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United Therapeutics Corporation Reports Second Quarter 2024 Financial Results

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United Therapeutics (UTHR) reported strong financial results for Q2 2024, with total revenues growing 20% year-over-year to $714.9 million. Key highlights include:

- Net income increased 7% to $278.1 million
- Diluted EPS rose 12% to $5.85
- Tyvaso revenues grew 25% to $398.2 million
- Remodulin revenues increased 16% to $147.3 million

The company attributed its growth to continued traction for Tyvaso in pulmonary hypertension associated with interstitial lung disease, along with strong performance of other products. United Therapeutics also announced a $1 billion accelerated share repurchase program, with final settlement expected in Q3 2024.

United Therapeutics (UTHR) ha riportato risultati finanziari solidi per il secondo trimestre del 2024, con ricavi totali cresciuti del 20% rispetto all'anno precedente, raggiungendo 714,9 milioni di dollari. I punti salienti includono:

- Il reddito netto è aumentato del 7% a 278,1 milioni di dollari
- L'EPS diluito è salito del 12% a 5,85 dollari
- I ricavi di Tyvaso sono cresciuti del 25% a 398,2 milioni di dollari
- I ricavi di Remodulin sono aumentati del 16% a 147,3 milioni di dollari

La compagnia ha attribuito la sua crescita all'interesse continuo per Tyvaso nel trattamento dell'ipertensione polmonare associata a malattie polmonari interstiziali, insieme a una forte performance degli altri prodotti. United Therapeutics ha anche annunciato un programma di riacquisto accelerato di azioni da 1 miliardo di dollari, con regolamento finale previsto per il terzo trimestre del 2024.

United Therapeutics (UTHR) reportó resultados financieros sólidos para el segundo trimestre de 2024, con ingresos totales que crecieron un 20% interanual hasta alcanzar 714.9 millones de dólares. Los aspectos más destacados incluyen:

- Ingreso neto aumentado en un 7% hasta 278.1 millones de dólares
- EPS diluido subió un 12% a 5.85 dólares
- Los ingresos de Tyvaso crecieron un 25% hasta 398.2 millones de dólares
- Los ingresos de Remodulin aumentaron un 16% hasta 147.3 millones de dólares

La compañía atribuyó su crecimiento al continuo impulso de Tyvaso en la hipertensión pulmonar asociada con enfermedades pulmonares intersticiales, junto con un fuerte desempeño de otros productos. United Therapeutics también anunció un programa acelerado de recompra de acciones de 1 mil millones de dólares, con liquidación final prevista para el tercer trimestre de 2024.

United Therapeutics (UTHR)는 2024년 2분기 강력한 재무 결과를 보고했으며, 총 수익이 전년 대비 20% 증가하여 7억 1490만 달러에 달했습니다. 주요 내용은 다음과 같습니다:

- 순이익이 7% 증가하여 2억 7810만 달러
- 희석 주당순이익(EPS)이 12% 상승하여 5.85달러
- Tyvaso의 수익이 25% 증가하여 3억 9820만 달러
- Remodulin의 수익은 16% 증가하여 1억 4730만 달러

회사는 성장을 간질성 폐질환과 관련된 폐고혈압에 대한 Tyvaso의 지속적인 수요와 기타 제품의 강력한 실적 덕분이라고 설명했습니다. United Therapeutics는 또한 10억 달러 규모의 가속화된 자사주 매입 프로그램을 발표했으며, 최종 정산은 2024년 3분기로 예정되어 있습니다.

United Therapeutics (UTHR) a annoncé des résultats financiers solides pour le deuxième trimestre 2024, avec des revenus totaux en hausse de 20% par rapport à l'année dernière, atteignant 714,9 millions de dollars. Les points saillants incluent :

- Le bénéfice net a augmenté de 7% pour atteindre 278,1 millions de dollars
- Le BPA dilué a augmenté de 12% pour atteindre 5,85 dollars
- Les revenus de Tyvaso ont augmenté de 25% pour atteindre 398,2 millions de dollars
- Les revenus de Remodulin ont augmenté de 16% pour atteindre 147,3 millions de dollars

La société a attribué sa croissance à l'engouement continu pour Tyvaso dans l'hypertension pulmonaire associée aux maladies pulmonaires interstitielles, ainsi qu'à la forte performance d'autres produits. United Therapeutics a également annoncé un programme accéléré de rachat d'actions de 1 milliard de dollars, avec un règlement final prévu pour le troisième trimestre 2024.

United Therapeutics (UTHR) berichtete über starke finanzielle Ergebnisse für das 2. Quartal 2024, mit einem Anstieg der Gesamterlöse um 20% im Vergleich zum Vorjahr auf 714,9 Millionen US-Dollar. Zu den wichtigsten Highlights gehören:

- Der Nettogewinn stieg um 7% auf 278,1 Millionen US-Dollar
- Der verwässerte Gewinn pro Aktie (EPS) stieg um 12% auf 5,85 US-Dollar
- Die Erlöse von Tyvaso wuchsen um 25% auf 398,2 Millionen US-Dollar
- Die Erlöse von Remodulin stiegen um 16% auf 147,3 Millionen US-Dollar

Das Unternehmen führte sein Wachstum auf das anhaltende Interesse an Tyvaso bei pulmonaler Hypertonie im Zusammenhang mit interstitiellen Lungenerkrankungen zurück, sowie auf die starke Leistung anderer Produkte. United Therapeutics kündigte zudem ein 1-Milliarde-US-Dollar-Beschleunigtes Aktienrückkaufprogramm an, dessen endgültige Abwicklung im 3. Quartal 2024 erwartet wird.

Positive
  • Total revenues grew 20% year-over-year to $714.9 million
  • Net income increased 7% to $278.1 million
  • Diluted EPS rose 12% to $5.85
  • Tyvaso revenues grew 25% to $398.2 million
  • Remodulin revenues increased 16% to $147.3 million
  • Initiated a $1 billion accelerated share repurchase program
Negative
  • Research and development expenses increased 57% to $139.6 million
  • Selling, general, and administrative expenses rose 37% to $177.6 million
  • Share-based compensation expense increased 260% to $49.7 million

Insights

United Therapeutics 's Q2 2024 results demonstrate robust financial performance and growth. The company reported a 20% year-over-year increase in total revenues, reaching $714.9 million. This growth was primarily driven by the success of Tyvaso, particularly Tyvaso DPI, which saw a 33% increase in sales.

Key financial highlights include:

  • Net income increased by 7% to $278.1 million
  • Earnings per diluted share grew by 12% to $5.85
  • Tyvaso total revenues increased by 25% to $398.2 million
  • Remodulin revenues grew by 16% to $147.3 million

The company's strong performance can be attributed to increased commercial utilization, particularly in pulmonary hypertension associated with interstitial lung disease. The implementation of the Part D redesign under the Inflation Reduction Act has also positively impacted commercial utilization for some products.

However, investors should note the significant increase in research and development expenses, which rose by 57% to $139.6 million. This increase was primarily due to upfront non-refundable licensing payments and increased expenditures on organ manufacturing projects, indicating continued investment in future growth opportunities.

The company's share repurchase program, with an aggregate upfront payment of $1.0 billion, demonstrates confidence in its financial position and commitment to returning value to shareholders.

United Therapeutics' Q2 2024 results highlight significant progress in their commercial and research endeavors. The company's focus on pulmonary hypertension and rare diseases continues to yield positive results, with strong growth across their product portfolio.

Key medical research insights include:

  • Tyvaso, particularly Tyvaso DPI, shows strong adoption in treating pulmonary hypertension associated with interstitial lung disease, a challenging condition with treatment options.
  • The continued growth of Remodulin and Orenitram suggests ongoing success in managing pulmonary arterial hypertension, a chronic and progressive disease.
  • Unituxin's growth indicates progress in treating high-risk neuroblastoma, an aggressive childhood cancer.

The substantial increase in research and development expenses, particularly in organ manufacturing projects, signals the company's commitment to innovative solutions for organ transplantation. This aligns with their public benefit status and could potentially address the critical shortage of transplantable organs.

However, the lack of specific updates on their clinical pipeline is notable. Investors should look forward to the data expected next year from their "innovative clinical pipeline," as mentioned by CEO Martine Rothblatt. These results could significantly impact the company's future growth trajectory and therapeutic offerings.

The company's dual focus on near-term commercial growth and long-term innovative research, particularly in organ manufacturing, positions it uniquely in the biotech sector. This strategy could lead to transformative therapies but also carries inherent risks associated with cutting-edge research.

SILVER SPRING, Md. & RESEARCH TRIANGLE PARK, N.C.--(BUSINESS WIRE)-- United Therapeutics Corporation (Nasdaq: UTHR), a public benefit corporation, today announced its financial results for the quarter ended June 30, 2024. Total revenues in the second quarter of 2024 grew 20 percent year-over-year to $714.9 million, compared to $596.5 million in the second quarter of 2023.

“This quarter we drove record revenue from our foundational commercial business. Next year we expect data from our innovative clinical pipeline. All this while we march forward with our revolutionary organ manufacturing programs,” said Martine Rothblatt, Ph.D., Chairperson and Chief Executive Officer of United Therapeutics. “We believe there is no other biotech with our combination of relentless focus, near-term commercial growth, and clinical potential.”

Michael Benkowitz, President and Chief Operating Officer of United Therapeutics, added, “Our fifth straight quarter of record revenue was driven by continued traction for Tyvaso in pulmonary hypertension associated with interstitial lung disease, along with strong fundamentals for our other products in pulmonary arterial hypertension and neuroblastoma.”

Second Quarter 2024 Financial Results

Key financial highlights include (dollars in millions, except per share data):

 

Three Months Ended
June 30,

 

Dollar
Change

 

Percentage Change

 

 

2024

 

 

2023

 

 

 

 

 

 

 

 

 

 

Total revenues

$

714.9

 

$

596.5

 

$

118.4

 

20

%

Net income

$

278.1

 

$

259.2

 

$

18.9

 

7

%

Net income, per basic share

$

6.26

 

$

5.53

 

$

0.73

 

13

%

Net income, per diluted share

$

5.85

 

$

5.24

 

$

0.61

 

12

%

Revenues

The table below presents the components of total revenues (dollars in millions):

 

Three Months Ended
June 30,

 

Dollar
Change

 

Percentage
Change

 

 

2024

 

 

2023

 

 

Net product sales:

 

 

 

 

 

 

 

Tyvaso DPI®(1)

$

258.3

 

$

193.6

 

$

64.7

 

 

33

%

Nebulized Tyvaso®(1)

 

139.9

 

 

125.3

 

 

14.6

 

 

12

%

Total Tyvaso

 

398.2

 

 

318.9

 

 

79.3

 

 

25

%

Remodulin®(2)

 

147.3

 

 

127.2

 

 

20.1

 

 

16

%

Orenitram®

 

107.1

 

 

95.1

 

 

12.0

 

 

13

%

Unituxin®

 

51.7

 

 

44.3

 

 

7.4

 

 

17

%

Adcirca®

 

5.7

 

 

7.5

 

 

(1.8

)

 

(24

)%

Other

 

4.9

 

 

3.5

 

 

1.4

 

 

40

%

Total revenues

$

714.9

 

$

596.5

 

$

118.4

 

 

20

%

(1)

Net product sales include both the drug product and the respective inhalation device.

(2)

Net product sales include sales of infusion devices, including the Remunity® Pump.

Total Tyvaso revenues grew by 25 percent to $398.2 million in the second quarter of 2024, compared to $318.9 million in the second quarter of 2023. This growth was primarily due to an increase in quantities sold, driven by the commercial launch of Tyvaso DPI in June 2022 and continued growth in commercial utilization by patients with pulmonary hypertension associated with interstitial lung disease and, to a lesser extent, price increases.

The growth in Tyvaso DPI revenues resulted primarily from an increase in quantities sold and, to a lesser extent, price increases. The increase in Tyvaso DPI quantities sold was due to continued growth in the number of patients following the product’s launch and, to a lesser extent, increased commercial utilization following the implementation of the Part D redesign under the Inflation Reduction Act (IRA).

The growth in Remodulin revenues resulted primarily from an increase in U.S. Remodulin revenues, driven by an increase in quantities sold and, to a lesser extent, lower Medicaid rebates.

The growth in Orenitram revenues resulted primarily from an increase in quantities sold and, to a lesser extent, a price increase. The increase in quantities sold was driven, at least in part, by increased commercial utilization following the implementation of the Part D redesign under the IRA.

The growth in Unituxin revenues resulted from a price increase and an increase in quantities sold.

The table below presents the breakdown of total revenues between the United States and rest-of-world (ROW) (in millions):

 

Three Months Ended June 30,

 

2024

 

2023

 

U.S.

ROW

Total

 

U.S.

ROW

Total

Net product sales:

 

 

 

 

 

 

 

Tyvaso DPI(1)

$

258.3

$

$

258.3

 

$

193.6

$

$

193.6

Nebulized Tyvaso(1)

 

130.2

 

9.7

 

139.9

 

 

119.6

 

5.7

 

125.3

Total Tyvaso

 

388.5

 

9.7

 

398.2

 

 

313.2

 

5.7

 

318.9

Remodulin(2)

 

122.5

 

24.8

 

147.3

 

 

103.5

 

23.7

 

127.2

Orenitram

 

107.1

 

 

107.1

 

 

95.1

 

 

95.1

Unituxin

 

46.8

 

4.9

 

51.7

 

 

39.5

 

4.8

 

44.3

Adcirca

 

5.7

 

 

5.7

 

 

7.5

 

 

7.5

Other

 

4.6

 

0.3

 

4.9

 

 

3.2

 

0.3

 

3.5

Total revenues

$

675.2

$

39.7

$

714.9

 

$

562.0

$

34.5

$

596.5

(1)

Net product sales include both the drug product and the respective inhalation device.

(2)

Net product sales include sales of infusion devices, including the Remunity Pump.

Expenses

Cost of sales. The table below summarizes cost of sales by major category (dollars in millions):

 

Three Months Ended
June 30,

 

Dollar
Change

 

Percentage
Change

 

 

2024

 

 

2023

 

 

Category:

 

 

 

 

 

 

 

Cost of sales

$

75.9

 

$

63.2

 

$

12.7

 

20

%

Share-based compensation expense(1)

 

1.9

 

 

0.9

 

 

1.0

 

111

%

Total cost of sales

$

77.8

 

$

64.1

 

$

13.7

 

21

%

(1)

See Share-based compensation below.

Cost of sales, excluding share-based compensation. Cost of sales for the three months ended June 30, 2024 increased as compared to the same period in 2023, primarily due to an increase in Tyvaso DPI royalty expense.

Research and development. The table below summarizes the nature of research and development expense by major expense category (dollars in millions):

 

Three Months Ended
June 30,

 

Dollar
Change

 

Percentage
Change

 

 

2024

 

 

2023

 

 

Category:

 

 

 

 

 

 

 

 

External research and development(1)

$

49.4

 

$

49.3

 

$

0.1

 

%

Internal research and development(2)

 

44.5

 

 

34.7

 

 

9.8

 

28

%

Share-based compensation expense(3)

 

8.6

 

 

5.0

 

 

3.6

 

72

%

Impairments(4)

 

 

 

 

 

 

%

Other(5)

 

37.1

 

 

 

 

37.1

 

NM

(6) 

Total research and development expense

$

139.6

 

$

89.0

 

$

50.6

 

57

%

(1)

External research and development primarily includes fees paid to third parties (such as clinical trial sites, contract research organizations, and contract laboratories) for preclinical and clinical studies and payments to third-party contract manufacturers before FDA approval of the relevant product.

(2)

Internal research and development primarily includes salary-related expenses for research and development functions, internal costs to manufacture product candidates before FDA approval, and internal facilities-related expenses, including depreciation, related to research and development activities.

(3)

See Share-based compensation below.

(4)

Impairments primarily includes impairment charges to write down the carrying value of in-process research and development and of certain property, plant, and equipment as a result of research and development activities. There were no impairment charges during the three months ended June 30, 2024 and June 30, 2023.

(5)

Other primarily includes upfront fees and milestone payments to third parties under license agreements related to development-stage products and adjustments to the fair value of our contingent consideration obligations.

(6)

Calculation is not meaningful.

Research and development, excluding share-based compensation. Research and development expense for the three months ended June 30, 2024 increased as compared to the same period in 2023, primarily due to increased expenditures related to upfront non-refundable licensing payments for drug delivery devices and increased expenditures related to organ manufacturing projects.

Selling, general, and administrative. The table below summarizes selling, general, and administrative expense by major category (dollars in millions):

 

Three Months Ended
June 30,

 

Dollar
Change

 

Percentage
Change

 

 

2024

 

 

2023

 

 

Category:

 

 

 

 

 

 

 

General and administrative

$

113.0

 

$

102.0

 

$

11.0

 

11

%

Sales and marketing

 

25.4

 

 

20.1

 

 

5.3

 

26

%

Share-based compensation expense(1)

 

39.2

 

 

7.9

 

 

31.3

 

396

%

Total selling, general, and administrative expense

$

177.6

 

$

130.0

 

$

47.6

 

37

%

(1)

 

See Share-based compensation below.

 

General and administrative, excluding share-based compensation. General and administrative expense for the three months ended June 30, 2024 increased as compared to the same period in 2023, primarily due to an increase in legal expenses related to litigation matters and an increase in personnel expense due to growth in headcount.

Share-based compensation. The table below summarizes share-based compensation expense by major category (dollars in millions):

 

Three Months Ended

June 30,

 

Dollar
Change

 

Percentage
Change

 

 

2024

 

 

2023

 

 

 

Category:

 

 

 

 

 

 

 

 

Stock options

$

8.1

 

$

1.6

 

 

$

6.5

 

406

%

Restricted stock units

 

19.2

 

 

13.6

 

 

 

5.6

 

41

%

Share tracking awards plan (STAP)

 

21.9

 

 

(1.9

)

 

 

23.8

 

NM

(1) 

Employee stock purchase plan

 

0.5

 

 

0.5

 

 

 

 

%

Total share-based compensation expense

$

49.7

 

$

13.8

 

 

$

35.9

 

260

%

(1)

Calculation is not meaningful.

The increase in share-based compensation expense for the three months ended June 30, 2024, as compared to the same period in 2023, was primarily due to an increase in STAP expense driven by a 39 percent increase in our stock price for the three months ended June 30, 2024, as compared to a one percent decrease in our stock price for the same period in 2023.

Income tax expense. Income tax expense for the three months ended June 30, 2024 and 2023 was $77.2 million and $76.0 million, respectively. Our effective income tax rate (ETR) for the three months ended June 30, 2024 and 2023 was 22 percent and 23 percent, respectively. Our ETR for the three months ended June 30, 2024 decreased compared to our ETR for the three months ended June 30, 2023 primarily due to a lower amount of uncertain tax positions recorded.

Share repurchase. In March 2024, we entered into an accelerated share repurchase agreement (the ASR agreement) with Citibank, N.A. (Citi). Under the ASR agreement, we made an aggregate upfront payment of $1.0 billion to Citi and received an aggregate initial delivery of 3,275,199 shares of our common stock on March 27, 2024, representing approximately 80 percent of the total shares that would be repurchased under the ASR agreement measured based on the closing price of our common stock on March 25, 2024.

The share purchase under the ASR agreement was divided into two tranches, resulting in upfront payments of $300 million and $700 million, respectively. The final settlement of the $300 million tranche occurred in June 2024, and we received an additional 181,772 shares of our common stock upon settlement. At the final settlement of the $700 million second tranche, which we expect to occur in the third quarter of 2024, we may be entitled to receive additional shares of common stock, or, under certain limited circumstances, be required to make a cash payment to Citi or, if we so elect, deliver shares of common stock to Citi.

The final number of shares that we will ultimately repurchase pursuant to the ASR agreement will be based on the average of the daily volume-weighted average price per share of our common stock during the repurchase period, less a discount and subject to adjustments pursuant to the terms and conditions of the ASR agreement.

Webcast

We will host a webcast to discuss our second quarter 2024 financial results on Wednesday, July 31, 2024, at 9:00 a.m. Eastern Time. The webcast can be accessed live via our website at https://ir.unither.com/events-and-presentations. A replay of the webcast will also be available at the same location on our website.

United Therapeutics: Enabling Inspiration

At United Therapeutics, our vision and mission are one. We use our enthusiasm, creativity, and persistence to innovate for the unmet medical needs of our patients and to benefit our other stakeholders. We are bold and unconventional. We have fun; we do good. We are the first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation (PBC). Our public benefit purpose is to provide a brighter future for patients through (a) the development of novel pharmaceutical therapies; and (b) technologies that expand the availability of transplantable organs.

You can learn more about what it means to be a PBC here: unither.com/pbc.

Forward-Looking Statements

Statements included in this press release that are not historical in nature are “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements include, among others, statements related to our anticipated near-term commercial growth; the anticipated progress of our organ manufacturing programs; our clinical potential, including anticipated clinical trial data next year; our unique position in the biotech industry; and our goals of innovating for the unmet medical needs of our patients and to benefit our other stakeholders, furthering our public benefit purpose of developing novel pharmaceutical therapies and technologies that expand the availability of transplantable organs. These forward-looking statements are subject to certain risks and uncertainties, such as those described in our periodic reports filed with the Securities and Exchange Commission, that could cause actual results to differ materially from anticipated results. Consequently, such forward-looking statements are qualified by the cautionary statements, cautionary language and risk factors set forth in our periodic reports and documents filed with the Securities and Exchange Commission, including our most recent Annual Report on Form 10-K, Quarterly Reports on Form 10-Q, and Current Reports on Form 8-K. We claim the protection of the safe harbor contained in the Private Securities Litigation Reform Act of 1995 for forward-looking statements. We are providing this information as of July 31, 2024, and assume no obligation to update or revise the information contained in this press release whether as a result of new information, future events, or any other reason.

ORENITRAM, REMODULIN, REMUNITY, TYVASO, TYVASO DPI, and UNITUXIN are registered trademarks of United Therapeutics Corporation and/or its subsidiaries.

ADCIRCA is a registered trademark of Eli Lilly and Company.

UNITED THERAPEUTICS CORPORATION

CONSOLIDATED STATEMENTS OF OPERATIONS

(In millions, except per share data)

 

Three Months Ended

June 30,

 

 

2024

 

 

 

2023

 

 

(Unaudited)

Total revenues

$

714.9

 

 

$

596.5

 

Operating expenses:

 

 

 

Cost of sales

 

77.8

 

 

 

64.1

 

Research and development

 

139.6

 

 

 

89.0

 

Selling, general, and administrative

 

177.6

 

 

 

130.0

 

Total operating expenses

 

395.0

 

 

 

283.1

 

Operating income

 

319.9

 

 

 

313.4

 

Interest income

 

46.2

 

 

 

37.2

 

Interest expense

 

(11.6

)

 

 

(14.8

)

Other income (expense), net

 

0.8

 

 

 

(0.6

)

Total other income, net

 

35.4

 

 

 

21.8

 

Income before income taxes

 

355.3

 

 

 

335.2

 

Income tax expense

 

(77.2

)

 

 

(76.0

)

Net income

$

278.1

 

 

$

259.2

 

Net income per common share:

 

 

 

Basic

$

6.26

 

 

$

5.53

 

Diluted

$

5.85

 

 

$

5.24

 

Weighted average number of common shares outstanding:

 

 

 

Basic

 

44.4

 

 

 

46.9

 

Diluted

 

47.5

 

 

 

49.5

 

SELECTED CONSOLIDATED BALANCE SHEET DATA

(Unaudited, in millions)

 

June 30,
2024

Cash, cash equivalents, and marketable investments

$

4,301.9

Total assets

 

6,723.2

Total liabilities

 

1,026.0

Total stockholders’ equity

 

5,697.2

Category: Earnings

Dewey Steadman at (202) 919-4097

https://ir.unither.com/contact-ir

Source: United Therapeutics Corporation

FAQ

What was United Therapeutics' (UTHR) total revenue for Q2 2024?

United Therapeutics reported total revenues of $714.9 million for Q2 2024, representing a 20% increase year-over-year.

How much did Tyvaso sales grow in Q2 2024 for United Therapeutics (UTHR)?

Tyvaso revenues grew by 25% to $398.2 million in Q2 2024 compared to the same period in 2023.

What was United Therapeutics' (UTHR) net income for Q2 2024?

United Therapeutics reported a net income of $278.1 million for Q2 2024, a 7% increase from the previous year.

Did United Therapeutics (UTHR) announce any share repurchase programs in Q2 2024?

Yes, United Therapeutics announced a $1 billion accelerated share repurchase program, with final settlement expected in Q3 2024.

United Therapeutics Corp

NASDAQ:UTHR

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16.11B
43.82M
1.85%
100.24%
4.96%
Biotechnology
Pharmaceutical Preparations
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United States of America
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