−Removed: Throughout this Annual Report on Form 10-K (“2023
−Removed: 10-K Report”), the terms “we,” “us,” “our,” “TherapeuticsMD,” “the Company,”
−Removed: or “our company” refer to TherapeuticsMD, Inc., a Nevada corporation, and unless specified otherwise, include our wholly
−Removed: owned subsidiaries vitaMedMD, LLC, a Delaware limited liability company (“vitaMed”), and BocaGreenMD, Inc., a Nevada corporation
−Removed: (“BocaGreen”).
−Removed: TherapeuticsMD owns or has rights to trademarks,
−Removed: service marks, or trade names that were previously used in connection with the operation of its business, or are now licensed by another
−Removed: party, including TherapeuticsMD®, vitaMedMD®, BocaGreenMD®, vitaCareTM, BIJUVA®, and IMVEXXY®, which are protected
−Removed: under applicable intellectual property laws and are the property of the Company.
−Removed: This 2023 10-K Report also contains trademarks, trade
−Removed: names and service marks of other companies, which are the property of their respective owners.
−Removed: Solely for convenience, trademarks, trade
−Removed: names and service marks referred to in this 2023 10-K Report may appear without the ®, ™ or SM symbols, but such references
−Removed: are not intended to indicate, in any way, that we will not assert, to the fullest extent under applicable law, our rights or the right
−Removed: of the applicable licensor to these trademarks, trade names, and service marks.
−Removed: We do not intend our use or display of other parties’
−Removed: trademarks, trade names or service marks to imply, and such use or display should not be construed to imply a relationship with, or endorsement
−Removed: or sponsorship of us by, these other parties.
−Removed: In addition, this 2023 10-K Report includes
−Removed: market and industry data that we obtained from periodic industry publications, third-party studies and surveys, government-agency sources,
−Removed: filings of public companies in our industry, and internal-company surveys.
−Removed: Industry publications and surveys generally state that their
−Removed: information has been obtained from sources believed to be reliable.
−Removed: Although we believe that the industry and market data below is reliable
−Removed: as of the date of this 2023 10-K Report, this information could prove to be inaccurate as a result of a variety of matters.
−Removed: Forward-looking statements
−Removed: This 2023 10-K Report contains forward-looking
−Removed: statements within the meaning of the Private Securities Litigation Reform Act of 1995.
−Removed: These forward-looking statements involve substantial
−Removed: risks and uncertainties.
−Removed: For example, statements regarding our operations, financial position, business strategy, and other plans and
−Removed: objectives for future operations, and assumptions and predictions about future demand, marketing, expenses and sales are all forward-looking
−Removed: These statements may be found in the items of this 2023 10-K Report entitled “Business” and “Management’s
−Removed: Discussion and Analysis of Financial Condition and Results of Operations,” as well as in this 2023 10-K Report generally.
−Removed: statements are generally accompanied by words such as “intend,” “anticipate,” “believe,” “estimate,”
−Removed: “potential(ly),” “continue,” “forecast,” “predict,” “plan,” “may,”
−Removed: “will,” “could,” “would,” “should,” “expect,” or the negative of such terms
−Removed: or other comparable terminology.
−Removed: We have based these forward-looking statements
−Removed: on our current expectations and projections about future events.
−Removed: We believe that the assumptions and expectations reflected in such forward-looking
−Removed: statements are reasonable, based on information available to us on the date of this 2023 10-K Report, but we cannot assure you that these
−Removed: assumptions and expectations will prove to have been correct or that we will take any action that we may presently be planning.
−Removed: forward-looking statements are inherently subject to known and unknown risks and uncertainties.
−Removed: Actual results or experience may differ
−Removed: materially from those expected or anticipated in the forward-looking statements.
−Removed: Factors that could cause or contribute to such differences
−Removed: include, but are not limited to, competition from other businesses, market and general economic factors, and the other risks discussed
−Removed: in Item 1A of this 2023 10-K Report.
−Removed: This discussion should be read in conjunction with the consolidated financial statements and notes
−Removed: thereto included in this 2023 10-K Report.
−Removed: We have identified some of the important factors
−Removed: that could cause future events to differ from our current expectations and they are described in this 2023 10-K Report in the section
−Removed: entitled “Risk Factors” that you should review carefully.
−Removed: Please consider our forward-looking statements in light of those
−Removed: risks as you read this 2023 10-K Report.
−Removed: If one or more of these or other risks or uncertainties materialize, or if our underlying assumptions
−Removed: prove to be incorrect, actual results may vary materially from what we project.
−Removed: We do not undertake to update any forward-looking statements
−Removed: or to publicly announce the results of any revisions to any statements to reflect new information or future events or developments.
−Removed: TherapeuticsMD was previously a women’s
−Removed: healthcare company with a mission of creating and commercializing innovative products to support the lifespan of women from pregnancy
−Removed: prevention through menopause.
−Removed: In December 2022, we changed our business to become a pharmaceutical royalty company, currently receiving
−Removed: royalties on products licensed to pharmaceutical organizations that possess commercial capabilities in the relevant territories.
−Removed: 30, 2022 (the “Closing Date”), we completed a transaction (the “Mayne Transaction”) with Mayne Pharma LLC, a
−Removed: Delaware limited liability company (“Mayne Pharma”) and subsidiary of Mayne Pharma Group Limited, an Australian public company,
−Removed: in which we and our subsidiaries (i) granted Mayne Pharma an exclusive license to commercialize our IMVEXXY, BIJUVA and prescription
−Removed: prenatal vitamin products sold under the BocaGreenMD and vitaMedMD brands (collectively, the “Licensed Products”) in the
−Removed: United States and its possessions and territories, (ii) assigned to Mayne Pharma our exclusive license to commercialize ANNOVERA®
−Removed: (together with the Licensed Products, collectively, the “Products”) in the United States and its possessions and territories,
−Removed: and (iii) sold certain other assets to Mayne Pharma in connection therewith.
−Removed: In a License Agreement, dated December 4, 2022,
−Removed: between TherapeuticsMD and Mayne Pharma (the “Mayne License Agreement”), we granted Mayne Pharma, on the Closing Date, (i)
−Removed: an exclusive, sublicensable, perpetual, irrevocable license to research, develop, register, manufacture, have manufactured, market, sell,
−Removed: use, and commercialize the Licensed Products in the United States and its possessions and territories and (ii) an exclusive, sublicensable,
−Removed: perpetual, irrevocable license to manufacture, have manufactured, import and have imported the Licensed Products outside the United States
−Removed: for commercialization in the United States and its possessions and territories.
−Removed: Under the Mayne License Agreement, Mayne
−Removed: Pharma will pay us one-time milestone payments of each of (i) $5.0 million if aggregate net sales of all Products in the United
−Removed: States during a calendar year reach $100.0 million, (ii) $10.0 million if aggregate net sales of all Products in the United States
−Removed: during a calendar year reach $200.0 million and (iii) $15.0 million if aggregate net sales of all Products in the United States
−Removed: during a calendar year reach $300.0 million.
−Removed: Further, Mayne Pharma will pay us royalties on net sales of all Products in the United
−Removed: States at a royalty rate of 8.0% on the first $80.0 million in annual net sales and 7.5% on annual net sales above $80.0 million,
+Added: this Annual Report on Form 10-K (“2024 10-K Report”), the terms “we,” “us,” “our,” “TherapeuticsMD,”
+Added: “the Company,” or “our Company” refer to TherapeuticsMD, Inc., a Nevada corporation, and unless specified otherwise,
+Added: include our wholly owned subsidiaries vitaMedMD, LLC, a Delaware limited liability company (“vitaMed”), and BocaGreenMD,
+Added: Inc., a Nevada corporation (“BocaGreen”).
+Added: TherapeuticsMD
+Added: owns or has rights to trademarks, service marks, or trade names that were previously used in connection with the operation of its business,
+Added: or are now licensed by another party, including TherapeuticsMD®, vitaMedMD®, BocaGreenMD®, BIJUVA®, and IMVEXXY®,
+Added: which are protected under applicable intellectual property laws and are the property of the Company.
+Added: This 2024 10-K Report also contains
+Added: trademarks, trade names and service marks of other companies, which are the property of their respective owners.
+Added: Solely for convenience,
+Added: trademarks, trade names and service marks referred to in this 2024 10-K Report may appear without the ®, ™ or SM symbols, but
+Added: such references are not intended to indicate, in any way, that we will not assert, to the fullest extent under applicable law, our rights
+Added: or the right of the applicable licensor to these trademarks, trade names, and service marks.
+Added: We do not intend our use or display of other
+Added: parties’ trademarks, trade names or service marks to imply, and such use or display should not be construed to imply a relationship
+Added: with, or endorsement or sponsorship of us by, these other parties.
+Added: this 2024 10-K Report includes market and industry data that we obtained from periodic industry publications, third-party studies and
+Added: surveys, government-agency sources, filings of public companies in our industry, and internal-company surveys.
+Added: Industry publications
+Added: and surveys generally state that their information has been obtained from sources believed to be reliable.
+Added: Although we believe that the
+Added: industry and market data below is reliable as of the date of this 2024 10-K Report, this information could prove to be inaccurate as
+Added: a result of a variety of matters.
+Added: Forward-looking
+Added: 10-K Report contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995.
+Added: These forward-looking
+Added: statements involve substantial risks and uncertainties.
+Added: For example, statements regarding our operations, financial position, business
+Added: strategy, and other plans and objectives for future operations, and assumptions and predictions about future demand, marketing, expenses
+Added: and sales are all forward-looking statements.
+Added: These statements may be found in the items of this 2024 10-K Report entitled “Business”
+Added: and “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” as well as in this 2024
+Added: 10-K Report generally.
+Added: These statements are generally accompanied by words such as “intend,” “anticipate,” “believe,”
+Added: “estimate,” “potential(ly),” “continue,” “forecast,” “predict,” “plan,”
+Added: “may,” “will,” “could,” “would,” “should,” “expect,” or the negative
+Added: of such terms or other comparable terminology.
+Added: We have based
+Added: these forward-looking statements on our current expectations and projections about future events.
+Added: We believe that the assumptions and
+Added: expectations reflected in such forward-looking statements are reasonable, based on information available to us on the date of this 2024
+Added: 10-K Report, but we cannot assure you that these assumptions and expectations will prove to have been correct or that we will take any
+Added: action that we may presently be planning.
+Added: These forward-looking statements are inherently subject to known and unknown risks and uncertainties.
+Added: Actual results or experience may differ materially from those expected or anticipated in the forward-looking statements.
+Added: could cause or contribute to such differences include, but are not limited to, competition from other businesses, market and general
+Added: economic factors, and the other risks discussed in Item 1A of this 2024 10-K Report.
+Added: This discussion should be read in conjunction with
+Added: the consolidated financial statements and notes thereto included in this 2024 10-K Report.
+Added: We have identified
+Added: some of the important factors that could cause future events to differ from our current expectations and they are described in this 2024
+Added: 10-K Report in the section entitled “Risk Factors” that you should review carefully.
+Added: Please consider our forward-looking
+Added: statements in light of those risks as you read this 2024 10-K Report.
+Added: If one or more of these or other risks or uncertainties materialize,
+Added: or if our underlying assumptions prove to be incorrect, actual results may vary materially from what we project.
+Added: We do not undertake
+Added: to update any forward-looking statements or to publicly announce the results of any revisions to any statements to reflect new information
+Added: or future events or developments.
+Added: TherapeuticsMD
+Added: was previously a women’s healthcare company with a mission of creating and commercializing innovative products to support the
+Added: lifespan of women from pregnancy prevention through menopause.
+Added: In December 2022, we changed our business to become a pharmaceutical
+Added: royalty company, currently receiving royalties on products licensed to pharmaceutical organizations that possess commercial
+Added: capabilities in the relevant territories.
+Added: On December 30, 2022 (the “Closing Date”), we completed a transaction (the
+Added: “Mayne Transaction”) with Mayne Pharma LLC, a Delaware limited liability company (“Mayne Pharma”) and
+Added: subsidiary of Mayne Pharma Group Limited, an Australian public company (“Mayne Pharma Group”), in which we and our subsidiaries (i) granted Mayne Pharma
+Added: an exclusive license to commercialize our IMVEXXY, BIJUVA and prescription prenatal vitamin products sold under the BocaGreenMD and
+Added: vitaMedMD brands (collectively, the “Licensed Products”) in the United States and its possessions and territories, (ii)
+Added: assigned to Mayne Pharma our exclusive license to commercialize ANNOVERA® (together with the Licensed Products, collectively,
+Added: the “Products”) in the United States and its possessions and territories, and (iii) sold certain other assets to Mayne
+Added: Pharma in connection therewith.
+Added: Agreement, dated December 4, 2022, between TherapeuticsMD and Mayne Pharma (the “Mayne License Agreement”), we granted Mayne
+Added: Pharma, on the Closing Date, (i) an exclusive, sublicensable, perpetual, irrevocable license to research, develop, register, manufacture,
+Added: have manufactured, market, sell, use, and commercialize the Licensed Products in the United States and its possessions and territories
+Added: and (ii) an exclusive, sublicensable, perpetual, irrevocable license to manufacture, have manufactured, import and have imported the
+Added: Licensed Products outside the United States for commercialization in the United States and its possessions and territories.
+Added: Mayne License Agreement, Mayne Pharma will pay us one-time milestone payments of each of (i) $5.0 million if aggregate net sales of all
+Added: Products in the United States during a calendar year reach $100.0 million, (ii) $10.0 million if aggregate net sales of all Products
+Added: in the United States during a calendar year reach $200.0 million and (iii) $15.0 million if aggregate net sales of all Products in the
+Added: United States during a calendar year reach $300.0 million.
+Added: Further, Mayne Pharma will pay us royalties on net sales of all Products in
+Added: the United States at a royalty rate of 8.0% on the first $80.0 million in annual net sales and 7.5% on annual net sales above $80.0 million,
subject to certain adjustments, for a period of 20 years following the Closing Date.
−Removed: The royalty rate will decrease to 2.0% on a
−Removed: Product-by-Product basis upon the earlier to occur of (i) the expiration or revocation of the last patent covering a Product and
−Removed: (ii) a generic version of a Product launching in the United States.
−Removed: Mayne Pharma will pay us minimum annual royalties of $3.0
−Removed: million per year for 12 years, adjusted for inflation at an annual rate of 3%, subject to certain further adjustments, including as
−Removed: described below (the “Minimum Annual Royalty”).
+Added: The royalty rate will decrease to 2.0% on a Product-by-Product
+Added: basis upon the earlier to occur of (i) the expiration or revocation of the last patent covering a Product and (ii) a generic version
+Added: of a Product launching in the United States.
+Added: Mayne Pharma will pay us minimum annual royalties of $3.0 million per year for 12 years,
+Added: adjusted for inflation at an annual rate of 3%, subject to certain further adjustments, including as described below (the “Minimum
+Added: Annual Royalty”).
Upon the expiry of the 20-year royalty term, the licenses granted to Mayne Pharma under the Mayne License Agreement
will become a fully paid-up and royalty free license for the Licensed Products.
−Removed: Under the Transaction Agreement, dated December
−Removed: 4, 2022, between TherapeuticsMD and Mayne Pharma (the “Transaction Agreement”), we sold to Mayne Pharma, at closing, certain
−Removed: assets for Mayne Pharma to commercialize the Products in the United States, including, with the Population Council’s consent, our
−Removed: exclusive license from the Population Council to commercialize ANNOVERA (the “Transferred Assets”).
−Removed: The total consideration from Mayne Pharma
−Removed: to TherapeuticsMD for the purchase of the Transferred Assets under the Transaction Agreement and the grant of the licenses under the
−Removed: Mayne License Agreement was (i) a cash payment of $140.0 million at closing, (ii) a cash payment of approximately $12.1 million
−Removed: at closing for the acquisition of net working capital as determined in accordance with the Transaction Agreement and subject to
−Removed: certain adjustments, (iii) a cash payment of approximately $1.0 million at closing for prepaid royalties in connection with the
−Removed: Mayne License Agreement Amendment (as defined below) and (iv) the right to receive the contingent consideration set forth in the
−Removed: Mayne License Agreement, as amended.
−Removed: On the Closing Date, TherapeuticsMD and Mayne Pharma entered into Amendment
−Removed: 1 to the Mayne License Agreement (the “Mayne License Agreement Amendment”).
−Removed: Pursuant to the Mayne License Agreement Amendment,
−Removed: Mayne Pharma agreed to pay us approximately $1.0 million in prepaid royalties on the Closing Date.
−Removed: The prepaid royalties reduced the first
−Removed: four quarterly payments that would have otherwise been payable pursuant to the Mayne License Agreement by an amount equal to $257 thousand
−Removed: per quarterly royalty payment plus interest calculated at 19% per annum accruing from the Closing Date until the date such quarterly royalty
−Removed: payment was paid to us.
−Removed: We and Mayne Pharma settled the $1.5 million of consideration due to Mayne Pharma for the assumed obligations
−Removed: under a long-term services agreement (see the section entitled “vitaCare divestiture” below for a discussion of the long-term
−Removed: services agreement), including our minimum payment obligations thereunder.
−Removed: As the parties agreed, Mayne Pharma reduced the second quarterly
−Removed: royalty payment otherwise payable to us by an additional $0.6 million, and in August 2023 we remitted the remaining consideration of
−Removed: $0.9 million.
−Removed: Mayne Pharma paid us approximately $12.1 million at closing on the Closing Date for the acquisition of net working capital, subject to certain adjustments as determined in accordance with the Transaction
−Removed: While the Transaction Agreement calls for much of the net working capital to be trued-up shortly after the Closing Date in
−Removed: 2023, for a period of one year following the Closing Date in the case of payer rebates and wholesale distributor fees and two years
−Removed: following the Closing Date in the case for allowance for returns, net working capital amounts will be adjusted to arrive at final net
−Removed: working capital under the Transaction Agreement.
−Removed: In September 2023, we revised certain accrual estimates including increasing
−Removed: our working capital adjustment accrual from $3.5 million to $5.5 million for amounts anticipated to be owed under the Transaction Agreement.
−Removed: In December 2023, we made a $5.5 million payment to Mayne Pharma to settle certain working capital amounts that were required to be trued-up
−Removed: shortly after the Closing Date, excluding the allowance for returns, allowance for payer rebates, and allowance for wholesale distributor
−Removed: In February 2024, the Company received Mayne Pharma’s
−Removed: calculation of allowance for payer rebates and wholesale distributor fees which differed significantly from the Company’s
−Removed: estimate of the allowances.
−Removed: The Company believes its estimated allowances for payer rebates and wholesale distributor fees are
−Removed: reasonable and intends to resolve this matter through the process outlined in the Transaction Agreement.
−Removed: Given the recent receipt of
−Removed: Mayne Pharma’s allowance calculation and the nature of the estimates involved, the outcome of this matter is uncertain at this
−Removed: As a result, the Company cannot reasonably estimate a range of loss, and accordingly, the Company has not accrued any
−Removed: additional liability associated with Mayne Pharma’s allowance calculation for payer rebates and wholesale distributor
−Removed: As of December 31, 2023, the Company believes no additional accrual
−Removed: is required for amounts that may be owed for the allowance for returns under the Transaction Agreement.
−Removed: The Company has not recorded any
−Removed: contingent gains or receivables for any such allowances.
−Removed: Management continues to monitor the unresolved and pending net working capital
−Removed: items as changes to estimated amounts owed or amounts due from Mayne Pharma that may be material.
−Removed: As part of the transformation that included the Mayne License Agreement,
−Removed: historical results of commercial operations for all periods prior to the Closing Date have been reflected as discontinued operations in
−Removed: our consolidated financial statements.
−Removed: Assets and liabilities associated with the commercial business are classified as assets and liabilities
−Removed: of discontinued operations in our consolidated balance sheets.
−Removed: See Note 2 - Discontinued Operations to the
−Removed: consolidated financial statements included in this Annual Report on Form 10-K for further details.
−Removed: The Company also has license agreements with
−Removed: strategic partners to commercialize IMVEXXY and BIJUVA outside of the U.S.
−Removed: ● In July 2018, we entered into a license and supply agreement (the
−Removed: “Knight License Agreement”) with Knight Therapeutics Inc.
−Removed: pursuant to which we granted Knight an exclusive license to commercialize IMVEXXY and BIJUVA
−Removed: in Canada and Israel.
−Removed: ● In June 2019, we entered into an exclusive license and supply
−Removed: agreement (the “Theramex License Agreement”) with Theramex HQ UK Limited (“Theramex”)
−Removed: to commercialize IMVEXXY and BIJUVA outside of the U.S., excluding Canada and Israel.
−Removed: 2021, Theramex secured regulatory approval for BIJUVA in certain European countries and began
−Removed: commercialization efforts in those countries.
−Removed: In connection with our transformation into a
−Removed: pharmaceutical royalty company, the termination of our executive management team (except for Mr.
−Removed: Marlan Walker, our former General Counsel
−Removed: and current Chief Executive Officer) and all other employees was completed by December 31, 2022.
−Removed: Severance obligations for all employees
−Removed: other than executive officers were paid in full in January 2023 and severance obligations for terminated executive officers were paid
−Removed: in accordance with their employment agreements and separation agreements as previously disclosed.
+Added: Transaction Agreement, dated December 4, 2022, between TherapeuticsMD and Mayne Pharma (the “Transaction Agreement”), we
+Added: sold to Mayne Pharma, at closing, certain assets for Mayne Pharma to commercialize the Products in the United States, including, with
+Added: the Population Council’s consent, our exclusive license from the Population Council to commercialize ANNOVERA (the “Transferred
+Added: consideration from Mayne Pharma to TherapeuticsMD for the purchase of the Transferred Assets under the Transaction Agreement and the
+Added: grant of the licenses under the Mayne License Agreement was (i) a cash payment of $140.0 million at closing, (ii) a cash payment of approximately
+Added: $12.1 million at closing for the acquisition of net working capital as determined in accordance with the Transaction Agreement and subject
+Added: to certain adjustments, (iii) a cash payment of approximately $1.0 million at closing for prepaid royalties in connection with the Mayne
+Added: License Agreement Amendment (as defined below) and (iv) the right to receive the contingent consideration set forth in the Mayne License
+Added: Agreement, as amended.
+Added: On the Closing
+Added: Date, TherapeuticsMD and Mayne Pharma entered into Amendment No.
+Added: 1 to the Mayne License Agreement (the “Mayne License Agreement
+Added: Pursuant to the Mayne License Agreement Amendment, Mayne Pharma agreed to pay us approximately $1.0 million in prepaid
+Added: royalties on the Closing Date.
+Added: The prepaid royalties reduced the first four quarterly payments that would have otherwise been payable
+Added: pursuant to the Mayne License Agreement by an amount equal to $257 thousand per quarterly royalty payment plus interest calculated at
+Added: 19% per annum accruing from the Closing Date until the date such quarterly royalty payment was paid to us.
+Added: We and Mayne Pharma settled
+Added: the $1.5 million of consideration due to Mayne Pharma for the assumed obligations under a long-term services agreement, including our
+Added: minimum payment obligations thereunder.
+Added: As the parties agreed, Mayne Pharma reduced the second quarterly royalty payment otherwise payable
+Added: to us by an additional $0.6 million, and in August 2023 we remitted the remaining consideration of $0.9 million.
+Added: the transformation that included the Mayne License Agreement, all results associated with former commercial operations have been reflected
+Added: as discontinued operations in our consolidated financial statements.
+Added: Assets and liabilities associated with the commercial business are
+Added: classified as assets and liabilities of discontinued operations in our consolidated balance sheets.
+Added: See “Note 2 - Discontinued Operations” to the consolidated
+Added: financial statements included in this Annual Report on Form 10-K for further details.
+Added: also has license agreements with strategic partners to commercialize IMVEXXY and BIJUVA outside of the U.S.
+Added: In July 2018, we entered into a license and supply
+Added: agreement (the “Knight License Agreement”) with Knight Therapeutics Inc.
+Added: (“Knight”) pursuant to which we
+Added: granted Knight an exclusive license to commercialize IMVEXXY and BIJUVA in Canada and Israel.
+Added: Knight obtained regulatory approval for IMVEXXY and BIJUVA and began commercialization efforts in 2024.
+Added: In June 2019, we entered into an exclusive license
+Added: and supply agreement (the “Theramex License Agreement”) with Theramex HQ UK Limited (“Theramex”) to commercialize
+Added: IMVEXXY and BIJUVA outside of the U.S., excluding Canada and Israel.
+Added: In 2021, Theramex secured regulatory approval for BIJUVA in
+Added: certain European countries and began commercialization efforts in those countries.
+Added: In December 2024, we transferred the right to
+Added: commercialize IMVEXXY and BIJUVA in Israel from Knight to Theramex.
As of December 31, 2024, we employed
one full-time employee primarily engaged in an executive position.
−Removed: We have engaged external consultants who support our relationship with
−Removed: current partners and assist with certain financial, legal, and regulatory matters and the continued wind-down of our historical business
−Removed: On August 15, 2023, we entered into a master services agreement with JZ Advisory Group, pursuant to which Joseph Ziegler would
−Removed: serve as our Principal Financial and Accounting Officer.
−Removed: On August 17, 2023 Michael C.
−Removed: Donegan notified us of his decision to resign from
−Removed: the positions of Principal Financial and Accounting Officer of our Company effective as of August 17, 2023.
−Removed: Ziegler succeeded Mr.
−Removed: Donegan as Principal Financial and Accounting Officer as of the date of Mr.
−Removed: Donegan’s resignation.
−Removed: vitaCare divestiture
−Removed: On April 14, 2022, we completed the divestiture
−Removed: of our former subsidiary vitaCare Prescription Services, Inc.
−Removed: (“vitaCare”) with the sale of all of vitaCare’s issued
−Removed: and outstanding capital stock (the “vitaCare Divestiture”).
−Removed: We received net proceeds of $142.6 million, after deducting transaction
−Removed: costs of $7.2 million, and we recognized a gain on sale of business of $143.4 million.
−Removed: Included in the net proceeds amount was $11.3
−Removed: million of customary holdbacks as provided in the stock purchase agreement (the “Purchase Agreement”) which we received in
−Removed: Additionally, the Purchase Agreement provides that we may receive up to an additional $7.0 million in earn-out consideration, contingent
−Removed: upon vitaCare’s financial performance through 2023 as determined in accordance with the terms of the Purchase Agreement;
−Removed: we do not believe this earnout will be realized.
−Removed: The Purchase Agreement contains customary representations
−Removed: and warranties, covenants, and indemnities of the parties thereto.
−Removed: The commitments under a long-term services agreement related to vitaCare
−Removed: were transferred to Mayne Pharma as part of the Mayne Transaction.
−Removed: The divestiture of vitaCare was determined to
−Removed: be a component of discontinued operations in December 2022, when we changed our business by becoming a royalty company and as a result
−Removed: vitaCare activities were reclassified to discontinued operations for the years ended December 31, 2023 and 2022.
−Removed: Going concern
−Removed: On the Closing Date of the
−Removed: Mayne Transaction, we repaid all obligations under the Financing Agreement, dated as of April 24, 2019, as amended, with Sixth Street
−Removed: Specialty Lending, Inc., as administrative agent, the various lenders from time-to-time party thereto, and certain of our subsidiaries
−Removed: party thereto from time to time as guarantors (the “Financing Agreement”) and the Financing Agreement was terminated.
−Removed: Following the transaction with Mayne
−Removed: Pharma, our primary source of revenue is from royalties on products licensed to pharmaceutical organizations that possess commercial
−Removed: capabilities in the relevant territories.
−Removed: We may need to raise additional capital to provide additional liquidity to fund our
−Removed: operations until we become cash flow positive.
−Removed: To address our capital needs, we may pursue various equity and debt financing and
−Removed: other alternatives.
+Added: We have engaged external consultants who support our relationship
+Added: with current partners and assist with certain financial, IT, legal, and regulatory matters and the continued wind-down of our historical
+Added: business operations.
+Added: On August 15, 2023, we entered into a master services agreement with JZ Advisory Group, pursuant to which Joseph
+Added: Ziegler serves as our Principal Financial and Accounting Officer.
+Added: On the Closing
+Added: Date of the Mayne Transaction, we repaid all obligations under the Financing Agreement, dated as of April 24, 2019, as amended, with
+Added: Sixth Street Specialty Lending, Inc., as administrative agent, the various lenders from time-to-time party thereto, and certain of our
+Added: subsidiaries party thereto from time to time as guarantors (the “Financing Agreement”) and the Financing Agreement was terminated.
+Added: the transaction with Mayne Pharma, our primary source of revenue is from royalties on products licensed to pharmaceutical organizations
+Added: that possess commercial capabilities in the relevant territories.
+Added: We may need to raise additional capital to provide additional liquidity
+Added: to fund our operations until we become cash flow positive.
+Added: To address our capital needs, we may pursue various equity and debt financing
+Added: and other alternatives.
The equity financing alternatives may include the private placement of equity, equity-linked, or other similar
−Removed: instruments or obligations with one or more investors, lenders, or other institutional counterparties or an underwritten public
−Removed: equity or equity-linked securities offering.
−Removed: Our ability to sell equity securities may be limited by market conditions, including
−Removed: the market price of our common stock and our available authorized shares.
−Removed: To the extent that we raise additional capital
−Removed: through the sale of such securities, the ownership interests of our existing stockholders will be diluted, and the terms of these new
−Removed: securities may include liquidation or other preferences that adversely affect the rights of our existing stockholders.
−Removed: If we are not
−Removed: successful in obtaining additional financing, we could be forced to discontinue or curtail our business operations, sell assets at unfavorable
−Removed: prices, or merge, consolidate, or combine with a company with greater financial resources in a transaction that might be unfavorable
−Removed: On May 1, 2023, we entered into a
−Removed: Subscription Agreement (the “Subscription Agreement”) with Rubric Capital Management LP (“Rubric”), pursuant
−Removed: to which we agreed to sell to Rubric, or one or more of its affiliates, up to an aggregate of 5,000,000 shares of our common stock,
−Removed: par value $0.001 per share (our “Common Stock”), from time to time during the term of the Subscription Agreement at a
−Removed: purchase price of the five-day volume-weighted average price of the Common Stock at the time of the sale of such shares of Common
−Removed: Stock, at an aggregate purchase price of up to $5,000,000.
−Removed: On June 29, 2023, we issued and sold 312,525 shares of Common Stock at a
−Removed: price per share equal to $3.6797 pursuant to the Subscription Agreement.
−Removed: We received gross proceeds of $1.15 million from the draw
−Removed: down, before expenses.
−Removed: On November 15, 2023 Rubric drew down an additional 877,192 shares of Common Stock at a price per share equal
+Added: instruments or obligations with one or more investors, lenders, or other institutional counterparties or an underwritten public equity
+Added: or equity-linked securities offering.
+Added: Our ability to sell equity securities may be limited by market conditions, including the market
+Added: price of our common stock and our available authorized shares.
+Added: To the extent
+Added: that we raise additional capital through the sale of such securities, the ownership interests of our existing stockholders will be diluted,
+Added: and the terms of these new securities may include liquidation or other preferences that adversely affect the rights of our existing stockholders.
+Added: If we are not successful in obtaining additional financing, we could be forced to discontinue or curtail our business operations, sell
+Added: assets at unfavorable prices, or merge, consolidate, or combine with a company with greater financial resources in a transaction that
+Added: might be unfavorable to us.
+Added: 2023, we entered into a Subscription Agreement (the “Subscription Agreement”) with Rubric Capital Management LP (“Rubric”),
+Added: pursuant to which we agreed to sell to Rubric, or one or more of its affiliates, up to an aggregate of 5,000,000 shares of our common
+Added: stock, par value $0.001 per share (our “Common Stock”), from time to time during the term of the Subscription Agreement at
+Added: a purchase price of the five-day volume-weighted average price of the Common Stock at the time of the sale of such shares of Common Stock,
+Added: at an aggregate purchase price of up to $5,000,000.
+Added: On June 29, 2023, we issued and sold 312,525 shares of Common Stock at a price per
+Added: share equal to $3.6797 pursuant to the Subscription Agreement.
+Added: We received gross proceeds of $1.15 million from the draw down, before
+Added: On November 15, 2023, Rubric drew down an additional 877,192 shares of Common Stock at a price per share equal to $2.2761.
We received gross proceeds of $2.0 million from the drawdown, before expenses.
−Removed: In February 2024, the Company received Mayne Pharma’s
−Removed: calculation of allowance for payer rebates and wholesale distributor fees pursuant to the Transaction Agreement which differed
−Removed: significantly from the Company’s estimate of the allowances.
−Removed: The Company believes its estimated allowances for payer rebates
−Removed: and wholesale distributor fees are reasonable and intends to resolve this matter through the process outlined in the Transaction
−Removed: Given the recent receipt of Mayne Pharma’s allowance calculation and the nature of the estimates involved, the
−Removed: outcome of this matter is uncertain at this point.
−Removed: As a result, the Company cannot reasonably estimate a range of loss, and
−Removed: accordingly, the Company has not accrued any additional liability associated with Mayne Pharma’s allowance calculation for
−Removed: payer rebates and wholesale distributor fees.
−Removed: As of December 31, 2023, the Company believes no additional accrual
−Removed: is required for amounts that may be owed for the allowance for returns under the Transaction Agreement.
−Removed: The Company has not recorded any
−Removed: contingent gains or receivables for any such allowances.
−Removed: Management continues to monitor the unresolved and pending net working capital
−Removed: items as changes to estimated amounts owed or amounts due from Mayne Pharma may be material.
−Removed: If Mayne Pharma’s sales of Licensed
−Removed: Products grow more slowly than expected or decline, if the net working capital settlement with Mayne Pharma under the Transaction
−Removed: Agreement is greater than our current estimates, if we are unsuccessful with future financings or the supply chains related to the
−Removed: third-party contract manufacturers are worse than we anticipate, our existing cash reserves may be insufficient to satisfy our
−Removed: liquidity requirements.
−Removed: The potential impact of these factors in conjunction with the uncertainty of the capital markets raises
−Removed: substantial doubt about our ability to continue as a going concern for the next twelve months from the issuance of these financial
−Removed: The accompanying consolidated financial statements
−Removed: do not include any adjustments that might be necessary if we are unable to continue as a going concern.
−Removed: Portfolio of our royalty-bearing products
−Removed: On December 30, 2022, we changed our
−Removed: business to become a pharmaceutical royalty company, currently receiving royalties on products licensed to pharmaceutical
+Added: There were no draw downs in 2024.
+Added: 2024, the Company received Mayne Pharma’s calculation of the net working capital allowances for payer rebates and wholesale distributor
+Added: fees pursuant to the Transaction Agreement, which differed significantly from the Company’s estimate of the allowances.
+Added: continues to believe its estimated allowances for payer rebates and wholesale distributor fees are reasonable and intends to resolve
+Added: this matter through the processes permitted in the Transaction Agreement.
+Added: The outcome of this matter is uncertain at this point.
+Added: result, the Company cannot reasonably estimate a range of loss, and accordingly, the Company has not accrued any additional liability
+Added: associated with Mayne Pharma’s allowance calculation for payer rebates and wholesale distributor fees, particularly as the Company
+Added: believes the outcome of this matter to be intertwined with the resolution of the net working capital allowance for returns.
+Added: 2024, the Company received information from Mayne Pharma pertaining to the net working capital allowance for returns that differs significantly
+Added: from the Company’s estimate of the allowance.
+Added: As of December 31, 2024, the Company believed no additional accrual was required
+Added: for amounts that may be owed for the allowance for returns under the Transaction Agreement.
+Added: The Company has not recorded any contingent
+Added: gains or receivables for any such allowances.
+Added: Management continues to monitor the unresolved and pending net working capital items as
+Added: changes to estimated amounts owed or amounts due from Mayne Pharma may be material.
+Added: If Mayne Pharma’s sales of Licensed Products grow more slowly
+Added: than expected or decline, including as a result of Mayne Pharma Group’s pending sale to Cosette Pharmaceuticals, Inc.
+Added: if the net working capital settlement with Mayne Pharma under the Transaction Agreement is greater than our current estimates, if we are
+Added: unsuccessful with future financings or the supply chains related to the third-party contract manufacturers are worse than we anticipate,
+Added: our existing cash reserves may be insufficient to satisfy our liquidity requirements.
+Added: The potential impact of these factors in conjunction
+Added: with the uncertainty of the capital markets raises substantial doubt about our ability to continue as a going concern for the next twelve
+Added: months from the issuance of the financial statements included in this Annual Report on Form 10-K.
+Added: accompanying consolidated financial statements included in this Annual Report on Form 10-K do not include any adjustments that might
+Added: be necessary if we are unable to continue as a going concern.
+Added: of our royalty-bearing products
+Added: 30, 2022, we changed our business to become a pharmaceutical royalty company, currently receiving royalties on products licensed to pharmaceutical
organizations that possess commercial capabilities in the relevant territories.
−Removed: On December 30, 2022, we granted an exclusive
−Removed: license to commercialize IMVEXXY, BIJUVA, and prescription prenatal vitamin products sold under the BocaGreenMD and vitaMedMD brands
−Removed: and assigned our exclusive license to commercialize ANNOVERA to Mayne Pharma.
−Removed: IMVEXXY (estradiol vaginal inserts), 4-μg
−Removed: This pharmaceutical product is for the treatment
−Removed: of moderate-to-severe dyspareunia (vaginal pain associated with sexual activity), a symptom of vulvar and vaginal atrophy due to menopause.
−Removed: As part of the FDA’s approval of IMVEXXY, we committed to conduct a post-approval observational study to evaluate the risk of endometrial
−Removed: cancer in post-menopausal women with a uterus who use a low-dose vaginal estrogen unopposed by a progestogen.
−Removed: On December 30, 2022, we granted an exclusive
−Removed: license to commercialize IMVEXXY in the United States and its possessions and territories to Mayne Pharma.
−Removed: We also have entered into
−Removed: licensing agreements with third parties to market and sell IMVEXXY outside of the U.S.
−Removed: We entered into the Knight License Agreement,
−Removed: with Knight pursuant to which, we granted Knight an exclusive license to commercialize IMVEXXY in Canada and Israel.
+Added: On December 30, 2022, we granted an exclusive license
+Added: to commercialize IMVEXXY, BIJUVA, and prescription prenatal vitamin products sold under the BocaGreenMD and vitaMedMD brands and assigned
+Added: our exclusive license to commercialize ANNOVERA to Mayne Pharma.
+Added: (estradiol vaginal inserts), 4-μg and 10-μg
+Added: This pharmaceutical
+Added: product is for the treatment of moderate-to-severe dyspareunia (vaginal pain associated with sexual activity), a symptom of vulvar and
+Added: vaginal atrophy due to menopause.
+Added: As part of the FDA’s approval of IMVEXXY, we committed to conduct a post-approval observational
+Added: study to evaluate the risk of endometrial cancer in post-menopausal women with a uterus who use a low-dose vaginal estrogen unopposed
+Added: by a progestogen.
+Added: 30, 2022, we granted an exclusive license to commercialize IMVEXXY in the United States and its possessions and territories to Mayne
+Added: We also have entered into licensing agreements with third parties to market and sell IMVEXXY outside of the U.S.
We entered into
−Removed: the Theramex License Agreement with Theramex pursuant to which we granted Theramex an exclusive
−Removed: license to commercialize IMVEXXY for human use outside of the U.S., except for Canada and Israel.
−Removed: As of December 31, 2023, no IMVEXXY
−Removed: sales had been made through the Theramex and Knight licensing agreements.
−Removed: The FDA has also asked the sponsors of other
−Removed: vaginal estrogen products to participate in the observational study.
−Removed: In connection with the observational study, we would have been required
−Removed: to provide progress reports to the FDA on an annual basis.
−Removed: The obligation to conduct this study was transferred to Mayne Pharma as part
−Removed: of the Mayne License Agreement.
−Removed: BIJUVA (estradiol and progesterone) capsules,
−Removed: This pharmaceutical product is the first and
−Removed: only FDA approved bioidentical hormone therapy combination of estradiol and progesterone in a single, oral capsule for the treatment
−Removed: of moderate-to-severe vasomotor symptoms (commonly known as hot flashes or flushes) due to menopause in women with a uterus.
−Removed: On December 30, 2022, we granted an exclusive
−Removed: license to commercialize BIJUVA in the United States and its possessions and territories to Mayne Pharma.
−Removed: We also have entered into the
−Removed: Knight License Agreement with Knight pursuant to which we granted Knight an exclusive license to commercialize BIJUVA in Canada and Israel.
−Removed: We have entered into the Theramex License Agreement with Theramex pursuant to which we granted Theramex an exclusive license to commercialize
−Removed: BIJUVA for human use outside of the U.S., except for Canada and Israel.
−Removed: ANNOVERA (segesterone acetate (“SA”)
−Removed: and ethinyl estradiol (“EE”) vaginal system)
−Removed: On December 30, 2022, we assigned our exclusive
−Removed: license to commercialize ANNOVERA to Mayne Pharma.
−Removed: This pharmaceutical product is a one-year ring-shaped contraceptive vaginal system
−Removed: (“CVS”) and the first and only patient-controlled, procedure-free, reversible prescription contraceptive that can prevent
−Removed: pregnancy for up to a total of 13 cycles (one year).
−Removed: ANNOVERA is commercially sold in the U.S.
−Removed: pursuant to the terms of the Population
−Removed: Council License Agreement.
−Removed: As part of the approval of ANNOVERA, the FDA has required a post-approval observational study be performed
−Removed: to measure the risk of venous thromboembolism.
−Removed: We agreed to perform and pay the costs and expenses associated with this post-approval
−Removed: study, provided that if the costs and expenses associated with such post-approval study exceed $20.0 million, half of such excess will
−Removed: offset against royalties or other payments owed by us under the Population Council License Agreement.
−Removed: In August 2021, we filed a supplemental
−Removed: New Drug Application (“NDA”) with the FDA to modify the testing specifications for ANNOVERA to allow increased consistency
−Removed: of supply of ANNOVERA.
−Removed: In May 2022, the FDA approved the supplemental NDA for ANNOVERA.
−Removed: Our obligations to perform the post-approval
−Removed: study have been transferred to Mayne Pharma as part of the Mayne License Agreement.
−Removed: Prenatal vitamin products
−Removed: On December 30, 2022, we granted an exclusive
−Removed: license to commercialize, in the United States and its possessions and territories, our prescription prenatal vitamin product lines under
−Removed: our vitaMedMD brand name and authorized generic formulations of some of our prescription prenatal vitamin products under our BocaGreenMD
−Removed: prenatal name to Mayne Pharma.
−Removed: Sales concentration
−Removed: Our business model is dependent on third parties
−Removed: achieving specified milestones and product sales.
−Removed: For information on the concentration of licenses of our products, see “Note 10.
+Added: the Knight License Agreement, with Knight pursuant to which, we granted Knight an exclusive license to commercialize IMVEXXY in Canada
+Added: We entered into the Theramex License Agreement with Theramex pursuant to which we granted Theramex an exclusive license to
+Added: commercialize IMVEXXY for human use outside of the U.S., except for Canada and Israel.
+Added: In December 2024, we transferred the right to
+Added: commercialize IMVEXXY in Israel from Knight to Theramex.
+Added: also asked the sponsors of other vaginal estrogen products to participate in the observational study.
+Added: In connection with the observational
+Added: study, we would have been required to provide progress reports to the FDA on an annual basis.
+Added: The obligation to conduct this study was
+Added: transferred to Mayne Pharma as part of the Mayne License Agreement.
+Added: (estradiol and progesterone) capsules, 1 mg/100 mg
+Added: This pharmaceutical
+Added: product is the first and only FDA approved bioidentical hormone therapy combination of estradiol and progesterone in a single, oral capsule
+Added: for the treatment of moderate-to-severe vasomotor symptoms (commonly known as hot flashes or flushes) due to menopause in women with
+Added: 30, 2022, we granted an exclusive license to commercialize BIJUVA in the United States and its possessions and territories to Mayne Pharma.
+Added: We also have entered into the Knight License Agreement with Knight pursuant to which we granted Knight an exclusive license to commercialize
+Added: BIJUVA in Canada and Israel.
+Added: We have entered into the Theramex License Agreement with Theramex pursuant to which we granted Theramex
+Added: an exclusive license to commercialize BIJUVA for human use outside of the U.S., except for Canada and Israel.
+Added: In December 2024, we transferred
+Added: the right to commercialize BIJUVA in Israel from Knight to Theramex.
+Added: (segesterone acetate (“SA”) and ethinyl estradiol (“EE”) vaginal system)
+Added: This pharmaceutical
+Added: product is a one-year ring-shaped contraceptive vaginal system (“CVS”) and the first and only patient-controlled, procedure-free,
+Added: reversible prescription contraceptive that can prevent pregnancy for up to a total of 13 cycles (one year).
+Added: December 30, 2022, we assigned our exclusive license to commercialize ANNOVERA in the United States and its possessions and territories
+Added: to Mayne Pharma.
+Added: vitamin products
+Added: 30, 2022, we granted an exclusive license to commercialize, in the United States and its possessions and territories, our prescription
+Added: prenatal vitamin product lines under our vitaMedMD brand name and authorized generic formulations of some of our prescription prenatal
+Added: vitamin products under our BocaGreenMD prenatal name to Mayne Pharma.
+Added: concentration
+Added: model is dependent on third parties achieving specified milestones and product sales.
+Added: For information on the concentration of licenses
+Added: of our products, see “Note 9.
Revenue” to the consolidated financial statements included in this 2024 10-K Report.
−Removed: Currently, the Company collects license revenue
−Removed: from two licensees.
−Removed: The pharmaceutical markets in which we license
−Removed: our products are not subject to seasonal sales fluctuations.
−Removed: However, our license revenues for the first quarter of each year can be
−Removed: negatively affected by the annual reset of high-deductible commercial insurance plans.
−Removed: Manufacturing of our licensed products
−Removed: As of December 30, 2022, we were no longer responsible for any manufacturing
−Removed: and have no manufacturing contracts.
−Removed: All manufacturing responsibility of our licensed products has been transferred to our licensees.
−Removed: Research and development
−Removed: As of December 30, 2022, we no longer
−Removed: conduct any research and development activities.
−Removed: Historically, our product development programs were concentrated in advanced
−Removed: hormone therapy pharmaceutical products.
−Removed: Intellectual property
−Removed: Patents and trademarks
−Removed: Our success depends, in part, on our ability
−Removed: to obtain patents, maintain trade-secret protection, and operate without infringing the proprietary rights of others.
−Removed: Our intellectual
−Removed: property portfolio is one way we attempt to protect our competitive position.
−Removed: We rely primarily on a combination of know-how, trade secrets,
−Removed: patents, trademarks, and contractual restrictions to protect our products and to maintain our competitive position.
−Removed: We are diligently
−Removed: seeking ways to protect our intellectual property through various legal mechanisms in relevant jurisdictions.
−Removed: Where permitted, patents
−Removed: for our hormone therapy drug products have been submitted to the Orange Book.
−Removed: As of December 31, 2023, we have many domestic and foreign patents that cover our licensed products,
−Removed: including many for each of BIJUVA and IMVEXXY that are Orange Book listed for the licensed products.
−Removed: We hold multiple U.S.
−Removed: trademark registrations
−Removed: and have numerous pending trademark applications.
−Removed: Issuance of a federally registered trademark creates a rebuttable presumption of ownership
−Removed: however, it is subject to challenge by others claiming first use in the mark in some or all the areas in which it is used.
−Removed: Federally registered trademarks have a perpetual life so long as they are maintained and renewed on a timely basis and used properly
−Removed: as trademarks, subject to the rights of third parties to seek cancellation of the trademarks if they claim priority or confusion of usage.
−Removed: We believe our patents and trademarks are valuable and provide us certain benefits in marketing our products.
−Removed: We intend to actively protect our intellectual
−Removed: property with patents, trademarks, trade secrets, or other legal avenues for the protection of intellectual property and to aggressively
−Removed: prosecute, enforce, and defend our patents, trademarks, and proprietary technology, including those licensed by Mayne Pharma, Knight
−Removed: and Theramex with our licensees to the extent permitted under their respective license agreements.
−Removed: The loss, by expiration or otherwise,
−Removed: of any one patent may have a material effect on our business.
−Removed: Defense and enforcement of our intellectual property rights can be expensive
−Removed: and time consuming, even if the outcome is favorable to us.
−Removed: It is possible that the patents issued or licensed to us will be successfully
−Removed: challenged, that a court may find that we are infringing on validly issued patents of third parties, or that we may have to alter or
−Removed: discontinue the development of our products or pay licensing fees to account for patent rights of third parties.
−Removed: See “– Pharmaceutical
−Removed: Regulation – Regulatory Exclusivity” below for information regarding our intellectual property and challenges to that intellectual
−Removed: While we seek broad coverage under our patent
−Removed: applications, there is always a risk that an alteration to the process may provide sufficient basis for a competitor to avoid infringement
−Removed: In addition, patents expire, and we cannot provide any assurance that any patents will be issued from our pending application
−Removed: or that any potentially issued patents will adequately protect our intellectual property.
−Removed: Mayne Pharma licensed US patents and trademarks
−Removed: for our commercial products.
−Removed: Under the terms of the Mayne License Agreement, Mayne Pharma exclusively took over prosecution of our US
−Removed: patent and trademark portfolio and enforcement of our licensed patents and trademarks.
−Removed: Government regulation
−Removed: In the U.S., the FDA regulates pharmaceuticals,
−Removed: biologics, medical devices, dietary supplements, and cosmetics under the Federal Food, Drug, and Cosmetic Act (“FDCA”) and
−Removed: its implementing regulations.
−Removed: These products are also subject to other federal, state, and local statutes and regulations, including
−Removed: federal and state consumer protection laws, laws regarding pricing transparency, laws requiring the implementation of compliance programs,
−Removed: laws requiring the reporting of payments or other transfers of value to HCPs or other healthcare professionals, laws governing the financial
−Removed: relationships between manufacturers and HCPs or other referral sources and industry stakeholders, laws protecting the privacy of health-related
−Removed: information, laws restricting items and services of value provided to patients, and laws prohibiting unfair and deceptive acts and trade
+Added: the Company collects license revenue from two licensees.
+Added: The pharmaceutical
+Added: markets in which we license our products are not subject to seasonal sales fluctuations.
+Added: However, our license revenues for the first
+Added: quarter of each year can be negatively affected by the annual reset of high-deductible commercial insurance plans.
+Added: Manufacturing
+Added: of our licensed products
+Added: As of December
+Added: 30, 2022, we were no longer responsible for any manufacturing and have no manufacturing contracts.
+Added: All manufacturing responsibility of
+Added: our licensed and assigned products has been transferred to our licensees.
+Added: and development
+Added: As of December
+Added: 30, 2022, we no longer conduct any research and development activities.
+Added: Historically, our product development programs were concentrated
+Added: in advanced hormone therapy pharmaceutical products.
+Added: and trademarks
+Added: depends, in part, on our ability to obtain patents, maintain trade-secret protection, and operate without infringing the proprietary
+Added: rights of others.
+Added: Our intellectual property portfolio is one way we attempt to protect our competitive position.
+Added: We rely primarily on
+Added: a combination of know-how, trade secrets, patents, trademarks, and contractual restrictions to protect our products and to maintain our
+Added: competitive position.
+Added: We are diligently seeking ways to protect our intellectual property through various legal mechanisms in relevant
+Added: jurisdictions.
+Added: Where permitted, patents for our hormone therapy drug products have been submitted to the Orange Book.
+Added: As of December
+Added: 31, 2024, we have many domestic and foreign patents that cover our licensed products, including many for each of BIJUVA and IMVEXXY that
+Added: are Orange Book listed for the licensed products.
+Added: We hold multiple
+Added: trademark registrations and have numerous pending trademark applications.
+Added: Issuance of a federally registered trademark creates a
+Added: rebuttable presumption of ownership of the mark;
+Added: however, it is subject to challenge by others claiming first use in the mark in some
+Added: or all the areas in which it is used.
+Added: Federally registered trademarks have a perpetual life so long as they are maintained and renewed
+Added: on a timely basis and used properly as trademarks, subject to the rights of third parties to seek cancellation of the trademarks if they
+Added: claim priority or confusion of usage.
+Added: We believe our patents and trademarks are valuable and provide us certain benefits in marketing
+Added: our products.
+Added: to actively protect our intellectual property with patents, trademarks, trade secrets, or other legal avenues for the protection of intellectual
+Added: property and to aggressively prosecute, enforce, and defend our patents, trademarks, and proprietary technology, including those licensed
+Added: by Mayne Pharma, Knight and Theramex, with our licensees to the extent permitted under their respective license agreements.
+Added: by expiration or otherwise, of any one patent may have a material effect on our business.
+Added: Defense and enforcement of our intellectual
+Added: property rights can be expensive and time consuming, even if the outcome is favorable to us.
+Added: It is possible that the patents issued or
+Added: licensed to us will be successfully challenged, that a court may find that we are infringing on validly issued patents of third parties,
+Added: or that we may have to alter or discontinue the development of our products or pay licensing fees to account for patent rights of third
+Added: See “– Pharmaceutical Regulation – Regulatory Exclusivity” below for information regarding our intellectual
+Added: property and challenges to that intellectual property.
+Added: seek broad coverage under our patent applications, there is always a risk that an alteration to the process may provide sufficient basis
+Added: for a competitor to avoid infringement claims.
+Added: In addition, patents expire, and we cannot provide any assurance that any patents will
+Added: be issued from our pending application or that any potentially issued patents will adequately protect our intellectual property.
+Added: licensed US patents and trademarks for our commercial products.
+Added: Under the terms of the Mayne License Agreement, Mayne Pharma exclusively
+Added: took over prosecution of our US patent and trademark portfolio and enforcement of our licensed patents and trademarks.
+Added: the FDA regulates pharmaceuticals, biologics, medical devices, dietary supplements, and cosmetics under the Federal Food, Drug, and Cosmetic
+Added: Act (“FDCA”) and its implementing regulations.
+Added: These products are also subject to other federal, state, and local statutes
+Added: and regulations, including federal and state consumer protection laws, laws regarding pricing transparency, laws requiring the implementation
+Added: of compliance programs, laws requiring the reporting of payments or other transfers of value to HCPs or other healthcare professionals,
+Added: laws governing the financial relationships between manufacturers and HCPs or other referral sources and industry stakeholders, laws protecting
+Added: the privacy of health-related information, laws restricting items and services of value provided to patients, and laws prohibiting unfair
+Added: and deceptive acts and trade practices.
See also Item 1A.
−Removed: Risk Factors – “Risks related to our business” for a discussion, among other things, of
−Removed: the extensive and costly governmental regulation we are subject to.
−Removed: Pharmaceutical regulation
−Removed: The process required by the FDA before a new
−Removed: drug product may be marketed in the U.S.
+Added: Risk Factors – “Risks related to our business” for a discussion,
+Added: among other things, of the extensive and costly governmental regulation we are subject to.
+Added: Pharmaceutical
+Added: required by the FDA before a new drug product may be marketed in the U.S.
generally involves the following:
−Removed: ● completion of or reference to extensive preclinical laboratory
−Removed: tests and preclinical animal studies, all performed in accordance with the FDA’s Good
−Removed: Laboratory Practice, or GLP, regulations;
−Removed: ● submission to the FDA of an investigational new drug (“IND”)
−Removed: application under which the holder may begin conducting human clinical trials, provided that
−Removed: the FDA does not object;
+Added: completion of or reference to extensive preclinical
+Added: laboratory tests and preclinical animal studies, all performed in accordance with the FDA’s Good Laboratory Practice, or GLP,
+Added: submission to the FDA of an investigational new drug
+Added: (“IND”) application under which the holder may begin conducting human clinical trials, provided that the FDA does not
the IND must be updated annually;
−Removed: ● performance of adequate and well-controlled human clinical trials
−Removed: to establish the safety and efficacy of the drug candidate for each proposed indication;
−Removed: ● submission to the FDA of an NDA after completion of all pivotal
−Removed: clinical trials.
−Removed: An IND application is a request for authorization
−Removed: from the FDA to administer an investigational drug product to humans.
−Removed: Post-Approval Regulation
−Removed: Mayne Pharma is required to comply with several
−Removed: post-approval requirements for our currently approved drug products.
−Removed: We no longer have responsibility for any post-approval requirements.
−Removed: As the holder of an approved NDA, Mayne Pharma is required to report, among other things, certain adverse reactions and production problems
−Removed: to the FDA, to provide updated safety and efficacy information, to adhere to product sampling and distribution requirements, fulfill
−Removed: post-marketing study commitments, and to comply with requirements concerning advertising and promotional labeling for any of our drug
−Removed: products, which include, among other things, standards for direct-to-consumer advertising, restrictions that prohibit promoting products
−Removed: for certain uses or in patient populations that are not described in the product’s approved indications or that are not otherwise
−Removed: consistent with the approved, FDA-required label (known as “off-label use”), limitations on industry-sponsored scientific
−Removed: and educational activities, and requirements for promotional activities involving the internet.
−Removed: Although physicians may prescribe legally
−Removed: available products for off-label use if they deem such use to be appropriate in their professional medical judgment, manufacturers may
−Removed: not market or promote such off-label uses.
−Removed: Also, quality control and manufacturing procedures
−Removed: must continue to conform to cGMPs to ensure and preserve the long-term stability of the drug product.
−Removed: cGMP regulations require among
−Removed: other things, quality control and quality assurance as well as the corresponding maintenance of records and documentation and the obligation
−Removed: to investigate and correct any deviations from cGMP.
−Removed: Manufacturers and other entities involved in the manufacture and distribution of
−Removed: approved products are, depending on the nature and scope of their activities, subject to FDA and certain state agency requirements relating
−Removed: to establishing and maintaining product quality.
−Removed: Changes to the manufacturing process are strictly regulated, and, depending on the significance
−Removed: of the change, may require prior FDA approval before being implemented.
−Removed: FDA regulations also require investigation and correction of
−Removed: any deviations from cGMP and impose reporting and documentation requirements upon us and any third-party manufacturers that we may decide
−Removed: Accordingly, manufacturers must continue to expend time, money and effort in production and quality control to maintain compliance
−Removed: with cGMP and other aspects of regulatory compliance.
−Removed: The FDA periodically inspects manufacturing facilities to assess compliance
−Removed: with cGMP, which imposes extensive procedural, substantive, and record keeping requirements.
−Removed: For example, Catalent, the CMO that contracted
−Removed: for the commercial supply of the BIJUVA and IMVEXXY hormone therapy drug products, was issued a Form FDA 483 in 2019 with respect to its
−Removed: soft gel manufacturing plant.
−Removed: The observations and associated corrective actions related to the BIJUVA product were identified in Catalent’s
−Removed: response to the Form FDA 483.
−Removed: The current inspection classification status of that Form FDA 483 is that the response was adequate and
−Removed: Voluntary Action Indicated.
−Removed: Voluntary Action Indicated status indicates that objectionable conditions or practices were found but the
−Removed: FDA is not prepared to take or recommend any administrative or regulatory action.
−Removed: Our licensees rely, and expect to continue to
−Removed: rely, on third parties to produce commercial quantities of our licensed drugs.
−Removed: Future FDA and state inspections may identify compliance
−Removed: issues at the facilities of the manufacturers of our licensed products that may disrupt production or distribution or require substantial
−Removed: resources to correct.
−Removed: In addition, discovery of previously unknown problems (for example, through adverse events observed in the post-marketing
−Removed: context, or in Phase 4/post-marketing studies) with a product or the failure to comply with applicable requirements may result in restrictions
−Removed: on a product, manufacturer, or holder of an approved NDA, including withdrawal or recall of the product from the market or other voluntary,
−Removed: FDA-initiated or judicial action that could delay or prohibit further marketing.
−Removed: Newly discovered or developed safety or effectiveness
−Removed: data may require changes to a product’s approved labeling, including the addition of new warnings and contraindications, and may
−Removed: require the implementation of other risk management measures.
−Removed: Also, new government requirements, including those resulting from new legislation,
−Removed: may be established, or the FDA’s policies may change, which could delay or prevent regulatory approval of our products.
−Removed: Regulatory exclusivity
−Removed: There are two types of NDAs available under
−Removed: Section 505(b) of the FDCA.
−Removed: Section 505(b)(1) of the FDCA provides a marketing approval pathway that is known as the “traditional”
−Removed: or “full” NDA process.
−Removed: Sponsors use 505(b)(1) applications to obtain marketing approval of a new drug with active ingredients
−Removed: that have not previously been approved by FDA.
−Removed: The data package necessary for approval of this new drug requires demonstration of safety
−Removed: and efficacy based on adequate and well controlled human clinical trials conducted by or for the sponsor, without allowance for reference
−Removed: to third party data.
−Removed: In contrast, Section 505(b)(2) of the FDCA provides an alternative NDA process for approving a new drug that contains
−Removed: the same active ingredient as a previously approved product but allows sponsors to rely on clinical trials not conducted by or for the
−Removed: sponsor, as well as other clinical data or literature produced by other parties.
−Removed: In addition, Section 505(j) of the FDCA provides for
−Removed: a significantly shortened regulatory pathway for approval of a “generic” version of a new drug, by way of an Abbreviated
−Removed: New Drug Application or ANDA.
−Removed: Rather than demonstrating safety and effectiveness as required for an NDA, the ANDA requires proof that
−Removed: the generic drug is the “same” as or “bioequivalent” to the new drug under the standard of “bioequivalence,”
−Removed: often using pharmacokinetic, pharmacodynamic, and/or in vitro studies.
−Removed: A Section 505(b) NDA applicant may be eligible
−Removed: for its own regulatory exclusivity period, such as a five-year or three-year exclusivity.
−Removed: The first approved Section 505(b) NDA applicant
−Removed: for a drug containing an active ingredient that has not previously been approved in any other 505(b) NDA (a “new chemical entity,”
−Removed: or NCE), is eligible for a five-year NCE exclusivity period starting on the date of the NDA approval.
−Removed: An Abbreviated
−Removed: New Drug Application (“ANDA”) or 505(b)(2) application for a drug containing the protected active ingredient of the NCE product
−Removed: generally cannot be submitted to FDA until the end of the five-year exclusivity period, except that such applications can be submitted
−Removed: at year four if the product is covered by an Orange Book listed patent and the ANDA or 505(b)(2) NDA includes a Paragraph IV Certification
−Removed: challenging such patent.
+Added: performance of adequate and well-controlled human clinical
+Added: trials to establish the safety and efficacy of the drug candidate for each proposed indication;
+Added: submission to the FDA of a new drug application (“NDA”)
+Added: after completion of all pivotal clinical trials.
+Added: An IND application
+Added: is a request for authorization from the FDA to administer an investigational drug product to humans.
+Added: Post-Approval
+Added: is required to comply with several post-approval requirements for our currently approved drug products.
+Added: We no longer have responsibility
+Added: for any post-approval requirements.
+Added: As the holder of an approved NDA, Mayne Pharma is required to report, among other things, certain
+Added: adverse reactions and production problems to the FDA, to provide updated safety and efficacy information, to adhere to product sampling
+Added: and distribution requirements, fulfill post-marketing study commitments, and to comply with requirements concerning advertising and promotional
+Added: labeling for any of our drug products, which include, among other things, standards for direct-to-consumer advertising, restrictions
+Added: that prohibit promoting products for certain uses or in patient populations that are not described in the product’s approved indications
+Added: or that are not otherwise consistent with the approved, FDA-required label (known as “off-label use”), limitations on industry-sponsored
+Added: scientific and educational activities, and requirements for promotional activities involving the internet.
+Added: Although physicians may prescribe
+Added: legally available products for off-label use if they deem such use to be appropriate in their professional medical judgment, manufacturers
+Added: may not market or promote such off-label uses.
+Added: Also, quality
+Added: control and manufacturing procedures must continue to conform to cGMPs to ensure and preserve the long-term stability of the drug product.
+Added: cGMP regulations require among other things, quality control and quality assurance as well as the corresponding maintenance of records
+Added: and documentation and the obligation to investigate and correct any deviations from cGMP.
+Added: Manufacturers and other entities involved in
+Added: the manufacture and distribution of approved products are, depending on the nature and scope of their activities, subject to FDA and
+Added: certain state agency requirements relating to establishing and maintaining product quality.
+Added: Changes to the manufacturing process are
+Added: strictly regulated, and, depending on the significance of the change, may require prior FDA approval before being implemented.
+Added: FDA regulations
+Added: also require investigation and correction of any deviations from cGMP and impose reporting and documentation requirements upon us and
+Added: any third-party manufacturers that we may decide to use.
+Added: Accordingly, manufacturers must continue to expend time, money and effort in
+Added: production and quality control to maintain compliance with cGMP and other aspects of regulatory compliance.
+Added: Our licensees
+Added: rely, and expect to continue to rely, on third parties to produce commercial quantities of our licensed drugs.
+Added: Future FDA and state inspections
+Added: may identify compliance issues at the facilities of the manufacturers of our licensed products that may disrupt production or distribution
+Added: or require substantial resources to correct.
+Added: In addition, discovery of previously unknown problems (for example, through adverse events
+Added: observed in the post-marketing context, or in Phase 4/post-marketing studies) with a product or the failure to comply with applicable
+Added: requirements may result in restrictions on a product, manufacturer, or holder of an approved NDA, including withdrawal or recall of the
+Added: product from the market or other voluntary, FDA-initiated or judicial action that could delay or prohibit further marketing.
+Added: Newly discovered
+Added: or developed safety or effectiveness data may require changes to a product’s approved labeling, including the addition of new warnings
+Added: and contraindications, and may require the implementation of other risk management measures.
+Added: Also, new government requirements, including
+Added: those resulting from new legislation, may be established, or the FDA’s policies may change, which could delay or prevent regulatory
+Added: approval of our products.
+Added: two types of NDAs available under Section 505(b) of the FDCA.
+Added: Section 505(b)(1) of the FDCA provides a marketing approval pathway that
+Added: is known as the “traditional” or “full” NDA process.
+Added: Sponsors use 505(b)(1) applications to obtain marketing
+Added: approval of a new drug with active ingredients that have not previously been approved by FDA.
+Added: The data package necessary for approval
+Added: of this new drug requires demonstration of safety and efficacy based on adequate and well controlled human clinical trials conducted
+Added: by or for the sponsor, without allowance for reference to third party data.
+Added: In contrast, Section 505(b)(2) of the FDCA provides an alternative
+Added: NDA process for approving a new drug that contains the same active ingredient as a previously approved product but allows sponsors to
+Added: rely on clinical trials not conducted by or for the sponsor, as well as other clinical data or literature produced by other parties.
+Added: In addition, Section 505(j) of the FDCA provides for a significantly shortened regulatory pathway for approval of a “generic”
+Added: version of a new drug, by way of an Abbreviated New Drug Application (“ANDA”).
+Added: Rather than demonstrating safety and effectiveness as required
+Added: for an NDA, the ANDA requires proof that the generic drug is the “same” as or “bioequivalent” to the new drug
+Added: under the standard of “bioequivalence,” often using pharmacokinetic, pharmacodynamic, and/or in vitro studies.
+Added: 505(b) NDA applicant may be eligible for its own regulatory exclusivity period, such as a five-year or three-year exclusivity.
+Added: approved Section 505(b) NDA applicant for a drug containing an active ingredient that has not previously been approved in any other 505(b)
+Added: NDA (a “new chemical entity,” or NCE), is eligible for a five-year NCE exclusivity period starting on the date of the NDA
+Added: An ANDA or 505(b)(2) application for a drug containing the protected active
+Added: ingredient of the NCE product generally cannot be submitted to FDA until the end of the five-year exclusivity period, except that such
+Added: applications can be submitted at year four if the product is covered by an Orange Book listed patent and the ANDA or 505(b)(2) NDA includes
+Added: a Paragraph IV Certification challenging such patent.
Additional exclusivities may also apply.
−Removed: The first approved Section 505(b) NDA applicant
−Removed: for a particular condition, or a supplemental NDA approval for a change to a marketed product, such as a new extended-release formulation
−Removed: for a previously approved product, may be eligible for a three-year Hatch-Waxman exclusivity if one or more new clinical studies, other
−Removed: than bioavailability or bioequivalence studies, was essential to the approval of the application and was conducted or sponsored by the
−Removed: Should this occur, the FDA would be precluded from granting final approval to any ANDA or 505(b)(2) application for the same
−Removed: condition of use or change to the marketed product that was granted exclusivity until after that three-year exclusivity period has run.
−Removed: Additionally, any ANDA or 505(b)(2) NDA that
−Removed: references the 505(b) product must include one of several types of patent certifications.
−Removed: If the Section 505(b) NDA drug has one or more
−Removed: unexpired patents listed in the Orange Book, an ANDA or 505(b)(2) NDA must include either a “Paragraph III Certification”
−Removed: or a “Paragraph IV Certification.” A Paragraph III Certification identifies the expiration date of the listed patent and
−Removed: requires FDA to withhold final approval until that patent has expired.
−Removed: A “Paragraph IV Certification” states that, in the
−Removed: applicant’s opinion, the relevant patent is invalid, unenforceable, or would not be infringed by the commercial marketing of the
−Removed: proposed ANDA or 505(b)(2) NDA product.
−Removed: The sponsor of a Paragraph IV ANDA or 505(b)(2) NDA must also provide the holder of the marketed
−Removed: product NDA, and the owner of the challenged patent, with notification of the Paragraph IV filing along with a detailed statement of
−Removed: the reasons the applicant believes the patent is invalid, unenforceable, or would not be infringed.
−Removed: If the patent owner brings an infringement
−Removed: action against the Paragraph IV applicant within 45 days of the notification, a statutory stay is imposed which prevents FDA from granting
−Removed: final approval of the Paragraph IV application for 30 months from the date of the Paragraph IV Notification.
−Removed: Generally, no more than
−Removed: one 30-month stay may be applied against any specific Paragraph IV ANDA or 505(b)(2) NDA.
−Removed: A 30-month stay can be terminated early, and
−Removed: the Paragraph IV application can be immediately approved, if the district court rules in favor of the Paragraph IV applicant that the
−Removed: patent is invalid, unenforceable, or would not be infringed.
+Added: approved Section 505(b) NDA applicant for a particular condition, or a supplemental NDA approval for a change to a marketed product,
+Added: such as a new extended-release formulation for a previously approved product, may be eligible for a three-year Hatch-Waxman exclusivity
+Added: if one or more new clinical studies, other than bioavailability or bioequivalence studies, was essential to the approval of the application
+Added: and was conducted or sponsored by the applicant.
+Added: Should this occur, the FDA would be precluded from granting final approval to any ANDA
+Added: or 505(b)(2) application for the same condition of use or change to the marketed product that was granted exclusivity until after that
+Added: three-year exclusivity period has run.
+Added: Additionally,
+Added: any ANDA or 505(b)(2) NDA that references the 505(b) product must include one of several types of patent certifications.
+Added: If the Section
+Added: 505(b) NDA drug has one or more unexpired patents listed in the Orange Book, an ANDA or 505(b)(2) NDA must include either a “Paragraph
+Added: III Certification” or a “Paragraph IV Certification.” A Paragraph III Certification identifies the expiration date
+Added: of the listed patent and requires FDA to withhold final approval until that patent has expired.
+Added: A “Paragraph IV Certification”
+Added: states that, in the applicant’s opinion, the relevant patent is invalid, unenforceable, or would not be infringed by the commercial
+Added: marketing of the proposed ANDA or 505(b)(2) NDA product.
+Added: The sponsor of a Paragraph IV ANDA or 505(b)(2) NDA must also provide the holder
+Added: of the marketed product NDA, and the owner of the challenged patent, with notification of the Paragraph IV filing along with a detailed
+Added: statement of the reasons the applicant believes the patent is invalid, unenforceable, or would not be infringed.
+Added: If the patent owner
+Added: brings an infringement action against the Paragraph IV applicant within 45 days of the notification, a statutory stay is imposed which
+Added: prevents FDA from granting final approval of the Paragraph IV application for 30 months from the date of the Paragraph IV Notification.
+Added: Generally, no more than one 30-month stay may be applied against any specific Paragraph IV ANDA or 505(b)(2) NDA.
+Added: A 30-month stay can
+Added: be terminated early, and the Paragraph IV application can be immediately approved, if the district court rules in favor of the Paragraph
+Added: IV applicant that the patent is invalid, unenforceable, or would not be infringed.
In February 2020, we received a Paragraph IV certification notice letter
1 unchanged sentence
“Legal Proceedings” in Item 3 of this 2024 10-K Report for additional information.
−Removed: In March 2020, we received a Paragraph IV certification
−Removed: notice letter (the “BIJUVA Notice Letter”) regarding an ANDA submitted to FDA by Amneal Pharmaceuticals (“Amneal”).
−Removed: In April 2020, we filed a complaint for patent infringement against Amneal in the U.S.
−Removed: District Court for the District of New Jersey
−Removed: arising from Amneal’s ANDA filing with FDA.
−Removed: In December 2021, we entered into a settlement agreement (the “Settlement Agreement”)
−Removed: with Amneal Pharmaceuticals, Inc., Amneal Pharmaceuticals, LLC and Amneal Pharmaceuticals of New York LLC (collectively “Amneal”)
−Removed: to resolve the litigation over our patents listed in FDA’s Orange Book that claim compositions and methods of BIJUVA (the “BIJUVA
−Removed: Under the terms of the Settlement Agreement, the Company granted Amneal a non-exclusive, non-transferable, royalty-free
−Removed: license to commercialize Amneal’s generic formulation of BIJUVA in the U.S.
−Removed: commencing in May 2032 (180 days before the current
−Removed: expiration date in November 2032 for the last to expire of our BIJUVA Patents), or earlier under certain circumstances customary for
−Removed: settlement agreements of this nature.
−Removed: healthcare laws and compliance
−Removed: Certain federal and state healthcare laws and
−Removed: regulations pertaining to fraud and abuse and patients’ rights, among other topics, are and will be applicable to our business.
−Removed: Our licensees and the licensed products are subject to regulation by both the federal government and the states in which we or our partners
−Removed: conduct our business.
−Removed: The healthcare laws and regulations that may affect our licensees’ ability to operate and our ability to
−Removed: receive licensing revenues include:
−Removed: ● the federal Anti-Kickback Statute, which prohibits, among other
−Removed: things, any person or entity from knowingly and willfully offering, soliciting, receiving
−Removed: or providing any remuneration (including any kickback, bribe or rebate), directly or indirectly,
−Removed: overtly or covertly, in cash or in kind, to induce either the referral of an individual or
−Removed: in return for the purchase, lease, or order of, or the arranging for, any good, facility
−Removed: item or service, for which payment may be made, in whole or in part, under federal healthcare
−Removed: programs such as the Medicare and Medicaid programs;
−Removed: ● federal civil and criminal false claims laws and civil monetary
−Removed: penalty laws, including, for example, the federal civil False Claims Act, which impose criminal
−Removed: and civil penalties, including civil whistleblower or qui tam actions, against individuals
−Removed: or entities for, among other things, knowingly presenting, or causing to be presented, to
−Removed: the federal government, including the Medicare and Medicaid programs, claims for payment
−Removed: that are false or fraudulent or making a false statement to avoid, decrease or conceal an
−Removed: obligation to pay money to the federal government;
−Removed: ● the federal Health Insurance Portability and Accountability Act
−Removed: of 1996 (“HIPAA”), which created additional federal criminal statutes that prohibit
−Removed: knowingly and willfully executing, or attempting to execute, a scheme to defraud any healthcare
−Removed: benefit program or obtain, by means of false or fraudulent pretenses, representations or
−Removed: promises, any of the money or property owned by, or under the custody or control of, any
−Removed: healthcare benefit program, regardless of the payer (e.g., public or private), knowingly
−Removed: and willfully embezzling or stealing from a healthcare benefit program, willfully obstructing
−Removed: a criminal investigation of a healthcare offense and knowingly and willfully falsifying,
−Removed: concealing or covering up by any trick or device a material fact or making any materially
−Removed: false statements in connection with the delivery of, or payment for, healthcare benefits,
−Removed: items or services relating to healthcare matters;
−Removed: ● HIPAA, as amended by the Health Information Technology for Economic
−Removed: and Clinical Health Act, and their implementing regulations, which impose obligations on
−Removed: covered entities, including certain healthcare providers, health plans, and healthcare clearinghouses,
−Removed: as well as their respective business associates that create, receive, maintain or transmit
−Removed: individually identifiable health information for or on behalf of a covered entity, with respect
−Removed: to safeguarding the privacy, security and transmission of individually identifiable health
−Removed: ● the federal physician sunshine requirements under the ACA, which
−Removed: require certain manufacturers of drugs, devices, biologics and medical supplies for which
−Removed: payment is available under Medicare or Medicaid to report annually to the Centers for Medicare
−Removed: & Medicaid Services information related to payments and other transfers of value provided
−Removed: to physicians and teaching hospitals, and ownership and investment interests held by physicians
−Removed: and their immediate family members.
−Removed: In 2022, the Sunshine Act has been extended to payments
−Removed: and transfers of value to physician assistants, nurse practitioners, and other mid-level
−Removed: practitioners (with reporting requirements going into effect in 2022 for payments made in
−Removed: In addition, Section 6004 of the ACA requires annual reporting of information about
−Removed: drug samples that manufacturers and authorized distributors provide to healthcare providers;
−Removed: ● federal and state laws requiring pricing transparency or limiting
−Removed: price increases, which are in existence today or are anticipated to be in existence in the
−Removed: near future, may limit the ability to raise prices, require disclosure of price increases
−Removed: or require disclosure of the wholesale acquisition cost of pharmaceutical products to governmental
−Removed: agencies and consumers;
−Removed: ● state law equivalents of each of the above federal laws, such
−Removed: as anti-kickback and false claims laws, which may apply to items or services reimbursed by
−Removed: any third-party payer, including commercial insurers or even self-pay;
−Removed: state laws that require
−Removed: pharmaceutical companies to comply with the pharmaceutical industry’s voluntary compliance
−Removed: guidelines and the applicable compliance guidance promulgated by the federal government,
−Removed: or otherwise restrict payments that may be provided to healthcare providers and other potential
−Removed: referral sources;
−Removed: state laws that require drug manufacturers to report information related
−Removed: to payments and other transfers of value to healthcare providers or marketing expenditures;
−Removed: state laws requiring a license, registration or permit to engage in manufacturing and distribution
−Removed: of prescription products or to engage in the practice of pharmacy;
−Removed: and state laws governing
−Removed: the privacy and security of health information in certain circumstances, many of which differ
−Removed: from each other in significant ways and may not have the same effect, thus complicating compliance
−Removed: Pharmaceutical company interactions with HCPs,
−Removed: patient advocacy groups, and patients, including with respect to product and patient assistance programs and other education and support
−Removed: initiatives, have been and continue to be, the subject of regulatory scrutiny for compliance with fraud and abuse laws.
−Removed: Because of the breadth of these laws and the
−Removed: narrowness of the statutory exceptions and safe harbors available, it is possible that some of the business activities of the entities
−Removed: with whom we do business could be subject to challenge under one or more of such laws.
−Removed: Efforts to ensure that our business arrangements
−Removed: with third parties comply with applicable healthcare laws and regulations could be costly.
−Removed: If our past operations, including activities
−Removed: conducted by our sales team or agents, are found to be in violation of any of these laws or any other governmental regulations that may
−Removed: apply to us, we may be subject to significant civil, criminal, and administrative penalties, damages, fines, exclusion from third-party
−Removed: payer programs, such as Medicare and Medicaid, and the curtailment or restructuring of our operations.
−Removed: If any of the HCPs, providers,
−Removed: or entities with whom we do business are found to not be in compliance with applicable laws, they may be subject to criminal, civil,
−Removed: or administrative sanctions, including exclusion from government funded healthcare programs.
−Removed: Many aspects of these laws have not been definitively
−Removed: interpreted by the regulatory authorities or the courts, and their provisions are open to a variety of subjective interpretations that
−Removed: increases the risk of potential violations.
−Removed: In addition, these laws and their interpretations are subject to change.
−Removed: Any action against
−Removed: us for violation of these laws, even if we successfully defend against it, could cause us to incur significant legal expenses, divert
−Removed: our management’s attention from the operation of our business, and damage our reputation.
−Removed: In addition to the fraud and abuse laws, we
−Removed: continue to monitor the potential impact of proposals to lower prescription drug costs at the federal and state level.
−Removed: For example, in
−Removed: November 2021, the Biden Administration announced several prescription drug pricing proposals as part of the Build Back Better legislation.
−Removed: In particular, the plan would allow for Medicare to negotiate prices for high-cost prescription drugs, including for both Part D and
−Removed: Part B drugs, after the drugs have been on the market for a fixed number of years:
−Removed: 9 years for small molecule drugs and 12 years for
−Removed: Medicare will negotiate up to 10 drugs per year during 2023, with the negotiated prices taking effect in 2025, increasing
−Removed: up to 20 drugs per year.
−Removed: Further, the plan imposes a tax penalty if drug manufacturers increase their prices faster than inflation.
−Removed: the plan places a $2,000 per year cap on out-of-pocket drug costs under Medicare Part D.
−Removed: At the state level, legislatures have increasingly
−Removed: passed legislation and implemented regulations designed to control pharmaceutical pricing, including price or patient reimbursement constraints,
−Removed: discounts, restrictions on certain product access and marketing cost disclosure and transparency measures, and, in some cases, designed
−Removed: to encourage importation from other countries and bulk purchasing.
−Removed: We are unable to predict the future course of federal or state healthcare
−Removed: legislation in the U.S.
−Removed: directed at broadening the availability of healthcare and containing or lowering the cost of healthcare.
−Removed: In addition, from time to time in the future,
−Removed: our licensees and the licensed products may become subject to additional laws or regulations administered by the FDA, the FTC, U.S.
−Removed: of Health and Human Services (“HHS”), or by other federal, state, local, or foreign regulatory authorities, or the repeal
−Removed: of laws or regulations that we generally consider favorable, such as DSHEA, or to more stringent interpretations of current laws or regulations.
−Removed: We are not able to predict the nature of such future laws, regulations, repeals, or interpretations, and we cannot predict what effect
−Removed: additional governmental regulation, if and when it occurs, would have on our business in the future.
−Removed: Such developments could, however,
−Removed: require reformulation of certain products to meet new standards, recalls or discontinuance of certain products not able to be reformulated,
−Removed: additional record-keeping requirements, increased documentation of the properties of certain products, additional or different labeling,
−Removed: additional scientific substantiation, additional personnel, or other new requirements.
−Removed: Any such developments could have a material adverse
−Removed: effect on our business.
−Removed: Available information
−Removed: We are a Nevada corporation, and we maintain
−Removed: our principal executive offices at 951 Yamato Road, Suite 220, Boca Raton, Florida 33431.
−Removed: Our telephone number is (561) 961-1900.
−Removed: maintain a corporate website at www.therapeuticsmd.com.
−Removed: The information contained on our website or that can be accessed through our
−Removed: website is not incorporated by reference into this 2023 10-K Report or in any other report or document we file with the SEC.
+Added: 2020, we received a Paragraph IV certification notice letter (the “BIJUVA Notice Letter”) regarding an ANDA submitted to
+Added: FDA by Amneal Pharmaceuticals (“Amneal”).
+Added: In April 2020, we filed a complaint for patent infringement against Amneal in the
+Added: District Court for the District of New Jersey arising from Amneal’s ANDA filing with FDA.
+Added: In December 2021, we entered into
+Added: a settlement agreement (the “Settlement Agreement”) with Amneal Pharmaceuticals, Inc., Amneal Pharmaceuticals, LLC and Amneal
+Added: Pharmaceuticals of New York LLC (collectively “Amneal”) to resolve the litigation over our patents listed in FDA’s
+Added: Orange Book that claim compositions and methods of BIJUVA (the “BIJUVA Patents”).
+Added: Under the terms of the Settlement Agreement,
+Added: the Company granted Amneal a non-exclusive, non-transferable, royalty-free license to commercialize Amneal’s generic formulation
+Added: of BIJUVA in the U.S.
+Added: commencing in May 2032 (180 days before the current expiration date in November 2032 for the last to expire of
+Added: our BIJUVA Patents), or earlier under certain circumstances customary for settlement agreements of this nature.
+Added: healthcare laws and compliance requirements
+Added: Certain federal
+Added: and state healthcare laws and regulations pertaining to fraud and abuse and patients’ rights, among other topics, are and will
+Added: be applicable to our business.
+Added: Our licensees and the licensed products are subject to regulation by both the federal government and the
+Added: states in which we or our partners conduct our business.
+Added: The healthcare laws and regulations that may affect our licensees’ ability
+Added: to operate and our ability to receive licensing revenues include:
+Added: the federal Anti-Kickback Statute, which prohibits,
+Added: among other things, any person or entity from knowingly and willfully offering, soliciting, receiving or providing any remuneration
+Added: (including any kickback, bribe or rebate), directly or indirectly, overtly or covertly, in cash or in kind, to induce either the
+Added: referral of an individual or in return for the purchase, lease, or order of, or the arranging for, any good, facility item or service,
+Added: for which payment may be made, in whole or in part, under federal healthcare programs such as the Medicare and Medicaid programs;
+Added: federal civil and criminal false claims laws and civil
+Added: monetary penalty laws, including, for example, the federal civil False Claims Act, which impose criminal and civil penalties, including
+Added: civil whistleblower or qui tam actions, against individuals or entities for, among other things, knowingly presenting, or causing
+Added: to be presented, to the federal government, including the Medicare and Medicaid programs, claims for payment that are false or fraudulent
+Added: or making a false statement to avoid, decrease or conceal an obligation to pay money to the federal government;
+Added: the federal Health Insurance Portability and Accountability
+Added: Act of 1996 (“HIPAA”), which created additional federal criminal statutes that prohibit knowingly and willfully executing,
+Added: or attempting to execute, a scheme to defraud any healthcare benefit program or obtain, by means of false or fraudulent pretenses,
+Added: representations or promises, any of the money or property owned by, or under the custody or control of, any healthcare benefit program,
+Added: regardless of the payer (e.g., public or private), knowingly and willfully embezzling or stealing from a healthcare benefit program,
+Added: willfully obstructing a criminal investigation of a healthcare offense and knowingly and willfully falsifying, concealing or covering
+Added: up by any trick or device a material fact or making any materially false statements in connection with the delivery of, or payment
+Added: for, healthcare benefits, items or services relating to healthcare matters;
+Added: HIPAA, as amended by the Health Information Technology
+Added: for Economic and Clinical Health Act, and their implementing regulations, which impose obligations on covered entities, including
+Added: certain healthcare providers, health plans, and healthcare clearinghouses, as well as their respective business associates that create,
+Added: receive, maintain or transmit individually identifiable health information for or on behalf of a covered entity, with respect to
+Added: safeguarding the privacy, security and transmission of individually identifiable health information;
+Added: the federal physician sunshine requirements under the
+Added: ACA, which require certain manufacturers of drugs, devices, biologics and medical supplies for which payment is available under Medicare
+Added: or Medicaid to report annually to the Centers for Medicare & Medicaid Services information related to payments and other transfers
+Added: of value provided to physicians and teaching hospitals, and ownership and investment interests held by physicians and their immediate
+Added: family members.
+Added: In 2022, the Sunshine Act was extended to payments and transfers of value to physician assistants, nurse practitioners,
+Added: and other mid-level practitioners (with reporting requirements going into effect in 2022 for payments made in 2021).
+Added: Section 6004 of the ACA requires annual reporting of information about drug samples that manufacturers and authorized distributors
+Added: provide to healthcare providers;
+Added: federal and state laws requiring pricing transparency
+Added: or limiting price increases, which are in existence today or are anticipated to be in existence in the near future, may limit the
+Added: ability to raise prices, require disclosure of price increases or require disclosure of the wholesale acquisition cost of pharmaceutical
+Added: products to governmental agencies and consumers;
+Added: state law equivalents of each of the above federal
+Added: laws, such as anti-kickback and false claims laws, which may apply to items or services reimbursed by any third-party payer, including
+Added: commercial insurers or even self-pay;
+Added: state laws that require pharmaceutical companies to comply with the pharmaceutical industry’s
+Added: voluntary compliance guidelines and the applicable compliance guidance promulgated by the federal government, or otherwise restrict
+Added: payments that may be provided to healthcare providers and other potential referral sources;
+Added: state laws that require drug manufacturers
+Added: to report information related to payments and other transfers of value to healthcare providers or marketing expenditures;
+Added: requiring a license, registration or permit to engage in manufacturing and distribution of prescription products or to engage in
+Added: the practice of pharmacy;
+Added: and state laws governing the privacy and security of health information in certain circumstances, many
+Added: of which differ from each other in significant ways and may not have the same effect, thus complicating compliance efforts.
+Added: Pharmaceutical
+Added: company interactions with HCPs, patient advocacy groups, and patients, including with respect to product and patient assistance programs
+Added: and other education and support initiatives, have been and continue to be, the subject of regulatory scrutiny for compliance with fraud
+Added: and abuse laws.
+Added: the breadth of these laws and the narrowness of the statutory exceptions and safe harbors available, it is possible that some of the
+Added: business activities of the entities with whom we do business could be subject to challenge under one or more of such laws.
+Added: ensure that our business arrangements with third parties comply with applicable healthcare laws and regulations could be costly.
+Added: past operations, including activities conducted by our sales team or agents, are found to be in violation of any of these laws or any
+Added: other governmental regulations that may apply to us, we may be subject to significant civil, criminal, and administrative penalties,
+Added: damages, fines, exclusion from third-party payer programs, such as Medicare and Medicaid, and the curtailment or restructuring of our
+Added: If any of the HCPs, providers, or entities with whom we do business are found to not be in compliance with applicable laws,
+Added: they may be subject to criminal, civil, or administrative sanctions, including exclusion from government funded healthcare programs.
+Added: of these laws have not been definitively interpreted by the regulatory authorities or the courts, and their provisions are open to a
+Added: variety of subjective interpretations that increases the risk of potential violations.
+Added: In addition, these laws and their interpretations
+Added: are subject to change.
+Added: Any action against us for violation of these laws, even if we successfully defend against it, could cause us to
+Added: incur significant legal expenses, divert our management’s attention from the operation of our business, and damage our reputation.
+Added: to the fraud and abuse laws, we continue to monitor the potential impact of proposals to change prescription drug costs at the federal
+Added: and state level.
+Added: At the state level, legislatures have increasingly passed legislation and implemented regulations designed to control
+Added: pharmaceutical pricing, including price or patient reimbursement constraints, discounts, restrictions on certain product access and marketing
+Added: cost disclosure and transparency measures, and, in some cases, designed to encourage importation from other countries and bulk purchasing.
+Added: We are unable to predict the future course of federal or state healthcare legislation in the U.S.
+Added: directed at broadening the availability
+Added: of healthcare and containing or lowering the cost of healthcare.
+Added: from time to time in the future, our licensees and the licensed products may become subject to additional laws or regulations administered
+Added: by the FDA, the FTC, U.S.
+Added: Department of Health and Human Services (“HHS”), or by other federal, state, local, or foreign
+Added: regulatory authorities, or the repeal of laws or regulations that we generally consider favorable, such as DSHEA, or to more stringent
+Added: interpretations of current laws or regulations.
+Added: We are not able to predict the nature of such future laws, regulations, repeals, or interpretations,
+Added: and we cannot predict what effect additional governmental regulation, if and when it occurs, would have on our business in the future.
+Added: Such developments could, however, require reformulation of certain products to meet new standards, recalls or discontinuance of certain
+Added: products not able to be reformulated, additional record-keeping requirements, increased documentation of the properties of certain products,
+Added: additional or different labeling, additional scientific substantiation, additional personnel, or other new requirements.
+Added: Any such developments
+Added: could have a material adverse effect on our business.
+Added: Nevada corporation, and we maintain our principal executive offices at 951 Yamato Road, Suite 220, Boca Raton, Florida 33431.
+Added: Our telephone
+Added: number is (561) 961-1900.
+Added: We maintain a corporate website at www.therapeuticsmd.com.
+Added: The information contained on our website or that
+Added: can be accessed through our website is not incorporated by reference into this 2024 10-K Report or in any other report or document we
+Added: file with the SEC.
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.