Rajiv Malik
Analyst · J.P. Morgan
Thank you, Heather. To begin I would like to provide an overview of our 2018 business results by region. In Europe, net sales totaled approximately $4.2 billion representing mid single-digit growth from prior year. The increase was a result of strong performance of our brands including Creon, DYMISTA and Influvac each with double-digit growth, new product sales and a favorable impact of foreign currency translation. In the Rest of World segment, net sales totaled approximately $3 billion, an increase of 7% from the prior year including headwinds in the foreign currency translation. This increase was primarily the result of new product sales across the region, strong performance of our ARV Franchise, whereas Japan, Australia and China also showed strength on higher volumes of existing products. Our business in North America had net sales of $4.1 billion, a decrease of 18% from the prior year. This was primarily impacted due to the lower than anticipated update of generic Copaxone and delayed approval of generic Advair. As part of our Morgantown remediation and restructuring activity and accelerated commoditization of oral solids, we discontinued almost 250 SKUs of highly commoditized oral solid products. North America benefited from some exciting launches of Fulphila, DAPTOMYCIN and exclusive 180 days of Tadalafil and full year impact of generic Copaxone. I will address Morgantown plant. After the April 2018 inspection and receipt of a 483 form the company took a comprehensive restructuring and remediation of the Morgantown plant to address the issues that had been identified. Notwithstanding these efforts, the company received a warning letter related to the previously disclosed observations in the fourth quarter. The issues raised in the warming letter are being comprehensively addressed. The Morgantown plant continues to supply products for the U.S. market, while we execute on and assess the restructuring and remediation activities. No significant new product revenue is forecasted from the Morgantown plant in 2019. Also we look at our business in North America, only five of our top 50 gross margin generating products are currently manufactured in Morgantown. We remain committed to maintaining the highest quality manufacturing standards at our facilities around the world and to continuous improvement in a time of evolving industry dynamics and regulatory expectations. Now, I will focus on 2019 and our outlook for the year. 2019 will be a significant year from the new product launch perspective and we are uniquely positioned to add approximately $1 billion in new product revenue. Almost all of our major products driving 2019 growth are either already launched or approved around the world. Also no product is forecasted to make up more than approximately 3% of global revenues including our EpiPen franchise. In North America, we are incorporating all of our recent learning's including the relatively slower uptake and conversion of more complex and specialty medicines and are adopting to accommodate the changing needs of the market. The high single-digit revenue growth we expect in North America is largely driven by complex and specialty and biologics, including a steady and continued up take of generic Copaxone share, building further upon the successful launch of Fulphila in 2018 as we expand our biosimilars portfolio for the U.S., extending our respiratory portfolio with the launch of our NCE YUPELRI, and most importantly, a unique and patient centric launch of Wixela Inhub where we have a first two market opportunity. Also the impact of volume loss due to portfolio rationalization of commodity products undertaken in 2018 will be largely behind us. To elaborate on Heather's comments on slide 10, you can see a year-over-year decline in commodity product revenues as we evolve our business to benefit from the strength and anticipated growth of complex, specialty and biologics products. In Europe, we see mid single-digit revenue growth driven by a diverse mix of brand, generic and OTC portfolio. Focus selling and marketing investments on key brands like Dymista, Creon, Influvac and Betadine will continue to be an important driver. Some other key drivers of European growth will be continued up take of generic Copaxone, biosimilars like Hulio, a biosimilar to Humira, and Ogivri, a biosimilar to Herceptin. And Rest of the World we see mid single-digit revenue growth largely driven by a double-digit growth in China and Brazil, while Australia, Japan and our ARV franchise will continue to perform steadily. Biosimilar launches across the region will drive new product. Brands like Dona, Dymista and Elidel will be another key driver. I would now like to take a few minutes and share a summary of our key scientific and regulatory achievement. And before I begin I would like to thank my Mylan colleagues for their contributions and persistence to bring these difficult-to-develop medicines to patients and acknowledge our close collaboration with our partners. These achievements have required years of hard work, passion, perseverance to bring these alternative options to patients who need these products. A series of significant scientific achievements began just over a year ago, starting with the first approval of generic Copaxone 40 milligram in U.S. and Europe. A number of biosimilar regulatory approvals around the world followed, included Fulphila, a biosimilar to Neulasta; Ogivri, a biosimilar to Herceptin; Semglee, a biosimilar to Lantus; Hulio, a biosimilar to Humira; and ABEVMy a biosimilar to Avastin. We now have regulatory approvals for biosimilars in more than 65 countries around the world. We also received FDA approval of an NCE for Revefenacin, our Yupelri inhalation solution developed with our partner Theravance. This product is a first once a daily nebulization treatment for patients with moderate to severe COPD who may benefit from or prefer nebulized LAMA treatment. We also continue to make advancements for Influvac, our seasonal flu vaccine primarily in Europe. In addition to our trivalent version, we have launched our quadrivalent version, Infuvac Tetra, as well as obtained our first pediatric indication. Also, we continue to expand this in other markets outside of Europe such as Australia and Canada. And last but not the least, U.S. FDA approval of Wixela Inhub, the first generic of ADVAIR DISKUS. As we understand, because of the significance of this complex generic, FDA took a few more months to conduct a very thorough secondary review and ensure the labeling was as up to date as possible. No scientific or significant regulatory issues were raised during this period. These scientific achievements have further differentiated us from our peers and set us up very nicely for growth of complex, specialty and biologics products. Moving to our pipeline, we along with our partner Revance, had an initial advisory meeting regarding our proposed biosimilar to BOTOX. Based on agency's feedback, the companies believe that the 351(k) pathway for the development of the biosimilar to BOTOX is viable and provides the opportunity to develop and commercialize the first biosimilar to BOTOX. Our other key programs including biosimilars such as IDN [ph], Avastin, Humira, insulin analog and Glatiramer Acetate once-monthly remain on track. Given the evolution of the U.S. market and dynamics of the commodity generics, we also continue to evaluate our R&D program and resource allocation and from here onwards we'll further increase the emphasis on moving up the value chain with a focus on complex, specialty and biologics opportunities, the NCE's and brand lifecycle management strategies. Finally, I would like to echo Heather’s remark about our focus this year on evaluating or value creating and value consuming assets. We have assembled a second to none portfolio and a pipeline with commercial assets across the world. And we are very excited to have another look into the businesses and operations so that we can leverage these assets to the maximum and are able to focus on value creating assets. Now, I will turn it over to Tony to elaborate on some of the details around our investments in our business segments. Thank you.