Biggest changeWe expect to experience additional GTN pressures during the first quarter of 2025 as a result of Medicare Part D redesign, particularly for Eliquis and certain other products. 47 Total Revenues by Product: Year Ended December 31, Dollars in millions 2024 2023 % Change Growth Portfolio Opdivo $ 9,304 $ 9,009 3 % U.S. 5,350 5,246 2 % Non-U.S. 3,954 3,763 5 % Orencia 3,682 3,601 2 % U.S. 2,770 2,709 2 % Non-U.S. 912 892 2 % Yervoy 2,530 2,238 13 % U.S. 1,599 1,379 16 % Non-U.S. 931 859 8 % Reblozyl 1,773 1,008 76 % U.S. 1,444 804 80 % Non-U.S. 329 204 61 % Opdualag 928 627 48 % U.S. 870 615 41 % Non-U.S. 58 12 >200% Breyanzi 747 364 105 % U.S. 591 303 95 % Non-U.S. 156 61 156 % Camzyos 602 231 161 % U.S. 543 225 141 % Non-U.S. 59 6 >200% Zeposia 566 434 30 % U.S. 403 319 26 % Non-U.S. 163 115 42 % Abecma 406 472 (14) % U.S. 242 358 (32) % Non-U.S. 164 114 44 % Sotyktu 246 170 45 % U.S. 190 157 21 % Non-U.S. 56 13 >200% Krazati 126 — N/A U.S. 118 — N/A Non-U.S. 8 — N/A Augtyro 38 1 >200% U.S. 36 1 >200% Non-U.S. 2 — N/A 48 Year Ended December 31, Dollars in millions 2024 2023 % Change Growth Portfolio (cont.) Cobenfy 10 — N/A U.S. 10 — N/A Non-U.S. — — N/A Other Growth Products (a) 1,605 1,211 33 % U.S. 674 620 9 % Non-U.S. 931 591 58 % Total Growth Portfolio $ 22,563 $ 19,366 17 % U.S. 14,840 12,736 17 % Non-U.S. 7,723 6,630 16 % Legacy Portfolio Eliquis $ 13,333 $ 12,206 9 % U.S. 9,631 8,482 14 % Non-U.S. 3,702 3,724 (1) % Revlimid 5,773 6,097 (5) % U.S. 4,999 5,195 (4) % Non-U.S. 774 902 (14) % Pomalyst/Imnovid 3,545 3,441 3 % U.S. 2,695 2,339 15 % Non-U.S. 850 1,102 (23) % Sprycel 1,286 1,930 (33) % U.S. 983 1,422 (31) % Non-U.S. 303 508 (40) % Abraxane 875 1,004 (13) % U.S. 541 702 (23) % Non-U.S. 334 302 11 % Other Legacy Products (b) 925 962 (4) % U.S. 416 334 25 % Non-U.S. 509 628 (19) % Total Legacy Portfolio $ 25,737 $ 25,640 — % U.S. 19,265 18,474 4 % Non-U.S. 6,472 7,166 (10) % Total Revenues $ 48,300 $ 45,006 7 % U.S. 34,105 31,210 9 % Non-U.S. 14,195 13,796 3 % (a) Includes Onureg , Inrebic , Nulojix , Empliciti and royalty revenues.
Biggest changeMedicare Part D program and higher government channel mix, which has higher GTN adjustment percentages. 47 Total Revenues by Product: Year Ended December 31, Dollars in millions 2025 2024 % Change Growth Portfolio Opdivo $ 10,049 $ 9,304 8 % U.S. 5,904 5,350 10 % Non-U.S. 4,145 3,954 5 % Opdivo Qvantig 238 — N/A U.S. 205 — N/A Non-U.S. 33 — N/A Orencia 3,705 3,682 1 % U.S. 2,736 2,770 (1) % Non-U.S. 969 912 6 % Yervoy 2,900 2,530 15 % U.S. 1,825 1,599 14 % Non-U.S. 1,075 931 15 % Reblozyl 2,327 1,773 31 % U.S. 1,888 1,444 31 % Non-U.S. 438 329 33 % Breyanzi 1,358 747 82 % U.S. 994 591 68 % Non-U.S. 364 156 132 % Opdualag 1,185 928 28 % U.S. 1,045 870 20 % Non-U.S. 140 58 139 % Camzyos 1,068 602 77 % U.S. 863 543 59 % Non-U.S. 204 59 >200% Zeposia 577 566 2 % U.S. 392 403 (3) % Non-U.S. 186 163 14 % Abecma 427 406 5 % U.S. 208 242 (14) % Non-U.S. 219 164 34 % Sotyktu 291 246 19 % U.S. 182 190 (5) % Non-U.S. 110 56 99 % Krazati 205 126 62 % U.S. 192 118 63 % Non-U.S. 13 8 60 % Cobenfy 155 10 >200% U.S. 155 10 >200% Non-U.S. — — N/A 48 Year Ended December 31, Dollars in millions 2025 2024 % Change Growth Portfolio (cont.) Other Growth Products (a) 1,924 1,643 17 % U.S. 782 710 10 % Non-U.S. 1,142 933 22 % Total Growth Portfolio $ 26,409 $ 22,563 17 % U.S. 17,371 14,840 17 % Non-U.S. 9,038 7,723 17 % Legacy Portfolio Eliquis $ 14,443 $ 13,333 8 % U.S. 10,239 9,631 6 % Non-U.S. 4,205 3,702 14 % Revlimid 2,951 5,773 (49) % U.S. 2,535 4,999 (49) % Non-U.S. 416 774 (46) % Pomalyst/Imnovid 2,733 3,545 (23) % U.S. 2,341 2,695 (13) % Non-U.S. 391 850 (54) % Sprycel 493 1,286 (62) % U.S. 299 983 (70) % Non-U.S. 194 303 (36) % Abraxane 368 875 (58) % U.S. 116 541 (78) % Non-U.S. 251 334 (25) % Other Legacy Products (b) 798 925 (14) % U.S. 378 416 (9) % Non-U.S. 420 509 (17) % Total Legacy Portfolio $ 21,785 $ 25,737 (15) % U.S. 15,908 19,265 (17) % Non-U.S. 5,877 6,472 (9) % Total Revenues $ 48,194 $ 48,300 — % U.S. 33,279 34,105 (2) % Non-U.S.
These models required the use of the following significant estimates and assumptions among others: 65 • Identification of product candidates with sufficient substance requiring separate recognition; • Estimates of revenues and operating profits related to commercial products or product candidates; • Eligible patients, pricing and market share used in estimating future revenues; • Probability of success for unapproved product candidates and additional indications for commercial products; • Resources required to complete the development and approval of product candidates; • Timing of regulatory approvals and exclusivity; • Appropriate discount rate by products; • Market participant income tax rates; and • Allocation of expected synergies to products.
These models required the use of the following significant estimates and assumptions among others: • Identification of product candidates with sufficient substance requiring separate recognition; • Estimates of revenues and operating profits related to commercial products or product candidates; • Eligible patients, pricing and market share used in estimating future revenues; • Probability of success for unapproved product candidates and additional indications for commercial products; • Resources required to complete the development and approval of product candidates; • Timing of regulatory approvals and exclusivity; • Appropriate discount rate by products; • Market participant income tax rates; and • Allocation of expected synergies to products.
Financial Statements and Supplementary Data—Note 1. Accounting Policies and Recently Issued Accounting Standards—Contingencies,” “—Note 7. Income Taxes” and “—Note 20. Legal Proceedings and Contingencies.” Product and Pipeline Developments Our R&D programs are managed on a portfolio basis from early discovery through late-stage development and include a balance of early-stage and late-stage programs to support future growth.
Financial Statements and Supplementary Data—Note 1. Accounting Policies and Recently Issued Accounting Standards—Contingencies,” “—Note 7. Income Taxes” and “—Note 20. Legal Proceedings and Contingencies.” 65 Product and Pipeline Developments Our R&D programs are managed on a portfolio basis from early discovery through late-stage development and include a balance of early-stage and late-stage programs to support future growth.
For a detailed listing of all specified items and further information, reconciliations and changes to our non-GAAP financial measures refer to “—Non-GAAP Financial Measures.” 40 Economic and Market Factors Governmental Actions As regulators continue to focus on prescription drugs, our products are facing increased pressures across the portfolio.
For a detailed listing of all specified items and further information, reconciliations and changes to our non-GAAP financial measures refer to “—Non-GAAP Financial Measures.” Economic and Market Factors Governmental Actions As regulators continue to focus on prescription drugs, our products are facing increased pressures across the portfolio.
Income Taxes.” 66 Contingencies In the normal course of business, we are subject to contingencies, such as legal proceedings and claims arising out of our business, that cover a wide range of matters, including, among others, government investigations, shareholder lawsuits, product and environmental liability, contractual claims and tax matters.
Income Taxes.” Contingencies In the normal course of business, we are subject to contingencies, such as legal proceedings and claims arising out of our business, that cover a wide range of matters, including, among others, government investigations, shareholder lawsuits, product and environmental liability, contractual claims and tax matters.
We believe the above-described procedures provide a reasonable basis to ensure compliance with the Consent. Critical Accounting Policies The preparation of financial statements requires the use of estimates and assumptions that affect the reported amounts of assets and liabilities and the reported amounts of revenue and expenses.
We believe the above-described procedures provide a reasonable basis to ensure compliance with the Consent. 62 Critical Accounting Policies The preparation of financial statements requires the use of estimates and assumptions that affect the reported amounts of assets and liabilities and the reported amounts of revenue and expenses.
Marketing, selling and administrative Marketing, selling and administrative expenses primarily include salary and benefit costs, third-party professional and marketing fees, outsourcing fees, shipping and handling costs, advertising and product promotion costs, as well as proportionate allocations of enterprise-wide costs. The allocations include facilities, information technology, and other appropriate costs.
Selling, general and administrative Selling, general and administrative expenses primarily include salary and benefit costs, third-party professional and marketing fees, outsourcing fees, shipping and handling costs, advertising and product promotion costs, as well as proportionate allocations of enterprise-wide costs. The allocations include facilities, information technology, and other appropriate costs.
Our priorities are to focus on transformational medicines where we have a competitive advantage, drive operational excellence throughout the organization and strategically allocate capital for long-term growth and returns.
Our priorities are to focus on transformational medicines where we have a competitive advantage, drive operational excellence throughout the organization and strategically allocate capital for long-term growth and shareholder returns.
Excluding foreign exchange impacts, revenues increased 10%. • BMS is not aware of any Orencia biosimilars on the market in the U.S., EU or Japan. Formulation and additional patents expire in 2026 and beyond. Yervoy (ipilimumab) — a CTLA4 immune checkpoint inhibitor. Yervoy is a monoclonal antibody for the treatment of patients with unresectable or metastatic melanoma.
Excluding foreign exchange impacts, revenues increased 5%. • BMS is not aware of any Orencia biosimilars on the market in the U.S., EU or Japan. Formulation and additional patents expire in 2026 and beyond. Yervoy (ipilimumab) — a CTLA4 immune checkpoint inhibitor. Yervoy is a monoclonal antibody for the treatment of patients with unresectable or metastatic melanoma.
Management’s discussion and analysis of financial condition and results of operations is provided as a supplement to and should be read in conjunction with the consolidated financial statements and related notes included elsewhere in this 2024 Form 10-K to enhance the understanding of our results of operations, financial condition and cash flows.
Management’s discussion and analysis of financial condition and results of operations is provided as a supplement to and should be read in conjunction with the consolidated financial statements and related notes included elsewhere in this 2025 Form 10-K to enhance the understanding of our results of operations, financial condition and cash flows.
We disclose products with levels of inventory in excess of one month on hand or expected demand, subject to certain limited exceptions. There were none as of December 31, 2024, for our U.S. distribution channels, and September 30, 2024, for our non-U.S. distribution channels.
We disclose products with levels of inventory in excess of one month on hand or expected demand, subject to certain limited exceptions. There were none as of December 31, 2025, for our U.S. distribution channels, and September 30, 2025, for our non-U.S. distribution channels.
No forward-looking statement can be guaranteed. We have included important factors in the cautionary statements included in this 2024 Form 10-K, particularly under “Item 1A. Risk Factors,” that we believe could cause actual results to differ materially from any forward-looking statement.
No forward-looking statement can be guaranteed. We have included important factors in the cautionary statements included in this 2025 Form 10-K, particularly under “Item 1A. Risk Factors,” that we believe could cause actual results to differ materially from any forward-looking statement.
Except as otherwise required by applicable law, we undertake no obligation to publicly update or revise any forward-looking statement, whether as a result of new information, future events, changed circumstances or otherwise after the date of this 2024 Form 10-K.
Except as otherwise required by applicable law, we undertake no obligation to publicly update or revise any forward-looking statement, whether as a result of new information, future events, changed circumstances or otherwise after the date of this 2025 Form 10-K.
As such, all of the information required to estimate months on hand in the direct customer distribution channel for non-U.S. business for the year ended December 31, 2024 is not available prior to the filing of this 2024 Form 10-K.
As such, all of the information required to estimate months on hand in the direct customer distribution channel for non-U.S. business for the year ended December 31, 2025 is not available prior to the filing of this 2025 Form 10-K.
The estimated amount of unpaid or unbilled rebates is presented as a liability. Rebates and discounts are offered to managed healthcare organizations in the U.S. managing prescription drug programs and Medicare Advantage prescription drug plans covering the Medicare Part D drug benefit.
The estimated amount of unpaid or unbilled rebates is presented as a liability. Rebates and discounts are offered to managed healthcare organizations in the U.S. managing prescription drug programs and Medicare Advantage prescription drug plans covering the Medicare Part D drug benefit. As a result of the redesign of the U.S.
Additional risks that we may currently deem immaterial or that are not presently known to us could also cause the forward-looking events discussed in this 2024 Form 10-K not to occur.
Additional risks that we may currently deem immaterial or that are not presently known to us could also cause the forward-looking events discussed in this 2025 Form 10-K not to occur.
These statements are likely to relate to, among other things, our goals, plans and objectives regarding our financial position, results of operations, cash flows, market position, product development, product approvals, sales efforts, expenses, performance or results of current and anticipated products, our business development strategy and in relation to our ability to realize the projected benefits of our acquisitions, alliances and other business development activities, the impact of any pandemic or epidemic on our operations and the development and commercialization of our products, potential laws and regulations to lower drug prices, market actions taken by private and government payers to manage drug utilization and contain costs, the expiration of patents or data protection on certain products, including assumptions about our ability to retain marketing exclusivity of certain products, and the outcome of contingencies such as legal proceedings and financial results.
These statements are likely to relate to, among other things, our goals, plans and objectives regarding our financial position, results of operations, cash flows, market position, product development, product approvals, sales efforts, expenses, performance or results of current and anticipated products, our business development strategy and in relation to our ability to realize the projected benefits of our acquisitions, alliances and other business development activities, the impact of any pandemic or epidemic on our operations and the development and commercialization of our products, laws, agreements and regulations to lower drug prices, government actions relating to the imposition of new tariffs, market actions taken by private and government payers to manage drug utilization and contain costs, the expiration of patents or data protection on certain products, including assumptions about our ability to retain marketing exclusivity of certain products, and the outcome of contingencies such as legal proceedings and financial results.
NSCLC and Solid Tumor January 2025 Announced EC approval of Augtyro as a treatment for ROS1 TKI-naïve and –pre-treated adult patients with ROS1-positive advanced NSCLC and for the treatment of adult and pediatric patients 12 years of age and older with advanced solid tumors expressing a NTRK gene fusion, and who have received a prior NTRK inhibitor, or have not received a prior NTRK inhibitor and treatment options not targeting NTRK provide limited clinical benefit, or have been exhausted.
Augtyro NSCLC and Solid Tumor February 2025 Announced EC approval of Augtyro as a treatment for ROS1 TKI-naïve and –pre-treated adult patients with ROS1-positive advanced NSCLC and for the treatment of adult and pediatric patients 12 years of age and older with advanced solid tumors expressing a NTRK gene fusion, and who have received a prior NTRK inhibitor, or have not received a prior NTRK inhibitor and treatment options not targeting NTRK provided limited clinical benefit, or have been exhausted.
We believe that driving long-term business value is at the heart of living our purpose, enabling us to be leaders and difference-makers for generations to come. 44 Acquisitions, Divestitures, Licensing and Other Arrangements For detailed information on significant acquisitions, divestitures, collaborations, licensing and other arrangements during 2024 refer to “Item 8. Financial Statements and Supplementary Data —Note 3.
We believe that driving long-term business value is at the heart of living our purpose, enabling us to be leaders and difference-makers for generations to come. 45 Acquisitions, Divestitures, Licensing and Other Arrangements For detailed information on significant acquisitions, divestitures, collaborations, licensing and other arrangements during 2025 refer to “Item 8. Financial Statements and Supplementary Data —Note 3.
Refer to “—Product and Pipeline Developments” for all of the developments in our marketed products and late-stage pipeline in 2024 and in early 2025. 43 Strategy Our principal strategy is to combine the resources, scale and capability of a large pharmaceutical company with the speed, agility and focus on innovation typically found in the biotech industry.
Refer to “—Product and Pipeline Developments” for all of the developments in our marketed products and late-stage pipeline in 2025 and in early 2026. 44 Strategy Our principal strategy is to combine the resources, scale and capability of a large pharmaceutical company with the speed, agility and focus on innovation typically found in the biotech industry.
Payments generally are due and payable only upon achievement of certain developmental and regulatory milestones for which the specific timing cannot be predicted. Certain agreements also provide for sales-based milestones aggregating to $16.2 billion that we would be obligated to pay upon achievement of certain sales levels in addition to royalties.
Payments generally are due and payable only upon achievement of certain developmental and regulatory milestones for which the specific timing cannot be predicted. Certain agreements also provide for sales-based milestones aggregating to $21.5 billion that we would be obligated to pay upon achievement of certain sales levels in addition to royalties.
In the U.S., we generally determine our months on hand estimates using inventory levels of product on hand and the amount of out-movement provided by our three largest wholesalers, which account for approximately 85% of total gross sales of U.S. products for the year ended December 31, 2024.
In the U.S., we generally determine our months on hand estimates using inventory levels of product on hand and the amount of out-movement provided by our three largest wholesalers, which account for approximately 87% of total gross sales of U.S. products for the year ended December 31, 2025.
Capital Expenditures Annual capital expenditures were approximately $1.2 billion in 2024, $1.1 billion in 2023 and 2022 and are expected to be approximately $1.5 billion in 2025. We continue to make capital expenditures in connection with the expansion of our cell therapy and other manufacturing capabilities, research and development and other facility-related activities.
Capital Expenditures Annual capital expenditures were approximately $1.3 billion in 2025, $1.2 billion in 2024 and $1.1 billion in 2023 and are expected to be approximately $1.3 billion in 2026. We continue to make capital expenditures in connection with the expansion of our cell therapy and other manufacturing capabilities, research and development and other facility-related activities.
We remain committed to the strategic allocation of resources and investing in areas that maximize value and drive sustainable growth. We previously announced a strategic productivity initiative to accelerate the delivery of medicines to patients by evolving and streamlining our enterprise operating model in key areas such as R&D, manufacturing, commercial and other functions.
We remain committed to the strategic allocation of resources and investing in areas that maximize value and drive sustainable growth. As previously announced, our ongoing strategic productivity initiative includes acceleration of the delivery of medicines to patients by evolving and streamlining our enterprise operating model in key areas such as R&D, manufacturing, commercial and other functions.
Reconciliations of these non-GAAP financial measures to the most comparable GAAP measures are included in Exhibit 99.1 to our Form 8-K filed on February 6, 2025 and are incorporated herein by reference.
Reconciliations of these non-GAAP financial measures to the most comparable GAAP measures are included in Exhibit 99.1 to our Form 8-K filed on February 5, 2026 and are incorporated herein by reference.
These pressures have resulted in lower prices, lower reimbursement rates and smaller populations for whom payers will reimburse, which can negatively impact our results of operations (including intangible asset impairment charges), operating cash flow, liquidity and financial flexibility.
These pressures have resulted in lower prices, lower reimbursement rates and smaller populations for whom payers will reimburse, which have negatively impacted, and may continue to negatively impact our results of operations (including intangible asset impairment charges), operating cash flow, liquidity and financial flexibility.
Excluding foreign exchange impact, revenues decreased 36%. • In the U.S. (September 2024) and EU, generic dasatinib products have entered the market.
Excluding foreign exchange impact, revenues decreased 35%. • In the U.S. (September 2024), EU and Japan, generic dasatinib products have entered the market.
Krazati (adagrasib) — a highly selective and potent oral small-molecule inhibitor of the KRAS G12C mutation, indicated 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 and, in combination with cetuximab, for the treatment of adult patients with KRAS G12C -mutated locally advanced or metastatic CRC, as determined by an FDA-approved test, who have received prior treatment with fluoropyrimidine-, oxaliplatin-, and irinotecan-based chemotherapy.
Excluding foreign exchange impacts, revenues increased 95%. 51 Krazati (adagrasib) — a highly selective and potent oral small-molecule inhibitor of the KRAS G12C mutation, indicated 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 and, in combination with cetuximab, for the treatment of adult patients with KRAS G12C -mutated locally advanced or metastatic CRC, as determined by an FDA-approved test, who have received prior treatment with fluoropyrimidine-, oxaliplatin-, and irinotecan-based chemotherapy.
Similar charges or gains were recognized in prior periods and will likely reoccur in future periods, including (i) amortization of acquired intangible assets, including product rights that generate a significant portion of our ongoing revenue and will recur until the intangible assets are fully amortized, (ii) unwinding of inventory purchase price adjustments, (iii) acquisition and integration expenses, (iv) restructuring costs, (v) accelerated depreciation and impairment of property, plant and equipment and intangible assets, (vi) costs of acquiring a priority review voucher, (vii) divestiture gains or losses, (viii) stock compensation resulting from acquisition-related equity awards, (ix) pension, legal and other contractual settlement charges, (x) equity investment and contingent value rights fair value adjustments (including fair value adjustments attributed to limited partnership equity method investments), (xi) income resulting from the change in control of the Nimbus TYK2 Program and (xii) amortization of fair value adjustments of debt acquired from Celgene in our 2019 exchange offer, among other items.
Similar charges or gains were recognized in prior periods and will likely reoccur in future periods, including (i) amortization of acquired intangible assets, including product rights that generate a significant portion of our ongoing revenue and will recur until the intangible assets are fully amortized, (ii) unwinding of inventory purchase price adjustments, (iii) acquisition and integration expenses, (iv) restructuring costs, (v) accelerated depreciation and impairment of property, plant and equipment and intangible assets, (vi) divestiture gains or losses, (vii) stock compensation resulting from acquisition-related equity awards, (viii) pension, legal and other contractual settlement charges, (ix) equity investment and contingent value rights fair value adjustments (including fair value adjustments attributed to limited partnerships and other investments), (x) loss on debt redemptions, and (xi) amortization of fair value adjustments of debt acquired from Celgene in our 2019 exchange offer, among other items.
We continue to evaluate the impact of the IRA on our results of operations, and it is possible that these changes may result in a material impact on our business and results of operations.
We continue to evaluate the impact of the IRA on our results of operations, and it is possible that these changes may result in a material impact on our business and results of operations. In December 2025, we announced the U.S.
The non-U.S. programs include several different pricing schemes such as cost caps, volume discounts, outcome-based pricing schemes and pricing claw-backs that are based on sales of individual companies or an aggregation of all companies participating in a specific market. The estimated amount of unpaid or unbilled rebates and discounts is presented as a liability.
The non-U.S. programs include several different pricing schemes such as cost caps, volume discounts, outcome-based pricing schemes and pricing claw-backs that are based on sales of individual companies or an aggregation of all companies participating in a specific market.
May 2024 Announced FDA accelerated approval of Breyanzi for the treatment of adult patients with relapsed or refractory FL who have received at least two prior lines of systemic therapy. This accelerated approval is based on results from the Phase II TRANSCEND FL study.
MZL December 2025 Announced FDA approval of Breyanzi for the treatment of adult patients with relapsed or refractory MZL who have received at least two prior lines of systemic therapy. This approval of Breyanzi is based on results from the MZL cohort in the Phase II TRANSCEND FL study.
No single country outside the U.S. contributed more than 10% of total revenues in 2024 and 2023. Our business is typically not seasonal; however, in the first quarter we typically see an unwinding of sales channel inventory build-up from the fourth quarter of the prior year.
Excluding the impacts of foreign exchange, international revenues increased 3%. No single country outside the U.S. contributed more than 10% of total revenues in 2025 and 2024. Our business is typically not seasonal; however, in the first quarter we typically see an unwinding of sales channel inventory build-up from the fourth quarter of the prior year.
The policy also requires that investments are only entered into with corporate and financial institutions that meet high credit quality standards. Refer to “Item 8. Financial Statements and Supplementary Data—Note 10. Financing Arrangements” for further information.
The policy also requires that investments are only entered into with corporate and financial institutions that meet high credit quality standards. Refer to “Item 8. Financial Statements and Supplementary Data—Note 9. Financial Instruments and Fair Value Measurements” for further information.
We are committed to an aggregate $17.2 billion of potential contingent future research and development milestone payments to third parties for in-licensing, asset acquisitions and development programs including early-stage milestones of $5.8 billion (milestones achieved through Phase III clinical studies) and late-stage milestones of $11.4 billion (milestones achieved post Phase III clinical studies).
We are committed to an aggregate $18.3 billion of potential contingent future research and development milestone payments to third parties for in-licensing, asset acquisitions and development programs including early-stage milestones of $9.6 billion (milestones achieved through Phase III clinical studies) and late-stage milestones of $8.7 billion (milestones achieved post Phase III clinical studies).
These procedures include a governance process to escalate to appropriate management levels potential questions or concerns regarding compliance with the policy and timely resolution of such questions or concerns.
These procedures include a governance process to escalate to appropriate management levels potential questions or concerns regarding compliance with the policy and timely resolution of such questions or concerns. In addition, compliance with the policy is monitored on a regular basis.
The estimated amount of unpaid or unbilled rebates and discounts is presented as a liability. 64 Other rebates, returns, discounts and adjustments Other GTN sales adjustments include sales returns and all other programs based on applicable laws and regulations for individual non-U.S. countries as well as rebates offered to managed healthcare organizations in the U.S. to a lesser extent.
Other rebates, returns, discounts and adjustments Other GTN sales adjustments include sales returns and all other programs based on applicable laws and regulations for individual non-U.S. countries as well as rebates offered to managed healthcare organizations in the U.S. to a lesser extent.
Estimated returns for established products are determined after considering historical experience and other factors including levels of inventory in the distribution channel, estimated shelf life, product recalls, product discontinuances, price changes of competitive products, introductions of generic products, introductions of competitive new products and lower demand following the loss of market exclusivity.
The estimated amount of unpaid or unbilled rebates and discounts is presented as a liability. 63 Estimated returns for established products are determined after considering historical experience and other factors including levels of inventory in the distribution channel, estimated shelf life, product recalls, product discontinuances, price changes of competitive products, introductions of generic products, introductions of competitive new products and lower demand following the loss of market exclusivity.
Under the current terms of the DSAs, our wholesaler customers provide us with weekly information with respect to months on hand product-level inventories and the amount of out-movement of products. The three largest wholesalers currently account for approximately 85% of our gross U.S. revenues.
We maintain DSAs with our U.S. pharmaceutical wholesalers and specialty distributors, which account for approximately 97% of our gross U.S. revenues. Under the current terms of the DSAs, our wholesaler customers provide us with weekly information with respect to months on hand product-level inventories and the amount of out-movement of products.
Our investment portfolio includes marketable debt securities, which are subject to changes in fair value as a result of interest rate fluctuations and other market factors. Our investment policy establishes limits on the amount and time to maturity of investments with any institution.
During 2024, we issued and repaid $3.0 billion of commercial paper under the program. Our investment portfolio includes marketable debt securities, which are subject to changes in fair value as a result of interest rate fluctuations and other market factors. Our investment policy establishes limits on the amount and time to maturity of investments with any institution.
Reblozyl (luspatercept-aamt) — an erythroid maturation agent indicated for the treatment of anemia in (i) adult patients with transfusion dependent and non-transfusion dependent beta thalassemia who require regular red blood cell transfusions, (ii) adult patients with very low- to intermediate-risk MDS who have ring sideroblasts and require red blood cell transfusions, as well as (iii) adult patients without previous erythropoiesis stimulating agent use (ESA-naïve) with very low- to intermediate-risk MDS who may require regular red blood cell transfusions, regardless of RS status. • U.S. revenues increased 80% in 2024 primarily due to higher demand. • International revenues increased 61% in 2024 primarily due to higher demand, partially offset by foreign exchange impacts of 4%.
Reblozyl (luspatercept-aamt) — an erythroid maturation agent indicated for the treatment of anemia in (i) adult patients with transfusion dependent and non-transfusion dependent beta thalassemia who require regular red blood cell transfusions, (ii) adult patients with very low- to intermediate-risk MDS who have ring sideroblasts and require red blood cell transfusions, as well as (iii) adult patients without previous erythropoiesis stimulating agent use (ESA-naïve) with very low- to intermediate-risk MDS who may require regular red blood cell transfusions, regardless of RS status.
The Opdivo + Yervoy regimen also is approved in multiple markets for the treatment of NSCLC, melanoma, MPM, RCC, CRC and various gastric and esophageal cancers. • U.S. revenues increased 2% in 2024 primarily due to higher average net selling prices, partially offset by lower demand. • International revenues increased 5% in 2024 primarily due to higher demand for core indications and additional indication launches and higher average net selling prices, partially offset by foreign exchange impact of 9%.
The Opdivo + Yervoy regimen also is approved in multiple markets for the treatment of NSCLC, melanoma, MPM, RCC, CRC, HCC and various gastric and esophageal cancers. • U.S. revenues increased 10% in 2025, primarily due to higher demand and higher average net selling prices. • International revenues increased 5% in 2025, primarily due to higher demand for additional indication launches and foreign exchange impacts of 1%.
Acquisitions, Divestitures, Licensing and Other Arrangements” for further information. • Provision for restructuring includes exit and other costs primarily related to certain restructuring activities including plans discussed further in “Item 8. Financial Statements and Supplementary Data—Note 6.
Refer to “Item 8. Financial Statements and Supplementary Data—Note 4. Acquisitions, Divestitures, Licensing and Other Arrangements” for more information. • Investment income increased in 2025 due to higher cash balances. • Provision for restructuring includes exit and other costs primarily related to certain restructuring activities including plans discussed further in “Item 8. Financial Statements and Supplementary Data—Note 6.
Abecma (idecabtagene vicleucel) — is a BCMA genetically modified autologous CAR-T cell therapy indicated for the treatment of adult patients with relapsed or refractory multiple myeloma after four or more prior lines of therapy, including an immunomodulatory agent, a proteasome inhibitor, and an anti-cyclic ADP ribose hydrolase monoclonal antibody. • U.S. revenues decreased 32% in 2024 primarily due to increased competition in BCMA targeted therapies. • International revenues increased 44% in 2024 due to higher demand partially offset by foreign exchange of 3%.
Abecma (idecabtagene vicleucel) — is a BCMA genetically modified autologous CAR-T cell therapy indicated for the treatment of adult patients with relapsed or refractory multiple myeloma after two or more prior lines of therapy, including an immunomodulatory agent, a proteasome inhibitor, and an anti-cyclic ADP ribose hydrolase monoclonal antibody. • U.S. revenues decreased 14% in 2025, primarily due to lower demand from increased competition in BCMA targeted therapies. • International revenues increased 34% in 2025, primarily due to a one-time favorable GTN adjustment in 2025 and foreign exchange impacts of 4%.
As of December 31, 2024, we had a five-year $5.0 billion revolving credit facility expiring in January 2029, which is extendable annually by one year with the consent of the lenders. In January 2025, we extended the credit facility to January 2030.
As of December 31, 2025, we had a five-year $5.0 billion revolving credit facility expiring in January 2030, extendable annually by one year with the consent of the lenders. In January 2026, we extended the credit facility to January 2031. In February 2024, BMS entered into a $2.0 billion 364-day revolving credit facility, which expired in January 2025.
Cash Flows The following is a discussion of cash flow activities: Year Ended December 31, Dollars in millions 2024 2023 Cash flow provided by/(used in): Operating activities $ 15,190 $ 13,860 Investing activities (21,352) (2,295) Financing activities 5,127 (9,416) 62 Operating Activities Cash flow from operating activities represents the cash receipts and disbursements from all of our activities other than investing and financing activities.
Cash Flows The following is a discussion of cash flow activities: Year Ended December 31, Dollars in millions 2025 2024 Cash flow provided by/(used in): Operating activities $ 14,156 $ 15,190 Investing activities (4,132) (21,352) Financing activities (10,348) 5,127 Operating Activities Cash flow from operating activities represents the cash receipts and disbursements from all of our activities other than investing and financing activities.
We calculate foreign exchange impacts by converting our current-period local currency financial results using the prior period average currency rates and comparing these adjusted amounts to our current-period results.
We also provide international revenues for our priority products excluding the impact of foreign exchange. We calculate foreign exchange impacts by converting our current-period local currency financial results using the prior period average currency rates and comparing these adjusted amounts to our current-period results.
We are driving commercial execution in our key first-in-class and/or best-in-class marketed products, where we continue to expand and see potential for further expansion into the future. We have established a foundation in IO with Opdivo , Yervoy and Opdualag and received FDA approval for Opdivo Qvantig in December 2024 for multiple indications at launch.
We are driving commercial execution in our key first-in-class and/or best-in-class marketed products, where we continue to expand and see potential for further expansion into the future. We have established a strong foundation in IO with Opdivo , Yervoy and Opdualag, and have expanded our leadership in the area with the addition of Opdivo Qvantig .
Sotyktu (deucravacitinib) — an oral, selective, allosteric tyrosine kinase 2 inhibitor indicated for the treatment of adults with moderate-to-severe plaque psoriasis who are candidates for systemic therapy or phototherapy. • U.S. revenues increased 21% in 2024 primarily due to higher demand, partially offset by comparator sales for use in clinical trials during the second half of 2023 and lower average net selling prices.
Sotyktu (deucravacitinib) — an oral, selective, allosteric tyrosine kinase 2 inhibitor indicated for the treatment of adults with moderate-to-severe plaque psoriasis who are candidates for systemic therapy or phototherapy. • U.S. revenues decreased 5% in 2025, primarily due to lower average net selling prices, partially offset by higher demand. • International revenues increased 99% in 2025, primarily due to higher demand and foreign exchange impacts of 3%.
In the EU and Japan, generic lenalidomide products have entered the market. Pomalyst/Imnovid (pomalidomide) — a proprietary, distinct, small molecule that is administered orally and modulates the immune system and other biologically important targets.
Pomalyst/Imnovid (pomalidomide) — a proprietary, distinct, small molecule that is administered orally and modulates the immune system and other biologically important targets.
We will disclose any product with levels of inventory in excess of one month on hand or expected demand for the current quarter, subject to certain limited exceptions, in our next quarterly report on Form 10-Q. 54 Expenses Year Ended December 31, Dollar in Millions 2024 2023 % Change Cost of products sold (a) $ 13,968 $ 10,693 31 % Marketing, selling and administrative 8,414 7,772 8 % Research and development 11,159 9,299 20 % Acquired IPRD 13,373 913 >200% Amortization of acquired intangible assets 8,872 9,047 (2) % Other (income)/expense, net 893 (1,158) (177) % Total Expenses $ 56,679 $ 36,566 55 % (a) Excludes amortization of acquired intangible assets.
We will disclose any product with levels of inventory in excess of one month on hand or expected demand for the current quarter, subject to certain limited exceptions, in our next quarterly report on Form 10-Q. 53 Expenses Year Ended December 31, Dollar in Millions 2025 2024 % Change Cost of products sold (a) $ 13,936 $ 13,968 — % Selling, general and administrative 7,267 8,414 (14) % Research and development 9,951 11,159 (11) % Acquired IPRD 3,721 13,373 (72) % Amortization of acquired intangible assets 3,317 8,872 (63) % Other (income)/expense, net 674 893 (24) % Total Expenses $ 38,866 $ 56,679 (31) % (a) Excludes amortization of acquired intangible assets.
(b) Includes amortization of purchase price adjustments to Celgene debt. 59 The reconciliations from GAAP to Non-GAAP were as follows: Year Ended December 31, Dollars in millions, except per share data 2024 2023 Net (loss)/earnings attributable to BMS GAAP $ (8,948) $ 8,025 Specified Items 11,288 7,573 Non-GAAP $ 2,340 $ 15,598 Weighted-average common shares outstanding – diluted – GAAP 2,027 2,078 Incremental shares attributable to share-based compensation plans 5 — Weighted-average common shares outstanding – diluted – Non-GAAP 2,032 2,078 Diluted (loss)/earnings per share attributable to BMS GAAP $ (4.41) $ 3.86 Specified items 5.56 3.65 Non-GAAP $ 1.15 $ 7.51 60 Financial Position, Liquidity and Capital Resources Our net debt position was as follows: December 31, Dollars in millions 2024 2023 Cash and cash equivalents $ 10,346 $ 11,464 Marketable debt securities – current 513 816 Marketable debt securities – non-current 320 364 Total cash, cash equivalents and marketable debt securities 11,179 12,644 Short-term debt obligations (2,046) (3,119) Long-term debt (47,603) (36,653) Net debt position $ (38,470) $ (27,128) Liquidity and Capital Resources We regularly assess our anticipated working capital needs, debt and leverage ratio levels, debt maturities, capital expenditure requirements, dividend payouts, potential share repurchases and future investments or acquisitions in order to maximize shareholder return, efficiently finance our ongoing operations and maintain flexibility for future strategic transactions.
(b) Includes changes to tax reserves during 2025 related to certain matters under IRS audit and the release of tax reserves related to the resolution of the Celgene 2017-2019 IRS audit in 2024. 58 The reconciliations from GAAP to Non-GAAP were as follows: Year Ended December 31, Dollars in millions, except per share data 2025 2024 Net earnings/(loss) attributable to BMS GAAP $ 7,054 $ (8,948) Specified Items 5,491 11,288 Non-GAAP $ 12,545 $ 2,340 Weighted-average common shares outstanding – diluted – GAAP 2,039 2,027 Incremental shares attributable to share-based compensation plans — 5 Weighted-average common shares outstanding – diluted – Non-GAAP 2,039 2,032 Diluted earnings/(loss) per share attributable to BMS GAAP $ 3.46 $ (4.41) Specified items 2.69 5.56 Non-GAAP $ 6.15 $ 1.15 Financial Position, Liquidity and Capital Resources Our net debt position was as follows: December 31, Dollars in millions 2025 2024 Cash and cash equivalents $ 10,209 $ 10,346 Marketable debt securities – current 464 513 Marketable debt securities – non-current 396 320 Total cash, cash equivalents and marketable debt securities 11,069 11,179 Short-term debt obligations (2,261) (2,046) Long-term debt (42,850) (47,603) Net debt position $ (34,043) $ (38,470) Liquidity and Capital Resources We regularly assess our anticipated working capital needs, debt and leverage ratio levels, debt maturities, capital expenditure requirements, dividend payouts, potential share repurchases and future investments or acquisitions in order to maximize shareholder return, efficiently finance our ongoing operations and maintain flexibility for future strategic transactions.
Refer to "Item 8. Financial Statements and Supplementary Data—Note 9. Financial Instruments and Fair Value Measurements" for more information. • Other in 2024 includes pension settlement charges of $119 million, related to the termination of the Bristol-Myers Squibb Puerto Rico, Inc. Retirement Income pension plan.
Financial Instruments and Fair Value Measurements" for more information. • Integration expenses include initiatives to realize expected cost synergies from acquisitions. Refer to "Item 8. Financial Statements and Supplementary Data—Note 6. Restructuring" for more information. • Other in 2024 includes pension settlement charges of $119 million, related to the termination of the Bristol-Myers Squibb Puerto Rico, Inc.
At the state level, multiple states have passed, are pursuing or are considering government action via legislation or regulations to change drug pricing and reimbursement (e.g., establishing prescription drug affordability boards, implementing manufacturer mandates tied to the Federal Public Health Service Act drug pricing program, etc.).
It is possible that such regulations may result in a material impact on our business and results of operations. 42 At the state level, multiple states have passed, are pursuing or are considering government action via legislation or regulations to change drug pricing and reimbursement (e.g., establishing prescription drug affordability boards, implementing manufacturer mandates tied to the Federal Public Health Service Act drug pricing program, etc.).
Accounting Policies and Recently Issued Accounting Standards.” SEC Consent Order As previously disclosed, on August 4, 2004, we entered into a final settlement with the SEC, concluding an investigation concerning certain wholesaler inventory and accounting matters.
Financing Arrangements” for more information. Recently Issued Accounting Standards For recently issued accounting standards, refer to “Item 8. Financial Statements and Supplementary Data—Note 1. Accounting Policies and Recently Issued Accounting Standards.” SEC Consent Order As previously disclosed, on August 4, 2004, we entered into a final settlement with the SEC, concluding an investigation concerning certain wholesaler inventory and accounting matters.
Zeposia (ozanimod) — an oral im munomodulatory drug used to treat relapsing forms of MS, to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults and to treat moderately to severely active UC in adults. • U.S. revenues increased 26% in 2024 primarily due to higher demand, partially offset by lower average net selling prices. • International revenues increased 42% in 2024 primarily due to higher demand.
Zeposia (ozanimod) — an oral im munomodulatory drug used to treat relapsing forms of MS, to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults and to treat moderately to severely active UC in adults. • U.S. revenues decreased 3% in 2025, primarily due to lower demand. • International revenues increased 14% in 2025, primarily due to higher demand and foreign exchange impacts of 4%.
Equity” for additional information. Dividend payments were $4.9 billion in 2024 and $4.7 billion in 2023. Dividend paid per common share was $0.60 during each quarter of 2024. Dividends are authorized on a quarterly basis by our Board of Directors.
Refer to “Item 8. Financial Statements and Supplementary Data—Note 17. Equity” for additional information. Dividend payments were $5.0 billion in 2025 and $4.9 billion in 2024. Dividend paid per common share was $0.62 during each quarter of 2025. Dividends are authorized on a quarterly basis by our Board of Directors.
Excluding the impact of specified items, the effective tax rate was impacted by the aforementioned Karuna non-tax deductible charge and jurisdictional earnings mix.
Excluding the impact of specified items, the effective tax rate was impacted by the aforementioned Karuna non-tax deductible charge and jurisdictional earnings mix. Refer to “Item 8. Financial Statements and Supplementary Data—Note 7.
The inventory information received from our wholesalers, together with our internal information, is used to estimate months on hand product level inventories at these wholesalers. We estimate months on hand product inventory levels for our U.S. business’s wholesaler customers other than the three largest wholesalers by extrapolating from the months on hand calculated for the three largest wholesalers.
We estimate months on hand product inventory levels for our U.S. business’s wholesaler customers other than the three largest wholesalers by extrapolating from the months on hand calculated for the three largest wholesalers.
Investing Activities Cash requirements from investing activities include cash used for acquisitions, manufacturing and facility-related capital expenditures and purchases of marketable securities with original maturities greater than 90 days at the time of purchase, proceeds from business divestitures (including royalties), the sale and maturity of marketable securities, sale of equity investments, as well as upfront and contingent milestones payments from licensing arrangements.
Investing Activities Cash requirements from investing activities include cash used for acquisitions, manufacturing and facility-related capital expenditures and purchases of marketable securities with original maturities greater than 90 days at the time of purchase, proceeds from business divestitures (including royalties), the sale and maturity of marketable securities, sale of equity investments, as well as upfront and contingent milestones payments from licensing arrangements. 61 The $17.2 billion change in cash flow used in investing activities compared to 2024 was due to higher acquisition-related payments of $17.9 billion in 2024, partially offset by lower net proceeds from marketable debt securities and equity investments of $566 million in 2025.
Impairment and Amortization of Long-lived Assets, including Goodwill and Other Intangible Assets Long-lived assets include intangible assets and property, plant and equipment and are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of the assets may not be recoverable or at least annually for Goodwill and IPRD.
We believe the fair value used to record intangible assets acquired are based upon reasonable estimates and assumptions considering the facts and circumstances as of the acquisition date. 64 Impairment and Amortization of Long-lived Assets, including Goodwill and Other Intangible Assets Long-lived assets include intangible assets and property, plant and equipment and are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of the assets may not be recoverable or at least annually for Goodwill and IPRD.
We believe that our existing cash, cash equivalents and marketable debt securities together with cash generated from operations in the next few years, and, if required, from the issuance of commercial paper, will be sufficient to satisfy our anticipated cash needs for at least the next few years, including dividends, capital expenditures, milestone payments, working capital, income taxes, restructuring initiatives, repurchase of common stock, and debt maturities of approximately $14.0 billion through 2029, as well as any debt repurchases through redemptions or tender offers.
We believe that our existing cash, cash equivalents and marketable debt securities together with our ability to generate cash from operations and our access to short-term and long-term borrowings are sufficient to satisfy our existing and anticipated cash needs for at least the next few years, including dividends, capital expenditures, milestone payments, working capital, income taxes, restructuring initiatives, business development, business combinations, asset acquisitions, repurchase of common stock, and debt maturities of approximately $8.9 billion through 2030, as well as any debt repurchases through redemptions or tender offers.
The Opdivo + Yervoy regimen is approved in multiple markets for the treatment of NSCLC, melanoma, MPM, RCC, CRC and esophageal cancer. • U.S. revenues increased 16% in 2024 primarily due to higher demand and higher average net selling prices. • International revenues increased 8% in 2024 primarily due to higher demand as a result of additional indication launches and core indications, partially offset by foreign exchange impacts of 7%.
The Opdivo + Yervoy regimen is approved in multiple markets for the treatment of NSCLC, melanoma, MPM, RCC, CRC, HCC and esophageal cancer. • U.S. revenues increased 14% in 2025, primarily due to higher demand and higher average net selling prices. • International revenues increased 15% in 2025, primarily due to higher demand and foreign exchange impacts of 2%.
Deferred and current income taxes attributed to these items are also adjusted for considering their individual impact to the overall tax expense, deductibility and jurisdictional tax rates.
Deferred and current income taxes attributed to these items are also adjusted for considering their individual impact to the overall tax expense, deductibility and jurisdictional tax rates, as well as certain other significant tax items are also excluded such as the release of income tax reserves relating to the Celgene acquisition.
The reductions to provisions in both years were driven by the non-U.S. revisions in clawback amounts driven by VAT recoverable estimates. GTN adjustments are primarily a function of product sales volume, regional and payer channel mix, contractual or legislative discounts and rebates. U.S. GTN adjustments percentage increased primarily due to higher government channel mix, which has higher GTN adjustment percentages.
The reductions to provisions in 2025 primarily related to lower than expected Medicaid utilization, and the reductions to provisions in 2024 primarily related to the non-U.S. revisions in clawback amounts driven by VAT recoverable estimates. GTN adjustments are primarily a function of product sales volume, regional and payer channel mix, contractual or legislative discounts and rebates. U.S.
Income Taxes Year Ended December 31, Dollars in millions 2024 2023 (Loss)/Earnings before income taxes $ (8,379) $ 8,440 Income tax provision 554 400 Effective tax rate (6.6) % 4.7 % Impact of specified items 63.4 % 10.0 % Effective tax rate excluding specified items 56.8 % 14.7 % The effective tax rate for 2024 was primarily impacted by (i) a $12.1 billion one-time, non-tax deductible charge for the acquisition of Karuna, (ii) jurisdictional earnings mix, including amortization of acquired intangible assets, (iii) impacts of impairments of intangible assets, and (iv) a release of income tax reserves of $644 million related to the resolution of Celgene's 2017-2019 IRS audit.
The effective tax rate for 2024 was primarily impacted by (i) a $12.1 billion one-time, non-tax deductible charge for the acquisition of Karuna, (ii) jurisdictional earnings mix, including amortization of acquired intangible assets, (iii) impacts of impairments of intangible assets, and (iv) a release of income tax reserves of $644 million related to the resolution of Celgene's 2017-2019 IRS audit.
Breyanzi August 2024 Japan's Ministry of Health, Labour and Welfare approval of Breyanzi for the treatment of relapsed or refractory FL after one prior line of systemic therapy in patients with high-risk FL and after two or more lines of systemic therapy.
Camzyos March 2025 Japan’s Ministry of Health Labour and Welfare approval of Camzyos for the treatment of oHCM. Breyanzi March 2025 EC approval of Breyanzi for the treatment of adult patients with relapsed or refractory FL after two or more lines of systemic therapy.
GTN Adjustments We recognize revenue net of GTN adjustments that are further described in “—Critical Accounting Policies.” The activities and ending reserve balances for each significant category of GTN adjustments were as follows: Dollars in millions Charge-Backs and Cash Discounts Medicaid and Medicare Rebates Other Rebates, Returns, Discounts and Adjustments Total Balance at January 1, 2024 $ 646 $ 4,445 $ 3,237 $ 8,328 Provision related to sales made in: Current period 11,518 16,642 8,892 37,052 Prior period (8) (91) (60) (159) Payments and returns (11,254) (15,612) (8,287) (35,153) Foreign currency translation and other (2) 1 (146) (147) Balance at December 31, 2024 $ 900 $ 5,385 $ 3,636 $ 9,921 46 The reconciliation of gross product sales to net product sales by each significant category of GTN adjustments was as follows: Year Ended December 31, Dollars in millions 2024 2023 % Change Gross product sales $ 83,671 $ 73,679 14 % GTN Adjustments Charge-backs and cash discounts (11,510) (9,144) 26 % Medicaid and Medicare rebates (16,551) (13,411) 23 % Other rebates, returns, discounts and adjustments (8,832) (7,346) 20 % Total GTN Adjustments (36,893) (29,901) 23 % Net product sales $ 46,778 $ 43,778 7 % GTN adjustments percentage 44 % 40 % 4 % U.S. 49 % 46 % 3 % Non-U.S. 20 % 19 % 1 % Reductions to provisions for product sales made in prior periods resulting from changes in estimates were $159 million for 2024 and $134 million for 2023.
GTN Adjustments We recognize revenue net of GTN adjustments that are further described in “—Critical Accounting Policies.” The activities and ending reserve balances for each significant category of GTN adjustments were as follows: Dollars in millions Charge-Backs and Cash Discounts Medicaid and Medicare Rebates Other Rebates, Returns, Discounts and Adjustments Total Balance at January 1, 2025 $ 900 $ 5,385 $ 3,636 $ 9,921 Provision related to sales made in: Current period 14,069 18,351 9,394 41,814 Prior period (2) (342) (141) (485) Payments and returns (13,251) (18,752) (8,951) (40,954) Foreign currency translation and other 4 — 264 268 Balance at December 31, 2025 $ 1,720 $ 4,643 $ 4,202 $ 10,565 46 The reconciliation of gross product sales to net product sales by each significant category of GTN adjustments was as follows: Year Ended December 31, Dollars in millions 2025 2024 % Change Gross product sales $ 88,085 $ 83,671 5 % GTN Adjustments Charge-backs and cash discounts (14,067) (11,510) 22 % Medicaid and Medicare rebates (18,010) (16,551) 9 % Other rebates, returns, discounts and adjustments (9,253) (8,832) 5 % Total GTN Adjustments (41,329) (36,893) 12 % Net product sales $ 46,756 $ 46,778 — % GTN adjustments percentage 47 % 44 % 3 % U.S. 53 % 49 % 4 % Non-U.S. 19 % 20 % (1) % Reductions/(increases) to provisions for product sales made in prior periods resulting from changes in estimates were $485 million for 2025 and $159 million for 2024.
The assessment of whether or not a valuation allowance is required often requires significant judgment including long-range forecasts of future taxable income and evaluation of tax planning initiatives. Adjustments to the deferred tax valuation allowances are made to earnings in the period when such assessments are made.
Income Taxes Valuation allowances are recognized to reduce deferred tax assets when it is more likely than not that a tax benefit will not be realized. The assessment of whether or not a valuation allowance is required often requires significant judgment including long-range forecasts of future taxable income and evaluation of tax planning initiatives.
These rules and associated legislative changes may significantly impact our tax provision and results of operations. 57 Non-GAAP Financial Measures Our non-GAAP financial measures, such as non-GAAP earnings and related EPS information, are adjusted to exclude certain costs, expenses, gains and losses and other specified items that are evaluated on an individual basis.
Income Taxes” for additional information. 56 Non-GAAP Financial Measures Our non-GAAP financial measures, such as non-GAAP earnings and related EPS information, are adjusted to exclude certain costs, expenses, gains and losses and other specified items that are evaluated on an individual basis.
It has indications for (i) reducing signs and symptoms in certain pediatric patients with moderately to severely active polyarticular JIA and (ii) for the treatment of aGVHD, in combination with a calcineurin inhibitor and methotrexate. • U.S. revenues increased 2% in 2024 primarily due to higher demand, partially offset by lower average net selling prices. • International revenues increased 2% in 2024 primarily due to higher demand, partially offset by foreign exchange impact of 8%.
Orencia (abatacept) — a fusion protein indicated for (i) the treatment of adult patients with moderately to severely active RA, (ii) the treatment of patients 2 years of age and older with moderately to severely active polyarticular JIA, (iii) the treatment of patients 2 years of age and older with active PsA and (iv) the prophylaxis of aGVHD, in combination with a calcineurin inhibitor and methotrexate in certain adult and pediatric patients. • U.S. revenues decreased 1% in 2025, primarily due to lower average net selling prices, partially offset by higher demand. • International revenues increased 6% in 2025, primarily due to higher demand and foreign exchange impacts of 1%.
Opdualag (nivolumab and relatlimab-rmbw) — a combination of nivolumab, a PD-1 blocking antibody, and relatlimab, a LAG-3 blocking antibody, indicated for the treatment of adult and pediatric patients 12 years of age or older with unresectable or metastatic melanoma. • U.S. revenues increased 41% in 2024 primarily due to higher demand. 50 Breyanzi (lisocabtagene maraleucel) — a CD19-directed genetically modified autologous CAR-T cell therapy indicated for the treatment of adult patients with relapsed or refractory LBCL after one or more lines of systemic therapy, including DLBCL not otherwise specified, high-grade B-cell lymphoma, primary mediastinal LBCL, grade 3B FL and relapsed or refractory FL after at least two prior lines of systemic therapy, relapsed or refractory CLL or SLL, and relapsed or refractory MCL in patients who have received at least two prior lines of systemic therapy, including a Bruton tyrosine kinase inhibitor and a B-cell lymphoma 2 inhibitor. • U.S. revenues increased 95% in 2024 primarily due to higher demand enabled by expanded manufacturing capacity, new indication launches and higher average net selling prices. • International revenues increased 156% in 2024 primarily due to higher demand, partially offset by foreign exchange of 6%.
Excluding foreign exchange impacts, revenues increased 30%. 50 Breyanzi (lisocabtagene maraleucel) — a CD19-directed genetically modified autologous CAR-T cell therapy indicated for the treatment of adult patients with relapsed or refractory LBCL after one or more lines of systemic therapy, including DLBCL not otherwise specified, high-grade B-cell lymphoma, primary mediastinal LBCL, grade 3B FL and relapsed or refractory FL after at least two prior lines of systemic therapy, relapsed or refractory CLL or SLL; relapsed or refractory MCL in patients who have received at least two prior lines of systemic therapy, including a Bruton tyrosine kinase inhibitor and a B-cell lymphoma 2 inhibitor; and relapsed or refractory MZL after at least two prior lines of systemic therapy. • U.S. revenues increased 68% in 2025, primarily due to higher demand for core indications and additional indication launches. • International revenues increased 132% in 2025, primarily due to higher demand driven by new indication launches and launches in new markets as well as foreign exchange impacts of 8%.
The overall safety profile of Sotyktu through 16 weeks of treatment in both trials was consistent with the established safety profile of Sotyktu observed in a Phase II PsA clinical trial and Phase III moderate-to-severe plaque psoriasis clinical trials.
The overall safety profile of Sotyktu through 16 weeks of treatment was consistent with what has been reported throughout the clinical trial programs for Sotyktu , including the Phase III POETYK PsA-2 and the Phase III moderate-to-severe plaque psoriasis clinical trials.
We encourage investors to review our financial statements and publicly-filed reports in their entirety and not to rely on any single financial measure. 58 Specified items were as follows: Year Ended December 31, Dollars in millions 2024 2023 Inventory purchase price accounting adjustments $ 47 $ 84 Intangible asset impairment 1,839 27 Site exit and other costs 133 64 Cost of products sold 2,019 175 Acquisition related charges (a) 372 — Site exit and other costs 50 94 Marketing, selling and administrative 422 94 IPRD impairments 980 80 Priority review voucher — 95 Acquisition related charges (a) 348 — Site exit and other costs 49 12 Research and development 1,377 187 Amortization of acquired intangible assets 8,872 9,047 Interest expense (b) (49) (52) Litigation and other settlements 61 (397) Provision for restructuring 635 365 Integration expenses 284 242 Equity investment (gains)/losses (18) 152 Divestiture losses 15 — Other 217 55 Other (income)/expense, net 1,145 365 Increase to pretax income 13,835 9,868 Income taxes on items above (2,045) (1,639) Income tax reserve releases (502) — Income taxes attributed to non-U.S. tax ruling — (656) Income taxes (2,547) (2,295) Increase to net earnings $ 11,288 $ 7,573 (a) Includes cash settlement of unvested stock awards, and other related costs incurred in connection with the recent acquisitions.
We encourage investors to review our financial statements and publicly-filed reports in their entirety and not to rely on any single financial measure. 57 Specified items were as follows: Year Ended December 31, Dollars in millions 2025 2024 Inventory purchase price accounting adjustments $ 51 $ 47 Intangible asset impairment 564 1,839 Site exit and other costs 127 133 Cost of products sold 742 2,019 Acquisition related charges (a) 75 372 Site exit and other costs 43 50 Selling, general and administrative 118 422 IPRD impairments 385 980 Acquisition related charges (a) 18 348 Site exit and other costs 56 49 Research and development 459 1,377 Amortization of acquired intangible assets 3,317 8,872 Interest expense (68) (49) Provision for restructuring 563 635 Litigation and other settlements 432 61 Loss on debt redemption 356 — Contingent consideration 351 — Equity investment (gains)/losses (283) (18) Integration expenses 147 284 Acquisition expenses 9 50 Other (18) 182 Other (income)/expense, net 1,488 1,145 Increase to earnings/(loss) before income taxes 6,124 13,835 Income taxes on items above (732) (2,045) Specified tax charge/(benefit) (b) 99 (502) Income taxes (633) (2,547) Increase to net earnings/(loss) attributable to BMS $ 5,491 $ 11,288 (a) Includes cash settlement of unvested stock awards, and other related costs incurred in connection with the recent acquisitions.
Both trials met their primary endpoint, with a significantly greater proportion of Sotyktu -treated patients achieving ACR20 response (at least a 20 percent improvement in signs and symptoms of disease) after 16 weeks of treatment compared with placebo. Additionally, both trials met important secondary endpoints across PsA disease activity at Week 16.
The trial met its primary endpoint, with a significantly greater proportion of Sotyktu -treated patients achieving ACR20 response (at least a 20 percent improvement in signs and symptoms of disease) after 16 weeks of treatment compared with placebo (54.2% versus 34.1%, respectively).
Acquired IPRD charges are detailed in the table below. 55 Year Ended December 31, Dollars in millions 2024 2023 Karuna asset acquisition (Note 4) $ 12,122 $ — SystImmune upfront fee (Note 3) 800 — LianBio mavacamten rights buy-out (Note 4) — 445 Evotec designation and opt-in license fees 170 90 Orum upfront payment (Note 4) — 100 RayzeBio rights buy-out 92 — Prothena opt-in license fee 80 55 Other 109 223 Acquired IPRD $ 13,373 $ 913 Refer to “Item 8.
Year Ended December 31, Dollars in millions 2025 2024 Karuna asset acquisition (Note 4) $ — $ 12,122 BioNTech upfront fee (Note 3) 1,500 — Orbital asset acquisition (Note 4) 1,379 — Philochem upfront fee (Note 4) 350 — SystImmune upfront fee and milestone (Note 3) 250 800 BioArctic upfront fee (Note 4) 100 — Evotec designation and opt-in license fees 113 170 RayzeBio rights buy-out — 92 Prothena opt-in license fee — 80 Other 29 109 Acquired IPRD $ 3,721 $ 13,373 Refer to “Item 8.
In connection with the issuance of the 2024 Senior Unsecured Notes, we terminated the $10.0 billion 364-day senior unsecured delayed draw term loan facility entered in February 2024 to provide bridge financing for the RayzeBio and Karuna acquisitions. For more information on planned acquisitions, refer to “Item 8. Financial Statements and Supplementary Data — Note 4.
In connection with the issuance of the 2024 Senior Unsecured Notes, we terminated the $10.0 billion 364-day senior unsecured delayed draw term loan facility entered in February 2024 to provide bridge financing for the RayzeBio and Karuna acquisitions. Repayment of notes at maturity aggregated approximately $1.9 billion in 2025 and $2.9 billion in 2024.
Sotyktu Plaque Psoriasis December 2024 Announced positive topline results from the pivotal Phase III POETYK PsA-1 and POETYK PsA-2 trials evaluating efficacy and safety of Sotyktu in adults with PsA.
March 2025 Announced positive data from the pivotal Phase III POETYK PsA-2 trial evaluating the efficacy and safety of Sotyktu in adults with active PsA.
In hematology, we see significant potential with our targeted protein degradation platform, which includes potentially first-in-class CELMoDs currently under investigation for multiple myeloma with iberdomide and mezigdomide and lymphoma with golcadomide. In cell therapy, we are building on our expertise and leadership, developing next generation CAR-T treatments with first-in-class potential.
In hematology, we see significant potential with our targeted protein degradation platform, which includes potentially first-in-class CELMoDs currently under investigation for multiple myeloma with iberdomide and mezigdomide and lymphoma with golcadomide as well as a potentially first-in-class BCL6 LDD with BMS-986458.
United States • U.S. revenues increased 9% in 2024 primarily due to higher demand within the Growth Portfolio, Eliquis , and Pomalyst partially offset by generic erosion in the Legacy Portfolio. Average net selling prices decreased by 1% in 2024 compared to 2023.
Additionally, U.S. revenues were impacted by higher government channel rebates in 2025. Average net selling prices decreased by 4% in 2025 compared to 2024. International • International revenues increased 5% in 2025 primarily due to higher demand across the Growth Portfolio and for Eliquis , partially offset by generic erosion within the remainder of the Legacy Portfolio.