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Revenues
12 Months Ended
Dec. 31, 2024
Revenue from Contract with Customer [Abstract]  
Revenues Revenues
We operate our business in one operating segment: human therapeutics. Therefore, results of our operations are reported on a consolidated basis for purposes of segment reporting, consistent with internal management reporting. Revenues by product and by geographic area, based on customers’ locations, are presented below. The majority of ROW product sales relates to products sold in Europe.
Revenues were as follows (in millions):
Year ended December 31, 2024Year ended December 31, 2023Year ended December 31, 2022
U.S.ROWTotalU.S.ROWTotalU.S.ROWTotal
Prolia$2,885 $1,489 $4,374 $2,733 $1,315 $4,048 $2,465 $1,163 $3,628 
ENBREL3,288 28 3,316 3,650 47 3,697 4,044 73 4,117 
XGEVA1,507 718 2,225 1,527 585 2,112 1,480 534 2,014 
Repatha
1,139 1,083 2,222 793 842 1,635 608 688 1,296 
Otezla1,699 427 2,126 1,777 411 2,188 1,886 402 2,288 
TEPEZZA(1)
1,835 16 1,851 441 448 — — — 
EVENITY1,131 432 1,563 809 351 1,160 533 254 787 
KYPROLIS948 555 1,503 921 482 1,403 850 397 1,247 
Nplate970 486 1,456 996 481 1,477 848 459 1,307 
Aranesp386 956 1,342 452 910 1,362 521 900 1,421 
BLINCYTO800 416 1,216 566 295 861 336 247 583 
KRYSTEXXA(1)
1,185 — 1,185 272 — 272 — — — 
Vectibix519 526 1,045 461 523 984 396 497 893 
TEZSPIRE972 — 972 567 — 567 170 — 170 
Other products(2)
4,037 1,593 5,630 3,307 1,389 4,696 3,606 1,444 5,050 
Total product sales(3)
23,301 8,725 32,026 19,272 7,638 26,910 17,743 7,058 24,801 
Other revenues562 836 1,398 534 746 1,280 852 670 1,522 
Total revenues$23,863 $9,561 $33,424 $19,806 $8,384 $28,190 $18,595 $7,728 $26,323 
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(1)    TEPEZZA and KRYSTEXXA were acquired from the acquisition of Horizon on October 6, 2023, and include product sales in the periods after the acquisition date.
(2)    Consists of product sales of our non-principal products.
(3)    Hedging gains and losses, which are included in product sales, were not material for the years ended December 31, 2024, 2023 and 2022.
In the United States, we sell primarily to pharmaceutical wholesale distributors that we use as the principal means of distributing our products to healthcare providers. Outside the United States, we sell principally to healthcare providers and/or pharmaceutical wholesale distributors depending on the distribution practice in each country. We monitor the financial condition of our larger customers and limit our credit exposure by setting credit limits and, in certain circumstances, by requiring letters of credit or obtaining credit insurance.
For each of the years ended December 31, 2024, 2023 and 2022, we had product sales to three customers that individually accounted for more than 10% of total revenues. For the year ended December 31, 2024, on a combined basis, these customers accounted for 77% of total gross revenues as shown in the following table. Certain information with respect to these customers was as follows (dollar amounts in millions):
Years ended December 31,
202420232022
McKesson Corporation:
Gross product sales$22,173 $19,035 $17,305 
% of total gross revenues33 %33 %35 %
Cencora, Inc.:
Gross product sales$18,387 $16,625 $15,443 
% of total gross revenues27 %29 %31 %
Cardinal Health, Inc.:
Gross product sales$11,278 $9,775 $8,319 
% of total gross revenues17 %17 %16 %
As of December 31, 2024 and 2023, amounts due from these three customers each exceeded 10% of gross trade receivables and accounted for 70% and 75%, respectively, of net trade receivables on a combined basis. As of December 31, 2024 and 2023, 26% and 22%, respectively, of net trade receivables were due from customers located outside the United States, the majority of which were from Europe. Our total allowance for doubtful accounts as of December 31, 2024 and 2023, was not material.