Amneal Pharmaceuticals, Inc. (AMRX) on Q1 2021 Results - Earnings Call Transcript

Operator: Hello, and welcome to the Amneal First Quarter 2021 Conference Call. . I would now like to turn the call over to Amneal's Head of Investor Relations, Tony DiMeo. Anthony DiMeo: Good morning, and thank you for joining us for Amneal's First Quarter 2021 Earnings Call. Earlier this morning, we issued a press release reporting our financial results. The press release as well as the slides that will be presented on this call are available on our website at amneal.com. Chirag Patel: Thank you, Tony, and welcome to Amneal. Good morning, all, and thank you for joining us this morning. First, I want to acknowledge the public health crisis in India. COVID-19 has challenged the world in many ways. But even by the standards set over the last year, the situation in India is very challenging and access to medical care is limited. We are working diligently with Indian Government officials, charitable foundations and other pharmaceutical leaders to utilize our expertise, resources to secure critical care medications and equipment. Our hearts are with our colleagues in India as well as all those who continue to fight COVID-19 around the world. As an essential business, we are proud of the investments we continue to make in protecting the health and well-being of our employees. In addition, we are also ensuring the continuous supply of medicines for patients and customers in the United States. Our robust global supply chain is operating well and the efforts of the -- our procurement, quality and manufacturing teams have been truly heroic. Finally, this latest COVID outbreak is a reminder of the dependency of the U.S. generics pharmaceutical industry on foreign manufacturing. We believe it remains critically important to make more products in America for America. Chintu Patel: Good morning, everyone. Thank you, Chirag. As always, I would like to begin by recognizing our employees whose tremendous dedication inspires Chirag and I every day and drives our continued success in making healthy possible. The team's relentless commitment to delivering medicines for our customers and patients even in these trying times is truly remarkable. To our employees, we thank you for your service and are filled with gratitude for all you have contributed. Our employees in India have demonstrated amazing courage, and we are actively supporting them to ensure they get the care they need in light of the most recent COVID outbreak. Our India team has continued to ensure our supply chain remains strong and the flow of products is uninterrupted. From the beginning of the pandemic, we focused on building an even more resilient global supply chain, which has led to strong inventory levels across all locations. These are unprecedented times, and we pray for those who have lost family members to this terrible virus in India and across the world. Now let me provide a few key business updates. First, I'm happy to share that we are advancing key initiatives across the company to improve efficiencies, which will save cost and expand margins. For example, while we manufacture most of our generics in-house, we are transferring several products from external manufacturing partners to our facilities, which will reduce cost and improve supply chain. Many of these types of initiatives will help improve our gross margins in a sustainable way. And as always, we continue to uphold the highest standards of good manufacturing practices and integrity across every aspect of our business. From the very beginning, we have prioritized quality and compliance at all levels, it is truly in Amneal's DNA and part of our culture. Anastasios Konidaris: Thank you, Chintu. Our first quarter financial momentum reflects the relevancy and diversification of our product portfolio, successful new product launches and our focus on execution and driving of efficiencies. As a result, in the first quarter of this year, we reported net revenue of $493 million, adjusted EBITDA of $126 million and adjusted diluted EPS of $0.20. In addition, we generated $148 million of operating cash flow and further reduced our net leverage. Chirag Patel: Thank you, Tasos. We are pleased with our continued positive momentum through the start of 2021 as we continue to execute against our Amneal 2.0 strategic vision of long-term sustainable growth. I would now like to turn the call over to the operator to take your questions. Operator: . And the first question comes from Greg Gilbert with Truist. Gregory Gilbert: I have a few. Chirag, I want to start with a high-level strategic question. I understand the desire for companies, including yours, to -- want to move up the value chain and have more durable products and brands. I certainly understand that. But also, I wonder why the generic industry in the U.S. hasn't consolidated more, given what we've seen on the customer side. Do you think that's in the cards sort of independent of your stand-alone strategy? Let me ask the other questions right upfront. Tasos, maybe you could comment a little bit on the AvKARE strength and how lumpy that is and what some of the drivers are there? And lastly, for Chintu, is generic NEXPLANON a project that is interesting to you and perhaps underway? And curious how challenging something like that would be compared to other projects you've had your team work on? Chirag Patel: Greg, you're so fresh this morning. Consolidation in generics, that's the holy grail, I guess. As you know, it is tough. And the reason it is tough is the FTC requires to divest many products we went through. With Impax merger, we had to go back and forth with the agency and ended up divesting a lot of value away. And also moving the products from their plants, Impax plants to Amneal, we lost a lot of revenue in between. So it becomes very hard. You look back and say, "Okay, why should we do that? Of course, there are lots of synergies we can pick up." But the overlaps are so many. So if we find a target without overlaps, really good. And I hope -- and it is needed. The consolidation is a must. It's just what form it comes in. And if new players without overlaps, if they can emerge, which Perrigo's generic divesting was good. There are a couple of small companies, do they consolidate together? Good. Good for the industry, and we need that. As you know, Indian companies have a very hard time doing anything. So they go on for a legacy of their families for many years to go, so they do not consolidate. It's a little bit uphill slope. I hope I answered that question to you. Tasos on AvKARE and then Chintu... Anastasios Konidaris: So let me try this if that works. So AvKARE overall is growing nicely. So last year, we did about almost $300 million. This year, it will grow mid-double digits, so feel good about the top line growth. Profitability. We knew that when we did the deal, profitability for the business is around high double digits. So last year, it was 18%. And Q1, we're seeing at 20%. So we're pleased with that improved level of profitability. One of the things we like about the business, about more than 50% of that $300 million growing double-digit this year is the government business. And what we like about this, many of the contracts are long-term contracts. So it gives us a nice, stable platform that we can grow over time. And for that reason, we cannot turn the growth rate overnight, right? But it embeds us with our government customers and the team has a lot of expertise. So over time, we're looking to grow that segment, not only by leveraging third-party products, but also Amneal products, which, as you can imagine, provide a nice, much more profitable growth there. The rest of the business is a number of other more distribution like businesses with low single margin business. And that's been growing nicely, and that's where we're looking for more operating efficiencies over time. So I think overall, I think the business, again, this year is going to grow mid-double digits. I think for the next few quarters, it will be low of $80 million to low $90 million in terms of quarterly revenues and profitability will be in that 18% to 20% gross margin. Hopefully, Greg, that helps. Chirag Patel: And just to add a bit, we're also growing the unit dose business by launching 8 to 10 our own liquid products out of our branch at New Jersey site. So that should be a nice uptick for AvKARE next year. Chintu? Chintu Patel: Greg, so good question on NEXPLANON. So Amneal, as you know, has been investing into a complex generic space, and we continue to move up the value chain. And the products like NEXPLANON, which is a drug-device combination implant product sits on the top of the most complexity from the development and from the device perspective and also how to conduct and work with FDA. With Kashiv's acquisitions, we acquired that -- some of the talent that is required. I will not get into the particular product, but Amneal, we have the good knowledge on how to develop these 3 to 5 years long implant products. We have the very good drug-device group within the organization. We understand the formulation and the other challenges and the PK studies and other regulatory requirements. But absolutely, Amneal is moving up, and it's part of our portfolio, not the particular product but entire drug-device combination implant category is something we are very excited. And we have the knowledge, and we are working aggressively to bring that to the market. Operator: And the next question comes from Daniel Busby with RBC Capital Markets. Daniel Busby: Maybe sticking with the big picture theme. As we think about the business longer term, in your view, what is the ideal revenue mix between generics and specialty, and also, I guess, U.S. versus OUS? Clearly, right now, you're still more heavily weighted towards U.S. generics. But what would you ideally like to see when we look at the business 5 years from now? And how does business development play into that? And second, how should we think about the cadence of additional generic new launches over the remainder of this year? And how important are those for the anticipated step-change increase in generic revenue that you mentioned? Chirag Patel: Thank you, Daniel. So the big picture, how do you see Amneal growing, say, Amneal 2.0? So we said the complex generics is a driver of the business within generics, right? We've got complex genetics all kind of dosage forms. As Chintu mentioned, the device products, the inhalation products, injectable products. And as we have said it a year ago that biosimilars, we put them in complex generics. So that segment going from somewhere at $1.4 billion, $1.5 billion to a higher level in 5 years. We're not going to give you exact number now, but there is enough growth for us because of all these scientific capabilities and investment we have made over the years to produce this. So it will be excellent growth in that one segment of the business. The specialty, we have our own pipeline. We haven't given forecast to that pipeline. IPX203 is moving nicely so is K127. And we are very serious on, and we got the platform, we've got the technology. And one thing Amneal does really well is once we get in, we do it, we finish the job. So we -- it's a long-term view for us, 5, 10 years. We'll build the specialty business to be at a great level on a more contribution on EBITDA than revenue. And I don't want to say the mix exactly, but it is on a tremendous growth trajectory. And also, it will be complemented by accretive strategic M&A because we have the strength. We've got the cash flow, we've got the complex generics complementing the specialty. So our Parkinson's disease side, we like to consolidate as many products as we can. Same thing on endocrinology, it's how our T3 comes and then there's more to come. So very excited and very targeted on those 2 areas. Do you want to take this? Anastasios Konidaris: Yes. Just in terms of overall, new product launches are critical to us, right? But we are really not relying on any additional new product launches to lead to that step change I spoke to. Based on the product portfolio that we currently have, we're very confident of the step change, number one. Number two, as new products come in, those new products will be fueling growth mostly towards Q4 and into next year. Operator: And the next question comes from David Amsellem with Piper Sandler. David Amsellem: So just a couple. So on the biosimilars, can you just talk about -- I know that this is a partnership model, but how should we think about your net economics, and how these 3 opportunities you've identified, what kind of margins they'll have relative to your overall Generic margins, given the shared economics? So that's number one. Then number two is, you've talked about other programs, other biosimilar programs. When are you going to be in a position to identify those other opportunities? And do you expect those other opportunities to have better economics or similar economics to Avastin and the G-CSFs? And then lastly, is there anything that you can add on the Copaxone generic? And is this still part of your expectation that you expect that opportunity to bear fruit later this year? Chirag Patel: Thank you, David. So our biosimilars strategy, as you pointed out, it's a partnership model to begin with, which is very cost effective for us. We waited, and we wanted to see how it develops because we did not want to spend or invest $150 million, $200 million per biologic. And the patent dance, the thicket of patents, so we want to see how -- plus the adoption of biosimilars, which is all playing now nicely over -- now and over the next 10 years, we see biosimilar as a great business. And not only biosimilars, it will then, just like in small molecule 505(b)(2), biosimilars may end up into biobetters or follow-on branded biologics because -- which could be brought earlier in the market. So we've been very diligently working over last couple of years to identify great partners. We understand the manufacturing is a key. I would put 80% value to a very high-end manufacturing and consistent manufacturing. And we are working on our strategies on how do we become champion just like on a complex generics for the manufacturing of biosimilars. And then R&D, we will establish our capabilities sooner than later. Margins, we expect them to be in -- the split is almost like 60% in our favor, 40% to partner. We probably will continue with that model, which gives us around 25% to 30% EBITDA per product. If we do it in-house, whenever we start doing it, obviously, it will go up to 35-plus percent. So that's the plan for now. And you know David, when will we announce the next partnership? This year. Chintu Patel: And David, your last question on Copaxone. Yes, we are working, and the product can have launch later this year or early first quarter 2022. Operator: And the next question comes from Elliot Wilbur with Raymond James. Lucas Lee: This is Lucas Lee, on for Elliot. The question I have is, what drove the gross margin upside during the quarter? Is this sustainable? And how does that impact your prior expectations around generic gross margin trends? And as a follow-up, how are you thinking about a potential generic competition on Zomig? Anastasios Konidaris: Lucas, this is Tasos. Listen, we're incredibly pleased on the gross margin performance. And it was, as you saw, every business expanded margins, which is something we're very focused on improving profitability. Generics had a great quarter with margins about 45%. We believe those are sustainable. My gut feel is that we were going to see some moderation, right, to the low 40s, some moderation. But I think we're going to finish the year on the generic side most likely in the low 40s, which, as you know, which is a substantial increase versus the 38% we delivered last year and the 35% we finished 2019. So as you can see, we are executing in terms of what we had said over the last couple of years. We see generic margins going over 40%. So I think we'll be pleased to cross that bridge this year. That's in terms of our expectations. So pretty much sustainable. And it's the same thing across the remaining other 2 parts of the business. On generic Zomig, I mean this is not overall. One of the things we are proud is about what we have created. We have created a very diversified business, much more so than 3 years ago. So we have AvKARE, that's a big part of the business. Specialty has grown. We have a portfolio of generic products, over 250 products. So we're not dependent on any single product. With that on Zomig, let me turn it over to Joe to kind of give us a little bit more insight. Joseph Todisco: Sure. Thanks, Tasos. With respect to specific generic competition on Zomig nasal spray, we're aware of 2 filers that are already publicly known, but we always do assume that someone else could be coming to market. We had preemptively launched an authorized generic earlier this year. We've got sufficient inventory of both labels, and we've taken steps to maximize the value of the product regardless of the number of generic competitors that come to market at the end of May. Operator: And the next question comes from Dana Flanders with Guggenheim. Dana Flanders: I just had two. My first is, I was wondering if you could comment on just base business generic pricing trends. We are hearing some comments from the supply chain and other manufacturers that they're seeing a little bit more pressure this year, kind of independent of competition. So just wondering if you're seeing that as well? And then my second question, I was wondering if you could comment on just the unfortunate and sad situation going on in India with COVID. And wondering if you are seeing or expecting to see kind of shortages start to pop up, impacting the U.S. market and just how Amneal's overall supply chain is just relatively positioned? Anastasios Konidaris: Dana, this is Tasos. I'll take the first question on pricing. And we're seeing just a high level. We're seeing consistent behavior, as you're hearing from some of the other manufacturers. But also I want to point out, this is exactly what we planned this year. So as a reminder, in our guidance, we assumed mid-to-high single-digit deflation. As you mentioned, it's coming in certain areas. Certain areas, it's coming a little worse than that. But our ability, right, to get new product launches is actually ahead of our own expectations. And our ability of our supply chain to drive operating efficiencies and the new market share growth that we are seeing by the commercial team is offsetting that, and ultimately, is increasing our profitability in a sustainable way. So we're pretty much very happy how the company is dealing with this and so forth. As in terms to India, let me turn it over to Chirag. I think he has a good perspective on that. Chirag Patel: Thank you, Tasos. So situation is very grim. There are local lockdowns. But pharmaceuticals being essential industry, it is allowed to operate. The inventory levels are -- for Amneal is very good 3 plus month, and we have secured the APIs. And if you come overall inventory, it's almost 4 to 6 months. So we don't expect, as far as Amneal is concerned, any shortages from our product. Others may face it based on where they are located and how much preplanning have they done. But for now, next month or 2 should be fine. We expect the situation to improve, hopefully, after 1 month. And Amneal India, we're doing everything we can to help the situation with oxygen concentrators or with working on supplying or donating remdesivir and steroid products. We got Indian government license to sell. We never sold anything to local market from our U.S. FDA-approved plant in India. So -- and everybody is assisting. Many countries have, as you know, offered lots of help. So there's enough -- seem to be enough remdesivir. I was in a call with Gilead, they -- 15 million vials, they will produce this month. So they're all trying to help. Same thing with Pfizer, and hopefully, more vaccines will be available besides just AstraZeneca. So it's very grim there, and we hope it improves soon. Chintu Patel: And just to add, just one point, we were very proactive in vaccinating many of our Amneal India employees. So large population of our employee base has been vaccinated. And that has led to very good attendance and a strong supply chain. But we are working diligently with everyone to make sure we do everything to provide health and support. But our supply chain still in this current situation is very, very strong. Operator: And the next question comes from Nathan Rich with Goldman Sachs. Nathan Rich: Maybe Tasos starting with you. I just wanted to make sure that I understood the revenue cadence for the generic segment. You called out the $23 million headwind related to the mild flu and cold season. I'm assuming that, that revenue kind of doesn't come back over the balance of the year. Is that a fair assumption? And if so, it looks like your kind of underlying view of the business got better. It sounds like pricing trends have been consistent, but you did mention the traction with new product introduction. So is that what is kind of driving the implied increase in outlook over the remainder of the year? And then just as a follow-up, as we think about the margin opportunity for complex generics, how should we be thinking about those margins relative to maybe the generic segment average. I think you had maybe mentioned biosimilar margins -- EBITDA margin being north of 30%, if I caught that number right. Where would you feel like the kind of complex generic average kind of be relative to margins for that segment? Anastasios Konidaris: Yes. So yes, I think that $23 million, right, in Q1 related to low flu season, et cetera, that's not going to come back. So I think you're spot on. But nevertheless -- but the rest of the year remains unchanged or slightly ahead of our own initial projections, and that really reflects new product introductions and primarily the Zafemy launch just doing extremely, extremely well, that's number one. And the margins, I think we see sustainability in the low 40s for the rest of the year on the generic side, so that bodes well for increased profitability overall with generics versus our initial expectations. In terms of the new product, the complex generics, overall, the generic margins is in the low 40s, right? So you can assume that's substantially more so than that, and primarily during the first, call it, 6, 7 months, where we have an exclusivity. So that kind of bodes well as we think about next year and the year after that about improving gross margins of the generics. Biosimilars, I think it's early stages. I think the first 3 biosimilars we have in place, just because there is just more competition at this point in time, and because it's much more partnered, I think the EBITDA that Chirag talked about earlier on, call it, the 30%, I think that's a good number. Over time as we enhance our manufacturing capabilities and our internal expertise, I think we see those going up from there. Chirag Patel: Yes. Nathan, this is Chirag. So what we see is durability for the complex generics and biosimilars. The complex generics may be shorter, biosimilars will be longer. And the margins, and let's stay with the EBITDA margins, would be north of 30%. It may start out between 25% to 30% because these products are highly competitive, the 3 we have filed. But as we come out as a first or second biosimilar, just like first or second complex generics, it will be much higher than 30%. Operator: . And the next question comes from Gary Nachman with BMO Capital Markets. Gary Nachman: Chirag and Chintu, when you're having discussions with different parties about expanding your portfolio, what segments or technologies are you most focused on? Or where are you seeing the most opportunities at this point? So I'm curious how competitive is the BD environment for assets, especially biosimilars? Do you feel like sellers or partners are being reasonable? And what sort of advantages do you have in getting some of these deals done? Chirag Patel: Thank you. The portfolio on biosimilars, we have the oncology assets, so we'll go for a few more oncology assets. But we'll also go on to autoimmune on the eye side as well because we are establishing a long-term biosimilar or follow-on biologics platform, 10, 15 years, just like we did with complex generics. So we'll be pretty much looking at more of where we can navigate the patent, where we can be first or second to market, even the small ones. Those are the -- how we build the complex generics portfolio, those same thinking, same playbook we are using to come up with a biosimilar platform. BD side, on biosimilars actually, assets are available. Because the companies invested in the last 10 years, mostly, they're focused on R&D. And then they got stuck because of the patent situation in the United States and the brands and all those, you know how it goes with the branded company. So it takes time to really launch the biosimilars unlike Europe. So there is excess capacity in manufacturing sitting out there, especially in Europe and South Korea and China. So we are tapping on to those. And we do have existing two great partnership, and we would probably expand to 1 more and manage with three partners, and we're very keen in bringing manufacturing to United States as well for many reasons, including the pandemics and climate changes or emergencies. We have our biologics manufacturing in the United States as well. We -- in a war footing, we put up a vaccine manufacturing, expanded and it is helping. We got our people vaccinated fast than other countries, and we are now in a position to export that. So I believe making it here would be very, very advantageous. And other deals we're looking at is on our Parkinson's category where we have a leading asset already, commercial asset. We have IPX203, which is coming up, their top line results second half of this year. And we like to consolidate the space. So that -- those are the main focus right now from expanding the portfolio on the BD side. Gary Nachman: Okay. And actually, if I could just squeeze in 1 other. Just back to the gross margin, how many products are you shifting from external to internal manufacturing? And how will that be faced to help the gross margin efficiencies over time? And just talk about where you're getting most of the efficiencies in manufacturing? Chirag Patel: Yes, sorry. So pretty much our work is done since we came back. We have brought in most of the products in-house. The partnered products such as EpiPen comes from Pfizer and Philips, our trusted partner, very reliable, great partners. Then we continue to expand that relationship. And our levothyroxine, our Long Island partner, Jerome Stevens, is excellent over the years and one of the best quality levothyroxine in the market. So those -- besides those, we pretty much have brought everything like 14-or-so products in-house from various CMOs, which allowed us to now produce more and more margins. So very, very highly efficient already. Anastasios Konidaris: Yes. I think that's spot on the other areas, right? So we spent close -- more than $500 million kind of purchasing raw material. So that gives us a nice opportunity for our strategic sourcing organization. The same way our customers are pushing for price that kind of goes down the supply chain, right? So I think that's an area of opportunity as well as our efficiencies within our own global manufacturing footprint, right? The efficiencies on the plant. So Chintu and his team are very focused on that. And we see this continue to produce income for us for the foreseeable future. And that we won't -- we cannot -- it's not done yet. Chirag Patel: Yes. Just to give you an example, a year ago, our back order was $30 plus million. Last week it's $1 million. So we have gained tremendous efficiencies all across New Jersey operations, in New York, India and now Ireland is coming up soon. So it's fantastic. Thank you. Operator: Thank you. That concludes both the question-and-answer session as well as the call itself. Thank you so much for attending today's presentation. You may now disconnect your lines.
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