Item 2. Management’s Discussion and Analysis
Item
2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
The
following discussion and analysis of our financial condition and results of operations should be read in conjunction with our unaudited
condensed consolidated financial statements and the related notes thereto contained in Part I, Item 1 of this Quarterly Report on Form
10-Q (this “Quarterly Report”). Our condensed consolidated financial statements have been prepared and, unless otherwise
stated, the information derived therefrom as presented in this discussion and analysis is presented, in accordance with accounting principles
generally accepted in the United States of America (“GAAP”).
The
information contained in this Quarterly Report is not a complete description of our business or the risks associated with an investment
in our common stock. We urge you to carefully review and consider the various disclosures made by us in this Quarterly Report and in
our other reports filed with the U.S. Securities and Exchange Commission (the “SEC”), including our Annual Report on Form
10-K for the fiscal year ended December 31, 2024 and subsequent reports, which discuss our business in greater detail. As used in this
discussion and analysis, unless the context indicates otherwise, the terms the “Company,” “Harrow,” “we,”
“us” and “our” refer to Harrow, Inc. and its consolidated subsidiaries, including ImprimisRx, LLC, ImprimisRx
NJ, LLC dba ImprimisRx, Imprimis NJOF, LLC, Harrow IP, LLC and Harrow Eye, LLC. In this discussion and analysis, we refer to our consolidated
subsidiaries ImprimisRx, LLC, ImprimisRx NJ, LLC and Imprimis NJOF, LLC collectively as “ImprimisRx.”
In
addition to historical information, the following discussion contains forward-looking statements regarding future events and our future
performance. In some cases, you can identify forward-looking statements by terminology such as “will,” “may,”
“should,” “expects,” “plans,” “anticipates,” “believes,” “estimates,”
“predicts,” “forecasts,” “potential” or “continue” or the negative of these terms or
other comparable terminology. All statements made in this Quarterly Report other than statements of historical fact are forward-looking
statements. These forward-looking statements involve risks and uncertainties and reflect only our current views, expectations and assumptions
with respect to future events and our future performance. If risks or uncertainties materialize or assumptions prove incorrect, actual
results or events could differ materially from those expressed or implied by such forward-looking statements. Risks that could cause
actual results to differ from those expressed or implied by the forward-looking statements we make include, among others, risks related
to: liquidity or results of operations; our ability to successfully implement our business plan, develop and commercialize our products,
product candidates and proprietary formulations in a timely manner or at all, identify and acquire additional products, manage our pharmacy
operations, refinance and otherwise service our debt, obtain financing necessary to operate our business, recruit and retain qualified
personnel, manage any growth we may experience and successfully realize the benefits of our previous acquisitions and any other acquisitions
and collaborative arrangements we may pursue; any enforcement action by the U.S. Food and Drug Administration relating to compliance
and quality plans at our outsourcing facility in New Jersey; competition from pharmaceutical companies, outsourcing facilities and pharmacies;
general economic and business conditions, including inflation and supply chain challenges; regulatory and legal risks and uncertainties
related to our pharmacy operations and the pharmacy and pharmaceutical business in general; physician interest in and market acceptance
of our current and any future formulations and compounding pharmacies generally; and the other risks and uncertainties described under
the heading “Risk Factors” in Part II, Item 1A of this Quarterly Report and in our other filings with the SEC. You should
not place undue reliance on forward-looking statements. Forward-looking statements speak only as of the date they are made and, except
as required by law, we undertake no obligation to revise or publicly update any forward-looking statement for any reason.
Overview
We
are a leading provider of ophthalmic disease management solutions in North America, offering a comprehensive portfolio of products that
address conditions affecting both the front and back of the eye, such as dry eye disease, wet (or neovascular) age-related macular degeneration,
cataracts, refractive errors, glaucoma and a range of other ocular surface conditions and retina diseases. Harrow was founded with a
commitment to deliver safe, effective, accessible, and affordable medications that enhance patient compliance and improve clinical outcomes.
30
Factors
Affecting Our Performance
We
believe the primary factors affecting our performance are our ability to increase revenues of our branded pharmaceutical products, proprietary
compounded formulations and certain non-proprietary products, grow and gain operating efficiencies in our operations, avoid or mitigate
any potential regulatory-related restrictions, optimize pricing and obtain reimbursement options for our drug products, and continue
to pursue development and commercialization opportunities for certain of our ophthalmology and other assets that we have not yet made
commercially available. We believe we have built a tangible and intangible infrastructure that will allow us to scale revenues efficiently
in the near and long-term. All of these activities may require significant costs and other resources, which we may not have or be able
to obtain from operations or other sources. See “Liquidity and Capital Resources” below.
Recent
Developments
The
following describes certain developments in 2025 to date that are important to understand our financial condition and results of operations.
See the notes to our unaudited condensed consolidated financial statements included in this Quarterly Report for additional information
about each of these developments.
BYOOVIZ®
and OPUVIZ TM – Commercialization Agreement
In
July 2025, we entered into a development and commercialization agreement (the “Samsung Agreement”) with Samsung Bioepis Co.,
Ltd. (“Samsung”). Under the terms of the Samsung Agreement, following completion of the transition of commercial rights from
Biogen, Inc. back to Samsung, Samsung will develop, manufacture, and supply BYOOVIZ (ranibizumab-nuna) and OPUVIZ (aflibercept-yszy)
(individually, a “Product” and together, the “Products”) for Harrow to commercialize in the U.S. market (the
“Rights”).. In consideration of such Rights, we will make a one-time upfront payment to Samsung, and Samsung will be eligible
to receive additional one-time payments based on the achievement of net sales-based milestones of the Products. In addition to other
mutually agreed terms, we shall pay to Samsung a share of net sales from the Products generated in the U.S. market.
Acquisition
of Commercial Rights to BYQLOVI TM
In
June 2025, we announced a licensing agreement whereby we acquired the exclusive U.S. commercial rights to BYQLOVI (clobetasol propionate
ophthalmic suspension) 0.05% from Taiwan-based Formosa Pharmaceuticals. BYQLOVI was recently approved by the FDA for the treatment of
post-operative inflammation and pain following ocular surgery and is the first new ophthalmic steroid in its class in over 15 years.
Harrow expects BYQLOVI to be available in the fourth quarter of 2025.
VEVYE® Access for All
In
March 2025, we announced a patient access program called VEVYE Access for All. The program is designed to increase patient access to
VEVYE at an out-of-pocket cost of $59 or below and, in many cases, reduce the need for prior authorizations, step edits, and other treatment
obstacles facing dry eye patients and their prescribers.
Project
Beagle
During
the first quarter of 2025 we initiated a 360-degree review of opportunities to offer ImprimisRx customers a Harrow-owned FDA-approved
product alternative to a compounded formulation. We call this initiative Project Beagle. In that vein, we began implementing a continuity
of care program to transition approximately 25,000 ImprimisRx patients from our Klarity-C (0.1% cyclosporine) compounded formulation
to VEVYE (0.1% cyclosporine), and we discontinued compounding Klarity-C on June 30, 2025. We also discontinued another related compounded
formulation called Klarity PF. Klarity PF was primarily purchased by a concentrated group of customers who have accepted our FRESHKOTE
product as an alternative. We continue to review opportunities to reduce the size of our compounded formulary, improve and simplify our
compounding capabilities, and transition other ImprimisRx customers from compounded formulations to Harrow’s FDA-approved products.
Results
of Operations
The
following period-to-period comparisons of our financial results for the three and six months ended June 30, 2025 and 2024 are not necessarily
indicative of results for any future period.
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Revenues
Our
revenues include amounts recorded from sales of proprietary compounded formulations, sales of branded products to wholesalers through
a third-party logistics facility, commissions from third parties and revenues received from royalty payments owed to us pursuant to out-license
arrangements.
The
following presents our revenues for the three and six months ended June 30, 2025 and 2024:
For the
Three Months Ended
For the
Six Months Ended
June 30,
June 30,
$
2025
2024
Variance
2025
2024
Variance
IHEEZO
$ 18,336,000
$ 11,295,000
$ 7,041,000
$ 23,558,000
$ 13,616,000
$ 9,942,000
VEVYE
18,641,000
4,315,000
14,326,000
40,156,000
6,912,000
33,244,000
Other branded products
5,212,000
11,681,000
(6,469,000 )
6,169,000
20,553,000
(14,384,000 )
Other revenues
85,000
68,000
17,000
171,000
147,000
24,000
Branded revenue, net
42,274,000
27,359,000
14,915,000
70,054,000
41,228,000
28,826,000
ImprimisRx revenue, net
21,468,000
21,580,000
(112,000 )
41,519,000
42,298,000
(779,000 )
Total revenues, net
$ 63,742,000
$ 48,939,000
$ 14,803,000
$ 111,573,000
$ 83,526,000
$ 28,047,000
The
increase in revenues between periods was related to an increase in sales of our branded ophthalmology products, primarily due to the
increase of units sold of IHEEZO and VEVYE during the three and six months ended June 30, 2025 compared to the prior year periods.
Cost
of Sales, Gross Profit and Gross Margin
Our
cost of sales includes direct and indirect costs to manufacture formulations and sell products, including active pharmaceutical ingredients,
personnel costs, packaging, storage, royalties, shipping and handling costs, manufacturing equipment and tenant improvements depreciation,
the write-off of obsolete inventory, amortization of acquired product NDAs, and other related expenses.
Branded
Three Months Ended June 30,
Six Months Ended June 30,
2025
2024
Variance
2025
2024
Variance
Cost of Sales
$ 8,734,000
$ 5,559,000
$ 3,175,000
$ 16,915,000
$ 9,237,000
$ 7,678,000
Gross profit
$ 33,540,000
$ 21,800,000
$ 11,740,000
$ 53,139,000
$ 31,991,000
$ 21,148,000
Gross margin
79.3 %
79.7 %
-0.3 %
75.9 %
77.6 %
-1.7 %
The
increase in Branded cost of sales was primarily attributable to an increase in units sold during the three and six months ended June
30, 2025 compared to the prior year periods and an increase in our fixed expenses. The decrease in Branded gross margin between the three
and six months ended June 30, 2025 and 2024 was primarily attributable to an increase in our fixed expenses, in particular, acquired
product NDA amortizations related to the launch of TRIESENCE and a related contingent milestone payment that was capitalized in the fourth
quarter of 2024.
ImprimisRx
Three Months Ended June 30,
Six Months Ended June 30,
2025
2024
Variance
2025
2024
Variance
Cost of Sales
$ 7,496,000
$ 6,980,000
$ 516,000
$ 14,839,000
$ 13,855,000
$ 984,000
Gross profit
$ 13,972,000
$ 14,600,000
$ (628,000 )
$ 26,680,000
$ 28,443,000
$ (1,763,000 )
Gross margin
65.1 %
67.7 %
-2.6 %
64.3 %
67.2 %
-3.0 %
32
The
increase in ImprimisRx costs of sales between the three and six months ended June 30, 2025 and 2024 was primarily attributable to an
increase in units sold during the three and six months ended June 30, 2025 compared to the same periods in 2024. However, due to product
mix during the three and six months ended June 30, 2025 that included more sales of lower gross margin products and sales discounts,
ImprimisRx gross margin decreased during the 2025 periods compared to the prior year period.
Selling,
General and Administrative Expenses
Our
selling, general and administrative (“SG&A”) expenses include personnel costs, including wages and stock-based compensation,
corporate facility expenses, and investor relations, consulting, insurance, filing, legal and accounting fees and expenses as well as
costs associated with our marketing activities and sales of our proprietary compounded formulations and other non-proprietary pharmacy
products and formulations.
The
following presents our SG&A expenses for the three and six months ended June 30, 2025 and 2024:
For the
Three Months Ended
For the
Six Months Ended
June 30,
$
June 30,
$
2025
2024
Variance
2025
2024
Variance
Selling, general and administrative
$ 33,235,000
$ 31,817,000
$ 1,418,000
$ 73,748,000
$ 60,630,000
$ 13,118,000
The
increase in SG&A expenses between the three-month periods was primarily attributable to the addition of new employees in sales, marketing
and other departments to support current and expected growth, which when combined contributed to a $4,375,000 increase in SG&A expenses
between the periods. These increases were offset by a $2,957,000 decrease in stock-based compensation expense between periods.
The
increase in SG&A expenses between the six-month periods was primarily attributable to an increase in certain seasonal expenses, such
as increased costs associated with our annual audit and a special project that totaled $3,629,000 during the six months ended June 30,
2025. In addition, the increase in SG&A expenses between periods was attributable to the addition of new employees in sales, marketing
and other departments to support current and expected growth, which when combined contributed to a $12,042,000 increase in SG&A expenses
between the periods. These increases were offset by a $2,553,000 decrease in stock-based compensation expense between periods.
Research
and Development Expenses
Our
research and development (“R&D”) expenses primarily include personnel costs, including wages and stock-based compensation,
expenses related to the development of intellectual property, investigator-initiated research and evaluations, formulation development,
acquired in-process R&D and other costs related to the clinical development of our assets.
The
following presents our research and development expenses for the three and six months ended June 30, 2025 and 2024:
For the
Three Months Ended
For the
Six Months Ended
June 30,
$
June 30,
$
2025
2024
Variance
2025
2024
Variance
Research and development
$ 2,868,000
$ 3,053,000
$ (185,000 )
$ 5,894,000
$ 5,202,000
$ 692,000
The
increase in R&D expenses between six-month periods was primarily attributable to increased activity related to our expanded branded
product portfolio, product acquisitions, product development efforts, product launches, and clinical and medical support.
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Interest
Expense, Net
Interest
expense, net was $6,408,000 and $12,956,000 for the three and six months ended June 30, 2025, respectively, compared to $5,471,000 and
$10,886,000 for the same periods in 2024, respectively. The increase during the three and six months ended June 30, 2025 compared to
the same periods in 2024 was primarily the result of an increase in the outstanding principal amount of our debt obligations.
Investment
Loss from Eton
During
the three and six months ended June 30, 2024, we recorded a loss of $(1,923,000) and $(3,171,000), respectively, related to the change
in fair market value of common stock of Eton Pharmaceuticals, Inc. (“Eton”) at the time of its sale, including trading expenses
and commissions of approximately $436,000. In April 2024, we sold all of our shares of Eton.
Liquidity
and Capital Resources
Liquidity
Our
cash on hand at June 30, 2025 was $52,963,000, compared to $47,247,000 at December 31, 2024.
As
of the date of this Quarterly Report, we believe that cash and cash equivalents of $52,963,000 at June 30, 2025 will be sufficient to
sustain our planned level of operations and capital expenditures for at least the next 12 months. Management expects to refinance the
Oaktree Loan (as defined in Note 10 of our unaudited condensed consolidated financial statements included in this Quarterly Report) during
2025 and to refinance the 2026 Notes (as defined in Note 10 of our unaudited condensed consolidated financial statements included in
this Quarterly Report) at the same time or soon thereafter. Management believes it is probable that we will be able to refinance the
Oaktree Loan and 2026 Notes; however, there can be no assurance that we will obtain the refinancing on terms acceptable to us, or at
all - see the subheading Sources of Capital below for additional discussion regarding the Oaktree Loan, 2026 Notes and refinancing
plans. In addition, we may consider the sale of certain assets. However, we may pursue acquisitions of products, drug candidates or other
strategic transactions that involve large expenditures or we may experience growth more rapidly or on a larger scale than we expect,
any of which could result in the depletion of capital resources more rapidly than anticipated and could require us to seek additional
financing to support our operations.
We
expect to use our current cash position and funds generated from our operations and any financing to pursue our business plan, which
includes developing and commercializing drug candidates, compounded formulations and technologies, integrating and developing our operations,
pursuing potential future strategic transactions as opportunities arise, including potential acquisitions of additional drug products,
drug candidates, and/or assets or technologies, pharmacies, outsourcing facilities, drug company and manufacturers, and otherwise fund
our operations. We may also use our resources to conduct clinical trials or other studies in support of our formulations or any drug
candidate for which we pursue FDA approval, to pursue additional development programs or to explore other development opportunities.
Net
Cash Flow
The
following provides detailed information about our net cash flows for the six months ended June 30, 2025 and 2024:
For the Six Months Ended
June 30,
2025
2024
Net cash provided by (used in):
Operating activities
$ 18,865,000
$ (7,374,000 )
Investing activities
(505,000 )
4,993,000
Financing activities
(12,644,000 )
(736,000 )
Net change in cash and cash equivalents
5,716,000
(3,117,000 )
Cash and cash equivalents at beginning of the period
47,247,000
74,085,000
Cash and cash equivalents at end of the period
$ 52,963,000
$ 70,968,000
34
Operating
Activities
Net
cash provided by (used in) operating activities during the six months ended June 30, 2025 was $18,865,000 compared to $(7,374,000) during
the same period in the prior year. The increase in net cash provided by operating activities between the periods was mainly attributed
to a decrease of $37,211,000 in accounts receivable as a result of collections during the six months ended June 30, 2025, compared to
an increase in accounts receivable of $15,631,000 during the same period in 2024.
Investing
Activities
Net
cash (used in) provided by investing activities during the six months ended June 30, 2025 was $(505,000) compared to $4,993,000 during
the same period in the prior year. Cash used in investing activities in 2025 was primarily related to equipment and software purchases.
Cash provided by investing activities in 2024 was primarily related to the sale of our investment position in Eton.
Financing
Activities
Net
cash used in financing activities during the six months ended June 30, 2025 and 2024 was $(12,644,000) and $(736,000), respectively.
Cash used in financing activities during the six months ended June 30, 2025 and 2024 was primarily related to payment of payroll taxes
upon vesting of PSUs in exchange for shares withheld from employees.
Sources
of Capital
During
the six months ended June 30, 2025, our principal sources of cash came from proceeds from our operating activities. We expect future
cash needs to be provided by operating activities, but our forecasts may not be accurate, and our plans may change. We may also sell
some of our assets.
In
January 2026 the Oaktree Loan matures and in April 2026, the 2026 Notes become due. As of June 30, 2025, there was $107,500,000 principal
amount outstanding under the Oaktree Loan and $75,000,000 principal amount of the 2026 Notes were outstanding. The maturity of these
debt obligations could raise substantial doubt about our ability to continue as a going concern. We are currently in discussions with
our current senior secured lender, Oaktree, and other potential lenders about refinancing the Oaktree Loan and the 2026 Notes. Management
believes it is probable that we will be able to refinance the Oaktree Loan and the 2026 Notes based on our collateral strength and expected
cash flows from operations; however, there can be no assurance that we will obtain the refinancing on terms acceptable to us, or at all.
We believe that one of the other alternatives available to us is the sale of one or more of our assets. There can be no assurance that
any sale could be completed on a timely basis or on terms acceptable to us. If we are unable to successfully refinance the Oaktree Loan
and the 2026 Notes or sell assets to raise sufficient capital, we do not expect to have the ability to repay the Oaktree Loan and the
2026 Notes in full.
We
may acquire new products, product candidates and/or businesses and, as a result, we may need significant additional capital to support
our business plan and fund our proposed business operations. We may also seek additional financing from a variety of sources, including
other equity or debt financings, funding from corporate partnerships or licensing arrangements, sales of assets or any other financing
transaction. If we issue equity or convertible debt securities to raise additional funds, our existing stockholders may experience substantial
dilution, and the newly issued equity or debt securities may have more favorable terms or rights, preferences and privileges senior to
those of our existing stockholders. If we raise additional funds through collaboration or licensing arrangements or sales of assets,
we may be required to relinquish potentially valuable rights to our product candidates or proprietary technologies or formulations, or
grant licenses on terms that are not favorable to us. If we raise funds by incurring additional debt, we may be required to pay significant
interest expenses and our leverage relative to our earnings or to our equity capitalization may increase. Obtaining commercial loans,
assuming they would be available, would increase our liabilities and future cash commitments and may impose restrictions on our activities,
such as the financial and operating covenants. Further, we may incur substantial costs in pursuing future capital and/or financing transactions,
including investment banking fees, legal fees, accounting fees, printing and distribution expenses and other costs. We may also be required
to recognize non-cash expenses in connection with certain securities we may issue, such as convertible notes and warrants, which would
adversely impact our financial results.
35
We
may be unable to obtain financing when necessary as a result of, among other things, our performance, general economic conditions, conditions
in the pharmaceuticals and pharmacy industries, or our operating history. In addition, the fact that we have a limited history of profitability
could further impact the availability or cost to us of future financings. As a result, sufficient funds may not be available when needed
from any source or, if available, such funds may not be available on terms that are acceptable to us. If we are unable to raise funds
to satisfy our capital needs when needed, then we may need to forego pursuit of potentially valuable development or acquisition opportunities,
we may not be able to continue to operate our business pursuant to our business plan, which would require us to modify our operations
to reduce spending to a sustainable level by, among other things, delaying, scaling back or eliminating some or all of our ongoing or
planned investments in corporate infrastructure, business development, sales and marketing and other activities, or we may be forced
to discontinue our operations entirely.
Recently
Issued and Adopted Accounting Pronouncements
See
Note 2 to our unaudited condensed consolidated financial statements included in this Quarterly Report.
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