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Becton, Dickinson and Company (BDX)

Q3 2023 Earnings Call· Thu, Aug 3, 2023

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Transcript

Operator

Operator

Hello, and welcome to BD’s Third Fiscal Quarter of 2023 Earnings Call. At the request of BD, today’s call is being recorded. And will be available for replay on BD’s Investor Relations website, investors.bd.com or by phone at 800-695-1564 for domestic calls and area code 402-530-9025 for international calls. Today’s call all parties have been placed in a listen-only mode until the question-and-answer session. I will now turn the call over to Francesca DeMartino, Senior Vice President, Investor Relations. Please go ahead.

Francesca DeMartino

Management

Good morning, and welcome to BD’s earnings call. I’m Francesca DeMartino, Senior Vice President and Head of Investor Relations. On behalf of the BD team, thank you for joining us. This call is being made available via audio webcast at bd.com. Earlier this morning, BD released its results for the third quarter of fiscal 2023. We also posted an earnings presentation that provides additional details on our business, strategy and performance. The press release and presentation can be accessed on the IR website at investors.bd.com. Leading today’s call are Tom Polen, BD’s Chairman, Chief Executive Officer and President; and Chris DelOrefice, Executive Vice President and Chief Financial Officer. Tom will provide highlights of our performance and the continued execution of our BD 2025 strategy. Chris will then provide additional details on our Q3 financial performance and our updated guidance for fiscal 2023. Following the prepared remarks, Tom and Chris will be joined for Q&A by our segment presidents, Mike Garrison, President of the Medical segment; Dave Hickey, President of the Life Sciences segment; and Rick Byrd, President of the Interventional segment. Before we get started, I want to remind you that we will be making forward-looking statements. I encourage you to read the disclaimer in our earnings release and the disclosures in our SEC filings, which are both available on the IR website. Unless otherwise specified, all comparisons will be on a year-over-year basis versus the relevant period. Revenue percentage changes are on an FX-neutral basis, unless otherwise noted. When we refer to any given period, we are referring to the fiscal period unless we specifically noted as a calendar period. I would also call your attention to the basis of presentation slide, which defines terms such as base revenues and the non-GAAP reconciliations included in the appendix. With that, I am very pleased to turn it over to Tom.

Tom Polen

Management

Thanks, Francesca, and good morning, everyone, and thank you for joining us. Earlier today, we reported another consecutive quarter of broad-based strong financial performance and significant progress advancing our innovation pipeline. Before we detail our quarterly performance, I want to highlight the 510(k) clearance we received on July 21 from the FDA for the updated BD Alaris Infusion System. This has been our number one priority since launching BD 2025, and we’re pleased to deliver this important milestone. For more than 20 years, infusion pumps have represented the backbone of hospital operations. Over that time, Alaris was the first product that connected all patient modules into one integrated system and the first platform to introduce medication safety software, which led the way to interoperability with electronic medical records. And later with the launch of BD HealthSight, Alaris again led the way with integration into the full suite of BD end-to-end connected medication management solutions from the pharmacy to the administration of drugs at the patient’s bedside. Today, the Alaris system continues to advance new levels of innovation with enhanced cybersecurity protection, the latest wireless capabilities and new features that enable various aspects of medication management and ultimately help clinicians deliver the best care. In short, we’re proud of the Alaris Power of One that makes medication management safer, simpler and smarter. With this clearance, we address all open recalls with the latest hardware and a new version of software as well as provide important cybersecurity updates. We can now focus on bringing the updated system to the market, ensuring our installed base is upgraded so customers can realize the full benefits of our latest technology. As we return to market, we will start with upgrading or replacing the hardware and software of Alaris system devices in the U.S. market with…

Chris DelOrefice

Management

Thanks, Tom. Echoing Tom’s comments, our BD 2025 strategy is driving consistent performance in an outsized growth profile. We are advancing our innovation pipeline and delivering against our revenue, margin, and EPS goals. We’re also making progress strengthening our balance sheet with lower inventory and net leverage, consistent with the commitments we made. With strong year-to-date results, we are well on track to achieve our updated FY 2023 guidance. And with the addition of Alaris return to market, we are increasingly confident in achieving our BD 2025 long-term targets of 5.5% plus organic revenue growth and double-digit adjusted EPS growth. Beginning with some color on our revenue performance. We delivered strong Q3 base revenue growth of 7.9% or 6.3% organic. Base organic growth includes growing over prior year respiratory testing sales which negatively impacted base growth by approximately 100 basis points. Additionally, our tuck-in acquisition strategy continues to enable profitable growth with organic growth from acquisitions that have anniversaried contributing about 40 basis points in the quarter and are expected to contribute 50 basis points for the full year. COVID-only testing revenues were $8 million in the quarter, which as expected, declined from $76 million last year. Revenue growth was strong across BD Medical and BD Interventional with growth of 12.2% and 8.1%, respectively. As expected, BD Life Sciences revenues declined due to lower COVID-only testing revenues compared to the prior year. Life Sciences base revenues, which exclude COVID-only testing, were about flat, given the comparison to prior year respiratory testing sales that negatively impacted base growth by about 400 basis points. On an underlying basis, Life Sciences base revenues grew approximately 4%. Total company base revenue growth was strong across all regions with high single-digit growth in the U.S. and internationally, including strong double-digit growth in China. Strong performance…

Operator

Operator

[Operator Instructions] We’ll go ahead and take our first question from Vijay Kumar with Evercore ISI. Please go ahead.

Vijay Kumar

Analyst

Hey guys, thanks for taking my question and congrats on a good execution here. Tom, maybe my first question here on Alaris. I think you mentioned 50 basis points contribution to growth in fiscal 2024. That would imply, I think total Alaris revenues of $200 million. Can you talk about – is there any supply chain constraints in terms of delivering pumps for next year? My understanding, yes, the markets hasn’t undergone a replacement cycle in three years. So why are we assuming a modest Alaris contribution or ramp in fiscal 2024?

Tom Polen

Management

Hey, Vijay, good morning and thanks for the recognition of a strong quarter by the team. Just as we get into Alaris, I just want to take a moment and just reiterate some comments that I made on the prepared remarks, which was to thank our team for the efforts to get it here. This is obviously a tremendous milestone. It’s been our number one priority since we kicked off BD 2025. I also want to thank our customers for sticking with us through this process. On your question – so first, I think it’s important, let’s keep it in perspective, we’re two weeks post clearance, right? And our teams have been heads down reaching out to our customers, getting our service organization trained on the new pump. We’re pleased that we’ve contacted the vast majority of our customers, and the feedback is positive. At this time, I think the number that we’ve shared is the prudent number. We’ve always said it’s going to be a ramp over time and that we will get back to the $400 million we expect, but that will be ramping over time. And at this point, two weeks into the process, we see that number as appropriate. We have done some pre-buys on materials coming into clearance. We’re obviously continuing to do that. But we are scaling up to an unprecedented level as we think about also splitting componentry between people purchasing as well as remediating pumps. So we keep that in mind. That’s a process and as it continues to evolve, we’ll continue to provide updates. I don’t know if there’s any other feedback to that here in the room.

Mike Garrison

Analyst

Thanks, Vijay, for the question. And this is Mike Garrison. And there are no near-term supply chain constraints. We were able to secure componentry. We are scaling up manufacturing, as Tom mentioned, from our current run rate up to what we look to supply the entire market. And that will take a little bit of time. We want to make sure that we train people effectively get all the componentry in place and get the cells working the right way, but there’s no supply chain constraints at this time.

Vijay Kumar

Analyst

That’s helpful comment. And then maybe one more on – and I think you mentioned biotech as being a tailwind. How should we think about GLP-1 opportunities within your pharma portfolio? I think some of your tools peers have made cautious comments on biopharma spending. Is that a cause for concern here in Biosciences? Thank you.

Tom Polen

Management

Yes. Great question. Obviously, so I’ll break that into two questions. On the biopharma side and Dave can comment further. Obviously, you saw very strong growth out of our Biosciences business. I think that the pace of innovation that we’re driving in that business across instrumentation and reagents as well as just the customer base being perhaps more research-focused and large pharma focused then dependent upon the smaller biotech funding that you’re seeing impact from other companies. We’re seeing strong durability in our performance within the Biosciences business. When it comes to specific drug categories, obviously, you saw another phenomenal quarter out of Pharma Systems in Q3. We feel really good about the continued momentum of that business. We don’t – all of our customers there, it’s a confidential relationships between us and our customers, so we don’t comment on any specific molecules or individual customers. But obviously, the capacity that we’ve been adding, and as we’ve said before, we have five to six extra capacity of the nearest competitor in that space. As there’s large molecules coming to market, of course, our capacity position is an advantage, and we have discussions with customers around that. So we can’t comment on any specific one, but we’re certainly in a very good position to serve very large, fast-growing markets. Dave you have comments on Biosciences?

Dave Hickey

Analyst

Yes. Just – hey Vijay, specifically on Biosciences and just – I mean, obviously, it was another strong quarter for us 7%, and we’re seeing good continued growth in life science research and clinical, specifically on biotech biopharma. We have the advantage that for our own bioscience business, we’ve got a very broad range of customer segments, right? So academic research, biotech, of course, pharmas, CROs, hospitals. So we’re not necessarily dependent upon just one or two few customer types. And then given where our specific solutions are used in pharma, biopharma primarily used for discovery and translational research and then clinical studies for those new molecules. So it’s very much earlier in the discovery process and those types of companies still need to do that work so that they can identify those molecules for their own future growth. So I think given where we apply, we’re not seeing as much impact.

Vijay Kumar

Analyst

Thanks guys.

Tom Polen

Management

Hey thanks for the question, Vijay.

Operator

Operator

Thank you. We’ll take our next question from Larry Biegelsen with Wells Fargo. Please go ahead.

Larry Biegelsen

Analyst · Wells Fargo. Please go ahead.

Good morning. Thanks for taking the question and congrats on the clearance of Alaris. I do want to focus on Alaris. And Tom – and team, I’ll ask a multipart question here and just one upfront. So the remediation and replacement plan, Tom, can you talk about the cost and time line there? And is FDA going to allow you? When is FDA going to allow you to commercialize above the $100 million in medical necessity. Is there kind of a gating factor here? And how should we think about the pent-up demand, Tom? Do you think that at some point – I mean it’s about $1 billion in backlog. Do you think at some point, you’ll exceed $400 million per year to exhaust that backlog? And just lastly, when you remove Alaris from the market or put it on ship hold – I’m sorry, you reduced EPS by about $0.70 for two-thirds of the year. So when can investors expect to get back, what they lost in the earnings here? Thank you.

Tom Polen

Management

Hi Larry, great set of questions. So, I’ll start and I’ll turn it over to Mike. So when it comes to remediation and CMN, so first off, the 510(k) fully replaces the CMN process. So the CMN process essentially ended and the 510(k) clearance replaces that program. As we think about moving forward in terms of remediation, of course, our focus is prioritizing existing customers to update or replace existing devices to the cleared version. That’s our number one priority now with clearance, and that’s the focus of our efforts is within our existing customer base. To your point, there is a lot of pent-up demand as people have aged fleets. And that is also one of that among our existing customers, those with older pumps are our top priority to get those upgraded or replaced to the current cleared version. So that’s how we view that. And then as we think about EPS, of course, we’ve been driving a very strong growth profile. And in our BD 2025 strategy and Chris can add in further here. In our BD 2025 strategy, we had included the relaunch of Alaris in that. That was very clear at the time. As we set bold margin goals to reach and later updated those goals and increase them to 25% operating margin by 2025. We’re obviously very much on track to that goal. And as we think about the EPS and the margin impact, which was about 80 bps, if you recall at the time, right, that’s coming back in and will continue to come back in, in line with the strategy that we’ve put out. So maybe we start with Chris, anything to add there on the margin side? Alaris is a good question. And then, Mike, if anything to add on the remediation pent-up demand.

Chris DelOrefice

Management

Yes. I think on the margin side, Tom, you covered it well. There was the 80 basis points that we talked about that was historic. Obviously, a lot’s changed since then, including moving into an inflationary environment. And as you’ve seen from our performance, we’ve been taking a lot of actions in our business to drive margin improvement across the board. But that 80 points will certainly come back. It was always part of our 2025 by 2025 [ph] goals. You should really see that more scale as we’re going to be going through kind of think of a ramp period with Alaris. And certainly, even as you think of the front end around margin, right? One, these are dilutive to GP in terms of the BD level, right? So just keep that in mind. And there’s going to be investments that we need to make that are incremental above and beyond the investments that we retain. First of all, you do have some variable items such as shipping, communication materials, marketing, customer service, ramp up, all of that. Additionally, in the short term that there’s going to be added things. What we’re trying to do as we get back. So certainly, it’s going to be a contributor. And I would point to our FY 2024, which is obviously preliminary. We’re looking at all the market factors that are out there and geopolitical dynamics, et cetera, but we wanted to be prudent and provide some perspective on the momentum we have on 2024 and where we’re heading. But you’ll notice we committed to around 10% EPS growth, which includes absorbing the divestiture and the further headwinds in terms of COVID-only revenues dropping. So it actually implies a base earnings growth above 11%. Some of that is, of course, the momentum we have in our base business, the margin Alaris. So, I think collectively, you see us getting to those goals and the Alaris margin is certainly part of that.

Larry Biegelsen

Analyst · Wells Fargo. Please go ahead.

Thanks you so much guys.

Mike Garrison

Analyst · Wells Fargo. Please go ahead.

The only thing I’d add, Larry, and thanks for the question. As we are cleared to market BD Alaris system in the United States. It feels really, really good. To say that after three and a half years, and we’re also really thankful to our customers that throughout this whole process and through a pandemic and through all the challenges they face, they’ve demonstrated their preference for the Alaris system. And so that is our focus. And a priority, first and foremost, is to take care of them and make sure that improvements that are in the cleared product get to them first. So that’s going to be the focus there. It is – we do have the largest fleet in the field. So the size and breadth sort of extends the time line. It’s just going to take a fair amount of time to get through everything. But we’re looking to do that as expeditiously as possible and scale up manufacturing to sort of meet that need. And then we also noticed during COVID that interoperability was a real benefit where nursing and nursing staff didn’t have to spend as much time manually programming the pumps at the bed side. They were able to utilize the interoperability to interface with the electronic medical record that has some time line from an implementation standpoint, it takes a little bit longer to implement to get those advantages. We think there’s going to be some increased demand for interoperability from the field, and that may sort of extend implementation times a little bit. So that’s another factor to think about as we’re doing this upgrade and replacement.

Tom Polen

Management

Maybe just one last one to add on to Mike’s good comment, so it’s great to be back. Obviously, we’re focused on prioritizing our existing customers and replacing existing devices to the cleared version with a big focus on the older systems. But the other big thing that this allows us to do beyond servicing our customers and helping them refresh their fleets and make sure they have the cleared technology, the most modern technology with all the incremental benefits and upgrades that are in this version, which are fantastic is that we can continue now. We have a basis by which to innovate upon. And that’s a big deal, right? We’ve had a great track record of being first in a number of areas in infusion, right? We were the first company with fully integrated system. We still are the only company and will be with one system approach, right? One interface, much easier for clinicians. We led the way with guardrails with interoperability. Now we have the most advanced wireless cybersecurity on the latest pump, the most modern that’s available. And as we think going ahead, we see other innovations that we already have plan to build upon this, which will continue to add value to our customers. And we already have planned a cadence of additional 510(k)s going forward. And that’s a big deal. Of course, we also have and we’re the first company, and they’re the only company who have integrated pumps beyond being stand-alone devices, but making them part of improving the overall medication management ecosystem, right, with Alaris and our software in the pharmacy. And that has been something that customers have significantly valued. It’s one of the reasons that, as Mike mentioned, most Alaris customers have stuck with us over this time because of all the value that I described. We’re going to now be able to continue to add to that and continue to advance our innovation leadership built upon this 510(k). And so our teams are really excited about that and our R&D teams are already on working on what’s next. So thanks for the question, Larry.

Larry Biegelsen

Analyst · Wells Fargo. Please go ahead.

Thank you.

Operator

Operator

Thank you. We’ll take our next question from Robbie Marcus with JPMorgan.

Robbie Marcus

Analyst · JPMorgan.

Great. Thanks for the questions and congrats on a nice quarter. Maybe a follow-up on Larry’s question. A lot of analysts across the street were thinking about how big of a backlog there could be in the market. You were doing about $400 million in run rate Alaris sales pre recall. There’s been a couple of years where there just hasn’t been enough replacement in the market. I’ve seen estimates anywhere from a few $100 million all the way up to $1 billion. So to help level set people. Is there any number you could put around what you think could have been sold during that time if normal replacement happened, but didn’t? And how to think about how quickly that can come back into extra sales to replace the fleets out there?

Tom Polen

Management

Robbie, good question, and I appreciate the recognition of the team. Yes. At this point, again, we’re two weeks into clearance. And I think what we’ve shared in the preliminary outlook for 2024 is what we think is a prudent number to share today. As we continue to advance, we’ll continue to update that. I think it’s also important to recognize that there was – the last couple of years have not been normal years by any means, there’s been a global pandemic and a lot going on in the healthcare system. We also had placed quite a large number of pumps during the global pandemic because Alaris is such a trusted and essential part of delivering healthcare, it was needed in much more significant levels than it has ever been needed before. And so a number of customers added into their fleets at that point in time. So we’re going to get a better sense as we continue beyond the two week period, we get in further periods, get into the months and we’ll continue to update as that moves. Maybe Chris, any other comments to add there? Mike?

Chris DelOrefice

Management

Well, I mean, I think you answered it well. I mean I just – I think what you talked about is there’s the Alaris benefit that gives us a natural glide path to continue to build on momentum we’ve had the past two years, first two years of our BD 2025 strategy. You could see what we put forth in 2024, and we’re talking about base growth of around 6% now, which is I think, an exciting commitment at this juncture. And certainly, it will be a catalyst going forward. And I think beyond to Tom’s point, Alaris in itself, but really capitalizing on the full value proposition of our Medical segment.

Robbie Marcus

Analyst · JPMorgan.

Great. And sorry, but one more Alaris question. In the approval, you talked about that there – some of the pumps out there would have to be replaced and some would have to be remediated. Can you maybe speak to exactly what makes a pump qualify for replacement versus remediation and what percentage needs to be replaced versus remediated and the difference in costs associated with it? Thanks.

Chris DelOrefice

Management

Yes. Just the remediation process is very multifaceted complex. We’re working with the agency on this. On a case-by-case basis, it needs to match the 510(k), the cleared and so that’s sort of what we’re doing. We’ll be going out, doing walk-throughs at the customers, customers through COVID may have had mixed fleets of different ages of pumps, things like that. So we need to kind of go on a customer-by-customer basis and in some cases, a pump-by-pump basis. So that’s where that stands. We’ve – our commitment is mainly to our – and our priorities for our existing customers that have stuck bias. Something just to go back to the previous question, the run rate at the – in sort of 2018, 2019, that had a fair amount of competitive position gain. So – because our Alaris product was being preferred at that time and we were gaining position in the marketplace. Probably in the near-term here, we’ll be focused on the remediation and the replacement of our existing customers. So that’s something just to think about from a pent-up demand perspective.

Robbie Marcus

Analyst · JPMorgan.

Great. Thanks a lot.

Tom Polen

Management

Hey Robbie, this is the last thing. I think if you refer to the prepared comments as well. We did make the comment that we do continue to engage with the FDA on how we intend to execute those remediation plans and the combination of upgrades and replacements and that we will provide more information as we progress. So just to bring you back to those prepared remarks as well. So great question.

Operator

Operator

Thank you. We’ll take our next question from Patrick Wood with Morgan Stanley.

Patrick Wood

Analyst · Morgan Stanley.

Amazing. Thank you so much. I’ll just ask two quick ones upfront if that works. Yes. You touched on the – and I appreciate you’re not guiding for 2024. But the margin expansion. And if you hit your guide for this year, you’ll obviously exit the year with a very strong finish kind of 26% or so. So I guess like how are you thinking about investing to support the launches next year relative to margin gain given it looks like you’re running about a year out of schedule potentially. Any color around there would be great. And then the second one is just a quick one maybe on MMS. I mean, very, very strong underlying growth and given that drops into organic pretty much next quarter onwards. Just curious what you’re hearing from customers, how you think about the durability within, whether it’s the pharmacy side or anything else? Just any details, that would be great. Thanks.

Tom Polen

Management

Thanks, Patrick, for the great questions. We’ll start with Chris.

Chris DelOrefice

Management

Yes. Thanks, Patrick. Yes. Regarding margins, to your point, we’ve executed very strong in a very complex environment, right past two years. We’ve had over 400 basis points of outsized inflation despite that. We’ve had nearly 400 basis points of base margin expansion. And so that puts us 70% of the way on track to the 25% goal. So we feel really good about that. If you do sort of the implied kind of math in the next two years, you would need roughly 50 basis points to 75 basis points per year. We don’t want to share specifics at this time as it relates to margin profile. There’s lots to consider within the P&L. It’s obviously early from a guide, but I think what it offers us the way you should think of it is we have a de-risked path to 25% over the next two years. Not only that, it gives us a lot of flexibility to continue to ensure that, to your point, we’re balancing an investment posture against continuing to drive outsized top-line growth while still achieving our margin goals. So those will be the puts and takes that we’ll think about as we move forward. I think the last comment I would make is, we have a strong profile and pipeline of margin improvement initiatives that have already been underway now for years. So these aren’t just numbers that are on a page to get to an outcome. We have detailed plans that get there and detailed plans that are de-risked in a way that we would plan knowing that execution doesn’t always happen or you have other headwinds that may happen and gives us confidence to get to that number, but also some of those efficiency plans can be reinvested back in the business, too. So I think it’s a very good position to be in, and we’ll continue to share more as we get closer to 2024.

Tom Polen

Management

Great. And obviously, on MMS, a really strong quarter prior to Alaris clearance obviously occurring. And so some really good things happening in the base business there, Mike?

Mike Garrison

Analyst · Morgan Stanley.

Yes. Thanks for the question, MMS, a couple of things to note. There is a little bit of an easy compare to last year. Last year, if you recall, at this time, there were some COVID shutdowns in China. That had some implications in terms of supply chain delivery. But that was – that’s not the real driver here. The real driver here is pharmacy automation and dispensing and the value proposition that we have around the combination of patient safety and clinician productivity. And those two things are resonating with our customers. And the Parata acquisition, our BD ROWA, both growing double digits and really helping to transform the way healthcare is thinking about the pharmacy and the value that it can provide moving those pharmacists to work at the top of their license instead of counting to five pills at a time into amber bottles day-in, day-out. On the dispensing side, we really changed our approach a few years ago around innovation and started to focus on a cadence of innovation and dispensing making it more connected, making it more focused on controlled substance management, these types of things. And it’s really started to pay off in the marketplace. That’s really resonating. And it’s helping clinicians, especially during labor shortages and nurse shortages and things like that, to better effectively do their jobs in the hospitals. So the dispensing, the organic, I think, for MMS was quite strong, really driven by dispensing. Some other comments there from a capital allocation perspective, I think our flexible models there help for some customers where we can enter into lease agreements and things like that. So that helps for some customers, whereas other customers have the ability and they invest and they partner with us for the long term there.

Patrick Wood

Analyst · Morgan Stanley.

Thanks for taking the questions.

Chris DelOrefice

Management

Yes. And I’m sorry, just one other comment on margins that you made, because I know you mentioned the Q4 exit being, remember, there are some – which is important as you think of us delivering and our confidence to deliver in Q4. There are some timing dynamics in there, right? The phasing of R&D, we’ve talked about, there’s some phasing in SSG&A. There’s some comp dynamics in there. Those are worth between 150 basis points and 200 basis points. So that’s not a pure exit rate that you should think of that’s hot. The other nice thing is we actually de-risked our Q4 margin versus last guide. It’s – it’s about 75 bps depending on how you look at it relative to our last planning stand. So we feel really good about this year then as I shared before, the momentum beyond.

Patrick Wood

Analyst · Morgan Stanley.

Thank you.

Operator

Operator

We’ll take our next question from Matt Taylor with Jefferies.

Tom Polen

Management

Hey good morning, Matt.

Mike Sarcone

Analyst · Jefferies.

This is Mike Sarcone on for Matt today. Thanks for taking my questions. Just another one on the Alaris remediation. I’m just curious, are there any gating factors from the customer side, things that might be out of your control? So, we’re seeing pretty robust procedure volume growth across med tech. Does this plus any remaining staffing constraints limit customer ability to take time out to remediate or replace their fleets?

Tom Polen

Management

Sure. Turn that to Mike.

Mike Garrison

Analyst · Jefferies.

Sure. I think maybe in like the acute sense at a particular hospital, but there just be – that’s a scheduling issue more than their ability to do it at all. So, I would just think of it that way that there may be – we can’t do it this week or we can’t do it this month. We can do it next month. It’s more that planning piece, but that’s something that we do anyway, whether it’s on the dispensing side, pharmacy automation. We’re constantly flexing to optimize and work with our customers based on how they can accept it. It’s not our belief at this time that the customer side is going to be a significant barrier in the long run. I think it will be more in the phasing of things over time. Does that help?

Mike Sarcone

Analyst · Jefferies.

That does help. Thank you. And then just one question on Pharm Systems. You’ve been posting some really strong growth there. It looks like you’re on a mid-teens growth trajectory. Do you think you can just discuss kind of key drivers and how you view the sustainability of that – the growth in that business looking out to 2024 and through the 2025 plan?

Mike Garrison

Analyst · Jefferies.

Sure. So the primary drivers around Pharm Systems are the sort of move towards biologics and the innovation that’s coming out of the pharmaceutical industry towards biologics. I think there’s a question earlier around GLP-1 and the use of GLP-1s moving from Type 2 diabetes to treat a broader population for obesity. That’s 1 driver that’s significant, but there’s also a wealth of clinical data coming out around Alzheimer’s treatment, cancer treatments, things like that. And these are biological molecules that are quite sensitive to the primary container closure device that’s used to house them. Our technology is really well suited for those types of molecules. And so if we think about the end-user population, the obesity, mental decline with age, cancer, these are very broad patient populations. And so the same sort of main driver that pharma is using there, we are able to support that. So we think that there is a fair amount of durability into the long-term demand here. I think there are also some factors. There is some COVID reset that we are also tracking very closely in the marketplace. The drugs that were used to treat during COVID that went into prefilled syringes, for example, those are being reset in the marketplace. And so we’re watching that to get a good feel for that. But long term, we feel really good about our position in this place. We also just welcome the new president for that business. So we’re really happy to have her start, and she’s coming up to speed very quickly.

Tom Polen

Management

Mike, and maybe just to complement what the good feedback that Mike gave is, we have a nice cadence of innovation in that business that’s supporting those overall trends as well as, of course, the over $1 billion of capacity that we’ve added. And so you’ve got these great kind of the unmet needs and continued demand cycle that’s happening from pharma driven by biologics. We invested ahead of the curve right in the middle of the pandemic, a pretty bold decision to add capacity in that period of time, and you can see that paying off now. And then a series of innovations, not only on our high-pack syringes but also on the self-injection side. These biologics – people are moved. They don’t – it’s moving from sitting in a clinic with IV in your arm or going into a clinician to get injections as these are becoming biologics are addressing chronic disease. The focus is enabling patients to deliver these medications subcutaneously by themselves in the home, not be an infusion or an injection by a clinician. And so our self-injection business is also doing well and has a number of new innovations, wearables, as an example, our Libertas platform. We’re seeing solid demand. Our auto infuser that’s wearable. Our pen, for example, that has quite a number of biosimilar insulins coming to market and a large percentage of those are coming in our pen format. We’re seeing strong demand there in addition to the high pack business. And so all that wraps up what – and supports what Mike said. Thanks for the question.

Mike Sarcone

Analyst · Jefferies.

Really helpful. Thank you.

Operator

Operator

Thank you. At this time, I would like to turn the floor back over to Tom for any closing remarks.

Tom Polen

Management

Okay. Well, thank you, operator, and thanks, everyone, for joining our call and for all of your questions. Before we sign off, I want to again thank our global team of BD associates who continue to execute against our BD 2025 strategy and are making meaningful impacts for our customers and their patients. Particularly, I want to thank our team for their efforts related to the clearance of the updated BD Alaris Infusion System. And for all the work ahead as we move forward in working with our customers, to update, replace existing devices [Technical Difficulty]. We are meeting our commitments and delivering strong, consistent performance with an increased outlook and we look forward to connecting with everyone again in November. And operator with that, we will end today’s call.

Operator

Operator

Thank you. This does conclude today’s audio and webcast. On behalf of BD, we thank you for joining today. Please disconnect your line at this time, and have a wonderful day.