Greetings, and welcome to the Collegium Pharmaceutical Fourth Quarter 2020 Earnings Call. As a reminder, this conference is being recorded. It is now my pleasure to introduce your host, Alex Dasalla, Head of Investor Relations for Collegium. Thank you, Ms. Dasalla. You may begin.

Welcome to Collegium Pharmaceuticals fourth quarter 2020 earnings conference call. This is Alex Dasalla, Head of Investor Relations for Collegium. I am joined today by Joe Ciaffoni, our Chief Executive Officer; Paul Brannelly, our Chief Financial Officer; and Scott Dreyer, our Chief Commercial Officer.

Thank you, Alex. Good afternoon, and thank you, everyone, for joining the call. I'm pleased to be here today to discuss our Q4 and year-end 2020 performance as well as our 2021 outlook. As you know, Collegium is committed to our mission of being the leader in responsible pain management, and is highly dedicated to people living with pain and the communities we serve. We are focused on executing our strategy with dual aims of delivering on our mission and creating value for our shareholders. We do this through maximizing the value of our differentiated pain portfolio, achieving our near-term operational and financial goals and strategically investing in our long-term growth. Including investments in our people, processes and programs that strengthen our most important brand, Collegium Pharmaceutical. In an extraordinary time, 2020 was a transformative year for Collegium. Our highest priority was the health of our people and their loved ones, customers, business partners and communities. We were able to successfully maintain operations throughout 2020 and enhance our commercial capabilities to fit a new virtual world and broadly achieve our priorities. Key accomplishments in 2020 include achieving Collegium's first full year of profitability and growing revenue in the face of COVID-19. Accelerating Xtampza ER growth, notably strengthening formulary positions and securing the path to market leadership in 2023.

Thanks, Joe. Good afternoon, everyone. In 2020, we were able to achieve a financially transformative year for the organization. With the acquisition of the Nucynta franchise and Xtampza ER revenue growth, we delivered on our total revenue targets, achieved our first full year of profitability, generated meaningful cash flows from operations and paid down debt. Total revenue was $310 million in 2020, an increase of 4.5% from 2019. This was at the midpoint of the guidance range we communicated in early May. A slight miss on Xtampza was offset by the Nucynta franchise exceeding our expectations. Overall, we view this as strong revenue performance for 2020, is robust underlying demand for our differentiated pain products offset a more challenging and protracted negative impact from COVID-19 than we had anticipated. Xtampza ER net revenue was $128 million in 2020, which was an increase of 22% from 2019. The gross to net discount for Xtampza ER was 61.5% in 2020 compared to 58.5% in 2019. As a result of the new exclusive ER oxycodone formulary wins, we expect gross to net discount to be in the 62% to 64% range in 2021, though it will be lumpy from quarter-to-quarter.

Thanks, Paul. As both Joe and Paul mentioned, 2020 was a transformative year for Collegium, and I wanted to take a moment to recognize the efforts of our commercial organization, we demonstrated great agility and resilience in the face of the COVID-19 pandemic and worked tirelessly to fulfill our commitment to being the leader in responsible pain management. In the fourth quarter, we took specific actions to generate momentum and Xtampza ER achieved all-time highs for total prescriptions, market share and total prescribers in the quarter.

Thanks, Scott. I will now open the call up for questions.

Our first question comes from David Amsellem with Piper Jaffray.

Just had a couple. So first, on Nucynta, this is kind of a long-term question. But with the changes in contracting or we're basically getting out of suboptimal contracts. Can you just talk about the cadence of volumes this year, just in terms of what we'll see in terms of volume degradation and how better economics makes up for that as the year progresses? So that's number one. And then secondly, can you talk through your latest thinking on biz dev and M&A. I know, Joe, you have talked about trying to bring in another asset, particularly with the Nucynta LOE at the end of 2025. Maybe talk through philosophically what you're looking at and how you're thinking about it these days?

Great. Thanks, David. I'm going to ask Scott and Paul to split the question on Nucynta. Scott can speak to the cadence of volume, and Paul perhaps can talk a bit about price and revenue.

Great. Yes. Thanks, David. So when we look at volume for the year, what we really see is pretty steady volume decline through the first half of the year, maybe a little bit greater in the first half than the second half because of when the actual changes took place. And I'll let Paul speak to the revenue side.

Yes. On the revenue side, we should see the effect, the benefit of canceling and renegotiating contracts in the first quarter of the year. And then it should be steady throughout the year. So the impact is really in Q1 that we'll see difference in the economics of the franchise.

Yes. And David, the 1 thing I would add on Nucynta, we also will get a benefit of price increase that we took at the beginning of the year. To your question on business development, how it is we think about it and what I would emphasize there is, one, we're really encouraged that the business is in a strong position. We believe it's poised for growth. And we have a long runway. We're certainly committed because of that to being disciplined in our approach. So we don't feel we need to do a deal just to get a deal done. We're really focused on doing a really good deal. To that end, we're active, we're focused and we're engaged. So we know and have priorities of what it is that we like. We're engaged in that process and business development for us, we continue to be focused on and our highest priority being non-opioid pain solutions. With the potential later-stage development, with the potential of being able to generate revenue in that 2024 to 2026 time frame.

Our next question comes from Tim Lugo with William Blair.

This is Lachlan on for Tim. I guess, first of all, just a quick clarifying question to Scott. I think you said you had 46% new-to-brand share in the most recent week. Was that within exclusive plans? Or is that of the overall market? And then a second question. Obviously, it's early, but have you -- can you speak to the dynamics you're seeing in the plans where you have parity position? How is that looking in the first nearly 2 months of the year? And how does it compare to expectations?

Great. Yes. Thanks for the questions, Lachlan. So first, the new-to-brand share I shared of 46%. That's in the overall business across all business through week ending February 5, not just exclusives. And then second, regarding the parity position. So yes, what we've seen there is, right, that position went into place at Optum in July. We've seen a little less than a share point of growth every month. It's our first large parity. So we know it's going to behave different than our exclusives. And what we expect is continued steady growth there with a chance for maybe greater growth as we get to the second half of the year. So that's what we're seeing and what we anticipate.

And Lachlan, this is Joe. I would also, from a managed care perspective , we're seeing market share gains broadly across all of the books of our business. At this point in the year, it skews to the exclusive, in particular, Medicare Part D and as Scott said, as the year goes on. And what's particularly important where we're in parity positions is when we get to that new normal, when people are returning to regular in-office patient visits, that's where we would expect to see a little bit of lift to the back half of the year.

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

Few questions for me. First, let's go back to 4Q, extends us a bit of a drop from third quarter despite an increase in prescriptions. Was that just due to a change in gross to nets? And then in terms of the overall business environment, I think last quarter, you mentioned that patient physician visits were down 20%. Has that number improved at all over fourth quarter or the first quarter? And then last question for Paul, like a price increase of about 10% on both Xtampza and Nucynta. I think in the past, you've realized about half of that. When do you expect that to take effect? And will you realize -- will you still realize half of it now that you have parity plans and not just exclusives?

Okay, Serge. So Paul will take your first and third question, and then Scott will take the second.

Great. Hi, Serge. So first question about the decline of Xtampza revenue in the fourth quarter compared to the third quarter. That is driven by gross to net. Gross to net discount, as we've said, is lumpy through the year. In the fourth quarter, it increased 2.3 points from the third quarter. So a 60.9% in the third quarter, and it went up to 63.2% in the fourth quarter. So that's the slight decline in Xtampza revenue in the fourth quarter. And then I'll jump over to your third question, which was about the price increase. We will realize about 5 or 6 points of the price increase because of price protection built into contracts. And we will see the benefit of that right in January. So there's no lag in to start seeing the benefit of that. And I'll hand it over to Scott for your second question.

Yes. Thanks, Serge. So regarding patient visits there. Where we sit right now, patient visits are still down approximately 20%. And what we anticipate is sometime during the second half of the year is where we might see some of the bounce back of those visits.

Our next question comes from Brandon Folkes with Cantor Fitzgerald.

Maybe just firstly following on from an earlier question. Joe, how do you think about sort of moving earlier in terms of R&D profile in terms of business development and as you build the company out. And then I echo your comments about a very good start to 2021. How should we think about the trajectory? Obviously, last year was very difficult with COVID. This year, it seems like we're going to have a tailwind in the second half of the year with sort of hopefully reopening. So just maybe as much as you can, what is your thinking this year in terms of the growth trajectory on Xtampza for the second half of the year, maybe in a normalized environment as well as with COVID? And then lastly, what's your updated thinking? Any update, I guess, on OxyContin generics?

Okay. Thanks, Brandon. So look, first, with the business development question and from an R&D perspective, as we've said, we believe we have capabilities that we can leverage as it pertains to later-stage development assets. So we're looking for programs that are either in Phase II or Phase II ready. And we think that aligns to the capabilities of Collegium. When you think of the year as it pertains to Xtampza ER, we believe that what we expect to see is the immediate acceleration that we've seen with strong overall growth for the year, skewed to the first half of the year. But to your point, if, in fact, we're all fortunate enough that there's a return to normal. In particularly, driven by the 23 million lives that we have in a parity position. We think although growth will continue to be moderated in the second half of the year, perhaps we can do a bit better than what we've done in the past couple of years. And I'll let Paul take the third question.

Great. Thanks, Jeff. Yes. So for Purdue, we don't have complete line of sight as to potential generics there. But what we know is that they have 19 Orange Book listed patents, which includes 10 that expire -- have expiration dates between 2027 and 2030. So that's what we know as far as their IP situation.

Our next question comes from Kevin Kedra with G. Research.

First, I want to ask about how are you thinking about what the trajectory could look like for the business come out of COVID you talked about, obviously, a benefit for Xtampza. But thinking more about Nucynta, some of the stickiness there seems to be a function of the lack of visits that we're seeing and the lack of switching that tends to happen. So can you maintain that stability that you anticipate for Nucynta as we come out of COVID whenever that might be?

Yes. So Kevin, this is Joe. I'll take that one. Big picture when you look at the year for Nucynta, we expect there to be pressure on volume as a result of the execution of our contract strategy, offset by favorability in terms of -- from a price and gross to net perspective, which we believe will lead to sequentially stable revenue in 2021.

There are no further questions at this time. I'd like to turn the floor back over to management for any closing remarks.

Great. Thank you, and thank you all for your attention. 2020 was a truly remarkable and transformative year for Collegium, and we head into 2021 with encouraging momentum and a strong financial position. We are entering a phase of growth and value creation for the organization. We will continue to focus our efforts on maximizing the value of our differentiated portfolio of pain products, achieving our near-term operational and financial goals, strategically investing in our long-term growth and delivering on our mission of being the leader in responsible pain management. I look forward to updating you on our progress, and have a great evening.

Ladies and gentlemen, this concludes today's webcast. You may now disconnect your lines at this time. Thank you for your participation, and have a great day.