As filed with the Securities and Exchange Commission on March 12, 2008


UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549


 
FORM 20-F
(Mark One)
 
oREGISTRATION STATEMENT PURSUANT TO SECTION 12(b) OR (g) OF THE SECURITIES EXCHANGE ACT OF 1934
OR
 
OR
xANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
 For the fiscal year ended December 31, 20072009
OR
 
OR
oTRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
OR
 
OR
o
SHELL COMPANY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
 
Date of event requiring this shell company report _____________
Date of event requiring this shell company report _____________
 
For the transition period from _____________ to _____________
For the transition period from _____________ to _____________
 
Commission file number 001-11960
 
ASTRAZENECA PLC
(Exact name of Registrant as specified in its charter)
 
England
(Jurisdiction of incorporation or organization)
 
15 Stanhope Gate, London W1K 1LN
(Address of principal executive offices)
 

Adrian Kemp
AstraZeneca PLC
15 Stanhope Gate, London W1K 1LN
Telephone: +44 20 7304 5000
Facsimile number: +44 20 7304 5196
(Name, Telephone, E-Mail or Facsimile number and Address of Company Contact Person)

Securities registered or to be registered pursuant to Section 12(b) of the Act:
 
Title of each class
 
Name of each exchange on which registered
American Depositary Shares, each representing one Ordinary Share of 25¢ each
 The New York Stock Exchange
Ordinary Shares of 25¢ each
 The New York Stock Exchange*

 

*Not for trading, but only in connection with the registration of American Depositary Shares representing such Ordinary Shares pursuant to the requirements of the Securities and Exchange Commission.
 
 
Securities registered or to be registered pursuant to Section 12(g) of the Act:
 
None

(Title of Class)
 
Securities for which there is a reporting obligation pursuant to Section 15(d) of the Act:
 
None

(Title of Class)
 
Indicate the number of outstanding shares of each of the issuer’s classes of capital or common stock as of the close of the period covered by the annual report.
The number of issuedoutstanding shares of each class of stock of AstraZeneca PLC as of March 12, 2008December 31, 2009 was:
 
Ordinary Shares of 25¢ each: 1,457,014,1561,450,958,562
Redeemable Preference Shares of £1 each: 50,000


 
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities ActAct.
 
x Yes   o  No


x  Yes  o No
If this report is an annual or transition report, indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934.
 
o  Yes  x No
 
Note — checking the box above will not relieve any registrant required to file reports pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 from their obligations under those Sections.
 
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.
 
x Yes
x  Yes  o No
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted 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 and post such files).*
 
x  Yes  o No

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accreditednon-accelerated filer.  See definition of “accelerated filer and large accelerated filer” in Rule 12b-2 of the Exchange Act.  (Check one):
 
Large accelerated filer x
Accelerated filer o
Non-accelerated filer o

Indicate by check mark which basis of accounting the registrant has used to prepare the financial statements included in this filing:
U.S. GAAP o
International Financial Reporting Standards as issued by the International Accounting Standards Board x
Other o

If “Other” has been checked in response to the previous question, indicate by check mark which financial statement item the registrant has elected to follow.
 
o  Item 17    x  Item 18
o  Item 17  o Item 18
If this is an annual report, indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).
 
o Yes   x  No
o  Yes  x No
(APPLICABLE ONLY TO ISSUERS INVOLVED IN BANKRUPTCY PROCEEDINGS DURING THE PAST FIVE YEARS)
 
Indicate by check mark whether the registrant has filed all documents and reports required to be filed by Sections 12, 13 or 15(d) of the Securities Exchange Act of 1934 subsequent to the distribution of securities under a plan confirmed by a court.
 
o  Yes  o No


* This requirement does not apply to the registrant until its fiscal year ending December 31, 2011.



Pursuant to Rule 12b-23(a) of the Securities Exchange Act of 1934, as amended, the information for the 20072009 Form 20-F of AstraZeneca PLC (the(“AstraZeneca” or the “Company”) set out below is being incorporated by reference from the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated and submitted on March 12, 2008.25, 2010.
 
References below to major headings include all information under such major headings, including subheadings, unless such reference is part of a reference to a subheading, in which case such reference includes only the information contained under such subheading.  Graphs and tabular data are not included unless specifically identified below.  Photographs are also not included.
 
In addition to the information set out below, the information set forth under the headings “Cautionary statement regarding forward-looking statements” on the inside front cover, the information set forth under the headings “Trade marks”, “Inclusion of reported performance, core financial measures and constant exchange rate growth rates”, “Statements of competitive position, growth rates and sales”, “AstraZeneca websites”, “External/third party websites”, “Definitions”, “Use of terms”, “Statements of dates”, “Statements and “Figures” on the inside front cover, the paragraph regarding trade marks of competitive position”, “Statements of growth rates, sales and market data” and “AstraZeneca websites”the AstraZeneca group on the inside back cover, “Cross-reference to Form 20-F” on page 205 and the information“Glossary” on pages 202206 to 204,207, in each case of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
 
 
PART I1
 
ITEM 1 - IDENTITY OF DIRECTORS, SENIOR MANAGEMENT AND ADVISERS
 
Not applicable.
 
ITEM 2 - OFFER STATISTICS AND EXPECTED TIMETABLE
 
Not applicable.
 
ITEM 3 - KEY INFORMATION
 
A. Selected Financial Data
 
The information (including graphs and tabular data) set forth under the headings “Financial Highlights” on pages 2 and 3, “Financial Statements—Notes to the Financial Statements—Note 30—20—Share Capitalcapital of Parentthe Company” (including tabular data)on pages 153 and 154, “Group Financial Record” on page 176, “Financial Statements—Group Financial Record” (including tabular data) on page 184193 and the first table that appears under “Additional Information—Shareholder Information” on page 186,199, in each case of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.  The selected financial data incorporated by reference herein is derived from audited financial statements of the Company and its consolidated entities, prepared in accordance with International Financial Reporting Standards (“IFRS”) as adopted by the European Union and IFRS as issued by the International Accounting Standards Board.Board, included in the Company’s “Annual Report and Form 20-F Information 2009” included as exhibit 15.1 to this Form 20-F dated March 25, 2010.
 
B. Capitalization and Indebtedness
 
Not applicable.
 
C. Reason for the Offer and Use of Proceeds
 
Not applicable.
 
D. Risk Factors
 
The information set forth or referenced under the heading “Additional Information—Risk”“Directors’ Report—Corporate Governance—Risk—Principal risks and uncertainties” on pages 19380 to 19986 of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
 
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On March 23, 2010, the US healthcare reform bill was signed into law by President Obama.  For further discussion as to the proposed US healthcare reforms, please see the information set forth under the heading “—Principal risks and uncertainties” on the pages referenced above of the Company’s “Annual Report and Form 20-F Information 2009”.
ITEM 4 - INFORMATION ON THE COMPANY
 
A. History and Development of the Company
 
The information (including tabular data) set forth under the headings “Additional Information—Corporate Information—History and Developmentdevelopment of the Company” on page 200,204, “Directors’ Report—Our Performance—Resources, Skills and Capabilities—SupplyOur resources” on pages 25 and Manufacturing—Supply capability” on page 34,32, “Directors’ Report—Reviews—Financial Review—Financial Position, Including position, including cash flow and liquidity – 2009—Property, plant and equipment” and “—Cash Flowflow” on pages 39 and Liquidity—41, respectively, “Directors’ Report—Reviews—Financial Review—Financial position, including cash flow and liquidity – 2008—Property, plant and equipment”, “—Cash flow” and “—Investments, divestments and capital expenditure” on pages 81 to 83, “Directors’ Report—Financial Review—Acquisition of MedImmune”, on pages 8343, 44 and 84,44, respectively, “Financial Statements—Notes to the Financial Statements—Note 8—7—Property, Plantplant and Equipment”equipment” on page 139 and “—Note 22—Acquisitions of business operations” on pages 131 and 132 and “Financial Statements—Notes154 to the Financial Statements—Note 24—Acquisitions of Business Operations” on pages 145 to 148,156, in each case of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
 
B. Business Overview
 
The information set forth under the heading “AstraZeneca and our Year in Brief” on page 1, the information (including graphs and tabular data) set forth under the headings “Directors’ Report”“Introduction—Our year in brief” on pages 82 to 76,3, “Directors’ Report—Performance” on pages 12 to 35 and “—Reviews” on pages 50 to 78, “Additional Information—Development Pipeline” on pages 196 to 198”, “Financial Statements—Notes to the Financial Statements—Statements —Note 1—Product revenue information” on page 133, and “—Note 6—Segment Information” on pages 128137 to 129, “Financial Statements—Notes to the Financial Statements—Note 7—Product Sales Information” on page 130138 and “Statements of competitive position”position, growth rates and sales” on the inside backfront cover, in each case of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
 
Restructuring Initiatives
As disclosed in the information set forth under the headings referenced above, the Company plans to implement certain restructuring initiatives in its Research and Development (“R&D”) organization from 2010 as part of its ongoing restructuring programs.  These R&D initiatives are designed to achieve material efficiency savings in R&D, which will partially mitigate the increase in R&D investment that would be required as projects in the current pipeline progress to the more resource intensive, later phases of development.
Through its previously announced restructuring programs, the Company had realized annualized benefits of US $1.6 billion by the end of 2009, which are expected to grow to approximately US $2.4 billion by the end of 2010.  These programs have involved job reductions of 12,600 positions and, to the end of 2009, have resulted in the incurrence of US $2.5 billion in restructuring costs.
Through the Company’s next phase of restructuring plans (which includes the R&D initiatives, as well as completion of previously announced programs and some additional initiatives in supply chain, selling, general and administration), it expects to realize a further US $1.9 billion in estimated annual benefits by the end of 2014.  Of this, the R&D initiatives are expected to result in approximately US $1 billion of annual savings, of which 50% is estimated to be cost savings and the other 50% cost avoidance.
The Company expects to incur restructuring costs of US $2.0 billion for the next restructuring phase, of which US $1 billion is estimated to be the cost of implementation of the R&D initiatives (approximately 60% of which is estimated to be cash costs).
The Company’s next phase of restructuring, when fully implemented, may involve up to an additional 10,400 reductions in job positions.  Based on preliminary estimates, approximately 3,500 of these 10,400 positions may be affected by the implementation of the R&D initiatives, although after taking account of positions retained and
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relocated to other sites, investment in new skills and capabilities and further expansion of Biologics activities, the net reduction due to these initiatives may fall to approximately 1,800 positions.
Results of Horizon Study Evaluating RECENTIN
On February 27, 2008,March 8, 2010, the Company announced the top-line results of a Phase II/III study evaluating RECENTIN (cediranib) compared with Avastin (bevacizumab) in patients with first-line metastatic colorectal cancer (mCRC).  This study, HORIZON III, assessed the efficacy of cediranib compared with bevacizumab, both in combination with chemotherapy.  Clinical activity was observed in the cediranib arm of the study and there was no statistically significant difference between treatment arms on the efficacy endpoints examined.  However, the efficacy did not meet the pre-specified criteria for the primary endpoint of non-inferiority in progression-free survival.
The spectrum of adverse events associated with cediranib was broadly consistent with previous studies.  HORIZON III continues with ongoing collection of overall survival data.
This is the first of two pivotal studies of cediranib in first-line mCRC. The other study, HORIZON II, is assessing the efficacy of cediranib combined with chemotherapy vs. chemotherapy alone, and data are expected in the coming months. Results from both studies will determine the clinical utility, if any, for cediranib in colorectal cancer and decisions regarding regulatory filing.  Data from both of these studies will be submitted to a forthcoming medical meeting in the second half of 2010.
Results of a Phase III study with cediranib in treating recurrent glioblastoma are also expected in the first half of 2010.   Exploratory evaluations of cediranib in other tumors are also ongoing.
Update on the Company’s Arrangements with Merck
Information on the Company’s arrangements with Merck & Co., Inc. (“Merck”) is set forth under the heading “Financial Statements—Notes to the Financial Statements —Note 25—Arrangements with Merck” on pages 166 to 168 of the Company’s “Annual Report and Form 20-F Information 2009” included as exhibit 15.1 to this Form 20-F dated March 25, 2010, which is incorporated by reference.  Capitalized terms used below and not defined have the meanings ascribed to them in Note 25.
On March 1, 2010, the Company announced that, its HORIZON III Phase II/III head-to-head studyunder the provisions of RECENTIN (cediranib, AZD2171)the agreements relating to the restructuring of the joint venture in the US between the Company and Merck (the “Agreements”), the Company has notified Merck that it will exercise the First Option related to the relinquishment of Merck’s rights over the products not covered by the Partial Retirement (which occurred in March 2008), other than Nexium and Prilosec and the right to receive contingent payments in respect of the authorized generic version of felodipine.  Products covered by the First Option include Entocort, Atacand and Plendil, and certain products still in development, including Brilinta, AZD3355, AZD6765 and AZD2327.  The Company expects to consummate this option in April 2010, which will result in the payment to Merck of the Appraised Value of US $647 million.  As previously disclosed, in accordance with chemotherapy versus bevacizumab (Avastin)the Agreements, in 2008 a third party appraisal resulted in a calculation of the Appraised Value, being the net present value of the future contingent payments in respect of all agreement products not covered by the Partial Retirement, other than Prilosec and Nexium.  Upon consummation of the First Option, contingent payments will cease on the products covered by the First Option.  The Company made contingent payments in respect of the products included in the First Option of US $47 million in 2009.  Merck’s continuing contingent payment interest in respect of the authorized generic version of felodipine is the result of Ranbaxy Pharmaceuticals, Inc. becoming the exclusive US distributor of this product.  Such contingent payments will continue for the duration of this arrangement.  
Under the Agreements a Second Option exists whereby the Company has the option to repurchase Merck’s interests in Prilosec and Nexium in the US.  Now that the Company has exercised the First Option, the Second Option is exercisable by the Company in 2012, or in 2017, or if combined annual sales of the two products fall below a minimum amount.  The Company’s consummation of the Second Option will end the contingent payments in respect of Prilosec and Nexium and will effectively end the Company’s relationship with, chemotherapyand obligations to, Merck (other than some residual manufacturing arrangements).  The exercise price for the Second Option is the net present value of the future annual contingent payments on Prilosec and Nexium as determined at the time of
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exercise.   The Company made contingent payments in patientsrespect of Prilosec and Nexium amounting to US $726 million in 2009.    
Consummation of the First Option will give rise to additional amortization expense, associated with first line metastatic colorectal cancer (CRC)intangible assets related to relief from contingent payments to Merck for products covered by the First Option, in the range of US $10 million to US $45 million per annum charged to Cost of Goods Sold, with the amount of the charge dependent on the launch status of the covered pipeline compounds.  A further amortization expense of approximately US $60 million per annum will be progressing directly intocharged to SG&A, related to the ability to exploit these products and to exploit other opportunities in the Cardiovascular and Neuroscience therapy areas that the Company was previously prevented from doing by Merck’s interest in these products.  For the purposes of calculating Core financial measures, the Company will exclude only the amortization expense related to therapy area intangibles (i.e., that charged to SG&A) from the Core financial measures calculations.  
AstraZeneca and Rigel Pharmaceuticals Sign Worldwide License Agreement for Fostamatinib Disodium
On February 16, 2010, the Company and Rigel Pharmaceuticals, Inc. (“Rigel”) announced an exclusive worldwide license agreement for the global development and commercialization of fostamatinib disodium (R788), Rigel’s late-stage investigational product for rheumatoid arthritis (“RA”) and additional indications.  Fostamatinib disodium, which has completed a comprehensive Phase III at 20mg. PatientsII program, is the furthest developed oral Spleen Tyrosine Kinase (“Syk”) inhibitor being evaluated for RA. Inhibiting Syk is thought to block the intracellular signaling of various immune cells implicated in the destruction of bone and cartilage which is characteristic of RA.
Once the agreement is effective, the Company will make an upfront payment to Rigel of US $100 million with up to an additional US $345 million payable if specified development, regulatory and first commercial sale milestones are achieved.  Rigel will also continuebe eligible to be recruited at 20mg intoreceive up to an additional US $800 million of specified sales-related milestone payments if the first line CRC HORIZON II studyproduct achieves considerable levels of RECENTIN with chemotherapy versus chemotherapy alone.commercial success, as well as significant stepped double-digit royalties on net sales worldwide.  The Company is responsible for all development, regulatory filings, manufacturing and global commercialization activities in all licensed indications under the contract. Effectiveness of the agreement is contingent on expiration or termination of the waiting period under the US Hart-Scott-Rodino Antitrust Improvements Act of 1976, as amended.
 
The HORIZON Independent Data Monitoring Committee (IDMC) conductedCompany will design a planned endglobal phase III program, anticipated to begin in the second half of Phase II (EOP II) review2010, with the goal of efficacyfiling new drug applications with the US Food and tolerabilityDrug Administration (the “FDA”) and the European Medicines Agency (EMEA) in 2013.  Fostamatinib disodium is being developed as a next generation oral RA therapy in adults who have failed to respond adequately to a traditional disease modifying anti-rheumatic drug (DMARD), such as methotrexate, where a TNF biologic add-on treatment would currently be considered. Under the terms of the agreement, the Company will also receive exclusive rights to Rigel’s portfolio of oral Syk inhibitors, as well as for additional indications for fostamatinib disodium beyond RA.
FDA Approves New Indication for CRESTOR
On February 9, 2010, the Company announced the approval by the FDA of CRESTOR (rosuvastatin calcium) to reduce the risk of stroke, myocardial infarction (heart attack) and arterial revascularization procedures in individuals without clinically evident coronary heart disease but with an increased risk of cardiovascular disease (“CVD”) based on age (men ≥50 and women ≥60), high-sensitivity C-reactive protein (hsCRP) ≥ 2 mg/L, and the presence of at least one additional CVD risk factor, such as hypertension, low HDL-C, smoking, or a family history of premature coronary heart disease.
The FDA approval was based on data from HORIZON I, HORIZON IIthe JUPITER (Justification for the Use of statins in Primary prevention: an Intervention Trial Evaluating Rosuvastatin) study which evaluated the impact of CRESTOR 20 mg on reducing major cardiovascular (CV) events in a previously unstudied population.  In JUPITER, CRESTOR significantly reduced the relative risk of heart attack by 54%, stroke by 48%, and HORIZON III. Data from HORIZON I, in second line colorectal cancer, would notarterial revascularization by itself have contributed to a positive EOP II decision. However, when combined46% compared with a review of data from HORIZON II and III by the IDMC, the IDMC confirmed the HORIZON programme in 1st line CRC could continue and HORIZON II and III had met pre-defined EOP II criteria.placebo.
 
AstraZeneca also announced that the National Cancer Institute of Canada Clinical Trials Group (NCIC-CTG) has informed AstraZeneca that the BR24 Phase II/III study of RECENTIN at 30mg in first line non-small cell lung cancer (NSCLC) will not continue into Phase III following the planned end of Phase II efficacy and tolerability analysis by the study’s Data Safety Monitoring Committee. Although evidence of clinical activity was seen, there appeared to be an imbalance in toxicity and therefore the study was considered not to have met the pre-defined criteria for automatic continuation into Phase III.
AstraZeneca is working in close collaboration with the NCIC-CTG to understand the BR24 data further.
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In addition to colorectal and non-small cell lung cancer, the RECENTIN development programme includes trials in recurrent glioblastoma and a number of signal search studies in other tumours.
 
C. Organizational Structure
 
The information set forth under the headings “Directors’ Report—Corporate GovernanceGovernance—Business Organisation and Managing Risk—Corporate Governance:  Governance—Other Matters—matters—Subsidiaries and principal activities” on page 4598 and “Financial Statements—Principal Subsidiaries” on page 177,186, in each case of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
 
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D. Property, Plants and Equipment
 
The information (including tabular data) set forth under the headings “Directors’ Report—Our Resources, Skills and Capabilities—Main Facilities” on page 37, “Directors’ Report—Reviews—Financial Review—Financial Position,position, including Cash Flowcash flow and Liquidity—liquidity – 2009—Property, plant and equipment” and “—Financial position, including cash flow and liquidity – 2008—Property, plant and equipment”, on page 81, “Additional Information—pages 39 and 43, respectively, “Directors’ Report—Corporate Governance—Risk—Industry/Economic Environment Risks—Principal risks and uncertainties—Legal, regulatory and compliance risks—Environmental/occupational health and safety liabilities” on page 196,85, “Financial Statements—Notes to the Financial Statements—Note 27—25—Commitments and contingent liabilities—Environmental costs and liabilities” on pages 160 to 161page 168, “—Note 7—Property, plant and “Financial Statements—Notes to the Financial Statements—Note 8—Property, Plantequipment” on page 139 and Equipment”‘Additional Information—Corporate Information—Property” on pages 131 to 132,page 204, in each case of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
 
ITEM 4A - UNRESOLVED STAFF COMMENTS
 
Not applicable.
 
ITEM 5 - OPERATING AND FINANCIAL REVIEW AND PROSPECTS
 
The information (including graphs and tabular data) set forth under the headings “Directors’ Report—Geographical Review—North America—US—Medicare Part D prescription drug benefit”Performance—Business Environment—World pharmaceutical markets” on page 70,13, “Directors’ Report—Our Resources, Skills and Capabilities—Sales and Marketing—Price regulation”Reviews—Financial Review” on pages 3136 to 32, “Directors Report—49, “—Reviews—Geographical Review” on pages 50 to 54, “—Reviews—Therapy Area Review—Sales by Therapy Area” (comprising tabular data only) on page 55, “—Reviews—Therapy Area Review—Our financial performance” (comprising tabular data only) on pages 57, 61, 63, 66, 69 toand 72, “—Reviews—Therapy Area Review—Financial performance 2009/2008” on pages 59, 61, 64, 67, 70 and 74, “Directors’ Report—Financial Review” on pages 77 to 96, “Directors’ Report—Our Performance—Resources, Skills and Capabilities—Research and Development” on pages 2322 to 26,27, “Directors’ Report—Corporate Governance—Risk—Principal risks and uncertainties—Commercialization and business execution risks—Competition, price controls and price reductions” on page 83, “Financial Statements—Notes to the Financial Statements—Note 15—Interest Bearing Loans14—Interest-bearing loans and Borrowings”borrowings” on page 135, “Financial Statements—Notes144, “—Note 15—Financial risk management objectives and policies” on pages 144 to the Financial Statements—146, “—Note 16—Financial Risk Management Objectives and Policies”instruments” on pages 136146 to 137, “Financial Statements—Notes to the Financial Statements—152, “—Note 17—Financial Instruments” on pages 138 to 141, “Financial Statements—Notes to the Financial Statements—Note 21—Reserves—Nature19—Capital and purpose of otherreserves—Other reserves” on page 145153 and “Financial Statements—Notes to the Financial Statements—“—Note 27—25—Commitments and Contingent Liabilities”contingent liabilities” on pages 158166 to 174,184, in each case of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
 
On February 28, 2008,March 23, 2010, the Company announced that,US healthcare reform bill was signed into law by President Obama.  For further discussion as to the proposed US healthcare reforms, please see the information set forth under the provisionsheading “—Competition, price controls and price reductions” on page 83 referenced above of the agreements relatingCompany’s “Annual Report and Form 20-F Information 2009”.
AstraZeneca Reaches Agreement with UK Tax Authorities over Transfer Pricing
Subsequent to approval of the Company’s financial statements for the year ended December 31, 2009 on  January 28, 2010, on February 23, 2010 AstraZeneca entered into an agreement with HM Revenue & Customs in the UK (“HMRC”) to settle a long-running transfer pricing dispute and certain other outstanding UK tax matters.  The material elements of the transfer pricing dispute are set forth under the headings “Directors’ Report—Reviews—Financial Review—Critical accounting policies and estimates—Taxation” on pages 48 and 49 and “Financial Statements—Notes to the restructuringFinancial Statements —Note 25—Tax” on page 184, in each case of the AstraZenecaCompany’s
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“Annual Report and Merck & Co. joint ventureForm 20-F Information 2009” included as exhibit 15.1 to this Form 20-F dated March 25, 2010, incorporated by reference.
The settlement will result in the United States, AstraZeneca has been informed that Merck has elected notGroup paying £505 million to exercise the First Option relatedresolve all claims made by HMRC in relation to the relinquishmenttransfer pricing dispute for the 15-year period from 1996 to the end of Merck’s rights over the products not covered by the Partial Retirement, other than Nexium and Prilosec.2010.  Of this, £450 million (US $720 million at December 31, 2009 exchange rates) is estimated for accounting purposes as being in respect of periods prior to December 31, 2009.  As a result of this decision, contingent payments will continue onsettlement, the products Atacand, Lexxel, Plendiljoint referral of this issue to the UK Tax Court by the Company and Entocort until at least 2010, at which time AstraZeneca may exercise this option at the 2008 Appraised Value of approximately $650 million. The Appraised Value also includes rights to certain products that are stillHMRC, as disclosed in clinical development (AZD6140, AZD3355, AZD0328 and AZD2327). AstraZeneca made contingent payments in respectNote 25 of the productsFinancial Statements in Company’s “Annual Report and Form 20-F Information 2009”, will be withdrawn.
The provision for the transfer pricing dispute is included in the First Optiontotal net transfer pricing provision of $69US $2,327 million disclosed under “Directors’ Report—Reviews—Financial Review—Critical accounting policies and estimates—Taxation” and in 2007.
Other aspectsNote 25 of the scheduled termination arrangements will proceed as follows:
·The Partial Retirement of Merck’s limited partnership interest, under which Merck’s rightsFinancial Statements, in each case of the Company’s “Annual Report and Form 20-F Information 2009” on the pages referenced above.  The effect of this settlement and developments in other transfer pricing matters is a reduction in the accrual for tax contingencies of US $194 million which has been credited to income in respect of certain products will end. The products covered by the Partial Retirement include Toprol-XL, Pulmicort, Rhinocort and Symbicort. AstraZeneca made contingent payments in respect of these products amounting to $182 million in 2007. AstraZeneca will pay Merck approximately $4.27 billion in respect of the Partial Retirement.
·A true-up of the Advance Payment, which was triggered at the time of the merger between Astra and Zeneca, under which Merck relinquished all rights, including contingent payment on future sales, to potential Astra products with no existing or pending US patents at the time of the merger, amounting to a payment by Merck to AstraZeneca of approximately $0.24 billion, inclusive of interest.
·Settlement of the loan note receivable by AstraZeneca from Merck, in the amount of $1.4 billion inclusive of accrued interest.
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The combined effects of these three items will be a net cash outflow from AstraZeneca to Merck of approximately $2.63 billion upon settlement during the first quarter 2008.of 2010 and a total net transfer pricing provision of US $2,165 million (including the US $720 million resulting from the settlement).  The potential for reasonably possible additional losses has also reduced from US $575 million to US $450 million.
 
Further details on the accounting treatment of these events from the Company’s perspective will be provided in conjunction with the Q1 2008 earnings announcement on April 24, 2008.
ITEM 6 - DIRECTORS, SENIOR MANAGEMENT AND EMPLOYEES
 
A. Directors and Senior Management
 
The information set forth under the headings “Directors’ Report — Report—Corporate Governance—Business Organisation and Corporate Governance—Board of Directors at 31 December 2007”December” and “—Senior Executive Team at 31 December” on pages 1888 and 1989, and “Remunerationpages 90 and 91, respectively, “Directors’ Report—Corporate Governance—Directors’ Remuneration report—Executive Directors’ and Senior Executive Team’s Report—Remuneration and Termsterms of Employment—employment for Executive Directors and other SET members—Variable performance-related remuneration—Policy on external appointments and retention of fees” on page 105,110 and “—Directors’ Remuneration Report—Directors’ emoluments in 2009—Directors’ remuneration-US dollars” (last sentence only) on page 113, in each case of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
On February 18, 2008, the Company announced the appointment of Jean-Philippe Courtois to the Board of Directors as a Non-Executive Director with immediate effect. Jean-Philippe Courtois, age 47, is President of Microsoft International and a Senior Vice-President of Microsoft Corporation, having joined Microsoft in 1984.  He has previously served as Chief Executive Officer and President of Microsoft Europe, Middle East and Africa.
 
B. Compensation
 
The information (including graphs and tabular data) set forth under the headings “Remuneration“Directors’ Report—Corporate Governance—Directors’ Remuneration Report” on pages 98101 to 114,119, “Financial Statements—Notes to the Financial Statements—Note 25—Post-Retirement Benefits”23—Post-retirement benefits” on pages 148156 to 153, “Financial Statements—Notes to the Financial Statements—161, “—Note 26—24—Employee Costscosts and Share Option Plansshare option plans for Employees”employees” on pages 153161 to 158165 and “Financial Statements—Notes to the Financial Statements—“—Note 29—27—Statutory and Other Information—other information—Key management personnel compensation”, on page 175,185, in each case of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
 
C. Board Practices
 
The information set forth under the headings “Directors’ Report—Corporate Governance—Business Organisation—Organisation and Corporate Governance—Board of Directors at 31 December 2007”December” on pages 18 to 19, “Directors’ Report—Corporate Governance88 and Managing Risk—Corporate Governance: 89, “—Senior Executive Team at 31 December” on pages 90 and 91, “—Operation of the Board of Directors”Board” on pages 92 and 93, —Board Committee membership” (including tabular data) and “—Corporate Governance and Managing Risk—Corporate Governance:  Directors” each on page 93, “—Operation of Board Committees” on pages 3894 to 42,96, “—Corporate Governance and Managing Risk—Corporate Governance: Principal corporate governance requirements—UK and US Governance Requirements—The US Sarbanes-Oxley Act of 2002”corporate governance requirements” on pages 96 to 97 and “—The New York Stock Exchange”US corporate governance requirements” on page 97, “Directors’ Report—Corporate Governance—Directors’ Remuneration Report—Variable performance-related remuneration—Service contracts” and “—Non-Executive Directors”, each on page 43, “Business Report—Business Organisation—Chief Executive Officer and Delegation of Authority”110, and “—Senior Executive Team” each on page 20, and “Directors’Directors’ Remuneration Report—Executive Director’s and Senior Executive Team’s Remuneration and Terms of Employment—Audit—Details of Executive Directors’ service contracts at 31 December 2007”2009” and “—Non-Executive Directors’ terms and conditions” (consisting of tabular data), “—Service contracts” and “—Non-Executive Directors”, each on page 105,111, in each case of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
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Neither John Buchanan nor Bo Angelin, both of whom are current Non-Executive Directors of the Company, will present themselves for re-election at the Company’s Annual General Meeting in 2010 and both will leave the Company’s Board of Directors at the close of the Annual General Meeting.
 
D. Employees
 
The information set forth under the headings “Directors’ Report—Our Performance—Resources, Skills and Capabilities—People—CommunicationPeople” (comprising the graphical data, the first paragraph, and the information set forth under “Engagement and dialogue” and “—Employee relations”, each“Managing the impact of business change” only) on page 36pages 33 and 34 and “Financial Statements—Notes to the Financial Statements—Note 26—24—Employee Costscosts and Share Option Plansshare option plans for Employees”employees” (including the tabular data) on pages 153161 to 158,165, in each case of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
 
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E. Share Ownership
 
The information (including graphs and tabular data) set forth under the headings “Financial Statements—Notes to the Financial Statements—Note 26—24—Employee Costscosts and Share Option Plansshare option plans for Employees”employees” on pages 153161 to 158, “Remuneration165, “Directors’ Report—Directors’ Remuneration Report—Variable Remuneration” (including tabular data) on pages 102 to 105, “Remuneration Report—Corporate Governance—Directors’ Remuneration Report—Directors’ Interestsinterests in Shares”shares” on pages 110115 to 112, “Remuneration Report—Directors’ Remuneration Report—Share Options” on page 113, “—Directors’ Remuneration Report—Gains by Directors on Exercise of Share Options” on page 114,119, and “Additional Information—Shareholder Information—Major Shareholdings—Title of class”shareholdings” on pages 200 and 201 and “—Options to Purchase Securitiespurchase securities from Registrantregistrant or Subsidiaries” (consisting of tabular data and related text), bothsubsidiaries” on page 188,201, in each case of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
 
ITEM 7 - MAJOR SHAREHOLDERS AND RELATED PARTY TRANSACTIONS
 
A. Major Shareholders
 
The information set forth under the heading “Additional Information—Shareholder Information—Major Shareholdings”shareholdings” on pages 187 to 188200 and 201 of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
 
B. Related Party Transactions
 
The information set forth under the headings “Financial Statements—Notes to the Financial Statements—Note 29—27—Statutory and Other Information—Related party transactions” on page 175185 and “Additional Information—Shareholder Information—Related Party Transactions”party transactions” on page 188,201, in each case of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
 
C. Interests of Experts and Counsel
 
Not applicable.
 
ITEM 8 - FINANCIAL INFORMATION
 
A. Consolidated Statements and Other Financial Information
 
The information (including graphs and tabular data) set forth under the headings “Directors’ Report—Reviews—Financial Review—Capitalisation and Shareholder Return—shareholder return—Dividend and share re-purchases” on page 84,42, “Directors’ Report—Corporate GovernanceGovernance—Business Organisation and Managing Risk—Corporate Governance: Governance—Other Matters—Returnsmatters—Distributions to shareholders”shareholders and dividends for 2009” on pages 45 to 46,page 98, “Financial Statements” on pages 118124 to 176185 (including the information set forth under the subheading “Notes to the Financial Statements”), “Financial Statements—Principal Subsidiaries” on page 177, “Financial Statements—Group186, “Group Financial Record” on page 184,193, and “Additional Information—Shareholder Information” on pages 186199 to 192,203, in each case of the Company’s “Annual Report and
7

Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
 
B.  Significant Changes
SincePlease see the publicationinformation above under Item 5 – “Operating and Financial Review and Prospects—AstraZeneca Reaches Agreement with UK Tax Authorities over Transfer Pricing”, for information as to the settlement between the Company and HM Revenue & Customs in the UK, entered into subsequent to the approval of the Company’s Annual Report and Form 20-F Information 2007,financial statements for the Company has become aware of certain developments withyear ended December 31, 2009, in respect to currently pending litigation involving the Company and/or its affiliates, as described in more detail below.
Average Wholesale Price Class Action Litigation
A verdict was reached in February, 2008 in the Montgomery County Circuit Court awarding $40 million in compensatory damages and $175 million in punitive damages for alleged false and misleading reporting of prices for drugs reimbursed by the Alabama State Medicaid Agency in the US.
5

The Company was among 73 pharmaceutical manufacturers named in a lawsuit filed in 2005 by the Alabama Attorney General, alleging that misleading and false reported prices had caused Alabama Medicaid to reimburse pharmacists too much money on prescriptions filed for Medicaid patients.
The Company considers the lawsuit to be legally and factually unfounded, and believes that serious errors occurred during the proceedings and that the verdict should not be upheld.  The Company believes that it has fully complied with the law, government guidelines and contracts that govern Medicaid pricing.
The Company announced on February 22, 2008 that it intends to seek reconsideration or reversal of the verdict through appeal, in which it is confident that it will prevail and so no provision has been made for these awards.
The information set forthtransfer pricing dispute disclosed under the heading “Financial Statements—Notes to the Financial Statements—Note 25—Commitments and Contingent Liabilities—Average Wholesale Price Class Action Litigation” atcontingent liabilities—Tax” on page 171184 of the Company’s “Annual Report and Form 20-F Information 2007” included as exhibit 15.1 to this Form 20-F dated March 12, 2008 is incorporated by reference.2009”.
 
Patent Litigation (Seroquel)

On March 12, 2008,18, 2010, a New Jersey state court jury returned a verdict in favor of the Company announced that a trial date has been set for patent litigation in the US District Court forfirst Seroquel product liability case to go to trial.  For further information as to these product liability cases, please see the District of New Jersey against Teva Pharmaceutical Industries Ltd. (‘Teva’) and Sandoz, Inc. (‘Sandoz’) alleging infringement of AstraZeneca’s patent as a result of Teva’s and Sandoz’s filings of Abbreviated New Drug Applications (‘ANDAs’). The ANDAs seek approval to market generic versions of Seroquel (quetiapine fumarate tablets) in the US before Seroquel’s patent expires in 2011.  The US District Court for the District of New Jersey has set a date for trial beginning on 11 August 2008.

The information set forth under the heading “Financial Statements—Notes to the Financial Statements—Note 25—Commitments and Contingent Liabilities—contingent liabilities—Legal proceedings—Seroquel (quetiapine fumarate)—Patent Litigation” atProduct liability” on pages 168177 and 169178 of the Company’s “Annual Report and Form 20-F Information 2007”2009”.
B.  Significant Changes
Please see the information above under Item 5 – “Operating and Financial Review and Prospects—AstraZeneca Reaches Agreement with UK Tax Authorities over Transfer Pricing”, for information as to the settlement between the Company and HM Revenue & Customs in the UK, entered into subsequent to the approval of the Company’s financial statements for the year ended December 31, 2009, in respect of the transfer pricing dispute disclosed under the heading “Financial Statements—Notes to the Financial Statements—Note 25—Commitments and contingent liabilities—Tax” on page 184 of the Company’s “Annual Report and Form 20-F Information 2009”.
Other than as disclosed herein, since the date of the annual consolidated financial statements included as exhibit 15.1 toin this Form 20-F dated March 12, 2008 is incorporated by reference.
25, 2010, no significant change has occurred.
 
ITEM 9 - THE OFFER AND LISTING
 
A. Offer and Listing Details
 
The information (including graphs and tabular data) set forth under the heading “Additional Information—Shareholder Information” on page 186199 of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
 
In addition, the table below sets forth, for the periods indicated, the reported high and low share prices of AstraZeneca PLC, on the following bases:
 
 ·for shares listed on the London Stock Exchange (‘LSE’)(LSE) the reported high and low middle market closing quotations are derived from The Daily Official List;
 
 ·for shares listed on the Stockholm Stock Exchange (‘SSE’)(SSE) the high and low closing sales prices are as stated in the Official List;
 
 ·for American Depositary Shares (‘ADS’)(ADS) listed on the New York Stock Exchange the reported high and low sales are as reported by Dow Jones (ADR quotations).
 
  AstraZeneca 
  
Ordinary LSE
  
ADS
  
Ordinary SSE(1)
 
  High  Low  High  Low  High  Low 
  
(GB pence)
  
(GB pence)
  
(US$)
  
(US$)
  
(SEK)
  
(SEK)
 
2007 – Quarter 4  2,606   2,090   52.97   42.21   343.5   271.0 
2007 – Quarter 3  2,793   2,200   56.60   44.62   379.5   310.5 
2007  2,991
 
  2,090   59.47   42.21   415.5   271.0 
2006  3,529   2,574   66.37   45.12   484.0   352.5 
2005  2,837   1,861   49.50   34.72   392.0   243.0 
2004  2,749   1,863   50.85   35.88   374.0   237.5 
2003  2,868   1,820   49.47   29.98   382.0   245.0 
 AstraZeneca
 
Ordinary LSE
 
ADS
 
Ordinary SSE(1)
��High Low High Low High Low
 
(GB pence)
 
(GB pence)
 
(US$)
 
(US$)
 
(SEK)
 
(SEK)
            
2010 – February2,936 2,732 46.87 43.05 340.0 310.1
2010 – January3,103 2,875 50.40 46.08 363.8 331.0
2009 – December2,930 2,753 47.00 45.35 339.5 315.0
2009 – November2,778 2,691 46.38 44.34 319.0 310.1
2009 – October2,830 2,742 46.19 43.64 323.1 308.0
2009 – September2,856 2,691 46.02 43.91 333.0 305.0
20092,947 2,147 47.54 30.24 356.0 261.5
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 AstraZeneca
 
Ordinary LSE
 
ADS
 
Ordinary SSE(1)
 High Low High Low High Low
 
(GB pence)
 
(GB pence)
 
(US$)
 
(US$)
 
(SEK)
 
(SEK)
            
2009 – Quarter 42,930 2,691 47.00 43.64 339.5 308.0
2009 – Quarter 32,878 2,644 47.54 43.01 356.0 305.0
2009 – Quarter 22,728 2,276 45.01 33.40 351.0 279.5
2009 – Quarter 12,947 2,147 41.60 30.24 331.0 261.5
20082,888 1,748 49.85 34.10 340.5 211.5
2008 – Quarter 42,888 2,075 44.76 34.10 340.5 253.5
2008 – Quarter 32,766 2,130 49.85 43.42 321.5 255.5
2008 – Quarter 22,289 1,981 44.57 39.36 268.0 235.5
2008 – Quarter 12,345 1,748 45.70 35.50 296.5 211.5
20072,984 2,093 59.04 42.82 414.0 272.0
20063,529 2,574 66.37 45.12 484.0 352.5
20052,837 1,861 49.50 34.72 392.0 243.0


(1)Principally held in bearer form.
 
B. Plan of Distribution
 
Not applicable.
 
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C. Markets
 
The information set forth under the heading “Additional Information—Shareholder Information”Information—AstraZeneca PLC” on page 186199 of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
 
D. Selling Shareholders
 
Not applicable.
 
E. Dilution
 
Not applicable.
 
F. Expenses of the Issue
 
Not applicable.
 
ITEM 10 - ADDITIONAL INFORMATION
 
A. Share Capital
 
Not applicable.
 
B. Memorandum and Articles of Association
 
The information set forth under the heading “Additional Information—Corporate Information—Memorandum and Articles of Association”Articles” on page 200204 of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
 
C. Material Contracts
 
Not applicable.
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D. Exchange Controls
 
The information set forth under the headings “Additional Information—Shareholder Information—Exchange Controlscontrols and Other Limitations Affecting Security Holders”other limitations affecting security holders” on page 190203 of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
 
E. Taxation
 
The information set forth under the headings “Additional Information—Shareholder Information—Taxation for US Residents”residents”, “—UK and US Income Taxationincome taxation of Dividends”dividends”, “—Taxation on Capital Gains”capital gains”, “—Passive Foreign Investment Company Rules”(PFIC) rules”, “—UK Inheritance Tax”inheritance tax” and “—UK Stamp Duty Reserve Taxstamp duty reserve tax and Stamp Duty”stamp duty” on pages 189 to 190202 and 203 of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
 
F. Dividends and Paying Agents
 
Not applicable.
 
G. Statement by Experts
 
Not applicable.
 
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H. Documents on Display
 
The information set forth under the heading “Additional Information—Shareholder Information—Documents on Display”display” on page 189202 of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
 
In addition, we file reports and other information with the United States Securities and Exchange Commission (the “SEC”).  You can read and copy these reports and other information at the SEC’s Public Reference Room at 100 F Street, N.E., Washington, D.C. 20549.  You can call the SEC at 1-800-SEC-0330 for further information on the Public Reference Room.  The SEC also maintains a website at www.sec.gov which contains in electronic form each of the reports and other information that we have filed electronically with the SEC.
 
I. Subsidiary Information
 
Not applicable.
 
ITEM 11 - QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
 
The information (including graphs and tabular data) set forth under the headings “Directors’ Report—Reviews—Financial Review—Financial Risk Management Policies”risk management” on pages 8544 and 45, “Financial Statements—Note 15—Financial risk management objectives and policies” on pages 144 to 86, “—Financial Review—Capitalisation and Shareholder Return—Sensitivity analysis—31 December 2007”146 and “—Note 16—Financial Review—Capitalisation and Shareholder Return—Instruments—Sensitivity analysis—31 December 2006”, bothanalysis” on page 85,151, in each case of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
 
ITEM 12 - DESCRIPTION OF SECURITIES OTHER THAN EQUITY SECURITIES
 
A. Debt Securities
Not applicable.
B. Warrants and Rights
Not applicable.
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C. Other Securities
Not applicable.
D. American Depositary Shares
Fees and Charges Payable by ADR Holders
The Company’s American Depositary Receipt (“ADR”) program is administered by JPMorgan Chase Bank, N.A. (“J.P. Morgan”), as the depositary.  The holder of an ADR may have to pay the following fees and charges to J.P. Morgan in connection with ownership of the ADR:
CategoryDepositary actionsAssociated fee or charge
(a)  Depositing or substituting the underlying sharesIssuances against deposits of shares, including deposits and issuances pursuant to a stock dividend or stock split declared by the Company or issuances pursuant to a merger, exchange of securities or any other transaction or event affecting the American Depositary Shares (“ADSs”) or the deposited securities
Up to US $5.00 for each 100 ADSs (or portion thereof) issued or delivered (as the case may be)
The depositary may sell (by public or private sale) sufficient securities and property received in respect of share distributions, rights and other distributions prior to such deposit to pay such charge
(b)  Receiving or distributing dividends(1)
Cash distributions made pursuant to the deposit agreementUS $0.05 or less per ADS
(c)  Selling or exercising rightsDistribution or sale of securities, the fee being in an amount equal to the fee for the execution and delivery of ADSs which would have been charged as a result of the deposit of such securitiesUp to US $5.00 for each 100 ADSs (or portion thereof)
(d)  Withdrawing, cancelling or reducing an underlying securityAcceptance of ADSs surrendered for withdrawal, cancellation or reduction of deposited securities
Up to US $5.00 for each 100 ADSs (or portion thereof) surrendered, cancelled or reduced (as the case may be)
The depositary may sell (by public or private sale) sufficient securities and property received in respect of share distributions, rights and other distributions prior to such deposit to pay such charge
(e)  Transferring, combination or split-up of receiptsTransfer, combination and split-up of ADRsUS $1.50 per ADR
(f)  General depositary services, particularly those charged on an annual basis(1)
Services performed by the depositary in administering the ADRsUS $0.05 or less per ADS per calendar year (or portion thereof), payable at the sole discretion of the depositary by billing ADR holders or by deducting such charge from one or more cash dividends or other cash distributions
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(g)  Fees and expenses of the depositary
Fees and expenses incurred by the depositary or the depositary’s agents on behalf of holders, including in connection with:
· compliance with foreign exchange control regulations or any law or regulation relating to foreign investment
·  stock transfer or other taxes and governmental charges
·  cable, telex and facsimile transmission and delivery charges
·  fees for the transfer or registration of deposited securities in connection with the deposit or withdrawal of deposited securities
·  expenses of the depositary in connection with the conversion of foreign currency into US dollars
·  any other charge payable by the depositary or the depositary’s agents in connection with the servicing of the shares or other deposited securities (which charge shall be assessed against holders as of the record date or dates set by the depositary)
Expenses payable at the sole discretion of the depositary by billing ADR holders or by deducting such charges from one or more cash dividends or other cash distributions

(1)J.P. Morgan has agreed that it shall not charge ADR holders any of these fees without the Company’s prior written consent.  No such fees have been charged for the year ended December 31, 2009 or from January 1, 2010 to the date hereof.
Fees and Payments Made by the Depositary to us
J.P. Morgan, as ADR depositary, has agreed to reimburse certain expenses related to the Company’s ADR program and incurred by the Company in connection with the program.  For the year ended December 31, 2009, the ADR depositary reimbursed to the Company, or paid on its behalf to third parties, a total sum of US $1,813,762 (comprised of reimbursements of US $1,700,000 and payments to third parties of US $113,762, in each case as detailed in the tables below).  The ADR depositary also waived certain of its fees for standard costs associated with the administration of the ADR program in a total amount of US $215,000.

The table below sets forth the types of expenses that the ADR depositary has agreed to reimburse and the amounts reimbursed within each such category for the year ended December 31, 2009:

Category of Expenses – Direct Payments
Reimbursement for the year ended December 31, 2009
ADR program expenses, including investor relations costs and legal fees$1,700,000
Total
$1,700,000
12


The ADR depositary has paid certain expenses directly to third parties on behalf of the Company and has agreed to waive certain of its fees for standard costs associated with the administration of the ADR program.  The table below sets forth those expenses that the ADR depositary paid directly to third parties, and those fees waived, in each case for the year ended December 31, 2009.

Category of Expenses – Indirect Payments
Amount paid for the year ended December 31, 2009
Expenses paid by depositary to third parties on behalf of the Company – NYSE listing fees$113,762
Fees waived by depositary for standard ADR program costs$215,000
Total$328,762

Under certain circumstances, including removal of the ADR depositary or termination of the ADR program by the Company, the Company is required to repay the ADR depositary certain amounts reimbursed and/or expenses paid to or on behalf of the Company.  No such repayments were made during the year ended December 31, 2009.
 
PART II
 
ITEM 13 - DEFAULTS, DIVIDEND ARREARAGES AND DELINQUENCIES
 
(a) There has been no material default in payment of principal, interest, a sinking or purchase fund installment, or any other material default with respect to any indebtedness of the Company or any of its significant subsidiaries.
 
(b) There have been no arrears in the payment of dividends on, and no material delinquency with respect to, any class of preferred stock of any significant subsidiary of the Company.
 
ITEM 14 - MATERIAL MODIFICATIONS TO THE RIGHTS OF SECURITY HOLDERS AND USE OF PROCEEDS
 
Not applicable.
 
ITEM 15 - CONTROLS AND PROCEDURES
 
The information set forth under the heading “Directors’ Report—Corporate GovernanceGovernance—Business Organisation and Managing Risk—Corporate Governance: Governance—Operation of Board Committees—Audit Committee” on page 4195 (the last three paragraphs of the “Audit Committee” section only), “—Business Organisation and Corporate Governance: Governance—Principal corporate governance requirements—UK corporate governance requirements” on page 96 (the second, third, fourth and fifth paragraphs of the “UK corporate governance requirements” section only), “—Principal corporate governance requirements—US Governance Requirements—Internal Controls, Risk Managementcorporate governance requirements” on page 97 (the first and Turnbull Report Guidance” on pages 42 to 43second paragraphs of the “US corporate governance requirements” section only) and “Financial Statements—Directors’ Responsibilities for, and Report on, Internal Control over Financial Reporting” on page 116,122, in each case of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
 
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Management’s Annual Report on Internal Control over Financial Reporting
 
As required by US regulations, management is responsible for establishing and maintaining adequate internal control over financial reporting for the company, and is required to identify the framework used to evaluate the effectiveness of the Company’s internal control over financial reporting and to assess the effectiveness of such internal control.  In this regard, management has made the same assessment and reached the same conclusion as that set forth in the section entitled “Financial Statements—Director’s Responsibilities for, and Report on, Internal
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Control over Financial Reporting” on page 116122 of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 2008,25, 2010, which is incorporated herein by reference.
 
Report of Independent Registered Public Accounting Firm
 
The Board of Directors and Members,
AstraZeneca PLC:

We have audited AstraZeneca PLC’s (“AstraZeneca”) internal control over financial reporting as of 31 December 31, 2007,2009, based on criteria established in Internal Control — Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).  AstraZeneca’s management is responsible for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of internal control over financial reporting. Our responsibility is to express an opinion on the Company’s internal control over financial reporting based on our audit.
 
We conducted our audit in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects. Our audit 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 audit also included performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion.
 
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 (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance 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 (3) 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.
 
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.
 
In our opinion, AstraZeneca maintained, in all material respects, effective internal control over financial reporting as of 31 December 31, 2007,2009, based on criteria established in Internal Control Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission.
 
We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), the consolidated balance sheetsstatements of financial position of AstraZeneca as of 31 December 31,2009, 2008 and 2007, 2006 and 2005, and the related consolidated statements of comprehensive income, statements, consolidated statements of recognized income and expense,changes in equity, and consolidated cash flow statements for each of the years in the three-year period ended 31 December 31, 2007,2009, and our report dated 28 January 31, 20082010 expressed an unqualified opinion on those consolidated financial statements.
9

 
KPMG Audit Plc
Chartered Accountants
8 Salisbury Square
London
EC4Y 8BB
28 January 31, 20082010
14


ITEM 16 – RESERVED
 
ITEM 16A – AUDIT COMMITTEE FINANCIAL EXPERT
 
The information set forth in the first paragraph under the heading “Directors’ Report—Corporate GovernanceGovernance—Business Organisation and Managing Risk—Corporate Governance: Governance—Operation of Board Committees—Audit Committee” on pages 3994 and 4095 and “—Board Committee Membership”membership” (consisting of tabular data) aton page 41,93, in each case of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
 
ITEM 16B – CODE OF ETHICS
 
The information set forth under the heading “Directors’ Report—Corporate GovernanceGovernance—Business Organisation and Managing Risk—Corporate Governance: Governance—Principal UK and US Governance Requirements—corporate governance requirements—Code of Conduct” on page 4497 of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
 
The AstraZenecaCompany’s Code of Conduct and the Finance Code of Conduct areis available at www.astrazeneca.com.
 
ITEM 16C – PRINCIPAL ACCOUNTANT FEES AND SERVICES
 
The information (including tabular data) set forth under the heading “Financial Statements—Notes to the Financial Statements—Note 29—27—Statutory and Other Information”other information” on page 175185 and “Directors’ Report—Corporate GovernanceGovernance—Business Organisation and Managing Risk—Corporate Governance: Governance—Operation of Board Committees—Audit Committee” on page 40,pages 94 and 95, in each case of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
 
ITEM 16D – EXEMPTIONS FROM THE LISTING STANDARDS FOR AUDIT COMMITTEES
 
Not applicable.
 
ITEM 16E – PURCHASES OF EQUITY SECURITIES BY THE ISSUER AND AFFILIATED PURCHASERS
 
 
Period
 
(a) Total number of
Shares (or units)
purchased(1)
  
(b) Average Price
Paid per Share (or
Units)
  
(c) Total Number of
Shares (or Units)
Purchased as Part of
Publicly Announced
Plans or Programs
  
(d) Maximum
Number (or
Approximate Dollar
Value) of Shares (or
Units) that May Yet
Be Purchased Under
the Plans or
Programs
 
Month #1
Jan 1 - Jan 31
  0  £0   0  $4.17bn 
Month #2
Feb 1 - Feb 28
  7,058,572  £29.19   7,058,572  $3.76bn 
Month #3
Mar 1 - Mar 31
  14,058,731  £28.28   14,058,731  $2.99bn 
Month # 4
Apr 1 - Apr 30
  8,760,501  £27.86   8,760,501  $2.50bn 
Not applicable.

ITEM 16F – CHANGE IN REGISTRANT’S CERTIFYING ACCOUNTANT
Not applicable.
ITEM 16G – CORPORATE GOVERNANCE
AstraZeneca PLC is a public limited company incorporated in England and Wales, listed on the London Stock Exchange and is subject to the authority of the Financial Services Authority in the UK.  As a result, it follows the UK Combined Code on Corporate Governance (the “Combined Code”) in respect of its corporate governance practices.  The Company has ADRs listed on the NYSE and, under the NYSE Corporate Governance Standards (the “NYSE Standards”) applicable to listed companies, as a foreign private issuer, the Company is permitted to follow the corporate governance practice of its home country in lieu of certain provisions of the NYSE Standards.
A summary of the significant ways in which the Company’s corporate governance practices differ from those followed by US domestic companies under the NYSE Standards is set forth below.
NYSE StandardsAstraZeneca Corporate Governance Practice
1.Under the NYSE Standards, the audit committee is to be directly responsible for the appointment,Under the Combined Code, a company’s external auditors are appointed by its shareholders.  As a result,
 
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Period
 
(a) Total number of
Shares (or units)
purchased(1)
  
(b) Average Price
Paid per Share (or
Units)
  
(c) Total Number of
Shares (or Units)
Purchased as Part of
Publicly Announced
Plans or Programs
  
(d) Maximum
Number (or
Approximate Dollar
Value) of Shares (or
Units) that May Yet
Be Purchased Under
the Plans or
Programs
 
Month #5
May 1 - May 31
  4,950,000  £26.96   4,950,000  $2.23bn 
Month #6
Jun 1 - Jun 30
  4,204,000  £26.22   4,204,000  $2.01bn 
Month #7
Jul 1 - Jul 31
  5,715,137  £26.56   5,715,137  $1.70bn 
Month #8
Aug 1 - Aug 31
  9,419,812  £24.17   9,419,812  $1.24bn 
Month #9
Sep 1 - Sep 30
  7,446,255  £23.99   7,446,255  $0.88bn 
Month #10
Oct 1 - Oct 31
  5,303,369  £24.90   5,303,369  $0.60bn 
Month #11
Nov 1 - Nov 30
  9,575,000  £22.16   9,575,000  $0.16bn 
Month #12
Dec 1 - Dec 31
  3,436,000  £22.84   3,436,000  $0.00bn 
Total  79,927,377  £25.77   79,927,377  $0.00bn 
compensation, retention and oversight of a listed company’s external auditor, unless there is a conflicting requirement under the home country laws of the company.the Company’s audit committee is responsible for making recommendations to the Board of Directors, for the Board of Directors to propose to the Company’s shareholders in general meeting, in relation to the appointment, re-appointment and removal of the external auditors, and for approving the remuneration and terms of engagement of the external auditor.
2.Under the NYSE Standards, the nominating/corporate governance committee and compensation committee are to be composed entirely of independent directors.
Under the Combined Code, a majority of the members of a company’s nomination committee, and all of the members of its remuneration committee, should be independent non-executive directors.
The Company’s Nomination and Governance Committee and Remuneration Committee each includes four members, including the chairman of the Company’s Board of Directors, with the remainder all being considered by the Company’s Board of Directors to be independent in accordance with the principles and criteria of the Combined Code.  The Company’s chairman was considered to be independent upon his appointment as chairman (under the Combined Code, the test of independence is not appropriate in relation to the chairman thereafter).
3.Under the NYSE Standards, the compensation committee is to make recommendations to the listed company’s Board of Directors with respect to non-CEO executive officer compensation and certain other compensation plans which are subject to Board approval.In compliance with the Combined Code, the Company’s Remuneration Committee determines the Company’s global remuneration frameworks and principles, approves individual salary decisions and related matters for members of the Company’s Board of Directors, Senior Executive Team (“SET”) and the Company Secretary, and reviews annual bonus payments for all executives reporting directly to SET members.  While the Remuneration Committee does not make initial recommendations to the Board of Directors in this respect, it does report to the Board of Directors on these matters.
4.Under the NYSE Standards, shareholders are entitled to vote on all equity compensation plans and material revisions thereto, with certain limited exemptions.Under the listing rules of the UK Listing Authority (the “UKLA Rules”), with which the Company complies, shareholder approval is required to be obtained by the Company for the adoption of equity compensation plans which are either long-term incentive schemes in which directors of the Company can participate or schemes which may involve the issue of new shares.  Under the UKLA Rules, these plans may not be changed to the benefit of the plan participants unless shareholder approval is obtained (with certain minor exceptions, for example, to benefit the administration of the plan or to take account of tax benefits).  The UKLA Rules in respect of shareholder approval regarding equity compensation plans, or any material revision thereto, may differ from the NYSE Standards.
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5.Under the NYSE Standards, each listed company Chief Executive Officer must certify to the NYSE each year that he or she is not aware of any violation by the listed company of any NYSE corporate governance listing standards, qualifying the certification to the extent necessary.As the Company is a foreign private issuer, the Company’s Chief Executive Officer is not required to make this certification.  He is, however, required to promptly notify the NYSE in writing after any executive officer of the Company become aware of any non-compliance with any NYSE corporate governance rules applicable to the Company.
(1)           On February 1, 2007,
The information set forth under the Company announced thatheading “Directors’ Report—Corporate Governance—Business Organisation and Corporate Governance—Principal corporate governance requirements—UK corporate governance requirements” on pages 96 and 97 and “—US corporate governance requirements” (final two paragraphs only) on page 97, in each case of the Board had targeted share repurchases (net of shares issued) of $4 billion for 2007.  On January 31, 2008, the Company announced that share repurchases for the full year amountedCompany’s “Annual Report and Form 20-F Information 2009” included as exhibit 15.1 to $4.17 billion.

this Form 20-F dated March 25, 2010 is incorporated by reference.
 
PART III
 
ITEM 17 - FINANCIAL STATEMENTS
 
The Company has responded to Item 18 in lieu of this item.
 
ITEM 18 - FINANCIAL STATEMENTS
 
The information set forth in Exhibit 15.2 hereto “Report of Independent Registered Public Accounting Firm to the members of AstraZeneca PLC by KPMG Audit Plc” is incorporated in this section by reference.  The information (including graphs and tabular data) set forth under the headings “Financial Statements” on pages 118124 to 176185 (including the information set forth under the subheading “Notes to the Financial Statements” on pages 124133 to 176)185) and “Principal Subsidiaries” on page 177,186, in each case of the Company’s “Annual Report and Form 20-F Information 2007”2009” included as exhibit 15.1 to this Form 20-F dated March 12, 200825, 2010 is incorporated by reference.
Please see the information above under Item 5 – “Operating and Financial Review and Prospects—AstraZeneca Reaches Agreement with UK Tax Authorities over Transfer Pricing”, for information as to the settlement between the Company and HM Revenue & Customs in the UK, entered into subsequent to the approval of the Company’s financial statements for the year ended December 31, 2009, in respect of the transfer pricing dispute disclosed under the heading “Financial Statements—Notes to the Financial Statements—Note 25—Commitments and contingent liabilities—Tax” on page 184 of the Company’s “Annual Report and Form 20-F Information 2009”.
 
The information set out in the above-referenced financial statements does not constitute the company’sCompany’s statutory accounts under the U.K.UK Companies Acts for the years ended December 31, 2007, 20062009, 2008 or 2005.2007.  Those accounts have been reported on by the company’sCompany’s auditors; their reports were unqualified and did not contain a statement under section 237(2) or (3) of the Companies Act 1985.1985 or under section 498(2) or (3) of the Companies Act 2006.  The accounts for 20062008 and 20052007 have been delivered to the Registrarregistrar of Companiescompanies and those for 20072009 will be delivered in due course.
 
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ITEM 19 – EXHIBITS
 
1.1Memorandum and Articles of Association.(1)
  
4.1Master Restructuring Agreement dated as of June 19, 1998 between Astra AB, Merck & Co., Inc., Astra Merck Inc., Astra USA, Inc., KB USA, L.P., Astra Merck Enterprises, Inc., KBI Sub Inc., Merck Holdings, Inc. and Astra Pharmaceuticals, L.P.(2)
  
4.2Agreement for Service between AstraZeneca PLC and Simon Lowth, dated September 27, 2007.(3)
  
4.3Agreement for Service between AstraZeneca PLC and John Patterson dated February 14, 2005 (effective as of January 1, 2005).(3)(4)
  
4.4Agreement for Service between AstraZeneca PLC and David R. Brennan dated December 16, 2005 (effective as of January 1, 2006).(3)(4)
  
4.64.5Form of Deed of Indemnity for Directors.(4)(5)
  
7.1Statement explaining calculation of ratio of earnings to fixed charges.
  
8.1List of subsidiaries.
  
12.1Certification of David R. Brennan filed pursuant to 17 CFR 240.13a-14(a).
  
12.2Certification of Simon Lowth filed pursuant to 17 CFR 240.13a-14(a).
  
13.1Certification of David R. Brennan and Simon Lowth furnished pursuant to 17 CFR 240.13a-14(b) and 18 U.S.C. 1350.
  
15.1Annual Report and 20-F Information.(5)(6)
  
15.2Report of Independent Registered Public Accounting Firm to the members of AstraZeneca PLC by KPMG Audit Plc.
  
15.3Consent of KPMG Audit Plc, independent registered public accounting firm.
  
15.4Consent of IMS Health.
  
15.5Consent of Bureau Veritas HS&E Ltd.



(1)   Incorporated into this Form 20-F by reference to AstraZeneca PLC’s Form 20-F filed March 21, 2005 (File No. 001-11960).
(2)   Incorporated into this Form 20-F by reference to AstraZeneca PLC’s Form 20-F filed March 25, 2003 (File No. 001-11960).
(3)   Incorporated into this Form 20-F by reference to AstraZeneca PLC’s Form 20-F filed March 23, 2006 (File No. 001-11960).
(4)   Incorporated into this Form 20-F by reference to AstraZeneca PLC’s Form 20-F filed March 27, 2007 (File No. 001-11960).
(5)   Certain of the information included within exhibit 15.1, which is provided pursuant to Rule 12b- 23(a) (3) of the Securities Exchange Act of 1934, as amended, is incorporated by reference in this Form 20- F, as specified elsewhere in this Form 20-F.  With the exception of the items and pages so specified, the Annual Report and Form 20-F Information is not deemed to be filed as part of this Annual Report on form 20-F.
(1)Incorporated into this Form 20-F by reference to AstraZeneca PLC’s Form 20-F filed March 21, 2005 (File No. 001-11960).
(2)Incorporated into this Form 20-F by reference to AstraZeneca PLC’s Form 20-F filed March 25, 2003 (File No. 001-11960).
(3)Incorporated into this Form 20-F by reference to AstraZeneca PLC’s Form 20-F filed March 12, 2008 (File No. 001-11960).
(4)Incorporated into this Form 20-F by reference to AstraZeneca PLC’s Form 20-F filed March 23, 2006 (File No. 001-11960).
(5)Incorporated into this Form 20-F by reference to AstraZeneca PLC’s Form 20-F filed March 27, 2007 (File No. 001-11960).
(6)Certain of the information included within exhibit 15.1, which is provided pursuant to Rule 12b-23(a)(3) of the Securities Exchange Act of 1934, as amended, is incorporated by reference in this Form 20-F, as specified elsewhere in this Form 20-F.  With the exception of the items and pages so specified, the Annual Report and Form 20-F Information is not deemed to be filed as part of this Annual Report on form 20-F.
 
 
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SIGNATURE
 
The registrant hereby certifies that it meets all of the requirements for filing on Form 20-F and that it has duly caused and authorized the undersigned to sign this annual report on its behalf.
 
AstraZeneca PLC 
  
  
By:/s/ J W HoskinsA C N Kemp 
 Name:J W HoskinsA C N Kemp 
 Title:Authorised Signatory 
London, England
March 12, 200825, 2010
 

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