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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
___________________________
FORM 10-Q
___________________________
☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 30, 2022
OR
☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934
For the transition period from ______ to _______
Commission File Number 001-01136
___________________________
BRISTOL-MYERS SQUIBB COMPANY
(Exact name of registrant as specified in its charter)
___________________________

Delaware |  | 22-0790350
(State or other jurisdiction of incorporation or organization) |  | (I.R.S Employer Identification No.)

430 E. 29th Street, 14FL, New York, NY 10016
(Address of principal executive offices) (Zip Code)
(212) 546-4200
(Registrant’s telephone number, including area code)
___________________________
(Former name, former address and former fiscal year, if changed since last report)
Securities registered pursuant to Section 12(b) of the Act:

Title of each class | Trading Symbol(s) | Name of each exchange on which registered
Common Stock, $0.10 Par Value | BMY | New York Stock Exchange
1.000% Notes due 2025 | BMY25 | New York Stock Exchange
1.750% Notes due 2035 | BMY35 | New York Stock Exchange
Celgene Contingent Value Rights | CELG RT | New 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 the filing requirements for the past 90 days. Yes ☒ No ☐
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted 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 such files). Yes ☒ No ☐
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer or a smaller reporting company. See definition of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer ☒ |  | Accelerated filer ☐ |  | Non-accelerated filer ☐ |  | Smaller reporting company ☐ |  | Emerging growth company ☐

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. ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒
APPLICABLE ONLY TO CORPORATE ISSUERS:
At October 14, 2022, there were 2,126,160,347 shares outstanding of the Registrant’s $0.10 par value common stock.

BRISTOL-MYERS SQUIBB COMPANY
INDEX TO FORM 10-Q
September 30, 2022

PART I—FINANCIAL INFORMATION |
Item 1. |
Financial Statements: |
Consolidated Statements of Earnings and Comprehensive Income | 3
Consolidated Balance Sheets | 4
Consolidated Statements of Cash Flows | 5
Notes to Consolidated Financial Statements | 6
Item 2. |
Management’s Discussion and Analysis of Financial Condition and Results of Operations | 33
Item 3. |
Quantitative and Qualitative Disclosure About Market Risk | 52
Item 4. |
Controls and Procedures | 52
PART II—OTHER INFORMATION |
Item 1. |
Legal Proceedings | 53
Item 1A. |
Risk Factors | 53
Item 2. |
Unregistered Sales of Equity Securities and Use of Proceeds | 53
Item 6. |
Exhibits | 54
Summary of Abbreviated Terms | 55
Signatures | 56

* Indicates brand names of products which are trademarks not owned by BMS. Specific trademark ownership information is included in the Exhibit Index at the end of this Quarterly Report on Form 10-Q.

PART I—FINANCIAL INFORMATION
Item 1. FINANCIAL STATEMENTS
BRISTOL-MYERS SQUIBB COMPANY
CONSOLIDATED STATEMENTS OF EARNINGS
Dollars in Millions, Except Per Share Data
(UNAUDITED)

| Three Months Ended September 30, |  | Nine Months Ended September 30,
EARNINGS | 2022 |  | 2021 |  | 2022 |  | 2021
Net product sales | $ | 10,813 |  |  | $ | 11,243 |  |  | $ | 33,606 |  |  | $ | 33,446 |
Alliance and other revenues | 405 |  |  | 381 |  |  | 1,147 |  |  | 954 |
Total Revenues | 11,218 |  |  | 11,624 |  |  | 34,753 |  |  | 34,400 |
Cost of products sold(a) | 2,353 |  |  | 2,291 |  |  | 7,544 |  |  | 7,584 |
Marketing, selling and administrative | 1,930 |  |  | 1,788 |  |  | 5,548 |  |  | 5,336 |
Research and development | 2,418 |  |  | 2,980 |  |  | 6,999 |  |  | 7,677 |
Acquired IPRD | 30 |  |  | 271 |  |  | 763 |  |  | 1,070 |
Amortization of acquired intangible assets | 2,418 |  |  | 2,546 |  |  | 7,252 |  |  | 7,606 |
Other (income)/expense, net | (140) |  |  | (409) |  |  | 793 |  |  | (1,113) |
Total Expenses | 9,009 |  |  | 9,467 |  |  | 28,899 |  |  | 28,160 |
Earnings Before Income Taxes | 2,209 |  |  | 2,157 |  |  | 5,854 |  |  | 6,240 |
Provision for Income Taxes | 601 |  |  | 605 |  |  | 1,534 |  |  | 1,598 |
Net Earnings | 1,608 |  |  | 1,552 |  |  | 4,320 |  |  | 4,642 |
Noncontrolling Interest | 2 |  |  | 6 |  |  | 15 |  |  | 20 |
Net Earnings Attributable to BMS | $ | 1,606 |  |  | $ | 1,546 |  |  | $ | 4,305 |  |  | $ | 4,622 |
Earnings per Common Share: |  |  |  |  |  |  |
Basic | $ | 0.75 |  |  | $ | 0.70 |  |  | $ | 2.01 |  |  | $ | 2.08 |
Diluted | 0.75 |  |  | 0.69 |  |  | 2.00 |  |  | 2.05 |

(a) Excludes amortization of acquired intangible assets.
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
Dollars in Millions
(UNAUDITED)

| Three Months Ended September 30, |  | Nine Months Ended September 30,
COMPREHENSIVE INCOME | 2022 |  | 2021 |  | 2022 |  | 2021
Net Earnings | $ | 1,608 |  |  | $ | 1,552 |  |  | $ | 4,320 |  |  | $ | 4,642 |
Other Comprehensive Income, net of taxes and reclassifications to earnings:
Derivatives qualifying as cash flow hedges | 286 |  |  | 113 |  |  | 618 |  |  | 399 |
Pension and postretirement benefits | 18 |  |  | 7 |  |  | 64 |  |  | 45 |
Marketable debt securities | — |  |  | (3) |  |  | (2) |  |  | (7) |
Foreign currency translation | (153) |  |  | (23) |  |  | (253) |  |  | (22) |
Total Other Comprehensive Income | 151 |  |  | 94 |  |  | 427 |  |  | 415 |
Comprehensive Income | 1,759 |  |  | 1,646 |  |  | 4,747 |  |  | 5,057 |
Comprehensive Income Attributable to Noncontrolling Interest | 2 |  |  | 6 |  |  | 15 |  |  | 20 |
Comprehensive Income Attributable to BMS | $ | 1,757 |  |  | $ | 1,640 |  |  | $ | 4,732 |  |  | $ | 5,037 |

The accompanying notes are an integral part of these consolidated financial statements.
3

BRISTOL-MYERS SQUIBB COMPANY
CONSOLIDATED BALANCE SHEETS
Dollars in Millions
(UNAUDITED)

ASSETS | September 30, 2022 |  | December 31, 2021
Current Assets: |  |  |
Cash and cash equivalents | $ | 7,734 |  |  | $ | 13,979 |
Marketable debt securities | 1,293 |  |  | 2,987 |
Receivables | 9,613 |  |  | 9,369 |
Inventories | 2,074 |  |  | 2,095 |
Other current assets | 6,082 |  |  | 4,832 |
Total Current Assets | 26,796 |  |  | 33,262 |
Property, plant and equipment | 6,035 |  |  | 6,049 |
Goodwill | 21,112 |  |  | 20,502 |
Other intangible assets | 38,179 |  |  | 42,527 |
Deferred income taxes | 1,329 |  |  | 1,439 |
Other non-current assets | 4,745 |  |  | 5,535 |
Total Assets | $ | 98,196 |  |  | $ | 109,314 |
LIABILITIES |  |  |
Current Liabilities: |  |  |
Short-term debt obligations | $ | 2,132 |  |  | $ | 4,948 |
Accounts payable | 2,595 |  |  | 2,949 |
Other current liabilities | 14,203 |  |  | 13,971 |
Total Current Liabilities | 18,930 |  |  | 21,868 |
Deferred income taxes | 2,881 |  |  | 4,501 |
Long-term debt | 36,966 |  |  | 39,605 |
Other non-current liabilities | 6,685 |  |  | 7,334 |
Total Liabilities | 65,462 |  |  | 73,308 |
Commitments and contingencies |  |  |
EQUITY |  |  |
Bristol-Myers Squibb Company Shareholders’ Equity: |  |  |
Preferred stock | — |  |  | — |
Common stock | 292 |  |  | 292 |
Capital in excess of par value of stock | 44,956 |  |  | 44,361 |
Accumulated other comprehensive loss | (841) |  |  | (1,268) |
Retained earnings | 24,675 |  |  | 23,820 |
Less cost of treasury stock | (36,411) |  |  | (31,259) |
Total Bristol-Myers Squibb Company Shareholders’ Equity | 32,671 |  |  | 35,946 |
Noncontrolling interest | 63 |  |  | 60 |
Total Equity | 32,734 |  |  | 36,006 |
Total Liabilities and Equity | $ | 98,196 |  |  | $ | 109,314 |

The accompanying notes are an integral part of these consolidated financial statements.
4

BRISTOL-MYERS SQUIBB COMPANY
CONSOLIDATED STATEMENTS OF CASH FLOWS
Dollars in Millions
(UNAUDITED)

| Nine Months Ended September 30,
| 2022 |  | 2021
Cash Flows From Operating Activities: |  |  |
Net earnings | $ | 4,320 |  |  | $ | 4,642 |
Adjustments to reconcile net earnings to net cash provided by operating activities: |  |  |
Depreciation and amortization, net | 7,755 |  |  | 8,107 |
Deferred income taxes | (2,114) |  |  | (127) |
Stock-based compensation | 338 |  |  | 450 |
Impairment charges | 144 |  |  | 1,192 |
Divestiture gains and royalties | (820) |  |  | (462) |
Acquired IPRD | 763 |  |  | 1,070 |
Equity investment losses/(income) | 966 |  |  | (1,214) |
Contingent consideration fair value adjustments | 1 |  |  | (510) |
Other adjustments | 178 |  |  | 204 |
Changes in operating assets and liabilities: |  |  |
Receivables | (557) |  |  | (886) |
Inventories | (28) |  |  | 141 |
Accounts payable | (296) |  |  | 19 |
Rebates and discounts | 730 |  |  | 902 |
Income taxes payable | (310) |  |  | (841) |
Other | (1,310) |  |  | (537) |
Net Cash Provided by Operating Activities | 9,760 |  |  | 12,150 |
Cash Flows From Investing Activities: |  |  |
Sale and maturities of marketable debt securities | 5,205 |  |  | 2,952 |
Purchase of marketable debt securities | (3,566) |  |  | (3,408) |
Proceeds from sales of equity investment securities | 213 |  |  | 1,058 |
Capital expenditures | (772) |  |  | (653) |
Divestiture and other proceeds | 815 |  |  | 570 |
Acquisition and other payments, net of cash acquired | (4,170) |  |  | (1,458) |
Net Cash Used in Investing Activities | (2,275) |  |  | (939) |
Cash Flows From Financing Activities: |  |  |
Short-term debt obligations, net | 58 |  |  | (46) |
Issuance of long-term debt | 5,926 |  |  | — |
Repayment of long-term debt | (11,431) |  |  | (6,022) |
Repurchase of common stock | (5,585) |  |  | (3,536) |
Dividends | (3,489) |  |  | (3,297) |
Other | 805 |  |  | 644 |
Net Cash Used in Financing Activities | (13,716) |  |  | (12,257) |
Effect of Exchange Rates on Cash, Cash Equivalents and Restricted Cash | (128) |  |  | (48) |
Decrease in Cash, Cash Equivalents and Restricted Cash | (6,359) |  |  | (1,094) |
Cash, Cash Equivalents and Restricted Cash at Beginning of Period | 14,316 |  |  | 14,973 |
Cash, Cash Equivalents and Restricted Cash at End of Period | $ | 7,957 |  |  | $ | 13,879 |

The accompanying notes are an integral part of these consolidated financial statements.
5

Note 1. BASIS OF PRESENTATION AND RECENTLY ISSUED ACCOUNTING STANDARDS
Basis of Consolidation
Bristol-Myers Squibb Company (“BMS”, "we" or “the Company”) prepared these unaudited consolidated financial statements following the requirements of the SEC and U.S. GAAP for interim reporting. Under those rules, certain footnotes and other financial information that are normally required for annual financial statements can be condensed or omitted. The Company is responsible for the consolidated financial statements included in this Quarterly Report on Form 10-Q, which include all adjustments necessary for a fair presentation of the financial position as of September 30, 2022 and December 31, 2021, the results of operations for the three and nine months ended September 30, 2022 and 2021, and cash flows for the nine months ended September 30, 2022 and 2021. All intercompany balances and transactions have been eliminated. These financial statements and the related notes should be read in conjunction with the audited consolidated financial statements for the year ended December 31, 2021 included in the 2021 Form 10-K. Refer to the Summary of Abbreviated Terms at the end of this Quarterly Report on Form 10-Q for terms used throughout the document.
Business Segment Information
BMS operates in a single segment engaged in the discovery, development, licensing, manufacturing, marketing, distribution and sale of innovative medicines that help patients prevail over serious diseases. A global research and development organization and supply chain organization are responsible for the discovery, development, manufacturing and supply of products. Regional commercial organizations market, distribute and sell the products. The business is also supported by global corporate staff functions. Consistent with BMS’s operational structure, the Chief Executive Officer (“CEO”), as the chief operating decision maker, manages and allocates resources at the global corporate level. Managing and allocating resources at the global corporate level enables the CEO to assess both the overall level of resources available and how to best deploy these resources across functions, therapeutic areas, regional commercial organizations and research and development projects in line with our overarching long-term corporate-wide strategic goals, rather than on a product or franchise basis. The determination of a single segment is consistent with the financial information regularly reviewed by the CEO for purposes of evaluating performance, allocating resources, setting incentive compensation targets, and planning and forecasting future periods. For further information on product and regional revenue, see “—Note 2. Revenue”.
Use of Estimates and Judgments
Revenues, expenses, assets and liabilities can vary during each quarter of the year. Accordingly, the results and trends in these unaudited consolidated financial statements may not be indicative of full year operating results. The preparation of financial statements requires the use of management estimates, judgments and assumptions. The most significant assumptions are estimates used in determining accounting for acquisitions; impairments of intangible assets; charge-backs, cash discounts, sales rebates, returns and other adjustments; legal contingencies; and income taxes. Actual results may differ from estimates.
Reclassifications
Certain reclassifications were made to conform the prior period consolidated financial statements to the current period presentation. Upfront and contingent milestone charges in connection with asset acquisitions or licensing of third-party intellectual property rights previously presented in Research and development are now presented in Acquired IPRD in the consolidated statements of earnings. Additionally, Rebates and discounts previously presented in Other changes in operating assets and liabilities in the consolidated statements of cash flows are now presented separately in Rebates and discounts.
Recently Issued Accounting Standards
Business Combinations
In October 2021, the FASB issued amended guidance on accounting for contract assets and contract liabilities from contracts with customers in a business combination. The guidance is intended to address inconsistency related to recognition of an acquired contract liability and payment terms and their effect on subsequent revenue recognized. At the acquisition date, an entity should account for the related revenue contracts in accordance with existing revenue recognition guidance generally by assessing how the acquiree applied recognition and measurement in their financial statements. The amended guidance is effective January 1, 2023 on a prospective basis. Early adoption is permitted.
6

Fair Value Measurements
In June 2022, the FASB issued amended guidance on measuring the fair value of an equity security subject to contractual restrictions that prohibit the sale of an equity security. The guidance clarifies that a contractual restriction on the sale of an equity security is not considered part of the unit of account of the equity security and, therefore, is not considered in measuring fair value. The guidance also clarifies that an entity cannot, as a separate unit of account, recognize and measure a contractual sale restriction. The amendment requires the following disclosures for equity securities subject to contractual sale restrictions: the fair value of equity securities subject to contractual sale restrictions reflected in the balance sheet; the nature and remaining duration of the restriction(s); and the circumstances that could cause a lapse in the restriction(s). The amended guidance is effective January 1, 2024 on a prospective basis. Early adoption is permitted.
Note 2. REVENUE
The following table summarizes the disaggregation of revenue by nature:

| Three Months Ended September 30, |  | Nine Months Ended September 30,
Dollars in Millions | 2022 |  | 2021 |  | 2022 |  | 2021
Net product sales | $ | 10,813 |  |  | $ | 11,243 |  |  | $ | 33,606 |  |  | $ | 33,446 |
Alliance revenues | 173 |  |  | 194 |  |  | 560 |  |  | 495 |
Other revenues | 232 |  |  | 187 |  |  | 587 |  |  | 459 |
Total Revenues | $ | 11,218 |  |  | $ | 11,624 |  |  | $ | 34,753 |  |  | $ | 34,400 |

The following table summarizes GTN adjustments:

| Three Months Ended September 30, |  | Nine Months Ended September 30,
Dollars in Millions | 2022 |  | 2021 |  | 2022 |  | 2021
Gross product sales | $ | 17,606 |  |  | $ | 17,335 |  |  | $ | 51,555 |  |  | $ | 49,676 |
GTN adjustments(a) |  |  |  |  |  |  |
Charge-backs and cash discounts | (1,907) |  |  | (1,908) |  |  | (5,420) |  |  | (5,214) |
Medicaid and Medicare rebates | (3,295) |  |  | (2,625) |  |  | (8,003) |  |  | (6,482) |
Other rebates, returns, discounts and adjustments | (1,591) |  |  | (1,559) |  |  | (4,526) |  |  | (4,534) |
Total GTN adjustments | (6,793) |  |  | (6,092) |  |  | (17,949) |  |  | (16,230) |
Net product sales | $ | 10,813 |  |  | $ | 11,243 |  |  | $ | 33,606 |  |  | $ | 33,446 |

(a) Includes adjustments for provisions for product sales made in prior periods resulting from changes in estimates of $10 million and $207 million for the three and nine months ended September 30, 2022, and $10 million and $282 million for the three and nine months ended September 30, 2021, respectively.
7

The following table summarizes the disaggregation of revenue by product and region:

| Three Months Ended September 30, |  | Nine Months Ended September 30,
Dollars in Millions | 2022 |  | 2021 |  | 2022 |  | 2021
In-Line Products |  |  |  |  |  |  |
Eliquis | $ | 2,655 |  |  | $ | 2,413 |  |  | 9,101 |  |  | 8,091 |
Opdivo | 2,047 |  |  | 1,905 |  |  | 6,033 |  |  | 5,535 |
Pomalyst/Imnovid | 886 |  |  | 851 |  |  | 2,620 |  |  | 2,478 |
Orencia | 883 |  |  | 870 |  |  | 2,551 |  |  | 2,442 |
Sprycel | 560 |  |  | 551 |  |  | 1,587 |  |  | 1,562 |
Yervoy | 523 |  |  | 515 |  |  | 1,563 |  |  | 1,481 |
Empliciti | 73 |  |  | 82 |  |  | 225 |  |  | 253 |
Mature and other products | 441 |  |  | 480 |  |  | 1,338 |  |  | 1,459 |
Total In-Line Products | 8,068 |  |  | 7,667 |  |  | 25,018 |  |  | 23,301 |
New Product Portfolio |  |  |  |  |  |  |
Reblozyl | 190 |  |  | 160 |  |  | 518 |  |  | 400 |
Abecma | 107 |  |  | 71 |  |  | 263 |  |  | 95 |
Zeposia | 69 |  |  | 40 |  |  | 171 |  |  | 86 |
Breyanzi | 44 |  |  | 30 |  |  | 127 |  |  | 47 |
Inrebic | 21 |  |  | 22 |  |  | 62 |  |  | 54 |
Onureg | 32 |  |  | 21 |  |  | 87 |  |  | 48 |
Opdualag | 84 |  |  | — |  |  | 148 |  |  | — |
Camzyos | 5 |  |  | — |  |  | 8 |  |  | — |
Sotyktu | 1 |  |  | — |  |  | 1 |  |  | — |
Total New Product Portfolio | 553 |  |  | 344 |  |  | 1,385 |  |  | 730 |
Total In-Line Products and New Product Portfolio | 8,621 |  |  | 8,011 |  |  | 26,403 |  |  | 24,031 |
Recent LOE Products(a) |  |  |  |  |  |  |
Revlimid | 2,420 |  |  | 3,347 |  |  | 7,718 |  |  | 9,493 |
Abraxane | 177 |  |  | 266 |  |  | 632 |  |  | 876 |
Total Recent LOE Products | 2,597 |  |  | 3,613 |  |  | 8,350 |  |  | 10,369 |
Total Revenues | $ | 11,218 |  |  | $ | 11,624 |  |  | $ | 34,753 |  |  | $ | 34,400 |
United States | $ | 7,941 |  |  | $ | 7,296 |  |  | $ | 23,903 |  |  | $ | 21,694 |
International | 3,062 |  |  | 4,052 |  |  | 10,216 |  |  | 12,075 |
Other(b) | 215 |  |  | 276 |  |  | 634 |  |  | 631 |
Total Revenues | $ | 11,218 |  |  | $ | 11,624 |  |  | $ | 34,753 |  |  | $ | 34,400 |

(a) Recent LOE Products include products with significant decline in revenue from the prior reporting period as a result of a loss of exclusivity.
(b) Other revenues include royalties and alliance-related revenues for products not sold by BMS’s regional commercial organizations.
Revenue recognized from performance obligations satisfied in prior periods was $119 million and $450 million for the three and nine months ended September 30, 2022 and $73 million and $463 million for the three and nine months ended September 30, 2021, respectively, consisting primarily of revised estimates for GTN adjustments related to prior period sales and royalties for out-licensing arrangements.
Note 3. ALLIANCES
BMS enters into collaboration arrangements with third parties for the development and commercialization of certain products. Although each of these arrangements is unique in nature, both parties are active participants in the operating activities of the collaboration and exposed to significant risks and rewards depending on the commercial success of the activities. BMS may either in-license intellectual property owned by the other party or out-license its intellectual property to the other party. These arrangements also typically include research, development, manufacturing, and/or commercial activities and can cover a single investigational compound or commercial product or multiple compounds and/or products in various life cycle stages. The rights and obligations of the parties can be global or limited to geographic regions. BMS refers to these collaborations as alliances and its partners as alliance partners.
8

Selected financial information pertaining to alliances was as follows, including net product sales when BMS is the principal in the third-party customer sale for products subject to the alliance. Expenses summarized below do not include all amounts attributed to the activities for the products in the alliance, but only the payments between the alliance partners or the related amortization if the payments were deferred or capitalized.

| Three Months Ended September 30, |  | Nine Months Ended September 30,
Dollars in Millions | 2022 |  | 2021 |  | 2022 |  | 2021
Revenues from alliances: |  |  |  |  |  |  |
Net product sales | $ | 2,722 |  |  | $ | 2,452 |  |  | $ | 9,234 |  |  | $ | 8,139 |
Alliance revenues | 173 |  |  | 194 |  |  | 560 |  |  | 495 |
Total Revenues | $ | 2,895 |  |  | $ | 2,646 |  |  | $ | 9,794 |  |  | $ | 8,634 |
Payments to/(from) alliance partners: |  |  |  |  |  |  |
Cost of products sold | $ | 1,328 |  |  | $ | 1,181 |  |  | $ | 4,456 |  |  | $ | 3,924 |
Marketing, selling and administrative | (53) |  |  | (43) |  |  | (160) |  |  | (140) |
Research and development | 6 |  |  | 10 |  |  | 40 |  |  | 17 |
Acquired IPRD | — |  |  | — |  |  | 100 |  |  | 736 |
Other (income)/expense, net | (18) |  |  | 1 |  |  | (41) |  |  | (18) |

Dollars in Millions | September 30, 2022 |  | December 31, 2021
Selected Alliance Balance Sheet information: |  |  |
Receivables – from alliance partners | $ | 281 |  |  | $ | 320 |
Accounts payable – to alliance partners | 1,242 |  |  | 1,229 |
Deferred income – from alliances(a) | 304 |  |  | 330 |

(a) Includes unamortized upfront and milestone payments.
The nature, purpose, significant rights and obligations of the parties and specific accounting policy elections for each of the Company's significant alliances are discussed in the 2021 Form 10-K. Significant developments and updates related to alliances during the nine months ended September 30, 2022, and 2021 are set forth below.
BridgeBio
In May 2022, BMS and BridgeBio commenced an exclusive global collaboration to develop and commercialize BBP-398, a SHP2 inhibitor, in oncology. The transaction included an upfront payment of $90 million, which was expensed to Acquired IPRD during the second quarter of 2022. BridgeBio is eligible to receive contingent development, regulatory and sales-based milestones up to $815 million, as well as royalties on global net sales, excluding certain markets. BridgeBio is responsible for funding and completing ongoing BBP-398 Phase I monotherapy and combination therapy trials. BMS will lead and fund all other development and commercial activities. BridgeBio has an option to co-develop BBP-398 and receive higher royalties in the U.S.
Nektar
In April 2022, BMS and Nektar announced that the companies have jointly decided to end the global clinical development program for bempegaldesleukin in combination with Opdivo based on results from pre-planned analyses of two late-stage clinical studies in RCC and bladder cancer. These studies and all other ongoing studies in the program are being discontinued.
Eisai
In the second quarter of 2021, BMS and Eisai commenced an exclusive global strategic collaboration for the co-development and co-commercialization of MORAb-202, a selective folate receptor alpha antibody-drug conjugate being investigated in endometrial, ovarian, lung and breast cancers. MORAb-202 is currently in Phase I/II clinical trials for solid tumors.
BMS and Eisai will jointly develop and commercialize MORAb-202 in the U.S., Canada, Europe, Japan, China and certain other countries in the Asia-Pacific region (the “collaboration territory”). Eisai is responsible for the global manufacturing and supply. Profits, research and development and commercialization costs are shared in the collaboration territories. BMS is responsible for development and commercialization outside of the collaboration territory and will pay a royalty on those sales.
A $650 million up-front collaboration fee was expensed to Acquired IPRD during the second quarter of 2021. BMS is also obligated to pay up to $2.5 billion upon the achievement of contingent development, regulatory and sales-based milestones.
9

Note 4. ACQUISITIONS, DIVESTITURES, LICENSING AND OTHER ARRANGEMENTS
Acquisitions
Turning Point
On August 17, 2022, BMS acquired Turning Point for $4.1 billion of cash (or $3.3 billion net of cash acquired). Turning Point is a clinical-stage precision oncology company with a pipeline of investigational medicines designed to target the common mutations and alterations that drive cancer growth. The acquisition provides BMS rights to Turning Point's lead asset, repotrectinib, and other clinical and pre-clinical stage assets. The transaction was accounted for as a business combination requiring all assets acquired and liabilities assumed to be recognized at their fair value as of the acquisition date.
The total consideration for the acquisition consisted of the following:

Dollars in Millions | Total Consideration
Cash consideration for outstanding shares | $ | 3,811 |
Cash consideration for equity awards | 302 |
Consideration paid | 4,113 |
Less: Unvested stock awards (a) | 153 |
Total consideration to be allocated | $ | 3,960 |

(a) Includes unvested equity awards of $73 million expensed in Marketing, selling, and administrative and $80 million expensed in Research and development during the three months ended September 30, 2022.
The purchase price allocation resulted in the following amounts being allocated to the assets acquired and liabilities assumed as of the acquisition date based upon their respective fair values summarized below:

Dollars in Millions | Purchase Price Allocation
Cash and cash equivalents | $ | 795 |
Other current assets | 14 |
Intangible assets (a) | 2,971 |
Deferred income tax assets | 229 |
Other non-current assets | 10 |
Deferred income tax liabilities | (643) |
Other current liabilities | (111) |
Identifiable net assets acquired | $ | 3,265 |
Goodwill (b) | 695 |
Total consideration allocated | $ | 3,960 |

(a) Intangible assets primarily consist of IPRD allocated to repotrectinib ($2.8 billion), a potential best-in-class tyrosine kinase inhibitor targeting the ROS1 and NTRK oncogenic drivers in NSCLC and other advanced solid tumors. Repotrectinib is currently in registrational Phase II study in adults and a Phase I/II study in pediatric patients. The estimated fair value of IPRD assets was determined using an income approach valuation method.
(b) Goodwill resulted primarily from the recognition of deferred tax liabilities and is not deductible for tax purposes.
The results of Turning Point's operations were included in the consolidated financial statements commencing August 18, 2022, and were not material. Historical financial results of the acquired entity were not significant.
Divestitures
The following table summarizes the financial impact of divestitures including royalties, which are included in Other (income)/expense, net. Revenue and pretax earnings related to all divestitures were not material in all periods presented (excluding divestiture gains or losses).

| Three Months Ended September 30,
| Net Proceeds(a) |  | Divestiture (Gains)/Losses |  | Royalty Income
Dollars in Millions | 2022 |  | 2021 |  | 2022 |  | 2021 |  | 2022 |  | 2021
Diabetes Business | $ | 205 |  |  | $ | 153 |  |  | $ | — |  |  | $ | — |  |  | $ | (205) |  |  | $ | (159) |
Mature Products and Other | 1 |  |  | 35 |  |  | — |  |  | 2 |  |  | — |  |  | (1) |
Total | $ | 206 |  |  | $ | 188 |  |  | $ | — |  |  | $ | 2 |  |  | $ | (205) |  |  | $ | (160) |

10

| Nine Months Ended September 30,
| Net Proceeds(a) |  | Divestiture (Gains)/Losses |  | Royalty Income
Dollars in Millions | 2022 |  | 2021 |  | 2022 |  | 2021 |  | 2022 |  | 2021
Diabetes Business | $ | 562 |  |  | $ | 449 |  |  | $ | — |  |  | $ | — |  |  | $ | (595) |  |  | $ | (445) |
Mature Products and Other | 229 |  |  | 121 |  |  | (211) |  |  | (9) |  |  | (2) |  |  | (2) |
Total | $ | 791 |  |  | $ | 570 |  |  | $ | (211) |  |  | $ | (9) |  |  | $ | (597) |  |  | $ | (447) |

(a) Includes royalties received subsequent to the related sale of the asset or business.
Mature Products and Other
Manufacturing Operations
In May 2022, BMS agreed to sell its manufacturing facility in Syracuse, New York to LOTTE Corporation for approximately $170 million. The transaction is expected to close during the first quarter of 2023, subject to certain regulatory approvals and other closing conditions and will be accounted for as a sale of a business. The business was accounted for as held-for-sale and its assets were reduced to the estimated relative fair value resulting in a $43 million impairment charge recorded to Cost of products sold during the second quarter of 2022. Assets and liabilities reclassified to held-for-sale and included within Other current assets and Other current liabilities were $155 million and $6 million, respectively, as of September 30, 2022.
Other
During the first quarter of 2022, product rights to several mature products were sold to Cheplapharm, resulting in cash proceeds of $221 million and a divestiture gain of $211 million.
Licensing and Other Arrangements
The following table summarizes the financial impact of Keytruda* royalties, Tecentriq* royalties and milestones for products that have not obtained commercial approval, which are included in Other (income)/expense, net.

| Three Months Ended September 30, |  | Nine Months Ended September 30,
Dollars in Millions | 2022 |  | 2021 |  | 2022 |  | 2021
Keytruda* royalties | $ | (268) |  |  | $ | (215) |  |  | $ | (732) |  |  | $ | (611) |
Tecentriq* royalties | (24) |  |  | (22) |  |  | (68) |  |  | (67) |
Contingent milestone income | — |  |  | (10) |  |  | (46) |  |  | (12) |
Amortization of deferred income | (18) |  |  | 3 |  |  | (41) |  |  | (27) |
Biohaven sublicense income | (55) |  |  | — |  |  | (55) |  |  | — |
Other royalties and licensing income | (9) |  |  | (21) |  |  | (25) |  |  | (33) |
Total | $ | (374) |  |  | $ | (265) |  |  | $ | (967) |  |  | $ | (750) |

In-license Arrangements
Immatics
During the first quarter of 2022, BMS obtained a global exclusive license to Immatics’ TCR bispecific IMA401 program. IMA401 is being studied in oncology and a Clinical Trial Application has been approved by the German federal regulatory authority. The trial commenced in May 2022. BMS and Immatics collaborate on the development and BMS will be responsible for the commercialization of IMA401 worldwide, including strategic decisions, regulatory responsibilities, funding and manufacturing. Immatics has the option to co-fund U.S. development in exchange for enhanced U.S. royalty payments and/or to co-promote IMA401 in the U.S. The transaction included an upfront payment of $150 million which was expensed to Acquired IPRD in the first quarter of 2022. Immatics is eligible to receive contingent development, regulatory and sales-based milestones of up to $770 million as well as royalties on global net sales.
11

Dragonfly
During the first quarter of 2022, a Phase I development milestone for interlukin-12 (“IL-12”) was achieved resulting in a $175 million payment to Dragonfly and an Acquired IPRD charge. The parties also amended the terms of three future milestones by requiring the achievement of certain criteria by specified dates unless BMS notifies Dragonfly that it will discontinue development of IL-12. These milestones continue to be considered substantive and contingent because the decision to proceed will be based on an assessment of clinical data prior to the specified dates.
Agenus
During the third quarter of 2021, BMS obtained a global exclusive license to Agenus’ proprietary AGEN1777 bispecific antibody program that blocks TIGIT and an additional target. AGEN1777 is being studied in oncology and a Phase I clinical trial was initiated in October 2021. BMS will be responsible for the development and any subsequent commercialization of AGEN1777 and its related products worldwide, including strategic decisions, regulatory responsibilities, funding and manufacturing. The transaction included an upfront payment of $200 million expensed to Acquired IPRD for the third quarter of 2021. Agenus is eligible to receive contingent development, regulatory and sales-based milestones up to $1.4 billion as well as royalties on global net sales.
Other
Royalty Extinguishment
In April 2022, BMS amended the terms of a license arrangement and paid a third party $295 million to extinguish a future royalty obligation related to mavacamten, prior to its FDA approval in April 2022, resulting in an Acquired IPRD charge during the second quarter of 2022.
Note 5. OTHER (INCOME)/EXPENSE, NET

| Three Months Ended September 30, |  | Nine Months Ended September 30,
Dollars in Millions | 2022 |  | 2021 |  | 2022 |  | 2021
Interest expense | $ | 299 |  |  | $ | 328 |  |  | $ | 938 |  |  | $ | 1,011 |
Royalties and licensing income | (579) |  |  | (425) |  |  | (1,564) |  |  | (1,197) |
Equity investment losses/(income) | 14 |  |  | (465) |  |  | 966 |  |  | (1,214) |
Integration expenses | 114 |  |  | 141 |  |  | 343 |  |  | 434 |
Contingent consideration | — |  |  | — |  |  | 1 |  |  | (510) |
Loss on debt redemption | — |  |  | — |  |  | 266 |  |  | 281 |
Provision for restructuring | 17 |  |  | 27 |  |  | 60 |  |  | 150 |
Litigation and other settlements | 44 |  |  | 13 |  |  | 32 |  |  | 49 |
Divestiture losses/(gains) | — |  |  | 2 |  |  | (211) |  |  | (9) |
Other | (49) |  |  | (30) |  |  | (38) |  |  | (108) |
Other (income)/expense, net | $ | (140) |  |  | $ | (409) |  |  | $ | 793 |  |  | $ | (1,113) |

Note 6. RESTRUCTURING
Celgene Acquisition Plan
In 2019, a restructuring and integration plan was implemented as an initiative to realize sustainable run rate synergies resulting from cost savings and avoidance from the Celgene acquisition that are currently expected to be approximately $3.0 billion. The synergies are expected to be realized in Cost of products sold (5%), Marketing, selling and administrative expenses (65%) and Research and development expenses (30%). Charges of approximately $3.5 billion are expected to be incurred including cash outlays of approximately $3.1 billion. Cumulative charges of approximately $3.0 billion have been recognized to date including integration planning and execution expenses, employee termination benefit costs and accelerated stock-based compensation, contract termination costs and other shutdown costs associated with site exits. The remaining charges are primarily related to IT system integration which are expected to be incurred through 2024. Employee workforce reductions were approximately 150 and 320 for the nine months ended September 30, 2022 and 2021, respectively.
12

Other Restructuring
Restructuring and integration plans were initiated to realize expected cost synergies resulting from cost savings and avoidance from the Turning Point acquisition on August 17, 2022, and the MyoKardia acquisition in 2020. Charges of approximately $250 million are expected to be incurred through the end of 2023, and consist of integration planning and execution expenses, employee termination benefit costs and other costs. Cumulative charges of $151 million have been recognized for these actions to date.
The following provides the charges related to restructuring initiatives by type of cost:

| Three Months Ended September 30, |  | Nine Months Ended September 30,
Dollars in Millions | 2022 |  | 2021 |  | 2022 |  | 2021
Celgene Acquisition Plan | $ | 102 |  |  | $ | 153 |  |  | $ | 375 |  |  | $ | 526 |
Other Restructuring | 29 |  |  | 18 |  |  | 34 |  |  | 74 |
Total charges | $ | 131 |  |  | $ | 171 |  |  | $ | 409 |  |  | $ | 600 |
Employee termination costs | $ | 16 |  |  | $ | 24 |  |  | $ | 57 |  |  | $ | 143 |
Other termination costs | 1 |  |  | 3 |  |  | 3 |  |  | 7 |
Provision for restructuring | 17 |  |  | 27 |  |  | 60 |  |  | 150 |
Integration expenses | 114 |  |  | 141 |  |  | 343 |  |  | 434 |
Accelerated depreciation | — |  |  | — |  |  | 6 |  |  | — |
Asset impairments | — |  |  | — |  |  | — |  |  | 24 |
Other shutdown costs, net | — |  |  | 3 |  |  | — |  |  | (8) |
Total charges | $ | 131 |  |  | $ | 171 |  |  | $ | 409 |  |  | $ | 600 |
Cost of products sold | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | 24 |
Marketing, selling and administrative | — |  |  | 1 |  |  | 6 |  |  | 1 |
Other (income)/expense, net | 131 |  |  | 170 |  |  | 403 |  |  | 575 |
Total charges | $ | 131 |  |  | $ | 171 |  |  | $ | 409 |  |  | $ | 600 |

The following summarizes the charges and spending related to restructuring plan activities:

| Nine Months Ended September 30,
Dollars in Millions | 2022 |  | 2021
Beginning balance | $ | 101 |  |  | $ | 148 |
Provision for restructuring(a) | 60 |  |  | 138 |
Foreign currency translation and other | (10) |  |  | (4) |
Payments | (106) |  |  | (170) |
Ending Balance | $ | 45 |  |  | $ | 112 |

(a) Includes a reduction of the liability resulting from changes in estimates of $6 million and $17 million for the nine months ended September 30, 2022 and 2021, respectively. Excludes $12 million for the nine months ended September 30, 2021 of accelerated stock-based compensation relating to the Celgene Acquisition Plan.
Note 7. INCOME TAXES

| Three Months Ended September 30, |  | Nine Months Ended September 30,
Dollars in Millions | 2022 |  | 2021 |  | 2022 |  | 2021
Earnings Before Income Taxes | $ | 2,209 |  |  | $ | 2,157 |  |  | $ | 5,854 |  |  | $ | 6,240 |
Provision for Income Taxes | 601 |  |  | 605 |  |  | 1,534 |  |  | 1,598 |
Effective Tax Rate | 27.2 | % |  | 28.0 | % |  | 26.2 | % |  | 25.6 | %

Income taxes in interim periods are determined based on the estimated annual effective tax rates and the tax impact of discrete items that are reflected immediately. The effective tax rates in 2022 and 2021 were impacted by low jurisdictional tax rates attributed to the unwinding of inventory fair value adjustments, intangible asset amortization, and contingent value rights fair value adjustments that were not taxable in 2021. Additional changes to the effective tax rate may occur in future periods due to various reasons, including changes to the estimated pretax earnings mix and tax reserves and revised interpretations or changes to the relevant tax code.
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It is reasonably possible that the amount of unrecognized tax benefits as of September 30, 2022 could decrease in the range of approximately $480 million to $530 million in the next twelve months as a result of the settlement of certain tax audits and other events. The expected change in unrecognized tax benefits may result in the payment of additional taxes, adjustment of certain deferred taxes and/or recognition of tax benefits.
BMS is currently under examination by a number of tax authorities, which have proposed or are considering proposing material adjustments to tax positions for issues such as transfer pricing, certain tax credits and the deductibility of certain expenses. As previously disclosed, BMS received several notices of proposed adjustments from the IRS related to transfer pricing and other tax positions for the 2008 to 2012 tax years. BMS disagrees with the IRS’s positions and continues to work cooperatively with the IRS to resolve these open tax audits. It is reasonably possible that new issues will be raised by tax authorities that may increase unrecognized tax benefits; however, an estimate of such increases cannot reasonably be made at this time. BMS believes that it has adequately provided for all open tax years by tax jurisdiction.
Note 8. EARNINGS PER SHARE

| Three Months Ended September 30, |  | Nine Months Ended September 30,
Dollars in Millions, Except Per Share Data | 2022 |  | 2021 |  | 2022 |  | 2021
Net Earnings Attributable to BMS Used for Basic and Diluted EPS Calculation | $ | 1,606 |  |  | $ | 1,546 |  |  | $ | 4,305 |  |  | $ | 4,622 |
Weighted-Average Common Shares Outstanding – Basic | 2,133 |  |  | 2,219 |  |  | 2,137 |  |  | 2,227 |
Incremental Shares Attributable to Share-Based Compensation Plans | 15 |  |  | 24 |  |  | 17 |  |  | 26 |
Weighted-Average Common Shares Outstanding – Diluted | 2,148 |  |  | 2,243 |  |  | 2,154 |  |  | 2,253 |
Earnings per Common Share |  |  |  |  |  |  |
Basic | $ | 0.75 |  |  | $ | 0.70 |  |  | $ | 2.01 |  |  | $ | 2.08 |
Diluted | 0.75 |  |  | 0.69 |  |  | 2.00 |  |  | 2.05 |

The total number of potential shares of common stock excluded from the diluted earnings per common share computation because of the antidilutive impact was not material for the three and nine months ended September 30, 2022 and 2021.
Note 9. FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS
Financial assets and liabilities measured at fair value on a recurring basis are summarized below:

| September 30, 2022 |  | December 31, 2021
Dollars in Millions | Level 1 |  | Level 2 |  | Level 3 |  | Level 1 |  | Level 2 |  | Level 3
Cash and cash equivalents - money market and other securities | $ | — |  |  | $ | 4,667 |  |  | $ | — |  |  | $ | — |  |  | $ | 12,225 |  |  | $ | — |
Marketable debt securities: |  |  |  |  |  |  |  |  |  |  |
Certificates of deposit | — |  |  | 1,080 |  |  | — |  |  | — |  |  | 2,264 |  |  | — |
Commercial paper | — |  |  | 168 |  |  | — |  |  | — |  |  | 320 |  |  | — |
Corporate debt securities | — |  |  | 45 |  |  | — |  |  | — |  |  | 403 |  |  | — |
Derivative assets | — |  |  | 1,058 |  |  | 8 |  |  | — |  |  | 206 |  |  | 12 |
Equity investments | 426 |  |  | 493 |  |  | — |  |  | 1,910 |  |  | 109 |  |  | — |
Derivative liabilities | — |  |  | 81 |  |  | — |  |  | — |  |  | 25 |  |  | — |
Contingent consideration liability: |  |  |  |  |  |  |  |  |  |  |
Contingent value rights | 6 |  |  | — |  |  | — |  |  | 8 |  |  | — |  |  | — |
Other acquisition related contingent consideration | — |  |  | — |  |  | 32 |  |  | — |  |  | — |  |  | 35 |

As further described in “Item 8. Financial Statements and Supplementary Data—Note 9. Financial Instruments and Fair Value Measurements” in the Company’s 2021 Form 10-K, the Company’s fair value estimates use inputs that are either (1) quoted prices for identical assets or liabilities in active markets (Level 1 inputs); (2) observable prices for similar assets or liabilities in active markets or for identical or similar assets or liabilities in markets that are not active (Level 2 inputs); or (3) unobservable inputs (Level 3 inputs). The fair value of equity investments is adjusted for characteristics specific to the security and is not adjusted for contractual sale restrictions. Equity investments subject to contractual sale restrictions were not material as of September 30, 2022 and December 31, 2021. The restrictions will expire by April 2023.
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Contingent consideration obligations are recorded at their estimated fair values and these obligations are revalued each reporting period until the related contingencies are resolved. The contingent value rights are adjusted to fair value using the traded price of the securities at the end of each reporting period. The fair value measurements for other contingent consideration liabilities are estimated using probability-weighted discounted cash flow approaches that are based on significant unobservable inputs related to product candidates acquired in business combinations and are reviewed quarterly. These inputs include, as applicable, estimated probabilities and timing of achieving specified development and regulatory milestones and the discount rate used to calculate the present value of estimated future payments. Significant changes which increase or decrease the probabilities of achieving the related development and regulatory events or shorten or lengthen the time required to achieve such events would result in corresponding increases or decreases in the fair values of these obligations.
Marketable Debt Securities and Equity Investments
The following table summarizes marketable debt securities:

| September 30, 2022 |  | December 31, 2021
Dollars in Millions | Amortized Cost |  | Gross Unrealized |  |  |  | Amortized Cost |  | Gross Unrealized |  |
| Gains |  | Losses |  | Fair Value |  |  | Gains |  | Losses |  | Fair Value
Certificates of deposit | $ | 1,080 |  |  | $ | — |  |  | $ | — |  |  | $ | 1,080 |  |  | $ | 2,264 |  |  | $ | — |  |  | $ | — |  |  | $ | 2,264 |
Commercial paper | 168 |  |  | — |  |  | — |  |  | 168 |  |  | 320 |  |  | — |  |  | — |  |  | 320 |
Corporate debt securities | 45 |  |  | — |  |  | — |  |  | 45 |  |  | 401 |  |  | 2 |  |  | — |  |  | 403 |
Total marketable debt securities(a) | $ | 1,293 |  |  | $ | — |  |  | $ | — |  |  | $ | 1,293 |  |  | $ | 2,985 |  |  | $ | 2 |  |  | $ | — |  |  | $ | 2,987 |

(a) All marketable debt securities mature within one year as of September 30, 2022, and December 31, 2021.
The following summarizes the carrying amount of equity investments:

Dollars in Millions | September 30, 2022 |  | December 31, 2021
Equity investments with readily determinable fair values | $ | 919 |  |  | $ | 2,019 |
Equity investments without readily determinable fair values | 505 |  |  | 283 |
Limited partnerships and other equity method investments | 535 |  |  | 666 |
Total equity investments | $ | 1,959 |  |  | $ | 2,968 |

The following summarizes the activity related to equity investments. Changes in fair value of equity investments are included in Other (income)/expense, net.

| Three Months Ended September 30, |  | Nine Months Ended September 30,
Dollars in Millions | 2022 |  | 2021 |  | 2022 |  | 2021
Equity investments with readily determined fair values(a) |  |  |  |  |  |  |
Net loss/(gain) recognized | $ | 75 |  |  | $ | 22 |  |  | $ | 927 |  |  | $ | (93) |
Net (gain)/loss recognized on investments sold | (1) |  |  | 3 |  |  | (17) |  |  | 5 |
Net unrealized loss/(gain) recognized on investments still held | 76 |  |  | 19 |  |  | 944 |  |  | (98) |
Equity investments without readily determinable fair values |  |  |  |  |  |  |
Upward adjustments | (64) |  |  | (447) |  |  | (70) |  |  | (908) |
Impairments and downward adjustments | — |  |  | — |  |  | 2 |  |  | 1 |
Cumulative upward adjustments |  |  |  |  | (173) |  |  |
Cumulative impairments and downward adjustments |  |  |  |  | 52 |  |  |
Equity in net loss/(income) of affiliates | 3 |  |  | (40) |  |  | 107 |  |  | (214) |

(a) Certain prior year amounts have been reclassified to conform to the current year's presentation.
Qualifying Hedges and Non-Qualifying Derivatives
Cash Flow Hedges — Foreign currency forward contracts are used to hedge certain forecasted intercompany inventory purchases and sales transactions and certain foreign currency transactions. The fair value for contracts designated as cash flow hedges is temporarily reported in Accumulated other comprehensive loss and included in earnings when the hedged item affects earnings. The net gain or loss on foreign currency forward contracts is expected to be reclassified to net earnings (primarily included in Cost of products sold) within the next 24 months. The notional amount of outstanding foreign currency forward contracts was primarily attributed to the euro of $5.1 billion and Japanese yen of $1.4 billion as of September 30, 2022.
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During the three months ended September 30, 2022, BMS entered into cross-currency interest rate swap contracts to hedge exposure to foreign currency exchange rate risk associated with its long-term debt denominated in euros. These contracts convert interest payments and principal repayment of the long-term debt to U.S. dollars from euros and are designated as cash flow hedges. The unrealized gains and losses on these contracts are reported in Accumulated other comprehensive loss and reclassified to Other (income)/expense, net, in the same periods during which the hedged debt affects earnings. The notional amount of cross-currency interest rate swap contracts was €575 million ($584 million) as of September 30, 2022.
Cash flow hedge accounting is discontinued when the forecasted transaction is no longer probable of occurring within 60 days after the originally forecasted date or when the hedge is no longer effective. Assessments to determine whether derivatives designated as qualifying hedges are highly effective in offsetting changes in the cash flows of hedged items are performed at inception and on a quarterly basis. The earnings impact related to discontinued cash flow hedges and hedge ineffectiveness was not material during all periods presented. Foreign currency forward contracts not designated as hedging instruments are used to offset exposures in certain foreign currency denominated assets, liabilities and earnings. Changes in the fair value of these derivatives are recognized in earnings as they occur.
Net Investment Hedges — Non-U.S. dollar borrowings of €375 million ($368 million) as of September 30, 2022, are designated as net investment hedges to hedge euro currency exposures of the net investment in certain foreign affiliates and are recognized in long-term debt. The effective portion of foreign exchange gain on the remeasurement of euro debt was included in the foreign currency translation component of Accumulated other comprehensive loss with the related offset in long-term debt.
Cross-currency interest rate swap contracts of $1.4 billion as of September 30, 2022, are designated to hedge certain currency exposures of BMS’s net investment in its foreign subsidiaries. Contract fair value changes are recorded in the foreign currency translation component of Accumulated other comprehensive loss with a related offset in Other current and Other non-current assets or Other current and Other non-current liabilities. The notional amount of outstanding cross-currency interest rate swaps was primarily attributed to the Japanese yen of $686 million and euro of $584 million as of September 30, 2022.
Fair Value Hedges — Fixed to floating interest rate swap contracts are designated as fair value hedges and used as an interest rate risk management strategy to create an appropriate balance of fixed and floating rate debt. The contracts and underlying debt for the hedged benchmark risk are recorded at fair value. The effective interest rate for the contracts is one-month LIBOR (3.14% as of September 30, 2022) plus an interest rate spread of 4.6%. Gains or losses resulting from changes in fair value of the underlying debt attributable to the hedged benchmark interest rate risk are recorded in interest expense with an associated offset to the carrying value of debt. Since the specific terms and notional amount of the swap are intended to align with the debt being hedged, all changes in fair value of the swap are recorded in interest expense with an associated offset to the derivative asset or liability on the consolidated balance sheet. As a result, there was no net impact in earnings. If the underlying swap is terminated prior to maturity, then the fair value adjustment to the underlying debt is amortized as a reduction to interest expense over the remaining term of the debt.
The following table summarizes the fair value of outstanding derivatives:

| September 30, 2022 |  | December 31, 2021
| Asset(a) |  | Liability(b) |  | Asset(a) |  | Liability(b)
Dollars in Millions | Notional |  | Fair Value |  | Notional |  | Fair Value |  | Notional |  | Fair Value |  | Notional |  | Fair Value
Derivatives designated as hedging instruments: |  |  |  |  |  |  |  |  |  |  |  |  |  |
Interest rate swap contracts | $ | — |  |  | $ | — |  |  | $ | 255 |  |  | $ | (19) |  |  | $ | 255 |  |  | $ | 10 |  |  | $ | — |  |  | $ | — |
Cross-currency interest rate swap contracts | 1,411 |  |  | 136 |  |  | 584 |  |  | (43) |  |  | 600 |  |  | 26 |  |  | — |  |  | — |
Foreign currency forward contracts | 7,978 |  |  | 882 |  |  | 145 |  |  | (8) |  |  | 3,587 |  |  | 161 |  |  | 1,814 |  |  | (20) |
Derivatives not designated as hedging instruments: |  |  |  |  |  |  |  |  |  |  |  |  |  |
Foreign currency forward contracts | 1,628 |  |  | 40 |  |  | 561 |  |  | (11) |  |  | 883 |  |  | 9 |  |  | 568 |  |  | (5) |
Other | — |  |  | 8 |  |  | — |  |  | — |  |  | — |  |  | 12 |  |  | — |  |  | — |

(a) Included in Other current assets and Other non-current assets.
(b) Included in Other current liabilities and Other non-current liabilities.
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The following table summarizes the financial statement classification and amount of (gain)/loss recognized on hedging instruments:

| Three Months Ended September 30, 2022 |  | Nine Months Ended September 30, 2022
Dollars in Millions | Cost of products sold |  | Other (income)/expense, net |  | Cost of products sold |  | Other (income)/expense, net
Interest rate swap contracts | $ | — |  |  | $ | (5) |  |  | $ | — |  |  | $ | (23) |
Cross-currency interest rate swap contracts | — |  |  | 13 |  |  | — |  |  | 5 |
Foreign currency forward contracts | (195) |  |  | (61) |  |  | (408) |  |  | (136) |

| Three Months Ended September 30, 2021 |  | Nine Months Ended September 30, 2021
Dollars in Millions | Cost of products sold |  | Other (income)/expense, net |  | Cost of products sold |  | Other (income)/expense, net
Interest rate swap contracts | $ | — |  |  | $ | (7) |  |  | $ | — |  |  | $ | (22) |
Cross-currency interest rate swap contracts | — |  |  | (2) |  |  | — |  |  | (8) |
Foreign currency forward contracts | 19 |  |  | 2 |  |  | 145 |  |  | (14) |

The following table summarizes the effect of derivative and non-derivative instruments designated as hedging instruments in Other Comprehensive Income:

| Three Months Ended September 30, |  | Nine Months Ended September 30,
Dollars in Millions | 2022 |  | 2021 |  | 2022 |  | 2021
Derivatives qualifying as cash flow hedges |  |  |  |  |  |  |
Foreign currency forward contracts gain/(loss): |  |  |  |  |  |  |
Recognized in Other Comprehensive Income(a) | $ | 548 |  |  | $ | 93 |  |  | $ | 1,149 |  |  | $ | 314 |
Reclassified to Cost of products sold | (195) |  |  | 37 |  |  | (408) |  |  | 126 |
Cross-currency interest rate swap contracts gain/(loss): |  |  |  |  |  |  |
Recognized in Other Comprehensive Income | (43) |  |  | — |  |  | (43) |  |  | — |
Reclassified to Other (income)/expense, net | 20 |  |  | — |  |  | 20 |  |  | — |
Forward starting interest rate swap contract loss: |  |  |  |  |  |  |
Reclassified to Other (income)/expense, net | — |  |  | — |  |  | (3) |  |  | — |
Derivatives qualifying as net investment hedges |  |  |  |  |  |  |
Cross-currency interest rate swap contracts gain: |  |  |  |  |  |  |
Recognized in Other Comprehensive Income | 71 |  |  | — |  |  | 135 |  |  | 26 |
Non-derivatives qualifying as net investment hedges |  |  |  |  |  |  |
Non-U.S. dollar borrowings gain: |  |  |  |  |  |  |
Recognized in Other Comprehensive Income | 40 |  |  | 20 |  |  | 123 |  |  | 45 |

(a) The majority is expected to be reclassified into earnings in the next 24 months.
Debt Obligations
Short-term debt obligations include:

Dollars in Millions | September 30, 2022 |  | December 31, 2021
Non-U.S. short-term borrowings | $ | 107 |  |  | $ | 105 |
Current portion of long-term debt | 1,903 |  |  | 4,764 |
Other | 122 |  |  | 79 |
Total | $ | 2,132 |  |  | $ | 4,948 |

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Long-term debt and the current portion of long-term debt include:

Dollars in Millions | September 30, 2022 |  | December 31, 2021
Principal Value | $ | 38,137 |  |  | $ | 43,095 |
Adjustments to Principal Value: |  |  |
Fair value of interest rate swap contracts | (19) |  |  | 10 |
Unamortized basis adjustment from swap terminations | 101 |  |  | 119 |
Unamortized bond discounts and issuance costs | (290) |  |  | (263) |
Unamortized purchase price adjustments of Celgene debt | 940 |  |  | 1,408 |
Total | $ | 38,869 |  |  | $ | 44,369 |
Current portion of long-term debt | $ | 1,903 |  |  | $ | 4,764 |
Long-term debt | 36,966 |  |  | 39,605 |
Total | $ | 38,869 |  |  | $ | 44,369 |

The fair value of long-term debt was $34.3 billion as of September 30, 2022 and $49.1 billion at December 31, 2021 valued using Level 2 inputs, which are based upon the quoted market prices for the same or similar debt instruments. The fair value of short-term borrowings approximates the carrying value due to the short maturities of the debt instruments.
During the nine months ended September 30 2022, BMS purchased an aggregate principal amount of $6.0 billion of certain of its debt securities for $6.6 billion of cash in tender offers and “make whole” redemptions. In connection with these transactions, a $266 million net loss on debt redemption was recognized based on the carrying value of the debt and included in Other (income)/expense, net.
During the nine months ended September 30, 2022, $4.75 billion of debt matured and was repaid including $1.5 billion 2.600% Notes, $500 million Floating Rate Notes, $750 million 2.000% Notes, $1.0 billion 3.250% Notes and $1.0 billion 3.550% Notes.
During the nine months ended September 30, 2022, we issued an aggregate principal amount of $6.0 billion of debt with net proceeds of $5.9 billion. The table below summarizes the issuances:

Dollars in Millions |
Principal Value: |
2.950% Notes due 2032 | $ | 1,750 |
3.550% Notes due 2042 | 1,250 |
3.700% Notes due 2052 | 2,000 |
3.900% Notes due 2062 | 1,000 |
Total | $ | 6,000 |

The notes rank equally in right of payment with all of BMS's existing and future senior unsecured indebtedness and are redeemable at any time, in whole, or in part, at varying specified redemption prices plus accrued and unpaid interest.
During the nine months ended September 30, 2021, BMS purchased an aggregate principal amount of $3.5 billion of certain of its debt securities for approximately $4.0 billion of cash in a series of tender offers and “make whole” redemptions. In connection with these transactions, a $281 million loss on debt redemption was recognized based on the carrying value of the debt and included in Other (income)/expense, net.
During the nine months ended September 30, 2021, $2.0 billion of debt matured and was repaid including $500 million 2.875% Notes, $1.0 billion 2.550% Notes and $500 million 2.250% Notes.
Interest payments were $1.1 billion and $1.2 billion for the nine months ended September 30, 2022 and 2021, respectively, net of amounts related to interest rate swap contracts.
Credit Facilities
As of December 31, 2021, BMS had four separate revolving credit facilities totaling $6.0 billion, which consisted of a 364-day $2.0 billion facility which expired in January 2022, a three-year $1.0 billion facility which expired in January 2022 and two five-year $1.5 billion facilities that were extended to September 2025 and July 2026, respectively.
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In January 2022, BMS entered into a five-year $5.0 billion facility expiring in January 2027, which is extendable annually by one year with the consent of the lenders. This facility provides for customary terms and conditions with no financial covenants and may be used to provide backup liquidity for our commercial paper borrowings. Concurrently with the entry into this facility, the commitments under our existing five-year $1.5 billion facilities were terminated and the three-year $1.0 billion facility and 364-day $2.0 billion facility expired in accordance with their terms in January 2022. No borrowings were outstanding under any revolving credit facility as of September 30, 2022 or December 31, 2021.
Note 10. RECEIVABLES

Dollars in Millions | September 30, 2022 |  | December 31, 2021
Trade receivables | $ | 8,644 |  |  | $ | 8,723 |
Less: Charge-backs and cash discounts | (599) |  |  | (723) |
Less: Allowance for expected credit loss | (24) |  |  | (21) |
Net trade receivables | 8,021 |  |  | 7,979 |
Alliance, Royalties, VAT and other | 1,592 |  |  | 1,390 |
Receivables | $ | 9,613 |  |  | $ | 9,369 |

Non-U.S. receivables sold on a nonrecourse basis were $809 million and $1.1 billion for the nine months ended September 30, 2022 and 2021, respectively. Receivables from the three largest customers in the U.S. represented approximately 67% and 59% of total trade receivables as of September 30, 2022 and December 31, 2021, respectively.
Note 11. INVENTORIES

Dollars in Millions | September 30, 2022 |  | December 31, 2021
Finished goods | $ | 357 |  |  | $ | 543 |
Work in process | 1,870 |  |  | 2,111 |
Raw and packaging materials | 446 |  |  | 350 |
Total inventories | $ | 2,673 |  |  | $ | 3,004 |
Inventories | $ | 2,074 |  |  | $ | 2,095 |
Other non-current assets | 599 |  |  | 909 |

The fair value adjustments related to the Celgene acquisition were $137 million as of September 30, 2022 and $508 million at December 31, 2021. Other non-current assets include inventory expected to remain on hand beyond 12 months in both periods.
Note 12. PROPERTY, PLANT AND EQUIPMENT

Dollars in Millions | September 30, 2022 |  | December 31, 2021
Land | $ | 162 |  |  | $ | 169 |
Buildings | 5,749 |  |  | 5,897 |
Machinery, equipment and fixtures | 3,290 |  |  | 3,252 |
Construction in progress | 973 |  |  | 764 |
Gross property, plant and equipment | 10,174 |  |  | 10,082 |
Less accumulated depreciation | (4,139) |  |  | (4,033) |
Property, plant and equipment | $ | 6,035 |  |  | $ | 6,049 |

Depreciation expense was $148 million and $434 million for the three and nine months ended September 30, 2022 and $144 million and $422 million for the three and nine months ended September 30, 2021, respectively.
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Note 13. GOODWILL AND OTHER INTANGIBLE ASSETS

Dollars in Millions | Estimated Useful Lives |  | September 30, 2022 |  | December 31, 2021
Goodwill(a) |  |  | $ | 21,112 |  |  | $ | 20,502 |
Other intangible assets(a): |  |  |  |  |
Licenses | 5 – 15 years |  | 370 |  |  | 307 |
Acquired marketed product rights | 3 – 15 years |  | 60,477 |  |  | 60,454 |
Capitalized software | 3 – 10 years |  | 1,613 |  |  | 1,499 |
IPRD |  |  | 6,560 |  |  | 3,750 |
Gross other intangible assets |  |  | 69,020 |  |  | 66,010 |
Less accumulated amortization |  |  | (30,841) |  |  | (23,483) |
Other intangible assets |  |  | $ | 38,179 |  |  | $ | 42,527 |

(a) Includes goodwill and other intangible assets recognized as part of the Turning Point acquisition in 2022. Refer to “—Note 4. Acquisitions, Divestitures, Licensing and Other Arrangements” for further information related to the Turning Point acquisition.
Amortization expense of other intangible assets was $2.5 billion and $7.4 billion for the three and nine months ended September 30, 2022 and $2.6 billion and $7.7 billion for the three and nine months ended September 30, 2021, respectively.
In the third quarter of 2022, a $58 million IPRD impairment charge was recorded in Research and development expense resulting from a decision to discontinue development of an investigational compound in connection with the prioritization of current pipeline opportunities. The compound was obtained in the acquisition of Turning Point and was being studied as a potential treatment of advanced or metastatic solid tumors in adults. The charge represented a full write-down.
In the first quarter of 2022, a $40 million IPRD impairment charge was recorded in Research and development expense resulting from a decision to discontinue development of an investigational compound in connection with the prioritization of current pipeline opportunities. The compound was obtained in the acquisition of Celgene and was being studied as a potential treatment for autoimmune diseases. The charge represented a full write-down.
In the third quarter of 2021, a $610 million IPRD impairment charge for an investigational compound was recorded in Research and development expense primarily resulting from changes in clinical timelines, expected launch dates and competitive landscape. The compound was being studied as a potential treatment for hematologic diseases and was acquired in the acquisition of Celgene. The charge represented a partial write-down of its carrying value based on the estimated fair value determined using discounted cash flow projections.
In the second quarter of 2021, a $230 million IPRD impairment charge was recorded in Research and development expense resulting from a decision to discontinue development of an investigational compound in connection with the prioritization of current pipeline opportunities. The compound was being studied as a potential treatment for fibrotic diseases and was acquired in the acquisition of Celgene. The charge represented a full write-down based on the estimated fair value determined using discounted cash flow projections.
In the first of quarter of 2021, Inrebic EU regulatory approval milestones of $300 million were achieved resulting in a $385 million increase to the acquired marketed product rights intangible asset, after establishing the applicable deferred tax liability. An impairment charge of $315 million was recognized in Cost of products sold as the carrying value of this asset exceeded the projected undiscounted cash flows of the asset. The charge was equal to the excess of the asset's carrying value over its estimated fair value using discounted cash flow projections.
Note 14. SUPPLEMENTAL FINANCIAL INFORMATION

Dollars in Millions | September 30, 2022 |  | December 31, 2021
Income taxes | $ | 3,181 |  |  | $ | 2,786 |
Research and development | 627 |  |  | 514 |
Contract assets | 446 |  |  | 361 |
Equity investments | — |  |  | 255 |
Restricted cash(a) | 164 |  |  | 140 |
Other | 1,664 |  |  | 776 |
Other current assets | $ | 6,082 |  |  | $ | 4,832 |

20

Dollars in Millions | September 30, 2022 |  | December 31, 2021
Equity investments | $ | 1,959 |  |  | $ | 2,713 |
Inventories | 599 |  |  | 909 |
Operating leases | 883 |  |  | 919 |
Pension and postretirement | 301 |  |  | 317 |
Research and development | 547 |  |  | 248 |
Restricted cash(a) | 59 |  |  | 197 |
Other | 397 |  |  | 232 |
Other non-current assets | $ | 4,745 |  |  | $ | 5,535 |

(a) Restricted cash primarily consists of funds restricted for annual Company contributions to the defined contribution plan in the U.S. and escrow for litigation settlements. Cash is restricted when withdrawal or general use is contractually or legally restricted. Restricted cash of $339 million as of September 30, 2021, was included in cash, cash equivalents and restricted cash in the consolidated statements of cash flows.

Dollars in Millions | September 30, 2022 |  | December 31, 2021
Rebates and discounts | $ | 6,839 |  |  | $ | 6,399 |
Income taxes | 1,287 |  |  | 754 |
Employee compensation and benefits | 1,008 |  |  | 1,375 |
Research and development | 1,296 |  |  | 1,373 |
Dividends | 1,148 |  |  | 1,186 |
Interest | 311 |  |  | 378 |
Royalties | 385 |  |  | 410 |
Operating leases | 167 |  |  | 169 |
Other | 1,762 |  |  | 1,927 |
Other current liabilities | $ | 14,203 |  |  | $ | 13,971 |

Dollars in Millions | September 30, 2022 |  | December 31, 2021
Income taxes | $ | 4,398 |  |  | $ | 4,835 |
Pension and postretirement | 553 |  |  | 654 |
Operating leases | 845 |  |  | 874 |
Deferred income | 296 |  |  | 326 |
Deferred compensation | 337 |  |  | 427 |
Other | 256 |  |  | 218 |
Other non-current liabilities | $ | 6,685 |  |  | $ | 7,334 |

21

Note 15. EQUITY
The following table summarizes changes in equity for the nine months ended September 30, 2022:

| Common Stock |  | Capital in Excess of Par Value of Stock |  | Accumulated Other Comprehensive Loss |  | Retained Earnings |  | Treasury Stock |  | Noncontrolling Interest
Dollars and Shares in Millions | Shares |  | Par Value |  | Shares |  | Cost |
Balance at December 31, 2021 | 2,923 |  |  | $ | 292 |  |  | $ | 44,361 |  |  | $ | (1,268) |  |  | $ | 23,820 |  |  | 747 |  |  | $ | (31,259) |  |  | $ | 60 |
Net Earnings | — |  |  | — |  |  | — |  |  | — |  |  | 1,278 |  |  | — |  |  | — |  |  | 5 |
Other Comprehensive Income | — |  |  | — |  |  | — |  |  | 39 |  |  | — |  |  | — |  |  | — |  |  | — |
Cash dividends declared(a) | — |  |  | — |  |  | — |  |  | — |  |  | (1,150) |  |  | — |  |  | — |  |  | — |
Share repurchase program | — |  |  | — |  |  | (750) |  |  | — |  |  | — |  |  | 65 |  |  | (4,250) |  |  | — |
Stock compensation | — |  |  | — |  |  | 145 |  |  | — |  |  | — |  |  | (18) |  |  | 322 |  |  | — |
Balance at March 31, 2022 | 2,923 |  |  | $ | 292 |  |  | $ | 43,756 |  |  | $ | (1,229) |  |  | $ | 23,948 |  |  | 794 |  |  | $ | (35,187) |  |  | $ | 65 |
Net Earnings | — |  |  | — |  |  | — |  |  | — |  |  | 1,421 |  |  | — |  |  | — |  |  | 8 |
Other Comprehensive Income | — |  |  | — |  |  | — |  |  | 237 |  |  | — |  |  | — |  |  | — |  |  | — |
Cash dividends declared(a) | — |  |  | — |  |  | — |  |  | — |  |  | (1,152) |  |  | — |  |  | — |  |  | — |
Share repurchase program | — |  |  | — |  |  | 300 |  |  | — |  |  | — |  |  | 2 |  |  | (300) |  |  | — |
Stock compensation | — |  |  | — |  |  | 319 |  |  | — |  |  | — |  |  | (8) |  |  | 195 |  |  | — |
Distributions | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | (12) |
Balance at June 30, 2022 | 2,923 |  |  | 292 |  |  | 44,375 |  |  | (992) |  |  | 24,217 |  |  | 788 |  |  | (35,292) |  |  | 61 |
Net Earnings | — |  |  | — |  |  | — |  |  | — |  |  | 1,606 |  |  | — |  |  | — |  |  | 2 |
Other Comprehensive Income | — |  |  | — |  |  | — |  |  | 151 |  |  | — |  |  | — |  |  | — |  |  | — |
Cash dividends declared(a) | — |  |  | — |  |  | — |  |  | — |  |  | (1,148) |  |  | — |  |  | — |  |  | — |
Stock repurchase program | — |  |  | — |  |  | 450 |  |  | — |  |  | — |  |  | 12 |  |  | (1,151) |  |  | — |
Stock compensation | — |  |  | — |  |  | 131 |  |  | — |  |  | — |  |  | (1) |  |  | 32 |  |  | — |
Balance at September 30, 2022 | 2,923 |  |  | $ | 292 |  |  | $ | 44,956 |  |  | $ | (841) |  |  | $ | 24,675 |  |  | 799 |  |  | $ | (36,411) |  |  | $ | 63 |

(a) Cash dividends declared per common share were $0.54 for the three months ended March 31, 2022, June 30, 2022 and September 30, 2022, respectively.
The following table summarizes changes in equity for the nine months ended September 30, 2021:

| Common Stock |  | Capital in Excess of Par Value of Stock |  | Accumulated Other Comprehensive Loss |  | Retained Earnings |  | Treasury Stock |  | Noncontrolling Interest
Dollars and Shares in Millions | Shares |  | Par Value |  | Shares |  | Cost |
Balance at December 31, 2020 | 2,923 |  |  | $ | 292 |  |  | $ | 44,325 |  |  | $ | (1,839) |  |  | $ | 21,281 |  |  | 679 |  |  | $ | (26,237) |  |  | $ | 60 |
Net Earnings | — |  |  | — |  |  | — |  |  | — |  |  | 2,021 |  |  | — |  |  | — |  |  | 8 |
Other Comprehensive Income | — |  |  | — |  |  | — |  |  | 295 |  |  | — |  |  | — |  |  | — |  |  | — |
Cash dividends declared(a) | — |  |  | — |  |  | — |  |  | — |  |  | (1,098) |  |  | — |  |  | — |  |  | — |
Share repurchase program | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | 28 |  |  | (1,768) |  |  | — |
Stock compensation | — |  |  | — |  |  | (473) |  |  | — |  |  | — |  |  | (15) |  |  | 806 |  |  | — |
Balance at March 31, 2021 | 2,923 |  |  | $ | 292 |  |  | $ | 43,852 |  |  | $ | (1,544) |  |  | $ | 22,204 |  |  | 692 |  |  | $ | (27,199) |  |  | $ | 68 |
Net Earnings | — |  |  | — |  |  | — |  |  | — |  |  | 1,055 |  |  | — |  |  | — |  |  | 6 |
Other Comprehensive Loss | — |  |  | — |  |  | — |  |  | 26 |  |  | — |  |  | — |  |  | — |  |  | — |
Cash dividends declared(a) | — |  |  | — |  |  | — |  |  | — |  |  | (1,091) |  |  | — |  |  | — |  |  | — |
Stock repurchase program | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | 19 |  |  | (1,235) |  |  | — |
Stock compensation | — |  |  | — |  |  | 212 |  |  | — |  |  | — |  |  | (10) |  |  | 236 |  |  | — |
Distributions | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | (8) |
Balance at June 30, 2021 | 2,923 |  |  | 292 |  |  | 44,064 |  |  | (1,518) |  |  | 22,168 |  |  | 701 |  |  | (28,198) |  |  | 66 |
Net Earnings | — |  |  | — |  |  | — |  |  | — |  |  | 1,546 |  |  | — |  |  | — |  |  | 5 |
Other Comprehensive Loss | — |  |  | — |  |  | — |  |  | 94 |  |  | — |  |  | — |  |  | — |  |  | — |
Cash dividends declared(a) | — |  |  | — |  |  | — |  |  | — |  |  | (1,089) |  |  | — |  |  | — |  |  | — |
Stock repurchase program | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | 7 |  |  | (487) |  |  | — |
Stock compensation | — |  |  | — |  |  | 228 |  |  | — |  |  | — |  |  | (5) |  |  | 113 |  |  | — |
Balance at September 30, 2021 | 2,923 |  |  | $ | 292 |  |  | $ | 44,292 |  |  | $ | (1,424) |  |  | $ | 22,625 |  |  | 703 |  |  | $ | (28,572) |  |  | $ | 71 |

(a) Cash dividends declared per common share were $0.49 for the three months ended March 31, 2021, June 30, 2021 and September 30, 2021, respectively.
22

BMS has a share repurchase program, authorized by its Board of Directors, allowing for repurchases of its shares. The share repurchase program does not obligate us to repurchase any specific number of shares, does not have a specific expiration date and may be suspended or discontinued at any time. Treasury stock is recognized at the cost to reacquire the shares. Shares issued from treasury are recognized utilizing the first-in first-out method. The outstanding share repurchase authorization under the program was approximately $15.2 billion as of December 31, 2021.
During the first quarter of 2022, BMS entered into accelerated share repurchase ("ASR") agreements to repurchase an aggregate amount of $5.0 billion of the Company's common stock. The ASR agreements were funded with cash on-hand. In the first quarter of 2022 approximately 65 million shares of common stock (85% of the $5.0 billion aggregate repurchase price) were received by BMS and included in treasury stock. The remaining amounts in the ASR agreements were settled in two tranches during the second and third quarters and 4 million shares of common stock were received by BMS and transferred to treasury stock. The total number of shares repurchased under the ASR agreements was based on volume-weighted average prices of BMS's common stock during the terms of the ASR transactions less a discount and subject to adjustments pursuant to the terms and conditions of the ASR agreements. In addition, as part of its share repurchase program, BMS repurchased approximately 10 million shares of its common stock for $701 million during the three months ended September 30, 2022. The outstanding share repurchase authorization under the program was approximately $9.5 billion as of September 30, 2022.
23

The components of Other Comprehensive Income were as follows:

| 2022 |  | 2021
Dollars in Millions | Pretax |  | Tax |  | After Tax |  | Pretax |  | Tax |  | After Tax
Three Months Ended September 30, |  |  |  |  |  |  |  |  |  |  |
Derivatives qualifying as cash flow hedges: |  |  |  |  |  |  |  |  |  |  |
Unrealized gains/(losses) | $ | 505 |  |  | $ | (66) |  |  | $ | 439 |  |  | $ | 93 |  |  | $ | (13) |  |  | $ | 80 |
Reclassified to net earnings(a) | (175) |  |  | 22 |  |  | (153) |  |  | 37 |  |  | (4) |  |  | 33 |
Derivatives qualifying as cash flow hedges | 330 |  |  | (44) |  |  | 286 |  |  | 130 |  |  | (17) |  |  | 113 |
Pension and postretirement benefits: |  |  |  |  |  |  |  |  |  |  |
Actuarial gains/(losses) | 14 |  |  | (4) |  |  | 10 |  |  | (4) |  |  | 1 |  |  | (3) |
Amortization(b) | 7 |  |  | (1) |  |  | 6 |  |  | 10 |  |  | (2) |  |  | 8 |
Settlements(b) | 2 |  |  | — |  |  | 2 |  |  | 2 |  |  | — |  |  | 2 |
Pension and postretirement benefits | 23 |  |  | (5) |  |  | 18 |  |  | 8 |  |  | (1) |  |  | 7 |
Marketable debt securities: |  |  |  |  |  |  |  |  |  |  |
Unrealized (losses)/gains | — |  |  | — |  |  | — |  |  | (3) |  |  | — |  |  | (3) |
Foreign currency translation | (131) |  |  | (22) |  |  | (153) |  |  | (18) |  |  | (5) |  |  | (23) |
Other Comprehensive Income | $ | 222 |  |  | $ | (71) |  |  | $ | 151 |  |  | $ | 117 |  |  | $ | (23) |  |  | $ | 94 |

(a)Included in Cost of products sold and Other (income)/expense, net. Refer to “—Note 9.Financial Instruments and Fair Value Measurements“ for further information.
(b)Included in Other (income)/expense, net.

| 2022 |  | 2021
Dollars in Millions | Pretax |  | Tax |  | After Tax |  | Pretax |  | Tax |  | After Tax
Nine Months Ended September 30, |  |  |  |  |  |  |  |  |  |  |
Derivatives qualifying as cash flow hedges: |  |  |  |  |  |  |  |  |  |  |
Unrealized (losses)/gains | $ | 1,106 |  |  | $ | (147) |  |  | $ | 959 |  |  | $ | 314 |  |  | $ | (27) |  |  | $ | 287 |
Reclassified to net earnings(a) | (391) |  |  | 50 |  |  | (341) |  |  | 126 |  |  | (14) |  |  | 112 |
Derivatives qualifying as cash flow hedges | 715 |  |  | (97) |  |  | 618 |  |  | 440 |  |  | (41) |  |  | 399 |
Pension and postretirement benefits: |  |  |  |  |  |  |  |  |  |  |
Actuarial gains/(losses) | 54 |  |  | (11) |  |  | 43 |  |  | 18 |  |  | (2) |  |  | 16 |
Amortization(b) | 19 |  |  | (4) |  |  | 15 |  |  | 29 |  |  | (7) |  |  | 22 |
Settlements(b) | 7 |  |  | (1) |  |  | 6 |  |  | 8 |  |  | (1) |  |  | 7 |
Pension and postretirement benefits | 80 |  |  | (16) |  |  | 64 |  |  | 55 |  |  | (10) |  |  | 45 |
Marketable debt securities: |  |  |  |  |  |  |  |  |  |  |
Unrealized (losses)/gains | (2) |  |  | — |  |  | (2) |  |  | (9) |  |  | 2 |  |  | (7) |
Foreign currency translation | (201) |  |  | (52) |  |  | (253) |  |  | (6) |  |  | (16) |  |  | (22) |
Other Comprehensive Income | $ | 592 |  |  | $ | (165) |  |  | $ | 427 |  |  | $ | 480 |  |  | $ | (65) |  |  | $ | 415 |

(a)Included in Cost of products sold and Other (income)/expense, net. Refer to “—Note 9.Financial Instruments and Fair Value Measurements“ for further information.
(b)Included in Other (income)/expense, net.
The accumulated balances related to each component of Other Comprehensive Income, net of taxes, were as follows:

Dollars in Millions | September 30, 2022 |  | December 31, 2021
Derivatives qualifying as cash flow hedges | $ | 796 |  |  | $ | 178 |
Pension and postretirement benefits | (704) |  |  | (768) |
Marketable debt securities | — |  |  | 2 |
Foreign currency translation | (933) |  |  | (680) |
Accumulated other comprehensive loss | $ | (841) |  |  | $ | (1,268) |

24

Note 16. EMPLOYEE STOCK BENEFIT PLANS
Stock-based compensation expense was as follows:

| Three Months Ended September 30, |  | Nine Months Ended September 30,
Dollars in Millions | 2022 |  | 2021 |  | 2022 |  | 2021
Cost of products sold | $ | 11 |  |  | $ | 14 |  |  | $ | 30 |  |  | $ | 44 |
Marketing, selling and administrative | 48 |  |  | 59 |  |  | 144 |  |  | 184 |
Research and development | 56 |  |  | 66 |  |  | 164 |  |  | 210 |
Other (income)/expense, net | — |  |  | 3 |  |  | — |  |  | 12 |
Total stock-based compensation expense | $ | 115 |  |  | $ | 142 |  |  | $ | 338 |  |  | $ | 450 |
Income tax benefit(a) | $ | 23 |  |  | $ | 29 |  |  | $ | 67 |  |  | $ | 93 |

(a) Income tax benefit excludes excess tax benefits from share-based compensation awards that were vested or exercised of $4 million and $63 million for the three and nine months ended September 30, 2022 and $7 million and $36 million for the three and nine months ended September 30, 2021, respectively.
The number of units granted and the weighted-average fair value on the grant date for the nine months ended September 30, 2022 were as follows:

Units in Millions | Units |  | Weighted-Average Fair Value
Restricted stock units | 8.1 |  |  | $ | 63.86 |
Market share units | 1.0 |  |  | 60.74 |
Performance share units | 1.4 |  |  | 66.76 |

Dollars in Millions |  |  | Restricted Stock Units |  | Market Share Units |  | Performance Share Units
Unrecognized compensation cost |  |  | $ | 810 |  |  | $ | 62 |  |  | $ | 111 |
Expected weighted-average period in years of compensation cost to be recognized |  |  | 2.9 |  | 3.0 |  | 1.8

Note 17. LEGAL PROCEEDINGS AND CONTINGENCIES
BMS and certain of its subsidiaries are involved in various lawsuits, claims, government investigations and other legal proceedings that arise in the ordinary course of business. These claims or proceedings can involve various types of parties, including governments, competitors, customers, suppliers, service providers, licensees, employees, or shareholders, among others. These matters may involve patent infringement, antitrust, securities, pricing, sales and marketing practices, environmental, commercial, contractual rights, licensing obligations, health and safety matters, consumer fraud, employment matters, product liability and insurance coverage, among others. The resolution of these matters often develops over a long period of time and expectations can change as a result of new findings, rulings, appeals or settlement arrangements. Legal proceedings that are significant or that BMS believes could become significant or material are described below.
While BMS does not believe that any of these matters, except as otherwise specifically noted below, will have a material adverse effect on its financial position or liquidity as BMS believes it has substantial defenses in the matters, the outcomes of BMS’s legal proceedings and other contingencies are inherently unpredictable and subject to significant uncertainties. There can be no assurance that there will not be an increase in the scope of one or more of these pending matters or any other or future lawsuits, claims, government investigations or other legal proceedings will not be material to BMS’s financial position, results of operations or cash flows for a particular period. Furthermore, failure to successfully enforce BMS’s patent rights would likely result in substantial decreases in the respective product revenues from generic competition.
Unless otherwise noted, BMS is unable to assess the outcome of the respective matters nor is it able to estimate the possible loss or range of losses that could potentially result for such matters. Contingency accruals are recognized when it is probable that a liability will be incurred and the amount of the related loss can be reasonably estimated. Developments in legal proceedings and other matters that could cause changes in the amounts previously accrued are evaluated each reporting period. For a discussion of BMS’s tax contingencies, see “—Note 7. Income Taxes”.
25

INTELLECTUAL PROPERTY
Anti-PD-1 and Anti-PD-L1 Antibody Litigation
In September 2015, Dana-Farber Cancer Institute (“Dana-Farber”) filed a complaint in the U.S. District Court for the District of Massachusetts seeking to correct the inventorship on up to six related U.S. patents directed to methods of treating cancer using PD-1 and PD-L1 antibodies. Specifically, Dana-Farber sought to add two scientists as inventors to these patents. In October 2017, Pfizer was allowed to intervene in the case alleging that one of the scientists identified by Dana-Farber was employed by a company eventually acquired by Pfizer during the relevant period. In May 2019, the District Court issued a decision ruling that the two scientists should be added as inventors to the patents, which decision was affirmed on appeal. In June 2019, Dana-Farber filed a new lawsuit in the District of Massachusetts against BMS seeking damages as a result of the decision adding the scientists as inventors. In February 2021, BMS filed a motion to dismiss that complaint. In August 2021, the Court denied the motion to dismiss, but ruled that Dana-Farber’s claims for damages before May 17, 2019—the date of the District Court’s ruling that Dana-Farber was a co-inventor of the patents—are preempted by federal patent law. A trial has been scheduled for May 2023.
On March 17, 2022, BMS filed a lawsuit in U.S. District Court for the District of Delaware against AstraZeneca Pharmaceuticals LP and AstraZeneca UK Ltd ("AZ") alleging that AZ's marketing of the PD-L1 antibody Imfinzi infringes certain claims of U.S. Patent Nos. 9,580,505, 9,580,507, 10,138,299, 10,308,714, 10,266,594, 10,266,595, 10,266,596 and 10,323,092. A trial has been scheduled to begin on April 22, 2024.
CAR T
In October 2017, Juno and Sloan Kettering Institute for Cancer Research (“SKI”) filed a complaint for patent infringement against Kite Pharma, Inc. (“Kite”) in the U.S. District Court for the Central District of California. The complaint alleged that Kite’s Yescarta* product infringes certain claims of U.S. Patent No. 7,446,190 (the “’190 Patent”) concerning CAR T cell technologies. Kite filed an answer and counterclaims asserting non-infringement and invalidity of the ’190 Patent. In December 2019, following an eight-day trial, the jury rejected Kite’s defenses, finding that Kite willfully infringed the ’190 Patent and awarding to Juno and SKI a reasonable royalty consisting of a $585 million upfront payment and a 27.6% running royalty on Kite’s sales of Yescarta* through the expiration of the ’190 Patent in August 2024. In January 2020, Kite renewed its previous motion for judgment as a matter of law and also moved for a new trial, and Juno filed a motion seeking enhanced damages, supplemental damages, ongoing royalties, and prejudgment interest. In March 2020, the Court denied both of Kite’s motions in their entirety. In April 2020, the Court granted in part Juno’s motion and entered a final judgment awarding to Juno and SKI approximately $1.2 billion in royalties, interest and enhanced damages and a 27.6% running royalty on Kite’s sales of Yescarta* from December 13, 2019 through the expiration of the ’190 Patent in August 2024. In April 2020, Kite appealed the final judgment to the U.S. Court of Appeals for the Federal Circuit and the Court held an oral hearing on July 6, 2021. In August 2021, a Federal Circuit panel reversed the jury verdict and district court decision and found the ’190 Patent to be invalid. In October 2021, Juno and SKI filed a petition with the Federal Circuit for panel and en banc rehearing, which the Federal Circuit denied on January 14, 2022. On June 13, 2022, Juno and SKI filed a petition for a writ of certiorari with the U.S. Supreme Court.
Eliquis - Europe
In November 2020 and January 2021, Sandoz Limited (“Sandoz”) and Teva Pharmaceutical Industries Ltd. (“Teva Limited”), respectively, filed lawsuits in the United Kingdom seeking revocation of the UK apixaban composition of matter patent and related Supplementary Protection Certificate (“SPC”). BMS subsequently filed counterclaims for infringement in both actions. A trial took place in February 2022 and in a judgement issued on April 7, 2022, the judge found the UK apixaban composition of matter patent and related SPC invalid. The Company is seeking permission to appeal from the Court of Appeal.
Similar lawsuits have been filed in various other countries in Europe seeking revocation of our composition of matter patents and SPCs relating to Eliquis, and trials have been scheduled in certain of those cases. In May 2022, a Dutch court issued a decision denying a request by the Company for a preliminary injunction that would have prevented an at-risk generic launch in the Netherlands by Sandoz prior to a full trial on the validity of the Dutch composition of matter patent and SPC. In September 2022, a trial was held in Sweden regarding Teva’s challenge to the validity of the Swedish apixaban composition of matter patent and related SPC, and a decision is expected on November 2, 2022.
Following the above decisions in the UK and the Netherlands, generic manufacturers have begun marketing generic versions of Eliquis in the UK and the Netherlands, and may seek to market generic versions of Eliquis in additional countries in Europe, prior to the expiration of our patents, which may lead to additional infringement and invalidity actions involving Eliquis patents being filed in various countries in Europe.
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Onureg – U.S.
In November 2021, BMS received a Notice Letter from Accord notifying BMS that Accord had filed an aNDA containing a paragraph IV certification seeking approval of a generic version of Onureg in the U.S. and challenging the one FDA Orange Book-listed formulation patent expiring in 2030. In response, BMS filed a patent infringement action against Accord in the U.S. District Court for the District of Delaware. A trial has been scheduled to begin on March 18, 2024.
Plavix* - Australia
Sanofi was notified that, in August 2007, GenRx Proprietary Limited (“GenRx”) obtained regulatory approval of an application for clopidogrel bisulfate 75mg tablets in Australia. GenRx, formerly a subsidiary of Apotex Inc., subsequently changed its name to Apotex (“GenRx-Apotex”). In August 2007, GenRx-Apotex filed an application in the Federal Court of Australia seeking revocation of Sanofi’s Australian Patent No. 597784 (Case No. NSD 1639 of 2007). Sanofi filed counterclaims of infringement and sought an injunction. On September 21, 2007, the Federal Court of Australia granted Sanofi’s injunction. A subsidiary of BMS was subsequently added as a party to the proceedings. In February 2008, a second company, Spirit Pharmaceuticals Pty. Ltd., also filed a revocation suit against the same patent. This case was consolidated with the GenRx-Apotex case. On August 12, 2008, the Federal Court of Australia held that claims of Patent No. 597784 covering clopidogrel bisulfate, hydrochloride, hydrobromide, and taurocholate salts were valid. The Federal Court also held that the process claims, pharmaceutical composition claims, and claim directed to clopidogrel and its pharmaceutically acceptable salts were invalid. BMS and Sanofi filed notices of appeal in the Full Court of the Federal Court of Australia (“Full Court”) appealing the holding of invalidity of the claim covering clopidogrel and its pharmaceutically acceptable salts, process claims, and pharmaceutical composition claims. GenRx-Apotex appealed. On September 29, 2009, the Full Court held all of the claims of Patent No. 597784 invalid. In March 2010, the High Court of Australia denied a request by BMS and Sanofi to hear an appeal of the Full Court decision. The case was remanded to the Federal Court for further proceedings related to damages sought by GenRx-Apotex. BMS and GenRx-Apotex settled, and the GenRx-Apotex case was dismissed. The Australian government intervened in this matter seeking maximum damages up to 449 million AUD ($292 million), plus interest, which would be split between BMS and Sanofi, for alleged losses experienced for paying a higher price for branded Plavix* during the period when the injunction was in place. BMS and Sanofi dispute that the Australian government is entitled to any damages. A trial was concluded in September 2017. In April 2020, the Federal Court issued a decision dismissing the Australian government’s claim for damages. In May 2020, the Australian government appealed the Federal Court’s decision and an appeal hearing concluded in February 2021.
Revlimid - U.S.
In May 2022, Celgene received a Notice Letter from Qilu Pharmaceutical Co. Ltd. (“Qilu”) notifying Celgene that Qilu has filed an aNDA containing paragraph IV certifications seeking approval to market a generic version of Revlimid in the U.S. In response, Celgene initiated a patent infringement action against Qilu in the U.S. District Court for the District of New Jersey asserting certain FDA Orange Book-listed patents. In October 2022, Celgene entered into a confidential settlement agreement with Qilu, settling all outstanding claims in the litigation.
Sprycel - U.S.
In January 2022, BMS received a Notice Letter from Xspray Pharma AB ("Xspray") notifying BMS that Xspray had filed a 505(b)(2) NDA application containing paragraph IV certifications seeking approval of a dasatinib product in the U.S. and challenging two FDA Orange Book-listed monohydrate form patents expiring in 2025 and 2026. In February 2022, BMS filed a patent infringement action against Xspray in the U.S. District Court for the District of New Jersey. Subsequently, the Company also received paragraph IV certification letters from Accord, Biocon, and Nanocopoeia challenging the same patents, and the Company filed patent infringement actions against all three companies. In July and September 2022, BMS entered into settlement agreements with Accord and Biocon, respectively. No trial dates have been scheduled in the two remaining actions against Xspray and Nanocopoeia. Both Xspray and Nanocopoeia have filed motions for a judgment based on the pleadings.
Zeposia - U.S.
On October 15, 2021, Actelion Pharmaceuticals LTD and Actelion Pharmaceuticals US, INC (“Actelion”) filed a complaint for patent infringement in the United States District Court for the District of New Jersey against BMS and Celgene for alleged infringement of U.S. Patent No. 10,251,867 (the “’867 Patent”). The Complaint alleges that the sale of Zeposia infringes certain claims of the ’867 Patent and Actelion is seeking damages and injunctive relief. No trial date has been scheduled.
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PRICING, SALES AND PROMOTIONAL PRACTICES LITIGATION
Plavix* State Attorneys General Lawsuits
BMS and certain Sanofi entities are defendants in consumer protection actions brought by the attorneys general of Hawaii and New Mexico relating to the labeling, sales and/or promotion of Plavix*. A trial in the Hawaii matter occurred in 2020. In February 2021, the Court issued a decision against Sanofi and BMS, imposing penalties in the total amount of $834 million, with $417 million attributed to BMS. Sanofi and BMS disagree with the decision and are appealing it. An oral argument before the Hawaii Supreme Court is scheduled to occur in December 2022. BMS remains confident in the merits of its case and its likelihood of success on appeal and BMS does not believe establishing a reserve is warranted for this matter. In September 2022, the parties settled the New Mexico matter.
PRODUCT LIABILITY LITIGATION
BMS is a party to various product liability lawsuits. Plaintiffs in these cases seek damages and other relief on various grounds for alleged personal injury and economic loss. As previously disclosed, in addition to lawsuits, BMS also faces unfiled claims involving its products.
Abilify*
BMS and Otsuka are co-defendants in product liability litigation related to Abilify*. Plaintiffs allege Abilify* caused them to engage in compulsive gambling and other impulse control disorders. Cases have been filed in state and federal courts and additional cases are pending in Canada. The Judicial Panel on Multidistrict Litigation consolidated the federal court cases for pretrial purposes in the U.S. District Court for the Northern District of Florida. In February 2019, BMS and Otsuka entered into a master settlement agreement establishing a proposed settlement program to resolve all Abilify* compulsivity claims filed as of January 28, 2019 in the MDL as well as various state courts, including California and New Jersey. To date, approximately 2,700 cases, comprising approximately 3,900 plaintiffs, have been dismissed based on participation in the settlement program or failure to comply with settlement related court orders and all remaining cases in the U.S. MDL litigation have since been resolved. Three inactive cases remain in New Jersey State court. There are eleven cases pending in Canada (four class actions, seven individual injury claims). Out of the eleven cases, only two are active (the class actions in Quebec and Ontario), both of which class actions have now been certified.
Byetta*
Amylin, a former subsidiary of BMS, and Lilly are co-defendants in product liability litigation related to Byetta*. This litigation involved lawsuits on behalf of plaintiffs, which include injury plaintiffs as well as claims by spouses and/or other beneficiaries, in various courts in the U.S. The majority of these cases have been brought by individuals who allege personal injury sustained after using Byetta*, primarily pancreatic cancer, and, in some cases, claiming alleged wrongful death. The majority of cases were pending in Federal Court in San Diego in an MDL or in a coordinated proceeding in California Superior Court in Los Angeles (“JCCP”). In April 2020 the defendants filed a motion for summary judgment based on federal preemption and a motion for summary judgment based on the absence of general causation evidence in the MDL and JCCP. Both motions were granted in March 2021 and April 2021, respectively. The MDL decision is final as to Amylin and Lilly and all MDL claims have been dismissed. As of September 2022, all of the plaintiffs in the JCCP (including injury plaintiffs and spouse/beneficiary plaintiffs) alleging claims against Amylin and Lilly have dismissed their claims with prejudice. In October 2022, all thyroid cancer claims that were pending in federal court were dismissed as well. BMS sold Byetta* to AstraZeneca in February 2014 as part of BMS’s global diabetes business divestiture and any additional liability to Amylin with respect to Byetta* is expected to be shared with AstraZeneca.
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Onglyza*
BMS and AstraZeneca are co-defendants in product liability litigation related to Onglyza*. Plaintiffs assert claims, including claims for wrongful death, as a result of heart failure or other cardiovascular injuries they allege were caused by their use of Onglyza*. In February 2018, the Judicial Panel on Multidistrict Litigation ordered all the federal Onglyza* cases to be transferred to an MDL in the U.S. District Court for the Eastern District of Kentucky. A significant majority of the claims are pending in the MDL, with others pending in a coordinated proceeding in California Superior Court in San Francisco (“JCCP”). On September 24, 2021, the JCCP court granted defendants’ motion to exclude plaintiffs’ only general causation expert and on January 5, 2022, the MDL court likewise granted defendants’ motion to exclude plaintiffs’ expert. On March 30, 2022, the JCCP court granted summary judgment to defendants, thus effectively dismissing the 18 claims previously pending in California state court. Plaintiffs have filed an appeal. Defendants filed a summary judgment motion in the MDL as well, which the MDL court granted on August 2, 2022. Plaintiffs in the MDL have moved to alter or amend the MDL court’s order, and defendants have opposed. As part of BMS’s global diabetes business divestiture, BMS sold Onglyza* to AstraZeneca in February 2014 and any potential liability with respect to Onglyza* is expected to be shared with AstraZeneca.
SECURITIES LITIGATION
Celgene Securities Litigations
Beginning in March 2018, two putative class actions were filed against Celgene and certain of its officers in the U.S. District Court for the District of New Jersey (the “Celgene Securities Class Action”). The complaints allege that the defendants violated federal securities laws by making misstatements and/or omissions concerning (1) trials of GED-0301, (2) Celgene’s 2020 outlook and projected sales of Otezla*, and (3) the new drug application for Zeposia. The Court consolidated the two actions and appointed a lead plaintiff, lead counsel, and co-liaison counsel for the putative class. In February 2019, the defendants filed a motion to dismiss plaintiff’s amended complaint in full. In December 2019, the Court denied the motion to dismiss in part and granted the motion to dismiss in part (including all claims arising from alleged misstatements regarding GED-0301). Although the Court gave the plaintiff leave to re-plead the dismissed claims, it elected not to do so, and the dismissed claims are now dismissed with prejudice. In November 2020, the Court granted class certification with respect to the remaining claims.
In April 2020, certain Schwab management investment companies on behalf of certain Schwab funds filed an individual action in the U.S. District Court for the District of New Jersey asserting largely the same allegations as the Celgene Securities Class Action against the same remaining defendants in that action (the “Schwab Action”). In July 2020, the defendants filed a motion to dismiss the plaintiffs’ complaint in full. In March 2021, the Court granted in part and denied in part defendants’ motion to dismiss consistent with its decision in the Celgene Securities Class Action.
The California Public Employees’ Retirement System in April 2021 (the “CalPERS Action”); DFA Investment Dimensions Group Inc., on behalf of certain of its funds; and American Century Mutual Funds, Inc., on behalf of certain of its funds, in July 2021 (respectively the “DFA Action” and the “American Century Action”), and GIC Private Limited in September 2021 (the “GIC Action”), filed separate individual actions in the U.S. District Court for the District of New Jersey asserting largely the same allegations as the Celgene Securities Class Action and the Schwab individual action against the same remaining defendants in those actions. In October 2021, these actions were consolidated for pre-trial proceedings with the Schwab Action. The court also consolidated any future direct actions raising common questions of law and fact with the Schwab Action.
No trial dates have been scheduled in any of the above Celgene Securities Litigations.
Contingent Value Rights Litigations
In June 2021, an action was filed against BMS in the U.S. District Court for the Southern District of New York asserting claims of alleged breaches of a Contingent Value Rights Agreement (“CVR Agreement”) entered into in connection with the closing of BMS’s acquisition of Celgene Corporation in November 2019. The successor trustee under the CVR Agreement alleges that BMS breached the CVR Agreement by allegedly failing to use “diligent efforts” to obtain FDA approval of liso-cel (Breyanzi) before a contractual milestone date, thereby avoiding a $6.4 billion potential obligation to holders of the contingent value rights governed by the CVR Agreement and by allegedly failing to permit inspection of records in response to a request by the successor trustee. The successor trustee seeks damages in an amount to be determined at trial and other relief, including interest and attorneys’ fees. BMS disputes the successor trustee’s allegations and filed a motion to dismiss on July 23, 2021. On June 24, 2022, the court denied BMS’s motion to dismiss.
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In October 2021, alleged former Celgene stockholders filed a complaint in the U.S. District Court for the Southern District of New York asserting claims on behalf of a putative class of Celgene stockholders who received CVRs in the BMS merger with Celgene for violations of sections 14(a) and 20(a) of the Securities Exchange Act of 1934 relating to the joint proxy statement. That action later was consolidated with another action filed in the same court, and a consolidated complaint thereafter was filed asserting claims on behalf of a class of CVR acquirers, whether in the BMS merger with Celgene or otherwise, for violations of sections 11, 12(a)(2), and 15 of the Securities Act of 1933 and sections 10(b), 14(a) and 20(2) of the Securities Exchange Act of 1934. The complaint alleges that the February 22, 2019 joint proxy statement was materially false or misleading because it failed to disclose that BMS allegedly had no intention to obtain FDA approval for liso-cel (Breyanzi) by the applicable milestone date in the CVR Agreement and that certain statements made by BMS or certain BMS officers in periodic SEC filings, earnings calls, press releases, and investor presentations between December 2019 and November 2020 were materially false or misleading for the same reason. Defendants have moved to dismiss the complaint.
In November 2021, an alleged purchaser of CVRs filed a complaint in the Supreme Court of the State of New York for New York County asserting claims on behalf of a putative class of CVR acquirers for violations of sections 11(a) and 12(a)(2) of the Securities Act of 1933. The complaint alleges that the registration statement filed in connection with the proposed merger transaction between Celgene and BMS was materially false or misleading because it failed to disclose that allegedly BMS had no intention at the time to obtain FDA approval for liso-cel (Breyanzi) by the contractual milestone date. The complaint asserts claims against BMS, the members of its board of directors at the time of the joint proxy statement, and certain BMS officers who signed the registration statement. BMS removed the action to the U.S. District Court for the Southern District of New York. The plaintiff filed a motion to remand the action to the state court, which the court granted on September 19, 2022.
In November 2021, an alleged Celgene stockholder filed a complaint in the Superior Court of New Jersey, Union County asserting claims on behalf of two separate putative classes, one of acquirers of CVRs and one of acquirers of BMS common stock, for violations of sections 11(a), 12(a)(2), and 15 of the Securities Act of 1933. The complaint alleges that the registration statement filed in connection with the proposed merger transaction between Celgene and BMS was materially false or misleading because it failed to disclose that allegedly BMS had no intention at the time to obtain FDA approval for liso-cel (Breyanzi) by the contractual milestone date. The complaint asserts claims against BMS, the members of its board of directors at the time of the joint proxy statement, certain BMS officers who signed the registration statement and Celgene’s former chairman and chief executive officer. BMS removed the action to the U.S. District Court for the District of New Jersey and filed a motion to transfer the action to the U.S. District Court for the Southern District of New York. The plaintiff filed a motion to remand the action to the state court, which the court granted on September 22, 2022.
No trial dates have been scheduled in any of the above CVR Litigations.
OTHER LITIGATION
HIV Medication Antitrust Litigations
BMS was sued with three other manufacturers of HIV medications in related lawsuits in the Northern District of California. The initial lawsuits, filed on behalf of indirect purchasers, alleged that the defendants’ agreements to develop and sell fixed-dose combination products for the treatment of HIV, including Atripla* and Evotaz, violate antitrust laws. In July 2020, the Court granted in part defendants’ motion to dismiss, including dismissing with prejudice plaintiffs’ claims as to an overarching conspiracy and plaintiffs’ theories based on the alleged payment of royalties after patent expiration. Other claims, however, remained. In October 2021, BMS entered a settlement agreement with the indirect purchasers. On May 6, 2022, the Court granted final approval of that settlement.
In September and October 2020, two purported class actions were also filed asserting similar claims on behalf of direct purchasers. In March 2021, the Court dismissed one of the direct purchaser cases and limited the claims of the remaining direct purchaser case to those arising in 2016 or later. However, the Court gave plaintiffs leave to amend their complaints, and one plaintiff filed an amended complaint on March 16, 2021. In March 2022, BMS entered into a settlement agreement with the direct purchasers (excluding the retailers discussed below). In June 2022, the Court granted preliminary approval of that settlement.
On September 22, 2021, two additional non-class action direct purchaser complaints were filed by a number of retail pharmacy and grocery store chains against BMS and two other manufacturers of HIV medications. Those complaints made allegations similar to those raised in the other federal court cases and the New Mexico state court case described below. In January 2022, BMS entered into an agreement to settle the cases filed against it by the retail pharmacy and grocery store chains, and those cases were dismissed.
In February 2021, BMS and two other manufacturers of HIV medications were sued in State Court in New Mexico by the Attorney General of the State of New Mexico in a case alleging that the defendants’ agreements to develop and sell various fixed-dose combination products for the treatment of HIV, including Atripla*, and agreements to settle certain patent litigation violate the antitrust laws of the State of New Mexico.
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In December 2021, five additional non-class-action indirect purchaser cases were filed in the Northern District of California, and one additional non-class-action indirect purchaser case was filed in California state court naming BMS and two other manufacturers as defendants. Those complaints made allegations similar to those in the other federal court cases. In February 2022, BMS reached a settlement agreement with one of the non-class-action indirect purchaser plaintiffs and that case was dismissed. In April 2022, two additional indirect purchaser plaintiffs filed non-class suits against BMS and other defendants. In July 2022, BMS entered into a settlement agreement resolving these seven remaining indirect purchaser cases.
Thalomid and Revlimid Litigations
Beginning in November 2014, certain putative class action lawsuits were filed against Celgene in the U.S. District Court for the District of New Jersey alleging that Celgene violated various antitrust, consumer protection, and unfair competition laws by (a) allegedly securing an exclusive supply contract for the alleged purpose of preventing a generic manufacturer from securing its own supply of thalidomide active pharmaceutical ingredient, (b) allegedly refusing to sell samples of Thalomid and Revlimid brand drugs to various generic manufacturers for the alleged purpose of bioequivalence testing necessary for aNDAs to be submitted to the FDA for approval to market generic versions of these products, (c) allegedly bringing unjustified patent infringement lawsuits in order to allegedly delay approval for proposed generic versions of Thalomid and Revlimid, and/or (d) allegedly entering into settlements of patent infringement lawsuits with certain generic manufacturers that allegedly have had anticompetitive effects. The plaintiffs, on behalf of themselves and putative classes of third-party payers, sought injunctive relief and damages. The various lawsuits were consolidated into a master action for all purposes. In March 2020, Celgene reached a settlement with the class plaintiffs. In October 2020, the Court entered a final order approving the settlement and dismissed the matter. That settlement did not resolve the claims of certain entities that opted out of the settlement.
In March 2019, Humana Inc. (“Humana”), which opted out of the above settlement, filed a lawsuit against Celgene in the U.S. District Court for the District of New Jersey. Humana’s complaint makes largely the same claims and allegations as were made in the Thalomid and Revlimid antitrust class action litigation. The complaint purports to assert claims on behalf of Humana and its subsidiaries in several capacities, including as a direct purchaser and as an indirect purchaser, and seeks, among other things, treble and punitive damages, injunctive relief and attorneys’ fees and costs. In May 2019, Celgene filed a motion to dismiss Humana’s complaint. In April 2022, the Court issued an order denying Celgene’s motion to dismiss. That order addressed only Celgene’s argument that certain of Humana’s claims were barred by the statute of limitations. The Court’s order did not address Celgene’s other grounds for dismissal and instead directed Celgene to present those arguments in a renewed motion to dismiss following the filing of amended complaints. In May 2022, Humana filed an amended complaint against Celgene and BMS asserting the same claims based on additional factual allegations. Celgene and BMS have served a renewed motion to dismiss. No trial date has been scheduled.
United HealthCare Services, Inc. (“UHS”), Blue Cross Blue Shield Association (“BCBSA”), BCBSM Inc., Health Care Service Corporation (“HCSC”), Blue Cross and Blue Shield of Florida Inc., Cigna Corporation (“Cigna”), Molina Healthcare, Inc. (“Molina”) and several MSP related entities (MSP Recovery Claims, Series LLC; MSPA Claims 1, LLC; MAO-MSO Recovery II, LLC, Series PMPI, a segregated series of MAO-MSO Recovery II, LLC; MSP Recovery Claims Series 44, LLC; MSP Recovery Claims PROV, Series LLC; and MSP Recovery Claims CAID, Series LLC (together, “MSP”)) filed lawsuits making largely the same claims and allegations as were made in the class action litigation and in the Humana opt-out action. Certain of the matters have made additional claims related to copay assistance for Thalomid and Revlimid. These cases are now pending in the U.S. District Court for the District of New Jersey and will proceed as described above with respect to the Humana opt-out action filed in March 2019. No trial dates have been scheduled.
In May 2021, Molina sued Celgene and BMS in San Francisco Superior Court. Molina’s complaint makes largely the same claims and allegations as were made in the class action litigation. In July 2021, Celgene and BMS removed the action to the U.S. District Court for the Northern District of California, and in January 2022, that court granted Molina’s motion to remand to San Francisco Superior Court. In June 2022, the San Francisco Superior Court dismissed 63 of Molina’s claims and stayed the remaining 4 claims. No activity is expected in this case until disposition of the New Jersey actions.
In May 2018, Humana filed a lawsuit against Celgene in the Pike County Circuit Court of the Commonwealth of Kentucky. Humana’s complaint alleges Celgene engaged in unlawful off-label marketing in connection with sales of Thalomid and Revlimid and asserts claims against Celgene for fraud, breach of contract, negligent misrepresentation, unjust enrichment and violations of New Jersey’s Racketeer Influenced and Corrupt Organizations Act. Humana subsequently dismissed its claims for breach of contract voluntarily. The complaint seeks, among other things, treble and punitive damages, injunctive relief and attorneys’ fees and costs. A trial has been scheduled for January 2023.
In May 2020, Celgene filed suit against Humana Pharmacy, Inc. (“HPI”), a Humana subsidiary, in Delaware Superior Court. Celgene’s complaint alleges that HPI breached its contractual obligations to Celgene by assigning claims to Humana that Humana is now asserting. The complaint seeks damages for HPI’s breach as well as a declaratory judgment. A trial has been scheduled for March 2023.
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BeiGene Arbitration Matter
On July 5, 2017,Celgene Logistics Sàrl (“Celgene Logistics”) and BeiGene, Ltd. (together with its assignees, “BeiGene”), entered into a License and Supply Agreement (the “LSA”) pursuant to which BeiGene was granted, among other things, an exclusive license to distribute and commercialize Revlimid, Vidaza and Abraxane in China.
BeiGene initiated an arbitration proceeding against Celgene Logistics and BMS at the International Chamber of Commerce in June 2020, asserting various claims, including breach of contract under the LSA. In October 2021, Celgene Logistics delivered notice to BeiGene terminating the LSA with respect to Abraxane. A final hearing on the merits was held in June 2022, and the parties have completed post-hearing briefing.
MSK Contract Litigation
On April 1, 2022, Memorial Sloan Kettering Cancer Center and Eureka Therapeutics, Inc. (collectively, “Plaintiffs”) filed a complaint against BMS, Celgene and Juno (collectively, “Defendants”). In June 2022, Plaintiffs filed an amended complaint. Plaintiffs allege that Defendants breached a license agreement by allegedly failing to use commercially reasonable efforts to develop, manufacture, and commercialize a certain chimeric antigen receptor product and by failing to pay Plaintiffs a running royalty of at least 1.5% of worldwide sales of Abecma allegedly owed to Plaintiffs under the license agreement. Defendants disagree with plaintiffs' claims and filed a motion to dismiss the amended complaint in July 2022. No trial date has been scheduled.
GOVERNMENT INVESTIGATIONS
Like other pharmaceutical companies, BMS and certain of its subsidiaries are subject to extensive regulation by national, state and local authorities in the U.S. and other countries in which BMS operates. As a result, BMS, from time to time, is subject to various governmental and regulatory inquiries and investigations as well as threatened legal actions and proceedings. It is possible that criminal charges, substantial fines and/or civil penalties, could result from government or regulatory investigations.
ENVIRONMENTAL PROCEEDINGS
As previously reported, BMS is a party to several environmental proceedings and other matters, and is responsible under various state, federal and foreign laws, including CERCLA, for certain costs of investigating and/or remediating contamination resulting from past industrial activity at BMS’s current or former sites or at waste disposal or reprocessing facilities operated by third parties.
CERCLA and Other Remediation Matters
With respect to CERCLA and other remediation matters for which BMS is responsible under various state, federal and international laws, BMS typically estimates potential costs based on information obtained from the U.S. Environmental Protection Agency, or counterpart state or foreign agency and/or studies prepared by independent consultants, including the total estimated costs for the site and the expected cost-sharing, if any, with other “potentially responsible parties,” and BMS accrues liabilities when they are probable and reasonably estimable. BMS estimated its share of future costs for these sites to be $87 million as of September 30, 2022, which represents the sum of best estimates or, where no best estimate can reasonably be made, estimates of the minimal probable amount among a range of such costs (without taking into account any potential recoveries from other parties). The amount includes the estimated costs for any additional probable loss associated with the previously disclosed North Brunswick Township High School Remediation Site.
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Item 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
Management’s discussion and analysis of results of operations and financial condition is provided as a supplement to and should be read in conjunction with the consolidated financial statements and related notes included elsewhere in this Quarterly Report on Form 10-Q to enhance the understanding of our results of operations, financial condition and cash flows.
EXECUTIVE SUMMARY
Bristol-Myers Squibb Company is a global biopharmaceutical company whose mission is to discover, develop and deliver innovative medicines that help patients prevail over serious diseases. Our principal strategy is to combine the resources, scale and capability of a pharmaceutical company with the speed and focus on innovation of the biotech industry. Our focus as a biopharmaceutical company is on discovering, developing and delivering transformational medicines for patients facing serious diseases in areas where we believe that we have an opportunity to make a meaningful difference: oncology (both solid tumors and hematology), immunology, cardiovascular and neurology. Our priorities are to continue to renew and diversify our portfolio through launching our new product portfolio, advancing our early, mid and late-stage pipeline, and executing disciplined business development. We remain committed to reducing our debt and returning capital to shareholders. For further information on our strategy, see “Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations—Executive Summary—Strategy” in our 2021 Form 10-K. Refer to the Summary of Abbreviated Terms at the end of this Quarterly Report on Form 10-Q for terms used throughout the document.
In 2022, we have received 17 approvals for new medicines and additional indications and formulations of currently marketed medicines in major markets (the U.S., EU and Japan), including advancement in oncology through FDA and EC approval of Opdualag, the first PD-1 inhibitor and LAG-3 blocking antibody combination. Additionally, in the U.S., EU and Japan, two Opdivo based regimens as first line treatments for unresectable advanced or metastatic ESCC were approved. We continue to advance and invest in our cell therapy portfolio through the approval of Abecma in Japan for the treatment of multiple myeloma, and approvals of Breyanzi for the second-line and third-line treatments of relapsed or refractory diffuse large B-cell lymphoma in the U.S. and EU, respectively. We continue the expansion of our cell therapy manufacturing capabilities at our existing facilities in Washington and New Jersey, as well as through the construction of new state-of-the-art manufacturing facilities in Massachusetts and in Leiden, Netherlands. In September 2022, we obtained approvals in the U.S. and Japan for Sotyktu (deucravacitinib), which expanded our portfolio in immunology for the treatment of plaque psoriasis. Within cardiovascular, we broadened our New Product Portfolio with the FDA approval of Camzyos (mavacamten) for patients with symptomatic obstructive HCM. In addition, in August 2022, we acquired Turning Point, a precision oncology company, with the goal of expanding our solid tumor portfolio with the addition of repotrectinib and other pipeline assets.
Our revenues increased by 1% for the nine months ended September 30, 2022 due to In-Line Products (primarily Eliquis and Opdivo) and New Product Portfolio (primarily Abecma, Opdualag and Reblozyl), partially offset by Recent LOE Products (primarily Revlimid) and the impact of foreign exchange. The $0.05 decrease in GAAP EPS primarily resulted from specified items, including equity investment and contingent consideration fair value adjustments, partially offset by lower impairment charges and higher divestiture gains in 2022. After adjusting for specified items, non-GAAP EPS increased $0.57 as a result of lower weighted-average common shares outstanding, higher royalties and licensing income and lower Acquired IPRD charges.

| Three Months Ended September 30, |  | Nine Months Ended September 30,
Dollars in Millions, except per share data | 2022 |  | 2021 |  | 2022 |  | 2021
Total Revenues | $ | 11,218 |  |  | $ | 11,624 |  |  | $ | 34,753 |  |  | $ | 34,400 |
Diluted Earnings Per Share |  |  |  |  |  |  |
GAAP | $ | 0.75 |  |  | $ | 0.69 |  |  | $ | 2.00 |  |  | $ | 2.05 |
Non-GAAP | 1.99 |  |  | 1.93 |  |  | 5.88 |  |  | 5.31 |

Our non-GAAP financial measures, including non-GAAP earnings and related EPS information, are adjusted to exclude specified items that represent certain costs, expenses, gains and losses and other items impacting the comparability of financial results. For a detailed listing of all specified items and further information, reconciliations and changes to our non-GAAP financial measures refer to “—Non-GAAP Financial Measures.”
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Economic and Market Factors
Governmental Actions
Our products continue to be subject to increasing pressures across the portfolio from pharmaceutical market access and pricing controls and discounting, changes to tax and importation laws and other restrictions in the U.S., the EU and other regions around the world that result in lower prices, lower reimbursement rates and smaller populations for whom payers will reimburse, which can negatively impact our results of operations (including intangible asset impairment charges), operating cash flow, liquidity and financial flexibility. For example, on August 16, 2022, President Biden signed the Inflation Reduction Act of 2022 ("IRA") which provides for (i) the government to negotiate prices for select high-cost Medicare Part D (beginning in 2026) and Part B drugs (beginning in 2028), (ii) manufacturers to pay a rebate for Medicare Part B and Part D drugs when prices increase faster than inflation beginning in 2022 for Part D and 2023 for Part B, and (iii) Medicare Part D redesign which replaces the current coverage gap provisions and establishes a $2,000 cap for out-of-pocket limits costs for Medicare beneficiaries beginning in 2025, with manufacturers being responsible for 10% of costs up to the $2,000 cap and 20% after that cap is reached. Implementation of this legislation is expected to be carried out through upcoming actions by regulatory authorities, the outcome of which is uncertain. Additionally, in connection with the IRA the following changes have been made to U.S. tax laws, including (i) a 15% minimum tax that generally applies to U.S. corporations on adjusted financial statement income beginning in 2023 and (ii) a non-deductible 1% excise tax provision on net stock repurchases, to be applied to repurchases beginning in 2023. We continue to evaluate the impact of the IRA legislation on our results of operations and it is possible that these changes may result in a material impact on our business and results of operations. Furthermore, countries are expected to make changes to their tax laws and updates to international tax treaties to implement the agreement by the Organization for Economic Co-operation and Development to establish a global minimum tax. See risk factors on these items included under “Part I—Item 1A. Risk Factors—Product, Industry and Operational Risks—Increased pricing pressure and other restrictions in the U.S. and abroad continue to negatively affect our revenues and profit margins” and “—Changes to tax regulations could negatively impact our earnings” in our 2021 Form 10-K.
In February 2022, the Russian Federation invaded Ukraine. As a result, the U.S. and many other countries have implemented extensive sanctions on the Russian Federation, with which BMS continues to fully comply. In June 2022, we transferred our commercial operations in the Russian Federation to a third-party distributor and incurred $38 million of exit costs through September 30, 2022. Our remaining net assets in the Russian Federation are not material. The Russian Federation and Ukraine represent less than 1% of our total revenues, net assets, workforce and clinical trials, and while the situation continues to evolve, as of now, we do not anticipate any significant negative impacts on our business. For a more complete discussion of the risks we encounter in our business, please refer to “Part I—Item 1A. Risk Factors” in our 2021 Form 10-K.
COVID-19
In response to the COVID-19 pandemic, international, federal, state and local public health and governmental authorities have taken, and continue to take, a number of actions to limit the spread of COVID-19 and address related disruptions in the U.S. and global economy. While we continue to experience impacts on revenues from COVID-19 primarily due to lower new patient starts and patient visits, the pandemic has not significantly impacted our results of operations. The situation remains dynamic and it is difficult to reasonably assess or predict the full extent of the negative impact that the COVID-19 pandemic may have on our business, financial condition, results of operations and cash flows. The future financial and operational impact of the COVID-19 pandemic on BMS will depend on future developments such as the ultimate duration and the severity of the spread of COVID-19 and any variant strains in the U.S. and globally, the effectiveness and outreach of vaccines, the effectiveness of federal, state, local and international government's mitigation actions, the pandemic's impact on the U.S. and global economies, changes in the behavior of patients and medical professionals and the timing for resumption to our normal operations, as well as developments affecting healthcare and the delivery of medicines to patients. See “Part I—Item 1A. Risk Factors—General Risks—The COVID-19 pandemic is affecting our business and could have a material adverse effect on us” in our 2021 Form 10-K.
As the COVID-19 pandemic affected global healthcare systems as well as major economic and financial markets, we adopted several procedures focused on ensuring the continued supply of our medicines to our patients and protecting the health, wellbeing and safety of our workforce. Additional information on the procedures adopted are available at www.bms.com/about-us/responsibility/coronavirus-updates.
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Significant Product and Pipeline Approvals
The following is a summary of the significant approvals received in 2022 as of October 26, 2022:

Product | Date | Approval

Sotyktu | September 2022 | Japan's Ministry of Health, Labour and Welfare approval of Sotyktu for treatment of plaque psoriasis, generalized pustular psoriasis, or erythrodermic psoriasis, for patients who have had an inadequate response to conventional therapies.

Opdualag | September 2022 | EC approval of Opdualag for the first-line treatment of advanced (unresectable or metastatic) melanoma in adults and adolescents 12 years of age and older with tumor cell PD-L1 expression < 1%.

Sotyktu | September 2022 | FDA approval of Sotyktu for the treatment of adults with moderate-to-severe plaque psoriasis who are candidates for systemic therapy or phototherapy.

Breyanzi | June 2022 | FDA approval of Breyanzi for the treatment of adult patients with relapsed or refractory large B-cell lymphoma after one line of therapy who are not eligible for transplant or who relapsed within 12 months of first-line chemoimmunotherapy.

Opdivo+Yervoy | May 2022 | Japan's Ministry of Health, Labour and Welfare approval of Opdivo plus Yervoy as a first-line treatment for adult patients with unresectable advanced or metastatic ESCC regardless of PD-L1 status.

Opdivo | May 2022 | Japan's Ministry of Health, Labour and Welfare approval of Opdivo in combination with fluoropyrimidine- and platinum-containing chemotherapy as a first-line treatment for adult patients with unresectable advanced or metastatic ESCC regardless of PD-L1 status.

Opdivo+Yervoy | May 2022 | FDA approval of Opdivo plus Yervoy as a first-line treatment for adult patients with unresectable advanced or metastatic ESCC regardless of PD-L1 status.

Opdivo | May 2022 | FDA approval of Opdivo in combination with fluoropyrimidine- and platinum-containing chemotherapy as a first-line treatment for adult patients with unresectable advanced or metastatic ESCC regardless of PD-L1 status.

Camzyos | April 2022 | FDA approval of Camzyos for the treatment of adults with symptomatic obstructive HCM.

Breyanzi | April 2022 | EC approval of Breyanzi for the treatment of adult patients with relapsed or refractory diffuse large B-cell lymphoma, primary mediastinal large B-cell lymphoma and follicular lymphoma grade 3B after two or more lines of systemic therapy.

Opdivo+Yervoy | April 2022 | EC approval of Opdivo plus Yervoy for the first-line treatment of adult patients with unresectable advanced, recurrent or metastatic ESCC with tumor cell PD-L1 expression > 1%.

Opdivo | April 2022 | EC approval of Opdivo for the adjuvant treatment of adults with muscle-invasive urothelial carcinoma with tumor cell PD-L1 expression > 1% who are at risk of recurrence after undergoing radical resection.

Opdivo | April 2022 | EC approval of Opdivo in combination with fluoropyrimidine- and platinum-based chemotherapy for the first-line treatment of adult patients with unresectable advanced, recurrent, or metastatic ESCC with PD-L1 expression > 1%.

Opdualag | March 2022 | FDA approval of Opdualag, a fixed-dose combination of nivolumab and relatlimab, for the treatment of adult and pediatric patients 12 years of age and older with unresectable or metastatic melanoma.

Opdivo | March 2022 | FDA approval of Opdivo in combination with platinum-doublet chemotherapy for adult patients with resectable NSCLC in the neoadjuvant setting.

Opdivo | March 2022 | Japan's Ministry of Health, Labour and Welfare approval of Opdivo for the adjuvant treatment of urothelial carcinoma.

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Abecma | January 2022 | Japan’s Ministry of Health, Labour and Welfare approval of Abecma for the treatment of adult patients with relapsed or refractory multiple myeloma who have received at least three prior therapies.

Refer to “—Product and Pipeline Developments” for the developments in our marketed products and late-stage pipeline since the start of the third quarter of 2022.
Acquisitions, Divestitures, Licensing and Other Arrangements
Refer to “Item 1. Financial Statements—Note 3. Alliances” and “—Note 4. Acquisitions, Divestitures, Licensing and Other Arrangements” for information on significant acquisitions, divestitures, licensing and other arrangements.
RESULTS OF OPERATIONS
Regional Revenues
The composition of the changes in revenues was as follows:

| Three Months Ended September 30, |  | Nine Months Ended September 30,
Dollars in Millions | 2022 |  | 2021 |  | % Change |  | Foreign Exchange(b) |  | 2022 |  | 2021 |  | % Change |  | Foreign Exchange(b)
United States | $ | 7,941 |  |  | $ | 7,296 |  |  | 9 | % |  | — |  |  | $ | 23,903 |  |  | $ | 21,694 |  |  | 10 | % |  | — |
International | 3,062 |  |  | 4,052 |  |  | (24) | % |  | (10) | % |  | 10,216 |  |  | 12,075 |  |  | (15) | % |  | (9) | %
Other(a) | 215 |  |  | 276 |  |  | (22) | % |  | — |  |  | 634 |  |  | 631 |  |  | — |  |  | — |
Total | $ | 11,218 |  |  | $ | 11,624 |  |  | (3) | % |  | (3) | % |  | $ | 34,753 |  |  | $ | 34,400 |  |  | 1 | % |  | (3) | %

(a) Other revenues include royalties and alliance-related revenues for products not sold by our regional commercial organizations.
(b) Foreign exchange impacts were derived by applying the prior period average currency rates to the current period sales.
United States
•U.S. revenues for the third quarter of 2022 and year-to-date increased primarily due to Eliquis, Opdivo and our New Product Portfolio, partially offset by our Recent LOE Products. Average U.S. net selling prices increased 4% year-to-date compared to the same period a year ago.
International
•International revenues for the third quarter of 2022 and year-to-date decreased primarily due to lower demand for Revlimid as a result of generic erosion and foreign exchange impacts. Average net selling prices decreased compared to the same period a year ago.
No single country outside the U.S. contributed more than 10% of total revenues during the nine months ended September 30, 2022 and 2021. Our business is typically not seasonal.
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GTN Adjustments
The reconciliation of gross product sales to net product sales by each significant category of GTN adjustments was as follows:

| Three Months Ended September 30, |  | Nine Months Ended September 30,
Dollars in Millions | 2022 |  | 2021 |  | % Change |  | 2022 |  | 2021 |  | % Change
Gross product sales | $ | 17,606 |  |  | $ | 17,335 |  |  | 2 | % |  | $ | 51,555 |  |  | $ | 49,676 |  |  | 4 | %
GTN adjustments |  |  |  |  |  |  |  |  |  |  |
Charge-backs and cash discounts | (1,907) |  |  | (1,908) |  |  | — |  |  | (5,420) |  |  | (5,214) |  |  | 4 | %
Medicaid and Medicare rebates | (3,295) |  |  | (2,625) |  |  | 26 | % |  | (8,003) |  |  | (6,482) |  |  | 23 | %
Other rebates, returns, discounts and adjustments | (1,591) |  |  | (1,559) |  |  | 2 | % |  | (4,526) |  |  | (4,534) |  |  | — |
Total GTN adjustments | (6,793) |  |  | (6,092) |  |  | 12 | % |  | (17,949) |  |  | (16,230) |  |  | 11 | %
Net product sales | $ | 10,813 |  |  | $ | 11,243 |  |  | (4) | % |  | $ | 33,606 |  |  | $ | 33,446 |  |  | — |
GTN adjustments percentage | 38 | % |  | 35 | % |  | 3 | % |  | 35 | % |  | 32 | % |  | 3 | %
U.S. | 43 | % |  | 42 | % |  | 1 | % |  | 40 | % |  | 39 | % |  | 1 | %
Non-U.S. | 18 | % |  | 17 | % |  | 1 | % |  | 17 | % |  | 17 | % |  | — |

Reductions to provisions for product sales made in prior periods resulting from changes in estimates were $10 million and $207 million for the three and nine months ended September 30, 2022 and $10 million and $282 million for the three and nine months ended September 30, 2021, respectively. The reductions to provisions primarily related to Non-U.S. revisions in clawback amounts primarily driven by the VAT recoverable estimates in 2022 and Eliquis coverage gap discounts in 2021. GTN adjustments are primarily a function of product sales volume, regional and payer channel mix, contractual or legislative discounts and rebates. U.S. GTN adjustments percentage increased primarily due to higher government channel mix, which has higher GTN adjustment percentages.
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Product Revenues

| Three Months Ended September 30, |  | Nine Months Ended September 30,
Dollars in Millions | 2022 |  | 2021 |  | % Change |  | 2022 |  | 2021 |  | % Change
In-Line Products |  |  |  |  |  |  |  |  |  |  |
Eliquis | $ | 2,655 |  |  | $ | 2,413 |  |  | 10 | % |  | $ | 9,101 |  |  | $ | 8,091 |  |  | 12 | %
U.S. | 1,729 |  |  | 1,315 |  |  | 31 | % |  | 6,068 |  |  | 4,960 |  |  | 22 | %
Non-U.S. | 926 |  |  | 1,098 |  |  | (16) | % |  | 3,033 |  |  | 3,131 |  |  | (3) | %
Opdivo | 2,047 |  |  | 1,905 |  |  | 7 | % |  | 6,033 |  |  | 5,535 |  |  | 9 | %
U.S. | 1,243 |  |  | 1,062 |  |  | 17 | % |  | 3,547 |  |  | 3,082 |  |  | 15 | %
Non-U.S. | 804 |  |  | 843 |  |  | (5) | % |  | 2,486 |  |  | 2,453 |  |  | 1 | %
Pomalyst/Imnovid | 886 |  |  | 851 |  |  | 4 | % |  | 2,620 |  |  | 2,478 |  |  | 6 | %
U.S. | 640 |  |  | 586 |  |  | 9 | % |  | 1,813 |  |  | 1,665 |  |  | 9 | %
Non-U.S. | 246 |  |  | 265 |  |  | (7) | % |  | 807 |  |  | 813 |  |  | (1) | %
Orencia | 883 |  |  | 870 |  |  | 1 | % |  | 2,551 |  |  | 2,442 |  |  | 4 | %
U.S. | 682 |  |  | 644 |  |  | 6 | % |  | 1,928 |  |  | 1,773 |  |  | 9 | %
Non-U.S. | 201 |  |  | 226 |  |  | (11) | % |  | 623 |  |  | 669 |  |  | (7) | %
Sprycel | 560 |  |  | 551 |  |  | 2 | % |  | 1,587 |  |  | 1,562 |  |  | 2 | %
U.S. | 402 |  |  | 346 |  |  | 16 | % |  | 1,079 |  |  | 946 |  |  | 14 | %
Non-U.S. | 158 |  |  | 205 |  |  | (23) | % |  | 508 |  |  | 616 |  |  | (18) | %
Yervoy | 523 |  |  | 515 |  |  | 2 | % |  | 1,563 |  |  | 1,481 |  |  | 6 | %
U.S. | 322 |  |  | 313 |  |  | 3 | % |  | 959 |  |  | 935 |  |  | 3 | %
Non-U.S. | 201 |  |  | 202 |  |  | — |  |  | 604 |  |  | 546 |  |  | 11 | %
Empliciti | 73 |  |  | 82 |  |  | (11) | % |  | 225 |  |  | 253 |  |  | (11) | %
U.S. | 47 |  |  | 48 |  |  | (2) | % |  | 141 |  |  | 150 |  |  | (6) | %
Non-U.S. | 26 |  |  | 34 |  |  | (24) | % |  | 84 |  |  | 103 |  |  | (18) | %
Mature and other products | 441 |  |  | 480 |  |  | (8) | % |  | 1,338 |  |  | 1,459 |  |  | (8) | %
U.S. | 144 |  |  | 152 |  |  | (5) | % |  | 424 |  |  | 434 |  |  | (2) | %
Non-U.S. | 297 |  |  | 328 |  |  | (9) | % |  | 914 |  |  | 1,025 |  |  | (11) | %

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| Three Months Ended September 30, |  | Nine Months Ended September 30,
Dollars in Millions | 2022 |  | 2021 |  | % Change |  | 2022 |  | 2021 |  | % Change
New Product Portfolio |  |  |  |  |  |  |  |  |  |  |
Reblozyl | 190 |  |  | 160 |  |  | 19 | % |  | 518 |  |  | 400 |  |  | 30 | %
U.S. | 156 |  |  | 147 |  |  | 6 | % |  | 434 |  |  | 355 |  |  | 22 | %
Non-U.S. | 34 |  |  | 13 |  |  | ** |  | 84 |  |  | 45 |  |  | 87 | %
Abecma | 107 |  |  | 71 |  |  | 51 | % |  | 263 |  |  | 95 |  |  | **
U.S. | 75 |  |  | 67 |  |  | 12 | % |  | 203 |  |  | 91 |  |  | **
Non-U.S. | 32 |  |  | 4 |  |  | ** |  | 60 |  |  | 4 |  |  | **
Zeposia | 69 |  |  | 40 |  |  | 73 | % |  | 171 |  |  | 86 |  |  | 99 | %
U.S. | 50 |  |  | 32 |  |  | 56 | % |  | 119 |  |  | 65 |  |  | 83 | %
Non-U.S. | 19 |  |  | 8 |  |  | ** |  | 52 |  |  | 21 |  |  | **
Breyanzi | 44 |  |  | 30 |  |  | 47 | % |  | 127 |  |  | 47 |  |  | **
U.S. | 35 |  |  | 29 |  |  | 21 | % |  | 109 |  |  | 46 |  |  | **
Non-U.S. | 9 |  |  | 1 |  |  | ** |  | 18 |  |  | 1 |  |  | **
Inrebic | 21 |  |  | 22 |  |  | (5) | % |  | 62 |  |  | 54 |  |  | 15 | %
U.S. | 17 |  |  | 20 |  |  | (15) | % |  | 52 |  |  | 50 |  |  | 4 | %
Non-U.S. | 4 |  |  | 2 |  |  | 100 | % |  | 10 |  |  | 4 |  |  | **
Onureg | 32 |  |  | 21 |  |  | 52 | % |  | 87 |  |  | 48 |  |  | 81 | %
U.S. | 24 |  |  | 21 |  |  | 14 | % |  | 68 |  |  | 47 |  |  | 45 | %
Non-U.S. | 8 |  |  | — |  |  | N/A |  | 19 |  |  | 1 |  |  | **
Opdualag | 84 |  |  | — |  |  | N/A |  | 148 |  |  | — |  |  | N/A
U.S. | 84 |  |  | — |  |  | N/A |  | 148 |  |  | — |  |  | N/A
Non-U.S. | — |  |  | — |  |  | N/A |  | — |  |  | — |  |  | N/A
Camzyos | 5 |  |  | — |  |  | N/A |  | 8 |  |  | — |  |  | N/A
U.S. | 5 |  |  | — |  |  | N/A |  | 8 |  |  | — |  |  | N/A
Non-U.S. | — |  |  | — |  |  | N/A |  | — |  |  | — |  |  | N/A
Sotyktu | 1 |  |  | — |  |  | N/A |  | 1 |  |  | — |  |  | N/A
U.S. | 1 |  |  | — |  |  | N/A |  | 1 |  |  | — |  |  | N/A
Non-U.S. | — |  |  | — |  |  | N/A |  | — |  |  | — |  |  | N/A
Recent LOE Products(a) |  |  |  |  |  |  |  |  |  |  |
Revlimid | 2,420 |  |  | 3,347 |  |  | (28) | % |  | 7,718 |  |  | 9,493 |  |  | (19) | %
U.S. | 2,170 |  |  | 2,303 |  |  | (6) | % |  | 6,338 |  |  | 6,425 |  |  | (1) | %
Non-U.S. | 250 |  |  | 1,044 |  |  | (76) | % |  | 1,380 |  |  | 3,068 |  |  | (55) | %
Abraxane | 177 |  |  | 266 |  |  | (33) | % |  | 632 |  |  | 876 |  |  | (28) | %
U.S. | 115 |  |  | 211 |  |  | (45) | % |  | 464 |  |  | 670 |  |  | (31) | %
Non-U.S. | 62 |  |  | 55 |  |  | 13 | % |  | 168 |  |  | 206 |  |  | (18) | %
Total Revenues | 11,218 |  |  | 11,624 |  |  | (3) | % |  | 34,753 |  |  | 34,400 |  |  | 1 | %
U.S. | 7,941 |  |  | 7,296 |  |  | 9 | % |  | 23,903 |  |  | 21,694 |  |  | 10 | %
Non-U.S. | 3,277 |  |  | 4,328 |  |  | (24) | % |  | 10,850 |  |  | 12,706 |  |  | (15) | %

** Change in excess of 100%.
(a) Recent LOE Products includes products with significant decline in revenue from a prior reporting period as a result of a loss of exclusivity.
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Eliquis (apixaban) — an oral Factor Xa inhibitor, indicated for the reduction in risk of stroke/systemic embolism in NVAF and for the treatment of DVT/PE and reduction in risk of recurrence following initial therapy.
•U.S. revenues increased 31% in the third quarter of 2022 and 22% year-to-date due to higher demand and higher average net selling prices, including favorable GTN adjustments. A majority of Eliquis patients enter the coverage gap during the third and fourth quarters which results in lower revenues during the second half of the year.
•International revenues decreased 16% in the third quarter of 2022 primarily due to foreign exchange impacts of 14% and lower average net selling prices. Excluding foreign exchange impacts, revenues decreased by 2%.
International revenues decreased 3% year-to-date due to foreign exchange impacts of 11% and lower average net selling prices, partially offset by higher demand. Excluding foreign exchange impacts, revenues increased by 8%.
•Following the May 2021 expiration of regulatory exclusivity for Eliquis in Europe, and court decisions in (i) the United Kingdom finding the UK apixaban composition of matter patent and related SPC invalid and (ii) the Netherlands denying a BMS request for a preliminary injunction that would have prevented an at-risk generic launch, generic manufacturers have begun marketing generic versions of Eliquis in the UK and the Netherlands, and may seek to market generic versions of Eliquis in additional countries in Europe, prior to the expiration of our patents, which may lead to additional infringement and invalidity actions involving our Eliquis patents being filed in various countries in Europe. We believe in the innovative science behind Eliquis and the strength of our intellectual property, which we will defend against infringement. Refer to “Item 1. Financial Statements—Note 17. Legal Proceedings and Contingencies—Intellectual Property” for further information.
Opdivo (nivolumab) — a fully human monoclonal antibody that binds to the PD-1 on T and NKT cells that has been approved for several anti-cancer indications including bladder, blood, CRC, head and neck, RCC, HCC, lung, melanoma, MPM, stomach and esophageal cancer. The Opdivo+Yervoy regimen also is approved in multiple markets for the treatment of NSCLC, melanoma, MPM, RCC, CRC and various gastric and esophageal cancers. There are several ongoing potentially registrational studies for Opdivo across other tumor types and disease areas, in monotherapy and in combination with Yervoy and various anti-cancer agents.
•U.S. revenues increased 17% in the third quarter of 2022 and 15% year-to-date due to higher demand across multiple indications including the Opdivo+Yervoy combinations for NSCLC, Opdivo+Cabometyx* combination for kidney cancer, bladder and various gastric and esophageal cancers, partially offset by declining second-line eligibility across tumor indications and increased competition.
•International revenues decreased 5% in the third quarter of 2022 due to foreign exchange impacts of 13%, partially offset by higher demand as a result of additional indication launches and core indications. Excluding foreign exchange impacts, revenues increased 8%.
•International revenues increased 1% year-to-date due to higher demand as a result of additional indication launches and core indications, partially offset by foreign exchange impacts of 10%. Excluding foreign exchange impacts, revenues increased 11%.
Pomalyst/Imnovid (pomalidomide) — a proprietary, distinct, small molecule that is administered orally and modulates the immune system and other biologically important targets. Pomalyst/Imnovid is indicated for patients with multiple myeloma who have received at least two prior therapies including lenalidomide and a proteasome inhibitor and have demonstrated disease progression on or within 60 days of completion of the last therapy.
•U.S. revenues increased 9% in both the third quarter of 2022 and year-to-date due to higher average net selling prices and higher demand.
•International revenues decreased 7% in the third quarter of 2022 and 1% year-to-date primarily due to foreign exchange impacts of 13% and 10%, respectively, partially offset by higher demand. Excluding foreign exchange impacts, revenues increased by 6% and 9%, respectively.
Orencia (abatacept) — a fusion protein indicated for adult patients with moderate to severe active RA and PsA and is also indicated for reducing signs and symptoms in certain pediatric patients with moderately to severely active polyarticular JIA.
•U.S. revenues increased 6% in the third quarter of 2022 and 9% year-to-date due to higher demand and higher average selling net selling prices.
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•International revenues decreased 11% in the third quarter of 2022 and 7% year-to-date due to foreign exchange impacts of 13% and 10%, respectively, partially offset by higher demand. Excluding foreign exchange impacts, revenues increased by 2% and 3%, respectively.
•In the U.S. and EU, estimated LOE dates are based on method of use patents that expired in 2021. Formulation and additional patents expire in 2026 and beyond. There are no Orencia biosimilars on the market in the U.S., EU or Japan.
Sprycel (dasatinib) — an oral inhibitor of multiple tyrosine kinase indicated for the first-line treatment of patients with Philadelphia chromosome-positive CML in chronic phase and the treatment of adults with chronic, accelerated, or myeloid or lymphoid blast phase CML with resistance or intolerance to prior therapy, including Gleevec* (imatinib mesylate) and the treatment of children and adolescents aged 1 year to 18 years with chronic phase Philadelphia chromosome-positive CML.
•U.S. revenues increased 16% in the third quarter of 2022 and 14% year-to-date due to higher average net selling prices and higher demand.
•International revenues decreased 23% in the third quarter of 2022 and 18% year-to-date due to foreign exchange impacts of 13% and 11%, respectively and lower demand as a result of generic erosion. Excluding foreign exchange impacts, revenues decreased by 10% and 7%, respectively.
Yervoy (ipilimumab) — a monoclonal antibody for the treatment of patients with unresectable or metastatic melanoma. The Opdivo+Yervoy regimen also is approved in multiple markets for the treatment of NSCLC, melanoma, MPM, RCC, CRC and esophageal cancer.
•U.S. revenues increased 3% in both the third quarter of 2022 and year-to-date due to higher average net selling prices, partially offset by lower demand.
•International revenues remained constant in the third quarter of 2022 primarily due to higher demand as a result of additional indication launches and core indications, offset by foreign exchange impacts of 14%. Excluding foreign exchange impacts, revenues increased by 14%.
•International revenues increased 11% year-to-date due to higher demand as a result of additional indication launches and core indications, partially offset by foreign exchange impacts of 12% and lower average net selling prices. Excluding foreign exchange impacts, revenues increased by 23%.
Empliciti (elotuzumab) — a humanized monoclonal antibody for the treatment of multiple myeloma.
Mature and other products — includes all other products, including those which have lost exclusivity in major markets, OTC products, royalty revenue and mature products.
•International revenues decreased 9% in the third quarter of 2022 and 11% year-to-date primarily due to foreign exchange impacts of 5% and 4% and continued generic erosion. Excluding foreign exchange impacts, revenues decreased by 4% and 7%, respectively.
Reblozyl (luspatercept-aamt) — an erythroid maturation agent indicated for the treatment of anemia in adult patients with beta thalassemia who require regular red blood cell transfusions and for the treatment of anemia failing an ESA in adult patients with very low- to intermediate-risk MDS who have ring sideroblasts and require RBC transfusions.
•U.S. revenues increased 6% in the third quarter of 2022 and 22% year-to-date primarily due to higher demand.
Abecma (idecabtagene vicleucel) — is a B-cell maturation antigen-directed genetically modified autologous CAR T cell therapy indicated for the treatment of adult patients with relapsed or refractory multiple myeloma after four or more prior lines of therapy, including an immunomodulatory agent, a proteasome inhibitor, and an anti-CD38 monoclonal antibody. Abecma was launched in May 2021.
Zeposia (ozanimod) — an oral immunomodulatory drug used to treat relapsing forms of multiple sclerosis, to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults and to treat moderately to severely active UC in adults. Zeposia was launched in June 2020.
41

Breyanzi (lisocabtagene maraleucel) — is a CD19-directed genetically modified autologous CAR T cell therapy indicated for the treatment of adult patients with certain types of relapsed or refractory large B-cell lymphoma after one or more lines of systemic therapy. Breyanzi was launched in April 2021.
Inrebic (fedratinib) — an oral kinase inhibitor indicated for the treatment of adult patients with intermediate-2 or high-risk primary or secondary (post-polycythemia vera or post-essential thrombocythemia) myelofibrosis. Inrebic was launched in August 2019.
Onureg (azacitidine) — an oral hypomethylating agent that incorporates into DNA and RNA, indicated for continued treatment of adult patients with AML who achieved first complete remission or complete remission with incomplete blood count recovery following intensive induction chemotherapy and are not able to complete intensive curative therapy. Onureg was launched in September 2020.
Opdualag (nivolumab and relatlimab-rmbw) — a combination of nivolumab, a PD-1 blocking antibody, and relatlimab, a LAG-3 blocking antibody, indicated for the treatment of adult and pediatric patients 12 years of age or older with unresectable or metastatic melanoma. Opdualag was launched in March 2022.
Camzyos (mavacamten) — a cardiac myosin inhibitor indicated for the treatment of adults with symptomatic obstructive HCM to improve functional capacity and symptoms. Camzyos was launched in April 2022.
Sotyktu (deucravacitinib) — an oral, selective, allosteric tyrosine kinase 2 inhibitor indicated for the treatment of adults with moderate-to-severe plaque psoriasis who are candidates for systemic therapy or phototherapy. Sotyktu was launched in September 2022.
Revlimid (lenalidomide) — an oral immunomodulatory drug that in combination with dexamethasone is indicated for the treatment of patients with multiple myeloma. Revlimid as a single agent is also indicated as a maintenance therapy in patients with multiple myeloma following autologous hematopoietic stem cell transplant.
•U.S. revenues decreased 6% in the third quarter of 2022 and 1% year-to-date due to lower demand from generic erosion, partially offset by higher average net selling prices.
•International revenues decreased 76% in the third quarter of 2022 and 55% year-to-date due to generic erosion across several European countries and Canada, lower average net selling prices and foreign exchange impacts of 3% and 4%, respectively. Excluding foreign exchange impacts, revenues decreased by 73% and 51%, respectively.
•In the U.S., certain third parties have been granted volume-limited licenses to sell generic lenalidomide beginning in March 2022 or thereafter. Pursuant to these licenses, several generics have entered or are expected to enter the U.S. market with volume-limited quantities of generic lenalidomide. In the EU, generic lenalidomide products have entered the market. In Japan, the composition of matter patent expired in July 2022, however BMS is not aware of any generic approvals. Global revenues for Revlimid are expected to decline to approximately $9.0 billion to $9.5 billion in 2022.
Abraxane (paclitaxel albumin-bound particles for injectable suspension) — a solvent-free protein-bound chemotherapy product that combines paclitaxel with albumin using our proprietary Nab technology platform, and is used to treat breast cancer, NSCLC and pancreatic cancer, among others.
•U.S. revenues decreased 45% in the third quarter of 2022 and 31% year-to-date due to entry of authorized generics and lower demand. Year-to-date was also impacted by manufacturing delays in the first quarter of 2022. Revenues in the second and third quarter of 2022 include product supply sales and profit sharing fees resulting from authorized generic arrangements.
•International revenues increased 13% in the third quarter of 2022 due to higher demand as the manufacturing delays experienced in the prior year were substantially resolved, partially offset by foreign exchange impacts of 7%. Excluding foreign exchange impacts, revenues increased by 20%.
•International revenues decreased 18% year-to-date due to lower demand as a result of generic erosion and foreign exchange impacts of 4%. Excluding foreign exchange impacts, revenues decreased by 14%. During the first quarter of 2022, the manufacturing delays experienced in the U.S. and International were substantially resolved.
•In the U.S. and EU, generics have entered the market. In Japan, the estimated minimum market exclusivity date is 2023 based on a method of use patent. Global revenues for Abraxane are expected to decline by approximately 25% to 30% in 2022.
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Estimated End-User Demand
Pursuant to the SEC Consent Order described in our 2021 Form 10-K, we monitor inventory levels on hand in the U.S. wholesaler distribution channel and outside of the U.S. in the direct customer distribution channel. We are obligated to disclose products with levels of inventory in excess of one month on hand or expected demand, subject to a de minimis exception. Estimated levels of inventory in the distribution channel in excess of one month on hand for the following products were not material to our results of operations as of the dates indicated:
Sotyktu had 2.3 months of inventory on hand as of September 30, 2022 in the U.S to support the product launch. The inventory is expected to be worked down as demand increases post launch.
Reblozyl had 1.1 months of inventory on hand internationally in the distribution channel as of June 30, 2022 compared to 0.9 months of inventory on hand as of March 31, 2022 primarily to support the product launch in China and minimum stocking requirements in Greece.
In the U.S., we generally determine our months on hand estimates using inventory levels of product on hand and the amount of out-movement provided by our three largest wholesalers, which accounted for approximately 79% of total gross sales of U.S. products for the nine months ended September 30, 2022. Factors that may influence our estimates include generic competition, seasonality of products, wholesaler purchases in light of increases in wholesaler list prices, new product launches, new warehouse openings by wholesalers and new customer stockings by wholesalers. In addition, these estimates are calculated using third-party data, which may be impacted by their recordkeeping processes.
Revlimid and Pomalyst are distributed in the U.S. primarily through contracted pharmacies under the Lenalidomide REMS (Revlimid) and Pomalyst REMS programs, respectively. These are proprietary risk-management distribution programs tailored specifically to provide for the safe and appropriate distribution and use of Revlimid and Pomalyst. Internationally, Revlimid and Imnovid are distributed under mandatory risk-management distribution programs tailored to meet local authorities’ specifications to provide for the products’ safe and appropriate distribution and use. These programs may vary by country and, depending upon the country and the design of the risk-management program, the product may be sold through hospitals or retail pharmacies.
Camzyos is only available through a restricted program called the Camzyos REMS Program. Product distribution is limited to REMS certified pharmacies, and enrolled pharmacies must only dispense to patients who are authorized to receive Camzyos.
Our non-U.S. businesses have significantly more direct customers. Information on available direct customer product level inventory and corresponding out-movement information and the reliability of third-party demand information varies widely. We limit our direct customer sales channel inventory reporting to where we can influence demand. When this information does not exist or is otherwise not available, we have developed a variety of methodologies to estimate such data, including using historical sales made to direct customers and third-party market research data related to prescription trends and end-user demand. Given the difficulties inherent in estimating third-party demand information, we evaluate our methodologies to estimate direct customer product level inventory and to calculate months on hand on an ongoing basis and make changes as necessary. Factors that may affect our estimates include generic competition, seasonality of products, price increases, new product launches, new warehouse openings by direct customers, new customer stockings by direct customers and expected direct customer purchases for governmental bidding situations. As such, all of the information required to estimate months on hand in the direct customer distribution channel for non-U.S. business for the quarter ended September 30, 2022 is not available prior to the filing of this Quarterly Report on Form 10-Q. We will disclose any product with levels of inventory in excess of one month on hand or expected demand for the current quarter, subject to a de minimis exception, in our next quarterly report on Form 10-Q.
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Expenses

| Three Months Ended September 30, |  | Nine Months Ended September 30,
Dollars in Millions | 2022 |  | 2021 |  | % Change |  | 2022 |  | 2021 |  | % Change
Cost of products sold(a) | $ | 2,353 |  |  | $ | 2,291 |  |  | 3 | % |  | $ | 7,544 |  |  | $ | 7,584 |  |  | (1) | %
Marketing, selling and administrative | 1,930 |  |  | 1,788 |  |  | 8 | % |  | 5,548 |  |  | 5,336 |  |  | 4 | %
Research and development | 2,418 |  |  | 2,980 |  |  | (19) | % |  | 6,999 |  |  | 7,677 |  |  | (9) | %
Acquired IPRD | 30 |  |  | 271 |  |  | (89) | % |  | 763 |  |  | 1,070 |  |  | (29) | %
Amortization of acquired intangible assets | 2,418 |  |  | 2,546 |  |  | (5) | % |  | 7,252 |  |  | 7,606 |  |  | (5) | %
Other (income)/expense, net | (140) |  |  | (409) |  |  | (66) | % |  | 793 |  |  | (1,113) |  |  | **
Total Expenses | $ | 9,009 |  |  | $ | 9,467 |  |  | (5) | % |  | $ | 28,899 |  |  | $ | 28,160 |  |  | 3 | %

** In excess of +/- 100%.
(a) Excludes amortization of acquired intangible assets.
Cost of Products Sold
Cost of products sold increased by $62 million in the third quarter of 2022, primarily due to higher profit sharing due to Eliquis revenue growth ($151 million) and higher costs resulting from expanding our cell therapy capabilities, partially offset by foreign exchange impacts and related hedging settlements ($214 million).
Cost of products sold decreased by $40 million year-to-date, primarily due to the impairment charges related to Inrebic EU regulatory approval milestones in 2021 ($315 million) and foreign exchange impacts and related hedging settlements ($553 million), partially offset by higher profit sharing due to Eliquis revenue growth ($529 million) and higher costs resulting from expanding our cell therapy capabilities.
Marketing, Selling and Administrative
Marketing, selling and administrative expenses increased $142 million in the third quarter of 2022 and $212 million year-to-date primarily due to higher costs to support new product launches and the cash settlement of Turning Point unvested stock awards ($73 million), partially offset by foreign exchange impacts.
Research and Development
Research and development expense decreased by $562 million in the third quarter of 2022, and $678 million year-to-date, primarily due to IPRD impairment charges in 2021 ($610 million in the third quarter and $840 million year-to-date), lower clinical development costs and foreign exchange impacts, partially offset by the cash settlement of Turning Point unvested stock awards ($80 million) and the unwinding of inventory purchase price adjustments for clinical use during 2022 ($22 million in the third quarter and $130 million year-to-date).
Acquired IPRD
Acquired IPRD charges resulting from upfront or contingent milestone payments in connection with asset acquisitions or licensing of third-party intellectual property rights were as follows:

| Three Months Ended September 30, |  | Nine Months Ended September 30,
Dollars in Millions | 2022 |  | 2021 |  | 2022 |  | 2021
Eisai upfront collaboration fee | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | 650 |
Agenus upfront license fee | — |  |  | 200 |  |  | — |  |  | 200 |
Mavacamten royalty extinguishment | — |  |  | — |  |  | 295 |  | — |
Dragonfly milestone | — |  |  | 5 |  |  | 175 |  |  | 5 |
Immatics upfront license fee | — |  |  | — |  |  | 150 |  |  | — |
BridgeBio upfront license fee | — |  |  | — |  |  | 90 |  |  | — |
Prothena opt-in license fee | — |  |  | — |  |  | — |  |  | 80 |
GentiBio upfront license fee | 30 |  |  | — |  |  | 30 |  |  | — |
Other | — |  |  | 66 |  |  | 23 |  |  | 135 |
Acquired IPRD charges | $ | 30 |  |  | $ | 271 |  |  | $ | 763 |  |  | $ | 1,070 |

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Amortization of Acquired Intangible Assets
Amortization of acquired intangible assets decreased by $128 million in the third quarter of 2022 and $354 million year-to-date, due to a change in the expected expiration of the market exclusivity period for Pomalyst to the first quarter of 2026.
Other (Income)/Expense, Net
Other (income)/expense, net changed by $269 million in the third quarter of 2022 and $1.9 billion year-to-date, primarily due to equity investments, contingent value rights and other items discussed below.

| Three Months Ended September 30, |  | Nine Months Ended September 30,
Dollars in Millions | 2022 |  | 2021 |  | 2022 |  | 2021
Interest expense | $ | 299 |  |  | $ | 328 |  |  | $ | 938 |  |  | $ | 1,011 |
Royalties and licensing income | (579) |  |  | (425) |  |  | (1,564) |  |  | (1,197) |
Equity investment losses/(income) | 14 |  |  | (465) |  |  | 966 |  |  | (1,214) |
Integration expenses | 114 |  |  | 141 |  |  | 343 |  |  | 434 |
Contingent consideration | — |  |  | — |  |  | 1 |  |  | (510) |
Loss on debt redemption | — |  |  | — |  |  | 266 |  |  | 281 |
Provision for restructuring | 17 |  |  | 27 |  |  | 60 |  |  | 150 |
Litigation and other settlements | 44 |  |  | 13 |  |  | 32 |  |  | 49 |
Divestiture losses/(gains) | — |  |  | 2 |  |  | (211) |  |  | (9) |
Other | (49) |  |  | (30) |  |  | (38) |  |  | (108) |
Other (income)/expense, net | $ | (140) |  |  | $ | (409) |  |  | $ | 793 |  |  | $ | (1,113) |

•Royalties and licensing income includes diabetes business royalties, Keytruda* royalties, Tecentriq* royalties and milestones for products that have not obtained commercial approval. Refer to “Item 1. Financial Statements—Note 4. Acquisitions, Divestitures, Licensing and Other Arrangements” for further information.
•Equity investment losses/(income) includes fair value adjustments for investments that have readily determinable fair value and observable price changes for investments without readily determinable fair values resulting primarily from initial public offerings or third-party acquisitions of entities which we held an ownership interest. Our share of income or loss from equity method investments is primarily due to fair value adjustments attributed to limited partnerships. Refer to “Item 1. Financial Statements—Note 9. Financial Instruments and Fair Value Measurements” for more information.
•Integration expenses primarily includes consulting fees to implement Celgene and other acquisition integration initiatives related to processes and systems.
•Contingent consideration primarily includes fair value adjustments resulting from the change in the traded price of contingent value rights issued with the Celgene acquisition. The contractual obligation to pay the contingent value rights terminated in January 2021 because the FDA did not approve liso-cel (JCAR017) by December 31, 2020.
•Loss on debt redemption resulted from the early redemption of long-term debt of $6.0 billion in 2022 and $3.5 billion in 2021.
•Provision for restructuring includes exit and other costs primarily related to the Celgene acquisition plan. We achieved the annualized pre-tax cost savings of at least $3.0 billion. Refer to “Item 1. Financial Statements—Note 6. Restructuring” for further information.
•Litigation and other settlements includes expenses for intellectual property and promotional practice matters, as further described in Item 1. Financial Statements—Note 17. Legal Proceedings and Contingencies”. In addition, year-to-date 2022 includes income of $40 million resulting from a settlement resolving all legal claims and business interests pertaining to Nimbus’ TYK2 inhibitor. The settlement also provides for contingent development, regulatory and sales-based milestones payable to BMS upon the occurrence of certain events.
•Divestiture gains resulted from the divestiture of product rights for several mature products in 2022.
•Other includes foreign exchange, interest income, transition service fees, as well as exit costs of $38 million resulting from the transition of our commercial operations in the Russian Federation to a third-party distributor and acquisition costs of $32 million related to the Turning Point acquisition in 2022.
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Income Taxes

| Three Months Ended September 30, |  | Nine Months Ended September 30,
Dollars in Millions | 2022 |  | 2021 |  | 2022 |  | 2021
Earnings Before Income Taxes | $ | 2,209 |  |  | $ | 2,157 |  |  | $ | 5,854 |  |  | $ | 6,240 |
Provision for Income Taxes | 601 |  |  | 605 |  |  | 1,534 |  |  | 1,598 |
Effective Tax Rate | 27.2 | % |  | 28.0 | % |  | 26.2 | % |  | 25.6 | %
Impact of Specified Items | (10.3) | % |  | (13.4) | % |  | (9.6) | % |  | (9.3) | %
Effective Tax Rate Excluding Specified Items | 16.9 | % |  | 14.6 | % |  | 16.6 | % |  | 16.3 | %

The tax impact attributed to specified items was primarily due to low jurisdictional tax rates attributed to the unwinding of inventory fair value adjustments and intangible asset amortization and contingent value rights fair value adjustments that were not taxable in 2021. The 2.3% increase in the effective tax rate excluding specified items was due to changes in previously estimated annual effective tax rates resulting from jurisdictional earnings mix in the third quarter of both periods. Refer to “Item 1. Financial Statements—Note 7. Income Taxes” for additional information.
Non-GAAP Financial Measures
Our non-GAAP financial measures, such as non-GAAP earnings and related EPS information, are adjusted to exclude certain costs, expenses, gains and losses and other specified items that are evaluated on an individual basis. These items are adjusted after considering their quantitative and qualitative aspects and typically have one or more of the following characteristics, such as being highly variable, difficult to project, unusual in nature, significant to the results of a particular period or not indicative of past or future operating results. These items are excluded from non-GAAP earnings and related EPS information because the Company believes they neither relate to the ordinary course of the Company's business nor reflect the Company's underlying business performance. Similar charges or gains were recognized in prior periods and will likely reoccur in future periods including (i) amortization of acquired intangible assets, including product rights that generate a significant portion of our ongoing revenue and will recur until the intangible assets are fully amortized, (ii) unwind of inventory purchase price adjustments, (iii) acquisition and integration expenses, (iv) restructuring costs, (v) accelerated depreciation and impairment of property, plant and equipment and intangible assets, (vi) divestiture gains or losses, (vii) stock compensation resulting from acquisition-related equity awards (viii) pension, legal and other contractual settlement charges, (ix) equity investment and contingent value rights fair value adjustments (including fair value adjustments attributed to limited partnership equity method investments) and (x) amortization of fair value adjustments of debt acquired from Celgene in our 2019 exchange offer, among other items. Deferred and current income taxes attributed to these items are also adjusted for considering their individual impact to the overall tax expense, deductibility and jurisdictional tax rates. We also provide international revenues for our priority products excluding the impact of foreign exchange. We calculate foreign exchange impacts by converting our current-period local currency financial results using the prior period average currency rates and comparing these adjusted amounts to our current-period results. Reconciliations of these non-GAAP measures to the most comparable GAAP measures are included in Exhibit 99.2 to our Form 8-K filed on October 26, 2022 and are incorporated herein by reference.
Beginning with the first quarter of 2022, significant R&D charges or other income resulting from upfront or contingent milestone payments in connection with asset acquisitions or licensing of third-party intellectual property rights are no longer excluded from our non-GAAP financial measures. We made these changes to our presentation of non-GAAP financial measures following comments from and discussions with the SEC. For purposes of comparability, the non-GAAP financial measures for the three and nine months ended September 30, 2021 have been updated to reflect this change.
Non-GAAP information is intended to portray the results of our baseline performance, supplement or enhance management, analysts and investors’ overall understanding of our underlying financial performance and facilitate comparisons among current, past and future periods. This information is not intended to be considered in isolation or as a substitute for the related financial measures prepared in accordance with GAAP and may not be the same as or comparable to similarly titled measures presented by other companies due to possible differences in method and in the items being adjusted. We encourage investors to review our financial statements and publicly-filed reports in their entirety and not to rely on any single financial measure.
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Specified items were as follows:

| Three Months Ended September 30, |  | Nine Months Ended September 30,
Dollars in Millions | 2022 |  | 2021 |  | 2022 |  | 2021
Inventory purchase price accounting adjustments | $ | 86 |  |  | $ | 97 |  |  | $ | 240 |  |  | $ | 264 |
Intangible asset impairment | — |  |  | — |  |  | — |  |  | 315 |
Site exit and other costs | — |  |  | — |  |  | 43 |  |  | 24 |
Cost of products sold | 86 |  |  | 97 |  |  | 283 |  |  | 603 |
Employee compensation charges | 73 |  |  | — |  |  | 73 |  |  | 1 |
Site exit and other costs | — |  |  | 1 |  |  | 6 |  |  | — |
Marketing, selling and administrative | 73 |  |  | 1 |  |  | 79 |  |  | 1 |
IPRD impairments | 58 |  |  | 610 |  |  | 98 |  |  | 840 |
Inventory purchase price accounting adjustments | 22 |  |  | 1 |  |  | 130 |  |  | 1 |
Employee compensation charges | 80 |  |  | — |  |  | 80 |  |  | 1 |
Site exit and other costs | — |  |  | 1 |  |  | — |  |  | 1 |
Research and development | 160 |  |  | 612 |  |  | 308 |  |  | 843 |
Amortization of acquired intangible assets | 2,418 |  |  | 2,546 |  |  | 7,252 |  |  | 7,606 |
Interest expense(a) | (18) |  |  | (29) |  |  | (66) |  |  | (91) |
Equity investment losses/(income) | 12 |  |  | (465) |  |  | 962 |  |  | (1,227) |
Integration expenses | 114 |  |  | 141 |  |  | 343 |  |  | 434 |
Contingent consideration | — |  |  | — |  |  | — |  |  | (510) |
Loss on debt redemption | — |  |  | — |  |  | 266 |  |  | 281 |
Provision for restructuring | 17 |  |  | 27 |  |  | 60 |  |  | 150 |
Litigation and other settlements | 36 |  |  | — |  |  | (4) |  |  | — |
Divestiture losses/(gains) | — |  |  | 2 |  |  | (211) |  |  | (9) |
Other | 28 |  |  | — |  |  | 70 |  |  | — |
Other (income)/expense, net | 189 |  |  | (324) |  |  | 1,420 |  |  | (972) |
Increase to pretax income | 2,926 |  |  | 2,932 |  |  | 9,342 |  |  | 8,081 |
Income taxes on items above | (268) |  |  | (137) |  |  | (987) |  |  | (732) |
Increase to net earnings | $ | 2,658 |  |  | $ | 2,795 |  |  | $ | 8,355 |  |  | $ | 7,349 |

(a) Includes amortization of purchase price adjustments to Celgene debt.
The reconciliations from GAAP to Non-GAAP were as follows:

| Three Months Ended September 30, |  | Nine Months Ended September 30,
Dollars in Millions, except per share data | 2022 |  | 2021 |  | 2022 |  | 2021
Net Earnings Attributable to BMS Used for Diluted EPS Calculation – GAAP | $ | 1,606 |  |  | $ | 1,546 |  |  | $ | 4,305 |  |  | $ | 4,622 |
Specified Items | 2,658 |  |  | 2,795 |  |  | 8,355 |  |  | 7,349 |
Net Earnings Attributable to BMS Used for Diluted EPS Calculation – Non-GAAP | $ | 4,264 |  |  | $ | 4,341 |  |  | $ | 12,660 |  |  | $ | 11,971 |
Weighted-Average Common Shares Outstanding – Diluted | 2,148 |  |  | 2,243 |  |  | 2,154 |  |  | 2,253 |
Diluted Earnings Per Share Attributable to BMS – GAAP | $ | 0.75 |  |  | $ | 0.69 |  |  | $ | 2.00 |  |  | $ | 2.05 |
Diluted EPS Attributable to Specified Items | 1.24 |  |  | 1.24 |  |  | 3.88 |  |  | 3.26 |
Diluted EPS Attributable to BMS – Non-GAAP | $ | 1.99 |  |  | $ | 1.93 |  |  | $ | 5.88 |  |  | $ | 5.31 |

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FINANCIAL POSITION, LIQUIDITY AND CAPITAL RESOURCES
Our net debt position was as follows:

Dollars in Millions | September 30, 2022 |  | December 31, 2021
Cash and cash equivalents | $ | 7,734 |  |  | $ | 13,979 |
Marketable debt securities – current | 1,293 |  |  | 2,987 |
Total cash, cash equivalents and marketable debt securities | 9,027 |  |  | 16,966 |
Short-term debt obligations | (2,132) |  |  | (4,948) |
Long-term debt | (36,966) |  |  | (39,605) |
Net debt position | $ | (30,071) |  |  | $ | (27,587) |

We regularly assess our anticipated working capital needs, debt and leverage levels, debt maturities, capital expenditure requirements, dividend payouts, potential share repurchases and future investments or acquisitions in order to maximize shareholder return, efficiently finance our ongoing operations and maintain flexibility for future strategic transactions. We also regularly evaluate our capital structure to ensure financial risks, adequate liquidity access and lower cost of capital are efficiently managed, which may lead to the issuance of additional debt securities, the repurchase of debt securities prior to maturity or the issuance or repurchase of common stock. Under the Tax Cuts and Jobs Act of 2017, research and development costs are required to be capitalized and amortized for U.S. tax purposes effective January 1, 2022. Absent a change in law, we estimate our U.S. income tax payments will increase by nearly $2.0 billion as compared to 2021.
We believe that our existing cash, cash equivalents and marketable debt securities together with cash generated from operations and, if required, from the issuance of commercial paper will be sufficient to satisfy our anticipated cash needs for at least the next few years, including dividends, capital expenditures, milestone payments, working capital, income taxes, restructuring initiatives, business development, business combinations, asset acquisitions, repurchase of common stock, debt maturities of approximately $10.6 billion through 2026, as well as any debt repurchases through redemptions or tender offers. As of September 30, 2022, our net debt position increased by $2.5 billion primarily due to common stock repurchases and dividends ($9.1 billion), and the Turning Point acquisition ($3.3 billion), partially offset by cash from operating activities ($9.8 billion).
We have a share repurchase program authorized by our Board of Directors allowing for repurchases of our shares. The specific timing and number of shares repurchased will be determined by our management at its discretion and will vary based on market conditions, securities law limitations and other factors. The share repurchase program does not obligate us to repurchase any specific number of shares, does not have a specific expiration date and may be suspended or discontinued at any time. The repurchases may be effected through a combination of one or more open market repurchases, privately negotiated transactions, transactions structured through investment banking institutions and other derivative transactions, relying on Rule 10b-18 and Rule 10b5-1 under the Exchange Act. The outstanding share repurchase authorization under the program was $15.2 billion as of December 31, 2021. During the first quarter of 2022, we executed ASR agreements to repurchase an aggregate $5.0 billion of common stock. In addition, as part of our share repurchase program, we repurchased 10 million shares of common stock for $701 million during the third quarter of 2022. The remaining share repurchase capacity under the share repurchase program was approximately $9.5 billion as of September 30, 2022. Refer to “Item 1. Financial Statements—Note 15. Equity” for additional information.
Dividend payments were $3.5 billion during the nine months ended September 30, 2022. Dividend per common share of $0.54 was declared during each of the first, second, and third quarters of 2022. Dividend decisions are made on a quarterly basis by our Board of Directors.
Annual capital expenditures were approximately $970 million in 2021 and are expected to be approximately $1.1 billion in 2022 and $1.2 billion in 2023. We continue to make capital expenditures in connection with the expansion of our manufacturing capabilities, research and development and other facility-related activities.
In 2022, we purchased an aggregate principal amount of $6.0 billion of certain of our debt securities for $6.6 billion of cash in tender offers and “make whole” redemptions. In connection with these transactions, a net $266 million loss on debt redemption was recognized based on the carrying value of the debt and included in Other (income)/expense, net.
48

In 2022, we issued an aggregate principal amount of $6.0 billion of debt with net proceeds of $5.9 billion. Refer to “Item 1. Financial Statements—Note 9. Financial Instruments and Fair Value Measurements” for further information.
At December 31, 2021, we had four separate revolving credit facilities totaling $6.0 billion, which consisted of a 364-day $2.0 billion facility which expired in January 2022, a three-year $1.0 billion facility which expired in January 2022 and two five-year $1.5 billion facilities that were extended to September 2025 and July 2026, respectively.
In January 2022, we entered into a five-year $5.0 billion facility expiring in January 2027, which is extendable annually by one year with the consent of the lenders. This facility provides for customary terms and conditions with no financial covenants and may be used to provide backup liquidity for our commercial paper borrowings. Concurrently with the entry into this facility, the commitments under our existing five-year $1.5 billion facilities were terminated and the three-year $1.0 billion facility and 364-day $2.0 billion facility expired in accordance with their terms in January 2022. No borrowings were outstanding under revolving credit facilities as of September 30, 2022 or December 31, 2021.
Under our commercial paper program, we may issue a maximum of $5.0 billion unsecured notes that have maturities of not more than 366 days from the date of issuance. There were no commercial paper borrowings outstanding as of September 30, 2022.
Our investment portfolio includes marketable debt securities, which are subject to changes in fair value as a result of interest rate fluctuations and other market factors. Our investment policy establishes limits on the amount and time to maturity of investments with any institution. The policy also requires that investments are only entered into with corporate and financial institutions that meet high credit quality standards. Refer to “Item 1. Financial Statements—Note 9. Financial Instruments and Fair Value Measurements” for further information.
Credit Ratings
Our current long-term and short-term credit ratings assigned by Moody’s Investors Service are A2 and Prime-1, respectively, with a stable long-term credit outlook, and our current long-term and short-term credit ratings assigned by Standard & Poor’s are A+ and A-1, respectively with a stable long-term credit outlook. The long-term ratings reflect the agencies’ opinion that we have a low default risk but are somewhat susceptible to adverse effects of changes in circumstances and economic conditions. The short-term ratings reflect the agencies’ opinion that we have good to extremely strong capacity for timely repayment. Any credit rating downgrade may affect the interest rate of any debt we may incur, the fair market value of existing debt and our ability to access the capital markets generally.
Cash Flows
The following is a discussion of cash flow activities:

| Nine Months Ended September 30,
Dollars in Millions | 2022 |  | 2021
Cash flow provided by/(used in): |  |  |
Operating activities | $ | 9,760 |  |  | $ | 12,150 |
Investing activities | (2,275) |  |  | (939) |
Financing activities | (13,716) |  |  | (12,257) |

Operating Activities
Cash flow from operating activities represents the cash receipts and disbursements from all of our activities other than investing and financing activities. Operating cash flow is derived by adjusting net earnings for noncontrolling interest, non-cash operating items, gains and losses attributed to investing and financing activities and changes in operating assets and liabilities resulting from timing differences between the receipts and payments of cash and when the transactions are recognized in our results of operations. As a result, changes in cash from operating activities reflect the timing of cash collections from customers and alliance partners; payments to suppliers, alliance partners and employees; customer discounts and rebates; and tax payments in the ordinary course of business.
The $2.4 billion change in cash used in operating activities compared to 2021 was driven by higher tax payments ($1.4 billion) primarily resulting from research and development expenses that are capitalized and amortized for tax purposes, Turning Point related acquisition payments ($300 million) and cash collections and timing of payments in the ordinary course of business.
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Investing Activities
Cash requirements from investing activities include cash used for acquisitions, manufacturing and facility-related capital expenditures and purchases of marketable securities with original maturities greater than 90 days at the time of purchase, proceeds from business divestitures (including royalties), the sale and maturity of marketable securities, sale of equity investments, as well as upfront and contingent milestones from licensing arrangements.
The $1.3 billion change in cash used in investing activities compared to 2021 was primarily due to the acquisition of Turning Point ($3.2 billion, net of cash acquired), lower proceeds from the sale of equity investments ($845 million) partially offset by lower Acquired IPRD payments ($594 million) and the changes in the amount of marketable debt securities held ($2.1 billion).
Financing Activities
Cash requirements from financing activities include cash used to repay long-term debt, repurchase common stock, pay dividends and other borrowings offset by proceeds from issuance of long-term debt, other borrowings and exercise of stock options.
The $1.5 billion change in cash used in financing activities compared to 2021 was primarily due to higher repurchases of common stock ($2.0 billion), partially offset by changes in the amount of net debt borrowings ($621 million).
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Product and Pipeline Developments
Our R&D programs are managed on a portfolio basis from early discovery through late-stage development and include a balance of early-stage and late-stage programs to support future growth. Our late stage R&D programs in Phase III development include both investigational compounds for initial indications and additional indications or formulations for marketed products. The following are the developments in our marketed products and our late-stage pipeline since the start of the third quarter of 2022:

Product | Indication | Date | Developments

Opdivo | Melanoma | October 2022 | Announced that results from the Phase III CheckMate -76K trial evaluating Opdivo in the adjuvant setting in patients with completely resected stage IIB or IIC melanoma demonstrated a statistically significant and clinically meaningful benefit in recurrence-free survival and the risk of recurrence or death was reduced by 58% versus placebo. No new safety signals were observed.

Opdivo + Yervoy | RCC | July 2022 | Announced that Part A of the Phase III CheckMate -914 trial, evaluating Opdivo plus Yervoy as an adjuvant treatment for patients with localized RCC who have undergone full or partial removal of the kidney and who are at moderate or high risk of relapse, did not meet the primary endpoint of disease-free survival. The safety profile was consistent with previously reported studies of the Opdivo plus Yervoy combination in solid tumors.

Abecma | Multiple Myeloma | August 2022 | Announced with our alliance partner, 2seventy bio, Inc., positive topline results from the Phase III KarMMa-3 trial evaluating Abecma compared to standard combination regimens in adults with multiple myeloma that is relapsed and refractory after two to four prior lines of therapy and refractory to the last regimen showing Abecma significantly improves progression-free survival. Treatment with Abecma also showed an improvement in the key secondary endpoint of overall response rate compared to standard regimens.

Zeposia | MS | October 2022 | Announced retrospective analysis from the Phase III DAYBREAK open-label extension trial of Zeposia in MS showed that more than 92% of participants mounted a serologic response to COVID-19 exposure and vaccination, with only 10% of participants reporting COVID-19 adverse events – all were nonserious. Additional data from the Phase III DAYBREAK and RADIANCE trials demonstrated the effect of early Zeposia treatment on long-term cognitive function in patients with relapsing MS.
UC | October 2022 | Announced post hoc analyses from the Phase III True North study evaluating the duration of response following continuous Zeposia treatment for up to one year and following treatment interruption in patients with moderately to severely active UC. After achieving a clinical response at the end of the induction period, 86.1% of patients who remained on Zeposia showed no disease relapse at Week 52. Disease control was maintained for up to eight weeks in patients who switched to placebo after initial response.

Opdualag | Melanoma | September 2022 | Announced EC approval of the fixed-dose combination of Opdualag for the first-line treatment of advanced (unresectable or metastatic) melanoma in adults and adolescents 12 years of age and older with tumor cell PD-L1 expression < 1%. The approval is based on results from the Phase II/III RELATIVITY -047 trial.
Camzyos | Obstructive HCM | October 2022 | Announced that the FDA accepted the supplemental NDA for Camzyos for an expanded indication to reduce the need for septal reduction therapy. The FDA has set a target action date of June 16, 2023. The supplemental NDA is based on results from the Phase III VALOR-HCM trial.

Sotyktu | Plaque Psoriasis | September 2022 | Announced Japan’s Ministry of Health, Labour and Welfare approval of Sotyktu for treatment of plaque psoriasis, generalized pustular psoriasis, or erythrodermic psoriasis, for patients who have had an inadequate response to conventional therapies. The approval is based on the results from the Phase III POETYK PSO-1 trial.
September 2022 | Announced FDA approval of Sotyktu for the treatment of adults with moderate-to-severe plaque psoriasis who are candidates for systemic therapy or phototherapy. The approval is based on results from the Phase III POETYK PSO-1 and POETYK PSO-2 clinical trials.
September 2022 | Announced two-year results from the POETYK PSO long-term extension trial demonstrating that clinical efficacy was maintained with continuous Sotyktu treatment in adult patients with moderate-to-severe plaque psoriasis.

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Critical Accounting Policies
The preparation of financial statements requires the use of estimates and assumptions that affect the reported amounts of assets and liabilities and the reported amounts of revenue and expenses. Our critical accounting policies are those that significantly impact our financial condition and results of operations and require the most difficult, subjective or complex judgments, often as a result of the need to make estimates about the effect of matters that are inherently uncertain. Because of this uncertainty, actual results may vary from these estimates. For a discussion of our critical accounting policies, refer to “Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations” in our 2021 Form 10-K. There have been no material changes to our critical accounting policies during the nine months ended September 30, 2022. For information regarding the impact of recently adopted accounting standards, refer to “Item 1. Financial Statements—Note 1. Basis of Presentation and Recently Issued Accounting Standards.”
Special Note Regarding Forward-Looking Statements
This Quarterly Report on Form 10-Q (including documents incorporated by reference) and other written and oral statements we make from time to time contain certain “forward-looking” statements within the meaning of Section 27A of the Securities Act, and Section 21E of the Exchange Act. You can identify these forward-looking statements by the fact they use words such as “should,” “could,” “expect,” “anticipate,” “estimate,” “target,” “may,” “project,” “guidance,” “intend,” “plan,” “believe,” “will” and other words and terms of similar meaning and expression in connection with any discussion of future operating or financial performance. One can also identify forward-looking statements by the fact that they do not relate strictly to historical or current facts. Such forward-looking statements are based on current expectations and projections about our future financial results, goals, plans and objectives and involve inherent risks, assumptions and uncertainties, including internal or external factors that could delay, divert or change any of them in the next several years, and could cause our future financial results, goals, plans and objectives to differ materially from those expressed in, or implied by, the statements. These statements are likely to relate to, among other things, our goals, plans and objectives regarding our financial position, results of operations, cash flows, market position, product development, product approvals, sales efforts, expenses, performance or results of current and anticipated products, our business development strategy, our ability to realize the projected benefits of our acquisitions of Celgene, MyoKardia, and Turning Point, the impact of the COVID-19 pandemic on our operations and the development and commercialization of our products, potential laws and regulations to lower drug costs, market actions taken by private and government payers to manage drug utilization and contain costs, the expiration of patents or data protection on certain products, including assumptions about our ability to retain marketing exclusivity of certain products, and the outcome of contingencies such as legal proceedings and financial results. No forward-looking statement can be guaranteed. This Quarterly Report on Form 10-Q, our 2021 Form 10-K, particularly under the section “Item 1A. Risk Factors,” and our other filings with the SEC, include additional information on the factors that we believe could cause actual results to differ materially from any forward-looking statement.
Although we believe that we have been prudent in our plans and assumptions, no assurance can be given that any goal or plan set forth in forward-looking statements can be achieved and readers are cautioned not to place undue reliance on such statements, which speak only as of the date made. Additional risks that we may currently deem immaterial or that are not presently known to us could also cause the forward-looking events discussed in this Quarterly Report on Form 10-Q not to occur. Except as otherwise required by applicable law, we undertake no obligation to publicly update or revise any forward-looking statement, whether as a result of new information, future events, changed circumstances or otherwise after the date of this Quarterly Report on Form 10-Q.
Item 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
For a discussion of our market risk, refer to “Item 7A. Quantitative and Qualitative Disclosures about Market Risk” in our 2021 Form 10-K.
Item 4. CONTROLS AND PROCEDURES
Management carried out an evaluation, under the supervision and with the participation of its chief executive officer and chief financial officer, of the effectiveness of the design and operation of its disclosure controls and procedures, as defined in Exchange Act Rules 13a-15(e) and 15d-15(e), as of the end of the period covered by this Quarterly Report on Form 10-Q. Based on this evaluation, our principal executive officer and principal financial officer concluded that as of September 30, 2022, such disclosure controls and procedures are effective.
There were no changes in the Company’s internal control over financial reporting during the quarter ended September 30, 2022, that have materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting.
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PART II—OTHER INFORMATION
Item 1. LEGAL PROCEEDINGS
Information pertaining to legal proceedings can be found in “Item 1. Financial Statements—Note 17. Legal Proceedings and Contingencies,” to the interim consolidated financial statements, and is incorporated by reference herein.
Item 1A. RISK FACTORS
There have been no material changes from the risk factors disclosed in the Company’s 2021 Form 10-K.
Item 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
The following table summarizes the surrenders of our equity securities during the three months ended September 30, 2022:

Period | Total Number of Shares Purchased(a) |  | Average Price Paid per Share(a) |  | Total Number of Shares Purchased as Part of Publicly Announced Programs(b) |  | Approximate Dollar Value of Shares that May Yet Be Purchased Under the Programs(b)
Dollars in Millions, Except Per Share Data |  |  |  |  |  |  |
July 1 to 31, 2022(c) | 1,200,739 |  |  | $ | — |  |  | 1,162,314 |  |  | $ | 10,169 |
August 1 to 31, 2022(c) | 1,137,659 |  |  | — |  |  | 1,117,367 |  |  | 10,169 |
September 1 to 30, 2022 | 9,995,013 |  |  | 70.85 |  |  | 9,898,334 |  |  | 9,468 |
Three months ended September 30, 2022 | 12,333,411 |  |  |  |  | 12,178,015 |  |  |

(a)Includes shares repurchased as part of publicly announced programs and shares of common stock surrendered to the Company to satisfy tax-withholding obligations in connection with the vesting of awards under our long-term incentive program. Shares surrendered for tax withholding included 38,425 in July, 20,292 in August and 96,679 in September with average prices of $76.57, $73.50 and $70.36, respectively.
(b)In May 2010, the Board of Directors authorized the repurchase of up to $3.0 billion of our common stock and in June 2012 increased its authorization for the repurchase of our common stock by an additional $3.0 billion. The Board of Directors approved a new share repurchase program authorizing the repurchase of an additional $3.0 billion of our common stock in October 2016 and further increased its authorization for the repurchase of our common stock by approximately $7.0 billion in November 2019 and $5.0 billion in February 2020. In January and December 2021, the Board of Directors approved an increase of $2.0 billion and $15.0 billion, respectively, to the share repurchase authorization for our common stock. The remaining share repurchase capacity under the program is approximately $9.5 billion as of September 30, 2022. Refer to “Item 1. Financial Statements-Note 15. Equity” for information on the share repurchase program.
(c)During the first quarter of 2022, BMS entered into accelerated share repurchase (“ASR”) agreements to repurchase an aggregate $5.0 billion of common stock. Approximately 65 million shares of common stock (85% of the $5.0 billion aggregate purchase price calculated on the basis of a price of $65.89 per share, the closing share price of the Company's common stock on February 8, 2022) were received by BMS and included in treasury stock. During the second quarter of 2022, the first tranche of the ASR was settled and approximately 2 million shares of common stock were received by BMS and transferred to treasury stock. During the third quarter of 2022, the final tranche of the ASR was settled and approximately 2 million shares of common stock were received by BMS and transferred to treasury stock. The completed ASR had an average repurchase price of $72.71 per share.
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Item 6. EXHIBITS
Exhibits (listed by number corresponding to the Exhibit Table of Item 601 in Regulation S-K).

Exhibit No. |  | Description
31a. |  | Section 302 Certification Letter.
31b. |  | Section 302 Certification Letter.
32a. |  | Section 906 Certification Letter.
32b. |  | Section 906 Certification Letter.
101.INS |  | XBRL Instance Document - the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.
101.SCH |  | XBRL Taxonomy Extension Schema Document.
101.CAL |  | XBRL Taxonomy Extension Calculation Linkbase Document.
101.DEF |  | XBRL Taxonomy Extension Definition Linkbase Document.
101.LAB |  | XBRL Taxonomy Extension Label Linkbase Document.
101.PRE |  | XBRL Taxonomy Extension Presentation Linkbase Document.
104 |  | Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101).

* Indicates, in this Quarterly Report on Form 10-Q, brand names of products, which are registered trademarks not solely owned by the Company or its subsidiaries. Abilify is a trademark of Otsuka Pharmaceutical Co., Ltd.; Atripla is a trademark of Gilead Sciences, LLC.; Byetta is a trademark of Amylin Pharmaceuticals, LLC; Cabometyx is a trademark of Exelixis, Inc.; Gleevec is a trademark of Novartis AG; Onglyza is a trademark of AstraZeneca AB; Keytruda is a trademark of Merck Sharp & Dohme Corp; Otezla is a trademark of Amgen Inc.; Tecentriq is a trademark of Genentech, Inc.; and Yescarta is a trademark of Kite Pharma, Inc. Brand names of products that are in all italicized letters, without an asterisk, are registered trademarks of BMS and/or one of its subsidiaries.
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SUMMARY OF ABBREVIATED TERMS
Bristol-Myers Squibb Company and its consolidated subsidiaries may be referred to as Bristol Myers Squibb, BMS, the Company, we, our or us in this Quarterly Report on Form 10-Q, unless the context otherwise indicates. Throughout this Quarterly Report on Form 10-Q we have used terms which are defined below:

2021 Form 10-K | Annual Report on Form 10-K for the fiscal year ended December 31, 2021 | LIBOR | London Interbank Offered Rate
Agenus | Agenus Inc. | Lilly | Eli Lilly and Company
AML | acute myeloid leukemia | LOE | loss of exclusivity
Amylin | Amylin Pharmaceuticals, Inc. | MAA | marketing authorization application
aNDA | abbreviated new drug application | MDL | multi-district litigation
AstraZeneca | AstraZeneca PLC | MDS | myelodysplastic syndromes
BLA | biologics license application | MPM | malignant pleural mesothelioma
BridgeBio | BridgeBio Pharma Inc. | MS | Multiple Sclerosis
CAR T | chimeric antigen receptor T-cell | MyoKardia | MyoKardia, Inc.
Celgene | Celgene Corporation | NDA | new drug application
CERCLA | U.S. Comprehensive Environmental Response, Compensation and Liability Act | NKT | natural killer T cells
Cheplapharm | Cheplapharm Arzneimittel GmbH | NSCLC | non-small cell lung cancer
CHMP | Committee for Medicinal Products for Human Use | NVAF | non-valvular atrial fibrillation
CML | chronic myeloid leukemia | OTC | over-the-counter
CRC | colorectal carcinoma | Otsuka | Otsuka Pharmaceutical Co., Ltd.
Dragonfly | Dragonfly Therapeutics, Inc. | PD-1 | programmed cell death protein 1
EC | European Commission | PD-L1 | programmed death-ligand 1
Eisai | Eisai Co., Ltd. | Pfizer | Pfizer, Inc.
EMA | European Medicines Agency | PsA | psoriatic arthritis
EPS | earnings per share | Prothena | Prothena Corporation
ESCC | esophageal squamous cell carcinoma | Quarterly Report on Form 10-Q | Quarterly Report on Form 10-Q for the quarterly period ended September 30, 2022
EU | European Union | R&D | research and development
FASB | Financial Accounting Standards Board | RA | rheumatoid arthritis
FDA | U.S. Food and Drug Administration | RBC | red blood cell
GAAP | U.S. generally accepted accounting principles | RCC | renal cell carcinoma
GTN | gross-to-net | REMS | risk evaluation and mitigation strategy
HCC | hepatocellular carcinoma | Sanofi | Sanofi S.A.
HCM | hypertrophic cardiomyopathy | sBLA | supplemental Biologics License Application
HIV | human immunodeficiency viruses | SEC | Securities and Exchange Commission
Immatics | Immatics Biotechnologies GmbH. | Turning Point | Turning Point Therapeutics, Inc.
IO | immuno-oncology | UC | ulcerative colitis
IPRD | in-process research and development | U.S. | United States
IRS | Internal Revenue Service | UK | United Kingdom
Juno | Juno Therapeutics, Inc. | VAT | value added tax
LAG-3 | lymphocyte activation gene-3 |  |

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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.

|  | BRISTOL-MYERS SQUIBB COMPANY (REGISTRANT)
Date: | October 26, 2022 | By: | /s/ Giovanni Caforio, M.D.
|  |  | Giovanni Caforio, M.D. Chairman of the Board and Chief Executive Officer
Date: | October 26, 2022 | By: | /s/ David V. Elkins
|  |  | David V. Elkins Chief Financial Officer

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