Teva Pharmaceutical Industries Limited

    TEVA ·NYSE ·Pharmaceutical Preparations ·Inc. in L3
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    Financial statements

    data from SEC XBRL filings. Values are as-reported; restatements supersede originals.

    From 10-Q filed 2026-04-29 (period ending 2026-03-31).

    TEVA PHARMACEUTICAL INDUSTRIES LIMITED

     

    ITEM 2.

    MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

    Business Overview

    We are a biopharmaceutical company, enabled by a world-class generics business. For over 120 years, our commitment to bettering health has never wavered. From innovating in the fields of neuroscience and immunology to providing complex generic medicines, biosimilars and pharmacy brands worldwide, we are dedicated to addressing patients’ needs, now and in the future.

    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: United States, Europe and International Markets. Each business segment manages our entire product portfolio in its region, including generics, which includes biosimilars and OTC products, as well as innovative medicines. 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 our distribution business in the U.S. through Anda, 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. Such activities are included under “Other Activities” below. For additional segment information, see note 15 to our consolidated financial statements.

    Pivot to Growth Strategy

    In the first quarter of 2026, we continued to execute on the four key pillars of our “Pivot to Growth” strategy, announced in May 2023, which entered into its second phase in 2025. During this second phase of “Accelerate Growth,” we expect to focus on growing our innovative portfolio, aligning capital allocation to invest in activities we expect to have the highest value, and modernizing our organization and operations to drive both efficiency and cost savings. Under Teva’s Transformation programs announced on May 7, 2025, we expect to achieve such cost savings through a variety of initiatives including examining practices and efficiencies in methods of working, reduction in headcount and optimizing external spend in the following years.

    Teva Enters into a Definitive Agreement with Emalex Biosciences

    In April 2026, Teva entered into a definitive agreement to acquire all outstanding shares of Emalex Biosciences (“Emalex”), including its lead asset, ecopipam, which has completed Phase 3 for the treatment of Tourette syndrome in pediatric population. Upon closing, Teva will pay $700 million to Emalex’s existing shareholders, which is expected to be funded with existing cash on hand. In addition, Emalex’s existing shareholders may be eligible to receive milestone payments of up to $200 million, as well as royalties on global net-sales of ecopipam, upon commercialization and subject to regulatory approval. The transaction is subject to customary closing conditions, including receipt of necessary regulatory approvals, and is currently anticipated to close by the third quarter of 2026. See note 2 to our consolidated financial statements.

    Macroeconomic and Geopolitical Environment

    The ongoing war involving Iran has contributed to increased uncertainty and volatility in global economic conditions. The conflict has affected financial markets, foreign exchange rates and energy prices, and has disrupted international trade routes, supply chains and logistics. In particular, the conflict has disrupted critical global logistics corridors, maritime shipping routes, and air cargo hubs, including those used for the transportation of pharmaceutical products and key inputs. In some cases, such disruptions have resulted in and may continue to result in delays in our production and distribution processes, impacting product availability and our ability to timely respond to consumer demand. Although we have taken measures to mitigate and offset these impacts, the situation remains fluid and the duration, severity and broader economic consequences of the conflict are difficult to predict. Given our global operations, including personnel and several manufacturing and R&D facilities in Israel, as well as our exposure to international markets, continued instability in the region could adversely impact our business operations and financial condition. As of the date of this quarterly report on Form 10-Q, the impact of this conflict on our results of operation and financial condition was immaterial.

    Moreover, recent U.S. tariffs imposed, or threatened to be imposed, on materials and products from countries where we do business may impact our business. Any responsive or reciprocal actions taken by such countries, as well as heightened sanctions regimes and trade restrictions arising from geopolitical conflicts, as discussed above, could impact our costs and global operations. The countries subject to tariffs or other trade restrictions, and the tariff rate imposed on each country or scope of applicable restrictions, is uncertain and dynamic, and we continue to monitor and assess the potential impact on our supply chain and global operations, which could be material, and to evaluate pathways to mitigate such potential impact.

     

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    Highlights

    Significant highlights in the first quarter of 2026 included:

     

       

    Revenues in the first quarter of 2026 were $3,982 million, an increase of 2% in U.S. dollars, or a decrease of 3% in local currency terms compared to the first quarter of 2025. This decrease was mainly due to lower revenues from generic products, primarily lenalidomide capsules (the generic version of Revlimid®) in our U.S. segment as well as the divestment of our business venture in Japan in our International Markets segment, partially offset by higher revenues from our key innovative products, primarily AUSTEDO.

     

       

    Our U.S. segment generated revenues of $1,534 million and segment profit of $507 million in the first quarter of 2026. Revenues were flat and segment profit decreased by 2%, compared to the first quarter of 2025.

     

       

    Our Europe segment generated revenues of $1,340 million and segment profit of $401 million in the first quarter of 2026. Revenues increased by 12% in U.S. dollars compared to the first quarter of 2025. In local currency terms, revenues decreased by 1%, compared to the first quarter of 2025. Segment profit increased by 22%, compared to the first quarter of 2025.

     

       

    Our International Markets segment generated revenues of $524 million and segment profit of $65 million in the first quarter of 2026. Revenues decreased by 10% in U.S. dollars, or 19% in local currency terms, compared to the first quarter of 2025. Segment profit decreased by 33%, compared to the first quarter of 2025.

     

       

    Our revenues from Other Activities in the first quarter of 2026 were $584 million, an increase of 1% in U.S. dollars compared to the first quarter of 2025. In local currency terms, revenues decreased by 1%, compared to the first quarter of 2025.

     

       

    Exchange rate movements during the first quarter of 2026, including hedging effects, positively impacted revenues by $219 million, compared to the first quarter of 2025.

     

       

    Gross profit margin was 49.5% in the first quarter of 2026, compared to 48.2% in the first quarter of 2025.

     

       

    R&D expenses, net in the first quarter of 2026 were $222 million, a decrease of 10%, compared to $247 million in the first quarter of 2025.

     

       

    Operating income was $652 million in the first quarter of 2026, compared to $519 million in the first quarter of 2025.

     

       

    In the first quarter of 2026, we recognized a tax expense of $67 million, on pre-tax income of $437 million. In the first quarter of 2025, we recognized a tax expense of $74 million, on pre-tax income of $294 million. See note 11 to our consolidated financial statements.

     

       

    As of March 31, 2026, our debt was $16,627 million, compared to $16,807 million as of December 31, 2025. See note 7 to our consolidated financial statements.

     

       

    Cash flow used in operating activities during the first quarter of 2026 was $40 million, compared to $105 million in the first quarter of 2025. The lower cash flow used in operating activities in the first quarter of 2026 was mainly due to favorable timing of sales and collections in our U.S. segment, as well as lower payments of interest, partially offset by higher performance incentive payments to employees.

     

       

    During the first quarter of 2026, we generated free cash flow of $188 million, which we define as comprising: $40 million in cash flow used in operating activities, $354 million in beneficial interest collected in exchange for securitized accounts receivables (under our EU securitization program) and $42 million of proceeds from sale of businesses and long-lived assets, partially offset by $168 million in cash used for capital investments. During the first quarter of 2025, we generated free cash flow of $107 million. The increase in the first quarter of 2026 mainly resulted from lower cash flow used in operating activities as discussed above.

     

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    Results of Operations

    Comparison of Three Months Ended March 31, 2026 to Three Months Ended March 31, 2025

    Segment Information

    United States Segment

    The following table presents revenues, expenses and profit for our United States segment for the three months ended March 31, 2026 and 2025:

     

         Three months ended March 31,  
         2026     2025  
         (U.S. $ in millions / % of Segment Revenues)  

    Revenues

       $ 1,534        100   $ 1,536        100

    Cost of sales

         496        32.3     523        34.1

    Gross profit

         1,038        67.7     1,013        65.9

    R&D expenses

         147        9.6     154        10.1

    S&M expenses

         298        19.4     244        15.9

    G&A expenses

         90        5.9     95        6.2

    Other

         (4      §       3        §  
      

     

     

        

     

     

       

     

     

        

     

     

     

    Segment profit*

       $ 507        33.0   $ 518        33.7
      

     

     

        

     

     

       

     

     

        

     

     

     
     
    *

    Segment profit does not include amortization and certain other items.

    §

    Represents an amount less than 0.5%.

    United States Revenues

    In alignment with our Pivot to Growth strategy, commencing January 1, 2026, Anda is no longer reported under our United States segment. This shift allows the United States segment to continue to manage its entire product portfolio in the region, while strengthening focus on its biopharmaceutical business, growth engines and innovation. As a result, from that date, Anda is reported as part of the Company’s Other Activities. Prior period amounts were recast to reflect this change. See note 15 to our consolidated financial statements.

    Revenues from our United States segment in the first quarter of 2026 were $1,534 million, flat compared to the first quarter of 2025, mainly due to lower revenues from generic products, primarily lenalidomide capsules (the generic version of Revlimid®), offset by higher revenues from our key innovative products, primarily AUSTEDO.

    Revenues by Major Products and Activities

    The following table presents revenues for our United States segment by major products and activities for the three months ended March 31, 2026 and 2025:

     

         Three months ended
    March 31,
         Percentage
    Change
    2026-2025
     
         2026      2025  
         (U.S. $ in millions)         

    Generic products (including biosimilars)

       $ 612      $ 849        (28 %) 

    AJOVY

         87        53        64

    AUSTEDO

         559        396        41

    BENDEKA and TREANDA

         27        36        (26 %) 

    COPAXONE

         62        54        16

    UZEDY

         63        39        62

    Other*

         123        109        13
      

     

     

        

     

     

        

    Total

       $ 1,534      $ 1,536        §  
      

     

     

        

     

     

        
     
    *

    Other revenues in the first quarter of 2026 include the sale of certain product rights.  

    §

    Represents an amount less than 0.5%.

     

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    Generic products (including biosimilar products) revenues in our United States segment in the first quarter of 2026 were $612 million, a decrease of 28% compared to the first quarter of 2025. This decrease was mainly driven by lower revenues from lenalidomide capsules (the generic version of Revlimid®) due to increased generic competition in the U.S., partially offset by higher revenues from our portfolio of biosimilar products.

    Among the most significant generic products we sold in the United States in the first quarter of 2026 were Truxima® (the biosimilar to Rituxan®), epinephrine injectable solution (the generic equivalent of EpiPen® and EpiPen Jr®) and SIMLANDI® (the biosimilar to Humira®). In the first quarter of 2026, our total prescriptions were approximately 246 million (based on trailing twelve months), representing 6.3% of total U.S. generic prescriptions, compared to approximately 273 million (based on trailing twelve months), representing 7.1% of total U.S. generic prescriptions in the first quarter of 2025, all according to IQVIA data.

    AJOVY revenues in our United States segment in the first quarter of 2026 were $87 million, an increase of 64% compared to the first quarter of 2025, mainly due to a reduction in sales allowance. In the first quarter of 2026, AJOVY’s exit market share in the United States in terms of total number of prescriptions was 32.0% out of the subcutaneous injectable anti- CGRP class, compared to 30.2% in the first quarter of 2025.

    AJOVY was launched in the United States in 2018 for the preventive treatment of migraine in adults, and in August 2025, the FDA approved AJOVY for the preventive treatment of episodic migraine in children and adolescent patients aged 6 to 17 years. AJOVY is the only anti-CGRP subcutaneous product indicated for both quarterly and monthly dosing options. AJOVY faces competition from multiple other products.

    AJOVY is protected worldwide by patents expiring in 2026 at the earliest; extensions have been granted in several countries, including the United States and in Europe, until 2031. Additional patents relating to the use of AJOVY in the treatment of migraine have also been issued in the United States and in Europe and will expire between 2035 and 2039. Such patents are also pending in other countries. AJOVY will also be protected by regulatory exclusivity for 12 years from marketing approval in the United States (obtained in September 2018) and 10 years from marketing approval in Europe (obtained in April 2019). For our patent litigation related to other anti-CGRP products, see note 10 to our consolidated financial statement.

    AUSTEDO revenues (which include AUSTEDO XR®) in our United States segment in the first quarter of 2026 were $559 million, an increase of 41%, compared to the first quarter of 2025. This increase was mainly due to growth in volume.

    During 2025, Teva and the Centers for Medicare and Medicaid Services (“CMS”) negotiated a maximum fair price for AUSTEDO and AUSTEDO XR, based on their inclusion in CMS’s list of prescription medicines selected for price-setting discussions. An agreement was announced by CMS in November 2025. The revised prices set by the U.S. Government will become effective on January 1, 2027 and will apply to eligible Medicare patients.

    AUSTEDO was launched in the United States in 2017. It is indicated for the treatment of chorea associated with Huntington’s disease and for the treatment of tardive dyskinesia in adults.

    AUSTEDO is protected in the United States by 14 Orange Book patents expiring between 2031 and 2038. We received notice letters from two ANDA filers regarding the filing of their ANDAs with paragraph (IV) certifications for certain of the patents listed in the Orange Book for AUSTEDO. In 2022, we reached agreements with Lupin and Aurobindo, respectively, to sell their generic products beginning in April 2033, or earlier under certain circumstances. On March 9, 2022, the U.S. Patent and Trial Appeal Board of the U.S. Patent and Trademark Office declined to institute an IPR filed by Apotex regarding the deutetrabenazine compound patent. Currently, there are no further patent litigations pending regarding AUSTEDO.

    AUSTEDO XR (deutetrabenazine) extended-release tablets was approved by the FDA on February 17, 2023 in three doses of 6, 12 and 24 mg, and became commercially available in the U.S. in May 2023. The FDA approved AUSTEDO XR as a one pill, once-daily treatment option in doses of 30, 36, 42, and 48 mg in May 2024 and in 18 mg in July 2024. AUSTEDO XR is a once-daily formulation indicated in adults for tardive dyskinesia and chorea associated with Huntington’s disease, which is additional to the twice-daily AUSTEDO. AUSTEDO XR is protected by 11 Orange Book patents expiring between 2031 and 2041.

     

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    UZEDY (risperidone) extended-release injectable suspension revenues in our United States segment in the first quarter of 2026 were $63 million, an increase of 62% compared to the first quarter of 2025, mainly due to growth in volume.

    UZEDY was approved by the FDA on April 28, 2023 for the treatment of schizophrenia in adults, and was launched in the U.S. in May 2023. UZEDY is a subcutaneous, long-acting formulation that controls the steady release of risperidone. UZEDY is protected by six Orange Book patents expiring between 2027 and 2042. On October 10, 2025, it was announced that the FDA approved UZEDY as a once-monthly extended-release injectable suspension as monotherapy or as adjunctive therapy to lithium or valproate for the maintenance treatment of bipolar 1 disorder (BD-1) in adults. UZEDY is protected by regulatory exclusivity until April 28, 2026. We are evaluating plans to launch UZEDY in other countries around the world. UZEDY faces competition from multiple products.

    BENDEKA and TREANDA combined revenues in our United States segment in the first quarter of 2026 were $27 million, a decrease of 26% compared to the first quarter of 2025, mainly due to competition from alternative therapies, as well as from generic bendamustine products.

    In April 2019, we signed an amendment to the license agreement with Eagle Pharmaceuticals, Inc. (“Eagle”) extending the royalty term applicable to the United States to the full period for which we sell BENDEKA and increased the royalty rate. In consideration, Eagle agreed to assume a portion of BENDEKA-related patent litigation expenses.

    There are 20 patents listed in the U.S. Orange Book for BENDEKA, one of which expired in 2026 and the rest with expiration dates in 2031. In August 2021, the Court of Appeals for the Federal Circuit affirmed the district court’s decision upholding the validity of all of the asserted patents and finding infringement by two remaining ANDA filers. Another ANDA filer did not join the appeal, and Teva also settled with two ANDA filers.

    Teva also settled litigation against four 505(b)(2) applicants: Hospira, Inc. (“Hospira”), Dr. Reddy’s Laboratories (“DRL”) and Accord Healthcare (“Accord”), and Almaject, Inc. / Alvogen, Inc. (“Almaject”). Based on these settlement agreements, Hospira, Accord, DRL and Almaject can launch their products on November 17, 2027, or earlier under certain circumstances. In 2023, Teva and Eagle also filed suit against BendaRx Corp. in the U.S. District Court for the District of Delaware, following its filing of a 505(b)(2) NDA for a bendamustine product, and that litigation is still pending, though it is currently stayed.

    In addition to the settlement with Eagle regarding its bendamustine 505(b)(2) NDA, between 2015 and 2020, we reached final settlements with 22 ANDA filers for generic versions of the lyophilized form of TREANDA and one 505(b)(2) NDA filer for a generic version of the liquid form of TREANDA, providing for the launch of generic versions of TREANDA prior to patent expiration. Currently, there are multiple generic TREANDA products on the market.

    COPAXONE revenues in our United States segment in the first quarter of 2026 were $62 million, an increase of 16% compared to the first quarter of 2025, mainly due to a reduction in sales allowance, partially offset by lower volumes.

    COPAXONE continues to face competition from existing alternative therapies, generic versions of COPAXONE, and generic treatments for multiple sclerosis, injectable products, as well as from monoclonal antibodies.

    Product Launches and Pipeline

    In the first quarter of 2026, we launched the generic version of the following branded products in the United States:

     

    Product Name

      

    Brand Name

       Launch
    Date
         Total Annual U.S.
    Branded Sales at Time
    of Launch
    (U.S. $ in millions
    (IQVIA))*
     

    Pomalidomide Capsules

       Pomalyst® capsules      March      $ 3,321  

    Ferric Citrate Tablets

       Auryxia® tablets      March      $ 56  
     
    * 

    The figures presented are for the twelve months ended in the calendar quarter immediately prior to our launch or re-launch.

     

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    As of March 31, 2026, our generic products pipeline in the United States includes 112 product applications awaiting FDA approval, including 65 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 December 31, 2025 of approximately $128 billion, according to IQVIA. Approximately 81% of pending applications include a paragraph IV patent challenge, and we believe we are first-to-file with respect to 53 of these products, or 76 products including final approvals where launch is pending a settlement agreement or court decision. Collectively, these first-to-file opportunities represent over $84 billion in U.S. brand sales for the twelve months ended December 31, 2025, 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 either forfeited, or subject to shared exclusivity or competition from so-called “authorized generics,” which may ultimately affect the value derived.

    In the first quarter of 2026, we did not receive any tentative approvals for generic products. 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.

    For information regarding our innovative and biosimilar products pipeline, see “—Teva Consolidated Results—Research and Development (R&D) Expenses, net” below.

    United States Gross Profit

    Gross profit from our United States segment in the first quarter of 2026 was $1,038 million, an increase of 2%, compared to the first quarter of 2025.

    Gross profit margin for our United States segment in the first quarter of 2026 increased to 67.7%, compared to 65.9% in the first quarter of 2025. This increase was mainly due to higher revenues from AUSTEDO, partially offset by lower revenues from generic products, primarily lenalidomide capsules (the generic version of Revlimid®).

    United States R&D Expenses

    R&D expenses relating to our United States segment in the first quarter of 2026 were $147 million, a decrease of 5%, compared to the first quarter of 2025.

    For a description of our R&D expenses in the first quarter of 2026, see “—Teva Consolidated Results—Research and Development (R&D) Expenses, net” below.

    United States S&M Expenses

    S&M expenses relating to our United States segment in the first quarter of 2026 were $298 million, an increase of 22%, compared to the first quarter of 2025. This increase was mainly due to promotional activities related to our key innovative products, primarily AUSTEDO.

    United States G&A Expenses

    G&A expenses relating to our United States segment in the first quarter of 2026 were $90 million, a decrease of 5% compared to the first quarter of 2025.

    United States Profit

    Profit from our United States segment consists of revenues less cost of sales, R&D expenses, S&M expenses, G&A expenses and other expenses (income) related to this segment. Segment profit does not include amortization and certain other items.

    Profit from our United States segment in the first quarter of 2026 was $507 million, a decrease of 2%, compared to the first quarter of 2025. This decrease was mainly due to higher S&M expenses, partially offset by higher gross profit, as discussed above.

     

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    Europe Segment

    The following table presents revenues, expenses and profit for our Europe segment for the three months ended March 31, 2026 and 2025:

     

         Three months ended March 31,  
         2026     2025  
         (U.S. $ in millions / % of Segment Revenues)  

    Revenues

       $ 1,340        100   $ 1,194        100

    Cost of sales

         606        45.2     536        44.9

    Gross profit

         734        54.8     658        55.1

    R&D expenses

         45        3.4     60        5.1

    S&M expenses

         215        16.0     199        16.7

    G&A expenses

         73        5.4     69        5.8

    Other

         §        §       §        §  
      

     

     

        

     

     

       

     

     

        

     

     

     

    Segment profit*

       $ 401        29.9   $ 329        27.6
      

     

     

        

     

     

       

     

     

        

     

     

     
     
    *

    Segment profit does not include amortization and certain other items.

    §

    Represents an amount less than $0.5 million or 0.5%, as applicable.

    Europe Revenues

    Our Europe segment includes the European Union, the United Kingdom and certain other European countries.

    Revenues from our Europe segment in the first quarter of 2026 were $1,340 million, an increase of 12% compared to the first quarter of 2025. In local currency terms, revenues decreased by 1% compared to the first quarter of 2025, mainly due to lower revenues from generic products, partially offset by higher revenues from AJOVY.

    In the first quarter of 2026, revenues were positively impacted by exchange rate fluctuations of $159 million, including hedging effects, compared to the first quarter of 2025. Revenues in the first quarter of 2026, included $10 million from a positive hedging impact, which is included in “Other” in the table below. Revenues in the first quarter of 2025 included $12 million from a negative hedging impact, which is included in “Other” in the table below. See note 8c to our consolidated financial statements.

    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, 2026 and 2025:

     

         Three months ended
    March 31,
         Percentage
    Change
    2026-2025
     
         2026      2025  
         (U.S. $ in millions)         

    Generic products (including OTC and biosimilars)

       $ 1,089      $ 989        10

    AJOVY

         76        58        31

    COPAXONE

         40        42        (4 %) 

    Respiratory products

         59        55        8

    Other*

         76        50        52
      

     

     

        

     

     

        

     

     

     

    Total

       $ 1,340      $ 1,194        12
      

     

     

        

     

     

        

     

     

     
     
    *

    Other revenues in the first quarter of 2026 and 2025 include the sale of certain product rights.

     

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    Generic products revenues (including OTC and biosimilar products) in our Europe segment in the first quarter of 2026, were $1,089 million, an increase of 10% compared to the first quarter of 2025. In local currency terms, revenues decreased by 1%, mainly due to lower sales of seasonal OTC products, partially offset by higher revenues from recently launched products.

    AJOVY revenues in our Europe segment in the first quarter of 2026 were $76 million, an increase of 31%, compared to the first quarter of 2025. In local currency terms, revenues increased by 17% due to growth in volume.

    For information about AJOVY patent protection, see “—United States Revenues—Revenues by Major Products and Activities” above.

    COPAXONE revenues in our Europe segment in the first quarter of 2026 were $40 million, a decrease of 4% compared to the first quarter of 2025. In local currency terms, revenues decreased by 14%, mainly due to price reductions and lower volumes resulting from the availability of alternative therapies.

    Respiratory products revenues in our Europe segment in the first quarter of 2026 were $59 million, an increase of 8% compared to the first quarter of 2025. In local currency terms, revenues decreased by 2%, mainly due to net price reductions and lower volumes.

    Product Launches and Pipeline

    As of March 31, 2026, our generic products pipeline in Europe included 89 generic approvals relating to 19 compounds in 47 formulations. In addition, approximately 1,408 marketing authorization applications are pending approval in 37 European countries, relating to 94 compounds in 215 formulations. One application is pending with the European Medicines Agency (“EMA”).

    For information regarding our innovative medicines and biosimilar products pipeline, see “—Teva Consolidated Results—Research and Development (R&D) Expenses, net” below.

    Europe Gross Profit

    Gross profit from our Europe segment in the first quarter of 2026 was $734 million, an increase of 12% compared to the first quarter of 2025.

    Gross profit margin for our Europe segment in the first quarter of 2026 decreased to 54.8%, compared to 55.1% in the first quarter of 2025.

    Europe R&D Expenses

    R&D expenses relating to our Europe segment in the first quarter of 2026 were $45 million, a decrease of 25% compared to the first quarter of 2025.

    For a description of our R&D expenses in the first quarter of 2026, see “—Teva Consolidated Results—Research and Development (R&D) Expenses, net” below.

    Europe S&M Expenses

    S&M expenses relating to our Europe segment in the first quarter of 2026 were $215 million, an increase of 8% compared to the first quarter of 2025. This increase was mainly due to a negative impact from exchange rate fluctuations.

    Europe G&A Expenses

    G&A expenses relating to our Europe segment in the first quarter of 2026 were $73 million, an increase of 6% compared to the first quarter of 2025. This increase was mainly due to a negative impact from exchange rate fluctuations.

    Europe Profit

    Profit from our Europe segment consists of revenues less cost of sales, R&D expenses, S&M expenses, G&A expenses and other expenses (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 2026 was $401 million, an increase of 22%, compared to the first quarter of 2025. This increase was mainly due to higher gross profit, 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, 2026 and 2025:

     

         Three months ended March 31,  
         2026     2025  
         (U.S. $ in millions / % of Segment Revenues)  

    Revenues

       $ 524        100   $ 582        100

    Cost of sales

         280        53.6     304        52.3

    Gross profit

         243        46.4     278        47.7

    R&D expenses

         22        4.3     25        4.3

    S&M expenses

         117        22.3     118        20.2

    G&A expenses

         39        7.5     39        6.7

    Other

         §        §       (1)        §  
      

     

     

        

     

     

       

     

     

        

     

     

     

    Segment profit*

       $ 65        12.3   $ 97        16.7
      

     

     

        

     

     

       

     

     

        

     

     

     
     
    *

    Segment profit does not include amortization and certain other items.

    §

    Represents an amount less than $0.5 million or 0.5%, as applicable.

    International Markets Revenues

    Our International Markets segment includes all countries in which we operate other than the United States and the countries included in our Europe segment. The International Markets segment covers a substantial portion of the global pharmaceutical industry, including more than 35 countries. The countries in our International Markets segment include highly regulated, mainly generic markets, such as Canada and Israel, and branded generics-oriented markets, such as Russia and certain Latin America markets.

    On March 31, 2025, we divested our Teva-Takeda business venture in Japan, which included generic products and legacy products. Since the establishment of the business venture and until the completion of its sale, Teva held 51% of the outstanding common stock of the business venture. On March 31, 2025, we deconsolidated the business venture from our financial statements. For additional information, see note 2 to our consolidated financial statements.

    As of the date of this Quarterly Report on Form 10-Q, sustained conflict between Russia and Ukraine and disruption in the region is ongoing. Russia and Ukraine markets are included in our International Markets segment results and we have no manufacturing or R&D facilities in these markets. In the first quarter of 2026, the impact of this conflict on our International Markets segment was immaterial.

    Revenues from our International Markets segment in the first quarter of 2026 were $524 million, a decrease of 10% compared to the first quarter of 2025. In local currency terms, revenues decreased by 19% compared to the first quarter of 2025, mainly due to the divestment of our business venture in Japan.

    In the first quarter of 2026, revenues were positively impacted by exchange rate fluctuations of $50 million, including hedging effects, compared to the first quarter of 2025. Revenues in the first quarter of 2026 included $1 million from a positive hedging impact, compared to a negative hedging impact of $15 million in the first quarter of 2025, which are included in “Other” in the table below. See note 8c to our consolidated financial statements.

     

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    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, 2026 and 2025:

     

         Three months ended
    March 31,
         Percentage
    Change
     
         2026      2025      2026-2025  
         (U.S. $ in millions)         

    Generic products (including OTC and biosimilars)

       $ 386      $ 468        (18 %) 

    AJOVY

         33        28        20

    AUSTEDO

         19        15        30

    COPAXONE

         6        10        (43 %) 

    Other*

         79        61        30
      

     

     

        

     

     

        

     

     

     

    Total

       $ 524      $ 582        (10 %) 
      

     

     

        

     

     

        

     

     

     
     
    *

    Other revenues in the first quarter of 2026 and 2025 include the sale of certain product rights.

    Generic products revenues (including OTC and biosimilar products) in our International Markets segment in the first quarter of 2026 were $386 million, a decrease of 18% compared to the first quarter of 2025. In local currency terms, revenues decreased by 23%, mainly due to the divestment of our business venture in Japan.

    AJOVY revenues in our International Markets segment in the first quarter of 2026 were $33 million, an increase of 20% compared to the first quarter of 2025. In local currency terms, revenues increased by 15%, mainly due to growth in existing markets in which AJOVY was launched. AJOVY was launched in certain markets in our International Markets segment, including in Canada, Japan, Australia, Israel, South Korea, Brazil and others. In April 2026, we announced a strategic partnership for the marketing and distribution of AJOVY in China with Neurogen (Zhuhai) Pharmaceutical Company Ltd.

    AUSTEDO revenues in our International Markets segment in the first quarter of 2026 were $19 million, an increase of 30% compared to the first quarter of 2025. In local currency terms, revenues increased by 22% compared to the first quarter of 2025. AUSTEDO was launched in China and Israel in 2021 and in Brazil in 2022, for the treatment of chorea associated with Huntington’s disease and for the treatment of tardive dyskinesia. In February 2024, we announced a strategic partnership for the marketing and distribution of AUSTEDO in China with Jiangsu Nhwa Hexin Pharmaceutical Marketing Co., Ltd. In April 2025, AUSTEDO received marketing authorization in South Korea. We continue to evaluate additional submissions in various other markets.

    COPAXONE revenues in our International Markets segment in the first quarter of 2026 were $6 million, a decrease of 43% compared to the first quarter of 2025.

    International Markets Gross Profit

    Gross profit from our International Markets segment in the first quarter of 2026 was $243 million, a decrease of 12% compared to the first quarter of 2025.

    Gross profit margin for our International Markets segment in the first quarter of 2026 decreased to 46.4%, compared to 47.7% in the first quarter of 2025. This decrease was mainly due to unfavorable mix of products, partially offset by a positive impact from hedging activities.

    International Markets R&D Expenses

    R&D expenses relating to our International Markets segment in the first quarter of 2026 were $22 million, a decrease of 11% compared to the first quarter of 2025.

    For a description of our R&D expenses in the first quarter of 2026, see “—Teva Consolidated Results—Research and Development (R&D) Expenses, net” below.

    International Markets S&M Expenses

    S&M expenses relating to our International Markets segment in the first quarter of 2026 were $117 million, a decrease of 1% compared to the first quarter of 2025.

    International Markets G&A Expenses

    G&A expenses relating to our International Markets segment in the first quarter of 2026 were $39 million, flat compared to the first quarter of 2025.

    International Markets Profit

    Profit from our International Markets segment consists of revenues less cost of sales, R&D expenses, S&M expenses, G&A expenses and other expenses (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 2026 was $65 million, a decrease of 33%, compared to the first quarter of 2025. This decrease was mainly due to lower gross profit, as discussed above.

     

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    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 United States, Europe or International Markets segments described above.

    In alignment with our Pivot to Growth strategy, commencing January 1, 2026, Anda is no longer reported under our United States segment. This shift allows the United States segment to continue to manage its entire product portfolio in the region, while strengthening focus on its biopharmaceutical business, growth engines and innovation. As a result, from that date, Anda is reported as part of the Company’s Other Activities. Prior period amounts were recast to reflect this change. See note 15 to our consolidated financial statements.

    On January 31, 2024, we announced that we intend to divest our API business (including its R&D, manufacturing and commercial activities) through a sale. The intention to divest is in alignment with our Pivot to Growth strategy, and Teva is conducting a sales process for this matter. However, there can be no assurance regarding the ultimate timing or structure of a potential divestiture or that a divestiture will be agreed or completed at all. For further information, see note 2 to our consolidated financial statements.

    Our revenues from Other Activities in the first quarter of 2026 were $584 million, an increase of 1% in U.S. dollars compared to the first quarter of 2025. In local currency terms, revenues decreased by 1% compared to the first quarter of 2025.

    Anda revenues from third-party products in the first quarter of 2026 were $378 million, an increase of 1%, compared to the first quarter of 2025. Anda, our distribution business in the United States, operates independently and distributes generic and innovative medicines and OTC pharmaceutical products from various manufacturers to independent retail pharmacies, pharmacy retail chains, hospitals and physician offices in the United States. Anda competes in the distribution market by maintaining a broad portfolio of products, competitive pricing and delivery throughout the United States.

    API sales to third parties in the first quarter of 2026 were $109 million, a decrease of 17% in both U.S. dollars and local currency terms, compared to the first quarter of 2025. This decrease was mainly due to price reductions and lower demand due to market dynamics.

    Revenues from additional other activities, mainly from Medis and certain contract manufacturing services, in the first quarter of 2026 were $97 million, an increase of 28% in U.S. dollars compared to the first quarter of 2025. In local currency terms, revenues increased by 16% compared to the first quarter of 2025, mainly due to higher demand.

    Teva Consolidated Results

    Revenues

    Revenues in the first quarter of 2026 were $3,982 million, an increase of 2% in U.S. dollars, or a decrease of 3% in local currency terms compared to the first quarter of 2025. This decrease in local currency terms was mainly due to lower revenues from generic products, primarily lenalidomide capsules (the generic version of Revlimid®) in our U.S. segment as well as the divestment of our business venture in Japan in our International Markets segment, partially offset by higher revenues from our key innovative products, primarily AUSTEDO.

    See “—United States Revenues,” “—Europe Revenues,” “—International Markets Revenues” and “—Other Activities” above.

    Exchange rate movements in the first quarter of 2026, including hedging effects, positively impacted revenues by $219 million, compared to the first quarter of 2025. See note 8c to our consolidated financial statements.

    Gross Profit

    Gross profit in the first quarter of 2026 was $1,972 million, an increase of 5% compared to $1,877 million in the first quarter of 2025.

    Gross profit margin was 49.5% in the first quarter of 2026, compared to 48.2% in the first quarter of 2025. This increase was mainly due to higher revenues from AUSTEDO, partially offset by lower revenues from generic products in our U.S. segment, primarily lenalidomide capsules (the generic version of Revlimid®).

     

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    Research and Development (R&D) Expenses, net

    Our R&D activities for innovative medicines and biosimilar products in each of our segments include costs of discovery research, preclinical work, drug formulation, early- and late-stage clinical development 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) post-approval studies for marketed products; and (v) indirect expenses, such as costs of infrastructure and personnel.

    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 infrastructure and personnel.

    In the first quarter of 2026, our R&D expenses, net, were primarily related to our innovative product pipeline in immunology, neuroscience and selected other areas, as well as our generics and biosimilars pipeline.

    R&D expenses, net in the first quarter of 2026, were $222 million, a decrease of 10% compared to $247 million in the first quarter of 2025.

    Our lower R&D expenses, net in the first quarter of 2026 compared to the first quarter of 2025, were mainly due to a decrease in our generics pipeline and in our late-stage innovative pipeline in neuroscience, partially offset by an increase in immunology projects.

    Our R&D expenses, net in the first quarter of 2026 and 2025, were also impacted by reimbursements and cost sharing from our strategic partnerships and collaborations entered into in recent years. See note 2 to our consolidated financial statements.

    R&D expenses, net as a percentage of revenues were 5.6% in the first quarter of 2026, compared to 6.3% in the first quarter of 2025.

    Innovative Medicines Pipeline

    Below is a description of key products in our innovative medicines pipeline as of April 29, 2026:

     

        

    Phase 2

      

    Phase 3

      

    Submitted for Regulatory Review

    Neuroscience         

    olanzapine LAI

    (TEV-‘749)

    Schizophrenia

    (December 2025)

    Immunology   

    Anti-IL-15

    (TEV-’408)

    Celiac disease

      

    Dual Action
    Rescue Inhaler
    (DARI)
    (ICS/SABA; TEV-’248)(2)

    Asthma
    (February 2023)

      
      

    emrusolmin(1)

    (TEV-‘286)

    Multiple System Atrophy

      

    duvakitug (anti-TL1A)(3)

    (TEV-’574)

    Inflammatory Bowel Disease

    (October 2025)

      

    __________________

    (1)

    In collaboration with Launch Therapeutics.

    (2)

    In collaboration with Modag.

    (3)

    In collaboration with Sanofi.

    Biosimilar Products Pipeline

    We have additional biosimilar products in development internally and with our partners that are in various stages of development, including confirmatory clinical trials for biosimilars to Entyvio® (vedolizumab) and Entyvio® SC (vedolizumab), which are in collaboration with Alvotech for the U.S. market; and TEV-‘333 and TEV-‘316, both in collaboration with mAbxience. Our proposed biosimilar to Xgeva® (denosumab) and our proposed biosimilars to Simponi®, Simponi Aria® (golimumab), and Eylea® (aflibercept), which are in collaboration with Alvotech, were submitted for regulatory review in the U.S. Our proposed biosimilar to Xolair® (omalizumab) was submitted for regulatory review in the U.S. and Europe.

     

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    Selling and Marketing (S&M) Expenses

    S&M expenses in the first quarter of 2026, were $696 million, an increase of 12% compared to the first quarter of 2025. This increase was mainly a result of the factors discussed above under “—United States segment—S&M Expenses” and “—Europe segment— S&M Expenses.”

    S&M expenses as a percentage of revenues were 17.5% in the first quarter of 2026, compared to 16.0% in the first quarter of 2025.

    General and Administrative (G&A) Expenses

    G&A expenses in the first quarter of 2026 were $304 million, an increase of 2% compared to the first quarter of 2025.

    G&A expenses as a percentage of revenues were 7.6% in the first quarter of 2026, flat compared to the first quarter of 2025.

    Intangible Asset Impairments

    We recorded expenses of $8 million for identifiable intangible asset impairments in the first quarter of 2026, compared to expenses of $121 million in the first quarter of 2025. See note 5 to our consolidated financial statements.

    Other Asset Impairments, Restructuring and Other Items

    We recorded expenses of $26 million for other asset impairments, restructuring and other items in the first quarter of 2026, compared to an income of $22 million in the first quarter of 2025. See note 12 to our consolidated financial statements.

    Legal Settlements and Loss Contingencies

    We recorded expenses of $72 million in legal settlements and loss contingencies in the first quarter of 2026, compared to expenses of $86 million in the first quarter of 2025. See note 9 to our consolidated financial statements.

    Other Loss (Income)

    Other income in the first quarter of 2026 was $9 million, compared to other loss of $5 million in the first quarter of 2025.

    Operating Income (Loss)

    Operating income was $652 million in the first quarter of 2026, compared to $519 million in the first quarter of 2025. This increase was mainly due to lower intangible assets impairments and higher gross profit, partially offset by higher S&M expenses.

    Operating income as a percentage of revenues was 16.4% in the first quarter of 2026, compared to 13.3% in the first quarter of 2025.

    Financial Expenses, Net

    In the first quarter of 2026, financial expenses, net were $216 million, mainly comprised of net interest expenses of $201 million. In the first quarter of 2025, financial expenses, net were $225 million, mainly comprised of net interest expenses of $212 million.

     

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    Reconciliation Table to Consolidated Income (Loss) Before Income Taxes

    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, 2026 and 2025:

     

         Three months ended
    March 31,
     
         2026      2025  
         (U.S. $ in millions)  

    United States profit

       $ 507      $ 518  

    Europe profit

         401        329  

    International Markets profit

         65        97  
      

     

     

        

     

     

     

    Total reportable segments profit

         972        944  

    Profit (loss) of Other Activities

         (16      2  
      

     

     

        

     

     

     

    Amounts not allocated to segments:

         

    Amortization

         137        145  

    Other assets impairments, restructuring and other items

         26        (22

    Intangible assets impairments

         8        121  

    Legal settlements and loss contingencies

         72        83  

    Other unallocated amounts

         60        99  
      

     

     

        

     

     

     

    Consolidated operating income (loss)

         652        519  
      

     

     

        

     

     

     

    Financial expenses, net

         216        225  
      

     

     

        

     

     

     

    Consolidated income (loss) before income taxes

       $ 437      $ 294  
      

     

     

        

     

     

     

    Income Taxes

    In the first quarter of 2026, we recognized a tax expense of $67 million on pre-tax income of $437 million. In the first quarter of 2025, we recognized a tax expense of $74 million on pre-tax income of $294 million. See note 11 to our consolidated financial statements.

    Net Income (Loss) Attributable to Teva

    Net income attributable to Teva was $369 million in the first quarter of 2026, compared to $214 million in the first quarter of 2025. This increase was mainly due to higher operating income as discussed above.

    Diluted Shares Outstanding and Earnings (Loss) per Share

    The weighted average diluted shares outstanding used for the fully diluted share calculations for the three months ended March 31, 2026 and 2025 was 1,179 million shares and 1,159 million shares, respectively.

    Diluted earnings per share was $0.31 in the first quarter of 2026, compared to $0.18 in the first quarter of 2025. See note 13 to our consolidated financial statements.

    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 PSUs, and the conversion of our convertible senior debentures, in each case, at period end.

    As of March 31, 2026 and 2025, the fully diluted share count for purposes of calculating our market capitalization was approximately 1,192 million shares and 1,178 million shares, respectively.

    Impact of Currency Fluctuations on Results of Operations

    In the first quarter of 2026, approximately 48% of our revenues were denominated in currencies other than the U.S. dollar. Since 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 local currencies in the markets in which we operate (primarily the euro, Swiss franc, Russian ruble, British pound, new Israeli shekel, Polish złoty, Canadian dollar and Swedish krona) impacted our results.

    During the first quarter of 2026, the following main currencies relevant to our operations increased in value against the U.S. dollar (each compared on a quarterly average basis): Russian ruble by 20%, Hungarian forint by 18%, Swedish krona by 17%, new Israeli shekel by 16%, Swiss franc by 15%, euro by 11%, Polish złoty by 11% and British pound by 7%. The following currencies relevant to our operations decreased in value against the U.S. dollar (each compared on a quarterly average basis): Argentinian peso by 26%, Indian rupee by 5% and Ukrainian hryvna by 4%.

    As a result, exchange rate movements during the first quarter of 2026, including hedging effects, positively impacted revenues by $219 million and operating income by $71 million, compared to the first quarter of 2025.

     

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    Hedging transactions of 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 8c 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.

    Commencing in the second quarter of 2022, the cumulative inflation in Turkey 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.

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