will be retired. Under our 2020 Share Repurchase Program, we repurchased and retired approximately 3.6 million, 6.0 million and 1.6 million shares of our common stock at a cost of approximately $750.0 million, $1.8 billion and $400.0 million during the yearyears ended December 31, 2020.2022, 2021 and 2020, respectively. Approximately $2.1 billion remained available under our 2020 Share Repurchase Program as of December 31, 2022.
In December 2019 our Board of Directors authorized our December 2019 Share Repurchase Program, which was a program to repurchase up to
$5.0 $5.0 billion of our common stock, thatwhich was completed as of September 30, 2020. All shares repurchased under our December 2019 Share Repurchase Program were retired. Under our December 2019 Share Repurchase Program, we repurchased and retired approximately 16.7 million shares of our common stock at a cost of
approximately $5.0 billion during the year ended December 31, 2020.
In March 2019 our Board of Directors authorized our March 2019 Share Repurchase Program, which was a program to repurchase up to $5.0 billion of our common stock, thatwhich was completed as of March 31, 2020. All shares repurchased under our March 2019 Share Repurchase Program were retired. Under our March 2019 Share Repurchase Program, we repurchased and retired approximately 4.1 million and 14.7 million shares of our common stock at a cost of approximately $1.3 billion and $3.7 billion during the yearsyear ended December 31, 2020 and 2019, respectively.2020.
In August 2018 our Board of Directors authorized our 2018 Share Repurchase Program, which2022 the IRA was signed into law. Among other things, the IRA levies a program to repurchase up to $3.5 billion of our common1.0% excise tax on net stock that was completed as of June 30, 2019. All share repurchases under our 2018 Share Repurchase Program were retired. Under our 2018 Share Repurchase Program, we repurchased and retired approximately 8.9 million and 4.3 million shares of our common stock at a cost of approximately $2.1 billion and $1.4 billion during the years endedafter December 31, 2019 and 2018, respectively.2022. Historically, we have made discretionary share repurchases.
Cash FlowsFlow
The following table summarizes our cash flow activity:
 For the Years Ended December 31,% Change
 2020
vs.
2019
2019
vs.
2018
(In millions, except percentages)202020192018
Net cash flows provided by operating activities$4,229.8 $7,078.6 $6,187.7 (40.2)%14.4 %
Net cash flows provided by (used in) investing activities(608.6)470.5 (2,046.3)(229.4)%nm
Net cash flows used in financing activities(5,272.7)(5,860.4)(4,472.0)10.0 (31.0)
 For the Years Ended December 31,% Change
 2022
vs.
2021
2021
vs.
2020
(In millions, except percentages)202220212020
Net cash flow provided by (used in) operating activities$1,384.3 $3,639.9 $4,229.8 (62.0)%(13.9)%
Net cash flow provided by (used in) investing activities1,576.6 (563.7)(608.6)379.7 (7.4)
Net cash flow provided by (used in) financing activities(1,747.3)(2,086.2)(5,272.7)(16.2)(60.4)
nm Not meaningful
Operating Activities
Cash flowsflow from operating activities representrepresents the cash receipts and disbursements related to all of our activities other than investing and financing activities. We expect cash provided from operating activities will continue to be our primary source of funds to finance operating needs and capital expenditures for the foreseeable future.

Operating cash flow is derived by adjusting our net income for:
non-cash operating items such as depreciation and amortization, impairment charges, unrealized gain (loss) on strategic investments, acquired IPR&D and share-based compensation;
changes in operating assets and liabilities, which reflect timing differences between the receipt and payment of cash associated with
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transactions and when they are recognized in results of operations; and
changes in the fair value of contingent payments associated with our acquisitions of businesses and payments related to collaborations.
For 20202022 compared to 2019,2021, the decrease in net cash flowsflow provided by operating activities was
primarily due to lower revenue in 2022, net payments of $917.0 million for a litigation settlement agreement and settlement fees and expenses, timing of payments and higher net income as well as increasestax payments in certain working capital asset balances. Net income2022. The higher tax payments are, in 2020 reflected approximately $1,084.0 million, $601.3 million and $208.0 millionpart, due to a change in the tax deductibility of upfront payments made in connection with entering into our collaborations with Sage, Denalifor research and Sangamo, respectively.development.
Investing Activities
For 20202022 compared to 2019,2021, the increase in net cash flows used inflow provided by investing activities was primarily
due to the purchases of the common stock of Sangamo, Denali and Sage totaling $1.0 billion during 2020 and proceeds of $923.7 million received in 2019 related to the divestiture of our Hillerød, Denmark manufacturing operations, partially offset by higher proceeds received from the sale of investmentsour 49.9% equity interest in Samsung Bioepis of $990.3 million, net of expenses, during the second quarter of 2022 as compared towell as $582.6 million in net proceeds received from the prior year.sale of one of our buildings during the third quarter of 2022.
Financing Activities
For 20202022 compared to 2019,2021, the decrease in net cash flowsflow used in financing activities was primarily due to the net proceeds received from the issuance of our 2020 Senior Notes$1.1 billion in lower share repurchases in 2022, partially offset by a$832.2 million in higher amount spent on shares repurchaseddebt repayments in 2020 as compared to the comparative period in 2019 and the redemption2022.
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Contractual Obligations and Off-Balance Sheet Arrangements
Contractual Obligations
The following table summarizes our contractual obligations as of December 31, 2020,2022, excluding amounts related to uncertain tax positions, funding commitments, contingent development, regulatory and commercial milestone payments, contingent payments and contingent consideration related to our business combinations, as described below.
 Payments Due by Period
(In millions)TotalLess than
1 Year
1 to 3
Years
3 to 5
Years
After
5 Years
Non-cancellable operating leases (1)(2)
$387.8 $70.3 $123.6 $89.6 $104.3 
Long-term debt obligations (3)
11,853.0 279.1 1,512.9 2,218.0 7,843.0 
Purchase and other obligations (4)
1,248.0 398.3 420.0 424.6 5.1 
Defined benefit obligation151.2 — — — 151.2 
Total contractual obligations$13,640.0 $747.7 $2,056.5 $2,732.2 $8,103.6 
 Payments Due by Period
(In millions)TotalLess than
1 Year
1 to 3
Years
3 to 5
Years
After
5 Years
Non-cancellable operating leases (1)(2)(3)
$364.2 $82.7 $140.8 $110.3 $30.4 
Long-term debt obligations (4)
10,262.4 232.7 2,197.7 323.7 7,508.3 
Purchase and other obligations (5)
917.2 306.7 600.6 1.7 8.2 
Defined benefit obligation90.8 — — — 90.8 
Total contractual obligations$11,634.6 $622.1 $2,939.1 $435.7 $7,637.7 
(1) We lease properties and equipment for use in our operations. Amounts reflected within the table above detail future minimum rental commitments under non-cancelable operating leases as of December 31 for each of the periods presented. In addition to the minimum rental commitments, these leases may require us to pay additional amounts for taxes, insurance, maintenance and other operating expenses.
(2) Obligations are presented net of sublease income expected to be received for our vacated small-scale biologics manufacturing facility in Cambridge, MA, the vacated portion of our Weston, MA facility and other facilities throughout the world.
(3) In September 2022 we completed the sale of our building and land parcel located at 125 Broadway. Simultaneously, with the close of this transaction we leased back the building for a term of approximately 5.5 years. For additional information on our 125 Broadway sale and leaseback transaction, please read Note 11, Property, Plant and Equipment and Note 12, Leases, to our consolidated financial statements included in this report.
(4)Long-term debt obligations are related to our 2015 Senior Notes, our 2020 Senior Notes and our 20202021 Exchange Offer Senior Notes, including principal and interest payments.
(4)(5) Purchase and other obligations include $697.0$558.0 million related to the remaining payments on a one-time mandatory deemed repatriation tax on accumulated foreign subsidiaries' previously untaxed foreign earnings (the Transition Toll Tax) and $217.2$26.0 million related to the fair value of net liabilities on derivative contracts.
Royalty Payments
TYSABRI
In 2013 we acquired from Elan Pharma International Ltd. (Elan), an affiliate of Elan Corporation plc, full ownership of all remaining rights to TYSABRI that we did not already own or control. Under the acquisition agreement, weWe are obligated to make contingent payments to Elan of 18.0% on annual worldwide net sales of TYSABRI up to $2.0 billion and 25.0% on annual worldwide net sales of TYSABRI that exceed $2.0 billion. Royalty payments to Elan and other third
parties are recognized as cost of sales in our consolidated statements of income. Elan was acquired by Perrigo Company plc (Perrigo) in December 2013 and Perrigo subsequently sold its rights to these payments to a third-party effective January 2017.
SPINRAZA
In 2016 we exercised our option to develop and commercialize SPINRAZA from Ionis. Under our agreement with Ionis, weWe make royalty payments to Ionis on annual worldwide net sales of SPINRAZA
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using a tiered royalty rate between 11.0% and 15.0%, which are recognized as cost of sales in our consolidated statements of income.
VUMERITY
We make royalty payments to Alkermes Pharma Ireland Limited, a subsidiary of Alkermes plc (Alkermes) on worldwide net sales of VUMERITY using a royalty rate of 15.0%, which are recognized as cost of sales in our consolidated statements of income.
In October 2019 we entered into a new supply agreement and amended our license and collaboration agreement with Alkermes for VUMERITY. We have elected to initiate a technology transfer and,
following a transition period, to manufacture VUMERITY or have VUMERITY manufactured by a third party we have engaged in exchange for paying an increased royalty rate to Alkermes on any portion of future worldwide net commercial sales of VUMERITY that is manufactured by us or our designee.
For additional information on our collaboration arrangementsarrangement with Ionis,Alkermes, please read Note 18,19, Collaborative and Other Relationships, to our consolidated financial statements included in this report.
VUMERITY
In October 2019 the FDA approved VUMERITY for the treatment of RMS. Under our agreement with Alkermes, we make royalty payments to Alkermes on worldwide net commercial sales of VUMERITY using a royalty rate of 15.0%, which are recorded as cost of sales in our consolidated statements of income. Royalties payable on net commercial sales of VUMERITY are subject, under certain circumstances, to tiered minimum annual payment requirements for a period of five years following FDA approval. For additional information on our collaboration arrangement with Alkermes, please read Note 18, Collaborative and Other Relationships, to our consolidated financial statements included in this report.
Contingent Consideration related to Business Combinations
In connection with our acquisition of Convergence Pharmaceuticals Ltd. we agreed to make additional payments based upon the achievement of certain milestone events.
We recognized the contingent consideration liabilities associated with these transactions at their fair value on the acquisition date and revalue these obligations each reporting period. We may pay up to approximately $400.0 million in remaining milestones related to these acquisitions.
Contingent Development, Regulatory and Commercial Milestone Payments
Based on our development plans as of December 31, 2020,2022, we could trigger potential future milestone payments to third parties of up to approximately $10.2$9.3 billion, including approximately $1.9$2.0 billion in development milestones, approximately $1.3$0.5 billion in regulatory milestones and approximately $7.0$6.8 billion in commercial milestones, as part of our various collaborations, including licensing and development programs. Payments under these agreements generally become due and payable upon achievement of certain development, regulatory or commercial milestones. Because the achievement of these milestones was not considered probable as
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of December 31, 2020,2022, such contingencies have not been recorded in our financial statements. Amounts related to contingent milestone payments are not considered contractual obligations as they are
contingent on the successful achievement of certain development, regulatory or commercial milestones.
If certain clinical and commercial milestones are met, we may pay up to $86.2$356.2 million in milestones in 20212023 under our current agreements. Additionally, if aducanumab receives regulatory approvalThis includes milestones totaling $225.0 million due to Sage upon the first commercial sale of zuranolone, for the potential treatment of MDD and PPD, in the jurisdictions where we have submitted filings, we may pay up to $200.0 million in milestones to Neurimmune in 2021, which includes $100.0 million if launched in the U.S., $50.0 million if launched in three or more countries within the E.U. and $50.0 million if launched in Japan. Milestones payable to Neurimmune are shared expenses under the Aducanumab Collaboration Agreement with Eisai.
During the second quarter of 2020, we paid Neurimmune $75.0 million upon the completed submission of the BLA for the approval of aducanumab to the FDA, which was recognized as a charge to noncontrolling interests for the year ended December 31, 2020. In addition, for the year ended December 31, 2020, we recognized net profit-sharing income of $33.8 million to reflect Eisai's 45.0% share of the $75.0 million milestone expense.
For additional information on our collaboration arrangements with Eisai, please read Note 18, Collaborative and Other Relationships, to our consolidated financial statements included in this report.
For additional information on our collaboration arrangement with Neurimmune, please read Note 19, Investments in Variable Interest Entities, to our consolidated financial statements included in this report.
Other Funding Commitments
As of December 31, 2020,2022, we have several ongoing clinical studies in various clinical trial stages. Our most significant clinical trial expenditures are to CROs. The contracts with CROs are generally cancellable, with notice, at our option. We recorded accrued expensesexpense of approximately $21.7$20.4 million in our consolidated balance sheetsheets for expenditures incurred by CROs as of December 31, 2020.2022. We have approximately $593.0$929.0 million in cancellable future commitments based on existing CRO contracts as of December 31, 2020.
As part of the sale of our Hillerød, Denmark manufacturing operations to FUJIFILM, we provided FUJIFILM with certain minimum batch production commitment guarantees. There is a risk that the minimum contractual batch production commitments will not be met. Based upon current estimates we do not expect to incur an adverse commitment obligation associated with such guarantees. We developed this estimate using a probability-weighted estimate of
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future manufacturing activity and may further adjust this estimate based upon changes in business conditions, which may result in the increase or reduction of this adverse commitment obligation in subsequent periods.2022.
Tax Related Obligations
We exclude liabilities pertaining to uncertain tax positions from our summary of contractual obligations as we cannot make a reliable estimate of the period of cash settlement with the respective taxing authorities. As of December 31, 2020,2022, we have approximately $79.6$154.6 million of liabilities associated with uncertain tax positions.
As of December 31, 20202022 and 2019, included in other long-term liabilities2021, we have accrued income tax liabilities of approximately $697.0$558.0 million and $633.0 million, respectively, under a one-time mandatory deemed repatriation tax on accumulated foreign subsidiaries' previously untaxed foreign earnings (thethe Transition Toll Tax).Tax. Of the amounts accrued as of December 31, 2020, $62.02022, approximately $137.8 million is expected to be paid within one year. The Transition Toll Tax will be paid in installments over an eight--year period, which started in 2018, and doeswill not accrue interest.
Other Off-Balance Sheet Arrangements
We do not have any relationships with entities often referred to as structured finance or special purpose entities that were established for the purpose of facilitating off-balance sheet arrangements. As such, we are not exposed to any financing, liquidity, market or credit risk that could arise if we had engaged in such relationships. We consolidate variable interest entities if we are the primary beneficiary.
New Accounting Standards
For a discussion of new accounting standards please read Note 1, Summary of Significant Accounting Policies, to our consolidated financial statements included in this report.
Legal Matters
For a discussion of legal matters as of December 31, 2020,2022, please read Note 20,21, Litigation, to our consolidated financial statements included in this report.
Critical Accounting Policies and Estimates
The preparation of our consolidated financial statements, which have been prepared in accordance with accounting principles generally accepted in the U.S. (U.S. GAAP), requires us to make estimates, judgments and assumptions that may affect the
reported amounts of assets, liabilities, equity, revenuesrevenue and expensesexpense and related disclosure of contingent assets and liabilities. On an ongoing basis we evaluate our estimates, judgments and methodologies.assumptions. We base our estimates on historical experience and on various other assumptions that we believe are reasonable, the results of which form the basis for making judgments about the carrying values of assets, liabilities and equity and the amount of revenuesrevenue and expenses.expense. Actual results may differ from these estimates. Other significant accounting policies are outlined in Note 1, Summary of Significant Accounting Policies, to our consolidated financial statements included in this report.
Revenue Recognition
We recognize revenuesrevenue when our customer obtains control of promised goods or services, in an amount that reflects the consideration which we expect to receive in exchange for those goods or services. We recognize revenuesrevenue following the five-step model prescribed under Financial Accounting Standards Board (FASB) Accounting Standards Codification 606, Revenue from Contracts with Customers: (i) identify contract(s) with a customer; (ii) identify the performance obligations in the contract; (iii) determine the transaction price; (iv) allocate the transaction price to the performance obligations in the contract; and (v) recognize revenuesrevenue when (or as) we satisfy the performance obligation.obligations.
Product RevenuesRevenue
In the U.S., we sell our products primarily to wholesale and specialty distributors and specialty pharmacy providers.pharmacies. In other countries, we sell our products primarily to wholesale distributors, hospitals, pharmacies and other third-party distribution partners. These customers subsequently resell our products to
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health care providers and patients. In addition, we enter into arrangements with health care providers and payors that provide for government-mandated or privately-negotiated discounts and allowances related to our products.
Product revenues arerevenue is recognized when the customer obtains control of our product, which occurs at a point in time, typically upon delivery to the customer. We expense incremental costs of obtaining a contract as and when incurred if the expected amortization period of the asset that we would have recognized is one year or less or the amount is immaterial.
Reserves for Discounts and Allowances
Product revenues arerevenue is recorded net of reserves established for applicable discounts and allowances that are offered within contracts with our customers, health care providers or payors, including those
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associated with the implementation of pricing actions in certain of the international markets in which we operate. Our process for estimating reserves established for these variable consideration components do not differ materially from our historical practices.
Product revenue reserves, which are classified as a reduction in product revenues,revenue, are generally characterized in the following categories: discounts, contractual adjustments and returns.
These reserves are based on estimates of the amounts earned or to be claimed on the related sales and are classified as reductions of accounts receivable (if the amount is payable to our customer) or a liability (if the amount is payable to a party other than our customer). Our estimates of reserves established for variable consideration are calculated based upon a consistent application of our methodology utilizing the expected value method. These estimates reflect our historical experience, current contractual and statutory requirements, specific known market events and trends, industry data and forecasted customer buying and payment patterns. The transaction price, which includes variable consideration reflecting the impact of discounts and allowances, may be subject to constraint and is included in the net sales price only to the extent that it is probable that a significant reversal of the amount of the cumulative revenuesrevenue recognized will not occur in a future period. Actual amounts may ultimately differ from our estimates. If actual results vary, we adjust these estimates, which could have an effect on earnings in the period of adjustment.
As of December 31, 2022, a 10.0% change in our discounts, contractual adjustments and reserves
would have resulted in a decrease of our pre-tax earnings by approximately $338.6 million.
In addition to discounts, rebates and product returns, we also maintain certain customer service contracts with distributors and other customers in the distribution channel that provide us with inventory management, data and distribution services, which are generally reflected as a reduction of revenues.revenue. To the extent we can demonstrate a separable benefit and fair value for these services we classify these payments in selling, general and administrative expenses.expense in our consolidated statements of income.
For additional information on our revenues,revenue, please read Note 4, Revenues5, Revenue, to our consolidated financial statements included in this report.
Inventory
At each reporting period we review our inventories for excess or obsolescence and write-down obsolete or otherwise unmarketable inventory to its estimated net realizable value. The determination of obsolete or excess inventory requires management to make estimates based on assumptions about the future demand of our products, product expiration dates, estimated future sales and our general future plans. If customer demand subsequently differs from our forecasts, we may be required to record additional charges for excess inventory.
Although we believe that the assumptions we use in estimating inventory write-downs are reasonable, no assurance can be given that significant future changes in these assumptions or changes in future events and market conditions could result in different estimates.
During 2021 we wrote-off approximately $120.0 million of inventory in excess of forecasted demand related to ADUHELM. During the first quarter of 2022 we wrote-off approximately $275.0 million, as a result of the final CMS decision.
As of December 31, 2022, the carrying value of our ADUHELM inventory was immaterial. As of December 31, 2021, we had approximately $223.0 million of ADUHELM inventory.
Acquired Intangible Assets, including IPR&D
When we purchase a business, the acquired IPR&D is measured at fair value, capitalized as an intangible asset and tested for impairment at least annually, as of October 31, until commercialization, after which time the IPR&D is amortized over its estimated useful life. If we acquire an asset or group of assets that do not meet the definition of a
business under applicable accounting standards, the acquired IPR&D is expensed on its acquisition date. Future costs to develop these assets are recorded to
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research and development expense as they are incurred.
We have acquired, and expect to continue to acquire, intangible assets through the acquisition of biotechnology companies or through the consolidation of variable interest entities. These intangible assets primarily consist of technology associated with human therapeutic products and IPR&D product candidates. When significant identifiable intangible assets are acquired, we generally engage an independent third-party valuation firm to assist in determining the fair values of these assets as of the acquisition date. Management will determine the fair value of less significant identifiable intangible assets acquired. Discounted cash flow models are typically used in these valuations, and these models require the use of significant estimates and assumptions including but not limited to:
estimating the timing of and expected costs to complete the in-process projects;
projecting regulatory approvals;
estimating future cash flowsflow from product sales resulting from completed products and in process projects; and
developing appropriate discount rates and probability rates by project.
We believe the fair values assigned to the intangible assets acquired are based upon reasonable estimates and assumptions given available facts and circumstances as of the acquisition dates.
If these projects are not successfully developed, the sales and profitability of the company may be adversely affected in future periods. Additionally, the value of the acquired intangible assets may become impaired. No assurance can be given that the underlying assumptions used to estimate expected project sales, development costs or profitability, or the events associated with such projects, will transpire as estimated.
Impairment and Amortization of Long-lived Assets and Accounting for Goodwill
Long-lived Assets Other than Goodwill
Long-lived assets to be held and used include property, plant and equipment as well as intangible assets, including IPR&D and trademarks. Property, plant and equipment are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of the assets may not be recoverable. We review our intangible assets
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with indefinite lives for impairment annually, as of October 31, and whenever events or changes in circumstances indicate that the carrying value of an asset may not be recoverable.
When performing our impairment assessment, we calculate the fair value using the same methodology as described above under Acquired
Intangible Assets, including IPR&D. If the carrying value of our acquired IPR&D exceeds its fair value, then the intangible asset is written down to its fair value. Changes in the estimates and assumptions used in determining the fair value of our acquired IPR&D could result in an impairment. Impairments are recorded within amortization and impairment of acquired intangible assets in our consolidated statements of income. Assets that have previously been impaired, including
Based on our vixotrigine programmost recent impairment assessment we incurred impairment charges of approximately $119.6 million and $629.3 million for the potential treatmentyears ended December 31, 2022 and 2021, respectively, mainly related to the discontinuation of neuropathic pain, such as TGN, could become further impairedIPR&D programs. For additional information on our impairments, Note 7, Intangible Assets and Goodwill, to our consolidated financial statements included in the future.this report.
Our most significant intangible assets are our acquired and in-licensed rights and patents. Acquired and in-licensed rights and patents primarily relate to our acquisition of all remaining rights to TYSABRI from Elan.TYSABRI. We amortize the intangible assets related to our TYSABRI, AVONEX, SPINRAZA, VUMERITY and TECFIDERA (rest of world)marketed products using the economic consumption method based on revenuesrevenue generated from the products underlying the related intangible assets. An analysis of the anticipated lifetime revenuesrevenue of TYSABRI, AVONEX, SPINRAZA, VUMERITY and TECFIDERA (rest of world)our marketed products is performed annually during our long-range planning cycle and whenever events or changes in circumstances would significantly affect the anticipated lifetime revenuesrevenue of our TYSABRI, AVONEX, SPINRAZA, VUMERITY or TECFIDERA (rest of world)the relevant products.
For additional information on the impairment charges related to our long-lived assets during 2020, 20192022, 2021 and 2018,2020, please read Note 6,7, Intangible Assets and Goodwill, to our consolidated financial statements included in this report.
Goodwill
Goodwill relates largely to amounts that arose in connection with the merger of Biogen, Inc. and IDEC Pharmaceuticals Corporation in 2003 and amounts that were paid in connection with the acquisition of Fumapharm AG. Our goodwill balances represent the difference between the purchase price and the fair value of the identifiable tangible and intangible net assets when accounted for using the purchase method of accounting.
We assess our goodwill balance within our single reporting unit annually, as of October 31, and whenever events or changes in circumstances indicate the carrying value of goodwill may not be
recoverable to determine whether any impairment in this asset may exist and, if so, the extent of such impairment. We compare the fair value of our reporting unit to its carrying value. If the carrying value of the net assets assigned to the reporting unit exceeds the fair value of our reporting unit, we would record an impairment loss equal to the difference.
We completed our required annual impairment test in the fourth quarters of 2020, 2019 and 2018 and determined in each of those periods that the carrying value of goodwill was not impaired. In each year, the fair value of our reporting unit, which includes goodwill, was significantly in excess of the carrying value of our reporting unit.
Contingent Consideration
We record contingent consideration resulting from a business combination at its fair value on the acquisition date. Each reporting period thereafter, we revalue the remaining obligations and record increases or decreases in their fair value as an adjustment to contingent consideration expense in our consolidated statements of income. Changes in the fair value of our contingent consideration obligations can result from changes to one or multiple inputs, including adjustments to the discount rates and achievement and timing of any cumulative sales-based and development milestones or changes in the probability of certain clinical events and changes in the assumed probability associated with regulatory approval. These fair value measurements represent Level 3 measurements as they are based on significant inputs not observable in the market.
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Significant judgment is employed in determining the appropriateness of these assumptions as of the acquisition date and for each subsequent period. Accordingly, changes in assumptions described above, could have a material impact on the amount of contingent consideration expense we record in any given period.
Income Taxes
We prepare and file income tax returns based on our interpretation of each jurisdiction’s tax laws and regulations. In preparing our consolidated financial statements, we estimate our income tax liability in each of the jurisdictions in which we operate by estimating our actual current tax expense together with assessing temporary differences resulting from differing treatment of items for tax and financial reporting purposes. These differences result in deferred tax assets and liabilities, which are included in our consolidated balance sheets. Upon our election in the fourth quarter of 2018 to record deferred taxes for global intangible low-taxed income (GILTI), we have included amounts related to GILTI taxes within temporary difference.
Significant management
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judgment is required in assessing the realizability of our deferred tax assets. In performing this assessment, we consider whether it is more likely than not that some portion or all of the deferred tax assets will not be realized. The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income during the periods in which those temporary differences become deductible. In making this determination, under the applicable financial accounting standards, we are allowed to consider the scheduled reversal of deferred tax liabilities, projected future taxable income and the effects of tax planning strategies. In the event that actual results differ from our estimates, we adjust our estimates in future periods and we may need to establish a valuation allowance, which could materially impact our consolidated financial position and results of operations.
We account for uncertain tax positions using a “more likely than not” threshold for recognizing and resolving uncertain tax positions. We evaluate uncertain tax positions on a quarterly basis and consider various factors including, but not limited to, changes in tax law, the measurement of tax positions taken or expected to be taken in tax returns, the effective settlement of matters subject to audit, information obtained during in process audit activities and changes in facts or circumstances related to a tax position. We adjust the level of the liability to reflect any subsequent changes in the relevant facts surrounding the uncertain positions. Our liabilities for uncertain tax positions can be relieved only if the contingency becomes legally extinguished, through
either payment to the taxing authority or the expiration of the statute of limitations, the recognition of the benefits associated with the position meet the “more likely than not” threshold or the liability becomes effectively settled through the examination process. We consider matters to be effectively settled once the taxing authority has completed all of its required or expected examination procedures, including all appeals and administrative reviews, we have no plans to appeal or litigate any aspect of the tax position and we believe that it is highly unlikely that the taxing authority would examine or re-examine the related tax position. We also accrue for potential interest and penalties related to unrecognized tax benefits in income tax expense.
ItemITEM 7A.        Quantitative and Qualitative Disclosures About Market RiskQUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
We are subject to certain risks that may affect our results of operations, cash flowsflow and fair values of assets and liabilities, including volatility in foreign currency exchange rates, interest rate movements and pricing pressures worldwideequity price exposure as well as changes in economic conditions in the markets in which we
operate as a result of the COVID-19 pandemic.pandemic and the conflict in Ukraine. We manage the impact of foreign currency exchange rates and interest rates through various financial instruments, including derivative instruments such as foreign currency forward contracts, interest rate lock contracts and interest rate swap contracts. We do not enter into financial instruments for trading or speculative purposes. The counterparties to these contracts are major financial institutions, and there is no significant concentration of exposure with any one counterparty.
Foreign Currency Exchange Risk
Our results of operations are subject to foreign currency exchange rate fluctuations due to the global nature of our operations. As a result, our consolidated financial position, results of operations and cash flowsflow can be affected by market fluctuations in foreign currency exchange rates, primarily with respect to the Euro, British pound sterling, Canadian dollar, Swiss franc and Japanese yen and South Korean won.yen.
While the financial results of our global activities are reported in U.S. dollars, the functional currency for most of our foreign subsidiaries is their respective local currency. Fluctuations in the foreign currency exchange rates of the countries in which we do business will affect our operating results, often in ways that are difficult to predict. In particular, as the U.S. dollar strengthens versus other currencies, the value of the non-U.S. revenuesrevenue will decline when reported in U.S. dollars. The impact to net income as a result of a strengthening U.S. dollar will be partially
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mitigated by the value of non-U.S. expenses,expense, which will also decline when reported in U.S. dollars. As the U.S. dollar weakens versus other currencies, the value of the non-U.S. revenuesrevenue and expensesexpense will increase when reported in U.S. dollars.
We have established revenue and operating expense hedging and balance sheet risk management programs to protect against volatility of future foreign currency cash flowsflow and changes in fair value caused by volatility in foreign currency exchange rates.
During the second quarter of 2018 the International Practices Task Force of the Center for Audit Quality categorized Argentina as a country with a projected three-year cumulative inflation rate greater than 100.0%, which indicated that Argentina’s economy is highly inflationary. This categorization did not have a material impact on our results of operations or financial position as of December 31, 2020,2022, and is not expected to have a material impact on our results of operations or financial position in the future.
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Revenue and Operating Expense Hedging Program
Our foreign currency hedging program is designed to mitigate, over time, a portion of the impact resulting from volatility in exchange rate changes on revenuesrevenue and operating expenses.expense. We use foreign currency forward contracts and foreign currency options to manage foreign currency risk, with the majority of our forward contracts used to hedge certain forecasted revenue and operating expense transactions denominated in foreign currencies in the next 2412 months. We do not engage in currency speculation. For a more detailed disclosure of our revenue and operating expense hedging program, please read Note 9,10, Derivative Instruments, to our consolidated financial statements included in this report.
Our ability to mitigate the impact of foreign currency exchange rate changes on revenuesrevenue and net income diminishes as significant foreign currency exchange rate fluctuations are sustained over extended periods of time. In particular, devaluation or significant deterioration of foreign currency exchange rates are difficult to mitigate and likely to negatively impact earnings. The cash flowsflow from these contracts are reported as operating activities in our consolidated statements of cash flows.flow.
Balance Sheet Risk Management Hedging Program
We also use forward contracts to mitigate the foreign currency exposure related to certain balance sheet items. The primary objective of our balance sheet risk management program is to mitigate the exposure of foreign currency denominated net monetary assets and liabilities of foreign affiliates. In these instances, we principally utilize currency forward
contracts. We have not elected hedge accounting for the balance sheet related items. The cash flowsflow from these contracts are reported as operating activities in our consolidated statements of cash flows.flow.
The following quantitative information includes the impact of currency movements on forward contracts used in our revenue, operating expense and balance sheet hedging programs. As of December 31, 20202022 and 2019,2021, a hypothetical adverse 10.0% movement in foreign currency exchange rates compared to the U.S. dollar across all maturities would result in a hypothetical decrease in the fair value of forward contracts of approximately $458.2$293.7 million and $265.0$333.1 million, respectively. The estimated fair value change was determined by measuring the impact of the hypothetical exchange rate movement on outstanding forward contracts. Our use of this methodology to quantify the market risk of such instruments is subject to assumptions and actual impact could be significantly different. The quantitative information about market risk is limited because it does not take into account all foreign currency operating transactions.
Net Investment Hedge Program
Our net investment hedging program is designed to mitigate currency fluctuations between the U.S. dollar and the South Korean won as a result of our approximately 49.9% ownership interest in Samsung Bioepis. We entered into foreign currency forward contracts to manage the foreign currency risk with our forward contracts used to hedge changes in the spot rate over the next 10 months. As of December 31, 2020 and 2019, a hypothetical adverse 10.0% movement would result in a hypothetical decrease in fair value of approximately $56.9 million and $43.0 million, respectively. The estimated fair value was determined by measuring the impact of the hypothetical spot rate movement on outstanding forward contracts.
Interest Rate Risk
Our investment portfolio includes cash equivalents and short-term investments. The fair value of our marketable securities is subject to change as a result of potential changes in market interest rates, including changes resulting from the impact of the COVID-19 pandemic.rates. The potential change in fair value for interest rate sensitive instruments has been assessed on a hypothetical 100 basis point adverse movement across all maturities. As of December 31, 20202022 and 2019,2021, we estimate that such hypothetical 100 basis point adverse movement would result in a hypothetical loss in fair value of approximately $13.2$11.7 million and $21.0$14.3 million, respectively, to our interest rate sensitive instruments. The fair values of our investments were determined using third-party pricing services or other market observable data.
Pricing Pressure
Governments in certain international markets in which we operate have implemented measures, and may in the future implement new or additional measures, to reduce health care costs to limit the overall level of government expenditures. These measures vary by country and may include, among other things, patient access restrictions, suspensions on price increases, prospective and possible retroactive price reductions and other recoupments and increased mandatory discounts or rebates, recoveries of past price increases and greater importation of drugs from lower-cost countries. In addition, certain countries set prices by reference to the prices in other countries where our products are marketed. Our inability to obtain and maintain adequate prices in a particular country may not only limit the revenues from our products within that country but may also adversely affect our ability to secure acceptable prices in existing and potential new markets, which may limit market growth. The continued implementation of pricing actions
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throughout Europe may also lead to higher levels of parallel trade.
In the U.S., federal and state legislatures, health agencies and third-party payors continue to focus on containing the cost of health care. Legislative and regulatory proposals, enactments to reform health care insurance programs and increasing pressure from social sources could significantly influence the way our products are prescribed and purchased. It is possible that additional federal health care reform measures will be adopted in the future, which could result in increased pricing pressure and reduced reimbursement for our products and otherwise have an adverse impact on our consolidated financial position or results of operations. There is also significant economic pressure on state budgets that may result in states increasingly seeking to achieve budget savings through mechanisms that limit coverage or payment for our drugs. Managed care organizations are also continuing to seek price discounts and, in some cases, impose restrictions on the coverage of certain drugs.
Our products continue to face increasing competition in many markets from new originator therapies, generics, prodrugs and biosimilars of existing products and products approved under abbreviated regulatory pathways. Such products are likely to be sold at substantially lower prices than branded products. Accordingly, the introduction of such products, as well as other lower-priced competing products, may significantly reduce both the price that we are able to charge for our products and the volume of products we sell, which will negatively impact our revenues. In addition, in some markets, when a generic or biosimilar version of one of our products is commercialized, it may be automatically substituted for our product and significantly reduce our revenues in a short period of time.
Multiple TECFIDERA generic entrants are now in the U.S. market and have deeply discounted prices compared to TECFIDERA. The generic competition for TECFIDERA significantly reduced our TECFIDERA revenues during the year ended December 31, 2020, and is expected to have a substantial negative impact on our TECFIDERA revenues for as long as there is generic competition.
Credit Risk
We areFinancial instruments that potentially subject us to credit risk from our accounts receivable related to our product sales. The majority of our accounts receivable arise from product sales in the U.S. and Europe with concentrations of credit risk limited dueinclude cash and cash equivalents, investments, derivatives and accounts receivable. We attempt to minimize the wide varietyrisks related to cash and cash equivalents and investments by investing in a broad and diverse range of customersfinancial instruments. We have established guidelines related to credit ratings and markets usingmaturities intended to safeguard principal balances and maintain liquidity. Our investment portfolio is maintained in accordance with our productsinvestment policy, which defines allowable investments, specifies credit quality standards and limits the credit exposure of any single issuer. We minimize credit risk resulting from derivative instruments by choosing only highly rated financial institutions as well as their dispersion across many different geographic areas. Our accounts receivable are primarily due from wholesale and othercounterparties.
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third-party distributors, public hospitals, pharmacies and other government entities. We monitor the financial performance and creditworthiness of our customers so that we can properly assess and respond to changes in their credit profile.
We operate in certain countries where weakness in economic conditions, including as a resultthe effects of the COVID-19 pandemic and the conflict in Ukraine, can result in extended collection periods. We continue to monitor these conditions, including the volatility associated with international economies and the relevant financial markets, and assess their possible impact on our business. To date, we have not experienced any significant losses with respect to the collection of our accounts receivable.
We believe that our allowance for doubtful accounts was adequate as of December 31, 20202022 and 2019. However, if significant2021.
Equity Price Risk
Our strategic investment portfolio includes investments in equity securities of certain biotechnology companies. While we are holding such securities, we are subject to equity price risk, and this may increase the volatility of our income in future periods due to changes occur in the availabilityfair value of government funding orequity investments. We may sell such equity securities based on our business considerations, which may include limiting our price risk.
Changes in the reimbursement practicesfair value of these orequity securities are impacted by the volatility of the stock market and changes in general economic conditions, among other governments, we may not be able to collectfactors. The potential change in fair value for equity price sensitive instruments has been assessed on amounts due to us from customersa hypothetical 10.0% adverse movement. As of December 31, 2022 and 2021, a hypothetical adverse 10.0% movement would result in such countriesa hypothetical decrease in fair value of approximately $79.1 million and our results of operations could be adversely affected.$104.8 million, respectively.
ItemITEM 8.        Financial Statements and Supplementary DataFINANCIAL STATEMENTS AND SUPPLEMENTARY DATA
The information required by this Item 8 is contained on pages F-1 through F-80F-79 of this report and is incorporated herein by reference.
ItemITEM 9.        Changes in and Disagreements with Accountants on Accounting and Financial DisclosureCHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE
None.
ItemITEM 9A.        Controls and ProceduresCONTROLS AND PROCEDURES
Disclosure Controls and Procedures and Internal Control over Financial Reporting
Controls and Procedures
We have carried out an evaluation, under the supervision and with the participation of our management, including our principal executive officer and principal financial officer, of the effectiveness of
the design and operation of our disclosure controls and procedures (as defined in Rules 13a-15(e) andor 15d-15(e) under the Securities Exchange Act of 1934, as amended), as of December 31, 2020.2022. Based upon that evaluation, our principal executive officer and principal financial officer concluded that, as of the end of the period covered by this report, our disclosure controls and procedures are effective in ensuring that:
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(a) the information required to be disclosed by us in the reports that we file or submit under the Securities Exchange Act is recorded, processed, summarized and reported within the time periods specified in the U.S. Securities and Exchange Commission's rules and forms; and
(b) such information is accumulated and communicated to our management, including our principal executive officer and principal financial officer, as appropriate to allow timely decisions regarding required disclosure.
In designing and evaluating our disclosure controls and procedures, our management recognized that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives, and our management necessarily was required to apply its judgment in evaluating the cost-benefit relationship of possible controls and procedures.
Changes in Internal Control over Financial Reporting
There were no changes in our internal control over financial reporting during the quarter ended December 31, 2020,2022, that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
Management’s Annual Report on Internal Control over Financial Reporting
Our management is responsible for establishing and maintaining adequate internal control over our financial reporting. Internal control over financial reporting is defined in Rules 13a-15(f) and 15d-15(f) under the Securities Exchange Act as a process designed by, or under the supervision of, a company’s principal executive and principal financial officers and effected by a company’s board of directors, management and other personnel to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with U.S. GAAP. Our internal control over financial reporting includes those policies and procedures that:
pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect our transactions and dispositions of our assets;
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provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with U.S. GAAP, and that our receipts and expenditures are being made only in accordance with authorizations of our management and directors; and
provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of our assets that could have a material effect on our financial statements.
Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.
Our management assessed the effectiveness of our internal control over financial reporting as of December 31, 2020.2022. In making this assessment, management used the criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission (COSO) in its 2013 Internal Control — Integrated Framework.
Based on our assessment, our management has concluded that, as of December 31, 2020,2022, our internal control over financial reporting is effective based on those criteria.
The effectiveness of our internal control over financial reporting as of December 31, 2020,2022, has been audited by PricewaterhouseCoopers LLP, an independent registered public accounting firm, as stated in their attestation report, which is included herein.
ItemITEM 9B.        Other InformationOTHER INFORMATION
None.
ITEM 9C.        DISCLOSURE REGARDING FOREIGN JURISDICTIONS THAT PREVENT INSPECTIONS
Not Applicable.
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PART III
ItemITEM 10.        Directors, Executive Officers and Corporate GovernanceDIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE
The information concerning our executive officers is set forth under the heading Information about our Executive Officers in Item 1 of this report. The text of our code of business conduct, which includes the code of ethics that applies to our principal executive officer, principal financial officer, principal accounting officer or controller, and persons performing similar functions, is posted on our website, www.biogen.com, under the “Corporate Governance” subsection of the “Investors” section of the site. We intend to make all required disclosures regarding any amendments to, or waivers from, provisions of our code of business conduct at the same location of our website.
The response to the remainder of this item is incorporated by reference from the discussion responsive thereto in the sections entitled “Proposal 1 - Election of Directors,” “Corporate Governance at Biogen” and “Miscellaneous - Stockholder Proposals” contained in the proxy statement for our 20212023 annual meeting of stockholders.
ItemITEM 11.        Executive CompensationEXECUTIVE COMPENSATION
The response to this item is incorporated by reference from the discussion responsive thereto in the sections entitled “Executive Compensation Matters” and “Corporate Governance at Biogen” contained in the proxy statement for our 20212023 annual meeting of stockholders.

ItemITEM 12.        Security Ownership of Certain Beneficial Owners and Management and Related Stockholder MattersSECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS
The response to this item is incorporated by reference from the discussion responsive thereto in the sections entitled “Stock Ownership” and “Equity Compensation Plan Information” contained in the proxy statement for our 20212023 annual meeting of stockholders.
ItemITEM 13.        Certain Relationships and Related Transactions, and Director IndependenceCERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE
The response to this item is incorporated by reference from the discussion responsive thereto in the sections entitled “Certain Relationships and Related Person Transactions” and “Corporate Governance at Biogen” contained in the proxy statement for our 20212023 annual meeting of stockholders.
ItemITEM 14.        Principal Accountant Fees and ServicesPRINCIPAL ACCOUNTANT FEES AND SERVICES
The response to this item is incorporated by reference from the discussion responsive thereto in the section entitled “Proposal 2 - Ratification of the Selection of our Independent Registered Public Accounting Firm” contained in the proxy statement for our 20212023 annual meeting of stockholders.
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PART IV
ItemITEM 15.     Exhibits and Financial Statement SchedulesEXHIBITS AND FINANCIAL STATEMENT SCHEDULES
a. (1) Consolidated Financial Statements:
The following financial statements are filed as part of this report:
Financial StatementsPage Number
Consolidated Statements of IncomeF-2
Consolidated Statements of Comprehensive IncomeF-3
Consolidated Balance SheetsF-4
Consolidated Statements of Cash FlowsFlowF-5
Consolidated Statements of EquityF-6
Notes to Consolidated Financial StatementsF-9
Report of Independent Registered Public Accounting Firm (PCAOB ID 238)F-79F-78
Certain totals may not sum due to rounding.
(2) Exhibits
The exhibits listed on the Exhibit Index beginning on page 86,85, which is incorporated herein by reference, are filed or furnished as part of this report or are incorporated into this report by reference.
(3) Financial Statement Schedules
Schedules are omitted because they are not applicable, or are not required, or because the information is included in the consolidated financial statements and notes thereto.
ItemITEM 16.     FormFORM 10-K SummarySUMMARY
Not applicable.
8584

EXHIBIT INDEX
Exhibit No.  Description
2.1†
2.2
3.1  
3.2
3.3
3.4  
4.1
4.14.2  
4.24.3
4.34.4
4.4+4.5
4.6
4.7
4.8+
4.9
10.1  
10.2
10.3†10.3+
10.4†  
10.4†10.5†  
10.510.6
10.6*10.7*  
10.7*10.8*  
10.8*10.9*
10.9*10.10*  
85

10.10*Exhibit No.Description
10.11*  
10.11*10.12*  
10.12*10.13*
86

Exhibit No.Description
10.13*10.14*
10.14*10.15*
10.15*10.16*
10.16*10.17*
10.17*10.18*
10.18*10.19*
10.19*10.20+
10.21*  
10.20*10.22*  
10.21*10.23*  
10.22*10.24*  
10.23*10.25*  
10.24*10.26*  
10.25*10.27*  
10.26*10.28*  
10.27*10.29*  
10.28*10.30*
10.29*10.31*  
10.30*10.32*  
10.31*10.33*  
10.32*10.34*  
10.33*10.35*
10.34*10.36*
8786

Exhibit No.  Description
10.35*10.37*
10.36*10.38*
10.37*10.39*
10.40*
10.41*
10.38*10.42*
10.39*10.43*
10.44
10.40*10.45+
10.41*+10.46+
10.42*
10.43*
10.44*
21+  
23+  
31.1+  
31.2+  
32.1++  
101++  The following materials from Biogen Inc.’s Annual Report on Form 10-K for the year ended December 31, 2020,2022, formatted in iXBRL (Inline Extensible Business Reporting Language): (i) the Consolidated Statements of Income, (ii) the Consolidated Statements of Comprehensive Income, (iii) the Consolidated Balance Sheets, (iv) the Consolidated Statements of Cash Flows,Flow, (v) the Consolidated Statements of Equity and (vi) Notes to Consolidated Financial Statements.
*Management contract or compensatory plan or arrangement.
Confidential treatment has been granted or requested with respect to portions of this exhibit.
+Filed herewith.
 ++Furnished herewith.
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SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
 
BIOGEN INC.
By:
/S/    MCICHELHRISTOPHER A. VOUNATSOSIEHBACHER
Michel VounatsosChristopher A. Viehbacher
Chief Executive Officer
Date: February 3, 202115, 2023
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Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant and in the capacities and on the dates indicated.
Name  Capacity Date
/S/    MCICHELHRISTOPHER A. VOUNATSOSIEHBACHER
  Director and Chief Executive Officer (principal executive officer) February 3, 202115, 2023
Michel VounatsosChristopher A. Viehbacher
/S/    MICHAEL R. MCDONNELL
  Executive Vice President and Chief Financial Officer (principal financial officer) February 3, 202115, 2023
Michael R. McDonnell
/S/    ROBIN C. KRAMER
Senior Vice President, Chief Accounting Officer (principal accounting officer)February 3, 202115, 2023
Robin C. Kramer
/S/    STELIOS PAPADOPOULOS
  Director and Chairman of the Board of Directors February 3, 202115, 2023
Stelios Papadopoulos
/S/    ALEXANDER J.DENNER
  Director February 3, 202115, 2023
 Alexander J. Denner
/S/    CAROLINE D. DORSA
  Director February 3, 202115, 2023
Caroline D. Dorsa
/S/    MARIA C. FREIRE
DirectorFebruary 15, 2023
Maria C. Freire
/S/    WILLIAM A. HAWKINS
DirectorFebruary 3, 202115, 2023
William A. Hawkins
/S/    WS/    NANCYILLIAM L. LD. JEAMINGONES
DirectorFebruary 3, 202115, 2023
Nancy L. LeamingWilliam D. Jones
/S/    JESUS B. MANTAS
DirectorFebruary 3, 202115, 2023
Jesus B. Mantas
/S/    RICHARD C. MULLIGAN
  Director February 3, 202115, 2023
Richard C. Mulligan
/S/    ROBERT W. PANGIA
DirectorFebruary 3, 2021
Robert W. Pangia
/S/    BRIAN S. POSNER
DirectorFebruary 3, 2021
Brian S. Posner
/S/    ERIC K. ROWINSKY
DirectorFebruary 3, 202115, 2023
Eric K. Rowinsky
/S/    STEPHEN A. SHERWIN
DirectorFebruary 3, 202115, 2023
Stephen A. Sherwin
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BIOGEN INC. AND SUBSIDIARIES
CONSOLIDATED FINANCIAL STATEMENTS
   Page Number
Consolidated Statements of Income  F-2
Consolidated Statements of Comprehensive IncomeF-3
Consolidated Balance Sheets  F-4
Consolidated Statements of Cash FlowsFlow  F-5
Consolidated Statements of Equity  F-6
Notes to Consolidated Financial Statements  F-9
Report of Independent Registered Public Accounting Firm (PCAOB ID 238)F-80F-78


























F-1

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BIOGEN INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF INCOME
(In millions, except per share amounts)
For the Years Ended December 31,For the Years Ended December 31,
202020192018202220212020
Revenues:
Revenue:Revenue:
Product, netProduct, net$10,692.2 $11,379.8 $10,886.8 Product, net$7,987.8 $8,846.9 $10,692.2 
Revenues from anti-CD20 therapeutic programs1,977.8 2,290.4 1,980.2 
Revenue from anti-CD20 therapeutic programsRevenue from anti-CD20 therapeutic programs1,700.5 1,658.5 1,977.8 
OtherOther774.6 707.7 585.9 Other485.1 476.3 774.6 
Total revenues13,444.6 14,377.9 13,452.9 
Cost and expenses:
Total revenueTotal revenue10,173.4 10,981.7 13,444.6 
Cost and expense:Cost and expense:
Cost of sales, excluding amortization and impairment of acquired intangible assetsCost of sales, excluding amortization and impairment of acquired intangible assets1,805.2 1,955.4 1,816.3 Cost of sales, excluding amortization and impairment of acquired intangible assets2,278.3 2,109.7 1,805.2 
Research and developmentResearch and development3,990.9 2,280.6 2,597.2 Research and development2,231.1 2,501.2 3,990.9 
Selling, general and administrativeSelling, general and administrative2,504.5 2,374.7 2,106.3 Selling, general and administrative2,403.6 2,674.3 2,504.5 
Amortization and impairment of acquired intangible assetsAmortization and impairment of acquired intangible assets464.8 489.9 747.3 Amortization and impairment of acquired intangible assets365.9 881.3 464.8 
Collaboration profit (loss) sharingCollaboration profit (loss) sharing232.9 241.6 185.0 Collaboration profit (loss) sharing(7.4)7.2 232.9 
(Gain) loss on divestiture of Hillerød, Denmark manufacturing operations(Gain) loss on divestiture of Hillerød, Denmark manufacturing operations(92.5)55.3 (Gain) loss on divestiture of Hillerød, Denmark manufacturing operations— — (92.5)
(Gain) loss on fair value remeasurement of contingent consideration(Gain) loss on fair value remeasurement of contingent consideration(86.3)(63.7)(12.3)(Gain) loss on fair value remeasurement of contingent consideration(209.1)(50.7)(86.3)
Acquired in-process research and developmentAcquired in-process research and development75.0 112.5 Acquired in-process research and development— 18.0 75.0 
Restructuring chargesRestructuring charges1.5 12.0 Restructuring charges131.1 — — 
Total cost and expenses8,894.5 7,335.3 7,564.3 
Income from operations4,550.1 7,042.6 5,888.6 
Other income (expense), net497.4 83.3 11.0 
Gain on sale of buildingGain on sale of building(503.7)— — 
Other (income) expense, netOther (income) expense, net(108.2)1,095.5 (497.4)
Total cost and expenseTotal cost and expense6,581.6 9,236.5 8,397.1 
Income before income tax expense and equity in loss of investee, net of taxIncome before income tax expense and equity in loss of investee, net of tax5,047.5 7,125.9 5,899.6 Income before income tax expense and equity in loss of investee, net of tax3,591.8 1,745.2 5,047.5 
Income tax expense992.3 1,158.0 1,425.6 
Income tax (benefit) expenseIncome tax (benefit) expense632.8 52.5 992.3 
Equity in (income) loss of investee, net of taxEquity in (income) loss of investee, net of tax(5.3)79.4 Equity in (income) loss of investee, net of tax(2.6)(34.9)(5.3)
Net incomeNet income4,060.5 5,888.5 4,474.0 Net income2,961.6 1,727.6 4,060.5 
Net income (loss) attributable to noncontrolling interests, net of taxNet income (loss) attributable to noncontrolling interests, net of tax59.9 43.3 Net income (loss) attributable to noncontrolling interests, net of tax(85.3)171.5 59.9 
Net income attributable to Biogen Inc.Net income attributable to Biogen Inc.$4,000.6 $5,888.5 $4,430.7 Net income attributable to Biogen Inc.$3,046.9 $1,556.1 $4,000.6 
Net income per share:Net income per share:Net income per share:
Basic earnings per share attributable to Biogen Inc.Basic earnings per share attributable to Biogen Inc.$24.86 $31.47 $21.63 Basic earnings per share attributable to Biogen Inc.$20.96 $10.44 $24.86 
Diluted earnings per share attributable to Biogen Inc.Diluted earnings per share attributable to Biogen Inc.$24.80 $31.42 $21.58 Diluted earnings per share attributable to Biogen Inc.$20.87 $10.40 $24.80 
Weighted-average shares used in calculating:Weighted-average shares used in calculating:Weighted-average shares used in calculating:
Basic earnings per share attributable to Biogen Inc.Basic earnings per share attributable to Biogen Inc.160.9 187.1 204.9 Basic earnings per share attributable to Biogen Inc.145.3 149.1 160.9 
Diluted earnings per share attributable to Biogen Inc.Diluted earnings per share attributable to Biogen Inc.161.3 187.4 205.3 Diluted earnings per share attributable to Biogen Inc.146.0 149.6 161.3 


See accompanying notes to these consolidated financial statements.
F-2

Table of ContentsContents
BIOGEN INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
(In millions)
For the Years Ended December 31, For the Years Ended December 31,
202020192018 202220212020
Net income attributable to Biogen Inc.Net income attributable to Biogen Inc.$4,000.6 $5,888.5 $4,430.7 Net income attributable to Biogen Inc.$3,046.9 $1,556.1 $4,000.6 
Other comprehensive income:Other comprehensive income:Other comprehensive income:
Unrealized gains (losses) on securities available for sale, net of taxUnrealized gains (losses) on securities available for sale, net of tax(2.8)8.2 (3.9)Unrealized gains (losses) on securities available for sale, net of tax(13.5)(3.6)(2.8)
Unrealized gains (losses) on cash flow hedges, net of taxUnrealized gains (losses) on cash flow hedges, net of tax(186.8)(26.9)139.2 Unrealized gains (losses) on cash flow hedges, net of tax(38.7)232.8 (186.8)
Gains (losses) on net investment hedges, net of taxGains (losses) on net investment hedges, net of tax(33.6)21.6 3.5 Gains (losses) on net investment hedges, net of tax(25.5)34.0 (33.6)
Unrealized gains (losses) on pension benefit obligation, net of taxUnrealized gains (losses) on pension benefit obligation, net of tax(33.5)(1.5)5.5 Unrealized gains (losses) on pension benefit obligation, net of tax43.7 21.5 (33.5)
Currency translation adjustmentCurrency translation adjustment92.9 103.8 (67.8)Currency translation adjustment(24.2)(92.4)92.9 
Total other comprehensive income (loss), net of taxTotal other comprehensive income (loss), net of tax(163.8)105.2 76.5 Total other comprehensive income (loss), net of tax(58.2)192.3 (163.8)
Comprehensive income attributable to Biogen Inc.3,836.8 5,993.7 4,507.2 
Comprehensive income (loss) attributable to Biogen Inc.Comprehensive income (loss) attributable to Biogen Inc.2,988.7 1,748.4 3,836.8 
Comprehensive income (loss) attributable to noncontrolling interests, net of taxComprehensive income (loss) attributable to noncontrolling interests, net of tax60.9 (0.4)42.9 Comprehensive income (loss) attributable to noncontrolling interests, net of tax(85.3)172.1 60.9 
Comprehensive income$3,897.7 $5,993.3 $4,550.1 
Comprehensive income (loss)Comprehensive income (loss)$2,903.4 $1,920.5 $3,897.7 
































See accompanying notes to these consolidated financial statements.
F-3

Table of ContentsContents
BIOGEN INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(In millions, except per share amounts)
As of December 31,As of December 31,
2020201920222021
ASSETSASSETSASSETS
Current assets:Current assets:Current assets:
Cash and cash equivalentsCash and cash equivalents$1,331.2 $2,913.7 Cash and cash equivalents$3,419.3 $2,261.4 
Marketable securitiesMarketable securities1,278.9 1,562.2 Marketable securities1,473.5 1,541.1 
Accounts receivable, netAccounts receivable, net1,913.8 1,880.5 Accounts receivable, net1,705.0 1,549.4 
Due from anti-CD20 therapeutic programsDue from anti-CD20 therapeutic programs413.5 590.2 Due from anti-CD20 therapeutic programs431.4 412.3 
InventoryInventory1,068.6 804.2 Inventory1,344.4 1,351.5 
Other current assetsOther current assets881.1 631.0 Other current assets1,417.6 740.8 
Total current assetsTotal current assets6,887.1 8,381.8 Total current assets9,791.2 7,856.5 
Marketable securitiesMarketable securities772.1 1,408.1 Marketable securities705.7 892.0 
Property, plant and equipment, netProperty, plant and equipment, net3,411.5 3,247.3 Property, plant and equipment, net3,298.6 3,416.4 
Operating lease assetsOperating lease assets433.3 427.0 Operating lease assets403.9 375.4 
Intangible assets, netIntangible assets, net3,084.3 3,527.4 Intangible assets, net1,850.1 2,221.3 
GoodwillGoodwill5,762.1 5,757.8 Goodwill5,749.0 5,761.1 
Deferred tax assetDeferred tax asset1,369.5 3,232.1 Deferred tax asset1,226.4 1,415.1 
Investments and other assetsInvestments and other assets2,899.0 1,252.8 Investments and other assets1,529.2 1,939.5 
Total assetsTotal assets$24,618.9 $27,234.3 Total assets$24,554.1 $23,877.3 
LIABILITIES AND EQUITYLIABILITIES AND EQUITYLIABILITIES AND EQUITY
Current liabilities:Current liabilities:Current liabilities:
Current portion of notes payableCurrent portion of notes payable$$1,495.8 Current portion of notes payable$— $999.1 
Taxes payableTaxes payable142.0 71.4 Taxes payable259.9 174.7 
Accounts payableAccounts payable454.9 530.8 Accounts payable491.5 589.2 
Accrued expenses and other3,145.3 2,765.8 
Accrued expense and otherAccrued expense and other2,521.4 2,535.2 
Total current liabilitiesTotal current liabilities3,742.2 4,863.8 Total current liabilities3,272.8 4,298.2 
Notes payableNotes payable7,426.2 4,459.0 Notes payable6,281.0 6,274.0 
Deferred tax liabilityDeferred tax liability1,032.8 2,810.8 Deferred tax liability334.7 694.5 
Long-term operating lease liabilitiesLong-term operating lease liabilities402.0 412.7 Long-term operating lease liabilities333.0 330.4 
Other long-term liabilitiesOther long-term liabilities1,329.6 1,348.9 Other long-term liabilities944.2 1,320.5 
Total liabilitiesTotal liabilities13,932.8 13,895.2 Total liabilities11,165.7 12,917.6 
Commitments, contingencies and guarantees (Notes 21 and 22)00
Commitments, contingencies and guarantees (Notes 22 and 23)Commitments, contingencies and guarantees (Notes 22 and 23)
Equity:Equity:Equity:
Biogen Inc. shareholders’ equityBiogen Inc. shareholders’ equityBiogen Inc. shareholders’ equity
Preferred stock, par value $0.001 per sharePreferred stock, par value $0.001 per sharePreferred stock, par value $0.001 per share— — 
Common stock, par value $0.0005 per shareCommon stock, par value $0.0005 per share0.1 0.1 Common stock, par value $0.0005 per share0.1 0.1 
Additional paid-in capitalAdditional paid-in capitalAdditional paid-in capital73.3 68.2 
Accumulated other comprehensive lossAccumulated other comprehensive loss(299.0)(135.2)Accumulated other comprehensive loss(164.9)(106.7)
Retained earningsRetained earnings13,976.3 16,455.4 Retained earnings16,466.5 13,911.7 
Treasury stock, at cost; 23.8 million and 23.8 million shares, respectivelyTreasury stock, at cost; 23.8 million and 23.8 million shares, respectively(2,977.1)(2,977.1)Treasury stock, at cost; 23.8 million and 23.8 million shares, respectively(2,977.1)(2,977.1)
Total Biogen Inc. shareholders’ equityTotal Biogen Inc. shareholders’ equity10,700.3 13,343.2 Total Biogen Inc. shareholders’ equity13,397.9 10,896.2 
Noncontrolling interestsNoncontrolling interests(14.2)(4.1)Noncontrolling interests(9.5)63.5 
Total equityTotal equity10,686.1 13,339.1 Total equity13,388.4 10,959.7 
Total liabilities and equityTotal liabilities and equity$24,618.9 $27,234.3 Total liabilities and equity$24,554.1 $23,877.3 

See accompanying notes to these consolidated financial statements.
F-4

Table of ContentsContents
BIOGEN INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWSFLOW
(In millions)
For the Years Ended December 31,For the Years Ended December 31,
202020192018 202220212020
Cash flows from operating activities:
Cash flow from operating activities:Cash flow from operating activities:
Net incomeNet income$4,060.5 $5,888.5 $4,474.0 Net income$2,961.6 $1,727.6 $4,060.5 
Adjustments to reconcile net income to net cash flows from operating activities:
Adjustments to reconcile net income to net cash flow from operating activities:Adjustments to reconcile net income to net cash flow from operating activities:
Depreciation and amortizationDepreciation and amortization457.2 464.7 650.5 Depreciation and amortization518.4 487.7 457.2 
Impairment of intangible assetsImpairment of intangible assets209.7 215.9 366.1 Impairment of intangible assets119.6 629.3 209.7 
Excess and obsolescence charges related to inventoryExcess and obsolescence charges related to inventory336.2 167.6 26.6 
Acquired in-process research and developmentAcquired in-process research and development75.0 112.5 Acquired in-process research and development— 18.0 75.0 
Share-based compensationShare-based compensation198.3 182.3 157.5 Share-based compensation254.1 238.6 198.3 
Contingent considerationContingent consideration(86.3)(63.7)(12.3)Contingent consideration(209.1)(50.7)(86.3)
(Gain)/loss on divestiture of Hillerod, Denmark manufactuing operations(92.5)55.3 
(Gain)/loss on divestiture of Hillerød, Denmark manufacturing operations(Gain)/loss on divestiture of Hillerød, Denmark manufacturing operations— — (92.5)
Deferred income taxesDeferred income taxes149.0 67.1 108.3 Deferred income taxes(168.6)(426.8)149.0 
Unrealized (gain) loss on strategic investments(681.8)(147.3)(124.8)
Loss on equity method investment(3.3)77.4 
(Gain) loss on strategic investments(Gain) loss on strategic investments265.9 826.8 (681.8)
(Gain) loss on equity method investment(Gain) loss on equity method investment(2.6)(34.9)(3.3)
Gain on sale of equity interest in Samsung BioepisGain on sale of equity interest in Samsung Bioepis(1,505.4)— — 
Gain on sale of buildingGain on sale of building(503.7)— — 
OtherOther131.2 139.1 55.7 Other208.2 202.2 104.6 
Changes in operating assets and liabilities, net:Changes in operating assets and liabilities, net:Changes in operating assets and liabilities, net:
Accounts receivableAccounts receivable2.8 68.8 (205.2)Accounts receivable(203.4)324.8 2.8 
Due from anti-CD20 therapeutic programsDue from anti-CD20 therapeutic programs176.7 (63.3)5.7 Due from anti-CD20 therapeutic programs(19.0)1.2 176.7 
InventoryInventory(316.3)(19.2)(52.1)Inventory(320.2)(462.4)(316.3)
Accrued expenses and other current liabilities154.2 240.2 465.5 
Accrued expense and other current liabilitiesAccrued expense and other current liabilities(113.4)(95.4)154.2 
Income tax assets and liabilitiesIncome tax assets and liabilities(67.5)16.1 321.7 Income tax assets and liabilities(142.3)230.8 (67.5)
Other changes in operating assets and liabilities, netOther changes in operating assets and liabilities, net(137.1)(43.3)(135.4)Other changes in operating assets and liabilities, net(92.0)(144.5)(137.1)
Net cash flows provided by operating activities4,229.8 7,078.6 6,187.7 
Cash flows from investing activities:
Net cash flow provided by (used in) operating activitiesNet cash flow provided by (used in) operating activities1,384.3 3,639.9 4,229.8 
Cash flow from investing activities:Cash flow from investing activities:
Purchases of property, plant and equipmentPurchases of property, plant and equipment(240.3)(258.1)(424.8)
Proceeds from sales and maturities of marketable securitiesProceeds from sales and maturities of marketable securities7,299.4 6,007.0 9,173.7 Proceeds from sales and maturities of marketable securities3,671.0 3,405.4 7,299.4 
Purchases of marketable securitiesPurchases of marketable securities(6,397.7)(5,252.6)(7,694.8)Purchases of marketable securities(3,448.5)(3,808.7)(6,397.7)
Contingent consideration paid related to Fumapharm AG acquisition(300.0)(1,500.0)
Acquisition of Nightstar Therapeutics plc, net of cash acquired(744.4)
Purchase of Ionis Pharmaceuticals, Inc. stock(462.9)
Proceeds from sale of equity interest in Samsung BioepisProceeds from sale of equity interest in Samsung Bioepis990.3 — — 
Proceeds from sale of buildingProceeds from sale of building582.6 — — 
Purchase of Sangamo Therapeutics, Inc. stockPurchase of Sangamo Therapeutics, Inc. stock(141.8)Purchase of Sangamo Therapeutics, Inc. stock— — (141.8)
Purchase of Denali Therapeutics Inc. stockPurchase of Denali Therapeutics Inc. stock(423.7)Purchase of Denali Therapeutics Inc. stock— — (423.7)
Purchase of Sage Therapeutics, Inc. stockPurchase of Sage Therapeutics, Inc. stock(441.0)Purchase of Sage Therapeutics, Inc. stock— — (441.0)
Proceeds from divesiture of Hillerod, Denmark manufacturing operations923.7 
Purchases of property, plant and equipment(424.8)(514.5)(770.6)
Proceeds from divestiture of Hillerød, Denmark manufacturing operationsProceeds from divestiture of Hillerød, Denmark manufacturing operations— 28.1 — 
Acquired in-process research and developmentAcquired in-process research and development(75.0)(112.5)Acquired in-process research and development— (18.0)(75.0)
Acquisitions of intangible assetsAcquisitions of intangible assets(52.0)(155.0)(3.0)Acquisitions of intangible assets(2.9)(18.8)(52.0)
Investment in Samsung Bioepis(676.6)
Proceeds from sales of strategic investmentsProceeds from sales of strategic investments74.9 479.3 Proceeds from sales of strategic investments— 93.5 74.9 
OtherOther(26.9)27.0 0.4 Other24.4 12.9 (26.9)
Net cash flows provided by (used in) investing activities(608.6)470.5 (2,046.3)
Cash flows from financing activities:
Net cash flow provided by (used in) investing activitiesNet cash flow provided by (used in) investing activities1,576.6 (563.7)(608.6)
Cash flow from financing activities:Cash flow from financing activities:
Purchase of treasury stockPurchase of treasury stock(6,679.1)(5,868.3)(4,352.6)Purchase of treasury stock(750.0)(1,800.0)(6,679.1)
Payments related to issuance of stock for share-based compensation arrangements, netPayments related to issuance of stock for share-based compensation arrangements, net(4.6)Payments related to issuance of stock for share-based compensation arrangements, net(1.9)(0.7)(4.6)
Repayments of borrowings and premiums paid on debt exchangeRepayments of borrowings and premiums paid on debt exchange(1,002.2)(170.0)— 
Proceeds from borrowingsProceeds from borrowings2,967.4 Proceeds from borrowings— — 2,967.4 
Repayments of borrowingsRepayments of borrowings(1,500.0)(3.2)Repayments of borrowings— — (1,500.0)
Net contribution (distribution) to noncontrolling interest(71.0)4.3 (36.4)
Contingent consideration payments(58.2)
Net (distribution) contribution to noncontrolling interestNet (distribution) contribution to noncontrolling interest12.4 (94.4)(71.0)
OtherOther14.6 3.6 (21.6)Other(5.6)(21.1)14.6 
Net cash flows (used in) financing activities(5,272.7)(5,860.4)(4,472.0)
Net cash flow provided by (used in) financing activitiesNet cash flow provided by (used in) financing activities(1,747.3)(2,086.2)(5,272.7)
Net increase (decrease) in cash and cash equivalentsNet increase (decrease) in cash and cash equivalents(1,651.5)1,688.7 (330.6)Net increase (decrease) in cash and cash equivalents1,213.6 990.0 (1,651.5)
Effect of exchange rate changes on cash and cash equivalentsEffect of exchange rate changes on cash and cash equivalents69.0 0.4 (18.6)Effect of exchange rate changes on cash and cash equivalents(55.7)(59.8)69.0 
Cash and cash equivalents, beginning of the yearCash and cash equivalents, beginning of the year2,913.7 1,224.6 1,573.8 Cash and cash equivalents, beginning of the year2,261.4 1,331.2 2,913.7 
Cash and cash equivalents, end of the yearCash and cash equivalents, end of the year$1,331.2 $2,913.7 $1,224.6 Cash and cash equivalents, end of the year$3,419.3 $2,261.4 $1,331.2 
See accompanying notes to these consolidated financial statements.
F-5

Table of ContentsContents
BIOGEN INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF EQUITY
(In millions)
Preferred stockCommon stockAdditional
paid-in
capital
Accumulated
other
comprehensive
loss
Retained
earnings
Treasury stockTotal
Biogen Inc.
shareholders’
equity
Noncontrolling
interests
Total
equity
Preferred stockCommon stockAdditional
paid-in
capital
Accumulated
other
comprehensive
loss
Retained
earnings
Treasury stockTotal
Biogen Inc.
shareholders’
equity
Noncontrolling
interests
Total
equity
SharesAmountSharesAmountSharesAmount SharesAmountSharesAmountSharesAmount
Balance, December 31, 2019$198.0 $0.1 $$(135.2)$16,455.4 (23.8)$(2,977.1)$13,343.2 $(4.1)$13,339.1 
Balance, December 31, 2021Balance, December 31, 2021— $— 170.8 $0.1 $68.2 $(106.7)$13,911.7 (23.8)$(2,977.1)$10,896.2 $63.5 $10,959.7 
Net incomeNet income— — — — — — 4,000.6 — — 4,000.6 59.9 4,060.5 Net income— — — — — — 3,046.9 — — 3,046.9 (85.3)2,961.6 
Other comprehensive income (loss), net of taxOther comprehensive income (loss), net of tax— — — — — (163.8)— — — (163.8)1.0 (162.8)Other comprehensive income (loss), net of tax— — — — — (58.2)— — — (58.2)— (58.2)
Distribution to noncontrolling interestDistribution to noncontrolling interest— — — — — — — — — — (75.0)(75.0)Distribution to noncontrolling interest— — — — — — — — — — — — 
Capital contribution from noncontrolling interestCapital contribution from noncontrolling interest— — — — — — — — — 4.0 4.0 Capital contribution from noncontrolling interest— — — — — — — — — — 12.3 12.3 
Repurchase of common stock pursuant to the 2020 Share Repurchase Program, at costRepurchase of common stock pursuant to the 2020 Share Repurchase Program, at cost— — — — — — — (1.6)(400.0)(400.0)— (400.0)Repurchase of common stock pursuant to the 2020 Share Repurchase Program, at cost— — — — — — — (3.6)(750.0)(750.0)— (750.0)
Retirement of common stock pursuant to the 2020 Share Repurchase Program, at costRetirement of common stock pursuant to the 2020 Share Repurchase Program, at cost— — (1.6)— (60.8)— (339.2)1.6 400.0 — — Retirement of common stock pursuant to the 2020 Share Repurchase Program, at cost— — (3.6)— (257.9)— (492.1)3.6 750.0 — — — 
Repurchase of common stock pursuant to the December 2019 Share Repurchase Program, at cost— — — — — — — (16.7)(5,000.0)(5,000.0)— (5,000.0)
Retirement of common stock pursuant to the December 2019 Share Repurchase Program, at cost— — (16.7)— (121.3)— (4,878.7)16.7 5,000.0 — 
Repurchase of common stock pursuant to the March 2019 Share Repurchase Program, at cost— — — — — — — (4.1)(1,279.1)(1,279.1)— (1,279.1)
Retirement of common stock pursuant to the March 2019 Share Repurchase Program, at cost— — (4.1)— (71.0)— (1,208.1)4.1 1,279.1 — 
Issuance of common stock under stock option and stock purchase plansIssuance of common stock under stock option and stock purchase plans— — 0.2 — 49.3 — — — 49.3 — 49.3 Issuance of common stock under stock option and stock purchase plans— — 0.2 — 44.2 — — — — 44.2 — 44.2 
Issuance of common stock under stock award planIssuance of common stock under stock award plan— — 0.4 — — (53.7)— — (53.7)— (53.7)Issuance of common stock under stock award plan— — 0.5 — (46.0)— — — — (46.0)— (46.0)
Compensation expense related to share-based paymentsCompensation expense related to share-based payments— — — — 204.5 — — — — 204.5 — 204.5 Compensation expense related to share-based payments— — — — 263.5 — — — — 263.5 — 263.5 
OtherOther— — — (0.7)— — — — (0.7)— (0.7)Other— — — — 1.3 — — — — 1.3 — 1.3 
Balance, December 31, 2020$176.2 $0.1 $$(299.0)$13,976.3 (23.8)$(2,977.1)$10,700.3 $(14.2)$10,686.1 
Balance, December 31, 2022Balance, December 31, 2022— $— 167.9 $0.1 $73.3 $(164.9)$16,466.5 (23.8)$(2,977.1)$13,397.9 $(9.5)$13,388.4 














See accompanying notes to these consolidated financial statements.
F-6

Table of ContentsContents
BIOGEN INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF EQUITY - (Continued)
(In millions)
 Preferred stockCommon stockAdditional
paid-in
capital
Accumulated
other
comprehensive
loss
Retained
earnings
Treasury stockTotal
Biogen Inc.
shareholders’
equity
Noncontrolling
interests
Total
equity
SharesAmountSharesAmountSharesAmount
Balance, December 31, 2018$221.0 $0.1 $$(240.4)$16,257.0 (23.8)$(2,977.1)$13,039.6 $(8.0)$13,031.6 
Net income— — — — — — 5,888.5 — — 5,888.5 — 5,888.5 
Other comprehensive income (loss), net of tax— — — — — 105.2 — — — 105.2 (0.4)104.8 
Capital contribution from noncontrolling interest— — — — — — — — — 4.3 4.3 
Repurchase of common stock pursuant to the March 2019 Share Repurchase Program, at cost— — — — — — — (14.7)(3,720.9)(3,720.9)— (3,720.9)
Retirement of common stock pursuant to the March 2019 Share Repurchase Program, at cost— — (14.7)(121.5)— (3,599.4)14.7 3,720.9 — 
Repurchase of common stock pursuant to the 2018 Share Repurchase Program, at cost— — — — — — — (8.9)(2,147.4)(2,147.4)— (2,147.4)
Retirement of common stock pursuant to the 2018 Share Repurchase Program, at cost— — (8.9)(110.5)— (2,036.9)8.9 2,147.4 — 
Issuance of common stock under stock option and stock purchase plans— — 0.2 40.8 — — — — 40.8 — 40.8 
Issuance of common stock under stock award plan— — 0.4 — — (53.8)— — (53.8)— (53.8)
Compensation related to share-based payments— — — — 191.2 — — — — 191.2 — 191.2 
Balance, December 31, 2019$198.0 $0.1 $$(135.2)$16,455.4 (23.8)$(2,977.1)$13,343.2 $(4.1)$13,339.1 
 Preferred stockCommon stockAdditional
paid-in
capital
Accumulated
other
comprehensive
loss
Retained
earnings
Treasury stockTotal
Biogen Inc.
shareholders’
equity
Noncontrolling
interests
Total
equity
SharesAmountSharesAmountSharesAmount
Balance, December 31, 2020— $— 176.2 $0.1 $— $(299.0)$13,976.3 (23.8)$(2,977.1)$10,700.3 $(14.2)$10,686.1 
Net income— — — — — — 1,556.1 — — 1,556.1 171.5 1,727.6 
Other comprehensive income (loss), net of tax— — — — — 192.3 — — — 192.3 0.6 192.9 
Distribution to noncontrolling interest— — — — — — — — — — (100.0)(100.0)
Capital contribution from noncontrolling interest— — — — — — — — — — 5.6 5.6 
Repurchase of common stock pursuant to the 2020 Share Repurchase Program, at cost— — — — — — — (6.0)(1,800.0)(1,800.0)— (1,800.0)
Retirement of common stock pursuant to the 2020 Share Repurchase Program, at cost— — (6.0)— (231.9)— (1,568.1)6.0 1,800.0 — — — 
Issuance of common stock under stock option and stock purchase plans— — 0.2 — 54.4 — — — — 54.4 — 54.4 
Issuance of common stock under stock award plan— — 0.4 — (2.4)— (52.6)— — (55.0)— (55.0)
Compensation expense related to share-based payments— — — — 246.6 — — — — 246.6 — 246.6 
Other— — — — 1.5 — — — — 1.5 — 1.5 
Balance, December 31, 2021— $— 170.8 $0.1 $68.2 $(106.7)$13,911.7 (23.8)$(2,977.1)$10,896.2 $63.5 $10,959.7 

















See accompanying notes to these consolidated financial statements.
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CONSOLIDATED STATEMENTS OF EQUITY - (Continued)
(In millions)
Preferred stockCommon stockAdditional
paid-in
capital
Accumulated
other
comprehensive
loss
Retained
earnings
Treasury stockTotal
Biogen Inc.
shareholders’
equity
Noncontrolling
interests
Total
equity
SharesAmountSharesAmountSharesAmount
Balance, December 31, 2017$235.3 $0.1 $97.8 $(318.4)$15,810.4 (23.8)$(2,977.1)$12,612.8 $(14.7)$12,598.1 
Net income— — — — — — 4,430.7 — — 4,430.7 43.3 4,474.0 
Other comprehensive income (loss), net of tax— — — — — 76.5 — — — 76.5 (0.4)76.1 
Capital contribution from noncontrolling interests— — — — — — — — — 13.8 13.8 
Distribution to noncontrolling interests— — — — — — — — — (50.0)(50.0)
Repurchase of common stock pursuant to the 2018 Share Repurchase Program, at cost— — — — — — — (4.3)(1,352.6)(1,352.6)— (1,352.6)
Retirement of common stock pursuant to the 2018 Share Repurchase Program, at cost— — (4.3)(92.8)— (1,259.8)4.3 1,352.6 — 
Repurchase of common stock pursuant to the 2016 Share Repurchase Program, at cost— — — — — — — (10.5)(3,000.0)(3,000.0)— (3,000.0)
Retirement of common stock pursuant to the 2016 Share Repurchase Program, at cost— — (10.5)(171.1)— (2,828.9)10.5 3,000.0 — 
Issuance of common stock under stock option and stock purchase plans— — 0.2 41.2 — — — — 41.2 — 41.2 
Issuance of common stock under stock award plan— — 0.3 (43.8)— — — — (43.8)— (43.8)
Compensation expense related to share-based payments— — — — 168.7 — — — — 168.7 — 168.7 
Adoption of new accounting guidance— — — — — 1.5 104.6 — — 106.1 — 106.1 
Balance, December 31, 2018$221.0 $0.1 $$(240.4)$16,257.0 (23.8)$(2,977.1)$13,039.6 $(8.0)$13,031.6 






Preferred stockCommon stockAdditional
paid-in
capital
Accumulated
other
comprehensive
loss
Retained
earnings
Treasury stockTotal
Biogen Inc.
shareholders’
equity
Noncontrolling
interests
Total
equity
SharesAmountSharesAmountSharesAmount
Balance, December 31, 2019— $— 198.0 $0.1 $— $(135.2)$16,455.4 (23.8)$(2,977.1)$13,343.2 $(4.1)$13,339.1 
Net income— — — — — — 4,000.6 — — 4,000.6 59.9 4,060.5 
Other comprehensive income (loss), net of tax— — — — — (163.8)— — — (163.8)1.0 (162.8)
Distribution to noncontrolling interest— — — — — — — — — — (75.0)(75.0)
Capital contribution from noncontrolling interest— — — — — — — — — — 4.0 4.0 
Repurchase of common stock pursuant to the 2020 Share Repurchase Program, at cost— — — — — — — (1.6)(400.0)(400.0)— (400.0)
Retirement of common stock pursuant to the 2020 Share Repurchase Program, at cost— — (1.6)— (60.8)— (339.2)1.6 400.0 — — — 
Repurchase of common stock pursuant to the December 2019 Share Repurchase Program, at cost— — — — — — — (16.7)(5,000.0)(5,000.0)— (5,000.0)
Retirement of common stock pursuant to the December 2019 Share Repurchase Program, at cost— — (16.7)— (121.3)— (4,878.7)16.7 5,000.0 — — — 
Repurchase of common stock pursuant to the March 2019 Share Repurchase Program, at cost— — — — — — — (4.1)(1,279.1)(1,279.1)— (1,279.1)
Retirement of common stock pursuant to the March 2019 Share Repurchase Program, at cost— — (4.1)— (71.0)— (1,208.1)4.1 1,279.1 — — — 
Issuance of common stock under stock option and stock purchase plans— — 0.2 — 49.3 — — — — 49.3 — 49.3 
Issuance of common stock under stock award plan— — 0.4 — — — (53.7)— — (53.7)— (53.7)
Compensation expense related to share-based payments— — — — 204.5 — — — — 204.5 — 204.5 
Other— — — — (0.7)— — — — (0.7)— (0.7)
Balance, December 31, 2020— $— 176.2 $0.1 $— $(299.0)$13,976.3 (23.8)$(2,977.1)$10,700.3 $(14.2)$10,686.1 







See accompanying notes to these consolidated financial statements.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS


1.     
Note 1:Summary of Significant Accounting Policies
References in these notes to "Biogen," the "company," "we," "us" and "our" refer to Biogen Inc. and its consolidated subsidiaries.
Business Overview
Biogen is a global biopharmaceutical company focused on discovering, developing and delivering worldwide innovative therapies for people living with serious neurological and neurodegenerativecomplex diseases as well as related therapeutic adjacencies. Our core growth areas includeworldwide. We have a broad portfolio of medicines to treat multiple sclerosis (MS) and neuroimmunology; Alzheimer’s disease and dementia; neuromuscular disorders, including, have introduced the first approved treatment for spinal muscular atrophy (SMA) and amyotrophic lateral sclerosis (ALS); movement disorders, including Parkinson's disease; ophthalmology; and neuropsychiatry. Weco-developed two treatments to address a defining pathology of Alzheimer’s disease.We are also focused on discovering, developingadvancing our pipeline in neurology, neuropsychiatry, specialized immunology and delivering worldwide innovative therapies in our emerging growth areas of immunology; acute neurology; and neuropathic pain. In addition, we commercialize biosimilars of advanced biologics.rare diseases. We support our drug discovery and development efforts through the commitment of significant resources to discovery,internal research and development programs and business development opportunities.external collaborations.
Our marketed products include TECFIDERA, VUMERITY, AVONEX, PLEGRIDY, TYSABRI and FAMPYRA for the treatment of MS; SPINRAZA for the treatment of SMA; ADUHELM for the treatment of Alzheimer's disease; and FUMADERM for the treatment of severe plaque psoriasis. We also collaborate with Eisai Co., Ltd. (Eisai) on the commercialization of LEQEMBI for the treatment of Alzheimer's disease, which was granted accelerated approval by the U.S. Food and Drug Administration (FDA) in January 2023. We have certain business and financial rights with respect to RITUXAN for the treatment of non-Hodgkin's lymphoma, chronic lymphocytic leukemia (CLL) and other conditions; RITUXAN HYCELA for the treatment of non-Hodgkin's lymphoma and CLL; GAZYVA for the treatment of CLL and follicular lymphoma; OCREVUS for the treatment of primary progressive MS (PPMS) and relapsing MS (RMS); LUNSUMIO (mosunetuzumab), which was granted accelerated approval in the U.S. during the fourth quarter of 2022 for the treatment of relapsed or refractory follicular lymphoma; glofitamab, an investigational bispecific antibody for the potential treatment of non-Hodgkin's lymphoma; and have the option to add other potential anti-CD20 therapies, pursuant to our collaboration arrangements with Genentech, Inc. (Genentech), a wholly-owned member of the Roche Group. For additional information on
In addition to continuing to invest in new potential innovation in MS and SMA we are advancing our collaboration arrangements with Genentech, please read Note 18, Collaborativemid-to-late stage programs including zuranolone for major depressive disorder (MDD) and Other Relationshipspostpartum depression (PPD), to these consolidated financial statements.BIIB080 for Alzheimer's disease, tofersen for amyotrophic lateral sclerosis (ALS) and both litifilimab and dapirolizumab pegol for certain forms of lupus.
Our innovative drug development and commercialization activities are complemented by our biosimilar business that expands access to medicines and reduces the cost burden for healthcare systems. Through our agreements with Samsung Bioepis Co., Ltd. (Samsung Bioepis), our joint venture with Samsung BioLogics Co., Ltd. (Samsung BioLogics), we market and sellWe also commercialize biosimilars of advanced biologics including BENEPALI, an etanercept biosimilar referencing ENBREL, IMRALDI, an adalimumab biosimilar referencing HUMIRA, and FLIXABI, an infliximab biosimilar referencing REMICADE, in certain countries in Europe, and have an option to acquire exclusive rights to commercialize these products in China. Additionally, we have exclusive rights to commercialize 2 potential ophthalmology biosimilar products, SB11,as well as BYOOVIZ, a proposed ranibizumab biosimilar referencing LUCENTIS, in the U.S. We continue to develop potential biosimilar products including BIIB800, a proposed tocilizumab biosimilar referencing ACTEMRA, and SB15, a proposed aflibercept biosimilar referencing EYLEA, in major markets worldwide, including the United States (U.S.), Canada, Europe, Japan and Australia. EYLEA.
For additional information on our collaboration arrangements, with Samsung Bioepis, please read Note 18,19, Collaborative and Other Relationships, to theseour consolidated financial statements.statements included in this report.
Consolidation
Our consolidated financial statements reflect our financial statements, those of our wholly-owned subsidiaries and those of certain variable interest entities where we are the primary beneficiary. For consolidated entities where we own or are exposed to less than 100.0% of the economics, we record net income (loss) attributable to noncontrolling interests, net of tax in our consolidated statements of income equal to the percentage of the economic or ownership interest retained in such entities by the respective noncontrolling parties. Intercompany balances and transactions are eliminated in consolidation.
In determining whether we are the primary beneficiary of a variable interest entity, we apply a qualitative approach that determines whether we have both (1) the power to direct the economically significant activities of the entity and (2) the obligation to absorb losses of, or the right to receive benefits from, the entity that could potentially be significant to that entity. These considerations impact the way we account for our existing collaborative relationships and other arrangements. We continuously assess whether we are the primary beneficiary of a variable interest entity as changes to existing relationships or future transactions may result in us consolidating or deconsolidating one or more of our collaborators or partners.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
Use of Estimates
The preparation of our consolidated financial statements requires us to make estimates, judgments and assumptions that may affect the reported amounts of assets, liabilities, equity, revenuesrevenue and expensesexpense and related disclosure of contingent assets and liabilities. On an ongoing basis we evaluate our estimates, judgments and methodologies.assumptions. We base our estimates on historical experience and on various other assumptions that we believe are reasonable, the results of which form the basis for making judgments about the carrying values of assets, liabilities and equity and the amount of revenuesrevenue and expenses.expense. Actual results may differ from these estimates.
The length of time and full extent to which the COVID-19 pandemic directly or indirectly impacts our business, results of operations and financial condition, including sales, expenses,expense, reserves and allowances, the supply chain, manufacturing, clinical trials, research and development costs and employee-related amounts,costs, depends on future developments that are highly uncertain, subject to change and are difficult to predict, including as a result of new information that may emerge concerning COVID-19 and the actions taken to contain or treat COVID-19 as well as the economic impact on local, regional, national and international customers and markets. Additionally, the ongoing geopolitical tensions related to the conflict in Ukraine, and the related sanctions and other penalties imposed, are creating substantial uncertainty in the global economy. The extent and duration of the conflict, sanctions and resulting market disruptions are highly unpredictable. We have made estimates of the impact of the COVID-19 pandemic and the ongoing geopolitical conflict in Ukraine within our condensed consolidated financial statements and there may be changes to those estimates in future periods.
Revenue Recognition
In May 2014 the Financial Accounting Standards Board (FASB) issued Accounting Standards Update (ASU) No. 2014-09, Revenue from Contracts with Customers (Topic 606), which supersedes all existing revenue recognition requirements, including most industry specific guidance. This standard requires a company to recognize revenues when it transfers goods or services to customers in an amount that reflects the consideration that the company expects to receive for those goods or services. This standard became effective for us on January 1, 2018, and was adopted using the modified retrospective method. The adoption of this standard as of January 1, 2018, did not change our revenue recognition.
We recognize revenuesrevenue when our customer obtains control of promised goods or services, in an amount that reflects the consideration which we expect to receive in exchange for those goods or services. We recognize revenuesrevenue following the five-step model prescribed under the FASBFinancial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) 606, Revenue from Contracts with Customers: (i) identify contract(s) with a customer; (ii) identify the performance obligations in the contract; (iii) determine the transaction price; (iv) allocate the transaction price to the performance obligations in the contract; and (v) recognize revenuesrevenue when (or as) we satisfy the performance obligation.obligations.
Product RevenuesRevenue
In the U.S., we sell our products primarily to wholesale and specialty distributors and specialty pharmacy providers.pharmacies. In other countries, we sell our products primarily to wholesale distributors, hospitals, pharmacies and other third-party distribution partners. These customers subsequently resell our products to health care providers and patients. In addition, we enter into arrangements with health care providers and payors that provide for government-mandated or privately-negotiated discounts and allowances related to our products.
Product revenues arerevenue is recognized when the customer obtains control of our product, which occurs at a point in time, typically upon delivery to the customer. We expense incremental costs of obtaining a contract as and when incurred if the expected amortization period of the asset that we would have recognized is one year or less or the amount is immaterial.
Reserves for Discounts and Allowances
Product revenues arerevenue is recorded net of reserves established for applicable discounts and allowances that are offered within contracts with our customers, health care providers or payors, including those associated with the implementation of pricing actions in certain of the international markets in which we operate. Our process for estimating reserves established for these variable consideration components do not differ materially from our historical practices.
Product revenue reserves, which are classified as a reduction in product revenues,revenue, are generally characterized in the following categories: discounts, contractual adjustments and returns.
These reserves are based on estimates of the amounts earned or to be claimed on the related sales and are classified as reductions of accounts receivable (if the amount is payable to our customer) or a liability (if the amount
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
is payable to a party other than our customer). Our estimates of reserves established for variable consideration are calculated based upon a consistent application of our methodology utilizing the expected value method. These estimates reflect our historical experience, current contractual and statutory requirements, specific known market events and trends, industry data and forecasted customer buying and payment patterns. The transaction price, which includes variable consideration reflecting the impact of discounts and allowances, may be subject to constraint and is included in the net sales price only to the extent that it is probable that a significant reversal of the amount of the cumulative revenuesrevenue recognized will not occur in a future period. Actual amounts may ultimately differ from our
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
estimates. If actual results vary, we adjust these estimates, which could have an effect on earnings in the period of adjustment.
Discounts include trade term discounts and wholesaler incentives. Trade term discounts and wholesaler incentives primarily relate to estimated obligations for credits to be granted to wholesalers for remitting payment on their purchases within established incentive periods and credits to be granted to wholesalers for compliance with various contractually-defined inventory management practices, respectively. We determine these reserves based on our historical experience, including the timing of customer payments.
Contractual adjustments primarily relate to Medicaid and managed care rebates in the U.S., pharmacy rebates, co-payment (copay) assistance, Veterans Administration (VA) and Public Health Service (PHS) discounts, specialty pharmacy program fees and other governmental rebates or applicable allowances.
Medicaid rebatesrebates: relate to our estimated obligations to states under established reimbursement arrangements. Rebate accruals are recorded in the same period the related revenue is recognized, resulting in a reduction of product revenue and the establishment of a liability which is included in accrued expense and other current liabilities.liabilities in our consolidated balance sheets. Our liability for Medicaid rebates consists of estimates for claims that a state will make for the current quarter, claims for prior quarters that have been estimated for which an invoice has not been received, invoices received for claims from the prior quarters that have not been paid and an estimate of potential claims that will be made for inventory that exists in the distribution channel at period end.
Governmental rebatesrebates: or chargebacks, including VA and PHS discounts, represent our estimated obligations resulting from contractual commitments to sell products to qualified healthcare providers at prices lower than the list prices we charge to wholesalers which provide those products. The wholesaler charges us for the difference between what the wholesaler pays for the products and the ultimate selling price to the qualified healthcare providers. Rebate and chargeback reserves are established in the same period as the related revenue is recognized, resulting in a reduction inof product revenue and a reduction in the net accounts receivable. Chargeback amounts are generally determined at the time of resale to the qualified healthcare provider from the wholesaler, and we generally issue credits for such amounts within a few weeks of the wholesaler notifying us about the resale. Our reserves for VA, PHS and other chargebacks consist of amounts that we expect to issue for inventory that exists at the wholesalers that we expect will be sold to qualified healthcare providers and chargebacks that wholesalers have claimed for which we have not issued a credit.
Managed care rebatesrebates: represent our estimated obligations to third parties,third-parties, primarily pharmacy benefit managers. Rebate accruals are recorded in the same period the related revenue is recognized, resulting in a reduction of product revenue and the establishment of a liability which is included in accrued expensesexpense and other current liabilities.liabilities in our consolidated balance sheets. These rebates result from performance-based goals, formulary position and price increase limit allowances (price protection). The calculation of the accrual for these rebates is based on an estimate of the coverage patterns and the resulting applicable contractual rebate rate(s) to be earned over a contractual period.
Copay assistanceassistance: represents financial assistance to qualified patients, assisting them with prescription drug co-payments required by insurance. The calculation of the accrual for copay is based on an estimate of claims and the cost per claim that we expect to receive associated with inventory that exists in the distribution channel at period end.
Pharmacy rebatesrebates: represent our estimated obligations resulting from contractual commitments to sell products to specific pharmacies. Rebate accruals are recorded in the same period the related revenue is recognized, resulting in a reduction of product revenue and the establishment of a liability which is included in accrued expensesexpense and other current liabilities.liabilities in our consolidated balance sheets. These rebates result from contracted discounts on product purchased or product dispensed. The calculation of the accrual for these rebates is based on an
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
estimate of the pharmacy’s buying or dispensing patterns and the resulting applicable contractual rebate rate(s) to be earned over the contractual period.
Other governmental rebates,rebates: non-U.S. pharmaceutical taxes or applicable allowances primarily relate to mandatory rebates and discounts in international markets where government-sponsored healthcare systems are the primary payors for healthcare.
Product return reserves are established for returns expected to be made by wholesalers and are recorded in the period the related revenue is recognized, resulting in a reduction to product revenues.revenue. In accordance with contractual terms, wholesalers are permitted to return product for reasons such as damaged or expired product. The majority of
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
wholesaler returns are due to product expiration. Expired product return reserves are estimated through a comparison of historical return data to their related sales on a production lot basis. Historical rates of return are determined for each product and are adjusted for known or expected changes in the marketplace specific to each product.
In addition to discounts, rebates and product returns, we also maintain certain customer service contracts with distributors and other customers in the distribution channel that provide us with inventory management, data and distribution services, which are generally reflected as a reduction of revenues.revenue. To the extent we can demonstrate a separable benefit and fair value for these services we classify these payments in selling, general and administrative expenses.expense in our consolidated statements of income.
RevenuesRevenue from Anti-CD20 Therapeutic Programs
Our collaboration with Genentech is within the scope of ASC 808, Collaborative Agreements, which provides guidance on the presentation and disclosure of collaborative arrangements. For purposes of this footnote, we refer to RITUXAN and RITUXAN HYCELA collectively as RITUXAN.
Our share of the pre-tax co-promotion profits on RITUXAN and GAZYVA and royalty revenuesrevenue on the sale of OCREVUS resulted from an exchange of a license. As we do not have future performance obligations under the license or collaboration agreement, revenues arerevenue is recognized as the underlying sales occur.
RevenuesRevenue from anti-CD20 therapeutic programs consist of:
(i)     our share of pre-tax profits and losses in the U.S. for RITUXAN and GAZYVA;
(ii)    royalty revenue on sales of OCREVUS; and
(ii)     other revenuesrevenue from anti-CD20 therapeutic programs, which primarily consistconsists of our share of pre-tax co-promotion profits on RITUXAN in Canada and royalty revenues on sales of OCREVUS.Canada.
Pre-tax co-promotion profits on RITUXAN and GAZYVA are calculated and paid to us by Genentech and the Roche Group. Pre-tax co-promotion profits consist of net sales to third-party customers less applicable costs to manufacture, third-party royalty expenses,expense, distribution, selling and marketing expensesexpense and joint development expensesexpense incurred by Genentech and the Roche Group. Our share of the pre-tax profits on RITUXAN and GAZYVA include estimates that are based on information received from Genentech and the Roche Group. These estimates are subject to change and actual results may differ.
We recognize royalty revenuesrevenue on sales of OCREVUS based on our estimates from third party and market research data of OCREVUS sales occurring during the corresponding period. Differences between actual and estimated royalty revenuesrevenue will be adjusted for in the period in which they become known, which is generally expected to be the following quarter.
In January 2022 we exercised our option with Genentech to participate in the joint development and commercialization of LUNSUMIO, which was later approved by the FDA in December 2022. Under our collaboration with Genentech, we will be entitled to co-promotion operating profits and losses in the U.S. for LUNSUMIO.
Prior to regulatory approval, we record our share of the expense incurred by the collaboration for the development of anti-CD20 products within research and development expense and pre-commercialization costs within selling, general and administrative expense in our consolidated statements of income. After an anti-CD20 product is approved, we record our share of the development and sales and marketing expense related to that product as a reduction of our share of pre-tax profits in revenue from anti-CD20 therapeutic programs.
Accordingly, Biogen recorded its share of the expense incurred in connection with the development of LUNSUMIO within research and development expense and its share of pre-commercialization costs within selling, general and administrative expense through December 2022, when regulatory approval was granted by the FDA. Beginning in January 2023, our share of any pre-tax profits and losses in the U.S. for LUNSUMIO will be reflected as a component of revenue from anti-CD20 therapeutic programs within our consolidated statements of income.
For additional information on our relationship with Genentech, please read Note 18,19, Collaborative and Other Relationships, to these consolidated financial statements.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
Other RevenuesRevenue
Contract Manufacturing and Other Revenue
We record contract manufacturing and other revenue primarily from amounts earned under contract manufacturing agreements. Revenue under contract manufacturing agreements is recognized when the customer obtains control of the product, which may occur at a point in time or over time depending on the terms and conditions of the agreement.
Royalty RevenuesRevenue
We recognize royalty revenuesRoyalty revenue reflects the royalties we receive from net sales on products related to sales by our licensees of products covered under patents that we own.have out-licensed, as well as royalty revenue on biosimilar products from our collaboration arrangements with Samsung Bioepis Co., Ltd. (Samsung Bioepis). These arrangements resulted from an exchange of a license and utilize the sales and usage based royalty exception. Therefore, royalties received are recognized as the underlying sales occur.
Collaborative and Other Relationships
We also have a number of significant collaborative and other third-party relationships for revenuesrevenue and for the development, regulatory approval, commercialization and marketing of certain of our products and product candidates. Where we are the principal on sales transactions with third parties, we recognize revenues,revenue, cost of sales
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
and operating expensesexpense on a gross basis in their respective lines in our consolidated statements of income. Where we are not the principal on sales transactions with third parties, we record our share of the revenues,revenue, cost of sales and operating expenses onexpense is recorded as a net basis in collaborative andcomponent of other relationships included in other revenuesrevenue in our consolidated statements of income.
Our development and commercialization arrangements with Genentech, Eisai and Samsung Bioepis represent collaborative arrangements as each party is an active participant in one or more joint operating activities and is exposed to significant risks and rewards of these arrangements. These arrangements resulted from an exchange of a license and utilize the sales and usage based royalty exception.exception, as applicable. Therefore, revenuesrevenue relating to royalties or profit-sharing amounts received areis recognized as the underlying sales occur.
For additional information on our collaboration arrangements with Genentech, Eisai and Samsung Bioepis, please read Note 18,19, Collaborative and Other Relationships, to these consolidated financial statements.
Other Corporate Revenues
We record other corporate revenues primarily from amounts earned under contract manufacturing agreements. Revenues under contract manufacturing agreements are recognized when the customer obtains control of the product, which may occur at a point in time or over time depending on the terms and conditions of the agreement.
Fair Value Measurements
We have certain financial assets and liabilities recorded at fair value which have been classified as Level 1, 2 or 3 within the fair value hierarchy as described in the accounting standards for fair value measurements.
Level 1 — Fair values are determined utilizing quoted prices (unadjusted) in active markets for identical assets or liabilities that we have the ability to access;
Level 2 — Fair values are determined by utilizing quoted prices for identical or similar assets and liabilities in active markets or other market observable inputs such as interest rates, yield curves, foreign currency spot rates and option pricing valuation models; and
Level 3 — Prices or valuations that require inputs that are both significant to the fair value measurement and unobservable.
The majority of our financial assets have been classified as Level 2. Our financial assets (which typically include our cash equivalents, marketable debt securities and certain of our marketable equity securities, derivative contracts and plan assets for deferred compensation) have been initially valued at the transaction price and subsequently valued, at the end of each reporting period, utilizing third-party pricing services or option pricing valuation models. The pricing services utilize industry standard valuation models, including both income and market-based approaches and observable market inputs to determine value. These observable market inputs include reportable trades, benchmark yields, credit spreads, broker/dealer quotes, bids, offers, current spot rates and other industry and economic events.
We validate the prices provided by our third-party pricing services by understanding the models used, obtaining market values from other pricing sources and analyzing pricing data in certain instances. The option pricing valuation models use assumptions within the model, including the term, stock price volatility, constant maturity risk-free interest rate and dividend yield. After completing our validation procedures, we did not adjust or override any fair value measurements provided by our pricing services as of December 31, 20202022 and 2019.2021.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
Other Assets and Liabilities
The carrying amounts reflected in our consolidated balance sheets for current accounts receivable, due from anti-CD20 therapeutic programs, other current assets, accounts payable and accrued expensesexpense and other, approximate fair value due to their short-term maturities.
Cash and Cash Equivalents
We consider only those investments that are highly liquid, readily convertible to cash and that mature within three months from date of purchase to be cash equivalents. As of December 31, 20202022 and 2019,2021, cash equivalents were comprised of money market funds, commercial paper, overnight reverse repurchase agreements and other debt securities with maturities less than 90 daysthree months from the date of purchase.
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Accounts Receivable
The majority of our accounts receivable arise from product sales and primarily represent amounts due from our wholesale and other third-party distributors, public hospitals, pharmacies and other government entities and have standard payment terms that generally require payment within 30 to 90 days.
We do not adjust our receivables for the effects of a significant financing component at contract inception if we expect to collect the receivables in one year or less from the time of sale.
In countries where we have experienced a pattern of payments extending beyond our contractual payment term and we expect to collect receivables greater than one year from the time of sale, we have assessed whether the customer has a significant financing component and discounted our receivables and reduced related revenues over the period of time that we estimate those amounts will be paid using the country’s market-based borrowing rate for such period. The related receivables are classified at the time of sale as non-current assets. We accrete interest income on these receivables, which is recorded as a component of other income (expense), net in our consolidated statements of income.
We provide reserves against accounts receivable for estimated losses that may result from a customer's inability to pay. Amounts determined to be uncollectible are charged or written-off against the reserve.
Receivables from Samsung BioLogics
In April 2022 we completed the sale of our 49.9% equity interest in Samsung Bioepis to Samsung BioLogics Co., Ltd (Samsung BioLogics), which resulted in a receivable of approximately $1.3 billion in cash to be deferred over two payments of approximately $812.5 million due at the first anniversary and approximately $437.5 million due at the second anniversary of the closing of this transaction. The payments due to us from Samsung BioLogics have been recorded at their estimated fair values through the use of risk-adjusted discount rates. For additional information on the accounting for the sale of our equity interest in Samsung Bioepis and these receivables, please read Note 3, Dispositions, to these consolidated financial statements.
Concentration of Credit Risk
Financial instruments that potentially subject us to concentrations of credit risk include cash and cash equivalents, investments, derivatives and accounts receivable. We attempt to minimize the risks related to cash and cash equivalents and investments by investing in a broad and diverse range of financial instruments as previously defined by us. We have established guidelines related to credit ratings and maturities intended to safeguard principal balances and maintain liquidity. Our investment portfolio is maintained in accordance with our investment policy, which defines allowable investments, specifies credit quality standards and limits the credit exposure of any single issuer. We minimize credit risk resulting from derivative instruments by choosing only highly rated financial institutions as counterparties.
Concentrations of credit risk with respect to receivables, which are typically unsecured, are somewhat mitigated due to the wide variety of customers and markets using our products, as well as their dispersion across many different geographic areas. We monitor the financial performance and creditworthiness of our customers so that we can properly assess and respond to changes in their credit profile. We continue to monitor these conditions and assess their possible impact on our business.
Marketable Securities and Other Investments
Marketable Debt Securities
Available-for-sale marketable debt securities are recorded at fair market value and unrealized gains and losses are included in accumulated other comprehensive income (loss) in equity, net of related tax effects, unless the security has experienced a credit loss, we have determined that we have the intent to sell the security or we have determined that it is more likely than not that we will have to sell the security before its expected recovery. Realized gains and losses are reported in other income (expense),(income) expense, net on a specific identification basis.
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Marketable Equity Securities and Venture Capital Funds
Our marketable equity securities are recorded at fair market value and beginning January 1, 2018, unrealized gains and losses are included in other income (expense),(income) expense, net in our consolidated statements of income. Prior to January 1, 2018, unrealized gains and losses were included in accumulated other comprehensive income (loss) in equity, net of related tax effects. Our marketable equity securities represent investments in publicly traded equity securities and are included in investments and other assets in our consolidated balance sheets.
Our investments in venture capital funds are recorded at net asset value, which approximates fair value, and beginning January 1, 2018, unrealized gains and losses are included in other income (expense),(income) expense, net in our consolidated statements of income. Prior to January 1, 2018, these investments were accounted for under the cost method of accounting. The underlying investments of the venture capital funds in which we invest are in equity securities of certain biotechnology companies and are included in investments and other assets in our consolidated balance sheets.
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Non-Marketable Equity Securities
We also invest in equity securities of companies whose securities are not publicly traded and where fair value is not readily available. These investments are recorded using either the equity method of accounting or the cost minus impairment adjusted for changes in observable prices,price changes, depending on our ownership percentage and other factors that suggest we have significant influence. We monitor these investments to evaluate whether any increase or decline in their value has occurred, based on the implied value of recent company financings, public market prices of comparable companies and general market conditions. These investments are included in investments and other assets in our consolidated balance sheets.
Evaluating Marketable Debt Securities for Other-than-Temporary Impairments
We conduct periodic reviews to identify and evaluate each investment that has an unrealized loss, in accordance with the meaning of other-than-temporary impairment. An unrealized loss exists when the current fair value of an individual security is less than its amortized cost basis. Unrealized losses on available-for-sale debt securities that are determined to be temporary, and not related to credit loss, are recorded, net of tax, in accumulated other comprehensive income.income (loss).
For available-for-sale debt securities with unrealized losses, management performs an analysis to assess whether we intend to sell or whether we would more likely than not be required to sell the security before the expected recovery of the amortized cost basis. Where we intend to sell a security, or may be required to do so, the security’s decline in fair value is deemed to be other-than-temporary and the full amount of the unrealized loss is reflected in earnings as an impairment loss.
Regardless of our intent to sell a security, we perform additional analysis on all securities with unrealized losses to evaluate losses associated with the creditworthiness of the security. Credit losses are identified where we do not expect to receive cash flows sufficient to recover the amortized cost basis of a security.
Equity Method of Accounting
In circumstances where we have the ability to exercise significant influence over the operating and financial policies of a company in which we have an investment, we utilize the equity method of accounting for recording investment activity. In assessing whether we exercise significant influence, we consider the nature and magnitude of our investment, the voting and protective rights we hold, any participation in the governance of the other company and other relevant factors such as the presence of a collaborative or other business relationship. Under the equity method of accounting, we record in our consolidated statements of income our share of income or loss of the other company. If our share of losses exceeds the carrying value of our investment, we will suspend recognizing additional losses and will continue to do so unless we commit to providing additional funding.
Inventory
Inventories are stated at the lower of cost or net realizable value with cost based on the first-in, first-out method. We classify our inventory costs as long-term when we expect to utilize the inventory beyond our normal operating cycle and include these costs in investments and other assets in our consolidated balance sheets. Inventory that can be used in either the production of clinical or commercial products is expensed as research and development costs when identified for use in a clinical manufacturing campaign.
Capitalization of Inventory Costs
We capitalize inventory costs associated with our products prior to regulatory approval, when, based on management’s judgment, future commercialization is considered probable and the future economic benefit is
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expected to be realized. We consider numerous attributes in evaluating whether the costs to manufacture a particular product should be capitalized as an asset. We assess the regulatory approval process and where the particular product stands in relation to that approval process, including any known safety or efficacy concerns, potential labeling restrictions and other impediments to approval. We evaluate our anticipated research and development initiatives and constraints relating to the product and the indication in which it will be used. We consider our manufacturing environment including our supply chain in determining logistical constraints that could hamper approval or commercialization. We consider the shelf life of the product in relation to the expected timeline for approval and we consider patent related or contract issues that may prevent or delay commercialization. We also base our judgment on the viability of commercialization, trends in the marketplace and market acceptance criteria. Finally, we consider the reimbursement strategies that may prevail with respect to the product and assess the economic benefit that we are likely to realize. We expense previously capitalized costs related to pre-approval
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inventory upon a changechanges in such judgment,judgments, due to, among other potential factors, a denial or significant delay of approval by necessary regulatory bodies.
At December 31, 2020, we capitalized approximately $93.8 million of pre-launch inventory for aducanumab, an anti-amyloid beta antibody candidate for the potential treatment of Alzheimer's disease that we are developing in collaboration with Eisai Co., Ltd. (Eisai). If aducanumab does not receive regulatory approval in the U.S., we would expense this inventory as research and development expense and, under the terms of our collaboration agreement with Eisai to jointly develop and commercialize aducanumab, Eisai would reimburse us for 45.0% of the costs.
Obsolescence and Unmarketable Inventory
At each reporting period we review our inventories for excess or obsolescence and write-down obsolete or otherwise unmarketable inventory to its estimated net realizable value. If the actual net realizable value is less than that estimated by us, or if it is determined that inventory utilization will further diminish based on estimates of demand, additional inventory write-downs may be required. Additionally, our products are subject to strict quality control and monitoring that we perform throughout the manufacturing process. In the event that certain batches or units of product no longer meet quality specifications, we will record a charge to cost of sales to write-down any unmarketable inventory to its estimated net realizable value. In all cases, product inventory is carried at the lower of cost or its estimated net realizable value. Amounts written-down due to unmarketable inventory are charged to cost of sales.sales in our consolidated statements of income.
Property, Plant and Equipment
Property, plant and equipment are carried at cost, subject to reviews for impairment whenever events or changes in circumstances indicate that the carrying amount of the asset may not be recoverable. The cost of normal, recurring or periodic repairs and maintenance activities related to property, plant and equipment are expensed as incurred. The cost for planned major maintenance activities, including the related acquisition or construction of assets, is capitalized if the repair will result in future economic benefits.
Interest costs incurred during the construction of major capital projects are capitalized until the underlying asset is ready for its intended use, at which point the interest costs are amortized as depreciation expense over the life of the underlying asset. We also capitalize certain direct and incremental costs associated with the validation effort required for licensing by regulatory agencies of new manufacturing equipment for the production of a commercially approved drug. These costs primarily include direct labor and material and are incurred in preparing the equipment for its intended use. The validation costs are either amortized over the life of the related equipment or expensed as cost of sales when the product produced in the validation process is sold.
In addition, we capitalize certain internal use computer software development costs. If the software is an integral part of production assets, these costs are included in machinery and equipment and are amortized on a straight-line basis over the estimated useful lives of the related software, which generally range from three to five years.
We generally depreciate or amortize the cost of our property, plant and equipment using the straight-line method over the estimated useful lives of the respective assets, which are summarized as follows:
Asset CategoryUseful Lives
LandNot depreciated
Buildings15 to 40 years
Leasehold ImprovementsLesser of the useful life or the term of the respective lease
Furniture and Fixtures5 to 7 years
Machinery and Equipment5 to 20 years
Computer Software and Hardware3 to 5 years
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When we dispose of property, plant and equipment, we remove the associated cost and accumulated depreciation from the related accounts in our consolidated balance sheets and include any resulting gain or loss in our consolidated statements of income.
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Leases
In February 2016 the FASB issued ASU No. 2016-02, Leases (Topic 842), a new standard issued to increase transparency and comparability among organizations related to their leasing activities. This standard established a right-of-use model that requires all lessees to recognize right-of-use assets and lease liabilities on their balance sheet that arise from leases as well as provide disclosures with respect to certain qualitative and quantitative information related to a company's leasing arrangements to meet the objective of allowing users of financial statements to assess the amount, timing and uncertainty of cash flows arising from leases.
The FASB subsequently issued the following amendments to ASU 2016-02 that have the same effective date and transition date: ASU No. 2018-01, Leases (Topic 842): Land Easement Practical Expedient for Transition to Topic 842, ASU No. 2018-10, Codification Improvements to Topic 842, Leases, ASU No. 2018-11, Leases (Topic 842): Targeted Improvements, ASU No. 2018-20, Narrow-Scope Improvement for Lessors, and ASU No. 2019-01, Leases (Topic 842): Codification Improvements. We adopted these amendments with ASU 2016-02 (collectively, the new leasing standards) effective January 1, 2019.
We adopted the new leasing standards using the modified retrospective transition approach, as of January 1, 2019, with no restatement of prior periods or cumulative adjustment to retained earnings. Upon adoption, we elected the package of transition practical expedients, which allowed us to carry forward prior conclusions related to whether any expired or existing contracts are or contain leases, the lease classification for any expired or existing leases and initial direct costs for existing leases. We also elected the practical expedient to not reassess certain land easements and made an accounting policy election to not recognize leases with an initial term of 12 months or less within our consolidated balance sheets and to recognize those lease payments on a straight-line basis in our consolidated statements of income over the lease term. Upon adoption of the new leasing standards we recognized an operating lease asset of approximately $463.0 million and a corresponding operating lease liability of approximately $526.0 million, which are included in our consolidated balance sheets. The adoption of the new leasing standards did not have an impact on our consolidated statements of income.
We determine if an arrangement is a lease at contract inception. Operating lease assets represent our right to use an underlying asset for the lease term and operating lease liabilities represent our obligation to make lease payments arising from the lease. Operating lease assets and liabilities are recognized at the commencement date of the lease based upon the present value of lease payments over the lease term. When determining the lease term, we include options to extend or terminate the lease when it is reasonably certain that wethey will exercise that option.be exercised.
We use the implicit rate when readily determinable and use our incremental borrowing rate when the implicit rate is not readily determinable based upon the information available at the commencement date in determining the present value of the lease payments. Our incremental borrowing rate is determined using a secured borrowing rate for the same currency and term as the associated lease.
The lease payments used to determine our operating lease assets may include lease incentives, stated rent increases and escalation clauses linked to rates of inflation when determinable and are recognized in our operating lease assets in our consolidated balance sheets. Our lease agreements may include both lease and non-lease components, which we account for as a single lease component when the payments are fixed. Variable payments included in the lease agreement are expensed as incurred. For certain equipment leases, such as vehicles, we apply a portfolio approach to effectively account for the operating lease assets and liabilities.
Our operating leases are reflected in operating lease assets, accrued expensesexpense and other and in long-term operating lease liabilities in our consolidated balance sheets. Lease expense for minimum lease payments is recognized on a straight-line basis over the lease term.
We also have real estate lease agreements which are subleased to third parties.third-parties. Operating leases for which we are the sublessor are included in accrued expensesexpense and other and other long-term liabilities in our consolidated balance sheets. We recognize sublease income on a straight-line basis over the lease term in our consolidated statements of income.
For additional information on the adoption of the new leasing standards,our leases, please read Note 11,12, Leases, to these consolidated financial statements.
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Intangible Assets
Our intangible assets consist of completed technology (comprised of acquired and in-licensed rights and patents, developed technology, out-licensed patents), in-process research and development (IPR&D) acquired after January 1, 2009, trademarks and trade names. Our intangible assets are recorded at fair value at the time of their acquisition and are stated in our consolidated balance sheets net of accumulated amortization and impairments, if applicable.
Intangible assets related to acquired and in-licensed rights and patents, developed technology and out-licensed patents are amortized over their estimated useful lives using the economic consumption method if anticipated future revenuesrevenue can be reasonably estimated. The straight-line method is used when revenuesrevenue cannot be reasonably estimated. Amortization is recorded within amortization and impairment of acquired intangible assets in our consolidated statements of income.
Acquired and in-licensed rights and patents primarily relate to our acquisition of all remaining rights to TYSABRI from Elan Pharma International Ltd. (Elan), an affiliate of Elan Corporation, plc. Acquired and in-licensed rights and patents also include other amounts related to our other marketed products and programs acquired through business combinations. Developed technology primarily relates to our AVONEX product, which was recorded in connection with the merger of Biogen, Inc. and IDEC Pharmaceuticals Corporation in 2003. We amortize the intangible assets related to our TYSABRI, AVONEX, SPINRAZA, VUMERITY and TECFIDERA (rest of world)marketed products using the economic consumption method based on revenuesrevenue generated from the products underlying the related intangible assets. An analysis of the anticipated lifetime revenuesrevenue of our TYSABRI, AVONEX, SPINRAZA, VUMERITY and TECFIDERA (rest of world)marketed products is performed annually during our long-range planning cycle and whenever events or changes in circumstances would significantly affect the anticipated lifetime revenuesrevenue of our TYSABRI, AVONEX, SPINRAZA, VUMERITY and TECFIDERA (rest of world)the relevant products.
Intangible assets related to trademarks, trade names and IPR&D prior to commercialization are not amortized because they have indefinite lives; however, they are subject to review for impairment. We review our intangible assets with indefinite lives for impairment annually, as of October 31, and whenever events or changes in circumstances indicate that the carrying value of an asset may not be recoverable.
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Acquired In-process Research and Development (IPR&D)
Acquired IPR&D represents the fair value assigned to research and development assets that have not reached technological feasibility. The value assigned to acquired IPR&D is determined by estimating the costs to develop the acquired technology into commercially viable products, estimating the resulting revenuesrevenue from the projects and discounting the net cash flowsflow to present value. The revenuesrevenue and costscost projections used to value acquired IPR&D are, as applicable, reduced based on the probability of success of developing a new drug. Additionally, the projections consider the relevant market sizes and growth factors, expected trends in technology and the nature and expected timing of new product introductions by us and our competitors. The rates utilized to discount the net cash flowsflow to their present value are commensurate with the stage of development of the projects and uncertainties in the economic estimates used in the projections. Upon the acquisition of IPR&D, we complete an assessment of whether our acquisition constitutes the purchase of a single asset or a group of assets. We consider multiple factors in this assessment, including the nature of the technology acquired, the presence or absence of separate cash flows,flow, the development process and stage of completion, quantitative significance and our rationale for entering into the transaction.
If we acquire a business as defined under applicable accounting standards, then the acquired IPR&D is capitalized as an intangible asset. If we acquire an asset or group of assets that do not meet the definition of a business under applicable accounting standards, then the acquired IPR&D is expensed on its acquisition date. Future costs to develop these assets are recorded to research and development expense in our consolidated statements of income as they are incurred.
When performing our impairment assessment, we calculate the fair value using the same methodology as described above. If the carrying value of our acquired IPR&D exceeds its fair value, then the intangible asset is written down to its fair value. Changes in estimates and assumptions used in determining the fair value of our acquired IPR&D could result in an impairment. Impairments are recorded within amortization and impairment of acquired intangible assets in our consolidated statements of income. Assets that have been previously impaired, including our vixotrigine (BIIB074) program for the potential treatment of neuropathic pain, such as trigeminal neuralgia (TGN), could become further impaired in the future.
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Goodwill
Goodwill represents the difference between the purchase price and the fair value of the identifiable tangible and intangible net assets when accounted for using the purchase method of accounting. Goodwill is not amortized, but is reviewed for impairment. Goodwill is reviewed for impairment annually, as of October 31, and whenever events or changes in circumstances indicate that the carrying value of the goodwill may not be recoverable.
We compare the fair value of our reporting unit to its carrying value. If the carrying value of the net assets assigned to the reporting unit exceeds the fair value of our reporting unit, we would record an impairment loss equal to the difference. As described in Note 24,25, Segment Information, to these consolidated financial statements, we operate in 1as one operating segment, which is our only reporting unit.
Impairment of Long-Lived Assets
Long-lived assets to be held and used, including property, plant and equipment, and definite-lived intangible assets are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of the assets or asset group may not be recoverable.
Determination of recoverability is based on an estimate of undiscounted future cash flowsflow resulting from the use of the asset and its eventual disposition. In the event that such cash flows areflow is not expected to be sufficient to recover the carrying amount of the assets, the assets are written-down to their fair values. Long-lived assets to be disposed of are carried at fair value less costs to sell.
Contingent Consideration
The consideration for our acquisitions often includes future payments that are contingent upon the occurrence of a particular event or events. We record an obligation for such contingent payments at fair value on the acquisition date. We estimate the fair value of contingent consideration obligations through valuation models that incorporate probability-adjusted assumptions related to the achievement of the milestones and thus likelihood of making related payments. We revalue our contingent consideration obligations each reporting period. Changes in the fair value of our contingent consideration obligations are recognized in our consolidated statements of income. Changes in the fair value of the contingent consideration obligations can result from changes to one or multiple inputs, including adjustments to the discount rates, changes in the amount or timing of expected expenditures associated with product development, changes in the amount or timing of cash flowsflow and reserves associated with products upon
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commercialization, changes in the assumed achievement or timing of any cumulative sales-based and development milestones, changes in the probability of certain clinical events and changes in the assumed probability associated with regulatory approval.
Discount rates in our valuation models represent a measure of the credit risk associated with settling the liability. The period over which we discount our contingent obligations is based on the current development stage of the product candidates, our specific development plan for that product candidate adjusted for the probability of completing the development step and when the contingent payments would be triggered. In estimating the probability of success, we utilize data regarding similar milestone events from several sources, including industry studies and our own experience. These fair value measurements are based on significant inputs not observable in the market. Significant judgment is employed in determining the appropriateness of these assumptions as of the acquisition date and for each subsequent period.
Derivative Instruments and Hedging Activities
Cash Flow and Fair Value Derivative Instruments
We recognize all derivative instruments as either assets or liabilities at fair value in our consolidated balance sheets. Changes in the fair value of our derivative instruments are recognized each period in current earnings or accumulated other comprehensive income (loss), depending on whether the derivative instrument is designated as part of a hedge transaction and, if so, the type of hedge transaction. We classify the cash flowsflow from these instruments in the same category as the cash flowsflow from the hedged items. We do not hold or issue derivative instruments for trading or speculative purposes.
We assess at inception and on an ongoing basis, whether the derivative instruments that are used in hedging transactions are highly effective in offsetting the changes in cash flowsflow or fair values of the hedged items. We exclude the forward points portion of the derivative instruments used in a hedging transaction from the effectiveness
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test and record the fair value gain or loss related to this portion each period in our consolidated statements of income in the same line as the underlying hedged item. If we determine that a forecasted transaction is no longer probable of occurring, we discontinue hedge accounting for the affected portion of the hedge instrument, and any related unrealized gain or loss on the contract is recognized in current earnings.
Net Investment Derivative Instruments
We are exposed to the impact of foreign exchange fluctuations on our investment in the equity of Samsung Bioepis, which is denominated in a currency other than the U.S. dollar, and could adversely impact the U.S. dollar value of this investment. Using derivative instruments, we have hedged ourDesignated net investment position to mitigate the effects of foreign exchange fluctuations. We recognize these designated net investment hedges are recognized as either assets or liabilities, at fair value, in our consolidated balance sheets. We hedge the changes in the spot exchange rate in accumulated other comprehensive income (loss) and exclude changes to the forward rate and amortize the forward points in other income (expense),(income) expense, net in our consolidated statements of income over the term of the contract. We classify the cash flowsflow from these instruments in the same category as the cash flowsflow from the hedged items.
Beginning in the second quarter of 2022 we no longer held net investment hedges as they were closed with the sale of our 49.9% equity interest in Samsung Bioepis in April 2022. For additional information on the sale of our equity interest in Samsung Bioepis, please read Note 3, Dispositions, to these consolidated financial statements.
For additional information on our derivative instruments and hedging activities, please read Note 9,10, Derivative Instruments, to these consolidated financial statements.
Translation of Foreign Currencies
The functional currency for most of our foreign subsidiaries is their local currency. For our non-U.S. subsidiaries that transact in a functional currency other than the U.S. dollar, assets and liabilities are translated at current rates of exchange at the balance sheet date. Income and expense items are translated at the average foreign currency exchange rates for the period. Adjustments resulting from the translation of the financial statements of our foreign operations into U.S. dollars are excluded from the determination of net income and are recorded in accumulated other comprehensive income (loss), as a separate component of equity. For subsidiaries where the functional currency of the assets and liabilities differ from the local currency, non-monetary assets and liabilities are translated at the rate of exchange in effect on the date assets were acquired while monetary assets and liabilities are translated at current rates of exchange as of the balance sheet date. Income and expense items are translated at the average foreign currency rates for the period. Translation adjustments of these subsidiaries are included in other income (expense),(income) expense, net in our consolidated statements of income.
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Royalty Cost of Sales
We make royalty payments to a number of third partiesthird-parties under license or purchase agreements associated with our acquisition of intellectual property. These royalty payments are typically calculated as a percentage (royalty rate) of the sales of our products in a particular year. That royalty rate may remain constant, increase or decrease within each year based on the total amount of sales during the annual period. Each quarterly period, we estimate our total royalty obligation for the full year and recognize the proportional amount as cost of sales based on actual quarterly sales as a percentage of full year estimated sales. For example, if the level of net sales in any calendar year increases the royalty rate within the year, we will record our cost of sales at an even rate over the year, based on the estimated blended royalty rate.
Accounting for Share-Based Compensation
Our share-based compensation programs grant awards that have included stock options, restricted stock units that vest based on stock performance known as market stock units (MSUs), performance-vested restricted stock units that settle in cash (CSPUs), time-vested restricted stock units (RSUs), performance-vested restricted stock units that can be settled in cash or shares of our common stock (PUs) at the sole discretion of the Compensation and Management Development Committee of our Board of Directors, performance-vested stock units that settle in stock or cash (PSUs) and shares issued under our employee stock purchase plan (ESPP). Compensation expense is recognized based on the estimated fair value of the awards at grant date. We recognize compensation expense for the number of awards expected to vest after taking into consideration an estimate of award forfeitures over the requisite service period, which is generally the vesting period. Where awards are made with non-substantive vesting periods (for instance, where a portion of the award vests upon retirement eligibility), we estimate and recognize expense based on the period from the grant date to the date the employee becomes retirement eligible.
The fair values of our stock option grants are estimated as of the date of grant using a Black-Scholes option valuation model. The estimated fair values of the stock options are then expensed over the options' vesting periods.
The fair values of our MSUs are estimated using a lattice model with a Monte Carlo simulation. We apply an accelerated attribution method to recognize share-based compensation expense over the applicable service period
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for our MSUs. The probability of actual shares expected to be earned is considered in the grant date valuation, therefore the expense is not adjusted to reflect the actual units earned.
The fair values of our RSUs are based on the market value of our stock on the date of grant. Compensation expense for RSUs is recognized straight-line over the applicable service period.
We apply an accelerated attribution method to recognize share-based compensation expense when accounting for our CSPUs, PUs and PSUs that settle in cash, and the fair value of the liability is remeasured at the end of each reporting period through expected settlement. Compensation expense associated with CSPUs, PUs and PSUs that settle in cash are based upon the stock price and the number of units expected to be earned after assessing the probability that certain performance criteria will be met and the targeted payout level associated with the performance criteria expected to be achieved. Cumulative adjustments are recorded each quarter to reflect changes in the stock price and estimated outcome of the performance-related conditions until the date results are determined and settled. If performance criteria are not met or not expected to be met, any compensation expense previously recognized to date associated with the awards will be reversed.
The fair values of PSUs that settle in stock are based upon the stock price on the date of grant. Compensation expense is recognized for the number of units expected to be earned after assessing the probability that certain performance criteria will be met and the targeted payout level associated with the performance criteria expected to be achieved. Cumulative adjustments are recorded each quarter to reflect the estimated outcome of the performance-related conditions until the date results are determined and settled. If performance criteria are not met or not expected to be met, any compensation expense previously recognized to date associated with the awards will be reversed.
Research and Development ExpensesExpense
Research and development expenses consistexpense consists of expenses incurred in performing research and development activities, which include compensation and benefits, facilities and overhead expenses,expense, clinical trial expensesexpense and fees paid to contract research organizations (CROs), clinical supply and manufacturing expenses,expense, write-offs of inventory that was previously capitalized in anticipation of product launch and determined to no longer be realizable and other outside expensesexpense and upfront fees and milestones paid to third-party collaborators. Research and development expenses are
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
expense is expensed as incurred. Upfront and milestone payments made to third-party collaborators are expensed as incurred up to the point of regulatory approval. Milestone payments made upon regulatory approval are capitalized and amortized over the remaining useful life of the related product. Payments we make for research and development services prior to the services being rendered are recorded as prepaid assets in our consolidated balance sheets and are expensed as the services are provided. We also accrue the costs of ongoing clinical trials associated with programs that have been terminated or discontinued for which there is no future economic benefit at the time the decision is made to terminate or discontinue the program.
From time to time, we enter into development agreements in which we share expenses with a collaborative partner. We record payments received from our collaborative partners for their share of the development costs as a reduction of research and development expense, except as discussed in Note 18,19, Collaborative and Other Relationships, to these consolidated financial statements. Because an initial indication has been approved for both RITUXAN and GAZYVA, expensesExpenses incurred by Genentech in the ongoing development of RITUXAN, GAZYVA and GAZYVAother products for which an initial indication has been approved are not recorded as research and development expense, but rather reduce our share of profits recorded as a component of revenuesrevenue from anti-CD20 therapeutic programs.
For collaborations with commercialized products, if we are the principal, we record revenuesrevenue and the corresponding operating costs in their respective line items in our consolidated statements of income. If we are not the principal, we record operating costs as a reduction of revenue.
Selling, General and Administrative ExpensesExpense
Selling, general and administrative expenses areexpense is primarily comprised of compensation and benefits associated with sales and marketing, finance, human resources, legal, information technology and other administrative personnel, outside marketing, advertising and legal expensesexpense and other general and administrative costs.
Advertising costs are expensed as incurred. For the years ended December 31, 2020, 20192022, 2021 and 2018,2020, advertising costs totaledtotaled $54.1 million, $98.7 million and $111.8 million, $79.2 million and $90.2 million, respectively.
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Income Taxes
The provision for income taxes includes federal, state, local and foreign taxes. Income taxes are accounted for under the asset and liability method. Deferred tax assets and liabilities are recognized for the estimated future tax consequences of temporary differences between the financial statement carrying amounts and their respective tax bases. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the year in which the temporary differences are expected to be recovered or settled. We evaluate the realizability of our deferred tax assets and establish a valuation allowance when it is more likely than not that all or a portion of deferred tax assets will not be realized. We recognize deferred taxes associated with our global intangible low-taxed income (GILTI) tax calculations.
The income tax consequences from the intra-entity transfers of inventory within our consolidated group, both current and deferred, are recorded as a prepaid tax or deferred charge and recognized through our consolidated statements of income when the inventory is sold to a third party.
In October 2016 the FASB issued ASU No. 2016-16, Income Taxes (Topic 740): Intra-Entity Transfer of Assets Other Than Inventory. This standard eliminates the deferral of the tax effects of intra-entity asset transfers other than inventory. As a result, thethird-party. The income tax consequences from the intra-entity transfer of an assetassets other than inventory and associated changes to deferred taxes will beare recognized when the transfer occurs.
We adopted this standard on January 1, 2018, using the modified retrospective method, through a cumulative-effect adjustment to retained earnings as of that date. Upon adoption, we recognized additional net deferred tax assets of approximately $0.5 billion, offset by a corresponding net increase to retained earnings of approximately $0.5 billion. In the fourth quarter of 2018, when we elected to begin recognizing deferred taxes on the GILTI tax calculation, we recorded an additional deferred tax liability of $0.4 billion with a corresponding reduction to our retained earnings as these differences are related to intra-entity transactions. We will recognize incremental deferred income tax expense thereafter as these deferred tax assets and liabilities are utilized.
We account for uncertain tax positions using a “more likely than not” threshold for recognizing and resolving uncertain tax positions. We evaluate uncertain tax positions on a quarterly basis and consider various factors including, but not limited to, changes in tax law, the measurement of tax positions taken or expected to be taken in tax returns, the effective settlement of matters subject to audit, information obtained during in process audit activities and changes in facts or circumstances related to a tax position. We also accrue for potential interest and penalties related to unrecognized tax benefits in income tax expense.(benefit) expense in our consolidated statements of income.
Contingencies
We are currently involved in various claims and legal proceedings. Loss contingency provisions are recorded if the potential loss from any claim, asserted or unasserted, or legal proceeding is considered probable and the amount can be reasonably estimated or a range of loss can be determined. These accruals represent management’s best estimate of probable loss. Disclosure also is provided when it is reasonably possible that a loss will be incurred or when it is reasonably possible that the amount of a loss will exceed the recorded provision. On a quarterly basis, we review the status of each significant matter and assess its potential financial exposure. Significant judgment is
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
required in both the determination of probability and as to whether an exposure is reasonably estimable. Because of uncertainties related to these matters, accruals are based only on the best information available at the time. As additional information becomes available, we reassess the potential liability related to pending claims and litigation and may change our estimates. Legal costs associated with legal proceedings are expensed when incurred.
Earnings per Share
Basic earnings per share is computed by dividing undistributed net income attributable to Biogen Inc. by the weighted-average number of common shares outstanding during the period. Diluted earnings per share is computed based on the treasury method by dividing net income by the weighted-average number of common shares outstanding during the period plus potentially dilutive common equivalent shares outstanding.
New Accounting Pronouncements
From time to time, new accounting pronouncements are issued by the FASB or other standard setting bodies that we adopt as of the specified effective date. Unless otherwise discussed below, we do not believe that the adoption of recently issued standards have or may have a material impact on our consolidated financial statements or disclosures.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
LeasesFair Value Measurements
In February 2016June 2022 the FASB issued the new leasing standardsAccounting Standards Update (ASU) No. 2022-03, Fair Value Measurement (Topic 820): Fair Value Measurement of Equity Securities Subject to increase transparency and comparability among organizations related to their leasing activities. For additional informationContractual Sale Restrictions. This standard clarifies that a contractual restriction on the adoptionsale of an equity security is not considered part of the new leasing standards, please readunit of account of the section titled Lease above,equity security and, Note 11, Leases,therefore, is not considered in measuring fair value. This standard becomes effective for us on January 1, 2024. We elected to theseearly adopt this standard on a prospective basis during the third quarter of 2022. Upon adoption, we recorded an immaterial amount in other (income) expense, net in our consolidated financial statements.statements of income, as a result of removing the impact of the remaining contractual sale restrictions from the fair value measurement of certain shares in Sage Therapeutics, Inc. (Sage).
Credit LossesIncome Taxes
In June 2016December 2019 the FASB issued ASU No. 2016-13,2019-12, Financial Instruments - Credit LossesIncome Taxes (Topic 326)740): Measurement of Credit Losses on Financial InstrumentsSimplifying the Accounting for Income Taxes. The FASB subsequently issued amendmentsThis standard removes certain exceptions to ASU 2016-13, which have the samegeneral principles in Topic 740 and simplifies certain other aspects of the accounting for income taxes. This standard became effective date and transition date offor us on January 1, 2020. These standards require that credit losses be reported using an expected losses model rather than the incurred losses model that is currently used,2021, and establishes additional disclosures related to credit risks. For available-for-sale debt securities with unrealized losses, these standards now require allowances to be recorded instead of reducing the amortized cost of the investment. These standards limit the amount of credit losses to be recognized for available-for-sale debt securities to the amount by which carrying value exceeds fair value and requires the reversal of previously recognized credit losses if fair value increases.
Based on the composition of our investment portfolio, accounts receivable and other financial assets, current market conditions and historical credit loss activity, the adoption of these standards did not have a material impact on our consolidated financial position and results of operationsstatements and related disclosures.
Debt Securities
In March 2017 the FASB issued ASU No. 2017-08, Receivables - Nonrefundable Fees and Other Costs (Subtopic 310-20): Premium Amortization on Purchased Callable Debt Securities. This standard amends the amortization period for certain purchased callable debt securities held at a premium by shortening the amortization period to the earliest call date. This standard became effective for us on January 1, 2019, and was adopted using a modified retrospective transition approach. The adoption of this standard did not result in a significant adjustment to our marketable debt securities.
Fair Value Measurements
In August 2018 the FASB issued ASU No. 2018-13, Fair Value Measurement (Topic 820): Disclosure Framework - Changes to the Disclosure Requirements for Fair Value Measurement. This standard modifies certain disclosure requirements on fair value measurements. This standard became effective for us on January 1, 2020. The adoption of this standard did not have a material impact on our disclosures.
Derivative Instruments and Hedging Activities
In October 2018 the FASB issued ASU No. 2018-16, Derivatives and Hedging (Topic 815): Inclusion of the Secured Overnight Financing Rate (SOFR) Overnight Index Swap (OIS) Rate as a Benchmark Interest Rate for Hedge Accounting Purposes. This standard permits use of the OIS rate based on the SOFR as a U.S. benchmark interest rate for hedge accounting purposes under ASC 815, Derivatives and Hedging. This standard became effective for us on January 1, 2019, and did not have an impact on our consolidated results of operations or financial position.
Collaborative Arrangements
In November 2018 the FASB issued ASU No. 2018-18, Collaborative Arrangements (Topic 808): Clarifying the Interaction between Topic 808 and Topic 606. This standard makes targeted improvements for collaborative arrangements as follows:
Clarifies that certain transactions between collaborative arrangement participants should be accounted for as revenue under ASC 606, Revenue from Contracts with Customers, when the collaborative arrangement participant is a customer in the context of a unit of account. In those situations, all the guidance in ASC 606 should be applied, including recognition, measurement, presentation and disclosure requirements;
Adds unit-of-account guidance to ASC 808, Collaborative Arrangements, to align with the guidance in ASC 606 (that is, a distinct good or service) when an entity is assessing whether the collaborative arrangement or a part of the arrangement is within the scope of ASC 606; and
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Precludes a company from presenting transactions with collaborative arrangement participants that are not directly related to sales to third parties with revenue recognized under ASC 606 if the collaborative arrangement participant is not a customer.
This standard became effective for us on January 1, 2020. A retrospective transition approach is required for either all contracts or only for contracts that are not completed at the date of initial application of ASC 606, with a cumulative adjustment to opening retained earnings, as of January 1, 2018. The adoption of this standard did not have a material impact on our consolidated financial position, results of operations and related disclosures.
2.        
Note 2:Acquisitions
BIIB118 Acquisition
In March 2020 we acquired BIIB118 (CK1 inhibitor), a novel CNS-penetrant small molecule inhibitor of casein kinase 1, for the potential treatment of patients with behavioral and neurological symptoms across various psychiatric and neurological diseases from Pfizer Inc. (Pfizer). We are developing BIIB118 for the potential treatment of irregular sleep wake rhythm disorder in Parkinson’s disease and plan to develop BIIB118 for the potential treatment of sundowning in Alzheimer's disease.
In connection with this acquisition, we made an upfront payment of $75.0 million to Pfizer, which was accounted for as an asset acquisition and recorded as acquired IPR&D in our consolidated statements of income for the year ended December 31, 2020. In 2022 we discontinued further development of BIIB118 based on the decision by management as BIIB118 has not yet reached technological feasibility. We may also pay Pfizer up to $635.0 millionpart of its strategic review process.
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Note 3:Dispositions
Sale of Joint Venture Equity Interest in potential additional development and commercialization milestone payments as well as tiered royalties in the high single digits to sub-teens.Samsung Bioepis
Acquisition of Nightstar Therapeutics plc
In June 2019April 2022 we completed the sale of our acquisition of all of the outstanding shares of Nightstar Therapeutics plc (NST), a clinical-stage gene therapy company focused on adeno-associated virus treatments for inherited retinal disorders. As a result of this acquisition, we added 2 mid-49.9% equity interest in Samsung Bioepis to late-stage clinical assets, as well as preclinical programs, in ophthalmology. These assets include BIIB111 (timrepigene emparvovec), which is in Phase 3 development for the potential treatment of choroideremia, a rare, degenerative, X-linked inherited retinal disorder that leads to blindness and currently has no approved treatments, and BIIB112 (RPGR gene therapy), which is in Phase 2/3 development for the potential treatment of X-linked retinitis pigmentosa, which is a rare inherited retinal disease with no currently approved treatments.
Samsung BioLogics. Under the terms of the acquisition,this transaction, we paid NST shareholders $25.50received approximately $1.0 billion in cash for each issuedat closing and outstanding NST share,expect to receive approximately $1.3 billion in cash to be deferred over two payments of approximately $812.5 million due at the first anniversary and approximately $437.5 million due at the second anniversary of the closing of this transaction.
Prior to the sale, the carrying value of our investment in Samsung Bioepis totaled $581.6 million. For the year ended December 31, 2022, we recognized a pre-tax gain of approximately $1.5 billion related to this transaction, which totaled $847.6 million. In addition, we paid $4.6was recorded in other (income) expense, net in our consolidated statements of income. This pre-tax gain included reclassifications from accumulated other comprehensive income (loss) to net income of approximately $58.9 million in cashcumulative translation losses, partially offset by approximately $57.0 million in gains resulting from the termination of our net investment hedge.
We have concluded that the divestment of Samsung Bioepis does not meet the criteria to be reported as discontinued operations in our consolidated financial statements, as our decision to divest this business does not represent a strategic shift that will have a major effect on our operations and financial results.
We elected the fair value option and measured the payments due to us from Samsung BioLogics at fair value. As of December 31, 2022, the estimated fair values of the first and second payments using risk-adjusted discount rates of 5.7% and 5.9%, respectively, were approximately $798.8 million and $405.4 million, respectively. These payments have been classified as level 3 measurements and are reflected in other current assets and investments and other assets, respectively, in our consolidated balance sheets.
For the year ended December 31, 2022, we recognized a gain of approximately $10.7 million and a loss of approximately $1.4 million to reflect the changes in fair value related to our first and second payments, respectively. These changes were recorded in other (income) expense, net in our consolidated statements of income.
As part of this transaction, we are also eligible to receive up to an additional $50.0 million upon the achievement of certain commercial milestones. Our policy for equity compensation,contingent payments of this nature is to recognize the payments in the period that they become realizable, which is attributablegenerally the same period in which the payments are earned.
If any payments due to pre-combination services andus remain outstanding after the second anniversary of the closing of this transaction, we may elect to receive shares of Samsung BioLogics common stock at a 5.0% discount in lieu of a cash payment for the remaining amount due. Currently, we believe that the likelihood of Samsung BioLogics failing to make timely payments to us for the amounts due is remote.
Additionally, for the year ended December 31, 2022, we recorded a discrete tax expense of approximately $257.9 million related to this transaction, which is reflected as a component of the total purchase price paid. The fair value of equity compensation attributable to the post-combination service period was $26.2 million, of which $18.4 million was recognized as a charge to selling, general and administrative expense with the remaining $7.8 million as a charge to research and developmentin income tax (benefit) expense in our consolidated statements of income.
Note 4:Restructuring
2022 Cost Saving Initiatives
In December 2021 and May 2022 we announced our plans to implement a series of cost-reduction measures during 2022. These savings are being achieved through a number of initiatives, including reductions to our workforce, the substantial elimination of our commercial ADUHELM infrastructure, the consolidation of certain real estate locations and operating efficiency gains across our selling, general and administrative and research and development functions.
Under these initiatives, we estimate we will incur total restructuring charges of approximately $131.0 million, primarily related to severance. These amounts were associated with the accelerated vesting of stock options previously granted to NST employees and were fully paid in cash as of June 30, 2019. We funded this acquisition through available cash and accounted for it as an acquisition of a business. We finalized purchase accounting for this acquisition in the fourth quarter of 2019.
The fair value of the IPR&D programs acquired was determined through a probability adjusted discounted cash flow analysis utilizing a discount rate of 12.5%. We recorded IPR&D assets for BIIB111 and BIIB112 at their initial fair values of $480.0 million and $220.0 million, respectively. Some of the more significant assumptions utilized in our asset valuations included the estimated net cash flows for each year for each asset or product, including net revenues, cost of sales, research and development and other operating expenses, the potential regulatory and commercial success risks, competitive trends impacting the asset and each cash flow stream as well as other factors. These fair value measurements were based on significant inputs not observable in the market and thus represent Level 3 fair value measurements.
We recognized goodwill in relation to the fair value associated with NST workforce's expertise and early research in retinal disorders. We also recognized goodwill in relation to the establishment of a deferred tax liability for the acquired IPR&D intangible assets, which have no tax basis. This deferred tax liability is net of the related impacts on the deferred taxes for GILTI. Goodwill that is tax deductible for GILTI purposes is approximately $60.9 million assubstantially incurred during 2022. As of December 31, 2020.2022, approximately $35.9 million remained in our restructuring reserve and payments are expected to be made through 2026.
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Pro forma resultsFor the year ended December 31, 2022, we recognized approximately $131.1 million of operations as a resultnet pre-tax restructuring charges related to our 2022 cost saving initiatives, of this acquisition have not been presented as this acquisition is not material towhich approximately $112.6 million consisted of employee severance costs. These costs were recorded in restructuring charges in our consolidated statements of income. SubsequentOur restructuring reserve is included in accrued expense and other in our consolidated balance sheets.
In September 2022 we entered into an agreement to June 7, 2019,partially terminate a portion of our lease located at 300 Binney Street, Cambridge, MA (300 Binney Street), as well as to reduce the acquisition date, our results of operations include the results of operations of NST.
BIIB100 Acquisition
In January 2018 we acquired BIIB100 (XP01 inhibitor) from Karyopharm Therapeutics Inc. (Karyopharm). BIIB100 is a Phase 1 investigational oral compoundlease term for the potential treatmentmajority of certain neurological and neurodegenerative diseases, primarilythe remaining space. This resulted in ALS. BIIB100 is a novel therapeutic candidate that works by inhibiting a protein known as XPO1, with the goalgain of reducing inflammation and neurotoxicity, along with increasing neuroprotective responses.
We accounted for this transaction as an asset acquisition as the value being acquired primarily relates to a single asset. In connection with the closing of this transaction, we made an upfront payment of $10.0approximately $5.3 million, to Karyopharm, which was recorded as acquired IPR&Dwithin restructuring charges in our consolidated statements of income as BIIB100 had not yet reached technological feasibility. We may also pay Karyopharm upfor the year ended December 31, 2022. For additional information on our 300 Binney Street lease modification, please read Note 12, Leases, to $207.0 millionthese consolidated financial statements.
Following an evaluation of our current capacity needs, in additional milestone payments as well as tiered royalties on potential net commercial salesMarch 2022 we ceased using a patient services office space in Durham, NC. Our decision to cease use of the facility resulted in the mid-single digit to low-teen percentages.
BIIB104 Acquisition
In April 2018immediate expense of certain leasehold improvements and other assets at this facility. As a result, we acquired BIIB104 (AMPA) from Pfizer. BIIB104 is a first-in-class, Phase 2b ready AMPA receptor potentiator for cognitive impairment associated with schizophrenia. AMPA receptors mediate fast excitatory synaptic transmission in the central nervous system, a process which can be disrupted in a numberrecognized approximately $10.4 million of neurological and psychiatric diseases, including schizophrenia.
We accounted for this transaction as an asset acquisition as the value being acquired primarily relates to a single asset. In connection with the closing of this transaction, we made an upfront payment of $75.0 million to Pfizer,accelerated depreciation expense, which was recorded as acquired IPR&Din restructuring charges in our consolidated statements of income as BIIB104 had not yet reached technological feasibility. We may also pay Pfizer upfor the year ended December 31, 2022. In May 2022 we entered into a lease assignment agreement whereby we assigned our remaining lease obligations to $515.0an external third party. As a result of the lease assignment, we derecognized the related operating lease obligation and right-of-use asset during the second quarter of 2022.
For the year ended December 31, 2022, we recognized other restructuring costs of approximately $13.2 million, which were recorded in total development and commercialization milestone payments as well as tiered royalties on potential net commercial sales in the low to mid-teen percentages.
BIIB110 Acquisition
In July 2018 we acquired BIIB110 (ActRIIA/B ligand trap) and ALG-802 from AliveGen Inc. (AliveGen). BIIB110 and ALG-802 represent novel ways of targeting the myostatin pathway. We initially plan to study BIIB110 in multiple neuromuscular indications, including SMA and ALS.
We accounted for this transaction as an asset acquisition as the value being acquired primarily relates to a single asset. In connection with the closing of this transaction, we made an upfront payment of $27.5 million to AliveGen, which was recorded as acquired IPR&Drestructuring charges in our consolidated statements of incomeincome. Other restructuring costs include items such as BIIB110 had not yet reached technological feasibility. We may also pay AliveGen upfacility closure costs, employee non-severance expense, asset write-offs and other costs.
The following table summarizes the charges and spending related to $535.0 million in additional development and commercialization milestones.our 2022 workforce reductions for the year ended December 31, 2022:
(In millions)Total
Restructuring reserve, December 31, 2021$— 
Expense112.6 
Payment(78.0)
Foreign currency and other adjustments1.3 
Restructuring reserve, December 31, 2022$35.9 
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DivestitureBIOGEN INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
Note 5:Revenue
Product Revenue
Revenue by product are summarized as follows:
 For the Years Ended December 31,
 202220212020
(In millions)United
States
Rest of
World
TotalUnited
States
Rest of
World
TotalUnited
States
Rest of
World
Total
Multiple Sclerosis (MS):
TECFIDERA$417.7 $1,026.2 $1,443.9 $680.6 $1,271.3 $1,951.9 $2,677.7 $1,163.4 $3,841.1 
VUMERITY(1)
521.3 32.1 553.4 408.9 1.5 410.4 64.3 — 64.3 
Total Fumarate939.0 1,058.3 1,997.3 1,089.5 1,272.8 2,362.3 2,742.0 1,163.4 3,905.4 
AVONEX649.2 324.3 973.5 830.2 378.5 1,208.7 1,083.4 408.5 1,491.9 
PLEGRIDY148.4 183.5 331.9 152.9 204.5 357.4 190.1 195.5 385.6 
Total Interferon797.6 507.8 1,305.4 983.1 583.0 1,566.1 1,273.5 604.0 1,877.5 
TYSABRI1,123.4 907.5 2,030.9 1,142.2 920.9 2,063.1 1,096.8 849.3 1,946.1 
FAMPYRA— 96.6 96.6 — 105.2 105.2 — 103.1 103.1 
Subtotal: MS2,860.0 2,570.2 5,430.2 3,214.8 2,881.9 6,096.7 5,112.3 2,719.8 7,832.1 
Spinal Muscular Atrophy:
SPINRAZA600.2 1,193.3 1,793.5 587.9 1,317.2 1,905.1 787.8 1,264.3 2,052.1 
Biosimilars:
BENEPALI— 441.0 441.0 — 498.3 498.3 — 481.6 481.6 
IMRALDI— 224.5 224.5 — 233.4 233.4 — 216.3 216.3 
FLIXABI— 81.3 81.3 — 99.4 99.4 — 97.9 97.9 
BYOOVIZ(2)
4.3 — 4.3 — — — — — — 
Subtotal: Biosimilars4.3 746.8 751.1 — 831.1 831.1 — 795.8 795.8 
Other:
FUMADERM— 8.2 8.2 — 11.0 11.0 — 12.2 12.2 
ADUHELM4.8 — 4.8 3.0 — 3.0 — — — 
Total product revenue$3,469.3 $4,518.5 $7,987.8 $3,805.7 $5,041.2 $8,846.9 $5,900.1 $4,792.1 $10,692.2 
(1) VUMERITY became commercially available in the E.U. during the fourth quarter of Hillerød, Denmark Manufacturing Operations2021.
In August 2019 we completed(2) BYOOVIZ launched in the saleU.S. in June 2022 and became commercially available during the third quarter of all2022.
We recognized revenue from two wholesalers accounting for 26.8% and 11.1% of the outstanding sharesgross product revenue in 2022, 28.8% and 10.1% of gross product revenue in 2021 and 30.5% and 15.3% of gross product revenue in 2020, respectively.
As of December 31, 2022, two wholesale distributors individually accounted for approximately 22.7% and 10.9% of net accounts receivable associated with our subsidiary that owned our biologics manufacturing operations in Hillerød, Denmarkproduct sales, as compared to FUJIFILM Corporation (FUJIFILM). Upon the closing21.9% and 10.2% as of this transaction, we received approximately $881.9 million in cash, which may be adjusted based on other contractual terms, which are discussed below. We determined that the operations disposed of in this transaction did not meet the criteria to be classified as discontinued operations under the applicable guidance.December 31, 2021, respectively.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
As part of this transaction, we provided FUJIFILM with certain minimum batch production commitment guarantees. There is a risk that the minimum contractual batch production commitments will not be met. Based upon current estimates we do not expect to incur an adverse commitment obligation associated with such guarantees. We may further adjust this estimate based upon changes in business conditions, which may result in the increase or reduction of this adverse commitment obligation in subsequent periods. We also may be obligated to indemnify FUJIFILM for liabilities that existed relating to certain business activities incurred prior to the closing of this transaction.
In addition, we may earn certain contingent payments based on future manufacturing activities at the Hillerød facility. For the disposition of a business, our policy is to recognize contingent consideration when the consideration is realizable. We currently believe the probability of earning these payments is remote and therefore we did not include these contingent payments in our calculation of the fair value of the operations.
As part of this transaction, we entered into certain manufacturing services agreements with FUJIFILM pursuant to which FUJIFILM will use the Hillerød facility to produce commercial products for us, such as TYSABRI, as well as other third-party products.
For the year ended December 31, 2019, we recognized a total net loss of approximately $124.2 million related to the transaction in our consolidated statements of income. This loss included a pre-tax loss of $55.3 million, which was recorded in loss on divestiture of Hillerød, Denmark manufacturing operations. The loss recognized was based on exchange rates and business conditions on the closing date of this transaction, and included costs to sell our Hillerød, Denmark manufacturing operations of approximately $11.2 million and our estimate of the fair value of adverse commitments of approximately $74.0 million, primarily associated with the guarantee of future minimum batch production at the Hillerød facility. We also recorded a tax expense of $68.9 million related to this transaction.
In addition, upon the closing of this transaction, we sold to FUJIFILM $41.8 million of raw materials that were remaining at the Hillerød facility on the closing date of this transaction. These materials were sold at cost, which approximates fair value.
During the year ended December 31, 2020, we reduced our estimate of the fair value of the adverse commitment associated with the guarantee of future batch production by approximately $62.0 million based on our current manufacturing forecasts. Additionally, we recorded a reduction to our pre-tax loss of approximately $30.5 million due to a refund of interest paid associated with a tax matter.
Our estimate of the fair value of the adverse commitments is a Level 3 measurement and is based on forecasted batch production at the Hillerød facility.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
4.    Revenues
Product Revenues
Revenues by product are summarized as follows:
 For the Years Ended December 31,
 202020192018
(In millions)United
States
Rest of
World
TotalUnited
States
Rest of
World
TotalUnited
States
Rest of
World
Total
Multiple Sclerosis (MS):
Fumarate*$2,742.0 $1,163.4 $3,905.4 $3,312.0 $1,126.2 $4,438.2 $3,253.2 $1,020.9 $4,274.1 
Interferon**1,273.5 604.0 1,877.5 1,426.6 675.2 2,101.8 1,668.3 694.7 2,363.0 
TYSABRI1,096.8 849.3 1,946.1 1,041.8 850.4 1,892.2 1,025.0 839.0 1,864.0 
FAMPYRA103.1 103.1 97.1 97.1 92.7 92.7 
ZINBRYTA1.4 1.4 
Subtotal: MS5,112.3 2,719.8 7,832.1 5,780.4 2,748.9 8,529.3 5,946.5 2,648.7 8,595.2 
Spinal Muscular Atrophy:
SPINRAZA787.8 1,264.3 2,052.1 933.4 1,163.6 2,097.0 854.0 870.2 1,724.2 
Biosimilars:
BENEPALI481.6 481.6 486.2 486.2 485.2 485.2 
IMRALDI216.3 216.3 184.0 184.0 16.7 16.7 
FLIXABI97.9 97.9 68.1 68.1 43.2 43.2 
Subtotal: Biosimilars795.8 795.8 738.3 738.3 545.1 545.1 
Other:
FUMADERM12.2 12.2 15.2 15.2 22.3 22.3 
Total product revenues$5,900.1 $4,792.1 $10,692.2 $6,713.8 $4,666.0 $11,379.8 $6,800.5 $4,086.3 $10,886.8 
*Fumarate includes TECFIDERA and VUMERITY. VUMERITY became commercially available in the U.S. in November 2019.
**Interferon includes AVONEX and PLEGRIDY.
We recognized revenues from 2 wholesalers accounting for 30.5% and 15.3% of gross product revenues in 2020, 30.0% and 17.2% of gross product revenues in 2019 and 32.0% and 18.4% of gross product revenues in 2018, respectively.
As of December 31, 2020, 2 wholesale distributors individually accounted for approximately 21.1% and 8.5% of net accounts receivable associated with our product sales, as compared to 24.1% and 13.9% as of December 31, 2019, respectively.
An analysis of the change in reserves for discounts and allowances is summarized as follows:
December 31, 2020December 31, 2022
(In millions)(In millions)DiscountsContractual
Adjustments
ReturnsTotal(In millions)DiscountsContractual
Adjustments
ReturnsTotal
Beginning balanceBeginning balance$131.1 $1,027.3 $40.5 $1,198.9 Beginning balance$137.7 $759.6 $38.0 $935.3 
Current provisions relating to sales in current yearCurrent provisions relating to sales in current year774.7 3,308.8 19.0 4,102.5 Current provisions relating to sales in current year666.6 2,715.5 12.3 3,394.4 
Adjustments relating to prior yearsAdjustments relating to prior years(1.0)(54.0)1.3 (53.7)Adjustments relating to prior years(2.8)1.4 (7.2)(8.6)
Payments/returns relating to sales in current year(635.1)(2,426.1)(3,061.2)
Payments/returns relating to sales in prior years(128.3)(763.0)(19.2)(910.5)
Payments/credits relating to sales in current yearPayments/credits relating to sales in current year(514.9)(2,060.7)(1.2)(2,576.8)
Payments/credits relating to sales in prior yearsPayments/credits relating to sales in prior years(132.8)(558.1)(18.4)(709.3)
Ending balanceEnding balance$141.4 $1,093.0 $41.6 $1,276.0 Ending balance$153.8 $857.7 $23.5 $1,035.0 
December 31, 2021
(In millions)DiscountsContractual
Adjustments
ReturnsTotal
Beginning balance$141.4 $1,093.0 $41.6 $1,276.0 
Current provisions relating to sales in current year736.7 2,948.7 15.2 3,700.6 
Adjustments relating to prior years(4.0)(96.1)(3.3)(103.4)
Payments/credits relating to sales in current year(599.3)(2,283.1)(0.4)(2,882.8)
Payments/credits relating to sales in prior years(137.1)(902.9)(15.1)(1,055.1)
Ending balance$137.7 $759.6 $38.0 $935.3 
December 31, 2020
(In millions)DiscountsContractual
Adjustments
ReturnsTotal
Beginning balance$131.1 $1,027.3 $40.5 $1,198.9 
Current provisions relating to sales in current year774.7 3,308.8 19.0 4,102.5 
Adjustments relating to prior years(1.0)(54.0)1.3 (53.7)
Payments/credits relating to sales in current year(635.1)(2,426.1)— (3,061.2)
Payments/credits relating to sales in prior years(128.3)(763.0)(19.2)(910.5)
Ending balance$141.4 $1,093.0 $41.6 $1,276.0 
The total reserves above, which are included in our consolidated balance sheets, are summarized as follows:
 As of December 31,
(In millions)20222021
Reduction of accounts receivable$143.4 $133.2 
Component of accrued expense and other891.6 802.1 
Total revenue-related reserves$1,035.0 $935.3 
Revenue from Anti-CD20 Therapeutic Programs
Revenue from anti-CD20 therapeutic programs is summarized in the table below. For purposes of this footnote, we refer to RITUXAN and RITUXAN HYCELA collectively as RITUXAN.
 For the Years Ended December 31,
(In millions)202220212020
Royalty revenue on sales of OCREVUS$1,136.3 $991.7 $845.4 
Biogen's share of pre-tax profits in the U.S. for RITUXAN and GAZYVA547.0 647.7 1,080.2 
Other revenue from anti-CD20 therapeutic programs17.2 19.1 52.2 
Total revenue from anti-CD20 therapeutic programs$1,700.5 $1,658.5 $1,977.8 
Approximately 16.7%, 15.1% and 14.7% of our total revenue in 2022, 2021 and 2020, respectively, was derived from our collaboration arrangements with Genentech. For additional information on our collaboration
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
December 31, 2019
(In millions)DiscountsContractual
Adjustments
ReturnsTotal
Beginning balance$127.8 $888.8 $34.7 $1,051.3 
Current provisions relating to sales in current year666.2 3,011.5 20.9 3,698.6 
Adjustments relating to prior years0.3 (54.1)5.5 (48.3)
Payments/returns relating to sales in current year(535.5)(2,242.9)(0.2)(2,778.6)
Payments/returns relating to sales in prior years(127.7)(576.0)(20.4)(724.1)
Ending balance$131.1 $1,027.3 $40.5 $1,198.9 
December 31, 2018
(In millions)DiscountsContractual
Adjustments
ReturnsTotal
Beginning balance$109.6 $606.0 $46.0 $761.6 
Current provisions relating to sales in current year679.3 2,686.7 23.1 3,389.1 
Adjustments relating to prior years(0.3)(10.0)(1.8)(12.1)
Payments/returns relating to sales in current year(551.7)(1,887.6)(1.1)(2,440.4)
Payments/returns relating to sales in prior years(109.1)(506.3)(31.5)(646.9)
Ending balance$127.8 $888.8 $34.7 $1,051.3 
The total reserves above, which are included in our consolidated balance sheets, are summarized as follows:
 As of December 31,
(In millions)20202019
Reduction of accounts receivable$195.4 $197.8 
Component of accrued expenses and other1,080.6 1,001.1 
Total revenue-related reserves$1,276.0 $1,198.9 
Revenues from Anti-CD20 Therapeutic Programs
Revenues from anti-CD20 therapeutic programs are summarized in the table below. For purposes of this footnote, we refer to RITUXAN and RITUXAN HYCELA collectively as RITUXAN.
 For the Years Ended December 31,
(In millions)202020192018
Biogen's share of pre-tax profits in the U.S. for RITUXAN and GAZYVA$1,080.2 $1,542.4 $1,431.9 
Other revenues from anti-CD20 therapeutic programs897.6 748.0 548.3 
Total revenues from anti-CD20 therapeutic programs$1,977.8 $2,290.4 $1,980.2 
Approximately 14.7%, 15.9% and 14.7% of our total revenues in 2020, 2019 and 2018, respectively, were derived from our collaboration arrangements with Genentech. For additional information on our collaboration arrangements with Genentech, please read Note 18,19, Collaborative and Other Relationships, to these consolidated financial statements.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
Other Revenue
Other Revenues
Other revenues arerevenue consists of royalty revenue and contract manufacturing and other revenue and is summarized as follows:
 For the Years Ended December 31,
(In millions)202020192018
Revenues from collaborative and other relationships:
Revenues earned under our technical development agreement, manufacturing service agreements and royalty revenues on biosimilar products with Samsung Bioepis$20.9 $106.2 $96.4 
Other revenues from collaborative and other relationships0.7 (8.6)
Other royalty and corporate revenues:
Royalty33.9 17.0 38.7 
Other corporate719.1 584.5 459.4 
Total other revenues$774.6 $707.7 $585.9 
 For the Years Ended December 31,
(In millions)202220212020
Contract manufacturing and other revenue$417.7 $427.7 $719.1 
Royalty revenue67.4 48.6 55.5 
Total other revenue$485.1 $476.3 $774.6 
Contract Manufacturing and Other corporate revenuesRevenue
Contract manufacturing and other revenue primarily reflectreflects amounts earned under contract manufacturing agreements with our strategic customers, including Bioverativ Inc. (Bioverativ). During the years ended December 31, 2020, 2019 and 2018, we recognized $48.6 million, $383.2 million and $206.7 million, respectively, in revenues under the manufacturing and supply agreement with Bioverativ entered into in connection with the spin-off of our hemophilia business.customers.
During the third quarter of 2019, we amended our agreement with a contract manufacturing customer pursuant to which we licensed certain of our manufacturing-related intellectual property to the customer. In the second quarter of 2020, the customer received regulatory approval for its product that is being manufactured using certain of our manufacturing-related intellectual property. As a result we arewere entitled to $500.0 million in a series of three payments. The first payment became due upon a regulatory approval of such product and was received during the second quarter of 2020. Subsequent payments areThe second payment became due onupon the first and second anniversariesanniversary of the regulatory approval.approval and was received during the second quarter of 2021. The third payment became due upon the second anniversary of the regulatory approval and was received during the second quarter of 2022.
Other corporate revenuesContract manufacturing and other revenue for the year ended December 31, 2020, reflectreflects $346.2 million related to the delivery of the license for certain of our manufacturing-related intellectual property under the amended agreement, as discussed above, and the performance of manufacturing product supply services for such customer. We have allocated the remaining $153.8 million of the $500.0 million transaction price to the performance of manufacturing product supply services for the customer, which we expect to perform through 2026. The value allocated to the manufacturing services was based on expected demand for supply and the fair value of comparable manufacturing and development services.
Royalty Revenue
Royalty revenue reflects the royalties we receive from net sales on products related to patents that we have out-licensed, as well as royalty revenue on biosimilar products from our collaboration arrangements with Samsung Bioepis.
For additional information on our collaboration arrangements with Samsung Bioepis, please read Note 18,19, Collaborative and Other Relationships, to these consolidated financial statements.
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5.        Inventory
The components of inventory are summarized as follows:
 As of December 31,
(In millions)20202019
Raw materials$314.9 $169.7 
Work in process544.5 460.0 
Finished goods209.2 174.5 
Total inventory$1,068.6 $804.2 
Inventory amounts written down as a result of excess, obsolescence, unmarketability or other reasons are charged to cost of sales, and totaled $26.6 million, $52.2 million and $41.9 million for the years ended December 31, 2020, 2019 and 2018, respectively.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
Divestiture
Note 6:Inventory
The components of Hillerød, Denmark Manufacturing Operationsinventory are summarized as follows:
 As of December 31,
(In millions)20222021
Raw materials$413.2 $349.6 
Work in process(1)
751.9 814.0 
Finished goods200.4 187.9 
Total inventory$1,365.5 $1,351.5 
Balance Sheet Classification:
Inventory$1,344.4 $1,351.5 
Investments and other assets21.1 — 
Total inventory$1,365.5 $1,351.5 
(1) Work in process inventory as of December 31, 2022, includes approximately $89.8 million related to LEQEMBI.
Long-term inventory is included in investments and other assets in our consolidated balance sheets.
Inventory amounts written down as a result of excess, obsolescence or unmarketability are charged to cost of sales, and totaled $336.2 million, $167.6 million and $26.6 million for the years ended December 31, 2022, 2021 and 2020, respectively.
Inventory Write-Offs
In August 2019April 2022 the Centers for Medicare and Medicaid Services (CMS) released the final National Coverage Decision (NCD) for the class of anti-amyloid treatments in Alzheimer's disease, including ADUHELM. The final NCD confirmed coverage with evidence development, in which patients with Medicare can only access treatment if they are part of an approved clinical trial. We expect that this decision will reduce future demand for ADUHELM to a minimal level. During the first quarter of 2022 we completedwrote-off approximately $275.0 million of inventory related to ADUHELM, as a result of this CMS decision, which was recognized in cost of sales within our consolidated statements of income for the saleyear ended December 31, 2022. We have recognized approximately $136.0 million related to Eisai's 45.0% share of allthese charges in collaboration profit (loss) sharing within our consolidated statements of income for the outstanding sharesyear ended December 31, 2022.
During the fourth quarter of 2021 we wrote-off approximately $120.0 million of inventory in excess of forecasted demand related to ADUHELM, which was recognized in cost of sales within our consolidated statements of income for the year ended December 31, 2021. We have recognized approximately $59.0 million related to Eisai's 45.0% share of these charges in collaboration profit (loss) sharing within our consolidated statements of income for the year ended December 31, 2021.
As of December 31, 2022, the carrying value of our subsidiary that owned our biologics manufacturing operations in Hillerød, Denmark to FUJIFILM. This transaction included the saleADUHELM inventory was immaterial. As of $14.0December 31, 2021, we had approximately $223.0 million of work in processADUHELM inventory.
In addition, we sold to FUJIFILM approximately $41.8 million of raw materials that were remaining at the Hillerød facility on the closing date of this transaction. These materials were sold at cost, which approximates fair value.
For additional information on the divestiture of our Hillerød, Denmark manufacturing operations, please read Note 3, Divestitures19, Collaborative and Other Relationships, to these consolidated financial statements.
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BIOGEN INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
Note 7:Intangible Assets and Goodwill
Intangible Assets
Intangible assets, net of accumulated amortization, impairment charges and adjustments are summarized as follows:
 As of December 31, 2020As of December 31, 2019  As of December 31, 2022As of December 31, 2021
(In millions)(In millions)Estimated LifeCostAccumulated
Amortization
NetCostAccumulated
Amortization
Net(In millions)Estimated LifeCostAccumulated
Amortization
NetCostAccumulated
Amortization
Net
Completed technologyCompleted technology4-28 years$7,394.3 $(5,136.5)$2,257.8 $7,379.3 $(4,881.4)$2,497.9 Completed technology4-28 years$7,415.3 $(5,629.2)$1,786.1 $7,413.1 $(5,388.5)$2,024.6 
In-process research and developmentIn-process research and developmentIndefinite until commercialization762.5 — 762.5 965.5 — 965.5 In-process research and developmentIndefinite until commercialization— — — 132.7 — 132.7 
Trademarks and trade namesTrademarks and trade namesIndefinite64.0 — 64.0 64.0 — 64.0 Trademarks and trade namesIndefinite64.0 — 64.0 64.0 — 64.0 
Total intangible assetsTotal intangible assets$8,220.8 $(5,136.5)$3,084.3 $8,408.8 $(4,881.4)$3,527.4 Total intangible assets$7,479.3 $(5,629.2)$1,850.1 $7,609.8 $(5,388.5)$2,221.3 
Amortization and Impairments
Amortization and impairmentsimpairment of acquired intangible assets totaled $464.8$365.9 million, $489.9$881.3 million and $747.3$464.8 million for the years ended December 31, 2020, 20192022, 2021 and 2018,2020, respectively.
Amortization of acquired intangible assets, excluding impairment charges, totaled $255.1$246.3 million, $274.0$252.0 million and $381.2$255.1 million for the years ended December 31, 2022, 2021 and 2020, 2019 and 2018, respectively. TheThe decrease in amortization of acquired intangible assets, excluding impairment charges, over the three years was primarily duedue to a lowerlower rate of amortization for acquired intangible assets.
For the year ended December 31, 2022, amortization and impairment of acquired intangible assets reflects the impact of a $119.6 million impairment charge related to vixotrigine (BIIB074) for the potential treatment of diabetic painful neuropathy (DPN).
For the year ended December 31, 2021, amortization and impairment of acquired intangible assets reflects the impact of a $365.0 million impairment charge related to BIIB111 (timrepigene emparvovec), a $220.0 million impairment charge related to BIIB112 (cotoretigene toliparvovec) and a $44.3 million impairment charge related to vixotrigine for the potential treatment of trigeminal neuralgia (TGN).
For the year ended December 31, 2020, amortization and impairment of acquired intangible assets reflects the impact of a $115.0 million impairment charge related to BIIB111, which was obtained as part of our acquisition of NST, a $75.4 million impairment charge related to BIIB054 (cinpanemab) and a $19.3 million impairment charge related to one of our other IPR&D intangible assets.
For the year ended December 31, 2019, amortization and impairments of acquired intangible assets reflects the impact of a $215.9 million impairment charge related to certain IPR&D assets associated with the Phase 2b study of BG00011 (STX-100) for the potential treatment of idiopathic pulmonary fibrosis (IPF), which was discontinued in the third quarter of 2019.
For the year ended December 31, 2018, amortization and impairments of acquired intangible assets reflects the impact of a $189.3 million impairment charge related to certain IPR&D assets associated with our vixotrigine program, as discussed below, and a $176.8 million impairment charge related to our U.S. license to Forward Pharma A/S' (Forward Pharma) intellectual property, including Forward Pharma's intellectual property related to TECFIDERA.
Completed Technology
Completed technology primarily relates to our acquisition of all remaining rights to TYSABRI from Elan as well as other amounts related to our other marketed products and programs acquired through asset acquisitions, licenses and business combinations.
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BIOGEN INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
IPR&D Related to Business Combinations
IPR&D represents the fair value assigned to research and development assets that we acquired as part of a business combination and had not yet reached technological feasibility at the date of acquisition. Included in IPR&D balances are adjustments related to foreign currency exchange rate fluctuations. We review amounts capitalized as acquired IPR&D for impairment annually, as of October 31, and whenever events or changes in circumstances indicate to us that the carrying value of the assets might not be recoverable. The carrying value associated with our IPR&D assets as of December 31, 2020 and 2019,2021, relates to the various IPR&D programs we acquired in connection with our acquisitionsacquisition of NST and Convergence Pharmaceuticals Holdings Ltd. (Convergence). The majorityAs of December 31, 2022, as a result of our decision to discontinue development of vixotrigine, we recognized an impairment charge reducing the balance relatesremaining book value tozero.
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BIOGEN INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
Vixotrigine
In connection with our acquisition of NST in June 2019 wherebyConvergence, we recognized $424.6 million of acquired IPR&D programs with an estimated fair value of approximately $585.0 million as of December 31, 2020. For additional information onintangible assets for vixotrigine. In the periods following our acquisition of NST, please read vixotrigine, there were numerous delays in the initiation of Phase 3 studies for the potential treatment of TGN and for the potential tNote 2, Acquisitionsreatment of DPN, another form of neuropathic pain. We engaged with the FDA regarding the design of the potential Phase 3 studies of vixotrigine for the potential treatment of TGN and DPN and performed an additional clinical trial of vixotrigine, which was completed during 2022.
The performance of this additional clinical trial delayed the initiation of the Phase 3 studies of vixotrigine for the potential treatment of TGN, and, as a result, we recognized an impairment charge of $44.3 million related to vixotrigine for the potential treatment of TGN during the first quarter of 2021.
During the fourth quarter of 2022 we discontinued further development of vixotrigine based on regulatory, development and commercialization challenges. For the year ended December 31, 2022, we recognized an impairment charge of approximately $119.6 million related to vixotrigine for the potential treatment of DPN, reducing the remaining book value of this IPR&D intangible asset to zero. We also adjusted the value of our contingent consideration obligations related to this asset resulting in a pre-tax gain of approximately $209.1 million, to thesewhich was recognized in (gain) loss on fair value remeasurement of contingent consideration within our consolidated financial statements.statements of income.
BIIB111 and BIIB112
In connection with our acquisition of Nightstar Therapeutics plc, we recognized $480.0 million and $220.0 million of acquired IPR&D intangible assets for BIIB111 and BIIB112, respectively. During the fourth quarter of 2020 we began experiencing third-party manufacturing delays that may impact our timeline for a potential filing of a Biologics License Application (BLA) for BIIB111 for regulatory approval by up to one year. In addition, we determined that forecasted costs associated with advancing the BIIB111 program through Phase 3 development and potential commercialization will exceed our original estimates. We reassessed the fair value of the program based on these changes in assumptions and determined that the program was partially impaired. We recognized an impairment charge of $115.0 million related to BIIB111 as a result of third-party manufacturing delays that impacted the timing and increased the costs associated with advancing BIIB111 through Phase 3 development.
During the second quarter of 2021 we announced that our Phase 3 STAR study of BIIB111 and our Phase 2/3 XIRIUS study of BIIB112 did not meet their primary endpoints. In the third quarter of 2021 we suspended further development on these programs based on the decision by management as part of its strategic review process. For the year ended December 31, 2021, we recognized an impairment charge of $365.0 million related to BIIB111 and an impairment charge of $220.0 million related to BIIB112, reducing the remaining book values of these IPR&D intangible assets to zero.
In addition, as a result of our decision to suspend further development of BIIB111 and BIIB112, we recorded charges of approximately $39.1 million during the fourththird quarter of 2020, which resulted2021 related to our manufacturing arrangements and other costs that we expect to incur as a result of suspending these programs. These charges were recognized in a reductionresearch and development expense in our consolidated statements of income for the IPR&D asset from $480.0 million to $365.0 million.year ended December 31, 2021.
BIIB054
In connection with our acquisition of Biogen International Neuroscience GmbH (BIN), we recognized a $110.9 million acquired IPR&D intangible asset. In February 2021 we announced that we discontinued development of BIIB054 as a potential treatment of Parkinson's disease as our Phase 2 SPARK study did not meet its primary or secondary endpoints. Although we made this determination in February 2021, it was based on conditions that existed as of December 31, 2020. As a result, we recognized an impairment charge of approximately $75.4 million during the fourth quarter of 2020 to reduce the fair value of the related IPR&D intangible asset to zero.
The IPR&D impairment charges were included in amortization and impairment of acquired intangible assets and the gain resulting from the remeasurement of our contingent consideration obligation was recorded in (gain) loss on fair value remeasurement of contingent consideration in our consolidated statements of income. The fair value of the intangible assets and contingent consideration obligations were based on a probability-adjusted discounted cash flow calculation using Level 3 fair value measurements and inputs including estimated revenues,revenue, costs and probabilities of success.
Vixotrigine
In the periods since we acquired vixotrigine, there have been numerous delays in the initiation of Phase 3 studies for the potential treatment of TGN as we engaged with the U.S. Food and Drug Administration (FDA) regarding the design of the Phase 3 studies and awaited data and insights from mid-stage clinical trials of vixotrigine in other indications that have since been completed. The fair value of the TGN asset is not significantly in excess of carrying value. As of December 31, 2020, the carrying value associated with our vixotrigine IPR&D assets was $177.5 million.
Estimated Future Amortization of Intangible Assets
The estimated future amortization of finite-lived intangible assets for the next five years is expected to be as follows:
(In millions)As of December 31, 2020
2021$205.0 
2022215.0 
2023215.0 
2024225.0 
2025220.0 
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
Estimated Future Amortization of Intangible Assets
The estimated future amortization of finite-lived intangible assets for the next five years is expected to be as follows:
(In millions)As of December 31, 2022
2023$215.0 
2024195.0 
2025190.0 
2026175.0 
2027165.0 
Goodwill
The following table provides a roll forward of the changes in our goodwill balance:
As of December 31, As of December 31,
(In millions)(In millions)20202019(In millions)20222021
Goodwill, beginning of yearGoodwill, beginning of year$5,757.8 $5,706.4 Goodwill, beginning of year$5,761.1 $5,762.1 
Increase to goodwill117.5 
Elimination of goodwill allocated to Hillerød, Denmark manufacturing operations(69.5)
OtherOther4.3 3.4 Other(12.1)(1.0)
Goodwill, end of yearGoodwill, end of year$5,762.1 $5,757.8 Goodwill, end of year$5,749.0 $5,761.1 
As of December 31, 2020,2022, we had 0no accumulated impairment losses related to goodwill. Other includes adjustments related to foreign currency exchange rate fluctuations.
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BIOGEN INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
Note 8:Fair Value Measurements
The tables below present information about our assets and liabilities that are regularly measured and carried at fair value and indicate the level within the fair value hierarchy of the valuation techniques we utilized to determine such fair value:
As of December 31, 2020As of December 31, 2022
(In millions)(In millions)TotalQuoted Prices in
Active Markets
(Level 1)
Significant Other
Observable Inputs
(Level 2)
Significant
Unobservable
Inputs
(Level 3)
(In millions)TotalQuoted Prices in
Active Markets
(Level 1)
Significant Other
Observable Inputs
(Level 2)
Significant
Unobservable
Inputs
(Level 3)
Assets:Assets:Assets:
Cash equivalentsCash equivalents$626.9 $$626.9 $Cash equivalents$2,847.6 $— $2,847.6 $— 
Marketable debt securities:Marketable debt securities:Marketable debt securities:
Corporate debt securitiesCorporate debt securities1,301.5 1,301.5 Corporate debt securities1,231.6 — 1,231.6 — 
Government securitiesGovernment securities627.1 627.1 Government securities810.3 — 810.3 — 
Mortgage and other asset backed securitiesMortgage and other asset backed securities122.4 122.4 Mortgage and other asset backed securities137.3 — 137.3 — 
Marketable equity securitiesMarketable equity securities1,974.3 271.1 1,703.2 Marketable equity securities791.1 791.1 — — 
Other current assets:Other current assets:
Receivable from Samsung BioLogics(1)
Receivable from Samsung BioLogics(1)
798.8 — — 798.8 
Other assets:Other assets:
Derivative contractsDerivative contracts20.5 20.5 Derivative contracts63.0 — 63.0 — 
Plan assets for deferred compensationPlan assets for deferred compensation28.2 28.2 Plan assets for deferred compensation32.8 — 32.8 — 
Receivable from Samsung BioLogics(1)
Receivable from Samsung BioLogics(1)
405.4 — — 405.4 
TotalTotal$4,700.9 $271.1 $4,429.8 $Total$7,117.9 $791.1 $5,122.6 $1,204.2 
Liabilities:Liabilities:Liabilities:
Derivative contractsDerivative contracts$217.2 $$217.2 $Derivative contracts$26.0 $— $26.0 $— 
Contingent consideration obligations259.8 259.8 
TotalTotal$477.0 $$217.2 $259.8 Total$26.0 $— $26.0 $— 
(1) Represents the fair value of the current and non-current payments due from Samsung BioLogics as a result of the sale of our 49.9% equity interest in Samsung Bioepis to Samsung BioLogics during the second quarter of 2022, for which we elected the fair value option. For additional information on the sale of our equity interest in Samsung Bioepis, please read Note 3, Dispositions, to these consolidated financial statements.

As of December 31, 2021
(In millions)TotalQuoted Prices
in Active Markets
(Level 1)
Significant
Other Observable
Inputs
(Level 2)
Significant
Unobservable
Inputs
(Level 3)
Assets:
Cash equivalents$1,632.2 $— $1,632.2 $— 
Marketable debt securities:
Corporate debt securities1,108.2 — 1,108.2 — 
Government securities1,192.7 — 1,192.7 — 
Mortgage and other asset backed securities132.2 — 132.2 — 
Marketable equity securities1,048.5 181.7 866.8 — 
Derivative contracts80.9 — 80.9 — 
Plan assets for deferred compensation33.4 — 33.4 — 
Total$5,228.1 $181.7 $5,046.4 $— 
Liabilities:
Derivative contracts$10.8 $— $10.8 $— 
Contingent consideration obligations209.1 — — 209.1 
Total$219.9 $— $10.8 $209.1 
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
As of December 31, 2019
(In millions)TotalQuoted Prices
in Active Markets
(Level 1)
Significant
Other Observable
Inputs
(Level 2)
Significant
Unobservable
Inputs
(Level 3)
Assets:
Cash equivalents$2,541.1 $$2,541.1 $
Marketable debt securities:
Corporate debt securities1,695.1 1,695.1 
Government securities1,013.9 1,013.9 
Mortgage and other asset backed securities261.3 261.3 
Marketable equity securities337.5 7.9 329.6 
Derivative contracts43.8 43.8 
Plan assets for deferred compensation27.7 27.7 
Total$5,920.4 $7.9 $5,912.5 $
Liabilities:
Derivative contracts$8.3 $$8.3 $
Contingent consideration obligations346.1 346.1 
Total$354.4 $$8.3 $346.1 
There have been no material impairments of our assets measured and carried at fair value during the years ended December 31, 2020 and 2019. In addition, there have been no changes in valuation techniques during the years ended December 31, 2020 and 2019. The fair value of Level 2 instruments classified as cash equivalents and marketable debt securities was determined through third-party pricing services. TheIn the third quarter of 2022 we elected to early adopt ASU 2022-03 on a prospective basis, which resulted in removing the impact of contractual sale restrictions from the fair value measurement of our remaining Sage common stock subject to certain holding period restrictions. As of December 31, 2022, our entire investment in the common stock of Sage was classified as a Level 1 measurement. Prior to the adoption of this standard, the fair value of Level 2 instruments classified as marketable equity securities representsrepresented a portion of our investmentsinvestment in Sangamo Therapeutics, Inc. (Sangamo)the common stock Denali Therapeutics Inc. (Denali) common stockof Sage and Sage Therapeutics, Inc. (Sage) common stock and arewas valued using an option pricing valuation modelmodel.
Our investments in the common stock of Sangamo Therapeutics, Inc. (Sangamo) and Denali Therapeutics Inc. (Denali) had holding period restrictions that expired during 2022. As of December 31, 2022, the fair values of our investments in Sangamo and Denali common stock were classified as Level 1 measurements. Prior to the expiration of these holding period restrictions the investments are each subject to certainwere classified as Level 2 measurements.
Although the contractual holding period restrictions. restrictions on our investments in Denali, Sage and Sangamo have expired, our ability to liquidate these investments may be limited by the size of our interest, the volume of market related activity, our concentrated level of ownership and potential restrictions resulting from our status as a collaborator. Therefore, we may realize significantly less than the current value of such investments.
For additional information on our investments in Denali, Sangamo Denali and Sage common stock, please read Note 8, Financial Instruments, to these consolidated financial statements.
Our investments in marketable equity securities also include shares of Ionis Pharmaceuticals, Inc. (Ionis) common stock acquired in June 2018. Our shares of Ionis common stock were initially subject to certain holding period restrictions that have since expired. The fair value of this investment was a Level 1 measurement as of December 31, 2020. For additional information on our collaboration arrangements with Ionis, please read Note 18,19, Collaborative and Other Relationships, to these consolidated financial statements.
There have been no material impairments of our assets measured and carried at fair value as of December 31, 2022 and 2021. In addition, there have been no changes in valuation techniques as of December 31, 2022 and 2021.
For a description of our validation procedures related to prices provided by third-party pricing services and our option pricing valuation model, please read the Fair Value Measurements section within Note 1, Summary of Significant Accounting Policies, - Fair Value Measurements, to these consolidated financial statements.
Level 3 Assets and Liabilities Held at Fair Value
The following table summarizespresents quantitative information, as of the dates indicated, about the valuation techniques and significant unobservable inputs used in the valuation of our level 3 financial assets and liabilities measured at fair value on a recurring basis:
Quantitative Information about Level 3 Fair Value Measurements
Fair ValueSignificant
Unobservable Input(s)
RangeWeighted Average
(In millions)
2022(1)
2021Valuation Technique2021
2022(1)
2021
Liabilities:
Contingent consideration obligations$— $209.1 Discounted cash flowDiscount rate1.30%— %1.30 %
Expected timing of achievement of development milestones2023 to 2027— — 
(1) During the year ended December 31, 2022, we discontinued the development of vixotrigine and as a result we adjusted the fair value measurement of our contingent consideration obligations as of December 31, 2020:
As of December 31, 2020
(In millions)Fair ValueValuation TechniqueUnobservable InputRangeWeighted Average
Liabilities:
Contingent consideration obligation$259.8Discounted cash flowDiscount rate0.60%0.60%
Expected timing of achievement of development milestones2021 to 2025
to zero.
The weighted average discount rate wasrates were calculated based on the relative fair value of our contingent consideration obligations. In addition, we apply various probabilities of technological and regulatory success ranging from 39.9% to certain probability, to the valuation models to estimate the fair values of our contingent consideration obligations.obligations, which ranged from 10.9% to certain probability as of December 31, 2021.
There were no transfers of assets or liabilities into or out of Level 3 as of December 31, 2022 and 2021.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
Contingent Consideration Obligations
In connection with our acquisitions of Convergence and BIN, we agreed to make additional payments based upon the achievement of certain milestone events. The following table provides a roll forward of the fair values of our contingent consideration obligations, which are classified as Level 3 measurements:
 As of December 31,
(In millions)20222021
Fair value, beginning of year$209.1 $259.8 
Changes in fair value(209.1)(50.7)
Fair value, end of year$— $209.1 
As of December 31, 2021, approximately $209.1 million of the fair value of our total contingent consideration obligations was reflected as a component of other long-term liabilities in our consolidated balance sheets. Changes in the fair values of our contingent consideration obligations are recorded in (gain) loss on fair value remeasurement of contingent consideration in our consolidated statements of income.
For the year ended December 31, 2022, the changes in fair value of our contingent consideration obligations were primarily due to the discontinuation of further development efforts related to vixotrigine for the potential treatment of TGN and DPN, resulting in a reduction of our contingent consideration obligations of approximately $195.4 million, and changes in the interest rates used to revalue our contingent consideration liabilities.
For the year ended December 31, 2021, the changes in fair value of our contingent consideration obligations were primarily due to reductions in the probability of technical and regulatory success and delays in the expected timing of the achievement of certain remaining developmental milestones related to our vixotrigine programs.
The fair values of the contingent consideration liabilities were based on a probability-adjusted discounted cash flow calculation using Level 3 fair value measurements and inputs. For additional information on the valuation techniques and inputs utilized in the valuation of our financial assets and liabilities, please read Note 1, Summary of Significant Accounting Policies, to these consolidated financial statements.
Convergence Pharmaceuticals Holdings Limited
In connection with our acquisition of Convergence in February 2015 we recorded a contingent consideration obligation of $274.5 million. As of December 31, 2021, the fair value of this contingent consideration obligation was $209.1 million. During the fourth quarter of 2022 we discontinued further development of vixotrigine based on regulatory, development and commercialization challenges. As a result, the fair value of the contingent consideration obligations related to Convergence has been adjusted to zero, resulting in a pre-tax gain of approximately $209.1 million for the year ended December 31, 2022. This pre-tax gain was recorded in (gain) loss on fair value remeasurement of contingent consideration within our consolidated statements of income.
Biogen International Neuroscience GmbH
In connection with our acquisition of BIN in December 2010 we recorded a contingent consideration obligation of $81.2 million. We discontinued further development of BIIB054 for the potential treatment of Parkinson's disease based on the results of a Phase 2 study of BIIB054. Additionally, during the third and fourth quarters of 2020 we discontinued other programs related to our acquisition of BIN for which we had immaterial contingent consideration obligations. As a result, the fair value of the contingent consideration obligations related to our acquisition of BIN was adjusted to zero, resulting in a gain of $101.5 million for the year ended December 31, 2020. This pre-tax gain was recorded in (gain) loss on fair value remeasurement of contingent consideration within our consolidated statements of income.
Nonrecurring Fair Value MeasurementsConvergence Pharmaceuticals Holdings Limited
In addition to assets and liabilities that areconnection with our acquisition of Convergence in February 2015 we recorded ata contingent consideration obligation of $274.5 million. As of December 31, 2021, the fair value of this contingent consideration obligation was $209.1 million. During the fourth quarter of 2022 we discontinued further development of vixotrigine based on regulatory, development and commercialization challenges. As a recurring basis, we record assets and liabilities atresult, the fair value onof the contingent consideration obligations related to Convergence has been adjusted to zero, resulting in a nonrecurring basis as required by accounting principles generally accepted in the U.S. (U.S. GAAP). Generally, assets are recorded at fair value on a nonrecurring basis as a resultpre-tax gain of impairment charges.
The gains or losses on assets measured at fair value on a nonrecurring basis, are summarized as follows:
As of December 31, 2020
(In millions)Beginning Book ValueImpairmentEnding Book Value
BIIB111 intangible asset$480.0 $(115.0)$365.0 
Forapproximately $209.1 million for the year ended December 31, 2020, we2022. This pre-tax gain was recorded a partial impairment chargein (gain) loss on fair value remeasurement of $115.0 million related to BIIB111. For additional information, please read Note 6, Intangible Assets and Goodwill, to thesecontingent consideration within our consolidated financial statements.statements of income.
Debt InstrumentsBiogen International Neuroscience GmbH
The fair values of our debt instruments, which are Level 2 liabilities, are summarized as follows:
 As of December 31,
(In millions)20202019
2.900% Senior Notes due September 15, 2020(1)
$$1,509.6 
3.625% Senior Notes due September 15, 20221,054.1 1,038.9 
4.050% Senior Notes due September 15, 20252,003.1 1,897.2 
2.250% Senior Notes due May 1, 20301,557.2 
5.200% Senior Notes due September 15, 20452,365.1 2,107.9 
3.150% Senior Notes due May 1, 20501,536.4 
Total$8,515.9 $6,553.6 
(1) Our 2.900% Senior Notes due September 15, 2020, were redeemed in full in May 2020 using the net proceeds from the issuance on April 30, 2020, of our senior unsecured notes for an aggregate principal amount of $3.0 billion. For additional information, please read Note 12, Indebtedness, to these consolidated financial statements.
The fair values of each of our series of Senior Notes were determined through market, observable and corroborated sources. For additional information related to our Senior Notes, please read Note 12, Indebtedness, to these consolidated financial statements.
Contingent Consideration Obligations
In connection with our acquisitionsacquisition of Convergence and Biogen International Neuroscience GmbH (BIN),BIN in December 2010 we agreed to make additional payments based upon the achievement of certain milestone events. The following table providesrecorded a roll forward of the fair values of our contingent consideration obligations, which includes Level 3 measurements:
 As of December 31,
(In millions)20202019
Fair value, beginning of year$346.1 $409.8 
Changes in fair value(86.3)(63.7)
Payments and other
Fair value, end of year$259.8 $346.1 
Asobligation of December 31, 2020 and 2019, approximately $110.3 million and $197.7 million, respectively, of the fair value of our total contingent consideration obligations was reflected as a component of other long-term liabilities in our consolidated balance sheets with the remaining balance reflected as a component of accrued expenses and other.
For the year ended December 31, 2020, changes in the fair value of our contingent consideration obligations were primarily due to our discontinuing$81.2 million. We discontinued further development of BIIB054 for the potential treatment of Parkinson's disease based on the results of a Phase 2 study of BIIB054. Additionally, during the third and fourth quarters of 2020 we discontinued other programs related to our acquisition of BIN for which we had immaterial contingent consideration obligations. As a result, the fair value of the contingent consideration obligations related to our acquisition of BIN was adjusted to zero, resulting in a reductiongain of our contingent consideration obligations of $51.0$101.5 million as well as other changes in the
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
probability and the expected timing of the achievement of certain remaining developmental milestones, changes in the interest rates used to revalue our contingent consideration liabilities and the passage of time.
Forfor the year ended December 31, 2019, changes2020. This pre-tax gain was recorded in the(gain) loss on fair value remeasurement of our contingent consideration obligations were primarily due to the discontinuationwithin our consolidated statements of the Phase 2b study of BG00011 for the potential treatment of IPF resulting in a reduction of our contingent consideration obligations of $61.2 million as well as other changes in the probability and expected timing of achievement of certain developmental milestones, a decrease in interest rates used to revalue our contingent consideration liabilities and the passage of time.income.
The fair values of the contingent consideration liabilities were based on a probability-adjusted discounted cash flow calculation using Level 3 fair value measurements and inputs. For additional information on the valuation techniques and inputs utilized in the valuation of our financial assets and liabilities, please read Note 1, Summary of Significant Accounting Policies, to these consolidated financial statements.
Convergence Pharmaceuticals Holdings Limited
In connection with our acquisition of Convergence in February 2015 we recorded a contingent consideration obligation of $274.5 million. As of December 31, 2020 and 2019,2021, the fair value of this contingent consideration obligation was $259.8 million$209.1 million. During the fourth quarter of 2022 we discontinued further development of vixotrigine based on regulatory, development and $244.6 million, respectively. Our most recent valuation was determined based upon net cash flow projections of $400.0 million, probability weighted and discounted usingcommercialization challenges. As a rate of 0.6%, which is a measureresult, the fair value of the credit risk associated with settlingcontingent consideration obligations related to Convergence has been adjusted to zero, resulting in a pre-tax gain of approximately $209.1 million for the liability.year ended December 31, 2022. This pre-tax gain was recorded in (gain) loss on fair value remeasurement of contingent consideration within our consolidated statements of income.
Biogen International Neuroscience GmbH
In connection with our acquisition of BIN in December 2010 we recorded a contingent consideration obligation of $81.2 million. We discontinued further development of BIIB054 for the potential treatment of Parkinson's disease based on the results of a Phase 2 study of BIIB054. Additionally, during the third and fourth quarters of 2020 we discontinued other programs related to our acquisition of BIN for which we had immaterial contingent consideration obligations. As a result, the fair value of the contingent consideration obligations related to our acquisition of BIN has beenwas adjusted to 0,zero, resulting in a gain of $101.5 million for the year ended December 31, 2020.
Acquired IPR&D
The fair values of the acquired IPR&D assets were based This pre-tax gain was recorded in (gain) loss on a probability-adjusted discounted cash flow calculation using Level 3 fair value measurements and inputs including estimated revenues and probabilitiesremeasurement of success. These assets are tested for impairment annually until commercialization, after which timecontingent consideration within our consolidated statements of income.
Nonrecurring Fair Value Measurements
For the acquired IPR&D will be amortized over its estimated useful life using the economic consumption method. In connection with our acquisition of BIN,year ended December 31, 2022, we recognized a $110.9 million acquired IPR&D intangible asset. We discontinued further development of BIIB054 for the potential treatment of Parkinson's disease and recognized an impairment charge of $75.4 million during the fourth quarter of 2020 to reduce the fair value of the IPR&D intangible asset to 0. In connection with our acquisition of Stromedix Inc., we recognized a $219.2 million acquired IPR&D intangible asset. During the third quarter of 2019 we discontinued the Phase 2b study of BG00011 for the potential treatment of IPF and recognized an impairment charge of $215.9 million to reduce the fair value of the IPR&D intangible asset to 0. In connection with our acquisition of Convergence, we recognized a $424.6 million acquired IPR&D intangible asset. During the third quarter of 2018 we recognizedrecorded impairment charges of $119.6 million related to certain IPR&D assetsvixotrigine. As a result, the remaining book values associated with our vixotrigine program totaling $189.3 million. these programs were reduced to zero. For additional information on our IPR&D intangible assets, includingthe year ended December 31, 2021, we recorded impairment charges of $365.0 million related to BIIB111 and $220.0 million related to BIIB112. As a discussion of our most significant assumptions, please read Note 6, Intangible Assets and Goodwill,result, the remaining book values associated with these programs were reduced to these consolidated financial statements.zero.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
8.    For additional information on our impairments for intangible assets, please read Note 7, Intangible Assets and Goodwill, to these consolidated financial statements.
Financial Instruments Not Carried at Fair Value
Other Financial Instruments
Due to the short-term nature of certain financial instruments, the carrying value reflected in our consolidated balance sheets for current accounts receivable, due from anti-CD20 therapeutic programs, other current assets, accounts payable and accrued expense and other, approximates fair value.
Debt Instruments
The fair values of our debt instruments, which are Level 2 liabilities, are summarized as follows:
 Fair Value
As of December 31,
(In millions)20222021
3.625% Senior Notes due September 15, 2022(1)
$— $1,020.0 
4.050% Senior Notes due September 15, 20251,699.9 1,895.2 
2.250% Senior Notes due May 1, 20301,219.0 1,475.9 
5.200% Senior Notes due September 15, 20451,033.2 1,463.0 
3.150% Senior Notes due May 1, 2050989.0 1,457.7 
3.250% Senior Notes due February 15, 2051469.1 692.9 
Total$5,410.2 $8,004.7 
(1) In July 2022 we redeemed our 3.625% Senior Notes due September 15, 2022 in full. For additional information on the redemption, please read Note 13, Indebtedness, to these consolidated financial statements.
The fair values of each of our series of Senior Notes were determined through market, observable and corroborated sources. The changes in the fair values of our Senior Notes as of December 31, 2022, compared to 2021, are primarily related to increases in U.S. treasury yields used to value our Senior Notes since December 31, 2021. For additional information related to our Senior Notes, please read Note 13, Indebtedness, to these consolidated financial statements.
Note 9:Financial Instruments
The following table summarizes our financial assets with maturities of less than 90 daysthree months from the date of purchase included in cash and cash equivalents in our consolidated balance sheets:
As of December 31, As of December 31,
(In millions)(In millions)20202019(In millions)20222021
Commercial paperCommercial paper$61.1 $384.4 Commercial paper$177.2 $247.6 
Overnight reverse repurchase agreementsOvernight reverse repurchase agreements37.4 368.8 Overnight reverse repurchase agreements59.0 200.0 
Money market fundsMoney market funds505.1 1,628.5 Money market funds2,581.5 901.6 
Short-term debt securitiesShort-term debt securities23.3 159.4 Short-term debt securities29.9 283.0 
TotalTotal$626.9 $2,541.1 Total$2,847.6 $1,632.2 
The carrying values of our commercial paper, including accrued interest, overnight reverse repurchase agreements, money market funds and our short-term debt securities approximate fair value due to their short-term maturities.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
Our marketable equity securities gains (losses) are recorded in other income (expense),(income) expense, net in our consolidated statements of income. The following tables summarize our marketable debt and equity securities, classified as available for sale:
As of December 31, 2020As of December 31, 2022
(In millions)(In millions)Amortized
Cost
Gross
Unrealized
Gains
Gross
Unrealized
Losses
Fair
Value
(In millions)Amortized
Cost
Gross
Unrealized
Gains
Gross
Unrealized
Losses
Fair
Value
Corporate debt securities
Marketable debt securities:Marketable debt securities:
Corporate debt securities:Corporate debt securities:
CurrentCurrent$897.8 $0.4 $(0.2)$898.0 Current$936.2 $— $(4.9)$931.3 
Non-currentNon-current402.5 1.1 (0.1)403.5 Non-current305.3 0.1 (5.1)300.3 
Government securities
Government securities:Government securities:
CurrentCurrent380.6 0.1 380.7 Current547.1 0.1 (5.0)542.2 
Non-currentNon-current245.9 0.5 246.4 Non-current271.4 — (3.3)268.1 
Mortgage and other asset backed securities
Mortgage and other asset backed securities:Mortgage and other asset backed securities:
CurrentCurrent0.2 0.2 Current— — — — 
Non-currentNon-current122.1 0.2 (0.1)122.2 Non-current139.1 0.1 (1.9)137.3 
Total marketable debt securitiesTotal marketable debt securities$2,049.1 $2.3 $(0.4)$2,051.0 Total marketable debt securities$2,199.1 $0.3 $(20.2)$2,179.2 
Marketable equity securities:Marketable equity securities:
Marketable equity securities, currentMarketable equity securities, current$70.6 $15.9 $$86.5 Marketable equity securities, current$1,133.8 $— $(342.7)$791.1 
Marketable equity securities, non-current$1,168.9 $733.8 $(14.9)$1,887.8 
Total marketable equity securitiesTotal marketable equity securities$1,133.8 $— $(342.7)$791.1 
As of December 31, 2019As of December 31, 2021
(In millions)(In millions)Amortized
Cost
Gross
Unrealized
Gains
Gross
Unrealized
Losses
Fair
Value
(In millions)Amortized
Cost
Gross
Unrealized
Gains
Gross
Unrealized
Losses
Fair
Value
Corporate debt securities
Marketable debt securities:Marketable debt securities:
Corporate debt securities:Corporate debt securities:
CurrentCurrent$1,057.2 $1.0 $$1,058.2 Current$723.6 $0.1 $(0.3)$723.4 
Non-currentNon-current633.9 3.0 636.9 Non-current385.4 0.2 (0.8)384.8 
Government securities
Government securities:Government securities:
CurrentCurrent502.9 0.4 503.3 Current817.0 — (0.4)816.6 
Non-currentNon-current510.1 0.8 (0.3)510.6 Non-current377.0 0.1 (1.0)376.1 
Mortgage and other asset backed securities
Mortgage and other asset backed securities:Mortgage and other asset backed securities:
CurrentCurrent0.7 0.7 Current1.1 — — 1.1 
Non-currentNon-current260.2 0.8 (0.4)260.6 Non-current131.8 — (0.7)131.1 
Total marketable debt securitiesTotal marketable debt securities$2,965.0 $6.0 $(0.7)$2,970.3 Total marketable debt securities$2,435.9 $0.4 $(3.2)$2,433.1 
Marketable equity securities:Marketable equity securities:
Marketable equity securities, currentMarketable equity securities, current$33.9 $9.9 $— $43.8 
Marketable equity securities, non-currentMarketable equity securities, non-current$218.4 $132.1 $(13.0)$337.5 Marketable equity securities, non-current1,133.1 151.0 (279.4)1,004.7 
Total marketable equity securitiesTotal marketable equity securities$1,167.0 $160.9 $(279.4)$1,048.5 
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
Summary of Contractual Maturities: Available-for-Sale Debt Securities
The estimated fair value and amortized cost of our marketable debt securities classified as available-for-sale by contractual maturity are summarized as follows:
As of December 31,
As of December 31, 2020As of December 31, 2019 20222021
(In millions)(In millions)Estimated
Fair Value
Amortized
Cost
Estimated
Fair Value
Amortized
Cost
(In millions)Estimated
Fair Value
Amortized
Cost
Estimated
Fair Value
Amortized
Cost
Due in one year or lessDue in one year or less$1,278.9 $1,278.6 $1,562.2 $1,560.8 Due in one year or less$1,473.5 $1,483.3 $1,541.1 $1,541.7 
Due after one year through five yearsDue after one year through five years722.6 721.3 1,234.5 1,230.4 Due after one year through five years694.4 703.7 868.2 870.2 
Due after five yearsDue after five years49.5 49.2 173.6 173.8 Due after five years11.3 12.1 23.8 24.0 
Total marketable debt securitiesTotal marketable debt securities$2,051.0 $2,049.1 $2,970.3 $2,965.0 Total marketable debt securities$2,179.2 $2,199.1 $2,433.1 $2,435.9 
The average maturity of our marketable debt securities classified as available-for-sale as of December 31, 20202022 and 2019,2021, was approximately 118 months and 1410 months, respectively.
Proceeds from Marketable Debt Securities
The proceeds from maturities and sales of marketable debt securities and resulting realized gains and losses are summarized as follows:
For the Years Ended December 31, For the Years Ended December 31,
(In millions)(In millions)202020192018(In millions)202220212020
Proceeds from maturities and salesProceeds from maturities and sales$7,299.4 $6,007.0 $9,173.7 Proceeds from maturities and sales$3,671.0 $3,405.4 $7,299.4 
Realized gainsRealized gains17.7 6.0 3.2 Realized gains— 0.2 17.7 
Realized lossesRealized losses26.0 1.5 11.7 Realized losses12.6 4.0 26.0 
Realized losses for the year ended December 31, 2020, 20192022, 2021 and 2018,2020, primarily relate to sales of corporate bonds, agency mortgage-backed securities and other asset-backed securities.
Strategic Investments
As of December 31, 2020 and 2019,2022, our strategic investment portfolio was comprised of investments totaling $2,024.6$846.0 million and $393.9 million, respectively, which are included in investments and other assets in our consolidated balance sheets. As of December 31, 2021, our strategic investment portfolio comprised of investments totaling $1,110.3 million, which are included in other current assets and investments and other assets in our consolidated balance sheets.
Our strategic investment portfolio includes investments in equity securities of certain biotechnology companies, which are reflected within our disclosures included in Note 7,8, Fair Value Measurements, to these consolidated financial statements, venture capital funds where the underlying investments are in equity securities of certain biotechnology companies and non-marketable equity securities.
The increasedecrease in our strategic investment portfolio for the year ended December 31, 2020,2022, was primarily due to a decrease in the fair value of our purchases of Sage,investments in Denali and Sangamo common stock, as discussed below. These purchases were reflected as net cash flows used in investing activities within the consolidated statement of cash flows.
Sage Therapeutics, Inc.
In November 2020 we entered into a global collaboration and license agreement with Sage. In connection with the closing of this collaboration in December 2020 we purchased approximately 6.2 million shares of Sage common stock. This investment is classified as a Level 2 marketable equity security due to certain holding period restrictions and is remeasured each reporting period and carried at fair value. The effects of certain holding period restrictions on the investment are estimated using an option pricing valuation model. The most significant assumptions within the model are the term of the restrictions and the stock price volatility, which is based upon historical volatility of similar companies. We also use a constant maturity risk free-interest rate to match the remaining term of the restrictions on our investment in Sage common stock and a dividend yield of 0 based upon the fact that Sage and similar companies generally have not historically granted cash dividends.
For additional information on our collaboration agreement withinvestments in Denali, Sangamo, Sage and Ionis common stock, please read Note 18, Collaborative and Other Relationships, to these consolidated financial statements.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
Denali Therapeutics Inc.
In August 2020 we entered into a collaboration and license agreement with Denali. As part of this collaboration we purchased approximately 13 million shares of Denali common stock in September 2020. This investment is classified as a Level 2 marketable equity security due to certain holding period restrictions and is remeasured each reporting period and carried at fair value. The effects of certain holding period restrictions on the investment are estimated using an option pricing valuation model. The most significant assumptions within the model are the term of the restrictions and the stock price volatility, which is based upon historical volatility of similar companies. We also use a constant maturity risk free-interest rate to match the remaining term of the restrictions on our investment in Denali common stock and a dividend yield of 0 based upon the fact that Denali and similar companies generally have not historically granted cash dividends.
For additional information on our collaboration agreement with Denali, please read Note 18, Collaborative and Other Relationships, to these consolidated financial statements.
Sangamo Therapeutics, Inc.
In February 2020 we entered into a collaboration and license agreement with Sangamo. In connection with the closing of this transaction in April 2020 we purchased approximately 24 million shares of Sangamo common stock. This equity method investment will be remeasured each reporting period and carried at fair value due to our election of the fair value option. The effects of certain holding period restrictions on the investment are estimated using an option pricing valuation model. The most significant assumptions within the model are the term of the restrictions and the stock price volatility, which is based upon historical volatility of similar companies. We also use a constant maturity risk free-interest rate to match the remaining term of the restrictions on our investment in Sangamo common stock and a dividend yield of 0 based upon the fact that Sangamo and similar companies generally have not historically granted cash dividends.
For additional information on our collaboration agreement with Sangamo, please read Note 18, Collaborative and Other Relationships, to these consolidated financial statements.
Samsung Bioepis
In June 2018 we exercised our option under our joint venture agreement with Samsung BioLogics to increase our ownership percentage in Samsung Bioepis from approximately 5.0% to approximately 49.9%. The share purchase transaction was completed in November 2018 and, upon closing, we paid 759.5 billion South Korean won ($676.6 million) to Samsung BioLogics.
As of December 31, 2020 and 2019, the carrying value of our investment in Samsung Bioepis totaled 673.8 billion South Korean won ($620.2 million) and 670.8 billion South Korean won ($580.2 million), respectively, which is classified as a component of investments and other assets within our consolidated balance sheets.
For additional information on our collaboration arrangements with Samsung Bioepis, please read Note 18,19, Collaborative and Other Relationships, to these consolidated financial statements.
9.    
Note 10:Derivative Instruments
Foreign Currency Forward Contracts - Hedging Instruments
Due to the global nature of our operations, portions of our revenuesrevenue and operating expensesexpense are recorded in currencies other than the U.S. dollar. The value of revenuesrevenue and operating expensesexpense measured in U.S. dollars is therefore subject to changes in foreign currency exchange rates. In order to mitigate these changes, we useWe enter into foreign currency forward contracts and foreign currency options with financial institutions with the primary objective to lock inmitigate the impact of foreign currency exchange rates associated with a portion ofrate fluctuations on our forecasted international revenuesrevenue and operating expenses.expense.
Foreign currency forward contracts and foreign currency options in effect as of December 31, 20202022 and 2019,2021, had durations of 1 to 2412 months and 1 to 15 months, respectively. These contracts have been designated as cash
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flow hedges and unrealized gains orand losses on the portion of these foreign currency forward contracts and foreign currency options that are included in the effectiveness test are reported in accumulated other comprehensive income (loss) (referred to as AOCI in the table below). Realized gains and losses of such contracts are recognized in revenuesrevenue when the sale of product in the currency being hedged is recognized and in operating expensesexpense when the expense in the currency being hedged is recorded. We recognize all cash flow hedge reclassifications from accumulated other comprehensive income (loss)
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and fair value changes of excluded portions in the same line item in our consolidated statements of income that hashave been impacted by the hedged item.
The notional valueamount of foreign currency forward contracts and foreign currency options that were entered into to hedge forecasted revenuesrevenue and operating expensesexpense is summarized as follows:
Notional Amount
As of December 31,
Notional Amount
As of December 31,
(In millions)(In millions)20202019(In millions)20222021
EuroEuro$2,979.1 $1,892.4 Euro$1,495.5 $1,828.0 
British poundBritish pound250.6 British pound162.8 166.2 
Japanese yenJapanese yen— 72.7 
Canadian dollarCanadian dollar57.2 59.9 
Total foreign currency forward contractsTotal foreign currency forward contracts$3,229.7 $1,892.4 Total foreign currency forward contracts$1,715.5 $2,126.8 
The pre-tax portion of the fair value of these foreign currency forward contracts and foreign currency options that were included in accumulated other comprehensive income (loss) in total equity reflected net losses of $212.5 millionis summarized as of December 31, 2020, net gains of $0.5 million as of December 31, 2019, and net gains of $27.3 million as of December 31, 2018. follows:
For the Years Ended December 31,
(In millions)202220212020
Unrealized gains$29.9 $60.8 $— 
Unrealized (losses)(21.3)(7.0)(212.5)
Net unrealized gains (losses)$8.6 $53.8 $(212.5)
We expect the net lossesunrealized gains of $212.5approximately $8.6 million to be settled over the next 24 months, of which $175.2 million of these losses are expected to be settled over the next 12 months, with any amounts in accumulated other comprehensive income (loss) to be reported as an adjustment to revenuesrevenue or operating expenses.expense. We consider the impact of our and our counterparties’ credit risk on the fair value of the contracts as well as the ability of each party to execute its contractual obligations. As of December 31, 20202022 and 2019,2021, credit risk did not materially change the fair value of our foreign currency forward contracts.
The following table summarizes the effect of foreign currency forward contracts designated as hedging instruments in our consolidated statements of income:
For the Years Ended December 31,For the Years Ended December 31,For the Years Ended December 31,
Net Gains/(Losses)
Reclassified from AOCI into Operating Income (in millions)
Net Gains/(Losses)
Reclassified from AOCI into Operating Income (in millions)
Net Gains/(Losses)
Recognized in Operating Income (in millions)
Net Gains/(Losses)
Reclassified from AOCI into Operating Income (in millions)
Net Gains/(Losses)
Recognized in Operating Income (in millions)
LocationLocation202020192018Location202020192018Location202220212020Location202220212020
Revenues$18.3 $118.6 $(42.5)Revenues$(9.9)$2.9 $10.8 
Operating expenses3.3 (3.3)0.2 Operating expenses0 0.2 (0.1)
RevenueRevenue$201.6 $(60.0)$18.3 Revenue$(8.6)$(8.4)$(9.9)
Operating expenseOperating expense(5.5)(0.8)3.3 Operating expense— — — 
Interest Rate Contracts - Hedging Instruments
We have entered into interest rate lock contracts or interest rate swap contracts on certain borrowing transactions to manage our exposure to interest rate changes and to reduce our overall cost of borrowing.
Interest Rate Swap Contracts
In connection with the issuance of our 2.90% Senior Notes due September 15, 2020, we entered into interest rate swaps with an aggregate notional amount of $675.0 million, which were originally set to expire on September 15, 2020. The interest rate swap contracts were designated as hedges of the fair value changes in our 2.90% Senior Notes attributable to changes in interest rates. The carrying value of our 2.90% Senior Notes as of December 31, 2019, included approximately $2.3 million related to changes in the fair value of these interest rate swap contracts. In May 2020 we settled our interest rate swap contracts, in conjunction with our early redemption of our 2.90% Senior Notes, resulting in a gain of approximately $3.3 million, for the year ended December 31, 2020, which was recorded as a component of interest expense in our consolidated statements of income.income during the year ended December 31, 2020.
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Net Investment Hedges - Hedging Instruments
In February 2012 we entered into a joint venture agreement with Samsung BioLogics establishing an entity, Samsung Bioepis, to develop, manufacture and market biosimilar products. In June 2018 we exercised our option under our joint venture agreement to increase our ownership percentage in Samsung Bioepis from approximately 5.0% to approximately 49.9%. The share purchase transaction was completed in November 2018 and, upon closing, we paid 759.5 billion South Korean won ($676.6 million) to Samsung BioLogics. Our investment in the equity of Samsung Bioepis isrelated to this transaction was exposed to the currency fluctuations in the South Korean won.
In order to mitigate these currency fluctuations between the U.S. dollar and South Korean won, we have entered into foreign currency forward contracts. Foreign currency forward contracts in effect as of December 31, 2020, had remaining durations of 10 months. These contracts have beenwere designated as net investment hedges. We recognizeIn April 2022 we completed the sale of our 49.9% equity interest in Samsung Bioepis to Samsung BioLogics and closed these foreign currency forward contracts. Upon completing this sale, the cumulative gains on our net investment hedges of $57.0 million were reclassified from accumulated other comprehensive income (loss) and reflected within the total pre-tax gain recognized from the sale, which was recorded in other (income) expense, net in our consolidated statements of income. For additional information on the sale of our equity interest in Samsung Bioepis please read Note 3, Dispositions, to these consolidated financial statements.
Prior to the sale of our 49.9% equity interest in Samsung Bioepis, we recognized changes in the spot exchange rate of these foreign currency forward contracts in accumulated other comprehensive income (loss). The pre-tax portion
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of the fair value of these foreign currency forward contracts that were included in accumulated other comprehensive income (loss) in total equity reflected net lossesgains of $21.2 million and $1.5$10.6 million as of December 31, 2020 and 2019, respectively.2021. We excludeexcluded fair value changes related to the forward rate from our hedging relationship and will amortizeamortized the forward points in other income (expense),(income) expense, net in our consolidated statements of income over the term of the contract. The pre-tax portion of the fair value of the forward points that were included in accumulated other comprehensive income (loss) in total equity reflected gainsnet losses of $0.2 million and $2.9$3.6 million as of December 31, 2020 and 2019, respectively.2021.
The following table summarizes the effect of our net investment hedges in our consolidated financial statements:
For the Years Ended December 31,For the Years Ended December 31,For the Years Ended December 31,
Net Gains/(Losses)
Recognized in Other Comprehensive Income (Effective Portion) (in millions)
Net Gains/(Losses)
Recognized in Other Comprehensive Income (Effective Portion) (in millions)
Net Gains/(Losses)
Recognized in Other Comprehensive Income (Amounts Excluded from Effectiveness Testing) (in millions)
Net Gains/(Losses)
Recognized in Net Income
(Amounts Excluded from Effectiveness Testing) (in millions)
Net Gains/(Losses)
Recognized in Other Comprehensive Income (Effective Portion) (in millions)
Net Gains/(Losses)
Recognized in Other Comprehensive Income (Amounts Excluded from Effectiveness Testing) (in millions)
Net Gains/(Losses)
Recognized in Net Income
(Amounts Excluded from Effectiveness Testing) (in millions)
LocationLocation202020192018Location202020192018Location202020192018Location202220212020Location202220212020Location202220212020
Gains (losses) on net investment hedge(1)Gains (losses) on net investment hedge(1)$(35.1)$25.3 $(3.8)Gains (losses) on net investment hedge$4.5 $3.3 $Other income (expense)$2.9 $7.0 $1.5 Gains (losses) on net investment hedge(1)$20.4 $46.0 $(35.1)
Gains (losses) on net investment hedge(1)
$(3.2)$(3.2)$4.5 
Other (income) expense(1)
$(4.6)$(0.6)$2.9 
(1) Beginning in the second quarter of 2022 we no longer held net investment hedges as they were closed with the sale of our 49.9% equity interest in Samsung Bioepis in April 2022. For additional information on the sale of our equity interest in Samsung Bioepis, please read Note 3, Dispositions, to these consolidated financial statements.
For additional information on our collaboration arrangements with Samsung Bioepis, please read Note 18,19, Collaborative and Other Relationships, to these consolidated financial statements.
Foreign Currency Forward Contracts - Other Derivative Instruments
We also enter into other foreign currency forward contracts, usually with durations of one month or less, to mitigate the foreign currency risk related to certain balance sheet positions. We have not elected hedge accounting for these transactions.
The aggregate notional amount of these outstanding foreign currency forward contracts was $1,158.0$1,238.8 million and $793.8$1,268.0 million as of December 31, 20202022 and 2019,2021, respectively. Net gainslosses of $30.1$34.7 million, net losses of $5.9$43.3 million and net gains of $2.0$30.1 million related to these contracts were recorded as a component of other income (expense),(income) expense, net for the years ended December 31, 2020, 20192022, 2021 and 2018,2020, respectively.
Summary of Derivative Instruments
While certain of our derivative instruments are subject to netting arrangements with our counterparties, we do not offset derivative assets and liabilities in our consolidated balance sheets. The amounts in the table below would not be substantially different if the derivative assets and liabilities were offset.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
The following table summarizes the fair value and presentation in our consolidated balance sheets of our outstanding derivative instruments, including those designated as hedging instruments:
As of December 31,As of December 31,
(In millions)(In millions)Balance Sheet Location20202019(In millions)Balance Sheet Location20222021
Cash Flow Hedging Instruments:Cash Flow Hedging Instruments:Cash Flow Hedging Instruments:
Asset derivative instrumentsAsset derivative instrumentsOther current assets$$33.8 Asset derivative instrumentsOther current assets$37.9 $66.2 
Investments and other assets— 5.5 
Liability derivative instrumentsLiability derivative instrumentsAccrued expenses and other157.1 2.0 Liability derivative instrumentsAccrued expense and other18.4 6.6 
Other long-term liabilities35.7 1.7 
Net Investment Hedging Instruments:
Net Investment Hedging Instruments:(1)
Net Investment Hedging Instruments:(1)
Asset derivative instrumentsAsset derivative instrumentsOther current assets2.0 Asset derivative instrumentsOther current assets— 4.1 
Liability derivative instrumentsAccrued expenses and other19.7 
Fair Value Hedging Instruments
Liability derivative instrumentsAccrued expenses and other2.3 
Other Derivative Instruments:Other Derivative Instruments:Other Derivative Instruments:
Asset derivative instrumentsAsset derivative instrumentsOther current assets20.5 8.0 Asset derivative instrumentsOther current assets25.1 5.1 
Liability derivative instrumentsLiability derivative instrumentsAccrued expenses and other4.7 2.4 Liability derivative instrumentsAccrued expense and other7.6 4.2 

(1)
Beginning in the second quarter of 2022 we no longer held net investment hedges as they were closed with the sale of our 49.9% equity interest in Samsung Bioepis in April 2022. For additional information on the sale of our equity interest in Samsung Bioepis, please read Note 3, Dispositions, to these consolidated financial statements.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
10.      
Note 11:Property, Plant and Equipment
Property, plant and equipment are recorded at historical cost, net of accumulated depreciation. Components of property, plant and equipment, net are summarized as follows:
As of December 31, As of December 31,
(In millions)(In millions)20202019(In millions)20222021
LandLand$119.8 $118.1 Land$202.4 $207.5 
BuildingsBuildings1,025.3 835.0 Buildings1,592.9 1,699.7 
Leasehold improvementsLeasehold improvements104.6 99.5 Leasehold improvements107.7 121.0 
Machinery and equipmentMachinery and equipment1,027.8 844.5 Machinery and equipment1,611.5 1,585.5 
Computer software and hardwareComputer software and hardware903.0 798.4 Computer software and hardware999.9 971.6 
Furniture and fixturesFurniture and fixtures62.5 58.3 Furniture and fixtures61.1 67.4 
Construction in progressConstruction in progress1,950.8 2,084.4 Construction in progress888.8 770.3 
Total costTotal cost5,193.8 4,838.2 Total cost5,464.3 5,423.0 
Less: accumulated depreciationLess: accumulated depreciation(1,782.3)(1,590.9)Less: accumulated depreciation(2,165.7)(2,006.6)
Total property, plant and equipment, netTotal property, plant and equipment, net$3,411.5 $3,247.3 Total property, plant and equipment, net$3,298.6 $3,416.4 
Depreciation expense totaled $201.9$272.4 million, $190.6$235.3 million and $269.4$201.9 million for the years ended December 31, 2020, 20192022, 2021 and 2018,2020, respectively.
For the years ended December 31, 2020, 20192022, 2021 and 2018,2020, we capitalized interest costs related to construction in progress totaling approximately $65.2$17.1 million, $68.8$36.3 million and $54.0$65.2 million, respectively.
Solothurn, Switzerland Manufacturing Facility
In order to support our future growth and drug development pipeline, we are building a large-scale biologics manufacturing facility in Solothurn, Switzerland. We expect this facility to be partially operational during the first half of 2021. Upon completion, this facility will include 393,000 square feet related to a large-scale biologics manufacturing facility, 290,000 square feet of warehouse, utilities and support space and 51,000 square feet of administrative space. As of December 31, 20202022 and 2019,2021, we had approximately $1.8 billion$711.1 million and $1.9 billion,$677.0 million, respectively, capitalized as construction in progress related to this facility. ForIn the second quarter of 2021 a portion of the facility received a Good Manufacturing Practice multi-product license from the Swiss Agency for Therapeutic Products, resulting in approximately $1.2 billion of fixed assets being placed in service during the second quarter of 2021. Solothurn has been approved for the manufacture of ADUHELM and
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LEQEMBI by the FDA. We estimate the second manufacturing suite at the Solothurn facility will be operational by the end of 2023.
125 Broadway Building Sale
In September 2022 we completed the sale of our building and land parcel located at 125 Broadway for an aggregate sales price of approximately $603.0 million, which is inclusive of a $10.8 million tenant allowance. This sale resulted in a pre-tax gain on sale of approximately $503.7 million, net of transaction costs, which is reflected within gain on sale of building in our consolidated statements of income for the year ended December 31, 2020, we placed approximately $256.8 million of fixed assets in service related to this facility.
Divestiture of Hillerød, Denmark Manufacturing Operations
In August 2019 we completed the sale of all of the outstanding shares of our subsidiary that owned our biologics manufacturing operations in Hillerød, Denmark to FUJIFILM.2022. This transaction included $631.5approximately $79.2 million of property, plant and equipment, net, which was primarily comprised of $312.5approximately $72.6 million for buildings, approximately $1.6 million for land and $287.3approximately $5.0 million for machinery and equipment. For additional information on the divestiture of our Hillerød, Denmark manufacturing operations, please read Note 3, Divestitures, to these consolidated financial statements.
11.      
Note 12:Leases
We lease real estate, including laboratory and office space, and certain equipment.
Our leases have remaining lease terms ranging from less than one year to teneight years. Certain leases include one or more options to renew, exercised at our sole discretion, with renewal terms that can extend the lease term from one year to six years.
In addition, we sublease certain real estate to third parties. Our sublease portfolio consists of operating leases, with remaining lease terms ranging from fourtwo years to eightsix years. Our subleases do not include an option to renew as they are coterminous with our operating leases.
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All of our leases qualify as operating leases. The following table summarizes the presentation in our consolidated balance sheets of our operating leases:
As of December 31,As of December 31,
(In millions)(In millions)Balance sheet location20202019(In millions)Balance sheet location20222021
Assets:Assets:Assets:
Operating lease assetsOperating lease assetsOperating lease assets$433.3 $427.0 Operating lease assetsOperating lease assets$403.9 $375.4 
LiabilitiesLiabilitiesLiabilities
Current operating lease liabilitiesCurrent operating lease liabilitiesAccrued expenses and other$83.2 $73.6 Current operating lease liabilitiesAccrued expense and other$97.2 $89.1 
Non-current operating lease liabilitiesNon-current operating lease liabilitiesLong-term operating lease liabilities402.0 412.7 Non-current operating lease liabilitiesLong-term operating lease liabilities333.0 330.4 
Total operating lease liabilitiesTotal operating lease liabilities$485.2 $486.3 Total operating lease liabilities$430.2 $419.5 
The following table summarizes the effect of lease costs in our consolidated statements of income:
For the Years Ended December 31,For the Years Ended December 31,
(In millions)(In millions)Income Statement Location20202019(In millions)Income Statement Location202220212020
Operating lease costOperating lease costResearch and development$5.2 $6.7 Operating lease costResearch and development$2.0 $3.4 $5.2 
Selling, general and administrative93.1 84.6 Selling, general and administrative95.9 95.9 93.1 
Variable lease costVariable lease costResearch and development1.1 1.2 Variable lease costResearch and development0.4 0.8 1.1 
Selling, general and administrative21.1 23.7 Selling, general and administrative25.4 25.7 21.1 
Sublease incomeSublease incomeSelling, general and administrative(24.2)(25.6)Sublease incomeSelling, general and administrative(24.0)(23.9)(24.2)
Other (income) expense, net(3.9)(3.9)Other (income) expense, net(4.1)(4.0)(3.9)
Net lease costNet lease cost$92.4 $86.7 Net lease cost$95.6 $97.9 $92.4 
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Variable lease cost primarily related to operating expenses,expense, taxes and insurance associated with our operating leases. As these costs are generally variable in nature, they are not included in the measurement of the operating lease asset and related lease liability.
The minimum lease payments for the next five years and thereafter is expected to be as follows:

(In millions)

(In millions)
As of December 31, 2020
(In millions)
As of December 31, 2022
2021$95.8 
202293.5 
2023202382.0 2023$111.0 
2024202475.0 2024107.0 
2025202556.9 202580.5 
2026202665.7 
2027202769.5 
ThereafterThereafter129.8 Thereafter36.6 
Total lease paymentsTotal lease payments$533.0 Total lease payments$470.3 
Less: interestLess: interest47.8 Less: interest40.1 
Present value of operating lease liabilitiesPresent value of operating lease liabilities$485.2 Present value of operating lease liabilities$430.2 
The weighted average remaining lease term and weighted average discount rate of our operating leases are as follows:
As of December 31,As of December 31,
2020201920222021
Weighted average remaining lease term in yearsWeighted average remaining lease term in years6.307.07Weighted average remaining lease term in years4.645.43
Weighted average discount rateWeighted average discount rate2.9 %3.2 %Weighted average discount rate3.7 %2.9 %
Supplemental disclosure of cash flow information related to our operating leases included in cash flow provided by operating activities in our consolidated statements of cash flow is as follows:
As of December 31,
(In millions)202220212020
Cash paid for amounts included in the measurement of lease liabilities$107.4 $105.8 $100.2 
Operating lease assets obtained in exchange for lease obligations108.3 18.1 59.0 
125 Broadway Building Sale and Leaseback Transaction
In connection with the sale of our building at 125 Broadway, we simultaneously leased back the building for a term of approximately 5.5 years, which resulted in the recognition of approximately $168.2 million in new lease liabilities and right-of-use assets recorded within our consolidated balance sheets as of December 31, 2022. The sale and immediate leaseback of this building qualified for sale and leaseback treatment and is classified as an operating lease. For additional information on the sale of our building, please read Note 11, Property, Plant and Equipment, to these consolidated financial statements.
300 Binney Street Lease Modification
In September 2022 we entered into an agreement to partially terminate a portion of our lease located at 300 Binney Street, Cambridge MA, as well as to reduce the lease term for the majority of the remaining space. The agreement was driven by our 2022 efforts to reduce costs by consolidating real estate locations. The transaction was treated as a lease modification as of the effective date and resulted in the derecognition of right of use assets of approximately $47.4 million and lease liabilities of approximately $52.7 million, which resulted in a gain of approximately $5.3 million, which was recorded within restructuring charges in our consolidated statements of income for the year ended December 31, 2022.
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Supplemental disclosure of cash flow information related to our operating leases included in cash flows provided by operating activities in our consolidated statements of cash flows is as follows:
As of December 31,
(In millions)20202019
Cash paid for amounts included in the measurement of lease liabilities$100.2 $93.8 
Operating lease assets obtained in exchange for lease obligations59.0 35.9 
12.     
Note 13:Indebtedness
Our indebtedness is summarized as follows:
As of December 31, As of December 31,
(In millions)(In millions)20202019(In millions)20222021
Current portion:Current portion:Current portion:
2.900% Senior Notes due September 15, 2020(1)
$$1,495.8 
3.625% Senior Notes due September 15, 2022(1)
3.625% Senior Notes due September 15, 2022(1)
$— $999.1 
Current portion of notes payableCurrent portion of notes payable$$1,495.8 Current portion of notes payable$— $999.1 
Non-current portion:Non-current portion:Non-current portion:
3.625% Senior Notes due September 15, 2022$997.9 $996.6 
4.050% Senior Notes due September 15, 20254.050% Senior Notes due September 15, 20251,741.2 1,739.5 4.050% Senior Notes due September 15, 2025$1,744.7 $1,742.9 
2.250% Senior Notes due May 1, 20302.250% Senior Notes due May 1, 20301,491.1 2.250% Senior Notes due May 1, 20301,492.9 1,492.0 
5.200% Senior Notes due September 15, 20455.200% Senior Notes due September 15, 20451,723.4 1,722.9 5.200% Senior Notes due September 15, 20451,100.3 1,099.9 
3.150% Senior Notes due May 1, 20503.150% Senior Notes due May 1, 20501,472.6 3.150% Senior Notes due May 1, 20501,473.8 1,473.2 
3.250% Senior Notes due February 15, 20513.250% Senior Notes due February 15, 2051469.3 466.0 
Non-current portion of notes payableNon-current portion of notes payable$7,426.2 $4,459.0 Non-current portion of notes payable$6,281.0 $6,274.0 
(1) Our 2.900%3.625% Senior Notes due September 15, 2020,2022, were redeemed in full in May 2020 using the net proceeds from the issuance on April 30, 2020,July 2022.
Exchange Offer
In February 2021 we completed our private offer to exchange (Exchange Offer) our tendered 5.200% Senior Notes due September 15, 2045 (2045 Senior Notes) for a new series of 3.250% Senior Notes due February 15, 2051 (2051 Senior Notes) and cash, and an offer to purchase our tendered 2045 Senior Notes for cash.
An aggregate principal amount of approximately $624.6 million of our senior unsecured notes2045 Senior Notes was exchanged for an aggregate principal amount of $3.0 billion,approximately $700.7 million of our 2051 Senior Notes and aggregate cash payments of approximately $151.8 million. Our Exchange Offer has been accounted for as discussed below.a debt modification; as such, the cash component has been reflected as additional debt discount and is amortized as an adjustment to interest expense over the term of our 2051 Senior Notes.
In addition, we redeemed an aggregate principal amount of approximately $8.9 million of our 2045 Senior Notes for aggregate cash payments of approximately $12.1 million, excluding accrued and unpaid interest. The redemption has been accounted for as a debt extinguishment; as such, we recognized a pre-tax charge of $3.2 million upon the extinguishment of such 2045 Senior Notes. This charge, which was recognized in interest expense in other (income) expense, net in our consolidated statements of income for the year ended December 31, 2021, reflects the payment of an early call premium and the write-off of the remaining unamortized original debt issuance costs and discount balances associated with such 2045 Senior Notes.
Upon settlement, we also made aggregate cash payments of approximately $13.8 million to settle all accrued and unpaid interest from the last interest payment date on our 2045 Senior Notes that were exchanged or redeemed. We incurred approximately $6.1 million of costs associated with our Exchange Offer, which was recognized in interest expense in other (income) expense, net in our consolidated statements of income for the year ended December 31, 2021.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
2020 Senior Notes
On April 30, 2020, we issued senior unsecured notes for an aggregate principal amount of $3.0 billion (2020 Senior Notes) as of December 31, 2020,, consisting of the following:
$1.5 billion aggregate principal amount of 2.25% Senior Notes due May 1, 2030, valued at 99.973% of par; and
$1.5 billion aggregate principal amount of 3.15% Senior Notes due May 1, 2050, valued at 99.174% of par.
Our 2020 Senior Notes are senior unsecured obligations and may be redeemed at our option at any time at 100.0% of the principal amount plus accrued interest and, until a specified period before maturity, a specified make-whole amount. Our 2020 Senior Notes contain a change-of-control provision that, under certain circumstances, may require us to purchase our 2020 Senior Notes at a price equal to 101.0% of the principal amount plus accrued and unpaid interest to the date of repurchase.
We incurred approximately $24.4 million of costs associated with this offering, which have been recorded as a reduction to the carrying amount of the debt on our consolidated balance sheet. These costs will be amortized as additional interest expense using the effective interest rate method over the period from issuance through maturity. The discounts will be amortized as additional interest expense over the period from issuance through maturity using the effective interest rate method. Interest on our 2020 Senior Notes is payable May 1 and November 1 of each year, commencing November 1, 2020.
2015 Senior Notes
The following is a summary of our currently outstanding senior securedunsecured notes issued in 2015 (the 2015 Senior Notes) as, consisting of December 31, 2020:
$1.0 billion aggregate principal amount of 3.625% Senior Notes due September 15, 2022, valued at 99.920% of par;
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the following:
$1.75 billion aggregate principal amount of 4.05% Senior Notes due September 15, 2025, valued at 99.764% of par; and
$1.751.12 billion aggregate principal amount of 5.20% Senior Notes due September 15, 2045, valued at 99.294% of par.
The original costs associated with this offering of approximately $47.5 million have been recorded as a reduction to the carrying amount of the debt in our consolidated balance sheets. These costs along with the discounts will be amortized as additional interest expense using the effective interest rate method over the period from issuance through maturity.
Our 2015 Senior Notes are senior unsecured obligations and may be redeemed at our option at any time at 100.0% of the principal amount plus accrued interest and a specified make-whole amount. Our 2015 Senior Notes contain a change of control provision that may require us to purchase the notes at a price equal to 101.0% of the principal amount plus accrued and unpaid interest to the date of purchase under certain circumstances.
On September 15, 2015, we issued $1.5 billion aggregate principal amount of 2.90% Senior Notes due September 15, 2020, at 99.792% of par. Our 2.90% Senior Notes were senior unsecured obligations. In connection with the 2.90% Senior Notes, we entered into interest rate swap contracts where we received a fixed rate and paid a variable rate. In May 2020 we used the net proceeds from the sale of our 2020 Senior Notes to redeem our 2.90% Senior Notes prior to their maturity and recognized a net pre-tax charge of $9.4 million upon the extinguishment of these notes. This charge, which was recognized in interest expense in other income (expense),(income) expense, net in our consolidated statements of income for the year ended December 31, 2020, reflects the payment of a $12.7 million early call premium and the write off of remaining unamortized original debt issuance costs and discount balances, partially offset by a $3.3 million gain related to the settlement of the associated interest rate swap contracts. For additional information on our interest rate contracts, please read Note 9,10, Derivative Instruments, to these consolidated financial statements.
3.625% Senior Notes due September 15, 2022
On September 15, 2015, we issued $1.0 billion aggregate principal amount of our 3.625% Senior Notes due September 15, 2022, at 99.920% of par. Our 3.625% Senior Notes were senior unsecured obligations. In July 2022 we redeemed our 3.625% Senior Notes prior to their maturity and recognized a net pre-tax charge of approximately $2.4 million upon the extinguishment of these Senior Notes, which primarily reflects the payment of an early call premium as well as the write-off of remaining unamortized original debt issuance costs and discount balances.
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These charges were recognized as interest expense in other (income) expense, net in our consolidated statements of income for the year ended December 31, 2022.
2020 Credit Facility
In January 2020 we entered into a $1.0 billion, five-year senior unsecured revolving credit facility under which we are permitted to draw funds for working capital and general corporate purposes. The terms of the revolving credit facility include a financial covenant that requires us not to exceed a maximum consolidated leverage ratio. This revolving credit facility replaced the revolving credit facility that we entered into in August 2015. As of December 31, 2020,2022, we had 0no outstanding borrowings and were in compliance with all covenants under this facility.
Debt Maturity
The total gross payments due under our debt arrangements are as follows:
(In millions)(In millions)As of December 31, 2020(In millions)As of December 31, 2022
2021$
20221,000.0 
202320232023$— 
202420242024— 
202520251,750.0 20251,750.0 
2026 and thereafter4,750.0 
Total$7,500.0 
20262026— 
20272027— 
2028 and thereafter2028 and thereafter4,817.3 
Total debtTotal debt$6,567.3 
Less: debt discount and issuance feesLess: debt discount and issuance fees(286.3)
Total long-term debtTotal long-term debt$6,281.0 
The fair value of our debt is disclosed in Note 7,8, Fair Value Measurements, to these consolidated financial statements.
13.     
Note 14:Equity
Preferred Stock
We have 8.0 million shares of Preferred Stock authorized, of which 1.75 million shares are authorized as Series A, 1.0 million shares are authorized as Series X junior participating and 5.25 million shares are undesignated. Shares may be issued without a vote or action of shareholders from time to time in classes or series with the designations, powers, preferences and the relative, participating, optional or other special rights of the shares of
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each such class or series and any qualifications, limitations or restrictions thereon as set forth in the instruments governing such shares. Any such Preferred Stock may rank prior to common stock as to dividend rights, liquidation preference or both, and may have full or limited voting rights and may be convertible into shares of common stock. NaNNo shares of Preferred Stock were issued and outstanding during 2020, 20192022, 2021 and 2018.2020.
Common Stock
The following table describes the number of shares authorized, issued and outstanding of our common stock as of December 31, 2020, 20192022, 2021 and 2018:2020:
As of December 31, 2020As of December 31, 2019As of December 31, 2018 As of December 31, 2022As of December 31, 2021As of December 31, 2020
(In millions)(In millions)AuthorizedIssuedOutstandingAuthorizedIssuedOutstandingAuthorizedIssuedOutstanding(In millions)AuthorizedIssuedOutstandingAuthorizedIssuedOutstandingAuthorizedIssuedOutstanding
Common stockCommon stock1,000.0 176.2 152.4 1,000.0 198.0 174.2 1,000.0 221.0 197.2 Common stock1,000.0 167.9 144.0 1,000.0 170.8 147.0 1,000.0 176.2 152.4 
Share Repurchases
In October 2020 our Board of Directors authorized a program to repurchase up to $5.0 billion of our common stock (2020 Share Repurchase Program). Our 2020 Share Repurchase Program does not have an expiration date. All share repurchases under our 2020 Share RepurchaseRepurchase Program will be retired. Under our 2020 Share Repurchase Program, we repurchased and retired approximately 3.6 million, 6.0 million and 1.6 million shares of our common stock at a cost of approximately $750.0 million, $1.8 billion and $400.0 million during the yearyears ended December
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31, 2020.2022, 2021 and 2020, respectively. Approximately $2.1 billion remained available under our 2020 Share Repurchase Program as of December 31, 2022.
In December 2019 our Board of Directors authorized a program to repurchase up to $5.0 billion of our common stock (December 2019 Share Repurchase Program), which was completed as of September 30, 2020. All shares repurchased under our December 2019 Share Repurchase Program were retired. Under our December 2019 Share Repurchase Program, we repurchased and retired approximately 16.7 million shares of our common stock at a cost of approximately $5.0 billion during the year ended December 31, 2020.
In March 2019 our Board of Directors authorized a program to repurchase up to $5.0 billion of our common stock (March 2019 Share Repurchase Program), which was completed as of March 31, 2020. All shares repurchased under our March 2019 Share Repurchase Program were retired. Under our March 2019 Share Repurchase Program, we repurchased and retired approximately 4.1 million and 14.7 million shares of our common stock at a cost of approximately $1.3 billion and $3.7 billion during the years ended December 31, 2020 and 2019, respectively.
In August 2018 our Board of Directors authorized a program to repurchase up to $3.5 billion of our common stock (2018 Share Repurchase Program), which was completed as of June 30, 2019. All share repurchases under our 2018 Share Repurchase Program were retired. Under our 2018 Share Repurchase Program, we repurchased and retired approximately 8.9 million and 4.3 million shares of our common stock at a cost of approximately $2.1 billion and $1.4 billion during the years ended December 31, 2019 and 2018, respectively.
In July 2016 our Board of Directors authorized a program to repurchase up to $5.0 billion of our common stock (2016 Share Repurchase Program), which was completed as of June 30, 2018. All share repurchases under our 2016 Share Repurchase Program were retired. Under our 2016 Share Repurchase Program, we repurchased and retired approximately 10.5 million shares of common stock at a cost of approximately $3.0 billion during the year ended December 31, 2018.2020.
In August 2022 the Inflation Reduction Act of 2022 (the IRA) was signed into law. Among other things, the IRA levies a 1.0% excise tax on net stock repurchases after December 31, 2022. Historically, we have made discretionary share repurchases.
Amounts paid to repurchase shares in excess of their par value are allocated between additional paid-in capital and retained earnings, with payments in excess of our additional paid-in-capital balance recorded as a reduction to retained earnings.
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Accumulated Other Comprehensive Income (Loss)
The following tables summarize the changes in accumulated other comprehensive income (loss), net of tax by component:
December 31, 2020December 31, 2022
(In millions)(In millions)Unrealized Gains (Losses) on Securities Available for Sale, net of taxUnrealized Gains (Losses) on Cash Flow Hedges, net of taxGains (Losses) on Net Investment Hedge, Net of TaxUnfunded Status of Postretirement Benefit Plans, net of taxCurrency Translation AdjustmentsTotal(In millions)Unrealized Gains (Losses) on Securities Available for Sale, Net of TaxUnrealized Gains (Losses) on Cash Flow Hedges, Net of Tax
Gains (Losses) on Net Investment Hedges, Net of Tax(1)
Unrealized Gains (Losses) on Pension Benefit Obligation, Net of TaxCurrency Translation AdjustmentsTotal
Balance, December 31, 2019$4.2 $7.8 $25.1 $(32.8)$(139.5)$(135.2)
Balance, December 31, 2021Balance, December 31, 2021$(2.2)$53.8 $25.5 $(44.8)$(139.0)$(106.7)
Other comprehensive income (loss) before reclassificationsOther comprehensive income (loss) before reclassifications(9.3)(165.0)(30.7)(33.5)92.9 (145.6)Other comprehensive income (loss) before reclassifications(23.5)137.3 12.6 43.7 (83.1)87.0 
Amounts reclassified from accumulated other comprehensive income (loss)Amounts reclassified from accumulated other comprehensive income (loss)6.5 (21.8)(2.9)(18.2)Amounts reclassified from accumulated other comprehensive income (loss)10.0 (176.0)(38.1)— 58.9 (145.2)
Net current period other comprehensive income (loss)Net current period other comprehensive income (loss)(2.8)(186.8)(33.6)(33.5)92.9 (163.8)Net current period other comprehensive income (loss)(13.5)(38.7)(25.5)43.7 (24.2)(58.2)
Balance, December 31, 2020$1.4 $(179.0)$(8.5)$(66.3)$(46.6)$(299.0)
Balance, December 31, 2022Balance, December 31, 2022$(15.7)$15.1 $— $(1.1)$(163.2)$(164.9)
December 31, 2019
(In millions)Unrealized Gains (Losses) on Securities Available for Sale, net of taxUnrealized Gains (Losses) on Cash Flow Hedges, net of taxGains (Losses) on Net Investment Hedge, Net of TaxUnfunded Status of Postretirement Benefit Plans, net of taxCurrency Translation AdjustmentsTotal
Balance, December 31, 2018$(4.0)$34.7 $3.5 $(31.3)$(243.3)$(240.4)
Other comprehensive income (loss) before reclassifications11.8 88.1 28.6 (1.5)103.8 230.8 
Amounts reclassified from accumulated other comprehensive income (loss)(3.6)(115.0)(7.0)(125.6)
Net current period other comprehensive income (loss)8.2 (26.9)21.6 (1.5)103.8 105.2 
Balance, December 31, 2019$4.2 $7.8 $25.1 $(32.8)$(139.5)$(135.2)
(1) Beginning in the second quarter of 2022 we no longer held net investment hedges as they were closed with the sale of our 49.9% equity interest in Samsung Bioepis in April 2022. For additional information on the sale of our equity interest in Samsung Bioepis, please read Note 3, Dispositions, to these consolidated financial statements.
December 31, 2021
(In millions)Unrealized Gains (Losses) on Securities Available for Sale, Net of TaxUnrealized Gains (Losses) on Cash Flow Hedges, Net of TaxGains (Losses) on Net Investment Hedges, Net of TaxUnrealized Gains (Losses) on Pension Benefit Obligation, Net of TaxCurrency Translation AdjustmentsTotal
Balance, December 31, 2020$1.4 $(179.0)$(8.5)$(66.3)$(46.6)$(299.0)
Other comprehensive income (loss) before reclassifications(6.6)178.2 33.4 21.5 (92.4)134.1 
Amounts reclassified from accumulated other comprehensive income (loss)3.0 54.6 0.6 — — 58.2 
Net current period other comprehensive income (loss)(3.6)232.8 34.0 21.5 (92.4)192.3 
Balance, December 31, 2021$(2.2)$53.8 $25.5 $(44.8)$(139.0)$(106.7)

December 31, 2018
(In millions)Unrealized Gains (Losses) on Securities Available for Sale, net of taxUnrealized Gains (Losses) on Cash Flow Hedges, net of taxGains (Losses) on Net Investment Hedge, Net of TaxUnfunded Status of Postretirement Benefit Plans, net of taxCurrency Translation AdjustmentsTotal
Balance, December 31, 2017$(1.6)$(104.5)$$(36.8)$(175.5)$(318.4)
Amount reclassified, net of tax, upon adoption of ASU 2016-011.5 1.5 
Balance, January 1, 2018(0.1)(104.5)(36.8)(175.5)(316.9)
Other comprehensive income (loss) before reclassifications(10.6)97.4 5.0 5.5 (67.8)29.5 
Amounts reclassified from accumulated other comprehensive income (loss)6.7 41.8 (1.5)47.0 
Net current period other comprehensive income (loss)(3.9)139.2 3.5 5.5 (67.8)76.5 
Balance, December 31, 2018$(4.0)$34.7 $3.5 $(31.3)$(243.3)$(240.4)
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December 31, 2020
(In millions)Unrealized Gains (Losses) on Securities Available for Sale, Net of TaxUnrealized Gains (Losses) on Cash Flow Hedges, Net of TaxGains (Losses) on Net Investment Hedges, Net of TaxUnrealized Gains (Losses) on Pension Benefit Obligation, Net of TaxCurrency Translation AdjustmentsTotal
Balance, December 31, 2019$4.2 $7.8 $25.1 $(32.8)$(139.5)$(135.2)
Other comprehensive income (loss) before reclassifications(9.3)(165.0)(30.7)(33.5)92.9 (145.6)
Amounts reclassified from accumulated other comprehensive income (loss)6.5 (21.8)(2.9)— — (18.2)
Net current period other comprehensive income (loss)(2.8)(186.8)(33.6)(33.5)92.9 (163.8)
Balance, December 31, 2020$1.4 $(179.0)$(8.5)$(66.3)$(46.6)$(299.0)
The following table summarizes the amounts reclassified from accumulated other comprehensive income:income (loss):
(In millions)(In millions)Income Statement LocationAmounts Reclassified from
Accumulated Other Comprehensive Income
(In millions)Amounts Reclassified from
Accumulated Other Comprehensive Income (Loss)
Income Statement Location
For the Years Ended December 31,For the Years Ended December 31,
202020192018202220212020
Gains (losses) on securities available for saleGains (losses) on securities available for saleOther income (expense)$(8.2)$4.5 $(8.5)Gains (losses) on securities available for sale$(12.6)$(3.8)$(8.2)Other (income) expense
Income tax benefit (expense)1.7 (0.9)1.8 2.6 0.8 1.7 Income tax (benefit) expense
Gains (losses) on cash flow hedgesGains (losses) on cash flow hedgesRevenues18.3 118.6 (42.5)Gains (losses) on cash flow hedges201.6 (60.0)18.3 Revenue
Operating expenses3.3 (3.3)0.2 (5.5)(0.8)3.3 Operating expense
Other income (expense)0.3 0.3 0.3 (0.3)0.2 0.3 Other (income) expense
Income tax benefit (expense)(0.1)(0.6)0.2 (19.8)6.0 (0.1)Income tax (benefit) expense
Gains (losses) on net investment hedgeOther Income (expense)2.9 7.0 1.5 
Gains (losses) on net investment hedges(1)
Gains (losses) on net investment hedges(1)
38.1 (0.6)2.9 Other (income) expense
Currency Translation AdjustmentsCurrency Translation Adjustments(58.9)— — Other (income) expense
Total reclassifications, net of taxTotal reclassifications, net of tax$18.2 $125.6 $(47.0)Total reclassifications, net of tax$145.2 $(58.2)$18.2 

(1)
Beginning in the second quarter of 2022 we no longer held net investment hedges as they were closed with the sale of our 49.9% equity interest in Samsung Bioepis in April 2022. For additional information on the sale of our equity interest in Samsung Bioepis, please read Note 3, Dispositions, to these consolidated financial statements.
14.      
Note 15:Earnings per Share
Basic and diluted shares outstanding used in our earnings per share calculation are calculated as follows:
For the Years Ended December 31, For the Years Ended December 31,
(In millions)(In millions)202020192018(In millions)202220212020
Numerator:Numerator:Numerator:
Net income attributable to Biogen Inc.Net income attributable to Biogen Inc.$4,000.6 $5,888.5 $4,430.7 Net income attributable to Biogen Inc.$3,046.9 $1,556.1 $4,000.6 
Denominator:Denominator:Denominator:
Weighted average number of common shares outstandingWeighted average number of common shares outstanding160.9 187.1 204.9 Weighted average number of common shares outstanding145.3 149.1 160.9 
Effect of dilutive securities:Effect of dilutive securities:Effect of dilutive securities:
Time-vested restricted stock unitsTime-vested restricted stock units0.2 0.2 0.3 Time-vested restricted stock units0.5 0.3 0.2 
Market stock unitsMarket stock units0.1 0.1 0.1 Market stock units0.1 0.1 0.1 
Performance stock units settled in stockPerformance stock units settled in stock0.1 Performance stock units settled in stock0.1 0.1 0.1 
Dilutive potential common sharesDilutive potential common shares0.4 0.3 0.4 Dilutive potential common shares0.7 0.5 0.4 
Shares used in calculating diluted earnings per shareShares used in calculating diluted earnings per share161.3 187.4 205.3 Shares used in calculating diluted earnings per share146.0 149.6 161.3 
Amounts excluded from the calculation of net income per diluted share because their effects were anti-dilutive were insignificant.
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Earnings per share for the years ended December 31, 2020, 20192022, 2021 and 2018,2020, reflects the repurchase of approximately 22.43.6 million shares, 23.66.0 million shares and 14.822.4 million shares of our common stock, respectively, under our share repurchase programs. For additional information on our share repurchase programs, please read Note 13,14, Equity, to these consolidated financial statements.
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15.     Share-Based Payments
Share-Based Compensation Expense
The following table summarizes share-based compensation expense included in our consolidated statements of income:
For the Years Ended December 31, For the Years Ended December 31,
(In millions)(In millions)202020192018(In millions)202220212020
Research and developmentResearch and development$80.0 $77.1 $75.8 Research and development$98.5 $89.3 $80.0 
Selling, general and administrativeSelling, general and administrative131.3 148.3 105.8 Selling, general and administrative175.1 169.5 131.3 
SubtotalSubtotal211.3 225.4 181.6 Subtotal273.6 258.8 211.3 
Capitalized share-based compensation costsCapitalized share-based compensation costs(6.2)(8.9)(11.5)Capitalized share-based compensation costs(9.3)(8.0)(6.2)
Share-based compensation expense included in total cost and expenses205.1 216.5 170.1 
Share-based compensation expense included in total cost and expenseShare-based compensation expense included in total cost and expense264.3 250.8 205.1 
Income tax effectIncome tax effect(33.5)(35.7)(27.5)Income tax effect(49.2)(46.7)(33.5)
Share-based compensation expense included in net income attributable to Biogen Inc.Share-based compensation expense included in net income attributable to Biogen Inc.$171.6 $180.8 $142.6 Share-based compensation expense included in net income attributable to Biogen Inc.$215.1 $204.1 $171.6 
The following table summarizes share-based compensation expense associated with each of our share-based compensation programs:
For the Years Ended December 31, For the Years Ended December 31,
(In millions)(In millions)202020192018(In millions)202220212020
Market stock unitsMarket stock units$40.5 $30.4 $27.2 Market stock units$13.2 $45.6 $40.5 
Time-vested restricted stock unitsTime-vested restricted stock units142.6 134.0 126.6 Time-vested restricted stock units202.3 159.8 142.6 
Cash settled performance unitsCash settled performance units(1.7)0.7 7.8 Cash settled performance units— — (1.7)
Performance unitsPerformance units(0.1)1.6 3.1 Performance units— — (0.1)
Performance stock units settled in stockPerformance stock units settled in stock7.9 15.5 4.7 Performance stock units settled in stock35.0 23.9 7.9 
Performance stock units settled in cashPerformance stock units settled in cash8.6 5.5 1.7 Performance stock units settled in cash10.1 12.2 8.6 
Employee stock purchase planEmployee stock purchase plan13.5 11.5 10.5 Employee stock purchase plan12.7 17.3 13.5 
NST stock options26.2 
Stock optionsStock options0.3 — — 
SubtotalSubtotal211.3 225.4 181.6 Subtotal273.6 258.8 211.3 
Capitalized share-based compensation costsCapitalized share-based compensation costs(6.2)(8.9)(11.5)Capitalized share-based compensation costs(9.3)(8.0)(6.2)
Share-based compensation expense included in total cost and expenses$205.1 $216.5 $170.1 
Share-based compensation expense included in total cost and expenseShare-based compensation expense included in total cost and expense$264.3 $250.8 $205.1 
As of December 31, 2020,2022, unrecognized compensation cost related to unvested share-based compensation was approximately $207.6$290.5 million, net of estimated forfeitures. We expect to recognize the cost of these unvested awards over a weighted-average period of 1.92.0 years.
Share-Based Compensation Plans
We have 3three share-based compensation plans pursuant to which awards are currently being made: (i) the Biogen Inc. 2006 Non-Employee Directors Equity Plan (2006 Directors Plan); (ii) the Biogen Inc. 2017 Omnibus Equity Plan (2017 Omnibus Equity Plan); and (iii) the Biogen Inc. 2015 Employee Stock Purchase Plan (2015 ESPP).
Directors Plan
In May 2006 our shareholders approved the 2006 Directors Plan for share-based awards to our directors. Awards granted from the 2006 Directors Plan may include stock options, shares of restricted stock, RSUs, stock appreciation rights and other awards in such amounts and with such terms and conditions as may be determined by
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a committee of our Board of Directors, subject to the provisions of the 2006 Directors Plan. We have reserved a total of 1.6 million shares of common stock for issuance under the 2006 Directors Plan. The 2006 Directors Plan provides that awards other than stock options and stock appreciation rights will be counted against the total number of shares reserved under the plan in a 1.5-to-1 ratio. In June 2015 our shareholders approved an amendment to extend the term of the 2006 Directors Plan until June 2025.
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Omnibus Plan
In June 2017 our shareholders approved the 2017 Omnibus Equity Plan for share-based awards to our employees. Awards granted from the 2017 Omnibus Equity Plan may include stock options, shares of restricted stock, RSUs, performance shares, stock appreciation rights and other awards in such amounts and with such terms and conditions as may be determined by a committee of our Board of Directors, subject to the provisions of the 2017 Omnibus Equity Plan. Shares of common stock available for grant under the 2017 Omnibus Equity Plan consist of 8.0 million shares reserved for this purpose, plus shares of common stock that remained available for grant under the Biogen Idec Inc. 2008 Omnibus Equity Plan (2008 Omnibus Equity Plan) as of June 7, 2017, or that could again become available for grant if outstanding awards under the 2008 Omnibus Equity Plan as of June 7, 2017, are cancelled, surrendered or terminated in whole or in part. The 2017 Omnibus Equity Plan provides that awards other than stock options and stock appreciation rights will be counted against the total number of shares available under the plan in a 1.5-to-1 ratio.
We have not made any awards pursuant to the 2008 Omnibus Equity Plan since our shareholders approved the 2017 Omnibus Equity Plan, and do not intend to make any awards pursuant to the 2008 Omnibus Equity Plan in the future, except that unused shares under the 2008 Omnibus Equity Plan have been carried over for use under the 2017 Omnibus Equity Plan.
Stock Options
We currently do not grantDuring the year ended December 31, 2022, we granted approximately 81,000 stock options to our employees or directors. OutstandingChief Executive Officer (CEO) (2022 CEO Grant) under the 2017 Omnibus Plan with a grant date fair value of $139.10 per option for a total of approximately $11.2 million. The fair values of our stock option grants are estimated as of the date of grant using a Black-Scholes option valuation model. The estimated fair values of the stock options previously grantedare then expensed over the options' vesting periods. The 2022 CEO Grant is eligible to our employees and directors generallyvest in equal annual installments over a three-year period from the grant date, subject to the CEO’s continued employment. The outstanding stock options have a 10-year term and vest over a period of between one and four years, provided the individual continues to serve at Biogen through the vesting dates. Options granted under all plans are exercisable at a price per share not less than the fair market value of the underlying common stock on the date of grant. As of December 31, 2020, all outstanding options were exercisable.
The following table summarizes our stock option activity:
SharesWeighted Average
Exercise Price
Outstanding at December 31, 201912,000 $58.46 
Granted
Exercised(12,000)58.46 
Cancelled
Outstanding at December 31, 2020$
The total intrinsic values ofvalue related to the remaining stock options previously granted in 2010 that were exercised in 2020 2019 and 2018 totaled $2.9 million, $4.2 million and $4.0 million, respectively.million.
The following table summarizes the amount of tax benefit realized for stock options and cash received from the exercise of the remaining stock options:options previously granted in 2010:
 For the Years Ended December 31,
(In millions)202020192018
Tax benefit realized for stock options$2.9 $2.5 $2.2 
Cash received from the exercise of stock options0.7 0.4 0.8 
For the year ended December 31,
(In millions)2020
Tax benefit realized for stock options$2.9 
Cash received from the exercise of stock options0.7 
Market Stock Units (MSUs)
MSUs awarded to employees prior to 2014 vested in 4four equal annual increments beginning on the first anniversary of the grant date. Participants may ultimately earn between 0zero and 150.0% of the target number of units granted based on actual stock performance.
MSUs awarded to employees in 2014 and thereafter vest in 3three equal annual increments beginning on the first anniversary of the grant date, and participants may ultimately earn between 0zero and 200.0% of the target number of units granted based on actual stock performance.
The vesting of these awards is subject to the respective employee’s continued employment. The number of MSUs granted represents the target number of units that are eligible to be earned based on the attainment of certain market-based criteria involving our stock price. The number of MSUs earned is calculated at each annual anniversary from the date of grant over the respective vesting periods, resulting in multiple performance periods.
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anniversary from the date of grant over the respective vesting periods, resulting in multiple performance periods. Accordingly, additional MSUs may be issued or currently outstanding MSUs may be cancelled upon final determination of the number of awards earned.
Beginning in 2022 we no longer grant MSUs as part of our long term incentive program and have replaced with granting performance-vested RSUs.
The following table summarizes our MSU activity:
December 31, 2020
SharesWeighted Average
Grant Date Fair Value
Unvested at December 31, 2019183,000 $378.09 
Granted (1)
133,000 398.61 
Vested(82,000)375.42 
Forfeited(33,000)402.62 
Unvested at December 31, 2020201,000 $388.98 
(1) MSUs granted during 2020 include awards granted in conjunction with our annual awards made in February 2020 and MSUs granted in conjunction with the hiring of employees. These grants reflect the target number of shares eligible to be earned at the time of grant. MSUs granted in 2020 also reflect an adjustment based upon the final performance multiplier in relation to shares granted in 2019, 2018 and 2017.
December 31, 2022
SharesWeighted Average
Grant Date Fair Value
Unvested at December 31, 2021257,000 $372.08 
Granted— — 
Vested(87,000)369.22 
Forfeited(57,000)371.24 
Unvested at December 31, 2022113,000 $366.52 
We value grants of MSUs using a lattice model with a Monte Carlo simulation. This valuation methodology utilizes several key assumptions, the 30 calendar day average closing stock price on the date of grant for MSUs, expected volatility of our stock price, risk-free rates of return and expected dividend yield.
The assumptions used in our valuation are summarized as follows:
For the Years Ended December 31, For the Years Ended December 31,
202020192018 20212020
Expected dividend yieldExpected dividend yield0%0%0%Expected dividend yield—%—%
Range of expected stock price volatilityRange of expected stock price volatility37.8% - 44.1%31.2% - 33.6%27.5% - 32.4%Range of expected stock price volatility54.8% - 61.6%37.8% - 44.1%
Range of risk-free interest ratesRange of risk-free interest rates1.41% - 1.48%2.46% - 2.53%1.9% - 2.3%Range of risk-free interest rates0.06% - 0.21%1.41% - 1.48%
30 calendar day average stock price on grant date30 calendar day average stock price on grant date$257.83 - $325.40$228.59 - $331.18$279.47 - $346.7630 calendar day average stock price on grant date$262.23 - $360.31$257.83 - $325.40
Weighted-average per share grant date fair valueWeighted-average per share grant date fair value$398.61$378.08$378.85Weighted-average per share grant date fair value$358.77$398.61
The fair values of MSUs vested in 2022, 2021 and 2020 2019 and 2018 totaled $26.9$18.8 million, $32.5$22.5 million and $26.9 million, respectively.
Cash Settled Performance Units (CSPUs)
CSPUs awarded to employees vest in 3three equal annual increments beginning on the first anniversary of the grant date. The vesting of these awards is subject to the respective employee’s continued employment with such awards settled in cash. The number of CSPUs granted represents the target number of units that are eligible to be earned based on the attainment of certain performance measures established at the beginning of the performance period, which ends on December 31 of each year. Participants may ultimately earn between 0zero and 200.0% of the target number of units granted based on the degree of actual performance metric achievement. Accordingly, additional CSPUs may be issued or currently outstanding CSPUs may be cancelled upon final determination of the number of units earned. CSPUs are classified as liability awards and will be settled in cash based on the 30 calendar day average closing stock price through each vesting date, once the actual vested and earned number of units is known. Since no shares are issued, these awards do not dilute equity.
The following table summarizes our CSPU activity:
Shares
Unvested at December 31, 201913,000 
Granted
Vested(13,000)
Forfeited
Unvested at December 31, 2020
All remaining CSPUs were fully vested as of December 31, 2020.
The cash paid in settlement of CSPUs vested in 2020 2019 and 2018 totaled $3.8 million, $10.6 million and $15.1 million, respectively. 
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million. 
Performance-vested Restricted Stock Units (PUs)
PUs are granted to certain employees in the form of RSUs that may be settled in cash or shares of our common stock at the sole discretion of the Compensation and Management Development Committee of our Board of Directors. These awards are structured and accounted for the same way as the CSPUs, and vest in 3three equal annual increments beginning on the first anniversary of the grant date. The number of PUs granted represents the target number of units that are eligible to be earned based on the attainment of certain performance measures established at the beginning of the performance period, which ends on December 31 of each year. Participants may ultimately earn between 0zero and 200.0% of the target number of units granted based on the degree of actual performance metric achievement. Accordingly, additional PUs may be issued or currently outstanding PUs may be cancelled upon final determination of the number of units earned. PUs settling in cash are based on the 30 calendar
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day average closing stock price through each vesting date once the actual vested and earned number of units is known.
The following table summarizes our PU activity:
Shares
Unvested at December 31, 201911,000 
Granted
Vested(11,000)
Forfeited
Unvested at December 31, 2020
All remaining PUs were fully vested as of December 31, 2020.
All PUs that vested in 2020 2019 and 2018 were settled in cash totaling $3.4 million, $10.4 million and $17.0 million, respectively.million.
Performance Stock Units (PSUs)
PSUs Settled in Stock
During the first quarter of 2018 we began granting awards for performance-vested RSUs that will settle in stock. PSUs awarded to employees have a three-year performance period and vest on the third anniversary of the grant date. The vesting of these awards is subject to the respective employee’s continued employment. The number of PSUs granted represents the target number of units that are eligible to be earned based on the achievement of cumulative three-year performance measures established at the beginning of the performance period, which ends on December 31 of the third year of the performance period.
Participants may ultimately earn between 0zero and 200.0% of the target number of PSUs granted based on the degree of achievement of the applicable performance metric. Accordingly, additional PSUs may be issued or currently outstanding PSUs may be cancelled upon final determination of the number of units earned.
Beginning in 2022 we no longer grant MSUs as part of long term incentive program and have replaced with granting PSUs with a performance metric based on a three-year cumulative relative total shareholder return (rTSR) metric. The PSUs will vest on the third anniversary of the date of grant, with the number of PSUs earned based on this cumulative rTSR metric.
The following table summarizes our PSUs that settle in stock activity:
SharesWeighted
Average
Grant Date
Fair Value
December 31, 2022
Unvested at December 31, 2019111,000 $316.39 
SharesWeighted Average
Grant Date Fair Value
Unvested at December 31, 2021Unvested at December 31, 2021196,000 $289.94 
Granted (1)
Granted (1)
73,000 293.35 
Granted (1)
270,000 294.43 
VestedVestedVested(44,000)316.83 
ForfeitedForfeited(29,000)323.42 Forfeited(86,000)279.09 
Unvested at December 31, 2020155,000 $304.19 
Unvested at December 31, 2022Unvested at December 31, 2022336,000 $292.95 
(1) PSUs settled in stock granted in 20202022 include awards granted in conjunction with our annual awards made in February 20202022 and PSUs granted in conjunction with the hiring of employees. These grants reflect the target number of shares eligible to be earned at the time of grant.
We value grants of PSUs using a lattice model with a Monte Carlo simulation. This valuation methodology utilizes several key assumptions, the 30 calendar day average closing stock price on the date of grant for PSUs, expected volatility of our stock price, risk-free rates of return and expected dividend yield.
The assumptions used in our valuation are summarized as follows:
December 31, 2022
Expected dividend yield—%
Range of expected stock price volatility44.0% - 45.9%
Range of risk-free interest rates1.8% - 3.9%
30 calendar day average stock price on grant date$231.31 - $294.86
Weighted-average per share grant date fair value$294.43
The fair values of PSUs settled in stock that vested in 2022 and 2021 totaled $9.5 million and $15.5 million, respectively
PSUs Settled in Cash
During the first quarter of 2018 we began granting awards for performance-vested restricted stock units that will settle in cash. PSUs awarded to employees have three performance periods and vest on the third anniversary of the grant date. The vesting of these awards is subject to the respective employee’s continued employment. The number of PSUs granted represents the target number of units that are eligible to be earned based on the
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achievement of three annual performance measures established when the performance objectives are defined, which will be at the beginning of each year and will end on December 31 of such year.
Participants may ultimately earn between 0zero and 200.0% of the target number of PSUs granted based on the degree of achievement of the applicable performance metric. Accordingly, additional PSUs may be issued or currently outstanding PSUs may be cancelled upon final determination of the number of units earned. PSUs are classified as liability awards and will be settled in cash based on the 30 calendar day average closing stock price through the vesting date, once the actual vested and earned number of PSUs is determined. Since no shares are issued, these awards do not dilute equity.
Beginning in 2022 we no longer grant this type of PSUs as part of our long term incentive program and have replaced with granting time-vested RSUs.
The following table summarizes our PSUs that settle in cash activity:
December 31, 2022
Shares
Unvested at December 31, 2019202182,000134,000 
Granted (1)
63,00024,000 
Vested(2,000)(49,000)
Forfeited(23,000)(26,000)
Unvested at December 31, 20202022120,00083,000 
(1) PSUs settled in cash granted in 20202022 include awards granted in conjunction with our annual awards made in February 20202022 and PSUs granted in conjunction with the hiring of employees. These grants reflect the target number of shares eligible to be earned at the time of grant.
The fair values of PSUs settled in cash that vested in 2022 and 2021 totaled $11.0 million and $9.9 million, respectively.
Time-Vested Restricted Stock Units (RSUs)
RSUs awarded to employees generally vest no sooner than one-third per year over three years on the anniversary of the date of grant, or upon the third anniversary of the date of the grant, provided the employee remains continuously employed with us, except as otherwise provided in the plan. Shares of our common stock will be delivered to the employee upon vesting, subject to payment of applicable withholding taxes. RSUs awarded to directors for service on our Board of Directors vest on the first anniversary of the date of grant, provided in each case that the director continues to serve on our Board of Directors through the vesting date. Shares of our common stock will be delivered to the director upon vesting and are not subject to any withholding taxes.
The following table summarizes our RSU activity:
SharesWeighted Average
Grant Date
Fair Value
SharesWeighted Average
Grant Date Fair Value
Unvested at December 31, 2019938,000 $306.55 
Unvested at December 31, 2021Unvested at December 31, 20211,202,000 $291.54 
Granted (1)
Granted (1)
620,000 318.87 
Granted (1)
1,751,000 221.28 
VestedVested(440,000)304.45 Vested(539,000)297.72 
ForfeitedForfeited(100,000)314.46 Forfeited(468,000)244.03 
Unvested at December 31, 20201,018,000 $314.46 
Unvested at December 31, 2022Unvested at December 31, 20221,946,000 $237.90 
(1) RSUs granted in 20202022 primarily represent RSUs granted in conjunction with our annual awards made in February 20202022 and awards made in conjunction with the hiring of new employees. RSUs granted in 20202022 also include approximately 10,00015,000 RSUs granted to our Board of Directors.
RSUs granted in 20192021 and 20182020 had weighted average grant date fair values of $304.44$276.90 and $316.32,$318.87, respectively.
The fair values of RSUs vested in 2022, 2021 and 2020 2019totaled $116.3 million, $132.2 million and 2018 totaled $140.5 million, $131.5 million and $111.7 million, respectively. 
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Employee Stock Purchase Plan (ESPP)
In June 2015 our shareholders approved the 2015 ESPP. The maximum aggregate number of shares of our common stock that may be purchased under the 2015 ESPP is 6.2 million.
The following table summarizes our ESPP activity:
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For the Years Ended December 31, For the Years Ended December 31,
(In millions, except share amounts)(In millions, except share amounts)202020192018(In millions, except share amounts)202220212020
Shares issued under the 2015 ESPPShares issued under the 2015 ESPP212,000 204,000 170,000 Shares issued under the 2015 ESPP241,000 248,000 212,000 
Cash received under the 2015 ESPPCash received under the 2015 ESPP$48.6 $40.4 $40.5 Cash received under the 2015 ESPP$44.2 $54.4 $48.6 
16.      
Note 17:Income Taxes
Income Tax Expense
Income before income tax expense and the income tax expense consist of the following:
For the Years Ended December 31, For the Years Ended December 31,
(In millions)(In millions)202020192018(In millions)202220212020
Income before income taxes (benefit):
Income before income tax (benefit) expense:Income before income tax (benefit) expense:
DomesticDomestic$3,290.0 $4,725.3 $3,877.0 Domestic$1,842.0 $448.3 $3,290.0 
ForeignForeign1,757.5 2,400.6 2,022.6 Foreign1,749.8 1,296.9 1,757.5 
Total$5,047.5 $7,125.9 $5,899.6 
Income tax expense (benefit):
Total income before income tax (benefit) expenseTotal income before income tax (benefit) expense$3,591.8 $1,745.2 $5,047.5 
Income tax (benefit) expense:Income tax (benefit) expense:
Current:Current:Current:
FederalFederal$647.0 $947.4 $1,131.8 Federal$694.5 $319.1 $647.0 
StateState41.2 59.1 45.5 State39.0 23.1 41.2 
ForeignForeign155.1 84.4 140.0 Foreign67.9 137.1 155.1 
Total843.3 1,090.9 1,317.3 
Total currentTotal current801.4 479.3 843.3 
Deferred:Deferred:Deferred:
FederalFederal$(1,749.9)$1,143.9 $(62.0)Federal(328.3)(242.5)(1,749.9)
StateState(6.8)(2.3)(7.4)State2.5 (11.9)(6.8)
ForeignForeign1,905.7 (1,074.5)177.7 Foreign157.2 (172.4)1,905.7 
Total149.0 67.1 108.3 
Total income tax expense$992.3 $1,158.0 $1,425.6 
Total deferredTotal deferred(168.6)(426.8)149.0 
Total income tax (benefit) expenseTotal income tax (benefit) expense$632.8 $52.5 $992.3 
2017 Tax Act
The Tax Cuts and Jobs Act of 2017 (2017 Tax Act) resulted in significant changes to the U.S. corporate income tax system. These changes include a federal statutory rate reduction from 35.0% to 21.0%, the elimination or reduction of certain domestic deductions and credits and limitations on the deductibility of interest expense and executive compensation. The 2017 Tax Act also transitions international taxation from a worldwide system to a modified territorial system, which has the effect of subjecting certain earnings of our foreign subsidiaries and collaborations to immediate U.S. taxation as GILTI or Subpart F income, includes a one-time mandatory deemed repatriation tax on accumulated foreign subsidiaries' previously untaxed foreign earnings (the Transition Toll Tax) and base erosion prevention measures on U.S. earnings and reduces the effective tax rate on income that comes from U.S. exports, called Foreign Derived Intangible Income. These changes became effective in 2018.
During the year ended December 31, 2018, we recognized a net reduction of $34.6 million in our estimated Transition Toll Tax, an expense of $12.7 million to remeasure our deferred tax balances, an expense of $135.8 million related to establishing deferred taxes for GILTI and an expense of $11.0 million to reflect other aspects of the 2017 Tax Act.
Transition Toll Tax
The 2017 Tax Cuts and Jobs Act of 2017 eliminated the deferral of U.S. income tax on the historical unrepatriated earnings by imposing the one-time mandatory deemed repatriation tax on accumulated foreign subsidiaries' previously untaxed foreign earnings (the Transition Toll Tax.Tax). The Transition Toll Tax was assessed on our share of our foreign corporations' accumulated foreign earnings that were not previously taxed. Earnings in the form of cash and cash equivalents were taxed at a rate of 15.5% and all other earnings were taxed at a rate of 8.0%.
As of December 31, 20202022 and 2019,2021, we have accrued income tax liabilities of $697.0$558.0 million and $633.0 million, respectively, under the Transition Toll Tax. Of the amounts accrued as of December 31, 2020, $62.02022, approximately $137.8 million is expected to be paid within one year. The Transition Toll Tax will be paid in installments over an eight--year period, which started in 2018, and doeswill not accrue
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interest.
Unremitted Earnings
At December 31, 2020,2022, we considered our earnings not to be permanently reinvested outside the U.S. and therefore recorded deferred tax liabilities associated with an estimate of the total withholding taxes expected as a result of our repatriation of earnings. Other than for earnings, we are permanently reinvested for book/tax basis differences of approximately $1.5 billion as of December 31, 2020,2022, primarily arising through the impacts of
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purchase accounting. These permanently reinvested basis differences could reverse through sales of the foreign subsidiaries, as well as various other events, none of which were considered probable as of December 31, 2020.2022. The residual U.S. tax liability, if these differences reverse, would be between $300.0 million and $400.0 million as of December 31, 2020.
Coronavirus Aid, Relief and Economic Security Act
In response to the COVID-19 pandemic, the Coronavirus Aid, Relief and Economic Security Act (CARES Act) was signed into law in the U.S. in March 2020. The CARES Act adjusted a number of provisions of the tax code, including the calculation and eligibility of certain deductions and the treatment of net operating losses and tax credits. The enactment of the CARES Act did not result in any material adjustments to our income tax provision for the year ended December 31, 2020, or to our net deferred tax assets as of December 31, 2020.2022.
TECFIDERA
In June 2020 and September 2020 judgments were entered in favor of the defendants in the patent infringement proceedings relating to TECFIDERA Orange-Book listed patents pursuant to the Drug Price Competition and Patent Term Restoration Act of 1984, commonly known as the Hatch-Waxman Act, in West Virginia and Delaware. We have appealed the judgments in both actions. For additional information, please read Note 20, Litigation, to these consolidated financial statements.
Multiple TECFIDERA generic entrants are now in the U.S. marketNorth America, Brazil and certain E.U. countries and have deeply discounted prices compared to TECFIDERA. The generic competition for TECFIDERA has significantly reduced our TECFIDERA revenues duringrevenue and we expect that TECFIDERA revenue will continue to decline in the year ended December 31, 2020, and is expected to have a substantial negative impact on our TECFIDERA revenues for as long as there is generic competition.future.
As of December 31, 2020, we have assessed the realizability of our deferred tax assets that are dependent on future expected sales of TECFIDERA in the U.S. and reduced the net value of certain deferred tax assets by approximately $1.7 billion and reduced the net value of deferred tax liabilities associated with GILTI and tax credits by approximately $1.6 billion. For the year ended December 31, 2020, the income tax expense associated with these reductions was approximately $90.3 million.
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these deferred tax assets. For the years ended December 31, 2022 and 2021, we recorded increases in these deferred tax assets of approximately $17.4 million and $108.5 million, respectively, and increases in these deferred tax liabilities of approximately $16.7 million and $103.9 million, respectively.
Deferred Tax Assets and Liabilities
Significant components of our deferred tax assets and liabilities are summarized as follows:
As of December 31, As of December 31,
(In millions)(In millions)20202019(In millions)20222021
Deferred tax assets:Deferred tax assets:Deferred tax assets:
Tax creditsTax credits$113.4 $106.6 Tax credits$112.6 $121.0 
Inventory, other reserves and accrualsInventory, other reserves and accruals165.9 162.0 Inventory, other reserves and accruals202.8 199.4 
Intangibles, netIntangibles, net1,546.0 3,380.0 Intangibles, net1,370.3 1,477.5 
Neurimmune's tax basis in ADUHELMNeurimmune's tax basis in ADUHELM470.3 475.8 
IRC Section 174 capitalized research and developmentIRC Section 174 capitalized research and development271.8 — 
Net operating lossNet operating loss2,080.3 130.4 Net operating loss1,845.9 1,973.0 
Share-based compensationShare-based compensation23.3 23.8 Share-based compensation37.2 31.7 
OtherOther103.1 103.7 Other280.7 208.8 
Valuation allowanceValuation allowance(1,753.9)(1.1)Valuation allowance(2,003.3)(1,961.3)
Total deferred tax assetsTotal deferred tax assets$2,278.1 $3,905.4 Total deferred tax assets$2,588.3 $2,525.9 
Deferred tax liabilities:Deferred tax liabilities:Deferred tax liabilities:
Purchased intangible assetsPurchased intangible assets$(396.2)$(350.3)Purchased intangible assets$(76.1)$(256.6)
Samsung Bioepis investment installmentsSamsung Bioepis investment installments(138.0)— 
GILTIGILTI(1,143.7)(1,381.6)GILTI(1,002.0)(1,037.6)
Tax creditsTax credits(174.6)(1,617.2)Tax credits(228.7)(260.2)
Depreciation, amortization and otherDepreciation, amortization and other(227.0)(135.0)Depreciation, amortization and other(251.8)(250.9)
Total deferred tax liabilitiesTotal deferred tax liabilities$(1,941.5)$(3,484.1)Total deferred tax liabilities$(1,696.6)$(1,805.3)
The change in the valuation allowance between December 31, 20202022 and 2019,2021, was primarily related to the establishment of a valuation allowance against the deferred tax asset related to Neurimmune SubOne AG's (Neurimmune) tax basis in ADUHELM, as discussed below, and the adjustment of a valuation against certain deferred tax assets, the realization of which is dependent on future sales of TECFIDERA in the U.S., as discussed above.
In addition to deferred tax assets and liabilities, we have recorded deferred charges related to intra-entity sales of inventory. As of December 31, 20202022 and 2019,2021, the total deferred charges were $142.2$56.6 million and $243.8$39.6 million, respectively.
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Inflation Reduction Act
In August 2022 the IRA was signed into law in the U.S. The IRA introduced new tax provisions, including a 15.0% corporate alternative minimum tax and a 1.0% excise tax on stock repurchases. The provisions of the IRA will be effective for periods after December 31, 2022. The enactment of the IRA did not result in any material adjustments to our income tax provision or net deferred tax assets as of December 31, 2022.
Tax Rate
A reconciliation between the U.S. federal statutory tax rate and our effective tax rate is summarized as follows:
For the Years Ended December 31, For the Years Ended December 31,
202020192018 202220212020
Statutory rateStatutory rate21.0 %21.0 %21.0 %Statutory rate21.0 %21.0 %21.0 %
State taxesState taxes0.7 0.8 0.6 State taxes1.1 0.8 0.7 
Taxes on foreign earningsTaxes on foreign earnings(3.3)(4.5)(1.9)Taxes on foreign earnings(4.9)(10.5)(3.3)
Credits and net operating loss utilization(1.2)(1.1)(0.9)
Tax creditsTax credits(1.7)(3.8)(1.2)
Purchased intangible assetsPurchased intangible assets0.7 0.4 1.2 Purchased intangible assets0.3 (1.6)0.7 
Divestiture of Denmark manufacturing operations(0.4)1.0 
Internal reorganization of certain intellectual property rights(2.1)
TECFIDERA impairmentTECFIDERA impairment1.8 TECFIDERA impairment— — 1.8 
GILTIGILTI1.3 1.5 1.6 GILTI0.7 1.3 1.3 
Sale of Samsung BioepisSale of Samsung Bioepis(1.6)— — 
Litigation settlement agreementLitigation settlement agreement2.6 — — 
U.S. tax reform2.1 
Swiss tax reform(0.8)
Neurimmune tax impactsNeurimmune tax impacts2.3 (5.3)(0.1)
Internal reorganizationInternal reorganization(1.4)— — 
OtherOther(0.9)0.1 0.5 Other(0.8)1.1 (1.2)
Effective tax rateEffective tax rate19.7 %16.3 %24.2 %Effective tax rate17.6 %3.0 %19.7 %
Changes in Tax Rate
For the year ended December 31, 2020,2022, compared to 2021, the increase in our effective tax rate, excluding the impact of the net Neurimmune deferred tax asset, as discussed below, includes the tax impacts of the litigation settlement agreement and the sale of our building at 125 Broadway. These increases were partially offset by the impact of the current year tax benefits related to an international reorganization to align with global tax developments, the impacts of the sale of our equity interest in Samsung Bioepis and the tax impacts of the decision to discontinue development of vixotrigine. Further in 2021, our effective tax rate benefited from the tax effects of the BIIB111 and BIIB112 impairment charges and the non-cash tax effects of changes in the value of our equity instruments.
For the year ended December 31, 2021, compared to 2020, the decrease in our effective tax rate, excluding the impact of the Neurimmune deferred tax asset, as discussed below, was primarily increased bydue to the change in the territorial mix of our profitability, which included the adverse effect of generic competition for TECFIDERA in the U.S. market, the tax impacts of the BIIB111 and BIIB112 impairment charges and the impact of the non-cash tax effects of changes in the value of our equity investments, where we recorded net unrealized losses in 2021 and net unrealized gains in 2020. Our 2020 effective tax rate also reflected an income tax expense related to the establishment of a valuation allowance against certain deferred tax assets, the realization of which is dependent on future sales of TECFIDERA in the U.S., as discussed above, and partially offset by the benefit recognized
For additional information on the effectivelitigation settlement agreement, please read Note 18, Other Consolidated Financial Statement Detail, to these consolidated financial statements.
Neurimmune Deferred Tax Asset
During 2021 we recorded a net deferred tax asset in Switzerland of certainapproximately $100.0 million on Neurimmune's tax matters. Additionally, our 2019 effectivebasis in ADUHELM, the realization of which was dependent on future sales of ADUHELM.
During the first quarter of 2022, upon issuance of the final NCD related to ADUHELM, we recorded an increase in a valuation allowance of approximately $85.0 million to reduce the net value of this deferred tax rate benefited fromasset to zero.
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an internal reorganization of certain intellectual property rights and the enactment of a new taxing regime in the country and certain cantons of Switzerland, which we referThese adjustments to as Swiss Tax Reform, partially offset by tax expense related to the divestiture of our Hillerød, Denmark manufacturing operations. Although we recognized a loss on the divestiture of our Hillerød, Denmark manufacturing operations, the divestiture required us to write-off certainnet deferred tax assetsasset are each recorded with an equal and resultedoffsetting amount assigned to net income (loss) attributable to noncontrolling interests, net of tax in our consolidated statements of income, resulting in a taxable gain in certain jurisdictions. zero net impact to net income attributable to Biogen Inc.
For additional information on the divestiture of our Hillerød, Denmark manufacturing operations,collaboration arrangement with Neurimmune, please read Note 3, Divestitures20, Investments in Variable Interest Entities, to these consolidated financial statements.
As a result of the 2019 internal reorganization of certain intellectual property rights, we recorded a deferred tax asset of $754.1 million and a deferred tax liability of $603.3 million as of December 31, 2019.
For the year ended December 31, 2019, as compared to 2018, the decrease in our effective tax rate was primarily due to the combination of the internal reorganization of certain intellectual property rights and the impact of the Swiss Tax Reform. This decrease was partially offset by a $68.9 million tax expense related to the divestiture of our subsidiary that owned our Hillerød, Denmark manufacturing operations. We also had a higher effective tax rate in 2018 resulting from the unfavorable effects of the 2017 Tax Act and our sale of inventory, the tax effect of which had been included within prepaid taxes at January 1, 2018, at a higher effective tax rate than the 2018 statutory tax rate.
Tax Attributes
As of December 31, 2020,2022, we had net operating losses and general business credit carry forwards for U.S. federal income tax purposes of approximately $0.6$8.1 million, and $1.3 million, respectively, which begin to expire in 2026.2027. For U.S. state income tax purposes, we had research and investment credit carry forwards of approximately $142.4$132.7 million that begin to expire in 2022.2023 and net operating losses of approximately $24.8 million that begin to expire in 2036. For foreign income tax purposes, we had $18.0$15.5 billion of Swiss federal net operating loss carryforwards that begin to expire in 20252027 and $16.8$15.4 billion of Swiss cantonal net operating loss carryforwards that begin to expire in 2025.2027.
In assessing the realizability of our deferred tax assets, we have considered whether it is more likely than not that some portion or all of the deferred tax assets will not be realized. The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income during the periods in which those temporary differences become deductible. In making this determination, under the applicable financial reporting standards, we are allowed to consider the scheduled reversal of deferred tax liabilities, projected future taxable income and tax planning strategies. Based upon the level of historical taxable income and income tax liability and projections for future taxable income over the periods in which the deferred tax assets are utilizable, we believe it is more likely than not that we will realize the net benefits of the deferred tax assets of our wholly owned subsidiaries, net of the recorded valuation allowance. In the event that actual results differ from our estimates or we adjust our estimates in future periods, we may need to adjust or establish a valuation allowance, which could materially impact our consolidated financial position and results of operations.
Accounting for Uncertainty in Income Taxes
A reconciliation of the beginning and ending amount of our unrecognized tax benefits is summarized as follows:
(In millions)(In millions)202020192018(In millions)202220212020
Beginning balance at January 1,$129.9 $114.2 $66.8 
Beginning balanceBeginning balance$563.4 $75.7 $129.9 
Additions based on tax positions related to the current periodAdditions based on tax positions related to the current period1.5 5.3 0.5 Additions based on tax positions related to the current period36.3 4.2 1.5 
Additions for tax positions of prior periodsAdditions for tax positions of prior periods51.7 17.2 58.7 Additions for tax positions of prior periods23.4 509.9 51.7 
Reductions for tax positions of prior periodsReductions for tax positions of prior periods(63.6)(10.3)(13.6)Reductions for tax positions of prior periods(14.9)(18.8)(63.6)
Statute expirationsStatute expirations(7.9)(0.1)(2.9)Statute expirations(1.6)(3.2)(7.9)
Settlement refund (payment)Settlement refund (payment)(35.9)3.6 4.7 Settlement refund (payment)(0.2)(4.4)(35.9)
Ending balance ar December 31,$75.7 $129.9 $114.2 
Ending balanceEnding balance$606.4 $563.4 $75.7 
During the year ended December 31, 2021, we increased our gross unrecognized tax benefits by approximately $455.0 million, related to a deferred tax asset for Swiss tax purposes for Neurimmune's tax basis in ADUHELM. This unrecognized tax benefit was recorded as a reduction to the gross deferred tax asset, resulting in the net deferred tax asset, as discussed above, and not as a separate liability on our consolidated balance sheets. As of December 31, 2022, the unrecognized tax benefit related to Neurimmune was approximately $450.0 million, as a result of changes in exchange rates.
Our 2020 activity reflects the impact of the effective settlement of certain tax matters. We and our subsidiaries are routinely examined by various taxing authorities. We file income tax returns in various U.S. states and in U.S. federal and other foreign jurisdictions. With few exceptions, we are no longer subject to U.S. federal tax examination for years before 2017 or state, local or non-U.S. income tax examinations for years before 2012.
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2013.
The U.S. Internal Revenue Service and other national tax authorities routinely examine our intercompany transfer pricing with respect to intellectual property related transactions and it is possible that they may disagree with one or more positions we have taken with respect to such valuations.
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Included in the balance of unrecognized tax benefits as of December 31, 2022, 2021 and 2020, 2019 and 2018, are $68.8$134.0 million, $122.7$87.5 million and $109.1$68.8 million (net of the federal benefit on state issues), respectively, of unrecognized tax benefits that, if recognized, would affect the effective income tax rate in future periods.
We recognize potential interest and penalties related to unrecognized tax benefits in income tax expense. InDuring the years ended December 31, 2022, 2021 and 2020, 2019 and 2018 we recognized a nettotal interest and penalty expense of $1.0$0.7 million, $4.7$2.7 million and $2.2$1.0 million, respectively. We have accrued $21.2$25.2 million and $20.0$24.8 million for the payment of interest and penalties as of December 31, 20202022 and 2019,2021, respectively.
Federal and State Uncertain Tax Positions
It is reasonably possible that we will adjust the value of our uncertain tax positions related to certain transfer pricing, collaboration matters and other issues as we receive additional information from various taxing authorities, including reaching settlements with such authorities.
We estimate that it is reasonably possible that our gross unrecognized tax benefits, exclusive of interest, could decrease by up to approximately $25.0$500.0 million, including approximately $450.0 million related to the unrecognized tax benefits related to Neurimmune's tax basis in ADUHELM, as discussed above, in the next 12 months as a result of various audit closures, settlements and expiration of the statute of limitations.
Accounting for Bioverativ Spin-off
On February 1, 2017, Any changes to our gross unrecognized tax benefits related to Neurimmune's tax basis in connection with the spin-off of our hemophilia business, we distributed all of the then outstanding shares of Bioverativ common stockADUHELM would result in a zero net impact to net income attributable to Biogen, shareholders pursuant toInc., as we have recorded a separation agreement. In March 2018 Bioverativ was acquired by Sanofi S.A. (Sanofi) and is now an indirect wholly-owned subsidiary of Sanofi. The spin-off of our hemophilia business was intended to qualify for tax-free treatment to Biogen and its shareholders underfull valuation allowance against the Internal Revenue Code. Our 2017relevant deferred tax return position remains open to audit. Bioverativ and Sanofi agreed to indemnify us for certain potential liabilities that may arise.

assets.
17.      
Note 18:Other Consolidated Financial Statement Detail
Supplemental Cash Flow Information
Supplemental disclosure of cash flow information for the years ended December 31, 2020, 20192022, 2021 and 2018,2020, is as follows:
For the Years Ended December 31, For the Years Ended December 31,
(In millions)(In millions)202020192018(In millions)202220212020
Cash paid during the year for:Cash paid during the year for:Cash paid during the year for:
InterestInterest$272.7 $244.2 $243.2 Interest$262.5 $280.8 $272.7 
Income taxesIncome taxes906.7 1,064.5 1,007.1 Income taxes932.9 247.9 906.7 
Non-cash Operating, Investing and Financing ActivityOther (Income) Expense, Net
InComponents of other (income) expense, net, are summarized as follows:
 For the Years Ended December 31,
(In millions)202220212020
Gain on sale of equity interest in Samsung Bioepis(1)
$(1,505.4)$— $— 
Litigation settlement agreement and settlement fees917.0 — — 
Interest income(89.3)(11.0)(42.0)
Interest expense246.6 253.6 222.5 
(Gains) losses on investments, net277.3 824.9 (685.7)
Foreign exchange (gains) losses, net35.5 22.4 10.7 
Other, net10.1 5.6 (2.9)
Total other (income) expense, net$(108.2)$1,095.5 $(497.4)
(1) Reflects the fourth quarter of 2018 we accrued $300.0 million upon reaching $20.0 billion in total cumulative sales of FUMADERM and TECFIDERA (together, the Fumapharm Products), which was paid in the first quarter of 2019. These amounts,pre-tax gain, net of tax benefit, were accounted for as increases to goodwill in accordance withtransaction costs, recognized from the accounting standard applicable to business combinations when we acquired Fumapharm AG.
In connection with the constructionsale of our large-scale biologics manufacturing facility49.9% equity interest in Solothurn, Switzerland, we accrued charges relatedSamsung Bioepis to processing equipment and engineering services of approximately $12.4 million and $50.0 millionSamsung BioLogics in our consolidated balance sheets as of December 31, 2020 and 2019, respectively.April 2022. For additional information on the constructionsale of our manufacturing facilityequity interest in Solothurn, Switzerland,Samsung Bioepis, please read Note 10, Property, Plant and Equipment,3, Dispositions, to these consolidated financial statements.
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Other Income (Expense), Net
Components of other income (expense), net, are summarized as follows:
 For the Years Ended December 31,
(In millions)202020192018
Interest income$42.0 $120.0 $112.5 
Interest expense(222.5)(187.4)(200.6)
Gain (loss) on investments, net685.7 204.7 119.5 
Foreign exchange gains (losses), net(10.7)(7.0)(9.9)
Other, net2.9 (47.0)(10.5)
Total other income (expense), net$497.4 $83.3 $11.0 
Gain (loss)The (gains) losses on investments, net, as reflected in the table above, relate to debt securities, equity securities of certain biotechnology companies, venture capital funds where the underlying investments are in equity securities of certain biotechnology companies and non-marketable equity securities.
For
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During the second quarter of 2022 we recorded a pre-tax charge of $900.0 million, plus settlement fees and expenses, related to a litigation settlement agreement to resolve a qui tam litigation relating to conduct prior to 2015. This charge is included within other (income) expense, net in our consolidated statements of income for the year ended December 31, 2020, net unrealized and realized gains on our holdings in equity securities were approximately $681.8 million and $12.1 million, respectively, compared to net unrealized and realized gains of $150.1 million and $50.0 million in 2019. The net unrealized gains recognized during the year ended December 31, 2020, primarily reflects an increase in the fair value of Denali and Sangamo common stock of approximately $703.9 million.2022.
The following table summarizes our gain (loss)(gains) losses on investments, net that relates to our equity securities held as of December 31, 2020, 20192022, 2021 and 2018:2020:
 For the Years Ended December 31,
(In millions)202020192018
Net gains (losses) recognized during the period on equity securities$693.9 $200.1 $127.9 
Less: Net gains (losses) recognized on equity securities sold during the period and on capital distributions12.1 50.0 (0.6)
Unrealized gains (losses) recognized during the period on equity securities$681.8 $150.1 $128.5 
 For the Years Ended December 31,
(In millions)202220212020
Net (gains) losses recognized on equity securities$264.7 $821.1 $(693.9)
Less: Net (gains) losses realized on equity securities— (10.3)(12.1)
Unrealized (gains) losses recognized on equity securities$264.7 $831.4 $(681.8)
The net unrealized losses recognized during the year ended December 31, 2022, primarily reflect a decrease in the aggregate fair value of our investments in Denali and Sangamo common stock of approximately $278.0 million. The net unrealized losses recognized during the year ended December 31, 2021, primarily reflect decreases in the aggregate fair value of our investments in Denali, Sage, Sangamo and Ionis common stock of approximately $819.6 million.
Accrued ExpensesExpense and Other
Accrued expensesexpense and other consists of the following:
 As of December 31,
(In millions)20202019
Revenue-related reserves for discounts and allowances$1,080.6 $1,001.1 
Collaboration expenses389.9 281.6 
Employee compensation and benefits333.8 309.1 
Royalties and licensing fees218.5 220.9 
Derivative liabilities181.5 6.7 
Current portion of contingent consideration obligations149.6 148.4 
Other791.4 798.0 
Total accrued expenses and other$3,145.3 $2,765.8 
Other Long-term Liabilities
 As of December 31,
(In millions)20222021
Revenue-related reserves for discounts and allowances$891.6 $802.1 
Employee compensation and benefits395.6 345.1 
Collaboration expense277.9 324.7 
Royalties and licensing fees209.4 234.7 
Other746.9 828.6 
Total accrued expense and other$2,521.4 $2,535.2 
Other long-term liabilities were $1,329.6$944.2 million and $1,348.9$1,320.5 million as of December 31, 20202022 and 2019,2021, respectively, and includeincluded accrued income taxes totaling $709.9$541.7 million and $803.3$664.5 million, respectively.
18.      
Note 19:Collaborative and Other Relationships
In connection with our business strategy, we have entered into various collaboration agreements that provide us with rights to develop, produce and market products using certain know-how, technology and patent rights maintained by our collaborative partners. Terms of the various collaboration agreements may require us to make milestone payments upon the achievement of certain product research and development objectives and pay royalties on future sales, if any, of commercial products resulting from the collaboration.
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Depending on the collaborative arrangement, we may record funding receivable or payable balances with our collaboration partners, based on the nature of the cost-sharing mechanism and activity within the collaboration. Our significant collaborative arrangements are discussed below.
Genentech, Inc. (Roche Group)
We have certain business and financial rights with respect to RITUXAN for the treatment of non-Hodgkin's lymphoma, CLL and other conditions; RITUXAN HYCELA for the treatment of non-Hodgkin's lymphoma and CLL; GAZYVA for the treatment of CLL and follicular lymphoma; OCREVUS for the treatment of PPMS and RMS; LUNSUMIO (mosunetuzumab), which was granted accelerated approval in the U.S. during the fourth quarter of 2022 for the treatment of relapsed or refractory follicular lymphoma; glofitamab, an investigational bispecific antibody for the potential treatment of non-Hodgkin's lymphoma; and have the option to add other potential anti-CD20 therapies, pursuant to our collaboration arrangements with Genentech, a wholly-owned member of the Roche Group. For purposes of this footnote, we refer to RITUXAN and RITUXAN HYCELA collectively as RITUXAN.
Our collaboration arrangements will continue in effect until we mutually agree to terminate the collaboration, except that if
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If we undergo a change in control, as defined in our collaboration agreement, Genentech has the right to present an offer to buy the rights to RITUXAN and we must either accept Genentech’s offer or purchase Genentech’s rights on the same terms as its offer. Genentech will also be deemed concurrently to have purchased our rights to OCREVUS and any other collaboration anti-CD20the remaining products in development in exchange for a royalty as well as our rights to GAZYVA in exchange for the compensation described in the collaboration arrangement. on the terms set forth below.
Our collaboration with Genentech was created through a contractual arrangement and not through a joint venture or other legal entity.
RITUXAN
Genentech and its affiliates are responsible for the worldwide manufacture of RITUXAN as well as all development and commercialization activities as follows:
U.S.
:We have co-exclusively licensed our rights to develop, commercialize and market RITUXAN in the U.S.
Canada
Canada:We have co-exclusively licensed our rights to develop, commercialize and market RITUXAN in Canada.
GAZYVA
The Roche Group and its sub-licensees maintain sole responsibility for the development, manufacture and commercialization of GAZYVA in the U.S. We recognize our shareThe level of the development and commercialization expensesgross sales of GAZYVA as a reduction of our share of pre-tax profits in revenues from anti-CD20 therapeutic programs.
Commercialization of GAZYVA impactsthe U.S. could impact our percentage of the co-promotion profits for RITUXAN and LUNSUMIO, as summarized in the table below.
OCREVUS
In March 2017 the FDA approved OCREVUS for the treatment of RMS and PPMS. Pursuant to the terms of our collaboration arrangements with Genentech, we receive a tiered royalty on U.S. net sales from 13.5% and increasing up to 24.0% if annual net sales exceed $900.0 million. There will be a 50.0% reduction to these royalties if a biosimilar to OCREVUS is approved in the U.S.
In addition, we receive a gross 3.0% royalty on net sales of OCREVUS outside the U.S., with the royalty period lasting 11 years from the first commercial sale of OCREVUS on a country-by-country basis. OCREVUS has been approved for the treatment of RMS and PPMS in the E.U. and certain other countries.
The commercialization of OCREVUS does not impact the percentage of the co-promotion profits we receive for RITUXAN or GAZYVA. Genentech is solely responsible for development and commercialization of OCREVUS and funding future costs. Genentech cannot develop OCREVUS in CLL, non-Hodgkin's lymphoma or rheumatoid arthritis.
OCREVUS royalty revenues wererevenue is based on our estimates from third partythird-party and market research data of OCREVUS sales occurring during the corresponding period. Differences between actual and estimated royalty revenuesrevenue will be adjusted for in the period in which they become known, which is generally expected to be the following quarter.
If we undergo a change in control, as defined in our collaboration agreement, Genentech will be deemed to have purchased our rights to OCREVUS in exchange for the continued payment of the current royalties on net sales (as defined in our collaboration agreement and summarized above) in the U.S. only, until the 11 year anniversary of the first commercial sale of OCREVUS in the U.S.
LUNSUMIO (mosunetuzumab)
In January 2022 we exercised our option with Genentech to participate in the joint development and commercialization of LUNSUMIO. In connection with this exercise, we recorded a $30.0 million option exercise fee payable to Genentech in December 2021, which was recognized in research and development expense in our consolidated statements of income for the year ended December 31, 2021. We also recorded a charge of approximately $20.0 million to reimburse Genentech for our 30.0% share of the costs incurred in developing this product candidate during 2021, which was recognized in research and development expense in our consolidated statements of income for the year ended December 31, 2021. For the year ended December 31, 2022, we recorded approximately $28.4 million in research and development expense and approximately $13.0 million in sales and marketing expense in our consolidated statements of income related to this collaboration.
Under our collaboration with Genentech, we were responsible for 30.0% of development costs for LUNSUMIO prior to FDA approval and will be entitled to a tiered share of co-promotion operating profits and losses in the U.S., as summarized in the table below. In addition, we receive low single-digit royalties on sales of LUNSUMIO outside the U.S. In December 2022 LUNSUMIO was granted accelerated approval by the FDA for the treatment of relapsed or refractory follicular lymphoma.
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If we undergo a change in control, as defined in our collaboration agreement, Genentech will be deemed to have purchased our rights to LUNSUMIO in exchange for 30.0% of the U.S. co-promotion operating profits or losses until the 11 year anniversary of the first commercial sale of LUNSUMIO in the U.S.
Glofitamab
In December 2022 we entered into an agreement with Genentech related to the commercialization and sharing of economics for glofitamab, a late-stage bispecific antibody in development for B-cell non-Hodgkin's lymphoma and other blood cancers. Under the terms of this agreement, we will have no payment obligations and will receive tiered royalties on potential net sales of glofitamab in the U.S. Genentech will have sole decision-making rights on the commercialization of glofitamab within the U.S and, in the event of approval, we are eligible to receive tiered royalties in the mid-single digit range on potential net sales of glofitamab in the U.S.
If we undergo a change in control, as defined in our collaboration agreement, Genentech will be deemed to have purchased our rights to Glofitamab in exchange for a mid-single digit royalty on net sales (as defined in our collaboration agreement) in the U.S. only, until the 11 year anniversary of the first commercial sale of the product in the U.S.
Profit-sharing Formulas
RITUXAN and LUNSUMIO Profit Share
Our current pretax co-promotion profit-sharing formula for RITUXAN and LUNSUMIO in the U.S. provides for a 30.0% share on the first $50.0 million of combined co-promotion operating profits earned each calendar year. OurAs a result of the FDA approval of LUNSUMIO our share of the combined annual co-promotion profits for RITUXAN and LUNSUMIO in excess of $50.0 million varies upon the following events, as summarized in the table below, upon the following events:below:
Until GAZYVA First Non-CLL FDA Approval40.0 
%
After GAZYVA First Non-CLL FDALUNSUMIO Approval until the First GAZYVA Threshold Date39.0 %
After First GAZYVA Threshold Date until Second GAZYVA Threshold Date37.5 %
After First Threshold Date until the Second GAZYVA Threshold Date35.0 %
After Second Threshold Date30.0 %
First Non-CLL GAZYVA FDA Approval means the FDA’s first approval of GAZYVA in an indication other than CLL.
First GAZYVA Threshold Date means the earlier of (i) the date of the First Non-CLL GAZYVA FDA approval if U.S. gross sales of GAZYVA for the preceding consecutive 12-month period were at least $150.0 million or (ii) the first day of the calendar quarter afterfollowing the date of the First Non-CLL GAZYVA FDA Approval that U.S. gross sales of GAZYVA within any consecutive 12-month period have reached $150.0 million.
Second GAZYVA Threshold Date means the first day of the calendar quarter after U.S. gross sales of GAZYVA within any consecutive 12-month period have reached $500.0 million or (ii) the first date in any calendar year in which U.S. gross sales of LUNSUMIO have reached $150.0 million. The
Second GAZYVA Threshold Date can be achieved regardless means the later of whether GAZYVA has been approved(i) the first date the gross sales in a non-CLL indication.any calendar year in which U.S. gross sales of LUNSUMIO reach $350.0 million and (ii) January 1 of the calendar year following the calendar year in which the First Threshold Date occurs.
Our share of RITUXAN pre-tax profits in the U.S. in excess of $50.0 million for the years ended December 31, 2020, 20192022, 2021 and 2018,2020, was 37.5%.
In addition, should the FDA approve an anti-CD20 product other than OCREVUS or GAZYVA that is acquired or developed by Genentech and subject to the collaboration agreement, our share of the co-promotion operating profits would be between 30.0% and 37.5% based on certain events.
GAZYVA Profit Share
Our current pretax profit-sharing formula for GAZYVA provides for a 35.0% share on the first $50.0 million of operating profits earned each calendar year. Our share of annual co-promotion profits in excess of $50.0 million varies upon the following events, as summarized in the table below, upon the following events:below:
Until First GAZYVA Threshold Date39.0 %
After First GAZYVA Threshold Date untilUntil Second GAZYVA Threshold Date37.5 %
After Second GAZYVA Threshold Date35.0 %
Second GAZYVA Threshold Date means the first day of the calendar quarter following the date U.S. gross sales of GAZYVA within any consecutive 12-month period have reached $500.0 million. The second GAZYVA threshold date can be achieved regardless of whether GAZYVA has been approved in a non-CLL indication.
Our share of GAZYVA pre-tax profits in excess of $50.0 million for the years ended December 31, 2020, 20192022, 2021 and 2018,2020, was 37.5%.
In November 2017 the FDA approvedIf we undergo a change in control, as defined in our collaboration agreement, Genentech will be deemed to have purchased our rights to GAZYVA in combination with chemotherapy, followed by GAZYVA alone,exchange for people with previously untreated advanced follicular lymphoma.
Revenues from Anti-CD20 Therapeutic Programs
Revenues from anti-CD20 therapeutic programs are summarized as follows:
 For the Years Ended December 31,
(In millions)202020192018
Biogen's share of pre-tax profits in the U.S. for RITUXAN and GAZYVA, including the reimbursement of selling and development expenses$1,080.2 $1,542.4 $1,431.9 
Other revenues from anti-CD20 therapeutic programs897.6 748.0 548.3 
Total revenues from anti-CD20 therapeutic programs$1,977.8 $2,290.4 $1,980.2 
Prior to regulatory approval, we record our sharethe continued payment of the expenses incurred bycompensation payable for GAZYVA under the collaboration forarrangement (and set forth above) until the development11 year anniversary of anti-CD20 productsthe first commercial sale of GAZYVA in research and development expense in our consolidated statements of income.the U.S.
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Revenue from Anti-CD20 Therapeutic Programs
Revenue from anti-CD20 therapeutic programs is summarized as follows:
 For the Years Ended December 31,
(In millions)202220212020
Royalty revenue on sales of OCREVUS$1,136.3 $991.7 $845.4 
Biogen's share of pre-tax profits in the U.S. for RITUXAN and GAZYVA547.0 647.7 1,080.2 
Other revenue from anti-CD20 therapeutic programs17.2 19.1 52.2 
Total revenue from anti-CD20 therapeutic programs$1,700.5 $1,658.5 $1,977.8 
Prior to regulatory approval, we record our share of the expense incurred by the collaboration for the development of anti-CD20 products in research and development expense and pre-commercialization costs within selling, general and administrative expense in our consolidated statements of income. After an anti-CD20 product is approved, we record our share of the development expensesand sales and marketing expense related to that product as a reduction of our share of pre-tax profits in revenuesrevenue from anti-CD20 therapeutic programs.
Ionis Pharmaceuticals, Inc.
SPINRAZA
In January 2012 we entered into a collaboration and license agreement with Ionis Pharmaceuticals Inc. (Ionis) pursuant to which we have an exclusive, worldwide license to develop and commercialize SPINRAZA for the treatment of SMA.
Under our agreement with Ionis, we make royalty payments to Ionis on annual worldwide net sales of SPINRAZA using a tiered royalty rate between 11.0% and 15.0%, which are recognized in cost of sales within our consolidated statements of income. Royalty cost of sales related to sales of SPINRAZA for the years ended December 31, 2022, 2021 and 2020, 2019totaled approximately $243.1 million, $267.1 million and 2018, totaled $286.6 million, $293.0 million and $238.0 million, respectively.
2012 Ionis Agreement
In December 2012 we entered into an agreement with Ionis for the development and commercialization of up to three gene targets.
Under this agreement, Ionis is responsible for global development of any product candidatethrough the completion of a Phase 2 trial and we will provide advice on the clinical trial design and regulatory strategy. We have an option to license the product candidateuntil completion of the Phase 2 trial. If we exercise our option, we will pay a license fee of up to $70.0 million to Ionis and assume global development, regulatory and commercialization responsibilities. Ionis is eligible to receive up to $130.0 million in additional milestone payments upon the achievement of certain regulatory milestones as well as royalties on future salesif we successfully develop the product candidate after option exercise.
Upon entering into this agreement, we made an upfront payment of $30.0 million to Ionis and agreed to make potential additional payments, prior to licensing, of up to $10.0 million based on the development of the selected product candidate as well as a mark-up of the cost estimate of the Phase 1 and Phase 2 trials. During 2015 we recognized this $10.0 million developmental milestone upon the selection of BIIB080 (tau ASO), which is currently in Phase 1 development for the potential treatment of Alzheimer's disease.
In December 2019 we exercised our option with Ionis and obtained a worldwide, exclusive, royalty-bearing license to develop and commercialize BIIB080. In connection with the option exercise, we made a payment of $45.0 million to Ionis, which was recorded as research and development expense in our consolidated statements of income. Future payments may include additional milestone payments of up to $155.0 million and royalties on future sales in the low- to mid-teens if we successfully develop the product candidate after option exercise.
2018 Ionis Agreement
In June 2018 we closedentered into a 10-year exclusive collaboration agreement with Ionis to develop novel antisense oligonucleotide (ASO) drug candidates for a broad range of neurological diseases (2018 Ionis Agreement) for a total payment of $1.0 billion, consisting of an upfront payment of $375.0 million and the purchase of approximately 11.5 million shares of Ionis common stock at a cost of $625.0 million.
Upon closing, we recorded $50.9 million of the $375.0 million upfront payment as prepaid services in our consolidated balance sheets and recognized the remaining $324.1 million as research and development expense in our consolidated statements of income. The amount recorded as prepaid services represented the value of the employee resources committed to the arrangement to provide research and discovery services over the term of the agreement.
The 11.5 million shares of Ionis common stock were purchased at a premium to their fair value at the transaction closing date. The premium consisted of acquiring the shares at a price above the fair value based on the trailing 10-day weighted-average close price prior to entering into the 2018 Ionis Agreement in April 2018 and the effect of certain holding period restrictions. We recorded an asset of $462.9 million in investments and other assets in our consolidated balance sheets reflecting the fair value of the Ionis common stock as of the purchase date and a charge of $162.1 million to research and development expense in our consolidated statements of income in the second quarter of 2018 reflecting the premium paid for the Ionis common stock.
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Our investment in Ionis common stock is remeasured each reporting period. Changes in the fair value of our investment in Ionis common stock, including the effect of the holding period restrictions, are reflected in other income (expense), net in our consolidated statements of income. For additional information on the fair value of our investment in Ionis common stock, please read Note 7, Fair Value Measurements, to these consolidated financial statements.
We have the option to license therapies arising out of the 2018 Ionis Agreementthis agreement and will be responsible for the development and commercialization of such therapies. We may pay development milestones to Ionis of up to $125.0 million or $270.0 million for each program, depending on the indication plus an annual license fee, as well as royalties on potential net commercial sales.
During the years ended December 31, 20202022, 2021 and 2019,2020, we incurred milestones of $11.3$10.0 million, $22.5 million and $30.0$11.3 million, respectively, related to the advancement of neurological targets identified under the 2018 Ionis Agreement.this agreement, which were recorded as research and development expense in our consolidated statements of income.
2017 SMA Collaboration Agreement
In December 2017 we entered into a collaboration agreement with Ionis to identify new ASO drug candidates for the potential treatment of SMA. Under this agreement, we have the option to license therapies arising out of this collaboration and will be responsible for their development and commercialization of such therapies.
Upon entering into this agreement, we made a $25.0 million upfront payment to Ionis and we may pay Ionis up to $260.0 million in additional development and regulatory milestone payments if new drug candidates advance to marketing approval. Upon commercialization, we may also pay Ionis up to $800.0 million in additional performance-based milestone payments and tiered royalties on potential net sales of such therapies.
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In December 2021 we exercised our option with Ionis and obtained a worldwide, exclusive, royalty-bearing license to develop and commercialize BIIB115, an investigational ASO in development for SMA. In connection with this option exercise, we made an opt-in payment of $60.0 million to Ionis, which was recorded as research and development expense in our consolidated statements of income for the year ended December 31, 2021.
2013 Long-term Strategic Research Agreement
In September 2013 we entered into a six-year research collaboration agreement with Ionis under which both companies collaborate to perform discovery level research and subsequent development and commercialization activities of antisense or other therapeutics for the potential treatment of neurological diseases. Under this agreement, Ionis performs research on a set of neurological targets identified within the agreement.
Ionis is eligible to receive milestone payments, license fees and royalty payments for all product candidates developed through this collaboration, with the specific amount dependent upon the modality of the product candidate advanced by us under the terms of the agreement.
For non-ALS antisense product candidates, Ionis is responsible for global development through the completion of a Phase 2 trial and we provide advice on the clinical trial design and regulatory strategy. For ALS antisense product candidates, we are responsible for global development, clinical trial design and regulatory strategy. We have an option to license a product candidate until completion of the Phase 2 trial. If we exercise our option, we will pay Ionis up to a $70.0 million license fee and assume global development, regulatory and commercialization responsibilities. Ionis could receive additional milestone payments upon the achievement of certain regulatory milestones of up to $130.0 million, plus additional amounts related to the cost of clinical trials conducted by Ionis under the collaboration, and royalties on future sales if we successfully develop the product candidate after option exercise.
In December 2018 we exercised our option with Ionis and obtained a worldwide, exclusive, royalty-bearing license to develop and commercialize BIIB067 (tofersen)tofersen (BIIB067), an investigational treatment for ALS with superoxide dismutase 1 (SOD1) mutations. In connection with the option exercise, we made a payment of $35.0 million to Ionis, which was recorded as research and development in our consolidated statements of income. FuturePotential post-licensing milestone payments may include potential post-licensing milestone payments of up to $55.0 million and royalties in the low- to mid-teen percentages on potential annual worldwide net sales. We are solely responsible for the costs and expensesexpense related to the development, manufacturing and commercialization of tofersen following the option exercise.
During the years ending December 31, 2020, 20192022, 2021 and 2018,2020, we incurred milestones of $28.0$17.0 million, $20.0$10.0 million and $18.0$28.0 million, respectively, related to the advancement of programs under this agreement, which were recorded as research and development expense in our consolidated statements of income.
2012 Ionis Agreement
In December 2012 we entered into an agreement with Ionis for the development and commercialization of up to three gene targets.
Under this agreement, Ionis is responsible for global development of any product candidatethrough the completion of a Phase 2 trial and we will provide advice on the clinical trial design and regulatory strategy. We have an option to license the product candidateuntil completion of the Phase 2 trial. If we exercise our option, we will pay a license fee of up to $70.0 million to Ionis and assume global development, regulatory and commercialization responsibilities. Ionis is eligible to receive up to $130.0 million in additional milestone payments upon the achievement of certain regulatory milestones as well as royalties on future salesif we successfully develop the product candidate after option exercise.
In December 2019 we exercised our option with Ionis and obtained a worldwide, exclusive, royalty-bearing license to develop and commercialize BIIB080 (tau ASO), which is currently in Phase 2 development for the potential treatment of Alzheimer's disease. In connection with the option exercise, we made a payment of $45.0 million to Ionis, which was recorded as research and development expense in our consolidated statements of income. Future payments may include additional milestone payments of up to $155.0 million and royalties on future sales in the low- to mid-teens if we successfully develop the product candidate after option exercise.
During the year ended December 31, 2022, we incurred a milestone payment of $10.0 million, related to the advancement of BIIB080 under this agreement, which was recorded within research and development expense in our consolidated statements of income.
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Eisai Co., Ltd.
BAN2401LEQEMBI (lecanemab) Collaboration
We have a collaboration agreement with Eisai to jointly develop and commercialize BAN2401, a monoclonalLEQEMBI (lecanemab), an anti-amyloid antibody that targets amyloid beta aggregates, and elenbecestat, the oral BACE (base amyloid cleaving enzyme) inhibitor, 2 Eisai product candidates for the potential treatment of Alzheimer's disease (the BAN2401LEQEMBI Collaboration). In September 2019 we and Eisai discontinued the global Phase 3 studies of elenbecestat in early Alzheimer's disease.
Eisai serves as the global operationallead of LEQEMBI development and regulatory lead for BAN2401submissions globally with both companies co-commercializing and allco-promoting the product, and Eisai having final decision-making authority. All costs, including research, development, sales and marketing expenses,expense, are shared equally between us and Eisai. If BAN2401 receivesUpon LEQEMBI marketing approval, we and Eisai will co-promote BAN2401LEQEMBI and share profits and losses equally. In addition,We currently manufacture LEQEMBI drug substance and drug product and in March 2022 we extended our supply agreement with Eisai related to LEQEMBI from five years to ten years for the BAN2401 Collaboration provides both parties with certain rights and obligations in the eventmanufacture of a change in control of either party.LEQEMBI drug substance.
The BAN2401LEQEMBI Collaboration also provided Eisai with an option to jointly develop and commercialize aducanumab (AducanumabADUHELM (aducanumab) (ADUHELM Option), and an option to jointly develop and commercialize one of our anti-tau monoclonal antibodies (Anti-Tau Option). In October 2017 Eisai exercised its AducanumabADUHELM Option and we entered into a new collaboration agreement for the joint development and commercialization of aducanumabADUHELM (aducanumab) (the AducanumabADUHELM Collaboration Agreement).
On March 14, 2022, we amended our ADUHELM Collaboration Agreement with Eisai. As of the amendment date, we have sole decision making and commercialization rights worldwide on ADUHELM, and beginning January 1, 2023, Eisai may exercisereceives only a tiered royalty based on net sales of ADUHELM, and no longer participates in sharing ADUHELM's global profits and losses. In March 2022 we also amended the LEQEMBI Collaboration Agreement with Eisai to eliminate the Anti-Tau Option after completionOption.
If either company undergoes a change of control, as defined in our LEQEMBI Collaboration Agreement, the Phase 1 clinical trialnon-acquired party may elect to initiate an operational separation, as defined in the LEQEMBI Collaboration Agreement. In the event of such anti-tau monoclonal antibody. Ifan operational separation, we would work with Eisai exercises its Anti-Tau Option,to effect a timely transition of any development, manufacturing or commercial responsibilities regarding LEQEMBI from us to Eisai. In this scenario, as of six months following the change of control, our ongoing responsibility for LEQEMBI related cost-sharing would be reduced to an amount equal to 80.0% of what we will receive an upfront payment fromwould have owed prior to the operational separation, and all other economic rights would remain unchanged.
In addition, in the event either company undergoes a change of control in which the acquirer is engaged in commercialization of a competing product, as defined in the LEQEMBI Collaboration Agreement, the non-acquired party may also request that the acquired party cease commercializing the competing product. Should the acquired party elect to continue commercializing the competing product, the non-acquired party may terminate the LEQEMBI Collaboration Agreement. Furthermore, in the event we are the non-acquired party, we may choose either to sell our interest in LEQEMBI to Eisai and will be entitledor purchase Eisai's interest in LEQEMBI, subject to additional development and commercial milestone payments. Eisai has not yet exercised its Anti-Tau Option.the parameters set forth in the LEQEMBI Collaboration Agreement.
A summary of development and sales and marketing expensesexpense related to the BAN2401LEQEMBI Collaboration is as follows:
 For the Years Ended December 31,
(In millions)202020192018
Total development expense incurred by the collaboration related to the advancement of BAN2401 and elenbecestat$219.3 $348.7 $232.0 
Biogen's share of BAN2401 and elenbecestat development expense reflected in research and development expense in our consolidated statements of income109.6 174.3 116.0 
Total sales and marketing expense incurred by the collaboration9.8 32.4 10.7 
Biogen's share of BAN2401 and elenbecestat sales and marketing expense reflected in selling, general and administrative expense in our consolidated statements of income4.9 16.2 5.4 
 For the Years Ended December 31,
(In millions)202220212020
Total development expense incurred by the collaboration related to the advancement of LEQEMBI$347.2 $323.0 $219.3 
Biogen's share of the LEQEMBI Collaboration development expense reflected in research and development expense in our consolidated statements of income173.6 161.5 109.6 
Total sales and marketing expense incurred by the LEQEMBI Collaboration104.6 27.2 9.8 
Biogen's share of the LEQEMBI Collaboration sales and marketing expense reflected in selling, general and administrative expense in our consolidated statements of income52.3 13.6 4.9 
AducanumabADUHELM Collaboration Agreement
Under the Aducanumabour initial ADUHELM Collaboration Agreement, we and Eisai will co-promote aducanumab with a region-based profit split and wewould lead the ongoing development of aducanumab.
In March 2019, based on a pre-specified futility analysis, we discontinued the global Phase 3 trials, EMERGEADUHELM, and ENGAGE, designed to evaluate the efficacy and safety of aducanumab in patients with early Alzheimer's disease. A new analysis of a larger dataset from these trials, conducted in scientific collaboration with the FDA, showed that the Phase 3 EMERGE study met its pre-specified primary and secondary endpoints. In the first quarter of 2019, as a result of the decision to discontinue the Phase 3 EMERGE and ENGAGE trials following the futility analysis, we accrued and subsequently paid approximately $45.0 million related to the termination of various clinical trials and research and development contracts net of the expected 45.0% Eisai reimbursement of development costs incurred under the Aducanumab Collaboration Agreement. In October 2019 we and Eisai announced that we plan to pursue regulatory approvalwould co-promote ADUHELM with a region-based profit split. Beginning in 2019, Eisai was reimbursing us for aducanumab in the U.S. In July 2020 we completed the submission of a BLA for the approval of aducanumab to the FDA.
For the period through March 31, 2018, we were responsible for 100.0%45.0% of development costsand sales and marketing expense incurred by the collaboration for the advancement of aducanumab (aducanumab development expense). For the period April 1, 2018 through December 31, 2018, Eisai reimbursed us for 15.0% of aducanumab development expense incurred and beginning January 1, 2019, is reimbursing us for 45.0% of aducanumab development expense incurred.ADUHELM.
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On March 14, 2022, we amended our ADUHELM Collaboration Agreement with Eisai. As of the amendment date, we have sole decision making and commercialization rights worldwide on ADUHELM, and beginning January 1, 2023, Eisai receives only a tiered royalty based on net sales of ADUHELM, and no longer participates in sharing ADUHELM's global profits and losses. Eisai's share of development, commercialization and manufacturing expense was limited to $335.0 million for the period from January 1, 2022 to December 31, 2022, which was achieved as of December 31, 2022. Once this limit was achieved, we became responsible for all ADUHELM related costs.
A summary of development expense, sales and marketing expense and milestone payments related to the ADUHELM Collaboration Agreement is as follows:
For the Years Ended December 31,
(In millions)202220212020
Total ADUHELM development expense$149.4 $183.7 $152.0 
Biogen's share of the ADUHELM Collaboration development expense reflected in research and development expense in our consolidated statements of income82.2 101.1 83.6 
Total ADUHELM sales and marketing expense incurred by the ADUHELM Collaboration Agreement134.2 562.3 353.0 
Biogen's share of the ADUHELM Collaboration sales and marketing expense reflected in selling, general and administrative expense and collaboration profit (loss) sharing in our consolidated statements of income71.5 301.4 193.7 
Total ADUHELM Collaboration third party milestones— 100.0 75.0 
Biogen's share of reimbursement from Eisai of ADUHELM milestone payments reflected in collaboration profit (loss) sharing in our consolidated statements of income— 45.0 33.8 
ADUHELM Co-promotion Profits and Losses
In the U.S. we recognize revenue on sales of ADUHELM to third parties as a component of product revenue, net in our consolidated statements of income. We also record the related cost of revenue and sales and marketing expense in our consolidated statements of income as these costs are incurred. Payments made to and received from Eisai for its 45.0% share of the co-promotion profits or losses in the U.S. are recognized in collaboration profit (loss) sharing in our consolidated statements of income. For the years ended December 31, 2022 and 2021, we recognized net reductions to our operating expense of approximately $224.7 million and $233.2 million, respectively, to reflect Eisai's 45.0% share of net collaboration losses in the U.S.
For the year ended December 31, 2021, we recognized a net reduction to our operating expense of $45.0 million to reflect Eisai's 45.0% share of the $100.0 million milestone payment made to Neurimmune related to the launch of ADUHELM in the U.S., which was recorded in collaboration profit (loss) sharing in our consolidated statements of income.
For the year ended December 31, 2020, we recognized a net profit-sharing incomereduction to our operating expense of $33.8 million to reflect Eisai's 45.0% share of the $75.0 million milestone expensepayment made to Neurimmune related to the submission of a Biologics License Application (BLA) to the BLAFDA for the approval of aducanumabADUHELM, which was recorded in collaboration profit (loss) sharing in our consolidated statements of income.
During the fourth quarter of 2021 we recorded approximately $164.0 million of charges associated with the write-off of inventory and purchase commitments in excess of forecasted demand related to ADUHELM. During the FDA.first quarter of 2022, as a result of the final NCD, we recorded approximately $275.0 million of charges associated with the write-off of inventory and purchase commitments in excess of forecasted demand related to ADUHELM. Additionally, for the years ended December 31, 2022 and 2021, we recorded approximately $111.0 million and $30.0 million, respectively, of aggregate gross idle capacity charges related to ADUHELM. These charges were recorded in cost of sales within our consolidated statements of income for the years ended December 31, 2022 and 2021.
Upon commercialization, both companies will co-promote aducanumab with a region-based profit split. We will receive a 55.0%have recognized approximately $197.0 million and $99.0 million related to Eisai's 45.0% share of inventory, idle capacity charges and contractual commitments in collaboration profit (loss) sharing within our consolidated statements of income for the potential profits (losses) in the U.S., a 68.5% share of the potential profits (losses) in the European Union (E.U.)years ended December 31, 2022 and a 20.0% share of the potential profits (losses) in Japan and Asia, excluding China and South Korea. The two companies will continue to share equally in the potential profits (losses) in rest of world markets. Sales and marketing expense incurred before commercialization are shared in proportion to the same region-based profit split that will be utilized to co-promote aducanumab.2021, respectively.
A summary of development, sales and marketing and milestone expenseAmounts receivable from Eisai related to the Aducanumab Collaboration Agreement isagreements discussed above were approximately $88.0 million and $285.4 million as follows:of December 31, 2022 and 2021, respectively. Amounts payable to Eisai related to the agreements discussed above were approximately $81.2 million and $46.5 million as of December 31, 2022 and 2021, respectively.
For the Years Ended December 31,
(In millions)202020192018
Total aducanumab development expense$152.0 $179.4 $264.8 
Biogen's share of aducanumab development expense reflected in research and development expense in our consolidated statements of income83.6 98.7 234.6 
Total aducanumab sales and marketing expense incurred by the collaboration353.0 27.4 50.6 
Biogen's share of aducanumab sales and marketing expense reflected in selling, general and administrative expense in our consolidated statements of income193.7 15.1 27.3 
Total aducanumab collaboration third party milestone expense75.0 
Eisai's share of aducanumab milestone expense reflected in collaboration profit sharing in our consolidated statements of income33.8 
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In addition, we and Eisai co-promote AVONEX, TYSABRI and TECFIDERA in Japan in certain settings and Eisai distributes AVONEX, TYSABRI, TECFIDERA and PLEGRIDY in India and other Asia-Pacific markets, excluding China.
UCB Pharma S.A.
We haveIn November 2003 we entered into a collaboration agreement with UCB Pharma S.A. (UCB) to jointly develop and commercialize dapirolizumab pegol, an anti-CD40L pegylated Fab, for the potential treatment of systemic lupus erythematosus and other future agreed indications. Either we or UCB may propose development of dapirolizumab pegol in additional indications. If the parties do not agree to add an indication as an agreed indication to the collaboration, we or UCB may, at the sole expense of the applicable party, pursue development in such excluded indication(s), subject to an opt-in right of the non-pursuing party after proof of clinical activity.
All costs incurred for agreed indications, including research, development, sales and marketing expenses,expense, are shared equally between us and UCB. UponIf marketing approval we and UCBis obtained, both companies will co-promote dapirolizumab pegol and share profits and losses equally.
A summary of development expense related to the UCB collaboration agreement is as follows:
For the Years Ended December 31,
(In millions)202020192018
Total UCB development expense$58.3 $31.9 $29.7 
Biogen's share of UCB development expense reflected in research and development expense in our consolidated statements of income29.2 16.0 14.9 
For the Years Ended December 31,
(In millions)202220212020
Total UCB collaboration development expense$68.0 $84.2 $58.3 
Biogen's share of the UCB collaboration development expense reflected in research and development expense in our consolidated statements of income34.0 42.1 29.2 
Alkermes
In November 2017 we entered into an exclusive license and collaboration agreement with Alkermes Pharma Ireland Limited, a subsidiary of Alkermes plc (Alkermes), for VUMERITY, a novel fumarate for the treatment of RMS. In October 2019 the FDA approved VUMERITY in the U.S. for the treatment of RMS. In November 2019During the fourth quarter of 2021 VUMERITY became commercially availablewas approved for the treatment of relapsing-remitting MS (RRMS) in the U.S.E.U., Switzerland and the United Kingdom (U.K.).
Under this agreement, we received an exclusive, worldwide license to develop and commercialize VUMERITY and we pay Alkermes a royaltyroyalties of 15.0% on worldwide net commercial sales of VUMERITY.VUMERITY, which are recognized in cost of sales within our consolidated statements of income. Royalties payable on net commercial sales of VUMERITY are subject, under certain circumstances, to tiered minimum annual payment requirements for a period of five years following FDA approval.
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sales related to sales of VUMERITY for the years ended December 31, 2022, 2021 and 2020, totaled approximately $83.0 million, $61.6 million and $12.9 million, respectively.
Alkermes is eligible to receive royalties in the high-single digits to sub-teen double digits of annual net commercial sales upon successful development and commercialization of new product candidates, other than VUMERITY, developed under the exclusive license from Alkermes.
During the fourth quarter of 2019, following the FDA's approval of VUMERITY, we paid Alkermes $155.0 million in milestone payments, which were recorded in intangible assets in our consolidated balance sheets and will be amortized over the useful life of the product. For the years ended December 31, 2020, 2019 and 2018, we recorded $32.4 million, $53.5 million and $68.7 million, respectively, in research and development expense in our consolidated statements of income related to this collaboration.
Alkermes currently supplies both VUMERITY and FAMPYRA to us pursuant to aseparate supply agreement.agreements. In October 2019 we entered into a new supply agreement and amended our license and collaboration agreement with Alkermes.Alkermes for VUMERITY. We have elected to initiate a technology transfer and, following a transition period, to manufacture VUMERITY or have VUMERITY manufactured by a third party we have engaged in exchange for paying an increased royalty rate to Alkermes on any portion of future worldwide net commercial sales of VUMERITY that is manufactured by us or our designee.
Bristol-Myers Squibb Company
In June 2017October 2022 we completed an exclusive licenseentered into a new supply agreement with Bristol-Myers Squibb Company (BMS)Alkermes for the developmentFAMPYRA. Acorda previously supplied FAMPYRA to us pursuant to a sublicensing arrangement with Alkermes, which was terminated in October 2022 as a result of an arbitration outcome between Acorda and potential commercialization of BIIB092 (gosuranemab), an antibody targeting tau, the protein that forms the deposits, or tangles, in the brain associated with Alzheimer's disease.
Under this agreement, we received worldwide rights to gosuranemab and are responsible for the full development and potential commercialization of gosuranemab in Alzheimer's disease and progressive supranuclear palsy (PSP).
In December 2019 we announced that the Phase 2 PASSPORT study investigating gosuranemab in individuals with PSP did not meet its primary endpoint. Based on these results, we discontinued development of gosuranemab in PSP and other primary tauopathies. We will continue our ongoing Phase 2 TANGO study of gosuranemab for mild cognitive impairment due to Alzheimer's disease or mild Alzheimer's disease, given differences in disease pathology.
Upon entering into this agreement, we made an upfront payment of $300.0 million to BMS and assumed all remaining obligations to the former shareholders of iPierian, Inc. (iPierian) related to BMS’s acquisition of iPierian in 2014. We may pay BMS up to $360.0 million in additional milestone payments, and potential royalties, and we may pay the former shareholders of iPierian up to $370.0 million in remaining milestone payments as well as potential royalties on net commercial sales.
For the years ended December 31, 2020, 2019 and 2018, we recorded $62.4 million, $144.0 million and $97.0 million, respectively, in research and development expense in our consolidated statements of income related to this agreement.Alkermes.
Acorda Therapeutics, Inc.
In June 2009 we entered into a collaboration and license agreement with Acorda Therapeutics, Inc. (Acorda) to develop and commercialize products containing fampridine, such as FAMPYRA, in markets outside the U.S. We are responsible for all regulatory activities and the future clinical development of related products in those markets.
Under this agreement, we pay tiered royalties based on the level of ex-U.S. net sales and we may pay potential milestone payments based on the successful achievement of certain regulatory and commercial milestones, which would be capitalized as intangible assets upon achievement of the milestones and amortized utilizing an economic consumption model. The next expectedDuring the third quarter of 2020 we recognized a milestone of $15.0 million, which became due if
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upon ex-U.S. net sales reachreaching $100.0 million over a period of four consecutive quarters, and was recognized during the third quarter of 2020 and capitalized within intangible assets, net in our consolidated balance sheet. Royalty payments are recognized in cost of sales within our consolidated statements of income.sheets.
In connection with the collaboration and license agreement, we also entered into a supply agreement with Acorda for the commercial supply of FAMPYRA. This agreement iswas a sublicense arrangement of an existing agreement between Acorda and Alkermes Inc., who acquired Elan Drug Technologies, the original party to the license with Acorda.
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an arbitration filed by Acorda with the American Arbitration Association in July 2020 after Acorda and Alkermes were unable to resolve a dispute over license and supply royalties, Acorda no longer had to pay Alkermes any royalties on net sales for license and supply of FAMPYRA and Acorda was now free to use alternative sources for supply of FAMPYRA. Acorda notified us that as a result of it no longer obtaining FAMPYRA from Alkermes, that we would need to enter into a supply agreement to obtain FAMPYRA directly with Alkermes.
For the years ending December 31, 2020, 20192022, 2021 and 2018,2020, total cost of sales related to royalties and commercial supply of FAMPYRA reflected in our consolidated statements of income were $44.5approximately $46.1 million, $42.0$46.6 million and $36.5$44.5 million, respectively.
Sage Therapeutics, Inc.
In November 2020 we entered into a global collaboration and license agreement with Sage to jointly develop and commercialize zuranolone (SAGE-217)(BIIB125) for the potential treatment of major depressive disorder, postpartum depressionMDD and other psychiatric disordersPPD and SAGE-324BIIB124 (SAGE-324) for the potential treatment of essential tremor andwith potential in other neurological disorders.conditions such as epilepsy.
In connection ofwith the closing of this transaction in December 2020 we purchased $650.0 million of Sage common stock, or approximately 6.2 million shares at approximately $104.14 per share, which arewere initially subject to transfer restrictions. We recorded an asset in investments and other assets in our consolidated balance sheets to reflect the initial fair value of the Sage common stock acquired and a charge of approximately $209.0 million to research and development expense in our consolidated statements of income to reflect the premium paid for the Sage common stock. We also made an upfront payment of $875.0 million that was recorded as research and development expense.expense within our consolidated statements of income for the year ended December 31, 2020.
We may also pay Sage development and commercial milestone payments that could total up to approximately $1.6 billion if all the specified milestones set forth in this agreementcollaboration are achieved. Both companies will share equal responsibility and costs for development as well as profits and losses for commercialization in the U.S. Outside of the U.S., we are responsible for development and commercialization, excluding Japan, Taiwan and South Korea, with respect to zuranolone and willmay pay Sage potential tiered royalties in the high teens to low twenties. We may pay Sage milestones totaling $225.0 million upon the first commercial sale of zuranolone, for the potential treatment of MDD and PPD, in the U.S.
A summary of development and sales and marketing expense related to this collaboration is as follows:
For the Years Ended December 31,
(In millions)202220212020
Total Sage collaboration development expense$173.3 $167.7 $— 
Biogen's share of the Sage collaboration development expense reflected in research and development expense in our consolidated statements of income86.7 83.8 — 
Total Sage sales and marketing expense incurred by the collaboration109.9 36.4 — 
Biogen's share of the Sage collaboration sales and marketing expense reflected in selling, general and administrative expense in our consolidated statements of income55.0 18.2 — 
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Denali Therapeutics Inc.
In August 2020 we entered into a collaboration and license agreement with Denali to co-develop and co-commercialize Denali's small molecule inhibitors of leucine-rich repeat kinase 2 (LRRK2) for Parkinson's disease. In addition to the LRRK2 program, we also have an exclusive option to license two preclinical programs from Denali’s Transport Vehicle platform, including its Antibody Transport Vehicle (ATV): ATV enabled anti-amyloid beta program and a second program utilizing its Transport Vehicle technology. Further, we have a right of first negotiation on two additional Transport Vehicle-enabledATV-enabled therapeutics for indications within specific neurodegenerative diseases, should Denali decide to seek a collaboration for such programs.
As part of this collaboration we purchased approximately $465.0 million of Denali common stock in September 2020, or approximately 13 million shares at approximately $34.94 per share, which arewere initially subject to transfer restrictions. We recorded an asset in investments and other assets in our consolidated balance sheets to reflect the initial fair value of the Denali common stock acquired and a charge of approximately $41.3 million to research and development expense in our consolidated statements of income to reflect the premium paid for the Denali common stock. We also made an upfront payment of $560.0 million that was recorded as research and development expense.expense within our consolidated statements of income for the year ended December 31, 2020.
We may also pay Denali development and commercial milestone payments that could total up to approximately $1.1 billion if the milestones related to the LRRK2 program are achieved. Under this agreement,collaboration, both companies share responsibility and costs for global development based on specified percentages as well as profits and losses for commercialization in the U.S. and China. Outside the U.S. and China we are responsible for commercialization and willmay pay Denali potential tiered royalties.
ForIn October 2022 we and Denali announced the year ended December 31, 2020, we recorded $8.8 million in research andinitiation of the Phase 3 LIGHTHOUSE study for BIIB122 (DNL151), a small molecule inhibitor of LRRK2 for the potential treatment of Parkinson's disease.
A summary of development expense in our consolidated statements of income related to this collaboration.collaboration is as follows:
For the Years Ended December 31,
(In millions)202220212020
Total Denali collaboration development expense$75.1 $42.5 $14.6 
Biogen's share of the Denali collaboration development expense reflected in research and development expense in our consolidated statements of income43.8 25.5 8.8 
Sangamo Therapeutics, Inc.
In February 2020 we entered into a collaboration and license agreement with Sangamo to develop and commercialize ST-501 for tauopathies, including Alzheimer's disease; ST-502 for synucleinopathies, including Parkinson’s disease; a third neuromuscular disease target; and up to nine additional neurological disease targets to be identified and selected within a five-year period. The companies are leveraging Sangamo’s proprietary zinc finger protein technology delivered via adeno-associated virus to modulate the expression of key genes involved in neurological diseases.
In connection with the closing of this transaction in April 2020 we purchased $225.0 million of Sangamo common stock, or approximately 24 million shares at approximately $9.21 per share, which arewere initially subject to transfer restrictions. We recorded an asset in investments and other assets in our consolidated balance sheets to reflect the initial fair value of the Sangamo common stock acquired and a charge of approximately $83.0 million to research
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and development expense in our consolidated statements of income to reflect the premium paid for the Sangamo common stock. We also made an upfront payment of $125.0 million that was recorded as research and development expense.expense within our consolidated statements of income for the year ended December 31, 2020.
We may also pay Sangamo research, development, regulatory and commercial milestone payments that could total up to approximately $2.4 billion if we select all of the targets allowed under this agreementcollaboration and all the specified milestones set forth in this agreementcollaboration are achieved. Of this amount, up to $80.0 million relates to the selection of targets, $1.9 billion relates to the achievement of specified research, clinical development, regulatory and first commercial sale milestones and $380.0 million relates to the achievement of specified sales-based milestones if annual worldwide net sales of licensed products reach specified levels. In addition, we willmay pay Sangamo tiered royalties on potential net commercial sales of any products developed under this collaboration in the high single digit to double digit sub-teen percentages.
For
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A summary of development expense related to this collaboration is as follows:
For the Years Ended December 31,
(In millions)202220212020
Total Sangamo collaboration development expense$19.1 $22.7 $10.1 
Biogen's share of the Sangamo collaboration development expense reflected in research and development expense in our consolidated statements of income12.1 14.6 6.4 
InnoCare Pharma Limited
In July 2021 we entered into a collaboration and license agreement with InnoCare Pharma Limited (InnoCare) for orelabrutinib, an oral small molecule Bruton's tyrosine kinase inhibitor for the potential treatment of MS. Orelabrutinib is currently being studied in a multi-country, placebo-controlled Phase 2 trial in RRMS. Under the terms of this collaboration, we have exclusive rights to orelabrutinib in the field of MS worldwide and certain autoimmune diseases outside of China (including Hong Kong, Macau and Taiwan), while InnoCare retains exclusive worldwide rights to orelabrutinib in the field of oncology and certain autoimmune diseases in China (including Hong Kong, Macau and Taiwan).
In connection with the closing of this transaction in August 2021 we made an upfront payment of $125.0 million that was recorded as research and development expense within our consolidated statements of income for the year ended December 31, 2020, we recorded $6.42021. We may also pay InnoCare up to approximately $812.5 million in researchpotential development milestones and potential commercial payments should this collaboration achieve certain development, expensecommercial milestones and sales thresholds. In addition, we may pay InnoCare tiered royalties on potential net sales of any products developed under this collaboration in the low to high teen percentages.
In February 2023 we terminated our consolidated statementslicense and collaboration agreement with InnoCare for orelabrutinib, for the potential treatment of income related to this collaboration.MS.
Other Research and Discovery Arrangements
These arrangements may include the potential for future milestone payments based on the achievement of certain clinical and commercial development payable over a period of several years.
Other
For the years ended December 31, 2020, 20192022, 2021 and 2018,2020, we recorded $92.1approximately$39.2 million $77.0, $89.1 million and $48.6$92.1 million, respectively, as research and development expense in our consolidated statements of income related to other research and discovery related arrangements.
Samsung Bioepis Co., Ltd.
Joint Venture Agreement
In February 2012 we entered into a joint venture agreement with Samsung BioLogics establishing an entity, Samsung Bioepis, to develop, manufacture and market biosimilar products. Samsung BioLogics contributed 280.5 billion South Korean won (approximately $250.0 million) for an 85.0% ownership interest in Samsung Bioepis and we contributed 49.5 billion South Korean won (approximately $45.0 million) for the remaining 15.0% ownership interest. In June 2018 we exercised our option under our joint venture agreement to increase our ownership percentage in Samsung Bioepis from approximately 5.0%, which reflected the effect of previous equity financings in which we did not participate, to approximately 49.9%. The share purchase transaction was completed in November 2018 and, upon closing, we paid 759.5 billion South Korean won ($676.6 million) to Samsung BioLogics.
In April 2022 we completed the sale of our 49.9% equity interest in Samsung Bioepis to Samsung BioLogics. Under the terms of this transaction, we received approximately $1.0 billion in cash at closing and expect to receive approximately $1.3 billion in cash to be deferred over two payments of approximately $812.5 million due at the first anniversary and approximately $437.5 million due at the second anniversary of the closing of this transaction.
As part of December 31, 2020, our ownership percentage remained at approximately 49.9%.this transaction, we are also eligible to receive up to an additional $50.0 million upon the achievement of certain commercial milestones. Our policy for contingent payments of this nature is to recognize the payments in the period that they become realizable, which is generally the same period in which the payments are earned.
We recognize
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Prior to this sale, we recognized our share of the results of operations related to our investment in Samsung Bioepis under the equity method of accounting one quarter in arrears when the results of the entity becomebecame available, which iswas reflected as equity in income (loss)(income) loss of investee, net of tax in our consolidated statements of income. During 2015, as our share of losses exceeded the carrying value of our initial investment, we suspended recognizing additional losses. In the first quarter of 2019 we restarted recognizing our share of Samsung Bioepis' income (losses), and we began recognizing amortization on certain basis differences resulting from
Upon our November 2018 investment.
Upon investment, the equity method of accounting requiresrequired us to identify and allocate differences between the fair value of our investment and the carrying value of our interest in the underlying net assets of the investee. These basis differences arewere being amortized over their economic life.life, until the completion of the sale in April 2022, as discussed above. The total basis difference was approximately $675.0 million and relatesrelated to inventory, developed technology, IPR&D and deferred tax balances. The basis differences related to inventory were amortized, net of tax, over their estimated useful lives of 1.5 years, and the basis differences related to developed technology and IPR&D for marketed products will bewere being amortized, net of tax, over their estimated useful lives of 15 years.
The former chief executive officer (the incumbent chairman of the board) and the chief financial officer of our joint venture partner, Samsung BioLogics, is currently subject to ongoing criminal proceedings that we continue to monitor. While these proceedings could impact the operations of Samsung Bioepis and its business, we have assessed the value of our investment in Samsung Bioepis and continue to believe that the fair value of the investment is in excess of its net book value.
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For the year ended December 31, 2020,2022, we recognized net income on our investment of $5.3$2.6 million, reflecting our share of incomeSamsung Bioepis' operating profits, net of tax, totaling $45.3$17.0 million offset by amortization of basis differences totaling $40.0$14.4 million. This amount reflects our share of results prior to the sale of Samsung Bioepis as the results are recognized one quarter in arrears. Following the sale of Samsung Bioepis we no longer recognize gains or losses associated with Samsung Bioepis' results of operations and amortization related to basis differences.
For the year ended December 31, 2019,2021, we recognized net lossesincome on our investment of $79.4$34.9 million, reflecting our share of lossesSamsung Bioepis' operating profits, net of tax, totaling $1.2$64.6 million andoffset by amortization of basis differences totaling $78.2$29.7 million.
Net income on our investment for the year ended December 31, 2021, reflects a $31.2 million benefit related to the release of a valuation allowance on deferred tax assets associated with Samsung Bioepis. The valuation allowance was released in the second quarter of 2021 based on a consideration of the positive and negative evidence, including the historic earnings of Samsung Bioepis.
As of December 31, 2020 and 2019,2021, the carrying value of our investment in Samsung Bioepis totaled 673.8713.3 billion South Korean won ($620.2599.9 million) and 670.8 billion South Korean won ($580.2 million), respectively, which is classified as a component of investments and other assets within our consolidated balance sheets. In connection with the sale of Samsung Bioepis, the carrying value of our investment was reduced to zero.
For additional information on the sale of our equity interest in Samsung Bioepis, please read Note 3, Dispositions, to these consolidated financial statements.
2019 TransactionDevelopment and Commercialization Agreement
In December 2019 we completed a transaction with Samsung Bioepis and secured the exclusive rights to commercialize 2two potential ophthalmology biosimilar products, SB11,BYOOVIZ (ranibizumab-nuna), a proposed ranibizumab biosimilar referencing LUCENTIS, and SB15, a proposed aflibercept biosimilar referencing EYLEA, in major markets worldwide, including the U.S., Canada, Europe, Japan and Australia. Samsung Bioepis will be responsible for development and will supply both products to us.us at a pre-specified gross margin of approximately 45.0%.
In connection with this transaction, we made an upfront payment of $100.0 million to Samsung Bioepis in January 2020, of which $63.0 million was recorded as research and development expense in our consolidated statements of income in 2019 and $37.0 million was recorded as an intangible assetassets, net in our consolidated balance sheets in 2019. Additionally, during
During the third quarter of 2020 we paid Samsung Bioepis a $15.0 million development milestone, which was included in research and development expense in our consolidated statements of income. During the third quarter of 2021 we accrued $15.0 million in milestone payments related to the approval of BYOOVIZ in the U.S., the E.U. and the U.K., that were capitalized within intangible assets, net in our consolidated balance sheets. We may also pay Samsung Bioepis up to $195.0approximately $180.0 million in additional development, regulatory and sales-based milestones.
We also acquired an option to extend the term of our 2013 commercial agreement for BENEPALI, IMRALDI and FLIXABI by an additional five years, subject to payment of an option exercise fee of $60.0 million, and obtained an option to acquire exclusive rights to commercialize these products in China.
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2013 Commercial Agreement
In December 2013 we entered into an agreement with Samsung Bioepis to commercialize, over a 10-year term, 3 anti-tumor necrosis factor (TNF) biosimilar product candidates in Europe and in the case of BENEPALI, Japan. As discussed above, we have an option to extend this agreement by an additional five years. Under this agreement, we have made upfront and clinical development milestone payments totaling $46.0 million, which were recorded as research and development expense in our consolidated statements of income as the programs they relate to had not achieved regulatory approval. We also agreed to make additional milestone payments of $25.0 million upon regulatory approval in the E.U. for each of the three anti-TNF biosimilar product candidates. IMRALDI, an adalimumab biosimilar referencing HUMIRA, FLIXABI, an infliximab biosimilar referencing REMICADE, and BENEPALI, an etanercept biosimilar referencing ENBREL, received regulatory approval in the E.U. in August 2017, May 2016 and January 2016, respectively, and we capitalized the related milestone payments totaling $75.0 million as intangible assets, net in our consolidated balance sheets.
In April 2018 we and Samsung Bioepis announced an agreement with AbbVie Inc. (AbbVie) related to the commercialization of IMRALDI. Under the terms of the agreement, AbbVie granted us and Samsung Bioepis patent licenses for the use and sale of IMRALDI in Europe, on a country-by-country basis, and we make royalty payments to AbbVie on behalf of Samsung Bioepis. We began to recognize revenues on sales of IMRALDI to third parties in Europe in the fourth quarter of 2018.
We reflect revenuesrevenue on sales of BENEPALI, IMRALDI and FLIXABI to third parties in product revenues,revenue, net in our consolidated statements of income and record the related cost of revenuesrevenue and sales and marketing expensesexpense in our consolidated statements of income to their respective line items when these costs are incurred. Royalty payments to AbbVie Inc. (AbbVie) on sales of IMRALDI are recognized in cost of sales within our consolidated statements of income.
We share 50%50.0% of the profit or loss related to our commercial agreement with Samsung Bioepis, which is recognized in collaboration profit (loss) sharing in our consolidated statements of income. For the years ended December 31, 2020, 20192022, 2021 and 2018,2020, we recognized a net profit-sharing expense of $266.5of $217.4 million $241.6, $285.4 million and $187.4$266.5 million, respectively, to reflect Samsung Bioepis' 50%50.0% sharing of the net collaboration profits.
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Other Services
Simultaneous with the formation of Samsung Bioepis, we also entered into a technical development services agreement, a manufacturing agreement and a license agreement with Samsung Bioepis.
Under the technical development services agreement, we provided Samsung Bioepis technical development and technology transfer services, which included, but were not limited to, cell culture development, purification process development, formulation development and analytical development.
Under the manufacturing agreement, we manufacture clinical and commercial quantities of bulk drug substance of biosimilar products for Samsung Bioepis pursuant to contractual terms. 
Following the divestiture of our Hillerød, Denmark manufacturing operations in August 2019, FUJIFILM assumed responsibility for the manufacture of clinical and commercial quantities of bulk drug substance of biosimilar products for Samsung Bioepis. We no longer recognize revenues for the manufacturing completed after the divestiture date under the manufacturing agreements with Samsung Bioepis. For additional information on the divestiture of our Hillerød, Denmark manufacturing operations, please read Note 3, Divestitures, to these consolidated financial statements.
Under the license agreement, we granted Samsung Bioepis an exclusive license to use, develop, manufacture and commercialize biosimilar products created by Samsung Bioepis using Biogen product-specific technology. In exchange, we receive single digit royalties on biosimilar products developed and commercialized by Samsung Bioepis.
For the years ended December 31, 2022, 2021 and 2020, 2019 and 2018, we recognized $20.9recognized $20.6 million, $106.2$20.7 million and $96.4$20.9 million, respectively, in revenuesroyalty revenue under the license technical development services and manufacturing agreements, which is reflected in revenues from collaborative and other relationships, agreement, as a component of other revenuesrevenue in our consolidated statements of income.
Amounts receivable from Samsung Bioepis related to the agreements discussed aboveabove were $5.1$2.0 million and $85.0and $4.1 million as of December 31, 20202022 and 2019,2021, respectively. Amounts payable to Samsung Bioepis related to the agreements discussed above were $40.5 million and $148.7 million as of December 31, 2020, were $99.0 million. Amounts payable to Samsung Bioepis as of December 31, 2019, consisted of the $100.0 million upfront payment related to the transaction we completed in December 2019, as discussed above.2022 and 2021, respectively.
19.     
Note 20:Investments in Variable Interest Entities
Consolidated Variable Interest Entities
Our consolidated financial statements include the financial results of variable interest entities in which we are the primary beneficiary. The following are our significant variable interest entities.
Neurimmune SubOne AG
We have a collaboration and license agreement with Neurimmune SubOne AG (Neurimmune) for the development and commercialization of antibodies for the potential treatment of Alzheimer's disease, including aducanumabADUHELM (as amended, the Neurimmune Agreement). We are responsible for the development, manufacturing and commercialization of all collaboration products. The Neurimmune Agreement is effective for the longer of the duration of certain patents relating to a licensed product or 12 years from the first commercial sale of a licensed product.
We consolidate the results of Neurimmune as we determined that we are the primary beneficiary of Neurimmune because we have the power through the collaboration to direct the activities that most significantly impact the entity’s economic performance and we are required to fund 100.0% of the research and development costs incurred in support of the collaboration.
In October 2017 we amended the terms of the Neurimmune Agreement and made a $150.0 million payment to Neurimmune in exchange for a 15.0% reduction in the previously negotiated Our royalty rates payable on products developed under the Neurimmune Agreement, including royalties payable on potential commercial sales of aducanumab. In May 2018 we made an additional $50.0 million payment to Neurimmune to further reduce the previously negotiated royalty rates payable on products developed under the Neurimmune Agreement, including
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royalties payable on potential commercial sales of aducanumab, by an additional 5.0%. Our royalty rates payable on products developed under the Neurimmune Agreement, including royalty rates payable on potential commercial sales of aducanumab, nowADUHELM, range from the high single digits to sub-teens. As we consolidate the results of Neurimmune, we treated these payments as distributions and recognized them as charges to noncontrolling interests in the fourth quarter of 2017 and the second quarter of 2018, as applicable.
Under the terms of the Neurimmune Agreement, we were required to pay Neurimmune a milestone payment of $75.0 million upon the regulatory filing with the FDA for the approval of aducanumab.ADUHELM. During the second quarter of 2020 we paid Neurimmune $75.0 million upon the completed submission of the BLA for the approval of aducanumabADUHELM to the FDA, which was recognized as a charge to net income (loss) attributable to noncontrolling interests, for the year ended December 31, 2020.net of tax in our consolidated statements of income. In addition, forduring the year ended December 31,second quarter of 2020 we recognized net profit-sharing income of $33.8 million to reflect Eisai's 45.0% share of the $75.0 million milestone expense.
Additionally, if aducanumab receives regulatory approvalpayment, which was recognized in the jurisdictions where we have submitted filings, we may pay up to approximately $200.0 million in milestones to Neurimmune in 2021, which includes $100.0 million if launched in the U.S., $50.0 million if launched in three or more countries within the E.U. and $50.0 million if launched in Japan. Milestones payable to Neurimmune are shared expenses under the Aducanumab Collaboration Agreement with Eisai.
Research and development costs for which we reimburse Neurimmune are reflected in research and development expensecollaboration profit (loss) sharing in our consolidated statements of income.
In June 2021 ADUHELM was granted accelerated approval by the FDA. Under the terms of the Neurimmune Agreement, we were required to pay Neurimmune a milestone payment of $100.0 million related to the launch of ADUHELM in the U.S. During the years ending December 31, 2020, 2019second quarter of 2021 we made this $100.0 million payment, which was recognized as a charge to net income (loss) attributable to noncontrolling interests, net of tax in our consolidated statements of income. In addition, during the second quarter of 2021 we recognized net profit-sharing income of $45.0 million to reflect Eisai's 45.0% share of the $100.0 million milestone payment, which was recognized in collaboration profit (loss) sharing in our consolidated statements of income.
During 2021 we recorded a net deferred tax asset in Switzerland of approximately $100.0 million on Neurimmune's tax basis in ADUHELM, the realization of which was dependent on future sales of ADUHELM. During the first quarter of 2022, upon issuance of the final NCD related to ADUHELM, we recorded an increase in a valuation allowance of approximately $85.0 million to reduce the net value of this deferred tax asset to zero. These adjustments to our net deferred tax asset are each recorded with an equal and 2018, amounts reimbursed were immaterial.offsetting amount assigned to net income (loss) attributable to noncontrolling interests, net of tax in our consolidated statements of income, resulting in a zero net impact to net income attributable to Biogen Inc.
TheExcluding the impact of the Neurimmune deferred tax asset, the assets and liabilities of Neurimmune are not significant to our consolidated financial position or results of operations as it is a research and development organization. We have provided no financing to Neurimmune other than contractually required amounts.
UnderResearch and development costs for which we reimburse Neurimmune are reflected in research and development expense in our consolidated statements of income. During the Aducanumab Collaboration Agreement, Eisai had an option to share in the benefityears ending December 31, 2022, 2021 and cost associated with the royalty reductions discussed above; however, Eisai did not elect to share in the benefit and cost with respect to either the October 2017 or May 2018 royalty reductions, which will impact the amount of profits (losses) on potential commercial sales of aducanumab to be shared with Eisai.2020, amounts reimbursed were immaterial.
For additional information on our collaboration arrangements with Eisai, please read Note 18,19, Collaborative and Other Relationships, to these consolidated financial statements.
Unconsolidated Variable Interest Entities
We have relationships with various variable interest entities that we do not consolidate as we lack the power to direct the activities that significantly impact the economic success of these entities. These relationships include investments in certain biotechnology companies and research collaboration agreements.
As of December 31, 20202022 and 2019,2021, the carrying value of our investments in certain biotechnology companies representing potential unconsolidated variable interest entities totaled $12.8$27.8 million and $22.7$24.6 million, respectively. Our maximum exposure to loss related to these variable interest entities is limited to the carrying value of our investments.
We have also entered into research collaboration agreements with certain variable interest entities where we are required to fund certain development activities. These development activities are included in research and development expense in our consolidated statements of income as they are incurred. We have provided no financing to these variable interest entities other than previouslyprevious contractually required amounts.
20.    
Note 21:Litigation
We are currently involved in various claims and legal proceedings, including the matters described below. For information as to our accounting policies relating to claims and legal proceedings, including use of estimates and contingencies, please read Note 1, Summary of Significant Accounting Policies, to these consolidated financial statements.
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With respect to some loss contingencies, an estimate of the possible loss or range of loss cannot be made until management has further information, including, for example, (i) which claims, if any, will survive dispositive
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motion practice; (ii) information to be obtained through discovery; (iii) information as to the parties' damages claims and supporting evidence; (iv) the parties’ legal theories; and (v) the parties' settlement positions. If an estimate of the possible loss or range of loss can be made at this time, it is included in the potential loss contingency description below.
The claims and legal proceedings in which we are involved also include challenges to the scope, validity or enforceability of the patents relating to our products, pipeline or processes and challenges to the scope, validity or enforceability of the patents held by others. These include claims by third partiesthird-parties that we infringe their patents. An adverse outcome in any of these proceedings could result in one or more of the following and have a material impact on our business or consolidated results of operations and financial position: (i) loss of patent protection; (ii) inability to continue to engage in certain activities; and (iii) payment of significant damages, royalties, penalties and/or license fees to third parties.
Loss Contingencies
AducanumabADUHELM Securities Litigation
We and certain current and former officers are named as defendants in an actionactions filed by a shareholder onshareholders in November 13, 2020 in the U.S. District Court for the Central District of California(the November 2020 Securities Action) and an action filed by a shareholder on January 5, 2021,February 2022 (the February 2022 Securities Action) and pending in the U.S. District Court for the District of Massachusetts. BothThe actions allege violations of federal securities laws under 15 U.S.C §78j(b) and §78t(a) and 17 C.F.R. §240.10b-5 and are seeking a declarationseek declarations of the actionactions as a class actionactions and an awardmonetary relief. In September 2022, the court dismissed the November 2020 Securities Action, and the plaintiff has appealed to the U.S. Court of damages, interestAppeals for the First Circuit. Our motion to dismiss the February 2022 Securities Action is pending.
Shareholder Derivative Actions
We and attorneys' fees. An estimatemembers of the possible loss or rangeBoard of loss cannot be made at this time. No trial dateDirectors are named as defendants in derivative actions filed by shareholders on February 9 and July 21, 2022, in the U.S. District Court for the District of Massachusetts. The actions allege violations of federal securities laws under 15 U.S.C. §78n(a) and 17 C.F.R. §240 14.a-9, breaches of fiduciary duties and waste of corporate assets, and seek declaratory and injunctive relief, monetary relief payable to Biogen, and attorneys’ fees and costs payable to the plaintiffs. The court has been set.stayed both cases.
IMRALDI Patent Litigation
In September 2018 Fresenius Kabi Deutschland GmbH (Fresenius Kabi) commenced proceedings for damages and injunctive relief against Biogen France SAS in the Tribunal de Grande Instance de Paris and proceedings against Biogen GmbH in the Düsseldorf Regional Court, alleging that IMRALDI, the adalimumab biosimilar product of Samsung Bioepis UK Limited that Biogen has commercializedcommercializes in Europe, infringes the French counterpartnational counterparts of European Patent No. 3 148 510 (the EP '510 Patent). In June 2022 Fresenius Kabi amended both actions to assert claims under European Patent 3 145 488 (the EP ‘488 Patent), which was issued in June 2018 and expires in May 2035. No hearing has been scheduled.set in either action.
In October 2018 Fresenius Kabi commenced preliminary injunction proceedings against Biogen (Denmark) Manufacturing ApS and Biogen Denmark A/S in Denmark's Maritime and Commercial High Court alleging infringementJune 2022 the Technical Boards of Danish Utility Models. In June 2019 the Danish court denied Fresenius Kabi's request for a preliminary injunction. Fresenius Kabi has appealed that decision and was permitted to add a claim of infringementAppeal (TBA) of the Danish counterpartEuropean Patent Office (EPO) affirmed the revocation of the ‘510 patent, andEP '510 Patent, which resolves all pending infringement claims under the appeal is pending. In July 2020EP '510 Patent. The EPO upheld the Danishvalidity of the EP '488 Patent Board of Appeal revoked the Danish Utility Models that were the subject of Fresenius Kabi’sin October 2018 request for a preliminary injunction and Fresenius Kabi has appealed those revocations to Denmark’s Maritime and Commercial High Court. No hearing has been scheduled in that appeal.2022.
In June 2020 Fresenius Kabi commenced preliminary injunction proceedings against Biogen (Denmark) Manufacturing ApS and Biogen (Denmark) A/S in Denmark’sDenmark's Maritime and Commercial High Court alleging infringementthat IMRALDI infringes the Danish counterpart of anotherthe EP '488 Patent and a corresponding Danish Utility Model. A hearingutility model, DK 2020 00038 Y3. In September 2021 the Court refused Fresenius Kabi's request for a preliminary injunction and Fresenius Kabi has been scheduled for May 2021.withdrawn its appeal.
In November 2018 Fresenius KabiJuly 2019 Gedeon Richter Nyrt commenced infringement proceedings for damages and injunctive relief against Biogen GmbH in the Düsseldorf Regional Court relating to the German counterpart of the ‘510 Patent. A hearing has been set for August 2021.
In July 2019 Gedeon Richter PLC (Gedeon Richter) commenced proceedings against Biogen GmbH in the Düsseldorf Regional Court, alleging infringement of the German counterpart of European Patent No. 3 212 667 (the EP '667 Patent), which was issued in September 2018 and expires in October 2035, and seeking damages and injunctive relief.2035. The case has been stayed pending Gedeon Richter's appeal to the TBA of the revocation of the patent. A hearing has been set by the TBA for July 2023.
In November 2021.
An estimate of the possible loss or range of loss2020 Gedeon Richter Nyrt commenced proceedings against Biogen GmbH in the IMRALDI patent litigation described above cannot be made at this time.
Qui Tam Litigation
In July 2015Düsseldorf Regional Court alleging infringement of a qui tam action filed by Michael Bawduniak on behalf of the U.S. and certain states was unsealed by the U.S. District Court for the District of Massachusetts.German utility model corresponding to EP '667. The action alleges sales and promotional activities in violation of the federal False Claims Act and state law counterparts and seeks single and treble damages, civil penalties, interest, attorneys’ fees and costs. No trial dateproceeding has been set. The U.S.stayed pending the outcome of proceedings that Biogen has not made an intervention decision. An estimate offiled in the possible loss or range of loss cannot be made at this time.German Patent and Trademark Office to cancel the utility model, and in which a hearing has been set for March 2023.
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Dispute with Former Convergence Shareholders
In 2015 Biogen acquired Convergence, a UK company. In November and December 2019 Shareholder Representative Services LLC, on behalf of the former shareholders of Convergence, sent us correspondence asserting claims of $200.0 million for alleged breach of the contract under which we acquired Convergence. We dispute the claims.
Dispute with Jacobs Switzerland GmbHERISA Class Action Litigation
Jacobs Switzerland GmbH,In September 2020 the general contractorU.S. District Court for the constructionDistrict of Massachusetts consolidated two cases filed against us in July and August 2020 by participants in the Biogen 401(k) Savings Plan, alleging breach of fiduciary duty under ERISA. Plaintiffs seek a declaration of the action as a class action and monetary and other relief.
Humana Patient Assistance Litigation
In September 2021 Humana Inc. (Humana) filed suit against us in the U.S. District Court for the District of Massachusetts, alleging damages related to our large-scale biologics manufacturing facility in Solothurn, Switzerland, claimed additional payments were due for constructionproviding MS patients with free medications and making charitable contributions to non-profit organizations that assist MS patients. Humana alleges violation of the federal RICO Act and state laws and seeks statutory treble damages, attorneys' fees and costs. We have reached anfiled a motion to dismiss, which is pending.
Distributor Matter
In December 2022 we terminated our distribution agreement with the distributor of products for Biogen in principle to resolvevarious countries in the claim.Middle East and northern Africa. The former distributor has asserted breach of contract. No suit has been filed.
Other Matters
Petition for Inter Partes ReviewGovernment Investigations
The company has received subpoenas from the Securities and Exchange Commission seeking information relating to ADUHELM, including healthcare sites and ADUHELM's approval. In July 2018 Mylan Pharmaceuticals, Inc. (Mylan) filed a petition that was granted by2021 the U.S. Patent TrialHouse of Representatives Committees on Oversight and Appeal Board (PTAB) for inter partes reviewReform and Energy (House Committees) and the Office of our U.S. Patent No. 8,399,514 (the '514 Patent). The '514 Patent includes claims covering treatment of MS with 480 mg of dimethyl fumarate per day as provided for in our TECFIDERA label.Inspector General (OIG) each announced investigations related to ADUHELM. In February 2020December 2022 the PTABHouse Committees issued a final written decision upholding the patentability of the ‘514report on their investigation.
TYSABRI Patent and in April 2020 MylanMatters
In September 2022 we filed an appeal in the U.S. Court of Appeals for the Federal Circuit (the Federal Circuit), which is pending.
Hatch-Waxman Act Litigation relating to TECFIDERA Orange-Book Listed Patents
In 2017 to 2020, we filed patent infringement proceedings relating to TECFIDERA Orange-Book listed patents pursuant to the Drug Price Competition and Patent Term Restoration Act of 1984, commonly known as the Hatch-Waxman Act (the Delaware Actions), against Accord Healthcare Inc., Alkem Laboratories Ltd., Amneal Pharmaceuticals LLC, Cipla Limited, Graviti Pharmaceuticals Pvt. Ltd., Hetero USA, Inc., Lupin Atlantis Holdings SA, Macleods Pharmaceuticals, Ltd., MSN Laboratories Pvt. Ltd., Pharmathen S.A., Prinston Pharmaceutical Inc., Sandoz Inc., Shilpa Medicare Limited, Slayback Pharma LLC, Sun Pharmaceutical Industries, Ltd., Sun Pharmaceutical Industries, Inc., Sun Pharma Global FZE, Torrent Pharmaceuticals Ltd., TWi Pharmaceuticals, Inc., Windlas Healthcare Pvt. Ltd. and Zydus Pharmaceuticals (USA) Inc. (collectively, the Delaware Defendants)action in the U.S. District Court for the District of Delaware (the Delaware Court)against Sandoz Inc. and against Mylan inPolpharma Biologics S.A. under the U.S. District Court for the Northern District of West Virginia (the West Virginia Court).
On June 22, 2020, the West Virginia Court entered judgment for Mylan that the asserted claims of the ‘514 Patent are invalid for lack of written description. We appealed the judgment to the Federal CircuitBiologics Price Competition and the appeal is pending.
The Delaware Court entered judgment for the Delaware Defendants on the grounds that theInnovation Act, 42 U.S.C. §262, seeking a declaratory judgment of the West Virginia Court applies to the Delaware Actions under principles of collateral estoppel. We have appealed the judgments and the appeal is pending.
European Patent Office Oppositionspatent infringement. No trial date has been set.
In 2016December 2022 the European Patent Office (EPO) revokedTBA affirmed the revocation of our European Patent No. 2 137 537, which covers the treatment676 967 (the EP '967 Patent), covering pre-treatment testing of MS with 480 mg of dimethyl fumarate as provided for in our TECFIDERA label. We have appealed to the Technical Boards of Appeal of the EPO and a hearing date has been set for January 2022.patients using natalizumab (TYSABRI).
In March 2018 the EPO revoked Forward Pharma's European Patent No. 2 801 355, which expires in October 2025. Forward Pharma hasSeptember 2021 Polpharma Biologics S.A., Sandoz AG, Sandoz Limited and Sandoz GmbH filed an appeal to the Technical Boards of Appeal of the EPO and a hearing has been set for September 2021.
TYSABRI Patent Revocation Matters
In November 2017 Bioeq GMBH, affiliated with the Polpharma Group, brought an action in the Polish Patent Office seeking to revoke Polish Patent No. 215263 (the Polish '263 Patent), which corresponds to our European Patent No. 1 485 127 (the E.U. '127 Patent) and covers administration of natalizumab (TYSABRI) to treat MS. The Polish '263 Patent expires in February 2023. A hearing was held in January 2021 and a decision is pending. In August 2020 a related entity, Polpharma Biologics S.A., also brought an action seekingEnglish High Court to revoke the Polish ‘263U.K. counterpart of the EP ‘967 Patent. No hearingtrial date has been set in this matter.
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Swiss Pharma International AG, also affiliated with the Polpharma Group, filed actions in the District Court of the Hague, Netherlands (January 2016), the German Patents Court (March 2016) and the Commercial Court of Rome (November 2017) seeking to invalidate the Dutch, German and Italian counterparts, respectively, of the E.U. '127 Patent, which also cover administration of natalizumab (TYSABRI) to treat MS and expire in February 2023. The Dutch and German counterparts were ruled invalid. The decision in the Dutch action was affirmed on appeal and the German appeal has been withdrawn. No hearing has been set in the Italian action.set.
Annulment Proceedings in the General Court of the European Union relating to TECFIDERA
Pharmaceutical Works Polpharma SA (Polpharma) and Mylan Ireland Ltd. (Mylan Ireland) have each filed applicationsactions in the General Court of the European Union (Polpharma in October 2018 and Mylan Ireland in November 2020) seeking to annul decisions of the European Medicines AgencyAgency's (EMA) refusingdecision not to validate Polpharma’s and Mylan Ireland’s respectivetheir applications to market a generic versionversions of TECFIDERA. The EMA’s refusals wereTECFIDERA on the grounds that TECFIDERA benefits from regulatory data protection. Biogen andOn May 5, 2021, the European Commission were granted leaveGeneral Court annulled the EMA's non-validation decision with respect to intervenePolpharma. The European Court of Justice will announce its decision in supportour appeal of the EMA in the case brought by Polpharma. That case was heard in July 2020 and we are awaiting a decision. We intend to seek leave to intervene in support of the EMA in thethis decision on March 16, 2023. The case brought by Mylan Ireland. No hearingIreland has been set in that matter.stayed.
Product Liability and Other Legal Proceedings
We are also involved in product liability claims and other legal proceedings generally incidental to our normal business activities. While the outcome of any of these proceedings cannot be accurately predicted, we do not believe
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the ultimate resolution of any of these existing matters would have a material adverse effect on our business or financial condition.
21.    
Note 22:Commitments and Contingencies
Royalty Payments
TYSABRI
In 2013 we acquired from Elan full ownership of all remaining rights to TYSABRI that we did not already own or control. Under the acquisition agreement, we are obligated to make contingent payments to Elan of 18.0% on annual worldwide net commercial sales up to $2.0 billion and 25.0% on annual worldwide net commercial sales that exceed $2.0 billion. Royalty payments to Elan and other third parties are recognized as cost of sales in our consolidated statements of income. Elan was acquired by Perrigo Company plc (Perrigo) in December 2013 and Perrigo subsequently sold its rights to these payments to a third-party effective January 2017.
SPINRAZA
In 2016 we exercised our option to develop and commercialize SPINRAZA from Ionis. Under our agreement with Ionis, we make royalty payments to Ionis on annual worldwide net commercial sales of SPINRAZA using a tiered royalty rate between 11.0% and 15.0%, which are recorded as cost of sales in our consolidated statements of income. For additional information on our collaboration arrangements with Ionis, please read Note 18,19, Collaborative and Other Relationships, to these consolidated financial statements.
VUMERITY
In October 2019 the FDA approved VUMERITY for the treatment of RMS. Under our agreement with Alkermes, we make royalty payments to Alkermes on worldwide net commercial sales of VUMERITY using a royalty rate of 15.0%, which are recorded as cost of sales in our consolidated statements of income. Royalties payable on net commercial sales of VUMERITY are subject, under certain circumstances, to tiered minimum annual payment requirements for a period of five years following FDA approval. For additional information on our collaboration arrangement with Alkermes, please read Note 18,19, Collaborative and Other Relationships, to these consolidated financial statements.
Contingent Consideration related to Business Combinations
In connection with our acquisition of Convergence, we agreed to make additional payments based upon the achievement of certain milestone events.
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As the acquisition of Convergence occurred after January 1, 2009, we recognized the contingent consideration liabilities associated with this transaction at their fair value on the acquisition date and revalue the remaining obligations each reporting period. We may pay up to approximately $400.0 million in remaining milestones related to these acquisitions.
Fumapharm AG
In 2006 we acquired Fumapharm AG. As part of this acquisition we acquired the Fumapharm Products. We were required to make contingent payments to former shareholders of Fumapharm AG and holders of their rights based on the attainment of certain cumulative sales levels of Fumapharm Products and the level of total net sales of Fumapharm Products in the prior 12-month period, as defined in the acquisition agreement, until such time as the cumulative sales level reached $20.0 billion, at which time no further contingent payments were due. During the first quarter of 2019 we paid the final $300.0 million contingent payment as we achieved the $20.0 billion cumulative sales levels related to the Fumapharm Products in the fourth quarter of 2018.
Contingent Development, Regulatory and Commercial Milestone Payments
Based on our development plans as of December 31, 2020,2022, we could trigger potential future milestone payments to third parties of up to approximately $10.2$9.3 billion, including approximately $1.9$2.0 billion in development milestones, approximately $1.3$0.5 billion in regulatory milestones and approximately $7.0$6.8 billion in commercial milestones, as part of our various collaborations, including licensing and development programs. Payments under these agreements generally become due and payable upon achievement of certain development, regulatory or commercial milestones. Because the achievement of these milestones was not considered probable as of December 31, 2020,2022, such contingencies have not been recorded in our financial statements. Amounts related to contingent milestone payments are not considered contractual obligations as they are contingent on the successful achievement of certain development, regulatory or commercial milestones.
If certain clinical and commercial milestones are met, we may pay up to $86.2$356.2 million in milestones in 20212023 under our current agreements. Additionally, if aducanumab receives regulatory approvalThis includes milestones totaling $225.0 million due to Sage upon the first commercial sale of zuranolone, for the potential treatment of MDD and PPD, in the jurisdictions where we have submitted filings, we may pay up to $200.0 million in milestones to Neurimmune in 2021, which includes $100.0 million if launched in the U.S., $50.0 million if launched in three or more countries within the E.U. and $50.0 million if launched in Japan. Milestones payable to Neurimmune are shared expenses under the Aducanumab Collaboration Agreement with Eisai.
During the second quarter of 2020 we paid Neurimmune $75.0 million upon the completed submission of the BLA for the approval of aducanumabADUHELM to the FDA, which was recognized as a charge to net income (loss) attributable to noncontrolling interests, fornet of tax in our consolidated statements of income.
In June 2021 ADUHELM was granted accelerated approval by the year ended December 31, 2020.FDA. Under the terms of the Neurimmune Agreement, we were required to pay Neurimmune a milestone payment of $100.0 million related to the launch of ADUHELM in the U.S. During the second quarter of 2021 we made this $100.0 million payment, which was recognized as a charge to net income (loss) attributable to noncontrolling interests, net of tax in our consolidated statements of income.
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Other Funding Commitments
As of December 31, 2020,2022, we have several ongoing clinical studies in various clinical trial stages. Our most significant clinical trial expenditures are to CROs. The contracts with CROs are generally cancellable, with notice, at our option. We recorded accrued expensesexpense of approximately $21.7$20.4 million in our consolidated balance sheetsheets for expenditures incurred by CROs as of December 31, 2020.2022. We have approximately $593.0$929.0 million in cancellable future commitments based on existing CRO contracts as of December 31, 2020.
As part of the sale of our Hillerød, Denmark manufacturing operations to FUJIFILM, we provided FUJIFILM with certain minimum batch production commitment guarantees. There is a risk that the minimum contractual batch production commitments will not be met. Based upon current estimates we do not expect to incur an adverse commitment obligation associated with such guarantees. We developed this estimate using a probability-weighted estimate of future manufacturing activity and may further adjust this estimate based upon changes in business conditions, which may result in the increase or reduction of this adverse commitment obligation in subsequent periods.2022.
Tax Related Obligations
We exclude liabilities pertaining to uncertain tax positions from our summary of contractual obligations as we cannot make a reliable estimate of the period of cash settlement with the respective taxing authorities. As of December 31, 2020,2022, we have approximately $79.6$154.6 million of liabilities associated with uncertain tax positions.
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As of December 31, 20202022 and 2019,2021, we have accrued income tax liabilities of $697.0approximately $558.0 million and $633.0 million, respectively, under the Transition Toll Tax. Of the amounts accrued as of December 31, 2020, $62.02022, approximately $137.8 million is expected to be paid within one year. The Transition Toll Tax will be paid in installments over an eight--year period, which started in 2018, and doeswill not accrue interest. For additional information on the Transition Toll Tax, please read Note 16,17, Income Taxes, to these consolidated financial statements.
Solothurn, Switzerland Manufacturing Facility
In order to support our future growth and drug development pipeline, we are building a large-scale biologics manufacturing facility in Solothurn, Switzerland. We expect this facility to be partially operational during the first half of 2021. As of December 31, 2020, we had contractual commitments of approximately $9.3 million related to the construction of this facility.
22.      
Note 23:Guarantees
As of December 31, 20202022 and 2019,2021, we did not have significant liabilities recorded for guarantees.
We enter into indemnification provisions under our agreements with other companies in the ordinary course of business, typically with business partners, contractors, clinical sites and customers. Under these provisions, we generally indemnify and hold harmless the indemnified party for losses suffered or incurred by the indemnified party as a result of our activities. These indemnification provisions generally survive termination of the underlying agreement. The maximum potential amount of future payments we could be required to make under these indemnification provisions is unlimited. However, to date we have not incurred material costs to defend lawsuits or settle claims related to these indemnification provisions. As a result, the estimated fair value of these agreements is minimal. Accordingly, we have no liabilities recorded for these agreements as of December 31, 20202022 and 2019.2021.
23.      
Note 24:Employee Benefit Plans
We sponsor various retirement and pension plans. Our estimates of liabilities and expensesexpense for these plans incorporate a number of assumptions, including expected rates of return on plan assets and interest rates used to discount future benefits.
401(k) Savings Plan
We maintain a 401(k) Savings Plan, which is available to substantially all regular employees in the U.S. over the age of 21. Participants may make voluntary contributions. We make matching contributions according to the 401(k) Savings Plan’s matching formula. All matching contributions and participant contributions vest immediately. The 401(k) Savings Plan also holds certain transition contributions on behalf of participants who previously participated in the Biogen, Inc. Retirement Plan. The expense related to our 401(k) Savings Plan primarily consists of our matching contributions.
Expense related to our 401(k) Savings Plan totaled $44.3approximately $56.0 million, $44.8$58.4 million and $42.2$44.3 million for the years ended December 31, 2022, 2021 and 2020, 2019 and 2018, respectively.
Deferred Compensation Plan
We maintain a non-qualified deferred compensation plan, known as the Supplemental Savings Plan (SSP), which allows a select group of management employees in the U.S. to defer a portion of their compensation. The SSP also provides certain credits to highly compensated U.S. employees that are paid by the company. These credits are known as the Restoration Match. The deferred compensation amounts are accrued when earned. Such deferred compensation is distributable in cash in accordance with the rules of the SSP. Deferred compensation amounts under such plan as of December 31, 20202022 and 2019,2021, totaled approximately $120.0$131.9 million and $114.6$131.4 million, respectively, and are included in other long-term liabilities in our consolidated balance sheets. The SSP also holds certain transition contributions on behalf of participants who previously participated in the Biogen, Inc. Retirement
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Plan. The Restoration Match and participant contributions vest immediately. Distributions to participants can be either in one lump sum payment or annual installments as elected by the participants.
Pension Plans
Our retiree benefit plans include defined benefit plans for employees in our affiliates in Switzerland and Germany as well as other insignificant defined benefit plans in certain other countries where we maintain an operating presence.
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Our Swiss plan is a government-mandated retirement fund that provides employees with a minimum investment return. The minimum investment return is determined annually by the Swiss government and was 2.00% in 2022 and 1.00% in 2020, 2019both 2021 and 2018.2020. Under the Swiss plan, both we and certain of our employees with annual earnings in excess of government determined amounts are required to make contributions into a fund managed by an independent investment fiduciary. Employer contributions must be in an amount at least equal to the employee’s contribution. Minimum employee contributions are based on the respective employee’s age, salary and gender. As of December 31, 20202022 and 2019,2021, the Swiss plan had an unfunded net pension obligation of $75.7$49.9 million and $42.9$64.1 million, respectively, and plan assets that totaled $170.0$193.7 million and $127.1$200.1 million, respectively. In 2020, 20192022, 2021 and 20182020 we recognized net expense totaling $15.5$20.0 million, $14.7$21.5 million and $14.8$15.5 million, respectively, related to our Swiss plan, of which $2.6$5.3 million, $1.2$3.5 million and $1.3$2.6 million, respectively, was included in other income (expense), net.(income) expense, net in our consolidated statements of income.
The obligations under the German plans are unfunded and totaled $75.5$40.9 million and $59.6$68.4 million as of December 31, 20202022 and 2019,2021, respectively. Net periodic pension cost related to the German plans totaled $6.2$5.9 million, $5.1$7.6 million and $5.3$6.2 million for the years ended December 31, 2020, 20192022, 2021 and 2018,2020, respectively, of which $2.0$1.8 million, $1.4$2.1 million and $1.5$2.0 million, respectively, was included in other income (expense), net.(income) expense, net in our consolidated statements of income.
24.      
Note 25:Segment Information
We operate as 1one operating segment, focused on discovering, developing and delivering worldwide innovative therapies for people living with serious neurological and neurodegenerative diseases as well as related therapeutic adjacencies. Our Chief Executive Officer (CEO),CEO, as the chief operating decision-maker, manages and allocates resources to the operations of our company on a total company basis. Our research and development organization is responsible for the research and discovery of new product candidates and supports development and registration efforts for potential future products. Our pharmaceutical, operations and technology organization manages the development of the manufacturing processes, clinical trial supply, commercial product supply, distribution, buildings and facilities. Our commercial organization is responsible for U.S. and international development of our commercial products. The company is also supported by corporate staff functions. Managing and allocating resources on a total company basis enables our CEO to assess the overall level of resources available and how to best deploy these resources across functions, therapeutic areas and research and development projects that are in line with our long-term company-wide strategic goals. Consistent with this decision-making process, our CEO uses consolidated, single-segment financial information for purposes of evaluating performance, forecasting future period financial results, allocating resources and setting incentive targets.
Enterprise-wide disclosures about product revenues,revenue, other revenuesrevenue and long-lived assets by geographic area are presented below. Revenues areRevenue is primarily attributed to individual countries based on location of the customer or licensee.
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Geographic Information
The following tables contain certain financial information by geographic area:
December 31, 2020
(In millions)U.S.EuropeAsiaOtherTotal
Product revenues from external customers$5,900.1 $3,656.4 $596.7 $539.0 $10,692.2 
Revenues from anti-CD20 therapeutic programs1,897.4 0.1 80.3 1,977.8 
Other revenues from external customers733.6 8.1 32.9 774.6 
Long-lived assets1,496.3 2,321.4 16.2 10.9 3,844.8 
December 31, 2019
(In millions)U.S.EuropeAsiaOtherTotal
Product revenues from external customers$6,713.8 $3,794.5 $320.3 $551.2 $11,379.8 
Revenues from anti-CD20 therapeutic programs2,211.9 0.2 78.3 2,290.4 
Other revenues from external customers585.8 9.7 112.2 707.7 
Long-lived assets1,493.2 2,162.9 6.2 12.0 3,674.3 
December 31, 2018
(In millions)U.S.EuropeAsiaOtherTotal
Product revenues from external customers$6,800.5 $3,370.3 $281.2 $434.8 $10,886.8 
Revenues from anti-CD20 therapeutic programs1,903.4 0.2 76.6 1,980.2 
Other revenues from external customers457.0 32.7 96.2 585.9 
Long-lived assets1,152.7 2,442.8 3.9 1.8 3,601.2 
December 31, 2022
(In millions)U.S.
Europe(1)
GermanyAsiaOtherTotal
Product revenue from external customers$3,469.3 $2,401.3 $926.2 $672.1 $518.9 $7,987.8 
Revenue from anti-CD20 therapeutic programs1,636.4 0.1 — — 64.0 1,700.5 
Other revenue from external customers425.8 11.7 — 47.6 — 485.1 
Long-lived assets1,369.4 2,275.8 21.0 13.7 22.6 3,702.5 
December 31, 2021
(In millions)U.S.
Europe(1)
GermanyAsiaOtherTotal
Product revenue from external customers$3,805.7 $2,626.0 $1,162.4 $688.0 $564.8 $8,846.9 
Revenue from anti-CD20 therapeutic programs1,596.7 — — — 61.8 1,658.5 
Other revenue from external customers429.9 9.7 — 36.7 — 476.3 
Long-lived assets1,390.5 2,337.8 25.4 16.4 21.7 3,791.8 
December 31, 2020
(In millions)U.S.
Europe(1)
GermanyAsiaOtherTotal
Product revenue from external customers$5,900.1 $2,495.3 $1,161.1 $596.7 $539.0 $10,692.2 
Revenue from anti-CD20 therapeutic programs1,897.4 0.1 — — 80.3 1,977.8 
Other revenue from external customers733.6 8.0 0.1 32.9 — 774.6 
Long-lived assets1,496.3 2,290.2 31.2 16.2 10.9 3,844.8 
Other
(1) Represents amounts related to Europe less those attributable to Germany.
Long-Lived Assets
As of December 31, 2022, 2021 and 2020, 2019 and 2018, approximately $2,180.6$2,198.5 million, $2,028.8$2,237.0 million and $1,748.5$2,180.6 million, respectively, of our long-lived assets were related to the construction of our large-scale biologics manufacturing facility in Solothurn, Switzerland.
In August 2019 we completed the sale of all of the outstanding shares of our subsidiary that owned our biologics manufacturing operations in Hillerød, Denmark to FUJIFILM. As of December 31, 2018, approximately $646.5 million of our long-lived assets were related to our manufacturing facility in Hillerød, Denmark.
For additional information on our large-scale biologicsSolothurn manufacturing facility, in Solothurn, Switzerland, please read Note 10,11, Property, Plant and Equipment, to these consolidated financial statements. For additional information on the divestiture of our Hillerød, Denmark manufacturing operations, please read Note 3, Divestitures, to these consolidated financial statements.
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25.      Quarterly Financial Data (Unaudited)
(In millions, except per share amounts)First
Quarter
Second
Quarter
Third
Quarter
Fourth
Quarter
Total
Year
2020
Product revenues, net$2,904.6 $2,795.7 $2,690.3 $2,301.6 $10,692.2 
Revenues from anti-CD20 therapeutic programs$520.4 $478.3 $560.1 $419.0 $1,977.8 
Other revenues$109.3 $407.6 $125.7 $132.0 $774.6 
Total revenues$3,534.3 $3,681.6 $3,376.1 $2,852.6 $13,444.6 
Gross profit (1)
$3,080.0 $3,270.5 $2,927.0 $2,361.9 $11,639.4 
Net income$1,392.6 $1,606.5 $703.9 $357.6 $4,060.5 
Net income attributable to Biogen Inc.$1,399.1 $1,542.1 $701.5 $357.9 $4,000.6 
Net income per share:
Basic earnings per share attributable to Biogen Inc.$8.10 $9.60 $4.47 $2.33 $24.86 
Diluted earnings per share attributable to Biogen Inc.$8.08 $9.59 $4.46 $2.32 $24.80 
Weighted-average shares used in calculating:
Basic earnings per share attributable to Biogen Inc.172.8 160.6 156.9 153.7 160.9 
Diluted earnings per share attributable to Biogen Inc.173.1 160.9 157.2 154.0 161.3 
(In millions, except per share amounts)First
Quarter
Second
Quarter
Third
Quarter
Fourth
Quarter
Total
Year
2019 
Product revenues, net$2,680.0 $2,880.3 $2,894.7 $2,924.8 $11,379.8 
Revenues from anti-CD20 therapeutic programs$517.4 $576.4 $595.8 $600.8 $2,290.4 
Other revenues$292.4 $160.0 $109.6 $145.7 $707.7 
Total revenues$3,489.8 $3,616.7 $3,600.1 $3,671.3 $14,377.9 
Gross profit (1)
$2,887.8 $3,140.4 $3,170.1 $3,224.2 $12,422.5 
Net income$1,408.8 $1,494.1 $1,545.9 $1,439.7 $5,888.5 
Net income attributable to Biogen Inc.$1,408.8 $1,494.1 $1,545.9 $1,439.7 $5,888.5 
Net income per share:
Basic earnings per share attributable to Biogen Inc.$7.17 $7.85 $8.40 $8.10 $31.47 
Diluted earnings per share attributable to Biogen Inc.$7.15 $7.85 $8.39 $8.08 $31.42 
Weighted-average shares used in calculating:
Basic earnings per share attributable to Biogen Inc.196.6 190.3 184.0 177.8 187.1 
Diluted earnings per share attributable to Biogen Inc.197.0 190.4 184.2 178.2 187.4 
(1) Gross profit is calculated as total revenues less cost of sales, excluding amortization and impairment of acquired intangible assets.
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REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To the Board of Directors and Shareholders of Biogen Inc.

Opinions on the Financial Statements and Internal Control over Financial Reporting
We have audited the accompanying consolidated balance sheets of Biogen Inc. and its subsidiaries (the “Company”) as of December 31, 20202022 and 2019,2021, and the related consolidated statements of income, of comprehensive income, of equity and of cash flowsflow for each of the three years in the period ended December 31, 2020,2022, including the related notes (collectively referred to as the “consolidated financial statements”). We also have audited the Company's internal control over financial reporting as of December 31, 2020,2022, based on criteria established in Internal Control - Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).
In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of the Company as of December 31, 20202022 and 2019,2021, and the results of its operations and its cash flows for each of the three years in the period ended December 31, 20202022 in conformity with accounting principles generally accepted in the United States of America. Also in our opinion, the Company maintained, in all material respects, effective internal control over financial reporting as of December 31, 2020,2022, based on criteria established in Internal Control - Integrated Framework (2013) issued by the COSO.
Changes in Accounting Principles
As discussed in Note 1 to the consolidated financial statements, the Company changed the manner in which it accounts for leases in 2019 and the manner in which it accounts for income taxes for intra-entity transfers of assets other than inventory in 2018.

Basis for Opinions
The Company's management is responsible for these consolidated financial statements, for maintaining effective internal control over financial reporting, and for its assessment of the effectiveness of internal control over financial reporting, included in Management’s Annual Report on Internal Control over Financial Reporting appearing under Item 9A. Our responsibility is to express opinions on the Company’s consolidated financial statements and on the Company's internal control over financial reporting based on our audits. We are a public accounting firm registered with the Public Company Accounting Oversight Board (United States) (PCAOB) and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audits to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement, whether due to error or fraud, and whether effective internal control over financial reporting was maintained in all material respects.
Our audits of the consolidated financial statements included performing procedures to assess the risks of material misstatement of the consolidated financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the consolidated financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the consolidated financial statements. Our audit of internal control over financial reporting included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, and testing and evaluating the design and operating effectiveness of internal control based on the assessed risk. Our audits also included performing such other procedures as we considered necessary in the circumstances. We believe that our audits provide a reasonable basis for our opinions.

Definition and Limitations of Internal Control over Financial Reporting
A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (i) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (ii) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance
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with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (iii) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that could have a material effect on the financial statements.
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Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

Critical Audit Matters
The critical audit matter communicated below is a matter arising from the current period audit of the consolidated financial statements that was communicated or required to be communicated to the audit committee and that (i) relates to accounts or disclosures that are material to the consolidated financial statements and (ii) involved our especially challenging, subjective, or complex judgments. The communication of critical audit matters does not alter in any way our opinion on the consolidated financial statements, taken as a whole, and we are not, by communicating the critical audit matter below, providing a separate opinion on the critical audit matter or on the accounts or disclosures to which it relates.
Reserves for Medicaid and Managed Care Rebates
As described in Notes 1 and 45 to the consolidated financial statements, the Company recognized revenue from product sales net of reserves, including Medicaid and managed care rebates. Within Accrued expensesaccrued expense and other, total contractual adjustments amounted to $1,093.0$868.1 million as of December 31, 2020. This2022. A portion of this balance primarily includes provisions for Medicaid and managed care rebates in the US. Medicaid rebates relate to the Company’s estimated obligations to states under established reimbursement arrangements. The Company’s liability for Medicaid rebates consists of estimates for claims that a state will make for the current quarter, claims for prior quarters that have been estimated for which an invoice has not been received, invoices received for claims from the prior quarters that have not been paid and an estimate of potential claims that will be made for inventory that exists in the distribution channel at period end. Managed care rebates represent the Company’s estimated obligations to third parties,third-parties, primarily pharmacy benefit managers. Rebate accruals are recorded in the same period the related revenue is recognized, resulting in a reduction of product revenue and the establishment of a liability which is included in accrued expenses and other current liabilities. These rebates result from performance-based goals, formulary position and price increase limit allowances (price protection). The calculation of the accrual for these rebates is based on an estimate of the customer’s buying coverage patterns and the resulting applicable contractual rebate rate(s) to be earned over a contractual period. As disclosed by management,Rebate accruals for Medicaid and managed care are recorded in the same period the related revenue is recognized, resulting in a reduction of product revenue and the establishment of a liability which is included in accrued expense and other current liabilities. The Medicaid and managed care estimates reflect historical experience, current contractual and statutory requirements, specific known market events and trends, industry data and forecasted customer buying and payment patterns.
The principal considerations for our determination that performing procedures relating to reserves for Medicaid and managed care rebates is a critical audit matter are the significant judgment by management due to the significant measurement uncertainty involved in developing these reserves, as the reserves are based on assumptions developed using historical experience, current contractual requirements, specific known market events and payment patterns, which in turn led to a high degree of auditor judgment, subjectivity, and effort in applying procedures and evaluating audit evidence related to these assumptions.
Addressing the matter involved performing procedures and evaluating audit evidence in connection with forming our overall opinion on the consolidated financial statements. These procedures included testing the effectiveness of controls relating to the reserves for Medicaid and managed care rebates, including controls over the assumptions used to estimate these Medicaid and managed care rebate reserves. These procedures also included, among others (i) developing an independent estimate of the Medicaid and managed care rebate reserves by utilizing third-party data related to product demand, data related to price changes, the terms of the specific rebate programs, the historical trend of actual rebate claims paid and consideration of contractual requirement changes and market events; (ii) comparing the independent estimate to management’s estimate,estimate; and (iii) testing rebate claims paid by the Company, including evaluating the claims for consistency with the contractual terms of the Company’s rebate agreements.
/s/PricewaterhouseCoopers LLP
Boston, Massachusetts
February 3, 202115, 2023

We have served as the Company's auditor since 2003.
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