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FY2021 Annual Report · Amgen
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LETTER TO SHAREHOLDERS 2021

Cover image: Senior Associate Scientist Asha Kelley in discovery research lab, Thousand Oaks, California

LETTER TO  
SHAREHOLDERS

Robert A. Bradway, Chairman and  
Chief Executive Officer, Amgen Inc.

TO MY FELLOW SHAREHOLDERS,

In 2021, Amgen brought more medicines 
to more patients around the world than 
ever before. Total revenues in 2021 
were up 2% from the prior year to a 
record $26.0 billion. Despite the ongoing 
challenges of the COVID-19 pandemic, 
many of our innovative medicines 
generated strong, volume-driven sales 
growth, including our cholesterol 
treatment Repatha® (+26%), our 
osteoporosis medicines Prolia® (+18%) 
and EVENITY® (+51%), and several of our 
cancer therapies, such as BLINCYTO® 
(+25%), Vectibix® (+8%), and KYPROLIS® 
(+4%). Sales of our high-quality 
biosimilars—which provide cost-effective 
treatment options for healthcare systems 
globally—exceeded $2 billion collectively, 
led by MVASI® (a biosimilar to Avastin®1, 
+46%) and AMGEVITATM (a biosimilar to 
HUMIRA®2, +33%). Product sales outside 
the U.S. grew 12% to $7 billion, with 
particularly strong growth coming from 
the Asia-Pacific region (+36%).

We achieved record non-GAAP earnings 
per share in 2021 of $17.10,3 up 6% 
from the prior year, and free cash flow 
of $8.4 billion.3 Amgen’s non-GAAP 
operating margin for the year was 
51.1%,3,4 up slightly from 2020 and 

among the highest in the industry, driven 
by ongoing productivity efforts we have 
embedded throughout our business. 

Total shareholder return was 1% in 2021 
and has increased by nearly 350% over 
the past ten years. We returned $9 billion 
to shareholders in 2021 through dividends 
and share repurchases.

We invested $4.8 billion5 in research and 
development in 2021, up 15% from the 
prior year, advancing numerous potential 
new medicines at all stages in our pipeline 
and securing three significant regulatory 
approvals:

•  LUMAKRAS®/LUMYKRAS® is the first 
and only medicine approved for the 
treatment of KRAS G12C-mutated non-
small cell lung cancer (NSCLC), the 
culmination of a 40-year quest to treat 
cancers with this particular mutation. 
First approved in the U.S. in May 2021, 
LUMAKRAS has now been approved 
in nearly 40 countries around the 
world. We continue to study it as both 
a monotherapy and in combination-
therapy regimens for NSCLC and other 
solid tumors, including colorectal and 
pancreatic cancer.

•  TEZSPIRE™ was approved in the U.S. 
in December 2021 as the first and only 
biologic for severe asthma that does 
not have a phenotype or biomarker 
limitation within its approved label. 
This gives us the opportunity to reach 
a broad population of patients who 
are living with this serious disease 
and are potential candidates for a 
biologic therapy like TEZSPIRE. We 
are also studying TEZSPIRE in several 
other indications, including chronic 
rhinosinusitis with nasal polyps and 
chronic obstructive pulmonary disease. 

•  Also in December, Otezla® was 

approved for an expanded indication 
in the U.S., making it the first and only 
oral therapy approved to treat plaque 
psoriasis across all levels of severity 
and enabling us to reach an additional 
1.5 million patients. We expect 
Otezla—which generated $2.2 billion 
in 2021 sales globally—to be a strong 
contributor to Amgen’s growth over the 
next several years. 

We completed several important business 
development transactions in 2021, adding 
two promising new medicines to our 
late-stage pipeline and strengthening 

2

1 Avastin is a registered trademark of Genentech, Inc.
2 Humira is a registered trademark of AbbVie, Inc.
3 This is a non-GAAP financial measure. See reconciliation to U.S. generally accepted accounting principles (GAAP) accompanying this letter.
4 Non-GAAP operating margin is calculated as a percentage of product sales.
5 Includes upfront payment for Kyowa Kirin Co. Ltd. collaboration discussed below.

2021 Letter to Shareholders  |  Amgen$26.0B 

2021 Total Revenues

$17.10

Non-GAAP  
Earnings Per Share3

$4.8B

GAAP Research and 
Development Investment

51.1%

Non-GAAP  
Operating Margin3,4

our discovery research capabilities. I will 
discuss these in more detail later in this 
letter. 

the here and now while setting up for 
continued success in the years ahead.

All in all, it was another year of strong 
execution, in which Amgen delivered in 

SERVING MORE PATIENTS, 
DELIVERING STRONG GROWTH

LAONIS QUINN

Looking to the future, this is an exciting 
time to be in biotechnology—a moment 
when the need for innovative medicines 
and our ability to innovate are both 
expanding dramatically. 

The need for innovative medicines 
is driven by a rapidly aging global 
population. There are already 700 million 
people worldwide over the age of 65, and 

another 150 million people will turn 65 
by the end of the decade. Those over 65 
tend to consume three times as much 
healthcare as younger people do as 
they wrestle with diseases of the aging 
process, such as cardiovascular disease, 
osteoporosis, and cancer. 

The ability to innovate is driven by 
remarkable advances in science and 
technology. To give just one example, in 
2012 Amgen acquired deCODE Genetics, 
which at that time had accumulated 
detailed genetic information on 
approximately 100,000 people, all from 
deCODE’s home country of Iceland. Today, 

Nick Hagen/Getty Images 
for Amgen

How One Patient Is Expanding Asthma Awareness 

The U.S. approval of Amgen’s TEZSPIRE™ in late 2021 gives people living with severe asthma 
a compelling new treatment option. Laonis Quinn—a registered nurse, a certified asthma educator, 
and an asthmatic herself—has dedicated her life to expanding awareness and understanding of severe 

asthma, especially within the Black community where the disease is particularly prevalent. Through the 
Breathe: Anthony J. Chapman Asthma Foundation, founded in honor of her late son, Laonis works to provide 
asthma management training to schools, churches, and youth organizations in Detroit, where she lives.

“There are thousands of people who have stories like I do,” Laonis observes. “We are the faces behind severe 
asthma. I’m grateful to Amgen for its commitment to scientific research, and I appreciate the company’s efforts 
to help people with this disease to live healthier lives.”

Amgen values the perspectives of people such as Laonis who suffer from diseases that our medicines are 
intended to treat. By understanding their individual journeys, we can improve our ability to serve patients. 

1 Avastin is a registered trademark of Genentech, Inc.

2 Humira is a registered trademark of AbbVie, Inc.

3 This is a non-GAAP financial measure. See reconciliation to U.S. generally accepted accounting principles (GAAP) accompanying this letter.

4 Non-GAAP operating margin is calculated as a percentage of product sales.

5 Includes upfront payment for Kyowa Kirin Co. Ltd. collaboration discussed below.

3

2021 Letter to Shareholders  |  Amgenthrough a number of collaborations, 
we have this information for 2.5 million 
volunteers worldwide, as massive gains 
in technology have markedly lowered the 
time and cost required to gather this data. 

While our industry is not without its 
challenges, we believe the fundamentals 
remain very attractive for those 
companies that can innovate consistently 
and at speed. We expect to be one of 
those companies. 

Our confidence is reflected in the long-
term financial guidance we provided to the 
investment community in February of this 
year. In short, we believe we can deliver 
attractive annual revenue and non-GAAP 
earnings per share growth, on average, 
through the end of the decade, based on 
the assets we have in-house. Any growth 
from future business development activity 
would be additive to this organic outlook. 
Here is how we will do it:

KAZUO HASEGAWA

4

Growing Our Innovative Medicines Already 
on the Market

COVID-19 has understandably 
overshadowed all other health concerns 
over the past two years. But eventually the 
pandemic will recede and, when it does, 
society will need to confront a number 
of other very serious health challenges 
that have not gone away—and where 
Amgen has compelling solutions to offer. 
Our medicines already reach roughly 10 
million patients around the world, but we 
know the needs are much greater than 
that. I will highlight three therapeutic areas 
where this is especially true:

•  Cardiovascular disease is responsible 
for one out of every three deaths 
globally—85% of which are due 
to heart attacks and strokes. With 
Repatha, we have an innovative 
medicine that significantly lowers 
LDL cholesterol, which is the leading 
modifiable risk factor for these two life-
altering events. Repatha has reached 
roughly 1 million patients worldwide 
since its launch in 2015, but that’s just 
a fraction of the estimated 24 million 

patients worldwide with atherosclerotic 
cardiovascular disease who are at high 
risk for a heart attack or stroke. Sales 
of Repatha were $1.1 billion in 2021, 
and we believe it will be a multi-billion-
dollar product for us, growing steadily 
through 2030.

•  An estimated 200 million people 

worldwide suffer from osteoporosis, 
resulting in an osteoporosis-related 
fracture every three seconds. With 
Prolia and EVENITY, we have a powerful 
one-two punch to significantly reduce 
the risk of fracture in the millions 
of high-risk patients who are not 
yet receiving treatment. These two 
medicines generated a combined $3.8 
billion in sales in 2021. We expect 
Prolia to continue to grow through 
its loss of exclusivity in the U.S., with 
EVENITY sales growing through the end 
of the decade. 

•  Despite great advances, cancer still 
claims more than 10 million lives a 
year, and five-year survival rates across 
all cancers remain below 70%. We 
have several medicines available to 

Japan Makes It Nearly Forty Countries for LUMAKRAS 

In early 2022, Japan’s Ministry of Health, Labour and Welfare approved LUMAKRAS, 
marking a paradigm shift in the treatment of patients with KRAS G12C-mutated non-
small cell lung cancer (NSCLC). 

“Treatment options for these patients are extremely limited,” says Kazuo Hasegawa, 
a lung cancer survivor and one of the country’s leading patient advocates. “We are 
encouraged to see Amgen’s efforts to bring an innovative new medicine for this disease 
to patients in Japan.” 

Thousands of patients around the world have already received LUMAKRAS, and Amgen 
is progressing the largest and broadest global KRAS G12C inhibitor development 
program with unparalleled speed. 

2021 Letter to Shareholders  |  Amgenpatients that can make a meaningful 
difference in the fight against cancer 
including LUMAKRAS, mentioned 
above, and KYPROLIS, which, in 
combination with two other therapies, 
has been shown to significantly 
enhance progression-free survival 
rates in patients with relapsed or 
refractory multiple myeloma. I will also 
highlight important data—published in 
The Journal of the American Medical 
Association (JAMA) in 2021—
supporting BLINCYTO as an effective 
treatment for children with relapsed 
acute lymphoblastic leukemia, the most 
common form of pediatric cancer. 

You can find more information about 
all our products at www.amgen.com/
products.6

Advancing New Medicines Through Our 
Pipeline

As we work to bring Amgen medicines 
already on the market to more patients, 
we also are advancing a number of 
promising new treatments through our 
pipeline that offer significant opportunities 
for additional growth. Some of these 
medicines were discovered internally, 
while others have come to us through 
acquisitions and alliances—a balance 
that has served us well as we seek the 
best innovation available, regardless of 
origin. I will highlight five first-in-class 
programs, all currently in either phase 2 
or phase 3 clinical trials: 

•  Bemarituzamab is being studied in 

patients with gastric cancer, which is 
the fifth-most-common cause of cancer 
death worldwide and particularly 
prevalent in the Asia-Pacific region. 

SANDRA RODRÍGUEZ-TOLEDO

Data from a phase 2b trial showed a 
meaningful improvement in median 
overall survival when bemarituzumab 
was added to chemotherapy. This 
molecule came to us through our 2021 
acquisition of Five Prime Therapeutics, 
and we are also investigating its 
potential in other cancers, including 
squamous non-small cell lung cancer.

Kirk Irwin/Getty Images 
for Amgen

New and “Greener” Biomanufacturing in Central Ohio

In November 2021, Amgen marked a significant expansion of its U.S.-based 
manufacturing footprint by breaking ground on a new, state-of-the-art facility near 
Columbus, Ohio. We expect to employ approximately 400 people at this facility who will 
assemble and package our medicines for the U.S. market. “Amgen Ohio” will be led by 
Sandra Rodríguez-Toledo, who joined the company in 2013 and previously held roles 
of increasing responsibility at our largest manufacturing site, in Juncos, Puerto Rico. 

“I’m honored to lead this new facility and help to have it up and running in 2024,” 
Sandra says. “We look forward to doing our part in Ohio to continue Amgen’s proud 
tradition of serving every patient, every time.”

Sandra notes that Amgen’s decision to locate its new plant in Ohio was driven, in part, 
by access to diverse talent. Amgen is a founding member of OneTen, a coalition of 
large companies that collectively aim to hire 1 million Black Americans into well-paying 
jobs over the next 10 years, with a particular focus on those without four-year college 
degrees.

“As a woman working in a traditionally male-dominated field,” she says, “I am deeply 
committed to having the most diverse workforce possible at our new plant.”

Sandra says that Amgen Ohio will also be built to exacting environmental standards, 
consistent with the company’s goal of achieving carbon neutrality in its operations by 
2027.7

Amgen announced plans in 2021 to build a second new manufacturing facility, this 
one in the Raleigh-Durham area of North Carolina. Together, the new plants in Ohio 
and North Carolina represent a capital investment of $1 billion by Amgen in the U.S.

6 Reference to our website is not intended to function as a hyperlink, and the information contained on our website is not intended to be a part of this letter.
7 Carbon neutrality goal refers to Scope 1 and 2 emissions. 

5

2021 Letter to Shareholders  |  Amgen•  Tarlatamab is being studied in patients 
with relapsed/refractory small-cell lung 
cancer, a particularly aggressive form 
of cancer where neither survival rates 
nor treatment options have changed 
much in several decades. In a phase 
1 trial, tarlatamab demonstrated 
significant evidence of antitumor 
activity, with a preliminary median 
duration of response in excess of one 
year—an exceptional result in patients 
who often have only a few months 
to live. We believe this molecule 
also has potential as a treatment for 
neuroendocrine prostate cancer. 

•  AMG 451 is being studied in patients 
with atopic dermatitis (commonly 
known as eczema) in collaboration 
with our long-time partner Kyowa Kirin, 
another transaction we completed in 

2021. Atopic dermatitis affects more 
than 30 million people around the 
world, and new treatment options 
are very much needed. Data from a 
phase 2b study of AMG 451 showed 
substantial improvement in patients 
as measured by the Eczema Area and 
Severity Index, as well as a prolonged 
duration of response that may allow for 
less-frequent dosing.

•  Efavaleukin alfa is being studied 
in patients with two serious 
autoimmune diseases, systemic lupus 
erythematosus and ulcerative colitis. 
This molecule has been shown in a 
phase 1 trial to increase the number 
of T regulatory cells, which act as a 
natural brake on the immune system 
when it goes out of balance, as occurs 
in many patients with these diseases. 

Sharpening the Focus on Mental Health 

In order to advance our mission to serve patients, Amgen is committed to giving 
our employees the resources they need to take care of themselves. In addition to 
traditional benefits focused on physical health, this includes an increased emphasis 
on mental health, given the uncertain and, at times, unsettling world we live in. 

Moya Watts, who works at the Amgen Capability Center in Tampa, Florida, took 
advantage of these benefits last year when she began experiencing signs of burnout. 
“The Wellness Program manager for our site helped me establish a routine to make 
my mental health a priority,” she says. “Amgen has been amazing during these past 
few years, and I really appreciate the programs and support they’ve provided.” 

As a member of the Amgen Black Employee Network, Moya was also recently given 
the opportunity to help select non-profit organizations in the Tampa community that 
would receive grants from the Amgen Foundation to advance social justice. 

“To be part of the committee that picked these organizations is more than I could’ve 
asked for,” Moya says. “It makes me proud and brings me peace of mind to work for a 
company like Amgen that is making a real difference.”

•  Olpasiran is being studied in patients 

with high levels of lipoprotein(a), a type 
of “bad” cholesterol that affects 20% 
of the world’s population. Unlike LDL 
cholesterol, lipoprotein(a) levels are 
genetically determined and cannot be 
modified by diet or exercise. Early data 
show that a single dose of olpasiran 
leads to profound reductions in 
lipoprotein(a) and that this reduction 
is durable, suggesting that the dosing 
interval can be relatively infrequent.

You can find more information about our 
pipeline at www.amgenpipeline.com.8

Expanding Our Biosimilars Portfolio

About ten years ago, recognizing an 
emerging opportunity, we set out to build 
a world-leading biosimilars portfolio—and 
we’ve done that. Today, we offer five 
biosimilars around the world, expanding 
access to high-quality biologics for 
patients, while also delivering cost savings 
to healthcare systems. 

MOYA WATTS

6

8 Reference to our website is not intended to function as a hyperlink, and the information contained on our website is not intended to be a part of this letter.

2021 Letter to Shareholders  |  AmgenAs noted above, AMGEVITA is a biosimilar 
to HUMIRA, the world’s best-selling 
drug. We’ve launched AMGEVITA in 
more than 50 markets around the world 
and look forward to bringing it to the 
U.S. next January. We then expect over 
the following several years to launch 
biosimilars to SOLIRIS®9, STELARA®10, 
and EYLEA®11—products that collectively 
generated roughly $17 billion in 2021 
sales—with still more launches planned 
after that. All told, we expect to double our 
2021 biosimilars sales by the end of the 
decade.

Deepening Our Global Presence

For many years, the bulk of Amgen’s 
sales came from a single market, the 
U.S. Today, our products are available 
in approximately 100 countries, and we 
expect sales outside the U.S. to account 
for roughly 35% of our total sales by 
2030, up from less than 25% ten years 
ago. We are especially excited by our 
growth prospects in the Asia-Pacific 
region, where China and Japan rank as 
the world’s second- and third-largest 
pharmaceutical markets, respectively. 

We took full ownership of our business 
in Japan in 2020, and our portfolio of 
products—such as EVENITY, which 
launched in Japan first among all 
markets—is particularly well suited to 
address the needs of a country where 
nearly 30% of the population is 65 and 
over. In China, which has more people 
over 65 than any country in the world, we 
continue to grow our business through 

products such as Repatha and Prolia. Our 
combined sales in these two markets rose 
nearly 70% in 2021.

RECONCEIVING DRUG DISCOVERY

Biopharmaceutical research and 
development is one of the most 
challenging pursuits in business. Now, 
however, the rapid convergence of 
“biotech” and “tech” is fundamentally 
redefining how we go about this work, 
especially in the area of early research. 

I already mentioned our expertise in 
human data. We now have more than 
100 petabytes of human data—that’s 
1015 bytes of genetic information—and 
that number is growing every day. These 
data yield powerful insights into biology 
and disease that inform virtually all of our 
programs entering clinical development, 
increasing their chances of success. 

We have also been investing heavily in the 
emerging field of multispecific medicines, 
which give us the potential to tackle the 
85% of disease-causing targets in the 
body that have long been considered 
“undruggable.” Multispecifics generally 
work in one of two ways—either by using 
a built-in “address label” to concentrate 
their impact where it is most needed, or 
by acting as “molecular matchmakers” to 
link a disease-causing target to a potent 
natural effector in our bodies that acts 
upon that target. 

Multispecific drugs currently comprise 
approximately 60% of Amgen’s preclinical 
pipeline, and we believe they have the 
potential to revolutionize our industry 
in much the same way biologics did 40 
years ago. Our acquisitions of Nuevolution 
in 2019 and Teneobio last year 
significantly enhanced our multispecific 
capabilities in small and large molecules, 
respectively—and three transactions 
we announced at the start of this year, 
with Generate Biomedicines, Arrakis 
Therapeutics, and Plexium, strengthen our 
capabilities further still.

We are also harnessing the power of 
artificial intelligence and machine learning 
to improve how we discover and develop 
biologic medicines. In the past, we have 
built these medicines using proteins that 
naturally occur in the human body, relying 
on iterative, multi-year cycles in which 
we engineer and test prototype after 
prototype before moving into clinical trials. 
Even then, despite our best efforts, these 
protein-based medicines often behaved 
unpredictably, failing to generate the 
desired effect.

Today, thanks to remarkable technological 
advances that have fundamentally 
changed our understanding of proteins, 
we no longer need to rely solely on 
Mother Nature, but can instead begin to 
work on building proteins from scratch 
with confidence that they will predictably 
perform a desired function. It’s early days, 
but where we have deployed these new 

8 Reference to our website is not intended to function as a hyperlink, and the information contained on our website is not intended to be a part of this letter.

9 SOLIRIS is a registered trademark of Alexion Pharmaceuticals, Inc. 
10 STELARA is a registered trademark of Janssen Biotech, Inc.
11 EYLEA is a registered trademark of Regeneron Pharmaceuticals, Inc.

7

2021 Letter to Shareholders  |  AmgenEveryone Needs Science, and Science Needs Everyone 

One of the signature programs supported by the Amgen Foundation is LabXchange, 
a free, online science education platform created by Harvard University and launched 
in 2020. LabXchange provides the opportunity for students, teachers, and lifelong 
learners of all ages to practice scientific experiments using interactive simulations of 
the same cutting-edge equipment found in modern biotech laboratories. More than 16 
million people have utilized LabXchange to date, with the platform proving especially 
valuable as schools moved to virtual learning during the COVID-19 pandemic.

“LabXchange helped me to sharpen my skills at a time when access to my physical 
lab at school was cut short due to constant COVID-19 lockdowns,” says Rutendo 
Kahari, a student and aspiring researcher from Zimbabwe.

to make sure that Amgen continues to 
be an attractive employer—to those 
already with us and to those considering 
new opportunities. We offer the chance 
to do meaningful work in an increasingly 
diverse, inclusive environment. We have 
adopted a more flexible approach to 
office-based work, enabling our people 
to do their jobs where and when it works 
best for them. We emphasize career 
development, with more than 2,700 
employees earning promotions in 2021. 
We have increased the mental health 
resources we provide, which is vitally 
important given the stress and strain 
of the current moment, particularly on 
parents and people of color. And we are 
increasingly using technology to automate 
or simplify many low-value tasks, freeing 
up our people to focus on the most 
important and satisfying work. 

We take nothing for granted, but we 
are pleased with how we are doing. 
Our attrition rate is up only slightly from 
prepandemic levels and is generally 
lower than our industry peers. We see an 
acceptance rate of greater than 90% on 

the job offers we extend and are filling 
open roles at the same pace we filled 
them prior to the pandemic. We have 
earned numerous recognitions as a great 
place to work, including being named 
one of “America’s Best Large Employers” 
by Forbes magazine, as well as one of 
the “World’s 25 Best Workplaces™” by 
Fortune and Great Place to Work®.

OPERATING RESPONSIBLY 

Our people also want to work for a 
company that does more than just earn 
a profit—and we offer that, too. We 
are fortunate that our core business 
of improving human health, in and of 
itself, contributes meaningfully to the 
greater good. But society confronts 
many challenges these days, and we are 
working to do our part to address them. 
Indeed, Amgen has been a responsible 
corporate citizen long before stakeholders 
came to expect that of businesses. I will 
share a few examples:

•  More than 30 years ago, we created 
the Amgen Foundation12 to inspire the 

RUTENDO KAHARI

technological insights, we have reduced 
our discovery timelines by half while 
doubling our success rates—very exciting 
progress that is enabling us to move at 
what we call the “speed of tomorrow.”

SUPPORTING OUR PEOPLE

My optimism for Amgen’s future ultimately 
stems from my belief in Amgen’s people. 
We regularly survey our employees 
and know they are passionate about 
Amgen’s mission to serve patients and 
understand the role they play in advancing 
that mission. They have performed 
exceptionally well under very challenging 
circumstances over the past two years 
of the pandemic. Thanks to their hard 
work, we have in hand what we need to 
succeed through the end of the decade 
and beyond. Our job now is to execute—
and our people are exceptional at doing 
just that.

Much has been written about the “Great 
Resignation,” as the pandemic has 
prompted many people to reassess their 
lives and careers. We are working hard 

8

12 The Amgen Foundation, Inc. and the Amgen Safety Net Foundation are separate legal entities entirely funded by Amgen.

2021 Letter to Shareholders  |  Amgenright people focused on the right things 
for Amgen to remain a leader through the 
end of this decade and beyond. 

On behalf of Amgen’s board of directors, 
our senior leadership team, and our 
employees around the world, I thank 
you for your continued support of our 
company and the important work we do.

Robert A. Bradway 
Chairman and Chief Executive Officer

March 18, 2022

next generation of innovators. Today, 
the foundation provides free, world-
class science education programs that 
reach millions of students worldwide 
every year.

•  More than 20 years ago, we created 
the Amgen Safety Net Foundation12 
to help patients in financial need gain 
access to our medicines, providing $6 
billion13 worth of our medicines at no 
cost in just the past five years. 

•  Also more than 20 years ago, the 
first employee resource group was 
formed at Amgen, bringing together 
Black colleagues at our headquarters 
in Thousand Oaks, California. Today, 
more than 11,000 Amgen staff around 
the world participate in nearly a dozen 
employee resource groups—each of 
which is sponsored by one of my direct 
reports. 

•  Fifteen years ago, Amgen began 

implementing a series of projects to 
reduce our impact on the environment, 
resulting in a 33% reduction in carbon 
emissions, a 30% reduction in water 

used, and a 28% reduction in waste, 
even as our business expanded.14 
Now, we’re aiming even higher, with 
plans to achieve carbon neutrality in 
our operations by 2027, along with 
additional reductions in water used 
and waste disposed of 40% and 75%, 
respectively.15

You can learn more about our 
commitment to good corporate citizenship 
by reading our latest Environmental, 
Social, and Governance Report at www.
amgen.com/responsibility.16

MAINTAINING LEADERSHIP

Of the thousands of companies 
founded during the biotech revolution 
of the 1980s, only two of note remain 
independent to this day. One of them is 
Amgen, and that’s not by chance. We 
wake up every morning knowing that, 
in our business, we innovate—or we 
disappear. We have had great people 
delivering great innovation throughout 
our history. I am convinced we have the 

Amgen Plugs In

In 2021, Amgen launched a pilot program adding more than 100 electric vehicles to the 
company’s fleet of cars. Over time, we expect to have at least 1,800 electric vehicles 
on the road around the world—helping us to meet our commitment to achieve carbon 
neutrality by 202715. Brent Meeks, a senior specialty sales representative in Northern 
California, was among the first volunteers for the pilot program. “I was excited to join the 
program because I know electric vehicles are the future,” Brent says. “Along with the 
sustainability benefits, they’re fun to drive!”

BRENT MEEKS

13 Valued at wholesale acquisition cost.
14 Reductions take into account only verified reduction projections, and do not take into account changes associated with the contraction or expansion of the Company and are 

measured against a 2007 baseline.

15 Carbon neutrality goal refers to Scope 1 and 2 emissions.
16 Reference to our website is not intended to function as a hyperlink, and the information contained on our website is not intended to be a part of this letter.

9

2021 Letter to Shareholders  |  AmgenAmgen Inc. GAAP to Non-GAAP Reconciliations (Dollars in millions) (Unaudited)

GAAP operating income

Adjustments to operating income:

Twelve months ended  
December 31, 

2021  

2020*

 $       7,639   

 $       9,139 

Licensing- and acquisition-related expenses (a)

         3,084   

         3,013 

Five Prime acquisition IPR&D expense

         1,505   

            - 

Certain charges pursuant to our cost savings initiatives (b)

          147   

           (3)

Expense related to various legal proceedings

           49   

          185 

Total adjustments to operating income

         4,785   

         3,195 

*Effective January 2021, we began to exclude 
the gains and losses on our investments in equity 
securities from our non-GAAP measures that are 
recorded to Other income, net pursuant to an update 
to our non-GAAP policy. For comparability of results 
to the prior year, non-GAAP Other income, net, 
non-GAAP Net income and non-GAAP EPS amounts 
for 2020 have been revised to reflect the update to 
our non-GAAP policy. 

(a)  The adjustments related primarily to noncash 

amortization of intangible assets from business 
acquisitions. For the twelve months ended 
December 31, 2021, the amount includes 
licensing-related expense from the upfront 
payment to Kyowa Kirin Co., Ltd.

(b)  The adjustments related to headcount charges, 
such as severance, and to asset charges, such 
as asset impairments, accelerated depreciation 
and other charges related to the closure of our 
facilities.

Non-GAAP operating income

 $       12,424   

 $       12,334 

(c)  For the year ended December 31, 2021, the 

adjustments related to equity investment gains, 
partially offset by the amortization of the basis 
difference from our BeiGene equity method 
investment. For the year ended December 
31, 2020, the adjustments related to equity 
investment gains and a gain from legal judgment 
proceeds, partially offset by the amortization of 
the basis difference from our BeiGene equity 
method investment.

(d)  The tax effect of the adjustments between our 

GAAP and non-GAAP results takes into account 
the tax treatment and related tax rate(s) that 
apply to each adjustment in the applicable 
tax jurisdiction(s). Generally, this results in a 
tax impact at the U.S. marginal tax rate for 
certain adjustments, including the majority 
of amortization of intangible assets, whereas 
the tax impact of other adjustments, including 
restructuring expense, depends on whether the 
amounts are deductible in the respective tax 
jurisdictions and the applicable tax rate(s) in 
those jurisdictions. Acquired IPR&D expense from 
the Five Prime acquisition was not tax deductible.

(e)  The adjustments related to certain acquisition 

items and prior-period items excluded from GAAP 
earnings.

GAAP operating income as a percentage of product sales

31.4%  

37.7%

Adjustments to operating income

         19.7   

          13.2 

Non-GAAP operating income as a percentage of product sales 

51.1%  

50.9%

GAAP net income

Adjustments to net income:

$       5,893   

 $       7,264 

Adjustments to operating income

         4,785   

         3,195 

Adjustments to other income, net (c) 

Income tax effect of the above adjustments (d)

Other income tax adjustments (e)

Total adjustments to net income

Non-GAAP net income

          (248)  

          (630)  

(3)  

(367)

 (546)

(67)

 3,904   

2,215 

$       9,797   

$       9,479 

The following table presents the computations for GAAP and non-GAAP diluted earnings per share:
Amgen Inc. GAAP to Non-GAAP Reconciliations (In millions, except per share data) (Unaudited)

Twelve months ended 
December 31, 2021

Twelve months ended 
December 31, 2020*

GAAP

Non-GAAP

GAAP

Non-GAAP

Net income

$    5,893

$    9,797

$    7,264

$    9,479

Weighted-average shares for diluted EPS

 573

573

590

590

Diluted EPS

$    10.28

$    17.10

$    12.31

$    16.07

10

2021 Letter to Shareholders  |  Amgen 
 
 
 
 
 
 
Amgen Inc. Reconciliations of Cash Flows (In millions) (Unaudited)

Net cash provided by operating activities

Capital expenditures

Free cash flow

Twelve months ended  
December 31,

2021

2020

$

$

9,261

$

10,497

(880)

(608)

8,381

$

9,889

Reconciliation of 2020 Non-GAAP Financial Information As Reported to Updated Non-GAAP Policy 
2020 Non-GAAP Financial Results—Excluding Gains and Losses From Equity Investments 
(Unaudited)

$Millions, except EPS

Q1 ’20

Q2 ’20

Q3 ’20

Q4 ’20

FY ’20

Net income (as reported)

$    2,476

$    2,518

$    2,572

$    2,229

$    9,795

Equity securities losses (gains)

Tax impact

39

(9)

(44)

10

(134)

(265)

(404)

29

58

88

Net income (adjusted)

$    2,506

$    2,484

$    2,467

$    2,022

$    9,479

Diluted shares

594

592

589

585

590

Diluted EPS (as reported)

$     4.17

$     4.25

$     4.37

$     3.81

$     16.60

Diluted EPS (adjusted)

$     4.22

$     4.20

$     4.19

$     3.46

$     16.07

Effective January 2021, we began to exclude the 
gains and losses on our investments in equity 
securities from our non-GAAP measures that are 
recorded to Other income, net pursuant to an 
update to our non-GAAP policy. This policy update 
excludes our share of the earnings and losses of 
our strategic investments in corporations accounted 
for under the equity method of accounting, such as 
our investment in BeiGene. This updated non-GAAP 
policy is the basis for our comparisons starting 
in 2021. The reconciliations show the effects of 
the application of the new policy as if it had been 
adopted at the beginning of 2020.

Forward-Looking Statements
This communication contains forward-looking statements that are based on the current expectations and beliefs of Amgen. All statements, other than statements of historical fact, are 
statements that could be deemed forward-looking statements, including any statements on the outcome, benefits and synergies of collaborations, or potential collaborations, with any other 
company (including BeiGene, Ltd., Kyowa-Kirin Co., Ltd., Generate Biomedicines, Inc., Arrakis Therapeutics, Inc., Plexium, Inc. or any collaboration to manufacture therapeutic antibodies 
against COVID-19), the performance of Otezla® (apremilast) (including anticipated Otezla sales growth and the timing of non-GAAP EPS accretion), the Five Prime Therapeutics, Inc. 
acquisition, or the Teneobio, Inc. acquisition, as well as estimates of revenues, operating margins, capital expenditures, cash, other financial metrics, expected legal, arbitration, political, 
regulatory or clinical results or practices, customer and prescriber patterns or practices, reimbursement activities and outcomes, effects of pandemics or other widespread health problems 
such as the ongoing COVID-19 pandemic on our business, and other such estimates and results. Forward-looking statements involve significant risks and uncertainties, including those 
discussed below and more fully described in the Securities and Exchange Commission reports filed by Amgen, including our most recent annual report on Form 10-K and any subsequent 
periodic reports on Form 10-Q and current reports on Form 8-K. Unless otherwise noted, Amgen is providing this information as of the date of this communication and does not undertake 
any obligation to update any forward-looking statements contained in this document as a result of new information, future events or otherwise.
No forward-looking statement can be guaranteed and actual results may differ materially from those we project. Our results may be affected by our ability to successfully market both new 
and existing products domestically and internationally, clinical and regulatory developments involving current and future products, sales growth of recently launched products, competition 
from other products including biosimilars, difficulties or delays in manufacturing our products and global economic conditions. In addition, sales of our products are affected by pricing 
pressure, political and public scrutiny and reimbursement policies imposed by third-party payers, including governments, private insurance plans and managed care providers and may 
be affected by regulatory, clinical and guideline developments and domestic and international trends toward managed care and healthcare cost containment. Furthermore, our research, 
testing, pricing, marketing and other operations are subject to extensive regulation by domestic and foreign government regulatory authorities. We or others could identify safety, side 
effects or manufacturing problems with our products, including our devices, after they are on the market. Our business may be impacted by government investigations, litigation and 
product liability claims. In addition, our business may be impacted by the adoption of new tax legislation or exposure to additional tax liabilities. If we fail to meet the compliance obligations 
in the corporate integrity agreement between us and the U.S. government, we could become subject to significant sanctions. Further, while we routinely obtain patents for our products and 
technology, the protection offered by our patents and patent applications may be challenged, invalidated or circumvented by our competitors, or we may fail to prevail in present and future 
intellectual property litigation. We perform a substantial amount of our commercial manufacturing activities at a few key facilities, including in Puerto Rico, and also depend on third parties 
for a portion of our manufacturing activities, and limits on supply may constrain sales of certain of our current products and product candidate development. An outbreak of disease or 
similar public health threat, such as COVID-19, and the public and governmental effort to mitigate against the spread of such disease, could have a significant adverse effect on the supply 
of materials for our manufacturing activities, the distribution of our products, the commercialization of our product candidates, and our clinical trial operations, and any such events may 
have a material adverse effect on our product development, product sales, business and results of operations. We rely on collaborations with third parties for the development of some of 
our product candidates and for the commercialization and sales of some of our commercial products. In addition, we compete with other companies with respect to many of our marketed 
products as well as for the discovery and development of new products. Discovery or identification of new product candidates or development of new indications for existing products 
cannot be guaranteed and movement from concept to product is uncertain; consequently, there can be no guarantee that any particular product candidate or development of a new 
indication for an existing product will be successful and become a commercial product. Further, some raw materials, medical devices and component parts for our products are supplied 
by sole third-party suppliers. Certain of our distributors, customers and payers have substantial purchasing leverage in their dealings with us. The discovery of significant problems with 
a product similar to one of our products that implicate an entire class of products could have a material adverse effect on sales of the affected products and on our business and results 
of operations. Our efforts to collaborate with or acquire other companies, products or technology, and to integrate the operations of companies or to support the products or technology 
we have acquired, may not be successful. A breakdown, cyberattack or information security breach could compromise the confidentiality, integrity and availability of our systems and our 
data. Our stock price is volatile and may be affected by a number of events. Our business and operations may be negatively affected by the failure, or perceived failure, of achieving our 
environmental, social and governance objectives. The effects of global climate change and related natural disasters could negatively affect our business and operations. Global economic 
conditions may magnify certain risks that affect our business. Our business performance could affect or limit the ability of our Board of Directors to declare a dividend or our ability to pay a 
dividend or repurchase our common stock. We may not be able to access the capital and credit markets on terms that are favorable to us, or at all.

11

2021 Letter to Shareholders  |  AmgenAmgen Inc.
One Amgen Center Drive
Thousand Oaks, CA 91320-1799
www.amgen.com

FOLLOW AMGEN ON | TWITTER | LINKEDIN | INSTAGRAM | YOUTUBE | FACEBOOK

©2022 Amgen Inc. All Rights Reserved.

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Form 10-K 

(Mark One)

☒

☐

ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE 
SECURITIES EXCHANGE ACT OF 1934

For the fiscal year ended December 31, 2021 
or
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE 
SECURITIES EXCHANGE ACT OF 1934

Commission file number 001-37702 
Amgen Inc. 
(Exact name of registrant as specified in its charter)

Delaware
(State or other jurisdiction of
incorporation or organization)
One Amgen Center Drive
Thousand Oaks
California
(Address of principal executive offices)

95-3540776
(I.R.S. Employer
Identification No.)

91320-1799
(Zip Code)

Securities registered pursuant to Section 12(b) of the Act:

(805) 447-1000 
(Registrant’s telephone number, including area code)

Title of each class
Common stock, $0.0001 par value
2.00% Senior Notes due 2026

Trading Symbol (s)
AMGN
AMGN26

Name of each exchange on which registered
The Nasdaq Stock Market LLC
The Nasdaq Stock Market LLC

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  ý    No  ¨

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  ¨    No  ý

Indicate  by  check  mark  whether  the  registrant  (1)  has  filed  all  reports  required  to  be  filed  by  Section  13  or 
Section  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  ý    No  ¨

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  ý    No  ¨

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.

Large accelerated filer

Accelerated filer

Non-accelerated filer

Smaller 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.     ☒

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act)    Yes  ☐    No  ý

The  approximate  aggregate  market  value  of  voting  and  non-voting  stock  held  by  non-affiliates  of  the  registrant  was 

$137,531,019,585 as of June 30, 2021.(A)

(A)

Excludes 811,415 shares of common stock held by directors and executive officers, and any stockholders whose ownership exceeds ten percent of the 
shares outstanding, at June 30, 2021. Exclusion of shares held by any person should not be construed to indicate that such person possesses the power, 
directly  or  indirectly,  to  direct  or  cause  the  direction  of  the  management  or  policies  of  the  registrant,  or  that  such  person  is  controlled  by  or  under 
common control with the registrant.

557,029,370
(Number of shares of common stock outstanding as of February 11, 2022)

DOCUMENTS INCORPORATED BY REFERENCE
Specified portions of the registrant’s Proxy Statement with respect to the 2022 Annual Meeting of Stockholders to be 

held May 17, 2022, are incorporated by reference into Part III of this annual report.

 
PART I
Item 1.

Item 1A.
Item 1B.
Item 2.
Item 3.
Item 4.
PART II
Item 5.

Item 6.
Item 7.

Item 7A.
Item 8.
Item 9.

Item 9A.
Item 9B.
PART III
Item 10.
Item 11.
Item 12.

Item 13.

Item 14.
PART IV
Item 15.
Item 16.
SIGNATURES

INDEX

Defined Terms and Products

BUSINESS
Significant Developments
Marketing, Distribution and Selected Marketed Products
Reimbursement
Manufacturing, Distribution and Raw Materials
Government Regulation
Research and Development and Selected Product Candidates
Business Relationships
Human Capital Resources
Information about our Executive Officers
Geographic Area Financial Information
Investor Information
RISK FACTORS
UNRESOLVED STAFF COMMENTS
PROPERTIES
LEGAL PROCEEDINGS
MINE SAFETY DISCLOSURES

MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER 
MATTERS AND ISSUER PURCHASES OF EQUITY SECURITIES
RESERVED
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND 
RESULTS OF OPERATIONS
QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA
CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND 
FINANCIAL DISCLOSURE
CONTROLS AND PROCEDURES
OTHER INFORMATION

DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE 
EXECUTIVE COMPENSATION
SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT 
AND RELATED STOCKHOLDER MATTERS
CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS AND DIRECTOR 
INDEPENDENCE
PRINCIPAL ACCOUNTANT FEES AND SERVICES

EXHIBITS AND FINANCIAL STATEMENT SCHEDULES
FORM 10-K SUMMARY

i

Page No.
ii
1
1
1
3
9
11
12
16
21
22
24
25
26
26
50
51
51
51
52

52
53

54
73
75

75
76
78
78
78
78

79

80
80
81
81
87
88

 
Defined Terms and Products 

Defined terms

We use several terms in this Form 10-K—including but not limited to those that are finance, regulation and disease-state 

related—as well as names of other companies, which are given below.

Term
2017 Tax Act
AbbVie
ACA
aHUS
ALL
AMD
Amended 2009 Plan
ANDA
AOCI
AstraZeneca
BAFF
BeiGene
BiTE®
BLA
BMS
BPCIA
Celgene
CGRP
chemotherapy
CHMP
CIT
CKD
CMS
COSO
COVID-19
CV
DaVita
DLL3
DOJ
DoR
EC
EMA
EPS
ERG
ESA
ESG
ESRD
EU
FASB
FCPA
FDA
FDCA
FGFR2b
Fitch

Description
Tax Cuts and Jobs Act of 2017
AbbVie Inc.
Affordable Care Act
atypical hemolytic uremic syndrome
acute lymphoblastic leukemia
age-related macular degeneration
Amended and Restated 2009 Equity Incentive Plan
Abbreviated New Drug Application
accumulated other comprehensive income (loss)
AstraZeneca plc
B-cell activating factor
BeiGene, Ltd.
bispecific T-cell engager
Biologics License Application
Bristol Myers Squibb Company
Biologics Price Competition and Innovation Act of 2009
Celgene Corporation
calcitonin gene-related peptide
anticancer medicines
Committee for Medicinal Products for Human Use
chemotherapy-induced thrombocytopenia
chronic kidney disease
Centers for Medicare & Medicaid Services
Committee of Sponsoring Organizations of the Treadway Commission
coronavirus disease 2019
cardiovascular
DaVita Inc.
delta-like ligand 3
U.S. Department of Justice
duration of response
European Commission
European Medicines Agency
earnings per share
employee resource group
erythropoiesis-stimulating agent
environmental, social and governance
end-stage renal disease
European Union
Financial Accounting Standards Board
U.S. Foreign Corrupt Practices Act
U.S. Food and Drug Administration
Federal Food, Drug, and Cosmetic Act
fibroblast growth factor receptor 2b
Fitch Ratings, Inc.

ii

Term
Five Prime
FOMBPR
FTC
GAAP
GDPR
GEJ
HeFH
HER2
HGRAC
HHS
HLE
HoFH
ICOSL
IL
IND
IPR&D
IRP
IRS
ITP
J&J
Janssen
K-A
Kirin
KKC
LDL-C
LIBOR
Lilly
mCRPC
MD&A
MFN
Moody’s
MRD
Neumora
NOL
Novartis
NSCLC
Nuevolution
OECD
OIG
ORR
PBM
PCSK9
PDE4
PDUFA
PFS
PNH
Profit Sharing Plan
PROMESA

Description
Five Prime Therapeutics, Inc.
Financial Oversight and Management Board for Puerto Rico
Federal Trade Commission
U.S. generally accepted accounting principles
General Data Protection Regulation
gastroesophageal junction
heterozygous familial hypercholesterolemia
human epidermal growth factor receptor 2
Human Genetic Resources Administration of China
U.S. Department of Health & Human Services
half-life extended
homozygous familial hypercholesterolemia
inducible costimulatory ligand
interleukin
Investigational New Drug Application
in-process research and development
international reference pricing
Internal Revenue Service
immune thrombocytopenia 
Johnson & Johnson
Janssen Biotech, Inc.
Kirin-Amgen, Inc.
Kirin Holdings Company, Limited
Kyowa Kirin Co., Ltd.
low-density lipoprotein cholesterol
London Interbank Offered Rate
Eli Lilly and Company
metastatic castrate-resistant prostate cancer
management’s discussion and analysis
most favored nation
Moody’s Investors Service, Inc.
minimal residual disease
Neumora Therapeutics, Inc.
net operating loss
Novartis Pharma AG
non-small cell lung cancer
Nuevolution AB
Organization for Economic Co-operation and Development
Office of Inspector General
objective response rate
pharmacy benefit manager
proprotein convertase subtilisin/kexin type 9
phosphodiesterase 4
Prescription Drug User Fee Act
progression-free survival
paroxysmal nocturnal hemoglobinuria
Amgen Profit Sharing Plan for Employees in Ireland
Puerto Rico Oversight, Management, and Economic Stability Act

iii

Term
PTAB
R&D
RANKL
RAR
REMS
ROU
ROW
RSUs
S&P
SEC
SG&A
siRNA
sNDA
SoC
SOFR
SRE
Takeda
TDAPA
Teneobio
TNF
TPO-RA
U.S. Treasury
UCLA
USPTO
UTB
VEGFR

Description
Patent Trial and Appeal Board
research and development
receptor activator of nuclear factor kappa-B ligand
Revenue Agent Report
risk evaluation and mitigation strategy
right-of-use
rest of world
restricted stock units
Standard & Poor’s Financial Services LLC
U.S. Securities and Exchange Commission
selling, general and administrative
small interfering RNA
supplemental New Drug Application
standard of care
Secured Overnight Financing Rate
skeletal-related event
Takeda Pharmaceutical Company Limited
transitional drug add-on payment adjustment
Teneobio, Inc.
tumor necrosis factor
thrombopoietin receptor agonist
U.S. Department of Treasury
University of California, Los Angeles
U.S. Patent and Trademark Office
unrecognized tax benefit
vascular endothelial growth factor receptor

iv

Products

The brand names of our products, our delivery devices and certain of our product candidates and their associated generic 

names are given below.

Term

Acapatamab

Aimovig

AMGEVITA

AMJEVITA

Aranesp

AutoTouch

AVSOLA

BLINCYTO

Efavaleukin alfa

ENBREL

ENBREL Mini

EPOGEN

EVENITY

IMLYGIC

KANJINTI

KYPROLIS

LUMAKRAS/LUMYKRAS

MVASI

Neulasta

NEUPOGEN

Nplate

Olpasiran

Onpro

Ordesekimab

Otezla

Parsabiv

Pavurutamab
Prolia
Repatha

RIABNI

Rozibafusp alfa

Sensipar/Mimpara

SureClick

Tarlatamab

TEZSPIRE

Vectibix

XGEVA

Description

Acapatamab (formerly AMG 160)
Aimovig® (erenumab-aooe)
AMGEVITA™ (adalimumab)
AMJEVITA™ (adalimumab-atto)
Aranesp® (darbepoetin alfa)
AutoTouch®
AVSOLA® (infliximab-axxq)
BLINCYTO® (blinatumomab)
Efavaleukin alfa (formerly AMG 592)
Enbrel® (etanercept)
ENBREL Mini®
EPOGEN® (epoetin alfa)
EVENITY® (romosozumab-aqqg)
IMLYGIC® (talimogene laherparepvec)
KANJINTI® (trastuzumab-anns)
KYPROLIS® (carfilzomib)
LUMAKRAS® / LUMYKRAS™ (sotorasib)
MVASI® (bevacizumab-awwb)
Neulasta® (pegfilgrastim)
NEUPOGEN® (filgrastim)
Nplate® (romiplostim)
Olpasiran (formerly AMG 890)
Onpro®
Ordesekimab (formerly AMG 714)
Otezla® (apremilast)
Parsabiv® (etelcalcetide)
Pavurutamab (formerly AMG 701)
Prolia® (denosumab)
Repatha® (evolocumab)
RIABNI™ (rituximab-arrx)
Rozibafusp alfa (formerly AMG 570)
Sensipar®/Mimpara™ (cinacalcet)
SureClick®
Tarlatamab (formerly AMG 757)
TEZSPIRE™ (tezepelumab-ekko)
Vectibix® (panitumumab)
XGEVA® (denosumab)

Products referenced in this report that are not included in the above list are trademarks of their respective owners. They 
are  Avastin®,  Cosentyx®,  DARZALEX®,  DARZALEX  FASPRO®,  EYLEA®,  Fulphila®,  Herceptin®,  HUMIRA®, 
POMALYST®/IMNOVID®,  PRALUENT®,  PROCRIT®,  PROMACTA®/REVOLADE™,  Remicade®,  REVLIMID®, 
RINVOQ®,  Rituxan®/MabThera®,  Skyrizi®,  SOLIRIS®,  STELARA®,  Taltz®,  Tremfya®,  UDENYCA®,  VELCADE®  and 
Xeljanz®.

v

Item 1.

BUSINESS

PART I

Amgen Inc. (including its subsidiaries, referred to as “Amgen,” “the Company,” “we,” “our” or “us”) is a biotechnology 
company  committed  to  unlocking  the  potential  of  biology  for  patients  suffering  from  serious  illnesses  by  discovering, 
developing, manufacturing and delivering innovative human therapeutics. This approach begins by using tools like advanced 
human genetics to unravel the complexities of disease and understand the fundamentals of human biology.

Amgen focuses on areas of high unmet medical need and leverages its expertise to strive for solutions that improve health 
outcomes  and  dramatically  improve  people’s  lives.  A  biotechnology  pioneer,  Amgen  has  grown  to  be  one  of  the  world’s 
leading independent biotechnology companies, has reached millions of patients around the world and is developing a pipeline 
of medicines with breakaway potential.

Amgen  was  incorporated  in  California  in  1980  and  became  a  Delaware  corporation  in  1987.  We  have  a  presence  in 

approximately 100 countries worldwide. Amgen operates in one business segment: human therapeutics.

Significant Developments 

Following is a summary of significant developments affecting our business that have occurred and that we have reported 

since the filing of our Annual Report on Form 10-K for the year ended December 31, 2020. 

Business Development 

Five Prime Therapeutics acquisition

• On  April  16,  2021,  Amgen  completed  its  acquisition  of  Five  Prime,  a  public  clinical-stage  biotechnology  company 
focused on developing immuno-oncology and targeted cancer therapies, for approximately $1.6 billion in cash, net of 
cash acquired.

• In  April  2021,  the  FDA  granted  Breakthrough  Therapy  designation  for  bemarituzumab  as  first-line  treatment  for 
patients  with  FGFR2b  overexpressing  and  HER2-negative  metastatic  and 
locally  advanced  gastric  and 
gastroesophageal adenocarcinoma in combination with fluoropyrimidine, leucovorin and oxaliplatin based on an FDA-
approved companion diagnostic assay showing at least 10% of tumor cells overexpressing FGFR2b.

KKC collaboration

• We  and  KKC  entered  into  an  agreement,  effective  July  30,  2021,  to  jointly  develop  and  commercialize  KKC’s 
potential first-in-class, phase 3-ready anti-OX40 fully human monoclonal antibody in development for the treatment of 
atopic dermatitis, with potential in other autoimmune diseases.

Teneobio acquisition

• On  October  19,  2021,  Amgen  completed  its  acquisition  of  Teneobio,  a  privately  held,  clinical-stage  biotechnology 
company developing a new class of biologics called human heavy-chain antibodies, which are single-chain antibodies 
composed  of  the  human  heavy-chain  domain,  for  $900  million  as  well  as  future  contingent  milestone  payments 
potentially  worth  up  to  an  additional  $1.6  billion  upon  the  achievement  of  certain  developmental  and  regulatory 
events.

Products/Pipeline

Inflammation

Otezla

• In December 2021, we announced that the FDA had approved the expanded indication for Otezla for the treatment of 

adult patients with plaque psoriasis, who are candidates for phototherapy or systemic therapy, across all severities.

TEZSPIRE

• In  December  2021,  we  and  AstraZeneca  announced  that  the  FDA  had  approved  TEZSPIRE  for  the  add-on 

maintenance treatment of adult and pediatric patients aged 12 years and older with severe asthma.

1

Oncology/Hematology

LUMAKRAS/LUMYKRAS

• In May 2021, we announced that the FDA had approved LUMAKRAS for the treatment of adult patients with KRAS 
G12C–mutated locally advanced or metastatic NSCLC, as determined by an FDA-approved test, who have received at 
least  one  prior  systemic  therapy.  LUMAKRAS  received  accelerated  approval  based  on  ORR  and  DoR.  Continued 
approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory 
trial or trials.

• In January 2022, we announced that the EC had granted conditional marketing authorization for LUMYKRAS for the 
treatment  of  adults  with  advanced  NSCLC  with  KRAS  G12C  mutation  and  who  have  progressed  after  at  least  one 
prior line of systemic therapy. We also announced that LUMAKRAS had been approved in Japan for the treatment of 
KRAS  G12C-mutated  positive,  unresectable,  advanced  and/or  recurrent  NSCLC  that  has  progressed  after  systemic 
anticancer therapy.

KYPROLIS

• In  December  2021,  we  announced  that  the  FDA  had  approved  the  expansion  of  the  KYPROLIS  prescribing 
information to include its use in combination with DARZALEX FASPRO (daratumumab and hyaluronidase-fihj) and 
dexamethasone for the treatment of adult patients with relapsed or refractory multiple myeloma who have received one 
to three lines of therapy.

Operations

New manufacturing facilities

We announced plans to expand our United States–based manufacturing footprint.

• In  August  2021,  we  announced  plans  to  build  a  drug  substance  plant  in  North  Carolina  that  will  increase  our 

manufacturing network capacity to reliably supply more medicines for patients.

• In November 2021, we broke ground to build an advanced assembly and packaging plant in Ohio. The new facility 

will assemble and package vials and syringes to support the growing demand for our medicines.

We expect that both of these facilities will be built faster and at lower cost than traditional plants. Once completed, both 

will also utilize cutting-edge technologies to be more efficient and environmentally friendly than traditional plants.

COVID-19 pandemic

A  novel  strain  of  coronavirus  (SARS-CoV-2,  or  severe  acute  respiratory  syndrome  coronavirus  2,  causing  COVID-19) 
was declared a global pandemic by the World Health Organization on March 11, 2020. Since the onset of the pandemic in 2020, 
we have been closely monitoring the pandemic’s effects on our global operations. To date, we have not experienced disruptions 
to or shortages of our supply of medicines. We continue to take appropriate steps to minimize risks to our employees. Employee 
access  to  company  facilities  has  been  in  accordance  with  applicable  government  health  and  safety  protocols  and  guidance 
issued in response to the COVID-19 pandemic. The pandemic has shifted how we work as an organization and in the fourth 
quarter  of  2021,  we  enabled  our  U.S.  based  workforce  to  return  to  the  workplace  for  work  that  benefits  from  face-to-face 
interaction,  while  maintaining  appropriate  safety  measures  to  ensure  staff  well-being.  For  further  discussion,  see  Item  7. 
Management’s  Discussion  and  Analysis  of  Financial  Condition  and  Results  of  Operations—Overview,  Selected  Financial 
Information and Results of Operations. For a discussion of the risks presented by the COVID-19 pandemic to our results, see 
Risk Factors in Item 1A.

2

Marketing, Distribution and Selected Marketed Products

The largest concentration of our sales and marketing forces is based in the United States and Europe. In recent years, we 
have  expanded  the  commercialization  and  marketing  of  our  products  into  other  geographic  territories,  including  China  and 
Japan and other parts of Asia, the Middle East and Latin America. This expansion has occurred, and is expected to continue to 
occur, by establishing our own affiliates, by acquiring existing third-party businesses or product rights or by collaborating with 
third parties. See Business Relationships for our significant alliances. Whether we use our own sales and marketing forces or a 
third party’s services varies across these markets. Such use typically depends on several factors, including the nature of entry 
into  the  new  market,  the  size  of  an  opportunity  and  operational  capabilities.  Together  with  our  collaborators,  we  market  our 
products to healthcare providers, including physicians or their clinics, dialysis centers, hospitals and pharmacies.

In  the  United  States,  substantially  all  of  our  sales  are  to  pharmaceutical  wholesale  distributors,  which  are  the  principal 
means  of  distributing  our  products  to  healthcare  providers.  We  also  market  certain  products  through  direct-to-consumer 
channels, including print, television and online media. For further discussion, see Government Regulation—Regulation in the 
United  States—Regulation  of  Product  Marketing  and  Promotion.  Outside  the  United  States,  we  sell  principally  to  healthcare 
providers  and/or  pharmaceutical  wholesale  distributors  depending  on  the  distribution  practice  in  each  country.  In  the  Asia 
Pacific region, we also sell our products in partnership with other companies, including BeiGene, Daiichi Sankyo, KKC and 
Takeda.

Our  product  sales  to  three  large  wholesalers,  McKesson  Corporation,  AmerisourceBergen  Corporation  and  Cardinal 
Health, Inc., each individually accounted for more than 10% of total revenues for each of the years 2021, 2020 and 2019. On a 
combined basis, these wholesalers accounted for 82%, 83% and 81% of worldwide gross revenues for 2021, 2020 and 2019, 
respectively. We monitor the financial condition of our larger customers and limit our credit exposure by setting credit limits 
and, in certain circumstances, by requiring letters of credit or obtaining credit insurance.

3

Our products are marketed around the world, with the United States as our largest market. The following chart shows our 
product sales by principal product, and the table below (dollar amounts in millions) shows product sales by geography for the 
years 2021, 2020 and 2019.

Product Sales by Geography:

U.S.

ROW

Total

2021

2020

2019

$ 

$ 

17,286 

7,011 

24,297 

 71 % $ 

17,985 

 74 % $ 

16,531 

 29 %  

6,255 

 26 %  

5,673 

 74 %

 26 %

 100 % $ 

24,240 

 100 % $ 

22,204 

 100 %

4

% of Total Product Sales19%21%23%13%11%12%9%9%1%8%8%9%7%9%14%6%6%8%5%4%5%5%4%3%4%4%4%24%24%21%ENBRELProliaOtezlaXGEVANeulastaAranespKYPROLISRepathaNplateOther products202120202019 
ENBREL

We market ENBREL, a tumor necrosis factor blocker, in the United States and Canada. ENBREL was launched in 1998 
and is used primarily in indications for the treatment of adult patients with moderately to severely active rheumatoid arthritis, 
patients with chronic moderate-to-severe plaque psoriasis who are candidates for systemic therapy or phototherapy and patients 
with active psoriatic arthritis.

Prolia

We  market  Prolia  in  many  countries  around  the  world.  Prolia  contains  the  same  active  ingredient  as  XGEVA  but  is 
approved  for  different  indications,  patient  populations,  doses  and  frequencies  of  administration.  Prolia  was  launched  in  the 
United  States  and  Europe  in  2010.  In  the  United  States,  it  is  used  primarily  in  the  indication  for  the  treatment  of 
postmenopausal women with osteoporosis at high risk of fracture, defined as a history of osteoporotic fracture, or multiple risk 
factors for fracture; or in patients who have failed or are intolerant to other available osteoporosis therapy. In Europe, Prolia is 
used primarily for the treatment of osteoporosis in postmenopausal women at increased risk of fracture.

Otezla

We market Otezla, a small molecule that inhibits PDE4, in many countries around the world. Otezla was acquired from 
BMS in November 2019 after their acquisition of Celgene. Otezla is an oral therapy approved for the treatment of adult patients 
with  plaque  psoriasis  across  all  severities  for  whom  phototherapy  or  systemic  therapy  is  appropriate,  patients  with  active 
psoriatic arthritis and patients with oral ulcers associated with Behçet’s disease. In Europe, Otezla is approved for second-line 
use in the treatment of psoriatic arthritis and psoriasis and for patients with oral ulcers associated with Behçet’s disease who are 
candidates for systemic therapy. 

XGEVA

We  market  XGEVA  in  many  countries  around  the  world.  XGEVA  was  launched  in  2010  and  is  used  primarily  in  the 
indication  for  prevention  of  SREs  (pathological  fracture,  radiation  to  bone,  spinal  cord  compression  or  surgery  to  bone)  in 
patients with bone metastases from solid tumors and multiple myeloma.

Neulasta

We  market  Neulasta,  a  pegylated  protein  based  on  the  filgrastim  molecule,  primarily  in  the  United  States  and  Europe. 
Neulasta was launched in 2002 and is used primarily in the indication to help reduce the chance of infection due to a low white 
blood cell count in patients with certain types of cancer (nonmyeloid) who receive anticancer medicines (chemotherapy) that 
can cause fever and a low blood cell count. In 2015, the Neulasta Onpro kit became available in the United States. The Neulasta 
Onpro kit provides physicians the opportunity to initiate administration of Neulasta on the same day as chemotherapy, with drug 
delivery of the recommended dose of Neulasta at home the day after chemotherapy, thereby saving the patient a trip back to the 
doctor.

Aranesp

We market Aranesp primarily in the United States and Europe. It was launched in 2001 and is indicated to treat a lower-
than-normal  number  of  red  blood  cells  (anemia)  caused  by  CKD  in  both  patients  on  dialysis  and  patients  not  on  dialysis. 
Aranesp is also indicated for the treatment of anemia due to concomitant myelosuppressive chemotherapy in certain patients 
with nonmyeloid malignancies and when chemotherapy will be used for at least two months after starting Aranesp.

Repatha

We  market  Repatha,  a  PCSK9  inhibitor,  in  many  countries  around  the  world.  Repatha  was  launched  in  2015  and  is 
indicated  to  reduce  the  risks  of  myocardial  infarction,  stroke  and  coronary  revascularization  in  adults  with  established  CV 
disease. Repatha is also indicated to reduce LDL-C in adults with primary hyperlipidemia, including HeFH; in pediatric patients 
aged 10 years and older with HeFH; and in adults and pediatric patients aged 10 years and older with HoFH.

KYPROLIS

We market KYPROLIS primarily in the United States and Europe. KYPROLIS was launched in 2012 and is indicated in 
combination with (i) dexamethasone, (ii) lenalidomide plus dexamethasone and (iii) DARZALEX plus dexamethasone for the 
treatment of patients with relapsed or refractory multiple myeloma who have received one to three prior lines of therapy. It is 
also  approved  as  a  single  agent  for  patients  with  relapsed  or  refractory  multiple  myeloma  who  have  received  one  or  more 
previous therapies.

5

Nplate

We  market  Nplate  in  many  countries  around  the  world.  Nplate  was  launched  in  2008  and  is  indicated  to  treat 
thrombocytopenia in patients with chronic ITP who have had an insufficient response to corticosteroids, immunoglobulins or 
splenectomy.

Other Marketed Products

We  also  market  a  number  of  other  products  in  various  markets  worldwide,  including  MVASI,  Vectibix,  KANJINTI, 
EVENITY,  EPOGEN,  BLINCYTO,  AMGEVITA,  Aimovig,  Parsabiv,  NEUPOGEN,  LUMAKRAS/LUMYKRAS,  Sensipar/
Mimpara, AVSOLA, RIABNI and TEZSPIRE. 

Patents

The following table lists our outstanding material patents for the indicated product by territory, general subject matter and 
latest expiry date. Certain of the European patents are subjects of supplemental protection certificates that provide additional 
protection for the products in certain European countries beyond the dates listed in the table. See footnotes to the patent table 
below.

One or more patents with the same or earlier expiry dates may fall under the same general subject matter and are not listed 

separately.

Product

Enbrel® (etanercept)

Prolia®/XGEVA® (denosumab)

Otezla® (apremilast)

Aranesp® (darbepoetin alfa)

KYPROLIS® (carfilzomib)

Repatha® (evolocumab)

Nplate® (romiplostim)

Vectibix® (panitumumab)

EVENITY® (romosozumab-aqqg)

BLINCYTO® (blinatumomab)

U.S.

U.S.

U.S.

U.S.

U.S.

U.S.

U.S.

Europe

U.S.

U.S.

U.S.

Europe

U.S.

U.S.

U.S.

U.S.

Europe

U.S.
U.S.

Europe

Europe
Europe

U.S.

Europe

Europe

Europe

U.S.

U.S.

U.S.

Europe

Europe
Europe

U.S.

U.S.

Europe

Europe

Territory General subject matter

Methods of treatment using aqueous formulations

Formulations

Fusion protein and pharmaceutical compositions

DNA encoding fusion protein and methods of making fusion protein

Methods of treatment

Expiration

6/8/2023

10/19/2037

11/22/2028

4/24/2029

6/25/2022

Nucleic acids encoding RANKL antibodies and methods of producing RANKL antibodies

11/30/2023

RANKL antibodies, including sequences
RANKL antibodies, including sequences(1)
Compositions and compounds

Crystalline form
Methods of treatment(2)
Compositions, compounds and methods of treatment(1)
Glycosylation analogs of erythropoietin proteins

Compositions and compounds

Methods of treatment

Methods of making
Compositions, compounds and methods of treatment(1)
Antibodies(3)
Methods of treatment
Compositions(1)
Methods of treatment
Formulation

Formulation
Thrombopoietic compounds(1)
Formulation
Human monoclonal antibodies to epidermal growth factor receptor(1)
Antibodies(3) 
Methods of treatment(3) 
Formulation and methods of using formulation
Antibodies(1) 
Methods of treatment
Formulation and methods of using formulation

Pharmaceutical compositions and bifunctional polypeptides

Method of administration
Bifunctional polypeptides(1)
Method of administration

6

2/19/2025

6/25/2022

2/16/2028

12/9/2023

5/29/2034

3/20/2023

5/15/2024

12/7/2027

4/14/2025

5/8/2033

12/7/2025

10/25/2029
10/8/2030

8/22/2028

5/10/2032
5/3/2033

2/12/2028

10/22/2019

4/20/2027

5/5/2018

4/25/2026

1/11/2029

5/11/2031

4/28/2026

4/18/2032
5/11/2031

4/6/2030

9/28/2027

11/26/2024

11/6/2029

Product

Territory General subject matter

Aimovig® (erenumab-aooe)

Parsabiv® (etelcalcetide)

LUMAKRAS® /
LUMYKRAS™(sotorasib)

TEZSPIRE™ (tezepelumab-ekko)

U.S.

U.S.

Europe

Europe

U.S.

U.S.

U.S.

Europe

Europe

U.S.

U.S.

Europe

U.S.

U.S.

CGRP receptor antibodies

Methods of treatment
CGRP receptor antibodies(1)
Methods of treatment

Compound and pharmaceutical composition

Formulation

Methods of making
Compound and pharmaceutical composition(1)
Formulation

Compounds and pharmaceutical compositions

Crystalline form, pharmaceutical compositions and methods of treatment

Compounds, pharmaceutical compositions and methods of treatment
Polypeptides(3)
Methods of treatment

Europe

Polypeptides

Expiration

5/17/2032

4/22/2036

12/18/2029

8/10/2035

2/7/2031

6/27/2034

8/9/2035

7/29/2030

6/27/2034

5/21/2038

5/20/2040

5/21/2038

2/3/2029

8/23/2038

9/9/2028

(1) A European patent with this subject matter may also be entitled to supplemental protection in one or more countries in 
Europe,  and  the  length  of  any  such  extension  will  vary  by  country.  For  example,  supplementary  protection  certificates 
have been issued related to the indicated products for patents in at least the following countries:

• denosumab — France, Germany, Italy, Spain and the United Kingdom, expiring in 2025

•

•

•

•

apremilast — Italy, Spain and the United Kingdom expiring in 2028

carfilzomib — France, Germany, Italy, Spain and the United Kingdom expiring in 2030

evolocumab — France, Spain and the United Kingdom, expiring in 2030

romiplostim — France, Germany, Italy, Spain and the United Kingdom, expiring in 2024

• panitumumab — France, Germany, Italy, Spain and the United Kingdom, expiring in 2022

•

romosozumab — France, Italy and Spain, expiring in 2031

• blinatumomab — France, Italy and Spain, expiring in 2029

•

•

erenumab — France, Italy and Spain, expiring in 2033

etelcalcetide — France, Germany, Italy, Spain and the United Kingdom, expiring in 2031

(2) U.S. Patent No. 10,092,541 was held invalid by the New Jersey District Court. We disagree with the court’s holding and 
we  are  in  the  process  of  appealing  this  judgment.  See  Part  IV—Note  19,  Contingencies  and  commitments,  to  the 
Consolidated Financial Statements, Amgen Inc. vs. Sandoz Inc., et al.

(3) A patent with this subject matter may be entitled to patent term extension in the United States.

7

Competition

We operate in a highly competitive environment. A number of our marketed products are indicated for disease areas in 
which  other  products  or  treatments  are  currently  available  or  are  being  pursued  by  our  competitors  through  R&D  activities. 
Additionally, some competitor-marketed products target the same genetic pathways as our recently launched marketed products 
or are currently in development. This competition could impact the pricing and market share of our products. We continue to 
pursue ways of increasing the value of our medicines through innovations during their life cycles, which can include expanding 
the disease areas for which our products are indicated and finding new methods to make the delivery of our medicines easier 
and less costly. Such activities can offer important opportunities for differentiation. For example, we market the Neulasta Onpro 
kit, which provides physicians the opportunity to initiate administration of the recommended dose of Neulasta on the same day 
as chemotherapy, with drug delivery at home the day after chemotherapy, thereby saving the patient a trip back to the doctor. 
We plan to continue pursuing innovation efforts to strengthen our competitive position. Such position may be based on, among 
other things, safety, efficacy, reliability, availability, patient convenience, delivery devices, price, reimbursement, access to and 
timing of market entry and patent position and expiration.

Certain  of  the  existing  patents  on  our  principal  products  have  expired,  and  we  face  new  and  increasing  competition, 
including from biosimilars and generics. A biosimilar is another version of a biological product for which marketing approval is 
sought  or  has  been  obtained  based  on  a  demonstration  that  it  is  “highly  similar”  to  the  original  reference  product.  We  have 
experienced adverse effects from biosimilar competition on our originator product sales. Companies have launched biosimilar 
versions  of  EPOGEN,  NEUPOGEN  and  Neulasta  and  have  approved  biosimilars  for  ENBREL.  Once  multiple  biosimilar 
versions  of  one  of  our  originator  products  have  launched,  competition  has  intensified  rapidly,  resulting  in  greater  net  price 
declines for both reference and biosimilar products, and a greater effect on product sales. See also Government Regulation—
Regulation in the United States—Approval of Biosimilars. Although competitor biosimilars compete on price, we believe many 
patients, providers and payers will continue to place high value on the reputation, supply reliability and safety of our products. 
As additional biosimilar competitors come to market, we will continue to leverage our global experience to distinguish against 
both branded and biosimilar competition.

We  also  have  our  own  biosimilar  products  both  in  the  United  States  and  outside  of  U.S.  markets  that  are  competing 
against  branded  and  biosimilar  versions  of  our  competitors’  products.  In  2019,  Amgen  launched  MVASI,  a  biosimilar  to 
Avastin, and KANJINTI, a biosimilar to Herceptin; and in 2018, Amgen launched AMGEVITA, a biosimilar to Humira in ex-
U.S. markets. We have also received FDA approval of AMJEVITA, a biosimilar to Humira for the U.S. market, and plan to 
launch in the United States in January 2023. In 2020, we launched AVSOLA, a biosimilar to Remicade; and in January 2021, 
we  launched  RIABNI,  a  biosimilar  to  Rituxan.  We  expect  additional  biosimilar  competition  against  both  our  branded  and 
biosimilar products in the future across markets.

Although  most  of  our  products  are  biologics,  some  are  small  molecule  products.  Because  the  FDA  approval  process 
permits  generic  manufacturers  to  rely  on  the  safety  and  efficacy  data  of  the  innovator  product  rather  than  having  to  conduct 
their  own  costly  and  time-consuming  clinical  trials,  generic  manufacturers  can  often  develop  and  market  their  competing 
versions of our small molecule products at much lower prices. For example, following loss of exclusivity of patents directed to 
cinacalcet,  the  active  ingredient  in  our  small  molecule  calcimimetic  Sensipar,  we  lost  a  significant  share  of  the  market  and 
corresponding  revenues  in  a  very  short  period  of  time.  See  Part  IV—Note  19,  Contingencies  and  commitments,  to  the 
Consolidated Financial Statements.

The introduction of new products, the development of new processes or technologies by competitors or the emergence of 
new  information  about  existing  products  may  result  in  (i)  increased  competition  for  our  marketed  products,  even  for  those 
protected by patents and/or (ii) reductions in the prices we receive from selling our products. In addition, the development of 
new  treatment  options  or  standards  of  care  may  reduce  the  use  of  our  products  or  may  limit  the  utility  and  application  of 
ongoing clinical trials of our product candidates. (As used in this document, the term clinical trials may include prospective 
clinical  trials,  observational  studies,  registries  and  other  studies.)  See  Item  1A.  Risk  Factors—Our  products  face  substantial 
competition  and  our  product  candidates  are  also  likely  to  face  substantial  competition  and  Item  1A.  Risk  Factors—We 
currently  face  competition  from  biosimilars  and  expect  to  face  increasing  competition  from  biosimilars  and  generics  in  the 
future.

8

The following table reflects our significant competitors and is not exhaustive.

Product

Territory
U.S. & Canada

Competitor-marketed product
HUMIRA

ENBREL

U.S.

Xeljanz

U.S. & Canada

Prolia

U.S. & Europe

U.S. & Europe

U.S. & Europe

RINVOQ
Alendronate, raloxifene and 
zoledronate generics
HUMIRA†
Cosentyx

Otezla

U.S. & Europe

Taltz

U.S. & Europe

U.S. & Europe

U.S. & Europe

Tremfya
Skyrizi(2)
Methotrexate generics

XGEVA

U.S. & Europe

Zoledronate generics

Neulasta(3)

Aranesp

U.S.

U.S.

UDENYCA

Fulphila

U.S. & Europe

U.S.

U.S. & Europe

Filgrastim biosimilars
PROCRIT(4)
Epoetin alfa biosimilars

Repatha

U.S. & Europe

PRALUENT

KYPROLIS(5)

U.S.

VELCADE

U.S. & Europe

REVLIMID

U.S. & Europe

POMALYST/IMNOVID

U.S. & Europe

DARZALEX

Nplate

U.S. & Europe

PROMACTA/REVOLADE

† Approved biosimilars available in Europe and Canada.

(1) A subsidiary of J&J.

(2) Dermatology only.

Competitors
AbbVie

Pfizer Inc.

AbbVie

Various

AbbVie

Novartis

Lilly
Janssen(1)
AbbVie

Various

Various

Coherus BioSciences, Inc.
Mylan Institutional Inc.

Various
Janssen(1)
Various
Regeneron Pharmaceuticals, Inc.
Sanofi
Millennium Pharmaceuticals, Inc.(6)
Celgene(7)
Celgene(7)
Janssen(1)
Novartis

(3) Other biosimilars under regulatory review in the United States and Europe.

(4) PROCRIT competes with Aranesp in supportive cancer care and predialysis settings.

(5) KYPROLIS is facing increased competition from several recently approved products.

(6) A subsidiary of Takeda.

(7) A subsidiary of BMS.

Reimbursement 

Sales of our principal products are dependent on the availability and extent of coverage and reimbursement from third-
party payers. In many markets around the world, these payers, including government health systems, private health insurers and 
other organizations, remain focused on reducing the cost of healthcare; and their efforts have intensified as a result of rising 
healthcare  costs,  economic  pressures  and  broader  challenges  generated  by  the  COVID-19  pandemic.  Drugs  remain  heavily 
scrutinized  for  cost  containment.  As  a  result,  payers  are  becoming  more  restrictive  regarding  the  use  of  biopharmaceutical 
products  and  are  scrutinizing  the  prices  of  these  products  while  requiring  a  higher  level  of  clinical  evidence  to  support  the 
benefits  such  products  bring  to  patients  and  the  broader  healthcare  system.  These  pressures  become  intensified  when  our 
products become subject to competition, including from biosimilars.

9

In  the  United  States,  healthcare  providers  and  other  entities  such  as  pharmacies  and  PBMs  are  reimbursed  for  covered 
services  and  products  they  deliver  through  both  private-payer  and  government  healthcare  programs  such  as  Medicare  and 
Medicaid. We provide negotiated rebates to healthcare providers, private payers, government payers and PBMs. In addition, we 
are  required  to  (i)  provide  rebates  or  discounts  on  our  products  that  are  reimbursed  through  certain  government  programs, 
including Medicare and Medicaid, and (ii) provide discounts to qualifying healthcare providers under the federal 340B Drug 
Pricing Program. 

Both private and some government payers use formularies to manage access to and utilization of drugs. A drug’s inclusion 
and favorable positioning on a formulary are essential to ensure patients have access to a particular drug. Even when access is 
available,  some  patients  abandon  their  prescriptions  for  economic  reasons.  Payers  continue  to  institute  cost  reduction  and 
containment  measures  that  lower  drug  utilization  and/or  spending  altogether  and/or  shift  a  greater  portion  of  the  costs  to 
patients. Such measures include, but are not limited to, more-limited benefit plan designs, higher patient co-pays or coinsurance 
obligations, limitations on patients’ use of commercial manufacturer co-pay payment assistance programs (including through 
co-pay  accumulator  adjustment  or  maximization  programs),  stricter  utilization  management  criteria  before  a  patient  may  get 
access to a drug, higher-tier formulary placement that increases the level of patient out-of-pocket costs and formulary exclusion, 
which effectively encourages patients and providers to seek alternative treatments or pay 100% of the cost of a drug. The use of 
such  measures  by  PBMs  and  insurers  has  continued  to  intensify  and  has  thereby  limited  Amgen  product  usage  and  sales. 
Furthermore, during the past few years, many PBMs and insurers have consolidated, resulting in a smaller number of PBMs and 
insurers  overseeing  a  large  portion  of  total  covered  lives  in  the  United  States.  As  a  result,  PBMs  and  insurers  have  greater 
market  power  and  negotiating  leverage  to  mandate  stricter  utilization  criteria  and/or  exclude  drugs  from  their  formularies  in 
favor of competitor drugs or alternative treatments. In highly competitive treatment markets such as the markets for ENBREL, 
Otezla,  Repatha  and  Aimovig,  PBMs  are  also  able  to  exert  negotiating  leverage  by  requiring  incremental  rebates  from 
manufacturers in order for them to gain and/or maintain their formulary position.

In addition to market actions taken by private and government payers in the United States, policy makers in both of the 
major U.S. political parties are pursuing policies to lower drug costs. Potential policies cover a wide range of areas, including 
allowing the importation of drugs from other countries; instituting IRP schemes, which would set the prices of certain drugs 
based  on  those  available  in  other  countries;  implementing  policies  that  in  effect  would  require  manufacturers  to  accept 
government-set  prices  for  certain  drugs,  with  price  ceilings  based  on  a  domestic  reference-pricing  scheme;  redesigning  the 
Medicare Part D benefit so as to establish a cap on patient out-of-pocket costs, paired with new requirements that manufacturers 
cover a share of the costs of Part D drugs; stipulating penalties if drug price benchmarks rise faster than inflation; increasing 
transparency  in  drug  pricing;  and  using  third-party  value  assessments  to  determine  drug  prices.  Examples  of  such  policies 
include, but are not limited to, the previous Administration’s November 2020 interim final rule, which attempts to institute an 
MFN IRP model in Medicare Part B and a final rule instituting rebate reform in Medicare Part D. Both of the resulting rules are 
being challenged in court and have not yet been implemented. Further, although CMS withdrew the MFN IRP, policy makers 
continue  to  express  strong  interest  in  policies  to  address  drug  pricing.  See  Item  1A.  Risk  Factors—Our  sales  depend  on 
coverage and reimbursement from government and commercial third-party payers, and pricing and reimbursement pressures 
have affected, and are likely to continue to affect, our profitability. The Infrastructure Investment and Jobs Act signed into law 
on November 15, 2021, delays implementation of the rebate reform rule until 2026 and requires manufacturers of certain Part 
B–covered drugs packaged in single-use containers to give refunds to the government starting in 2023 for discarded amounts. 
Although  the  direction  of  drug-pricing-policy  reforms  remains  unclear  at  this  time,  Congress  is  continuing  to  consider 
prescription-drug-pricing reforms, including legislative proposals for a number of the concepts discussed above (including a full 
repeal of the prior Administration’s Part D rebate reform rule).

In  many  countries  other  than  the  United  States,  government-sponsored  healthcare  systems  are  the  primary  payers  for 
drugs  and  biologics.  With  increasing  budgetary  constraints  and/or  difficulty  in  understanding  the  value  of  medicines, 
governments  and  payers  in  many  countries  are  applying  a  variety  of  measures  to  exert  downward  price  pressure.  These 
measures  can  include  mandatory  price  controls,  price  referencing,  therapeutic-reference  pricing,  increases  in  mandates, 
incentives  for  generic  substitution  and  biosimilar  usage  and  government-mandated  price  cuts.  In  this  regard,  many  countries 
have  health  technology  assessment  organizations  that  use  formal  economic  metrics  such  as  cost-effectiveness  to  determine 
prices, coverage and reimbursement of new therapies; and these organizations are expanding in both established and emerging 
markets.  Many  countries  also  limit  coverage  to  populations  narrower  than  those  specified  on  our  product  labels  or  impose 
volume caps to limit utilization. We expect that countries will continue taking aggressive actions to seek to reduce expenditures 
on drugs and biologics. Similarly, fiscal constraints may also affect the extent to which countries are willing to approve new 
and  innovative  therapies  and/or  allow  access  to  new  technologies.  The  EU  is  currently  undergoing  a  review  and  possible 
revision of its pharmaceutical legislation, scheduled to conclude at the end 2022. There is a risk that this review will lead to 
proposals  that  may  reduce  intellectual  property  protection  for  new  products,  as  well  as  change  the  reimbursement  and 
regulatory landscape in ways that are difficult to predict at this point.

10

The dynamics and developments discussed above create pressures on the pricing and potential usage of our products and 
on the industry. Given the diverse interests in play between payers, biopharmaceutical manufacturers, policy makers, healthcare 
providers and independent organizations, if and whether the parties involved can achieve alignment on the matters discussed 
above remain unclear, and the outcome of any such alignment is difficult to predict. We remain focused on pricing our products 
responsibly and delivering breakthrough treatments for unmet medical needs. Amgen is committed to working with the entire 
healthcare community to ensure continued innovation and to facilitate patient access to needed medicines. We do this by:

•

•

•

•

•

•

investing billions of dollars annually in R&D;

pricing our medicines to reflect the value they provide;

developing more affordable therapeutic choices in the form of high-quality and reliably supplied biosimilars;

partnering with payers to share risk and accountability for health outcomes;

providing patient support and education programs; 

helping patients in financial need access our medicines; and

• working with policy makers, patients and other stakeholders to establish a sustainable healthcare system with access to 

affordable care and in which patients and their healthcare professionals are the primary decision makers.

See Item 1A. Risk Factors—Our sales depend on coverage and reimbursement from government and commercial third-
party payers, and pricing and reimbursement pressures have affected, and are likely to continue to affect, our profitability and 
Item  1A.  Risk  Factors—Guidelines  and  recommendations  published  by  various  organizations  can  reduce  the  use  of  our 
products.

Manufacturing, Distribution and Raw Materials

Manufacturing

We believe we are a leader in the manufacture of biologics and that our manufacturing capabilities represent a competitive 
advantage. The products we manufacture consist of both biologics and small molecule drugs. The majority of our products are 
biologics  that  are  produced  in  living  cells  and  that  are  inherently  complex  due  to  naturally  occurring  molecular  variations. 
Highly  specialized  knowledge  and  extensive  process  and  product  characterization  are  required  to  transform  laboratory-scale 
processes  into  reproducible  commercial  manufacturing  processes.  Further,  our  expertise  in  the  manufacture  of  biologics 
positions us well for leadership in the global biosimilars market. For additional information regarding manufacturing facilities, 
see Item 2. Properties.

We have been innovating our manufacturing facilities designed to extend our manufacturing advantage by optimizing our 
manufacturing network and/or by mitigating risks while continuing to ensure adequate supply of our products. For example, our 
licensed  next-generation  biomanufacturing  plant  operating  in  Singapore,  and  our  recently  FDA  approved  facility  in  West 
Greenwich, Rhode Island, incorporate multiple innovative technologies into a single facility. Next-generation biomanufacturing 
plants  require  smaller  manufacturing  footprints  and  offer  greater  environmental  benefits,  including  reduced  consumption  of 
water  and  energy  and  lower  levels  of  carbon  emissions.  Within  such  plants,  the  equipment  is  portable  and  smaller,  which 
provides greater flexibility and speed in the manufacture of different medicines simultaneously. This enables Amgen to respond 
to changing demands for its medicines with increased agility. The Singapore site also has a plant that has been approved by 
several agencies, including the FDA and EMA, to produce small molecule drugs for commercial manufacturing.

Our  internal  manufacturing  network  has  commercial  production  capabilities  for  bulk  manufacturing,  formulation,  fill, 
finish, tableting and device assembly. These activities are performed within the United States and its territories in our Puerto 
Rico, Rhode Island and California facilities as well as internationally in our Ireland, Netherlands and Singapore facilities. In 
addition, we use third-party contract manufacturers to supplement the capacity or capability of our commercial manufacturing 
network.

To support our clinical trials, we manufacture product candidates primarily at our California facilities. We also use third-

party contract manufacturers to supplement the capacity or capability of our overall clinical manufacturing network.

See Item 1A. Risk Factors for a discussion of the factors that could adversely impact our manufacturing operations and 

the global supply of our products. 

11

Distribution

We operate distribution centers in Puerto Rico, Kentucky, California and the Netherlands for worldwide distribution of 
the  majority  of  our  commercial  and  clinical  products.  We  also  use  third-party  distributors  to  supplement  distribution  of  our 
products worldwide.

Other

In addition to the manufacturing and distribution activities noted above, each of our manufacturing locations includes key 
manufacturing  support  functions  such  as  quality  control,  process  development,  engineering,  procurement,  production 
scheduling and warehousing. Certain of those manufacturing and distribution activities are highly regulated by the FDA as well 
as  international  regulatory  agencies.  See  Government  Regulation—Regulation  in  the  United  States—Regulation  of 
Manufacturing Standards.

Manufacturing Initiatives

As discussed above, we have been expanding capacity and advancing new innovations with multiple ongoing projects.

Our  next-generation  biomanufacturing  plant  at  our  West  Greenwich,  Rhode  Island,  campus,  the  first  of  its  kind  in  the 
United  States,  received  FDA  approval  in  January  2022.  This  plant  expands  our  capacity  to  manufacture  certain  products  for 
U.S. and global markets, as we receive regulatory approval in those markets.

We  initiated  projects  in  2019  to  expand  our  clinical  and  commercial  manufacturing  capabilities  in  Thousand  Oaks, 

California, which we have completed.

In  August  2021,  we  initiated  a  project  to  build  a  new  multi-product  drug  substance  manufacturing  facility  in  Holly 
Springs, North Carolina. The new plant will support both traditional stainless steel-fed batch manufacturing and next-generation 
single-use technologies, allowing flexibility in the production of multiple products in one plant.

In  November  2021,  we  broke  ground  for  our  newest  biomanufacturing  plant  located  in  New  Albany,  Ohio.  This  final 
product assembly and packaging plant will support the growing demand for Amgen’s medicines in the United States and will 
use state-of-the-art technologies.

See Item 1A. Risk Factors—Manufacturing difficulties, disruptions or delays could limit supply of our products and limit 

our product sales.

Raw Materials and Medical Devices

Certain raw materials, medical devices (including companion diagnostics) and components necessary for the commercial 
and/or  clinical  manufacturing  of  our  products  are  provided  by  and  are  the  proprietary  products  of  unaffiliated  third-party 
suppliers, certain of which may be our only sources for such materials. We currently attempt to manage the risk associated with 
such  suppliers  by  means  of  inventory  management,  relationship  management  and  evaluation  of  alternative  sources  when 
feasible. We also monitor the financial condition of certain suppliers and their ability to supply our needs. See Item 1A. Risk 
Factors—We rely on third-party suppliers for certain of our raw materials, medical devices and components.

We perform various procedures to help authenticate the sources of raw materials, including intermediary materials used in 
the  manufacture  of  our  products;  the  procedures  include  verification  of  country  of  origin  and  are  incorporated  into  the 
manufacturing processes we and our third-party contract manufacturers perform.

To  better  ensure  supply,  Amgen  has  a  risk  mitigation  strategy  that  uses  a  combination  of  methods,  including  multiple 
sources  or  backup  inventory  of  critical  raw  materials.  In  response  to  the  COVID-19  pandemic  and  as  part  of  our  ongoing 
business continuity efforts, we continue to closely monitor our inventory levels and have taken additional measures to mitigate 
against raw material supply interruption. See Item 1A. Risk Factors for a discussion of the factors that could adversely impact 
our manufacturing operations and the global supply of our products.

Government Regulation

Regulation by government authorities in the United States and other countries is a significant factor in the production and 
marketing of our products and our ongoing R&D activities. To clinically test, manufacture and market products for therapeutic 
use,  we  must  satisfy  mandatory  procedures  and  safety  and  effectiveness  standards  established  by  various  regulatory  bodies. 
Compliance  with  these  standards  is  complex,  and  failure  to  comply  with  any  of  these  standards  can  result  in  significant 
implications. See Item 1A. Risk Factors for a discussion of factors, including global regulatory implications, that can adversely 
impact our development and marketing of commercial products.

12

Regulation in the United States

In  the  United  States,  the  Public  Health  Service  Act;  the  FDCA;  and  the  regulations  promulgated  thereunder  as  well  as 
other  federal  and  state  statutes  and  regulations  govern,  among  other  things,  the  production,  research,  development,  testing, 
manufacture,  quality  control,  labeling,  storage,  record  keeping,  approval,  advertising,  promotion  and  distribution  of  our 
products in addition to the reporting of certain payments and other transfers of value to healthcare professionals and teaching 
hospitals.

Clinical Development and Product Approval. Drug development in our industry is complex, challenging and risky, and 
failure  rates  are  high.  Product  development  cycles  are  typically  very  long—approximately  10  to  15  years  from  discovery  to 
market. A potential new medicine must undergo many years of preclinical and clinical testing to establish its safety and efficacy 
for  use  in  humans  at  appropriate  dosing  levels  and  with  an  acceptable  risk–benefit  profile.  We  continue  to  work  toward 
reducing cycle times by applying our expertise in human genetics and innovation in technology, clinical trials and real-world 
evidence.

After  laboratory  analysis  and  preclinical  testing  in  animals,  we  file  an  IND  with  the  FDA  to  begin  human  testing. 

Typically, we undertake an FDA-designated three-phase human clinical testing program.

•

•

•

In phase 1, we conduct small clinical trials to investigate the safety and proper dose ranges of our product candidates in a 
small number of human subjects.

In  phase  2,  we  conduct  clinical  trials  to  investigate  side-effect  profiles  and  the  efficacy  of  our  product  candidates  in  a 
patient population larger than phase 1 but still relatively small, who have the disease or condition under study.

In phase 3, we conduct clinical trials to investigate the short- and long-term safety and efficacy of our product candidates, 
compared to commonly used treatments, in a large number of patients who have the disease or condition under study.

The FDA monitors the progress of each trial conducted under an IND and may, at its discretion, reevaluate, alter, suspend 
or  terminate  the  testing  based  on  data  accumulated  to  that  point  and  the  FDA’s  risk–benefit  assessment  with  regard  to  the 
patients enrolled in the trial. The results of preclinical and clinical trials are submitted to the FDA in the form of either a BLA 
for biologic products or a New Drug Application for small molecule products. We are not permitted to market or promote a new 
product until the FDA has approved our marketing application.

Approval of Biosimilars. The ACA authorized the FDA to approve biosimilars via a separate, abbreviated pathway. The 
pathway  allows  sponsors  of  a  biosimilar  to  seek  and  obtain  regulatory  approval  based  in  part  on  the  nonclinical-trial  and 
clinical-trial data of an originator product to which the biosimilar has been demonstrated to be “highly similar” and to have no 
clinically meaningful differences with regard to safety, purity and potency. The relevance of demonstrating “similarity” is that 
in  many  cases,  biosimilars  can  be  brought  to  market  without  conducting  the  full  suite  of  clinical  trials  typically  required  of 
originators,  because  risk–benefit  has  previously  been  established.  To  preserve  incentives  for  future  innovation,  the  law 
establishes a period of exclusivity for originators’ products, which in general prohibits biosimilars from gaining FDA approval 
based in part on reliance on or reference to the originator’s data in their application to the FDA for 12 years after initial FDA 
approval of the originator product. The law does not change the duration of patents granted on biologic products. As part of the 
implementation of the abbreviated approval pathway for biosimilars, the FDA released a number of guidance documents, some 
of which remain in draft form.

Regulation of Product Marketing and Promotion. The FDA regulates the marketing and promotion of drug products. Our 
product  promotions  for  approved  product  indications  must  comply  with  the  statutory  standards  of  the  FDCA  and  the  FDA’s 
implemented  regulations  and  guidance.  The  FDA’s  review  of  marketing  and  promotional  activities  encompasses  but  is  not 
limited  to  direct-to-consumer  advertising,  healthcare-provider-directed  advertising  and  promotion,  sales  representative 
communications to healthcare professionals, promotional programming and promotional activities involving electronic media. 
The FDA may also review industry-sponsored scientific and educational activities that make representations regarding product 
safety  or  efficacy  in  a  promotional  context.  The  FDA  may  take  enforcement  action  against  a  company  for  promoting 
unapproved uses of a product or for other violations of the FDA’s advertising and labeling laws and regulations. Enforcement 
action may include product seizures, injunctions, civil or criminal penalties or regulatory letters, which may require corrective 
advertising or other corrective communications to healthcare professionals. Failure to comply with the FDA’s regulations also 
can  result  in  adverse  publicity  or  increased  scrutiny  of  company  activities  by  the  U.S.  Congress  or  other  legislators. 
Additionally, as described below, such failure may lead to additional liability under U.S. healthcare fraud and abuse laws.

13

Regulation  of  Manufacturing  Standards.  The  FDA  regulates  and  inspects  the  equipment,  facilities,  laboratories  and 
processes  used  in  the  manufacturing  and  testing  of  products  prior  to  granting  approval  to  market  products.  If  after  receiving 
approval  from  the  FDA  we  make  a  material  change  in  manufacturing  equipment,  location  or  process,  additional  regulatory 
review  may  be  required.  We  also  must  adhere  to  current  Good  Manufacturing  Practice  regulations  and  product-specific 
regulations  enforced  by  the  FDA  through  its  facilities  inspection  program.  The  FDA  conducts  regular,  periodic  visits  to 
reinspect our equipment, facilities, laboratories and processes following an initial approval.

Regulation  of  Combination  Products.  Combination  products  are  defined  by  the  FDA  as  products  composed  of  two  or 
more  regulated  components  (e.g.,  a  biologic  and/or  drug  and  a  device).  Biologics/drugs  and  devices  each  have  their  own 
regulatory  requirements,  and  combination  products  may  have  additional  requirements.  A  number  of  our  marketed  products 
meet this definition and are regulated under this framework, and we expect that a number of our pipeline product candidates 
will be evaluated for regulatory approval under this framework as well.

Regulation outside the United States

In EU countries as well as in the United Kingdom, Switzerland, Canada, Australia and Japan, regulatory requirements and 

approval processes are similar in principle to those in the United States.

In the EU, there are currently two potential tracks for seeking marketing approval for a product not authorized in any EU 
member state: a decentralized procedure and a centralized procedure. In the decentralized procedure, identical applications for 
marketing  authorization  are  submitted  simultaneously  to  the  national  regulatory  agencies.  Regulatory  review  is  led  by  one 
member  state  (the  reference-member  state),  and  its  assessment—based  on  safety,  quality  and  efficacy—is  reviewed  and 
approved  (assuming  there  are  no  concerns  that  the  product  poses  a  serious  risk  to  public  health)  by  the  other  member  states 
from which the applicant is seeking approval (the concerned-member states). The decentralized procedure leads to a series of 
single national approvals in all relevant countries. In the centralized procedure, which is required of all products derived from 
biotechnology, a company submits a single Marketing Authorisation Application to the EMA, which conducts an evaluation of 
the dossier, drawing upon its scientific resources across Europe. If the drug product is proven to fulfill requirements for quality, 
safety and efficacy, the EMA’s CHMP adopts a positive opinion, which is transmitted to the EC for final decision on granting 
of the marketing authorization. Even though the EC generally follows the CHMP’s opinion, it is not bound to do so. Subsequent 
commercialization is enabled by country-by-country reimbursement approval.

In the EU, biosimilars are approved under a specialized pathway of the centralized procedure. As with the U.S. pathway, 
an applicant seeks and obtains regulatory approval for a biosimilar once the data exclusivity period for the original reference 
product  has  expired,  relying  in  part  on  the  data  submitted  for  the  originator  product  together  with  data  evidencing  that  the 
biosimilar  is  “highly  similar”  with  regard  to  quality,  safety  and  efficacy  to  the  original  reference  product  authorized  in  the 
European Economic Area.

Other countries such as Russia, Turkey and those in Latin America and the Middle East have review processes and data 
requirements similar to those of the EU and in some cases can rely on prior marketing approval from U.S. or EU regulatory 
authorities.  The  regulatory  process  in  these  countries  may  include  manufacturing/testing  facility  inspections,  testing  of  drug 
product upon importation and other domestic requirements.

In Asia Pacific, a number of countries such as China, Japan, South Korea and Taiwan may require local clinical-trial data 
for bridging purposes as part of the drug registration process in addition to global clinical trials, which can add to overall drug 
development and registration timelines. In most of the Asian markets, registration timelines depend on marketing approval in 
the United States or the EU. In some markets in Asia, such as China, Indonesia and Thailand, regulatory timelines can be less 
predictable.  The  regulatory  process  may  also  include  manufacturing/testing  facility  inspections,  testing  of  drug  product  upon 
importation  and  other  domestic  requirements.  Countries  such  as  Australia  and  Japan  have  more-mature  systems  that  would 
allow  for  submissions  under  more-competitive  time  frames.  With  regard  to  biosimilars,  several  of  these  countries  have 
pathways  to  register  biosimilars  (e.g.,  Australia,  India,  Singapore,  South  Korea  and  Taiwan),  and  biosimilar  products  are 
already present on the markets (e.g., Australia and South Korea).

In  some  countries,  such  as  Japan  and  those  in  the  EU,  medical  devices  may  be  subject  to  regulatory  regimes  whereby 
manufacturers must establish that their medical devices conform to essential requirements set out in the law for the particular 
device  category.  For  example,  in  the  EU,  with  limited  exceptions,  medical  devices  placed  on  the  market  must  bear  the 
Conformité Européenne marking to indicate their conformity with legal requirements.

14

Postapproval Phase

After approval, we continue to monitor adverse events and product complaints reported following the use of our products 
through  routine  postmarketing  surveillance  and  studies  when  applicable.  We  report  such  events  to  the  appropriate  regulatory 
agencies as required by local regulations for individual cases and aggregate reports. We proactively monitor (according to good 
pharmacovigilance practices) and ensure the implementation of signal detection, assessment and the communication of adverse 
events that may be associated with the use of our products. We also proactively monitor product complaints through our quality 
systems, which includes assessing our drug delivery devices for device complaints, adverse events and malfunctions. We may 
also  be  required  by  regulatory  agencies  to  conduct  further  clinical  trials  on  our  marketed  products  as  a  condition  of  their 
approval or to provide additional information on safety and efficacy. Health regulators, including the FDA, have authority to 
mandate labeling changes to products at any point in a product’s life cycle based on new safety information or as part of an 
evolving label change to a particular class of products.

Health  regulators,  including  the  FDA,  also  have  authority  both  before  and  after  approval  to  require  that  a  company 
implement  a  risk  management  program  for  a  product  to  ensure  that  the  benefits  of  the  drug  outweigh  the  risks.  Each  risk 
management  program  is  unique  and  varies  depending  on  the  specific  factors  required.  In  the  United  States,  such  a  risk 
management program is known as a REMS; and we currently have REMSs for Prolia, Nplate and BLINCYTO.

Other Regulation

We are also subject to various laws pertaining to healthcare fraud and abuse, including antikickback laws and false-claims 
laws.  Antikickback  laws  make  it  illegal  to  solicit,  offer,  receive  or  pay  any  remuneration  in  exchange  for  or  to  induce  the 
referral of business, including the purchase or prescribing of a particular drug that is reimbursed by a state or federal program. 
False-claims  laws  prohibit  knowingly  and  willingly  presenting  or  causing  to  be  presented  for  payment  to  third-party  payers 
(including Medicare and Medicaid) any 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. Violations of fraud and abuse laws may 
be punishable by criminal and/or civil sanctions, including fines and civil monetary penalties, as well as by the possibility of 
exclusion  from  federal  healthcare  programs  (including  Medicare  and  Medicaid).  Liability  under  false-claims  laws  may  also 
arise  when  violation  of  certain  laws  or  regulations  related  to  the  underlying  product  (e.g.,  a  violation  regarding  improper 
promotional activity or unlawful payments) contributes to the submission of a false claim.

On  April  25,  2019,  we  entered  into  a  settlement  agreement  with  the  DOJ  and  the  OIG  of  the  HHS  to  settle  certain 
allegations  related  to  our  support  of  independent  charitable  organizations  that  provide  patients  with  financial  assistance  to 
access medicines. Additionally, we entered into a corporate integrity agreement that requires us to both maintain a corporate 
compliance program and undertake a set of defined corporate integrity obligations for a period of five years. Due to the breadth 
of the statutory provisions and the absence of guidance in the form of regulations or court decisions addressing some of our 
practices, it is possible that in the future, our practices might be further challenged under antikickback or similar laws. 

The  FCPA  prohibits  U.S.  corporations  and  their  representatives  from  offering,  promising,  authorizing  or  making 
payments to any foreign government official, government staff member, political party or political candidate in an attempt to 
obtain or retain business abroad. The scope of the FCPA arguably includes interactions with certain healthcare professionals in 
many countries. Other countries have enacted similar anticorruption laws and/or regulations. Failure by our employees, agents, 
contractors,  vendors,  licensees,  partners  or  collaborators  to  comply  with  the  FCPA  and  other  anticorruption  laws  and/or 
regulations could result in significant civil or criminal penalties.

We  are  subject  to  various  laws  and  regulations  globally  with  regard  to  privacy  and  data  protection.  These  laws  and 
regulations involve the collection, storage, handling, use, disclosure, transfer and security of personal data. The legislative and 
regulatory environments regarding privacy and data protection are continually evolving and developing because these issues are 
subjects of increasing amounts of attention in countries globally. For example, we are subject to the EU’s GDPR, which became 
effective  on  May  25,  2018,  the  California  Consumer  Privacy  Act  of  2018,  which  became  effective  on  January  1,  2020  and 
China’s  Personal  Information  Protection  Law,  which  became  effective  on  November  1,  2021.  Other  jurisdictions  where  we 
operate have enacted or proposed similar legislation and/or regulations. For example, the Virginia Consumer Data Protection 
Act  and  the  Colorado  Privacy  Act  are  set  to  become  effective  on  January  1,  2023,  and  July  1,  2023,  respectively.  Failure  to 
comply with these laws could result in significant penalties.

Our business has been and will continue to be subject to various other U.S. and foreign laws, rules and regulations. See 

Reimbursement section above.

15

Research and Development and Selected Product Candidates

We  focus  our  R&D  on  novel  human  therapeutics  for  the  treatment  of  serious  illness.  We  capitalize  on  our  strengths  in 
human  genetics,  novel  biology  and  protein  engineering.  We  leverage  our  biologic  expertise  and  seek  to  choose  the  optimal 
modality for a drug target and disease. And we use cutting-edge science and technology to study subtle biological mechanisms 
in search of therapies that will improve the lives of those who suffer from diseases.

Our discovery research programs may therefore yield targets that lead to the development of human therapeutics delivered 
as large molecules, small molecules, other combination modalities or new modalities. We have reshaped our portfolio and have 
increasingly focused our efforts on human genetics when possible to enhance the likelihood of success.

Since  early  2021,  COVID-19  global  vaccination  efforts  have  been  under  way  to  control  the  pandemic.  However, 
uncertainty remains as to the length of time required for vaccination of a meaningful portion of the population and as to the 
efficacy of such vaccinations on the trajectory of the pandemic. Challenges to vaccination efforts, new variants and other causes 
of virus spread may require governments to issue additional restrictions and/or order shutdowns in various geographies. As a 
result, we expect to see continued volatility for at least the duration of the pandemic as governments respond to current local 
conditions.  With  regard  to  our  drug  development  activities,  we  are  continuously  monitoring  COVID-19  infection  rates, 
including changes from new variants; we are working to mitigate effects on future study enrollment in our clinical trials; and we 
are evaluating the impact in all countries where clinical trials occur. We remain focused on supporting our active clinical sites 
in their providing care for patients and in our providing investigational drug supply.

For  the  years  ended  December  31,  2021,  2020  and  2019,  our  R&D  expenses  were  $4.8  billion,  $4.2  billion  and  $4.1 

billion, respectively.

We have major R&D centers in Thousand Oaks and San Francisco, California; Iceland; and the United Kingdom, as well 

as smaller research centers and development facilities globally. See Item 2. Properties.

Our clinical trial activities are conducted by both our internal staff and third-party contract clinical trial service providers. 
To increase the number and diversity of patients available for enrollment in our clinical trials, we have opened clinical sites and 
will continue opening clinical sites and enrolling patients in a number of geographic locations. See Government Regulation—
Regulation in the United States—Clinical Development and Product Approval for a discussion of government regulation over 
clinical development. Also see Item 1A. Risk Factors—We must conduct clinical trials in humans before we commercialize and 
sell any of our product candidates or existing products for new indications.

Some of our competitors are actively engaged in R&D in areas in which we have products or in which we are developing 
product  candidates  or  new  indications  for  existing  products.  For  example,  we  compete  with  other  clinical  trials  for  eligible 
patients,  which  may  limit  the  number  of  available  patients  who  meet  the  criteria  for  certain  clinical  trials.  The  competitive 
marketplace  for  our  product  candidates  is  greatly  dependent  on  the  timing  of  entry  into  the  market.  Early  entry  may  have 
important  advantages  in  gaining  product  acceptance,  thereby  contributing  to  a  product’s  eventual  success  and  profitability. 
Accordingly, we expect that in some cases, the relative speed with which we can develop products, complete clinical testing, 
receive regulatory approval and supply commercial quantities of a product to the market will be important to our competitive 
position.

In addition to product candidates and marketed products generated from our internal R&D efforts, we acquire companies, 
acquire and license certain product and R&D technology rights and establish R&D arrangements with third parties to enhance 
our  strategic  position  within  our  industry  by  strengthening  and  diversifying  our  R&D  capabilities,  product  pipeline  and 
marketed product base. In pursuing these R&D arrangements and licensing or acquisition activities, we face competition from 
other  pharmaceutical  and  biotechnology  companies  that  also  seek  to  license  or  acquire  technologies,  product  candidates  or 
marketed products from those entities performing the R&D.

The  following  table  shows  a  selection  of  certain  of  our  product  candidates  by  phase  of  development  in  our  therapeutic 
areas of focus as of February 8, 2022, unless otherwise indicated. Additional product candidate information can be found on our 
website at www.amgen.com. (The website address is not intended to function as a hyperlink, and the information contained on 
our website is not intended to be a part of this filing.) The information in this section does not include other, nonregistrational 
clinical trials that we may conduct for purposes other than for submission to regulatory agencies for their approval of a new 
product indication.

We  may  conduct  nonregistrational  clinical  trials  for  various  reasons,  including  to  evaluate  real-world  outcomes  or  to 

collect additional safety information with regard to the use of products.

16

Molecule

Phase 3 programs

AMJEVITA
Bemarituzumab
BLINCYTO
EVENITY
KYPROLIS
Nplate
Otezla
Repatha

TEZSPIRE

ABP 654
ABP 938
ABP 959

Phase 2 programs

Efavaleukin alfa

LUMAKRAS/LUMYKRAS

Olpasiran
Ordesekimab
Otezla
Rozibafusp alfa
Tarlatamab

TEZSPIRE

Investigational indication

Interchangeability

GEJ adenocarcinoma

Ph-negative B-cell precursor Acute lymphoblastic leukemia

Male osteoporosis

Weekly dosing for relapsed multiple myeloma

Chemotherapy-induced thrombocytopenia

Genital psoriasis

Cardiovascular disease

Chronic rhinosinusitis with nasal polyps
Severe asthma

Investigational biosimilar to STELARA (ustekinumab)

Investigational biosimilar to EYLEA (aflibercept)

Investigational biosimilar to SOLIRIS (eculizumab)

Systemic lupus erythematosus
Ulcerative colitis

Advanced colorectal cancer
NSCLC monotherapy
Other solid tumors with KRAS G12C mutations

Cardiovascular disease

Celiac disease

Palmoplantar pustulosis

Systemic lupus erythematosus

Small cell lung cancer

Chronic obstructive pulmonary disease
Chronic spontaneous urticaria

AMG 451/KHK 4083

Atopic dermatitis

Phase 1 programs

Acapatamab
Pavurutamab
Tarlatamab
AMG 104
AMG 119
AMG 133
AMG 176
AMG 193
AMG 199
AMG 256
AMG 330
AMG 340
AMG 404
AMG 427
AMG 506
AMG 509
AMG 609
AMG 650
AMG 994

Prostate cancer

Multiple myeloma

Small-cell lung cancer

Asthma

Small-cell lung cancer

Obesity

Hematologic malignancies

Solid tumors

Metastatic GEJ cancer

Solid tumors

Acute myeloid leukemia

Prostate cancer

Solid tumors

Acute myeloid leukemia

Solid tumors

Prostate cancer

Nonalcoholic steatohepatitis

Solid tumors

Solid tumors

17

Phase 3

Phase 2

Phase 1

Clinical trials investigate the short- and long-term safety and efficacy of our product candidates, compared to commonly used 
treatments, in a large number of patients who have the disease or condition under study.
Clinical trials investigate side-effect profiles and efficacy of product candidates in a larger patient population than phase 1, but 
still relatively small, who have the disease or condition under study.
Clinical trials investigate the safety and proper dose ranges of product candidates in a small number of human subjects.

Phase 3 Product Candidate Program Changes

As of February 2, 2021, we had 13 phase 3 programs. As of February 8, 2022, we continued to have 13 phase 3 programs, 
as  regulatory  approvals  were  received  for  three  programs,  four  programs  initiated  phase  3  studies  and  one  program  was 
terminated. These changes are set forth in the following table.

Molecule

Investigational indication

NSCLC with KRAS G12C mutations

Mild-to-moderate psoriasis

Non-Hodgkin’s lymphoma
Interchangeability

GEJ adenocarcinoma

LUMAKRAS/
LUMYKRAS

Otezla

RIABNI

AMJEVITA

Bemarituzumab

BLINCYTO

TEZSPIRE

Otezla

Ph-negative B-cell precursor Acute lymphoblastic leukemia

Initiated phase 3 study

Chronic rhinosinusitis with nasal polyps

COVID-19

Initiated phase 3 study

Terminated

Program change
Approved by the FDA and 
conditional marketing approval by 
the EC
Approved by the FDA

Approved by the FDA

Initiated phase 3 study

Initiated phase 3 study

Phase 3 Product Candidate Patent Information

The following table describes our composition-of-matter patents that have been issued thus far for our product candidates 
in phase 3 development that have yet to be approved for any indication in the United States or the EU. Patents for products 
already approved for one or more indications in the United States or the EU but that are currently undergoing phase 3 clinical 
trials for additional indications have been previously described. See Marketing, Distribution and Selected Marketed Products—
Patents.

Molecule

Territory

General subject matter

Estimated expiration*

Bemarituzumab

U.S.

Europe

Polypeptides

Polypeptides

2029

2029

*  Patent  expiration  estimates  are  based  on  issued  patents,  which  may  be  challenged,  invalidated  or  circumvented  by 
competitors. The estimates do not include any term adjustments, extensions or supplemental protection certificates that may 
be obtained in the future and thereby extend these dates. Corresponding patent applications are pending in other jurisdictions. 
Additional patents may be filed or issued and may provide additional exclusivity for the product candidate or its use.

Phases 3 and 2 Program Descriptions

The following provides additional information about selected product candidates that have advanced into human clinical 

trials.

AMJEVITA

AMJEVITA  is  a  biosimilar  to  HUMIRA,  which  is  a  monoclonal  antibody  that  inhibits  binding  of  TNF-alpha  to  cell 

surface TNF receptor / TNF-alpha.

Bemarituzumab

Bemarituzumab is a monoclonal antibody that inhibits FGFR2b. It is being investigated for the treatment of advanced GEJ 

adenocarcinoma.

In April 2021, Amgen announced that the FDA had granted Breakthrough Therapy designation for bemarituzumab.

18

BLINCYTO

BLINCYTO is an anti-CD19 x anti-CD3 BiTE® molecule. It is being investigated in newly diagnosed adults age 40 and 

older with Ph negative B-Cell precursor ALL.

Efavaleukin alfa

Efavaleukin  alfa  is  an  IL-2  mutein  Fc  fusion  protein.  It  is  being  investigated  for  the  treatment  of  systemic  lupus 

erythematosus and ulcerative colitis.

EVENITY

EVENITY  is  a  monoclonal  antibody  that  inhibits  the  action  of  sclerostin.  It  is  being  evaluated  as  a  treatment  for  male 

osteoporosis. EVENITY is being developed in collaboration with UCB.

KYPROLIS

KYPROLIS  is  a  small  molecule  proteasome  inhibitor.  It  is  being  investigated  for  weekly  dosing  in  combinations  with 

lenalidomide and dexamethasone for relapsed multiple myeloma.

In December 2021, we announced that the FDA had approved the expansion of the KYPROLIS prescribing information to 
include its use in combination with DARZALEX FASPRO (daratumumab and hyaluronidase-fihj) and dexamethasone for the 
treatment of adult patients with relapsed or refractory multiple myeloma who have received one to three lines of therapy.

LUMAKRAS/LUMYKRAS

LUMAKRAS  is  a  KRAS  G12C  small  molecule  inhibitor.  It  is  being  investigated  as  treatment  for  a  variety  of  solid 

tumors, including NSCLC, colorectal cancer and other solid tumor cancers.

In  May  2021,  we  announced  that  the  FDA  had  approved  LUMAKRAS  for  the  treatment  of  adult  patients 
with  KRAS  G12C–mutated  locally  advanced  or  metastatic  NSCLC,  as  determined  by  an  FDA-approved  test,  who  have 
received at least one prior systemic therapy. 

In November 2021, we announced that the EMA’s CHMP had adopted a positive opinion and recommended conditional 
marketing  authorization  of  LUMYKRAS,  known  as  LUMAKRAS  in  the  United  States,  for  the  treatment  of  adults  with 
advanced NSCLC with KRAS G12C mutation and who have progressed after at least one prior line of systemic therapy.

In  January  2022,  we  announced  that  the  EC  had  granted  conditional  marketing  authorization  for  LUMYKRAS  for  the 
treatment of adults with advanced NSCLC with KRAS G12C mutation and who have progressed after at least one prior line of 
systemic therapy. We also announced that LUMAKRAS had been approved in Japan for the treatment of KRAS G12C-mutated 
positive, unresectable, advanced and/or recurrent NSCLC that has progressed after systemic anticancer therapy.

Nplate

Nplate is a TPO-RA. It is being investigated for the treatment of CIT.

Olpasiran

Olpasiran is an siRNA that lowers lipoprotein(a), also known as Lp(a). It is being investigated in phase 2 for the treatment 

of atherosclerotic CV disease.

Ordesekimab

Ordesekimab is a monoclonal antibody that inhibits the action of IL-15. It is being investigated for the treatment of celiac 

disease and is being developed in collaboration with Provention Bio, Inc.

Otezla

Otezla is a small molecule that inhibits PDE4. It is being investigated in phase 3 studies for the treatment of patients with 

moderate-to-severe genital psoriasis. It is being investigated in a phase 2 study for treatment of palmoplantar pustulosis.

In  February  2021,  we  announced  the  submission  of  an  sNDA  to  the  FDA  for  the  treatment  of  adults  with  mild-to-

moderate plaque psoriasis who are candidates for phototherapy or systemic therapy.

19

In May 2021, we announced that the FDA had accepted for review our sNDA for the treatment of adults with mild-to-
moderate plaque psoriasis who are candidates for phototherapy or systemic therapy. The FDA had set a PDUFA action date of 
December 19, 2021. 

In  December  2021,  we  announced  that  the  FDA  had  approved  the  expanded  indication  for  Otezla  for  the  treatment  of 

adult patients with plaque psoriasis, who are candidates for phototherapy or systemic therapy, across all severities.

Repatha

Repatha is a human monoclonal antibody that inhibits PCSK9. It is being investigated as a treatment for atherosclerotic 

CV disease in high-risk patients with high LDL-C without prior heart attack or stroke.

Rozibafusp alfa 

Rozibafusp  alfa  is  a  novel  antibody-peptide  conjugate  that  simultaneously  blocks  the  BAFF  and  ICOSL  activity.  It  is 

being investigated as a treatment for systemic lupus erythematosus.

Tarlatamab

Tarlatamab is an HLE anti- DLL3 x anti-CD3 BiTE® molecule. It is being investigated for the treatment of small cell lung 

cancer.

TEZSPIRE

TEZSPIRE is a human monoclonal antibody that inhibits the action of thymic stromal lymphopoietin. It is being evaluated 
in phase 3 studies as a treatment for severe asthma and chronic rhinosinusitis with nasal polyps. It is also being investigated in 
phase 2 studies as a treatment for chronic obstructive pulmonary disease and chronic spontaneous urticaria. TEZSPIRE is being 
developed jointly in collaboration with AstraZeneca.

In May 2021, we announced that our partner AstraZeneca had submitted a BLA to the FDA for tezepelumab, a potential 

first-in-class medicine in severe asthma.

In  July  2021,  we  announced  that  the  FDA  had  accepted  a  BLA  and  granted  Priority  Review  of  TEZSPIRE  for  the 

treatment of asthma.

In  December  2021,  we  announced  that  the  FDA  had  approved  Amgen  and  AstraZeneca's  TEZSPIRE  for  the  add-on 

maintenance treatment of adult and pediatric patients aged 12 years and older with severe asthma.

In January 2022, we announced that TEZSPIRE is available for shipment to wholesalers in the United States.

AMG 451/KHK4083

AMG 451/KHK4083 is a monoclonal antibody that inhibits OX-40. It is being investigated for the treatment of moderate-

to-severe atopic dermatitis. AMG 451/KHK4083 is being developed in collaboration with KKC.

ABP 654

ABP 654, a biosimilar candidate to STELARA (ustekinumab), is a monoclonal antibody that inhibits IL-12 and IL-23. It 
is being investigated in a phase 3 study for biosimilarity to STELARA. The reference-product primary conditions are psoriasis, 
psoriatic arthritis and Crohn’s disease.

ABP 938

ABP 938, a biosimilar candidate to EYLEA, is a VEGFR Fc fusion protein. It is being investigated in a phase 3 study for 
biosimilarity  to  EYLEA.  The  reference-product  primary  conditions  are  wet  AMD,  macular  edema  following  retinal  vein 
occlusion, diabetic macular edema and diabetic retinopathy.

ABP 959

ABP 959, a biosimilar candidate to SOLIRIS, is a monoclonal antibody that specifically binds to the complement protein 
C5. It is being investigated in a phase 3 study for biosimilarity to SOLIRIS. The reference-product primary conditions are PNH 
and aHUS.

20

Business Relationships

From time to time, we enter into business relationships, including joint ventures and collaborative arrangements, for the 
R&D, manufacture and/or commercialization of products and/or product candidates. In addition, we acquire product and R&D 
technology rights and establish R&D collaborations with third parties to enhance our strategic position within our industry by 
strengthening  and  diversifying  our  R&D  capabilities,  product  pipeline  and  marketed-product  base.  These  arrangements 
generally provide for nonrefundable, upfront license fees, development and commercial-performance milestone payments, cost 
sharing,  royalty  payments  and/or  profit  sharing.  The  activities  under  these  collaboration  agreements  are  performed  with  no 
guarantee of either technological or commercial success, and each is unique in nature.

Trade secret protection for our unpatented confidential and proprietary information is important to us. To protect our trade 
secrets,  we  generally  require  counterparties  to  execute  confidentiality  agreements  upon  commencement  of  a  business 
relationship with us. However, others could either develop independently the same or similar information or unlawfully obtain 
access to our information.

BeiGene, Ltd.

On  January  2,  2020,  we  acquired  a  20.5%  stake  in  BeiGene  for  approximately  $2.8  billion  in  cash  as  part  of  a 
collaboration  to  expand  our  oncology  presence  in  China.  Under  the  collaboration,  BeiGene  began  selling  XGEVA  in  2020, 
BLINCYTO in 2021 and KYPROLIS in early 2022 in China, and Amgen shares profits and losses equally during the initial 
product-specific commercialization periods; thereafter, product rights may revert to Amgen, and Amgen will pay royalties to 
BeiGene on sales in China of such products for a specified period.

In addition, we jointly develop a portion of our oncology portfolio with BeiGene, which shares in global R&D costs by 
providing  cash  and  development  services  of  up  to  $1.25  billion.  Upon  regulatory  approval,  BeiGene  will  assume 
commercialization  rights  in  China  for  a  specified  period,  and  Amgen  and  BeiGene  will  share  profits  equally  until  certain  of 
these product rights revert to Amgen. Upon return of the product rights, Amgen will pay royalties to BeiGene on sales in China 
for a specified period. For product sales outside China, Amgen will also pay royalties to BeiGene.

Novartis

We are in a collaboration with Novartis to jointly develop and commercialize Aimovig. On January 31, 2022, concurrent 
with  the  settlement  of  the  previously  disclosed  litigation  between  Amgen  and  Novartis  we  modified  the  terms  of  the 
collaboration. See Part IV—Note 19, Contingencies and commitments, to the Consolidated Financial Statements.

Arrangement through December 31, 2021

In  the  United  States,  Amgen  and  Novartis  jointly  developed  and  collaborated  on  the  commercialization  of  Aimovig. 
Amgen, as the principal, recognized product sales of Aimovig in the United States, shared U.S. commercialization costs with 
Novartis and paid Novartis a significant royalty on net sales in the United States. Novartis held global co-development rights 
and exclusive commercial rights outside the United States and Japan for Aimovig (the ex-U.S. Novartis Rights). Novartis paid 
Amgen  double-digit  royalties  on  net  sales  of  the  product  in  the  ex-U.S.  Novartis  Rights  territories  and  funded  a  portion  of 
global  R&D  expenses.  In  addition,  Novartis  was  required  to  make  a  payment  to  Amgen  of  up  to  $100  million  if  certain 
commercial and expenditure thresholds were achieved with respect to Aimovig in the United States. 

Arrangement after January 1, 2022

Pursuant to the amendment effective January 1, 2022, Novartis retains the ex-U.S. Novartis Rights and will continue to 
pay double-digit royalties on net sales in the ex-U.S. Novartis Rights territories. In the United States, Novartis will no longer 
collaborate with Amgen, share Aimovig commercialization costs or pay milestones and Amgen will no longer pay royalties to 
Novartis on sales of Aimovig. Amgen and Novartis will continue to share development expenses worldwide.

Amgen manufactures and supplies Aimovig worldwide.

21

DaVita Inc.

In  January  2017,  we  entered  into  a  six-year  supply  agreement  with  DaVita,  which  superseded  the  previously  existing, 
seven-year supply agreement that commenced in 2012. Pursuant to the 2017 agreement, we supply EPOGEN and Aranesp in 
amounts necessary to meet specified annual percentages of DaVita’s and its affiliates’ requirements for ESAs used in providing 
dialysis services in the United States and Puerto Rico. Such percentages vary during the term of the agreement, but in each year 
are at least 90%. The agreement expires in December 2022. The agreement may be terminated by either party before expiration 
of its term in the event of certain breaches of the agreement by the other party.

For  financial  information  about  our  significant  collaborative  arrangements,  see  Part  IV—Note  8,  Collaborations,  to  the 

Consolidated Financial Statements.

Human Capital Resources

Overview

Amgen’s  approach  to  human  capital  resource  management  starts  with  our  mission  to  serve  patients.  We  strive  to  serve 
patients by transforming the promise of science and biotechnology into therapies that have the power to restore health or save 
lives. The way we approach our business is guided by our Amgen Values:

Amgen Values

Be Science-Based

Compete Intensely and Win

Create Value for Patients, 
Staff and Stockholders

Be Ethical

Trust and Respect Each Other

Ensure Quality

Work in Teams

Collaborate, Communicate 
and Be Accountable

Our staff are also guided by the Company’s Code of Conduct, which is designed to help every person who does business 
on our behalf worldwide (including all staff, management, consultants, contract workers and temporary workers) to understand 
what is expected of them.

Our  industry  exists  in  a  complex  regulatory  and  reimbursement  environment.  The  unique  demands  of  our  industry, 
together  with  the  challenges  of  running  an  enterprise  focused  on  the  discovery,  development,  manufacture  and 
commercialization of innovative medicines, requires a highly engaged and committed workforce.

As  of  December  31,  2021,  Amgen  had  approximately  24,200  staff  members  in  over  50  countries,  and  we  have  had 
relatively low global turnover rates. We also supplement our workforce with independent contractors, contingent workers and 
temporary  workers,  as  needed.  Outside  of  the  United  States,  some  of  our  employees  are  represented  by  unions  or  works 
councils. We consider our staff relations to be good, supported by regular assessments of staff engagement surveys on a wide 
range  of  topics  (including  engagement  in  the  COVID-19  environment,  diversity,  inclusion  and  belonging,  and  maintaining  a 
culture of compliance). We discuss the results of these surveys with our workforce and our Board of Directors. 

Compensation, Benefits and Development

Our  approach  to  employee  compensation  and  benefits  is  designed  to  deliver  cash,  equity  and  benefit  programs  that  are 
competitive with those offered by leading companies in the biotechnology and pharmaceutical industries to attract, motivate and 
retain  talent  with  a  focus  on  encouraging  performance,  promoting  accountability  and  adherence  to  Company  values  and 
alignment with the interests of the Company’s shareholders.

Our  base  pay  program  aims  to  compensate  staff  members  relative  to  the  value  of  the  contributions  of  their  role,  which 
takes into account the skills, knowledge and abilities required to perform each position, as well as the experience brought to the 
job. We also provide annual incentive programs to reward our staff in alignment with achievement of Company-wide goals that 
are established annually and designed to drive aspects of our strategic priorities that support and advance our strategy across our 
Company.  The  majority  of  our  staff  members  are  also  eligible  for  the  grant  of  equity  awards  under  our  long-term  incentive 
program that are designed to align the experience of these staff with that of our shareholders. 

All  staff  also  participate  in  a  regular  performance  measurement  process  through  which  staff  receive  performance  and 

development feedback, and pay is aligned to performance. 

To support the development of our staff, we provide a variety of programs, including leadership development programs, 

virtual instructor-led courses and self-paced learning options.

22

Our  benefit  programs  are  also  generally  broad-based,  promote  health  and  overall  well-being  and  emphasize  saving  for 
retirement. All regular U.S. staff members are eligible to participate in the same core health and welfare and retirement savings 
plans.  Other  U.S.  employee  benefits  include  medical  plans,  dental  plans,  adoption  assistance,  paid  parental  leave  programs, 
access to childcare, employee assistance programs, employee stock purchase plan, flexible spending accounts, life, long-term 
care and business travel accident insurance, short and long-term disability benefits, wellness benefits and work-life resources 
and referrals. Comparable programs and benefits are available globally, with the same health and well-being intent, consistent 
with statutory requirements.

Our Compensation and Management Development Committee provides oversight of our compensation plans, policies and 

programs.

Safety and Wellness and Our Response to COVID-19

Creating a safe and healthy workplace for our staff is a priority at Amgen. Our goal is to have a world class safety record 
through safety leadership, risk management practices and integrating safety throughout our business processes. To foster our 
safety  culture,  we  implement  a  comprehensive  safety  program,  driving  to  understand  and  mitigate  the  root  cause  of  safety 
incidents and manage and control variability. We use leading indicators to assess the effectiveness of our safety programs and 
make  course  corrections  as  needed.  Additionally,  we  perform  formal  executive  management  review  of  functional  safety 
performance  for  Operations,  Global  Commercial  Operations  and  R&D  on  a  quarterly  basis  with  a  focus  on  identifying  early 
signals and taking action to drive continuous improvement. 

In response to the COVID-19 pandemic and as part of our commitment to work to ensure the safety and well-being of our 
employees, for 2020 and much of 2021, we have activated our applicable business continuity plans, including having those of 
our employees who were able to work from home to do so, and for employees returning to the workplace and the field, we took 
additional  safety  measures,  including  implementing  occupancy  limits,  restricting  business  travel,  providing  and  requiring  the 
use  of  personal  protective  equipment,  temperature  screening  and  COVID-19  testing  to  access  our  workplaces.  Staff  member 
access to our facilities has been in accordance with applicable government health and safety protocols and guidance issued in 
response to the COVID-19 pandemic, and in 2021 we required staff members in the United States and Puerto Rico to be fully 
vaccinated against COVID-19.1 In the fourth quarter of 2021, we enabled our U.S. based workforce to return to the workplace 
for work that benefits from face-to-face interactions, while maintaining appropriate safety measures to ensure staff well-being. 
This  approach  intentionally  combines  the  benefits  of  remote  and  in-person  working  at  Amgen  for  the  future  as  COVID-19 
restrictions ease around the globe. We will continue to learn and adapt this approach as needed for the future.

Our  Corporate  Responsibility  and  Compliance  Committee  provides  general  oversight  of  our  safety  programs  and 

initiatives, while our Board of Directors, as a whole, has overseen our specific responses to the COVID-19 pandemic.

Diversity, Inclusion and Belonging

We believe that a diverse and inclusive culture fosters innovation, which supports our ability to serve patients. Further, we 
also believe our global presence is strengthened by having a workforce that reflects the diversity of the patients we serve. It is 
with these beliefs in mind that we have continued to strengthen and grow our culture of diversity, inclusion and belonging. Our 
internal  efforts  include,  in  2019,  establishing  a  Diversity,  Inclusion  and  Belonging  Council  chaired  by  our  Chief  Executive 
Officer. In 2020, we implemented a global unconscious-bias training program, and we launched an ongoing learning journey 
with  tools  and  resources  that  guides  staff  on  the  role  they  play  in  creating  diversity,  inclusion  and  belonging  throughout  the 
organization.  Each  of  Amgen’s  ERGs  is  sponsored  by  an  executive  leader  who  reports  to  the  CEO.  We  are  leveraging  our 
ERGs to represent and support the diversity of Amgen staff, while also providing opportunities to Amgen’s business and the 
community. 

1 The vaccination requirement did not apply to staff who were unable to receive a COVID-19 vaccine because of qualifying 
religious or medical reasons.

23

Employee Resource Groups

Amgen Asian Association (AAA)

Amgen Black Employee Network (ABEN)

Ability Bettered through Leadership and Education (ABLE), a resource group for those with disabilities, 
visible and invisible, including those conditions also experienced by the patients that Amgen serves.

Amgen Early Career Professionals (AECP)

Amgen Indian Subcontinent Network (AISN)

Amgen Latin Employee Network (ALEN)

Amgen LGBTQ and Allies Network (PRIDE)

Amgen Veterans Employees Network (AVEN)

Women Empowered to be Exceptional (WE2)

Women in Information Systems Enrichment (WISE)

Amgen International Network (AIN)

For  2021,  to  tangibly  deepen  and  drive  our  diversity,  inclusion  and  belonging  activities  enterprise-wide  and  actively 
communicate our culture of belonging to all staff, we established an annual diversity, inclusion and belonging goal for leaders 
at executive director and above levels to establish, document and execute diversity, inclusion and belonging action plans, with a 
target goal of 75% participation, which we achieved and exceeded in 2021. 

In areas of underrepresentation, we develop plans with a goal of bringing our representation in line with availability. We 
engage in outreach efforts to attract, retain and advance more women and minorities in our workforce. For example, we have 
worked  to  enhance  our  diverse  candidate  recruiting  pool  by  developing  relationships  with  organizations  that  can  serve  as  a 
source of diverse candidates, such as the National Black MBA Association and National Sales Network, as well as historically 
black  colleges  and  universities.  In  2021,  a  fellowship  program  between  Amgen  and  Howard  University  was  established  to 
expand the talent pool and diversify ranks in research and development. 

Additionally, at the end of 2020, we became a founding member of OneTen, a coalition of the world’s largest, best-known 
companies, that aims to hire one million Black Americans (with a specific focus on those without four-year college degrees) 
into good-paying, family-sustaining jobs over the next ten years. As a member of OneTen, Amgen is taking a leadership role in 
the greater Los Angeles region, where the company is headquartered, to help expand the coalition organizations that share our 
desire to offer opportunities to diverse talent. Other examples of actions that we are taking in this area include investment and 
participation  in  the  Healthcare  Businesswomen’s  Association  (a  global  organization  focused  on  development  and  business 
networking  for  women  in  healthcare)  and  the  UCLA  Anderson  School  of  Management  leadership  programs  for  women  and 
underrepresented talent.

Our  2020  Consolidated  EEO-1  Report  can  be  viewed  on  our  website  at  www.amgen.com  (the  website  address  is  not 

intended to function as a hyperlink, and the information contained in our website is not intended to be a part of this filing).

In  2021,  our  Corporate  Responsibility  and  Compliance  Committee  provided  oversight  of  our  policies,  programs  and 
initiatives focusing on workforce diversity and inclusion. In 2022, oversight of diversity, inclusion and belonging shifted to the 
Compensation and Management Development Committee, which also provides oversight of our human capital management.

Information about Our Executive Officers

The executive officers of the Company as of February 16, 2022, are set forth below. 

Mr.  Robert  A.  Bradway,  age  59,  has  served  as  a  director  of  the  Company  since  2011  and  Chairman  of  the  Board  of 
Directors  since  2013.  Mr.  Bradway  has  been  the  Company’s  President  since  2010  and  Chief  Executive  Officer  since  2012. 
From  2010  to  2012,  Mr.  Bradway  served  as  the  Company’s  President  and  Chief  Operating  Officer.  Mr.  Bradway  joined  the 
Company in 2006 as Vice President, Operations Strategy, and served as Executive Vice President and Chief Financial Officer 
from 2007 to 2010. Prior to joining the Company, Mr. Bradway was a Managing Director at Morgan Stanley in London, where, 
beginning  in  2001,  he  had  responsibility  for  the  firm’s  banking  department  and  corporate  finance  activities  in  Europe.  Mr. 
Bradway  has  been  a  director  of  The  Boeing  Company,  an  aerospace  company  and  manufacturer  of  commercial  airplanes, 
defense,  space  and  securities  systems,  since  2016.  He  has  served  on  the  board  of  trustees  of  the  University  of  Southern 
California  since  2014.  From  2011  to  2017,  Mr.  Bradway  was  a  director  of  Norfolk  Southern  Corporation,  a  transportation 
company.

24

Mr. Murdo Gordon, age 55, became Executive Vice President, Global Commercial Operations, in 2018. Prior to joining 
the Company, Mr. Gordon was Chief Commercial Officer at BMS, a pharmaceutical company, from 2016 to 2018. Mr. Gordon 
served as Head of Worldwide Markets at BMS from 2015 to 2016. Prior to this, Mr. Gordon served in a variety of leadership 
roles at BMS for more than 25 years.

Mr. Jonathan P. Graham, age 61, became Executive Vice President, General Counsel and Secretary in 2019. Mr. Graham 
joined the Company in 2015. From 2015 to 2019, Mr. Graham was Senior Vice President, General Counsel and Secretary. Prior 
to joining Amgen, from 2006 to 2015, Mr. Graham was Senior Vice President and General Counsel at Danaher Corporation. 
From 2004 to 2006, Mr. Graham was Vice President, Litigation and Legal Policy, at General Electric Company (GE). Prior to 
GE, Mr. Graham was a partner at Williams & Connolly LLP.

Mr. Peter H. Griffith, age 63, became Executive Vice President and Chief Financial Officer in 2020. Mr. Griffith joined 
the Company in 2019 as Executive Vice President, Finance. Prior to joining Amgen, Mr. Griffith was President of Sherwood 
Canyon  Group,  LLC,  a  private  equity  firm.  From  1997  to  2019,  Mr.  Griffith  was  a  partner  at  EY,  an  accounting  and 
professional  services  firm,  and  served  in  a  variety  of  senior  leadership  roles,  with  his  last  position  being  Global  Vice  Chair, 
Corporate  Development.  Prior  to  EY,  Mr.  Griffith  was  a  Managing  Director  and  head  of  the  investment  banking  division  of 
Wedbush Securities Inc.

Ms. Nancy A. Grygiel, age 54, became Senior Vice President and Chief Compliance Officer in 2020. Ms. Grygiel joined 
the Company in 2015. From 2016 to 2020, Ms. Grygiel was Vice President, Compliance. Prior to joining Amgen, from 2011 to 
2015,  Ms.  Grygiel  served  as  Vice  President,  Compliance,  Corporate  &  International,  at  Allergan,  Inc.  (Allergan).  Prior  to 
Allergan, Ms. Grygiel held several management positions at Mylan Pharmaceuticals, Inc.

Ms.  Lori  A.  Johnston,  age  57,  became  Executive  Vice  President,  Human  Resources,  in  2019.  From  2016  to  2019,  Ms. 
Johnston served as the Company’s Senior Vice President, Human Resources. From 2012 to 2016, Ms. Johnston was Executive 
Vice President and Chief Administrative Officer of Celanese Corporation (Celanese). Prior to Celanese, Ms. Johnston served in 
a  series  of  progressive  leadership  roles  at  Amgen  from  2001  to  2012,  with  her  last  position  being  Vice  President,  Human 
Resources. Prior to joining the Company, Ms. Johnston held human resources and other positions at Dell Inc.

Ms.  Rachna  Khosla,  age  49,  became  Senior  Vice  President,  Business  Development,  in  2021.  Ms.  Khosla  joined  the 
Company  in  2013  as  Corporate  Development  Director.  From  2016  to  2018,  Ms.  Khosla  was  Executive  Director,  Business 
Development, and from 2018 to 2021, was Vice President, Business Development. Prior to joining the Company, Ms. Khosla 
was a Director at Lazard Ltd. (Lazard) responsible for healthcare mergers and acquisitions. Prior to Lazard, Ms. Khosla had 
various roles at Credit Suisse Group AG, Sanofi Aventis, Aventis Capital, J.P. Morgan Chase & Co., and Salomon Brothers, 
Inc.

Dr. David M. Reese, age 59, became Executive Vice President, R&D, in 2018. Dr. Reese joined the Company in 2005 and 
has  held  leadership  roles  in  development,  medical  sciences  and  discovery  research.  Dr.  Reese  was  Senior  Vice  President, 
Translational Sciences and Oncology, from 2017 to 2018 and Senior Vice President, Translational Sciences, from 2015 to 2017. 
Prior to joining Amgen, Dr. Reese was director of Clinical Research at the Breast Cancer International Research Group from 
2001 to 2003 and a cofounder, president and chief medical officer of Translational Oncology Research International, a not-for-
profit academic clinical research organization, from 2003 to 2005. Dr. Reese previously served on the faculty at UCLA and the 
University of California, San Francisco.

Mr. Esteban Santos, age 54, became Executive Vice President, Operations, in 2016. Mr. Santos joined the Company in 
2007  as  Executive  Director,  Manufacturing  Technologies.  From  2008  to  2013,  Mr.  Santos  held  a  number  of  Vice  President 
roles  at  the  Company  in  engineering,  manufacturing,  site  operations  and  drug  product.  From  2013  to  2016,  Mr.  Santos  was 
Senior  Vice  President,  Manufacturing.  Prior  to  joining  the  Company,  Mr.  Santos  served  as  Site  General  Manager  of  J&J’s 
Cordis  operation  in  Puerto  Rico.  Prior  to  J&J,  Mr.  Santos  held  several  management  positions  in  GE’s  industrial  and 
transportation businesses.

Geographic Area Financial Information

For financial information concerning the geographic areas in which we operate, see Part IV—Note 3, Revenues and Note 

11, Property, plant and equipment, to the Consolidated Financial Statements.

25

Investor Information

Financial  and  other  information  about  us  is  available  on  our  website  at  www.amgen.com.  We  make  available  on  our 
website, free of charge, copies of our Annual Report on Form 10-K, Quarterly Reports on Form 10-Q, current reports on Form 
8-K  and  amendments  to  those  reports  filed  or  furnished  pursuant  to  Section  13(a)  or  15(d)  of  the  Exchange  Act  as  soon  as 
reasonably  practicable  after  we  electronically  file  such  material  with  or  furnish  it  to  the  U.S.  Securities  and  Exchange 
Commission  (SEC).  In  addition,  we  have  previously  filed  registration  statements  and  other  documents  with  the  SEC.  Any 
document  we  file  may  be  inspected  without  charge  at  the  SEC’s  website  at  www.sec.gov.  (These  website  addresses  are  not 
intended to function as hyperlinks, and the information contained in our website and in the SEC’s website is not intended to be 
a part of this filing.)

Item 1A. RISK FACTORS

This  report  and  other  documents  we  file  with  the  SEC  contain  forward-looking  statements  that  are  based  on  current 
expectations,  estimates,  forecasts  and  projections  about  us,  our  future  performance,  our  business,  our  beliefs  and  our 
management’s assumptions. These statements are not guarantees of future performance and involve certain risks, uncertainties 
and assumptions that are difficult to predict. You should carefully consider the risks and uncertainties our business faces. The 
risks described below are not the only ones we face. Our business is also subject to the risks that affect many other companies, 
such as employment relations, general economic conditions, geopolitical events and international operations. Further, additional 
risks not currently known to us or that we currently believe are immaterial may in the future materially and adversely affect our 
business, operations, liquidity and stock price. 

SUMMARY

Risks Related to Economic Conditions and Operating a Global Business, Including During the COVID-19 Pandemic

• The COVID-19 pandemic, and the public and governmental effort to mitigate against the spread of the disease, have had, 
and  are  expected  to  continue  to  have,  an  adverse  effect,  and  may  have  a  material  adverse  effect,  on  our  clinical  trials, 
operations, manufacturing, supply chains, distribution systems, product development, product sales, business and results 
of operations.

• A breakdown, cyberattack or information security breach could compromise the confidentiality, integrity and availability 
of our information technology systems, network-connected control systems and/or our data, interrupt the operation of our 
business and/or affect our reputation.

• Our sales and operations are subject to the risks of doing business internationally, including in emerging markets.

Risks Related to Government Regulations and Third-Party Policies

• Our sales depend on coverage and reimbursement from government and commercial third-party payers, and pricing and 

reimbursement pressures have affected, and are likely to continue to affect, our profitability.

• Guidelines and recommendations published by various organizations can reduce the use of our products.

• The adoption and interpretation of new tax legislation or exposure to additional tax liabilities could affect our profitability.

• Our business may be affected by litigation and government investigations.

Risks Related to Competition

• Our products face substantial competition and our product candidates are also likely to face substantial competition.

• Our intellectual property positions may be challenged, invalidated or circumvented, or we may fail to prevail in current 

and future intellectual property litigation. 

• We currently face competition from biosimilars and generics and expect to face increasing competition from biosimilars 

and generics in the future.

• Concentration  of  sales  at  certain  of  our  wholesaler  distributors  and  at  one  free-standing  dialysis  clinic  business  and 

consolidation of private payers may negatively affect our business.

26

Risks Related to Research and Development

• We may not be able to develop commercial products despite significant investments in R&D.

• We  must  conduct  clinical  trials  in  humans  before  we  commercialize  and  sell  any  of  our  product  candidates  or  existing 

products for new indications.

• Our current products and products in development cannot be sold without regulatory approval.

• Some  of  our  products  are  used  with  drug  delivery  or  companion  diagnostic  devices  that  have  their  own  regulatory, 

manufacturing and other risks.

• Some of our pharmaceutical pipeline and our commercial product sales rely on collaborations with third parties, which 

may adversely affect the development and sale of our products.

• Our  efforts  to  collaborate  with  or  acquire  other  companies,  products,  or  technology,  and  to  integrate  the  operations  of 
companies  or  to  support  the  products  or  technology  we  have  acquired,  may  not  be  successful,  and  may  result  in 
unanticipated costs, delays or failures to realize the benefits of the transactions.

Risks Related to Operations

• We perform a substantial majority of our commercial manufacturing activities at our facility in the U.S. territory of Puerto 
Rico  and  a  substantial  majority  of  our  clinical  manufacturing  activities  at  our  facility  in  Thousand  Oaks,  California; 
significant disruptions or production failures at these facilities could significantly impair our ability to supply our products 
or continue our clinical trials.

• We rely on third-party suppliers for certain of our raw materials, medical devices and components.

• Manufacturing difficulties, disruptions or delays could limit supply of our products and limit our product sales.

• Our  business  and  operations  may  be  negatively  affected  by  the  failure,  or  perceived  failure,  of  achieving  our 

environmental, social and governance objectives.

• The effects of global climate change and related natural disasters could negatively affect our business and operations.

General Risk Factors

• Global economic conditions may negatively affect us and may magnify certain risks that affect our business.

• Our stock price is volatile.

• We may not be able to access the capital and credit markets on terms that are favorable to us, or at all.

RISKS  RELATED  TO  ECONOMIC  CONDITIONS  AND  OPERATING  A  GLOBAL  BUSINESS,  INCLUDING 
DURING THE COVID-19 PANDEMIC

The COVID-19 pandemic, and the public and governmental effort to mitigate against the spread of the disease, have had, 
and  are  expected  to  continue  to  have,  an  adverse  effect,  and  may  have  a  material  adverse  effect,  on  our  clinical  trials, 
operations,  manufacturing,  supply  chains,  distribution  systems,  product  development,  product  sales,  business  and  results  of 
operations.

The  novel  coronavirus  identified  in  late  2019,  SARS-CoV-2,  which  causes  the  disease  known  as  COVID-19,  is  an 
ongoing  global  pandemic  that  has  resulted  in  public  and  governmental  efforts  to  contain  or  slow  the  spread  of  the  disease, 
including widespread shelter-in-place orders, social distancing interventions, quarantines, travel restrictions and various forms 
of operational shutdowns. The COVID-19 pandemic and the resulting measures implemented in response to the pandemic are 
adversely  affecting,  and  are  expected  to  continue  to  adversely  affect,  our  business  (including  our  R&D,  clinical  trials, 
operations, manufacturing, supply chains, distribution systems, product development and sales activities), the business activities 
of our suppliers, customers, third-party payers and our patients. See Our current products and products in development cannot 
be sold without regulatory approval; see also We must conduct clinical trials in humans before we commercialize and sell any 
of our product candidates or existing products for new indications. Due to the pandemic and these measures and their effects, 
we  have  experienced,  and  expect  to  continue  to  experience,  unpredictable  reductions  in  demand  for  certain  of  our  products, 
exacerbated by COVID-19 surges resulting in repeated shutdowns and/or disruptions in certain geographies.

Federal,  state  and  local,  and  international  governmental  policies  and  initiatives  designed  to  reduce  the  transmission  of 
COVID-19  also  have  resulted  in  the  cancellation  or  delay  of  diagnostic,  elective,  specialty  and  other  procedures  and 

27

appointments to avoid non-essential patient exposure to medical environments and potential infection with COVID-19 and to 
focus limited resources and personnel capacity toward the treatment of COVID-19. For example, an NPR/Harvard poll in 2021 
found  that,  with  hospitals  crowded  from  COVID-19,  one  in  five  U.S.  households  has  had  to  delay  care  for  serious  illnesses. 
These measures and challenges will likely continue to varying degrees for the duration of the pandemic and have significantly 
reduced  patient  access  to,  and  administration  of,  certain  of  our  drugs.  For  example,  Prolia  requires  administration  by  a 
healthcare  provider  in  doctors’  offices  or  other  healthcare  settings  that  are  affected  by  COVID-19.  The  U.S.  label  for  Prolia 
instructs healthcare professionals who discontinue Prolia to transition the patient to an alternative antiresorptive, including oral 
treatments that do not require administration by a healthcare provider. Further, as a result of COVID-19, oncology patients, in 
consultation  with  their  doctors,  may  be  selecting  therapies  that  are  less  immunosuppressive  or  therapies  that  do  not  require 
administration  in  a  hospital  setting,  potentially  adversely  affecting  sales  of  certain  of  our  products.  Also,  new  patients  have 
been, and are expected to continue to be, less likely to be diagnosed and/or to start therapeutics during the pandemic, and these 
effects,  together  with  the  lower  treatment  rates  during  the  pandemic,  have  had,  and  are  expected  to  continue  to  have,  a 
cumulative negative effect on the commercial performance of our business. The decrease in diagnoses over the course of the 
pandemic has suppressed the volume of new patients starting treatment, which we expect to continue to impact our business. 
Once the pandemic subsides, we anticipate there could be a backlog of patients seeking appointments with physicians relating 
to a variety of medical conditions, and as a result, patients seeking treatment with certain of our products may have to navigate 
lower  provider  capacity,  and  this  lower  provider  capacity  could  have  a  continued  adverse  effect  on  our  sales  following  the 
opening up of various geographies and/or the end of the pandemic. Further, the effects of the COVID-19 pandemic may result 
in  long-term  shifts  in  preferences  among  healthcare  professionals  and  patients  toward  treatments  that  do  not  require 
administration by healthcare professionals or visits to medical facilities.

As the pandemic continues, and if conditions worsen or if the duration of the pandemic extends significantly, we expect to 
experience additional adverse effects on our development, operational and commercial activities, customer purchases and our 
collections  of  accounts  receivable.  It  remains  uncertain  the  degree  to  which  these  adverse  effects  would  impact  our  future 
operational  and  commercial  activities,  customer  purchases  and  our  collections  as  conditions  begin  to  improve.  There  was  a 
resurgence in COVID-19 infections in numerous jurisdictions in 2021, resulting in the reinstatement of stricter restrictions and 
shutdowns in a number of jurisdictions, including in the United States, Europe and Asia Pacific regions. It is expected that the 
pandemic  will  continue  to  ebb  and  flow,  with  different  jurisdictions  having  higher  levels  of  infections  than  others  over  the 
course of the pandemic. New variants of the SARS-CoV-2 virus have emerged, including the delta and omicron variants, and 
have been shown to be present in many geographies and appear to spread more easily and quickly than other variants. Further, 
although  some  studies  suggest  that  antibodies  generated  with  currently  authorized  vaccines  may  be  effective  against  these 
variants, it remains uncertain whether currently available vaccines will retain their efficacy against future variants of the virus. 
Further, even while vaccine booster shots are available for certain patients, persistent vaccine hesitancy may result in under-
vaccinated populations which may prolong the duration of the COVID-19 pandemic and continue to disrupt the availability of 
healthcare  services  to  the  patients  we  serve.  Jurisdictions  may  implement,  continue  or  reinstate  border  closures,  impose  or 
reimpose prolonged quarantines and further restrict travel and business activity. These measures could significantly affect our 
ability to support our operations and customers and the ability of our employees to get to their workplaces to discover, study, 
develop and produce our product candidates and products, disrupt the movement of our products through the supply chain, and 
further prevent or discourage patients from participating in our clinical trials, seeking healthcare services and the administration 
of certain of our products. The increased availability of remote working arrangements in response to the COVID-19 pandemic 
has expanded the pool of companies that can compete for our employees and employment candidates. Further, in connection 
with  the  global  outbreak  and  spread  of  COVID-19  and  in  an  effort  to  increase  the  wider  availability  of  needed  medical 
products, we or our suppliers may elect to, or governments may require us or our suppliers to, allocate manufacturing capacity 
(for  example  pursuant  to  the  U.S.  Defense  Production  Act)  in  a  way  that  adversely  affects  our  regular  operations,  customer 
relationships  and  financial  results.  In  the  United  States,  on  January  21,  2021,  President  Biden  issued  an  Executive  Order 
instructing federal agencies to use all available legal authorities, including the Defense Production Act, to improve current and 
future  pandemic  response  and  biological  threat  preparedness.  The  rapid  reallocation  of  resources  for  the  treatment  and 
prevention of COVID-19 (including the production of COVID-19 vaccinations or related therapies, such as our agreement to 
contribute to the production of COVID-19 antibody therapies for Lilly) and/or disruptions and shortages in the global supply 
chain  caused  by  the  pandemic,  could  also  result  in  increased  competition  for,  or  reduced  availability  of,  materials  or 
components used in the development, manufacturing, distribution, or administration of our products. For example, during the 
second  quarter  of  2021,  an  industry-wide  shortage  of  certain  lab  kit  supplies  necessary  for  some  activities  that  support  our 
clinical trials has developed that we are actively monitoring and managing. We have also experienced challenges in obtaining 
certain COVID-19-related supplies, including COVID-19 antigen rapid test kits for our staff, as a result of high demand and 
limited supplies during the omicron variant surge. In addition, unpredictable increases in demand for certain of our products 
could exceed our capacity to meet such demand, which could adversely affect our financial results and customer relationships.

The COVID-19 pandemic and the volatile global economic conditions stemming from it may precipitate or amplify the 
other  risks  described  in  this  “Risk  Factors”  section,  which  could  materially  adversely  affect  our  business,  operations  and 

28

financial condition and results. For example, if a natural disaster or other potentially disruptive event occurs concurrently with 
the COVID-19 pandemic, such disaster or event could deplete our inventory levels and we could experience a disruption to our 
manufacturing or ability to supply our products.  

The rapid development and fluidity of the pandemic precludes any prediction as to the ultimate effect of COVID-19 on us. 
The  duration  of  the  measures  being  taken  by  the  authorities  to  mitigate  against  the  spread  of  COVID-19  (including  the 
distribution and/or availability of vaccines and boosters), and the extent to which such measures are effective, if at all, remain 
highly  uncertain.  The  magnitude  and  degree  of  COVID-19’s  adverse  effect  on  our  business  (including  our  product 
development, product sales, operating results and resulting cash flows) and financial condition will be driven by the severity 
and  duration  of  the  pandemic,  the  pandemic’s  effect  on  the  United  States  and  global  economies  and  the  timing,  scope  and 
effectiveness of federal, state, local and international governmental responses to the pandemic. If mitigation of the pandemic 
continues  to  require  further  shelter-in-place  and  shutdown  orders  and/or  restrictions  on  individual  and/or  group  conduct,  any 
adverse  effects  of  the  COVID-19  pandemic  will  likely  grow  and  could  be  enduring,  and  our  business  and  financial  position 
could be materially adversely affected.

A breakdown, cyberattack or information security breach could compromise the confidentiality, integrity and availability 
of  our  information  technology  systems,  network-connected  control  systems  and/or  our  data,  interrupt  the  operation  of  our 
business and/or affect our reputation.

To achieve our business objectives, we rely on sophisticated information technology systems, including software, mobile 
applications, cloud services and network-connected control systems, some of which are managed, hosted, provided or serviced 
by  third  parties.  Internal  or  external  events  that  compromise  the  confidentiality,  integrity  and  availability  of  our  systems  and 
data may significantly interrupt the operation of our business, result in significant costs and/or adversely affect our reputation.

Our information technology systems are highly integrated into our business, including our R&D efforts, our clinical and 
commercial  manufacturing  processes  and  our  product  sales  and  distribution  processes.  Further,  as  the  majority  of  our 
employees  are  working  remotely,  our  reliance  on  our  and  third-party  information  technology  systems  has  increased 
substantially  and  is  expected  to  continue  to  increase.  The  complexity  and  interconnected  nature  of  our  systems  makes  them 
potentially vulnerable to breakdown or other service interruptions. Upgrades or changes to our systems or the software that we 
use  may  result  in  the  introduction  of  new  cybersecurity  vulnerabilities  and  risks.  Our  systems  are  also  subject  to  frequent 
cyberattacks. As the cyber-threat landscape evolves, these attacks are growing in frequency, sophistication and intensity, and 
are  becoming  increasingly  difficult  to  detect.  Such  attacks  could  include  the  use  of  harmful  and  virulent  malware,  including 
ransomware or other denials of service, that can be deployed through various means, including the software supply chain, e-
mail, malicious websites and/or the use of social engineering. We have also experienced denial of service attacks against our 
network, and although such attacks did not succeed, there can be no assurance that our efforts to guard against the wide and 
growing  variety  of  potential  attack  techniques  will  be  successful  in  the  future.  Attacks  such  as  those  experienced  by 
governmental entities (including those that approve and/or regulate our products, such as the EMA) and other multi-national 
companies, including some of our peers, could leave us unable to utilize key business systems or access or protect important 
data, and could have a material adverse effect on our ability to operate our business, including developing, gaining regulatory 
approval  for,  manufacturing,  selling  and/or  distributing  our  products.  For  example,  in  2017,  a  pharmaceutical  company 
experienced a cyberattack involving virulent malware that significantly disrupted its operations, including its research and sales 
operations  and  the  production  of  some  of  its  medicines  and  vaccines.  As  a  result  of  the  cyberattack,  its  orders  and  sales  for 
certain products in certain markets were negatively affected. In December 2020, SolarWinds Corporation, a leading provider of 
software  for  monitoring  and  managing  information  technology  infrastructure,  disclosed  that  it  had  suffered  a  cybersecurity 
incident whereby attackers had inserted malicious code into legitimate software updates for its products that were installed by 
myriad private and government customers, enabling the attackers to access a backdoor to such systems. 

Our  systems  also  contain  and  utilize  a  high  volume  of  sensitive  data,  including  intellectual  property,  trade  secrets, 
financial  information,  regulatory  information,  strategic  plans,  sales  trends  and  forecasts,  litigation  materials  and/or  personal 
information belonging to us, our staff, our patients, customers and/or other parties. In some cases, we utilize third-party service 
providers to process, store, manage or transmit such data, which may increase our risk. Intentional or inadvertent data privacy 
or  security  breaches  (including  cyberattacks)  resulting  from  attacks  or  lapses  by  employees,  service  providers  (including 
providers of information technology-specific services), nation states (including groups associated with or supported by foreign 
intelligence  agencies),  organized  crime  organizations,  “hacktivists”  or  others,  create  risks  that  our  sensitive  data  may  be 
exposed to unauthorized persons, our competitors, or the public. For example, a supplier recently experienced a data breach in 
which an unauthorized third party acquired access to certain information provided to the supplier in the course of its provision 
of  services  to  us,  including  business  documents  and  certain  personally  identifiable  patient  information  (not  including  social 
security  or  other  financial  or  health  insurance  information).  As  required,  we  promptly  notified  the  applicable  state  attorneys 
general and the individuals whose personally identifiable information was affected of this data breach at the supplier. Although 
the  supplier  data  breach  did  not  result  in  a  material  adverse  effect  on  our  business,  there  can  be  no  assurance  that  a  similar 

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future  cybersecurity  incident  would  not  result  in  a  material  adverse  effect  on  our  business  or  results  of  operations.  Another 
vendor experienced a cyberattack and, while initially reporting that our information was not involved, the vendor subsequently 
informed us that the attacker had accessed limited, non-significant information. Although this breach did not have a significant 
adverse  effect  on  us,  we  may  not  receive  timely  reporting  of  future  breaches.  Cyberattackers  are  increasingly  exploiting 
vulnerabilities  in  commercially  available  software  from  shared  or  open-source  code.  We  rely  on  third  party  commercial 
software  that  may  have  such  vulnerabilities,  but  as  use  of  open-source  code  is  frequently  not  disclosed,  our  ability  to  fully 
assess this risk to our systems is limited. For example, in December 2021, a remote code execution vulnerability was discovered 
in  a  widely  used  software  library  that  is  used  in  a  variety  of  commercially  available  software  and  services.  Although  this 
vulnerability  has  not  resulted  in  any  significant  adverse  effects  on  us,  there  can  be  no  assurances  that  a  similar  future 
vulnerability in the software and services that we use would not result in a material adverse effect on our business or results of 
operations. 

Domestic and global government regulators, our business partners, suppliers with whom we do business, companies that 
provide  us  or  our  partners  with  business  services,  and  companies  we  have  or  may  acquire  face  similar  risks,  and  security 
breaches of their systems or service outages could adversely affect our security, leave us without access to important systems, 
products, raw materials, components, services or information or expose our confidential data or sensitive personal information. 
For example, in 2019, two vendors that perform testing and analytical services that we use in developing and manufacturing our 
products experienced cyberattacks, and in April and September of 2020, vendors that provide us with information technology 
services  and  clinical  data  services,  respectively,  each  experienced  ransomware  attacks.  Although  there  was  no  breach  of  our 
systems,  each  of  these  incidents  required  us  to  disconnect  our  systems  from  those  vendors’  systems.  While  we  were  able  to 
reconnect our systems following restoration of these vendors’ capabilities without significantly affecting product availability, a 
more extended service outage affecting these or other vendors, particularly where such vendor is the single source from which 
we obtain the services, could have a material adverse effect on our business or results of operations. In addition, we distribute 
our  products  in  the  United  States  primarily  through  three  pharmaceutical  wholesalers,  and  a  security  breach  that  impairs  the 
distribution operations of our wholesalers could significantly impair our ability to deliver our products to healthcare providers 
and patients.

Although  we  have  experienced  system  breakdowns,  attacks  and  information  security  breaches,  we  do  not  believe  such 
breakdowns, attacks and breaches have had a material adverse effect on our business or results of operations. We continue to 
invest in the monitoring, protection and resilience of our critical and/or sensitive data and systems. However, there can be no 
assurances  that  our  efforts  will  detect,  prevent  or  fully  recover  systems  or  data  from  all  breakdowns,  service  interruptions, 
attacks  and/or  breaches  of  our  systems  that  could  adversely  affect  our  business  and  operations  and/or  result  in  the  loss  or 
exposure of critical, proprietary, private, confidential or otherwise sensitive data, which could result in material financial, legal, 
business  or  reputational  harm  to  us  or  negatively  affect  our  stock  price.  While  we  maintain  cyber-liability  insurance,  our 
insurance is not sufficient to cover us against all losses that could potentially result from a service interruption, breach of our 
systems or loss of our critical or sensitive data.

We  are  also  subject  to  various  laws  and  regulations  globally  regarding  privacy  and  data  protection,  including  laws  and 
regulations relating to the collection, storage, handling, use, disclosure, transfer and security of personal data. The legislative 
and regulatory environment regarding privacy and data protection is continuously evolving and developing and the subject of 
significant attention globally. For example, we are subject to the European Union’s General Data Protection Regulation, which 
became effective in May 2018, and the California Consumer Privacy Act of 2018 (CCPA), which became effective in January 
2020, both of which provide for substantial penalties for non-compliance. The CCPA was amended in late 2020, to create the 
California Privacy Rights Act to create opt-in requirements for the use of sensitive personal data and the formation of a new 
dedicated agency for the enforcement of the law, the California Privacy Protection Agency. Since then, Virginia and Colorado 
both passed similar consumer privacy laws that will go into effect in 2023. Other jurisdictions where we operate have passed, or 
continue to propose, similar legislation and/or regulations. Failure to comply with these current and future laws could result in 
significant penalties and reputational harm and could have a material adverse effect on our business and results of operations.

Our sales and operations are subject to the risks of doing business internationally, including in emerging markets.

As  we  continue  our  expansion  efforts  in  emerging  markets  around  the  world,  through  acquisitions  and  licensing 
transactions as well as through the development and introduction, both independently and through collaborations such as our 
collaboration with BeiGene, of our products in new markets, we face numerous risks to our business. There is no guarantee that 
our efforts and strategies to expand sales in emerging markets will succeed. Our international business, including in China and 
emerging market countries, may be especially vulnerable to periods of global and local political, legal, regulatory and financial 
instability, including issues of geopolitical relations, the imposition of international sanctions in response to certain state actions 
and/or  sovereign  debt  issues.  If  relations  between  the  United  States  and  other  governments  deteriorate,  our  business  and 
investments  such  markets  may  also  be  adversely  affected.  We  may  also  be  required  to  increase  our  reliance  on  third-party 
agents and unfamiliar operations and arrangements including those previously utilized by companies we partner with or acquire 

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in  emerging  markets.  See  We  must  conduct  clinical  trials  in  humans  before  we  commercialize  and  sell  any  of  our  product 
candidates or existing products for new indications. Our expansion efforts in China and emerging markets around the world is 
dependent  upon  the  establishment  of  an  environment  that  is  predictable,  navigable  and  supportive  of  biopharmaceutical 
innovation,  sustained  access  for  our  products  and  predictable  pricing  controls.  For  example,  China  continues  to  strengthen 
regulations on the collection, use and transmission of Chinese human genetic resources, and has expanded regulations on the 
conduct of biotechnology R&D activities in China. Our applications to the HGRAC seeking approval to conduct clinical trials 
in China are delayed pending further guidance from HGRAC. Our international operations and business may also be subject to 
less  protective  intellectual  property  or  other  applicable  laws,  diverse  data  privacy  and  protection  requirements,  changing  tax 
laws and tariffs, trade restrictions or other barriers designed to protect industry in the home country against foreign competition, 
far-reaching antibribery and anticorruption laws and regulations and/or evolving legal and regulatory environments. 

As we expand internationally, we are subject to fluctuations in foreign currency exchange rates relative to the U.S. dollar. 
While  we  have  a  program  in  place  that  is  designed  to  reduce  our  exposure  to  foreign  currency  exchange  rate  fluctuations 
through foreign currency hedging arrangements, our hedging efforts do not completely offset the effect of these fluctuations on 
our revenues and earnings. In addition, we have a number of financial instruments referencing the LIBOR. On July 27, 2017, 
the U.K. Financial Conduct Authority, which regulates LIBOR, announced that it will no longer require banks to submit rates 
for the calculation of LIBOR to the LIBOR administrator after 2021, and it is anticipated that LIBOR will be completely phased 
out and replaced by 2023. In March 2020 and in January 2021, the FASB issued a new accounting standard to ease the financial 
burdens of the expected market transition from LIBOR and other interbank offered rates to alternative reference rates. While it 
appears  likely  that  SOFR  will  be  the  replacement  reference  rate  adopted  in  the  market,  the  specific  mechanisms  to  replace 
LIBOR in our existing LIBOR-linked financial instruments have not been finalized. As such, the replacement of LIBOR could 
have an adverse effect on the market for, or value of, our LIBOR-linked financial instruments. See Part IV—Note 1, Summary 
of  significant  accounting  policies—Recent  accounting  pronouncements.  We  are  also  subject  to  the  economic  and  political 
uncertainties  stemming  from  the  United  Kingdom’s  exit  from  the  EU,  commonly  referred  to  as  “Brexit,”  which  occurred  on 
January  31,  2020.  While  our  manufacturing  and  packaging  activities  take  place  largely  outside  the  United  Kingdom, 
minimizing the need to make costly and significant changes to those operations, we have nevertheless been working to put in 
place contingency plans to attempt to mitigate the effects of Brexit on us. Overall, the legal and operational challenges of our 
international business operations, along with government controls, the challenges of attracting and retaining qualified personnel 
and  obtaining  and/or  maintaining  necessary  regulatory  or  pricing  approvals  of  our  products,  may  result  in  material  adverse 
effects on our international product sales, business and results of operations.

RISKS RELATED TO GOVERNMENT REGULATIONS AND THIRD-PARTY POLICIES

Our sales depend on coverage and reimbursement from government and commercial third-party payers, and pricing and 

reimbursement pressures have affected, and are likely to continue to affect, our profitability.

Sales  of  our  products  depend  on  the  availability  and  extent  of  coverage  and  reimbursement  from  third-party  payers, 
including  government  healthcare  programs  and  private  insurance  plans.  Governments  and  private  payers  continue  to  pursue 
initiatives to manage drug utilization and contain costs. These payers are increasingly focused on costs, which have resulted, 
and are expected to continue to result, in lower reimbursement rates for our products or narrower populations for whom payers 
will  reimburse.  Continued  intense  public  scrutiny  of  the  price  of  drugs  and  other  healthcare  costs,  together  with  payer 
dynamics, have limited, and are likely to continue to limit, our ability to set or adjust the price of our products based on their 
value, which can have a material adverse effect on our business. In the United States, particularly over the past few years, a 
number  of  legislative  and  regulatory  proposals  have  been  introduced  in  an  attempt  to  lower  drug  prices.  These  include 
proposals that would allow the U.S. government to negotiate drug prices directly, limit drug reimbursement in Medicare and/or 
the  commercial  market  based  on  reference  prices  or  permit  importation  of  drugs  from  Canada.  Additional  proposals  would 
require a rebate to the government for any price increase in excess of the Consumer Price Index for All Urban Consumers and/
or to shift some of the costs of these Medicare Part D reforms to manufacturers to offset the cost. Certain proposals focused on 
drug pricing have been adopted and additional proposals are likely to be adopted and implemented in some form. 

—Changing U.S. federal coverage and reimbursement policies and practices have affected, and may continue to affect 
access to, pricing and sales of our products

A  substantial  portion  of  our  U.S.  business  relies  on  reimbursement  from  federal  government  healthcare  programs  and 
commercial  insurance  plans  regulated  by  federal  and  state  governments.  See  Part  I,  Item  1.  Business—Reimbursement.  Our 
business has been and will continue to be affected by legislative actions changing U.S. federal reimbursement policy. Congress 
has  been  focused  on  drug  pricing  reforms  and  oversight  since  2018,  and  this  activity  is  still  ongoing  and  has  intensified.  In 
2019,  2020  and  2021,  a  number  of  Congressional  committees  debated  drug  pricing  reform  proposals  and,  in  2020,  Amgen 
participated  in  House  Oversight  and  Reform  Committee  hearings  on  drug  pricing  practices.  In  2019,  the  Senate  Finance 
Committee advanced a bill that would, among other things, penalize pharmaceutical manufacturers for raising prices on drugs 

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covered  by  Medicare  Parts  B  and/or  D  faster  than  the  rate  of  inflation,  cap  out-of-pocket  expenses  for  Medicare  Part  D 
beneficiaries  and  require  higher/additional  manufacturer  discounts  in  Medicare  Part  D.  Additionally,  in  late  2019,  a  drug-
pricing bill, H.R. 3, passed the House of Representatives, which would, among other things, enable direct price negotiations by 
the  federal  government  on  certain  drugs  (with  the  maximum  price  paid  by  Medicare  capped  by  prices  derived  from  an 
international index), include a penalty for failing to reach agreement with the government and require that manufacturers offer 
these  negotiated  prices  to  other  payers.  In  2021,  proposals  from  H.R.  3  were  incorporated  and  adapted  into  other  proposed 
legislation. These proposals, which included penalties if drug price benchmarks rise faster than inflation, Medicare price setting 
for certain drugs paid for under Parts B and D (whereby manufacturers must accept a price established by the government or 
face a penalty on all U.S. sales), and Part D redesign including a cap on beneficiary spending and a new manufacturer discount 
program, are also likely to be considered in a reconciliation bill that remains to be further debated between the Senate, House 
and  White  House.  This  framework  remains  in  discussion  with  policymakers  in  Congress  and  the  Administration.  There  are 
other outstanding proposals that, if enacted and implemented in whole or in part, could also affect access to and sales of our 
products,  including,  but  not  limited  to,  proposals  to  allow  importation  of  prescription  medications  from  Canada  or  other 
countries.  In  July  2021,  the  Administration  issued  an  Executive  Order  designed  to  address  anticompetitive  behavior  across 
multiple sectors, and for the healthcare sector, called for, among other things, the FDA to work with states and Indian Tribes to 
develop prescription drug importation programs, more scrutiny of anticompetitive activity by the FTC, emphasized the need for 
actions to allow for greater competition from generics and biosimilars, and included a process and timeline for federal agencies 
to  deliver  ideas  to  address  drug  pricing  to  the  Administration.  Subsequently,  in  September  2021,  HHS  released  a  report  that 
presented  guiding  principles  for  the  Administration’s  drug  pricing  proposals,  including  changes  to  promote  competition 
throughout the prescription drug industry, highlighting potential legislative policies that Congress could pursue (including drug 
price negotiation in Medicare Parts B and D, making those negotiated prices available to commercial plans and legislation to 
speed the entry of biosimilar and generic drugs) and examples of potential administrative tools available to the HHS (including 
testing various models and enhanced focus of the FTC and the USPTO to address impediments to generic drug and biosimilar 
competition).  Also,  in  response  to  the  July  2021  Executive  Order,  the  FDA  sent  a  letter  to  the  USPTO  describing  ways  to 
strengthen coordination between the two agencies, offering training to help identify prior art, and seeking USPTO’s views on 
practices that extend market exclusivities, whether pharmaceutical patent examiners need additional resources, and the effect of 
post-grant challenges at the PTAB on drug patents. 

Legislation enacted in 2021 has also contained drug pricing reforms, including the Infrastructure Investment and Jobs Act 
and the American Rescue Plan Act of 2021 that include provisions requiring, starting in 2023, manufacturers to provide refunds 
to  the  government  for  discarded  amounts  of  drugs  from  single  use  containers  under  Medicare  Part  B,  and  starting  in  2024, 
increases  the  Medicaid  rebate  liability  for  certain  medicines  that  raise  prices  in  excess  of  inflation,  respectively.  The 
Infrastructure  Investment  and  Jobs  Act  also  delays  implementation  until  January  1,  2026  of  a  final  rule  issued  by  HHS,  that 
revises regulations under the federal antikickback statute to encourage PBMs to use rebates received from biopharmaceutical 
manufacturers to reduce patient cost-sharing at the point of sale under Medicare Part D. This rule is also subject to litigation, 
has numerous logistical hurdles to overcome before it can be effectively implemented, and it is unclear how PBMs will respond 
to the implementation of such rule. Further, a permanent repeal of this rule is also being considered in other legislation.

Our  business  has  been,  and  is  expected  to  continue  to  be,  affected  by  changes  in  U.S.  federal  reimbursement  policy 
resulting from federal regulations and federal demonstration projects. Over the past several years, federal agencies, including 
the  CMS,  announced  a  number  of  recommendations,  policies,  proposals  and  demonstration  projects  addressing  drug  pricing. 
The  Administration  has  also  developed  and  sought  to  advance  a  range  of  policy  proposals  that  could  impact  U.S.  federal 
reimbursement policy for drugs and biologics, including changes to Medicare Parts B and D. For example, in 2020, in response 
to an Executive Order, HHS released a rule to allow states to potentially enable the importation of certain drugs from Canada. 
While this rule is in litigation, should such litigation be unsuccessful, it could allow for the importation of Canadian versions of 
certain  of  Amgen’s  products  (including  Otezla),  that  could  have  a  material  adverse  effect  on  Amgen’s  business.  Also  in 
response to an Executive Order, CMS released an interim final rule to implement the MFN pricing approach aimed at setting 
the reimbursement rate for 50 Medicare Part B drugs (including our products, such as Prolia, XGEVA, KYPROLIS, Neulasta, 
Nplate,  EPOGEN  and  Aranesp)  equal  to  the  lowest  adjusted  price  in  22  OECD  nations  for  these  drugs.  In  December  2021, 
subsequent to challenges, including procedural defects, CMS announced it was withdrawing the MFN rule. Notwithstanding the 
withdrawal  of  the  rule,  the  MFN  rule’s  approach  to  drug  pricing  and  other  similar  approaches  remain  of  interest  to 
policymakers. In connection with its withdrawal of the MFN rule, CMS noted that it will “… explore all options to incorporate 
value into payments for Medicare Part B drugs, improve beneficiaries’ access to evidence-based care, and reduce drug spending 
for consumers and throughout the health care system.” Further, we expect continued significant focus on healthcare and similar 
drug  pricing  proposals  for  the  foreseeable  future,  including  proposals  under  which  the  government  would  set  drug  prices  or 
limit drug reimbursement. 

CMS  policy  changes  and  demonstration  projects  to  test  new  care,  delivery  and  payment  models  can  also  significantly 
affect  how  drugs,  including  our  products,  are  covered  and  reimbursed.  For  example,  we  believe  that  CMS’  Oncology  Care 
Model  demonstration  (which  has  since  2016  provided  participating  physician  practices  with  performance-based  financial 

32

incentives that aim to manage or reduce Medicare costs without negatively affecting the efficacy of care) has reduced utilization 
of certain of our oncology products by participating physician practices and expect that it will continue to do so in the future. 
Further, HHS’s September 2021 comprehensive plan to address drug pricing included potential future mandatory models that 
link  payment  for  prescription  drugs  and  biologics  to  factors  such  as:  improved  patient  outcomes,  reductions  in  health 
disparities, patient affordability and lower overall costs; bundled payment models; total cost of care models; models in which 
Medicare Part B savings from utilization of biosimilars, generics, or other high-value products are shared between prescribing 
providers  and  the  government;  additional  Medicare  Part  D  cost-sharing  support  for  biosimilars  and  generics;  and  potential 
expansion of the Part D Senior Savings Model to additional classes of drugs. CMS also recently proposed a national coverage 
determination  for  Medicare  which  limits  coverage  of  certain  Alzheimer’s  disease  medications  approved  by  the  FDA  only  to 
patients in qualifying clinical trials, suggesting that regulatory approval does not necessarily result in full Medicare coverage. In 
this dynamic environment, particularly in light of the pressures on healthcare budgets as a result of the pandemic, we are unable 
to predict which or how many federal policy, legislative, regulatory, executive or administrative changes may ultimately be, or 
effectively estimate the consequences to our business if, enacted and implemented. However, to the extent that these or other 
federal government initiatives further decrease or modify the coverage or reimbursement available for our products, require that 
we pay increased rebates or shift other costs to us, limit or affect our decisions regarding the pricing of or otherwise reduce the 
use of our U.S. products, or limit our ability to offer co-pay payment assistance to commercial patients, such actions could have 
a material adverse effect on our business and results of operations.

We also face risks relating to the reporting of pricing data that affects the reimbursement of and discounts provided for 
our products. U.S. government price reporting regulations are complex and may require a biopharmaceutical manufacturer to 
update certain previously submitted data. If our submitted pricing data are incorrect, we may become subject to substantial fines 
and penalties or other government enforcement actions, which could have a material adverse effect on our business and results 
of  operations.  In  addition,  as  a  result  of  restating  previously  reported  price  data,  we  also  may  be  required  to  pay  additional 
rebates  and  provide  additional  discounts.  CMS  finalized  a  rule  in  December  2020  providing  that,  starting  January  1,  2023, 
unless a manufacturer can ensure that the full amount of manufacturer patient assistance programs is passed on to the patient, 
such amount will be treated as a price reduction that will be taken into account when reporting our Best Price and/or Average 
Manufacturer  Price.  Given  the  use  by  PBMs  and  insurers  of  copay  accumulator  adjustment  programs  to  apply  such  patient 
assistance  for  the  benefit  of  such  companies  and  not  to  defray  costs  to  patients,  it  could  be  difficult  to  impossible  for 
manufacturers to ensure that the full value of such amounts is being passed on to the patient. This new policy, if implemented, 
would  have  significant  implications  for  our  ability  to  offer  copay  assistance  programs.  Although  implementation  has  been 
delayed  by  the  current  Administration,  the  prior  Administration  finalized  a  rule  (which  was  to  be  effective  January  1,  2022) 
mandating price and cost-sharing transparency for almost all health plans and insurers in the individual and group commercial 
markets.  Additionally,  the  Administration  recently  finalized  transparency  provisions  required  under  the  Consolidated 
Appropriations Act of 2021 for health plans and insurer reporting of certain drug pricing information by December 27, 2022, 
and  each  June  thereafter,  resulting  in  a  biennial  public  report  highlighting  drug  pricing  trends  and  the  impact  of  prescription 
drug costs on premiums and out-of-pocket costs. It is unclear how group health plans and health insurers may respond.

—Changing  reimbursement  and  pricing  actions  in  various  states  have  negatively  affected,  and  may  continue  to 
negatively affect, access to, and have affected, and may continue to affect, sales of our products

At the state level, government actions or ballot initiatives can also affect how our products are covered and reimbursed 
and/or  create  additional  pressure  on  our  pricing  decisions.  A  number  of  states  have  adopted,  and  many  other  states  are 
considering, drug importation programs or other new pricing actions, including proposals designed to require biopharmaceutical 
manufacturers publicly to report proprietary pricing information, limit price increases or place a maximum price ceiling or cap 
on  biopharmaceutical  products.  Existing  and  proposed  state  pricing  laws  have  added  complexity  to  the  pricing  of  drugs  and 
may already be affecting industry pricing decisions. For example, a California law, the constitutionality of which is currently 
being challenged, purports to require biopharmaceutical manufacturers to notify health insurers and government health plans at 
least 60 days before scheduled prescription drug price increases that exceed certain thresholds. Similar laws exist in Oregon and 
Washington. States are also seeking to change the way they pay for drugs for patients covered by state programs. California 
adopted a 2020-21 budget that incorporates international pricing into Medicaid supplemental rebate negotiations and allows its 
Medicaid  program  to  seek  federal  approval  to  extend  supplemental  rebates  to  non-Medicaid  populations.  New  York, 
Massachusetts  and  Ohio  have  established  Medicaid  drug  spending  caps,  and  additional  states  may  consider  doing  so  as  they 
face budget deficits from the effects of COVID-19. Additionally, Colorado, Florida, Maine, New Hampshire, New Mexico and 
Vermont have enacted laws, and several other states have proposed laws, to facilitate the importation of drugs from Canada. 
Other states could adopt similar approaches or could pursue different policy changes in a continuing effort to reduce their costs. 
Ultimately, as with U.S. federal government actions, existing or future state government actions or ballot initiatives may also 
have a material adverse effect on our product sales, business and results of operations.

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—U.S. commercial payer actions have affected and may continue to affect access to and sales of our products

Payers,  including  healthcare  insurers,  PBMs,  integrated  healthcare  delivery  systems  (vertically-integrated  organizations 
built from the consolidation of healthcare insurers and PBMs) and group purchasing organizations, increasingly seek ways to 
reduce their costs. With increasing frequency, payers are adopting benefit plan changes that shift a greater proportion of drug 
costs  to  patients.  Such  measures  include  more  limited  benefit  plan  designs,  high  deductible  plans,  higher  patient  copay  or 
coinsurance  obligations  and  more  significant  limitations  on  patients’  use  of  manufacturer  commercial  copay  assistance 
programs. Further, government regulation of payers may affect these trends. For example, CMS finalized a policy in May 2020 
(for plan years starting on or after January 1, 2021, and remains standing policy for 2022) that has caused commercial payers to 
more  widely  adopt  copay  accumulator  adjustment  programs.  Payers  have  sought,  and  continue  to  seek,  price  discounts  or 
rebates in connection with the placement of our products on their formularies or those they manage, particularly in treatment 
areas where the payer has taken the position that multiple branded products are therapeutically comparable. Payers also control 
costs by imposing restrictions on access to or usage of our products, such as Step Therapy, or requiring that patients receive the 
payer’s prior authorization before covering the product or that patients use a mail-order pharmacy or a limited network of payer 
fully-owned mail-order or specialty pharmacies. Payers have also chosen to exclude certain indications for which our products 
are approved or chosen to exclude coverage entirely. For example, some payers require physicians to demonstrate or document 
that  the  patients  for  whom  Repatha  has  been  prescribed  meet  payer  utilization  management  criteria,  and  these  requirements 
have  limited,  and  may  continue  to  limit,  patient  access  to  Repatha  treatment.  In  an  effort  to  reduce  barriers  to  access,  we 
reduced  the  net  price  of  Repatha  by  providing  greater  discounts  and  rebates  to  payers,  including  PBMs  that  administer 
Medicare  Part  D  prescription  drug  plans.  However,  affordability  of  patient  out-of-pocket  co-pay  cost  has  limited  and  may 
continue  to  limit  patient  use.  For  example,  in  late  2018  and  early  2019,  in  response  to  a  very  high  percentage  of  Medicare 
patients abandoning their Repatha prescriptions rather than pay their co-pay payment, we introduced a set of new National Drug 
Codes  to  make  Repatha  available  at  a  lower  list  price  to  attempt  to  address  affordability  for  patients,  particularly  those  on 
Medicare, and on December 31, 2019, we discontinued the higher list price option for Repatha. Despite these net and list price 
reductions,  some  payers  have  restricted,  and  may  continue  to  restrict,  patient  access  and  have  and  may  continue  to  change 
formulary coverage for Repatha, seek further discounts or rebates or take other actions that could reduce our sales of Repatha. 
These factors have limited, and may continue to limit, patient affordability and use, and negatively affect Repatha sales.

Further, significant consolidation in the health insurance industry has resulted in a few large insurers and PBMs, which 
places  greater  pressure  on  pricing  and  usage  negotiations  with  biopharmaceutical  manufacturers,  significantly  increasing 
discount and rebate requirements and limiting patient access and usage. For example, in the United States, as of the beginning 
of 2021, the top five integrated health plans and PBMs controlled about 85% of all pharmacy prescriptions. The consolidation 
among insurers, PBMs and other payers, including through integrated healthcare delivery systems and/or with specialty or mail-
order  pharmacies  and  pharmacy  retailers,  has  increased  the  negotiating  leverage  such  entities  have  over  us  and  other 
biopharmaceutical manufacturers, and has resulted in greater price discounts, rebates and service fees realized by those payers. 
In  2019,  2020  and  2021,  CVS,  Express  Scripts  and  United  Health  Group,  respectively,  each  created  Rebate  Management 
Organizations  that  further  increase  their  respective  leverage  to  negotiate  deeper  discounts.  Ultimately,  additional  discounts, 
rebates, fees, coverage or plan changes, restrictions or exclusions imposed by these commercial payers could have a material 
adverse  effect  on  our  product  sales,  business  and  results  of  operations.  Policy  reforms  advanced  by  Congress  or  the 
Administration that refine the role of PBMs in the U.S. marketplace could have downstream implications or consequences for 
our business and how we interact with these entities. See Concentration of sales at certain of our wholesaler distributors and at 
one free-standing dialysis clinic business and consolidation of private payers may negatively affect our business.

—Government and commercial payer actions outside the United States have affected and will continue to affect access 
to and sales of our products

Outside the United States, we expect countries will also continue to take actions to reduce their drug expenditures. See 
Part  I,  Item  1.  Business—Reimbursement.  IRP  has  been  widely  used  by  many  countries  outside  the  United  States  to  control 
costs based on an external benchmark of a product’s price in other countries. IRP policies can change quickly and frequently 
and  may  not  reflect  differences  in  the  burden  of  disease,  indications,  market  structures,  or  affordability  differences  across 
countries or regions. Other expenditure control practices, including but not limited to the use of revenue clawbacks, rebates and 
percentage  caps  on  price  increases,  are  used  in  various  foreign  jurisdictions  as  well.  In  addition,  countries  may  refuse  to 
reimburse  or  may  restrict  the  reimbursed  population  for  a  product  when  their  national  health  technology  assessments  do  not 
consider  a  medicine  to  demonstrate  sufficient  clinical  benefit  beyond  existing  therapies  or  to  meet  certain  cost  effectiveness 
thresholds. For example, despite the EMA’s approval of Repatha for the treatment of patients with established atherosclerotic 
disease, the reimbursement for Repatha in France prior to 2020 was limited to a narrower patient population (such as those with 
HoFH) following a national health technology assessment, which had limited our efforts in France to expand Repatha access to 
the  broader  patient  population  covered  by  the  approved  label.  Some  countries  decide  on  reimbursement  between  potentially 
competing products through national or regional tenders that often result in one product receiving most or all of the sales in that 
country or region. Failure to obtain coverage and reimbursement for our products, a deterioration in their existing coverage and 

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reimbursement, or a decline in the timeliness or certainty of payment by payers to physicians and other providers has negatively 
affected, and may further negatively affect, the ability or willingness of healthcare providers to prescribe our products for their 
patients and otherwise negatively affect the use of our products or the prices we realize for them. Such changes have had, and 
could in the future have, a material adverse effect on our product sales, business and results of operations.

Guidelines and recommendations published by various organizations can reduce the use of our products.

Government  agencies  promulgate  regulations  and  guidelines  directly  applicable  to  us  and  to  our  products.  Professional 
societies,  practice  management  groups,  insurance  carriers,  physicians’  groups,  private  health  and  science  foundations  and 
organizations involved in various diseases also publish guidelines and recommendations to healthcare providers, administrators 
and payers, as well as patient communities. Recommendations by government agencies or other groups and organizations may 
relate to such matters as usage, dosage, route of administration and use of related therapies. In addition, a growing number of 
organizations are providing assessments of the value and pricing of biopharmaceutical products, and even organizations whose 
guidelines  have  historically  been  focused  on  clinical  matters  have  begun  to  incorporate  analyses  of  the  cost  effectiveness  of 
various  treatments  into  their  treatment  guidelines  and  recommendations.  Value  assessments  may  come  from  private 
organizations that publish their findings and offer recommendations relating to the products’ reimbursement by government and 
private payers. Some companies and payers have announced pricing and payment decisions based in part on the assessments of 
private  organizations.  In  addition,  government  health  technology  assessment  organizations  in  many  countries  make 
reimbursement  recommendations  to  payers  in  their  jurisdictions  based  on  the  clinical  effectiveness,  cost-effectiveness  and 
service effects of new, emerging and existing medicines and treatments. Such health technology assessment organizations have 
recommended, and may in the future recommend, reimbursement for certain of our products for a narrower indication than was 
approved  by  applicable  regulatory  agencies  or  may  recommend  against  reimbursement  entirely.  See  Our  sales  depend  on 
coverage and reimbursement from government and commercial third-party payers, and pricing and reimbursement pressures 
have  affected,  and  are  likely  to  continue  to  affect,  our  profitability.  Such  recommendations  or  guidelines  may  affect  our 
reputation, and any recommendations or guidelines that result in decreased use, dosage or reimbursement of our products could 
have  a  material  adverse  effect  on  our  product  sales,  business  and  results  of  operations.  In  addition,  the  perception  by  the 
investment community or stockholders that such recommendations or guidelines will result in decreased use and dosage of our 
products could adversely affect the market price of our common stock.

The  adoption  and  interpretation  of  new  tax  legislation  or  exposure  to  additional  tax  liabilities  could  affect  our 

profitability.

We are subject to income and other taxes in the United States and other jurisdictions in which we do business. As a result, 
our  provision  for  income  taxes  is  derived  from  a  combination  of  applicable  tax  rates  in  the  various  places  we  operate. 
Significant judgment is required for determining our provision for income tax.

One or more of our legal entities file income tax returns in the U.S. federal jurisdiction, various U.S. state jurisdictions 
and  certain  foreign  jurisdictions.  Our  income  tax  returns  are  routinely  examined  by  tax  authorities  in  those  jurisdictions. 
Significant disputes can arise with tax authorities involving issues regarding the timing and amount of deductions, the use of tax 
credits and allocations of income and expenses among various tax jurisdictions because of differing interpretations of tax laws, 
regulations and relevant facts, and such tax authorities (including the IRS) are becoming more aggressive in their audits and are 
particularly focused on such matters. In 2017, we received an RAR and a modified RAR from the IRS for the years 2010, 2011 
and 2012, proposing significant adjustments that primarily relate to the allocation of profits between certain of our entities in 
the  United  States  and  the  U.S.  territory  of  Puerto  Rico.  We  disagreed  with  the  proposed  adjustments  and  calculations  and 
pursued  resolution  with  the  IRS  administrative  appeals  office  but  were  unable  to  reach  resolution.  In  July  2021,  we  filed  a 
petition in the U.S. Tax Court to contest two duplicate Statutory Notices of Deficiency (Notices) for 2010, 2011 and 2012 that 
we received in May and July 2021 which seek to increase our U.S. taxable income. We firmly believe that the IRS’s positions 
set  forth  in  the  Notices  are  without  merit,  and  are  contesting  the  Notices  through  the  judicial  process.  See  Part  II,  Item  7. 
Management’s  Discussion  and  Analysis  of  Financial  Condition  and  Results  of  Operations—Results  of  Operations,  Income 
Taxes, and Part IV—Note 6, Income taxes, to the Consolidated Financial Statements.

In  2020,  we  received  an  RAR  and  a  modified  RAR  from  the  IRS  for  the  years  2013,  2014  and  2015,  also  proposing 
significant adjustments that primarily relate to the allocation of profits between certain of our entities in the United States and 
the U.S. territory of Puerto Rico similar to those proposed for the years 2010, 2011 and 2012. We disagreed with the proposed 
adjustments  and  calculations  and  pursued  resolution  with  the  IRS  appeals  office.  We  were  unable  to  reach  resolution  at  the 
administrative appeals level, and we anticipate that we will receive a statutory notice of deficiency for these years as well. We 
expect to contest any such notice related to 2013–15 through the judicial process. We are also currently under examination by 
the IRS for the years 2016, 2017 and 2018 and by a number of state and foreign tax jurisdictions.

Final resolution of these complex matters is not likely within the next 12 months. We continue to believe our accrual for 
income tax liabilities is appropriate based on past experience, interpretations of tax law, application of the tax law to our facts 

35

and judgments about potential actions by tax authorities; however, due to the complexity of the provision for income taxes and 
uncertain resolution of these matters, the ultimate outcome of any tax matters may result in payments substantially greater than 
amounts accrued and could have a material adverse effect on the results of our operations. 

Our  provision  for  income  taxes  and  results  of  operations  in  the  future  could  be  adversely  affected  by  changes  to  our 
operating structure, changes in the mix of income and expenses in countries with differing tax rates, changes in the valuation of 
deferred tax assets and liabilities and changes in applicable tax laws, regulations or administrative interpretations thereof. The 
2017  Tax  Act  is  complex  and  a  large  volume  of  regulations  and  guidance  has  been  issued  and  could  be  subject  to  different 
interpretations.  We  could  face  audit  challenges  to  our  application  of  the  2017  Tax  Act.  The  Administration  proposed  and 
Congress is considering significant changes to existing tax law. These changes, if enacted, could substantially increase taxes we 
pay to the U.S. government. Further, the OECD recently reached agreement to align countries on a minimum corporate tax rate 
and an expansion of the taxing rights of market countries. If enacted, this agreement could result in tax increases in both the 
United States and foreign jurisdictions. 

The U.S. Treasury recently released final foreign tax credit regulations that eliminate U.S. creditability of the Puerto Rico 
Excise Tax beginning 2023, which will increase our U.S. tax liability. The U.S. territory of Puerto Rico is considering changes 
to its tax system that may minimize or eliminate this impact, but the outcome of such potential changes are uncertain. Changes 
to existing tax law in the United States, the U.S. territory of Puerto Rico, or other jurisdictions, including the potential changes 
discussed above, could result in tax increases where we do business and could have a material adverse effect on the results of 
our operations.

Our business may be affected by litigation and government investigations.

We  and  certain  of  our  subsidiaries  are  involved  in  legal  proceedings.  See  Part  IV—Note  19,  Contingencies  and 
commitments,  to  the  Consolidated  Financial  Statements.  Civil  and  criminal  litigation  is  inherently  unpredictable,  and  the 
outcome can result in costly verdicts, fines and penalties, exclusion from federal healthcare programs and/or injunctive relief 
that affect how we operate our business. Defense of litigation claims can be expensive, time consuming and distracting, and it is 
possible that we could incur judgments or enter into settlements of claims for monetary damages or change the way we operate 
our business, which could have a material adverse effect on our product sales, business and results of operations. In addition, 
product liability is a major risk in testing and marketing biotechnology and pharmaceutical products. We may face substantial 
product liability exposure in human clinical trials and for products we sell after regulatory approval. Product liability claims, 
regardless of their merits, could be costly and divert management’s attention and could adversely affect our reputation and the 
demand  for  our  products.  We  and  certain  of  our  subsidiaries  have  previously  been  named  as  defendants  in  product  liability 
actions for certain of our products.

We are also involved in government investigations that arise in the ordinary course of our business. In recent years, 
there has been a trend of increasing government investigations and litigations against companies operating in our industry, both 
in  the  United  States  and  around  the  world.  See  Our  sales  depend  on  coverage  and  reimbursement  from  government  and 
commercial third-party payers, and pricing and reimbursement pressures have affected, and are likely to continue to affect, our 
profitability.  Our  business  activities  outside  of  the  United  States  are  subject  to  the  FCPA  and  similar  antibribery  or 
anticorruption  laws,  regulations  or  rules  of  other  countries  in  which  we  operate,  including  the  U.K.  Bribery  Act.  We  cannot 
ensure that all our employees, agents, contractors, vendors, licensees, partners or collaborators will comply with all applicable 
laws and regulations. On April 25, 2019, we entered into a settlement agreement with the DOJ and the OIG of the HHS to settle 
certain allegations relating to our support of independent charitable organizations that provide patients with financial assistance 
to access their medicines. As a result, we entered into a corporate integrity agreement with the OIG that requires us to maintain 
a  corporate  compliance  program  and  to  undertake  a  set  of  defined  corporate  integrity  obligations  for  a  period  of  five  years. 
While we expect to fully comply with all of our obligations under the corporate integrity agreement, failure to do so could result 
in  substantial  penalties  and  potential  exclusion  from  government  healthcare  programs.  We  may  also  see  new  government 
investigations of or actions against us citing novel theories of recovery. For example, prosecutors are placing greater scrutiny on 
patient support programs, including commercial copay assistance programs, and further enforcement actions and investigations 
regarding such programs could limit our ability to provide co-pay assistance to commercial patients. Greater scrutiny has also 
been placed on sponsorships, speaker programs and other arrangements where healthcare professionals receive remuneration, 
travel or other value to participate in certain events, and further enforcement actions could limit our ability to participate in such 
arrangements. Any of these results could have a material adverse effect on our business and results of operations.

RISKS RELATED TO COMPETITION

Our products face substantial competition and our product candidates are also likely to face substantial competition.

We operate in a highly competitive environment. See Item 1. Business—Marketing, Distribution and Selected Marketed 
Products—Competition.  We  expect  that  our  products  and  product  candidates  will  compete  with  existing  drugs,  new  drugs 

36

currently in development, drugs currently approved for other indications that may later be approved for the same indications as 
those  of  our  products  and  drugs  approved  for  other  indications  that  are  used  off-label.  Large  pharmaceutical  companies  and 
generics  manufacturers  of  pharmaceutical  products  have  expanded  into,  and  are  expected  to  continue  expanding  into,  the 
biotechnology  field,  and  some  pharmaceutical  companies  and  generics  manufacturers  have  formed  partnerships  to  pursue 
biosimilars. With the proliferation of companies pursuing biopharmaceuticals, a number of our product candidates may enter 
markets with one or more competitors or with competitors soon to arrive. For example, several of our biosimilar products have 
entered  into  markets  with  one  or  more  existing  competitors.  In  addition,  some  of  our  competitors  may  have  technical, 
competitive or other advantages over us for the development of technologies and processes or greater experience in particular 
therapeutic areas, and consolidation among pharmaceutical and biotechnology companies can enhance such advantages. These 
advantages may make it difficult for us to compete with them successfully to discover, develop and market new products and 
for our current products to compete with new products or new product indications they may bring to market. As a result, our 
products  have  been  competing  and  may  continue  to  compete,  and  our  product  candidates  may  compete,  against  products  or 
product  candidates  that  offer  higher  rebates  or  discounts,  lower  prices,  equivalent  or  superior  efficacy,  better  safety  profiles, 
easier  administration,  earlier  market  availability  or  other  competitive  features.  If  we  are  unable  to  compete  effectively,  this 
could reduce sales, which could have a material adverse effect on our business and results of operations.

Our intellectual property positions may be challenged, invalidated or circumvented, or we may fail to prevail in current 

and future intellectual property litigation.

Our success depends in part on our ability to obtain and defend patent rights and other intellectual property rights that are 
important  to  the  commercialization  of  our  products  and  product  candidates.  The  patent  positions  of  pharmaceutical  and 
biotechnology companies can be highly uncertain and often involve complex legal, scientific and factual questions. Driven by 
cost  pressures,  efforts  to  limit  or  weaken  patent  protection  for  our  industry  are  increasing.  For  example,  the  COVID-19 
pandemic has resulted in increased interest in compulsory licenses, march-in rights or other governmental interventions, both in 
the United States and internationally, related to the procurement of drugs. See The COVID-19 pandemic, and the public and 
governmental effort to mitigate against the spread of the disease, have had, and are expected to continue to have, an adverse 
effect,  and  may  have  a  material  adverse  effect,  on  our  clinical  trials,  operations,  manufacturing,  supply  chains,  distribution 
systems,  product  development,  product  sales,  business  and  results  of  operations.  Third  parties  have  challenged  and  may 
continue to challenge, invalidate or circumvent our patents and patent applications relating to our products, product candidates 
and  technologies.  Challenges  to  patents  may  come  from  potential  competitors  or  from  parties  other  than  those  who  seek  to 
market a potentially-infringing product. In addition, our patent positions might not protect us against competitors with similar 
products or technologies because competing products or technologies may not infringe our patents. For certain of our product 
candidates, there are third parties who have patents or pending patent applications that they may claim necessitate payment of a 
royalty or prevent us from commercializing these product candidates in certain territories. Patent disputes are frequent, costly 
and  can  preclude,  delay  or  increase  the  cost  of  commercialization  of  products.  We  have  been  in  the  past,  are  currently  and 
expect to be in the future, involved in patent litigation. These matters have included, and may in the future include, litigation 
with manufacturers of products that purport to be biosimilars of certain of our products for patent infringement and for failure to 
comply with certain provisions of the BPCIA. A determination made by a court, agency or tribunal concerning infringement, 
validity, enforceability, injunctive or economic remedy, or the right to patent protection, for example, are typically subject to 
appellate  or  administrative  review.  Upon  review,  such  initial  determinations  may  be  afforded  little  or  no  deference  by  the 
reviewing tribunal and may be affirmed, reversed or made the subject of reconsideration through further proceedings. A patent 
dispute or litigation has not discouraged, and may not in the future discourage, a potential violator from bringing the allegedly 
infringing product to market prior to a final resolution of the dispute or litigation. The period from inception until resolution of 
a patent dispute or litigation is subject to the availability and schedule of the court, agency or tribunal before which the dispute 
or litigation is pending. We have been, and may in the future be, subject to competition during this period and may not be able 
to recover fully from the losses, damages and harms we incur from infringement by the competitor product even if we prevail. 
Moreover, if we lose or settle current or future litigations at certain stages or entirely, we could be subject to competition and/or 
significant  liabilities,  be  required  to  enter  into  third-party  licenses  for  the  infringed  product  or  technology  or  be  required  to 
cease using the technology or product in dispute. In addition, we cannot guarantee that such licenses will be available on terms 
acceptable to us, or at all.

Further, under the Hatch–Waxman Act, our products approved by the FDA under the FDCA have been, and may in the 
future  be,  the  subject  of  patent  litigation  with  generics  competitors  before  expiry  of  the  five-year  period  of  data  exclusivity 
provided  for  under  the  Hatch-Waxman  Act  and  prior  to  the  expiration  of  the  patents  listed  for  the  product.  Likewise,  our 
innovative biologic products have been, and may in the future be, the subject of patent litigation prior to the expiration of our 
patents and, with respect to competitors seeking approval as a biosimilar or interchangeable version of our products, prior to the 
12-year exclusivity period provided under the BPCIA. In addition, we have faced, and may in the future face, patent litigation 
involving  claims  that  the  biosimilar  product  candidates  we  are  working  to  develop  infringe  the  patents  of  other  companies, 
including  those  that  manufacture,  market  or  sell  the  applicable  reference  products  or  who  are  developing  or  have  developed 
other biosimilar versions of such products. Alternatively, patents held by other entities have contributed, and may in the future 

37

contribute,  to  a  decision  by  us  to  not  pursue  all  of  the  same  labeled  indications  as  are  held  by  these  companies.  Due  to  the 
COVID-19 pandemic, there have been delays in ongoing or new patent office and court proceedings in the United States and 
abroad  that  have  delayed  the  outcome  of  such  proceedings.  While  we  have  attempted,  and  expect  to  continue  to  attempt,  to 
challenge the patents held by other companies, our efforts may be unsuccessful. For examples of and information related to our 
patent litigation, see Part IV—Note 19, Contingencies and commitments, to the Consolidated Financial Statements.

Certain  of  the  existing  patents  on  our  products  have  expired  or  will  soon  expire.  See  Item  1.  Business—Marketing, 
Distribution  and  Selected  Marketed  Products—Patents.  As  our  patents  expire,  competitors  are  able  to  legally  produce  and 
market  similar  products  or  technologies,  including  biosimilars,  which  has  had,  and  may  continue  to  have,  a  material  adverse 
effect on our product sales, business and results of operations. In addition, competitors have been, and may continue to be, able 
to invalidate, design around or otherwise circumvent our patents and sell competing products.

We currently face competition from biosimilars and generics and expect to face increasing competition from biosimilars 

and generics in the future.

We currently face competition from biosimilars and generics in most of the territories in which we operate, including the 
United  States  and  Europe,  and  we  expect  to  face  increasing  biosimilar  and/or  generics  competition  this  year  and  beyond. 
Expiration or successful challenge of applicable patent rights or expiration of an applicable exclusivity period has accelerated 
such competition, and we expect to face more litigation regarding the validity and/or scope of our patents. Our products have 
also experienced greater competition from lower cost biosimilars or generics that come to market when branded products that 
compete with our products lose their own patent protection. To the extent that governments adopt more permissive regulatory 
approval standards and competitors are able to obtain broader or expedited marketing approval for biosimilars and generics, the 
rate of increased competition for our products could accelerate.

In  the  EU,  biosimilars  are  evaluated  for  marketing  authorization  pursuant  to  a  set  of  general  and  product  class-specific 
guidelines. In addition, in an effort to spur biosimilar utilization and/or increase potential healthcare savings, some EU countries 
and some Canadian provinces have adopted, or are considering the adoption of, biosimilar uptake measures such as physician 
prescribing  quotas  or  automatic  pharmacy  substitution  of  biosimilars  for  the  corresponding  reference  products.  Some  EU 
countries  impose  automatic  price  reductions  upon  market  entry  of  one  or  more  biosimilar  competitors.  While  the  degree  of 
competitive effects of biosimilar competition differs between EU countries and between products, in the EU the overall use of 
biosimilars and the rate at which product sales of innovative products are being affected by biosimilar competition is increasing.

In the United States, the BPCIA authorizes the FDA to approve biosimilars via a separate, abbreviated pathway. See Item 
1.  Business—Government  Regulation—Regulation  in  the  United  States—Approval  of  Biosimilars.  In  the  United  States,  the 
FDA has approved numerous biosimilars, including biosimilar versions of Neulasta, EPOGEN and ENBREL, and a growing 
number  of  companies  have  announced  that  they  are  also  developing  biosimilar  versions  of  our  products.  Four  biosimilar 
versions  of  Neulasta  are  now  marketed  in  the  United  States,  and  we  expect  other  biosimilar  versions  of  Neulasta  to  receive 
approval in 2022 and beyond. Impact to our Neulasta sales has accelerated as additional competitors have launched. See Item 1. 
Business—Marketing,  Distribution  and  Selected  Marketed  Products—Competition.  An  approved  biosimilar  version  of 
EPOGEN has also launched in the United States. Manufacturers of biosimilars have attempted, and may in the future attempt, 
to  compete  with  our  products  by  offering  lower  list  prices,  greater  discounts  or  rebates,  or  contracts  that  offer  longer-term 
pricing or a broader portfolio of other products. Companies pursuing development of biosimilar versions of our products have 
challenged and may continue to challenge our patents well in advance of the expiration of our material patents. For examples of 
and  information  related  to  our  biosimilars  and  generics  patent  litigation,  see  Part  IV—Note  19,  Contingencies  and 
commitments, to the Consolidated Financial Statements. See Our intellectual property positions may be challenged, invalidated 
or circumvented, or we may fail to prevail in current and future intellectual property litigation.

The  U.S.  biosimilar  pathway  includes  the  option  for  biosimilar  products  that  meet  certain  criteria  to  be  approved  as 
interchangeable with their reference products. Some companies currently developing or already marketing biosimilars may seek 
to obtain interchangeable status from the FDA, which could potentially allow pharmacists to substitute those biosimilars for our 
reference  products  without  prior  approval  from  the  prescriber  in  most  states.  The  FDA  approved  the  first  interchangeable 
biosimilar in July 2021, and subsequently granted an interchangeability designation to a second biosimilar in October 2021. In 
November 2019, the FDA issued draft guidance that provides that comparative immunogenicity studies will not generally be 
expected  for  biosimilar  and  interchangeable  insulin  products.  This  may  open  the  door  for  other  product-specific  guidance 
development and the removal of the expectation for certain studies, which may contribute to increased biosimilar competition 
for our innovative products. For example, the FDA 2021 guidance agenda lists four guidances related to biosimilars, including 
documents that address exclusivity for the first interchangeable biological product, and product class-specific recommendations 
for developing biosimilars and interchangeables.

In addition, critics of the 12-year exclusivity period in the biosimilar pathway law will likely continue to seek to shorten 
the  data  exclusivity  period  and/or  to  encourage  the  FDA  to  interpret  narrowly  the  law’s  provisions  regarding  which  new 

38

products receive data exclusivity. In late 2019, the previous Administration agreed to remove from the United States-Mexico-
Canada Agreement a requirement for at least 10 years of data exclusivity for biologic products. Also, the FDA is considering 
whether subsequent changes to a licensed biologic would be protected by the remainder of the reference product’s original 12-
year exclusivity period (a concept known in the generic drug context as “umbrella exclusivity”). If the FDA were to decide that 
umbrella exclusivity does not apply to biological reference products or were to make other changes to the exclusivity period, 
this could expose us to biosimilar competition at an earlier time. There also have been, and may continue to be, legislative and 
regulatory  efforts  to  promote  competition  through  policies  enabling  easier  generic  and  biosimilar  approval  and 
commercialization, including efforts to lower standards for demonstrating biosimilarity or interchangeability, limit patents that 
may  be  litigated  and/or  patent  settlements,  implement  preferential  reimbursement  policies  for  biosimilars  and  pass  new  laws 
requiring more disclosure in the FDA’s Orange and Purple Books. For example, in 2021 the FDA sent a letter to the USPTO 
describing  ways  to  strengthen  coordination  between  the  two  agencies,  offered  training  to  help  identify  prior  art,  and  seeking 
USPTO’s  views  on  practices  that  extend  market  exclusivities,  whether  pharmaceutical  patent  examiners  need  additional 
resources, and the effect of post-grant challenges at the PTAB on drug patents.

Upon the expiration or loss of patent protection and/or applicable exclusivity for one of our small molecule products, we 
can lose the majority of revenues for that product in a very short period of time. See Item 1. Business—Marketing, Distribution 
and Selected Marketed Products—Competition. Additionally, if one of our small molecule products is the subject of an FDA 
Written Request for pediatric studies and we are unable to adequately complete these studies, we may not obtain the pediatric 
exclusivity award that extends existing patents and unexpired regulatory exclusivity for the product by an additional six months. 

While we are unable to predict the precise effects of biosimilars and generics on our products, we are currently facing and 
expect to face greater competition in the United States, Europe and elsewhere as a result of biosimilar and generic competition 
and,  in  turn,  downward  pressure  on  our  product  prices  and  sales.  This  competition  has  had,  and  could  increasingly  have,  a 
material  adverse  effect  on  our  product  sales,  business  and  results  of  operations.  State  laws  may  also  have  an  impact  on  our 
business.  For  example,  California  is  the  first  state  to  have  passed  legislation,  effective  on  January  1,  2020,  against  “pay  for 
delay” settlements of patent infringement claims filed by manufacturers of generics or biosimilars where anything of value is 
given in exchange for settlement. Under this law, such settlement agreements are presumptively anticompetitive. The law may 
result  in  prolonged  litigation  and  fewer  settlements.  Other  states,  including  Connecticut,  New  York,  Illinois  and  Minnesota, 
may adopt similar laws or a similar law could be adopted at the federal level.

Concentration  of  sales  at  certain  of  our  wholesaler  distributors  and  at  one  free-standing  dialysis  clinic  business  and 

consolidation of private payers may negatively affect our business.

Certain of our distributors, customers and payers have substantial purchasing leverage, due to the volume of our products 
they purchase or the number of patient lives for which they provide coverage. The substantial majority of our U.S. product sales 
is made to three pharmaceutical product wholesaler distributors: McKesson Corporation, AmerisourceBergen Corporation and 
Cardinal Health, Inc. These distributors, in turn, sell our products to their customers, which include physicians or their clinics, 
dialysis  centers,  hospitals  and  pharmacies.  One  of  our  products,  EPOGEN,  is  sold  primarily  to  free-standing  dialysis  clinics. 
DaVita  owns  or  manages  a  large  number  of  the  outpatient  dialysis  facilities  located  in  the  United  States  and  accounts  for 
approximately 90% of all EPOGEN sales. Similarly, as discussed above, there has been significant consolidation in the health 
insurance industry, including that a small number of PBMs now oversee a substantial percentage of total covered lives in the 
United States. See Our sales depend on coverage and reimbursement from government and commercial third-party payers, and 
pricing  and  reimbursement  pressures  have  affected,  and  are  likely  to  continue  to  affect,  our  profitability.  The  three  largest 
PBMs  in  the  United  States  are  now  part  of  major  health  insurance  providers.  The  growing  concentration  of  purchasing  and 
negotiating power by these entities has, and may continue to, put pressure on our pricing due to their ability to extract price 
discounts  on  our  products,  fees  for  other  services  or  rebates,  negatively  affecting  our  bargaining  position,  sales  and/or  profit 
margins.  In  addition,  decisions  by  these  entities  to  purchase  or  cover  less  or  none  of  our  products  in  favor  of  competing 
products could have a material adverse effect on our product sales, business and results of operations due to their purchasing 
volume. Further, if one of our significant wholesale distributors encounters financial or other difficulties and becomes unable or 
unwilling to pay us all amounts that such distributor owes us on a timely basis, or at all, it could negatively affect our business 
and results of operations. In addition, if one of our significant wholesale distributors becomes insolvent or otherwise unable to 
continue its commercial relationship with us in its present form, it could significantly disrupt our business and adversely affect 
our product sales, our business and results of operations unless suitable alternatives are timely found or lost sales are absorbed 
by another distributor.

RISKS RELATED TO RESEARCH AND DEVELOPMENT

We may not be able to develop commercial products despite significant investments in R&D.

Amgen invests heavily in R&D. Successful product development in the biotechnology industry is highly uncertain, and 
very  few  R&D  projects  yield  approved  and  commercially  viable  products.  Product  candidates,  including  biosimilar  product 

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candidates, or new indications for existing products (collectively, product candidates) that appear promising in the early phases 
of development have failed to reach the market for a number of reasons, such as:

•

•

•

•

•

•

•

•

the product candidate did not demonstrate acceptable clinical trial results even though it achieved its primary endpoints 
and/or  demonstrated  positive  preclinical  or  early  clinical  trial  results,  for  reasons  that  could  include  changes  in  the 
standard of care of medicine or expectations of health authorities;

the product candidate was not effective or not more effective than currently available or potentially competitive therapies 
in treating a specified condition or illness;

the product candidate was not cost effective in light of existing or potentially competitive therapeutics;

the product candidate had harmful side effects in animals or humans;

the necessary regulatory bodies, such as the FDA or EMA, did not approve the product candidate for an intended use;

reimbursement for the product candidate is limited despite regulatory approval;

the product candidate was not economical for us to manufacture and commercialize;

other parties had or may have had proprietary rights relating to our product candidate, such as patent rights, and did not let 
us sell it on reasonable terms, or at all;

• we  and  certain  of  our  licensees,  partners,  contracted  organizations  or  independent  investigators  failed  to  effectively 

conduct clinical development or clinical manufacturing activities; 

•

•

•

the pathway to regulatory approval or reimbursement for product candidates was uncertain or not well-defined;

the biosimilar product candidate failed to demonstrate the requisite biosimilarity to the applicable reference product, or 
was otherwise determined by a regulatory authority to not meet applicable standards for approval; and

a  companion  diagnostic  device  that  is  required  with  the  use  of  a  product  candidate  is  not  approved  by  the  necessary 
regulatory authority.

We have spent considerable time, energy and resources developing our expertise in human genetics and acquiring access 
to libraries of genetic information with the belief that genetics could meaningfully aid our search for new medicines and help 
guide our R&D decisions and investments. We have focused our R&D strategy on drug targets validated by genetic or other 
compelling  human  evidence.  However,  product  candidates  based  on  genetically  validated  targets  remain  subject  to  the 
uncertainties  of  the  drug  development  process  and  may  not  reach  the  market  for  a  number  of  reasons,  including  the  factors 
listed above.

We  must  conduct  clinical  trials  in  humans  before  we  commercialize  and  sell  any  of  our  product  candidates  or  existing 

products for new indications.

Before  a  product  may  be  sold,  we  must  conduct  clinical  trials  to  demonstrate  that  our  product  candidates  are  safe  and 
effective  for  use  in  humans.  The  results  of  those  clinical  trials  are  used  as  the  basis  to  obtain  approval  from  regulatory 
authorities  such  as  the  FDA  and  EMA.  See  Our  current  products  and  products  in  development  cannot  be  sold  without 
regulatory approval. We are required to conduct clinical trials using an appropriate number of trial sites and patients to support 
the  product  label  claims.  The  length  of  time,  number  of  trial  sites  and  number  of  patients  required  for  clinical  trials  vary 
substantially, and we may spend several years and incur substantial expense in completing certain clinical trials. In addition, we 
may have difficulty finding a sufficient number of clinical trial sites and patients to participate in our clinical trials, particularly 
if  competitors  are  conducting  clinical  trials  in  similar  patient  populations.  See  The  COVID-19  pandemic,  and  the  public  and 
governmental effort to mitigate against the spread of the disease, have had, and are expected to continue to have, an adverse 
effect, and may have a material adverse effect, on our clinical trials, operations, supply chains, distribution systems, product 
development,  product  sales,  business  and  results  of  operations.  Patients  may  withdraw  from  clinical  trials  at  any  time,  and 
privacy laws and/or other restrictions in certain countries may restrict the ability of clinical trial investigators to conduct further 
follow-up on such patients, which may adversely affect the interpretation of study results. Delays and complications in planned 
clinical  trials  can  result  in  increased  development  costs,  associated  delays  in  regulatory  approvals  and  in  product  candidates 
reaching the market and revisions to existing product labels.

Further,  to  increase  the  number  of  patients  available  for  enrollment  in  our  clinical  trials,  we  have  opened,  and  will 
continue to open, clinical sites and enroll patients in a number of locations where our experience conducting clinical trials is 
more limited, including Russia, India, China, South Korea, the Philippines, Singapore and some Central and South American 
countries,  either  through  utilization  of  third-party  contract  clinical  trial  providers  entirely  or  in  combination  with  local  staff. 

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Conducting clinical trials in locations where we have limited experience requires substantial time and resources to understand 
the  unique  regulatory  environments  of  individual  countries.  For  other  examples  of  the  risks  of  conducting  clinical  trials  in 
China,  see  also  Our  sales  and  operations  are  subject  to  the  risks  of  doing  business  internationally,  including  in  emerging 
markets.  Further,  we  must  ensure  the  timely  production,  distribution  and  delivery  of  the  clinical  supply  of  our  product 
candidates  to  numerous  and  varied  clinical  trial  sites.  Additionally,  regional  disruptions,  including  natural  and  man-made 
disasters  or  health  emergencies  (such  as  novel  viruses  or  pandemics  such  as  the  one  we  are  currently  experiencing  with 
COVID-19), have significantly disrupted, and in the future could disrupt, the timing of clinical trials. If we fail to adequately 
manage  the  design,  execution  and  diverse  regulatory  aspects  of  our  large  and/or  complex  clinical  trials  or  to  manage  the 
production or distribution of our clinical supply, or such sites experience disruptions as a result of a natural/man-made disaster 
or  health  emergency,  corresponding  regulatory  approvals  may  be  delayed  or  we  may  fail  to  gain  approval  for  our  product 
candidates  or  could  lose  our  ability  to  market  existing  products  in  certain  therapeutic  areas  or  altogether.  For  example,  our 
clinical  trials  have  been  adversely  affected  by  the  COVID-19  pandemic.  See  The  COVID-19  pandemic,  and  the  public  and 
governmental effort to mitigate against the spread of the disease, have had, and are expected to continue to have, an adverse 
effect, and may have a material adverse effect, on our clinical trials, operations, supply chains, distribution systems, product 
development,  product  sales,  business  and  results  of  operations.  If  we  are  unable  to  market  and  sell  our  products  or  product 
candidates  or  to  obtain  approvals  in  the  timeframe  needed  to  execute  our  product  strategies,  our  business  and  results  of 
operations could be materially and adversely affected.

We  rely  on  independent  third-party  clinical  investigators  to  recruit  patients  and  conduct  clinical  trials  on  our  behalf  in 
accordance  with  applicable  study  protocols,  laws  and  regulations.  Further,  we  rely  on  unaffiliated  third-party  vendors  to 
perform certain aspects of our clinical trial operations. In some circumstances, we enter into co-development arrangements with 
other pharmaceutical and medical devices companies that provide for the other company to conduct certain clinical trials for the 
product we are co-developing or to develop a diagnostic test used in screening or monitoring patients in our clinical trials. See 
Some of our pharmaceutical pipeline and our commercial product sales rely on collaborations with third parties, which may 
adversely affect the development and sale of our products. We also may acquire companies that have past or ongoing clinical 
trials or rights to products or product candidates for which clinical trials have been or are being conducted. These trials may not 
have been conducted to the same standards as ours; however, once an acquisition has been completed we assume responsibility 
for the conduct of these trials, including any potential risks and liabilities associated with the past and prospective conduct of 
those  trials.  If  regulatory  authorities  determine  that  we  or  others,  including  our  licensees  or  co-development  partners,  or  the 
independent investigators or vendors selected by us, our co-development partners or by a company we have acquired or from 
which we have acquired rights to a product or product candidate, have not complied with regulations applicable to the clinical 
trials,  those  authorities  may  refuse  or  reject  some  or  all  of  the  clinical  trial  data  or  take  other  actions  that  could  delay  or 
otherwise negatively affect our ability to obtain or maintain marketing approval of the product or indication. In addition, delays 
or failures to develop diagnostic tests for our clinical trials can affect the timely enrollment of such trials and lead to delays or 
inability to obtain marketing approval. If we were unable to market and sell our products or product candidates, our business 
and results of operations could be materially and adversely affected.

In addition, some of our clinical trials utilize drugs manufactured and marketed by other pharmaceutical companies. These 
drugs may be administered in clinical trials in combination with one of our products or product candidates or in a head-to-head 
study  comparing  the  products’  or  product  candidates’  relative  efficacy  and  safety.  In  the  event  that  any  of  these  vendors  or 
pharmaceutical companies have unforeseen issues that negatively affect the quality of their work product or create a shortage of 
supply, or if we are otherwise unable to obtain an adequate supply of these other drugs, our ability to complete our applicable 
clinical trials and/or evaluate clinical results may also be negatively affected. As a result, such quality or supply problems could 
adversely affect our ability to timely file for, gain or maintain regulatory approvals worldwide.

Clinical  trials  must  generally  be  designed  based  on  the  current  standard  of  medical  care.  However,  in  certain  diseases, 
such as cancer, the standard of care is evolving rapidly. In some cases, we may design a clinical trial based on the standard of 
care we anticipate will exist at the time our study is completed. The duration of time needed to complete certain clinical trials 
may  result  in  the  design  of  such  clinical  trials  being  based  on  standards  of  medical  care  that  are  no  longer  or  that  have  not 
become  the  current  standards  by  the  time  such  trials  are  completed,  limiting  the  utility  and  application  of  such  trials. 
Additionally, the views of regulatory agencies relating to the requirements for accelerated approval may change over time, and 
trial designs that were sufficient to support accelerated approvals for some oncology products may not be considered sufficient 
for  later  candidates.  We  may  not  obtain  favorable  clinical  trial  results  and  therefore  may  not  be  able  to  obtain  regulatory 
approval  for  new  product  candidates  or  new  indications  for  existing  products  and/or  maintain  our  current  product  labels. 
Participants in clinical trials of our products and product candidates may also suffer adverse medical events or side effects that 
could, among other factors, delay or terminate clinical trial programs and/or require additional or longer trials to gain approval.

Even after a product is on the market, safety concerns may require additional or more extensive clinical trials as part of a 
risk management plan for our product or for approval of a new indication. Additional clinical trials we initiate, including those 
required by the FDA, could result in substantial additional expense, and the outcomes could result in further label restrictions or 

41

the loss of regulatory approval for an approved indication, each of which could have a material adverse effect on our product 
sales, business and results of operations. Additionally, any negative results from such trials could materially affect the extent of 
approvals, the use, reimbursement and sales of our products, our business and results of operations. 

Our current products and products in development cannot be sold without regulatory approval.

Our business is subject to extensive regulation by numerous state and federal government authorities in the United States, 
including the FDA, and by foreign regulatory authorities, including the EMA. We are required in the United States and in the 
other regions and countries in which we, or our partners and affiliates, sell to obtain approval from regulatory authorities before 
we manufacture, market and sell our products. Once our products are approved, the FDA and other U.S. and ex-U.S. regulatory 
agencies have substantial authority to require additional testing and reporting, perform inspections, change product labeling or 
mandate  withdrawals  of  our  products.  Failure  to  comply  with  applicable  regulatory  requirements  may  subject  us  to 
administrative and/or judicially imposed sanctions or monetary penalties as well as reputational and other harms. The sanctions 
could  include  the  FDA’s  or  ex-U.S.  regulatory  authorities’  refusals  to  approve  pending  applications,  delays  in  obtaining  or 
withdrawals  of  approvals,  delays  or  suspensions  of  clinical  trials,  warning  letters,  product  recalls  or  seizures,  total  or  partial 
suspensions of our operations, injunctions, fines, civil penalties and/or criminal prosecutions.

Obtaining and maintaining regulatory approvals have been, and will continue to be, increasingly difficult, time-consuming 
and costly. Legislative bodies or regulatory agencies could enact new laws or regulations, change existing laws or regulations or 
change their interpretations of laws or regulations at any time, which could affect our ability to obtain or maintain approval of 
our products or product candidates. The rate and degree of change in existing laws and regulations and regulatory expectations 
have accelerated in established markets, and regulatory expectations continue to evolve in emerging markets. We are unable to 
predict whether and when any further changes to laws or regulatory policies affecting our business could occur, such as changes 
to  laws  or  regulations  governing  manufacturer  communications  concerning  drug  products  and  drug  product  candidates  and 
whether such changes could have a material adverse effect on our product sales, business and results of operations. Further, we 
are  reliant  on  regulators  having  the  resources  necessary  to  evaluate  and  approve  our  products.  In  the  United  States,  a  partial 
federal government shutdown halted the work of many federal agencies and their employees from late December 2018 through 
late  January  2019.  A  subsequent  extended  shutdown  could  result  in  reductions  or  delays  of  FDA’s  activities,  including  with 
respect to our ongoing clinical programs, our manufacturing of our products and product candidates and our product approvals.

Regulatory authorities have questioned, and may in the future question, the sufficiency for approval of the endpoints we 
select  for  our  clinical  trials.  A  number  of  our  products  and  product  candidates  have  been  evaluated  in  clinical  trials  using 
surrogate  endpoints  that  measure  an  effect  that  is  known  to  correlate  with  an  ultimate  clinical  benefit.  For  example,  a 
therapeutic oncology product candidate may be evaluated for its ability to reduce or eliminate MRD, or to extend the length of 
time during and after the treatment that a patient lives without the disease worsening, measured by PFS. Demonstrating that the 
product  candidate  induces  MRD-negative  responses  or  produces  a  statistically  significant  improvement  in  PFS  does  not 
necessarily mean that the product candidate will show a statistically significant improvement in overall survival or the time that 
the  patients  remain  alive.  In  the  CV  setting,  a  heart  disease  therapeutic  candidate  may  be  evaluated  for  its  ability  to  reduce 
LDL-C levels, as an elevated LDL-C level has been a surrogate endpoint for CV events such as death, heart attack and stroke. 
The use of surrogate endpoints such as PFS and LDL-C reduction, in the absence of other measures of clinical benefit, may not 
be sufficient for broad usage or approval even when such results are statistically significant. Regulatory authorities could also 
add new requirements, such as the completion of enrollment in a confirmatory study or the completion of an outcomes study or 
a  meaningful  portion  of  an  outcomes  study,  as  conditions  for  obtaining  approval  or  obtaining  an  indication.  For  example, 
despite demonstrating that Repatha reduced LDL-C levels in a broad patient population, only after our large phase 3 outcomes 
study evaluating the ability of Repatha to prevent CV events met certain of its primary composite endpoint and key secondary 
composite endpoint did the FDA grant a broader approval of Repatha to reduce the risk of certain CV events. There may also be 
situations  in  which  demonstrating  the  efficacy  and  safety  of  a  product  candidate  may  not  be  sufficient  to  gain  regulatory 
approval unless superiority to other existing treatment options can be shown. The imposition of additional requirements or our 
inability  to  meet  them  in  a  timely  fashion,  or  at  all,  has  delayed,  and  may  in  the  future  delay,  our  clinical  development  and 
regulatory filing efforts, delay or prevent us from obtaining regulatory approval for new product candidates or new indications 
for existing products, or prevent us from maintaining our current product labels.

Some  of  our  products  have  been  approved  by  U.S.  and  ex-U.S.  regulatory  authorities  on  an  accelerated  or  conditional 
basis with full approval conditioned upon fulfilling the requirements of regulators. For example, in March 2018, we announced 
that the FDA approved BLINCYTO under accelerated approval for the treatment of certain patients with B-cell precursor ALL. 
Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory 
trials.  Regulatory  authorities  are  placing  greater  focus  on  monitoring  products  originally  approved  on  an  accelerated  or 
conditional  basis  and  on  whether  the  sponsors  of  such  products  have  met  the  conditions  of  the  accelerated  or  conditional 
approvals. If we are unable to fulfill the regulators’ requirements that were conditions of a product’s accelerated or conditional 
approval and/or if regulators reevaluate the data or risk-benefit profile of our product, the conditional approval may not result in 

42

full approval or may be revoked or not renewed. Alternatively, we may be required to change the product’s labeled indications 
or even withdraw the product from the market.

Regulatory authorities can also impose post-marketing pediatric study requirements. Failure to fulfill such requirements 
may  result  in  regulatory  or  enforcement  action,  including  financial  penalties  or  the  invalidation  of  a  product’s  marketing 
authorization.

Safety  problems  or  signals  can  arise  as  our  products  and  product  candidates  are  evaluated  in  clinical  trials,  including 
investigator sponsored studies, or as our marketed products are used in clinical practice. We are required continuously to collect 
and  assess  adverse  events  reported  to  us  and  to  communicate  to  regulatory  agencies  these  adverse  events  and  safety  signals 
regarding  our  products.  Regulatory  agencies  periodically  perform  inspections  of  our  pharmacovigilance  processes,  including 
our adverse event reporting. In the United States, for our products with approved REMS (see Item 1. Business—Government 
Regulation—Postapproval  Phase),  we  are  required  to  submit  periodic  assessment  reports  to  the  FDA  to  demonstrate  that  the 
goals of the REMS are being met. REMS and other risk management programs are designed to ensure that a drug’s benefits 
outweigh the risks and vary in the elements they contain. If the FDA is not satisfied with the results of the periodic assessment 
reports  we  submit  for  any  of  our  REMS,  the  FDA  may  also  modify  our  REMS  or  take  other  regulatory  actions,  such  as 
implementing revised or restrictive labeling. The drug delivery devices approved for use in combination with our products are 
also  subject  to  regulatory  oversight  and  review  for  safety  and  malfunctions.  See  Some  of  our  products  are  used  with  drug 
delivery or companion diagnostic devices that have their own regulatory, manufacturing and other risks. If regulatory agencies 
determine  that  we  or  other  parties  (including  our  clinical  trial  investigators,  those  operating  our  patient  support  programs  or 
licensees of our products) have not complied with the applicable reporting, other pharmacovigilance or other safety or quality 
assessment  requirements,  we  may  become  subject  to  additional  inspections,  warning  letters  or  other  enforcement  actions, 
including fines, marketing authorization withdrawal and other penalties. Our product candidates and marketed products can also 
be affected by safety problems or signals occurring with respect to products that are similar to ours or that implicate an entire 
class of products. Further, as a result of clinical trials, including sub-analyses or meta-analyses of earlier clinical trials (a meta-
analysis involves the use of various statistical methods to combine results from previous separate but related studies) performed 
by  us  or  others,  concerns  may  arise  about  the  sufficiency  of  the  data  or  studies  underlying  a  product’s  approved  label.  Such 
actual or perceived safety problems or concerns can lead to:

•

•

•

•

•

•

•

•

revised or restrictive labeling for our products, or the potential for restrictive labeling that has resulted, and may in the 
future result, in our decision not to commercialize a product candidate;

requirement of risk management or minimization activities or other regulatory agency compliance actions related to the 
promotion and sale of our products;

post-marketing  commitments,  mandated  post-marketing  requirements  or  pharmacovigilance  programs  for  our  approved 
products;

product recalls of our approved products;

required changes to the processes used in the manufacture of our products, which could increase our manufacturing costs 
and affect the availability of contract manufacturers we may utilize to assist in such manufacturing;

revocation of approval for our products from the market completely, or within particular therapeutic areas or patient types;

increased timelines or delays in being approved by the FDA or other regulatory bodies; and/or

treatments or product candidates not being approved by regulatory bodies.

For example, after an imbalance in positively adjudicated CV serious adverse events was observed in one of the phase 3 
clinical  trials  for  EVENITY  but  not  in  another,  larger  phase  3  study,  in  April  2019  the  FDA  approved  EVENITY  for  the 
treatment  of  osteoporosis  in  postmenopausal  women  at  high  risk  for  fracture,  along  with  a  post-marketing  requirement.  The 
requirement includes a five-year observational feasibility study that could be followed by a comparative safety study or trial.

In addition to our innovative products, we are working to develop and commercialize biosimilar versions of a number of 
products  currently  manufactured,  marketed  and  sold  by  other  pharmaceutical  companies.  In  some  markets,  there  is  not  yet  a 
legislative or regulatory pathway for the approval of biosimilars. In the United States, the BPCIA provided for such a pathway; 
while the FDA continues to develop regulatory and scientific policies for biosimilars, discussions continue as to the evidence 
needed  to  demonstrate  biosimilarity  or  interchangeability  for  specific  products.  See  We  currently  face  competition  from 
biosimilars  and  generics  and  expect  to  face  increasing  competition  from  biosimilars  and  generics  in  the  future.  Delays  or 
uncertainties  in  the  development  or  implementation  of  such  pathways,  or  changes  in  existing  regulatory  pathways,  including 
degradation  of  regulatory  standards,  could  result  in  delays  or  difficulties  in  getting  our  biosimilar  products  approved  by 
regulatory authorities, subject us to unanticipated development costs or otherwise reduce the value of the investments we have 

43

made in the biosimilars area. Further, we cannot predict whether any repeal or reform of the ACA or other legislation or policy 
initiatives would affect the biosimilar pathway or have a material adverse effect on our development of biosimilars or on our 
marketed  biosimilars.  In  addition,  if  we  are  unable  to  bring  our  biosimilar  products  to  market  on  a  timely  basis  and  secure 
“first-to-market”  or  other  advantageous  positions,  our  future  biosimilar  sales,  business  and  results  of  operations  could  be 
materially and adversely affected.

Some  of  our  products  are  used  with  drug  delivery  or  companion  diagnostic  devices  that  have  their  own  regulatory, 

manufacturing and other risks.

Many of our products and product candidates may be used in combination with a drug delivery device, such as an injector 
or  other  delivery  system.  For  example,  Neulasta  is  available  as  part  of  the  Neulasta  Onpro  kit,  and  our  AutoTouch  reusable 
autoinjector  is  used  with  ENBREL  Mini  single-dose  prefilled  cartridges.  In  addition,  some  of  our  products  or  product 
candidates, including many of our oncology product candidates and products, including LUMAKRAS, may also require the use 
of a companion or other diagnostic device such as a device that determines whether the patient is eligible to use our drug or that 
helps  ensure  its  safe  and  effective  use.  In  some  regions,  including  the  United  States,  regulatory  authorities  may  require 
contemporaneous approval of the companion diagnostic device and the therapeutic product; in others the regulatory authorities 
may  require  a  separate  study  of  the  companion  diagnostic  device.  Our  product  candidates  or  expanded  indications  of  our 
products  used  with  such  devices  may  not  be  approved  or  may  be  substantially  delayed  in  receiving  regulatory  approval  if 
development or approval of such devices is delayed, such devices do not also gain or maintain regulatory approval or clearance, 
or  if  such  devices  do  not  remain  commercially  available.  When  approval  of  the  product  and  device  is  sought  under  a  single 
marketing  drug  application,  the  increased  complexity  of  the  review  process  may  delay  receipt  of  regulatory  approval.  In 
addition, some of these devices may be provided by single-source unaffiliated third-party companies. We are dependent on the 
sustained  cooperation  and  effort  of  those  third-party  companies  to  supply  and/or  market  the  devices  and,  in  some  cases,  to 
conduct the studies required for approval or clearance by the applicable regulatory agencies. We are also dependent on those 
third-party companies continuing to meet applicable regulatory or other requirements. Failure to successfully develop, modify, 
or supply the devices, delays in or failures of the Amgen or third-party studies, or failure of us or the third-party companies to 
obtain  or  maintain  regulatory  approval  or  clearance  of  the  devices  could  result  in  increased  development  costs;  delays  in,  or 
failure to obtain or maintain, regulatory approval; and/or associated delays in a product candidate reaching the market or in the 
addition of new indications for existing products. We are also required to collect and assess user complaints, adverse events and 
malfunctions regarding our devices, and actual or perceived safety problems or concerns with a device used with our product 
can  lead  to  regulatory  actions  and  adverse  effects  on  our  products.  See  Our  current  products  and  products  in  development 
cannot be sold without regulatory approval. Additionally, regulatory agencies conduct routine monitoring and inspections to 
identify and evaluate potential issues with our devices. For example, in 2017, the FDA reported on its adverse event reporting 
system  that  it  was  evaluating  our  Neulasta  Onpro  kit.  Subsequently,  we  implemented  device  and  labeling  enhancements  to 
address  product  complaints  received  on  this  device.  We  continuously  monitor  complaints  and  adverse  events  and  implement 
additional enhancements as needed. Loss of regulatory approval or clearance of a device that is used with our product may also 
result  in  the  removal  of  our  product  from  the  market.  Further,  failure  to  successfully  develop,  supply,  or  gain  or  maintain 
approval for these devices could adversely affect sales of the related approved products.

Some of our pharmaceutical pipeline and our commercial product sales rely on collaborations with third parties, which 

may adversely affect the development and sale of our products.

We  depend  on  alliances  with  other  companies,  including  pharmaceutical  and  biotechnology  companies,  vendors  and 
service providers, for the development of a portion of the products in our pharmaceutical pipeline and for the commercialization 
and sales of certain of our commercial products. For example, we have collaborations with third parties under which we share 
development  rights,  obligations  and  costs  and/or  commercial  rights  and  obligations.  See  Item  1.  Business—Business 
Relationships.

Failures  by  these  parties  to  meet  their  contractual,  regulatory,  or  other  obligations  to  us  or  any  disruption  in  the 
relationships  between  us  and  these  third  parties,  could  have  a  material  adverse  effect  on  our  pharmaceutical  pipeline  and 
business. In addition, our collaborative relationships for R&D and/or commercialization and sales often extend for many years 
and have given, and may in the future give, rise to disputes regarding the relative rights, obligations and revenues of us and our 
collaboration  partners,  including  the  ownership  or  prosecution  of  intellectual  property  and  associated  rights  and  obligations. 
This  could  result  in  the  loss  of  intellectual  property  rights  or  protection,  delay  the  development  and  sale  of  potential 
pharmaceutical  products,  affect  the  effective  sale  and  delivery  of  our  commercialized  products  and  lead  to  lengthy  and 
expensive litigation, administrative proceedings or arbitration. 

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Our efforts to collaborate with or acquire other companies, products, or technology, and to integrate the operations of 
companies or to support the products or technology we have acquired, may not be successful, and may result in unanticipated 
costs, delays or failures to realize the benefits of the transactions.

We  seek  innovation  through  significant  investment  in  both  internal  R&D  and  external  transactions,  including 
collaborations,  partnering,  alliances,  licenses,  joint  ventures,  mergers  and  acquisitions  (collectively,  acquisition  activity). 
Acquisition activities may be subject to regulatory approvals or other requirements that are not within our control. There can be 
no assurance that such regulatory or other approvals will be obtained or that all closing conditions required in connection with 
our acquisition activities will be satisfied or waived, which could result in us being unable to complete the planned acquisition 
activities.

Acquisition activities are complex, time consuming and expensive and may result in unanticipated costs, delays or other 
operational or financial problems related to integrating the acquired company and business with our company, which may divert 
our  management’s  attention  from  other  business  issues  and  opportunities  and  restrict  the  full  realization  of  the  anticipated 
benefits of such transactions within the expected timeframe or at all. We may pay substantial amounts of cash, incur debt or 
issue  equity  securities  to  pay  for  acquisition  activities,  which  could  adversely  affect  our  liquidity  or  result  in  dilution  to  our 
stockholders,  respectively.  Further,  failures  or  difficulties  in  integrating  or  retaining  new  personnel  or  in  integrating  the 
operations of the businesses, products or assets we acquire (including related technology, commercial operations, compliance 
programs,  manufacturing,  distribution  and  general  business  operations  and  procedures)  may  affect  our  ability  to  realize  the 
benefits  of  the  transaction  and  grow  our  business  and  may  result  in  us  incurring  asset  impairment  or  restructuring  charges. 
These  and  other  challenges  may  arise  in  connection  with  our  acquisition  of  Otezla,  Five  Prime,  Teneobio  and/or  our 
collaborations with BeiGene and KKC, or with other acquisition activities, which could have a material adverse effect on our 
business, results of operations and stock price.

RISKS RELATED TO OPERATIONS

We  perform  a  substantial  majority  of  our  commercial  manufacturing  activities  at  our  facility  in  the  U.S.  territory  of 
Puerto Rico and a substantial majority of our clinical manufacturing activities at our facility in Thousand Oaks, California; 
significant disruptions or production failures at these facilities could significantly impair our ability to supply our products or 
continue our clinical trials.

The  global  supply  of  our  products  and  product  candidates  for  commercial  sales  and  for  use  in  our  clinical  trials  is 
significantly  dependent  on  the  uninterrupted  and  efficient  operation  of  our  manufacturing  facilities,  in  particular  those  in  the 
U.S. territory of Puerto Rico and Thousand Oaks, California. See Manufacturing difficulties, disruptions or delays could limit 
supply of our products and limit our product sales.

We  currently  perform  a  substantial  majority  of  our  clinical  manufacturing  that  supports  our  product  candidates  at  our 
facility  in  Thousand  Oaks,  California.  A  substantial  disruption  in  our  ability  to  operate  our  Thousand  Oaks  manufacturing 
facility could materially and adversely affect our ability to supply our product candidates for use in our clinical trials, leading to 
delays in development of our product candidates.

In addition, we currently perform a substantial majority of our commercial manufacturing activities at our facility in the 
U.S.  territory  of  Puerto  Rico.  In  recent  years,  Puerto  Rico  has  been  affected  by  natural  disasters,  including  droughts  in 
mid-2020, earthquakes in early 2020 and Hurricane Maria in 2017. These natural disasters have affected, and may continue to 
affect,  public  and  private  properties  and  Puerto  Rico’s  electric  grid  and  communications  networks  in  the  future.  While  the 
critical manufacturing areas of our commercial manufacturing facility were not significantly affected by these natural disasters, 
the  restoration  of  electrical  service  on  the  island  after  Hurricane  Maria  was  a  slow  process,  and  our  facility  operated  with 
electrical power from backup diesel powered generators for some time. We also operated on backup generators for a few weeks 
after the early 2020 earthquakes in Puerto Rico. In 2021, the baseload power generation units of the Puerto Rico Electric Power 
Authority malfunctioned due to the lack of adequate maintenance for over a decade. The problems experienced by these units, 
which are among the oldest in North America, have led to selective outages across the island. Further instability of the electric 
grid and unreliability on the generation units could require us to increase the use of our generators or to continue using them 
exclusively. In addition, future storms, earthquakes or other natural disasters or events could cause a more significant effect on 
our manufacturing operations. Puerto Rico and the rest of the world are facing the effects of the COVID-19 pandemic and the 
associated health and economic implications. In March 2020, the Governor of Puerto Rico issued Executive Orders requiring 
the lockdown of businesses and government facilities, imposing restrictions on business operations and a curfew on residents. 
Our operations and employees were exempted from the lockdown and curfew, but we cannot predict whether the Governor will 
issue future Executive Orders imposing stricter lockdown and curfew measures should COVID-19 cases rise in Puerto Rico. 
Additionally,  during  the  summer  of  2021,  a  labor  dispute  arose  between  the  maritime  terminal  operation  company  and  its 
employees, represented by the International Longshoremen’s Association (ILA), which resulted in a strike that delayed cargo 
movement from the San Juan Port Zone for several days. Although our ability to manufacture and supply our products has not, 

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to  date,  been  significantly  affected  by  these  natural  disasters,  the  unreliability  of  the  electric  service,  the  ILA  strike  or  the 
COVID-19 pandemic, a combination of these challenges or other issues that could give rise to any substantial disruption to our 
ability to operate our Puerto Rico manufacturing facility or get supplies and manufactured products transported to and from that 
location  could  materially  and  adversely  affect  our  ability  to  supply  our  products  and  affect  our  product  sales.  See 
Manufacturing difficulties, disruptions or delays could limit supply of our products and limit our product sales.

Hurricane Maria, the earthquakes of early 2020 and the COVID-19 pandemic have placed greater stress on the island’s 
already challenged economy. Beginning in 2016, the government of Puerto Rico defaulted on its roughly $72 billion in debt. In 
response,  the  U.S.  Congress  passed  the  PROMESA,  which  established  the  FOMBPR  to  provide  fiscal  oversight.  Title  III  of 
PROMESA provides Puerto Rico with a judicial process for restructuring its debt similar to, but not identical to, Chapter 9 of 
the U.S. Bankruptcy Code, including a stay of debtholder litigation. In 2017, the FOMBPR approved and certified the filing in 
the U.S. District Court for the District of Puerto Rico of a voluntary petition under Title III of PROMESA for the government 
of  Puerto  Rico  and  certain  of  its  governmental  entities,  including  the  Puerto  Rico  Electric  Power  Authority,  which  recently 
privatized its transmission and distribution infrastructure. After years of negotiations with bondholders and other creditors, the 
FOMBPR  reached  an  agreement  with  the  same  and  presented  a  Plan  of  Adjustment  to  the  Title  III  Court.  The  Plan  of 
Adjustment  requires  the  Puerto  Rico  government  to  enact  legislation  authorizing  the  issuance  of  new  bonds  in  exchange  for 
older  bonds  and  a  reduction  of  the  U.S.  territory’s  debt.  On  October  26,  2021,  Act  53-2021,  known  as  the  “Law  to  End  the 
Bankruptcy of Puerto Rico,” was enacted. From November to December 2021, the Court held several hearings regarding the 
approval of the Plan of Adjustment, and the Modified Eighth Plan of Adjustment was confirmed by the Court on January 18, 
2022, to be effective on March 15, 2022. 

Each year since 2017, the FOMBPR has updated Puerto Rico’s fiscal plans implementing various measures intended to 
achieve fiscal responsibility and to restore Puerto Rico’s access to the capital markets, including significant expense reductions 
and  suggested  measures  for  economic  growth.  Each  plan  has  stressed  the  need  for  fiscal  and  structural  reforms  to  address 
Puerto  Rico’s  challenging  economic  and  demographic  trends.  However,  the  government  has  not  made  significant  progress 
during 2021 on the implementation of the fiscal and structural reforms required in the fiscal plan, in part due to the COVID-19 
pandemic.

While the government and the FOMBPR have authorized emergency relief packages due to the COVID-19 pandemic, it is 
uncertain how, or the degree to which, the pandemic will impact Puerto Rico’s fiscal and structural reforms and its economy. In 
addition,  the  2017  Tax  Act  no  longer  permits  deferral  of  U.S.  taxation  on  Puerto  Rico  earnings,  although  these  earnings 
generally will be taxed in the United States at a reduced rate. Given Puerto Rico’s challenged economy, disaster recovery needs 
and impact from the COVID-19 pandemic, it may be difficult for Puerto Rico to sustain or grow its manufacturing base, which 
contributes significantly to Puerto Rico’s economy, due to competition from other locations subject to similar levels of taxation.

While  PROMESA  and  the  actions  above  continue  to  be  important  factors  in  moving  Puerto  Rico  toward  economic 
stability,  Puerto  Rico’s  ongoing  economic  and  demographic  trend  challenges  and  political  situation,  the  effects  of  natural 
disasters, the unreliability of its electric system, the COVID-19 pandemic and the effects of the 2017 Tax Act or other potential 
tax  law  changes  have  negatively  affected,  and  may  in  the  future  negatively  affect,  the  territorial  government’s  provision  of 
utilities or other services in Puerto Rico that we use in the operation of our business and could create the potential for increased 
taxes  or  fees  to  operate  in  Puerto  Rico,  result  in  a  migration  of  workers  from  Puerto  Rico  to  the  mainland  United  States,  or 
make it more expensive or difficult for us to operate in Puerto Rico. These factors could have a material adverse effect on our 
ability to supply our products, on our business and on our product sales.

We rely on third-party suppliers for certain of our raw materials, medical devices and components.

We rely on unaffiliated third-party suppliers for certain raw materials, medical devices and components necessary for the 
manufacturing of our commercial and clinical products. Certain of those raw materials, medical devices and components are 
proprietary products of those unaffiliated third-party suppliers and are specifically cited in our drug applications with regulatory 
agencies so that they must be obtained from that specific sole source or sources and could not be obtained from another supplier 
unless  and  until  the  regulatory  agency  approved  such  supplier.  For  example,  we  rely  on  a  single  source  for  the  SureClick 
autoinjectors  used  in  the  drug  delivery  of  Repatha,  ENBREL,  Aimovig,  AMGEVITA  and  Aranesp.  Also,  certain  of  the  raw 
materials required in the commercial and clinical manufacturing of our products are sourced from other countries and/or derived 
from biological sources, including mammalian tissues, bovine serum and human serum albumin.

Among the reasons we may be unable to obtain these raw materials, medical devices and components include:

•

•

•

regulatory requirements or action by regulatory agencies or others;

adverse financial or other strategic developments at or affecting the supplier, including bankruptcy;

unexpected demand for or shortage of raw materials, medical devices or components;

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•

•

•

•

•

failure to comply with our quality standards which results in quality and product failures, product contamination and/or 
recall;

a material shortage, contamination, recall and/or restrictions on the use of certain biologically derived substances or other 
raw materials;

discovery of previously unknown or undetected imperfections in raw materials, medical devices or components;

cyberattacks on supplier systems; and

labor disputes or shortages, including from the effects of health emergencies (such as novel viruses or pandemics such as 
the one we are currently experiencing with COVID-19) and natural disasters.

For example, in prior years we have experienced shortages in certain components necessary for the formulation, fill and 
finish of certain of our products in our Puerto Rico facility. Further quality issues that result in unexpected additional demand 
for  certain  components  have  resulted  in  shortages,  and  in  the  future  may  lead  to  shortages,  of  required  raw  materials  or 
components  (such  as  we  have  experienced  with  EPOGEN  glass  vials).  We  may  experience  similar  or  other  shortages  in  the 
future  resulting  in  delayed  shipments,  supply  constraints,  clinical  trial  delays,  contract  disputes  and/or  stock-outs  of  our 
products. These or other similar events could negatively affect our ability to satisfy demand for our products or conduct clinical 
trials, which could have a material adverse effect on our product sales, business and results of operations.

Manufacturing difficulties, disruptions or delays could limit supply of our products and limit our product sales.

Manufacturing  biologic  and  small  molecule  human  therapeutic  products  is  difficult,  complex  and  highly  regulated.  We 
manufacture  many  of  our  commercial  products  and  product  candidates  internally.  In  addition,  we  currently  use  third-party 
contract  manufacturers  to  produce,  or  assist  in  the  production  of,  a  number  of  our  products,  and  we  currently  use  contract 
manufacturers  to  produce,  or  assist  in  the  production  of,  a  number  of  our  late-stage  product  candidates  and  drug  delivery 
devices. See Item 1. Business—Manufacturing, Distribution and Raw Materials—Manufacturing. Our ability to adequately and 
timely  manufacture  and  supply  our  products  (and  product  candidates  to  support  our  clinical  trials)  is  dependent  on  the 
uninterrupted and efficient operation of our facilities and those of our third-party contract manufacturers, which may be affected 
by:

•

•

•

•

•

•

•

•

•

•

•

•

•

•

capacity of manufacturing facilities;

contamination by microorganisms or viruses, or foreign particles from the manufacturing process;

natural or other disasters, including hurricanes, earthquakes, volcanoes or fires;

labor disputes or shortages, including the effects of health emergencies (such as novel viruses or pandemics such as the 
one we are currently experiencing with COVID-19) or natural disasters;

compliance with regulatory requirements;

changes in forecasts of future demand;

timing and actual number of production runs and production success rates and yields;

updates of manufacturing specifications;

contractual disputes with our suppliers and contract manufacturers;

timing and outcome of product quality testing;

power failures and/or other utility failures;

cyberattacks on supplier systems;

breakdown,  failure,  substandard  performance  or  improper  installation  or  operation  of  equipment  (including  our 
information technology systems and network-connected control systems or those of our contract manufacturers or third-
party service providers); and/or

delays in the ability of the FDA or foreign regulatory agencies to provide us necessary reviews, inspections and approvals, 
including as a result of a subsequent extended U.S. federal or other government shutdowns. 

If  any  of  these  or  other  problems  affect  production  in  one  or  more  of  our  facilities  or  those  of  our  third-party  contract 
manufacturers, or if we do not accurately forecast demand for our products or the amount of our product candidates required in 

47

clinical  trials,  we  may  be  unable  to  start  or  increase  production  in  our  unaffected  facilities  to  meet  demand.  If  the  efficient 
manufacture and supply of our products or product candidates is interrupted, we may experience delayed shipments, delays in 
our clinical trials, supply constraints, stock-outs, adverse event trends, contract disputes and/or recalls of our products. From 
time to time, we have initiated recalls of certain lots of our products. For example, in July 2014 we initiated a voluntary recall 
of an Aranesp lot distributed in the EU after particles were detected in a quality control sample following distribution of that lot, 
and  in  April  2018  we  initiated  a  precautionary  recall  of  two  batches  of  Vectibix  distributed  in  Switzerland  after  potential 
crimping  defects  were  discovered  in  the  metal  seals  on  some  product  vials.  If  we  are  at  any  time  unable  to  provide  an 
uninterrupted  supply  of  our  products  to  patients,  we  may  lose  patients  and  physicians  may  elect  to  prescribe  competing 
therapeutics instead of our products, which could have a material adverse effect on our product sales, business and results of 
operations.

Our  manufacturing  processes,  those  of  our  third-party  contract  manufacturers  and  those  of  certain  of  our  third-party 
service  providers  must  undergo  regulatory  approval  processes  and  are  subject  to  continued  review  by  the  FDA  and  other 
regulatory authorities. It can take longer than five years to build, validate and license another manufacturing plant, and it can 
take longer than three years to qualify and license a new contract manufacturer or service provider. If we elect or are required to 
make  changes  to  our  manufacturing  processes  because  of  new  regulatory  requirements,  new  interpretations  of  existing 
requirements  or  other  reasons,  this  could  increase  our  manufacturing  costs  and  result  in  delayed  shipments,  delays  in  our 
clinical  trials,  supply  constraints,  stock-outs,  adverse  event  trends  or  contract  negotiations  or  disputes.  Such  manufacturing 
challenges may also occur if our existing contract manufacturers are unable or unwilling to timely implement such changes, or 
at all.

In addition, regulatory agencies conduct routine monitoring and inspections of our manufacturing facilities and processes 
as well as those of our third-party contract manufacturers and service providers. If regulatory authorities determine that we or 
our  third-party  contract  manufacturers  or  certain  of  our  third-party  service  providers  have  violated  regulations,  they  may 
mandate corrective actions and/or issue warning letters, or even restrict, suspend or revoke our prior approvals, prohibiting us 
from manufacturing our products or conducting clinical trials or selling our marketed products until we or the affected third-
party  contract  manufacturers  or  third-party  service  providers  comply,  or  indefinitely.  See  also  Our  current  products  and 
products  in  development  cannot  be  sold  without  regulatory  approval.  Such  issues  may  also  delay  the  approval  of  product 
candidates we have submitted for regulatory review, even if such product candidates are not directly related to the products, 
devices  or  processes  at  issue  with  regulators.  Because  our  third-party  contract  manufacturers  and  certain  of  our  third-party 
service  providers  are  subject  to  the  FDA  and  foreign  regulatory  authorities,  alternative  qualified  third-party  contract 
manufacturers  and  third-party  service  providers  may  not  be  available  on  a  timely  basis,  or  at  all.  If  we  or  our  third-party 
contract manufacturers or third-party service providers cease or interrupt production or if our third-party contract manufacturers 
and  third-party  service  providers  fail  to  supply  materials,  products  or  services  to  us,  we  may  experience  delayed  shipments, 
delays  in  our  clinical  trials,  supply  constraints,  contract  disputes,  stock-outs  and/or  recalls  of  our  products.  Additionally,  we 
distribute a substantial volume of our commercial products through our primary distribution centers in Louisville, Kentucky for 
the United States and in Breda, Netherlands for Europe and much of the rest of the world. We also conduct most of the labeling 
and packaging of our products distributed in Europe and much of the rest of the world in Breda. Our ability to timely supply 
products  is  dependent  on  the  uninterrupted  and  efficient  operations  of  our  distribution  and  logistics  centers,  our  third-party 
logistics providers and our labeling and packaging facility in Breda. Further, we rely on commercial transportation, including 
air and sea freight, for the distribution of our products to our customers, which may be negatively affected by natural disasters, 
security threats and/or the ongoing COVID-19 pandemic.

There  have  also  been  legislative  and  administrative  proposals  seeking  to  incentivize  greater  drug  manufacturing  in  the 
United  States  with  the  stated  goal  of  improving  supply  reliability  in  the  United  States.  For  example,  on  August  6,  2020,  the 
previous  Administration  issued  an  Executive  Order  aimed  at  boosting  domestic  production  of  essential  medicines,  medical 
countermeasures, and critical inputs titled “Executive Order on Ensuring Essential Medicines, Medical Countermeasures, and 
Critical  Inputs  are  Made  in  the  United  States.”  Additionally,  one  legislative  proposal  would  prohibit  the  U.S.  Department  of 
Veterans  Affairs  from  purchasing  certain  drugs  that  have  active  pharmaceutical  ingredients  manufactured  outside  the  United 
States. While we perform a substantial majority of our commercial manufacturing activities in the United States, including in 
the U.S. territory of Puerto Rico, and a substantial majority of our clinical manufacturing activities at our facility in Thousand 
Oaks,  California,  the  passage  of  such  legislation  could  result  in  foreign  governments  enacting  retaliatory  legislation  or 
regulatory actions, which may have an adverse effect on our product sales, business and results of operations.

Our  business  and  operations  may  be  negatively  affected  by  the  failure,  or  perceived  failure,  of  achieving  our 

environmental, social and governance objectives.

We  continue  to  work  towards  operating  our  business  in  an  environmentally  responsible  and  socially  inclusive  manner. 
Stakeholders, including our investors and our employees, have increasingly focused on, and are expected to continue to focus 

48

on,  our  ESG  practices.  If  our  ESG  practices  fail  to  meet  these  stakeholders’  expectations  and  standards,  there  could  be  a 
material adverse effect on our reputation, business and, ultimately, our stock price.

Our ESG report is made available on our website and describes our ESG goals and the progress we have made on the ESG 
issues deemed most important to our external and internal stakeholders, based on surveys, interviews and certain frameworks 
for corporate responsibility. Achieving our ESG goals requires long-term investments and broad, coordinated activity, and we 
may be required to incur additional costs or allocate additional resources towards monitoring, reporting and implementing our 
ESG practices. Further, we may fail to accurately assess our stakeholders’ ESG priorities, as such priorities have evolved and 
will continue to evolve. While we have achieved most of our goals set in prior years, whether we can achieve our current and 
future ESG goals continues to be uncertain and remains subject to numerous risks, including evolving regulatory requirements 
and social expectations affecting ESG practices, our ability to recruit, develop and retain a diverse workforce, the availability of 
suppliers and collaboration partners that can meet our ESG goals, the effects of the organic growth of our business and potential 
acquisitions of other businesses on our ESG performance, and the availability and cost of technologies or resources, such as 
carbon  credits,  that  support  our  goals.  Any  failure  or  perceived  failure  to  meet  our  ESG  program  priorities  could  result  in  a 
material adverse effect on our reputation, business and stock price.

The effects of global climate change and related natural disasters could negatively affect our business and operations.

Many of our operations and facilities, including those essential to our manufacturing, R&D and distribution activities, are 
in  locations  that  are  subject  to  natural  disasters,  including  droughts,  fires,  hurricanes,  tropical  storms,  and/or  floods.  For 
example,  in  2017  Hurricane  Maria  caused  catastrophic  damage  to  the  U.S.  territory  of  Puerto  Rico,  where  we  perform  a 
substantial  majority  of  our  commercial  manufacturing  activities.  Although  our  site  was  well-protected  and  suffered  minimal 
damage, there can be no assurances that we would have similar results in the face of future natural disasters. The severity and 
frequency of weather-related natural disasters has been amplified, and is expected to continue to be amplified by, global climate 
change. Such natural disasters have caused, and in the future may cause, damage to and/or disrupt our operations, which may 
result in a material adverse effect on our product sales, business and results of operations. Our suppliers, vendors and business 
partners  also  face  similar  risks,  and  any  disruption  to  their  operations  could  have  an  adverse  effect  on  our  supply  and 
manufacturing chain. Further, many of our key facilities are located on islands, including Puerto Rico, Singapore and Ireland, 
which rely on essential port facilities that may be vulnerable to climate change-related or other natural disasters. Although we 
have detailed business continuity plans in place and periodic assessments of our natural disaster risk, any natural disaster may 
also  result  in  prolonged  interruption  to  our  critical  operational  and  business  activities,  and  we  may  be  required  to  incur 
significant  costs  to  remedy  the  effects  of  such  natural  disasters  and  fully  resume  operations,  which  may  result  in  a  material 
adverse  effect  on  our  product  sales,  business  and  results  of  operations.  See  We  perform  a  substantial  majority  of  our 
commercial manufacturing activities at our facility in the U.S. territory of Puerto Rico and a substantial majority of our clinical 
manufacturing  activities  at  our  facility  in  Thousand  Oaks,  California;  significant  disruptions  or  production  failures  at  these 
facilities  could  significantly  impair  our  ability  to  supply  our  products  or  continue  our  clinical  trials  and  Manufacturing 
difficulties, disruptions or delays could limit supply of our products and limit our product sales.

GENERAL RISK FACTORS

Global economic conditions may negatively affect us and may magnify certain risks that affect our business.

Our  operations  and  performance  have  been,  and  may  continue  to  be,  affected  by  global  economic  conditions.  The 
economic downturn resulting from the COVID-19 pandemic has precipitated a global recession which may be of an extended 
duration.  Additionally,  financial  pressures  may  cause  government  or  other  third-party  payers  to  more  aggressively  seek  cost 
containment  measures.  See  Our  sales  depend  on  coverage  and  reimbursement  from  government  and  commercial  third-party 
payers,  and  pricing  and  reimbursement  pressures  have  affected,  and  are  likely  to  continue  to  affect,  our  profitability.  As  a 
result  of  global  economic  conditions,  some  third-party  payers  may  delay  or  be  unable  to  satisfy  their  reimbursement 
obligations. Job losses or other economic hardships (including inflation) may also affect patients’ ability to afford health care as 
a result of increased co-pay or deductible obligations, greater cost sensitivity to existing co-pay or deductible obligations, lost 
healthcare insurance coverage or for other reasons. We believe such conditions have led and could continue to lead to reduced 
demand for our products, which could have a material adverse effect on our product sales, business and results of operations. 
The current inflationary environment related to increased aggregate demand and supply chain constraints have also increased 
our operating expenses and may continue to affect our operating expenses. Economic conditions may also adversely affect the 
ability  of  our  distributors,  customers  and  suppliers  to  obtain  the  liquidity  required  to  buy  inventory  or  raw  materials  and  to 
perform their obligations under agreements with us, which could disrupt our operations. Although we monitor our distributors’, 
customers’  and  suppliers’  financial  condition  and  their  liquidity  to  mitigate  our  business  risks,  some  of  our  distributors, 
customers and suppliers may become insolvent, which could have a material adverse effect on our product sales, business and 
results of operations. A significant worsening of global economic conditions could materially increase these risks we face.

49

We  maintain  a  significant  portfolio  of  investments  disclosed  as  cash  equivalents  and  marketable  securities  on  our 
consolidated  balance  sheets.  The  global  spread  of  COVID-19  has  also  led  to  disruption  and  volatility  in  the  global  capital 
markets. We have certain assets, including equity investments, that are exposed to market fluctuations that could, in a sustained 
or recurrent series of market disruptions, result in impairments. The value of our investments may also be adversely affected by 
interest  rate  fluctuations,  inflation,  downgrades  in  credit  ratings,  illiquidity  in  the  capital  markets  and  other  factors  that  may 
result  in  other-than-temporary  declines  in  the  value  of  our  investments.  Any  of  those  events  could  cause  us  to  record 
impairment charges with respect to our investment portfolio or to realize losses on sales of investments.

Our stock price is volatile.

Our stock price, like that of our peers in the biotechnology and pharmaceutical industries, is volatile. Our revenues and 
operating results may fluctuate from period to period for a number of reasons. Events such as a delay in product development, 
changes to our expectations or strategy or even a relatively small revenue shortfall may cause financial results for a period to be 
below  our  expectations  or  projections.  As  a  result,  our  revenues  and  operating  results  and,  in  turn,  our  stock  price  may  be 
subject to significant fluctuations. Announcements or discussions, including via social media channels, of possible restrictive 
actions by government or private payers that would negatively affect our business or industry if ultimately enacted or adopted 
may  also  cause  our  stock  price  to  fluctuate,  whether  or  not  such  restrictive  actions  ever  actually  occur.  Similarly,  actual  or 
perceived  safety  issues  with  our  products  or  similar  products  or  unexpected  clinical  trial  results  can  have  an  immediate  and 
rapid effect on our stock price, whether or not our operating results are materially affected.

We may not be able to access the capital and credit markets on terms that are favorable to us, or at all.

The  capital  and  credit  markets  may  experience  extreme  volatility  and  disruption,  which  may  lead  to  uncertainty  and 
liquidity  issues  for  both  borrowers  and  investors.  For  example,  early  in  2020,  there  were  significant  disruptions  in  the 
commercial paper market and several borrowers were unable to obtain funding at normal rates or maturities, which resulted in a 
significant increase in draws of corporate credit lines with banks. Similarly, the bond markets experienced extreme volatility in 
terms of interest rates and credit spreads, with several days without new issuances of corporate bonds. We expect to access the 
capital markets, from time to time, to supplement our existing funds and cash generated from operations in satisfying our needs 
for working capital; capital expenditure and debt service requirements; our plans to pay dividends and repurchase stock; and 
other business initiatives we strategically plan to pursue, including acquisitions and licensing activities. In the event of adverse 
capital and credit market conditions, we may be unable to obtain capital market financing on similar favorable terms, or at all, 
which  could  have  a  material  adverse  effect  on  our  business  and  results  of  operations.  Changes  in  credit  ratings  issued  by 
nationally recognized credit-rating agencies could adversely affect our ability to obtain capital market financing and the cost of 
such financing and have an adverse effect on the market price of our securities.

Item 1B.

UNRESOLVED STAFF COMMENTS

None.

50

Item 2.

PROPERTIES

As  of  December  31,  2021,  we  owned  or  leased  approximately  160  properties.  The  locations  and  primary  functions  of 

significant properties are summarized in the following tables:

U.S. Location:

Manufacturing

Administrative

R&D

Sales & marketing

Warehouse

P

P

P

Thousand Oaks, CA*

San Francisco, CA

Louisville, KY

Cambridge, MA

Juncos, Puerto Rico

West Greenwich, RI

Tampa, FL

Other U.S. cities

* Corporate headquarters

P

P

P

P

P

P

P

P

P

P

P

P

P

P

ROW Location:

Manufacturing

Administrative

R&D

Sales & marketing

Warehouse

Brazil

Canada

China 

Denmark

Germany

Iceland

Ireland

Japan

Netherlands

Singapore

Switzerland

Turkey

United Kingdom

Other countries

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

P

Distribution 
center

P

P

P

Distribution 
center

P

P

P

Excluded from the information above are (i) undeveloped land and leased properties that have been abandoned and (ii) 
certain buildings we still own but that are no longer used in our business. There are no material encumbrances on our owned 
properties.

We  believe  our  facilities  are  suitable  for  their  intended  uses  and,  in  conjunction  with  our  third-party  contract 
manufacturing  agreements,  provide  adequate  capacity  and  are  sufficient  to  meet  our  expected  needs.  See  Item  1A.  Risk 
Factors for a discussion of the factors that could adversely impact our manufacturing operations and the global supply of our 
products.

See Item 1. Business—Manufacturing, Distribution and Raw Materials.

Item 3.

LEGAL PROCEEDINGS

Certain  of  the  legal  proceedings  in  which  we  are  involved  are  discussed  in  Part  IV—Note  19,  Contingencies  and 

commitments, to the Consolidated Financial Statements and are hereby incorporated by reference.

Item 4.

MINE SAFETY DISCLOSURES

Not applicable.

51

PART II

Item 5.

MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND 
ISSUER PURCHASES OF EQUITY SECURITIES

Common stock

Our common stock trades on the NASDAQ Global Select Market under the symbol AMGN. As of February 11, 2022, 

there were approximately 5,069 holders of record of our common stock.

Performance graph

The following graph shows the value of an investment of $100 on December 31, 2016, in each of Amgen common stock, 
the Amex Biotech Index, the Amex Pharmaceutical Index and Standard & Poor’s 500 Index. All values assume reinvestment of 
the pretax value of dividends and are calculated as of December 31 of each year. The historical stock price performance of the 
Company’s common stock shown in the performance graph is not necessarily indicative of future stock price performance.

Amgen (AMGN)
Amex Biotech (BTK)
Amex Pharmaceutical (DRG)
Standard & Poor’s 500 (SPX)

12/31/2016
$100.00
$100.00
$100.00
$100.00

12/31/2017
$122.32
$137.81
$116.63
$121.89

12/31/2018
$140.76
$138.18
$125.31
$116.56

12/31/2019
$179.65
$166.41
$148.36
$153.26

12/31/2020
$176.05
$189.00
$161.31
$181.44

12/31/2021
$177.59
$182.34
$199.02
$233.47

52

Comparison of Five-Year Cumulative Total Returnof a $100 Investment on December 31, 2016Amgen (AMGN)Amex Biotech (BTK)Amex Pharmaceutical (DRG)S&P 500 (SPX)201620172018201920202021$80$100$120$140$160$180$200$220$240The  material  in  the  above  performance  graph  is  not  soliciting  material,  is  not  deemed  filed  with  the  SEC  and  is  not 
incorporated by reference in any filing of the Company under the Securities Act or the Exchange Act, whether made on, before 
or after the date of this filing and irrespective of any general incorporation language in such filing.

Stock repurchase program

During the three months and year ended December 31, 2021, we had one outstanding stock repurchase program, under 

which the repurchasing activity was as follows:

October 1 - October 31

November 1 - November 30

December 1 - December 31

January 1 - December 31

Total
number of
shares
purchased

Average
price paid
(1)

per share

1,874,976  $ 

2,484,905  $ 

2,559,300  $ 

6,919,181  $ 

21,730,283  $ 

208.06 

208.35 

216.14 

211.15 

229.50 

Total number
of shares
purchased as
part of
publicly
announced
program

Maximum dollar
value that may
yet be purchased
under the
program(2)

1,874,976  $  6,960,277,756 

2,484,905  $  6,442,554,907 

2,559,300  $ 10,889,377,513 

6,919,181 

21,730,283 

(1) Average price paid per share includes related expenses.

(2) In October 2021 and December 2021, our Board of Directors increased the amount authorized under the stock repurchase 

program by an additional $4.5 billion and an additional $5.0 billion, respectively.

Dividends

For the years ended December 31, 2021 and 2020, we paid quarterly dividends. We expect to continue to pay quarterly 
dividends,  although  the  amount  and  timing  of  any  future  dividends  are  subject  to  approval  by  our  Board  of  Directors. 
Additional information required by this item is incorporated herein by reference to Part IV—Note 16, Stockholders’ equity, to 
the Consolidated Financial Statements.

Securities Authorized for Issuance Under Existing Equity Compensation Plans

Information  about  securities  authorized  for  issuance  under  existing  equity  compensation  plans  is  incorporated  by 

reference from Item 12—Securities Authorized for Issuance Under Existing Equity Compensation Plans.

Item 6.

RESERVED

53

 
 
 
 
 
 
 
 
 
 
Item 7.

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF 
OPERATIONS

The  following  MD&A  is  intended  to  assist  the  reader  in  understanding  Amgen’s  business.  MD&A  is  provided  as  a 
supplement  to,  and  should  be  read  in  conjunction  with,  our  consolidated  financial  statements  and  accompanying  notes.  Our 
results of operations discussed in MD&A are presented in conformity with GAAP. Amgen operates in one business segment: 
human therapeutics. Therefore, our results of operations are discussed on a consolidated basis.

Forward-looking statements

This  report  and  other  documents  we  file  with  the  SEC  contain  forward-looking  statements  that  are  based  on  current 
expectations,  estimates,  forecasts  and  projections  about  us,  our  future  performance,  our  business,  our  beliefs  and  our 
management’s assumptions. In addition, we, or others on our behalf, may make forward-looking statements in press releases, 
written statements or our communications and discussions with investors and analysts in the normal course of business through 
meetings,  webcasts,  phone  calls  and  conference  calls.  Such  words  as  “expect,”  “anticipate,”  “outlook,”  “could,”  “target,” 
“project,” “intend,” “plan,” “believe,” “seek,” “estimate,” “should,” “may,” “assume” and “continue” as well as variations of 
such  words  and  similar  expressions  are  intended  to  identify  such  forward-looking  statements.  These  statements  are  not 
guarantees of future performance and they involve certain risks, uncertainties and assumptions that are difficult to predict. We 
describe our respective risks, uncertainties and assumptions that could affect the outcome or results of operations in Part I, Item 
1A.  Risk  Factors.  We  have  based  our  forward-looking  statements  on  our  management’s  beliefs  and  assumptions  based  on 
information available to our management at the time the statements are made. We caution you that actual outcomes and results 
may differ materially from what is expressed, implied or forecasted by our forward-looking statements. Reference is made in 
particular  to  forward-looking  statements  regarding  product  sales,  regulatory  activities,  clinical  trial  results,  reimbursement, 
expenses,  EPS,  liquidity  and  capital  resources,  trends,  planned  dividends,  stock  repurchases,  collaborations  and  effects  of 
pandemics. Except as required under the federal securities laws and the rules and regulations of the SEC, we do not have any 
intention or obligation to update publicly any forward-looking statements after the distribution of this report, whether as a result 
of new information, future events, changes in assumptions or otherwise.

54

Overview 

Amgen is a biotechnology company committed to unlocking the potential of biology for patients suffering from serious 
illnesses. A biotechnology pioneer since 1980, Amgen has grown to be one of the world’s leading independent biotechnology 
companies,  has  reached  millions  of  patients  around  the  world  and  is  developing  a  pipeline  of  medicines  with  breakaway 
potential.

Our principal products are ENBREL, Prolia, Otezla, XGEVA, Neulasta, Aranesp, Repatha, KYPROLIS and Nplate. We 
also  market  a  number  of  other  products,  including  MVASI,  Vectibix,  KANJINTI,  EVENITY,  EPOGEN,  BLINCYTO, 
AMGEVITA,  Aimovig,  Parsabiv,  NEUPOGEN,  LUMAKRAS/LUMYKRAS,  Sensipar/Mimpara  and  TEZSPIRE.  For 
additional  information  about  our  products,  see  Part  I,  Item  1.  Business—Marketing,  Distribution  and  Selected  Marketed 
Products.

Our  strategy  includes  integrated  activities  intended  to  maintain  and  strengthen  our  competitive  position  in  the  industry. 
We  focus  on  six  commercial  areas:  inflammation,  oncology/hematology,  bone  health,  CV  disease,  nephrology  and 
neuroscience. And we conduct discovery research primarily in three therapeutic areas: inflammation, oncology/hematology and 
general  medicine.  In  2021,  we  advanced  our  innovative  pipeline,  launched  new  products,  completed  several  strategic 
transactions to augment our pipeline and research capabilities, and continued providing uninterrupted supplies of our medicines 
globally through the second year of the COVID-19 pandemic. We accomplished these objectives while maintaining a strategic 
and disciplined approach to capital allocation and while advancing our ESG efforts.

In  2021,  we  continued  to  advance  our  pipeline,  including  achieving  key  regulatory  approvals  for  LUMAKRAS  and 
TEZSPIRE. Our external business development activities for 2021 included: (i) acquiring Five Prime, including a later-stage 
gastric cancer bemarituzumab program; (ii) entering into a license agreement with KKC to develop a later-stage molecule for 
atopic  dermatitis  and  other  diseases;  and  (iii)  acquiring  Teneobio  for  its  proprietary  technologies  and  oncology  programs  in 
development.  We  also  continued  to  advance  our  biosimilar  program  with  the  launch  of  RIABNI  in  the  United  States  and 
introduced  our  other  biosimilars  into  new  markets.  Our  biosimilars  are  expected  to  continue  launching  in  new  markets 
throughout 2022.

During 2021, while meeting the challenges of a global pandemic and facing increased competition from biosimilars and 
generics,  total  product  sales  were  relatively  flat  as  volume  growth  was  offset  by  lower  net  selling  prices.  Product  sales 
decreased 4% in the United States, driven by lower net selling prices, partially offset by volume growth, and increased 12% 
ROW, driven by volume growth, partially offset by lower net selling prices. Total operating expenses increased 13%, driven by 
IPR&D expense from the Five Prime acquisition and the upfront payment associated with the KKC licensing agreement.

Cash  flows  from  operating  activities  totaled  $9.3  billion,  which  supported  investment  in  our  business  while  returning 
capital to shareholders through the payment of cash dividends and stock repurchases. For 2021, we increased our quarterly cash 
dividend by 10% to $1.76 per share of common stock. In December 2021, we declared a cash dividend of $1.94 per share of 
common stock for the first quarter of 2022, an increase of 10% for this period, to be paid in March 2022. We also repurchased 
21.7 million shares of our common stock during 2021 at an aggregate cost of $5.0 billion. In 2021, we issued $4.9 billion and 
repaid $4.2 billion of debt that was coming due in 2022.

Amgen’s  approach  to,  and  investment  in,  human  capital  resource  management  is  directed  at  attracting,  motivating, 
developing  and  retaining  talent  to  tackle  the  challenges  of  running  an  enterprise  focused  on  the  discovery,  development  and 
commercialization of innovative medicines. Our compensation, benefits and development programs are designed to encourage 
performance,  promote  accountability  and  adherence  to  Company  values,  and  align  with  the  interests  of  the  Company’s 
shareholders.  Further,  we  believe  that  a  diverse  and  inclusive  culture  fosters  innovation,  which  supports  our  ability  to  serve 
patients. We are engaging in activities and setting goals to improve our focus on diversity, inclusion and belonging. For further 
information on these and other efforts, see Part I, Item 1. Business—Human Capital Resources.

We have a long-standing ambition to be environmentally responsible, and we regularly set targets to challenge ourselves 
to  deliver  further  improvements.  In  2020,  we  met  or  exceeded  our  environmental  sustainability  targets  set  out  in  2013  that 
called  for  reducing  fleet  carbon  output  by  up  to  20%,  facility  carbon  output  by  10%,  water  consumption  by  10%  and  waste 
disposal  by  35%.2  We  achieved  our  2020  targets  while  growing  revenues,  increasing  production  capacity  and  expanding  to 
approximately 100 countries over the same 2013–20 period. To continue on our path to greater environmental sustainability, in 
January  2021  we  announced  a  new  set  of  long-term  environmental  targets  to  achieve  by  2027,  including  achieving  carbon 
neutrality, reducing water consumption by 40% and reducing waste disposed by 75%.2, 3

2 Represents reductions against established baselines, taking into account only verified reduction projects, and does not take into 
account changes associated with contraction or expansion of the Company.
3 Carbon neutrality goal refers to Scope 1 and 2.

55

Our  long-term  success  depends,  to  a  great  extent,  on  our  ability  to  continue  to  discover,  develop  and  commercialize 
innovative  products  and  acquire  or  collaborate  on  therapies  currently  in  development  by  other  companies.  We  must  develop 
new  products  to  achieve  revenue  growth  and  to  offset  revenue  losses  from  when  products  lose  their  exclusivity  or  when 
competing products are launched. Certain of our products face increasing pressure from competition, including biosimilars and 
generics. For additional information, including information on the expirations of patents for various products, see Part I, Item 1. 
Business—Marketing,  Distribution  and  Selected  Marketed  Products—Patents,  and  Part  I,  Item  1.  Business—Marketing, 
Distribution  and  Selected  Marketed  Products—Competition.  We  devote  considerable  resources  to  R&D  activities,  but 
successful product development in the biotechnology industry is highly uncertain. We also face increasing regulatory scrutiny 
of safety and efficacy both before and after products launch.

Rising  healthcare  costs  and  uncertain  economic  conditions  continue  to  pose  challenges  to  our  business,  including 
increasing  pressure  by  third-party  payers,  such  as  governments  and  private  payers,  to  reduce  healthcare  expenditures.  As  a 
result of public and private healthcare-provider focus, the industry continues to be subject to cost containment measures and 
significant  pricing  pressures,  including  net  price  declines.  Finally,  wholesale  and  end-user  buying  patterns  can  affect  our 
product sales. These buying patterns can cause fluctuations in quarterly product sales but have generally not been significant to 
date when comparing full-year product performance to the prior year. See Part I, Item 1. Business—Marketing, Distribution and 
Selected Marketed Products, and Part I, Item 1A. Risk Factors for further discussion of certain factors that could impact our 
future product sales.

COVID-19 pandemic

Since  the  onset  of  the  pandemic  in  2020,  we  have  been  closely  monitoring  the  pandemic’s  effects  on  our  global 
operations.  We  continue  to  take  appropriate  steps  to  minimize  risks  to  our  employees,  a  significant  number  of  whom  have 
continued to work virtually. Employee access to company facilities has been in accordance with applicable government health 
and safety protocols and guidance issued in response to the COVID-19 pandemic. To date, our remote working arrangements 
have not significantly affected our ability to maintain critical business operations, and we have not experienced disruptions to or 
shortages of our supply of medicines. 

Since the beginning of the COVID-19 pandemic, we have seen changes in demand for some of our products driven by 
changes in the frequency of patient visits to doctors’ offices that has impacted the provision of treatments to existing patients 
and  reduced  diagnoses  in  new  patients.  During  2021,  there  was  gradual  recovery  in  both  patient  visits  and  diagnoses  that 
approached pre-COVID-19 levels early in the fourth quarter. However late in 2021, the Omicron variant began to impact the 
healthcare  sector  and  as  a  result  we  expect  ongoing  variability  in  demand  patterns  in  the  first  half  of  2022.  The  cumulative 
decrease in diagnoses over the course of the pandemic has suppressed the volume of new patients starting treatment, which we 
expect to continue to impact our business. We will continue to closely monitor the effects of emerging COVID-19 variants on 
patient behavior and access to care.

Since early 2021, global vaccination efforts have been under way to control the pandemic. However, uncertainty remains 
as  to  the  length  of  time  required  for  vaccination  of  a  meaningful  portion  of  the  population  and  as  to  the  efficacy  of  such 
vaccinations with regard to the trajectory of the pandemic. Challenges to vaccination efforts, new variants and other causes of 
virus  spread  may  require  governments  to  issue  additional  restrictions  and/or  order  shutdowns  in  various  geographies.  As  a 
result, we expect to see continued volatility for at least the duration of the pandemic as governments respond to current local 
conditions.

With  respect  to  our  drug  development  activities,  we  are  continuously  monitoring  COVID-19  infection  rates,  including 
changes from new variants, and working to mitigate effects on future study enrollment in our clinical trials and evaluating the 
impacts  in  all  countries  where  our  clinical  trials  occur.  We  remain  focused  on  supporting  our  active  clinical  sites  in  their 
provision of care to patients and in our provision of investigational drug supply.

Despite  the  ongoing  pandemic  and  business  impacts  noted  above,  we  believe  that  existing  funds,  cash  generated  from 
operations  and  existing  sources  of  and  access  to  financing  are  adequate  to  satisfy  our  needs  for  working  capital,  capital 
expenditures and debt service requirements as well as to engage in capital-return and other business initiatives that we plan to 
pursue. For a discussion of the risks the COVID-19 pandemic presents to our results, see Risk Factors in Part I, Item 1A. Risk 
Factors of this Form 10-K.

56

Selected Financial Information

The following is an overview of our results of operations (in millions, except percentages and per-share data):

Product sales:

U.S.

ROW

Total product sales

Other revenues

Total revenues

Operating expenses

Operating income

Net income

Diluted EPS

Diluted shares

Year ended 
December 31, 2021

Change

Year ended 
December 31, 2020

$ 

$ 

$ 

$ 

$ 

$ 

17,286 

7,011 

24,297 

1,682 

25,979 

18,340 

7,639 

5,893 

10.28 

573 

 (4) % $ 

 12 %  

 — %  

 42 %  

 2 % $ 

 13 % $ 

 (16) % $ 

 (19) % $ 

 (16) % $ 

 (3) %  

17,985 

6,255 

24,240 

1,184 

25,424 

16,285 

9,139 

7,264 

12.31 

590 

In the following discussion of changes in product sales, any reference to unit demand growth or decline refers to changes 
in  the  purchases  of  our  products  by  healthcare  providers  (such  as  physicians  or  their  clinics),  dialysis  centers,  hospitals  and 
pharmacies. In addition, any reference to increases or decreases in inventory refers to changes in inventory held by wholesaler 
customers and end users (such as pharmacies).

Total product sales were relatively flat for 2021, as volume growth was offset by declines in net selling prices. For 2022, 
we expect that net selling prices will continue to decline at a portfolio level driven by increased competition. Further, the first 
quarter  of  a  year  historically  represents  the  lowest  product  sales  quarter  for  the  year,  in  part  due  to  plan  changes,  insurance 
reverifications and higher co-pay expenses as U.S. patients work through deductibles, particularly for products acquired through 
pharmacy benefit programs.

Throughout the pandemic, we experienced changes in demand for some of our products. The pandemic has interrupted 
many physician–patient interactions, which has led to delays in diagnoses and treatments, with varying degrees of impact across 
our portfolio. In general, declines in the sales of our products that were impacted by the dynamics of the pandemic were most 
significant in the early months of the pandemic with product demand beginning to show some recovery in late 2020. During 
2021, we observed gradual recovery from the COVID-19 pandemic, with patient visits and diagnosis rates that approached pre-
pandemic levels early in the fourth quarter. However, late in the year, the Omicron variant began to impact the healthcare sector 
and as a result, we have seen some shift back to virtual engagement by our field staff and variability in demand patterns. The 
cumulative decrease in diagnoses over the course of the pandemic has suppressed the volume of new patients starting treatment, 
which we expect to continue to impact our business. Given the unpredictable nature of the pandemic, we expect there could be 
ongoing  intermittent  disruptions  in  physician–patient  interactions,  and  as  a  result,  we  continue  to  expect  quarter-to-quarter 
variability. In addition, other changes in the healthcare ecosystem have the potential to introduce variability into product sales 
trends.  For  example,  changes  in  U.S.  employment  have  led  to  changes  to  the  insured  population.  Growth  in  numbers  of 
Medicaid enrollees and uninsured individuals may have a negative impact on product demand and sales. Overall, uncertainty 
remains around the timing and magnitude of our sales during the COVID-19 pandemic. See Risk Factors in Part I, Item 1A. of 
this Form 10-K.

Other  revenues  increased  for  2021,  primarily  driven  by  the  sale  of  COVID-19  antibody  material  resulting  from  our 

manufacturing collaboration.

Operating expenses increased for 2021, driven by IPR&D expense related to the bemarituzumab program acquired as part 

of the Five Prime acquisition and by the upfront payment associated with the KKC licensing agreement.

Although changes in foreign currency exchange rates result in increases or decreases in our reported international product 
sales, the benefit or detriment that such movements have on our international product sales is partially offset by corresponding 
increases or decreases in our international operating expenses and our related foreign currency hedging activities. Our hedging 
activities seek to offset the impacts, both positive and negative, that foreign currency exchange rate changes may have on our 
net income by hedging our net foreign currency exposure, primarily with respect to product sales denominated in euros. The net 
impact from changes in foreign currency exchange rates was not material in 2021, 2020 or 2019.

57

 
 
 
 
Results of Operations

Product sales

Worldwide product sales were as follows (dollar amounts in millions): 

ENBREL

Prolia

Otezla

XGEVA

Neulasta

Aranesp

Repatha

KYPROLIS
Nplate

Other products

Total product sales

Total U.S.

Total ROW

Total product sales

* Change in excess of 100%.

Year ended 
December 31, 
2021

Change

Year ended 
December 31, 
2020

Change

Year ended 
December 31, 
2019

$ 

$ 

$ 

$ 

4,465 

3,248 

2,249 

2,018 

1,734 

1,480 

1,117 

1,108 

1,027 

5,851 

24,297 

17,286 

7,011 

24,297 

 (11) % $ 

 18 %  

 2 %  

 6 %  

 (24) %  

 (6) %  

 26 %  

 4 %  

 21 %  

 2 %  

 — % $ 

 (4) % $ 

 12 %  

4,996 

2,763 

2,195 

1,899 

2,293 

1,568 

887 

1,065 

850 

5,724 

24,240 

17,985 

6,255 

 (4) % $ 

 3 %  

*  

 (2) %  

 (29) %  

 (9) %  

 34 %  

 2 %  

 7 %  

 21 %  

5,226 

2,672 

178 

1,935 

3,221 

1,729 

661 

1,044 

795 

4,743 

 9 % $ 

 9 % $ 

 10 %  

22,204 

16,531 

5,673 

 — % $ 

24,240 

 9 % $ 

22,204 

Future  sales  of  our  products  will  depend  in  part  on  the  factors  discussed  in  the  Overview,  Part  I,  Item  1.  Business—
Marketing,  Distribution  and  Selected  Marketed  Products—Competition,  in  Part  I,  Item  1A.  Risk  Factors,  and  any  additional 
factors discussed in the individual product sections below. In addition, for a list of our products’ significant competitors, see 
Part I, Item 1. Business—Marketing, Distribution and Selected Marketed Products—Competition.

ENBREL

Total ENBREL sales by geographic region were as follows (dollar amounts in millions):

ENBREL — U.S.

ENBREL — Canada

Total ENBREL

Year ended 
December 31, 
2021

$ 

$ 

4,352 

113 
4,465 

Change

Year ended 
December 31, 
2020

Change

Year ended 
December 31, 
2019

 (10) % $ 

 (20) %  
 (11) % $ 

4,855 

141 
4,996 

 (4) % $ 

 (20) %  
 (4) % $ 

5,050 

176 
5,226 

The decrease in ENBREL sales for 2021 was driven by lower net selling price, unit demand and unfavorable changes in 
inventory. For 2022, we expect ENBREL to follow the historical pattern of lower sales in the first quarter relative to subsequent 
quarters due to the impact of benefit plan changes, insurance reverification and increased co-pay expenses as U.S. patients work 
through deductibles. In addition, for 2022, we expect net selling price to decline.

The  decrease  in  ENBREL  sales  for  2020  was  driven  by  lower  unit  demand  and  net  selling  price,  partially  offset  by 

favorable changes to estimated sales deductions and inventory.

58

 
 
 
 
 
 
 
 
 
 
 
Prolia 

Total Prolia sales by geographic region were as follows (dollar amounts in millions):

Prolia — U.S.

Prolia — ROW

Total Prolia

Year ended 
December 31, 
2021

$ 

$ 

2,150 

1,098 

3,248 

Change

Year ended 
December 31, 
2020

Change

Year ended 
December 31, 
2019

 17 % $ 

 18 %  

 18 % $ 

1,830 

933 

2,763 

 3 % $ 

 4 %  

 3 % $ 

1,772 

900 

2,672 

The increase in global Prolia sales for 2021 was primarily driven by higher unit demand.

The increase in global Prolia sales for 2020 was driven by higher unit demand and net selling price.

Otezla

Total Otezla sales by geographic region were as follows (dollar amounts in millions):

Otezla — U.S.

Otezla — ROW

Total Otezla

* Change in excess of 100%.

Year ended 
December 31, 
2021

$ 

$ 

1,804 

445 

2,249 

Change

Year ended 
December 31, 
2020

Change

Year ended 
December 31, 
2019

 1 % $ 

 10 %  

 2 % $ 

1,790 

405 

2,195 

* $ 

*  

* $ 

139 

39 

178 

The increase in global Otezla sales for 2021 was driven by higher unit demand, partially offset by lower net selling price 
and  unfavorable  changes  to  inventory.  For  2022,  we  expect  Otezla  to  follow  the  historical  pattern  of  lower  sales  in  the  first 
quarter relative to subsequent quarters due to the impact of benefit plan changes, insurance reverification and increased co-pay 
expenses as U.S. patients work through deductibles.

Otezla  was  acquired  on  November  21,  2019,  and  generated  $2.2  billion  and  $178  million  in  global  sales  for  the  years 

ended December 31, 2020 and 2019, respectively.

For  a  discussion  of  ongoing  litigation  related  to  Otezla,  see  Part  IV—Note  19,  Contingencies  and  commitments,  to  the 

Consolidated Financial Statements.

XGEVA

Total XGEVA sales by geographic region were as follows (dollar amounts in millions):

XGEVA — U.S.

XGEVA — ROW

Total XGEVA

Year ended 
December 31, 
2021

$ 

$ 

1,434 

584 

2,018 

Change

Year ended 
December 31, 
2020

Change

Year ended 
December 31, 
2019

 2 % $ 

 18 %  

 6 % $ 

1,405 

494 

1,899 

 (4) % $ 

 3 %  

 (2) % $ 

1,457 

478 

1,935 

The increase in global XGEVA sales for 2021 was primarily driven by higher unit demand, partially offset by lower net 

selling price.

The decrease in global XGEVA sales for 2020 was driven by lower unit demand as a result of the COVID-19 pandemic.

59

 
 
 
Neulasta

Total Neulasta sales by geographic region were as follows (dollar amounts in millions):

Neulasta — U.S.

Neulasta — ROW

Total Neulasta

Year ended 
December 31, 
2021

$ 

$ 

1,514 

220 

1,734 

Change

Year ended 
December 31, 
2020

Change

Year ended 
December 31, 
2019

 (24) % $ 

 (25) %  

 (24) % $ 

2,001 

292 

2,293 

 (29) % $ 

2,814 

 (28) %  

407 

 (29) % $ 

3,221 

The  decreases  in  global  Neulasta  sales  for  2021  and  2020  was  primarily  driven  by  lower  net  selling  price  and  unit 
demand.  Increased  competition  as  a  result  of  biosimilar  versions  of  Neulasta  has  had  and  will  continue  to  have  a  significant 
adverse impact on brand sales, including accelerating net price erosion and lower unit demand. We also expect other biosimilar 
versions, including biosimilars that will use an on-body injector that would compete with our Onpro injector, to be approved in 
the future.

For  a  discussion  of  ongoing  patent  litigations  related  to  biosimilars,  see  Part  IV—Note  19,  Contingencies  and 

commitments, to the Consolidated Financial Statements.

Aranesp

Total Aranesp sales by geographic region were as follows (dollar amounts in millions):

Aranesp — U.S.

Aranesp — ROW

Total Aranesp

Year ended 
December 31, 
2021

$ 

$ 

537 

943 

1,480 

Change

Year ended 
December 31, 
2020

Change

Year ended 
December 31, 
2019

 (15) % $ 

 — %  

629 

939 

 (6) % $ 

1,568 

 (17) % $ 

 (3) %  

 (9) % $ 

758 

971 

1,729 

The decrease in global Aranesp sales for 2021 was primarily driven by lower net selling price due to competition.

The decrease in global Aranesp sales for 2020 was driven by declines in net selling price and unit demand.

Aranesp  continues  to  face  competition  from  a  long-acting  ESA  and  from  a  biosimilar  version  of  EPOGEN,  which  will 

continue to impact sales in the future.

Repatha

Total Repatha sales by geographic region were as follows (dollar amounts in millions):

Repatha — U.S.
Repatha — ROW
Total Repatha

Year ended 
December 31, 
2021

$ 

$ 

557 

560 

1,117 

Change

Year ended 
December 31, 
2020

Change

Year ended 
December 31, 
2019

 21 % $ 

 31 %  

 26 % $ 

459 

428 

887 

 22 % $ 

 50 %  

 34 % $ 

376 

285 

661 

The increases in global Repatha sales for 2021 and 2020 was driven by higher unit demand, partially offset by lower net 

selling price. Contracting changes to improve Medicare Part D patient access resulted in the decrease to net selling price.

For a discussion of ongoing litigation related to Repatha, see Part IV—Note 19, Contingencies and commitments, to the 

Consolidated Financial Statements.

60

 
 
 
KYPROLIS

Total KYPROLIS sales by geographic region were as follows (dollar amounts in millions):

KYPROLIS — U.S.

KYPROLIS — ROW

Total KYPROLIS

Year ended 
December 31, 
2021

$ 

$ 

736 

372 

1,108 

Change

Year ended 
December 31, 
2020

Change

Year ended 
December 31, 
2019

 4 % $ 

 5 %  

 4 % $ 

710 

355 

1,065 

 9 % $ 

 (9) %  

654 

390 

 2 % $ 

1,044 

The increase in global KYPROLIS sales for 2021 was primarily driven by higher unit demand.

The increase in global KYPROLIS sales for 2020 was primarily driven by an increase in net selling price and favorable 

changes in inventory, partially offset by lower unit demand.

The FDA has reported that it has granted tentative or final approval of ANDAs for generic carfilzomib products filed by a 
number  of  companies.  The  date  of  approval  of  those  ANDAs  for  generic  carfilzomib  products  is  governed  by  the  Hatch–
Waxman  Act  and  any  applicable  settlement  agreements  between  us  and  certain  companies  that  seek  to  develop  generic 
carfilzomib products.

Nplate

Total Nplate sales by geographic region were as follows (dollar amounts in millions):

Nplate — U.S.

Nplate — ROW

Total Nplate

Year ended 
December 31, 
2021

$ 

$ 

566 

461 

1,027 

Change

Year ended 
December 31, 
2020

Change

Year ended 
December 31, 
2019

 17 % $ 

 26 %  

 21 % $ 

485 

365 

850 

 1 % $ 

 16 %  

 7 % $ 

480 

315 

795 

The increases in global Nplate sales for 2021 and 2020 was primarily driven by higher unit demand.

61

 
 
Other products

Other product sales by geographic region were as follows (dollar amounts in millions):

Year ended 
December 31, 
2021

Change

Year ended 
December 31, 
2020

Change

Year ended 
December 31, 
2019

$ 

826 

340 

347 

526 

479 

93 

331 

199 

521 

278 

194 

439 

313 

4 

150 

130 

101 

67 

82 

8 

6 

78 

202 

137 

 26 % $ 

*  

 1 %  

 12 %  

 1 %  

 1 %  

 73 %  

 25 %  

 (13) %  

 20 %  

 31 %  

 33 %  

 (17) %  

N/A  

 (75) %  

 17 %  

 (30) %  

 (17) %  

N/A  

N/A  

 (93) %  

 (60) %  

 85 %  

 (21) %  

656 

142 

342 

469 

475 

92 

191 

159 

598 

231 

148 

331 

378 

— 

605 

111 

144 

81 

— 

— 

92 

196 

109 

174 

* $ 

*  

 8 %  

 10 %  

*  

 (15) %  

*  

 8 %  

 (31) %  

 31 %  

 9 %  

 54 %  

 24 %  

N/A  

 10 %  

 39 %  

 (19) %  

 (6) %  

N/A  

N/A  

 (63) %  

 (34) %  

 4 %  

 (16) %  

121 

6 

316 

428 

118 

108 

42 

147 

867 

176 

136 

215 

306 

— 

550 

80 

178 

86 

— 

— 

252 

299 

105 

207 

$ 

$ 

$ 

5,851 

3,636 
2,215 

5,851 

 2 % $ 

 (5) % $ 
 16 %  

 2 % $ 

5,724 

3,821 
1,903 

5,724 

 21 % $ 

 26 % $ 
 11 %  

 21 % $ 

4,743 

3,031 
1,712 

4,743 

MVASI — U.S.

MVASI — ROW
Vectibix — U.S.
Vectibix — ROW
KANJINTI — U.S.

KANJINTI — ROW

EVENITY — U.S.

EVENITY — ROW

EPOGEN — U.S.

BLINCYTO — U.S.
BLINCYTO — ROW
AMGEVITA — ROW
Aimovig — U.S.

Aimovig — ROW

Parsabiv — U.S.

Parsabiv— ROW

NEUPOGEN — U.S.

NEUPOGEN — ROW
LUMAKRAS — U.S.
LUMYKRAS — ROW
Sensipar — U.S.

Sensipar/Mimpara — ROW
Other — U.S.
Other — ROW

Total other product sales

Total U.S. — other products

Total ROW — other products

Total other product sales

* Change in excess of 100%.

N/A = not applicable

62

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Operating expenses

Operating expenses were as follows (dollar amounts in millions):

Cost of sales

% of product sales

% of total revenues

Year ended 
December 31, 
2021

$ 

6,454 

 26.6 %

 24.8 %

Change

Year ended 
December 31, 
2020

Change

Year ended 
December 31, 
2019

 5 % $ 

6,159 

 41 % $ 

4,356 

 25.4 %

 24.2 %

 19.6 %

 18.6 %

Research and development

$ 

4,819 

 15 % $ 

4,207 

 2 % $ 

4,116 

% of product sales

% of total revenues

 19.8 %

 18.5 %

Acquired in-process research and development

$ 

1,505 

N/A $ 

% of product sales

% of total revenues

 6.2 %

 5.8 %

 17.4 %

 16.5 %

— 

 — %

 — %

N/A $ 

 18.5 %

 17.6 %

— 

 — %

 — %

Selling, general and administrative

$ 

5,368 

 (6) % $ 

5,730 

 11 % $ 

5,150 

% of product sales

% of total revenues

Other

Total operating expenses

* Change in excess of 100%

N/A = not applicable

Cost of sales

 22.1 %

 20.7 %

$ 

194 

$  18,340 

 23.6 %

 22.5 %

 23.2 %

 22.0 %

 3 % $ 

189 

 13 % $  16,285 

* $ 

66 

 19 % $  13,688 

Cost of sales increased to 24.8% of total revenues for 2021, driven by unfavorable product mix and higher profit share and 

royalties, partially offset by lower amortization expense from acquisition-related assets and lower manufacturing costs.

Cost of sales increased to 24.2% of total revenues for 2020, primarily driven by the amortization of expenses related to 

our acquisition of Otezla and by higher royalty expenses and profit share, partially offset by lower manufacturing costs.

Research and development

The  Company  groups  all  of  its  R&D  activities  and  related  expenditures  into  three  categories:  (i)  research  and  early 

pipeline, (ii) later-stage clinical programs and (iii) marketed products. These categories are described below:

Category

Research and early pipeline 

Later-stage clinical programs

Marketed products

Description
R&D  expenses  incurred  in  activities  substantially  in  support  of  early  research 
through  the  completion  of  phase  1  clinical  trials,  including  drug  discovery, 
toxicology, pharmacokinetics and drug metabolism, and process development

R&D  expenses  incurred  in  or  related  to  phase  2  and  phase  3  clinical  programs 
intended  to  result  in  registration  of  a  new  product  or  a  new  indication  for  an 
existing product primarily in the United States or the EU

R&D  expenses  incurred  in  support  of  the  Company’s  marketed  products  that  are 
authorized  to  be  sold  primarily  in  the  United  States  or  the  EU.  Includes  clinical 
trials  designed  to  gather  information  on  product  safety  (certain  of  which  may  be 
required by regulatory authorities) and their product characteristics after regulatory 
approval has been obtained, as well as the costs of obtaining regulatory approval of 
a product in a new market after approval in either the United States or the EU has 
been obtained

63

R&D expense by category was as follows (in millions):

Research and early pipeline

Later-stage clinical programs

Marketed products

Total R&D expense

Years ended December 31,

2021

2020

2019

$ 

$ 

1,670  $ 

1,405  $ 

1,726 

1,423 

1,365 

1,437 

4,819  $ 

4,207  $ 

1,649 

1,062 

1,405 

4,116 

The  increase  in  R&D  expense  for  2021  was  driven  by  a  licensing-related  expense  from  our  collaboration  with  KKC 
included in later-stage clinical programs and higher spend in research and early pipeline, including other business development 
activities.

The  increase  in  R&D  expense  for  2020  was  driven  by  higher  spend  for  later-stage  clinical  programs,  including 
LUMAKRAS,  biosimilar  programs  and  Otezla,  and  higher  spend  for  Otezla  included  in  marketed-product  support.  These 
increases were partially offset by recoveries from our collaboration with BeiGene that reduced expenses in later-stage clinical 
programs  and  in  research  and  early  pipeline,  and  lower  spend  in  certain  oncology  programs  included  in  research  and  early 
pipeline.

Acquired in-process research and development

Acquired  IPR&D  expense  for  2021  was  related  to  the  bemarituzumab  program  acquired  as  part  of  the  Five  Prime 

acquisition.

Selling, general and administrative

The decrease in SG&A expense for 2021 was primarily driven by lower spend for marketed products and lower general 

and administrative expenses.

The increase in SG&A expense for 2020 was driven by investments in certain marketed products, primarily Otezla, and 
preparation for product launches, partially offset by a reduction in conference-related expenses due to the impact of COVID-19.

Other

Other operating expenses for 2021 primarily consisted of expenses related to cost-savings initiatives and a legal judgment.

Other operating expenses for 2020 primarily consisted of legal settlement expenses.

Other operating expenses for 2019 primarily consisted of expenses related to cost-savings initiatives.

Nonoperating expenses/income and income taxes

Nonoperating expenses/income and income taxes were as follows (dollar amounts in millions):

Interest expense, net

Other income, net

Provision for income taxes

Effective tax rate

Interest expense, net

Years ended December 31,

$ 

$ 

$ 

2021

(1,197) 

259 

808 

 12.1 %

$ 

$ 

$ 

2020

(1,262) 

256 

869 

 10.7 %

$ 

$ 

$ 

2019

(1,289) 

753 

1,296 

 14.2 %

The decrease in Interest expense, net, for 2021 was primarily due to net higher costs associated with the early retirement 
of debt in 2020 and lower LIBOR rates in 2021 on debt for which we effectively pay a variable rate of interest through the use 
of interest rate swaps, partially offset by higher overall debt outstanding.

The decrease in Interest expense, net, for 2020 was primarily due to lower LIBOR rates on debt for which we effectively 

pay a variable rate of interest, partially offset by net costs associated with the early retirement of debt.

64

 
 
 
 
 
 
Other income, net

The increase in Other income, net, for 2021 was primarily due to lower losses incurred in connection with our BeiGene 
investment  compared  with  2020,  partially  offset  by  lower  income  on  our  interest-bearing  investments  in  2021  and  other 
nonrecurring gains recognized in 2020.

The decrease in Other income, net, for 2020 was primarily due to reduced interest income as a result of lower average 
cash balances and a decline in interest yields and losses incurred in connection with our BeiGene investment, partially offset by 
gains  recognized  on  our  investments  in  publicly  traded  equity  securities  and  limited  partnerships.  See  Part  IV—Note  9, 
Investments, to the Consolidated Financial Statements.

Income taxes

The increase in our effective tax rate for 2021 compared with 2020 was primarily driven by the non-deductible IPR&D 

expense arising from the acquisition of Five Prime, partially offset by earnings mix and adjustments to prior-year tax liabilities.

The decrease in our effective tax rate for 2020 compared with 2019 was primarily driven by favorable items, including 
audit  settlements,  adjustments  to  prior-year  tax  liabilities,  lower  interest  expense  on  uncertain  tax  positions  and  amortization 
related to the Otezla acquisition, partially offset by changes in valuation allowance.

The  Administration  proposed  and  Congress  is  considering  significant  changes  to  existing  tax  law.  These  changes,  if 
enacted, could substantially increase taxes we pay to the U.S. government. Further, the OECD recently reached agreement to 
align  countries  on  a  minimum  corporate  tax  rate  and  an  expansion  of  the  taxing  rights  of  market  countries.  If  enacted,  this 
agreement could result in tax increases in both the United States and foreign jurisdictions. The U.S. Treasury recently released 
final foreign tax credit regulations that eliminate U.S. creditability of the Puerto Rico Excise Tax beginning in 2023, which will 
increase our U.S. tax liability. The U.S. territory of Puerto Rico is considering changes to its tax system that may minimize or 
eliminate this impact, but the outcome of such potential changes is uncertain. Changes to existing tax law in the United States, 
the  U.S.  territory  of  Puerto  Rico,  or  other  jurisdictions,  including  the  potential  changes  discussed  above,  could  result  in  tax 
increases where we do business and could have a material adverse effect on the results of our operations. 

In 2017, we received an RAR and a modified RAR from the IRS for the years 2010, 2011 and 2012, proposing significant 
adjustments  that  primarily  relate  to  the  allocation  of  profits  between  certain  of  our  entities  in  the  United  States  and  the  U.S. 
territory  of  Puerto  Rico.  We  disagreed  with  the  proposed  adjustments  and  calculations  and  pursued  resolution  with  the  IRS 
appeals  office  but  were  unable  to  reach  resolution.  In  July  2021,  we  filed  a  petition  in  the  U.S.  Tax  Court  to  contest  two 
duplicate  Notices  for  2010,  2011  and  2012  that  we  received  in  May  and  July  2021  which  seek  to  increase  our  U.S.  taxable 
income.  The  Notices  seek  to  increase  our  U.S.  taxable  income  by  an  amount  that  would  result  in  additional  federal  tax  of 
approximately $3.6 billion plus interest. Any additional tax that could be imposed would be reduced by up to approximately 
$900 million of repatriation tax previously accrued on our foreign earnings. We firmly believe that the IRS’s positions set forth 
in the Notices are without merit, and we are contesting the Notices through the judicial process. 

In  2020,  we  received  an  RAR  and  a  modified  RAR  from  the  IRS  for  the  years  2013,  2014  and  2015,  also  proposing 
significant adjustments that primarily relate to the allocation of profits between certain of our entities in the United States and 
the U.S. territory of Puerto Rico similar to those proposed for the years 2010, 2011 and 2012. We disagreed with the proposed 
adjustments  and  calculations  and  pursued  resolution  with  the  IRS  appeals  office.  We  were  unable  to  reach  resolution  at  the 
administrative appeals level, and we anticipate that we will receive a statutory notice of deficiency for these years as well. We 
expect to contest any such notice related to 2013–15 through the judicial process. We are also currently under examination by 
the IRS for the years 2016, 2017 and 2018 and by a number of state and foreign tax jurisdictions. 

Final resolution of these complex matters is not likely within the next 12 months. We believe our accrual for income tax 
liabilities  is  appropriate  based  on  past  experience,  interpretations  of  tax  law,  application  of  the  tax  law  to  our  facts  and 
judgments about potential actions by tax authorities; however, due to the complexity of the provision for income taxes and the 
uncertain resolution of these matters, the ultimate outcome of any tax matters may result in payments substantially greater than 
amounts accrued and could have a material adverse impact on our consolidated financial statements.

See Part I, Item 1A. Risk Factors—The adoption and interpretation of new tax legislation or exposure to additional tax 
liabilities  could  affect  our  profitability;  Part  II,  Item  7.  MD&A—Critical  Accounting  Policies  and  Estimates—Income  taxes; 
and Part IV—Note 6, Income taxes, to the Consolidated Financial Statements for further discussion.

65

Financial Condition, Liquidity and Capital Resources

Selected financial data was as follows (in millions):

Cash, cash equivalents and marketable securities

Total assets

Current portion of long-term debt

Long-term debt

Stockholders’ equity

Cash, cash equivalents and marketable securities

December 31,

2021

2020

$ 

$ 

$ 

$ 

$ 

8,037  $ 

61,165  $ 

87  $ 

33,222  $ 

6,700  $ 

10,647 

62,948 

91 

32,895 

9,409 

Our  balance  of  cash,  cash  equivalents  and  marketable  securities  was  $8.0  billion  at  December  31,  2021.  The  primary 
objective of our investment portfolio is to maintain safety of principal, prudent levels of liquidity and acceptable levels of risk. 
Our investment policy limits interest-bearing security investments to certain types of debt and money market instruments issued 
by institutions with primarily investment-grade credit ratings, and it places restrictions on maturities and concentration by asset 
class and issuer.

Capital allocation

Consistent  with  the  objective  to  optimize  our  capital  structure,  we  deploy  our  accumulated  cash  balances  in  a  strategic 
manner  and  consider  a  number  of  alternatives,  including  strategic  transactions  (including  those  that  expand  our  portfolio  of 
products in areas of therapeutic interest), repayment of debt, payment of dividends and stock repurchases.

  We  intend  to  continue  investing  in  our  business  while  returning  capital  to  stockholders  through  the  payment  of  cash 
dividends and stock repurchases, thereby reflecting our confidence in the future cash flows of our business and our desire to 
optimize our cost of capital. The timing and amount of future dividends and stock repurchases will vary based on a number of 
factors,  including  future  capital  requirements  for  strategic  transactions,  availability  of  financing  on  acceptable  terms,  debt 
service  requirements,  our  credit  rating,  changes  to  applicable  tax  laws  or  corporate  laws,  changes  to  our  business  model  and 
periodic  determination  by  our  Board  of  Directors  that  cash  dividends  and/or  stock  repurchases  are  in  the  best  interests  of 
stockholders and are in compliance with applicable laws and the Company’s agreements. In addition, the timing and amount of 
stock  repurchases  may  also  be  affected  by  our  overall  level  of  cash,  stock  price  and  blackout  periods,  during  which  we  are 
restricted  from  repurchasing  stock.  The  manner  of  stock  repurchases  may  include  block  purchases,  tender  offers,  accelerated 
share repurchases and market transactions.

The Board of Directors declared quarterly cash dividends of $1.76, $1.60 and $1.45 per share of common stock paid in 
2021, 2020 and 2019, respectively, an increase of 10% over the prior year in both 2021 and 2020. In December 2021, the Board 
of Directors declared a cash dividend of $1.94 per share of common stock for the first quarter of 2022, an increase of 10% for 
this period, to be paid in March 2022.

We  also  returned  capital  to  stockholders  through  our  stock  repurchase  program.  During  2021,  we  repurchased  and  had 
cash settlements of $5.0 billion of common stock. In 2020, we repurchased and had cash settlements of $3.5 billion of common 
stock. In 2019, we repurchased $7.6 billion of common stock and had cash settlements of $7.7 billion. In March 2021, October 
2021 and December 2021, the Board of Directors increased the amount authorized under our stock repurchase program by $3.4 
billion, $4.5 billion and $5.0 billion, respectively. As of December 31, 2021, $10.9 billion remained available under the stock 
repurchase program.

As  a  result  of  stock  repurchases  and  quarterly  dividend  payments,  we  have  an  accumulated  deficit  as  of  December  31, 
2021 and 2020. Our accumulated deficit is not anticipated to affect our future ability to operate, repurchase stock, pay dividends 
or repay our debt given our expected continued profitability and strong financial position.

We  believe  that  existing  funds,  cash  generated  from  operations  and  existing  sources  of  and  access  to  financing  are 
adequate to satisfy our needs for working capital, capital expenditure and debt service requirements, our plans to pay dividends 
and  repurchase  stock,  and  other  business  initiatives  we  plan  to  strategically  pursue,  including  acquisitions  and  licensing 
activities. We anticipate that our liquidity needs can be met through a variety of sources, including cash provided by operating 
activities, sales of marketable securities, borrowings through commercial paper and/or syndicated credit facilities, and access to 
other domestic and foreign debt markets and equity markets. See Part I, Item 1A. Risk Factors—Global economic conditions 
may negatively affect us and may magnify certain risks that affect our business.

66

Financing arrangements

To help meet our liquidity requirements, we have entered into various financing arrangements. The noncurrent portions of 
our long-term borrowings as of December 31, 2021 and 2020, were $33.2 billion and $32.9 billion, respectively. The carrying 
values  of  our  long-term  borrowings  are  net  of  fair  value  adjustments  for  interest  rate  swaps  and  unamortized  discounts, 
premiums  and  offering  costs.  As  of  December  31,  2021,  S&P,  Moody’s  and  Fitch  assigned  credit  ratings  to  our  outstanding 
senior notes of A– with a stable outlook, Baa1 with a stable outlook and BBB+ with a stable outlook, respectively, which are 
considered investment grade. Unfavorable changes to these ratings may have an adverse impact on future financings.

During  2021  and  2020,  we  issued  debt  with  aggregate  principal  amounts  of  $5.0  billion  and  $9.0  billion,  respectively. 
During  2019,  we  did  not  issue  any  debt  or  debt  securities.  During  2021,  2020  and  2019,  we  repaid/redeemed  debt  of  $4.2 
billion,  $6.5  billion  and  $4.5  billion,  respectively.  In  addition,  during  2020,  we  exchanged  $0.7  billion  of  certain  of  our 
outstanding note issuances with $0.9 billion of newly issued notes with a lower interest rate and later maturity date.

To achieve a desired mix of fixed-rate and floating-rate debt, we entered into interest rate swap contracts that effectively 
converted a fixed-rate interest coupon for certain of our debt issuances to a floating, LIBOR-based coupon over the lives of the 
respective notes. These interest rate swap contracts qualify and are designated as fair value hedges. As of December 31, 2021 
and 2020, we had interest rate swap contracts with aggregate notional amounts of $6.7 billion and $5.9 billion, respectively.

To hedge our exposure to foreign currency exchange rate risk associated with certain of our long-term notes denominated 
in  foreign  currencies,  we  entered  into  cross-currency  swap  contracts,  which  effectively  convert  the  interest  payments  and 
principal repayment of the respective notes from euros, pounds sterling and Swiss francs to U.S. dollars. These cross-currency 
swap contracts qualify and are designated as cash flow hedges. As of both December 31, 2021 and 2020, we had cross-currency 
swap contracts with aggregate notional amounts of $3.4 billion and $4.8 billion, respectively.

As of December 31, 2021, we had a commercial paper program that allows us to issue up to $2.5 billion of unsecured 
commercial paper to fund our working-capital needs. During 2021, 2020 and 2019, we did not issue any commercial paper. No 
commercial paper was outstanding as of December 31, 2021 and 2020.

In 2019, we amended and restated our $2.5 billion syndicated, unsecured, revolving credit agreement, which is available 
for  general  corporate  purposes  or  as  a  liquidity  backstop  to  our  commercial  paper  program.  The  commitments  under  the 
revolving credit agreement may be increased by up to $750 million with the agreement of the banks. Each bank that is a party to 
the  agreement  has  an  initial  commitment  term  of  five  years.  This  term  may  be  extended  for  up  to  two  additional  one-year 
periods with the agreement of the banks. Annual commitment fees for this agreement are 0.09% of the unused portion of the 
facility  based  on  our  current  credit  rating.  Generally,  we  would  be  charged  interest  for  any  amounts  borrowed  under  this 
facility,  based  on  our  current  credit  rating,  at  (i)  LIBOR  plus  1%  or  (ii)  the  highest  of  (A)  the  syndication  agent  bank  base 
commercial lending rate, (B) the overnight federal funds rate plus 0.50% or (C) one-month LIBOR plus 1%. The agreement 
contains  provisions  related  to  the  determination  of  successor  rates  to  address  the  possible  phaseout  or  unavailability  of 
designated reference rates. As of December 31, 2021 and 2020, no amounts were outstanding under this facility.

It is anticipated that the U.S. dollar LIBOR rate will be phased out and replaced by 2023. The Alternative Reference Rates 
Committee, a group of private-market participants convened by the Federal Reserve Board and the Federal Reserve Bank of 
New York to help ensure a successful transition from U.S. dollar LIBOR to a more robust reference rate, recommends SOFR as 
the  U.S.  dollar  LIBOR  alternative.  As  such,  we  expect  SOFR  to  become  widely  adopted  by  market  participants.  We  do  not 
expect  this  change  to  have  a  material  impact  on  our  financial  statements.  See  Part  I,  Item  1A.  Risk  Factors—Our  sales  and 
operations are subject to the risks of doing business internationally, including in emerging markets.

In February 2020, we filed a shelf registration statement with the SEC that allows us to issue unspecified amounts of debt 
securities; common stock; preferred stock; warrants to purchase debt securities, common stock, preferred stock or depositary 
shares;  rights  to  purchase  common  stock  or  preferred  stock;  securities  purchase  contracts;  securities  purchase  units;  and 
depositary shares. Under this shelf registration statement, all of the securities available for issuance may be offered from time to 
time with terms to be determined at the time of issuance. This shelf registration statement expires in February 2023.

Certain  of  our  financing  arrangements  contain  nonfinancial  covenants.  In  addition,  our  revolving  credit  agreement 
includes  a  financial  covenant  that  requires  us  to  maintain  a  specified  minimum  interest  coverage  ratio  of  (i)  the  sum  of 
consolidated net income, interest expense, provision for income taxes, depreciation expense, amortization expense, unusual or 
nonrecurring charges and other noncash items (Consolidated EBITDA) to (ii) Consolidated Interest Expense, each as defined 
and  described  in  the  credit  agreement.  We  were  in  compliance  with  all  applicable  covenants  under  these  arrangements  as  of 
December 31, 2021.

  These  financing  arrangements  are  more  fully  discussed  in  Part  IV—Note  15,  Financing  arrangements,  and  Note  18, 

Derivative instruments, to the Consolidated Financial Statements.

67

Cash flows

Our summarized cash flow activity was as follows (in millions):

Net cash provided by operating activities

Net cash provided by (used in) investing activities

Net cash used in financing activities

Operating

Years ended December 31,

2021

2020

2019

$ 

$ 

$ 

9,261  $ 

733  $ 

(8,271)  $ 

10,497  $ 

(5,401)  $ 

(4,867)  $ 

9,150 

5,709 

(15,767) 

Cash provided by operating activities has been and is expected to continue to be our primary recurring source of funds. 
Cash  provided  by  operating  activities  decreased  during  2021  primarily  due  to  the  monetization  of  interest  rate  swaps  that 
occurred in 2020 and the timing of payments for sales incentives and discounts. Cash provided by operating activities increased 
during 2020 primarily due to higher Net income after adding back the noncash amortization related to the acquisition of Otezla, 
the monetization of interest rate swap contracts and working-capital adjustments.

Investing

Cash provided by investing activities during 2021 was primarily due to net cash inflows related to marketable securities of 
$4.3 billion, partially offset by cash used in the acquisitions of Teneobio and Five Prime of $2.5 billion. Cash used in investing 
activities during 2020 was primarily due to our $3.2 billion of purchases of equity method investments, primarily BeiGene, and 
net  cash  outflows  related  to  marketable  securities  of  $1.5  billion.  Cash  provided  by  investing  activities  during  2019  was 
primarily  due  to  net  cash  inflows  related  to  marketable  securities  of  $20.0  billion  which  occurred  primarily  to  fund  our 
acquisition  of  Otezla  and  investment  in  BeiGene.  Capital  expenditures  were  $880  million,  $608  million  and  $618  million  in 
2021, 2020 and 2019, respectively. We currently estimate 2022 spending on capital projects to be approximately $950 million. 
A  majority  of  the  increase  in  expenditures  relates  to  expansion  of  manufacturing  capacity  to  enable  supply  of  products  and 
product candidates.

Financing

Cash  used  in  financing  activities  during  2021  was  primarily  due  to  payments  to  repurchase  our  common  stock  of  $5.0 
billion and the payment of dividends of $4.0 billion, partially offset by proceeds from the issuance of debt, net of repayments of 
$0.8 billion. Cash used in financing activities during 2020 was primarily due to the payment of dividends of $3.8 billion and 
payments to repurchase our common stock of $3.5 billion, partially offset by proceeds from issuance of debt, net of repayments 
of $2.5 billion. Cash used in financing activities during 2019 was primarily due to payments to repurchase our common stock of 
$7.7 billion, repayment of debt of $4.5 billion and payments of dividends of $3.5 billion.

See  Part  IV—Note  9,  Investments;  Note  15,  Financing  arrangements;  and  Note  16,  Stockholders’  equity,  to  the 

Consolidated Financial Statements.

Capital requirements

We have material cash requirements to pay third parties under various contractual obligations discussed below.

We are obligated to pay interest and repay principal under our various financing arrangements, including amounts under 
interest  rate  swap  and  cross-currency  swap  contracts  related  to  certain  of  our  long-term  debt  obligations.  For  information  on 
scheduled debt maturities and payments under derivative contracts associated with our long-term debt obligations, see Part IV
—Note 15, Financing arrangements, and Note 18, Derivative instruments, to the Consolidated Financial Statements.

We are obligated to make payments for operating leases, including rental commitments on abandoned leases and leases 
that  have  not  yet  commenced.  For  information  on  these  obligations,  see  Part  IV—Note  13,  Leases,  to  the  Consolidated 
Financial Statements.

Under  the  2017  Tax  Act,  we  elected  to  pay  in  eight  annual  installments  the  repatriation  tax  related  primarily  to  prior 
indefinitely  invested  earnings  of  our  foreign  operations.  For  information  on  the  remaining  scheduled  repatriation  tax 
installments,  see  Part  IV—Note  19,  Contingencies  and  commitments—Commitments—U.S.  Repatriation  tax,  to  the 
Consolidated Financial Statements.

68

We  have  purchase  obligations  of  $3.2  billion  primarily  related  to  (i)  R&D  commitments  (including  those  related  to 
clinical trials) for new and existing products, (ii) capital expenditures and (iii) open purchase orders for the acquisition of goods 
and services in the ordinary course of business. Most of these obligations are expected to be paid within one year, and payment 
of certain of these amounts may be reduced based on certain future events.

 In addition to the purchase obligations noted above, we are contractually obligated to pay additional amounts that in the 
aggregate are significant, upon the achievement of various development, regulatory and commercial milestones for agreements 
we have entered into with third parties, including contingent consideration incurred in the acquisitions of Teneobio and K-A. 
These payments are contingent upon the occurrence of various future events, substantially all of which have a high degree of 
uncertainty of occurring, and any resulting cash requirements are managed through our operational budgeting processes. Except 
with respect to the fair value of the contingent consideration of approximately $0.3 billion, these obligations are not recorded on 
our  Consolidated  Balance  Sheets.  As  of  December  31,  2021,  the  maximum  amount  that  may  be  payable  in  the  future  for 
agreements we have entered into with third parties is $7.4 billion, including $1.6 billion of contingent consideration payments 
in connection with our Teneobio acquisition.

We have recorded liabilities for UTBs that, because of their nature, have a high degree of uncertainty regarding the timing 
of future cash payment and other events that extinguish these liabilities. See Part IV—Note 6, Income taxes, to the Consolidated 
Financial Statements.

Critical Accounting Policies and Estimates

The  preparation  of  our  consolidated  financial  statements  in  conformity  with  GAAP  requires  management  to  make 
estimates and assumptions that affect the amounts reported in the financial statements and the notes to the financial statements. 
Some  of  those  judgments  can  be  subjective  and  complex,  and  therefore,  actual  results  could  differ  materially  from  those 
estimates  under  different  assumptions  or  conditions.  Our  significant  accounting  policies  are  included  in  Part  IV—Note  1, 
Summary  of  significant  accounting  policies.  The  following  are  considered  critical  to  our  consolidated  financial  statements 
because they require the most difficult, subjective or complex judgments, often because of the need to make estimates about 
matters that are inherently uncertain.

Product sales and sales deductions

Revenue from product sales is recognized upon transfer of control of a product to a customer, generally upon delivery, 
based  on  an  amount  that  reflects  the  consideration  to  which  we  expect  to  be  entitled,  net  of  accruals  for  estimated  rebates, 
wholesaler chargebacks, discounts and other deductions (collectively, sales deductions) and returns established at the time of 
sale.

We  analyze  the  adequacy  of  our  accruals  for  sales  deductions  quarterly.  Amounts  accrued  for  sales  deductions  are 
adjusted when trends or significant events indicate that adjustment is appropriate. Accruals are also adjusted to reflect actual 
results.  Amounts  recorded  in  Accrued  liabilities  in  the  Consolidated  Balance  Sheets  for  sales  deductions  were  as  follows  (in 
millions):

Rebates

Chargebacks

Other deductions

Total

Balance as of December 31, 2018

$ 

Amounts charged against product sales

Payments

Balance as of December 31, 2019

Amounts charged against product sales

Payments

Balance as of December 31, 2020

Amounts charged against product sales

Payments

454  $ 

127  $ 

2,589  $ 
6,825 

(6,249)   

3,165 

9,167 

7,090 

(6,985)   

559 

8,223 

3,170 
15,207 

1,292 

(1,263)   

(14,497) 

156 

1,818 

3,880 

19,208 

(8,353)   

(8,191)   

(1,735)   

(18,279) 

3,979 

10,195 

591 

9,619 

239 

2,065 

4,809 

21,879 

(10,027)   

(9,413)   

(2,074)   

(21,514) 

Balance as of December 31, 2021

$ 

4,147  $ 

797  $ 

230  $ 

5,174 

For the years ended December 31, 2021, 2020 and 2019, total sales deductions were 47%, 44% and 41% of gross product 
sales, respectively. The increase in the total sales deductions balance as of December 31, 2021, compared with December 31, 
2020, was primarily driven by the impact of higher U.S. chargeback and commercial rebate discount rates and an increase in 
gross sales, partially offset by timing of payments. Included in the amounts are immaterial net adjustments related to prior-year 
sales due to changes in estimates. 

69

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
In the United States, we use wholesalers as the principal means of distributing our products to healthcare providers such 
as physicians or their clinics, dialysis centers, hospitals and pharmacies. Products we sell in Europe are distributed principally 
to hospitals and/or wholesalers depending on the distribution practice in each country where the products are sold. We monitor 
the  inventory  levels  of  our  products  at  our  wholesalers  by  using  data  from  our  wholesalers  and  other  third  parties,  and  we 
believe  wholesaler  inventories  have  been  maintained  at  appropriate  levels  (generally  two  to  three  weeks)  given  end-user 
demand.  Accordingly,  historical  fluctuations  in  wholesaler  inventory  levels  have  not  significantly  affected  our  method  of 
estimating sales deductions and returns.

Accruals for sales deductions are based primarily on estimates of the amounts earned or to be claimed on the related sales. 
These  estimates  take  into  consideration  current  contractual  and  statutory  requirements,  specific  known  market  events  and 
trends, internal and external historical data and forecasted customer buying patterns. Sales deductions are substantially product 
specific and therefore, for any given year, can be affected by the mix of products sold.

Rebates  include  primarily  amounts  paid  to  payers  and  providers  in  the  United  States,  including  those  paid  to  state 
Medicaid programs, and are based on contractual arrangements or statutory requirements that vary by product, by payer and by 
individual payer plans. As we sell products, we estimate the amount of rebate we will pay based on the product sold, contractual 
terms, estimated patient population, historical experience and wholesaler inventory levels; and we accrue these rebates in the 
period the related sales are recorded. We then adjust the rebate accruals as more information becomes available and to reflect 
actual claims experience. Estimating such rebates is complicated, in part because of the time delay between the date of sale and 
the actual settlement of the liability. We believe the methodology we use to accrue for rebates is reasonable and appropriate 
given current facts and circumstances, but actual results may differ. 

Wholesaler chargebacks relate to our contractual agreements to sell products to healthcare providers in the United States 
at fixed prices that are lower than the prices we charge wholesalers. When healthcare providers purchase our products through 
wholesalers at these reduced prices, wholesalers charge us for the difference between their purchase prices and the contractual 
prices  between  Amgen  and  the  healthcare  providers.  The  provision  for  chargebacks  is  based  on  expected  sales  by  our 
wholesaler  customers  to  healthcare  providers.  Accruals  for  wholesaler  chargebacks  are  less  difficult  to  estimate  than  rebates 
are, and they closely approximate actual results because chargeback amounts are fixed at the date of purchase by the healthcare 
providers and because we generally settle the liability for these deductions within a few weeks.

Product returns

Returns  are  estimated  by  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, when appropriate. In each of the past three years, sales return provisions have amounted to less than 1% of gross 
product sales. Changes in estimates for prior-year sales return provisions have historically been immaterial.

Income taxes

We  provide  for  income  taxes  based  on  pretax  income  and  applicable  tax  rates  in  the  various  jurisdictions  in  which  we 

operate.

We recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be 
sustained on examination by the tax authorities based on the technical merits of the position. The tax benefit recognized in the 
consolidated financial statements for a particular tax position is measured based on the largest benefit that is more likely than 
not to be realized. The amount of UTBs is adjusted as appropriate for changes in facts and circumstances, such as significant 
amendments to existing tax law, new regulations or interpretations by tax authorities, new information obtained during a tax 
examination or resolution of an examination. We believe our estimates for uncertain tax positions are appropriate and sufficient 
for  any  assessments  that  may  result  from  examinations  of  our  tax  returns.  We  recognize  both  accrued  interest  and  penalties, 
when appropriate, related to UTBs in income tax expense.

Certain items are included in our tax return at different times than they are reflected in the financial statements, and they 
cause  temporary  differences  between  the  tax  bases  of  assets  and  liabilities  and  their  reported  amounts.  Such  temporary 
differences create deferred tax assets and liabilities. Deferred tax assets are generally items that can be used as tax deductions or 
credits  in  tax  returns  in  future  years  but  for  which  we  have  already  recorded  the  tax  benefit  in  the  consolidated  financial 
statements.  We  establish  valuation  allowances  against  our  deferred  tax  assets  when  the  amount  of  expected  future  taxable 
income is not likely to support the use of the deduction or credit. Deferred tax liabilities are either (i) tax expenses recognized in 
the  consolidated  financial  statements  for  which  payment  has  been  deferred,  (ii)  expenses  for  which  we  have  already  taken  a 
deduction  on  the  tax  return  but  have  not  yet  recognized  in  the  consolidated  financial  statements  or  (iii)  liabilities  for  the 
difference between the book basis and the tax basis of the intangible assets acquired in many business combinations, because 
future expenses associated with these assets most often will not be tax deductible.

70

We  are  a  vertically  integrated  enterprise  with  operations  in  the  United  States  and  various  foreign  jurisdictions.  In  the 
jurisdictions  where  we  conduct  operations,  we  are  subject  to  income  tax  based  on  the  tax  laws  and  principles  of  such 
jurisdictions and on the functions, risks and activities performed therein. Our pretax income is therefore attributed to domestic 
or foreign sources based on the operations performed and risks assumed in each location and the tax laws and principles of the 
respective taxing jurisdictions. For example, we conduct significant operations in Puerto Rico, a territory of the United States 
that  is  treated  as  a  foreign  jurisdiction  for  U.S.  tax  purposes,  pertaining  to  manufacturing,  distribution  and  other  related 
functions to meet our worldwide product demand. Income from our operations in Puerto Rico is subject to tax incentive grants 
through 2035.

In 2017, we received an RAR and a modified RAR from the IRS for the years 2010, 2011 and 2012, proposing significant 
adjustments  that  primarily  relate  to  the  allocation  of  profits  between  certain  of  our  entities  in  the  United  States  and  the  U.S. 
territory  of  Puerto  Rico.  We  disagreed  with  the  proposed  adjustments  and  calculations  and  pursued  resolution  with  the  IRS 
appeals  office  but  were  unable  to  reach  resolution.  In  July  2021,  we  filed  a  petition  in  the  U.S.  Tax  Court  to  contest  two 
duplicate  Notices  for  2010,  2011  and  2012  that  we  received  in  May  and  July  2021,  which  seek  to  increase  our  U.S.  taxable 
income.  The  Notices  seek  to  increase  our  U.S.  taxable  income  by  an  amount  that  would  result  in  additional  federal  tax  of 
approximately $3.6 billion plus interest. Any additional tax that could be imposed would be reduced by up to approximately 
$900 million of repatriation tax previously accrued on our foreign earnings. We firmly believe that the IRS’s positions set forth 
in the Notices are without merit, and we are contesting the Notices through the judicial process. 

In  2020,  we  received  an  RAR  and  a  modified  RAR  from  the  IRS  for  the  years  2013,  2014  and  2015,  also  proposing 
significant adjustments that primarily relate to the allocation of profits between certain of our entities in the United States and 
the U.S. territory of Puerto Rico and that are similar to those proposed for the years 2010, 2011 and 2012. We disagreed with 
the  proposed  adjustments  and  calculations  and  pursued  resolution  with  the  IRS  appeals  office.  We  were  unable  to  reach 
resolution at the administrative appeals level, and we anticipate that we will receive a statutory notice of deficiency for these 
years as well. We expect to contest any such notice related to 2013–15 through the judicial process. We are also currently under 
examination by the IRS for the years 2016, 2017 and 2018 and by a number of state and foreign tax jurisdictions. 

Final resolution of these complex matters is not likely within the next 12 months. We believe our accrual for income tax 
liabilities  is  appropriate  based  on  past  experience,  interpretations  of  tax  law,  application  of  the  tax  law  to  our  facts  and 
judgments  about  potential  actions  by  tax  authorities;  however,  due  to  the  complexity  of  the  provision  for  income  taxes  and 
uncertain resolution of these matters, the ultimate outcome of any tax matters may result in payments substantially greater than 
amounts accrued and could have a material adverse impact on our consolidated financial statements. See Part I, Item 1A. Risk 
Factors—The  adoption  and  interpretation  of  new  tax  legislation  or  exposure  to  additional  tax  liabilities  could  affect  our 
profitability;  Part  II,  Item  7.  MD&A—Income  Taxes;  and  Part  IV—Note  6,  Income  taxes,  to  the  Consolidated  Financial 
Statements for further discussion.

Our operations are subject to the tax laws, regulations and administrative practices of the United States, the U.S. territory 
of Puerto Rico, U.S. state jurisdictions and other countries in which we do business. Significant changes in these rules could 
have a material adverse effect on our results of operations. See Part I, Item 1A. Risk Factors—The adoption and interpretation 
of new tax legislation or exposure to additional tax liabilities could affect our profitability.

Contingencies

In  the  ordinary  course  of  business,  we  are  involved  in  various  legal  proceedings,  government  investigations  and  other 
matters such as intellectual property disputes, contractual disputes and class action suits that are complex in nature and have 
outcomes that are difficult to predict. We describe our legal proceedings and other matters that are significant or that we believe 
could become significant in Part IV—Note 19, Contingencies and commitments, to the Consolidated Financial Statements. We 
record  accruals  for  loss  contingencies  to  the  extent  that  we  conclude  it  is  probable  that  a  liability  has  been  incurred  and  the 
amount of the related loss can be reasonably estimated. We evaluate, on a quarterly basis, developments in legal proceedings 
and other matters that could cause an increase or decrease in the amount of the liability that has been accrued previously.

While it is not possible to accurately predict or determine the eventual outcomes of these items, an adverse determination 
in one or more of these items currently pending could have a material adverse effect on our consolidated results of operations, 
financial position or cash flows.

71

Valuation of assets and liabilities in connection with acquisitions

We  have  acquired  and  continue  to  acquire  intangible  assets  in  connection  with  business  combinations  and  asset 
acquisitions.  These  intangible  assets  consist  primarily  of  technology  associated  with  currently  marketed  human  therapeutic 
products and IPR&D product candidates. Discounted cash flow models are typically used to determine the fair values of these 
intangible assets for purposes of allocating consideration paid to the net assets acquired in an acquisition. See Part IV—Note 2, 
Acquisitions, to the Consolidated Financial Statements. These models require the use of significant estimates and assumptions, 
including but not limited to:

•

•

•

•

determining the timing and expected costs to complete in-process projects, taking into account the stage of completion at 
the acquisition date;

projecting  the  probability  and  timing  of  obtaining  marketing  approval  from  the  FDA  and  other  regulatory  agencies  for 
product candidates;

estimating the timing of and future net cash flows from product sales resulting from completed products and in-process 
projects; and

developing appropriate discount rates to calculate the present values of the cash flows. 

Significant  estimates  and  assumptions  are  also  required  to  determine  the  business  combination  date  fair  values  of  any 
contingent  consideration  obligations  incurred  in  connection  with  business  combinations.  In  addition,  we  must  revalue  these 
obligations each subsequent reporting period until the related contingencies are resolved and record changes in their fair values 
in  earnings.  The  acquisition  date  fair  values  of  contingent  consideration  obligations  incurred  or  assumed  in  the  acquisitions 
were  determined  using  a  combination  of  valuation  techniques.  Significant  estimates  and  assumptions  required  for  these 
valuations  included  but  were  not  limited  to  the  timing  and  probability  of  achieving  regulatory  milestones,  product  sales 
projections  under  various  scenarios  and  discount  rates  used  to  calculate  the  present  value  of  the  required  payments.  These 
estimates  and  assumptions  are  required  to  be  updated  in  order  to  revalue  these  contingent  consideration  obligations  each 
reporting  period.  Accordingly,  subsequent  changes  in  underlying  facts  and  circumstances  could  result  in  changes  in  these 
estimates and assumptions, which could have a material impact on the estimated future fair values of these obligations.

We believe the fair values used to record intangible assets acquired and contingent consideration obligations incurred in 
connection with business combinations and asset acquisitions are based on reasonable estimates and assumptions given the facts 
and circumstances as of the related valuation dates.

Impairment of long-lived assets

We review the carrying value of our property, plant and equipment and our finite-lived intangible assets for impairment 
whenever  events  or  changes  in  circumstances  indicate  that  the  carrying  amount  of  an  asset  may  not  be  recoverable.  If  such 
circumstances exist, an estimate of undiscounted future cash flows to be generated by the long-lived asset is compared with the 
carrying value to determine whether an impairment exists. If an asset is determined to be impaired, the loss is measured based 
on the difference between the asset’s fair value and its carrying value.

Indefinite-lived intangible assets, composed of IPR&D projects acquired in a business combination that have not reached 
technological  feasibility  or  that  lack  regulatory  approval  at  the  time  of  acquisition,  are  reviewed  for  impairment  annually, 
whenever events or changes in circumstances indicate that the carrying amount may not be recoverable and upon establishment 
of  technological  feasibility  or  regulatory  approval.  We  determine  impairment  by  comparing  the  fair  value  of  the  asset  to  its 
carrying value. If the asset’s carrying value exceeds its fair value, an impairment charge is recorded for the difference, and its 
carrying value is reduced accordingly.

Estimating future cash flows of an IPR&D product candidate for purposes of an impairment analysis requires us to make 
significant estimates and assumptions regarding the amount and timing of costs to complete the project and the amount, timing 
and probability of achieving revenues from the completed product similar to how the acquisition date fair value of the project 
was determined, as described above. There are often major risks and uncertainties associated with IPR&D projects as we are 
required to obtain regulatory approvals in order to be able to market these products. Such approvals require completing clinical 
trials  that  demonstrate  a  product  candidate  is  safe  and  effective.  Consequently,  the  eventual  realized  value  of  the  acquired 
IPR&D  project  may  vary  from  its  fair  value  at  the  date  of  acquisition,  and  IPR&D  impairment  charges  may  occur  in  future 
periods which could have a material adverse effect on our results of operations.

We  believe  our  estimations  of  future  cash  flows  used  for  assessing  impairment  of  long-lived  assets  are  based  on 

reasonable assumptions given the facts and circumstances as of the related dates of the assessments.

72

Impairment of equity method investments

We  review  the  carrying  value  of  our  equity  method  investments  whenever  events  or  changes  in  circumstances  indicate 
that  the  carrying  amount  of  an  investment  may  not  be  recoverable.  We  record  impairment  losses  on  our  equity  method 
investments if we deem the impairment to be other-than-temporary. We deem an impairment to be other-than-temporary based 
on various factors, including but not limited to, the length of time and the extent to which the fair value is below the carrying 
value, volatility of the security price, the financial condition of the issuer, changes in technology that may impair the earnings 
potential of the investment and our intent and ability to retain the investment to allow for a recovery in fair value. 

We  believe  our  judgments  used  in  assessing  impairment  of  equity  method  investments  are  based  on  reasonable 

assumptions given the facts and circumstances as of the related dates of the assessments.

Recently Issued Accounting Standards

See  Part  IV—Note  1,  Summary  of  significant  accounting  policies,  to  the  Consolidated  Financial  Statements  for  a 

discussion of recently issued accounting pronouncements not yet adopted as of December 31, 2021.

Item 7A.

QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

We are exposed to market risks that may result from changes in interest rates, foreign currency exchange rates and prices 
of equity instruments as well as changes in general economic conditions in the countries where we conduct business. To reduce 
certain of these risks, we enter into various types of foreign currency and interest rate derivative hedging transactions as part of 
our risk management program. We do not use derivatives for speculative trading purposes.

In  the  discussion  that  follows,  we  assumed  a  hypothetical  change  in  interest  rates  of  100  basis  points  from  those  as  of 
December  31,  2021  and  2020.  Except  as  noted  below,  we  also  assumed  a  hypothetical  20%  change  in  foreign  currency 
exchange rates against the U.S. dollar based on its position relative to other currencies as of December 31, 2021 and 2020.

Interest-rate-sensitive financial instruments

Our portfolio of available-for-sale investments as of December 31, 2021 and 2020, was composed almost entirely of U.S. 
Treasury securities and money market mutual funds. The fair values of our available-for-sale investments were $7.3 billion and 
$9.8 billion as of December 31, 2021 and 2020, respectively. Duration is a sensitivity measure that can be used to approximate 
the change in the value of a security that will result from a 100 basis point change in interest rates. Applying a duration model, a 
hypothetical 100 basis point increase in interest rates as of December 31, 2021 and 2020, would not have resulted in a material 
reduction  in  the  fair  values  of  these  securities.  In  addition,  a  hypothetical  100  basis  point  decrease  in  interest  rates  as  of 
December 31, 2021 and 2020, would not result in a material effect on income in the respective ensuing year.

As of December 31, 2021, we had outstanding debt with a carrying value of $33.3 billion and a fair value of $37.9 billion. 
As of December 31, 2020, we had outstanding debt with a carrying value of $33.0 billion and a fair value of $39.4 billion. Our 
outstanding  debt  was  composed  of  debt  with  fixed  interest  rates.  Changes  in  interest  rates  do  not  affect  interest  expense  on 
fixed-rate  debt.  Changes  in  interest  rates  would,  however,  affect  the  fair  values  of  fixed-rate  debt.  A  hypothetical  100  basis 
point decrease in interest rates relative to interest rates as of December 31, 2021 and 2020, would have resulted in an increase of 
$4.5 billion in the aggregate fair value of our outstanding debt on both of these dates. Analysis of the debt does not consider the 
impact that hypothetical changes in interest rates would have on related interest rate swap contracts and cross-currency swap 
contracts, discussed below.

To achieve a desired mix of fixed-rate and floating-rate debt, we entered into interest rate swap contracts that qualified 
and were designated for accounting purposes as fair value hedges for certain of our fixed-rate debt. These interest rate swap 
contracts  effectively  converted  a  fixed-rate  interest  coupon  to  a  floating-rate  LIBOR-based  coupon  over  the  life  of  the 
respective notes. Interest rate swap contracts with aggregate notional amounts of $6.7 billion and $5.9 billion were outstanding 
as  of  December  31,  2021  and  2020,  respectively.  A  hypothetical  100  basis  point  increase  in  interest  rates  relative  to  interest 
rates as of December 31, 2021 and 2020, would have resulted in reductions in fair values of approximately $330 million and 
$230 million, respectively, on our interest rate swap contracts on these dates. Analysis of the interest rate swap contracts does 
not  consider  the  impact  that  hypothetical  changes  in  interest  rates  would  have  on  the  related  fair  values  of  debt  that  these 
interest-rate-sensitive instruments were designed to offset. 

73

As of December 31, 2021 and 2020, we had outstanding cross-currency swap contracts with aggregate notional amounts 
of $3.4 billion and $4.8 billion, respectively, that hedge our foreign-currency-denominated debt and related interest payments. 
These contracts effectively convert interest payments and principal repayment of this debt to U.S. dollars from euros, pounds 
sterling  and  Swiss  francs  and  are  designated  for  accounting  purposes  as  cash  flow  hedges.  A  hypothetical  100  basis  point 
adverse  movement  in  interest  rates  relative  to  interest  rates  as  of  December  31,  2021  and  2020,  would  have  resulted  in 
reductions in the fair values of our cross-currency swap contracts of approximately $170 million and $250 million, respectively.

Foreign-currency-sensitive financial instruments

Our international operations are affected by fluctuations in the value of the U.S. dollar compared with foreign currencies, 
predominantly  the  euro.  Increases  and  decreases  in  our  international  product  sales  from  movements  in  foreign  currency 
exchange  rates  are  partially  offset  by  corresponding  increases  or  decreases  in  our  international  operating  expenses.  Increases 
and  decreases  in  our  foreign-currency-denominated  assets  from  movements  in  foreign  currency  exchange  rates  are  partially 
offset  by  corresponding  increases  or  decreases  in  our  foreign-currency-denominated  liabilities.  To  further  reduce  our  net 
exposure to foreign currency exchange rate fluctuations on our results of operations, we enter into foreign currency forward and 
cross-currency swap contracts.

As of December 31, 2021, we had outstanding euro-, pound-sterling- and Swiss-franc-denominated debt with a principal 
carrying  value  and  a  fair  value  of  $3.2  billion  and  $3.6  billion,  respectively.  As  of  December  31,  2020,  we  had  outstanding 
euro-,  pound-sterling-  and  Swiss-franc-denominated  debt  with  a  principal  carrying  value  and  a  fair  value  of  $4.8  billion  and 
$5.4 billion, respectively. A hypothetical 20% adverse movement in foreign currency exchange rates compared with the U.S. 
dollar  relative  to  exchange  rates  as  of  December  31,  2021,  would  have  resulted  in  an  increase  in  fair  value  of  this  debt  of 
approximately  $710  million  on  this  date  and  a  reduction  in  income  in  the  ensuing  year  of  approximately  $640  million.  A 
hypothetical  20%  adverse  movement  in  foreign  currency  exchange  rates  compared  with  the  U.S.  dollar  relative  to  exchange 
rates as of December 31, 2020, would have resulted in an increase in fair value of this debt of $1.1 billion on this date and a 
reduction  in  income  in  the  ensuing  year  of  $1.0  billion.  The  impact  on  income  from  these  hypothetical  changes  in  foreign 
currency exchange rates would be substantially offset by the impact such changes would have on related cross-currency swap 
contracts, which are in place for the related foreign-currency-denominated debt.

We have cross-currency swap contracts that are designated as cash flow hedges of our debt denominated in euros, pounds 
sterling and Swiss francs, with aggregate notional amounts of $3.4 billion and $4.8 billion as of December 31, 2021 and 2020, 
respectively. A hypothetical 20% adverse movement in foreign currency exchange rates compared with the U.S. dollar relative 
to exchange rates on these dates would have resulted in reductions in the fair values of these contracts of approximately $700 
million  and  $1.1  billion  on  these  dates,  respectively.  The  impact  of  this  hypothetical  adverse  movement  in  foreign  currency 
exchange rates on ensuing years’ income from these contracts would be fully offset by corresponding hypothetical changes in 
the carrying amounts of the related hedged debt.

We  enter  into  foreign  currency  forward  contracts  that  are  designated  for  accounting  purposes  as  cash  flow  hedges  of 
certain  anticipated  foreign  currency  transactions.  As  of  December  31,  2021,  the  fair  values  of  these  contracts  were  a  $183 
million asset and a $39 million liability. As of December 31, 2020, the fair values of these contracts were a $28 million asset 
and a $237 million liability. As of December 31, 2021, we had primarily euro-based open foreign currency forward contracts 
with notional amounts of $5.7 billion. As of December 31, 2020, we had primarily euro-based open foreign currency forward 
contracts  with  notional  amounts  of  $5.1  billion.  With  regard  to  foreign  currency  forward  contracts  that  were  open  as  of 
December 31, 2021, a hypothetical 20% adverse movement in foreign currency exchange rates compared with the U.S. dollar 
relative  to  exchange  rates  as  of  December  31,  2021,  would  have  resulted  in  a  reduction  in  fair  value  of  these  contracts  of 
approximately  $1.1  billion  on  this  date  and  in  the  ensuing  year,  a  reduction  in  income  of  approximately  $390  million.  With 
regard  to  contracts  that  were  open  as  of  December  31,  2020,  a  hypothetical  20%  adverse  movement  in  foreign  currency 
exchange  rates  compared  with  the  U.S.  dollar  relative  to  exchange  rates  as  of  December  31,  2020,  would  have  resulted  in  a 
reduction  in  fair  value  of  these  contracts  of  $1.1  billion  on  this  date  and  in  the  ensuing  year,  a  reduction  in  income  of  $420 
million. The analysis does not consider the impact that hypothetical changes in foreign currency exchange rates would have on 
anticipated transactions that these foreign-currency-sensitive instruments were designed to offset.

As of December 31, 2021 and 2020, we had open, short-duration, foreign currency forward contracts that mature in one 
month or less, that had notional amounts of $0.7 billion and $1.0 billion, respectively, and that hedged fluctuations of certain 
assets  and  liabilities  denominated  in  foreign  currencies  but  were  not  designated  as  hedges  for  accounting  purposes.  These 
contracts  had  no  material  net  unrealized  gains  or  losses  as  of  December  31,  2021  and  2020.  With  regard  to  these  foreign 
currency forward contracts that were open as of December 31, 2021 and 2020, a hypothetical 5% adverse movement in foreign 
currency  exchange  rates  compared  with  the  U.S.  dollar  relative  to  exchange  rates  on  these  dates  would  not  have  a  material 
effect on the fair values of these contracts or related income in the respective ensuing years. The analysis does not consider the 
impact  that  hypothetical  changes  in  foreign  currency  exchange  rates  would  have  on  assets  and  liabilities  that  these  foreign-
currency-sensitive instruments were designed to offset.

74

Market-price-sensitive financial instruments

As  of  December  31,  2021  and  2020,  we  were  exposed  to  price  risk  on  equity  securities  included  in  our  portfolio  of 
investments, which were acquired primarily for the promotion of business and strategic objectives. These investments include 
publicly and privately held small-capitalization stocks, limited partnerships that invest in early-stage biotechnology companies 
and our investment in BeiGene. A 20% decrease in the aggregate value of our equity investment portfolio as of December 31, 
2021 and 2020, would result in losses in fair value of approximately $1.4 billion and $1.2 billion, respectively.

Counterparty credit risks

Our financial instruments, including derivatives, are subject to counterparty credit risk, which we consider as part of the 
overall  fair  value  measurement.  Our  financial  risk  management  policy  limits  derivative  transactions  by  requiring  that 
transactions be made only with institutions with minimum credit ratings of A– or equivalent by S&P, Moody’s or Fitch; and it 
places exposure limits on the amount with any individual counterparty. In addition, we have an investment policy that limits 
investments to certain types of debt and money market instruments issued by institutions with investment-grade credit ratings 
and places restriction on maturities and concentrations by asset class and issuer.

Item 8.

FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

The information required by this item is incorporated herein by reference to the financial statements and schedule listed in 

Item 15(a)1 and (a)2 of Part IV and included in this Annual Report on Form 10-K.

Item 9.

CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND 
FINANCIAL DISCLOSURE

None.

75

Item 9A.

CONTROLS AND PROCEDURES

We  maintain  “disclosure  controls  and  procedures,”  as  such  term  is  defined  under  the  Securities  Exchange  Act 
Rule  13a-15(e),  that  are  designed  to  ensure  that  information  required  to  be  disclosed  in  Amgen’s  Exchange  Act  reports  is 
recorded,  processed,  summarized  and  reported  within  the  time  periods  specified  in  the  SEC’s  rules  and  forms  and  that  such 
information  is  accumulated  and  communicated  to  Amgen’s  management,  including  its  Chief  Executive  Officer  and  Chief 
Financial  Officer,  as  appropriate,  to  allow  timely  decisions  regarding  required  disclosures.  In  designing  and  evaluating  the 
disclosure  controls  and  procedures,  Amgen’s  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  in  reaching  a 
reasonable  level  of  assurance,  Amgen’s  management  necessarily  was  required  to  apply  its  judgment  in  evaluating  the  cost-
benefit relationship of possible controls and procedures. We have carried out an evaluation under the supervision and with the 
participation of our management, including Amgen’s Chief Executive Officer and Chief Financial Officer, of the effectiveness 
of  the  design  and  operation  of  Amgen’s  disclosure  controls  and  procedures.  Based  upon  their  evaluation  and  subject  to  the 
foregoing, the Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures were 
effective as of December 31, 2021.

Management  determined  that  as  of  December  31,  2021,  there  were  no  changes  in  our  internal  control  over  financial 
reporting that occurred during the fiscal quarter then ended that have materially affected or are reasonably likely to materially 
affect our internal control over financial reporting.

Management’s Report on Internal Control over Financial Reporting

Management  of  the  Company  is  responsible  for  establishing  and  maintaining  adequate  internal  control  over  financial 
reporting, as such term is defined in Rule 13a-15(f) under the Securities Exchange Act of 1934. The Company’s internal control 
over  financial  reporting  is  designed  to  provide  reasonable  assurance  regarding  the  reliability  of  financial  reporting  and  the 
preparation of financial statements for external purposes in accordance with GAAP in the United States. However, all internal 
control  systems,  no  matter  how  well  designed,  have  inherent  limitations.  Therefore,  even  those  systems  determined  to  be 
effective can provide only reasonable assurance with respect to financial statement preparation and reporting.

Management  assessed  the  effectiveness  of  the  Company’s  internal  control  over  financial  reporting  as  of  December  31, 
2021.  In  making  this  assessment,  management  used  the  criteria  set  forth  by  the  COSO  in  Internal  Control—Integrated 
Framework (2013 framework). Based on our assessment, management believes that the Company maintained effective internal 
control over financial reporting as of December 31, 2021, based on the COSO criteria.

The effectiveness of the Company’s internal control over financial reporting has been audited by Ernst & Young LLP, an 
independent  registered  public  accounting  firm,  as  stated  in  their  attestation  report  appearing  below,  which  expresses  an 
unqualified opinion on the effectiveness of the Company’s internal control over financial reporting as of December 31, 2021.

76

Report of Independent Registered Public Accounting Firm

To the Stockholders and the Board of Directors of Amgen Inc. 

Opinion on Internal Control Over Financial Reporting

We  have  audited  Amgen  Inc.’s  internal  control  over  financial  reporting  as  of  December  31,  2021,  based  on  criteria 
established in Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway 
Commission  (2013  framework)  (the  COSO  criteria).  In  our  opinion,  Amgen  Inc.  (the  Company)  maintained,  in  all  material 
respects, effective internal control over financial reporting as of December 31, 2021, based on the COSO criteria.

We  also  have  audited,  in  accordance  with  the  standards  of  the  Public  Company  Accounting  Oversight  Board  (United 
States) (PCAOB), the consolidated balance sheets of the Company as of December 31, 2021 and 2020, the related consolidated 
statements  of  income,  comprehensive  income,  stockholders’  equity  and  cash  flows  for  each  of  the  three  years  in  the  period 
ended December 31, 2021, and the related notes and the financial statement schedule listed in the Index at Item 15(a)2 and our 
report dated February 16, 2022 expressed an unqualified opinion thereon.

Basis for Opinion

The Company’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 included in the accompanying Management’s Report 
on  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 are a public accounting firm registered with the 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  audit  in  accordance  with  the  standards  of  the  PCAOB.  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, testing and evaluating the design and operating effectiveness of internal control based on the assessed 
risk, and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides 
a reasonable basis for our opinion.

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  (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.

Los Angeles, California
February 16, 2022

/s/ Ernst & Young LLP

77

Item 9B.

OTHER INFORMATION

Not applicable.

PART III

Item 10.

DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE

Information  about  our  Directors  is  incorporated  by  reference  from  the  section  entitled  ITEM  1—ELECTION  OF 
DIRECTORS in our Proxy Statement for the 2022 Annual Meeting of Stockholders to be filed with the SEC within 120 days of 
December 31, 2021 (the Proxy Statement). Information about the procedures by which stockholders may recommend nominees 
for  the  Board  of  Directors  is  incorporated  by  reference  from  APPENDIX  A—AMGEN  INC.  BOARD  OF  DIRECTORS 
GUIDELINES  FOR  DIRECTOR  QUALIFICATIONS  AND  EVALUATIONS  and  OTHER  MATTERS—Stockholder 
Proposals  for  the  2023  Annual  Meeting  in  our  Proxy  Statement.  Information  about  our  Audit  Committee,  members  of  the 
committee  and  our  Audit  Committee  financial  experts  is  incorporated  by  reference  from  the  section  entitled  CORPORATE 
GOVERNANCE—Audit  Committee  in  our  Proxy  Statement.  Information  about  our  executive  officers  is  contained  in  the 
discussion entitled Part I—Item 1. Business—Information about our Executive Officers.

Code of Ethics

We maintain a Code of Ethics for the Chief Executive Officer and Senior Financial Officers applicable to our principal 
executive  officer,  principal  financial  officer,  principal  accounting  officer  or  controller  and  other  persons  performing  similar 
functions. To view this code of ethics free of charge, please visit our website at www.amgen.com. (The website address is not 
intended to function as a hyperlink, and the information contained in our website is not intended to be a part of this filing.) We 
intend  to  satisfy  the  disclosure  requirements  under  Item  5.05  of  Form  8-K  regarding  an  amendment  to  or  a  waiver  from  a 
provision of this code of ethics, if any, by posting such information on our website as set forth above.

Item 11.

EXECUTIVE COMPENSATION

Information  about  director  and  executive  compensation  is  incorporated  by  reference  from  the  section  entitled 
EXECUTIVE COMPENSATION in our Proxy Statement. Information about compensation committee matters is incorporated 
by  reference  from  the  sections  entitled  CORPORATE  GOVERNANCE—Compensation  and  Management  Development 
Committee and CORPORATE GOVERNANCE—Compensation Committee Report in our Proxy Statement.

78

Item 12.

SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND 
RELATED STOCKHOLDER MATTERS

Securities Authorized for Issuance Under Existing Equity Compensation Plans

The following table sets forth certain information as of December 31, 2021, concerning the shares of our common stock 
that may be issued under any form of award granted under our equity compensation plans in effect as of December 31, 2021 
(including upon the exercise of options, upon the vesting of awards of RSUs or when performance units are earned and related 
dividend equivalents have been granted).

Plan category
Equity compensation plans approved by Amgen security holders:

Amended and Restated 2009 Equity Incentive Plan(1)
Amended and Restated 1991 Equity Incentive Plan(2)
Amended and Restated Employee Stock Purchase Plan

Total approved plans

Equity compensation plan not approved by Amgen security holders:

Amgen Profit Sharing Plan for Employees in Ireland(3)

Total unapproved plans

Total all plans

(a)

(b)

(c)

Number of 
securities to be 
issued upon 
exercise of 
outstanding 
options and 
rights

Weighted-average 
exercise price of 
outstanding 
options and rights

Number of securities 
remaining available 
for future issuance 
under equity 
compensation plans 
(excluding securities 
reflected in column 
(a))

10,217,143  $ 
3,550 
— 
10,220,693 

— 
— 

10,220,693  $ 

197.27 
— 
— 
197.27 

— 
— 
197.27 

18,987,053 
— 
4,280,585 
23,267,638 

242,172 
242,172 
23,509,810 

(1) The Amended and Restated 2009 Equity Incentive Plan employs a fungible share-counting formula for determining the 
number of shares available for issuance under the plan. In accordance with this formula, each option or stock appreciation 
right  counts  as  one  share,  while  each  RSU,  performance  unit  or  dividend  equivalent  counts  as  1.9  shares.  The  number 
under column (a) represents the actual number of shares issuable under our outstanding awards without giving effect to 
the fungible share-counting formula. The number under column (c) represents the number of shares available for issuance 
under  this  plan  based  on  each  such  available  share  counting  as  one  share.  Commencing  with  the  grants  made  in  April 
2012, RSUs and performance units accrue dividend equivalents that are payable in shares only to the extent and when the 
underlying RSUs vest or underlying performance units have been earned and the related shares are issued to the grantee. 
The performance units granted under this plan are earned based on the accomplishment of specified performance goals at 
the  end  of  their  respective  three-year  performance  periods;  the  number  of  performance  units  granted  represent  target 
performance,  and  the  maximum  number  of  units  that  could  be  earned  based  on  our  performance  is  200%  of  the 
performance units granted in 2019, 2020 and 2021. 

As of December 31, 2021, the number of outstanding awards under column (a) includes (i) 5,138,659 shares issuable upon 
the exercise of outstanding options with a weighted-average exercise price of $197.27; (ii) 3,362,823 shares issuable upon 
the  vesting  of  outstanding  RSUs  (including  292,972  related  dividend  equivalents);  and  (iii)  1,715,660  shares  subject  to 
outstanding  2019,  2020  and  2021  performance  units  (including  88,269  related  dividend  equivalents).  The  weighted-
average  exercise  price  shown  in  column  (b)  is  for  the  outstanding  options  only.  The  number  of  available  shares  under 
column (c) represents the number of shares that remain available for future issuance under this plan as of December 31, 
2021,  employing  the  fungible  share  formula  and  presumes  the  issuance  of  target  shares  under  the  performance  units 
granted  in  2019,  2020  and  2021  and  related  dividend  equivalents.  The  numbers  under  columns  (a)  and  (c)  do  not  give 
effect to the additional shares that could be issuable in the event above target performance on the performance goals under 
these outstanding performance units is achieved. Maximum performance under these goals could result in 200% of target 
shares being awarded for performance units granted in 2019, 2020 and 2021.

(2) This plan has terminated as to future grants. The number under column (a) with respect to this plan includes 3,550 shares 

issuable upon the settlement of deferred RSUs (including 774 related dividend equivalents).

(3) The  Profit  Sharing  Plan  was  approved  by  the  Board  of  Directors  on  July  28,  2011.  The  Profit  Sharing  Plan  permits 
eligible employees of the Company’s subsidiaries located in Ireland who participate in the Profit Sharing Plan to apply a 
portion of their qualifying bonus and salary to the purchase of the Company’s common stock on the open market at the 
market price by a third-party trustee as described in the Profit Sharing Plan.

79

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Security Ownership of Directors and Executive Officers and Certain Beneficial Owners

Information about security ownership of certain beneficial owners and management is incorporated by reference from the 
sections entitled SECURITY OWNERSHIP OF DIRECTORS AND EXECUTIVE OFFICERS and SECURITY OWNERSHIP 
OF CERTAIN BENEFICIAL OWNERS in our Proxy Statement.

Item 13.

CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS AND DIRECTOR INDEPENDENCE

Information  about  certain  relationships  and  related  transactions  and  director  independence  is  incorporated  by  reference 
the  sections  entitled  CERTAIN  RELATIONSHIPS  AND  RELATED  TRANSACTIONS  and  CORPORATE 

from 
GOVERNANCE—Director Independence in our Proxy Statement.

Item 14.

PRINCIPAL ACCOUNTANT FEES AND SERVICES

Information  about  the  fees  for  professional  services  rendered  by  our  independent  registered  public  accountants  is 
incorporated  by  reference  from  the  section  entitled  AUDIT  MATTERS—Independent  Registered  Public  Accountants  in  our 
Proxy Statement.

80

PART IV

Item 15.

EXHIBITS AND FINANCIAL STATEMENT SCHEDULES

(a)1.

Index to Financial Statements

The following Consolidated Financial Statements are included herein:

Report of Independent Registered Public Accounting Firm (PCAOB ID: 42)

Consolidated Statements of Income for each of the three years in the period ended December 31, 2021

Consolidated Statements of Comprehensive Income for each of the three years in the period ended 

December 31, 2021

Consolidated Balance Sheets as of December 31, 2021 and 2020

Consolidated Statements of Stockholders’ Equity for each of the three years in the period ended 

December 31, 2021

Consolidated Statements of Cash Flows for each of the three years in the period ended December 31, 

2021

Notes to Consolidated Financial Statements

(a)2.

Index to Financial Statement Schedules

The following Schedule is filed as part of this Annual Report on Form 10-K:

Schedule II. Valuation and Qualifying Accounts

Page
number
F-1

F-4

F-5

F-6

F-7

F-8

F-9

Page
number
F-55

All  other  schedules  are  omitted  because  they  are  not  applicable,  not  required  or  because  the  required  information  is 

included in the consolidated financial statements or notes thereto.

(a)3.

Exhibits

Exhibit No.
2.1

Description
Asset Purchase Agreement, dated August 25, 2019, by and between Amgen Inc. and Celgene Corporation. 
(Filed as an exhibit to Form 8-K on August 26, 2019 and incorporated herein by reference.)

2.2

2.3

2.4

2.5

2.6

Amendment No. 1 to the Asset Purchase Agreement, dated October 17, 2019, by and between Amgen Inc. 
and Celgene Corporation. (Filed as an exhibit to Form 8-K on October 17, 2019 and incorporated herein by 
reference.)

Amendment No. 2 to the Asset Purchase Agreement, dated October 17, 2019, by and between Amgen Inc. 
and  Celgene  Corporation.  (Filed  as  an  exhibit  to  Form  10-K  for  the  year  ended  December  31,  2019  on 
February 12, 2020 and incorporated herein by reference.)

Letter Agreement, dated November 21, 2019, by and between Amgen Inc. and the parties named therein re: 
Treatment  of  Certain  Product  Inventory  in  connection  with  Amgen’s  acquisition  of  Otezla  (Filed  as  an 
exhibit to Form 10-K for the year ended December 31, 2019 on February 12, 2020 and incorporated herein 
by reference.)

Irrevocable  Guarantee,  dated  August  25,  2019,  by  and  between  Amgen  Inc.  and  Bristol-Myers  Squibb 
Company. (Filed as an exhibit to Form 8-K on August 26, 2019 and incorporated herein by reference.)

Agreement and Plan of Merger, dated July 27, 2021, by and among Amgen Inc., Teneobio, Inc., Tuxedo 
Merger Sub, Inc., and Fortis Advisors LLC. (portions of the exhibit have been omitted because they are both 
(i) not material and (ii) is the type of information that the Company treats as private or confidential)(Filed as 
an exhibit to Form 10-Q for the quarter ended September 30, 2021 on November 3, 2021 and incorporated 
herein by reference.)

81

 
 
Exhibit No.
3.1

Description
Restated  Certificate  of  Incorporation  of  Amgen  Inc.  (As  Restated  March  6,  2013.)  (Filed  as  an  exhibit  to 
Form 10-Q for the quarter ended March 31, 2013 on May 3, 2013 and incorporated herein by reference.)

3.2

4.1

4.2

4.3

4.4

4.5

4.6

4.7

4.8

4.9

4.10

4.11

4.12

4.13

4.14

4.15

4.16

4.17

4.18

Amended and Restated Bylaws of Amgen Inc. (As Amended and Restated February 15, 2016.) (Filed as an 
exhibit to Form 8-K on February 17, 2016 and incorporated herein by reference.)

Form  of  stock  certificate  for  the  common  stock,  par  value  $.0001  of  the  Company.  (Filed  as  an  exhibit  to 
Form 10-Q for the quarter ended March 31, 1997 on May 14, 1997 and incorporated herein by reference.)

Form of Indenture, dated January 1, 1992. (Filed as an exhibit to Form S-3 Registration Statement filed on 
December 19, 1991 and incorporated herein by reference.)

Agreement  of  Resignation,  Appointment  and  Acceptance  dated  February  15,  2008.  (Filed  as  an  exhibit  to 
Form  10-K  for  the  year  ended  December  31,  2007  on  February  28,  2008  and  incorporated  herein  by 
reference.)

First Supplemental Indenture, dated February 26, 1997. (Filed as an exhibit to Form 8-K on March 14, 1997 
and incorporated herein by reference.)

8-1/8% Debentures due April 1, 2097. (Filed as an exhibit to Form 8-K on April 8, 1997 and incorporated 
herein by reference.)

Officer’s Certificate of Amgen Inc., dated April 8, 1997, establishing a series of securities entitled “8 1/8% 
Debentures due April 1, 2097.” (Filed as an exhibit to Form 8-K on April 8, 1997 and incorporated herein by 
reference.)

Indenture, dated August 4, 2003. (Filed as an exhibit to Form S-3 Registration Statement on August 4, 2003 
and incorporated herein by reference.)

Corporate  Commercial  Paper  -  Master  Note  between  and  among  Amgen  Inc.,  as  Issuer,  Cede  &  Co.,  as 
Nominee  of  The  Depository  Trust  Company,  and  Citibank,  N.A.,  as  Paying  Agent.  (Filed  as  an  exhibit  to 
Form 10-Q for the quarter ended March 31, 1998 on May 13, 1998 and incorporated herein by reference.)

Officers’ Certificate of Amgen Inc., dated May 30, 2007, including form of the Company’s 6.375% Senior 
Notes due 2037. (Filed as an exhibit to Form 8-K on May 30, 2007 and incorporated herein by reference.)

Officers’  Certificate  of  Amgen  Inc.,  dated  May  23,  2008,  including  form  of  the  Company’s  6.90%  Senior 
Notes due 2038. (Filed as exhibit to Form 8-K on May 23, 2008 and incorporated herein by reference.)

Officers’ Certificate of Amgen Inc., dated January 16, 2009, including form of the Company’s 6.40% Senior 
Notes due 2039. (Filed as exhibit to Form 8-K on January 16, 2009 and incorporated herein by reference.)

Officers’ Certificate of Amgen Inc., dated March 12, 2010, including form of the Company’s 5.75% Senior 
Notes due 2040. (Filed as exhibit to Form 8-K on March 12, 2010 and incorporated herein by reference.)

Officers’  Certificate  of  Amgen  Inc.,  dated  September  16,  2010,  including  form  of  the  Company’s  4.95% 
Senior Notes due 2041. (Filed as an exhibit to Form 8-K on September 17, 2010 and incorporated herein by 
reference.)

Officers’  Certificate  of  Amgen  Inc.,  dated  June  30,  2011,  including  form  of  the  Company’s  5.65%  Senior 
Notes due 2042. (Filed as an exhibit to Form 8-K on June 30, 2011 and incorporated herein by reference.)

Officers’  Certificate  of  Amgen  Inc.,  dated  November  10,  2011,  including  form  of  the  Company’s  5.15% 
Senior Notes due 2041. (Filed as an exhibit to Form 8-K on November 10, 2011 and incorporated herein by 
reference.)

Officers’  Certificate  of  Amgen  Inc.,  dated  December  5,  2011,  including  form  of  the  Company’s  5.50% 
Senior Notes due 2026. (Filed as an exhibit to Form 8-K on December 5, 2011 and incorporated herein by 
reference.)

Officers’ Certificate of Amgen Inc., dated May 15, 2012, including form of the Company’s 5.375% Senior 
Notes due 2043. (Filed as an exhibit to Form 8-K on May 15, 2012 and incorporated herein by reference.)

Officers’  Certificate  of  Amgen  Inc.,  dated  September  13,  2012,  including  form  of  the  Company’s  4.000% 
Senior Notes due 2029. (Filed as an exhibit to Form 8-K on September 13, 2012 and incorporated herein by 
reference.)

82

Exhibit No.
4.19

Description
Indenture, dated May 22, 2014, between Amgen Inc. and The Bank of New York Mellon Trust Company, 
N.A., as Trustee. (Filed as an exhibit to Form 8-K on May 22, 2014 and incorporated herein by reference.)

4.20

4.21

4.22

4.23

4.24

4.25

4.26

4.27

4.28

4.29

4.30

4.31

4.32*

10.1+

10.2+

10.3+

Officers’ Certificate of Amgen Inc., dated May 22, 2014, including form of the Company’s 3.625% Senior 
Notes due 2024. (Filed as an exhibit to Form 8-K on May 22, 2014 and incorporated herein by reference.)

Officer’s Certificate of Amgen Inc., dated May 1, 2015, including forms of the Company’s 3.125% Senior 
Notes due 2025 and 4.400% Senior Notes due 2045.  (Filed as an exhibit on Form 8-K on May 1, 2015 and 
incorporated herein by reference.)

Officer’s  Certificate  of  Amgen  Inc.,  dated  as  of  February  25,  2016,  including  form  of  the  Company’s  
2.000%  Senior  Notes  due  2026.  (Filed  as  an  exhibit  on  Form  8-K  on  February  26,  2016  and  incorporated 
herein by reference.)

Form of Permanent Global Certificate for the Company’s 0.410% bonds due 2023. (Filed as an exhibit on 
Form 8-K on March 8, 2016 and incorporated herein by reference.)

Terms of the Bonds for the Company’s 0.410% bonds due 2023. (Filed as an exhibit on Form 8-K on March 
8, 2016 and incorporated herein by reference.)

Officer’s Certificate of Amgen Inc., dated as of June 14, 2016, including forms of the Company’s 4.563% 
Senior  Notes  due  2048  and  4.663%  Senior  Notes  due  2051.  (Filed  as  an  exhibit  to  Form  8-K  on  June  14, 
2016 and incorporated herein by reference.)

Officer’s Certificate of Amgen Inc., dated as of August 19, 2016, including forms of the Company’s 2.250% 
Senior Notes due 2023 and 2.600% Senior Notes due 2026. (Filed as an exhibit to Form 8-K on August 19, 
2016 and incorporated herein by reference.)

Officer’s Certificate of Amgen Inc., dated as of November 2, 2017, including in the form of the Company’s 
3.200%  Senior  Notes  due  2027.  (Filed  as  an  exhibit  to  Form  8-K  on  November  2,  2017  and  incorporated 
herein by reference.)

Officer’s  Certificate  of  Amgen  Inc.,  dated  as  of  February  21,  2020,  including  forms  of  the  Company’s 
1.900%  Senior  Notes  due  2025,  2.200%  Senior  Notes  due  2027,  2.450%  Senior  Notes  due  2030,  3.150% 
Senior Notes due 2040 and 3.375% Senior Notes due 2050. (Filed as an exhibit to Form 8-K on February 21, 
2020 and incorporated herein by reference.)

Officer’s  Certificate  of  Amgen  Inc.,  dated  as  of  May  6,  2020,  including  form  of  the  Company’s  2.300% 
Senior  Notes  due  2031.  (Filed  as  an  exhibit  to  Form  8-K  on  May  6,  2020  and  incorporated  herein  by 
reference.)

Officer’s Certificate of Amgen Inc., dated as of August 17, 2020, including forms of the Company’s 2.770% 
Senior  Notes  due  2053.  (Filed  as  an  exhibit  to  Form  8-K  on  August  18,  2020  and  incorporated  herein  by 
reference.) 

Registration Rights Agreement, dated as of August 17, 2020, by and among Amgen Inc., BofA Securities, 
Inc. and J.P. Morgan Securities LLC, as lead dealer managers, and BNP Paribas Securities Corp., Deutsche 
Bank Securities Inc., RBC Capital Markets, LLC, Blaylock Van, LLC and Siebert Williams Shank & Co., 
LLC, as co-dealer managers. (Filed as an exhibit to Form 8-K on August 18, 2020 and incorporated herein by 
reference.)

Description of Amgen Inc.’s Securities Registered Pursuant to Section 12 of the Securities Exchange Act of 
1934.

Amgen  Inc.  Amended  and  Restated  2009  Equity  Incentive  Plan.  (Filed  as  Appendix  C  to  the  Definitive 
Proxy Statement on Schedule 14A on April 8, 2013 and incorporated herein by reference.)

First  Amendment  to  Amgen  Inc.  Amended  and  Restated  2009  Equity  Incentive  Plan,  effective  March  4, 
2015.  (Filed  as  an  exhibit  to  Form  10-Q  for  the  quarter  ended  March  31,  2015  on  April  27,  2015  and 
incorporated herein by reference.)

Second Amendment to Amgen Inc. Amended and Restated 2009 Equity Incentive Plan, effective March 2, 
2016.  (Filed  as  an  exhibit  to  Form  10-Q  for  the  quarter  ended  March  31,  2016  on  May  2,  2016  and 
incorporated herein by reference.)

10.4+*

Form of Grant of Stock Option Agreement for the Amgen Inc. Amended and Restated 2009 Equity Incentive 
Plan. (As Amended and Restated on December 2, 2021.) 

83

Exhibit No.
10.5+*

Description
Form of Restricted Stock Unit Agreement for the Amgen Inc. Amended and Restated 2009 Equity Incentive 
Plan. (As Amended and Restated on December 2, 2021.)

10.6+

10.7+*

10.8+

10.9+

10.10+

10.11+

10.12+

10.13+

10.14+

Amgen Inc. 2009 Performance Award Program. (As Amended on December 12, 2017.) (Filed as an exhibit 
to  Form  10-K  for  the  year  ended  December  31,  2017  on  February  13,  2018  and  incorporated  herein  by 
reference.)

Form of Performance Unit Agreement for the Amgen Inc. 2009 Performance Award Program. (As Amended 
and Reinstated on December 2, 2021.)

Amgen  Inc.  2009  Director  Equity  Incentive  Program.  (As  Amended  and  Restated  on  October  21,  2020.) 
(Filed  as  an  exhibit  to  Form  10-K  for  the  year  ended  December  31,  2020  on  February  9,  2021  and 
incorporated herein by reference.)

Form of Grant of Non-Qualified Stock Option Agreement for the Amgen Inc. 2009 Director Equity Incentive 
Program. (Filed as an exhibit to Form 8-K on May 8, 2009 and incorporated herein by reference.)

Form of Restricted Stock Unit Agreement for the Amgen Inc. 2009 Director Equity Incentive Program. (As 
Amended on December 11, 2019.) (Filed as an exhibit to Form 10-K for the year ended December 31, 2019 
on February 12, 2020 and incorporated herein by reference.)

Form of Cash-Settled Restricted Stock Unit Agreement for the Amgen 2009 Director Equity Incentive 
Program. (As Amended on December 11, 2019.)  (Filed as an exhibit to Form 10-K for the year ended 
December 31, 2019 on February 12, 2020 and incorporated herein by reference.)

Amgen Inc. Supplemental Retirement Plan. (As Amended and Restated effective October 16, 2013.) (Filed 
as an exhibit to Form 10-K for the year ended December 31, 2013 on February 24, 2014 and incorporated 
herein by reference.)

First Amendment to the Amgen Inc. Supplemental Retirement Plan, effective October 14, 2016. (Filed as an 
exhibit to Form 10-Q for the quarter ended September 30, 2016 on October 28, 2016 and incorporated herein 
by reference.)

Second Amendment to the Amgen Inc. Supplemental Retirement Plan, effective October 23, 2019. (Filed as 
an exhibit to Form 10-K for the year ended December 31, 2019 on February 12, 2020 and incorporated 
herein by reference.)

10.15+*

Third Amendment to the Amgen Inc. Supplemental Retirement Plan, effective October 20, 2021.

10.16+

10.17+

10.18+

10.19+

10.20+

10.21+

10.22+

Amended  and  Restated  Amgen  Change  of  Control  Severance  Plan.  (As  Amended  and  Restated  effective 
December 9, 2010 and subsequently amended effective March 2, 2011.) (Filed as an exhibit to Form 10-Q 
for the quarter ended March 31, 2011 on May 10, 2011 and incorporated herein by reference.)

Amgen  Inc.  Executive  Incentive  Plan.  (As  Amended  and  Restated  effective  January  1,  2009.)  (Filed  as  an 
exhibit  to  Form  10-Q  for  the  quarter  ended  September  30,  2008  on  November  7,  2008  and  incorporated 
herein by reference.)

First  Amendment  to  the  Amgen  Inc.  Executive  Incentive  Plan,  effective  December  13,  2012.  (Filed  as  an 
exhibit to Form 10-K for the year ended December 31, 2012 on February 27, 2013 and incorporated herein 
by reference.)

Second  Amendment  to  the  Amgen  Inc.  Executive  Incentive  Plan,  effective  January  1,  2017.  (Filed  as  an 
exhibit to Form 10-Q for the quarter ended March 31, 2017 on April 27, 2017 and incorporated herein by 
reference.)

Amgen Nonqualified Deferred Compensation Plan. (As Amended and Restated effective October 16, 2013.) 
(Filed  as  an  exhibit  to  Form  10-K  for  the  year  ended  December  31,  2013  on  February  24,  2014  and 
incorporated herein by reference.)

First  Amendment  to  the  Amgen  Nonqualified  Deferred  Compensation  Plan,  effective  October  14,  2016. 
(Filed  as  an  exhibit  to  Form  10-Q  for  the  quarter  ended  September  30,  2016  on  October  28,  2016  and 
incorporated herein by reference.)

Second Amendment to the Amgen Nonqualified Deferred Compensation Plan, effective January 1, 2020. 
(Filed as an exhibit to Form 10-K for the year ended December 31, 2019 on February 12, 2020 and 
incorporated herein by reference.)

84

Exhibit No.

Description

10.23+*

Third Amendment to the Amgen Nonqualified Deferred Compensation Plan, effective January 1, 2022.

10.24+

10.25+*

10.26

10.27

10.28

10.29

10.30

10.31

10.32

10.33

10.34

10.35

10.36

10.37

10.38

Agreement between Amgen Inc. and Peter Griffith, dated October 18, 2019. (Filed as an exhibit to Form 10-
Q for the quarter ended March 31, 2020 on May 1, 2020 and incorporated herein by reference.)

Aircraft Time Sharing Agreement, dated December 3, 2021, by and between Amgen Inc. and Robert A. 
Bradway. 

Second Amended and Restated Credit Agreement, dated December 12, 2019, among Amgen Inc., the Banks 
therein  named,  Citibank,  N.A.,  as  administrative  agent,  and  JPMorgan  Chase  Bank,  N.A.,  as  syndication 
agent. (Filed as an exhibit to Form 8-K on December 12, 2019 and incorporated herein by reference.)

Collaboration and License Agreement between Amgen Inc. and Celltech R&D Limited dated May 10, 2002 
(portions of the exhibit have been omitted pursuant to a request for confidential treatment) and Amendment 
No.  1,  effective  June  9,  2003,  to  Collaboration  and  License  Agreement  between  Amgen  Inc.  and  Celltech 
R&D  Limited  (portions  of  the  exhibit  have  been  omitted  pursuant  to  a  request  for  confidential  treatment). 
(Filed  as  an  exhibit  to  Form  10-K/A  for  the  year  ended  December  31,  2012  on  July  31,  2013  and 
incorporated herein by reference.)

Amendment No. 2 to Collaboration and License Agreement, effective November 14, 2016, between Amgen 
Inc.  and  Celltech  R&D  Limited  (portions  of  the  exhibit  have  been  omitted  pursuant  to  a  request  for 
confidential treatment). (Filed as an exhibit to Form 10-K for the year ended December 31, 2016 on February 
14, 2017 and incorporated herein by reference.)

Letter  Agreement,  dated  June  25,  2019,  by  and  between  Amgen  Inc.  and  UCB  Celltech  (portions  of  the 
exhibit have been omitted because they are both (i) not material and (ii) would be competitively harmful if 
publicly disclosed). (Filed as an exhibit to Form 10-Q for the quarter ended June 30, 2019 on July 31, 2019 
and incorporated herein by reference.)

Collaboration  Agreement,  dated  April  22,  1994,  by  and  between  Bayer  Corporation  (formerly  Miles,  Inc.) 
and Onyx Pharmaceuticals, Inc. (Filed as an exhibit to Form 10-Q for the quarter ended March 31, 2011 by 
Onyx Pharmaceuticals, Inc. on May 10, 2011 and incorporated herein by reference.)

Amendment to Collaboration Agreement, dated April 24, 1996, by and between Bayer Corporation and Onyx 
Pharmaceuticals,  Inc.  (Filed  as  an  exhibit  to  Form  10-Q  for  the  quarter  ended  March  31,  2006  by  Onyx 
Pharmaceuticals, Inc. on May 10, 2006 and incorporated herein by reference.)

Amendment  to  Collaboration  Agreement,  dated  February  1,  1999,  by  and  between  Bayer  Corporation  and 
Onyx Pharmaceuticals, Inc. (Filed as an exhibit to Form 10-Q for the quarter ended March 31, 2006 by Onyx 
Pharmaceuticals, Inc. on May 10, 2006 and incorporated herein by reference.)

Settlement Agreement and Release, dated October 11, 2011, by and between Bayer Corporation, Bayer AG, 
Bayer HealthCare LLC and Bayer Pharma AG and Onyx Pharmaceuticals, Inc. (Filed as an exhibit to Form 
10-K  for  the  year  ended  December  31,  2011  by  Onyx  Pharmaceuticals,  Inc.  on  February  27,  2012  and 
incorporated herein by reference.)

Fourth Amendment to Collaboration Agreement, dated October 11, 2011, by and between Bayer Corporation 
and Onyx Pharmaceuticals, Inc. (Filed as an exhibit to Form 10-K for the year ended December 31, 2011 by 
Onyx Pharmaceuticals, Inc. on February 27, 2012 and incorporated herein by reference.)

Side  Letter  Regarding  Collaboration  Agreement,  dated  May  29,  2015,  by  and  between  Bayer  HealthCare 
LLC and Onyx Pharmaceuticals, Inc. (Filed as an exhibit to Form 10-Q for the quarter ended June 30, 2015 
on August 5, 2015 and incorporated herein by reference.)

Side Letter Regarding Collaboration Agreement and Stivarga Agreement, dated February 13, 2020, by and 
between Onyx Pharmaceuticals, Inc. and Bayer HealthCare LLC. (Filed as an exhibit to Form 10-Q for the 
quarter ended March 31, 2020 on May 1, 2020 and incorporated herein by reference.)

Sourcing and Supply Agreement, dated January 6, 2017, by and between Amgen USA Inc., a wholly owned 
subsidiary of Amgen Inc., and DaVita Inc. (portions of the exhibit have been omitted pursuant to a request 
for confidential treatment). (Filed as an exhibit to Form 10-Q for the quarter ended March 31, 2017 on April 
27, 2017 and incorporated herein by reference.)

Exclusive  License  and  Collaboration  Agreement,  dated  August  28,  2015,  by  and  between  Amgen  Inc.  and 
Novartis  Pharma  AG  (portions  of  the  exhibit  have  been  omitted  pursuant  to  a  request  for  confidential 
treatment).  (Filed  as  an  exhibit  to  Form  10-Q  for  the  quarter  ended  June  30,  2017  on  July  26,  2017  and 
incorporated herein by reference.)

85

Exhibit No.
10.39

Description
Amendment  No.  1  to  the  Exclusive  License  and  Collaboration  Agreement,  dated  April  21,  2017,  by  and 
between  Amgen  Inc.  and  Novartis  Pharma  AG  (portions  of  the  exhibit  have  been  omitted  pursuant  to  a 
request for confidential treatment). (Filed as an exhibit to Form 10-Q for the quarter ended June 30, 2017 on 
July 26, 2017 and incorporated herein by reference.)

10.40

10.41

10.42

10.43

10.44

10.45

10.46

10.47

10.48

10.49

10.50

Amendment  No.  2  to  the  Exclusive  License  and  Collaboration  Agreement,  dated  April  21,  2017,  by  and 
between  Amgen  Inc.  and  Novartis  Pharma  AG  (portions  of  the  exhibit  have  been  omitted  pursuant  to  a 
request for confidential treatment). (Filed as an exhibit to Form 10-Q for the quarter ended June 30, 2017 on 
July 26, 2017 and incorporated herein by reference.)

Amendment No. 3 to the Exclusive License and Collaboration Agreement, dated January 31, 2022, by and 
between Amgen Inc. and Novartis Pharma AG (portions of the exhibit have been omitted because they are 
both (i) not material and (ii) is the type of information that the Company treats as private or confidential). 
(Filed as an exhibit to the Company’s Current Report on Form 8-K on January 31, 2022 and incorporated 
herein by reference.)

Collaboration  Agreement,  dated  October  31,  2019,  by  and  between  Amgen  Inc.  and  BeiGene  Switzerland 
GmbH, a wholly-owned subsidiary of BeiGene, Ltd. (portions of the exhibit have been omitted because they 
are both (i) not material and (ii) would be competitively harmful if publicly disclosed). (Filed as an exhibit to 
Form  10-K  for  the  year  ended  December  31,  2019  on  February  12,  2020  and  incorporated  herein  by 
reference.)

Guarantee, dated as of October 31, 2019, made by and among BeiGene, Ltd. and Amgen Inc. (Filed as an 
exhibit to Form 10-K for the year ended December 31, 2019 on February 12, 2020 and incorporated herein 
by reference.)

Share Purchase Agreement, dated October 31, 2019, by and between Amgen Inc. and BeiGene, Ltd. (portions 
of  the  exhibit  have  been  omitted  because  they  are  both  (i)  not  material  and  (ii)  would  be  competitively 
harmful  if  publicly  disclosed).  (Filed  as  an  exhibit  to  Schedule  13D  on  January  8,  2020  and  incorporated 
herein by reference.)

Amendment No. 1 to Share Purchase Agreement, dated December 6, 2019, by and among BeiGene, Ltd. and 
Amgen Inc. (Filed as an exhibit to Schedule 13D on January 8, 2020 and incorporated herein by reference.)

Restated  Amendment  No.  2  to  Share  Purchase  Agreement,  dated  September  24,  2020,  by  and  among 
BeiGene, Ltd. and Amgen Inc. (Filed as an exhibit to Form 10-Q for the quarter ended September 30, 2020 
on October 29, 2020 and incorporated herein by reference.)

Collaboration Agreement dated March 30, 2012 by and between Amgen Inc. and AstraZeneca Collaboration 
Ventures, LLC, a wholly owned subsidiary of AstraZeneca Pharmaceuticals LP (portions of the exhibit have 
been  omitted  pursuant  to  a  request  for  confidential  treatment).  (Filed  as  an  exhibit  to  Form  10-Q  for  the 
quarter ended March 31, 2012 on May 8, 2012 and incorporated herein by reference.)

Amendment  No.  1  to  the  Collaboration  Agreement,  dated  October  1,  2014,  by  and  among  Amgen  Inc., 
AstraZeneca Collaboration Ventures, LLC and AstraZeneca Pharmaceuticals LP (portions of the exhibit have 
been omitted pursuant to a request for confidential treatment). (Filed as an exhibit to Form 10-K for the year 
ended December 31, 2014 on February 19, 2015 and incorporated herein by reference.)

Amendment  Nos.  2  through  6  to  the  March  30,  2012  Collaboration  Agreement  between  Amgen  Inc.  and 
AstraZeneca Collaboration Ventures, LLC, dated May 2 and 27 and October 2, 2016, January 31, 2018, and 
May 15, 2020, respectively (portions of the exhibit have been omitted because they are both (i) not material 
and  (ii)  would  be  competitively  harmful  if  publicly  disclosed.)  (Filed  as  an  exhibit  to  Form  10-Q  for  the 
quarter ended June 30, 2020 on July 29, 2020 and incorporated herein by reference.)

Amendment No. 7 to the Collaboration Agreement, dated December 17, 2020, by and between Amgen Inc. 
and AstraZeneca Collaboration Ventures, LLC (portions of the exhibit have been omitted because they are 
both (i) not material and (ii) would be competitively harmful if publicly disclosed.) (Filed as an exhibit to 
Form  10-K  for  the  year  ended  December  31,  2020  on  February  9,  2021  and  incorporated  herein  by 
reference.)

10.51*

Amendment No. 8 to the Collaboration Agreement, dated November 19, 2021, by and between Amgen Inc. 
and AstraZeneca Collaboration Ventures, LLC (portions of the exhibit have been omitted because they are 
both (i) not material and (ii) is the type of information that the Company treats as private or confidential.)

86

Exhibit No.
10.52

Description
License  and  Collaboration  Agreement,  dated  June  1,  2021,  by  and  between  Amgen  Inc.  and  Kyowa  Kirin 
Co., Ltd. (portions of the exhibit have been omitted because they are both (i) not material and (ii) would be 
competitively harmful if publicly disclosed). (Filed as an exhibit to Form 10-Q for the quarter ended June 30, 
2021 on August 4, 2021 and incorporated herein by reference.)

21*

23

24

31*

Subsidiaries of the Company.

Consent of the Independent Registered Public Accounting Firm. The consent is set forth on page 89 of this 
Annual Report on the 10-K.

Power of Attorney. The Power of Attorney is set forth on page 90 of this Annual Report on Form 10-K.

Rule 13a-14(a) Certifications.

32**

Section 1350 Certifications.

101.INS

Inline XBRL Instance Document - The instance document does not appear in the interactive data file because 
its XBRL tags are embedded within the Inline XBRL document.

101.SCH*

Inline XBRL Taxonomy Extension Schema Document.

101.CAL*

Inline XBRL Taxonomy Extension Calculation Linkbase Document.

101.DEF*

Inline XBRL Taxonomy Extension Definition Linkbase Document.

101.LAB*

Inline XBRL Taxonomy Extension Label Linkbase Document.

101.PRE*

Inline XBRL Taxonomy Extension Presentation Linkbase Document.

104

Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101).

____________________________
(* = filed herewith)
(** = furnished herewith and not “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended)
(+ = management contract or compensatory plan or arrangement)

Item 16.

FORM 10-K SUMMARY

Not applicable.

87

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this Annual Report to 

be signed on its behalf by the undersigned, thereunto duly authorized.

SIGNATURES

AMGEN INC.
(Registrant)

Date: February 16, 2022

By:

/S/    PETER H. GRIFFITH
Peter H. Griffith

Executive Vice President and Chief Financial Officer

(Principal Financial Officer)

88

 
 
 
 
EXHIBIT 23

CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

We consent to the incorporation by reference in the following Registration Statements:

•

•

•

•

•

•

•

Registration Statement (Form S-3 No. 333-236351) of Amgen Inc.,

Registration Statement (Form S-8 No. 333-159377) pertaining to the Amgen Inc. Amended and Restated 2009 Equity 
Incentive Plan, 

Registration  Statement  (Form  S-8  No.  33-39183)  pertaining  to  the  Amgen  Inc.  Amended  and  Restated  Employee 
Stock Purchase Plan, 

Registration  Statements  (Form  S-8  No.  33-39104,  as  amended  by  Form  S-8  Nos.  333-144581  and  333-216719) 
pertaining to the Amgen Retirement and Savings Plan,

Registration Statements (Form S-8 Nos. 33-47605, 333-144580 and 333-216715) pertaining to The Retirement and 
Savings  Plan  for  Amgen  Manufacturing,  Limited  (formerly  known  as  the  Retirement  and  Savings  Plan  for  Amgen 
Manufacturing, Inc.), 

Registration  Statements  (Form  S-8  Nos.  333-81284,  333-177868,  333-216723  and  333-260723)  pertaining  to  the 
Amgen Nonqualified Deferred Compensation Plan, and

Registration Statement (Form S-8 Nos. 333-176240 and 333-260724) pertaining to the Amgen Profit Sharing Plan for 
Employees in Ireland;

of  our  reports  dated  February  16,  2022,  with  respect  to  the  consolidated  financial  statements  of  Amgen  Inc.  and  the 
effectiveness of internal control over financial reporting of Amgen Inc. included in this Annual Report (Form 10-K) of 
Amgen Inc. for the year ended December 31, 2021.

Los Angeles, California
February 16, 2022 

/s/ Ernst & Young LLP

89

POWER OF ATTORNEY

EXHIBIT 24

KNOW ALL MEN AND WOMEN BY THESE PRESENTS, that each person whose signature appears below constitutes 
and appoints Robert A. Bradway, Peter H. Griffith and Jonathan P. Graham, or any of them, his or her attorney-in-fact, each 
with  the  power  of  substitution  and  re-substitution,  for  him  or  her  in  any  and  all  capacities,  to  sign  any  amendments  to  this 
Report,  and  to  file  the  same,  with  exhibits  thereto  and  other  documents  in  connection  therewith,  with  the  Securities  and 
Exchange  Commission,  hereby  ratifying  and  confirming  all  that  each  of  said  attorneys-in-fact,  or  his  or  her  substitute  or 
substitutes, may do or cause to be done by virtue hereof.

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:

Signature

Title

/S/    ROBERT A. BRADWAY
Robert A. Bradway

Chairman of the Board, Chief Executive Officer
and President, and Director
(Principal Executive Officer)

/S/    PETER H. GRIFFITH
Peter H. Griffith

/S/    LINDA H. LOUIE
Linda H. Louie

/S/    WANDA M. AUSTIN
Wanda M. Austin

/S/    BRIAN J. DRUKER
Brian J. Druker

/S/    ROBERT A. ECKERT
Robert A. Eckert

/S/    GREG C. GARLAND
Greg C. Garland

/S/    CHARLES M. HOLLEY, JR.
Charles M. Holley, Jr.

/S/    S. OMAR ISHRAK
S. Omar Ishrak

/S/    TYLER JACKS
Tyler Jacks

/S/    ELLEN J. KULLMAN
Ellen J. Kullman

/S/    AMY E. MILES
Amy E. Miles

/S/    RONALD D. SUGAR
Ronald D. Sugar

/S/    R. SANDERS WILLIAMS
R. Sanders Williams

Executive Vice President and
Chief Financial Officer
(Principal Financial Officer)

Vice President, Finance and
Chief Accounting Officer
(Principal Accounting Officer)

Director

Director

Director

Director

Director

Director

Director

Director

Director

Director

Director

90

Date

2/16/2022

2/16/2022

2/16/2022

2/16/2022

2/16/2022

2/16/2022

2/16/2022

2/16/2022

2/16/2022

2/16/2022

2/16/2022

2/16/2022

2/16/2022

2/16/2022

Report of Independent Registered Public Accounting Firm

To the Stockholders and the Board of Directors of Amgen Inc.

Opinion on the Financial Statements 

We have audited the accompanying consolidated balance sheets of Amgen Inc. (the Company) as of December 31, 2021 and 
2020, the related consolidated statements of income, comprehensive income, stockholders’ equity and cash flows for each of 
the three years in the period ended December 31, 2021, and the related notes and the financial statement schedule listed in the 
Index  at  Item  15(a)2  (collectively  referred  to  as  the  “consolidated  financial  statements”).  In  our  opinion,  the  consolidated 
financial  statements  present  fairly,  in  all  material  respects,  the  financial  position  of  the  Company  at  December  31,  2021  and 
2020, and the results of its operations and its cash flows for each of the three years in the period ended December 31, 2021, in 
conformity with U.S. generally accepted accounting principles.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) 
(PCAOB), the Company’s internal control over financial reporting as of December 31, 2021, based on criteria established in 
Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission 
(2013 framework) and our report dated February 16, 2022 expressed an unqualified opinion thereon.

Basis for Opinion 

These financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on 
the Company’s financial statements based on our audits. We are a public accounting firm registered with the 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 
audit to obtain reasonable assurance about whether the financial statements are free of material misstatement, whether due to 
error  or  fraud.  Our  audits  included  performing  procedures  to  assess  the  risks  of  material  misstatement  of  the  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 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 financial statements. We believe that our audits provide a reasonable basis for our opinion.

Critical Audit Matters

The critical audit matters communicated below are matters arising from the current period audit of the financial statements that 
were communicated or required to be communicated to the audit committee and that: (1) relate to accounts or disclosures that 
are  material  to  the  financial  statements  and  (2)  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 matters below, providing separate opinions on the critical audit 
matters or on the accounts or disclosures to which they relate.

F-1

Description of the 
Matter

How We 
Addressed the 
Matter in Our 
Audit

Sales deductions
As  of  December  31,  2021,  the  Company  recorded  accrued  sales  deductions  of  $5.2  billion.  As 
described in Note 1 to the financial statements under the caption “Product sales and sales deductions,” 
revenues  from  product  sales  are  recognized  net  of  accruals  for  estimated  rebates,  wholesaler 
chargebacks,  discounts  and  other  deductions  (collectively  sales  deductions),  which  are  established  at 
the time of sale.

Auditing  the  estimation  of  sales  deductions,  which  are  netted  against  product  sales,  is  complex, 
requires significant judgment, and the amounts involved are material to the financial statements taken 
as  a  whole.  Revenue  from  product  sales  is  recognized  upon  transfer  of  control  of  a  product  to  a 
customer, generally upon delivery, and is based on an amount that reflects the consideration to which 
the Company expects to be entitled, which represents an amount that is net of accruals for estimated 
sales  deductions.  The  estimated  sales  deductions  are  based  on  current  contractual  and  statutory 
requirements, market events and trends, internal and external historical data, and forecasted customer 
buying patterns.

We obtained an understanding, evaluated the design and tested the operating effectiveness of internal 
controls over the sales deduction processes. This included testing controls over management’s review 
of significant assumptions and inputs used in the estimate of sales deductions, including actual sales, 
contractual  terms,  historical  experience,  wholesaler  inventory  levels,  demand  data  and  estimated 
patient  population.  We  also  tested  management’s  controls  over  the  accuracy  of  forecasting  demand 
activity as well as the completeness and accuracy of the significant components included in the final 
sales deduction estimates. 

To  test  management’s  estimated  sales  deductions,  we  obtained  management’s  calculations  for  the 
respective estimates and performed the following procedures, among others. We tested management’s 
estimation  process  over  the  determination  of  sales  discount  accruals  by  developing  an  independent 
expectation  of  the  estimated  accrual  balances,  including  comparing  accrual  balances  recorded  by 
management  to  those  implied  by  historical  payment  trends,  performing  a  lookback  analysis  using 
actual  historical  data  to  evaluate  the  forecasted  amounts,  assessing  subsequent  events  to  determine 
whether there was any new information that would require adjustment to the initial accruals, evaluating 
trends  in  actual  sales  and  discount  accrual  balances,  comparing  cash  receipts  to  product  sales, 
confirming  terms  and  conditions  for  a  sample  of  contracts  with  the  Company’s  customers,  testing  a 
sample  of  credits  issued  and  payments  made  throughout  the  year,  and  agreeing  rates  to  underlying 
contract terms.

F-2

Description of the 
Matter

Unrecognized tax benefits

As  discussed  in  Notes  1  and  6  to  the  consolidated  financial  statements,  the  Company  operates  in 
various  jurisdictions  in  which  differing  interpretations  of  complex  tax  laws  and  regulations  create 
uncertainty  and  necessitate  the  use  of  significant  judgment  in  the  determination  of  the  Company’s 
unrecognized  tax  benefits  related  to  allocation  of  profits  among  various  jurisdictions  (“transfer 
pricing”), particularly in the U.S. federal tax jurisdiction where the Company has significant assets and 
operations.  In  this  regard,  the  Company  uses  significant  judgment  in  (1)  determining  whether  a  tax 
position’s  technical  merits  are  more-likely-than-not  to  be  sustained  and  (2)  measuring  the  amount  of 
tax benefit that qualifies for recognition. As of December 31, 2021, the Company accrued $3.5 billion 
of gross unrecognized tax benefits including those related to transfer pricing. Auditing the assessment 
of  the  technical  merits  and  measurement  of  the  Company’s  unrecognized  tax  benefits  is  challenging 
and can be complex, highly judgmental, and based on interpretations of tax laws and regulations and 
application of those interpretations to the Company’s facts and circumstances.

How We 
Addressed the 
Matter in Our 
Audit

We obtained an understanding, evaluated the design and tested the operating effectiveness of internal 
controls  over  the  Company’s  process  to  assess  the  technical  merits  of  its  tax  positions,  as  well  as 
management’s process to measure the unrecognized tax benefits of those tax positions, particularly in 
regard  to  transfer  pricing.  This  included  testing  controls  over  management’s  review  of  the  inputs, 
calculations, assumptions and methods selected to measure the amount of tax benefits that qualify for 
recognition. 

We  involved  tax  and  transfer  pricing  specialists  to  assist  in  assessing  the  technical  merits  and 
measurement of certain of the Company’s unrecognized tax benefits. Depending on the nature of the 
specific tax position and, as applicable, developments with the relevant tax authorities, our procedures 
included  obtaining  and  reviewing  the  Company’s  correspondence  with  such  tax  authorities  and 
evaluating certain third-party advice to support the Company’s evaluations and recorded positions. We 
used our knowledge of and experience with how the income tax laws and regulations related to transfer 
pricing  are  applied  by  the  relevant  tax  authorities  to  evaluate  the  Company’s  accounting  for  its 
unrecognized  tax  benefits.  We  evaluated  developments  in  the  applicable  regulatory  environments  to 
assess potential effects on the Company’s recorded positions. We analyzed the assumptions and data 
used by the Company when it determined the amount of tax benefits to recognize, including applicable 
interest  and  penalties,  and  we  tested  the  accuracy  of  those  underlying  calculations.  We  have  also 
evaluated the Company’s income tax disclosures included in Note 6 in relation to these matters.

/s/ Ernst & Young LLP

We have served as the Company’s auditor since 1980.
Los Angeles, California
February 16, 2022

F-3

AMGEN INC.

CONSOLIDATED STATEMENTS OF INCOME

Years ended December 31, 2021, 2020 and 2019 

(In millions, except per-share data)

2021

2020

2019

$ 

24,297  $ 

24,240  $ 

1,682 

25,979 

1,184 

25,424 

6,454 

4,819 

1,505 

5,368 

194 

6,159 

4,207 

— 

5,730 

189 

22,204 

1,158 

23,362 

4,356 

4,116 

— 

5,150 

66 

18,340 

16,285 

13,688 

7,639 

9,139 

9,674 

(1,197)   

(1,262)   

259 

256 

6,701 

8,133 

808 

869 

(1,289) 

753 

9,138 

1,296 

5,893  $ 

7,264  $ 

7,842 

10.34  $ 

10.28  $ 

12.40  $ 

12.31  $ 

12.96 

12.88 

570

573

586

590

605

609

$ 

$ 

$ 

Revenues:

Product sales

Other revenues

Total revenues

Operating expenses:

Cost of sales

Research and development

Acquired in-process research and development

Selling, general and administrative

Other

Total operating expenses

Operating income

Other income (expense):

Interest expense, net

Other income, net

Income before income taxes

Provision for income taxes

Net income

Earnings per share:

Basic

Diluted

Shares used in the calculation of earnings per share:

Basic

Diluted

See accompanying notes.

F-4

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

AMGEN INC.

Years ended December 31, 2021, 2020 and 2019 

(In millions)

Net income

Other comprehensive income (loss), net of reclassification 
adjustments and taxes:
(Losses) gains on foreign currency translation

Gains (losses) on cash flow hedges

(Losses) gains on available-for-sale securities

Other

Other comprehensive income (loss), net of taxes

2021

2020

2019

$ 

5,893  $ 

7,264  $ 

7,842 

(135)   

324 

(1)   

1 

189 

9 

(438)   

(21)   

(7)   

(457)   

6,807  $ 

(48) 

(66) 

360 

(5) 

241 

8,083 

Comprehensive income

$ 

6,082  $ 

See accompanying notes.

F-5

 
 
 
 
 
 
 
 
 
AMGEN INC.

CONSOLIDATED BALANCE SHEETS

December 31, 2021 and 2020 

(In millions, except per-share data)

ASSETS

2021

2020

$ 

7,989  $ 

48 

4,895 

4,086 

2,367 

19,385 

5,184 

15,182 

14,890 

6,524 

$ 

61,165  $ 

LIABILITIES AND STOCKHOLDERS’ EQUITY

$ 

1,366  $ 

10,731 

87 

12,184 

33,222 

6,594 

2,465 

6,266 

4,381 

4,525 

3,893 

2,079 

21,144 

4,889 

16,587 

14,689 

5,639 

62,948 

1,421 

10,141 

91 

11,653 

32,895 

6,968 

2,023 

Current assets:

Cash and cash equivalents

Marketable securities

Trade receivables, net

Inventories

Other current assets

Total current assets

Property, plant and equipment, net

Intangible assets, net

Goodwill

Other noncurrent assets

Total assets

Current liabilities:

Accounts payable

Accrued liabilities

Current portion of long-term debt

Total current liabilities

Long-term debt

Long-term tax liabilities

Other noncurrent liabilities

Contingencies and commitments

Stockholders’ equity:

Common stock and additional paid-in capital; $0.0001 par value per share; 2,750.0 
shares authorized; outstanding—558.3 shares in 2021 and 578.3 shares in 2020

Accumulated deficit

Accumulated other comprehensive loss

Total stockholders’ equity

Total liabilities and stockholders’ equity

32,096 

(24,600)   

(796)   

6,700 

$ 

61,165  $ 

31,802 

(21,408) 

(985) 

9,409 

62,948 

See accompanying notes.

F-6

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
AMGEN INC.

CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY

Years ended December 31, 2021, 2020 and 2019 

(In millions, except per-share data)

Balance as of December 31, 2018

629.6  $ 

31,246  $ 

(17,977)  $ 

(769)  $ 

12,500 

Number
of shares
of common
stock

Common
stock and
additional
paid-in capital

Accumulated
deficit

Accumulated
other
comprehensive
(loss) income

Total

Net income

Other comprehensive income, net of taxes

Dividends declared on common stock ($5.95 per 

share)

Issuance of common stock in connection with the 

Company’s equity award programs

Stock-based compensation expense
Tax impact related to employee stock-based 

compensation expense

Repurchases of common stock

Balance as of December 31, 2019

Cumulative effect of changes in accounting 

principles, net of taxes

Net income

Other comprehensive loss, net of taxes
Dividends declared on common stock ($6.56 per 

share)

Issuance of common stock in connection with the 

Company’s equity award programs

Stock-based compensation expense
Tax impact related to employee stock-based 

compensation expense

Repurchases of common stock

Balance as of December 31, 2020

Net income
Other comprehensive income, net of taxes
Dividends declared on common stock ($7.22 per 
share)
Issuance of common stock in connection with the 

Company’s equity award programs

Stock-based compensation expense
Tax impact related to employee stock-based 

compensation expense

Repurchases of common stock

Balance as of December 31, 2021

— 

— 

— 

2.0 

— 

— 

(40.2)   

591.4 

— 

— 

— 

— 

2.1 

— 

— 

(15.2)   

578.3 

— 
— 

— 

1.7 

— 

— 

— 

— 

— 

97 

323 

(135)   

7,842 

— 

(3,555)   

— 

— 

— 

— 

(7,640)   

— 

241 

— 

— 

— 

— 

— 

31,531 

(21,330)   

(528)   

— 

— 

— 

— 

91 

349 

(169)   

(2)   

7,264 

— 

(3,843)   

— 

— 

— 

— 

(3,497)   

— 

— 

(457)   

— 

— 

— 

— 

— 

31,802 

(21,408)   

(985)   

— 
— 

— 

82 

361 

(149)   

5,893 
— 

(4,098)   

— 

— 

— 

— 
189 

— 

— 

— 

— 

— 

7,842 

241 

(3,555) 

97 

323 

(135) 

(7,640) 

9,673 

(2) 

7,264 

(457) 

(3,843) 

91 

349 

(169) 

(3,497) 

9,409 

5,893 
189 

(4,098) 

82 

361 

(149) 

(4,987) 

(21.7)   

— 

(4,987)   

558.3  $ 

32,096  $ 

(24,600)  $ 

(796)  $ 

6,700 

See accompanying notes.

F-7

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 AMGEN INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

Years ended December 31, 2021, 2020 and 2019 

(In millions)

2021

2020

2019

Cash flows from operating activities:

Net income

Depreciation, amortization and other

Stock-based compensation expense

Deferred income taxes

Acquired in-process research and development

Other items, net

Changes in operating assets and liabilities, net of acquisitions:

Trade receivables, net

Inventories

Other assets

Accounts payable

Accrued income taxes, net

Long-term tax liabilities

Other liabilities

Net cash provided by operating activities

Cash flows from investing activities:

Purchases of marketable securities

Proceeds from sales of marketable securities

Proceeds from maturities of marketable securities

Purchases of property, plant and equipment

Cash paid for acquisitions, net of cash acquired

Purchases of equity method investments

Other

Net cash provided by (used in) investing activities

Cash flows from financing activities:

Net proceeds from issuance of debt

Repayment of debt

Repurchases of common stock

Dividends paid

Other

Net cash used in financing activities

Increase (decrease) in cash and cash equivalents

Cash and cash equivalents at beginning of year

Cash and cash equivalents at end of year

$ 

5,893  $ 

7,264  $ 

3,398 

341 

(453)   

1,505 

(229)   

(429)   

(165)   

(237)   

(69)   

(854)   

204 

356 

9,261 

3,601 

330 

(287)   

— 

(195)   

(427)   

(215)   

129 

45 

(249)   

(482)   

983 

10,497 

(8,900)   

(8,477)   

4,403 

8,831 

(880)   

(2,529)   

(157)   

(35)   

733 

4,945 

(4,150)   

(4,975)   

(4,013)   

(78)   

(8,271)   

1,723 

6,266 

2,597 

4,381 

(608)   

— 

(3,219)   

(75)   

(5,401)   

8,914 

(6,450)   

(3,486)   

(3,755)   

(90)   

(4,867)   

229 

6,037 

7,842 

2,206 

308 

(289) 

— 

(186) 

(504) 

(66) 

10 

164 

(585) 

(146) 

396 

9,150 

(9,394) 

8,842 

20,548 

(618) 

(13,617) 

(24) 

(28) 

5,709 

— 

(4,514) 

(7,702) 

(3,509) 

(42) 

(15,767) 

(908) 

6,945 

6,037 

$ 

7,989  $ 

6,266  $ 

See accompanying notes.

F-8

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
AMGEN INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

December 31, 2021 

1. Summary of significant accounting policies

Business

Amgen  Inc.  (including  its  subsidiaries,  referred  to  as  “Amgen,”  “the  Company,”  “we,”  “our”  or  “us”)  is  a  global 
biotechnology pioneer that discovers, develops, manufactures and delivers innovative human therapeutics. We operate in one 
business segment: human therapeutics.

Principles of consolidation

The  consolidated  financial  statements  include  the  accounts  of  Amgen  as  well  as  its  majority-owned  subsidiaries.  In 
determining whether we are the primary beneficiary of a variable interest entity, we consider whether we have both the power 
to direct activities of the entity that most significantly impact the entity’s economic performance and the obligation to absorb 
losses of, or the right to receive benefits from, the entity that could potentially be significant to that entity. We do not have any 
significant  interests  in  any  variable  interest  entities  of  which  we  are  the  primary  beneficiary.  All  material  intercompany 
transactions and balances have been eliminated in consolidation.

Use of estimates

The preparation of consolidated financial statements in conformity with GAAP requires management to make estimates 
and  assumptions  that  affect  the  amounts  reported  in  the  consolidated  financial  statements  and  accompanying  notes.  Actual 
results may differ from those estimates.

Revenues

Product sales and sales deductions

Revenue from product sales is recognized upon transfer of control of a product to a customer, generally upon delivery, 
based  on  an  amount  that  reflects  the  consideration  to  which  we  expect  to  be  entitled,  net  of  accruals  for  estimated  rebates, 
wholesaler chargebacks, discounts and other deductions (collectively, sales deductions) and returns established at the time of 
sale. 

We  analyze  the  adequacy  of  our  accruals  for  sales  deductions  quarterly.  Amounts  accrued  for  sales  deductions  are 
adjusted when trends or significant events indicate that an adjustment is appropriate. Accruals are also adjusted to reflect actual 
results. Accruals for sales deductions are based primarily on estimates of the amounts earned or to be claimed on the related 
sales. These estimates take into consideration current contractual and statutory requirements, specific known market events and 
trends, internal and external historical data and forecasted customer buying patterns. Sales deductions are substantially product 
specific  and  therefore,  for  any  given  period,  can  be  affected  by  the  mix  of  products  sold.  Included  in  sales  deductions  are 
immaterial net adjustments related to prior-period sales due to changes in estimates.

Returns  are  estimated  through  comparison  of  historical  return  data  with  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, when appropriate. Historically, sales return provisions have amounted to less than 1% of gross product 
sales. Changes in estimates for prior-period sales return provisions have historically been immaterial.

Our payment terms vary by types and locations of customers and by products or services offered. Payment terms differ by 
jurisdiction and customer, but payment is generally required in a term ranging from 30 to 120 days from date of shipment or 
satisfaction of the performance obligation. For certain products or services and certain customer types, we may require payment 
before products are delivered or services are rendered to customers.

Indirect taxes collected from customers and remitted to government authorities that are related to sales of the Company’s 

products, primarily in Europe, are excluded from revenues.

As a practical expedient, sales commissions are expensed when incurred because the amortization period would have been 

one year or less. These costs are recorded in SG&A expense in the Consolidated Statements of Income.

F-9

Other revenues

Other revenues consist primarily of royalty income and corporate partner revenues. Royalties from licensees are based on 
third-party  sales  of  licensed  products  and  are  recorded  when  the  related  third-party  product  sale  occurs.  Royalty  income  is 
estimated based on historical and forecasted sales trends. Corporate partner revenues are composed mainly of license fees and 
milestones  earned  and  our  share  of  commercial  profits  generated  from  collaborations.  See  Arrangements  with  multiple-
performance obligations, discussed below.

Arrangements with multiple-performance obligations

From  time  to  time,  we  enter  into  arrangements  for  the  R&D,  manufacture  and/or  commercialization  of  products  and 
product  candidates.  Such  arrangements  may  require  us  to  deliver  various  rights,  services  and/or  goods,  including  intellectual 
property  rights/licenses,  R&D  services,  manufacturing  services  and/or  commercialization  services.  The  underlying  terms  of 
these  arrangements  generally  provide  for  consideration  to  Amgen  in  the  form  of  nonrefundable,  upfront  license  fees; 
development and commercial-performance milestone payments; royalty payments; and/or profit sharing.

In  arrangements  involving  more  than  one  performance  obligation,  each  required  performance  obligation  is  evaluated  to 
determine whether it qualifies as a distinct performance obligation based on whether (i) the customer can benefit from the good 
or service either on its own or together with other resources that are readily available and (ii) the good or service is separately 
identifiable  from  other  promises  in  the  contract.  The  consideration  under  the  arrangement  is  then  allocated  to  each  separate 
distinct  performance  obligation  based  on  its  respective  relative  stand-alone  selling  price.  The  estimated  selling  price  of  each 
deliverable reflects our best estimate of what the selling price would be if the deliverable was regularly sold by us on a stand-
alone basis or by using an adjusted market assessment approach if selling price on a stand-alone basis is not available.

The consideration allocated to each distinct performance obligation is recognized as revenue when control of the related 
goods  or  services  is  transferred.  Consideration  associated  with  at-risk  substantive  performance  milestones  is  recognized  as 
revenue when it is probable that a significant reversal of the cumulative revenue recognized will not occur. We utilize the sales- 
and usage-based royalty exception in arrangements that resulted from the license of intellectual property, recognizing revenues 
generated from royalties or profit sharing as the underlying sales occur.

Research and development costs

R&D  costs  are  expensed  as  incurred  and  primarily  include  salaries,  benefits  and  other  staff-related  costs;  facilities  and 
overhead  costs;  clinical  trial  and  related  clinical  manufacturing  costs;  contract  services  and  other  outside  costs;  information 
systems’ costs; and amortization of acquired technology used in R&D with alternative future uses. R&D expenses also include 
costs  and  cost  recoveries  associated  with  third-party  R&D  arrangements,  including  upfront  fees  and  milestones  paid  to  third 
parties in connection with technologies that had not reached technological feasibility and did not have an alternative future use. 
Net payment or reimbursement of R&D costs is recognized when the obligations are incurred or as we become entitled to the 
cost recovery. See Note 8, Collaborations.

Selling, general and administrative costs

SG&A costs are primarily composed of salaries, benefits and other staff-related costs associated with sales and marketing, 
finance,  legal  and  other  administrative  personnel;  facilities  and  overhead  costs;  outside  marketing,  advertising  and  legal 
expenses; the U.S. healthcare reform federal excise fee on Branded Prescription Pharmaceutical Manufacturers and Importers; 
and other general and administrative costs. Advertising costs are expensed as incurred and were $843 million, $962 million and 
$789 million during the years ended December 31, 2021, 2020 and 2019, respectively. SG&A expenses also include costs and 
cost  recoveries  associated  with  marketing  and  promotion  efforts  under  certain  collaborative  arrangements.  Net  payment  or 
reimbursement of SG&A costs is recognized when the obligations are incurred or we become entitled to the cost recovery. See 
Note 8, Collaborations.

Leases

At inception of a contract, we determine whether an arrangement is or contains a lease. For all leases, we determine the 
classification as either operating or financing. Operating leases are included in Other noncurrent assets, Accrued liabilities and 
Other noncurrent liabilities in our Consolidated Balance Sheets.

F-10

ROU assets represent our right to use an underlying asset for the lease term, and lease liabilities represent our obligation 
to make lease payments under the lease. Lease recognition occurs at the commencement date, and lease liability amounts are 
based  on  the  present  value  of  lease  payments  made  during  the  lease  term.  Our  lease  terms  may  include  options  to  extend  or 
terminate  a  lease  when  it  is  reasonably  certain  that  we  will  exercise  that  option.  Because  most  of  our  leases  do  not  provide 
information to determine an implicit interest rate, we use our incremental borrowing rate in determining the present value of 
lease  payments.  ROU  assets  also  include  any  lease  payments  made  prior  to  the  commencement  date  less  lease  incentives 
received. Operating lease expense is recognized on a straight-line basis over the lease term.

We  have  lease  agreements  with  both  lease  and  nonlease  components,  which  are  generally  accounted  for  together  as  a 
single lease component. In addition, for certain vehicle and equipment leases, we apply a portfolio approach to determine the 
lease term and discount rate.

Stock-based compensation

We have stock-based compensation plans under which various types of equity-based awards are granted, including RSUs, 
performance  units  and  stock  options.  The  fair  values  of  RSUs  and  stock  option  awards,  which  are  subject  only  to  service 
conditions  with  graded  vesting,  are  recognized  as  compensation  expense,  generally  on  a  straight-line  basis  over  the  service 
period,  net  of  estimated  forfeitures.  The  fair  values  of  performance  unit  awards  are  recognized  as  compensation  expense, 
generally  on  a  straight-line  basis  from  the  grant  date  to  the  end  of  the  performance  period.  See  Note  4,  Stock-based 
compensation.

Income taxes

We  provide  for  income  taxes  based  on  pretax  income  and  applicable  tax  rates  in  the  various  jurisdictions  in  which  we 
operate. Significant judgment is required in determining our provision for income taxes and income tax assets and liabilities, 
including evaluating uncertainties in the application of accounting principles and complex tax laws. Deferred income taxes are 
recorded for the expected tax consequences of temporary differences between the bases of assets and liabilities, as well as for 
loss and tax credit carryforwards for financial reporting purposes and amounts recognized for income tax purposes. We record a 
valuation  allowance  to  reduce  our  deferred  tax  assets  to  the  amount  of  future  tax  benefit  that  is  more  likely  than  not  to  be 
realized.

We recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be 
sustained upon examination by tax authorities based on the technical merits of the position. The tax benefit recognized in the 
consolidated financial statements for a particular tax position is based on the largest benefit that is more likely than not to be 
realized.  The  amount  of  UTBs  is  adjusted  as  appropriate  for  changes  in  facts  and  circumstances,  such  as  significant 
amendments to existing tax law, new regulations or interpretations by tax authorities, new information obtained during a tax 
examination  or  resolution  of  an  examination.  We  recognize  both  accrued  interest  and  penalties,  when  appropriate,  related  to 
UTBs in income tax expense. See Note 6, Income taxes. 

Acquisitions

We  first  determine  whether  a  set  of  assets  acquired  constitute  a  business  and  should  be  accounted  for  as  a  business 
combination. If the assets acquired do not constitute a business, we account for the transaction as an asset acquisition. Business 
combinations  are  accounted  for  by  means  of  the  acquisition  method  of  accounting.  Under  the  acquisition  method,  assets 
acquired, including IPR&D projects, and liabilities assumed are recorded at their respective fair values as of the acquisition date 
in our consolidated financial statements. The excess of the fair value of consideration transferred over the fair value of the net 
assets  acquired  is  recorded  as  goodwill.  Contingent  consideration  obligations  incurred  in  connection  with  a  business 
combination  (including  the  assumption  of  an  acquiree’s  liability  arising  from  an  acquisition  it  consummated  prior  to  our 
acquisition)  are  recorded  at  their  fair  values  on  the  acquisition  date  and  remeasured  at  their  fair  values  each  subsequent 
reporting  period  until  the  related  contingencies  have  been  resolved.  The  resulting  changes  in  fair  values  are  recorded  in 
earnings. In contrast, asset acquisitions are accounted for by using a cost accumulation and allocation model. Under this model, 
the cost of the acquisition is allocated to the assets acquired and liabilities assumed. IPR&D projects with no alternative future 
use  are  recorded  in  R&D  expense  upon  acquisition,  and  contingent  consideration  obligations  incurred  in  connection  with  an 
asset  acquisition  are  recorded  when  it  is  probable  that  they  will  occur  and  they  can  be  reasonably  estimated.  See  Note  2, 
Acquisitions, and Note 17, Fair value measurement.

Cash equivalents

We consider cash equivalents to be only those investments that are highly liquid, that are readily convertible to cash and 

that mature within three months from the date of purchase.

F-11

Interest-bearing securities

We consider our interest-bearing securities investment portfolio as available-for-sale, and accordingly, these investments 
are recorded at fair value, with unrealized gains and losses recorded in AOCI. Investments with maturities beyond one year may 
be  classified  as  short-term  marketable  securities  in  the  Consolidated  Balance  Sheets  due  to  their  highly  liquid  nature  and 
because they represent the Company’s investments that are available for current operations. See Note 9, Investments, and Note 
17, Fair value measurement.

Inventories

Inventories are stated at the lower of cost or net realizable value. Cost, which includes amounts related to materials, labor 
and overhead, is determined in a manner that approximates the first-in, first-out method. Net realizable value is the estimated 
selling price in the ordinary course of business less reasonably predictable costs of completion, disposal and transportation. See 
Note 10, Inventories.

Derivatives

We  recognize  all  of  our  derivative  instruments  as  either  assets  or  liabilities  at  fair  value  in  the  Consolidated  Balance 
Sheets.  The  accounting  for  changes  in  the  fair  value  of  a  derivative  instrument  depends  on  whether  the  derivative  has  been 
formally designated and qualifies as part of a hedging relationship under the applicable accounting standards and, further, on 
the  type  of  hedging  relationship.  For  derivatives  formally  designated  as  hedges,  we  assess  both  at  inception  and  quarterly 
thereafter whether the hedging derivatives are highly effective in offsetting changes in either the fair value or cash flows of the 
hedged  item.  Our  derivatives  that  are  not  designated  and  do  not  qualify  as  hedges  are  adjusted  to  fair  value  through  current 
earnings. See Note 17, Fair value measurement, and Note 18, Derivative instruments.

Property, plant and equipment, net

Property,  plant  and  equipment  is  recorded  at  historical  cost,  net  of  accumulated  depreciation,  amortization  and,  if 
applicable,  impairment  charges.  We  review  our  property,  plant  and  equipment  assets  for  impairment  whenever  events  or 
changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Depreciation is recorded over 
the assets’ useful lives on a straight-line basis. Leasehold improvements are amortized on a straight-line basis over the shorter 
of their estimated useful lives or lease terms. See Note 11, Property, plant and equipment.

Goodwill and other intangible assets

Finite-lived intangible assets are recorded at cost, net of accumulated amortization, and, if applicable, impairment charges. 
Amortization of finite-lived intangible assets is recorded over the assets’ estimated useful lives on a straight-line basis or based 
on the pattern in which economic benefits are consumed, if reliably determinable. We review our finite-lived intangible assets 
for  impairment  whenever  events  or  changes  in  circumstances  indicate  that  the  carrying  amount  of  an  asset  may  not  be 
recoverable. See Note 12, Goodwill and other intangible assets.

The fair values of IPR&D projects acquired in a business combination that are not complete are capitalized and accounted 
for  as  indefinite-lived  intangible  assets  until  completion  or  abandonment  of  the  related  R&D  efforts.  Upon  successful 
completion  of  the  project,  the  capitalized  amount  is  amortized  over  its  estimated  useful  life.  If  a  project  is  abandoned,  all 
remaining  capitalized  amounts  are  written  off  immediately.  Major  risks  and  uncertainties  are  often  associated  with  IPR&D 
projects because we are required to obtain regulatory approvals before marketing the resulting products. Such approvals require 
completing clinical trials that demonstrate a product candidate is safe and effective. Consequently, the eventual realized value 
of  the  acquired  IPR&D  project  may  vary  from  its  fair  value  at  the  date  of  acquisition,  and  IPR&D  impairment  charges  may 
occur in future periods.

Capitalized IPR&D projects are tested for impairment annually and whenever events or changes in circumstances indicate 
that the carrying amount may not be recoverable. We consider various factors for potential impairment, including the current 
legal and regulatory environment and the competitive landscape. Adverse clinical trial results, significant delays in obtaining 
marketing  approval,  the  inability  to  bring  a  product  to  market  and  the  introduction  or  advancement  of  competitors’  products 
could result in partial or full impairment of the related intangible assets.

We perform an impairment test of goodwill annually and whenever events or changes in circumstances indicate that the 
carrying amount may not be recoverable. To date, an impairment of goodwill has not been recorded. See Note 12, Goodwill and 
other intangible assets.

F-12

Contingencies

In  the  ordinary  course  of  business,  we  are  involved  in  various  legal  proceedings,  government  investigations  and  other 
matters that are complex in nature and have outcomes that are difficult to predict. Certain of these proceedings are discussed in 
Note  19,  Contingencies  and  commitments.  We  record  accruals  for  loss  contingencies  to  the  extent  that  we  conclude  it  is 
probable that a liability has been incurred and the amount of the related loss can be reasonably estimated. We evaluate, on a 
quarterly basis, developments in legal proceedings and other matters that could cause an increase or decrease in the amount of 
the liability that has been accrued previously.

Foreign currency translation

The  net  assets  of  international  subsidiaries  whose  functional  currencies  are  not  in  U.S.  dollars  are  translated  into  U.S. 
dollars using current exchange rates. The U.S. dollar effects that arise from translation of the net assets of these subsidiaries at 
changing rates are recognized in AOCI. The subsidiaries’ earnings are translated into U.S. dollars by using average exchange 
rates.

Equity investments

Marketable and nonmarketable equity securities

Investments in publicly traded equity securities with readily determinable fair values are recorded at quoted market prices 
for  identical  securities,  with  changes  in  fair  value  recorded  in  Other  Income,  net,  in  the  Consolidated  Statements  of  Income. 
Investments in equity securities without readily determinable fair values are recorded at cost minus impairment, if any, adjusted 
for changes resulting from observable price changes in orderly transactions for identical or similar securities. Such adjustments 
are recorded in Other Income, net, in the Consolidated Statements of Income.

Equity method investments

Equity investments that give us the ability to exert significant influence, but not control, over an investee for which we 
have not elected the fair value option are accounted for under the equity method of accounting. In concluding whether we have 
the ability to exercise significant influence over an investee, we consider factors such as our ownership percentage, voting and 
other shareholder rights, board of directors representation and the existence of other collaborative or business relationships. The 
equity  method  of  accounting  requires  us  to  allocate  the  difference  between  the  fair  value  of  securities  acquired  and  our 
proportionate  share  of  the  carrying  value  of  the  underlying  assets  (the  basis  difference)  to  various  items  and  amortize  such 
differences over their useful lives. Our share of investees’ earnings or losses and amortization of basis differences, if any, are 
recorded one quarter in arrears in Other income, net, in the Consolidated Statements of Income. We record impairment losses 
on our equity method investments if we deem the impairment to be other-than-temporary. We deem an impairment to be other-
than-temporary  based  on  various  factors,  including  but  not  limited  to,  the  length  of  time  the  fair  value  is  below  the  carrying 
value, volatility of the security price and our intent and ability to retain the investment to allow for a recovery in fair value.

For equity method investments for which we have elected the fair value option, changes in fair value are recorded in Other 

income, net, in the Consolidated Statements of Income.

Additionally, we hold investments in limited partnerships, which primarily invest in early-stage biotechnology companies. 
As a practical expedient, such limited partnership investments are measured by using our proportionate share of the net asset 
values of the underlying investments held by the limited partnerships, with such changes included in Other income, net, in the 
Consolidated Statements of Income.

Recent accounting pronouncements

In  March  2020,  the  FASB  issued  a  new  accounting  standard  to  ease  the  financial  reporting  burdens  caused  by  the 
expected market transition from the LIBOR and other interbank offered rates to alternative reference rates, commonly referred 
to  as  reference  rate  reform.  The  new  standard  provides  temporary  optional  expedients  and  exceptions  to  current  GAAP 
guidance on contract modifications and hedge accounting. Specifically, a modification to transition to an alternative reference 
rate  is  treated  as  an  event  that  does  not  require  contract  remeasurement  or  reassessment  of  a  previous  accounting  treatment. 
Moreover,  for  all  types  of  hedging  relationships,  an  entity  is  permitted  to  change  the  reference  rate  without  having  to 
dedesignate  the  hedging  relationship.  The  standard  is  generally  effective  for  all  contract  modifications  made  and  hedging 
relationships evaluated through December 31, 2022. In January 2021, the FASB issued a new accounting standard to expand 
the scope of the original March 2020 standard to include derivative instruments on discounting transactions. We do not expect 
the two standards to have a material impact on our consolidated financial statements.

F-13

In  November  2021,  the  FASB  issued  a  new  accounting  standard  around  the  recognition  and  measurement  of  contract 
assets  and  contract  liabilities  from  revenue  contracts  with  customers  acquired  in  a  business  combination.  The  new  standard 
clarifies  that  contract  assets  and  contract  liabilities  acquired  in  a  business  combination  from  an  acquiree  should  initially  be 
recognized by applying revenue recognition principles and not at fair value. The standard is effective for interim and annual 
periods beginning on January 1, 2023, and early adoption is permitted. The impact of this standard will depend on the facts and 
circumstances of future transactions.

 2. Acquisitions 

Teneobio, Inc.

On October 19, 2021, we acquired all of the outstanding stock of Teneobio, a privately held, clinical-stage biotechnology 
company  developing  a  new  class  of  biologics  called  human  heavy-chain  antibodies,  which  are  single-chain  antibodies 
composed  of  the  human  heavy-chain  domain.  The  transaction,  which  was  accounted  for  as  a  business  combination,  includes 
Teneobio’s  proprietary  bispecific  and  multispecific  antibody  technologies,  which  complement  Amgen’s  existing  antibody 
capabilities  and  BiTE®  platform  and  will  enable  significant  acceleration  and  efficiency  in  the  discovery  and  development  of 
new molecules to treat diseases across Amgen’s core therapeutic areas. Upon its acquisition, Teneobio became a wholly owned 
subsidiary  of  Amgen,  and  its  operations  have  been  included  in  our  consolidated  financial  statements  commencing  on  the 
acquisition date.

The following table summarizes the total consideration and allocated acquisition date fair values of assets acquired and 

liabilities assumed (in millions):

Cash purchase price

Contingent consideration

Total consideration

Cash and cash equivalents

IPR&D

Finite-lived intangible asset – R&D technology rights
Finite-lived intangible assets – licensing rights

Goodwill

Other assets, net

Deferred tax liability

Total assets acquired, net

Amounts

994 

309 

1,303 

100 

1,054 

94 

41 

251 

16 

(253) 

1,303 

$ 

$ 

$ 

$ 

The consideration for this transaction were (i) an upfront cash payment of $994 million, which included a working-capital 
adjustment  and  (ii)  future  contingent  milestone  payments  to  Teneobio’s  former  equity  holders  of  up  to  $1.6  billion  in  cash, 
based  on  the  achievement  of  various  development  and  regulatory  milestones  with  regard  to  the  leading  asset  (AMG  340, 
formerly TNB-585) and to various development milestones for other drug candidates. The estimated fair value of the contingent 
consideration obligations aggregated $309 million as of the acquisition date and were determined using a probability-weighted 
expected  return  methodology.  The  assumptions  in  this  method  include  the  probability  of  achieving  the  milestones  and  the 
expected payment dates, with such amounts discounted to present value based on our pre-tax cost of debt. See Note 17, Fair 
value measurement, for information regarding the estimated fair value of these obligations as of December 31, 2021.

The estimated fair values of acquired IPR&D assets totaled $1.1 billion, of which $784 million relates to AMG 340, that 
is in a phase 1 clinical trial for the treatment of mCRPC, and the balance relates to four separate preclinical oncology programs. 
The R&D technology rights of $94 million relate to Teneobio’s proprietary bispecific and multispecific antibody technologies 
and  will  be  amortized  over  ten  years  using  the  straight-line  method.  Teneobio  has  also  licensed  its  technology  and  certain 
identified targets to various third parties, representing contractual agreements valued at $41 million. The estimated fair values 
for  these  intangible  assets  were  determined  using  a  multi-period  excess  earnings  income  approach  that  discounts  expected 
future cash flows to present value by applying a discount rate that represents the estimated rate that market participants would 
use  to  value  the  intangible  assets.  The  projected  cash  flows  were  based  on  certain  assumptions  attributable  to  the  respective 
intangible asset, including estimates of future revenues and expenses, the time and resources needed to complete development 
and the probabilities of obtaining marketing approval from the FDA and other regulatory agencies.

F-14

 
 
 
 
 
 
 
A  deferred  tax  liability  of  $253  million  was  recognized  on  the  temporary  differences  related  to  the  book  bases  and  tax 

bases of the acquired identifiable assets and assumed liabilities, primarily driven by the intangible assets acquired.

The  excess  of  the  acquisition  date  consideration  over  the  fair  values  assigned  to  the  assets  acquired  and  the  liabilities 
assumed  of  $251  million  was  recorded  as  goodwill,  which  is  not  deductible  for  tax  purposes.  The  goodwill  value  represents 
expected synergies from both AMG 340 and the technologies acquired.

Our accounting for this acquisition is preliminary and will be finalized upon completion of our analysis to determine the 
acquisition  date  fair  values  of  certain  assets  acquired,  liabilities  assumed  and  tax-related  items  as  we  obtain  additional 
information during the measurement period of up to one year from the acquisition date.

Five Prime Therapeutics, Inc.

On April 16, 2021, Amgen acquired the outstanding stock of Five Prime for total consideration of $1.6 billion, net of cash 
acquired. The purchase price was funded with cash on hand. This transaction was accounted for as an asset acquisition because 
substantially all the value of the assets acquired was concentrated in the intellectual property rights of bemarituzumab, a phase 3 
trial-ready,  first-in-class  program  for  gastric  cancer.  The  operations  of  Five  Prime  have  been  included  in  our  consolidated 
financial statements commencing after the acquisition date.

We allocated the consideration to acquire Five Prime to the bemarituzumab IPR&D program of $1.5 billion, which was 
expensed  immediately  in  Acquired  IPR&D  expense  in  the  Consolidated  Statements  of  Income;  deferred  tax  assets  of 
$177 million; and other net liabilities of $47 million. The acquired IPR&D expense was not tax deductible.

Otezla 

On November 21, 2019, we acquired worldwide rights to Otezla, the only oral, non-biologic treatment for psoriasis and 
psoriatic arthritis, along with certain related assets and liabilities, from Celgene. Otezla is primarily used for the treatment of 
patients with moderate-to-severe plaque psoriasis for whom phototherapy or systemic therapy is appropriate and is approved in 
more than 50 markets outside the United States, including the European Union and Japan. The acquisition was accounted for as 
an asset acquisition under GAAP because substantially all of the value of the assets acquired was concentrated in the global 
intellectual  property  rights  of  Otezla.  The  operations  of  Otezla  have  been  included  in  our  consolidated  financial  statements 
commencing on the acquisition date.

The  following  table  summarizes  the  consideration  transferred  and  the  allocation  of  the  estimated  accumulated  cost, 

including tax adjustments, to the assets acquired and liabilities assumed (in millions):

Cash purchase price

Transaction costs 

Accumulated cost (consideration transferred)

Intangible assets:

Developed-product-technology rights 

Marketing-related rights

Inventory

Deferred tax liability, net

Deferred credit

Other liabilities, net

Total assets acquired, net

Amounts

$ 

$ 

13,400 

40 

13,440 

$ 

13,007 

195 

367 

(24) 

(96) 

(9) 

$ 

13,440 

Amgen  allocated  the  accumulated  cost  of  the  acquisition  to  the  assets  acquired  based  on  their  relative  fair  values.  The 
accumulated cost of the acquisition includes direct acquisition-related costs and applicable taxes. Goodwill is not recognized in 
the accounting for an asset acquisition. Rather, the excess of the accumulated cost over the fair value of the net assets acquired 
is reallocated to the nonfinancial assets acquired.

The developed-product-technology rights acquired relate to Otezla. The estimated fair value was determined by using a 
multi-period  excess  earnings  income  approach,  which  is  based  on  the  present  value  of  the  incremental  after-tax  cash  flows 
attributable only to the intangible asset. The developed-product-technology rights is being amortized over a weighted-average 
period of 8.5 years by using the straight-line method.

F-15

 
 
 
 
 
 
The  estimated  fair  value  of  marketing-related  rights,  which  relate  to  assembled  workforce,  was  determined  using  a 
replacement  cost  approach,  which  consists  of  developing  an  estimate  of  the  current  cost  of  a  similar  new  asset  having  the 
nearest equivalent utility to the asset being valued. The assembled workforce is being amortized over a period of 5 years by 
using the straight-line method.

The estimated fair value of the acquired inventory was determined using the comparative sales method, which uses actual 
or expected selling prices of inventory as the base amount to which adjustments for selling effort and a profit on the buyer’s 
effort  are  applied.  Inventory  fair  value  adjustments  is  being  amortized  as  inventory  turns  over,  which  we  estimate  to 
approximate 2.5 years.

Upon closing, we had a difference between the book basis and tax basis of the assets acquired. The Company used the 
simultaneous equations method to determine the assigned value of the net assets acquired and the related deferred tax assets or 
liabilities. Use of this methodology resulted in an increase to the carrying value of the intangible assets of $119 million, a net 
deferred  tax  liability  of  $24  million  and  a  deferred  credit  of  $96  million.  The  tax  effects  of  the  acquisition  are  based  on 
Amgen’s estimated blended statutory tax rate of 20%.

Nuevolution AB

On  July  15,  2019,  we  acquired  all  of  the  outstanding  stock  of  Nuevolution,  a  publicly  traded,  Denmark-based 
biotechnology company with a leading small molecule drug discovery platform, for total consideration of $183 million in cash. 
The  transaction,  which  was  accounted  for  as  a  business  combination,  expands  our  ability  to  discover  novel  small  molecules 
against difficult-to-drug targets and with greater speed and efficiency. Nuevolution’s operations, which are not material, have 
been included in our consolidated financial statements commencing on the acquisition date.

We  allocated  the  consideration  to  acquire  Nuevolution  to  finite-lived  intangible  assets  of  $150  million,  primarily 
comprised of technology rights for a drug discovery platform with an estimated useful life of 10 years; goodwill of $26 million, 
which is not tax deductible; deferred tax liabilities of $22 million; and other net assets of $29 million.

The  estimated  fair  values  of  intangible  assets  were  determined  primarily  by  using  a  probability-weighted-income 
approach, which discounts expected future cash flows to present value by using a discount rate that represents the estimated rate 
that market participants would use to value the intangible assets.

F-16

3. Revenues

We  operate  in  one  business  segment:  human  therapeutics.  Therefore,  results  of  our  operations  are  reported  on  a 
consolidated basis for purposes of segment reporting, consistent with internal management reporting. Revenues by product and 
by geographic area, based on customers’ locations, are presented below. The majority of ROW revenues relates to products sold 
in Europe. 

Revenues were as follows (in millions):

Enbrel

Prolia
Otezla(1)
XGEVA

Neulasta
Aranesp

Repatha

KYPROLIS

Nplate

Other products
Total product sales(2)
Other revenues

Year ended December 31, 2021

Year ended December 31, 2020

Year ended December 31, 2019

U.S.

ROW

Total

U.S.

ROW

Total

U.S.

ROW

Total

$  4,352  $ 

113  $  4,465  $  4,855  $ 

141  $  4,996  $  5,050  $ 

176  $  5,226 

  2,150 

  1,098 

  3,248 

  1,830 

933 

  2,763 

  1,772 

900 

  2,672 

  1,804 

  1,434 

  1,514 

537 

557 

736 

566 

445 

  2,249 

  1,790 

405 

  2,195 

139 

39 

178 

584 

  2,018 

  1,405 

494 

  1,899 

  1,457 

478 

  1,935 

220 

  1,734 

  2,001 

292 

  2,293 

  2,814 

407 

  3,221 

943 

  1,480 

560 

  1,117 

372 

  1,108 

461 

  1,027 

629 

459 

710 

485 

939 

  1,568 

428 

887 

355 

  1,065 

365 

850 

758 

376 

654 

480 

971 

  1,729 

285 

661 

390 

  1,044 

315 

795 

  3,636 

  2,215 

  5,851 

  3,821 

  1,903 

  5,724 

  3,031 

  1,712 

  4,743 

  17,286 

  7,011 

  24,297 

  17,985 

  6,255 

  24,240 

  16,531 

  5,673 

  22,204 

908 

774 

  1,682 

511 

673 

  1,184 

693 

465 

  1,158 

Total revenues

$ 18,194  $  7,785  $ 25,979  $ 18,496  $  6,928  $ 25,424  $ 17,224  $  6,138  $ 23,362 

____________
(1)  Otezla was acquired on November 21, 2019.

(2)  Hedging gains and losses, which are included in product sales, were not material for the years ended December 31, 2021, 

2020 and 2019. 

In  the  United  States,  we  sell  primarily  to  pharmaceutical  wholesale  distributors  that  we  use  as  the  principal  means  of 
distributing our products to healthcare providers. Outside the United States, we sell principally to healthcare providers and/or 
pharmaceutical  wholesale  distributors  depending  on  the  distribution  practice  in  each  country.  We  monitor  the  financial 
condition  of  our  larger  customers  and  limit  our  credit  exposure  by  setting  credit  limits  and,  in  certain  circumstances,  by 
requiring letters of credit or obtaining credit insurance.

We had product sales to three customers, each of them accounting for more than 10% of total revenues for each of the 
years ended December 31, 2021, 2020 and 2019. For the year ended December 31, 2021, on a combined basis, these customers 
accounted for 82% of total gross revenues as shown in the following table. Certain information with respect to these customers 
was as follows (dollar amounts in millions):

McKesson Corporation:

Gross product sales

% of total gross revenues

AmerisourceBergen Corporation:

Gross product sales
% of total gross revenues

Cardinal Health, Inc.:

Gross product sales

% of total gross revenues

Years ended December 31,

2021

2020

2019

$ 

15,187 

$ 

13,779 

$ 

11,795 

 33 %

 32 %

 31 %

$ 

14,783 

$ 

14,743 

$ 

12,301 

 32 %

 34 %

 33 %

$ 

7,681 

$ 

7,332 

$ 

6,538 

 17 %

 17 %

 17 %

F-17

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
As  of  December  31,  2021  and  2020,  amounts  due  from  these  three  customers  each  exceeded  10%  of  gross  trade 
receivables and accounted for 73% and 74%, respectively, of net trade receivables on a combined basis. As of December 31, 
2021 and 2020, 27% and 28%, respectively, of net trade receivables were due from customers located outside the United States, 
the majority of which were from Europe. Our total allowance for doubtful accounts as of December 31, 2021 and 2020, was not 
material.

4. Stock-based compensation

Our  Amended  2009  Plan  authorizes  for  issuance  to  employees  of  Amgen  and  nonemployee  members  of  our  Board  of 
Directors  shares  of  our  common  stock  pursuant  to  grants  of  equity-based  awards,  including  RSUs,  stock  options  and 
performance units. The pool of shares available under the Amended 2009 Plan is reduced by one share for each stock option 
granted and by 1.9 shares for other types of awards granted, including full-value awards. In general, if any shares subject to an 
award granted under the Amended 2009 Plan expire or become forfeited, terminated or canceled without the issuance of shares, 
the shares subject to such awards are added back into the authorized pool on the same basis that they were removed. In addition, 
under the Amended 2009 Plan, shares withheld to pay for minimum statutory tax obligations with respect to full-value awards 
are added back into the authorized pool on the basis of 1.9 shares. As of December 31, 2021, the Amended 2009 Plan provides 
for future grants and/or issuances of up to approximately 19 million shares of our common stock. Stock-based awards under our 
employee compensation plans are made with newly issued shares reserved for this purpose.

The  following  table  reflects  the  components  of  stock-based  compensation  expense  recognized  in  our  Consolidated 

Statements of Income (in millions):

RSUs

Performance units

Stock options

Total stock-based compensation expense, pretax

Tax benefit from stock-based compensation expense

Total stock-based compensation expense, net of tax

Restricted stock units and stock options

Years ended December 31,

2021

2020

2019

$ 

183  $ 

178  $ 

121 

37 

341 

(74)   

267  $ 

118 

34 

330 

(72)   

258  $ 

$ 

168 

105 

35 

308 

(67) 

241 

Eligible employees generally receive an annual grant of RSUs and, for certain executive-level employees, stock options, 
with  the  size  and  type  of  award  generally  determined  by  the  employee’s  salary  grade  and  performance  level.  Certain 
management  and  professional-level  employees  typically  receive  RSU  grants  upon  commencement  of  employment. 
Nonemployee members of our Board of Directors also receive an annual grant of RSUs.

Our RSU and stock option grants provide for accelerated or continued vesting in certain circumstances as defined in the 
plans and related grant agreements, including upon death, disability, termination in connection with a change in control and the 
retirement  of  employees  who  meet  certain  service  and/or  age  requirements.  RSUs  and  stock  options  generally  vest  in  equal 
amounts on the second, third and fourth anniversaries of the grant date. RSUs accrue dividend equivalents, which are typically 
payable in shares only when and to the extent the underlying RSUs vest and are issued to the recipient.

Restricted stock units

The  grant  date  fair  value  of  an  RSU  equals  the  closing  price  of  our  common  stock  on  the  grant  date,  as  RSUs  accrue 
dividend equivalents during their vesting period. The weighted-average grant date fair values per unit of RSUs granted during 
the years ended December 31, 2021, 2020 and 2019, were $233.10, $235.63 and $182.12, respectively. 

F-18

 
 
 
 
 
 
 
 
 
 
The following table summarizes information regarding our RSUs:

Balance nonvested as of December 31, 2020

Granted

Vested

Forfeited

Balance nonvested as of December 31, 2021

Year ended December 31, 2021

Units
(in millions)

Weighted-average
grant date
fair value

3.0  $ 

1.3  $ 

(0.9)  $ 

(0.4)  $ 

3.0  $ 

198.11 

233.10 

177.27 

213.32 

217.95 

The total grant date fair values of RSUs that vested during the years ended December 31, 2021, 2020 and 2019, were $166 

million, $161 million and $160 million, respectively.

Stock options

The  exercise  price  of  stock  options  is  set  as  the  closing  price  of  our  common  stock  on  the  grant  date,  and  the  related 
number  of  shares  granted  is  fixed  at  that  point  in  time.  Awards  expire  10  years  from  the  date  of  grant.  We  use  the  Black–
Scholes option valuation model to estimate the grant date fair value of stock options. 

The weighted-average assumptions used in the option valuation model and the resulting weighted-average grant date fair 

values of stock options granted were as follows:

Closing price of our common stock on grant date

Expected volatility (average of implied and historical volatility)

Expected life (in years)

Risk-free interest rate

Expected dividend yield

Years ended December 31,

2021

2020

2019

$  237.17 

$  236.36 

$  177.31 

 25.6 % 

5.7

 1.0 % 

 2.9 % 

 28.1 %

5.8

 0.4 %

 3.0 %

 23.5 %

5.8

 2.4 %

 3.1 %

Fair value of stock options granted

$  40.43 

$  42.34 

$  30.47 

The following table summarizes information regarding our stock options:

Year ended December 31, 2021

Options
(in millions)

Weighted-
average
exercise price

Weighted-
average
remaining
contractual
life (in years)

Aggregate
intrinsic
value
(in millions)

Balance unexercised as of December 31, 2020

Granted

Exercised

Expired/forfeited

Balance unexercised as of December 31, 2021

Vested or expected to vest as of December 31, 2021

Exercisable as of December 31, 2021

4.7  $ 

1.3  $ 

(0.5)  $ 

(0.4)  $ 

5.1  $ 

4.9  $ 

2.0  $ 

179.90 

237.17 

137.95 

208.56 

197.27 

195.64 

165.46 

7.3 $ 

7.2 $ 

5.6 $ 

168 

167 

120 

The  total  intrinsic  values  of  options  exercised  during  the  years  ended  December  31,  2021,  2020  and  2019,  were  $56 
million, $98 million and $68 million, respectively. The actual tax benefits realized from tax deductions from option exercises 
during the years ended December 31, 2021, 2020 and 2019, were $12 million, $21 million and $15 million, respectively.

As of December 31, 2021, $346 million of unrecognized compensation cost was related to nonvested RSUs and unvested 

stock options, which is expected to be recognized over a weighted-average period of 1.8 years.

F-19

 
 
 
 
 
 
 
 
 
 
 
 
Performance units

Certain management-level employees also receive annual grants of performance units, which give the recipient the right to 
receive  common  stock  that  is  contingent  upon  achievement  of  specified  preestablished  goals  over  the  performance  period, 
which is generally three years. The performance goals for the units granted during the years ended December 31, 2021, 2020 
and 2019, which are accounted for as equity awards, are based on (i) Amgen’s stockholder return compared with a comparator 
group of companies, which are considered market conditions and are therefore reflected in the grant date fair values of the units, 
and  (ii)  Amgen’s  stand-alone  financial  performance  measures,  which  are  considered  performance  conditions.  The  expense 
recognized for awards is based on the grant date fair value of a unit multiplied by the number of units expected to be earned 
with respect to the related performance conditions, net of estimated forfeitures. Depending on the outcome of these performance 
goals, a recipient may ultimately earn a number of units greater or less than the number of units granted. Shares of our common 
stock are issued on a one-for-one basis for each performance unit earned. In general, performance unit awards vest at the end of 
the performance period. The performance award program provides for accelerated or continued vesting in certain circumstances 
as  defined  in  the  plan,  including  upon  death,  disability,  a  change  in  control  and  retirement  of  employees  who  meet  certain 
service and/or age requirements. Performance units accrue dividend equivalents that are typically payable in shares only when 
and to the extent the underlying performance units vest and are issued to the recipient, including with respect to market and 
performance conditions that affect the number of performance units earned.

We  use  a  payout  simulation  model  to  estimate  the  grant  date  fair  value  of  performance  units.  The  weighted-average 
assumptions used in the payout simulation model and the resulting weighted-average grant date fair values of performance units 
granted were as follows:

Years ended December 31,

2021

2020

2019

Closing price of our common stock on grant date

$ 

239.64 

$ 

236.36 

$ 

177.31 

Volatility

Risk-free interest rate

Fair value of units granted

 29.3 %

 0.3 %

 27.5 %

 0.2 %

 22.1 %

 2.3 %

$ 

254.68 

$ 

249.07 

$ 

188.40 

The payout simulation model assumes correlations of returns of the stock prices of our common stock and the common 
stocks of the comparator groups of companies and stock price volatilities of the comparator groups of companies to simulate 
stockholder returns over the performance periods and their resulting impact on the payout percentages based on the contractual 
terms of the performance units.

As  of  December  31,  2021  and  2020,  1.6  million  and  1.8  million  performance  units  were  outstanding,  with  weighted-
average grant date fair values per unit of $229.39 and $207.52 per unit, respectively. During the year ended December 31, 2021, 
0.6 million performance units with a weighted-average grant date fair value per unit of $254.68 were granted, and 0.2 million 
performance units with a weighted-average grant date fair value per unit of $226.32 were forfeited.

The total fair values of performance units paid during the years ended December 31, 2021, 2020 and 2019, were $149 
million,  $230  million  and  $176  million,  respectively,  based  on  the  number  of  performance  units  earned  multiplied  by  the 
closing stock price of our common stock on the last day of the performance period.

As of December 31, 2021, $130 million of unrecognized compensation cost was related to nonvested performance units, 

which is expected to be recognized over a weighted-average period of one year. 

5. Defined contribution plan

The Company has defined contribution plans to which certain employees of the Company and participating subsidiaries 
may  defer  compensation  for  income  tax  purposes.  Participants  are  eligible  to  receive  matching  contributions  based  on  their 
contributions, in addition to other Company contributions. Defined contribution plan expenses were $279 million, $231 million 
and $220 million for the years ended December 31, 2021, 2020 and 2019, respectively.

F-20

6. Income taxes

Income before income taxes included the following (in millions):

Domestic

Foreign

Total income before income taxes

The provision for income taxes included the following (in millions):

Current provision:

Federal

State

Foreign

Total current provision

Deferred benefit:

Federal

State

Foreign

Total deferred benefit

Total provision for income taxes

Years ended December 31,

2021

2020

2019

$ 

$ 

1,850  $ 

4,087  $ 

4,851 

4,046 

6,701  $ 

8,133  $ 

4,371 

4,767 

9,138 

Years ended December 31,

2021

2020

2019

$ 

865  $ 

921  $ 

18 

359 

1,242 

(308)   

(9)   

(117)   

(434)   

$ 

808  $ 

34 

277 

1,232 

(321)   

9 

(51)   

(363)   

869  $ 

1,284 

39 

277 

1,600 

(276) 

(22) 

(6) 

(304) 

1,296 

Deferred income taxes reflect the tax effect of temporary differences between the carrying amounts of assets and liabilities 
for financial reporting purposes and the amounts used for income tax purposes, tax credit carryforwards and the tax effects of 
NOL carryforwards. Significant components of our deferred tax assets and liabilities were as follows (in millions):

Deferred income tax assets:

NOL and credit carryforwards

Accrued expenses

Expenses capitalized for tax

Stock-based compensation

Other

Total deferred income tax assets

Valuation allowance

Net deferred income tax assets

Deferred income tax liabilities:

Acquired intangible assets

Debt

Fixed assets
Other
Total deferred income tax liabilities
Total deferred income taxes, net

December 31,

2021

2020

$ 

1,065  $ 

600 
244 
96 

326 

2,331 

(663)   

1,668 

(824)   

(275)   

(129)   

(221)   

(1,449)   

219  $ 

$ 

F-21

794 

561 
144 
92 

301 

1,892 

(571) 

1,321 

(903) 

(282) 

(148) 

(189) 

(1,522) 

(201) 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Valuation allowances are provided to reduce the amounts of our deferred tax assets to an amount that is more likely than 
not  to  be  realized  based  on  an  assessment  of  positive  and  negative  evidence,  including  estimates  of  future  taxable  income 
necessary to realize future deductible amounts.

The valuation allowance increased in 2021, primarily driven by the Company’s expectation that some state R&D credits 

will not be utilized and certain foreign and acquired net operating losses will expire unused.

As  of  December  31,  2021,  we  had  $75  million  of  federal  tax  credit  carryforwards  available  to  reduce  future  federal 
income  taxes  and  have  provided  no  valuation  allowance  for  those  federal  tax  credit  carryforwards.  The  federal  tax  credit 
carryforwards expire between 2023 and 2040. We had $798 million of state tax credit carryforwards available to reduce future 
state income taxes and have provided a valuation allowance for $709 million of those state tax credit carryforwards.

As of December 31, 2021, we had $606 million of federal NOL carryforwards available to reduce future federal income 
taxes  and  have  provided  a  valuation  allowance  for  $6  million  of  those  federal  NOL  carryforwards.  For  the  federal  NOL 
carryforwards for which no valuation allowance has been provided, $426 million have no expiration; the remainder begin to 
expire between 2022 and 2037. We had $391 million of state NOL carryforwards available to reduce future state income taxes 
and have provided a valuation allowance for $330 million of those state NOL carryforwards. We had $2.0 billion of foreign 
NOL carryforwards available to reduce future foreign income taxes and have provided a valuation allowance for $561 million 
of those foreign NOL carryforwards. For the foreign NOLs with no valuation allowance provided, $800 million has no expiry; 
and the remainder will expire between 2022 and 2031.

The reconciliations of the total gross amounts of UTBs were as follows (in millions):

Beginning balance

Additions based on tax positions related to the current year

Additions based on tax positions related to prior years

Reductions for tax positions of prior years

Settlements 

Ending balance

Years ended December 31,

2021

2020

2019

$ 

3,352  $ 

3,287  $ 

3,061 

171 

35 

(4)   

(8)   

165 

3 

(35)   

(68)   

215 

22 

(11) 

— 

$ 

3,546  $ 

3,352  $ 

3,287 

Substantially all of the UTBs as of December 31, 2021, if recognized, would affect our effective tax rate. During the year 
ended December 31, 2020, we effectively settled certain issues with the IRS. As a result, we remeasured our UTBs accordingly.

Interest and penalties related to UTBs are included in our provision for income taxes. During the years ended December 
31,  2021,  2020  and  2019,  we  recognized  $98  million,  $116  million  and  $198  million,  respectively,  of  interest  and  penalties 
through the income tax provision in the Consolidated Statements of Income. The decrease in interest expense for the year ended 
December 31, 2021, was primarily due to lower interest rates during 2021 and settlement of a prior year audit. As of December 
31, 2021 and 2020, accrued interest and penalties associated with UTBs were $881 million and $783 million, respectively.

F-22

 
 
 
 
 
 
 
 
The reconciliations between the federal statutory tax rate applied to income before income taxes and our effective tax rate 

were as follows:

Federal statutory tax rate

Foreign earnings

Foreign-derived intangible income

Credits, Puerto Rico excise tax

Interest on uncertain tax positions

Credits, primarily federal R&D

Acquisition IPR&D

Audit settlements

Other, net

Effective tax rate

Years ended December 31,

2021

2020

2019

 21.0 %

 (7.8) %

 (1.0) %

 (3.4) %

 1.1 %

 (2.1) %

 4.9 %

 — %

 (0.6) %

 12.1 %

 21.0 %

 (4.7) %

 (0.7) %

 (2.9) %

 1.1 %

 (1.4) %

 — %

 (1.0) %

 (0.7) %

 10.7 %

 21.0 %

 (4.5) %

 (0.7) %

 (2.6) %

 1.6 %

 (1.0) %

 — %

 — %

 0.4 %

 14.2 %

The  effective  tax  rates  for  the  years  ended  December  31,  2021,  2020  and  2019,  differ  from  the  federal  statutory  rate 
primarily due to impacts of the jurisdictional mix of income and expenses. Substantially all of the benefit to our effective tax 
rate from foreign earnings results from the Company’s operations in Puerto Rico, a territory of the United States that is treated 
as a foreign jurisdiction for U.S. tax purposes. Our operations in Puerto Rico are subject to tax incentive grants through 2035. 
Additionally, the Company’s operations conducted in Singapore are subject to a tax incentive grant through 2034. Our foreign 
earnings are also subject to U.S. tax at a reduced rate of 10.5%.

The U.S. territory of Puerto Rico imposes an excise tax on the gross intercompany purchase price of goods and services 
from our manufacturing site in Puerto Rico. The rate of 4% is effective through December 31, 2027. We account for the excise 
tax as a manufacturing cost that is capitalized in inventory and expensed in Cost of sales when the related products are sold. For 
U.S. income tax purposes in 2021, the excise tax results in foreign tax credits that are generally recognized in our provision for 
income taxes when the excise tax is incurred.

Income taxes paid during the years ended December 31, 2021, 2020 and 2019, were $1.9 billion, $1.4 billion and $1.9 

billion, respectively.

One or more of our legal entities file income tax returns in the U.S. federal jurisdiction, various U.S. state jurisdictions 
and  certain  foreign  jurisdictions.  Our  income  tax  returns  are  routinely  examined  by  tax  authorities  in  those  jurisdictions. 
Significant disputes may arise with tax authorities involving issues regarding the timing and amount of deductions, the use of 
tax credits and allocations of income and expenses among various tax jurisdictions because of differing interpretations of tax 
laws,  regulations  and  relevant  facts.  Tax  authorities  (including  the  IRS)  are  becoming  more  aggressive  and  are  particularly 
focused on such matters. 

In 2017, we received an RAR and a modified RAR from the IRS for the years 2010, 2011 and 2012 proposing significant 
adjustments  that  primarily  relate  to  the  allocation  of  profits  between  certain  of  our  entities  in  the  United  States  and  the  U.S. 
territory  of  Puerto  Rico.  We  disagreed  with  the  proposed  adjustments  and  calculations  and  pursued  resolution  with  the  IRS 
appeals  office  but  were  unable  to  reach  resolution.  In  July  2021,  we  filed  a  petition  in  the  U.S.  Tax  Court  to  contest  two 
duplicate  Notices  for  2010,  2011  and  2012  that  we  received  in  May  and  July  2021,  which  seek  to  increase  our  U.S.  taxable 
income.  The  Notices  seek  to  increase  our  U.S.  taxable  income  by  an  amount  that  would  result  in  additional  federal  tax  of 
approximately $3.6 billion plus interest. Any additional tax that could be imposed would be reduced by up to approximately 
$900 million of repatriation tax previously accrued on our foreign earnings. We firmly believe that the IRS’s positions set forth 
in the Notices are without merit, and we are contesting the Notices through the judicial process. 

In  2020,  we  received  an  RAR  and  a  modified  RAR  from  the  IRS  for  the  years  2013,  2014  and  2015,  also  proposing 
significant adjustments that primarily relate to the allocation of profits between certain of our entities in the United States and 
the U.S. territory of Puerto Rico similar to those proposed for the years 2010, 2011 and 2012. We disagreed with the proposed 
adjustments  and  calculations  and  pursued  resolution  with  the  IRS  appeals  office.  We  were  unable  to  reach  resolution  at  the 
administrative appeals level, and we anticipate that we will receive a statutory notice of deficiency for these years as well. We 
expect to contest any such notice related to 2013–15 through the judicial process. We are also currently under examination by 
the IRS for the years 2016, 2017 and 2018 and by a number of state and foreign tax jurisdictions.

F-23

Final resolution of these complex matters is not likely within the next 12 months. We believe our accrual for income tax 
liabilities  is  appropriate  based  on  past  experience,  interpretations  of  tax  law,  application  of  the  tax  law  to  our  facts  and 
judgments  about  potential  actions  by  tax  authorities;  however,  due  to  the  complexity  of  the  provision  for  income  taxes  and 
uncertain resolution of these matters, the ultimate outcome of any tax matters may result in payments substantially greater than 
amounts accrued and could have a material adverse impact on our consolidated financial statements.

We are no longer subject to U.S. federal income tax examinations for years ended on or before December 31, 2009.

7. Earnings per share

The  computation  of  basic  EPS  is  based  on  the  weighted-average  number  of  our  common  shares  outstanding.  The 
computation of diluted EPS is based on the weighted-average number of our common shares outstanding and dilutive potential 
common shares, which primarily include shares that may be issued under our stock option, restricted stock and performance 
unit award programs (collectively, dilutive securities), as determined by using the treasury stock method.

The computations for basic and diluted EPS were as follows (in millions, except per-share data):

Income (Numerator):

Net income for basic and diluted EPS

Shares (Denominator):

Weighted-average shares for basic EPS

Effect of dilutive securities

Weighted-average shares for diluted EPS

Basic EPS

Diluted EPS

Years ended December 31,

2021

2020

2019

$ 

5,893  $ 

7,264  $ 

7,842 

570 

3 

573 

586 

4 

590 

$ 

$ 

10.34  $ 

10.28  $ 

12.40  $ 

12.31  $ 

605 

4 

609 

12.96 

12.88 

For each of the three years ended December 31, 2021, the number of antidilutive employee stock-based awards excluded 

from the computation of diluted EPS was not significant.

8. Collaborations

A  collaborative  arrangement  is  a  contractual  arrangement  that  involves  a  joint  operating  activity.  Such  arrangements 
involve two or more parties that are both (i) active participants in the activity and (ii) exposed to significant risks and rewards 
dependent on the commercial success of the activity.

From  time  to  time,  we  enter  into  collaborative  arrangements  for  the  R&D,  manufacture  and/or  commercialization  of 
products and/or product candidates. These collaborations generally provide for nonrefundable upfront license fees, development 
and  commercial-performance  milestone  payments,  cost  sharing,  royalty  payments  and/or  profit  sharing.  Our  collaboration 
arrangements are performed with no guarantee of either technological or commercial success, and each arrangement is unique 
in nature. See Note 1, Summary of significant accounting policies, for additional discussion of revenues recognized under these 
types  of  arrangements.  Operating  expenses  for  costs  incurred  pursuant  to  these  arrangements  are  reported  in  their  respective 
expense  line  items  in  the  Consolidated  Statements  of  Income,  net  of  any  payments  due  to  or  reimbursements  due  from  our 
collaboration  partners,  with  such  reimbursements  being  recognized  at  the  time  the  party  becomes  obligated  to  pay.  Our 
significant arrangements are discussed below.

BeiGene, Ltd.

On  January  2,  2020,  we  acquired  a  20.5%  stake  in  BeiGene  for  approximately  $2.8  billion  in  cash  as  part  of  a 
collaboration  to  expand  our  oncology  presence  in  China.  For  additional  information  regarding  our  equity  investment  in 
BeiGene, see Note 9, Investments. Under the collaboration, BeiGene began selling XGEVA in 2020, BLINCYTO in 2021 and 
KYPROLIS  in  early  2022  in  China,  and  Amgen  shares  profits  and  losses  equally  during  the  initial  product-specific 
commercialization periods; thereafter, product rights may revert to Amgen, and Amgen will pay royalties to BeiGene on sales 
in China of such products for a specified period.

F-24

 
 
 
 
 
 
 
 
 
In addition, we jointly develop a portion of our oncology portfolio with BeiGene, which shares in global R&D costs by 
providing  cash  and  development  services  of  up  to  $1.25  billion.  Upon  regulatory  approval,  BeiGene  will  assume 
commercialization  rights  in  China  for  a  specified  period,  and  Amgen  and  BeiGene  will  share  profits  equally  until  certain  of 
these product rights revert to Amgen. Upon return of the product rights, Amgen will pay royalties to BeiGene on sales in China 
for a specified period. For product sales outside China, Amgen will also pay royalties to BeiGene.

During the years ended December 31, 2021 and 2020, net costs recovered from BeiGene for oncology product candidates 
were  $220  million  and  $225  million,  respectively,  and  were  recorded  as  an  offset  to  R&D  expense  in  the  Consolidated 
Statements  of  Income.  During  the  year  ended  December  31,  2021,  product  sales  from  Amgen  to  BeiGene  under  the 
collaboration were $72 million and were recorded in Product sales in the Consolidated Statements of Income. During the year 
ended December 31, 2021, profit and loss share expenses related to the initial product-specific commercialization period were 
$64  million  and  were  recorded  primarily  in  SG&A  expense  in  the  Consolidated  Statements  of  Income.  Product  sales  from 
Amgen to BeiGene and profit and loss share expenses were not material during the year ended December 31, 2020. Amounts 
owed from BeiGene for product sales were $21 million and $22 million as of December 31, 2021 and 2020, respectively, which 
are included in Trade receivables, net, in the Consolidated Balance Sheets. Net amounts owed from BeiGene for cost recoveries 
and profit and loss share payments were $61 million and $99 million as of December 31, 2021 and 2020, respectively, which 
are included in Other current assets in the Consolidated Balance Sheets.

Novartis Pharma AG

We are in a collaboration with Novartis to jointly develop and commercialize Aimovig. On January 31, 2022, concurrent 
with  the  settlement  of  the  previously  disclosed  litigation  between  Amgen  and  Novartis  we  modified  the  terms  of  the 
collaboration. See Note 19, Contingencies and commitments.

Arrangement through December 31, 2021

In  the  United  States,  Amgen  and  Novartis  jointly  developed  and  collaborated  on  the  commercialization  of  Aimovig. 
Amgen, as the principal, recognized product sales of Aimovig in the United States, shared U.S. commercialization costs with 
Novartis and paid Novartis a significant royalty on net sales in the United States. Novartis holds global co-development rights 
and exclusive commercial rights outside the United States and Japan for Aimovig (the ex-U.S. Novartis Rights). Novartis paid 
Amgen  double-digit  royalties  on  net  sales  of  the  product  in  the  ex-U.S.  Novartis  Rights  territories  and  funded  a  portion  of 
global  R&D  expenses.  In  addition,  Novartis  was  required  to  make  a  payment  to  Amgen  of  up  to  $100  million  if  certain 
commercial and expenditure thresholds were achieved with respect to Aimovig in the United States. 

Arrangement after January 1, 2022

Pursuant to the amendment effective January 1, 2022, Novartis retains the ex-U.S. Novartis Rights and will continue to 
pay double-digit royalties on net sales in the ex-U.S. Novartis Rights territories. In the United States, Novartis will no longer 
collaborate with Amgen, share Aimovig commercialization costs or pay milestones and Amgen will no longer pay royalties to 
Novartis  on  sales  of  Aimovig.  Amgen  and  Novartis  will  continue  to  share  development  expenses  worldwide.  In  the  United 
States, Novartis will no longer collaborate with Amgen or share Aimovig commercialization costs and Amgen will no longer 
pay royalties to Novartis on sales of Aimovig. Amgen and Novartis will continue to share development expenses worldwide.

Amgen manufactures and supplies Aimovig worldwide. 

During the years ended December 31, 2021, 2020 and 2019, net costs recovered from Novartis for migraine products were 
$160 million, $192 million and $187 million, respectively, and were recorded primarily in SG&A expense in the Consolidated 
Statements of Income. During the years ended December 31, 2021, 2020 and 2019, royalties due to Novartis for Aimovig were 
$116 million, $139 million and $115 million, respectively, and were recorded in Cost of sales in the Consolidated Statements of 
Income.  During  the  years  ended  December  31,  2021,  2020  and  2019,  royalties  due  from  Novartis  for  Aimovig  were  not 
material. 

Kyowa Kirin Co., Ltd.

On July 30, 2021, we closed our collaboration and licensing agreement with KKC to jointly develop and commercialize 
an  anti-OX40  fully  human  monoclonal  antibody  (AMG  451)  worldwide,  except  in  Japan.  AMG  451  is  for  the  treatment  of 
atopic dermatitis, with potential for treatment of other autoimmune diseases.

Under the terms of the agreement, we will lead the global development, manufacture and commercialization of AMG 451, 
except in Japan. KKC will co-promote AMG 451 with Amgen in the United States and have opt-in rights to co-promote AMG 
451 in various other markets outside the United States, including in Europe and Asia. 

F-25

We made an upfront payment of $400 million to KKC that was recognized in R&D expense in the third quarter of 2021. 
Amgen  and  KKC  will  share  equally  the  global  development  costs,  except  in  Japan,  and  the  U.S.  commercialization  costs. 
Outside the United States and Japan, any commercialization costs incurred by KKC will be reimbursed by Amgen. We may 
also  be  required  to  make  milestone  payments  of  up  to  $850  million  contingent  upon  the  achievement  of  certain  regulatory 
events and commercial thresholds. We will also pay KKC significant double-digit royalties on global sales, except in Japan. Net 
costs due to KKC were not material during the year ended December 31, 2021.

Other

In addition to the collaborations discussed above, we have various other collaborations that are not individually significant 
to our business at this time. Pursuant to the terms of those agreements, we may be required to pay additional amounts or we 
may receive additional amounts upon the achievement of various development and commercial milestones that in the aggregate 
could be significant. We may also incur or have reimbursed to us significant R&D costs if a related product candidate were to 
advance to late-stage clinical trials. In addition, if any products related to these collaborations are approved for sale, we may be 
required  to  pay  significant  royalties  or  we  may  receive  significant  royalties  on  future  sales.  The  payments  of  these  amounts, 
however, are contingent upon the occurrence of various future events that have high degrees of uncertainty of occurrence.

9. Investments

Available-for-sale investments

The  amortized  cost,  gross  unrealized  gains,  gross  unrealized  losses  and  fair  values  of  interest-bearing  securities,  all  of 

which are considered available-for-sale, by type of security were as follows (in millions):

Types of securities as of December 31, 2021
U.S. Treasury notes

U.S. Treasury bills

Money market mutual funds

Other short-term interest-bearing securities

Total available-for-sale investments

Types of securities as of December 31, 2020
U.S. Treasury notes

U.S. Treasury bills

Money market mutual funds

Other short-term interest-bearing securities

Total available-for-sale investments

Amortized
cost

Gross
unrealized
gains

Gross
unrealized
losses

Fair
values

$ 

47  $ 

—  $ 

—  $ 

1,400 

5,856 

1 

— 

— 

— 

— 

— 

— 

47 

1,400 

5,856 

1 

$ 

7,304  $ 

—  $ 

—  $ 

7,304 

Amortized
cost

Gross
unrealized
gains

Gross
unrealized
losses

Fair
values

$ 

129  $ 

1  $ 

—  $ 

4,948 

4,765 

2 
9,844  $ 

$ 

— 

— 

— 
1  $ 

— 

— 

— 
—  $ 

130 

4,948 

4,765 

2 
9,845 

The  fair  values  of  available-for-sale  investments  by  location  in  the  Consolidated  Balance  Sheets  were  as  follows  (in 

millions):

Consolidated Balance Sheets locations
Cash and cash equivalents

Marketable securities

Total available-for-sale investments

December 31,

2021

2020

$ 

$ 

7,256  $ 

48 

7,304  $ 

5,464 

4,381 

9,845 

Cash  and  cash  equivalents  in  the  above  table  excludes  bank  account  cash  of  $733  million  and  $802  million  as  of 

December 31, 2021 and 2020, respectively.

F-26

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The fair values of available-for-sale investments by contractual maturity were as follows (in millions):

Contractual maturities
Maturing in one year or less

Maturing after one year through three years

Total available-for-sale investments

December 31,

2021

2020

$ 

$ 

7,304  $ 

— 

7,304  $ 

9,795 

50 

9,845 

For  the  years  ended  December  31,  2021  and  2020,  realized  gains  and  losses  on  interest-bearing  securities  were  not 
material.  For  the  year  ended  December  31,  2019,  realized  gains  on  interest-bearing  securities  were  $92  million  and  realized 
losses  were  not  material.  Realized  gains  and  losses  on  interest-bearing  securities  are  recorded  in  Other  income,  net,  in  the 
Consolidated Statements of Income. The cost of securities sold is based on the specific-identification method.

The  primary  objective  of  our  investment  portfolio  is  to  maintain  safety  of  principal,  prudent  levels  of  liquidity  and 
acceptable levels of risk. Our investment policy limits interest-bearing security investments to certain types of debt and money 
market  instruments  issued  by  institutions  with  investment-grade  credit  ratings,  and  it  places  restrictions  on  maturities  and 
concentration by asset class and issuer.

Equity securities

We  held  investments  in  equity  securities  with  readily  determinable  fair  values  of  $611  million  and  $477  million  as  of 
December 31, 2021 and 2020, respectively, which are included in Other noncurrent assets in the Consolidated Balance Sheets. 
For the years ended December 31, 2021, 2020 and 2019, net unrealized gains on publicly traded securities were $161 million, 
$174  million  and  $112  million,  respectively.  Realized  gains  and  losses  on  publicly  traded  securities  for  the  years  ended 
December 31, 2021, 2020 and 2019, were not material. 

We held investments of $262 million and $203 million in equity securities without readily determinable fair values as of 
December 31, 2021 and 2020, respectively, which are included in Other noncurrent assets in the Consolidated Balance Sheets. 
For  the  year  ended  December  31,  2021,  gains  due  to  upward  adjustments  on  these  securities  were  $152  million,  and  gains 
realized on the dispositions of these securities were $41 million; for the years ended December 31, 2020 and 2019, gains due to 
upward adjustments and gains realized upon dispositions of these securities were not material. For the years ended December 
31, 2021, 2020 and 2019, downward adjustments to the carrying values of these securities were not material. Adjustments were 
based on observable price transactions.

Equity Method Investments

BeiGene, Ltd.

On  January  2,  2020,  we  acquired  a  20.5%  ownership  interest  in  BeiGene  for  $2.8  billion,  of  which  $2.6  billion  was 
attributed  to  the  fair  value  of  equity  securities  upon  closing,  with  the  remainder  attributed  to  prepaid  R&D.  Our  equity 
investment  in  BeiGene  is  included  in  Other  noncurrent  assets  in  the  Consolidated  Balance  Sheets.  Our  equity  investment  is 
accounted for under the equity method of accounting due to our ability to exert significant influence over BeiGene. See Note 1, 
Summary of significant accounting policies, for factors in concluding our ability to exert significant influence over BeiGene. 
The fair value of equity securities acquired exceeded our proportionate share of the carrying value of the underlying net assets 
of  BeiGene  by  approximately  $2.4  billion.  The  equity  method  of  accounting  requires  us  to  identify  and  allocate  amounts  to 
items that give rise to the basis difference and to amortize these items over their useful lives. This amortization, along with our 
share  of  the  results  of  operations  of  BeiGene,  is  included  in  Other  income,  net,  in  our  Consolidated  Statements  of  Income. 
Recognition  occurs  one  quarter  in  arrears,  which  began  in  the  second  quarter  of  2020.  The  basis  difference  was  allocated  to 
finite-lived intangible assets, indefinite-lived intangible assets, equity-method goodwill and related deferred taxes. The finite-
lived intangible assets are being amortized over a period ranging from 8 to 15 years.

During the years ended December 31, 2021 and 2020, the carrying value of the investment was reduced by our share of 
BeiGene’s net losses of $265 million and $229 million, respectively, and amortization of the basis difference of $172 million 
and $109 million, respectively. During the years ended December 31, 2021 and 2020, we increased the carrying value by $50 
million and $569 million, respectively, as a result of our purchase of additional shares of BeiGene. In addition, during the years 
ended  December  31,  2021  and  2020,  the  carrying  value  increased  by  $265  million  and  $34  million,  respectively,  from  the 
impact of other BeiGene ownership transactions. 

F-27

 
 
As  of  December  31,  2021  and  2020,  our  ownership  interest  in  BeiGene  was  approximately  18.4%  and  20.5%, 
respectively. As of December 31, 2021 and 2020, the carrying value of our investment in BeiGene was $2.8 billion and $2.9 
billion, respectively. As of December 31, 2021 and 2020, the fair value of our investment in BeiGene was $5.1 billion and $4.9 
billion, respectively. We believe that as of December 31, 2021, the carrying value of our equity investment in BeiGene is fully 
recoverable. For information on a collaboration agreement we entered into with BeiGene in connection with this investment, 
see Note 8, Collaborations.

Neumora Therapeutics, Inc.

 On September 30, 2021, we acquired an approximately 25.9% ownership interest in Neumora, a privately held company, 
for  $257  million,  which  is  included  in  Other  noncurrent  assets  in  the  Consolidated  Balance  Sheets,  in  exchange  for  a 
$100 million cash payment and $157 million in noncash consideration primarily related to future services. Although our equity 
investment provides us with the ability to exercise significant influence over Neumora, we have elected the fair value option to 
account  for  our  equity  investment.  Under  the  fair  value  option,  changes  in  the  fair  value  of  the  investment  are  recognized 
through  earnings  each  reporting  period.  We  believe  the  fair  value  option  best  reflects  the  economics  of  the  underlying 
transaction. As of December 31, 2021, our ownership interest in Neumora remained at approximately 25.9%, and the fair value 
of our investment was $220 million. Accordingly, during the fourth quarter of 2021, we recognized a loss of $37 million for the 
reduction in the fair value in Other income, net, in the Consolidated Statements of Income. For information on determination of 
fair values, see Note 17, Fair value measurement.

Limited partnerships

We  held  limited  partnership  investments  of  $573  million  and  $496  million  as  of  December  31,  2021  and  2020, 
respectively, which are included in Other noncurrent assets in the Consolidated Balance Sheets. These investments, which are 
primarily  investment  funds  of  early-stage  biotechnology  companies,  are  accounted  for  by  using  the  equity  method  of 
accounting and are measured by using our proportionate share of the net asset values of the underlying investments held by the 
limited  partnerships  as  a  practical  expedient.  These  investments  are  typically  redeemable  only  through  distributions  upon 
liquidation  of  the  underlying  assets.  As  of  December  31,  2021,  unfunded  additional  commitments  to  be  made  for  these 
investments during the next several years were $185 million. For the years ended December 31, 2021, 2020 and 2019, net gains 
recognized from our limited partnership investments were $143 million, $241 million and $27 million, respectively.

10. Inventories

Inventories consisted of the following (in millions):

Raw materials

Work in process

Finished goods

Total inventories

December 31,

2021

2020

$ 

$ 

647  $ 

2,367 

1,072 
4,086  $ 

486 

2,437 

970 
3,893 

F-28

 
 
 
 
11. Property, plant and equipment

Property, plant and equipment consisted of the following (dollar amounts in millions):

Land

Buildings and improvements

Manufacturing equipment

Laboratory equipment

Fixed equipment

Capitalized software

Other

Construction in progress

Property, plant and equipment, gross

Less accumulated depreciation and amortization

Property, plant and equipment, net

Useful life (in years)

2021

2020

December 31,

—

10-40

8-12

8-12

12

3-5

5-10

—

$ 

279  $ 

4,028 

3,080 

1,193 

2,402 

1,151 

862 

987 

13,982 

(8,798)   

$ 

5,184  $ 

259 

3,857 

2,865 

1,257 

2,406 

1,216 

1,091 

915 

13,866 

(8,977) 

4,889 

During  the  years  ended  December  31,  2021,  2020  and  2019,  we  recognized  depreciation  and  amortization  expense 

associated with our property, plant and equipment of $644 million, $640 million and $635 million, respectively.

Geographic information

Certain geographic information with respect to property, plant and equipment, net (long-lived assets), was as follows (in 

millions):

United States

Puerto Rico

ROW

Total property, plant and equipment, net

12. Goodwill and other intangible assets

Goodwill

The changes in the carrying amounts of goodwill were as follows (in millions):

Beginning balance

Addition from acquisitions

Currency translation adjustments

Ending balance

December 31,

2021

2020

$ 

$ 

2,801  $ 

1,311 

1,072 

5,184  $ 

2,473 

1,331 

1,085 

4,889 

December 31,

2021

2020

$ 

14,689  $ 

14,703 

251 

(50)   

— 

(14) 

$ 

14,890  $ 

14,689 

F-29

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Other intangible assets

Other intangible assets consisted of the following (in millions):

December 31,

2021

2020

Gross
carrying
amounts

Accumulated
amortization

Other 
intangible
assets, net

Gross
carrying
amounts

Accumulated
amortization

Other 
intangible
assets, net

Finite-lived intangible assets:

Developed-product-technology rights

$ 

25,561  $ 

(12,769)  $ 

12,792  $ 

25,591  $ 

(10,564)  $ 

15,027 

Licensing rights

Marketing-related rights

R&D technology rights

3,807 

1,354 

1,377 

(2,973)   

(1,112)   

(1,133)   

834 

242 

244 

3,743 

1,367 

1,317 

(2,791)   

(1,041)   

(1,065)   

952 

326 

252 

Total finite-lived intangible assets

32,099 

(17,987)   

14,112 

32,018 

(15,461)   

16,557 

Indefinite-lived intangible assets:

IPR&D

1,070 

— 

1,070 

30 

— 

30 

Total other intangible assets

$ 

33,169  $ 

(17,987)  $ 

15,182  $ 

32,048  $ 

(15,461)  $ 

16,587 

Developed-product-technology rights consists of rights related to marketed products acquired in acquisitions. Licensing 
rights  consists  primarily  of  contractual  rights  acquired  in  acquisitions  to  receive  future  milestone,  royalty  and  profit-sharing 
payments; capitalized payments to third parties for milestones related to regulatory approvals to commercialize products; and 
up-front  payments  associated  with  royalty  obligations  for  marketed  products.  Marketing-related  rights  consists  primarily  of 
rights related to the sale and distribution of marketed products. R&D technology rights pertains to technologies used in R&D 
that have alternative future uses. 

IPR&D consists of R&D projects acquired in a business combination that are not complete at the time of acquisition due 
to remaining technological risks and/or lack of receipt of required regulatory approvals. All IPR&D projects have major risks 
and uncertainties associated with the timely and successful completion of the development and commercialization of product 
candidates, including our ability to confirm safety and efficacy based on data from clinical trials, our ability to obtain necessary 
regulatory approvals and our ability to successfully complete these tasks within budgeted costs. We are not permitted to market 
a  human  therapeutic  without  obtaining  regulatory  approvals,  and  such  approvals  require  the  completion  of  clinical  trials  that 
demonstrate  that  a  product  candidate  is  safe  and  effective.  In  addition,  the  availability  and  extent  of  coverage  and 
reimbursement  from  third-party  payers,  including  government  healthcare  programs  and  private  insurance  plans  as  well  as 
competitive product launches, affect the revenues a product can generate. Consequently, the eventual realized values, if any, of 
acquired  IPR&D  projects  may  vary  from  their  estimated  fair  values.  We  review  IPR&D  projects  for  impairment  annually, 
whenever  events  or  changes  in  circumstances  indicate  that  the  carrying  amounts  may  not  be  recoverable  and  upon  the 
establishment of technological feasibility or regulatory approval.

During  the  year  ended  December  31,  2021,  we  acquired  certain  finite-lived  and  indefinite-lived  intangible  assets  as  a 
result of the Teneobio acquisition, including IPR&D of $1.1 billion, R&D technology rights of $94 million and licensing rights 
of $41 million. See Note 2, Acquisitions.

During the years ended December 31, 2021, 2020 and 2019, we recognized amortization associated with our finite-lived 
intangible  assets  of  $2.6  billion,  $2.8  billion  and  $1.4  billion,  respectively.  Amortization  of  intangible  assets  is  included 
primarily  in  Cost  of  sales  in  the  Consolidated  Statements  of  Income.  The  total  estimated  amortization  for  our  finite-lived 
intangible  assets  for  the  years  ending  December  31,  2022,  2023,  2024,  2025  and  2026,  are  $2.5  billion,  $2.5  billion,  $2.4 
billion, $2.2 billion and $1.8 billion, respectively. 

F-30

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
13. Leases

We  lease  certain  facilities  and  equipment  related  primarily  to  administrative,  R&D  and  sales  and  marketing  activities. 
Leases  with  terms  of  12  months  or  less  are  expensed  on  a  straight-line  basis  over  the  term  and  are  not  recorded  in  the 
Consolidated Balance Sheets.

Most leases include one or more options to renew, with renewal terms that may extend the lease term up to seven years. 
The  exercise  of  lease  renewal  options  is  at  our  sole  discretion.  In  addition,  some  of  our  lease  agreements  include  rental 
payments  adjusted  periodically  for  inflation.  Our  lease  agreements  neither  contain  residual  value  guarantees  nor  impose 
significant restrictions or covenants. We sublease certain real estate to third parties. Our sublease portfolio consists of operating 
leases from former R&D and administrative space.

The following table summarizes information related to our leases, all of which are classified as operating, included in our 

Consolidated Balance Sheets (in millions):

Consolidated Balance Sheets locations

Assets:

Other noncurrent assets

Liabilities:

Accrued liabilities

Other noncurrent liabilities

Total lease liabilities

December 31,

2021

2020

$ 

$ 

$ 

566  $ 

145  $ 

525 

670  $ 

The components of net lease costs were as follows (in millions): 

Lease costs
Operating(1)
Sublease income

Total net lease costs

____________

Years ended December 31,

2021

2020

2019

$ 

$ 

237  $ 

(38)   

199  $ 

223  $ 

(34)   

189  $ 

408 

153 

306 

459 

204 

(33) 

171 

(1)  Includes short-term leases and variable lease costs, which were not material for the years ended December 31, 2021, 2020 

and 2019.

Maturities of lease liabilities as of December 31, 2021, were as follows (in millions): 

Maturity dates

2022
2023

2024

2025

2026

Thereafter

Total lease payments(1)

Less imputed interest

Present value of lease liabilities

____________

Amounts

$ 

$ 

148 
148 

75 

49 

44 

289 

753 

(83) 

670 

(1)  Includes future rental commitments for abandoned leases of $138 million. We expect to receive total future rental income of 

$108 million related to noncancelable subleases for abandoned facilities. 

F-31

 
 
 
 
 
 
 
 
 
 
The weighted-average remaining lease terms and weighted-average discount rates were as follows:

Weighted-average remaining lease term (in years)

Weighted-average discount rate

Cash and noncash information related to our leases was as follows (in millions): 

December 31,

2021

2020

8.3

 2.5 %

3.7

 3.1 %

Years ended December 31,

2021

2020

2019

Cash paid for amounts included in the measurement of lease 
liabilities:

Operating cash flows for operating leases

ROU assets obtained in exchange for lease obligations:

Operating leases

$ 

$ 

190  $ 

177  $ 

340  $ 

101  $ 

148 

163 

As of December 31, 2021, we have entered into leases that have not yet commenced, with total undiscounted future lease 

payments of $35 million. These leases will commence in 2022 with lease terms from 4 to 6 years.

14. Other current assets and accrued liabilities

Other current assets consisted of the following (in millions):

Prepaid expenses

Corporate partner receivables

Tax receivables

Other

Total other current assets

Accrued liabilities consisted of the following (in millions):

Sales deductions
Dividends payable
Employee compensation and benefits

Income taxes payable

Sales returns reserve

Other

Total accrued liabilities

December 31,

2021

2020

$ 

1,223  $ 

1,156 

780 

164 

200 

583 

216 

124 

$ 

2,367  $ 

2,079 

December 31,

2021

2020

$ 

5,174  $ 
1,083 
1,081 

701 

542 

2,150 

$ 

10,731  $ 

4,801 
1,018 
1,098 

828 

474 

1,922 

10,141 

F-32

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
15. Financing arrangements

Our borrowings consisted of the following (in millions):

1.25% €1,250 million notes due 2022 (1.25% 2022 euro Notes)
2.70% notes due 2022 (2.70% 2022 Notes)
2.65% notes due 2022 (2.65% 2022 Notes)
3.625% notes due 2022 (3.625% 2022 Notes)
0.41% CHF700 million bonds due 2023 (0.41% 2023 Swiss franc Bonds)
2.25% notes due 2023 (2.25% 2023 Notes)
3.625% notes due 2024 (3.625% 2024 Notes)
1.90% notes due 2025 (1.90% 2025 Notes)
3.125% notes due 2025 (3.125% 2025 Notes)
2.00% €750 million notes due 2026 (2.00% 2026 euro Notes)
2.60% notes due 2026 (2.60% 2026 Notes)
5.50% £475 million notes due 2026 (5.50% 2026 pound sterling Notes)
2.20% notes due 2027 (2.20% 2027 Notes)
3.20% notes due 2027 (3.20% 2027 Notes)
1.65% notes due in 2028 (1.65% 2028 Notes)
4.00% £700 million notes due 2029 (4.00% 2029 pound sterling Notes)
2.45% notes due 2030 (2.45% 2030 Notes)
2.30% notes due 2031 (2.30% 2031 Notes)
2.00% notes due 2032 (2.00% 2032 Notes)
6.375% notes due 2037 (6.375% 2037 Notes)
6.90% notes due 2038 (6.90% 2038 Notes)
6.40% notes due 2039 (6.40% 2039 Notes)
3.15% notes due 2040 (3.15% 2040 Notes)
5.75% notes due 2040 (5.75% 2040 Notes)
2.80% notes due 2041 (2.80% 2041 Notes)
4.95% notes due 2041 (4.95% 2041 Notes)
5.15% notes due 2041 (5.15% 2041 Notes)
5.65% notes due 2042 (5.65% 2042 Notes)
5.375% notes due 2043 (5.375% 2043 Notes)
4.40% notes due 2045 (4.40% 2045 Notes)
4.563% notes due 2048 (4.563% 2048 Notes)
3.375% notes due 2050 (3.375% 2050 Notes)
4.663% notes due 2051 (4.663% 2051 Notes)
3.00% notes due 2052 (3.00% 2052 Notes)
2.77% notes due 2053 (2.77% 2053 Notes)
Other notes due 2097
Unamortized bond discounts, premiums and issuance costs, net
Fair value adjustments
Other

Total carrying value of debt

Less current portion

Total long-term debt

December 31,

2021

2020

— 
— 
— 
— 
767 
750 
1,400 
500 
1,000 
853 
1,250 
643 
1,750 
1,000 
1,250 
947 
1,250 
1,250 
1,250 
478 
254 
333 
2,000 
373 
1,150 
600 
729 
415 
185 
2,250 
1,415 
2,250 
3,541 
1,350 
940 
100 
(1,213)   
284 
15 
33,309 

(87)   
33,222  $ 

$ 

1,527 
500 
1,500 
750 
791 
750 
1,400 
500 
1,000 
916 
1,250 
649 
1,750 
1,000 
— 
957 
1,250 
1,250 
— 
478 
254 
333 
2,000 
373 
— 
600 
729 
415 
185 
2,250 
1,415 
2,250 
3,541 
— 
940 
100 
(1,188) 
566 
5 
32,986 
(91) 
32,895 

There  are  no  material  differences  between  the  effective  interest  rates  and  the  coupon  rates  of  any  of  our  borrowings, 
except for the 4.563% 2048 Notes, the 4.663% 2051 Notes and the 2.77% 2053 Notes, which have effective interest rates of 
6.3%, 5.6% and 5.2%, respectively.

F-33

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Under  the  terms  of  all  of  our  outstanding  notes,  except  our  Other  notes  due  2097,  in  the  event  of  a  change-in-control 
triggering event we may be required to purchase all or a portion of these debt securities at prices equal to 101% of the principal 
amounts of the notes plus accrued and unpaid interest. In addition, all of our outstanding notes—except our 0.41% 2023 Swiss 
franc  Bonds  and  Other  notes  due  2097—may  be  redeemed  at  any  time  at  our  option—in  whole  or  in  part—at  the  principal 
amounts  of  the  notes  being  redeemed  plus  accrued  and  unpaid  interest  and  make-whole  amounts,  which  are  defined  by  the 
terms of the notes. Certain of the redeemable notes do not require the payment of make-whole amounts if redeemed during a 
specified period of time immediately prior to the maturity of the notes. Such time periods range from one month to six months 
prior to maturity.

Debt issuances

During the years ended December 31, 2021 and 2020, we issued debt securities in the following offerings:

•

•

In 2021, we issued $5.0 billion of debt consisting of $1.25 billion of the 1.65% 2028 Notes, $1.25 billion of the 2.00% 
2032 Notes, $1.15 billion of the 2.80% 2041 Notes and $1.35 billion of the 3.00% 2052 Notes. 

In 2020, we issued $9.0 billion of debt consisting of $500 million of the 1.90% 2025 Notes, $1.75 billion of the 2.20% 
2027 Notes, $1.25 billion of the 2.45% 2030 Notes, $1.25 billion of the 2.30% 2031 Notes, $2.0 billion of the 3.15% 2040 
Notes and $2.25 billion of the 3.375% 2050 Notes.

We did not issue any debt or debt securities during the year ended December 31, 2019. 

Debt repayments/redemptions

We made debt repayments/redemptions during the years ended December 31, 2021, 2020 and 2019, as follows:

•

•

•

In  2021,  we  redeemed  $4.2  billion  of  debt,  including  the  €1.25  billion  aggregate  principal  amount  ($1.4  billion  upon 
settlement of the related cross-currency swap) of the 1.25% 2022 euro Notes, the $500 million aggregate principal amount 
of  the  2.70%  2022  Notes,  the  $1.5  billion  aggregate  principal  amount  of  the  2.65%  2022  Notes  and  the  $750  million 
aggregate principal amount of the 3.625% 2022 Notes. In connection with the redemption of these notes, we paid a total 
of $24 million in make-whole amounts plus associated accrued and unpaid interest, all of which was recognized in Interest 
expense, net, in the Consolidated Statements of Income.

In  2020,  we  repaid/redeemed  $6.5  billion  of  debt,  including  the  repayment  at  maturity  of  the  $300  million  aggregate 
principal amount of the 4.50% 2020 Notes, the $750 million aggregate principal amount of the 2.125% 2020 Notes, the 
$300 million Floating Rate Notes due 2020 and the $700 million aggregate principal amount of the 2.20% 2020 Notes. In 
connection with the redemption of the $900 million aggregate principal amount of the 3.45% 2020 Notes, the $1.0 billion 
aggregate  principal  balance  of  the  4.10%  2021  Notes,  the  $750  million  aggregate  principal  balance  of  the  1.85%  2021 
Notes and the $1.75 billion aggregate principal balance of the 3.875% 2021 Notes, we paid a total of $96 million in make-
whole amounts plus associated accrued and unpaid interest, all of which was recognized in Interest expense, net, in the 
Consolidated Statements of Income.

In 2019, we repaid $4.5 billion of debt, including the $1.4 billion aggregate principal amount of the 2.20% 2019 Notes, 
the  $1.0  billion  aggregate  principal  amount  of  the  5.70%  2019  Notes,  the  €675  million  aggregate  principal  amount 
($864  million  upon  settlement  of  the  related  cross-currency  swap)  of  the  2.125%  2019  euro  Notes,  the  $700  million 
aggregate principal amount of the 1.90% 2019 Notes and the $550 million Floating Rate Notes due 2019.

Interest rate swaps

To achieve a desired mix of fixed-rate and floating-rate debt, we entered into interest rate swap contracts that effectively 
converted fixed-rate interest coupons for certain of our debt issuances to floating LIBOR-based coupons over the lives of the 
respective notes. These interest rate swap contracts qualified and are designated as fair value hedges.

During the year ended December 31, 2021, we entered into interest rate swap contracts with an aggregate notional amount 
of  $1.0  billion  with  respect  to  the  2.45%  2030  Notes  and  an  aggregate  notional  amount  of  $500  million  with  respect  to  the 
2.30% 2031 Notes. In connection with the redemption of the 3.625% 2022 Notes, discussed above, associated interest rate swap 
contracts with an aggregate notional amount of $750 million were terminated.

F-34

In  connection  with  the  redemption  of  certain  of  the  notes  during  the  year  ended  December  31,  2020,  discussed  above, 
associated interest rate swap contracts with an aggregate notional value of $3.65 billion were terminated. In addition, because of 
historically low interest rates, during the year ended December 31, 2020, we terminated interest rate swaps with an aggregate 
notional  amount  of  $5.2  billion  that  hedged  the  3.625%  2024  Notes,  the  2.60%  2026  Notes,  the  4.663%  2051  Notes  and 
portions  of  the  3.625%  2022  Notes  and  the  3.125%  2025  Notes,  which  resulted  in  the  receipt  of  $576  million  of  cash  and 
reduced counterparty credit risk. Immediately following the terminations of these contracts, we entered into new interest rate 
swap  agreements  at  then-current  interest  rates  on  the  same  $5.2  billion  principal  amount  of  notes.  See  Note  18,  Derivative 
instruments.

The effective interest rates on notes for which we have entered into interest rate swap contracts and the related notional 

amounts of these contracts were as follows (dollar amounts in millions):

Notes

3.625% 2022 Notes

3.625% 2024 Notes

3.125% 2025 Notes

2.60% 2026 Notes

2.45% 2030 Notes

2.30% 2031 Notes

4.663% 2051 Notes

Total notional amounts

N/A = not applicable

Debt exchange

December 31, 2021

December 31, 2020

Notional 
amounts

Effective interest 
rates

Notional 
amounts

Effective interest 
rates

$ 

— 

N/A

$ 

750  LIBOR + 2.7%

1,400  LIBOR + 3.2%  

1,400  LIBOR + 3.2%

1,000  LIBOR + 1.8%  

1,000  LIBOR + 1.8%

1,250  LIBOR + 1.8%  

1,250  LIBOR + 1.8%

1,000  LIBOR + 1.0%  

500  LIBOR + 0.8%  

— 

— 

N/A

N/A

1,500  LIBOR +4.1%  

1,500  LIBOR + 4.1%

$ 

6,650 

$ 

5,900 

In 2020, we completed a private offering to exchange portions of certain outstanding senior notes due 2037 through 2043 
(collectively,  Old  Notes),  listed  below,  for  the  $940  million  principal  amount  of  the  newly  issued  2.77%  2053  Notes  (the 
Exchange Offer).

The  following  principal  amounts  of  each  series  of  Old  Notes  were  validly  tendered  and  subsequently  canceled  in 

connection with the Exchange Offer (in millions):

6.375% 2037 Notes
6.90% 2038 Notes
6.40% 2039 Notes

5.75% 2040 Notes

5.15% 2041 Notes

5.65% 2042 Notes

5.375% 2043 Notes

Principal amount 
exchanged

$ 
$ 
$ 

$ 

$ 

$ 

$ 

74 
37 
133 

39 

245 

72 

76 

The  2.77%  2053  Notes  bear  interest  at  a  lower  fixed  coupon  rate  while  requiring  higher  principal  repayment  at  a  later 
maturity date as compared to those of the Old Notes that were exchanged. There were no other significant changes to the terms 
between the Old Notes and the 2.77% 2053 Notes. In connection with the Exchange Offer, $85 million was paid to holders of 
the Old Notes (the cash consideration).

The Exchange Offer was accounted for as a debt modification, and accordingly, deferred financing costs and discounts 
associated with the Old Notes, the cash consideration and the $264 million discount associated with the 2.77% 2053 Notes are 
being accreted over the term of these newly issued notes and recorded as Interest expense, net, in the Consolidated Statements 
of Income.

F-35

 
 
 
 
 
 
Cross-currency swaps

To hedge our exposure to foreign currency exchange rate risk associated with certain of our long-term notes denominated 
in  foreign  currencies,  we  entered  into  cross-currency  swap  contracts.  The  terms  of  these  contracts  effectively  convert  the 
interest payments and principal repayments on our 0.41% 2023 Swiss franc Bonds, 2.00% 2026 euro Notes, 5.50% 2026 pound 
sterling Notes and 4.00% 2029 pound sterling Notes from euros, pounds sterling and Swiss francs to U.S. dollars. These cross-
currency swap contracts have been designated as cash flow hedges. For information regarding the terms of these contracts, see 
Note 18, Derivative instruments.

In  connection  with  the  redemption  of  the  1.25%  2022  euro  Notes,  discussed  above,  associated  cross-currency  swap 

contracts with an aggregate notional amount of €1.25 billion were terminated. 

Shelf registration statement and other facilities

As of December 31, 2021, we have a commercial paper program that allows us to issue up to $2.5 billion of unsecured 
commercial  paper  to  fund  our  working-capital  needs.  As  of  December  31,  2021  and  2020,  we  had  no  amounts  outstanding 
under our commercial paper program.

In 2019, we amended and restated our $2.5 billion syndicated, unsecured, revolving credit agreement, which is available 
for  general  corporate  purposes  or  as  a  liquidity  backstop  to  our  commercial  paper  program.  The  commitments  under  the 
revolving credit agreement may be increased by up to $750 million with the agreement of the banks. Each bank that is a party to 
the  agreement  has  an  initial  commitment  term  of  five  years.  This  term  may  be  extended  for  up  to  two  additional  one-year 
periods with the agreement of the banks. Annual commitment fees for this agreement are 0.09% of the unused portion of the 
facility  based  on  our  current  credit  rating.  Generally,  we  would  be  charged  interest  for  any  amounts  borrowed  under  this 
facility,  based  on  our  current  credit  rating,  at  (i)  LIBOR  plus  1%  or  (ii)  the  highest  of  (A)  the  syndication  agent  bank  base 
commercial lending rate, (B) the overnight federal funds rate plus 0.50% or (C) one-month LIBOR plus 1%. The agreement 
contains  provisions  relating  to  the  determination  of  successor  rates  to  address  the  possible  phase-out  or  unavailability  of 
designated reference rates. As of December 31, 2021 and 2020, no amounts were outstanding under this facility.

In February 2020, we filed a shelf registration statement with the SEC that allows us to issue unspecified amounts of debt 
securities; common stock; preferred stock; warrants to purchase debt securities, common stock, preferred stock or depository 
shares;  rights  to  purchase  common  stock  or  preferred  stock;  securities  purchase  contracts;  securities  purchase  units;  and 
depository shares. Under this shelf registration statement, all of the securities available for issuance may be offered from time to 
time with terms to be determined at the time of issuance. This shelf registration statement expires in February 2023.

Certain  of  our  financing  arrangements  contain  nonfinancial  covenants.  In  addition,  our  revolving  credit  agreement 
includes  a  financial  covenant,  which  requires  us  to  maintain  a  specified  minimum  interest  coverage  ratio  of  (i)  the  sum  of 
consolidated net income, interest expense, provision for income taxes, depreciation expense, amortization expense, unusual or 
nonrecurring charges and other noncash items (Consolidated EBITDA) to (ii) Consolidated Interest Expense, each as defined 
and  described  in  the  credit  agreement.  We  were  in  compliance  with  all  applicable  covenants  under  these  arrangements  as  of 
December 31, 2021.

Contractual maturities of debt obligations

The aggregate contractual maturities of all borrowings due subsequent to December 31, 2021, are as follows (in millions):

Maturity dates

2022

2023
2024

2025

2026

Thereafter

Total

Interest costs

Amounts

— 

1,517 

1,400 

1,500 

2,746 

27,075 

34,238 

$ 

$ 

Interest costs are expensed as incurred except to the extent such interest is related to construction in progress, in which 
case interest is capitalized. Interest costs capitalized for the years ended December 31, 2021, 2020 and 2019, were not material. 
Interest paid, including the ongoing impact of interest rate and cross-currency swap contracts, during the years ended December 
31, 2021, 2020 and 2019, were $1.2 billion, $1.2 billion and $1.3 billion, respectively.

F-36

 
 
 
 
 
16. Stockholders’ equity

Stock repurchase program

Activity under our stock repurchase program, on a trade date basis, was as follows (in millions):

First quarter

Second quarter

Third quarter

Fourth quarter

Years ended December 31,

2021

2020

2019

Shares

Dollars

Shares

Dollars

Shares*

Dollars

3.7  $ 

865 

4.3  $ 

6.5 

4.6 

6.9 

1,592 

1,069 

1,461 

2.6 

3.0 

5.3 

933 

591 

752 

1,221 

15.9  $ 

3,031 

13.1 

6.2 

5.1 

2,349 

1,170 

1,090 

Total stock repurchases

21.7  $ 

4,987 

15.2 $ 

3,497 

40.2 $ 

7,640 

* Total shares do not add due to rounding.

In  March  2021,  October  2021  and  December  2021,  our  Board  of  Directors  increased  the  amount  authorized  under  our 
stock repurchase program by an additional $3.4 billion, $4.5 billion and $5.0 billion, respectively. As of December 31, 2021, 
$10.9 billion remained available under our stock repurchase program. 

Dividends

Our Board of Directors declared quarterly dividends per share of $1.76, $1.60 and $1.45, which were paid in each of the 

four quarters of 2021, 2020 and 2019, respectively.

Historically, we have declared dividends in December of each year, which were paid in the first quarter of the following 
fiscal year and in March, July and October, which were paid in the second, third and fourth quarters, respectively, of the same 
fiscal year. Additionally, on December 3, 2021, the Board of Directors declared a quarterly cash dividend of $1.94 per share of 
common stock, which will be paid on March 8, 2022, to all stockholders of record as of the close of business on February 15, 
2022.

F-37

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Accumulated other comprehensive loss

The components of AOCI were as follows (in millions):

Foreign
currency
translation

Cash flow
hedges

Available-for-
sale
securities

Other

AOCI

Balance as of December 31, 2018

$ 

Foreign currency translation adjustments

(670)  $ 

(48)   

Unrealized gains

Reclassification adjustments to income

Other losses

Income taxes

— 

— 

— 

— 

Balance as of December 31, 2019

(718)   

Foreign currency translation adjustments

Unrealized (losses) gains

Reclassification adjustments to income

Other losses

Income taxes

Balance as of December 31, 2020

Foreign currency translation adjustments

Unrealized gains (losses)

Reclassification adjustments to income

Other gains

Income taxes

9 

— 

— 

— 

— 

(709)   

(135)   

— 

— 

— 

— 

Balance as of December 31, 2021

$ 

(844)  $ 

241  $ 

(338)  $ 

(2)  $ 

— 

127 

(211)   

— 

18 

175 

— 

(61)   

(501)   

— 

124 

(263)   

— 

159 

253 

— 

(88)   

61  $ 

— 

424 

(56)   

— 

(8)   

22 

— 

6 

(33)   

— 

6 

1 

— 

(1)   

— 

— 

— 

— 

— 

— 

(5)   

— 

(7)   

— 

— 

— 

(7)   

— 

(14)   

— 

— 

— 

1 

— 

—  $ 

(13)  $ 

(769) 

(48) 

551 

(267) 

(5) 

10 

(528) 

9 

(55) 

(534) 

(7) 

130 

(985) 

(135) 

158 

253 

1 

(88) 

(796) 

With  respect  to  the  table  above,  income  tax  expenses  or  benefits  for  unrealized  gains  and  losses  and  the  related 
reclassification adjustments to income for cash flow hedges were a $33 million expense and a $55 million expense in 2021, a 
$14  million  benefit  and  a  $110  million  benefit  in  2020  and  a  $28  million  expense  and  a  $46  million  benefit  in  2019, 
respectively.  Income  tax  expenses  or  benefits  for  unrealized  gains  and  losses  and  the  related  reclassification  adjustments  to 
income for available-for-sale securities were a $1 million expense and a $7 million benefit in 2020 and a $22 million expense 
and a $14 million benefit in 2019, respectively.

Reclassifications out of AOCI and into earnings were as follows (in millions):

Components of AOCI

Cash flow hedges:

Years ended December 31,

2021

2020

2019

Consolidated Statements of Income locations

Foreign currency contract (losses) gains

$ 

(8)  $ 

178  $ 

101  Product sales

Cross-currency swap contract (losses) gains

Available-for-sale securities:

Net realized gains

Other

(245)   

(253)   

323 

501 

110  Other income, net

211 

Income before income taxes

55 

(110)   

(46)  Provision for income taxes

(198)  $ 

391  $ 

165  Net income

—  $ 

— 

—  $ 

33  $ 

(7)   

26  $ 

56  Other income, net

(14)  Provision for income taxes

42  Net income

$ 

$ 

$ 

In addition to common stock, our authorized capital includes 5 million shares of preferred stock, $0.0001 par value. As of 

December 31, 2021 and 2020, no shares of preferred stock were issued or outstanding.

F-38

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
17. Fair value measurement

To  estimate  the  fair  value  of  our  financial  assets  and  liabilities,  we  use  valuation  approaches  within  a  hierarchy  that 
maximizes the use of observable inputs and minimizes the use of unobservable inputs by requiring that observable inputs be 
used when available. Observable inputs are inputs that market participants would use in pricing an asset or liability based on 
market  data  obtained  from  sources  independent  of  the  Company.  Unobservable  inputs  are  inputs  that  reflect  the  Company’s 
assumptions about the inputs that market participants would use in pricing an asset or liability and are developed based on the 
best  information  available  in  the  circumstances.  The  fair  value  hierarchy  is  divided  into  three  levels  based  on  the  source  of 
inputs as follows:

Level 1 — Valuations based on unadjusted quoted prices in active markets for identical assets or liabilities that the Company 

has the ability to access

Level 2 — Valuations for which all significant inputs are observable either directly or indirectly—other than Level 1 inputs

Level 3 — Valuations based on inputs that are unobservable and significant to the overall fair value measurement

The availability of observable inputs can vary among the various types of financial assets and liabilities. To the extent that 
the valuation is based on models or inputs that are less observable or unobservable in the market, the determination of fair value 
requires more judgment. In certain cases, the inputs used for measuring fair value may fall into different levels of the fair value 
hierarchy. In such cases, for financial statement disclosure purposes, the level in the fair value hierarchy within which the fair 
value  measurement  is  categorized  is  based  on  the  lowest  level  of  input  used  that  is  significant  to  the  overall  fair  value 
measurement.

The fair values of each major class of the Company’s financial assets and liabilities measured at fair value on a recurring 

basis were as follows (in millions):

Fair value measurement as of December 31, 2021, using:

Assets:

Available-for-sale securities:

U.S. Treasury notes

U.S. Treasury bills

Money market mutual funds

Other short-term interest-bearing securities

Equity securities

Derivatives:

Foreign currency contracts

Cross-currency swap contracts
Interest rate swap contracts

Total assets

Liabilities:

Derivatives:

Foreign currency contracts

Cross-currency swap contracts

Interest rate swap contracts

Contingent consideration obligations 

Total liabilities

Quoted prices in
active markets for
identical assets
(Level 1)

Significant other
observable
inputs
(Level 2)

Significant
unobservable
inputs
(Level 3)

Total

$ 

47  $ 

—  $ 

—  $ 

1,400 

5,856 

— 

611 

— 

— 
— 
7,914  $ 

— 

— 

1 

— 

183 

66 
16 
266  $ 

— 

— 

— 

220 

— 

— 
— 
220  $ 

—  $ 

39  $ 

—  $ 

— 

— 

— 

339 

156 

— 

— 

— 

342 

—  $ 

534  $ 

342  $ 

$ 

$ 

$ 

47 

1,400 

5,856 

1 

831 

183 

66 
16 
8,400 

39 

339 

156 

342 

876 

F-39

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Fair value measurement as of December 31, 2020, using:

Assets:

Available-for-sale securities:

U.S. Treasury notes

U.S. Treasury bills

Money market mutual funds

Other short-term interest-bearing securities

Equity securities

Derivatives:

Foreign currency contracts

Cross-currency swap contracts

Interest rate swap contracts

Total assets

Liabilities:

Derivatives:

Foreign currency contracts

Cross-currency swap contracts

Interest rate swap contracts

Contingent consideration obligations

Total liabilities

Interest-bearing and equity securities

Quoted prices in
active markets for
identical assets
(Level 1)

Significant other
observable
inputs
(Level 2)

Significant
unobservable
inputs
(Level 3)

Total

$ 

130  $ 

—  $ 

—  $ 

4,948 

4,765 

— 

477 

— 

— 

— 

— 

— 

2 

— 

28 

255 

66 

— 

— 

— 

— 

— 

— 

— 

130 

4,948 

4,765 

2 

477 

28 

255 

66 

$ 

$ 

$ 

10,320  $ 

351  $ 

—  $ 

10,671 

—  $ 

237  $ 

—  $ 

— 

— 

— 

318 

15 

— 

— 

— 

33 

—  $ 

570  $ 

33  $ 

237 

318 

15 

33 

603 

The  fair  values  of  our  U.S.  Treasury  securities,  money  market  mutual  funds  and  equity  investments  in  publicly  traded 
securities are based on quoted market prices in active markets, with no valuation adjustment. The fair values of equity securities 
without  readily  determinable  fair  values  are  initially  valued  at  the  transaction  price  and  subsequently  valued  based  on  a 
combination of market performance and publicly available information for similar companies that have actively traded equity 
securities.

Derivatives

All of our foreign currency forward and option derivative contracts have maturities of three years or less, and all are with 
counterparties that have minimum credit ratings of A– or equivalent by S&P, Moody’s or Fitch. We estimate the fair values of 
these contracts by taking into consideration valuations obtained from a third-party valuation service that uses an income-based 
industry-standard  valuation  model  for  which  all  significant  inputs  are  observable  either  directly  or  indirectly.  These  inputs 
include foreign currency exchange rates, LIBOR, swap rates and obligor credit default swap rates. In addition, inputs for our 
foreign currency option contracts include implied volatility measures. These inputs, when applicable, are at commonly quoted 
intervals. See Note 18, Derivative instruments.

Our cross-currency swap contracts are with counterparties that have minimum credit ratings of A– or equivalent by S&P, 
Moody’s or Fitch. We estimate the fair values of these contracts by taking into consideration valuations obtained from a third-
party  valuation  service  that  uses  an  income-based  industry-standard  valuation  model  for  which  all  significant  inputs  are 
observable either directly or indirectly. These inputs include foreign currency exchange rates, LIBOR, swap rates, obligor credit 
default swap rates and cross-currency basis swap spreads. See Note 18, Derivative instruments.

Our interest rate swap contracts are with counterparties that have minimum credit ratings of A– or equivalent by S&P, 
Moody’s or Fitch. We estimate the fair values of these contracts by using an income-based industry-standard valuation model 
for which all significant inputs are observable either directly or indirectly. These inputs include LIBOR, swap rates and obligor 
credit default swap rates. See Note 18, Derivative instruments.

F-40

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Contingent consideration obligations

As a result of our business acquisitions, we have incurred contingent consideration obligations as discussed below. The 
contingent consideration obligations are recorded at their fair values by using probability-adjusted discounted cash flows, and 
we  revalue  these  obligations  each  reporting  period  until  the  related  contingencies  have  been  resolved.  The  fair  value 
measurements  of  these  obligations  are  based  on  significant  unobservable  inputs  related  to  licensing  rights  and  product 
candidates  acquired  in  business  combinations,  and  they  are  reviewed  quarterly  by  management  in  our  R&D  and  commercial 
sales  organizations.  The  inputs  include,  as  applicable,  estimated  probabilities  and  the  timing  of  achieving  specified 
development,  regulatory  and  commercial  milestones  as  well  as  estimated  annual  sales.  Significant  changes  that  increase  or 
decrease the probabilities of achieving the related development, regulatory and commercial events or that shorten or lengthen 
the  time  required  to  achieve  such  events  or  that  increase  or  decrease  estimated  annual  sales  would  result  in  corresponding 
increases or decreases in the fair values of the obligations, as applicable. Changes in the fair values of contingent consideration 
obligations are recognized in Other operating expenses in the Consolidated Statements of Income.

Changes in the carrying amounts of contingent consideration obligations were as follows (in millions):

Beginning balance

Additions

Payments

Net changes in valuations

Ending balance

Years ended December 31,

2021

2020

2019

$ 

33  $ 

61  $ 

309 

(7)   

7 

— 

(6)   

(22)   

$ 

342  $ 

33  $ 

72 

— 

— 

(11) 

61 

As a result of our acquisition of Teneobio in 2021, we are obligated to pay its former shareholders up to $1.6 billion upon 

achieving separate development and regulatory milestones with regard to various R&D programs. See Note 2, Acquisitions.

As a result of our acquisition of K-A in 2018, we are obligated to make single-digit royalty payments to Kirin contingent 

upon sales of brodalumab.

As  a  result  of  our  acquisition  of  BioVex  Group  Inc.  in  2011,  we  were  obligated  to  pay  its  former  shareholders  upon 
achieving separate sales-related milestones with regard to IMLYGIC if certain sales thresholds were met. During the year ended 
December 31, 2020, we determined that the likelihood of achieving these milestones was no longer probable, and accordingly, 
the obligations were written off.

Summary of the fair values of other financial instruments

Cash equivalents

The  fair  values  of  cash  equivalents  approximate  their  carrying  values  due  to  the  short-term  nature  of  such  financial 

instruments.

Borrowings

We  estimated  the  fair  values  of  our  borrowings  by  using  Level  2  inputs.  As  of  December  31,  2021  and  2020,  the 
aggregate fair values of our borrowings were $37.9 billion and $39.4 billion, respectively, and the carrying values were $33.3 
billion and $33.0 billion, respectively.

Investment in BeiGene

We estimated the fair value of our investment in BeiGene by using Level 1 inputs. As of December 31, 2021 and 2020, 

the fair values were $5.1 billion and $4.9 billion, and the carrying values were $2.8 billion and $2.9 billion, respectively.

During the years ended December 31, 2021 and 2020, there were no transfers of assets or liabilities between fair value 
measurement levels, and there were no material remeasurements to the fair values of assets and liabilities that are not measured 
at fair value on a recurring basis.

F-41

 
 
 
 
 
 
18. Derivative instruments

The Company is exposed to foreign currency exchange rate and interest rate risks related to its business operations. To 
reduce  our  risks  related  to  such  exposures,  we  use  or  have  used  certain  derivative  instruments,  including  foreign  currency 
forward,  foreign  currency  option,  cross-currency  swap,  forward  interest  rate  and  interest  rate  swap  contracts.  We  do  not  use 
derivatives for speculative trading purposes.

Cash flow hedges

We  are  exposed  to  possible  changes  in  the  values  of  certain  anticipated  foreign  currency  cash  flows  resulting  from 
changes  in  foreign  currency  exchange  rates  primarily  associated  with  our  euro-denominated  international  product  sales. 
Increases and decreases in the cash flows associated with our international product sales due to movements in foreign currency 
exchange rates are partially offset by corresponding increases and decreases in the cash flows from our international operating 
expenses resulting from these foreign currency exchange rate movements. To further reduce our exposure to foreign currency 
exchange rate fluctuations with regard to our international product sales, we enter into foreign currency forward contracts to 
hedge a portion of our projected international product sales up to a maximum of three years into the future; and at any given 
point in time, a higher percentage of nearer-term projected product sales is being hedged than in successive periods.

As of December 31, 2021, 2020 and 2019, we had outstanding foreign currency forward contracts with aggregate notional 
amounts  of  $5.7  billion,  $5.1  billion  and  $5.0  billion,  respectively.  We  have  designated  these  foreign  currency  forward 
contracts,  which  are  primarily  euro  based,  as  cash  flow  hedges.  Accordingly,  we  report  unrealized  gains  and  losses  on  these 
contracts in AOCI in the Consolidated Balance Sheets, and we reclassify them to Product sales in the Consolidated Statements 
of Income in the same periods during which the hedged transactions affect earnings.

To hedge our exposure to foreign currency exchange rate risk associated with certain of our long-term debt denominated 
in foreign currencies, we enter into cross-currency swap contracts. Under the terms of such contracts, we paid euros, pounds 
sterling and Swiss francs and received U.S. dollars for the notional amounts at inception of the contracts; and based on these 
notional  amounts,  we  exchange  interest  payments  at  fixed  rates  over  the  lives  of  the  contracts  by  paying  U.S.  dollars  and 
receiving euros, pounds sterling and Swiss francs. In addition, we will pay U.S. dollars to and receive euros, pounds sterling 
and Swiss francs from the counterparties at the maturities of the contracts for these same notional amounts. The terms of these 
contracts correspond to the related hedged debt, thereby effectively converting the interest payments and principal repayment 
on  the  debt  from  euros,  pounds  sterling  and  Swiss  francs  to  U.S.  dollars.  We  have  designated  these  cross-currency  swap 
contracts  as  cash  flow  hedges.  Accordingly,  the  unrealized  gains  and  losses  on  these  contracts  are  reported  in  AOCI  in  the 
Consolidated  Balance  Sheets  and  reclassified  to  Other  income,  net,  in  the  Consolidated  Statements  of  Income  in  the  same 
periods during which the hedged debt affects earnings.

 The notional amounts and interest rates of our cross-currency swaps as of December 31, 2021, were as follows (notional 

amounts in millions):

Hedged notes

0.41% 2023 Swiss franc Bonds
2.00% 2026 euro Notes

5.50% 2026 pound sterling Notes

4.00% 2029 pound sterling Notes

Foreign currency

U.S. dollars

Notional amounts

Interest rates

Notional amounts

Interest rates

CHF 
€ 

£ 

£ 

700 
750 

475 

700 

 0.4 % $ 
 2.0 % $ 

 5.5 % $ 

 4.0 % $ 

704 
833 

747 

1,111 

 3.4 %
 3.9 %

 6.0 %

 4.5 %

During the year ended December 31, 2021, our 1.25% euro Notes were redeemed, and the related cross-currency swaps 
were settled, resulting in an immaterial loss. During the year ended December 31, 2019, our 2.125% 2019 euro Notes matured, 
and the related cross-currency swaps were settled. 

In connection with the anticipated issuance of long-term fixed-rate debt, we occasionally enter into forward interest rate 
contracts to hedge variability in cash flows due to changes in the applicable U.S. Treasury rate between the time we enter into 
these contracts and the time the related debt is issued. Gains and losses on forward interest rate contracts, which are designated 
as cash flow hedges, are recognized in AOCI in the Consolidated Balance Sheets and are amortized into Interest expense, net, in 
the Consolidated Statements of Income over the lives of the associated debt issuances. Amounts recognized in connection with 
forward  interest  rate  swaps  during  the  year  ended  December  31,  2021,  and  amounts  expected  to  be  recognized  during  the 
subsequent 12 months are not material.

F-42

The unrealized gains and losses recognized in AOCI for our derivative instruments designated as cash flow hedges were 

as follows (in millions):

Derivatives in cash flow hedging relationships
Foreign currency contracts

Cross-currency swap contracts

Total unrealized gains (losses)

Fair value hedges

Years ended December 31,

2021

2020

2019

$ 

$ 

373  $ 

(251)  $ 

(214)   

159  $ 

190 

(61)  $ 

148 

(21) 

127 

To achieve a desired mix of fixed-rate and floating-rate debt, we entered into interest rate swap contracts that qualified for 
and were designated as fair value hedges. These interest rate swap contracts effectively convert fixed-rate coupons to floating-
rate LIBOR-based coupons over the terms of the related hedge contracts. As of December 31, 2021 and 2020, we had interest 
rate swap contracts with aggregate notional amounts of $6.7 billion and $5.9 billion, respectively, that hedge certain portions of 
our long-term debt issuances. See Note 15, Financing arrangements, for information on our interest rate swaps.

During the year ended December 31, 2021, we entered into interest rate swap contracts with an aggregate notional amount 
of  $1.5  billion.  Interest  rate  swaps  with  an  aggregate  notional  value  of  $750  million  were  terminated  in  connection  with  the 
redemption of certain of our notes. The resulting gain on these terminations was immaterial.

During  the  year  ended  December  31,  2020,  interest  rate  swaps  with  an  aggregate  notional  value  of  $3.7  billion  were 
terminated in connection with the redemption of certain of our notes. The terminations of these interest rate swaps resulted in a 
gain of $40 million, recognized in Interest expense, net, in the Consolidated Statements of Income. Additionally, we terminated 
$5.2 billion aggregate notional amount of interest rate swaps, which resulted in receipt of $576 million from the counterparties 
and which was included in Net cash provided by operating activities in the Consolidated Statements of Cash Flows for the year 
ended  December  31,  2020.  This  amount  is  being  recognized  as  a  reduction  in  Interest  expense,  net,  in  the  Consolidated 
Statements of Income over the remaining life of the underlying notes. Immediately following the terminations of these interest 
rate swap contracts, we entered into new interest rate swap agreements at then-current interest rates on the same $5.2 billion 
principal amount of notes.

For interest rate swap contracts that qualify for and are designated as fair value hedges, we recognize in Interest expense, 
net, in the Consolidated Statements of Income the unrealized gain or loss on the derivative resulting from the change in fair 
value during the period, as well as the offsetting unrealized loss or gain of the hedged item resulting from the change in fair 
value  during  the  period  attributable  to  the  hedged  risk.  If  a  hedging  relationship  involving  an  interest  rate  swap  contract  is 
terminated, the gain or loss realized on contract termination is recorded as an adjustment to the carrying value of the debt and 
amortized into Interest expense, net, over the remaining life of the previously hedged debt.

The hedged liabilities and related cumulative-basis adjustments for fair value hedges of those liabilities were recorded in 

the Consolidated Balance Sheets as follows (in millions):

Consolidated Balance Sheets locations

Current portion of long-term debt

Long-term debt
____________

Carrying amounts of
hedged liabilities(1)

December 31,

Cumulative amounts of fair value 
hedging adjustments related to the 
carrying amounts of the hedged 
liabilities(2)

December 31,

2021

2020

2021

2020

$ 

$ 

85  $ 

89  $ 

6,729  $ 

6,258  $ 

85  $ 

199  $ 

89 

477 

(1) Current  portion  of  long-term  debt  includes  $85  million  and  $89  million  of  carrying  value  with  discontinued  hedging 
relationships as of December 31, 2021 and 2020, respectively. Long-term debt includes $440 million and $525 million of 
carrying value with discontinued hedging relationships as of December 31, 2021 and 2020, respectively.

(2) Current  portion  of  long-term  debt  includes  $85  million  and  $89  million  of  hedging  adjustments  on  discontinued  hedging 
relationships as of December 31, 2021 and 2020, respectively. Long-term debt includes $340 million and $425 million of 
hedging adjustments on discontinued hedging relationships as of December 31, 2021 and 2020, respectively.

F-43

 
 
Impact of hedging transactions

The following tables summarize the amounts recorded in income and expense line items and the effects thereon from fair 

value and cash flow hedging, including discontinued hedging relationships (in millions):

Total amounts recorded in income and (expense) line items presented in the 
Consolidated Statements of Income

The effects of cash flow and fair value hedging:

Losses on cash flow hedging relationships reclassified out of AOCI:

Foreign currency contracts

Cross-currency swap contracts

Gains (losses) on fair value hedging relationships—interest rate swap agreements:
Hedged items(1)
Derivatives designated as hedging instruments

Total amounts recorded in income and (expense) line items presented in the 
Consolidated Statements of Income

The effects of cash flow and fair value hedging:

Gains on cash flow hedging relationships reclassified out of AOCI:

Foreign currency contracts

Cross-currency swap contracts

Gains (losses) on fair value hedging relationships—interest rate swap agreements:
Hedged items(1)
Derivatives designated as hedging instruments

Total amounts recorded in income and (expense) line items presented in the 
Consolidated Statements of Income

The effects of cash flow and fair value hedging:

Gains on cash flow hedging relationships reclassified out of AOCI:

Foreign currency contracts

Cross-currency swap contracts

(Losses) gains on fair value hedging relationships—interest rate swap agreements:
Hedged items(1)
Derivatives designated as hedging instruments

__________

Year ended December 31, 2021

Product 
sales

Other 
income, net

Interest 
expense, net

$  24,297  $ 

259  $ 

(1,197) 

$ 

$ 

$ 

$ 

(8)  $ 

—  $ 

—  $ 

(245)  $ 

— 

— 

—  $ 

—  $ 

—  $ 

—  $ 

281 

(192) 

Year ended December 31, 2020

Product 
sales

Other 
income, net

Interest 
expense, net

$  24,240  $ 

256  $ 

(1,262) 

$ 

$ 

$ 

$ 

178  $ 

—  $ 

—  $ 

323  $ 

— 

— 

—  $ 

—  $ 

—  $ 

—  $ 

315 

(204) 

Year ended December 31, 2019

Product 
sales

Other 
income, net

Interest 
expense, net

$  22,204  $ 

753  $ 

(1,289) 

$ 

$ 

$ 

$ 

101  $ 

—  $ 

—  $ 

110  $ 

— 

— 

—  $ 

—  $ 

—  $ 

—  $ 

(349) 

352 

(1)  Gains on hedged items do not completely offset losses on the related designated hedging instruments due to amortization of 
the  cumulative  amounts  of  fair  value  hedging  adjustments  included  in  the  carrying  amount  of  the  hedged  debt  for 
discontinued hedging relationships and the recognition of gains on terminated hedges when the corresponding hedged item 
was paid down in the period. 

No portions of our cash flow hedge contracts were excluded from the assessment of hedge effectiveness. As of December 
31, 2021, we expected to reclassify $19 million of net gains on our foreign currency and cross-currency swap contracts out of 
AOCI and into earnings during the next 12 months. 

F-44

Derivatives not designated as hedges

To reduce our exposure to foreign currency fluctuations in certain assets and liabilities denominated in foreign currencies, 
we enter into foreign currency forward contracts that are not designated as hedging transactions. Most of these exposures are 
hedged  on  a  month-to-month  basis.  As  of  December  31,  2021,  2020  and  2019,  the  total  notional  amounts  of  these  foreign 
currency  forward  contracts  were  $680  million,  $1.0  billion  and  $1.2  billion,  respectively.  Gains  and  losses  recognized  in 
earnings for our derivative instruments not designated as hedging instruments were not material for the years ended December 
31, 2021, 2020 and 2019. 

The fair values of derivatives included in the Consolidated Balance Sheets were as follows (in millions):

December 31, 2021

Derivatives designated as hedging instruments:

Foreign currency contracts

Cross-currency swap contracts

Interest rate swap contracts

Total derivatives designated as hedging 

instruments

Total derivatives

December 31, 2020

Derivatives designated as hedging instruments:

Foreign currency contracts

Cross-currency swap contracts

Interest rate swap contracts

Total derivatives designated as hedging 

instruments

Total derivatives

Derivative assets

Derivative liabilities

Consolidated 
Balance Sheets locations

Fair values

Consolidated 
Balance Sheets locations

Fair values

Other current assets/ 
Other noncurrent 
assets

Other current assets/ 
Other noncurrent 
assets

Other current assets/ 
Other noncurrent 
assets

$ 

183 

Accrued liabilities/ 
Other noncurrent 
liabilities

$ 

39 

Accrued liabilities/ 
Other noncurrent 
liabilities

66 

Accrued liabilities/ 
Other noncurrent 
liabilities

16 

265 

265 

$ 

339 

156 

534 

534 

$ 

Derivative assets

Derivative liabilities

Consolidated 
Balance Sheets locations

Fair values

Consolidated 
Balance Sheets locations

Fair values

Other current assets/ 
Other noncurrent 
assets

Other current assets/ 
Other noncurrent 
assets

Other current assets/ 
Other noncurrent 
assets

Accrued liabilities/ 
Other noncurrent 
liabilities

Accrued liabilities/ 
Other noncurrent 
liabilities

Accrued liabilities/ 
Other noncurrent 
liabilities

$ 

28 

255 

66 

349 

349 

$ 

$ 

237 

318 

15 

570 

570 

$ 

Our  derivative  contracts  that  were  in  liability  positions  as  of  December  31,  2021,  contain  certain  credit-risk-related 
contingent  provisions  that  would  be  triggered  if  (i)  we  were  to  undergo  a  change  in  control  and  (ii)  our,  or  the  surviving 
entity’s, creditworthiness deteriorates, which is generally defined as having either a credit rating that is below investment grade 
or a materially weaker creditworthiness after the change in control. If these events were to occur, the counterparties would have 
the  right  but  not  the  obligation  to  close  the  contracts  under  early-termination  provisions.  In  such  circumstances,  the 
counterparties could request immediate settlement of these contracts for amounts that approximate the then current fair values 
of the contracts. In addition, our derivative contracts are not subject to any type of master netting arrangement, and amounts due 
either  to  or  from  a  counterparty  under  the  contracts  may  be  offset  against  other  amounts  due  either  to  or  from  the  same 
counterparty only if an event of default or termination, as defined, were to occur.

The cash flow effects of our derivative contracts in the Consolidated Statements of Cash Flows are included in Net cash 
provided by operating activities, except for the settlement of notional amounts of cross-currency swaps, which are included in 
Net cash used in financing activities.

F-45

 
 
 
 
 
 
 
 
 
 
 
 
 
 
19. Contingencies and commitments 

Contingencies

In  the  ordinary  course  of  business,  we  are  involved  in  various  legal  proceedings,  government  investigations  and  other 
matters  that  are  complex  in  nature  and  have  outcomes  that  are  difficult  to  predict.  See  Part  I,  Item  1A.  Risk  Factors—Our 
business may be affected by litigation and government investigations. We describe our legal proceedings and other matters that 
are significant or that we believe could become significant in this footnote.

We record accruals for loss contingencies to the extent that we conclude it is probable that a liability has been incurred 
and  the  amount  of  the  related  loss  can  be  reasonably  estimated.  We  evaluate,  on  a  quarterly  basis,  developments  in  legal 
proceedings  and  other  matters  that  could  cause  an  increase  or  decrease  in  the  amount  of  the  liability  that  has  been  accrued 
previously.

Our legal proceedings involve various aspects of our business and a variety of claims, some of which present novel factual 
allegations and/or unique legal theories. In each of the matters described in this filing, in which we could incur a liability, our 
opponents seek an award of a not-yet-quantified amount of damages or an amount that is not material. In addition, a number of 
the matters pending against us are at very early stages of the legal process, which in complex proceedings of the sort we face 
often extend for several years. As a result, none of the matters described in this filing, in which we could incur a liability, have 
progressed sufficiently through discovery and/or the development of important factual information and legal issues to enable us 
to estimate a range of possible loss, if any, or such amounts are not material. While it is not possible to accurately predict or 
determine the eventual outcomes of these matters, an adverse determination in one or more of these matters currently pending 
could have a material adverse effect on our consolidated results of operations, financial position or cash flows.

Certain recent developments concerning our legal proceedings and other matters are discussed below:

ANDA Patent Litigation

Otezla ANDA Patent Litigation

Amgen Inc. v. Sandoz Inc., et al.

Beginning in June 2018, Celgene filed 19 separate lawsuits in the U.S. District Court for the District of New Jersey (the 
New Jersey District Court) against Alkem Laboratories Ltd. (Alkem); Amneal Pharmaceuticals LLC (Amneal); Annora Pharma 
Private  Ltd.  and  Hetero  USA  Inc.  (collectively,  Hetero);  Aurobindo  Pharma  Ltd.  and  Aurobindo  Pharma  USA  Inc. 
(collectively,  Aurobindo);  Cipla  Limited  (Cipla  Ltd);  DRL;  Emcure  Pharmaceuticals  Ltd.  and  Heritage  Pharmaceuticals  Inc. 
(collectively,  Emcure);  Glenmark  Pharmaceuticals  Ltd.  (Glenmark);  Macleods  Pharmaceuticals  Ltd.  (Macleods);  Mankind 
Pharma  Ltd.  (Mankind);  MSN  Laboratories  Private  Limited  (MSN);  Pharmascience  Inc.  (Pharmascience);  Prinston 
Pharmaceutical  Inc.  (Prinston);  Sandoz  Inc.  (Sandoz);  Shilpa  Medicare  Ltd.  (Shilpa);  Teva  Pharmaceuticals  USA,  Inc.  and 
Actavis  LLC  (collectively,  Actavis);  Torrent  Pharmaceuticals  Ltd.  (Torrent);  Unichem  Laboratories,  Ltd.  (Unichem);  and 
Zydus Pharmaceuticals (USA) Inc. (Zydus), each for infringement of one or more of the following patents: U.S. Patent Nos. 
6,962,940 (the ’940 Patent), 7,208,516 (the ’516 Patent), 7,427,638 (the ’638 Patent), 7,659,302 (the ’302 Patent), 7,893,101 
(the ’101 Patent), 8,455,536 (the ’536 Patent), 8,802,717 (the ’717 Patent), 9,018,243 (the ’243 Patent) and 9,872,854 (the ’854 
Patent), which are listed in the Orange Book for Otezla. Each of these lawsuits was based on each defendant’s submission of an 
ANDA  seeking  FDA  approval  to  market  a  generic  version  of  Otezla.  The  New  Jersey  District  Court  consolidated  these  19 
lawsuits for discovery and case management purposes into a single case, Celgene Corp. v. Sandoz Inc., et al. Each lawsuit seeks 
an order of the New Jersey District Court making any FDA approval of the respective defendant’s ANDA effective no earlier 
than the expiration of the applicable patents.

In  August  2018,  Celgene  filed  amended  complaints  against  Alkem,  Amneal,  Aurobindo,  Cipla  Ltd,  DRL,  Glenmark, 
Pharmascience, Sandoz, Actavis, Unichem and Zydus additionally asserting U.S. Patent No. 9,724,330 (the ’330 Patent), which 
is  listed  in  the  Orange  Book  for  Otezla.  Between  October  15  and  November  27,  2018,  Celgene  filed  amended  complaints 
against Alkem, Amneal, Hetero, Aurobindo, Cipla Ltd, DRL, Emcure, Glenmark, Macleods, Mankind, MSN, Pharmascience, 
Prinston,  Sandoz,  Actavis,  Torrent,  Unichem  and  Zydus  additionally  asserting  U.S.  Patent  No.  10,092,541  (the  ’541  Patent), 
which is listed in the Orange Book for Otezla. Between March 1 and April 4, 2019, Celgene filed amended complaints against 
Hetero, MSN and Emcure for infringement of one or more of the above-listed patents. On October 1, 2019, Celgene filed an 
amended  complaint  against  Mankind  for  infringement  of  the  ’940,  ’302,  ’536,  ’243  and  ’330  Patents.  On  October  8,  2019, 
Celgene filed a separate lawsuit against Zydus in the New Jersey District Court for infringement of U.S. Patent Nos. 8,093,283 
(the ’283 Patent) and 8,629,173, which are not listed in the Orange Book for Otezla. On December 19, 2019, the New Jersey 
District  Court  consolidated  this  lawsuit  for  discovery  and  case  management  purposes  into  the  existing  consolidated  case, 
Celgene Corp. v. Sandoz Inc., et al. Each defendant has filed an answer to the above-listed complaints and amended complaints 
disputing infringement and/or validity of the patents asserted against it. Along with their answers, each of Alkem, Hetero, Cipla 

F-46

Ltd, DRL, Emcure, Glenmark, Macleods, Mankind, Pharmascience, Sandoz, Shilpa, Actavis, Torrent, Unichem and Zydus filed 
declaratory  judgment  counterclaims  asserting  that  some  or  all  of  the  patents  are  not  infringed  and/or  are  invalid.  In  August 
2019,  based  on  a  joint  request  by  Celgene  and  Glenmark,  the  New  Jersey  District  Court  entered  a  consent  judgment  and 
injunction  prohibiting  the  making,  having  made,  using,  selling,  offering  to  sell,  importing,  or  distributing  of  Glenmark’s 
apremilast product during the term of the ’940, ’638, ’302, ’101, ’536, ’243, ’330 and ’541 Patents, unless authorized pursuant 
to a confidential settlement agreement. 

Following Amgen’s acquisition of the patents-in-suit and the new drug application for Otezla, on February 14, 2020, the 
New Jersey District Court issued an order substituting Amgen for Celgene as plaintiff in the consolidated action and all related 
actions, terminating Celgene as plaintiff in the consolidated action and all related actions, and amending the case caption in the 
consolidated action and all related actions to reflect Amgen as the sole plaintiff.

On March 25, 2020, based on a joint request by Amgen and Unichem, the New Jersey District Court entered a consent 
judgment and injunction prohibiting the making, using, selling, offering to sell, or importing of Unichem’s apremilast product 
during the term of the ’940, ’638, ’302, ’101, ’536, ’243, ’330 and ’541 Patents, unless authorized pursuant to a confidential 
settlement agreement. On April 3, 2020, based on a joint request by Amgen and Hetero, the New Jersey District Court entered a 
consent  judgment  and  injunction  prohibiting  the  making,  using,  selling,  offering  to  sell,  or  importing  of  Hetero’s  apremilast 
product during the term of the ’940, ’516, ’638, ’302, ’101, ’536, ’717, ’243, ’330, ’854 and ’541 Patents, unless authorized 
pursuant to a confidential settlement agreement. On May 28, 2020, based on a joint request by Amgen and Emcure, the New 
Jersey  District  Court  entered  a  consent  judgment  and  injunction  prohibiting  the  making,  using,  selling,  offering  to  sell,  or 
importing of Emcure’s apremilast product during the term of the ’638, ’101, ’854 and ’541 Patents unless authorized pursuant 
to a confidential settlement agreement. On July 7, 2020, the New Jersey District Court ordered a stipulated dismissal without 
prejudice of all claims, counterclaims, and affirmative defenses between Amgen and Sandoz with respect to the ’717, ’516 and 
’854 Patents, leaving the ’940, ’302, ’536, ’243, ’330, ’638, ’101 and ’541 Patents asserted by Amgen against Sandoz in the 
litigation. On August 6, 2020, based on a joint request by Amgen and Mankind, the New Jersey District Court entered a consent 
judgment and injunction prohibiting the making, using, selling, offering to sell, or importing of Mankind’s apremilast product 
during the term of the ’940, ’302, ’536, ’243, ’330, ’638, ’101 and ’541 Patents, unless authorized pursuant to a confidential 
settlement agreement. On August 14, 2020, based on a joint request by Amgen and Macleods, the New Jersey District Court 
entered a consent judgment and injunction prohibiting the making, using, selling, offering to sell, or importing of Macleods’ 
apremilast  product  during  the  term  of  the  ’638  and  ’541  Patents,  unless  authorized  pursuant  to  a  confidential  settlement 
agreement.  On  October  7,  2020,  based  on  a  joint  request  by  Amgen  and  Amneal,  the  New  Jersey  District  Court  entered  a 
consent judgment and injunction prohibiting the making, using, selling, offering to sell, or importing of Amneal’s apremilast 
product  during  the  term  of  the  ’101,  ’940,  ’638,  ’302,  ’536,  ’243,  ’330  and  ’541  Patents,  unless  authorized  pursuant  to  a 
confidential  settlement  agreement.  On  December  30,  2020,  based  on  a  joint  request  by  Amgen  and  Shilpa,  the  New  Jersey 
District Court entered a consent judgment and injunction prohibiting the making, using, selling, offering to sell, or importing of 
Shilpa’s  apremilast  product  during  the  term  of  the  ’638,  ’101  and  ’854  Patents,  unless  authorized  pursuant  to  a  confidential 
settlement  agreement.  On  January  26,  2021,  based  on  a  joint  request  by  Amgen  and  Actavis,  the  New  Jersey  District  Court 
entered  a  consent  judgment  and  injunction  prohibiting  the  making,  using,  selling,  offering  to  sell,  or  importing  of  Actavis’ 
apremilast  product  during  the  term  of  the  ’940,  ’516,  ’638,  ’302,  ’536,  ’717,  ’330,  ’854  and  ’541  Patents,  unless  authorized 
pursuant to a confidential settlement agreement. On March 24, 2021, based on a joint request by Amgen and Prinston, the New 
Jersey  District  Court  entered  a  consent  judgment  and  injunction  prohibiting  the  making,  using,  selling,  offering  to  sell,  or 
importing  of  Prinston’s  apremilast  product  during  the  term  of  the  ’638  and  ’541  Patents,  unless  authorized  pursuant  to  a 
confidential  settlement  agreement.  On  April  6,  2021,  based  on  a  joint  request  by  Amgen  and  Aurobindo,  the  New  Jersey 
District Court entered a consent judgment and injunction prohibiting the making, using, selling, offering to sell, or importing of 
Aurobindo’s  apremilast  product  during  the  term  of  the  ’940,  ’516,  ’638,  ’302,  ’101,  ’536,  ’717,  ’243,  ’330,  ’854  and  ’541 
Patents, unless authorized pursuant to a confidential settlement agreement. 

On May 5, 2021, based on a joint request by Amgen and Cipla, the New Jersey District Court entered a consent judgment 
and injunction prohibiting the making, using, selling, offering to sell, or importing of Cipla’s apremilast product during the term 
of the ’940, ’638, ’302, ’536, ’330 and ’541 Patents, unless authorized pursuant to a confidential settlement agreement. On May 
14,  2021,  based  on  a  joint  request  by  Amgen  and  Torrent,  the  New  Jersey  District  Court  entered  a  consent  judgment  and 
injunction prohibiting the making, using, selling, offering to sell, or importing of Torrent’s apremilast product during the term 
of the ’101, ’638, ’854 and ’541 Patents, unless authorized pursuant to a confidential settlement agreement. On May 19, 2021, 
based  on  a  joint  request  by  Amgen  and  Alkem,  the  New  Jersey  District  Court  entered  a  consent  judgment  and  injunction 
prohibiting the making, using, selling, offering to sell, or importing of Alkem’s apremilast product during the term of the ’940, 
’638, ’302, ’536, ’330 and ’541 Patents, unless authorized pursuant to a confidential settlement agreement. On May 25, 2021, 
based  on  a  joint  request  by  Amgen  and  MSN,  the  New  Jersey  District  Court  entered  a  consent  judgment  and  injunction 
prohibiting the making, using, selling, offering to sell, or importing of MSN’s apremilast product during the term of the ’940, 
’638, ’302, ’536, ’330 and ’541 Patents, unless authorized pursuant to a confidential settlement agreement. On June 11, 2021, 
based  on  a  joint  request  by  Amgen  and  Pharmascience,  the  New  Jersey  District  Court  entered  a  consent  judgment  and 

F-47

injunction prohibiting the making, using, selling, offering to sell, or importing of Pharmascience’s apremilast product during the 
term of the ’243, ’940, ’638, ’302, ’101, ’536, ’330 and ’541 Patents, unless authorized pursuant to a confidential settlement 
agreement. On June 17, 2021, based on a joint request by Amgen and DRL, the New Jersey District Court entered a consent 
judgment  and  injunction  prohibiting  the  making,  using,  selling,  offering  to  sell,  or  importing  of  DRL’s  apremilast  product 
during the term of the ’638, ’101, ’536 and ’541 Patents, unless authorized pursuant to a confidential settlement agreement.

Trial on the consolidated patent infringement action against Sandoz and Zydus was held at the New Jersey District Court 

from June 14 to 25, 2021, with closing arguments on July 28, 2021. 

On September 28, 2021, consistent with its September 20, 2021 opinion and order, the New Jersey District Court entered 
final  judgment  in  favor  of  Amgen  and  against  Zydus  with  respect  to  claims  3  and  6  of  the  ’638  Patent,  claim  6  of  the  ’536 
Patent and claims 2 and 27 of the ’283 Patent; and final judgment in favor of Zydus and against Amgen with respect to claims 1 
and 15 of the ’101 Patent and claims 2, 19 and 21 of the ’541 Patent. The final judgment ordered that the effective date of any 
final approval by the FDA of Zydus’s ANDA must be after expiration of the three infringed patents (the ’638, ’536 and ’283 
Patents) and any regulatory exclusivity to which Amgen may become entitled. The final judgment also includes an injunction 
prohibiting  Zydus  from  making,  using,  offering  to  sell,  or  selling  in  the  United  States,  or  importing  into  the  United  States, 
Zydus’s generic apremilast products during the term of the three infringed patents. On October 27, 2021, Zydus filed a notice of 
appeal to the Federal Circuit Court with respect to the ’638 Patent. On October 28, 2021, Amgen filed a notice of appeal to the 
Federal Circuit Court.

On October 12, 2021, the New Jersey District Court also entered final judgment in favor of Amgen and against Sandoz 
with respect to claims 3 and 6 of the ’638 Patent, claim 6 of the ’536 Patent and claims 1 and 15 of the ’101 Patent; and final 
judgment in favor of Sandoz and against Amgen with respect to claims 2, 19 and 21 of the ’541 Patent. The final judgment 
ordered  that  the  effective  date  of  any  final  approval  by  the  FDA  of  Sandoz’s  ANDA  must  be  after  expiration  of  the  three 
infringed patents (the ’638, ’536 and ’101 Patents) and any regulatory exclusivity to which Amgen may become entitled. The 
final  judgment  also  includes  an  injunction  prohibiting  Sandoz  from  making,  using,  offering  to  sell,  or  selling  in  the  United 
States, or importing into the United States, Sandoz’s generic apremilast products during the term of the three infringed patents. 
On November 9, 2021, Sandoz filed a notice of appeal to the Federal Circuit Court with respect to the ‘638 and ‘101 Patents. 
On November 10, 2021, Amgen filed a notice of appeal to the Federal Circuit Court.

ENBREL Patent Litigation

Immunex Corporation, et al. v. Samsung Bioepis Co., Ltd.

On April 30, 2019, two affiliates of Amgen Inc., Immunex Corporation and Amgen Manufacturing, Limited (collectively, 
Amgen),  along  with  Hoffmann-La  Roche  Inc.  (Roche),  filed  a  lawsuit  in  the  New  Jersey  District  Court  against  Samsung 
Bioepis Co., Ltd. (Bioepis). This lawsuit stems from Bioepis’ submission of an application for FDA licensure of an etanercept 
product as biosimilar to Amgen’s ENBREL. Amgen and Roche have asserted infringement of five patents: U.S. Patent Nos. 
8,063,182,  8,163,522  (the  ’522  Patent),  7,915,225,  8,119,605  and  8,722,631.  By  their  complaint,  Amgen  and  Roche  seek  an 
injunction to prohibit Bioepis from commercializing its biosimilar etanercept product in the United States prior to the expiry of 
such  patents.  On  August  5,  2019,  Bioepis  responded  to  the  complaint,  denying  infringement  and  seeking  judgment  that  the 
patents-in-suit  are  invalid,  unenforceable  and/or  not  infringed.  On  January  9,  2020  and  subject  to  the  terms  of  a  confidential 
stipulation and court order of January 6, 2020, the New Jersey District Court entered a consent injunction that prohibits Bioepis 
from making, using, offering to sell, selling or importing into the United States Bioepis’ etanercept product. Amgen and Bioepis 
entered into an agreement with respect to an injunction regarding etanercept as set out in the New Jersey District Court’s order 
of  January  6,  2020.  On  January  15,  2020,  the  New  Jersey  District  Court  entered  an  order  administratively  staying  the  case 
pursuant to a joint request of Amgen and Bioepis.

On November 2, 2021, Amgen and Bioepis, with the consent of Roche, jointly submitted to the New Jersey District Court 
a  confidential  stipulation  and  a  form  of  final  judgment  and  order  of  permanent  injunction  resolving  the  dispute  between  the 
parties  and  enjoining  Bioepis  from  making,  using,  offering  to  sell,  or  selling  within  the  United  States,  or  importing  into  the 
United States, any product containing etanercept until the April 24, 2029 expiry of Roche’s ’522 Patent. On November 3, 2021, 
the New Jersey District Court entered final judgment and ordered a permanent injunction against Bioepis in conformity with the 
parties’ submission.

F-48

Repatha Patent Litigation

Amgen Inc., et al. v. Sanofi, et al. 

In October 2014, Amgen initiated a series of lawsuits that were consolidated by the U.S. District Court for the District of 
Delaware  (Delaware  District  Court)  in  December  2014  into  a  single  case  against  Sanofi,  Sanofi-Aventis  U.S.  LLC  and 
Aventisub  LLC,  formerly  doing  business  as  Aventis  Pharmaceuticals  Inc.  (collectively,  Sanofi)  and  Regeneron 
Pharmaceuticals, Inc. (Regeneron), addressing seven of our patents: U.S. Patent Nos. 8,563,698; 8,829,165 (the ’165 Patent); 
8,859,741  (the  ’741  Patent);  8,871,913;  8,871,914;  8,883,983;  and  8,889,834.  These  patents  describe  and  claim  monoclonal 
antibodies  to  PCSK9.  By  its  complaints,  Amgen  seeks  an  injunction  to  prevent  the  infringing  manufacture,  use  and  sale  of 
Sanofi  and  Regeneron’s  alirocumab,  a  monoclonal  antibody  targeting  PCSK9.  In  January  2016,  the  Delaware  District  Court 
granted Amgen’s motion to amend the complaint to add its affiliates, Amgen Manufacturing, Limited and Amgen USA Inc., as 
plaintiffs and to add the allegation that Sanofi and Regeneron’s infringement of Amgen’s patents is willful.

In  February  2016,  the  Delaware  District  Court  entered  a  stipulated  order  finding  alirocumab  and  the  drug  product 
containing it, PRALUENT infringe certain of Amgen’s patents, including claims 2, 7, 9, 15, 19 and 29 of the ’165 Patent and 
claim 7 of the ’741 Patent. In March 2016, the Delaware District Court entered judgment in favor of Amgen following a five-
day jury trial and a unanimous jury verdict that these patent claims are all valid. In January 2017, the Delaware District Court 
denied Sanofi and Regeneron’s post-trial motions seeking a new trial and for judgment as a matter of law, and granted Amgen’s 
motion for a permanent injunction prohibiting the infringing manufacture, use, sale, offer for sale or import of alirocumab in the 
United States. Sanofi and Regeneron filed an appeal of the judgment and the permanent injunction to the Federal Circuit Court. 
In  February  2017,  following  a  motion  by  Sanofi  and  Regeneron,  the  Federal  Circuit  Court  entered  a  stay  of  the  permanent 
injunction during the pendency of the appeal. In October 2017, the Federal Circuit Court reversed in part the judgment of the 
Delaware  District  Court  and  remanded  for  a  new  trial  two  of  the  patent  validity  defenses  (lack  of  written  description  and 
enablement of the claimed inventions), and affirmed the Delaware District Court’s judgment of infringement of claims 2, 7, 9, 
15, 19 and 29 of the ’165 Patent and claim 7 of the ’741 Patent and the third patent validity defense (finding that the claimed 
inventions were not obvious to a person of ordinary skill in the field of the patents).

In March 2018, the Federal Circuit Court issued a mandate returning the case to the Delaware District Court for a new 
trial on two of Sanofi and Regeneron’s challenges to the validity of our patents (lack of written description and enablement of 
the  claimed  inventions)  and  for  further  consideration  of  a  permanent  injunction.  In  July  2018,  Amgen  filed  a  petition  for 
certiorari with the U.S. Supreme Court seeking review of the Federal Circuit Court’s conclusion that the judgment affirming the 
validity of Amgen’s patents was based, in part, on an erroneous application of the law of written description. On January 7, 
2019, the U.S. Supreme Court denied Amgen’s petition for certiorari. On remand, the Delaware District Court scheduled a new 
trial on Sanofi and Regeneron’s challenges to the validity of our patents based on lack of written description and enablement of 
the  claimed  inventions.  The  Delaware  District  Court  also  entered  judgment  on  the  pleadings  for  Sanofi  and  Regeneron  on 
Amgen’s claim of willful infringement.

On February 25, 2019, a jury of the Delaware District Court again unanimously upheld the validity of claims 19 and 29 of 
the ’165 Patent and claim 7 of the ’741 Patent. The jury also found that claims 7 and 15 of the ’165 Patent meet the enablement 
requirement, but are invalid for failure to meet the written description requirement. On March 18, 2019, Sanofi and Regeneron 
filed  post-trial  motions  seeking  to  reverse  the  jury  verdict  against  them  or  for  a  new  trial,  and  Amgen  filed  a  motion  for  a 
permanent  injunction.  On  August  28,  2019,  the  Delaware  District  Court  ruled  on  the  post-trial  motions,  denying  Sanofi  and 
Regeneron’s request for a new trial and their request to reverse the jury verdict that the ’165 Patent and the ’741 Patent provide 
written description support for the claimed inventions. The Delaware District Court also ruled as a matter of law that claims 19 
and 29 of the ’165 Patent and claim 7 of the ’741 Patent are invalid for failing to meet the enablement requirement, overturning 
the jury verdict. 

On October 23, 2019, Amgen filed a notice of appeal to the Federal Circuit Court and based on the subsequent hearing, on 
February 11, 2021 the Federal Circuit Court issued a decision affirming the Delaware District Court’s ruling. Amgen filed a 
petition for rehearing en banc which was denied on June 21, 2021. On November 18, 2021, Amgen filed a petition for writ of 
certiorari with the U.S. Supreme Court seeking review of the invalidation of claims 19 and 29 of the ’165 Patent and claim 7 of 
the ’741 Patent as lacking an enabling disclosure of the invention. On January 11, 2022, the U.S. Supreme Court requested that 
Sanofi and Regeneron file a response to Amgen’s petition, which is due March 14, 2022.

Patent Disputes in the International Region

We  are  involved  in  and  expect  future  involvement  in  additional  disputes  regarding  our  PCSK9  patents  in  other 

jurisdictions and regions. This includes matters filed against us and that we have filed in Germany, Spain and Japan. 

F-49

 In February 2016, the European Patent Office (EPO) granted European Patent No. 2,215,124 (EP 2,215,124) to Amgen. 
This patent describes and claims monoclonal antibodies to PCSK9 and methods of treatment and Sanofi filed an opposition to 
the patent in the EPO seeking to invalidate it. In November 2016, Sanofi-Aventis Deutschland GmbH, Sanofi-Aventis Groupe 
S.A.  and  Sanofi  Winthrop  Industrie  S.A.  filed  a  joint  opposition  against  Amgen’s  patent,  and  each  of  Lilly,  Regeneron  and 
Strawman Ltd. also filed oppositions to Amgen’s patent. In November 2018, the EPO confirmed the validity of Amgen’s EP 
2,215,124, which was appealed to the Technical Board of Appeal (TBA). On October 29, 2020, the TBA upheld the validity of 
certain claims, including claims that protect Repatha, but ruled that broader claims encompassing PRALUENT were invalid. As 
a result of the TBA’s decision, national litigations regarding PRALUENT in Europe are in the process of being resolved. In 
Germany, Sanofi-Aventis Deutschland GmbH and Regeneron have filed actions seeking damages arising from the provisional 
enforcement of an injunction against PRALUENT that was lifted after the TBA’s October 29, 2020 ruling.

On April 24, 2020, the Supreme Court of Japan declined to hear Sanofi K.K.’s appeals making final the Japanese High 
Court’s  decisions  that  PRALUENT  infringes  Amgen’s  valid  patent  rights  in  Japan.  On  June  24,  2020,  Amgen  filed  written 
answers to the invalidity trials initiated by Regeneron on February 12, 2020 before the Japan Patent Office seeking to invalidate 
Amgen’s Japanese patents that were previously held infringed by PRALUENT and valid over challenges filed by Sanofi K.K. 
The Japanese Patent Office dismissed Regeneron’s invalidity trials and Regeneron has appealed the decisions to the Japanese 
High  Court.  Damages  proceedings  against  Sanofi  K.K.  are  ongoing  before  the  Tokyo  District  Court,  where  Sanofi  K.K.  has 
initiated new validity challenges to Amgen patents in Japan. 

NEUPOGEN (filgrastim)/Neulasta Patent Litigation

Amgen Inc., et al. v. Hospira Inc. et al.

On  February  11,  2020,  Amgen  Inc.  and  its  wholly  owned  subsidiary,  Amgen  Manufacturing,  Limited  (collectively, 
Amgen), filed a lawsuit in the Delaware District Court against Hospira Inc. and Pfizer Inc. (collectively, Pfizer). This lawsuit 
stems  from  Pfizer’s  submission  of  an  application  for  FDA  licensure  of  a  pegfilgrastim  product  as  biosimilar  to  Amgen’s 
Neulasta. Amgen has asserted infringement of U.S. Patent No. 8,273,707 (the ’707 Patent) and seeks, among other remedies, 
injunctive  relief  to  prohibit  Pfizer  from  infringing  the  ’707  Patent.  On  March  4,  2020,  Pfizer  filed  a  motion  requesting  the 
Delaware  District  Court  to  dismiss  the  complaint  by  Amgen  alleging  noninfringement  of  the  ’707  Patent.  In  June  2020,  the 
FDA approved Pfizer’s NYVEPRIA, a biosimilar to Amgen’s Neulasta. 

On April 6, 2021, the Delaware District Court stayed further proceedings in the matter pending claim construction of the 
patent claims and, based on a subsequent hearing, determined on June 11, 2021 that the term at issue required no construction. 
Currently pending before the Delaware District Court is Pfizer’s motion for summary judgment of noninfringement, which has 
been fully briefed. No date has been set for argument on the motion.

Patent Trial and Appeal Board (PTAB) Challenge

Apotex PTAB Challenge

In February 2017, the PTAB of the USPTO granted Apotex’s petition to institute inter partes review (IPR) proceeding of 
U.S. Patent No. 8,952,138 (the ’138 Patent), challenging claims of the ’138 Patent as unpatentable. In May 2017, Amgen filed 
its response. In February 2018, the PTAB issued a final decision holding all but one claim of the ’138 Patent as unpatentable 
and Apotex filed a request for rehearing in March 2018. 

On May 20, 2019, the PTAB issued a decision denying Apotex’s request for rehearing on the PTAB’s finding and sua 
sponte amending the final decision with a finding that the one remaining claim in Amgen’s ’138 Patent is unpatentable. On July 
22, 2019, Amgen filed a notice of appeal to the Federal Circuit Court with respect to all claims held to be unpatentable. On 
August 5, 2019, Apotex provided notice that it would not participate in the appeal. On September 16, 2019, the USPTO filed a 
notice  of  intervention  on  the  appeal.  On  March  24,  2020,  the  Federal  Circuit  Court  vacated  the  decision  by  the  PTAB  and 
remanded the case to the PTAB for proceeding consistent with the Federal Circuit Court’s decision in Arthrex Inc. v. Smith & 
Nephew, Inc., 941 F.3d 1320 (Fed. Cir. 2019). 

On July 14, 2020, Amgen and Apotex filed a joint motion to terminate the IPR proceedings stating that there is no current 
dispute between the parties with respect to the ’138 Patent. On July 29, 2020, the U.S. government filed a petition for writ of 
certiorari with respect to the cases that the Federal Circuit Court remanded to the PTAB, including the case regarding the ’138 
Patent,  for  proceedings  consistent  with  its  decision  in  Arthrex  Inc.  v.  Smith  &  Nephew,  Inc.,  requesting  that  such  remanded 
cases be held pending the U.S. Supreme Court’s disposition of the petition for writ of certiorari in United States v. Arthrex, Inc., 
No. 19-1434. On August 25, 2020, Amgen filed its response to the U.S. government’s petition for writ of certiorari indicating 
that Amgen did not intend to respond unless requested by the U.S. Supreme Court.

F-50

On June 21, 2021, the U.S. Supreme Court decided United States v. Arthrex, Inc. On June 28, 2021, the U.S. Supreme 
Court granted the government’s pending certiorari petition and vacated and remanded the Federal Circuit Court’s judgment for 
further consideration under Arthrex.

On September 2, 2021, the Federal Circuit Court issued a remand to permit Amgen to request rehearing of the PTAB’s 

final written decision holding that all claims of the ’138 Patent as unpatentable.

On  October  4,  2021,  Amgen  filed  a  request  for  the  USPTO  Director  for  a  rehearing  and  review  of  the  Final  Written 
Decision pursuant to Arthrex. On November 22, 2021, the Director denied this request. On December 6, 2021, Amgen filed the 
Notice of Director review with the patent office.

Pfizer PTAB Challenge

On February 10, 2021, Pfizer filed a petition to institute IPR proceeding at the USPTO of U.S. Patent No. 8,273,707 (the 

’707 Patent), challenging claims of the ’707 Patent as unpatentable. Amgen’s preliminary response was filed on May 18, 2021.

On August 17, 2021, the PTAB of the USPTO granted Pfizer’s petition to institute IPR of the ’707 Patent. On August 23, 
2021, the PTAB issued the schedule for the proceeding, including oral argument (if requested) on May 18, 2022. On November 
17, 2021, Amgen filed its Patent Owner’s Response.

Breach of Contract Action

Novartis Pharma AG v. Amgen Inc.

On April 4, 2019, Amgen filed a lawsuit in the U.S. District Court for the Southern District of New York (the New York 
Southern District Court) against Novartis seeking a declaratory judgment that Novartis materially breached two collaboration 
agreements Amgen and Novartis entered into in 2015 and 2017 (the 2015 Agreement and the 2017 Agreement, respectively) 
related to the development and commercialization of Aimovig due to Novartis’ affiliate Sandoz GmbH entering into a contract 
manufacturing agreement with Alder BioPharmaceuticals, Inc. (Alder) related to eptinezumab, an expected direct competitor to 
Aimovig and entrant in the CGRP-related migraine therapy market. Amgen seeks to terminate its collaboration agreements with 
Novartis and also seeks damages from Novartis for breach of contract and negligent misrepresentation. Also on April 4, 2019, 
Novartis initiated a separate lawsuit against Amgen in the same court seeking declaratory judgment that Novartis, alternatively, 
did not materially breach the collaboration agreements or, even if it did breach the collaboration agreements, such breach was 
not material and has been cured, and that Amgen may not terminate the collaboration agreements. On April 8, 2019, Amgen 
answered  Novartis’  complaint  and  filed  counterclaims  seeking  a  declaratory  judgment  that  Novartis  materially  breached  the 
collaboration agreements due to its affiliate Sandoz GmbH entering into the contract manufacturing agreement with Alder. In 
its counterclaim, Amgen seeks to terminate its collaboration agreements with Novartis and also seeks damages from Novartis 
for breach of contract and negligent misrepresentation. On July 16, 2019, Novartis filed an amended complaint adding a claim 
for breach of contract alleging Novartis is owed amounts associated with 2018 budget overruns, and Amgen responded with a 
counterclaim alleging additional breaches by Novartis of the collaboration agreements. On September 17, 2019 and October 8, 
2019, Novartis and Amgen, respectively, each filed its motion for judgment on the pleadings. On February 3, 2020, Amgen was 
granted  leave  to  file  its  amended  counterclaims.  On  February  4,  2020,  Amgen  filed  its  amended  answer  to  Novartis’  first 
amended  complaint  and  second  amended  counterclaims  for  affirmative  relief  to  add  a  fraudulent  inducement  claim.  On 
February 18, 2020, Novartis filed its answer and affirmative defenses to Amgen’s second amended counterclaims. 

On June 9, 2020, the New York Southern District Court entered an order granting Novartis’ motion for judgment on the 
pleadings  that  Novartis  did  not  breach  the  2017  Agreement,  and  denying  Amgen’s  motions  for  judgment  on  the  pleadings 
seeking dismissal of Novartis’ amended complaint that Novartis did not breach the 2015 Agreement or the 2017 Agreement, 
and Novartis timely cured any breach. On June 23, 2020, Amgen filed a motion for clarification and/or reconsideration of the 
June 9, 2020 order, which was denied on September 14, 2020. 

On June 2, 2021, the parties executed agreements to settle two claims in the litigation, relating to the 2018 budget overrun 
dispute and certain counterclaims alleging breaches by Novartis of the 2015 and 2017 Agreements related to the development 
and  commercialization  of  Aimovig,  and  to  amend  and  restate  the  2017  collaboration  agreement.  As  part  of  the  agreement, 
Amgen paid $48 million to Novartis to resolve the 2018 budget dispute.

On October 26, 2021, the New York Southern District Court held a status conference with the parties and set the dates for 
Novartis’  opening  brief  for  its  motion  for  partial  summary  judgment  on  two  claims,  fraudulent  inducement  and  negligent 
misrepresentation.

On January 31, 2022, the parties resolved all claims in the litigation.

F-51

Antitrust Class Action

Sensipar Antitrust Class Actions

From  February  to  April  2019,  four  plaintiffs  filed  putative  class  action  lawsuits  against  Amgen  and  various  entities 
affiliated with Teva Pharmaceuticals USA, Inc. (Teva) alleging anticompetitive conduct in connection with settlements between 
Amgen  and  manufacturers  of  generic  cinacalcet  product.  Two  of  those  actions  were  brought  in  the  Delaware  District  Court, 
captioned UFCW Local 1500 Welfare Fund v. Amgen Inc., et al. (February 21, 2019) (Local 1500) and Cesar Castillo, Inc. v. 
Amgen  Inc.,  et  al.  (February  26,  2019)  (Castillo).  The  third  action  was  brought  in  the  New  Jersey  District  Court,  captioned 
Teamsters Local 237 Welfare Fund, et al. v. Amgen Inc., et al. (March 14, 2019) (Local 237) and the fourth action was brought 
in  the  U.S.  District  Court  for  the  Eastern  District  of  Pennsylvania  (the  Eastern  Pennsylvania  District  Court),  captioned  KPH 
Healthcare Services, Inc. a/k/a Kinney Drugs, Inc. v. Amgen Inc., et al (April 10, 2019) (KPH). Each of the lawsuits is brought 
on behalf of a putative class of direct or indirect purchasers of Sensipar and alleges that the plaintiffs have overpaid for Sensipar 
as a result of Amgen’s conduct that allegedly improperly delayed market entry by manufacturers of generic cinacalcet products. 
The  lawsuits  focus  predominantly  on  the  settlement  among  Amgen,  Watson  Laboratories,  Inc.  (Watson)  and  Teva  of  the 
parties’  patent  infringement  litigation.  Each  of  the  lawsuits  seeks,  among  other  things,  treble  damages,  equitable  relief  and 
attorneys’ fees and costs. On April 10, 2019, the plaintiff in the KPH lawsuit filed a motion seeking to have the four lawsuits 
consolidated and designated as a multidistrict litigation (MDL) in the Eastern Pennsylvania District Court, and the plaintiff in 
the Local 1500 lawsuit filed a motion seeking to have the four lawsuits, along with Cipla Ltd. v. Amgen Inc., consolidated and 
designated as an MDL in the Delaware District Court. 

On  July  31,  2019,  the  MDL  panel  entered  an  order  consolidating  in  the  Delaware  District  Court  the  four  class  action 
lawsuits. On September 13, 2019, the plaintiffs filed amended complaints, and on October 15, 2019, Amgen filed its motion to 
dismiss both the direct purchaser plaintiffs’ consolidated class action complaint and the indirect purchaser end payor plaintiffs’ 
complaint.  On  December  6,  2019,  the  plaintiffs  responded  to  Amgen’s  motion  to  dismiss  and,  on  January  10,  2020,  Amgen 
filed its response. On February 6, 2020, the motions in the class action lawsuits were transferred to the U.S. Magistrate Judge 
for the District of Delaware (Magistrate Judge) for a recommendation. The MDL panel certified its conditional transfer order on 
February 6, 2020 transferring the additional class action lawsuit brought in the U.S. District Court for the Southern District of 
Florida, captioned MSP Recovery Claims v. Amgen Inc., et al., to the Delaware District Court.

 On July 22, 2020, the Magistrate Judge issued a recommendation to the Delaware District Court that the claims against 
Amgen  be  dismissed  but  leave  be  given  to  plaintiffs  to  amend  their  complaints.  On  August  5,  2020,  the  plaintiffs  filed 
objections to the Magistrate Judge’s report and recommendation. On August 19, 2020, Amgen filed a response to the plaintiffs’ 
objections. On November 30, 2020, the District Court adopted the Magistrate Judge’s recommendation in part and denied it in 
part, denying Amgen’s motion to dismiss on the grounds that plaintiffs adequately alleged reverse payment claims but granted 
Amgen’s  motion  to  dismiss  with  respect  to  the  other  Federal  antitrust  claims.  On  December  23,  2020,  Teva,  Watson  and 
Actavis filed a motion for interlocutory appeal and for a stay pending appeal and Amgen filed its joinder (the 1292 Motion). On 
January  5,  2021,  a  joint  status  report  was  filed  advising  the  Delaware  District  Court  that  the  defendants  are  still  considering 
whether to withdraw the 1292 Motion and plaintiffs’ offer to stay discovery, pending further rulings on motions to dismiss the 
amended complaints. On January 19, 2021, a joint status report was filed pursuant to the Delaware District Court’s January 6, 
2021 order along with a stipulation to defer the 1292 Motion until after rulings on the amended complaints.

On February 16, 2021, the plaintiffs in the antitrust class action lawsuit brought on behalf of putative classes of direct or 
indirect purchasers of Sensipar filed their amended complaints. On March 4, 2021, a stipulation and order regarding the filing 
of a second amended complaint were filed to add another plaintiff: Teamsters Western Region & Local 177 Health Care Fund. 
On  March  17,  2021,  a  defendant,  MSP  Recovery  Claims,  Series  LLC,  filed  its  notice  of  voluntary  dismissal.  On  March  30, 
2021, the remaining defendants, including Amgen, filed their motions to dismiss the second amended complaint.

On  April  27,  2021,  plaintiffs  filed  their  oppositions  to  defendants’  (including  Amgen’s)  motion  to  dismiss,  and 
defendants’ reply was filed on May 25, 2021. A hearing on defendants’ motion to dismiss was held in the Delaware District 
Court on July 13, 2021.

Humira Biosimilar Antitrust Class Actions 

From  March  to  May  2019,  twelve  purported  class  actions  against  Amgen,  along  with  AbbVie  Inc.  and  AbbVie 
Biotechnology Ltd. (collectively, AbbVie), were filed in the U.S. District Court for the Northern District of Illinois (the Illinois 
Northern  District  Court).  The  cases  are  captioned:  UFCW  Local  1500  Welfare  Fund  v.  AbbVie  Inc.,  et  al.  (March  18,  2019) 
(Local  1500);  Fraternal  Order  of  Police,  Miami  Lodge  20,  Insurance  Trust  Fund  v.  AbbVie  Inc.,  et  al.  (March  20,  2019); 
Mayor  and  City  Council  of  Baltimore  v.  AbbVie  Inc.,  et  al.  (March  22,  2019);  Pipe  Trades  Services  MN  Welfare  Fund  v. 
AbbVie Inc., et al. (March 29, 2019); St. Paul Electrical Workers’ Health Plan v. AbbVie Inc., et al. (March 29, 2019); Welfare 
Plan of the International Union of Operating Engineers Locals 137, 137A, 137B, 137C and 137R v. AbbVie Inc., et al. (April 1, 

F-52

2019); Law Enforcement Health Benefits, Inc. v. AbbVie, Inc., et al. (April 9, 2019) (Law Enforcement); Kentucky Laborers 
District Council Health and Welfare Fund v. AbbVie, Inc., et al. (April 16, 2019); Sheet Metal Workers’ Local Union No. 28 
Welfare Fund v. AbbVie, Inc., et al. (April 19, 2019) (Sheet Metal Workers’); Locals 302 & 612 of The International Union of 
Operating Engineers-Employers Construction Industry Health And Security Trust Fund v. AbbVie Inc., et al. (April 25, 2019) 
(Construction Industry); Louisiana Health Service & Indemnity Co., d/b/a Blue Cross and Blue Shield of Louisiana and HMO 
Louisiana,  Inc.  v.  AbbVie  Inc.,  et  al.  (April  30,  2019)  (Louisiana  Health);  and  Cleveland  Bakers  and  Teamsters  Health  and 
Welfare Fund v. AbbVie Inc., et al. (May 10, 2019) (Cleveland Bakers) (collectively, Humira Antitrust Class Actions).

In  each  of  the  Humira  Antitrust  Class  Actions,  the  plaintiffs  bring  federal  antitrust  claims  along  with  various  state  law 
claims  under  common  law  and  antitrust,  consumer  protection  and  unfair  competition  statutes.  In  each  case,  the  plaintiffs 
specifically  allege  that  AbbVie  has  unlawfully  monopolized  the  alleged  market  for  Humira  and  biosimilars  of  Humira, 
including by creating an allegedly unlawful so-called patent thicket around Humira. In the Local 1500, Sheet Metal Workers’ 
and  Construction  Industry  cases,  the  plaintiffs  further  allege  that  AbbVie  entered  into  allegedly  unlawful  market  division 
agreements  with  Amgen  and  other  companies  that  had  developed  Humira  biosimilars,  including  Bioepis,  Mylan,  Sandoz, 
Fresenius  Kabi  USA,  LLC  (Fresenius),  Pfizer  Inc.  and  Momenta  Pharmaceuticals,  Inc.,  in  connection  with  the  settlement  of 
patent  litigation  relating  to  Humira,  whereby  Amgen  and  the  other  defendants  that  have  developed  Humira  biosimilars  were 
permitted  to  market  those  products  in  Europe  as  early  as  October  2018,  while  remaining  off  the  market  in  the  United  States 
until  2023.  In  each  of  the  Humira  Antitrust  Class  Actions  other  than  the  Local  1500  and  Construction  Industry  cases,  the 
plaintiffs allege that AbbVie and Amgen entered into an allegedly unlawful settlement agreement under which Amgen allegedly 
agreed to delay its entry into the U.S. market with AMGEVITA, its Humira biosimilar, in exchange for an alleged promise of 
exclusivity  as  the  sole  Humira  biosimilar  in  that  market  for  five  months,  beginning  in  January  2023.  In  each  of  the  Humira 
Antitrust  Class  Actions,  plaintiffs  seek  injunctive  relief,  treble  damages  and  attorney’s  fees  on  behalf  of  a  putative  class  of 
third-party  payers  and/or  consumers  that  have  indirectly  purchased,  paid  for  or  provided  reimbursement  for  Humira  in  the 
United States. Defendants’ responses to the first six complaints were stayed by the court. On June 4, 2019, the Illinois Northern 
District Court entered an order consolidating the twelve purported class action cases for pre-trial purposes. 

On August 9, 2019, the plaintiffs filed their consolidated complaint, naming as defendants Amgen, along with AbbVie, 
Bioepis, Sandoz and Fresenius. On October 11, 2019, the defendants filed a joint motion to dismiss the consolidated complaint 
(as well as brief individual motions), challenging the legal sufficiency of the plaintiffs’ allegations to state any claim for relief 
under  the  law.  On  November  19,  2019,  plaintiffs  filed  their  opposition  to  the  motion  to  dismiss.  On  December  20,  2019, 
defendants filed their reply in support of the motion to dismiss. On June 8, 2020, the Illinois Northern District Court issued an 
order granting the motion by the defendants to dismiss the consolidated class action complaint. On June 29, 2020, the plaintiffs 
filed a status report asking the Illinois Northern District Court to convert the dismissal to one with prejudice. On June 30, 2020, 
the Illinois Northern District Court granted the motion. On July 28, 2020, the plaintiffs filed a notice of appeal. On October 5, 
2020,  the  plaintiffs-appellants  filed  their  opening  brief  to  the  U.S.  Court  of  Appeals  for  the  Seventh  Circuit.  Plaintiffs-
appellants amicus briefs were filed in October 2020, including one by the FTC and one on behalf of 20 states, each filed on 
October 13, 2020. On December 21, 2020, the defendants-appellees filed their opposition brief. Defendants-appellees amicus 
briefs, including one by the DoJ, were filed on December 28, 2020. On February 25, 2021, oral argument was held by the U.S. 
Court of Appeals for the Seventh Circuit on the appeal by plaintiffs-appellants of the lower court’s dismissal of the consolidated 
complaint with prejudice. 

U.S. Tax Litigation

Amgen Inc. & Subsidiaries v. Commissioner of Internal Revenue

See Note 6, Income taxes, for discussion of the IRS tax dispute and the Company’s petition in the U.S. Tax Court.

F-53

Commitments – U.S. repatriation tax

Under  the  2017  Tax  Act,  we  elected  to  pay  in  eight  annual  installments  the  repatriation  tax  related  primarily  to  prior 
indefinitely invested earnings of our foreign operations. The following table summarizes the remaining scheduled repatriation 
tax payments as of December 31, 2021 (in millions):

2022

2023

2024

2025

Total remaining U.S. repatriation tax commitments

Amounts

587 

1,100 

1,467 

1,834 

4,988 

$ 

$ 

F-54

 
 
 
AMGEN INC.

VALUATION AND QUALIFYING ACCOUNTS

Years ended December 31, 2021, 2020 and 2019 

SCHEDULE II

(In millions)

Balance
at beginning
of period

Additions
charged to
costs and
expenses

Other
additions

Deductions

Balance
at end
of period

$ 

$ 

$ 

32  $ 

26  $ 

48  $ 

—  $ 

8  $ 

—  $ 

—  $ 

—  $ 

—  $ 

(6)  $ 

(2)  $ 

(22)  $ 

26 

32 

26 

Allowance for doubtful accounts
Year ended December 31, 2021

Year ended December 31, 2020

Year ended December 31, 2019

F-55