Welcome, ladies and gentlemen, to the Mbecta Corp's Fiscal First Quarter 2026 Earnings Conference Call. At this time, all participants have been placed in a listen-only mode. Please note that this conference call is being recorded, and a replay will be available on the company's website following the call. I would now like to hand the conference call over to your host today, Mr. Pravesh Kandawal, Vice President of Investor Relations. Mr. Kandawal, please go ahead.

Thank you, Operator. Good morning, everyone, and welcome to MBECTA's Fiscal First Quarter 2026 Earnings Conference Call. The press release and slides to accompany today's call and webcast's AAA details are available on the Investor Relations section of the company's website at www.mbecta.com. With me today are Def Kurdecker, MBECTA's President and Chief Executive Officer, and Jake Algoui, our Chief Financial Officer. Before we begin, I would like to remind you that some of the matters discussed in the conference call will contain forward-looking statements regarding future events as outlined in a slide, including those referenced on slide 2 of today's conference call presentation. Such statements are, in fact, forward-looking in nature and subject to risk and uncertainties, and actual events or results may differ materially. The factors that could cause actual results or events to differ materially include, but are not limited to, factors referenced in our press release today, as well as our filings with the SEC, which can be accessed on our website. In addition, we will discuss certain non-GAAP financial measures on this call, which should be considered a supplement to and not a substitute for financial measures prepared in accordance with GAAP. A reconciliation of these non-GAAP measures to the comparable GAAP measures is included in our press release and conference call presentation, which are also included in the Investor section of our website, www.mbecta.com. Our agenda for today's call is as follows. Deb will begin with an overview of MBecta's fiscal first quarter 2026 performance and discuss progress across our strategic priorities. Jake will then review the financial results for the first quarter and share our updated thoughts for fiscal year 2026. Following these updates, we will open the call for questions. With that said, I would now like to turn the call over to our CEO, Dev Kurtiker.

Good morning, and thank you for taking the time to join us. Over the past year, and particularly since we reported our fiscal year 2025 results, we have continued to make meaningful progress executing our strategic roadmap we outlined at our investor day last year. As a reminder, that roadmap is built around a phased approach consisting of standing up the organization, seeding growth, and ultimately transforming the company into a broad-based medical supplies company which serves chronic care patients and drug delivery partners. The stand-up phase was focused on becoming a fully independent company by building our own systems, supply chain, and commercial capabilities while keeping the base business stable. Fiscal year 2025 largely marked the completion of that phase with the operationalization of our own ERP, distribution, and shared services infrastructure, allowing for the complete migration of our revenue into our systems and the successful exit of all TSAs and LSAs. And I am pleased to say that we were able to complete the stand-up phase and all the associated complex initiatives while keeping our constant currency revenues stable. With that work behind us, we are now firmly in the seed growth phase, and this is where the company's focus is now. This phase's goals focus on staying competitive in the core, selectively expanding the portfolio in areas that leverage our existing strengths and building financial flexibility through disciplined capital allocation. The priorities in this phase are intended to position Mbecta over time as a broader medical supplies company and a drug delivery partner, building on our foundation as a leader in global insulin delivery. One important element of strengthening the core has been our brand transition. This initiative is not a change to the product or product names. It is a change to packaging and branding that establishes MBECTA as an independent company in the minds of patients, healthcare professionals, and channel partners. We have taken a disciplined phased approach. As of today, more than 95% of US and Canadian revenue has transitioned to the MBECTA brand. With North America largely complete, we have been executing the next phase globally. Transitions are underway in select international markets and we expect most regions to be substantially complete by the end of calendar year 2026. We continue to demonstrate a strong commitment to ensuring broad and preferred access to our products for patients, particularly within the Medicare Part D channel, which remains an important and growing segment of the payer market serving senior citizens who represent a high percentage of people living with diabetes. Effective January 2026, we contracted with an additional Medicare Part D payer for exclusive access to our products. In addition, we renewed our advantage formulary access with the top three Medicare Part D payers that we had existing relationships with. Collectively, these actions further strengthened our business, supporting stable access and share and enhancing the long-term competitiveness of our portfolio. Another key area of focus in the seed growth phase is portfolio expansion through market appropriate pen needles and syringes. Our approach here is intentional. We are leveraging what we already do well to address segments and geographies where there is meaningful demand but where our share today remains relatively low since fiscal year 2025 we have moved from concept to execution product designs for these market appropriate offerings have been finalized production equipment has been installed and manufacturing validation is now underway with this foundation in place we are progressing towards expected regulatory submissions and eventually commercial launches supported by go-to-market strategies informed by more than a century of experience in insulin delivery. We have also continued to advance our GLP-1 strategy, which we view as an extension of our core capabilities rather than in departure from them. Today, we are collaborating with more than 30 pharmaceutical partners across various stages of the sales cycle, primarily focused on co-packaging our pen needles with generic GLP-1 therapies. More than one-third of these partners have already selected us as a supplier and have either executed contracts or are in contract negotiations, reflecting tangible progress beyond early stage discussions. Several partners have signed agreements and placed purchase orders, and our pen needles are included in multiple partner-managed regulatory submissions. While we do not control the timing of regulatory approvals or launches, we remain operationally ready to support our partners as programs advance. Looking ahead, our partners are anticipating initial generic GLP-1 launches in markets such as Canada, Brazil, China, and India beginning in calendar year 2026, with additional emerging markets expected to follow over time. This expectation is consistent with recent public news reports indicating that regulatory approvals for generic injectable semaglutide have been granted to some companies in India, with multiple manufacturers preparing for commercial launches following patent expirations in March 2026. In parallel, we are expanding the availability of consumer-friendly Mbecta-branded small pack configurations in Canada and select European markets. These formats are designed for out-of-pocket customers including many GLP-1 users and allow us to participate in the category using existing manufacturing and commercial infrastructure. Recently there has been significant amount of news related to development and launch of oral GLP-1 therapies. It should be noted that the launch of oral GLP-1s was expected and explicitly included in our assumptions underlying the estimated $100 million-plus opportunity we had discussed at our Analyst and Investor Day in May 2025. While it is early in the adoption of oral GLP-1s, we continue to believe in the opportunity as previously outlined. Importantly, we expect to support this incremental volume within our existing manufacturing footprint and without significant incremental capital investment. We also expect this to support attractive margin flow through over time. Beyond generics, we are also engaged in early stage discussions with several branded pharmaceutical companies around co-packaging opportunities for drugs in development. While these discussions are in early stages, they represent potential upside beyond the opportunity we shared on Investor Day last May. Finally, we remain focused on increasing financial flexibility. Following the significant deleveraging achieved through fiscal year 2025, we continue to focus on free cash flow generation and disciplined capital allocation to create strategic optionality as we progress through the seed growth phase. In summary, while fiscal year 2025 marked the completion of our stand-up phase, MBECTA today is focused on execution portfolio expansion and positioning the company for durable long-term growth with that context let me now review our revenue performance for the first quarter during the first quarter of fiscal year 2026 embedded generated approximately 261 million dollars in revenue reflecting a 0.3 percent decline year-over-year on an as-reported basis or a 2 percent decline on an adjusted constant currency basis. These results were largely in line with our expectations driven by performance within our international business. Within the U.S., revenue for the quarter totaled approximately 131 million dollars reflecting a year-over-year decline of 7.6 percent on an adjusted constant currency basis. The decline was driven by a combination of lower pricing as well as lower volumes reflecting channel dynamics. This was somewhat offset by order timing. Turning to our international business, revenue for the first quarter totaled approximately 130 million, representing an increase of 8.4% on a reported basis and an increase of 4.6% on an adjusted constant currency basis. This performance was driven by strength across EMEA and Latin America. And while China remained a headwind in the quarter, the results there were largely in line with our expectations. As we have discussed previously, we continue to expect the recovery in China to be more fiscal second half waited given ongoing market dynamics and the broader geopolitical and trade environment meanwhile from a product family perspective during the quarter adjusted constant currency pen needle revenue declined approximately 4.4 percent syringe revenue grew by approximately 5.3 percent safety product revenue grew approximately 7.3 percent and contract manufacturing revenue declined approximately 16.7 percent the year-over-year decline in pen needle revenue was primarily driven by the same factors that impacted our us and china results this was partially offset by growth within emia and latin america turning to our syringe products revenue increased year over year driven by improved performance within latin america emia and asia which more than offset the ongoing declines in the u.s As we have previously discussed, U.S. syringe revenues continue to be impacted by long-term shifts in diabetes treatment towards insulin pens, and this strain remains consistent with our expectations. Moving to our safety products, they delivered solid growth in the quarter, driven by gains within the U.S. anemia. Finally, the contract manufacturing revenue that we generate through the manufacturing and sales of non-diabetes products back to Becton-Dickinson declined, as expected, due to the continued insourcing of these products by BD. And before I turn the call over to Jake, I'd like to briefly touch upon our financial guidance for the year. Today, we reaffirmed our previously provided financial guidance ranges. However, we now expect to be closer to the lower end of those guidance ranges, driven by incremental U.S. pricing headwinds. of setting this incremental pressure within the U.S. is an improved outlook for an international business. With that, let me turn the call over to Jake. Thank you, Dev, and good morning, everyone.

Given the discussion that has already occurred regarding revenue, I will start my review of Mbecta's first quarter financial performance at the gross profit line. Gap gross profit and margin for the first quarter of fiscal 2026 totaled 161.7 million and 61.9 percent respectively. This compared to 151.7 million and 60 percent in the prior year period. While on an adjusted basis, our Q1 2026 adjusted gross profit and margin totaled 163.5 million and 62.6 percent. This compared to 164.2 million and 62.7 percent in the prior year period. The slight year-over-year decline in adjusted gross profit and margin was primarily driven by the unfavorable year-over-year pricing dynamics that Dev mentioned earlier and mix. These headwinds were partially offset by manufacturing cost improvement programs and lower manufacturing functional costs. Turning to GAAP Operating Income and Margin, during the first quarter of 2026, they were 83.3 million and 31.9 percent. This compared to 28.7 million and 11 percent in the prior year period. While on an adjusted basis, our Q1 2026 Adjusted Operating Income and Margin totaled 79.3 million and 30.4%. This compared to 80.5 million and 30.7% in the prior year period. The small year-over-year decrease in adjusted operating income is primarily due to the decline in adjusted gross profit that I just mentioned, coupled with an increase in R&D expenses that is associated with a variety of projects underway at the company, including the development of market-appropriate pen needles and syringes, the development of a pen injector, as well as project costs associated with becoming cannula independent. This was partially offset by lower year-over-year SG&A expenses due to the restructuring initiative we announced mid-last fiscal year. Turning to the bottom line, gap net income and earnings per diluted share were $44.1 million and 74 cents during the first quarter of fiscal 2026, as compared to zero in the prior year period. While on an adjusted basis, during the first quarter of fiscal 2026, net income and earnings per share were $42.3 million and 71 cents, as compared to $38.3 million and 65 cents in the prior year period. The increase in year-over-year adjusted net income and diluted earnings per share is primarily due to a reduction in interest expense, as well as a lower year-over-year adjusted tax rate driven by tax planning activities. This was partially offset by the adjusted operating profit drivers I just discussed. Turning to the balance sheet and cash flow, During the first quarter of 2026, we generated approximately $17 million in free cash flow. Additionally, we repaid approximately $38 million of outstanding debt and further reduced our last 12 months net leverage level to approximately 2.8 times, as defined under our credit facility agreement, compared to our covenant requirement of below 4.75 times. That completes my prepared remarks on our first quarter 2026 results. Next, I would like to discuss our 2026 financial guidance and certain underlying assumptions. Beginning with revenue, on an adjusted constant currency basis, we are reaffirming our previously provided guidance range, which called for revenue to be flat to down 2% as compared to 2025 levels. Turning to our thoughts on FX, we are reaffirming our previously provided guidance which called for foreign currency to be a tailwind of approximately 1.2 percent during 2026. Likewise, we are reaffirming our previously provided guidance associated with the Italian payback measure of an estimated 0.1 percent year-over-year headwind. On a combined basis, our as-reported revenue guidance continues to call for a range of between negative 0.9 percent to positive 1.1 percent resulting in a revenue guide of between 1 billion 71 million and 1 billion 93 million as Deb previously mentioned we currently expect that we'll be closer to the lower end of that range turning to adjusted operating margin and adjusted diluted earnings per share we are also reaffirming those previously provided guidance ranges of of between 29% and 30% for adjusted operating margin, and for between $2.80 and $3 in terms of adjusted EPS. Like my comments regarding our expectations concerning revenue, we currently expect to be closer to the lower end of those ranges because of the incremental headwinds we are now anticipating within the U.S. during the first half of the year. to the balance sheet and cash flow, we continue to expect that during 2026, we will repay approximately $150 million in debt and that we will generate between $180 million and $200 million in free cash flow, although closer to the low end of that range. And finally, before I turn the call over to the operator, I'd like to highlight some considerations regarding the cadence of quarterly revenue expectations during 2026. Moving forward, we may not provide any further commentary concerning the quarterly cadence of revenue on an ongoing basis. During fiscal year 2025, we generated approximately 48 percent of our adjusted revenue dollars during the first half of the year and approximately 52 percent of our adjusted revenue dollars during the second half of the year. year. During fiscal year 2026, we previously expected a similar cadence of revenue performance. Currently, we expect to generate approximately 46% of our adjusted revenue dollars during the first half of the year and approximately 54% of our adjusted revenue dollars during the second half of the year. As compared to our initial expectations, the lower expected revenue in the first half is driven by customer mix, competitive intensity, and channel dynamics within our U.S. business. Meanwhile, we now expect the second half of the year to be better than previously expected due to a continuation of the strength of performance internationally. That completes my prepared remarks, and at this time, I would like to turn the call over to the operator for questions. Operator?

Thank you. If you'd like to ask a question, please press star 1-1. If your question has been answered and you'd like to remove yourself in the queue, please press star 1-1 again. One moment while we compile the Q&A roster. And our first question comes from Marie Thiebaud with BTIG. Your line is open.

Hi, good morning. This is Sam Wong for Marie. Thanks for taking the questions here, Dev and Jake. Maybe I can start on the quarter and maybe more of a deeper dive in terms of some of the dynamics we saw, whether it was distributor ordering, maybe what you're seeing in that U.S. business, you know, the pricing impact that you're now calling out, volumes, and then also maybe a piece on China in terms of the recovery in the back half that you're expecting.

Good morning, Sam. Good to speak with you this morning. So on U.S., you know, we saw a year-over-year decline, excluding CMA of about 7.4, and it was really driven by two factors. lower pricing and lower volume, but the lower volume was really channel dynamics and some contractual dynamics. On the pricing front, probably the single largest factor was a different customer and product mix than we had experienced in the same quarter last year that impacted sort of our net pricing. And on the volume side, we had channel dynamics that were partially offset by advanced purchase ahead of a price increase that we took on January 1st. That's really what was driven, that was driving the U.S. results. On China, as you remember, China last year was a significant step down for us in 25 versus 24 as we navigated, you know, the broader trade environment and geopolitical dynamics. And we put some initiatives in place in that business, including reorganizing our sales force, introducing a new pen needle over there that can go head to head with some of the local branded companies. And those initiatives are gaining traction. In this quarter, Q1, our performance in China was in line with our expectations for the quarter. Now, certainly as we go through the year, we are anticipating some recovery in the second half of the year. For the first half of the year, China will be a headwind as we look at our year-over-year performance, and then for the second half of the year, maybe less so. Jake, anything you'd like to

Ed? Yeah, Tim, I think if you just zoom out for a second, I think if you recall, I think our initial guidance for the first quarter revenue called for us to generate approximately 24% of our full year as reported revenue dollars during the first quarter. That would have equated to a range of somewhere between 257 and 262 million. So, you know, the quarter largely played out as we expected, coming in closer to the higher end of that previously provided revenue range. I think, importantly, volumes continue to be positive, particularly outside of the U.S. Volume strength in EMEA in Latin America really actually exceeded our internal expectations. To Dev's point, I think really the item that was a slight incremental headwind as compared to our initial guide was some of the pricing dynamics that occurred because of just the slightly different customer mix, if you will, and sort of as compared to our original thoughts. But absent that, the quarter played out from a revenue standpoint, as well as the rest of the P&L really, really pretty much largely as we expected. Yeah. Yeah. Very helpful. Appreciate

the details, guys. Maybe just a quick follow-up, Deb. You mentioned, you know, the new oral GLP ones that are starting to roll out at this point. Obviously, there's a place for injectables also. So maybe you can, you know, lay out, you know, what gives you or, you know, why injectables still have in place in this broader market with new orals, you know, now in place.

Absolutely, Sam. We remain super excited about the GLP-1 opportunity. Clearly, we've been following the development in the oral GLP-1 space, and I do want to note that the launches in calendar year 2026 were expected, and we had included assumptions for them when we calculated the $100 million-plus revenue opportunity. You know, based on the data we have, injectables have better weight loss profiles. And, you know, certainly according to the market research reports we've read and some press reports, it appears, and obviously this is early days, that the potential use cases for orals are, you know, for patients who might have an aversion to needles, orals, maybe in geographies where there is limited cold storage and transport facilities, and then finally maybe as maintenance therapies for people who want to get off injectables. It appears again that based on the early read on the prescriptions for the oral so far, that most of the patients who are using orals are new to the therapy, so it sort of points to market expansion. So this is all in line with what we had assumed. I also want to point out that, you know, certainly for the major drug companies that are in the GLP-1 space, you know, certainly we look at their pipelines, and most of the drugs that are in development in their pipelines themselves are all injectable drugs. And look, more recently, there has been some more incremental sort of positive traction for us in the GLP-1 opportunity. We read with interest that ZepBound in the U.S., which was an auto-injector, has gotten approval for a quick pen. Obviously, if that drug gets delivered via pen, patients are going to need pen needles. We have a strong position in the U.S., so certainly we'll do our best to capitalize on the opportunity. So for all those reasons, in spite of some of the recent press on oral GLPs, we remain very, very confident in the GLP-1 opportunity for us.

Makes sense. Thanks so much for taking the questions.

Thank you. And our next question comes from Travis Deed with Bank of America Securities. Your line is open.

Hey, this is Gratia on for Travis. I wanted to follow up maybe on the strength in the international market this quarter. You called out EMEA and Latin America. I just kind of wanted to see specifically any more color on what improved versus the outlook three months ago and gives you the confidence and visibility there that that strength continues throughout the rest of the year.

Yeah, look, in two words, it's just superior execution. I think particularly in Latin America, our team over there is driving growth. They have won a new customer over that's a large customer that's driving growth as well. So really, it's not one single factor, Gratia. I would point to just good execution by our team in those regions.

And then maybe just one follow-up on the pricing headwind. Any way to sort of quantify that incremental headwind that you're seeing and maybe what's baked in on the top end and the low end of the guide? in regards to that now since those dynamics have changed around.

Sure, Gracia. This is Jake. I think, you know, in our prepared remarks, we talked about how we think that we're going to be closer to the lower end of the revenue guidance range due to the incremental pricing headwinds. And if you recall, the original guidance that we had on the on the high end and the low end, you know, called for our contract manufacturing revenue year over year to be down about 50 basis points. That's really unchanged right now in terms of the current guide. You know, from a volume standpoint, you know, the high end of the guide called for volumes to be down about 50 basis points. The low end of the guide previously called for volumes to be down about 150 basis points. You know, right now, we actually think that volumes year over year, I think importantly, are coming in a little bit stronger, you know, there. And right now, the current guide calls for, you know, volumes to sort of be flattish year over year. And in large part, I would say, you know, relative stability in terms of the U.S. market for the full year and in terms of international, an improved outlook internationally as compared to the original guide. So I think volumes remaining, you know, stable now as compared to, say, you know, previously at the midpoint, we would have called for about a 1% headwind. In terms of new products, you know, the low end of the guide previously called for, you know, sort of flattish contribution from new products. The high end of the guide called for about 1% growth year over year coming from new products. And right now, I think the current guide, you know, calls for positive contribution of about 50 basis points. So essentially, you know, right now, sort of the new product contribution being around 50 basis points, sort of offsetting those contract manufacturing headwinds of about 50 basis points. you know, the core volumes being relatively flattish. And right now, just given some of the more recent pricing dynamics impacting the U.S. business, that's really what's causing us now to be closer to the lower end of our current guidance range. As compared to, you know, previously when we initially provided guidance, we thought that pricing was largely going to be

flat year-over-year. Great. Thank you. Thank you. As a reminder, to ask a question, please press star 11. Our next question comes from Ryan Schiller with Wolf Research. Your line is open.

Good morning. Thank you for taking my question. I want to click on the auto-injector project. Can you give us an idea of how long something like this takes and when this might put dollars on the board, and any comments on TAM or market sizing would be much appreciated.

Yeah, Ryan, first off, you know, it's the pen injector project that we have started. Look, we are in the early phases. I strongly believe we have the R&D capabilities, the manufacturing capabilities. We certainly develop the product, and given the relationships we've established now with generic drug companies, we certainly have the channel now to present that product. It's way too early for me to talk about timing and market sizing, but certainly as the project develops and evolves, we'll certainly be speaking more about that.

Thank you. And then just one more for me on the GLP-1 opportunity. So you sized this as $100 million revenue by 2033 at DMS Today. You know, the guide seems to include roughly $10 million for 2026. Can you put any finer points on what the penetration curve might look like to reach that $100 million of revenue?

Yeah, so maybe just to sort of remind everybody what was included in that $100 million, right? So what we did when we calculated that is obviously we had an estimate for number of patients on GLP-1s. We reduced that by an estimate for how many patients would be on oral, even though the current indications while early days are that orals are expanding the market rather than pulling patients away from injectables. We only looked at obesity and diabetes indications. We did not factor in other indications that we know pharma companies are pursuing. We factored in only reimbursement as was available then almost a year ago. Clearly reimbursement has expanded, prices have come down. And then finally, in the assumptions that we made, we assumed that the delivery format that was in place then would remain sort of static. Particularly in the U.S., Munjaro and ZEP-bound pens would continue to be available only in auto-injector all through this period. but as I noted earlier, you know, we read with interest that Lilly does have FDA approval for their QuickPen, and I believe has commented that they expect to be launching this in the coming weeks or so. So all of these are potential upsides to the 100 million. In addition, we recently started discussions with branded pharma companies for drugs in development where they may need a pen needle for their drugs. That's not included in their estimate as well. So all these reasons give us confidence that the 100 million plus opportunity is still real. And over the past nine months, since we spoke about it publicly, our confidence has only increased. With respect to timing, most of the timing is going to be driven by patent expirations. So in 2026, we and our partners continue to expect that China, India, Brazil, Canada might see generic launches. I mentioned in my remarks that India, couple companies have already gotten approval and have talked publicly about launching generic semaglutide in 2026. Canada, you know, still expected to get approval sometime this year. In China, our companies are working with local Chinese companies that are interested in launching generic GLP-1s. So I would say that the ramp up to that 100 million plus is going to be driven largely by patent expirations because certainly the majority of companies that want to launch generic semaglutide in any region of the world are in discussions with us either at the corporate level or with our local teams.

Thank you. This concludes our question and answer session. I'd like to turn the call back over to Dev Kurtiker for closing remarks.

As we close the call, I want to thank my colleagues across MBECTA for their continued focus and execution. We are operating in an environment marked by heightened competition and an evolving geopolitical and trade backdrop, and the team continues to respond with discipline and resilience. As we move through fiscal year 2026, our priorities remain clear. We are focused on our goals of strengthening our core franchise, advancing our targeted growth initiatives, and maintaining strong profitability and cash flow to support the strategic commitments we outlined at our Analyst and Invest today. Thank you for joining us today and for your continued interest in Imbecta.

Thank you for your participation. You may now disconnect. Everyone, have a great day.