Item 1A. Risk Factors 18
Item 1B. Unresolved Staff Comments 48
Item 1C. Cybersecurity 48
Item 2. Properties 49
Item 3. Legal Proceedings 49
Item 4. Mine Safety Disclosures 49
Item 6. [Reserved] 51
Item 7A. Quantitative and Qualitative Disclosures About Market Risk 62
Item 8. Financial Statements and Supplementary Data 62
Item 9A. Controls and Procedures 62
Item 9B. Other Information 63
Item 9C. Disclosure Regarding Foreign Jurisdictions that Prevent Inspections 63
PART III 64
Item 10. Directors, Executive Officers and Corporate Governance 64
Item 11. Executive Compensation 64
Item 14. Principal Accountant Fees and Services 64
Item 15. Exhibits, Financial Statement Schedules 65
SIGNATURES 68
As
used in this Annual Report on Form 10-K (this “Annual Report”), unless indicated or the context requires otherwise, the terms
the “Company,” “Harrow,” “we,” “us” and “our” refer to Harrow, Inc. and its
consolidated subsidiaries.
In
addition to historical information, the following discussion contains forward-looking statements regarding future events and our future
performance. In some cases, you can identify forward-looking statements by terminology such as “will,” “may,”
“should,” “expects,” “plans,” “anticipates,” “believes,” “estimates,”
“predicts,” “forecasts,” “potential” or “continue” or the negative of these terms or
other comparable terminology. All statements made in this Annual Report other than statements of historical fact are forward-looking
statements. These forward-looking statements involve risks and uncertainties and reflect only our current views, expectations and assumptions
with respect to future events and our future performance. If risks or uncertainties materialize or assumptions prove incorrect, actual
results or events could differ materially from those expressed or implied by such forward-looking statements. Risks that could cause
actual results to differ from those expressed or implied by the forward-looking statements we make include, among others, risks related
to: liquidity or results of operations; our ability to successfully implement our business plan, manage our pharmacy operations, service
our debt, obtain financing necessary to operate our business, recruit and retain qualified personnel, manage any growth we may experience
and successfully realize the benefits of our previous acquisitions and any other acquisitions and collaborative arrangements we may pursue;
the ongoing communications with the U.S. Food and Drug Administration relating to compliance and quality plans at our outsourcing facility
in New Jersey; competition from pharmaceutical companies, outsourcing facilities and pharmacies; general economic and business conditions,
including inflation and supply chain challenges; regulatory and legal risks and uncertainties related to our pharmacy operations and
the pharmacy and pharmaceutical business in general; physician interest in and market acceptance of our current and any future products
and formulations and compounding pharmacies generally; our limited operating history; and the other risks and uncertainties described
under the heading “Risk Factors” in Part I, Item 1A of this Annual Report. You should not place undue reliance on forward-looking
statements. Forward-looking statements speak only as of the date they are made and, except as required by law, we undertake no obligation
to revise or publicly update any forward-looking statement for any reason.
We
have registered trademarks, copyrights and/or pending trademark and copyright applications for a number of proprietary names in the United
States of America (“U.S.”), including, but not limited to: VEVYE®, IHEEZO®, ILEVRO®,
TRIESENCE®, ImprimisRx®, and LessDrops®. We may choose to pursue trademark protection in
other jurisdictions for one or more of these or other marks in the future. All other trademarks, service marks and trade names included
or incorporated by reference into this Annual Report, are the property of their respective owners.
PART
I
ITEM
1. BUSINESS
Overview
We
are a leading provider of ophthalmic disease management solutions in North America, and were founded with a commitment to deliver safe,
effective, accessible, and affordable medications that enhance patient compliance and improve clinical outcomes. For over a decade, we
have partnered with U.S. eyecare professionals to develop a comprehensive portfolio of high-quality products used to manage ophthalmic
conditions affecting both the front and back of the eye, such as dry eye disease, wet (or neovascular) age-related macular degeneration,
cataracts, refractive errors, glaucoma, and a range of other ocular surface conditions and retina diseases. By prioritizing clinical
value – to the provider and the patient – Harrow empowers professionals to enhance patient outcomes and preserve vision.
By combining our culture of creativity, entrepreneurship and groundbreaking innovation with operational discipline and strong financial
performance, we are building a future where life-changing ophthalmic treatments are within reach for all.
Branded
Ophthalmic Pharmaceuticals
Over
the past several years, we have expanded our portfolio of the U.S. Food and Drug Administration (the “FDA”)-approved ophthalmic
products through acquisitions, licensing transactions, and internal investment. These efforts are focused primarily on the U.S. and Canadian
markets. We believe continued investment in our branded portfolio supports our ability to offer eyecare prescribers and patients access
to a broader range of ophthalmic therapies across multiple disease states. We own U.S. commercial rights to the following products, which
we market and sell:
We
also own U.S. rights to some discontinued products (MOXEZA, VEXOL, ECONOPRED and TOBRASONE). In February 2024, we announced that we
out-licensed Canadian rights for VERKAZIA, Cationorm® PLUS (a preservative-free formulation for dry eye or allergy
relief), VEVYE, ZERVIATE and IHEEZO to Apotex Inc. (“Apotex”). We also own worldwide rights to NATACYN and
FRESHKOTE.
R&D
Development Pipeline
Our
development pipeline is focused on developing and commercializing differentiated pharmaceutical therapies designed to address unmet needs
in eye care and selected adjacent markets. The pipeline is weighted toward late-stage and near-commercial assets with demonstrated clinical
utility and clearer regulatory pathways, and we seek to advance programs through a disciplined, capital-efficient development strategy.
Current development-stage programs include:
Development
timelines and potential launch timing are subject to change based on clinical results, regulatory feedback, manufacturing readiness,
and other factors.
MELT-300
We
believe MELT-300 represents a transformative opportunity, building on more than a decade of real-world experience with MKO Melt®
— a compounded sublingual sedation product sold by ImprimisRx and currently administered by over 800 U.S. ophthalmic institutions,
primarily for used for procedural sedation during cataract surgery. As a potential FDA-approved successor, MELT-300 is a patented, sublingually
delivered formulation of a fixed dose of midazolam (3mg) and ketamine (50mg) designed to provide rapid, predictable sedation without
the need for intravenous administration. The MELT-300 Phase 2 and Phase 3 clinical programs previously demonstrated statistical superiority
to midazolam alone. The innovative approach to sedation MELT-300 offers has the potential to transform patient experiences across a wide
range of office-based and outpatient procedures, addressing the healthcare system’s growing demand to reduce exposure to opioids,
including fentanyl.
The
MELT-300 program was the subject of a Special Protocol Assessment (SPA) with the FDA, confirming that the completed Phase 3 study design,
statistical approach, and endpoints adequately support a future regulatory submission. Having completed the Phase 3 program, our focus
now turns to advancing MELT-300 toward FDA approval and commercialization.
In
support of a new drug application (an “NDA”) filing, we recently initiated one non-clinical animal study and three pharmacokinetic
(“PK”) studies to generate the balance of the data we believe is necessary for an NDA package. Following completion of these
studies, we expect to prepare and submit an NDA for MELT-300 in the first half of 2027. If promptly approved by the FDA, we expect to
commercially launch MELT-300 in the second half of 2028.
We
believe these next steps position MELT-300 to become the first FDA-approved, non-opioid, non-IV sublingual sedation therapy in the U.S.,
representing a meaningful growth opportunity for Harrow and a major advancement in patient-centric procedural care. With patent coverage
in the U.S. and other international markets and potential applications beyond ophthalmology—including gastroenterology, dental
care, and other outpatient settings where sedation or anxiety management may be beneficial, such as diagnostic imaging, endoscopy and
pre-anesthesia—MELT-300 may provide us the opportunity to expand into procedural sedation and anxiety management indications outside
of eye care domestically and in international markets.
ImprimisRx
ImprimisRx
is our ophthalmology-focused pharmaceutical compounding business. Since inception in 2014, ImprimisRx has provided ophthalmologists,
optometrists, and their patients access to compounded medications intended to address needs that may be unmet by commercially available
products, including combination therapies, alternative dosage strengths, and preservative-free formulations. Depending on formulation,
applicable state requirements, and patient need, ImprimisRx products may be dispensed as patient-specific prescriptions from our 503A
pharmacy or manufactured for in-office use in our FDA-registered 503B outsourcing facility in New Jersey. Our current ophthalmology formulary
includes over 30 compounded formulations, many of which are patented or patent-pending, and our customer base includes more than 10,000
U.S. eyecare-dedicated prescribers and institutions.
We
operate two compounding facilities in Ledgewood, New Jersey. One facility is registered with the FDA as an outsourcing facility under
Section 503B of the Federal Food, Drug and Cosmetic Act (the “FDCA”) (NJOF). The other facility is a licensed pharmacy operating
under Section 503A of the FDCA (RxNJ). All compounded products we sell, produce, and dispense are made in the United States. We believe
our current infrastructure supports continued scaling within the current regulatory landscape, and we may pursue additional capacity,
redundancy, and market access through investments, partnerships, or strategic transactions.
Pharmaceutical
Compounding
Pharmaceutical
compounding involves preparing customized formulations for patients when commercially available products do not meet a patient’s
clinical needs. Compounded formulations contain FDA-approved ingredients, but the compounded formulations themselves are not FDA-approved.
Compounding is subject to extensive federal and state regulation and oversight, which can affect permissible activities, cost structure,
and the ability to dispense into particular states.
Carved-Out
Subsidiaries (De-Consolidated Businesses)
We
have an ownership interest in Surface Ophthalmics, Inc. (“Surface”) and hold royalty interests in some of Surface’s
drug candidates. Surface is pursuing market approval for its drug candidates under the FDCA, including in some instances under the abbreviated
pathway described in Section 505(b)(2), which permits the submission of an NDA where at least some of the information required for approval
comes from studies not conducted by or for the applicant and for which the applicant has not obtained a right of reference. We previously
held ownership interests in Eton Pharmaceuticals, Inc. (“Eton”) and sold the last of our interests in April 2024.
Acquisition
of the Remaining Equity Interests of Melt Pharmaceuticals
Prior
to November 2025, we held a minority ownership interest in Melt Pharmaceuticals, Inc. (“Melt”), a clinical-stage pharmaceutical
company focused on the development and commercialization of proprietary non-intravenous, sedation and anesthesia therapeutics for human
medical procedures in hospital, outpatient, and in-office settings. Melt sought regulatory approval for its proprietary technologies,
where possible.
As
of December 31, 2024, we owned approximately 45% of Melt’s equity and voting interests issued and outstanding, along with a mid-single
digit royalty on future net sales of MELT-300.
In
September 2025, we entered into an Agreement and Plan of Merger (the “Merger Agreement”) by and among Harrow, Harrow Acquisition
Sub, Inc., a wholly owned subsidiary of Harrow, Melt, and D. Brad Osborne, as stockholder representative. Under the terms of the Merger
Agreement and a related milestone payment agreement, we agreed to acquire the remaining equity interests of Melt in exchange for an initial
cash payment of approximately $4,300,000 at closing, and contingent consideration consisting of cash and Harrow equity upon achievement
of (i) FDA approval of the MELT-300 product candidate, (ii) coding and reimbursement of the MELT-300 product candidate, and (iii) various
one-time sales milestones. The regulatory and commercial milestones must be achieved on or before December 31, 2035.
The
Melt acquisition closed on November 17, 2025, and was treated as an asset acquisition for accounting purposes. As a result of such
transaction, Melt’s drug candidates are now owned by Harrow and its research and development (“R&D”)
activities subsequent to the acquisition are included in Harrow’s consolidated financial results as of the year ended December
31, 2025.
Sales
and Marketing
The
focus of our sales and marketing is in the U.S. We do, however, believe that our drug candidates and drug products could have commercial
appeal in international markets, and have engaged distributors and entered into out-licensing arrangements for certain of our products
and proprietary formulations in certain non-U.S. markets, including Canada. Our sales and marketing activities consist primarily of efforts
to educate doctors, ambulatory surgery centers, healthcare systems, hospitals and other users throughout the U.S. about our drug products.
We expect that we may experience growth in the sales of our products in future periods, particularly in light of our recent product launches
and commercial campaigns. However, we may not be successful in doing so, whether due to the size of the markets for such products, which
could be smaller than we expect, the timing of market entry relative to competitive products, the availability of alternative compounded
formulations or FDA-approved drugs, the price of our products relative to alternative products or the success of our sales and marketing
efforts, which is dependent on our ability to further build and continue to grow a qualified and adequate internal sales function.
We
expect to continue to acquire and/or develop additional FDA-approved products that allow us to leverage our existing commercial infrastructure
to promote, sell, and ultimately bring these products to market. As we execute this strategy, we will continue to expand our sales and
marketing team, expertise and expenses.
Supply
Chains
100%
of our ImprimisRx finished compounded products are made in the U.S. at our compounding facilities located in New Jersey.
We
do not manufacture any of our branded pharmaceutical products and rely on third party manufacturing partners to make finished goods.
The following table describes by product the country where our finished branded products are made. In some instances, multiple countries
are listed to reflect either (i) expected changes in our contract manufacturer and location; and (ii) in certain cases, to reflect the
country of a second contract manufacturer site:
Product Country Finished Product Is Manufactured
IHEEZO France
VEVYE U.S. and Spain
TRIESENCE U.S.
VIGAMOX Belgium
ILEVRO Belgium
FLAREX U.S., by end of 2026 production is expected to be in Taiwan
NATACYN U.S.
TOBRADEX ST U.S.; by end of 2026 production is expected to be in Taiwan
ZERVIATE France; by end of 2026 production is expected to be in Spain
VERKAZIA France
NEVANAC U.S.; by end of 2026 production is expected to be in Belgium
FRESHKOTE France; by end of 2026 production is expected to be in Spain
MAXIDEX U.S.; by end of 2026 production is expected to be in Belgium
MAXITROL Belgium
IOPIDINE 1% France
BYQLOVI Taiwan
Ophthalmology
Market
Ophthalmic
pharmaceuticals are used across several major categories of eye care, including high-volume procedures (such as cataract/lens procedures
and refractive surgeries like LASIK), chronic ocular surface conditions (including dry eye disease), retina disease management (often
involving physician-administered therapies delivered by intravitreal injection), and posterior-segment surgical care (including vitrectomy
and related visualization and inflammation management). These settings drive demand for different classes of ophthalmic products—such
as anesthetics, anti-infectives, anti-inflammatories (including corticosteroids and NSAIDs), immunomodulators, and ocular surface lubricants—used
before, during, and after procedures and for ongoing disease management. Utilization across these categories is influenced by procedure
volumes and clinical practice patterns, the availability of therapeutic alternatives (including generics and biosimilars), and market
access factors such as formulary placement, prior authorization/step therapy, reimbursement, and patient out-of-pocket costs. Our portfolio
is focused on these major ophthalmic categories and spans products used in ocular surface disease, perioperative care, posterior-segment
surgical and retina settings. We have limited exposure to glaucoma therapies.
Competition
The
pharmaceutical industry is highly competitive. We compete with branded and generic pharmaceutical companies, biosimilar manufacturers,
and other companies developing or commercializing ophthalmic therapies, including products used in ocular surface disease, perioperative
care, and retina. Certain competitors have substantially greater financial, technical, manufacturing, and commercial resources than we
do, and may be able to develop, obtain regulatory approval for, manufacture, market, and sell products more effectively than we can,
including through larger sales forces, broader distribution networks, and greater access to capital. As a result, we may face competitive
disadvantages in gaining or maintaining market share, achieving favorable formulary placement and reimbursement, securing manufacturing
capacity and supply chain reliability, and sustaining pricing and margins.
Biotechnology
and pharmaceutical technologies are subject to rapid and significant change. Our success depends in part on our ability to maintain a
competitive position with respect to new therapies, delivery methods, and competitive entrants, including generics and biosimilars. Competitors
may introduce products that are safer, more effective, easier to use, more durable, more convenient, or more cost-effective than our
products, or that achieve greater market access through reimbursement or contracting advantages. New competitive products could reduce
demand for, or the market opportunity of, our existing products and could render our product candidates or lifecycle management initiatives
less attractive or commercially viable before we recover development or commercialization investments.
Competition
also depends on factors such as clinical performance, physician adoption and practice patterns, timing of market entry, regulatory developments,
product availability and supply reliability, pricing and patient affordability, third-party reimbursement, and the effectiveness of sales,
marketing, and distribution efforts. If we are unable to compete effectively with current or future products of our competitors, our
revenues, profitability, and growth prospects could be materially and adversely affected.
To
the extent we offer compounded formulations through our pharmacy operations, those products also face competition from FDA-approved alternatives
and other compounded products, and utilization may be affected by physician and patient preferences and applicable regulatory requirements.
Factors
Affecting Our Performance
We
believe the primary factors affecting our performance are our ability to increase revenues of our ophthalmic products, grow and gain
operating efficiencies in our pharmacy operations, successfully adjust our operations to account for any future regulatory-related restrictions,
optimize pricing and obtain reimbursement options for our ophthalmic products, and continue to pursue development and commercialization
opportunities for certain of our ophthalmology and other assets that we have not yet made commercially available or have been recently
launched. We believe we have built a tangible and intangible infrastructure that will allow us to scale revenues efficiently in the near
and long-term. All of these activities will require increased costs and other resources, which we may not have or be able to obtain from
operations or other sources. See Item 7. “Management’s Discussion and Analysis of Financial Condition and Result of Operations
- Liquidity and Capital Resources.”
Medicare,
Medicaid and Other Reimbursement Options
Sales
in the U.S. of our marketed products are dependent, in large part, on the availability and extent of reimbursement from third-party payors,
including private payor healthcare and insurance programs, health maintenance organizations, pharmacy benefit management companies, and
government programs such as Medicare and Medicaid. See Item 1A. “Risk Factors” for risks related to reimbursement and government
programs.
We
participate in, and have certain price reporting obligations to, the Medicaid Drug Rebate program, state Medicaid supplemental rebate
program(s), and other governmental pricing programs. We also have obligations to report the average sales price for certain drugs to
the Medicare program. Under the Medicaid Drug Rebate program, we are required to pay a rebate to each state Medicaid program for our
covered outpatient drugs that are dispensed to Medicaid beneficiaries and paid for by a state Medicaid program as a condition of having
federal funds being made available for our drugs under Medicaid and Part B of the Medicare program.
Medicare
is a federal program that is administered by the federal government that covers individuals age 65 and over or that are disabled as well
as those with certain health conditions. Medicare Part B generally covers drugs that must be administered by physicians or other health
care practitioners; are provided in connection with certain durable medical equipment; or are certain oral anti-cancer drugs and certain
oral immunosuppressive drugs. Medicare Part B pays for such drugs under a payment methodology based on the average sales price of the
drugs. Manufacturers, including us, are required to report average sales price information to the Centers for Medicare & Medicaid
Services (“CMS”) on a quarterly basis. The manufacturer-submitted information may be used by CMS to calculate Medicare payment
rates. Starting in 2023, manufacturers are now required to pay refunds to Medicare for single-source drugs or biological products, or
biosimilar biological products, reimbursed under Medicare Part B and packaged in single-dose containers or single-use packages for units
of discarded drug reimbursed by Medicare Part B in excess of 10% of total allowed charges under Medicare Part B for that drug. Manufacturers
that fail to pay refunds could be subject to civil monetary penalties. Further, starting in 2023, the Inflation Reduction Act of 2022
(“IRA”) established a Medicare Part B inflation rebate scheme, effective in 2023, under which, generally speaking, manufacturers
will owe rebates if the average sales price of a Part B drug increases faster than the pace of inflation. Failure to timely pay a Part
B inflation rebate is subject to a civil monetary penalty.
The
IRA also created a drug price negotiation program under which, after being on the market for a certain period of time, the prices for
certain high Medicare spending drugs and biological products provided to Medicare patients without generic or biosimilar competition
will be capped by reference to, among other things, a specified non-federal average manufacturer price, starting in 2026. Failure to
comply with requirements under the drug price negotiation program is subject to an excise tax and a civil monetary penalty. This or any
other legislative change could impact the market conditions for our products.
BYOOVIZ,
OPUVIZ, IHEEZO and TRIESENCE are covered under Medicare Part B and we are developing other product candidates and may acquire drug products
that are also covered under Medicare Part B. In February 2023, we announced that CMS had issued a permanent, product specific J-code
for IHEEZO (J2403) which became effective under the Healthcare Procedure Coding System (HCPCS) on April 1, 2023. TRIESENCE has a permanent
product specific J-code (J3300) as well, which physicians can use for reimbursement purposes of that product. Similarly, BYOOVIZ and
OPUVIZ have permanent product specific reimbursement codes of Q5124 and Q5153, respectively, which healthcare professionals can use for
reimbursement of those biosimilar products.
New
drugs approved by the FDA that are used in surgeries performed in a hospital outpatient departments or ambulatory surgical centers may
receive a transitional pass-through reimbursement under Medicare, provided they meet certain criteria, including a “not insignificant”
cost criterion. Pass-through status allows for separate payment (i.e., outside the packaged payment rate for the surgical procedure)
under Medicare Part B, which consists of Medicare reimbursement for a drug based on a defined formula for calculating the minimum fee
that a manufacturer may charge for the drug. Under current regulations of CMS, pass-through status applies for a period of three years;
which is measured from the date Medicare makes its first pass-through payment for the product. Following the three-year period, the product
would be incorporated into the cataract bundled payment system, which could significantly reduce the pricing for that product. Temporary
pass-through reimbursement for IHEEZO was awarded by CMS and made effective in the second quarter of 2023 and temporary pass-through
reimbursement for TRIESENCE was made effective April 1, 2025. We expect pass-through status for IHEEZO to expire March 31, 2026. Following
the expiration of pass-through status, under current CMS policy, non-opioid pain management surgical drugs when used on Medicare Part
B patients in an outpatient setting can qualify for ongoing separate payments. CMS’ current non-opioid separate payment policy,
like other CMS policies, can be changed by CMS through its annual rulemaking and comment process.
Medicaid
is a joint federal and state program that is administered by the states for low-income and disabled beneficiaries. Medicaid rebates are
based on pricing data reported by us on a monthly and quarterly basis to CMS, the federal agency that administers the Medicaid and Medicare
programs. These data include the average manufacturer price and, in the case of innovator products, the best price for each drug which,
in general, represents the lowest price available from the manufacturer to any entity in the U.S. in any pricing structure, calculated
to include all sales and associated rebates, discounts, and other price concessions. The amount of the rebate is adjusted upward if the
average manufacturer price increases at a faster rate than inflation (measured by reference to the Consumer Price Index – Urban).
The rebate was previously capped at 100% of the average manufacturer price, but effective January 1, 2024, this cap on the rebate was
removed, and our rebate liability could increase accordingly.
If
we become aware that our reporting for a prior quarter was incorrect or has changed as a result of recalculation of the pricing data,
we are obligated to resubmit the corrected data for up to three years after those data originally were due, which revisions could affect
our rebate liability for prior quarters. The federal Patient Protection and Affordable Care Act (the “PPACA” or “Health
Care Reform Law”) made significant changes to the Medicaid Drug Rebate program, and CMS issued a final regulation, which became
effective on April 1, 2016, to implement the changes to the Medicaid Drug Rebate program under the PPACA. Effective in 2022, CMS modified
Medicaid Drug Rebate program regulations to, among other things, permit reporting multiple best price figures with regard to value-based
purchasing arrangements and provide definitions for “line extension,” “new formulation,” and related terms with
the practical effect of expanding the scope of drugs considered to be line extensions.
Civil
monetary penalties can be applied if we are found to have knowingly submitted any false pricing or other information to the government,
if we are found to have made a misrepresentation in the reporting of our average sales price, or if we fail to submit the required data
on a timely basis. Such conduct also could be grounds for CMS to terminate our Medicaid drug rebate agreement, in which case federal
payments may not be available under Medicaid or Medicare Part B for our covered outpatient drugs.
Federal
law requires that any company that participates in the Medicaid Drug Rebate program also participate in the Public Health Service’s
340B drug pricing program (the “340B program”) in order for federal funds to be available for the manufacturer’s drugs
under Medicaid and Medicare Part B. The 340B program, which is administered by the Health Resources and Services Administration (“HRSA”),
requires participating manufacturers to agree to charge statutorily defined covered entities no more than the 340B “ceiling price”
for the manufacturer’s covered outpatient drugs. Covered entities include hospitals that serve a disproportionate share of financially
needy patients, community health clinics, and other entities that receive certain types of grants under the Public Health Service Act.
The PPACA expanded the list of covered entities to include certain free-standing cancer hospitals, critical access hospitals, rural referral
centers, and sole community hospitals, but exempts “orphan drugs” from the ceiling price requirements for these covered entities.
The 340B ceiling price is calculated using a statutory formula, which is based on the average manufacturer price and Medicaid rebate
amount for the covered outpatient drug as calculated under the Medicaid Drug Rebate program. In general, products subject to Medicaid
price reporting and rebate liability are also subject to the 340B ceiling price calculation and discount requirement.
HRSA
issued a final regulation regarding the calculation of the 340B ceiling price and the imposition of civil monetary penalties on manufacturers
that knowingly and intentionally overcharge covered entities, which became effective on January 1, 2019. It is currently unclear how
HRSA will apply its enforcement authority under this regulation. Any charge by HRSA that we have violated the requirements of the regulation
could result in civil monetary penalties. Moreover, under a final regulation effective January 13, 2021, HRSA established a new administrative
dispute resolution (“ADR”) process for claims by covered entities that a manufacturer has engaged in overcharging, and by
manufacturers that a covered entity violated the prohibitions against diversion or duplicate discounts. Such claims are to be resolved
through an ADR panel of government officials rendering a decision that could be appealed only in federal court. An ADR proceeding could
subject us to onerous procedural requirements and could result in additional liability. On November 30, 2022, HRSA issued a notice of
proposed rulemaking that proposes several changes to the ADR process. HRSA also implemented a price reporting system under which we are
required to report our 340B ceiling prices to HRSA on a quarterly basis, which then publishes those prices to 340B covered entities.
In addition, legislation could be passed that would further expand the 340B program to additional covered entities or would require participating
manufacturers to agree to provide 340B discounted pricing on drugs used in an inpatient setting.
In
order to be eligible to have our products paid for with federal funds under the Medicaid and Medicare Part B programs and purchased by
certain federal agencies and grantees, we participate in the U.S. Department of Veterans Affairs (“VA”) Federal Supply Schedule
(“FSS”) pricing program. FSS participation is required for our products to be purchased by the VA, Department of Defense
(“DoD”), Coast Guard, and Public Health Service (“PHS”). Prices for innovator drugs purchased by the VA, DoD,
Coast Guard, and PHS are subject to a cap (known as the “Federal Ceiling Price”) equal to 76% of the annual non-federal average
manufacturer price (“non-FAMP”) minus, if applicable, an additional discount. The additional discount applies if non-FAMP
increases more than inflation (measured by reference to the Consumer Price Index - Urban). We also participate in the Tricare Retail
Pharmacy Program, under which we pay quarterly rebates to DoD for prescriptions of our innovator drugs dispensed to Tricare beneficiaries
through Tricare Retail network pharmacies. The governing statute provides for civil monetary penalties for failure to provide information
timely or for knowingly submitting false information to the government.
Medicare
Part D provides coverage to enrolled Medicare patients for self-administered drugs (i.e., drugs that are not administered by a physician).
Medicare Part D is administered by private prescription drug plans approved by the U.S. government and, subject to detailed program rules
and government oversight, each drug plan establishes its own Medicare Part D formulary for prescription drug coverage and pricing, which
the drug plan may modify from time to time. The prescription drug plans negotiate pricing with manufacturers and pharmacies, and may
condition formulary placement on the availability of manufacturer discounts. In addition, manufacturers, including us, are required to
provide to CMS a 70% discount on brand name prescription drugs utilized by Medicare Part D beneficiaries when those beneficiaries are
in the coverage gap phase of the Part D benefit design. The IRA includes a sunset provision with respect to the coverage gap discount
program starting in 2025 and replaces it with a new manufacturer discount program. In addition, as of October 2022, the IRA established
a Medicare Part D inflation rebate scheme under which, manufacturers will generally owe additional rebates if the average manufacturer
price of a Part D drug increases faster than the pace of inflation. Failure to timely pay a Part D inflation rebate is subject to a civil
monetary penalty.
Private
payor healthcare and insurance providers, health maintenance organizations, and pharmacy benefit managers in the U.S. are adopting more
aggressive utilization management techniques and are increasingly requiring significant discounts and rebates from manufacturers as a
condition to including products on formulary with favorable coverage and copayment/coinsurance. These payors may not cover or adequately
reimburse for use of our products or may do so at levels that disadvantage them relative to competitive products.
Intellectual
Property
Our
success and ability to compete depends upon our ability to protect our intellectual property. We conduct a fulsome analysis of the intellectual
property landscape prior to acquiring rights to formulations and filing patent applications. In addition, as of March 2, 2026, we owned
and/or licensed more than 50 issued and pending patent applications, which include U.S.-issued patents, international-issued patents,
and U.S. and foreign/international patent pending applications. We expect to file additional patent applications in the U.S. and pursue
patent protection for certain of our formulations in other important international jurisdictions in the future.
As
of March 2, 2026, we had, on a worldwide basis, more than 100 issued trademarks, pending trademark and copyright applications, or registered
copyrights and/or trademarks. We also rely on unpatented trade secrets and know-how and continuing technological innovation in order
to develop our products and formulations, which we seek to protect, in part, by confidentiality agreements with our employees, consultants,
collaborators and others, including certain service providers. We also have invention or patent assignment agreements with our current
employees and certain consultants. However, our employees and consultants may breach these agreements, and we may not have adequate remedies
for any breach, or our trade secrets may otherwise become known or be independently discovered by competitors. In addition, inventions
relevant to us could be developed by a person not bound by an invention assignment agreement with us, in which case we may have no rights
to use the applicable invention.
The
following table lists some of our outstanding material patents in the U.S. covering certain branded products we own commercial rights
to, general subject matter and latest expiry date. One or more patents with the same or earlier expiry dates may fall under the same
general subject matter and are not listed separately.
Product General Subject Matter Expiration
Governmental
Regulation
Our
business is subject to federal, state and local laws, regulations, and administrative practices, including, among others: federal, state
and local licensure and registration requirements concerning the operation of pharmacies and the practice of pharmacy; the Health Insurance
Portability and Accountability Act of 1996 (“HIPAA”); the Health Care Reform Law; statutes and regulations of the FDA, the
U.S. Federal Trade Commission (the “FTC”), the U.S. Drug Enforcement Administration and the U.S. Consumer Product Safety
Commission, as well as regulations promulgated by comparable state agencies concerning the sale, advertisement and promotion of the products
we sell. The regulatory and quality compliance environment for compounded drugs has become significantly more rigorous, complex and strict
since the passage of The Drug Quality and Security Act of 2013 (the “DQSA”). The complexity of the current state and federal
regulatory environment, as well as the expected continued evolution of state and federal laws governing pharmaceutical compounding, have
presented, and will continue to present, potentially significant challenges to our business model and the fulfillment of our mission
as a company. Below are descriptions of some of the various federal and state laws and regulations which may govern or impact our current
and planned operations.
FDA
New Drug Application (NDA) Process
As
discussed in other sections of this Annual Report, we are pursuing, and may continue to pursue, alone or with project partners, FDA approval
to market and sell one or more of our product candidates through the FDA’s NDA process. As a condition of approval, the FDA or
other regulatory authorities may require further studies, including Phase 4 post-marketing studies, to provide additional data. Other
post-marketing studies may be required to gain approval for the use of a product as a treatment for clinical indications other than those
for which the product was initially tested and approved. Also, the FDA or other regulatory authorities require post-marketing reporting
to monitor the adverse effects of a drug. Results of post-marketing programs may limit or expand the further marketing of a product.
The
FDA closely regulates the post-approval marketing and promotion of drugs, including standards and regulations for direct-to-consumer
advertising, off-label promotion, industry-sponsored scientific and educational activities and promotional activities involving the Internet.
A company can make only those claims relating to safety and efficacy that are approved by the FDA. Failure to comply with these requirements
can result in adverse publicity, warning letters, corrective advertising, fines and potential civil and criminal penalties.
Section
505(b)(2) New Drug Applications
As
an alternate path for FDA approval of new indications or new formulations of previously-approved products, a company may file a Section
505(b)(2) NDA instead of a “stand-alone” or “full” NDA. Section 505(b)(2) of the FDCA was enacted as part of
the Drug Price Competition and Patent Term Restoration Act of 1984, otherwise known as the Hatch-Waxman Amendments. Section 505(b)(2)
permits the submission of an NDA where at least some of the information required for approval comes from studies not conducted by or
for the applicant and for which the applicant has not obtained a right of reference. Some examples of products that may be allowed to
follow a Section 505(b)(2) path to approval are drugs that have a new dosage form, strength, route of administration, formulation or
indication.
The
Hatch-Waxman Amendments permit the applicant to rely upon certain published nonclinical or clinical studies conducted for an approved
product or the FDA’s conclusions from prior review of such studies. The FDA may require companies to perform additional studies
or measurements to support any changes from the approved product. The FDA may then approve the new product for all or some of the labeled
indications for which the reference product has been approved, as well as for any new indication supported by the Section 505(b)(2) application.
While references to nonclinical and clinical data not generated by the applicant or for which the applicant does not have a right of
reference are allowed, all development, process, stability, qualification and validation data related to the manufacturing and quality
of the new product must be included in an NDA submitted under Section 505(b)(2).
To
the extent that the Section 505(b)(2) applicant is relying on the FDA’s conclusions regarding studies conducted for an already
approved product, the applicant is required to certify to the FDA concerning any patents listed for the approved product in the FDA’s
Approved Drug Products with Therapeutic Equivalence Evaluations, or Orange Book. Specifically, the applicant must certify that: (i) the
required patent information has not been filed; (ii) the listed patent has expired; (iii) the listed patent has not expired, but will
expire on a particular date and approval is sought after patent expiration; or (iv) the listed patent is invalid or will not be infringed
by the new product. The Section 505(b)(2) application also will not be approved until any non-patent exclusivity, such as exclusivity
for obtaining approval of a new chemical entity, listed in the Orange Book for the referenced product has expired. Thus, the Section
505(b)(2) applicant may invest a significant amount of time and expense in the development of its products only to be subject to significant
delay and patent litigation before its products may be commercialized.
Pharmacy
Regulation
Our
pharmacy operations are regulated by both the federal government and the states in which we operate or dispense. State laws and regulations
generally address licensing of pharmacists, pharmacy technicians and pharmacies, as well as requirements applicable to compounding activities,
including quality standards, sterility assurance, storage, controlled substances, recordkeeping and inspections. State requirements are
administered and updated periodically, generally under the jurisdiction of state boards of pharmacy. Failure to comply with applicable
state requirements could result in fines, corrective action, heightened oversight, restrictions on operations, suspension, non-renewal
or revocation of licenses, or limitations on our ability to dispense into particular jurisdictions. In addition, some states have adopted,
or may adopt, more stringent requirements applicable to compounding pharmacies, which could increase compliance costs or limit permissible
activities.
The
federal regulatory framework for compounding is set forth primarily in Sections 503A and 503B of the FDCA, as amended by the Drug Quality
and Security Act (“DQSA”). Section 503A generally addresses pharmacy compounding of patient-specific prescriptions and includes
limitations on compounding in advance of receiving prescriptions. Section 503B establishes “outsourcing facilities,” which
may compound certain sterile drug products without patient-specific prescriptions, subject to additional requirements, including current
good manufacturing practices (“cGMP”) and FDA inspection. Our operations include both a Section 503A pharmacy and a Section
503B outsourcing facility, each subject to the applicable requirements and oversight framework.
Many
states require non-resident or out-of-state pharmacies and outsourcing facilities to register with, or obtain licensure from, the applicable
state board of pharmacy or other authority to dispense into that state. These requirements vary by state and may change over time. In
January 2026, the California Board of Pharmacy approved a settlement agreement between ImprimisRx and the California State Board of Pharmacy,
resolving an administrative action brought by the California Board of Pharmacy regarding certain regulatory compliance matters. As part
of the settlement, ImprimisRx agreed to surrender its 503B out-of-state outsourcing facility license and its 503A out-of-state compounding
pharmacy license on February 1, 2026. If additional states were
to take similar actions, or if we are unable to obtain or maintain required registrations or licenses, our ability to dispense compounded
products into certain states could be limited and the cumulative effect could be material.
Our
Section 503B outsourcing facility is subject to FDA inspection and enforcement authority. We have been subject to FDA inspection and
have undertaken remediation and quality initiatives, including engaging an independent third-party cGMP expert. If we are unable to
demonstrate sustained compliance with cGMP or other applicable requirements, the FDA could pursue administrative or judicial
enforcement actions, which could be costly and could result in restrictions on operations or other adverse consequences. See Item 1A
“Risk Factors.”
We
compound formulations consistent with applicable standards and requirements, including USP 795 and USP 797, as adopted or applied by
regulators, and other applicable state and federal law. Changes in USP standards, FDA policies, state requirements, or enforcement priorities
may require operational adjustments and could increase costs or limit permissible activities.
Confidentiality,
Privacy and HIPAA
Our
pharmacy operations involve the receipt, use and disclosure of confidential medical, pharmacy and other health-related information. In
addition, we use aggregated and blinded (anonymous) data for research and analysis purposes. The federal privacy regulations under HIPAA
are designed to protect the medical information of a healthcare patient or health plan enrollee that could be used to identify the individual.
Among other things, HIPAA limits certain uses and disclosures of protected health information and requires compliance with federal security
regulations regarding the storage, utilization and transmission of and access to electronic protected health information. The requirements
imposed by HIPAA are extensive. In addition, most states and certain other countries have enacted privacy and security laws that protect
identifiable patient information that is not health-related. For example, California enacted the California Consumer Privacy Act (the
“CCPA”) that creates new individual privacy rights for consumers and places increased privacy and security obligations on
entities handling personal data of consumers or households. Effective January 1, 2020, the CCPA gives California residents expanded privacy
rights and protections, and provides civil penalties for violations and a private right of action for data breaches. The CCPA exemplifies
the vulnerability of our business to not only cyber threats but also the evolving regulatory environment related to personal data and
protected health information. In addition, the California Invasion of Privacy Act prohibits the use of “any machine, instrument,
or contrivance” to tap any telephonic communication and use of any “electronic amplifying or recording device” to eavesdrop
upon a “confidential communication” without consent of all parties to the communication. Other countries also have, or are
developing, laws governing the collection, use and transmission of personal information, such as the General Data Protection Regulation
(“GDPR”) in the European Union (the “EU”) that became effective in May 2018 and the Personal Information Protection
and Electronic Documents Act that became effective in Canada in April 2000. Further, several states have enacted more protective and
comprehensive pharmacy-related privacy legislation that not only applies to patient records but also prohibits the transfer or use for
commercial purposes of pharmacy data that identifies prescribers. These regulations impose substantial requirements on covered entities
and their business associates regarding the storage, utilization and transmission of and access to personal health and non-health information.
Many of these laws apply to our business.
International
Regulation
If
we pursue commercialization of our products in countries other than the U.S. and where we do not have regulatory market approval,
then we may need to obtain the approvals required by the regulatory authorities of such foreign countries that are comparable to the
FDA and state boards of pharmacy, and we would be subject to a variety of other foreign statutes and regulations comparable to those
relating to our U.S. operations. Regulatory frameworks and requirements vary by country and could involve significant additional
licensing requirements and product testing and review periods. We currently partner with companies to sell, market and distribute
some of our products in certain foreign countries.
Environmental
and Other Matters
We
are or may become subject to environmental laws and regulations governing, among other things, any use and disposal by us of hazardous
or potentially hazardous substances in connection with our research and preparation of our formulations. In addition, we are subject
to work safety and labor laws that govern certain of our operations and our employee relations. In each of these areas, as described
above, the FDA and other government agencies have broad regulatory and enforcement powers, including, among other things, the ability
to levy fines and civil penalties, suspend or delay issuance of approvals, licenses or permits, seize or recall products, and withdraw
approvals, any one or more of which could have a material adverse effect on our business.
Research
and Development Expenses
Our
R&D expenses incurred in 2025, 2024 and 2023 primarily included expenses related to development of intellectual property, researcher
and investigator-initiated evaluations, and formulation development related primarily to our ophthalmic products, formulations and certain
other assets, in addition to costs associated with our drug candidate development programs. In 2025, R&D expenses included $8,450,000
recorded as acquired-in-process R&D as part of the acquisition of Melt in November 2025. During the year ended December 31, 2025,
we incurred $20,940,000 in R&D expenses, compared to $12,230,000 and $6,652,000 during the year ended December 31, 2024 and 2023,
respectively.
Financial
Information About Segments and Geographic Areas
The
Company has identified two operating segments as reportable segments. The Branded segment includes activities of our FDA approved ophthalmology
pharmaceutical products, including the out-licensing of rights to certain of our products. The ImprimisRx segment represents activities
in our ophthalmology-focused pharmaceutical compounding business. The Company’s chief operating decision-maker (“CODM”)
is the Chief Executive Officer (“CEO”) who evaluates the segment contribution to allocate resources. The CODM does not review
segment assets when assessing segment performance and deciding how to allocate resources.
The
Company categorizes revenues by geographic area based on selling location. All operations are currently located in the U.S.; therefore,
total revenues for 2025, 2024 and 2023 were attributed to the U.S. All long-lived assets at December 31, 2025 and 2024 were located in
the U.S.
Human
Capital
As
of February 25, 2026, we employed 373 individuals. Our employees are engaged in sales, marketing, research, development, pharmacy operations,
and general and administrative functions. We expect to add additional employees in all departmental functions, with a focus on sales
force additions and other commercial activities as we carry out our business plan in the next 12 months. We are not party to any collective
bargaining agreements with any of our employees. We have never experienced a work stoppage, and we believe our employee relations are
good. We hire independent contractors and consultants on an as-needed basis.
Talent
Acquisition and Retention
We
recognize that our employees largely contribute to our success. To this end, we support business growth by seeking to attract and retain
best-in-class talent. Our talent acquisition team uses internal and external resources to recruit highly skilled candidates in the U.S.
We believe that we continue to attract and retain superior talent as measured by our turnover rate and employee service tenure.
Total
Rewards
Our
total rewards philosophy has been to create investment in our workforce by offering competitive compensation and benefits packages. We
provide employees with compensation packages that include base salary, annual incentive bonuses, and long-term equity awards. We also
offer comprehensive employee benefits, which vary by country and region, such as life, disability, and health insurance, health savings
and flexible spending accounts, paid time off, and a 401(k) plan. It is our expressed intent to be an employer of choice in our industry
by providing market-competitive compensation and benefits packages.
Health,
Safety, and Wellness
The
health, safety, and wellness of our employees is a priority in which we have always invested and will continue to do so. We provide our
employees and their families with access to a variety of innovative, flexible, and convenient health and wellness programs. Program benefits
are intended to provide protection and security, so employees can have peace of mind concerning events that may require time away from
work or that may impact their financial well-being.
Training
and Development
We
believe in encouraging employees in becoming lifelong learners by providing ongoing learning, training and leadership opportunities.
We provide our employees with a tuition reimbursement program, and in certain instances, onsite training programs. While we strive to
provide real-time recognition of employee performance, we have a formal annual review process not only to determine pay and equity adjustments
tied to individual contributions, but to identify areas where training and development may be needed.
Company
Information
We