NASDAQ:AYTU Aytu BioPharma Q1 2024 Earnings Report $2.02 -0.01 (-0.49%) Closing price 05/21/2025 04:00 PM EasternExtended Trading$2.02 0.00 (0.00%) As of 09:18 AM Eastern Extended trading is trading that happens on electronic markets outside of regular trading hours. This is a fair market value extended hours price provided by Polygon.io. Learn more. Earnings History Aytu BioPharma EPS ResultsActual EPS-$1.48Consensus EPS N/ABeat/MissN/AOne Year Ago EPSN/AAytu BioPharma Revenue ResultsActual Revenue$22.10 millionExpected RevenueN/ABeat/MissN/AYoY Revenue GrowthN/AAytu BioPharma Announcement DetailsQuarterQ1 2024Date11/14/2023TimeN/AConference Call DateTuesday, November 14, 2023Conference Call Time4:30PM ETConference Call ResourcesConference Call AudioConference Call TranscriptPress Release (8-K)Quarterly Report (10-Q)Earnings HistoryCompany ProfilePowered by Aytu BioPharma Q1 2024 Earnings Call TranscriptProvided by QuartrNovember 14, 2023 ShareLink copied to clipboard.There are 4 speakers on the call. Operator00:00:00Afternoon, everyone, and thank you for joining us for Aytu Biopharma's Fiscal 20 24 First Quarter Financial Results Conference Call for the period ended September 30, 2023. Joining us on today's call is Aytu's CEO, Josh Disbrow and the company's Chief Financial Officer, Mark Ocke. At the conclusion of today's prepared remarks, we'll open the call for a question and answer session. I'd like to remind everyone that today's call is being recorded. A replay of today's call will be available by using the telephone numbers and conference ID provided in the earnings press release issued earlier today. Operator00:00:41Finally, I'd also like to call your attention to the customary Safe Harbor for disclosure regarding forward looking information. The conference call today will contain certain forward looking statements, including statements regarding the goals, strategies, beliefs, expectations and future potential operating results of Aytu Biopharma. Although management believes these statements are reasonable based on estimates, assumptions and projections as of today, these statements are not guarantees of future performance. Time sensitive information may no longer be accurate at the time of any telephonic or webcast replay. Actual results may differ materially as a result of risks, uncertainties and other factors, including, but not limited to, the factors sent forth in the company's filings with the SEC. Operator00:01:34Aytu undertakes no obligation to update or revise any of these forward looking statements. With that said, I'd like to turn the event over to Josh Disbrow, Chief Executive Officer of Aytu Biopharma. Josh, please proceed. Speaker 100:01:50Thank you, Roger, and thanks, everyone, for joining us. I'm once again excited to be speaking with you today following yet another quarter that showed positive results from the initiatives we've undertaken to position Aytu as a specialty pharmaceutical company focused on commercializing novel therapeutics and is continuing proof that we're clearly executing on our plan. I'm thrilled with the team's progress across the board and I believe we've put ourselves in the best position we've ever been in as a company. I'm happy to share that this was our 2nd consecutive quarter of company wide positive adjusted EBITDA and the 5th out of the last 6 quarters of positive adjusted EBITDA for our Rx segment, which is where our focus is now and going forward. The deliberate strategic plan we undertook to place the company on a financial pathway to sustainability started initially about a year ago when we indefinitely suspended our clinical programs to minimize R and D expenses until such time that we can fund those efforts either with internally generated cash flow or through a strategic partnership. Speaker 100:02:47It then continued in June of this year when we announced that we would focus our commercial efforts exclusively on our growing and positive adjusted EBITDA Rx segment. We did this while deemphasizing our Consumer Health segment and winding down those unprofitable operations and potentially monetizing it. As we progress along this path, our Rx segment composed of our ADHD and pediatric products becomes the go forward business. We are laser focused on growing prescriptions, increasing Rx revenue and driving EBITDA and cash flow, full stop. Positive EBITDA is our calling card and we're executing on that front. Speaker 100:03:23Further, we're growing prescriptions while also reducing OpEx, which we've done. This is all part of our measured plan and I'm proud of our results. During the Q1, our ADHD brand's prescriptions grew an impressive 28% over the Q1 of last year, which is a testament to the commercial team's strong execution and our ability to effectively leverage our innovative Aytu RxConnect patient access platform. From a revenue standpoint, ADHD net revenue aligned closely with script growth, increasing 31% to $15,100,000 compared to $11,600,000 in the year ago quarter. We're also focusing on driving manufacturing efficiencies and improving OpEx and margin improvement. Speaker 100:04:01Overall, margins during the Q1 improved to 67% compared to 65% in the year ago Q1. And as Mark will share shortly, our operating expenses are down materially. In the coming quarters, our ADHD products will benefit from the recent FDA approvals of the Cotempla XR ODT and at Zenith XR ODT manufacturing site site transfer prior approval supplements or PASs. These 2 PAS approvals allow us now to ramp up manufacturing at our contract manufacturer for ADHD brands and will be a key driver of further gross margin improvement as we get Adzenys and Cotempla fully transitioned. As I touched on the past few quarters, the trends we talked about within the ADHD category continue to persist, including the supply disruptions for generic Adderall XR in various methylphenidate products and several stimulant products have been discontinued altogether as of late. Speaker 100:04:52At least 3 generic manufacturers have discontinued their Adderall XR generics the past few months and another large generic manufacturer is no longer marketing its extended release methylphenidate. So the problem continues. Just last month, I read a Time Magazine article titled 1 Year Later, Where's All the Adderall? In the article, it highlights that October 12 marked 1 year since the FDA's with VA's formal announcement that pharmaceutical manufacturers weren't able to produce enough Adderall and other stimulants. This continuing dislocation force many of the 40 +1000000 ADHD patients nationwide to encounter refill delays or depleted pharmacy inventories And importantly, we continue to hear of these issues daily still. Speaker 100:05:31Without adequate access to these important meds, this large patient group continues to suffer from an inability to manage their ADHD symptoms and this really wreaks havoc on a patient's day to day functioning. Overall, 8 drug manufacturers have reported shortage of amphetamine, which also means that other major ADHD medications are now in short supply after prescribers turn to other treatment options for their patients. And again, some manufacturers have discontinued their stimulants altogether. As these shortages have continued, our team has done an exceptional job meeting the demands of patients having maintained supply to meet the growing demand for both Adzenys and Cotempla. As a reminder, Adzenys, the only approved Extended release ODT amphetamine for the treatment of ADHD is approved as bioequivalent to Adderall XR. Speaker 100:06:16So our brand is well positioned to continue to capture additional share as the amphetamine mixed salt shortage remains. Cotempla is the only approved extended release ODT methylphenidate for the treatment of ADHD, which competes against Concerta and other methylphenidate. And again, those products are experiencing shortages and discontinuations. We expect the ongoing ADHD supply to likely continue for the foreseeable future in some form or fashion. And with that, this creates a continuing opportunity for more and more patients and prescribers to get experience with Adzenys and Cotempla such that once they've tried our medicines in conjunction with an improved patient experience through A2Rx Connect, they'll continue on these meds. Speaker 100:06:55And I should say, as it relates specifically to RxConnect that it's not enough to simply have better products that fill a clinical need, which by the way we believe ours are and do. Today, you need to couple your unique products, features and benefits with an improved experience for patients, caregivers, clinicians and their staff, one that brings predictability, consistency, transparency, convenience and cost effectiveness. And with A2 RS Connect, that's what we bring. And that's how we're winning with our products in today's competitive environment. Our A2Rx Connect patient support program stands alone as truly best in class, and when Clinicians and patients experience it. Speaker 100:07:29They like it. The growth we're seeing with our ADHD brands has been a testament to our manufacturing team's focus on meeting increased demand, while managing the transition to the CMO, as well as our commercial team's strong execution and ability to showcase the benefits of our brand and of course our innovative A2Rx Connect patient access platform. We believe more growth is in store for the ADHD brands given the ongoing ADHD stimulant disruptions. Our sales force is execution, increases in new ADHD diagnoses and the continued refinement of our commercial tactics that complement around Aytu RxConnect. Within pediatrics, as communicated last quarter, we were impacted by payer changes that impacted net revenue and scripts. Speaker 100:08:11Scripts were down 24% sequentially, although importantly are still up over 2022 levels. However, due to timing of Customer ordering revenues attributable to the multivitamin line decreased more appreciably. Scripts are stabilizing from the payer change and once we work through the UNIX shipment slack in the system due to what was in the channel pre payer change, we expect to get back to growth. Payer changes are a fact of life and pharma and not something that is unexpected to us or something that we don't know how to deal with, to the contrary. Also, often when we experience a negative change with one payer, we'll see positive change from another payer that often stands to offset it. Speaker 100:08:45We're seeing that here recently picking up coverage for the multivitamins with a different payer and that is now starting to pay dividends. That is to say, we fully expect that we'll get back to growth. Again, even with the payer impact, our multivitamin Q1 scripts are up over 15% from the fiscal 2022 quarterly Rx average and that's before we've begun to realize the benefits of many of the commercial strategies we're putting into place. And I'll remind you inclusive of the ADHD brands our overall RX portfolio was up 13% from a script count standpoint over the same quarter last year. We've implemented numerous strategies to further penetrate pediatric prescription from current writers and broadened our overall prescriber base in both new and existing geographies. Speaker 100:09:25Our expectation is for both script and revenue improvement in the pediatrics business to occur in the coming quarters. Again, the largest revenue impact in pediatrics is attributed to the timing of customer ordering and that's being worked through. Our initiatives to drive long term shareholder value in the company by focusing on our Rx segment and the planned wind down of our Consumer Health segment are progressing according to plan. I personally couldn't be more optimistic about how well we're positioned. Our Rx segment had its segment adjusted EBITDA remained healthy at $2,400,000 for the quarter, which when coupled with the improvement from the wind down of our Consumer Health segment and the discontinuation of our pipeline R and D activities saw our combined company wide adjusted EBITDA improved by 30 2%. Speaker 100:10:06Adjusted EBITDA is a critical performance metric as we move forward and I'm happy to say that adjusted EBITDA continues to hold strong with 5 of the last 6 quarters positive for the Rx segment and now 2 consecutive positive quarters company wide. Our balance sheet remains strong with $20,000,000 in cash at the end of September 23. And with a keen focus on driving growth and profitability in our Rx segment, I believe we're well positioned for going forward. With that, let me now turn the call over to Mark to run through the numbers in some more detail. Mark? Speaker 200:10:36Thank you, Josh, and welcome to everyone joining us on this call. Let's take a closer look at the financials starting with revenue. Net revenue for the Q1 of fiscal 2024 was $22,100,000 down compared to the 2023 Q1 of $27,700,000 And directionally, where we expected to see revenue given the wind down of the and the corresponding revenue decline associated with that. Looking at the segment contributions, Net revenue from ARRx product sales in the 2024 fiscal Q1 was $17,800,000 compared to $18,700,000 in the same quarter last year. Our ADHD products logged a 31% net revenue growth to $15,100,000 in the 2024 Q1 against $11,600,000 in last year's light quarter. Speaker 200:11:28This continued ADHD sale gains reflected consistent sales force execution, the implementation of numerous commercial strategies and market share gains related to the ongoing manufacturing and supply issues at large providers of ADHD products. Our quarterly ADHD written prescriptions were up 20% year over year and provide a bit of insight into our short term future revenues. Moving on to our prescription pediatric portfolio, which experienced a 61% decrease in net revenue to $2,610,000 in our 2024 fiscal Q1 compared to $6,600,000 in 2023. As Josh previously noted, this decline resulted largely from timing related ordering of our prescription multivitamins following a payer change. If we normalize pediatric revenue to reflect Actual prescription demand once the supply chain slack realigns to prescription demand, pediatric Rx Driven demand revenue would have been in the $4,400,000 range with a corresponding increase to adjusted EBITDA of approximately $1,500,000 We are confident that we will be able to return these multivitamin products to growth trends over the next few quarters. Speaker 200:12:46And again, even in the face this time based revenue impact on multivitamins, We remained adjusted EBITDA positive for the quarter and now have posted 2 consecutive adjusted EBITDA positive quarters as a company. Adjusted EBITDA is our critical performance metrics and we're pleased with our results. As we announced this past June, we are in the process of a wind down of the Consumer Health segment with a focus on improving corporate profitability. For the 2024 Q1, net revenue from Consumer Health was $4,300,000 compared to $9,000,000 in the same quarter a year ago, a decrease of 52%. Our goal is to continue to sell through inventory with a goal of converting inventory to cash and ceasing consumer health operations by the end of fiscal 2024. Speaker 200:13:39Obviously, should a buyer for this segment materialize during the process, then we prefer to sell off either a portion of or all of the operations. But as we continue to wind down the likelihood of any partial or full segment sale decreases. Overall, we expect the segment to be approximately adjusted EBITDA neutral over the next few quarters into the company's fiscal year end. As we've noticed As we noted previously, we continue to have a small amount of other prescription revenue both this year and last and reflects discontinued Rx products, which continue to gradually tail off. In the 2024 Q1, other revenue dropped to $124,000 versus last year's Q1 of $509,000 As we move forward, we would expect these amounts to continue to decrease and ultimately stop. Speaker 200:14:32Gross margins improved to 67% in the Q1 compared to 65% of net revenues in the quarter a year ago. The 2024 first quarter gross margins were positively impacted as ADHD sales continued to the strong growth, which provided for better overhead utilization at the Grand Prairie facility, along with significantly reduced lower margin consumer health sales. However, even though margins improved year over year, gross margins were negatively impacted by the above described decline in our higher margin pediatric products portfolio. As we have commented in each quarter, our business growth Our business gross margin percentages can and do vary both due to both seasonal and other factors. Additionally, we continue to progress with the manufacturing outsourcing of our ADHD products. Speaker 200:15:24A few weeks ago, the company received FDA approval of the Cotempla PAS. This approval enables us to transfer the manufacturing of Go template to the company's 3rd party manufacturer and follows a Similar milestone for Adzenys, which received PAS approval this past spring. With both Adzenys and Cotempla PAS approvals now in hand, we expect to begin the initial ramp up of contract manufacturing of Adzenys and Cotempla in this current quarter. We expect that this production transfer to the contract manufacturer, coupled with our planned exiting of operations at the Grand Prairie, Texas manufacturing facility, should allow us to realize enhanced margin improvement in these ADHD products beginning in calendar 2024. While we are focused on enhancing margins, we continue to be mindful of the underlying patient needs. Speaker 200:16:15We are committed to a consistent and orderly transition of production to the new manufacturing facility over the coming months to ensure adequate inventory is available to meet the strong prescription growth experienced for both Adzenys and Cotempla. Operating expenses excluding impairment expense, Changes in contingent consideration and amortization of intangible assets were $15,000,000 in the 2024 Q1 compared to $18,500,000 in the same period a year ago. This 19% decrease reflects our continued emphasis on cost reductions and the ramp down of sales and marketing expense related to the Consumer Health segment. Research and development expenses were $604,000 in the Q1 of 2024 compared to $1,100,000 in the 2023 light quarter. Net loss for the Q1 of 2024 was $8,100,000 or $1.48 per share compared to 701,000 or $0.28 per share for the same quarter last year. Speaker 200:17:20The primary factor for this jump was a swing in non cash expense related to the gain or loss on derivative warrant liabilities, which gyrated from a $2,200,000 gain in the Q1 of last year to a $5,900,000 loss this year, a result of the increase in our stock price. Even with this quarter's net loss, we generated a solid positive adjusted EBITDA this quarter of $2,200,000 compared to $1,700,000 in last year's Q1, an improvement of 32%. Cash and cash equivalents on June 30, 2023 were $20,000,000 compared to $23,000,000 in June 30, 2023. We're comfortable with this capital level and believe that our balance provides us with good foundation to fall through on all of our corporate changes, which we believe will lead us from positive adjusted EBITDA to profitability. As many of you already know, we don't give forward guidance. Speaker 200:18:17We have slimmed down our product lines and now just focus on our Rx products. We received FDA PAS approvals to transition all of our ADHD production from our underutilized Grand Prairie plant to our outsourced and efficient manufacturing partner. We continue to be excited about how Aytu is positioned for fiscal 2024 and beyond. Speaker 100:18:37With that, let me turn it back over to Josh. Thanks, Mark. Let me just conclude where I started. I'm pleased with the results generated following the initiatives we have undertaken to position Aytu as a growing specialty pharmaceutical company focused on commercializing our novel therapeutics in providing patients with a much improved access experience. We are executing and I'm proud of the work the entire team has done to get us into this strong position. Speaker 100:19:02Our ADHD revenue, which represents a substantial majority of our go forward business, was up 31% and was driven by the commercial team's strong and our ability to effectively leverage our innovative A2Rx Connect platform. We have some work to do to fully address the impact from the payers surrounding pediatrics and we're addressing it in real time. But as Peds represents a relatively small component of our overall business and had a comparatively small impact on our overall business, particularly when you put the revenue decline in context around order timing and the normalization as we've spoken to. And again, even with that order timing issue and the corresponding revenue impact, we reported our 2nd consecutive quarter of company wide positive adjusted EBITDA, and again, the 5th of the last 6 quarters of positive adjusted EBITDA specifically for our Rx segment. With $20,000,000 in cash on the balance sheet, initiatives in place to drive script growth and continued improvement in our gross margin and OpEx, and you couple that with the wind down of our Consumer Products segment that's happening now, I believe the profile of Aytu is becoming increasingly attractive to investors. Speaker 100:20:03I mentioned this last quarter, but it bears repeating. I understand the path here at Aytu has not always been straight as it's not for almost every company. And not every quarter is going to set records, but in the long run and as we execute on all the initiatives we've described, we will position Aytu as a strong operating company that drives meaningful cash flow. To that end, our focus and our objectives are clear, and we believe that there's a great opportunity going forward to drive shareholder value. We're laser focused on that. Speaker 100:20:29I appreciate everyone's support and commitment to the future of Aytu, and I thank you for your time today. With that, I'll be happy to answer any questions. Speaker 300:20:39Thank you. At this time, we will be conducting a question and answer The first question comes from naz Rahman with Maxim Group. Please proceed. Hi, everyone. Thanks for taking my question and congrats on all the progress. Speaker 300:21:19I actually have several questions, if you don't mind. So first, I just want to start on the pediatric business, the multivitamin business specifically. Obviously, you said that you have the one time impact due to changes and you expect to return to growth. When you return to growth, do you expect to return to like the same level of sales you were previously seeing like in the $6,000,000 $7,000,000 range? Or do you just expect a return on growth from these levels? Speaker 100:21:46TBD, Nas, but I would say generally speaking, I'm optimistic about at some point in the future being able to get back to where we were. And as I mentioned, sometimes when one payer change happens to the negative, You can get a positive on the other and we did see some improvement in an area outside of kind of our traditional footprint, so to speak, and that's starting to pay some dividends. I'd like to think and I think we collectively believe we can kind of get back to those historical levels, maybe not immediately, maybe not the next quarter or 2, but I think over the long term, yes, I think we can get back to that being kind of in that range. It's not going to maybe be Again, in an immediate context, but pretty optimistic that we can grow our way through it. I mean, look, I mean, fiscal 2023, which for us ended back in June, it was a significant growth year. Speaker 100:22:30And so even with this sort of drawback, so to speak, I mean, we're comfortably kind of at fiscal 2022 levels. And Again, how quickly do we get back to those levels? We need to continue to work through some things and never again, never sort of a straight line. And these changes, while You don't necessarily anticipate them in real time. You anticipate them in general and the team really has done a good job putting a lot of things in place to get us back So I'm optimistic that in the long run, yes, we can get back to those types of levels. Speaker 300:23:00Thanks. That was very helpful. Now on the ADHD business, I actually have Several questions here, if you don't mind. The first thing is on a high level, you talked about your script growth. But could you provide some more color and commentary On your prescriber growth, how much are you seeing additional prescriber growth versus just increase in scripts per prescribers? Speaker 100:23:21We're seeing both Nas, which is great and a real sign of health across the business. We're seeing new prescribers come in at higher levels. I mean that really started Essentially earlier part of this calendar year, early actually at the beginning of the calendar year, we saw a significant uptick in the number of prescribers And we're seeing those prescribers increase their prescribing as they get more comfortable. And then we are seeing existing prescribers go broader as well as not just in response to the shortages, but as they're getting more comfortable with RxConnect and the conveniences that that offers. So we're really it's great to It's a combination of both, which is really what you want to see. Speaker 100:23:58So, yes, it's and I don't want to necessarily quantify it other than to say it's sort of Healthy parts, not necessarily equal parts, but healthy parts sort of both components of going deeper within the current prescribers and then, of course, expanding into new prescribers. And that applies to areas where we have sales representation within our footprint as well as in areas outside of our footprint, which is encouraging to see that Prescribers are finding their way to Adzenys Cotempla irrespective of any direct contact and that's by virtue of some of the indirect non personal things that we're doing to bring in prescribers outside of our established geographies. Speaker 300:24:33Got it. That was very helpful. So Due to the shortages relatively recently, there were members of Congress that were like inquiring or investigating both the DEA and the FDA regarding the shortages. I believe the FDA and the DEA released like a joint letter that they found or stated that manufacturers only sold like 70% of their allocated And there was like about like $1,000,000,000 of additional authorized doses that were in producers shipped. Do you have any comments or thoughts around what's going on here in terms of these inquiries and what also like shields A2 from these issues or does it? Speaker 100:25:09So, yes, a lot to unpack there, Nas, and I appreciate the question. You're exactly right. There's been a significant amount of scrutiny to the both the FDA as well as the DEA around this issue. And what I'll tell you is the other companies that we've spoken to have do not have any excess quota. They haven't they're not sitting on any excess quota. Speaker 100:25:30There may be some manufacturers That are not being forthcoming, but I can tell you as it relates specifically to us at Aytu, we're using every bit of quota that we request. We're obviously going back and getting incremental request for additional quota and we've been successful in getting that. So we're using every single bit that we can get allocated to us. And really the genesis of it is pretty straightforward from my perspective, Nas. This is obviously a critical need. Speaker 100:25:57These are And it is members of Congress as well as now some of the government agencies that are obviously getting very frustrated with the fact that they Don't have access to these needed treatments and so it's cutting to a point where it is of sort of national interest and has gotten to Capitol Hill. I've been fortunate enough to have conversations with Some staff members, some various members of Congress getting our perspective on various aspects as it relates to the shortages and things that we could potentially do. And look, I'm happy to say that We're doing our part in producing every bit of Zenis and Cotempla that we can. And we are able to meet the demand. We've been very adept at going back and getting incremental quota. Speaker 100:26:39It's a very extensive process. There's a high level of data scrutiny that the DEA applies. We've been Abe would obviously satisfy their request to demonstrate that the products are going into the retail or into the into our distribution network in terms of filling actual demand. And we'll continue to do that, demonstrate that demand is increasing. Obviously, the need for additional API quota increases along with that. Speaker 100:27:02And again, we've been successful in being able to consistently increase our supply and get more quota for the DEA. So But again, it doesn't seem to be lighting up anytime soon, which we expect to be to our benefit as we're able to step in and fill some of these gaps. Speaker 300:27:18Thanks for the thoughtful and comprehensive response on that one. And just one last question on the ADHD business. Have you seen a material impact from the generic Vyvanse entrance or and do you think it could materially impact AT going forward? Speaker 100:27:36It's a good question, Nas. And not really. I mean, obviously, it is a stimulant and it was the leading brand until such time as it went off patent. For us, it could in similar ways as the Adderall generics. They sort of create confusion within the channel. Speaker 100:27:59Patients get switched from one generic to another. There may be sort of PBM impacts in terms of which one is contracted versus which one is not. So there could be some noise sort of around that. Anything that sort of comes from that would be upside, not necessarily anything that we specifically model in terms of us being able to take advantage or take some of that share. What it does sort of further emphasize though is just the overall issue that exists in the ADHD category, which is there's inherent variability across Multiple perspectives. Speaker 100:28:27There's clinical there may be clinical response variability if you're talking about one generic versus another, specifically as it relates to mixed salts or Adderall generics. But there's also variability in the context of what they're going to pay at the pharmacy counter. And so irrespective of sort of what goes generic and when, The inherent variability in terms of just patient experience, in terms of what they're going to get, how much of it they can get, whether they can actually get it filled this month or they have to wait several days or even weeks to track it down somewhere across town. And when they get it, how much they're going to pay for it and ultimately, When they're taking it, how they're going to feel, because if you are taking one generic versus another, patients and physicians sort of universally acknowledge that the responses might be different. And so it is just another example of why you need something like RxConnect, why you want to have a brand Because of the inherent predictability that all of that affords to these patients. Speaker 100:29:25So we're keeping an eye on the Vyvanse situation and Ultimately, we're going to win out by virtue of the fact that all of these products have their own sort of challenges, whether they be clinical, economic or both. Speaker 300:29:41Got it. Thank you. Thanks for taking my questions and congrats on the progress. Thanks, Operator00:29:53Operator, while you're polling, I'm going to Jump in and I'll ask Josh a question or 2. Say Josh, obviously, you showed some very strong ADHD script growth this quarter again. How much of the 28% script growth do you think is category growth versus market share gains? Speaker 100:30:16It's a good chunk of sort of share growth particularly and it depends on the month because the market grows at different rates throughout the year and actually during the summer as folks likely know, but there's a good chunk of our prescription growth that is coming from gobbling up patients that otherwise would have been on Adderall XR other stimulants and you see some of that with Cotempla as well. And so but even if we just kept up with category growth, that's sizable. These prescription categories continue to demonstrate strong year over year growth. It's not the growth that we saw, say, coming out of the pandemic, but this category has consistently grown as obviously the diagnosis of ADHD continue to go up. So but I'm happy to see that some particularly in some territories and some geographies, We've really grabbed sort of outsized share from what we had say prior to the shortages. Speaker 100:31:03So there's good growth from both perspectives. And again, even if you just took Growing kind of with the market that's going to be really solid growth, but we're always striving obviously to grow beyond what the market growth rate is and we're seeing that in various circumstances depending on again the time points that you look at. Operator00:31:23Got it. Josh, also during your prior comments, you spoke about the pass approvals for both Adzenys and that you received from the FDA. Do you have a specific time line for the ramp up of the contract manufacturing? And on the other side the eventual exit from your Grand Prairie facility? Speaker 100:31:47Yes. So the ramp up Roger is really it's I think now, given the fact that we had Zenis, the PAS approved earlier in the year and just got the Cotempla PAS approved, The manufacturer has purchase orders in hand, is beginning the process of scaling up manufacturing. Those fields again are being sort of acted on and We're happy to see that. We do have said almost by definition we'll be out of Grand Prairie sort of by The end of next year, just the lease expires at the end of calendar 2024 and so certainly no later than that we would expect. But And really the process will be essentially kind of a seesaw as we're producing as We're increasing production levels at the CMO, we'll be decreasing production levels in Grand Prairie, Texas. Speaker 100:32:34But there will be a caveat to that, which is we need to make sure we don't do anything to interrupt supply. And so we're going to continue to build inventory in Texas while the CMO is building their inventory. That will create some noisiness in the P and L specifically as it relates to gross margin. You're not going to see an immediate step down in COGS, for example, because we're going to have to build supply really on both sides. But generally expecting to be sort of fully exited by kind of summer and into the fall and Then again, definitely out as it relates to the lease expiry at the end of next calendar year. Speaker 100:33:09Everything is going very well. It really has gone according to plan. If we look at sort of how we cast things about a year ago, it's really on the same timeline that we had sort of presupposed back then, finishing sort of on budget. And so we're excited about the progress we're making there as we exit. And obviously, difficult to part ways with Some of these long time colleagues that have been working at the facility there for years, but we've implemented a really good communication plan. Speaker 100:33:35I think we've been forthright along the way. Everybody's had a good heads up in terms of what the timing for their end of employment will be. And so we've got some of that some of that's already occurred, some of that's coming up here shortly and Some of the separations will happen a little bit further down the road as we sort of fully start to exit the facility and close the doors. Operator00:33:55Got it. Well, Josh, thank you. Let me turn it back to the operator. Operator, any additional Q and A? Speaker 300:34:04We have no further questions in queue. I'd like to turn the call back to management for any closing remarks. Speaker 100:34:11Great. Thank you, John. Let me just say again thanks to everyone for your time on the call today. Thanks for your interest in Aytu Biopharma. We are very, very pleased with The progress we've made to date, we're excited about where we're going. Speaker 100:34:22Really my hats off to the entire team at Aytu. A lot has gone on to enable This transformation is still underway. As I mentioned, it's not always a straight line, but we continue to really demonstrate solid progress across all of the initiatives that we've undertaken, really proud of the growth that we're seeing, particularly as it relates to the ADHD brands. And we're really optimistic aboutRead morePowered by Key Takeaways Strategic refocus on Rx segment: Aytu has shifted exclusively to its ADHD and pediatric prescription business while winding down the unprofitable Consumer Health segment to drive profitability and sustainability. Positive adjusted EBITDA momentum: The company achieved its second consecutive quarter of company-wide positive adjusted EBITDA and the fifth out of six positive quarters in its Rx segment. Strong ADHD growth: Q1 prescriptions for Adzenys and Cotempla grew 28% year-over-year, driving a 31% increase in ADHD net revenue to $15.1 million, supported by generic supply disruptions and the A2Rx Connect platform. Manufacturing transfer approvals: FDA approvals of site-transfer supplements (PAS) for Cotempla XR-ODT and Adzenys XR-ODT enable ramp-up at a contract manufacturer and are expected to boost gross margins in calendar 2024. Pediatric segment rebound expected: Pediatric multivitamin scripts fell sequentially due to payer changes but remain up 15% versus 2022, with management forecasting a return to growth as channel inventory normalizes. A.I. generated. May contain errors.Conference Call Audio Live Call not available Earnings Conference CallAytu BioPharma Q1 202400:00 / 00:00Speed:1x1.25x1.5x2x Earnings DocumentsPress Release(8-K)Quarterly report(10-Q) Aytu BioPharma Earnings HeadlinesAytu BioPharma Third Quarter 2025 Earnings: Beats ExpectationsMay 16, 2025 | finance.yahoo.comAytu BioPharma, Inc. (NASDAQ:AYTU) Q3 2025 Earnings Call TranscriptMay 16, 2025 | insidermonkey.comWarning: Prepare to Be Shocked by These PayoutsThere's a strategy out there paying up to 70% on tech stocks like Amazon, Tesla, and Microsoft—stocks that don't even pay dividends. It's fast, it's legal, and most people have no clue it exists.May 22, 2025 | Investors Alley (Ad)Aytu BioPharma Stock Price, Quotes and Forecasts | NASDAQ:AYTU | BenzingaMay 15, 2025 | benzinga.comAytu signals ongoing portfolio expansion opportunities as Q3 2025 revenue surges 32%May 15, 2025 | msn.comAytu BioPharma, Inc. (Aytu ) Q3 2025 Earnings Call TranscriptMay 14, 2025 | seekingalpha.comSee More Aytu BioPharma Headlines Get Earnings Announcements in your inboxWant to stay updated on the latest earnings announcements and upcoming reports for companies like Aytu BioPharma? Sign up for Earnings360's daily newsletter to receive timely earnings updates on Aytu BioPharma and other key companies, straight to your email. Email Address About Aytu BioPharmaAytu BioPharma (NASDAQ:AYTU) is a specialty pharmaceutical company, which engages in identifying, acquiring, and commercializing novel products. It operates through the Rx and Consumer Health segments. The RX segment consists of various prescription pharmaceutical products sold through third parties. The Consumer Health segment includes various consumer health products sold directly to consumers. Its products include Adzenys ER, Adzenys XR-ODT, Cotempla XR-ODT, Karbinal ER, Poly-Vi-Flor, Tri-Vi-Flor, Generic Tussionex, Tuzistra XR, and ZolpiMist. The company was founded on August 9, 2002 and is headquartered in Englewood, CO.View Aytu BioPharma ProfileRead more More Earnings Resources from MarketBeat Earnings Tools Today's Earnings Tomorrow's Earnings Next Week's Earnings Upcoming Earnings Calls Earnings Newsletter Earnings Call Transcripts Earnings Beats & Misses Corporate Guidance Earnings Screener Earnings By Country U.S. Earnings Reports Canadian Earnings Reports U.K. Earnings Reports Latest Articles Alibaba's Earnings Just Changed Everything for the StockCisco Stock Eyes New Highs in 2025 on AI, Earnings, UpgradesSymbotic Gets Big Earnings Lift: Is the Stock Investable Again?D-Wave Pushes Back on Short Seller Case With Strong EarningsAppLovin Surges on Earnings: What's Next for This Tech Standout?Can Shopify Stock Make a Comeback After an Earnings Sell-Off?Rocket Lab: Earnings Miss But Neutron Momentum Holds Upcoming Earnings PDD (5/27/2025)AutoZone (5/27/2025)Bank of Nova Scotia (5/27/2025)NVIDIA (5/28/2025)Synopsys (5/28/2025)Bank of Montreal (5/28/2025)Salesforce (5/28/2025)Costco Wholesale (5/29/2025)Marvell Technology (5/29/2025)Canadian Imperial Bank of Commerce (5/29/2025) Get 30 Days of MarketBeat All Access for Free Sign up for MarketBeat All Access to gain access to MarketBeat's full suite of research tools. 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There are 4 speakers on the call. Operator00:00:00Afternoon, everyone, and thank you for joining us for Aytu Biopharma's Fiscal 20 24 First Quarter Financial Results Conference Call for the period ended September 30, 2023. Joining us on today's call is Aytu's CEO, Josh Disbrow and the company's Chief Financial Officer, Mark Ocke. At the conclusion of today's prepared remarks, we'll open the call for a question and answer session. I'd like to remind everyone that today's call is being recorded. A replay of today's call will be available by using the telephone numbers and conference ID provided in the earnings press release issued earlier today. Operator00:00:41Finally, I'd also like to call your attention to the customary Safe Harbor for disclosure regarding forward looking information. The conference call today will contain certain forward looking statements, including statements regarding the goals, strategies, beliefs, expectations and future potential operating results of Aytu Biopharma. Although management believes these statements are reasonable based on estimates, assumptions and projections as of today, these statements are not guarantees of future performance. Time sensitive information may no longer be accurate at the time of any telephonic or webcast replay. Actual results may differ materially as a result of risks, uncertainties and other factors, including, but not limited to, the factors sent forth in the company's filings with the SEC. Operator00:01:34Aytu undertakes no obligation to update or revise any of these forward looking statements. With that said, I'd like to turn the event over to Josh Disbrow, Chief Executive Officer of Aytu Biopharma. Josh, please proceed. Speaker 100:01:50Thank you, Roger, and thanks, everyone, for joining us. I'm once again excited to be speaking with you today following yet another quarter that showed positive results from the initiatives we've undertaken to position Aytu as a specialty pharmaceutical company focused on commercializing novel therapeutics and is continuing proof that we're clearly executing on our plan. I'm thrilled with the team's progress across the board and I believe we've put ourselves in the best position we've ever been in as a company. I'm happy to share that this was our 2nd consecutive quarter of company wide positive adjusted EBITDA and the 5th out of the last 6 quarters of positive adjusted EBITDA for our Rx segment, which is where our focus is now and going forward. The deliberate strategic plan we undertook to place the company on a financial pathway to sustainability started initially about a year ago when we indefinitely suspended our clinical programs to minimize R and D expenses until such time that we can fund those efforts either with internally generated cash flow or through a strategic partnership. Speaker 100:02:47It then continued in June of this year when we announced that we would focus our commercial efforts exclusively on our growing and positive adjusted EBITDA Rx segment. We did this while deemphasizing our Consumer Health segment and winding down those unprofitable operations and potentially monetizing it. As we progress along this path, our Rx segment composed of our ADHD and pediatric products becomes the go forward business. We are laser focused on growing prescriptions, increasing Rx revenue and driving EBITDA and cash flow, full stop. Positive EBITDA is our calling card and we're executing on that front. Speaker 100:03:23Further, we're growing prescriptions while also reducing OpEx, which we've done. This is all part of our measured plan and I'm proud of our results. During the Q1, our ADHD brand's prescriptions grew an impressive 28% over the Q1 of last year, which is a testament to the commercial team's strong execution and our ability to effectively leverage our innovative Aytu RxConnect patient access platform. From a revenue standpoint, ADHD net revenue aligned closely with script growth, increasing 31% to $15,100,000 compared to $11,600,000 in the year ago quarter. We're also focusing on driving manufacturing efficiencies and improving OpEx and margin improvement. Speaker 100:04:01Overall, margins during the Q1 improved to 67% compared to 65% in the year ago Q1. And as Mark will share shortly, our operating expenses are down materially. In the coming quarters, our ADHD products will benefit from the recent FDA approvals of the Cotempla XR ODT and at Zenith XR ODT manufacturing site site transfer prior approval supplements or PASs. These 2 PAS approvals allow us now to ramp up manufacturing at our contract manufacturer for ADHD brands and will be a key driver of further gross margin improvement as we get Adzenys and Cotempla fully transitioned. As I touched on the past few quarters, the trends we talked about within the ADHD category continue to persist, including the supply disruptions for generic Adderall XR in various methylphenidate products and several stimulant products have been discontinued altogether as of late. Speaker 100:04:52At least 3 generic manufacturers have discontinued their Adderall XR generics the past few months and another large generic manufacturer is no longer marketing its extended release methylphenidate. So the problem continues. Just last month, I read a Time Magazine article titled 1 Year Later, Where's All the Adderall? In the article, it highlights that October 12 marked 1 year since the FDA's with VA's formal announcement that pharmaceutical manufacturers weren't able to produce enough Adderall and other stimulants. This continuing dislocation force many of the 40 +1000000 ADHD patients nationwide to encounter refill delays or depleted pharmacy inventories And importantly, we continue to hear of these issues daily still. Speaker 100:05:31Without adequate access to these important meds, this large patient group continues to suffer from an inability to manage their ADHD symptoms and this really wreaks havoc on a patient's day to day functioning. Overall, 8 drug manufacturers have reported shortage of amphetamine, which also means that other major ADHD medications are now in short supply after prescribers turn to other treatment options for their patients. And again, some manufacturers have discontinued their stimulants altogether. As these shortages have continued, our team has done an exceptional job meeting the demands of patients having maintained supply to meet the growing demand for both Adzenys and Cotempla. As a reminder, Adzenys, the only approved Extended release ODT amphetamine for the treatment of ADHD is approved as bioequivalent to Adderall XR. Speaker 100:06:16So our brand is well positioned to continue to capture additional share as the amphetamine mixed salt shortage remains. Cotempla is the only approved extended release ODT methylphenidate for the treatment of ADHD, which competes against Concerta and other methylphenidate. And again, those products are experiencing shortages and discontinuations. We expect the ongoing ADHD supply to likely continue for the foreseeable future in some form or fashion. And with that, this creates a continuing opportunity for more and more patients and prescribers to get experience with Adzenys and Cotempla such that once they've tried our medicines in conjunction with an improved patient experience through A2Rx Connect, they'll continue on these meds. Speaker 100:06:55And I should say, as it relates specifically to RxConnect that it's not enough to simply have better products that fill a clinical need, which by the way we believe ours are and do. Today, you need to couple your unique products, features and benefits with an improved experience for patients, caregivers, clinicians and their staff, one that brings predictability, consistency, transparency, convenience and cost effectiveness. And with A2 RS Connect, that's what we bring. And that's how we're winning with our products in today's competitive environment. Our A2Rx Connect patient support program stands alone as truly best in class, and when Clinicians and patients experience it. Speaker 100:07:29They like it. The growth we're seeing with our ADHD brands has been a testament to our manufacturing team's focus on meeting increased demand, while managing the transition to the CMO, as well as our commercial team's strong execution and ability to showcase the benefits of our brand and of course our innovative A2Rx Connect patient access platform. We believe more growth is in store for the ADHD brands given the ongoing ADHD stimulant disruptions. Our sales force is execution, increases in new ADHD diagnoses and the continued refinement of our commercial tactics that complement around Aytu RxConnect. Within pediatrics, as communicated last quarter, we were impacted by payer changes that impacted net revenue and scripts. Speaker 100:08:11Scripts were down 24% sequentially, although importantly are still up over 2022 levels. However, due to timing of Customer ordering revenues attributable to the multivitamin line decreased more appreciably. Scripts are stabilizing from the payer change and once we work through the UNIX shipment slack in the system due to what was in the channel pre payer change, we expect to get back to growth. Payer changes are a fact of life and pharma and not something that is unexpected to us or something that we don't know how to deal with, to the contrary. Also, often when we experience a negative change with one payer, we'll see positive change from another payer that often stands to offset it. Speaker 100:08:45We're seeing that here recently picking up coverage for the multivitamins with a different payer and that is now starting to pay dividends. That is to say, we fully expect that we'll get back to growth. Again, even with the payer impact, our multivitamin Q1 scripts are up over 15% from the fiscal 2022 quarterly Rx average and that's before we've begun to realize the benefits of many of the commercial strategies we're putting into place. And I'll remind you inclusive of the ADHD brands our overall RX portfolio was up 13% from a script count standpoint over the same quarter last year. We've implemented numerous strategies to further penetrate pediatric prescription from current writers and broadened our overall prescriber base in both new and existing geographies. Speaker 100:09:25Our expectation is for both script and revenue improvement in the pediatrics business to occur in the coming quarters. Again, the largest revenue impact in pediatrics is attributed to the timing of customer ordering and that's being worked through. Our initiatives to drive long term shareholder value in the company by focusing on our Rx segment and the planned wind down of our Consumer Health segment are progressing according to plan. I personally couldn't be more optimistic about how well we're positioned. Our Rx segment had its segment adjusted EBITDA remained healthy at $2,400,000 for the quarter, which when coupled with the improvement from the wind down of our Consumer Health segment and the discontinuation of our pipeline R and D activities saw our combined company wide adjusted EBITDA improved by 30 2%. Speaker 100:10:06Adjusted EBITDA is a critical performance metric as we move forward and I'm happy to say that adjusted EBITDA continues to hold strong with 5 of the last 6 quarters positive for the Rx segment and now 2 consecutive positive quarters company wide. Our balance sheet remains strong with $20,000,000 in cash at the end of September 23. And with a keen focus on driving growth and profitability in our Rx segment, I believe we're well positioned for going forward. With that, let me now turn the call over to Mark to run through the numbers in some more detail. Mark? Speaker 200:10:36Thank you, Josh, and welcome to everyone joining us on this call. Let's take a closer look at the financials starting with revenue. Net revenue for the Q1 of fiscal 2024 was $22,100,000 down compared to the 2023 Q1 of $27,700,000 And directionally, where we expected to see revenue given the wind down of the and the corresponding revenue decline associated with that. Looking at the segment contributions, Net revenue from ARRx product sales in the 2024 fiscal Q1 was $17,800,000 compared to $18,700,000 in the same quarter last year. Our ADHD products logged a 31% net revenue growth to $15,100,000 in the 2024 Q1 against $11,600,000 in last year's light quarter. Speaker 200:11:28This continued ADHD sale gains reflected consistent sales force execution, the implementation of numerous commercial strategies and market share gains related to the ongoing manufacturing and supply issues at large providers of ADHD products. Our quarterly ADHD written prescriptions were up 20% year over year and provide a bit of insight into our short term future revenues. Moving on to our prescription pediatric portfolio, which experienced a 61% decrease in net revenue to $2,610,000 in our 2024 fiscal Q1 compared to $6,600,000 in 2023. As Josh previously noted, this decline resulted largely from timing related ordering of our prescription multivitamins following a payer change. If we normalize pediatric revenue to reflect Actual prescription demand once the supply chain slack realigns to prescription demand, pediatric Rx Driven demand revenue would have been in the $4,400,000 range with a corresponding increase to adjusted EBITDA of approximately $1,500,000 We are confident that we will be able to return these multivitamin products to growth trends over the next few quarters. Speaker 200:12:46And again, even in the face this time based revenue impact on multivitamins, We remained adjusted EBITDA positive for the quarter and now have posted 2 consecutive adjusted EBITDA positive quarters as a company. Adjusted EBITDA is our critical performance metrics and we're pleased with our results. As we announced this past June, we are in the process of a wind down of the Consumer Health segment with a focus on improving corporate profitability. For the 2024 Q1, net revenue from Consumer Health was $4,300,000 compared to $9,000,000 in the same quarter a year ago, a decrease of 52%. Our goal is to continue to sell through inventory with a goal of converting inventory to cash and ceasing consumer health operations by the end of fiscal 2024. Speaker 200:13:39Obviously, should a buyer for this segment materialize during the process, then we prefer to sell off either a portion of or all of the operations. But as we continue to wind down the likelihood of any partial or full segment sale decreases. Overall, we expect the segment to be approximately adjusted EBITDA neutral over the next few quarters into the company's fiscal year end. As we've noticed As we noted previously, we continue to have a small amount of other prescription revenue both this year and last and reflects discontinued Rx products, which continue to gradually tail off. In the 2024 Q1, other revenue dropped to $124,000 versus last year's Q1 of $509,000 As we move forward, we would expect these amounts to continue to decrease and ultimately stop. Speaker 200:14:32Gross margins improved to 67% in the Q1 compared to 65% of net revenues in the quarter a year ago. The 2024 first quarter gross margins were positively impacted as ADHD sales continued to the strong growth, which provided for better overhead utilization at the Grand Prairie facility, along with significantly reduced lower margin consumer health sales. However, even though margins improved year over year, gross margins were negatively impacted by the above described decline in our higher margin pediatric products portfolio. As we have commented in each quarter, our business growth Our business gross margin percentages can and do vary both due to both seasonal and other factors. Additionally, we continue to progress with the manufacturing outsourcing of our ADHD products. Speaker 200:15:24A few weeks ago, the company received FDA approval of the Cotempla PAS. This approval enables us to transfer the manufacturing of Go template to the company's 3rd party manufacturer and follows a Similar milestone for Adzenys, which received PAS approval this past spring. With both Adzenys and Cotempla PAS approvals now in hand, we expect to begin the initial ramp up of contract manufacturing of Adzenys and Cotempla in this current quarter. We expect that this production transfer to the contract manufacturer, coupled with our planned exiting of operations at the Grand Prairie, Texas manufacturing facility, should allow us to realize enhanced margin improvement in these ADHD products beginning in calendar 2024. While we are focused on enhancing margins, we continue to be mindful of the underlying patient needs. Speaker 200:16:15We are committed to a consistent and orderly transition of production to the new manufacturing facility over the coming months to ensure adequate inventory is available to meet the strong prescription growth experienced for both Adzenys and Cotempla. Operating expenses excluding impairment expense, Changes in contingent consideration and amortization of intangible assets were $15,000,000 in the 2024 Q1 compared to $18,500,000 in the same period a year ago. This 19% decrease reflects our continued emphasis on cost reductions and the ramp down of sales and marketing expense related to the Consumer Health segment. Research and development expenses were $604,000 in the Q1 of 2024 compared to $1,100,000 in the 2023 light quarter. Net loss for the Q1 of 2024 was $8,100,000 or $1.48 per share compared to 701,000 or $0.28 per share for the same quarter last year. Speaker 200:17:20The primary factor for this jump was a swing in non cash expense related to the gain or loss on derivative warrant liabilities, which gyrated from a $2,200,000 gain in the Q1 of last year to a $5,900,000 loss this year, a result of the increase in our stock price. Even with this quarter's net loss, we generated a solid positive adjusted EBITDA this quarter of $2,200,000 compared to $1,700,000 in last year's Q1, an improvement of 32%. Cash and cash equivalents on June 30, 2023 were $20,000,000 compared to $23,000,000 in June 30, 2023. We're comfortable with this capital level and believe that our balance provides us with good foundation to fall through on all of our corporate changes, which we believe will lead us from positive adjusted EBITDA to profitability. As many of you already know, we don't give forward guidance. Speaker 200:18:17We have slimmed down our product lines and now just focus on our Rx products. We received FDA PAS approvals to transition all of our ADHD production from our underutilized Grand Prairie plant to our outsourced and efficient manufacturing partner. We continue to be excited about how Aytu is positioned for fiscal 2024 and beyond. Speaker 100:18:37With that, let me turn it back over to Josh. Thanks, Mark. Let me just conclude where I started. I'm pleased with the results generated following the initiatives we have undertaken to position Aytu as a growing specialty pharmaceutical company focused on commercializing our novel therapeutics in providing patients with a much improved access experience. We are executing and I'm proud of the work the entire team has done to get us into this strong position. Speaker 100:19:02Our ADHD revenue, which represents a substantial majority of our go forward business, was up 31% and was driven by the commercial team's strong and our ability to effectively leverage our innovative A2Rx Connect platform. We have some work to do to fully address the impact from the payers surrounding pediatrics and we're addressing it in real time. But as Peds represents a relatively small component of our overall business and had a comparatively small impact on our overall business, particularly when you put the revenue decline in context around order timing and the normalization as we've spoken to. And again, even with that order timing issue and the corresponding revenue impact, we reported our 2nd consecutive quarter of company wide positive adjusted EBITDA, and again, the 5th of the last 6 quarters of positive adjusted EBITDA specifically for our Rx segment. With $20,000,000 in cash on the balance sheet, initiatives in place to drive script growth and continued improvement in our gross margin and OpEx, and you couple that with the wind down of our Consumer Products segment that's happening now, I believe the profile of Aytu is becoming increasingly attractive to investors. Speaker 100:20:03I mentioned this last quarter, but it bears repeating. I understand the path here at Aytu has not always been straight as it's not for almost every company. And not every quarter is going to set records, but in the long run and as we execute on all the initiatives we've described, we will position Aytu as a strong operating company that drives meaningful cash flow. To that end, our focus and our objectives are clear, and we believe that there's a great opportunity going forward to drive shareholder value. We're laser focused on that. Speaker 100:20:29I appreciate everyone's support and commitment to the future of Aytu, and I thank you for your time today. With that, I'll be happy to answer any questions. Speaker 300:20:39Thank you. At this time, we will be conducting a question and answer The first question comes from naz Rahman with Maxim Group. Please proceed. Hi, everyone. Thanks for taking my question and congrats on all the progress. Speaker 300:21:19I actually have several questions, if you don't mind. So first, I just want to start on the pediatric business, the multivitamin business specifically. Obviously, you said that you have the one time impact due to changes and you expect to return to growth. When you return to growth, do you expect to return to like the same level of sales you were previously seeing like in the $6,000,000 $7,000,000 range? Or do you just expect a return on growth from these levels? Speaker 100:21:46TBD, Nas, but I would say generally speaking, I'm optimistic about at some point in the future being able to get back to where we were. And as I mentioned, sometimes when one payer change happens to the negative, You can get a positive on the other and we did see some improvement in an area outside of kind of our traditional footprint, so to speak, and that's starting to pay some dividends. I'd like to think and I think we collectively believe we can kind of get back to those historical levels, maybe not immediately, maybe not the next quarter or 2, but I think over the long term, yes, I think we can get back to that being kind of in that range. It's not going to maybe be Again, in an immediate context, but pretty optimistic that we can grow our way through it. I mean, look, I mean, fiscal 2023, which for us ended back in June, it was a significant growth year. Speaker 100:22:30And so even with this sort of drawback, so to speak, I mean, we're comfortably kind of at fiscal 2022 levels. And Again, how quickly do we get back to those levels? We need to continue to work through some things and never again, never sort of a straight line. And these changes, while You don't necessarily anticipate them in real time. You anticipate them in general and the team really has done a good job putting a lot of things in place to get us back So I'm optimistic that in the long run, yes, we can get back to those types of levels. Speaker 300:23:00Thanks. That was very helpful. Now on the ADHD business, I actually have Several questions here, if you don't mind. The first thing is on a high level, you talked about your script growth. But could you provide some more color and commentary On your prescriber growth, how much are you seeing additional prescriber growth versus just increase in scripts per prescribers? Speaker 100:23:21We're seeing both Nas, which is great and a real sign of health across the business. We're seeing new prescribers come in at higher levels. I mean that really started Essentially earlier part of this calendar year, early actually at the beginning of the calendar year, we saw a significant uptick in the number of prescribers And we're seeing those prescribers increase their prescribing as they get more comfortable. And then we are seeing existing prescribers go broader as well as not just in response to the shortages, but as they're getting more comfortable with RxConnect and the conveniences that that offers. So we're really it's great to It's a combination of both, which is really what you want to see. Speaker 100:23:58So, yes, it's and I don't want to necessarily quantify it other than to say it's sort of Healthy parts, not necessarily equal parts, but healthy parts sort of both components of going deeper within the current prescribers and then, of course, expanding into new prescribers. And that applies to areas where we have sales representation within our footprint as well as in areas outside of our footprint, which is encouraging to see that Prescribers are finding their way to Adzenys Cotempla irrespective of any direct contact and that's by virtue of some of the indirect non personal things that we're doing to bring in prescribers outside of our established geographies. Speaker 300:24:33Got it. That was very helpful. So Due to the shortages relatively recently, there were members of Congress that were like inquiring or investigating both the DEA and the FDA regarding the shortages. I believe the FDA and the DEA released like a joint letter that they found or stated that manufacturers only sold like 70% of their allocated And there was like about like $1,000,000,000 of additional authorized doses that were in producers shipped. Do you have any comments or thoughts around what's going on here in terms of these inquiries and what also like shields A2 from these issues or does it? Speaker 100:25:09So, yes, a lot to unpack there, Nas, and I appreciate the question. You're exactly right. There's been a significant amount of scrutiny to the both the FDA as well as the DEA around this issue. And what I'll tell you is the other companies that we've spoken to have do not have any excess quota. They haven't they're not sitting on any excess quota. Speaker 100:25:30There may be some manufacturers That are not being forthcoming, but I can tell you as it relates specifically to us at Aytu, we're using every bit of quota that we request. We're obviously going back and getting incremental request for additional quota and we've been successful in getting that. So we're using every single bit that we can get allocated to us. And really the genesis of it is pretty straightforward from my perspective, Nas. This is obviously a critical need. Speaker 100:25:57These are And it is members of Congress as well as now some of the government agencies that are obviously getting very frustrated with the fact that they Don't have access to these needed treatments and so it's cutting to a point where it is of sort of national interest and has gotten to Capitol Hill. I've been fortunate enough to have conversations with Some staff members, some various members of Congress getting our perspective on various aspects as it relates to the shortages and things that we could potentially do. And look, I'm happy to say that We're doing our part in producing every bit of Zenis and Cotempla that we can. And we are able to meet the demand. We've been very adept at going back and getting incremental quota. Speaker 100:26:39It's a very extensive process. There's a high level of data scrutiny that the DEA applies. We've been Abe would obviously satisfy their request to demonstrate that the products are going into the retail or into the into our distribution network in terms of filling actual demand. And we'll continue to do that, demonstrate that demand is increasing. Obviously, the need for additional API quota increases along with that. Speaker 100:27:02And again, we've been successful in being able to consistently increase our supply and get more quota for the DEA. So But again, it doesn't seem to be lighting up anytime soon, which we expect to be to our benefit as we're able to step in and fill some of these gaps. Speaker 300:27:18Thanks for the thoughtful and comprehensive response on that one. And just one last question on the ADHD business. Have you seen a material impact from the generic Vyvanse entrance or and do you think it could materially impact AT going forward? Speaker 100:27:36It's a good question, Nas. And not really. I mean, obviously, it is a stimulant and it was the leading brand until such time as it went off patent. For us, it could in similar ways as the Adderall generics. They sort of create confusion within the channel. Speaker 100:27:59Patients get switched from one generic to another. There may be sort of PBM impacts in terms of which one is contracted versus which one is not. So there could be some noise sort of around that. Anything that sort of comes from that would be upside, not necessarily anything that we specifically model in terms of us being able to take advantage or take some of that share. What it does sort of further emphasize though is just the overall issue that exists in the ADHD category, which is there's inherent variability across Multiple perspectives. Speaker 100:28:27There's clinical there may be clinical response variability if you're talking about one generic versus another, specifically as it relates to mixed salts or Adderall generics. But there's also variability in the context of what they're going to pay at the pharmacy counter. And so irrespective of sort of what goes generic and when, The inherent variability in terms of just patient experience, in terms of what they're going to get, how much of it they can get, whether they can actually get it filled this month or they have to wait several days or even weeks to track it down somewhere across town. And when they get it, how much they're going to pay for it and ultimately, When they're taking it, how they're going to feel, because if you are taking one generic versus another, patients and physicians sort of universally acknowledge that the responses might be different. And so it is just another example of why you need something like RxConnect, why you want to have a brand Because of the inherent predictability that all of that affords to these patients. Speaker 100:29:25So we're keeping an eye on the Vyvanse situation and Ultimately, we're going to win out by virtue of the fact that all of these products have their own sort of challenges, whether they be clinical, economic or both. Speaker 300:29:41Got it. Thank you. Thanks for taking my questions and congrats on the progress. Thanks, Operator00:29:53Operator, while you're polling, I'm going to Jump in and I'll ask Josh a question or 2. Say Josh, obviously, you showed some very strong ADHD script growth this quarter again. How much of the 28% script growth do you think is category growth versus market share gains? Speaker 100:30:16It's a good chunk of sort of share growth particularly and it depends on the month because the market grows at different rates throughout the year and actually during the summer as folks likely know, but there's a good chunk of our prescription growth that is coming from gobbling up patients that otherwise would have been on Adderall XR other stimulants and you see some of that with Cotempla as well. And so but even if we just kept up with category growth, that's sizable. These prescription categories continue to demonstrate strong year over year growth. It's not the growth that we saw, say, coming out of the pandemic, but this category has consistently grown as obviously the diagnosis of ADHD continue to go up. So but I'm happy to see that some particularly in some territories and some geographies, We've really grabbed sort of outsized share from what we had say prior to the shortages. Speaker 100:31:03So there's good growth from both perspectives. And again, even if you just took Growing kind of with the market that's going to be really solid growth, but we're always striving obviously to grow beyond what the market growth rate is and we're seeing that in various circumstances depending on again the time points that you look at. Operator00:31:23Got it. Josh, also during your prior comments, you spoke about the pass approvals for both Adzenys and that you received from the FDA. Do you have a specific time line for the ramp up of the contract manufacturing? And on the other side the eventual exit from your Grand Prairie facility? Speaker 100:31:47Yes. So the ramp up Roger is really it's I think now, given the fact that we had Zenis, the PAS approved earlier in the year and just got the Cotempla PAS approved, The manufacturer has purchase orders in hand, is beginning the process of scaling up manufacturing. Those fields again are being sort of acted on and We're happy to see that. We do have said almost by definition we'll be out of Grand Prairie sort of by The end of next year, just the lease expires at the end of calendar 2024 and so certainly no later than that we would expect. But And really the process will be essentially kind of a seesaw as we're producing as We're increasing production levels at the CMO, we'll be decreasing production levels in Grand Prairie, Texas. Speaker 100:32:34But there will be a caveat to that, which is we need to make sure we don't do anything to interrupt supply. And so we're going to continue to build inventory in Texas while the CMO is building their inventory. That will create some noisiness in the P and L specifically as it relates to gross margin. You're not going to see an immediate step down in COGS, for example, because we're going to have to build supply really on both sides. But generally expecting to be sort of fully exited by kind of summer and into the fall and Then again, definitely out as it relates to the lease expiry at the end of next calendar year. Speaker 100:33:09Everything is going very well. It really has gone according to plan. If we look at sort of how we cast things about a year ago, it's really on the same timeline that we had sort of presupposed back then, finishing sort of on budget. And so we're excited about the progress we're making there as we exit. And obviously, difficult to part ways with Some of these long time colleagues that have been working at the facility there for years, but we've implemented a really good communication plan. Speaker 100:33:35I think we've been forthright along the way. Everybody's had a good heads up in terms of what the timing for their end of employment will be. And so we've got some of that some of that's already occurred, some of that's coming up here shortly and Some of the separations will happen a little bit further down the road as we sort of fully start to exit the facility and close the doors. Operator00:33:55Got it. Well, Josh, thank you. Let me turn it back to the operator. Operator, any additional Q and A? Speaker 300:34:04We have no further questions in queue. I'd like to turn the call back to management for any closing remarks. Speaker 100:34:11Great. Thank you, John. Let me just say again thanks to everyone for your time on the call today. Thanks for your interest in Aytu Biopharma. We are very, very pleased with The progress we've made to date, we're excited about where we're going. Speaker 100:34:22Really my hats off to the entire team at Aytu. A lot has gone on to enable This transformation is still underway. As I mentioned, it's not always a straight line, but we continue to really demonstrate solid progress across all of the initiatives that we've undertaken, really proud of the growth that we're seeing, particularly as it relates to the ADHD brands. And we're really optimistic aboutRead morePowered by