Good morning, and welcome to the Amneal Pharmaceuticals, Inc. fourth quarter 2024 Earnings Conference Call. I would now like to turn the call over to Amneal's Head of Investor Relations, Tony DiMeo. Please go ahead.

Thank you for joining the Amneal Pharmaceuticals, Inc. fourth quarter 2024 earnings call. Today, we issued a press release reporting Q4 results. The earnings press release and presentation are available at amneal.com. Certain statements made on this call regarding matters that are not historical facts, including but not limited to management's outlook, are forward-looking statements that are based solely on information that is now available to us. Please see the section entitled cautionary statements on forward-looking statements for factors that may impact future performance. We also discussed non-GAAP measures. Information on the use of these measures and reconciliations to GAAP are in the earnings release and presentation. On the call today are Chirag Patel and Chintu Patel, Co-founders and Co-CEOs, Tasos Konidaris, CFO, our commercial leaders, Joe Renda for Specialty, and Jason Daley, Chief Legal Officer. I will now hand the call over to Chirag Patel.

Thank you, Tony. Good morning, everyone. Amneal Pharmaceuticals, Inc. is much more than another generics company. We are an American biopharmaceutical company with a track record of excellence in delivering high-quality, complex pharmaceuticals at speed and scale. We are a leader in an essential industry providing millions of patients with access to affordable and innovative medicines. 2024 was an exceptional year where Amneal Pharmaceuticals, Inc. delivered stellar financial performance with double-digit revenue and adjusted EBITDA growth, and reducing net leverage below four times. All segments grew revenues double digits. This broad-based performance reflects the strength of our diversified business, strong execution, and continued investment in growth areas. Beyond financial results, we took major strategic steps in 2024 to enhance our long-term growth profile and expand our future potential, including launching Crexent, establishing our GLP-1 collaboration, and adding to our biosimilars pipeline. The first important milestone we achieved in 2024 was the successful launch of Crexent. We are so excited by the strong response from prescribers and inspiring patient testimonials. Early traction has exceeded expectations, with market share reaching about 1% in just four months and on track to exit the year at 3% plus. As a point of reference, Rytary has 6% market share currently, ten years since its launch. We are very confident in achieving US peak sales of $300 to $500 million for Crexent. Our specialty business grew 14% in 2024, and our goal is to grow specialty to over $500 million by 2027. This growth will be driven by Crexent, Unithroid, Ongentys, and the upcoming launch of DHE and other branded products. We aim to add more branded opportunities to our portfolio over time. Second, in 2024, we entered the high-growth weight loss and obesity space, a new category for Amneal Pharmaceuticals, Inc. through a strategic collaboration…

Thank you, Chirag. And good morning, everyone. And special thanks to our dedicated employees for making Amneal Pharmaceuticals, Inc. a purpose-driven company focused on execution and delivering value to our stakeholders. Today, I will provide an update on our strategic priorities across operations, innovation, and our portfolio. First, our world-class global operations remain a key competitive advantage. Amneal Pharmaceuticals, Inc. has a stellar quality track record and a world-class operational infrastructure with an extensive manufacturing footprint in the United States, Ireland, and India. Over our history, the FDA has conducted over 105 successful inspections with either no or only minor observations. Further, we continue to invest in digitization, automation, and operational efficiencies to drive innovation and growth across different business forms. We are committed to enhancing our operational excellence and cost efficiencies across our global infrastructure. Amid chronic drug shortages and supply chain challenges in the US, Amneal Pharmaceuticals, Inc. stands out with its industry-leading quality, resilient supply chain, and high customer fulfillment rates. A key highlight is our collaboration with Medcera in the GLP-1 space. Our partner's portfolio is moving swiftly to the drug development phase. Amneal Pharmaceuticals, Inc. already has the infrastructure and capabilities for peptide development and injectable manufacturing. As part of this collaboration, we will build two state-of-the-art manufacturing facilities, one for peptide drug substance production and another for advanced sterile finish manufacturing. These investments will enable large-scale production, positioning Amneal Pharmaceuticals, Inc. as Medcera's preferred global supplier while leveraging our R&D expertise and quality leadership in this fast-growing category. Next in innovation, we launched Crexent, which is a remarkable new treatment for Parkinson's disease designed for rapid onset and extended efficacy. Crexent delivers more good on time with fewer doses. Our open-label phase four study is underway to generate additional real-world evidence. We are pleased…

Thank you, Chintu, and good morning, everyone. 2024 was a very strong year of execution across all our business units with excellent financial performance well ahead of our original guidance metrics. In addition, net leverage declined to 3.9 times compared to 4.8 times at the end of 2023. As we grew EBITDA, we paid down debt. Strategically, as Chirag and Chintu highlighted, we are driving the ongoing diversification of the business through new launches and pipeline expansion, biosimilars, and GLP-1, which provides a strong foundation for long-term growth. In 2025, we expect continued top and bottom-line growth reflecting our ability to offset the Rytary loss of exclusivity due to the breadth and depth of our commercial portfolio and strong pipeline. I'll review our strong performance in Q4, touching on our full-year results and discuss guidance for 2025. The fourth quarter, revenues of $731 million grew 18% with double-digit growth across all three segments. Our affordable medicine segment grew 21% to $439 million. New product launches added $54 million to Q4 revenue driven by recent complex launches. Biosimilars generated $39 million in Q4 revenues and grew 49% versus the prior year. As Chintu mentioned, Amneal Pharmaceuticals, Inc.'s continued investment in R&D, superb quality track record, and supply consistency are competitive advantages driving sustainable growth, portfolio diversification, and value to customers, providers, and patients. Q4 specialty revenues grew 16% to $121 million driven by our branded products. Our Parkinson's franchise, which includes Crexent, Rytary, and Ongentys, generated $64 million in Q4 revenues, including $3 million from Crexent. As we said, we are very pleased with the initial launch success of Crexent and its early trajectory well ahead of Rytary's launch. In Q4, our RevCare segment grew 14% to $170 million reflecting continued growth across the distribution and government channels. New product launches…

Thank you, Tasos. In summary, 2024 was a remarkable year for Amneal Pharmaceuticals, Inc. We delivered broad-based double-digit growth and took key strategic actions to further position our company for sustainable long-term growth. Amneal Pharmaceuticals, Inc. enters a new chapter of growth in 2025 with tremendous momentum across our business, and we are so excited for what's ahead. Let's now open the call for Q&A.

Thank you. To ask a question, please press star followed by one on your telephone keypad now. If you change your mind, please press star followed by two. When preparing to ask your question, please ensure your device is unmuted locally. The first question is from Chris Schott from JPMorgan. Your line is now open.

Great. Thanks so much for the questions. Maybe just to start off with, I just had a couple on Crexent. Can you just elaborate on these first few months of the launch? It seems like the ramp is going really nicely, but I was just wondering if there are any surprises from your perspective in terms of either where the patients are coming from or just any dynamics of how physicians are integrating this into their practices. Maybe just a second one on Crexent while we're at it. Can you just give us the latest in terms of where formulary access stands and how you're seeing that trending?

Thank you, Chris. We're so excited. Beyond our expectations. And the patient testimonials are amazing. This is where you feel so good that the patient that wasn't able to walk now walks. They're taking fewer capsules a day, lasting longer. So it's arguably right now, it's early four months, it's performing as the best CDLD formulation and absorption ever seen in this category. And this is straight from the most well-known KOL saying it's the best absorption he has seen, and it's called a medical drug. And we keep hearing that from all across the MDS, even started from General Neuro, we're going up to the long-term care. So we're covering all corners of the market now, all 100%. We're right there. We covered only 20%, which is fluctuating as the market. In, with MDS. This is we have broadened our market reach. The teams are doing great. We're so excited. This already thousand plus week. Just in four months. The Rytary would have taken two years to get this amazing feedback. Formulary access is awesome as well. And for to discuss that further, I'll pass it on to Joe Renda, our head of Specialty business.

Yeah. Thanks, Chirag. Thanks, Chris, for the question. And, yeah, to Chirag's point, we're very pleased with the performance we've seen thus far. The team has really executed well. The response from the market has been remarkable. We continue to hear from physicians literally every day the patient responses that they're getting. You asked about formulary access and so far that we've been very pleased with the response from the payers. Right now, we're somewhere in the neighborhood of about 30% coverage rate. We anticipate that to go up this year to the neighborhood of 50%. Our goal has always been to catch or surpass Rytary coverage, which is around 70%. We anticipate bringing on at least one, two, maybe even three major commercial payers this year. So the coverage conversations have been very good. The payers are also seeing the demand generation that's happening in the market. So that's further exciting them about bringing Crexent on formulary. And we're also getting great response from the advocacy organizations. So we're partnering very closely with the advocacy organizations across the country. They're also helping spread the word of how favorable Crexent has been. So to give you a point of illustration, when you look at the way Crexent has performed in launch versus Rytary, we're three to five times where Rytary was at this point in launch. So very good uptake in the market. Very pleased and we look for more to come.

Yeah. And Chris, last thing I would add is this is we're making Crexent a global product. So creating global access. We have a partner in Canada, South America, Mexico, our partner in Europe. Amneal Pharmaceuticals, Inc. will market in India. And we're looking for a partner in China and Japan. So this will be a truly global product. As you know, Rytary was never available outside of the United States. Millions of Parkinson's patients across the globe and this will be the best therapy that they will get for their day-to-day living with Parkinson's.

Excellent. And maybe just one last question for me was just kind of bigger picture with the strong top line. I just been interested. Are you thinking about either organic investments into the business or external BD any differently than the past? I'm just trying to get a sense of how you're thinking about balancing kind of longer-term investments and top-line growth versus kind of maybe the drop through of that growth in terms of the near-term margins.

Thanks, Chris. So we're so fortunate to have a solid organic pipeline. In affordable medicines, within affordable medicines and retail GX, we have a leading portfolio in inhalations of Talmex, a microsphere. We're just drug-device combination products. So one of the best portfolios we have. Then comes to injectables. We have more 505(b)(2) injectables to come. Ready to use, peptide, microspheres, very excited. Biosimilars, we have in-licensed the product as we've been very apparent about it that this is a very long-term focus that this is over ten years business. It is and we've been investing for a long time. We need to become vertically integrated. So have manufacturing with us, R&D with us, full pipeline, global market. And we are just like in complex generics, we are here to stay. Our mission is to become America's number one affordable medicines company. So biosimilar expansion is a must. So we will allocate capital towards biosimilars. And then always looking for specialty portfolio addition. Beyond DHE, we're looking at either a couple of programs internally, which we're not ready to discuss yet. And working with a few outside potentials that we can either bring in license or buy those products.

Great. Thanks so much.

The next question is from David Amsellem from Piper Sandler. Your line is now open.

Hi. Thanks. So got a couple. So you cited GLP-1s peptides in 2028. Are those launches in ex-US/emerging markets? Is it Trulicity? Is it a combination of those things? I'm just trying to get a sense of what you're thinking regarding that 2028 number that's on slide six. And then secondly, with the Medcera collaboration, you're constructing the new facilities, but you've also talked about beyond peptides vertically integrating your biosimilar business. And so I guess my question here is how should we think about growth in CapEx over the next several years and how that plays into your overall debt pay-down strategy because it sounds like there's significant expansion of your infrastructure that's going to be happening. So just wanted to get your thoughts there. I'll leave it there. Thanks.

Thank you, David. So first question, on GLP-1 by 2028, all of the above, what you mentioned is ex-US could have a product like Trulicity. Could have other contract manufacturing business. So that is how we see the GLP-1 our partnership with Medcera. The growth in CapEx as we have laid out that Medcera is contributing $100 million. We expect the government incentives to be around $100 million. We're investing $100 to $150 million of our CapEx over three years. It's manageable CapEx as you would have noticed. We increased our CapEx projection for this year to about $100 million. We're not and about biosimilars, we're not going to start building from scratch. We might do certain M&A to bring the capacity already there. And pipeline that is already there. And it will require incremental CapEx for those, but we do not know exactly how much. But you can see in the ballpark, we'll continue to be $70 to $100 million ongoing on CapEx. But our EBITDA is keep growing up. Our cash flow is improving. Our interest rate going interest expense is coming down. So no problem. I thought they invest here and keep making we have the awesome infrastructure already for many things, and this will be additional. Great infrastructure to have.

If I may just ask a quick follow-up regarding M&A. Do you think that in terms of capacity, you know, help us understand, you know, how large you can go or what you're thinking about aspirationally in terms of sizing.

Well, David, we are focused as Tasos said. Right? We're not going to be we'll be four times leverage under four times. And over time, we want to go to three times. So we would have to find a creative deal may include the cash on hand or limited cash, equity. So there's multiple ways to do it.

Hey, David. This is Tasos. So just to be clear. Right? Continue to leverage continues to be and organic revenue growth continues to be our top two priorities, number one. Number two, we're not a big M&A shop. We're not a big M&A shop. The last deal we did was, what, $300 some million deal? That was the AvKARE deal five years ago. And I think universally has that has paid for itself, you know, five times over. And it's the strength of our organic pipeline that puts us in a position, I think, to do the right deal that makes sense financially, number one. Number two, it has to be strategic in nature such as, you know, biosimilars. And number three, we have a high degree of confidence in executing well. And I think, you know, the way the teams have executed in terms of growing our biosimilars, essentially, from nothing three years ago, to something that, you know, probably in 2025, this year is probably going to be a $150 some million business. I think that's remarkable. So that's how we think about it.

And so hopefully, that's helpful.

It is. Thanks.

The next question is from Leszek Sulewski from Truist Securities. Your line is now open.

Good morning. Thank you for taking my questions. Can you provide any latest commentary on around naloxone any additional contracts that you signed with other states? And then second, I haven't really heard much commentary on Unithroid. Maybe provide some puts and takes around long-term opportunity there. And then lastly, I you know, you did comment on the deleveraging and you deleveraged faster than you anticipated. Is there a new target for 2025? Thank you.

So Leszek, good morning. Naloxone, the states are slowing moving. So we haven't talked to California. We're very close to a few states, but haven't signed anything new beyond California, which was the largest state by far. You have to add another 20 states to get to California, and we're working through the distributors as well who already have the state contracts. So naloxone's moving. It's three players market today. And Teva is not much in it. So we're emerging as well positioned in all these states in longer-term contracts. And it is a frustrating process at the state level. But we have a team that is key working on it, and we expect to grow this business. But as it is what we have forecasted, we should be able to provide about 2.5 million kits this year to the market and going up to 4 million kits in the next in 2026. So that's what we're working towards. Unithroid is, like, Synthroid. They're patient to which she favors. Consistent therapy, and that is what we provide. Has a consistent growth profile over time. We see it going the same way.

Hey, Leszek. Good morning. From the leveraging perspective, we can expect us to continue to pay down debt and reduce net debt to EBITDA in 2025. Just depending on a number of scenarios, around interest rates, refinancing, etcetera. We're targeting about give or take, between $80 to $100 million overall reduction in gross debt, number one. You know, this year, 2024, we finished net debt to EBITDA 3.9. My gut feel is we're targeting 3.6 to 3.7. Net debt to EBITDA. So another, you know, 0.3 or, you know, 0.2, 0.3 reduction going down the in a reasonable manner reduction of leverage, gross, and then net EBITDA.

Great. Thank you for that color.

The next question is from Balaji Prasad from Barclays. Your line is now open.

Hi. Good morning, everyone. So it's great to see the consistent progress and the healthy outlook. I'll try to read a couple of questions on topics, Tasos. But Tasos, starting with you, firstly, on the guidance and EBITDA margins, 2025 EBITDA range seems to be at around 20.9% to 22.5%. I'm surprised to see that even at the higher end, there is limited PMX expansion. So, like, how much of a drag has Rytary LOE been on this? And are there any other factors at play? One, two, I'm sure everyone will be happy to hear you say that you're not a big M&A shop in the focus will be on continuing to deliver. So is this going to be more of a consistent leverage year over year, or are you comfortable with a bump up in net leverage on the back of any deals? Lastly, Chirag, I was just curious. Combining your recent approval of lenalidomide and we address those issues with Endo and that they can't supply, they evidently need a supplier. Do you see any scope for you to monetize your approval early either in the form of supply deal or an accelerated launch ahead of January 2026? Thank you.

Let me take the first couple of them, and good morning. So number one is I mean, you're correct. You can look at the EBITDA as a percentage of revenue, and, you know, in 2024, we were at about 22.5%. You look at the guidance for more like 21%. So it looks a little bit of a deterioration. I wouldn't read anything into this. This is driven by a couple of things. Number one is just it's a mix of business. RevCare continued to grow faster than the rest of the business. And then just simple fact is that, you know, that EBITDA that business is slightly less profitable than the rest of the business. Frankly, just look at incremental dollars. Right? And incremental cost that can help us fund our business and grow. So it's number one, and then, obviously, the combination of the Rytary LOE. Right? Rytary is a 90% product. Right? And they need to invest in Crexent and maximize the slope of growth for that product. So that's what I would say. My gut feel is, you know, it's gonna you know, we're barely into 2025. I think as we look at 2026 as we anniversary most of the Rytary LOE, the incremental investments, full-year investments of Crexent begin to level off, I will expect to see EBITDA margin to begin increasing. So that's kind of on that. Number two on the leverage, I mean, you know, the company is not on autopilot. So you know, in five years, we reduced leverage from 7.4 to, you know, 3.9. Probably in 2025, we'll get 3.6. There you know, we'd like to see in a perfect world a gliding path of reduction. If at any given point in time, there is a slight increase for a few months or for a year, I don't think our equity holders or our debt holders will be concerned because it will be the right decision that's gonna begin leading to, you know, further deleveraging over the course of time. So that's how we think about that. To add on the other question, I believe it's IP. Okay. To a settlement.

Chirag, and thanks for the question, Balaji. This is Jason Daley, the Chief Legal Officer. Given the settlement dynamics, I think we shouldn't be talking too much about lenalidomide, but obviously, we're excited for all the products that are in our portfolio and looking forward to launching them.

Alright, Jason. Thank you.

We have no further questions. So I'd like to hand back to Chirag Patel for any closing remarks.

Thank you very much. Have a nice weekend.

Thanks.

Thank you, everyone.

This concludes today's call. You may now disconnect from the call, and enjoy the rest of your day.