Financial Performance - Revenue for the three months ended March 31, 2025, was 12,728.5million,a458,768.0 million in the same period of 2024[114] - Net income for the same period was 2,759.3million,up232,242.9 million year-over-year[114] - Earnings per share (diluted) increased to 3.06,a232.48 in the prior year[114] - U.S. revenue increased by 49% to 8,489.4million,whilerevenueoutsidetheU.S.roseby384,239.1 million[131] - Mounjaro revenue reached 3,841.8million,a1131,806.5 million in the previous year[134] - Zepbound revenue in the U.S. was 2.31billion,comparedto517.4 million in the same quarter of 2024, driven by increased demand[135] - Revenue of Verzenio increased 3 percent in the U.S. and 22 percent outside the U.S. during the three months ended March 31, 2025[136] - Gross margin for the three months ended March 31, 2025 was 10,504.3million,a48percentincreasefrom7,094.5 million in 2024, with a gross margin percentage of 82.5%[137] Expenses and Investments - Research and development expenses rose 8 percent to 2,733.7million,reflectingcontinuedinvestmentsintheportfolio[138]−Marketing,selling,andadministrativeexpensesincreased26percentto2,468.8 million, driven by promotional efforts for ongoing and future launches[139] Debt and Cash Management - Total debt increased to 38.52billionasofMarch31,2025,up4.87 billion from 33.64billionasofDecember31,2024[148]−Cashandcashequivalentsdecreasedto3.09 billion as of March 31, 2025, compared to 3.27billionasofDecember31,2024[145]−Thecompanyrepurchased1.20 billion of shares during the three months ended March 31, 2025, with 13.80billionremainingunderthesharerepurchaseprogram[150]−Thecompanyhas8.42 billion of unused committed bank credit facilities, with 8.00billionavailabletosupportthecommercialpaperprogram[149]RegulatoryandMarketChallenges−ThecompanywithdrewitsU.S.applicationfortirzepatideforheartfailurewithpreservedejectionfractionin2025[116]−TheEuropeanMedicinesAgencydidnotrecommenddonanemabforapprovalforearlysymptomaticAlzheimer′sdisease,andthecompanyisseekingre−examination[116]−Jardiancewasselectedforgovernment−setpriceseffectivein2026,whichmayinfluencefuturebusinessstrategies[118]−Thecompanycontinuestofacechallengesfromregulatoryscrutinyandpotentialtariffsthatcouldimpactoperationsandcosts[120]Taxation−Theeffectivetaxrateincreasedto20.2percentforthethreemonthsendedMarch31,2025,comparedto11.6percentin2024[140]FutureCommitments−Thecompanyexpectstoincuruptoapproximately8 billion in payments related to executed agreements for contract manufacturing and supply of materials over the next several years[144]