Greetings and welcome to the Amphastar Pharmaceuticals Inc. Third Quarter Earnings Call. At this time, all participants are in a listen-only mode. A question-and-answer session will follow the formal presentation. Please note that certain statements made during this call regarding matters that are not historical facts, including but not limited to management's outlook or predictions for future periods are forward-looking statements. These statements are based solely on information that is now available to us. We encourage you to review the section entitled forward-looking statements in the press release issued today and the presentation on the company's website. Also, please refer to our SEC filings which can be found on our website and the SEC's website for a discussion of numerous factors that may impact our future performance. We will also discuss certain non-GAAP measures. Important information on our use of these measures and reconciliations to U.S. GAAP may be found in our earnings release. Please note, this conference call is being recorded. Our speakers today are Mr. Bill Peters, CFO; Mr. Dan Dischner, Senior Vice President of Corporate Communications; and Mr. Tony Marrs, Executive Vice President of Regulatory Affairs and Clinical Operations. I will now turn the conference over to your host, Mr. Dan Dischner, Senior Vice President of Corporate Communications. Dan, you may begin.

Thank you. Good afternoon, and thanks for joining us for our third quarter's earnings call of 2024. Today, I'm joined by Bill Peters, our CFO and Executive Vice President of Finance, and Tony Marrs, Executive Vice President of Regulatory Affairs and Clinical Operations. In the Q3 of 2024, Amphastar reported net revenues of $191.2 million, marking a 6% increase year-over-year, reflecting the resilience and growing strength of our diversified product portfolio and strategic initiatives. Despite facing challenges such as the impact of Hurricane Helane, which affected our logistics and resulted in delays and postponed shipments, the core business of Amphastar remains robust, leading us to end this year on a solid footing for the execution of our portfolio. Our strategic initiatives regarding our regulatory filings and commercial portfolio execution remain on track, and we are well-positioned to continue the growth of our key revenue drivers with BAQSIMI, Primatene Mist, and our core hospital and clinical use products in the critical care arena. A key highlight for the quarter was Primatene Mist, which achieved its highest quarterly sales since the launch, reaching $26 million in sales. This performance is a significant step toward our goal of $100 million in annual sales for this product by the end of 2024. We believe there are additional growth opportunities with Primatene Mist, and therefore, in 2025, we will expand our current physician sampling program by initiating a pilot sales program targeting more primary care physicians. The transition for BAQSIMI is progressing smoothly, with sales performance meeting expectations. BAQSIMI remains an essential part of our portfolio, and we are dedicated to expanding its market presence. To enhance the brand's visibility in the United States, we plan to strengthen the sales force for BAQSIMI. This product exemplifies the kind of innovative, user-friendly solutions we strive to develop and serves as a benchmark for our impactful products we are committed to advancing through our pipeline. As anticipated, competition in the glucagon injection kit market has intensified, leading to a 9% decline in sales from the previous year, seeing $26.7 million in sales for the third quarter. We believe the increased competition reflects the rising awareness of effective hypoglycemia management options and the attractiveness of the market. On a different note, we are pleased to announce the launch of our Albuterol MDI product occurring in the third quarter of 2024, marking a significant expansion of our respiratory portfolio and operations in our Armstrong facility. This launch positions us to meet the growing demand for affordable, high-quality asthma management options as we enter a competitive market we continue to actively pursue business opportunities. On a regulatory front, we have continued routine productive discussions with the FDA regarding AMP-002 and believe that a clear path forward for approval is near. The generic Teriparatide NDA AMP-015 received the CRL for this filing, and we are on track to submit our response by the end of this year. Turning to our diabetes portfolio, we are scheduled to refile our BLA for our first insulin product, AMP-004 or Insulin Aspart, in the fourth quarter of this year. For our GLP1 ANDA AMP-018, which was filed in the second quarter of 2024, we are pleased to announce that this filing was granted competitive, generic therapeutic designation and priority review. As mentioned on our last call, this product remains on track for a GDUFA goal date in the second quarter of 2025. Regarding AMP-007, our second inhalation ANDA, as previously announced, has experienced an extension in the GDUFA goal date to the second quarter of 2025, and there are currently no pending items with the agency regarding this application. On a separate note, we are proud to introduce AMP-028, a new biosimilar addition to our pipeline. This product has IQVIA sales of over $2 billion with no current biosimilars. We believe our unique capabilities will limit the potential number of competitors in the market, and it marks our first BLA target outside of insulin. Additionally, it highlights the strategic transition towards more advanced therapeutic areas where we can maximize value and impact. This shift represents a deliberate move to focus our efforts on high-value projects that have the potential to drive sustainable growth and utilize our in-house expertise and resources. As we close 2024 and look toward 2025, our focus remains on advancing our portfolio through proprietary filings and high-value areas like biosimilars, positioning us for sustainable growth and reduced competitive pressures. In the coming year, we plan to announce additional candidates in our proprietary and biosimilar pipelines, aligning with our strategic direction. Our R&D expertise and self-funded investments continue to drive progress, while strong sales from BAQSIMI and Primatene Mist provide a solid foundation. We’re confident in the potential of our upcoming projects, including AMP-002, Teriparatide, AMP-007, and our first GLP-1 ANDA. With a clear strategy and an expanding pipeline, we're excited about the opportunities ahead and remain committed to delivering long-term value. With that, I'd like to turn the call over to our CFO and Executive Vice President of Finance, Bill Peters, to discuss the second quarter’s financial results.

Thank you, Dan. Revenues for Q3 increased 6% to $191.2 million from $180.6 million in the previous year's period. BAQSIMI sales through Amphastar totaled $40.4 million in Q3. Sales of BAQSIMI by Eli Lilly totaled $6.4 million during the same period, and we recorded a net economic benefit in our other revenues line of $2.4 million, net of their expenses of $4 million. Our product sales have increased, while the net economic benefit has decreased throughout the year, as we have taken over distribution responsibilities for BAQSIMI in various countries around the world. We will assume distribution of BAQSIMI in the remaining territories on a country-by-country basis through the end of this year. During the quarter, while this distribution transition was ongoing, we faced a temporary supply disruption in 14 European countries and ran out of Lilly labeled BAQSIMI before we were able to receive any Amphastar labeled product. This temporary disruption limited European sales of BAQSIMI by approximately $2 million to $3 million. Glucagon sales decreased 9% to $26.8 million from $29.5 million due to a decrease in units shipped as more hypoglycemia patients moved to ready-to-use products such as BAQSIMI. Primatene Mist sales grew to a new record of $26.1 million in Q3 compared to $24.8 million in Q3 of last year, representing sales growth of 5%. Epinephrine sales increased 6% to $21.3 million from $20.2 million, primarily due to an increase in units of our prefilled syringe product as we entered the Canadian market this quarter. Phytonadione sales increased 57% to $11.7 million from $7.4 million due to an increase in demand this quarter. Enoxaparin and Naloxone sales decreased primarily due to a decrease in unit volumes. Other finished pharmaceutical product sales decreased $2.2 million to $35.5 million from $37.7 million on lower sales of products such as atropine and calcium chloride. These decreases were partially offset by higher unit volumes of sodium bicarbonate due to an increase in capacity at our international medication subsidiary, as well as the launch of our Albuterol MDI in August 2024. Overall, sales were negatively impacted by Hurricane Helane, as between $2 million and $4 million in sales that were expected in Q3 were not recognized due to delayed deliveries. Revenues for these shipments are expected to be recognized in the fourth quarter. Cost of revenues increased to $89.3 million from $79.2 million. Gross margins declined to 53% of revenues from 60% in the prior year, primarily because BAQSIMI sales in the prior year were made by Lilly and were booked net of cost of goods, which contributed to higher gross margins in the previous year. This year, most sales are made by Amphastar, which books the cost of goods. Additionally, we had an increase in labor costs and certain component costs. Selling distribution and marketing expenses increased 40% to $9 million from $6.4 million in the previous year due to our BAQSIMI salesforce expansion. General and administrative spending increased 17% to $14.8 million from $12.7 million, primarily due to increased expenses related to BAQSIMI and the personnel. Research and development expenditures increased 26% to $21.1 million from $16.7 million due to increases in material expenses related to our insulin pipeline products. Our non-operating expense was $9.4 million compared to an operating expense of $9 million in the third quarter of last year. Net income decreased by 18% to $40.4 million or $0.78 per share in the third quarter from $49.2 million or $0.91 per share in the third quarter of 2023. Adjusted net income decreased to $49.6 million or $0.96 per share compared to an adjusted net income of $61.9 million or $1.15 per share in the third quarter of last year. Adjusted earnings exclude amortization, equity compensation, impairments of long-lived assets, and one-time events. In the third quarter, we had cash flow from operations of approximately $60 million. We used $35 million of this cash to repurchase 797,000 shares. We also announced today that our Board has authorized an additional buyback program of $50 million.

Thanks, Bill for the updates. With that, we'll now take your questions. Please open the lines for Q&A.

So just two questions, if I may. So first, just on BAQSIMI, you've had the asset for several quarters now, just any surprises in terms of where you're seeing uptake or the competitive dynamics you're seeing in the market? And I guess any updates as you're thinking about peak sale potential for that product. And then second question is just on the GLP-1 category, can you just talk a little bit about the role that the company can play in this category over time? You obviously have AMP-018 potentially coming in 2025, but more as we think about some of the bigger GLP-1 molecules eventually going generic, just any color there would be appreciated.

So as far as BAQSIMI right now, it is going relatively smoothly other than what I mentioned in my comments, which was the slight disruption that we had in supply going to Europe this quarter. We were expecting to get all of the BAQSIMI with Amphastar labeled product out to those countries in time before the Lilly labeled product ran out. But unfortunately, that didn't happen, which left us short in 14 countries. So we were unable to deliver for anywhere between four to six weeks for a lot of those countries. So that's unfortunate, but these things happen when you're transitioning to a new product and a new distribution center. So no real big surprises. And as far as peak sales, I'll say no. Right now, we're still on target for what we had said previously on peak sales, which was $250 million to $275 million in peak sales. So right now, our annual sales are trending, we believe, really close to the base case that we put in at that time.

And then on the GLP-1 strategy that's a great question. As you know, there's getting to be a really crowded market. There's a lot of people coming up with new GLP-1 type products. We're not alone in thinking about it. It's probably a little too early to really discuss any potential things in that group for us right now, but we'll update people as we get closer.

Yes. Maybe we'll have an update for you at your conference in January.

The next question comes from David Amsellem with Piper Sandler.

Hey, David. You there?

David, may we request you to unmute your line from your side, please? David, may we request that you unmute your line, please?

I think he's gone. So let's go on to the next one.

The next question comes from Pavan Patel from Bank of America.

First, on epinephrine, can you speak to the main driver of lower revenue in the quarter? Was it more of the EPI competition or Pfizer supply shortage that may start becoming resolved? And where should we look in other areas of the business to offset this going forward? Will it be competitors, supply shortages, and other products? Or is the focus going to be on driving BAQSIMI growth such that the fluctuations of base business are smoother? And then the second question is on BAQSIMI, maybe the year-over-year decline relative to what Lilly booked in the prior year. What's driving the competitive headwinds there? Is it other branded products or generic glucagon? And can you frame what the investment in the sales force will look like and the timing of onboarding those sales reps?

Sure. So EPI, I think you're comparing to Q2. So we did have a decrease in the multi-dose vial, as there have been two competitors that have launched multi-dose vials this year, driving prices and some of our volumes down. However, that was partially offset this quarter and year-over-year increase in epinephrine sales as we began shipping the prefilled syringes to Canada this quarter. As far as the BAQSIMI year-over-year decline, I wouldn't say it's related to any competitive issues. It's partially driven by what I mentioned earlier, which was we were out of stock for several weeks in 14 countries in Europe. So that limited sales there. And what I had mentioned earlier this year, which is the pricing that we have in the U.S. has a decline this year because of the increased fees that we have to pay to wholesalers. So we had said that for the year, you should expect sales would be up high single digits in terms of units, but down low single digits in pricing. If we look at it on a year-long basis, I think you get to something that's closer to what we said. So I think this one quarter is more of an aberration than anything else. As far as the investment goes, we have had a very small increase in our sales force in the third quarter of this year. But we're planning a larger sales force increase beginning in January, but there'll be some expenses related to that that will hit in the fourth quarter as well. Once again, that sales force will also be an outsourced one. We might be able to disclose a little bit more about that later, but this is a new initiative that we're just starting right now. We've always said that by utilizing or outsourcing the sales force, it gives us some flexibility to expand if we identified opportunities where we thought it would make sense.

The next question is from David Amsellem with Piper Sandler.

So couple of questions. First, can you talk about the Albuterol generic, the Albuterol HFA and what kind of footprint sales wise do you envision for that as we move through ‘25? So that's number one. Number two, I know I ask this a lot, but AMP-002, just anything new there or any latest thoughts on the road ahead for that product. And then lastly, I don't know if you addressed this, I apologize if you did on AMP-007, I know the GDUFA got extended out to the second quarter. But just wondering out loud anything there that you can talk about that gives you confidence that you're going to get that across the finish line. And then given that there are a couple of entrants in that market, how do you think about the opportunity for that product?

I'll start with the Albuterol sales footprint. We had said earlier that we thought this would be a little bit of a slow start as we ramp up, and we also had some capacity issues as we're bringing on new capacity to that facility. So that should time up well. We do expect this to be a meaningful product for the company in 2025, but not in the fourth quarter. We haven't given specific sales guidance. When you launch a new generic into an existing generic market, you're not there at market formation, so we'd like to not disrupt the market too much and to try to take that market share effort slowly. So I think that's what we're trying to do with that.

Yes. And I'll take for AMP-002. We continue to have high-level meetings with FDA officials, and they've been encouraging. I know it's kind of repetitive statements, but we feel more encouraged. We suspect that in the near future, we should be receiving some sort of action to move the application along. The good news is that we continue to be engaged with the agency in this dialogue. Soon, we should see some things shake free on that. For AMP-007, this is our first cycle, and the agency has simply provided a late cycle IR. As a result, they've extended the action date. There's nothing in there that gives us any alarm. We talked to many of our colleagues, and it seems that this is a pattern that the agency has been taking a lot lately. It would be our first cycle on this combination product, so nothing alarming to us on the conversations that we've had with them. We're still optimistic, as we usually are for a first cycle.

And actually, if I may sneak in a follow-up, I think I asserted that there might be entrants in that market for AMP-007. Can you say if there already is competition? Secondly, when you say combination product, does that mean that it's a drug-device combo or does it mean two compounds, like Advair for instance? Any color you can share there would be helpful.

I'll take the combination product question. So it's just a device-drug combination, like the majority of our inhalation products.

As far as we haven't really said about competition or not on that one, so we'd like to not answer that one at this time.

As there are no further questions, I would now like to hand the conference over to Dan Dischner for closing comments.

Thank you, everyone for joining us today. We remain confident in delivering on our pipeline while executing on BAQSIMI and Primatene Mist. We look forward to updating you all again next quarter, and have a great day.

Thank you. This concludes today's teleconference. You may disconnect your lines at this time. Thank you for your participation.