Good afternoon, everyone, and thank you for joining us for Aytu BioPharma's Fiscal 2024 First Quarter Financial Results Conference Call for the period ended September 30, 2023. Joining us on today's call is Aytu’s CEO, Josh Disbrow, and the company's Chief Financial Officer, Mark Oki. At the conclusion of today's prepared remarks, we'll open the call for question-and-answer session. I'd like to remind everyone that today's call is being recorded. A replay of today's call will be available by using the telephone numbers and conference ID provided in the earnings press release issued earlier today. Finally, I'd also like to call your attention to the customary safe Harvard disclosure regarding forward-looking information. The conference call today will contain certain forward-looking statements, including statements regarding the goals, strategies, beliefs, expectations, and future potential operating results of Aytu BioPharma. Although management believes these statements are reasonable based on estimates, assumptions, and projections as of today, these statements are not guarantees of future performance. Time sensitive information may no longer be accurate at the time of any telephonic or webcast replay. Actual results may differ materially as a result of risks, uncertainties, and other factors including but not limited to, the factors set forth in the company's filings with the SEC. Aytu undertakes no obligation to update or revise any of these forward-looking statements. With that said, I'd like to turn the event over to Josh Disbrow, Chief Executive Officer of Aytu BioPharma. Josh, please proceed.

Thank you, Roger, and thanks, everyone for joining us. I'm once again excited to be speaking with you today following yet another quarter that showed positive results from the initiatives we've undertaken in position Aytu. It's a specialty pharmaceutical company focused on commercializing novel therapeutics, and it's continuing proof that we're clearly executing on our plan. I'm thrilled with the team's progress across the board, and I believe we've put ourselves in the best position we've ever been in as a company. I'm happy to share that this was our second consecutive quarter of company-wide positive adjusted EBITDA, and the fifth out of the last six quarters of positive adjusted EBITDA for our Rx segment, which is where our focus is now and going forward. The deliberate strategic plan we undertook to place the company on a financial pathway to sustainability started initially about a year ago when we indefinitely suspended our clinical programs to minimize R&D expenses until such time that we can fund those efforts either with internally generated cash flow or through a strategic partnership. It then continued in June of this year when we announced that we would focus our commercial efforts exclusively on our growing and positive adjusted EBITDA Rx segment. We did this while de-emphasizing our consumer health segment and winding down those unprofitable operations and potentially monetizing it. As we progress along this path, our Rx segment composed of our ADHD and pediatric products becomes the go-forward business. We are laser-focused on growing prescriptions, increasing Rx revenue and driving EBITDA and cashflow. Positive EBITDA is our calling card, and we're executing on that front. Further, we're growing prescriptions while also reducing OpEx, which we've done. This is all part of our measured plan, and I'm proud of our results. During the first quarter,…

Thank you, Josh, and welcome to everyone joining us on this call. Let's take a closer look at the financials starting with revenue. Net revenue for the first quarter of fiscal 2024 was $22.1 million down compared to the 2023 first quarter of $27.7 million, and directionally where we expected to see revenue given the wind down of the Consumer Health segment and the corresponding revenue decline associated with that. Looking at the segment contributions, net revenue from Rx product sales in the 2024 fiscal first quarter was $17.8 million compared to $18.7 million in the same quarter last year. Our ADHD products logged a 31% net revenue growth to $15.1 million in the 2024 first quarter against $11.6 million in last year's light quarter. This continued ADHD sale gains reflected consistent sales force execution, the implementation of numerous commercial strategies, and market share gains related to the ongoing manufacturing and supply issues at large providers of ADHD products. Our quarterly ADHD written prescriptions were up 20% year-over-year and provide a bit of insight into our short-term future revenues. Moving on to our prescription pediatric portfolio, which experienced a 61% decrease in net revenue to $2.61 million in our 2024 fiscal first quarter compared to $6.6 million in 2023. As Josh previously noted, this decline resulted largely from timing-related ordering of our prescription multivitamins following a pair change. If we normalize pediatric revenue to reflect actual prescription demand once the supply chain slack realigns to prescription demand, pediatric Rx driven demand revenue would have been in the $4.4 million range, with a corresponding increase to adjusted EBITDA of approximately $1.5 million. We are confident that we will be able to return these multivitamin products to growth trends over the next few quarters. And again, even in the face, this time-based…

Thanks, Mark. Let me just conclude where I started. I'm pleased with the results generated following the initiatives we have undertaken to position Aytu as a growing specialty pharmaceutical company focused on commercializing our novel therapeutics and providing patients with a much improved access experience. We are executing and I'm proud of the work the entire team has done to get us into this strong position. Our ADHD revenue, which represents the substantial majority of our go-forward business, was up 31% and was driven by the commercial team's strong execution and our ability to effectively leverage our innovative Aytu RxConnect platform. We have some work to do to fully address the impact from the payers surrounding pediatrics and we're addressing it in real time. But as PEDS represents a relatively small component of our overall business and had a comparatively small impact on our overall business, particularly when you put the revenue decline in context around order timing and the normalization as we've spoken to. And again, even with that order timing issue and the corresponding revenue impact, we've reported our second consecutive quarter of company-wide positive adjusted EBITDA. And again, the fifth of the last six quarters of positive adjusted EBITDA specifically for our Rx segment. With 20 million in cash on the balance sheet, initiatives in place to drive script growth and continuing improvement in our gross margin and OpEx and you couple that with a wind down of our consumer product segment that's happening now, I believe the profile of Aytu is becoming increasingly attractive to investors. I mentioned this last quarter, but it bears repeating. I understand the path here at Aytu has not always been straight, as it's not for almost every company. And not every quarter is going to set records, but in the long run, and as we execute on all the initiatives we've described, we will position Aytu as a strong operating company that drives meaningful cash flow. To that end, our focus and our objectives are clear, and we believe that there's a great opportunity going forward to drive shareholder value. We're laser-focused on that. I appreciate everyone's support and commitment to the future of Aytu and I thank you for your time today. With that, I'll be happy to answer any questions.

Thank you. At this time, we will be conducting a question-and-answer session. [Operator Instructions] The first question comes from Naz Rahman with Maxim Group. Please proceed.

Hi, everyone. Thanks for taking my question and congrats on all the progress. I actually have several questions if you don't mind. So first, I just want to start on the pediatric business, the multivitamin business specifically. Obviously, you said that you have the one-time impact due to payer changes, and you expect to return to growth. But when you return to growth, do you expect to return to like the same level of sales you were previously seeing like in the $6 million, $7 million range? Or do you just expect to return a growth from these levels?

TBD now is, but I would say generally speaking, I'm optimistic about at some point in the future being able to get back to where we were. And as I mentioned, sometimes when one payer change happens to the negative, you can get a positive on the other and we did see some improvement in an area outside of kind of our traditional footprints, so to speak, and that's starting to pay some dividends. So I'd like to think, and I think we collectively believe we can kind of get back to those historical levels, maybe not immediately, maybe not in the next quarter or two, but I think over the long term, yeah, I think we can get back to that being kind of in that range. It's not going to maybe be, again, in an immediate context, but pretty optimistic that we can grow our way through it. I mean, look, I mean, fiscal ‘23, which for us ended back in June, was a significant growth year. And so even with this sort of drawback, so to speak, I mean, we're comfortably kind of at fiscal ‘22 levels. And so again, how quickly do we get back to those levels? We need to continue to work through some things. And again never sort of a straight line. These changes, while you don't necessarily anticipate them in real time, you anticipate them in general. And the team really has done a good job putting a lot of things in place to get us back to growth. So I'm optimistic that in the long run, yeah, we can get back to those types of levels.

Thanks. That was very helpful. Now on the ADHD, I actually have several questions here if you don't mind. The first thing is on a high level, you talked about your script growth. Could you provide some more color and commentary on your prescriber growth? How much are you seeing additional prescriber growth versus just increase in scripts written per prescribers?

We're seeing both, Nas, which is great, a real sign of health across the business. We're seeing new prescribers come in at higher levels. I mean, that really started, essentially earlier part of this calendar year, really actually at the beginning of the calendar year, we saw a significant uptick in the number of prescribers and we're seeing those prescribers increase their prescribing as they get more comfortable and then we are seeing existing prescribers go broader as well as not just in response to the shortages but as they're getting more comfortable with RxConnect and the conveniences that offers. So we're really -- it's great to see it's a combination of both which is really what you want to see. So yeah, it's and I don't necessarily quantify it other than to say it's sort of healthy, healthy parts, not necessarily equal parts, but healthy parts, sort of both components of going deeper within the current prescribers and then, of course expanding into new prescribers. And that applies to areas where we have sales representation within our footprint as well as in areas outside of our footprint, which is encouraging to see that prescribers are finding their way towards Adzenys, Cotempla irrespective of any direct contact and that's by virtue of some of the indirect non-personal things that we're doing to bring in prescribers outside of our established geographies.

Got it. That was very helpful. So due to the shortages, relatively recently, there were members of Congress that were, like, inquiring or investigating both the DEA and the FDA regarding the shortages. I believe the FDA and the DEA released a joint letter that they found or stated that manufacturers only sold 70% of their allocated quota and there was about a billion of additional authorized doses that were in produced or shipped. Do you have any comments or thoughts around what's going on here in terms of these inquiries and what also like shields Aytu from these issues or does it?

So yeah, a lot to unpack there, Naz, and I appreciate the question. You're exactly right. There's been a significant amount of scrutiny to both the FDA as well as the DEA around this issue. And what I'll tell you is the other companies that we've spoken to do not have any excess quota. They're not sitting on any excess quota. There may be some manufacturers that are not being forthcoming, but I can tell you, as it relates specifically to us at Aytu, we're using every bit of quota that we request. We're obviously going back and getting incremental requests for additional quota, and we've been successful in getting that. So we're using every single bit that we can get allocated to us. And really the genesis of it is pretty straightforward from my perspective, Nas. This is obviously a critical need. These are -- and it is members of Congress, as well as now some of the government agencies that are obviously getting very frustrated with the fact that they don't have access to these needed treatments. And so it's cut into a point where it is of sort of national interest and has gotten to Capitol Hill. I've been fortunate enough to have conversations with some staff members, some various members of Congress, getting our perspective on various aspects as it relates to the shortages and things that we could potentially do. And look, I'm happy to say that we're doing our part in producing every bit of Adzenys and Cotempla that we can and we are able to meet the demand. We've been very adept at going back and getting incremental quota. It's a very extensive process. There's a high level of data scrutiny that the DEA applies. We've been able to obviously satisfy their request to demonstrate that the products are going into the retail or into our distribution network in terms of filling actual demand. And we'll continue to do that, demonstrate that demand is increasing. Obviously the need for additional API quota increases along with that. Again, we've been successful in being able to consistently increase our supply and get more quota for the DEA. But again, it doesn't seem to be lighting up anytime soon, which we expect to be to our benefit as we're able to step in and fill some of these gaps.

Thanks for the thoughtful and comprehensive response on that one. And just one last question on the ADHD business. Have you seen a material impact in the generic [indiscernible] entrance or do you think it could materially impact Aytu going forward?

That's a good question, Nas, and not really. I mean, obviously it is a stimulant and it was the leading brand until such time as it went off patent. And we are certainly seeing a material impact from those generics, but it's of course cannibalizing that [indiscernible] business. And might it present an opportunity for us? It could in similar ways as the Adderall generics. They sort of create confusion within the channel, patients get switched from one generic to another, there may be sort of PBM impacts in terms of which one is contracted versus which one is not. So there could be some noise sort of around that. Anything that sort of comes from that would be upside, not necessarily anything that we specifically model in terms of us being able to take advantage or take some of that share. What it does sort of further emphasize though is just the overall issue that exists in the ADHD category, which is there's inherent variability across multiple perspectives. There may be clinical response variability if you're talking about one generic versus another, specifically as it relates to mixed salts or Adderall generics. But there's also variability in the context of, what they're going to pay at the pharmacy counter. And so irrespective of sort of what goes generic and when, the inherent variability in terms of just patient experience, in terms of what they're going to get, how much of it they can get, whether they can actually get it filled this month or they have to wait, several days or even weeks to track it down somewhere across town. And when they get it, how much they're going to pay for it. And ultimately, when they're taking it, how they're going to feel. Because if you are taking one generic versus another, patients and physicians sort of universally acknowledge that the responses might be different. And so it is just another example of why you need something like RxConnect, why you want to have a brand prescribed because of the inherent predictability that all of that affords these patients. So we're keeping an eye on the [indiscernible] situation and ultimately we're going to win out by virtue of the fact that all of these products have their own sort of challenges, whether they be clinical, economic, or both.

Got it. Thank you. Thanks for answering my questions and congrats on the progress.

Thanks, Nas.

[Operator Instructions]

Operator, while you're polling I'm going to just jump in and I'll ask Josh a question or two. Say Josh, obviously you showed some very strong ADHD script growth this quarter again. How much of the 28% script growth do you think is category growth versus market share gains?

It's a good chunk of sort of share growth, particularly -- and it depends on the month because the market grows at different rates throughout the year and actually declines during the summer, as folks likely know. But there's a good chunk of our prescription growth that is coming from gobbling up patients that otherwise would have been on Adderall XR or other stimulants, and you see some of that with Cotempla as well. And so, but even if we just kept up with category growth, that's sizable. These prescription categories continue to demonstrate strong year-over-year growth. It's not the growth that we saw, say, coming out of the pandemic, but this category has consistently grown as obviously the diagnoses of ADHD continue to go up. But I'm happy to see that some, in particularly in some territories and some geographies, we've really grabbed sort of outsized share from what we had, say, prior to the shortages. So there's good growth from both perspectives. And again, even if you just took growing kind of with the market, that's going to be really solid growth. But we're always striving, obviously, to grow beyond what the market growth rate is. And we're seeing that in various circumstances, depending on, again, the time points that you look at.

Got it. Josh, also during your prior comments, you spoke about the pass approvals for both Adzenys and Cotempla that you received from the FDA. Do you have a specific timeline for the ramp up of the contract manufacturing? And on the other side, the eventual exit from your Grand Prairie facility?

Yeah. So the ramp up, Roger, is really, it's happening now. Given the fact that we had at Adzenys, the PAS approved early in the year and just got the Cotempla PAS approved, the manufacturer has purchase orders in hand, is beginning the process of scaling up manufacturing. Those deals again are being sort of acted on and we're happy to see that. We do have said almost by definition we'll be out of Grand Prairie sort of by the end of next year. The lease expires at the end of calendar ‘24, and so certainly no later than that we would expect. And really the process will be essentially kind of a seesaw as we're producing, as we're increasing production levels at the CMO, we'll be decreasing production levels in Grand Prairie, Texas. But there will be a caveat to that, which is we need to make sure we don't do anything to interrupt supply. And so we're going to continue to build inventory in Texas, while the CMO is building their inventory. That will create some noisiness in the P&L, specifically as it relates to gross margin. You're not going to see an immediate step down in COGS, for example, because we're going to have to build supply really on both sides. But generally expecting to be sort of fully exited by, kind of summer and into the fall, and then again, definitely out as it relates to the lease expiry, at the end of next calendar year. Everything's going very well. It really has gone according to plan. If we look at sort of how we cast things about a year ago, it's really on the same timeline that we had sort of presupposed back then, finishing sort of on budget. And so we're excited about the progress we're making there as we exit and obviously difficult to part ways with some of these longtime colleagues that have been working at the facility there for years but we've implemented a really good communication plan I think we've been forthright along the way everybody's had a good heads up in terms of what the timing for their end of employment will be and so we've got some of that some of that's already occurred something that's coming up here shortly And then some of the separations will happen a little bit further down the road as we sort of fully start to exit the facility and close the doors.

Got it, Well, Josh, thank you. Let me turn it back to the operator. Operator, any additional Q&A?

We have no further questions in queue. I'd like to turn the call back to management for any closing remarks.

Great, thank you, John. Well, let me just say again, thanks to everyone for your time on the call today. Thanks for your interest in Aytu BioPharma. We are very, very pleased with the progress we've made to date or excited about where we're going. Really, my hats off to the entire team at Aytu, a lot has gone on to enable this transformation. It's still underway. As I mentioned, it's not always a straight line, but we continue to really demonstrate solid progress across all of the initiatives that we've undertaken. Really proud of the growth that we're seeing, particularly as it relates to the ADHD brands. And we're really optimistic about how we're positioned here as we move forward. So until next time, thanks very much for your time. Thanks for your interest in Aytu BioPharma and have a good rest of the afternoon or evening. Thank you.

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