Business Overview
We are a global pharmaceutical company, committed to helping patients around the
world to access affordable medicines and benefit from innovations to improve
their health. Our mission is to be a global leader in generics, specialty
medicines and biopharmaceuticals, improving the lives of patients.
We operate worldwide, with headquarters in Israel and a significant presence in
the United States, Europe and many other markets around the world. Our key
strengths include our world-leading generic medicines expertise and portfolio,
focused specialty medicines portfolio and global infrastructure and scale.
Teva was incorporated in Israel on February 13, 1944 and is the successor to a
number of Israeli corporations, the oldest of which was established in 1901.
Our Business Segments
We operate our business through three segments: North America, Europe and
International Markets. Each business segment manages our entire product
portfolio in its region, including generics, specialty and OTC products. This
structure enables strong alignment and integration between operations,
commercial regions, R&D and our global marketing and portfolio function,
optimizing our product lifecycle across therapeutic areas.
In addition to these three segments, we have other activities, primarily the
sale of API to third parties, certain contract manufacturing services and an
out-licensing
platform offering a portfolio of products to other pharmaceutical companies
through our affiliate Medis.
The
COVID-19
Pandemic
As a leading global pharmaceutical company, Teva provides essential medicines to
millions of patients around the world every day. Our priorities remain focused
on the health and well-being of our employees and on our responsibility to
continue to provide our medicines to the nearly 200 million patients who depend
on us every day.
Our industry plays a critical role, particularly during such challenging times.
We are working with governments to do all they can, in partnership with our
industry, to maintain the development, production, supply and distribution of
high quality medicines for patients worldwide during this unprecedented global
health crisis.
Business Continuity
The supply chain supporting our key products - specialty, generics and API -
remains largely uninterrupted, and with adequate product inventory across our
network. Additionally, based on analysis of potential scenarios, we currently
have inventory and redundancy plans in place to address potential shortfalls, if
any. We are closely monitoring the evolving situation in our key manufacturing
locations and commercial markets, and are accordingly adapting our business
continuity plans. All our facilities that research, manufacture, order, pack,
distribute and provide critical customer and patient services are currently
functioning to meet demand for essential medicines for patients throughout the
world.
Teva has worked since the early days of the
COVID-19
pandemic to support efforts of governments and health services to curb the
impact of the virus. Our global manufacturing network has been tirelessly
focused on securing and scaling production of both API and finished doses for
potential treatments that may prove essential in treating the condition nearly
everywhere Teva does business. Teva will continue to work with governments and
international organizations throughout the world to support emerging needs
related to this crisis, while doing everything possible to also continue to
supply our vast portfolio of medicines to patients.
R&D and New Launches
We do not expect a material impact on our ongoing clinical research programs and
product launches as a result of the
COVID-19
pandemic; however, if the pandemic continues for an extended period of time, we
may experience delays in clinical trials due to cessation of recruitment for
patient studies and suspended regulatory inspections, delays in regulatory
approvals of new products due to reduced capacity or
re-prioritization
of regulatory agencies and delays in
pre-commercial
launch activities. All of our new product launches have been risk-assessed based
on upcoming manufacturing and regulatory inspections.
Workforce Policy and Measures
Our employees across all aspects of our business are safeguarding the continuity
of our activities and we are committed to supporting their efforts and caring
for their personal health and safety. We are enacting appropriate measures to
ensure the safe supply and transport of our medicines and APIs, and have
established measures intended to ensure our sites remain open, allowing us to
maintain our business, R&D and manufacturing operations. We have reduced the
number of people in our facilities to only those who are essential and may not
work remotely. By doing our part to reduce proximity to one another, we hope to
better protect our overall workforce, and ultimately, the communities in which
we live.
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As we work through this health crisis, we are starting to plan our strategy for
returning to usual operations at all organizational levels, under guiding
principles to protect our business, maximize organizational productivity and
efficiency while simultaneously ensuring a safe workplace.
Trends
We have limited insight into the extent to which our business may be impacted by
the
COVID-19
pandemic and there are many unknowns facing our industry and society at large.
At this stage of the pandemic, we are not experiencing material delays in
development, production and distribution of medicines or disruptions in our
supply chains; however, longer term affects cannot be predicted at this time and
would depend on the duration and severity of the pandemic and the restrictive
measures put in place to control its impact. We are experiencing increasing
demand for certain medicines, as would be expected during a global crisis of
this nature, and cannot assess whether such increased demand is the result of
stocking by wholesalers or patients. Although no one can predict future demand
for pharmaceutical products, market dynamics or the scope or duration of the
financial and other challenges arising from the pandemic, it is possible that we
will see a compensating effect during the remainder of the year, but we do not
currently anticipate a material negative impact on our 2020 financial results
due to the evolving global pandemic.
Highlights
Significant highlights in the first quarter of 2020 included:

• Revenues in the first quarter of 2020 were $4,357 million, an increase of

5%, in both U.S. dollar and local currency terms, compared to the first

quarter of 2019, mainly due to higher revenues from generics and OTC sales

in Europe, higher revenues from AUSTEDO

®

and Anda in North America and higher revenues from our International


        Markets segment, partially offset by lower revenues from generics in the
        U.S. and lower revenues from QVAR
        ®
        and BENDEKA
        ®
        /TREANDA
        ®
        in North America.



• Our North America segment generated revenues of $2,082 million and profit

of $550 million in the first quarter of 2020. Revenues increased by 2%

compared to the first quarter of 2019, mainly due to an increase in

revenues of AUSTEDO and Anda as well as a milestone payment related to our


        anti-CGRP intellectual property, partially offset by lower revenues from
        QVAR, BENDEKA/TREANDA, COPAXONE
        ®

and generic products. Profit increased by 10%, mainly due to the changes


        in revenues described above.



• Our Europe segment generated revenues of $1,402 million and profit of

$502 million in the first quarter of 2020. Revenues increased by 11%. In


        local currency terms, revenues increased by 13% compared to the first
        quarter of 2019, mainly due to higher demand for certain products
        resulting from the impact of the
        COVID-19

pandemic on purchasing patterns as well as continuing growth in generics

and new generic product launches, partially offset by price declines for


        oncology products as a result of generic competition and a decline in
        COPAXONE revenues due to competing glatiramer acetate products. Profit
        increased by 25%, mainly due to higher revenues and lower expenses.



• Our International Markets segment generated revenues of $565 million and

profit of $156 million in the first quarter of 2020. Revenues increased by

8% in U.S. dollars or 5% in local currency terms, compared to the first

quarter of 2019. The increase in revenues was mainly due to higher sales

in Latin America, Asia-Pacific, Ukraine and Russia, partially offset by

lower sales in Japan. The revenues in the first quarter of 2020 included

$35 million from a positive hedging impact. Profit increased by 61%,

mainly due to higher sales and the positive impact from hedging activity.






     •  Impairment of identifiable intangible assets were $649 million in the

first quarter of 2020, compared to $469 million in the first quarter of


        2019. Impairment expenses in the first quarter of 2020 related to IPR&D
        assets were $331 million and identifiable product rights were
        $318 million.



• No goodwill impairments were recorded in the first quarters of both 2020


        and 2019.




     •  We recorded expenses of $121 million for other asset impairments,

restructuring and other items in the first quarter of 2020, compared to


        expenses of $1 million in the first quarter of 2019.



• In the first quarter of 2020, we recorded an income of $25 million in

legal settlements and loss contingencies, compared to an expense of

$57 million in the first quarter of 2019. The income in the first quarter

of 2020 was mainly related to a settlement of an action brought against

the sellers of Auden McKenzie (an acquisition made by Actavis Generics).






     •  Operating income was $191 million in the first quarter of 2020, compared

        to $134 million in the first quarter of 2019. The increase in the first
        quarter of 2020 was mainly due to higher profit in our Europe,
        International Markets and North America segments and income from legal
        settlements (compared to an expense in the first quarter of 2019),
        partially offset by higher intangible asset impairments and higher other

assets impairments, restructuring and other items in the first quarter of


        2020.




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• Financial expenses were $224 million in the first quarter of 2020,

compared to $218 million in the first quarter of 2019. Financial expenses

in the first quarter of 2020 were mainly comprised of interest expenses of

$241 million. Financial expenses in the first quarter of 2019 were mainly
        comprised of interest expenses of $227 million.



• In the first quarter of 2020, we recognized a tax benefit of $59 million,


        on
        pre-tax
        loss of $33 million. In the first quarter of 2019, we recognized a tax
        expense of $9 million, on
        pre-tax
        loss of $84 million. Our tax rate for the first quarter of 2020 was mainly
        affected by impairments in jurisdictions in which tax rates are higher
        than Teva's average tax rate
        on
        its ongoing business operations
        .



• Exchange rate movements between the first quarter of 2020 and the first

quarter of 2019, net of hedging, negatively impacted overall revenues by

$3 million and positively impacted operating income by $27 million.




     •  As of March 31, 2020, our debt was $26,103 million, compared to

$26,908 million as of December 31, 2019. This decrease was mainly due to

repayment at maturity of our $700 million 2.25% senior notes, as well as


        exchange rate fluctuations.



• Cash flow generated from operating activities during the first quarter of

2020 was $305 million, compared to $112 million in the first quarter of

2019. This increase in cash flow in the first quarter of 2020 was mainly

due to higher operating profit in each of our three segments, as well as


        lower performance incentive payments to employees paid in the first
        quarter of 2020, compared to the amounts paid in the first quarter of
        2019.




     •  During the first quarter of 2020, we generated free cash flow of

$551 million, which we define as comprising $305 million in cash flow

generated from operating activities, $368 million in beneficial interest

collected in exchange for securitized accounts receivables and $6 million

in proceeds from sale of property, plant and equipment and intangible

assets, partially offset by $128 million in cash used for capital

investment. This increase compared to the first quarter of 2019, resulted


        mainly from higher cash flow generated from operating activities,
        including significant consumption of inventories.




Results of Operations
Comparison of Three Months Ended March 31, 2020 to Three Months Ended March 31,
2019
The following table sets forth, for the periods indicated, certain financial
data derived from our financial statements, presented according to generally
accepted accounting principles in the United States ("U.S. GAAP"), presented as
percentages of net revenues, and the percentage change for each item as compared
to the previous year:

                                                 Percentage of Net Revenues
                                                     Three Months Ended                 Percentage
                                                         March 31,                        Change
                                                 2020                  2019            2020 - 2019
                                                  %                     %                   %
Net revenues                                          100                   100                   5
Gross profit                                           47                    45                  11
Research and development expenses                       5                     6                 (15 )
Selling and marketing expenses                         14                    16                  (5 )
General and administrative expenses                     7                   7.0                   4
Intangible assets impairments                          15                    11                  38
Other assets impairments, restructuring
and other items                                         3                     §                  NA
Legal settlements and loss
contingencies                                          (1 )                   1                  NA
Other income (loss)                                     §                     §                 115
Operating income                                        4                     3                  43
Financial expenses, net                                 5                     5                   3
Income (loss) before income taxes                      (1 )                  (2 )               (61 )
Income taxes (benefit)                                 (1 )                   §                  -
Share in losses (profits)
of associated companies, net                            §                     §                  NA
Net income attributable to
non-controlling
interests                                              (1 )                   §                  NA
Net income (loss) attributable to Teva                  2                    (3 )                -
Net income (loss) attributable to
ordinary shareholders                                   2                    (3 )                -




§ Represents an amount less than 0.5%.


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Segment Information
North America Segment
The following table presents revenues, expenses and profit for our North America
segment for the three months ended March 31, 2020 and 2019:

                                        Three months ended March 31,
                                     2020                            2019
                                (U.S. $ in millions / % of Segment Revenues)
Revenues                 $     2,082              100 %     $     2,047       100.0 %
Gross profit                   1,062             51.0 %           1,039        50.8 %
R&D expenses                     146              7.0 %             165         8.1 %
S&M expenses                     251             12.1 %             268        13.1 %
G&A expenses                     118              5.6 %             112         5.5 %
Other (income) expense            (2 )              §                (4 )         §

Segment profit*          $       550             26.4 %     $       498        24.3 %





* Segment profit does not include amortization and certain other items.

§ Represents an amount less than 0.5%.






North America Revenues
Our North America segment includes the United States and Canada. Revenues from
our North America segment in the first quarter of 2020 were $2,082 million, an
increase of $36 million, or 2%, compared to the first quarter of 2019, mainly
due to an increase in revenues of AUSTEDO and Anda as well as a milestone
payment related to our anti-CGRP intellectual property (see note 2 to our
consolidated financial statements), partially offset by lower revenues from
QVAR, BENDEKA/TREANDA, COPAXONE and generic products.
Revenues by Major Products and Activities
The following table presents revenues for our North America segment by major
products and activities for the three months ended March 31, 2020 and 2019:

                      Three months ended          Percentage
                           March 31,                Change
                       2020           2019        2019-2020
                     (U.S. $ in millions)
Generic products   $        952      $   966               (1 %)
AJOVY                        29           20               44 %
AUSTEDO                     122           74               64 %
BENDEKA/TREANDA             105          122              (14 %)
COPAXONE                    198          208               (5 %)
ProAir*                      59           59                1 %
QVAR                         45           64              (29 %)
Anda                        426          379               13 %
Other                       146          155               (6 %)

Total              $      2,082      $ 2,047                2 %





* Does not include revenues from the ProAir authorized generic, which are

included under generic products.






Generic products
revenues in our North America segment (including biosimilars) in the first
quarter of 2020 were $952 million, a decrease of 1% compared to the first
quarter of 2019. This decrease was mainly due to price erosion in our product
portfolio and lower royalty income, offset by an increase in revenues from
launches of new products, including TRUXIMA and from our ProAir
®
authorized generic due to higher demand related to the
COVID-19
pandemic.
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Among the most significant generic products we sold in North America in the
first quarter of 2020 were albuterol sulfate inhalation aerosol (ProAir HFA
authorized generic of our specialty product), epinephrine injectable solution
(the generic equivalent of EpiPen
®
and EpiPen Jr.
®
), TRUXIMA (the biosimilar to Rituxan
®
), lidocaine transdermal patch (the generic equivalent of Lidoderm Patch
®
) and amphetamine salt tablets (the generic equivalent of Adderall IR
®
).
We launched HERZUMA for Injection (the biosomilar to Herceptin
®
) in the United States in March 2020. HERZUMA and TRUXIMA were also launched in
Canada in January 2020 and February 2020, respectively. On May 4, 2020, TRUXIMA
became available in the U.S. for the treatment of rheumatoid arthritis,
granulomatosis with polyangiitis (Wegener's Granulomatosis) and microscopic
polyangiitis.
In the first quarter of 2020, we led the U.S. generics market in total
prescriptions and new prescriptions, with approximately 389 million total
prescriptions (based on trailing twelve months), representing 10.4% of total
U.S. generic prescriptions according to IQVIA data.
AJOVY
®
revenues in our North America segment in the first quarter of 2020 were
$29 million, an increase of $9 million, or 44% compared to the first quarter of
2019, mainly due to growth in volume in the first quarter of 2020. AJOVY was
approved by the FDA and launched in the United States in September 2018 for the
preventive treatment of migraine in adults. On January 27, 2020, the FDA
approved an auto-injector device for AJOVY in the U.S., which became
commercially available in April 2020. In addition, AJOVY was approved in Canada
on April 14, 2020.
On May 12, 2017, we entered into a license and collaboration agreement with
Otsuka Pharmaceutical Co., Ltd. ("Otsuka") providing Otsuka with an exclusive
license to conduct phase 2 and 3 clinical trials for AJOVY in Japan and, once
approved, to commercialize the product in Japan. Results for these trials were
received in January 2020 indicating that primary and secondary endpoints were
achieved and that no clinically significant adverse events were observed in
subjects.
AJOVY is also in clinical development to evaluate safety and efficacy in the
treatment of post traumatic headache and fibromyalgia.
AJOVY is protected by patents expiring in 2026 in Europe and in 2027 in the
United States. Applications for patent term extensions have been submitted in
various markets around the world. An additional patent relating to the use of
AJOVY in the treatment of migraine is issued in the United States and will
expire in 2035. This patent is also pending in other countries. AJOVY will also
be protected by regulatory exclusivity for 12 years from marketing approval in
the United States and 10 years from marketing approval in Europe.
We have filed a lawsuit in the U.S. District Court for the District of
Massachusetts alleging that Eli Lilly & Co.'s ("Lilly") marketing and sale of
its galcanezumab product for the treatment of migraine infringes nine Teva
patents. Lilly has also submitted IPR (inter partes review) petitions to the
Patent Trial and Appeal Board, challenging the validity of the nine patents
asserted against it in the litigation. The litigation in the district court was
stayed pending resolution of the IPR petitions. On February 18, 2020, the Patent
Trial and Appeal Board issued decisions on the first six IPRs, finding the six
patents invalid as being obvious. On April 21, 2020, we filed notices of appeal
in connection with these decisions. On March 31, 2020 the Patent Trial and
Appeal Board issued a decision upholding the 3 method of treatment patents. The
litigation stay ended following the issuance of the most recent IPR decisions,
and the parties are proceeding with the litigation. In addition, we have entered
into separate agreements with Alder Biopharmaceuticals, Inc. and Lilly,
resolving the European Patent Office oppositions that they filed against our
AJOVY patents. The settlement agreement with Lilly also resolved Lilly's action
to revoke the patent protecting AJOVY in the United Kingdom.
AUSTEDO
revenues in our North America segment in the first quarter of 2020 increased by
64%, to $122 million, compared to $74 million in the first quarter of 2019. This
increase was mainly due to growth in volume in the first quarter of 2020.
In April 2017, AUSTEDO was approved by the FDA and launched in the United States
for the treatment of chorea associated with Huntington disease. In August 2017,
the FDA approved AUSTEDO for the treatment of tardive dyskinesia.
We do not have further plans for the development of AUSTEDO for the treatment of
Tourette syndrome in pediatric patients in the United States, which was being
developed under a partnership agreement with Nuvelution Pharma, Inc.
("Nuvelution"), following clinical trial results received in February 2020,
which failed to meet their primary endpoints.
AUSTEDO is protected in the United States by five Orange Book patents expiring
between 2031 and 2033 and in Europe by two patents expiring in 2029.
BENDEKA
and
TREANDA
combined revenues in our North America segment in the first quarter of 2020
decreased by 14% to $105 million, compared to the first quarter of 2019, mainly
due to the emergence of alternative novel therapies and continued competition
from Belrapzo
®
(a
ready-to-dilute
bendamustine hydrochloride product from Eagle Pharmaceuticals, Inc. ("Eagle")).
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In July 2018, Eagle prevailed in its suit against the FDA to obtain seven years
of orphan drug exclusivity in the United States for BENDEKA. On March 13, 2020,
this decision was upheld in the appellate court. As a result, drug applications
referencing BENDEKA, TREANDA or any other bendamustine product will not be
approved by the FDA until the orphan drug exclusivity expires in December 2022.
It is unclear whether the FDA or the intervening generic defendants will further
appeal this ruling. In April 2019, we signed an amendment to the license
agreement with Eagle extending the royalty term applicable to the United States
to the full period for which we sell BENDEKA and increasing the royalty rate. In
consideration, Eagle agreed to assume a portion of BENDEKA-related patent
litigation expenses. In September 2019, a patent infringement action against
four of the five ANDA filers for generic versions of BENDEKA was tried in the
United States District Court for the District of Delaware. On April 27, 2020,
the District Court upheld the validity of all of the asserted patents and found
that all four ANDA filers infringe these patents. As a result, the ANDA filers
should be enjoined until these patents expire in 2031.
Additionally, in July 2018, Teva and Eagle filed suit against Hospira, Inc.
("Hospira") related to its 505(b)(2) new drug application ("NDA") referencing
BENDEKA in the U.S. District Court for the District of Delaware. Hospira's
30-month
stay expires in December 2020. On December 16, 2019, the Delaware District Court
dismissed the case against Hospira on all but one of the asserted patents, which
expires in 2031. Trial against Hospira on that patent is scheduled to begin on
November 15, 2021.
We have U.S. Orange Book patents for TREANDA expiring between 2026 and 2031. One
505(b)(2) NDA was filed for a liquid version of bendamustine and 21 ANDAs were
filed for generic versions of the lyophilized form of TREANDA. We have reached
final settlements with all 22 filers, providing for the launch of generic
versions of TREANDA prior to patent expiration.
COPAXONE
revenues in our North America segment in the first quarter of 2020 decreased by
5% to $198 million, compared to the first quarter of 2019, mainly due to generic
competition in the United States.
The market for MS treatments continues to develop, particularly with the
approvals of generic versions of COPAXONE discussed above, as well as additional
generic versions expected to be approved in the future. Oral treatments for MS,
such as Tecfidera
®
, Gilenya
®
and Aubagio
®
, continue to present significant and increasing competition. COPAXONE also
continues to face competition from existing injectable products, as well as from
monoclonal antibodies, such as Ocrevus
®
.
ProAir
revenues in our North America segment in the first quarter of 2020 were
$59 million, flat compared to the first quarter of 2019. In January 2019, we
launched our own ProAir authorized generic in the United States following the
launch of a generic version of Ventolin
®
HFA, another albuterol inhaler. Revenues from our ProAir HFA authorized generic
are included in "generic products" above. ProAir is the fourth-largest
short-acting beta-agonist in the market, with an exit market share of 15.5%
(37.5% including our ProAir HFA authorized generic, making our overall albuterol
product the largest in the market) in terms of total number of prescriptions for
albuterol inhalers during the first quarter of 2020, compared to 27.6% in the
first quarter of 2019. In June 2014, we settled a patent challenge to ProAir HFA
with Perrigo Company plc ("Perrigo"), under which Perrigo is now permitted to
launch its generic product. In February 2020, Perrigo obtained FDA approval of
its generic product and announced initial release of limited supplies. In
November 2017, we settled another patent challenge to ProAir HFA with Lupin
Pharmaceuticals, Inc. ("Lupin"), et al. permitting Lupin to launch its generic
product on September 23, 2019, or earlier under certain circumstances.
QVAR
revenues in our North America segment in the first quarter of 2020 decreased by
29% to $45 million, compared to the first quarter of 2019, mainly due to
increased price competition and lower volumes. QVAR maintained its second-place
position in the inhaled corticosteroids category in the United States, with an
exit market share of 20.8% in terms of total number of prescriptions during the
first quarter of 2020, compared to 21.7% in the first quarter of 2019.
Anda
revenues in our North America segment in the first quarter of 2020 increased by
13% to $426 million, compared to $379 million in the first quarter of 2019,
mainly due to higher volume increases primarily related to the
COVID-19
pandemic. Anda, our distribution business in the United States, distributes
generic, specialty and OTC pharmaceutical products from various third party
manufacturers to independent retail pharmacies, pharmacy retail chains,
hospitals and physician offices in the United States. Anda is able to compete in
the secondary distribution market by maintaining high inventory levels for a
broad offering of products, competitive pricing and offering next day delivery
throughout the United States.
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Product Launches and Pipeline
In the first quarter of 2020, we launched the generic version of the following
branded products in North America:

                                                                                  Total Annual U.S.
                                                                                Branded Sales at Time
                                                                                      of Launch
                                                                                 (U.S. $ in millions
                                                               Launch                 (IQVIA))
Product Name                             Brand Name             Date                      *
Doxepin tablets, 3 mg & 6 mg                 Silenor ®          January        $                    50
HERZUMA
®
(trastuzumab-pkrb) for injection,
150 mg/vial & 420 mg/vial                  Herceptin ®**          March        $                 3,042




* The figures presented are for the twelve months ended in the calendar

quarter immediately prior to our launch or


     re-launch




** Biosimilar.




Our generic products pipeline in the United States includes, as of March 31,
2020, 242 product applications awaiting FDA approval, including 79 tentative
approvals. This total reflects all pending ANDAs, supplements for product line
extensions and tentatively approved applications and includes some instances
where more than one application was submitted for the same reference product.
Excluding overlaps, the branded products underlying these pending applications
had U.S. sales for the twelve months ended March 31, 2020 exceeding
$119 billion, according to IQVIA. Approximately 70% of pending applications
include a paragraph IV patent challenge, and we believe we are first to file
with respect to 90 of these products, or 112 products including final approvals
where launch is pending a settlement agreement or court decision. Collectively,
these first to file opportunities represent over $77 billion in U.S. brand sales
for the twelve months ended March 31, 2020, according to IQVIA.
IQVIA reported brand sales are one of the many indicators of future potential
value of a launch, but equally important are the mix and timing of competition,
as well as cost effectiveness. The potential advantages of being the first filer
with respect to some of these products may be subject to forfeiture, shared
exclusivity or competition from
so-called
"authorized generics," which may ultimately affect the value derived.
In the first quarter of 2020, we did not receive any tentative approvals for
generic equivalents. A "tentative approval" indicates that the FDA has
substantially completed its review of an application and final approval is
expected once the relevant patent expires, a court decision is reached, a
30-month
regulatory stay lapses or a
180-day
exclusivity period awarded to another manufacturer either expires or is
forfeited.
Below is a description of key products in our specialty pipeline as of March 31,
2020:

                                 Potential           Route of        Development Phase
Product                        Indication(s)      Administration   (date entered phase 3)       Comments
CNS, Neurology and
Neuropsychiatry

AUSTEDO (deutetrabenazine)   Tourette syndrome    Oral                                      No further plans
                                                                                            in this
                                                                                            indication.

                             Dyskinesia in        Oral             3 (September 2019)
                             cerebral palsy

TV-46000                     Schizophrenia        Subcutaneous     3 (April 2018)
(risperidone LAI)




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                                Potential            Route of         Development Phase
Product                       Indication(s)       Administration    (date entered phase 3)        Comments
Migraine and Pain

fremanezumab (anti CGRP)   Post traumatic         Subcutaneous      2
                           headache

                           fibromyalgia           Subcutaneous      2

fasinumab                  Osteoarthritis pain    Subcutaneous      3 (March 2016)           Developed in
                                                                                             collaboration with
                                                                                             Regeneron
                                                                                             Pharmaceuticals,
                                                                                             Inc. ("Regeneron")

Respiratory

ProAir                     Bronchospasm and       Oral inhalation   Approved by FDA
 e-RespiClick              exercise induced                         (December 2018)
™                          bronchitis

AirDuo                     Treatment of asthma    Oral inhalation   Approved by FDA (July
®                          in patients aged 12                      2019)
Digihaler                  years and older
®

ArmonAir                   Treatment of asthma    Oral inhalation   Approved by FDA
®                          in patients aged 12                      (February 2020)
DigiHaler                  years and older
®

GoResp                     Treatment of asthma    Oral inhalation   Under regulatory
®                          in patients aged 12                      review
DigiHaler                  years and older and
®                          COPD
/ DuoResp
®
DigiHaler
®




North America Gross Profit
Gross profit from our North America segment in the first quarter of 2020 was
$1,062 million, an increase of 2%, compared to $1,039 million in the first
quarter of 2019. This increase was mainly due to the change in mix of revenues,
as discussed above.
Gross profit margin for our North America segment in the first quarter of 2020
increased to 51.0%, compared to 50.8% in the first quarter of 2019.
North America R&D Expenses
R&D expenses relating to our North America segment in the first quarter of 2020
were $146 million, a decrease of 12%, compared to $165 million in the first
quarter of 2019.
For a description of our R&D expenses in the first quarter of 2020, see "-Teva
Consolidated Results-Research and Development (R&D) Expenses" below.
North America S&M Expenses
S&M expenses relating to our North America segment in the first quarter of 2020
were $251 million, a decrease of 6%, compared to $268 million in the first
quarter of 2019. This decrease was mainly due to cost reductions and efficiency
measures.
North America G&A Expenses
G&A expenses relating to our North America segment in the first quarter of 2020
were $118 million, an increase of 5%, compared to $112 million in the first
quarter of 2019.
North America Other Income (Expense)
Other income from our North America segment in the first quarter of 2020 was
$2 million, compared to other income of $4 million in the first quarter of 2019.
North America Profit
Profit from our North America segment consists of gross profit less R&D
expenses, S&M expenses, G&A expenses and any other income related to this
segment. Segment profit does not include amortization and certain other items.
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Profit from our North America segment in the first quarter of 2020 was
$550 million, an increase of 10%, compared to $498 million in the first quarter
of 2019. This increase was due to higher revenues and lower expenses as
discussed above.
Europe Segment
The following table presents revenues, expenses and profit for our Europe
segment for the three months ended March 31, 2020 and 2019:

                                       Three months ended March 31,
                                     2020                            2019
                               (U.S. $ in millions / % of Segment Revenues)
Revenues                 $     1,402              100 %     $     1,264        100 %
Gross profit                     823             58.7 %             730       57.8 %
R&D expenses                      55              3.9 %              66        5.2 %
S&M expenses                     202             14.4 %             215       17.0 %
G&A expenses                      66              4.7 %              48        3.8 %
Other (income) expense            (1 )              §                (1 )        §

Segment profit*          $       502             35.8 %     $       403       31.9 %





* Segment profit does not include amortization and certain other items.

§ Represents an amount less than 0.5%.






Europe Revenues
Our Europe segment includes the European Union and certain other European
countries. Revenues from our Europe segment in the first quarter of 2020 were
$1,402 million, an increase of 11% or $138 million, compared to the first
quarter of 2019. In local currency terms, revenues increased by 13%, mainly due
to higher demand for certain products resulting from the impact of the
COVID-19
pandemic on purchasing patterns as well as continuing growth in generics and new
generic product launches, partially offset by price declines for oncology
products as a result of generic competition and a decline in COPAXONE revenues
due to competing glatiramer acetate products.
Revenues by Major Products and Activities
The following table presents revenues for our Europe segment by major products
and activities for the three months ended March 31, 2020 and 2019:

                          Three months ended          Percentage
                               March 31,                Change
                           2020           2019        2019-2020
                         (U.S. $ in millions)
Generic products       $      1,032      $   919               12 %
COPAXONE                        109          114               (4 %)
Respiratory products            106           91               16 %
AJOVY                             4           -                NA
Other                           151          140                7 %

Total                  $      1,402      $ 1,264               11 %





Generic products
revenues in our Europe segment in the first quarter of 2020, including OTC
products, increased by 12% to $1,032 million, compared to the first quarter of
2019. In local currency terms, revenues increased by 16% compared to the first
quarter of 2019, mainly due to higher demand for certain products resulting from
the impact of the
COVID-19
pandemic on purchasing patterns as well as continuing growth in generics and new
generic product launches. We estimate that the impact of the
COVID-19
pandemic on advanced purchasing patterns was approximately $100 million.
COPAXONE
revenues in our Europe segment in the first quarter of 2020 decreased by 4% to
$109 million, compared to the first quarter of 2019. In local currency terms,
revenues decreased by 1%, mainly due to price reductions and a decline in volume
resulting from competing glatiramer acetate products, partially offset by higher
demand due to the impact of the
COVID-19
pandemic on purchasing patterns.
COPAXONE 40 mg/mL is protected by one European patent expiring in 2030. This
patent is being challenged in various European jurisdictions. In October 2017,
the U.K. High Court found this patent invalid and our application for permission
to appeal this decision was rejected. The patent was upheld by the Opposition
Division of the European Patent Office in April 2019. A hearing for an appeal in
this case has been set for June 2020.
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Respiratory products
revenues in our Europe segment in the first quarter of 2020 increased by 16% to
$106 million, compared to the first quarter of 2019. In local currency terms,
revenues increased by 20%, mainly due to higher demand attributed to the impact
of the
COVID-19
pandemic.
AJOVY
revenues in our Europe segment in the first quarter of 2020 were $4 million.
AJOVY was granted a Marketing Authorization in the European Union by the
European Medicines Agency ("EMA") in a centralized process in April 2019. We
commenced launching AJOVY in certain European markets in May 2019 and are moving
forward with plans to launch in other European countries. In October 2019, we
received approval from the EMA for AJOVY's auto-injector submission in the
European Union and we commenced launch in March 2020. For information about
AJOVY patent protection, see "-North America Revenues-Revenues by Major Product"
above.
Product Launches and Pipeline
As of March 31, 2020, our generic products pipeline in Europe included 88
generic approvals relating to 27 compounds in 49 formulations, no EMA approvals
received. In addition, approximately 1,115 marketing authorization applications
pending approval in 37 European countries, relating to 119 compounds in 236
formulations. No applications are pending with the EMA.
For information regarding our specialty pipeline and launches in the first
quarter of 2020, see "-North America Segment -Product Launches and Pipeline"
above.
Europe Gross Profit
Gross profit from our Europe segment in the first quarter of 2020 was
$823 million, an increase of 13% compared to $730 million in the first quarter
of 2019. This increase was mainly due to higher revenues, as discussed above.
Gross profit margin for our Europe segment in the first quarter of 2020
increased to 58.7%, compared to 57.8% in the first quarter of 2019. This
increase was mainly due to a favorable mix of generic products and lower
inventory write-offs.
Europe R&D Expenses
R&D expenses relating to our Europe segment in the first quarter of 2020 were
$55 million, a decrease of 17% compared to $66 million in the first quarter of
2019.
For a description of our R&D expenses in the first quarter of 2020, see "-Teva
Consolidated Results-Research and Development (R&D) Expenses" below.
Europe S&M Expenses
S&M expenses relating to our Europe segment in the first quarter of 2020 were
$202 million, a decrease of 6% compared to $215 million in the first quarter of
2019. This decrease was mainly due to lower marketing and travel costs
attributed to travel restrictions related to the
COVID-19
pandemic.
Europe G&A Expenses
G&A expenses relating to our Europe segment in the first quarter of 2020 were
$66 million, an increase of 37% compared to $48 million in the first quarter of
2019.
Europe Profit
Profit of our Europe segment consists of gross profit less R&D expenses, S&M
expenses, G&A expenses and any other income related to this segment. Segment
profit does not include amortization and certain other items.
Profit from our Europe segment in the first quarter of 2020 was $502 million, an
increase of 25%, compared to $403 million in the first quarter of 2019. This
increase was mainly due to higher revenues and lower expenses as discussed
above.
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International Markets Segment
The following table presents revenues, expenses and profit for our International
Markets segment for the three months ended March 31, 2020 and 2019:

                                       Three months ended March 31,
                                      2020                             2019
                               (U.S. $ in millions / % of Segment Revenues)
Revenues                 $        565                100 %       $  521        100 %
Gross profit                      305               54.0 %          269       51.7 %
R&D expenses                       15                2.7 %           22        4.2 %
S&M expenses                      106               18.8 %          115       22.0 %
G&A expenses                       34                6.0 %           36        6.8 %
Other (income) expense             (6 )             (1.1 %)          -           §

Segment profit*          $        156               27.6 %       $   97       18.6 %




* Segment profit does not include amortization and certain other items.

§ Represents an amount less than 0.5%.

** The data presented for prior periods have been revised to reflect a revision

in the presentation of net revenues and cost of sales in the consolidated

financial statements. See note 1c to our consolidated financial statements

for additional information.





International Markets Revenues
Our International Markets segment includes all countries in which we operate
other than those in our North America and Europe segments. The International
Markets segment includes more than 35 countries, covering a substantial portion
of the global pharmaceutical market. Our key international markets are Japan,
Russia and Israel. The countries in our International Markets segment include
highly regulated, pure generic markets, such as Israel, branded generics
oriented markets, such as Russia and certain Latin America markets and hybrid
markets such as Japan.
Revenues from our International Markets segment in the first quarter of 2020
were $565 million, an increase of $44 million, or 8%, compared to the first
quarter of 2019. In local currency terms, revenues increased by 5% compared to
the first quarter of 2019, mainly due to higher sales in Latin America,
Asia-Pacific, Ukraine and Russia, partially offset by lower sales in Japan. The
revenues in the first quarter of 2020 included $35 million from a positive
hedging impact, which are included in "Other" in the table below. See note 8d to
our consolidated financial statements.
The data presented for prior periods have been revised to reflect a revision in
the presentation of net revenues and cost of sales in the consolidated financial
statements. See note 1c to our consolidated financial statements for additional
information.
Revenues by Major Products and Activities
The following table presents revenues for our International Markets segment by
major products and activities for the three months ended March 31, 2020 and
2019:

                      Three months ended          Percentage
                           March 31,                Change
                     2020            2019         2019-2020
                     (U.S. $ in millions)
Generic products   $     449       $     441                2 %
COPAXONE                  12              13              (11 %)
Other                    104              67               57 %

Total              $     565       $     521                8 %




* The data presented for prior periods have been revised to reflect a revision in

the presentation of net revenues and cost of sales in the consolidated


  financial statements. See note 1c to our consolidated financial statements for
  additional information.



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Generic products
revenues in our International Markets segment in the first quarter of 2020,
which include OTC products, increased by 2% to $449 million, compared to the
first quarter of 2019. In local currency terms, revenues increased by 6%, mainly
due to higher sales in Latin America, Asia-Pacific, Ukraine and Russia,
partially offset by lower sales in Japan resulting from generic competition to
off-patented
products.
COPAXONE
revenues in our International Markets segment in the first quarter of 2020
decreased by 11% to $12 million, compared to $13 million in the first quarter of
2019. In local currency terms, revenues decreased by 1%.
International Markets Gross Profit
Gross profit from our International Markets segment in the first quarter of 2020
was $305 million, an increase of 13% compared to $269 million in the first
quarter of 2019.
Gross profit margin for our International Markets segment in the first quarter
of 2020 increased to 54.0%, compared to 51.7% in the first quarter of 2019. This
increase was mainly due to higher sales and the positive impact from the hedging
activity discussed above.
International Markets R&D Expenses
R&D expenses relating to our International Markets segment in the first quarter
of 2020 were $15 million, a decrease of 31% compared to $22 million in the first
quarter of 2019.
For a description of our R&D expenses in the first quarter of 2020, see "-Teva
Consolidated Results-Research and Development (R&D) Expenses" below.
International Markets S&M Expenses
S&M expenses relating to our International Markets segment in the first quarter
of 2020 were $106 million, a decrease of 8% compared to $115 million in the
first quarter of 2019. This decrease was mainly due to a decline in distribution
fees paid in Japan.
International Markets G&A Expenses
G&A expenses relating to our International Markets segment in the first quarter
of 2020 were $34 million, a decrease of 5% compared to $36 million in the first
quarter of 2019.
International Markets Profit
Profit of our International Markets segment consists of gross profit less R&D
expenses, S&M expenses, G&A expenses and any other income related to this
segment. Segment profit does not include amortization and certain other items.
Profit from our International Markets segment in the first quarter of 2020 was
$156 million, an increase of 61%, compared to $97 million in the first quarter
of 2019. This increase was mainly due to higher sales and the positive impact
from the hedging activity discussed above.
Other Activities
We have other sources of revenues, primarily the sale of APIs to third parties,
certain contract manufacturing services and an
out-licensing
platform offering a portfolio of products to other pharmaceutical companies
through our affiliate Medis. Our other activities are not included in our North
America, Europe or International Markets segments described above.
Our revenues from other activities in the first quarter of 2020 were
$307 million, a decrease of 3% compared to the first quarter of 2019. In local
currency terms, revenues decreased by 2%.
API sales to third parties in the first quarter of 2020 were $177 million, a
decrease of 5%, in both U.S. dollar and local currency terms, compared to the
first quarter of 2019. This decrease was mainly due to timing of certain orders
and divestment of certain activities.
Teva Consolidated Results
The
data presented with respect to revenues, gross profit, R&D expenses, S&M
expenses, G&A expenses and operating income (loss) for prior periods have been
revised to reflect a revision in the presentation of net revenues and cost of
sales in the consolidated financial statements. See note 1c to our consolidated
financial statements for additional information.
Revenues
Revenues in the first quarter of 2020 were $4,357 million, an increase of 5% in
both U.S. dollar and local currency terms, compared to the first quarter of
2019. This increase was mainly due to higher revenues from generics and OTC
sales in Europe, higher revenues from AUSTEDO and Anda in North America and
higher revenues from our International Markets segment, partially offset by
lower revenues from generics in the U.S. and lower revenues from QVAR and
BENDEKA/TREANDA in North America. See "-North America Revenues," "-Europe
Revenues," "-International Markets Revenues" and "-Other Activities" above.
Exchange rate movements during the first quarter of 2020, net of hedging,
negatively impacted revenues by $3 million compared to the first quarter of
2019. See note 8d to our consolidated financial statements.
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Gross Profit
Gross profit in the first quarter of 2020 was $2,063 million, an increase of 11%
compared to the first quarter of 2019. This increase was mainly a result of the
factors discussed above under "-North America Gross Profit," "-Europe Gross
Profit" and "-International Markets Gross Profit."
Gross profit as a percentage of revenues was 47.3% in the first quarter of 2020,
compared to 44.7% in the first quarter of 2019.
The increase in gross profit as a percentage of revenues was mainly due to
higher profitability in each of our three segments, primarily higher revenues
from AUSTEDO, a favorable mix of generic products in North America, a favorable
mix of generic products in Europe and International Markets and a positive
impact from our hedging activity, partially offset by higher revenues from Anda,
which has lower profitability.
Research and Development (R&D) Expenses
Net R&D expenses in the first quarter of 2020 were $221 million, a decrease of
15% compared to the first quarter of 2019.
Our R&D activities for generic products in each of our segments include both
(i) direct expenses relating to product formulation, analytical method
development, stability testing, management of bioequivalence and other clinical
studies and regulatory filings; and (ii) indirect expenses, such as costs of
internal administration, infrastructure and personnel.
Our R&D activities for specialty products in each of our segments include costs
of discovery research, preclinical development, early- and late-clinical
development and drug formulation, clinical trials and product registration
costs. These expenditures are reported net of contributions received from
collaboration partners. Our spending takes place throughout the development
process, including (i) early-stage projects in both discovery and preclinical
phases; (ii) middle-stage projects in clinical programs up to phase 3; (iii)
late-stage projects in phase 3 programs, including where a new drug application
is currently pending approval; (iv) life cycle management and post-approval
studies for marketed products; and (v) indirect expenses that support our
overall specialty R&D efforts but are not allocated by product or to specific
R&D projects, such as the costs of internal administration, infrastructure and
personnel.
In the first quarter of 2020, our R&D expenses related primarily to specialty
product candidates in the pain, migraine, headache and respiratory therapeutic
areas, with additional activities in selected other areas and generic products.
Our lower R&D expenses in the first quarter of 2020, compared to the first
quarter of 2019, resulted primarily from the life cycle and stage of various
projects.
R&D expenses as a percentage of revenues were 5.1% in the first quarter of 2020,
compared to 6.3% in the first quarter of 2019.
Selling and Marketing (S&M) Expenses
S&M expenses in the first quarter of 2020 were $613 million, a decrease of 5%
compared to the first quarter of 2019. Our S&M expenses were primarily the
result of the factors discussed above under "-North America Segment- S&M
Expenses," "-Europe Segment- S&M Expenses" and "-International Markets Segment-
S&M Expenses."
S&M expenses as a percentage of revenues were 14.1% in the first quarter of
2020, compared to 15.6% in the first quarter of 2019.
General and Administrative (G&A) Expenses
G&A expenses in the first quarter of 2020 were $304 million, an increase of 4%
compared to the first quarter of 2019.
G&A expenses as a percentage of revenues were 7.0% in the first quarter of 2020,
flat compared to the first quarter of 2019.
Intangible Asset Impairments
We recorded expenses of $649 million for identifiable intangible asset
impairments in the first quarter of 2020, compared to expenses of $469 million
in the first quarter of 2019. See note 5 to our consolidated financial
statements.
Goodwill Impairment
No goodwill impairments were recorded in the first quarters of both 2020 and
2019. See note 6 to our consolidated financial statements.
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Other Asset Impairments, Restructuring and Other Items
We recorded expenses of $121 million for other asset impairments, restructuring
and other items in the first quarter of 2020, compared to expenses of $1 million
in the first quarter of 2019. See note 12 to our consolidated financial
statements.
Significant regulatory events
In July 2018, the FDA completed an inspection of our manufacturing plant in
Davie, Florida in the United States, and issued a Form FDA-483 to the site. In
October 2018, the FDA notified us that the inspection of the site is classified
as "official action indicated" (OAI). On February 5, 2019, we received a warning
letter from the FDA that contained four additional enumerated concerns related
to production, quality control and investigations at this site. We have been
working diligently to address the FDA's concerns in a manner consistent with
current good manufacturing practice (cGMP) requirements as quickly and as
thoroughly as possible. An FDA follow up inspection occurred in January 2020,
resulting in some follow up findings, and we received a letter from the FDA
dated April 24, 2020 notifying us that the site continues to be classified as
OAI. If we are unable to remediate the findings to the FDA's satisfaction, we
may face additional consequences. These would potentially include delays in FDA
approval for future products from the site, financial implications due to loss
of revenues, impairments, inventory write offs, customer penalties, idle
capacity charges, costs of additional remediation and possible FDA enforcement
action. We expect to generate approximately $230 million in revenues from this
site in 2020, assuming remediation or enforcement does not cause any unscheduled
slowdown or stoppage at the facility, however delays in FDA approvals of future
products from the site may occur.
In July 2018, we announced the voluntary recall of valsartan and certain
combination valsartan medicines in various countries due to the detection of
trace amounts of a previously unknown nitrosamine impurity called NDMA found in
valsartan API supplied to us by Zhejiang Huahai Pharmaceuticals Co. Ltd.
("Huahai"). Since July 2018, we have been actively engaged with regulatory
agency requests around the world in reviewing our sartan and other products to
determine whether NDMA and/or other related nitrosamine impurities are present
in specific products. Where necessary, we have initiated additional voluntary
recalls. The aggregate direct impact of the sartan recalls on our 2018 and 2019
financial statements was $54 million, primarily related to inventory write-downs
and returns. As a result of this loss, we initiated negotiations with Huahai and
in December 2019, we reached a settlement with Huahai resolving our claims
related to certain sartan API supplied by Huahai to Teva. Under the settlement
agreement, Huahai agreed to compensate Teva for some of the direct losses
suffered by Teva and provide Teva prospective cost reductions for API. The
settlement does not release Huahai from liability for any losses we may incur as
a result of third party personal injury or product liability claims relating to
the sartan API at issue. In addition, multiple lawsuits have been filed in
connection with this matter, which may lead to additional customer penalties,
impairments and litigation costs. We expect additional expenses and loss of
revenues and profits in connection with this matter going forward.
Restructuring
In the first quarter of 2020, we recorded $39 million of restructuring expenses,
compared to $32 million in the first quarter of 2019. The expenses in the first
quarter of 2020 were primarily related to residual expenses of the restructuring
plan announced in 2017.
Legal Settlements and Loss Contingencies
In the first quarter of 2020, we recorded an income of $25 million in legal
settlements and loss contingencies, compared to an expense of $57 million in the
first quarter of 2019. The income in the first quarter of 2020 was mainly due to
a settlement of an action brought against the sellers of Auden McKenzie (an
acquisition made by Actavis Generics).
Other Income
Other income in the first quarter of 2020 was $13 million, compared to
$6 million in the first quarter of 2019.
Operating Income (Loss)
Operating income was $191 million in the first quarter of 2020, compared to
operating income of $134 million in the first quarter of 2019.
Operating income as a percentage of revenues was 4.4% in the first quarter of
2020, compared to 3.2% in the first quarter of 2019. This increase was mainly
due to higher profit in our Europe, International Markets and North America
segments and income from legal settlements (compared to an expense in the first
quarter of 2019), partially offset by higher intangible asset impairments and
higher other assets impairments, restructuring and other items in the first
quarter of 2020.
Financial Expenses, Net
Financial expenses were $224 million in the first quarter of 2020, compared to
$218 million in the first quarter of 2019. Financial expenses in the first
quarter of 2020 and 2019 were mainly comprised of interest expenses of
$241 million and $227 million, respectively.
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The following table presents a reconciliation of our segment profits to our
consolidated operating income (loss) and to consolidated income (loss) before
income taxes for the three months ended March 31, 2020 and 2019:

                                                             Three months ended
                                                                  March 31,
                                                              2020           2019
                                                            (U.S. $ in millions)
North America profit                                      $        550      $   498

Europe profit                                                      502          403
International Markets profit                                       156           97

Total reportable segments profit                                 1,208          998
Profit of other activities                                          36           21

Total segments profit                                            1,244        1,019
Amounts not allocated to segments:
Amortization                                                       258      

283


Other assets impairments, restructuring and other items            121      

1


Intangible asset impairments                                       649      

469


Legal settlements and loss contingencies                           (25 )    

57


Other unallocated amounts                                           49      

75



Consolidated operating income (loss)                               191          134

Financial expenses, net                                            224          218

Consolidated income (loss) before income taxes            $        (33 )    $   (84 )




Tax Rate
In the first quarter of 2020, we recognized a tax benefit of $59 million, on
pre-tax
loss of $33 million. In the first quarter of 2019, we recognized a tax expense
of $9 million, on
pre-tax
loss of $84 million. Our tax rate for the first quarter of 2020 was mainly
affected by impairments in jurisdictions in which tax rates are higher than
Teva's average tax rate on its ongoing business operations.
The statutory Israeli corporate tax rate is 23% in 2020. Our tax rate differs
from the Israeli statutory tax rate, mainly due to generation of profits in
various jurisdictions in which tax rates are different than the Israeli tax
rate, tax benefits in Israel and other countries, as well as infrequent or
nonrecurring items.
Share In Losses (Income) of Associated Companies, Net
Share in losses of associated companies, net in the first quarter of 2020 was
$1 million, compared to $4 million in the first quarter of 2019.
Net Income (Loss) Attributable to Teva
Net income attributable to Teva and net income attributable to ordinary
shareholders were $69 million in the first quarter of 2020, compared to net loss
of $105 million in the first quarter of 2019.
Diluted Shares Outstanding and Earnings (Loss) per Share
The weighted average diluted shares outstanding used for the fully diluted share
calculation for the three months ended March 31, 2020 and 2019 were
1,096 million and 1,090 million shares, respectively.
In computing diluted earnings per share for the three months ended March 31,
2020, basic earnings per share were adjusted to take into account the potential
dilution that could occur upon the exercise of options and
non-vested
RSUs granted under employee stock compensation plans, using the treasury stock
method. No account was taken of the potential dilution by the convertible senior
debentures, since they had an anti-dilutive effect on earnings per share.
In computing diluted loss per share for the three months ended March 31, 2019,
no account was taken of the potential dilution by the assumed exercise of
employee stock options and
non-vested
RSUs granted under employee stock compensation plans, and convertible senior
debentures, since they had an anti-dilutive effect on loss per share.
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Diluted earnings per share were $0.06 in the first quarter of 2020, compared to
diluted loss per share of $0.10 in the first quarter of 2019.
Share Count for Market Capitalization
We calculate share amounts using the outstanding number of shares (i.e.,
excluding treasury shares) plus shares that would be outstanding upon the
exercise of options and vesting of RSUs and performance share units ("PSUs") and
the conversion of our convertible senior debentures, in each case, at period
end.
As of March 31, 2020 and 2019, the fully diluted share count for purposes of
calculating our market capitalization was approximately 1,118 million and
1,107 million, respectively.
Impact of Currency Fluctuations on Results of Operations
In the first quarter of 2020, approximately 50% of our revenues were denominated
in currencies other than the U.S. dollar. Because our results are reported in
U.S. dollars, we are subject to significant foreign currency risks. Accordingly,
changes in the rate of exchange between the U.S. dollar and the local currencies
in the markets in which we operate (primarily the euro, British pound, Japanese
yen, new Israeli shekel, Canadian dollar and Russian ruble) impact our results.
During the first quarter of 2020, the following main currencies relevant to our
operations decreased in value against the U.S. dollar (each on a quarterly
average compared to quarterly average basis): Argentinian peso by 37%, euro by
3% and British pound by 2%. The following main currencies relevant to our
operations increased in value against the U.S. dollar: new Israeli shekel by 4%
and Japanese yen by 1%.
As a result, exchange rate movements during the first quarter of 2020, net of
hedging, negatively impacted overall revenues by $3 million and positively
impacted our operating income by $27 million, in comparison with the first
quarter of 2019. In the first quarter of 2020, the positive hedging impact
recognized under revenues was $60 million, partially offset by a $5 million
negative impact recognized under cost of sales. Hedging transactions against
future projected revenues and expenses are recognized on the balance sheet at
their fair value on a quarterly basis, while the foreign exchange impact on the
underlying revenues and expenses may occur in subsequent quarters. See note 8d
to our consolidated financial statements.
Commencing in the third quarter of 2018, the cumulative inflation in Argentina
exceeded 100% or more over a three-year period. Although this triggered highly
inflationary accounting treatment, it did not have a material impact on our
results of operations.
Liquidity and Capital Resources
Total balance sheet assets were $55,330 million as of March 31, 2020, compared
to $57,470 million as of December 31, 2019.
Our working capital balance, which includes accounts receivables net of SR&A,
inventories, prepaid expenses and other current assets, accounts payables,
employee-related obligations, accrued expenses and other current liabilities,
was $302 million as of March 31, 2020, compared to $74 million as of
December 31, 2019.
Employee-related obligations, as of March 31, 2020, were $540 million, compared
to $693 million as of December 31, 2019. The decrease in the first quarter of
2020 was mainly due to performance incentive payments to employees for 2019.
Cash investment in property, plant and equipment in the first quarter of 2020
was approximately $128 million, compared to $119 million in the fourth quarter
of 2019. Depreciation in the first quarter of 2020 was $141 million, compared to
$153 million in the fourth quarter of 2019.
Cash and cash equivalents and short-term and long-term investments as of
March 31, 2020 were $1,850 million, compared to $2,033 million as of
December 31, 2019.
The decrease in the first quarter of 2020 was mainly due to repayment at
maturity of our $700 million 2.25% senior note in March 2020, partially offset
by cash generated during the quarter.
Our cash on hand that is not used for ongoing operations is generally invested
in bank deposits as well as liquid securities that bear fixed and floating
rates.
Our principal sources of short-term liquidity are our cash on hand, existing
cash investments, liquid securities and available credit facilities, primarily
our $2.3 billion unsecured syndicated revolving credit facility entered into in
April 2019 ("RCF").
The RCF agreement provides for two separate tranches, a $1.15 billion tranche A
and a $1.15 billion tranche B. Loans and letters of credit will be available
from time to time under each tranche for Teva's general corporate purposes.
Tranche A has a maturity date of April 8, 2022, with two
one-year
extension options, of which $1.0 billion were extended to April 8, 2023. Tranche
B has a maturity date of April 8, 2024.
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The RCF contains certain covenants, including certain limitations on incurring
liens and indebtedness and maintenance of certain financial ratios, including
the requirement to maintain compliance with a net debt to EBITDA ratio, which
becomes more restrictive over time. The net debt to EBITDA ratio limit is 6.0x
in the first and second quarters of 2020 and declines to 5.75x in the third and
fourth quarters of 2020, and continues to gradually decline over the remaining
term of the RCF.
The RCF can be used for general corporate purposes, including repaying existing
debt. As of March 31, 2020, no amounts were outstanding under the RCF. Based on
current and forecasted results, we expect that we will not exceed the financial
covenant thresholds set forth in the RCF within one year from the date the
financial statements are issued.
Under specified circumstances, including
non-compliance
with any of the covenants described above and the unavailability of any waiver,
amendment or other modification thereto, we will not be able to borrow under the
RCF. Additionally, violations of the covenants, under the above-mentioned
circumstances, would result in an event of default in all borrowings under the
RCF and, when greater than a specified threshold amount as set forth in each
series of senior notes is outstanding, could lead to an event of default under
our senior notes due to cross acceleration provisions.
We expect that we will continue to have sufficient cash resources to support our
debt service payments and all other financial obligations within one year from
the date that the financial statements are issued.
Debt Balance and Movements
As of March 31, 2020, our debt was $26,103 million, compared to $26,908 million
as of December 31, 2019. This decrease was mainly due to repayment at maturity
of our $700 million 2.25% senior notes, as well as exchange rate fluctuations.
In March 2020, we repaid at maturity our $700 million 2.25% senior notes.
Our debt as of March 31, 2020 was effectively denominated in the following
currencies: 64% in U.S. dollars, 33% in euros and 3% in Swiss francs.
The portion of total debt classified as short-term as of March 31, 2020 was 6%,
compared to 9% as of December 31, 2019.
Our financial leverage was 64% as of March 31, 2020, similar to the financial
leverage as of December 31, 2019.
Our average debt maturity was approximately 6.6 years as of March 31, 2020,
compared to 6.4 years as of December 31, 2019.
Total Equity
Total equity was $14,588 million as of March 31, 2020, compared to
$15,063 million as of December 31, 2019. This decrease was mainly due to a
negative impact of $560 million from exchange rate fluctuations.
Exchange rate fluctuations affected our balance sheet, as approximately 36% of
our net assets in the first quarter of 2020 (including both
non-monetary
and monetary assets) were in currencies other than the U.S. dollar. When
compared to December 31, 2019, changes in currency rates had a negative impact
of $560 million on our equity as of March 31, 2020, mainly due to the changes in
value against the U.S. dollar of: the Mexican peso by 26%, the Russian ruble by
28%, the Canadian dollar by 8%, the Polish zloty by 8%, the British pound by 6%,
Indian rupee by 6%, the Chilean peso by 4%, Croatian kuna by 4% and the euro by
2%. All comparisons are on a
quarter-end
to
quarter-end
basis.
Cash Flow
Cash flow generated from operating activities during the first quarter of 2020
was $305 million, compared to $112 million in the first quarter of 2019. The
increase in the first quarter of 2020 was mainly due to higher operating profit
in each of our three segments, as well as lower performance incentive payments
to employees paid in the first quarter of 2020 compared to the amounts paid in
the first quarter of 2019.
During the first quarter of 2020, we generated free cash flow of $551 million,
which we define as comprising $305 million in cash flow generated from operating
activities, $368 million in beneficial interest collected in exchange for
securitized accounts receivables and $6 million in proceeds from sale of
property, plant and equipment and intangible assets, partially offset by
$128 million in cash used for capital investment. During the first quarter of
2019, we generated free cash flow of $360 million, comprising $112 million in
cash flow generated from operating activities, $362 million in beneficial
interest collected in exchange for securitized accounts receivables and
$11 million in proceeds from sale of property, plant and equipment and
intangible assets, partially offset by $125 million in cash used for capital
investment. The increase in the first quarter of 2020 resulted mainly from
higher cash flow generated from operating activities, including significant
consumption of inventories.
Dividends
We have not paid dividends on our ordinary shares or ADSs since December 2017.
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Commitments
In addition to financing obligations under short-term debt and long-term senior
notes and loans, debentures and convertible debentures, our major contractual
obligations and commercial commitments include leases, royalty payments,
contingent payments pursuant to acquisition agreements and participation in
joint ventures associated with R&D activities.
In September 2016, we entered into an agreement to develop and commercialize
Regeneron's pain medication product, fasinumab. We paid Regeneron $250 million
upfront and will share equally with Regeneron in the global commercial benefits
of this product, as well as ongoing associated R&D costs of approximately $1.0
billion. The agreement stipulates additional development milestone payments to
Regeneron, as well as future royalties.
In October 2016, we entered into an exclusive partnership with Celltrion to
commercialize two of Celltrion's biosimilar products in development for the U.S.
and Canadian markets. We paid Celltrion $160 million, of which up to $60 million
is refundable or creditable. We will share the profit from the commercialization
of these products with Celltrion. These two products, TRUXIMA and HERZUMA, were
approved by the FDA in November and December 2018, respectively, and were
launched in the United States in November 2019 and March 2020, respectively.
In September 2017, we entered into a partnership agreement with Nuvelution for
development of AUSTEDO for the treatment of Tourette syndrome in pediatric
patients in the United States. There are no further plans in this indication
following clinical trial results received in February 2020, which failed to meet
their primary endpoints.
We are committed to pay royalties to owners of
know-how,
partners in alliances and certain other arrangements, and to parties that
financed R&D at a wide range of rates as a percentage of sales of certain
products, as defined in the agreements. In some cases, the royalty period is not
defined; in other cases, royalties will be paid over various periods not
exceeding 20 years.
In connection with certain development, supply and marketing, and research and
collaboration or services agreements, we are required to indemnify, in
unspecified amounts, the parties to such agreements against third-party claims
relating to (i) infringement or violation of intellectual property or other
rights of such third party; or (ii) damages to users of the related products.
Except as described in our financial statements, we are not aware of any
material pending action that may result in the counterparties to these
agreements claiming such indemnification.
2020 Aggregated Contractual Obligations
There have not been any material changes in our assessment of material
contractual obligations and commitments as set forth in Item 7 of our Annual
Report on Form
10-K
for the year ended December 31, 2019.
Supplemental
Non-GAAP
Income Data
We utilize certain
non-GAAP
financial measures to evaluate performance, in conjunction with other
performance metrics. The following are examples of how we utilize the
non-GAAP
measures:

• our management and Board of Directors use the

non-GAAP

measures to evaluate our operational performance, to compare against work


        plans and budgets, and ultimately to evaluate the performance of
        management;




  • our annual budgets are prepared on a
    non-GAAP
    basis; and



• senior management's annual compensation is derived, in part, using these


        non-GAAP
        measures. While qualitative factors and judgment also affect annual
        bonuses, the principal quantitative element in the determination of such

bonuses is performance targets tied to the work plan, which is based on


        the
        non-GAAP
        presentation set forth below.



Non-GAAP


financial measures have no standardized meaning and accordingly have limitations
in their usefulness to investors. We provide such
non-GAAP
data because management believes that such data provide useful information to
investors. However, investors are cautioned that, unlike financial measures
prepared in accordance with U.S. GAAP,
non-GAAP
measures may not be comparable with the calculation of similar measures for
other companies. These
non-GAAP
financial measures are presented solely to permit investors to more fully
understand how management assesses our performance. The limitations of using
non-GAAP
financial measures as performance measures are that they provide a view of our
results of operations without including all events during a period and may not
provide a comparable view of our performance to other companies in the
pharmaceutical industry.
Investors should consider
non-GAAP
financial measures in addition to, and not as replacements for, or superior to,
measures of financial performance prepared in accordance with GAAP.
In arriving at our
non-GAAP
presentation, we exclude items that either have a
non-recurring
impact on the income statement or which, in the judgment of our management, are
items that, either as a result of their nature or size, could, were they not
singled out, potentially cause investors to extrapolate future performance from
an improper base. In addition, we also exclude equity compensation expenses to
facilitate a better understanding of our financial results, since we believe
that such exclusion is important for understanding the trends in our financial
results and that these expenses do not affect our business operations. While not
all inclusive, examples of these items include:
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  • amortization of purchased intangible assets;



• legal settlements and/or loss contingencies, due to the difficulty in


        predicting their timing and scope;



• impairments of long-lived assets, including intangibles, property, plant


        and equipment and goodwill;




     •  restructuring expenses, including severance, retention costs, contract

cancellation costs and certain accelerated depreciation expenses primarily

related to the rationalization of our plants or to certain other strategic


        activities, such as the realignment of R&D focus or other similar
        activities;



• acquisition- or divestment- related items, including changes in contingent


        consideration, integration costs, banker and other professional fees,
        inventory
        step-up
        and
        in-process
        R&D acquired in development arrangements;




  • expenses related to our equity compensation;




  • significant
    one-time
    financing costs and devaluation losses;




  • unusual tax items;




  • other awards or settlement amounts, either paid or received;



• other exceptional items that we believe are sufficiently large that their

exclusion is important to facilitate an understanding of trends in our

financial results, such as impacts due to changes in accounting,

significant costs for remediation of plants, such as inventory write-offs


        or related consulting costs, or other unusual events; and




  • corresponding tax effects of the foregoing items.




The following tables present supplemental
non-GAAP
data, in U.S. dollar, which we believe facilitates an understanding of the
factors affecting our business. In these tables, we exclude the following
amounts:
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The following table presents the GAAP measures, related
non-GAAP
adjustments and the corresponding
non-GAAP
amounts for the applicable periods:

                                                                                                                                                                        Three Months Ended March 31, 2020
                                                                                                                                                            U.S. $ and shares in millions (except per share amounts)
                                                                                                                                                                                  Excluded for
                                                                                                                                                                                    non-GAAP
                                                                                                                                                                                   measurement
                                                                                              Amortization of            Legal                                                                   Costs related
                                                                                                 purchased          settlements and        Impairment          Other                             to regulatory                                               Other
                                                                                                intangible               loss             of long lived         R&D          Restructuring       actions taken         Equity           Contingent            non-         Other
                                                                                  GAAP            assets             contingencies           assets           expenses           costs           in facilities      compensation       consideration       GAAP items      items       Non-GAAP
Cost of sales                                                                      2,294                   223                                                                                                4                 6                                   15                     2,046
R&D expenses                                                                         221                                                                             (4 )                                                       5                                   -                        221
S&M expenses                                                                         613                    35                                                                                                                  9                                   -                        570
G&A expenses                                                                         304                                                                                                                                       10                                    4                       290
Other (income) expense                                                               (13 )                                                                                                                                                                           0                       (13 )
Legal settlements and loss contingencies                                             (25 )                                       (25 )                                                                                                                                                        -
Other assets impairments, restructuring and other items                              121                                                              75                                 39                                                         6                1                        -
Intangible assets impairments                                                        649                                                             649                                                                                                                                      -
Financial expenses, net                                                              224                                                                                                                                                                                       11            213
Income taxes                                                                         (59 )                                                                                                                                                                                   (234 )          175
Share in losses of associated companies - net                                          1                                                                                                                                                                                       -               1
Net income (loss) attributable to
non-controlling
interests                                                                            (44 )                                                                                                                                                                                    (63 )           20

Total reconciled items                                                                                     258                   (25 )               724             (4 )                39                   4                30                   6               20       (286 )

EPS - Basic                                                                         0.06                                                                                                                                                                                     0.70           0.76
EPS - Diluted                                                                       0.06                                                                                                                                                                                     0.70           0.76




The
non-GAAP

diluted weighted average number of shares was 1,096 million for the three months ended March 31, 2020.


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                                                                                                                                                                                        Three Months Ended March 31, 2019
                                                                                                                                                                             U.S. $ and shares in millions (except per share amounts)
                                                                                                                                                                                                   Excluded for
                                                                                                                                                                                                     non-GAAP
                                                                                                                                                                                                   measurement
                                                                                              Amortization           Legal                              Acquisition,                                                                                           Other
                                                                                              of purchased        settlements         Impairment         integration                            Costs related to                                               non-
                                                                                               intangible          and loss          of long lived       and related       Restructuring       regulatory actions          Equity           Contingent         GAAP       Other       Corresponding        Unusual        Non-
                                                                                   GAAP          assets          contingencies          assets            expenses             costs           taken in facilities      compensation       consideration       items      items        tax effect         tax item*       GAAP
Cost of sales**                                                                     2,293               248                                                                                                       4                 7                              35                                                      1,999
R&D expenses                                                                          261                                                                                                                                           6                              -                                                         255
S&M expenses                                                                          648                35                                                                                                                        10                                                                                        602
G&A expenses                                                                          292                                                                                                                                          12                              -                                                         280
Other (income) expense                                                                 (6 )                                                                                                                                                                                                                                   (6 )
Legal settlements and loss contingencies                                               57                                    57                                                                                                                                                                                               -
Other assets impairments, restructuring and other items                                 1                                                        20                 2                  32                                                             (71 )        19                                                         -
Intangible assets impairments                                                         469                                                       469                                                                                                                                                                           -
Financial expenses, net                                                               218                                                                                                                                                                                     (2 )                                           220
Income taxes                                                                            9                                                                                                                                                                                                       (177 )            61         125
Share in losses of associated companies - net                                           4                                                                                                                                                                                     -                                                4
Net income (loss) attributable to
non-controlling
interests                                                                               8                                                                                                                                                                                     (8 )                                            16

Total reconciled items                                                                                  283                  57                 489                 2                  32                         4                34                 (71 )        54        (10 )              (177 )            61

EPS - Basic                                                                         (0.10 )                                                                                                                                                                                                                     0.70        0.60
EPS - Diluted                                                                       (0.10 )                                                                                                                                                                                                                     0.70        0.60

* Interest disallowance as a result of the U.S. Tax Cuts and Jobs Act.

** The data presented for prior periods have been revised to reflect a revision

in the presentation of net revenues and cost of sales in the consolidated

financial statements. See note 1c to our consolidated financial statements for


   additional information.


The

non-GAAP

diluted weighted average number of shares was 1,093 million for the three months ended March 31, 2019.


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Non-GAAP
Tax Rate
Non-GAAP
income taxes for the first quarter of 2020 were $175 million or 17%, on
pre-tax
non-GAAP
income of $1,030 million.
Non-GAAP
income taxes in the first quarter of 2019 were $125 million, or 16%, on
pre-tax
non-GAAP
income of $799 million. Our
non-GAAP
tax rate for the first quarter of 2020 was mainly affected by the mix of
products we sold and lower interest expense disallowance compared to the first
quarter of 2019.
We expect our annual non-GAAP tax rate for 2020 to be 17%-18%, slightly lower
than our non-GAAP tax rate for 2019, which was 18%. This is due to lower amounts
of interest expense disallowance and other changes to tax positions and
deductions.
Off-Balance
Sheet Arrangements
Except for securitization transactions, which are disclosed in note 10(f) to our
consolidated financial statements included in our Annual Report on Form
10-K
for the year ended December 31, 2019, we do not have any material
off-balance
sheet arrangements.
Critical Accounting Policies
For a summary of our significant accounting policies, see note 1 to our
consolidated financial statements and "Critical Accounting Policies" included in
our Annual Report on Form
10-K
for the year ended December 31, 2019.
Recently Issued Accounting Pronouncements
See note 1 to our consolidated financial statements.

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