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Alkermes(ALKS) - 2024 Q4 - Annual Report

Research and Development - The company focuses significant resources on R&D programs aimed at developing novel therapeutics in areas of high unmet medical need[83]. - The company plans to file additional patent applications directed to new or improved products and processes in the future[100]. Sales and Marketing - The sales force for VIVITROL in the U.S. consisted of approximately 105 individuals as of December 31, 2024, with major sales to McKesson Corporation (34%), Cardinal Health (21%), and Cencora, Inc. (16%)[87]. - The sales force for ARISTADA, ARISTADA INITIO, and LYBALVI in the U.S. consisted of approximately 355 individuals as of December 31, 2024, with ARISTADA and ARISTADA INITIO sales to McKesson Corporation (38%), Cardinal Health (32%), and Cencora (23%)[88]. Intellectual Property - The company holds various FDA registrations and licenses, including those from the Drug Enforcement Administration and Health Products Regulatory Authority in Ireland[84]. - The company has a proprietary portfolio of patent rights and exclusive licenses, with numerous patents in the U.S. and other countries covering compositions of matter, methods of treatment, and formulations[100]. - The principal U.S. patents for ARISTADA and ARISTADA INITIO have expiration dates in 2030 and 2039, ensuring protection for these products[101]. - The company owns one unexpired U.S. patent for VIVITROL, expiring in 2029, and has granted Teva a license to market a generic version starting January 15, 2027[103]. - The NanoCrystal technology patent portfolio licensed to Janssen includes patents expiring in 2030 in the U.S. and EU, with additional patents for INVEGA TRINZA expiring in 2036 and INVEGA HAFYERA expiring in 2041[104]. - U.S. patents covering VUMERITY are set to expire in 2033, with multiple corresponding non-U.S. patents[105]. - The company holds multiple U.S. patents for LYBALVI, with expiration dates ranging from 2025 to 2041, including several patents expiring in 2031[106]. - U.S. patent protection for ALKS 2680 extends to 2041, along with several pending applications[107]. - The company has exclusive rights through licensing agreements for U.S. patents and pending applications, with obligations for patent expenses and royalties on future sales[108]. - The company faces potential infringement actions from third parties, which could result in high defense costs and unfavorable rulings[109]. - The company relies on trade secrets and know-how, which are not protected by patents, to maintain its competitive position[112]. Regulatory Environment - The FDA review process for new drug applications can take up to 10 months, with priority reviews potentially reducing this to 6 months[119]. - The FDA may require additional post-marketing studies as a condition of approval, which could impact the commercial success of a drug[122]. - The FDA requires prior review and approval for any significant changes to approved products, which can lead to delays and increased costs[124]. - The company must comply with Good Manufacturing Practices (cGMP) and is subject to inspections by regulatory agencies, with non-compliance leading to potential sanctions[130]. - The company faces scrutiny under healthcare fraud and abuse laws, which could result in civil or criminal penalties if violations occur[136]. - The FDA regulates all advertising and promotional activities, limiting claims to those consistent with approved labels[125]. - The DEA regulates controlled substances, and classification as such can delay product launches even after FDA approval[126]. Financial and Market Considerations - The Medicaid rebate program mandates a minimum rebate of 23.1% of average manufacturer price (AMP) or the difference between AMP and the best price, impacting revenue generation[138]. - The Hatch-Waxman Act provides five years of non-patent-related marketing exclusivity for new chemical entities, preventing the approval of generic drugs during this period[132]. - Orphan Drug Exclusivity (ODE) grants seven years of market exclusivity for drugs treating rare diseases, blocking FDA approval of similar applications[135]. - The company’s ability to generate revenue is significantly dependent on reimbursement from third-party payers, which are increasingly challenging product pricing[137]. - Medicare Part D requires manufacturers to provide a 70% discount on brand name drugs when beneficiaries reach the coverage gap, changing to a 10% discount in the initial coverage phase and 20% in the catastrophic phase starting in 2025[140]. - The Inflation Reduction Act of 2022 introduces new financial liabilities for manufacturers in Medicare Part D starting in 2025 and allows the government to negotiate drug prices beginning in 2026[145]. - The 340B program mandates that participating manufacturers charge covered entities no more than the 340B ceiling price, which is calculated based on the average manufacturer price and rebate amounts[141]. - The final Medicaid covered outpatient drug regulation established two calculation methodologies for Average Manufacturer Price (AMP), affecting drug pricing and rebates[143]. Human Resources and Corporate Governance - As of February 7, 2025, the company had approximately 1,800 full-time employees, with a voluntary attrition rate of 9.6% in 2024, below industry benchmarks[152]. - The company is committed to equitable pay and offers comprehensive total rewards packages, including bonuses tied to performance and equity opportunities for certain employees[154]. - The company has conducted periodic employee engagement surveys since 2017 to assess employee sentiment and satisfaction, with plans to continue using the collected data to inform human capital management strategies[156]. - The company has implemented a comprehensive onboarding experience for new employees to connect them with its business values and culture[157]. - The company regularly reviews and updates its internal controls, disclosure controls, and corporate governance policies to ensure compliance with the Sarbanes-Oxley Act of 2002[279]. - If the company cannot conclude effective internal control over financial reporting, it may lead to a decline in the trading price of its ordinary shares due to loss of investor confidence[280]. Compliance and Risk Management - The company is subject to the U.S. Foreign Corrupt Practices Act, which prohibits bribery of foreign officials and requires accurate financial record-keeping[147]. - The General Data Protection Regulation (GDPR) imposes strict obligations on the company regarding the processing of personal data, including health data, for EU residents[149]. - The company must comply with complex environmental, health, and safety laws, which may impose strict liability for pollution and contamination[148]. - The company faces ongoing legislative and regulatory interest regarding the scope and implementation of the 340B program, which may impact its operations[141]. - The company is subject to numerous privacy and security laws, with potential penalties for non-compliance that could adversely affect its business and financial condition[271]. - The company retains cybersecurity insurance to cover costs related to potential breaches, but there is no guarantee that such costs would not exceed the insurance coverage[270]. - The increasing use of social media and artificial intelligence tools presents new risks and challenges for the company, potentially leading to regulatory actions or legal claims[281]. Market Performance - The closing price of the company's ordinary shares on the Nasdaq Global Select Market ranged from 23.01to23.01 to 32.56 per share during the year ended December 31, 2024[263]. - The company has experienced significant volatility in its ordinary shares' market price based on business performance, including commercial sales and financial guidance[263]. - The company continues to monitor the long-term impacts of the COVID-19 pandemic on market practices and labor markets to mitigate adverse effects on its operations[277].