electroCore Q1 2023 Earnings Call Transcript

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Provided by Quartr
May 3, 2023

Key Takeaways

  • ElectroCore reported Q1 2023 revenue of $2.8 million, up 46% year-over-year, with gross margins expanding to 84%, but recorded a GAAP net loss of $5.9 million and used $5.9 million in operating cash.
  • The prescription gammaCore headache business saw robust growth, with VA/DoD channel sales up 38% to $1.705 million and U.S. commercial sales up 56% to $430 thousand, supported by the addition of 506 new prescribers in Q1.
  • New non-prescription brands Truvega and TacxDIM launched in late 2022 achieved Q1 sales of $147 thousand and $88 thousand respectively, with Truvega’s media efficiency ratio above 2.0 and return rates below 10%, prompting increased marketing investment.
  • Clinical development advanced notably: a $6 million NIH/NIDA grant will fund a pivotal opioid withdrawal trial, AFRL studies demonstrated NVNS benefits in language learning and mood, and preclinical work showed TBI lesion and behavior improvements.
  • For full-year 2023, the company reiterated guidance of $14–15 million in net revenue (over 60% growth), expecting at least $12 million from prescription headache channels and over $2 million from new wellness and human performance products, with declining R&D spend and lower net cash usage ahead.
AI Generated. May Contain Errors.
Earnings Conference Call
electroCore Q1 2023
00:00 / 00:00

There are 9 speakers on the call.

Operator

Welcome to the electroCore First Quarter 2023 Earnings Call. At this time, all participants are in a listen only mode. A brief question and answer session will follow the formal presentation. As a reminder, this conference is being recorded. It is now my pleasure to introduce your host, Nicole Jones, Investor Relations.

Operator

Please go ahead.

Speaker 1

Thank you all for participating in today's electroCore earnings call. Joining me today are Dan Goldberger, Chief Executive Officer and Brian Posner, Chief Financial Officer. Earlier today, Electrocore released results for the Q1 ended March 31, 2023. A copy of the press release is available on the company's website. Before we begin, I'd like to remind you that management will make Statements during the call that include forward looking statements within the meaning of the federal securities laws, which are made pursuant to the Safe Harbor provisions of the Private Securities Litigation Reform Act of 1995.

Speaker 1

Any statements contained in this call that are not statements of historical facts should be deemed to be forward looking statements. All forward looking statements, including without limitation, any guidance, outlook Our future financial expectations or operational activities and performance are based upon the company's current estimates and various assumptions. These statements involve material risks and uncertainties that could cause actual results or events to materially differ from those anticipated or implied by these forward looking statements. Accordingly, you should not place undue reliance on these statements.

Speaker 2

For a

Speaker 1

list of the risks and uncertainties associated with the company's business, please see the company's filings with the Securities and Exchange Commission. ElectroCore disclaims any intention or obligation, except as required by law, to update or revise any financial projections are forward looking statements whether because of new information, future events or otherwise. This conference call contains Time sensitive information that is accurate only as of the live broadcast today, May 3, 2023. With that, I'll turn the call over to Dan.

Speaker 3

Thank you, Nicole. Hello, everybody, and thank you for joining us on today's call. We are thrilled to report another record revenue quarter with Sales of $2,800,000 for the period ended March 31, 2023, a 46% increase over the prior year. Gross margins expanded nicely to 84% for the Q1 of 2023. Our prescription headache business continues to grow worldwide.

Speaker 3

We launched 2 new non prescription product lines in late 2022, Trevega as a direct to consumer wellness brand and TacxDIM for human performance for our active duty military personnel. Both new products exceeded our expectations in the Q1 and are driving excitement about the future. Truvega is currently available exclusively through our e commerce platform at truvega.com. We are positioning Truvega as a direct to consumer wellness product for stress, mental acuity and sleep. No prescription is required for this category.

Speaker 3

Rubega recorded net sales of $147,000 in the Q1 of 2023. Based on this initial success, we are accelerating our marketing investments and raising our internal expectations for the product line. So far this year, our revenue return on advertising spend, what the industry calls a media efficiency ratio or MER, Has been greater than 2.0. We're carefully monitoring return rates as well, which have been below 10% so far this year. We believe that the Truvega business can scale nicely if we can maintain or improve these metrics as we move through the year.

Speaker 3

Tactium for human performance is being sold to select Air Force and Army Special Forces units for accelerated training, Sustained attention, reduced fatigue and improved mood without a prescription as defined by the Air Force Research Laboratory or AFRL. We recorded $88,000 of TaxDIM revenue in the Q1 of 2023, and I'm encouraged by the growing sales funnel for this product. In parallel, we're developing a 2nd generation product known internally as TacxDIM 2.0 in collaboration with AFRL, And I expect to deliver prototypes to Wright Patterson Air Force Base for evaluation later this summer. Note And revenue growth for this product line is likely to be lumpy as active duty units purchase in bulk for pilot deployment. Turning now to our prescription headache business, the VA DoD hospital channel continues to be our largest customer.

Speaker 3

You'll recall that our gammaCore prescription therapy is free to patients covered by Veterans Administration's benefits, representing about $10,000,000 covered lives. Sales in the VA DoD channel grew 38 percent from $1,240,000 in Q1 2022 to $1,705,000 in the Q1 of 2023. 124 VA and DoD military treatment facilities have purchased Prescription gammaCore products through March 31, 2023 as compared to 105 through March 31, 2022. U. S.

Speaker 3

Commercial sales of prescription gammaCore products grew 56% from $276,000 in Q1 2022 to $430,000 in the Q1 of 2023. While gammaCore is covered by certain Express Scripts and CVS Caremark benefit plans, Most of our growth is coming from cash pay channels, including GC Direct and G Concierge. These channels have grown from 410 We added 506 new prescribers during the Q1 of 2023 and our prescriber numbers continue to show strong growth through April 2023. We believe the increase in prescribers could be a leading indicator of future growth. Last year, we announced a distribution agreement with Jyris Healthcare LLC that we believe will add more than 12,500,000 The business model with Journs will be similar to how we work with the VA hospital system.

Speaker 3

Jurands will handle adjudications, billing and collections, while electroCore will ship directly to patients and provide in servicing and patient support. Our field sales team is responsible for educating clinicians within those managed care systems. We continue to work with Jerns on the implementation, And while we do not have any revenue in this channel in the Q1 of 2023, we've been notified that the first Prescriptions were being processed through Durance late last month. Revenue from channels outside the United States increased A healthy 34% to $410,000 in the Q1 of 'twenty three as compared to $305,000 for the Q1 of 2022. OUS revenue included $45,000 of licensing fees in Japan, While most of the balance was generated in the United Kingdom by prescription gammaCore sales funded by the National Health Service or NHS.

Speaker 3

Now turning to our clinical progress. On April 26, 2023, We announced that the National Institute on Drug Abuse, NIDA, part of the National Institute of Health, NIH, Has awarded Ameren University and Georgia Institute of Technology a 3 year $6,000,000 grant Through the NIH Helping to End Addiction Long Term or HEAL initiative to conduct a pivotal clinical trial of gammaCore NVNS for the treatment of opioid use disorder, OUD. Double blind, randomized and controlled study to be funded by the grant We'll recruit approximately 100 patients with OUD. The primary efficacy endpoint of the study will be peak difference In the subjective opioid withdrawal score between NVNS and sham treatment on days 23 of the initial withdrawal period. On April 24, 23, we announced that the Air Force Research Laboratories reported data from its study on the ability of our The study was conducted at the Defense Language Institute in Monterey, California, The U.

Speaker 3

S. Department of Defense's premier language school. The study was supported by the Defense Advanced Research Projects Agency Within their targeted neuroplasticity training program, the study showed a significant positive effect of NVNS over sham on language recall. Participants receiving our treatment also showed significant increases in energy and focus over the course of each training session. On March 23, 23, we announced the publication of a paper entitled Non invasive vagus nerve stimulation improves brain lesion volume and neurobehavioral outcomes in a rat model of traumatic brain injury The control group showed significant deficits, All of these deficits were reduced in the high dose nVNS group.

Speaker 3

Additional work on the potential benefits of nVNS on TBI Will be funded by an exploratory development research grant in R21 from the National Institute of Neurological Disorders and Stroke. We will continue to provide updates about our pipeline and other opportunities. Now, I'll

Speaker 4

For the quarter ended March 31, 2023, electroCore recorded net sales of $2,800,000 Compared to $1,900,000 during the same period of 2022, which represents an approximate 46% increase over the prior year. The increase of $881,000 is due to an increase in net sales across all major channels. Gross profit for the Q1 of 2023 was $2,300,000 as compared to $1,500,000 for the first Quarter 2022. Gross margin for the Q1 of 2023 was 84% compared to 81% in the Q1 of 2022. Total operating expenses in the Q1 of 20 $8,500,000 as compared to $7,100,000 in the Q1 of 2022.

Speaker 4

Research and development expense in the Q1 of 2023 was $1,800,000 as compared to $934,000 in the This increase was primarily due to targeted investments to support the future iterations of our Therapy delivery platform, including the use of our intellectual property around the delivery of smartphone integrated And smartphone connected non invasive therapy. Selling, general and administrative expense The Q1 of 2023 was $6,700,000 as compared to $6,200,000 in the Q1 of 2022. The increase was driven by severance charges of $332,000 as well as continued targeted investments Sales and marketing to support our commercial efforts, offset by decreases in insurance and stock based compensation expense. GAAP net loss in the Q1 of 2023 was $5,900,000 compared to the $5,600,000 net loss In the Q1 of 2022, adjusted EBITDA net loss in the Q1 of 2023 was $5,100,000 As compared to a net loss of $4,600,000 in the Q1 of 2022. A reconciliation of GAAP net loss to non GAAP adjusted EBITDA net loss has been provided in the financial statement tables included in today's press release.

Speaker 4

Net cash used in operating activities in the quarter ended March 31, 2023, Was approximately $5,900,000 as compared to $4,800,000 in the Q1 of 2022. This increase is primarily due to our investment in product evolution expenditures. We expect the investment level in R and D To begin tapering off for the remainder of the year, total liabilities decreased from $7,700,000 As of December 31, 2022, to $6,500,000 as of March 31, 2023, Contributing to the $5,900,000 of net cash used in operating activities in the Q1 of 2023. Cash, cash equivalents and restricted cash at March 31, 2023, totaled approximately $12,200,000 as compared to approximately $18,000,000 as of December 31, 2022. Looking ahead, For the full year 2023, we are reiterating our net revenue guidance of $14,000,000 to $15,000,000 representing more than 60% growth over 2022.

Speaker 4

We believe that our prescription headache channels will continue growing by more than 50% To at least $12,000,000 for the full year and revenue from new products in the Trivega and TacxDIM brands Could be more than $2,000,000 for the full year. We expect net cash usage in the remainder of 2023 To be below the average quarterly net cash usage in 2022. Net cash usage will decrease as revenues increase, We complete development of new products and continue to rationalize other operating expenses. Therefore, We expect our net cash usage to decrease significantly as we progress through the year. And now, I'll turn the call back over to Dan.

Speaker 3

Thank you, Brian. I'm very pleased with our Q1 2023 operating results and we are increasingly enthusiastic about the company's long term prospects, Especially in our 2 new product lines, Truvega and TaxDim. Continued investment in our cash pay and covered business models have greatly expanded the prescription gammaCore therapy market as reflected by the continued revenue growth, number of facilities and number of prescribers realized in the Q1 of 2023. Truvega has tons of potential as a direct to consumer wellness offering. We believe our metrics are trending in the right direction, and we will continue to adjust our investments in all of our commercial channels as the year progresses.

Speaker 3

Axim 2.0 is a next generation human performance product being financed in part by the Air Force Special Forces through their boost program. From different branches of the military continues to develop for our ATACSTIM product, which may result in expanded adoption in future quarters. Demand for our prescription gammaCore therapy in the VA DoD channel continues to grow based on clinical performance and our increased presence in the field. We now have about 45 straight commission sales agents or 10.99 reps in the field managed by our small team of territory business managers and supported by our customer experience team. Note that our sales and marketing expense increased By $300,000 from $2,400,000 in the Q1 of 2022 to $2,700,000 in the Q1 of 2023, While sales grew almost $900,000 signaling that there may be real leverage opportunities in the P and L if revenue increases over time.

Speaker 3

The timing of certain disbursements led to a substantial increase in cash used in operations in the Q1, as Brian explained. Our R and D spend on new products likely peaked during the quarter and we had one time expenses around the special meeting of shareholders, reverse split and severance Quarterly cash usage is expected to decline as we go through the year due to anticipated revenue growth, Gross Margins Greater Than 80%, Declining R and D Investments and our intention to maintain discipline around operating expenses. Further out, we're working towards establishing additional indications for prescription gammaCore to treat post traumatic stress disorder and or opioid use disorder. Look for new product launches in 2024 featuring our app enabled technology that can provide digital health solutions. That product platform will be launched in headache, wellness and human performance as we ramp up our supply chain.

Speaker 3

We see many potential growth drivers for the remainder of 2023 and beyond, including continued growth in our U. S. Prescription headache business in both the VA DoD and commercial channels further development of the Truvega product for wellness, mental acuity and sleep, Driven by increased direct to consumer marketing efforts, further development of the TaxDIM brand for human performance In the active duty military and beyond, our app enabled new product platform that will facilitate consumer facing digital health solutions And unlock new business models and prescription gammaCore label extensions into PTSD and or OUD in 2024 2025. Finally, in February 2023, we implemented a 1 for 15 reverse split And we gained compliance with NASDAQ listing requirements on March 6, 2023. We've been comfortably above any listing requirements Since effectuating the reverse split.

Speaker 3

At this time, I'll turn the call over to the operator. Operator, please open the line for questions.

Operator

Thank you. We will now be conducting a question and answer Our first question comes from Jess Cohan with Ladenburg Thalmann. Please go ahead.

Speaker 5

Hey, this is actually Destiny on for Jeff. Thank you for taking our questions. I guess what I'd like to Start with, it's actually the VA and DoD channels. You now have 324, if I heard correctly, facilities And 45 reps. 124.

Speaker 5

Okay. Got it. Got it. Got it. So can you talk a little bit more about the growth there?

Speaker 5

And now that you have the 45 reps,

Speaker 3

The VA hospitals, we have basically 2 tactics. The first is opening new customers, new VA hospitals that haven't ordered from us before. And the second is Taking care of our existing customers and going deeper within those existing customers. Both of those tasks At the end of the day, still require feet on the street. We just haven't found a way to get these kinds of hospital based sales without Showing up and showing up reliably.

Speaker 3

And that's where the straight commission sales agents, I call them, Really allow us to scale the activity. Many of us at the home office, our Medical affairs team, our territory business managers get involved in targeting specific new facilities to open up. And then once we have opened them up, we rely on the local sales agents as well as our Customer experience seem to follow through. And this is one of those areas where success begets Success. And more and more our sales agents as they're doing better And their network of colleagues who are also in the neighborhood hear about their success.

Speaker 3

We're looking at some acceleration in our ability to reach new facilities as well as to go deeper within existing facilities. And just to be clear, the sales agents are all variable expense. There's no fixed expense associated with them.

Speaker 5

Got it. Okay. Okay. And you said you had 45 reps. Has that changed at all since last

Speaker 3

That's a yes, that's a dramatic increase from where we were at the end of last year. We were just starting to put together our network of 1099 reps as we exited last year.

Speaker 5

Perfect. Okay. That's really encouraging. Thank you. And then perhaps I'll go over to TaxDIM 2.0 as you're calling it.

Speaker 5

Can you just talk a little bit about Some of the advancements you're making or some differences between the TaxDIM DeviceNow and 2.0. And then Yes. Well, let's start with that and then I'll have a follow-up. Sure. So

Speaker 3

Air Force Research Laboratories Has been working closely with us to develop a middle spec rugged Reliable version of our handheld personal use vagus nerve stimulator. And I actually had the great pleasure of showing some prototypes to Special Forces operators at Holdford Field in Florida just last week and they're getting very excited about this next Generation configuration because it's going to be far more useful to them in the field. As far

Speaker 5

as

Speaker 3

timing, we're going to have to stay quiet about the timing for when that product is going to launch, but We're very excited about it. And maybe more importantly, the special forces operators are excited about it.

Speaker 5

Absolutely. Okay, great. Thank you. And then I want to bounce over to Truvega. I was wondering if you could talk a little bit about your demographic Data there, given that this is kind of an over the counter type product that's pretty readily available, are you seeing a huge change or difference in demographic between your Gammacore and the Truvega?

Speaker 3

So most of our U. S. Gammacore Sales are through the VA hospital system and that's a very different demographic. But On the commercial side, I think the demographic skews younger and is closer. But still, the Truvega personas that we're currently targeting with our media spend and our Our Internet search and social media spend is younger and more affluent, But it's really small numbers at this point and I don't want to draw too many conclusions from what are really small numbers by in the grand scheme of things.

Speaker 5

Okay. Got it. And then Brian, I just have a couple for you. The gross margin expansion, is this kind of a level we should expect to see going forward? And the driver is volume or channels or both.

Speaker 5

Yes, I guess let's start with that. I get ahead of myself.

Speaker 4

No, that's okay. I'll try to keep up with you. No, we've been consistently in the 80s For the past year, we had some cleanup on the balance sheet in Q4. So we were down to 75%. But without that cleanup, We would have been right around where we finished Q1.

Speaker 4

So I think that's for right now that in the 80s is a safe place to assume. I think it's a combination of increased revenue. That way we absorb more labor and overhead. We continue to also sell more and more Longer duration products, which also is accretive to gross margin as well.

Speaker 5

Okay, got it. Thank you. And then last one, I promise. In terms of a greater investment in marketing, what kind of investment are you looking at maybe on a percentage basis

Speaker 3

Going forward. Yes. So I talked a little bit about the growth in our sales and marketing expense Compared to the growth in revenue and back of the envelope, Our sales and marketing expense grew at sort of less than 30% of revenue. So I think that might be a good way to think about how we're going We are reinvesting in sales and marketing to grow that revenue line.

Speaker 5

Okay, perfect. Well, that does it for me. Thank you for taking my many

Operator

Next question comes from John Vandermoster, Zacks CSCR. Please go ahead.

Speaker 6

Thank you and hello, Dan and Brian. You guys have had a lot of great press Lisa, on just the wide profile of the device and what it can do and language learning is just else that I haven't even thought about, but in our research, we've seen a lot of other areas that you've talked about also as well. And it seems to have a safety profile and kind of the benefits of exercise, right, but without the effort. And you also have opened up a channel that It doesn't rely on the FDA to distribute the product. And I'm wondering how can you leverage that and also Get more eyes on the product and what it can do to really leverage that Truvega channel that you have?

Speaker 3

Well, this is early days for us, John, but you're absolutely right. If we do this correctly, the direct to consumer wellness for stress, for mental acuity, for sleep He's going to draw attention to the fundamental benefits of VEGUS nerve stimulation and should have carryover For our prescription strength, gammaCore brand and vice versa. And then all of the work, the really exciting work that Army Special Forces and Air Force Special Forces are doing that I can't talk about yet. And I'm really looking forward to the day that we can start a campaign that's, Hain, that's for example, as used by Army Special Forces. So all three brands, if we do this correctly, are going to reinforce And Bill, on each other.

Speaker 3

The other yet another opportunity for us and we haven't talked about it too much yet It is the relatively young vagus nerve society. It's a professional academic society, which is really focused on All of the benefits and method of operation The vagus nerve, starting from holistic approaches, including implants And of course, non invasive and minimally invasive approaches, but that society is becoming a forum For broad based discussion by healthcare professionals, by neuroscientists and ultimately I think by the Lay public as well.

Speaker 6

Okay. And as you know, we're still in the early stages of Truvega with Very low revenues relative to some of your other businesses. But I guess, do you prefer on a margin basis, do you prefer a dollar revenues From Trivago or the VA kind of NHS

Speaker 3

source? All of these all three Of the brands, right now are in that low 80% gross margins. So They all help each other. And because we're still a very small business, revenue in general helps The spread, the fixed expenses of the company, the public company expense, rents, insurance.

Speaker 6

So it sounds like Truvega right now is kind of on par with the other one. As it grows, the attractiveness might increase, Just leveraging kind of the fixed efforts.

Speaker 3

Yes, absolutely. Absolutely.

Speaker 6

Yes. Okay.

Speaker 2

Yes. No, that's really helpful.

Speaker 6

And wanted to look at the NIDA grant. How is that going to flow through your income statement? You mentioned it was a 3 year study.

Speaker 2

It's not

Speaker 3

The NIDA grant is to Emory University and the And the VA, the Atlanta VA Hospital, all of that money is going to those entities To execute the pivotal trial. So the right way to think about it is it's an expense offset Because that pivotal trial will become the foundation of a 510 submission and ultimately a label extension To treat the symptoms of withdrawal from opioid use. So it's money that we don't have to spend in order to get that additional

Speaker 6

Okay. And it was a 3 year study. What was the start date on that or anticipated start date?

Speaker 3

So the trial will start in coming months. We're optimistic that they will complete enrollment Toward the end of 2024, in which case, we can execute on the regulatory process In

Speaker 6

2025. Great. And last thing, Pei Jin, you had a press release announcing that you've received the annual license fee from them. Are there any milestones in the near term or medium term that we should look out for to help us predict when royalty revenues may come?

Speaker 3

So we're booking license Revenues on a quarterly basis and they're making quarterly payments. I think what you're really asking is when is it going The product sales and that's probably over that's probably still over the planning horizon there. Our good friends at Teijin Working with the Japanese Ministry of Health, they're lobbying hard to get the Ministry of Health to accept The pivotal data that was collected in the United States, but that's There's still a high likelihood that they're going to be forced to conduct at least a small in country pivotal trial, which He's going to chew up calendar time.

Speaker 2

Got it. All right, Dan. Thank you

Speaker 6

so much. And Brian, thank you as well.

Speaker 3

Thanks, John. Appreciate your support.

Operator

Next question comes from Pula Ramakanth with H. C. Wainwright, please go ahead.

Speaker 2

Thank you. Good afternoon, Dan and Brian. This is Dave from Bank of Enright. Obviously, we have discussed quite a few interesting pieces of the company. A couple of things that I would like to understand a little bit more is, so on the commercial business, I believe you stated that there are about 1834 prescribers or approximately 50 6 new additions, which is Quite a decent number in terms of prescribers added.

Speaker 2

How does that translate to revenue? And you said you're kind of thinking of them as Lead indicator. So I'm just trying to understand like how do you How are you coming to that conclusion? And when you said leading, what is the lifetime you are thinking of From them coming on board to getting scripts written on a regular basis?

Speaker 3

Yes. So Those that cohort of 500 that we engaged in the Q1, Our metric is that they we filled at least one prescription in order for that prescriber to be There's a new prescriber. So they're already generating revenue and there are Two metrics there. The first is how many of those are new prescriptions and then how many are refill prescriptions. So to an earlier question, Brian said something about product mix and refill prescriptions are Higher margin for us, but we need the new prescriptions in order to build the installed base, if you will, of happy patients They're going to come back for refill prescriptions.

Speaker 3

So there are 2 ways that this business builds on itself. The first is that once we've engaged a prescriber, if their patients have a Good experience. They come back and prescribe for more of their patients and within their patient population Getting patients to stay on therapy and come back for refill prescriptions.

Speaker 2

Very good. And then, when you made your statements about Jones Healthcare, You're also suggesting that this could potentially become something close to what VA is doing for you. So for that really to happen, What needs to get done? I know you're we are just in very, very early stages you just said. The first set of But I'm just trying to understand like How would it become meaningful or like how long could that take to become meaningful?

Speaker 3

Yes. So the short answer is that we think it's going to Meaningful revenue as we exit this year. As a practical matter, these first prescriptions Are bumping their way through the Kaiser system first and then they get to Jerns and Jerns has to Identify the particular patient, figure out which benefit plan they're on, figure out where they are, That individual is with respect to co pays and deductibles, it's called adjudicating the prescription. And then they have to collect that co pay from the patient before we can dispense To the patients. And so each one of those steps Has to be sorted out in the bureaucracy.

Speaker 3

But once it's sorted out, it should start to become Far more systematic and scalable. And so as the bureaucracy starts to work smoothly, We're going to take our same field sales force that's calling on VA hospitals to start calling on the Kaiser facilities To engage prescribers to scale that business and it's got a lot of the same characteristics as the VA hospital business. So I'm very optimistic that It's always it's going to take longer than I want, but I'm optimistic that as we roll into 2024 fundamentally we'll have

Speaker 2

This is kind of a 2 part question. So when we think about Gammacore, Truvega, Taxtim, Taxtim 2.0, What is the margin contribution from Is the margin contribution different from each one of these things? And then also in terms of The pricing, how different is it For each one, please.

Speaker 3

So it's a very good question and the numbers for our new brands are So very small, so the margin profile is going to evolve. The Truvega product that we're currently selling is On the Internet for $300 for a first transaction, so that's kind of the price point. The tax team is right now is very limited. Distribution to certain units of Special Forces and each one of those transactions has its own pricing profile. So right now, it's not that it's complicated, but We're not sharing very much pricing information publicly until these lines of business get substantially larger.

Speaker 2

Okay. So the last question from me is, again, among these 4 devices, right, or brand line or lines Of Camecord. Is the technology any different or it's all the same, Except that it's packaged differently for different users.

Speaker 3

So the way that I like to describe it is that Gammacore is our prescription strength product offering. Truvega is our direct to Consumer wellness product and has the same exactly the same safety profile, but is not as energetic as the prescription Frank, we may have talked about it, but I can go to the corner store and get 200 milligrams of Ibuprofen under the Advil brand, pretty much any store you want to, But I can also go to my doctor or dentist and get a prescription for Motrin, which is 800 milligrams of Ibuprofen. So there's prescription strength, Ibuprofen and then there's the direct to consumer over the counter strength and that's how we're trying that's how we Differentiate those product lines.

Speaker 2

Okay. So Truvega is not going to teach me a different language All right. We'll have a tougher time. No. No.

Speaker 2

Okay. Thank you.

Speaker 3

There is evidence that it helps mental acuity, but you're pretty sharp. You don't need it.

Speaker 2

Thank you. Thanks for taking my questions.

Speaker 3

Of course.

Operator

Next question comes from Kem Dollybur with Brookline Capital Markets. Please go ahead.

Speaker 7

Hi, thank you and good afternoon. Just a couple of questions. When you talk about R and D spend tapering from Q1's level, I mean, how much of a Reduction should we think about?

Speaker 4

Yes. Go ahead, Brian. Go ahead, Brian. No.

Speaker 3

Go ahead, Brian. No.

Speaker 6

You got it.

Speaker 4

Yes. So we were about $1,800,000 this quarter. I don't think we're going to give specific Dollar guidance on the call, but we expect by the end of the year that number will go down significantly. Okay.

Speaker 7

Dan, were you going to give away the goods?

Speaker 3

Nope. I was going to be even vaguer than him than Brian.

Speaker 4

Okay. He wasn't going to use the word significantly, probably. Yes.

Speaker 7

Fair enough. With regard to Kaiser and Jerns, When you talk about the length of the process currently, claim adjudication, once you get it set up and running Yes. At least in the prescription world, electronic and I assume with VA, you're pretty well set. But What's the length of the process you're experiencing currently for claims processing versus what it would look like normally?

Speaker 3

Yes. So the goal is that everything is loaded into the computer systems at both Kaiser and Jerns And it's automatic that once a prescription is generated in a Kaiser facility, It flows through. There is always in this DME world, there's always a lag. Stearns has to reach out to the individual around collecting deductibles or co pays And that's probably a 30 day step in the process on an average. Some are much faster depending on the benefit plans and that's But we have very, very small numbers in that channel right now.

Speaker 3

So I'm really speculating.

Speaker 7

Okay. Thank you. And Brian, I was looking at the 10 Q quickly and there was a pretty Significant reduction in the long term inventory numbering. Can you talk about The dynamic there and when we

Speaker 3

Thank you for noticing. Sure.

Speaker 7

Just are we on track for that to say disappear by early 2024 because it obviously the goal here is to Avoid any write down consequence.

Speaker 4

Yes. It's a great question. I don't think there's a right now A write down risk, but it's more what do we expect to sell that we have an inventory in the next From the date of the balance sheet. So the good news is the current is going up because 1, we're selling inventory and 2, we project our revenue To the left, as you can see through our guidance. So eventually, we won't have long term Inventory will be more traditional, just it will be a current asset, but that's good news.

Speaker 4

The more that goes into current from long term Means we're confident about selling that inventory in the next 12 month period.

Speaker 3

And look, I'll pile on that. I think Brian and his team have done a great job of monetizing that inventory that we inherited several

Operator

Next question comes from Nick Sherwood with Maxim Group. Please go ahead.

Speaker 8

Good afternoon. This is Nick Sherwood speaking for Anthony Vendetti of Maxim Group LLC. Can you get into a little more detail on What's driving the traffic for the e commerce platform Truvega? Is that a lot of digital marketing? Or are you seeing Some organic growth just from word-of-mouth that comes from the VA channel?

Speaker 3

Yes. So there is some organic, there's some early adopter. Most of our spend in the Q1 was around paid search. We've started to open up Social media channels, and I think we just went live on TikTok. We're starting to learn about influencers And we're doing a lot of AB testing on these different digital marketing techniques.

Speaker 3

So We're pretty excited. As I said in the script, it far exceeded our expectations in the Q1 and now we're feeling more and more comfortable about Increasing the spend and maintaining that return on advertising spend ratios, so it Should scale

Speaker 8

nicely. Okay, perfect. And I think that's all the questions that I have. So thank you for your time.

Speaker 3

Great. Appreciate your interest.

Operator

There are no further questions At this time, I would like to turn the floor back over to Dan Goldberg for closing comments. Please go ahead.

Speaker 3

Thank you, operator, and we appreciate everybody joining today's call. Lots of good questions. I hope we were Helpful in our answers. I want to give special thanks to all of our employees and our new cohort of sales agents We are working tirelessly to deliver this amazing therapy to patients. I also want to thank the healthcare professionals and their patients Their loyal support of our gammaCore therapy, we greatly appreciate support from Air Force Research Laboratories and the National Thank you, Deidre, on drug abuse, for supporting our new product initiatives and label expansions.

Speaker 3

We've made a tremendous amount of progress and

Operator

The conference has now concluded. Thank you for attending today's presentation. You may now

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