−Removed: investment in the Company’s securities involves a high degree of risk.
−Removed: You should carefully consider the risks described below
−Removed: as well as other information provided to you in this report, including information in the section of this document entitled “
−Removed: Looking Statements.
−Removed: The risks and uncertainties described below are not the only ones facing us.
+Added: investment in the Company’s securities involves a high degree of risk.
+Added: You should carefully consider the risks described
+Added: below as well as other information provided to you in this report, including information in the section of this document entitled “Forward
+Added: Looking Statements.” The risks and uncertainties described below are not the only ones facing us.
Additional risks and uncertainties
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pharmaceutical industry is highly competitive.
−Removed: pandemic and natural disasters.
+Added: supply chain disruption.
● Interruptions
in operations at our sole facility could have a material adverse effect on our business.
−Removed: are dependent on a small number of customers, suppliers and other third parties for core business aspects.
+Added: are dependent on a small number of customers, suppliers and other third parties for core
+Added: business aspects.
may sell, withdraw or discontinue manufacture of certain products.
−Removed: may fail to successfully identify, develop, complete clinical trials, secure regulatory approvals and commercialize new products.
+Added: may fail to successfully identify, develop, and commercialize new products.
operations could be disrupted by failure of our information systems or cyber-attacks.
in product development may result in failure to achieve adequate return on investment.
−Removed: business is dependent on market perceptions, social and political pressures.
+Added: business is dependent on market perceptions, social and political pressures, including
+Added: public concern over the abuse of opioids.
economic conditions may adversely affect our business.
−Removed: depend on qualified scientific and technical personnel and our ability to attract and retained such.
+Added: depend on qualified scientific and technical personnel and our ability to attract and retained
+Added: ● Unsuccessful
collaboration or licensing arrangements could limit revenues and product development.
1 unchanged sentence
have a relatively limited operating history and our operating results could fluctuate significantly.
+Added: inflation impacts
ability to fund operations is uncertain and we may require additional financing to meet objectives.
have substantial indebtedness which may adversely affect our financial condition.
−Removed: is a risk impairment of significant intangible assets on our balance sheet.
+Added: is a risk of impairment of intangible assets on our balance sheet.
requires estimates, judgements and assumptions which inherently contain uncertainties.
and Regulatory Risks
−Removed: pharmaceutical industry is heavily regulated which creates uncertainty and substantial compliance costs.
−Removed: in the degree to which individuals are covered by healthcare insurance and levels of third party reimbursement could result in decreased
−Removed: use of our products and lower prices.
+Added: pharmaceutical industry is heavily regulated which creates uncertainty and substantial compliance
business may be adversely affected by legislation or healthcare regulatory reform and initiatives.
−Removed: of generics may be limited through legislative, regulatory or efforts of pharma companies.
−Removed: tariffs and evolving trade policy between the US and other countries may adversely affect our business.
DEA could limit the availability of active ingredients used in many of our products.
in FDA approval requirements may prevent or delay approval of new products.
−Removed: received a CRL from the FDA indicating that the SequestOx TM NDA is not ready for approval.
−Removed: factors may cause us to be unable to manufacture products or face interruptions in our manufacturing process.
−Removed: between branded pharmaceutical companies and generic pharmaceutical companies are facing increased government scrutiny in the United
−Removed: States and Internationally.
+Added: received a CRL from the FDA indicating that the SequestOx™ NDA is not ready for approval.
+Added: factors may cause us to be unable to manufacture products or face interruptions in our manufacturing
+Added: between branded pharmaceutical companies and generic pharmaceutical companies are facing
+Added: increased government scrutiny in the United States and Internationally.
and Liability Related Risks
may not be able to obtain or maintain adequate insurance coverages.
−Removed: product liability claims, product recalls, government investigations and other significant legal proceedings are common in the pharmaceutical
−Removed: products contain narcotic ingredients which may subject us to increased litigation risk and regulation.
−Removed: concern over abuse of opioids has negatively affected our business.
−Removed: distribution and third party sale of counterfeit versions of our products could have a detrimental effect on our reputation and business.
+Added: ● Litigation,
+Added: product liability claims, product recalls, government investigations and other significant
+Added: legal proceedings are common in the pharmaceutical industry.
+Added: are subject to various fraud and abuse laws which could expose us to criminal sanctions,
+Added: civil penalties, contractual damages, reputational harm, and diminished profits and future
+Added: products contain controlled substances which may subject us to increased litigation
+Added: risk and regulation.
+Added: REMS programs could increase the cost, burden, and liability associated with the commercialization
+Added: of certain products.
and Organizational Risks
−Removed: have identified material weaknesses in internal controls in prior years.
−Removed: of our Articles of Incorporation could deter a change of management and discourage offers to acquire us.
+Added: of our Articles of Incorporation could deter a change of management and discourage offers
+Added: to acquire us.
Property Related Risks
−Removed: ability to protect intellectual property rights and successfully defend third party allegations of intellectual property infringement
−Removed: is vital to our business and uncertain.
+Added: ability to protect intellectual property rights and successfully defend third party allegations
+Added: of intellectual property infringement is vital to our business and uncertain.
Related to our Common Shares
−Removed: from issuance of shares to Lincoln Park, Directors, Employees, Consultants or upon exercise of warrants and options or the perception
−Removed: that dilution may occur could cause the price per share of common stock to fall.
−Removed: common stock is a penny stock, quoted on the OTC bulletin board, with rules in place that could limit trading and liquidity of our
−Removed: shares, increased transaction costs that could adversely affect our price per share.
+Added: from issuance of shares to Lincoln Park, Directors, Employees, Consultants or upon exercise
+Added: of warrants and options or the perception that dilution may occur could cause the price per
+Added: share of common stock to fall.
+Added: common stock is a penny stock, quoted on the OTC bulletin board, with rules in place that
+Added: could limit trading and liquidity of our shares, increased transaction costs that could adversely
+Added: affect our price per share.
+Added: ● Shareholder
activism could negatively affect us.
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convenience, access to scientific and technical information, and ability to manage operations in an economic environment that is severely
−Removed: impacted by a global pandemic such as COVID-19.
−Removed: In addition, the pharmaceutical industry is undergoing rapid and significant technological
−Removed: change, and we expect competition to intensify as technical advances in each field are made and become more widely known.
−Removed: An increasing
−Removed: number of pharmaceutical companies have been or are becoming interested in the development and commercialization of products incorporating
−Removed: advanced or novel drug delivery systems.
−Removed: We expect that competition in the field of drug delivery will increase in the future as other
−Removed: specialized research and development companies begin to concentrate on this aspect of the business.
−Removed: Some of the major pharmaceutical
−Removed: companies have invested and are continuing to invest significant resources in the development of their own drug delivery systems and
−Removed: technologies and some have invested funds in specialized drug delivery companies.
−Removed: Many of our competitors have longer operating histories
−Removed: and, they, and future competitors, may have greater financial, research and development, marketing, and other resources than we do.
−Removed: recent trends in this industry include market consolidation, which may further concentrate financial, technical, market and other strengths
−Removed: and resources with the result being a further increase competitive pressures existent in this industry.
−Removed: Such companies may develop new
−Removed: formulations and products, or may improve existing ones, more efficiently than we can.
−Removed: Our success, if any, will depend in part on our
−Removed: ability to keep pace with the changing technology in the fields in which we operate.
+Added: impacted by the ongoing COVID-19 pandemic.
+Added: In addition, the pharmaceutical industry is undergoing rapid and significant
+Added: technological change, and we expect competition to intensify as technical advances in each field are made and become more widely known.
+Added: An increasing number of pharmaceutical companies have been or are becoming interested in the development and commercialization of products
+Added: incorporating advanced or novel drug delivery systems.
+Added: We expect that competition in the field of drug delivery will increase in the
+Added: future as other specialized research and development companies begin to concentrate on this aspect of the business.
+Added: Some of the major
+Added: pharmaceutical companies have invested and are continuing to invest significant resources in the development of their own drug delivery
+Added: systems and technologies and some have invested funds in specialized drug delivery companies.
+Added: Many of our competitors have longer operating
+Added: histories and, they, and future competitors, may have greater financial, research and development, marketing, and other resources than
+Added: Furthermore, recent trends in this industry include market consolidation, which may further concentrate financial, technical,
+Added: market and other strengths and resources with the result being a further increase competitive pressures existent in this industry.
+Added: companies may develop new formulations and products, or may improve existing ones, more efficiently than we can.
+Added: Our success, if any,
+Added: will depend in part on our ability to keep pace with the changing technology in the fields in which we operate.
we expand our presence in the generic pharmaceuticals market our product candidates may face intense competition from brand-name companies
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license their products directly or through licensing arrangements or strategic alliances with generic pharmaceutical companies (so-called
−Removed: “authorized generics”).
+Added: “authorized generics”).
No significant regulatory approvals are required for a brand-name company to sell directly or through
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suits for patent infringement that automatically delay approval from the FDA;
−Removed: citizens’
−Removed: petitions with the FDA contesting approval of the generic versions of products due to alleged health and safety issues;
−Removed: controlled-release or other “next-generation”
−Removed: products, which often reduce demand for the generic version of the existing
−Removed: product for which we may be seeking approval;
+Added: citizens’ petitions with the FDA contesting approval of the generic versions of products
+Added: due to alleged health and safety issues;
+Added: controlled-release or other “next-generation” products, which often reduce demand
+Added: for the generic version of the existing product for which we may be seeking approval;
product claims and product labeling;
−Removed: and marketing as over-the-counter products those branded products which are about to face generic competition;
−Removed: arrangements with managed care companies and insurers to reduce the economic incentives to purchase generic pharmaceuticals.
+Added: and marketing as over-the-counter products those branded products which are about to face
+Added: generic competition;
+Added: arrangements with managed care companies and insurers to reduce the economic incentives to
+Added: purchase generic pharmaceuticals.
strategies may increase the costs and risks associated with our efforts to introduce our generic products under development and may delay
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A chargeback is the difference between the price the wholesaler pays and the price that
−Removed: the wholesaler’s end-customer pays for a product.
+Added: the wholesaler’s end-customer pays for a product.
Although, our marketing partners establish, and prospectively we would also establish
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cash flow, ability to operate and stock price.
−Removed: pandemic and natural disasters.
−Removed: health problems, including the recent global COVID-19 pandemic, natural disasters or other unexpected events could materially and adversely
+Added: pandemic and natural disasters, including the ongoing COVID-19 pandemic.
+Added: health problems, including the ongoing COVID-19 pandemic, natural disasters or other unexpected events could materially and adversely
affect our business.
−Removed: health outbreaks, epidemics or pandemics, such as the coronavirus, could materially and adversely impact our business.
−Removed: For example, the
−Removed: COVID-19 pandemic has resulted in global business and economic disruption and extreme volatility in the financial markets as many jurisdictions
−Removed: have placed restrictions on travel and non-essential business operations and implemented social distancing, shelter-in-place, quarantine
−Removed: and other similar measures for their residents with the stated objective being to contain the spread of the virus.
In response to these
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have also suspended international and domestic travel on behalf of the Company.
−Removed: Despite these actions, the Company continues to be exposed
−Removed: to the risk of a significant disruption or ceasing of all manufacturing or other operations resulting from laws, executive orders or
−Removed: other directives from various governmental authorities which could require such disruption or ceasing of operations due to our products
−Removed: and or operations being determined to be non-essential or any other reason for which it has been determined that such actions taken against
−Removed: the Company will further the protection of the general population from harm that may be caused or related to COVID-19 or any similar
−Removed: threat to public health.
−Removed: effects of COVID-19, including these public health directives and orders and our policies, have had an impact on our business and may
−Removed: in the future materially disrupt our business, including our manufacturing and supply chain operations by significantly reducing our
−Removed: output, negatively impact our productivity and delay our product development programs.
−Removed: The global pandemic may have significant impacts
−Removed: on third-party arrangements, including those with our manufacturing, supply chain and distribution partners, information technology and
−Removed: other vendors and other service providers and business partners.
−Removed: For example, there may be significant disruptions in the ability of
−Removed: any or all of these third-party providers to meet their obligations to us on a timely basis, or at all, which may be caused by their
−Removed: own financial or operational difficulties, including any closures of their facilities pursuant to a governmental order or otherwise.
−Removed: As a result of these disruptions and other factors, including changes in our workforce availability and increased demand for any of our
−Removed: products during this pandemic, our ability to meet our obligations to third-party marketing and distribution partners may be negatively
−Removed: As a result, the Company, or our third-party providers may deliver notices of the occurrent of force majeure or similar
−Removed: event under certain contracts which could result in prolonged commercial disputes and ultimately legal proceedings to enforce contractual
−Removed: performance and/or recover losses.
−Removed: Any such occurrences could result in significant management distraction and use of resources and,
−Removed: in the event of an adverse judgment, could result in significant cash payments.
−Removed: Further, the publicity of any such dispute could harm
−Removed: our reputation and make the negotiation of any replacement contracts more difficult and costly, thereby prolonging the effects of any
−Removed: resulting disruption in our operations.
−Removed: Such disruptions could be acute with respect to certain of our raw material suppliers where we
−Removed: may not have readily accessible alternatives or alternatives may take longer to source than usual.
−Removed: While we attempt, when possible, to
−Removed: mitigate our raw material supply risks through stock management and alternative sourcing strategies, some raw materials are only available
−Removed: from one source.
−Removed: Any of these disruptions could harm our ability to meet consumer demand, including any increase in demand for any of
−Removed: our products used during a pandemic.
−Removed: to date we have not experienced a significant detrimental change in customer demand, the heightened possibility of changes in customer
−Removed: demand as the COVID-19 pandemic evolves remains.
−Removed: The current economic crisis and higher levels of unemployment rates resulting from COVID-19
−Removed: have the potential to significantly reduce individual disposable income and depress consumer confidence, which could limit the ability
−Removed: of some consumers to purchase certain pharmaceutical products and reduce consumer spend on certain medical procedures in the short-,
−Removed: medium- and long term.
−Removed: Additionally, as part of the measures to address COVID-19, certain healthcare providers are not currently performing
−Removed: various medical procedures and an increased portion of the general public are reducing their consumption of medical services which may
−Removed: result in decreased demand for certain of our products.
+Added: effects of COVID-19, including the resultant supply chain issues and inflation, have had an impact on our business and may in
+Added: the future materially disrupt our business, including our manufacturing and supply chain operations by significantly reducing our output,
+Added: negatively impact our productivity and delay our product development programs.
+Added: The global pandemic may have significant impacts on third-party
+Added: arrangements, including those with our manufacturing, supply chain and distribution partners, information technology and other vendors
+Added: and other service providers and business partners.
+Added: For example, there may be significant disruptions in the ability of any or all of
+Added: these third-party providers to meet their obligations to us on a timely basis, or at all, which may be caused by their own financial
+Added: or operational difficulties, including any closures of their facilities pursuant to a governmental order or otherwise.
+Added: While we attempt, when possible, to mitigate our raw material
+Added: supply risks through stock management and alternative sourcing strategies, some raw materials are only available from one source.
+Added: of these disruptions could harm our ability to meet consumer demand, including any increase in demand for any of our products used during
we are unable to predict the impact that COVID-19 may have going forward on the business, results of operations or financial position
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In addition, we may face additional challenges receiving regulatory approvals
−Removed: as previously scheduled dates or anticipated deadlines for action by the FDA on our applications and products in development, including
−Removed: dates scheduled for 2021, if any, could be subject to delays beyond our control as regulators such as the FDA focus on COVID-19.
+Added: as previously scheduled dates or anticipated deadlines for action by the FDA on our applications and products in development, could be subject to delays beyond our control as regulators such as the FDA focus on COVID-19.
the extent our operating cash flows, together with our cash, cash equivalents, restricted cash and restricted cash equivalents, become
9 unchanged sentences
could further restrict our operations and exacerbate any impact on our results of operations and liquidity that may result from COVID-19.
−Removed: addition, a recession or market correction resulting from the spread of COVID-19 could materially affect our business and the value of
−Removed: our ordinary shares.
−Removed: Additionally,
−Removed: COVID-19 could increase the magnitude of many of the other risks described herein and have other adverse effects on our operations that
−Removed: we are not currently able to predict.
−Removed: For example, the global economic disruptions and volatility in the financial markets could further
−Removed: depress our ability to obtain or renew insurance on satisfactory terms or at all.
−Removed: Additionally, we may also be required to delay or limit
−Removed: our internal strategies in the short- and medium-term by, for example, redirecting significant resources and management attention away
−Removed: from implementing our strategic priorities or executing opportunistic corporate development transactions.
−Removed: The magnitude of the effect
−Removed: of COVID-19 on our business will depend, in part, on the length and severity of the restrictions (including the effects of recently announced
−Removed: “re-opening”
−Removed: plans following a recent slowdown of the virus infection rate in certain countries and localities) and other
−Removed: limitations on our ability to conduct our business in the ordinary course.
−Removed: The longer the pandemic continues or resurges, the more severe
−Removed: the impacts described above will be on both our domestic business and international supply chains.
−Removed: The full extent to which COVID-19
−Removed: may impact our business will depend on future developments, which are highly uncertain and cannot be predicted with accuracy or confidence,
−Removed: such as the duration of the outbreak, the severity of COVID-19, the possibility of re-occurrences of outbreaks of COVID-19, future legal
−Removed: requirements, executive orders or other actions requiring compliance by the Company and general population, or the effectiveness of actions
−Removed: to contain and treat COVID-19, particularly in the geographies where we or our third party suppliers or other strategic partners operate
−Removed: or our customers and end-users of our products reside.
−Removed: Taking the speed and frequency of continuously evolving developments with respect
−Removed: to this pandemic, or in the event of a pandemic relating to something other than COVID-19, we cannot reasonably estimate the magnitude
−Removed: of any impact on our operations, and the full extent to which COVID-19 or another pandemic may impact, in a material and adverse fashion,
−Removed: our business, financial condition, results of operations and cash flow, and could cause significant volatility in the trading prices
−Removed: of our securities.
the occurrence of one or more unexpected events, including fires, tornadoes, tsunamis, hurricanes, earthquakes, floods, and other forms
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for the manufacture of pharmaceutical products are subject to inspection by regulatory agencies at any time and must be operated in conformity
−Removed: with current good manufacturing practice (“cGMP”) and, in the case of controlled substances, DEA regulations.
−Removed: with the FDA’s cGMP and DEA requirements applies to both drug products seeking regulatory approval and to approved drug products.
+Added: with current good manufacturing practice (“cGMP”) and, in the case of controlled substances, DEA regulations.
+Added: with the FDA’s cGMP and DEA requirements applies to both drug products seeking regulatory approval and to approved drug products.
In complying with cGMP requirements, pharmaceutical manufacturing facilities must continually expend significant time, money and effort
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relative instability of some foreign governments and economies;
−Removed: price volatility based on labor unrest, materials or equipment shortages, export duties, restrictions on the transfer of funds, or
−Removed: fluctuations in currency exchange rates;
−Removed: regarding recourse to a dependable legal system for the enforcement of contracts and other rights.
+Added: price volatility based on labor unrest, materials or equipment shortages, export duties,
+Added: restrictions on the transfer of funds, or fluctuations in currency exchange rates;
+Added: ● Uncertainty
+Added: regarding recourse to a dependable legal system for the enforcement of contracts and other
addition, patent laws in certain foreign jurisdictions (primarily, but not necessarily, in Europe) may make it increasingly difficult
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may not, at the time that any of our current contracts expire, have other contracts in place generating similar or material revenue.
−Removed: We have agreements with Lannett, Epic Pharma, Burel and Precision Dose for the sales and distribution of products that we manufacture.
−Removed: We receive revenues to manufacture these products and also receive a profit split or royalties based on in-market sales of the products.
+Added: We have agreements with Lannett Company, Prasco, LLC, Epic Pharma, LLC, and TAGI Pharma, LLC for the sales and distribution of
+Added: products that we manufacture.
+Added: We receive revenues to manufacture these products and also receive a profit split or royalties based on
+Added: in-market sales of the products.
a significant portion of our revenues is derived from a relatively few customers, any financial difficulties experienced by any one of
1 unchanged sentence
results of operations, financial condition, and cash flows.
−Removed: we are dependent on third parties to supply raw materials used in our products and to provide services for certain core aspects of our
−Removed: Any interruption or failure by these suppliers, distributors and collaboration partners to meet their obligations pursuant
−Removed: to various agreements with us could have a material adverse effect on our business, financial condition, results of operations and cash
rely on third parties to supply raw material used in our products.
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distributors or other third-party service providers or in replacing them within a reasonable time frame on commercially reasonable terms.
−Removed: we rely on third parties to conduct clinical trials and testing for our product candidates, and if they do not properly and successfully
−Removed: perform their legal and regulatory obligations, as well as their contractual obligations to us, we may not be able to obtain regulatory
−Removed: approvals for our product candidates.
−Removed: design the clinical trials for our product candidates but rely on contract research organizations and other third parties to assist us
−Removed: in managing, monitoring and otherwise carrying out these trials, including, without limitation, with respect to site selection, contract
−Removed: negotiation, analytical testing, and data management.
−Removed: We do not control these third parties and, as a result, delays may occur as a result
−Removed: of the priorities and operations of these third parties differing from those which we may feel would be most optimal to the completion
−Removed: of such activities in the most efficient manner possible.
−Removed: we rely on third parties to conduct our clinical trials and related activities, we are responsible for confirming that each of our clinical
−Removed: trials is conducted in accordance with our general investigational plan and protocol.
−Removed: Moreover, the FDA and other relevant regulatory
−Removed: agencies require us to comply with regulations and standards, commonly referred to as good clinical practices and good laboratory practices,
−Removed: for conducting, recording, and reporting the results of clinical trials to ensure that the data and results are credible and accurate
−Removed: and that the trial participants are adequately protected.
−Removed: Our reliance on third parties does not relieve us of these responsibilities
−Removed: and requirements.
−Removed: The FDA enforces good clinical practices and good laboratory practices through periodic inspections of trial sponsors,
−Removed: principal investigators, and trial sites.
−Removed: If we, our contract research organizations, or our study sites fail to comply with applicable
−Removed: good clinical practices and good laboratory practices, the clinical data generated in our clinical trials may be deemed unreliable and
−Removed: the FDA may require us to perform additional clinical trials before approving our marketing applications.
−Removed: We cannot assure you that,
−Removed: upon inspection, the FDA will determine that any of our clinical trials comply with good clinical practices and good laboratory practices.
−Removed: In addition, our clinical trials must be conducted with product manufactured under the FDA’s current Good Manufacturing Practices,
−Removed: or cGMP, regulations.
−Removed: Our failure or the failure of our contract manufacturers if any are involved in the process, to comply with these
−Removed: regulations may require us to repeat clinical trials, which would delay the regulatory approval process.
+Added: conducting clinical trials, we rely on third parties
+Added: to conduct the trials and testing for our product candidates, and if they do not properly and successfully perform their legal
+Added: and regulatory obligations, as well as their contractual obligations to us, we may not be able to obtain regulatory approvals for our
+Added: product candidates.
+Added: We do not control these third parties and, as a result, delays may occur as a result of the priorities and operations
+Added: of these third parties differing from those which we may feel would be most optimal to the completion of such activities in the most
+Added: efficient manner possible.
+Added: we rely on third parties when conducting clinical trials and related activities, we are responsible for confirming
+Added: that each of our clinical trials is conducted in accordance with our general investigational plan and protocol.
+Added: Moreover, the FDA and
+Added: other relevant regulatory agencies require us to comply with regulations and standards, commonly referred to as good clinical practices
+Added: and good laboratory practices, for conducting, recording, and reporting the results of clinical trials to ensure that the data and results
+Added: are credible and accurate and that the trial participants are adequately protected.
+Added: Our reliance on third parties does not relieve us
+Added: of these responsibilities and requirements.
+Added: The FDA enforces good clinical practices and good laboratory practices through periodic inspections
+Added: of trial sponsors, principal investigators, and trial sites.
+Added: If we, our contract research organizations, or our study sites fail to comply
+Added: with applicable good clinical practices and good laboratory practices, the clinical data generated in our clinical trials may be deemed
+Added: unreliable and the FDA may require us to perform additional clinical trials before approving our marketing applications.
+Added: We cannot assure
+Added: you that, upon inspection, the FDA will determine that any of our clinical trials comply with good clinical practices and good laboratory
+Added: In addition, our clinical trials must be conducted with product manufactured under the FDA’s current Good Manufacturing
+Added: Practices, or cGMP, regulations.
+Added: Our failure or the failure of our contract manufacturers if any are involved in the process, to comply
+Added: with these regulations may require us to repeat clinical trials, which would delay the regulatory approval process.
third parties do not successfully carry out their duties under their agreements with us, if the quality or accuracy of the data they
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In addition, there can be no assurances that the discontinuance of products will reduce operating
−Removed: expense or no cause the incurrence of material charges associated with such a decision.
−Removed: Furthermore, the discontinuance of existing products,
−Removed: entails various risks, including, without limitation, the ability to find a purchaser for such products, if there is a decision to sell
−Removed: the product, as well as the risk that the purchase price obtained will not be equal to at least the book value of the net assets relating
−Removed: to such products.
−Removed: Other risks associated with a product discontinuance, include, without limitation, managing the expectations of and
−Removed: maintaining good relations with our customers who previously purchased a discontinued product from us, and the effects such would have
−Removed: on future sales to these customers.
+Added: expense or not cause the incurrence of material charges associated with such a decision.
+Added: Furthermore, the discontinuance of existing
+Added: products, entails various risks, including, without limitation, the ability to find a purchaser for such products, if there is a decision
+Added: to sell the product, as well as the risk that the purchase price obtained will not be equal to at least the book value of the net assets
+Added: relating to such products.
+Added: Other risks associated with a product discontinuance, include, without limitation, managing the expectations
+Added: of and maintaining good relations with our customers who previously purchased a discontinued product from us, and the effects such would
+Added: have on future sales to these customers.
We may also incur significant liabilities and costs associated with our product discontinuance.
3 unchanged sentences
limitation, during the twelve months ended March 31, 2020, we received new product approvals that would have resulted in us owning a
−Removed: number of ANDAs that would have required us to self-identify as a large size ANDA holder, on the measurement date, as per the FDA’s
−Removed: Generic Drug User Fee Amendment (“GDUFA”) program fee structure, as opposed to the medium size ANDA classification in effect
+Added: number of ANDAs that would have required us to self-identify as a large size ANDA holder, on the measurement date, as per the FDA’s
+Added: Generic Drug User Fee Amendment (“GDUFA”) program fee structure, as opposed to the medium size ANDA classification in effect
prior to these new ANDA approvals.
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may fail to successfully identify, develop and commercialize new products.
−Removed: Elite’s
product pipeline, including the paused development of its abuse deterrent opioid products, are in various stages of development.
6 unchanged sentences
To meet these
−Removed: requirements, we must conduct extensive preclinical testing and “
−Removed: adequate and well-controlled ”
−Removed: clinical trials.
+Added: requirements, we must conduct extensive preclinical testing and “adequate and well-controlled” clinical trials.
clinical trials is a lengthy, time-consuming, and expensive process.
4 unchanged sentences
● Ineffectiveness
−Removed: of our product candidate or perceptions by physicians that the product candidate is not safe or effective for a particular indication;
+Added: of our product candidate or perceptions by physicians that the product candidate is not safe
+Added: or effective for a particular indication;
to manufacture sufficient quantities of the product candidate for use in clinical trials;
−Removed: or failure in obtaining approval of our clinical trial protocols from the FDA or institutional review boards;
+Added: or failure in obtaining approval of our clinical trial protocols from the FDA or institutional
+Added: review boards;
than expected rate of patient recruitment and enrollment;
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including, without limitation, our own products as well as those that may be developed in partnership with other entities, such as those
−Removed: that were previously developed with SunGen pursuant to a now terminated product development agreement.
+Added: that were previously developed with Praxgen pursuant to a now terminated product development agreement.
As a result, we must continually
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initial indications.
−Removed: Products we are currently developing may not receive the regulatory approvals or clearances necessary for us to
−Removed: market them and, if approved, we may be unable to successfully commercialize them on a timely basis or at all, or if commercialized,
−Removed: revenues and profits achieved from the sale of such products might not reach levels that provide sufficient return on those costs incurred
−Removed: during the commercialization process.
+Added: Products we may develop may not receive the marketing authorizations necessary for us to market them
+Added: and, if approved, we may be unable to successfully commercialize them on a timely basis or at all, or if commercialized, revenues and
+Added: profits achieved from the sale of such products might not reach levels that provide sufficient return on those costs incurred during
+Added: the commercialization process.
successful commercialization of a product is subject to a number of factors, including:
timely filing of any NDA, ANDA or other regulatory submission applicable to our product candidates;
−Removed: adverse development or perceived adverse development with respect to the applicable regulatory agency’s review of such regulatory
−Removed: submission and approval for the indication sought;
+Added: adverse development or perceived adverse development with respect to the applicable regulatory
+Added: agency’s review of such regulatory submission and approval for the indication sought;
effectiveness, ease of use and safety of our products as compared to existing products;
−Removed: demand and the willingness of physicians and customers to adopt our products over products with which they may have more loyalty
−Removed: or familiarity and overcoming any biases towards our products;
−Removed: cost of our product compared to alternative products and the pricing and commercialization strategies of our competitors;
+Added: demand and the willingness of physicians and customers to adopt our products over products
+Added: with which they may have more loyalty or familiarity and overcoming any biases towards our
+Added: cost of our product compared to alternative products and the pricing and commercialization
+Added: strategies of our competitors;
success of our launch and marketing efforts;
−Removed: publicity about us, our products, our competitors and their products or the industry as a whole or favorable publicity about competitors;
+Added: publicity about us, our products, our competitors and their products or the industry as a
+Added: whole or favorable publicity about competitors;
advent of new and innovative alternative products;
−Removed: unforeseen issues or adverse developments in connection with a product and any resulting litigation or regulatory scrutiny and harm
−Removed: to our reputation or the reputation or acceptance of the product in the market.
+Added: unforeseen issues or adverse developments in connection with a product and any resulting
+Added: litigation or regulatory scrutiny and harm to our reputation or the reputation or acceptance
+Added: of the product in the market.
addition, there are many risks associated with developing, commercializing and marketing new products that are beyond our control.
−Removed: example, without limitation, our collaboration partner(s) may decide to make substantial changes to a product’s formulation or
+Added: example, without limitation, our collaboration partner(s) may decide to make substantial changes to a product’s formulation or
design, may experience financial difficulties or may have limited financial resources.
5 unchanged sentences
conduct research and development to enable us to manufacture and market pharmaceutical products in accordance with specific government
−Removed: Our drug development efforts relating to SequestOx TM and certain generics are focused on technically difficult-to-formulate
−Removed: products and/or products that require advanced manufacturing technology.
−Removed: Typically, expenses related to research, development, and regulatory
−Removed: approval of compounds for SequestOx TM , which is a branded pharmaceutical product are significantly greater than those expenses
−Removed: associated with generic products.
−Removed: Expanded research and development efforts are required, resulting in increased research expenses.
−Removed: of the inherent risk associated with research and development efforts in the healthcare industry, particularly with respect to new drugs,
−Removed: our research and development expenditures may not result in the successful regulatory approval and introduction of new pharmaceutical
−Removed: products and failure in the development of any new product can occur at any point in the process, including late in the process after
−Removed: substantial investment.
−Removed: Also, after we submit a regulatory application, the relevant governmental health authority may require that we
−Removed: conduct additional studies, including, for example, studies to assess the product’s interaction with alcohol.
−Removed: As a result, we may
−Removed: be unable to reasonably predict the total research and development costs to develop a particular product and there is a significant risk
−Removed: that the funds we invest in research and development will not generate financial returns.
−Removed: In addition, our operating results and financial
−Removed: condition may fluctuate as the amount we spend to research and develop, commercialize, acquire or license new products, technologies
−Removed: and businesses changes.
−Removed: Much of the preceding occurred with the development of SequestOx TM , which has not received marketing
−Removed: approval from the FDA, for which continued development has been paused and with material adverse effects on our business, results of
−Removed: operations, financial condition, cash flows and ability to operate resulting in the past, as well as the risk remaining for the future.
+Added: Our drug development efforts relating to SequestOx™, which are currently paused, and certain generics are focused
+Added: on technically difficult-to-formulate products and/or products that require advanced manufacturing technology.
+Added: Typically, expenses related
+Added: to research, development, and regulatory approval of compounds for SequestOx™, which is a branded pharmaceutical product, the
+Added: development of which is currently paused, are significantly greater than those expenses associated with generic products.
+Added: research and development efforts are required, resulting in increased research expenses.
+Added: Because of the inherent risk associated with
+Added: research and development efforts in the healthcare industry, particularly with respect to new drugs, our research and development expenditures
+Added: may not result in the successful regulatory approval and introduction of new pharmaceutical products and failure in the development of
+Added: any new product can occur at any point in the process, including late in the process after substantial investment.
+Added: Also, after we submit
+Added: a regulatory application, the relevant governmental health authority may require that we conduct additional studies, including, for example,
+Added: studies to assess the product’s interaction with alcohol.
+Added: As a result, we may be unable to reasonably predict the total research
+Added: and development costs to develop a particular product and there is a significant risk that the funds we invest in research and development
+Added: will not generate financial returns.
+Added: In addition, our operating results and financial condition may fluctuate as the amount we spend
+Added: to research and develop, commercialize, acquire or license new products, technologies and businesses changes.
+Added: Much of the preceding occurred
+Added: with the development of SequestOx™, which has not received marketing approval from the FDA, for which continued development has
+Added: been paused and with material adverse effects on our business, results of operations, financial condition, cash flows and ability to
+Added: operate resulting in the past, as well as the risk remaining for the future.
of these risks, our research and development efforts may not result in any commercially viable products.
Any delay in, or termination
−Removed: of, our preclinical or clinical trials will delay the filing of our drug applications with the FDA and, ultimately, our ability to commercialize
−Removed: our product candidates and generate product revenues.
+Added: of, preclinical or clinical trials will delay the filing of our drug applications with the FDA and, ultimately, our ability to commercialize product candidates and generate product revenues.
If a significant portion of these development efforts are not successfully completed,
24 unchanged sentences
to service interruptions.
−Removed: The size and complexity of our and our vendors’
−Removed: systems and the large amounts of confidential information
+Added: The size and complexity of our and our vendors’ systems and the large amounts of confidential information
that is present on them also makes them potentially vulnerable to security breaches from inadvertent or intentional actions by our employees,
partners, or vendors, or from attacks by malicious third parties.
−Removed: Company and its vendors’
−Removed: sophisticated information technology operations are spread across multiple, sometimes inconsistent, platforms,
+Added: Company and its vendors’ sophisticated information technology operations are spread across multiple, sometimes inconsistent, platforms,
which pose difficulties in maintaining data integrity across systems.
1 unchanged sentence
cloud-based computing, creates opportunities for the unintentional or improper dissemination or destruction of confidential information
−Removed: stored in the Company’s systems.
+Added: stored in the Company’s systems.
breach of our security measures or the accidental loss, inadvertent disclosure, unapproved dissemination, misappropriation or misuse
5 unchanged sentences
on our business, financial condition, results of operations, cash flows and stock price.
−Removed: in product development may result in failure to achieve adequate return on investment.
+Added: in generic product development may result in failure to achieve adequate return on investment.
time necessary to develop generic drugs may adversely affect whether, and the extent to which, we receive a return on our capital.
−Removed: development process for branded and generic products, including, without limitation, drug formulation, testing, and FDA review and approval,
−Removed: often takes three or more years.
−Removed: This process requires that we expend considerable capital to pursue activities that do not yield an
−Removed: immediate or near-term return.
−Removed: Also, because of the significant time necessary to develop a product, the actual market for a product
−Removed: at the time it is available for sale may be significantly less than the originally projected market for the product.
−Removed: If this were to
−Removed: occur, our potential return on our investment in developing the product, if approved for marketing by the FDA, would be adversely affected
−Removed: and we may never receive a return on our investment in the product.
−Removed: It is also possible for the manufacturer of the brand-name product
−Removed: for which we are developing a generic drug to obtain approvals from the FDA to switch the brand-name drug from the prescription market
−Removed: to the OTC market.
−Removed: If this were to occur, we would be prohibited from marketing our product other than as an OTC drug, in which case
−Removed: revenues could be substantially less than we anticipated.
−Removed: are also risks and uncertainties inherent in conducting clinical trials could delay or prevent the development and commercialization
−Removed: of our own branded products.
−Removed: With respect to our branded products which do not qualify for the FDA’s abbreviated application procedures,
−Removed: we must demonstrate through clinical trials that these products are safe and effective for use.
−Removed: We have only limited experience in conducting
−Removed: and supervising clinical trials.
−Removed: The process of completing clinical trials and preparing an NDA may take several years and requires substantial
−Removed: Our studies and filings may not result in FDA approval to market our new drug products and, if the FDA grants approval, we
−Removed: cannot predict the timing of any approval.
−Removed: There are substantial filing fees for NDAs, often in excess of $1 million in addition to the
−Removed: cost of product development and clinical trials, that are not refundable if FDA approval is not obtained.
−Removed: are a number of risks and uncertainties associated with clinical trials.
−Removed: The results of clinical trials may not be indicative of results
−Removed: that would be obtained from large scale testing.
−Removed: Clinical trials are often conducted with patients having advanced stages of disease
−Removed: and, as a result, during the course of treatment these patients can die or suffer adverse medical effects for reasons that may not be
−Removed: related to the pharmaceutical agents being tested, but which nevertheless affect the clinical trial results.
−Removed: In addition, side effects
−Removed: experienced by the patients may cause delay of approval or limit the profile of an approved product.
−Removed: Moreover, our clinical trials may
−Removed: not demonstrate sufficient safety and efficacy to obtain approval from the FDA or foreign regulatory authorities.
−Removed: The FDA or foreign
−Removed: regulatory authorities may not agree with our assessment of the clinical data or they may interpret it differently.
−Removed: Such regulatory authorities
−Removed: may require additional or expanded clinical trials.
−Removed: Even if the FDA or foreign regulatory authorities approve certain products developed
−Removed: by us, there is no assurance that such regulatory authorities will not subject marketing of such products to certain limits on indicated
−Removed: can occur at any time during the clinical trial process and, in addition, the results from early clinical trials may not be predictive
−Removed: of results obtained in later and larger clinical trials, and product candidates in later clinical trials may fail to show the desired
−Removed: safety or efficacy despite having progressed successfully through earlier clinical testing.
−Removed: of clinical trials for our product candidates may be delayed or halted for the reasons noted above in addition to many other reasons,
−Removed: including, without limitation:
−Removed: in patient enrolment, and variability in the number and types of patients available for clinical trials;
−Removed: or institutional review boards may not allow us to commence or continue a clinical trial;
−Removed: inability, or the inability of our partners, if any, to manufacture or obtain from third parties those materials required to complete
−Removed: clinical trials;
−Removed: or failure in reaching agreement on acceptable clinical trial contracts or clinical trial protocols with prospective clinical trial
−Removed: associated with trial design, which may result in a failure of the trial to show statistically significant results even if the product
−Removed: candidate is effective;
−Removed: in maintaining contact with patients after treatment commences, resulting in incomplete data
−Removed: effectiveness of product candidates during clinical trials;
−Removed: issues, including adverse events associated with product candidates;
−Removed: of patients to complete clinical trials due to adverse side effects, dissatisfaction with the product candidate, or other reasons;
−Removed: or regulatory delays or changes in regulatory requirements, policy, and guidelines;
−Removed: interpretation of data by the FDA or other relevant regulatory authorities.
−Removed: addition, our product candidates could be subject to competition for clinical study sites and patients from other therapies under development
−Removed: which may delay the enrolment in or initiation of our clinical trials.
−Removed: FDA or other relevant regulatory authorities may require us to conduct unanticipated additional clinical trials, which could result in
−Removed: additional expense and delays in bringing our product candidates to market.
−Removed: Any failure or delay in completing clinical trials for our
−Removed: product candidates would prevent or delay the commercialization of our product candidates.
−Removed: We cannot assure that our expenses related
−Removed: to clinical trials will lead to the development of brand-name drugs that will generate revenues in the near future.
−Removed: Delays or failure
−Removed: in the development and commercialization of our own branded products could have a material adverse effect on our business, results of
−Removed: operations and financial condition.
−Removed: business is dependent on market perceptions, social and political pressures.
+Added: development process for generic products, including, without limitation, drug formulation, testing, and FDA review and approval, often
+Added: takes three or more years.
+Added: We must also successfully address any challenges brought by the owner of the listed patent.
+Added: requires that we expend considerable capital to pursue activities that do not yield an immediate or near-term return.
+Added: Also, because of
+Added: the significant time necessary to develop a product, the actual market for a product at the time it is available for sale may be significantly
+Added: less than the originally projected market for the product.
+Added: If this were to occur, our potential return on our investment in developing
+Added: the product, if approved for marketing by the FDA, would be adversely affected and we may never receive a return on our investment in
+Added: It is also possible for the manufacturer of the brand-name product for which we are developing a generic drug to obtain
+Added: approvals from the FDA to switch the brand-name drug from the prescription market to the OTC market.
+Added: If this were to occur, we would
+Added: be prohibited from marketing our product other than as an OTC drug, in which case revenues could be substantially less than we anticipated.
+Added: business is dependent on market perceptions, social and political pressures, including public concern over the abuse of opioids.
acceptance of our products among physicians, patients, health care payors and the medical community, is a key component of commercial
1 unchanged sentence
The degree of market acceptance of any of our approved
−Removed: product candidates among physicians, patients, health care payors and the medical community will depend on a number of factors, including,
−Removed: without limitation:
+Added: products among physicians, patients, health care payors and the medical community will depend on a number of factors,
+Added: including, without limitation:
evidence of safety and efficacy;
1 unchanged sentence
prevalence and severity of any adverse side effects;
+Added: ● Availability
of alternative treatments;
3 unchanged sentences
to obtain sufficient third-party coverage or reimbursement.
−Removed: we are unable to achieve market acceptance for our product candidates, then such product candidates will not be commercially successful,
−Removed: and our business will be adversely affected.
−Removed: addition, even if we are able to obtain regulatory approvals for our new products, the success of those products as well as the success
−Removed: of our previously approved products, is dependent upon market acceptance.
−Removed: Levels of market acceptance for our new products could be affected
−Removed: by several factors, including, without limitation:
−Removed: availability of alternative products from our competitors;
−Removed: prices of our products relative to those of our competitors;
−Removed: timing of our market entry;
−Removed: ability to market our products effectively at the retail level;
−Removed: perception of patients and the healthcare community, including third-party payers, regarding the safety, efficacy and benefits of
−Removed: our drug products compared to those of competing products;
−Removed: acceptance of our products by government and private formularies.
+Added: we are unable to achieve market acceptance for our products, then such products will not be commercially successful, and
+Added: our business will be adversely affected.
of these factors are not within our control, and our products may not achieve expected levels of market acceptance.
4 unchanged sentences
management programs such as the need for a patient registry.
−Removed: may also experience downward pressure on the price of our products due to social or political pressure to lower the cost of drugs, which
−Removed: would reduce our revenue and future profitability.
−Removed: Recent events have resulted in increased public and governmental scrutiny of the cost
−Removed: of drugs, especially in connection with price increases following companies’
−Removed: acquisition of the rights to certain drug products.
−Removed: In particular, U.S.
−Removed: federal prosecutors have issued subpoenas to pharmaceutical companies seeking information about drug pricing practices.
−Removed: In addition, the U.S.
−Removed: Senate is publicly investigating a number of pharmaceutical companies relating to drug-price increases and pricing
−Removed: Our revenue and future profitability could be negatively affected if these inquiries were to result in legislative or regulatory
−Removed: proposals that limit our ability to increase the prices of our products which could have a material adverse effect on our business, growth
−Removed: prospects, financial condition, results of operations, cash flow and stock price.
−Removed: addition, in September 2016, a group of U.S.
−Removed: Senators introduced legislation that would require pharmaceutical manufacturers to justify
−Removed: price increases of more than 10% in a 12-month period, and a large number of individual States have introduced legislation aimed at drug
−Removed: pricing regulation, transparency or both.
−Removed: While this proposed legislation has not been enacted into law to date, our revenue and future
−Removed: profitability could be negatively affected by the passage of this law or similar federal or state legislation.
−Removed: Furthermore, pressure
−Removed: from social activist groups and future government regulations may also put downward pressure on the price of drugs, which could result
−Removed: in downward pressure on the prices of our products in the future, which could have a material adverse effect on our business, growth
−Removed: prospects, financial condition, results of operations, cash flow and stock price.
−Removed: public concern over the abuse of opioid medications, including increased legal and regulatory action, could also negatively affect our
−Removed: While Elite has de-emphasized its programs with respect to opioids and will continue to focus on products other than opioids,
−Removed: certain governmental and regulatory agencies, as well as state and local jurisdictions, are focused on the abuse of opioid medications
−Removed: in the United States.
−Removed: State and local governmental agencies may investigate us as a manufacturer and/or distributor of medicines containing
−Removed: opioids or in conjunction with their investigation of other pharmaceutical wholesale distributors, and others in the supply chain that
−Removed: have a direct or indirect connection to our operations in relation to the distribution of opioid medications.
−Removed: In addition, multiple lawsuits
−Removed: have been filed against other pharmaceutical manufacturers and distributors alleging, among other claims, that they failed to provide
−Removed: effective controls and procedures to guard against the diversion of controlled substances, acted negligently by distributing controlled
−Removed: substances to pharmacies that serve individuals who abuse controlled substances, and failed to report suspicious orders of controlled
−Removed: substances in accordance with regulations.
−Removed: Additional governmental entities have indicated an intent to sue these other manufacturers
−Removed: and distributors.
−Removed: While no such actions have been taken against us, the immediate effect on the Company has been an inability to commercialize
−Removed: and market three opioid products approved during fiscal years prior to the twelve months ended March 31, 2021 and a cessation of orders
−Removed: for another two other opioid products that had been marketed by our marketing partners.
−Removed: During the year ended March 31, 2020, we disposed
−Removed: of four approved ANDA’s for opioid products.
−Removed: As of March 31, 2021, we continue to hold one approved ANDA for an opioid product
−Removed: that, while approved by the FDA, has not been launched commercially.
−Removed: Further, defense against any such opioid related lawsuits could
−Removed: be cost-prohibitive resulting in an adverse material effect on our business, financial condition, results of operations, cash flows and
−Removed: Similar allegations made against us, even without litigation, could also negatively affect our business in various ways,
−Removed: including through increased costs and harm to our reputation.
−Removed: In addition, an adverse resolution of any lawsuit or investigation could
−Removed: also have a material adverse effect on our business, results of operations, cash flows and stock price.
−Removed: perceptions or our business are important to us, especially market perceptions of the safety and quality of our products.
−Removed: If any of our
−Removed: products or similar products that other companies distribute are subject to market withdrawal, recall, or are proven to be, or are claimed
−Removed: to be, harmful to consumers, then this could have a material adverse effect on our business, results of operations, financial condition,
−Removed: and cash flows.
−Removed: Furthermore, due to the importance of market perceptions, negative publicity associated with product quality, illness
−Removed: or other adverse effects resulting from, or perceived to be resulting from, our products, or similar products made by other companies,
+Added: We may also experience downward pressure on the price of our products due
+Added: to social or political pressure to lower the cost of drugs, which would reduce our revenue and future profitability
+Added: concern over the abuse of opioid medications, including
+Added: increased legal and regulatory action, could also negatively affect our business.
+Added: While Elite has de-emphasized its programs with respect
+Added: to opioids and will continue to focus on products other than opioids, certain governmental and regulatory agencies, as well as state
+Added: and local jurisdictions, are focused on the abuse of opioid medications in the United States.
+Added: State and local governmental agencies may
+Added: investigate us as a manufacturer and/or distributor of medicines containing opioids or in conjunction with their investigation of other
+Added: pharmaceutical wholesale distributors, and others in the supply chain that have a direct or indirect connection to our operations in
+Added: relation to the distribution of opioid medications.
+Added: In addition, multiple lawsuits have been filed against other pharmaceutical manufacturers
+Added: and distributors alleging, among other claims, that they failed to provide effective controls and procedures to guard against the diversion
+Added: of controlled substances, acted negligently by distributing controlled substances to pharmacies that serve individuals who abuse controlled
+Added: substances, and failed to report suspicious orders of controlled substances in accordance with regulations.
+Added: Additional governmental entities
+Added: have indicated an intent to sue these other manufacturers and distributors.
+Added: While no such actions have been taken against us, the immediate
+Added: effect on the Company has been an inability to commercialize and market three opioid products approved during fiscal years prior to the
+Added: twelve months ended March 31, 2021.
+Added: We continue to hold one approved ANDA for an opioid product that, while approved by the FDA,
+Added: has not been launched commercially.
+Added: Further, defense against any such opioid related lawsuits could be cost-prohibitive resulting in
+Added: an adverse material effect on our business, financial condition, results of operations, cash flows and stock price.
+Added: Similar allegations
+Added: made against us, even without litigation, could also negatively affect our business in various ways, including through increased costs
+Added: and harm to our reputation.
+Added: In addition, an adverse resolution of any lawsuit or investigation could also have a material adverse effect
+Added: on our business, results of operations, cash flows and stock price.
+Added: perceptions of our business are important to us, especially market perceptions of the safety and quality of our products.
+Added: of our products or similar products that other companies distribute are subject to market withdrawal, recall, or are proven to be, or
+Added: are claimed to be, harmful to consumers, then this could have a material adverse effect on our business, results of operations, financial
+Added: condition, and cash flows.
+Added: Furthermore, due to the importance of market perceptions, negative publicity associated with product quality,
+Added: illness or other adverse effects resulting from, or perceived to be resulting from, our products, or similar products made by other companies,
could have a material adverse effect on our business, results of operations, financial condition, and cash flows.
2 unchanged sentences
economic conditions may adversely affect our business.
−Removed: global economy has undergone a period of significant volatility, especially during a global pandemic, such as the COVID-19 pandemic,
−Removed: which has led to diminished credit availability, declines in consumer confidence, and increases in unemployment rates.
−Removed: There remains
−Removed: caution about the stability of the U.S.
+Added: global economy has undergone a period of significant volatility, especially during the ongoing COVID-19 pandemic, which has
+Added: led to diminished credit availability, declines in consumer confidence, and increases in unemployment rates.
+Added: There remains caution
+Added: about the stability of the U.S.
economy, and we cannot assure that further deterioration in the financial markets will not occur.
−Removed: These economic conditions have resulted in, and could lead to further, reduced consumer spending related to healthcare in general and
−Removed: pharmaceutical products in particular.
+Added: These economic conditions have resulted in, and could lead to further, reduced consumer spending related to healthcare in general
+Added: and pharmaceutical products in particular.
addition, we have exposure to many different industries and counterparties, including our partners under our alliance and collaboration
agreements, suppliers of raw chemical materials, drug wholesalers and other customers that may be affected by an unstable economic environment.
−Removed: Any economic instability may affect these parties’
−Removed: ability to fulfil their respective contractual obligations to us, cause them
+Added: Any economic instability may affect these parties’ ability to fulfil their respective contractual obligations to us, cause them
to limit or place burdensome conditions upon future transactions with us or drive us and our competitors to decrease prices, each of
7 unchanged sentences
officers and qualified scientific and technical personnel.
−Removed: addition, marketing of our branded product, SequestOx™
−Removed: will require much greater use of a direct sales force compared to marketing
−Removed: of our generic products, should we reinstate development and achieve commercialization of this product.
−Removed: Our ability to realize significant
−Removed: revenues from marketing and sales activities depends on our ability or the ability of our partners to attract and retain qualified sales
+Added: addition, marketing of our branded product, SequestOx™, if approved, will require much greater use of a direct sales force
+Added: compared to marketing of our generic products, should we reinstate development and successfully commercialize this product.
+Added: Our ability to realize significant revenues from marketing and sales activities depends on our ability or the ability of our partners
+Added: to attract and retain qualified sales personnel.
Competition for qualified sales personnel is intense.
−Removed: Any failure to attract or retain qualified sales personnel could negatively
−Removed: impact our sales revenue and have a material adverse effect on our business, results of operations, financial condition, cash flows and
+Added: Any failure to attract or retain
+Added: qualified sales personnel could negatively impact our sales revenue and have a material adverse effect on our business, results of operations,
+Added: financial condition, cash flows and stock price.
have entered into employment agreements with our executive officers and certain other key employees.
−Removed: We do not maintain “
−Removed: life insurance on any executives.
+Added: We do not maintain “ Key
+Added: Man ” life insurance on any executives.
collaboration or licensing arrangements could limit revenues and product development.
1 unchanged sentence
However, there can be no assurance
−Removed: that any of these agreements will result in FDA approvals, or that we will be able to market any such finished products at a profit.
+Added: that any of these agreements will result in FDA approvals, or that we will be able to market any such products, if approved, at
Collaboration and licensing arrangements pose the following risks:
● Collaborations
−Removed: and licensing arrangements may be terminated, in which case we will experience increased operating expenses and capital requirements
−Removed: if we elect to pursue further development of the related product candidate;
+Added: and licensing arrangements may be terminated, in which case we will experience increased
+Added: operating expenses and capital requirements if we elect to pursue further development of
+Added: the related product candidate;
● Collaborators
−Removed: and licensees may delay clinical trials and prolong clinical development, under-fund a clinical trial program, stop a clinical trial,
−Removed: or abandon a product candidate;
−Removed: revenue might not be generated because milestones may not be achieved, and product candidates may not be developed;
+Added: and licensees may delay clinical trials and prolong clinical development, under-fund a clinical
+Added: trial program, stop a clinical trial, or abandon a product candidate;
+Added: revenue might not be generated because milestones may not be achieved, and product candidates
+Added: may not be developed;
● Collaborators
−Removed: and licensees could independently develop, or develop with third parties, products that could compete with our future products;
−Removed: terms of our contracts with current or future collaborators and licensees may not be favorable to us in the future;
−Removed: collaborator or licensee with marketing and distribution rights to one or more of our products may not commit enough resources to
−Removed: the marketing and distribution of our products, limiting our potential revenues from the commercialization of a product;
−Removed: may arise delaying or terminating the research, development, or commercialization of our product candidates, or result in significant
−Removed: and costly litigation or arbitration;
−Removed: or more third-party developers could obtain approval for a similar product prior to the collaborator or licensee resulting in unforeseen
−Removed: price competition in connection with the development product.
+Added: and licensees could independently develop, or develop with third parties, products that could
+Added: compete with our future products;
+Added: terms of our contracts with current or future collaborators and licensees may not be favorable
+Added: to us in the future;
+Added: collaborator or licensee with marketing and distribution rights to one or more of our products
+Added: may not commit enough resources to the marketing and distribution of our products, limiting
+Added: our potential revenues from the commercialization of a product;
+Added: may arise delaying or terminating the research, development, or commercialization of our
+Added: product candidates, or result in significant and costly litigation or arbitration;
+Added: or more third-party developers could obtain approval for a similar product prior to the collaborator
+Added: or licensee resulting in unforeseen price competition in connection with the development
or all of the above could result in a material adverse effect on our business, financial condition, results of operations, cash flow,
5 unchanged sentences
Variations may result from one or more factors, including, without limitation:
−Removed: of a global pandemic or similar situation, including, without limitation the COVID-19 pandemic that emerged in 2020, with such effects
−Removed: to include actions taken by the Company, its suppliers, partners, competitors, other entities involved in the industry, other entities,
−Removed: and any laws, regulations, executive orders or other governmental/regulatory actions taken in relation to such a pandemic or similar
−Removed: circumstance;
+Added: of a global pandemic or similar situation, including, without limitation the COVID-19 pandemic
+Added: that emerged in 2020, with such effects to include actions taken by the Company, its suppliers,
+Added: partners, competitors, other entities involved in the industry, other entities, and any laws,
+Added: regulations, executive orders or other governmental/regulatory actions taken in relation
+Added: to such a pandemic or similar circumstance;
of approval of applications filed with the FDA;
2 unchanged sentences
of clinical trial programs;
−Removed: or unexpected health or safety concerns with our products, brand products which we have genericized, products currently under development
−Removed: or any other product candidates;
+Added: or unexpected health or safety concerns with our products, brand products which we have genericized,
+Added: products currently under development or any other product candidates;
+Added: ● Introduction
of new products by others that render our products obsolete or non-competitive;
1 unchanged sentence
of product manufactured and sold due to each product having different gross margins;
−Removed: cost and outcome of litigation, in the event that such occurs in relation to, without limitation, intellectual property issues, regulatory
−Removed: or other matters;
−Removed: ability to comply with complex and numerous governmental regulations and regulatory authorities which oversee and regulate many aspects
−Removed: of our business and operations;
−Removed: in coverage and reimbursement policies of health plans and other health insurers, including changes to Medicare, Medicaid, and similar
−Removed: state programs, especially in relation to those products that are currently manufactured, under development or identified for future
−Removed: development by the Company;
+Added: cost and outcome of litigation, in the event that such occurs in relation to, without limitation,
+Added: intellectual property issues, regulatory or other matters;
+Added: ability to comply with complex and numerous governmental regulations and regulatory authorities
+Added: which oversee and regulate many aspects of our business and operations;
+Added: in coverage and reimbursement policies of health plans and other health insurers, including
+Added: changes to Medicare, Medicaid, and similar state programs, especially in relation to those
+Added: products that are currently manufactured, under development or identified for future development
+Added: by the Company;
in the cost of raw materials contained within our products;
● Manufacturing
−Removed: and supply interruptions, including product rejections or recalls due to failure to comply with manufacturing specifications;
+Added: and supply interruptions, including product rejections or recalls due to failure to comply
+Added: with manufacturing specifications;
of revenue recognition relating to our licensing and other agreements;
3 unchanged sentences
addition or loss of customers.
−Removed: negative variation in one, many or all of the above factors could, may or will have a material adverse effect on Elite’s business,
+Added: negative variation in one, many or all of the above factors could, may or will have a material adverse effect on Elite’s business,
results of operations, financial condition, and cash flow and ability to operate in the future, depending on the nature and magnitude
1 unchanged sentence
addition, although we have been in operation since 1990, we have a relatively short operating history, have only achieved profitability
−Removed: for the first time during the fiscal year ended March 31, 2021 and have limited financial data upon which you may evaluate our business
−Removed: and prospects.
−Removed: There can be no assurances of our ability to sustain current profitability and in certain years prior to the year ended
−Removed: March 31, 2021, the auditor’s opinion on our financials were qualified with respect to there being substantial doubt as to the
−Removed: Company’s ability to continue as a going concern due to continued losses not being sufficiently offset by operating revenues.
−Removed: failure to generate sufficient revenues to offset related costs of operations will have a material adverse effect on our business, results
−Removed: of operations, financial condition, cash flow and ability to operate.
−Removed: Furthermore, our business
−Removed: model is likely to continue to evolve as we attempt to expand our product offerings and our presence in the generic pharmaceutical market.
+Added: for the first time during the fiscal year ended March 31, 2021 and limited financial data upon which you may evaluate our business and
+Added: There can be no assurances of our ability to sustain current profitability.
+Added: Additionally, in certain years prior to the year
+Added: ended March 31, 2021, the auditor’s opinion on our financials was qualified with respect to there being substantial doubt as to
+Added: the Company’s ability to continue as a going concern due to continued losses not being sufficiently offset by operating revenues.
+Added: A failure to generate sufficient revenues to offset related costs of operations will have a material adverse effect on our business,
+Added: results of operations, financial condition, cash flow and ability to operate.
+Added: our business model is likely to continue to evolve as we attempt to expand our product offerings and our presence in the generic pharmaceutical
As a result, our potential for future profitability must be considered in view of the risks, uncertainties, expenses, and difficulties
frequently encountered by companies that are attempting to move into new markets and continuing to innovate with new and unproven technologies.
−Removed: and there can be no assurances of continued profitability subsequent to the current fiscal year.
−Removed: Some of these risks relate to our potential
−Removed: inability to:
−Removed: develop new products;
−Removed: obtain regulatory approval of our products;
−Removed: manage our growth, control expenditures and align costs with revenues;
−Removed: attract, retain, and motivate qualified personnel;
−Removed: and respond to competitive
−Removed: developments;
−Removed: Sustain operations during a global pandemic or similar situation, such
−Removed: as the COVID-19 global pandemic first identified in 2020.
−Removed: If we do not effectively
−Removed: address the risks we face, our business model may become unworkable and we may not achieve or sustain profitability or successfully develop
−Removed: any products, resulting in a material adverse effect on Elite’s business, results of operations, financial condition, and cash
−Removed: flow and ability to operate in the future.
−Removed: Our ability to fund operations is uncertain
−Removed: and we may require additional financing to meet objectives.
−Removed: Our ability to fund our operations,
−Removed: maintain liquidity and meet our financing obligations is reliant on our operations, which are subject to significant risks and uncertainties.
−Removed: We rely on cash generated by operations as well as access to financial markets, such as the equity line with Lincoln Park and equipment
−Removed: financings, to fund our commercial, product development and other operations, maintain liquidity and meet our financial obligations.
−Removed: Amounts available under the equity line with Lincoln Park have a strong and direct correlation to the Company’s publicly traded
−Removed: price per share and volumes.
−Removed: There can be no assurances of our traded price per share and volumes being at sufficient levels to provide
−Removed: adequate funding from the equity line with Lincoln Park.
−Removed: In addition, there can be no assurances of our ability to secure equipment financing,
−Removed: resulting in an increased risk of our inability to achieve critical or necessary facility upgrades.
−Removed: Our operations are also subject
−Removed: to many significant risks and uncertainties, as described, without limitation, in this “Risk Factors”
−Removed: section, including,
−Removed: without limitation, those risks related to the effects of a global pandemic such as or similar to the COVID-19 pandemic, competition
−Removed: in the markets in which we operate, litigation risks, government investigations, including those related to our sale, marketing and/or
−Removed: distribution of prescription opioid medications in prior periods, and others.
−Removed: Any negative development or outcome in connection with
−Removed: any or all of these risks and uncertainties could result in significant consequences, including, without limitation, one or more of the
−Removed: The dedication of a substantial portion of our cash flows from operations
−Removed: to the payment of legal or related expenses, resulting in these same funds being unavailable for other purposes, including, without
−Removed: limitation, debt service, operations, capital expenditures, product development and future business opportunities;
−Removed: A limitation in our ability to adjust to changing market conditions,
−Removed: causing us to be more vulnerable to periods of negative or impaired growth in the general economy or in our business, resulting the
−Removed: company being put at a competitive disadvantage as a result of a decreased or unavailable ability to engage in capital spending and
−Removed: take all other actions that would otherwise be required to ensure growth and competitiveness;
−Removed: A limitation in our ability to attract and retain key personnel;
−Removed: A decrement in our debt service and compliance obligations related
−Removed: to certain of our outstanding debt obligations, exposing us to events of default and reduced credit ratings, which in turn lead to
−Removed: increased capital costs and potential unavailability of capital;
−Removed: An overall inability to fund our operations and liquidity needs.
−Removed: The occurrence or possibility
−Removed: of one or more of these or similar events may cause us to pursue one or more significant corporate transactions as well as other remedial
−Removed: measures, including refinancing all or part of our then-existing indebtedness, selling assets, reducing, delaying or eliminating capital
−Removed: expenditures, seeking to raise additional capital or pursuing internal reorganizations, restructuring activities, strategic alliances,
−Removed: or cost-saving initiatives.
−Removed: Any refinancing of our substantial indebtedness could be at significantly higher interest rates, which will
−Removed: depend on both the conditions of the market as well as the Company’s finances at such time, and may also require our compliance
−Removed: with covenants that could be more onerous than current, which in turn could result in the further restriction of our business operations.
+Added: Some of these risks relate to our potential inability to:
+Added: new products;
+Added: regulatory approval of our products;
+Added: our growth, control expenditures and align costs with revenues;
+Added: retain, and motivate qualified personnel;
+Added: and respond to competitive developments.
+Added: operations during a global pandemic or similar situation, such as the COVID-19 global pandemic
+Added: first identified in 2020.
+Added: we do not effectively address the risks we face, our business model may become unworkable and we may not achieve or sustain profitability
+Added: or successfully develop any products, resulting in a material adverse effect on Elite’s business, results of operations, financial
+Added: condition, and cash flow and ability to operate in the future.
+Added: ability to fund operations is uncertain and we may require additional financing to meet objectives.
+Added: ability to fund our operations, maintain liquidity and meet our financing obligations is reliant on our operations, which are subject
+Added: to significant risks and uncertainties.
+Added: We rely on cash generated by operations as well as access to financial markets, such as the equity
+Added: line with Lincoln Park and equipment financings, to fund our commercial, product development and other operations, maintain liquidity
+Added: and meet our financial obligations.
+Added: Amounts available under the equity line with Lincoln Park have a strong and direct correlation to
+Added: the Company’s publicly traded price per share and volumes.
+Added: There can be no assurances of our traded price per share and volumes
+Added: being at sufficient levels to provide adequate funding from the equity line with Lincoln Park.
+Added: In addition, there can be no assurances
+Added: of our ability to secure equipment financing, resulting in an increased risk of our inability to achieve critical or necessary facility
+Added: operations are also subject to many significant risks and uncertainties, as described, without limitation, in this “ Risk Factors ”
+Added: section, including, without limitation, those risks related to the effects of a global pandemic such as or similar to the COVID-19 pandemic,
+Added: competition in the markets in which we operate, litigation risks, government investigations, including those related to our sale, marketing
+Added: and/or distribution of prescription opioid medications in prior periods, and others.
+Added: Any negative development or outcome in connection
+Added: with any or all of these risks and uncertainties could result in significant consequences, including, without limitation, one or more
+Added: of the following:
+Added: dedication of a substantial portion of our cash flows from operations to the payment of legal
+Added: or related expenses, resulting in these same funds being unavailable for other purposes,
+Added: including, without limitation, debt service, operations, capital expenditures, product development
+Added: and future business opportunities;
+Added: limitation in our ability to adjust to changing market conditions, causing us to be more
+Added: vulnerable to periods of negative or impaired growth in the general economy or in our business,
+Added: resulting the company being put at a competitive disadvantage as a result of a decreased
+Added: or unavailable ability to engage in capital spending and take all other actions that would
+Added: otherwise be required to ensure growth and competitiveness;
+Added: limitation in our ability to attract and retain key personnel;
+Added: decrement in our debt service and compliance obligations related to certain of our outstanding
+Added: debt obligations, exposing us to events of default and reduced credit ratings, which in turn
+Added: lead to increased capital costs and potential unavailability of capital;
+Added: overall inability to fund our operations and liquidity needs.
+Added: occurrence or possibility of one or more of these or similar events may cause us to pursue one or more significant corporate transactions
+Added: as well as other remedial measures, including refinancing all or part of our then-existing indebtedness, selling assets, reducing, delaying
+Added: or eliminating capital expenditures, seeking to raise additional capital or pursuing internal reorganizations, restructuring activities,
+Added: strategic alliances, or cost-saving initiatives.
+Added: Any refinancing of our substantial indebtedness could be at significantly higher interest
+Added: rates, which will depend on both the conditions of the market as well as the Company’s finances at such time and may also
+Added: require our compliance with covenants that could be more onerous than current, which in turn could result in the further restriction
+Added: of our business operations.
Any refinancing may also increase the amount of our secured indebtedness.
−Removed: In addition, the terms of existing or future debt agreements
−Removed: may restrict us from adopting any of the alternatives.
−Removed: Internal reorganizations, restructuring activities, asset sales and cost saving
−Removed: initiatives may also be complex and could entail significant costs and charges or could otherwise negatively impact shareholder value.
−Removed: There can also be no assurance that we will be able to accomplish any of these alternatives on terms acceptable to us, or at all, or
−Removed: that even if accomplished, that the intended results and benefits would be realized.
−Removed: We most likely will require additional
−Removed: financing to meet our business objectives.
−Removed: We also will likely need
−Removed: additional funding to accomplish our plans to conduct the clinical development and commercialization of a range of multiple abuse resistant
−Removed: opioids or initiate, continue or complete the development of additional generic products already identified for development or currently
−Removed: in development.
−Removed: As of March 31, 2021, we
−Removed: had cash on hand of approximately $3.2 million and a working capital surplus of $6.8 million, and, for the fiscal year ended March 31,
−Removed: 2021, we had profits from operations totaling $2.5 million, net other income totaling $3.0 million and net income of $5.5 million.
−Removed: On July 8, 2020, we entered
−Removed: into another purchase agreement (the “
−Removed: 2020 LPC Purchase Agreement ”), together with a registration rights agreement
−Removed: 2020 LPC Registration Rights Agreement ”), with Lincoln Park.
−Removed: Under the terms and subject to the conditions of
−Removed: the 2020 LPC Purchase Agreement, we have the right to sell to and Lincoln Park is obligated to purchase up to $25 million in shares of
−Removed: our common stock, subject to certain limitations, from time to time, over the 36-month period commencing on July 27, 2020 and expiring
−Removed: on August 1, 2023.
−Removed: While growth in our current
−Removed: generic product line, consisting of Phentermine Tablets, Phentermine Capsules, Phendimetrazine Tablets, Naltrexone Tablets, Isradipine
−Removed: Capsules, Trimipramine Capsules, Amphetamine IR Tablets, Amphetamine ER Capsules, Dantrolene Capsules, and Loxapine Capsules combined
−Removed: with manufacturing, profit split and royalty revenues earned pursuant to the Lannett Alliance, the Precision Dose License Agreement,
−Removed: the Burel License Agreement and the Epic License Agreement, and successful commercialization of other products in our product development
−Removed: pipeline, may lead to sustained profitability, there can be no assurances of such.
−Removed: Furthermore, there can be no assurances of the continuation
−Removed: revenues being earned from the current generic product line, no assurances of Elite’s successful commercialization of other products
−Removed: in our development pipeline, and no assurances of Elite’s ability to continue as a going concern.
−Removed: In addition, there can be no
−Removed: assurances of Elite being able to raise additional funds in a timely manner, on acceptable terms, if needed to support commercial operations
−Removed: resulting in a material detrimental effect on Elite’s ability to become profitable and accordingly being a material factor to the
−Removed: detriment of Elite’s ability to continue as a going concern as well as having a material adverse effect on our business, results
−Removed: of operations, financial condition, and cash flow and ability to operate in the future.
−Removed: To sustain operations and
−Removed: meet our business objectives we must be able to commercialize our products and other products or pipeline opportunities.
−Removed: If we are unable
−Removed: to timely obtain additional financing, if necessary, and/or we are unable to timely generate greater revenues from our operations, we
−Removed: will be required to reduce and, possibly, cease operations and liquidate our assets.
−Removed: No assurance can be given that we will be able to
−Removed: commercialize the new opportunities or consummate such other financing or strategic alternative in the time necessary to avoid the cessation
−Removed: of our operations and liquidation of our assets.
−Removed: Furthermore, the capital
−Removed: and credit markets have experienced extreme volatility.
−Removed: Disruptions in the credit markets make it harder and more expensive to obtain
+Added: In addition, the terms of existing
+Added: or future debt agreements may restrict us from adopting any of the alternatives.
+Added: Internal reorganizations, restructuring activities,
+Added: asset sales and cost saving initiatives may also be complex and could entail significant costs and charges or could otherwise negatively
+Added: impact shareholder value.
+Added: There can also be no assurance that we will be able to accomplish any of these alternatives on terms acceptable
+Added: to us, or at all, or that even if accomplished, that the intended results and benefits would be realized.
+Added: most likely will require additional financing to meet our business objectives.
+Added: most likely will need additional funding to accomplish our plans to conduct the clinical development and commercialization of a range
+Added: of multiple abuse deterrent opioids or initiate, continue or complete the development of additional generic products already identified
+Added: for development or currently in development.
+Added: of March 31, 2022, we had cash on hand of approximately $8.5 million and a working capital surplus of $12.2 million, and, for the fiscal
+Added: year ended March 31, 2022, we generated income from operations totaling $5.1 million, net other income totaling $1.2 million and net
+Added: income of $8.9 million.
+Added: July 8, 2020, we entered into another purchase agreement (the “ 2020 LPC Purchase Agreement ”), together with a registration
+Added: rights agreement (the “ 2020 LPC Registration Rights Agreement ”), with Lincoln Park.
+Added: Under the terms and subject to
+Added: the conditions of the 2020 LPC Purchase Agreement, we have the right to sell to and Lincoln Park is obligated to purchase up to $25 million
+Added: in shares of our common stock, subject to certain limitations, from time to time, over the 36-month period commencing on July 27, 2020
+Added: and expiring on August 1, 2023.
+Added: growth in our current generic product line, consisting of Phentermine Tablets, Phentermine Capsules, Phendimetrazine Tablets, Naltrexone
+Added: Tablets, Isradipine Capsules, Trimipramine Capsules, Oxy IR, Amphetamine IR Tablets, Amphetamine ER Capsules and Dantrolene Capsules,
+Added: combined with manufacturing, profit split and royalty revenues earned pursuant to the Lannett Alliance, the Epic Alliance, the
+Added: Prasco Alliance, the TAGI License Agreement, and successful commercialization of other products
+Added: in our product development pipeline, may lead to eventual profitability, there can be no assurances of Elite becoming profitable.
+Added: there can be no assurances of the continuation revenues being earned from the current generic product line, no assurances of Elite’s
+Added: successful commercialization of other products in our development pipeline, and no assurances of Elite’s ability to continue as
+Added: a going concern.
+Added: In addition, there can be no assurances of Elite being able to raise additional funds in a timely manner, on acceptable
+Added: terms, if needed to support commercial operations resulting in a material detrimental effect on Elite’s ability to become profitable
+Added: and accordingly being a material factor to the detriment of Elite’s ability to continue as a going concern as well as having a
+Added: material adverse effect on our business, results of operations, financial condition, and cash flow and ability to operate in the future.
+Added: sustain operations and meet our business objectives we must be able to commercialize our products and other products or pipeline opportunities.
+Added: If we are unable to timely obtain additional financing, if necessary, and/or we are unable to timely generate greater revenues from our
+Added: operations, we will be required to reduce and, possibly, cease operations and liquidate our assets.
+Added: No assurance can be given that we
+Added: will be able to commercialize the new opportunities or consummate such other financing or strategic alternative in the time necessary
+Added: to avoid the cessation of our operations and liquidation of our assets.
+Added: the capital and credit markets have experienced extreme volatility.
+Added: Disruptions in the credit markets make it harder and more expensive
+Added: to obtain funding.
In the event current resources do not satisfy our needs, we may have to seek additional financing.
−Removed: The availability of additional
−Removed: financing will depend on a variety of factors such as market conditions and the general availability of credit.
−Removed: Future debt financing
−Removed: may not be available to us when required or may not be available on acceptable terms, and as a result we may be unable to grow our business,
−Removed: take advantage of business opportunities, or respond to competitive pressures.
−Removed: Please also see the risk
−Removed: factor titled “
−Removed: Global pandemic and natural disasters ”.
−Removed: We have substantial indebtedness which
−Removed: may adversely affect our financial condition.
−Removed: We currently have substantial
−Removed: indebtedness.
−Removed: Total liabilities as of March 31, 2021, were $10.1 million, with such amount including, without limitation, $2.4 million
−Removed: in various loans, leases and bonds payable, $2.3 million in derivative liabilities, and $5.3 million in current payables and accruals.
+Added: The availability
+Added: of additional financing will depend on a variety of factors such as market conditions and the general availability of credit.
+Added: debt financing may not be available to us when required or may not be available on acceptable terms, and as a result we may be unable
+Added: to grow our business, take advantage of business opportunities, or respond to competitive pressures.
+Added: also see the risk factor titled “ Global pandemic and natural disasters ”.
+Added: have substantial indebtedness which may adversely affect our financial condition.
+Added: currently have substantial indebtedness.
+Added: Total liabilities as of March 31, 2022, were $9.9 million, with such amount including, without
+Added: limitation, $2.9 million in various loans, leases and bonds payable, $0.9 million in derivative
+Added: liabilities, and $6.1 million in current payables and accruals.
The consequences of this substantial indebtedness could include:
−Removed: An increase in our vulnerability to general economic and industry conditions,
−Removed: including recessions, depressions, effects of global pandemics such as the COVID-19 pandemic, significant inflation and other financial
−Removed: market volatility;
−Removed: Exposure to the risk of increased interest rates;
−Removed: The Company being required to dedicate a substantial portion of cash
−Removed: flow from operations for debt service and the attendant result of a diminished ability to fund working capital, capital expenditures
−Removed: and other expenses;
−Removed: A limitation in our flexibility in planning for, or reacting to, changes
−Removed: in our business and the industry in which we operate;
−Removed: Our being at a competitive disadvantage as compared to competitors
−Removed: with less indebtedness;
−Removed: A limitation in our ability to borrow additional funds that may be
−Removed: needed to operate and expand our business.
−Removed: In addition, a notice of
−Removed: default was issued by the New Jersey Economic Development Authority in relation to prior obligations of our tax-exempt bonds.
−Removed: we are current in our payments under these bonds, if the principal balances due under these bonds are accelerated pursuant to the notice
−Removed: of default, our ability to operate in the future will be materially and adversely affected.
−Removed: For more information on the
−Removed: NJEDA Bonds, see Part II, Item 7 “
−Removed: Management’s Discussion and Analysis of Financial Condition and Results of Operations;
+Added: increase in our vulnerability to general economic and industry conditions, including recessions,
+Added: depressions, effects of global pandemics such as the COVID-19 pandemic, significant inflation
+Added: and other financial market volatility;
+Added: to the risk of increased interest rates;
+Added: Company being required to dedicate a substantial portion of cash flow from operations for
+Added: debt service and the attendant result of a diminished ability to fund working capital, capital
+Added: expenditures and other expenses;
+Added: limitation in our flexibility in planning for, or reacting to, changes in our business and
+Added: the industry in which we operate;
+Added: being at a competitive disadvantage as compared to competitors with less indebtedness;
+Added: limitation in our ability to borrow additional funds that may be needed to operate and expand
+Added: our business.
+Added: addition, a notice of default was issued by the New Jersey Economic Development Authority in relation to prior obligations of our tax-exempt
+Added: Although we are current in our payments under these bonds, if the principal balances due under these bonds are accelerated pursuant
+Added: to the notice of default, our ability to operate in the future will be materially and adversely affected.
+Added: more information on the NJEDA Bonds, see Part II, Item 7 “ Management’s Discussion and Analysis of Financial Condition
+Added: and Results of Operations;
Liquidity and Capital Resources;
−Removed: NJEDA Bonds ”.
−Removed: There is a risk impairment of significant
−Removed: intangible assets on our balance sheet.
−Removed: We have significant intangible
−Removed: assets on our balance sheet.
−Removed: Consequently, potential impairment of intangible assets may have an adverse material effect on our profitability.
−Removed: Intangible assets represent
−Removed: a significant portion of our assets.
−Removed: As of March 31, 2021, intangible assets were approximately $6.6 million, or approximately 25% of
−Removed: Generally accepted accounting
−Removed: principles in the United States (“
−Removed: GAAP ”) requires that intangible assets be subject to regular impairment analysis
−Removed: to determine if changes in circumstances indicate that the value of the asset as recorded may not be recoverable.
−Removed: Such events or changes
−Removed: in circumstances are an inherent risk in the pharmaceutical industry and often cannot be predicted.
−Removed: However, should a change in circumstance
−Removed: occur, requiring the impairment of an intangible asset, the result of such an impairment may have an adverse material effect on our business,
−Removed: financial condition, results of operations, cash flows and stock price.
−Removed: GAAP requires estimates, judgements and
−Removed: assumptions which inherently contain uncertainties.
−Removed: There are inherent uncertainties
−Removed: involved in estimates, judgments and assumptions used in the preparation of financial statements in accordance with GAAP.
−Removed: changes in estimates, judgments and assumptions used or necessary revisions to prior estimates, judgments or assumptions could lead to
−Removed: a restatement of our results.
−Removed: The consolidated financial
−Removed: statements included in this Annual Report on Form 10-K are prepared in accordance with GAAP.
−Removed: This involves making estimates, judgments
−Removed: and assumptions that affect reported amounts of assets (including intangible assets), liabilities, mezzanine equity, stockholders’
−Removed: equity, operating revenues, costs of sales, operating expenses, other income, and other expenses.
−Removed: Estimates, judgments, and assumptions
−Removed: are inherently subject to change in the future and any necessary revisions to prior estimates, judgments or assumptions could lead to
−Removed: a restatement.
−Removed: Any such changes could result in corresponding changes to the amounts of assets (including goodwill and other intangible
−Removed: assets), liabilities, mezzanine equity, stockholders’
−Removed: equity, operating revenues, costs of sales, operating expenses, other income
−Removed: and other expenses.
−Removed: Legal and Regulatory Risks
−Removed: The pharmaceutical industry is heavily
−Removed: regulated which creates uncertainty and substantial compliance costs.
−Removed: The pharmaceutical industry
−Removed: is heavily regulated, which creates uncertainty about our ability to bring new products to market and imposes substantial compliance
−Removed: costs on our business in relation to product development as well as commercial operations.
−Removed: Governmental authorities
−Removed: such as the FDA impose substantial requirements on the development, manufacture, holding, labelling, marketing, advertising, promotion,
−Removed: distribution and sale of therapeutic pharmaceutical products through lengthy and detailed laboratory and clinical testing and other costly
−Removed: and time-consuming procedures.
−Removed: In addition, before obtaining regulatory approvals for certain generic products, we must conduct limited
−Removed: bioequivalence studies and other research to show comparability to the branded products.
−Removed: A failure to obtain satisfactory results in
−Removed: required pre-marketing trials may prevent us from obtaining required regulatory approvals.
−Removed: The FDA may also require companies to conduct
−Removed: post-approval studies and post-approval surveillance regarding their drug products and to report adverse events.
−Removed: Before obtaining regulatory
−Removed: approvals for the sale of any of our new product candidates, we must demonstrate through preclinical studies and clinical trials that
−Removed: the product is safe and effective for each intended use.
−Removed: Preclinical and clinical studies may fail to demonstrate the safety and effectiveness
−Removed: of a product.
−Removed: Likewise, we may not be able to demonstrate through clinical trials that a product candidate’s therapeutic benefits
−Removed: outweigh its risks.
−Removed: Even promising results from preclinical and early clinical studies do not always accurately predict results in later,
−Removed: large scale trials.
−Removed: A failure to demonstrate safety and efficacy could or would result in our failure to obtain regulatory approvals.
−Removed: Clinical trials can be delayed for reasons outside of our control, which can lead to increased development costs and delays in regulatory
−Removed: For example, due to competition to enroll patients in clinical trials, there have been instances of delays in clinical development
−Removed: of our products in the past, as a result of patients not enrolling in clinical trials at the rate expected, or patients dropping out
−Removed: of trials after enrolling, at rates that were higher than expected.
−Removed: In addition, we rely on collaboration partners and third-party subject
−Removed: matter experts that may recommend changes in trial protocol and design enhancements that are put into effect, or encounter clinical trial
−Removed: compliance-related issues, which may also delay clinical trials.
−Removed: Product supplies may be delayed or be insufficient to treat the patients
−Removed: participating in the clinical trials, or manufacturers or suppliers may not meet the requirements of the FDA or foreign regulatory authorities,
−Removed: such as those relating to Current Good Manufacturing Practices.
−Removed: We also may experience delays in obtaining, or we may not obtain, required
−Removed: initial and continuing approval of our clinical trials from institutional review boards.
−Removed: We cannot confirm to you that we will not experience
−Removed: delays or undesired results in these or any other of our clinical trials.
−Removed: We cannot confirm to you
−Removed: that the FDA will approve, clear for marketing or certify any products developed by us or that such approval will not subject the marketing
−Removed: of our products to certain limits on indicated use.
−Removed: The FDA may not agree with our assessment of the clinical data or they may interpret
−Removed: it differently.
−Removed: Such regulatory authorities may require additional or expanded clinical trials.
−Removed: Any limitation on use imposed by the
−Removed: FDA or delay in or failure to obtain FDA approvals or clearances of products developed by us would adversely affect the marketing of
−Removed: these products and our ability to generate product revenue, which would adversely affect our financial condition and results of operations.
−Removed: In addition, with respect
−Removed: specifically to pharmaceutical products, the submission of a New Drug Application (NDA), such as SequestOx™, or ANDA to the FDA
−Removed: with supporting clinical safety and efficacy data, for example, does not guarantee that the FDA will grant approval to market the product.
−Removed: Meeting the FDA’s regulatory requirements to obtain approval to market a drug product, which varies substantially based on the
−Removed: type, complexity and novelty of the pharmaceutical product, typically takes years and is subject to uncertainty.
−Removed: Additional delays may result
−Removed: if an FDA Advisory Committee or other regulatory authority recommends non-approval or restrictions on approval.
−Removed: Although the FDA is not
−Removed: required to follow the recommendations of its Advisory Committees, it usually does.
−Removed: A negative Advisory Committee meeting could signal
−Removed: a lower likelihood of approval, although the FDA may still end up approving our application.
−Removed: Regardless of an Advisory Committee meeting
−Removed: outcome or the FDA’s final approval decision, public presentation of our data may shed positive or negative light on our application.
−Removed: Some drugs are available
−Removed: in the United States that are not the subject of an FDA-approved NDA.
−Removed: In 2011, the FDA’s Center for Drug Evaluation and Research
−Removed: CDER ”) Office of Compliance modified its enforcement policy with regard to the marketing of such “unapproved”
−Removed: marketed drugs.
−Removed: Under CDER’s revised guidance, the FDA encourages manufacturers to obtain NDA approvals for such drugs by requiring
−Removed: unapproved versions to be removed from the market after an approved version has been introduced, subject to a grace period at the FDA’s
−Removed: This grace period is intended to allow an orderly transition of supply to the market and to mitigate any potential related
−Removed: drug shortage.
−Removed: Depending on the length of the grace period and the time it takes for subsequent applications to be approved, this may
−Removed: result in a period of de facto market exclusivity to the first manufacturer that has obtained an approved NDA for the previously unapproved
−Removed: marketed drug.
−Removed: We may seek FDA approval for certain unapproved marketed drug products through the 505(b)(2) regulatory pathway.
−Removed: if we receive approval for an NDA under Section 505(b)(2), the FDA may not take timely enforcement action against companies marketing
−Removed: unapproved versions of the drug;
−Removed: therefore, we cannot be sure that that we will receive the benefit of any de facto exclusive marketing
−Removed: period or that we will fully recoup the expenses incurred to obtain an approval.
−Removed: In addition, certain competitors and others have objected
−Removed: to the FDA’s interpretation of Section 505(b)(2).
−Removed: If the FDA’s interpretation of Section 505(b)(2) is successfully challenged,
−Removed: this could delay or even prevent the FDA from approving any NDA that we submit under Section 505(b)(2).
−Removed: Moreover, even if our product
−Removed: candidates are approved under Section 505(b)(2), the approval may be subject to limitations on the indicated uses for which the products
−Removed: may be marketed or to other conditions of approval or may contain requirements for costly post-marketing testing and surveillance to
−Removed: monitor the safety or efficacy of the products.
−Removed: The ANDA approval process
−Removed: for a new product varies in time, is difficult to estimate and can vary significantly, from as little as 10 months from the date of application,
−Removed: to several years or more.
−Removed: Furthermore, ANDA approvals, if granted, may not include all indications for which the Company may seek to
−Removed: market each product.
−Removed: Further, once a product is
−Removed: approved or cleared for marketing, failure to comply with applicable regulatory requirements can result in, among other things, suspensions
−Removed: or withdrawals of approvals or clearances, seizures or recalls of products, injunctions against the manufacture, holding, distribution,
−Removed: marketing and sale of a product, and civil and criminal sanctions.
−Removed: Furthermore, changes in existing regulations or the adoption of new
−Removed: regulations could prevent us from obtaining, or affect the timing of, future regulatory approvals or clearances.
−Removed: Meeting regulatory requirements
−Removed: and evolving government standards may delay marketing of our new products for a considerable period of time, impose costly procedures
−Removed: upon our activities and result in a competitive advantage to larger companies that compete against us.
−Removed: Even if regulatory approval
−Removed: is obtained for a particular product candidate, the FDA and foreign regulatory authorities may, nevertheless, impose significant restrictions
−Removed: on the indicated uses or marketing of such products, or impose ongoing requirements for post-approval studies.
−Removed: Following any regulatory
−Removed: approval of our product candidates, we will be subject to continuing regulatory obligations, such as safety reporting requirements, and
−Removed: additional post-marketing obligations, including regulatory oversight of the promotion and marketing of our products.
−Removed: If we become aware
−Removed: of previously unknown problems with any of our product candidates here or overseas or at our contract manufacturers’
−Removed: a regulatory agency may impose restrictions on our products, our contract manufacturers or on us, including requiring us to reformulate
−Removed: our products, conduct additional clinical trials, make changes in the labelling of our products, implement changes to or obtain re-approvals
−Removed: of our contract manufacturers’
−Removed: facilities or withdraw the product from the market.
−Removed: In addition, we may experience a significant
−Removed: drop in the sales of the affected products, our reputation in the marketplace may suffer and we may become the target of lawsuits, including
−Removed: class action suits.
−Removed: Moreover, if we fail to comply with applicable regulatory requirements, we may be subject to fines, suspension or
−Removed: withdrawal of regulatory approvals, product recalls, seizure of products, operating restrictions, and criminal prosecution.
−Removed: events could harm or prevent sales of the affected products or could substantially increase the costs and expenses of commercializing
−Removed: and marketing these products.
−Removed: In March 2011, the FDA issued
−Removed: a directive removing from the market approximately 500 cough/cold and allergy products, including our Lodrane®
−Removed: extended release product
−Removed: At that time, the Lodrane®
−Removed: extended release products constituted approximately 97% of our revenues.
−Removed: Based on scientific developments,
−Removed: post-market experience, or other legislative or regulatory changes, the current FDA standards of review for approving new pharmaceutical
−Removed: products, or new indications or uses for approved or cleared products, are sometimes more stringent than those that were applied in the
−Removed: Some new or evolving FDA
−Removed: review standards or conditions for approval or clearance were not applied to many established products currently on the market, including
−Removed: certain opioid products.
−Removed: As a result, the FDA does not have as extensive safety databases on these products as on some products developed
−Removed: more recently.
−Removed: Accordingly, we believe the FDA has expressed an intention to develop such databases for certain of these products, including
−Removed: many opioids.
−Removed: In particular, the FDA has expressed interest in specific chemical structures that may be present as impurities in a number
−Removed: of opioid narcotic active pharmaceutical ingredients, such as oxycodone, which based on certain structural characteristics and laboratory
−Removed: tests may indicate the potential for having mutagenic effects.
−Removed: FDA has required, and may continue to require, more stringent controls
−Removed: of the levels of these impurities in drug products for approval.
−Removed: Also, the FDA may require
−Removed: labelling revisions, formulation, or manufacturing changes and/or product modifications for new or existing products containing such
−Removed: The FDA’s more stringent requirements, together with any additional testing or remedial measures that may be necessary,
−Removed: could result in increased costs for, or delays in, obtaining approval for certain of our products in development.
−Removed: Although we do not
−Removed: believe that the FDA would seek to remove a currently marketed product from the market unless such mutagenic effects are believed to
−Removed: indicate a significant risk to patient health, we cannot make any such assurance.
−Removed: In May of 2016, an FDA advisory
−Removed: panel recommended mandatory training of all physicians who prescribe opioids on the risks of prescription opioids.
−Removed: In 2016, the CDC also
−Removed: issued a guideline for prescribing opioids for chronic pain that provides recommendations for primary care clinicians who are prescribing
−Removed: opioids for chronic pain outside of active cancer treatment, palliative care, and end-of-life care.
−Removed: In addition, state health departments
−Removed: and boards of pharmacy have authority to regulate distribution and may modify their regulations with respect to prescription narcotics
−Removed: in an attempt to curb abuse.
−Removed: In either case, any such new regulations or requirements may be difficult and expensive for us to comply
−Removed: with, may delay our introduction of new products, may adversely affect our total revenues, and may have a material adverse effect on
−Removed: our business, results of operations, financial condition and cash flows.
−Removed: The FDA has the authority
−Removed: to require companies to undertake additional post-approval studies to assess known or signaled safety risks and to make any labelling
−Removed: changes to address those risks.
−Removed: The FDA also can require companies to formulate approved Risk Evaluation and Mitigation Strategies (REMS)
−Removed: to confirm a drug’s benefits outweigh its risks.
−Removed: The FDA’s exercise
−Removed: of its authority under the FFDCA could result in delays or increased costs during product development, clinical trials and regulatory
−Removed: review, increased costs to comply with additional post-approval regulatory requirements and potential restrictions on sales of approved
−Removed: Foreign regulatory agencies often have similar authority and may impose comparable requirements and costs.
−Removed: Post-marketing studies
−Removed: and other emerging data about marketed products, such as adverse event reports, may also adversely affect sales of our products.
−Removed: the discovery of significant safety or efficacy concerns or problems with a product in the same therapeutic class as one of our products
−Removed: that implicate or appear to implicate the entire class of products could have an adverse effect on sales of our product or, in some cases,
−Removed: result in product withdrawals.
−Removed: The FDA has continuing authority over the approval of an NDA or ANDA and may withdraw approval if, among
−Removed: other reasons, post-marketing clinical or other experience, tests, or data show that a drug is unsafe for use under the conditions upon
−Removed: which it was approved, or if FDA determines that there is a lack of substantial evidence of the drug’s efficacy under the conditions
−Removed: described in its labelling.
−Removed: Furthermore, new data and information, including information about product misuse or abuse at the user level,
−Removed: may lead government agencies, professional societies, practice management groups or patient or trade organizations to recommend or publish
−Removed: guidance or guidelines related to the use of our products, which may lead to reduced sales of our products.
−Removed: The FDA and the DEA have
−Removed: important and complementary responsibilities with respect to our business.
−Removed: The FDA administers an application and post-approval monitoring
−Removed: process to confirm that products that are available in the market are safe, effective, and consistently of uniform, high quality.
−Removed: DEA administers registration, drug allotment and accountability systems to satisfy against loss and diversion of controlled substances.
−Removed: Both agencies have trained investigators that routinely, or for cause, conduct inspections, and both have authority to seek to enforce
−Removed: their statutory authority and regulations through administrative remedies as well as civil and criminal enforcement actions.
−Removed: regulates and monitors the quality of drug clinical trials to provide human subject protection and to support marketing applications.
−Removed: The FDA may place a hold on a clinical trial and may cause a suspension or withdrawal of product approvals if regulatory standards are
−Removed: not maintained.
−Removed: The FDA also regulates the facilities, processes, and procedures used to manufacture and market pharmaceutical products
−Removed: Manufacturing facilities must be registered with the FDA and all products made in such facilities must be manufactured in
−Removed: accordance with the latest cGMP regulations, which are enforced by the FDA.
−Removed: Compliance with clinical trial requirements and cGMP regulations
−Removed: requires the dedication of substantial resources and requires significant expenditures.
−Removed: In the event an approved manufacturing facility
−Removed: for a particular drug is required by the FDA to curtail or cease operations, or otherwise becomes inoperable, or a third-party contract
−Removed: manufacturing facility faces manufacturing problems, obtaining the required FDA authorization to manufacture at the same or a different
−Removed: manufacturing site could result in production delays, which could adversely affect our business, results of operations, financial condition,
−Removed: and cash flow and ability to operate in the future.
−Removed: The FDA is authorized to
−Removed: perform inspections of U.S.
−Removed: and foreign facilities under the FFDCA.
−Removed: At the end of such an inspection, FDA could issue a Form 483 Notice
−Removed: of Inspectional Observations, which could cause us to modify certain activities identified during the inspection.
−Removed: Following such inspections,
−Removed: the FDA may issue an untitled letter as an initial correspondence that cites violations that do not meet the threshold of regulatory
−Removed: significance of a Warning Letter.
−Removed: FDA guidelines also provide for the issuance of Warning Letters for violations of “regulatory
−Removed: significance”
−Removed: for which the failure to adequately and promptly achieve correction may be expected to result in an enforcement action.
−Removed: FDA also may issue Warning Letters and untitled letters in connection with events or circumstances unrelated to an FDA inspection.
−Removed: Similar to other pharmaceutical
−Removed: companies, during Fiscal 2021, our facilities were subject to routine and new-product related inspections by the FDA.
−Removed: These inspections
−Removed: resulted in FDA Form 483 observations and a warning letter regarding post marketing adverse drug experience reporting.
−Removed: We have responded
−Removed: to all inspection observations within the required time frame and have implemented, or are continuing to implement, the corrective action
−Removed: plans as agreed with the relevant regulatory agencies.
−Removed: Many of our products contain
−Removed: controlled substances.
−Removed: The stringent DEA regulations on our use of controlled substances include restrictions on their use in research,
−Removed: manufacture, distribution, and storage.
−Removed: A breach of these regulations could result in imposition of civil penalties, refusal to renew
−Removed: or action to revoke necessary registrations, or other restrictions on operations involving controlled substances.
−Removed: In addition, failure
−Removed: to comply with applicable legal requirements subjects the manufacturing facilities of our subsidiaries and manufacturing partners to
−Removed: possible legal or regulatory action, including shutdown.
−Removed: Any such shutdown may adversely affect their ability to supply us with product
−Removed: and thus, our ability to market affected products.
−Removed: This could have a negative impact on our business, results of operations, financial
−Removed: condition, cash flows and competitive position.
−Removed: See also the risk described under the caption “
−Removed: The DEA limits the availability
−Removed: of the active ingredients used in many of our current products and products in development, as well as the production of these products,
−Removed: and, as a result, our procurement and production quotas may not be sufficient to meet commercial demand or complete clinical trials.
−Removed: In addition, we are subject to the Federal Drug Supply Chain Security Act (DSCSA).
−Removed: government has enacted DSCSA which requires
−Removed: development of an electronic pedigree to track and trace each prescription drug at the saleable unit level through the distribution system,
−Removed: which will be effective incrementally over a 10-year period.
−Removed: Compliance with DSCSA and future U.S.
−Removed: federal or state electronic pedigree
−Removed: requirements may increase our operational expenses and impose significant administrative burdens.
−Removed: We cannot determine what
−Removed: effect changes in regulations or legal interpretations or requirements by the FDA or the courts, when and if promulgated or issued, may
−Removed: have on our business in the future.
−Removed: Changes could, among other things, require different labelling, monitoring of patients, interaction
−Removed: with physicians, education programs for patients or physicians, curtailment of necessary supplies, or limitations on product distribution.
−Removed: These changes, or others required by the FDA or DEA could have an adverse effect on the sales of these products.
−Removed: The evolving and complex
−Removed: nature of regulatory science and regulatory requirements, the broad authority and discretion of the FDA and the generally high level
−Removed: of regulatory oversight results in a continuing possibility that, from time to time, we will be adversely affected by regulatory actions
−Removed: despite our ongoing efforts and commitment to achieve and maintain full compliance with all regulatory requirements.
−Removed: Furthermore, once a product
−Removed: receives marketing approval, the manufacturing, distribution, processing, formulation, packaging, labelling, promotion and sale of our
−Removed: products are subject to extensive regulation by federal agencies, including, without limitation, the FDA, DEA, FTC, Consumer Product
−Removed: Safety Commission, and Environmental Protection Agency, among others.
−Removed: We are also subject to state and local laws, regulations, and agencies
−Removed: in New Jersey and elsewhere.
−Removed: Such regulations are also subject to change by the relevant federal, state and local agencies.
−Removed: For instance,
−Removed: beginning from January 1, 2015, manufacturers, wholesale distributors, and repackages of certain prescription drugs are required to provide
−Removed: and capture certain product tracing information under the Drug Quality and Security Act (“
−Removed: DQSA ”).
−Removed: Title II of the
−Removed: DQSA, referred to as the Drug Supply Chain Security Act, requires companies in certain prescription drugs’
−Removed: chain of distribution
−Removed: to build electronic, interoperable systems to identify and trace the products as they are distributed in the United States.
−Removed: with the DQSA or any future federal or state electronic pedigree requirements may increase the Company’s operational expenses and impose
−Removed: significant administrative burdens.
−Removed: Regulatory agencies such
−Removed: as the FDA regularly inspect our manufacturing facilities and the facilities of our third-party suppliers.
−Removed: The failure of the Northvale
−Removed: Facility, or a facility of one of our third-party suppliers, to comply with applicable laws and regulations may lead to breach of representations
−Removed: made to our customers or to regulatory or government action against us related to products made in that facility.
−Removed: We have in the past
−Removed: received and successfully resolved Form 483 observations from the FDA regarding certain operations within our manufacturing network.
−Removed: Although we remain committed to continuing to improve our quality control and manufacturing practices, we cannot be assured that the
−Removed: FDA will continue to be satisfied with our quality control and manufacturing systems and standards.
−Removed: If we receive any future FDA observations,
−Removed: we may be subject to regulatory action including, among others, monetary sanctions or penalties, product recalls or seizure, injunctions,
−Removed: total or partial suspension of production and/or distribution, and suspension or withdrawal of regulatory approvals.
−Removed: Further, other federal
−Removed: agencies, our customers and partners in our alliance, development, collaboration, and other partnership agreements with respect to our
−Removed: products and services may take any such Form 483 observations into account when considering the award of contracts or the continuation
−Removed: or extension of such partnership agreements.
−Removed: If we receive any future Form 483 observations or warning letters from the FDA, our business,
−Removed: consolidated results of operations and consolidated financial condition could be materially and adversely affected.
−Removed: With respect to environmental,
−Removed: safety and health laws and regulations, we cannot accurately predict the outcome or timing of future expenditures that we may be required
−Removed: to make in order to comply with such laws as they apply to our operations and facilities.
−Removed: We are also subject to potential liability
−Removed: for the remediation of contamination associated with both present and past hazardous waste generation, handling, and disposal activities.
−Removed: We are subject periodically to environmental compliance reviews by environmental, safety, and health regulatory agencies.
−Removed: Environmental
−Removed: laws are subject to change and we may become subject to stricter environmental standards in the future and face larger capital expenditures
−Removed: in order to comply with environmental laws.
−Removed: Compliance with federal and
−Removed: state and local law regulations, including compliance with any newly enacted regulations, requires substantial expenditures of time,
−Removed: money, and effort to ensure full technical compliance.
−Removed: Failure to comply with the FDA, DEA, EPA and other governmental regulations can
−Removed: result in fines, disgorgement, unanticipated compliance expenditures, recall or seizure of products, exposure to product liability claims,
−Removed: total or partial suspension of production or distribution, suspension of the FDA’s review of NDAs or ANDAs, enforcement actions,
−Removed: injunctions and civil or criminal prosecution, any of which could have a material and adverse effect on our business, results of operations
−Removed: and financial condition.
−Removed: Decreases in the degree to which individuals
−Removed: are covered by healthcare insurance and levels of third party reimbursement could result in decreased use of our products and lower prices.
−Removed: Employers may seek to reduce
−Removed: costs by reducing or eliminating employer group healthcare plans or by transferring a greater portion of their healthcare costs to their
−Removed: Job losses, or other economic hardships, especially, but not limited to those hardships resulting from the effects of the
−Removed: COVID-19 global pandemic, may also result in reduced levels of coverage for some individuals, potentially resulting in lower healthcare
−Removed: coverage for themselves or their families.
−Removed: Furthermore, increased instability in the insurance marketplace or an increase in uninsured
−Removed: Americans or others living and working in the USA may result from the Tax Cuts and Jobs Act of 2017 elimination of the Patient Protection
−Removed: and Affordable Care Act (PPACA)’s requirement that individuals maintain health insurance or incur a financial penalty and other
−Removed: steps taken by various governmental and other organizations to limit or end subsidies to such individuals at comparatively lower income
−Removed: These economic conditions may affect an individual’s ability to afford healthcare as a result of increased premiums, co-pay
−Removed: or deductible obligations, greater cost sensitivity to existing co-pay or deductible obligations, lost healthcare coverage or for other
−Removed: It is possible that such conditions could lead to changes in patient behavior and spending patterns that could negatively affect
−Removed: prescription and usage of certain or all of our products, including, without limitation, delaying of treatment, rationing of prescription
−Removed: medications, non-filling of prescriptions, reduction in the frequency of visits to healthcare facilities, utilizing alternative therapies
−Removed: or foregoing healthcare insurance coverage altogether.
−Removed: Such changes may result in the reduced demand for any or all of our products,
−Removed: which could have a material adverse effect on our business, results of operations, financial condition, cash flows and ability to operate
−Removed: as a going concern.
−Removed: In December 2018, the U.S.
−Removed: District Court for the Northern District of Texas held in Texas v.
−Removed: Azar that, because the provisions of the PPACA requiring certain
−Removed: individuals to either obtain health insurance or pay a shared responsibility payment (known as the individual mandate) are no longer
−Removed: permissible under the U.S.
−Removed: Congress’
−Removed: taxing power, the entire PPACA is no longer constitutional.
−Removed: The decision was appealed to the
−Removed: Court of Appeals for the Fifth Circuit.
−Removed: In December 2019, the Fifth Circuit issued an opinion holding that, while the individual
−Removed: mandate was no longer constitutional, the case must be remanded to the district court to further evaluate whether the mandate can be
−Removed: severed from the PPACA or the entire PPACA must be stricken down.
−Removed: In January 2020, petitions for certiorari were filed requesting that
−Removed: Supreme Court review the Fifth Circuit’s decision and ultimately decide the constitutionality of the PPACA.
−Removed: In March 2020,
−Removed: Supreme Court granted certiorari in the consolidated cases of Texas v.
−Removed: California and California v.
−Removed: of which address the Fifth Circuit’s decision to strike down the individual mandate, while sending back to the district court the
−Removed: question of the overall law’s constitutionality.
−Removed: The cases were argued before the U.S.
−Removed: Supreme Court in November 2020 and a decision
−Removed: is expected during the current Supreme Court term in 2021.
−Removed: Changes in law resulting from this ongoing lawsuit or other court challenges
−Removed: to the PPACA could have a material adverse effect on our business, results of operations, financial condition, cash flows and ability
+Added: NJEDA Bonds ”.
+Added: is a risk of impairment of significant intangible assets on our balance sheet.
+Added: have significant intangible assets on our balance sheet.
+Added: Consequently, potential impairment of intangible assets may have an adverse
+Added: material effect on our profitability.
+Added: assets represent a significant portion of our assets.
+Added: As of March 31, 2022, intangible assets were approximately $6.6 million, or approximately
+Added: 20% of our assets.
+Added: accepted accounting principles in the United States (“GAAP”) requires that intangible assets be subject to regular impairment
+Added: analysis to determine if changes in circumstances indicate that the value of the asset as recorded may not be recoverable.
+Added: or changes in circumstances are an inherent risk in the pharmaceutical industry and often cannot be predicted.
+Added: However, should a change
+Added: in circumstance occur, requiring the impairment of an intangible asset, the result of such an impairment may have an adverse material
+Added: effect on our business, financial condition, results of operations, cash flows and stock price.
+Added: requires estimates, judgements and assumptions which inherently contain uncertainties.
+Added: are inherent uncertainties involved in estimates, judgments and assumptions used in the preparation of financial statements in accordance
+Added: Any future changes in estimates, judgments and assumptions used or necessary revisions to prior estimates, judgments or assumptions
+Added: could lead to a restatement of our results.
+Added: consolidated financial statements included in this Annual Report on Form 10-K are prepared in accordance with GAAP.
+Added: This involves making
+Added: estimates, judgments and assumptions that affect reported amounts of assets (including intangible assets), liabilities, mezzanine equity,
+Added: stockholders’ equity, operating revenues, costs of sales, operating expenses, other income, and other expenses.
+Added: Estimates, judgments,
+Added: and assumptions are inherently subject to change in the future and any necessary revisions to prior estimates, judgments or assumptions
+Added: could lead to a restatement.
+Added: Any such changes could result in corresponding changes to the amounts of assets (including goodwill and
+Added: other intangible assets), liabilities, mezzanine equity, stockholders’ equity, operating revenues, costs of sales, operating expenses,
+Added: other income and other expenses.
+Added: and Regulatory Risks
+Added: pharmaceutical industry is heavily regulated which creates uncertainty and substantial compliance costs.
+Added: pharmaceutical industry is heavily regulated, which creates uncertainty about our ability to bring new products to market and imposes
+Added: substantial compliance costs on our business in relation to product development as well as commercial operations.
+Added: authorities such as the FDA impose substantial requirements on the development, manufacture, holding, labeling, marketing, advertising,
+Added: promotion, distribution and sale of therapeutic pharmaceutical products through lengthy and detailed laboratory and clinical testing
+Added: and other costly and time-consuming procedures.
+Added: In addition, before obtaining regulatory approvals for certain generic products, we must
+Added: conduct limited bioequivalence studies and other research to show comparability to the branded products.
+Added: A failure to obtain satisfactory
+Added: results in required pre-marketing trials may prevent us from obtaining required regulatory approvals.
+Added: The FDA may also require companies
+Added: to conduct post-approval studies and companies are subject to post-approval surveillance regarding their drug products and to
+Added: report adverse events.
+Added: The FDA also can require companies to formulate approved Risk Evaluation and Mitigation Strategies (REMS) to
+Added: help ensure that a drug’s benefits outweigh its risks.
+Added: may seek FDA approval for certain product candidates through the 505(b)(2) regulatory pathway.
+Added: Even if we receive approval for
+Added: an NDA under Section 505(b)(2), the FDA may not take timely enforcement action against companies marketing unapproved versions of the
+Added: therefore, we cannot be sure that that we will receive the benefit of any de facto exclusive marketing period or that we will fully
+Added: recoup the expenses incurred to obtain an approval.
+Added: In addition, certain competitors and others have objected to the FDA’s interpretation
+Added: of Section 505(b)(2).
+Added: If the FDA’s interpretation of Section 505(b)(2) is successfully challenged, this could delay or even prevent
+Added: the FDA from approving any NDA that we submit under Section 505(b)(2).
+Added: even if our product candidates are approved under Section 505(b)(2), the approval may be subject to limitations on the indicated uses
+Added: for which the products may be marketed or to other conditions of approval or may contain requirements for costly post-marketing testing
+Added: and surveillance to monitor the safety or efficacy of the products.
+Added: ANDA approval process for a new product varies in time, is difficult to estimate and can vary significantly, from as little as 10 months
+Added: from the date of application, to several years or more.
+Added: Furthermore, ANDA approvals, if granted, may not include all indications for
+Added: which the Company may seek to market each product.
+Added: once a product is approved or cleared for marketing, failure to comply with applicable regulatory requirements can result in, among other
+Added: things, suspensions or withdrawals of approvals or clearances, seizures or recalls of products, injunctions against the manufacture,
+Added: holding, distribution, marketing and sale of a product, and civil and criminal sanctions.
+Added: Furthermore, changes in existing regulations
+Added: or the adoption of new regulations could prevent us from obtaining, or affect the timing of, future regulatory approvals or clearances.
+Added: Meeting regulatory requirements and evolving government standards may delay marketing of our new products for a considerable period of
+Added: time, impose costly procedures upon our activities and result in a competitive advantage to larger companies that compete against us.
+Added: if regulatory approval is obtained for a particular product candidate, the FDA and foreign regulatory authorities may, nevertheless,
+Added: impose significant restrictions on the indicated uses or marketing of such products, or impose ongoing requirements for post-approval
+Added: Following any regulatory approval of our product candidates, we will be subject to continuing regulatory obligations, such as
+Added: safety reporting requirements, and additional post-marketing obligations, including regulatory oversight of the promotion and marketing
+Added: of our products.
+Added: If we become aware of previously unknown problems with any of our product candidates here or overseas or at our contract
+Added: manufacturers’ facilities, a regulatory agency may impose restrictions on our products, our contract manufacturers or on us, including
+Added: requiring us to reformulate our products, conduct additional clinical trials, make changes in the labelling of our products, implement
+Added: changes to or obtain re-approvals of our contract manufacturers’ facilities or withdraw the product from the market.
+Added: we may experience a significant drop in the sales of the affected products, our reputation in the marketplace may suffer and we may become
+Added: the target of lawsuits, including class action suits.
+Added: Moreover, if we fail to comply with applicable regulatory requirements, we may
+Added: be subject to fines, suspension or withdrawal of regulatory approvals, product recalls, seizure of products, operating restrictions,
+Added: and criminal prosecution.
+Added: Any of these events could harm or prevent sales of the affected products or could substantially increase the
+Added: costs and expenses of commercializing and marketing these products.
+Added: with federal and state and local law regulations, including compliance with any newly enacted regulations, requires substantial expenditures
+Added: of time, money, and effort to ensure full compliance.
+Added: Failure to comply with the FDA, DEA, EPA and other governmental regulations
+Added: can result in fines, disgorgement, unanticipated compliance expenditures, recall or seizure of products, exposure to product liability
+Added: claims, total or partial suspension of production or distribution, suspension of the FDA’s review of NDAs or ANDAs, enforcement
+Added: actions, injunctions and civil or criminal prosecution, any of which could have a material and adverse effect on our business, results
+Added: of operations and financial condition.
+Added: business may be adversely affected by legislation or healthcare regulatory reform and initiatives.
+Added: business and financial condition may be adversely affected by legislation or regulatory reform of the healthcare system in the United
+Added: We cannot predict with any certainty how existing laws may be applied or how laws or legal standards may change in the future.
+Added: Current or future legislation, whether state or federal, or in any of the non-U.S.
+Added: jurisdictions with authority over our suppliers, customers
+Added: or operations, may have a material effect on our business, ability to operate, financial condition, results of operations and cash flows.
+Added: may seek to reduce costs by reducing or eliminating employer group healthcare plans or by transferring a greater portion of their healthcare
+Added: costs to their employees.
+Added: Job losses, or other economic hardships, especially, but not limited to those hardships resulting from the
+Added: effects of the COVID-19 global pandemic, may also result in reduced levels of coverage for some individuals, potentially resulting in
+Added: lower healthcare coverage for themselves or their families.
+Added: Furthermore, increased instability in the insurance marketplace or an increase
+Added: in uninsured Americans or others living and working in the USA may result from the Tax Cuts and Jobs Act of 2017 elimination of the Patient
+Added: Protection and Affordable Care Act (PPACA)’s requirement that individuals maintain health insurance or incur a financial penalty
+Added: and other steps taken by various governmental and other organizations to limit or end subsidies to such individuals at comparatively
+Added: lower income levels.
+Added: These economic conditions may affect an individual’s ability to afford healthcare as a result of increased
+Added: premiums, co-pay or deductible obligations, greater cost sensitivity to existing co-pay or deductible obligations, lost healthcare coverage
+Added: or for other reasons.
+Added: It is possible that such conditions could lead to changes in patient behavior and spending patterns that could
+Added: negatively affect prescription and usage of certain or all of our products, including, without limitation, delaying of treatment, rationing
+Added: of prescription medications, non-filling of prescriptions, reduction in the frequency of visits to healthcare facilities, utilizing alternative
+Added: therapies or foregoing healthcare insurance coverage altogether.
+Added: Such changes may result in the reduced demand for any or all of our
+Added: products, which could have a material adverse effect on our business, results of operations, financial condition, cash flows and ability
to operate as a going concern.
−Removed: Furthermore, our ability
−Removed: to commercialize and generate revenues and profit splits relating to the sale of our products depends, in part, on the extent to which
−Removed: reimbursement for the costs of these products is available from government healthcare programs, such as Medicaid and Medicare, private
−Removed: health insurers and others.
−Removed: We cannot be certain that, over time, third party reimbursements for our products will be adequate for us
−Removed: to maintain price levels sufficient for realization of an appropriate return on our investment.
−Removed: Government payers, private insurers and
−Removed: other third party payers are increasingly attempting to contain healthcare costs by:
−Removed: (i) limiting both coverage and the level of reimbursement
−Removed: (including adjusting co-pays) for drugs, (ii) refusing, in some cases, to provide any coverage for off-label uses for drugs and (iii)
−Removed: requiring or encouraging, through more favorable reimbursement levels or otherwise, the substitution of generic alternatives to branded
−Removed: For example, government agencies or third-party payers could attempt to reduce reimbursement for physician administered products
−Removed: through their interpretation of complex government price reporting obligations and payment and reimbursement coding rules, and could
−Removed: attempt to reduce reimbursement for separate physician administered products that share an active ingredient by requiring the blending
−Removed: of sales and pricing information in the same payment and reimbursement code.
−Removed: There have been several recent
−Removed: Congressional inquiries, hearings and proposed and enacted federal and state legislation and rules, as well as executive orders,
−Removed: designed to, among other things:
−Removed: (i) reduce or limit the prices of drugs and make them more affordable for patients, such as by tying
−Removed: the prices that Medicare reimburses for physician administered drugs to the prices of drugs in other countries;
−Removed: (ii) reform the structure
−Removed: and financing of Medicare Part D pharmaceutical benefits, including through increasing manufacturer contributions to offset Medicare
−Removed: beneficiary costs;
−Removed: (iii) bring more transparency to how manufacturers price their medicines;
−Removed: (iv) enable the government to directly negotiate
−Removed: prices for drugs covered under Medicare;
−Removed: (v) revise rules associated with the calculation of Medicaid Average Manufacturer Price and
−Removed: Best Price, including with regard to the manner in which pharmaceutical manufacturers may provide copayment assistance to patients and
−Removed: the identification of “line extension”
−Removed: drugs, which affect the amount of rebates that manufacturers must pay on prescription
−Removed: drugs under Medicaid;
−Removed: (vi) eliminate anti-kickback statute discount safe harbor protection for manufacturer rebate arrangements with
−Removed: Medicare Part D Plan Sponsors and pharmacy benefit managers on behalf of Part D Plan Sponsors;
−Removed: (vii) create new anti-kickback statute
−Removed: safe harbors applicable to certain point-of-sale discounts to patients and fixed-fee administrative fee payment arrangements with pharmacy
−Removed: benefit managers;
−Removed: and (viii) and facilitate the importation of certain lower-cost drugs from other countries.
−Removed: In addition, state legislatures
−Removed: have enacted legislation and regulations designed to control pharmaceutical and biological product pricing, including restrictions on
−Removed: pricing or reimbursement at the state government level, marketing cost disclosure and transparency measures, and, in some cases, policies
−Removed: to encourage importation of drugs from other countries (subject to federal approval) and bulk purchasing, including the National Medicaid
−Removed: Pooling Initiative.
−Removed: While we cannot predict the final form of pending legislative, regulatory and/or administrative measures, some of
−Removed: the pending and enacted legislative proposals or executive rulemaking, such as those incorporating International Pricing Index or Most-Favored-Nation
−Removed: models, could significantly reduce the coverage and levels of reimbursement for products.
−Removed: The unavailability of, or
−Removed: reduction in, the reimbursement of our products could have a material adverse effect on our business, ability to operate as a going concern,
−Removed: financial condition, results of operations and cash flow.
−Removed: Our business may be adversely affected
−Removed: by legislation or healthcare regulatory reform and initiatives.
−Removed: Our business and financial
−Removed: condition may be adversely affected by legislation or regulatory reform of the healthcare system in the United States.
−Removed: We cannot predict
−Removed: with any certainty how existing laws may be applied or how laws or legal standards may change in the future.
−Removed: Current or future legislation,
−Removed: whether state or federal, or in any of the non-U.S.
−Removed: jurisdictions with authority over our suppliers, customers or operations, may have
−Removed: a material effect on our business, ability to operate, financial condition, results of operations and cash flows.
−Removed: In April 2018, New York enacted
−Removed: a statute called the Opioid Stewardship Act (the Stewardship Act), which, among other things, provided for certain sellers and distributors
−Removed: of certain opioids in the state of New York (the Contributing Parties) to make payments to a newly created Opioid Stewardship Fund (the
−Removed: The Stewardship Act is a component in the degradation of commercial prospects of SequestOx TM , which are significant
−Removed: factor in the decision to pause development of this product.
−Removed: By its terms, the Stewardship Act required Contributing Parties to pay a
−Removed: total of up to $100 million annually into the Fund, with each Contributing Party’s share based on the total amount of morphine
−Removed: milligram equivalents of certain opioids sold or distributed by the Contributing Party in the state of New York during the preceding
−Removed: calendar year, subject to potential adjustments by the New York State Department of Health.
−Removed: Failure of a Contributing Party to make required
−Removed: reports or pay its ratable share, or a Contributing Party passing on the cost of its ratable share to a purchaser, could subject the
−Removed: Contributing Party to penalties.
−Removed: In December 2018, the U.S.
−Removed: District Court for the Southern District of New York held the Stewardship
−Removed: Act unconstitutional.
−Removed: This ruling is on appeal.
−Removed: If the decision is reversed, we may be deemed to be a Contributing Party under the Stewardship
−Removed: Act and even if we are not considered to be a Contributing Party, or such a determination is never made, other entities may attempt to
−Removed: seek reimbursement from us for payments made related to products manufactured by us and distributed in New York.
−Removed: Furthermore, the application
−Removed: of the Stewardship Act may require additional regulatory guidance, which could be substantially delayed, increasing the uncertainty as
−Removed: to the ultimate effect of the Stewardship Act on us.
−Removed: If we are ultimately deemed to be a Contributing Party under the Stewardship Act,
−Removed: or similar legislation that could be enacted by New York or other jurisdictions, compliance with those laws could have an adverse effect
−Removed: on our business, results of operations, financial condition and cash flows.
−Removed: Providing further impediment
−Removed: to the commercial viability of SequestOx TM , New York State, in April 2019 enacted an excise tax on the first sale of every
−Removed: opioid unit in New York.
−Removed: Additionally, in October
−Removed: 2018, the U.S.
−Removed: Congress enacted the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities
−Removed: Intended to achieve sweeping reform to combat the opioid epidemic, H.R.
−Removed: 6, among other provisions, amends related laws
−Removed: administered by the FDA, DEA and CMS.
−Removed: Among other things, the law:
−Removed: amends requirements related to the FDA’s authority to include
−Removed: packaging requirements in REMS requirements;
−Removed: increases civil and criminal penalties for drug manufacturers and distributors for failing
−Removed: to maintain effective controls against diversion of opioids or for failing to report suspicious opioid orders;
−Removed: requires the DEA to estimate
−Removed: the amount of opioid diversion when establishing manufacturing and procurement quotas;
−Removed: implements expanded anti-kickback and financial
−Removed: disclosure provisions;
−Removed: and authorizes the Department of Health and Human Services to implement a demonstration program which would award
−Removed: grants to hospitals and emergency departments to develop, implement, enhance or study alternative pain management protocols and treatments
−Removed: that limit the use and prescription of opioids in emergency departments.
−Removed: While the effect of this legislation is still uncertain, it
−Removed: is not reasonably unlikely that our products will be affected by enforcement of the legislation, including through related policies and
−Removed: implementing regulations.
−Removed: There can be no assurances that the effects of this legislation will not be detrimental to our business, results
−Removed: of operations, financial condition, cash flow or ability to operate.
−Removed: Furthermore, the Patient
−Removed: Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act, collectively commonly referred to
−Removed: as the “Affordable Care Act”
−Removed: may affect the operational results of companies in the pharmaceutical industry such as ours
−Removed: by imposing additional costs.
−Removed: Effective January 1, 2010, the Affordable Care Act, amongst other changes, increased the minimum Medicaid
−Removed: drug rebates for pharmaceutical companies and revised the definition of “average manufacturer price”
−Removed: for reporting purposes,
−Removed: which may affect the amount of Medicaid drug rebates to states related to the sales of our products, whether such sales are made directly
−Removed: by Company or by one of the Company’s licensees.
−Removed: Beginning in 2011, the law also imposed a significant annual fee on companies
−Removed: that manufacture or import branded prescription drug products.
−Removed: The Affordable Care Act contemplates
−Removed: the promulgation of significant future regulatory action which may also further affect our business.
−Removed: In addition, since its enactment,
−Removed: the legislative and executive branches of the federal government have proposed multiple revisions to the Affordable Care Act, the effect
−Removed: of which, if implemented, may result in changes to the health care laws or regulatory framework that could result in the reduction of
−Removed: revenues or increased costs which could also have a material adverse effect on our business, results of operations and financial condition.
−Removed: Extensive industry regulation
−Removed: has had and will continue to have, a significant impact on business in the areas of cost of goods, product development and our manufacturing
−Removed: and distribution capabilities.
−Removed: We, like all other pharmaceutical companies located or engaged in business in the U.S.
−Removed: are subject to
−Removed: extensive, complex, costly and evolving regulation by the federal government, including the FDA and, in the case of controlled drugs,
−Removed: the DEA, as well as applicable state government agencies.
−Removed: The Federal Food, Drug and Cosmetic Act, the Controlled Substance Act and multiple
−Removed: other federal statutes, regulations and guidance govern or influence the development, testing, manufacture, packing, labelling, storing,
−Removed: record keeping, safety, approval, advertising, promotion, sale, shipment and distribution of our products.
−Removed: The process for obtaining
−Removed: governmental approval to manufacture and market pharmaceutical products is rigorous, time-consuming and costly and we cannot predict
−Removed: the extent to which we may be affected by legislative and regulatory developments.
−Removed: We are dependent on receiving FDA and other governmental
−Removed: or third-party approvals prior to manufacturing, marketing and shipping our products.
−Removed: The FDA approval process for a particular product
−Removed: candidate can take several years and requires us to dedicate substantial resources to complete all activities necessary to secure approvals
−Removed: and we may not be able to obtain regulatory approval for our product candidates in a timely manner, or at all.
−Removed: In order to obtain approval
−Removed: for our generic product candidates, we must demonstrate that our drug product is therapeutically equivalent and bioequivalent to a drug
−Removed: previously approved by the FDA through the drug approval process, known as the reference listed drug (“RLD”) or reference
−Removed: standard drug (“RS”).
−Removed: Bioequivalence may be demonstrated in vivo or in vitro by comparing the generic product candidate to
−Removed: the innovator drug product.
−Removed: During the FDA review process, the FDA may request additional information and studies to support approval
−Removed: of an application, which could delay approval of the product and impair our ability to compete with other versions of the generic drug
−Removed: Inherent to this process
−Removed: is the possibility that we will not obtain FDA or other necessary approvals, or that the rate, timing and cost of such approvals will
−Removed: adversely affect our product introduction plans or results of operations.
−Removed: We may carry inventories of certain products in anticipation
−Removed: of launch and if such products are not subsequently launched, we may be required to write-off the related inventory, if such inventories
−Removed: have no foreseeable commercial value to us.
−Removed: In addition, facilities used
−Removed: to manufacture and/or test materials and drug products we market are subject to periodic inspection of facilities by the FDA, the DEA,
−Removed: and other authorities to confirm that firms are in compliance with all applicable regulations.
−Removed: The FDA conducts pre-approval and/or post-approval
−Removed: inspections to determine whether systems and processes are in compliance with cGMP and other FDA regulations.
−Removed: A Form 483 notice is generally
−Removed: issued at the conclusion of an FDA inspection and lists conditions the FDA inspectors believe may violate cGMP or other FDA regulations.
−Removed: If more serious violations are identified, the FDA may take additional action, such as issuing warning letters, import alerts, etc.
−Removed: DEA and comparable state-level agencies also heavily regulate the manufacturing, holding, processing, security, record-keeping and distribution
−Removed: of drugs that are controlled substances.
−Removed: We manufacture and/or distribute certain controlled substances and are accordingly subject to
−Removed: oversight, regulation and inspection by the DEA.
−Removed: The DEA periodically inspects facilities for compliance with its regulations.
−Removed: manufacturing facilities or those of our suppliers fail to comply with applicable regulatory requirements, it could result in regulatory
−Removed: action and additional costs.
−Removed: Our inability or the inability
−Removed: of our suppliers to comply with applicable FDA and other regulatory requirements can result in, among other things, delays in or denials
−Removed: of new product approvals, warning letters, import alerts, fines, consent decrees restricting or suspending manufacturing operations,
−Removed: injunctions, civil penalties, recall or seizure of products, total or partial suspension of sales and/or criminal prosecution.
−Removed: these or other regulatory actions could have an adverse material effect on our business, financial condition, results of operations,
−Removed: cash flows and stock price.
−Removed: While we have instituted
−Removed: internal compliance programs, if these programs do not meet regulatory agency standards or if compliance is deemed deficient in any significant
−Removed: way, it could have an adverse material effect on our business, financial condition, results of operations, cash flows and stock price.
−Removed: Furthermore, health care
−Removed: initiatives and other third-party payor cost-containment pressures have caused and could continue to cause us to sell our products at
−Removed: lower prices, resulting in decreased revenues.
−Removed: Some of our products that are marketed under license granted to marketing partners such
−Removed: as Lannett, Burel, Epic Pharma and TAGI, in turn, purchased or reimbursed by state and federal government authorities, private health
−Removed: insurers and other organizations, such as health maintenance organizations, or HMOs and managed care organizations, or MCOs.
−Removed: payors increasingly challenge pharmaceutical product pricing.
−Removed: There also continues to be a trend toward managed health care in the United
−Removed: Pricing pressures by third-party payors and the growth of organizations such as HMOs and MCOs could result in lower prices and
−Removed: a reduction in demand for our products.
−Removed: One such governmental program,
−Removed: known as the 340B Program, requires pharmaceutical manufacturers to enter into an agreement, called a pharmaceutical pricing agreement
−Removed: (PPA), with the Secretary of Health and Human Services.
−Removed: Under the PPA, the manufacturer agrees to provide front-end discounts on covered
−Removed: outpatient drugs purchased by specified providers, called “covered entities,”
−Removed: that serve the nation’s most vulnerable
−Removed: patient populations.
−Removed: Outpatient prescription drugs, over the counter drugs (accompanied by a prescription), and clinic-administered drugs
−Removed: within eligible facilities are covered.
−Removed: In addition, legislative
−Removed: and regulatory proposals and enactments to reform health care and government insurance programs could significantly influence the manner
−Removed: in which pharmaceutical products and medical devices are prescribed and purchased.
−Removed: We expect there will continue to be federal and state
−Removed: laws and/or regulations, proposed and implemented, that could limit the amounts that federal and state governments will pay for health
−Removed: care products and services.
−Removed: The extent to which future legislation or regulations, if any, relating to the health care industry or third-party
−Removed: coverage and reimbursement may be enacted or what effect such legislation or regulation would have on our business remains uncertain.
−Removed: For example, H.R.987, the “Strengthening Health Care and Lowering Prescription Drug Costs Act,”
−Removed: which incorporated a bipartisan
−Removed: effort to address prescription drug pricing combined with broader provisions protecting the Affordable Care Act, was passed by the House
−Removed: of Representatives on May 16, 2019, but it is not expected to pass in the Senate.
−Removed: The bill does represent bipartisan consensus on the
−Removed: need to reform the drug pricing system.
−Removed: Such measures or other health care system reforms that are adopted could have a material adverse
−Removed: effect on our industry generally and our ability to successfully commercialize our products or could limit or eliminate our spending
−Removed: on development projects and affect our ultimate profitability, which could have a material adverse effect on our business, financial
−Removed: condition, results of operations, cash flow and stock price.
−Removed: Recently enacted state laws
−Removed: could also affect the pricing of our products and could reduce our profitability.
−Removed: Since 2016, several state legislatures have enacted
−Removed: laws regulating the pricing of various types of pharmaceutical products, including generic pharmaceutical products.
−Removed: These laws vary in
−Removed: applicability and scope, and generally require manufacturers to notify various state agencies of price increases over a given threshold
−Removed: for a given period of time and to include a justification for any price increases.
−Removed: At least one state law (subsequently struck by the
−Removed: court) authorized the state attorney general to seek civil penalties and disgorgement in the event a price increase is deemed unconscionable.
−Removed: To the extent these laws apply to our products, they could limit the prices which the company may charge for its products and reduce
−Removed: the company’s profitability and could have a material adverse effect on our business, growth prospects, financial condition, results
−Removed: of operations, cash flow and stock price.
−Removed: Use of generics may be limited through
−Removed: legislative, regulatory or efforts of pharma companies.
−Removed: Many pharmaceutical companies
−Removed: increasingly have used state and federal legislative and regulatory means to delay generic competition, which, if successful, could limit
−Removed: the use of generic pharmaceuticals.
+Added: our ability to commercialize and generate revenues and profit splits relating to the sale of our products depends, in part, on the extent
+Added: to which reimbursement for the costs of these products is available from third-party payors, including government healthcare programs,
+Added: such as Medicaid and Medicare, private health insurers and other payors.
+Added: We cannot be certain that, over time, third party reimbursements
+Added: for our products will be adequate for us to maintain price levels sufficient for realization of an appropriate return on our investment.
+Added: Government payers, private insurers and other third party payers are increasingly attempting to contain healthcare costs by:
+Added: both coverage and the level of reimbursement (including adjusting co-pays) for drugs, (ii) refusing, in some cases, to provide any coverage
+Added: for certain uses for drugs and (iii) requiring or encouraging, through more favorable reimbursement levels or otherwise, the substitution
+Added: of generic alternatives to branded drugs.
+Added: For example, government agencies or third-party payers could attempt to reduce reimbursement
+Added: for physician administered products through their interpretation of complex government price reporting obligations and payment and reimbursement
+Added: coding rules, and could attempt to reduce reimbursement for separate physician administered products that share an active ingredient
+Added: by requiring the blending of sales and pricing information in the same payment and reimbursement code.
+Added: unavailability of, or reduction in, the reimbursement of our products could have a material adverse effect on our business, ability to
+Added: operate as a going concern, financial condition, results of operations and cash flow.
+Added: of generics may be limited through legislative, regulatory or efforts of pharmaceutical companies.
+Added: pharmaceutical companies increasingly have used state and federal legislative and regulatory means to delay generic competition, which,
+Added: if successful, could limit the use of generic pharmaceuticals.
These efforts have included:
−Removed: Pursuing new patents for existing products which may be granted just
−Removed: before the expiration of earlier patents, which could extend patent protection for additional years;
−Removed: Using the Citizen Petition process (for example, under 21 C.F.R.
+Added: new patents for existing products which may be granted just before the expiration of earlier patents, which could extend patent protection
+Added: for additional years;
+Added: the Citizen Petition process (for example, under 21 C.F.R.
10.30) to request amendments to FDA standards;
−Removed: Attempting to use the legislative and regulatory process to have drugs
−Removed: reclassified or rescheduled or to set definitions of abuse-deterrent formulations to protect patents and profits;
−Removed: Engaging in state-by-state initiatives to enact legislation that restricts
−Removed: the substitution of some generic drugs.
−Removed: Seeking changes to U.S.
−Removed: Pharmacopeia, an organization that publishes
−Removed: industry recognized compendia of drug standards;
−Removed: Attaching patent extension amendments to non-related federal legislation;
−Removed: Persuading regulatory bodies to withdraw the approval of brand-name
−Removed: drugs for which the patents are about to expire and converting the market to another product of the brand company on which longer
−Removed: patent protection exists;
−Removed: Entering into agreements whereby other generic companies will begin
−Removed: to market an authorized generic at the same time or after generic competition initially enters the market;
−Removed: Filing suits for patent infringement and other claims that may delay
−Removed: or prevent regulatory approval, manufacture and/or scale of generic products;
−Removed: Introducing “next generation”
−Removed: products prior to the expiration
−Removed: of market exclusivity for the reference product, which often materially reduces demand for the generic or the reference product for
−Removed: which we seek regulatory approval for a generic equivalent.
−Removed: Some pharmaceutical companies
−Removed: have lobbied the United States Congress for amendments to the Hatch-Waxman Act that would give them additional advantages over generic
−Removed: For example, although the term of a company’s drug patent can be extended to reflect a portion of the time an NDA
−Removed: is under regulatory review, some companies have proposed extending the patent term by a full year for each year spent in clinical trials
−Removed: rather than the one-half year that is currently permitted.
−Removed: If pharmaceutical companies
−Removed: or other third parties are successful in limiting the use of generic products through these or other means, our sales of generic products
−Removed: and our growth prospects may decline.
−Removed: A material decline in generic product sales will have a material adverse effect on our results
−Removed: of operations, financial condition, cash flows and our ability to operate.
−Removed: New tariffs and evolving trade policy between
−Removed: the US and other countries may adversely affect our business.
−Removed: New tariffs and evolving
−Removed: trade policy between the United States and other countries, including China and Mexico, may have an adverse effect on our sourcing of
−Removed: critical raw materials from suppliers located outside of the United States and corresponding adverse effects on our business and results
−Removed: of operations.
−Removed: Some of our suppliers, including
−Removed: those of critical active pharmaceutical ingredients are located outside of the United States.
−Removed: There is uncertainty about the future relationship
−Removed: between the U.S.
−Removed: and various other countries, including China, with respect to trade policies, treaties, government regulations and tariffs
−Removed: under the Biden Administration.
−Removed: It is unclear to what extent
−Removed: the Biden Administration will continue to pursue the trade policies of the Trump Administration.
−Removed: The Biden Administration may seek to
−Removed: impose certain additional restrictions on international trade, such as increased tariffs on goods imported into the U.S.
−Removed: could potentially disrupt our existing supply chains and impose additional costs on our business, including costs with respect to raw
−Removed: materials upon which our business depends.
−Removed: Furthermore, if tariffs, trade restrictions or trade barriers are placed on products such
−Removed: as ours by foreign governments, it could cause us to raise prices for our products, which may result in the loss of customers.
−Removed: are unable to pass along increased costs to our customers, our margins could be adversely affected.
−Removed: Additionally, it is possible that
−Removed: further tariffs may be imposed that could affect imports of APIs and other materials used in our products, or our business may be adversely
−Removed: impacted by retaliatory trade measures taken by other countries, including restricted access to APIs or other materials used in our products,
−Removed: causing us to raise prices or make changes to our products.
−Removed: Further, the continued threats of tariffs, trade restrictions and trade barriers
−Removed: could have a generally disruptive impact on the global economy and, therefore, negatively impact our sales.
−Removed: For example, the Trump Administration
−Removed: placed tariffs on certain goods imported from China.
−Removed: In January 2020, the U.S.
−Removed: and China agreed to roll back certain tariffs, expand
−Removed: trade purchases and impose binding commitments on intellectual property, technology transfer and currency practices.
−Removed: Nevertheless, given
−Removed: the volatility and uncertainty regarding the scope and duration of these tariffs and other aspects of U.S.
−Removed: international trade policy,
−Removed: the impact on our operations and results is uncertain and could be significant.
−Removed: Further governmental action related to tariffs, additional
−Removed: taxes, regulatory changes or other retaliatory trade measures could occur in the future.
−Removed: Any of these factors could have a material adverse
−Removed: effect on our business, financial condition, results of operations and cash flows.
−Removed: The DEA could limit the availability of
−Removed: active ingredients used in many of our products.
−Removed: The DEA limits the availability
−Removed: of the active ingredients used in many of our current products and products in development, as well as the production and distribution
−Removed: of these products, and, as a result, our procurement, production, and distribution quotas may not be sufficient to meet commercial demand
−Removed: or complete clinical trials.
−Removed: The DEA regulates chemical
−Removed: compounds as Schedule I, II, III, IV or V substances, with Schedule I substances considered to present the highest risk of substance
−Removed: abuse and Schedule V substances the lowest risk.
−Removed: The active ingredients in some of our current products and products in development,
−Removed: including, without limitation, hydromorphone, methadone, phentermine, phendimetrazine and oxycodone, are listed by the DEA as Scheduled
−Removed: substances under the Controlled Substances Act of 1970.
−Removed: Consequently, their manufacture, shipment, storage, sale, and use are subject
−Removed: to a high degree of regulation.
−Removed: Furthermore, the DEA limits the availability of the active ingredients used in many of our current products
−Removed: and products in development and we and/or our contract customers and suppliers, must annually apply to the DEA for procurement quotas
−Removed: in order to obtain and distribute these substances.
−Removed: As a result, our procurement and production quotas may not be sufficient to meet
−Removed: commercial demand or to complete clinical trials.
−Removed: Moreover, the DEA may adjust these quotas from time to time during the year, although
−Removed: the DEA has substantial discretion in whether or not to make such adjustments.
−Removed: Any delay or refusal by the DEA in establishing our quotas,
−Removed: or modification of our quotas, for controlled substances could delay or result in the stoppage of our clinical trials or product launches
−Removed: or could cause trade inventory disruptions for those products that already been launched, which could have a material adverse effect
−Removed: on our business, financial position, cash flows and stock price.
−Removed: Changes in FDA approval requirements may
−Removed: prevent or delay approval of new products.
−Removed: Approvals for our new generic
−Removed: drug products may be delayed or become more difficult to obtain if the FDA institutes changes to its approval requirements.
−Removed: The FDA may institute changes
−Removed: to its ANDA approval requirements, which may make it more difficult or expensive for us to obtain approval for our new generic products.
−Removed: For instance, in July 2012, the Generic Drug Fee User Amendments of 2012 (“
−Removed: GDUFA ”) was enacted into law.
−Removed: legislation implemented fees for new ANDAs, Drug Master Files, product and establishment fees and a one-time fee for back-logged ANDAs
−Removed: pending approval as of October 1, 2012.
−Removed: In return, the program is intended to provide faster and more predictable ANDA reviews by the
−Removed: FDA and increased inspections of drug facilities.
−Removed: Under GDUFA, generic product companies face significant penalties for failure to pay
−Removed: the new user fees, including rendering an ANDA not “substantially complete”
−Removed: until the fee is paid.
−Removed: Any failure by us or our
−Removed: suppliers to pay the fees or to comply with the other provisions of GDFUA may impact or delay our ability to file ANDAs, obtain approvals
−Removed: for new generic products, generate revenues and thus may have a material adverse effect on our business, results of operations and financial
−Removed: In addition to the implementation
−Removed: of new fees and review procedures by the FDA, the FDA may also implement other changes that may directly affect some of our ANDA filings
−Removed: pending approval from the FDA, such as changes to guidance from the FDA regarding bioequivalency requirements for particular drugs.
−Removed: changes may cause our development of such generic drugs to be significantly more difficult or result in delays in FDA approval or result
−Removed: in our decision to abandon or terminate certain projects.
−Removed: Any changes in FDA requirements may make it more difficult for us to file ANDAs
−Removed: or obtain approval of our ANDAs and generate revenues and thus have a material adverse effect on our business, results of operations
−Removed: and financial condition.
−Removed: We received a CRL from the FDA indicating
−Removed: that the SequestOx™
−Removed: NDA is not ready for approval.
−Removed: We received a Complete Response
−Removed: Letter from the FDA that indicated that our SequestOx™
−Removed: NDA is not ready for approval in its present form.
−Removed: We have paused further
−Removed: development of this product and we cannot assure that development will restart.
−Removed: If we are unable to obtain approval for SequestOx™
−Removed: or if we incur significant costs or delays in obtaining such approval, our ability to commercialize SequestOx™
−Removed: may be materially
−Removed: adversely affected.
−Removed: In July 2016, the FDA issued
−Removed: a Complete Response Letter, or CRL, regarding the NDA.
−Removed: The CRL stated that the review cycle for the SequestOx™
−Removed: NDA is complete
−Removed: and the application is not ready for approval in its present form.
−Removed: On December 21, 2016, we met with the FDA for an end-of-review meeting
−Removed: to discuss steps that we could take to obtain approval of SequestOx™.
−Removed: Based on the FDA response, we believe there is a path forward
−Removed: to address the issues cited in the CRL, with such path forward including modification of the SequestOx™
−Removed: formulation, and the successful
−Removed: completion of in vitro and in vivo studies.
−Removed: If we are unable to modify the formulation or if we are unable to successfully complete the
−Removed: required studies, we will not meet the requirements specified by the FDA for resubmission of the NDA.
−Removed: Furthermore, there can be no assurances
−Removed: given that the FDA will eventually approve our NDA.
−Removed: If we are unable to obtain approval for SequestOx™, or if we incur significant
−Removed: costs or delays in obtaining such approval, our ability to commercialize SequestOx™
−Removed: may be materially adversely affected.
−Removed: in the event that the Company does receive marketing approval for SequestOx™, there can be no assurances of the Company realizing
−Removed: future revenues or profits related to this product, or that any such future revenues and profits would be in amounts that provide adequate
−Removed: return on the significant investments made to secure this marketing authorization.
−Removed: The Company has currently paused further development
−Removed: of SequestOx™
−Removed: due to the prohibitive cost of such and attendant risks related thereto.
−Removed: Regulatory factors may cause us to be unable
−Removed: to manufacture products or face interruptions in our manufacturing process.
−Removed: Our manufacturing operations
−Removed: as well as our suppliers’
−Removed: manufacturing operations are subject to establishment registration by the FDA and periodic inspections by the
−Removed: FDA to assure compliance regarding the manufacturing of our products.
−Removed: If we or our suppliers do not maintain the current registrations
−Removed: or if we or our partners receive notices of manufacturing and quality-related observations following inspections by the FDA, our operating
−Removed: results would be materially negatively impacted.
−Removed: Our facilities, as well as
−Removed: those of applicable suppliers, rely on maintaining current FDA, and DEA if applicable, registration and other license to produce and
−Removed: develop generic drugs and raw materials used in such operations.
−Removed: If we, or one of our suppliers does not successfully renew and maintain
−Removed: current FDA, DEA and other required licenses, our operations and financial results would be negatively impacted.
−Removed: We and our suppliers
−Removed: are subject to periodic inspection by the FDA, DEA and other regulatory agencies, as applicable, to assure regulatory compliance regarding
−Removed: the manufacture and distribution of pharmaceutical products and raw materials.
−Removed: These regulatory bodies impose stringent mandatory requirements
−Removed: on the manufacture and distribution of pharmaceutical products to ensure their safety and efficacy.
−Removed: If we or any of our third party suppliers
−Removed: receive notices of manufacturing and quality-related observations and are unable to satisfactorily resolve the issues and observations
−Removed: identified in a timely fashion, there could be a material adverse effect on our business, financial condition, results of operations,
−Removed: cash flow and stock price.
−Removed: Agreements between branded pharmaceutical
−Removed: companies and generic pharmaceutical companies are facing increased government scrutiny in the United States and Internationally.
−Removed: There are numerous and continuing
−Removed: litigation in which generic companies challenge the validity or enforceability of an innovator products patents and/or the applicability
−Removed: of such patents to a generic applicant’s products.
−Removed: Settlement of such litigation is a common outcome, with review of such agreements
−Removed: Federal Trade Commission (the “
−Removed: FTC ”) and the Antitrust Division of the Department of Justice (the “
−Removed: being required by law.
−Removed: The FTC has stated publicly its view that some of these settlement agreements violate antitrust laws and has commenced
−Removed: actions against the branded and generic companies that are parties to these agreements.
−Removed: Accordingly, in the event of the Company being
−Removed: party to a settlement agreement, either as the branded, innovator product owner, or as the generic applicant, we may receive formal or
−Removed: informal requests from the FTC for information about a settlement agreement and there is a risk of the FTC alleging a violation of antitrust
−Removed: laws and commencing an action against us.
−Removed: In addition, the United States
−Removed: Congress has proposed legislation that would limit the types of settlement agreements generic manufacturers can enter into with brand
−Removed: In 2013, the Supreme Court, in FTC v.
−Removed: Actavis , determined that reverse payment patent settlements between generic and
−Removed: brand companies should be evaluated under the rule of reason, and provided limited guidance beyond the selection of this standard.
−Removed: to the court’s non-articulation of a precise rule of lawfulness for such settlements, there may be extensive litigation over what
−Removed: constitutes a reasonable and lawful patent settlement between and brand and generic company.
−Removed: The impact of such future
−Removed: litigation, if any, legislative proposals, and potential future court decisions is uncertain, and there can be no assurances that such
−Removed: impact will not have an adverse effect on the Company’s business, its financial condition, results of operations, cash flows and
−Removed: its stock price.
−Removed: Litigation and Liability Related Risks
−Removed: We may not be able to obtain or maintain
−Removed: adequate insurance coverages.
−Removed: The cost of insurance, including
−Removed: directors and officer insurance, workers compensation, product liability, truck and general liability insurance have increase significantly
−Removed: in recent years and may continue to increase in the future.
−Removed: We have increased deductibles and/or decreased coverages to mitigate some
−Removed: of these costs.
−Removed: These insurance premium increases, as well as our increased risk due to reduced coverage and increased deductibles could
−Removed: have an adverse material effect on our business, financial condition, results of operations, cash flows and stock price.
−Removed: We may not have and may be
−Removed: unable to obtain or maintain in the future insurance, on acceptable terms, that provide adequate coverage against potential liabilities
−Removed: or other losses, such as the cost of a recall or defense against claims, if any claim is brought against us, for any reason, regardless
−Removed: of the merits, success or failure of such claim.
−Removed: In the past year, as a result of product liability and securities litigation in the
−Removed: general marketplace, and a threatened claim of action against us in relation to the shareholder vote conducted in December 2019, our
−Removed: insurance premiums have increased significantly, while also providing no greater, and in most cases, lower levels of coverage.
−Removed: The significant
−Removed: premium increases experienced were prior to, and accordingly did not consider, the impact of the COVID-19 global pandemic on the legal
−Removed: and litigation environment in which we and all other companies operate.
−Removed: The amount of our insurance
−Removed: coverage is accordingly limited by our financial resources and greatly impacted by the significant premium increases of the past year
−Removed: and reasonably expected further increases in the near to mid-term due to the global pandemic.
−Removed: Furthermore, even where claims are submitted
−Removed: to insurance carriers for defenses and indemnity that are within coverage limits, there can be no assurance that such claims will be
−Removed: fully covered by insurance or that the indemnitors or insurers will remain financially viable to provide reimbursement consistent with
−Removed: coverage maintained.
−Removed: Any failure by us, to obtain
−Removed: sufficient insurance coverage, with reimbursement of claims being provided and generate sufficient cash flow, if needed, above insurance
−Removed: coverage, to pay amounts due in relation to potential claims, will have a material adverse effect on our business, financial condition,
−Removed: results of operations, cash flow and ability to operate as a going concern.
−Removed: Litigation, product liability claims, product
−Removed: recalls, government investigations and other significant legal proceedings are common in the pharmaceutical industry.
−Removed: Litigation, product liability
−Removed: claims, other significant legal proceedings, government investigations and product recalls are common in the pharmaceutical industry
−Removed: and can be protracted and expensive and could delay and/or prevent entry of our products into the market, which, in turn, could have
−Removed: a material adverse effect on our business.
−Removed: As a business that operates
−Removed: in the pharmaceutical industry, we are inherently exposed to significant potential risks from lawsuits, product liability claims, patent
−Removed: and proprietary rights claims, other significant proceedings, government investigations or product recalls, including, without limitation,
−Removed: such matters associated with the testing, manufacturing, marketing and sale of our products.
−Removed: While no such judgements have been made
−Removed: against us to date, some plaintiffs have received substantial damage awards or settlements against other healthcare companies based upon
−Removed: various legal theories, including, without limitation, claims for injuries allegedly caused by use of their products.
−Removed: Our business continues
−Removed: to be inherently exposed to the risk of being subject to product liability cases, as well as other significant legal proceedings and
−Removed: government investigations.
−Removed: For example, we have been
−Removed: a manufacturer of prescription opioid medications in the past, and while we have not been subject to lawsuits, other manufacturers of
−Removed: such products, as well as distributors and other sellers of such medications, have been subjects of subject of lawsuits and have received
−Removed: subpoenas and other requests for information from various federal, state and local government agencies regarding the sale, marketing
−Removed: and/or distribution of prescription opioid medications.
−Removed: Numerous claims against opioid manufacturers, have been and may continue to be
−Removed: filed by or on behalf of states, counties, cities, Native American tribes, other government-related persons or entities, hospitals, health
−Removed: systems, unions, health and welfare funds, other third-party payers and/or individuals.
−Removed: In these cases, plaintiffs seek various remedies,
−Removed: including without limitation declaratory and/or injunctive relief;
+Added: to use the legislative and regulatory process to have drugs reclassified or rescheduled or to set definitions of abuse-deterrent
+Added: formulations to protect patents and profits;
+Added: in state-by-state initiatives to enact legislation that restricts the substitution of some generic drugs.
+Added: changes to U.S.
+Added: Pharmacopeia, an organization that publishes industry recognized compendia of drug standards;
+Added: patent extension amendments to non-related federal legislation;
+Added: regulatory bodies to withdraw the approval of brand-name drugs for which the patents are about to expire and converting the market
+Added: to another product of the brand company on which longer patent protection exists;
+Added: into agreements whereby other generic companies will begin to market an authorized generic at the same time or after generic competition
+Added: initially enters the market;
+Added: suits for patent infringement and other claims that may delay or prevent regulatory approval, manufacture and/or scale of generic
+Added: “next generation” products prior to the expiration of market exclusivity for the reference product, which often materially
+Added: reduces demand for the generic or the reference product for which we seek regulatory approval for a generic equivalent.
+Added: pharmaceutical companies or other third parties are successful in limiting the use of generic products through these or other means,
+Added: our sales of generic products and our growth prospects may decline.
+Added: A material decline in generic product sales will have a material
+Added: adverse effect on our results of operations, financial condition, cash flows and our ability to operate.
+Added: tariffs and evolving trade policy between the US and other countries may adversely affect our business.
+Added: tariffs and evolving trade policy between the United States and other countries, including China and Mexico, may have an adverse effect
+Added: on our sourcing of critical raw materials from suppliers located outside of the United States and corresponding adverse effects on our
+Added: business and results of operations.
+Added: of our suppliers, including those of critical active pharmaceutical ingredients are located outside of the United States.
+Added: There is uncertainty
+Added: about the future relationship between the U.S.
+Added: and various other countries, including China, with respect to trade policies, treaties,
+Added: government regulations and tariffs.
+Added: could potentially disrupt our existing supply chains
+Added: and impose additional costs on our business, including costs with respect to raw materials upon which our business depends.
+Added: if tariffs, trade restrictions or trade barriers are placed on products such as ours by foreign governments, it could cause us to raise
+Added: prices for our products, which may result in the loss of customers.
+Added: If we are unable to pass along increased costs to our customers,
+Added: our margins could be adversely affected.
+Added: Additionally, it is possible that further tariffs may be imposed that could affect imports of
+Added: APIs and other materials used in our products, or our business may be adversely impacted by retaliatory trade measures taken by other
+Added: countries, including restricted access to APIs or other materials used in our products, causing us to raise prices or make changes to
+Added: our products.
+Added: Further, the continued threats of tariffs, trade restrictions and trade barriers could have a generally disruptive impact
+Added: on the global economy and, therefore, negatively impact our sales.
+Added: Given the volatility and uncertainty regarding the scope and
+Added: duration of these tariffs and other aspects of U.S.
+Added: international trade policy, the impact on our operations and results is uncertain
+Added: and could be significant.
+Added: Further governmental action related to tariffs, additional taxes, regulatory changes or other retaliatory trade
+Added: measures could occur in the future.
+Added: Any of these factors could have a material adverse effect on our business, financial condition, results
+Added: of operations and cash flows.
+Added: DEA could limit the availability of active ingredients used in many of our products.
+Added: DEA limits the availability of the active ingredients used in many of our current products and products in development, as well as the
+Added: production and distribution of these products, and, as a result, our procurement, production, and distribution quotas may not be sufficient
+Added: to meet commercial demand or complete clinical trials.
+Added: DEA regulates chemical compounds as Schedule I, II, III, IV or V substances, with Schedule I substances considered to present the highest
+Added: risk of substance abuse and Schedule V substances the lowest risk.
+Added: The active ingredients in some of our current products and products
+Added: in development, including, without limitation, hydromorphone, methadone, phentermine, phendimetrazine and oxycodone, are listed by the
+Added: DEA as Scheduled substances under the Controlled Substances Act of 1970.
+Added: Consequently, their manufacture, shipment, storage, sale, and
+Added: use are subject to a high degree of regulation.
+Added: Furthermore, the DEA limits the availability of the active ingredients used in many of
+Added: our current products and products in development and we and/or our contract customers and suppliers, must annually apply to the DEA for
+Added: procurement quotas in order to obtain and distribute these substances.
+Added: As a result, our procurement and production quotas may not be
+Added: sufficient to meet commercial demand or to complete any clinical trials we may conduct.
+Added: Moreover, the DEA may adjust these
+Added: quotas from time to time during the year, although the DEA has substantial discretion in whether or not to make such adjustments.
+Added: delay or refusal by the DEA in establishing our quotas, or modification of our quotas, for controlled substances could delay or result
+Added: in the stoppage of our clinical trials or product launches or could cause trade inventory disruptions for those products that already
+Added: been launched, which could have a material adverse effect on our business, financial position, cash flows and stock price.
+Added: received a CRL from the FDA indicating that the SequestOx™ NDA is not ready for approval .
+Added: received a Complete Response Letter from the FDA that indicated that our SequestOx™ NDA is not ready for approval in its present
+Added: We have paused further development of this product and we cannot assure that development will restart.
+Added: If we are unable to obtain
+Added: approval for SequestOx™ or if we incur significant costs or delays in obtaining such approval, our return on investment in
+Added: SequestOx™ will be materially adversely affected.
+Added: July 2016, the FDA issued a Complete Response Letter, or CRL, regarding the NDA.
+Added: The CRL stated that the review cycle for the SequestOx™
+Added: NDA is complete and the application is not ready for approval in its present form.
+Added: On December 21, 2016, we met with the FDA for an end-of-review
+Added: meeting to discuss steps that we could take to obtain approval of SequestOx™.
+Added: Based on the FDA response, we believe there is a
+Added: path forward to address the issues cited in the CRL, with such path forward including modification of the SequestOx™ formulation,
+Added: and the successful completion of in vitro and in vivo studies.
+Added: If we are unable to modify the formulation or if we are unable to successfully
+Added: complete the required studies, we will not meet the requirements specified by the FDA for resubmission of the NDA.
+Added: Furthermore, there
+Added: can be no assurances given that the FDA will eventually approve our NDA.
+Added: If we are unable to obtain approval for SequestOx™, we
+Added: will be unable to commercialize the product.
+Added: Furthermore, in the event that the Company does receive marketing approval
+Added: for SequestOx™, there can be no assurances of the Company realizing future revenues or profits related to this product, or that
+Added: any such future revenues and profits would be in amounts that provide adequate return on the significant investments made to secure this
+Added: marketing authorization.
+Added: The Company has currently paused further development of SequestOx™ due to the prohibitive cost of such
+Added: and attendant risks related thereto.
+Added: factors may cause us to be unable to manufacture products or face interruptions in our manufacturing process.
+Added: manufacturing operations as well as our suppliers’ manufacturing operations are subject to establishment registration by the FDA
+Added: and periodic inspections by the FDA to assure compliance regarding the manufacturing of our products.
+Added: If we or our suppliers do not maintain
+Added: the current registrations or if we or our partners receive notices of manufacturing and quality-related observations following inspections
+Added: by the FDA, our operating results would be materially negatively impacted.
+Added: facilities, as well as those of applicable suppliers, rely on maintaining current FDA, and DEA if applicable, registration and other
+Added: license to produce and develop generic drugs and raw materials used in such operations.
+Added: If we, or one of our suppliers does not successfully
+Added: renew and maintain current FDA, DEA and other required licenses, our operations and financial results would be negatively impacted.
+Added: and our suppliers are subject to periodic inspection by the FDA, DEA and other regulatory agencies, as applicable, to assure regulatory
+Added: compliance regarding the manufacture and distribution of pharmaceutical products and raw materials.
+Added: These regulatory bodies impose stringent
+Added: mandatory requirements on the manufacture and distribution of pharmaceutical products to ensure their safety and efficacy.
+Added: of our third party suppliers receive notices of manufacturing and quality-related observations and are unable to satisfactorily resolve
+Added: the issues and observations identified in a timely fashion, there could be a material adverse effect on our business, financial condition,
+Added: results of operations, cash flow and stock price.
+Added: between branded pharmaceutical companies and generic pharmaceutical companies are facing increased government scrutiny in the United
+Added: States and Internationally.
+Added: are numerous and continuing litigation in which generic companies challenge the validity or enforceability of an innovator products patents
+Added: and/or the applicability of such patents to a generic applicant’s products.
+Added: Settlement of such litigation is a common outcome,
+Added: with review of such agreements by the U.S.
+Added: Federal Trade Commission (the “FTC”) and the Antitrust Division of the Department
+Added: of Justice (the “DOJ”) being required by law.
+Added: The FTC has stated publicly its view that some of these settlement agreements
+Added: violate antitrust laws and has commenced actions against the branded and generic companies that are parties to these agreements.
+Added: in the event of the Company being party to a settlement agreement, either as the branded, innovator product owner, or as the generic
+Added: applicant, we may receive formal or informal requests from the FTC or DOJ for information about a settlement agreement and there
+Added: is a risk of the FTC or DOJ alleging a violation of antitrust laws and commencing an action against us.
+Added: such action could have an adverse effect on the
+Added: Company’s business operations and financial condition.
+Added: and Liability Related Risks
+Added: may not be able to obtain or maintain adequate insurance coverages.
+Added: cost of insurance, including directors and officer insurance, workers compensation, product liability, truck and general liability insurance
+Added: have increase significantly in recent years and may continue to increase in the future.
+Added: We have increased deductibles and/or decreased
+Added: coverages to mitigate some of these costs.
+Added: These insurance premium increases, as well as our increased risk due to reduced coverage and
+Added: increased deductibles could have an adverse material effect on our business, financial condition, results of operations, cash flows and
+Added: may not have and may be unable to obtain or maintain in the future insurance, on acceptable terms, that provide adequate coverage against
+Added: potential liabilities or other losses, such as the cost of a recall or defense against claims, if any claim is brought against us, for
+Added: any reason, regardless of the merits, success or failure of such claim.
+Added: In the past year, as a result of product liability and securities
+Added: litigation in the general marketplace, and a threatened claim of action against us in relation to the shareholder vote conducted in December
+Added: 2019, our insurance premiums have increased significantly, while also providing no greater, and in most cases, lower levels of coverage.
+Added: The significant premium increases experienced were prior to, and accordingly did not consider, the impact of the COVID-19 global pandemic
+Added: on the legal and litigation environment in which we and all other companies operate.
+Added: amount of our insurance coverage is accordingly limited by our financial resources and greatly impacted by the significant premium increases
+Added: of the past year and reasonably expected further increases in the near to mid-term due to the global pandemic.
+Added: Furthermore, even where
+Added: claims are submitted to insurance carriers for defenses and indemnity that are within coverage limits, there can be no assurance that
+Added: such claims will be fully covered by insurance or that the indemnitors or insurers will remain financially viable to provide reimbursement
+Added: consistent with coverage maintained.
+Added: failure by us, to obtain sufficient insurance coverage, with reimbursement of claims being provided and generate sufficient cash flow,
+Added: if needed, above insurance coverage, to pay amounts due in relation to potential claims, will have a material adverse effect on our business,
+Added: financial condition, results of operations, cash flow and ability to operate as a going concern.
+Added: product liability claims, product recalls, government investigations and other significant legal proceedings are common in the pharmaceutical
+Added: product liability claims, other significant legal proceedings, government investigations and product recalls are common in the pharmaceutical
+Added: industry and can be protracted and expensive and could delay and/or prevent entry of our products into the market, which, in turn, could
+Added: have a material adverse effect on our business.
+Added: a business that operates in the pharmaceutical industry, we are inherently exposed to significant potential risks from lawsuits, product
+Added: liability claims, patent and proprietary rights claims, other significant proceedings, government investigations or product recalls,
+Added: including, without limitation, such matters associated with the testing, manufacturing, marketing and sale of our products.
+Added: such judgements have been made against us to date, some plaintiffs have received substantial damage awards or settlements against other
+Added: healthcare companies based upon various legal theories, including, without limitation, claims for injuries allegedly caused by use of
+Added: their products.
+Added: Our business continues to be inherently exposed to the risk of being subject to product liability cases, as well as other
+Added: significant legal proceedings and government investigations.
+Added: example, we have been a manufacturer of prescription opioid medications in the past, and while we have not been subject to lawsuits,
+Added: other manufacturers of such products, as well as distributors and other sellers of such medications, have been subjects of subject of
+Added: lawsuits and have received subpoenas and other requests for information from various federal, state and local government agencies regarding
+Added: the sale, marketing and/or distribution of prescription opioid medications.
+Added: Numerous claims against opioid manufacturers, have been and
+Added: may continue to be filed by or on behalf of states, counties, cities, Native American tribes, other government-related persons or entities,
+Added: hospitals, health systems, unions, health and welfare funds, other third-party payers and/or individuals.
+Added: In these cases, plaintiffs
+Added: seek various remedies, including without limitation declaratory and/or injunctive relief;
compensatory, punitive and/or treble damages;
−Removed: restitution, disgorgement,
−Removed: civil penalties, abatement, attorneys’
−Removed: fees, costs and/or other relief.
−Removed: Settlement demands may seek significant monetary and other
−Removed: remedies, or otherwise be on terms that would result in material adverse effects on our business and ability to operate as a going concern.
−Removed: The precedent of awards against and settlements by our competitors could also incentivize parties to bring additional claims against
−Removed: In addition to the risks of direct expenditures for defense costs, settlements and/or judgments in connection with these claims,
−Removed: proceedings and investigations, there is a possibility of loss of revenues, injunctions and disruption of business.
−Removed: Furthermore, we and
−Removed: other manufacturers of prescription opioid medications have been, and will likely continue to be, subject to negative publicity and press,
−Removed: which could harm our brand and the demand for our products.
−Removed: In addition, current or future regulatory and legislative proposals could
−Removed: impact us and other manufacturers of prescription opioid medications.
−Removed: See the risk factor “Our business and financial condition
−Removed: may be adversely affected by legislation”
−Removed: for more information.
−Removed: In addition, our current
−Removed: and former products may cause or appear to cause serious adverse side effects or potentially dangerous drug interactions if misused or
−Removed: improperly prescribed or as a result of faulty surgical technique.
−Removed: Any failure to effectively identify, analyze, report and protect adverse
−Removed: event data and/or to fully comply with relevant laws, rules and regulations around adverse event reporting could expose the Company to
−Removed: legal proceedings, penalties, fines and/or reputational damage.
−Removed: Also, through the use of
−Removed: social media, plaintiff’s attorneys have a wide variety of tools to advertise their services and solicit new clients for litigation,
−Removed: including using judgments and settlements obtained in litigation against us or other pharmaceutical companies as an advertising tool.
−Removed: For these or other reasons, any significant product liability or mass tort litigation in which we are a defendant could have a larger
−Removed: number of plaintiffs than such actions have seen historically and we could also see an increase in the number of cases filed against
−Removed: us because of the increasing use of widespread and media-varied advertising.
−Removed: Furthermore, a ruling against other pharmaceutical companies
−Removed: in product liability or mass tort litigation in which we are not a defendant could have a negative impact on pending litigation where
−Removed: we are a defendant.
−Removed: In addition, in certain circumstances,
−Removed: such as in the case of products that do not meet approved specifications or for which subsequent data demonstrate such products may be
−Removed: unsafe, ineffective or misused, it may be necessary for us to initiate voluntary or mandatory recalls or withdraw such products from
−Removed: Any such recall or withdrawal could result in adverse publicity, costs connected to the recall and loss of revenue.
−Removed: publicity could also result in an increased number of additional product liability claims, whether or not these claims have a basis in
−Removed: scientific fact.
−Removed: See the risk factor “Public concern around the abuse of opioids or other products, including without limitation
−Removed: law enforcement concerns over diversion or marketing practices, regulatory efforts to combat abuse, and litigation could result in costs
−Removed: to our business”
−Removed: for more information.
−Removed: We are also inherently exposed
−Removed: to litigation concerning patents and proprietary rights which can be protracted and expensive.
−Removed: Companies routinely bring litigation against
−Removed: applicants and allege patent infringement or other violations of intellectual property rights as the basis for filing suit against an
−Removed: Elite develops, owns, and/or manufactures generic and branded pharmaceutical products and such drug products may be subject
−Removed: to such litigation.
−Removed: Litigation often involves significant expense and can delay or prevent introduction or sale of our products.
−Removed: There may also be situations
−Removed: where we use our business judgment and decide to market and sell products, notwithstanding the fact that allegations of patent infringement(s)
−Removed: have not been finally resolved by the courts.
−Removed: The risk involved in doing so can be substantial because the remedies available to the
−Removed: owner of a patent for infringement include, among other things, damages measured by the profits lost by the patent owner and not by the
−Removed: profits earned by the infringer.
−Removed: In the case of a willful infringement, the definition of which is subjective, such damages may be trebled.
−Removed: Moreover, because of the discount pricing typically involved with bioequivalent products, patented brand products generally realize a
−Removed: substantially higher profit margin than bioequivalent products.
−Removed: An adverse decision in a case such as this or in other similar litigation
−Removed: could have a material adverse effect on our business, financial position and results of operations and could cause the market value of
−Removed: our Common Stock to decline.
−Removed: If we are found liable in
−Removed: any lawsuits, including patent infringement, violation of proprietary rights, product liability claims or actions related to our manufacture,
−Removed: sales, marketing or pricing practices or the sale, marketing and/or distribution of prescription opioid medications, or if we are subject
−Removed: to government investigations or product recalls, it could result in the imposition of damages, including punitive damages, fines, reputational
−Removed: harm, civil lawsuits, criminal penalties, interruptions of business, modification of business practices, equitable remedies and other
−Removed: sanctions against us or our personnel as well as significant legal and other costs.
−Removed: We may also voluntarily settle cases even if we believe
−Removed: that we have meritorious defenses because of the significant legal and other costs that may be required to defend such actions.
−Removed: Any judgments,
−Removed: claims, settlements and related costs could be well in excess of any applicable insurance.
−Removed: As a result, we may experience significant
−Removed: negative impacts on our operations.
−Removed: To satisfy judgments or settlements, we also may need to seek financing, which may not be available
−Removed: on terms acceptable to us, or at all, when required.
−Removed: Judgments also could cause defaults under our debt agreements and/or restrictions
−Removed: on our product use and we could incur losses as a result.
−Removed: Any of the risks above could have a material adverse effect on our business,
−Removed: financial condition, results of operations and cash flows and ability to operate as a going concern.
−Removed: The occurrence or possibility
−Removed: of any such result may cause us to pursue one or more significant corporate transactions as well as other remedial measures, including
−Removed: internal reorganizations, restructuring activities, strategic corporate alignments, cost saving initiatives or asset sales.
−Removed: factor “Our ability to fund our operations, maintain liquidity and meet our financing obligations is reliant on our operations,
−Removed: which are subject to significant risks and uncertainties”
−Removed: for more information.
−Removed: Likewise, any internal reorganizations, restructuring
−Removed: activities, strategic corporate alignments, cost-saving initiatives or asset sales may be complex, could entail significant costs and
−Removed: charges or could otherwise negatively impact shareholder value and there can be no assurance that we will be able to accomplish any of
−Removed: these alternatives on terms acceptable to us, or at all, or that they will result in their intended benefits.
−Removed: We also may incur significant
−Removed: liability if it is determined that we are promoting or have in the past promoted the “off-label”
+Added: restitution, disgorgement, civil penalties, abatement, attorneys’ fees, costs and/or other relief.
+Added: Settlement demands may seek
+Added: significant monetary and other remedies, or otherwise be on terms that would result in material adverse effects on our business and ability
+Added: to operate as a going concern.
+Added: The precedent of awards against and settlements by our competitors could also incentivize parties to bring
+Added: additional claims against us.
+Added: In addition to the risks of direct expenditures for defense costs, settlements and/or judgments in connection
+Added: with these claims, proceedings and investigations, there is a possibility of loss of revenues, injunctions and disruption of business.
+Added: Furthermore, we and other manufacturers of prescription opioid medications have been, and will likely continue to be, subject to negative
+Added: publicity and press, which could harm our brand and the demand for our products.
+Added: In addition, current or future regulatory and legislative
+Added: proposals could impact us and other manufacturers of prescription opioid medications.
+Added: See the risk factor “Our business and financial
+Added: condition may be adversely affected by legislation” for more information.
+Added: addition, our current and former products may cause or appear to cause serious adverse side effects or potentially dangerous drug interactions
+Added: if misused or improperly prescribed or as a result of faulty surgical technique.
+Added: Any failure to effectively identify, analyze, report
+Added: and protect adverse event data and/or to fully comply with relevant laws, rules and regulations around adverse event reporting could
+Added: expose the Company to legal proceedings, penalties, fines and/or reputational damage.
+Added: through the use of social media, plaintiff’s attorneys have a wide variety of tools to advertise their services and solicit new
+Added: clients for litigation, including using judgments and settlements obtained in litigation against us or other pharmaceutical companies
+Added: as an advertising tool.
+Added: For these or other reasons, any significant product liability or mass tort litigation in which we are a defendant
+Added: could have a larger number of plaintiffs than such actions have seen historically and we could also see an increase in the number of
+Added: cases filed against us because of the increasing use of widespread and media-varied advertising.
+Added: Furthermore, a ruling against other
+Added: pharmaceutical companies in product liability or mass tort litigation in which we are not a defendant could have a negative impact on
+Added: pending litigation where we are a defendant.
+Added: addition, in certain circumstances, such as in the case of products that do not meet approved specifications or for which subsequent
+Added: data demonstrate such products may be unsafe, ineffective or misused, it may be necessary for us to initiate voluntary or mandatory recalls
+Added: or withdraw such products from the market.
+Added: Any such recall or withdrawal could result in adverse publicity, costs connected to the recall
+Added: and loss of revenue.
+Added: Adverse publicity could also result in an increased number of additional product liability claims, whether or not
+Added: these claims have a basis in scientific fact.
+Added: See the risk factor “Public concern over abuse of opioids could negatively
+Added: affect our business” for more information.
+Added: are also inherently exposed to litigation concerning patents and proprietary rights which can be protracted and expensive.
+Added: routinely bring litigation against applicants and allege patent infringement or other violations of intellectual property rights as the
+Added: basis for filing suit against an applicant.
+Added: Elite develops, owns, and/or manufactures generic and branded pharmaceutical products and
+Added: such drug products may be subject to such litigation.
+Added: Litigation often involves significant expense and can delay or prevent introduction
+Added: or sale of our products.
+Added: may also be situations where we use our business judgment and decide to market and sell products, notwithstanding the fact that allegations
+Added: of patent infringement(s) have not been finally resolved by the courts.
+Added: The risk involved in doing so can be substantial because the
+Added: remedies available to the owner of a patent for infringement include, among other things, damages measured by the profits lost by the
+Added: patent owner and not by the profits earned by the infringer.
+Added: In the case of a willful infringement, the definition of which is subjective,
+Added: such damages may be trebled.
+Added: Moreover, because of the discount pricing typically involved with bioequivalent products, patented brand
+Added: products generally realize a substantially higher profit margin than bioequivalent products.
+Added: An adverse decision in a case such as this
+Added: or in other similar litigation could have a material adverse effect on our business, financial position and results of operations and
+Added: could cause the market value of our Common Stock to decline.
+Added: we are found liable in any lawsuits, including patent infringement, violation of proprietary rights, product liability claims or actions
+Added: related to our manufacture, sales, marketing or pricing practices or the sale, marketing and/or distribution of prescription opioid medications,
+Added: or if we are subject to government investigations or product recalls, it could result in the imposition of damages, including punitive
+Added: damages, fines, reputational harm, civil lawsuits, criminal penalties, interruptions of business, modification of business practices,
+Added: equitable remedies and other sanctions against us or our personnel as well as significant legal and other costs.
+Added: We may also voluntarily
+Added: settle cases even if we believe that we have meritorious defenses because of the significant legal and other costs that may be required
+Added: to defend such actions.
+Added: Any judgments, claims, settlements and related costs could be well in excess of any applicable insurance.
+Added: a result, we may experience significant negative impacts on our operations.
+Added: To satisfy judgments or settlements, we also may need to
+Added: seek financing, which may not be available on terms acceptable to us, or at all, when required.
+Added: Judgments also could cause defaults under
+Added: our debt agreements and/or restrictions on our product use and we could incur losses as a result.
+Added: Any of the risks above could have a
+Added: material adverse effect on our business, financial condition, results of operations and cash flows and ability to operate as a going
+Added: occurrence or possibility of any such result may cause us to pursue one or more significant corporate transactions as well as other remedial
+Added: measures, including internal reorganizations, restructuring activities, strategic corporate alignments, cost saving initiatives or asset
+Added: See the risk factor “Our ability to fund our operations, maintain liquidity and meet our financing obligations is reliant
+Added: on our operations, which are subject to significant risks and uncertainties” for more information.
+Added: Likewise, any internal reorganizations,
+Added: restructuring activities, strategic corporate alignments, cost-saving initiatives or asset sales may be complex, could entail significant
+Added: costs and charges or could otherwise negatively impact shareholder value and there can be no assurance that we will be able to accomplish
+Added: any of these alternatives on terms acceptable to us, or at all, or that they will result in their intended benefits.
+Added: also may incur significant liability if it is determined that we are promoting or have in the past promoted the “off-label”
use of drugs.
−Removed: In jurisdictions
−Removed: including, without limitation, the United States, a company is not permitted to promote drugs for uses that are not described in the
−Removed: product’s labelling and that differ from those that were approved or cleared by the FDA.
−Removed: Such users are commonly referred to as
−Removed: “off-label uses”.
−Removed: Under what is known as the “practice of medicine”, physicians and other healthcare practitioners
−Removed: may prescribe drug products for off-label or unapproved uses.
−Removed: While the FDA does not regulate a physician’s choice of medications,
−Removed: treatments, or product uses, the Federal Food Drug and Cosmetic Act (“
−Removed: FFDC ”) and FDA regulations significantly restrict
−Removed: permissible communications on the subject of off-label uses of drug products by pharmaceutical companies.
−Removed: The FDA, FTC, the Office of
−Removed: the Inspector General of the Department of Health and Human Services (“
−Removed: HHS ”), the DOJ and various state Attorneys
−Removed: General actively enforce laws and regulations that prohibit the promotion of off-label uses.
−Removed: A company that is found to have improperly
−Removed: promoted off-label uses may be subject to significant liability, including civil fines, criminal fines and penalties, civil damages,
−Removed: exclusion from federal funded healthcare programs and potential liability under the federal False Claims Act and any applicable state
−Removed: false claims act.
−Removed: Conduct giving rise to such liability could also form the basis for private civil litigation by third-party payers
−Removed: or other persons claiming to be harmed by such conduct.
−Removed: Notwithstanding the regulatory
−Removed: restrictions on off-label promotion, the FDA’s regulations and judicial case law allows companies to engage in some forms of truthful,
−Removed: non-misleading and non-promotional speech concerning the off-label use of products.
−Removed: Elite believes it and its marketing partners comply
−Removed: with these restrictions.
−Removed: Nonetheless, the FDA, HHS,
−Removed: DOJ, and/or state Attorneys General, and qui tam relators may take the position that the Company is not in compliance with such
−Removed: requirements, and if such non-compliance is proven, the consequences of such may have an adverse material effect on our business, financial
−Removed: condition, results of operations, cash flows and stock price.
−Removed: We are also subject to state
−Removed: and federal laws that govern the submission of claims for reimbursement.
−Removed: The FFCA imposes civil liability on individuals or entities
−Removed: that knowingly submit, or cause to be submitted, false or fraudulent claims for payment to the government.
−Removed: Violations of the FFCA and
−Removed: other similar laws may result in criminal fines, imprisonment and substantial civil penalties for each false claim submitted (including
−Removed: civil penalties presently in excess of $22 thousand per claim, plus treble damages, plus liability for attorney’s fees) and exclusion
−Removed: from federally funded health care programs, including Medicare and Medicaid.
−Removed: The FFCA also allows private individuals to bring a suit
−Removed: on behalf of the government against an individual or entity for violations of the FFCA.
−Removed: These suits, also known as Qui Tam or whistle-blower
−Removed: actions, may be brought by, with only a few exceptions, any private citizen who has material information of a false claim that has not
−Removed: yet been previously disclosed.
−Removed: These suits have increased significantly in recent years because the FFCA allows an individual to share
−Removed: in the amounts paid to the federal government in fines or settlement as a result of a successful Qui Tam action, in addition to the recovery
−Removed: of legal fees in bringing such an action.
−Removed: If our past or present operations are found to be in violation of any of such laws or any other
−Removed: governmental regulations that may apply to us, we may be subject to penalties, including civil and criminal penalties, damages, fines,
−Removed: exclusion from federal health care programs and/or the curtailment or restructuring of our operations.
−Removed: Any penalties, damages, fines,
−Removed: curtailment, or restructuring of our operations could adversely affect our ability to operate our business and our financial results.
−Removed: Action against us for violation of these laws, even if we successfully defend against them, could cause us to incur significant legal
−Removed: expenses and divert our management’s attention from the operation of our business.
−Removed: Recently, the Department
−Removed: of Justice has begun to use the 1961 federal Travel Act as a tool to pursue criminal charges in the case of health care kickback and
−Removed: commercial bribery allegations.
−Removed: This law was enacted as part of the Kennedy administration’s war on organized crime.
−Removed: the basis for a federal enforcement action against a Texas physician-owned specialty hospital and a number of surgeons and administrators,
−Removed: who were convicted of conspiring to pay or receive bribes in exchange for referrals of patients in violation of a state commercial bribery
−Removed: Importantly, this case was not limited to claims covered under federal programs, and the failure of the state to bring charges under
−Removed: its own statute did not prevent the federal case from proceeding.
−Removed: The Travel Act may be used by the Justice Department as a way to expand
−Removed: its reach to penalize kickbacks and similar arrangements even when the Anti-Kickback Statute and FFCA would not apply.
−Removed: These efforts
−Removed: could increase our vulnerability to litigation and penalties if our past or present operations are found to be in violation of applicable
−Removed: law which could have a material adverse effect on our business, financial condition, results of operations, cash flow and stock price.
−Removed: Furthermore, the design,
−Removed: development, manufacture, distribution and sale of our products involve an inherent risk of product liability claims and associated adverse
−Removed: Insurance coverage is expensive, increasing in price to prohibitive levels, may be difficult to obtain or may be not available
−Removed: in the future on acceptable terms, or at all.
−Removed: Although we currently maintain product liability insurance for our products in amounts
−Removed: we believe to be commercially reasonable, if the coverage limits of these insurance policies are not adequate, a claim brought against
−Removed: us, whether covered by insurance or not, could have a material adverse effect on our business, financial condition, results of operations,
−Removed: cash flow and stock price.
−Removed: Our products contain narcotic ingredients
−Removed: which may subject us to increased litigation risk and regulation.
−Removed: Some of our current products
−Removed: and products under development contain narcotics.
−Removed: Misuse or abuse of such drugs can lead to physical or other hard.
−Removed: The FDA and/or the
−Removed: DEA may impose new regulations concerning the manufacture, storage, transportation, distribution, and sale of prescription narcotics.
−Removed: Such regulations may include new labelling requirements, the development and implementation of a formal REMS, restrictions on prescription
−Removed: and sale of such products and mandatory reformulation in order to make abuse of such products more difficult.
−Removed: In 2007, Congress passed
−Removed: legislation authorizing the FDA to require companies to undertake post-approval studies in order to assess known or signaled potential
−Removed: serious safety risks and to make any labelling changes necessary to address safety risks.
−Removed: Congress also empowered the FDA to require
−Removed: companies to formulate REMS to confirm a drug’s benefits exceed its risks.
−Removed: In 2011, the FDA issued letters to manufacturers of
−Removed: long-acting and extended-release opioids requiring them to develop and submit to the FDA a post-market REMS plan to require that training
−Removed: be provided to prescribers of these products and that information is provided to prescribers that they can use in counselling patients
−Removed: on the risks and benefits of opioid drug use.
−Removed: Elite does not currently own a product that requires a REMS plan, but some of the products
−Removed: in our pipeline may require a REMS plan.
−Removed: The federal government has also released a comprehensive action plan to reduce prescription
−Removed: drug abuse, which may include proposed legislation to amended existing controlled substances laws to require healthcare practitioners
−Removed: who request DEA registration to prescribe controlled substances to receive training on opioid prescribing practices as a condition of
−Removed: registration.
−Removed: In addition, state health departments and boards of pharmacy have authority to regulate distribution and may modify their
−Removed: regulations with respect to prescription narcotics in an attempt to curb abuse.
−Removed: Such new regulations or requirements
−Removed: may be difficult or cost prohibitive for us to comply with, resulting in delays in the commercialization of new products, and decreased
−Removed: profitability of existing and new products.
−Removed: Such occurrences may have material adverse effects on our business, financial condition,
−Removed: results of operations, cash flows and stock price.
−Removed: Public concern over abuse of opioids has
−Removed: negatively affected our business.
−Removed: While Elite has de-emphasized
−Removed: its programs with respect to opioids and will continue to focus on products other than opioids, certain governmental and regulatory agencies,
−Removed: as well as state and local jurisdictions, are focused on the abuse of opioid medications in the United States.
−Removed: State and local governmental
−Removed: agencies may investigate us as a manufacturer and/or distributor of medicines containing opioids or in conjunction with their investigation
−Removed: of other pharmaceutical wholesale distributors, and others in the supply chain that have a direct or indirect connection to our operations
−Removed: in relation to the distribution of opioid medications.
−Removed: In addition, multiple lawsuits have been filed against other pharmaceutical manufacturers
−Removed: and distributors alleging, among other claims, that they failed to provide effective controls and procedures to guard against the diversion
−Removed: of controlled substances, acted negligently by distributing controlled substances to pharmacies that serve individuals who abuse controlled
−Removed: substances, and failed to report suspicious orders of controlled substances in accordance with regulations.
−Removed: Additional governmental entities
−Removed: have indicated an intent to sue these other manufacturers and distributors.
−Removed: While no such actions have been taken against us, the immediate
−Removed: effect on the Company has been an inability to commercialize and market three opioid products approved during fiscal years prior to the
−Removed: twelve months ended March 31, 2020 and a cessation of orders for another two other opioid products that had been marketed by our marketing
−Removed: During the year ended March 31, 2020, we disposed of four approved ANDA’s for opioid products.
−Removed: As of March 31, 2020,
−Removed: we continue to hold one approved ANDA for an opioid product that, while approved by the FDA, has not been launched commercially.
−Removed: defense against any such opioid related lawsuits could be prohibitive with regards to cost resulting in an adverse material effect on
−Removed: our business, financial condition, results of operations, cash flows and stock price.
−Removed: Similar allegations made against us, even without
−Removed: litigation, could also negatively affect our business in various ways, including through increased costs and harm to our reputation.
−Removed: In addition, an adverse resolution of any lawsuit or investigation could also have a material adverse effect on our business, results
−Removed: of operations, cash flows and stock price.
−Removed: Illegal distribution and third party sale
−Removed: of counterfeit versions of our products could have a detrimental effect on our reputation and business.
−Removed: Third parties could illegally
−Removed: distribute and sell counterfeit versions of our products, which do not meet the rigorous manufacturing and testing standards that our
−Removed: products undergo.
+Added: In jurisdictions including, without limitation, the United States, a company is not permitted to promote drugs for uses
+Added: that are not described in the product’s labelling and that differ from those that were approved or cleared by the FDA.
+Added: are commonly referred to as “off-label uses”.
+Added: Under what is known as the “practice of medicine”, physicians and
+Added: other healthcare practitioners may prescribe drug products for off-label or unapproved uses.
+Added: While the FDA does not regulate a physician’s
+Added: choice of medications, treatments, or product uses, the FFDCA and FDA regulations significantly restrict permissible communications on
+Added: the subject of off-label uses of drug products by pharmaceutical companies.
+Added: The FDA, FTC, the Office of the Inspector General of the
+Added: Department of Health and Human Services (“HHS”), the DOJ and various state Attorneys General actively enforce laws and regulations
+Added: that prohibit the promotion of off-label uses.
+Added: A company that is found to have improperly promoted off-label uses may be subject to significant
+Added: liability, including civil fines, criminal fines and penalties, civil damages, exclusion from federal funded healthcare programs and
+Added: potential liability under the federal False Claims Act and any applicable state false claims act.
+Added: Conduct giving rise to such liability
+Added: could also form the basis for private civil litigation by third-party payers or other persons claiming to be harmed by such conduct.
+Added: Notwithstanding
+Added: the regulatory restrictions on off-label promotion, the FDA’s regulations and judicial case law allows companies to engage in some
+Added: forms of truthful, non-misleading and non-promotional speech concerning the off-label use of products.
+Added: Elite believes it and its marketing
+Added: partners comply with these restrictions.
+Added: the FDA, HHS, DOJ, and/or state Attorneys General, and qui tam relators may take the position that the Company is not in compliance with
+Added: such requirements, and if such non-compliance is proven, the consequences of such may have an adverse material effect on our business,
+Added: financial condition, results of operations, cash flows and stock price.
+Added: are subject to various fraud and abuse laws which could expose us to criminal sanctions, civil penalties, contractual damages, reputational
+Added: harm and diminished profits.
+Added: activities are subject to various federal and state fraud and abuse laws, including, without limitation, the federal Anti-Kickback Statute,
+Added: the federal civil False Claims Act, and laws and regulations pertaining to limitations on and reporting of healthcare provider payments
+Added: (physician sunshine laws).
+Added: These laws and regulations are interpreted and enforced by various federal, state and local authorities including
+Added: CMS, the Office of Inspector General for the U.S.
+Added: Department of Health and Human Services, the U.S.
+Added: Department of Justice, individual
+Added: Attorney offices within the Department of Justice, and state and local governments.
+Added: These laws include:
+Added: federal Anti-Kickback Statute, which prohibits, among other things, persons or entities
+Added: from knowingly and willfully soliciting, offering, receiving or paying any remuneration,
+Added: directly or indirectly, overtly or covertly, in cash or in kind, to induce or reward either
+Added: the referral of an individual for, or the purchase, lease, order, or arranging for or recommending
+Added: the purchase, lease or order of, any good or service, for which payment may be made, in whole
+Added: or in part, under federal healthcare programs such as Medicare and Medicaid.
+Added: entity does not need to have actual knowledge of the statute or specific intent to violate
+Added: it in order to have committed a violation;
+Added: civil False Claims Act (which can be enforced through “qui tam,” or whistleblower
+Added: actions, by private citizens on behalf of the federal government), prohibits any person from,
+Added: among other things, knowingly presenting, or causing to be presented false or fraudulent
+Added: claims for payment of government funds or knowingly making, using or causing to be made or
+Added: used, a false record or statement material to an obligation to pay money to the government
+Added: or knowingly and improperly avoiding, decreasing or concealing an obligation to pay money
+Added: federal government;
+Added: federal Health Insurance Portability and Accountability Act of 1996, or HIPAA, which imposes
+Added: criminal liability and amends provisions on the reporting, investigation, enforcement, and
+Added: penalizing of civil liability for, among other things, knowingly and willfully executing,
+Added: or attempting to execute, a scheme to defraud any healthcare benefit program, or knowingly
+Added: and willfully falsifying, concealing or covering up a material fact or making any materially
+Added: false statement, in connection with the delivery of, or payment for healthcare benefits,
+Added: items or services by a healthcare benefit program, which includes both government and privately
+Added: funded benefits programs;
+Added: similar to the U.S.
+Added: federal Anti-Kickback Statute, a person or
+Added: entity does not need to have actual knowledge of the statute or specific intent to violate
+Added: it in order to have committed a violation;
+Added: laws and regulations, including state anti-kickback and false claims laws, that may apply
+Added: to our business practices, including but not limited to, research, distribution, sales and
+Added: marketing arrangements and claims involving healthcare items or services reimbursed by any
+Added: third-party payer, including private insurers;
+Added: state laws that require pharmaceutical companies
+Added: to comply with the pharmaceutical industry’s voluntary compliance guidelines and the
+Added: relevant compliance guidance promulgated by the U.S.
+Added: federal government, or otherwise restrict
+Added: payments that may be made to healthcare providers and other potential referral sources;
+Added: state laws and regulations that require drug manufacturers to file reports relating to pricing
+Added: and marketing information, which requires tracking gifts and other remuneration and items
+Added: of value provided to healthcare professionals and entities;
+Added: Physician Payments Sunshine Act, implemented as the Open Payments program, and its implementing
+Added: regulations, requires certain manufacturers of drugs, devices, biologics and medical supplies
+Added: that are reimbursable under Medicare, Medicaid, or the Children’s Health Insurance
+Added: Program to report annually to CMS information related to certain payments made in the preceding
+Added: calendar year and other transfers of value to physicians and teaching hospitals, as well
+Added: as ownership and investment interests held by physicians and their immediate family members;
+Added: beginning in 2022, applicable manufacturers are required to report such information regarding
+Added: payments and transfers of value provided, as well as ownership and investment interests held,
+Added: during the previous year to physician assistants, nurse practitioners, clinical nurse specialists,
+Added: certified nurse anesthetists, and certified nurse-midwives;
+Added: Foreign Corrupt Practices Act, or the FCPA, which generally prohibits offering, promising,
+Added: giving, or authorizing others to give anything of value, either directly or indirectly, to
+Added: government official in order to influence official action, or otherwise obtain
+Added: or retain business.
+Added: The FCPA also requires public companies to make and keep books and records
+Added: that accurately and fairly reflect the transactions of the corporation and to devise and
+Added: maintain an adequate system of internal accounting controls.
+Added: Our industry is heavily regulated
+Added: and therefore involves significant interaction with public officials, including officials
+Added: Additionally, in many other countries, the health care providers
+Added: who prescribe pharmaceuticals are employed by their government, and the purchasers of pharmaceuticals
+Added: are government entities;
+Added: therefore, our dealings with these prescribers and purchasers are
+Added: subject to regulation under the FCPA.
+Added: Recently, the SEC and Department of Justice have increased
+Added: their FCPA enforcement activities with respect to pharmaceutical companies.
+Added: of any of these laws or any other governmental regulations that may apply to us, may subject us to significant civil, criminal and administrative
+Added: sanctions including penalties, damages, fines, imprisonment, and exclusion from government funded healthcare programs, such as Medicare
+Added: and Medicaid, and/or adverse publicity.
+Added: Moreover, government entities and private litigants have asserted claims under state consumer
+Added: protection statutes against pharmaceutical companies for alleged false or misleading statements in connection with the marketing, promotion
+Added: and/or sale of pharmaceutical products, including state investigations and litigation by certain government entities regarding the marketing
+Added: of opioid products.
+Added: products contain controlled substances which may subject us to increased litigation risk and regulation.
+Added: of our current products and products under development contain controlled substances.
+Added: Misuse or abuse of such drugs can lead to
+Added: physical or other hard.
+Added: The FDA and/or the DEA may impose new regulations concerning the manufacture, storage, transportation, distribution,
+Added: and sale of prescription narcotics.
+Added: Such regulations may include new labelling requirements, the development and implementation of a
+Added: formal REMS, restrictions on prescription and sale of such products and mandatory reformulation in order to make abuse of such products
+Added: more difficult.
+Added: In 2007, Congress passed legislation authorizing the FDA to require companies to undertake post-approval studies in order
+Added: to assess known or signaled potential serious safety risks and to make any labelling changes necessary to address safety risks.
+Added: also empowered the FDA to require companies to formulate REMS to confirm a drug’s benefits exceed its risks.
+Added: In 2011, the FDA issued
+Added: letters to manufacturers of long-acting and extended-release opioids requiring them to develop and submit to the FDA a post-market REMS
+Added: plan to require that training be provided to prescribers of these products and that information is provided to prescribers that they
+Added: can use in counselling patients on the risks and benefits of opioid drug use.
+Added: Elite does not currently own a product that requires a
+Added: REMS plan, but some of the products in our pipeline may require a REMS plan.
+Added: The federal government has also released a comprehensive
+Added: action plan to reduce prescription drug abuse, which may include proposed legislation to amended existing controlled substances laws
+Added: to require healthcare practitioners who request DEA registration to prescribe controlled substances to receive training on opioid prescribing
+Added: practices as a condition of registration.
+Added: In addition, state health departments and boards of pharmacy have authority to regulate distribution
+Added: and may modify their regulations with respect to prescription narcotics in an attempt to curb abuse.
+Added: Mandatory REMS programs could
+Added: increase the cost, burden and liability associated with the commercialization of certain products.
+Added: FDA has imposed a class-wide REMS on all IR, ER and long acting (“LA”) opioid drug products (known as the Opioid Analgesic
+Added: The FDA continually evaluates whether the REMS program is meeting its goal of ensuring that the benefit of these drugs continue
+Added: to outweigh their risks, and whether the goals or elements of the program should be modified.
+Added: If the FDA determines that additional measures
+Added: are necessary, the modification of the Opioid Analgesic REMS to impose additional or more burdensome requirements could increase the
+Added: costs associated with marketing opioid products and/or reduce the willingness of healthcare providers to prescribe those products, both
+Added: which would have a material adverse effect on the ability to successfully commercializing, or to generate sufficient revenue from, such
+Added: distribution and third party sale of counterfeit versions of our products could have a detrimental effect on our reputation and business.
+Added: parties could illegally distribute and sell counterfeit versions of our products, which do not meet the rigorous manufacturing and testing
+Added: standards that our products undergo.
Counterfeit products are frequently unsafe or ineffective and can be life-threatening.
−Removed: Counterfeit medicines may contain
−Removed: harmful substances, the wrong dose of the active pharmaceutical ingredient or no active pharmaceutical ingredients at all.
−Removed: distributors and users, counterfeit products may be visually indistinguishable from the authentic version.
−Removed: Reports of adverse reactions
−Removed: to counterfeit drugs or increased levels of counterfeiting could materially affect patient confidence in the authentic product.
−Removed: possible that adverse events caused by unsafe counterfeit products will mistakenly be attributed to the authentic product.
−Removed: thefts of inventory at warehouses, plants or while in-transit, which are not properly stored, and which are sold through unauthorized
−Removed: channels could adversely impact patient safety, our reputation, and our business.
−Removed: Public loss of confidence
−Removed: in the integrity of pharmaceutical products as a result of counterfeiting or theft could have a material adverse effect on our business,
−Removed: results of operations and financial condition.
−Removed: Structural and Organizational Risks
−Removed: We have identified material weaknesses
−Removed: in internal controls in prior years.
−Removed: Our management is responsible
−Removed: for establishing and maintaining adequate internal control over our financial reporting, as defined in Rule 13a-15(f) under the Exchange
−Removed: During the prior fiscal year
−Removed: ended March 31, 2019, the Company identified certain material weaknesses in internal controls over financial reporting which were remediated
−Removed: during the fiscal year ended March 31, 2020, with such remediation also being effective during this current fiscal year.
−Removed: A material weakness
−Removed: is a deficiency, or a combination of deficiencies, in internal controls over financial reporting such that there is a reasonable possibility
−Removed: that a material misstatement of our annual or interim financial statements will not be prevented or detected on a timely basis.
−Removed: The remediation
−Removed: actions taken required the retention of additional personnel and consultants, the continued retention of which is subject to the Company’s
−Removed: financial condition.
−Removed: Despite the successful remediation
−Removed: of material weaknesses identified in the prior fiscal year, there can be no assurances of the continued operation of controls, due to
−Removed: the financial burden such controls place on the Company, as well as the effects of other operating challenges, such as the COVID-19 global
−Removed: pandemic or similar situation, which may result in our inability to maintain an environment of internal controls over financial reporting
−Removed: that does not have material weaknesses.
−Removed: Furthermore, additional material
−Removed: weaknesses in our internal controls may be discovered or occur in the future that may materially adversely affect our ability to report
−Removed: our financial condition and results of operations in a timely and fairly stated manner and there will be an increased risk of future
−Removed: misstatements.
−Removed: Although we regularly review
−Removed: and evaluate internal controls systems to allow management to report on the effectiveness of our internal controls over financial reporting,
−Removed: we may discover additional weaknesses in our internal controls over financial reporting or disclosure controls and procedures.
−Removed: time we evaluate our internal controls over financial reporting and disclosure controls and procedures, if we identify one or more new
−Removed: material weaknesses or are unable to timely remediate our previously identified material weaknesses, we would be unable to conclude that
−Removed: our internal controls over financial reporting or disclosure controls and procedures are effective.
−Removed: If we are unable to conclude that
−Removed: our internal controls over financial reporting or our disclosure controls and procedures are effective, or if our independent registered
−Removed: public accounting firm expresses an opinion, if such is required, that our internal controls over financial reporting is ineffective,
−Removed: we may not be able to report our financial condition and results of operations in a timely and fairly stated manner, which could have
−Removed: a material adverse effect on our business, financial condition, cash flows and results of operations and could cause the market value
−Removed: of our common shares to decline.
−Removed: In addition, any potential future restatements could subject us to additional adverse consequences,
−Removed: including sanctions by the SEC, shareholder litigation and other adverse actions.
−Removed: Moreover, we may be the subject of further negative
−Removed: publicity focusing on such financial statement adjustments and resulting restatement and negative reactions from our shareholders, creditors
−Removed: or others with whom we do business.
−Removed: The occurrence of any of the foregoing could have a material adverse effect on our business, financial
−Removed: condition, cash flows and results of operations and could cause the market value of our common shares to decline.
−Removed: Provisions of our Articles of Incorporation
−Removed: could deter a change of management and discourage offers to acquire us.
−Removed: Provisions of our Articles
−Removed: of Incorporation and By-Laws law may make it more difficult for someone to acquire control of us or for our shareholders to remove existing
−Removed: management and might discourage a third party from offering to acquire us, even if a change in control or in Management would be beneficial
−Removed: to our shareholders.
−Removed: For example, as discussed above, our Articles of Incorporation allows us to issue shares of preferred stock without
−Removed: any vote or further action by our shareholders.
−Removed: Our Board of Directors has the authority to fix and determine the relative rights and
−Removed: preferences of preferred stock.
−Removed: Our Board of Directors also has the authority to issue preferred stock without further shareholder approval.
−Removed: As a result, our Board of Directors could authorize the issuance of a series of preferred stock that would grant to holders the preferred
−Removed: right to our assets upon liquidation, the right to receive dividend payments before dividends are distributed to the holders of common
−Removed: stock and the right to the redemption of the shares, together with a premium, prior to the redemption of our common stock.
−Removed: In this regard,
−Removed: on November 15, 2013, we entered into a Shareholder Rights Plan and, under the Rights Plan, our Board of Directors declared a dividend
−Removed: distribution of one Right for each outstanding share of our common stock and one right for each share of Common Stock into which any
−Removed: of our outstanding Preferred Stock is convertible, to shareholders of record at the close of business on that date.
−Removed: Each Right entitles
−Removed: the registered holder to purchase from us one “Unit”
−Removed: consisting of one one-millionth (1/1,000,000) of a share of Series H
−Removed: Junior Participating preferred stock, at a purchase price of $2.10 per Unit, subject to adjustment, and may be redeemed prior to November
−Removed: 15, 2023, the expiration date, at $0.000001 per Right, unless earlier redeemed by the Company.
−Removed: The Rights generally are not transferable
−Removed: apart from the common stock and will not be exercisable unless and until a person or group acquires or commences a tender or exchange
−Removed: offer to acquire, beneficial ownership of 15% or more of our common stock.
+Added: medicines may contain harmful substances, the wrong dose of the active pharmaceutical ingredient or no active pharmaceutical ingredients
+Added: However, to distributors and users, counterfeit products may be visually indistinguishable from the authentic version.
+Added: of adverse reactions to counterfeit drugs or increased levels of counterfeiting could materially affect patient confidence in the authentic
+Added: It is possible that adverse events caused by unsafe counterfeit products will mistakenly be attributed to the authentic product.
+Added: In addition, thefts of inventory at warehouses, plants or while in-transit, which are not properly stored, and which are sold through
+Added: unauthorized channels could adversely impact patient safety, our reputation, and our business.
+Added: loss of confidence in the integrity of pharmaceutical products as a result of counterfeiting or theft could have a material adverse effect
+Added: on our business, results of operations and financial condition.
+Added: and Organizational Risks
+Added: of our Articles of Incorporation could deter a change of management and discourage offers to acquire us.
+Added: of our Articles of Incorporation and By-Laws law may make it more difficult for someone to acquire control of us or for our shareholders
+Added: to remove existing management and might discourage a third party from offering to acquire us, even if a change in control or in Management
+Added: would be beneficial to our shareholders.
+Added: For example, as discussed above, our Articles of Incorporation allows us to issue shares of
+Added: preferred stock without any vote or further action by our shareholders.
+Added: Our Board of Directors has the authority to fix and determine
+Added: the relative rights and preferences of preferred stock.
+Added: Our Board of Directors also has the authority to issue preferred stock without
+Added: further shareholder approval.
+Added: As a result, our Board of Directors could authorize the issuance of a series of preferred stock that would
+Added: grant to holders the preferred right to our assets upon liquidation, the right to receive dividend payments before dividends are distributed
+Added: to the holders of common stock and the right to the redemption of the shares, together with a premium, prior to the redemption of our
+Added: common stock.
+Added: In this regard, on November 15, 2013, we entered into a Shareholder Rights Plan and, under the Rights Plan, our Board of
+Added: Directors declared a dividend distribution of one Right for each outstanding share of our common stock and one right for each share of
+Added: Common Stock into which any of our outstanding Preferred Stock is convertible, to shareholders of record at the close of business on
+Added: Each Right entitles the registered holder to purchase from us one “Unit” consisting of one one-millionth (1/1,000,000)
+Added: of a share of Series H Junior Participating preferred stock, at a purchase price of $2.10 per Unit, subject to adjustment, and may be
+Added: redeemed prior to November 15, 2023, the expiration date, at $0.000001 per Right, unless earlier redeemed by the Company.
+Added: generally are not transferable apart from the common stock and will not be exercisable unless and until a person or group acquires or
+Added: commences a tender or exchange offer to acquire, beneficial ownership of 15% or more of our common stock.
However, for Mr.
−Removed: Hakim, our Chief Executive Officer, the Rights
−Removed: Plan’s the 15% threshold excludes shares beneficially owned by him as of November 15, 2013 and all shares issuable to him pursuant
−Removed: to his employment agreement and the Mikah Note.
−Removed: Our By-Laws provide for the classification of our Board of Directors into three classes.
−Removed: Intellectual Property Related Risks
−Removed: Our ability to protect intellectual property
−Removed: rights and successfully defend third party allegations of intellectual property infringement is vital to our business and uncertain.
−Removed: Our success depends on our
−Removed: ability to protect our current and future products and to defend our intellectual property rights.
−Removed: If we fail to protect our intellectual
−Removed: property adequately, competitors may manufacture and market products similar to ours.
−Removed: We currently hold six patents.
+Added: Chief Executive Officer, the Rights Plan’s the 15% threshold excludes shares beneficially owned by him as of November 15, 2013
+Added: and all shares issuable to him pursuant to his employment agreement and the Mikah Note.
+Added: Our By-Laws provide for the classification of
+Added: our Board of Directors into three classes.
+Added: Property Related Risks
+Added: ability to protect intellectual property rights and successfully defend third party allegations of intellectual property infringement
+Added: is vital to our business and uncertain.
+Added: success depends on our ability to protect our current and future products and to defend our intellectual property rights.
+Added: to protect our intellectual property adequately, competitors may manufacture and market products similar to ours.
+Added: currently hold six patents.
We intend to file further patent applications in the future.
−Removed: We cannot be certain that our pending patent applications will result in
−Removed: the issuance of patents.
−Removed: If patents are issued, third parties may sue us to challenge our patent protection, and although we know of
−Removed: no reason why they should prevail, it is possible that they could.
−Removed: In addition to modification or revocation of patents in legal proceedings,
−Removed: issued patents may later be modified or revoked by the U.S.
−Removed: Patent and Trademark Office or by analogous foreign offices.
−Removed: It is likewise
−Removed: possible that our patent rights may not prevent or limit our present and future competitors from developing, using or commercializing
−Removed: products that are similar or functionally equivalent to our products.
−Removed: In addition, we may be required
−Removed: to obtain licenses to patents, or other proprietary rights of third parties, in connection with the development and use of our products
−Removed: and technologies as they relate to other persons’
−Removed: technologies.
−Removed: At such time as we discover a need to obtain any such license,
−Removed: we will need to establish whether we will be able to obtain such a license on favorable terms, if at all.
−Removed: The failure to obtain the necessary
−Removed: licenses or other rights could preclude the sale, manufacture or distribution of our products.
−Removed: We rely particularly on trade
−Removed: secrets, unpatented proprietary expertise and continuing innovation that we seek to protect, in part, by entering into confidentiality
−Removed: agreements with licensees, suppliers, employees, and consultants.
−Removed: We cannot provide assurance that these agreements will not be breached
−Removed: or circumvented.
+Added: We cannot be certain that our pending patent
+Added: applications will result in the issuance of patents.
+Added: If patents are issued, third parties may sue us to challenge our patent protection,
+Added: and although we know of no reason why they should prevail, it is possible that they could.
+Added: In addition to modification or revocation
+Added: of patents in legal proceedings, issued patents may later be modified or revoked by the U.S.
+Added: Patent and Trademark Office or by analogous
+Added: foreign offices.
+Added: It is likewise possible that our patent rights may not prevent or limit our present and future competitors from developing,
+Added: using or commercializing products that are similar or functionally equivalent to our products.
+Added: addition, we may be required to obtain licenses to patents, or other proprietary rights of third parties, in connection with the development
+Added: and use of our products and technologies as they relate to other persons’ technologies.
+Added: At such time as we discover a need to obtain
+Added: any such license, we will need to establish whether we will be able to obtain such a license on favorable terms, if at all.
+Added: to obtain the necessary licenses or other rights could preclude the sale, manufacture or distribution of our products.
+Added: rely particularly on trade secrets, unpatented proprietary expertise and continuing innovation that we seek to protect, in part, by entering
+Added: into confidentiality agreements with licensees, suppliers, employees, and consultants.
+Added: We cannot provide assurance that these agreements
+Added: will not be breached or circumvented.
We also cannot be certain that there will be adequate remedies in the event of a breach.
−Removed: Disputes may arise concerning
−Removed: the ownership of intellectual property or the applicability of confidentiality agreements.
−Removed: We cannot be sure that our trade secrets and
−Removed: proprietary technology will not otherwise be obtained by other entities, such as government or regulatory authorities, or become known,
−Removed: obtained, or independently developed by our competitors or by other entities through means beyond our control.
−Removed: We also cannot be sure
−Removed: that, if patents are not issued with respect to products arising from research, we will be able to maintain the confidentiality of information
−Removed: relating to these products.
−Removed: In addition, efforts to ensure our intellectual property rights can be costly, time-consuming, and/or ultimately
−Removed: unsuccessful.
−Removed: Furthermore, companies that
−Removed: produce branded pharmaceutical products routinely bring litigation against ANDA or similar applicants that seek regulatory approval to
−Removed: manufacture and market generic forms of branded products, alleging patent infringement or other violations of intellectual property rights.
−Removed: Patent holders may also bring patent infringement suits against companies that are currently marketing and selling approved generic products.
+Added: may arise concerning the ownership of intellectual property or the applicability of confidentiality agreements.
+Added: We cannot be sure that
+Added: our trade secrets and proprietary technology will not otherwise be obtained by other entities, such as government or regulatory authorities,
+Added: or become known, obtained, or independently developed by our competitors or by other entities through means beyond our control.
+Added: cannot be sure that, if patents are not issued with respect to products arising from research, we will be able to maintain the confidentiality
+Added: of information relating to these products.
+Added: In addition, efforts to ensure our intellectual property rights can be costly, time-consuming,
+Added: and/or ultimately unsuccessful.
+Added: companies that produce branded pharmaceutical products routinely bring litigation against ANDA or similar applicants that seek regulatory
+Added: approval to manufacture and market generic forms of branded products, alleging patent infringement or other violations of intellectual
+Added: property rights.
+Added: Patent holders may also bring patent infringement suits against companies that are currently marketing and selling approved
+Added: generic products.
Litigation often involves significant expense.
−Removed: Additionally, if the patents of others are held valid, enforceable and infringed by our
−Removed: current products or future product candidates, we would, unless we could obtain a license from the patent holder, need to delay selling
−Removed: our corresponding generic product and, if we are already selling our product, cease selling and potentially destroy existing product
−Removed: Additionally, we could be required to pay monetary damages or royalties to license proprietary rights from third parties and we
−Removed: may not be able to obtain such licenses on commercially reasonable terms or at all.
−Removed: There may be situations in
−Removed: which we may make business and legal judgments to market and sell products that are subject to claims of alleged patent infringement
−Removed: prior to final resolution of those claims by the courts based upon our belief that such patents are invalid, unenforceable or are not
−Removed: infringed by our marketing and sale of such products.
−Removed: This is commonly referred to in the pharmaceutical industry as an “at-risk”
+Added: Additionally, if the patents of others are held valid, enforceable and
+Added: infringed by our current products or future product candidates, we would, unless we could obtain a license from the patent holder, need
+Added: to delay selling our corresponding generic product and, if we are already selling our product, cease selling and potentially destroy
+Added: existing product stock.
+Added: Additionally, we could be required to pay monetary damages or royalties to license proprietary rights from third
+Added: parties and we may not be able to obtain such licenses on commercially reasonable terms or at all.
+Added: may be situations in which we may make business and legal judgments to market and sell products that are subject to claims of alleged
+Added: patent infringement prior to final resolution of those claims by the courts based upon our belief that such patents are invalid, unenforceable
+Added: or are not infringed by our marketing and sale of such products.
+Added: This is commonly referred to in the pharmaceutical industry as an “at-risk”
The risk involved in an at-risk launch can be substantial because, if a patent holder ultimately prevails against us, the remedies
6 unchanged sentences
We could also be at risk for the value of such inventory that we are unable to market or sell.
−Removed: The occurrence of any of
−Removed: the above could have a material adverse effect on our business, financial condition, results of operations, cash flow and stock price.
−Removed: Risks Related to our Common Shares
−Removed: Dilution from issuance of shares to Lincoln
−Removed: Park, Directors, Employees, Consultants or upon exercise of warrants and options or the perception that dilution may occur could cause
−Removed: the price per share of common stock to fall.
−Removed: On July 8, 2020, we entered
−Removed: into the Purchase Agreement with Lincoln Park, pursuant to which Lincoln Park has committed to purchase up to $25,000,000 of our common
−Removed: Concurrently with the execution of the Purchase Agreement, we issued 5,975,857 shares of our common stock to Lincoln Park as an
−Removed: initial fee for its commitment to purchase shares of our common stock under the Purchase Agreement.
−Removed: Furthermore, for each additional
−Removed: purchase by Lincoln Park, additional commitment shares in commensurate amounts up to a total of 5,975,857 shares will be issued based
−Removed: upon the relative proportion of the aggregate amount of $25,000,000 purchased by Lincoln Park.
−Removed: The purchase shares that may be sold pursuant
−Removed: to the Purchase Agreement may be sold by us to Lincoln Park at our discretion from time to time over a 36-month period commencing after
−Removed: July 27, 2020 and expiring on August 1, 2023.
−Removed: The purchase price for the shares that we may sell to Lincoln Park under the Purchase Agreement
−Removed: will fluctuate based on the price of our common stock.
−Removed: Depending on market liquidity at the time, sales of such shares may cause the
−Removed: trading price of our common stock to fall.
−Removed: We generally have the right
−Removed: to control the timing and amount of any sales of our shares to Lincoln Park.
−Removed: Additional sales of our common stock, if any, to Lincoln
−Removed: Park will depend upon market conditions and other factors to be determined by us.
−Removed: Lincoln Park may ultimately purchase all, some, or
−Removed: none of the shares of our common stock that may be sold pursuant to the Purchase Agreement and, after it has acquired shares, Lincoln
−Removed: Park may sell all, some or none of those shares.
−Removed: In addition, as of March
−Removed: 31, 2021, there were outstanding warrants to purchase an aggregate of approximately 79 million shares of Common Stock at a cash exercise
−Removed: price of $0.1521 per share, vested options to purchase an aggregate of approximately 5.2 million shares at a weighted average cash exercise
−Removed: price of $0.13.
−Removed: Additional shares of Common Stock may be issuable as a result of anti-dilution provisions in the outstanding warrants,
−Removed: with such provisions excluding any shares issued to Lincoln Park from consideration .
−Removed: As a result of the above
−Removed: discussed potential issuance of securities, such issuances by us could result in substantial dilution to the interests of other holders
+Added: occurrence of any of the above could have a material adverse effect on our business, financial condition, results of operations, cash
+Added: flow and stock price.
+Added: Related to our Common Shares
+Added: from issuance of shares to Lincoln Park, Directors, Employees, Consultants or upon exercise of warrants and options or the perception
+Added: that dilution may occur could cause the price per share of common stock to fall.
+Added: July 8, 2020, we entered into the Purchase Agreement with Lincoln Park, pursuant to which Lincoln Park has committed to purchase up to
$25,000,000 of our common stock.
−Removed: Additionally, the sale of a substantial number of shares of our common stock to Lincoln Park or pursuant to the
−Removed: conversion or exercise of outstanding shares of warrants, or the anticipation of such issuances, could make it more difficult for us
−Removed: to sell equity or equity-related securities in the future at a time and at a price that we might otherwise wish to effect sales.
−Removed: Furthermore, pursuant to
−Removed: the Company’s policies relating to the compensation of Directors, 2/3 of all director fees are paid via the issuance of shares
−Removed: of Common Stock, with such shares being valued at the simple average of the closing price of the Company’s Common Stock for each
−Removed: day in the period for which the director fees were incurred.
−Removed: In addition, members of the Company’s management, certain employees
−Removed: and consultants receive a portion of their salaries or compensation via the issuance of shares Common Stock, with such shares being valued
−Removed: by the same method as that used for the shares issued in payment of director fees.
−Removed: The issuance of these shares
−Removed: is dilutive to holders of our Common Stock, and the subsequent sale of these shares, or the perception that the sale of these shares
−Removed: may occur, could cause the price of our common stock to fall.
−Removed: Our common stock is a penny stock, quoted
−Removed: on the OTC bulletin board, with rules in place that could limit trading and liquidity of our shares, increased transaction costs that
−Removed: could adversely affect our price per share.
−Removed: Our common stock is a “low-priced”
−Removed: security or “penny stock”
−Removed: under rules promulgated under the Securities Exchange Act of 1934, as amended (the “Exchange
−Removed: In accordance with these rules, broker-dealers participating in transactions in low-priced securities must first deliver
−Removed: a risk disclosure document which describes the risks associated with such stocks, the broker-dealer’s duties in selling the stock,
−Removed: the customer’s rights and remedies and certain market and other information.
−Removed: Furthermore, the broker-dealer must make a suitability
−Removed: determination approving the customer for low-priced stock transactions based on the customer’s financial situation, investment
−Removed: experience and objectives.
−Removed: Broker-dealers must also disclose these restrictions in writing to the customer, obtain specific written consent
−Removed: from the customer, and provide monthly account statements to the customer.
−Removed: The effect of these restrictions will likely decrease the
−Removed: willingness of broker-dealers to make a market in our Common Stock, will decrease liquidity of our Common Stock and will increase transaction
−Removed: costs for sales and purchases of our Common Stock as compared to other securities.
−Removed: In addition, our Common stock
−Removed: is quoted on the Over-the-Counter Bulletin Board (the “OTCBB”) which is a regulated quotation service that displays real-time
−Removed: quotes, last sale prices and volume limitations in over-the-counter securities.
−Removed: Because trades and quotations on the OTCBB involve a
−Removed: manual process, the market information for such securities cannot be guaranteed.
−Removed: In addition, quote information, or even firm quotes,
−Removed: may not be available.
−Removed: The manual execution process may delay order processing and intervening price fluctuations may result in the failure
−Removed: of a limit order to execute or the execution of a market order at a significantly different price.
−Removed: Execution of trades, execution reporting
−Removed: and the delivery of legal trade confirmations may be delayed significantly.
−Removed: Consequently, one may not be able to sell shares of our Common
−Removed: Stock at the optimum trading prices.
−Removed: When fewer shares of a security
−Removed: are being traded on the OTCBB, volatility of prices may increase, and price movement may outpace the ability to deliver accurate quote
−Removed: Lower trading volumes in a security may result in a lower likelihood of an individual’s orders being executed, and
−Removed: current prices may differ significantly from the price one was quoted by the OTCBB at the time of the order entry.
−Removed: Orders for OTCBB securities
−Removed: may be cancelled or edited like orders for other securities.
−Removed: All requests to change or cancel an order must be submitted to, received,
−Removed: and processed by the OTCBB.
−Removed: Due to the manual order processing involved in handling OTCBB trades, order processing and reporting may
−Removed: be delayed, and an individual may not be able to cancel or edit his order.
−Removed: Consequently, one may not be able to sell shares of Common
−Removed: Stock at the optimum trading prices.
−Removed: The dealer’s spread
−Removed: (the difference between the bid and ask prices) may be large and may result in substantial losses to the seller of securities on the
−Removed: OTCBB if the Common Stock or other security must be sold immediately.
−Removed: Further, purchasers of securities may incur an immediate “paper”
−Removed: loss due to the price spread.
−Removed: Moreover, dealers trading on the OTCBB may not have a bid price for securities bought and sold through
−Removed: Due to the foregoing, demand for securities that are traded through the OTCBB may be decreased or eliminated.
−Removed: Shareholder activism could negatively affect
−Removed: In recent years, shareholder
−Removed: activism involving corporate governance, fiduciary duties of Directors and Officers, strategic direction and operations has become increasingly
−Removed: If we become the subject of such shareholder activism, their demands may disrupt our business and divert the attention of
−Removed: our management, Board and employees.
−Removed: Also, we may incur substantial costs, including legal fees and other expenses, related to such activist
−Removed: shareholder matters.
−Removed: Perceived uncertainties resulting from such activist shareholder matters may result in loss of potential business
−Removed: opportunities with our current and potential customers and business partners, be exploited by our competitors and make attracting and
−Removed: retaining qualified personnel more difficult.
−Removed: In addition, such shareholder activism may cause significant fluctuations in our share
−Removed: price based on temporary or speculative market perceptions, uncertainties or other factors that do not necessarily reflect the underlying
−Removed: fundamentals and prospects of our business.
−Removed: The effects of shareholder
−Removed: activism pursued against the Company could have an adverse material effect on our business, financial condition, results of operations,
−Removed: cash flows and stock price.
−Removed: Our stock price has been volatile.
−Removed: The market price for the publicly
−Removed: traded stock of pharmaceutical companies is generally characterized by high volatility.
−Removed: There has been significant volatility in the market
−Removed: prices for our Common Stock.
−Removed: For the twelve months ended March 31, 2021, the closing sale price on the OTC Bulletin Board (“
−Removed: OTCBB ”)
−Removed: of our Common Stock fluctuated from a high of $0.10 per share to a low of $0.05 per share.
−Removed: The price per share of our Common Stock may
−Removed: not exceed or even remain at current levels in the future.
−Removed: The market price of our Common Stock may be affected by a number of factors,
−Removed: including, without limitation:
−Removed: Results of our clinical trials;
−Removed: Approval or disapproval of our ANDAs or NDAs;
−Removed: Announcements of innovations, new products, or new patents by us or
−Removed: by our competitors;
−Removed: Announcements of other material events;
−Removed: Governmental regulation;
−Removed: Patent or proprietary rights developments;
−Removed: Proxy contests or litigation;
−Removed: News regarding the efficacy of, safety of or demand for drugs or drug
−Removed: technologies;
−Removed: Economic and market conditions, generally and related to the pharmaceutical
−Removed: Healthcare legislation;
−Removed: Changes in third-party reimbursement policies for drugs;
−Removed: Fluctuations in our operating results.
−Removed: Capital raises through sales of securities
−Removed: may cause substantial dilution to existing shareholders.
−Removed: Any additional financing
−Removed: that involves the further sale of our securities could cause existing holders of our Common Stock to experience substantial dilution.
−Removed: On the other hand, if we incurred debt, we would be subject to risks associated with indebtedness, including the risk that interest rates
−Removed: might fluctuate, and cash flow would be insufficient to pay principal and interest on such indebtedness.
−Removed: Issuance of shares of common or preferred
−Removed: stock could make achieving a change of control more difficult.
−Removed: The issuance of additional
−Removed: shares of our Common Stock, including those shares issued pursuant to conversion of convertible preferred shares, or the issuance of
−Removed: shares of an additional series of preferred stock could be used to make a change of control of us more difficult and expensive.
−Removed: certain circumstances, such shares could be used to create impediments to, or frustrate persons seeking to cause, a takeover or to gain
−Removed: control of us.
−Removed: Such shares could be sold to purchasers who might side with our Board of Directors in opposing a takeover bid that the
−Removed: Board of Directors determines not to be in the best interests of our shareholders.
−Removed: It might also have the effect of discouraging an attempt
−Removed: by another person or entity through the acquisition of a substantial number of shares of our Common Stock to acquire control of us with
−Removed: a view to consummating a merger, sale of all or part of our assets, or a similar transaction, since the issuance of new shares could
−Removed: be used to dilute the stock ownership of such person or entity.
−Removed: We have no plans to pay regular dividends
−Removed: or conduct share purchases.
−Removed: We do not intend to pay any
−Removed: cash dividends either currently or in the foreseeable future on our common shares.
−Removed: Additionally, we do not intend to conduct share repurchases
−Removed: either currently or in the foreseeable future.
+Added: Concurrently with the execution of the Purchase Agreement, we issued 5,975,857 shares of our common
+Added: stock to Lincoln Park as an initial fee for its commitment to purchase shares of our common stock under the Purchase Agreement.
+Added: for each additional purchase by Lincoln Park, additional commitment shares in commensurate amounts up to a total of 5,975,857 shares
+Added: will be issued based upon the relative proportion of the aggregate amount of $25,000,000 purchased by Lincoln Park.
+Added: The purchase shares
+Added: that may be sold pursuant to the Purchase Agreement may be sold by us to Lincoln Park at our discretion from time to time over a 36-month
+Added: period commencing after July 27, 2020 and expiring on August 1, 2023.
+Added: The purchase price for the shares that we may sell to Lincoln Park
+Added: under the Purchase Agreement will fluctuate based on the price of our common stock.
+Added: Depending on market liquidity at the time, sales
+Added: of such shares may cause the trading price of our common stock to fall.
+Added: generally have the right to control the timing and amount of any sales of our shares to Lincoln Park.
+Added: Additional sales of our common
+Added: stock, if any, to Lincoln Park will depend upon market conditions and other factors to be determined by us.
+Added: Lincoln Park may ultimately
+Added: purchase all, some, or none of the shares of our common stock that may be sold pursuant to the Purchase Agreement and, after it has acquired
+Added: shares, Lincoln Park may sell all, some or none of those shares.
+Added: addition, as of March 31, 2022, there were outstanding warrants to purchase an aggregate of approximately 79 million shares of Common
+Added: Stock at a cash exercise price of $0.1521 per share, vested options to purchase an aggregate of approximately 5.2 million shares at a
+Added: weighted average cash exercise price of $0.13.
+Added: Additional shares of Common Stock may be issuable as a result of anti-dilution provisions
+Added: in the outstanding warrants, with such provisions excluding any shares issued to Lincoln Park from consideration .
+Added: a result of the above discussed potential issuance of securities, such issuances by us could result in substantial dilution to the interests
+Added: of other holders of our common stock.
+Added: Additionally, the sale of a substantial number of shares of our common stock to Lincoln Park or
+Added: pursuant to the conversion or exercise of outstanding shares of warrants, or the anticipation of such issuances, could make it more difficult
+Added: for us to sell equity or equity-related securities in the future at a time and at a price that we might otherwise wish to effect sales.
+Added: pursuant to the Company’s policies relating to the compensation of Directors, 2/3 of all director fees are paid via the issuance
+Added: of shares of Common Stock, with such shares being valued at the simple average of the closing price of the Company’s Common Stock
+Added: for each day in the period for which the director fees were incurred.
+Added: In addition, members of the Company’s management, certain
+Added: employees and consultants receive a portion of their salaries or compensation via the issuance of shares Common Stock, with such shares
+Added: being valued by the same method as that used for the shares issued in payment of director fees.
+Added: issuance of these shares is dilutive to holders of our Common Stock, and the subsequent sale of these shares, or the perception that
+Added: the sale of these shares may occur, could cause the price of our common stock to fall.
+Added: common stock is a penny stock, quoted on the OTC bulletin board, with rules in place that could limit trading and liquidity of our shares,
+Added: increased transaction costs that could adversely affect our price per share.
+Added: common stock is a “low-priced” security or “penny stock” under rules promulgated under the Securities Exchange
+Added: Act of 1934, as amended (the “Exchange Act”).
+Added: In accordance with these rules, broker-dealers participating in transactions
+Added: in low-priced securities must first deliver a risk disclosure document which describes the risks associated with such stocks, the broker-dealer’s
+Added: duties in selling the stock, the customer’s rights and remedies and certain market and other information.
+Added: Furthermore, the broker-dealer
+Added: must make a suitability determination approving the customer for low-priced stock transactions based on the customer’s financial
+Added: situation, investment experience and objectives.
+Added: Broker-dealers must also disclose these restrictions in writing to the customer, obtain
+Added: specific written consent from the customer, and provide monthly account statements to the customer.
+Added: The effect of these restrictions
+Added: will likely decrease the willingness of broker-dealers to make a market in our Common Stock, will decrease liquidity of our Common Stock
+Added: and will increase transaction costs for sales and purchases of our Common Stock as compared to other securities.
+Added: addition, our Common stock is quoted on the Over-the-Counter Bulletin Board (the “OTCBB”) which is a regulated quotation
+Added: service that displays real-time quotes, last sale prices and volume limitations in over-the-counter securities.
+Added: Because trades and quotations
+Added: on the OTCBB involve a manual process, the market information for such securities cannot be guaranteed.
+Added: In addition, quote information,
+Added: or even firm quotes, may not be available.
+Added: The manual execution process may delay order processing and intervening price fluctuations
+Added: may result in the failure of a limit order to execute or the execution of a market order at a significantly different price.
+Added: of trades, execution reporting and the delivery of legal trade confirmations may be delayed significantly.
+Added: Consequently, one may not
+Added: be able to sell shares of our Common Stock at the optimum trading prices.
+Added: fewer shares of a security are being traded on the OTCBB, volatility of prices may increase, and price movement may outpace the ability
+Added: to deliver accurate quote information.
+Added: Lower trading volumes in a security may result in a lower likelihood of an individual’s
+Added: orders being executed, and current prices may differ significantly from the price one was quoted by the OTCBB at the time of the order
+Added: Orders for OTCBB securities may be cancelled or edited like orders for other securities.
+Added: All requests to change or cancel an order
+Added: must be submitted to, received, and processed by the OTCBB.
+Added: Due to the manual order processing involved in handling OTCBB trades, order
+Added: processing and reporting may be delayed, and an individual may not be able to cancel or edit his order.
+Added: Consequently, one may not be
+Added: able to sell shares of Common Stock at the optimum trading prices.
+Added: dealer’s spread (the difference between the bid and ask prices) may be large and may result in substantial losses to the seller
+Added: of securities on the OTCBB if the Common Stock or other security must be sold immediately.
+Added: Further, purchasers of securities may incur
+Added: an immediate “paper” loss due to the price spread.
+Added: Moreover, dealers trading on the OTCBB may not have a bid price for securities
+Added: bought and sold through the OTCBB.
+Added: Due to the foregoing, demand for securities that are traded through the OTCBB may be decreased or
+Added: activism could negatively affect us.
+Added: recent years, shareholder activism involving corporate governance, fiduciary duties of Directors and Officers, strategic direction and
+Added: operations has become increasingly prevalent.
+Added: If we become the subject of such shareholder activism, their demands may disrupt our business
+Added: and divert the attention of our management, Board and employees.
+Added: Also, we may incur substantial costs, including legal fees and other
+Added: expenses, related to such activist shareholder matters.
+Added: Perceived uncertainties resulting from such activist shareholder matters may
+Added: result in loss of potential business opportunities with our current and potential customers and business partners, be exploited by our
+Added: competitors and make attracting and retaining qualified personnel more difficult.
+Added: In addition, such shareholder activism may cause significant
+Added: fluctuations in our share price based on temporary or speculative market perceptions, uncertainties or other factors that do not necessarily
+Added: reflect the underlying fundamentals and prospects of our business.
+Added: effects of shareholder activism pursued against the Company could have an adverse material effect on our business, financial condition,
+Added: results of operations, cash flows and stock price.
+Added: stock price has been volatile .
+Added: market price for the publicly traded stock of pharmaceutical companies is generally characterized by high volatility.
+Added: There has been
+Added: significant volatility in the market prices for our Common Stock.
+Added: For the twelve months ended March 31, 2022, the closing sale price
+Added: on the OTC Bulletin Board (“OTCBB”) of our Common Stock fluctuated from a high of $0.06 per share to a low of $0.03 per share.
+Added: The price per share of our Common Stock may not exceed or even remain at current levels in the future.
+Added: The market price of our Common
+Added: Stock may be affected by a number of factors, including, without limitation:
+Added: of our clinical trials;
+Added: or disapproval of our ANDAs or NDAs;
+Added: Announcements
+Added: of innovations, new products, or new patents by us or by our competitors;
+Added: Announcements
+Added: of other material events;
+Added: or proprietary rights developments;
+Added: contests or litigation;
+Added: regarding the efficacy of, safety of or demand for drugs or drug technologies;
+Added: and market conditions, generally and related to the pharmaceutical industry;
+Added: in third-party reimbursement policies for drugs;
+Added: in our operating results.
+Added: raises through sales of securities may cause substantial dilution to existing shareholders .
+Added: additional financing that involves the further sale of our securities could cause existing holders of our Common Stock to experience
+Added: substantial dilution.
+Added: On the other hand, if we incurred debt, we would be subject to risks associated with indebtedness, including the
+Added: risk that interest rates might fluctuate, and cash flow would be insufficient to pay principal and interest on such indebtedness.
+Added: of shares of common or preferred stock could make achieving a change of control more difficult .
+Added: issuance of additional shares of our Common Stock, including those shares issued pursuant to conversion of convertible preferred shares,
+Added: or the issuance of shares of an additional series of preferred stock could be used to make a change of control of us more difficult and
+Added: Under certain circumstances, such shares could be used to create impediments to, or frustrate persons seeking to cause, a
+Added: takeover or to gain control of us.
+Added: Such shares could be sold to purchasers who might side with our Board of Directors in opposing a takeover
+Added: bid that the Board of Directors determines not to be in the best interests of our shareholders.
+Added: It might also have the effect of discouraging
+Added: an attempt by another person or entity through the acquisition of a substantial number of shares of our Common Stock to acquire control
+Added: of us with a view to consummating a merger, sale of all or part of our assets, or a similar transaction, since the issuance of new shares
+Added: could be used to dilute the stock ownership of such person or entity.
+Added: have no plans to pay regular dividends or conduct share purchases .
+Added: do not intend to pay any cash dividends either currently or in the foreseeable future on our common shares.
+Added: Additionally, we do not intend
+Added: to conduct share repurchases either currently or in the foreseeable future.
UNRESOLVED STAFF COMMENTS
Compared sentence by sentence after normalising whitespace, quotation marks, case and digits, so re-formatting and restated figures do not read as changed language. Wording changes appear as one removal and one addition. The current filing and the prior one are authoritative.