AZN 20-F DEF-14A Report Dec. 31, 2024 | Alphaminr

AZN 20-F Report ended Dec. 31, 2024

ASTRAZENECA PLC_2024-12-31
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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 20-F

(Mark One)

REGISTRATION STATEMENT PURSUANT TO SECTION 12(b) OR (g) OF THE SECURITIES EXCHANGE ACT OF 1934

OR

ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the fiscal year ended December 31, 2024

OR

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

OR

SHELL COMPANY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

Date of event requiring this shell company report ………………………………… ..

For the transition period from to

Commission file number: 001-11960

ASTRAZENECA PLC

(Exact name of Registrant as specified in its charter)

England and Wales

(Jurisdiction of incorporation or organization)

1 Francis Crick Avenue

Cambridge Biomedical Campus

Cambridge CB2 0AA

United Kingdom

(Address of principal executive offices)

Adrian Kemp

AstraZeneca PLC

1 Francis Crick Avenue

Cambridge Biomedical Campus

Cambridge CB2 0AA

U nited Kingdom

Telephone: + 44 20 3749 5000

Facsimile number: +44 1223 352 858

(Name, Telephone, E-mail and/or Facsimile number and Address of Company Contact Person)

Securities registered or to be registered pursuant to Section 12(b) of the Act:

Title of each class

Trading symbol(s)

Name of each exchange on which registered

American Depositary Shares, each representing one half of an Ordinary Share of 25 ¢ each

AZN

The Nasdaq Stock Market LLC

Ordinary Shares of 25 ¢ each

The Nasdaq Stock Market LLC *

3.375% Notes due 2025

AZN 25

The Nasdaq Stock Market LLC

0.700% Notes due 2026

AZN 26

The Nasdaq Stock Market LLC

1.200% Notes due 2026

AZN 26A

The Nasdaq Stock Market LLC

3.125% Notes due 2027

AZN 27A

The Nasdaq Stock Market LLC

4.800% Notes due 2027

AZN 27B

The Nasdaq Stock Market LLC

1.750% Notes due 2028

AZN 28

The Nasdaq Stock Market LLC

4.875% Notes due 2028

AZN 28A

The Nasdaq Stock Market LLC

4.000% Notes due 2029

AZN 29

The Nasdaq Stock Market LLC

4.850% Notes due 2029

AZN 29A

The Nasdaq Stock Market LLC

1.375% Notes due 2030

AZN 30

The Nasdaq Stock Market LLC

4.900% Notes due 2030

AZN 30A

The Nasdaq Stock Market LLC

2.250% Notes due 2031

AZN 31

The Nasdaq Stock Market LLC

4.900% Notes due 2031

AZN 31A

The Nasdaq Stock Market LLC

4.875% Notes due 2033

AZN 33

The Nasdaq Stock Market LLC

5.000% Notes due 2034

AZN 34

The Nasdaq Stock Market LLC

6.450% Notes due 2037

AZN 37

The Nasdaq Stock Market LLC

4.000% Notes due 2042

AZN 42

The Nasdaq Stock Market LLC

4.375% Notes due 2045

AZN 45

The Nasdaq Stock Market LLC

4.375% Notes due 2048

AZN 48

The Nasdaq Stock Market LLC

2.125% Notes due 2050

AZN 50

The Nasdaq Stock Market LLC

3.000% Notes due 2051

AZN 51

The Nasdaq Stock Market LLC

*   Not for trading, but only in connection with the registration of American Depositary Shares representing such Ordinary Shares pursuant to the requirements of the Securities and Exchange Commission.

Securities registered or to be registered pursuant to Section 12(g) of the Act:

None

(Title of Class)

Securities for which there is a reporting obligation pursuant to Section 15(d) of the Act:

None

(Title of Class)

Indicate the number of outstanding shares of each of the issuer s classes of capital or common stock as of the close of the period covered by the annual report.

The number of outstanding shares of each class of stock of AstraZeneca PLC as of December 31, 2024 was:

Title of Class

Number of Shares Outstanding

Ordinary Shares of 25 ¢ each:

1,550,546,239

Redeemable Preference Shares of £ 1 each:

50,000

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.

Yes No

If this report is an annual or transition report, indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934.

Yes No

Note Checking the box above will not relieve any registrant required to file reports pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 from their obligations under those Sections.

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.

Yes No

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T ( § 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).

Yes No

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or an emerging growth company. See definition of accelerated filer, large accelerated filer, and emerging growth company in Rule 12b-2 of the Exchange Act. (Check one):

Large Accelerated Filer

Accelerated Filer

Non-accelerated Filer

Emerging growth company

If an emerging growth company that prepares its financial statements in accordance with US GAAP, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

The term new or revised financial accounting standard refers to any update issued by the Financial Accounting Standards Board to its Accounting Standards Codification after April 5, 2012.

Indicate by check mark whether the registrant has filed a report on and attestation to its management s assessment of the effectiveness of its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that prepared or issued its audit report.

If securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant included in the filing reflect the correction of an error to previously issued financial statements.

Indicate by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based compensation received by any of the registrant s executive officers during the relevant recovery period pursuant to § 240.10D-1(b).

Indicate by check mark which basis of accounting the registrant has used to prepare the financial statements included in this filing:

US GAAP

International Financial Reporting Standards as issued by the International Accounting Standards Board

Other

If Other has been checked in response to the previous question, indicate by check mark which financial statement item the registrant has elected to follow.

Item 17 Item 18

If this is an annual report, indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).

Yes No

(APPLICABLE ONLY TO ISSUERS INVOLVED IN BANKRUPTCY PROCEEDINGS DURING THE PAST FIVE YEARS)

Indicate by check mark whether the registrant has filed all documents and reports required to be filed by Section 12, 13 or 15(d) of the Securities Exchange Act of 1934 subsequent to the distribution of securities under a plan confirmed by a court.

Yes No

Pursuant to Rule 12b-23(a) of the Securities Exchange Act of 1934, as amended, the information for the 2024 Form 20-F of AstraZeneca PLC (the “Company”) set out below is being incorporated by reference from AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated and submitted on February 18, 2025.

References below to major headings include all information under such major headings, including subheadings, unless such reference is a reference to a subheading, in which case such reference includes only the information contained under such subheading. Unless the context otherwise requires, “AstraZeneca” or “Group” refers to the Company and its consolidated entities. Other information contained within AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F, including graphs and tabular data, is not included in this Form 20-F unless specifically identified below. Photographs are also not included.

In addition to the information set out below, the information (including tabular data) set forth under the headings “Use of terms” on the inside front cover, “Strategic Report—Financial Review—Measuring performance” on page 69, and the tables on pages 70 to 72, “Additional Information—Trade Marks” on page 239, “—Glossary” on pages 240 to 243 and “—Important information for readers of this Annual Report—Cautionary statement regarding forward-looking statements”, “—Inclusion of Reported performance, Core financial measures and constant exchange rate growth rates”, “—Statements of competitive position, growth rates and sales”, “—AstraZeneca websites”, “—External/third-party websites” and “—Figures” on page 244, in each case of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference. References herein to AstraZeneca websites, including where a link is provided, are textual references only and information on or accessible through such websites does not form part of and is not incorporated into this Form 20-F dated February 18, 2025. Reference to “audited” information (including graphs and tabular data) set forth under the heading “Corporate Governance—Directors’ Remuneration Report” refers to procedures performed by the Company’s external auditor in accordance with International Standards on Auditing (UK) (‘ISAs (UK)’) and applicable law and does not form part of the “Report of Independent Registered Public Accounting Firm” in Item 18 herein. For the avoidance of doubt, the “Independent Auditors’ report to the members of AstraZeneca PLC” on pages 139 to 147 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 does not form part of, and is not incorporated into, this Form 20-F dated February 18, 2025.

PART 1

ITEM 1. IDENTITY OF DIRECTORS, SENIOR MANAGEMENT AND ADVISERS

Not applicable.

ITEM 2. OFFER STATISTICS AND EXPECTED TIMETABLE

Not applicable.

ITEM 3. KEY INFORMATION

A.       Reserved

B.       Capitalization and Indebtedness

Not applicable.

C.       Reason for the Offer and Use of Proceeds

Not applicable.

3

D.       Risk Factors

Operating in the pharmaceutical sector carries various inherent risks and uncertainties that may affect our business. In this section, we describe the risks and uncertainties that we consider material to our business, in that they may have a significant effect on our financial condition, results of operations and/or reputation.

These risks have been categorised consistently with the “Risk Overview—Principal Risks” detailed on pages 65 and 66 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025, each of which are included below (in addition to other risks that we face). We believe that the forward-looking statements about AstraZeneca in this Form 20-F dated February 18, 2025, identified by words such as ‘anticipates’, ‘believes’, ‘expects’ and ‘intends’, are based on reasonable assumptions. However, forward-looking statements involve inherent risks and uncertainties such as those summarised below. They relate to events that may occur in the future, that may be influenced by factors beyond our control and that may have actual outcomes materially different from our expectations. Therefore, other risks, unknown or not currently considered material, could have a material adverse effect on our financial condition or results of operations.

Product pipeline risks

Impact

Failure or delay in the delivery of our pipeline or launch of new medicines

Our continued success depends on the development and successful launch of innovative new drugs.

The development of pharmaceutical product candidates is a complex, risky and lengthy process involving significant resources. Projects have failed, and may fail in the future, at any stage of the process due to various factors, including: failure to obtain the required regulatory or marketing approvals, unfavourable clinical efficacy data, safety concerns, failure to demonstrate adequate cost-effective benefits to regulatory authorities and/or payers, and the emergence of competing products. Details of projects that have suffered setbacks or failures during 2024 can be found in the “Strategic Report—Therapy Area Review” on pages 16 to 31 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025.

Launch activities have been delayed, and may be delayed in the future, by a number of factors, including: adverse findings in preclinical or clinical studies, regulatory demands, price negotiation, large-scale natural disasters or global pandemics, competitor activity and technology transfer.

In addition to developing products in-house, we continue to expand our portfolio through licensing arrangements and strategic collaborations which may not ultimately be successful.

Failure or delay in development of new product candidates could damage the reputation of our R&D capabilities, and adversely affect our future business and results of operations.

Delays to launches can lead to excess expenses in the manufacture of pre-launch inventories, marketing materials and salesforce training. For the launch of products that are seasonal in nature, delays in regulatory approvals or manufacturing may delay launch to the next season which, in turn, may significantly reduce the return on costs incurred in preparing for the launch for that season. Furthermore, in immuno-oncology in particular, speed to market is critical given the large number of clinical trials being conducted by competitors. Delay of launch can also erode the term of patent exclusivity.

Competition from other pharmaceutical companies means that we may have to pay a significant premium over book or market values for our acquisitions. Failure to complete collaborative projects in a timely, cost-effective manner may limit our ability to access a greater portfolio of products, intellectual property (“IP”), technology and shared expertise. In many cases, we make milestone payments in advance of the commercialisation of the products, with no assurance of recouping costs.

Failure to meet regulatory or ethical requirements for medicine development or approval

We are subject to laws and regulations that control our ability to market our pharmaceutical products. Our development programmes must meet many standards to prove our products are safe, effective and of high quality. Health authorities, such as the FDA in the United States and the European Medicines Agency in the European Union, can refuse to approve our products or require us to conduct additional clinical trials or scientific testing before they will approve them for marketing. Many factors influence health authority decisions to approve or reject a marketing application for a pharmaceutical product. These include advances in science and technology, new laws, regulations and policies, and different standards for evaluating safety and effectiveness.

Delays in regulatory approvals could delay our ability to market our products and may adversely affect our revenue. Also, post-approval requirements, including additional clinical trials, could cause increased costs. We seek to manage these risks, but policymaking by governments and health authorities can be unpredictable and unforeseen circumstances, such as public health emergencies, may strain health authority resources and delay the approval of our products.

Following approval, a health authority may require us to conduct additional clinical trials or scientific testing to address concerns raised after patients have used our products in the marketplace. New data may impact a product’s approval status or lead to labelling changes that limit the use of a product.

4

D.       Risk Factors

continued

Commercialisation risks

Impact

Failures or delays in the quality or execution of the Group’s commercial strategies

Maximising the commercial potential of our new products underpins the success of our strategy and the delivery of our short- and medium-term targets. We may ultimately be unable to achieve commercial success for various reasons, including:

> difficulties in manufacturing sufficient quantities of the product;

> any price control measures imposed by governments and healthcare authorities;

> patient access to healthcare;

> diagnosis rates;

> erosion of IP rights;

> failure to show a differentiated product profile; and

> changes in prescribing habits.

The ability to successfully carry out business in emerging markets can be more challenging than in established markets. Such challenges may include:

> volatility in economic or political climates;

> inadequate protection against crime (including counterfeiting, corruption and fraud); and

> inadvertent breaches of local and international law.

Failure to execute our commercial strategies or achieve the level of sales anticipated for a medicine could materially adversely impact our business or results of operations.

Failure to leverage potential opportunities or appropriately manage risks in emerging markets may materially adversely affect our reputation, business or results of operations.

Pricing affordability, access and competitive pressures

At AstraZeneca, our approach to pricing balances the priorities of patients, their physicians, payers, society and our business. Our four guiding principles – Access, Value, Sustainability and Equity – aligned to our overarching company values, form the cornerstones of our brand pricing strategies. Our prices are rooted in the assurance of our high-quality science, and the benefit this brings to patients. They also reflect holistic value, in the context of healthcare systems and market dynamics, affordability and equity; so that we can adapt our prices across the more than 100 countries in which we operate and help support long-term healthcare system resilience.

Our pricing approach, as described in the previous paragraph, is a key contributor to our success. However, there are various external risk factors that could compromise our ability to execute our pricing strategies as planned. The market access environment is highly complex and subject to dynamic economic, political and social pressures. Globally, there are increasing cost-containment measures, greater calls for net price and R&D cost transparency, as well as early discussions toward pooled procurement mechanisms beyond emergency countermeasures and essential medicines. We have also experienced the first round of drug pricing system reforms in the United States, with associated uncertainty on the long-term impact.

Continued deterioration of, or lack of improvement in, socioeconomic conditions could adversely affect supply and/or distribution in affected countries and the ability or willingness of customers to purchase our medicines, putting pressure on price and/or volumes. This could adversely affect our business or results of operations, for example, those healthcare systems most severely impacted by downturn may seek alternative ways to settle their debts at a discount. Other customers may cease to trade, which may result in losses from writing off debts or a reduction in demand for products. Across the industry, the Inflation Reduction Act (“IRA”) in the United States and joint procedures to evaluate comparative clinical effectiveness in the European Union could reduce the value of certain products sooner than planned and impact the R&D pipeline as companies seek to avoid investing in lower yield products.

5

D.       Risk Factors

continued

Supply chain and business execution risks

Impact

Failure to maintain supply of compliant, quality medicines

We may experience challenges, delays or interruptions in the manufacturing and supply of our products for various reasons, including:

> Supply shortages or delays in construction of facilities to support future demand of our products caused by significant unforecasted demand growth or supply chain disruptions (e.g. natural disasters, climate impacts, COVID - 19,conflict or political unrest).

> The inability to supply products due to a product quality failure or regulatory compliance action such as licence withdrawal, product recall or change of regulatory standards (e.g. nitrosamines, where regulators have been introducing new limits/expectations for regulatory filings).

It is necessary for us to meet all regulations, including compliance with Good Manufacturing Practices (“GMP”) and Good Distribution Practices (“GDP”) and comparable regulatory dossier conditions of approval in all countries in which our products are licensed, manufactured or sold.

We rely significantly on third parties for the timely supply of goods (e.g. active ingredients and packaging components, many of which are difficult to substitute in a timely manner or at all).

Supply chain difficulties may result in product shortages, which could lead to lost Product Sales and materially affect our reputation and results of operations.

Failure to comply with all manufacturing regulations can result in negative regulatory inspection findings that could lead to the halt of manufacturing, and/or product seizure, debarment or recalls which could have an adverse effect on our business, financial condition and results of operations.

In the event of insolvency of third-party suppliers, it would be difficult to substitute in a timely manner or at all.

6

D.       Risk Factors

continued

Illegal trade in the Group’s medicines

The illegal trade of pharmaceutical products, including counterfeiting, tampering, theft and illegal diversion (where products are found in a market where we did not send them and where they are not approved to be sold) may lead to a loss of public confidence in the integrity of medicines.

The incidence of illegal trade could materially adversely affect our reputation and financial performance, and pose a direct risk to patient safety. In addition, concern about this issue may cause some patients to stop taking their medicines, with consequential risks to their health.

If we are found liable for breaches in our supply chains, authorities may take action, financial or otherwise, that could restrict the distribution of our products.

Reliance on third-party goods and services

A significant proportion of AstraZeneca’s annual costs relates to spend with third-party suppliers. The level of spend supports the length of our value chain from discovery to manufacture and commercialisation of our medicines.

Many of our business-critical operations are outsourced to third-party providers. We are, therefore, heavily reliant on these third parties to get medicines to patients, comply with applicable laws and regulations, while also ensuring prudent use of AstraZeneca financial resources.

Failure to successfully secure, onboard and manage outsourced services, particularly with continued inflationary pressures, or the failure of outsourced providers to deliver timely services, and to the required level of quality, could materially adversely affect our reputation, our financial condition and operating results as well as our ability to deliver medicines to patients.

Failure to effectively manage third-party suppliers when external factors, including geopolitical tensions or raw materials and components shortages, place increased pressure on AstraZeneca’s ability to purchase goods and services may lead to major business disruption.

Any breach of security, whether physical, cyber or data related, or failure of these third parties to operate in a way that is consistent with laws or regulations, may lead to regulatory penalties, materially affect the results of operations and adversely impact our reputation.

Failure in information technology or cybersecurity

IT systems enable critical business functions which are increasingly dependent on partner and vendor IT stability and data integrity. High availability IT systems remain a business imperative, providing our workforce with continuous access to collaboration environments, global communications channels, applications and data. In addition to availability and reliability, these systems must comply with provisions specified in data security, privacy and individual protection laws.

Data is a commodity we prioritise continued access to and protection of. It is often characterised as strictly confidential information and examples of strictly confidential data include clinical trial records, personal information, IP, R&D data, and compliance information. IT systems and data are potentially vulnerable to service interruptions and security breaches via attacks by malicious third parties or intentional or inadvertent actions by our employees or vendors. Attempts to exploit AstraZeneca’s IT systems and data are increasingly sophisticated. Threat actors include organised criminal groups, ‘hacktivists’, nation states, employees and others. Privacy legislation includes obligations to report data protection breaches to regulators and affected individuals within expedited timeframes.

The internet is our primary critical business transaction channel. Internet availability is increasingly at risk due to geopolitical tensions and conflict.

Disruption to our IT systems and/or the internet (including breaches of data security or cybersecurity, failure to integrate new and existing IT systems) or failure to comply with additional requirements under applicable laws, could harm our reputation and materially adversely affect our financial condition or operations. While we invest heavily in the protection of our data and IT, we may be unable to prevent hardware or software failures or breaches which could result in disclosure of confidential information, damage to our reputation, regulatory penalties or sanctions, or financial loss.

The inability to back-up and restore data effectively could lead to permanent loss of data that could, in turn, result in non-compliance with applicable laws and regulations and otherwise harm our business. Data loss could lead to public disclosure of confidential information which may damage our reputation, materially affect our business or results of operations, and expose us to legal risks and/or additional legal obligations. Public disclosure of sensitive information could materially adversely affect our reputation and business or operations’ results.

Cybersecurity insurance coverage limits may not protect against any future claim or claim proceeds may be delayed.

Failure to comply with regulatory disclosure requirements could cause reputational damage and a loss of public trust.

7

D.       Risk Factors

continued

Failure of critical processes

Unexpected events and/or events beyond our control could result in the failure of critical processes within the Group or at third parties on whom we are reliant.

The business faces threats to business continuity from many directions. Examples of material threats include:

> Disruption to our business or the global markets if there is instability in a particular geographic region, including as a result of war, terrorism, pandemics, armed conflicts, riots, unstable governments, civil insurrection or social unrest.

> Natural disasters in areas of the world prone to extreme weather events, which may increase in frequency or severity as a result of climate change.

> Cyber threats similar to those detailed in the ‘Failure in information technology or cybersecurity’ section above.

Crystallisation of such material threats may heighten certain other risks, such as those relating to the delivery of the pipeline, launch of new medicines, or the manufacture and supply of medicines, and may lead to loss of revenue and have a materially adverse impact on our financial results.

Failure to collect and manage data and AI in line with legal and regulatory requirements and strategic objectives

Data is increasingly recognised as being AstraZeneca’s most valuable commodity. There is an increasing range of legislative and regulatory requirements to manage data across all countries where we conduct business. These requirements may impact certain types of data such as personal data, the way that we conduct business, such as restricting the movement of data between countries or jurisdictional regions, or how we make use of new technological capabilities such as artificial intelligence (“AI”). In addition, geopolitical changes may require changes to how AstraZeneca manages data.

Beyond legal and regulatory requirements, achieving strategic objectives will require good management of data across the enterprise. As our organisation increasingly relies on data, including sensitive data relating to health and genomics, a failure to properly understand personal and collective accountabilities for managing data to maximise its value, or failure to address data risks, will reduce our ability to execute at pace and deliver strategic objectives.

AI technologies present significant opportunities and risks to our business. Harnessing AI’s transformative potential may enable AstraZeneca to speed up the discovery and development of new drugs, optimise our manufacturing processes, drive efficiencies and productivity, and accelerate our growth. Failure to exploit these opportunities may put AstraZeneca at a competitive disadvantage.

AstraZeneca is investing significant resources into AI experimentation, development and deployment across many parts of our business. As we scale our use of AI, it is possible not all investments will succeed.

AI technologies may exacerbate existing risks, like those risks associated with data privacy, cybersecurity and IP. AI also introduces new risks due to the autonomous nature of the technology, the ease at which AI-enabled decision making can be scaled up, and the commercial pressures to adopt AI. AI systems can amplify biased and discriminatory decision making, perform unreliably and malfunction, generate insights which are difficult to interpret and explain, and cause direct harm to individuals or groups. These risks may become more significant as we increasingly utilise AI to inform, augment and automate decision making and processes in sensitive areas (e.g. clinical trials and medical decision making).

The adoption and exploitation of AI is occurring under the backdrop of intense global media scrutiny, heightened political attention and low levels of public trust and understanding. There is also a range of new AI regulations being adopted and implemented worldwide, including in the European Union, China and the United States.

Despite taking measures designed to ensure compliance with applicable privacy- and AI-related laws and regulations by our personnel and our third parties, non-compliance has occurred and may occur again. If future instances of non-compliance are deemed significant, these may attract material regulatory sanctions or fines and corresponding reputational damage, orders to stop certain processing of personal data, or legal action on behalf of impacted individuals. Further, failure to protect personal data could lead to a competitive disadvantage, loss of trust from our stakeholders, including patients, and prevent us from delivering our strategic objectives.

If the scope of data-related laws is expanded or if the interpretation or enforcement of existing laws change or new privacy laws are implemented, AstraZeneca and its third-party vendors may be required to change their business practices or data processing practices and policies. This may lead to substantial compliance-related costs or materially adversely impact our business and financial condition.

Our failure to use AI technologies in a way that maintains trust, quality and control in our business activities would pose reputational, legal, regulatory and financial risks to AstraZeneca. Investments in AI may not realise the benefits that were anticipated.

8

D.       Risk Factors

continued

Failure to attract, develop, engage and retain a diverse, talented and capable workforce

We rely heavily on recruiting and retaining talented employees with a diverse range of skills and capabilities to meet our strategic objectives. Externally there is intense competition for well-qualified individuals, as the supply of people with certain skills or in specific geographic regions may be limited.

Ensuring our employees are continually developed and engaged with strategic objectives embeds commitment across the workforce.

The inability to attract and retain highly skilled personnel may weaken our succession plans for critical positions, impact the implementation of our strategic objectives and ultimately result in the failure of our business operations.

Failure to develop and engage our workforce could result in business disruption, a loss of productivity and higher turnover rates, all of which could materially adversely affect our business.

Focus in 2025 will be to continue building talent and capability across our global hubs to ensure we are best positioned to support science and the business towards the Ambition 2030.

Legal, regulatory and compliance risks

Impact

Failure to meet our sustainability targets, regulatory requirements and stakeholder expectations with respect to the environment

Environmental issues will become more material as healthcare systems continue to adopt net-zero climate targets.

Investors, governments and non-governmental organisations will increasingly scrutinise our environmental targets and performance.

Environmental considerations are becoming embedded in the public procurement of medicinal products and devices.

Specific materials used to manufacture medicines, or used as excipients or propellants, are coming under increased regulation and may be subject to time-limited exemptions or potential phase-out.

The physical impacts of climate change could impact the resilience of our business operations and supply chain.

Investors are increasingly focusing on environmental issues. We continue to see an increased requirement to quantify the impact of specific environmental issues and to disclose our strategy, targets and performance.

Failure to maximise our environmental sustainability credentials could expose us to increased regulatory risk and put us at a commercial disadvantage relative to our peers. This could adversely impact our financial results and lead to reputational damage.

Failure to proactively manage the physical risks associated with climate change could impact the resilience of our operations and supply chain. This could result in supply interruptions, loss of stock and adversely impact our financial results.

Safety and efficacy of marketed medicines is questioned

Our ability to accurately assess, prior to launch, the eventual safety or efficacy of a new product once in broader clinical use can only be based on data available at that time, which is inherently limited due to relatively short periods of product testing and relatively small clinical study patient samples.

Any unforeseen safety concerns or adverse events relating to our products, or failure to comply with laws, rules and regulations relating to provision of appropriate warnings concerning the dangers and risks of our products that result in injuries, could expose us to large product liability claims, settlements and awards, particularly in the United States. Adverse publicity relating to the safety of a product, or of other competing products, may increase the risk of product liability claims. Details of material product liability litigation matters can be found in “Financial Statements—Notes to the Group Financial Statements—Note 30—Commitments, contingent liabilities and contingent assets” on page 208 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025.

Serious safety concerns or adverse events relating to our products could lead to product recalls, seizures, loss of product approvals, declining sales and interruption of supply, and could materially adversely impact patient access, our reputation and financial revenues. Significant product liability claims could also arise which could be costly, divert management attention, or damage our reputation and demand for our products.

Unfavourable resolution of such current and similar future product liability claims could subject us to enhanced damages, consumer fraud and/or other claims, including civil and criminal governmental actions. This could require us to make significant provisions in our accounts relating to legal proceedings and could materially adversely affect our financial condition or results of operations, particularly where such circumstances are not covered by insurance.

9

D.       Risk Factors

continued

Adverse outcome of litigation and/or governmental investigations

Our business is subject to a wide range of laws and regulations around the world. We have been, and may continue to be, subject to various legal proceedings and governmental investigations.

Actual or perceived failure to comply with laws or regulations may result in AstraZeneca and/or its employees being investigated by government agencies and authorities and/or in civil legal proceedings. Relevant authorities have wide-ranging administrative powers to deal with any failure to comply with laws, regulations or continuing regulatory oversight, and this could affect us, whether such failure is our own or that of our contractors or external partners. In particular, the manufacturing, marketing, exportation, promotional, clinical, pharmacovigilance and pricing practices of pharmaceutical manufacturers, as well as manufacturer interaction with regulatory agencies, purchasers, prescribers and patients, are subject to extensive regulation, litigation and governmental investigation. Moreover, such laws, rules and regulations are subject to change. Details of material litigations and governmental investigations can be found in “Financial Statements—Notes to the Group Financial Statements—Note 30—Commitments, contingent liabilities and contingent assets” on pages 204 to 211 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025.

Many companies, including AstraZeneca, have been subject to legal claims asserted by federal and state governmental authorities and private payers and consumers, which have resulted in substantial expense and other significant consequences. Governmental investigations or proceedings could result in civil or criminal sanctions and/or the payment of fines or damages. Civil litigation, particularly in the US, is inherently unpredictable, and unexpectedly high awards for damages can result from an adverse result. In many cases, litigation adversaries may claim enhanced damages in extremely high amounts. Government investigations, litigations, and other legal proceedings, regardless of the outcome, could be costly, divert management attention, or damage our reputation and demand for our products.

Unfavourable resolutions to current and similar future proceedings against us that could subject us to criminal liability, fines, penalties or other monetary or non-monetary remedies, including enhanced damages, require us to make significant provisions in our accounts relating to legal proceedings and could materially adversely affect our business or results of operations.

IP risks related to our products

IP protection provides the foundation for continued investment in developing innovative medicines to improve patient health. However, the pharmaceutical industry is experiencing pressure from governments and other healthcare payers to impose limits on IP protections in an effort to manage healthcare costs. Additionally, policymakers are progressively leveraging regulations to expedite the approval of generic drugs and encourage generic drug utilisation. These policies may drive accelerated utilisation of generic alternatives to our products following expiry or loss of our IP rights. We also recognise increasing use of compulsory licensing in some countries in which we operate.

We are subject to numerous patent challenges relating to various products or processes and assertions of non-infringement of our patents. A loss in any of these challenges could result in loss of patent protection on the covered product and a risk to the revenue generated by the product. We also face the risk that our products may be found to infringe patents owned or licensed by third parties and we may be subject to monetary damages or compelled to cease sales of the infringing product, resulting in a potential risk to revenue. These challenges threaten the value of our investment in pharmaceutical development. Details of material patent litigation matters can be found in “Financial Statements—Notes to the Group Financial Statements—Note 30—Commitments, contingent liabilities and contingent assets” on pages 205 to 207 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025.

If we are unable to obtain, defend and enforce our IP, we may experience accelerated and intensified competition. Also, if our products are found to infringe a third-party patent, we may be subject to monetary damages or compelled to cease sales of the infringing product. These negative outcomes could have an adverse material impact on our financial results.

10

D.       Risk Factors

continued

Economic and financial risks

Impact

Failure to achieve strategic plans or meet targets or expectations

When we communicate our business strategy, targets or performance expectations, all such statements are forward-looking and based on assumptions and judgements, all of which are subject to significant inherent risks and uncertainties.

To achieve our strategic objectives, we must continue to develop commercially viable new products and successfully integrate new organisations we have acquired. There can be no guarantee that our strategy or expectations will materialise. Any failure to successfully implement our business strategy may frustrate the achievement of our financial targets, which may therefore materially damage our brand, business, financial position or results of operations.

Geopolitical and/or macroeconomic volatility disrupts the operation of our global business

With an active presence in more than 80 countries, we are subject to political, socio-economic and financial factors around the world. A sustained global economic downturn may adversely impact financial markets and/or exacerbate pressure from governments and other healthcare payers on medicine prices and other cost control measures in order to limit healthcare spending.

Geopolitical tensions may lead to the imposition or escalation of trade controls, tariffs, taxes or other restrictions to market access which may increase our costs or reduce revenues.

A severe or prolonged economic downturn could result in a variety of risks to our business, including weakened demand for medicines and our ability to raise additional capital when needed or on favourable terms, if at all. A weak or declining economy could strain our suppliers, possibly resulting in supply disruption, or cause delays in payments for our services by third-party payers.

Measures taken to limit healthcare spending may lead to lower than anticipated rates of growth in some markets and an adverse impact on revenues and profitability.

Any escalation in barriers to the global free flow of medicines is likely to increase costs to serve affected markets which may lead to downward pressure on margins. While the introduction of severe sanctions is unlikely in relation to medicines, it could occur if matters escalate significantly and could impact processes for the commercialisation of medicines and levels of sales in affected markets.

Any of the foregoing could harm our business and we cannot anticipate all of the ways in which the current economic climate and financial market conditions could adversely impact our business.

Failure in internal control, financial reporting or the occurrence of fraud

Effective internal controls assist in the provision of reliable financial statements and the detection and prevention of fraud. Testing of internal controls provides only limited assurance over the accuracy of Financial Statements and may not prevent or detect misstatements or fraud.

The introduction of new legislation such as the failure to prevent fraud offence in the Economic Crime and Corporate Transparency Act (effective from September 1, 2025) may increase regulator focus on fraud.

Significant resources may be required to remediate any deficiency in internal controls. Any such deficiency may trigger related investigations and may result in fines being levied against individual directors or officers. Serious fraud may lead to prosecution of senior management. Any of the foregoing could adversely affect our financial results and lead to reputational damage.

11

D.       Risk Factors

continued

Unexpected deterioration in the Group’s financial position

Movements in exchange rates against the US dollar, our reporting currency, impact our reported results. The key currencies of Product Sales and costs are: US dollar, Chinese renminbi, euro, Japanese yen, Swedish krona and pound sterling.

Most of our cash is invested in AAA credit-rated institutional money market funds, fixed income securities issued by government, financial and non-financial entities, and collateralised and non-collateralised bank deposits. Our credit exposure is a mix of US, EU and rest of world default risk across these institutions.

We invest in many projects in an effort to develop a successful portfolio of approved products. Our Consolidated Statement of Financial Position therefore contains significant investments in intangible assets, including goodwill. Our ability to realise value on these investments depends on regulatory approvals, market acceptance, competition, and legal developments.

Our defined benefit post-retirement obligations (primarily in the United Kingdom and Sweden) can materially change in value but are largely backed by assets invested in growth and liability hedging portfolios, which hedge some of the risks inherent in liability valuations.

Although we maintain relevant insurance coverage for risks arising within the Group, we may not be able to maintain our insurance coverage at a reasonable cost or in sufficient amounts to protect us against losses.

Tax law is complex, leading to the risk of different interpretations. Revenue authorities can make conflicting claims to the profits taxed in individual countries leading to double taxation and the potential for fines and penalties. Tax laws can change following action by international bodies such as the Organisation for Economic Co-operation and Development (“OECD”) or individual governments.

Foreign exchange rate movements may materially adversely affect our financial condition or results of operations.

In a sustained economic downturn, such institutions may cease to trade and there can be no guarantee that we will be able to access the full value of our investments.

We expect that some of our intangible assets will become impaired in the future. Impairment losses may materially adversely affect our financial condition or results of operations.

Solvency levels could fall, adversely impacting our financial position and requiring higher cash contributions if there are: falls in assets; increases in liability valuations (from falls in bond yields, increases in inflation or lower mortality); or changes in regulations. As liability valuation risks are hedged to a material level in some pension schemes, significant collateral may need to be posted to meet margin requirements, which in extreme circumstances could lead to a short-term liquidity risk in these pension schemes and a request to the Group to provide temporary liquidity.

Uninsured losses, or those where an insurer denies coverage, could materially adversely affect our financial condition.

The resolution of tax disputes can result in incremental tax costs, a reallocation of profits or losses between jurisdictions, or even double taxation, fines and penalties. They are costly, divert management attention and may adversely affect our reputation.

If tax treaties are withdrawn or amended, or Competent Authorities are unable to reach an agreement that eliminates double taxation, this could materially adversely affect our financial position. For details of our financial risk management policies, see “Strategic Report—Financial Review—Financial risk management” on page 81 and for details of current tax disputes, see “Financial Statements—Notes to the Group Financial Statements—Note 30—Commitments, contingent liabilities and contingent assets” on pages 211 to 212 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025.

Changes in tax laws could result in a material impact on the Group’s cash tax liabilities and tax charge, resulting in either an increase or a reduction in financial results.

12

ITEM 4. INFORMATION ON THE COMPANY

A.       History and Development of the Company

AstraZeneca PLC was incorporated in England and Wales on June 17, 1992 under the Companies Act 1985. It is a public limited company domiciled in the United Kingdom. The Company’s registered number is 2723534 and its registered office is at 1 Francis Crick Avenue, Cambridge Biomedical Campus, Cambridge CB2 0AA, United Kingdom (Tel: +44 20 3749 5000). From February 1993 until April 1999, the Company was called Zeneca Group PLC. On April 6, 1999, the Company changed its name to AstraZeneca PLC.

The Company was formed when the pharmaceutical, agrochemical and specialty chemical businesses of Imperial Chemical Industries PLC were demerged in 1993. In 1999, the Company sold the specialty chemical business. Also in 1999, the Company merged with Astra of Sweden. In 2000, it demerged the agrochemical business and merged it with the similar business of Novartis to form a new company called Syngenta AG. In 2007, the Group acquired MedImmune, a biologics and vaccines business based in the United States. In 2021, the Group acquired Alexion, a rare disease business based in the United States.

In 1999, in connection with the merger between Astra and Zeneca, the Company’s share capital was redenominated in US dollars. On 6 April 1999, Zeneca shares were cancelled and US dollar-denominated shares issued, credited as fully paid on the basis of one dollar-denominated share for each Zeneca share then held.

This was achieved by a reduction of capital under section 135 of the UK Companies Act 1985. Upon the reduction of capital becoming effective, all issued and unissued Zeneca shares were cancelled and the sum arising as a result of the share cancellation credited to a special reserve, which was converted into US dollars at the rate of exchange prevailing on the record date. This US dollar reserve was then applied in paying up, at par, newly created US dollar-denominated shares.

At the same time as the US dollar shares were issued, the Company issued 50,000 Redeemable Preference Shares for cash, at par. The Redeemable Preference Shares carry limited class voting rights, no dividend rights and are capable of redemption, at par, at the option of the Company on the giving of seven days’ written notice to the registered holder of the Redeemable Preference Shares.

A total of 826 million Ordinary Shares were issued to Astra shareholders who accepted the merger offer before the final closing date, 21 May 1999. The Company received acceptances from Astra shareholders representing 99.6% of Astra’s shares and the remaining 0.4% was acquired in 2000, for cash.

In 2021, in connection with the acquisition of Alexion, a total of 236 million Ordinary Shares (the majority of which were represented by new AstraZeneca ADRs) were issued to Alexion shareholders in part consideration for the acquisition.

The information (including tabular data) set forth under the headings “Strategic Report—Financial Review—Collaboration Revenue” on pages 74 to 75, “Strategic Report—Financial Review—Restructuring” on page 76, “Strategic Report—Financial Review—Acquisitions treated as Business combinations” and “—Acquisitions treated as asset acquisitions” on page 79, “Strategic Report—Financial Review—Investments, divestments and capital expenditure” on pages 80 to 81, “Corporate Governance—Corporate Governance Report—Compliance with the UK Corporate Governance Code—Board Leadership and Company Purpose” on page 91 and “Additional Information—Important information for readers of this Annual Report—AstraZeneca websites” on page 244, in each case of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference. Additionally, the information set forth under the heading “Strategic Report—Financial Review” on pages 58 to 74 (excluding the information set forth under the subheadings “Full year 2024: additional commentary” and “Currency impact” on page 71) of AstraZeneca’s “Annual Report and Form 20-F Information 2023” included as exhibit 15.1 to the Form 20-F dated February 20, 2024 is incorporated herein by reference.

The United States Securities and Exchange Commission (the “SEC”) maintains a website at www.sec.gov which contains in electronic form each of the reports and other information that we have filed electronically with the SEC.

13

B.       Business Overview

The information (including graphs and tabular data) set forth under the headings “Strategic Report—AstraZeneca at a Glance” on page 6, “Strategic Report—Chair’s Statement” on page 2, “Strategic Report—Chief Executive Officer’s Review” on pages 3 to 4, “Strategic Report—What science can do” on page 5, “Strategic Report—Healthcare in a Changing World” on pages 7 to 9, “Strategic Report—Our Purpose, Values and Business Model” on pages 10 to 11, “Strategic Report—Our Strategy and Key Performance Indicators” on pages 12 to 15, “Strategic Report—Therapy Area Review” on pages 16 to 31, “Strategic Report—Business Review” on pages 32 to 58, “Strategic Report—Disclosure Statements—Our approach to Sustainability Reporting—UK Statutory sustainability reporting” on page 59, “Strategic Report—Disclosure Statements—Our approach to Sustainability Reporting—EU Corporate Sustainability Reporting Directive” and “—EU Taxonomy Disclosure” on pages 60 to 62, “Strategic Report—Risk Overview—Managing risk”,—Emerging risks”,—Climate risk”, “—Cybersecurity Risk” on page 64, “Corporate Governance—Corporate Governance Report—Compliance with the UK Corporate Governance Code—Further information on risk management and controls—Global Compliance and GIA” on page 93, “Corporate Governance—Corporate Governance Report—Principal Decisions in 2024—Acquisitions to strengthen the pipeline” on page 97, “Financial Statements—Notes to the Group Financial Statements—Note 1—Revenue” on pages 160 to 161, “Financial Statements—Notes to the Group Financial Statements—Note 6—Segment information” on page 166 to 168, “Additional Information—Sustainability supplementary information” on pages 233 to 238, and “Additional Information—Important information for readers of this Annual Report—Statements of competitive position, growth rates and sales” on page 244, in each case of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference.

14

Development Pipeline as at February 6, 2025

This section sets out AstraZeneca-sponsored or -directed trial New Molecular Entities (“NMEs”) and significant indications.

Anticipated data timing and submission status is provided for assets in Phase III or beyond. As disclosure of compound information is balanced by the business need to maintain confidentiality, information in relation to some compounds listed here has not been disclosed at this time.

Key:

PP = Partnered product

Phase I

Compound

Mechanism

Additional
Information

Area Under Investigation

Oncology

AZD0022

KRas G12D inhibitor

solid tumours

AZD0120

autologous anti-CD19 and anti-BCMA CAR-T cell immunotherapy

multiple myeloma

AZD0305

GPRC5D ADC

relapsed/refractory multiple myeloma

AZD0486

CD19-CD3 TCE

r/r B-cell non-Hodgkin lymphoma

AZD0486

CD19-CD3 TCE

B-cell acute lymphoblastic leukaemia

AZD0754

STEAP2 CAR-T

prostate cancer

AZD1390

ATM inhibitor

glioblastoma

AZD2068

EGFR cMET radioconjugate

solid tumours

AZD3470

PRMT5 inhibitor

classic Hodgkin lymphoma, solid tumours

AZD5492

CD20 TITAN T cell engager

haematology

AZD5851

GPC3 CAR-T

hepatocellular carcinoma

AZD5863

CLDN18.2 x CD3 bispecific antibody (HBM7022)

solid tumours

AZD6422

CLDN18.2 CAR-T

solid tumours

AZD7003 (China)

GPC3 CAR-T

hepatocellular carcinoma/squamous non-small cell lung cancer

AZD8421

CDK2 inhibitor

solid tumours

AZD9592

EGFR/cMET TOP1i ADC

solid tumours

AZD9829

CD123 TOP1i ADC

acute myeloid leukaemia, myelodysplastic syndromes

NT-112

TGFBR2 KO armored TCR-T targeting KRAS G12D

(PP)

solid tumour

NT-125

autologous, fully-individualised, multi-specific TCR-T targeting neoantigens

(PP)

solid tumours

NT-175

TGFBR2 KO armored TCR-T targeting TP53 R175H

(PP)

solid tumours

volrustomig + lenvatinib

PD-1/CTLA-4 bispecific mAb + VEGF

advanced renal cell carcinoma

CVRM

AZD0233

CX3CR1

dilated cardiomyopathy

AZD1705

lipid lowering

cardiovascular disease

AZD2373

podocyte health

nephropathy

AZD4144

inflammation modulator

cardiorenal disease

AZD9550

GLP-1R glucagon dual agonist

non-alcoholic steatohepatitis

Respiratory & Immunology

AZD0120

autologous anti-CD19 and anti-BCMA

CAR-T cell immunotherapy

systemic lupus erythematosus

AZD1163

bispecific antibody

rheumatoid arthritis

AZD6793

IRAK4 inhibitor

inflammatory diseases

AZD6912

siRNA

rheumatoid arthritis

AZD8965

inhibition of arginase enzyme

idiopathic pulmonary fibrosis

Vaccines and Immune Therapies

AZD0292

pseudomonas Psl-PcrV bispecific mAb

non-CF bronchiectasis

AZD5148

anti-clostridioides difficile TcdB mAb

reduction of C. diff recurrence

AZD7760

mAb combination targeting S aureus

virulence factors

prevention of Staph aureus infection

mRNA VLP vaccine

mRNA-VLP vaccine

prevention of COVID-19

Other Medicines

MEDI1814

amyloid beta mAb

(PP)

Alzheimer’s disease

Rare Disease

ALXN1920

kidney-targeted factor H fusion protein

nephrology

ALXN2030

siRNA targeting complement C3

nephrology

ALXN2080

oral factor D inhibitor

healthy volunteers

15

Phase II

Compound

Mechanism

Additional
Information

Area Under Investigation

Oncology

AZD0486 SOUNDTRACK-B

CD19/CD3 next-generation bispecific T-cell engager

B-cell non-Hodgkin lymphoma

AZD0901

CLDN18.2 MMAE ADC

solid tumours

AZD5335

anti-folate receptor alpha topoisomerase 1 inhibitor ADC

ovarian cancer, lung adenocarcinoma

AZD9574

PARP1 selective

advanced solid malignancies

camizestrant

selective estrogen receptor degrader

estrogen receptor +ve breast cancer

ceralasertib

ATR inhibitor

solid tumours

FPI-2265

PSMA radioconjugate

(PP)

prostate cancer

IPH5201 + Imfinzi

CD39 + PD-L1

(PP)

neoadjuvant/adjuvant NSCLC

puxitatug samrotecan (AZD8205)

B7-H4 targeting ADC

solid tumours

rilvegostomig ARTEMIDE-01

PD-1/TIGIT bispecific mAb

(PP)

solid tumours

saruparib

PARP1 selective

solid tumours

volrustomig

PD-1/CTLA-4 bispecific mAb

solid tumours

volrustomig eVOLVE-01

PD-1/CTLA-4 bispecific mAb

NSCLC

volrustomig eVOLVE-02

PD-1/CTLA-4 bispecific mAb

cervical cancer, head and neck squamous cell carcinoma

CVRM

AZD0780

PCSK9

dyslipidaemia

AZD2389

anti-fibrotic mechanism

metabolic dysfunction-associated steatohepatitis

AZD2693

NASH resolution

non-alcoholic steatohepatitis

AZD3427

relaxin mimetic

heart failure

AZD5004

oral GLP-1 receptor agonist

T2D/chronic weight management

AZD5462

RXFP1 agonist

(PP)

heart failure

AZD6234

peptide

chronic weight management in overweight or obesity

balcinrenone/dapagliflozin

MR modulator + SGLT2 inhibitor

Farxiga in the US; Forxiga in rest of world

CKD

zibotentan/dapagliflozin

endothelin A receptor antagonist/SGLT2 inhibitor

dapagliflozin is marketed as Farxiga in the US; Forxiga in rest of world

liver cirrhosis

Respiratory & Immunology

atuliflapon

FLAP inhibitor

asthma

AZD4604

inhaled JAK1 inhibitor

asthma

AZD7798

humanised monoclonal antibody targets T cells subset

Crohn’s disease

AZD8630

inhaled TSLP FAb

(PP)

asthma

tozorakimab FRONTIER 3

IL-33 mAb

asthma

Vaccine and Immune therapies

IVX-A12

virus-like particle (VLP) vaccine

IVX-A12 is a virus-like particle combination vaccine for the prevention of lower respiratory tract disease (LRTD) caused RSV and hMPV

RSV and human metapneumovirus (hMPV)

Other Medicines

MEDI0618

PAR2 antagonist mAb

migraine

MEDI7352

NGF/TNF bispecific mAb

osteoarthritis pain and painful diabetic neuropathy

Rare Disease

MEDI1341

alpha synuclein mAb

(PP)

multiple system atrophy/Parkinson’s disease

16

Phase III/Pivotal Phase II/Registration (listed until launched in all applicable major markets)

Compound

Mechanism

Area Under
Investigation

Additional
Information

Data read-out/submission
status

Oncology

AZD0486 SOUNDTRACK-F1

CD19/CD3 next-generation bispecific T-cell engager

follicular lymphoma

>2026

AZD0901 CLARITY-Gastric01

CLDN18.2 MMAE ADC

gastric 2L+

2026

camizestrant + CDK4/6i SERENA-6

selective estrogen receptor degrader + CDK4/6 inhibitors

1 st -line HR+ HER2- ESR1m breast cancer

H2 2025

camizestrant +palbociclib SERENA-4

selective estrogen receptor degrader + CDK4/6 inhibitor

1 st -line HR+ HER2- breast cancer

2026

camizestrant CAMBRIA-1

selective estrogen receptor degrader

HR+ HER2- extended adjuvant breast cancer

>2026

camizestrant +/- abemaciclib CAMBRIA-2

selective estrogen receptor degrader + CDK4/6 inhibitor

ER+/HER2- early breast cancer

>2026

ceralasertib + Imfinzi LATIFY

ATR inhibitor + PDL-1 mAb

NSCLC

H2 2025

Datroway (datopotamab deruxtecan) TROPION-Breast01

TROP2 ADC

2-3L HR+ HER2- breast cancer

(PP)

Launched

Imfinzi + Imjudo HIMALAYA

PD-L1 mAb + CTLA-4 mAb

1 st -line hepatocellular carcinoma

Launched

Imfinzi +/- oleclumab +/- monalizumab PACIFIC-9

PD-L1 + NKG2A or PD-L1 + CD73

unresectable Stage III NSCLC

(PP)

2026

rilvegostomig ARTEMIDE-Biliary01

PD-1/TIGIT bispecific mAb

adjuvant biliary tract cancer

(PP)

>2026

rilvegostomig ARTEMIDE-Lung02

PD-1/TIGIT bispecific mAb

squamous NSCLC 1L

(PP)

>2026

rilvegostomig ARTEMIDE-Lung03

PD-1/TIGIT bispecific mAb

non-squamous NSCLC 1L

(PP)

>2026

saruparib EvoPAR-Breast01

PARP1Sel

BRCA/PALB2m HR+ve metastatic breast cancer

>2026

saruparib EvoPAR-Prostate01

PARP1Sel

metastatic castration-sensitive prostate cancer

>2026

Truqap + Faslodex CAPItello-291

AKT inhibitor + fulvestrant

2 nd -line and beyond in AI resistant locally advanced (inoperable) or metastatic breast cancer

Launched

volrustomig eVOLVE-Cervical

PD-1/CTLA-4 bispecific mAb

high-risk locally advanced cervical cancer

>2026

volrustomig eVOLVE-HNSCC

PD-1/CTLA-4 bispecific mAb

unresected locally advanced head and neck squamous cell carcinoma

>2026

volrustomig eVOLVE-Lung02

PD-1/CTLA-4 bispecific mAb

1L metastatic NSCLC

>2026

volrustomig eVOLVE-Meso

PD-1/CTLA-4 bispecific mAb

1L unresectable malignant pleural mesothelioma

>2026

CVRM

Andexxa

anti-factor Xa reversal

acute major bleed

Launched

balcinrenone/dapagliflozin

MR modulator + SGLT2 inhibitor

heart failure with CKD

Farxiga in the US; Forxiga in rest of world.

>2026

baxdrostat BaxHTN

aldosterone synthase inhibitor

hypertension

H2 2025

baxdrostat/dapagliflozin

aldosterone synthase inhibitor and reversible inhibitor of SGLT2

CKD

>2026

Wainua

ligand-conjugated antisense

patients with hereditary transthyretin-mediated amyloid polyneuropathy (ATTRv-PN)

(PP)

Launched

zibotentan/dapagliflozin

endothelin A receptor antagonist/SGLT2 inhibitor

CKD with high proteinuria

dapagliflozin is marketed as Farxiga in the US; Forxiga in rest of world.

>2026

Respiratory & Immunology

Fasenra CALIMA SIROCCO ZONDA MIRACLE

IL-5R mAb

severe uncontrolled asthma

(PP)

Launched

Saphnelo TULIP 1 & TULIP 2 AZALEA (China)

type I IFN receptor mAb

systemic lupus erythematosus

(PP)

Launched

Tezspire NAVIGATOR DIRECTION (China)

TSLP mAb

severe uncontrolled asthma

(PP)

Launched

tozorakimab OBERON TITANIA PROSPERO MIRANDA

IL-33 mAb

chronic obstructive pulmonary disease

2026

tozorakimab TILIA

IL-33 mAb

severe viral lower respiratory tract disease

2026

Vaccine and Immune Therapies

Kavigale (sipavibart) SUPERNOVA

SARS-CoV-2 LAAB

prevention of COVID-19

Approved

Rare Disease

acoramidis

oral TTR stabiliser

transthyretin amyloid cardiomyopathy

(PP)

Submitted

ALXN2220 DepleTTR-CM

transthyretin depleter

transthyretin amyloid cardiomyopathy

(PP)

>2026

anselamimab

fibril-reactive mAb

amyloid light chain amyloidosis

H2 2025

efzimfotase alfa

next generation TNSALP ERT

hypophosphatasia

2026

eneboparatide CALYPSO

parathyroid hormone receptor 1

hypoparathyroidism

H1 2025

gefurulimab PREVAIL

humanised bispecific VHH antibody

generalised myasthenia gravis

H2 2025

17

Significant Life-cycle Management

Anticipated data timing and submission status is provided for assets in Phase III or beyond. Projects in Phase III unless otherwise noted.

Compound

Mechanism

Area Under
Investigation

Additional
Information

Data read-out/submission
status

Oncology

Calquence + R-CHOP ESCALADE

BTK inhibitor + R-CHOP

1 st -line diffuse large B cell lymphoma

>2026

Calquence + venetoclax + obinutuzumab AMPLIFY

BTK inhibitor + BCL-2 inhibitor + anti-CD20 mAb

1 st -line chronic lymphocytic leukaemia

Accepted

Calquence ECHO

BTK inhibitor

1 st -line mantle cell lymphoma

(PP)

Launched

Calquence ELEVATE-TN ChangE (China)

BTK inhibitor

1 st -line chronic lymphocytic leukaemia

(PP)

Launched

Datroway + Imfinzi AVANZAR

TROP2 ADC + PD-L1 + CTx

non-squamous or non-squamous TROP2+ NSCLC 1L

(PP)

H2 2025

Datroway TROPION-Breast02

TROP2 ADC

1 st -line triple negative breast cancer

(PP)

H1 2025

Datroway +/- Imfinzi TROPION-Breast03

TROP2 ADC +/- PD-L1

adjuvant residual disease triple negative breast cancer

(PP)

2026

Datroway +/- Imfinzi TROPION-Breast04

TROP2 ADC +/- PD-L1

neoadjuvant/adjuvant triple negative or HR-low/HER2-negative breast cancer

(PP)

>2026

Datroway +/- Imfinzi TROPION-Breast05

TROP2 ADC + PD-L1

1 st -line triple negative breast cancer

(PP)

2026

Datroway TROPION-Lung05

TROP2 ADC

advanced or metastatic NSCLC with an EGFR mutation and progressed on prior systemic therapies, including TKIs and platinum-based chemotherapy

(PP)

Accepted

Datroway + pembrolizumab TROPION-Lung07

TROP2 ADC

L NSCLC PD-L1 <50% non-squamous

(PP)

2026

Datroway TROPION-Lung08

TROP2 ADC

1L metastatic NSCLC without actionable genomic alterations and PD-L1 TPS ≥50%

(PP)

2026

Datroway + rilvegostomig TROPION-Lung10

TROP2 ADC + PD-1/TIGIT bispecific mAb

locally advanced or metastatic non-squamous NSCLC with high PD-L1 expression (TC ≥50%) and without actionable genomic alterations

(PP)

>2026

Datroway + rilvegostomig TROPION-Lung12

TROP2 ADC + PD-1/TIGIT bispecific mAb

Stage I adenocarcinoma NSCLC who are ctDNA-positive or have high-risk pathological features

(PP)

>2026

Datroway + Tagrisso TROPION-Lung14

TROP2 ADC + EGFR inhibitor

1L EGFRm NSCLC

(PP)

>2026

Datroway + Tagrisso TROPION-Lung15

TROP2 ADC + EGFR inhibitor

2L advanced or metastatic EGFRm NSCLC

(PP)

2026

Enhertu (platform) DESTINY-Breast07

HER2 targeting ADC

HER2+ breast cancer

(PP) Phase II LCM

Enhertu + rilvegostomig DESTINY-BTC01

HER2 targeting ADC + PD-1/TIGIT bispecific mAb

1L HER2+ biliary tract cancer

>2026

Enhertu DESTINY-Breast05

HER2 targeting ADC

HER2+ post-neoadjuvant high-risk breast cancer

(PP)

H2 2025

Enhertu DESTINY-Breast06

HER2 targeting ADC

post-ET HER2-low and -ultralow/ HR+ breast cancer 2L

(PP)

Launched

Enhertu DESTINY-Breast09

HER2 targeting ADC

1 st -line HER2+ breast cancer

(PP)

H2 2025

Enhertu DESTINY-Breast11

HER2 targeting ADC

neoadjuvant HER2+ breast cancer

(PP)

H1 2025

Enhertu DESTINY-Gastric04

HER2 targeting ADC

2 nd -line HER2+ gastric cancer

(PP)

H2 2025

Enhertu DESTINY-Lung04

HER2 targeting ADC

1 st -line HER2m NSCLC

(PP)

H2 2025

Enhertu DESTINY-PanTumor03 (China)

HER2 targeting ADC

HER2 expressing solid tumours

(PP) Phase II LCM

H2 2025

Enhertu DESTINY-PanTumour01

HER2 targeting ADC

HER2 mutant tumours

(PP) Phase II LCM

Enhertu DESTINY-PanTumour02

HER2 targeting ADC

HER2 expressing solid tumours

(PP) Phase II LCM

Launched

Imfinzi (platform) BEGONIA

PD-L1 mAb with paclitaxel and multiple novel oncology therapies

1 st -line metastatic triple negative breast cancer

Phase II LCM

Imfinzi (platform) HUDSON

PD-L1 mAb + multiple novel oncology therapies

post IO NSCLC

Phase II LCM

Imfinzi (platform) NeoCOAST-2

PD-L1 mAb + multiple novel oncology therapies

non-small cell lung cancer

(PP)

Imfinzi + CRT KUNLUN

PD-L1 mAb + CRT

locally advanced oesophageal squamous cell carcinoma

2026

Imfinzi + CRT PACIFIC-5 (China)

PD-L1 mAb + CRT

locally-advanced (Stage III) NSCLC

(PP)

Q3 2024

Imfinzi + CTx neoadjuvant AEGEAN

PD-L1 mAb + CTx

locally-advanced (Stage II-III) NSCLC

Launched

Imfinzi + CTx NIAGARA

PD-L1 mAb + CTx

muscle invasive bladder cancer

Submitted

Imfinzi + domvanalimab (AB154) PACIFIC-8

PD-L1 mAb + TIGIT

unresectable Stage III NSCLC

(PP)

>2026

Imfinzi + EV +/- Imjudo VOLGA

PD-L1 + nectin-4 targeting ADC +/- CTLA-4

muscle invasive bladder cancer

H2 2025

Imfinzi + FLOT MATTERHORN

PD-L1 mAb + CTx

neoadjuvant/adjuvant gastric cancer

(PP)

H2 2025

Imfinzi + Imjudo +SoC NILE

PL-L1 mAb + CTLA-4 mAb + SoC

1 st -line urothelial cancer

H2 2025

Imfinzi + Imjudo + TACE +/- lenvatinib EMERALD-3

PD-L1 + CTLA-4 + VEGF +/- chemoembolisation

locoregional hepatocellular carcinoma

2026

Imfinzi + VEGF + TACE EMERALD-1

PD-L1 mAb + VEGF + TACE

locoregional hepatocellular carcinoma

(PP)

Q4 2023

Imfinzi + VEGF EMERALD-2

PD-L1 mAb + VEGF

adjuvant hepatocellular carcinoma

(PP)

2026

Imfinzi +/- Imjudo + CRT ADRIATIC

PD-L1 mAb +/- CTLA-4 mAb + CRT

1 st -line limited-stage SCLC

(PP)

Launched

Imfinzi +/- Imjudo + CTx POSEIDON

PD-L1 mAb +/- CTLA-4 mAb + CTx

1 st -line NSCLC

Launched

18

Compound

Mechanism

Area Under
Investigation

Additional
Information

Data read-out/submission
status

Imfinzi post-SBRT PACIFIC-4

PD-L1 mAb post-SBRT

Stage I/II NSCLC

(PP)

2026

Imfinzi POTOMAC

PD-L1 mAb

non-muscle invasive bladder cancer

H2 2025

Lynparza +abiraterone PROpel

PARP inhibitor + NHA

prostate cancer

(PP)

Launched

Lynparza + Imfinzi + bevacizumab DUO-O

PARP inhibitor + PD-L1 mAb + VEGF inhibitor

1 st -line ovarian cancer

( PP)

Q2 2023

Lynparza + Imfinzi DUO-E

PARP inhibitor + PD-L1 mAb

1 st -line endometrial cancer

(PP)

Launched

Lynparza MONO-OLA1

PARP inhibitor

1 st -line BRCAwt ovarian cancer

(PP)

H1 2025

Orpathys + Imfinzi SAMETA

MET inhibitor + PD-L1 mAb

1 st -line papillary renal cell carcinoma

(PP)

H2 2025

Tagrisso + Orpathys SAFFRON

EGFR inhibitor + MET inhibitor

advanced EGFRm NSCLC

(PP)

H2 2025

Tagrisso + Orpathys SAVANNAH

EGFR inhibitor + MET inhibitor

advanced EGFRm NSCLC

(PP) Phase II LCM

Tagrisso +/- CTx neoadjuvant NeoADAURA

EGFR inhibitor +/- CTx

Stage II/III resectable EGFRm NSCLC

Q4 2024

Tagrisso ADAURA2

EGFR inhibitor

adjuvant EGFRm NSCLC Stage Ia2-Ia3 following complete tumour resection

>2026

Tagrisso LAURA

EGFR inhibitor

Stage III EGFRm non-small cell lung cancer

Launched

Tagrisso ORCHARD platform study

EGFR inhibitor + multiple novel oncology therapies

2 nd -line EGFRm osimertinib-resistant NSCLC

(PP) Phase II LCM

Truqap

AKT inhibitor

prostate cancer

Phase II LCM

Truqap + abiraterone CAPItello-281

AKT inhibitor + abiraterone

PTEN deficient metastatic hormone sensitive prostate cancer

Q4 2024

Truqap + docetaxel CAPItello-280

AKT inhibitor + docetaxel

mCRPC prostate cancer

2026

Truqap + Faslodex + palbociclib CAPItello-292

AKT inhibitor + fulvestrant + CDK4/6 inhibitor

1 st -line triplet in early relapse/ET resistant locally advanced (inoperable) or metastatic breast cancer

Phase Ib/III

>2026

CVRM

Wainua

ligand-conjugated antisense

patients with hereditary or wild-type transthyretin-mediated amyloid cardiomyopathy (ATTR CM)

(PP)

2026

Respiratory & Immunology

Breztri / Trixeo (PT010) KALOS LOGOS

LABA/LAMA/ICS

asthma

Breztri in Japan, China and the US . Trixeo in the EU.

H1 2025

Breztri / Trixeo ATHLOS

LABA/LAMA/ICS

COPD cardiopulmonary exercise test (CPET) trial

H2 2025

Breztri / Trixeo THARROS

LABA/LAMA/ICS

cardiopulmonary outcomes trial in COPD

(PP)

>2026

Fasenra MANDARA

IL-5R mAb

eosinophilic granulomatosis with polyangiitis

Launched

Fasenra NATRON

IL-5R mAb

hypereosinophilic syndrome

H1 2025

Fasenra RESOLUTE

IL-5R mAb

chronic obstructive pulmonary disease

(PP)

H2 2025

Saphnelo DAISY

type I IFN receptor mAb

systemic sclerosis

(PP)

2026

Saphnelo IRIS

type I IFN receptor mAb

lupus nephritis

(PP)

2026

Saphnelo JASMINE

type I IFN receptor mAb

myositis

(PP)

>2026

Saphnelo LAVENDER

type I IFN receptor mAb

CLE

(PP)

>2026

Saphnelo TULIP-SC

type I IFN receptor mAb

systemic lupus erythematosus (subcutaneous)

(PP)

H2 2025

Tezspire COURSE

TSLP mAb

chronic obstructive pulmonary disease

(PP) Phase II LCM

Tezspire CROSSING

TSLP mAb

eosinophilic oesophagitis

(PP)

2026

Tezspire WAYPOINT

TSLP mAb

nasal polyps

(PP)

Q4 2024

Rare Disease

Koselugo KOMET

MEK inhibitor

neurofibromatosis type 1 adult

(PP)

Submitted

Ultomiris

anti-complement C5 mAb

generalised myasthenia gravis

Launched

Ultomiris

anti-complement C5 mAb

proliferative lupus nephritis

Phase II LCM

Ultomiris

anti-complement C5 mAb

haematopoietic stem cell transplant–associated thrombotic microangiopathy

H2 2025

Ultomiris ARTEMIS

anti-complement C5 mAb

cardiac surgery-associated acute kidney injury

2026

Ultomiris CHAMPION-NMOSD

anti-complement C5 mAb

neuromyelitis optica spectrum disorder

Launched

Ultomiris I CAN

anti-complement C5 mAb

immunoglobulin A nephropathy

>2026

19

Patent Expiries of Key Marketed Products as at February 6, 2025

Patents covering our products are, or may be, challenged by third parties. Generic products may be launched ‘at risk’ and our patents may be revoked, circumvented or found not to be infringed. Details of material challenges by third parties can be found in “Financial Statements—Notes to the Group Financial Statements—Note 30—Commitments, contingent liabilities and contingent assets” on pages 205 to 206 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025, and incorporated by reference. The expiry dates shown below include granted Supplementary Protection Certificate (“SPC”) and Patent Term Extension (“PTE”) and/or Paediatric Exclusivity periods (as appropriate). In Europe, the exact SPC situation may vary by country as different patent offices grant SPCs at different rates. The expiry dates of relevant regulatory data exclusivity periods are not represented in the table below. A number of our products are subject to generic competition in one or more markets. There may be agreements permitting generic or biosimilar entry prior to the expiry dates shown below. Bolded expiry dates relate to new molecular entity patents. The remaining dates relate to other patents.

Aggregate Product

US

Sales Ex-US

Product Sales ($m)

($m)

Key Marketed products

Description

US

China

EU 1

Japan

2024

2023

2022

2024

2023

2022

Oncology

Calquence (acalabrutinib)

A selective inhibitor of Bruton’s tyrosine kinase indicated for the treatment of chronic lymphocytic leukaemia (CLL) and mantle cell lymphoma (MCL) and in development for the treatment of multiple B-cell malignancies.

2026–2032 , 2032–2036

2032 , 2036

2032-2035 , 2036

2

2037 , 2036

2,190

1,815

1,657

939

699

400

Datroway (Datopotama deruxtecan)

A TROP2-directed antibody drug conjugate (ADC) comprised of a humanised anti-TROP2 IgG1 monoclonal antibody attached to a number of topoisomerase I inhibitor payloads (an exatecan derivative, DXd) via tetrapeptide-based cleavable linkers, indicated for patients with previously treated metastatic HR-positive, HER2-negative breast cancer.

2034

2034

2034

3

Enhertu 4 (trastuzumab deruxtecan)

A HER2-directed ADC indicated for HER2-positive, HER2-low and HER2-ultralow advanced breast cancers, for HER2-mutant metastatic non-small cell lung cancer (NSCLC), and for HER2-positive advanced gastric cancer.

2033 , 2035

2033-2035

2033-2035

3

545

261

79

Imfinzi (durvalumab)

A human monoclonal antibody (mAb) that blocks PD-1 and CD80 on T-cells indicated for unresectable, Stage III NSCLC, for extensive-stage small cell lung cancer (SCLC) in combination with chemotherapy, for advanced biliary tract cancer in combination with chemotherapy, for unresectable heptatocellular carcinoma (uHCC) in combination with Imjudo , for NSCLC in combination with Imjudo and chemotherapy, and for advanced bladder cancer.

2031

2030

2030

2033

2,603

2,171

1,539

2,114

1,848

1,232

Imjudo 5 (tremelimumab)

A cytotoxic T-lymphocyte-associated antigen 4 blocking antibody indicated for uHCC in combination with Imfinzi and for NSCLC in combination with Imfinzi and chemotherapy.

2031

2026

2026

2031

180

146

13

101

72

Lynparza 6 (olaparib)

An oral poly ADP-ribose polymerase (PARP) inhibitor indicated for platinum-sensitive relapsed and for BRCA-mutated (BRCAm) ovarian cancers, for homologous recombination repair deficient (HRD)-positive advanced ovarian cancer in combination with bevacizumab, for gBRCAm, HER2-negative early and metastatic breast cancers, for gBRCAm metastatic pancreatic cancer, for HRR gene-mutated and BRCAm metastatic castration-resistant prostate cancers (mCRPC), and for 1st-line mCRPC in combination with abiraterone.

2024 , 2027 , 2024-2041

2024 , 2024-2029

2029 , 2024-2029

2029 , 2024-2034

1,332

1,254

1,226

1,740

1,557

1,412

Orpathys (savolitinib)

An oral, potent and highly selective MET-TKI indicated for NSCLC with MET gene alterations.

2030

2030

2030

2030

44

44

33

Tagrisso (osimertinib)

An EGFR-TKI indicated for early- and late-stage EGFRm NSCLC.

2032 , 2035

2032 , 2035

2032 , 2035

2034 , 2035

2,763

2,276

2,007

3,817

3,523

3,437

Truqap (capivasertib)

A first-in-class, potent, adenosine triphosphate (ATP)-competitive inhibitor approved in combination with Faslodex for HR-positive, HER2-negative advanced breast cancer with certain gene alterations.

2028-2030 , 2025-2033

2028 , 2033

2028 , 2025-2033

2028

408

6

22

CVRM

Andexxa / Ondexxya (andexanet alfa)

A factor Xa inhibitor (apixaban and rivaroxaban) reversal agent.

2032 , 2028–2037

2028 , 2030–2035

2028 , 2030–2037

2028 , 2030–2037

81

75

77

138

107

73

Brilinta / Brilique (ticagrelor)

An oral P2Y12 platelet inhibitor for acute coronary syndromes (ACS) (ticagrelor 90mg) or continuation therapy in high-risk patients (ticagrelor 60mg) with a history of myocardial infarction (MI). An oral P2Y12 platelet inhibitor for the prevention of atherothrombotic events in adult patients with ACS or high-risk patients with history of MI, high-risk patients with coronary artery disease or stroke.

2025 , 2030-2036

2037

2025 , 2037

2024 , 2025-2030

751

744

744

582

580

614

20

Aggregate Product

US

Sales Ex-US

Product Sales ($m)

($m)

Key Marketed products

Description

US

China

EU 1

Japan

2024

2023

2022

2024

2023

2022

Farxiga / Forxiga (dapagliflozin)

A sodium-glucose cotransporter 2 (SGLT-2 inhibitor) indicated for adult patients with type-2 diabetes (T2D) or in adults with or without T2D with heart failure with reduced ejection fraction or chronic kidney disease (CKD). Approved in the United States to improve glycaemic control in paediatric patients with T2D aged 10 years and older.

2026 , 2025-2040

2027-2041

7

2028 , 2027, 2028

2

2024-2025 , 2028-2040

1,750

1,451

1,071

5,906

4,512

3,310

Xigduo/ Xigduo XR 8 (dapagliflozin/ metformin)

Combines dapagliflozin and metformin as either Xigduo – to improve glycaemic control in adults with T2D who are inadequately controlled on metformin alone, or Xigduo XR – an extended release tablet for adults with T2D who are inadequately controlled on metformin alone.

2026 , 2027-2030

2027, 2030

7

2028 , 2027 2 , 2030

2024-2025 , 2027-2030

Lokelma (sodium zirconium cyclosilicate)

An insoluble, non-absorbed sodium zirconium cyclosilicate, formulated as a powder for oral suspension, that acts as a highly selective potassium-removing agent for the treatment of hyperkalaemia.

2032-2035

2033-2034

7

2032

2035-2037

256

214

170

286

198

119

Roxadustat 9

An oral hypoxia-inducible factor prolyl hydroxylase inhibitor indicated for the treatment of anaemia from CKD.

3

2024 , 2024-2033

3

3

331

271

197

Wainua/ Wainzua (eplontersen)

Wainua injection, for subcutaneous use, is a prescription medicine used to treat adults with polyneuropathy of hereditary transthyretin-mediated amyloidosis.

2025-2034

2034

2034

2034

85

Respiratory & Immunology

Airsupra (albuterol/budesonide)

A first-in-class, fixed-dose combination rescue medication for asthma in the United States containing a short-acting beta2-agonist (SABA) and an anti-inflammatory inhaled corticosteroid (ICS), for the as-needed treatment or prevention of bronchoconstriction and to reduce the risk of exacerbations, developed in a pressurized metered-dose inhaler (pMDI) using AstraZeneca’s Aerosphere delivery technology.

2030

2030

2030

66

Breztri / Trixeo Aerosphere (budesonide/ glycopyrrolate/formoterol)

A fixed-dose triple combination of an ICS, a long-acting muscarinic antagonist (LAMA) and a long-acting beta2-agonist (LABA) delivered in an Aerospace pMDI, used for the long-term maintenance treatment of COPD.

2030-2031, 2038

2030, 2038

2030, 2038

2030-2034, 2038

516

383

239

462

294

159

Fasenra (benralizumab)

A mAb which directly targets and depletes eosinophils by recruiting natural killer cells and inducing apoptosis (programmed cell death). Approved as an add-on maintenance treatment for severe eosinophilic asthma and for eosinophilic granulomatosis with polyangiitis (EGPA).

2024 , 2028-2034

2028

2025 , 2028-2034

2025 , 2034

1,049

992

906

640

561

490

Saphnelo (anifrolumab)

A first-in-class fully human mAb for moderate to severe systemic lupus erythematosus (SLE) that binds to subunit 1 of the type I IFN receptor, blocking the activity of type I IFNs. Type I IFNs such as IFN-alpha, IFN-beta and IFN-kappa are cytokines involved in driving the inflammatory pathways implicated in SLE.

2025-2029 , 2033-2036

2025-2029

2025-2029 , 2036

2030-2034 , 2033-2036

425

260

111

49

20

5

Symbicort (budesonide/ formoterol)

A combination of an ICS and a fast-onset LABA to treat asthma and/or COPD either as Symbicort Turbuhaler or Symbicort pMDI.

2025- 2029

10

expired

expired

expired

1,187

726

973

1,692

1,636

1,565

Tezspire 11 (tezepelumab)

A first-in-class human mAb that inhibits the action of TSLP, a key epithelial cytokine that sits at the top of multiple inflammatory cascades and is critical in the initiation and persistence of airway inflammation and airway hyperresponsiveness in severe asthma. Approved for a broad population of severe asthma patients, without phenotype and biomarker limitation. Developed in collaboration with Amgen.

2028 , 2038

2028

2028

2028 , 2038

248

86

4

Vaccines & Immune Therapies

Beyfortus 12 (nirsevimab)

A long-acting anti-RSV F mAb used to prevent RSV lower respiratory tract disease in neonates and infants during their first RSV season. Jointly developed and commercialised with Sanofi.

2028–2035 , 2038-2040

2038

2035

2035 , 2038

232

87

86

19

FluMist (live attenuated influenza vaccine)

A live attenuated vaccine indicated for active immunisation for the prevention of influenza disease caused by influenza A subtype viruses and type B viruses contained in the vaccine.

2025-2026

2025

2025

2025

13

28

23

21

230

193

154

21

Aggregate Product

US

Sales Ex-US

Product Sales ($m)

($m)

Key Marketed products

Description

US

China

EU 1

Japan

2024

2023

2022

2024

2023

2022

Rare Disease

Kanuma (sebelipase alfa)

A recombinant form of the human lysosomal acid lipase (LAL). The enzyme replacement therapy is for the treatment of LAL deficiency.

2031

2031

2031 , 2026-2037

2031 , 2032

100

85

77

109

86

83

Koselugo 14 (selumetinib)

A kinase inhibitor that blocks specific enzymes (MEK1 and MEK2) for the treatment of patients with neurofibromatosis type 1 who have symptomatic, inoperable plexiform neurofibromas.

2028 15 , 2026-2029

2026-2029

2026-2029

2029-2031

212

195

162

319

136

46

Soliris (eculizumab)

A C5 complement inhibitor for the treatment of paroxysmal nocturnal haemoglobinuria, atypical haemolytic uraemic syndrome, generalised myasthenia gravis and neuromyelitis optica spectrum disorder.

2027 16 , 2025-2032

2029

2027 , 2029

2027 , 2029

1,523

1,734

2,180

1,065

1,411

1,582

Strensiq (asfotase alfa)

A targeted enzyme replacement therapy for patients with hypophosphatasia.

2025-2029 , 2035-2038

2025-2031 , 2036

2028 , 2035-2036

1,167

937

769

249

215

189

Ultomiris (ravulizumab)

A long-acting C5 complement inhibitor for the treatment of paroxysmal nocturnal haemoglobinuria (PNH), atypical haemolytic uraemic syndrome (aHUS), generalised myasthenia gravis (gMG) and neuromyelitis optica spectrum disorder (NMOSD).

2035 , 2038

2035, 2038

2035, 2038-2040

2038 , 2038

2,261

1,750

1,136

1,663

1,251

829

Voydeya 17 (danicopan)

A first-in-class oral, Factor D complement inhibitor for certain adults with PNH as add-on therapy to ravulizumab or eculizumab.

2035 , 2038

2035

2035

2035

Notes

Crestor, Nexium, Pulmicort, Seloken, Synagis and Zoladex are key marketed products which have lost patent protection in all major markets.

1 Expiry in major EU markets, which includes the United Kingdom.
2 The patent is the subject of a pending opposition proceeding at the European Patent Office (EPO).
3 AstraZeneca does not have commercialisation rights.
4 AstraZeneca has recorded $1,437 million of Alliance Revenue in relation to this product in 2024 (2023: $1,022 million; 2022: $523 million), as per the “Financial Statements—Notes to the Group Financial Statements—Note 1—Revenue” on pages 160 to 161 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025.
5 Prior to 2024, Imjudo Product Sales are included in the Imfinzi Product Sales figure included in “Financial Statements—Notes to the Group Financial Statements—Note 1—Revenue” on pages 160 to 161 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025.
6 In addition to any Product Sales, AstraZeneca has also recorded $600 million of Collaboration Revenue in relation to this product in 2024 (2023: $245 million; 2022: $355 million), as per “Financial Statements—Notes to the Group Financial Statements—Note 1—Revenue” on pages 160 to 161 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025.
7 The patent is the subject of a pending invalidation proceeding at China National Intellectual Property Administration.
8 Xigduo/Xigduo XR revenues are combined with Farxiga/Forxiga . Comparative revenues for years 2023 and 2022 have been revised to reflect this change.
9 AstraZeneca has recorded $6 million of Alliance Revenue in relation to this product in 2024 (2023: $5 million; 2022: $5 million), as per “Financial Statements—Notes to the Group Financial Statements—Note 1—Revenue” on pages 160 to 161 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025.
10 Patent expiry information relates to the Symbicort pMDI product, including any granted Paediatric Exclusivity term.
11 AstraZeneca has recorded $436 million of Alliance Revenue in relation to this product in 2024 (2023: $259 million; 2022: $79 million), as per “Financial Statements—Notes to the Group Financial Statements—Note 1—Revenue” on pages 160 to 161 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025.
12 AstraZeneca has recorded $237 million of Alliance Revenue in relation to this product in 2024 (2023: $57 million; 2022: $nil), as per “Financial Statements—Notes to the Group Financial Statements—Note 1—Revenue” on pages 160 to 161 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025.
13 Rights licensed to Daiichi Sankyo, Inc.
14 In addition to any Product Sales, AstraZeneca also has recorded $100 million of Collaboration Revenue in relation to this product in 2024 (2023: $nil; 2022: $nil), as per “Financial Statements—Notes to the Group Financial Statements—Note 1—Revenue” on pages 160 to 161 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2024.
15 Date represents expiry of a pending SPC/PTE and/or Paediatric Exclusivity period.
16 Settled with Amgen and Samsung Bioepis for licensed biosimilar entry date of March 1, 2025.
17 Voydeya revenues are combined with Ultomiris .

22

Geographical Review

This section Item 4—“Information on the Company—Business Overview—Geographical Review” should be read in conjunction with Item 5—“Operating and Financial Review and Prospects—Operating Results” below.

World

US

Emerging Markets

Europe

Established ROW

Sales

Actual

CER

Sales

Actual

Sales

Actual

CER

Sales

Actual

CER

Sales

Actual

CER

2024

$m

%

%

$m

%

$m

%

%

$m

%

%

$m

%

%

Oncology:

Tagrisso

6,580

13

16

2,763

21

1,755

8

16

1,301

16

15

761

(3)

4

Imfinzi

4,717

17

21

2,603

20

479

35

59

948

28

27

687

(8)

(2)

Calquence

3,129

24

25

2,190

21

153

56

79

656

33

32

130

20

22

Lynparza

3,072

9

11

1,332

6

655

21

30

832

13

12

253

(10)

(5)

Enhertu

545

n/m

n/m

350

n/m

n/m

126

n/m

n/m

69

n/m

n/m

Zoladex

1,058

11

17

16

14

795

16

23

148

12

10

99

(16)

(12)

Imjudo

281

29

31

180

23

16

n/m

n/m

36

n/m

n/m

49

(5)

2

Truqap

430

n/m

n/m

408

n/m

2

n/m

n/m

12

n/m

n/m

8

n/m

n/m

Orpathys

44

(1)

1

44

(1)

1

Others

419

(19)

(14)

18

(51)

253

(18)

(12)

23

(30)

(30)

125

(13)

(6)

Total Oncology

20,275

18

21

9,510

23

4,502

18

28

4,082

23

22

2,181

(4)

2

BioPharmaceuticals:

CVRM

Farxiga

7,656

28

31

1,750

21

2,853

29

35

2,634

40

39

419

6

Brilinta

1,333

1

2

751

1

294

3

10

268

(1)

(2)

20

(17)

(16)

Crestor

1,153

4

8

46

(16)

934

8

12

37

(29)

(30)

136

(2)

5

Seloken / Toprol-XL

605

(5)

(42)

589

(5)

13

13

12

3

(53)

(44)

Lokelma

542

32

34

256

20

86

73

79

92

59

58

108

20

29

Roxadustat

331

22

24

331

22

24

Andexxa

219

20

22

81

7

3

n/m

n/m

80

30

28

55

22

31

Wainua

85

n/m

n/m

85

n/m

Others

524

(24)

(22)

106

(50)

249

(13)

(9)

146

(13)

(12)

23

18

20

Total CVRM

12,448

18

20

3,075

12

5,339

16

22

3,270

31

30

764

3

9

BioPharmaceuticals:

Respiratory & Immunology

Symbicort

2,879

22

25

1,187

63

805

7

16

559

2

1

328

(2)

Fasenra

1,689

9

9

1,049

6

92

44

55

404

14

13

144

1

6

Pulmicort

682

(4)

(1)

6

(77)

568

(1)

3

71

5

3

37

(12)

(10)

Breztri

978

44

46

516

35

245

52

57

143

78

77

74

41

47

Tezspire

248

n/m

n/m

11

n/m

n/m

156

n/m

n/m

81

n/m

n/m

Saphnelo

474

69

70

425

63

7

n/m

n/m

26

n/m

n/m

16

69

80

Airsupra

66

n/m

n/m

66

n/m

Others

400

(8)

(7)

167

7

169

(21)

(20)

57

5

4

7

(8)

(4)

Total Respiratory & Immunology

7,416

21

23

3,416

34

1,897

7

13

1,416

22

21

687

10

14

BioPharmaceuticals: Vaccines & Immune Therapies

Synagis

447

(18)

(14)

(8)

n/m

210

8

17

116

(34)

(35)

129

(27)

(22)

Beyfortus

318

n/m

n/m

232

n/m

n/m

n/m

84

n/m

n/m

2

n/m

n/m

FluMist

258

19

15

28

19

1

28

30

204

8

4

25

n/m

n/m

COVID-19 mAbs

31

(76)

(76)

28

n/m

n/m

n/m

3

(74)

(75)

n/m

n/m

Others

4

(68)

(68)

2

(82)

(82)

2

10

14

n/m

n/m

Total Vaccines & Immune Therapies

1,058

5

6

280

n/m

213

1

9

409

3

1

156

(47)

(44)

Rare Disease:

Ultomiris

3,924

32

34

2,261

29

141

n/m

n/m

884

32

31

638

34

43

Soliris

2,588

(18)

(14)

1,523

(12)

443

4

34

416

(38)

(38)

206

(35)

(32)

Strensiq

1,416

23

24

1,167

25

54

33

43

99

11

10

96

12

18

Koselugo

531

60

66

212

9

177

n/m

n/m

103

93

92

39

62

73

Kanuma

209

22

24

100

17

34

19

28

66

35

35

9

11

15

Total Rare Disease

8,668

12

14

5,263

12

849

36

63

1,568

3

2

988

8

15

Other medicines

Nexium

867

(8)

(2)

96

(16)

591

2

11

60

13

11

120

(40)

(36)

Others

206

(11)

(9)

15

(20)

144

(6)

(4)

43

(17)

(17)

4

(44)

(41)

Total Other medicines

1,073

(9)

(4)

111

(17)

735

1

8

103

(2)

(3)

124

(40)

(36)

Total Product Sales

50,938

16

19

21,655

21

13,535

15

23

10,848

20

19

4,900

(3)

3

23

World

US

Emerging Markets

Europe

Established ROW

Sales

Actual

CER

Sales

Actual

Sales

Actual

CER

Sales

Actual

CER

Sales

Actual

CER

2023

$m

%

%

$m

%

$m

%

%

$m

%

%

$m

%

%

Oncology:

Tagrisso

5,799

7

9

2,276

13

1,621

3

10

1,120

10

8

782

(8)

(1)

Imfinzi

4,237

52

55

2,317

49

360

25

39

758

39

36

802

n/m

n/m

Lynparza

2,811

7

9

1,254

2

542

11

21

734

12

10

281

5

12

Calquence

2,514

22

23

1,815

10

98

n/m

n/m

493

72

69

108

58

65

Enhertu

261

n/m

n/m

169

n/m

n/m

60

n/m

n/m

32

n/m

n/m

Orpathys

44

34

42

44

34

42

Truqap

6

n/m

n/m

6

n/m

Zoladex

952

3

9

14

(4)

687

5

12

133

(1)

118

(4)

2

Faslodex

297

(11)

(6)

31

87

142

(11)

(6)

28

(49)

(50)

96

(7)

1

Others

224

(33)

(30)

6

(44)

165

(34)

(31)

6

(42)

(41)

47

(28)

(23)

Total Oncology

17,145

17

20

7,719

19

3,828

8

16

3,332

22

20

2,266

20

29

BioPharmaceuticals: CVRM

Farxiga

5,963

36

39

1,451

35

2,211

33

40

1,881

45

42

420

21

30

Brilinta

1,324

(2)

(1)

744

285

10

271

(4)

(5)

24

(49)

(47)

Lokelma

412

43

46

214

26

50

n/m

n/m

58

94

91

90

32

42

Roxadustat

271

38

45

271

38

45

Andexxa

182

21

23

75

(2)

62

50

47

45

39

50

Crestor

1,107

6

11

55

(16)

862

9

15

52

26

25

138

(7)

Seloken/Toprol-XL

640

(26)

(20)

1

n/m

621

(26)

(20)

11

(18)

(17)

7

(23)

(19)

Onglyza

227

(12)

(8)

49

(36)

131

8

16

32

(16)

(17)

15

(30)

(28)

Bydureon

163

(42)

(42)

133

(45)

3

12

12

27

(24)

(26)

Others

296

(19)

(17)

30

(10)

152

(22)

(18)

109

(15)

(15)

5

(52)

(49)

Total CVRM

10,585

15

18

2,752

11

4,586

11

18

2,503

31

29

744

9

16

BioPharmaceuticals: Respiratory & Immunology

Symbicort

2,362

(7)

(4)

726

(25)

753

24

33

549

(6)

(7)

334

(11)

(7)

Fasenra

1,553

11

12

992

9

64

50

61

355

16

14

142

6

Breztri

677

70

73

383

60

161

75

85

81

n/m

n/m

52

55

66

Saphnelo

280

n/m

n/m

260

n/m

2

n/m

n/m

8

n/m

n/m

10

n/m

n/m

Tezspire

86

n/m

n/m

1

n/m

n/m

48

n/m

n/m

37

n/m

n/m

Pulmicort

713

11

17

28

(58)

575

25

34

68

(1)

(2)

42

(15)

(10)

Bevespi

58

34

(19)

6

19

28

17

65

62

1

50

14

Daliresp

54

(72)

(72)

42

(76)

3

(7)

(11)

8

(9)

(11)

1

(48)

(20)

Others

324

(23)

(20)

82

(42)

206

(10)

(5)

30

(29)

(30)

6

1

5

Total Respiratory & Immunology

6,107

6

8

2,547

(4)

1,771

23

31

1,164

10

8

625

2

8

BioPharmaceuticals: Vaccines & Immune Therapies

COVID-19 mAbs

132

(94)

(93)

n/m

6

(99)

(99)

12

(96)

(96)

114

(72)

(68)

Vaxzevria

12

(99)

(99)

n/m

10

(99)

(99)

2

n/m

(99)

n/m

n/m

Beyfortus

106

n/m

n/m

87

n/m

19

n/m

n/m

Synagis

546

(6)

(2)

(1)

n/m

195

13

19

175

(18)

(18)

177

(7)

(1)

FluMist

216

24

17

23

10

1

9

(2)

188

25

17

4

74

80

Total Vaccines & Immune Therapies

1,012

(79)

(78)

109

(91)

212

(84)

(83)

396

(61)

(62)

295

(76)

(74)

Rare Disease:

Soliris

3,145

(16)

(14)

1,734

(20)

424

41

63

670

(17)

(18)

317

(33)

(29)

Ultomiris

2,965

51

52

1,750

54

71

88

89

668

39

36

476

54

65

Strensiq

1,152

20

21

937

22

40

15

22

89

14

11

86

13

22

Koselugo

331

59

60

195

20

59

n/m

n/m

53

n/m

n/m

24

n/m

n/m

Kanuma

171

7

8

85

10

29

(7)

(1)

49

12

10

8

2

9

Total Rare Disease

7,764

10

12

4,701

9

623

45

62

1,529

7

5

911

5

12

Other medicines

Nexium

945

(27)

(22)

115

(5)

578

2

9

53

16

13

199

(64)

(61)

Others

231

(32)

(30)

18

(22)

153

(31)

(28)

52

(33)

(32)

8

(58)

(55)

Total Other medicines

1,176

(28)

(24)

133

(8)

731

(7)

(1)

105

(14)

(15)

207

(64)

(61)

Total Product Sales

43,789

2

4

17,961

4

11,751

1

8

9,029

9

7

5,048

(14)

(8)

24

World

US

Emerging Markets

Europe

Established ROW

Sales

Actual

CER

Sales

Actual

Sales

Actual

CER

Sales

Actual

CER

Sales

Actual

CER

2022

$m

%

%

$m

%

$m

%

%

$m

%

%

$m

%

%

Oncology:

Tagrisso

5,444

9

15

2,007

13

1,567

17

22

1,023

4

17

847

(7)

8

Imfinzi

2,784

15

21

1,552

25

287

4

7

544

12

26

401

(1)

15

Lynparza

2,638

12

18

1,226

13

488

27

31

655

6

19

269

4

20

Calquence

2,057

66

69

1,657

52

45

n/m

n/m

286

n/m

n/m

69

n/m

n/m

Enhertu

79

n/m

n/m

51

n/m

n/m

21

n/m

n/m

7

n/m

n/m

Orpathys

33

n/m

n/m

33

n/m

n/m

Zoladex

927

(2)

6

15

15

657

6

12

133

(10)

1

122

(28)

(15)

Faslodex

334

(22)

(14)

17

(45)

159

(4)

3

55

(52)

(46)

103

(15)

1

Iressa

114

(38)

(34)

9

(19)

94

(38)

(35)

2

(52)

(41)

9

(44)

(35)

Arimidex

99

(29)

(24)

76

(29)

(26)

(87)

(86)

23

(23)

(11)

Casodex

78

(45)

(40)

53

(50)

(47)

1

(49)

(48)

24

(31)

(19)

Others

44

(14)

(6)

1

59

27

(6)

1

6

(4)

4

10

(36)

(26)

Total Oncology

14,631

13

19

6,484

23

3,537

10

14

2,726

10

23

1,884

(5)

10

BioPharmaceuticals: CVRM

Farxiga

4,381

46

56

1,071

46

1,665

39

47

1,297

60

81

348

32

49

Brilinta

1,358

(8)

(4)

744

1

286

(13)

(10)

282

(18)

(8)

46

(27)

(22)

Lokelma

289

65

75

170

47

20

n/m

n/m

30

n/m

n/m

69

55

83

Roxadustat

197

13

18

197

13

18

Andexxa

150

5

14

77

(32)

41

41

58

32

n/m

n/m

Crestor

1,048

(4)

2

65

(19)

794

2

9

41

(21)

(12)

148

(21)

(10)

Seloken / Toprol-XL

862

(9)

(4)

n/m

839

(10)

(4)

14

26

27

9

(16)

(13)

Bydureon

280

(27)

(26)

242

(24)

3

(16)

(18)

35

(37)

(29)

(95)

(94)

Onglyza

257

(28)

(25)

76

(13)

121

(32)

(28)

38

(37)

(29)

22

(32)

(30)

Others

366

(10)

(7)

34

(35)

194

(1)

4

128

(12)

(10)

10

(32)

(24)

Total CVRM

9,188

13

19

2,479

11

4,119

9

15

1,906

25

40

684

10

25

BioPharmaceuticals: Respiratory & Immunology

Symbicort

2,538

(7)

(2)

973

(9)

608

5

582

(13)

(3)

375

(2)

5

Fasenra

1,396

11

15

906

15

43

n/m

n/m

305

7

20

142

(12)

(1)

Breztri

398

96

n/m

239

n/m

92

68

75

33

n/m

n/m

34

32

56

Saphnelo

116

n/m

n/m

111

n/m

2

n/m

n/m

3

n/m

n/m

Tezspire

4

n/m

n/m

2

n/m

n/m

2

n/m

n/m

Pulmicort

645

(33)

(31)

65

(9)

462

(40)

(39)

69

(6)

6

49

5

15

Daliresp

189

(17)

(16)

176

(15)

3

(28)

(24)

9

(39)

(32)

1

3

7

Bevespi

58

7

9

42

7

5

31

38

10

(7)

5

1

n/m

n/m

Others

421

(29)

(27)

143

32

230

(20)

(17)

42

(77)

(75)

6

(53)

(46)

Total Respiratory & Immunology

5,765

(4)

2,655

10

1,443

(18)

(14)

1,054

(15)

(5)

613

(3)

7

BioPharmaceuticals: Vaccines & Immune Therapies

Vaxzevria

1,798

(54)

(52)

79

24

729

(67)

(67)

365

(65)

(61)

625

8

17

Evusheld

2,185

n/m

n/m

1,067

n/m

413

n/m

n/m

298

n/m

n/m

407

n/m

n/m

Synagis

578

41

59

1

(94)

173

n/m

n/m

213

5

17

191

28

51

FluMist

175

(31)

(20)

21

(21)

1

(51)

(54)

151

(32)

(20)

2

(4)

(10)

Total Vaccines & Immune Therapies

4,736

2

8

1,168

n/m

1,316

(43)

(41)

1,027

(33)

(24)

1,225

68

89

Rare Disease:

Soliris

3,762

(11)

(5)

2,180

(7)

301

(29)

(10)

805

(21)

(12)

476

11

24

Ultomiris

1,965

34

42

1,136

35

38

n/m

n/m

481

49

68

310

6

26

Strensiq

958

16

18

769

19

35

41

31

78

(3)

9

76

(1)

16

Koselugo

208

93

96

162

55

26

n/m

n/m

20

n/m

n/m

Kanuma

160

16

19

77

12

31

73

61

44

(3)

10

8

21

38

Total Rare Disease

7,053

4

10

4,324

8

431

(10)

6

1,428

(3)

9

870

8

24

Other medicines

Nexium

1,285

(3)

8

120

(6)

568

(19)

(13)

46

(26)

(17)

551

28

50

Others

340

(10)

(7)

24

(45)

220

4

7

77

(29)

(27)

19

37

54

Total Other medicines

1,625

(5)

4

144

(16)

788

(14)

(9)

123

(28)

(24)

570

28

50

Total Product Sales

42,998

18

24

17,254

44

11,634

(4)

1

8,264

9

22

5,846

22

40

25

All commentary in “—Geographical Review” relates to Product Sales. The market definitions used in the geographical areas review below are defined in the Glossary on pages 240 to 243 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025.

2024 in brief

Product Sales increased by 16% (CER: 19%) in 2024 to $50,938 million (2023: $43,789 million; 2022: $42,998 million). Growth was well balanced across AstraZeneca's focus therapy areas and key geographies in 2024, driven by strong underlying demand.

Product Sales in the US increased by 21% to $21,655 million (2023: $17,961 million; 2022: $17,254 million) reflecting the continued growth of our Oncology medicines, Ultomiris and Symbicort .

In 2024, Product Sales in Emerging Markets increased by 15% (CER: 23%) to $13,535 million (2023: $11,751 million; 2022: $11,634 million) driven by Oncology and CVRM medicines. China sales, comprising 47% of Emerging Markets sales, increased by 9% (CER: 11%) to $6,402 million (2023: $5,867 million; 2022: $5,740 million). China sales contributed to 13% of Product Sales in 2024.

Ex-China Emerging Markets Product Sales increased by 21% (36% at CER) to $7,133 million (2023: $5,884 million; 2022: $5,894 million) driven by Oncology medicines and Farxiga from CVRM. Among Oncology medicines in Ex-China Emerging Markets, Product Sales of Tagrisso increased by 14% (CER: 30%), Imfinzi increased by 44% (CER: 78%), and Lynparza increased by 23% (CER: 37%). Product Sales of Farxiga in Ex-China Emerging Markets increased by 30% (CER: 40%) to $1,537 million (2023: $1,183 million; 2022: $847 million) in the year.

Product Sales in Europe increased by 20% (CER: 19%) to $10,848 million (2023: $9,029 million; 2022: $8,264 million). Sales of Oncology medicines comprised 38% of Europe Product Sales, which increased in 2024 by 23% (CER: 22%) to $4,082 million (2023: $3,332 million; 2022: $2,726 million) driven by sales of Tagrisso , Imfinzi and Lynparza .

Product Sales in the Established ROW region decreased by 3% (CER: increased by 3%) to $4,900 million (2023: $5,048 million; 2022: $5,846 million) largely driven by Oncology medicines. Japan, comprising 71% of total Established ROW Product Sales, decreased by 5% (CER: increased by 3%) to $3,489 million (2023: $3,654 million; 2022: $4,007 million), due to a decline in sales of Oncology medicine Imfinzi and Vaccines & Immune Therapies medicine Synagis . Product Sales in Canada, which contributed 19% of total Established ROW Product Sales, decreased by 3% (CER: 2%) to $937 million (2023: $967 million; 2022: $1,165 million).

2023 in brief

Product Sales increased by 2% (CER: 4%) in 2023 to $43,789 million (2022: $42,998 million) despite a decline of $3,839 million from COVID-19 medicine. Following completion of the Alexion acquisition on 21 July 2021, Rare Disease medicines generated $7,764 million in 2023, growing 10% (CER: 12%) as compared to 2022 and contributing 18% of AstraZeneca’s Total Product Sales.

Product Sales in the US increased by 4% to $17,961 million (2022: $17,254 million) driven by strong performance of Oncology, CVRM and Rare Disease medicines. Sales of Rare Disease medicines in the US increased by 9% to $4,701 million (2022: $4,324 million), representing 61% of total Rare Disease sales. This is largely driven by Product Sales of Ultomiris.

In 2023, Product Sales in Emerging Markets increased by 1% (CER: 8%) to $11,751 million (2022: $11,634 million). Excluding COVID-19 medicines, Product Sales in Emerging Markets increased by 12% (CER: 20%) in the year to $11,735 million. China sales, comprising 50% of Emerging Markets sales, increased by 2% (CER: 8%) to $5,867 million (2022: $5,740 million). This contributed to 13% of Product Sales in 2023.

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Ex-China Emerging Markets Product Sales were stable at $5,884 million (increase of 8% at CER) (2022: $5,894 million). Excluding COVID-19 medicines, Product Sales in Ex-China Emerging Markets increased by 23% in the year (CER: 34%) to $5,868 million, driven by Oncology medicines and Farxiga from CVRM. Product Sales of Vaxzevria in Ex-China Emerging Markets decreased by 99% (CER: 99%) to $10 million (2022: $729 million) in the year. Product Sales of COVID-19 mAbs in Ex-China Emerging Markets decreased by 99% (CER: 99%) to $6 million (2022: $411 million) in the year.

Product Sales in Europe increased by 9% (CER: 7%) to $9,029 million (2022: $8,264 million). Sales of Rare Disease medicines comprised 17% of Europe Product Sales, which increased by 7% (CER: 5%) to $1,529 million in 2023. Oncology sales in Europe grew by 22% (CER: 20%) to $3,332 million (2022: $2,726 million) and represented 37% of Europe sales, primarily driven by sales of Tagrisso , Lynparza and Imfinzi . Excluding COVID-19 medicines , Product Sales in Europe grew by 19% (CER: 16%) to $9,015 million.

Product Sales in the Established ROW region decreased by 14% (CER: 8%) to $5,048 million (2022: $5,846 million) largely driven by the decline in Vaccines & Immune Therapies. Japan, comprising 72% of total Established ROW Product Sales, decreased by 9% (CER: 1%) to $3,654 million (2022: $4,007 million), due to the decline in sales of COVID-19 medicines , Soliris and Nexium. Product Sales in Canada, which contributed 19% of total Established ROW Product Sales, decreased by 17% (CER: 14%) to $967 million (2022: $1,165 million).

2022 in brief

Product Sales increased by 18% (CER: 24%) in 2022 to $42,998 million including Vaccines & Immune Therapies revenues. Following completion of the Alexion acquisition on 21 July 2021, Rare Disease medicines generated $7,053 million, growing 4% (CER: 10%) on a pro-rata basis, and contributed to 16% of AstraZeneca’s Total Product Sales.

Product Sales in the US increased by 44% to $17,254 million driven by strong performance of Oncology and CVRM medicines. Sales of Rare Disease medicines in the US increased to $4,324 million, representing 61% of total Rare Disease sales. This is largely driven by Product Sales of Ultomiris.

In 2022, Product Sales in Emerging Markets decreased by 4% (CER: increase of 1%) to $11,634 million. Excluding Vaxzevria , Product Sales in Emerging Markets increased by 10% (16% at CER) in the year to $10,905 million. China sales, comprising 49% of Emerging Markets sales, decreased by 4% (CER: 1%) to $5,740 million. This contributed to 13% of Product Sales in 2022.

Ex-China Emerging Markets Product Sales decreased by 4% (increase of 2% at CER) to $5,894 million. Excluding Vaxzevria sales, Product Sales in Ex-China Emerging Markets increased by 32% in the year (CER: 42%) to $5,165 million, driven by Oncology medicines and Farxiga from CVRM. Product Sales of Vaxzevria in Ex-China Emerging Markets generated $729 million in the year. Product Sales of Evusheld in Ex-China Emerging Markets generated $411 million in the year.

Product Sales in Europe increased by 9% (CER: 22%) to $8,264 million. Sales of Rare Disease medicines comprised 17% of Europe Product Sales, which decreased on a pro rata basis by 3% (CER: 9%) to $1,428 million in 2022. Oncology sales in Europe grew by 10% (CER: 23%) to $2,726 million and represented 33% of Europe sales, primarily driven by sales of Tagrisso , Lynparza and Imfinzi . Vaxzevria Product Sales contributed $365 million, amounting to 4% of total Europe Product Sales and 20% to the total Vaxzevria Product Sales in 2022. Excluding Vaxzevria, Product Sales in Europe grew by 20% (35% at CER) to $7,899 million.

Product Sales in the Established ROW region increased by 22% (CER: 40%) to $5,846 million largely driven by Soliris and Farxiga . Japan, comprising 69% of total Established ROW Product Sales, increased by 17% (CER: 39%) to $4,007 million, underpinned by sales of Vaxzevria , Evusheld and Nexium. Product Sales in Canada, which contributed 20% of total Established ROW Product Sales, increased by 51% (CER: 57%) to $1,165 million.

Sales by Region in 2024

US

Product Sales in the US increased by 21% to $21,655 million (2023: $17,961 million; 2022: $17,254 million).

Oncology

Oncology sales in the US increased by 23% to $9,510 million (2023: $7,719 million; 2022: $6,484 million).

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Tagrisso sales in the US increased by 21% to $2,763 million (2023: $2,276 million; 2022: $2,007 million). This reflected continued demand growth in both the adjuvant and 1st-line settings and, early launch momentum in Stage III unresectable disease (LAURA), with some additional favourability coming from improved affordability.

Imfinzi sales in the US increased by 20% to $2,603 million (2023: $2,317 million; 2022: $1,552 million), benefitting from continued demand growth driven primarily by HCC and extensive-stage SCLC. The increase also reflected early growth signals from launches in early NSCLC (AEGEAN) and limited-stage SCLC (ADRIATIC).

Calquence sales in the US increased 21% to $2,190 million (2023: $1,815 million; 2022: $1,657 million), as a result of growth driven by a leading share of new patient starts in front-line CLL despite increased competitive pressure, with some additional favourability coming from improved affordability.

Lynparza sales in the US increased by 6% to $1,332 million (2023: $1,254 million; 2022: $1,226 million) as a result of continued leadership within competitive PARP inhibitor class, with demand growth across all indications, with additional favourability coming from improved affordability.

Truqap sales in the US were $408 million (2023: $6 million; 2022: $nil), as a result of strong demand growth with uptake in biomarker altered subgroup of HR+HER2- metastatic breast cancer (CAPItello-291), as well as some benefit due to one-off launch stocking of blister pack.

Imjudo sales in the US increased by 23% to $180 million (2023: $146 million; 2022: $13 million), reflecting continued demand growth.

CVRM

CVRM sales in the US increased by 12% to $3,075 million (2023: $2,752 million; 2022: $2,479 million).

Farxiga sales in the US grew by 21% to $1,750 million (2023: $1,451 million; 2022: $1,071 million), as a result of growth driven by the underlying demand in HFrEF and CKD, as well as the launch of an authorised generic in the first quarter of 2024.

Brilinta sales in the US increased by 1% to $751 million (2023: $744 million; 2022: $744 million).

Crestor sales in the US decreased by 16% to $46 million (2023: $55 million; 2022: $65 million).

Lokelma sales in the US increased by 20% to $256 million (2023: $214 million; 2022: $170 million).

Wainua sales in the US amounted to $85 million (2023: $nil; 2022: $nil), reflecting strong launch momentum.

Andexxa sales in the US increased by 7% to $81 million (2023: $75 million; 2022: $77 million).

Respiratory & Immunology

Respiratory & Immunology sales in the US increased by 34% to $3,416 million (2023: $2,547 million; 2022: $2,655 million).

Symbicort sales in the US increased by 63% to $1,187 million (2023: $726 million; 2022: $973 million) due to continued strong demand for the authorised generic and a favourable channel mix.

Fasenra sales in the US increased by 6% to $1,049 million (2023: $992 million; 2022: $906 million), benefiting from sustained double-digit volume growth, partially offset by channel mix.

Breztri sales in the US increased by 35% to $516 million (2023: $383 million; 2022: $239 million), following consistent share growth within the expanding FDC triple class.

Saphnelo sales in the US increased by 63% to $425 million (2023: $260 million; 2022: $111 million) as a result of demand acceleration.

Airsupra sales in the US increased to $66 million (2023: $nil; 2022: $nil) as a result of strong launch momentum and volume uptake.

Vaccines & Immune Therapies

Vaccines & Immune Therapies in the US increased to $280 million (2023: $109 million; 2022: $1,168 million).

28

Beyfortus sales in the US were $232 million (2023: $87 million; 2022: $nil), as a result of AstraZeneca’s sales of manufactured Beyfortus product to Sanofi, reflecting increased demand and expanded production capacity.

COVID-19 mAbs sales in the US were $28 million (2023: $nil; 2022: $1,067 million).

Rare Disease

Rare Disease sales in the US increased by 12% to $5,263 million (2023: $4,701 million; 2022: $4,324 million).

Ultomiris sales in the US increased by 29% to $2,261 million (2023: $1,750 million; 2022: $1,136 million), as a result of strong growth in patient demand in gMG (CHAMPION-MG) and NMOSD (CHAMPION-NMOSD), both new-to-branded medicines, as well as continued conversion from Soliris .

Soliris sales in the US decreased by 12% to $1,523 million (2023: $1,734 million; 2022: $2,180 million), driven by successful conversion of Soliris patients to Ultomiris .

Strensiq sales in the US increased by 25% to $1,167 million (2023: $937 million; 2022: $769 million) resulting from strong patient demand.

Koselugo sales in the US increased by 9% to $212 million (2023: $195 million; 2022: $162 million) driven by strong patient demand.

Kanuma sales in the US increased by 17% to $100 million (2023: $85 million; 2022: $77 million).

Other

Other medicines sales in the US decreased by 17% to $111 million (2023: $133 million; 2022: $144 million).

Nexium sales in the US decreased by 16% to $96 million (2023: $115 million; 2022: $120 million) due to generic competition.

Emerging Markets

Product Sales in Emerging Markets increased by 15% (CER: 23%) to $13,535 million (2023: $11,751 million; 2022: $11,634 million).

Oncology

Oncology sales in Emerging Markets increased by 18% (CER: 28%) to $4,502 million (2023: $3,828 million; 2022: $3,537 million).

Tagrisso sales in Emerging Markets increased by 8% (CER: 16%) to $1,755 million (2023: $1,621 million; 2022: $1,567 million) as a result of encouraging demand growth, partially offset by year-end hospital budget dynamics in China during the fourth quarter of 2024.

Imfinzi sales in Emerging Markets increased by 35% (CER: 59%) to $479 million (2023: $360 million; 2022: $287 million) as a result of strong demand growth driven across all approved indications, in particular BTC.

Calquence sales in Emerging Markets increased by 56% (CER: 79%) to $153 million (2023: $98 million; 2022: $45 million).

Lynparza sales in Emerging Markets increased by 21% (CER: 30%) to $655 million (2023: $542 million; 2022: $488 million), due to volume growth in China from increased share following inclusion of HRD-positive ovarian cancer (PAOLA-1) on NRDL with no price reduction effective 1 January 2024.

Enhertu sales in Emerging Markets increased to $350 million (2023: $169 million; 2022: $51 million), as a result of increased demand growth following Q1 2024 launch in HER2-positive and HER2-low metastatic breast cancer in China with some stock compensation in Q4 2024 due to NRDL enlistment.

Zoladex sales in Emerging Markets increased by 16% (CER: 23%) to $795 million (2023: $687 million; 2022: $657 million) driven by strong underlying growth in China.

29

Orpathys sales in Emerging Markets decreased by 1% (CER: increased by 1%) to $44 million (2023: $44 million; 2022: $33 million), impacted by demand in China for the treatment of patients with NSCLC with MET exon 14 skipping alterations.

CVRM

CVRM sales in Emerging Markets increased by 16% (CER: 22%) to $5,339 million (2023: $4,586 million; 2022: $4,119 million).

Forxiga sales in Emerging Markets increased by 29% (CER: 35%) to $2,853 million (2023: $2,211 million; 2022: $1,665 million) due to increased reimbursement in ex-China Emerging Markets supporting growth despite entry of generic competition in some markets. Q4 2024 sales in China impacted by year end hospital budget dynamics.

Brilinta sales in Emerging Markets increased by 3% (CER: 10%) to $294 million (2023: $285 million; 2022: $286 million) reflecting continued sales growth.

Crestor sales in Emerging Markets increased by 8% (CER: 12%) to $934 million (2023: $862 million; 2022: $794 million), reflecting continued sales growth.

Seloken sales in Emerging Markets decreased by 5% (stable at CER) to $589 million (2023: $621 million; 2022: $839 million).

Sales of roxadustat in Emerging Markets increased by 22% (CER: 24%) to $331 million (2023: $271 million; 2022: $197 million), benefitting from continued patient and volume growth.

Sales of Lokelma in Emerging Markets increased by 73% (CER: 79%) to $86 million (2023: $50 million; 2022: $20 million) reflecting strong demand growth.

Respiratory & Immunology

Respiratory & Immunology sales in Emerging Markets increased by 7% (CER: 13%) to $1,897 million (2023: $1,771 million; 2022: $1,443 million).

Symbicort sales in Emerging Markets increased by 7% (CER: 16%) to $805 million in the year (2023: $753 million; 2022: $608 million), as a result of sustained demand growth across markets in Ex-China regions, partially offset by reduced demand in the fourth quarter in 2024 in China impacted by low rates of respiratory viral infections.

Fasenra sales in Emerging Markets increased by 44% (CER: 55%) to $92 million (2023: $64 million; 2022: $43 million) due to continued strong demand growth driven by launch acceleration across key markets.

Pulmicort sales in Emerging Markets decreased by 1% (CER: increased by 3%) to $568 million (2023: $575 million; 2022: $462 million) largely as a result of lower seasonal respiratory viral infections in China during the fourth quarter of 2024.

Breztri sales in Emerging Markets increased by 52% (CER: 57%) to $245 million (2023: $161 million; 2022: $92 million) as a result of f urther expansion in additional geographies while maintaining market share leadership in China with strong FDC triple class penetration, partially offset by low rates of respiratory viral infections in China in the fourth quarter.

Vaccines & Immune Therapies

Vaccines & Immune Therapies in Emerging Markets increased by 1% (CER: 9%) to $213 million (2023: $212 million; 2022: $1,316 million).

Synagis sales in Emerging Markets increased by 8% (CER: 17%) to $210 million (2023: $195 million; 2022: $173 million).

Rare Disease

Rare Disease sales in Emerging Markets increased by 36% (CER: 63%) to $849 million (2023: $623 million; 2022: $431 million).

Ultomiris sales in the Emerging Markets increased to $141 million (2023: $71 million; 2022: $38 million) as a result of continued growth in patient demand and expansion into new markets.

30

Soliris sales in the Emerging Markets increased by 4% (CER: 34%) to $443 million (2023: $424 million; 2022: $301 million) as a result of increased patient demand.

Strensiq sales in the Emerging Markets increased by 33% (CER: 43%) to $54 million (2023: $40 million; 2022: $35 million) as a result of favourable timing of tender orders in the fourth quarter.

Koselugo sales in the Emerging Markets increased to $177 million (2023: $59 million; 2022: $26 million), as a result of growing demand following new approvals and reimbursements, as well as the favourable timing of tender orders in the fourth quarter of 2024.

Kanuma sales in the Emerging Markets increased by 19% (CER: 28%) to $34 million (2023: $29 million; 2022: $31 million).

Other

Other medicines sales in Emerging Markets increased by 1% (CER: 8%) to $735 million (2023: $731 million; 2022: $788 million).

Nexium sales in Emerging Markets increased by 2% (CER: 11%) to $591 million (2023: $578 million; 2022: $568 million).

Europe

Product Sales in Europe increased by 20% (CER: 19%) to $10,848 million (2023: $9,029 million; 2022: $8,264 million).

Oncology

Oncology sales in Europe increased by 23% (CER: 22%) to $4,082 million (2023: $3,332 million; 2022: $2,726 million).

Tagrisso sales in Europe increased by 16% (CER: 15%) to $1,301 million (2023: $1,120 million; 2022: $1,023 million), driven by continued demand growth across adjuvant and 1st-line settings.

Imfinzi sales in Europe increased by 28% (CER: 27%) to $948 million (2023: $758 million; 2022: $544 million), due to growth driven by share gains in extensive-stage SCLC as well as new launches in HCC, BTC and NSCLC.

Calquence sales in Europe increased by 33% (CER: 32%) to $656 million (2023: $493 million; 2022: $286 million) as a result of strong growth in front-line CLL while maintaining share of 1L new patient starts in a competitive environment.

Lynparza sales in Europe increased by 13% (CER: 12%) to $832 million (2023: $734 million; 2022: $655 million), as a result of growth driven by increased market share and additional launches in early breast cancer (OlympiA) and metastatic prostate cancer (PROpel).

Enhertu sales in Europe increased to $126 million (2023: $60 million; 2022: $21 million) as a result of continued growth driven by increasing adoption in HER2-positive and HER2-low metastatic breast cancer.

Zoladex sales in Europe increased by 12% (CER: 10%) to $148 million (2023: $133 million; 2022: $133 million).

CVRM

CVRM sales in Europe increased by 31% (CER: 30%) to $3,270 million (2023: $2,503 million; 2022: $1,906 million).

Forxiga sales in Europe increased by 40% (CER: 39%) to $2,634 million (2023: $1,881 million; 2022: $1,297 million) due to continued strong class growth and market share gains.

Brilique sales in Europe decreased by 1% (CER: 2%) to $268 million (2023: $271 million; 2022: $282 million).

Lokelma sales in Europe increased by 59% (CER: 58%) to $92 million (2023: $58 million; 2022: $30 million).

Andexxa sales in Europe increased by 30% (CER: 28%) to $80 million (2023: $62 million; 2022: $41 million).

31

Respiratory & Immunology

Respiratory & Immunology sales in Europe increased by 22% (CER: 21%) to $1,416 million (2023: $1,164 million; 2022: $1,054 million).

Symbicort sales in Europe increased by 2% (CER: 1%) to $559 million (2023: $549 million; 2022: $582 million) due to continued growth in some markets within mild asthma, partially offset by generic erosion and a slowing overall market.

Fasenra sales in Europe increased by 14% (CER: 13%) to $404 million (2023: $355 million; 2022: $305 million), benefiting from sustained leadership in severe eosinophilic asthma.

Pulmicort sales in Europe increased by 5% (CER: 3%) to $71 million (2023: $68 million; 2022: $69 million).

Tezspire sales in Europe increased to $156 million (2023: $48 million; 2022: $2 million) as a result of achieving and maintaining new-to-brand leadership across multiple markets, while new launches continue to progress.

Trixeo sales in Europe increased by 78% (CER: 77%) to $143 million (2023: $81 million; 2022: $33 million) as a result of sustained growth across markets driven by new launches.

Vaccines & Immune Therapies

Vaccines & Immune Therapies sales in Europe increased by 3% (CER: 1%) to $409 million (2023: $396 million; 2022: $1,027 million).

Synagis sales in Europe decreased by 34% (CER: 35%) to $116 million (2023: $175 million; 2022: $213 million), due to decreased demand following rapid adoption of Beyfortus .

Beyfortus sales in Europe increased to $84 million (2023: $19 million; 2022: $nil) as a result of increased demand.

FluMist sales in Europe increased by 8% (CER: 4%) to $204 million (2023: $188 million; 2022: $151 million) as a result of continued demand growth and an earlier start in the 2024 flu season compared to the prior year.

COVID-19 mAbs sales in Europe decreased to $3 million (2023: $12 million; 2022: $298 million) .

Rare Disease

Rare Disease sales in Europe increased by 3% (CER: 2%) to $1,568 million (2023: $1,529 million; 2022: $1,428 million).

Ultomiris sales in Europe increased by 32% (CER: 31%) to $884 million (2023: $668 million; 2022: $481 million), as result of strong demand growth following recent launches, particularly from neurology indications, and ongoing conversion from Soliris .

Soliris sales in Europe decreased by 38% (CER: 38%) to $416 million (2023: $670 million; 2022: $805 million) due to decline driven by biosimilar erosion in PNH and aHUS, and continued successful conversion from Soliris to Ultomiris .

Strensiq sales in Europe increased by 11% (CER: 10%) to $99 million (2023: $89 million; 2022: $78 million), as a result of strong patient demand.

Koselugo sales in Europe increased by 93% (CER: 92%) to $103 million (2023: $53 million; 2022: $20 million) driven by patient demand.

Kanuma sales in Europe increased by 35% (CER: 35%) to $66 million (2023: $49 million; 2022: $44 million), as a result of continued demand growth.

Other

Other medicines sales in Europe decreased by 2% (CER: 3%) to $103 million (2023: $105 million; 2022: $123 million).

Nexium sales in Europe increased by 13% (CER: 11%) to $60 million (2023: $53 million; 2022: $46 million).

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Established ROW

Product Sales in the Established ROW region decreased by 3% (CER: increased by 3%) to $4,900 million (2023: $5,048 million; 2022: $5,846 million).

Oncology

Oncology sales in the Established ROW region decreased by 4% (CER: increased by 2%) to $2,181 million (2023: $2,266 million; 2022: $1,884 million). Oncology sales in Japan decreased by 9% (CER: 2%) to $1,641 million (2023: $1,804 million; 2022: $1,501 million).

Tagrisso sales in the Established ROW region decreased by 3% (CER: increased by 4%) to $761 million (2023: $782 million; 2022: $847 million) due to strong demand growth in 1st-line settings with year-over-year comparisons reflecting a price reduction in Japan in June 2023. In Japan, sales of Tagrisso decreased by 5% (CER: increased by 3%) to $609 million in the year (2023: $639 million; 2022: $695 million).

Imfinzi sales in the Established ROW region decreased by 8% (CER: 2%) to $687 million (2023: $802 million; 2022: $401 million) as a result of increased demand in GI indications, offset by 25% and 11% mandatory price reductions in Japan effective from 1 February 2024 and 1 August 2024 respectively. In Japan, sales of Imfinzi decreased by 11% (CER: 3%) to $591 million (2023: $714 million; 2022: $329 million).

Calquence sales in the Established ROW region increased by 20% (CER: 22%) to $130 million (2023: $108 million; 2022: $69 million). Calquence sales in Japan increased by 53% (CER: 64%) to $31 million (2023: $20 million; 2022: $7 million).

Lynparza sales in the Established ROW region decreased by 10% (CER: 5%) to $253 million (2023: $281 million; 2022: $269 million) reflecting a 7.7% price reduction in Japan in November 2023 despite maintained PARP class leadership. Lynparza sales in Japan decreased by 16% (CER: 9%) $176 million (2023: $210 million; 2022: $203 million).

Enhertu sales in the Established ROW region increased to $69 million (2023: $32 million; 2022: $7 million).

Zoladex sales in the Established ROW region decreased by 16% (CER: 12%) to $99 million (2023: $118 million; 2022: $122 million) due to reduced uptake in Japan. In Japan, Zoladex sales decreased by 26% (CER: 20%) to $62 million (2023: $83 million, 2022: $107 million).

Imjudo sales in the Established ROW region decreased by 5% (CER: increased by 2%) to $49 million (2023: $52 million; 2022: $nil).

CVRM

CVRM sales in the Established ROW region increased by 3% (CER: 9%) to $764 million (2023: $744 million; 2022: $684 million).

Forxiga sales in the Established ROW region was stable (CER: increased by 6%) at $419 million (2023: $420 million; 2022: $348 million) as a result of continued demand growth partially offset by generic competition in Canada. Japan sales increased by 15% (CER: 25%) to $343 million (2023: $298 million; 2022: $215 million).

Crestor sales in the Established ROW region decreased by 2% (CER: increased by 5%) to $136 million (2023: $138 million; 2022: $148 million) with growth in Japan sales of 2% (CER: 10%) to $107 million (2023: $105 million; 2022: $114 million).

Lokelma sales in the Established ROW region increased by 20% (CER: 29%) to $108 million (2023: $90 million; 2022: $69 million) driven by strong demand growth . Sales in Japan increased by 20% (CER: 29%) to $106 million in the year (2023: $88 million; 2022: $67 million).

Andexxa sales in the Established ROW region increased by 22% (CER: 31%) to $55 million (2023: $45 million; 2022: $32 million). Sales in Japan increased by 24% (CER: 33%) to $55 million in the year (2023: $44 million; 2022: $33 million).

Respiratory & Immunology

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Respiratory & Immunology sales in the Established ROW region increased by 10% (CER: 14%) to $687 million (2023: $625 million; 2022: $613 million). Respiratory & Immunology sales in Japan increased by 8% (CER: 17%) to $261 million (2023: $241 million; 2022: $222 million) in the year.

Symbicort sales in the Established ROW region decreased by 2% (stable at CER) to $328 million (2023: $334 million; 2022: $375 million). Sales in Japan decreased by 27% (CER: 21%) to $47 million (2023: $65 million; 2022: $81 million) due to continued generic erosion.

Fasenra sales in the Established ROW region increased by 1% (CER: 6%) to $144 million (2023: $142 million; 2022: $142 million) due to maintaining class leadership in a broadly stable market in Japan. Sales in Japan decreased by 4% (CER: increased by 3%) to $78 million (2023: $82 million; 2022: $88 million) in the year.

Breztri sales in the Established ROW region increased by 41% (CER: 47%) $74 million (2023: $52 million; 2022: $34 million) which is largely due to increased market share in Japan. Sales in Japan increased by 20% (CER: 29%) to $45 million (2023: $37 million; 2022: $31 million).

Tezspire sales in the Established ROW region increased to $81 million (2023: $37 million; 2022: $2 million) driven by sustained market share growth in Japan and other major geographies alongside continued launches. Sales in Japan increased to $63 million (2023: $30 million; 2022: $2 million).

Vaccines & Immune Therapies

Vaccines & Immune Therapies sales in the Established ROW region decreased by 47% (CER: 44%) to $156 million (2023: $295 million; 2022: $1,225 million). Vaccines & Immune Therapies sales in Japan decreased by 41% (CER: 37%) to $138 million (2023: $234 million; 2022: $756 million) in the year.

Synagis sales in the Established ROW region decreased by 27% (CER: 22%) to $129 million (2023: $177 million; 2022: $191 million) due to rapid adoption of Beyfortus . Sales in Japan decreased by 23% (CER: 17%) to $116 million (2023: $150 million; 2022: $162 million).

Rare Disease

Rare Disease sales in the Established ROW region increased by 8% (CER: 15%) to $988 million (2023: $911 million; 2022: $870 million). Rare Disease sales in Japan increased by 10% (CER: 19%) to $744 million (2023: $675 million; 2022: $578 million).

Ultomiris sales in the Established ROW region increased by 34% (CER: 43%) to $638 million (2023: $476 million; 2022: $310 million) driven by continued conversion from Soliris and strong demand following new launches. Sales in Japan increased by 24% (CER: 34%) to $548 million (2023: $441 million; 2022: $285 million).

Soliris sales in the Established ROW region decreased by 35% (CER: 32%) to $206 million (2023: $317 million; 2022: $476 million) driven by successful conversion from Soliris to Ultomiris . Soliris sales in Japan decreased by 44% (CER: 39%) to $75 million (2023: $133 million; 2022: $224 million).

Strensiq sales in the Established ROW region increased by 12% (CER: 18%) to $96 million (2023: $86 million; 2022: $76 million) driven by strong patient demand. Sales in Japan increased by 12% (CER: 20%) to $82 million (2023: $74 million; 2022: $66 million).

Koselugo sales in the Established ROW region increased by 62% (CER: 73%) to $39 million (2023: $24 million; 2022: $nil) driven by strong patient demand. Sales in Japan increased by 51% (CER: 64%) to $35 million (2023: $23 million; 2022: $nil).

Other

Other medicines sales in the Established ROW region decreased by 40% (CER: 36%) to $124 million (2023: $207 million; 2022: $570 million). Sales in Japan decreased by 48% (CER: 43%) to $82 million (2023: $156 million; 2022: $507 million).

Nexium sales in the Established ROW region decreased by 40% (CER: 36%) to $120 million (2023: $199 million; 2022: $551 million) due to the impact of generic competition. Sales in Japan decreased by 48% (CER: 43%) to $78 million (2023: $150 million; 2022: $497 million).

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Disclosures Under the Iran Threat Reduction and Syria Human Rights Act of 2012

AstraZeneca is a global, innovation-driven biopharmaceutical business with operations in over 100 countries and its innovative medicines are used by millions of patients worldwide. AstraZeneca has a legal entity based in Iran, AstraZeneca Pars Company (“AstraZeneca Pars”), which has no employees, and is owned by non-US Group companies. In July 2017, AstraZeneca Pars submitted regulatory applications to the Iranian Food and Drug Administration and subsequently received marketing authorizations for several products. AstraZeneca Pars has not entered into any commercial transaction since its incorporation; products registered under AstraZeneca Pars are exclusively sold by a third-party distributor.

AstraZeneca, through one of its non-US Group companies that is neither a US person nor a foreign subsidiary of a US person, currently has sales of prescription pharmaceuticals in Iran solely through a single third-party distributor, which uses three known entities in the Iranian distribution chain. At this time, none of AstraZeneca’s US entities are involved in any business activities in Iran, or with the Iranian government. To the best knowledge of the management of AstraZeneca, the third-party distributor used by AstraZeneca is not owned or controlled by the Iranian government and AstraZeneca does not have any agreements, commercial arrangements, or other contracts with the Iranian government. However, AstraZeneca understands that one of the independent sub-distributors of AstraZeneca’s third-party distributor is likely to be indirectly controlled by the Iranian government. Further, AstraZeneca’s third-party distributor may initiate payments using banks associated with the government of Iran for the purchase of AstraZeneca products. Finally, Government agencies, hospitals and institutions may purchase AstraZeneca products from the third-party distributor or the sub-distributors.

Throughout 2017 to 2024, AstraZeneca, through a distributor, sponsored health care provider education programs in Iran, including for employees of hospitals owned or controlled by the Iranian Ministry of Health.

For the year ended December 31, 2024, the Company’s gross revenues and net profits attributable to the above-mentioned Iranian activities were $35 million and $17 million respectively. For the same period, AstraZeneca’s gross revenues and net profits were $54.1 billion and $7.0 billion, respectively. Accordingly, the gross revenues and net profits attributable to the above-mentioned Iranian activities amounted to approximately 0.06% of AstraZeneca’s gross revenues and approximately 0.24% of its net profits.

At the time of publication, the management of AstraZeneca does not anticipate any change in its activities in Iran that would result in a material impact on AstraZeneca.

C.       Organizational Structure

The information (including tabular data) set forth under the headings “Additional Information—Directors’ Report—Subsidiaries and principal activities” and “—Branches and countries in which the Group conducts business” on page 230 and “Financial Statements—Group Subsidiaries and Holdings” on pages 214 to 218, in each case of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference.

D.       Property, Plant and Equipment

Please see the information below under the heading Item 5—“Operating and Financial Review and Prospects—Operating Results—2024 compared with 2023”. The information (including tabular data) set forth under the headings “Strategic Report—Business Review—Science and Innovation—Research and Development” on pages 34 to 35, “Strategic Report—Business Review—Growth and Therapy Area Leadership—Operations” on page 41, “Strategic Report—Business Review—Growth and Therapy Area Leadership—Business conduct—Supplier management” on page 43, “Strategic Report—Business Review—Growth and Therapy Area Leadership—IT and IS resources” on page 44, “Financial Statements—Notes to the Group Financial Statements—Note 7—Property, plant and equipment” on page 169, “Financial Statements—Notes to the Group Financial Statements—Note 30—Commitments, contingent liabilities and contingent assets—Environmental costs and liabilities” on page 204, and “Financial Statements—Notes to the Group Financial Statements—Note 8—Leases” on pages 170 to 171, in each case of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference.

Substantially all of the Group’s properties are held freehold, free of material encumbrances and are fit for their purpose. For more information, please refer to “Financial Statements—Notes to the Group Financial Statements—Note 7—Property, plant and equipment” on page 169 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025.

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ITEM 4A. UNRESOLVED STAFF COMMENTS

Not applicable.

ITEM 5. OPERATING AND FINANCIAL REVIEW AND PROSPECTS

The information (including graphs and tabular data) set forth under the headings “Strategic Report—Our Strategy and Key Performance Indicators” on pages 12 to 15, “Financial Statements— Notes to the Group Financial Statements—Note 1—Revenue—Product Sales” on page 160, “Financial Statements—Notes to the Group Financial Statements—Note 28—Financial risk management objectives and policies” on pages 194 to 201, and “Additional Information—Important information for readers of this Annual Report” on page 244, in each case of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference. The information contained herein under Item 8—“Summarized financial information for guarantee of securities of subsidiaries” is incorporated by reference. Please also see the information above under the heading Item 4.B—“Information on the Company—Business Overview—Geographical Review”.

A.       Operating Results

2024 compared with 2023

The information set forth under the heading “Strategic Report—Financial Review” on pages 67 to 84 (excluding the information set forth under the subheadings “Full year 2025: additional commentary” and “Currency impact” on page 81) of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated herein by reference.

2023 compared with 2022

The information set forth under the heading “Strategic Report—Financial Review” on pages 58 to 74 (excluding the information set forth under the subheadings “Full year 2024: additional commentary” and “Currency impact” on page 71) of AstraZeneca’s “Annual Report and Form 20-F Information 2023” included as exhibit 15.1 to the Form 20-F dated February 20, 2024 is incorporated herein by reference.

B.       Liquidity and capital resources

The information (including graphs and tabular data) set forth under the headings “Strategic Report—Financial Review—Cash flow and liquidity - for the year ended 31 December 2024” and “—Summary cash flows” on page 77, “Strategic Report—Financial Review—Financial position – 31 December 2024” on pages 79 to 81, “Strategic Report—Financial Review—Capitalisation and shareholder return” on page 81, “Financial Statements—Notes to the Group Financial Statements—Note 19—Interest-bearing loans and borrowings” on pages 179 to 181, “Financial Statements—Notes to the Group Financial Statements—Note 13—Derivative financial instruments” on page 177, “Financial Statements—Notes to the Group Financial Statements—Note 23—Reserves” on page 191, “Financial Statements—Notes to the Group Financial Statements—Note 30—Commitments, contingent liabilities and contingent assets” on pages 203 to 212, in each case of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference.

We consider the Group’s working capital to be sufficient for its present requirements.

C.       Research and development and Patent protection and licenses

The information (including graphs and tabular data) set forth under the headings “Strategic Report—Business Review—Science and Innovation—Research and Development” on pages 34 to 35, “Strategic Report—Business Review—Science and Innovation—Development pipeline overview” on page 36, “Strategic Report—Business Review—Science and Innovation—Sustainable innovation—Intellectual property” on page 37, and “Strategic Report—Business Review—People and Sustainability—Patent protection and access” on page 52, in each case of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference. Please also see the information above under the headings Item 4.B—“Information on the Company— Business Overview—Development Pipeline as at February 6, 2025” and “—Patent Expiries of Key Marketed Products as at February 6, 2025”.

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D.       Trend information

The information set forth in the introductory paragraph under the heading “Strategic Report—Financial Review” on page 67 and the information (including graphs and tabular data) set forth under the headings “Strategic Report—Our Strategy and Key Performance Indicators” on pages 12 to 15, “Strategic Report—Financial Review—Measuring performance” on page 69, “Financial Statements— Notes to the Group Financial Statements—Note 1—Revenue—Product Sales” on page 160, in each case of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference.

E.       Critical Accounting Estimates

The information (including graphs and tabular data) set forth under the headings “Strategic Report—Financial Review—Critical accounting policies and estimates” on page 82, “Financial Statements—Group Accounting Policies” on page 152 to 159 and “Financial Statements—Notes to the Group Financial Statements—Note 30—Commitments, contingent liabilities and contingent assets” on pages 203 to 212, in each case of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference.

ITEM 6. DIRECTORS, SENIOR MANAGEMENT AND EMPLOYEES

A.       Directors and Senior Management

The information (including tabular data) set forth under the headings “Corporate Governance—Board of Directors as at 6 February 2025” on pages 88 to 89, and “Corporate Governance—Directors’ Remuneration Report—Annual Report on Remuneration—Governance—Directors’ service contracts and letters of appointment” on page 136, in each case of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference.

In addition to the Board of Directors, the Senior Executive Team, or “SET”, is the body through which the CEO exercises the authority delegated to him by the Board. The CEO leads the SET and has executive responsibility for the management, development and performance of the business. The CEO, CFO and SET also take the lead in developing the strategy for review, constructive challenge and approval by the Board as part of the annual strategy review process. The information set forth under the heading “Corporate Governance—Senior Executive Team (SET) as at 6 February 2025” on page 90 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference.

On February 18, 2025, the Company announced that Karen Knudsen, a globally-recognised cancer scientist and executive leader, will be proposed for election as a Non-Executive Director at the Company’s Annual General Meeting on April 11, 2025 (the “2025 AGM”). Karen will become a member of the Science Committee and the Sustainability Committee if elected to the Board. At the same time, the Company also announced that current Non-Executive Directors Deborah DiSanzo and Andreas Rummelt will not stand for re-election and will retire from the Board at the end of the at the 2025 AGM and that the Board has appointed Diana Layfield, Non-Executive Director, as a member of the Remuneration Committee with effect from May 1, 2025.

Senior Executive Team (SET) Biographies as at 6 February 2025

Sharon Barr – Executive Vice-President, Biopharmaceuticals R&D

Sharon was appointed as Executive Vice-President, BioPharmaceuticals R&D in August 2023. She is responsible for discovery through to late-stage development across CVRM and Respiratory & Immunology. Prior to this role, Sharon served as Senior Vice President, Head of Research and Product Development of Alexion, AstraZeneca Rare Disease having joined in 2013. With more than 18 years of industry experience she has previously led translational research, precision medicines, and global drug development teams. Sharon received her PhD in molecular biology from New York University, and completed a postdoctoral fellowship focused on mechanisms of DNA Damage and Repair at Stanford University. In 2022, Sharon was recognised as a Healthcare Businesswoman’s Association Luminary in recognition of her transformational leadership and passion for mentoring those around her.

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Pam Cheng – Executive Vice-President, Global Operations, IT & Chief Sustainability Officer

Pam was appointed Executive Vice-President, Operations & Information Technology in June 2015 and assumed additional responsibility for the AstraZeneca Sustainability strategy and function in January 2023. Pam joined AstraZeneca after having spent 18 years with Merck/MSD in Global Manufacturing and Supply Chain and Commercial roles. Pam was the Head of Global Supply Chain Management & Logistics for Merck and led the transformation of Merck supply chains across the global supply network. Pam also held the role of President of MSD China, responsible for MSD’s entire business in China. Prior to joining Merck, Pam held various engineering and project management positions at Universal Oil Products, Union Carbide Corporation and GAF Chemicals. Pam holds Bachelor’s and Master’s degrees in chemical engineering from Stevens Institute of Technology in New Jersey and an MBA in marketing from Pace University in New York.

Pam serves as a Non-Executive Director of the Smiths Group plc Board and as a Trustee Member of the Board for Stevens Institute of Technology. Pam also serves as an Advisor to the International Society of Pharmaceutical Engineering (ISPE) Board of Directors.

Ruud Dobber – Executive Vice-President, BioPharmaceuticals Business Unit

Ruud was appointed Executive Vice-President, BioPharmaceuticals Business Unit in January 2019 and is responsible for product strategy and commercial delivery for CVRM, Respiratory and Immunology, and Vaccines & Immune Therapies. Prior to this, Ruud held the role of Executive Vice-President, North America and was responsible for driving growth and maximising the contribution of the commercial operations in North America. Ruud joined Astra (later to become AstraZeneca) in 1997 and has assumed leadership roles with increasing responsibility including Executive Vice-President, North America; Executive Vice-President, Europe; Regional Vice-President, Europe, Middle East and Africa; and Regional Vice-President, Asia Pacific. Ruud served as a member of the board and executive committee of the European Federation of Pharmaceutical Industries and Associations and was previously Chairman of the Asia division of Pharmaceutical Research and Manufacturers of America. Ruud holds a doctorate in immunology from the University of Leiden, Netherlands, beginning his career as a research scientist in immunology and ageing.

Ruud was appointed as a non-executive director of the Board of Almirall S.A. in June 2021.

Marc Dunoyer – CEO, Alexion and Chief Strategy Officer, AstraZeneca

Marc became CEO of Alexion, AstraZeneca’s Rare Disease group, in August 2021 following its acquisition in July. He had previously served as an Executive Director and AstraZeneca’s Chief Financial Officer from November 2013. Marc’s career in pharmaceuticals, which has included periods with Roussel Uclaf, Hoechst Marion Roussel and GSK, has given him extensive industry experience. He is a qualified accountant and joined AstraZeneca in 2013, serving as Executive Vice-President, Global Product and Portfolio Strategy from June to October 2013. Prior to that, he served as Global Head of Rare Diseases at GSK and (concurrently) Chairman, GSK Japan. He holds an MBA from HEC Paris and a Bachelor of Law degree from Paris University.

Marc is a member of the Boards of JCR Pharmaceuticals and Cellectis.

David Fredrickson – Executive Vice-President, Oncology Haematology Business Unit

Dave was appointed Executive Vice-President, Oncology Business Unit in October 2017 and is responsible for driving growth and maximising the commercial performance of the AstraZeneca global Oncology Haematology portfolio. He has global accountability for marketing, sales, medical affairs and market access in Oncology and plays a critical leadership role in setting the Oncology portfolio and product strategy. Previously, Dave served as President of AstraZeneca K.K. in Japan, and Vice-President, Specialty Care in the United States. While in Japan, Dave also served as Vice Chairman of the European Federation of Pharmaceutical Industries and Associations Japan and was a Director of the Japan Pharmaceutical Manufacturers Association. Before joining AstraZeneca, Dave worked at Roche/Genentech, where he served in several functions and leadership positions, including Oncology Business Unit Manager in Spain, and strategy, marketing and sales roles in the United States. Prior to this, Dave worked at the Monitor Group, LLC (now Monitor Deloitte Group, LLC), a global strategy consultancy. Dave is a graduate of Georgetown University in Washington DC.

Dave was appointed to the Board of Directors of Caris Life Sciences in August 2024.

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Susan Galbraith - Executive Vice-President, Oncology Haematology R&D

Susan was appointed as Executive Vice-President, Oncology R&D in July 2021, with responsibility for transforming the productivity and scientific output from Oncology R&D. Over her career, Susan has helped develop 12 approved medicines. A Clinical Oncologist by background, Susan studied medicine at Manchester and Cambridge Universities and has a PhD from the University of London. In recognition of her contributions to Oncology drug development, she has been awarded an honorary Doctorate of Medical Science from the Institute of Cancer Research (ICR), is a Fellow of the Academy of Medical Sciences and elected to the Academy of the American Association for Cancer Research (AACR). Susan is a member of the Cambridge Cancer Centre Executive Committee and the Scientific Advisory Board of the ICR. From 2021 to 2024 she served on the Board of Directors of the AACR and currently serves on the European Association of Cancer Research (EACR) Advisory Council.

Jeff Pott – Chief Human Resources Officer, Chief Compliance Officer and General Counsel

Jeff was appointed General Counsel in January 2009 and has overall responsibility for all aspects of AstraZeneca’s Legal and IP function. In addition to his role as General Counsel, he was appointed Chief Human Resources Officer in January 2021 assuming additional responsibilities for the AstraZeneca Human Resources function and was appointed Chief Compliance Officer in January 2023. Jeff joined AstraZeneca in 1995 and has worked in various litigation roles, where he has had responsibility for IP, anti-trust and product liability litigation. Before joining AstraZeneca, he spent five years at the US legal firm Drinker Biddle and Reath LLP, where he specialised in pharmaceutical product liability litigation and anti-trust advice and litigation. He received his Bachelor’s degree in political science from Wheaton College and his Juris Doctor Degree from Villanova University School of Law.

Iskra Reic – Executive Vice-President, International

Iskra was appointed as Executive Vice-President, International in December 2024. She is responsible for overall strategy and driving sustainable growth across the International region, which includes China, Asian and Eurasian markets, Middle East & Africa, Latin America, Australia & New Zealand. Prior to this role, Iskra held the role of EVP, Vaccines & Immune Therapies, where she was responsible for both the early and late-stage development of the Unit’s pipeline and portfolio, including COVID-19 and RSV vaccines and monoclonal antibodies, strategic partnerships and acquisitions, medical affairs and commercial operations. Iskra has served on AstraZeneca’s Senior Executive Team since 2017 when she was EVP for Europe & Canada. She has also held senior roles across Central & Eastern Europe, Middle East and Africa, and Eurasia. Iskra has a PhD in Strategy and Leadership and an International Executive MBA in Business and Leadership from the IEDC-Bled School of Management, Slovenia. She also holds a DMD from the Medical University of Zagreb.

Iskra was appointed as a non-executive director of the Board of Directors of myTomorrows in July 2024. She is also a member of the Steering Committee of the Partnership for Health System Sustainability and Resilience.

B.       Compensation

The information (including graphs and tabular data) set forth under the headings “Corporate Governance—Directors’ Remuneration Report” on pages 112 to 115, “Corporate Governance—Corporate Governance Report—Compliance with the UK Corporate Governance Code—5. Remuneration” on page 93, “Strategic Report—Our Strategy and Key Performance Indicators—Our Key Performance Indicators and remuneration” on page 12, “Financial Statements—Notes to the Group Financial Statements—Note 22—Post-retirement pension and other defined benefit schemes” on pages 184 to 191, “Financial Statements—Notes to the Group Financial Statements—Note 29—Employee costs and share plans for employees” on pages 201 to 203 and “Financial Statements—Notes to the Group Financial Statements—Note 31—Statutory and other information—Key management personnel compensation”, on page 213, in each case of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference.

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C.       Board Practices

The information (including graphs and tabular data) set forth under the headings “Corporate Governance—Corporate Governance Overview” on page 87, “Corporate Governance—Board of Directors as at 6 February 2025” on pages 88 to 89, “Corporate Governance—Senior Executive Team (SET) as at 6 February 2025” on page 90, “Corporate Governance—Corporate Governance Report—Compliance with the UK Corporate Governance Code—1. Board leadership and Company purpose” on page 91, “Corporate Governance—Corporate Governance Report—Compliance with the UK Corporate Governance Code—2. Division of responsibilities” on pages 91 to 92, “Corporate Governance—Corporate Governance Report—Compliance with the UK Corporate Governance Code—5. Remuneration” on page 93, “Corporate Governance—Sustainability Committee Report” on page 103, “Corporate Governance—Compliance with the UK Corporate Governance Code—Further information on risk management and controls—Global Compliance and GIA” on page 93, “Corporate Governance—Nomination and Governance Committee Report” on pages 100 to 101, “Corporate Governance—Science Committee Report” on page 102, “Corporate Governance—Directors’ Remuneration Report—Annual Report on Remuneration—Governance—Directors’ service contracts and letters of appointment” on page 136, “Corporate Governance—Directors’ Remuneration Report—Remuneration at a glance—Looking ahead—Executive Directors’ remuneration for 2025” on page 116, “Corporate Governance—Directors’ Remuneration Report—Annual Report on Remuneration—Executive Directors’ remuneration” on pages 119 to 127, “Corporate Governance—Directors’ Remuneration Report—Annual Report on Remuneration—Non-Executive Directors’ remuneration” on page 128 and “Corporate Governance—Audit Committee Report” on pages 104 to 111, in each case of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference.

Please also see the information above under the heading Item 6.A—“Directors and Senior Management—Senior Executive Team (SET) Biographies”.

D.       Employees

The information set forth under the headings “Strategic Report—Business Review—Science and Innovation—Research and Development” on pages 34 to 35, “Strategic Report—Business Review—Growth and Therapy Area Leadership—Summary and performance indicators” on page 39, “Strategic Report—Business Review—Growth and Therapy Area Leadership—Business conduct” on pages 42 to 43, “Strategic Report—Business Review—Growth and Therapy Area Leadership—Operations” on page 41, “Strategic Report—Business Review—Growth and Therapy Area Leadership—IT and IS resources” on page 44, “Strategic Report—Business Review—Growth and Therapy Area Leadership—Business development” on page 46, “Strategic Report—Business Review—People and Sustainability—Summary and performance indicators” on page 47, “Strategic Report—Business Review—People and Sustainability—People” and “—Talent attraction and retention” on pages 48 to 50 and “Financial Statements—Notes to the Group Financial Statements—Note 29—Employee costs and share plans for employees” (including the tabular data) on pages 201 to 203, in each case of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference.

E.       Share Ownership

The information (including graphs and tabular data) set forth under the headings “Financial Statements—Notes to the Group Financial Statements—Note 29—Employee costs and share plans for employees” on pages 201 to 203, and “Corporate Governance—Directors’ Remuneration Report—Annual Report on Remuneration—Directors’ shareholdings” on pages 129 to 131, in each case of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference.

Directors’ and SET shareholdings

At January 31, 2025, the total amount of the Company’s voting securities owned by Directors of the Company and SET members was:

Title of class

Amount owned

Percentage of class

Ordinary Shares

583,895.00

0.038

%

Options to purchase securities from registrant or subsidiaries

At January 31, 2025, options outstanding to subscribe for Ordinary Shares were:

Number of shares

Subscription price (pence)

Normal expiry date

1,134,487

5833 - 10441

2024 - 2030

40

The weighted average subscription price of options outstanding at January 31, 2025 was 8825 pence. All options were granted under Company employee share schemes. None of the options included in the table above have been granted to SET members. During 2024, no options were held by Directors. During the period January 1, 2025 to January 31, 2025, no Director was granted or exercised any options.

F.       Disclosure of a registrant’s action to recover erroneously awarded compensation

Not applicable.

ITEM 7. MAJOR SHAREHOLDERS AND RELATED PARTY TRANSACTIONS

A.       Major Shareholders

The information set forth under the heading “Additional Information—Directors’ Report—Major shareholdings” (including tabular data) on page 231 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference.

At January 31, 2025, the proportion of Ordinary Shares represented by ADSs was 19.2% of the issued share capital of the Company. At January 31, 2025, there were 63,231 registered holders of Ordinary Shares, of which 595 were based in the United States and there were 1,502 record holders of ADRs, of which 1,484 were based in the United States.

The Company received notification pursuant to the Disclosure Guidance and Transparency Rules (DTR 5) that on the 29 January 2025, The Capital Group Companies, Inc. interest had decreased to 77,477,644 ordinary shares (4.997% of issued share capital), including 15,953,078 ordinary shares represented by ADRs.

B.       Related Party Transactions

The information set forth under the headings “Financial Statements—Notes to the Group Financial Statements—Note 31—Statutory and other information—Related party transactions” on page 213, “Additional Information—Shareholder information—Related party transactions” on page 228, “Additional Information—Shareholder information—Issued share capital, shareholdings and share prices” on page 229 and “Additional Information—Directors’ Report—Major shareholdings” on page 231, in each case of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference.

C.       Interests of Experts and Counsel

Not applicable.

ITEM 8. FINANCIAL INFORMATION

A.       Consolidated Statements and Other Financial Information

Please see the information below under the heading Item 18—“Financial Statements.” The information (including graphs and tabular data) set forth under the headings “Additional Information—Shareholder information” on pages 228 to 229, “Strategic Report—Financial Review—Dividend and share repurchases” on page 81 and “Additional Information—Directors’ Report—Distributions to shareholders – dividends for 2024” on page 231, in each case of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference.

Summarized financial information for guarantee of securities of subsidiaries

AstraZeneca Finance LLC (“AstraZeneca Finance”) is the issuer of 1.200% Notes due 2026, 4.800% Notes due 2027, 1.750% Notes due 2028, 4.875% Notes due 2028, 4.850% Notes due 2029, 4.900% Notes due 2030, 2.250% Notes due 2031, 4.900% Notes due 2031, 4.875% Notes due 2033 and 5.000% Notes due 2034 (the “AstraZeneca Finance Notes”). Each series of AstraZeneca Finance Notes has been fully and unconditionally guaranteed by AstraZeneca PLC. AstraZeneca Finance is 100% owned by AstraZeneca PLC and each of the guarantees by AstraZeneca PLC is full and unconditional and joint and several.

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The AstraZeneca Finance Notes are senior unsecured obligations of AstraZeneca Finance and rank equally with all of AstraZeneca Finance’s existing and future senior unsecured and unsubordinated indebtedness. The guarantee by AstraZeneca PLC of the AstraZeneca Finance Notes is the senior unsecured obligation of AstraZeneca PLC and ranks equally with all of AstraZeneca PLC’s existing and future senior unsecured and unsubordinated indebtedness. Each guarantee by AstraZeneca PLC is effectively subordinated to any secured indebtedness of AstraZeneca PLC to the extent of the value of the assets securing such indebtedness. The AstraZeneca Finance Notes are structurally subordinated to indebtedness and other liabilities of the subsidiaries of AstraZeneca PLC, none of which guarantee the AstraZeneca Finance Notes.

AstraZeneca PLC manages substantially all of its operations through divisions, branches and/or investments in subsidiaries and affiliates. Accordingly, the ability of AstraZeneca PLC to service its debt and guarantee obligations is also dependent upon the earnings of its subsidiaries, affiliates, branches and divisions, whether by dividends, distributions, loans or otherwise.

Pursuant to Rule 13-01 and Rule 3-10 of Regulation S-X of the Securities Act, we present below the summary financial information for AstraZeneca PLC, as Guarantor, excluding its consolidated subsidiaries, and AstraZeneca Finance, as the issuer, excluding its consolidated subsidiaries. The following summary financial information of AstraZeneca PLC and AstraZeneca Finance is presented on a combined basis and transactions between the combining entities have been eliminated. Financial information for non-guarantor entities has been excluded. Intercompany balances and transactions between the obligor group and the non-obligor subsidiaries are presented on separate lines.

Obligor group summarised Statement of Comprehensive Income

FY 2024

FY 2023

$m

$m

Total Revenue

Gross profit

Operating loss

(34)

(34)

Loss for the period

(1,182)

(976)

Transactions with subsidiaries that are not issuers or guarantors

1,661

15,660

Obligor group summarised Statement of Financial Position information

At 31 Dec 2024

At 31 Dec 2023

$m

$m

Current assets

54

5

Non-current assets

Current liabilities

2,347

(4,856)

Non-current liabilities

26,603

(22,239)

Amounts due from subsidiaries that are not issuers or guarantors

18,272

18,421

Amounts due to subsidiaries that are not issuers or guarantors

Developments in Legal Proceedings

For information in respect of material legal proceedings in which AstraZeneca is currently involved, including those discussed below, please see the information (including tabular data) set forth under the heading “Financial Statements—Notes to the Group Financial Statements—Note 30—Commitments, contingent liabilities and contingent assets” on pages 203 to 212 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 and is incorporated by reference.

The information set forth in the final paragraph under the heading “Strategic Report—Business Review—Growth and Therapy Area Leadership—Our regions” on page 39 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference.

B.       Significant Changes

Please see the information set forth under the heading “Financial Statements—Notes to the Group Financial Statements—Note 32—Subsequent events” on page 213 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 and is incorporated by reference.

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ITEM 9. THE OFFER AND LISTING

A. Offer and Listing Details

The information (including tabular data) set forth under the heading “Additional Information—Shareholder information” on pages 228 to 229 and “Additional Information—Shareholder information—Ordinary Shares in issue” on page 229 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference.

The corresponding trading symbol is “AZN” in each of AstraZeneca’s principal markets for trading in AstraZeneca shares.

B.       Plan of Distribution

Not applicable.

C.       Markets

The information set forth in the introductory paragraph under the heading “Additional Information—Shareholder information” on pages 228 to 229 and “Additional Information—Shareholder information—Issued share capital, shareholdings and share prices” on page 229 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference.

D.       Selling Shareholders

Not applicable.

E.       Dilution

Not applicable.

F.       Expenses of the Issue

Not applicable.

ITEM 10. ADDITIONAL INFORMATION

A.       Share Capital

Not applicable.

B.       Memorandum and Articles of Association

The information set forth under the heading “Additional Information—Directors’ Report—Articles of Association” on page 231 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference. Please also see the information above in the first paragraph under the heading Item 4.A—“Information on the Company—History and Development of the Company”.

C.       Material Contracts

Not applicable.

D.        Exchange Controls

Other than certain economic sanctions, which may be in force from time to time, there are no governmental laws, decrees or regulations in the United Kingdom restricting the import or export of capital or affecting the remittance of dividends, interest or other payments to non-resident holders of Ordinary Shares or ADRs.

Other than certain economic sanctions, which may be in force from time to time, there are no limitations under English law or the Articles on the right of non-resident or foreign owners to be the registered holders of, or to exercise voting rights in relation to, Ordinary Shares or ADRs or to be registered holders of notes or debentures of the Company or its wholly owned subsidiary, AstraZeneca Finance LLC.

43

E.       Taxation

Taxation for US persons

The following statements are intended only as a general guide to certain material UK and US federal income tax consequences of ownership of Ordinary Shares or ADRs held as capital assets by the US holders described below. This summary is based on current UK and US federal income tax law, the current US/UK double taxation convention and what is understood to be the current practice of HMRC and the US Internal Revenue Service as at the date of this Form 20-F dated February 18, 2025, each of which may change, possibly with retroactive effect. This summary does not describe all of the tax consequences that may be relevant in light of the US holders’ particular circumstances (including the US Medicare contribution tax or the US alternative minimum tax) and tax consequences applicable to US holders subject to special rules. US holders and any holders who may be subject to tax in the United States or the United Kingdom are urged to consult their tax advisers regarding the UK and US federal income tax consequences of the ownership and disposition of Ordinary Shares or ADRs in their particular circumstances.

This summary is based in part on representations of the depositary for ADRs and assumes that each obligation in the deposit agreement among the Company and the depositary and the holders from time to time of ADRs and any related agreements will be performed in accordance with its terms. For the purposes of this summary, the term ‘US holder’ means a beneficial owner of Ordinary Shares or ADRs that is, for US federal income tax purposes, an individual, a corporation or an estate or trust that, in each case, is treated as a US person.

For US federal income tax purposes, a holder of ADRs generally will be treated as the owner of the underlying Ordinary Shares. Accordingly, deposits or withdrawals of Ordinary Shares for ADRs will not be subject to US federal income tax.

UK and US income taxation of dividends

The Company is not required to withhold UK tax when paying a dividend. Liability to tax on receipt of dividends will depend upon the individual circumstances of a US holder. A US holder that is resident outside the United Kingdom for UK tax purposes will not generally be subject to UK tax on dividend income received, but should consult their own tax adviser.

For US federal income tax purposes, distributions paid by the Company to a US holder are generally included in gross income as foreign source ordinary dividend income when actually or constructively received. For any dividend paid in a foreign currency, the amount of the dividend will, in the case of ADRs, be the US dollar value of the foreign currency payment received by the depositary determined at the spot rate of the relevant foreign currency on the date the dividend is received by the depositary (or, in the case of Ordinary Shares, the US dollar value of the foreign currency payment received by the US holders, determined at the spot rate of the relevant foreign currency on the date the dividend is received by the US holders, regardless of whether the dividend is converted into US dollars). Dividends will not be eligible for the dividends received deduction generally available to US corporations.

If the dividend is converted into US dollars on the date of receipt, US holders of Ordinary Shares generally should not be required to recognise foreign currency gains or losses in respect of the dividend income. They may have foreign currency gain or loss (which would be US source and taxable at the rates applicable to ordinary income) if the amount of such dividend is converted into US dollars after the date of its receipt.

Subject to applicable limitations, dividends received by certain non-corporate US holders of Ordinary Shares or ADRs may be taxable at favourable US federal income tax rates. US holders should consult their own tax advisers to determine whether they are subject to any special rules which may limit their ability to be taxed at these favourable rates.

Taxation on capital gains

US holders that are individuals or companies who are not resident in the United Kingdom for tax purposes will generally not be liable for UK tax on capital gains made on the disposal of their Ordinary Shares or ADRs, unless such Ordinary Shares or ADRs are used, held or acquired in connection with a trade, profession or vocation carried on in the United Kingdom through a branch or agency or other permanent establishment. US holders should consult their own tax advisers about the treatment of capital gains in the United Kingdom.

44

For US federal income tax purposes, a US holder will generally recognise US source capital gain or loss on the sale or exchange of Ordinary Shares or ADRs in an amount equal to the difference between the US dollar amount realised and such holder’s US dollar tax basis in the Ordinary Shares or ADRs. US holders should consult their own tax advisers about the treatment of capital gains, which may be taxed at lower rates than ordinary income for non-corporate US holders, and capital losses, the deductibility of which may be subject to limitations.

Passive Foreign Investment Company (PFIC) rules

We believe that we were not a PFIC for US federal income tax purposes for the year ended 31 December 2024. However, since PFIC status depends on the composition of our income and assets, and the market value of our assets, from time to time, there can be no assurance that we will not be considered a PFIC for any taxable year. If we were treated as a PFIC, certain adverse tax consequences could apply to US holders.

Information reporting and backup withholding

Payments of dividends and sales proceeds that are made within the United States or through certain US-related financial intermediaries may be subject to information reporting and backup withholding, unless the US holder is an exempt recipient or, in the case of backup withholding, the US holder provides its taxpayer identification number and certifies that it is not subject to backup withholding. The amount of any backup withholding from a payment to a US holder will be allowed as a credit against the holder’s US federal income tax liability and may entitle the holder to a refund, provided that the required information is timely supplied to the US Internal Revenue Service.

Certain US holders who are individuals (or certain specified entities) may be required to report information relating to securities issued by non-US persons (or foreign accounts through which the securities are held), subject to certain exceptions (including an exception for securities held in accounts maintained by US financial institutions). US holders should consult their tax advisers regarding their reporting obligations.

UK inheritance tax

Ordinary Shares or ADRs held by an individual who is domiciled in the United States for the purposes of the United States – United Kingdom Double Taxation Convention relating to taxes on estates of deceased persons and on gifts (the Estate Tax Convention), and who is not for such purposes a national of the United Kingdom, will generally not be subject to UK inheritance tax on the individual’s death or on a lifetime transfer of the Ordinary Shares or ADRs, provided that any applicable US federal gift or estate tax liability is paid, except in certain cases where the Ordinary Shares or ADRs: (i) are comprised in a settlement (unless, at the time of the settlement, the settlor was domiciled in the United States and not a national of the United Kingdom); (ii) are part of the business property of a UK permanent establishment of an enterprise; or (iii) pertain to a UK fixed base of an individual used for the performance of independent personal services. In the exceptional case where the Ordinary Shares or ADRs are subject to both UK inheritance tax and US federal gift or estate tax, the Estate Tax Convention generally provides for double taxation to be relieved by means of credit relief.

UK stamp duty reserve tax and stamp duty

Under previous UK law, a charge to UK stamp duty or UK stamp duty reserve tax (SDRT) may have arisen on the deposit of Ordinary Shares in connection with the creation of ADRs. Under those rules, the rate of UK stamp duty or SDRT was 1.5% applied, in each case, to the issue price when the Ordinary Shares are issued, the amount or value of the consideration or, in some circumstances, the value of the Ordinary Shares. Following certain EU litigation, HMRC accepted they would no longer seek to apply the 1.5% charge to the issue (or, where it is integral to the raising of new capital, the transfer) of shares (such as the Ordinary Shares) into a depositary receipt system (such as the ADR arrangement). UK legislation enacted on June 29, 2023, in the form of the Retained EU Law (Revocation and Reform) Act 2023, created some uncertainty as to the status of the 1.5% charge from January 1, 2024. However, the Finance Act, enacted on February 22, 2024, makes provision to ensure it continues to be the case (notwithstanding the effect of the Retained EU Law (Revocation and Reform) Act 2023) that UK stamp duty or SDRT of 1.5% is not payable in relation to issues of securities into depositary receipt systems, and transfers of securities into a depositary receipt system, where such transfer is integral to the raising of new capital by the company concerned. The Finance Act 2024 also includes an additional exemption for ‘qualifying listing arrangements’ where securities are transferred (without a change in beneficial ownership) in connection with the listing of such securities on a recognised stock exchange. These measures have had effect in relation to issues and transfers of shares (such as Ordinary Shares) made on or after January 1, 2024. US holders are urged to consult their tax advisors if applicable.

45

Transfers of Ordinary Shares into CREST will generally not be subject to UK stamp duty or SDRT, unless such a transfer is made (or deemed to be made) for a consideration in money or money’s worth, in which case a liability to stamp duty or SDRT will arise, usually at the rate of 0.5% of the value of the consideration.

A transfer of, or an unconditional agreement to transfer, Ordinary Shares (whether within or outside CREST) will generally be subject to UK stamp duty and/or SDRT at 0.5% of the amount or value of any consideration (in the case of stamp duty, this will be rounded up to the nearest £5). Where both UK stamp duty and SDRT apply, then any SDRT charge may be cancelled if within six years of the date of the agreement becoming unconditional an instrument of transfer is executed pursuant to the agreement, and stamp duty is paid on that instrument. The purchaser would usually pay any UK stamp duty or SDRT that is due. No UK stamp duty will be payable on the transfer of existing ADRs, provided that there is no written instrument of transfer, and no SDRT should be payable on an unconditional agreement to transfer existing ADRs.

F.       Dividends and Paying Agents

Not applicable.

G. Statement by Experts

Not applicable.

H.       Documents on Display

The Company’s Articles of Association and other documents concerning the Company which are referred to in this Form 20-F dated February 18, 2025, may be inspected at the Company’s registered office at 1 Francis Crick Avenue, Cambridge Biomedical Campus, Cambridge CB2 0AA, United Kingdom.

I.       Subsidiary Information

Not applicable.

J.       Annual Report to Security Holders

The Company intends to submit any annual report provided to security holders in electronic format as an exhibit to a current report on Form 6-K.

ITEM 11. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

The information (including graphs and tabular data) set forth under the headings “Strategic Report—Financial Review—Financial risk management” on page 81 and “Financial Statements—Notes to the Group Financial Statements—Note 28—Financial risk management objectives and policies” on pages 194 to 201, in each case of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference.

ITEM 12. DESCRIPTION OF SECURITIES OTHER THAN EQUITY SECURITIES

A.       Debt Securities

Not applicable.

B.       Warrants and Rights

Not applicable.

C.        Other Securities

Not applicable.

D. American Depositary Shares

Fees and Charges Payable by ADR Holders

46

In the year ended December 31, 2024, the Company’s American Depositary Receipt (“ADR”) program was administered by Deutsche Bank Trust Company Americas (“DBTCA”), as the depositary. On February 6, 2025, the Company entered into a further amended and restated Deposit Agreement (the “Deposit Agreement”) with JPMorgan Chase Bank, N.A. (“JPMorgan”), as depositary (the “Depositary”), and the holders and beneficial owners of ADRs, which transferred the Company’s ADR program from DBTCA to JPMorgan.

The holder of an ADR may have to pay the following fees and charges to the Depositary in connection with ownership of the ADR:

Category

Depositary actions

Associated fee or charge

(a) Depositing or substituting the underlying shares

Issuances upon deposits of shares (excluding issuances as a result of stock distributions or the exercise of rights)

Up to $5.00 for each 100 ADSs (or fraction thereof) issued

(b) Receiving or distributing dividends (1)

Distributions of stock dividends or other free stock distributions, cash dividends or other cash distributions (i.e., sale of rights and other entitlements), distributions of securities other than ADSs or rights to purchase additional ADSs

Up to $5.00 for each 100 ADSs (or fraction thereof)

(c) Selling or exercising rights

The exercise of rights to purchase additional ADSs

Up to $5.00 for each 100 ADSs (or fraction thereof)

(d) Withdrawing, cancelling or reducing an underlying security

Surrendering ADSs for cancellation and withdrawal of deposited property

Up to $5.00 for each 100 ADSs (or portion thereof) surrendered or cancelled (as the case may be)

(e) Transferring, combination or split-up of receipts

Not applicable.

(f) General depositary services, particularly those charged on an annual basis (1)

Depositary services fee

A fee not in excess of $5.00 per 100 ADSs (or fraction thereof) held on the applicable record date(s) established by the Depositary.

(g) Fees and expenses of the depositary

Fees and expenses incurred by the Depositary or the Depositary’s agents on behalf of holders, including in connection with:

taxes (including applicable interest and penalties) and other governmental charges
registration of shares or other deposited securities on the share register and applicable to transfers of shares or other deposited securities to or from the name of the custodian, the Depositary or any nominees upon the making of deposits and withdrawals, respectively;
transmission and delivery expenses
expenses and charges incurred by the Depositary in conversion of foreign currency into US dollars
compliance with exchange control regulations and other regulatory requirements applicable to the shares, deposited securities, ADSs and ADRs
fees and expenses incurred by the Depositary in connection with the delivery or servicing of deposited securities
a transaction fee per cancellation request and any applicable delivery expenses

As incurred by the Depositary.

(1) $0.03 per ADR annually.

Fees and Payments Made by DBTCA to Us

Pursuant to the deposit agreement, the Depositary may charge a fee up to $0.05 per ADR in respect of dividends paid by us. For the year ended December 31, 2024, we agreed that DBTCA could charge an annual fee of $0.03 per ADR in respect of dividends paid by us. As at December 31, 2024, we have been paid approximately $15.9 million arising out of fees charged in respect of dividends paid during 2024 and $0.7 million as a (further) contribution to the Company’s ADR program costs. For the year ended December 31, 2024, we also agreed that DBTCA would waive a certain amount of its fees for standard costs associated with the administration of the ADR program up to $10,000 per year.

47

PART II

ITEM 13. DEFAULTS, DIVIDEND ARREARAGES AND DELINQUENCIES

Not applicable.

ITEM 14. MATERIAL MODIFICATIONS TO THE RIGHTS OF SECURITY HOLDERS AND USE OF PROCEEDS

Not applicable.

ITEM 15. CONTROLS AND PROCEDURES

A. Disclosure Controls and Procedures

The information set forth under the heading “Corporate Governance—Corporate Governance Report—Compliance with the UK Corporate Governance Code—Further information on risk management and controls” on page 93, “Corporate Governance—Audit Committee Report—Internal controls” on page 110, and “Financial Statements—Directors’ Annual Report on Internal Controls over Financial Reporting” on page 138, in each case of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference.

US corporate governance requirements

The Company’s ADRs are traded on the Nasdaq and, accordingly, it is subject to the reporting and other requirements of the SEC applicable to foreign private issuers. Section 404 of the Sarbanes-Oxley Act requires companies to include in their annual report on Form 20-F filed with the SEC, a report by management stating its responsibility for establishing internal control over financial reporting and to assess annually the effectiveness of such internal control. The Company has complied with those provisions of the Sarbanes-Oxley Act applicable to foreign private issuers.

B. Management’s Annual Report on Internal Control over Financial Reporting

As required by US regulations, management is responsible for establishing and maintaining adequate internal control over financial reporting for the Company, and is required to identify the framework used to evaluate the effectiveness of the Company’s internal control over financial reporting and to assess the effectiveness of such internal control. In this regard, management has made the same assessment and reached the same conclusion as that set forth in the section entitled “Financial Statements—Directors’ Annual Report on Internal Controls over Financial Reporting” on page 138 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025, which is incorporated by reference.

C. Attestation Report of Independent Registered Public Accounting Firm

The effectiveness of the Company’s internal control over financial reporting as of December 31, 2024, has been audited by PricewaterhouseCoopers LLP, independent registered public accounting firm, as stated in its report dated February 6, 2025, which is included below under the heading Item 18—“Financial Statements—Report of Independent Registered Public Accounting Firm”.

D. Changes in Internal Control over Financial Reporting

Based on the evaluation conducted, management has concluded that no such changes have occurred during the period covered by this Form 20-F that have materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting.

ITEM 16. RESERVED

ITEM 16A. AUDIT COMMITTEE FINANCIAL EXPERT

The information set forth under the heading “Corporate Governance—Corporate Governance Overview—Attendance in 2024—Board Committee membership and meeting attendance in 2024” on page 87 and “Corporate Governance—Audit Committee Report—Committee overview—Committee composition” on page 105, in each case of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference.

48

ITEM 16B. CODE OF ETHICS

The information set forth under the headings “Strategic Report—Business Review—Growth and Therapy Area Leadership—Business conduct” on pages 42 to 43, “Corporate Governance—Corporate Governance Report—Compliance with the UK Corporate Governance Code—Further information on risk management and controls—Global Compliance and GIA” on page 93, “Strategic Report—Business Review—Science and Innovation—Sustainable innovation” on page 37, and “Corporate Governance—Audit Committee Report—Activities during the year—Legal and Compliance” on page 106, in each case of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference. AstraZeneca’s Code of Ethics is available within the ‘Ethics and transparency’ section of our website at www.astrazeneca.com/sustainability/ethics-and-transparency.html.

ITEM 16C. PRINCIPAL ACCOUNTANT FEES AND SERVICES

The following table sets forth the aggregate fees for professional services rendered by PricewaterhouseCoopers LLP (PCAOB ID 876 ) in 2024 and 2023:

Year ended December 31,

2024

2023

2022

($ million)

Audit fees

29.4

29.1

28.7

Audit-related fees

2.1

0.8

0.4

All other fees

0.3

0.2

0.2

Total

31.8

30.1

29.3

Audit fees included $14.8 million for the audit of subsidiaries pursuant to legislation (2023: $15.0 million), $10.6 million for the Group audit (2023: $10.2 million), $0.5 million for services in relation to the interim financial statements (2023: $0.6 million) and $3.5 million in respect of section 404 of the Sarbanes-Oxley Act (2023: $3.3 million). Fees payable in the year of $0.2 million (2023: $0.7 million) are in respect of the Group audit and audit of subsidiaries related to prior years.

Audit-related fees included $1.7 million of other audit-related services (2023: $0.5 million) and $0.4 million for the audit of subsidiaries’ pension schemes (2023: $0.3 million).

All other fees of $0.3 million related to other assurance services (2023: $0.2 million).

The information (including tabular data) set forth under the heading “Corporate Governance—Audit Committee Report” on pages 104 to 111 of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference.

US law and regulations permit the Audit Committee pre-approval requirement to be waived with respect to engagements for non-audit services aggregating to no more than five percent of the total amount of fees paid by AstraZeneca to its principal accountants, if such engagements were not recognized by AstraZeneca at the time of engagement and were promptly brought to the attention of the Audit Committee or a designated member thereof and approved prior to the completion of the audit. In 2024 and 2023, the percentage of the total amount of fees paid by AstraZeneca to its principal accountant for non-audit services in each category that was subject to such a waiver was less than five percent for each year.

ITEM 16D. EXEMPTIONS FROM THE LISTING STANDARDS FOR AUDIT COMMITTEES

Not applicable.

ITEM 16E. PURCHASES OF EQUITY SECURITIES BY THE ISSUER AND AFFILIATED PURCHASERS

Not applicable.

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ITEM 16F. CHANGE IN REGISTRANT’S CERTIFYING ACCOUNTANT

Following a rigorous process, the Company concluded an audit tender for the Company’s external audit provider. On July 25, 2024, the Company announced that the Audit Committee of the Company has recommended, and the Board of Directors has endorsed, the appointment of KPMG LLP (“KPMG”) as the Company’s external auditor for the fiscal year ending December 31, 2026. A resolution will be put to the shareholders at the 2026 Annual General Meeting to approve this appointment. It is intended that PricewaterhouseCoopers LLP (“PwC”), who have been the Company’s independent auditor since the year ended December 31, 2017, will continue as the Company’s auditors for the year ending December 31, 2025 and will be dismissed at the conclusion of the Company’s 2026 Annual General Meeting.

During the fiscal years ended December 31, 2024 and 2023, PwC did not issue any reports on the financial statements of the Company or on the effectiveness of internal control over financial reporting that contained an adverse opinion or a disclaimer of opinion, nor were the auditors’ reports of PwC qualified or modified as to uncertainty, audit scope, or accounting principles. Furthermore, during the fiscal years ended December 31, 2024 and 2023, no “disagreements,” as that term is defined in Item 16F(a)(1)(iv) of Form 20-F and the related instructions to Item 16F of Form 20-F, occurred over any matter of accounting principles or practices, financial statement disclosure, or auditing scope or procedures, which disagreements if not resolved to PwC’s satisfaction would have caused it to make reference to the subject matter of the disagreement in connection with reports it issued during such period, or any “reportable event,” as that term is described in Item 16F(a)(1)(v) of Form 20-F.

The Company has provided PwC with a copy of the foregoing disclosure and has requested that they furnish the Company with a letter addressed to the SEC stating whether they agree with the statements contained herein and, if not, stating the respects in which they do not agree. A copy of PwC’s letter is included as exhibit 15.5 to this Form 20-F dated February 18, 2025.

ITEM 16G. CORPORATE GOVERNANCE

The Company is a public limited company incorporated in the United Kingdom admitted to the equity shares (commercial companies) category of the Official List of the Financial Conduct Authority (“FCA”) and to trading on the main market of the London Stock Exchange. As a result, it follows the U.K. Corporate Governance Code 2018 (the “U.K. Code”) in respect of its corporate governance practices. The current edition of the U.K. Code, which came into effect for reporting periods beginning on or after January 1, 2019, was effective to the Company for the year ended December 31, 2024. The Companies Act 2006 (the “U.K. Act”) and the Listing Rules of the U.K. Financial Conduct Authority (the “FCA Rules”) imposes certain requirements that also influence the Company’s corporate governance practices. The Company has ADRs listed on the Nasdaq Stock Exchange and, under the Nasdaq Listing Rules applicable to listed companies, as a foreign private issuer, the Company is permitted to follow the corporate governance practice of its home country in lieu of certain provisions of the Nasdaq Listing Rules.

The Company is required to disclose any significant ways in which its corporate governance practices differ from those followed by US companies under the Nasdaq Corporate Governance Requirements. In addition, the Company must comply fully with the provisions of the Nasdaq Corporate Governance Requirements relating to the composition, responsibilities and operation of audit committees, applicable to foreign private issuers. These provisions incorporate the rules concerning audit committees implemented by the SEC under the Sarbanes-Oxley Act. The Company has reviewed the corporate governance practices required to be followed by US companies under the Nasdaq Corporate Governance Requirements and its corporate governance practices are generally consistent with those standards.

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A summary of the significant ways in which the Company’s corporate governance practices differ from those followed by US domestic companies under the Nasdaq Standards is set forth below.

Nasdaq Listing Rules

AstraZeneca Corporate Governance Practice

1. Under the Nasdaq Listing Rules, the audit committee is to be directly responsible for the appointment, compensation, retention and oversight of a listed company’s external auditor.

Under the U.K. Act, a company’s external auditors are appointed by its shareholders, or in limited circumstances, by the directors of the company or the Secretary of State. Under the U.K. Code, a company’s audit committee is responsible for, amongst other things: conducting the tender process and making recommendations to the board, about the appointment, reappointment and removal of the external auditor, and approving the remuneration and terms of engagement of the external auditor; reviewing and monitoring the external auditor’s independence and objectivity; reviewing the effectiveness of the external audit process, taking into consideration relevant U.K. professional and regulatory requirements; and developing and implementing policy on the engagement of the external auditor to supply non-audit services. In the event that the board does not accept the audit committee’s recommendation on the external auditor appointment, reappointment or removal, a statement from the audit committee explaining its recommendation and the reasons why the board has taken a different position should be included in the company’s annual report. This should also be included in any papers recommending appointment or reappointment.

2. Under the Nasdaq Listing Rules, each listed company must have a formal written compensation committee charter that specifies (A) the compensation committee’s responsibility for determining, or recommending to the board for determination, the compensation of the chief executive officer and all other Executive Officers of the company, and (B) that the chief executive officer may not be present during voting or deliberations on his or her compensation.

Under the U.K. Code, the Company’s Remuneration Committee determines the Company’s global remuneration frameworks and principles, approves individual salary decisions and related matters for executive members of the Company’s Board of Directors, the Senior Executive Team and the Company Secretary, and reviews annual bonus payments for all executives reporting directly to the Senior Executive Team members. While the Remuneration Committee does not make initial recommendations to the Board of Directors in this respect, it does report to the Board of Directors on these matters. Under the U.K. Act, the Company is required to offer shareholders: (i) a binding vote on the Company’s forward looking remuneration policy for its directors at least every three years; and (ii) a separate annual advisory vote on the implementation of the Company’s existing remuneration policy in terms of the payments and share awards made to its directors during the year, which is disclosed in an annual remuneration report. The U.K. Code does not require that the terms of reference of the Company’s Remuneration Committee specify that the chief executive officer may not be present during voting or deliberations on his or her compensation.

3. Under the Nasdaq Listing Rules, each listed company must have a compensation committee comprised of at least two members each of whom must be an Independent Director, as defined under Listing Rule 5605(a)(2).

Under the U.K. Code, all of the members of the Company’s Remuneration Committee should be independent non-executive directors, with a minimum membership of three. Under the U.K. Code, the chair of the Company may be a member, but not chair, of the Remuneration Committee, provided he or she was considered independent on appointment as chair. In addition, the chair of a company’s remuneration committee should have served for at least 12 months on a remuneration committee before his or her appointment.

4. Under the Nasdaq Listing Rules, director nominees must either be selected, or recommended for the Board’s selection, either by (A) Independent Directors constituting a majority of the Board’s Independent Directors in a vote in which only Independent Directors participate, or (B) a nominations committee comprised solely of Independent Directors.

Under the U.K. Code, a majority of the members of the Company’s nomination committee should be independent non-executive directors. Under the U.K. Code, the chair of the Company may be a member or chair of the nomination committee, provided he or she was considered independent on appointment as chair. However, the chair of the board may not chair the nomination committee when it is dealing with the appointment of his or her successor.

5. Under the Nasdaq Listing Rules, the by-laws of a listed company, other than a limited partnership, must provide for a quorum requirement for shareholder meetings of not less than 331/3% of the outstanding shares of voting common stock.

Under the U.K. Act, if a company’s articles of association do not provide otherwise, two qualifying persons must be present at a meeting for a valid quorum, unless they are both representatives of the same corporation or have been appointed as proxies by the same shareholder. The Company’s Articles of Association contain a similar requirement.

6. Under the Nasdaq Listing Rules, subject to certain exceptions, shareholder approval is required prior to the issuance of securities when a stock option or purchase plan is to be established or materially amended or other equity compensation arrangement made or materially amended, pursuant to which stock may be acquired by officers, directors, employees, or consultants.

Under the FCA Rules, shareholder approval is required to be obtained by the Company for the adoption of equity compensation plans which are either long-term incentive schemes in which directors of the Company can participate or schemes which may involve the issue of new shares. Under the FCA Rules, these plans may not be changed to the benefit of the plan participants unless shareholder approval is obtained (with certain minor exceptions, for example, to benefit the administration of the plan or to take account of tax benefits).

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ITEM 16H. MINE SAFETY DISCLOSURE

Not applicable.

ITEM 16I. DISCLOSURE REGARDING FOREIGN JURISDICTIONS THAT PREVENT INSPECTIONS

Not applicable.

ITEM 16J. INSIDER TRADING POLICIES

As part of its Global Policy Framework, the Company has adopted a written Standard for Dealing in Shares and Securities governing any type of transaction in our securities, including purchases, sales, and other acquisitions and dispositions, by our directors and executive officers, as well as employees and third parties who are in possession of inside information or otherwise restricted from dealing in our securities. The Standard for Dealing in Shares and Securities is designed to promote compliance with applicable insider trading laws, rules and regulations in, inter alia, the United Kingdom, United States and Sweden, and the Nasdaq listing standards. A copy of the Standard for Dealing in Shares and Securities is included as exhibit 11.2 to this Form 20-F dated February 18, 2025.

ITEM 16K. CYBERSECURITY

Risk and Management Strategy

AstraZeneca employs complementary processes for assessing, identifying, and managing risk from cybersecurity threats. AstraZeneca information systems are protected by a multi-layered set of technology, processes, and cybersecurity experts consistent with the US National Institute of Standards and Technology (NIST) Cybersecurity Framework (CSF). Maturity against the NIST CSF controls is assessed via recurring independent third-party assessments , internal audits, and both enterprise-wide and targeted manufacturing site penetration testing conducted by a leading external partner. The outputs of these activities are represented in detailed cybersecurity operations and performance metrics. The recurring reports address risk and are reviewed by multiple leadership levels with summaries embedded in enterprise risk reporting provided to the Senior Executive Team (SET) and Audit Committee. Third-party partners are subject to appropriate NIST CSF controls as specified in AstraZeneca third-party risk management and procurement processes, and enforced via service agreement and contract terms and conditions, and ad hoc monitoring. AstraZeneca has not experienced any previous cybersecurity incidents that have materially impacted its business or business strategy. Ongoing risks from cybersecurity threats demand management vigilance, investment, and oversight, as further described below.

Governance

Cybersecurity remains a core AstraZeneca enterprise risk focus area. Enterprise risk reporting includes cybersecurity specific content. The Board of Directors’ Audit Committee provides oversight of risks from cybersecurity threats. The SET receives quarterly cybersecurity updates via the enterprise risk function, and via cybersecurity topics included in meeting agendas. The quarterly updates are forwarded to the Audit Committee. Audit Committee expertise includes leaders that have management expertise across a broad range of industries and market sectors which includes oversight of cybersecurity risk and incidents. The AstraZeneca cybersecurity risk management program is implemented by the Chief Information Security Officer (“CISO”) , who reports to the Chief Digital Officer/Chief Information Officer (“CDIO”). The CISO is the primary executive responsible for assessing and managing cybersecurity risks, including delivering recurring updates to CDIO and SET via standardized quarterly reporting. The CISO has over three decades of cumulative cybersecurity expertise gained from increasingly complex roles in Life Sciences, Electronics Manufacturing, Supply Chain, Software Development, and IT Technical Support. The CDIO reviews risk management recommendations from the CISO and tracks AstraZeneca’s global internal audit management plans that include corrective actions to address exposed risk to information systems from cybersecurity threats. AstraZeneca maintains a global cybersecurity defence operations centre that relies on advanced technology, skilled cybersecurity operations staff and documented incident response plans that are closely coupled with AstraZeneca’s enterprise crisis management processes. Incident response plans and escalation via decision matrix criteria defined in crisis management procedures ensure management is informed of cybersecurity incident prevention, detection, mitigation, and remediation. The CDIO and CISO report risk information to the Audit Committee via recurring Board of Directors presentations and written reports.

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The information set forth under the heading “Strategic Report—Business Review—Growth and Therapy Area Leadership—IT and IS resources” on page 44, “Strategic Report—Business Review—Growth and Therapy Area Leadership—Cybersecurity and data privacy” on page 45, “Strategic Report—Risk Overview—Cybersecurity risk” on page 64, “Strategic Report—Risk Overview—Principal Risks—Supply chain and business execution risks—Failure in information technology or cybersecurity” on page 65, and “Corporate Governance—Audit Committee Report—Activities during the year—Cybersecurity risk, digital security and information governance” on page 106, in each case of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference. Please also see the information above under the heading Item 3—“Key Information—Risk Factors—Supply chain and business execution risks—Failure in information technology or cybersecurity” above.

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PART III

ITEM 17. FINANCIAL STATEMENTS

The Company has responded to Item 18 in lieu of this item.

ITEM 18. FINANCIAL STATEMENTS

The accompanying Consolidated Statements of Comprehensive Income, of Financial Position, of Changes in Equity and of Cash Flows and the Group Accounting Policies and the related notes (including tabular data) set forth under the headings “Financial Statements” on pages 137 to 213 (excluding the information set forth under the subheadings “Independent Auditors’ Report to the Members of AstraZeneca PLC” on pages 139 to 147) and “Financial Statements—Group Financial Record” on page 226, in each case of AstraZeneca’s “Annual Report and Form 20-F Information 2024” included as exhibit 15.1 to this Form 20-F dated February 18, 2025 is incorporated by reference.

In accordance with Rule 405(a)(3) under Regulation S-T, this information (including tabular data) is reproduced under Item 8 herein tagged with Inline XBRL formatting.

Report of Independent Registered Public Accounting Firm

To the Board of Directors and Shareholders of AstraZeneca PLC

Opinions on the Financial Statements and Internal Control over Financial Reporting

We have audited the accompanying consolidated statements of financial position of AstraZeneca PLC and its subsidiaries (the “Group”) as of 31 December 2024, 2023 and 2022, and the related consolidated statements of comprehensive income, of changes in equity and of cash flows for each of the three years in the period ended 31 December 2024, including the Group accounting policies and the related notes to the Group financial statements (collectively referred to as the “consolidated financial statements”). We also have audited the Group’s internal control over financial reporting as of 31 December 2024, based on criteria established in Internal Control - Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).

In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of the Group as of 31 December 2024, 2023 and 2022, and the results of its operations and its cash flows for each of the three years in the period ended 31 December 2024 in accordance with (i) IFRS Accounting Standards as issued by the International Accounting Standards Board, (ii) UK-adopted International Accounting Standards and (iii) International Accounting Standards as adopted by the European Union. Also in our opinion, the Group maintained, in all material respects, effective internal control over financial reporting as of 31 December 2024, based on criteria established in Internal Control - Integrated Framework (2013) issued by the COSO.

Basis for Opinions

The Group’s management is responsible for these consolidated financial statements, for maintaining effective internal control over financial reporting, and for its assessment of the effectiveness of internal control over financial reporting, included in Management’s Annual Report on Internal Control over Financial Reporting appearing under Item 15.B. Our responsibility is to express opinions on the Group’s consolidated financial statements and on the Group’s internal control over financial reporting based on our audits. We are a public accounting firm registered with the Public Company Accounting Oversight Board (United States) (PCAOB) and are required to be independent with respect to the Group in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.

We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audits to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement, whether due to error or fraud, and whether effective internal control over financial reporting was maintained in all material respects.

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Our audits of the consolidated financial statements included performing procedures to assess the risks of material misstatement of the consolidated financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the consolidated financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the consolidated financial statements. Our audit of internal control over financial reporting included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, and testing and evaluating the design and operating effectiveness of internal control based on the assessed risk. Our audits also included performing such other procedures as we considered necessary in the circumstances. We believe that our audits provide a reasonable basis for our opinions.

Definition and Limitations of Internal Control over Financial Reporting

A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (i) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (ii) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorisations of management and directors of the company; and (iii) provide reasonable assurance regarding prevention or timely detection of unauthorised acquisition, use, or disposition of the company’s assets that could have a material effect on the financial statements.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

Critical Audit Matters

The critical audit matters communicated below are matters arising from the current period audit of the consolidated financial statements that were communicated or required to be communicated to the audit committee and that (i) relate to accounts or disclosures that are material to the consolidated financial statements and (ii) involved our especially challenging, subjective, or complex judgements. The communication of critical audit matters does not alter in any way our opinion on the consolidated financial statements, taken as a whole, and we are not, by communicating the critical audit matters below, providing separate opinions on the critical audit matters or on the accounts or disclosures to which they relate.

Recognition and measurement of accruals for Managed Care, Medicaid and Medicare Part D rebates on US Product Sales (excluding Rare Diseases)

As described in the Group Accounting Policies, and Notes 1 and 20 to the consolidated financial statements, when invoicing Product Sales in the US, management estimates the rebates the Group expects to pay and considers there to be a significant estimate associated with the rebates for Managed Care, Medicaid and Medicare Part D. The major market with rebates and other revenue accruals is the US. The US Rebates, chargebacks, returns and other revenue accruals liability at 31 December 2024 amounted to $4,978 million (including $240 million attributed to Rare Diseases), principally consisting of rebates related to Managed Care, Medicaid and Medicare Part D. Rebates are amounts payable or credited to a customer, usually based on the quantity or value of Product Sales to the customer for specific products in a certain period. At the time Product Sales are invoiced, rebates and deductions that the Group expects to pay are estimated. These rebates typically arise from sales contracts with government payers, third-party managed care organisations and various state programmes. The methodology and assumptions used to estimate rebates and returns are monitored and adjusted regularly in the light of contractual and legal obligations, historical trends, past experience and projected market conditions. The rebate estimates include assumptions in respect of aggregate future sales levels, segment mix and customers’ contractual performance, and in addition for Managed Care, US Medicaid and Medicare Part D, the channel inventory levels, and assumptions related to lag time.

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The principal considerations for our determination that performing procedures relating to recognition and measurement of accruals for Managed Care, Medicaid and Medicare Part D rebates on US Product Sales (excluding Rare Diseases) is a critical audit matter are the (i) significant estimation by management in determining the accruals for the Managed Care, Medicaid, and Medicare Part D programmes, which are monitored and adjusted in light of contractual and legal obligations, historical trends, past experience and projected market conditions and (ii) high degree of auditor judgement, subjectivity, and effort in evaluating management’s significant assumptions related to aggregate future sales levels, segment mix and customers’ contractual performance, the channel inventory levels, and lag time.

Addressing the matter involved performing procedures and evaluating audit evidence in connection with forming our overall opinion on the consolidated financial statements. These procedures included testing the effectiveness of controls relating to management’s recognition and measurement of the Managed Care, Medicaid, and Medicare Part D rebate accruals. These procedures also included, among others, (i) developing an independent estimate of these accruals; (ii) comparing our independent estimate to the accruals recorded by management; (iii) assessing the effect of any adjustments to prior years’ accruals in the current year’s results; and (iv) testing actual payments made and rebate claims processed by the Group, and evaluating those claims for consistency with the contractual and mandated terms of the Group’s arrangements. Developing the independent estimate of the accruals involved assessing the terms of the specific rebate programmes and/or contracts with customers; historical revenue data; market demand and market conditions in the US; third party information on inventory held by direct and indirect customers; and the historical trend of actual rebate claims paid.

Impairment assessment of the product, marketing and distribution rights and other intangibles

As described in the Group Accounting Policies and Note 10 to the consolidated financial statements, the Group has product, marketing and distribution rights totalling $35,734 million and other intangibles totalling $771 million (hereafter the intangible assets) at 31 December 2024. Management performs an impairment trigger assessment for all intangible assets. Intangible assets under development and not available for use are tested annually for impairment and other intangible assets are tested when there is an indication of impairment loss or reversal. Where testing is required, the recoverable amount of the assets is estimated in order to determine the extent of impairment loss or reversal. Where it is not possible to estimate the recoverable amount of an individual asset, the Group estimates the recoverable amount of the Cash Generating Unit (CGU) to which it belongs. Group level budgets and forecasts include forecast capital investment and operational impacts related to sustainability projects, as well as inflationary impacts, and form the basis for the value in use models used for impairment testing. An asset’s recoverable amount is determined as the higher of an asset’s or CGU’s fair value less costs to sell or value in use, in both cases using discounted cash flow calculations where the asset’s expected post-tax cash flows are risk-adjusted over their estimated remaining period of expected economic benefit. The key assumptions and significant estimates used in calculating the recoverable amounts are highly sensitive. The key assumptions include the outcome of research and development activities, probability of technical and regulatory success, market volume, share and pricing (to derive peak year sales), the amount and timing of projected future cash flows, and sales erosion curves following patent expiry. In 2024, the Group recorded net impairment charges of $1,569 million related to product, marketing and distribution rights and net impairment charges of $3 million related to other intangibles.

The principal considerations for our determination that performing procedures relating to the impairment assessment of the product, marketing and distribution rights and other intangibles is a critical audit matter are the significant judgements made by management when determining the recoverable amount of the Group’s individual assets or CGUs. This in turn led to a high degree of auditor judgement, subjectivity, and effort in performing procedures and evaluating assumptions in management’s cash flow projections related to the probability of technical and regulatory success, peak year sales and sales erosion curves following patent expiry. In addition, the audit effort involved the use of professionals with specialised skill and knowledge.

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Addressing the matter involved performing procedures and evaluating audit evidence in connection with forming our overall opinion on the consolidated financial statements. These procedures included testing the effectiveness of controls relating to management’s intangible asset impairment assessment, controls over the identification of triggering events and the development of assumptions used to estimate the recoverable amounts of the Group’s CGUs. These procedures also included, among others, testing management’s process for identifying indicators for impairment and for determining the recoverable amount of the Group’s individual assets or CGUs. Testing management’s process involved a) evaluating the reasonableness of significant assumptions of i) probability of technical and regulatory success, with the assistance of professionals with specialised skill and knowledge and ii) amount and timing of projected future cash flows (in particular, the drivers of peak year sales and sales erosion curves following patent expiry); and b) reconciling the cash flows to the Board approved Group level budgets and forecasts. Evaluating management’s assumptions related to the probability of technical and regulatory success and the amount and timing of projected future cash flows involved evaluating whether the assumptions used were reasonable through (1) comparing significant assumptions to external data and benchmarks; and (2) performing a retrospective comparison of past forecasted revenues to actual past performance.

Recognition and measurement of legal provisions and disclosure of contingent liabilities

As described in the Group Accounting Policies, Note 21 and Note 30 to the consolidated financial statements, the Group is involved in various legal proceedings considered typical to its business, including actual or threatened litigation and actual or potential government investigations relating to employment matters, product liability, commercial disputes, pricing, sales and marketing practices, infringement of IP rights and the validity of certain patents and competition laws. Most of the claims involve highly complex issues. Often these issues are subject to substantial uncertainties and, therefore, the probability of a loss, if any, being sustained and/or an estimate of the amount of any loss is difficult to ascertain. As at 31 December 2024 the Group held legal provisions of $859 million and disclosed the more significant legal matters. Provisions are recognised when either a legal or constructive obligation as a result of a past event exists, it is probable that an outflow of economic resources will be required to settle the obligation and a reasonable estimate can be made of the amount of the obligation. Provision is made where an adverse outcome is probable and associated costs, including related legal costs, can be estimated reliably. Management’s assessment as to whether or not to recognise provisions or assets, and of the amounts concerned, usually involves a series of complex judgements about future events and can rely heavily on estimates and assumptions. Determining the timing of recognition of when an adverse outcome is probable is considered a key judgement.

The principal considerations for our determination that performing procedures related to recognition and measurement of legal provisions and disclosure of contingent liabilities is a critical audit matter are the significant judgement by management when assessing whether an adverse outcome is probable and can be estimated reliably, which in turn led to a high degree of auditor judgement and subjectivity in performing procedures and evaluating management’s assessment of the legal provisions and disclosures of contingent liabilities. In addition, the audit effort involved the use of professionals with specialised skill and knowledge.

Addressing the matter involved performing procedures and evaluating audit evidence in connection with forming our overall opinion on the consolidated financial statements. These procedures included testing the effectiveness of controls relating to management’s evaluation of the liability of legal claims, including controls over determining the probability of a loss and whether the amount of loss can be reasonably estimated, as well as financial statement disclosures. These procedures also included, among others, (i) obtaining and evaluating letters of audit inquiry with internal and external legal counsel for significant litigation; (ii) testing the completeness of management’s assessment of both the identification of legal claims and possible outcomes of each significant legal matter; (iii) evaluating the reasonableness of management’s assessment regarding whether an adverse outcome is probable and estimated reliably; (iv) inspecting certain external legal documents; (v) evaluating the sufficiency of the Group’s legal provisions and contingent liabilities disclosures; and (vi) where appropriate, considering the scope, preliminary findings and conclusions of investigations with the assistance of professionals with specialised skill and knowledge.

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Recognition, measurement and disclosure of tax liabilities for uncertain tax treatments

As described in the Group Accounting Policies and Note 30 to the consolidated financial statements, the Group faces a number of audits and reviews in jurisdictions around the world and, in some cases, is in dispute with the tax authorities. As at 31 December 2024 the total net tax liability recognised in respect of uncertain tax positions is $1,321 million and the potential for additional liabilities where the possibility of the additional liabilities falling due is more than remote is (a) $422 million related to transfer pricing matters including items under tax audit, and (b) $214 million related to other tax liabilities where the Group estimates the potential for additional liabilities above the amount provided. Tax liabilities recognised for uncertain tax treatments require management to make key judgements with respect to the outcome of current and potential future tax audits, and actual results could vary from these estimates. Accruals for tax liabilities are measured using either the most likely amount or the expected value amount depending on which method management expects to better predict the resolution of the uncertainty.

The principal considerations for our determination that performing procedures relating to recognition, measurement and disclosure of tax liabilities for uncertain tax treatments is a critical audit matter are the significant judgement made by management to estimate the tax liability, and the significant estimation uncertainty relative to the expectation of the resolution of tax audits or other disputes with tax authorities. This in turn led to a high degree of auditor judgement, subjectivity, and effort in performing procedures and evaluating management’s key judgements with respect to the outcome, estimation and recognition of current and potential future tax audits. In addition, the audit effort involved the use of professionals with specialised skill and knowledge.

Addressing the matter involved performing procedures and evaluating audit evidence in connection with forming our overall opinion on the consolidated financial statements. These procedures included testing the effectiveness of controls relating to the identification, recognition and measurement of accruals for tax liabilities. These procedures also included, among others, testing management’s process for determining tax liabilities and uncertain tax treatments for which no tax liability is recognised; i) evaluating the completeness of management’s assessment of the identification of tax liabilities and evaluating management’s process for estimating the possible outcomes of each tax liability; ii) obtaining the status and results of tax audits and discussions with the relevant tax authorities; iii) testing the completeness and accuracy of underlying data used in the estimate; iv) evaluating the reasonableness of key judgements related to the outcome of tax audits and tax liabilities using the most likely amount or expected value depending on the resolution of the uncertainty; and v) evaluating the sufficiency of the Group’s disclosures where no tax liability is recognised. Professionals with specialised skill and knowledge were used to assist in evaluating the method used by management to measure accruals for tax contingencies, and to evaluate management’s key judgements with respect to the outcome of tax audits considering the technical merits of tax treatments and advice, if any, received from the Group’s external advisors.

Valuation of defined benefit obligations (in the UK and Sweden)

As described in the Group Accounting Policies and Note 22 to the consolidated financial statements, the Group and most of its subsidiaries offer post-retirement pension plans which cover the majority of its employees. Several of these plans are defined benefit, where benefits are based on employees’ length of service and linked to their salary. As at 31 December 2024 the Group had defined benefit obligations of $6,100 million in the UK and Sweden. Qualified independent actuaries have updated the actuarial valuations under IAS 19 for the major defined benefit schemes operated by the Group to 31 December 2024. In respect of defined benefit plans, obligations are determined using the projected unit credit method and are discounted to present value by reference to market yields on high quality corporate bonds. Given the extent of the assumptions used to determine the value of scheme liabilities, these are considered to be significant estimates. The assumptions which had the most material impact on the results of the Group were mortality rate (for the UK scheme only), discount rates and inflation levels (for both the UK and Sweden schemes).

The principal considerations for our determination that performing procedures relating to the valuation of defined benefit obligations in the UK and Sweden is a critical audit matter are the significant judgement made by management in determining the discount rate, inflation and mortality rates (UK) assumptions. This in turn led to a high degree of auditor judgement and subjectivity in applying procedures relating to these assumptions. In addition, the audit effort involved the use of professionals with specialised skill and knowledge to assist in performing these procedures and evaluating audit evidence.

58

Addressing the matter involved performing procedures and evaluating audit evidence in connection with forming our overall opinion on the consolidated financial statements. These procedures included testing the effectiveness of controls relating to the assumptions used and the accuracy of the obligations. These procedures also included, among others, (i) the involvement of professionals with specialised skill and knowledge to assist in developing an independent expectation of the defined benefit obligations for the UK and Sweden, (ii) comparing the independent estimate to management’s estimate to evaluate the reasonableness of management’s estimate, and (iii) testing the completeness and accuracy of the underlying data used in the models. Developing the independent estimate involved independently deriving inflation, discount rate and mortality assumptions by evaluating the specifics of each plan and, where applicable, considering national information, and comparing the discount and inflation rates with developed ranges of recent external reporting of other companies.

/s/ PricewaterhouseCoopers LLP

London, United Kingdom

6 February 2025

We have served as the Group’s auditor since 2017.

59

ITEM 19. EXHIBITS (1)

1.1

Articles of Association of AstraZeneca PLC (incorporated into this Form 20-F by reference to AstraZeneca PLC’s Form 6-K filed April 27, 2023 (File No. 001-11960)).

2.1

Description of the registrant’s securities registered pursuant to Section 12 of the Securities and Exchange Act of 1934.

4.1

Employment Agreement between AstraZeneca UK Limited and Pascal Soriot, dated December 15, 2016 (incorporated into this Form 20-F by reference to Exhibit 4.3 of AstraZeneca PLC’s Form 20-F filed March 7, 2017 (File No. 001-11960)).

4.2

Employment Agreement between AstraZeneca UK Limited and Aradhana Sarin, dated August 1, 2021 (incorporated into this Form 20-F by reference to Exhibit 4.2 of AstraZeneca PLC’s Form 20-F filed February 22, 2022 (File No. 001-11960).

4.3

Form of Deed of Indemnity for Directors (used for all Directors from November 10, 2022) (incorporated into this Form 20-F by reference to Exhibit 4.3 of AstraZeneca PLC’s Form 20-F filed February 21, 2023 (File No. 001-11960)).

8.1

List of significant subsidiaries of AstraZeneca PLC.

11.2

AstraZeneca Insider Trading Policy.

12.1

Certification of Pascal Soriot filed pursuant to Rule 13a-14(a) of the Securities Exchange Act of 1934.

12.2

Certification of Aradhana Sarin filed pursuant to Rule 13a-14(a) of the Securities Exchange Act of 1934.

13.1

Certification of Pascal Soriot and Aradhana Sarin furnished pursuant to 17 CFR 240.13a-14(b) and 18 U.S.C. 1350.

15.1

Annual Report and Form 20-F Information 2024. (2)

15.2

Consent of PricewaterhouseCoopers LLP, independent registered public accounting firm.

15.3

Consent of IQVIA Inc.

15.4

Consent of Bureau Veritas UK Limited.

1 5.5

Letter from PricewaterhouseCoopers LLP addressed to the SEC regarded the change of Registrant’s Certifying Accountants disclosure in this Form 20-F.

17.1

List of subsidiary guarantors and issuers of guaranteed securities.

97.1

AstraZeneca US Clawback Policy Applicable to Executive Officers.

101.INS

XBRL Instance Document.

101.SCH

XBRL Taxonomy Extension Schema.

101.CAL

XBRL Taxonomy Extension Scheme Calculation Linkbase.

101.DEF

XBRL Taxonomy Extension Scheme Definition Linkbase.

101.LAB

XBRL Taxonomy Extension Scheme Label Linkbase.

101.PRE

XBRL Taxonomy Extension Scheme Presentation Linkbase.

(1) Exhibits other than those listed above are omitted when in the opinion of the registrant they are either not applicable or not material. Other Exhibits previously filed have been omitted when in the opinion of the registrant such Exhibits are no longer material.
(2) Certain of the information included within exhibit 15.1, which is provided pursuant to Rule 12b-23(a)(3) of the Securities Exchange Act of 1934, as amended, is incorporated by reference in this Form 20-F, as specified elsewhere in this Form 20-F. With the exception of the items and pages so specified, the Annual Report and Form 20-F Information 2024 is not deemed to be filed as part of this Annual Report on Form 20-F.

60

SIGNATURE

The registrant hereby certifies that it meets all of the requirements for filing on Form 20-F and that it has duly caused and authorized the undersigned to sign this annual report on its behalf.

AstraZeneca PLC

By:

/s/ Adrian Kemp

Name:

Adrian Kemp

Title:

Company Secretary

February 18, 2025

61

F-1

Consolidated Statement of Comprehensive Income

for the year ended 31 December

2024

2023

2022

Notes

$m

$m

$m

Product Sales

1

50,938

43,789

42,998

Alliance Revenue

1

2,212

1,428

755

Collaboration Revenue

1

923

594

598

Total Revenue

54,073

45,811

44,351

Cost of sales

( 10,207 )

( 8,268 )

( 12,391 )

Gross profit

43,866

37,543

31,960

Distribution expense

( 555 )

( 539 )

( 536 )

Research and development expense

2

( 13,583 )

( 10,935 )

( 9,762 )

Selling, general and administrative expense

2

( 19,977 )

( 19,216 )

( 18,419 )

Other operating income and expense

2

252

1,340

514

Operating profit

10,003

8,193

3,757

Finance income

3

458

344

95

Finance expense

3

( 1,742 )

( 1,626 )

( 1,346 )

Share of after tax losses in associates and joint ventures

11

( 28 )

( 12 )

( 5 )

Profit before tax

8,691

6,899

2,501

Taxation

4

( 1,650 )

( 938 )

792

Profit for the period

7,041

5,961

3,293

Other comprehensive income:

Items that will not be reclassified to profit and loss:

Remeasurement of the defined benefit pension liability

22

80

( 406 )

1,118

Net gains/(losses) on equity investments measured at fair value through Other comprehensive income

139

278

( 88 )

Fair value movements related to own credit risk on bonds designated as fair value through profit or loss

12

( 6 )

2

Tax on items that will not be reclassified to profit and loss

4

( 43 )

101

( 216 )

188

( 33 )

816

Items that may be reclassified subsequently to profit and loss:

Foreign exchange arising on consolidation

23

( 957 )

608

( 1,446 )

Foreign exchange arising on designated liabilities in net investment hedges

23

( 122 )

24

( 282 )

Fair value movements on cash flow hedges

( 129 )

266

( 97 )

Fair value movements on cash flow hedges transferred to profit and loss

177

( 145 )

73

Fair value movements on derivatives designated in net investment hedges

23

39

44

( 8 )

Costs of hedging

( 21 )

( 19 )

( 7 )

Tax on items that may be reclassified subsequently to profit and loss

4

25

( 12 )

73

( 988 )

766

( 1,694 )

Other comprehensive (expense)/income for the period, net of tax

( 800 )

733

( 878 )

Total comprehensive income for the period

6,241

6,694

2,415

Profit attributable to:

Owners of the Parent

7,035

5,955

3,288

Non-controlling interests

26

6

6

5

Total comprehensive income attributable to:

Owners of the Parent

6,236

6,688

2,413

Non-controlling interests

26

5

6

2

Basic earnings per $ 0.25 Ordinary Share

5

$ 4.54

$ 3.84

$ 2.12

Diluted earnings per $ 0.25 Ordinary Share

5

$ 4.50

$ 3.81

$ 2.11

Weighted average number of Ordinary Shares in issue (millions)

5

1,550

1,549

1,548

Diluted weighted average number of Ordinary Shares in issue (millions)

5

1,563

1,562

1,560

Dividends declared and paid in the period

25

4,602

4,487

4,485

All activities were in respect of continuing operations.

$m means millions of US dollars.

F-2

Consolidated Statement of Financial Position

at 31 December

2024

2023

2022

Notes

$m

$m

$m

Assets

Non-current assets

Property, plant and equipment

7

10,252

9,402

8,507

Right-of-use assets

8

1,395

1,100

942

Goodwill

9

21,025

20,048

19,820

Intangible assets

10

37,177

38,089

39,307

Investments in associates and joint ventures

11

268

147

76

Other investments

12

1,632

1,530

1,066

Derivative financial instruments

13

182

228

74

Other receivables

14

930

803

835

Deferred tax assets

4

5,347

4,718

3,263

78,208

76,065

73,890

Current assets

Inventories

15

5,288

5,424

4,699

Trade and other receivables

16

12,972

12,126

10,521

Other investments

12

166

122

239

Derivative financial instruments

13

54

116

87

Income tax receivable

1,859

1,426

731

Cash and cash equivalents

17

5,488

5,840

6,166

Assets held for sale

18

150

25,827

25,054

22,593

Total assets

104,035

101,119

96,483

Liabilities

Current liabilities

Interest-bearing loans and borrowings

19

( 2,337 )

( 5,129 )

( 5,314 )

Lease liabilities

8

( 339 )

( 271 )

( 228 )

Trade and other payables

20

( 22,465 )

( 22,374 )

( 19,040 )

Derivative financial instruments

13

( 50 )

( 156 )

( 93 )

Provisions

21

( 1,269 )

( 1,028 )

( 722 )

Income tax payable

( 1,406 )

( 1,584 )

( 896 )

( 27,866 )

( 30,542 )

( 26,293 )

Non-current liabilities

Interest-bearing loans and borrowings

19

( 26,506 )

( 22,365 )

( 22,965 )

Lease liabilities

8

( 1,113 )

( 857 )

( 725 )

Derivative financial instruments

13

( 115 )

( 38 )

( 164 )

Deferred tax liabilities

4

( 3,305 )

( 2,844 )

( 2,944 )

Retirement benefit obligations

22

( 1,330 )

( 1,520 )

( 1,168 )

Provisions

21

( 921 )

( 1,127 )

( 896 )

Income tax payable

( 238 )

Other payables

20

( 1,770 )

( 2,660 )

( 4,270 )

( 35,298 )

( 31,411 )

( 33,132 )

Total liabilities

( 63,164 )

( 61,953 )

( 59,425 )

Net assets

40,871

39,166

37,058

Equity

Capital and reserves attributable to equity holders of the Company

Share capital

24

388

388

387

Share premium account

35,226

35,188

35,155

Capital redemption reserve

153

153

153

Merger reserve

448

448

448

Other reserves

23

1,411

1,464

1,468

Retained earnings

23

3,160

1,502

( 574 )

40,786

39,143

37,037

Non-controlling interests

26

85

23

21

Total equity

40,871

39,166

37,058

The Financial Statements from pages 148 to 218 were approved by the Board and were signed on its behalf by

Pascal Soriot

Aradhana Sarin

Director

Director

6 February 2025

F-3

Consolidated Statement of Changes in Equity

for the year ended 31 December

Share

Capital

Total

Non-

Share

premium

redemption

Merger

Other

Retained

attributable

controlling

Total

capital

account

reserve

reserve

reserves

earnings

to owners

interests

equity

$m

$m

$m

$m

$m

$m

$m

$m

$m

At 1 January 2022

387

35,126

153

448

1,444

1,710

39,268

19

39,287

Profit for the period

3,288

3,288

5

3,293

Other comprehensive expense 1

( 875 )

( 875 )

( 3 )

( 878 )

Transfer to other reserves 2

24

( 24 )

Transactions with owners

Dividends (Note 25)

( 4,485 )

( 4,485 )

( 4,485 )

Issue of Ordinary Shares

29

29

29

Share-based payments charge for the period (Note 29)

619

619

619

Settlement of share plan awards

( 807 )

( 807 )

( 807 )

Net movement

29

24

( 2,284 )

( 2,231 )

2

( 2,229 )

At 31 December 2022

387

35,155

153

448

1,468

( 574 )

37,037

21

37,058

Profit for the period

5,955

5,955

6

5,961

Other comprehensive income 1

733

733

733

Transfer to other reserves 2

( 4 )

4

Transactions with owners

Dividends (Note 25)

( 4,487 )

( 4,487 )

( 4,487 )

Dividends paid to non-controlling interests (Note 25)

( 4 )

( 4 )

Issue of Ordinary Shares

1

33

34

34

Share-based payments charge for the period (Note 29)

579

579

579

Settlement of share plan awards

( 708 )

( 708 )

( 708 )

Net movement

1

33

( 4 )

2,076

2,106

2

2,108

At 31 December 2023

388

35,188

153

448

1,464

1,502

39,143

23

39,166

Profit for the period

7,035

7,035

6

7,041

Other comprehensive expense 1

( 799 )

( 799 )

( 1 )

( 800 )

Transfer to other reserves 2

15

( 15 )

Transactions with owners

Dividends (Note 25)

( 4,602 )

( 4,602 )

( 4,602 )

Dividends paid to non-controlling interests (Note 25)

( 4 )

( 4 )

Issue of Ordinary Shares

38

38

38

Changes in non-controlling interests

61

61

Movement in shares held by Employee Benefit Trusts 2

( 68 )

( 68 )

( 68 )

Share-based payments charge for the period (Note 29)

660

660

660

Settlement of share plan awards

( 621 )

( 621 )

( 621 )

Net movement

38

( 53 )

1,658

1,643

62

1,705

At 31 December 2024

388

35,226

153

448

1,411

3,160

40,786

85

40,871

1 Included within Other comprehensive expense of $ 800 m (2023: income of $ 733 m; 2022: expense of $ 878 m) is a charge of $ 21 m (2023: $ 19 m; 2022: $ 7 m), relating to Costs of hedging.
2 Amounts charged or credited to other reserves relate to exchange adjustments arising on goodwill and movements in shares held by Employee Benefit Trusts.

F-4

Consolidated Statement of Cash Flows

for the year ended 31 December

2024

2023

2022

Notes

$m

$m

$m

Cash flows from operating activities

Profit before tax

8,691

6,899

2,501

Finance income and expense

3

1,284

1,282

1,251

Share of after tax losses of associates and joint ventures

11

28

12

5

Depreciation, amortisation and impairment

6,688

5,387

5,480

Increase in trade and other receivables

( 1,624 )

( 1,425 )

( 1,349 )

(Increase)/decrease in inventories

( 131 )

( 669 )

3,941

Increase in trade and other payables and provisions

862

2,394

1,165

Gains on disposal of intangible assets

2

( 64 )

( 251 )

( 104 )

Fair value movements on contingent consideration arising from business combinations

20

311

549

82

Non-cash and other movements

17

( 121 )

( 386 )

( 692 )

Cash generated from operations

15,924

13,792

12,280

Interest paid

( 1,313 )

( 1,081 )

( 849 )

Tax paid

( 2,750 )

( 2,366 )

( 1,623 )

Net cash inflow from operating activities

11,861

10,345

9,808

Cash flows from investing activities

Acquisition of subsidiaries, net of cash acquired

27

( 2,771 )

( 189 )

( 48 )

Payments upon vesting of employee share awards attributable to business combinations

27

( 3 )

( 84 )

( 215 )

Payment of contingent consideration from business combinations

20

( 1,008 )

( 826 )

( 772 )

Purchase of property, plant and equipment

( 1,924 )

( 1,361 )

( 1,091 )

Disposal of property, plant and equipment

55

132

282

Purchase of intangible assets

( 2,662 )

( 2,417 )

( 1,480 )

Disposal of intangible assets

123

291

447

Movement in profit-participation liability

2

190

Purchase of non-current asset investments

( 96 )

( 136 )

( 45 )

Disposal of non-current asset investments

78

32

42

Movement in short-term investments, fixed deposits and other investing instruments

30

97

( 114 )

Payments to associates and joint ventures

11

( 158 )

( 80 )

( 26 )

Disposal of investments in associates and joint ventures

13

Interest received

343

287

60

Net cash outflow from investing activities

( 7,980 )

( 4,064 )

( 2,960 )

Net cash inflow before financing activities

3,881

6,281

6,848

Cash flows from financing activities

Proceeds from issue of share capital

38

33

29

Own shares purchased by Employee Benefit Trusts

( 81 )

Issue of loans and borrowings

6,492

3,816

Repayment of loans and borrowings

( 4,652 )

( 4,942 )

( 1,271 )

Dividends paid

25

( 4,629 )

( 4,481 )

( 4,364 )

Hedge contracts relating to dividend payments

25

16

( 19 )

( 127 )

Repayment of obligations under leases

( 316 )

( 268 )

( 244 )

Movement in short-term borrowings

( 31 )

161

74

Payment of Acerta Pharma share purchase liability

( 833 )

( 867 )

( 920 )

Net cash outflow from financing activities

( 3,996 )

( 6,567 )

( 6,823 )

Net (decrease)/increase in Cash and cash equivalents in the period

( 115 )

( 286 )

25

Cash and cash equivalents at the beginning of the period

5,637

5,983

6,038

Exchange rate effects

( 93 )

( 60 )

( 80 )

Cash and cash equivalents at the end of the period

17

5,429

5,637

5,983

F-5

Group Accounting Policies

Basis of accounting and preparation of financial information

The Consolidated Financial Statements have been prepared under the historical cost convention, modified to include revaluation to fair value of certain financial instruments and pension plan assets and liabilities as described below, in accordance with UK-adopted international accounting standards and with the requirements of the Companies Act 2006 as applicable to companies reporting under those standards. The Consolidated Financial Statements also comply fully with IFRS Accounting Standards as issued by the International Accounting Standards Board (IASB) and International Accounting Standards as adopted by the European Union.

The Consolidated Financial Statements are presented in US dollars, which is the Company’s functional currency.

In preparing their individual financial statements, the accounting policies of some overseas subsidiaries do not conform with IASB-issued IFRSs. Therefore, where appropriate, adjustments are made in order to present the Consolidated Financial Statements on a consistent basis.

New accounting requirements

The following amendments and interpretations have been issued and adopted:

> amendments to IAS 1 'Presentation of Financial Statements', effective for periods beginning on or after 1 January 2024 - endorsed by the United Kingdom Endorsement Board (UKEB) on 21 July 2023
> amendments to IFRS 16 'Leases', effective for periods beginning on or after 1 January 2024 - endorsed by the UKEB on 11 May 2023
> amendments to IAS 7 'Statem ent of Cash Flows', effective for periods beginning on or after 1 January 2024 - endorsed by the UKEB on 28 November 2023
> amendments to IFRS 7 ' Financial Instruments', effective for periods beginning on or after 1 January 2024 - endorsed by the UKEB on 28 November 2023.

The above amendments and interpretations did not have a significant impact on the Group’s net results, net assets or disclosures.

Employee Benefit Trusts

Following an amendment to the Employee Benefit Trust (EBT) Deed on 10 June 2024, AstraZeneca obtained control and commenced consolidation of the EBT from June 2024. From that date, cash paid on purchases of AstraZeneca Ordinary shares or American Depository Receipts is presented within Financing activities in the Consolidated Statement of Cash Flows.

Basis for preparation of Financial Statements on a going concern basis

The Group has considerable financial resources available. As at 31 December 2024, the Group has $ 10.4 bn in financial resources (cash and cash equivalent balances of $ 5.5 bn and undrawn committed bank facilities of $ 4.9 bn that were available until April 2029), with $ 2.7 bn of borrowings due within one year. These facilities contain no financial covenants, and in January 2025 their maturity was extended to April 2030.

The Group has assessed the prospects of the Group over a period longer than the required 12 months from the date of Board approval of these Consolidated Financial Statements, with no deterioration noted requiring a further extension of this review. The Group’s revenues are largely derived from sales of medicines covered by patents, which provide a relatively high level of resilience and predictability to cash inflows, although government price interventions in response to budgetary constraints are expected to continue to adversely affect revenues in some of our significant markets. The Group, however, anticipates new revenue streams from both recently launched medicines and those in development, and the Group has a wide diversity of customers and suppliers across different geographic areas.

Consequently, the Directors believe that, overall, the Group is well placed to manage its business risks successfully. Accordingly, they continue to adopt the going concern basis in preparing the Annual Report and Financial Statements.

Estimates and judgements

The preparation of the Financial Statements in conformity with generally accepted accounting principles requires management to make estimates and judgements that affect the reported amounts of assets and liabilities at the date of the Financial Statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.

The accounting policy descriptions set out the areas where judgements and estimates need exercising, the most significant of which include the following Key Judgements and Significant Estimates:

> revenue recognition – see Revenue accounting policy on page 153 and Note 1 on page 160
> expensing of internal development expenses – see Research and development accounting policy on page 154
> impairment reviews of Intangible assets – see Note 10 on page 173
> useful economic life of Intangible assets – see Research and development accounting policy on page 154
> business combinations and Goodwill – see Business combinations and goodwill accounting policy on page 157
> litigation liabilities – see Litigation and Environmental Liabilities within Note 30 on page 205
> operating segments – see Note 6 on page 166
> employee benefits – see Note 22 on page 190
> taxation – see Note 30 on page 211.

The Group has assessed the impact of sustainability topics on its financial reporting. This includes an impact assessment on the valuation and useful lives of Intangible assets and the identification and measurement of provisions and contingent liabilities in response to climate and pollution risks.

Sustainability-related opportunities on innovation are integral to the Financial Statements with a key indicator of the Group’s investment being R&D expense. Business conduct and patient safety are both considered as part of our recognition and measurement of provisions and contingent liabilities, noted within sections of Government investigations and proceedings and Product liability litigation as relevant, of Note 30. No material accounting impacts or changes to judgements or other required disclosures were noted.

Key Judgements are those judgements made in applying the Group’s accounting policies that have a material effect on the amounts of assets and liabilities recognised in the Financial Statements.

A Significant Estimate has a significant risk of material adjustment to the carrying amounts of assets and liabilities within the next financial year.

Financial risk management policies are detailed in Note 28 to the Financial Statements from page 194.

AstraZeneca’s management considers the following to be the material accounting policies in the context of the Group’s operations.

F-6

Revenue

Revenue comprises Product Sales, Alliance Revenue and Collaboration Revenue.

Revenue excludes inter-company revenues and value-added taxes.

Product Sales

Product Sales represent net invoice value less estimated rebates, returns and chargebacks, which are considered to be variable consideration and include significant estimates. Sales are recognised when the control of the goods has been transferred to a third party. This is usually when title passes to the customer, either on shipment or on receipt of goods by the customer, depending on local trading terms. Revenue is not recognised in full until it is highly probable that a significant reversal in the amount of cumulative revenue recognised will not occur.

Rebates are amounts payable or credited to a customer, usually based on the quantity or value of Product Sales to the customer for specific products in a certain period. Product Sales rebates, which relate to Product Sales that occur over a period of time, are normally issued retrospectively.

At the time Product Sales are invoiced, rebates and deductions that the Group expects to pay are estimated based upon assumptions developed using contractual terms, historical experience and market-related information. The rebates and deductions are recognised as variable consideration and recorded as a reduction to revenue with an accrual recorded. These rebates typically arise from sales contracts with government payers, third-party managed care organisations, hospitals, long-term care facilities, group purchasing organisations and various state programmes.

In markets where returns are significant, estimates of the quantity and value of goods which may ultimately be returned are accounted for at the point revenue is recognised. Our returns accruals are based on actual experience over the preceding 12 months for established products together with market-related information such as estimated stock levels at wholesalers and competitor activity which we receive via third-party information services. For newly launched products, we use rates based on our experience with similar products or a predetermined percentage.

When a product faces generic competition, particular attention is given to the possible levels of returns and, in cases where the circumstances are such that the level of Product Sales are considered highly probable to reverse, revenues are only recognised when the right of return expires, which is generally on ultimate prescription of the product to patients.

The methodology and assumptions used to estimate rebates and returns are monitored and adjusted regularly in the light of contractual and legal obligations, historical trends, past experience and projected market conditions. Once the uncertainty associated with returns is resolved, revenue is adjusted accordingly.

Under certain collaboration agreements which include a profit sharing mechanism, our recognition of Product Sales depends on which party acts as principal in sales to the end customer. In the cases where AstraZeneca acts as principal, we record 100 % of sales to the end customer. In the cases where AstraZeneca does not act as principal, we record the share of gross profits received within Alliance Revenue.

Contracts relating to the supply of certain Vaccines & Immune Therapies medicines relating to the COVID-19 pandemic include conditions whereby payments are receivable from customers in advance of the delivery of product. Such amounts are held on the Statement of Financial Position as contract liabilities until the related revenue is recognised, generally upon product delivery. Certain of these contracts contain further provisions that restrict the use of inventory manufactured in specified supply chains to specified customers, resulting in an enforceable right to payment as the activities are performed. Under IFRS 15 ‘Revenue from Contracts with Customers’, such contracts require revenue to be recognised over time using an appropriate and reasonably measurable method to measure progress. Revenue is recognised on these contracts based on the proportion of product delivered compared to the total contracted volumes.

Certain arrangements include bill-and-hold arrangements under which the Group invoices a customer for a product but retains physical possession of the product until it is transferred to the customer at a point in time in the future. For these types of arrangements, an assessment is made to determine when the performance obligation has been satisfied, which is when control of the product is transferred to the customer. If the customer has obtained control of the product even though that product remains in the Group's physical possession, the performance obligation to transfer a product has been satisfied and Product Sales are recognised. Control is considered to have transferred when the reason for the bill-and-hold arrangement is substantive, the product can be identified separately as belonging to the customer, the product is ready for physical transfer to the customer and AstraZeneca is unable to use or sell the product to another customer.

Alliance Revenue

Alliance Revenue comprises income arising from the ongoing operation of collaborative arrangements related to sales made by collaboration partners, where AstraZeneca is entitled to a share of gross profits, share of revenues or royalties, which are recurring in nature while the collaboration agreement remains in place. Alliance Revenue does not include Product Sales where AstraZeneca is leading commercialisation in a territory, or reimbursement for AstraZeneca-incurred expenses such as R&D or promotion costs, which arise from the license of intellectual property.

The Group periodically enters into transactions where it acquires part of the rights to a product intangible (either on-market or in-process R&D), but for commercial reasons does not act as principal in selling the product to the customer and therefore does not recognise income from the product in the form of Product Sales. This may occur where, for example, a collaboration partner retains the right to commercialise in a specific territory, and has sufficient local control over that commercialisation to book Product Sales, while the Group instead receives a proportion of the value generated by those Product Sales, either in the form of a share of gross profits, a share of revenues or a royalty. This revenue is recognised when the Group's right to receive the share of the collaboration partner’s income is established and can be reliably measured.

Where an out-licensing arrangement meets the definition of a licence agreement, sales royalties are recognised when achieved by applying the royalty exemption under IFRS 15. Where the arrangement meets the definition of a licence agreement, share of gross profits, share of revenues and sales royalties are recognised when achieved by applying the royalty exemption under IFRS 15. All other sales royalties are recognised when considered it is highly probable there will not be a significant reversal of cumulative income. The determination requires estimates to be made in relation to future Product Sales.

F-7

Collaboration Revenue

Collaboration Revenue includes income arising from entering into collaborative arrangements where the Group has out-licensed (sold) certain rights associated with products and where AstraZeneca retains a significant ongoing economic interest in the product. Significant interest can include ongoing supply of finished goods, profit sharing arrangements or being principal in the sales of medicines. These collaborations may include development, manufacturing and/or commercialisation arrangements with the collaborator. Income from out-licences may take the form of upfront fees and milestones.

Timing of recognition of clinical and regulatory milestones is considered to be a Key Judgement. There can be significant uncertainty over whether it is highly probable that there would not be a significant reversal of revenue in respect of specific milestones if these are recognised before they are triggered due to them being subject to the actions of third parties. In general, where the triggering of a milestone is subject to the decisions of third parties (e.g. the acceptance or approval of a filing by a regulatory authority), the Group does not consider that the threshold for recognition is met until that decision is made.

Where Collaboration Revenue arises from the licensing of the Group’s own intellectual property, the licences we grant are typically rights to use intellectual property which do not change during the period of the licence and therefore related non-conditional revenue is recognised at the point the licence is granted and variable consideration as soon as recognition criteria are met.

Other performance obligations in the contract might include the supply of product. These arrangements typically involve the receipt of an upfront payment, which the contract attributes to the license of the intangible assets, and ongoing receipts for supply, which the contract attributes to the sale of the product we manufacture. In cases where the transaction has two or more components, we account for the delivered item (for example, the transfer of title to the intangible asset) as a separate unit of account and record revenue on delivery of that component. Where practicable, consideration is allocated to performance obligations on the basis of the standalone selling price of each performance obligation. However, where there is a licence of intellectual property, it is not always possible to establish a reliable estimate of the standalone selling price of the licence as they are unique. Therefore, in these rare situations, the residual approach is used to determine the consideration attributable to the licence.

Where fixed amounts are payable over one year from the effective date of a contract, an assessment is made as to whether a significant financing component exists, and if so, the fair value of this component is deferred and recognised as financing income over the period to the expected date of receipt.

Where control of a right-to-use licence for an intangible asset passes at the outset of an arrangement, revenue is recognised at the point in time control is transferred. Where the substance of a licence arrangement is that of a right-to-access rights attributable to an intangible asset, revenue, in the form of an upfront fee, is recognised over time, normally on a straight-line basis over the life of the contract. Where the Group provides ongoing development services, revenue in respect of this element is recognised over the duration of those services.

Where Collaboration Revenue is recorded and there is a related intangible asset that is licensed as part of the arrangement, an appropriate amount of that intangible asset is charged to Cost of sales based on an allocation of cost or value to the rights that have been licensed.

Cost of sales

Cost of sales are recognised as the associated revenue is recognised. Cost of sales include manufacturing costs, royalties payable on revenues recognised, movements in provisions for inventories, inventory write-offs and impairment charges in relation to manufacturing assets. Cost of sales also includes co-collaborator sharing of profit arising from collaborations, and foreign exchange gains and losses arising from business trading activities.

Research and development

Research expenditure is charged to profit and loss in the year in which it is incurred.

Internal development expenditure is capitalised only if it meets the recognition criteria of IAS 38 ‘Intangible Assets’. This is considered a Key Judgement. Where regulatory and other uncertainties are such that the criteria are not met, the expenditure is charged to profit and loss and this is almost invariably the case prior to approval of the drug by the relevant regulatory authority. Where, however, recognition criteria are met, Intangible assets are capitalised and amortised on a straight-line basis over their useful economic lives from product launch. At 31 December 2024, no amounts have met the recognition criteria.

Payments to in-license products and compounds from third parties for new research and development projects (in process research and development) generally take the form of upfront payments, milestones and royalty payments. Where payments made to third parties represent consideration for future research and development activities, an evaluation is made as to the nature of the payments. Such payments are expensed if they represent compensation for sub-contracted research and development services not resulting in a transfer of intellectual property. By contrast, payments are capitalised if they represent compensation for the transfer of identifiable intellectual property developed at the risk of the third party. Such payments may be made once development or regulatory milestones are met and may also be made on the basis of sales volumes once a product is launched. Development and regulatory milestone payments are capitalised as the milestone is triggered. Sales-related payments are accrued and capitalised with reference to the latest Group sales forecasts for approved indications at the present value of expected future cash flows. Assets capitalised are amortised, on a straight-line basis, over their useful economic lives from product launch.

The determination of useful economic life is considered to be a Key Judgement. On product launch, the Group makes a judgement as to the expected useful economic life with reference to the expiry of associated patents for the product, expectation around the competitive environment specific to the product and our detailed long-term risk-adjusted sales projections compiled annually across the Group and approved by the Board.

The useful economic life can extend beyond patent expiry dependent upon the nature of the product and the complexity of the development and manufacturing process. Significant sales can often be achieved post patent expiration.

Intangible assets

Intangible assets are stated at cost less accumulated amortisation and impairments. Intangible assets relating to products in development are subject to impairment testing annually. All Intangible assets are tested for impairment when there are indications that the carrying value may not be recoverable. The determination of the recoverable amounts includes key estimates which are highly sensitive to, and depend upon, key assumptions as detailed in Note 10 to the Financial Statements from page 172.

F-8

Impairment reviews have been carried out on all Intangible assets that are in development (and not being amortised), all major intangible assets acquired during the year and all other intangible assets that have had indicators of impairment during the year. Recoverable amount is determined as the higher of value-in-use or fair value less costs to sell using a discounted cash flow calculation, with the products’ expected cash flows risk-adjusted over their estimated remaining useful economic life. Sales forecasts and specific allocated costs (which have both been subject to appropriate senior management review and approval) are risk-adjusted and discounted using appropriate rates based on our post-tax weighted average cost of capital or for fair value less costs to sell, a required rate of return for a market participant. Our weighted average cost of capital reflects factors such as our capital structure and our costs of debt and equity.

Any impairment losses are recognised immediately in Operating profit. Intangible assets relating to products which fail during development (or for which development ceases for other reasons) are also tested for impairment and are written down to their recoverable amount (which is usually nil).

If, subsequent to an impairment loss being recognised, development restarts or other facts and circumstances change indicating that the impairment is less or no longer exists, the value of the asset is re-estimated and its carrying value is increased to the recoverable amount, but not exceeding the original value, by recognising an impairment reversal in Operating profit.

Government grants

Government grants are recognised in the Consolidated Statement of Comprehensive Income so as to match with the related expenses that they are intended to compensate. Where grants are received in advance of the related expenses, they are initially recognised in the Consolidated Statement of Financial Position under Trade and other payables as deferred income and released to net off against the related expenditure when incurred.

Each contract is assessed to determine whether there are both grant elements and supply of product which need to be separated. In each case, the contracts set out the specified terms for the supply of the product and the provisions for funding for certain costs, primarily research and development associated with the IP. It is considered whether there are any conditions for the funding to be refunded. The consideration in the contract is allocated between the grant and supply elements. The standalone selling price for the supply of products is determined by reference to observed prices with other customers. The amount allocated as a government grant is determined by reference to the specific agreed costs and activities identified in the contract as not directly attributable to the supply of product. Government grants are recorded as an offset to the relevant expense in the Consolidated Statement of Comprehensive Income and are capped to match the relevant costs incurred.

Other operating income and expense

Other operating income and expense is generated from activities outside of the Group’s normal course of business, which includes Other income from divestments of or full out-license of assets and businesses including royalties and milestones where the Group does not retain a significant continued interest. Where the arrangement meets the definition of a licence agreement, sales milestones and sales royalties are recognised when achieved by applying the royalty exemption under IFRS 15 ‘Revenue from Contracts with Customers’. All other milestones and sales royalties are recognised when it is considered highly probable that there will not be a significant reversal of cumulative income. The determination requires estimates to be made in relation to future Product Sales.

Joint arrangements and associates

The Group has arrangements over which it has joint control and which qualify as joint operations or joint ventures under IFRS 11 ‘Joint Arrangements’. For joint operations, the Group recognises its share of revenue that it earns from the joint operations and its share of expenses incurred. The Group also recognises the assets associated with the joint operations that it controls and the liabilities it incurs under the joint arrangement. For joint ventures and associates, the Group recognises its interest in the joint venture or associate as an investment and uses the equity method of accounting.

Employee benefits

The Group accounts for pensions and other employee benefits (principally healthcare) under IAS 19 ‘Employee Benefits’. In respect of defined benefit plans, obligations are determined using the projected unit credit method and are discounted to present value by reference to market yields on high-quality corporate bonds, while plan assets are measured at fair value. Given the extent of the assumptions used to determine the value of scheme assets and scheme liabilities, these are considered to be significant estimates. The operating and financing costs of such plans are recognised separately in profit and loss; current service costs are spread systematically over the lives of employees and financing costs are recognised in full in the periods in which they arise. Remeasurements of the net defined benefit pension liability, including actuarial gains and losses, are recognised immediately in Other comprehensive income.

Where the calculation results in a surplus to the Group, the recognised asset is limited to the present value of any available future refunds from the plan or reductions in future contributions to the plan subject to consideration of the effect any minimum funding requirement for future service has on the benefit available as a reduction in future contributions.

Payments to defined contribution plans are recognised in profit and loss as they fall due.

Taxation

The current tax payable is based on taxable profit for the year. Taxable profit differs from reported profit because taxable profit excludes items that are either never taxable or tax deductible or items that are taxable or tax deductible in a different period. The Group's current tax assets and liabilities are calculated using tax rates that have been enacted or substantively enacted by the reporting date. Current tax includes the Group's charge for any Pillar Two income taxes.

Deferred tax is provided using the balance sheet liability method, providing for temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for taxation purposes. Deferred tax liabilities are recognised unless they arise from the initial recognition (other than in a business combination) of assets and liabilities in a transaction that affects neither the taxable profit nor the accounting profit. Deferred tax liabilities are not recognised to the extent they arise from the initial recognition of non-tax deductible goodwill. Deferred tax assets are recognised to the extent that there are future taxable temporary differences or it is probable that future taxable profit will be available against which the asset can be utilised. This requires judgements to be made in respect of the availability of future taxable income.

The Group applies the exception to recognising and disclosing information about deferred tax assets and liabilities related to Pillar Two income taxes, as provided in the amendments to IAS 12 ‘Income Taxes’ issued in May 2023.

No deferred tax asset or liability is recognised in respect of temporary differences associated with investments in subsidiaries and branches where the Group is able to control the timing of reversal of the temporary differences and it is probable that the temporary differences will not reverse in the foreseeable future.

F-9

The Group's deferred tax assets and liabilities are calculated using tax rates that are expected to apply in the period when the liability is settled or the asset realised based on tax rates that have been enacted or substantively enacted by the reporting date. Deferred tax liabilities relating to assets recognised because of a business combination which may qualify for intellectual property incentives are measured at the relevant statutory tax rate. Deferred tax assets and liabilities are offset in the Consolidated Statement of Financial Position if, and only if, the taxable entity has a legally enforceable right to set off current tax assets and liabilities, and the Deferred tax assets and liabilities relate to taxes levied by the same taxation authority on the same taxable entity.

Liabilities for uncertain tax positions require management to make judgements of potential exposures in relation to tax audit issues. Tax benefits are not recognised unless the tax positions will probably be accepted by the tax authorities. This is based upon management's interpretation of applicable laws and regulations and the expectation of how the tax authority will resolve the matter. Once considered probable of not being accepted, management reviews each material tax benefit and reflects the effect of the uncertainty in determining the related taxable result.

Liabilities for uncertain tax positions are measured using either the most likely amount or the expected value amount depending on which method the entity expects to better predict the resolution of the uncertainty.

Further details of the estimates and assumptions made in determining our recorded liability for transfer pricing contingencies and other tax contingencies are included in Note 30 to the Financial Statements from page 211.

Share-based payments

All plans have been classified as equity settled after assessment. The grant date fair value of the market-based performance elements of employee share plan awards is calculated using a modified Monte Carlo model, with other elements at market price. In accordance with IFRS 2 ‘Share-based Payment’, the resulting cost is recognised in profit on a straight-line basis over the vesting period of the awards. The value of the charge is adjusted to reflect expected and actual levels of awards vesting, except where the failure to vest is as a result of not meeting a market condition. Cancellations of equity instruments are treated as an acceleration of the vesting period and any outstanding charge is recognised in profit immediately.

Cash outflows relating to the purchase of shares by consolidated Employee Benefit Trusts (EBTs) relating to the vesting of share plans are recognised within financing activities. Cash outflows relating to the employer and employee taxes paid on vesting of share plans are recognised in operating activities as they relate to employee remuneration. The cash flows relating to replacement awards issued to employees as part of the Alexion acquisition are classified within investing activities, as they are part of the aggregate cash flows arising from obtaining control of the subsidiary.

Property, plant and equipment

The Group’s policy is to depreciate the difference between the cost of each item of Property, plant and equipment and its residual value over its estimated useful life on a straight-line basis. Assets under construction are not depreciated until the asset is available for use, at which point the asset is transferred into either Land and buildings or Plant and equipment, and depreciated over its estimated useful economic life.

Reviews are made annually of the estimated remaining lives and residual values of individual productive assets, taking account of commercial and technological obsolescence as well as normal wear and tear. It is impractical to calculate average asset lives exactly. However, the useful economic lives range from approximately 10 to 50 years for buildings, and three to 15 years for plant and equipment. All items of Property, plant and equipment are tested for impairment when there are indications that the carrying value may not be recoverable. Any impairment losses are recognised immediately in Operating profit.

Leases

The Group’s lease arrangements are principally for property, most notably a portfolio of office premises and employee accommodation, and for a global car fleet, utilised primarily by our sales and marketing teams.

The lease liability and corresponding right-of-use asset arising from a lease are initially measured on a present value basis. Lease liabilities include the net present value of the following lease payments:

> fixed payments, less any lease incentives receivable
> variable lease payments that depend on an index or a rate, initially measured using the index or rate as at the commencement date
> the exercise price of a purchase option if the Group is reasonably certain to exercise that option
> payments of penalties for terminating the lease, if the lease term reflects the Group exercising that option, and
> amounts expected to be payable by the Group under residual value guarantees.

Right-of-use assets are measured at cost comprising the following:

> the amount of the initial measurement of lease liability
> any lease payments made at or before the commencement date less any lease incentives received
> any initial direct costs, and
> restoration costs.

Judgements made in calculating the lease liability include assessing whether arrangements contain a lease and determining the lease term. Lease terms are negotiated on an individual basis and contain a wide range of different terms and conditions. Property leases will often include an early termination or extension option to the lease term. Fleet management policies vary by jurisdiction and may include renewal of a lease until a measurement threshold, such as mileage, is reached. Extension and termination options have been considered when determining the lease term, along with all facts and circumstances that may create an economic incentive to exercise an extension option, or not exercise a termination option. Extension periods (or periods after termination options) are only included in the lease term if the lease is reasonably certain to be extended (or not terminated).

The lease payments are discounted using incremental borrowing rates, as in the majority of leases held by the Group the interest rate implicit in the lease is not readily identifiable. Calculating the discount rate is an estimate made in calculating the lease liability. This rate is the rate that the Group would have to pay to borrow the funds necessary to obtain an asset of similar value to the right-of-use asset in a similar economic environment with similar terms, security and conditions. To determine the incremental borrowing rate, the Group uses a risk-free interest rate adjusted for credit risk, adjusting for terms specific to the lease including term, country and currency.

The Group is exposed to potential future increases in variable lease payments that are based on an index or rate, which are initially measured as at the commencement date, with any future changes in the index or rate excluded from the lease liability until they take effect. When adjustments to lease payments based on an index or rate take effect, the lease liability is reassessed and adjusted against the right-of-use asset.

Lease payments are allocated between principal and finance cost. The finance cost is charged to the Consolidated Statement of Comprehensive Income over the lease period so as to produce a constant periodic rate of interest on the remaining balance of the liability for each period.

F-10

Payments associated with short-term leases of Property, plant and equipment and all leases of low-value assets are recognised on a straight-line basis as an expense in the Consolidated Statement of Comprehensive Income. Short-term leases are leases with a lease term of 12 months or less. Low-value leases are those where the underlying asset value, when new, is $ 5,000 or less and includes IT equipment and small items of office furniture.

Contracts may contain both lease and non-lease components. The Group allocates the consideration in the contract to the lease and non-lease components based on their relative standalone prices.

Right-of-use assets are generally depreciated over the shorter of the asset's useful life and the lease term on a straight-line basis. If the Group is reasonably certain to exercise a purchase option, the right-of-use asset is depreciated over the underlying asset’s useful life. It is impractical to calculate average asset lives exactly. However, the total lives range from approximately 10 to 50 years for buildings, and three to 15 years for motor vehicles and other assets .

There are no material lease agreements under which the Group is a lessor.

Business combinations and goodwill

In assessing whether an acquired set of assets and activities is a business or an asset, management will first elect whether to apply an optional concentration test to simplify the assessment. Where the concentration test is applied, the acquisition will be treated as the acquisition of an asset if substantially all of the fair value of the gross assets acquired (excluding cash and cash equivalents, deferred tax assets, and related goodwill) is concentrated in a single asset or group of similar identifiable assets.

Where the concentration test is not applied, or is not met, a further assessment of whether the acquired set of assets and activities is a business will be performed.

The determination of whether an acquired set of assets and activities is a business or an asset can be judgemental, particularly if the target is not producing outputs. Management uses a number of factors to make this determination, which are primarily focused on whether the acquired set of assets and activities include substantive processes that mean the set is capable of being managed for the purpose of providing a return. Key determining factors include the stage of development of any assets acquired, the readiness and ability of the acquired set to produce outputs and the presence of key experienced employees capable of conducting activities required to develop or manufacture the assets. Typically, the specialised nature of many pharmaceutical assets and processes is such that until assets are substantively ready for production and promotion, there are not the required processes for a set of assets and activities to meet the definition of a business in IFRS 3 ‘Business Combinations’.

On the acquisition of a business, fair values are attributed to the identifiable assets and liabilities. Attributing fair values is a judgement. Contingent liabilities are also recorded at fair value unless the fair value cannot be measured reliably, in which case the value is subsumed into goodwill. Where fair values of acquired contingent liabilities cannot be measured reliably, the assumed contingent liability is not recognised but is disclosed in the same manner as other contingent liabilities.

Where not all of the equity of a subsidiary is acquired, the non-controlling interest is recognised either at fair value or at the non-controlling interest’s proportionate share of the net assets of the subsidiary, on a case-by-case basis. Put options over non-controlling interests are recognised as a financial liability, with a corresponding entry in either Retained earnings or against non-controlling interest reserves on a case-by-case basis.

The timing and amount of future contingent elements of consideration is an estimate. Contingent consideration, which may include development and launch milestones, revenue threshold milestones and revenue-based royalties, is fair valued at the date of acquisition using decision-tree analysis with key inputs including probability of success, consideration of potential delays and revenue projections based on the Group’s internal forecasts. Unsettled amounts of consideration are held at fair value within payables with changes in fair value recognised immediately in profit.

Goodwill is the difference between the fair value of the consideration and the fair value of net assets acquired.

Goodwill arising on acquisitions is capitalised and subject to an impairment review, both annually and when there is an indication that the carrying value may not be recoverable.

The Group’s policy up to and including 1997 was to eliminate Goodwill arising upon acquisitions against reserves. Under IFRS 1 ‘First-time Adoption of International Financial Reporting Standards’ and IFRS 3 ‘Business Combinations’, such Goodwill will remain eliminated against reserves.

Subsidiaries

A subsidiary is an entity controlled, directly or indirectly, by AstraZeneca PLC. Control is regarded as the exposure or rights to the variable returns of the entity when combined with the power to affect those returns. Control is normally evidenced by holding more than 50% of the share capital of the company, however other agreements may be in place that result in control where they give AstraZeneca finance decision-making authority over the relevant activities of the company.

The financial results of subsidiaries are consolidated from the date control is obtained until the date that control ceases.

Inventories

Inventories are stated at the lower of cost and net realisable value. The first in, first out or an average method of valuation is used. For finished goods and work in progress, cost includes directly attributable costs and certain overhead expenses (including depreciation). Selling expenses and certain other overhead expenses (principally central administration costs) are excluded. Net realisable value is determined as estimated selling price less all estimated costs of completion and costs to be incurred in selling and distribution.

Write-downs of inventory occur in the general course of business and are recognised in Cost of sales for launched or approved products and in Research and development expense for products in development.

Assets held for sale

Non-current assets are classified as Assets held for sale when their carrying amount is to be recovered principally through a sale transaction and a sale is considered highly probable. A sale is considered highly probable only when the appropriate level of management has committed to the sale.

Assets held for sale are stated at the lower of carrying amount and fair value less costs to sell. Where there is a partial transfer of a non-current asset to held for sale, an allocation of value is made between the current and non-current portions of the asset based on the relative value of the two portions, unless there is a methodology that better reflects the asset to be disposed of.

Assets held for sale are neither depreciated nor amortised.

Trade and other receivables

Financial assets included in Trade and other receivables are recognised initially at fair value. The Group holds the Trade receivables with the objective to collect the contractual cash flows and therefore measures them subsequently at amortised cost using the effective interest method, less any impairment, based on expected credit losses.

F-11

Trade receivables that are subject to debt factoring arrangements are derecognised if they meet the conditions for derecognition detailed in IFRS 9 ‘Financial Instruments’.

Trade and other payables

Financial liabilities included in Trade and other payables are recognised initially at fair value. Subsequent to initial recognition they are measured at amortised cost using the effective interest method. Contingent consideration payables are held at fair value within Level 3 of the fair value hierarchy as defined in Note 12.

Financial instruments

The Group’s financial instruments include Lease liabilities, Trade and other receivables and payables, liabilities for contingent consideration and put options under business combinations, and rights and obligations under employee benefit plans which are dealt with in specific accounting policies.

The Group’s other financial instruments include:

> Cash and cash equivalents
> Fixed deposits
> Other investments
> Bank and other borrowings
> Derivatives.

Cash and cash equivalents

Cash and cash equivalents comprise cash in hand, current balances with banks and similar institutions, and highly liquid investments with maturities of three months or less when acquired. They are readily convertible into known amounts of cash and are held at amortised cost under the hold to collect classification, where they meet the hold to collect ‘solely payments of principal and interest’ test criteria under IFRS 9 ‘Financial Instruments’. Those not meeting these criteria are held at fair value through profit or loss. Cash and cash equivalents in the Consolidated Statement of Cash Flows include unsecured bank overdrafts at the balance sheet date where balances often fluctuate between a cash and overdraft position.

Fixed deposits

Fixed deposits, principally comprising funds held with banks and other financial institutions, are initially measured at fair value, plus direct transaction costs, and are subsequently measured at amortised cost using the effective interest method at each reporting date. Changes in carrying value are recognised in the Consolidated Statement of Comprehensive Income.

Other investments

Investments are classified as fair value through profit or loss (FVPL), unless the Group makes an irrevocable election at initial recognition for certain non-current equity investments to present changes in Other comprehensive income (FVOCI). If this election is made, there is no subsequent reclassification of fair value gains and losses to profit and loss following the derecognition of the investment.

Bank and other borrowings

The Group uses derivatives, principally interest rate swaps, to hedge the interest rate exposure inherent in a portion of its fixed interest rate debt. In such cases the Group will either designate the debt as FVPL when certain criteria are met or as the hedged item under a fair value hedge.

If the debt instrument is designated as FVPL, the debt is initially measured at fair value (with direct transaction costs being included in profit and loss as an expense) and is remeasured to fair value at each reporting date with changes in carrying value being recognised in profit and loss (along with changes in the fair value of the related derivative), with the exception of changes in the fair value of the debt instrument relating to own credit risk which are recorded in Other comprehensive income in accordance with IFRS 9 ‘Financial Instruments’. Such a designation has been made where this significantly reduces an accounting mismatch which would result from recognising gains and losses on different bases.

If the debt is designated as the hedged item under a fair value hedge, the debt is initially measured at fair value (with direct transaction costs being amortised over the life of the debt) and is remeasured for fair value changes in respect of the hedged risk at each reporting date with changes in carrying value being recognised in profit and loss (along with changes in the fair value of the related derivative).

If the debt is designated in a cash flow hedge, the debt is measured at amortised cost (with gains or losses taken to profit and loss and direct transaction costs being amortised over the life of the debt). The related derivative is remeasured for fair value changes at each reporting date with the portion of the gain or loss on the derivative that is determined to be an effective hedge recognised in Other comprehensive income. The amounts that have been recognised in Other comprehensive income are reclassified to profit and loss in the same period that the hedged forecast cash flows affect profit. The reclassification adjustment is included in Finance expense in the Consolidated Statement of Comprehensive Income.

Other interest-bearing loans are initially measured at fair value (with direct transaction costs being amortised over the life of the loan) and are subsequently measured at amortised cost using the effective interest method at each reporting date. Changes in carrying value are recognised in the Consolidated Statement of Comprehensive Income.

Derivatives

Derivatives are initially measured at fair value (with direct transaction costs being included in profit and loss as an expense) and are subsequently remeasured to fair value at each reporting date. Changes in carrying value of derivatives not designated in hedging relationships are recognised in profit and loss.

The Group has agreements with some bank counterparties whereby the parties agree to post cash collateral, for the benefit of the other, equivalent to the market valuation of all of the derivative positions above a predetermined threshold. Cash collateral received from counterparties is included within current Interest-bearing loans and borrowings within the Consolidated Statement of Financial Position. Cash collateral pledged to counterparties is recognised as a financial asset and is included in current Other investments within the Consolidated Statement of Financial Position. Cash collateral received is included in Movement in short-term borrowings within financing activities in the Consolidated Statement of Cash Flows. Cash collateral paid is included in Movements in short-term investments within investing activities in the Consolidated Statement of Cash Flows. The cash flow presentation of cash paid and received follows the Consolidated Statement of Financial Position presentation of the financial asset and financial liability that is recognised from posting the collateral.

Foreign currencies

Foreign currency transactions, being transactions denominated in a currency other than an individual Group entity’s functional currency, are translated into the relevant functional currencies of individual Group entities at average rates for the relevant monthly accounting periods, which approximate to actual rates.

F-12

Monetary assets and liabilities arising from foreign currency transactions are retranslated at exchange rates prevailing at the reporting date. Exchange gains and losses on loans and on short-term foreign currency borrowings and deposits are included within Finance expense. Exchange differences on all other foreign currency transactions are recognised in Operating profit in the individual Group entity’s accounting records.

Non-monetary items arising from foreign currency transactions are not retranslated in the individual Group entity’s accounting records.

In the Consolidated Financial Statements, income and expense items for Group entities with a functional currency other than US dollars are translated into US dollars at average exchange rates, which approximate to actual rates, for the relevant accounting periods. Assets and liabilities are translated at the US dollar exchange rates prevailing at the reporting date. Exchange differences arising on consolidation are recognised in Other comprehensive income.

If certain criteria are met, non-US dollar-denominated loans or derivatives are designated as net investment hedges of foreign operations. Exchange differences arising on retranslation of net investments, and of foreign currency loans which are designated in an effective net investment hedge relationship, are recognised in Other comprehensive income in the Consolidated Financial Statements. Foreign exchange derivatives hedging net investments in foreign operations are carried at fair value. Effective fair value movements are recognised in Other comprehensive income, with any ineffectiveness taken to profit. Gains and losses accumulated in the translation reserve will be recycled to profit and loss when the foreign operation is sold.

Provisions

Provisions are recognised when there is either a legal or constructive present obligation as a result of a past event, it is probable that an outflow of economic resources will be required to settle the obligation and a reliable estimate can be made of the amount of the obligation. If the effect of the time value of money is material, provisions are discounted at the relevant pre-tax discount rate. Where provisions are discounted, the increase in the provision resulting from the passage of time is recognised as a finance cost.

Litigation and environmental liabilities

AstraZeneca is involved in legal disputes, the settlement of which may involve cost to the Group. A provision is made where an adverse outcome is probable and associated costs, including related legal costs, can be estimated reliably. Determining the timing of recognition of when an adverse outcome is probable is considered a Key Judgement, refer to Note 30 to the Financial Statements on page 205.

Where it is considered that the Group is more likely than not to prevail, or in the extremely rare circumstances where the amount of the legal liability cannot be estimated reliably, legal costs involved in defending the claim are charged to the Consolidated Statement of Comprehensive Income as they are incurred.

Where it is considered that the Group has a valid contract which provides the right to reimbursement (from insurance or otherwise) of legal costs and/or all or part of any loss incurred or for which a provision has been established, the amount expected to be received is recognised as an asset only when it is virtually certain.

AstraZeneca is exposed to environmental liabilities relating to its past operations, principally in respect of soil and groundwater remediation costs. Provisions for these costs are made when there is a present obligation and where it is probable that expenditure on remedial work will be required and a reliable estimate can be made of the cost.

Restructuring

Restructuring costs are incurred in programmes that are planned and controlled by the Group which materially change either the scope of a business undertaken by the Group, or the manner in which that business is conducted.

A provision for restructuring costs is recognised when a detailed formal plan is in place and has either been announced to those affected or has started to be implemented. The general recognition criteria for provisions must also be met, as described in the Provisions policy.

Impairment

The carrying values of non-financial assets, other than Inventories and Deferred tax assets, are reviewed at least annually to determine whether there is any indication of impairment. For Goodwill, Intangible assets under development and for any other assets where such indication exists, the asset’s recoverable amount is estimated based on the greater of its value in use and its fair value less cost to sell. In assessing the recoverable amount, the estimated future cash flows, adjusted for the risks associated with the probability of success specific to each asset, as well as inflationary impacts, are discounted to their present value using a nominal discount rate that reflects current market assessments of the time value of money, the general risks affecting the pharmaceutical industry and other risks specific to each asset. For the purpose of impairment testing, assets are grouped together into the smallest group of assets that generates cash inflows from continuing use that are largely independent of the cash flows of other assets. Impairment losses are recognised immediately in the Consolidated Statement of Comprehensive Income.

Applicable accounting standards and interpretations issued but not yet adopted

At the date of authorisation of these Financial Statements, certain new accounting standards and amendments were in issue relating to the following standards and interpretations but not yet adopted by the Group:

> IFRS 18 ‘Presentation and Disclosure in Financial Statements’ is effective for accounting periods beginning on or after 1 January 2027 and will replace IAS 1 ‘Presentation of Financial Statements’. IFRS 18 sets out new presentation requirements for the Statement of Comprehensive Income, as well as more stringent and additional requirements on the aggregation, disaggregation and categorisation of income and expenses within the Statement of Comprehensive Income. Additionally, alternative performance measures included within the Annual Report which meet the definition of Management-defined Performance Measures are required to be disclosed within the Notes to the Financial Statements.
> The Group is currently ass essing the impact of IFRS 18. It is expected that IFRS 18 will have a significant impact on the presentation of the Consolidated Statement of Comprehensive Income, and may require judgements around aggregation and disaggregation of certain balances, as well as requiring additional disclosures relating to Management-defined Performance Measures, aggregation and disaggregation, and EPS. IFRS 18 is yet to be endorsed by the UKEB and the Group is not seeking to early adopt the standard.

In addition, the following amendment was issued but not yet adopted:

> amendments to IAS 21 'The Effects of Changes in Foreign Exchange Rates', effective for periods beginning on or after 1 January 2025 - endorsed by the UKEB on 15 July 2024.

F-13

Notes to the Group Financial Statements

1 Revenue

Product Sales

2024

2023

2022

Emerging

Rest of

Emerging

Rest of

Emerging

Rest of

US

Markets

Europe

World

Total

US

Markets

Europe

World

Total

US

Markets

Europe

World

Total

$m

$m

$m

$m

$m

$m

$m

$m

$m

$m

$m

$m

$m

$m

$m

Oncology:

Tagrisso

2,763

1,755

1,301

761

6,580

2,276

1,621

1,120

782

5,799

2,007

1,567

1,023

847

5,444

Imfinzi

2,603

479

948

687

4,717

2,171

355

742

751

4,019

1,539

287

544

401

2,771

Calquence

2,190

153

656

130

3,129

1,815

98

493

108

2,514

1,657

45

286

69

2,057

Lynparza

1,332

655

832

253

3,072

1,254

542

734

281

2,811

1,226

488

655

269

2,638

Enhertu

350

126

69

545

169

60

32

261

51

21

7

79

Zoladex

16

795

148

99

1,058

14

687

133

118

952

15

657

133

122

927

Imjudo

180

16

36

49

281

146

5

16

51

218

13

13

Truqap

408

2

12

8

430

6

6

Orpathys

44

44

44

44

33

33

Others

18

253

23

125

419

37

307

34

143

521

27

409

64

169

669

9,510

4,502

4,082

2,181

20,275

7,719

3,828

3,332

2,266

17,145

6,484

3,537

2,726

1,884

14,631

Cardiovascular, Renal & Metabolism:

Farxiga

1,750

2,853

2,634

419

7,656

1,451

2,211

1,881

420

5,963

1,071

1,665

1,297

348

4,381

Brilinta

751

294

268

20

1,333

744

285

271

24

1,324

744

286

282

46

1,358

Crestor

46

934

37

136

1,153

55

862

52

138

1,107

65

794

41

148

1,048

Seloken/Toprol-XL

589

13

3

605

1

621

11

7

640

839

14

9

862

Lokelma

256

86

92

108

542

214

50

58

90

412

170

20

30

69

289

Roxadustat

331

331

271

271

197

197

Andexxa

81

3

80

55

219

75

62

45

182

77

41

32

150

Wainua

85

85

Others

106

249

146

23

524

212

286

168

20

686

352

318

201

32

903

3,075

5,339

3,270

764

12,448

2,752

4,586

2,503

744

10,585

2,479

4,119

1,906

684

9,188

Respiratory & Immunology:

Symbicort

1,187

805

559

328

2,879

726

753

549

334

2,362

973

608

582

375

2,538

Fasenra

1,049

92

404

144

1,689

992

64

355

142

1,553

906

43

305

142

1,396

Pulmicort

6

568

71

37

682

28

575

68

42

713

65

462

69

49

645

Breztri

516

245

143

74

978

383

161

81

52

677

239

92

33

34

398

Tezspire

11

156

81

248

1

48

37

86

2

2

4

Saphnelo

425

7

26

16

474

260

2

8

10

280

111

2

3

116

Airsupra

66

66

2

2

Others

167

169

57

7

400

156

215

55

8

434

361

238

61

8

668

3,416

1,897

1,416

687

7,416

2,547

1,771

1,164

625

6,107

2,655

1,443

1,054

613

5,765

Vaccines & Immune Therapies:

Synagis

( 8 )

210

116

129

447

( 1 )

195

175

177

546

1

173

213

191

578

Beyfortus

232

84

2

318

87

19

106

FluMist

28

1

204

25

258

23

1

188

4

216

21

1

151

2

175

COVID-19 mAbs

28

3

31

6

12

114

132

1,067

413

298

407

2,185

Others

2

2

4

10

2

12

79

729

365

625

1,798

280

213

409

156

1,058

109

212

396

295

1,012

1,168

1,316

1,027

1,225

4,736

Rare Disease:

Ultomiris

2,261

141

884

638

3,924

1,750

71

668

476

2,965

1,136

38

481

310

1,965

Soliris

1,523

443

416

206

2,588

1,734

424

670

317

3,145

2,180

301

805

476

3,762

Strensiq

1,167

54

99

96

1,416

937

40

89

86

1,152

769

35

78

76

958

Koselugo

212

177

103

39

531

195

59

53

24

331

162

26

20

208

Kanuma

100

34

66

9

209

85

29

49

8

171

77

31

44

8

160

5,263

849

1,568

988

8,668

4,701

623

1,529

911

7,764

4,324

431

1,428

870

7,053

Other:

Nexium

96

591

60

120

867

115

578

53

199

945

120

568

46

551

1,285

Others

15

144

43

4

206

18

153

52

8

231

24

220

77

19

340

111

735

103

124

1,073

133

731

105

207

1,176

144

788

123

570

1,625

Product Sales

21,655

13,535

10,848

4,900

50,938

17,961

11,751

9,029

5,048

43,789

17,254

11,634

8,264

5,846

42,998

Rebates and chargebacks in the US

The major market where estimates are seen as significant is the US. When invoicing Product Sales in the US, we estimate the rebates and chargebacks we expect to pay and we consider there to be a significant estimate associated with the rebates for Managed Care, Medicaid and Medicare Part D. The total adjustment in respect of prior year net US Product Sales in 2024 was 0.6 % (2023: 1.0 %; 2022: 1.3 %); this represents the difference between our prior year estimates for rebates and chargebacks against actual amounts paid for the US business. The most significant of

F-14

these relate to the Medicaid and state programmes with an adjustment in respect of prior year net US Product Sales in 2024 of 0.1 % (2023: 0.3 %; 2022: 0.5 %) and Managed Care and Medicare of 0.6 % (2023: 0.5 %; 2022: 0.8 %).

The adjustment in respect of the prior year net US Product Sales, excluding the Rare Disease therapy area in 2024, was 0.8 % (2023: 1.4 %; 2022: 1.6 %), with Medicaid and state programmes of 0.1 % (2023: 0.4 %; 2022: 0.6 %) and Managed Care and Medicare of 0.7 % (2023: 0.7 %; 2022: 1.1 %).

These values demonstrate the level of sensitivity; further meaningful sensitivity is not able to be provided due to the large volume of variables that contribute to the overall rebates, chargebacks, returns and other revenue accruals. These variables include assumptions in respect of aggregate future sales levels, segment mix and customers' contractual performance, and in addition for Managed Care, US Medicaid and Medicare Part D, the channel inventory levels, and assumptions related to lag time. These assumptions are built up on a product-by-product and customer-by-customer basis, taking into account specific contract provisions coupled with expected performance, and are then aggregated into a weighted average rebate accrual rate for each of our products. Accrual rates are reviewed and adjusted on an as-needed basis. There may be further adjustments when actual rebates are invoiced based on utilisation information submitted to AstraZeneca (in the case of contractual rebates) and claims/invoices are received (in the case of regulatory rebates and chargebacks).

Alliance Revenue

2024

2023

2022

$m

$m

$m

Enhertu

1,437

1,022

523

Tezspire

436

259

79

Beyfortus

237

57

Vaxzevria : royalties

76

Other royalty income

91

81

68

Other Alliance Revenue

11

9

9

2,212

1,428

755

Collaboration Revenue

2024

2023

2022

$m

$m

$m

Lynparza : sales milestones

600

Beyfortus : sales milestones

167

27

Koselugo : sales milestones

100

Farxiga : sales milestones

56

29

Lynparza : regulatory milestones

245

355

COVID-19 mAbs: licence fees

180

Beyfortus : regulatory milestones

71

25

tralokinumab: sales milestones

20

110

Nexium : sale of rights

62

Other Collaboration Revenue

22

46

923

594

598

2 Operating profit

Operating profit includes the following significant items:

Cost of sales

In 2024, Cost of sales includes a charge of $ nil (2023: $ 114 m; 2022: $ 3,484 m) in relation to the release, in line with sales, of fair value uplift to inventory that was recognised under IFRS 3 ‘Business Combinations’ upon the acquisition of Alexion.

Selling, general and administrative expense

In 2024, Selling, general and administrative expense includes a charge of $ 260 m (2023: $ 520 m; 2022: $ 182 m) resulting from changes in the fair value of contingent consideration arising from the acquisition of the diabetes alliance from BMS. These adjustments reflect revised estimates for future sales performance for the products acquired and, as a result, revised estimates for future royalties payable.

In 2024, Selling, general and administrative expense also includes a charge of $ 48 m (2023: $ 1,013 m; 2022: $ 789 m) relating to a number of legal proceedings, including settlements in various jurisdictions in relation to several marketed products (see Note 30).

Research and development expense: Government grants

During the year $ nil (2023: $ 74 m; 2022: $ 113 m) of government grants were recognised within Research and development expense. The grants recognised relate to funding for Research and development and related expenses for COVID-19 mAbs of $ nil (2023: $ nil ; 2022: $ 112 m) and Vaxzevria of $ nil (2023: $ 74 m; 2022: $ 1 m).

Other operating income and expense

2024

2023

2022

$m

$m

$m

Royalty income

103

107

59

Gains on disposal of intangible assets

64

251

104

Net (losses)/gains on disposal of other non-current assets

( 4 )

41

112

Update to the contractual relationships for Beyfortus

712

Other income 1

210

393

439

Other expense

( 121 )

( 164 )

( 200 )

Other operating income and expense

252

1,340

514

1 Other income in 2024 includes $ nil of income from Allergan Plc. in respect of the development of brazikumab (2023: $ 75 m; 2022: $ 138 m).

Gains on disposal of intangible assets in 2023 includes $ 241 m on disposal of commercial rights to Pulmicort Flexhaler to Cheplapharm in the US.

F-15

Net (losses)/gains on disposal of other non-current assets in 2022 includes a $ 125 m gain in respect of the Waltham R&D site sale and leaseback in MA, US (see Note 8).

As part of the total consideration received in respect of the agreement to sell US rights to Synagis in 2019, $ 400 m in total has been received related to the rights to participate in the future cash flows from the US profits or losses for Beyfortus , with $ 190 m cash inflows in 2023 primarily relating to a cash receipt from Sobi following achievement of a regulatory milestone. At 31 December 2022, the full amount of $ 522 m was recognised as a financial liability within non-current Other payables (the Profit Participation Liability) as the Group had not fully transferred the risks and rewards of the underlying cash flows arising from Beyfortus to Sobi. All associated cash flows have been presented within investing activities as the Group has received the cash in exchange for agreeing to transfer future cash flows relating to an intangible asset. In 2023, the contractual relationship between AstraZeneca and Sobi relating to future sales of Beyfortus in the US was replaced by a royalty relationship between Sanofi and Sobi. As a result, the Profit Participation Liability was extinguished and derecognised from the Consolidated Statement of Financial Position, with a gain of $ 712 m recorded in Other operating income and expense.

Restructuring costs

In conjunction with the acquisition of Alexion in 2021, the enlarged Group initiated the Post Alexion Acquisition Group Review (PAAGR); a global restructuring programme aimed at integrating systems, structure and processes, optimising the global footprint and prioritising resource allocations and investments. During 2023, the Group identified all remaining activities and finalised the scope of the programme. During 2024, the Group has undertaken a further assessment of those planned activities. This included the commencement of work on the planned upgrade of the Group's Enterprise Resource Planning IT systems (Axial Project), which is expected to be substantially complete by the end of 2030. The Group has also continued to progress other legacy restructuring programmes.

During 2024, the Group has incurred $ 1,154 m of restructuring costs, of which $ 1,115 m resulted from activities that are part of the PAAGR, bringing the cumulative charges under this programme to $ 3,182 m. Costs in 2024 included $ 529 m within Cost of sales primarily due to inventory and related product provisions related to Andexxa following the decision to cease promotional activities, $ 312 m within Selling, general and administrative expense in relation to severance, HR, Finance, IT and other integration costs and $ 275 m within Research and development expense in relation to the transformation of clinical, regulatory and other R&D data and systems.

Total restructuring costs in 2024 includes a net impairment charge to Property, plant and equipment of $ 43 m (2023: charge of $ 7 m; 2022: reversal of $ 4 m), a $ 7 m impairment charge to Right-of-use assets (2023: $ 13 m; 2022: $ nil ) and no impairment of Intangible assets (2023: $ nil ; 2022: reversal of $ 17 m relating to software development costs).

The tables below show the costs that have been charged in respect of restructuring programmes by cost category and type. Severance provisions are detailed in Note 21.

2024

2023

2022

$m

$m

$m

Cost of sales

569

109

266

Distribution expense

2

Research and development expense

275

212

111

Selling, general and administrative expense

312

207

405

Other operating income and expense

( 2 )

( 61 )

( 67 )

Total charge

1,154

467

717

2024

2023

2022

$m

$m

$m

Severance costs

213

57

187

Accelerated depreciation and impairment charges

64

68

135

Other 1

877

342

395

Total charge

1,154

467

717

1 Other costs are those incurred in designing and implementing the Group’s various restructuring initiatives. In 2024, Other costs included $ 480 m for inventory and related product provisions related to Andexxa following the decision to cease promotional activities. Other costs also include the costs of integrating systems, structure and processes as part of the PAAGR, costs relating to the Alexion acquisition, internal project costs and external service fees.

Financial instruments

Included within Operating profit are the following net gains and losses on financial instruments:

2024

2023

2022

$m

$m

$m

(Losses)/gains on forward foreign exchange contracts

( 81 )

42

150

Losses on receivables and payables

( 143 )

( 260 )

( 203 )

Total

( 224 )

( 218 )

( 53 )

Impairment charges

Details of impairment charges for 2024, 2023 and 2022 are included in Notes 7, 8 and 10.

F-16

3 Finance income and expense

2024

2023

2022

$m

$m

$m

Finance income

Returns on deposits and equity securities

339

291

78

Fair value gains on debt and interest rate swaps

113

43

14

Interest income on income tax balances

6

10

3

Total

458

344

95

Finance expense

Interest on debt, leases and other financing costs

( 1,391 )

( 1,132 )

( 889 )

Net interest on post-employment defined benefit plan net liabilities (Note 22)

( 50 )

( 38 )

( 29 )

Net exchange losses

( 42 )

( 34 )

( 16 )

Discount unwind on contingent consideration arising from business combinations (Note 20)

( 113 )

( 132 )

( 168 )

Discount unwind on other long-term liabilities 1

( 116 )

( 200 )

( 216 )

Fair value losses on debt and interest rate swaps

( 18 )

( 3 )

Interest expense on income tax balances

( 12 )

( 87 )

( 28 )

Total

( 1,742 )

( 1,626 )

( 1,346 )

Net finance expense

( 1,284 )

( 1,282 )

( 1,251 )

1 Included within Discount unwind on other long-term liabilities is $ nil relating to the Acerta Pharma share purchase liability (2023: $ 55 m; 2022: $ 108 m) and the discount unwind of other payables of $ 91 m (2023: $ 100 m; 2022: $ nil ) that have arisen from intangible asset additions, see Note 20 for further details.

There was no interest capitalised during the year.

Financial instruments

Included within Finance income and expense are the following net gains and losses on financial instruments:

2024

2023

2022

$m

$m

$m

Interest and fair value adjustments in respect of debt designated at fair value through profit or loss, net of derivatives

107

13

( 9 )

Interest and changes in carrying values of debt designated as hedged items in fair value hedges, net of derivatives

( 38 )

Interest and fair value changes on fixed and short-term deposits, equity securities, other derivatives and tax balances

306

177

54

Interest on debt, commercial paper, overdrafts and lease liabilities held at amortised cost

( 1,251 )

( 1,004 )

( 837 )

The Group held derivatives that economically hedged a debt instrument designated at fair value through profit or loss. Both the derivatives and debt instrument matured in 2023. The Interest and fair value adjustments in respect of debt designated at fair value through profit or loss, net of derivatives, includes the following amounts related to these matured instruments; derivatives $ nil (2023: loss of $ 1 m; 2022: loss of $ 25 m); debt $ nil (2023: gain of $ 7 m; 2022: gain of $ 26 m).

4 Taxation

Taxation charge/(credit) recognised in the Consolidated Statement of Comprehensive Income is as follows:

2024

2023

2022

$m

$m

$m

Current tax

Current year

2,314

2,417

1,823

Pillar Two income tax charge

238

Adjustment to prior years

( 107 )

28

( 187 )

Total

2,445

2,445

1,636

Deferred tax

Origination and reversal of temporary differences

( 818 )

( 1,473 )

( 2,563 )

Adjustment to prior years

23

( 34 )

135

Total

( 795 )

( 1,507 )

( 2,428 )

Taxation charge/(credit) recognised in the profit for the year

1,650

938

( 792 )

Taxation (charge)/credit recognised in Other comprehensive income is as follows:

2024

2023

2022

$m

$m

$m

Current and deferred tax

Items that will not be reclassified to profit and loss:

Remeasurement of the defined benefit liability

( 23 )

102

( 231 )

Equity investments measured at fair value through Other comprehensive income

( 20 )

( 1 )

15

Total

( 43 )

101

( 216 )

Items that may be reclassified subsequently to profit and loss:

Foreign exchange arising on designated liabilities in net investment hedges

28

( 24 )

73

Fair value movement on cash flow hedges

( 3 )

12

Total

25

( 12 )

73

Taxation (charge)/credit recognised in Other comprehensive income

( 18 )

89

( 143 )

The reported tax rate in the year was 19 %.

The income tax paid for the year was $ 2,750 m.

F-17

Taxation has been provided at current rates on the profits earned for the years covered by the Group Financial Statements. The 2024, 2023 and 2022 prior year current tax adjustments relate mainly to tax accrual to tax return adjustments and updates to provisions for tax contingencies.

The 2024 prior year deferred tax adjustment relates mainly to tax accrual to tax return adjustments and updates to provisions for tax contingencies. The 2023 prior year deferred tax adjustment relates mainly to tax accrual to tax return adjustments and adjustments to the recognition of deferred tax assets. The 2022 prior year deferred tax adjustments relate mainly to tax accrual to tax return adjustments and updates to provisions for tax contingencies.

To the extent that dividends remitted from overseas subsidiaries, joint ventures and associates are expected to result in additional taxes, appropriate amounts have been provided for. Unremitted earnings or differences in the carrying value and tax basis of investments may be liable to additional taxes if distributed as dividends or on a liquidation event. Deferred tax is provided for such differences in relation to Group entities where management is intending to remit earnings in the foreseeable future. The aggregate amount of gross temporary differences associated with investments in subsidiaries, partnerships and branches for which deferred tax liabilities have not been recognised totalled approximately $ 7,586 m at 31 December 2024, $ 3,585 m of which has a corresponding deductible temporary difference of the same gross value which is not recognised as it is not probable of reversing in the foreseeable future but on which different tax rates apply.

Factors affecting future tax charges

As a group with worldwide operations, AstraZeneca is subject to several factors that may affect future tax charges, principally the levels and mix of profitability in different jurisdictions, transfer pricing regulations, tax rates imposed and tax regime reforms.

Tax reconciliation to UK statutory rate

The table below reconciles the UK statutory tax charge to the Group’s total tax charge/(credit):

2024

2023

2022

$m

$m

$m

Profit before tax

8,691

6,899

2,501

Notional taxation charge at UK corporation tax rate of 25 % (2023: 23.5 %; 2022: 19 %)

2,173

1,621

475

Differences in effective overseas tax rates 1

( 60 )

( 224 )

( 59 )

Deferred tax credit relating to change in tax rates 2

( 24 )

( 66 )

( 108 )

Unrecognised deferred tax asset 3

104

341

68

Items not deductible for tax purposes

64

46

90

Intellectual Property incentive regimes

( 561 )

( 367 )

( 265 )

Pillar Two income taxes

238

Other items 4

( 200 )

( 406 )

( 941 )

Adjustments to prior periods 5

( 84 )

( 7 )

( 52 )

Total tax charge/(credit) for the year

1,650

938

( 792 )

1 Includes the impact of the reversal of a $ 1.9 bn deferred tax liability that was recognised in a previous business combination (31 December 2024: $ 0.5 bn) and originated in goodwill. Some of this liability reverses in an intellectual property incentive regime and gives rise to a post-acquisition benefit to the tax charge that is not material year-on-year. Determining the cumulative post-acquisition benefit over the life of the asset involves estimates and judgements as the amount of income that qualifies for the intellectual property incentive regime varies. The actual tax rates applied over the life of the asset are expected to be a blend between the Dutch statutory tax rate and intellectual property incentive regime rate.
2 The 2023 item relates to the impact of the difference in the UK current and deferred tax rates during 2023. The 2022 item relates to the impact of the US state tax rate change and the impact of the difference in the UK current tax and deferred tax rates during 2022.
3 This includes the derecognition of deferred tax assets where it is no longer probable that there will be sufficient forecast future profits to utilise the assets.
4 Other items in 2024 includes a net credit following internal transfers of assets. Other items in 2023 include a favourable adjustment of $ 828 m to deferred taxes arising from a UK company undertaking an intragroup purchase of certain intellectual property offset by a charge of $ 422 m mainly relating to updates to tax liabilities following progress of reviews by tax authorities, administrative appeal processes and adjustments arising on expiry of the relevant statute of limitations (see Note 30 for more details). Other items in 2022 includes a one-time favourable net adjustment of $ 876 m to deferred taxes arising from an internal reorganisation to integrate the Alexion organisation which took place in 2022 and a credit of $ 65 m relating to the reduction of tax liabilities arising from adjustments on expiry of the relevant statute of limitations.
5 Further details explaining the adjustments in respect of prior years are set out above.

AstraZeneca is domiciled in the UK but operates in other countries where the tax rates and laws are different to those in the UK. The impact on differences in effective overseas tax rates on the Group’s overall tax charge is noted above. Profits arising from our manufacturing operation in Puerto Rico are granted special status and are taxed at a reduced rate compared with the normal rate of tax in that territory under a tax incentive grant continuing until 2031. The Group receives intellectual property incentives in certain jurisdictions, resulting in a reduction to the tax charge in the Consolidated Statement of Comprehensive Income of $ 561 m in 2024.

F-18

Deferred tax

The total movement in the net deferred tax balance in the year was $ 168 m. The movements are as follows:

Intangibles,

Elimination of

Losses and

Property, plant

unrealised profit

Untaxed

tax credits

Accrued

and equipment

on inventory

reserves

1

carried forward

expenses

Other

2

Total

$m

$m

$m

$m

$m

$m

$m

Net deferred tax balance at 1 January 2022

( 5,480 )

1,861

( 862 )

1,518

85

1,002

( 1,876 )

Income statement 3

1,414

274

38

( 126 )

778

50

2,428

Other comprehensive income

72

( 215 )

( 143 )

Equity

38

38

Exchange

63

( 111 )

108

( 134 )

17

( 71 )

( 128 )

Net deferred tax balance at 31 December 2022

( 3,931 )

2,024

( 716 )

1,258

880

804

319

Income statement 3

1,518

426

96

( 308 )

( 23 )

( 202 )

1,507

Other comprehensive income

( 16 )

83

67

Equity

( 21 )

( 21 )

Additions and disposals

( 24 )

50

( 1 )

25

Exchange

( 38 )

( 64 )

( 40 )

106

32

( 19 )

( 23 )

Net deferred tax balance at 31 December 2023

( 2,491 )

2,386

( 660 )

1,106

889

644

1,874

Income statement

803

238

( 186 )

36

74

( 170 )

795

Other comprehensive income

34

( 42 )

( 8 )

Equity

( 28 )

( 28 )

Additions and disposals

( 605 )

127

2

( 1 )

( 477 )

Exchange

93

( 152 )

68

( 70 )

( 40 )

( 13 )

( 114 )

Net deferred tax balance at 31 December 2024⁴

( 2,166 )

5

2,472

( 778 )

1,199

925

390

2,042

1 Untaxed reserves relate to taxable profits where the tax liability is deferred to later periods.
2 The Group revised its presentation of deferred taxes on pension and post-retirement benefits in 2024 to present this within Other.
3 The Income statement movement in 2023 includes $ 828 m arising from a UK company undertaking an intragroup purchase of certain intellectual property. The Income statement movement in 2022 includes the aforementioned net adjustment to deferred taxes of $ 876 m arising on the internal legal entity reorganisation to integrate the Alexion organisation, the majority of which arises on Intangibles, Property, plant and equipment.
4 The Group recognises deferred tax assets to the extent that there are either taxable temporary differences or that it is probable that sufficient future taxable profits will arise, against which these deductible temporary differences can be utilised. The US includes a net deferred tax asset of $ 122 m and the UK includes a net deferred tax asset of $ 1,597 m as at 31 December 2024 which includes tax losses and other deductible temporary differences. The Group has performed an assessment of recovery of deferred tax assets and for these respective entities, the Group has forecasted future taxable profits and considers that it is probable that sufficient future taxable profits will arise against which these deductible temporary differences can be utilised. In arriving at these forecasts, the Group has reviewed the Group-level budgets and forecasts and the ability of those entities to generate future income from developing and commercialising products, including local tax laws and the scheduling of reversal of deductible temporary differences. Deferred tax assets are recognised on the basis there is sufficient forecast future taxable profits arising from the performance of on-market products and pipeline assets, including Imfinzi . For the UK, losses are forecast to be utilised within five years . For the US, recognised deferred taxes on losses and other items are forecast to be utilised within 10 years . It is considered that these sources of income are sufficiently predictable or diversified to support these recognition periods. A sensitivity assessment has been performed which shows that a change in profit of 10 % results in an immaterial adjustment to the amount of deferred tax asset recognised. Assessing the availability of future taxable income to support recognition of deferred tax assets relies upon our Group forecasts and changes in these Group forecasts will impact the recoverability of deferred tax assets. To the extent that there are neither taxable temporary differences nor sufficient taxable profits, no deferred tax asset is recognised and details of unrecognised deferred tax assets are included in the table below.
5 Includes deferred tax assets of $ 384 m on liabilities in respect of intangibles and $ 221 m on lease liabilities in respect of right-of-use assets.

The net deferred tax balance, before the offset of balances within countries, consists of:

Intangibles,

Elimination of

Losses and

Property, plant

unrealised profit

Untaxed

tax credits

Accrued

and equipment

on inventory

reserves

carried forward

expenses

Other

1

Total

$m

$m

$m

$m

$m

$m

$m

Deferred tax assets at 31 December 2022

1,499

2,048

1,274

1,005

885

6,711

Deferred tax liabilities at 31 December 2022

( 5,430 )

( 24 )

( 716 )

( 16 )

( 125 )

( 81 )

( 6,392 )

Net deferred tax balance at 31 December 2022

( 3,931 )

2,024

( 716 )

1,258

880

804

319

Deferred tax assets at 31 December 2023

1,883

2,386

1,141

1,011

801

7,222

Deferred tax liabilities at 31 December 2023

( 4,374 )

( 660 )

( 35 )

( 122 )

( 157 )

( 5,348 )

Net deferred tax balance at 31 December 2023

( 2,491 )

2,386

( 660 )

1,106

889

644

1,874

Deferred tax assets at 31 December 2024

1,781

2,472

1,221

1,039

688

7,201

Deferred tax liabilities at 31 December 2024

( 3,947 )

( 778 )

( 22 )

( 114 )

( 298 )

( 5,159 )

Net deferred tax balance at 31 December 2024

( 2,166 )

2,472

( 778 )

1,199

925

390

2,042

1 The Group revised its presentation of deferred taxes on pension and post-retirement benefits in 2024 to present this within Other.

Analysed in the Consolidated Statement of Financial Position, after offset of balances within countries, as follows:

2024

2023

2022

$m

$m

$m

Deferred tax assets

5,347

4,718

3,263

Deferred tax liabilities

( 3,305 )

( 2,844 )

( 2,944 )

Net deferred tax balance

2,042

1,874

319

F-19

Unrecognised deferred tax assets

Deferred tax assets (DTA) of $ 1,523 m (2023: $ 1,251 m; 2022: $ 807 m) have not been recognised in respect of deductible temporary differences because it is not probable that future taxable profit will be available against which the Group can utilise the benefits therefrom.

2024

2024

2023

2023

2022

2022

Temporary

Unrecognised

Temporary

Unrecognised

Temporary

Unrecognised

differences

DTA

differences

DTA

differences

DTA

$m

$m

$m

$m

$m

$m

Temporary differences expiring:

Within 10 years

161

37

87

22

104

26

More than 10 years

217

46

153

32

153

32

Indefinite

3,883

816

2,788

595

686

163

4,261

899

3,028

649

943

221

Tax credits and State tax losses expiring:

Within 10 years

162

152

115

More than 10 years

373

363

384

Indefinite

89

87

87

624

602

586

Total

1,523

1,251

807

5 Earnings per $0.25 Ordinary Share

2024

2023

2022

Profit for the year attributable to equity holders ($m)

7,035

5,955

3,288

Basic earnings per Ordinary Share

$ 4.54

$ 3.84

$ 2.12

Diluted earnings per Ordinary Share

$ 4.50

$ 3.81

$ 2.11

Weighted average number of Ordinary Shares in issue for basic earnings (millions)

1,550

1,549

1,548

Dilutive impact of share options outstanding (millions)

13

13

12

Diluted weighted average number of Ordinary Shares in issue (millions)

1,563

1,562

1,560

The earnings figures used in the calculations above are post-tax. The weighted average number of Ordinary Shares in issue is calculated by taking the number of Ordinary Shares outstanding each day weighted by the number of days that those shares were outstanding.

6 Segment information

The Group has reviewed its assessment of reportable segments under IFRS 8 ‘Operating Segments’ and concluded that the Group continues to have one reportable segment.

This determination is considered to be a Key Judgement and this judgement has been taken with reference to the following factors:

1 The level of integration across the different functions of the Group’s pharmaceutical business:

AstraZeneca is engaged in a single business activity of pharmaceuticals and the Group does not have multiple operating segments. AstraZeneca’s pharmaceuticals business consists of the discovery and development of new products, which are then manufactured, marketed and sold. All of these functional activities take place (and are managed) globally on a highly integrated basis. These individual functional areas are not managed separately.

2 The identification of the Chief Operating Decision Maker (CODM) and the nature and extent of the financial information reviewed by the CODM:

The SET, established and chaired by the CEO, is the vehicle through which the CEO exercises the authority delegated to him from the Board for the management, development and performance of AstraZeneca as a whole. It is considered that the SET is AstraZeneca’s Chief Operating Decision Making body (as defined by IFRS 8). The operation of the SET is principally driven by the management of the Commercial operations, R&D, manufacturing and supply and enabling functions. All significant operating decisions are undertaken by the SET. While members of the SET have responsibility for implementation of decisions in their respective areas, operating decision making is at SET level as a whole. Where necessary, these are implemented through cross-functional sub-committees that consider the Group-wide impact of a new decision. For example, product launch decisions would be initially considered by the SET and, on approval, passed to an appropriate sub team for implementation. The ability of the enterprise to develop, produce, deliver and commercialise a wide range of pharmaceutical products are central to the SET decision-making process.

In assessing performance, the SET reviews financial information on an integrated basis for the Group as a whole, substantially in the form of, and on the same basis as, the Group’s IFRS Financial Statements. The high upfront cost of discovering and developing new products, coupled with the relatively insignificant and stable unit cost of production, means that there is not the clear link that exists in many manufacturing businesses between the revenue generated on an individual product sale and the associated cost and hence margin generated on a product. Consequently, the profitability of individual drugs or classes of drugs is not considered a key measure of performance for the business and is not monitored by the SET. The focus of additional financial information reviewed is at brand sales and Gross Margin level within specific geographies. Expenditure analysis is completed for the science units, operations and enabling functions; there is no allocation of these centrally-managed Group costs to the individual product or brands. The bonus of SET members’ continues to be derived from the Group scorecard outcome as discussed in our Directors’ Remuneration Report.

3 How resources are allocated:

Resources are allocated on a Group-wide basis according to need. In particular, capital expenditure, in-licensing, and R&D resources are allocated between activities on merit, based on overall therapeutic considerations and strategy under the aegis of the Group’s Early-Stage Product Committees and Late-Stage Product Committees.

F-20

Geographic areas

The following table shows information for Total Revenue by geographic area and material countries. Product Sales by geographic area are included in the country/region where the legal entity resides and from which those sales were made. The additional tables show the Operating profit and Profit before tax made by companies located in that area, together with Non-current assets, Total assets, Assets acquired, Net operating assets, and Property, plant and equipment owned by the same companies.

Total Revenue

2024

2023

2022

$m

$m

$m

UK

4,740

3,368

3,117

Rest of Europe

France

1,283

1,152

1,107

Germany

2,524

2,099

1,902

Italy

949

813

735

Spain

994

847

738

Sweden

2,290

1,704

1,721

Others

3,663

3,110

2,706

11,703

9,725

8,909

The Americas

Canada

937

967

1,166

US

21,806

18,121

17,278

Others

2,246

1,683

1,175

24,989

20,771

19,619

Asia, Africa & Australasia

Australia

439

390

571

China

6,419

5,872

5,743

Japan

3,452

3,640

3,986

Others

2,331

2,045

2,406

12,641

11,947

12,706

Total Revenue

54,073

45,811

44,351

Total Revenue outside of the UK totalled $ 49,333 m for the year ended 31 December 2024 (2023: $ 42,443 m; 2022: $ 41,234 m).

Operating profit/(loss)

Profit/(loss) before tax

2024

2023

2022

2024

2023

2022

$m

$m

$m

$m

$m

$m

UK

2,680

665

1,120

1,349

( 577 )

272

Rest of Europe

5,924

4,885

2,945

6,057

4,999

2,709

The Americas

423

1,495

( 954 )

318

1,328

( 1,140 )

Asia, Africa & Australasia

976

1,148

646

967

1,149

660

Continuing operations

10,003

8,193

3,757

8,691

6,899

2,501

Non-current assets

1, 2

Total assets

2024

2023

2022

2024

2023

2022

$m

$m

$m

$m

$m

$m

UK

8,699

8,626

8,208

20,139

19,616

16,786

Rest of Europe

30,654

32,905

34,301

37,884

40,638

40,669

The Americas

28,730

26,524

25,425

38,544

34,754

32,990

Asia, Africa & Australasia

2,181

910

929

7,468

6,111

6,038

Continuing operations

70,264

68,965

68,863

104,035

101,119

96,483

Assets acquired

3

Net operating assets

4

2024

2023

2022

2024

2023

2022

$m

$m

$m

$m

$m

$m

UK

582

812

2,301

7,173

5,275

3,863

Rest of Europe

2,225

1,770

522

30,852

32,920

32,726

The Americas

3,925

1,925

421

24,501

22,746

23,290

Asia, Africa & Australasia

1,394

117

51

2,602

1,405

1,895

Continuing operations

8,126

4,624

3,295

65,128

62,346

61,774

1 Non-current assets exclude Deferred tax assets and Derivative financial instruments.
2 In 2023, the Group revised the presentation of Non-current assets to exclude certain financial assets and post-employment benefit assets which previously had been included in this disclosure. This resulted in a decrease in 2022 of $ 1,690 m.
3 Included in Assets acquired are those assets that are expected to be used during more than one period (Property, plant and equipment, Goodwill and Intangible assets) and include those acquired through business combinations (Note 27).
4 Net operating assets exclude short-term investments, cash, short-term borrowings, loans, Derivative financial instruments, Retirement benefit obligations and non-operating receivables and payables.

Property, plant and equipment

2024

2023

2022

$m

$m

$m

UK

2,847

2,831

2,526

Ireland

1,323

1,164

1,040

Sweden

1,692

1,678

1,472

US

2,856

2,371

2,176

Rest of the world

1,534

1,358

1,293

Continuing operations

10,252

9,402

8,507

F-21

Geographic markets

The table below shows Product Sales in each geographic market in which customers are located.

2024

2023

2022

$m

$m

$m

UK

1,314

978

996

Rest of Europe

10,686

8,201

7,503

The Americas

25,081

20,855

20,126

Asia, Africa & Australasia

13,857

13,755

14,373

Continuing operations

50,938

43,789

42,998

Product Sales are recognised when control of the goods has been transferred to a third party. A significant proportion of this is upon delivery of the products to wholesalers. One wholesaler (2023: one ; 2022: one ) individually represented greater than 10% of Product Sales. The value of Product Sales to this wholesaler was $ 7,567 m (2023: $ 6,513 m; 2022: $ 5,387 m).

7 Property, plant and equipment

Assets in

Total Property,

Land and

Plant and

course of

plant and

buildings

equipment

construction

equipment

$m

$m

$m

$m

Cost

At 1 January 2022

6,377

7,903

2,728

17,008

Capital expenditure

5

19

1,042

1,066

Transfer of assets into use

226

683

( 909 )

Transfer of Assets held for sale (Note 18)

( 434 )

( 293 )

( 727 )

Disposals and other movements

( 425 )

( 146 )

28

( 543 )

Exchange adjustments

( 309 )

( 610 )

( 236 )

( 1,155 )

At 31 December 2022

5,440

7,556

2,653

15,649

Additions through business combinations (Note 27)

2

10

12

Capital expenditure

9

43

1,402

1,454

Transfer of assets into use

959

1,158

( 2,117 )

Disposals and other movements

( 6 )

( 255 )

( 11 )

( 272 )

Exchange adjustments

65

192

118

375

At 31 December 2023

6,469

8,704

2,045

17,218

Additions through business combinations (Note 27)

1

15

2

18

Capital expenditure

27

63

1,905

1,995

Transfer of assets into use

312

729

( 1,041 )

Disposals and other movements

( 44 )

( 271 )

( 40 )

( 355 )

Exchange adjustments

( 185 )

( 386 )

( 82 )

( 653 )

At 31 December 2024

6,580

8,854

2,789

18,223

Depreciation and impairment

At 1 January 2022

2,877

4,948

7,825

Depreciation charge for the year

286

566

852

Impairment charge/(reversal)

20

8

( 28 )

Transferred to Assets held for sale (Note 18)

( 300 )

( 277 )

( 577 )

Disposals and other movements

( 227 )

( 188 )

28

( 387 )

Exchange adjustments

( 167 )

( 404 )

( 571 )

At 31 December 2022

2,489

4,653

7,142

Depreciation charge for the year

241

492

733

Impairment charge

4

4

8

Disposals and other movements

( 13 )

( 220 )

( 233 )

Exchange adjustments

44

122

166

At 31 December 2023

2,765

5,051

7,816

Depreciation charge for the year

231

568

799

Impairment charge

( 7 )

49

42

Disposals and other movements

( 39 )

( 252 )

( 49 )

( 340 )

Exchange adjustments

( 101 )

( 245 )

( 346 )

At 31 December 2024

2,856

5,115

7,971

Net book value

At 31 December 2022

2,951

2,903

2,653

8,507

At 31 December 2023

3,704

3,653

2,045

9,402

At 31 December 2024

3,724

3,739

2,789

10,252

2024

2023

2022

$m

$m

$m

The net book value of land and buildings comprised:

Freeholds

3,329

2,976

2,555

Leaseholds

395

728

396

F-22

8 Leases

Right-of-use assets

Total

Land and

Motor

Right-of-use

buildings

vehicles

Other

assets

$m

$m

$m

$m

Cost

At 1 January 2022

1,133

321

33

1,487

Additions through business combinations (Note 27)

4

4

Additions – separately acquired

140

81

14

235

Disposals and other movements

( 33 )

( 58 )

( 13 )

( 104 )

Exchange adjustments

( 62 )

( 15 )

( 2 )

( 79 )

At 31 December 2022

1,182

329

32

1,543

Additions through business combinations (Note 27)

8

8

Additions – separately acquired

220

219

5

444

Disposals and other movements

( 71 )

( 57 )

( 2 )

( 130 )

Exchange adjustments

13

4

1

18

At 31 December 2023

1,352

495

36

1,883

Additions through business combinations (Note 27)

20

20

Additions – separately acquired

332

342

18

692

Disposals and other movements

( 73 )

( 140 )

( 5 )

( 218 )

Exchange adjustments

( 43 )

( 33 )

( 2 )

( 78 )

At 31 December 2024

1,588

664

47

2,299

Depreciation and impairment

At 1 January 2022

326

154

19

499

Depreciation charge for the year

160

80

6

246

Impairment charge

2

2

Disposals and other movements

( 54 )

( 50 )

( 10 )

( 114 )

Exchange adjustments

( 23 )

( 8 )

( 1 )

( 32 )

At 31 December 2022

411

176

14

601

Depreciation charge for the year

170

98

7

275

Impairment charge

14

14

Disposals and other movements

( 53 )

( 61 )

( 2 )

( 116 )

Exchange adjustments

7

2

9

At 31 December 2023

549

215

19

783

Depreciation charge for the year

183

151

9

343

Impairment charge

7

7

Disposals and other movements

( 71 )

( 115 )

( 6 )

( 192 )

Exchange adjustments

( 22 )

( 14 )

( 1 )

( 37 )

At 31 December 2024

646

237

21

904

Net book value

At 31 December 2022

771

153

18

942

At 31 December 2023

803

280

17

1,100

At 31 December 2024

942

427

26

1,395

Lease liabilities

2024

2023

2022

$m

$m

$m

The present value of lease liabilities is as follows:

Within one year

( 339 )

( 271 )

( 228 )

Later than one year and not later than five years

( 825 )

( 657 )

( 549 )

Later than five years

( 288 )

( 200 )

( 176 )

Total lease liabilities

( 1,452 )

( 1,128 )

( 953 )

The interest expense on lease liabilities included within Finance expense was $ 61 m (2023: $ 33 m; 2022: $ 24 m).

The total cash outflow for leases in 2024 was $ 377 m (2023: $ 301 m; 2022: $ 268 m).

The Group has entered into lease contracts that have not yet commenced. The nominal value of estimated future lease payments under these lease contracts approximates $ 1,515 m as of 31 December 2024. Of this value, $ 1,348 m relates to a property lease in the US which is expected to commence in 2026 with a lease term of 15 years .

In 2022 the Group entered into a sale and leaseback agreement in relation to the Waltham R&D site in MA, US. Prior to the sale, the carrying value of the Property, plant and equipment was $ 124 m. Cash proceeds of $ 265 m were received, recorded within Disposal of property, plant and equipment within the Consolidated Statement of Cash Flows, and a gain on disposal of $ 125 m was recorded within Other operating income and expense within the Consolidated Statement of Comprehensive Income. A lease liability and a corresponding right-of-use asset were recorded of $ 28 m and $ 13 m, respectively.

F-23

9 Goodwill

2024

2023

2022

$m

$m

$m

Cost

At 1 January

20,361

20,131

20,311

Additions through business combinations (Note 27)

1,083

158

15

Exchange and other adjustments

( 109 )

72

( 195 )

At 31 December

21,335

20,361

20,131

Amortisation and impairment losses

At 1 January

313

311

314

Exchange and other adjustments

( 3 )

2

( 3 )

At 31 December

310

313

311

Net book value

At 31 December

21,025

20,048

19,820

Goodwill is tested for impairment at the operating segment level, this being the level at which goodwill is monitored for internal management purposes. As detailed in Note 6, the Group does not have multiple operating segments and is engaged in a single business activity of pharmaceuticals.

Recoverable amount is determined on a fair value less costs to sell basis using the market value of the Company’s outstanding Ordinary Shares. Our market capitalisation is compared to the book value of the Group’s net assets and this indicates a significant surplus at 31 December 2024 (and 31 December 2023 and 31 December 2022). No goodwill impairment was identified.

10 Intangible assets

Product,

Software

marketing and

Other

development

distribution rights

intangibles

costs

Total

$m

$m

$m

$m

Cost

At 1 January 2022

66,590

2,611

1,432

70,633

Additions through business combinations (Note 27)

46

46

Additions – separately acquired

2,051

12

105

2,168

Disposals

( 57 )

( 105 )

( 36 )

( 198 )

Exchange and other adjustments

( 1,799 )

( 122 )

( 106 )

( 2,027 )

At 31 December 2022

66,785

2,442

1,395

70,622

Additions through business combinations (Note 27)

65

35

100

Additions – separately acquired

2,530

200

170

2,900

Disposals

( 669 )

( 14 )

( 683 )

Exchange and other adjustments

496

30

24

550

At 31 December 2023

69,207

2,707

1,575

73,489

Additions through business combinations (Note 27)

2,308

56

2,364

Additions – separately acquired

2,226

150

290

2,666

Disposals

( 294 )

( 285 )

( 579 )

Exchange and other adjustments

( 964 )

( 13 )

( 50 )

( 1,027 )

At 31 December 2024

72,483

2,900

1,530

76,913

Amortisation and impairment losses

At 1 January 2022

25,276

1,863

1,002

28,141

Amortisation for year

3,899

181

76

4,156

Impairment charges

236

82

318

Impairment reversals

( 77 )

( 17 )

( 94 )

Disposals

( 55 )

( 105 )

( 20 )

( 180 )

Exchange and other adjustments

( 887 )

( 76 )

( 63 )

( 1,026 )

At 31 December 2022

28,392

1,945

978

31,315

Amortisation for year

3,771

75

80

3,926

Impairment charges

434

434

Disposals

( 667 )

( 12 )

( 679 )

Exchange and other adjustments

336

41

27

404

At 31 December 2023

32,266

2,061

1,073

35,400

Amortisation for year

3,761

78

84

3,923

Impairment charges

1,577

3

2

1,582

Impairment reversals

( 8 )

( 8 )

Disposals

( 286 )

( 283 )

( 569 )

Exchange and other adjustments

( 561 )

( 13 )

( 18 )

( 592 )

At 31 December 2024

36,749

2,129

858

39,736

Net book value

At 31 December 2022

38,393

497

417

39,307

At 31 December 2023

36,941

646

502

38,089

At 31 December 2024

35,734

771

672

37,177

F-24

Other intangibles consist mainly of research and device technologies and the Alexion brand name. Included within Software development costs are assets currently in development that will commence amortisation when ready for use.

Included within Additions − separately acquired are amounts of $ 365 m (2023: $ 625 m; 2022: $ 1,135 m), relating to deferred payments and other non-cash consideration for the acquisition of Product, marketing and distribution rights, which are not reflected in the current year Consolidated Statement of Cash Flows. Disposals include amounts related to fully amortised or impaired assets that are no longer in use by the Group.

Amortisation charges are recognised in the Consolidated Statement of Comprehensive Income as follows:

Product,

Software

marketing and

Other

development

distribution rights

intangibles

costs

Total

$m

$m

$m

$m

Year ended 31 December 2022

Cost of sales

32

32

Research and development expense

30

30

Selling, general and administrative expense

3,867

151

76

4,094

Total

3,899

181

76

4,156

Year ended 31 December 2023

Cost of sales

32

32

Research and development expense

28

28

Selling, general and administrative expense

3,739

47

80

3,866

Total

3,771

75

80

3,926

Year ended 31 December 2024

Cost of sales

32

1

33

Research and development expense

3

22

25

Selling, general and administrative expense

3,726

55

84

3,865

Total

3,761

78

84

3,923

Net impairment charges are recognised in the Consolidated Statement of Comprehensive Income as follows:

Product,

Software

marketing and

Other

development

distribution rights

intangibles

costs

Total

$m

$m

$m

$m

Year ended 31 December 2022

Research and development expense

95

95

Selling, general and administrative expense

64

82

( 17 )

129

Total

159

82

( 17 )

224

Year ended 31 December 2023

Research and development expense

417

417

Selling, general and administrative expense

17

17

Total

434

434

Year ended 31 December 2024

Research and development expense

1,065

1,065

Selling, general and administrative expense

504

3

2

509

Total

1,569

3

2

1,574

Impairment charges and reversals

We perform a rigorous impairment trigger assessment for all our intangible assets. Intangible assets under development and not available for use are tested annually for impairment and other intangible assets are tested when there is an indication of impairment loss or reversal. Where testing is required, the recoverable amount of the assets is estimated in order to determine the extent of the impairment loss or reversal. Where it is not possible to estimate the recoverable amount of an individual asset, the Group estimates the recoverable amount of the Cash Generating Unit (CGU) to which it belongs. The Group considers that as the intangible assets are linked to individual products and that product cash flows are considered to be largely independent of other product cash flows, the CGU for intangibles is at the product level. Group-level budgets and forecasts include forecast capital investment and operational impacts related to sustainability projects, as well as inflationary impacts, and form the basis for the value in use models used for impairment testing.

An asset’s recoverable amount is determined as the higher of an asset’s or CGU’s fair value less costs to sell or value in use, in both cases using discounted cash flow calculations where the asset’s expected post-tax cash flows are risk-adjusted over their estimated remaining period of expected economic benefit. Where the value in use approach is used, the post-tax risk-adjusted cash flows are discounted using AstraZeneca’s post-tax weighted average cost of capital ( 7.5 % for 2024, 7.5 % for 2023 and 7 % for 2022) which is a nominal rate. There is no material difference in the approach taken to using pre-tax cash flows and a pre-tax rate compared to post-tax cash flows and a post-tax rate, as required by IAS 36 ‘Impairment of Assets’. Where fair value less costs to sell is used to determine recoverable value, the discount rate is assessed with reference to a market participant, this is not usually materially different to the AstraZeneca post-tax weighted average cost of capital of 7.5 %. Intangible assets have been tested for impairment under the value in use basis at risk-adjusted post-tax discount rates ranging between 7.5 % to 9.5 %.

Key assumptions and significant estimates used in calculating the recoverable amounts are highly sensitive and specific to the nature of the Group’s activities including:

> outcome of R&D activities
> probability of technical and regulatory success
> market volume, share and pricing (to derive peak year sales)
> amount and timing of projected future cash flows
> sales erosion curves following patent expiry.

F-25

Whilst the intangible assets portfolio is generally exposed to significant impairment risk within the next financial year, no sensitivities have been disclosed since no specific asset has been identified as having a significant risk of a material impairment arising from reasonably possible changes in key assumptions.

For assets held at fair value less costs to sell, we make appropriate adjustments to reflect market participant assessments.

In 2024, the Group recorded impairment charges of $ 504 m in respect of launched products. Following a strategic review of our portfolio priorities, a business decision was made to cease promotional activity for Andexxa resulting in impairment charges of $ 504 m recorded against the Andexxa intangible asset under a value-in-use model applying a discount rate of 7.5 % (revised carrying amount: $ nil ).

Impairment charges recorded against products in development totalled $ 1,073 m. This included full impairments of vemircopan (ALXN2050) ($ 753 m, acquired as part of the Alexion business combination in 2021), following outcome of research activities, and FPI-2059 ($ 165 m, acquired as part of the Fusion business combination in 2024) due to portfolio prioritisation decisions. The remaining impairments of $ 155 m relate to impairments of various products in development, due to either management’s decision to discontinue development as part of Group-wide portfolio prioritisation decisions, or due to the outcome of research activities.

In 2023, the Group recorded impairment charges of $ 17 m in respect of launched products. Impairment charges recorded against products in development totalled $ 417 m, including $ 244 m related to ALXN1840 which was fully impaired following the decision to discontinue development.

In 2022, the Group recorded impairment charges of $ 146 m in respect of launched products. Impairment charges recorded against products in development totalled $ 172 m due to decisions made to terminate the related activities.

The Group has performed an assessment on assets which have had impairments recorded in previous periods to determine if any reversals of impairments were required. Impairment reversals of $ 8 m were recorded in 2024 against products in development. No impairment reversals were recorded in 2023. Impairment reversals of $ 94 m were recorded in 2022, including $ 77 m in respect of products in development.

When launched products are partially impaired, the carrying values of these assets in future periods are particularly sensitive to changes in forecast assumptions, including those assumptions set out above, as the asset is impaired down to its recoverable amount.

Significant assets

Carrying

Remaining

value

amortisation

$m

period

C5 franchise ( Soliris / Ultomiris ) intangible assets arising from the acquisition of Alexion

12,667

3 to 11 years

Intangible assets arising from the acquisition of Acerta Pharma

3,853

8 years

Strensiq , Kanuma intangible assets arising from the acquisition of Alexion

3,221

8 to 14 years

Enhertu intangible assets acquired from Daiichi Sankyo

2,534

9 years

Intangible asset products in development arising from the acquisition of Alexion 1

1,913

Not amortised

Intangible assets arising from the acquisition of ZS Pharma

1,548

7 years

Intangible asset products in development arising from the acquisition of Fusion 1

1,161

Not amortised

Intangible asset products in development arising from the acquisition of Gracell 1

983

Not amortised

Datroway intangible assets acquired from Daiichi Sankyo 1

974

Not amortised

Baxdrostat intangible asset acquired from CinCor 1

790

Not amortised

Intangible asset products in development arising from the acquisition of Amolyt 1

768

Not amortised

Intangible asset products in development arising from the acquisition of Icosavax 1

639

Not amortised

Airsupra intangible asset

500

10 years

Intangible assets arising from the restructuring of a historical joint venture with MSD

375

2 to 5 years

Monalizumab intangible assets acquired from Innate Pharma 1

364

Not amortised

Intangible assets arising from the acquisition of Pearl Therapeutics

309

4 to 5 years

Rare disease portfolio assets acquired from Pfizer 1

300

Not amortised

1 Assets in development are not amortised but are tested annually for impairment.

In 2024, the intangible assets recognised on acquisition of Amolyt and Icosavax were separately assessed under the optional concentration test in IFRS 3 ‘Business Combinations’ and were individually determined to be asset acquisitions, as substantially all of the value of the gross assets acquired in each transaction was concentrated in these single assets.

The intangible asset baxdrostat recognised on acquisition of CinCor in 2023 was assessed under the optional concentration test in IFRS 3 and was determined to be an asset acquisition, as substantially all of the value of the gross assets acquired was concentrated in this single asset.

The acquisition of Pfizer’s pre-clinical rare disease gene therapy portfolio in 2023 was assessed under IFRS 3 and the transaction was treated as an asset acquisition.

11 Investments in associates and joint ventures

2024

2023

2022

$m

$m

$m

At 1 January

147

76

69

Additions

158

80

26

Share of after tax losses

( 28 )

( 12 )

( 5 )

Exchange and other adjustments

( 9 )

3

( 14 )

At 31 December

268

147

76

On 22 May 2024, AstraZeneca entered into an agreement with Fuse Biosciences (Cayman) Limited to acquire equity. Under the terms of the agreement, AstraZeneca contributed $ 11 m in initial funds, holds 25 % board representation, and holds a 18.75 % interest in the associate entity.

F-26

On 1 November 2023, AstraZeneca entered into an agreement with Cellectis, a clinical-stage biotechnology company, to accelerate the development of next generation therapeutics in areas of high unmet medical need, including oncology, immunology and rare diseases. Under the terms of the agreement, AstraZeneca contributed $ 80 m in funds for a 22 % interest in the associate entity. On 22 May 2024, a further contribution of $ 140 m was made for a further 22 % interest. AstraZeneca holds a 44 % interest in the associate entity.

On 29 January 2021, AstraZeneca entered into an agreement with IHP Holdings Limited to create and run an online platform (iHospital) offering consultations with physicians, repeat prescriptions and e-pharmacy in China. The agreement resulted in the formation of a new entity, IHP HK Holdings Limited. AstraZeneca contributed $ 30 m in initial funds and holds a 50 % interest in the associate entity.

On 1 December 2020, AstraZeneca and China International Capital Corporation (CICC) entered into an agreement to set up a Global Healthcare Industrial Fund to drive healthcare system innovation by leveraging local capital and accelerating China-related innovation incubation. The agreement resulted in the formation of a new entity, Wuxi AstraZeneca-CICC Venture Capital Partnership (Limited Partnership). AstraZeneca holds a 22 % interest in the associate entity and contributed $ 1 m in initial funds in 2020, with contributions of $ 45 m, $ 21 m and $ 7 m made in 2021, 2022 and 2024 respectively.

On 23 September 2021, AstraZeneca entered into an agreement with VaxEquity Limited (‘VaxEquity’) to collaborate and develop self-amplifying RNA technology with the aim of generating treatments for target diseases. AstraZeneca contributed $ 14 m in initial funds and holds a 40 % interest in the associate entity. On 13 April 2024, VaxEquity entered a voluntary liquidation process.

On 27 November 2017, AstraZeneca entered into a joint venture agreement with Chinese Future Industry Investment Fund (FIIF), to discover, develop and commercialise potential new medicines to help address unmet medical needs globally, and to bring innovative new medicines to patients in China more quickly. The agreement resulted in the formation of a joint venture entity based in China, Dizal (Jiangsu) Pharmaceutical Co., Ltd. Since its establishment, AstraZeneca has contributed $ 80 m in cash to the joint venture entity and has a 26 % interest in the joint venture.

On 1 December 2015, AstraZeneca entered into a joint venture agreement with Fujifilm Kyowa Kirin Biologics Co., Ltd. to develop a biosimilar using the combined capabilities of the two parties. The agreement resulted in the formation of a joint venture entity based in the UK, Centus Biotherapeutics Limited (‘Centus’). Since its establishment, AstraZeneca has contributed $ 135 m in cash to the joint venture entity and has a 50 % interest in the joint venture which has a carrying value of $ nil (2023: $ nil ; 2022: $ nil ). On 7 May 2024 Centus was dissolved.

All investments are accounted for using the equity method. At 31 December 2024, unrecognised losses in associates and joint ventures totalled $ 177 m (2023: $ 140 m; 2022: $ 92 m) which have not been recognised due to the investment carrying value reaching $nil value.

Aggregated summarised financial information for the associate and joint venture entities is set out below:

2024

2023

2022

$m

$m

$m

Non-current assets

577

424

290

Current assets

508

362

300

Total liabilities

( 516 )

( 287 )

( 72 )

Net assets

569

499

518

Amount attributable to AstraZeneca

131

85

91

Goodwill

152

52

Exchange adjustments

( 15 )

10

( 15 )

Carrying value of investments in associates and joint ventures

268

147

76

Joint contractual arrangements were entered into between AstraZeneca and Daiichi Sankyo; in March 2019 for the co-development and co-commercialisation of Enhertu and in July 2020 for the co-development and co-commercialisation of Datroway . Each party shares global pre-tax net income from the collaboration on a 50 : 50 basis (with the exception of Japan where Daiichi Sankyo maintains exclusive rights and AstraZeneca receives a royalty). The joint operation is not structured through a separate legal entity, and it operates from AstraZeneca and Daiichi Sankyo’s respective principal places of business.

12 Other investments

2024

2023

2022

$m

$m

$m

Non-current investments

Equity securities at fair value through Other comprehensive income

1,632

1,530

1,056

Fixed income securities at fair value through profit or loss

10

Total

1,632

1,530

1,066

Current investments

Fixed income securities at fair value through profit or loss

37

20

13

Cash collateral pledged to counterparties

129

102

162

Fixed deposits

64

Total

166

122

239

Other investments held at FVOCI include equity securities which are not held for trading and which the Group has irrevocably elected at initial recognition to recognise in this category. Other investments held at FVPL mainly comprise fixed income securities that the Group holds to sell.

The fair value of listed investments is based on year end quoted market prices. Fixed deposits and Cash collateral pledged to counterparties are held at amortised cost with carrying value being a reasonable approximation of fair value given their short-term nature.

Cash collateral pledged to counterparties relates to collateral pledged on derivatives entered into to hedge the Group's risk exposures.

F-27

Fair value hierarchy

The table below analyses equity securities and bonds, contained within Other investments and carried at fair value, by valuation method. The different levels have been defined as follows:

> Level 1: quoted prices (unadjusted) in active markets for identical assets or liabilities
> Level 2: inputs other than quoted prices included within Level 1 that are observable for the asset or liability, either directly (i.e. as prices) or indirectly (i.e. derived from prices)
> Level 3: inputs for the asset or liability that are not based on observable market data (unobservable inputs).

2024

2024

2023

2023

2022

2022

FVPL

FVOCI

FVPL

FVOCI

FVPL

FVOCI

$m

$m

$m

$m

$m

$m

Level 1

37

1,279

20

1,217

13

880

Level 2

Level 3

353

313

10

176

Total

37

1,632

20

1,530

23

1,056

Assets are transferred in or out of each Level on the date of the event or change in circumstances that caused the transfer.

Equity securities that are analysed at Level 3 include investments in private biotech companies. In the absence of specific market data, these unlisted investments are held at fair value based on the cost of investment and adjusting as necessary for impairments and revaluations on new funding rounds, which approximates to fair value. Movements in Level 3 investments are detailed below:

2024

2024

2023

2023

2022

2022

FVPL

FVOCI

FVPL

FVOCI

FVPL

FVOCI

$m

$m

$m

$m

$m

$m

At 1 January

313

10

176

104

Additions

56

127

10

32

Revaluations

( 9 )

3

14

50

Net transfers out from Level 3 to Level 1

( 4 )

Disposals

( 13 )

( 8 )

( 5 )

Impairments and exchange adjustments

( 7 )

4

( 1 )

At 31 December

353

313

10

176

13 Derivative financial instruments

Non-current

Current

Current

Non-current

assets

assets

liabilities

liabilities

Total

$m

$m

$m

$m

$m

Interest rate swaps related to instruments designated at fair value through profit or loss 1

1

1

Cross-currency swaps designated in a net investment hedge

55

( 4 )

51

Cross-currency swaps designated in a cash flow hedge

( 160 )

( 160 )

Forward FX designated in a cash flow hedge 2

1

( 13 )

( 12 )

Other derivatives

19

85

( 80 )

24

31 December 2022

74

87

( 93 )

( 164 )

( 96 )

Non-current

Current

Current

Non-current

assets

assets

liabilities

liabilities

Total

$m

$m

$m

$m

$m

Cross-currency swaps designated in a net investment hedge

100

( 1 )

99

Cross-currency swaps designated in a cash flow hedge

116

( 30 )

( 37 )

49

Forward FX designated in a cash flow hedge 2

19

( 4 )

15

Other derivatives

12

97

( 122 )

( 13 )

31 December 2023

228

116

( 156 )

( 38 )

150

Non-current

Current

Current

Non-current

assets

assets

liabilities

liabilities

Total

$m

$m

$m

$m

$m

Cross-currency swaps designated in a net investment hedge

148

148

Cross-currency swaps designated in a cash flow hedge

34

( 71 )

( 37 )

Cross-currency swaps designated in a fair value hedge

( 44 )

( 44 )

Forward FX designated in a cash flow hedge 2

5

( 1 )

4

Other derivatives

49

( 49 )

31 December 2024

182

54

( 50 )

( 115 )

71

1 Interest rate swaps related to instruments designated at fair value through profit or loss matured in 2023.
2 Forward FX designated in a cash flow hedge relates to contracts hedging anticipated CNY, EUR, GBP, JPY and SEK transactions occurring in the quarter immediately after the balance sheet date.

All derivatives are held at fair value and fall within Level 2 of the fair value hierarchy as defined in Note 12, except for an equity warrant which falls within Level 3 (valued at $ nil (2023: $ 12 m; 2022: $ 19 m), held within Non-current assets). None of the derivatives have been reclassified in the year. The equity warrant expired on 31 December 2024. Its value at that date was recorded as zero .

The fair value of interest rate swaps and cross-currency swaps is estimated using appropriate zero coupon curve valuation techniques to discount future contractual cash flows based on rates at the current year end.

The fair value of forward foreign exchange contracts and currency options are estimated by cash flow accounting models using appropriate yield curves based on market forward foreign exchange rates at the year end. The majority of forward foreign exchange contracts for existing transactions had maturities of less than one month from year end.

F-28

The interest rates used to discount future cash flows for fair value adjustments, where applicable, are based on market swap curves at the reporting date, and were as follows:

2024

2023

2022

Derivatives

0.6

%

to

4.1

%

0.1

%

to

5.3

%

0.1

%

to

4.7

%

14 Non-current other receivables

2024

2023

2022

$m

$m

$m

Prepayments

356

274

243

Accrued income

60

52

44

Retirement benefit scheme surpluses (Note 22)

99

92

90

Other receivables

415

385

458

Non-current other receivables

930

803

835

Other receivables include $ nil (2023: $ 51 m; 2022: $ 71 m) owed by FibroGen, Inc. for promotional activity in China pursuant to the roxadustat collaboration.

15 Inventories

2024

2023

2022

$m

$m

$m

Raw materials and consumables

1,489

1,531

1,422

Inventories in process

2,282

2,325

1,864

Finished goods and goods for resale

1,517

1,568

1,413

Inventories

5,288

5,424

4,699

The Group recognised $ 7,001 m (2023: $ 6,038 m; 2022: $ 9,618 m) of inventories as an expense within Cost of sales during the year.

Inventory write-downs in the year amounted to $ 664 m (2023: $ 574 m; 2022: $ 479 m), principally arising from the reassessment of usage or demand expectations prior to inventory expiration. Inventory write-downs in the year included $ 407 m in relation to Andexxa following the decision to cease promotional activities.

16 Current trade and other receivables

2024

2023

2022

$m

$m

$m

Trade receivables

8,335

8,452

7,271

Less: Expected credit loss provision (Note 28)

( 33 )

( 45 )

( 59 )

8,302

8,407

7,212

Other receivables

1,579

1,639

1,659

Prepayments

1,737

1,617

1,329

Government grants receivable

25

11

25

Accrued income

1,329

452

296

Trade and other receivables

12,972

12,126

10,521

Trade receivables include $ 667 m (2023: $ 1,977 m; 2022: $ 2,470 m) measured at FVOCI classified ‘hold to collect and sell’ as they are due from customers that the Group has the option to factor, or relate to bank acceptance drafts received in settlement of trade receivables per common practice in China.

All other financial assets included within Current trade and other receivables are held at amortised cost with carrying value being a reasonable approximation of fair value.

17 Cash and cash equivalents

2024

2023

2022

$m

$m

$m

Cash at bank and in hand

1,215

1,325

1,411

Short-term deposits

4,273

4,515

4,755

Cash and cash equivalents

5,488

5,840

6,166

Unsecured bank overdrafts

( 59 )

( 203 )

( 183 )

Cash and cash equivalents in the Consolidated Statement of Cash Flows

5,429

5,637

5,983

AstraZeneca invests in constant net asset value funds, low-volatility net asset value funds and short-term variable net asset value funds with same day access for subscription and redemption. These investments fail the ‘solely payments of principal and interest’ test criteria under IFRS 9 ‘Financial Instruments’. They are therefore measured at FVPL, although the fair value is materially the same as amortised cost.

F-29

Non-cash and other movements, within operating activities in the Consolidated Statement of Cash Flows, includes:

2024

2023

2022

$m

$m

$m

Share-based payments charge for the period

660

579

619

Settlement of share plan awards

( 618 )

( 650 )

( 592 )

Pension contributions

( 166 )

( 188 )

( 205 )

Pension charges recorded in operating profit

86

55

101

Long-term provision charges recorded in operating profit

106

460

87

Loss/(gain) on disposal of tangible assets

4

( 41 )

( 112 )

Update to the contractual relationships for Beyfortus

( 729 )

Foreign exchange and other 1

( 193 )

128

( 590 )

Total operating activities non-cash and other movements

( 121 )

( 386 )

( 692 )

1 Foreign exchange and other includes, among other items, the foreign exchange of inter-company transactions, including dividends, across Group entities and the related impact from hedging those transactions.

18 Assets held for sale

Assets held for sale amount to $ nil (2023: $ nil ; 2022: $ 150 m).

In 2022, Assets held for sale comprised Property, plant and equipment assets relating to the West Chester site in Ohio, US. The transaction closed on 30 January 2023.

F-30

19 Interest-bearing loans and borrowings

Repayment

2024

2023

2022

dates

$m

$m

$m

Current liabilities

Bank overdrafts

On demand

59

203

183

Other short-term borrowings excluding overdrafts

90

97

78

Collateral received from derivative counterparties

181

215

89

Lease liabilities

339

271

228

0.3 % Callable bond

US dollars

2023

1,399

2023 Floating bank loan

US dollars

2023

2,000

Floating rate notes

US dollars

2023

400

3.5 % Callable bond

US dollars

2023

849

7 % Guaranteed debentures

US dollars

2023

294

0.75 % Callable bond

euros

2024

995

0.7 % Callable bond

US dollars

2024

1,600

2024 Floating rate bank loans

US dollars

2024

2,000

3.375 % Callable bond

US dollars

2025

1,997

Other loans

Within one year

10

19

22

Total

2,676

5,400

5,542

Non-current liabilities

Lease liabilities

1,113

857

725

0.75 % Callable bond

euros

2024

957

0.7 % Callable bond

US dollars

2024

1,598

2024 Floating bank loans

US dollars

2024

1,998

3.375 % Callable bond

US dollars

2025

1,994

1,992

0.7 % Callable bond

US dollars

2026

1,198

1,196

1,195

1.2 % Callable bond

US dollars

2026

1,249

1,248

1,246

4.8 % Callable bond

US dollars

2027

1,247

3.625 % Callable bond

euros

2027

780

829

3.125 % Callable bond

US dollars

2027

748

747

746

4.875 % Callable bond

US dollars

2028

1,096

1,095

1.25 % Callable bond

euros

2028

829

879

845

1.75 % Callable bond

US dollars

2028

1,247

1,246

1,245

4 % Callable bond

US dollars

2029

996

995

995

4.85 % Callable bond

US dollars

2029

1,246

0.375 % Callable bond

euros

2029

829

881

846

4.9 % Callable bond

US dollars

2030

646

645

3.121 % Callable bond

euros

2030

682

1.375 % Callable bond

US dollars

2030

1,295

1,294

1,293

4.9 % Callable bond

US dollars

2031

994

2.25 % Callable bond

US dollars

2031

747

747

747

5.75 % Non-callable bond

pound sterling

2031

438

444

420

3.75 % Callable bond

euros

2032

778

827

4.875 % Callable bond

US dollars

2033

497

497

3.278 % Callable bond

euros

2033

786

5 % Callable bond

US dollars

2034

1,489

6.45 % Callable bond

US dollars

2037

2,727

2,725

2,724

4 % Callable bond

US dollars

2042

989

989

988

4.375 % Callable bond

US dollars

2045

982

981

981

4.375 % Callable bond

US dollars

2048

738

738

737

2.125 % Callable bond

US dollars

2050

487

487

487

3 % Callable bond

US dollars

2051

735

735

735

Other loans

US dollars

31

146

190

Total

27,619

23,222

23,690

Total interest-bearing loans and borrowings 1

30,295

28,622

29,232

1 All loans and borrowings above are unsecured. In previous years, there were current (2023: $ nil ; 2022: $ 22 m) and non-current (2023: $ nil ; 2022: $ 181 m) secured loans, both included within Other loans.

F-31

Total

Total

Total

loans and

loans and

loans and

borrowings

borrowings

borrowings

2024

2023

2022

$m

$m

$m

At 1 January

28,622

29,232

30,781

Changes from financing cash flows

Issue of loans and borrowings

6,492

3,816

Repayment of loans and borrowings

( 4,652 )

( 4,942 )

( 1,271 )

Movement in short-term borrowings

( 31 )

161

74

Repayment of obligations under leases

( 316 )

( 268 )

( 244 )

Total changes in cash flows arising on financing activities from borrowings

1,493

( 1,233 )

( 1,441 )

Movement in overdrafts

( 144 )

20

( 85 )

New lease liabilities

710

444

253

Additions through business combinations

12

5

Exchange

( 361 )

187

( 287 )

Other movements

( 37 )

( 28 )

6

At 31 December

30,295

28,622

29,232

Also included within Cash flows from financing activities within the Consolidated Statement of Cash Flows is a $ 833 m cash outflow (2023: $ 867 m; 2022: $ 920 m) related to the Acerta Pharma share purchase liability which has a closing liability at 31 December 2024 of $ nil (2023: $ 833 m; 2022: $ 1,646 m) within Trade and other payables (see Note 20).

Set out below is a comparison by category of carrying values and fair values of all the Group’s interest-bearing loans and borrowings:

Instruments

Instruments

Instruments

Total

designated

designated in

designated in

Amortised

carrying

Fair

at fair value

1

cash flow hedge

2

fair value hedge

3

cost

value

value

$m

$m

$m

$m

$m

$m

2022

Overdrafts

183

183

183

Lease liabilities due within one year

228

228

228

Lease liabilities due after more than one year

725

725

725

Loans and borrowings due within one year

294

4,837

5,131

5,105

Loans and borrowings due after more than one year

1,802

21,163

22,965

21,657

Total at 31 December 2022

294

1,802

27,136

29,232

27,898

2023

Overdrafts

203

203

203

Lease liabilities due within one year

271

271

271

Lease liabilities due after more than one year

857

857

857

Loans and borrowings due within one year

995

3,931

4,926

4,887

Loans and borrowings due after more than one year

2,535

19,830

22,365

21,769

Total at 31 December 2023

3,530

25,092

28,622

27,987

2024

Overdrafts

59

59

59

Lease liabilities due within one year

339

339

339

Lease liabilities due after more than one year

1,113

1,113

1,113

Loans and borrowings due within one year

2,278

2,278

2,263

Loans and borrowings due after more than one year

2,387

1,468

22,651

26,506

25,405

Total at 31 December 2024³

2,387

1,468

26,440

30,295

29,179

1 Instruments designated at FVPL include the US dollar 7 % guaranteed debentures which matured on 15 November 2023.
2 Instruments designated in cash flow hedges are our euro 900 m 0.75 % 2024 Callable bond which matured in 2024, our euro 750 m 3.625 % 2027 Callable bond, our euro 800 m 1.25 % 2028 Callable bond, and our euro 750 m 3.75 % 2032 Callable bond.
3 Instruments designated in fair value hedges are our euro 650 m 3.121 % 2030 Callable bond, and our euro 750 m 3.278 % 2033 Callable bond.

The fair value of fixed-rate publicly traded debt is based on year end quoted market prices; the fair value of floating rate debt is nominal value, as mark-to-market differences would be minimal given the frequency of resets. The carrying value of loans designated at FVPL is the fair value; this falls within the Level 1 valuation method as defined in Note 12. For loans designated in a fair value hedge relationship, carrying value is initially measured at fair value and remeasured for fair value changes in respect of the hedged risk at each reporting date. All other loans are held at amortised cost. Fair values, as disclosed in the table above, are all determined using the Level 1 valuation method as defined in Note 12, with the exception of overdrafts and lease liabilities, where fair value approximates to carrying values.

The cumulative adjustment to the carrying value of bonds designated in a fair value hedge relationship in the year was an increase in the liability of $ 16 m. A loss of $ 2 m was made during the year on the fair value of bonds designated in a fair value hedge, due to increased credit risk. Under IFRS 9 ‘Financial Instruments’, the Group records the component of fair value changes relating to the component of own credit risk through Other comprehensive income. Changes in credit risk had no material effect on any other financial assets and liabilities recognised at fair value in the Group Financial Statements. The change in fair value attributable to changes in credit risk is calculated as the change in fair value not attributable to market risk.

F-32

The interest rates used to discount future cash flows for fair value adjustments, where applicable, are based on market swap curves at the reporting date, and were as follows:

2024

2023

2022

Loans and borrowings

2.0

%

to

2.9

%

n/a

to

n/a

1

4.3

%

to

4.9

%

1 All bonds designated as FVPL in 2023 matured prior to the reporting date.

20 Trade and other payables

2024

2023

2022

$m

$m

$m

Current liabilities

Trade payables

3,640

3,267

2,550

Value-added and payroll taxes and social security

401

492

468

Rebates, chargebacks, returns and other revenue accruals

7,805

7,817

6,078

Clinical trial accruals

1,419

1,424

1,417

Other accruals

6,463

6,112

5,551

Collaboration Revenue contract liabilities

7

7

12

Vaccine contract liabilities

119

142

169

Deferred government grant income

1

Contingent consideration

1,170

966

757

Acerta Pharma share purchase liability

833

867

Other payables

1,441

1,314

1,170

Total

22,465

22,374

19,040

Non-current liabilities

Accruals

65

36

37

Collaboration Revenue contract liabilities

7

14

Contingent consideration

581

1,171

1,465

Acerta Pharma share purchase liability

779

Other payables

1,124

1,446

1,975

Total

1,770

2,660

4,270

Included within Rebates, chargebacks, returns and other revenue accruals are contract liabilities of $ 114 m (2023: $ 102 m; 2022: $ 87 m). The revenue recognised in the year from opening contract liabilities is $ 96 m, comprising $ 89 m relating to other revenue accruals and $ 7 m Collaboration Revenue contract liabilities. The major markets with Rebates, chargebacks, returns and other revenue accruals are the US where the liability at 31 December 2024 amounted to $ 4,978 m (2023: $ 5,116 m; 2022: $ 3,961 m), of which Rare Disease comprises $ 240 m (2023: $ 190 m; 2022: $ 139 m), and China where the liability at 31 December 2024 amounted to $ 532 m (2023: $ 567 m; 2022: $ 579 m).

Trade payables includes $ 105 m (2023: $ 123 m; 2022: $ 67 m) due to suppliers that have signed up to a supply chain financing programme, under which the suppliers can elect on an invoice-by-invoice basis to receive a discounted early payment from the relationship bank rather than being paid in line with the agreed payment terms. If the option is taken, the Group’s liability is assigned by the supplier to be due to the relationship bank rather than the supplier. The value of the liability payable by the Group remains unchanged. The Group assesses the arrangement against indicators to assess if debts which vendors have sold to the funder under the supplier financing scheme continue to meet the definition of trade payables or should be classified as borrowings. At 31 December 2024, the payables met the criteria of Trade payables. The supply chain financing programme operates in the US, UK, Sweden, China and Germany, and as at 31 December 2024, the programme had 458 suppliers enrolled across these countries.

Vaccine contract liabilities relate to amounts received from customers, primarily government bodies, in advance of supply of product.

Included within current Other payables are liabilities to Daiichi Sankyo totalling $ 377 m (2023: $ 199 m; 2022: $ 100 m) resulting from the collaboration agreement in relation to Enhertu entered into in March 2019. Additionally, included within non-current Other payables are liabilities totalling $ 456 m (2023: $ 774 m; 2022: $ 1,125 m) as a result of the Enhertu collaboration agreement and $ 462 m (2023: $ 464 m; 2022: $ nil ) owed to Avillion as a result of the Airsupra collaboration agreement entered into in March 2018.

In November 2020, Calquence received marketing approval in the EU, which removed all remaining conditionality in respect of the Acerta Pharma put and call options regarding the non-controlling interest; the option was exercised in April 2021. The payments were made in similar annual instalments in 2022 through to 2024, with the first payment of $ 920 m made in 2022, the second payment of $ 867 m made in 2023 and the final payment of $ 833 m made in 2024, with a closing liability as at 31 December 2024 of $ nil (2023: $ 833 m; 2022: $ 1,646 m). Interest arising from amortising the liability is included within Finance expense (see Note 3). The associated cash flows were disclosed as financing activities within the Consolidated Statement of Cash Flows.

With the exception of Contingent consideration payables of $ 1,751 m (2023: $ 2,137 m; 2022: $ 2,222 m) which are held at fair value within Level 3 of the fair value hierarchy as defined in Note 12, all other financial liabilities are held at amortised cost with carrying value being a reasonable approximation of fair value.

Contingent consideration

2024

2023

2022

$m

$m

$m

At 1 January

2,137

2,222

2,865

Additions through business combinations

198

60

Settlements

( 1,008 )

( 826 )

( 772 )

Disposals

( 121 )

Revaluations

311

549

82

Discount unwind (Note 3)

113

132

168

At 31 December

1,751

2,137

2,222

F-33

Contingent consideration arising from business combinations is fair valued using decision-tree analysis, with key inputs including the probability of success, consideration of potential delays and the expected levels of future revenues.

Revaluations of Contingent consideration are recognised in Selling, general and administrative expense and include an increase of $ 260 m in 2024 (2023: $ 520 m; 2022: $ 182 m) based on revised milestone probabilities, and revenue and royalty forecasts, relating to the acquisition of BMS’s share of the Global Diabetes Alliance. Discount unwind on the liability is included within Finance expense (see Note 3).

The discount rate used for the Contingent consideration balances range from 5 % to 8 %. The most significant Contingent consideration balance is the Global Diabetes Alliance which is discounted at 8 % and is reviewed against comparable benchmarks on a regular basis.

Management has identified that reasonably possible changes in certain key assumptions, including the likelihood of achieving successful trial results, obtaining regulatory approval, the projected market share of the therapy area and expected pricing for launched products, may cause the calculated fair value of the above contingent consideration to vary materially in future years.

The contingent consideration balance relating to BMS’s share of Global Diabetes Alliance of $ 1,309 m (2023: $ 1,945 m; 2022: $ 2,124 m) would increase/decrease by $ 131 m with an increase/decrease in sales of 10 % as compared with the current estimates.

The maximum development and sales milestones payable under outstanding Contingent consideration arrangements arising on business combinations are as follows:

Nature of

Maximum future milestones

Acquisitions

Year

contingent consideration

$m

Spirogen

2013

Milestones

171

Amplimmune, Inc.

2013

Milestones

150

Almirall

2014

Milestones and royalties

345

Neogene

2023

Milestones

110

Fusion

2024

Milestones

304

Gracell

2024

Milestones

149

The amount of royalties payable under the arrangements is inherently uncertain and difficult to predict, given the direct link to future sales and the range of outcomes. The maximum amount of royalties payable in each year is with reference to net sales.

21 Provisions

Employee

Other

Severance

Environmental

benefits

Legal

provisions

Total

$m

$m

$m

$m

$m

$m

At 1 January 2022

212

90

195

239

988

1,724

Charge for year

227

61

1

830

365

1,484

Cash paid

( 223 )

( 19 )

( 41 )

( 814 )

( 185 )

( 1,282 )

Reversals

( 43 )

( 27 )

( 94 )

( 98 )

( 262 )

Exchange and other movements

( 8 )

( 1 )

15

( 52 )

( 46 )

At 31 December 2022

165

131

143

161

1,018

1,618

Charge for year

123

21

22

1,102

245

1,513

Cash paid

( 87 )

( 41 )

( 14 )

( 219 )

( 404 )

( 765 )

Reversals

( 28 )

( 3 )

( 3 )

( 23 )

( 143 )

( 200 )

Exchange and other movements

3

4

20

( 5 )

( 33 )

( 11 )

At 31 December 2023

176

112

168

1,016

683

2,155

Additions arising on business acquisitions

50

50

Charge for year

283

26

30

44

478

861

Cash paid

( 101 )

( 33 )

( 7 )

( 189 )

( 146 )

( 476 )

Reversals

( 83 )

( 1 )

( 9 )

( 255 )

( 348 )

Exchange and other movements

( 24 )

( 3 )

( 25 )

( 52 )

At 31 December 2024

275

105

166

859

785

2,190

2024

2023

2022

$m

$m

$m

Due within one year

1,269

1,028

722

Due after more than one year

921

1,127

896

Total

2,190

2,155

1,618

Provisions are often subject to substantial uncertainties with regard to the timing and final amounts of any payments. Once established, these amounts remain in Provisions even after settlement is reached and uncertainty resolved, with no transfer to Trade and other payables prior to payment. This is to provide more transparent disclosure of subsequent movements in brought forward and carried forward balances. Settled legal claims included within Provisions are held at amortised cost with carrying value being a reasonable approximation of fair value.

Severance provisions arise predominantly in connection with global restructuring initiatives, including the PAAGR, which involve rationalisation of the global supply chain, the sales and marketing organisation, IT and business support infrastructure, and R&D.

In conjunction with the acquisition of Alexion in 2021, the enlarged Group initiated the PAAGR; a global restructuring programme, aimed at integrating systems, structure and processes, optimising the global footprint and prioritising resource allocations and investments. The Group has also continued to progress other legacy restructuring programmes.

Employee costs in connection with the initiatives are recognised in severance provisions when a detailed formal plan has been communicated to those employees affected. Final severance costs are often subject to the completion of the requisite consultations on the areas impacted, with the majority of the cost expected to be paid within one year. AstraZeneca endeavours to support employees affected by restructuring initiatives to seek alternative roles within the organisation. Where the employee is successful, any severance provisions will be released.

F-34

Details of the Environmental provisions totalling $ 105 m (2023: $ 112 m; 2022: $ 131 m) and ongoing matters are provided in Note 30. These uncertainties can also cause reversal in previously established provisions once final settlement is reached.

Legal issues are often subject to substantial uncertainties with regard to the timing and final amounts of any payments. A significant proportion of the total legal provision ($ 626 m (2023: $ 616 m; 2022: $ 30 m) due within one year and $ 210 m (2023: $ 372 m; 2022: $ 92 m) due after more than one year 1 ) relates to matters settled, but not paid, in previous periods; further details are provided in Note 30.

The majority of Employee benefit provisions relate to Executive Deferred Compensation Plans, which include uncertainty over the ultimate timing and amount of payment to be made to the executives.

Other provisions comprise amounts relating to specific contractual or constructive obligations and disputes. Included within Other provisions are amounts associated with long-standing product liability settlements that arose prior to the merger of Astra and Zeneca, which given the nature of the provision, the amounts are expected to be settled over many years; the final settlement values and timings are uncertain. Also included in Other provisions is an amount of $ 145 m (2023: $ 163 m; 2022: $ 165 m), in relation to third-party liability and other risks (including incurred but not yet reported claims); the claims are considered to be uncertain as to timing and amount. Charges to Other provisions in 2024 included $ 184 m (2023: $ 87 m; 2022: $ 12 m) in relation to the PAAGR restructuring programme, which has a closing provision of $ 80 m (2023: $ 49 m; 2022: $ 143 m), including $ 58 m (2023: $ 8 m; 2022: $ 95 m) held in non-current provisions expected to be settled over time by 2028. In 2022, charges to Other provisions included $ 301 m in relation to termination fees and onerous contracts with contract manufacturing organisations, the vast majority of which were settled in 2023.

No provision has been released or applied for any purpose other than that for which it was established.

1 The profile of future payments of legal provisions due after one year is as follows: in one to two years $ 167 m (2023: $ 180 m; 2022: $ 22 m); in two to three years $ 9 m (2023: $ 159 m; 2022: $ 21 m); in three to four years $ 12 m (2023: $ 10 m; 2022: $ 9 m); in four to five years $ 9 m (2023: $ 9 m; 2022: $ 9 m); and in more than five years $ 13 m (2023: $ 14 m; 2022: $ 31 m).

22 Post-retirement pension and other defined benefit schemes

Background

This section predominantly covers defined benefit arrangements like post-retirement pension and medical plans which make up the vast bulk of these liabilities. However, it also incorporates other benefits which fall under IAS 19 ‘Employee Benefits’ rules and which require an actuarial valuation, including but not limited to: lump sum plans, long-service awards and defined contribution pension plans which have some defined benefit characteristics (e.g. a minimum guaranteed level of benefit). In total, over 50 plans in 28 countries are covered.

The Group and most of its subsidiaries offer post-retirement pension plans which cover the majority of employees. The Group’s policy is to provide defined contribution (DC) orientated pension provision to its employees unless otherwise compelled by local regulation. As a result, many of these retirement plans are DC, where the Group contribution and resulting charge is fixed at a set level, or is a set percentage of employees’ pay. However, several plans, mainly in the UK and Sweden, are defined benefit (DB), where benefits are based on employees’ length of service and salary. The major DB plans are largely legacy arrangements as they have been closed to new entrants since 2000, apart from the collectively bargained Swedish plan (which is still open to employees born before 1979). During 2010, following consultation with its UK employees’ representatives, the Group introduced a freeze on pensionable pay at 30 June 2010 levels for DB members of the UK Pension Fund. The number of active members in the Fund continues to decline and is now 351 employees.

The Group’s DB plans are largely funded through ringfenced, fiduciary-administered assets. The cash funding of the plans, which may from time to time involve payments from the Group, is designed, in consultation with independent qualified actuaries, to ensure that the assets are sufficient to meet future obligations as and when they fall due. The funding level is monitored by the Group and local fiduciaries, who may take into account various factors, including: the strength of the Group’s covenant, local regulation, cash flows, and the solvency and maturity of the pension plan.

Funding Framework

Eighty six per cent of the Group’s total DB obligations (or 62 % of net obligations) at 31 December 2024 are in plans within the UK and Sweden.

The Group has developed a long-term funding framework for such plans which targets either full funding on a low-risk funding measure, or buyout with an external third-party as the pension plans mature, with pragmatic long-term de-risking of investment strategy along the way. Unless local regulation dictates otherwise, this framework determines the cash contributions payable.

UK

The UK Pension Fund represents approximately 65 % of the Group’s DB obligations at 31 December 2024. The funding framework is modified in light of the UK regulatory requirements (summarised below) and resulting discussions with the Trustee.

Role of Trustee and Regulation

The UK Pension Fund is governed and administered by a corporate Trustee. The Trustee Directors are comprised of representatives appointed by both the employer and Fund members and include an independent professional Trustee Director. The Trustee Directors are required by law to act in the interest of all relevant beneficiaries and are responsible in particular, for investment strategy and the day-to-day administration of the benefits. They are also responsible for jointly agreeing with the employer the level of contributions required to ensure the funding objective is met.

The UK pensions industry is regulated by The Pensions Regulator whose statutory objectives and regulatory powers are described on its website, www.thepensionsregulator.gov.uk.

The Pension Scheme Act 2021 became effective in the UK from 1 October 2021. A section of this Act places additional legal requirements on companies who sponsor UK defined benefit pension schemes, to monitor and assess corporate activity, with a focus on the potential impact of such activity on the ongoing security of these benefits. The Group maintains a framework to ensure it meets its responsibilities under the Act.

There have been two UK High Court Rulings relating to Guaranteed Minimum Pensions (GMP) equalisation in 2018 and 2020. Following the publication of guidance around implementation in 2021, the Trustee, with input from the Group, has completed the equalisation of benefits for pensioner members, and a process is in place to equalise non-pensioner members’ benefits at the point of retirement. Further details are set out later in this Note. An estimate of the impact of these changes has already been recognised in 2018 and 2020, and actual experience is in line with the estimates previously recognised.

F-35

In June 2023, the UK High Court (Virgin Media Limited v NTL Pension Trustees II Limited) ruled that certain historical amendments for contracted-out defined benefit pension plans were invalid if they were not accompanied by the correct actuarial confirmation. Whilst the Court of Appeal upheld this ruling in July 2024, there remains material uncertainty in relation to the legal position itself and in particular, the application of the ruling. The Group has discussed the ruling with the Trustee and its potential implications for the UK Pension Fund. The Trustee has considered this matter with their legal adviser. Whilst the Trustee has not conducted any detailed investigations at this point, we note their position that they have no reason to believe that any such confirmations were not provided, in which case the ruling will have no impact on the UK Pension Fund. The Trustee is monitoring developments as further government guidance and/or case law emerges and the Group will maintain a dialogue on this matter.

Funding requirements and security

UK legislation requires that an actuarial valuation is completed for all DB pension schemes every three years, which compares the schemes’ liabilities to its assets. As part of the triennial valuation process, the Trustee and the Group must agree on a set of assumptions to value the liabilities and determine the contributions required, if any, to ensure the UK Pension Fund is fully funded over an appropriate time period and on a suitably prudent measure. The assumptions used to value the liabilities for the triennial actuarial valuation are required to be prudent, whereas the assumptions used to prepare an IAS 19 accounting valuation are required to be ‘best estimate’.

The last full actuarial valuation of the UK Pension Fund was carried out by a qualified actuary as at 31 March 2022 and finalised in May 2023, ahead of the statutory deadline. The funding assumptions used in this actuarial valuation were set out in the Group's prior year report. The next actuarial valuation is due to take place as at 31 March 2025, with a likely timescale for completion in early to mid-2026. The Group is aware that this actuarial valuation will fall under the Pensions Regulator's new defined benefit funding code of practice.

Aspects of the triennial actuarial valuation are governed by a long-term funding agreement, effective since October 2016, which sets out a path to full funding on a low-risk measure. Under this agreement, if a deficit exists, the Group is required to provide security. This security takes the form of a charge in favour of the Trustee over all land and buildings on the Group’s Cambridge Biomedical Campus site. This charge was enacted in December 2023, and provides long-term security to the Trustee in respect of the Group’s future deficit recovery contributions. At the last assessment date (1 December 2023), the value of the charge was £ 317 m ($ 398 m) and it is capped at £ 350 m ($ 440 m). The value of the charge will vary and is expected to reduce over time, before falling away. Under the terms of the charge, the Trustee can only exercise its right over the ownership of the site in a Group insolvency event.

In relation to deficit recovery contributions, a lump sum contribution of £ 39 m ($ 49 m) was made in March 2024, with a further annual contribution of £ 39 m ( $ 49 m) due before 31 March 2025, and each year up to 31 March 2028. Based on 31 December 2024 IAS 19 assumptions, it is expected that ongoing contributions (excluding past service deficit contributions) during the year ending 31 December 2025 for the UK will be approximately $ 18 m.

GMP equalisation of member benefits has been completed. The method of equalisation converts GMP to non-GMP pension to simplify the structure and administration of benefits. As at 31 December 2024, all pensioner and dependent members have had their benefits equalised and, for non-pensioner members, a process is in place to equalise their benefits at their point of retirement.

Under the governing documentation of the UK Pension Fund, any future surplus in the Fund would be returnable to the Group by refund assuming gradual settlement of the liabilities over the lifetime of the Fund. In particular, the Trustee has no unilateral right to wind up the Fund without Company consent nor does it have the power to unilaterally use any surplus to augment benefits prior to wind-up. As such, there are no adjustments required in respect of ‘IFRIC 14 IAS 19 – The Limit on a Defined Benefit Asset, Minimum Funding Requirements and their Interaction’.

Sweden

The Swedish plans account for 21 % of the Group’s defined benefit obligations. They are governed by Fiduciary Bodies with responsibility for the investment of the assets. These plans are funded in line with the Group’s long-term funding framework and local regulations.

The Swedish defined benefit pension plans were actuarially valued at 31 December 2023, when plan obligations were estimated to amount to $ 1,602 m and plan assets were $ 1,068 m. The local Swedish GAAP funding position can influence contribution policy. Over 2024, for the largest material pension plan, the Group did not request a reimbursement of benefit payments made throughout the year as the funding level was below 100 % on the Swedish GAAP basis and so any such reimbursement is not permitted. These benefit payments over 2024, totalling approximately $ 50 m, are therefore regarded as Group contributions.

Based on 31 December 2024 IAS 19 assumptions, it is expected that contributions during the year ending 31 December 2025 for Sweden will be approximately $ 50 m.

US

Following a buy out in May 2023 of the AZ Pharmaceutical LP qualified US Defined Benefit Pension Plan, all remaining US benefit plans which fall under IAS 19 are now disclosed within the ‘Rest of Group’ category, given the material reduction in aggregate obligation and to therefore ensure consistency with the Group's classification methodology.

Other defined benefit plans

The Group provides defined benefit plans other than pensions which are reported under IAS 19. These include lump sum plans, long-service awards and defined contribution pension plans which have a guaranteed minimum benefit. However, the largest category of these ‘other’ non-pension plans are healthcare benefits.

The cost of post-retirement benefits other than pensions for the Group in 2024 was $ 1 m (2023: $ 1 m; 2022: $ 1 m). Plan assets were $ 146 m and plan obligations were $ 105 m at 31 December 2024.

F-36

Financial assumptions

Qualified independent actuaries have updated the actuarial valuations under IAS 19 for the major defined benefit plans operated by the Group to 31 December 2024. The assumptions used may not necessarily be borne out in practice, due to the inherent financial and demographic uncertainty associated with making long-term projections. These assumptions reflect the changes which have the most material impact on the results of the Group and were as follows:

2023

UK

US

Sweden

Rest of Group 1

Inflation assumption

3.1

%

1.6

%

2.2

%

Rate of increase in salaries

3

3.1

%

3.7

%

Rate of increase in pensions in payment

2.9

%

1.6

%

2.2

%

Discount rate – defined benefit obligation

4.6

%

4.7

%

3.3

%

3.3

%

Discount rate – interest cost

4.6

%

4.7

%

3.3

%

3.3

%

Discount rate – service cost

4.5

%

n/a

3.3

%

3.3

%

2024

UK

Sweden

Rest of Group 1

Inflation assumption

3.2

% 2

1.8

%

2.1

%

Rate of increase in salaries

3

3.3

%

3.6

%

Rate of increase in pensions in payment

3.0

%

1.8

%

2.1

%

Discount rate – defined benefit obligation 4

5.5

%

3.5

%

3.5

%

Discount rate – interest cost 5

5.4

%

3.4

%

3.5

%

Discount rate – service cost 5

5.5

%

3.5

%

3.5

%

1 Rest of Group reflects the assumptions in Germany as these have the most material impact on the Group.
2 The UK inflation assumption includes an allowance for some UK inflation experience over 2024.
3 Pensionable pay frozen at 30 June 2010 levels following UK fund changes.
4 Group defined benefit obligation as at 31 December 2024 calculated using discount rates based on market conditions as at 31 December 2024.
5 2024 interest costs and service costs calculated using discount rates based on market conditions as at 31 December 2023.

The weighted average duration of the post-retirement scheme obligations is approximately 11 years in the UK, 16 years in Sweden and 13 years for the Rest of the Group (including Germany).

Demographic assumptions

The mortality assumptions are based on country-specific mortality tables. These are compared to actual experience and adjusted where sufficient data are available. Additional allowance for future improvements in life expectancy is included for all major plans where there is credible data to support a continuing trend.

The table below illustrates life expectancy assumptions at age 65 for male and female members retiring in 2024 and male and female members expected to retire in 2044 (2023: 2023 and 2043 respectively).

Life expectancy assumption for a male member retiring at age 65

Life expectancy assumption for a female member retiring at age 65

Country

2024

2044

2023

2043

2024

2044

2023

2043

UK

22.1

23.1

22.1

23.1

23.7

24.8

23.7

24.8

Sweden

21.8

24.1

21.8

23.6

23.9

26.3

23.9

26.0

In the UK, the Group adopted the CMI Core 2023 Mortality Projections Model with an addition to initial rates of improvement of 0.5 % p.a., core ( 7.0 ) smoothing parameter and a 1 % long-term improvement rate. The Group has assumed that 15 % of members (2023: 25 %) will transfer out of the defined benefit section of the UK Pension Fund at an average age of 57 . No other demographic assumptions have changed since they were updated in 2022 following the actuarial valuation.

In Sweden, the Group adopted DUS23 (2023: DUS21) as the mortality base table. All other demographic assumptions are unchanged from 2023.

F-37

Risks associated with the Group’s defined benefit pension plans

The UK defined benefit plan accounts for 65 % of the Group’s defined benefit obligations and exposes the Group to a number of risks which the Group monitors and works with the Trustee to mitigate (noting it is the Trustee who has the remit and ultimate decision making powers). The most significant of which are:

Risk

Description

Mitigation

1 Asset pricing

The Defined Benefit Obligation (DBO) is calculated using a discount rate set with reference to AA-rated corporate bond yields; asset returns that differ from the discount rate will create an element of volatility in the solvency ratio. Approximately 44 % of the UK Pension Fund is exposed to growth assets, including global investments, most of which are not sterling dominated. Although these growth assets are expected to outperform AA-rated corporate bonds in the long term, they can lead to volatility and mismatching risk in the short term. The allocation to growth assets is monitored to ensure it remains appropriate given the UK Pension Fund’s long-term objectives and risk budget.

The Trustee invests in a suitably diversified range of asset classes with different return drivers and investment managers. Investment strategy will evolve to further improve the expected risk/return profile as opportunities arise and funding solvency improves.

The Trustee has hedged approximately 89 % of unintended non-sterling, overseas currency risk within the UK Pension Fund assets.

2 Interest rate

A decrease in corporate bond yields will increase the present value placed on the DBO under IAS 19.

The interest rate hedge of the UK Pension Fund is predominantly implemented via holding gilts (and gilt repurchase agreements or ‘gilt repo’) of appropriate duration. This hedge protects to a large degree against falls in long-term interest rates and the UK Pension Fund is approximately 98 % hedged as a percentage of assets at the end of 2024 (versus target of 100 %). Nonetheless, there remain differences in the bonds and instruments held by the UK Pension Fund to hedge interest rate risk on the statutory and long-term funding basis (gilts and ‘gilt repo’) and the bonds included in the yield curve to set the DBO discount rate on an IAS 19 basis (AA corporate bonds). As such, there remains mismatching risk on an IAS 19 basis should yields on gilts diverge compared to AA corporate bonds.

3 Inflation

The majority of the DBO is indexed in line with price inflation (mainly inflation as measured by the UK Retail Price Index (RPI) but also for some members, a component of pensions is indexed by the UK Consumer Price Index (CPI)) and higher inflation will lead to higher liabilities (although, in the vast majority of cases, this is capped at an annual increase of 5 %, known as Limited Price Indexation or LPI).

The UK Pension Fund holds RPI index-linked gilts and ‘gilt repo’. The inflation hedge of the UK Pension Fund protects to some degree against higher-than-expected inflation increases on the DBO and is approximately 98 % hedged as a percentage of assets at the end of 2024 (versus a target of 100 %).

4 Longevity

The majority of the UK Pension Fund’s obligations are to provide benefits for the life of the member, so increases in life expectancy will result in an increase in the liabilities.

In 2013, the Trustee entered into a longevity swap to hedge against the risk of increasing life expectancy over the next circa 70 years. The swap currently covers approximately 8,000 of the UK Pension Fund’s pensioners, equivalent to $ 2.2 bn of Pension Fund liability. A one-year increase in life expectancy would result in a $ 178 m increase in Pension Fund obligations, which would be partially offset by a $ 89 m increase in the value of the longevity swap and hence the pension fund assets.

5 Cash flow and liquidity

The UK Pension Fund is maturing and cash flow negative. Assets are liquidated to meet benefit outgo and potentially from time to time, to supplement the collateral pool required to post margin for derivative holdings.

There is a risk of the Trustee requesting liquidity support from the Group to meet margin calls or expenditure, if the liquidity position of the UK Pension Fund is not effectively monitored and managed.

The Trustee invests in a diversified portfolio of highly liquid assets to manage sequencing risk and operates a collateral management policy, maintaining a minimum liquidity ‘buffer’. As at the end of 2024, the buffer is well above recommended regulatory guidelines and the minimum thresholds, and can be quickly supplemented in an orderly manner.

At 31 December 2024, 8 % of assets are invested in a cash-flow driven investment portfolio, consisting of investment-grade corporate bonds. The purpose of this portfolio is to generate income to help meet the Fund’s benefit outgo. The portfolio is expected to grow over time as further de-risking occurs and when attractive pricing points present.

Other risks

There are a number of other risks of administering the UK Pension Fund which the Trustee manages with Group input. Some of the major risks include counterparty risks from using derivatives (mitigated by using a specialist investment manager to oversee a diversified range of counterparties of high standing and ensuring positions are collateralised daily). Furthermore, there are operational risks (such as paying out the wrong benefits) and regulatory risks (such as the UK Government introducing new legislation). These are mitigated so far as possible via the governance structure in place which oversees and administers the Pension Funds.

Fiduciary Boards who govern the Swedish pension plans also monitor and manage these key risks, where relevant and possible to do so, in a similar way, by investing in a diversified manner (to mitigate the first risk) and employing a framework to hedge interest rate risk where practicable (to mitigate the second risk). It is not possible to hedge inflation risk (third risk) nor longevity risk (fourth risk) due to a lack of available instruments in the local market. As the Swedish plans are less mature and have a longer investment horizon, the fifth risk is not as significant compared to the UK Pension Fund.

Fiduciary boards are aware of Environmental, Social and Governance (ESG) risks as they pertain to investment policy, and where local regulation allows, have policies in place to monitor and manage such risks and comply with local legislation and disclosure requirements.

F-38

Assets and obligations of defined benefit plans

The assets and obligations of the defined benefit schemes operated by the Group at 31 December 2024, as calculated in accordance with IAS 19, are shown below. The fair values of the schemes’ assets are not intended to be realised in the short term and may be subject to significant change before they are realised. The present value of the schemes’ obligations is derived from cash-flow projections over long periods and is therefore inherently uncertain.

Scheme assets

2023

UK

US

Sweden

Rest of Group

Total

Quoted

Unquoted

Quoted

Unquoted

Quoted

Unquoted

Quoted

Unquoted

Quoted

Unquoted

Total

$m

$m

$m

$m

$m

$m

$m

$m

$m

$m

$m

Government bonds 1

2,383

61

51

2,495

2,495

Corporate bonds 2

373

94

6

473

473

Derivatives 3

( 532 )

440

( 92 )

( 92 )

Investment funds: Listed Equities 4

321

53

3

53

324

377

Investment funds: Absolute Return/Multi Strategy 4

1,131

461

5

8

5

1,600

1,605

Investment funds: Corporate Bonds/Credit 4

667

165

48

48

832

880

Cash and cash equivalents

53

363

5

2

3

58

368

426

Other

( 1 )

316

( 1 )

316

315

Total fair value of scheme assets 5

2,809

1,950

160

1,068

162

330

3,131

3,348

6,479

2024

UK

Sweden

Rest of Group

Total

Quoted

Unquoted

Quoted

Unquoted

Quoted

Unquoted

Quoted

Unquoted

Total

$m

$m

$m

$m

$m

$m

$m

$m

$m

Government bonds 1

1,884

45

1,929

1,929

Corporate bonds 2

352

6

358

358

Derivatives 3

( 355 )

475

120

120

Investment funds: Listed Equities 4

374

38

23

38

397

435

Investment funds: Absolute Return/Multi Strategy 4

1,051

420

5

7

5

1,478

1,483

Investment funds: Corporate Bonds/Credit 4

601

159

182

19

182

779

961

Cash and cash equivalents

32

336

2

2

2

34

340

374

Other

( 6 )

194

( 6 )

194

188

Total fair value of scheme assets 5

2,268

2,007

1,056

272

245

2,540

3,308

5,848

1 Predominantly developed markets in nature.
2 Predominantly developed markets in nature and investment grade (AAA-BBB).
3 Includes interest rate swaps, inflation swaps, longevity swaps, equity total return swaps and other contracts. More detail is given in the section Risks associated with the Group’s defined benefit pension plans on page 186. Valuations are determined by independent third parties.
4 Investment Funds are pooled, commingled vehicles, whereby the pension plan owns units in the fund, alongside other investors. The pension plans invest in a number of Investment Funds, including Listed Equities (primarily developed markets with some emerging markets), Corporate Bonds/Credit (a range of investment-grade and non investment-grade credit) and Absolute Return/Multi Strategy (actively managed multi-asset exposure both across and within traditional and alternative asset classes). The price of the funds is set by independent administrators/custodians employed by the investment managers and based on the value of the underlying assets held in the fund. Details of pricing methodology is set out within internal control reports provided for each fund. Prices are updated daily, weekly or monthly depending upon the frequency of the fund’s dealing.
5 None of the Group’s own assets were included in the scheme assets (2023: $ nil ).

Scheme obligations

2023

UK

US

Sweden

Rest of Group

Total

$m

$m

$m

$m

$m

Present value of scheme obligations in respect of:

Active membership

( 233 )

( 45 )

( 553 )

( 442 )

( 1,273 )

Deferred membership

( 853 )

( 2 )

( 443 )

( 294 )

( 1,592 )

Pensioners

( 4,075 )

( 107 )

( 606 )

( 254 )

( 5,042 )

Total value of scheme obligations

( 5,161 )

( 154 )

( 1,602 )

( 990 )

( 7,907 )

2024

UK

Sweden

Rest of Group

Total

$m

$m

$m

$m

Present value of scheme obligations in respect of:

Active membership

( 200 )

( 543 )

( 481 )

( 1,224 )

Deferred membership

( 667 )

( 393 )

( 197 )

( 1,257 )

Pensioners

( 3,725 )

( 572 )

( 301 )

( 4,598 )

Total value of scheme obligations

( 4,592 )

( 1,508 )

( 979 )

( 7,079 )

F-39

Net (deficit)/surplus in the scheme

2023

UK

US

Sweden

Rest of Group

Total

$m

$m

$m

$m

$m

Total fair value of scheme assets

4,759

160

1,068

492

6,479

Total value of scheme obligations

( 5,161 )

( 154 )

( 1,602 )

( 990 )

( 7,907 )

(Deficit)/surplus in the scheme as recognised in the
Consolidated Statement of Financial Position

( 402 )

6

( 534 )

( 498 )

( 1,428 )

Included in Non-current other receivables (Note 14)

66

26

1

92

Included in Retirement benefit obligations

( 402 )

( 60 )

( 534 )

( 524 )

( 1,520 )

( 402 )

6

( 534 )

( 498 )

( 1,428 )

2024

UK

Sweden

Rest of Group

Total

$m

$m

$m

$m

Total fair value of scheme assets

4,275

1,056

517

5,848

Total value of scheme obligations

( 4,592 )

( 1,508 )

( 979 )

( 7,079 )

Deficit in the scheme as recognised in the Consolidated Statement of Financial Position

( 317 )

( 452 )

( 462 )

( 1,231 )

Included in Non-current other receivables (Note 14)

99

2

99

Included in Retirement benefit obligations

( 317 )

( 452 )

( 561 )

( 1,330 )

( 317 )

( 452 )

( 462 )

( 1,231 )

1 Surpluses were recognised in Ireland and Belgium.
2 Surpluses were recognised in the US, Ireland and Belgium.

Fair value of scheme assets

2024

2023

UK

Sweden

Rest of Group

Total

UK

US

Sweden

Rest of Group

Total

$m

$m

$m

$m

$m

$m

$m

$m

$m

At beginning of year

4,759

1,068

652

6,479

4,573

1,008

946

503

7,030

Interest income on scheme assets

214

33

15

262

229

22

38

11

300

Expenses

( 5 )

( 5 )

( 9 )

( 1 )

( 1 )

( 11 )

Actuarial (losses)/gains

( 370 )

55

( 315 )

( 59 )

2

37

( 45 )

( 65 )

Exchange and other adjustments

( 67 )

( 98 )

( 20 )

( 185 )

262

( 1 )

48

20

329

Employer contributions

66

50

50

166

65

35

46

42

188

Participant contributions

1

12

13

1

4

7

12

Benefits paid

( 323 )

( 52 )

( 76 )

( 451 )

( 303 )

( 68 )

( 47 )

( 45 )

( 463 )

Settlements 1

( 116 )

( 116 )

( 841 )

( 841 )

Scheme assets’ fair value at end of year

4,275

1,056

517

5,848

4,759

160

1,068

492

6,479

1 The 2024 settlement is the buyout of post-retirement pension plans in Norway and the Netherlands.

The actual return on the plan assets was a loss of $ 53 m (2023: gain of $ 235 m).

Movement in post-retirement scheme obligations

2024

2023

UK

Sweden

Rest of Group

Total

UK

US

Sweden

Rest of Group

Total

$m

$m

$m

$m

$m

$m

$m

$m

$m

Present value of obligations in scheme at beginning of year

( 5,161 )

( 1,602 )

( 1,144 )

( 7,907 )

( 4,801 )

( 1,022 )

( 1,312 )

( 973 )

( 8,108 )

Current service cost

( 6 )

( 26 )

( 40 )

( 72 )

( 6 )

( 2 )

( 13 )

( 35 )

( 56 )

Past service (cost)/credit

( 2 )

( 8 )

1

( 9 )

12

( 2 )

2

12

Participant contributions

( 1 )

( 12 )

( 13 )

( 1 )

( 4 )

( 7 )

( 12 )

Benefits paid

323

52

76

451

303

68

47

45

463

Interest expense on post-retirement scheme obligations

( 231 )

( 47 )

( 34 )

( 312 )

( 239 )

( 22 )

( 50 )

( 27 )

( 338 )

Actuarial gains/(losses)

416

( 23 )

2

395

( 155 )

( 12 )

( 202 )

28

( 341 )

Exchange and other adjustments

70

146

56

272

( 274 )

1

( 70 )

( 34 )

( 377 )

Settlements 1

116

116

839

11

850

Present value of obligations in scheme at end of year

( 4,592 )

( 1,508 )

( 979 )

( 7,079 )

( 5,161 )

( 154 )

( 1,602 )

( 990 )

( 7,907 )

1 The 2024 settlement is the buyout of post-retirement pension plans in Norway and the Netherlands.

The obligations arise from over 50 plans in 28 countries:

2024

2023

UK

Sweden

Rest of Group

Total

UK

US

Sweden

Rest of Group

Total

$m

$m

$m

$m

$m

$m

$m

$m

$m

Funded – pension schemes 1

( 4,582 )

( 1,505 )

( 717 )

( 6,804 )

( 5,151 )

( 1,599 )

( 868 )

( 7,618 )

Funded – post-retirement healthcare

( 78 )

( 78 )

( 94 )

( 94 )

Unfunded – pension schemes 1

( 3 )

( 167 )

( 170 )

( 60 )

( 3 )

( 113 )

( 176 )

Unfunded – post-retirement healthcare

( 10 )

( 17 )

( 27 )

( 10 )

( 9 )

( 19 )

Total

( 4,592 )

( 1,508 )

( 979 )

( 7,079 )

( 5,161 )

( 154 )

( 1,602 )

( 990 )

( 7,907 )

1 Includes defined benefit pension schemes and other plans, such as lump sum, long service awards and DC plans with underpins.

F-40

Consolidated Statement of Comprehensive Income disclosures

The amounts that have been charged to the Consolidated Statement of Comprehensive Income, in respect of defined benefit schemes for the years ended 31 December 2024 and 31 December 2023, are set out below.

2024

2023

UK

Sweden

Rest of Group

Total

UK

US

Sweden

Rest of Group

Total

$m

$m

$m

$m

$m

$m

$m

$m

$m

Operating profit

Current service cost

( 6 )

( 26 )

( 40 )

( 72 )

( 6 )

( 2 )

( 13 )

( 35 )

( 56 )

Past service (cost)/credit

( 2 )

( 8 )

1

( 9 )

12

( 2 )

2

12

Expenses

( 5 )

( 5 )

( 9 )

( 1 )

( 1 )

( 11 )

Total charge to Operating profit

( 13 )

( 34 )

( 39 )

( 86 )

( 3 )

( 3 )

( 15 )

( 34 )

( 55 )

Finance expense

Interest income on scheme assets

214

33

15

262

229

22

38

11

300

Interest expense on post-retirement scheme obligations

( 231 )

( 47 )

( 34 )

( 312 )

( 239 )

( 22 )

( 50 )

( 27 )

( 338 )

Net interest on post-employment defined benefit plan liabilities

( 17 )

( 14 )

( 19 )

( 50 )

( 10 )

( 12 )

( 16 )

( 38 )

Charge before taxation

( 30 )

( 48 )

( 58 )

( 136 )

( 13 )

( 3 )

( 27 )

( 50 )

( 93 )

Other comprehensive income

Difference between the actual return and the expected return on the post-retirement scheme assets

( 370 )

55

( 315 )

( 59 )

2

37

( 45 )

( 65 )

Experience gains/(losses) arising on the post-retirement scheme obligations

3

( 33 )

( 10 )

( 40 )

( 25 )

( 2 )

( 67 )

( 13 )

( 107 )

Changes in financial assumptions underlying the present value of the post-retirement scheme obligations

414

11

11

436

( 142 )

( 10 )

( 135 )

44

( 243 )

Changes in demographic assumptions

( 1 )

( 1 )

1

( 1 )

12

( 3 )

9

Remeasurement of the defined benefit liability

46

32

2

80

( 214 )

( 10 )

( 165 )

( 17 )

( 406 )

Past service cost includes granting early retirement in UK and Sweden.

Total Group pension costs in respect of defined contribution and defined benefit schemes during the year are set out below (see Note 29).

2024

2023

$m

$m

Defined contribution plans

528

482

Defined benefit plans − Current service cost and Expenses

77

67

Defined benefit plans − Past service cost/(credit)

9

( 12 )

Pension costs

614

537

Rate sensitivities

The following tables show the US dollar effect of a change in the significant actuarial assumptions used to determine the retirement benefits obligations in our two main defined benefit pension obligation countries.

2024

2023

+ 0.5 %

−0.5%

+ 0.5 %

−0.5%

Discount rate

UK ($m)

219

( 239 )

269

( 308 )

Sweden ($m)

110

( 126 )

109

( 123 )

Total ($m)

329

( 365 )

378

( 431 )

2024

2023

+ 0.5 %

−0.5%

+ 0.5 %

−0.5%

Inflation rate 1

UK ($m)

( 148 )

142

( 189 )

184

Sweden ($m)

( 119 )

104

( 116 )

104

Total ($m)

( 267 )

246

( 305 )

288

2024

2023

+ 0.5 %

−0.5%

+ 0.5 %

−0.5%

Rate of increase in salaries

UK ($m)

n/a

n/a

n/a

n/a

Sweden ($m)

( 46 )

43

( 46 )

42

Total ($m)

( 46 )

43

( 46 )

42

2024

2023

+1 year

−1 year

+1 year

−1 year

Mortality rate

UK ($m)

( 178 )

2

175

3

( 214 )

212

Sweden ($m)

( 74 )

54

( 51 )

51

Total ($m)

( 252 )

229

( 265 )

263

1 Rate of increase in pensions in payment follows inflation.
2 Of the $ 178 m increase, $ 89 m is covered by the longevity swap.
3 Of the $ 175 m decrease, $ 88 m is covered by the longevity swap.

F-41

Due to market conditions at 31 December 2023 the following additional sensitivities for 1.0 % assumption changes were calculated and disclosed in the 2023 Group Financial Statements: $ 525 m (UK) and $ 210 m (Sweden) if the discount rate is increased; $( 634 )m (UK) and $( 254 )m (Sweden) if the discount rate is decreased; $( 384 )m (UK) and $( 240 )m (Sweden) if the inflation rate is increased; and $ 363 m (UK) and $ 201 m (Sweden) if the inflation rate is decreased. The Group does not consider market conditions at 31 December 2024 warrant the updating of these sensitivities.

The sensitivity to the financial assumptions shown above has been estimated taking into account the approximate duration of the liabilities and the overall profile of the plan membership.

The inflation sensitivity allows for the impact of a change in inflation on salary increases and pension increases (where these assumptions are inflation-linked).

The salary increase sensitivity reflects the impact of an increase of only salary relative to inflation.

The sensitivity to the life expectancy assumption is estimated based on a revised mortality assumption that extends/reduces the current life expectancy by one year for a particular age.

23 Reserves

Retained earnings

The cumulative amount of goodwill written off directly to reserves resulting from acquisitions, net of disposals, amounted to $ 580 m (2023: $ 595 m; 2022: $ 591 m) using year-end rates of exchange.

At 31 December 2024, 442,342 shares, at a cost of $ 68 m, have been deducted from Retained earnings (2023: 1,580,137 shares, at a cost of $ 129 m; 2022: 1,671,446 shares, at a cost of $ 112 m) to satisfy future vesting of employee share plans.

There are no significant statutory or contractual restrictions on the distribution of current profits of subsidiaries; undistributed profits of prior years are, in the main, permanently employed in the businesses of these companies. The undistributed income of AstraZeneca companies overseas might be liable to overseas taxes and/or UK taxation (after allowing for double taxation relief) if they were to be distributed as dividends (see Note 4).

2024

2023

2022

$m

$m

$m

Cumulative translation differences included within Retained earnings

At 1 January

( 3,014 )

( 3,694 )

( 1,934 )

Foreign exchange arising on consolidation

( 957 )

608

( 1,446 )

Exchange adjustments on goodwill (recorded against other reserves)

( 15 )

4

( 24 )

Foreign exchange arising on designated liabilities in net investment hedges 1

( 122 )

24

( 282 )

Fair value movements on derivatives designated in net investment hedges

39

44

( 8 )

Net exchange movement in Retained earnings

( 1,055 )

680

( 1,760 )

At 31 December

( 4,069 )

( 3,014 )

( 3,694 )

1 Foreign exchange arising on designated liabilities in net investment hedges includes $ 59 m in respect of designated bonds and $ ( 181 ) m in respect of designated contingent consideration and other liabilities. The change in value of designated contingent consideration liabilities relates to $( 180 ) m in respect of BMS’ share of Global Diabetes Alliance.

The cumulative loss with respect to costs of hedging is $ 43 m (2023: $ 22 m; 2022: $ 3 m) and the loss during the year was $ 21 m (2023: $ 19 m; 2022: $ 7 m).

The balance remaining in the foreign currency translation reserve from net investment hedging relationships for which hedge accounting no longer applied is a gain of $ 527 m. For further detail relating to hedging balances, please see the Hedge accounting section within Note 28, from page 199.

Other reserves

The other reserves arose from the cancellation of £ 1,255 m of share premium account by the Company in 1993 and the redenomination of share capital of $ 157 m in 1999. The reserves are available for writing off goodwill arising on consolidation and, subject to guarantees given to preserve creditors at the date of the court order, are available for distribution.

Following an amendment to the Employee Benefit Trust (EBT) Deed on 10 June 2024, AstraZeneca obtained control and commenced consolidation of the EBT. The value of shares held by the consolidated EBTs will be reflected as an adjustment against Other reserves.

24 Share capital

Allotted, called-up and fully paid

2024

2023

2022

$m

$m

$m

Issued Ordinary Shares ($ 0.25 each)

388

388

387

Redeemable Preference Shares (£ 1 each – £ 50,000 )

At 31 December

388

388

387

The Redeemable Preference Shares carry limited class-voting rights and no dividend rights. This class of shares is capable of redemption at par at the option of the Company on the giving of seven days ’ written notice to the registered holder of the shares.

The Company does not have a limited amount of authorised share capital.

The movements in the number of Ordinary Shares during the year can be summarised as follows:

No. of shares

2024

2023

2022

At 1 January

1,550,162,626

1,549,800,030

1,549,400,665

Issue of shares (share schemes)

383,613

362,596

399,365

At 31 December

1,550,546,239

1,550,162,626

1,549,800,030

Share issues

Issue of shares (share schemes) represents share capital issued as part of the Group’s equity incentivisation schemes (see Note 29).

F-42

Share repurchases

No Ordinary Shares were repurchased by the Company in 2024 (2023: nil ; 2022: nil ).

Shares held by subsidiaries

At 31 December 2024, AstraZeneca-controlled Employee Benefit Trust arrangements held 442,342 Ordinary Shares in the Company at a weighted average cost of $ 68 m. The market value of these Ordinary Shares at 31 December 2024 was $ 58 m. No comparable arrangements were in place at 31 December 2023 or 31 December 2022.

25 Dividends to shareholders

2024

2023

2022

2024

2023

2022

Per share

Per share

Per share

$m

$m

$m

Second interim (March 2024)

$ 1.97

$ 1.97

$ 1.97

3,052

3,047

3,046

First interim (September 2024)

$ 1.00

$ 0.93

$ 0.93

1,550

1,440

1,440

Total

$ 2.97

$ 2.90

$ 2.90

4,602

4,487

4,486

The Company has exercised its authority in accordance with the provisions set out in the Company’s Articles of Association, that the balance of unclaimed dividends outstanding past 12 years be forfeited. Unclaimed dividends of $nil (2023: $ nil ; 2022: $ 1 m) have been adjusted for in Retained earnings in 2024.

The 2023 second interim dividend of $ 1.97 per share was paid on 25 March 2024. The 2024 first interim dividend of $ 1.00 per share was paid on 9 September 2024.

Reconciliation of dividends charged to equity to the Consolidated Statement of Cash Flows:

2024

2023

2022

$m

$m

$m

Dividends charged to equity

4,602

4,487

4,486

Exchange losses on payment of dividend

3

5

5

Hedge contracts relating to payment of dividends (Consolidated Statement of Cash Flows)

16

( 19 )

( 127 )

Dividends paid to non-controlling interests

4

4

Net movement of unclaimed dividends in the year

4

4

Dividends paid (Consolidated Statement of Cash Flows)

4,629

4,481

4,364

26 Non-controlling interests

The Group Financial Statements at 31 December 2024 reflect equity of $ 85 m (2023: $ 23 m; 2022: $ 21 m) and Total comprehensive income of $ 5 m (2023: $ 6 m; 2022: $ 2 m) attributable to the non-controlling interests in AstraZeneca Pharma India Limited, P.T. AstraZeneca Indonesia, Beijing Falikang Pharmaceutical (China) Co. Ltd., AstraZeneca Algeria Pharmaceutical Industries SPA, VaxNewMo LLC and SixPeaks Bio AG.

27 Acquisitions of business operations

Acquisitions of business operations in 2024

Gracell

On 22 February 2024, AstraZeneca completed the acquisition of Gracell Biotechnologies Inc. (Gracell), a global clinical-stage biopharmaceutical company developing innovative cell therapies for the treatment of cancer and autoimmune-diseases. Gracell will operate as a wholly-owned subsidiary of AstraZeneca, with operations in China and the US.

The acquisition enriches AstraZeneca’s growing pipeline of cell therapies with AZD0120 (formerly GC012F), a novel, clinical-stage T-cell (CAR-T: therapeutic chimeric antigen receptor) therapy. AZD0120 is a potential new treatment for multiple myeloma, as well as other haematologic malignancies and autoimmune-diseases, including Systemic Lupus Erythematosus (SLE).

The transaction is recorded as a business combination using the acquisition method of accounting in accordance with IFRS 3 ‘Business Combinations’. Consequently, the assets acquired, and liabilities assumed are recorded at fair value. The purchase price allocation review has been completed.

Fair value

$m

Intangible assets

1,038

Cash and cash equivalents 1

212

Net deferred tax liability

( 260 )

Other immaterial net balances

( 89 )

Total net assets acquired

901

Goodwill

136

Consideration

1,037

1 Cash and cash equivalents acquired includes $ 3 m relating to marketable securities.

The total consideration fair value of $ 1,037 m comprises cash consideration of $ 983 m and future regulatory milestone-based consideration of $ 54 m. Intangible assets recognised relate to products in development, principally AZD0120, and were fair valued using the multi-period excess earnings method, which uses several estimates regarding the amount and timing of future cash flows. The key assumptions in the cash flows are the probability of technical and regulatory success, peak year sales and revenue erosion profiles.

The net deferred tax liability of $ 260 m principally arises from the deferred tax impact of the uplift in fair value of intangible assets.

Goodwill of $ 136 m has been recognised, which principally comprises the premium attributable to the core technological capabilities and knowledge base of the company. Goodwill is not expected to be deductible for tax purposes.

Gracell’s results have been consolidated into the Group’s results from 22 February 2024.

F-43

Fusion

On 4 June 2024, AstraZeneca completed the acquisition of Fusion Pharmaceuticals Inc., (Fusion) a clinical-stage biopharmaceutical company developing next-generation radioconjugates. The acquisition marks a major step forward in AstraZeneca delivering on its ambition to transform cancer treatment and outcomes for patients by replacing traditional regimens like chemotherapy and radiotherapy with more targeted treatments. As a result of the acquisition, Fusion became a wholly owned subsidiary of AstraZeneca, with operations in Canada and the US.

Immediately prior to the acquisition, AstraZeneca held approximately 1 % shareholding in Fusion considered to have a fair value of $ 24 m.

This acquisition complements AstraZeneca’s leading oncology portfolio with the addition of the Fusion pipeline of radioconjugates, including their most advanced programme, FPI-2265, a potential new treatment for patients with metastatic castration-resistant prostate cancer (mCRPC), and brings new expertise and pioneering R&D, manufacturing and supply chain capabilities in actinium-based radioconjugates to AstraZeneca.

The transaction is recorded as a business combination using the acquisition method of accounting in accordance with IFRS 3 ‘Business Combinations’. Consequently, the assets acquired, and liabilities assumed are recorded at fair value. The purchase price allocation review has been completed.

Fair value

$m

Intangible assets

1,326

Cash and cash equivalents

30

Current investments

87

Net deferred tax liability

( 246 )

Other immaterial net balances

51

Total net assets acquired

1,248

Goodwill

947

Consideration

2,195

The total consideration fair value of $ 2,195 m includes cash consideration of $ 2,027 m (net of $ 24 m proceeds from disposal of the existing approximately 1 % shareholding) and future regulatory milestone-based consideration of $ 144 m. Intangible assets relating to products in development comprise the FPI-2265 ($ 848 m), FPI-2059 ($ 165 m) and AZD2068 ($ 313 m) programmes. These were fair valued using the multi-period excess earnings method, which uses several estimates regarding the amount and timing of future cash flows. The key assumptions in the cash flows are the probability of technical and regulatory success, peak year sales and revenue erosion profiles.

The net deferred tax liability of $ 246 m principally arises from the deferred tax impact of the uplift in fair value of intangible assets.

Goodwill amounting to $ 947 m was recognised on acquisition and is underpinned by a number of elements, which individually could not be quantified. These include the premium attributable to a pre-existing, well positioned business in the innovation intensive biopharmaceuticals market with a highly skilled workforce, unidentified potential products that future research and development may yield, and the core capabilities and knowledge base of the company including radioisotope supply and manufacturing expertise. Goodwill is not expected to be deductible for tax purposes.

Fusion’s results have been consolidated into the Group’s results from 4 June 2024.

In December 2024, the intangible asset relating to product in development FPI-2059 was fully impaired by $ 165 m due to decisions made to terminate the related activities and prioritise resources on the development of FPI-2265 and AZD2068 (see Note 10).

Acquisitions of business operations in 2023

On 16 January 2023, AstraZeneca completed the acquisition of Neogene Therapeutics Inc. (Neogene), a global clinical-stage biotechnology company pioneering the discovery, development and manufacturing of next-generation T-cell receptor therapies (TCR-Ts). The total consideration was $ 267 m. Intangible assets of $ 100 m and goodwill of $ 158 m were recognised in the acquisition balance sheet, as well as a cash outflow of $ 189 m, net of cash acquired. Following achievement of agreed milestones in 2024, contingent milestones-based consideration and non-contingent consideration of $ 120 m is payable. Neogene’s results have been consolidated into the Group’s results from 16 January 2023.

Acquisitions of business operations in 2022

On 16 November 2022, AstraZeneca completed the acquisition of 100 % of the issued shares of LogicBio Therapeutics, Inc. (LogicBio) based in Lexington, MA, US. LogicBio is a clinical-stage genetic medicine company pioneering genome editing and gene delivery platforms to address rare and serious diseases from infancy through adulthood. The total consideration was $ 72 m. Cash of $ 68 m was paid on the completion date, with $ 4 m of outstanding options, which will be settled in cash, recorded in current Trade and other payables. Goodwill of $ 15 m, assets of $ 82 m, including $ 46 m of intangible assets, and liabilities of $ 25 m were recognised on acquisition. LogicBio’s results have been consolidated into the Group’s results from 16 November 2022.

28 Financial risk management objectives and policies

The Group’s principal financial instruments, other than derivatives, comprise bank overdrafts, loans and other borrowings, lease liabilities, current and non-current investments, cash and short-term deposits. The main purpose of these financial instruments is to manage the Group’s funding and liquidity requirements. The Group has other financial assets and liabilities such as trade receivables and trade payables, which arise directly from its operations.

The principal financial risks to which the Group is exposed are those of liquidity, interest rate, foreign currency and credit. Each of these is managed in accordance with Board-approved policies. These policies, together with the Group's approach to capital management, are set out below.

Capital management

The capital structure of the Group consists of Shareholders’ equity (Note 24), Debt (Note 19), Other current investments (Note 12) and Cash (Note 17). For the foreseeable future, the Board will maintain a capital structure that supports the Group’s strategic objectives through:

> managing funding and liquidity risk
> optimising shareholder return
> maintaining a strong, investment-grade credit rating.

F-44

The Group utilises factoring arrangements and bank acceptance drafts discounting for selected trade receivables. These arrangements qualify for full derecognition of the associated trade receivables under IFRS 9 ‘Financial Instruments’. Amounts due on invoices that have not been factored at year end, from customers that are subject to these arrangements, are disclosed in Note 16.

Funding and liquidity risk are reviewed regularly by the Board and managed in accordance with the policies described below.

The Board regularly reviews its shareholders’ distribution policy, which comprises a regular cash dividend and potentially a share repurchase component. No share repurchases have been made since 2012.

The Group’s net debt position (loans and borrowings net of Cash and cash equivalents, Other investments and Derivative financial instruments) has increased by $ 2,060 m from a net debt position of $ 22,510 m at the beginning of the year to a net debt position of $ 24,570 m at 31 December 2024. Gross debt increased from $ 28,622 m to $ 30,295 m, principally due to the issuance of $ 6,492 m debt offset by the repayment of $ 4,652 m debt.

Liquidity risk

The Board reviews the Group’s ongoing liquidity risks annually as part of the planning process and on an ad hoc basis. The Board considers short-term requirements against available sources of funding, taking into account forecast cash flows. The Group manages liquidity risk by maintaining access to a number of sources of funding which are sufficient to meet anticipated funding requirements. Specifically, the Group uses US and European commercial paper, bank loans, committed bank facilities and cash resources to manage short-term liquidity and manages long-term liquidity by raising funds through the capital markets. At 31 December 2024, the Group was assigned short-term credit ratings of P-1 by Moody’s and A-1 by Standard and Poor’s. The Group’s long-term credit rating was A2 by Moody’s and A+ by Standard and Poor’s.

In addition to Cash and cash equivalents of $ 5,488 m, short-term fixed income investments of $ 37 m, less overdrafts of $ 59 m at 31 December 2024, the Group has committed bank facilities of $ 4,875 m available to manage liquidity. These committed bank facilities have no financial covenants. The maturity of the $ 4,875 m facilities was extended in January 2025 from April 2029 to April 2030. The Group regularly monitors the credit standing of the banks providing the facilities and currently does not anticipate any issue with drawing on the committed facilities should this be necessary. Advances under these facilities currently bear an interest rate per annum based on Secured Overnight Financing Rate (SOFR) plus a margin.

At 31 December 2024, the Group has $ 5,122 m outstanding from debt issued under a Euro Medium Term Note programme and $ 23,350 m under an SEC-registered programme. The funds made available under these facility agreements may be used for the general corporate purposes of the Group.

The maturity profile of the anticipated future contractual cash flows including interest in relation to the Group’s financial liabilities, on an undiscounted basis, which therefore differs from both the carrying value and fair value, is as follows:

Bank

Total

Derivative

Derivative

Total

overdrafts

Trade

non-derivative

financial

financial

derivative

and other

Bonds and

Lease

and other

financial

instruments

instruments

financial

loans

bank loans

liabilities

payables

instruments

receivable

payable

instruments

Total

$m

$m

$m

$m

$m

$m

$m

$m

$m

Within one year

365

5,777

249

19,065

25,456

( 12,445 )

12,478

33

25,489

In one to two years

5,233

208

2,086

7,527

( 1,012 )

1,078

66

7,593

In two to three years

2,608

172

872

3,652

( 34 )

38

4

3,656

In three to four years

2,983

128

595

3,706

( 103 )

103

3,706

In four to five years

1,267

84

814

2,165

( 32 )

35

3

2,168

In more than five years

18,156

184

3,177

21,517

( 1,436 )

1,378

( 58 )

21,459

365

36,024

1,025

26,609

64,023

( 15,062 )

15,110

48

64,071

Effect of interest

( 15 )

( 7,982 )

( 7,997 )

227

( 249 )

( 22 )

( 8,019 )

Effect of discounting, fair values and issue costs

( 113 )

( 72 )

( 3,299 )

( 3,484 )

63

7

70

( 3,414 )

31 December 2022

350

27,929

953

23,310

52,542

( 14,772 )

14,868

96

52,638

Bank

Total

Derivative

Derivative

Total

overdrafts

Trade

non-derivative

financial

financial

derivative

and other

Bonds and

Lease

and other

financial

instruments

instruments

financial

loans

bank loans

liabilities

payables

instruments

receivable

payable

instruments

Total

$m

$m

$m

$m

$m

$m

$m

$m

$m

Within one year

542

5,469

313

22,401

28,725

( 11,302 )

11,366

64

28,789

In one to two years

2,764

261

1,482

4,507

( 100 )

114

14

4,521

In two to three years

3,137

208

788

4,133

( 164 )

179

15

4,148

In three to four years

2,230

138

625

2,993

( 924 )

883

( 41 )

2,952

In four to five years

3,822

88

12

3,922

( 949 )

971

22

3,944

In more than five years

17,995

271

35

18,301

( 1,507 )

1,340

( 167 )

18,134

542

35,417

1,279

25,343

62,581

( 14,946 )

14,853

( 93 )

62,488

Effect of interest

( 27 )

( 8,270 )

( 8,297 )

589

( 644 )

( 55 )

( 8,352 )

Effect of discounting, fair values and issue costs

( 168 )

( 151 )

( 309 )

( 628 )

44

( 46 )

( 2 )

( 630 )

31 December 2023

515

26,979

1,128

25,034

53,656

( 14,313 )

14,163

( 150 )

53,506

F-45

Bank

Total

Derivative

Derivative

Total

overdrafts

Trade

non-derivative

financial

financial

derivative

and other

Bonds and

Lease

and other

financial

instruments

instruments

financial

loans

bank loans

liabilities

payables

instruments

receivable

payable

instruments

Total

$m

$m

$m

$m

$m

$m

$m

$m

$m

Within one year

345

3,045

396

22,501

26,287

( 16,227 )

16,282

55

26,342

In one to two years

3,437

345

1,086

4,868

( 207 )

250

43

4,911

In two to three years

3,670

266

105

4,041

( 917 )

956

39

4,080

In three to four years

3,978

170

750

4,898

( 941 )

1,044

103

5,001

In four to five years

3,780

117

3,897

( 627 )

489

( 138 )

3,759

In more than five years

19,929

406

20,335

( 2,437 )

2,583

146

20,481

345

37,839

1,700

24,442

64,326

( 21,356 )

21,604

248

64,574

Effect of interest

( 15 )

( 9,173 )

( 9,188 )

808

( 1,068 )

( 260 )

( 9,448 )

Effect of discounting, fair values and issue costs

( 153 )

( 248 )

( 207 )

( 608 )

36

( 95 )

( 59 )

( 667 )

31 December 2024

330

28,513

1,452

24,235

54,530

( 20,512 )

20,441

( 71 )

54,459

Where interest payments are on a floating rate basis, it is assumed that rates will remain unchanged from the last business day of each year ended 31 December.

It is not expected that the cash flows in the maturity profile could occur significantly earlier or at significantly different amounts, with the exception of $ 1,751 m of Contingent consideration held within Trade and other payables (see Note 20).

Market risk

Interest rate risk

The Group maintains a Board-approved mix of fixed and floating rate debt and uses underlying debt, interest rate swaps and forward rate agreements to manage this mix.

The majority of surplus cash is currently invested in US dollar liquidity funds.

The interest rate profile of the Group’s interest-bearing financial instruments is set out below. In the case of current and non-current financial liabilities, the classification includes the impact of interest rate swaps which convert the debt to floating rate.

2024

2023

2022

Fixed rate

Floating rate

Total

Fixed rate

Floating rate

Total

Fixed rate

Floating rate

Total

$m

$m

$m

$m

$m

$m

$m

$m

$m

Financial liabilities

Current

2,346

330

2,676

2,885

2,515

5,400

2,476

3,066

5,542

Non-current

26,151

1,468

27,619

23,222

23,222

21,511

2,179

23,690

Total

28,497

1,798

30,295

26,107

2,515

28,622

23,987

5,245

29,232

Financial assets

Fixed deposits

64

64

Cash collateral pledged to counterparties

129

129

102

102

162

162

Cash and cash equivalents

5,488

5,488

5,840

5,840

250

5,916

6,166

Total

5,617

5,617

5,942

5,942

314

6,078

6,392

In addition to the financial assets above, there are $ 11,115 m (2023: $ 11,288 m; 2022: $ 9,546 m) of other current and non-current asset investments and other financial assets.

The Group is also exposed to market risk on other investments.

2024

2023

2022

$m

$m

$m

Equity securities at fair value through Other comprehensive income (Note 12)

1,632

1,530

1,056

Non-current fixed income securities at fair value through profit or loss (Note 12)

10

Total

1,632

1,530

1,066

Foreign currency risk

The US dollar is the Group’s most significant currency. As a consequence, the Group results are presented in US dollars and exposures are managed against US dollars accordingly.

Translational

Approximately 60 % of Group external sales in 2024 were denominated in currencies other than the US dollar, while a significant proportion of manufacturing, and research and development costs were denominated in pound sterling and Swedish krona. Surplus cash generated by business units is substantially converted to, and held centrally in, US dollars. As a result, operating profit and total cash flow in US dollars will be affected by movements in exchange rates. This currency exposure is managed centrally, based on forecast cash flows. The impact of movements in exchange rates is mitigated significantly by the correlations which exist between the major currencies to which the Group is exposed and the US dollar. Monitoring of currency exposures and correlations is undertaken on a regular basis and hedging is subject to pre-execution approval.

As at 31 December 2024, before the impact of derivatives or other forms of hedging, the Group held $ 548 m of interest-bearing loans and borrowings denominated in pound sterling and $ 4,876 m denominated in euros.

$ 438 m of the pound sterling loan and $ 829 m of the euro loans balances are designated in a net investment hedge where they hedge an underlying net investment of that amount in the same currency. $ 2,387 m of the euro loans are designated in cashflow hedges, where they are hedged with cross-currency swaps. Exchange differences on the retranslation of debt designated in a net investment hedge or a cashflow hedge are recognised in Other comprehensive income to the extent the hedge is effective. $ 1,468 m of the euro loans are designated in fair value hedges, hedged with cross-currency swaps. Exchange difference on the retranslation of debt designated in a fair value hedge is recognised within Finance income and expense.

F-46

For further details of all designated hedging relationships please refer to the Hedge accounting section within this Note 28, from page 199. The accounting treatment for any hedge ineffectiveness is disclosed in the Bank and other borrowings accounting policy and the Foreign currencies accounting policy on page 158 within Group Accounting Policies.

As at 31 December 2024, the Group operates in three countries designated as hyperinflationary, being Argentina, Venezuela and Turkey. The foreign exchange risk of these markets has been assessed and deemed to be immaterial.

Transactional

The Group aims to hedge all its forecasted major transactional currency exposures on working capital balances, which typically extend for up to three months . Where practicable, these are hedged using forward foreign exchange contracts. In addition, external dividend payments in pound sterling to UK shareholders and in Swedish krona to Swedish shareholders are fully hedged from announcement date to payment date. Foreign exchange gains and losses on forward contracts transacted for transactional hedging are taken to profit and loss or to Other comprehensive income if the contract is in a designated cash flow hedge.

Sensitivity analysis

The sensitivity analysis set out below summarises the sensitivity of the market value of our financial instruments to hypothetical changes in market rates and prices. The range of variables chosen for the sensitivity analysis reflects our view of changes which are reasonably possible over a one-year period. Market values are the present value of future cash flows based on market rates and prices at the valuation date. For long-term debt, an increase in interest rates results in a decline in the fair value of debt.

The sensitivity analysis assumes an instantaneous 100 basis point change in interest rates in all currencies from their levels at 31 December 2024, with all other variables held constant. Based on the composition of our long-term debt portfolio and cash reserves as at 31 December 2024, a 1 % increase in interest rates would result in an additional $ 18 m in interest expense on the debt and an additional $ 56 m interest income on the cash reserves.

The exchange rate sensitivity analysis assumes an instantaneous 10 % change in foreign currency exchange rates from their levels at 31 December 2024, with all other variables held constant. The + 10 % case assumes a 10 % strengthening of the US dollar against all other currencies and the - 10 % case assumes a 10 % weakening of the US dollar.

Each incremental 10 % movement in foreign currency exchange rates would have approximately the same effect as the initial 10 % detailed in the table below and each incremental 1 % change in interest rates would have approximately the same effect as the 1 % detailed in the table below.

Interest rates

Exchange rates

31 December 2022

+ 1 %

−1%

+ 10 %

−10%

Increase/(decrease) in fair value of financial instruments ($m)

1,317

( 1,490 )

81

( 89 )

Impact on profit: gain/(loss) ($m)

26

( 15 )

Impact on equity: gain/(loss) ($m)

55

( 74 )

Interest rates

Exchange rates

31 December 2023

+ 1 %

−1%

+ 10 %

−10%

Increase/(decrease) in fair value of financial instruments ($m)

1,361

( 1,534 )

196

( 212 )

Impact on profit: gain/(loss) ($m)

134

( 128 )

Impact on equity: gain/(loss) ($m)

62

( 83 )

Interest rates

Exchange rates

31 December 2024

+ 1 %

−1%

+ 10 %

−10%

Increase/(decrease) in fair value of financial instruments ($m)

1,407

( 1,561 )

11

( 20 )

Impact on profit: (loss)/gain ($m)

( 117 )

133

Impact on equity: gain/(loss) ($m)

128

( 152 )

Credit risk

The Group is exposed to credit risk on financial assets, such as cash investments, derivative instruments, and Trade and other receivables. The Group was also exposed in its Net asset position to its own credit risk in respect of the 2023 debentures which were accounted for at FVPL. Under IFRS 9, the effect of the losses and gains arising from own credit risk on the fair value of bonds designated at FVPL are recorded in Other comprehensive income.

Financial counterparty credit risk

The majority of the Group’s cash is centralised within the Group treasury entity and is subject to counterparty risk on the principal invested. The level of the Group’s cash investments and hence credit risk will depend on the cash flow generated by the Group and the timing of the use of that cash. The credit risk is mitigated through a policy of prioritising security and liquidity over return and, as such, cash is only invested in high credit-quality investments. Counterparty limits are set according to the assessed risk of each counterparty and exposures are monitored against these limits on a regular basis.

The Group’s principal financial counterparty credit risks at 31 December were as follows:

Current assets

2024

2023

2022

$m

$m

$m

Cash at bank and in hand

1,215

1,325

1,411

Money market liquidity funds

4,177

4,425

4,486

Other short-term cash equivalents

96

90

269

Total Cash and cash equivalents (Note 17)

5,488

5,840

6,166

Fixed income securities at fair value through profit or loss (Note 12)

37

20

13

Cash collateral pledged to counterparties (Note 12)

129

102

162

Fixed deposits (Note 12)

64

Total derivative financial instruments (Note 13)

54

116

87

Current assets subject to credit risk

5,708

6,078

6,492

F-47

Non-current assets

2024

2023

2022

$m

$m

$m

Derivative financial instruments (Note 13)

182

228

74

Non-current assets subject to credit risk

182

228

74

The majority of the Group’s cash is invested in US dollar AAA-rated money market liquidity funds. The money market liquidity fund portfolios are managed by six external third-party fund managers to maintain an AAA rating. The Group’s investments represent no more than 10 % of each overall fund value. There were no other significant concentrations of financial credit risk at the reporting date.

All financial derivatives are transacted with commercial banks, in line with standard market practice. The Group has agreements with some bank counterparties whereby the parties agree to post cash collateral, for the benefit of the other, equivalent to the market valuation of the derivative positions above a predetermined threshold. The carrying value of such cash collateral held by the Group at 31 December 2024 was $ 181 m (2023: $ 215 m; 2022: $ 89 m) and the carrying value of such cash collateral posted by the Group at 31 December 2024 was $ 129 m (2023: $ 102 m; 2022: $ 162 m).

The impairment provision for other financial assets at 31 December 2024 was immaterial (2023: immaterial; 2022: immaterial).

Offsetting of financial assets and liabilities

Financial assets and liabilities are offset and the net amount reported in the Consolidated Statement of Financial Position where there is both a legally enforceable right and an intention to settle the balances on a net basis. There are also arrangements that would not normally meet the requirement for offsetting but may be offset in certain circumstances such as the termination of a contract or bankruptcy.

The tables below show the impact on the Consolidated Statement of Financial Position if all offset rights were exercised by the Group or its financial counterparties.

Related amounts not offset

Gross financial

Subject to master

Financial

Net

assets/(liabilities)

netting agreement

instrument collateral

Amount

31 December 2022

$m

$m

$m

$m

Financial assets

Derivatives

161

( 29 )

( 61 )

71

Other investments 1

162

( 161 )

1

Total assets

323

( 29 )

( 222 )

72

Financial liabilities

Derivatives

( 257 )

29

161

( 67 )

Other payables 1

( 89 )

61

( 28 )

Total liabilities

( 346 )

29

222

( 95 )

Related amounts not offset

Gross financial

Subject to master

Financial

Net

assets/(liabilities)

netting agreement

instrument collateral

Amount

31 December 2023

$m

$m

$m

$m

Financial assets

Derivatives

344

( 107 )

( 203 )

34

Other investments 1

102

( 65 )

37

Total assets

446

( 107 )

( 268 )

71

Financial liabilities

Derivatives

( 194 )

107

65

( 22 )

Other payables 1

( 215 )

203

( 12 )

Total liabilities

( 409 )

107

268

( 34 )

Related amounts not offset

Gross financial

Subject to master

Financial

Net

assets/(liabilities)

netting agreement

instrument collateral

Amount

31 December 2024

$m

$m

$m

$m

Financial assets

Derivatives

236

( 45 )

( 169 )

22

Other investments 1

129

( 112 )

17

Total assets

365

( 45 )

( 281 )

39

Financial liabilities

Derivatives

( 165 )

45

112

( 8 )

Other payables 1

( 181 )

169

( 12 )

Total liabilities

( 346 )

45

281

( 20 )

1 Balances are collateral pledged/received.

Trade receivables

Trade receivable exposures are managed locally in the operating units where they arise and credit limits are set as deemed appropriate for the customer. The Group is exposed to customers ranging from government-backed agencies and large private wholesalers to privately-owned pharmacies, and the underlying local economic and sovereign risks vary throughout the world. Where appropriate, the Group endeavours to minimise risks by the use of trade finance instruments such as letters of credit and insurance. The Group applies the expected credit loss approach to establish an allowance for impairment that represents its estimate of expected losses in respect of Trade receivables.

The Group applies the IFRS 9 simplified approach to measuring expected credit losses which uses a lifetime expected loss allowance to Trade receivables. To measure expected credit losses, Trade receivables have been grouped based on shared credit characteristics and the days past due.

F-48

The expected loss rates are based on payment profiles over a period of 36 months before 31 December 2024, 31 December 2023, or 31 December 2022 respectively and the corresponding historical credit losses experienced within this period. The historical loss rates are adjusted to reflect current and forward-looking information on macroeconomic factors affecting the ability of the customer to settle the receivables.

On that basis, the loss allowance was determined as follows:

0-90 days

90-180 days

Over 180 days

31 December 2022

Current

past due

past due

past due

Total

Expected loss rate

0.03

%

0.3

%

32.0

%

40.6

%

Gross carrying amount ($m)

6,791

331

50

99

7,271

Loss allowance ($m)

2

1

16

40

59

0-90 days

90-180 days

Over 180 days

31 December 2023

Current

past due

past due

past due

Total

Expected loss rate

0.01

%

0.3

%

0.8

%

15.0

%

Gross carrying amount ($m)

7,709

342

121

280

8,452

Loss allowance ($m)

1

1

1

42

45

0-90 days

90-180 days

Over 180 days

31 December 2024

Current

past due

past due

past due

Total

Expected loss rate

0.01

%

0.6

%

3.5

%

7.0

%

Gross carrying amount ($m)

7,679

171

86

399

8,335

Loss allowance ($m)

1

1

3

28

33

Trade receivables are written off where there is no reasonable expectation of recovery.

Impairment losses on Trade receivables are presented as net impairment losses within Operating profit, any subsequent recoveries are credited against the same line.

In the US, sales to three wholesalers accounted for approximately 74 % (2023: 80 %; 2022: 73 %) of US sales.

The movements of the Group expected credit losses provision are as follows:

2024

2023

2022

$m

$m

$m

At 1 January

45

59

23

Net movement recognised in the Consolidated Statement of Comprehensive Income

( 3 )

( 14 )

37

Amounts utilised, exchange and other movements

( 9 )

( 1 )

At 31 December

33

45

59

Given the profile of our customers, including large wholesalers and government-backed agencies, no further credit risk has been identified with the Trade receivables not past due other than those balances for which an allowance has been made.

Hedge accounting

The Group uses foreign currency borrowings, foreign currency forwards and swaps, currency options, interest rate swaps and cross-currency interest rate swaps for the purpose of hedging its foreign currency and interest rate risks. The Group may designate certain financial instruments as fair value hedges, cash flow hedges or net investment hedges in accordance with IFRS 9. Hedge effectiveness is determined at the inception of the hedge relationship, and through periodic prospective effectiveness assessments to ensure that an economic relationship exists between the hedged item and hedging instrument. Sources of hedge effectiveness will depend on the hedge relationship designation but may include:

> a significant change in the credit risk of either party to the hedging relationship
> a timing mismatch between the hedging instrument and the hedged item
> movements in foreign currency basis spread for derivatives in a fair value hedge
> a significant change in the value of the foreign currency-denominated net assets of the Group in a net investment hedge.

The hedge ratio for each designation will be established by comparing the quantity of the hedging instrument and the quantity of the hedged item to determine their relative weighting, for all of the Group’s existing hedge relationships the hedge ratio has been determined as 1 :1. Designated hedges are expected to be effective and therefore the impact of ineffectiveness on profit and loss is not expected to be material. The accounting treatment for fair value hedges and debt designated as FVPL is disclosed in the Bank and other borrowings accounting policy in the Group accounting policies section on page 158.

The following table represents the Group’s continuing designated hedge relationships under IFRS 9.

2022

Other comprehensive income

Fair value

(gain)/loss

Opening

Fair value

recycled

Closing

Nominal

balance

(gain)/loss

to the

balance

Average

amounts

Carrying

1 January

deferred

Income

31 December

Average

Average

pay

in local

value

2022

to OCI

statement

2022

maturity

USD FX

interest

currency

$m

$m

$m

$m

$m

year

rate

rate

Cash flow hedges – foreign currency and interest rate risk 1, 3, 4

Cross-currency interest rate swaps – Euro bonds

EUR 1,700 m

( 160 )

27

118

( 111 )

34

2026

1.14

USD 2.85 %

FX Forwards − short-term FX risk

USD 1,126 m

( 12 )

( 12 )

( 14 )

38

12

2023

Net investment hedge – foreign exchange risk 2, 3

Transactions matured pre-2022

( 527 )

( 527 )

Cross-currency interest rate swap – JPY investment

JPY 58.3 bn

55

( 62 )

7

( 55 )

2029

108.03

JPY 1.53 %

Cross-currency interest rate swap – CNY investment

CNY 458 m

( 4 )

2

2

4

2026

6.68

CNY 4.80 %

Foreign currency borrowing – GBP investment

GBP 350 m

420

( 238 )

( 50 )

( 288 )

2031

n/a

GBP 5.75 %

Foreign currency borrowing – EUR investment 5

EUR 800 m

846

( 50 )

( 52 )

( 102 )

2029

n/a

EUR 0.38 %

F-49

Contingent consideration liabilities and Acerta Pharma share purchase liability – AZUK and AZAB USD investments

USD 2,093 m

( 2,093 )

1,832

384

2,216

2023

Other comprehensive income

Fair value

(gain)/loss

Opening

Fair value

recycled

Closing

Nominal

balance

(gain)/loss

to the

balance

Average

amounts

Carrying

1 January

deferred

Income

31 December

Average

Average

pay

in local

value

2023

to OCI

statement

2023

maturity

USD FX

interest

currency

$m

$m

$m

$m

$m

year

rate

rate

Cash flow hedges – foreign currency and interest rate risk 1, 3, 4

Cross-currency interest rate swaps – Euro bonds

EUR 3,200 m

49

34

( 210 )

139

( 37 )

2027

1.10

USD 3.80 %

FX Forwards − short-term FX risk

USD 2,009 m

15

12

( 33 )

6

( 15 )

2024

Net investment hedge – foreign exchange risk 2, 3

Transactions matured pre-2023

( 527 )

( 527 )

Cross-currency interest rate swap – JPY investment

JPY 58.3 bn

100

( 55 )

( 45 )

( 100 )

2029

108.03

JPY 1.53 %

Cross-currency interest rate swap – CNY investment

CNY 458 m

( 1 )

4

( 3 )

1

2026

6.68

CNY 4.80 %

Foreign currency borrowing – GBP investment

GBP 350 m

444

( 288 )

24

( 264 )

2031

n/a

GBP 5.75 %

Foreign currency borrowing – EUR investment 5

EUR 800 m

881

( 102 )

33

( 69 )

2029

n/a

EUR 0.38 %

Contingent consideration liabilities and Acerta Pharma share purchase liability – AZUK and AZAB USD investments

USD 1,937 m

( 1,937 )

2,216

( 81 )

2,135

2024

Other comprehensive income

Fair value

(gain)/loss

Opening

Fair value

recycled

Closing

Nominal

balance

(gain)/loss

to the

balance

Average

amounts

Carrying

1 January

deferred

Income

31 December

Average

Average

pay

in local

value

2024

to OCI

statement

2024

maturity

USD FX

interest

currency

$m

$m

$m

$m

$m

year

rate

rate

Cash flow hedges – foreign currency and interest rate risk 1, 3, 4

Cross-currency interest rate swaps – Euro bonds

EUR 2,300 m

( 36 )

( 37 )

151

( 180 )

( 66 )

2029

1.08

USD 4.24 %

FX Forwards short-term FX risk

USD 2,252 m

4

( 15 )

8

3

( 4 )

2025

Net investment hedge – foreign exchange risk 2, 3

Transactions matured pre-2024

( 527 )

( 527 )

Cross-currency interest rate swap – JPY investment

JPY 58.3 bn

146

( 100 )

( 45 )

( 145 )

2029

108.03

JPY 1.53 %

Cross-currency interest rate swap – CNY investment

CNY 458 m

2

1

( 4 )

( 3 )

2026

6.68

CNY 4.80 %

Foreign currency borrowing – GBP investment

GBP 350 m

438

( 264 )

( 7 )

( 271 )

2031

n/a

GBP 5.75 %

Foreign currency borrowing – EUR investment 5

EUR 800 m

829

( 69 )

( 52 )

( 121 )

2029

n/a

EUR 0.38 %

Contingent consideration liabilities and Acerta Pharma share purchase liability – AZUK and AZAB USD investments

USD 1,367 m

( 1,367 )

2,135

181

2,316

1 Hedge ineffectiveness recognised on swaps designated in a cash flow hedge during the period was $ nil (2023: $ nil ; 2022: $ nil ).
2 Hedge ineffectiveness recognised on swaps designated in a net investment hedge during the period was $ nil (2023: $ nil ; 2022: $ nil ).
3 Fair value movements on cross-currency interest rate swaps in cash flow hedge and net investment hedge relationships are shown inclusive of the impact of costs of hedging.
4 Nominal amount of FX forwards in a cash flow hedge of $ 2,252 m represents the USD equivalent notional of the FX forwards. By currency, the nominal amounts were SEK 10,792 m at FX rate 10.9999 , JPY 31,013 m at 156.195 , GBP 168 m at 0.7962 and EUR 375 m at 0.9605 . All FX forwards in a cash flow hedge mature on 27 January 2025.
5 The EUR 800 m 0.375 % 2029 Non-callable bond is designated in a net investment hedge of the foreign currency exposure in relation to an equivalent amount of EUR-denominated net assets.

Key controls applied to transactions in derivative financial instruments are to use only instruments where good market liquidity exists, to revalue all financial instruments regularly using current market rates and to sell options only to offset previously purchased options or as part of a risk management strategy. The Group is not a net seller of options, and does not use derivative financial instruments for speculative purposes. The Group held no options during the reporting period.

The table below summarises the change in the fair value of hedging instruments and the hedged item designated in a fair value hedging relationship used to calculate ineffectiveness in the period. The hedge relates to the EUR 2030 and EUR 2033 bonds issued during 2024, consequently there are no prior year comparatives.

Change in fair value

Change in fair value

Hedge

Nominal

of hedging instrument

of hedged item

ineffectiveness

amounts in

used to calculate

used to calculate

recognised in

As at 31 December 2024

currency

ineffectiveness

ineffectiveness

profit and loss

Interest rate and foreign currency risk on finance debt

EUR 1,400 m

( 56 )

54

( 2 )

29 Employee costs and share plans for employees

Employee costs

The monthly average number of people, to the nearest hundred, employed by the Group is set out in the table below. In accordance with the Companies Act 2006, this includes part-time employees.

2024

2023

2022

Employees

UK

11,100

10,700

9,800

Rest of Europe

25,500

23,000

20,600

The Americas

24,700

22,400

20,900

Asia, Africa & Australasia

31,600

30,300

30,700

Continuing operations

92,900

86,400

82,000

F-50

Geographical distribution described in the table above is by location of legal entity employing staff. Certain staff will undertake some or all of their activity in a different location.

The number of people employed by the Group at the end of 2024 was 94,300 (2023: 89,900 ; 2022: 83,500 ).

The costs incurred during the year in respect of these employees were:

2024

2023

2022

$m

$m

$m

Wages and salaries

10,340

9,341

8,656

Social security costs

1,224

1,100

991

Pension costs

614

537

546

Other employment costs

1,531

1,357

1,338

Total

13,709

12,335

11,531

Severance costs of $ 283 m are not included above (2023: $ 123 m; 2022: $ 227 m).

The charge for share-based payments in respect of share plans is $ 660 m (2023: $ 579 m; 2022: $ 619 m). Payments totalling $ 354 m made to the EBT upon the vesting of share awards are recognised within operating cash flows, reflecting the substance of the arrangement in place between the Group and the Trust prior to 10 June 2024. Following an amendment to the EBT on that date, AstraZeneca obtained control and commenced consolidation of the EBT from June 2024 onward. Consequently, $ 81 m in cash used by the EBT for purchasing shares since 10 June 2024 is now presented within financing cash flows. The plans are equity settled.

The Directors believe that, together with the basic salary system, the Group’s employee incentive schemes provide competitive and market-related packages to motivate employees. They should also align the interests of employees with those of shareholders, as a whole, through long-term share ownership in the Company. The Group’s current US, UK and Swedish schemes are described below; other arrangements apply elsewhere.

Bonus and share plans

US

In the US, there are two employee short-term performance bonus plans in operation to differentiate and reward strong individual performance. Performance bonuses are paid in cash. The AstraZeneca Performance Share Plan and the AstraZeneca Global Restricted Share Plan operate in respect of relevant employees in the US. AstraZeneca ADRs necessary to satisfy the awards are purchased on the market or funded via a trust.

UK

The AstraZeneca UK Performance Bonus Plan

Employees of participating AstraZeneca UK companies are invited to participate in this bonus plan, which rewards strong individual performance. Bonuses are paid in cash.

The AstraZeneca UK All-Employee Share Plans

AstraZeneca Share Incentive Plan (SIP)

The Company offers UK employees the opportunity to buy Partnership Shares (Ordinary Shares). Employees may invest up to £ 150 a month to purchase Partnership Shares in the Company at the current market value. In 2010, the Company introduced a Matching Share element, the first award of which was made in 2011. Currently one Matching Share is awarded for every four Partnership Shares purchased. Partnership Shares and Matching Shares are held in the HM Revenue & Customs (HMRC)-approved All-Employee Share Plan. At the Company’s AGM in 2002, shareholders approved the issue of new shares for the purposes of the All-Employee Share Plan.

AstraZeneca Sharesave Plan

The Company provides UK employees with the opportunity to participate in the HMRC-approved Sharesave Plan. Employees can choose between a 3-year or 5-year savings contract, allowing them to contribute a minimum of £ 5 and a maximum of £ 500 per month. At the end of the savings term, participants have the option to purchase AstraZeneca shares at a predetermined share price, offering a valuable opportunity to invest in the Company’s future.

Sweden

In Sweden, an all-employee performance bonus plan is in operation, which rewards strong individual performance. Bonuses are paid 50 % into a fund investing in AstraZeneca equities and 50 % in cash. The AstraZeneca Executive Annual Bonus Scheme, the AstraZeneca Performance Share Plan and the AstraZeneca Global Restricted Stock Plan all operate in respect of relevant AstraZeneca employees in Sweden.

Other bonus and share plans that operate across the Group are described below.

The AstraZeneca Executive Annual Bonus Scheme

This scheme is a performance bonus scheme for Directors and senior employees who do not participate in the AstraZeneca UK Performance Bonus Plan. Annual bonuses are paid in cash and reflect both corporate and individual performance measures. The Remuneration Committee has discretion to reduce or withhold bonuses if business performance falls sufficiently short of expectations in any year such as to make the payment of bonuses inappropriate.

The AstraZeneca Deferred Bonus Plan

This plan was introduced in 2006 and is used to defer a portion of the bonus earned under the AstraZeneca Executive Annual Bonus Scheme into Ordinary Shares in the Company for a period of three years . The plan currently operates only in respect of Executive Directors and members of the SET (with awards granted as AstraZeneca ADRs for members of SET employed within the US). Awards of shares under this plan are typically made in March each year, the first award having been made in February 2006.

The AstraZeneca Performance Share Plan

This plan was approved by shareholders in 2020 for a period of 10 years (subsequently amended by approval of shareholders in 2021) and replaces the 2014 AstraZeneca Performance Share Plan. Generally, awards can be granted at any time, but not during a closed period of the Company. The first grant of Performance Share Plan awards was made in May 2014 under the 2014 AstraZeneca Performance Share Plan. Awards granted under the plan vest after three years , or in the case of Executive Directors and members of the SET, after an additional two-year holding period, and is subject to the achievement of performance conditions. For awards granted to all participants in 2024, vesting is subject to a combination of measures focused on science and innovation, revenue growth, financial performance and carbon reduction. The Remuneration Committee has responsibility for agreeing any awards under the plan and for setting the policy for the way in which the plan should be operated, including agreeing performance targets and which employees should be eligible to participate.

F-51

The AstraZeneca Investment Plan

This plan was introduced in 2010 and approved by shareholders at the 2010 AGM. The final grant of awards under this plan took place in March 2016. Awards granted under the plan vest after eight years and are subject to performance conditions measured over a period of four years .

The AstraZeneca Global Restricted Stock Plan

The Global Restricted Stock Plan (GRSP) was introduced in 2010. This plan provides for the grant of restricted stock unit (RSU) awards to selected below SET-level employees and is used in conjunction with the AstraZeneca Performance Share Plan to provide a mix of RSUs and performance share units (PSUs). Awards typically vest on the third anniversary of the date of grant and are contingent on continued employment with the Company. The Remuneration Committee has responsibility for agreeing any awards under the plan and for setting the policy for the way in which the plan should be operated.

The AstraZeneca Restricted Share Plan

This plan was introduced in 2008 and provides for the grant of restricted stock unit (RSU) awards to key employees, excluding Executive Directors. Awards are made on an ad hoc basis with variable vesting dates. The plan has been used four times in 2024 to make awards to 537 employees. The Remuneration Committee has responsibility for agreeing any awards under the plan and for setting the policy for the way in which the plan should be operated.

The AstraZeneca Extended Incentive Plan

This plan was introduced in 2018 and provides for the grant of awards to key employees, excluding Executive Directors. Awards are made on an ad hoc basis and 50 % of the award will normally vest on the fifth anniversary of grant, with the balance vesting on the tenth anniversary of grant. The award can be subject to the achievement of performance conditions. The Remuneration Committee has responsibility for agreeing any awards under the plan and for setting the policy for the way in which the plan should be operated, including agreeing performance targets (if any) and which employees should be invited to participate.

Details of share options outstanding during the year for the main share plans are shown below:

The AstraZeneca
Performance Share Plan

The AstraZeneca
Global Restricted Stock Plan

The AstraZeneca
Restricted Share Plan

The AstraZeneca
Extended Incentive Plan

Ordinary Shares

ADR Shares

Ordinary Shares

ADR Shares

1

Ordinary Shares

ADR Shares

Ordinary Shares

ADR Shares

ʼ000

ʼ000

ʼ000

ʼ000

ʼ000

ʼ000

ʼ000

ʼ000

Outstanding at 1 January 2022

3,459

5,178

2,028

9,541

255

763

282

195

Granted

1,059

2,339

1,237

6,478

75

216

Forfeited

( 132 )

( 570 )

( 190 )

( 1,627 )

( 25 )

( 136 )

( 23 )

Cancelled

( 3 )

Exercised

( 756 )

( 1,223 )

( 606 )

( 2,706 )

( 72 )

( 165 )

Outstanding at 31 December 2022

3,630

5,724

2,469

11,683

233

678

259

195

Granted

976

2,071

1,185

6,343

208

436

71

95

Forfeited

( 148 )

( 437 )

( 187 )

( 1,417 )

( 20 )

( 59 )

( 8 )

Cancelled

( 3 )

( 34 )

Exercised

( 813 )

( 1,470 )

( 570 )

( 2,738 )

( 86 )

( 288 )

( 107 )

( 9 )

Outstanding at 31 December 2023

3,645

5,888

2,897

13,868

335

767

215

247

Granted

1,064

2,250

1,262

7,014

100

699

Forfeited

( 137 )

( 400 )

( 235 )

( 1,414 )

( 8 )

( 57 )

( 31 )

Cancelled

( 2 )

( 2 )

( 6 )

( 1 )

Exercised

( 999 )

( 1,586 )

( 755 )

( 3,296 )

( 88 )

( 352 )

( 22 )

Outstanding at 31 December 2024

3,571

6,150

3,169

16,166

338

1,057

162

247

1 Shares issued to Alexion employees under the GRSP are covered under the Alexion employee share award below.

The AstraZeneca
Performance Share Plan

The AstraZeneca
Global Restricted Stock Plan

The AstraZeneca
Restricted Share Plan

The AstraZeneca
Extended Incentive Plan

WAFV

1

WAFV

WAFV

WAFV

WAFV

WAFV

WAFV

WAFV

pence

$

pence

$

pence

$

pence

$

WAFV of 2022 grants

8328

55.73

9167

61.21

9894

63.35

WAFV of 2023 grants

9929

59.95

10822

65.38

11135

65.37

11748

74.78

WAFV of 2024 grants

9028

57.99

10085

64.91

11111

75.23

1 Weighted average fair value.

Alexion employee share award plan

At acquisition in 2021 Alexion employee share awards were converted into AstraZeneca restricted stock awards that continue to have, and shall be subject to, the same terms and conditions as applied in the corresponding Alexion awards immediately prior to completion. The fair value at the grant date was $ 57.54 and of the 15,220,000 shares outstanding at 31 December 2021, 8,627,000 were exercised and 980,000 were forfeited during 2022. During 2022, Alexion employees had the option to defer awards due to vest in July 2022 until February 2023 when they would also receive an additional vest equivalent to 15 % of the shares deferred. As a result, 1,780,000 shares were deferred, resulting in an additional 267,000 shares being issued with a grant date fair value of $ 65.62 , that vested in 2023. During 2023, 2,060,000 shares vested, 531,000 were forfeited/cancelled and the closing balance of these awards as of 31 December 2023 was 3,022,000 . During 2024, 2,047,000 shares vested, 156,000 were forfeited and the closing balance of these awards as of 31 December 2024 was 819,000 .

The weighted average fair value for awards granted under the AstraZeneca Performance Share Plan is primarily based on the market price at the point of grant adjusted for the market-based performance elements which are valued using a Monte Carlo valuation model. The fair values of all other plans are set using the market price at the point of award. These awards are settled in equity including dividends accumulated from the date of award to vesting.

F-52

30 Commitments, contingent liabilities and contingent assets

2024

2023

2022

Commitments

$m

$m

$m

Contracts placed for future capital expenditure on Property, plant and equipment and
software development costs not provided for in these Financial Statements

1,575

1,368

502

Guarantees and contingencies arising in the ordinary course of business, for which no security has been given, are not expected to result in any material financial loss.

Research and development collaboration payments

The Group has various ongoing collaborations, including in-licensing and similar arrangements with development partners. Such collaborations may require the Group to make payments on achievement of stages of development, launch or revenue milestones, although the Group generally has the right to terminate these agreements at no cost. The Group recognises research and development milestones as an intangible asset once it is committed to payment, which is generally when the Group reaches set trigger points in the development cycle. Revenue-related milestones are recognised as intangible assets on product launch at a value based on the Group’s long-term revenue forecasts for the related product. The table below indicates potential development and revenue-related payments that the Group may be required to make under such collaborations.

Years 5

Total

Under 1 year

Years 1 and 2

Years 3 and 4

and greater

$m

$m

$m

$m

$m

Future potential research and development milestone payments

11,213

1,993

2,823

3,291

3,106

Future potential revenue milestone payments

22,064

41

1,166

3,026

17,831

The table includes all potential payments for achievement of milestones under ongoing research and development arrangements. Revenue-related milestone payments represent the maximum possible amount payable on achievement of specified levels of revenue as set out in individual contract agreements, but exclude variable payments that are based on unit sales (e.g. royalty-type payments) which are expensed as the associated sale is recognised. The table excludes any payments already capitalised in the Financial Statements for the year ended 31 December 2024 which have been capitalised with reference to the latest Group sales forecasts for approved indications.

The future payments we disclose represent contracted payments and, as such, are not discounted and are not risk-adjusted. As detailed in the Risk Overview section from page 64, the development of any pharmaceutical product candidate is a complex and risky process that may fail at any stage in the development process due to a number of factors (including items such as failure to obtain regulatory approval, unfavourable data from key studies, adverse reactions to the product candidate or indications of other safety concerns). The timing of the payments is based on the Group’s current best estimate of achievement of the relevant milestone.

Environmental costs and liabilities

The Group’s expenditure on environmental protection, including both capital and revenue items, relates to costs that are necessary for implementing internal systems and programmes, and meeting legal and regulatory requirements for processes and products. This includes investment to conserve natural resources and otherwise minimise the impact of our activities on the environment.

They are an integral part of normal ongoing expenditure for carrying out the Group’s research, manufacturing and commercial operations and are not separated from overall operating and development costs. There are no known changes in legal, regulatory or other requirements resulting in material changes to the levels of expenditure for 2022, 2023 or 2024.

In addition to expenditure for meeting current and foreseen environmental protection requirements, the Group incurs costs in investigating and cleaning up legacy land and groundwater contamination. In particular, AstraZeneca has environmental liabilities at some currently or formerly owned, leased and third-party sites.

In the US, Zeneca Inc., and/or its indemnitees, have been named as potentially responsible parties (PRPs) or defendants at a number of sites where Zeneca Inc. is likely to incur future environmental investigation, remediation, operation and maintenance costs under federal, state, statutory or common law environmental liability allocation schemes (together, US Environmental Consequences). Similarly, Stauffer Management Company LLC (SMC), which was established to own and manage certain assets and liabilities of Stauffer Chemical Company, and/or its indemnitees, have been named as PRPs or defendants at a number of sites where SMC is likely to incur US Environmental Consequences.

AstraZeneca has also given indemnities to third parties for a number of sites outside the US. These environmental liabilities arise from legacy operations that are not currently part of the Group’s business and, at most of these sites, remediation, where required, is either completed or in progress. AstraZeneca has made provisions for the estimated costs of future environmental investigation, remediation, operation and maintenance activity beyond normal ongoing expenditure for maintaining the Group’s R&D and manufacturing capacity and product ranges, where a present obligation exists, it is probable that such costs will be incurred and they can be estimated reliably. With respect to such estimated future costs, there were provisions at 31 December 2024 in the aggregate of $ 105 m (2023: $ 112 m; 2022: $ 131 m), mainly relating to the US. Where we are jointly liable or otherwise have cost-sharing agreements with third parties, we reflect only our share of the obligation. Where the liability is insured in part or in whole by insurance or other arrangements for reimbursement, an asset is recognised to the extent that this recovery is virtually certain.

It is possible that AstraZeneca could incur future environmental costs beyond the extent of our current provisions. The extent of such possible additional costs is inherently difficult to estimate due to a number of factors, including: (1) the nature and extent of claims that may be asserted in the future; (2) whether AstraZeneca has or will have any legal obligation with respect to asserted or unasserted claims; (3) the type of remedial action, if any, that may be selected at sites where the remedy is presently not known; (4) the potential for recoveries from or allocation of liability to third parties; and (5) the length of time that the environmental investigation, remediation and liability allocation process can take. As per our provisions accounting policy on page 159, Provisions for these costs are made when there is a present obligation and where it is probable that expenditure on remedial work will be required and a reliable estimate can be made of the cost. Notwithstanding and subject to the foregoing, we estimate the potential additional loss for future environmental investigation, remediation, remedial operation and maintenance activity above and beyond our provisions to be, in aggregate, between $ 113 m and $ 190 m (2023: $ 114 m and $ 191 m; 2022: $ 113 m and $ 188 m) which relates mainly to the US.

Legal proceedings

AstraZeneca is involved in various legal proceedings considered typical to its business, including actual or threatened litigation and actual or potential government investigations relating to employment matters, product liability, commercial disputes, pricing, sales and marketing practices, infringement of IP rights, and the validity of certain patents and competition laws. The more significant matters are discussed below.

Most of the claims involve highly complex issues. Often these issues are subject to substantial uncertainties and, therefore, the probability of a loss, if any, being sustained and/or an estimate of the amount of any loss is difficult to ascertain.

F-53

Unless specifically identified below that a provision has been taken, AstraZeneca considers each of the claims to represent a contingent liability and discloses information with respect to the nature and facts of the cases in accordance with IAS 37 ‘Provisions, Contingent Liabilities and Contingent Assets’.

We do not believe that disclosure of the amounts sought by plaintiffs, if known, would be meaningful with respect to these legal proceedings. This is due to a number of factors, including (i) the stage of the proceedings (in many cases trial dates have not been set) and the overall length and extent of pre-trial discovery; (ii) the entitlement of the parties to an action to appeal a decision; (iii) clarity as to theories of liability, damages and governing law; (iv) uncertainties in timing of litigation; and (v) the possible need for further legal proceedings to establish the appropriate amount of damages, if any.

While there can be no assurance regarding the outcome of any of the legal proceedings referred to in this Note 30, based on management’s current and considered view of each situation, we do not currently expect them to have a material adverse effect on our financial position including within the next financial year. This position could of course change over time, not least because of the factors referred to above.

In cases that have been settled or adjudicated, or where quantifiable fines and penalties have been assessed and which are not subject to appeal (or other similar forms of relief), or where a loss is probable and we are able to make a reasonable estimate of the loss, we generally indicate the loss absorbed or make a provision for our best estimate of the expected loss.

Where it is considered that the Group is more likely than not to prevail, legal costs involved in defending the claim are charged to profit and loss as they are incurred.

Where it is considered that the Group has a valid contract which provides the right to reimbursement (from insurance or otherwise) of legal costs and/or all or part of any loss incurred or for which a provision has been established, and we consider recovery to be virtually certain, the best estimate of the amount expected to be received is recognised as an asset.

Assessments as to whether or not to recognise provisions or assets, and of the amounts concerned, usually involve a series of complex judgements about future events and can rely heavily on estimates and assumptions. AstraZeneca believes that the provisions recorded are adequate based on currently available information and that the insurance recoveries recorded will be received. However, given the inherent uncertainties involved in assessing the outcomes of these cases, and in estimating the amount of the potential losses and the associated insurance recoveries, we could in the future incur judgments or insurance settlements that could have a material adverse effect on our results in any particular period.

IP claims include challenges to the Group’s patents on various products or processes and assertions of non-infringement of patents. A loss in any of these cases could result in loss of patent protection on the related product.

The consequences of any such loss could be a significant decrease in Product Sales, which could have a material adverse effect on our results. The lawsuits filed by AstraZeneca for patent infringement against companies that have filed abbreviated new drug applications (ANDAs) in the US, seeking to market generic forms of products sold by the Group prior to the expiry of the applicable patents covering these products, typically also involve allegations of non-infringement, invalidity and unenforceability of these patents by the ANDA filers. In the event that the Group is unsuccessful in these actions or the statutory 30-month stay expires before a ruling is obtained, the ANDA filers involved will also have the ability, subject to FDA approval, to introduce generic versions of the product concerned.

AstraZeneca has full confidence in, and will vigorously defend and enforce, its IP.

Over the course of the past several years, including in 2024, a significant number of commercial litigation claims in which AstraZeneca is involved have been resolved, particularly in the US, thereby reducing potential contingent liability exposure arising from such litigation. Similarly, in part due to patent litigation and settlement developments, greater certainty has been achieved regarding possible generic entry dates with respect to some of our patented products. At the same time, like other companies in the pharmaceutical sector and other industries, AstraZeneca continues to be subject to government investigations around the world.

Patent litigation

Legal proceedings brought against AstraZeneca

Enhertu patent proceedings

Considered to be a contingent liability

US

In October 2020, Seagen Inc. (Seagen) filed a complaint against Daiichi Sankyo Company, Limited (Daiichi Sankyo) in the US District Court for the Eastern District of Texas (District Court) alleging that Enhertu infringes a Seagen patent. AstraZeneca co-commercialises Enhertu with Daiichi Sankyo, Inc. in the US. After trial in April 2022, the jury found that the patent was infringed and awarded Seagen $ 41.82 m in past damages. In July 2022, the District Court entered final judgment and declined to enhance damages on the basis of wilfulness. In October 2023, the District Court entered an amended final judgment that requires Daiichi Sankyo to pay Seagen a royalty of 8 % on US sales of Enhertu from 1 April 2022 through to 4 November 2024, in addition to the past damages previously awarded by the District Court. AstraZeneca and Daiichi Sankyo have appealed the District Court’s decision.
In December 2020 and January 2021, AstraZeneca and Daiichi Sankyo, Inc. filed post-grant review (PGR) petitions with the US Patent and Trademark Office (USPTO) alleging, among other things, that the Seagen patent is invalid for lack of written description and enablement. The USPTO initially declined to institute the PGRs, but, in April 2022, the USPTO granted the rehearing requests and instituted both PGR petitions. Seagen subsequently disclaimed all patent claims at issue in one of the PGR proceedings. In July 2022, the USPTO reversed its institution decision and declined to institute the other PGR petition. AstraZeneca and Daiichi Sankyo, Inc. requested reconsideration of the decision not to institute review of the patent. In February 2023, the USPTO reinstituted the PGR proceeding. In February 2024, the USPTO issued a decision that the claims were unpatentable. Seagen has appealed this decision; the USPTO has intervened in the appeal.

Faslodex patent proceedings

Matter concluded

Japan

In 2021, in Japan, AstraZeneca received notice from the Japan Patent Office (JPO) that Sandoz K.K. (Sandoz) and Sun Pharma Japan Ltd. (Sun) were seeking to invalidate the Faslodex formulation patent.
AstraZeneca defended the challenged patent and Sun withdrew from the JPO patent challenge.
In July 2023, the JPO issued a final decision upholding various claims of the challenged patent and determining that other patent claims were invalid.
In August 2023, Sandoz appealed the JPO decision to the Japan IP High Court (High Court).
In October 2024, the High Court affirmed the decision by the JPO.

F-54

This matter is now concluded.

Forxiga patent proceedings

Considered to be a contingent liability

UK

In the UK, one of AstraZeneca’s patents relating to Forxiga is being challenged by Generics (UK) Limited, Teva Pharmaceutical Industries Limited, and Glenmark Pharmaceuticals Europe Limited.
Trial is scheduled for March 2025.

Soliris patent proceedings

Considered to be a contingent liability

Turkey

In November 2024, Salute HC İlaçları Sanayi ve Ticaret A.Ş (Salute) served an action in the Industrial and Intellectual Property Rights Court in Istanbul, Turkey seeking to invalidate and enjoin enforcement of Alexion’s patent relating to eculizumab.

Tagrisso patent proceedings

Considered to be a contingent liability

US

In September 2021, Puma Biotechnology, Inc. (Puma) and Wyeth LLC (Wyeth) filed a patent infringement lawsuit in the US District Court for the District of Delaware (District Court) against AstraZeneca relating to Tagrisso .
In March 2024, the District Court dismissed Puma.
The jury trial, with Wyeth as the plaintiff, took place in May 2024. The jury found Wyeth’s patents infringed and awarded Wyeth $ 107.5 m in past damages. The jury also found that the infringement was not wilful.
In proceedings following the jury award, the District Court rejected AstraZeneca’s indefiniteness and equitable defences but granted judgment as a matter of law in favour of AstraZeneca on the grounds that the patents were invalid for lack of written description and enablement.
Wyeth has filed an appeal.

Legal proceedings brought by AstraZeneca

Brilinta patent proceedings

Considered to be a contingent asset

US

In 2015 and subsequently, in response to Paragraph IV notices from ANDA filers, AstraZeneca filed patent infringement lawsuits in the US District Court for the District of Delaware (District Court). In its complaints, AstraZeneca alleged that a generic version of Brilinta , if approved and marketed, would infringe patents that are owned or licensed by AstraZeneca.
In 2024, AstraZeneca entered into separate settlements and the District Court entered consent judgments to dismiss each of the corresponding litigations. Additional proceedings are ongoing in the District Court.
No trial date has been set.

Calquence patent proceedings

Considered to be a contingent asset

US

In February 2022, in response to Paragraph IV notices from multiple ANDA filers, AstraZeneca filed patent infringement lawsuits in the US District Court for the District of Delaware (District Court). In its complaints, AstraZeneca alleged that a generic version of Calquence capsules, if approved and marketed, would infringe patents that are owned or licensed by AstraZeneca.
In 2024, AstraZeneca entered into settlement agreements with all five generic manufacturers, resolving the Calquence capsule ANDA litigation proceedings.
AstraZeneca received Paragraph IV notices relating to patents listed in the FDA Orange Book with reference to Calquence tablets from Cipla USA, Inc. and Cipla Limited (collectively, Cipla) in April 2024 and from MSN Pharmaceuticals Inc. and MSN Laboratories Pvt. Ltd. (collectively, MSN) in November 2024.
In response to these Paragraph IV notices, AstraZeneca filed patent infringement lawsuits against Cipla in May 2024 and against MSN in January 2025 in the District Court. In the complaints, AstraZeneca alleges that a generic version of Calquence tablets, if approved and marketed, would infringe patents that are owned or licensed by AstraZeneca. No trial date has been scheduled.

Daliresp patent litigation

Considered to be a contingent asset

US

In 2015 and subsequently, in response to Paragraph IV notices from ANDA filers, AstraZeneca filed patent infringement lawsuits in the US District Court for the District of New Jersey (District Court) relating to patents listed in the FDA Orange Book with reference to Daliresp.
In 2022, AstraZeneca entered into a settlement agreement and the District Court entered a consent judgment to dismiss the corresponding litigation. Additional ANDA challenges are pending.

Farxiga patent proceedings

Considered to be a contingent asset

US

In May 2021, AstraZeneca proceeded to trial against ANDA filer Zydus Pharmaceuticals (USA) Inc. (Zydus) in the US District Court for the District of Delaware (District Court). In October 2021, the District Court issued a decision finding the asserted claims of AstraZeneca’s patent as valid and infringed by Zydus’s ANDA product. In August 2022, Zydus appealed the District Court decision. Zydus’s appeal has been dismissed.
In December 2023, AstraZeneca initiated ANDA litigation against Sun Pharmaceutical Industries Ltd. and Sun Pharmaceutical Industries, Inc. in the District Court. No trial date has been set.

Lokelma patent proceedings

Considered to be a contingent asset

US

In August 2022, in response to Paragraph IV notices, AstraZeneca initiated ANDA litigation against multiple generic filers in the US District Court for the District of Delaware (District Court). AstraZeneca alleged that a generic version of Lokelma would infringe patents that are owned or licensed by AstraZeneca.
AstraZeneca has entered into separate settlement agreements with four generic manufacturers which resulted in dismissal of the corresponding litigations.

F-55

Additional proceedings with the remaining generic manufacturer are ongoing in the District Court. Trial is scheduled for March 2025.

Lynparza patent proceedings

Considered to be a contingent asset

US

AstraZeneca received a Paragraph IV notice relating to Lynparza patents from Natco Pharma Limited (Natco) in December 2022, Sandoz Inc. (Sandoz) in December 2023, Cipla USA, Inc. and Cipla Limited (collectively, Cipla) in May 2024, and Zydus Pharmaceuticals (USA) Inc. (Zydus) in November 2024. In response to these Paragraph IV notices, AstraZeneca, MSD International Business GmbH, and the University of Sheffield initiated ANDA litigations against Natco, Sandoz, Cipla, and Zydus in the US District Court for the District of New Jersey. In the complaints, AstraZeneca alleged that the defendants’ generic versions of Lynparza , if approved and marketed, would infringe AstraZeneca’s patents.
No trial date has been scheduled.

Soliris patent proceedings

Considered to be a contingent asset

Canada

In May 2023, Alexion initiated patent litigation in Canada alleging that Amgen Pharmaceuticals, Inc.’s (Amgen) biosimilar eculizumab product will infringe Alexion patents.
In September 2023, Alexion initiated patent litigations in Canada alleging that Samsung Bioepis Co. Ltd.’s (Samsung) biosimilar eculizumab product will infringe Alexion patents. The filing of the litigation triggered an automatic 24-month stay of the approval of each defendant’s biosimilar eculizumab product.
Trial against Amgen is scheduled to begin in January 2025 while trial against Samsung is scheduled to begin in June 2025.
In July and August 2023, in Canada, both Amgen and Samsung brought actions challenging the validity of Alexion’s patent relating to the use of eculizumab in treating aHUS. Trial is scheduled for November 2025.

Soliris patent proceedings

Matter concluded

US

In January 2024, Alexion initiated patent infringement litigation against Samsung Bioepis Co. Ltd. (Samsung) in the US District Court for the District of Delaware (District Court) alleging that Samsung’s biosimilar eculizumab product, for which Samsung is currently seeking FDA approval, will infringe six Soliris -related patents.
Five of the six asserted patents were also the subject of inter partes review proceedings before the US Patent and Trademark Office.
Alexion filed a motion for a preliminary injunction seeking to enjoin Samsung from launching its biosimilar eculizumab product upon FDA approval. The District Court denied Alexion’s motion and Alexion appealed that decision.
In August 2024, the parties reached resolution of the matter. All legal proceedings in the US courts have terminated as have the inter partes review proceedings.

Soliris patent proceedings

Considered to be a contingent asset

Europe

In March 2024, Alexion filed motions for provisional measures against Amgen Pharmaceuticals Inc (Amgen) and Samsung Bioepis Co. Ltd. (Samsung) and their respective affiliates at the Hamburg Local Division of the Unified Patent Court (UPC) on the basis that Amgen’s and Samsung’s biosimilar eculizumab products infringe an Alexion patent. Alexion appealed and in December 2024 the UPC appellate division denied Alexion’s appeal requesting provisional measures.
In parallel, Samsung and Amgen have filed oppositions to the patent at the European Patent Office.
In November 2024, Amgen filed a revocation action for the patent at the UPC Central Division in Milan.

Soliris patent proceedings

Considered to be a contingent asset

UK

In May 2024, Alexion initiated patent infringement proceedings against Amgen Ltd and Samsung Bioepis UK Ltd (Samsung UK) in the UK High Court of Justice alleging that their respective biosimilar eculizumab products infringe an Alexion patent; on the same day, Samsung UK initiated a revocation action for the same patent.
Trial has been scheduled for March 2025.

Tagrisso patent proceedings

Considered to be a contingent asset

Russia

In Russia, in August 2023, AstraZeneca filed lawsuits in the Arbitration Court of the Moscow Region (Court) against the Ministry of Health of the Russian Federation and Axelpharm LLC (Axelpharm) related to Axelpharm’s improper use of AstraZeneca’s information to obtain authorisation to market a generic version of Tagrisso . In December 2023, the Court dismissed the lawsuit against the Ministry of Health of the Russian Federation. The appellate court affirmed the dismissal in March 2024. AstraZeneca filed a further appeal, which was dismissed in July 2024. The lawsuit against Axelpharm was dismissed in September 2024, and AstraZeneca appealed.
In November 2023, Axelpharm filed a compulsory licensing action against AstraZeneca in the Court related to a patent that covers Tagrisso . The compulsory licensing action remains pending. AstraZeneca has also challenged before the Russian Patent and Trademark Office (PTO) the validity of the Axelpharm patent on which the compulsory licensing action is predicated. In August 2024, the PTO determined that Axelpharm’s patent is invalid and, in November 2024, Axelpharm filed an appeal.
In July 2024, AstraZeneca filed a patent infringement lawsuit, which remains pending, and an unfair competition claim with the Federal Anti-Monopoly Service of Russia (FAS) against AxelPharm and others related to the securing of state contracts in Russia for its generic version of Osimertinib.
In August 2024, the FAS initiated an unfair competition case against Axelpharm and OncoTarget based on AstraZeneca’s unfair competition claim. In November 2024, the FAS determined that Axelpharm had committed unfair competition and that OncoTarget had not; the FAS ordered Axelpharm to cease sales of its generic osimertinib and pay the Russian government the income it received from its sales of its generic Osimertinib. In December 2024, Axelpharm appealed.

F-56

Product liability litigation

Legal proceedings brought against AstraZeneca

Farxiga and Xigduo XR

Considered to be a contingent liability

US

AstraZeneca has been named as a defendant in lawsuits involving plaintiffs claiming physical injury, including Fournier's Gangrene and necrotising fasciitis, from treatment with Farxiga and/or Xigduo XR . In September 2023, the parties resolved by settlement agreement one case, filed in state court in Minnesota, previously scheduled for trial in October 2023. All remaining claims are filed in Delaware state court and remain pending, with the earliest trial scheduled for March 2026.

Nexium and Prilosec

A provision has been taken

US

AstraZeneca has been defending lawsuits brought in federal and state courts involving claims that plaintiffs have been diagnosed with various injuries following treatment with proton pump inhibitors (PPIs), including Nexium and Prilosec . Most of the lawsuits alleged kidney injury.
In addition, AstraZeneca has been defending lawsuits involving allegations of gastric cancer following treatment with PPIs, including one such claim in the US District Court for the Middle District of Louisiana (District Court).
In October 2023, AstraZeneca resolved all pending claims in the MDL, as well as all pending claims in Delaware and New Jersey state courts, for $ 425 m, for which a provision has been taken.
In December 2024, AstraZeneca resolved the sole remaining case, which had been pending in the District Court.

Nexium and Losec

Considered to be a contingent liability

Canada

In Canada, in July and August 2017, AstraZeneca was served with three putative class action lawsuits. Two of the lawsuits have been dismissed, one in 2019 and one in 2021.
The third lawsuit seeks authorisation to represent individual residents in Canada who allegedly suffered kidney injuries from the use of proton pump inhibitors, including Nexium and Losec . No trial date has been scheduled.

Onglyza and Kombiglyze

Matter concluded

US

In the US, AstraZeneca has been defending various lawsuits in both California state court and in a consolidated federal proceeding alleging heart failure, cardiac injuries, and/or death from treatment with Onglyza or Kombiglyze . In the California state court proceeding, the trial court granted summary judgment for AstraZeneca, which the California appellate court affirmed. The California Supreme Court has declined further review, and the California matter has concluded.
The consolidated federal cases were dismissed in August 2022 by the US District Court for the Eastern District of Kentucky. That dismissal was affirmed by the US Court of Appeals for the Sixth Circuit in February 2024. This matter is concluded.

Vaxzevria

Considered to be a contingent liability

UK

AstraZeneca is defending lawsuits in multiple jurisdictions, including the UK, involving multiple claimants alleging injuries following vaccination with AstraZeneca’s COVID-19 vaccine. Most of the lawsuits involve claims of thrombosis with thrombocytopenia syndrome.
No trial dates have been scheduled.

Commercial litigation

Legal proceedings brought against AstraZeneca

340B Antitrust litigation

Considered to be a contingent liability

US

In September 2021, AstraZeneca was served with a class-action antitrust complaint filed in the US District Court for the Western District of New York (District Court) by Mosaic Health alleging a conspiracy to restrict access to 340B discounts in the diabetes market through contract pharmacies. In September 2022, the District Court granted AstraZeneca’s motion to dismiss the Complaint. In February 2024, the District Court denied Plaintiffs’ request to file an amended complaint and entered an order closing the matter.
In March 2024, Plaintiffs filed an appeal.

Amyndas Trade Secrets Litigation

Considered to be a contingent liability

US

AstraZeneca has been defending a matter filed by Amyndas Pharmaceuticals Member P.C. and Amyndas Pharmaceuticals, LLC, in the US District Court for the District of Massachusetts alleging trade secret misappropriation and breach of contract claims against Alexion and Zealand Pharma U.S. Inc. related to Amyndas’ C3 inhibitor candidate.
No trial date has been set.

F-57

Anti-Terrorism Act Civil Lawsuit

Considered to be a contingent liability

US

In the US, in October 2017, AstraZeneca and certain other pharmaceutical and/or medical device companies were named as defendants in a complaint filed in the US District Court for the District of Columbia (District Court) by US nationals (or their estates, survivors, or heirs) who were killed or wounded in Iraq between 2005 and 2013. The plaintiffs allege that the defendants violated the US Anti-Terrorism Act and various state laws by selling pharmaceuticals and medical supplies to the Iraqi Ministry of Health. In July 2020, the District Court granted AstraZeneca’s and the other defendants’ motion to dismiss the lawsuit, which the DC Circuit Court of Appeals (the Appellate Court) reversed in January 2022.
In June 2024, the United States Supreme Court issued an order vacating the 2022 decision and granted AstraZeneca’s and the other defendants’ request for a remand to the Appellate Court for reconsideration under new case law.

Caelum Trade Secrets Litigation

Matter concluded

US

AstraZeneca has been defending a matter filed by the University of Tennessee Research Foundation in the US District Court for the Eastern District of Tennessee related to CAEL-101.
In September 2024, the parties resolved the matter by settlement.

Definiens

Considered to be a contingent liability

Germany

In Germany, in July 2020, AstraZeneca received a notice of arbitration filed with the German Institution of Arbitration from the sellers of Definiens AG (the Sellers) regarding the 2014 Share Purchase Agreement (SPA) between AstraZeneca and the Sellers. The Sellers claim that they are owed approximately $ 140 m in earn-outs under the SPA. In December 2023, after an arbitration hearing, the arbitration panel made a final award of $ 46.43 m in favour of the Sellers.
In March 2024, AstraZeneca filed an application with the Bavarian Supreme Court to set aside the arbitration award.
A hearing is scheduled for February 2025.

Employment Litigation

Considered to be a contingent liability

US

In December 2022, AstraZeneca was served with a lawsuit filed by seven former employees in the US District Court for the District of Delaware (District Court) asserting claims of discrimination on grounds of age and religion, related to AstraZeneca’s vaccination requirement. In June 2024, the District Court granted AstraZeneca’s partial motion to dismiss and denied without prejudice Plaintiff’s motion for conditional certification.
AstraZeneca is defending against numerous other litigation matters pending in federal and state courts asserting claims of discrimination in connection with AstraZeneca’s vaccine requirement. In November 2024, in a matter pending in the US District Court for the Northern District of Ohio, the court entered summary judgment in favour of the plaintiff.
A trial on the issues of damages is scheduled for June 2025.

Pay Equity Litigation

Considered to be a contingent liability

US

AstraZeneca is defending a putative class and collective action in the US District Court for the Northern District of Illinois (District Court) brought by three named plaintiffs, who are former AstraZeneca employees. The case involves claims under the federal and Illinois Equal Pay Acts, with the plaintiffs alleging they were paid less than male employees who performed substantially similar and/or equal work.
In May 2024, the District Court conditionally certified a collective under the federal Equal Pay Act and authorised the sending of notice to potential collective action members. The notice was distributed in June 2024.

Securities Litigation

Considered to be a contingent liability

US

In December 2024, a putative securities class action lawsuit was filed in the US District Court for the Central District of California against AstraZeneca PLC and certain officers, on behalf of purchasers of AstraZeneca publicly traded securities between February 2022 and December 2024. The complaint alleges that defendants made materially false and misleading statements in connection with the Company’s business in China.

Seroquel XR Antitrust Litigation

Considered to be a contingent liability

US

In 2019, AstraZeneca was named in several related complaints now proceeding in US District Court in Delaware (District Court), including several putative class action lawsuits that were purportedly brought on behalf of classes of direct purchasers or end payors of Seroquel XR , that allege AstraZeneca and generic drug manufacturers violated US antitrust laws when settling patent litigation related to Seroquel XR .
In July 2022, the District Court dismissed claims relating to one of the generic manufacturers while allowing claims relating to the second generic manufacturer to proceed.
In September 2024, AstraZeneca reached a settlement agreement with one of the plaintiff classes and the parties are now seeking judicial review and approval of the settlement.
Trial with the remaining class of plaintiffs is currently scheduled for May 2025.

F-58

Syntimmune Milestone Litigation

Considered to be a contingent liability

US

In connection with Alexion’s acquisition of Syntimmune, Inc. (Syntimmune) in December 2020, Alexion was served with a lawsuit filed by the stockholders’ representative for Syntimmune in Delaware state court that alleged, among other things, breaches of the 2018 merger agreement (Merger Agreement).
The stockholders’ representative alleges that Alexion failed to meet its obligations under the Merger Agreement to use commercially reasonable efforts to achieve the milestones. Alexion also filed a claim for breach of the representations in the Merger Agreement.
A trial was held in July 2023.
The court issued a partial decision in September 2024, concluding that the first milestone was achieved, and that Alexion had breached its contractual obligation to use commercially reasonable efforts to achieve the milestones. The court has requested additional briefing regarding damages and further proceedings regarding Alexion’s claim for breach.

University of Sheffield Contract Dispute

Considered to be a contingent liability

UK

In June 2024, AstraZeneca was served with a lawsuit filed by the University of Sheffield (Sheffield). In its complaint, Sheffield alleges that AstraZeneca made misrepresentations to induce Sheffield to amend a patent license relating to Lynparza .
AstraZeneca filed its defence in August 2024. No trial date has been scheduled.

Viela Bio, Inc. Shareholder Litigation

Considered to be a contingent liability

US

In February 2023, AstraZeneca was served with a lawsuit filed in the Delaware state court against AstraZeneca and certain officers (collectively, Defendants), on behalf of a putative class of Viela Bio, Inc. (Viela) shareholders. The complaint alleged that the Defendants breached their fiduciary duty to Viela shareholders in the course of Viela’s 2021 merger with Horizon Therapeutics, plc.
In July 2024, the Court granted with prejudice AstraZeneca’s motion to dismiss.
In August 2024, plaintiffs appealed the dismissal.

Legal proceedings brought by AstraZeneca

PARP Inhibitor Royalty Dispute

Considered to be a contingent asset

UK

In October 2012, Tesaro, Inc. (now wholly owned by GlaxoSmithKline plc (GSK)) entered into two worldwide, royalty-bearing patent license agreements with AstraZeneca related to GSK’s product niraparib. In May 2021, AstraZeneca filed a lawsuit against GSK in the Commercial Court of England and Wales alleging that GSK had failed to pay all of the royalties due on niraparib sales under the license agreements. In April 2023, after trial, the trial court issued a decision in AstraZeneca’s favour. In February 2024, the Court of Appeal reversed the decision. In March 2024, AstraZeneca filed a request for permission to appeal with the Supreme Court of the United Kingdom.
In May 2024, the Supreme Court denied permission to appeal. The case will return to the trial court for further proceedings.

Government investigations and proceedings

Legal proceedings brought against AstraZeneca

340B Qui Tam

Considered to be a contingent liability

US

In July 2023, AstraZeneca was served with an unsealed civil lawsuit brought by a qui tam relator on behalf of the United States, several states, and the District of Columbia in the US District Court for the Central District of California (District Court). The complaint alleges that AstraZeneca violated the US False Claims Act and state law analogues. In March 2024, the District Court granted AstraZeneca’s motion to dismiss the First Amended Complaint without leave to amend.
In April 2024, the relator filed an appeal.

Boston US Attorney Investigation

Considered to be a contingent liability

US

In June 2024, AstraZeneca was served with a subpoena issued by the US Attorney’s Office in Boston, seeking documents and information relating to payments by AstraZeneca to healthcare providers.
AstraZeneca is cooperating with this enquiry.

Brazilian Tax Assessment Matter

Considered to be a contingent liability

Brazil

In connection with an ongoing matter, in August 2019, the Brazilian Federal Revenue Service provided a Notice of Tax and Description of the Facts (the Tax Assessment) to two Alexion subsidiaries in Brazil, as well as to two additional entities, a logistics provider utilised by Alexion and a distributor. The Tax Assessment focuses on the importation of Soliris vials pursuant to Alexion’s free drug supply to patients programme in Brazil.
Alexion prevailed in the first level of administrative appeals in the Brazilian federal administrative proceeding system based on a deficiency in the Brazil Tax Assessment. The decision was subject to an automatic appeal to the second level of the administrative courts.
In March 2023, the second level of the administrative courts issued a decision to remand the matter to the first level of administrative courts for a determination on the merits.

F-59

Texas Qui Tam

Considered to be a contingent liability

US

In December 2022, AstraZeneca was served with an unsealed civil lawsuit brought by qui tam relators on behalf of the State of Texas in Texas state court, which alleges that AstraZeneca engaged in unlawful marketing practices.
Trial is scheduled for October 2025.

Turkish Ministry of Health Matter

Matter concluded

Turkey

In Turkey, in July 2020, the Turkish Ministry of Health (Ministry of Health) initiated an investigation regarding payments to healthcare providers by Alexion and former employees and consultants. The investigation arose from Alexion’s disclosure of a $ 21.5 m civil settlement with the US Securities & Exchange Commission (SEC) in July 2020 fully resolving the SEC’s investigation into possible violations of the US Foreign Corrupt Practices Act.
In September 2021, the Ministry of Health completed its draft investigation report and referred the matter to the Ankara Public Prosecutor’s Office with a recommendation for further proceedings against certain former employees. In June 2024, the Ankara Public Prosecutor’s Office closed its investigation without further action. This matter is now concluded.

US Congressional Inquiry

Matter concluded

US

In January 2024, AstraZeneca received a letter from the US Senate Committee on Health, Education, Labor and Pensions (HELP Committee) seeking information related to AstraZeneca's inhaled Respiratory products.
AstraZeneca cooperated with this inquiry and this matter is now concluded.

Vermont US Attorney Investigation

Considered to be a contingent liability

US

In April 2020, AstraZeneca received a Civil Investigative Demand from the US Attorney’s Office in Vermont and the Department of Justice, Civil Division, seeking documents and information relating to AstraZeneca’s relationships with electronic health-record vendors.
AstraZeneca continues to cooperate with this enquiry.

Shenzhen City Customs Office

Considered to be a contingent liability

China

In relation to the illegal drug importation allegations, in January 2025, AstraZeneca received a Notice of Transfer to the Prosecutor and an Appraisal Opinion from the Shenzhen City Customs Office regarding suspected unpaid importation taxes amounting to $ 0.9 m.
To the best of AstraZeneca’s knowledge, the importation taxes referred to in the Appraisal Opinion relate to Imfinzi and Imjudo .
A fine of between one and five times the amount of unpaid importation taxes may also be levied if AstraZeneca is found liable.

Legal proceedings brought by AstraZeneca

340B State Litigation

Considered to be a contingent asset

US

AstraZeneca has filed lawsuits against Arkansas, Kansas, Louisiana, Maryland, Minnesota, Mississippi, Missouri, and West Virginia challenging the constitutionality of each state’s 340B statute.
In the Arkansas matter, trial is scheduled for April 2025. In the Arkansas administrative proceeding, the state has moved for a preliminary injunction to enjoin AstraZeneca’s 340B policy in Arkansas.
In the Kansas matter, after obtaining a stipulation from the state that AstraZeneca’s policy does not violate the Kansas 340B statute, AstraZeneca agreed to dismiss its complaint.
In the Louisiana matter, the Court granted the state’s motion for summary judgment. AstraZeneca has filed an appeal.
In the Maryland, Minnesota, and Missouri matters, the state has moved to dismiss AstraZeneca’s complaint.
In the Maryland and Mississippi matters, the Court has rejected AstraZeneca’s preliminary injunction motion.
The West Virginia matter remains in its preliminary stages.

Inflation Reduction Act Litigation

Considered to be a contingent asset

US

In August 2023, AstraZeneca filed a lawsuit in the US District Court for the District of Delaware (District Court) against the US Department of Health and Human Services (HHS) challenging aspects of the drug price negotiation provisions of the Inflation Reduction Act and the implementing guidance and regulations. In March 2024, the District Court granted HHS’ motions and dismissed AstraZeneca’s lawsuit.
AstraZeneca has appealed the District Court’s decision.

Other

Additional government inquiries

As is true for most, if not all, major prescription pharmaceutical companies, AstraZeneca is currently involved in multiple inquiries into drug marketing and pricing practices. In addition to the investigations described above, various law enforcement offices have, from time to time, requested information from the Group. There have been no material developments in those matters.

F-60

Tax

AstraZeneca considers whether it is probable that a taxation authority will accept an uncertain tax treatment. Where it is concluded that it is not probable the taxation authority will accept an uncertain tax treatment, a tax liability is recognised based on either the most likely amount method or the expected value method depending on which method management expects to better predict the resolution of the uncertainty. Tax liabilities for uncertain tax treatments can be built up over a long period of time but the resolution of the uncertain tax treatments usually occurs at a point in time. Given the inherent uncertainties in assessing the outcomes (which can sometimes be binary), the probability and amount of any tax liability occurring are difficult to ascertain which may see adjustments to the liabilities recognised for uncertain tax treatments in future periods that could have a material positive or negative effect on our results. Details of the movements in relation to material uncertain tax treatments are discussed below.

AstraZeneca faces a number of audits and reviews in jurisdictions around the world and, in some cases, is in dispute with the tax authorities. The issues under discussion are often complex and can require many years to resolve. Tax liabilities recognised for uncertain tax treatments require management to make key judgements with respect to the outcome of current and potential future tax audits, and actual results could vary from these estimates. Management does not believe a significant risk exists of material change to uncertain tax positions in the next 12 months.

The total net tax liability recognised in the Group Financial Statements in respect of uncertain tax positions is $ 1,321 m (2023: $ 1,336 m; 2022: $ 830 m) as explained below. The net tax liability consists of $ 1,157 m (2023: $ 1,241 m; 2022: $ 632 m) included within income tax payable, $ 1,304 m (2023: $ 441 m; 2022: $ 291 m) included within deferred tax asset, partially offset by $ 122 m (2023: $ 9 m; 2022: $( 20 )m) included within deferred tax liabilities, and $ 1,018 m (2023: $ 337 m; 2022: $ 113 m) included within income tax receivable.

Transfer pricing

The net tax liability included in the Group Financial Statements in relation to management’s current assessment of tax risks in relation to worldwide transfer pricing exposures is $ 384 m (2023: $ 401 m; 2022: $ 260 m). The decrease in the net tax liability for uncertain tax positions relating to transfer pricing of $ 17 m compared with 2023 is mainly as a result of a decrease of tax liabilities arising from updates to estimates of prior period tax liabilities following progression of tax authority reviews.

The liability includes uncertain tax treatments which are estimated using the expected value method and depend on AstraZeneca’s assessment of the likelihood of the approach taken by the tax authorities. These matters can be complex and judgemental and could change in the future to reflect progress in tax authority reviews, the extent that any tax authority challenge is concluded including via negotiation between governments under competent authority procedures in relevant double tax treaties which can take many years to resolve, or matters lapse including following expiry of the relevant statutes of limitation. Depending upon progress in these matters, we could experience adjustments to the liabilities recognised in respect of uncertain tax treatments in future periods. Whilst it is impracticable to specify the possible effects of such changes at this stage, it is reasonably possible that an adjustment to the carrying amounts of tax assets and liabilities could be required within the next financial year.

For transfer pricing matters, including items under tax audit, AstraZeneca estimates the potential for additional tax liabilities above the amount provided where the possibility of the additional liabilities falling due is more than remote, to be up to $ 422 m (2023: $ 386 m; 2022: $ 245 m) including associated interest.

Management believes that it is unlikely that these additional liabilities will arise. It is possible that some of these contingencies may change in the future to reflect progress in tax authority reviews, to the extent that any tax authority challenge is concluded or matters lapse including following expiry of the relevant statutes of limitation resulting in a reduction in the tax charge in future periods. Management continues to believe that AstraZeneca’s positions on all its transfer pricing positions, audits and disputes are robust, and that AstraZeneca has recognised appropriate tax balances, including consideration of whether corresponding relief will be available under Mutual Agreement procedures or unilaterally.

Other uncertain tax treatments

Included in the net tax liability is $ 937 m (2023: $ 935 m; 2022: $ 570 m) relating to a number of other uncertain tax treatments. The increase of $ 2 m in the net tax liability relating to the other uncertain tax treatments mainly relates to an update to tax liabilities following progress of reviews by tax authorities and administrative appeal processes which are offset by movements relating to uncertainty over the timing of tax deductions. This uncertainty includes movements between income taxes receivable of $ 742 m, and deferred tax liabilities of $ 133 m offset by related deferred tax assets of $ 929 m and income taxes payable of $ 269 m. The liability includes tax liabilities in respect of uncertain tax treatments which are estimated using the most likely amount method and the expected value method and depend on AstraZeneca’s assessment of the likelihood of the approach taken by the tax authorities. This could change in the future to reflect progress in tax authority reviews, the extent that any tax authority challenge is concluded, or matters lapse including following expiry of the relevant statutes of limitation resulting in a reduction in the tax charge in future periods.

For these other tax liabilities in respect of uncertain tax treatments, AstraZeneca estimates the potential for additional liabilities above the amount provided where the possibility of the additional liabilities falling due is more than remote, to be up to $ 214 m (2023: $ 293 m; 2022: $ 209 m) including associated interest. It is possible that some of these liabilities may reduce in the future if any tax authority challenge is concluded or matters lapse following expiry of the relevant statutes of limitation, resulting in a reduction in the tax charge in future periods. AstraZeneca does not believe there are any significant other uncertain tax treatments where the possibility of the additional liabilities falling due is more than remote (2023: $ nil ; 2022: $ 280 m).

Timing of cash flows and interest

The Group is currently under audit in several countries and the timing of any resolution of these audits is uncertain.

It is anticipated that tax payments may be required in relation to a number of significant disputes which may be resolved over the next one to two years. AstraZeneca considers the tax liabilities set out above to appropriately reflect the expected value of any final settlement. Some of the items discussed above are not currently within the scope of tax authority audits and may take longer to resolve.

Included within other payables is a net amount of interest arising on tax contingencies of $ 164 m (2023: $ 184 m; 2022: $ 106 m).

F-61

31 Statutory and other information

2024

2023

2022

$m

$m

$m

Fees payable to PricewaterhouseCoopers LLP and its associates:

Group audit fee

10.6

10.2

9.9

Fees payable to PricewaterhouseCoopers LLP and its associates for other services:

The audit of subsidiaries pursuant to legislation

14.8

15.0

15.1

Attestation under s404 of Sarbanes-Oxley Act 2002

3.5

3.3

3.1

Audit-related assurance services

2.2

1.1

0.7

Other assurance services

0.3

0.2

0.2

Fees payable to PricewaterhouseCoopers Associates in respect of the Group’s pension schemes:

The audit of subsidiaries’ pension schemes

0.4

0.3

0.3

31.8

30.1

29.3

Fees payable in the year of $ 0.2 m (2023: $ 0.7 m) are in respect of the Group audit and audit of subsidiaries related to prior years.

Related party transactions

The Group had no material related party transactions which might reasonably be expected to influence decisions made by the users of these Financial Statements.

Key management personnel compensation

Key management personnel are defined for the purpose of disclosure under IAS 24 ‘Related Party Disclosures’ as the members of the Board and the members of the SET.

2024

2023

2022

$’000

$’000

$’000

Short-term employee benefits

40,893

38,636

38,632

Post-employment benefits

1,045

1,354

1,388

Share-based payments

49,121

58,242

56,297

91,059

98,232

96,317

Total remuneration is included within employee costs (see Note 29).

32 Subsequent events

There were no material subsequent events.

F-62

Group Subsidiaries and Holdings

In accordance with section 409 of the Companies Act 2006, a full list of subsidiaries, partnerships, associates, joint ventures and joint arrangements, the place of incorporation, registered office address, and the effective percentage of equity owned as at 31 December 2024 are disclosed below. Unless otherwise stated, the share capital disclosed comprises ordinary shares which are indirectly held by AstraZeneca PLC.

Unless otherwise stated, the accounting year ends of subsidiaries are 31 December. The Group Financial Statements consolidate the Financial Statements of the Company and its subsidiaries at 31 December 2024.

At 31 December 2024

Group Interest

Wholly owned subsidiaries

Algeria

AAPM SARL

100

%

20, Zone Macro-Economique, Hydra, Dar El Medina, Algiers, Algeria

Argentina

AstraZeneca S.A.

100

%

Olga Cossettini 363, 3° floor, Buenos Aires, Argentina

Alexion Pharma Argentina SRL

100

%

Avenida Leandro N. Alem 592 Piso 6, Buenos Aires, Argentina

Australia

AstraZeneca Holdings Pty Limited

100

%

AstraZeneca Pty Limited

100

%

Alexion Pharmaceuticals Australasia Pty Ltd

100

%

66 Talavera Road, Macquarie Park, NSW 2113, Australia

LogicBio Australia Pty Limited

100

%

Level 40, 2-26 Park Street, Sydney, NSW 2000, Australia

Austria

AstraZeneca Österreich GmbH

100

%

Alexion Pharma Austria GmbH

100

%

Rechte Wienzeile 223 1120 Wien, Austria

Portola Österreich GmbH (in liquidation)

100

%

Mooslackengasse 17, 1190 Wien, Austria

Belgium

AstraZeneca S.A. / N.V.

100

%

Alfons Gossetlaan 40 bus 201 at 1702 Groot-Bijgaarden, Belgium

Alexion Pharma Belgium Sprl

100

%

Alexion Services Europe Sprl

100

%

Rue des Deux Eglises 29-33, 1000 Brussels, Belgium

Bermuda

Alexion Bermuda Holding ULC

100

%

Alexion Bermuda Limited

100

%

Alexion Bermuda Partners LP

100

%

Victoria Place, 5th Floor, 31 Victoria Street, Hamilton, HM 10, Bermuda

Brazil

AstraZeneca do Brasil Limitada

100

%

Rod. Raposo Tavares, KM 26, 9, Cotia, Brazil

Alexion Farmacêutica América Latina Serviços de Administração de Vendas Ltda.

100

%

Alexion Serviços e Farmacêutica do Brasil Ltda.

100

%

Av. Dr Chucri Zaidan, 1240, 15° andar, CEP 04711-130, Ed. Morumbi Corporate – Golden Tower Vila São Francisco, São Paulo, Brazil

British Virgin Islands

Gracell Biotechnologies Holdings Limited

100

%

Office of Sertus Incorporations (BVI) Limited, Sertus Chambers, P.O. Box 905, Quastisky Building, Road Town, Tortola, British Virgin Islands

Bulgaria

AstraZeneca Bulgaria EOOD

100

%

51 Cherni Vrah Bld., Business Garden Office X, floor 10, Lozenets district, 1407 Sofia, Bulgaria

Canada

AstraZeneca Canada Inc. 1

100

%

Evinova Canada Inc.

100

%

Suite 5000, 1004 Middlegate Road, Mississauga, ON, L4Y 1M4, Canada

Alexion Pharma Canada Corporation

100

%

Suite 1300, 1969 Upper Water St, Halifax, NS, B3J 3R7, Canada

Fusion Pharmaceuticals Inc.

100

%

270 Longwood Road South, Hamilton, ON, L8P 0A6, Canada

Cayman Islands

AZ Reinsurance Limited

100

%

18 Forum Lane, 2nd Floor, Camana Bay, Grand Cayman, P.O. Box 69, Cayman Islands

Gracell Biotechnologies Inc.

100

%

P.O. Box 309, Ugland House, Grand Cayman, KY1-1104, Cayman Islands

Chile

AstraZeneca S.A.

100

%

AstraZeneca Farmaceutica Chile Limitada

100

%

Av. Isidora Goyenechea 3477, 2nd Floor, Las Condes, Santiago, Chile

China

Alexion Pharmaceuticals (Shanghai) Company Limited

100

%

Room 1703, Level 17, No. 88 Xizang North Road, Jing’an District, Shanghai, China

AstraZeneca Global R&D (China) Co., Ltd.

100

%

16F, 88 Xizang North Road, Jing’an District, Shanghai, China

AstraZeneca Investment (China) Co., Ltd.

100

%

199 Liangjing Road, Pilot Free Trade Zone, Shanghai, China

AstraZeneca Investment Consulting (Wuxi) Co., Ltd.

100

%

Room 808, 8F, Building 99-2 Linghu Avenue, Xinwu District, Wuxi, Jiangsu, China

AstraZeneca Pharmaceutical Co., Ltd.

100

%

No. 2, Huangshan Road, Wuxi, Jiangsu Province, China

AstraZeneca Pharmaceutical (Beijing) Co., Ltd.

100

%

1F, Building No. 4, No. 8 Courtyard, No. 1 Kegu Street, Beijing Economic-Technological Development Area, Beijing, China

AstraZeneca Pharmaceutical (Chengdu) Co., Ltd.

100

%

10th Floor, Building 11 (Building E11), No. 366, Hemin Street, Chengdu High-tech Zone, China (Sichuan) Pilot Free Trade Zone, China

AstraZeneca Pharmaceutical (Guangzhou) Co., Ltd.

100

%

Room 406-178, No. 1, Yichuang Street, (China-Singapore Guangzhou Knowledge City) Huangpu District, Guangzhou City, China

AstraZeneca Pharmaceutical (Hangzhou) Co., Ltd.

100

%

12F & 14F, Building 1, Shuli Plaza, 758 Fei Jia Tang Road, Gongshu District, Hangzhou, Zhejiang Province, China

AstraZeneca Pharmaceutical Manufacturing (Qingdao) Co., Ltd.

100

%

Room 806, Building 2, 82 Juxianqiao Road, High-tech Zone, Qingdao, Shandong Province, China

AstraZeneca Pharmaceutical (Qingdao) Co., Ltd.

100

%

Floor 8, Building 2, 82 Juxianqiao Road, High-tech Zone, Qingdao, Shandong Province, China

AstraZeneca Pharmaceutical (Shanghai) Co., Ltd.

100

%

B1F, 8F & 9F, 88 Xizang North Road, Jing’an District, Shanghai, China

AstraZeneca Pharmaceuticals (China) Co., Ltd.

100

%

88 Yaocheng Avenue, Jiangsu Province, Taizhou, China

AstraZeneca (Wuxi) Trading Co., Ltd.

100

%

Building E (Building No. 5), Huirong Commercial Plaza, East Jinghui Road, Xinwu District, Wuxi, China

Gracell Biomedicine (Shanghai) Co., Ltd. 2

100

%

Shanghai Evinova Medical Technology Co., Ltd. 2

100

%

Building C, No. 888, Huanhu 2nd Road West, Lingang New District, Shanghai, Pilot Free Trade Zone, China

Gracell Bioscience (Shanghai) Co., Ltd.

100

%

1st-4th Floor, Building 1, No. 418 Guilin Road, Xuhui District, Shanghai 200233, China

Hainan Gracell Biomedicine Co., Ltd. (in liquidation) 2

100

%

A132-81, 4th Floor, Joint Inspection Building, Haikou Comprehensive Bonded Zone, Haikou Free Trade Zone, Hainan Province, China

Suzhou Gracell Bioscience Co., Ltd.

100

%

Unit E547, 5th Floor, Lecheng Plaza, Phase II, Biobay Industrial Park, 218 Sangtian Street, Suzhou Industrial Park, Suzhou Area, Jiangsu, Pilot Free Trade Zone 215123, China

Colombia

AstraZeneca Colombia S.A.S.

100

%

Av Carrera 9 No. 101-67 Office 601, Bogotá, 110231, Colombia

Alexion Pharma Colombia S.A.S. (in liquidation)

100

%

Carrera 9 No. 115 - 06 /30 Edificio Tierra Firme Oficina 2904 Bogot á D.C., Colombia

Costa Rica

AstraZeneca CAMCAR Costa Rica, S.A.

100

%

San José, Escazú, Roble Corporate Center, 5to piso, Costa Rica

Croatia

AstraZeneca d.o.o.

100

%

Vjekoslava Heinzela 70, 10 000 Zagreb, Croatia

Czech Republic

AstraZeneca Czech Republic, s.r.o.

100

%

Alexion Pharma Czech s.r.o.

100

%

U Trezorky 921/2, 158 00 Prague 5, Czech Republic

F-63

Denmark

AstraZeneca A/S

100

%

Johanne Møllers Passage 1, Dk-1799, Copenhagen V, Denmark

Egypt

AstraZeneca Egypt for Pharmaceutical Industries SAE

100

%

6th of October City, 6th Industrial Zone, Plot 2, Giza, Egypt

AstraZeneca Egypt LLC

100

%

47 St. 270 New Maadi, Cairo, Egypt

Drimex LLC

100

%

Plot 133, Banks’ District, 5th Settlement, New Cairo, Cairo, Egypt

Estonia

AstraZeneca Eesti OÜ

100

%

Harju maakond, Tallinn, Lasnamäe linnaosa, Valukoja tn 8/1, 11415, Estonia

Finland

AstraZeneca Oy.

100

%

Keilaranta 18, 02150 Espoo, Finland

France

Amolyt Pharma SAS 3

100

%

15 Chemin du Saquin, Espace Européen, 69130 Écully, France

AstraZeneca SAS

100

%

Tour Carpe Diem-31, Place des Corolles, 92400 Courbevoie, France

AstraZeneca Reims Production SAS

100

%

Chemin de Vrilly Parc, Industriel de la Pompelle, 51100 Reims, France

AstraZeneca Dunkerque Production SCS

100

%

224 Avenue de la Dordogne, 59640 Dunkerque, France

Alexion Europe SAS

100

%

Alexion Pharma France SAS

100

%

103-105 Rue Anatole France, 92300 Levallois-Perret, France

Germany

AstraZeneca GmbH

100

%

AstraZeneca Holding GmbH 4

100

%

Sofotec GmbH 5

100

%

Friesenweg 26, 22763, Hamburg, Germany

AstraZeneca Computational Pathology GmbH 3

100

%

Bernhard-Wicki-Straße 5, 80636, Munich, Germany

Alexion Pharma Germany GmbH

100

%

Landsberger Straße 300, 80687, Munich, Germany

Greece

AstraZeneca S.A.

100

%

Agisilaou 6-8 Marousi, Athens, Greece

Hong Kong

AstraZeneca HK Holdings Company Limited

100

%

AstraZeneca Hong Kong Limited

100

%

Unit 1 – 3, 11/F., China Taiping Finance Centre, 18 King Wah Road, North Point, Hong Kong

Gracell Biotechnologies (HK) Limited

100

%

C&F Secretarial Services Limited, Unit 3A, 12/F, Kaiser Centre, No. 18 Centre Street, Sai Ying Pun, Hong Kong

Hungary

AstraZeneca Kft

100

%

1st floor, 4 building B, Alíz str., Budapest, 1117, Hungary

India

AstraZeneca India Private Limited 6

100

%

Block A, Neville Tower, 11th Floor, Ramanujan IT SEZ, Taramani, Chennai, Tamil Nadu, PIN 600113, India

Alexion Business Services Private Limited

100

%

9th Floor, Platina, G Block Plot No. C-59, Bandra-Kurla Complex Bandra (East), Mumbai 400051, India

Iran

AstraZeneca Pars Company

100

%

Suite 1, 1st Floor No. 39, Alvand Ave., Argantin Sq., Tehran 1516673114, Iran

Ireland

AstraZeneca Pharmaceuticals (Ireland) Designated Activity Company

100

%

4th Floor, South Bank House, Barrow Street, Dublin 4, Republic of Ireland

Alexion Pharma Holding Limited

100

%

Alexion Pharma International Operations Limited

100

%

Alexion Pharma Development Limited

100

%

AstraZeneca Ireland Limited

100

%

College Business & Technology Park, Blanchardstown Road North, Dublin 15, Republic of Ireland

Israel

AstraZeneca (Israel) Ltd

100

%

Atirei Yeda 1, Building O-Tech 2, POB 8044, Kfar Saba, 4464301, Israel

Alexion Pharma Israel Ltd

100

%

16 Derech Aba Hille St., Ramat Gan 5250608, Israel

Italy

Simesa SpA

100

%

AstraZeneca SpA

100

%

Alexion Pharma Italy Srl

100

%

Viale Decumano 39, 20157 Milan, Italy

Japan

AstraZeneca K.K.

100

%

3-1, Ofuka-cho, Kita-ku, Osaka, 530-0011, Japan

Alexion Pharma GK

100

%

Tamachi Station Tower N 3-1-1, Shibaura, Minato-ku Tokyo 108-0023, Japan

Kazakhstan

AstraZeneca Kazakhstan Limited Liability Partnership

100

%

Office 101, 77 Kunayev Street, Almaty 050000, Kazakhstan

Kenya

AstraZeneca Pharmaceuticals Limited

100

%

L.R. No.1/1327, Avenue 5, 1st Floor, Rose Avenue, Nairobi, Kenya

Latvia

AstraZeneca Latvija SIA

100

%

Skanstes iela 50, Riga, LV-1013, Latvia

Lithuania

AstraZeneca Lietuva UAB

100

%

Spaudos g., Vilnius, LT-05132, Lithuania

Luxembourg

AstraZeneca Luxembourg S.A.

100

%

Rue Nicolas Bové 2A – L-1253, Luxembourg

Malaysia

AstraZeneca Asia-Pacific Business Services Sdn Bhd

100

%

12th Floor, Menara Symphony, No. 5 Jalan Prof, Khoo Kay Kim, Seksyen 13, 46200 Petaling Jaya, Selangor Darul Ehsan, Malaysia

AstraZeneca Sdn Bhd

100

%

Nucleus Tower, Level 11 & 12, No. 10 Jalan PJU 7/6, Mutiara Damansara, 47800 Petaling Jaya, Selangor Darul Ehsan, Malaysia

Mexico

AstraZeneca Health Care Division, S.A. de C.V.

100

%

AstraZeneca, S.A. de C.V.

100

%

Av. Periferico Sur 4305 interior 5, Colonia Jardines en la Montaña, Mexico City, Tlalpan Distrito Federal, CP 14210, Mexico

Alexion Pharma Mexico S. de R.L. de C.V.

100

%

Paseo de los Tamarindos 90, Torre 1 piso 6 - A Col., Bosques de la Lomas, CP 05120 D.F, Mexico

Morocco

AstraZeneca Maroc SARLAU

100

%

CFC (Casablanca Finance City), Le Continental Business Center, Bâtiment C, 7ème étage, Quartier Hay Hassani, Casablanca, Morocco

The Netherlands

Alexion Holding B.V.

100

%

Alexion Pharma Foreign Holdings, B.V.

100

%

Alexion Pharma Netherlands B.V.

100

%

AstraZeneca B.V.

100

%

AstraZeneca Continent B.V.

100

%

AstraZeneca Gamma B.V.

100

%

AstraZeneca Holdings B.V.

100

%

AstraZeneca Jota B.V.

100

%

AstraZeneca Rho B.V.

100

%

AstraZeneca Sigma B.V.

100

%

AstraZeneca Treasury B.V.

100

%

AstraZeneca Zeta B.V.

100

%

Prinses Beatrixlaan 582, 2595 BM, The Hague, The Netherlands

AstraZeneca Nijmegen B.V.

100

%

Lagelandseweg 78, 6545 CG Nijmegen, The Netherlands

Acerta Pharma B.V.

100

%

Aspire Therapeutics B.V.

100

%

Kloosterstraat 9, 5349 AB, Oss, The Netherlands

Portola Netherlands B.V.

100

%

Basisweg 10, 1043 AP, Amsterdam, The Netherlands

Neogene Therapeutics B.V.

100

%

Science Park 106, 1098 XG Amsterdam, The Netherlands

At 31 December 2024

Group Interest

New Zealand

AstraZeneca Limited

100

%

Pharmacy Retailing (NZ) Limited t/a Healthcare Logistics, 58 Richard Pearse Drive, Mangere, Auckland, 1142, New Zealand

Nigeria

AstraZeneca Nigeria Limited

100

%

11A, Alfred Olaiya Street, Awuse Estate, Off Salvation Street, Opebi, Ikeja, Lagos, Nigeria

Norway

AstraZeneca AS

100

%

Karvesvingen 7, 0579 Oslo, Norway

Pakistan

AstraZeneca Pharmaceuticals Pakistan (Private) Limited 7

100

%

Office No 1, 2nd Floor, Sasi Arcade, Block 7, Main Clifton Road, Karachi, Pakistan

Panama

AstraZeneca CAMCAR, S.A.

100

%

Bodega #1, Parque Logistico MIT, Carretera Hacia Coco Solo, Colon, Panama

Peru

AstraZeneca Peru S.A.

100

%

Calle Las Orquídeas N° 675, Int. 802, Edificio Pacific Tower, San Isidro, Lima, Peru

Philippines

AstraZeneca Pharmaceuticals (Phils.) Inc.

100

%

16th Floor, Inoza Tower, 40th Street, Bonifacio Global City, Taguig 1634, Philippines

F-64

Poland

AstraZeneca Pharma Poland Sp.z.o.o.

100

%

Alexion Pharma Poland Sp.z.o.o.

100

%

Postepu 14, 02-676, Warszawa, Poland

Evinova Poland sp. z o.o

100

%

Towarowa 28, 00-839 Warszawa, Poland

Portugal

Astra Alpha Produtos Farmacêuticos Lda

100

%

AstraZeneca Produtos Farmacêuticos Lda

100

%

Novastra Promoção e Comércio Farmacêutico Lda

100

%

Novastuart Produtos Farmacêuticos Lda

100

%

Stuart-Produtos Farmacêuticos Lda

100

%

Zeneca Epsilon – Produtos Farmacêuticos Lda

100

%

Zenecapharma Produtos Farmacêuticos, Unipessoal Lda

100

%

Rua Humberto Madeira, No 7, Queluz de Baixo, 2730-097, Barcarena, Portugal

Puerto Rico

IPR Pharmaceuticals, Inc.

100

%

Road 188, San Isidro Industrial Park, Canóvanas, 00729, Puerto Rico

Romania

AstraZeneca Pharma S.R.L.

100

%

Bucharest, 1A Tipografilor Street, MUSE Offices, 2nd and 3rd Floor, District 1, 013714, Romania

Russia

AstraZeneca Industries LLC

100

%

81 Vostochniy Lane, Dobrino Village, Borovskiy District, Kaluga Region, 249006, Russian Federation

AstraZeneca Pharmaceuticals LLC

100

%

1 Krasnogvardeyskiy Lane 21, Bld.1, Floors 20-30, Moscow, 123112, Russian Federation

Alexion Pharma LLC

100

%

12 Presnenskaya Embankment, Premises 1/36, Moscow, 123112, Russian Federation

Saudi Arabia

AstraZeneca Continent Regional Headquarter

100

%

Al-Nakhlah Tower, Floor 13th Ath Thumamah Road, Al Sahafa District, P.O. Box 42150, Riyadh, Kingdom of Saudi Arabia

AstraZeneca Trading Company

100

%

8125 Prince Sultan, 2086 Ar Rawdah District, 23435, Jeddah, Kingdom of Saudi Arabia

Singapore

AstraZeneca Pharmaceuticals Singapore Pte. Limited

100

%

AstraZeneca Singapore Pte Ltd

100

%

10 Kallang Avenue #12-10, Aperia Tower 2, 339510, Singapore

South Africa

AstraZeneca Pharmaceuticals (Pty) Limited

100

%

17 Georgian Crescent West, Northdowns Office Park, Bryanston, 2191, South Africa

South Korea

AstraZeneca Korea Co. Ltd

100

%

21st Floor, Asem Tower, 517, Yeongdong-daero, Gangnam-gu, Seoul, 06164, Republic of Korea

Alexion Pharma Korea LLC

100

%

41 FL., 152 Teheran-ro (Yeoksam-dong Gangnam Finance Center), Gangnam-gu, Seoul, Republic of Korea

Spain

AstraZeneca Farmaceutica Holding Spain SA

100

%

AstraZeneca Farmaceutica Spain SA

100

%

Evinova Spain SL

100

%

Fundación AstraZeneca

100

%

Laboratorio Beta SA

100

%

Laboratorio Lailan SA

100

%

Laboratorio Tau SA

100

%

Calle del Puerto de Somport, 21-23, Madrid 28050, Spain

Alexion Pharma Spain SL

100

%

Av Diagonal Num.601 P.1, Barcelona 08028, Spain

Sweden

AstraZeneca AB

100

%

AstraZeneca Biotech AB

100

%

AstraZeneca BioVentureHub AB

100

%

AstraZeneca International Holdings Aktiebolag

100

%

AstraZeneca Pharmaceuticals Aktiebolag

100

%

AstraZeneca Södertälje 2 AB

100

%

Evinova AB

100

%

SE-151 85 Södertälje, Sweden

Alexion Pharma Nordics Holding AB

100

%

Alexion Pharma Nordics AB

100

%

Hagaplan 4, 113 68 Stockholm, Sweden

Switzerland

Alexion Pharma GmbH

100

%

AstraZeneca AG

100

%

Evinova AG

100

%

Neuhofstrasse 34, 6340 Baar, Switzerland

Spirogen Sarl (in liquidation)

100

%

Rue du Grand-Chêne 5, CH-1003 Lausanne, Switzerland

Taiwan

Alexion Pharma Taiwan Ltd

100

%

AstraZeneca Taiwan Limited

100

%

21st Floor, Taipei Metro Building 207, Tun Hwa South Road, SEC 2 Taipei, Taiwan

Thailand

AstraZeneca (Thailand) Limited

100

%

Asia Centre 19th floor, 173/20, South Sathorn Rd, Khwaeng Thungmahamek, Khet Sathorn, Bangkok, 10120, Thailand

Tunisia

AstraZeneca Tunisie SaRL

100

%

Lot n°1.5.5 les jardins du lac, bloc B les berges du lac Tunis, Tunisia

Turkey

AstraZeneca Ilac Sanayi ve Ticaret Limited Sirketi

100

%

Y.K.B Plaza, B Blok, Kat:3-4, Levent/Beşiktaş, Istanbul, Turkey

Zeneca Ilac Sanayi ve Ticaret Anonim Sirketi

100

%

Büyükdere Cad., Y.K.B. Plaza, B Blok, Kat:4, Levent/Beşiktaş, Istanbul, Turkey

Alexion Ilac Ticaret Limited Sirketi

100

%

İçerenköy Mahellisi Umut SK. and Ofis Sit. No: 10 12/73 Ataşehir, Istanbul 10-12/73, Turkey

Ukraine

AstraZeneca Ukraina LLC

100

%

54 Simi Prakhovykh Street, Kyiv, 01033, Ukraine

United Arab Emirates

AstraZeneca FZ-LLC

100

%

Dubai Sciences Park Towers, Tower South, S1706S, Dubai Sciences Park, Dubai, United Arab Emirates

Alexion Pharma Middle East FZ-LLC

100

%

Dubai Science Park, 501, Floor 5, EIB Building No. 2, Dubai, United Arab Emirates

United Kingdom

Alexion Pharma UK Limited

100

%

Ardea Biosciences Limited

100

%

Arrow Therapeutics Limited

100

%

Astra Pharmaceuticals Limited

100

%

AstraPharm

100

%

AstraZeneca China UK Limited

100

%

AstraZeneca Death In Service Trustee Limited

100

%

AstraZeneca Employee Share Trust Limited

100

%

AstraZeneca Finance Limited

100

%

AstraZeneca Intermediate Holdings Limited 8

100

%

AstraZeneca Investments Limited

100

%

AstraZeneca Japan Limited

100

%

AstraZeneca Nominees Limited

100

%

AstraZeneca Quest Limited

100

%

AstraZeneca Share Trust Limited

100

%

AstraZeneca Sweden Investments Limited

100

%

AstraZeneca Treasury Limited

100

%

AstraZeneca UK Limited

100

%

AstraZeneca US Investments Limited 8

100

%

AZENCO2 Limited

100

%

AZENCO4 Limited

100

%

AZENCO5 Limited

100

%

AZENCO6 Limited

100

%

Cambridge Antibody Technology Group Limited

100

%

Evinova Limited

100

%

KuDOS Horsham Limited

100

%

KuDOS Pharmaceuticals Limited

100

%

Zenco (No. 8) Limited

100

%

Zeneca Finance (Netherlands) Company

100

%

MedImmune Limited

100

%

1 Francis Crick Avenue, Cambridge Biomedical Campus, Cambridge, CB2 0AA, United Kingdom

MedImmune U.K. Limited

100

%

Plot 6, Renaissance Way, Boulevard Industry Park, Liverpool, L24 9JW, United Kingdom

Syntimmune Limited

100

%

21 Holborn Viaduct, London, EC1A 2DY, United Kingdom

United States

Acerta Pharma LLC 9

100

%

121 Oyster Point Boulevard, South San Francisco, CA 94080, United States

Alexion Pharmaceuticals, Inc.

100

%

Achillion Pharmaceuticals Inc.

100

%

Alexion US1 LLC 9

100

%

Savoy Therapeutics Corp

100

%

Syntimmune LLC 9

100

%

TeneoTwo, Inc.

100

%

121 Seaport Boulevard Boston, MA 02210, United States

Alexion Services Latin America Inc.

100

%

600 Brickell Ave, Miami, FL 33131, United States

AlphaCore Pharma, LLC 9

100

%

333 Parkland Plaza, Suite 5, Ann Arbor, MI 48103, United States

Amolyt Pharma Inc.

100

%

185 Alewife Brook Pkwy, Suite 210, Cambridge, MA 02138, United States

Amylin Ohio LLC 9

100

%

Amylin Pharmaceuticals, LLC 9

100

%

Ardea Biosciences, Inc.

100

%

AstraZeneca Collaboration Ventures, LLC 9

100

%

AstraZeneca Finance and Holdings Inc.

100

%

AstraZeneca Finance LLC 9

100

%

AstraZeneca Pharmaceuticals LP 10

100

%

Atkemix Nine Inc.

100

%

Atkemix Ten Inc.

100

%

Corpus Christi Holdings Inc.

100

%

LogicBio Securities Corporation

100

%

LogicBio Therapeutics, Inc.

100

%

Neogene Therapeutics, Inc.

100

%

Omthera Pharmaceuticals, Inc.

100

%

Optein, Inc.

100

%

Stauffer Management Company LLC 9

100

%

Zeneca Inc.

100

%

Zeneca Holdings Inc.

100

%

F-65

Zeneca Wilmington Inc. 8

100

%

1800 Concord Pike, Wilmington, DE 19803, United States

AZ-Mont Insurance Company

100

%

100 Bank Street, Suite 630, Burlington, VT 05401, United States

Caelum Biosciences Inc.

100

%

1200 Florence Columbus Road, Bordentown, NJ 08505, United States

Cincor Pharma Inc.

100

%

100 College Street, New Haven, CT 06510, United States

Evinova Inc.

100

%

101 Orchard Ridge Drive, Gaithersburg, MD 20878, United States

Fusion Pharmaceuticals US Inc.

100

%

2 International Place, Suite 2310, Boston, MA 02110, United States

Gracell Biopharmaceuticals, Inc.

100

%

530 Lytton Avenue, 2nd Floor, Palo Alto, CA 94301, United States

Icosavax, Inc.

100

%

1930 Boren Avenue, Suite 1000, Seattle, WA 98101, United States

MedImmune, LLC 9

100

%

MedImmune Ventures, Inc.

100

%

One MedImmune Way, Gaithersburg, MD 20878, United States

Pearl Therapeutics, Inc.

100

%

200 Cardinal Way, Redwood City, CA 94063, United States

Portola Pharmaceuticals LLC

100

%

Portola USA, Inc.

100

%

270 East Grand Avenue, South San Francisco, CA 94080, United States

ZS Pharma, Inc.

100

%

1100 Park Place, Suite 300, San Mateo, CA 94403, United States

At 31 December 2024

Group Interest

Uruguay

AstraZeneca S.A.

100

%

Yaguarón 1407 of 1205, 11.100, Montevideo, Uruguay

Venezuela

AstraZeneca Venezuela S.A.

100

%

Gotland Pharma S.A.

100

%

Av. La Castellana, Torre La Castellana, Piso 5, Oficina 5-G, 5-H, 5-I, Urbanización La Castellana, Municipio Chacao, Estado Bolivariano de Miranda, Venezuela

Vietnam

AstraZeneca Vietnam Company Limited

100

%

18th Floor, A&B Tower, 76 Le Lai, Ben Thanh Ward, District 1, Ho Chi Minh City, Vietnam

Subsidiaries where the effective interest is less than 100%

Algeria

AstraZeneca Algeria Pharmaceutical Industries SPA

49

%

N° 20, Micro Zone d’Activité Hydra, Centre des Affaires Dar El Madina, Bloc A, 6th Floor, Hydra, Algiers, Algeria

China

Beijing Falikang Pharmaceutical Co., Ltd.

48.90

%

Room 113, Floor 1, Unit 1, Building No. 6, 88 Kechuang 6th Street, Economic-Technological Development Area, Beijing, China

India

AstraZeneca Pharma India Limited 6

75

%

Block N1, 12th Floor, Manyata Embassy Business Park, Rachenahalli, Outer Ring Road, Bangalore-560 045, India

Indonesia

P.T. AstraZeneca Indonesia

95

%

Perkantoran Hijau Arkadia Tower F, 3rd Floor, JI. T.B. Simatupang Kav. 88, South Jakarta, 12520, Indonesia

Switzerland

SixPeaks Bio AG 11, 13

34.10

%

Aeschenvorstadt 36, 4501 Basel, Switzerland

United States

VaxNewMo, LLC 12, 13

19.90

%

4447 McPherson Avenue, St. Louis, MO 63108, United States

Joint Ventures

Hong Kong

IHP HK Holdings Limited

50

%

Unit 1402, 14th Floor, Henley Building, No. 5 Queen’s Road Central, Hong Kong

WuXi MedImmune Biopharmaceutical Co., Limited (in liquidation)

50

%

Room 1902, 19/F, Lee Garden One, 33 Hysan Avenue, Causeway Bay, Hong Kong

United States

Montrose Chemical Corporation of California

50

%

Suite 380, 600 Ericksen Ave N/E, Bainbridge Island, WA 98110, United States

Significant Holdings

China

Dizal (Jiangsu) Pharmaceutical Co., Ltd.

26.21

%

199 Liangjing Rd, Zhangjiang Hi-Tech Park, Pudong District, Shanghai, 201203, China

Wuxi AstraZeneca-CICC Venture Capital Partnership (Limited Partnership)

22.13

%

Wuxi AstraZeneca-CICC No.1 Venture Capital Partnership (Limited Partnership)

22.13

%

Room 808, 8F, Building 99-2 Linghu Avenue, Xinwu District, Wuxi, Jiangsu, China

United Kingdom

VaxEquity Ltd. 13 (in liquidation)

40

%

Victory House, Vision Park, Chivers Way, Histon, Cambridge, CB24 9ZR, United Kingdom

United States

C.C. Global Chemicals Company

37.50

%

P.O. Box 7, MS2901, TX 76101-0007, United States

Associated Holdings

Cayman Islands

Fuse Biosciences (Cayman) Limited 13

18.75

%

3-212 Governors Square, 23 Lime Tree Bay Avenue, P.O. Box 30746, Seven Mile Beach, Grand Cayman KY1-1203, Cayman Islands

France

Medetia SAS 13

10

%

Institute Imagine, 24 Boulevard du Montparnasse, 75015 Paris, France

Cellectis S.A. 3

43.96

%

8, rue de la Croix Jarry, 75013 Paris, France

Israel

AION Labs Innovation Lab Ltd.

19.23

%

CombinAble.AI Ltd. 13

11.25

%

ProPhet Bio Ltd. 13

11.94

%

TenAces Biosciences Ltd. 13

12.50

%

4 Oppenheimer Street, Building B, Rehovot, 7670104, Israel

Sweden

Swedish Orphan Biovitrum AB (publ)

9.74

%

Tomtebodavägen 23A, Stockholm, Sweden

OnDosis AB

19.80

%

GoCo House, 5 tr, Gemenskapens gata 9, 431 53 Mölndal, Sweden

CCRM Nordic AB

19.90

%

Förändringens Gata 10, 431 53 Mölndal, Sweden

United Kingdom

Niox Group plc

16.61

%

Magdalen Centre, 1 Robert Robinson Ave, Science Park, Oxford, OX4 4GA, United Kingdom

United States

AbMed Corporation 3

18

%

68 Cummings Park Drive, Woburn, MA 01801, United States

Baergic Bio, Inc.

19.95

%

1111 Kane Concourse, Suite 301, Bay Harbor Islands, FL 33154, United States

Regio Biosciences, Inc. 13

19.54

%

5237 River Road, #361 Bethesda, MD 20816, United States

Employee Benefit Trusts

The AstraZeneca Employee Benefit Trust

AstraZeneca PSP/GRSP EBP for Canadian Employees

1 Ownership held in ordinary and special shares.
2 Ownership held by way of capital contribution.
3 Ownership held in ordinary and preference shares.
4 10 % directly held by AstraZeneca PLC.
5 Sold to external third party effective 17 January 2025.
6 Accounting year end is 31 March.
7 Accounting year end is 30 June.
8 Directly held by AstraZeneca PLC.
9 Ownership held as membership interest.
10 Ownership held as partnership interest.
11 Consolidated due to AstraZeneca AB having an option to acquire.
12 Consolidated due to Zeneca Inc. having an option to acquire.
13 Ownership held in preference shares.

F-66

TABLE OF CONTENTS
Part 1Item 1. Identity Of Directors, Senior Management and AdvisersItem 2. Offer Statistics and Expected TimetableItem 3. Key InformationItem 4. Information on The CompanyItem 4A. Unresolved Staff CommentsItem 5. Operating and Financial Review and ProspectsItem 6. Directors, Senior Management and EmployeesItem 7. Major Shareholders and Related Party TransactionsItem 8. Financial InformationItem 9. The Offer and ListingItem 10. Additional InformationItem 11. Quantitative and Qualitative Disclosures About Market RiskItem 12. Description Of Securities Other Than Equity SecuritiesPart IIItem 13. Defaults, Dividend Arrearages and DelinquenciesItem 14. Material Modifications To The Rights Of Security Holders and Use Of ProceedsItem 15. Controls and ProceduresItem 16. ReservedItem 16A. Audit Committee Financial ExpertItem 16B. Code Of EthicsItem 16C. Principal Accountant Fees and ServicesItem 16D. Exemptions From The Listing Standards For Audit CommitteesItem 16E. Purchases Of Equity Securities By The Issuer and Affiliated PurchasersItem 16F. Change in Registrant S Certifying AccountantItem 16G. Corporate GovernanceItem 16H. Mine Safety DisclosureItem 16I. Disclosure Regarding Foreign Jurisdictions That Prevent InspectionsItem 16J. Insider Trading PoliciesItem 16K. CybersecurityPart IIIItem 17. Financial StatementsItem 18. Financial StatementsItem 19. Exhibits(1)Item 19. ExhibitsItem 8. Financial Statements and Supplementary Data

Exhibits

1.1 Articles of Association of AstraZeneca PLC (incorporated into this Form20-F by reference to AstraZeneca PLCs Form6-K filed April27, 2023 (File No.001-11960)). 2.1 Description of the registrants securities registered pursuant to Section12 of the Securities and Exchange Act of 1934. 4.1 Employment Agreement between AstraZeneca UK Limited and Pascal Soriot, dated December15, 2016 (incorporated into this Form20-F by reference to Exhibit4.3 of AstraZeneca PLCs Form20-F filed March7, 2017 (File No.001-11960)). 4.2 Employment Agreement between AstraZeneca UK Limited and Aradhana Sarin, dated August1, 2021 (incorporated into this Form20-F by reference to Exhibit4.2 of AstraZeneca PLCs Form20-F filed February22, 2022 (File No.001-11960). 4.3 Formof Deed of Indemnity for Directors (used for all Directors from November10, 2022) (incorporated into this Form20-F by reference to Exhibit4.3 of AstraZeneca PLCs Form20-F filed February21, 2023 (File No.001-11960)). 8.1 List of significant subsidiaries of AstraZenecaPLC. 11.2 AstraZeneca Insider Trading Policy. 12.1 Certification of Pascal Soriot filed pursuant to Rule13a-14(a)of the Securities Exchange Act of 1934. 12.2 Certification of Aradhana Sarin filed pursuant to Rule13a-14(a)of the Securities Exchange Act of 1934. 13.1 Certification of Pascal Soriot and Aradhana Sarin furnished pursuant to 17 CFR 240.13a-14(b)and 18 U.S.C. 1350. 15.1 Annual Report and Form20-F Information 2024.(2) 15.2 Consent of PricewaterhouseCoopers LLP, independent registered public accounting firm. 15.3 Consent of IQVIAInc. 15.4 Consent of Bureau Veritas UK Limited. 15.5 Letter from PricewaterhouseCoopers LLP addressed to the SEC regarded the change of Registrants Certifying Accountants disclosure in this Form 20-F. 17.1 List of subsidiary guarantors and issuers of guaranteed securities.