| 1.01 | Elect Emily Peterson Alva - Non-Executive Director | Oppose |
| 1.02 | Elect Shane M. Cooke - Non-Executive Director | Oppose |
| 1.03 | Elect David A. Daglio, Jr. - Non-Executive Director | Oppose |
| 1.04 | Elect Richard B. Gaynor - Non-Executive Director | For |
| 1.05 | Elect Cato T. Laurencin - Non-Executive Director | Oppose |
| 1.06 | Elect Nancy S. Lurker - Non-Executive Director | For |
| 1.07 | Elect Brian P. McKeon - Non-Executive Director | Oppose |
| 1.08 | Elect Richard F. Pops - Chair & Chief Executive | Oppose |
| 1.09 | Elect Nancy L. Snyderman - Non-Executive Director | Oppose |
| 1.10 | Elect Frank Anders Wilson - Senior Independent Director | For |
| 1.11 | Elect Christopher I. Wright - Non-Executive Director | For |
| 2 | Advisory Vote on Executive Compensation | Abstain |
| 3 | Approve the Frequency of Future Advisory Votes on Executive Compensation | 1 |
| 4 | Appoint the Auditors and Allow the Board to Determine their Remuneration | Oppose |
| 5 | Approve Alkermes Plc 2018 Stock Option and Incentive Plan | Oppose |
| 6 | Issue Shares with Pre-emption Rights | For |
| 7 | Issue Shares for Cash | Oppose |
