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Revenues
3 Months Ended
Mar. 31, 2023
Revenue from Contract with Customer [Abstract]  
Revenues
Product Revenue
Revenue by product is summarized as follows:
 For the Three Months Ended March 31,
20232022
(In millions)United
States
Rest of
World
TotalUnited
States
Rest of
World
Total
Multiple Sclerosis (MS):
TECFIDERA$74.7 $199.8 $274.5 $117.1 $292.8 $409.9 
VUMERITY93.5 14.7 108.2 125.2 2.8 128.0 
Total Fumarate168.2 214.5 382.7 242.3 295.6 537.9 
AVONEX102.6 69.8 172.4 148.0 81.6 229.6 
PLEGRIDY29.9 43.3 73.2 34.3 45.7 80.0 
Total Interferon132.5 113.1 245.6 182.3 127.3 309.6 
TYSABRI245.4 227.4 472.8 284.5 236.3 520.8 
FAMPYRA— 24.1 24.1 — 26.2 26.2 
Subtotal: MS546.1 579.1 1,125.2 709.1 685.4 1,394.5 
Spinal Muscular Atrophy:
SPINRAZA146.7 296.6 443.3 163.3 309.2 472.5 
Biosimilars:
BENEPALI— 109.0 109.0 — 114.7 114.7 
IMRALDI— 54.4 54.4 — 57.1 57.1 
FLIXABI— 20.4 20.4 — 22.5 22.5 
BYOOVIZ8.2 0.4 8.6 — — — 
Subtotal: Biosimilars8.2 184.2 192.4 — 194.3 194.3 
Other(1)
0.4 2.0 2.4 2.8 2.2 5.0 
Total product revenue$701.4 $1,061.9 $1,763.3 $875.2 $1,191.1 $2,066.3 
(1) Other includes FUMADERM and ADUHELM.
We recognized revenue from two wholesalers accounting for 27.3% and 7.4% of gross product revenue for the three months ended March 31, 2023, and 26.3% and 10.5% of gross product revenue for the three months ended March 31, 2022.
An analysis of the change in reserves for discounts and allowances is summarized as follows:
(In millions)DiscountsContractual
Adjustments
ReturnsTotal
Balance, December 31, 2022$153.8 $857.7 $23.5 $1,035.0 
Current provisions relating to sales in current year182.3 638.0 3.5 823.8 
Adjustments relating to prior years(1.1)(8.1)1.0 (8.2)
Payments/credits relating to sales in current year(94.0)(261.8)(1.0)(356.8)
Payments/credits relating to sales in prior years(73.3)(368.1)(7.4)(448.8)
Balance, March 31, 2023$167.7 $857.7 $19.6 $1,045.0 
The total reserves above, which are included in our condensed consolidated balance sheets, are summarized as follows:
(In millions)As of March 31, 2023As of December 31, 2022
Reduction of accounts receivable$137.8 $143.4 
Component of accrued expense and other907.2 891.6 
Total revenue-related reserves$1,045.0 $1,035.0 
Revenue from LEQEMBI Collaboration
In January 2023 the FDA granted accelerated approval of LEQEMBI, which became commercially available in the U.S. during the first quarter of 2023. Upon commercialization, we began recognizing commercial profits and losses related to the LEQEMBI Collaboration Agreement on a net basis as a separate component of total revenue within our condensed consolidated income statements, as we are not the principal.
For the three months ended March 31, 2023, we recognized a reduction to revenue of approximately $18.9 million, reflecting our net profit-share of the LEQEMBI Collaboration results in the U.S.
For additional information on our collaboration arrangements with Eisai, please read Note 16, Collaborative and Other Relationships, to these condensed consolidated financial statements.
Revenue from Anti-CD20 Therapeutic Programs
Revenue from anti-CD20 therapeutic programs is summarized in the table below. For the purposes of this footnote, we refer to RITUXAN and RITUXAN HYCELA collectively as RITUXAN.
 For the Three Months Ended March 31,
(In millions)20232022
Royalty revenue on sales of OCREVUS$283.6 $252.3 
Biogen’s share of pre-tax profits in the U.S. for RITUXAN, GAZYVA and LUNSUMIO112.5 143.2 
Other revenue from anti-CD20 therapeutic programs3.4 3.9 
Total revenue from anti-CD20 therapeutic programs$399.5 $399.4 
For additional information on our collaboration arrangements with Genentech, please read Note 19, Collaborative and Other Relationships, to our consolidated financial statements included in our 2022 Form 10-K.
Contract Manufacturing, Royalty and Other Revenue
Contract manufacturing, royalty and other revenue is summarized in the table below.
 For the Three Months Ended March 31,
(In millions)20232022
Contract manufacturing revenue$306.9 $47.5 
Royalty and other revenue12.2 18.6 
Total contract manufacturing, royalty and other revenue$319.1 $66.1 
Contract Manufacturing Revenue
Contract manufacturing revenue primarily reflects amounts earned under contract manufacturing agreements with our strategic customers. During the first quarter of 2023 we began recognizing contract manufacturing revenue for LEQEMBI, upon accelerated approval of LEQEMBI in the U.S. Prior to accelerated approval, contract manufacturing amounts related to LEQEMBI were recognized in research and development within our condensed consolidated income statements.
Royalty and Other Revenue
Royalty and other revenue primarily reflects the royalties we receive from net sales on products related to patents that we have out-licensed, as well as royalty revenue on biosimilar products from our license arrangements with Samsung Bioepis.
For additional information on our license arrangements with Samsung Bioepis, please read Note 16, Collaborative and Other Relationships, to these condensed consolidated financial statements.