UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Form 10-Q
Quarterly Report Under Section 13 or 15(d) of the
Securities Exchange Act of 1934
FOR THE QUARTER ENDED SEPTEMBER 30, 2017For the quarterly period ended March 31, 2020
COMMISSION FILE NUMBER 001-6351
ELI LILLY AND COMPANY
(Exact name of Registrant as specified in its charter)
INDIANAIndiana 35-0470950
(State or other jurisdiction of (I.R.S. Employer
incorporation or organization) Identification No.)
LILLY CORPORATE CENTER, INDIANAPOLIS, INDIANA Lilly Corporate Center, Indianapolis, Indiana46285
(Address of principal executive offices)
Registrant’s telephone number, including area code (317) (317276-2000
Securities registered pursuant to Section 12(b) of the Exchange Act:
Title of Each ClassTrading SymbolName of Each Exchange On Which Registered
Common Stock (no par value)LLYNew York Stock Exchange
1.000% Notes due 2022LLY22New York Stock Exchange
7 1/8% Notes due 2025LLY25New York Stock Exchange
1.625% Notes due 2026LLY26New York Stock Exchange
2.125% Notes due 2030LLY30New York Stock Exchange
0.625% Notes due 2031LLY31New York Stock Exchange
6.77% Notes due 2036LLY36New York Stock Exchange
1.700% Notes due 2049LLY49ANew York Stock Exchange
Indicate by check mark whether the Registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the Registrant was required to file such reports) and (2) has been subject to such filing requirements for the past 90 days.
Yesý No o
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).
Yesý No o
Indicate by check mark whether the Registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company, or an emerging growth company. See the definitions of a “large accelerated filer,” “accelerated filer” andfiler,” “smaller reporting company”company,” and "emerging growth company" in Rule 12b-2 of the Exchange Act. (Check one):
Large accelerated filerý
     
Accelerated filero
Non-accelerated filero
 (Do not check if a smaller reporting company)
Smaller reporting companyo
       
Emerging growth companyo
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. o
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).
Yes o No ý
The number of shares of common stock outstanding as of October 23, 2017April 27, 2020:
Class Number of Shares Outstanding
Common 1,101,094,711956,450,448

 






Eli Lilly and Company
Form 10-Q
For the Quarter Ended September 30, 2017March 31, 2020
Table of Contents




Forward-Looking Statements
This Quarterly Report on Form 10-Q includes forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, and Section 21E of the Securities Exchange Act of 1934, (Exchange Act).and the Private Securities Litigation Reform Act of 1995. Forward-looking statements include all statements that do not relate solely to historical or current facts, and can generally be identified by the use of words such as “may,” “believe,” “will,” “expect,” “project,” “estimate,” “intend,” “anticipate,” “plan,” “continue”“continue,” or similar expressions.
In particular, information appearing under “Management's Discussion and Analysis of Financial Condition and Results of Operations”Operations and Financial Condition” includes forward-looking statements. Forward-looking statements inherently involve many risks and uncertainties that could cause actual results to differ materially from those projected in these statements. Where, in any forward-looking statement, we ("Lilly"(Lilly or the "company")Company) express an expectation or belief as to future results or events, it is based on management's current plans and expectations, expressed in good faith and believed to have a reasonable basis. However, we can give no assurance that any such expectation or belief will result or will be achieved or accomplished. The following include some but not all of the factors that could cause actual results or events to differ materially from those anticipated:
uncertainties in the pharmaceutical research and development process, including with respect to the timing of anticipated regulatory approvals and launches of new products;
market uptake of recently launched products;
competitive developments affecting current products and our pipeline;
the expiration of intellectual property protection for certain of our products;
our ability to protect and enforce patents and other intellectual property;
the impact of actions of governmental and private payers affecting pricing of, reimbursement for, and access to pharmaceuticals;
regulatory compliance problems or government investigations;
regulatory actions regarding currently marketed products;
unexpected safety or efficacy concerns associated with our products;
issues with product supply stemming from manufacturing difficulties or disruptions;
regulatory changes or other developments;
changes in patent law or regulations related to data-package exclusivity;
litigation, investigations, or other similar proceedings involving past, current, or future products or commercial activities as we are largely self-insured;
unauthorized disclosure, misappropriation, or compromise of trade secrets or other confidential data stored in our information systems, networks, and facilities, or those of third parties with whom we share our data;
changes in tax law, including the impact of United States tax reform legislation enacted in December 2017 and related guidance, or events that differ from our assumptions related to tax positions;
changes in foreign currency exchange rates, interest rates, and inflation;
asset impairments and restructuring charges;
changes in accounting and reporting standards promulgated by the Financial Accounting Standards Board and the Securities and Exchange Commission (SEC);
acquisitions and business development transactions and related integration costs;
information technology system inadequacies or operating failures;
the impact of the evolving COVID-19 pandemic and the global response thereto;
reliance on third-party relationships and outsourcing arrangements; and
the impact of global macroeconomic conditions.
More information on factors that could cause actual results or events to differ materially from those anticipated is included from time to time in our reports filed with the SecuritiesSEC, including in Part II, Item 1A of this Form 10-Q and Exchange Commission (SEC), includingin our Annual Report on Form 10-K for the year ended December 31, 2016,2019, particularly under the captions “Forward-Looking Statements” andcaption “Risk Factors.”Factors”.
All forward-looking statements herein speak only as of the date of this report and are expressly qualified in their entirety by the cautionary statements included in or incorporated by reference into this report. Except as is required by law, we expressly disclaim any obligation to publicly release any revisions to forward-looking statements to reflect events after the date of this report.




PART I. Financial Information
Item 1. Financial Statements
Consolidated Condensed Statements of Operations
(Unaudited)
ELI LILLY AND COMPANY AND SUBSIDIARIES
(Dollars and shares in millions, except per-share data)
 
Three Months Ended
September 30,
 Nine Months Ended
September 30,
Three Months Ended
March 31,
2017 2016 2017 20162020 2019
Revenue$5,658.0
 $5,191.7
 $16,710.6
 $15,461.6
Revenue (Note 2)$5,859.8
 $5,092.2
Costs, expenses, and other:          
Cost of sales1,566.1
 1,400.9
 4,445.4
 4,188.9
1,215.1
 1,138.7
Research and development1,319.4
 1,236.4
 3,808.6
 3,793.3
1,392.1
 1,230.5
Marketing, selling, and administrative1,555.5
 1,565.4
 4,807.6
 4,661.9
1,549.6
 1,517.1
Acquired in-process research and development (Note 3)205.0
 
 1,062.6
 
52.3
 136.9
Asset impairment, restructuring, and other special charges (Note 5)406.5
 45.5
 670.4
 234.9
Asset impairment, restructuring, and other special charges (Note 6)59.9
 423.9
Other–net, (income) expense (Note 12)13.9
 (27.2) 2.7
 100.6
(89.1) (86.0)
5,066.4

4,221.0

14,797.3

12,979.6
4,179.9

4,361.1
Income before income taxes591.6

970.7

1,913.3

2,482.0
1,679.9

731.1
Income taxes (Note 8)36.0
 192.7
 460.5
 516.2
223.4
 170.0
Net income from continuing operations1,456.5
 561.1
Net income from discontinued operations (Note 5)
 3,680.5
Net income$555.6

$778.0

$1,452.8

$1,965.8
$1,456.5

$4,241.6
          
Earnings per share:          
Basic$0.53
 $0.74
 $1.38
 $1.86
Diluted$0.53
 $0.73
 $1.37
 $1.85
Earnings from continuing operations - basic$1.60
 $0.57
Earnings from discontinued operations - basic
 3.76
Earnings per share - basic$1.60
 $4.33
   
Earnings from continuing operations - diluted$1.60
 $0.57
Earnings from discontinued operations - diluted
 3.74
Earnings per share - diluted$1.60
 $4.31
   
Shares used in calculation of earnings per share:          
Basic1,053.4
 1,057.7
 1,054.8
 1,058.4
908.2
 979.9
Diluted1,056.0
 1,060.8
 1,057.0
 1,061.1
911.7
 984.0
       
Dividends paid per share$0.52
 $0.51
 $1.56
 $1.53
See notes to consolidated condensed financial statements.




Consolidated Condensed Statements of Comprehensive Income (Loss)
(Unaudited)
ELI LILLY AND COMPANY AND SUBSIDIARIES
(Dollars in millions)
 
 Three Months Ended
March 31,
 2020 2019
Net income$1,456.5
 $4,241.6
Other comprehensive loss from continuing operations, net of tax (Note 11)(362.3) (4.1)
Other comprehensive income from discontinued operations, net of tax (Note 11)
 56.8
Other comprehensive income (loss), net of tax (Note 11)(362.3) 52.7
Comprehensive income$1,094.2

$4,294.3
 Three Months Ended
September 30,
 Nine Months Ended
September 30,
 2017 2016 2017 2016
Net income$555.6
 $778.0
 $1,452.8
 $1,965.8
Other comprehensive income, net of tax (Note 11) (1)
167.7
 113.5
 651.2
 323.0
Comprehensive income$723.3

$891.5

$2,104.0

$2,288.8
(1) Other comprehensive income (loss) for the three and nine months ended September 30, 2017 consisted of $165.5 million and $664.6 million of other comprehensive income attributable to controlling interest, respectively, and $2.2 million and $(13.4) million of other comprehensive income (loss) attributable to non-controlling interest, respectively. Other comprehensive income (loss) for the three and nine months ended September 30, 2016 attributable to non-controlling interest is immaterial.
See notes to consolidated condensed financial statements.






Consolidated Condensed Balance Sheets
ELI LILLY AND COMPANY AND SUBSIDIARIES
(Dollars in millions)


September 30, 2017 December 31, 2016March 31, 2020 December 31, 2019
Assets(Unaudited)  (Unaudited)  
Current Assets      
Cash and cash equivalents (Note 6)$3,724.3
 $4,582.1
Short-term investments (Note 6)3,218.8
 1,456.5
Accounts receivable, net of allowances of $42.1 (2017) and $40.3 (2016)
4,401.3
 4,029.4
Cash and cash equivalents (Note 7)$1,699.0
 $2,337.5
Short-term investments (Note 7)78.4
 101.0
Accounts receivable, net of allowances of $23.7 (2020) and $22.4 (2019)
5,106.1
 4,547.3
Other receivables613.2
 736.9
1,246.4
 994.2
Inventories4,406.9
 3,561.9
3,102.4
 3,190.7
Prepaid expenses and other1,063.9
 734.6
2,761.9
 2,538.9
Total current assets17,428.4
 15,101.4
13,994.2
 13,709.6
Other Assets   
Investments (Note 6)6,148.7
 5,207.5
Investments (Note 7)2,148.7
 1,962.4
Goodwill4,365.6
 3,972.7
3,779.1
 3,679.4
Other intangibles4,271.6
 4,357.9
Sundry2,197.6
 1,913.8
Total other assets16,983.5
 15,451.9
Property and Equipment   
Land, buildings, equipment, and construction in progress17,730.7
 16,777.6
Accumulated depreciation(9,132.2) (8,525.0)
Property and equipment, net8,598.5
 8,252.6
Other intangibles, net7,766.7
 6,618.0
Deferred tax assets2,471.6
 2,572.6
Property and equipment, net of accumulated depreciation of $9,141.5 (2020) and $9,161.6 (2019)
7,897.9
 7,872.9
Other noncurrent assets3,044.6
 2,871.2
Total assets$43,010.4
 $38,805.9
$41,102.8

$39,286.1
Liabilities and Equity      
Current Liabilities      
Short-term borrowings and current maturities of long-term debt$3,538.1
 $1,937.4
$3,248.0
 $1,499.3
Accounts payable1,200.1
 1,349.3
1,207.7
 1,405.3
Employee compensation821.1
 896.9
565.8
 915.5
Sales rebates and discounts4,332.7
 3,914.9
4,703.9
 4,933.6
Dividends payable
 548.1

 671.5
Income taxes payable414.4
 119.1
667.4
 160.6
Other current liabilities2,360.1
 2,220.9
2,217.4
 2,189.4
Total current liabilities12,666.5
 10,986.6
12,610.2
 11,775.2
Other Liabilities      
Long-term debt9,926.6
 8,367.8
13,982.3
 13,817.9
Accrued retirement benefits (Note 9)2,458.1
 2,453.9
3,632.0
 3,698.2
Long-term income taxes payable710.0
 688.9
3,621.9
 3,607.2
Deferred tax liabilities2,186.2
 2,187.5
Other noncurrent liabilities2,288.6
 2,228.2
1,873.0
 1,501.0
Total other liabilities15,383.3
 13,738.8
25,295.4
 24,811.8
Commitments and Contingencies (Note 10)   

 

Eli Lilly and Company Shareholders’ Equity (Note 7)   
Eli Lilly and Company Shareholders’ Equity   
Common stock688.5
 688.5
598.1
 598.8
Additional paid-in capital5,754.7
 5,640.6
6,556.1
 6,685.3
Retained earnings16,145.5
 16,046.3
5,879.4
 4,920.4
Employee benefit trust(3,013.2) (3,013.2)(3,013.2) (3,013.2)
Accumulated other comprehensive loss (Note 11)(4,609.4) (5,274.0)(6,885.9) (6,523.6)
Cost of common stock in treasury(75.8) (80.5)(55.7) (60.8)
Total Eli Lilly and Company shareholders’ equity14,890.3
 14,007.7
3,078.8
 2,606.9
Noncontrolling interests70.3
 72.8
118.4
 92.2
Total equity14,960.6
 14,080.5
3,197.2
 2,699.1
Total liabilities and equity$43,010.4
 $38,805.9
$41,102.8
 $39,286.1
See notes to consolidated condensed financial statements.




Consolidated Condensed Statements of Equity
(Unaudited)
ELI LILLY AND COMPANY AND SUBSIDIARIES

 Equity of Eli Lilly and Company Shareholders  

(Dollars in millions and shares in thousands)
Common Stock Additional
Paid-in
Capital
 Retained
Earnings
 Employee Benefit Trust Accumulated Other Comprehensive Loss Common Stock in Treasury Noncontrolling Interests
Shares AmountShares Amount
Balance at January 1, 20191,057,639
 $661.0
 $6,583.6
 $11,395.9
 $(3,013.2) $(5,729.2) 604
 $(69.4) $1,080.4
Net income

 

 

 4,241.6
 

 

 

 

 22.2
Other comprehensive income, net of tax

 

 

 

 

 41.7
 

 

 11.0
Retirement of treasury shares(89,197) (55.7) 

 (10,771.8) 

 

 (89,197) 10,827.5
 

Purchase of treasury shares

 

 (700.0) 

 

 

 24,196
 (2,800.0) 

Issuance of stock under employee stock plans, net2,921
 1.8
 (202.8) 

 

 

 (63) 7.3
 

Stock-based compensation

 

 75.8
 

 

 

 

 

 

Acquisition of common stock in exchange offer

 

 

 

 

 

 65,001
 (8,027.5) 


Deconsolidation of Elanco

 

 

 

 

 

 

 

 (1,028.9)
Other

 

 

 13.7
 

 

 

 

 


Balance at March 31, 2019971,363
 $607.1
 $5,756.6
 $4,879.4
 $(3,013.2) $(5,687.5) 541
 $(62.1) $84.7
                  
Balance at January 1, 2020958,056
 $598.8
 $6,685.3
 $4,920.4
 $(3,013.2) $(6,523.6) 530
 $(60.8) $92.2
Net income

 

 

 1,456.5
 

 

 

 

 26.2
Other comprehensive loss, net of tax

 

 

 

 

 (362.3) 

 

 


Retirement of treasury shares(3,627) (2.3) 

 (497.7) 

 

 (3,627) 500.0
 

Purchase of treasury shares (1)


 

 

 

 

 

 3,627
 (500.0) 

Issuance of stock under employee stock plans, net2,500
 1.6
 (201.0) 

 

 

 (43) 5.1
 

Stock-based compensation

 

 71.8
 

 

 

 

 

 

Other

 

 

 0.2
 

 

 

 

 


Balance at March 31, 2020956,929
 $598.1
 $6,556.1
 $5,879.4
 $(3,013.2) $(6,885.9) 487
 $(55.7) $118.4
(1) As of March 31, 2020, there was $1.00 billion remaining under our $8.00 billion share repurchase program authorized in June 2018.
See notes to consolidated condensed financial statements.




Consolidated Condensed Statements of Cash Flows
(Unaudited)
ELI LILLY AND COMPANY AND SUBSIDIARIES
(Dollars in millions)
 
Nine Months Ended
September 30,
Three Months Ended
March 31,
2017 20162020 2019
Cash Flows from Operating Activities  
Net income$1,452.8
 $1,965.8
$1,456.5
 $4,241.6
Adjustments to Reconcile Net Income to Cash Flows from Operating Activities:      
Gain related to disposition of Elanco (Note 5)
 (3,680.5)
Depreciation and amortization1,155.4
 1,152.0
273.6
 356.5
Change in deferred income taxes151.7
 350.8
11.2
 (72.4)
Stock-based compensation expense209.1
 188.5
71.8
 75.8
Acquired in-process research and development1,062.6
 
Other changes in operating assets and liabilities, net of acquisitions(525.2) (1,110.8)
Acquired in-process research and development (Note 3)52.3
 136.9
Other changes in operating assets and liabilities, net of acquisitions and divestitures(1,408.1) (714.3)
Other non-cash operating activities, net365.7
 298.2
(74.9) (32.3)
Net Cash Provided by Operating Activities3,872.1
 2,844.5
382.4
 311.3
Cash Flows from Investing Activities      
Net purchases of property and equipment(633.3) (627.2)(258.3) (203.7)
Proceeds from sales and maturities of short-term investments2,320.2
 1,245.9
36.8
 35.9
Purchases of short-term investments(2,973.8) (425.7)
 (33.7)
Proceeds from sales of noncurrent investments1,686.9
 1,606.8
54.5
 83.6
Purchases of noncurrent investments(3,739.6) (3,640.7)(83.0) (60.6)
Cash paid for acquisitions, net of cash acquired (Note 3)(882.1) (45.0)(849.3) (6,917.7)
Purchase of in-process research and development (Note 3)(1,036.8) 
Purchases of in-process research and development(13.0) (196.9)
Other investing activities, net(178.0) (75.1)51.4
 (385.6)
Net Cash Used for Investing Activities(5,436.5) (1,961.0)(1,060.9) (7,678.7)
Cash Flows from Financing Activities      
Dividends paid(1,643.8) (1,617.4)(671.3) (637.2)
Net change in short-term borrowings1,226.8
 (1.7)1,748.7
 1,850.4
Proceeds from issuance of long-term debt2,232.0
 1,206.6

 4,448.3
Repayments of long-term debt(630.6) (0.2)(276.3) (600.0)
Purchases of common stock(199.9) (300.1)(500.0) (3,500.0)
Other financing activities, net(299.6) (232.2)(194.4) (193.7)
Net Cash Provided by (Used for) Financing Activities684.9
 (945.0)
Net Cash Provided by Financing Activities106.7
 1,367.8
Effect of exchange rate changes on cash and cash equivalents21.7
 (115.9)(66.7) 37.8
      
Net decrease in cash and cash equivalents(857.8) (177.4)(638.5) (5,961.8)
Cash and cash equivalents at January 14,582.1
 3,666.4
Cash and Cash Equivalents at September 30$3,724.3
 $3,489.0
Cash and cash equivalents at January 1 (2019 includes $677.5 of discontinued operations)2,337.5
 7,998.2
Cash and Cash Equivalents at March 31$1,699.0
 $2,036.4
See notes to consolidated condensed financial statements.






Notes to Consolidated Condensed Financial Statements
(Tables present dollars in millions, except per-share data)
Note 1: Basis of Presentation
We have prepared the accompanying unaudited consolidated condensed financial statements in accordance with the requirements of Form 10-Q and, therefore, they do not include all information and footnotes necessary for a fair presentation of financial position, results of operations, and cash flows in conformity with accounting principles generally accepted in the United States (GAAP). In our opinion, the financial statements reflect all adjustments (including those that are normal and recurring) that are necessary for a fair presentation of the results of operations for the periods shown. In preparing financial statements in conformity with GAAP, we must make estimates and assumptions that affect the reported amounts of assets, liabilities, revenue, expenses, and related disclosures at the date of the financial statements and during the reporting period. Actual results could differ from those estimates.
The information included in this Quarterly Report on Form 10-Q should be read in conjunction with our consolidated financial statements and accompanying notes included in our Annual Report on Form 10-K for the year ended December 31, 2016.2019. We issue our financial statements by filing them with the Securities and Exchange Commission and have evaluated subsequent events up to the time of the filing.
Certain reclassifications have been made to prior periods in the consolidated condensed financial statements and accompanying notes to conform with the current presentation. These reclassifications include $110.4 million that increased net cash provided by operating activities and increased net cash used for financing activities on the consolidated condensed statements of cash flows as a resultfiling of our adoption in the fourth quarter of 2016 of Accounting Standards Update 2016-09, Compensation - Stock Compensation:  Improvements to Employee Share-Based Payment Accounting as discussed in our Annual Report on Form 10-K for the year ended December 31, 2016.10-Q.
All per-share amounts, unless otherwise noted in the footnotes, are presented on a diluted basis, that is, based on the weighted-average number of outstanding common shares plus the effect of incremental shares from our stock-based compensation programs.
We operate as a single operating segment engaged in the discovery, development, manufacturing, marketing, and sales of pharmaceutical products worldwide. A global research and development organization and a supply chain organization are responsible for the discovery, development, manufacturing, and supply of our products. Regional commercial organizations market, distribute, and sell the products. The business is also supported by global corporate staff functions. Our determination that we operate as a single segment is consistent with the financial information regularly reviewed by the chief operating decision maker for purposes of evaluating performance, allocating resources, setting incentive compensation targets, and planning and forecasting for future periods.






Note 2: Implementation of New Financial Accounting PronouncementsRevenue
The following table provides a brief descriptionsummarizes our revenue recognized in our consolidated condensed statements of accounting standards that have not yet been adopted and could have a material effect on our financial statements:operations:
StandardDescriptionEffective DateEffect on the financial statements or other significant matters
Accounting Standards Update 2014-09 and various other related updates, Revenue from Contracts with Customers
This standard will replace existing revenue recognition standards and will require entities to recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. An entity can apply the new revenue standard retrospectively to each prior reporting period presented or with the cumulative effect of initially applying the standard recognized at the date of initial application in retained earnings. We plan to use the latter approach.This standard is effective January 1, 2018, and we will adopt on that date.
We are in the process of completing our evaluation of the impact of adopting the standard. We have identified two revenue streams from our contracts with customers: 1) product sales, which represented 96 percent of our 2016 consolidated revenue and 2) licensing and other arrangements, which represented 4 percent of our 2016 consolidated revenue.

Our evaluation of our contracts for product sales is substantially complete and, based upon the results of our work to date we currently do not expect the application of the new standard to these contracts to have a material impact to our consolidated statements of operations or balance sheets either at initial implementation or on an ongoing basis.

While we have completed most of our reviews of arrangements in which we have licensed or sold intellectual property, we are not yet able to estimate the anticipated impact to our consolidated financial statements from the application of the new standard to these arrangements as we continue to interpret and apply the principles in the new standard to our arrangements.

We are also evaluating the new disclosures required by the standard to determine what additional information will need to be disclosed.
Accounting Standards Update 2016-01, Financial Instruments - Overall: Recognition and Measurement of Financial Assets and Financial Liabilities
This standard will require entities to recognize changes in the fair value of equity investments with readily determinable fair values in net income (except for investments accounted for under the equity method of accounting or those that result in consolidation of the investee). An entity should apply the new standard through a cumulative effect adjustment to retained earnings as of the beginning of the fiscal year of adoption.
This standard is effective January 1, 2018, and we will adopt on that date.

We are unable to estimate the impact of adopting this standard as the significance of the impact will depend upon our equity investments as of the date of adoption.
 Three Months Ended
March 31,
 2020 2019
Net product revenue$5,403.5
 $4,692.3
Collaboration and other revenue (1)
456.3
 399.9
Revenue$5,859.8
 $5,092.2
(1) Collaboration and other revenue associated with prior period transfers of intellectual property was $35.4 million and $35.5 million during the three months ended March 31, 2020 and 2019, respectively.
We recognize revenue primarily from two different types of contracts, product sales to customers (net product revenue) and collaborations and other arrangements. Revenue recognized from collaborations and other arrangements includes our share of profits from the collaboration, as well as royalties, upfront and milestone payments we receive under these types of contracts. See Note 4 for additional information related to certain of our collaborations and other arrangements. Collaboration and other revenue disclosed above includes the revenue from the Trajenta® and Jardiance® families of products resulting from our collaboration with Boehringer Ingelheim discussed in Note 4. Substantially all of the remainder of collaboration and other revenue is related to contracts accounted for as contracts with customers.
Adjustments to Revenue
Adjustments to revenue recognized as a result of changes in estimates for our most significant U.S. sales returns, rebates, and discounts liability balances for products shipped in previous periods were approximately 2 percent and 3 percent of U.S. revenue during the three months ended March 31, 2020 and 2019, respectively.
Contract Liabilities
Our contract liabilities result from arrangements where we have received payment in advance of performance under the contract and do not include sales returns, rebates, and discounts. Changes in contract liabilities are generally due to either receipt of additional advance payments or our performance under the contract.
The following table summarizes contract liability balances:
 March 31, 2020 December 31, 2019
Contract liabilities$307.8
 $264.6

During the three months ended March 31, 2020 and 2019, revenue recognized from contract liabilities as of the beginning of the year was not material. Revenue expected to be recognized in the future from contract liabilities as the related performance obligations are satisfied is not expected to be material in any one year.




Disaggregation of Revenue
The following table summarizes revenue by product:
StandardDescriptionEffective DateEffect on the financial statements or other significant matters
Accounting Standards Update 2016-02, Leases
 Three Months Ended
March 31,
 2020 2019
 
United States (U.S.) (1)
Outside U.S.Total 
U.S. (1)
Outside U.S.Total
Revenue—to unaffiliated customers:       
Diabetes:       
Trulicity®
$929.5
$299.9
$1,229.4
 $665.6
$214.1
$879.7
Humalog® (2)
398.6
297.2
695.8
 448.6
282.2
730.8
Humulin®
214.1
101.5
315.7
 201.3
96.4
297.7
Basaglar®
230.4
73.3
303.7
 198.2
53.2
251.4
Jardiance (3)
144.6
122.9
267.5
 125.2
78.4
203.6
Trajenta (4)
28.7
64.5
93.2
 47.4
84.6
131.9
Other Diabetes45.3
18.4
63.6
 33.1
24.7
57.9
Total Diabetes1,991.2
977.7
2,968.9
 1,719.4
833.6
2,553.0
        
Oncology:       
Alimta®
324.2
235.8
560.1
 281.8
217.4
499.2
Cyramza®
89.1
149.9
239.0
 75.1
123.2
198.3
Verzenio®
129.4
58.6
188.0
 93.5
15.9
109.4
Erbitux®
117.8
13.0
130.8
 113.3
5.1
118.4
Other Oncology(2.6)86.3
83.6
 30.2
57.3
87.4
Total Oncology657.9
543.6
1,201.5
 593.9
418.9
1,012.7
        
Immunology:       
Taltz®
327.5
116.0
443.5
 180.8
71.7
252.5
Olumiant®
11.3
128.4
139.7
 6.4
75.7
82.1
Other Immunology2.6

2.6
 


Total Immunology341.4
244.4
585.8
 187.2
147.4
334.7
        
Neuroscience:       
Cymbalta®
11.6
198.8
210.4
 10.3
153.8
164.1
Zyprexa®
11.2
87.2
98.4
 9.3
97.9
107.2
Emgality®
67.3
6.7
74.0
 12.2
2.1
14.2
Other Neuroscience20.2
60.5
80.7
 19.3
88.2
107.6
Total Neuroscience110.3
353.2
463.5
 51.1
342.0
393.1
        
Other:       
Forteo®
122.5
149.8
272.4
 125.9
187.0
312.9
Cialis®
26.1
167.0
193.0
 143.2
164.9
308.2
Other79.4
95.3
174.7
 70.1
107.6
177.6
Total Other228.0
412.1
640.1
 339.2
459.5
798.7
Revenue$3,328.8
$2,531.0
$5,859.8
 $2,890.8
$2,201.4
$5,092.2
Numbers may not add due to rounding.
(1) U.S. revenue includes revenue in Puerto Rico.
(2) Humalog revenue includes Insulin Lispro.
(3) Jardiance revenue includes Glyxambi®,Synjardy®, and Trijardy® XR.
(4) Trajenta revenue includes Jentadueto®.
.
This standard was issued to increase transparency and comparability among organizations by recognizing lease assets and lease liabilities, including leases classified as operating leases under current GAAP, on the balance sheet and requiring additional disclosures about leasing arrangements. This standard requires a modified retrospective approach to adoption.This standard is effective January 1, 2019, with early adoption permitted. We intend to adopt this standard on January 1, 2019.We are in the process of determining the impact on our consolidated financial statements.
Accounting Standards Update 2016-16, Income Taxes: Intra-Entity Transfers of Assets Other Than Inventory
This standard will require entities to recognize the income tax consequences of intra-entity transfers of assets other than inventory at the time of transfer. This standard requires a modified
retrospective approach to adoption.
This standard is effective January 1, 2018, and we will adopt on that date.We are continuing to assess the potential impact of this standard on our consolidated financial statements and currently estimate that the cumulative effect of initially applying the standard would result in an increase to deferred tax assets and the opening balance of retained earnings of approximately $2 billion on January 1, 2018. This estimate is subject to change based upon intra-entity transfers of assets other than inventory over the remainder of 2017 and ongoing assessments of the future deductibility and realizability of the deferred tax assets that would result from implementation.
Accounting Standards Update 2017-07, Compensation-Retirement Benefits: Improving the Presentation of Net Periodic Pension Cost and Net Periodic Postretirement Benefit Cost
This standard was issued to improve the transparency and comparability among organizations by requiring entities to separate their net periodic pension cost and net periodic postretirement benefit cost into a service cost component and other components. Currently, the costs of the other components along with the service cost component are classified based upon the function of the employee. This standard will require entities to classify the service cost component in the same financial statement line item or items as other compensation costs arising from services rendered by pertinent employees. The other components of net benefit cost will be presented separately from the line items that include the service cost component. When applicable, the service cost component will be the only component eligible for capitalization. An entity should apply the new standard retrospectively for the classification of the service cost and other components and prospectively for the capitalization of the service cost component.This standard is effective January 1, 2018, and we will adopt this standard on that date.
Upon adoption of this standard, pension and postretirement benefit cost components other than service costs will be presented in other–net, (income) expense. We do not expect the application of the new standard to have a material impact on consolidated net income either at initial implementation or on an ongoing basis.




The following table summarizes revenue by geographical area:
 Three Months Ended
March 31,
 2020 2019
Revenue—to unaffiliated customers (1):
   
U.S. (2)
$3,328.8
 $2,890.8
Europe1,061.0
 900.3
Japan592.3
 543.7
China267.3
 211.2
Other foreign countries610.4
 546.2
Revenue$5,859.8
 $5,092.2
Numbers may not add due to rounding.
(1) Revenue is attributed to the countries based on the location of the customer.
(2) U.S. revenue includes revenue in Puerto Rico.
Note 3: Acquisitions
On January 3, 2017,During the three months ended March 31, 2020 we completed the acquisition of Boehringer Ingelheim Vetmedica,Dermira, Inc.'s United States (U.S.) feline, canine, (Dermira) and rabies vaccine portfolio and other related assets (BIVIVP)during the three months ended March 31, 2019, we completed the acquisition of Loxo Oncology, Inc. (Loxo). This transaction,These transactions, as further discussed in this note below in AcquisitionAcquisitions of a Business, wasBusinesses, were accounted for as a business combinationcombinations under the acquisition method of accounting. Under this method, the assets acquired and liabilities assumed were recorded at their respective fair values as of the acquisition date in our consolidated condensed financial statements. The determination of estimated fair value required management to make significant estimates and assumptions. The excess of the purchase price over the fair value of the acquired net assets, where applicable, has been recorded as goodwill. The results of operations of this acquisitionthese acquisitions are included in our consolidated condensed financial statements from the date of acquisition.
In addition to the acquisition of a business, weWe also acquired assets in development in the ninethree months ended September 30, 2017,March 31, 2020 and 2019, which are further discussed in this note below in Asset Acquisitions. Upon acquisition, the acquired in-process research and development (IPR&D) charges related to these productscompounds were immediately expensed because the productscompounds had no alternative future use. There wereWe incurred acquired IPR&D charges of $205.0$52.3 million and $1.06 billion$136.9 million for the three and nine months ended September 30, 2017,March 31, 2020 and 2019, respectively. There were no acquired IPR&D charges for the three and nine months ended September 30, 2016.
In October 2017, we entered into a global immuno-oncology collaboration agreement with CureVac AG (CureVac), to develop and commercialize up to five potential cancer vaccine products based on CureVac's proprietary RNActive® technology. This transaction is subject to clearance under the Hart-Scott-Rodino Antitrust Improvements Act and other customary closing conditions. Subject to the closingAcquisitions of this transaction, CureVac will receive from us an initial payment of $50.0 million. CureVac will also be eligible to receive potential development and commercialization milestones, as well as tiered royalty payments based on future sales. We anticipate recording an acquired IPR&D charge of approximately $50 million upon the closing of the transaction.Businesses
Acquisition of a Business
Boehringer Ingelheim Vetmedica, Inc. Vaccine PortfolioDermira Acquisition
Overview of Transaction
WeIn February 2020, we acquired BIVIVP in an all-cash transactionall shares of Dermira for $882.1 million.a purchase price of approximately $849.3 million, net of cash acquired. Under the terms of the agreement, we acquired lebrikizumab, a manufacturing and research and development site, a U.S. vaccine portfolio, including vaccines usednovel, investigational, monoclonal antibody being evaluated for the treatment of bordetella, Lyme disease, rabies,moderate-to-severe atopic dermatitis. Lebrikizumab was granted Fast Track designation from the U.S. Food and parvovirus, among others.Drug Administration (FDA). We also acquired Qbrexza® (glycopyrronium) cloth, a medicated cloth approved by the FDA for the topical treatment of primary axillary hyperhidrosis (uncontrolled excessive underarm sweating).
Assets Acquired and Liabilities Assumed
Our access to BIVIVPDermira information was limited prior to the acquisition. As a consequence, we are in the process of determining the fair values and tax bases of a significant portion of the assets acquired and liabilities assumed, including the identification and valuation of intangible assets, inventory, property and equipment, accrued expenses,long-term debt, and tax exposures. The final determination of these amounts will be completed as soon as possible but no later than one year from the acquisition date. The final determination may result in asset and liability fair values and tax bases that differ from the preliminary estimates and require changes to the preliminary amounts recognized. Preliminary fair values related to this acquisition included goodwill of $99.7 million, other intangibles of $1.21 billion, and long-term debt of $375.5 million. After the acquisition, we repaid $276.2 million of long-term debt assumed as part of our acquisition of Dermira.



Loxo Acquisition
Overview of Transaction
In February 2019, we acquired all shares of Loxo for a purchase price of $6.92 billion, net of cash acquired. The accelerated vesting of Loxo employee equity awards was recognized as transaction expense included in asset impairment, restructuring, and other special charges during the three months ended March 31, 2019 (see Note 6).
Under the terms of the agreement, we acquired a pipeline of investigational medicines, including selpercatinib (LOXO-292), an oral RET inhibitor granted Breakthrough Therapy designation and Priority Review by the FDA, and LOXO-305, an oral BTK inhibitor.
Assets Acquired and Liabilities Assumed
The following table summarizes the preliminary amounts recognized for assets acquired and liabilities assumed in the acquisition of Loxo as of the acquisition date:
Estimated Fair Value at January 3, 2017
Inventories$108.6
Marketed products (1)
298.0
Property and equipment148.2
Estimated Fair Value at February 15, 2019Estimated Fair Value at February 15, 2019
Acquired IPR&D (1)
$4,670.0
Finite-lived intangibles (2)
980.0
Deferred income taxes(1,032.8)
Other assets and liabilities - net5.2
(26.4)
Total identifiable net assets560.0
4,590.8
Goodwill (2)(3)
322.1
2,326.9
Total consideration transferred - net of cash acquired$882.1
$6,917.7
(1)These intangible assets,$4.60 billion of the acquired IPR&D relates to selpercatinib (LOXO-292).
(2)Contract-based intangibles (primarily related to Vitrakvi®) which are being amortized to cost of sales on a straight-line basis over their estimated useful lives, were expected to have a weighted average useful life of 10 years.approximately 12 years from the acquisition date.
(2) (3)The goodwill recognized from this acquisition is attributable primarily to expected synergies from combining the operations of BIVIVP with our legacy animal health business, future unidentified projects and products and the assembled workforce of BIVIVP. We anticipate that the goodwill associated with this acquisition will befor Loxo and is not deductible for tax purposes.
Our consolidated condensed statement of operations for the three and nine months ended September 30, 2017, includes BIVIVP revenue of $61.2 million and $180.2 million, respectively. BIVIVP has been integrated into our animal health products segment and, as a result of these integration efforts, certain parts of the animal health business were operating on a combined basis during these periods, and we could not distinguish the operations between BIVIVP and our legacy animal health products business.
Asset Acquisitions
The following table and narrative summarizessummarize our asset acquisitions during the ninethree months ended September 30, 2017. There was no asset acquisition which resulted in acquired IPR&D expense during the nine months ended September 30, 2016.March 31, 2020 and 2019:
CounterpartyCompound(s) or TherapyAcquisition Month 
Phase of Development (1)
 Acquired IPR&D Expense
Sitryx Therapeutics LimitedPreclinical targets that could lead to potential new medicines for autoimmune diseasesMarch 2020 Pre-clinical $52.3
       
AC Immune SA (2)
Tau aggregation inhibitor small molecules for the potential treatment of Alzheimer's disease and other neurodegenerative diseasesJanuary 2019 Pre-clinical $96.9
ImmuNext, Inc.Novel immunometabolism targetMarch 2019 Pre-clinical 40.0

CounterpartyCompound(s) or TherapyAcquisition Month 
Phase of Development (1)
 Acquired IPR&D Expense
CoLucid Pharmaceuticals, Inc. (CoLucid)Oral therapy for the acute treatment of migraine - lasmiditanMarch 2017 Phase III $857.6
KeyBioscience AG (KeyBioscience)Multiple molecules for treatment of metabolic disordersJuly 2017 Phase II $55.0
Nektar Therapeutics (Nektar)Immunological therapy - NKTR-358August 2017 Phase I $150.0
(1) The phase of development presented is as of the date of the arrangement and represents the phase of development of the most advanced asset acquired, where applicable.
(2)We recognized an additional acquired IPR&D expense of $30.2 millionin September 2019 upon entering into an amendment to the license agreement.


We entered into an agreement with AbCellera Biologics Inc. (AbCellera) to co-develop antibody products for the potential treatment and prevention of COVID-19. Under the terms of the agreement, we have committed to equally share initial development costs towards a product with AbCellera, after which we will be responsible for all further development, manufacturing, and distribution. We expect to record an acquired IPR&D charge of $25.0 million in the second quarter of 2020 upon closing of the transaction.
In connection with thethese arrangements, described herein, our partners may be entitled to future royalties and/or commercial milestones based on sales should these products be approved for commercialization and/or milestones based on the successful progress of the compounds through the development process.
We acquired lasmiditan by acquiring CoLucid. Under the terms of the agreement, we acquired all shares of CoLucid for a cash purchase price of $831.8 million, net of cash acquired, plus net accrued liabilities assumed of $25.8 million. Substantially all of the value of CoLucid was related to lasmiditan, its only significant asset. The acquired IPR&D expense is not tax deductible.
Our collaboration agreement with KeyBioscience provides us with access to KeyBioscience's Dual Amylin Calcitonin Receptor Agonists (DACRAs), a potential new class of treatments for metabolic disorders such as type 2 diabetes, along with multiple molecules. Prior to entering into the agreement, KeyBioscience had initiated Phase II development of the lead molecule. The other assets included in the collaboration range from pre-clinical to Phase I development. Under the terms of the agreement, we receive worldwide rights to develop and commercialize these molecules.


Our collaboration with Nektar is to co-develop Nektar's compound which has the potential to treat a number of autoimmune and other chronic inflammatory conditions. Under the terms of the agreement, we are responsible for all costs of global commercialization. Nektar will have an option to co-promote in the U.S. under certain conditions.
Note 4: Collaborations and Other Arrangements
We often enter into collaborative and other similar arrangements to develop and commercialize drug candidates. Collaborative activities may include research and development, marketing and selling (including promotional activities and physician detailing), manufacturing, and distribution. These arrangements often require milestone and royalty or profit-share payments, contingent upon the occurrence of certain future events linked to the success of the asset in development, as well as expense reimbursements from or payments to the collaboration partner. Elements within a collaboration are separated into individual unitsSee Note 2 for amounts of accounting if they have standalone value from other elements within the arrangement. In these situations, the arrangement consideration is allocated to the elements on a relative selling price basis. Revenue related to products we sell pursuant to these arrangements are included in net product revenue, while other sources of revenue (e.g., royalties and profit-sharing due from our partner) are included in collaboration and other revenue.
The following table summarizes our collaboration and other revenue which is included in revenue in the consolidated condensed statementsrecognized from these types of operations:
 Three Months Ended
September 30,
 Nine Months Ended
September 30,
 2017 2016 2017 2016
Collaboration and other revenue$334.2
 $216.5
 $869.1
 $607.3
arrangements.
Operating expenses for costs incurred pursuant to these arrangements are reported in their respective expense line item, net of any payments due to or reimbursements due from our collaboration partners, with such reimbursements being recognized at the time the party becomes obligated to pay. Each collaboration is unique in nature, and our more significant arrangements are discussed below.
Boehringer Ingelheim Diabetes Collaboration
We and Boehringer Ingelheim have a global agreement to jointly develop and commercialize a portfolio of diabetes compounds. Currently included in the collaboration are Boehringer Ingelheim’s oral diabetes products: Trajenta,, Jentadueto,®, Jardiance,®, Glyxambi,®, Synjardy, and Synjardy®,Trijardy XR as well as our basal insulin: Basaglar®.insulin, Basaglar. Jentadueto is included in the Trajenta product family. Glyxambi, Synjardy, and Trijardy XR are included in the Jardiance product family.
The table below summarizes significant regulatory and commercialization events and milestones (deferred) capitalized for the compounds included in this collaboration:
Product Family 
Milestones
(Deferred) Capitalized (1)
Trajenta (2)
 $446.4
Jardiance (3)
 289.0
Basaglar (250.0)

  Year Launched 
Milestones
(Deferred) Capitalized (1)
Product Family U.S. Europe Japan YearAmount
Trajenta (2)
 2011 2011 2011 
Cumulative (4) - all prior to 2016
$446.4
Jardiance (3)
 2014 2014 2015 
Cumulative (4) - all prior to 2016
299.5
Basaglar 2016 2015 2015 2017
    2016(187.5)
    
Cumulative (4)
(250.0)
(1) In connection with the regulatory approvals of Basaglar in the U.S., Europe, and Japan, milestone payments received were recorded as deferred revenuecontract liabilities and are being amortized through the term of the collaboration (2029) to collaboration and other revenue. In connection with the regulatory approvals of Trajenta and Jardiance, milestone payments made were capitalized as intangible assets and are being amortized to cost of sales.
(2) Jentadueto is included insales through the Trajenta familyterm of product results.
(3) Glyxambi and Synjardyare included in the Jardiance family of product results.
(4) The cumulative amountcollaboration. This represents the total initialcumulative amounts that werehave been (deferred) or capitalized from the start of this collaboration through the end of the reporting period.

(2) The collaboration agreement with Boehringer Ingelheim for Trajenta ends upon expiration of the compound patent and any supplementary protection certificates or extensions thereto.

(3) The collaboration agreement with Boehringer Ingelheim for Jardiance ends upon expiration of the compound patent and any supplementary protection certificates or extensions thereto.
InThrough December 31, 2019, in the most significant markets, we and Boehringer Ingelheim shareshared equally the ongoing development costs, commercialization costs, and agreed upon gross margin for any product resulting from the collaboration. We recordrecorded our portion of the gross margin associated with Boehringer Ingelheim's compoundsproducts as collaboration and other revenue. We recordrecorded our sales of Basaglar to third parties as net product revenue with the payments made to Boehringer Ingelheim for their portion of the gross margin recorded as cost of sales. For all compounds under this collaboration, we recordrecorded our portion of the development and commercialization costs as research and development expense and marketing, selling, and administrative expense, respectively. Each company iswas entitled to potential performance payments depending on the sales of the molecules it contributes to the collaboration. These performance payments resultmay have resulted in the owner of the molecule retaining a greater share of the agreed upon gross margin of that product. Subject to achieving these thresholds, in a given period, our reported revenue for Trajenta and Jardiance may behave been reduced by any performance payments we make made


related to these products. Similarly, performance payments we may receivehave received related to Basaglar effectively reducereduced Boehringer Ingelheim's share of the gross margin, which reducesreduced our cost of sales.
Effective January 1, 2020, we and Boehringer Ingelheim modernized the alliance. In the most significant markets, we and Boehringer Ingelheim share equally the ongoing development costs and commercialization costs for the Jardiance product family. We receive a royalty on net sales of Boehringer Ingelheim's products in the most significant markets and recognize the royalty as collaboration and other revenue. We pay to Boehringer Ingelheim a royalty on net sales for Basaglar in the U.S. We record our sales of Basaglar to third parties as net product revenue with the royalty payments made to Boehringer Ingelheim recorded as cost of sales. For the Jardiance product family, we record our portion of the development and commercialization costs as research and development expense and marketing, selling, and administrative expense, respectively. Boehringer Ingelheim is entitled to potential performance payments depending on the net sales of the Jardiance product family; therefore, our reported revenue for Jardiance may be reduced by any potential performance payments we make related to this product. Beginning January 1, 2021, the royalty received by us related to the Jardiance product family may also be increased or decreased depending on whether net sales for this product family exceed or fall below certain thresholds.
The following table summarizes our net product revenue recognized with respect to Basaglar and collaboration and other revenue recognized with respect to the TrajentaJardiance and JardianceTrajenta families of products and net product revenue recognized with respect to Basaglar:products:
 Three Months Ended
March 31,
 2020 2019
Basaglar$303.7
 $251.4
Jardiance267.5
 203.6
Trajenta93.2
 131.9

 Three Months Ended
September 30,
 Nine Months Ended
September 30,
 2017 2016 2017 2016
Trajenta$153.3
 $115.4
 $408.2
 $330.8
Jardiance127.2
 47.5
 304.3
 125.8
Basaglar145.7
 19.4
 278.3
 46.6
Erbitux®
We have several collaborations with respect to Erbitux. The most significant collaborations are or, where applicable, were in Japan, and prior to the transfer of commercialization rights in the fourth quarter of 2015, the U.S. and Canada (Bristol-Myers Squibb Company); and worldwide except the U.S. and Canada (Merck KGaA). Certain rights to Erbitux outside the U.S. and Canada (collectively, North America) will remain with Merck KGaA (Merck) upon expiration of that agreement.
The following table summarizes our revenue recognized with respect to Erbitux:
 Three Months Ended
September 30,
 Nine Months Ended
September 30,
 2017 2016 2017 2016
Net product revenue$137.6
 $155.9
 $403.3
 $455.8
Collaboration and other revenue25.9
 28.7
 73.7
 77.5
Revenue$163.5

$184.6

$477.0

$533.3
Bristol-Myers Squibb Company
Pursuant to commercial agreements with Bristol-Myers Squibb Company and E.R. Squibb (collectively, BMS), we had been co-developing Erbitux in North America exclusively with BMS. On October 1, 2015, BMS transferred their commercialization rights to us with respect to Erbitux in North America pursuant to a modification of our existing arrangement, and we began selling Erbitux at that time. This modification did not affect our rights with respect to Erbitux in other jurisdictions. In connection with the modification of terms, we provide consideration to BMS based upon a tiered percentage of net sales of Erbitux in North America estimated to average 38 percent through September 2018. The transfer of the commercialization rights was accounted for as an acquisition of a business. The consideration to be paid to BMS was accounted for as contingent consideration liability. See Note 6 for discussion regarding the estimation of this liability.
Merck KGaA
A development and license agreement grants Merck exclusive rights to market Erbitux outside of North America until December 2018. A separate agreement grants co-exclusive rights among Merck, BMS, and us in Japan and expires in 2032. This agreement was amended in 2015 to grant Merck exclusive commercialization rights in Japan but did not result in any changes to our rights.


Merck manufactures Erbitux for supply in its territory as well as for Japan. We receive a royalty on the sales of Erbitux outside of North America, which is included in collaboration and other revenue as the underlying sales occur. Royalties due to third parties are recorded as a reduction of collaboration and other revenue, net of any royalty reimbursements due from third parties.
Effient®
We are in a collaborative arrangement with Daiichi Sankyo Co., Ltd. (Daiichi Sankyo) to develop, market, and promote Effient. Marketing rights for major territories are shown below. We and Daiichi Sankyo each have exclusive marketing rights in certain other territories.
TerritoryMarketing RightsSelling Party
U.S.Co-promotionLilly
Major European marketsCo-promotion
Pre-January 1, 2016, Lilly
Post-January 1, 2016, Daiichi Sankyo
JapanExclusiveDaiichi Sankyo
Beginning January 1, 2016, while major European markets continue to be a co-promotion territory under the terms of our arrangement, Daiichi Sankyo exclusively promotes Effient in these markets. The economic results for the major European markets continue to be shared in the same proportion as they were previously.
The parties share approximately 50/50 in the profits, as well as in the costs of development and marketing in the co-promotion territories. A third party manufactures bulk product, and we continue to produce the finished product for our exclusive and co-promotion territories, including the major European markets.
We record net product revenue in our exclusive and co-promotion territories where we are the selling party. Profit-share payments due to Daiichi Sankyo for co-promotion countries where we are the selling party are recorded as marketing, selling, and administrative expenses. Beginning January 1, 2016, any profit-share payments due to us from Daiichi Sankyo for the major European markets are recorded as collaboration and other revenue. We also record our share of the expenses in these co-promotion territories as marketing, selling, and administrative expenses. In our exclusive territories, we pay Daiichi Sankyo a royalty specific to these territories. All royalties due to Daiichi Sankyo and the third-party manufacturer are recorded in cost of sales. Generic versions of Effient launched in the U.S. in the third quarter of 2017.
The following table summarizes our revenue recognized with respect to Effient:
 Three Months Ended
September 30,
 Nine Months Ended
September 30,
 2017 2016 2017 2016
Revenue$55.9
 $127.7
 $326.6
 $394.3
Olumiant®
We have a worldwide license and collaboration agreement with Incyte Corporation (Incyte), which provides us the development and commercialization rights to its Janus tyrosine kinase (JAK) inhibitor compound, now known as baricitinib (trade name Olumiant),Olumiant, and certain follow-on compounds, for the treatment of inflammatory and autoimmune diseases. Incyte has the right to receive tiered, double-digit royalty payments on future global sales with rates ranging up to 20 percent if the product is successfully commercialized. The agreement provides Incyte with options to co-develop these compounds on an indication-by-indication basis by funding 30 percent of the associated development costs from the initiation of a Phase IIb trial through regulatory approval in exchange for increased tiered royalties ranging up to percentages in the high twenties. Incyte exercised its option to co-develop Olumiant in rheumatoid arthritis in 2010 and psoriatic arthritis and atopic dermatitis in 2017.percent. The agreement calls for payments by us to Incyte associated with certain development, success-based regulatory, and sales-based milestones.
In the first quarter of 2016, we incurred milestone-related expenses of $55.0 million in connection with the regulatory submissionsapprovals of Olumiant in the U.S., Europe, and Europe, whichJapan, milestone payments made of $180.0 million were recorded as research and development expense. We capitalized as intangible assets $65.0 million in the first quarter of 2017 and $15.0 million in the third quarter of 2017 of milestones in connection with regulatory approvals in Europe and Japan, respectively, which are being amortized to cost of sales overthrough the term of the collaboration. This represents the cumulative amounts that have been capitalized from the start of this collaboration through the end of the reporting period.
As of September 30, 2017,March 31, 2020, Incyte is eligible to receive up to $280.0$130.0 million of additional payments from us contingent upon certain development and success-based regulatory milestones, of which $100.0 million relates to the U.S. regulatory decision for a first indication.milestones. Incyte is also eligible to receive up to $150.0 million of potential sales-based milestones.

We record our sales of Olumiant to third parties as net product revenue with the royalty payments made to Incyte recorded as cost of sales. The following table summarizes our net product revenue recognized with respect to Olumiant:

 Three Months Ended
March 31,
 2020 2019
Olumiant$139.7
 $82.1

Tanezumab
We have a collaboration agreement with Pfizer Inc. (Pfizer) to jointly develop and globally commercialize tanezumab for the treatment of osteoarthritis pain, chronic low back pain, and cancer pain. Under the agreement, the companies share equally the ongoing development costs and, if successful, in gross margins and certain commercialization expenses. Following the U.S. Food and Drug Administration's (FDA's) decision in March 2015 to lift the partial clinical hold on tanezumab, certain Phase III trials resumed in July 2015. Upon the FDA's lifting of the partial clinical hold and the decision to continue the collaboration with Pfizer, we paid an upfront fee of $200.0 million, which was expensed as acquired IPR&D. As of September 30, 2017,March 31, 2020, Pfizer is eligible to receive up to $350.0 million in success-based regulatory milestones and up to $1.23 billion in a series of sales-based milestones, contingent upon the commercial success of tanezumab.
Lanabecestat
We have a collaboration agreement with AstraZeneca for the worldwide co-development and co-commercialization of AstraZeneca’s lanabecestat, an oral beta-secretase cleaving enzyme (BACE) inhibitor being investigated for the potential treatment of Alzheimer’s disease. We are responsible for leading development efforts, while AstraZeneca will be responsible for manufacturing efforts. If successful, both parties will take joint responsibility for commercialization. Under the agreement, both parties share equally in the ongoing development costs and, if successful, in gross margins and certain other costs associated with commercialization of the molecule.
Lebrikizumab
As a result of our acquisition of Dermira, we have a worldwide licensing agreement with F. Hoffmann-La Roche Ltd and Genentech, Inc. (collectively Roche), which provides us the molecule moving into Phase III testingglobal development and commercialization rights to lebrikizumab. Roche has the right to receive tiered royalty payments on future global net sales ranging in April 2016, we incurred a $100.0 million developmental milestone, which was recorded as researchpercentages from high single digits to high teens if the product is successfully commercialized. The agreement calls for payments by us to Roche associated with certain success-based regulatory and development expense in the second quarter of 2016. In July 2017, as a result of the outcome of an interim analysis, we incurred a $50.0 million developmental milestone, which was recorded as research and development expense in the third quarter of 2017. sales-based milestones.
As of September 30, 2017, AstraZenecaMarch 31, 2020, Roche is eligible to receive up to $300.0$180.0 million of additional payments from us contingent upon the achievement of success-based regulatory milestones and up to $1.03 billion in a series of sales-based milestones, contingent upon the commercial success of lebrikizumab.
As a result of our acquisition of Dermira, we have a license agreement with Almirall, S.A. (Almirall), under which Almirall licensed the rights to develop and commercialize lebrikizumab for the treatment or prevention of dermatology indications, including, but not limited to atopic dermatitis, in Europe. We have the right to receive tiered royalty payments on future net sales in Europe ranging in percentages from low double digits to low twenties if the product is successfully commercialized. The agreement calls for payments to us by Almirall associated with certain development, and success-based regulatory, and sales-based milestones.
As of March 31, 2020, $43.8 million was recorded as a contract liability on the consolidated condensed balance sheet and is expected to be recognized as collaboration and other revenue over the remaining Phase III development period. During the three months ended March 31, 2020, milestones received and collaboration and other revenue recognized were not material. As of March 31, 2020, we are eligible to receive additional payments of $85.0 million from Almirall contingent upon the achievement of success-based regulatory milestones and up to $1.25 billion in a series of sales-based milestones, contingent upon the commercial success of lebrikizumab.
Note 5: Discontinued Operations
On March 11, 2019, we completed the disposition of our remaining 80.2 percent ownership of Elanco Animal Health (Elanco) common stock through a tax-free exchange offer. As a result, we have presented Elanco as discontinued operations in our consolidated condensed financial statements for all periods presented.
Revenue and net income from discontinued operations for the three months ended March 31, 2019 were $580.0 million and $3.68 billion, respectively. Net income from discontinued operations for the three months ended March 31, 2019 included an approximate $3.7 billion gain related to the disposition of Elanco.
The gain related to the disposition of Elanco in the consolidated condensed statement of cash flows included the operating results of Elanco through the disposition date, which were not material. Net cash flows of our discontinued operations for operating and investing activities for the three months ended March 31, 2019 were not material.
We entered into a transitional services agreement (TSA) with Elanco in order to facilitate the orderly transfer of various services to Elanco. The TSA relates primarily to administrative services, which are generally to be provided over 24 months from March 11, 2019, the disposition date. This agreement is not material and does not confer upon us the ability to influence the operating and/or financial policies of Elanco subsequent to the disposition date.


Note 5:6: Asset Impairment, Restructuring, and Other Special Charges
The components of the charges included in asset impairment, restructuring, and other special charges in our consolidated condensed statements of operations are described below.
 Three Months Ended
March 31,
 2020 2019
Severance$9.8
 $(3.6)
Asset impairment and other special charges50.1
 427.5
Total asset impairment, restructuring, and other special charges$59.9
 $423.9

 Three Months Ended
September 30,
 Nine Months Ended
September 30,
 2017 2016 2017 2016
Severance:       
Human pharmaceutical products$165.7
 $
 $277.1
 $
Animal health products5.8
 8.3
 62.1
 37.0
Total severance171.5
 8.3
 339.2
 37.0
Asset impairment and other special charges:       
Human pharmaceutical products25.0
 
 25.0
 
Animal health products210.0
 37.2
 306.2
 197.9
Total asset impairment and other special charges235.0
 37.2
 331.2
 197.9
Total asset impairment, restructuring, and other special charges$406.5
 $45.5
 $670.4
 $234.9
Severance costs recognized during the three months ended September 30, 2017 were incurred as a result of actions taken to reduce our cost structure. Severance costs recognized during the nine months ended September 30, 2017 were incurred as a result of actions taken to reduce our cost structure, as well as the integration of Novartis Animal Health (Novartis AH). Severance costs recognized during the three and nine months ended September 30, 2016 related primarily to the integration of Novartis AH. Severance costs recognized during the nine months ended September 30, 2016 also related to our decision to close an animal health manufacturing plant in Ireland. Substantially all of the severance costs incurred during the three and nine months ended September 30, 2017 are expected to be paid in the next 12 months.


Substantially all of the assetAsset impairment, and other special charges related to animal health products recognized during the three months ended September 30, 2017 related to lower projected revenue for Posilac® (rbST). The company is exploring strategic options for Posilac, including seeking a buyer for the molecule and its Augusta manufacturing site. The assets associated with Posilac were written down to their fair values, which were determined based upon a discounted cash flow valuation. The remaining book value of assets associated with Posilacsubsequent to the impairment charge are not material. Other asset impairmentrestructuring, and other special charges recognized during the three months ended September 30, 2017March 31, 2020 were primarily related to exitacquisition and integration costs associated with site closures. as part of the closing of the acquisition of Dermira.
Asset impairment and other special charges recognized during the ninethree months ended September 30, 2017 resulted primarily from chargesMarch 31, 2019consisted of $400.7 million related to the acquisition of Loxo, substantially all of which was associated with the Posilac impairment, integration costsaccelerated vesting of Novartis AH, as well as asset impairments due to site closures. Asset impairment and other special charges recognized during the three months ended September 30, 2016 related primarily to integration costs related to our acquisition of Novartis AH. Asset impairment and other special charges recognized during the nine months ended September 30, 2016 resulted primarily from $87.2 million of asset impairment and other charges related to our decision to close an animal health manufacturing plant in Ireland. The manufacturing plant was written down to its estimated fair value, which was based primarily on recent sales of similar assets. The remaining asset impairment and other special charges recognized during the nine months ended September 30, 2016 consisted of integration costs related to our acquisition of Novartis AH.
In September 2017, we announced plans to reduce our cost structure by streamlining our operations, including a U.S. voluntary early retirement program. In addition to the asset impairment, restructuring, and other special charges discussed above that were incurred during the three months ended September 30, 2017, we expect to incur additional charges of approximately $800 million in the fourth quarter of 2017 related to these plans. The fourth quarter charge could vary depending on the composition of participants within the U.S. voluntary early retirement program, as well as other actions taken to improve our cost structure.Loxo employee equity awards.
Note 6:7: Financial Instruments
Financial instruments that potentially subject us to credit risk consist principally of trade receivables and interest-bearing investments. Wholesale distributors of life-science products account for a substantial portion of our trade receivables; collateral is generally not required. TheWe seek to mitigate the risk associated with this concentration is mitigated bythrough our ongoing credit-review procedures and insurance. A large portion of our cash is held by a few major financial institutions. We monitor our exposures with these institutions and do not expect any of these institutions to fail to meet their obligations. Major financial institutions represent the largest component of our investments in corporate debt securities. In accordance with documented corporate risk-management policies, we monitor the amount of credit exposure to any one financial institution or corporate issuer. We are exposed to credit-related losses in the event of nonperformance by counterparties to risk-management instruments but do not expect any counterparties to fail to meet their obligations given their high credit ratings.
We consider all highly liquid investments with a maturity of three months or less from the date of purchase to be cash equivalents. The cost of these investments approximates fair value.
Our equity investments are accounted for using three different methods depending on the type of equity investment:
Investments in companies over which we have significant influence but not a controlling interest are accounted for using the equity method, with our share of earnings or losses reported in other-net, (income) expense.
For equity investments that do not have readily determinable fair values, we measure these investments at cost, less any impairment, plus or minus changes resulting from observable price changes in orderly transactions for the identical or similar investment of the same issuer. Any change in recorded value is recorded in other-net, (income) expense.
Our public equity investments are measured and carried at fair value. Any change in fair value is recognized in other-net, (income) expense.
We review equity investments other than public equity investments for indications of impairment and observable price changes on a regular basis.
Our derivative activities are initiated within the guidelines of documented corporate risk-management policies and are intended to offset losses and gains on the assets, liabilities, and transactions being hedged. Management reviews the correlation and effectiveness of our derivatives on a quarterly basis.
For derivative instruments that are designated and qualify as fair value hedges, the derivative instrument is marked to market, with gains and losses recognized currently in income to offset the respective losses and gains recognized on the underlying exposure. For derivative instruments that are designated and qualify as cash flow hedges, the effective portion of gains and losses isare reported as a component of accumulated other comprehensive loss and reclassified into earnings in the same period the hedged transaction affects earnings. For derivative and non-derivative instruments that are designated and qualify as net investment hedges, the effective portion of foreign currency translation gains or


losses due to spot rate fluctuations are reported as a component of accumulated other comprehensive loss. Hedge ineffectiveness is immediately recognized in earnings. Derivative contracts that are not designated as hedging instruments are recorded at fair value with the gain or loss recognized in current earnings during the period of change.


We may enter into foreign currency forward or option contracts to reduce the effect of fluctuating currency exchange rates (principally the euro, British pound, and the Japanese yen). Foreign currency derivatives used for hedging are put in place using the same or like currencies and duration as the underlying exposures. Forward and option contracts are principally used to manage exposures arising from subsidiary trade and loan payables and receivables denominated in foreign currencies. These contracts are recorded at fair value with the gain or loss recognized in other–net, (income) expense. We may enter into foreign currency forward and option contracts and currency swaps as fair value hedges of firm commitments. Forward contracts generally have maturities not exceeding 12 months. At September 30, 2017,March 31, 2020, we had outstanding foreign currency forward commitments to purchase 502.9946.2 million U.S. dollars and sell 422.1856.3 million euro, commitments to purchase 735.7 million1.57 billion euro and sell 878.1 million1.75 billion U.S. dollars, commitments to purchase 428.4291.2 million U.S. dollars and sell 47.9031.26 billion Japanese yen, and commitments to purchase 295.9168.1 million British pounds and sell 334.8 million euro, and commitments to purchase 287.3210.3 million U.S. dollars and sell 212.2 million British pounds, which will all settle within 30 days.
Foreign currency exchange risk is also managed through the use of foreign currency debt and cross-currency interest rate swaps. Our foreign currency-denominated notes had carrying amounts of $3.67$5.43 billion and $3.34$5.49 billion as of September 30, 2017March 31, 2020 and December 31, 2016,2019, respectively, of which $4.02 billion and $4.10 billion have been designated as, and are effective as, economic hedges of net investments in certain of our euro-denominated foreign operations as of March 31, 2020 and December 31, 2019, respectively. At March 31, 2020, we had outstanding cross currency swaps with notional amounts of $2.35 billion swapping U.S. dollars to euro, $1.00 billion swapping Swiss franc-denominated foreign operations.francs to U.S. dollars, and $396.0 million swapping U.S. dollars to British pounds, which have settlement dates ranging through 2028. Our cross-currency interest rate swaps, thatfor which a majority convert a portion of our U.S. dollar-denominated floating rate debt to euro-denominatedforeign-denominated floating rate debt, have also been designated as, and are effective as, economic hedges of net investments in certain of our euro-denominated foreign operations.investments.
In the normal course of business, our operations are exposed to fluctuations in interest rates which can vary the costs of financing, investing, and operating. We seek to address a portion of these risks through a controlled program of risk management that includes the use of derivative financial instruments. The objective of controlling these risks is to limit the impact of fluctuations in interest rates on earnings. Our primary interest-rate risk exposure results from changes in short-term U.S. dollar interest rates. In an effort to manage interest-rate exposures, we strive to achieve an acceptable balance between fixed- and floating-rate debt and investment positions and may enter into interest rate swaps or collars to help maintain that balance.
Interest rate swaps or collars that convert our fixed-rate debt to a floating rate are designated as fair value hedges of the underlying instruments. Interest rate swaps or collars that convert floating-rate debt to a fixed rate are designated as cash flow hedges. Interest expense on the debt is adjusted to include the payments made or received under the swap agreements. Cash proceeds from or payments to counterparties resulting from the termination of interest rate swaps are classified as operating activities in our consolidated condensed statements of cash flows. At September 30, 2017,March 31, 2020, substantially all of our total long-term debt is at a fixed rate. We have converted approximately 3011 percent of our long-term fixed-rate notes to floating rates through the use of interest rate swaps.
We may enter into forward contracts and designate them as cash flow hedges to limit the potential volatility of earnings and cash flow associated with forecasted sales of available-for-sale securities.
We also may enter into forward-starting interest rate swaps, which we designate as cash flow hedges, as part of any anticipated future debt issuances in order to reduce the risk of cash flow volatility from future changes in interest rates. Upon completion of a debt issuance and termination of the swap, theThe change in fair value of these instruments is recorded as part of other comprehensive income (loss), and upon completion of a debt issuance and termination of the swap, is amortized to interest expense over the life of the underlying debt. As of March 31, 2020, the total notional amounts of forward-starting interest rate contracts in designated cash flow hedging instruments were $1.75 billion, which have settlement dates ranging between 2023 and 2025.
In May 2017,April 2020, we issued $750.0 millionagreed to issue $1.00 billion of 2.352.25 percent fixed-rate notes due in May 2022, $750.0 million of 3.10 percent fixed-rate notes due in May 2027, and $750.0 million of 3.95 percent fixed-rate notes due in May 2047,2050, with interest to be paid semi-annually. We are usingintend to use the net proceeds of $2.23 billion from the sale of these notes for general corporate purposes, which may include the repayment of outstanding commercial paper. The offering of notes due in 2018 and 2019. Prioris expected to such uses, we may temporarily invest the net proceeds in investment securities.
In May 2016, we issued Swiss franc-denominated notes consisting of Fr.200.0 million of 0.00 percent fixed-rate notes dueclose in May 2018, Fr.600.0 million of 0.15 percent fixed-rate notes due in May 2024, and Fr.400.0 million of 0.45 percent fixed-rate notes due in May 2028, with interest to be paid annually. We are using the net cash proceeds of the offering of $1.21 billion for general corporate purposes, which included the repayment at maturity of certain of our U.S. dollar denominated fixed-rate notes due March 2017.2020.





The Effect of Risk-Management Instruments on the Consolidated Condensed Statements of Operations
The following effects of risk-management instruments were recognized in other–net, (income) expense:
 Three Months Ended
March 31,
 2020 2019
Fair value hedges:   
Effect from hedged fixed-rate debt$117.3
 $39.3
Effect from interest rate contracts(117.3) (39.3)
Cash flow hedges:   
Effective portion of losses on interest rate contracts reclassified from accumulated other comprehensive loss4.0
 3.8
Cross-currency interest rate swaps(12.9) (28.3)
Net (gains) losses on foreign currency exchange contracts not designated as hedging instruments(5.7) 48.9
Total$(14.6) $24.4

 Three Months Ended
September 30,
 Nine Months Ended
September 30,
 2017 2016 2017 2016
Fair value hedges:       
Effect from hedged fixed-rate debt$(4.0) $(18.8) $3.6
 $92.4
Effect from interest rate contracts4.0
 18.8
 (3.6) (92.4)
Cash flow hedges:       
Effective portion of losses on interest rate contracts reclassified from accumulated other comprehensive loss3.7
 3.8
 11.1
 11.2
Net losses on foreign currency exchange contracts not designated as hedging instruments16.3
 1.4
 79.2
 105.6
During the ninethree months ended September 30, 2017 March 31, 2020 and 2016, net losses related to ineffectiveness, as well as net2019, the amortization of losses related to the portion of our risk-managementrisk management hedging instruments, fair value hedges, and cash flow hedges that werewas excluded from the assessment of effectiveness werewas not material.
The Effect of Risk-Management Instruments on Other Comprehensive Income (Loss)
The effective portion of risk-management instruments that was recognized in other comprehensive income (loss) is as follows:
 Three Months Ended
March 31,
 2020 2019
Net investment hedges:   
    Foreign currency-denominated notes$67.4
 $53.7
    Cross-currency interest rate swaps115.8
 38.3
Cash flow hedges:   
    Forward-starting interest rate swaps(369.8) (11.7)
    Cross-currency interest rate swaps(69.8) (30.0)

 Three Months Ended
September 30,
 Nine Months Ended
September 30,
 2017 2016 2017 2016
Net investment hedges:       
    Foreign currency-denominated notes$(58.7) $(37.0) $(332.0) $(80.0)
    Cross-currency interest rate swaps(38.2) (4.1) (95.8) 2.2
    Foreign currency exchange contracts
 
 
 31.9
Cash flow hedges:       
    Forward-starting interest rate swaps
 
 13.0
 (3.4)
During the next 12 months, we expect to reclassify $14.7$16.4 million of pretax net losses on cash flow hedges from accumulated other comprehensive loss to other–net, (income) expense. During the three months ended March 31, 2020 and 2019, the amounts excluded from the assessment of hedge effectiveness recognized in other comprehensive income (loss) were not material.



Fair Value of Financial Instruments
The following tables summarize certain fair value information at September 30, 2017March 31, 2020 and December 31, 20162019 for assets and liabilities measured at fair value on a recurring basis, as well as the carrying amount and amortized cost of certain other investments:
     Fair Value Measurements Using  
 
Carrying
Amount
 
Cost (1)
 
Quoted Prices in Active Markets for Identical Assets
(Level 1)
 
Significant Other
Observable Inputs
(Level 2)
 
Significant
Unobservable
Inputs
(Level 3)
 
Fair
Value
March 31, 2020           
Cash equivalents$417.1
 $417.1
 $417.1
 $
 $
 $417.1
            
Short-term investments:           
U.S. government and agency securities$9.3
 $9.2
 $9.3
 $
 $
 $9.3
Corporate debt securities61.2
 62.7
 
 61.2
 

 61.2
Asset-backed securities2.5
 2.5
 
 2.5
 
 2.5
Other securities5.4
 5.4
 
 


 5.4
 5.4
Short-term investments$78.4
          
            
Noncurrent investments:           
U.S. government and agency securities$81.2
 $77.4
 $81.2
 $
 $
 $81.2
Corporate debt securities230.6
 241.0
 
 230.6
 
 230.6
Mortgage-backed securities102.5
 99.3
 
 102.5
 
 102.5
Asset-backed securities30.1
 30.1
 
 30.1
 
 30.1
Other securities60.0
 27.4
 
 
 60.2
 60.2
Marketable equity securities869.5
 250.1
 869.5
 
 
 869.5
Equity investments without readily determinable fair values (2)
426.3
          
Equity method investments (2)
348.5
          
Noncurrent investments$2,148.7
          
            
December 31, 2019           
Cash equivalents$1,025.4
 $1,025.4
 $1,025.4
 $
 $
 $1,025.4
            
Short-term investments:           
U.S. government and agency securities$7.2
 $7.2
 $7.2
 $
 $
 $7.2
Corporate debt securities81.4
 81.1
 
 81.4
 
 81.4
Asset-backed securities2.6
 2.6
 
 2.6
 
 2.6
Other securities9.8
 9.8
 
 


 9.8
 9.8
Short-term investments$101.0
          
            
Noncurrent investments:           
U.S. government and agency securities$77.2
 $76.3
 $77.2
 $
 $
 $77.2
Corporate debt securities271.1
 267.8
 
 271.1
 
 271.1
Mortgage-backed securities101.1
 99.6
 
 101.1
 
 101.1
Asset-backed securities30.0
 29.6
 
 30.0
 
 30.0
Other securities60.0
 27.4
 
 
 60.0
 60.0
Marketable equity securities718.6
 254.4
 718.6
 
 
 718.6
Equity investments without readily determinable fair values (2)
405.0
          
Equity method investments (2)
299.4
          
Noncurrent investments$1,962.4
          

     Fair Value Measurements Using  
 
Carrying
Amount
 
Cost (1)
 
Quoted Prices in Active Markets for Identical Assets
(Level 1)
 
Significant Other
Observable Inputs
(Level 2)
 
Significant
Unobservable
Inputs
(Level 3)
 
Fair
Value
September 30, 2017           
Cash equivalents$2,066.7
 $2,066.7
 $1,611.0
 $455.7
 $
 $2,066.7
            
Short-term investments:           
U.S. government and agency securities$742.2
 $742.7
 $742.2
 $
 $
 $742.2
Corporate debt securities2,322.9
 2,322.4
 
 2,322.9
 
 2,322.9
Asset-backed securities149.8
 149.8
 
 149.8
 
 149.8
Other securities3.9
 3.9
 
 3.9
 
 3.9
Short-term investments$3,218.8
          
            
Noncurrent investments:           
U.S. government and agency securities$411.7
 $415.3
 $411.7
 $
 $
 $411.7
Corporate debt securities3,913.2
 3,903.8
 
 3,913.2
 
 3,913.2
Mortgage-backed securities165.1
 166.0
 
 165.1
 
 165.1
Asset-backed securities638.8
 639.2
 
 638.8
 
 638.8
Other securities130.7
 75.5
 
 
 130.7
 130.7
Marketable equity securities344.7
 127.5
 344.7
 
 
 344.7
Cost and equity method investments (2)
544.5
          
Noncurrent investments$6,148.7
          
            
December 31, 2016           
Cash equivalents$2,986.8
 $2,986.8
 $2,699.4
 $287.4
 $
 $2,986.8
            
Short-term investments:           
U.S. government and agency securities$232.5
 $232.6
 $232.5
 $
 $
 $232.5
Corporate debt securities1,219.2
 1,219.1
 
 1,219.2
 
 1,219.2
Asset-backed securities4.3
 4.3
 
 4.3
 
 4.3
Other securities0.5
 0.5
 
 0.5
 
 0.5
Short-term investments$1,456.5
          
            
Noncurrent investments:           
U.S. government and agency securities$318.9
 $323.8
 $318.9
 $
 $
 $318.9
Corporate debt securities3,062.2
 3,074.3
 
 3,062.2
 
 3,062.2
Mortgage-backed securities183.1
 185.4
 
 183.1
 
 183.1
Asset-backed securities502.7
 503.5
 
 502.7
 
 502.7
Other securities153.7
 77.6
 
 
 153.7
 153.7
Marketable equity securities418.2
 91.9
 418.2
 
 
 418.2
Cost and equity method investments (2)
568.7
          
Noncurrent investments$5,207.5
          
(1) For available-for-sale debt securities, amounts disclosed represent the securities' amortized cost.
(2) Fair value disclosures are not applicable for cost method and equity method investments and investments accounted for under the measurement alternative for equity investments.



   Fair Value Measurements Using  
 
Carrying
Amount
 
Quoted Prices in Active Markets for Identical Assets
(Level 1)
 
Significant
Other Observable Inputs
(Level 2)
 
Significant
Unobservable
Inputs
(Level 3)
 
Fair
Value
Short-term commercial paper borrowings         
March 31, 2020$(3,243.1) $
 $(3,239.0) $
 $(3,239.0)
December 31, 2019(1,494.2) 
 (1,491.6) 
 (1,491.6)
Long-term debt, including current portion         
March 31, 2020$(13,987.2) $
 $(15,119.0) $
 $(15,119.0)
December 31, 2019(13,823.0) 
 (15,150.0) 
 (15,150.0)
   Fair Value Measurements Using  
 
Carrying
Amount
 
Quoted Prices in Active Markets for Identical Assets
(Level 1)
 
Significant
Other Observable Inputs
(Level 2)
 
Significant
Unobservable
Inputs
(Level 3)
 
Fair
Value
Short-term commercial paper borrowings         
September 30, 2017$(2,526.0) $
 $(2,523.7) $
 $(2,523.7)
December 31, 2016(1,299.3) 
 (1,299.3) 
 (1,299.3)
Long-term debt, including current portion         
September 30, 2017$(10,938.7) $
 $(11,448.4) $
 $(11,448.4)
December 31, 2016(9,005.9) 
 (9,419.1) 
 (9,419.1)




   Fair Value Measurements Using  
 
Carrying
Amount
 
Quoted Prices in Active Markets for Identical Assets
(Level 1)
 
Significant
Other Observable Inputs
(Level 2)
 
Significant
Unobservable
Inputs
(Level 3)
 
Fair
Value
March 31, 2020         
Risk-management instruments:         
Interest rate contracts designated as fair value hedges:         
Other noncurrent assets$189.3
 $
 $189.3
 $
 $189.3
Interest rate contracts designated as cash flow hedges:         
Other noncurrent assets0.5
 
 0.5
 
 0.5
Other noncurrent liabilities(327.0) 
 (327.0) 
 (327.0)
Cross-currency interest rate contracts designated as net investment hedges:         
Other receivables18.0
 
 18.0
 
 18.0
Other noncurrent assets116.1
 
 116.1
 
 116.1
Other current liabilities(1.8) 
 (1.8) 
 (1.8)
Cross-currency interest rate contracts designated as cash flow hedges:         
Other noncurrent liabilities(74.1) 
 (74.1) 
 (74.1)
Foreign exchange contracts not designated as hedging instruments:         
Other receivables14.5
 
 14.5
 
 14.5
Other current liabilities(24.6) 
 (24.6) 
 (24.6)
          
December 31, 2019         
Risk-management instruments:         
Interest rate contracts designated as fair value hedges:         
Other noncurrent assets72.0
 
 72.0
 
 72.0
Interest rate contracts designated as cash flow hedges:         
Other noncurrent assets43.3
 
 43.3
 
 43.3
Cross-currency interest rate contracts designated as net investment hedges:         
Other noncurrent assets45.1
 
 45.1
 
 45.1
Other current liabilities(21.4) 
 (21.4) 
 (21.4)
Other noncurrent liabilities(5.7) 
 (5.7) 
 (5.7)
Cross-currency interest rate contracts designated as cash flow hedges:         
Other noncurrent assets3.0
 
 3.0
 
 3.0
Other noncurrent liabilities(20.1) 
 (20.1) 
 (20.1)
Foreign exchange contracts not designated as hedging instruments:         
Other receivables18.4
 
 18.4
 
 18.4
Other current liabilities(11.9) 
 (11.9) 
 (11.9)
   Fair Value Measurements Using  
 
Carrying
Amount
 
Quoted Prices in Active Markets for Identical Assets
(Level 1)
 
Significant
Other Observable Inputs
(Level 2)
 
Significant
Unobservable
Inputs
(Level 3)
 
Fair
Value
September 30, 2017         
Risk-management instruments:         
Interest rate contracts designated as fair value hedges:         
Other receivables$2.0
 $
 $2.0
 $
 $2.0
Sundry43.0
 
 43.0
 
 43.0
Other current liabilities(0.4) 
 (0.4) 
 (0.4)
Other noncurrent liabilities(1.8) 
 (1.8) 
 (1.8)
Cross-currency interest rate contracts designated as net investment hedges:         
Other current liabilities(43.4) 
 (43.4) 
 (43.4)
Other noncurrent liabilities(20.5) 
 (20.5) 
 (20.5)
Foreign exchange contracts not designated as hedging instruments:         
Other receivables21.0
 
 21.0
 
 21.0
Other current liabilities(13.9) 
 (13.9) 
 (13.9)
Contingent consideration liabilities (1):
         
Other current liabilities(201.8) 
 
 (201.8) (201.8)
Other noncurrent liabilities(92.2) 
 
 (92.2) (92.2)
          
December 31, 2016         
Risk-management instruments:         
Interest rate contracts designated as fair value hedges:         
Other receivables$2.4
 $
 $2.4
 $
 $2.4
Sundry37.0
 
 37.0
 
 37.0
Other noncurrent liabilities(0.5) 
 (0.5) 
 (0.5)
Cross-currency interest rate contracts designated as net investment hedges:         
Sundry31.4
 
 31.4
 
 31.4
Foreign exchange contracts not designated as hedging instruments:         
Other receivables31.8
 
 31.8
 
 31.8
Other current liabilities(21.7) 
 (21.7) 
 (21.7)
Contingent consideration liabilities (1):
         
Other current liabilities(215.9) 
 
 (215.9) (215.9)
Other noncurrent liabilities(242.6) 
 
 (242.6) (242.6)
(1) Contingent consideration liabilities primarily relate to the Erbitux arrangement with BMS discussed in Note 4.
Risk-management instruments above are disclosed on a gross basis. There are various rights of setoff associated with certain of the risk-management instruments above that are subject to an enforceable master netting arrangementarrangements or similar agreements. Although various rights of setoff and master netting arrangements or similar agreements may exist with the individual counterparties to the risk-management instruments above, individually, these financial rights are not material.



We determine our Level 1 and Level 2 fair value measurements based on a market approach using quoted market values, significant other observable inputs for identical or comparable assets or liabilities, or discounted cash flow analyses. Level 3 fair value measurements for other investment securities are determined using unobservable inputs, including the investments' cost adjusted for impairments and price changes from orderly transactions. The fair values of cost and equity method investments and investments measured under the measurement alternative for equity investments that do not have readily determinable fair values are not readily available.
Contingent consideration liabilities primarily include contingent consideration related to Erbitux, for which the fair value was estimated using a discounted cash flow analysis and Level 3 inputs, including projections representative of a market participant view for net sales in North America through September 2018 and an estimated discount rate. The amount to be paid is calculated as a tiered percentage of net sales (see Note 4) and will, therefore, vary directly with increases and decreases in net sales of Erbitux in North America. There is no cap on the amount that may be paid pursuant to this arrangement. The decrease in the fair value of the contingent consideration liabilities during the nine months ended September 30, 2017 was due primarily to cash payments of $151.3 million related to Erbitux. The change in the fair value of the contingent consideration liabilities recognized in earnings during the three and nine months ended September 30, 2017 and 2016 due to changes in time value of money was not material.
The table below summarizes the contractual maturities of our investments in debt securities measured at fair value as of September 30, 2017:March 31, 2020:
 Maturities by Period
  Total 
Less Than
1 Year
 
1-5
Years
 
6-10
Years
 
More Than
10 Years
Fair value of debt securities$517.8
 $73.3
 $240.3
 $77.0
 $127.2

 Maturities by Period
  Total 
Less Than
1 Year
 
1-5
Years
 
6-10
Years
 
More Than
10 Years
Fair value of debt securities$8,343.7
 $3,214.9
 $4,795.2
 $122.4
 $211.2
The net unrealized gains recognized in our consolidated condensed statements of operations for equity securities were $164.7 million and $149.6 million for the three months ended March 31, 2020 and 2019, respectively.
We adjust our equity investments without readily determinable fair values based upon changes in the equity instruments' values resulting from observable price changes in orderly transactions for an identical or similar investment of the same issuer. Downward adjustments resulting from an impairment are recorded based upon impairment considerations, including the financial condition and near term prospects of the issuer, general market conditions, and industry specific factors. Adjustments recorded during the three months ended March 31, 2020 and 2019 were not material.
A summary of the fair value of available-for-sale securities in an unrealized gain or loss position and the amount of unrealized gains and losses (pretax) in accumulated other comprehensive loss follows:
 March 31, 2020 December 31, 2019
Unrealized gross gains$11.2
 $10.3
Unrealized gross losses3.7
 4.0
Fair value of securities in an unrealized gain position297.7
 426.5
Fair value of securities in an unrealized loss position63.8
 141.1

 September 30, 2017 December 31, 2016
Unrealized gross gains$259.7
 $352.6
Unrealized gross losses27.2
 34.1
Fair value of securities in an unrealized gain position3,400.7
 1,869.7
Fair value of securities in an unrealized loss position4,013.9
 3,262.3
We periodically assess our investment in available-for-sale securities for other-than-temporary impairment losses. Other than temporary impairment losses were not material in the three months ended March 31, 2020. There were no0 other-than-temporary impairment losses in the three and nine months ended September 30, 2017. Other-than-temporary impairment losses recognized during the three and nine months ended September 30, 2016were $11.4 million and $53.0 million, respectively. March 31, 2019.
For fixed-incomedebt securities, the amount of credit losses are determined by comparing the difference between the present value of future cash flows expected to be collected on these securities and the amortized cost. Factors considered in assessing credit losses include the position in the capital structure, vintage and amount of collateral, delinquency rates, current credit support, and geographic concentration.
For equity Credit losses related to debt securities factors consideredwere not material in assessing other-than-temporary impairment losses include the length of time and the extent to which the fair value has been less than cost, the financial condition and near term prospects of the issuer, our intent and ability to retain the securities for a period of time sufficient to allow for recovery in fair value, and general market conditions and industry specific factors.three months ended March 31, 2020.
As of September 30, 2017,March 31, 2020, the available-for-sale securities in an unrealized loss position include primarily fixed-rate debt securities of varying maturities, which are sensitive to changes in the yield curve and other market conditions. Approximately 9596 percent of the fixed-rate debt securities in a loss position are investment-grade debt securities. As of September 30, 2017,March 31, 2020, we do not intend to sell, and it is not more likely than not that we will be required to sell, the securities in a loss position before the market values recover or the underlying cash flows have been received, and there is no indication of default on interest or principal payments for any of our debt securities.





Activity related to our investment portfolio, substantially all of which related to equity and available-for-sale securities, was as follows:
 Three Months Ended
March 31,
 2020 2019
Proceeds from sales$63.3
 $93.7
Realized gross gains on sales11.6
 2.5
Realized gross losses on sales0.8
 0.4
 Three Months Ended
September 30,
 Nine Months Ended
September 30,
 2017 2016 2017 2016
Proceeds from sales$951.5
 $926.3
 $3,003.0
 $2,503.4
Realized gross gains on sales9.0
 12.8
 82.9
 18.0
Realized gross losses on sales0.8
 1.3
 3.2
 11.7

Realized gains and losses on sales of available-for-sale investments are computed based upon specific identification of the initial cost adjusted for any other-than-temporary declines in fair value that were recorded in earnings.
Accounts Receivable Factoring Arrangements
We have entered into accounts receivable factoring agreements with financial institutions to sell certain of our non-U.S. accounts receivable. These transactions are accounted for as sales and result in a reduction in accounts receivable because the agreements transfer effective control over and risk related to the receivables to the buyers. Our factoring agreements do not allow for recourse in the event of uncollectibility, and we do not retain any interest in the underlying accounts receivable once sold. We derecognized $678.9$687.0 million and $661.6$678.8 million of accounts receivable as of September 30, 2017March 31, 2020 and December 31, 2016,2019, respectively, under these factoring arrangements. The costcosts of factoring such accounts receivable on our consolidated condensed results of operations for the ninethree months ended September 30, 2017 March 31, 2020 and 2016 was2019 were not material.
Note 7: Shareholders’ Equity
During the nine months ended September 30, 2017 and 2016, we repurchased $259.9 million and $300.1 million of shares, respectively, associated with our $5.00 billion share repurchase program announced in October 2013. A payment of $60.0 million was made in the fourth quarter of 2016 for shares repurchased in 2017. As of September 30, 2017, there were $2.15 billion of shares remaining in that program.


Note 8: Income Taxes
The effective tax rates were 6.113.3 percent and 24.123.3 percent for the three and nine months ended September 30, 2017, respectively, compared with 19.9 percentMarch 31, 2020 and 20.8 percent for the same respective periods of 2016.2019, respectively. The decrease in thehigher effective tax rate forin the thirdfirst quarter of 2017 is2019 was primarily due to the income tax benefitnon-deductibility of acquired IPR&D charges and asset impairment, restructuring, and other special charges. The increase in the effective tax rate foraccelerated vesting of Loxo employee equity awards as part of the first nine monthsclosing of 2017 is primarily due to the non-tax deductible $857.6 million acquired IPR&D charge for the acquisition of CoLucid, partially offset byLoxo, as well as tax expenses associated with the income tax benefitwithdrawal of acquired IPR&D charges and asset impairment, restructuring, and other special charges.Lartruvo®.
During the firstfourth quarter of 2016, we completed and effectively settled2019, the U.S.Internal Revenue Service began its examination of tax years 2010-2012. As a result2016-2018. Because this examination is still in the early stages of this resolution, our gross uncertain tax positions were reduced by approximately $140 million, and our consolidated condensed results of operations benefited from an immaterial reduction in income tax expense. During 2016, we made cash payments of approximately $150 million related to tax years 2010-2012 after application of available tax credit carryforwards and carrybacks. The U.S. examination of tax years 2013-2015 began in 2016 and is ongoing. Theinformation gathering, the resolution of matters in thisthe audit period will likely extend beyond the next 12 months.


Note 9: Retirement Benefits
Net pension and retiree health benefit (income) cost included the following components:
 Defined Benefit Pension Plans
 Three Months Ended
March 31,
 2020 2019
Components of net periodic benefit cost:   
Service cost$78.7
 $61.8
Interest cost105.0
 120.7
Expected return on plan assets(221.2) (211.1)
Amortization of prior service cost1.1
 1.5
Recognized actuarial loss111.0
 69.6
Net periodic benefit cost$74.6
 $42.5
 Defined Benefit Pension Plans
 Three Months Ended
September 30,
 Nine Months Ended
September 30,
 2017 2016 2017 2016
Components of net periodic benefit cost:       
Service cost$86.0
 $70.2
 $251.6
 $212.2
Interest cost103.6
 104.2
 309.2
 314.4
Expected return on plan assets(196.4) (187.6) (585.7) (566.7)
Amortization of prior service cost1.4
 2.9
 4.3
 8.6
Recognized actuarial loss72.5
 71.0
 215.6
 213.4
Net periodic benefit cost$67.1
 $60.7
 $195.0
 $181.9

 Retiree Health Benefit Plans
 Three Months Ended
March 31,
 2020 2019
Components of net periodic benefit income:   
Service cost$9.8
 $8.8
Interest cost11.0
 14.6
Expected return on plan assets(37.4) (36.0)
Amortization of prior service benefit(14.9) (15.7)
Recognized actuarial loss0.8
 0.5
Net periodic benefit income$(30.7) $(27.8)

 Retiree Health Benefit Plans
 Three Months Ended
September 30,
 Nine Months Ended
September 30,
 2017 2016 2017 2016
Components of net periodic benefit income:       
Service cost$11.6
 $9.7
 $34.8
 $29.3
Interest cost13.2
 13.0
 39.6
 39.0
Expected return on plan assets(40.2) (37.6) (120.6) (112.7)
Amortization of prior service benefit(22.5) (21.5) (67.5) (64.3)
Recognized actuarial loss4.6
 5.2
 13.8
 15.5
Net periodic benefit income$(33.3) $(31.2) $(99.9) $(93.2)
We have contributed approximately $30$15 million required to satisfy minimum funding requirements to our defined benefit pension and retiree health benefit plans during the ninethree months ended September 30, 2017. Additional March 31, 2020. There was 0 additional discretionary funding in the aggregate was not material during the ninethree months ended September 30, 2017. During March 31, 2020. In April 2020, we made a $200 million discretionary contribution to our defined benefit pension plans, and during the remainder of 2017,2020, we expect to make contributions of approximately $15 million to our defined benefit pension and retiree health benefit plans of approximately $10 million to satisfy minimum funding requirements. No additional discretionary funding for the remainder of 2017 has been approved at this time.


Note 10: Contingencies
We are a party to various legal actions and government investigations. The most significant of these are described below. It is not possible to determine the outcome of these matters, and we cannot reasonably estimate the maximum potential exposure or the range of possible loss in excess of amounts accrued for any of these matters;


however, we believe that, except as noted below with respect to the Alimta® patent litigation and administrative proceedings, the resolution of all such matters will not have a material adverse effect on our consolidated financial position or liquidity, but could possibly be material to our consolidated results of operations in any one accounting period.
Patent Litigation
Alimta Patent Litigation and Administrative Proceedings
A number of generic manufacturers are seeking approvals in variousthe U.S., a number of countries in Europe, and Japan to market generic forms of Alimta prior to the expiration of our vitamin regimen patents, alleging that those patents are invalid, not infringed, or both. We believe our Alimta vitamin regimen patents are valid and enforceable against these generic manufacturers. However, it is not possible to determine the ultimate outcome of the proceedings, and accordingly, we can provide no assurance that we will prevail. An unfavorable outcome in the U.S. could have a material adverse impact on our future consolidated results of operations, liquidity, and financial position. We expect that a loss of exclusivity for Alimta in any of the below jurisdictions would result in a rapid and severe decline in future revenue for the product in the relevant market.
U.S. Patent Litigation and Administrative Proceedings
We are engaged in various U.S. patent litigation matters involving Alimta brought pursuant to procedures set out in the Drug Price Competition and Patent Term Restoration Act of 1984 (the Hatch-Waxman Act). More than 10 Abbreviated New Drug Applications (ANDAs) seeking approval to market generic versions of Alimta prior to the expiration of our vitamin regimen patent (expiring in 2021 plus pediatric exclusivity expiring in 2022) have been filed by a number of companies, including Teva Parenteral Medicines, Inc. (Teva) and APP Pharmaceuticals, LLC (APP). These companies have also alleged the patent is invalid.
In October 2010, we filed a lawsuit inJune 2018, the U.S. District Court for the Southern District of Indiana against Teva, APPruled in our favor in 2 cases, finding Dr. Reddy's Laboratories' (Dr. Reddy) and two other defendants seeking rulings thatHospira, Inc.'s (Hospira) proposed products using an alternative form of pemetrexed (the active ingredient in Alimta) would infringe our method of use patent under the U.S. vitamin regimen patent is valid and infringed (the Teva/APP litigation). A trial occurred in August 2013; the sole issue before thedoctrine of equivalents. The district court at that time was to determine patent validity. In March 2014, the district courtalso ruled that the asserted claimsuse of the vitamin regimen patent are valid. The U.S. District Court for the Southern DistrictHospira’s proposed product would literally infringe our method of Indiana held a hearing on the issue of infringement in May 2015.use patent. In September 2015, the district court ruled that the vitamin regimen patent would be infringed by the generic challengers' proposed products. Teva and APP appealed all of the district court’s substantive decisions. In January 2017,August 2019, the U.S. Court of Appeals for the Federal Circuit affirmed the district court’s decisions concerning validityruling that the use of Dr. Reddy’s and infringement. The defendants did not fileHospira’s proposed products would infringe our patent under the doctrine of equivalents but reversed the finding of literal infringement with respect to Hospira’s product. In November 2019, the court denied Dr. Reddy and Hospira’s petition for writrehearing of certiorari withthe court’s doctrine of equivalents ruling. Dr. Reddy and Hospira have petitioned the U.S. Supreme Court makingto review the case.
We have 2 additional lawsuits pending in federal courts in which we allege infringement against Actavis LLC (Actavis) and Apotex Inc. (Apotex) in response to their applications to market products using alternative forms of pemetrexed. In December 2019, the U.S. District Court for the Southern District of Indiana granted our motion for summary judgment of infringement under the doctrine of equivalents against Apotex. Apotex has appealed that ruling to the U.S. Court of Appeal's decision final.
From 2012 through 2017, we filed similar lawsuitsAppeals for the Federal Circuit. The lawsuit against other ANDA defendants seeking a ruling that our patents are valid and infringed. As a result of the completion of the Teva/APP litigation,Actavis pending in the U.S. District Court for the Southern District of Indiana has enteredbeen stayed, pending the conclusion of the Dr. Reddy and Hospira appeals (described above).
In December 2019, we settled a judgmentlawsuit we filed against five companies. Cases remain pending against an additional six ANDA defendants.
We have filed lawsuits in the U.S. District Court for the Southern District of Indiana alleging infringement against Dr. Reddy's Laboratories (Dr. Reddy's), Hospira,Eagle Pharmaceuticals, Inc. (Hospira), Apotex, and Actavis LLC(Eagle) in response to theirits application to market a product using an alternative formsform of pemetrexed products. In November 2017,pemetrexed. Per the court is expected to hold a hearing on a motion for summary judgment filed by Dr. Reddy's. If that motion is denied, trial is expected in early 2018. We have also filed a lawsuit against Eagle Pharmaceuticals (Eagle) in the U.S. District Court for Delaware.settlement agreement, Eagle has filed suit against us in U.S. District Court of New Jersey alleging violations of federal competition law relatinga limited initial entry into the market with its product starting February 2022 (up to its application for an alternative salt form of pemetrexed (the active ingredient in Alimta).
In June 2016, the U.S. Patentapproximate three-week supply) and Trademark Office (USPTO) granted petitionssubsequent unlimited entry starting April 2022. Alimta is protected by Neptune Generics, LLC and Sandoz Inc. seeking inter partesreview (IPR) of our vitamin regimen patent. Several additional generic companies filed petitions and joined these proceedings. In October 2017, the USPTO ruled in our favor, finding that the claims of thea vitamin regimen patent are valid. The generic companies which filed petitions with the USPTO may appeal these rulings to the U.S. Court of Appeals for the Federal Circuit.until 2021, plus pediatric exclusivity through May 2022.
European Patent Litigation and Administrative Proceedings
In the United Kingdom (U.K.), Actavis Group ehf and other Actavis companies (collectively, Actavis) filed litigation asking for a declaratory judgment that commercialization of certain salt forms of pemetrexed would not infringe the vitamin regimen patents for Alimta in the U.K., Italy, France, and Spain. In trial court and court of appeal decisions, the alternative salt forms were found to indirectly infringe the Alimta vitamin regimen patent when reconstituted in saline, but not to directly infringe the patents as an equivalent. We appealed. In July 2017, the U.K. Supreme Court ruled that Actavis’s products directly infringe our vitamin regimen patents in the U.K., Italy, France, and Spain. The U.K. Supreme Court also affirmed an earlier finding by the U.K. Court of Appeal that the Alimta vitamin regimen


patent would be indirectly infringed by commercialization of Actavis’s products diluted in saline. We intend to pursue Actavis and others that launched at risk for damages.
Actavis sought a declaration of non-infringement from the U.K. High Court for a different proposed product diluted in dextrose solution. In February 2016, the trial court ruled that Actavis’ commercialization of this product would not infringe the patent in the U.K., Italy, France, and Spain. We are still seeking to appeal this ruling for procedural purposes, although it has now been superseded by the U.K. Supreme Court's recent decision.
We commenced separate infringement proceedings against certain Actavis companies in Germany. In April 2014, the German trial court ruled in our favor. The defendants appealed and the German Court of Appeal overturned the trial court and ruled that our vitamin regimen patent in Germany would not be infringed by a dipotassium salt form of pemetrexed. In June 2016, the German Federal Supreme Court granted our appeal, vacating the prior decision denying infringement, and returned the case to the German Court of Appeal to reconsider issues relating to infringement.
In separate proceedings, in May 2016 and June 2016, the German courts confirmed preliminary injunctions against Hexal AG (Hexal), which had stated its intention to launch a generic disodium salt product diluted in saline solution, and ratiopharm GmbH (ratiopharm), a subsidiary of Teva, which had stated its intention to launch a proposed alternative salt form of pemetrexed product diluted in dextrose solution. The German Court of Appeal affirmed the preliminary injunction against ratiopharm in May 2017. The preliminary injunctions against both Hexal and ratiopharm will remain in place pending the outcome of the cases on the merits.
In late 2016, the German courts issued preliminary injunctions against two other companies that had stated their intentions to launch a proposed alternative salt form of pemetrexed product diluted in dextrose solution.
Hexal and Stada Arzneimittel AG have separately challenged the validity of our vitamin regimen patent before the German Federal Patent court. The hearing will take place in mid-2018.
We do not anticipate any generic entry into the German market at least until the German Court of Appeal considers the issues remanded by the German Federal Supreme Court in the proceedings against Actavis, or if the injunctions are lifted.
Additional legalLegal proceedings are ongoing regarding our Alimta patents in various national courts of other European countries.throughout Europe. We are aware that generic competitorsseveral companies have received approval to market generic versions of pemetrexed in major European markets and that a generic product is(including generics currently on the market at risk in France, Germany, and the Netherlands) and that additional generic competitors may choose to launch at least one major European market. In light of the U.K. Supreme Court's judgment finding infringement in the U.K., Italy, France, and Spain, Actavis has withdrawn its previously launched-at-risk generic products from these markets.risk. We will continue to seek to remove any generic pemetrexed products launched at risk in other European markets.markets, seek damages with respect to such launches, and defend our patents against validity challenges.
Japanese Administrative Proceedings
ThreeNaN separate sets of demands for invalidation of our two2 Japanese vitamin regimen patents, involving several companies, werehave been filed with the Japanese Patent Office (JPO). In November 2015, theThe JPO issued written decisions in thehas rejected demands for invalidation trials initiated by Sawai Pharmaceutical Co., Ltd. (Sawai), which hadand Nipro Corporation, and both rejections have been joined by three other companies, upholding both vitamin regimen patents. In February 2017,affirmed on appeal. The JPO scheduled a hearing in March 2020 concerning the Japan Intellectual Property High Court confirmed the decisions of the JPO and ruled in our favor in the invalidation trials initiated by Sawai. The Japan Intellectual Property High Court’s decisions regarding the demands initiated by Sawai are now final. In May 2017, the JPO resumed one of the two remaining sets of demands, brought by Nipro Corporation. We expect a decision from the JPO on those demands in the first half of 2018. The other set of demands brought by Hospira, but the hearing has been


postponed because of the COVID-19 pandemic and Hospira Japan remain suspended.the court has not yet scheduled a new date for the hearing. If upheld through all challenges, these patents would provide intellectual property protection for Alimta until June 2021.
Notwithstanding our patents, generic versions of Alimta were approvedreceived regulatory approval in Japan starting in February 2016. We do not currently anticipate that generic versions of Alimta will proceed to pricing approval.
EffientJardiance Patent Litigation
Boehringer Ingelheim, our partner in marketing and Administrative Proceedings
We, along with Daiichi Sankyo, Daiichi Sankyo, Inc., and Ube Industries (Ube) are engaged indevelopment of Jardiance, initiated U.S. patent litigation in the U.S. District Court of Delaware involving Effient brought pursuant toJardiance, Glyxambi, and Synjardy in accordance with the procedures set out in the Drug Price Competition and Patent Term Restoration Act of 1984 (the Hatch-Waxman Act. More than 10 differentAct). Several companies have submitted ANDAsAbbreviated New Drug Applications seeking approval to market generic versions of EffientJardiance prior to the expiration of Daiichi Sankyo’s and Ube’sthe relevant patents, (expiringalleging certain patents, including in 2023) covering methods of using Effient with aspirin, and alleging the patents are invalid. One of these ANDAs also alleged thatsome allegations the compound patent, are invalid or would not be infringed. Trial is scheduled for Effient (which expiredApril 2021.
Taltz Patent Litigation
We have been named as a defendant in April 2017) was invalid. Beginning in March 2014, welitigation filed lawsuitsby Genentech, Inc. (Genentech) in the U.S. District Court for the Southern District of Indiana against these companies,California seeking a ruling that Genentech’s patent would be infringed by our continued sales of Taltz. Separately, the patents are validU.S. Patent and infringed. FollowingTrademark Office (USPTO) granted our request to initiate a post grant review (PGR) to examine the


settlement validity of Genentech’s patent asserted against us in the litigation. Genentech asked the USPTO to enter adverse judgment against it in the PGR proceeding, and the district court case has been dismissed with prejudice naming us the prevailing party. We have filed a motion seeking attorneys' fees and costs related to the compoundour successful defense.
We have also been named as defendant in litigation filed by Genentech in Germany asserting infringement of a related Genentech patent challenge, generic products launchedby sales of Taltz in the U.S. in the third quarter of 2017. The remaining cases have been consolidated and stayed. The entry of generic competition has caused a rapid and severe decline in revenue for the product.
In 2015, several generic pharmaceutical companies filed petitions with the USPTO, requesting IPR of the method-of-use patents. In September 2016, the USPTO determined that the method-of-use patents are invalid. Daiichi Sankyo and Ube have appealed these decisions to the U.S. Court of Appeals for the Federal Circuit.Germany. We expect a final decisiontrial to assess Genentech's infringement claims could take place in late 2017. The consolidated lawsuit is currently stayed with respect to all parties pending2021. We have been named in litigation in the outcome of this appeal.U.K. in which Genentech has asserted similar claims regarding Genentech’s corresponding U.K. patent.
We believe the Effient method-of-use patents are valid and enforceable against these generic manufacturers. However, it is not possible to determine the outcome of the proceedings, and accordingly, we can provide no assurance that we will prevail.
Actos® Product Liability Litigation
We were named along with Takeda Chemical Industries, Ltd. and Takeda affiliates (collectively, Takeda) as a defendant in approximately 6,700 product liability cases in the U.S. related to the diabetes medication Actos, which we co-promoted with Takeda in the U.S. from 1999 until 2006. In general, plaintiffs in these actions alleged that Actos caused or contributed to their bladder cancer. Almost all of these cases were included as part of a resolution program announced by Takeda in April 2015 in which Takeda agreed to pay approximately $2.4 billion to resolve the vast majority of the U.S. product liability lawsuits involving Actos. Although the vast majority of U.S. product liability lawsuits involving Actos are included in the resolution program, there may be additional cases pending against Takeda and us following completion of the resolution program. 
We are also named along with Takeda as a defendant in three purported product liability class actions in Canada related to Actos, including one in Ontario (Casseres et al. v. Takeda Pharmaceutical North America, Inc., et al. and Carrier et al. v. Eli Lilly et al.), one in Quebec (Whyte et al. v. Eli Lilly et al.), and one in Alberta (Epp v. Takeda Canada et al.). We promoted Actos in Canada until 2009.
We believe these lawsuits are without merit and we are vigorously defending against them.
Emgality Patent Litigation
We have been named as a defendant in litigation filed by Teva Pharmaceuticals International GMBH and TakedaTeva Pharmaceuticals USA, Inc. (collectively, Teva) in the U.S. District Court for the District of Massachusetts seeking a ruling that various claims in 9 different Teva patents would be infringed by our launch and continued sales of Emgality for the prevention of migraine in adults. We believe this lawsuit is without merit and are prepareddefending against it vigorously. Separately, the USPTO granted our request to defendinitiate an inter partes review (IPR) to reexamine the validity of the 9 Teva patents asserted against them vigorously.us in the litigation. In February 2020, the USPTO ruled in our favor and found that the claims asserted against us in 6 of Teva's 9 patents were invalid. In March 2020, the USPTO ruled against us on the remaining three Teva patents, finding that we failed to show that the remaining 3 patents were unpatentable based on the subset of invalidity arguments available in an IPR proceeding. We plan to appeal the USPTO's March 2020 ruling. The district court litigation will proceed in parallel with any appeals of the IPR rulings on the 9 Teva patents.
Cymbalta®Product Liability Litigation
In October 2012, weCymbalta Product Liability Litigation
We were named as a defendant in a purported class-action lawsuit in the U.S. District Court for the Central District of California (now called Strafford et al. v. Eli Lilly and Company) involving Cymbalta. The plaintiffs, purporting to represent a class of all persons within the U.S. who purchased and/or paid for Cymbalta, asserted claims under the consumer protection statutes of four states, California, Massachusetts, Missouri, and New York, and sought declaratory, injunctive, and monetary relief for various alleged economic injuries arising from discontinuing treatment with Cymbalta. In December 2014,their purchases. After the district court denied the plaintiffs' motion for class certification. Plaintiffs filed a petition with the U.S. Court of Appeals for the Ninth Circuit requesting permission to file an interlocutory appeal of the denial of class certification, which was denied. Plaintiffs filed a second motion for certification under the consumer protection acts of New York and Massachusetts. The district court denied that motionmotions for class certification, in July 2015.plaintiffs voluntarily dismissed their claims. The district court dismissed the suits and plaintiffs subsequently appealed to the U.S. Court of Appeals for the Ninth Circuit. In June 2017, we moved to dismiss the appeal for lack of jurisdiction based on the U.S. Supreme Court's recent decision in Microsoft v. Baker. In OctoberNovember 2017, the U.S. Court of Appeals for the Ninth Circuit granted our motion.dismissed the appeal for lack of jurisdiction. In July 2018, the U.S. District Court for the Central District of California denied the plaintiffs’ motion to reopen the case. In January 2020, the Ninth Circuit affirmed the district court's decision and subsequently denied plaintiffs’ petition for rehearing.
We arenamed in approximately 140 lawsuits involving approximately 1,470 plaintiffs filed in various federal and state courts alleging injuries arising from discontinuation of treatment with Cymbalta. These include approximately 40 individual and multi-plaintiff cases filed in California state court, centralized in a California Judicial Counsel Coordination Proceeding pending in Los Angeles. The first individual product liability cases were tried in August 2015 and resulted in defense verdicts against approximately fiveplaintiffs. We believe all these Cymbalta lawsuits and claims are without merit. We have reached a settlement framework which provides for a comprehensive resolution of nearly all of these personal injury claims, filed or unfiled, alleging injuries from discontinuing treatment with Cymbalta. There can be no assurances, however, that a final settlement will be reached.
Brazil–Employee

Other Matters
Brazil Litigation – Cosmopolis Facility
Labor Attorney Litigation
Our subsidiary in Brazil, Eli Lilly do Brasil Limitada (Lilly Brasil), is named in a lawsuit brought by the Labor Attorney for the 15th Region in the Labor Court of Paulinia, State of Sao Paulo, Brazil, alleging possible harm to employees and former employees caused by exposure to heavy metals at a former Lilly Brasil manufacturing facility in Cosmopolis, Brazil, operated by the company between 1977 and 2003. The plaintiffs allege that some employees at the facility were


exposed to benzene and heavy metals; however, Lilly Brasil maintains that these alleged contaminants were never used in the facility. In May 2014, the labor court judge ruled against Lilly Brasil. The judge's ruling orders Lilly Brasil, ordering it to undertake several actions of unspecified financial impact, including paying lifetime medical insurancehealth coverage for the employees and contractors who worked at the Cosmopolis facility more than six months during the affected years and their children born during and after this period. While we cannot currently estimateWe appealed this decision. In July 2018, the range of reasonably possible financial losses that could arise inappeals court affirmed the event we do not ultimately prevail in the litigation, the judge has estimatedlabor court's ruling with the total financial impact of the ruling estimated to be approximately 1.0 billion500 million Brazilian real (approximately $315$95 millionas of March 31, 2020). The appeals court restricted the broad health coverage awarded by the labor court to health problems that claimants could show arose from exposure to the alleged contamination. In August 2019, Lilly Brasil filed an appeal to the superior labor court. In September 2019, the appeals court stayed a number of elements of its prior decision, including the obligation to provide health coverage for contractors, their children, and children of employees who worked at the Cosmopolis facility, pending the determination of Lilly Brasil’s appeal to the superior labor court.
In June 2019, the Labor Attorney filed an application in the labor court for enforcement of the healthcare coverage granted by the appeals court in its July 2018 ruling and requested restrictions on Lilly Brasil’s assets in Brazil. In July 2019, the labor court issued a ruling requiring either a freeze of Lilly Brasil’s immovable property or, alternatively, a security deposit of 500 million Brazilian real (approximately $95 million as of September 30, 2017) plus interest. We strongly disagree withMarch 31, 2020). Lilly Brasil filed a writ of mandamus challenging this ruling, but the court stayed its decision and filed an appeal in May 2014. We expect a ruling on this appealwrit and instead directed the parties to attend conciliation hearings, a process which is ongoing. The labor court also stayed the Labor Attorney’s application to enforce the previous healthcare coverage ruling until after the appeals court ruled on the various motions pending before it. If the endconciliation hearings are unsuccessful, once concluded, we intend to file a motion to strike the Labor Attorney’s application to enforce the previous healthcare coverage given the appeals court’s stay in September 2019 of the year.a number of elements of its prior decision described above.
Individual Former Employee Litigation
We are also named in approximately 4030 lawsuits filed in the same labor court by individual former employees making similar claims.
Lilly Brasil and Elanco Quimica Ltda. have also been named in a lawsuit in 15th Region These lawsuits are each at various stages in the Labor Courtlitigation process, with judgments being handed down in approximately half of Paulinia, Statethe lawsuits, nearly all of Sao Paulo, involving approximately 305 individuals alleging thatwhich are on appeal in the companies failed to provide warnings regarding exposure to heavy metals or proper equipment at the former Cosmopolis facility, and that this alleged failure could result in possible harm to employees, former employees, and their dependents. In June 2017, the court denied the plaintiffs' request for a preliminary injunction. In September 2017, the court dismissed all claims except the one filed by the first named plaintiff. The other plaintiffs have filed a motion for clarification, which may lead to the filing of an appeal.labor courts.
We believe all of these lawsuits are without merit and are prepared to defenddefending against them vigorously.
Pricing Litigation, Investigations, and Inquiries
Litigation
We, along with Sanofi and Novo Nordisk, are named as defendants in a consolidated purported class action lawsuit, In re. Insulin Pricing Litigation, in the U.S. District Court of New Jersey relating to insulin pricing seeking damages under various state consumer protection laws and the Federal Racketeer Influenced and Corrupt Organization Act (federal RICO Act). Separately, we, along with Sanofi and Novo Nordisk, are named as defendants in MSP Recovery Claims, Series, LLC et al. v. Sanofi Aventis U.S. LLC et al., in the same court, seeking damages under various state consumer protection laws, common law fraud, unjust enrichment, and the federal RICO Act. In both In re. Insulin Pricing Litigation and the MSP Recovery Claims litigation, the court dismissed claims under the federal RICO Act and certain state laws. Also in the same court, we, along with Sanofi, Novo Nordisk, CVS, Express Scripts, and Optum, have been sued in a purported class action, FWK Holdings, LLC v. Novo Nordisk Inc., et al., for alleged violations of the federal RICO Act as well as the New Jersey RICO Act and anti-trust law. That same group of defendants, along with Medco Health and United Health Group, also have been sued in other purported class actions in the same court, Rochester Drug Co-Operative Inc. v. Eli Lilly & Co. et al. and Value Drug Co. v. Eli Lilly & Co. et al., for alleged violations of the federal RICO Act.
The Minnesota Attorney General’s Office has initiated litigation against us, Sanofi, and Novo Nordisk, State of Minnesota v. Sanofi-Aventis U.S. LLC et al., in the U.S. District Court of New Jersey, alleging unjust enrichment, violations of various Minnesota state consumer protection laws, and the federal RICO Act. Additionally, the Kentucky Attorney General’s Office filed a complaint against us, Sanofi, and Novo Nordisk, Commonwealth of Kentucky v. Novo Nordisk, Inc. et al., in Kentucky state court, alleging violations of the Kentucky consumer


protection law, false advertising, and unjust enrichment. Harris County in Texas filed a complaint against us, Sanofi, Novo Nordisk, Express Scripts, CVS, Optum, and Aetna, County ofHarris Texas v. Eli Lilly & Co., et al., in federal court in the Southern District of Texas, alleging violations of the federal RICO Act, federal and state anti-trust law, and the state deceptive trade practices-consumer protection act. Harris County also alleges common law claims such as, fraud, unjust enrichment, and civil conspiracy. This lawsuit relates to our insulin products as well as Trulicity.
We believe all of these claims are without merit and are defending against them vigorously.
Investigations, Subpoenas, and Inquiries
We have received a subpoena from the New York Attorney General’s Office and civil investigative demands from the Washington, New Mexico, and Colorado Attorney General Offices relating to the pricing and sale of our insulin products. The Offices of the Attorney General in Mississippi, Washington D.C., California, Florida, Hawaii, and Nevada have requested information relating to the pricing and sale of our insulin products. We also received interrogatories from the California Attorney General's Office regarding our competition in the long-acting insulin market. We received 2 requests from the House of Representatives’ Committee on Energy and Commerce and a request from the Senate’s Committee on Health, Education, Labor, and Pensions, seeking certain information related to the pricing of insulin products, among other issues. We also received requests from the House of Representatives’ Committee on Oversight and Reform and the Senate’s Committee on Finance, which seek detailed commercial information and business records. We are cooperating with all of these aforementioned investigations, subpoenas, and inquiries.
Product Liability Insurance
Because of the nature of pharmaceutical products, it is possible that we could become subject to large numbers of additional product liability and related claims in the future. Due to a very restrictive market for product liability insurance, we are self-insured for product liability losses for all our currently and previously marketed products.




Note 11: Other Comprehensive Income (Loss)
The following tables summarize the activity related to each component of other comprehensive income (loss) during the three months ended September 30, 2017March 31, 2020 and 2016:
2019:
Continuing Operations    
(Amounts presented net of taxes)Foreign Currency Translation Gains (Losses) Unrealized Net Gains (Losses) on Securities Defined Benefit Pension and Retiree Health Benefit Plans Effective Portion of Cash Flow Hedges Accumulated Other Comprehensive LossForeign Currency Translation Gains (Losses) Unrealized Net Gains (Losses) on Securities Defined Benefit Pension and Retiree Health Benefit Plans Effective Portion of Cash Flow Hedges Discontinued Operations Accumulated Other Comprehensive Loss
Balance at July 1, 2017$(1,349.4) $153.2
 $(3,348.5) $(197.6) $(4,742.3)
         
Balance at January 1, 2020$(1,678.0) $4.9
 $(4,638.6) $(211.9) $
 $(6,523.6)
Other comprehensive income (loss) before reclassifications135.8
 33.9
 (28.7) 
 141.0
(126.5) 1.0
 30.9
 (348.2) 
 (442.8)
Net amount reclassified from accumulated other comprehensive loss8.1
 (23.9) 40.1
 2.4
 26.7

 (0.1) 77.4
 3.2
 
 80.5
Net other comprehensive income (loss)143.9
 10.0
 11.4
 2.4
 167.7
(126.5) 0.9
 108.3
 (345.0) 
 (362.3)
         
Balance at September 30, 2017 (2)
$(1,205.5) $163.2
 $(3,337.1) $(195.2) $(4,574.6)
Balance at March 31, 2020$(1,804.5) $5.8
 $(4,530.3) $(556.9) $
 $(6,885.9)

Continuing Operations    
(Amounts presented net of taxes)Foreign Currency Translation Gains (Losses) Unrealized Net Gains (Losses) on Securities Defined Benefit Pension and Retiree Health Benefit Plans Effective Portion of Cash Flow Hedges Accumulated Other Comprehensive LossForeign Currency Translation Gains (Losses) Unrealized Net Gains (Losses) on Securities Defined Benefit Pension and Retiree Health Benefit Plans Effective Portion of Cash Flow Hedges Discontinued Operations Accumulated Other Comprehensive Loss
Balance at July 1, 2016$(1,273.0) $36.8
 $(2,919.1) $(215.9) $(4,371.2)
         
Balance at January 1, 2019 (1)
$(1,569.7) $(22.1) $(3,852.7) $(238.9) $(56.8) $(5,740.2)
Other comprehensive income (loss) before reclassifications5.8
 48.9
 18.7
 
 73.4
(31.7) 16.8
 (5.7) (32.9) (27.2) (80.7)
Net amount reclassified from accumulated other comprehensive loss
 (0.4) 38.0
 2.5
 40.1

 1.7
 44.7
 3.0
 84.0
 133.4
Net other comprehensive income (loss)5.8
 48.5
 56.7
 2.5
 113.5
(31.7) 18.5
 39.0
 (29.9) 56.8
 52.7
         
Balance at September 30, 2016 (2)
$(1,267.2) $85.3
 $(2,862.4) $(213.4) $(4,257.7)
Balance at March 31, 2019$(1,601.4) $(3.6) $(3,813.7) $(268.8) $
 $(5,687.5)



The following tables summarize the activity related to each component of other comprehensive income (loss) during the nine months endedSeptember 30, 2017 and 2016:
(Amounts presented net of taxes)Foreign Currency Translation Gains (Losses) Unrealized Net Gains (Losses) on Securities Defined Benefit Pension and Retiree Health Benefit Plans Effective Portion of Cash Flow Hedges Accumulated Other Comprehensive Loss
Balance at January 1, 2017 (1)
$(1,867.3) $224.0
 $(3,371.6) $(210.9) $(5,225.8)
          
Other comprehensive income (loss) before reclassifications653.7
 9.6
 (83.3) 8.4
 588.4
Net amount reclassified from accumulated other comprehensive loss8.1
 (70.4) 117.8
 7.3
 62.8
Net other comprehensive income (loss)661.8
 (60.8) 34.5
 15.7
 651.2
          
Balance at September 30, 2017 (2)
$(1,205.5) $163.2
 $(3,337.1) $(195.2) $(4,574.6)
(Amounts presented net of taxes)Foreign Currency Translation Gains (Losses) Unrealized Net Gains (Losses) on Securities Defined Benefit Pension and Retiree Health Benefit Plans Effective Portion of Cash Flow Hedges Accumulated Other Comprehensive Loss
Balance at January 1, 2016 (1)
$(1,360.2) $10.1
 $(3,012.1) $(218.5) $(4,580.7)
          
Other comprehensive income (loss) before reclassifications18.5
 61.9
 39.2
 (2.2) 117.4
Net amount reclassified from accumulated other comprehensive loss74.5
 13.3
 110.5
 7.3
 205.6
Net other comprehensive income (loss)93.0
 75.2
 149.7
 5.1
 323.0
          
Balance at September 30, 2016 (2)
$(1,267.2) $85.3
 $(2,862.4) $(213.4) $(4,257.7)
(1) Accumulated other comprehensive loss as of January 1, 20172019 consists of $5,274.0 million$5.73 billion of accumulated other comprehensive loss attributable to controlling interest and $48.2 million of accumulated other comprehensive income attributable to non-controlling interest. The accumulated other comprehensive loss attributable to non-controlling interest as of January 1, 2016 is immaterial.
(2)Accumulated other comprehensive loss as of September 30, 2017 consists of $4,609.4$11.0 million of accumulated other comprehensive loss attributable to controlling interest and $34.8 million of accumulated other comprehensive income attributable to non-controllingnoncontrolling interest. The accumulated other comprehensive loss attributable to non-controlling interest as of September 30, 2016 is immaterial.
The tax effects on the net activity related to each component of other comprehensive income (loss) were as follows:
 Three Months Ended
March 31,
Tax benefit (expense)2020 2019
Foreign currency translation gains/losses$(38.5) $(19.3)
Unrealized net gains/losses on securities(0.3) (4.8)
Defined benefit pension and retiree health benefit plans(25.7) (11.4)
Effective portion of cash flow hedges91.7
 8.0
Benefit/(provision) for income taxes allocated to other comprehensive income (loss) items$27.2

$(27.5)
 Three Months Ended
September 30,
 Nine Months Ended
September 30,
Tax benefit (expense)2017 2016 2017 2016
Foreign currency translation gains/losses$33.9
 $14.4
 $149.7
 $16.1
Unrealized net gains/losses on securities(4.2) (26.1) 25.4
 (40.5)
Defined benefit pension and retiree health benefit plans(9.4) (9.5) (24.0) (57.0)
Effective portion of cash flow hedges(1.3) (1.3) (8.4) (2.7)
Benefit/(provision) for income taxes allocated to other comprehensive income (loss) items$19.0

$(22.5)
$142.7

$(84.1)

Except for the tax effects of foreign currency translation gains and losses related to our foreign currency-denominated notes, cross-currency interest rate swaps, and other foreign currency exchange contracts designated as net investment hedges (see Note 6)7), income taxes were not provided for foreign currency translation. Generally, the assets and liabilities of foreign operations are translated into U.S. dollars using the current exchange rate. For those operations, changes in exchange rates generally do not affect cash flows; therefore, resulting translation adjustments are made in shareholders' equity rather than in the consolidated condensed statements of operations.



Reclassifications out of accumulated other comprehensive loss were as follows:
 Details about Accumulated Other Comprehensive Loss Components Three Months Ended
March 31,
Affected Line Item in the Consolidated Condensed Statements of Operations
 
  2020 2019
 Amortization of retirement benefit items:     
 Prior service benefits, net $(13.8) $(14.2)Other–net, (income) expense
 Actuarial losses, net 111.8
 70.1
Other–net, (income) expense
 Total before tax 98.0
 55.9
 
 Tax benefit (20.6) (11.2)Income taxes
 Net of tax 77.4
 44.7
 
       
 Other, net of tax 3.1
 4.7
Other–net, (income) expense
 Reclassifications from continuing operations (net of tax) 80.5
 49.4
 
 Reclassifications from discontinued operations (net of tax) 
 84.0
Net income from discontinued operations
 Total reclassifications for the period (net of tax) $80.5
 $133.4
 
 Details about Accumulated Other Comprehensive Loss Components Three Months Ended
September 30,
 Nine Months Ended
September 30,
Affected Line Item in the Consolidated Condensed Statements of Operations
 
  2017 2016 2017 2016
 Amortization of retirement benefit items:         
 Prior service benefits, net $(21.1) $(18.6) $(63.2) $(55.7)
(1) 
 Actuarial losses, net 77.1
 76.2
 229.4
 228.9
(1) 
 Total before tax 56.0
 57.6
 166.2
 173.2
 
 Tax benefit (15.9) (19.6) (48.4) (62.7)Income taxes
 Net of tax 40.1
 38.0
 117.8
 110.5
 
           
 Unrealized gains/losses on available-for-sale securities:         
 Realized gains, net before tax (36.7) (12.0) (108.2) (6.8)Other–net, (income) expense
 Impairment losses 
 11.4
 
 27.3
Other–net, (income) expense
 Total before tax (36.7) (0.6) (108.2) 20.5
 
 Tax (benefit) expense 12.8
 0.2
 37.8
 (7.2)Income taxes
 Net of tax (23.9) (0.4) (70.4) 13.3
 
 
Other, net of tax (2)
 10.5
 2.5
 15.4
 81.8
Other–net, (income) expense
 Total reclassifications for the period (net of tax) $26.7
 $40.1
 $62.8
 $205.6
 
(1) These accumulated other comprehensive loss components are included in the computation of net periodic benefit (income) cost (see Note 9).
(2) Amount for the nine months ended September 30, 2016 included primarily $74.5 million of foreign currency translation losses.
Note 12: Other–Net, (Income) Expense
Other–net, (income) expense consisted of the following:
 Three Months Ended
March 31,
 2020 2019
Interest expense$92.5
 $86.5
Interest income(14.3) (30.6)
Retirement benefit plans(44.6) (55.9)
Other income(122.7) (86.0)
Other–net, (income) expense$(89.1)
$(86.0)



 Three Months Ended
September 30,
 Nine Months Ended
September 30,
 2017 2016 2017 2016
Interest expense$61.9
 $47.2
 $162.1
 $133.8
Interest income(45.1) (29.1) (114.6) (76.8)
Venezuela charge
 
 
 203.9
Other income(2.9) (45.3) (44.8) (160.3)
Other–net, (income) expense$13.9

$(27.2)
$2.7

$100.6

Due to the financial crisis in Venezuela and the significant deterioration of the bolívar, we changed the exchange rate used to translate the assets and liabilities of our subsidiaries in Venezuela which resulted in a first quarter of 2016 charge of $203.9 million. Prior to this change, we used the Supplementary Foreign Currency Administration System (SICAD) rate; however, this official rate was discontinued in the first quarter of 2016. After considering several factors, including the future uncertainty of the Venezuelan economy, published exchange rates, and the limited amount of foreign currency exchanged, we changed to the Divisa Complementaria (DICOM) rate.



Note 13: Segment Information
We have two operating segments—human pharmaceutical products and animal health products. Our operating segments are distinguished by the ultimate end user of the product—humans or animals. Performance is evaluated based on profit or loss from operations before income taxes.
 Three Months Ended
September 30,
 Nine Months Ended
September 30,
 2017 2016 2017 2016
Segment revenue—to unaffiliated customers:       
Human pharmaceutical products:       
Endocrinology:       
Humalog®
$696.2
 $640.8
 $2,083.0
 $1,949.0
Trulicity®
527.7
 243.6
 1,380.8
 588.5
Forteo®
441.7
 391.2
 1,235.8
 1,077.5
Humulin®
300.5
 322.0
 972.8
 1,010.6
Trajenta153.3
 115.4
 408.2
 330.8
Other Endocrinology441.3
 262.8
 1,094.4
 734.5
Total Endocrinology2,560.7
 1,975.8
 7,175.0
 5,690.9
        
Oncology:       
Alimta514.5
 570.4
 1,537.3
 1,741.7
Cyramza®
196.0
 159.0
 553.5
 437.0
Erbitux163.5
 184.6
 477.0
 533.3
Other Oncology83.6
 33.3
 232.7
 100.3
Total Oncology957.6
 947.3
 2,800.5
 2,812.3
        
Cardiovascular:       
Cialis®
564.9
 588.2
 1,725.7
 1,795.3
Effient55.9
 127.7
 326.6
 394.3
Other Cardiovascular42.1
 57.6
 120.2
 165.4
Total Cardiovascular662.9
 773.5
 2,172.5
 2,355.0
        
Neuroscience:       
Cymbalta (1)
183.2
 313.5
 564.4
 748.7
Strattera®
137.1
 198.8
 519.9
 611.5
Zyprexa®
140.6
 148.9
 428.9
 572.3
Other Neuroscience46.8
 47.3
 160.5
 137.4
Total Neuroscience507.7
 708.5
 1,673.7
 2,069.9
        
Immunology:       
Taltz®
151.3
 32.5
 386.7
 51.9
Other Immunology16.3
 
 22.9
 
Total Immunology167.6
 32.5
 409.6
 51.9
        
Other pharmaceuticals60.9
 47.9
 184.5
 161.1
Total human pharmaceutical products4,917.4
 4,485.5
 14,415.8
 13,141.1
Animal health products740.6
 706.2
 2,294.8
 2,320.5
Revenue$5,658.0
 $5,191.7
 $16,710.6
 $15,461.6
        


 Three Months Ended
September 30,
 Nine Months Ended
September 30,
 2017 2016 2017 2016
Segment profits:       
Human pharmaceutical products$1,242.5
 $1,089.0
 $3,765.7
 $2,975.3
Animal health products121.9
 104.9
 422.6
 464.3
Total segment profits$1,364.4
 $1,193.9
 $4,188.3
 $3,439.6
        
Reconciliation of total segment profits to consolidated income before taxes:       
Segment profits$1,364.4
 $1,193.9
 $4,188.3
 $3,439.6
Other profits (losses):       
Acquired in-process research and development (Note 3)(205.0) 
 (1,062.6) 
Amortization of intangible assets(155.8) (177.7) (510.0) (518.8)
Asset impairment, restructuring, and other special charges (Note 5)(406.5) (45.5) (670.4) (234.9)
Inventory fair value adjustment related to BIVIVP (Note 3)(5.5) 
 (32.0) 
Venezuela charge (Note 12)
 
 
 (203.9)
Consolidated income before taxes$591.6
 $970.7
 $1,913.3
 $2,482.0
Numbers may not add due to rounding.
(1) Cymbalta revenues include reductions to the reserve for expected product returns of approximately $145 million and $175 million during the three and nine months ended September 30, 2016, respectively.
For internal management reporting presented to the chief operating decision maker, certain costs are fully allocated to our human pharmaceutical products segment and therefore are not reflected in the animal health segment's profit. Such items include costs associated with treasury-related financing, global administrative services, certain acquisition-related transaction costs, and certain manufacturing costs.


Item 2. Management’s Discussion and Analysis of Results of Operations and Financial Condition
Results of Operations
(Tables present dollars in millions, except per-share data)
General
Management’s discussion and analysis of results of operations and financial condition is intended to assist the reader in understanding and assessing significant changes and trends related to the results of operations and financial position of our consolidated company. This discussion and analysis should be read in conjunction with the consolidated condensed financial statements and accompanying footnotes in Item 1 of Part I of this Quarterly Report on Form 10-Q. Certain statements in this Item 2 of Part I of this Quarterly Report on Form 10-Q constitute forward-looking statements. Various risks and uncertainties, including those discussed in "Forward-Looking Statements" and "Risk Factors" in Part II, Item 1A of this Quarterly Report on Form 10-Q and Item 1A, “Risk Factors,” of Part I of our Annual Report on Form 10-K for the year ended December 31, 2016,2019, may cause our actual results, financial position, and cash generated from operations to differ materially from these forward-looking statements.
Executive Overview
This section provides an overview of our financial results, recent product and late-stage pipeline developments, and other matters affecting our company and the pharmaceutical industry. Earnings per share (EPS) data are presented on a diluted basis.
COVID-19
In response to the COVID-19 pandemic, we have been focused on the following: maintaining a reliable supply of our medicines; reducing the strain on the medical system by pausing new clinical trial starts and enrollment in new trials; developing potential treatments for the virus; keeping our employees safe; supporting our communities; and affordability of and access to our medicines, particularly insulin. Given the essential nature of our products, our consolidated operating results during the three months ended March 31, 2020 benefited from the COVID-19 pandemic due to increased revenue as a result of increased customer buying patterns and patient prescription trends for many of our products. Despite that near-term benefit, the COVID-19 pandemic could have a negative impact on our business in the future depending upon the duration and depth of the effects of the pandemic crisis. These potential negative impacts are due to destocking, as supply chains normalize from the recent demand surge and decreases in new prescriptions as a result of fewer patient visits to physician’s offices to begin or change treatment, particularly for our immunology and neuroscience products; potential changes in payer segment mix and the use of patient affordability programs in the United States (U.S.) due to rising unemployment; and potential additional pricing pressures resulting from the fiscal strain on government-funded healthcare systems around the world. Additionally, we may experience decreased demand as a result of temporarily halting in-person interactions by our employees with healthcare providers.
We remain committed to discovering and developing new treatments for the patients we serve. With the exception of mirikizumab for Crohn's disease and ulcerative colitis, which we expect will be delayed due to a suspension in clinical trial enrollment, the trials for products in our late-stage pipeline are continuing. However, delays in the timing of our clinical trials, or in regulatory reviews, could adversely affect our ability to commercialize some assets in our product pipeline if the current pandemic crisis continues for a protracted period.
Our ability to continue to operate without any significant negative impacts will in part depend on our ability to protect our employees and our supply chain. We have taken steps to protect our employees world-wide, with particular measures in place for those working in our manufacturing sites and distribution facilities. For the three months ended March 31, 2020, we were able to largely maintain our normal operations. However, uncertainty resulting from the COVID-19 pandemic could have an adverse impact on our manufacturing operations, supply chain and distribution systems, which could impact our ability to produce and distribute our products and the ability of third parties on which we rely to fulfill their obligations to us, and could increase our expenses.
Because the pandemic has not materially impacted our operations or demand for our products, it has also not negatively impacted our liquidity position. We expect to continue to generate cash flows to meet our short-term liquidity needs and to have access to liquidity via the short-term and long-term debt markets. We have also not observed any material impairments of our assets or a significant change in the fair value of assets due to the COVID-19 pandemic.


The degree to which the COVID-19 pandemic impacts our future business operations, financial results and liquidity will depend on future developments, is highly uncertain, and cannot be predicted due to, among other things, the duration and spread of the outbreak, its severity, the actions to contain the virus or treat its impact, and how quickly and to what extent normal economic and operating conditions resume. Should the COVID-19 pandemic and any associated recession or depression continue for a prolonged period, our results of operations, financial condition, liquidity, and cash flows could be materially impacted by lower revenues and profitability and a lower likelihood of effectively and efficiently developing and launching new medicines. See “Risk Factors” in Part II, Item 1A of this Quarterly Report on Form 10-Q for additional information on risk factors that could impact our results.
Elanco Animal Health (Elanco) Disposition
On March 11, 2019, we completed the disposition of our remaining 80.2 percent ownership of Elanco common stock through a tax-free exchange offer. As a result, we recognized a gain on the disposition of approximately $3.7 billion in the first quarter of 2019 and now operate as a single segment. See Note 5 to the consolidated condensed financial statements for further discussion.
Financial Results
The following table summarizes our key operating results:
 Three Months Ended
September 30,
   Nine Months Ended
September 30,
  
 2017 2016 Percent Change 2017 2016 Percent Change
Revenue$5,658.0
 $5,191.7
 9 $16,710.6
 $15,461.6
 8
Gross margin4,091.9
 3,790.8
 8 12,265.2
 11,272.7
 9
Gross margin as a percent of revenue72.3% 73.0% 
 73.4% 72.9% 
Operating expense (1)
$2,874.9
 $2,801.8
 3 $8,616.2
 $8,455.2
 2
Acquired in-process research and development205.0
 
 NM 1,062.6
 
 NM
Asset impairment, restructuring, and other special charges406.5
 45.5
 NM 670.4
 234.9
 185
Net income555.6
 778.0
 (29) 1,452.8
 1,965.8
 (26)
Earnings per share0.53
 0.73
 (27) 1.37
 1.85
 (26)
(1) Operating expense consists of research and development and marketing, selling, and administrative expenses.
 Three Months Ended
March 31,
  
 2020 2019 Percent Change
Revenue$5,859.8
 $5,092.2
 15
Gross margin4,644.7
 3,953.5
 17
Gross margin as a percent of revenue79.3% 77.6% 
Operating expenses$2,941.7
 $2,747.6
 7
Acquired in-process research and development (IPR&D)52.3
 136.9
 (62)
Asset impairment, restructuring, and other special charges59.9
 423.9
 (86)
Net income from continuing operations1,456.5
 561.1
 NM
Net income1,456.5
 4,241.6
 (66)
EPS from continuing operations1.60
 0.57
 NM
EPS1.60
 4.31
 (63)
NM - not meaningful
In September 2017, we announced plans to reduce our cost structure by streamlining our operations. Global workforce reductions, including those from a U.S. voluntary early retirement program, are expected to impact approximately 3,500 positions. These plans are expected to result in charges of approximately $1.2 billion (pretax). In addition to the asset impairment, restructuring, and other special charges of $406.5 million that were incurred during the three months ended September 30, 2017, which are discussed further below, we expect to incur additional charges of approximately $800 million in the fourth quarter of 2017 related to these plans. The fourth quarter charge could vary depending on the composition of participants within the United States (U.S.) voluntary early retirement program, as well as other actions taken to improve our cost structure.
We are reviewing strategic alternatives for Elanco Animal Health (our animal health segment), including an initial public offering, merger, sale, or retention of the business, and will provide an update no later than the middle of 2018.


Revenue increased for the three and nine months ended September 30, 2017 primarilyMarch 31, 2020 driven by increased volume, partially offset by lower realized prices. We estimate that worldwide volume growth in the first quarter of 2020 for Trulicity®, Taltz®, Basaglar®,many of our products was favorably impacted by increased customer buying patterns and other new pharmaceutical products.patient prescription trends resulting from the COVID-19 pandemic that increased revenue by approximately $250 million. Operating expenseexpenses increased for the three months ended March 31, 2020, reflecting higher development expenses for late-stage assets. The decrease in net income and EPS for the three months ended September 30, 2017,March 31, 2020 was primarily driven by an increaseapproximately $3.7 billion gain recognized on the disposition of Elanco in research and development expense. Operating expense increased for the nine months ended September 30, 2017 driven by an increasefirst quarter of 2019. EPS in marketing, selling, and administrative expense. the first quarter of 2020 benefited from lower weighted-average shares outstanding as a result of the Elanco exchange offer.
The following highlighted items also affect comparisons of our financial results for the three and nine months ended September 30, 2017March 31, 2020 and 2016:2019:
20172020
Acquired in-process research and development (IPR&D)IPR&D (Note 3 to the consolidated condensed financial statements)
We recognized acquired IPR&D charges of $205.0$52.3 million (pretax), or $0.13 per share, and $1.06 billion (pretax), or $0.94 per share, for the three and nine months ended September 30, respectively, related to upfront fees paid in connection with the collaboration agreements with NektarSitryx Therapeutics (Nektar) and KeyBioscience AG (KeyBioscience)Limited (Sitryx). The charges for the nine months ended September 30 also included the charge associated with the acquisition of CoLucid Pharmaceuticals, Inc. (CoLucid) which was not tax-deductible.
Asset Impairment, Restructuring, and Other Special Charges (Note 56 to the consolidated condensed financial statements)
We recognized charges of $59.9 million primarily related to acquisition and integration costs as part of the closing of the acquisition of Dermira, Inc. (Dermira).


2019
Acquired IPR&D (Note 3 to the consolidated condensed financial statements)
We recognized acquired IPR&D charges of $136.9 million related to collaborations with AC Immune SA (AC Immune) and ImmuNext, Inc. (ImmuNext).
Asset Impairment, Restructuring, and Other Special Charges (Note 6 to the consolidated condensed financial statements)
We recognized charges of $406.5$423.9 million (pretax), or $0.29 per share, and $670.4 million (pretax), or $0.48 per share, for the three and nine months ended September 30, respectively. The charges for the third quarter were partiallyprimarily associated with asset impairments related to lower projected revenue for Posilac® (rbST), as well as severance costs incurredthe accelerated vesting of Loxo Oncology, Inc. (Loxo) employee equity awards as a result of actions taken to reduce the company's cost structure as discussed above. The charges for the nine months ended September 30 were primarily due to severance costs incurred as a resultclosing of actions taken to reduce our cost structure, charges associated with the Posilac impairment, integration costs related to the acquisition of Novartis Animal Health (Novartis AH), asset impairments and other charges related to animal health assets, as well as exit costs due to site closures.Loxo.
2016
Asset Impairment, Restructuring, and Other Special ChargesNet Income from Discontinued Operations (Note 5 to the consolidated condensed financial statements)
We recognized charges of $45.5 million (pretax), or $0.03 per share, and $234.9 million (pretax), or $0.19 per share, for the three and nine months ended September 30, respectively,a gain related to the integration costs for our acquisitiondisposition of Novartis AH and severance costs. The charges for the nine months ended September 30 also included asset impairment charges related to the closureElanco of an animal health manufacturing facility in Ireland.
Other–Net, (Income) Expense (Note 12 to the consolidated condensed financial statements)
We recognized charges of $203.9 million (pretax), or $0.19 per share, in the first quarter, related to the impact of the Venezuelan financial crisis, including the significant deterioration of the bolívar.
The decreases in net income and EPS for the third quarter of 2017 were due to higher asset impairment, restructuring, and other special charges, higher acquired IPR&D charges, and, to a lesser extent, higher operating expenses, partially offset by a higher gross margin and lower income taxes. The decreases in net income and EPS for the nine months ended September 30, 2017, were due to higher acquired IPR&D charges and, to a lesser extent, asset impairment, restructuring, and other special charges, and higher operating expenses, partially offset by a higher gross margin and, to a lesser extent, the 2016 charge related to the Venezuelan financial crisis, including the significant deterioration of the bolívar.


approximately $3.7 billion.
Late-Stage Pipeline
Our long-term success depends to a great extent on our ability to continue to discover and develop innovative pharmaceutical products and acquire or collaborate on molecules currently in development by other biotechnology or pharmaceutical companies. We currently have approximately 5040 potential new drugs in human testing or under regulatory review and a larger number of projects in preclinical research.
The following new molecular entities (NMEs) have been approved by regulatory authorities in at least one of the major geographies for use in the diseasesconditions described. The first quarter in which each NMEthe NMEs initially waswere approved in any major geography for any indication is shown in parentheses:
Abemaciclib (VerzenioGalcanezumab* (Emgality®) (Q3 2017)2018)—a small molecule cell-cycle inhibitor, selective for cyclin-dependent kinases 4 and 6 for the treatment of metastatic breast cancer. In the U.S., abemaciclib is protected by a compound patent (2029, not including possible patent extension).
Baricitinib (Olumiant®) (Q1 2017)—a Janus tyrosine kinase inhibitor for the treatment of moderate-to-severe active rheumatoid arthritis (in collaboration with Incyte Corporation).
Olaratumab* (Lartruvo) (Q4 2016)—a human lgG1 monoclonalonce-monthly subcutaneously injected calcitonin gene-related peptide (CGRP) antibody for the treatment of advanced soft tissue sarcoma.migraine prevention and the treatment of episodic cluster headache. Refer to Note 10 to the consolidated condensed financial statements for discussion of the legal proceedings involving Teva Pharmaceuticals International GMBH and Teva Pharmaceuticals USA, Inc.
Lasmiditan (Reyvow®) (Q4 2019)—an oral 5-HT1F agonist for the acute treatment of migraine.
Nasal glucagon* (Baqsimi®) (Q3 2019)—a glucagon nasal powder formulation for the treatment of severe hypoglycemia in patients with diabetes ages four years and above.
Ultra-rapid Lispro* (Lyumjev) (Q1 2020)—an ultra-rapid insulin for the treatment of type 1 and type 2 diabetes.
The following NME hasNMEs and diagnostic agent have been submitted for regulatory review in at least one of the major geographies for potential use in the diseaseconditions described. The first quarter in which each NME and the NMEdiagnostic agent initially waswere submitted in any major geography for any indication is shown in parentheses:
Galcanezumab* (Q3 2017)—a once-monthly subcutaneously injected calcitonin gene-related peptide (CGRP) antibody for the treatment of migraine prevention. In the U.S., galcanezumab is protected by a compound patent (2033). Refer to Item 1, "Legal Proceedings—Other Patent Matters" for discussion of the lawsuit filed by Teva Pharmaceuticals International GMBH.
The following NMEs and diagnostic agent are currently in Phase III clinical trial testing for potential use in the diseases described. The first quarter in which each NME and diagnostic agent initially entered Phase III for any indication is shown in parentheses:
Ultra-rapid insulin* (Q3 2017)—an ultra-rapid insulin for the treatment of type 1 and type 2 diabetes.
Flortaucipir** (Q3 2015)2019)—a positron emission tomography (PET) tracer intended to image tau (or neurofibrillary) tangles in the brain, which are an indicator of Alzheimer's disease.
Lanabecestat (Q2 2016)Selpercatinib (Q4 2019)—an oral beta-secretase cleaving enzyme (BACE) inhibitordrug for the treatment of early and mild Alzheimer's disease (in collaboration with AstraZeneca).
Lasmiditan (Q2 2015)—an oral 5-HT1F agonist for the acute treatment of migraine.
Nasal glucagon* (Q3 2013)—a glucagon nasal powder formulation for the treatment of severe hypoglycemia in patients with diabetes treated with insulin.cancers that harbor abnormalities in the rearranged during transfection (RET) kinase, specifically thyroid cancer and lung cancer.
Solanezumab* (Q2 2009)—an anti-amyloid beta monoclonal antibody for the treatment of preclinical Alzheimer’s disease.
Tanezumab* (Q3 2008)(Q4 2019)—an anti-nerve growth factor monoclonal antibody for the treatment of osteoarthritis pain chronic low back pain, and cancer pain (in collaboration with Pfizer Inc. (Pfizer)).


The following NMEs are currently in Phase III clinical trial testing for potential use in the conditions described below but have not yet been submitted for regulatory approval for any indication. The first quarter in which each NME initially entered Phase III for any indication is shown in parentheses:
Lebrikizumab* (acquired in Q1 2020)—a monoclonal antibody designed for the treatment of moderate-to-severe atopic dermatitis (in collaboration with Almirall, S.A. in Europe).
Mirikizumab* (Q2 2018)—a monoclonal antibody designed for the treatment of autoimmune diseases.
Solanezumab* (Q2 2009)—an anti-amyloid beta monoclonal antibody for the treatment of preclinical Alzheimer’s disease.
Tirzepatide* (Q4 2018)—a long-acting, combination therapy of glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide 1 for the treatment of type 2 diabetes and obesity.
*Biologic molecule subject to the U.S. Biologics Price Competition and Innovation Act
**Diagnostic agent


The following table reflects the status of each NMEthe recently approved products, NMEs, and diagnostic agent withinset forth above, as well as certain other developments to our late-stage pipeline and recently approved products including developments since January 1, 2017:2020:
CompoundIndicationU.S.EuropeJapanDevelopments
Endocrinology
Nasal glucagonBaqsimiSevere hypoglycemiaPhase IIIDevelopment of commercial manufacturing process is ongoing.
Ultra-rapid insulinType 1 diabetesPhase IIIInitiated Phase III study in third quarter of 2017.
Immunology
OlumiantRheumatoid arthritisSee DevelopmentsLaunchedApproved and launchedApproved in EuropeJapan in the first quarter of 2017. Received complete response letter from the U.S. Food and Drug Administration (FDA) in second quarter of 2017. After discussions with FDA, resubmission in the U.S. is expected before the end of January 2018. Approved and launched in Japan in third quarter of 2017.2020.
Neuroscience
FlortaucipirTirzepatideAlzheimer's diseasePhase IIIPhase III trial is ongoing.
GalcanezumabCluster headacheType 2 diabetesPhase IIIPhase III trials are ongoing.
Migraine preventionSubmittedPhase IIIThree Phase III trials met primary endpoints. Submitted to FDA in third quarter of 2017.
LanabecestatEarly and mild Alzheimer's diseaseObesityPhase IIIPhase III trials are ongoing.
LasmiditanLyumjevMigraineType 1 and 2 diabetesSubmittedApprovedApproved in Europe and Japan in the first quarter of 2020.
Immunology
LebrikizumabAtopic dermatitisPhase III
Acquired from CoLucid in first quarter of 2017. the Dermira acquisition in February 2020. Granted Fast Track Designation(1) by the U.S. Food and Drug Administration (FDA). Phase III trials are ongoing.
MirikizumabCrohn's DiseasePhase IIIPhase III trials are ongoing.
PsoriasisPhase IIIIn third quarter of 2017,April 2020, announced a Phase III trial met primary endpoint. Submission to FDA expected in second half of 2018. See Note 3 to the consolidated condensed financial statements for information on the acquisition.
SolanezumabPreclinical Alzheimer's diseasePhase IIIco-primary and key secondary endpoints. Another Phase III trial is ongoing.
TanezumabOsteoarthritis painUlcerative colitisPhase III
Granted Fast Track designation(1) from the FDA in second quarter of 2017.
Chronic low back painPhase III
Cancer painPhase III
Phase III trial istrials are ongoing.




CompoundIndicationU.S.EuropeJapanDevelopments
OncologyNeuroscience
VerzenioEmgalityAdjuvant breast cancerPhase IIIInitiated Phase III study in third quarter of 2017.
Metastatic breast cancerCluster headacheLaunchedSubmittedTwoNot pursuing Phase III trialReceived negative opinion from the Committee for Medicinal Products for Human Use in Europe during the first quarter of 2020.
Migraine preventionLaunchedSubmittedSubmitted to Japanese regulatory authorities in the first quarter of 2020.
FlortaucipirAlzheimer's disease diagnosticSubmittedNot pursuing Phase III trials met primary endpoints. ApprovedCurrently under regulatory review in the U.S.
ReyvowAcute treatment of migraineLaunchedPhase IIIReceived Schedule V classification from the Drug Enforcement Agency and launched in the U.S. in the third and fourth quarters of 2017, respectively. Submitted to regulatory authorities in Europe and Japan in third quarter of 2017.January 2020.
KRAS-mutant non-small cell lung cancerSolanezumabTerminatedPreclinical Alzheimer's diseaseIn fourth quarter of 2017, announcedPhase IIIAnnounced in February 2020 that a Phase III trial for people with dominantly inherited Alzheimer's disease (DIAD) did not meet the primary endpoint and further development of monotherapyendpoint. We do not plan to pursue submission for DIAD. Phase III trial is ongoing for Anti-Amyloid Treatment in this indication has been discontinued.Asymptomatic Alzheimer's.
LartruvoTanezumabSoft tissue sarcomaOsteoarthritis painLaunchedSubmittedPhase III
Granted accelerated approval(2) byIn partnership with Pfizer, we submitted to the FDA in fourth quarter of 2016 based on phase II data. Launched in the U.S. in the fourth quarter of 2016. Granted conditional approval(3)2019 and launchedsubmitted in Europe in fourth quarter of 2016. March 2020. We intend to pursue submission in Japan in 2020.
Cancer painPhase IIIPhase III trial is ongoing.
Oncology
Selpercatinib (LOXO-292)Thyroid CancerSubmittedPhase III
Granted Breakthrough Therapy Designation(2). Granted Priority Review(3) from the FDA in the first quarter of 2020. Phase III trials are ongoing.
Lung CancerSubmittedPhase III
(1)The FDA's fast track programFast Track Designation is designed to expedite the development and review of new therapies to treat serious conditions and address unmet medical needs.
(2) Continued approval for this indicationThe Breakthrough Therapy Designation is designed to expedite the development and review of potential medicines that are intended to treat a serious condition where preliminary clinical evidence indicates that the treatment may demonstrate substantial improvement over available therapy on a clinically significant endpoint.
(3) Priority Review is designed to expedite the review of potential medicines that, if approved, would be contingent on verification and description of clinical benefitsignificant improvements in a confirmatory Phase III trial.
(3) As part of a conditional marketing authorization, results from an ongoing Phase III study will need to be provided. This study is fully enrolled. Until availabilitythe safety or effectiveness of the full data, the Committee for Medicinal Products for Human Use will review the benefits and riskstreatment, diagnosis, or prevention of Lartruvo annuallyserious conditions when compared to determine whether the conditional marketing authorization can be maintained.standard applications.
Other Matters
Patent Matters
We depend on patents or other forms of intellectual-property protection for most of our revenue, cash flows, and earnings.
Our compound patent protection for Cialis® (tadalafil) and Adcirca® (tadalafil) expired in major European markets and the U.S. in November 2017; however, in the U.S., we were granted pediatric exclusivity through May 2018. Another later expiring patent (October 2020) was the subject of U.S. patent litigation and pursuant to a settlement agreement related thereto, generic tadalafil entered the U.S. market in September 2018. We lost patent exclusivity forhave faced and remain exposed to generic competition following the schizophrenia and bipolar mania indications for Zyprexa® in Japan in December 2015 and April 2016, respectively. Generic versions of Zyprexa were launched in Japan in June 2016. The loss of exclusivity, which has rapidly and severely eroded revenue and is likely to continue to erode revenue.
Our formulation patents for ZyprexaForteo® expired in Japan has causedDecember 2018, and our use patents expired in August 2019 in major European markets and the U.S. Both the formulation patent and the use patent expired in August 2019 in Japan. We expect further volume decline as a rapidresult of the entry of generic and severebiosimilar competition following the loss of patent exclusivity in these markets. In the aggregate, we expect that the decline in revenue for the product.
We lost our patent exclusivity for Strattera® in the U.S. in May 2017, and generic versions of Strattera were approved in the same month. As described in Note 10 to the consolidated condensed financial statements, following the settlement related to the compound patent challenge for Effient®, generic products launched in the U.S. in the third quarter of 2017. The entry of generic competition for these products has caused a rapid and severe decline in revenue, which will in the aggregate, have a material adverse effect on our consolidated results of operations and cash flows.
We will lose our compound patent protection for Cialis® (tadalafil) and Adcirca® (tadalafil) in major European markets in November 2017. We will also lose compound patent protection for Cialis and Adcirca in the U.S. in November 2017; however, we now expect U.S. exclusivity for Cialis to end in late September 2018 at the earliest. We expect that the entry of generic competition into these markets following the loss of exclusivity will cause a rapid and severe decline in revenue for the affected products, which will, in the aggregate, have a material adverse effect on our consolidated results of operations and cash flows.



Additionally, as described in Note 10 to the consolidated condensed financial statements, theThe Alimta® vitamin regimen patents, which we expect to provide us with patent protection for Alimta through June 2021 in Japan and major European countries, and through May 2022 in the U.S., have been challenged in each of these jurisdictions. In the U.S., we and Eagle Pharmaceuticals, Inc. (Eagle) reached an agreement in December 2019 to settle all pending litigation, allowing Eagle a limited initial entry into the market with its product starting February 2022 (up to an approximate three-week supply) and subsequent unlimited entry starting April 2022. An unfavorable outcome to patent challenges in the U.S. could have a material adverse impact on our future consolidated results of operations, liquidity, and financial position. Our vitamin regimen patents have also been challenged in other smaller European jurisdictions. Our compound patent for Alimta expired in the U.S. in January 2017, and expired in major European countries and Japan in December 2015. We are aware that several companies have received approval to market generic versions of pemetrexed in major European markets (including Germany, France, and the Netherlands) and that additional generic competitors may choose to launch at risk. Although we will continue to seek to remove any such products, generic product entry is resulting in some loss in revenue in these jurisdictions. We expect that thefurther entry of generic competition for Alimta following the loss of effective patent protection will cause a rapid and severe decline in future revenue for the product, which will, in the aggregate, have a material adverse effect on our consolidated results of operations and cash flows. While the U.S. Patent and Trademark Office recently ruled in our favor regarding the validity of the vitamin regimen patent, the generic companies which filed petitions seeking inter partes review of our vitamin regimen patent may appeal these rulings as further described in Note 10 to the consolidated condensed financial statements. We are aware that generic competitors have received approval to market generic versions of pemetrexed in major European markets, and that a generic product is currently on the market in at least one major European market. In light of the United Kingdom (U.K.) Supreme Court's judgment finding infringement in the U.K., Italy, France, and Spain, Actavis has withdrawn its previously launched-at-risk generic products from these markets. We will continue to seek to remove any generic pemetrexed products launched at risk in other European markets. Notwithstanding our patents, generic versions of Alimta were also approved in Japan starting in February 2016. As described inproduct. See Note 10 to the consolidated condensed financial statements we do notfor a more detailed account of the legal proceedings currently anticipate that generic versions ofpending in the U.S., Europe, and Japan regarding our Alimta will proceed to pricing approval.patents.
The compound patent for Humalog® (insulin lispro) has expired in major markets. Thus far, the loss of compound patent protection for Humalog has not resulted in a rapid and severe decline in revenue. Global regulators have different legal pathways to approve similar versions of insulin lispro. A similar version of insulin lispro has received tentative approval in the U.S. and could launch soon. We are also aware that a competitor's insulin lispro product hascompetitor launched in certain European markets. Other manufacturers have efforts underway to bring to market a similar version of insulin lispro in certain European markets in 2017 and in the U.S. and Europe.in the second quarter of 2018. While it is difficult to estimate the severity of the impact of similar insulin lispro products entering the market, we do not expect and have not experienced a rapid and severe decline in revenue; however, we expect competitiveadditional pricing pressure and some loss of market share initially that would continue over time.
Foreign Currency Exchange Rates
As a global company with substantial operations outside the U.S., we face foreign currency risk exposure from fluctuating currency exchange rates, primarily the U.S. dollar against the euro and Japanese yen, and British pound; and the British pound against the euro.yen. While we manage a portion of these exposures through hedging and other risk management techniques, significant fluctuations in currency rates can have a substantial impact, either positive or negative, on our revenue, cost of sales, and operating expenses. Over the past two years, we have seen significant foreign currency rate fluctuations between the U.S. dollar and several other foreign currencies, including the euro, British pound, and Japanese yen. While there is uncertainty in the future movements in foreign exchange rates, fluctuations in these fluctuationsrates could negatively impact our future consolidated results of operations and cash flows.
The impact of the Venezuelan financial crisis, including the significant deterioration of the bolívar, resulted in a charge of $203.9 million in the first quarter of 2016. See Note 12 to the consolidated condensed financial statements for additional information related to the charge. As of September 30, 2017, our Venezuelan subsidiaries represented a de minimis portion of our consolidated assets and liabilities. We continue to monitor other deteriorating economies and it is possible that additional charges may be recorded in the future. Any additional charges are not expected to have a material adverse effect on our future consolidated results of operations.
Trends Affecting Pharmaceutical Pricing, Reimbursement, and Access
United StatesU.S.
In the U.S., public concern over access to and affordability of pharmaceuticals continues to drive the regulatory and legislative debate. These policy and political issues increase the risk that taxes, fees, rebates, or other cost control measures may be enacted to manage federal and state measures may be enacted.budgets. Key health policy proposalsinitiatives affecting biopharmaceuticals includeinclude:
the Coronavirus Aid, Relief and Economic Security (CARES) Act and potential subsequent stimulus bills that focus on ensuring availability and access to lifesaving drugs during a reductionpublic health crisis,
foreign reference pricing in biologic data exclusivity, Medicare and private insurance,
modifications to Medicare Parts B and D, language
provisions that would allow the Department of Health and Human Services to negotiate prices for biologics and drugs in Medicare,
a reduction in biologic data exclusivity,
proposals related to Medicaid prescription drug coverage and manufacturer drug rebates,
proposals that would require biopharmaceutical manufacturers to disclose proprietary drug pricing information,information; and
state-level proposals related to prescription drug prices and reducing the cost of pharmaceuticals purchased by government health care programs. Several


California and several other states have enacted legislation in 2017 related to prescription drug pricing transparency. Savings projected under these proposalstransparency and it is unclear the effect this legislation will have on our business. Several states passed importation legislation, including Colorado, Florida, Maine, and Vermont. Specifically, the state of Florida is working with the Administration to implement an importation program from Canada as early as 2020. We are targetedcurrently reviewing this state legislation, as a means to fund both health care expenditureswell as corresponding proposed federal rulemaking and non-health care initiatives, or to manage federalguidance recently published by the Department of Health and state budgets.


Human Services and the FDA, the impact of which is uncertain at this time. Minnesota recently passed legislation requiring the establishment of two insulin patient assistance programs. We are currently reviewing the Minnesota legislation, the impact of which is uncertain at this time.
In the private sector, consolidation and integration among healthcare providers is also a major factor in the competitive marketplace for human pharmaceuticals. Health plans, pharmaceuticalpharmacy benefit managers, wholesalers, and other supply chain stakeholders have been consolidating into fewer, larger entities, increasingly through vertical integration, thus enhancing their purchasing strength and importance. Payers typically maintain formularies which specify coverage (the conditions under which drugs are included on a plan's formulary) and reimbursement (the associated out-of-pocket cost to the consumer). Formulary placement can lead to reduced usage of a drug for the relevant patient population due to coverage restrictions, such as prior authorizations and formulary exclusions, or due to reimbursement limitations whichthat result in higher consumer out-of-pocket cost, such as non-preferred co-pay tiers, increased co-insurance levels and higher deductibles. Consequently, pharmaceutical companies compete for formulary placement not only on the basis of product attributes such as greater efficacy, fewer side effects, or greater patient ease of use, but also by providing rebates. Value-based agreements are another tool which may be utilized between payers and pharmaceutical companies as formulary placement and pricing are negotiated. Price is an increasingly important factor in formulary decisions, particularly in treatment areas in which the payer has taken the position that multiple branded products are therapeutically comparable. These downward pricing pressures could continue to negatively affect future consolidated results of operationsoperations. In addition to formulary placement, changes in insurance designs continue to drive greater consumer cost sharing through high deductible plans and cash flows.higher co-insurance or co-pays (including co-pay accumulator and maximizer programs). We continue to invest in patient affordability solutions (resulting in lower revenue) in an effort to assist patients in affording their medicines.
The main coverage expansion provisions of the Affordable Care Act (ACA) are currently in effect through both state-based exchanges and the expansion of Medicaid. A trend has been the prevalence of benefit designs containing high out-of-pocket costs for patients, particularly for pharmaceuticals. In addition to the coverage expansions, many employers in the commercial market driven in part by ACA changes such as the 2020 implementation of the excise tax on employer-sponsored health care coverage for which there is an excess benefit (the so-called "Cadillac tax"), continue to evaluate strategies such as private exchanges and wider use of consumer-driven health plans to reduce their healthcare liabilities over time. Repealing and replacingFederal legislation, litigation, or administrative actions to repeal or modify some or all of the provisions of the ACA remains a priority for President Trump and Congress. Provisions included in final legislation could have a material adverse effect on our consolidated results of operations and cash flows. At the same time, the broader paradigm shift towards performance-based reimbursement and the launch of several value-based purchasing initiatives have placed demands on the pharmaceutical industry to offer products with proven real-world outcomes data and a favorable economic profile.
International
International operations also are generally subject to extensive price and market regulations. Cost-containment measures exist in a number of countries, including additional price controls and mechanisms to limit reimbursement for our products. Such policies are expected to increase in impact and reach, given the pressures on national and regional health care budgets that come from a growing, aging population and ongoing economic challenges. As additional reforms are finalized, we will assess their impact on future revenues. In addition, governments in many emerging markets are becoming increasingly active in expanding health care system offerings. Given the budget challenges of increasing health care coverage for citizens, policies may be proposed that promote generics and biosimilars only and reduce current and future access to branded human pharmaceutical products.
Tax Matters
We are subject to income taxes and various other taxes in the U.S. and numerousin many foreign jurisdictions. Changesjurisdictions; therefore, changes in the relevantboth domestic and international tax laws or regulations administrative practices, principles, and interpretations could adversely affect our future effective tax rates. The U.S. and a number of other countries are actively considering or enacting changes in this regard. For example, the Trump administration has stated that one of its top priorities is comprehensive tax reform. The tax rates and the manner in which U.S. companies are taxed could be altered by any such potential tax reform and could have a material adverse effect on our consolidatedrate, results of operations, and cash flows. Additionally,Countries around the world, including the U.S., actively consider and enact tax law changes. Further, actions taken with respect to tax-related matters by associations such as the Organisation for Economic Co-operation and Development issued its final recommendations of international tax reform proposals toand the European Commission could influence international tax policy in major countries in which we operate. Other institutions have also become more active regarding tax-related matters, including the European Commission, the United Nations, the Group of Twenty,Modifications to U.S. and the European Parliament. While outcomes of these initiatives continueforeign tax laws or regulations are frequently enacted and could result in material impacts to develop and remain uncertain, changes to key elements of the U.S. or international tax framework could have a material adverse effect on our consolidated results of operations and cash flows.financial position.


Acquisitions
We strategically invest in external research and technologies that we believe to complement and strengthen our own efforts. These investments can take many forms, including licensing arrangements, collaborations, and acquisitions. We view our business development activity as an important way to achieve our strategies, as we seek to bolster our pipeline and enhance shareholder value. We continue to evaluate business development transactions that have the potential to strengthen our business.
In 2019, we acquired all shares of Loxo for a purchase price of $6.92 billion, net of cash acquired. Under the terms of the agreement, we acquired a pipeline of investigational medicines, including selpercatinib (LOXO-292), an oral RET inhibitor that has been granted Breakthrough Therapy designation by the FDA, and LOXO-305, an oral BTK inhibitor. Selpercatinib (LOXO-292) was also granted Priority Review from the FDA in the first quarter of 2020.
In February 2020, we acquired all shares of Dermira for a purchase price of $849.3 million, net of cash acquired. Under terms of the agreement, we acquired lebrikizumab, a novel, investigational, monoclonal antibody being evaluated for the treatment of moderate-to-severe atopic dermatitis. Lebrikizumab was granted Fast Track designation from the FDA. We also acquired Qbrexza® cloth, a medicated cloth for the topical treatment of primary axillary hyperhidrosis (uncontrolled excessive underarm sweating).
See Note 3 to the consolidated condensed financial statements for further discussion regarding our recent acquisitions of businesses and assets, including:
Our acquisition of Boehringer Ingelheim Vetmedica, Inc.'s U.S. feline, canine, and rabies vaccine portfolio and other related assets (BIVIVP), completed on January 3, 2017, in an all-cash transaction for $882.1 million.
Our acquisition of CoLucid, completed on March 1, 2017, for a cash purchase price of $831.8 million, net of cash acquired.


acquisitions.
Legal Matters
Information regarding contingencies relating to certain legal proceedings can be found in Note 10 to the consolidated condensed financial statementsItem 1, "Legal Proceedings," of Part II of this Quarterly Report on Form 10-Q and is incorporated here by reference.


Revenue
The following tables summarizetable summarizes our revenue activity by region:
Three Months Ended
September 30,
 Nine Months Ended
September 30,
 
Three Months Ended
March 31,
 
2017 2016 Percent Change2017 2016 Percent Change2020 2019 Percent Change
U.S. (1)
$3,104.4
 $2,837.6
 9$9,361.8
 $8,283.1
 13$3,328.8
 $2,890.8
 15
Outside U.S.2,553.6
 2,354.1
 87,348.7
 7,178.5
 22,531.0
 2,201.4
 15
Revenue$5,658.0
 $5,191.7
 9$16,710.6
 $15,461.6
 8$5,859.8
 $5,092.2
 15
Numbers may not add due to rounding.
(1) U.S. revenue includes revenue in Puerto Rico.
The following are components of the change in revenue compared with the prior year:
Three Months Ended
September 30,
 Nine Months Ended
September 30,
Three Months Ended
March 31,
2017 vs. 2016 2017 vs. 20162020 vs. 2019
U.S.Outside U.S.Consolidated U.S.Outside U.S.ConsolidatedU.S.Outside U.S.Consolidated
Volume6%8%7 % 8%5 %7 %19 %25 %22 %
Price3

2
 5
(1)2
(4)(8)(6)
Foreign exchange rates


 
(1)(1)
(2)(1)
Percent change9%8%9 % 13%2 %8 %15 %15 %15 %
Numbers may not add due to roundingrounding.
In the U.S.,We estimate that revenue for the three and nine months ended September 30, 2017,March 31, 2020 for many of our products was favorably impacted by increased customer buying patterns and patient prescription trends resulting from the COVID-19 pandemic that increased revenue by approximately $250 million worldwide, including approximately $200 million in the U.S. and approximately $50 million outside the U.S. We believe that the increase in U.S. revenue from the COVID-19 pandemic primarily impacted our portfolio of diabetes medicines, with estimated increases of approximately $70 million to $80 million for insulin products and approximately $30 million to $40 million for Trulicity®. We also estimate that U.S. revenue for Taltz® was favorably impacted by approximately $20 million to $25 million.
In the U.S. for the three months ended March 31, 2020, the volume increase was primarily driven by new pharmaceutical products, including Trulicity, Humalog, Taltz, Basaglar, Lartruvo, and JardianceAlimta, Verzenio®, as well as increased volume for companion animal products from the acquisition of BIVIVP,Humulin®, Emgality, Basaglar®, Jardiance®, and Baqsimi, partially offset by decreased volume for several established pharmaceutical products, including Cialis due to decreased demand as well as Strattera due to the loss of patent exclusivity. The U.S. increase in realized prices for the three and nine months ended September 30, 2017 was driven by several pharmaceutical products, primarily Forteo®, Cialis, and Humalog. For the three and nine months ended September 30, 2017, Cymbalta® revenue declined as the third quarter of 2016 included an increase in revenue due to a reduction to the return reserve of approximately $145 million.volume was partially offset by lower realized prices.
Outside the U.S., for the threeand ninemonths ended September 30, 2017,March 31, 2020, the volume increase was primarily driven by salesTyvyt®, Trulicity, Alimta, Olumiant®, Taltz, Cymbalta®, Jardiance, Verzenio, Cyramza®, and Basaglar, partially offset by decreased volume for Strattera® due to loss of several new pharmaceutical products, including Trulicity and Cyramza®. For the nine months ended September 30, 2017, thepatent exclusivity. The increase in revenue due to volume increase was partially offset by lower realized prices and the lossunfavorable impact of exclusivity for several established products, including Zyprexa in Japan, Cymbalta in Canada and Europe, and Alimta in several countries.foreign exchange rates.



The following tables summarizetable summarizes our revenue activity by product:
 Three Months Ended
September 30,
  
 2017 2016
Product
U.S. (1)
 Outside U.S. Total TotalPercent Change
Humalog$414.9
 $281.3
 $696.2
 $640.8
 9
Cialis319.6
 245.3
 564.9
 588.2
 (4)
Trulicity412.9
 114.8
 527.7
 243.6
 117
Alimta260.3
 254.2
 514.5
 570.4
 (10)
Forteo234.1
 207.6
 441.7
 391.2
 13
Humulin®
203.0
 97.5
 300.5
 322.0
 (7)
Cyramza69.5
 126.5
 196.0
 159.0
 23
Cymbalta19.6
 163.5
 183.2
 313.5
 (42)
Erbitux®
136.0
 27.4
 163.5
 184.6
 (11)
Trajenta™ (2)
68.4
 84.9
 153.3
 115.4
 33
Taltz131.3
 20.0
 151.3
 32.5
 NM
Basaglar115.2
 30.5
 145.7
 19.4
 NM
Zyprexa12.6
 128.0
 140.6
 148.9
 (6)
Strattera52.9
 84.1
 137.1
 198.8
 (31)
Jardiance (3)
83.8
 43.4
 127.2
 47.5
 168
Effient42.7
 13.1
 55.9
 127.7
 (56)
Other human pharmaceutical products174.6
 243.9
 418.1
 382.0
 9
Animal health products353.0
 387.6
 740.6
 706.2
 5
Revenue$3,104.4
 $2,553.6
 $5,658.0
 $5,191.7
 9


Nine Months Ended
September 30,
  Three Months Ended
March 31,
  
2017 20162020 2019
Product
U.S. (1)
 Outside U.S. Total TotalPercent Change
U.S. (1)
 Outside U.S. Total TotalPercent Change
Humalog$1,254.3
 $828.6
 $2,083.0
 $1,949.0
 7
Trulicity$929.5
 $299.9
 $1,229.4
 $879.7
 40
Humalog (2)
398.6
 297.2
 695.8
 730.8
 (5)
Alimta324.2
 235.8
 560.1
 499.2
 12
Taltz327.5
 116.0
 443.5
 252.5
 76
Humulin214.1
 101.5
 315.7
 297.7
 6
Basaglar230.4
 73.3
 303.7
 251.4
 21
Forteo122.5
 149.8
 272.4
 312.9
 (13)
Jardiance (3)
144.6
 122.9
 267.5
 203.6
 31
Cyramza89.1
 149.9
 239.0
 198.3
 21
Cymbalta11.6
 198.8
 210.4
 164.1
 28
Cialis997.3
 728.5
 1,725.7
 1,795.3
 (4)26.1
 167.0
 193.0
 308.2
 (37)
Alimta761.9
 775.4
 1,537.3
 1,741.7
 (12)
Trulicity1,090.1
 290.7
 1,380.8
 588.5
 135
Forteo661.5
 574.3
 1,235.8
 1,077.5
 15
Humulin634.9
 337.9
 972.8
 1,010.6
 (4)
Cymbalta100.8
 463.6
 564.4
 748.7
 (25)
Cyramza204.3
 349.2
 553.5
 437.0
 27
Strattera276.9
 243.0
 519.9
 611.5
 (15)
Erbitux398.2
 78.8
 477.0
 533.3
 (11)
Zyprexa49.3
 379.6
 428.9
 572.3
 (25)
Trajenta (2)
174.2
 234.1
 408.2
 330.8
 23
Taltz343.6
 43.1
 386.7
 51.9
 NM
Effient290.8
 35.8
 326.6
 394.3
 (17)
Jardiance (3)
198.3
 105.9
 304.3
 125.8
 142
Basaglar196.7
 81.6
 278.3
 46.6
 NM
Other human pharmaceutical products555.3
 677.2
 1,232.6
 1,126.3
 9
Animal health products1,173.4
 1,121.4
 2,294.8
 2,320.5
 (1)
Verzenio129.4
 58.6
 188.0
 109.4
 72
Olumiant11.3
 128.4
 139.7
 82.1
 70
Erbitux®
117.8
 13.0
 130.8
 118.4
 10
Zyprexa®
11.2
 87.2
 98.4
 107.2
 (8)
Trajenta® (4)
28.7
 64.5
 93.2
 131.9
 (29)
Emgality67.3
 6.7
 74.0
 14.2
 NM
Other products144.9
 260.5
 405.3
 430.5
 (6)
Revenue$9,361.8
 $7,348.7
 $16,710.6
 $15,461.6
 8$3,328.8
 $2,531.0
 $5,859.8
 $5,092.2
 15
Numbers may not add due to rounding.
NM - not meaningful
(1) U.S. revenue includes revenue in Puerto Rico.
(2) Humalog revenue includes insulin lispro.
(3) Jardiance revenue includes Glyxambi®,Synjardy®, and Trijardy® XR.
(4) Trajenta revenue includes Jentadueto®.
(3) Jardiance revenue includes Glyxambi® Revenue of Trulicity, a treatment for type 2 diabetes and Synjardy®.to reduce the risk of major adverse cardiovascular events in adult patients with type 2 diabetes and established cardiovascular disease, increased40 percent in the U.S. during the threemonths ended March 31, 2020, driven by increased volume, partially offset by lower realized prices. Trulicity's lower realized prices in the U.S. were primarily due to higher contracted rebates and changes in segment mix, partially offset by higher list prices. Revenue outside the U.S. increased 40 percent during the threemonths ended March 31, 2020, driven by increased volume, partially offset by the unfavorable impact of foreign exchange rates and lower realized prices.
Revenue of Humalog, ouran injectable human insulin analog for the treatment of diabetes, increased 10 percent and 8decreased 11 percent in the U.S. during the threeand and first nine months of 2017, respectively,ended March 31, 2020, driven primarily by higherlower realized prices due to changes in estimates tofor rebates and discounts and to a lesser extent,changes in segment mix, partially offset by increased volume. For the first nine months of 2017, the increase in realized prices primarily resulted from decreased revenue in the first quarter of 2016 resulting from changes in estimates for rebates and discounts. Revenue outside the U.S. increased 7 percent and 5 percent during the threeand ninemonths ended September 30, 2017, respectively,March 31, 2020, primarily driven by increased volume, and, to a lesser extent, higher realized prices. The increase in revenue for the ninemonths ended September 30, 2017 was partially offset by the unfavorable impact of foreign exchange rates. A similar versionIncluded in the revenue of insulin lispro has received tentative approvalHumalog in the U.S. and could launch soon. We are also aware that a competitor'sour own insulin lispro product has launchedauthorized generics, which began launching in certain European markets.the second quarter of 2019 in order to lower out-of-pocket costs for patients. While it is difficult to estimate the severity of the impact of similar insulin lispro products entering the market, we do not expect and have not experienced a rapid and severe decline in revenue; however,revenue. Due to the impact of competition and due to pricing pressure in the U.S. and some international markets, we expect competitive pressuresome price decline and some loss of market share initially that wouldto continue over time. See "Other Matters—Patent Matters" for more information.



Revenue of Cialis,Alimta, a treatment for erectile dysfunction and benign prostatic hyperplasia, decreased 8 percent and 6various cancers, increased 15 percent in the U.S. during the threeand ninemonths ended September 30, 2017, respectively,March 31, 2020, primarily driven by decreased demand, partially offset byincreased volume and, to a lesser extent, higher realized prices. Revenue outside the U.S. increased 28 percent in the third quarter of 2017,threemonths ended March 31, 2020, primarily driven by higher realized prices and, to a lesser extent, the favorable impact of foreign exchange rates,increased volume, partially offset by decreased volume. For the first nine months of 2017, revenue outside the U.S. decreased 2 percent, driven by decreased volumelower realized prices and, to a lesser extent, the unfavorable impact of foreign exchange rates, partially offset by higher realized prices. We will lose our compound patent protection for Cialis in major European markets in November 2017 and now expect U.S. exclusivity for Cialis to end in late September 2018 at the earliest. See "Other Matters—Patent Matters" for more information regarding our U.S. exclusivity. In addition to potential competition from generic tadalafil, we also currently face competition from generic sildenafil, which we expect to accelerate during 2018. We expect that the entry of generic competition following the loss of exclusivity will cause a rapid and severe decline in revenue.
Revenue of Alimta, a treatment for various cancers, decreased 6 percent and 8 percent in the U.S. during the threeand ninemonths ended September 30, 2017, respectively, driven by decreased demand due to competitive pressure. Revenue outside the U.S. decreased 13 percent and 15 percent during the threeand ninemonths ended September 30, 2017, respectively, driven by competitive pressure, lower realized prices, and the loss of exclusivity in several countries.rates. We have faced and remain exposed to generic entry in multiple countries, thatwhich has eroded revenue and is likely to continue to erode revenue in those countries from current levels.
Revenue of Trulicity,Taltz, a treatment for type 2 diabetes,moderate-to-severe plaque psoriasis, active psoriatic arthritis, and ankylosing spondylitis, increased119 percent and 132 81 percent in the U.S. during the threeand ninemonths ended September 30, 2017, respectively,March 31, 2020, driven by increased share of marketvolume and, to a lesser extent, higher realized prices primarily due to changes in estimates for Trulicityrebates and growth in the GLP-1 market.discounts. Revenue outside the U.S. increased 109 percent and 14462 percent during the threeand ninemonths ended September 30, 2017, respectively,March 31, 2020, primarily driven by uptakeincreased volume, partially offset by lower realized prices and the unfavorable impact of foreign exchange rates.
Revenue of Humulin, an injectable human insulin for the treatment of diabetes, increased 6 percent in Europethe U.S. during the three months ended March 31, 2020, driven by increased volume, partially offset by lower realized prices due to changes in segment mix. Revenue outside the U.S. increased 5 percent during the three months ended March 31, 2020, due to increased volume and, Japan.to a lesser extent, higher realized prices, partially offset by the unfavorable impact of foreign exchange rates.
Revenue of Basaglar, a long-acting human insulin analog for the treatment of diabetes, increased 16 percent in the U.S. during threemonths ended March 31, 2020, primarily driven by increased volume. Revenue outside the U.S. increased 38 percent during the threemonths ended March 31, 2020, driven by increased volume, partially offset by the unfavorable impact of foreign exchange rates. See Note 4 to the consolidated condensed financial statements for information regarding our collaboration with Boehringer Ingelheim involving Basaglar.
Revenue of Forteo, an injectable treatment for osteoporosis in postmenopausal women and men at high risk for fracture and for glucocorticoid-induced osteoporosis in men and postmenopausal women, increased 13 percent and 22decreased 3 percent in the U.S. during the threeand ninemonths ended September 30, 2017, respectively,March 31, 2020, driven by lower realized prices primarily due to the unfavorable impact of higher realized prices.contracted rates. Revenue outside the U.S. increased 13decreased 20 percent during the three months ended March 31, 2020 primarily driven by decreased volume and, 7 percent duringto a lesser extent, lower realized prices. We expect further volume decline as a result of competitive dynamics in the U.S. and the entry of generic and biosimilar competition following the loss of patent exclusivity in the third quarter of 20172019 in the U.S., Japan, and the first nine months of 2017, respectively, driven by increased volume. Revenuemajor European markets. See "Executive Overview - Other Matters - Patent Matters" for the first nine months of 2017 was partially offset by lower realized prices and the unfavorable impact of foreign exchange rates.more information.
Revenue of Humulin, an injectable human insulinJardiance, a treatment for type 2 diabetes and to reduce the treatmentrisk of cardiovascular death in adult patients with type 2 diabetes and established cardiovascular disease, increased 415 percent in the U.S. during the third quarter of 2017,threemonths ended March 31, 2020, driven by increased volume, partially offset by lower realized prices. For the first nine months of 2017, revenue decreased 1 percent in the U.S., primarily resulting from a change in estimate in the first quarter of 2016 for a government rebate, which increased revenue in that period, partially offset by increased volume. Revenue outside the U.S. decreased 23increased 57 percent during the third quarter of 2017,threemonths ended March 31, 2020, driven by decreased volume,increased volume. See Note 4 to the consolidated condensed financial statements for information regarding our collaboration with Boehringer Ingelheim involving Jardiance.
Revenue of Cyramza, a treatment for various cancers, increased 19 percent in the U.S. during the three months ended March 31, 2020, primarily due to buying patterns in China. For the first nine months of 2017, revenue decreased 9 percentdriven by increased volume. Revenue outside the U.S., increased 22 percent during the threemonths ended March 31, 2020, primarily driven by lower realized prices and, to a lesser extent, the unfavorable impact of foreign exchange rates, and decreasedincreased volume.
Revenue of Cymbalta, a product for the treatment of major depressive disorder, diabetic peripheral neuropathic pain, generalized anxiety disorder, fibromyalgia and for the treatment of chronic musculoskeletal pain and the management of fibromyalgia,due to chronic low back pain or chronic pain due to osteoarthritis, was $19.6$11.6 million and $100.8$10.3 million in the U.S. during the threeand ninemonths ended September 30, 2017, respectively, compared to $162.3 millionMarch 31, 2020 and $246.2 million during the threeand ninemonths ended September 30, 2016,2019, respectively. The decreases were driven by reductions to the reserve for expected product returns, which increased revenue by approximately $145 million and $175 million in the third quarter and first nine months of 2016, respectively. Revenue increased 8 percent outside the U.S. during the third quarter of 2017, primarily driven by increased volume in Japan. Revenue decreased8 percent outside the U.S. during the ninemonths ended September 30, 2017, primarily driven by the loss of exclusivity in Canada and Europe, partially offset by increased volume in Japan.
Revenue of Cyramza, a treatment for various cancers, increased 4 percent in the U.S. during the third quarter of 2017, driven by increased volume. For the first nine months of 2017, revenue decreased 1 percent in the U.S., driven by lower realized prices and decreased demand due to competitive pressure. Revenue outside the U.S. increased 38 percent and 5229 percent during the threeand ninemonths ended September 30, 2017, respectively, primarily due to strongMarch 31, 2020, driven by increased volume, growth in Japan, partially offset by lower realized prices and the unfavorable impact of foreign exchange rates.


Revenue of Strattera, a treatment for attention-deficit hyperactivity disorder, decreased 56 percent and 27 percentprices. The increase in volume outside the U.S. during the threeand ninemonths ended September 30, 2017, respectively,was primarily driven by the losssale of exclusivityour rights for Xeristar® in the second quarter of 2017, partially offset by higher realized prices. We lost our patent protection for Strattera in the U.S. in May 2017. The entry of generic competition following the loss of effective patent protection has caused a rapid and severe decline in revenue. Revenue outside the U.S. increased 6 percent and 5 percent during the threeand ninemonths ended September 30, 2017, respectively, driven by increased volume in Japan, partially offset by lower realized prices and the unfavorable impact of foreign exchange rates.
Revenue of Erbitux, a treatment for various cancers, decreased 12 percent in the U.S. during both the third quarter and first nine months of 2017, due to competitive pressure from immuno-oncology products.
Worldwide food animal revenue decreased 6 percent during the third quarter of 2017, driven by market access and competitive pressures in U.S. cattle. Worldwide food animal revenue decreased 8 percent during the ninemonths ended September 30, 2017, driven by market access and competitive pressures in cattle and swine. Worldwide companion animal revenue increased 35 percent during the three months ended September 30, 2017, driven by the inclusion of $61.2 million in revenue from the BIVIVP acquisition and wholesaler buying patterns in the U.S. in the third quarter of 2016. The increase in revenue during the third quarter of 2017 was partially offset by competitive pressure and lower realized prices. Worldwide companion animal revenue increased 13 percent during the ninemonths ended September 30, 2017, driven by the inclusion of $180.2 million in revenue from the BIVIVP acquisition, partially offset by competitive pressure. We expect these pressures for both companion animal and food animal to continue.Spain.


Gross Margin, Costs, and Expenses
Gross margin as a percent of revenue decreased 0.7increased 1.7 percentage points to 72.3 percent and increased 0.5 percentage points to 73.479.3 percent for the threeand ninemonths ended September 30, 2017, respectively. The decrease in gross margin percent for the third quarter of 2017 wasMarch 31, 2020, primarily due to the effectcharges recognized in first quarter of foreign exchange rates on international inventories sold2019 resulting from the withdrawal of Lartruvo®, favorable product mix, and negative product mix,greater manufacturing efficiencies, partially offset by manufacturing efficiencies. The increase in gross margin percent for the ninemonths ended September 30, 2017 was primarily due to manufacturing efficiencies and higherlower realized prices partially offset by the effect of foreign exchange rates on international inventories sold and negative product mix.revenue.
Research and development expenses increased 713 percent to $1.32 billion and remained relatively flat at $3.81$1.39 billion for the threeand ninemonths ended September 30, 2017, respectively. The increaseMarch 31, 2020, driven by higher development expenses for the third quarter of 2017 was primarily due to a $50.0 million milestone payment related to lanabecestat as part of our collaboration with AstraZeneca and, to a lesser extent, higher late-stage clinical development costs. For the ninemonths ended September 30, 2017, higher late-stage clinical development costs were essentially offset by lower milestone payments in 2017 as compared with 2016. See Note 4 to the consolidated condensed financial statements for additional information regarding our collaboration with AstraZeneca.assets.
Marketing, selling, and administrative expenses decreased 1increased 2 percent to $1.56 billion and increased 3 percent to $4.81$1.55 billion for the threeand ninemonths ended September 30, 2017, respectively. The decrease for the third quarter of 2017 was due to decreased expenses related to late life-cycle products, partially offset by increased expenses related to new pharmaceutical products. The increase for the first nine months of 2017 was due to increased expenses related to new pharmaceutical products, partially offset by decreased expenses related to late life-cycle products.March 31, 2020.
We recognized $205.0$52.3 million and $1.06 billion of acquired IPR&D charges for the threeand ninemonths ended September 30, 2017, respectively, comparedMarch 31, 2020, related to the collaboration with noSitryx. We recognized $136.9 million of acquired IPR&D charges for the threeand ninemonths ended September 30, 2016. The charges during the third quarter of 2017 relateMarch 31, 2019 related to the upfront payments associated with our collaborations with NektarAC Immune and KeyBioscience. The charges during the first nine months of 2017, also include the acquired IPR&D charges associated with the acquisition of CoLucid.ImmuNext. See Note 3 to the consolidated condensed financial statements for additional information.


We recognized asset impairment, restructuring, and other special charges of $406.5$59.9 million and $670.4 million for thethreeand ninemonths ended September 30, 2017, respectively, compared withMarch 31, 2020, primarily related to acquisition and integration costs as part of the closing of the acquisition of Dermira. We recognized asset impairment, restructuring, and other special charges of $45.5$423.9 million and $234.9 million forduring the threeand ninemonths ended September 30, 2016, respectively. The charges for the third quarter of 2017 were partially associated with asset impairments related to lower projected revenue for Posilac, severance costs incurred as a result of actions taken to reduce our cost structure, as well as exit costs due to site closures. See "Executive Overview—Financial Results" for more information on the actions taken to reduce our cost structure. The charges for the first nine months of 2017 were due to severance costs incurred as a result of actions taken to reduce our cost structure, charges associated with the Posilac impairment, integration costsMarch 31, 2019, which included $400.7 million related to the acquisition of Novartis AH, asset impairments and other charges related to animal health assets, as well as exit costs due to site closures. We are exploring strategic options for Posilac, including seeking a buyer for the molecule and its Augusta manufacturing site. The charges for the third quarterLoxo, substantially all of 2016 related to integration and severance costs for Novartis AH. The charges for the first nine months of 2016 were primarilywhich was associated with integration costs related to our acquisitionthe accelerated vesting of Novartis AH, asset impairments related to the closure of an animal health manufacturing facility in Ireland, as well as severance costs for Novartis AH. See Note 5 to the consolidated condensed financial statements for additional information.Loxo employee equity awards.
Other–net, (income) expense was expenseincome of $13.9 million and expense of $2.7$89.1 million for the third quarter and first ninethree months of 2017, respectively,ended March 31, 2020, compared with incomeof $27.2 million and expense of $100.6$86.0 million for the third quarter and first ninethree months of 2016.ended March 31, 2019. The increase in expense during the third quarter of 2017other income was primarily driven by higher net gains on investment securities, partially offset by lower interest income. The higher net gains on investments were due primarily to increased market valuations of two companies in the third quarter of 2016 as compared to 2017. Other expense during the first nine months of 2016 was driven by a $203.9 million charge related to the impact of the Venezuelan financial crisis, including the significant deterioration of the bolívar. See Note 12 to the consolidated condensed financial statements for additional information.our investment portfolio that are currently developing potential vaccines against COVID-19.
The effective tax rates were 6.1 percent and 24.1 percent for the three and nine months ended September 30, 2017, respectively, compared with 19.9 percent and 20.8 percent for the same respective periods of 2016. The decrease in the effective tax rate for the third quarter of 2017 is primarily due tothree months ended March 31, 2020 was 13.3 percent, compared with 23.3 percent for the income tax benefit of acquired IPR&D charges and asset impairment, restructuring, and other special charges.three months ended March 31, 2019. The increase in thehigher effective tax rate for the first ninethree months of 2017 isended March 31, 2019 was primarily due to the non-tax deductible $857.6 million acquired IPR&D charge fornon-deductibility of the accelerated vesting of Loxo employee equity awards as part of the closing of the acquisition of CoLucid, partially offset byLoxo, as well as tax expenses associated with the income tax benefitwithdrawal of acquired IPR&D charges and asset impairment, restructuring, and other special charges.Lartruvo.


Financial Condition
Cash and cash equivalents decreased to $3.72$1.70 billion as of September 30, 2017,March 31, 2020, compared with $4.58$2.34 billion as of December 31, 2016.2019. Net cash provided by operating activities for the three months ended March 31, 2020 was negatively impacted compared to the three months ended March 31, 2019 primarily due to the timing of cash collections from customer purchasing patterns. Net cash provided by operating activities for the three months ended March 31, 2019 included approximately $360 million of cash paid to settle the accelerated vesting of Loxo employee equity awards (see Note 6 to the consolidated financial statements). Refer to the consolidated condensed statements of cash flows for additional detailsinformation on the significant sources and uses of cash for the ninethree months ended September 30, 2017 March 31, 2020 and 2016.2019.
In addition to our cash and cash equivalents, we held total investments of $9.37$2.23 billion and $6.66$2.06 billion as of September 30, 2017March 31, 2020 and December 31, 2016,2019, respectively. See Note 67 to the consolidated condensed financial statements for additional details.information.
Total debt increased to $13.46 billion asIn February 2019, we completed our acquisition of September 30, 2017, compared with $10.31 billion asDermira for a purchase price of December 31, 2016. The increaseapproximately $849.3 million, net of cash acquired, which was primarily due to thefunded through cash proceeds of $2.23 billion fromand the issuance of fixed-rate notes and, to a lesser extent, the net increase in the balance of commercial paper outstanding of $1.23 billion, partially offset by the repayment of $630.6 million of long term debt.paper. See Note 63 to the consolidated condensed financial statements for additional details regardinginformation.
Total debt increased to $17.23 billion as of March 31, 2020, compared with $15.32 billion as of December 31, 2019. The increase primarily related to the Dermira acquisition. See Note 7 to the consolidated condensed financial statements for additional information.
In April 2020, we agreed to issue $1.00 billion of 2.25 percent fixed-rate notes due in May 2017 debt issuance. At September 30, 2017,2050, with interest to be paid semi-annually. We intend to use the net proceeds from the sale of these notes for general corporate purposes, which may include the repayment of outstanding commercial paper. The offering of notes is expected to close in May 2020.
As of March 31, 2020, we had a total of $5.17$5.21 billion of committed bank credit facilities, $5.00 billion of which is available to support our commercial paper program. We believe that amounts accessible through existing commercial paper markets should be adequate to fund short-term borrowings.borrowing needs.
During the ninethree months ended September 30, 2017,March 31, 2020, we repurchased $259.9$500.0 million of shares associated withunder our previously announced $5.00$8.00 billion share repurchase program authorized in June 2018. As of March 31, 2020, we had $1.00 billion remaining under this program.
We believe that cash generated from operations, along with available cash and cash equivalents, will be sufficient to fund our normal operating needs, including installment payments of the one-time repatriation transition tax under the U.S. Tax Cuts and Jobs Act of 2017 (also known as the Toll Tax), dividends paid to shareholders, share repurchases under our share repurchase program, and capital expenditures.
See "Other Matters—"Executive Overview - Other Matters - Patent Matters" for information regarding recent and upcoming losses of patent protection.
Both domestically and abroad, we continue to monitor the potential impacts of the economic environment; the creditworthiness of our wholesalers and other customers, including foreign government-backed agencies and suppliers; the uncertain impact of health care legislation; various international government funding levels; and changes in foreign currency exchange rates (see "Other Matters—"Executive Overview - Other Matters - Foreign Currency Exchange Rates").




Financial Expectations
Full-year 2017We have updated certain elements of our 2020 financial guidance to reflect both management's expectations for operational performance and the uncertainty surrounding the extent and duration of the impact of the COVID-19 pandemic. Key management assumptions supporting the updated guidance include:
The increased customer buying patterns and patient prescription trends associated with COVID-19 that were experienced in the first quarter of 2020 will be largely reversed over the course of 2020;
The reduction in new-to-brand prescription trends will peak in the second quarter of 2020 in the U.S. and much of Europe;
Healthcare activity, including non-COVID-19 related patient visits with their physicians, will align more closely with historical levels in the second half of 2020;
Increased utilization of patient affordability programs and changes in segment mix due to increased U.S. unemployment will negatively impact U.S. pricing;
Clinical trial enrollment in existing studies, as well as initiation of new clinical trials, will resume in the second half of 2020; and
Investment in COVID-19 related research, testing and support will continue throughout 2020.
Based on the key assumptions outlined above, full-year 2020 EPS is now anticipated to be in the range of $1.73$6.20 to $1.83 reflecting charges associated with recently announced streamlining initiatives.$6.40. We nowstill expect 20172020 revenue of between $22.4$23.7 billion and $22.7 billion, primarily due$24.2 billion. Revenue growth is still expected to uptake trends for new pharmaceutical products and, to a lesser extent, the positive impact of the Euro. Excluding the impact of foreign exchange rates, we expect revenue growthbe driven by volume from new pharmaceutical products including Trulicity, Taltz, Basaglar, Jardiance, Verzenio, Cyramza, Jardiance,Olumiant, Emgality, Baqsimi, and Lartruvo,Tyvyt, as well as the addition of Qbrexza revenue and the potential launch of other new medicines. Revenue growth is expected to be partially offset by lower revenue for products that have lost patent exclusivity. Revenue growth is also expected to be partially offset by a number of established pharmaceutical products including Trajenta, Forteo,low-single digit net price decline in the U.S. driven primarily by rebates and Humalog.legislated increases to Medicare Part D cost sharing, patient affordability programs, and net price declines in China, Japan and Europe.
Gross margin as a percent of revenue is still expected to be approximately 72.579.0 percent. Research and development expenses are nowstill expected to be in the range of $5.1$5.6 billion to $5.2$5.9 billion. Marketing, selling, and administrative expenses are still expected to be in the range of $6.4$6.2 billion to $6.6$6.4 billion. Other—net, (income) expense is still expected to be income of up to $100 million.
The 2017 tax rate is now expected to be approximately 20.0 percent.between $0 and expense of $150 million.
Capital expenditures areThe 2020 effective tax rate is still expected to be approximately $1.1 billion.15 percent.
Available Information on our Website
We make available through our company website, free of charge, our company filings with the Securities and Exchange Commission (SEC) as soon as reasonably practicable after we electronically file them with, or furnish them to, the SEC. The reports we make available include annual reports on Form 10-K, quarterly reports on Form 10-Q, current reports on Form 8-K, proxy statements, registration statements, and any amendments to those documents.
The website link to our SEC filings is http://investor.lilly.com/sec.cfm. The information contained in, or that can be accessed through, our website is not a part of, or incorporated by reference in, this quarterly report.


Item 4. Controls and Procedures
(a)
Evaluation of Disclosure Controls and Procedures. Under applicable SEC regulations, management of a reporting company, with the participation of the principal executive officer and principal financial officer, must periodically evaluate the company’s “disclosure controls and procedures,” which are defined generally as controls and other procedures of a reporting company designed to ensure that information required to be disclosed by the reporting company in its periodic reports filed with the SEC (such as this Form 10-Q) is recorded, processed, summarized, and reported on a timely basis.
Our management, with the participation of David A. Ricks, chairman, president, and chief executive officer, and Derica W. Rice, executiveJoshua L. Smiley, senior vice president global services, and chief financial officer, evaluated our disclosure controls and procedures as of September 30, 2017,March 31, 2020, and concluded that they arewere effective.
(b)
Changes in Internal Controls. During the thirdfirst quarter of 2017,2020, there were no changes in our internal control over financial reporting that materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.




PART II. Other Information
Item 1. Legal Proceedings
See "Notes to Consolidated Condensed Financial Statements—Note 10 Contingencies"to the consolidated condensed financial statements for information on various legal proceedings, including but not limited to:
The patent litigation and administrative proceedings involving Alimta, Jardiance, Taltz, and Effient.Emgality;
The product liability litigation involving Actos® Cymbalta;
The litigation related to the Cosmopolis facility in Brazil; and
Pricing litigation, investigations, and Cymbalta.
The employee litigation in Brazil.inquiries.
That information is incorporated into this Item by reference.
This Item should be read in conjunction with the Legal Proceedings disclosures in our Annual Report on Form 10-K for the year ended December 31, 20162019 (Part I, Item 3) and our Quarterly Reports on Form 10-Q for the quarters ended March 31, 2017 and June 30, 2017 (Part II, Item 1).
Other Product Liability Litigation
We are named as a defendant in approximately 505 Byetta®product liability lawsuits in the U.S. involving approximately 770 plaintiffs. Approximately 60 of these lawsuits, covering about 320 plaintiffs, are filed in California state court and coordinated in a Los Angeles Superior Court. Approximately 440 lawsuits, covering about 445 plaintiffs, are filed in federal court, the majority of which are coordinated in a multidistrict litigation (MDL) in the U.S. District Court for the Southern District of California. The remaining three lawsuits, representing approximately five plaintiffs, are in various state courts. Approximately 495 of the lawsuits, involving approximately 730 plaintiffs, contain allegations that Byetta caused or contributed to the plaintiffs' cancer (primarily pancreatic cancer or thyroid cancer); most others allege Byetta caused or contributed to pancreatitis. The federal and state trial courts granted summary judgment in favor of us and our co-defendants on the claims alleging pancreatic cancer. The plaintiffs appealed those rulings. In October 2017, oral argument was held in the U.S. Court of Appeals for the Ninth Circuit for the federal court decision. No oral argument date has been set for appeal of the state court decision. We are aware of approximately 20 additional claimants who have not yet filed suit. These additional claims allege damages for pancreatic cancer or thyroid cancer. We believe these lawsuits and claims are without merit and are prepared to defend against them vigorously.
We are named as a defendant in approximately 135350 Cialis product liability lawsuits in the U.S. These cases, many of which were originally filed in various federal courts, contain allegations that Cialis caused or contributed to the plaintiffs' cancer (melanoma). In December 2016, the Judicial Panel on Multidistrict Litigation (JPML) granted the plaintiffs' petition to have the filed cases and an unspecified number of future cases coordinated into a federal MDLmultidistrict litigation (MDL) in the U.S. District Court for the Northern District of California, alongside an existing coordinated proceeding involving Viagra®. The JPML ordered the transfer of the existing cases to the now-renamed MDLIn re: Viagra (Sildenafil Citrate) and Cialis (Tadalafil) Products Liability Litigation. We believe these lawsuits andIn April 2020, the MDL court granted summary judgment to the defendants on all of the claims are without merit and are prepared to defendbrought against them vigorously.
Other Patent Matters
In Canada, several generic companies previously challengedby the validity of our Zyprexa patent. In September 2012, the Canadian Court of Appeals affirmed the lower court's decision that the patent was invalid for lack of utility. In 2013, our petition for leave to appeal the decision to the Supreme Court of Canada was denied. Two of the generic companies, Apotex Inc. (Apotex) and Teva Canada Limited (Teva Canada), pursued claims for damages arising from our enforcement of the patent under Canadian regulations. In April 2014, the Supreme Court of Canada dismissed Apotex's damages suit. Teva Canada's claim for damages remains, and a separate trial to determine the total amount of damages that may be awarded to Teva Canada concluded in May 2016. In January 2017, the court issued a ruling that Teva Canada is entitled to damages. We have appealed this decision and a hearing is expected in late 2017.
In October 2017, Teva Pharmaceuticals International GMBH filed a lawsuit against us in U.S District Court for the District of Massachusetts seeking a ruling that various patents would be infringed if we launch galcanezumab. We believe these patents are invalid and that this lawsuit is without merit. We are prepared to vigorously defend against this lawsuit.


plaintiffs.
Other Matters
We,along with Sanofi, Novo Nordisk, and various pharmacy benefit managers, are named as defendants in a purported class action lawsuit in the U.S. District Court of Western District of Texas, MSP Recovery Claims, Series, LLC et al. v. CVS Health Corp., et al., relating to insulin pricing. The complainants are seeking damages under common law fraud, unjust enrichment, and the federal Racketeer Influenced and Corrupt Organizations Act. We believe this lawsuit and these claims are without merit and are prepared to defend against them vigorously.
We are also a defendant in other litigation and investigations, including product liability, patent, employment, and premises liability litigation, of a character we regard as normal to our business.
Item 1A. Risk Factors
Our material risk factors are disclosed in Item 1A of our Annual Report on Form 10-K for the year ended December 31, 2019. The following represents a change in our risk factors from those listed in Part I, Item 1A of our Annual Report on Form 10-K for the year ended December 31, 2016. There have been no material changes from2019.
The novel coronavirus (COVID-19) pandemic and efforts to reduce its spread has impacted, and may in future periods negatively impact, our business and operations.
The COVID-19 pandemic has substantially burdened healthcare systems worldwide, delaying enrollment in and progression of many of our clinical trials. Required inspections and reviews by regulatory agencies may also be delayed due to the risk factors previously disclosedfocus of resources on COVID-19 as well as travel and other restrictions. Significant delays in the timing of our clinical trials and in regulatory reviews could adversely affect our ability to commercialize some assets in our Annual Report.product pipeline. Lack of normal access by patients to the healthcare system, along with concern about the continued supply of medications, has also resulted in changes in buying patterns throughout the supply chain, including by patients, which could increase or decrease demand for our products. Similarly, we have temporarily halted in-person interactions by our employees with healthcare providers, which may decrease demand for our products. COVID-19 could also have an adverse impact on our manufacturing operations, supply chain and distribution systems, which could impact our ability to produce and distribute our products and the ability of third parties on which we rely to fulfill their obligations to us, and could increase our expenses. Therapeutics that we may develop to address COVID-19 will be subject to risks in addition to those normally associated with pharmaceutical research, development, and commercialization, such as higher risk of technical failure, lower and transient opportunities for revenue, higher manufacturing costs, product safety or efficacy risks related to an expedited research and development timeline, and novel liability theories. These risks may affect our ability to commercialize these therapeutics for COVID-19 or any other current or future indication. In addition, the conditions created by the pandemic may intensify other risks inherent in our business, including, among other things, risks related to drug pricing and access, intellectual property protection, product safety and efficacy concerns, product liability and other litigation, and the impact of adverse global and local economic conditions.


As a result, while the financial impact on us has not been material to date, given the rapid and evolving nature of the virus, COVID-19 could negatively affect our results of operations, financial condition, liquidity and cash flows in future periods, perhaps materially. The degree to which COVID-19 affects us will depend on developments that are highly uncertain and beyond our knowledge or control, including, but not limited to, the duration and severity of the pandemic, the actions taken to reduce its transmission, and the speed with which, and extent to which, more stable economic and operating conditions resume. Should the COVID-19 pandemic and any associated recession or depression continue for a prolonged period, our results of operations, financial condition, liquidity, and cash flows could be materially impacted by lower revenues and profitability and a lower likelihood of effectively and efficiently developing and launching new medicines.
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
There were no share
The following table summarizes the activity related to repurchases of our equity securities during the three months ended September 30, 2017.March 31, 2020:
Period
Total Number of
Shares Purchased
(in thousands)
 
Average Price Paid 
per Share
 
Total Number of Shares
Purchased as Part of
Publicly Announced
Plans or Programs
(in thousands)
 
Approximate Dollar Value 
of Shares that May Yet Be
Purchased Under the 
Plans or Programs
(in millions)
January 20203,026
 $137.87
 3,026
 $1,082.9
February 2020
 
 
 1,082.9
March 2020601
 137.87
 601
 1,000.0
Total3,627
 137.87
 3,627
  
During the three months ended March 31, 2020, we repurchased $500.0 million of shares under the $8.00 billion share repurchase program authorized in June 2018.
Item 6. Exhibits
The following documents are filed as exhibits to this Report:
EXHIBIT 3.1 Amended Articles of Incorporation
   
EXHIBIT 3.2 By-laws,Bylaws, as amended
 
EXHIBIT 12.Statement re: Computation of Ratio of Earnings to Fixed Charges
  
EXHIBIT 31.1  Rule 13a-14(a) Certification of David A. Ricks, Chairman, President, and Chief Executive Officer
  
EXHIBIT 31.2  Rule 13a-14(a) Certification of Derica W. Rice, ExecutiveJoshua L. Smiley, Senior Vice President Global Services and Chief Financial Officer
  
EXHIBIT 32.  Section 1350 Certification
  
EXHIBIT 101.  Interactive Data Files
EXHIBIT 104.Cover Page Interactive Data File




Index to Exhibits
The following documents are filed as a part of this Report:
Signatures
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned thereunto duly authorized.
  ELI LILLY AND COMPANY
  (Registrant)
   
Date:October 27, 2017May 1, 2020/s/Bronwen L. Mantlo
  Bronwen L. Mantlo
  
Corporate Secretary
 
 
Date:October 27, 2017May 1, 2020/s/Donald A. Zakrowski
  Donald A. Zakrowski
  Vice President, Finance and Chief Accounting Officer


Index to Exhibits
The following documents are filed as a part of this Report:



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