Greetings, and welcome to the Collegium Pharmaceutical Fourth Quarter and Full Year 2022 Earnings Conference Call. At this time, all participants are in a listen-only mode. A question-and-answer session will follow the formal presentation. [Operator Instructions] Please note, that this conference call is being recorded. I will now turn the call over to Christopher James, Vice President of Investor Relations at Collegium. Thank you. You may begin.

Welcome to Collegium Pharmaceutical's Fourth Quarter and Full Year 2022 Earnings Conference Call. I am joined today by Joe Ciaffoni our Chief Executive Officer; Colleen Tupper our Chief Financial Officer and Scott Dreyer our Chief Commercial Officer. Before we begin today's call, we want to remind participants that none of the information presented today is intended to be promotional and that any forward-looking statements made today are pursuant to the safe harbor provision of the Private Securities Litigation Reform Act of 1995. You are cautioned that such forward-looking statements involve risks and uncertainties, including and without limitation, the risks that we may not be able to successfully commercialize our products, that we may incur significant expense and that we may not prevail in current or future litigation pertaining to our business. These risks and other risks of the company are detailed in the company's periodic reports filed with the Securities and Exchange Commission. Our future results may differ materially from our current expectations discussed today. Our earnings press release and this call will include discussion of certain non-GAAP information. You can find our earnings press release, including relevant non-GAAP reconciliations on our corporate website at collegiumpharma.com. I will now turn the call over to our CEO, Joe Ciaffoni.

Thank you, Chris. Good afternoon and thank you everyone for joining the call. Today we will discuss our performance during the fourth quarter and full year 2022 and share our strategy to achieve a banner year in 2023. At Collegium, we are focused on building a leading diversified specialty pharmaceutical company committed to improving the lives of people living with serious medical conditions. During the fourth quarter, we continue to support the communities where we live and work. We make charitable donations to organizations leading STEM education initiatives, serving meals to people living with critical and chronic illnesses and providing warm weather clothing to neighbors and shelters and emergency housing. In recognition of our long standing dedication to serving as a responsible corporate citizen, we publish Collegium’s inaugural ESG report. We are proud of this milestone as it reflects our deep commitment to operating with integrity, accountability and responsibility in all facets of our business, while improving the health and wellbeing of our communities. I'd like to thank our team for their commitment to our mission, and for making Collegium a great place to work. 2022 was a pivotal year for Collegium. We achieved nearly all of our key strategic and financial objectives. Key accomplishments in 2022 include, we expanded our commercial portfolio through the financially transformative acquisition of BDSI, establishing Collegium as the leader in responsible pain management. We achieve run rate synergies of approximately $85 million, which exceeded our target of $75 million. We delivered record full year net revenue and adjusted EBITDA. We've successfully completed the renegotiation of Xtampza ER contracts resulting in an expected gross to net of 61% to 63% in 2023. We resolved all 27 opioid industry-related lawsuits brought against the company and each of those lawsuits has been dismissed. We announced the validity…

Thanks, Joe. Good afternoon everyone. 2022 was indeed a pivotal year marked by growing financial strength for Collegium. We generated record quarterly and full year revenue and adjusted EBITDA, maintained financial discipline and leveraged our strong cash flows to execute on our capital deployment strategy. Financial highlights for the fourth quarter and full year 2022 include net product revenues were a record $129.6 million for the fourth quarter compared to $27.4 million for the fourth quarter of 2021. 2022 net product revenues were a record $463.9 million compared to $276.9 million in the prior year. As previously disclosed during 2022, we achieved a complete resolution of our returns matter reflecting a positive $4.7 million adjustment associated with the resolution while the fourth quarter and full year 2021 reflect a negative $38.3 million adjustments related to the returns matter. BELBUCA net revenue was $42 million in the fourth quarter and $126.5 million in 2022. 2022 sales reflect the nine months Collegium owned BELBUCA. For the fourth quarter of 2022, Xtampza ER net revenue was $35.2 million and Xtampza ER gross to net was 69.1%. For 2022, Xtampza ER net revenue was $138.8 million and gross to net was 69.3%. Excluding the one-time benefit related to the resolution of the returns matter, 2022 Xtampza ER gross to net would have been 71.1%. We expect Xtampza ER gross to net to be between 61% to 63% in 2023 as a result of the successful contract renegotiations we carried out in 2022. Nucynta franchise net revenue was $47.8 million in the fourth quarter, and $184.5 million in 2022. GAAP operating expenses were $38 million in the fourth quarter, compared to $32.8 million in the fourth quarter of 2021. For 2022, GAAP operating expenses were $176.2 million compared to $133 million in 2021. Adjusted operating…

Thanks Colleen. Our commercial portfolio is strong. BELBUCA Xtampza ER Nucynta ER have a combined 50% share of the brand's ER market. Our pain products have large prescriber bases and broad market access positions. Collegium is the leader in responsible pain management. Our pain portfolio is viewed favorably by HCPs. Our growth drivers BELBUCA and Xtampza ER are seen as highly differentiated and HCPs have a strong intent to increase prescribing of our products. The work we completed in 2022 positions BELBUCA and Xtampza ER to grow market share and prescriptions on a full year basis in 2023. This year, our number one priority is to grow Xtampza ER and BELBUCA prescriptions. The entire commercial organization is taking specific actions to differentiate our portfolio and fuel growth. These actions include the following; launching new promotional campaigns and educational resources for our sales teams to use during interactions with HCPs and pharmacists. Launching new digital and non-personal promotional content, which reinforces the clinical differentiation of Xtampza ER and BELBUCA. Launching new personal and non-personal promotional tools to pull through the strong access positions of Xtampza ER and BELBUCA. And supporting payers as they ensure that the value of Xtampza ER is clearly understood, enabling stronger formulary controls where Xtampza ER is exclusive. We're holding a national sales meeting in March. We will bring the entire commercial organization together to reinforce our brand strategies and messages with the goal of strengthening the impact of their customer engagements. The commercial organization is focused on winning and managed care. The strategy begins with working with payers to pull through the strong access positions that we have for Xtampza ER and BELBUCA. In addition and relative to Xtampza ER, following the successful completion of the first wave of contract renegotiations to drive gross to net…

Thanks, Scott. We are making significant strides as we build a leading diversified specialty pharmaceutical company committed to improving the lives of people living with serious medical conditions. 2022 was a pivotal year for Collegium marked by several significant financial and strategic accomplishments. I'm encouraged by the start of the year as we execute on phase 3 of our action agenda, Accelerate. I'm confident that 2023 will be a banner year for Collegium. I will now open the call up for questions. Operator?

Thank you. [Operator Instructions] Our first question comes from David Amsellem with Piper Sandler. Please state your question.

Hey, thanks. So just had a couple. So first, Joe, you had talked about continued renegotiations regarding using payer contracts for Xtampza and not continued but new renegotiations that could affect the gross to net beyond this year, and what I'm what I'm trying to better understand is how much better can it get from the current 61% to 63% that you're guiding to? And just give us a refresher on what kind of plans you're renegotiating with going forward? Are they Medicare Part D? Are they commercial, they are mix of both? So that's the first question. And then the second question is on business development, M&A. So you talked about de-levering? So the question I have here is, how much would you lever up to acquire a commercial stage asset? So what would pro forma net debt to EBITDA look like? Or how far would you go to, to execute on a on the acquisition of an asset or more than one asset? Thanks,

David, thanks for the questions. I'll take the first one, and then hand the second off to Colleen. So with regards to Xtampza ER, renegotiations this year, we have an additional contracts that account for an additional 30% of lives, or Xtampza ER prescriptions. Unlike last year, where we made a strong commitment to get gross to net to less than 65%. We're not going to do that this year for the following reason. And that is we're really focused on this year, in addition to those renegotiations trying to secure new wins, which obviously, we now have the headwin with what we accomplished in 2022, along with the additional 30%, that we'll be renegotiating to secure wins at rates that we're comfortable with and stay below that 65% threshold that we are forever committed to. So the way to think about it is, it will be a balance of if we're able to achieve new wins relative to what we accomplished in the renegotiation. If we didn't achieve any new wins, it would certainly have a net benefit, or positive impact on our gross to net as we move in to 2024. And then to the final part of your questions, the contracts we're renegotiating this year, skew to commercial plans, and then Colleen.

Thanks, David on the leverage question. So in in seeking a commercial stage asset, we would be willing to go up to pro forma net debt to EBITDA of four times. And then then, like I imagined, we do the playbook of quickly delevering thereafter.

That's helpful. Can I sneak in a follow up, Joe? On the on the on the gross to net and the renegotiations? I mean, is it, is it fair to say that just based on your comments that, we could see a scenario next year where there's gross to net stability versus 2023. But with some new wins that could help drive greater volume growth? I mean, is that one plausible outcome regarding what you're trying to accomplish here?

Yes, that's certainly a possible outcome, David. Look as a leader in responsible pain management, with both Xtampza and BELBUCA, which we believe deeply are products that can make a meaningful difference in the lives of people living with pain and contribute in a positive way to making a difference in the opioid epidemic. We will do everything that we can to broaden their access positions. And we believe in the case of BELBUCA and Medicare Part D from an RX basis, there are certainly catalysts there for able to be successful for growth in 2024 and beyond. And in the case of Xtampza ER, there is still room that if we're able to secure wins, where there are also catalysts that would have a very positive impact on prescription growth on 2024 and moving forward.

Okay, that's helpful. Thank you.

You're welcome. Thanks, David.

Our next question comes from Tim Lugo with William Blair. Please state your question.

Hi, this is John [Ph] on for Tim. Thanks for taking our question and congrats on a successful 2022 and looking forward to an exciting 2023. So I know recently you've been discussing how some additional education is required around BELBUCAs profile to accelerate growth of that franchise. Can you just talk to us a little bit about how those efforts are going and how you see the growth of the BELBUCA franchise ramping up through 2023 as those efforts come together? Thanks.

Sure. Thanks for the question, John. I'm going to ask Scott to answer.

Yes, thanks, John. Yes. So when we look at 2023 and kind of the performance trend and where we're heading, what we believe is on a full year basis we’re positioned for growth. And the reason related to your training comment is, last year with the acquisition of BDSI, we went through a lot of disruption, there was a lot of learning around the brand. And what I'd say is similar to, to what I articulate in the fourth quarter call, like we're starting to get our sea legs under us. Our people are stable in their territories; our sales reps are comfortable with the brand. And some for those reasons, combined with the other commercial actions we're taking in 2023. That's why we believe on a full year basis, we can see growth for BELBUCA.

All right, thanks so much for that caller.

Thanks, John.

And our next question comes from Brandon Folkes with Cantor Fitzgerald. Please state your question.

Hi, thanks for taking my questions and congratulations on all the progress this year, beg a pardon 2022. Scott, thanks for the details on the Xtampza and BELBUCA prescription growth drivers. Can you just elaborate how you see the addressable market evolving? I think we continue to see the headwinds in the Xtampza and branded of OxyContin ER market. So just any color there just in terms of how you view the overall market, I guess, with Xtampza and BELBUCA checking out this year and maybe going forward.

Yes, Brandon. So this is Joe, I'll start on that and then Scott may have some additional perspective to provide. Look, when we when we look at Xtampza ER and BELBUCA the first thing that I would emphasize is we think there is plenty of room within the market for both of these important differentiated brands to continue to grow. When we look out at the market over the next five years, we believe that you'll start to see a moderation of the decline going to the mid-to-low single digits. I think the strongest piece of evidence to support that would be where now we would be approaching upon the use of opioids of the early 2000s, which was significant of when pain was called out as a fifth vital sign. What we know for sure isn't going to change unfortunately, is the number of people who are experiencing pain that have chronic pain and the high intensity nature of which opioids will continue to be a cornerstone of therapy. So from a, oxycodone portion of the market, we are not concerned we are focused on replacing OxyContin utilization and then as you know, the buprenorphine portion of the market is growing. And certainly we believe BELBUCA is a differentiated schedule three product, in particular relative to Butrans from a dose ranging perspective. So we think the dynamics are there for continued growth.

Yes, I think you hit it, Joe. The only other thing I'd add is a reminder that the biggest feeder pool to the growth of both Xtampza and BELBUCA is the IR to ER transition in the IR market, which is still very large, with many patients being treated for their pain. So there's tremendous opportunity for us to grow.

Thanks very much. That's actually going to be my follow up, and you kind of touched on it. But do you expect that feeder pool to change or evolve at all over the coming years and the asset for me, thank you very much.

No, I don't think we anticipate any changes in the dynamic portion of the market.

Great, thanks for progress.

Thank you.

Our next question comes from Serge Belanger with Needham & Company. Please state your question.

Hi, a couple of questions for us. First of all, maybe it's unknown on recent market dynamics. I think one of them headwinds for most of 2022 was a kind of a slower pace of office visits that led to an unfavorable business mix. Just curious if that has changed over the fourth quarter. And in the early -- front, you kind of had the boxes that you're looking to take off as you look for assets. But in terms of therapeutic areas that you're targeting, should we still expect that you could do a third transaction in the pain space? Are they still assets remaining that pick off those categories that you talked about? Thanks.

Yes. Hey, Serge, if you could do me a favor and I apologize for this, you were you were coming in and out and I'm not sure we clearly got your two questions. So if you wouldn't mind repeating them.

Sure. I'll start with the first one. Is this better?

Yes.

Okay so the first one was about the recent market dynamics. One of the headwinds in 2022 was the pace, a slower pace of office visits leading to an unfavorable business mix, cause if that has improved and whether an improvement is embedded in the guidance and in plans to grow Xtampza and BELBUCA.

Okay, Scott, will take that.

Yes, thanks Serge. So, so look, since the last time we talked, I mean no, we haven't seen an improvement in terms of patients returns. But I think what's important is, that's just the market we play. And sort of your question around guidance, no, our guidance doesn't contemplate any type of return of the market, right? We just view it as now this is the market we play in. And really from a focus standpoint, but we're not focused on the external factors like that, that we can't control. We're focused on the internal factors and that's around commercial execution of our people and changing behaviors. So that's where our focus is, and we'll keep monitoring what happens externally.

Okay. And the question on BD, the second question was talking….

Well Serge you just broke out again.

[Indiscernible]

Sir, could you pick up your handset? Maybe we'll get a better sound that way.

Okay, we're going to move on to the next question. Mr. Belanger. [Operator Instructions] Thank you. Our next question comes from Greg Fraser with Truist. Please, state your question.

Hey, guys, thanks for taking the questions. Hopefully you can hear me okay. When do you believe your commercial initiatives behind Xtampza could return the price to positive year-over-year prescription growth? You mentioned gross to the full year for the Xtampza and BELBUCA. Curious, how long? Or how quickly do you think you can get back the positive growth for prescriptions?

Yes, so Greg, this is Joe, I appreciate the question. Look, I'm not going to prognosticate on that. What I would say to you is we believe on a full year basis. Both BELBUCA and Xtampza ER will grow prescriptions in 2023. As I said in my prepared remarks, I'm encouraged by the start we're off to in 2023. And I would say at this point, there's no surprises. Everything is tracking in line to our expectations.

Got it. Okay, and can you talk a bit more about the initiatives they span party coverage for BELBUCA? Are you thinking to sign contracts this year that will help next year and beyond? And will you try to maintain the gross and net below us for a certain level as you add party lines?

Yes, so I'll pass that question off to Scott.

Yes. Thanks, Greg. So yes, so for BELBUCA it's very straightforward. And when we look at this portfolio that we've acquired, I mean, BDSI did a great job managing both [Indiscernible] and managing the gross to net. What we see as the leader responsible pain management is people need access to this product. And Part D is an avenue for that. So it's early, we're engaged with payers, we're telling the clinical story of buprenorphine overall, and BELBUCA in the differentiation versus the patch. And we'll see where those conversations go. If we are to win in one of those plans it would be for 2024. Right? So we don't see that as something that would happen mid cycle, and believe that we can do it in a way that's controllable when it comes to the gross connect [Ph] to your question there.

Okay, and then just my last question is on the recent CDC recommendations for opioid prescribing, I'm curious if you think whether those recommendations will help boost prescribing or not? Thank you.

Yes, Greg, so look, I appreciate the question. I think the commentary I'd give on the CDC guidelines is, we're glad to see experts step back and look at what it is the original guidelines, the impact of them and providing the necessary clarity for physicians as they treat patients who are living with pain in the most responsible way possible, so that I would keep our comments focus to there, and what's most important for the care and treatment of the patient and I don't think from a business perspective there's any impact that we'll see as a result of that.

Got it. Thank you.

You’re welcome. Thank you Greg.

Thank you. [Operator Instructions] Thank you. There appears to be no additional questions. I’ll hand the floor back to Joe Ciaffoni for closing remarks.

Thank you. And thank you everyone for joining the call today. I look forward to updating you on our progress throughout the year and I hope that everybody has a great evening.

Thank you. And with that we conclude today’s conference call. All parties may disconnect. Have a great evening.