QUESTCOR PHARMACEUTICALS INC - FORM 8-K - EX-99.1 - INVESTOR PRESENTATION

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8-K - FORM 8-K - QUESTCOR PHARMACEUTICALS INC	d8k.htm

NASDAQ:

QCOR

NASDAQ:

QCOR

September 9, 2011

Exhibit 99.1

Safe Harbor Statement

Note: Except for the historical information contained herein, this presentation contains forward-looking statements that

have been made pursuant to the Private Securities Litigation Reform Act of 1995. These statements relate to future events

or our future financial performance. In some cases, you can identify forward-looking statements by terminology such as

“believes,” “continue,” “could,” “estimates,” “expects,” “growth,” “may,” “plans,” “potential,” “should,” “substantial”

or “will” or the negative of such terms and other comparable terminology. These statements are only predictions. Actual

events or results may differ materially. Factors that could cause or contribute to such differences include, but are not

limited to, the following: our reliance on Acthar for substantially all of our net sales and profits; reductions in vials used per

prescription resulting from changes in treatment regimens by physicians or patient compliance with physician

recommendations; the complex nature of our manufacturing process and the potential for supply disruptions or other

business disruptions; the lack of patent protection for Acthar, and the possible FDA approval and market introduction of

competitive products; our ability to generate revenue from sales of Acthar to treat on-label indications associated with

nephrotic syndrome, and our ability to develop other therapeutic uses for Acthar including Systemic Lupus Erythematosus;

research and development risks, including risks associated with Questcor's work in the area of nephrotic syndrome and

potential work in the area of Systemic Lupus Erythematosus, and our reliance on third-parties to conduct research and

development and the ability of research and development to generate successful results; regulatory changes or other policy

actions by governmental authorities and other third parties in connection with U.S. health care reform or efforts to reduce

federal and state government deficits; our ability to receive high reimbursement levels from third party payers; an increase

in the proportion of our Acthar unit sales comprised of Medicaid-eligible patients and government entities; our ability to

estimate reserves required for Acthar used by government entities and Medicaid-eligible patients, and the impact that

unforeseen invoicing of historical Medicaid prescriptions may have upon our results; our ability to operate within an

industry that is highly regulated at both the Federal and state level; our ability to effectively manage our growth, including

the expansion of our nephrotic syndrome selling effort, and our reliance on key personnel; the impact to our business

caused by economic conditions; our ability to protect our proprietary rights; our ability to maintain effective controls over

financial reporting; the risk of product liability lawsuits; unforeseen business interruptions; volatility in Questcor's monthly

and quarterly Acthar shipments and end-user demand, as well as volatility in our stock price; and other risks discussed in

Questcor's annual report on Form 10-K for the year ended December 31, 2010, and other documents filed with the

Securities and Exchange Commission.

The risk factors and other information contained in these documents should be considered in evaluating Questcor's

prospects and future financial performance.

Questcor

A biopharmaceutical company

whose product helps patients with serious,

difficult-to-treat medical conditions

A biopharmaceutical company

whose product helps patients with serious,

difficult-to-treat medical conditions

Questcor Overview

Flagship Product:

•

Profitable, cash flow positive, $170M* in cash, debt-free

•

Profitable, cash flow positive, $170M* in cash, debt-free

•

19 approved indications

•

19 approved indications

Key Markets:

•

Multiple Sclerosis, Nephrotic Syndrome, Infantile Spasms

•

Combined market opportunity exceeds $1.5 billion

•

Multiple Sclerosis, Nephrotic Syndrome, Infantile Spasms

•

Combined market opportunity exceeds $1.5 billion

Strategy:

•

Grow Acthar sales in each key market

•

Develop on-label Lupus market for Acthar

•

Grow Acthar sales in each key market

•

Develop on-label Lupus market for Acthar

Financials:

* As of 9/6/11

History of Acthar

1952

First

Approved

1978

MS Indication Added

2001

Questcor Acquires

Acthar

2010

Label Modernized

19 Indications

2007

Questcor Changes

Strategy

Significant Barriers to Entry

QCOR Strategy –

Sell More Acthar

Multiple Sclerosis (MS)

Nephrotic Syndrome (NS)

Infantile Spasms (IS)

Systemic

Lupus

Erythematosus

Acthar and MS

•

Neurodegenerative

disorder

•

Acute treatment for

relapses

•

Treatment for 1-2

weeks*

•

$40K-$50K/Rx

*Based on prescriptions written

Problematic

Steroid Side

Effects

Poor

Venous

Access

Inadequate

Response to

Steroids

Acthar

when

“Steroids are

not suitable”

Sales

Record

Consistent

Growth

New Paid Rxs

Notes: Historical trend information is not necessarily indicative of future results. Chart includes "Related Conditions" -

diagnoses that are

either alternative descriptions of the condition or are closely related to the medical condition which is the focus of the chart.

Yellow numbers in the bars show the number of MS sales

people making calls at the end of the quarter.

124

141

213

231

304

323

354

508

751

Q1 '08

Q2 '08

Q3 '08

Q4 '08

Q1 '09

Q2 '09

Q3 '09

Q4 '09

Q1 '10

Q2 '10

Q3 '10

Q4 '10

Q1 '11

Q2 '11

Monthly MS Sales Are Promotion Sensitive

15-30 reps

100

150

200

250

300

100

150

200

250

300

MS Paid/Shipped RX's

30-38 reps

38-77 reps

•

Doubled sales force: 38 to 77 sales reps Nov 2010

•

Q2-2011 results

–

Q2-11 new, paid Rxs up 147% vs. Q2-10

–

MS about 60% of QCOR net sales*

•

Estimated $110M annualized run-rate*

–

About 400 prescribers in Q2

–

June was a record month

•

Q3 new, paid Rxs run-rate up about 10% from Q2**

–

August was a record month

•

Doubled sales force: 38 to 77 sales reps Nov 2010

•

Q2-2011 results

–

Q2-11 new, paid Rxs up 147% vs. Q2-10

–

MS about 60% of QCOR net sales*

•

Estimated $110M annualized run-rate*

–

About 400 prescribers in Q2

–

June was a record month

•

Q3 new, paid Rxs run-rate up about 10% from Q2**

–

August was a record month

MS Trends

*Based on Company estimates

**As of 8/31/11

•

Characterized by excessive spilling of protein from the

kidneys into the urine (proteinuria)

•

Can result in end-stage renal disease (ESRD), dialysis,

transplant

•

Significant unmet need

–

Few treatment options

•

Treatment for 4-6 months*

•

$150K-250K/Rx

•

Characterized by excessive spilling of protein from the

kidneys into the urine (proteinuria)

•

Can result in end-stage renal disease (ESRD), dialysis,

transplant

•

Significant unmet need

–

Few treatment options

•

Treatment for 4-6 months*

•

$150K-250K/Rx

Acthar and Nephrotic Syndrome (NS)

*Based on prescriptions written

NS Sales –

Off to a Good Start

New Paid Rxs

Notes: Historical trend information is not necessarily indicative of future results. Chart includes "Related Conditions" -

diagnoses that are

either alternative descriptions of the condition or are closely related to the medical condition which is the focus of the chart.

Yellow numbers in the bars show the number of NS sales

people making calls at the end of the quarter.

Q1 '10

Q2 '10

Q3 '10

Q4 '10

Q1 '11

Q2 '11

NS Market Size

•

Hired 5 reps to sell Acthar to nephrologists

–

Initiated sales efforts in early March 2011

–

Q1 2011 new, paid NS Rxs: 18

•

14 different prescribers

–

Q2 2011 new, paid NS Rxs: 45

•

37 different prescribers

•

6 month course of therapy creates future vial demand

•

Expanding NS selling effort: 5 to 28 NS reps by Oct 1

–

Planned sales calls to increase in Q4 by 7X over Q2

–

Disruption to NS sales in Q3 possible--current 5 NS reps hiring and

training

the

new

reps,

new,

paid

Rxs

run-rate

level

with

Q2*

•

Hired 5 reps to sell Acthar to nephrologists

–

Initiated sales efforts in early March 2011

–

Q1 2011 new, paid NS Rxs: 18

•

14 different prescribers

–

Q2 2011 new, paid NS Rxs: 45

•

37 different prescribers

•

6 month course of therapy creates future vial demand

•

Expanding NS selling effort: 5 to 28 NS reps by Oct 1

–

Planned sales calls to increase in Q4 by 7X over Q2

–

Disruption to NS sales in Q3 possible--current 5 NS reps hiring and

training

the

new

reps,

new,

paid

Rxs

run-rate

level

with

Q2*

NS Sales

*As of 8/31/11

•

Treatment Resistant Idiopathic Membranous

Nephropathy

•

Dose response trial

–

Randomized, double blinded 3 arm study with 2 different dosage

regimens of Acthar and placebo

–

n=84 (approximate), 35 centers (approximate)

–

Endpoint is reduction of proteinuria

•

Trial milestones

–

First patient dosed in Q3

–

“First look”

data available late 2012

–

Final reporting mid 2013

•

Treatment Resistant Idiopathic Membranous

Nephropathy

•

Dose response trial

–

Randomized, double blinded 3 arm study with 2 different dosage

regimens of Acthar and placebo

–

n=84 (approximate), 35 centers (approximate)

–

Endpoint is reduction of proteinuria

•

Trial milestones

–

First patient dosed in Q3

–

“First look”

data available late 2012

–

Final reporting mid 2013

Phase

Company

Sponsored

Study

•

Devastating, refractory form of childhood epilepsy

–

Very poor developmental outcome if inadequately treated

•

Not responsive to standard anti-epileptic drugs

•

Ultra-rare orphan disorder

–

1,500 to 2,000 patients annually

•

Typically occurs in children less than 2 years old

•

Characterized by

–

“spasms”

–

a specific type of seizure

–

“hypsarrhythmia”

–

abnormal EEG pattern

•

Devastating, refractory form of childhood epilepsy

–

Very poor developmental outcome if inadequately treated

•

Not responsive to standard anti-epileptic drugs

•

Ultra-rare orphan disorder

–

1,500 to 2,000 patients annually

•

Typically occurs in children less than 2 years old

•

Characterized by

–

“spasms”

–

a specific type of seizure

–

“hypsarrhythmia”

–

abnormal EEG pattern

Infantile Spasms

•

FDA approval 10/15/10

•

Crisis therapy

•

Treatment for 2-4 weeks*

•

In a randomized, single-blinded, controlled study, 87%

of patients achieved overall response (no spasms and

no hypsarrhythmia) at two weeks versus 29% on

prednisone

•

$100K-$125K/Rx

–

About half of patients receive drug for free

•

FDA approval 10/15/10

•

Crisis therapy

•

Treatment for 2-4 weeks*

•

In a randomized, single-blinded, controlled study, 87%

of patients achieved overall response (no spasms and

no hypsarrhythmia) at two weeks versus 29% on

prednisone

•

$100K-$125K/Rx

–

About half of patients receive drug for free

Acthar and IS

*Based on prescriptions written

•

Targeting select institutions

–

Promotion effort being narrowed as market is maturing

–

Creates selling time for Acthar MS reps to target NS

•

Significant variability in quarterly Rxs

•

Q2-2011 new, paid Rxs within historic range

–

Acthar currently used to treat 40-50% of IS patients

–

Q3 new, paid Rxs run-rate level with Q2

•

Targeting select institutions

–

Promotion effort being narrowed as market is maturing

–

Creates selling time for Acthar MS reps to target NS

•

Significant variability in quarterly Rxs

•

Q2-2011 new, paid Rxs within historic range

–

Acthar currently used to treat 40-50% of IS patients

–

Q3 new, paid Rxs run-rate level with Q2

IS Sales

Immediate

Acthar

Growth

Opportunities

*Represents estimated net sales market opportunity based on internal company estimates

•

Build on

sales

momentum,

good market

headroom

•

Market size-

$500M+*

•

Good start

with 5 reps

•

Significantly

expanding

selling effort

•

Market size-

$1B+*

•

Targeted

sales

strategy

•

Market size-

$100M*

•

Specialty Sales Force

–

Main focus on MS (time split is ~ 80%/15%/5% on MS/NS/IS)

–

77 representatives, 13 regional managers, one national director

•

Nephrology Sales Force

–

Focus 100% on Nephrotic Syndrome

–

28 representatives, 4 regional managers, one national director

–

All hired and on-board as of 9/12/11

•

Combined Forces will be calling on

–

>4,000 neurologists

–

>3,000 nephrologists

–

about 100 key children’s hospitals

•

Specialty Sales Force

–

Main focus on MS (time split is ~ 80%/15%/5% on MS/NS/IS)

–

77 representatives, 13 regional managers, one national director

•

Nephrology Sales Force

–

Focus 100% on Nephrotic Syndrome

–

28 representatives, 4 regional managers, one national director

–

All hired and on-board as of 9/12/11

•

Combined Forces will be calling on

–

>4,000 neurologists

–

>3,000 nephrologists

–

about 100 key children’s hospitals

Total Acthar Sales Force

•

High unmet need

•

Serious health risk if unsuccessfully treated

•

Difficult to treat

•

Multiple on-label indications for Acthar

–

Exacerbations

–

Maintenance therapy

–

Lupus nephritis

•

Large patient population

•

High unmet need

•

Serious health risk if unsuccessfully treated

•

Difficult to treat

•

Multiple on-label indications for Acthar

–

Exacerbations

–

Maintenance therapy

–

Lupus nephritis

•

Large patient population

Systemic

Lupus

Erythematosus

(Lupus)

Financials

Profitable

Debt Free

Cash Flow Positive

Q2-2011

Financial

Results

Record Sales (up 62%) and Solid Earnings (EPS up 50%)

•

Second quarter vials shipped: 2,430

•

Medicaid reserves continue to appear adequate

•

No shares repurchased

Net Sales ($M)

Gross Margin

Operating Income ($M)

Fully Diluted, GAAP EPS

$46.0

$46.0

94%

$20.4

$0.21

$28.3

93%

$14.3

$0.14

Q2-2011

Q2-2010

Questcor

Cash

Flow

Positive

*After return of $78 million of cash to shareholders through

share repurchases.

Cash / ST Investments

Accounts Receivable

$170M*

$19M

9/6/11

Debt-free balance sheet

Share Repurchases: 15 Million Shares

•

2.2 Million Preferred share buyback

•

13.2 Common share buyback

•

$78 million returned to shareholders in stock

buybacks

•

62.3 million shares currently outstanding

•

4.3 million shares remain on buyback authorization

•

2.2 Million Preferred share buyback

•

13.2 Common share buyback

•

$78 million returned to shareholders in stock

buybacks

•

62.3 million shares currently outstanding

•

4.3 million shares remain on buyback authorization

Repurchases significantly improve EPS

•

Sustain effort and momentum with MS

•

Expand NS selling effort

•

Maintain and gradually grow IS sales

•

Explore Systemic Lupus Erythematosus (Lupus) as next

vertical market

•

Develop other markets for Acthar

•

No business development efforts planned

•

Sustain effort and momentum with MS

•

Expand NS selling effort

•

Maintain and gradually grow IS sales

•

Explore Systemic Lupus Erythematosus (Lupus) as next

vertical market

•

Develop other markets for Acthar

•

No business development efforts planned

Go Forward Plan -

Sell More Acthar

–

Acthar is its own pipeline with many other on-label

and many possible other therapeutic uses

–

Further define and develop the unique

characteristics of Acthar

Investment Highlights

NASDAQ:

QCOR

NASDAQ:

QCOR

September 9, 2011

Attached files

QUESTCOR PHARMACEUTICALS INC Reports

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