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Harrow Health (HROW) AI Stock Analysis

HROW

Harrow Health

(NASDAQ:HROW)

Select Model
Rating:48Neutral
Price Target:$27.00â–¼(-4.39% Downside)
Action:reiterated
Date:10/05/26

The score is held down primarily by elevated financial risk (widening losses and a more leveraged, thin-equity balance sheet) and bearish technicals. Offsetting factors include improved cash generation and an earnings-call outlook supported by reiterated guidance and strong product demand, but execution risk remains high given the required second-half ramp and higher SG&A/integration burden.

Positive Factors
Revenue Growth and Gross MarginStrong sales growth combined with high gross margins indicates attractive product economics and increasing commercial traction. If sustained, this mix can provide the contribution needed to absorb operating investments, support cash generation, and improve earnings potential over the next several quarters.
Negative Factors
Higher Leverage and Thin EquityA more debt-funded balance sheet reduces financial flexibility if operating performance weakens and increases the importance of sustained cash generation. Higher leverage can also constrain capital allocation, raise refinancing exposure, and make future growth investments more dependent on execution.

Harrow Health (HROW) vs. SPDR S&P 500 ETF (SPY)

-40%-20%0%20%40%60%HROW-20.02%SPY+11.79%Dec '25Jan '26Feb '26Mar '26Apr '26May '26Jun '26Jul '26Aug '26Sep '26Oct '26
Market Cap
$1.06B
Dividend Yield
―
Average Volume (3M)
572.29K
Price to Earnings (P/E)
-28.5
Beta (1Y)
2.08
Revenue Growth
21.05%
EPS Growth
-244.96%
Country
US
Employees
373
Sector
Healthcare
Sector Strength
51
Industry
Drug Manufacturers - Specialty & Generic

Harrow Health Business Overview & Revenue Model

Company Description

Harrow Health, Inc. operates as a healthcare enterprise with a specialized focus on ophthalmic solutions. The company's portfolio includes ImprimisRx, a business dedicated to ophthalmology outsourcing and pharmaceutical compounding, as well as DEXYCU...

How the Company Makes Money

Harrow Health primarily makes money through (1) net product revenue from the sale of its branded (and acquired) ophthalmic prescription drugs and related ophthalmic products, which are sold into the U.S. market through pharmaceutical distribution cha...

Harrow Health Earnings Call Summary

Earnings Call Date:Aug 09, 2026(Q2-2026)|% Change Since:-30.61%|Next Earnings Date:Nov 08, 2026
Earnings Call SentimentPositive

The call conveyed strong commercial momentum across multiple franchises (VEVYE, IHEEZO, TRIESENCE), record unit demand, successful market-access wins, pipeline progress (pre-NDA for MELT-300), and reiterated full-year guidance—supporting an optimistic outlook. Offsetting risks include a weaker-than-expected first half, negative adjusted EBITDA in the quarter, channel inventory/revenue timing effects, the need for a sizable second-half revenue ramp to meet guidance, and near-term SG&A and acquisition-related cash outflows. On balance, management presented credible operational and commercial drivers to achieve the required second-half acceleration, but execution and integration risks remain material.

Positive Updates

Quarterly and Half-Year Revenue Trajectory
Q2 revenue of $70.7M, up 11% year-over-year and approximately 60% sequentially; first half revenue approximately $115M. Management reiterated full-year revenue guidance of $350M–$365M, implying second-half revenue of ~$235M–$250M.

Negative Updates

First Half Revenue Below Expectations
Management acknowledged first-half revenue (~$115M) was lighter than expected entering the year, primarily due to net revenue impacts (inventory/pass-through shifts) tied to VEVYE and IHEEZO transitions.

Company Guidance

Harrow reiterated full‑year guidance of $350–365 million in revenue and $80–100 million in adjusted EBITDA after reporting Q2 revenue of $70.7 million (up 11% year‑over‑year and ~60% sequentially) and first‑half revenue of ≈$115 million—implying second‑half revenue of roughly $235–250 million—with Q2 adjusted EBITDA of negative $1.2 million, GAAP gross margin of 71% (expected to trend to the high‑70s in H2), and cash of $83.9 million. Key product metrics backing the outlook include VEVYE Q2 revenue of $29.4 million (≈+58% YoY) with prescriptions +21% sequentially, prescriber base +15% and a 14.6% share of branded dry eye; IHEEZO Q2 revenue of $15.6 million, record unit demand of 65,477 (+44% sequential, +34% YoY), ~25% net pricing improvement effective July 1 and gross margins >90%, 224 ordering accounts (+32% YoY) and a ~85.5% trailing 12‑month reorder rate; TRIESENCE demand 14,529 units (+162% YoY) with 54% of units from ocular surgery and 805 ordering accounts. Management expects persistent sequential revenue growth in Q3 and Q4 (larger step‑up in Q4), benefits from expanded commercial coverage (top‑3 PBM effective Aug 1), an expanded salesforce (VEVYE salesforce doubled year‑over‑year and further additions from the pending TYRVAYA deal), and expects to fund TYRVAYA’s $30 million upfront consideration from cash, add ~$20 million of annualized SG&A upon integration, and see TYRVAYA contribute >$30 million in 2027 (exclusivity assumed through 2034).

Harrow Health Financial Statement Overview

Summary

Revenue momentum and very high gross margins are strong, and operating/free cash flow have turned solidly positive. However, profitability remains weak with widening TTM net losses, and balance-sheet risk is elevated due to higher debt and a very thin equity cushion, reducing financial flexibility.

Income Statement

44Neutral

Balance Sheet

24Negative

Cash Flow

63Positive
Financial statement breakdown
BreakdownTTMDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue275.59M272.30M199.61M130.19M88.59M72.48M
Gross Profit201.96M204.37M150.37M90.55M63.21M54.26M
EBITDA11.19M42.13M23.61M13.15M-3.10M5.76M
Net Income-37.23M-5.14M-17.48M-24.41M-14.09M-18.01M
Balance Sheet
Total Assets416.82M399.48M388.97M311.75M157.38M98.33M
Cash, Cash Equivalents and Short-Term Investments83.89M72.93M47.25M82.77M101.86M50.67M
Total Debt300.74M251.98M228.83M190.50M112.23M77.96M
Total Liabilities401.97M347.39M319.67M241.75M130.14M87.40M
Stockholders Equity15.20M52.45M69.65M70.36M27.59M11.29M
Cash Flow
Free Cash Flow5.69M42.76M-60.88M-148.71M-6.07M-23.43M
Operating Cash Flow6.25M43.86M-22.20M3.84M1.71M5.08M
Investing Cash Flow-23.69M-5.46M-33.16M-152.55M-1.74M-18.69M
Financing Cash Flow48.34M-12.72M28.53M126.53M54.14M51.47M

Harrow Health Technical Analysis

Technical Analysis SentimentNegative
Last Price28.24

Price Trends

50DMA32.86Negative
100DMA37.01Negative
200DMA38.35Negative

Market Momentum

MACD-1.06Negative
RSI38.54Neutral
STOCH70.80Neutral

Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For HROW, the sentiment is Negative. The current price of 28.24 is below the 20-day moving average (MA) of 28.91, below the 50-day MA of 32.86, and below the 200-day MA of 38.35, indicating a bearish trend. The MACD of -1.06 indicates Negative momentum. The RSI at 38.54 is Neutral, neither overbought nor oversold. The STOCH value of 70.80 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for HROW.

Harrow Health Risk Analysis

Harrow Health disclosed 58 risk factors in its most recent earnings report. Harrow Health reported the most risks in the "Finance & Corporate" category.

Higher RiskSector Avg.Lower RiskFinance & CorporateTech & InnovationLegal & RegulatoryProductionAbility to SellMacro & Political
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy

Latest Risks Added

0 New Risks

Harrow Health Peers Comparison

Overall Rating

UnderperformOutperform
Sector (51)

Financial Indicators

HROW against its peers
NameOverall RatingMarket CapP/E RatioROEDividend YieldRevenue GrowthEPS Growth
ANIPANIP75Outperform$1.65B14.9119.19%―30.90%―
ETONETON74Outperform$1.49B112.2240.13%―81.49%―
AMRXAMRX59Neutral$7.49B43.24-326.75%―9.28%4917.17%
Sector *51Neutral$7.86B-0.30-43.30%2.27%22.53%-2.21%
HROWHROW48Neutral$1.06B-28.45-103.86%―21.05%-244.96%
CPIXCPIX47Neutral$70.27M-6.56-47.10%29.55%-25.68%-244.92%
PRGOPRGO46Neutral$2.19B-1.26-55.97%7.35%-4.18%-2138.82%

* Healthcare Sector Average

Performance Comparison

0%100%200%300%HROWPRGOANIPCPIXAMRXETONDec '25Jan '26Feb '26Mar '26Apr '26May '26Jun '26Jul '26Aug '26Sep '26Oct '26
HROW and its peers over the selected period
Show on chartTickerCompany NamePriceChange% Change
HROWHarrow Health28.24-7.72-21.47%
PRGOPerrigo Company15.78-2.98-15.89%
ANIPAni Pharmaceuticals72.00-22.06-23.45%
CPIXCumberland Pharmaceuticals Inc.4.692.55119.16%
AMRXAmneal Pharma21.5110.3292.14%
ETONEton Pharmaceuticals52.1834.22190.53%

Harrow Health Corporate Events

Business Operations and StrategyM&A Transactions

Harrow Closes TYRVAYA Acquisition, Expanding Dry Eye Portfolio

Positive
Oct 5, 2026

On October 1, 2026, Harrow completed an amended asset purchase agreement with Viatris to acquire rights to TYRVAYA, a varenicline nasal spray for dry eye disease, in all countries except Japan, paying a fixed $30 million in cash and agreeing to up to...

Business Operations and StrategyExecutive/Board Changes

Harrow Health Streamlines Senior Finance and Accounting Leadership

Neutral
Sep 4, 2026

Effective September 4, 2026, Harrow, Inc. announced that Randall E. Pollard ceased serving as Chief Accounting Officer and principal accounting officer, marking a change in the company’s senior finance leadership. Following his departure, the B...

Business Operations and StrategyFinancial DisclosuresM&A TransactionsProduct-Related Announcements

Harrow Health Sees Strong Q2 Growth, Reaffirms 2026 Outlook

Positive
Aug 10, 2026

In its second quarter ended June 30, 2026, Harrow reported $70.7 million in revenue, up 60% sequentially and 11% year over year, and reiterated its full-year 2026 guidance for revenue and adjusted EBITDA. The performance was powered by strong demand...

Business Operations and StrategyM&A Transactions

Harrow Health Acquires Global Rights to TYRVAYA Nasal Spray

Positive
Aug 6, 2026

On August 3, 2026, Harrow, Inc. entered into an asset purchase agreement with Viatris to acquire global rights to TYRVAYA, the first and only FDA-approved nasal spray for dry eye disease, for up to $100 million, including a $30 million cash payment a...

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.

Date of analysis: Oct 05, 2026