Biggest changePercent change At actual currency rates At constant currency rates years ended (dollars in millions) 2023 2022 2021 2023 2022 2023 2022 United States $ 41,883 $ 45,713 $ 43,510 (8.4) % 5.1 % (8.4) % 5.1 % International 12,435 12,341 12,687 0.8 % (2.7) % 3.4 % 5.5 % Net revenues $ 54,318 $ 58,054 $ 56,197 (6.4) % 3.3 % (5.9) % 5.1 % 2023 Form 10-K | 38 The following table details AbbVie's worldwide net revenues: Percent change At actual currency rates At constant currency rates years ended December 31 (dollars in millions) 2023 2022 2021 2023 2022 2023 2022 Immunology Humira United States $ 12,160 $ 18,619 $ 17,330 (34.7) % 7.4 % (34.7) % 7.4 % International 2,244 2,618 3,364 (14.3) % (22.2) % (11.8) % (14.9) % Total $ 14,404 $ 21,237 $ 20,694 (32.2) % 2.6 % (31.9) % 3.8 % Skyrizi United States $ 6,753 $ 4,484 $ 2,486 50.6 % 80.4 % 50.6 % 80.4 % International 1,010 681 453 48.3 % 50.4 % 50.3 % 67.1 % Total $ 7,763 $ 5,165 $ 2,939 50.3 % 75.7 % 50.6 % 78.3 % Rinvoq United States $ 2,824 $ 1,794 $ 1,271 57.4 % 41.2 % 57.4 % 41.2 % International 1,145 728 380 57.3 % 91.4 % 60.7 % >100.0 % Total $ 3,969 $ 2,522 $ 1,651 57.4 % 52.8 % 58.4 % 58.1 % Oncology Imbruvica United States $ 2,665 $ 3,426 $ 4,321 (22.2) % (20.7) % (22.2) % (20.7) % Collaboration revenues 931 1,142 1,087 (18.5) % 5.1 % (18.5) % 5.1 % Total $ 3,596 $ 4,568 $ 5,408 (21.3) % (15.5) % (21.3) % (15.5) % Venclexta United States $ 1,087 $ 1,009 $ 934 7.8 % 8.0 % 7.8 % 8.0 % International 1,201 1,000 886 20.1 % 12.9 % 22.3 % 24.6 % Total $ 2,288 $ 2,009 $ 1,820 13.9 % 10.4 % 15.0 % 16.1 % Epkinly Collaboration Revenues $ 28 $ — $ — n/m n/m n/m n/m International 3 — — n/m n/m n/m n/m Total $ 31 $ — $ — n/m n/m n/m n/m Aesthetics Botox Cosmetic United States $ 1,670 $ 1,654 $ 1,424 1.0 % 16.2 % 1.0 % 16.2 % International 1,012 961 808 5.3 % 18.9 % 9.7 % 28.8 % Total $ 2,682 $ 2,615 $ 2,232 2.6 % 17.2 % 4.2 % 20.8 % Juvederm Collection United States $ 519 $ 548 $ 658 (5.4) % (16.7) % (5.4) % (16.7) % International 859 880 877 (2.4) % 0.3 % 1.9 % 8.9 % Total $ 1,378 $ 1,428 $ 1,535 (3.6) % (7.0) % (0.9) % (2.1) % Other Aesthetics United States $ 1,060 $ 1,122 $ 1,268 (5.6) % (11.5) % (5.6) % (11.5) % International 174 168 198 3.3 % (14.9) % 8.1 % (8.3) % Total $ 1,234 $ 1,290 $ 1,466 (4.4) % (12.0) % (3.8) % (11.1) % Neuroscience Botox Therapeutic United States $ 2,476 $ 2,255 $ 2,012 9.8 % 12.1 % 9.8 % 12.1 % International 515 464 439 11.1 % 5.6 % 15.5 % 15.3 % Total $ 2,991 $ 2,719 $ 2,451 10.0 % 10.9 % 10.8 % 12.6 % Vraylar United States $ 2,755 $ 2,037 $ 1,728 35.2 % 17.9 % 35.2 % 17.9 % International 4 1 — >100.0 % n/m >100.0 % n/m Total $ 2,759 $ 2,038 $ 1,728 35.4 % 17.9 % 35.4 % 17.9 % Duodopa United States $ 97 $ 95 $ 102 3.0 % (6.7) % 3.0 % (6.7) % International 371 363 409 2.1 % (11.3) % 1.8 % (0.8) % Total $ 468 $ 458 $ 511 2.3 % (10.4) % 2.1 % (2.0) % Ubrelvy United States $ 803 $ 680 $ 552 18.2 % 23.2 % 18.2 % 23.2 % International 12 — — >100.0 % n/m >100.0 % n/m Total $ 815 $ 680 $ 552 19.9 % 23.2 % 19.9 % 23.2 % Qulipta United States $ 405 $ 158 $ — >100.0 % >100.0 % >100.0 % >100.0 % International 3 — — >100.0 % n/m >100.0 % n/m Total $ 408 $ 158 $ — >100.0 % >100.0 % >100.0 % >100.0 % 39 | 2023 Form 10-K Percent change At actual currency rates At constant currency rates years ended December 31 (dollars in millions) 2023 2022 2021 2023 2022 2023 2022 Other Neuroscience United States $ 254 $ 456 $ 667 (44.4) % (30.5) % (44.4) % (30.5) % International 22 19 18 20.2 % 4.8 % 24.4 % 9.0 % Total $ 276 $ 475 $ 685 (41.9) % (29.6) % (41.7) % (29.5) % Eye Care Ozurdex United States $ 143 $ 139 $ 130 2.7 % 6.9 % 2.7 % 6.9 % International 329 289 288 14.0 % 0.3 % 15.9 % 12.9 % Total $ 472 $ 428 $ 418 10.3 % 2.4 % 11.6 % 11.0 % Lumigan/Ganfort United States $ 173 $ 242 $ 273 (28.4) % (11.0) % (28.4) % (11.0) % International 259 272 306 (4.8) % (11.3) % (3.6) % (3.0) % Total $ 432 $ 514 $ 579 (15.9) % (11.2) % (15.3) % (6.8) % Alphagan/Combigan United States $ 121 $ 202 $ 373 (40.1) % (45.8) % (40.1) % (45.8) % International 151 144 156 4.9 % (7.9) % 10.4 % 2.5 % Total $ 272 $ 346 $ 529 (21.4) % (34.6) % (19.1) % (31.5) % Restasis United States $ 382 $ 621 $ 1,234 (38.5) % (49.6) % (38.5) % (49.6) % International 54 45 56 19.3 % (20.2) % 25.3 % (13.8) % Total $ 436 $ 666 $ 1,290 (34.6) % (48.3) % (34.2) % (48.0) % Other Eye Care United States $ 433 $ 399 $ 393 9.0 % 0.8 % 9.0 % 0.8 % International 370 348 358 6.1 % (2.4) % 8.7 % 5.4 % Total $ 803 $ 747 $ 751 7.6 % (0.7) % 8.8 % 3.0 % Other Key Products Mavyret United States $ 659 $ 755 $ 754 (12.7) % 0.2 % (12.7) % 0.2 % International 771 786 956 (1.9) % (17.8) % 1.0 % (8.5) % Total $ 1,430 $ 1,541 $ 1,710 (7.2) % (9.9) % (5.7) % (4.7) % Creon United States $ 1,268 $ 1,278 $ 1,191 (0.8) % 7.3 % (0.8) % 7.3 % Linzess/Constella United States $ 1,073 $ 1,003 $ 1,006 7.1 % (0.4) % 7.1 % (0.4) % International 35 32 32 8.8 % 0.3 % 9.7 % 7.6 % Total $ 1,108 $ 1,035 $ 1,038 7.1 % (0.3) % 7.1 % (0.1) % All other $ 3,035 $ 4,137 $ 5,019 (26.7) % (17.6) % (25.7) % (16.3) % Total net revenues $ 54,318 $ 58,054 $ 56,197 (6.4) % 3.3 % (5.9) % 5.1 % n/m – Not meaningful The following discussion and analysis of AbbVie's net revenues by product is presented on a constant currency basis.
Biggest changePercent change At actual currency rates At constant currency rates years ended (dollars in millions) 2024 2023 2022 2024 2023 2024 2023 United States $ 43,029 $ 41,883 $ 45,713 2.7 % (8.4) % 2.7 % (8.4) % International 13,305 12,435 12,341 7.0 % 0.8 % 11.1 % 3.4 % Net revenues $ 56,334 $ 54,318 $ 58,054 3.7 % (6.4) % 4.6 % (5.9) % 2024 Form 10-K | 38 The following table details AbbVie's worldwide net revenues: Percent change At actual currency rates At constant currency rates years ended December 31 (dollars in millions) 2024 2023 2022 2024 2023 2024 2023 Immunology Humira United States $ 7,142 $ 12,160 $ 18,619 (41.3) % (34.7) % (41.3) % (34.7) % International 1,851 2,244 2,618 (17.5) % (14.3) % (13.2) % (11.8) % Total $ 8,993 $ 14,404 $ 21,237 (37.6) % (32.2) % (36.9) % (31.9) % Skyrizi United States $ 10,086 $ 6,753 $ 4,484 49.3 % 50.6 % 49.3 % 50.6 % International 1,632 1,010 681 61.6 % 48.3 % 65.4 % 50.3 % Total $ 11,718 $ 7,763 $ 5,165 50.9 % 50.3 % 51.4 % 50.6 % Rinvoq United States $ 4,259 $ 2,824 $ 1,794 50.8 % 57.4 % 50.8 % 57.4 % International 1,712 1,145 728 49.6 % 57.3 % 57.0 % 60.7 % Total $ 5,971 $ 3,969 $ 2,522 50.4 % 57.4 % 52.5 % 58.4 % Oncology Imbruvica United States $ 2,448 $ 2,665 $ 3,426 (8.1) % (22.2) % (8.1) % (22.2) % Collaboration revenues 899 931 1,142 (3.5) % (18.5) % (3.5) % (18.5) % Total $ 3,347 $ 3,596 $ 4,568 (6.9) % (21.3) % (6.9) % (21.3) % Venclexta United States $ 1,234 $ 1,087 $ 1,009 13.5 % 7.8 % 13.5 % 7.8 % International 1,349 1,201 1,000 12.3 % 20.1 % 18.0 % 22.3 % Total $ 2,583 $ 2,288 $ 2,009 12.9 % 13.9 % 15.9 % 15.0 % Elahere (a) United States $ 477 $ — $ — n/m n/m n/m n/m International 2 — — n/m n/m n/m n/m Total $ 479 $ — $ — n/m n/m n/m n/m Epkinly Collaboration revenues $ 118 $ 28 $ — >100.0 % n/m >100.0 % n/m International 28 3 — >100.0 % n/m >100.0 % n/m Total $ 146 $ 31 $ — >100.0 % n/m >100.0 % n/m Aesthetics Botox Cosmetic United States $ 1,682 $ 1,670 $ 1,654 0.7 % 1.0 % 0.7 % 1.0 % International 1,038 1,012 961 2.7 % 5.3 % 6.7 % 9.7 % Total $ 2,720 $ 2,682 $ 2,615 1.4 % 2.6 % 2.9 % 4.2 % Juvederm Collection United States $ 469 $ 519 $ 548 (9.6) % (5.4) % (9.6) % (5.4) % International 708 859 880 (17.6) % (2.4) % (13.4) % 1.9 % Total $ 1,177 $ 1,378 $ 1,428 (14.6) % (3.6) % (12.0) % (0.9) % Other Aesthetics United States $ 1,118 $ 1,060 $ 1,122 5.5 % (5.6) % 5.5 % (5.6) % International 161 174 168 (7.1) % 3.3 % (1.0) % 8.1 % Total $ 1,279 $ 1,234 $ 1,290 3.7 % (4.4) % 4.6 % (3.8) % Neuroscience Botox Therapeutic United States $ 2,718 $ 2,476 $ 2,255 9.8 % 9.8 % 9.8 % 9.8 % International 565 515 464 9.8 % 11.1 % 14.0 % 15.5 % Total $ 3,283 $ 2,991 $ 2,719 9.8 % 10.0 % 10.5 % 10.8 % Vraylar United States $ 3,260 $ 2,755 $ 2,037 18.4 % 35.2 % 18.4 % 35.2 % International 7 4 1 57.8 % >100.0 % 58.6 % >100.0 % Total $ 3,267 $ 2,759 $ 2,038 18.4 % 35.4 % 18.4 % 35.4 % Duodopa United States $ 96 $ 97 $ 95 (1.8) % 3.0 % (1.8) % 3.0 % International 351 371 363 (5.3) % 2.1 % (5.4) % 1.8 % Total $ 447 $ 468 $ 458 (4.6) % 2.3 % (4.7) % 2.1 % Ubrelvy United States $ 981 $ 803 $ 680 22.1 % 18.2 % 22.1 % 18.2 % International 25 12 — >100.0 % >100.0 % >100.0 % >100.0 % Total $ 1,006 $ 815 $ 680 23.4 % 19.9 % 23.4 % 19.9 % Qulipta United States $ 628 $ 405 $ 158 55.3 % >100.0 % 55.3 % >100.0 % International 30 3 — >100.0 % >100.0 % >100.0 % >100.0 % Total $ 658 $ 408 $ 158 61.3 % >100.0 % 61.3 % >100.0 % 39 | 2024 Form 10-K Percent change At actual currency rates At constant currency rates years ended December 31 (dollars in millions) 2024 2023 2022 2024 2023 2024 2023 Other Neuroscience United States $ 224 $ 254 $ 456 (11.6) % (44.4) % (11.6) % (44.4) % International 114 22 19 >100.0 % 20.2 % >100.0 % 24.4 % Total $ 338 $ 276 $ 475 22.4 % (41.9) % 22.7 % (41.7) % Eye Care Ozurdex United States $ 138 $ 143 $ 139 (4.1) % 2.7 % (4.1) % 2.7 % International 356 329 289 8.3 % 14.0 % 10.7 % 15.9 % Total $ 494 $ 472 $ 428 4.5 % 10.3 % 6.2 % 11.6 % Lumigan/Ganfort United States $ 187 $ 173 $ 242 7.5 % (28.4) % 7.5 % (28.4) % International 242 259 272 (6.4) % (4.8) % (3.9) % (3.6) % Total $ 429 $ 432 $ 514 (0.9) % (15.9) % 0.6 % (15.3) % Alphagan/Combigan United States $ 95 $ 121 $ 202 (21.8) % (40.1) % (21.8) % (40.1) % International 153 151 144 1.5 % 4.9 % 7.6 % 10.4 % Total $ 248 $ 272 $ 346 (8.8) % (21.4) % (5.4) % (19.1) % Restasis United States $ 172 $ 382 $ 621 (55.2) % (38.5) % (55.2) % (38.5) % International 52 54 45 (3.0) % 19.3 % 2.1 % 25.3 % Total $ 224 $ 436 $ 666 (48.7) % (34.6) % (48.1) % (34.2) % Other Eye Care United States $ 472 $ 433 $ 399 8.9 % 9.0 % 8.9 % 9.0 % International 375 370 348 1.5 % 6.1 % 6.1 % 8.7 % Total $ 847 $ 803 $ 747 5.5 % 7.6 % 7.6 % 8.8 % Other Key Products Mavyret United States $ 595 $ 659 $ 755 (9.7) % (12.7) % (9.7) % (12.7) % International 716 771 786 (7.2) % (1.9) % (4.5) % 1.0 % Total $ 1,311 $ 1,430 $ 1,541 (8.3) % (7.2) % (6.9) % (5.7) % Creon United States $ 1,383 $ 1,268 $ 1,278 9.1 % (0.8) % 9.1 % (0.8) % Linzess/Constella United States $ 916 $ 1,073 $ 1,003 (14.6) % 7.1 % (14.6) % 7.1 % International 38 35 32 7.5 % 8.8 % 7.2 % 9.7 % Total $ 954 $ 1,108 $ 1,035 (13.9) % 7.1 % (13.9) % 7.1 % All other $ 3,032 $ 3,035 $ 4,137 — % (26.7) % 1.4 % (25.7) % Total net revenues $ 56,334 $ 54,318 $ 58,054 3.7 % (6.4) % 4.6 % (5.9) % n/m – Not meaningful (a) Net revenues include ImmunoGen product revenues after the acquisition closing date of February 12, 2024.
These products are described in greater detail in the section labeled "Research and Development" included as part of this Item 7. 2023 Financial Results AbbVie's strategy has focused on delivering strong financial results, maximizing the benefits of a diversified revenue base, advancing and investing in its pipeline and returning value to shareholders while ensuring a strong, sustainable growth business over the long term.
These products are described in greater detail in the section labeled "Research and Development" included as part of this Item 7. 2024 Financial Results AbbVie's strategy has focused on delivering strong financial results, maximizing the benefits of a diversified revenue base, advancing and investing in its pipeline and returning value to shareholders while ensuring a strong, sustainable growth business over the long term.
Discussions of 2021 items and year-to-year comparisons between 2022 and 2021 that are not included in this Form 10-K can be found in “Management's Discussion and Analysis of Financial Condition and Results of Operations” in Part II, Item 7 of the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2022.
Discussions of 2022 items and year-to-year comparisons between 2023 and 2022 that are not included in this Form 10-K can be found in “Management's Discussion and Analysis of Financial Condition and Results of Operations” in Part II, Item 7 of the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2023.
Significant judgment is employed in determining the appropriateness of certain of these inputs, which are disclosed in Note 11 to the Consolidated Financial Statements. Changes to the inputs described above could have a material impact on the company's financial position and results of operations in any given period. 2023 Form 10-K | 48
Significant judgment is employed in determining the appropriateness of certain of these inputs, which are disclosed in Note 11 to the Consolidated Financial Statements. Changes to the inputs described above could have a material impact on the company's financial position and results of operations in any given period. 2024 Form 10-K | 48
The current health care cost trend rate is supported by the historical trend experience of each plan. Assumed health care cost trend rates have a significant effect on the amounts reported for health care plans as of December 31, 2023 and will be used in the calculation of net periodic benefit cost in 2024.
The current health care cost trend rate is supported by the historical trend experience of each plan. Assumed health care cost trend rates have a significant effect on the amounts reported for health care plans as of December 31, 2024 and will be used in the calculation of net periodic benefit cost in 2025.
Interest payments on debt are calculated for future periods using forecasted interest rates in effect at the end of 2023. Projected interest payments include the related effects of interest rate swap agreements. Certain of these projected interest payments may differ in the future based on changes in floating interest rates or other factors or events.
Interest payments on debt are calculated for future periods using forecasted interest rates in effect at the end of 2024. Projected interest payments include the related effects of interest rate swap agreements. Certain of these projected interest payments may differ in the future based on changes in floating interest rates or other factors or events.
AbbVie's assumed expected long-term rate of return has a significant effect on the amounts reported for defined benefit pension plans as of December 31, 2023 and will be used in the calculation of net periodic benefit cost in 2024.
AbbVie's assumed expected long-term rate of return has a significant effect on the amounts reported for defined benefit pension plans as of December 31, 2024 and will be used in the calculation of net periodic benefit cost in 2025.
This commentary should be read in conjunction with the Consolidated Financial Statements and accompanying notes appearing in Item 8, "Financial Statements and Supplementary Data." This section of Form 10-K generally discusses 2023 and 2022 items and year-to-year comparisons between 2023 and 2022.
This commentary should be read in conjunction with the Consolidated Financial Statements and accompanying notes appearing in Item 8, "Financial Statements and Supplementary Data." This section of Form 10-K generally discusses 2024 and 2023 items and year-to-year comparisons between 2024 and 2023.
Revenue Recognition AbbVie recognizes revenue when control of promised goods or services is transferred to the company’s customers, in an amount that reflects the consideration AbbVie expects to be entitled to in exchange for those goods or services. Sales, value add and other taxes collected concurrent with revenue-producing activities are excluded from revenue.
Revenue Recognition AbbVie recognizes revenue when control of promised goods or services is transferred to the company’s customers, in an amount that reflects the consideration AbbVie expects to be entitled to in exchange for those goods or services. Sales, value add and other taxes collected concurrent with revenue-producing activities are excluded from revenue. AbbVie generates revenue primarily from product sales.
The following sections summarize transitions of significant programs from mid-stage development to late-stage development as well as developments in significant late-stage and registration programs. AbbVie expects multiple mid-stage programs to transition into late-stage programs in the next 12 months.
The following sections summarize transitions of significant programs from mid-stage development to late-stage development as well as developments in significant late-stage and registrational programs. AbbVie expects multiple mid-stage programs to transition into late-stage programs in the next 12 months.
In 2022, Puerto Rico enacted Act 52-2002 (the “Puerto Rico Act”) allowing for a transition from a Puerto Rico excise tax levied on gross inventory purchases to an income-based tax beginning in 2023.
In 2022, Puerto Rico enacted Act 52-2002 (the Puerto Rico Act) allowing for a transition from a Puerto Rico excise tax levied on gross inventory purchases to an income-based tax beginning in 2023.
In 2023, the change in fair value reflected higher estimated Skyrizi sales driven by stronger market share uptake, the passage of time and lower discount rates. In 2022, the change in fair value reflected higher estimated Skyrizi sales driven by stronger market share uptake and the passage of time, partially offset by higher discount rates.
In 2024, the change in fair value reflected higher estimated Skyrizi sales and the passage of time, partially offset by higher discount rates. In 2023, the change in fair value reflected higher estimated Skyrizi sales driven by stronger market share uptake, the passage of time and lower discount rates.
AbbVie's assumed discount rates have a significant effect on the amounts reported for defined benefit pension and other post-employment plans as of December 31, 2023.
AbbVie's assumed discount rates have a significant effect on the amounts reported for defined benefit pension and other post-employment plans as of December 31, 2024.
AbbVie's pipeline currently includes approximately 90 compounds, devices or indications in development individually or under collaboration or license agreements and is focused on such important specialties as immunology, oncology, aesthetics, neuroscience and eye care. Of these programs, approximately 50 are in mid- and late-stage development.
AbbVie's pipeline currently includes approximately 90 compounds, devices or indications in development individually or under collaboration or license agreements and is focused on important specialties including immunology, oncology, aesthetics, neuroscience and eye care. Of these programs, approximately 50 are in mid- and late-stage development.
A one percentage point change in assumed expected long-term rate of return on plan assets would increase or decrease the net period benefit cost of these plans in 2024 by $106 million. The health care cost trend rate is selected by reviewing historical trends and current views on projected future health care cost increases.
A one percentage point change in assumed expected long-term rate of return on plan assets would increase or decrease the net period benefit cost of these plans in 2025 by $109 million. The health care cost trend rate is selected by reviewing historical trends and current views on projected future health care cost increases.
The significant assumptions, which are reviewed annually, include the discount rate, the expected long-term rate of return on plan assets and the health care cost trend rates and are disclosed in Note 12 to the Consolidated Financial Statements. 2023 Form 10-K | 46 The discount rate is selected based on current market rates on high-quality, fixed-income investments at December 31 each year.
The significant assumptions, which are reviewed annually, include the discount rate, the expected long-term rate of return on plan assets and the health care cost trend rates and are disclosed in Note 12 to the Consolidated Financial Statements. The discount rate is selected based on current market rates on high-quality, fixed-income investments at December 31 each year.
These projects include a global minimum tax rate of 15%, referred to as "Pillar Two", and the creation of a new global system to tax income based on the location to which products are sold, referred to as "Pillar One." Numerous countries have agreed to a statement in support of the OECD model rules and European Union member states have agreed to 2023 Form 10-K | 42 implement Pillar Two.
These projects include a global minimum tax rate of 15%, referred to as "Pillar Two", and the creation of a new global system to tax income based on the location to which products are sold, referred to as "Pillar One." Numerous countries have agreed to a statement in support of the OECD model rules and European Union member states have agreed to implement Pillar Two.
In-process research and development (IPR&D) acquired in a business combination is capitalized as an indefinite-lived intangible asset until regulatory approval is obtained, at which time it is accounted for as a definite-lived asset and amortized over its estimated useful life, or discontinuation, at which point the intangible asset will be written off.
In-process research and development (IPR&D) acquired in a business combination is capitalized as an 47 | 2024 Form 10-K indefinite-lived intangible asset until regulatory approval is obtained, at which time it is accounted for as a definite-lived asset and amortized over its estimated useful life, or discontinuation, at which point the intangible asset will be written off.
Historically, adjustments to rebate accruals have not been material to net earnings. The following table is an analysis of the three largest accruals for rebates and chargebacks, which comprise approximately 94% of the total consolidated rebate and chargebacks recorded as reductions to revenues in 2023.
Historically, adjustments to rebate accruals have not been material to net earnings. The following table is an analysis of the three largest accruals for rebates and chargebacks, which comprise approximately 92% of the total consolidated rebate and chargebacks recorded as reductions to revenues in 2024.
The effective income tax rates differed from the statutory tax rate principally due to the impact of foreign operations with lower income tax rates in locations outside the United States, the U.S. global minimum tax, changes in fair value of contingent consideration, tax credits and incentives in the United States, Puerto Rico and other foreign tax jurisdictions, and business development activities.
The effective income tax rates in 2024, 2023 and 2022 differed from the statutory tax rate principally due to the impact of foreign operations with lower income tax rates in locations outside the United States, the U.S. global minimum tax, changes in fair value of contingent consideration, tax audits and settlements, tax credits and incentives in the United States, Puerto Rico and other foreign tax jurisdictions, and business development activities.
See Part I, Item 1 “Business – Regulation – Commercialization, Distribution and Manufacturing,” Part I, Item 1A “Risk Factors” and Note 7 to the consolidated financial statements for additional information. Research and Development Research and innovation are the cornerstones of AbbVie's business as a global biopharmaceutical company.
See Part I, Item 1 “Business – Regulation – Commercialization, Distribution and Manufacturing,” Part I, Item 1A “Risk Factors” and Note 7 to the consolidated financial statements for additional information. 2024 Form 10-K | 34 Research and Development Research and innovation are the cornerstones of AbbVie's business as a global biopharmaceutical company.
The company completed the transition requirements of the Puerto Rico Act in 2022, resulting in the remeasurement of certain deferred tax assets and liabilities based on income tax rates at which they are expected to reverse in the future.
The company completed the transition 2024 Form 10-K | 42 requirements of the Puerto Rico Act in 2022, resulting in the remeasurement of certain deferred tax assets and liabilities based on income tax rates at which they are expected to reverse in the future.
The projected interest payments only pertain to obligations and agreements outstanding at December 31, 2023. See Note 10 to the Consolidated Financial Statements for additional information regarding the company's debt instruments and Note 11 for additional information on the interest rate swap agreements outstanding at December 31, 2023.
The projected interest payments only pertain to 2024 Form 10-K | 44 obligations and agreements outstanding at December 31, 2024. See Note 10 to the Consolidated Financial Statements for additional information regarding the company's debt instruments and Note 11 for additional information on the interest rate swap agreements outstanding at December 31, 2024.
AbbVie repurchased 10 million shares for $1.6 billion in 2023 and 8 million shares for $1.1 billion in 2022. AbbVie's remaining stock repurchase authorization was $4.8 billion as of December 31, 2023. On February 16, 2023, AbbVie's board of directors authorized a $5.0 billion increase to the existing stock repurchase authorization.
AbbVie repurchased 7 million shares for $1.3 billion in 2024 and 10 million shares for $1.6 billion in 2023. AbbVie's remaining stock repurchase authorization was $3.5 billion as of December 31, 2024. On February 16, 2023, AbbVie's board of directors authorized a $5.0 billion increase to the existing stock repurchase authorization.
Research and Development Percent change years ended December 31 (dollars in millions) 2023 2022 2021 2023 2022 Research and development $ 7,675 $ 6,510 $ 6,922 18 % (6) % as a percent of net revenues 14 % 11 % 12 % Research and development (R&D) expenses as a percentage of net revenues increased in 2023 compared to 2022.
Research and Development Percent change years ended December 31 (dollars in millions) 2024 2023 2022 2024 2023 Research and development $ 12,791 $ 7,675 $ 6,510 67 % 18 % as a percent of net revenues 23 % 14 % 11 % Research and development (R&D) expenses as a percentage of net revenues increased in 2024 compared to 2023.
At December 31, 2023, the company was in compliance with all covenants, and commitment fees under the credit facility were insignificant. No amounts were outstanding under the company's credit facility as of December 31, 2023, December 31, 2022, or December 31, 2021.
At December 31, 2024, the company was in compliance with all covenants, and commitment fees under the credit facility were insignificant. No amounts were outstanding under the company's credit facilities as of December 31, 2024 and December 31, 2023.
Reserves for cash discounts and sales incentives are readily determinable because the company's experience of payment history is fairly consistent. Product returns can be reliably estimated based on the company's historical return experience. Cash discounts totaled $2.0 billion in 2023, $1.8 billion in 2022 and $1.6 billion in 2021. Allowances other than cash discounts are not significant.
Reserves for cash discounts and sales incentives are readily determinable because the company's experience of payment history is fairly consistent. Product returns can be reliably estimated based on the company's historical return experience. Cash discounts totaled $2.0 billion in 2024, $2.0 billion in 2023 and $1.8 billion in 2022.
Net revenues for Rinvoq increased 58% in 2023 primarily driven by continued strong market share uptake as well as market growth across all indications, partially offset by unfavorable pricing. Net revenues for Imbruvica represent product revenues in the United States and collaboration revenues outside of the United States related to AbbVie's 50% share of Imbruvica profit.
Net revenues for Rinvoq increased 53% in 2024 primarily driven by continued strong market share uptake as well as market growth across all indications. Net revenues for Imbruvica represent product revenues in the United States and collaboration revenues outside of the United States related to AbbVie's 50% share of Imbruvica profit.
AbbVie reflects the plans' specific cash flows and applies them to the corresponding individual spot rates along the yield curve in calculating the service cost and interest cost portions of expense. For other countries, AbbVie reviews various indices such as corporate bond and government bond benchmarks to estimate the discount rate.
AbbVie reflects 2024 Form 10-K | 46 the plans' specific cash flows and applies them to the corresponding individual spot rates along the yield curve in calculating the service cost and interest cost portions of expense. For certain plans, AbbVie reviews various indices such as corporate bond and government bond benchmarks to estimate the discount rate.
Lutikizumab • In January 2024, AbbVie announced Phase 2 results showing adults with moderate to severe hidradenitis suppurativa (HS) who had previously failed anti-TNF therapy who received lutikizumab achieved higher response rates than placebo in the primary endpoint of achieving HS Clinical Response at week 16.
Lutikizumab • In January 2024, AbbVie announced Phase 2 results showing adults with moderate to severe hidradenitis suppurativa (HS) who had previously failed anti-TNF therapy who received lutikizumab achieved higher response rates than placebo in the primary endpoint of achieving HS Clinical Response at week 16. • In July 2024, AbbVie initiated a Phase 3 clinical trial to evaluate lutikizumab in adult and adolescent patients with moderate to severe HS.
See Note 5 to the Consolidated Financial Statements for additional information. Other Operating Expense (Income), Net Other operating expense (income), net included a gain of $169 million in 2023 and a charge of $229 million in 2022 related to a development liability associated with an asset divested as part of Allergan acquisition.
(Aliada) and $250 million to acquire Celsius Therapeutics. See Note 5 to the Consolidated Financial Statements for additional information. Other Operating Expense (Income), Net Other operating expense (income), net included a gain of $169 million in 2023 related to a development liability associated with an asset divested as part of the acquisition of Allergan, Inc. (Allergan) in 2020.
A 50 basis point change in the assumed discount rate would have had the following effects on AbbVie's calculation of net periodic benefit costs in 2024 and projected benefit obligations as of December 31, 2023: 50 basis point (in millions) (brackets denote a reduction) Increase Decrease Defined benefit plans Net periodic benefit cost $ (49) $ 70 Projected benefit obligation (674) 756 Other post-employment plans Net periodic benefit cost $ (6) $ 7 Projected benefit obligation (53) 59 The expected long-term rate of return is based on the asset allocation, historical performance and the current view of expected future returns.
A 50 basis point change in the assumed discount rate would have had the following effects on AbbVie's calculation of net periodic benefit costs in 2025 and projected benefit obligations as of December 31, 2024: 50 basis point (in millions) (brackets denote a reduction) Increase Decrease Defined benefit plans Net periodic benefit cost $ (25) $ 39 Projected benefit obligation (596) 664 Other post-employment plans Net periodic benefit cost $ (5) $ 6 Projected benefit obligation (46) 51 The expected long-term rate of return is based on the asset allocation, historical performance and the current view of expected future returns.
(in millions) Medicaid and Medicare Rebates Managed Care Rebates Wholesaler Chargebacks Balance as of December 31, 2020 $ 2,945 $ 2,907 $ 741 Provisions 9,622 11,306 11,286 Payments (8,751) (11,116) (11,125) Balance as of December 31, 2021 3,816 3,097 902 Provisions 11,713 14,119 13,070 Payments (10,331) (12,974) (12,829) Balance as of December 31, 2022 5,198 4,242 1,143 Provisions 15,153 23,978 14,191 Payments (15,054) (21,200) (14,162) Balance as of December 31, 2023 $ 5,297 $ 7,020 $ 1,172 Other Allowances Other allowances include cash discounts, product returns, sales incentives and other adjustments, which are accounted for as variable consideration and are recorded as a reduction to revenue in the same period the related product is sold.
(in millions) Medicaid and Medicare Rebates Managed Care Rebates Wholesaler Chargebacks Balance as of December 31, 2021 $ 3,816 $ 3,097 $ 902 Provisions 11,713 14,119 13,070 Payments (10,331) (12,974) (12,829) Balance as of December 31, 2022 5,198 4,242 1,143 Provisions 15,153 23,978 14,191 Payments (15,054) (21,200) (14,162) Balance as of December 31, 2023 5,297 7,020 1,172 Provisions 15,866 24,127 14,782 Payments (13,756) (25,622) (14,797) Balance as of December 31, 2024 $ 7,407 $ 5,525 $ 1,157 Other Allowances Other allowances include cash discounts, product returns, sales incentives and other adjustments, which are accounted for as variable consideration and are recorded as a reduction to revenue in the same period the related product is sold.
Diluted earnings per share in 2023 was $2.72 and included the following after-tax costs: (i) $6.7 billion related to the amortization of intangible assets; (ii) $5.0 billion for the change in fair value of contingent consideration liabilities; (iii) $3.5 billion related to intangible asset impairment; and (iv) $122 million of acquisition and integration expenses.
Diluted earnings per share in 2024 was $2.39 and included the following after-tax costs: (i) $6.5 billion related to the amortization of intangible assets; (ii) $3.7 billion for the change in fair value of contingent consideration liabilities; (iii) $3.5 billion related to intangible asset impairment; (iv) $978 million of acquisition and integration expenses; and (v) $721 million for charges related to litigation matters.
AbbVie's global Imbruvica revenues decreased 21% in 2023 primarily driven by decreased demand and lower market share in the United States as well as decreased collaboration revenues. Net revenues for Venclexta increased 15% in 2023. In the United States, Venclexta net revenues increased 8% driven by continued market growth across all indications, market share uptake as well as favorable pricing.
AbbVie's global Imbruvica revenues decreased 7% in 2024 primarily driven by decreased demand and lower market share in the United States as well as decreased collaboration revenues. Net revenues for Venclexta increased 16% in 2024 primarily driven by continued market share uptake and market growth across all indications.
AbbVie may issue additional commercial paper or retire commercial paper to meet liquidity requirements as needed. Credit Risk AbbVie monitors economic conditions, the creditworthiness of customers and government regulations and funding, both domestically and abroad.
There were no commercial paper borrowings outstanding as of December 31, 2024 and December 31, 2023. AbbVie may issue additional commercial paper or retire commercial paper to meet liquidity requirements as needed. Credit Risk AbbVie monitors economic conditions, the creditworthiness of customers and government regulations and funding, both domestically and abroad.
Quarterly Cash Dividend On October 26, 2023, AbbVie announced that its board of directors declared an increase in the quarterly cash dividend from $1.48 per share to $1.55 per share beginning with the dividend payable on February 15, 2024, to stockholders of record as of January 16, 2024. This reflects an increase of approximately 4.7% over the previous quarterly rate.
Quarterly Cash Dividend On October 30, 2024, AbbVie announced that its board of directors declared an increase in the company’s quarterly dividend from $1.55 per share to $1.64 per share beginning with the dividend payable on February 14, 2025 to stockholders of record as of January 15, 2025. This reflects an increase of approximately 5.8% over the previous quarterly rate.
Certain products are co-marketed or co-promoted with other companies. AbbVie operates as a single global business segment and has approximately 50,000 employees. 2024 Strategic Objectives AbbVie's mission is to discover and develop innovative medicines and products that solve serious health issues today and address the medical challenges of tomorrow while achieving top-tier financial performance through outstanding execution.
AbbVie operates as a single global business segment and has approximately 55,000 employees. 33 | 2024 Form 10-K 2025 Strategic Objectives AbbVie's mission is to discover and develop innovative medicines and products that solve serious health issues today and address the medical challenges of tomorrow while achieving top-tier financial performance through outstanding execution.
Gross Margin Percent change years ended December 31 (dollars in millions) 2023 2022 2021 2023 2022 Gross margin $ 33,903 $ 40,640 $ 38,751 (17) % 5 % as a percent of net revenues 62 % 70 % 69 % Gross margin as a percentage of net revenues in 2023 decreased compared to 2022.
Gross Margin Percent change years ended December 31 (dollars in millions) 2024 2023 2022 2024 2023 Gross margin $ 39,430 $ 33,903 $ 40,640 16 % (17) % as a percent of net revenues 70 % 62 % 70 % Gross margin as a percentage of net revenues in 2024 increased compared to 2023.
No commercial paper borrowings were issued during 2023 or 2022 and there were no commercial paper borrowings outstanding as of December 31, 2023 or December 31, 2022. Subsequent to 2023, AbbVie issued commercial paper borrowings of which $1.7 billion were outstanding as of the date of filing this Annual Report on Form 10-K.
During 2024, the company issued and redeemed $7.7 billion of commercial paper. Subsequent to December 31, 2024, AbbVie issued commercial paper borrowings of which $3.3 billion were outstanding as of date of filing of this Annual Report 43 | 2024 Form 10-K on Form 10-K.
Unfavorable changes to the ratings may have an adverse impact on future financing arrangements; however, they would not affect the company’s ability to draw on its credit facility and would not result in an acceleration of scheduled maturities of any of the company’s outstanding debt.
However, they would not affect the company’s ability to draw on its credit facility and would not result in an acceleration of scheduled maturities of any of the company’s outstanding debt.
(b) Includes contingent consideration liabilities which are recorded at fair value on the consolidated balance sheet. Potential contingent consideration payments that exceed the fair value recorded on the consolidated balance sheet are not included in the table of contractual obligations.
(b) Includes contingent consideration liabilities which are recorded at fair value on the consolidated balance sheet. Potential contingent consideration payments that exceed the fair value recorded on the consolidated balance sheet are not included in the table of contractual obligations. See Note 11 to the Consolidated Financial Statements for additional information regarding these liabilities.
During the quarter ended December 31, 2023 the company also repaid €500 million aggregate principal amount of 1.50% senior euro notes and $1.3 billion aggregate principal amount of 3.75% senior notes at maturity.
During the quarter ended December 31, 2023 the company also repaid €500 million aggregate principal amount of 1.50% senior euro notes and $1.3 billion aggregate principal amount of 3.75% senior notes at maturity. Financing cash flows also included cash dividend payments of $11.0 billion in 2024 and $10.5 billion in 2023.
FINANCIAL POSITION, LIQUIDITY AND CAPITAL RESOURCES years ended December 31 (in millions) 2023 2022 2021 Cash flows provided by (used in) Operating activities $ 22,839 $ 24,943 $ 22,777 Investing activities (2,009) (623) (2,344) Financing activities (17,222) (24,803) (19,039) Operating cash flows in 2023 decreased from 2022 primarily due to decreased results of operations driven by lower net revenues and higher income tax payments, partially offset by the timing of working capital.
FINANCIAL POSITION, LIQUIDITY AND CAPITAL RESOURCES years ended December 31 (in millions) 2024 2023 2022 Cash flows provided by (used in) Operating activities $ 18,806 $ 22,839 $ 24,943 Investing activities (20,820) (2,009) (623) Financing activities (5,211) (17,222) (24,803) Operating cash flows in 2024 decreased compared to the prior year primarily due to the timing of working capital and higher contingent consideration payments classified as operating cash flows, partially offset by increased results from operations driven by higher net revenues.
At the current time, the company believes it has sufficient financial flexibility to issue debt, enter into other financing arrangements and attract long-term capital on acceptable terms to support the company's growth objectives.
At the current time, the company believes it has sufficient financial flexibility to issue debt, enter into other financing arrangements and attract long-term capital on acceptable terms to support the company's growth objectives. Credit Ratings In August 2024, Moody’s Investors Service (Moody’s) affirmed its A3 senior unsecured long-term rating.
These costs were partially offset by an after-tax gain of $381 million related to a favorable settlement of a litigation matter. Additionally, financial results reflected continued funding to support all stages of AbbVie’s pipeline assets and continued investment in AbbVie’s on-market brands.
These costs were partially offset by an income tax benefit of $1.8 billion primarily related to the settlement of income tax examinations. Additionally, financial results reflected continued funding to support all stages of AbbVie’s pipeline assets and continued investment in AbbVie’s on-market brands.
In 2023, Imbruvica was selected as one of the first 10 medicines subject to government-set prices beginning in 2026. The price-setting process will conclude in 2024 and the Centers for Medicare & Medicaid Services will publish prices that will be applicable to the 10 selected drugs beginning in 2026.
In 2023, Imbruvica was selected as one of the first 10 medicines subject to government-set prices beginning in 2026. In 2024, the CMS published Medicare Part D prices that will be applicable to the 10 selected drugs, including Imbruvica, beginning in 2026.
Interest income in 2023 increased compared to 2022 primarily due to the impact of higher interest rates. Other expense, net included charges related to changes in fair value of contingent consideration liabilities of $5.1 billion in 2023 and $2.8 billion in 2022.
Other expense, net included charges related to changes in fair value of contingent consideration liabilities of $3.8 billion in 2024 and $5.1 billion in 2023.
This implementation includes aspects of legislation that are effective starting in 2024. More widespread implementation of Pillar Two is expected to continue, and incremental aspects of the legislation may start in 2025. Significant details around the provision are still emerging. These changes increase tax uncertainty and may adversely impact income tax expense in future years.
This implementation includes aspects of legislation that were effective starting in 2024. Significant details around the provision are still emerging. These potential changes increase tax uncertainty and may adversely impact income tax expense in future years. We will continue to monitor pending legislation and implementation by individual countries and evaluate the potential impact on our business in future periods.
Provisions for rebates and chargebacks totaled $56.8 billion in 2023, $41.4 billion in 2022 and $33.9 billion in 2021. Rebate amounts are typically based upon the volume of purchases using contractual or statutory prices, which may vary by product and by payer.
Rebate amounts are typically based upon the volume of purchases using contractual or statutory prices, which may vary by product and by payer.
AbbVie may also utilize factoring arrangements to mitigate credit risk, although the receivables included in such arrangements have historically not been a significant amount of total outstanding receivables. 43 | 2023 Form 10-K Credit Facility, Access to Capital and Credit Ratings Credit Facility In March 2023, AbbVie entered into an amended and restated five-year revolving credit facility.
AbbVie may also utilize factoring arrangements to mitigate credit risk, although the receivables included in such arrangements have historically not been a significant amount of total outstanding receivables.
It is possible that more of our products, including products that generate substantial revenues, could be selected in future years, which could, among other things, accelerate revenue erosion prior to expiration of intellectual property protections. The effect of reducing prices and reimbursement for certain of our products would significantly impact our results of operations.
In January 2025, HHS, through the CMS, selected Vraylar and Linzess as two of the 15 medicines subject to government-set prices beginning in 2027. It is possible that more of our products, including products that generate substantial revenues, could be selected in future years, which could, among other things, accelerate revenue erosion prior to expiration of intellectual property protections.
Transactions involving the purchase or sale of intangible assets occur between companies in 47 | 2023 Form 10-K the pharmaceuticals industry and valuations are usually based on a discounted cash flow analysis incorporating the stage of completion.
Valuation of Goodwill and Intangible Assets AbbVie has acquired and may continue to acquire significant intangible assets in connection with business combinations that AbbVie records at fair value. Transactions involving the purchase or sale of intangible assets occur between companies in the pharmaceuticals industry and valuations are usually based on a discounted cash flow analysis incorporating the stage of completion.
The company's financial performance in 2023 included delivering worldwide net revenues of $54.3 billion, operating earnings of $12.8 billion, diluted earnings per share of $2.72 and cash flows from operations of $22.8 billion.
The company's financial performance in 2024 included delivering worldwide net revenues of $56.3 billion, operating earnings of $9.1 billion, diluted earnings per share of $2.39 and cash flows from operations of $18.8 billion. Worldwide net revenues increased by 4% on a reported and 5% on a constant currency basis.
In connection with the acquisition of ImmunoGen and proposed acquisition of Cerevel Therapeutics, AbbVie entered into a $9.0 billion 364-day bridge credit agreement and a 364-day term loan credit agreement with an aggregate principal amount of $5.0 billion. No amounts were drawn under the bridge credit agreement or term loan credit agreement as of December 31, 2023 .
Credit Facility, Access to Capital and Credit Ratings Credit Facility In December 2023, in connection with the acquisitions of ImmunoGen and Cerevel Therapeutics, AbbVie entered into a $9.0 billion 364-day bridge credit agreement and $5.0 billion 364-day term loan credit agreement. In February 2024, AbbVie borrowed and repaid $5.0 billion under the term loan credit agreement.
Net revenues for Botox Therapeutic increased 11% in 2023 driven by market growth and market share uptake, partially offset by unfavorable pricing. Net revenues for Vraylar increased 35% in 2023 primarily driven by continued market share uptake as well as market growth.
Net revenues for Vraylar increased 18% in 2024 primarily driven by continued market share uptake as well as market growth. Net revenues for Ubrelvy increased 23% in 2024 primarily driven by continued market share uptake as well as market growth.
AbbVie continues to pursue strategies to maintain broad formulary access of Humira and manage the impact of biosimilar erosion. Net revenues for Skyrizi increased 51% in 2023 primarily driven by continued strong market share uptake as well as market growth across all indications, partially offset by unfavorable pricing.
Internationally, Humira revenues decreased 13% in 2024 primarily driven by the continued impact of direct biosimilar competition. Net revenues for Skyrizi increased 51% in 2024 primarily driven by continued strong market share uptake as well as market growth across all indications.
Global Humira sales decreased 32% in 2023. In the United States, Humira sales decreased 35% in 2023 primarily driven by direct biosimilar competition following loss of exclusivity on January 31, 2023. Internationally, Humira revenues decreased 12% in 2023 primarily driven by the continued impact of direct biosimilar competition.
The following discussion and analysis of AbbVie's net revenues by product is presented on a constant currency basis. Global Humira sales decreased 37% in 2024. In the United States, Humira sales decreased 41% in 2024 primarily driven by direct biosimilar competition following loss of exclusivity on January 31, 2023.
Future Cash Requirements Contractual Obligations The following table summarizes AbbVie's estimated material contractual obligations as of December 31, 2023: (in millions) Total Current Long-term Long-term debt, including current portion $ 59,245 $ 7,170 $ 52,075 Interest on long-term debt (a) 26,273 2,313 23,960 Contingent consideration liabilities (b) 19,890 1,952 17,938 (a) Includes estimated future interest payments on long-term debt.
Future Cash Requirements Contractual Obligations The following table summarizes AbbVie's estimated material contractual obligations as of December 31, 2024: (in millions) Total Current Long-term Long-term debt, including current portion $ 66,841 $ 6,771 $ 60,070 Interest on long-term debt (a) 36,040 2,764 33,276 Contingent consideration liabilities (b) 21,666 2,589 19,077 (a) Includes estimated future interest payments on long-term debt.
Investing cash flows in 2022 included payments made for capital expenditures of $695 million, other acquisitions and investments of $539 million, $255 million cash consideration paid to acquire DJS Antibodies Ltd offset by cash acquired and net revenues and maturities of investments securities totaling $92 million.
Investing cash flows in 2024 included $18.5 billion cash consideration paid to acquire ImmunoGen and Cerevel Therapeutics offset by cash acquired of $952 million, net sales and maturities of investment securities of $482 million, payments made for other acquisitions and investments of $3.0 billion and capital expenditures of $974 million.
The one-time transition tax liability was $3.0 billion as of December 31, 2023 and is payable in three future annual installments. Liabilities for unrecognized tax benefits totaled $6.7 billion as of December 31, 2023. It is not possible to reliably estimate the timing of the future cash outflows related to these liabilities.
Liabilities for unrecognized tax benefits totaled $5.0 billion as of December 31, 2024. It is not possible to reliably estimate the timing of the future cash outflows related to these liabilities. See Note 14 to the Consolidated Financial Statements for additional information on these unrecognized tax benefits.
AbbVie expects to achieve its strategic objectives through: • Skyrizi and Rinvoq revenue growth driven by increasing market share and Skyrizi indication expansion. • Successful integration of the ImmunoGen, Inc. and proposed Cerevel Therapeutics acquisitions. • Advancing our oncology portfolio driven by Venclexta, strong commercial execution of Epkinly, Elahere and other new product launches and effectively managing regulatory, market and competitive challenges impacting Imbruvica. • Aesthetics revenue growth driven by global expansion, increasing market penetration of Botox and Juvederm Collection and strong commercial execution of new product launches. • Neuroscience revenue growth driven by Vraylar, Botox Therapeutic, Ubrelvy and Qulipta as well as strong commercial execution of new product launches. • Maximizing AbbVie's existing eye care portfolio. • Continuing to effectively manage the impact of Humira biosimilar erosion. 33 | 2023 Form 10-K • The favorable impact of pipeline products and indications recently approved or currently under regulatory review where approval is expected in 2024.
AbbVie expects to achieve its strategic objectives through: • Maximizing revenue growth of our key on-market products, including Skyrizi, Rinvoq, Venclexta, Elahere, Vraylar, Ubrelvy, Qulipta, Vyalev/Produodopa, Botox and Juvederm Collection. • Advancing our research and development pipeline by delivering late-stage pipeline milestones, achieving key proof-of-concept objectives across therapeutic areas and continuing to invest in key on-market product indication expansion. • Maximizing the value of key acquisitions as well as continuing to invest in external innovation. • Continuing to effectively manage the impact of Humira biosimilar erosion. • The favorable impact of pipeline products and indications recently approved or currently under regulatory review where approval is expected in 2025.
The CRL did not request that AbbVie conduct additional efficacy and safety trials related to the drug. • In December 2023, AbbVie submitted the Complete Response Resubmission for NDA for ABBV-951. • In January 2024, AbbVie announced the launch of Produodopa (ABBV-951) in the European Union for the treatment of advanced Parkinson's disease with severe motor fluctuations and hyperkinesia (excessive movement) or dyskinesia (involuntary movement), and when available combinations of Parkinson's medicinal products have not given satisfactory results. 37 | 2023 Form 10-K RESULTS OF OPERATIONS Net Revenues The comparisons presented at constant currency rates reflect comparative local currency net revenues at the prior year's foreign exchange rates.
Neuroscience Vyalev/Produodopa • In January 2024, AbbVie announced the launch of Produodopa (ABBV-951) in the European Union for the treatment of advanced Parkinson's disease with severe motor fluctuations and hyperkinesia (excessive movement) or dyskinesia (involuntary movement), and when available combinations of Parkinson's medicinal products have not given satisfactory results. • In June 2024, AbbVie announced it received a Complete Response Letter (CRL) from the FDA for the New Drug Application (NDA) for ABBV-951 for the treatment of motor fluctuations in adults with advanced Parkinson's disease.
There have been no changes to these commitments that would have a material impact on the company’s ability to meet either short-term or long-term future cash requirements. Income Taxes Future income tax cash requirements include a one-time transition tax liability on a mandatory deemed repatriation of previously untaxed earnings of foreign subsidiaries resulting from U.S. tax reform enacted in 2017.
Income Taxes Future income tax cash requirements include a one-time transition tax liability on a mandatory deemed repatriation of previously untaxed earnings of foreign subsidiaries resulting from U.S. tax reform enacted in 2017. The one-time transition tax liability was $2.2 billion as of December 31, 2024 and is payable in two future annual installments.
Rebates AbbVie provides rebates to pharmacy benefit managers, state government Medicaid programs, insurance companies that administer Medicare drug plans, wholesalers, group purchasing organizations and other government agencies and private entities. Rebate and chargeback accruals are accounted for as variable consideration and are recorded as a reduction to revenue in the period the related product is sold.
For the majority of sales, the company transfers control, invoices the customer and recognizes revenue upon shipment to the customer. 45 | 2024 Form 10-K Rebates AbbVie provides rebates to pharmacy benefit managers, state government Medicaid programs, insurance companies that administer Medicare drug plans, wholesalers, group purchasing organizations and other government agencies and private entities.
Oncology Epkinly • In March 2023, AbbVie initiated a Phase 3 clinical trial to evaluate epcoritamab in combination with R-CHOP compared to R-CHOP in patients with newly diagnosed diffuse large B-cell lymphoma (DLBCL). • In May 2023, AbbVie announced that the FDA approved Epkinly (epcoritamab) as the first bispecific antibody to treat adult patients with relapsed or refractory (R/R) DLBCL. • In September 2023, AbbVie announced that the EC approved Tepkinly (epcoritamab) for adults with R/R DLBCL after two or more lines of systemic therapy. • In November 2023, AbbVie announced that the FDA granted Breakthrough Therapy Designation to Epkinly for the treatment of adult patients with R/R follicular lymphoma after two or more therapies.
Oncology Epkinly • In March 2024, AbbVie initiated a Phase 3 clinical trial to evaluate Epkinly in combination with rituximab and lenalidomide in patients with previously untreated follicular lymphoma (FL). 35 | 2024 Form 10-K • In June 2024, AbbVie announced that the FDA approved Epkinly for the treatment of adults with relapsed or refractory (R/R) FL after two or more lines of prior therapy.
Operating cash flows also reflected AbbVie’s contributions to its defined benefit plans of $366 million in 2023 and $357 million in 2022. Investing cash flows in 2023 included payments made for other acquisitions and investments of $1.2 billion, capital expenditures of $777 million, and net purchases of investments securities totaling $22 million.
Investing cash flows in 2023 included payments made for other acquisitions and investments of $1.2 billion, capital expenditures of $777 million and net purchases of investments securities totaling $22 million. Financing cash flows in 2024 included the issuance of unsecured senior notes totaling $15.0 billion aggregate principal which were used to finance the acquisitions of ImmunoGen and Cerevel Therapeutics.
Net revenues for Qulipta increased greater than 100% in 2023 primarily driven by continued strong market share uptake as well as market growth. Net revenues were also favorably impacted by the regulatory approval of Qulipta for the preventive treatment of chronic migraine in adults.
Net revenues for Qulipta increased 61% in 2024 primarily driven by continued strong market share uptake as well as market growth.
R&D expense percentage in 2023 was also unfavorably impacted by an intangible asset impairment charge of $630 million. 41 | 2023 Form 10-K Acquired IPR&D and Milestones years ended December 31 (in millions) 2023 2022 2021 Upfront charges $ 582 $ 445 $ 962 Development milestones 196 252 162 Acquired IPR&D and milestones $ 778 $ 697 $ 1,124 Acquired IPR&D and milestones expense in 2022 included a charge related to the upfront payment of $130 million to acquire Syndesi Therapeutics SA.
See Note 5 to the Consolidated Financial Statements for additional information. 41 | 2024 Form 10-K Acquired IPR&D and Milestones years ended December 31 (in millions) 2024 2023 2022 Upfront charges $ 2,627 $ 582 $ 445 Development milestones 130 196 252 Acquired IPR&D and milestones $ 2,757 $ 778 $ 697 Acquired IPR&D and milestones expense in 2024 included charges related to the upfront payments of $1.4 billion to acquire Aliada Therapeutics Holdings, Inc.
Other Non-Operating Expenses years ended December 31 (in millions) 2023 2022 2021 Interest expense $ 2,224 $ 2,230 $ 2,423 Interest income (540) (186) (39) Interest expense, net $ 1,684 $ 2,044 $ 2,384 Net foreign exchange loss $ 146 $ 148 $ 51 Other expense, net 4,677 2,448 2,500 Interest expense in 2023 decreased compared to 2022 primarily driven by lower average debt balances as a result of deleveraging, partially offset by the impact of higher interest rates.
Other Non-Operating Expenses years ended December 31 (in millions) 2024 2023 2022 Interest expense $ 2,808 $ 2,224 $ 2,230 Interest income (648) (540) (186) Interest expense, net $ 2,160 $ 1,684 $ 2,044 Net foreign exchange loss $ 21 $ 146 $ 148 Other expense, net 3,240 4,677 2,448 Interest expense in 2024 increased compared to 2023 primarily due to the incremental interest associated with financing the ImmunoGen and Cerevel Therapeutics acquisitions.
Gross margin percentage for 2023 was unfavorably impacted by intangible asset impairment charges of $3.6 billion primarily related to Imbruvica, CoolSculpting and Liletta, higher amortization of intangibles and changes in product mix, partially offset by the favorable tax law changes in Puerto Rico.
Gross margin percentage for 2024 was favorably impacted by lower intangible asset impairment charges and lower amortization of intangibles. Intangible asset impairment charges were $3.6 billion in 2023.
Selling, General and Administrative Percent change years ended December 31 (dollars in millions) 2023 2022 2021 2023 2022 Selling, general and administrative $ 12,872 $ 15,260 $ 12,349 (16) % 24 % as a percent of net revenues 24 % 26 % 22 % Selling, general and administrative (SG&A) expenses as a percentage of net revenues decreased in 2023 compared to the prior year primarily due to income of $485 million driven by a favorable settlement of a litigation matter in 2023 compared to litigation reserve charges of $2.5 billion in 2022, partially offset by the unfavorable impact of increased brand investments and lower net revenues primarily driven by the Humira loss of exclusivity in the United States.
Selling, General and Administrative Percent change years ended December 31 (dollars in millions) 2024 2023 2022 2024 2023 Selling, general and administrative $ 14,752 $ 12,872 $ 15,260 15 % (16) % as a percent of net revenues 26 % 24 % 26 % Selling, general and administrative (SG&A) expenses as a percentage of net revenues increased in 2024 compared to 2023.
In the United States, Juvederm Collection net revenues decreased 5% primarily driven by decreased consumer demand due to economic pressures, partially offset by new product launches. Internationally, Juvederm Collection revenue increased 2% driven by increased consumer demand across key international markets and price.
In the United States, Botox Cosmetic net revenues increased 1% primarily driven by favorable pricing, partially offset by the unfavorable impact of customer inventory destocking and decreased consumer demand. Internationally, Botox Cosmetic net revenues increased 7% primarily driven by favorable pricing and increased consumer demand across key international markets.
Navitoclax • In July 2023, AbbVie announced top-line results from the Phase 3 TRANSFORM-1 clinical trial evaluating the safety and efficacy of navitoclax, a BCL-XL/BCL-2 inhibitor, in combination with ruxolitinib in adult patients with primary or secondary myelofibrosis (MF).
Navitoclax • In April 2024, AbbVie announced its decision to discontinue the Phase 3 TRANSFORM-2 study evaluating navitoclax, a BCL-XL/BCL-2 inhibitor, plus ruxolitinib in patients with R/R myelofibrosis following evaluation of the totality of data from the Phase 3 TRANSFORM-1 trial and feedback from regulators.
Teliso-V • In November 2023, AbbVie announced positive top-line results from the Phase 2 LUMINOSITY trial evaluating telisotuzumab-vedotin (Teliso-V) in patients with c-Met protein overexpression, epidermal growth factor receptor wild type, advanced/metastatic nonsquamous non-small cell lung cancer.
Teliso-V • In September 2024, AbbVie announced submission of a Biologics License Application to the FDA for accelerated approval of Teliso-V in adult patients with previously treated, locally advanced or metastatic epidermal growth factor receptor (EGFR) wild type, nonsquamous non-small cell lung cancer (NSCLC) with c-Met protein overexpression.
Financing cash flows in 2022 included repayment of $3.1 billion aggregate principal amount of the company's 2.9% senior notes, $3.0 billion aggregate principal amount of the company's 2.3% senior notes, $2.9 billion aggregate principal amount of the company's 3.45% senior notes, $1.7 billion aggregate principal amount of the company's 3.25% senior notes, $1.0 billion aggregate principal amount of the company’s 3.2% senior notes and $750 million aggregate principal amount of the company's floating rate senior notes.
Additionally, financing cash flows included the issuance and repayment of $5.0 billion under the term loan credit agreement and repayments of $3.8 billion aggregate principal amount of 2.60% senior notes, €1.5 billion aggregate principal amount of 1.38% senior euro notes, €700 million aggregate principal amount of 1.25% senior euro notes, $1.0 billion aggregate principal amount of 3.85% senior notes, $99 million of secured term notes assumed from ImmunoGen in conjunction with the acquisition and settlement of $400 million aggregate amount of 2.5% convertible senior notes assumed from Cerevel Therapeutics.
Confirming the Committee for Medicinal Products for Human Use (CHMP) opinion, the previously approved Rinvoq indication statements were not changed and the dosage and special warnings for all JAK inhibitors were updated to include additional information about the risks associated with JAK inhibitors. 2023 Form 10-K | 34 • In April 2023, AbbVie announced that the EC approved Rinvoq for the treatment of adults with moderately to severely active Crohn’s disease who have had an inadequate response, lost response or were intolerant to either conventional therapy or a biologic agent. • In May 2023, AbbVie announced that the U.S.
Skyrizi • In June 2024, AbbVie announced that the FDA approved Skyrizi for adults with moderately to severely active ulcerative colitis (UC). • In July 2024, AbbVie announced that the European Commission (EC) approved Skyrizi for the treatment of adult patients with moderately to severely active UC who have had an inadequate response to, lost response to, or were intolerant to conventional therapy or a biologic therapy.
Internationally, Venclexta net revenues increased 22% primarily driven by continued market share uptake and market growth across all indications. Net revenues for Botox Cosmetic increased 4% in 2023. In the United States, Botox Cosmetic net revenues increased 1% driven by increased consumer demand due to economic recovery in the toxin market.
Net revenues for Juvederm Collection decreased 12% in 2024 primarily driven by the unfavorable impact of decreased consumer demand and customer inventory destocking. Net revenues for Botox Therapeutic increased 11% in 2024 primarily driven by continued market share uptake as well as market growth.
See Note 14 to the Consolidated Financial Statements for additional information on these unrecognized tax benefits.
See Note 5 to the Consolidated Financial Statements for additional information on the acquisition. Subsequent to the acquisition date, AbbVie's consolidated financial statements include the assets, liabilities, operating results and cash flows of ImmunoGen.
R&D expense percentage for 2023 was unfavorably impacted by increased funding to support all stages of the company's pipeline assets and lower net revenues primarily driven by the Humira loss of exclusivity in the United States.
R&D expense percentage for 2024 was unfavorably impacted by the intangible asset impairment charge of $4.5 billion related to emraclidine compared to an intangible asset impairment charge of $630 million in 2023, increased funding to support all stages of the company's pipeline assets and acquisition and integration costs incurred in connection with the ImmunoGen and Cerevel Therapeutics acquisitions including cash-settled, post-closing expense for employee incentive awards.