Form 8-K

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

 

FORM 8-K

 

 

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the

Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): January 6, 2012

 

 

QUESTCOR PHARMACEUTICALS, INC.

(Exact Name of Registrant as Specified in Charter)

 

 

 

California   001-14758   33-0476164

(State or Other Jurisdiction

of Incorporation)

 

(Commission

File Number)

 

(I.R.S. Employer

Identification No.)

 

1300 Kellogg Drive, Suite D, Anaheim, California   92807
(Address of Principal Executive Offices)   (Zip Code)

Registrant’s telephone number, including area code: (714) 786-4200

 

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):

 

¨ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

¨ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

¨ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

¨ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

 

 


Item 2.02. Results of Operation and Financial Condition.

On January 6, 2012, Questcor Pharmaceuticals, Inc. (the “Company”) issued a press release that provided preliminary operating metrics for the Company’s fiscal quarter ended December 31, 2011. A copy of the Company’s press release is furnished under this Item 2.02 and included as Exhibit 99.1 to this Current Report on Form 8-K.

Item 7.01. Regulation FD Disclosure.

Commencing on January 9, 2012, Questcor Pharmaceuticals, Inc. (the “Company”) will utilize an updated presentation for investor relations purposes. A copy of the Company’s presentation is attached hereto as Exhibit 99.2.

A copy of the Company’s press release included in Item 2.02 is incorporated herein by reference.

In accordance with General Instruction B.2. of Form 8-K, the information in Item 7.01 of this Current Report on Form 8-K, including Exhibit 99.1, shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liability of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as expressly set forth by specific reference in such a filing.

Item 9.01. Financial Statements and Exhibits.

 

  (d) Exhibits.

 

Exhibit
Number
   Description
99.1    Questcor Pharmaceuticals, Inc. press release dated January 6, 2012.
99.2    Presentation made by Questcor Pharmaceuticals, Inc.

 

2


SIGNATURE

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

Date: January 9, 2012     QUESTCOR PHARMACEUTICALS, INC.
    By:  

/s/ Michael H. Mulroy

      Michael H. Mulroy, Chief Financial Officer and General Counsel

 

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EXHIBIT INDEX

 

Exhibit
No.

  

Description

99.1    Questcor Pharmaceuticals, Inc. press release dated January 6, 2012.
99.2    Presentation made by Questcor Pharmaceuticals, Inc.

 

4

Questcor Pharmaceuticals, Inc. press release dated January 6, 2012

Exhibit 99.1

LOGO

QUESTCOR PHARMACEUTICALS REPORTS STRONG FINISH TO 2011

Paid Acthar Prescriptions for MS Up Approximately 165% Year-Over-Year Compared to Fourth Quarter 2010

Paid Acthar Prescriptions for Nephrotic Syndrome Up Approximately 145% Sequentially Compared to Third Quarter 2011

Further Expansion of Selling Effort in Both Nephrotic Syndrome and MS and Possible Initiation of a Pilot Selling Effort in Rheumatology Planned for 2012

ANAHEIM, CA – January 6, 2012 – In preparation for meetings starting Monday January 9 with investors and an investor presentation scheduled for 10:00 a.m. Thursday, January 13 at the J. P. Morgan Healthcare Conference, Questcor Pharmaceuticals, Inc. (NASDAQ: QCOR) today announced the following preliminary operating metrics for the fourth quarter 2011:

-Approximately 935-950 paid H.P. Acthar® Gel (Acthar) prescriptions for the treatment of multiple sclerosis exacerbations (MS) during the quarter, up approximately 165% from the year ago quarter ended December 31, 2010

-Approximately 140-150 paid Acthar prescriptions for the treatment of nephrotic syndrome during the quarter, up approximately 145% sequentially from the third quarter of 2011

-Approximately 120-125 paid Acthar prescriptions for the treatment of infantile spasms (IS) during the quarter, representing a new high for any quarter since Questcor formed its reimbursement support center and began tracking Acthar prescriptions in August 2007

-3,360 shipped vials of Acthar, up 100% from the quarter ended December 31, 2010.


“Paid prescriptions for all three of our principal therapeutic areas—multiple sclerosis, nephrotic syndrome and infantile spasms—reached new levels in the fourth quarter. These record levels of prescriptions, in combination with vial demand from prior quarter nephrotic syndrome prescriptions, led to record vial shipments and should lead to solid financial results for the quarter,” said Don M. Bailey, President and CEO of Questcor Pharmaceuticals.

“During the past year, our increased investment in the expansion of our selling effort resulted in both increased awareness of the therapeutic benefits of Acthar within the medical community and strong returns for Questcor’s shareholders,” noted Steve Cartt, Executive Vice President and Chief Business Officer. “We currently intend to approximately double the number of nephrology representatives by the spring of 2012 and modestly expand the number of neurology representatives during the summer. We are also exploring the possibility of initiating a small pilot selling effort in rheumatology in the fall.”

“Our Phase IV clinical trial studying the use of Acthar in treatment-resistant membranous nephropathy is underway, with the first patients having recently been enrolled,” commented Dr. David Young, Chief Scientific Officer. “In addition, the FDA, through the review of our IND, has recently agreed with our Phase IIa study design to evaluate the use of Acthar in diabetic nephropathy. Questcor’s R&D group is also exploring potential new studies to generate scientific data related to the use of Acthar in treating additional autoimmune conditions, with particular focus on those that are already on the FDA approved Acthar label such as systemic lupus erythematosus. Overall, we are becoming increasingly intrigued with the possible range of therapeutic applications and commercial potential for Acthar as an immunomodulating drug.”

Operating expenses for the fourth quarter are estimated to be in the range of 20-30% higher than the third quarter of 2011, reflecting the Company’s increased investment in sales and marketing and R&D activities for Acthar.

 

2


As of January 4, 2012, Questcor’s cash, cash equivalents and short-term investments totaled $209 million. The Company did not repurchase any shares during the fourth quarter. As of December 31, 2011, Questcor had 63.6 million shares of common stock outstanding, with 4.3 million shares remaining under its common stock repurchase program.

The operating metrics and financial information in this release are preliminary and subject to change. Questcor currently expects to release audited results for the fourth quarter and full year on February 22, 2012.

Additional Notes

 

  1. The Company’s quarterly vial shipments continue to be subject to significant variation due to the size and timing of individual orders received from Questcor’s distributor, and the timing of when these orders are received and filled can significantly affect net sales and net income in any particular quarter. For this reason, as well as other factors causing quarter-to-quarter variability in Questcor’s operating results, the Company believes that investors should consider the Company’s results over several quarters when analyzing the Company’s performance.

 

  2. Because Acthar prescriptions are filled at specialty pharmacies, the Company does not receive complete information regarding either the number of prescriptions or the number of vials by therapeutic area for all of the patients being treated with Acthar. However, Questcor is able to monitor trends in payer mix and areas of therapeutic use for new, paid Acthar prescriptions based on data it receives from its reimbursement support center. Questcor estimates that over 90% of new, paid Acthar prescriptions are processed by this support center, but believes that very few refill prescriptions are processed there.

 

  3. Effective December 27, 2011, the Company increased the price of Acthar by a nominal amount.

About Questcor

Questcor Pharmaceuticals, Inc. is a biopharmaceutical company whose primary product helps patients with serious, difficult-to-treat medical conditions. Questcor’s primary product is H.P. Acthar® Gel (repository corticotropin injection), an injectable drug that is approved by the FDA for the treatment of 19 indications. Of these 19 indications, Questcor currently generates substantially all of its net sales from three indications: the

 

3


treatment of acute exacerbations of multiple sclerosis in adults, the treatment of nephrotic syndrome, and the treatment of infantile spasms in children under two years of age. With respect to nephrotic syndrome, the FDA has approved Acthar to “induce a diuresis or a remission of proteinuria in the nephrotic syndrome without uremia of the idiopathic type or that due to lupus erythematosus.” Questcor is also exploring the use of Acthar to treat systemic lupus erythematosus, or SLE, for which Acthar is approved as both a maintenance therapy and to treat exacerbations. Questcor is also exploring the possibility of developing markets for other on-label indications and the possibility of pursuing FDA approval of additional indications not currently on the Acthar label where there is high unmet medical need. For more information about Questcor, please visit www.questcor.com.

Note: Except for the historical information contained herein, this press release contains forward-looking statements that are based on management’s current expectations and beliefs and are subject to a number of risks, uncertainties and assumptions that could cause actual results to differ materially from those described. All such statements have been made pursuant to the Private Securities Litigation Reform Act of 1995, as amended. These statements relate to future events or our future financial performance. In some cases, you can identify forward-looking statements by terminology such as “may,” “will,” “if,” “should,” “forecasts,” “intends,” “exploring,” “expects,” “plans,” “appears,” “grows,” “believes,” “estimates,” “predicts,” “potential,” “continue” or “trends” 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 nets 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 SLE;

 

   

Research and development risks, including risks associated with Questcor’s work in the area of nephrotic syndrome and potential work in the area of SLE, 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;

 

4


   

Our ability to effectively manage our growth, including the expansion of our NS selling effort, and our reliance on key personnel;

 

   

The impact to Questcor’s 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, as filed with the Securities and Exchange Commission, or SEC, on February 23, 2011, our quarterly report on Form 10-Q for the quarter ended September 30, 2011, as filed with the SEC on October 27, 2011, and other documents filed with the Securities and Exchange Commission.

You should consider the risk factors and other information contained in these documents in evaluating Questcor’s prospects and future financial performance.

Questcor undertakes no obligation to publicly release the result of any revisions to these forward-looking statements, which may be made to reflect events or circumstances after the date hereof or to reflect the occurrence of unanticipated events.

For more information, please visit www.questcor.com or www.acthar.com.

CONTACT INFORMATION:

 

Questcor Pharmaceuticals, Inc.    EVC Group   
Don Bailey    Investors    Media
510-400-0776    Gregory Gin/Doug Sherk    Janine McCargo
dbailey@Questcor.com    415-896-6820    646-688-0425

 

5

Presentation made by Questcor Pharmaceuticals, Inc.
1
1
January 2012
JP Morgan Healthcare Conference
January 2012
JP Morgan Healthcare Conference
Exhibit 99.2


2
Safe Harbor Statement
Except for the historical information contained herein, this presentation contains forward-looking statements that are based on
management's current expectations and beliefs and are subject to a number of risks, uncertainties and assumptions that could
cause actual results to differ materially from those described.  All such statements have been made pursuant to the Private
Securities Litigation Reform Act of 1995, as amended. These statements relate to future events or our future financial
performance. In some cases, you can identify forward-looking statements by terminology such as "may," "will," "if," "should,"
"forecasts," “intends,” “exploring,” "expects," "plans," “appears,” “grows,” "believes," "estimates," "predicts," "potential,"
"continue" or “trends” 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 NS, and our ability to develop other
therapeutic uses for Acthar including SLE; Research and development risks, including risks associated with Questcor's work in the
area of nephrotic syndrome and potential work in the area of SLE, 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 NS
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.


3
A biopharmaceutical company whose
product, Acthar, helps patients with serious,
difficult-to-treat medical conditions
A biopharmaceutical company whose
product, Acthar, helps patients with serious,
difficult-to-treat medical conditions
Questcor


4
Questcor Overview
Flagship Product:
Flagship Product:
Profitable, cash flow positive, $209M* in cash, debt-free
Profitable, cash flow positive, $209M* in cash, debt-free
19 approved indications
19 approved indications
Key Markets:
Key Markets:
Multiple Sclerosis, Nephrotic Syndrome, Infantile Spasms
Several billion dollar market opportunity
Multiple Sclerosis, Nephrotic Syndrome, Infantile Spasms
Several billion dollar market opportunity
Strategy:
Strategy:
Grow Acthar sales in each key market
Develop other on-label markets for Acthar
Grow Acthar sales in each key market
Develop other on-label markets for Acthar
Financials:
Financials:
* As of 01/04/12


Multiple Sclerosis (MS)
Multiple Sclerosis (MS)
Nephrotic Syndrome (NS)
Nephrotic Syndrome (NS)
Infantile Spasms (IS)
Infantile Spasms (IS)
Systemic Lupus Erythematosus
Systemic Lupus Erythematosus
Questcor Strategy -
Pursue Acthar Markets
5


Acthar and Multiple Sclerosis (MS)
*Nickerson, et al (2011)
Neurodegenerative disorder
Acute treatment for relapses
Neurodegenerative disorder
Acute treatment for relapses
Potential
target for
43% get better or
43% get better or
much better
much better
27% get only a
27% get only a
little better
little better
30% stay the same
30% stay the same
or get worse
or get worse
6


7
Paid Rxs
Paid Rxs
MS Scripts-Record of Consistent Growth
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
representatives making calls  for the majority of the quarter


8
15-30
reps
30-38
reps
38-77
reps
Monthly MS Scripts History
0
50
100
150
200
250
300
350
0
50
100
150
200
250
300
350
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.
8


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
Goal of therapy is the significant reduction
of proteinuria
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
Goal of therapy is the significant reduction
of proteinuria
Acthar and Nephrotic Syndrome (NS)
9


10
Paid Rxs
Paid Rxs
NS Scripts-Strong Q4 Growth
Yellow numbers in the  bars show the number of NS sales
representatives making calls for the majority of the quarter. Q3 ‘11
included expansion and training of new sales people. 
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.


11
FDA approval 10/15/10
Devastating, refractory form of childhood epilepsy
IS not responsive to standard anti-epileptic drugs
Unsuccessful treatment may leave infant with permanent
developmental disabilities
Considered a medical emergency
Ultra-rare orphan disorder
About half of IS patients receive Acthar via Acthar patient
support programs and Medicaid
FDA approval 10/15/10
Devastating, refractory form of childhood epilepsy
IS not responsive to standard anti-epileptic drugs
Unsuccessful treatment may leave infant with permanent
developmental disabilities
Considered a medical emergency
Ultra-rare orphan disorder
About half of IS patients receive Acthar via Acthar patient
support programs and Medicaid
Acthar and Infantile Spasms (IS)
11


12
Acthar currently used to treat 40-50% of IS patients
Targeting select institutions
Significant variability in quarterly Rxs
Q4-2011 paid Rxs above historic range
IS Scripts-Higher numbers in H2 2011


13
High unmet need; difficult to treat
Serious health risk if unsuccessfully treated
Multiple on-label indications for Acthar
Exacerbations
Maintenance therapy
Lupus nephritis
Large patient population
High unmet need; difficult to treat
Serious health risk if unsuccessfully treated
Multiple on-label indications for Acthar
Exacerbations
Maintenance therapy
Lupus nephritis
Large patient population
Systemic Lupus Erythematosus (Lupus)


14
Financials
Profitable
Profitable
Debt Free
Debt Free
Cash Flow Positive
Cash Flow Positive


15
Q3 –
2011
Q3 –
2010
Net Sales ($M)
$59.8
$31.3
Gross Margin
94%
93%
Operating Income ($M)
$33.6
$16.8
Fully Diluted, GAAP EPS
$0.35
$0.18
Q3-2011 Financial Results
Third quarter vials shipped: 2,910
Third quarter cash flow from operations: $32.6M
Channel inventory estimated to be within historic range
Medicaid reserves continue to appear adequate
No shares repurchased
Third quarter vials shipped: 2,910
Third quarter cash flow from operations: $32.6M
Channel inventory estimated to be within historic range
Medicaid reserves continue to appear adequate
No shares repurchased
Record Net Sales (up 91%) and Solid Earnings (EPS up 94%)
Record Net Sales (up 91%) and Solid Earnings (EPS up 94%)


16
01/04/12
Cash / ST Investments
$209M*
Accounts Receivable
$28M
Questcor is Cash Flow Positive
Debt-free balance sheet
Debt-free balance sheet
*After return of $78 million of cash to shareholders through share repurchases.
*After return of $78 million of cash to shareholders through share repurchases.
16


17
2.2 Million Preferred share buyback
13.2 Common share buyback
$78 million returned to shareholders in stock buybacks
63.6
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
63.6
million shares currently outstanding
4.3 million shares remain on buyback authorization
Share Repurchases: 15 Million Shares
Repurchased shares  significantly improved EPS
Repurchased shares  significantly improved EPS


18
Paid Rxs (Approximate)
MS—935-950
October 295-300
November 320-325
December 320-325
NS—140-150
IS—120-125
3,360 Vials Shipped
Operating expenses expected to be up
20-30% from Q3-2011
Paid Rxs (Approximate)
MS—935-950
October 295-300
November 320-325
December 320-325
NS—140-150
IS—120-125
3,360 Vials Shipped
Operating expenses expected to be up
20-30% from Q3-2011
Preliminary Q4-2011 Operating Metrics


19
How Does Acthar Work?
Acthar treats autoimmune conditions across a variety of organ systems (CNS,
kidney, etc.)
Acthar appears to modulate the immune system and associated inflammatory
response through binding to melanocortin receptors
The
primary
melanocortin
peptide
(ACTH)
in
Acthar
binds
to
all
5
melanocortin
receptors (MCR1-5); other active peptides are in Acthar as well
Indirect effect:  Acthar triggers the production of cortisol and
other adrenal
compounds through binding to MCR2 receptors
Direct effect:  Acthar acts directly at the cellular level by binding to melanocortin
receptors on immune cells and cells in the targeted tissues (e.g., kidney podocytes)
All the active ingredients of Acthar have yet to be fully characterized and the
mechanism of action and pharmacokinetic profile of Acthar are not fully known
Acthar treats autoimmune conditions across a variety of organ systems (CNS,
kidney, etc.)
Acthar appears to modulate the immune system and associated inflammatory
response through binding to melanocortin receptors
The
primary
melanocortin
peptide
(ACTH)
in
Acthar
binds
to
all
5
melanocortin
receptors (MCR1-5); other active peptides are in Acthar as well
Indirect effect:  Acthar triggers the production of cortisol and
other adrenal
compounds through binding to MCR2 receptors
Direct effect:  Acthar acts directly at the cellular level by binding to melanocortin
receptors on immune cells and cells in the targeted tissues (e.g., kidney podocytes)
All the active ingredients of Acthar have yet to be fully characterized and the
mechanism of action and pharmacokinetic profile of Acthar are not fully known


20
Generic Pathway
Requires reverse engineering
--
a difficult barrier
Must prove pharmaceutical &
biological equivalence
Immune system impact unknown
Generic Pathway
Requires reverse engineering
--
a difficult barrier
Must prove pharmaceutical &
biological equivalence
Immune system impact unknown
New Chemical Entity or
Biosimilar Pathway
Trial(s) required
Limited exclusivity
Results in duopoly
New Chemical Entity or
Biosimilar Pathway
Trial(s) required
Limited exclusivity
Results in duopoly
SUBSTITUTABILITY
SUBSTITUTABILITY
SINGLE INDICATION
COMPETITION
SINGLE INDICATION
COMPETITION
Competitive Pathways
Acthar competitive barrier similar to Premarin


21
Acthar Market Opportunity
Market
Rx Value
Market Size
MS
$40-50K
$1B+
NS
$150-250K
$1B+
IS
$100-125K
$100M
Lupus
Unknown
Unknown
Other
Various
Unknown
Total
$2B+


22
Market
Approximate
Annualized Net Sales
Run Rate*
Approximate
Annualized Level of
Business**
MS
$145-160M
$145-160M
NS
$60-70M
$100-110M
IS
$40-50M
$40-50M
NS Business Already Significant
Note: Figures do not based on actual net sales ranges for the quarter or year ended December 31, 2011
* Figures based on estimates of vials shipped to patients within
each therapeutic area in the quarter, multiplied by 4.
** Figures represent Q4-2011 new paid prescriptions times estimated vials per script over treatment regimen, multiplied by 4.


23
Expand NS promotion effort
Expand MS promotion effort
Maintain IS promotion effort
Develop pilot rheumatology promotion activity
Develop other markets for Acthar
Acthar is its own pipeline with many other on-label indications
and many possible other therapeutic uses
Further define and develop the unique characteristics of Acthar
No unrelated business development efforts planned
Expand NS promotion effort
Expand MS promotion effort
Maintain IS promotion effort
Develop pilot rheumatology promotion activity
Develop other markets for Acthar
Acthar is its own pipeline with many other on-label indications
and many possible other therapeutic uses
Further define and develop the unique characteristics of Acthar
No unrelated business development efforts planned
Strategic Plan-
Focus on the Embedded Pipeline in Acthar


24
Possible Rheumatology
Possible Rheumatology
Sales Pilot
Sales Pilot
Neuro Hiring &
Neuro Hiring &
Training
Training
Neuro
Neuro
Sizing &
Sizing &
Alignment
Alignment
Neph Hiring &
Neph Hiring &
Training
Training
Neph Sizing &
Neph Sizing &
Alignment
Alignment
Sales Force Expansion-
Preliminary Outlook for 2012
Q1-12
Q1-12
Q2
Q2
Q3
Q3
Q4
Q4
Q1-13
Q1-13


25
Acthar has sustainable competitive
Acthar has sustainable competitive
advantages-without FDA approval risk
advantages-without FDA approval risk
Acthar is approved for 19 indications-many
Acthar is approved for 19 indications-many
in large markets with sizable unmet need
in large markets with sizable unmet need
Sales in MS and NS are growing rapidly,
Sales in MS and NS are growing rapidly,
yet market penetration is low
yet market penetration is low
Developing new vertical market -
Developing new vertical market -
Lupus
Lupus
High margins provide good
High margins provide good
operating leverage
operating leverage
Profitable, cash flow positive, no debt
Profitable, cash flow positive, no debt
Investment Highlights


26
26
January  2012
JP Morgan Healthcare Conference
NASDAQ:
QCOR
NASDAQ:
QCOR


27
ACTH is a Melanocortin Peptide Derived from
Pro-opiomelanocortin (POMC) in the Pituitary


28
MCR
Prevalent Tissue/Cells with Receptor
MC1R
Podocytes
Renal Mesangial Cells
Endothelial Cells (Glomerular, Tubular, Vascular)
Tubular Epithelial Cells
Macrophages
Melanocytes
Immune/Inflammatory Cells
Kerantinocytes
CNS
MC2R
Adrenal Cortex (Steroidogenesis), Adipocytes
Adapted from Gong 2011, Catania 2004, Schioth 1997
Affinity of Melanocortin Peptides and
Distribution of Receptor Subtypes


29
MCR
Prevalent Tissue/Cells with Receptor
MC3R
CNS
Macrophages
MC4R
Podocytes
Renal Mesangial Cells (?)
Endothelial Cells (Glomerular, Tubular)
Tubular Epithelial Cells
CNS
MC5R
CNS
Exocrine Glands
Lymphocytes
Podocytes
Adapted from Gong 2011, Catania 2004, Schioth 1997
Affinity of Melanocortin Peptides and
Distribution of Receptor Subtypes


30
MOA of
Acthar in NS
Adapted From Gong 2011
Acthar,
Melanocortin Peptides
Acthar,
Melanocortin Peptides