Revenue Growth and Raised Guidance
Total net revenues of $237.5M in Q1 2026, up 20% year-over-year. Company raised 2026 net revenue guidance to $1.08B–$1.14B (midpoint implies ~26% growth vs 2025) and expects Rare Disease to represent ~60% of total revenues in 2026.
Cortrophin Gel Strong Performance
Cortrophin Gel net revenues of $75.1M in Q1, up 42% year-over-year and in line with expectations; management expects Cortrophin Gel revenues of $540M–$575M in 2026 (guidance implies ~60% YoY growth) and reported highest new patient starts and monthly volumes in April since launch.
Expanded Rare Disease Commercial Investment
Accelerated commercial expansion into acute gouty arthritis flares via a dedicated organization (company cited a ~90-person expansion and referenced adding 64 new sales reps), targeting ~7,000 HCPs; expecting this expansion to begin contributing late Q2 and materially in H2 2026 and into 2027.
Adjusted EBITDA and EPS Improvement
Adjusted non-GAAP EBITDA of $63.0M in Q1, up 24% year-over-year. Adjusted non-GAAP diluted EPS of $2.05 vs $1.70 prior year (up ~20.6%). Full-year adjusted EBITDA guidance raised to $285M–$300M (up $10M from prior guide) and adjusted EPS guidance set to $9.19–$9.69.
Generics and Product Launch Progress
Generics revenues of $105.4M in Q1, up 7% year-over-year; year-to-date launch of 6 new generics and maintaining cadence of 10–15 launches annually. Company remains #2 in overall CGT approvals.
Strategic IP Licensing with Near-Term Cash
Out-licensing transaction with Harmony recognized $21.5M of associated revenues in Q1 (including $15M upfront license fee and initial royalties). Potential additional $10M in development milestones expected in Q2–Q3 2026 plus low single-digit royalties on pitolisant-based products; Harmony guidance implies WAKIX net revenues of $1B–$1.04B in 2026.
Operational Cash and Balance Sheet Position
Unrestricted cash at quarter end $311.2M (up $25.6M vs Dec 31, 2025). Cash flow from operations of $58.4M in Q1. Net leverage 1.3x and gross leverage 2.6x on trailing 12-month adjusted EBITDA of $242M, providing capacity for BD and buybacks.
Capital Allocation Actions
Board authorized a new $100M share repurchase program (3-year) and reaffirmed disciplined capital allocation with focus on BD and organic investments supporting Rare Disease growth.
ILUVIEN Commercial Progress and Data Generation
ILUVIEN revenues of $19.3M in Q1, up 20% YoY. Published NEW DAY DME results in Ophthalmology and on track to present SYNCHRONICITY Phase IV results in NIU-PS at a medical meeting in Q3 2026, supporting long-term addressable opportunity expansion.