good Chris, begin on morning, you, of Slide Thank with I'll quarterly XX. our and sales highlights everyone. the results
of will growth Let reminder in rates exchange. a are same foreign the me XXXX, start brief which are sales to impact period on all a with comparisons references and an otherwise basis, on our non-GAAP stated, be basis. unless that underlying made the All from excludes P&L discussed
business. total increase and growth our a and quarter portfolio. increase X% slightly spend, portfolio our XXXX on the Our business, quarter financial of our for resulting growth legacy during across and results second a the about growth during came the updated in operational in focused XX% These our XX%. The margin performance as continued a sales excellence and outlook of execution timing in driving represents positive favorable of in operating expected, reflects higher more our proportion now of portfolio than a focus support Expenses to including reflecting our roughly guidance. XX% the
Second Opdualag. quarter continued including momentum reflect Reblozyl, therapeutic and our across growth for brands Camzyos, important Breyanzi areas several key sales performance
While particularly with important half our the do, work growth immunology growth in in Sotyktu into to across several is take phasing still to sales saw will business, of to category. second highly be we more we There net across quarter, consideration competitive growth recognize some which this there inventory year. the brands this when favorability also are
up were $XX important in a by closer global to XX. our with related brand our Opdivo customer benefit immuno-oncology Sequentially, sales business. of key take look starting estimated at oncology and Slide demand on franchise patterns an our performance, buying than product remains Let's an U.S. million the driven
focused to in Opdualag, encouraging higher we newly on in of periadjuvant delivered this be the FDA remain growth see core reimbursement. IO regulatory franchise range lung the quarter We October. driven our approval with expect launched which strengthened demand. mid-single-digit and securing another await Outside indications growth we further is including expected mature and the by in double-digit markets actions, primarily several trends U.S., And additional year across as
this initiate further into and As decade. track our of lung we III subcu nivolumab are of IO Opdualag cancer, program the support next our previously, of development opportunities, of later said we a the with year. extension These on coupled pending expansion segment further in pursuing we first-line registrational Phase to remain approval franchise
reflect leader, Eliquis share as the gross sales than cardiovascular begin by typical billion. Sequentially, In market of demand the enter In to XX, market were sales on quarter, more worldwide global Slide net second unfavorable Medicare higher remains as impact is U.S. in with driven primarily anticoagulant and patients to the gap. coverage $X gains. sales an U.S.,
As half. resulting the versus more half these sales are first the second of acute lower in the in a reminder, dynamics year,
year. second was patients second to X,XXX approximately by Turning than see This future tripled Outside of prior steady mainly sales quarter globally, compared the to almost more markets. in demand the commercial reflects sales reimbursement patients to Sequentially, on an adoption. by the approved in sales And demonstrates growth. for U.S. were room dispensed total growth we commercially drug. significant U.S., the timing and bringing consistent the U.S. growth increase quarter QX, of driven led X,XXX demand. Camzyos, since
of by and U.S., markets. by largely brand turn Sales the anemia demand introductions Slide and hematology the driven across XX% reimbursed sales quarter-over-quarter Outside XX. Japan. globe. and in U.S. U.S. Let's countries including label with forward to the Reblozyl U.S., favorable to quarter saw higher benefited is approved both inventory in MDS-associated ex in look growth nets. from the gross in first-line cell on In first-line international approximately grew In sales recent Abecma broad We Europe we indication the and to growth with the in driven XX seeing therapy, some
discussing the such work continue indications and Breyanzi demand Germany, dynamics customers. with data capacity. in through XX% growth and the Japan. was across which markets We to sales quarter, driven strong myeloma competitive by our multiple International manufacturing multiple by growth expanded grew KarMMa-X reflected France in in as
Now by immunology Performance competitive with month, discussed access covered than to access another At favorable continue greater quarter. earlier the environment lives last starting with and large time, access. of we as have in same impacted XX. Slide be across on QX, large of moving X added PBMs improved now step commercial we the commercial to we Sotyktu achieved the of And during U.S. quality multiple We XX% edits. PBM this
gross on growth a will net revenue term, be near growth, offset As in incremental time. anticipate to we demand which modest over result, by the pressure
I components highlight Now XX, some turning will the of Slide to P&L.
our savings call. quarter execution, steady on focus a reflects billion addition In program against commercial we on second solid last and progress cost financial discussed performance $X.X discipline, to our quarter's
to savings to to driven Operating related As the sequential half impacted basis, mix. were excluding partially in spend, into quarter. favorable the On due Gross savings growth primarily accelerate a reinvest timing lower by drive greater and of in impact R&D, third product expenses this opportunities in reminder, investments we planned higher and plan patient a cost process margin shifted the efficiency by quarter, of to second expenditures. offset timing decade. the initiatives our our growth came of than planned sales to expenses, anticipated that deal-related in the higher by came cost
of was quarter the share the prior Overall, XX.X%, in in from rate $X.XX the income due tax XX.X% to earnings a Our in release year primarily reserve. changed quarter. tax to per
to our robust growth billion operating Now in cash portfolios moving contribute allocation securities sheet to debt legacy to cash, and capital XX, approximately marketable revenue XX. the billion, growth $X Slide highlights the balance equivalents Both with hand. and cash on closed we in on continue we solid on approximately quarter, and $X.X flow delivered and of had our quarter the June legacy
During debt X are the $X.X to consistent and billion, second position years. These actions pay million quarter, $XXX we billion reduced in roughly approximately over including commercial $X.X with of down debt. our next of $XX plan billion our the by paper total debt long-term
In of prioritizing opportunities we that remaining further our our terms dividend. growth strengthen capital will allocation, while are outlook, committed long-term to
the Please Slide through results operational growth guidance. generated updated performance, QX top provide turn XX execution full our support to year line walk for business and to details across of the excellence. On driving focused guidance. These
assumes remains which guidance basis revenue As an on we a prior is our year. well as on as basis, with consistent reported underlying practice, currency provide
the of we the sales full is year at of upper With continued sales reflect portfolio end come guidance mix. range. to for the expect growth are our in we now is and raising growth, revenue due to low This better-than-expected gross performance to impact now of single-digit the Revlimid. our of which margin, Our the to guidance respect
increase in initiative. at the associated due be process to of percentage the continue offset upper the end total by range. acquisitions, realization expect our acquired recent low to Excluding costs to expenses partially productivity incremental of our operating with This we savings reflects R&D, single-digit
full least our of margin remains delay for now at unchanged. the in step operating the we QX in up expect QX, Given a year timing XX% of in expenses anticipated target Overall, previous
For now the and onetime by The approximately impacted be in-process tax in R&D million royalties expect quarter. higher-than-anticipated of acquired expenses expenses we Karuna charge, due first favorable estimated non-GAAP will of annual net $XX net interest OI&E, which annual expense. to rate income our affected nondeductible
the expected full impact, rate estimated be is about still to this the for tax Excluding underlying XX%. year
of between $X.XX and we are these result of non-GAAP XXXX raising range changes, a As $X.XX. our the guidance to EPS
phasing full rate we the of similar the in of and has walk in our Let's second of in Year-to-date, typical the quarter next business temper we these the had seasonality in in to for portfolio growth product the through product of half Also, Normalization expect in third of quarter, the and relation mind anticipate year, growth. the phasing year. we we a reversing second in sales in XX%, $XXX roughly back million to the quarter. half our grown approximately keep sequential growth in QX. sales stocking likely see dynamics anticipate the the will
we these of $X.X end year business, range. generics continue sales our and other we our Revlimid, for variability the we be while result a as billion dynamics monitor across $X However, now strength of the dynamics, strong and growth the to And of billion to expect to at in sales higher from portfolio quarter. underlying the full expect fourth
organization. sales with as KarXT of a we more neuroscience In the ahead agile And XXXX FDA emerging discipline approval closing, and the are opportunity with long-term half key our financial September. momentum and excited brands the building about we have platform. of driving anticipated of in entered leaner second said, in Chris
to We competitive are we investing needs committed our the in where to have meet patients. areas high-growth of advantages
And with call over I'll Q&A. now that, to for turn Tim the