UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10-Q

 

(Mark One)

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the quarterly period ended March 31, 2024

 

or

 

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the transition period from             to                

 

Commission File Number: 001-00100

 

TherapeuticsMD, Inc.

(Exact name of Registrant as specified in its Charter)

 

Nevada   87-0233535

(State or other jurisdiction of

incorporation or organization)

 

(I.R.S. Employer

Identification No.)

   

951 Yamato Road, Suite 220

Boca Raton, Florida

  33431
(Address of principal executive offices)   (Zip Code)

 

561-961-1900

(Registrant’s telephone number, including area code)

 

Securities registered pursuant to Section 12(b) of the Act:

 

Title of Each Class  

Trading

symbol

 

Name of each exchange

on which registered

Common Stock, par value $0.001 per share   TXMD   The Nasdaq Stock Market LLC

 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the Registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐

 

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the Registrant was required to submit such files). Yes ☒ No ☐

 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act:

 

Large Accelerated Filer Accelerated filer
Non-accelerated filer Smaller reporting company
    Emerging growth company

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

 

Indicate by check mark whether the Registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No

 

As of May 10, 2024, there were 11,532,443 shares of the registrant’s common stock, par value $0.001 per share, outstanding.

 

 

 

 

 

Table of Contents

 

  Page
Part I - Financial Information  
     
Item 1.   Financial statements (unaudited)  
    Condensed Consolidated Balance Sheets 1
    Condensed Consolidated Statements of Operations 2
    Condensed Consolidated Statements of Stockholders’ Equity 3
    Condensed Consolidated Statements of Cash Flows 4
    Notes to Unaudited Condensed Consolidated Financial Statements 5
     
Item 2.   Management’s discussion and analysis of financial condition and results of operations 16
     
Item 3.   Quantitative and qualitative disclosures about market risk 24
     
Item 4.   Controls and procedures 24
   
Part II - Other Information  
     
Item 1.   Legal proceedings 25
     
Item 1A.   Risk factors 25
     
Item 2.   Unregistered sales of equity securities and use of proceeds 25
     
Item 3.   Defaults upon senior securities 25
     
Item 4.   Mine safety disclosures 25
     
Item 5.   Other information 25
     
Item 6.   Exhibits 26
   
Signatures 27

 

i

 

 

Part I - Financial Information

 

Item 1. Financial statements

 

TherapeuticsMD, Inc. and Subsidiaries

Condensed Consolidated Balance Sheets

(in thousands, except per share data)

 

   March 31,
2024
   December 31,
2023
 
   (Unaudited)     
Assets:        
Current assets:        
Cash and cash equivalents  $4,338   $4,327 
Royalty receivable, current portion   3,222    3,090 
Prepaid and other current assets   3,869    4,035 
Current assets of discontinued operations   94    344 
Total current assets   11,523    11,796 
License rights and other intangible assets, net   5,965    6,098 
Right of use assets   6,687    6,873 
Royalty receivable, long term   17,855    18,484 
Other non-current assets   58    58 
Total assets  $42,088   $43,309 
Liabilities and stockholders’ equity:          
Current liabilities:          
Accounts payable  $139   $27 
Accrued expenses and other current liabilities   2,720    3,133 
Current liabilities of discontinued operations   3,609    3,694 
Total current liabilities   6,468    6,854 
Operating lease liabilities   6,319    6,532 
Other non-current liabilities   637    636 
Total liabilities   13,424    14,022 
Commitments and contingencies (Note 6)   
 
    
 
 
Stockholders’ equity:          
Common stock, par value $0.001; 32,000 shares authorized, 11,532 issued and outstanding as of March 31, 2024 and December 31, 2023, respectively
   11    11 
Additional paid-in capital   979,028    978,917 
Accumulated deficit   (950,375)   (949,641)
Total stockholders’ equity   28,664    29,287 
Total liabilities and stockholders’ equity  $42,088   $43,309 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

1

 

  

TherapeuticsMD, Inc. and Subsidiaries

Condensed Consolidated Statements of Operations

(Unaudited - in thousands, except per share data)

 

   Three Months Ended
March 31,
 
   2024   2023 
Revenue, net:        
License and service revenue  $313   $416 
Operating expenses:          
Selling, general and administrative   1,322    3,056 
Depreciation & amortization   133    27 
Total operating expenses   1,455    3,083 
Loss from operations   (1,142)   (2,667)
Other income (expense) :          
Interest expense and other financing costs   
    (50)
Miscellaneous income   333    407 
Total other income, net   333    357 
Loss from continuing operations before income taxes   (809)   (2,310)
Provision for income taxes   
    
 
Loss from continuing operations, net of income taxes   (809)   (2,310)
Income (loss) from discontinued operations, net of income taxes   75    (1,293)
Net loss  $(734)  $(3,603)
Income (loss) per common share, basic and diluted:          
Continuing operations
  $(0.07)  $(0.24)
Discontinued operations, net
   0.01    (0.13)
Net loss per common share, basic and diluted
  $(0.06)  $(0.37)
           
Weighted average common shares, basic   11,532    9,754 
Weighted average common shares, diluted   11,532    9,754 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

2

 

 

TherapeuticsMD, Inc. and Subsidiaries

Condensed Consolidated Statements of Stockholders’ Equity

(Unaudited - in thousands)

 

   Common Stock   Additional Paid in   Accumulated     
   Shares   Amount   Capital   Deficit   Total 
Balance, January 1, 2024   11,532   $11   $978,917   $(949,641)  $29,287 
Share-based compensation       
    111    
    111 
Net loss       
    
    (734)   (734)
Balance, March 31, 2024   11,532   $11   $979,028   $(950,375)  $28,664 
                          
Balance, January 1, 2023   9,498   $9   $974,497   $(939,363)  $35,143 
Shares issued for vested restricted stock units   455    1    
    
    1 
Share-based compensation       
    483    
    483 
Net loss       
    
    (3,603)   (3,603)
Balance, March 31, 2023   9,953   $10   $974,980   $(942,966)  $32,024 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

3

 

 

TherapeuticsMD, Inc. and Subsidiaries

Condensed Consolidated Statements of Cash Flows

(Unaudited - in thousands)

 

   Three Months Ended
March 31,
 
   2024   2023 
Cash flows from operating activities:        
Net loss  $(734)  $(3,603)
Less: income (loss) from discontinued operations, net of tax   75    (1,293)
Net loss from continuing operations   (809)   (2,310)
Adjustments to reconcile net loss to net cash used in operating activities of continuing operations:          
Depreciation and amortization   133    27 
Write-off of patents and trademarks   
    59 
Share-based compensation   111    483 
Other   186    (60)
Changes in operating assets and liabilities:          
Other assets   629    (19)
Prepaid and other current assets   34    (1,453)
Accounts payable   112    164 
Accrued expenses and other current liabilities   (413)   (4,486)
Lease liabilities   (213)   
 
Other non-current liabilities   1    (1,106)
Total adjustments   580    (6,391)
Net cash used in continuing operating activities   (229)   (8,701)
Discontinued operations:          
   Net cash provided by (used in) operating activities   240    (24,474)
   Net cash provided by financing activities       1,106 
Net cash provided by (used in) discontinued operations   240    (23,368)
Net increase (decrease) in cash   11    (32,069)
Cash and cash equivalents, beginning of period   4,327    49,317 
Total cash and cash equivalents, end of period  $4,338   $17,248 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

4

 

  

TherapeuticsMD, Inc. and Subsidiaries

Notes to the Condensed Consolidated Financial Statements

(Unaudited)

 

1. Business, basis of presentation, new accounting standards and summary of significant accounting policies

 

General

 

TherapeuticsMD, Inc. (the “Company”), a Nevada corporation, and its condensed consolidated subsidiaries are referred to collectively in this Quarterly Report on Form 10-Q (“10-Q Report”) as “TherapeuticsMD,” “we,” “our” and “us.” This 10-Q Report includes trademarks, trade names and service marks, such as TherapeuticsMD®, vitaMedMD®, BocaGreenMD®, vitaCareTM, IMVEXXY®, and BIJUVA®, which are protected under applicable intellectual property laws and are the property of, or licensed by or to, us. Solely for convenience, trademarks, trade names and service marks referred to in this 10-Q Report may appear without the ®, TM or SM symbols, but such references are not intended to indicate, in any way, that we will not assert, to the fullest extent under applicable law, our rights or the right of the applicable licensor to these trademarks, trade names and service marks. We do not intend our use or display of other parties’ trademarks, trade names or service marks to imply, and such use or display should not be construed to imply a relationship with, or endorsement or sponsorship of us by, these other parties.

 

TherapeuticsMD was previously a women’s healthcare company with a mission of creating and commercializing innovative products to support the lifespan of women from pregnancy prevention through menopause. In December 2022, we changed our business to become a pharmaceutical royalty company, currently receiving royalties on products licensed to pharmaceutical organizations that possess commercial capabilities in the relevant territories. On December 30, 2022 (the “Closing Date”), we completed a transaction (the “Mayne Transaction”) with Mayne Pharma LLC, a Delaware limited liability company (“Mayne Pharma”) and subsidiary of Mayne Pharma Group Limited, an Australian public company, in which we and our subsidiaries (i) granted Mayne Pharma an exclusive license to commercialize our IMVEXXY, BIJUVA and prescription prenatal vitamin products sold under the BocaGreenMD and vitaMedMD brands (collectively, the “Licensed Products”) in the United States and its possessions and territories, (ii) assigned to Mayne Pharma our exclusive license to commercialize ANNOVERA® (together with the Licensed Products, collectively, the “Products”) in the United States and its possessions and territories, and (iii) sold certain other assets to Mayne Pharma in connection therewith.

 

In a License Agreement, dated December 4, 2022, between TherapeuticsMD and Mayne Pharma (the “Mayne License Agreement”), we granted Mayne Pharma, on the Closing Date, (i) an exclusive, sublicensable, perpetual, irrevocable license to research, develop, register, manufacture, have manufactured, market, sell, use, and commercialize the Licensed Products in the United States and its possessions and territories and (ii) an exclusive, sublicensable, perpetual, irrevocable license to manufacture, have manufactured, import and have imported the Licensed Products outside the United States for commercialization in the United States and its possessions and territories.

 

Under the Mayne License Agreement, Mayne Pharma will pay us milestone payments of each of (i) $5.0 million if aggregate net sales of all Products in the United States during a calendar year reach $100.0 million, (ii) $10.0 million if aggregate net sales of all Products in the United States during a calendar year reach $200.0 million and (iii) $15.0 million if aggregate net sales of all Products in the United States during a calendar year reach $300.0 million. Further, Mayne Pharma will pay us royalties on net sales of all Products in the United States at a royalty rate of 8.0% on the first $80.0 million in annual net sales and 7.5% on annual net sales above $80.0 million, subject to certain adjustments, for a period of 20 years following the Closing Date. The royalty rate will decrease to 2.0% on a Product-by-Product basis upon the earlier to occur of (i) the expiration or revocation of the last patent covering a Product and (ii) a generic version of a Product launching in the United States. Mayne Pharma will pay us minimal annual royalties of $3.0 million per year for 12 years, adjusted for inflation at an annual rate of 3%, subject to certain further adjustments, including as described below. Upon the expiry of the 20-year royalty term, the licenses granted to Mayne Pharma under the Mayne License Agreement will become a fully paid-up and royalty free license for the Licensed Products.  

 

5

 

 

Under the Transaction Agreement, dated December 4, 2022, between TherapeuticsMD and Mayne Pharma (the “Transaction Agreement”), we sold to Mayne Pharma, at closing, certain assets for Mayne Pharma to commercialize the Products in the United States, including, with the Population Council’s consent, our exclusive license from the Population Council to commercialize ANNOVERA (the “Transferred Assets”).

 

The total consideration from Mayne Pharma to TherapeuticsMD for the purchase of the Transferred Assets and the grant of the licenses under the Mayne Transaction Agreement was (i) a cash payment of $140.0 million at closing, (ii) a cash payment of approximately $12.1 million at closing for the acquisition of net working capital as determined in accordance with the Transaction Agreement and subject to certain adjustments, (iii) a cash payment of approximately $1.0 million at closing for prepaid royalties in connection with the Mayne License Agreement Amendment (as defined below) and (iv) the right to receive the contingent consideration set forth in the Mayne License Agreement, as amended. The acquisition of net working capital was determined in accordance with the Transaction Agreement and included significant estimates which could change materially for a period of up to two years following the Closing Date.

 

On the Closing Date, TherapeuticsMD and Mayne Pharma entered into Amendment No. 1 to the Mayne License Agreement (the “Mayne License Agreement Amendment”). Pursuant to the Mayne License Agreement Amendment, Mayne Pharma agreed to pay us approximately $1.0 million in prepaid royalties on the Closing Date. The prepaid royalties reduced the first four quarterly payments that would have otherwise been payable pursuant to the Mayne License Agreement by an amount equal to $257 thousand per quarterly royalty payment plus interest calculated at 19% per annum accruing from the Closing Date until the date such quarterly royalty payment was paid to us. We and Mayne Pharma settled the $1.5 million of consideration due to Mayne Pharma for the assumed obligations under a long-term services agreement, including our minimum payment obligations thereunder. As the parties agreed, during the second quarter of 2023 Mayne Pharma held back our royalty payment of $0.6 million and we funded an additional $0.9 million in August 2023 to settle the original $1.5 million payable.

 

As part of the transformation that included the Mayne License Agreement, historical results of commercial operations for all periods prior to the Closing Date have been reflected as discontinued operations in our condensed consolidated financial statements. Assets and liabilities associated with the commercial business are classified as assets and liabilities of discontinued operations in our condensed consolidated balance sheets. Additional disclosures regarding discontinued operations are provided in Note 2 of our condensed consolidated financial statements.

 

We also have license agreements with strategic partners to commercialize IMVEXXY and BIJUVA outside of the U.S.  

  

In July 2018, we entered into a license and supply agreement (the “Knight License Agreement”) with Knight Therapeutics Inc. (“Knight”) pursuant to which we granted Knight an exclusive license to commercialize IMVEXXY and BIJUVA in Canada and Israel. Knight obtained regulatory approval for IMVEXXY and BIJUVA and began commercialization efforts in 2024.

 

In September 2019, we entered into an exclusive license and supply agreement (the “Theramex License Agreement”) with Theramex HQ UK Limited (“Theramex”) to commercialize IMVEXXY and BIJUVA outside of the U.S., excluding Canada and Israel. In 2021, Theramex secured regulatory approval for BIJUVA in certain European countries and began commercialization efforts in those countries.

 

In connection with our transformation into a pharmaceutical royalty company, the termination of our executive management team (except for Mr. Marlan Walker, our former General Counsel and current Chief Executive Officer) and all other employees was completed by December 31, 2022. Severance obligations for all employees other than executive officers were paid in full in January 2023 and severance obligations for terminated executive officers have been paid in accordance with their employment agreements and separation agreements as previously disclosed. As of December 31, 2023 and March 31, 2024, we employed one full-time employee primarily engaged in an executive position.

 

We have engaged external consultants who support our relationship with current partners and assist with certain financial, legal, and regulatory matters and the continued wind-down of our historical business operations. On August 15, 2023, we entered into a master services agreement with JZ Advisory Group, pursuant to which Joseph Ziegler would serve as our Principal Financial Officer. On August 17, 2023 Michael C. Donegan notified us of his decision to resign from the positions of Principal Financial and Accounting Officer of our Company effective as of August 17, 2023. Mr. Ziegler succeeded Mr. Donegan as Principal Financial and Accounting Officer as of the date of Mr. Donegan’s resignation.   

 

6

 

 

Going concern

 

Following the transaction with Mayne Pharma, our primary source of revenue is from royalties on products licensed to pharmaceutical organizations that possess commercial capabilities in the relevant territories. We may need to raise additional capital to provide additional liquidity to fund our operations until we become cash flow positive. To address our capital needs, we may pursue various equity and debt financing and other alternatives. The equity financing alternatives may include the private placement of equity, equity-linked, or other similar instruments or obligations with one or more investors, lenders, or other institutional counterparties or an underwritten public equity or equity-linked securities offering. Our ability to sell equity securities may be limited by market conditions, including the market price of our common stock, and our available authorized shares.

 

To the extent that we raise additional capital through the sale of such securities, the ownership interests of our existing stockholders will be diluted, and the terms of these new securities may include liquidation or other preferences that adversely affect the rights of our existing stockholders. If we are not successful in obtaining additional financing, we could be forced to discontinue or curtail our business operations, sell assets at unfavorable prices, or merge, consolidate, or combine with a company with greater financial resources in a transaction that might be unfavorable to us.

 

On May 1, 2023, we entered into a Subscription Agreement (the “Subscription Agreement”) with Rubric Capital Management LP (“Rubric”), pursuant to which we agreed to sell to Rubric, or one or more of its affiliates, up to an aggregate of 5,000,000 shares of our common stock, par value $0.001 per share (our “Common Stock”), from time to time during the term of the Subscription Agreement in separate draw-downs at our election. On June 29, 2023, we issued and sold 312,525 shares of Common Stock at a price per share equal to $3.6797 pursuant to the Subscription Agreement. We received gross proceeds of $1.15 million from the draw down, before expenses. On November 15, 2023, Rubric drew down an additional 877,192 shares of Common Stock at a price per share equal to $2.2761. We received gross proceeds of $2.0 million from the drawdown, before expenses.

 

In February 2024, the Company received Mayne Pharma’s calculation of allowance for payer rebates and wholesale distributor fees pursuant to the Transaction Agreement which differed significantly from the Company’s estimate of the allowances. The Company and Mayne Pharma intend to resolve this matter through the dispute resolution process outlined in the Transaction Agreement. The Company continues to believe its estimated allowances for payer rebates and wholesale distributor fees are reasonable. The outcome of this matter is uncertain at this point. As a result, the Company cannot reasonably estimate a range of loss, and accordingly, the Company has not accrued any additional liability associated with Mayne Pharma’s allowance calculation for payer rebates and wholesale distributor fees.

 

As of March 31, 2024, the Company believes no additional accrual is required for amounts that may be owed for the allowance for returns under the Transaction Agreement. The Company has not recorded any contingent gains or receivables for any such allowances. Management continues to monitor the unresolved and pending net working capital items as changes to estimated amounts owed or amounts due from Mayne Pharma may be material.

 

If Mayne Pharma’s sales of Licensed Products grow more slowly than expected or decline, if the net working capital settlement with Mayne Pharma under the Transaction Agreement is greater than our current estimates, if we are unsuccessful with future financings or the supply chains related to the third-party contract manufacturers are worse than we anticipate, our existing cash reserves may be insufficient to satisfy our liquidity requirements. The potential impact of these factors in conjunction with the uncertainty of the capital markets raises substantial doubt about our ability to continue as a going concern for the next twelve months from the issuance of these financial statements.

 

The accompanying consolidated financial statements do not include any adjustments that might be necessary if we are unable to continue as a going concern.

 

7

 

 

Basis of presentation

 

We prepared the condensed consolidated financial statements included in this 10-Q Report following the requirements of the United States (“U.S.”) Securities and Exchange Commission (“SEC”) for interim reporting. As permitted under those rules, certain notes or other financial information that are normally required by accounting principles generally accepted in the U.S. (“U.S. GAAP”) for complete financial statements can be condensed or omitted. However, except as disclosed herein, there has been no material change in the information disclosed in the notes included in our 2023 Annual Report on Form 10-K (the “2023 10-K Report”).

 

As part of the transformation as a result of the Mayne Transaction, historical results of commercial operations for all periods prior to the Closing Date have been reflected as discontinued operations in the condensed consolidated financial statements. Assets and liabilities associated with the commercial business are classified as assets and liabilities of discontinued operations in the condensed consolidated balance sheets. Additional disclosures regarding discontinued operations are provided in Note 2 of the condensed consolidated financial statements.

 

Revenues, expenses, assets, liabilities, and equities can vary during each quarter of the year. Therefore, the results and trends in these interim financial statements may not be representative of those for the full year. In our opinion, all adjustments necessary for a fair presentation of the financial statements, which are of a normal and recurring nature, have been made for the interim periods reported. The information included in this 10-Q Report should be read in conjunction with the consolidated financial statements and accompanying notes included in our 2023 10-K Report. Certain amounts in the consolidated financial statements and accompanying notes may not add due to rounding, and all percentages have been calculated using unrounded amounts. Certain prior period amounts have been reclassified to conform to current-period presentation.

 

New accounting standards

 

Adoption of new accounting standards

 

In December 2023, the Financial Accounting Standards Board (“FASB”) issued ASU 2023-09, “Income Taxes (Topic 740) - Improvements to Income Tax Disclosures.” ASU 2023-09 enhances the transparency and decision usefulness of income tax disclosures by requiring consistent categories and greater disaggregation of information in the rate reconciliation and income taxes paid disaggregated by jurisdiction. ASU 2023-09 will be effective for the Company in its income tax disclosure included in its 2025 Annual Report on Form 10-K and will be applied on a prospective basis. However, retrospective application is permitted. Early adoption is also permitted. The Company is evaluating the impact of ASU 2023-09 on the Company’s income tax disclosures and on its consolidated financial statements.

 

Increase of authorized shares

 

On June 26, 2023, at our combined 2022 and 2023 Annual Meeting, our stockholders approved an amendment to our Amended and Restated Articles of Incorporation to increase the number of authorized shares of Common Stock from 12 million shares to 32 million shares.

 

Estimates and assumptions

 

The preparation of our condensed consolidated financial statements in conformity with U.S. GAAP requires us to make certain estimates and assumptions that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the condensed consolidated financial statements and the reported amounts of revenue and expenses during the reporting periods. We evaluate our estimates and assumptions based on historical experience and on various other assumptions that are believed to be reasonable, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ, at times in material amounts, from these estimates under different assumptions or conditions.

 

8

 

 

Significant accounting policies

 

The significant accounting policies we use for quarterly financial reporting are disclosed in Note 1 of the notes to the consolidated financial statements included in our 2023 10-K report.

 

2. Discontinued Operations

 

As discussed in Note 1, we changed our business in 2022 by licensing our products to receive royalties and future sales related milestone payments, after granting an exclusive license to commercialize our IMVEXXY, BIJUVA, and prescription prenatal vitamin products sold under the BocaGreenMD and vitaMedMD brands in the United States and assigning our exclusive license to commercialize ANNOVERA to Mayne Pharma.

 

This plan represented a strategic shift having a major effect on our operations and financial results. Upon our conversion from a commercial pharmaceutical company to a licensing only company with the consummation of the Mayne Transaction, we classified all direct revenues, costs and expenses related to commercial operations, within income (loss) from discontinued operations, net of tax, in the condensed consolidated statements of operations for all periods presented. We have not allocated any amounts for shared general and administrative operating support expense to discontinued operations.

 

Additionally, the related assets and liabilities have been reported as assets and liabilities of discontinued operations in our condensed consolidated balance sheets as of March 31, 2024 and December 31, 2023.

 

As described in Note 1, the acquisition of net working capital by Mayne Pharma was determined in accordance with the Transaction Agreement and included significant estimates which could change materially for a period of up to two years following the Closing Date. Our estimate of net working capital at closing was determined in accordance with the Transaction Agreement which establishes the process for the determination of final net working capital. Refer to Note 6 for a further discussion of net working capital contingencies.

 

The following table presents results of discontinued operations (in thousands):

 

   Three Months Ended
March 31,
 
   2024   2023 
General and administrative expenses  $55   $335 
Total operating expenses   55    335 

Operating loss from discontinued operations

   (55)   (335)
Other income (expense), net   130    (958)
Total other income (expense), net   130    (958)
Income (loss) from discontinued operations, net  $75   $(1,293)

 

9

 

 

The following table presents the carrying amounts of the classes of assets and liabilities of discontinued operations as of March 31, 2024 and December 31, 2023 (in thousands):

 

   March 31,
2024
   December 31,
2023
 
Assets:        
Accounts receivable  $94   $344 
Liabilities:          
Accrued expenses and other current liabilities  $3,609   $3,694 

 

3. Prepaid and other current assets

 

Our prepaid and other current assets consisted of the following as of March 31, 2024 and December 31, 2023 (in thousands):

 

   March 31,
2024
   December 31,
2023
 
Insurance  $231   $253 
Capitalized legal   2,334    2,334 
Other   1,304    1,448 
Prepaid and other current assets  $3,869   $4,035 

 

4. Licensed rights and other intangible assets

 

The following provides information about our license rights and other intangible assets, net as of March 31, 2024 and December 31, 2023 (in thousands):

 

   March 31, 2024   December 31, 2023 
   Gross Carrying
Amount
   Accumulated
Amortization
   Net   Gross Carrying
Amount
   Accumulated
Amortization
   Net 
Intangible assets subject to amortization:                        
Hormone therapy drug patents  $6,819   $2,004   $4,815   $6,818   $1,871   $4,947 
Hormone therapy drug patents applied and pending approval   841    
    841    842    
    842 
Intangible assets subject to amortization   7,660    2,004    5,656    7,660    1,871    5,789 
Intangible assets not subject to amortization:                              
Trademarks/trade name rights   309    
    309    309    
    309 
License rights and other intangible assets, net  $7,969   $2,004   $5,965   $7,969   $1,871   $6,098 

 

We recorded, in continuing operations, amortization expense related to patents of $133 thousand and $7 thousand for the three months ended March 31, 2024 and 2023, respectively.

 

10

 

 

Our intangible assets subject to amortization are expected to be amortized as follows (in thousands):

 

Year ending December 31,
2024  $400 
2025   445 
2026   445 
2027   445 
2028   446 
Thereafter   2,634 
Total  $4,815 

 

5. Accrued expenses and other current liabilities

 

Other accrued expenses and other current liabilities consisted of the following (in thousands):

 

   March 31,
2024
   December 31,
2023
 
Payroll and related costs  $538   $762 
Professional fees   325    489 
Operating lease liabilities   1,483    1,473 
Other accrued expenses and current liabilities   374    409 
Accrued expenses and other current liabilities  $2,720   $3,133 

 

6. Commitments and contingencies

 

Mayne Pharma Agreement

 

Mayne Pharma paid us approximately $12.1 million at closing on December 30, 2022, for the acquisition of net working capital, subject to certain adjustments as determined in accordance with the Transaction Agreement. While the Transaction Agreement calls for much of the net working capital to be trued-up shortly after the Closing Date in 2023, for a period of one year following the Closing Date in the case of payer rebates and wholesale distributor fees and two years following the Closing Date in the case for allowance for returns, net working capital amounts will be adjusted to arrive at final net working capital under the Transaction Agreement.

 

In September 2023, we increased certain accrual estimates including increasing our working capital adjustment accrual by $2.0 million for amounts anticipated to be owed under the Transaction Agreement. In December 2023, we made a $5.5 million payment to Mayne Pharma to settle certain working capital amounts that were required to be trued-up shortly after the Closing Date, excluding the allowance for returns, allowance for payer rebates, and allowance for wholesale distributor fees. Of the $5.5 million, $2.0 million increased the allowance for net working capital allowances remaining to be trued up.

 

The Company’s estimate of the allowance for payer rebates and wholesale distributor fees was determined in accordance with the Transaction Agreement which establishes the process for the determination of net working capital. In February 2024, the Company received Mayne Pharma’s calculation of allowance for payer rebates and wholesale distributor fees which differed significantly from the Company’s estimate of the allowances. The Company and Mayne Pharma intend to resolve this matter through the dispute resolution process outlined in the Transaction Agreement.

 

The Company believes its estimated allowances for payer rebates and wholesale distributor fees are reasonable. The timing and outcome of this matter is uncertain at this point. As a result, the Company cannot reasonably estimate a range of loss, and accordingly, the Company has not accrued any additional liability associated with Mayne Pharma’s allowance calculation for payer rebates and wholesale distributor fees.

 

As of March 31, 2024, the Company believes no additional accrual is required for amounts that may be owed for the allowance for returns. The Company has not recorded any contingent gains or receivables for any such allowances. Management continues to monitor the unresolved and pending net working capital items as changes to estimated amounts owed or amounts due from Mayne Pharma that may be material.

 

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Population Council License Agreement

 

Under the terms of our license agreement with the Population Council, Inc. (the “Population Council License Agreement”), we paid the Population Council a milestone payment of $20.0 million in 2018, which was within 30 days following the approval by the FDA of the New Drug Application (“NDA”) for ANNOVERA, and $20.0 million in 2019 following the first commercial batch release of ANNOVERA. The aggregate $40.0 million of milestone payments were recorded as license rights. The Population Council was also eligible to receive future payments upon the achievement of certain commercial sales milestones of ANNOVERA. On December 30, 2022, we assigned the ANNOVERA license to Mayne Pharma. Our rights and obligations under the Population Council License Agreement have been transferred to Mayne Pharma and may revert back to us upon the occurrence of certain events.

 

Legal proceedings

 

In February 2020, we received a Paragraph IV certification notice letter (the “IMVEXXY Notice Letter”) regarding an Abbreviated New Drug Application (“ANDA”) submitted to the FDA by Teva Pharmaceuticals USA, Inc. (“Teva”). The ANDA seeks approval from the FDA to commercially manufacture, use, or sell a generic version of the 4 mcg and 10 mcg doses of IMVEXXY. In the IMVEXXY Notice Letter, Teva alleges that TherapeuticsMD patents listed in the FDA’s Orange Book that claim compositions and methods of IMVEXXY (the “IMVEXXY Patents”) are invalid, unenforceable, and/or will not be infringed by Teva’s commercial manufacture, use, or sale of its proposed generic drug product. The IMVEXXY Patents identified in the IMVEXXY Notice Letter expire in 2032 or 2033. In April 2020, we filed a complaint for patent infringement against Teva in the United States District Court for the District of New Jersey arising from Teva’s ANDA filing with the FDA. We are seeking, among other relief, an order that the effective date of any FDA approval of Teva’s ANDA would be a date no earlier than the expiration of the IMVEXXY Patents and equitable relief enjoining Teva from infringing the IMVEXXY Patents. Teva has filed its answer and counterclaim to the complaint, alleging that the IMVEXXY Patents are invalid and not infringed. In July 2021, following a proposal by Teva, the District Court entered an order temporarily staying all proceedings in the IMVEXXY litigation, which order was filed under seal. In September 2021, the District Court made available a public version of the order following the parties’ agreement to a consent motion to redact information Teva contended was confidential. The order provides that the statutory stay that prevents the FDA from granting final approval of the ANDA for 30 months from the date of the IMVEXXY Notice Letter will be extended for the number of days that the stay of the IMVEXXY litigation is in place. The length of the stay of the IMVEXXY litigation is dependent on further action by Teva. We have incurred and recorded legal costs amounting to $2,334 thousand in prepaid expenses and other current assets as of March 31, 2024, for the IMVEXXY Paragraph IV legal proceeding since we believe that we will successfully prevail in this legal proceeding. Upon the successful conclusion of the legal proceeding, the related capitalized legal costs will be reclassified to patents, in license rights and other intangible assets, net, in the accompanying condensed consolidated balance sheets, and such costs will be amortized over the remaining useful life of the patents. If we are unsuccessful in this legal proceeding, then the related capitalized legal costs for this legal preceding and any unamortized IMVEXXY patent costs that were previously capitalized will be immediately expensed in the period in which we become aware of an unsuccessful legal proceeding.

 

Beginning on December 30, 2022 and per the Mayne License Agreement, Mayne Pharma is responsible for all enforcement of our patents, including the litigation discussed above with respect to Teva.

 

From time to time, we are involved in other litigations and proceedings in the ordinary course of business. We are currently not involved in any other litigations and proceedings that we believe would have a material effect on our condensed consolidated financial condition, results of operations, or cash flows.

 

Off-balance sheet arrangements

 

As of March 31, 2024 and December 31, 2023 there were no off-balance sheet arrangements that have had or are reasonably likely to have current or future effects on our financial condition, changes in financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources that we consider material.

 

Employment agreements

 

In connection with our transformation into a pharmaceutical royalty company, the termination of our executive management team (except for Mr. Marlan Walker, our former General Counsel and current Chief Executive Officer) and all other employees was completed by December 30, 2022. Severance obligations for all employees other than executive officers were paid in full in the first quarter of 2023. As of March 31, 2024, we employ one full-time employee primarily engaged in an executive position. We have engaged external consultants who support our relationship with current partners and assist with certain financial, legal, and regulatory matters and the continued wind-down of our historical business operations. In the aggregate, as of March 31, 2024, we have accrued severance liabilities for executive termination obligations of $169 thousand.

 

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7. Stockholders’ equity

 

Warrants

 

As of March 31, 2024, the following table summarizes the status of our outstanding and exercisable warrants and related transactions since December 31, 2023 (in thousands, except weighted average exercise price and weighted average remaining contractual life data):

 

   Warrants Outstanding and exercisable 
   Warrants   Weighted
Average Exercise
Price
   Aggregate
Intrinsic
Value
   Weighted
Average
Remaining
Contractual Life
(in Years)
 
As of January 1, 2024   99   $66.61   $
    —
    6.5 
As of March 31, 2024   99   $66.61   $
    6.3 

 

Share-based compensation payment plans

 

As of March 31, 2024, 112,699 shares of common stock were subject to outstanding awards under our share-based payment award plans and inducement grants (calculated using the base number of PSUs that may vest). As of March 31, 2024, 394,669 shares of common stock were available for future grants of share-based payment awards under the TherapeuticsMD, Inc. 2019 Stock Incentive Plan.

 

The following table summarizes the status of our outstanding and exercisable options and related transactions since December 31, 2023 (in thousands, except weighted average exercise price and weighted average remaining contractual life data):

 

   Outstanding   Exercisable 
   Options
Awards
   Weighted
Average
Exercise
Price
   Aggregate
Intrinsic
Value
   Weighted
Average
Remaining
Contractual
Life
(in Years)
   Options
Awards
   Weighted
Average
Exercise
Price
   Aggregate
Intrinsic
Value
   Weighted
Average
Remaining
Contractual
Life
(in Years)
 
As of January 1, 2024   72   $258.55   $
    3.0    73   $258.46   $    3.0 
Expired   (3)   252.50                         
As of March 31, 2024   69   $258.80   $
    2.9    70   $258.69   $    2.9 

 

The following table summarizes the status of our RSUs and related transactions since December 31, 2023 (in thousands, except weighted average grant date fair value):

 

   RSUs awards outstanding 
   RSUs   Weighted
Average
Grant Date
Fair Value
   Aggregate
Intrinsic
Value
 
As of January 1, 2024   40   $9.67   $89.60 
Vested   (2)   23.42    
 
As of March 31, 2024   38   $9.01   $86.39 

 

The following table summarizes the status of our PSUs and related transactions since December 31, 2023 (in thousands, except weighted average grant date fair value):

 

   Outstanding 
   PSUs (1)   Weighted
Average
Grant Date
Fair Value
   Aggregate
Intrinsic
Value
 
Unvested, as of January 1, 2024   14   $50.87   $32.57 
Vested   (7)   60.50    16.16 
Cancelled/Forfeited   (2)   58.68    
 
Unvested, as of March 31, 2024   5   $34.50   $11.92 

 

(1) The number of PSUs represents the base number of PSUs that may vest.

 

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Share-based payment compensation cost

 

Share-based payment compensation expense for PSUs is based on 100% vesting which was a part of the termination benefits for all employees who were terminated in 2022. We recorded share-based payment award compensation costs related to previously issued options, RSU and PSUs, as well as shares of common stock issued under our employee stock purchase plan (“ESPP”) totaling $111 thousand and $483 thousand for the three months ended March 31, 2024 and 2023, respectively.

 

As of March 31, 2024, we had $177 thousand of unrecognized share-based payment award compensation cost related to unvested options, RSUs and PSUs as well as shares issuable under our ESPP, which may be adjusted for future changes in forfeitures and is included as additional paid-in capital in the accompanying condensed consolidated balance sheets. No tax benefit was realized due to a continued pattern of net losses.

 

The unrecognized compensation cost as of March 31, 2024 of $177 thousand is expected to be recognized as share-based payment award compensation over a weighted average period of 0.7 years.

 

8. Revenue

 

Pursuant to the Mayne License Agreement, the Company granted Mayne Pharma, on the Closing Date, (i) an exclusive, sublicensable, perpetual, irrevocable license to research, develop, register, manufacture, have manufactured, market, sell, use, and commercialize the Licensed Products in the United States and its possessions and territories and (ii) an exclusive, sublicensable, perpetual, irrevocable license to manufacture, have manufactured, import and have imported the Licensed Products outside the United States for commercialization in the United States and its possessions and territories.

 

Pursuant to the Mayne License Agreement, Mayne Pharma will make one-time, milestone payments to the Company of each of (i) $5.0 million if aggregate net sales of all Products in the United States during a calendar year reach $100.0 million, (ii) $10.0 million if aggregate net sales of all Products in the United States during a calendar year reach $200.0 million and (iii) $15.0 million if aggregate net sales of all Products in the United States during a calendar year reach $300.0 million. Further, Mayne Pharma will pay to the Company royalties on net sales of all Products in the United States at a royalty rate of 8.0% on the first $80 million in annual net sales and 7.5% on annual net sales above $80.0 million, subject to certain adjustments, for a period of 20 years following the Closing Date. The royalty rate will decrease to 2.0% on a Product-by-Product basis upon the earlier to occur of (i) the expiration or revocation of the last patent covering a Product and (ii) a generic version of a Product launching in the United States. Mayne Pharma will pay to the Company minimal annual royalties of $3.0 million per year for 12 years, adjusted for inflation at an annual rate of 3%, subject to certain further adjustments, including as described below. Upon the expiry of the 20-year royalty term, the licenses granted to Mayne Pharma under the Mayne License Agreement will become a fully paid-up and royalty free license for the Licensed Products.

 

9. Income taxes

 

We do not expect to pay any significant federal or state income taxes as a result of (i) the losses recorded during the three months ended March 31, 2024 and 2023, (ii) additional losses expected for the remainder of 2024 or losses recorded in 2023, or (iii) net operating losses carry forwards from prior years.

 

We recorded a full valuation allowance of the net operating losses for the three months ended March 31, 2024 and 2023. Accordingly, there were no provisions for income taxes for the three months ended March 31, 2024 and 2023. Additionally, as of March 31, 2024 and December 31, 2023, we maintain a full valuation allowance for all deferred tax assets.

 

10. Income (Loss) per common share

 

The following table sets forth the computation of basic and diluted (loss) per common share for the periods presented (in thousands, except per share amounts):

 

   Three Months Ended
March 31,
 
   2024   2023 
Numerator:        
Net loss from continuing operations  $(809)  $(2,310)
Income (loss) from discontinued operations, net of income taxes   75    (1,293)
Net loss  $(734)  $(3,603)
Denominator:          
Weighted average common shares for  basic loss per common share   11,532    9,754 
Effect of dilutive securities   
    
 
Weighted average common shares for diluted loss per common share   11,532    9,754 
           
Income (loss) per common share, continuing operations          
Basic  $(0.07)  $(0.24)
Diluted  $(0.07)  $(0.24)
Income (loss) per common share, discontinued operations          
Basic  $0.01   $(0.13)
Diluted  $0.01   $(0.13)

 

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Since we reported a net loss from continuing operations for the three months ended March 31, 2024 and 2023, our potentially dilutive securities are deemed to be anti-dilutive, accordingly, there was no effect of dilutive securities. Therefore, our basic and diluted loss per common share and our basic and diluted weighted average common shares are the same for the three months ended March 31, 2024 and 2023.

 

The following table sets forth the outstanding securities as of the periods presented which were not included in the calculation of diluted earnings per common share during the respective three months ended March 31, 2024 and 2023 (in thousands):

 

   As of March 31, 
   2024   2023 
Stock options   69    103 
RSUs   38    177 
PSUs   5    19 
Warrants   99    225 
    211    524 

 

11. Related parties

 

On August 23, 2022, we appointed Mr. Justin Roberts as a director to fill a newly created vacancy on our Board of Directors. Mr. Roberts was elected to serve as a director at our combined 2022 and 2023 Annual Meeting held on June 26, 2023. Mr. Roberts will serve until our next Annual Meeting of Stockholders or until his successor is duly elected or appointed or his earlier death or resignation. As a director of our Company, Mr. Roberts is entitled to receive compensation in the same manner as our other non-employee directors, described in the section entitled “Director Compensation” in our Amendment No. 1 to Form 10-K for the fiscal year ended December 31, 2023, filed with the Securities and Exchange Commission on April 29, 2024, but he has elected not to receive any compensation for his service as a non-employee director at this time. Mr. Roberts currently serves as a Partner of Rubric. On July 29, 2022, September 30, 2022, October 28, 2022, and May 1, 2023, we entered into subscription agreements with Rubric. On December 30, 2022, in accordance with the terms of the Certificate of Designation, we redeemed all 29,000 outstanding shares of Series A Preferred Stock previously issued to affiliates of Rubric at a purchase price of $1,333 per share and also paid certain affiliates of Rubric approximately $3.0 million as a make-whole payment pursuant to the subscription agreements previously entered into between us and Rubric. On June 29, 2023, we issued and sold 312,525 shares of Common Stock to Rubric at a price per share equal to $3.6797 pursuant to the Subscription Agreement and received gross proceeds of $1.15 million, before expenses. On November 15, 2023 Rubric drew down an additional 877,192 shares of Common Stock at a price per share equal to $2.2761. We received gross proceeds of $2.0 million from the drawdown, before expenses.

 

12. Business concentrations

 

TherapeuticsMD was previously a women’s healthcare company with a mission of creating and commercializing innovative products to support the lifespan of women from pregnancy prevention through menopause. In December 2022, we changed our business to become a pharmaceutical royalty company, currently receiving royalties on products licensed to pharmaceutical organizations that possess commercial capabilities in the relevant territories. As part of the transformation that included the Mayne License Agreement, historical results of commercial operations for all periods prior to the Closing Date have been reflected as discontinued operations in our condensed consolidated financial statements. Assets and liabilities associated with the commercial business are classified as assets and liabilities of discontinued operations in our condensed consolidated balance sheets. Additional disclosures regarding discontinued operations are provided in Note 2.

 

For the three months ended March 31, 2024, 100% of license revenue related to Mayne Pharma, Theramex and Knight.

 

As of March 31, 2024, we had a royalty receivable of $3,222 thousand relating to the short-term portion of receivable from Mayne Pharma, Theramex and Knight and $17,855 thousand relating to the long-term portion of royalty receivable which includes royalties recognized from the minimum annual royalty that Mayne Pharma is obligated to pay to us under the Mayne License Agreement.

  

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Item 2. Management’s discussion and analysis of financial condition and results of operations

 

The following discussion should be read in conjunction with our 2023 Annual Report on Form 10-K (“2023 10-K Report”), and the condensed consolidated financial statements and related notes in Item 1, Financial Statements, appearing elsewhere in this Quarterly Report on Form 10-Q (“10-Q Report”). The following discussion may contain forward-looking statements, and our actual results may differ materially from the results suggested by these forward-looking statements. Factors that might cause such differences include, but are not limited to, those discussed in Part I, Item 1A of our 2023 10-K Report under the heading “Risk Factors.” We assume no obligation to revise or update any forward-looking statements for any reason, except as required by law.

 

Certain amounts in the following discussion may not add due to rounding, and all percentages have been calculated using unrounded amounts.

 

Forward-looking statements

 

This 10-Q Report contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. These forward-looking statements involve substantial risks and uncertainties. For example, statements regarding our operations, financial position, debt position, liquidity, business strategy, and other plans and objectives for future operations, and assumptions and predictions about future cost reduction strategies, expenses and royalties are all forward-looking statements. These statements are generally accompanied by words such as “intend,” “anticipate,” “believe,” “estimate,” “potential(ly),” “continue,” “forecast,” “predict,” “plan,” “may,” “will,” “could,” “would,” “should,” “expect,” or the negative of such terms or other comparable terminology.

 

We have based these forward-looking statements on our current expectations and projections about future events. We believe that the assumptions and expectations reflected in such forward-looking statements are reasonable, based on information available to us on the date of this 10-Q Report, and we cannot assure you that these assumptions and expectations will prove to have been correct or that we will take any action that we may presently be planning. These forward-looking statements are inherently subject to known and unknown risks and uncertainties. Actual results or experience may differ materially from those expected or anticipated in the forward-looking statements. We do not undertake to update any forward-looking statements or to publicly announce the results of any revisions to any statements to reflect new information or future events or developments, except as required by law or by the rules and regulations of the SEC.

 

Forward-looking statements are not guarantees of future performance and are subject to risks and uncertainties, many of which are outside of our control. Factors that could cause or contribute to such differences include, but are not limited to, our liquidity requirements, supply chain issues, management transitions, risks related to our licensing agreements, market and general economic factors, and the other risks discussed in Part I, Item 1A of our 2023 10-K Report, as updated and supplemented by Part II, Item 1A of this 10-Q Report.

 

Our company

 

TherapeuticsMD was previously a women’s healthcare company with a mission of creating and commercializing innovative products to support the lifespan of women from pregnancy prevention through menopause. In December 2022, we changed our business to become a pharmaceutical royalty company, primarily collecting royalties from our licensees. We are no longer engaged in research and development or commercial operations. On December 30, 2022 (the “Closing Date”), we completed a transaction (the “Mayne Transaction”) with Mayne Pharma LLC, a Delaware limited liability company (“Mayne Pharma”) and subsidiary of Mayne Pharma Group Limited, an Australian public company, pursuant to which we (i) granted Mayne Pharma an exclusive license to commercialize IMVEXXY, BIJUVA and prescription prenatal vitamin products sold under the BocaGreenMD and vitaMedMD brands (collectively, the “Licensed Products”) in the United States and its possessions and territories, (ii) assigned to Mayne Pharma our exclusive license to commercialize ANNOVERA (together with the Licensed Products, collectively, the “Products”) in the United States and its possessions and territories, and (iii) sold certain other assets to Mayne Pharma in connection therewith.

 

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Pursuant to a License Agreement, dated December 4, 2022, between TherapeuticsMD and Mayne Pharma (the “Mayne License Agreement”), we granted Mayne Pharma, on the Closing Date, (i) an exclusive, sublicensable, perpetual, irrevocable license to research, develop, register, manufacture, have manufactured, market, sell, use, and commercialize the Licensed Products in the United States and its possessions and territories and (ii) an exclusive, sublicensable, perpetual, irrevocable license to manufacture, have manufactured, import and have imported the Licensed Products outside the United States for commercialization in the United States and its possessions and territories. Pursuant to the Mayne License Agreement, Mayne Pharma will pay us one-time, milestone payments of each of (i) $5.0 million if aggregate net sales of all Products in the United States during a calendar year reach $100.0 million, (ii) $10.0 million if aggregate net sales of all Products in the United States during a calendar year reach $200.0 million and (iii) $15.0 million if aggregate net sales of all Products in the United States during a calendar year reach $300.0 million. Further, Mayne Pharma will pay us royalties on net sales of all Products in the United States at a royalty rate of 8.0% on the first $80 million in annual net sales and 7.5% on annual net sales above $80.0 million, subject to certain adjustments, for a period of 20 years following the Closing Date. The royalty rate will decrease to 2.0% on a Product-by-Product basis upon the earlier to occur of (i) the expiration or revocation of the last patent covering a Product and (ii) a generic version of a Product launching in the United States. Mayne Pharma will pay us minimum annual royalties of $3.0 million per year for 12 years, adjusted for inflation at an annual rate of 3%, subject to certain further adjustments, including as described below (the “Minimum Annual Royalty”). Upon the expiry of the 20-year royalty term, the licenses granted to Mayne Pharma under the Mayne License Agreement will become a fully paid-up and royalty free license for the Licensed Products.

 

Pursuant to a Transaction Agreement, dated December 4, 2022, between TherapeuticsMD and Mayne Pharma (the “Transaction Agreement”), we sold to Mayne Pharma, at closing, certain assets for Mayne Pharma to commercialize the Products in the United States, including our exclusive license from the Population Council to commercialize ANNOVERA (the “Transferred Assets”).

 

The total consideration from Mayne Pharma to us for the purchase of the Transferred Assets and the grant of the licenses under the Mayne License Agreement was (i) a cash payment of $140.0 million at closing, (ii) a cash payment of approximately $12.1 million at closing for the acquisition of net working capital as determined in accordance with the Transaction Agreement and subject to certain adjustments, (iii) a cash payment of approximately $1.0 million at closing for prepaid royalties in connection with the Mayne License Agreement Amendment (as defined below) and (iv) the right to receive the contingent consideration set forth in the Mayne License Agreement, as amended. The acquisition of net working capital was determined in accordance with the Transaction Agreement and included significant estimates which could change materially for a period of up to two years following the Closing Date.

 

On the Closing Date, TherapeuticsMD and Mayne Pharma entered into Amendment No. 1 to the Mayne License Agreement (the “Mayne License Agreement Amendment”). Pursuant to the Mayne License Agreement Amendment, Mayne Pharma agreed to pay us approximately $1.0 million in prepaid royalties on the Closing Date. The prepaid royalties reduced the first four quarterly payments that would have otherwise been payable pursuant to the Mayne License Agreement by an amount equal to $257 thousand per quarterly royalty payment plus interest calculated at 19% per annum accruing from the Closing Date until the date such quarterly royalty payment was paid to us. We and Mayne Pharma settled the $1.5 million of consideration due to Mayne for the assumed obligations under a long-term services agreement, including our minimum payment obligations thereunder. As the parties agreed, during the second quarter of 2023, Mayne Parma held back our royalty payment of $0.6 million and we funded an additional $0.9 million in August 2023 to settle the original $1.5 million payable.

 

This action represented a shift in our business and therefore, the related assets and liabilities associated with commercial operations are classified as discontinued operations on our condensed consolidated balance sheets and the results of operations have been presented as discontinued operations within our condensed consolidated statements of operations for all periods presented. See Note 2 – Discontinued Operations to the condensed consolidated financial statements included in this Quarterly Report on Form 10-Q for further details.

 

We also have license agreements with strategic partners to commercialize IMVEXXY and BIJUVA outside of the U.S.

 

In July 2018, we entered into a license and supply agreement (the “Knight License Agreement”) with Knight Therapeutics Inc. (“Knight”) pursuant to which we granted Knight an exclusive license to commercialize IMVEXXY and BIJUVA in Canada and Israel. Knight obtained regulatory approval for IMVEXXY and BIJUVA and began commercialization efforts in 2024.

 

In September 2019, we entered into an exclusive license and supply agreement (the “Theramex License Agreement”) with Theramex HQ UK Limited (“Theramex”) to commercialize IMVEXXY and BIJUVA outside of the U.S., excluding Canada and Israel. In 2021, Theramex secured regulatory approval for BIJUVA in certain European countries and began commercialization efforts in those countries.

 

17

 

 

In connection with our transformation into a pharmaceutical royalty company, the termination of our executive management team (except for Mr. Marlan Walker, our former General Counsel and current Chief Executive Officer) and all other employees was completed by December 31, 2022. Severance obligations for all employees other than executive officers were paid in full in the first quarter of 2023 and severance obligations for terminated executive officers have been paid in accordance with their employment agreements and separation agreements as previously disclosed. As of December 31, 2023 and March 31, 2024, we employed one full-time employee primarily engaged in an executive position. We have engaged external consultants, including certain former members of our management team, who support our relationship with current partners and assist with certain financial, legal and regulatory matters and the continued wind-down of our historical business operations.

 

Going concern

 

Following the transaction with Mayne Pharma, our primary source of revenue is from royalties on products licensed to pharmaceutical organizations that possess commercial capabilities in the relevant territories. We may need to raise additional capital to provide additional liquidity to fund our operations until we become cash flow positive. To address our capital needs, we may pursue various equity and debt financing and other alternatives. The equity financing alternatives may include the private placement of equity, equity-linked, or other similar instruments or obligations with one or more investors, lenders, or other institutional counterparties or an underwritten public equity or equity-linked securities offering. Our ability to sell equity securities may be limited by market conditions, including the market price of our common stock, and our available authorized shares.

 

To the extent that we raise additional capital through the sale of such securities, the ownership interests of our existing stockholders will be diluted, and the terms of these new securities may include liquidation or other preferences that adversely affect the rights of our existing stockholders. If we are not successful in obtaining additional financing, we could be forced to discontinue or curtail our business operations, sell assets at unfavorable prices, or merge, consolidate, or combine with a company with greater financial resources in a transaction that might be unfavorable to us.

 

On May 1, 2023, we entered into a Subscription Agreement (the “Subscription Agreement”) with Rubric Capital Management LP (“Rubric”), pursuant to which we agreed to sell to Rubric, or one or more of its affiliates, up to an aggregate of 5,000,000 shares of our common stock, par value $0.001 per share (our “Common Stock”), from time to time during the term of the Subscription Agreement in separate draw-downs at our election. On June 29, 2023, we issued and sold 312,525 shares of Common Stock at a price per share equal to $3.6797 pursuant to the Subscription Agreement. We received gross proceeds of $1.15 million from the draw down, before expenses. On November 15, 2023 Rubric drew down an additional 877,192 shares of Common Stock at a price per share equal to $2.2761. We received gross proceeds of $2.0 million from the drawdown, before expenses.

 

Mayne Pharma paid us approximately $12.1 million at closing on December 30, 2022, for the acquisition of net working capital, subject to certain adjustments as determined in accordance with the Transaction Agreement. While the Transaction Agreement calls for much of the net working capital to be trued-up shortly after the Closing Date in 2023, for a period of one year following the Closing Date in the case of payer rebates and wholesale distributor fees and two years following the Closing Date in the case for allowance for returns, net working capital amounts will be adjusted to arrive at final net working capital under the Transaction Agreement.

 

In September 2023, we revised certain accrual estimates including increasing our working capital adjustment accrual from $3.5 million to $5.5 million for amounts anticipated to be owed under the Transaction Agreement. In December 2023, we made a $5.5 million payment to Mayne Pharma to settle certain working capital amounts that were required to be trued-up shortly after the Closing Date, excluding the allowance for returns, allowance for payer rebates, and allowance for wholesale distributor fees.

 

18

 

 

The Company’s estimate of the allowance for payer rebates and wholesale distributor fees was determined in accordance with the Transaction Agreement which establishes the process for the determination of net working capital. In February 2024, the Company received Mayne Pharma’s calculation of allowance for payer rebates and wholesale distributor fees which differed significantly from the Company’s estimate of the allowances. The Company and Mayne Pharma intend to resolve this matter through the dispute resolution process outlined in the Transaction Agreement.

 

The Company believes its estimated allowances for payer rebates and wholesale distributor fees are reasonable. The timing and outcome of this matter is uncertain at this point. As a result, the Company cannot reasonably estimate a range of loss, and accordingly, the Company has not accrued any additional liability associated with Mayne Pharma’s allowance calculation for payer rebates and wholesale distributor fees.

 

As of March 31, 2024, the Company believes no additional accrual is required for amounts that may be owed for the allowance for returns under the Transaction Agreement. The Company has not recorded any contingent gains or receivables for any such allowances. Management continues to monitor the unresolved and pending net working capital items as changes to estimated amounts owed or amounts due from Mayne Pharma may be material.

 

If Mayne Pharma’s sales of Licensed Products grow more slowly than expected or decline, if the net working capital settlement with Mayne Pharma under the Transaction Agreement is greater than our current estimates, if we are unsuccessful with future financings or the supply chains related to the third-party contract manufacturers are worse than we anticipate, our existing cash reserves may be insufficient to satisfy our liquidity requirements. The potential impact of these factors in conjunction with the uncertainty of the capital markets raises substantial doubt about our ability to continue as a going concern for the next twelve months from the issuance of these financial statements.

 

The accompanying consolidated financial statements do not include any adjustments that might be necessary if we are unable to continue as a going concern.

 

Portfolio of our royalty-bearing products

 

In December 2022, we changed our business to become a pharmaceutical royalty company, currently receiving royalties on products licensed to pharmaceutical organizations that possess commercial capabilities in the relevant territories. On December 30, 2022, we granted an exclusive license to commercialize IMVEXXY, BIJUVA, and prescription prenatal vitamin products sold under the BocaGreenMD and vitaMedMD brands and assigning our exclusive license to commercialize ANNOVERA to Mayne Pharma.

 

IMVEXXY (estradiol vaginal inserts), 4-µg and 10-µg 

 

This pharmaceutical product is for the treatment of moderate-to-severe dyspareunia (vaginal pain associated with sexual activity), a symptom of vulvar and vaginal atrophy due to menopause.

 

On December 30, 2022, we granted an exclusive license to commercialize IMVEXXY in the United States and its possessions and territories to Mayne Pharma. We also have entered into licensing agreements with third parties to market and sell IMVEXXY outside of the U.S. We entered into the Knight License Agreement, with Knight pursuant to which, we granted Knight an exclusive license to commercialize IMVEXXY in Canada and Israel. We entered into the Theramex License Agreement with Theramex HQ UK Limited (“Theramex”) pursuant to which we granted Theramex an exclusive license to commercialize IMVEXXY for human use outside of the U.S., except for Canada and Israel. As of March 31, 2024, no IMVEXXY sales had been made through the Theramex licensing agreement.

 

BIJUVA (estradiol and progesterone) capsules, 1 mg/100 mg

 

This pharmaceutical product is the first and only FDA approved bioidentical hormone therapy combination of estradiol and progesterone in a single, oral capsule for the treatment of moderate-to-severe vasomotor symptoms (commonly known as hot flashes or flushes) due to menopause in women with a uterus.

 

19

 

 

On December 30, 2022, we granted an exclusive license to commercialize BIJUVA in the United States and its possessions and territories to Mayne Pharma. We also have entered into the Knight License Agreement with Knight pursuant to which we granted Knight an exclusive license to commercialize BIJUVA in Canada and Israel. We have entered into the Theramex License Agreement with Theramex pursuant to which we granted Theramex an exclusive license to commercialize BIJUVA for human use outside of the U.S., except for Canada and Israel.

 

ANNOVERA (segesterone acetate (“SA”) and ethinyl estradiol (“EE”) vaginal system)

 

On December 30, 2022, we assigned our exclusive license to commercialize ANNOVERA to Mayne Pharma. This pharmaceutical product is a one-year ring-shaped contraceptive vaginal system (“CVS”) and the first and only patient-controlled, procedure-free, reversible prescription contraceptive that can prevent pregnancy for up to a total of 13 cycles (one year). ANNOVERA is commercially sold in the U.S. pursuant to the terms of the Population Council License Agreement.

 

Prenatal vitamin products

 

On December 30, 2022, we granted an exclusive license to commercialize, in the United States and its possessions and territories, our prescription prenatal vitamin product lines under our vitaMedMD brand name and authorized generic formulations of some of our prescription prenatal vitamin products under our BocaGreenMD Prenatal name to Mayne Pharma.

 

Results of operations

 

Three months ended March 31, 2024 compared with three months ended March 31, 2023

 

As part of the transformation that included the Mayne License Agreement, historical results of commercial operations have been reflected as discontinued operations in our condensed consolidated financial statements for all periods prior to the Closing Date. Assets and liabilities associated with the commercial business are classified as assets and liabilities of discontinued operations in our condensed consolidated balance sheets. Additional disclosures regarding discontinued operations are provided in Note 2 to the condensed consolidated financial statements included in this Quarterly Report.

 

The discussion below, and the revenues and expenses discussed below, are based on and relate to our continuing operations.

 

The following table sets forth the results of our operations (in thousands):

 

   Three Months Ended
March 31,
 
   2024   2023 
Revenue:        
License and service revenue  $313   $416 
Operating expenses:          
Selling, general and administrative   1,322    3,056 
Depreciation and amortization   133    27 
Total operating expenses   1,455    3,083 
Loss from operations   (1,142)   (2,667)
Other income (expense):          
Interest expense and other financing costs       (50)
Miscellaneous income (expense)   333    407 
Total other income, net   333    357 
Loss from continuing operations before income taxes   (809)   (2,310)
Provision for income taxes        
Net loss from continuing operations   (809)   (2,310)
Income (loss) from discontinued operations, net of income taxes   75    (1,293)
Net loss  $(734)  $(3,603)

 

20

 

 

Revenue. As part of our transformation and the Mayne License Agreement, historical results of commercial operations have been reflected as discontinued operations in the condensed consolidated financial statements for all periods presented.

 

We recorded $313 thousand in license revenue for the first quarter of 2024, primarily from the Mayne License Agreement, compared to $416 thousand in license revenue from the Mayne License Agreement for the first quarter of 2023. The decrease is primarily attributable to changes in sales of licensed products.

 

Operating expenses. Total operating expenses for the first quarter of 2024 were $1,455 thousand, a decrease of $1,628 thousand, or 52.8%, compared to the first quarter of 2023. This decrease was due to the down-sizing of our business following our transition to a royalty-based business.

 

Selling, general and administrative. Selling, general and administrative expenses were $1,322 thousand for the first quarter of 2024, a decrease of $1,734 thousand, or 56.7%, compared to the first quarter of 2023. This decrease was due to the increased efficiencies realized following our transition to a royalty-based business.

 

Depreciation & amortization. Depreciation and amortization expense was $133 thousand for the first quarter of 2024, an increase of $106 thousand, or 392.6%, compared to the first quarter of 2023. In 2024, this balance is entirely comprised of amortization of license rights and intangible assets.

 

Loss from operations. In the first quarter of 2024, we had a loss from operations of $1,142 thousand, as compared to a loss from operations of $2,667 thousand for the first quarter of 2023. This change reflects the streamlining of our business and increased efficiencies realized as a royalty-based business.

 

Other income (expense), net. During the first quarter of 2024, we had other income of $333 thousand compared to other income of $357 thousand in the first quarter of 2023. This change reflects our transition to a royalty-based business. Royalties reported as other income for intellectual property licensed by us totaled approximately $295 thousand in the first quarter of 2024.

 

Provision for income taxes. During the first quarter of 2024 and 2023, we recorded no provision for income taxes for continuing operations.

 

Net loss from continuing operations. For the first quarter of 2024, we had a net loss of $809 thousand, or $0.07 per basic and diluted common share, compared to a net loss of $2,310 thousand, or $0.24 per basic and diluted common share, for the first quarter of 2023. 

 

Discontinued Operations - Net income from discontinued operations was $75 thousand for the first quarter of 2024, compared to a net loss from discontinued operations of $1,293 thousand for the first quarter of 2023. This change reflects the continued wind-down of our legacy business.

 

For additional information, see Note 2 - Discontinued Operations, in the notes to the condensed consolidated financial statements appearing elsewhere in this Quarterly Report.

 

21

 

 

Liquidity and capital resources

 

Our primary use of cash is to fund our continued operations. We have funded our operations primarily through public offerings of our common stock and private placements of equity and debt securities, the divestiture of our former subsidiary vitaCare, and the transactions with Mayne Pharma. As of March 31, 2024, we had cash and cash equivalents totaling $4,338 thousand. We maintain cash at financial institutions that at times may exceed the Federal Deposit Insurance Corporation insured limits of $250 thousand per bank. We have never experienced any losses related to these funds.

 

Mayne Pharma License Agreement

 

On December 30, 2022, we granted Mayne Pharma (i) an exclusive, sublicensable, perpetual, irrevocable license to research, develop, register, manufacture, have manufactured, market, sell, use, and commercialize the Licensed Products in the United States and its possessions and territories and (ii) an exclusive, sublicensable, perpetual, irrevocable license to manufacture, have manufactured, import and have imported the Licensed Products outside the United States for commercialization in the United States and its possessions and territories. The total consideration from Mayne Pharma to us under the Mayne License Agreement consisted of (i) a cash payment of $140.0 million at closing, (ii) a cash payment of approximately $12.1 million at closing for the acquisition of net working capital as determined in accordance with the transaction agreement dated December 4, 2022, and subject to certain adjustments, (iii) a cash payment of approximately $1.0 million at closing for prepaid royalties in connection with the Mayne License Agreement Amendment and (iv) the right to receive the contingent consideration set forth in the Mayne License Agreement, as amended.

 

Pursuant to the Mayne License Agreement, Mayne Pharma will pay us one-time, milestone payments of each of (i) $5.0 million if aggregate net sales of all Products in the United States during a calendar year reach $100.0 million, (ii) $10.0 million if aggregate net sales of all Products in the United States during a calendar year reach $200.0 million and (iii) $15.0 million if aggregate net sales of all Products in the United States during a calendar year reach $300.0 million. Further, Mayne Pharma will pay us royalties on net sales of all Products in the United States at a royalty rate of 8.0% on the first $80 million in annual net sales and 7.5% on annual net sales above $80.0 million, subject to certain adjustments, for a period of 20 years following the Closing Date. The royalty rate will decrease to 2.0% on a Product-by-Product basis upon the earlier to occur of (i) the expiration or revocation of the last patent covering a Product and (ii) a generic version of a Product launching in the United States. Mayne Pharma will pay us minimal annual royalties of $3.0 million per year for 12 years, adjusted for inflation at an annual rate of 3%, subject to certain further adjustments, including as described below. Upon the expiry of the 20-year royalty term, the licenses granted to Mayne Pharma under the Mayne License Agreement will become a fully paid-up and royalty free license for the Licensed Products.

 

Subscription Agreement with Rubric Capital Management LP

 

On May 1, 2023, we entered into the Subscription Agreement with Rubric, pursuant to which we agreed to sell to Rubric, or one or more of its affiliates, up to an aggregate of 5,000,000 shares of Common Stock, from time to time during the term of the Subscription Agreement in separate draw downs at our election, at a purchase price of the five-day volume-weighted average price of our common stock at the time of the sale of such shares, at an aggregate purchase price of up to $5,000,000 (collectively, the “Private Placement”).

 

The initial draw down occurred on June 29, 2023 consisting of a sale of 312,525 shares of Common Stock at a price per share equal to $3.6797. We received gross proceeds of $1.15 million from the drawdown, before expenses. On November 15, 2023 Rubric drew down an additional 877,192 shares of Common Stock at a price per share equal to $2.2761. We received gross proceeds of $2.0 million from the drawdown, before expenses.

 

See “Going Concern” above for further discussion related to our ability to generate and obtain adequate amounts of cash to meet our liquidity needs and our plans for to satisfy our such needs in the short-term and in the long-term. As a result, there is substantial doubt about our ability to continue as a going concern for the next twelve months from the issuance of these financial statements.

 

22

 

 

Cash flows

 

The following table reflects the major categories of cash flows for each of the periods (in thousands).

 

   Three Months Ended
March 31,
 
   2024   2023 
Net cash used in operating activities  $(229)  $(8,701)
Net cash provided by (used in) discontinued operations   240    (23,368)
Net increase (decrease) in cash  $11   $(32,069)

 

Operating Activities from continuing operations. For the first three months of 2024, net cash used in operating activities was $229 thousand, compared to net cash used in operating activities of $8,701 thousand for the first three months of 2023. This decrease of $8,472 thousand or 97.4%, was primarily due to a $1,501 thousand decrease in our net loss from continuing operations following our transition from a manufacturing and commercialization business to a royalty-based business combined with the pay-down of current liabilities in the prior-year period.

 

Net cash provided by (used in) discontinued operations. Net cash provided by operating activities from discontinued operations for the first three months of 2024 was $240 thousand as compared to net cash used in operating activities of $23,368 thousand for the first three months of 2023. This change relates primarily to expenses incurred and the payment of current liabilities associated with our transition from a manufacturing and commercialization business to a royalty-based business.

 

For additional details, see the condensed consolidated statements of cash flows in Item 1, Financial Statements, appearing elsewhere in this 10-Q Report.

 

Other liquidity measures

 

Receivable from Mayne. On December 30, 2022, Mayne Pharma acquired our accounts receivable balance of approximately $29.3 million which is subject to certain working capital adjustments. As of March 31, 2024, we had a royalty receivable of $3,113 thousand relating to the short-term portion of receivable from Mayne Pharma and $17,855 thousand relating to the long-term portion of royalty receivable which includes royalties recognized from the Minimum Annual Royalty. See Note 1 Business, basis of presentation, new accounting standards and summary of significant accounting policies (Revenue Recognition) to the consolidated financial statements included in our 2023 10-K Report. 

 

Inventory. On December 30, 2022, Mayne Pharma acquired our inventory balance of approximately $6.6 million, which is subject to certain net working capital adjustments.

 

Contractual obligations, off-balance sheet arrangements and purchase commitments and employment agreements

 

Our contractual obligations and off-balance sheet arrangements are set forth below. For additional information on any of the following and other obligations and arrangements, see “Note 6. Commitments and Contingencies” to the condensed consolidated financial statements included in this 10-Q Report.

 

In the ordinary course of business, we enter into agreements with third parties that include indemnification provisions, which, in our judgment, are normal and customary for companies in our industry sector. Pursuant to these agreements, we generally agree to indemnify, hold harmless, and reimburse indemnified parties for losses suffered or omitted by us. The maximum potential amount of future payments we could be required to make under these indemnification provisions is sometimes unlimited. We have not incurred material costs to defend lawsuits or settle claims related to these indemnification provisions. As a result, the estimated fair value of liabilities relating to these provisions is minimal. Accordingly, we had no liabilities recorded for these provisions as of March 31, 2024 and December 31, 2023.

 

In the normal course of business, we may be confronted with issues or events that may result in contingent liability. These generally relate to lawsuits, claims, environmental actions, or the actions of various regulatory agencies. We consult with counsel and other appropriate experts to assess the claim. If, in our opinion, we have incurred a probable loss as set forth by U.S. GAAP, an estimate is made of the loss and the appropriate accounting entries are reflected in our condensed consolidated financial statements.

 

Critical accounting policies and estimates

 

Management’s discussion and analysis of our financial condition and results of operations are based upon our condensed consolidated financial statements included elsewhere in this 10-Q Report, which has been prepared in accordance with U.S. GAAP. We make estimates and assumptions that affect the reported amounts on our condensed consolidated financial statements and accompanying notes as of the date of the condensed consolidated financial statements. The critical accounting policies and estimates used are disclosed in Item 7 – Management’s discussion and analysis of financial condition and results of operations – Critical accounting policies and estimates in our 2023 10-K Report.

 

23

 

 

Item 3. Quantitative and qualitative disclosures about market risk

 

As a “smaller reporting company,” as defined by Rule 12b-2 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), and pursuant to Instruction 6 to Item 201(e) of Regulation S-K, we are not required to provide this information.

 

Item 4. Controls and procedures

 

Management’s evaluation of disclosure controls and procedures

 

Disclosure Controls and Procedures

 

Disclosure controls and procedures are designed to ensure that information required to be disclosed in the reports filed or submitted under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), is recorded, processed, summarized and reported, within the time period specified in the SEC’s rules and forms and is accumulated and communicated to our management, including our principal executive officer and principal financial officer, as appropriate, in order to allow timely decisions regarding required disclosure.

 

Evaluation of Disclosure Controls and Procedures

 

Our Chief Executive Officer evaluated the effectiveness of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act) as of the end of the period covered by this 10-Q Report. Based on that evaluation, our Chief Executive Officer concluded that our disclosure controls and procedures as of the end of the period covered by this 10-Q Report were effective in providing reasonable assurance that information required to be disclosed by us in reports that we file or submit under the Exchange Act is (i) recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms and (ii) accumulated and communicated to our management, including our Chief Executive Officer and Principal Financial Officer, as appropriate, to allow timely decisions regarding required disclosure.

 

Our Chief Executive Officer does not expect that our disclosure controls and procedures or our internal controls will prevent all error and all fraud. A control system, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met. Further, the design of a control system must reflect the fact that there are resource constraints, and the benefits of controls must be considered relative to their costs. Because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues, misstatements, errors, and instances of fraud, if any, within our company have been or will be prevented or detected. Further, internal controls may become inadequate as a result of changes in conditions, or through the deterioration of the degree of compliance with policies or procedures.

 

Changes in internal controls over financial reporting

 

In connection with our transformation into a pharmaceutical royalty company, we terminated our executive management team and all other employees, except for our former General Counsel and current Chief Executive Officer. As of March 31, 2024, we employed one full-time employee primarily engaged in an executive position. We have engaged external consultants who support our relationship with current partners and assist with certain financial, legal and regulatory matters and the continued wind-down of our historical commercial business operations. As a result of these changes, we have updated our risk assessment and design of internal controls over financial reporting that align with reduced transaction volume and reliance on external consultants to manage the day-to-day operations of the Company. The Company is and will continue to evaluate changes to processes, information technology systems and other components of internal controls over financial reporting as part of its ongoing business transformation activities, and as a result, controls may be periodically changed. The Company believes, however, that it will be able to maintain sufficient controls over its financial reporting throughout this transformation process.

 

During the first quarter of fiscal year 2024, we deployed a new ERP system which is anticipated to enhance our operating and financial processes over time. Processes and internal controls have been updated and are consistent with our internal control framework, and we have evaluated the operating effectiveness of related key controls. Control processes continue to be evaluated to give appropriate consideration of modifications needed to maintain the effectiveness of internal controls over financial reporting.

 

24

 

 

Part II - Other Information

 

Item 1. Legal proceedings

 

From time to time, we are involved in litigation and proceedings in the ordinary course of our business. Other than the legal proceedings disclosed in Note 6, Commitments and contingencies in Part I, Item 1, Financial Statements, appearing elsewhere in this 10-Q Report, we are not involved in any legal proceeding that we believe would have a material effect on our business or financial condition.

 

Item 1A. Risk factors

 

Our business, financial condition and operating results can be affected by a number of factors, whether currently known or unknown, including but not limited to those described in Part I, Item 1A of the 2023 10-K Report under the heading “Risk Factors,” any one or more of which could, directly or indirectly, cause our actual financial condition and operating results to vary materially from past, or from anticipated future, financial condition and operating results. Any of these factors, in whole or in part, could materially and adversely affect our business, financial condition, operating results and stock price. There have been no material changes to our risk factors since the 2023 10-K Report.

 

Item 2. Unregistered sales of equity securities and use of proceeds

 

None.

 

Item 3. Defaults upon senior securities

 

None.

 

Item 4. Mine safety disclosures

 

None.

 

Item 5. Other information

 

Rule 10b5-1 Trading Plans

 

During the three months ended March 31, 2024, none of the Company’s directors or officers adopted or terminated any Rule 10b5-1 trading arrangement or non-Rule 10b5-1 trading arrangement (as such terms are defined in Item 408 of Regulation S-K).

 

25

 

 

Item 6. Exhibits

 

Exhibit
No.
  Description
   
31.1†   Certification of Chief Executive Officer pursuant to Rule 13a-14(a) and Rule 15d-14(a)
   
31.2†   Certification of Principal Financial Officer pursuant to Rule 13a-14(a) and Rule 15d-14(a)
   
32.1††   Section 1350 Certification of Chief Executive Officer
   
32.2††   Section 1350 Certification of Principal Financial Officer
   
101†   Inline XBRL Document Set for the condensed consolidated financial statements and accompanying notes in Part I, Item 1, “Financial Statements” of this Quarterly Report on Form 10-Q
   
104†   Inline XBRL for the cover page of this Quarterly Report on Form 10-Q, included in the Exhibit 101 Inline XBRL Document Set

 

Filed herewith.

†† Furnished herewith.

 

26

 

 

Signatures

 

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 thereunto duly authorized.

 

Date: May 10, 2024 TherapeuticsMD, Inc.
   
 

/s/ Marlan D. Walker

  Marlan D. Walker
 

Chief Executive Officer
(Principal Executive Officer)

   
 

/s/ Joseph Ziegler

  Joseph Ziegler
  Principal Financial and Accounting Officer

 

 

27

 

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Exhibit 31.1

 

Certification of Chief Executive Officer

 

I, Marlan D. Walker, certify that:

 

(1)I have reviewed this quarterly report on Form 10-Q of TherapeuticsMD, Inc.;

 

(2)Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

 

(3)Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

 

(4)The registrant's other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

 

(a)Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

 

(b)Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

 

(c)Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

 

(d)Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

 

(5)The registrant's other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

 

(a)All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

 

(b)Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

 

Date: May 10, 2024

 

  /s/ Marlan D Walker
  Marlan D. Walker
  Chief Executive Officer

 

Exhibit 31.2

 

Certification of Principal Financial Officer

 

I, Joseph Ziegler, certify that:

 

(1)I have reviewed this quarterly report on Form 10-Q of TherapeuticsMD, Inc.;

 

(2)Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

 

(3)Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

 

(4)The registrant's other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

 

(a)Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

 

(b)Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

 

(c)Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

 

(d)Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

 

(5)The registrant's other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

 

(a)All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

 

(b)Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

 

Date: May 10, 2024

 

  /s/ Joseph Ziegler
  Joseph Ziegler
  Principal Financial Officer

 

Exhibit 32.1

 

Section 1350 Certification of Chief Executive Officer

 

In connection with the quarterly report of TherapeuticsMD, Inc. (the "Company") on Form 10-Q for the quarterly period ended March 31, 2024 as filed with the Securities and Exchange Commission on the date hereof (the "Report"), I, Marlan D. Walker, Chief Executive Officer of the Company, certify, to my best knowledge and belief, pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that:

 

(1)The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a) or 78o(d)); and

 

(2)The information contained in the Report fairly presents, in all material respects, the financial condition and result of operations of the Company.

 

Date: May 10, 2024

 

  /s/ Marlan D. Walker
  Marlan D. Walker
  Chief Executive Officer

 

The foregoing certification is being furnished as an exhibit to the Report pursuant to Item 601(b)(32) of Regulation S-K and Section 906 of the Sarbanes-Oxley Act of 2002 and, accordingly, is not being filed with the Securities and Exchange Commission as part of the Report and is not to be incorporated by reference into any filing of the Company under the Securities Act of 1933 or the Securities Exchange Act of 1934 (whether made before or after the date of the Report, irrespective of any general incorporation language contained in such filing).

 

Exhibit 32.2

 

Section 1350 Certification of Principal Financial Officer

 

In connection with the quarterly report of TherapeuticsMD, Inc. (the "Company") on Form 10-Q for the quarterly period ended March 31, 2024 as filed with the Securities and Exchange Commission on the date hereof (the "Report"), I, Joseph Ziegler, Principal Financial Officer of the Company, certify, to my best knowledge and belief, pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that:

 

(1)The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a) or 78o(d)); and

 

(2)The information contained in the Report fairly presents, in all material respects, the financial condition and result of operations of the Company.

 

Date: May 10, 2024

 

  /s/ Joseph Ziegler
  Joseph Ziegler
  Principal Financial Officer

 

The foregoing certification is being furnished as an exhibit to the Report pursuant to Item 601(b)(32) of Regulation S-K and Section 906 of the Sarbanes-Oxley Act of 2002 and, accordingly, is not being filed with the Securities and Exchange Commission as part of the Report and is not to be incorporated by reference into any filing of the Company under the Securities Act of 1933 or the Securities Exchange Act of 1934 (whether made before or after the date of the Report, irrespective of any general incorporation language contained in such filing).

 

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Cover - shares
3 Months Ended
Mar. 31, 2024
May 10, 2024
Document Information [Line Items]    
Document Type 10-Q  
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Document Transition Report false  
Entity Interactive Data Current Yes  
Amendment Flag false  
Document Period End Date Mar. 31, 2024  
Document Fiscal Year Focus 2024  
Document Fiscal Period Focus Q1  
Entity Information [Line Items]    
Entity Registrant Name TherapeuticsMD, Inc.  
Entity Central Index Key 0000025743  
Entity File Number 001-00100  
Entity Tax Identification Number 87-0233535  
Entity Incorporation, State or Country Code NV  
Current Fiscal Year End Date --12-31  
Entity Current Reporting Status Yes  
Entity Shell Company false  
Entity Filer Category Non-accelerated Filer  
Entity Small Business true  
Entity Emerging Growth Company false  
Entity Contact Personnel [Line Items]    
Entity Address, Address Line One 951 Yamato Road  
Entity Address, Address Line Two Suite 220  
Entity Address, City or Town Boca Raton  
Entity Address, State or Province FL  
Entity Address, Postal Zip Code 33431  
Entity Phone Fax Numbers [Line Items]    
City Area Code 561  
Local Phone Number 961-1900  
Entity Listings [Line Items]    
Title of 12(b) Security Common Stock, par value $0.001 per share  
Trading Symbol TXMD  
Security Exchange Name NASDAQ  
Entity Common Stock, Shares Outstanding   11,532,443
v3.24.1.1.u2
Condensed Consolidated Balance Sheets - USD ($)
$ in Thousands
Mar. 31, 2024
Dec. 31, 2023
Current assets:    
Cash and cash equivalents $ 4,338 $ 4,327
Royalty receivable, current portion 3,222 3,090
Prepaid and other current assets 3,869 4,035
Current assets of discontinued operations 94 344
Total current assets 11,523 11,796
License rights and other intangible assets, net 5,965 6,098
Right of use assets 6,687 6,873
Royalty receivable, long term 17,855 18,484
Other non-current assets 58 58
Total assets 42,088 43,309
Current liabilities:    
Accounts payable 139 27
Accrued expenses and other current liabilities 2,720 3,133
Current liabilities of discontinued operations 3,609 3,694
Total current liabilities 6,468 6,854
Operating lease liabilities 6,319 6,532
Other non-current liabilities 637 636
Total liabilities 13,424 14,022
Commitments and contingencies (Note 6)
Stockholders’ equity:    
Common stock, par value $0.001; 32,000 shares authorized, 11,532 issued and outstanding as of March 31, 2024 and December 31, 2023, respectively 11 11
Additional paid-in capital 979,028 978,917
Accumulated deficit (950,375) (949,641)
Total stockholders’ equity 28,664 29,287
Total liabilities and stockholders’ equity $ 42,088 $ 43,309
v3.24.1.1.u2
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Mar. 31, 2024
Dec. 31, 2023
Statement of Financial Position [Abstract]    
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Common stock, shares authorized 32,000,000 12,000,000
Common stock, shares, issued 11,532,000 11,532,000
Common stock, shares, outstanding 11,532,000 11,532,000
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Condensed Consolidated Statements of Comprehensive (Unaudited) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Operating expenses:    
Selling, general and administrative $ 1,322 $ 3,056
Depreciation & amortization 133 27
Total operating expenses 1,455 3,083
Loss from operations (1,142) (2,667)
Other income (expense) :    
Interest expense and other financing costs (50)
Miscellaneous income (expense) 333 407
Total other income, net 333 357
Loss from continuing operations before income taxes (809) (2,310)
Provision for income taxes
Loss from continuing operations, net of income taxes (809) (2,310)
Income (loss) from discontinued operations, net of income taxes 75 (1,293)
Net loss $ (734) $ (3,603)
Income (loss) per common share, basic and diluted:    
Continuing operations (in Dollars per share) $ (0.07) $ (0.24)
Discontinued operations, net (in Dollars per share) 0.01 (0.13)
Net loss per common share, basic (in Dollars per share) $ (0.06) $ (0.37)
Weighted average common shares, basic (in Shares) 11,532,000 9,754,000
Weighted average common shares, diluted (in Shares) 11,532,000 9,754,000
License and service revenue    
Revenue, net:    
License and service revenue $ 313 $ 416
v3.24.1.1.u2
Condensed Consolidated Statements of Comprehensive (Unaudited) (Parentheticals) - $ / shares
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Income Statement [Abstract]    
Continuing operations Diluted $ (0.07) $ (0.24)
Discontinued operations, net diluted 0.01 (0.13)
Net loss per common share, diluted $ (0.06) $ (0.37)
v3.24.1.1.u2
Condensed Consolidated Statements of Stockholders’ Equity (Deficit) (Unaudited) - USD ($)
$ in Thousands
Common Stock
Additional Paid in Capital
Accumulated Deficit
Total
Balance at Dec. 31, 2022 $ 9 $ 974,497 $ (939,363) $ 35,143
Balance (in Shares) at Dec. 31, 2022 9,498      
Shares issued for vested restricted stock units $ 1 1
Shares issued for vested restricted stock units (in Shares) 455      
Share-based compensation 483 483
Net loss (3,603) (3,603)
Balance at Mar. 31, 2023 $ 10 974,980 (942,966) 32,024
Balance (in Shares) at Mar. 31, 2023 9,953      
Balance at Dec. 31, 2023 $ 11 978,917 (949,641) 29,287
Balance (in Shares) at Dec. 31, 2023 11,532      
Share-based compensation 111 111
Net loss (734) (734)
Balance at Mar. 31, 2024 $ 11 $ 979,028 $ (950,375) $ 28,664
Balance (in Shares) at Mar. 31, 2024 11,532      
v3.24.1.1.u2
Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Cash flows from operating activities:    
Net loss $ (734) $ (3,603)
Less: income (loss) from discontinued operations, net of tax 75 (1,293)
Net loss from continuing operations (809) (2,310)
Adjustments to reconcile net loss to net cash used in operating activities of continuing operations:    
Depreciation and amortization 133 27
Write-off of patents and trademarks 59
Share-based compensation 111 483
Other 186 (60)
Changes in operating assets and liabilities:    
Other assets 629 (19)
Prepaid and other current assets 34 (1,453)
Accounts payable 112 164
Accrued expenses and other current liabilities (413) (4,486)
Lease liabilities (213)
Other non-current liabilities 1 (1,106)
Total adjustments 580 (6,391)
Net cash used in continuing operating activities (229) (8,701)
Discontinued operations:    
Net cash provided by (used in) operating activities 240 (24,474)
Net cash provided by financing activities 0 1,106
Net cash provided by (used in) discontinued operations 240 (23,368)
Net decrease in cash 11 (32,069)
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v3.24.1.1.u2
Business, Basis of Presentation, New Accounting Standards and Summary of Significant Accounting Policies
3 Months Ended
Mar. 31, 2024
Business, Basis of Presentation, New Accounting Standards and Summary of Significant Accounting Policies [Abstract]  
Business, basis of presentation, new accounting standards and summary of significant accounting policies

1. Business, basis of presentation, new accounting standards and summary of significant accounting policies

 

General

 

TherapeuticsMD, Inc. (the “Company”), a Nevada corporation, and its condensed consolidated subsidiaries are referred to collectively in this Quarterly Report on Form 10-Q (“10-Q Report”) as “TherapeuticsMD,” “we,” “our” and “us.” This 10-Q Report includes trademarks, trade names and service marks, such as TherapeuticsMD®, vitaMedMD®, BocaGreenMD®, vitaCareTM, IMVEXXY®, and BIJUVA®, which are protected under applicable intellectual property laws and are the property of, or licensed by or to, us. Solely for convenience, trademarks, trade names and service marks referred to in this 10-Q Report may appear without the ®, TM or SM symbols, but such references are not intended to indicate, in any way, that we will not assert, to the fullest extent under applicable law, our rights or the right of the applicable licensor to these trademarks, trade names and service marks. We do not intend our use or display of other parties’ trademarks, trade names or service marks to imply, and such use or display should not be construed to imply a relationship with, or endorsement or sponsorship of us by, these other parties.

 

TherapeuticsMD was previously a women’s healthcare company with a mission of creating and commercializing innovative products to support the lifespan of women from pregnancy prevention through menopause. In December 2022, we changed our business to become a pharmaceutical royalty company, currently receiving royalties on products licensed to pharmaceutical organizations that possess commercial capabilities in the relevant territories. On December 30, 2022 (the “Closing Date”), we completed a transaction (the “Mayne Transaction”) with Mayne Pharma LLC, a Delaware limited liability company (“Mayne Pharma”) and subsidiary of Mayne Pharma Group Limited, an Australian public company, in which we and our subsidiaries (i) granted Mayne Pharma an exclusive license to commercialize our IMVEXXY, BIJUVA and prescription prenatal vitamin products sold under the BocaGreenMD and vitaMedMD brands (collectively, the “Licensed Products”) in the United States and its possessions and territories, (ii) assigned to Mayne Pharma our exclusive license to commercialize ANNOVERA® (together with the Licensed Products, collectively, the “Products”) in the United States and its possessions and territories, and (iii) sold certain other assets to Mayne Pharma in connection therewith.

 

In a License Agreement, dated December 4, 2022, between TherapeuticsMD and Mayne Pharma (the “Mayne License Agreement”), we granted Mayne Pharma, on the Closing Date, (i) an exclusive, sublicensable, perpetual, irrevocable license to research, develop, register, manufacture, have manufactured, market, sell, use, and commercialize the Licensed Products in the United States and its possessions and territories and (ii) an exclusive, sublicensable, perpetual, irrevocable license to manufacture, have manufactured, import and have imported the Licensed Products outside the United States for commercialization in the United States and its possessions and territories.

 

Under the Mayne License Agreement, Mayne Pharma will pay us milestone payments of each of (i) $5.0 million if aggregate net sales of all Products in the United States during a calendar year reach $100.0 million, (ii) $10.0 million if aggregate net sales of all Products in the United States during a calendar year reach $200.0 million and (iii) $15.0 million if aggregate net sales of all Products in the United States during a calendar year reach $300.0 million. Further, Mayne Pharma will pay us royalties on net sales of all Products in the United States at a royalty rate of 8.0% on the first $80.0 million in annual net sales and 7.5% on annual net sales above $80.0 million, subject to certain adjustments, for a period of 20 years following the Closing Date. The royalty rate will decrease to 2.0% on a Product-by-Product basis upon the earlier to occur of (i) the expiration or revocation of the last patent covering a Product and (ii) a generic version of a Product launching in the United States. Mayne Pharma will pay us minimal annual royalties of $3.0 million per year for 12 years, adjusted for inflation at an annual rate of 3%, subject to certain further adjustments, including as described below. Upon the expiry of the 20-year royalty term, the licenses granted to Mayne Pharma under the Mayne License Agreement will become a fully paid-up and royalty free license for the Licensed Products.  

 

Under the Transaction Agreement, dated December 4, 2022, between TherapeuticsMD and Mayne Pharma (the “Transaction Agreement”), we sold to Mayne Pharma, at closing, certain assets for Mayne Pharma to commercialize the Products in the United States, including, with the Population Council’s consent, our exclusive license from the Population Council to commercialize ANNOVERA (the “Transferred Assets”).

 

The total consideration from Mayne Pharma to TherapeuticsMD for the purchase of the Transferred Assets and the grant of the licenses under the Mayne Transaction Agreement was (i) a cash payment of $140.0 million at closing, (ii) a cash payment of approximately $12.1 million at closing for the acquisition of net working capital as determined in accordance with the Transaction Agreement and subject to certain adjustments, (iii) a cash payment of approximately $1.0 million at closing for prepaid royalties in connection with the Mayne License Agreement Amendment (as defined below) and (iv) the right to receive the contingent consideration set forth in the Mayne License Agreement, as amended. The acquisition of net working capital was determined in accordance with the Transaction Agreement and included significant estimates which could change materially for a period of up to two years following the Closing Date.

 

On the Closing Date, TherapeuticsMD and Mayne Pharma entered into Amendment No. 1 to the Mayne License Agreement (the “Mayne License Agreement Amendment”). Pursuant to the Mayne License Agreement Amendment, Mayne Pharma agreed to pay us approximately $1.0 million in prepaid royalties on the Closing Date. The prepaid royalties reduced the first four quarterly payments that would have otherwise been payable pursuant to the Mayne License Agreement by an amount equal to $257 thousand per quarterly royalty payment plus interest calculated at 19% per annum accruing from the Closing Date until the date such quarterly royalty payment was paid to us. We and Mayne Pharma settled the $1.5 million of consideration due to Mayne Pharma for the assumed obligations under a long-term services agreement, including our minimum payment obligations thereunder. As the parties agreed, during the second quarter of 2023 Mayne Pharma held back our royalty payment of $0.6 million and we funded an additional $0.9 million in August 2023 to settle the original $1.5 million payable.

 

As part of the transformation that included the Mayne License Agreement, historical results of commercial operations for all periods prior to the Closing Date have been reflected as discontinued operations in our condensed consolidated financial statements. Assets and liabilities associated with the commercial business are classified as assets and liabilities of discontinued operations in our condensed consolidated balance sheets. Additional disclosures regarding discontinued operations are provided in Note 2 of our condensed consolidated financial statements.

 

We also have license agreements with strategic partners to commercialize IMVEXXY and BIJUVA outside of the U.S.  

  

In July 2018, we entered into a license and supply agreement (the “Knight License Agreement”) with Knight Therapeutics Inc. (“Knight”) pursuant to which we granted Knight an exclusive license to commercialize IMVEXXY and BIJUVA in Canada and Israel. Knight obtained regulatory approval for IMVEXXY and BIJUVA and began commercialization efforts in 2024.

 

In September 2019, we entered into an exclusive license and supply agreement (the “Theramex License Agreement”) with Theramex HQ UK Limited (“Theramex”) to commercialize IMVEXXY and BIJUVA outside of the U.S., excluding Canada and Israel. In 2021, Theramex secured regulatory approval for BIJUVA in certain European countries and began commercialization efforts in those countries.

 

In connection with our transformation into a pharmaceutical royalty company, the termination of our executive management team (except for Mr. Marlan Walker, our former General Counsel and current Chief Executive Officer) and all other employees was completed by December 31, 2022. Severance obligations for all employees other than executive officers were paid in full in January 2023 and severance obligations for terminated executive officers have been paid in accordance with their employment agreements and separation agreements as previously disclosed. As of December 31, 2023 and March 31, 2024, we employed one full-time employee primarily engaged in an executive position.

 

We have engaged external consultants who support our relationship with current partners and assist with certain financial, legal, and regulatory matters and the continued wind-down of our historical business operations. On August 15, 2023, we entered into a master services agreement with JZ Advisory Group, pursuant to which Joseph Ziegler would serve as our Principal Financial Officer. On August 17, 2023 Michael C. Donegan notified us of his decision to resign from the positions of Principal Financial and Accounting Officer of our Company effective as of August 17, 2023. Mr. Ziegler succeeded Mr. Donegan as Principal Financial and Accounting Officer as of the date of Mr. Donegan’s resignation.   

 

Going concern

 

Following the transaction with Mayne Pharma, our primary source of revenue is from royalties on products licensed to pharmaceutical organizations that possess commercial capabilities in the relevant territories. We may need to raise additional capital to provide additional liquidity to fund our operations until we become cash flow positive. To address our capital needs, we may pursue various equity and debt financing and other alternatives. The equity financing alternatives may include the private placement of equity, equity-linked, or other similar instruments or obligations with one or more investors, lenders, or other institutional counterparties or an underwritten public equity or equity-linked securities offering. Our ability to sell equity securities may be limited by market conditions, including the market price of our common stock, and our available authorized shares.

 

To the extent that we raise additional capital through the sale of such securities, the ownership interests of our existing stockholders will be diluted, and the terms of these new securities may include liquidation or other preferences that adversely affect the rights of our existing stockholders. If we are not successful in obtaining additional financing, we could be forced to discontinue or curtail our business operations, sell assets at unfavorable prices, or merge, consolidate, or combine with a company with greater financial resources in a transaction that might be unfavorable to us.

 

On May 1, 2023, we entered into a Subscription Agreement (the “Subscription Agreement”) with Rubric Capital Management LP (“Rubric”), pursuant to which we agreed to sell to Rubric, or one or more of its affiliates, up to an aggregate of 5,000,000 shares of our common stock, par value $0.001 per share (our “Common Stock”), from time to time during the term of the Subscription Agreement in separate draw-downs at our election. On June 29, 2023, we issued and sold 312,525 shares of Common Stock at a price per share equal to $3.6797 pursuant to the Subscription Agreement. We received gross proceeds of $1.15 million from the draw down, before expenses. On November 15, 2023, Rubric drew down an additional 877,192 shares of Common Stock at a price per share equal to $2.2761. We received gross proceeds of $2.0 million from the drawdown, before expenses.

 

In February 2024, the Company received Mayne Pharma’s calculation of allowance for payer rebates and wholesale distributor fees pursuant to the Transaction Agreement which differed significantly from the Company’s estimate of the allowances. The Company and Mayne Pharma intend to resolve this matter through the dispute resolution process outlined in the Transaction Agreement. The Company continues to believe its estimated allowances for payer rebates and wholesale distributor fees are reasonable. The outcome of this matter is uncertain at this point. As a result, the Company cannot reasonably estimate a range of loss, and accordingly, the Company has not accrued any additional liability associated with Mayne Pharma’s allowance calculation for payer rebates and wholesale distributor fees.

 

As of March 31, 2024, the Company believes no additional accrual is required for amounts that may be owed for the allowance for returns under the Transaction Agreement. The Company has not recorded any contingent gains or receivables for any such allowances. Management continues to monitor the unresolved and pending net working capital items as changes to estimated amounts owed or amounts due from Mayne Pharma may be material.

 

If Mayne Pharma’s sales of Licensed Products grow more slowly than expected or decline, if the net working capital settlement with Mayne Pharma under the Transaction Agreement is greater than our current estimates, if we are unsuccessful with future financings or the supply chains related to the third-party contract manufacturers are worse than we anticipate, our existing cash reserves may be insufficient to satisfy our liquidity requirements. The potential impact of these factors in conjunction with the uncertainty of the capital markets raises substantial doubt about our ability to continue as a going concern for the next twelve months from the issuance of these financial statements.

 

The accompanying consolidated financial statements do not include any adjustments that might be necessary if we are unable to continue as a going concern.

 

Basis of presentation

 

We prepared the condensed consolidated financial statements included in this 10-Q Report following the requirements of the United States (“U.S.”) Securities and Exchange Commission (“SEC”) for interim reporting. As permitted under those rules, certain notes or other financial information that are normally required by accounting principles generally accepted in the U.S. (“U.S. GAAP”) for complete financial statements can be condensed or omitted. However, except as disclosed herein, there has been no material change in the information disclosed in the notes included in our 2023 Annual Report on Form 10-K (the “2023 10-K Report”).

 

As part of the transformation as a result of the Mayne Transaction, historical results of commercial operations for all periods prior to the Closing Date have been reflected as discontinued operations in the condensed consolidated financial statements. Assets and liabilities associated with the commercial business are classified as assets and liabilities of discontinued operations in the condensed consolidated balance sheets. Additional disclosures regarding discontinued operations are provided in Note 2 of the condensed consolidated financial statements.

 

Revenues, expenses, assets, liabilities, and equities can vary during each quarter of the year. Therefore, the results and trends in these interim financial statements may not be representative of those for the full year. In our opinion, all adjustments necessary for a fair presentation of the financial statements, which are of a normal and recurring nature, have been made for the interim periods reported. The information included in this 10-Q Report should be read in conjunction with the consolidated financial statements and accompanying notes included in our 2023 10-K Report. Certain amounts in the consolidated financial statements and accompanying notes may not add due to rounding, and all percentages have been calculated using unrounded amounts. Certain prior period amounts have been reclassified to conform to current-period presentation.

 

New accounting standards

 

Adoption of new accounting standards

 

In December 2023, the Financial Accounting Standards Board (“FASB”) issued ASU 2023-09, “Income Taxes (Topic 740) - Improvements to Income Tax Disclosures.” ASU 2023-09 enhances the transparency and decision usefulness of income tax disclosures by requiring consistent categories and greater disaggregation of information in the rate reconciliation and income taxes paid disaggregated by jurisdiction. ASU 2023-09 will be effective for the Company in its income tax disclosure included in its 2025 Annual Report on Form 10-K and will be applied on a prospective basis. However, retrospective application is permitted. Early adoption is also permitted. The Company is evaluating the impact of ASU 2023-09 on the Company’s income tax disclosures and on its consolidated financial statements.

 

Increase of authorized shares

 

On June 26, 2023, at our combined 2022 and 2023 Annual Meeting, our stockholders approved an amendment to our Amended and Restated Articles of Incorporation to increase the number of authorized shares of Common Stock from 12 million shares to 32 million shares.

 

Estimates and assumptions

 

The preparation of our condensed consolidated financial statements in conformity with U.S. GAAP requires us to make certain estimates and assumptions that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the condensed consolidated financial statements and the reported amounts of revenue and expenses during the reporting periods. We evaluate our estimates and assumptions based on historical experience and on various other assumptions that are believed to be reasonable, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ, at times in material amounts, from these estimates under different assumptions or conditions.

 

Significant accounting policies

 

The significant accounting policies we use for quarterly financial reporting are disclosed in Note 1 of the notes to the consolidated financial statements included in our 2023 10-K report.

v3.24.1.1.u2
Discontinued Operations
3 Months Ended
Mar. 31, 2024
Discontinued Operations [Abstract]  
Discontinued Operations

2. Discontinued Operations

 

As discussed in Note 1, we changed our business in 2022 by licensing our products to receive royalties and future sales related milestone payments, after granting an exclusive license to commercialize our IMVEXXY, BIJUVA, and prescription prenatal vitamin products sold under the BocaGreenMD and vitaMedMD brands in the United States and assigning our exclusive license to commercialize ANNOVERA to Mayne Pharma.

 

This plan represented a strategic shift having a major effect on our operations and financial results. Upon our conversion from a commercial pharmaceutical company to a licensing only company with the consummation of the Mayne Transaction, we classified all direct revenues, costs and expenses related to commercial operations, within income (loss) from discontinued operations, net of tax, in the condensed consolidated statements of operations for all periods presented. We have not allocated any amounts for shared general and administrative operating support expense to discontinued operations.

 

Additionally, the related assets and liabilities have been reported as assets and liabilities of discontinued operations in our condensed consolidated balance sheets as of March 31, 2024 and December 31, 2023.

 

As described in Note 1, the acquisition of net working capital by Mayne Pharma was determined in accordance with the Transaction Agreement and included significant estimates which could change materially for a period of up to two years following the Closing Date. Our estimate of net working capital at closing was determined in accordance with the Transaction Agreement which establishes the process for the determination of final net working capital. Refer to Note 6 for a further discussion of net working capital contingencies.

 

The following table presents results of discontinued operations (in thousands):

 

   Three Months Ended
March 31,
 
   2024   2023 
General and administrative expenses  $55   $335 
Total operating expenses   55    335 

Operating loss from discontinued operations

   (55)   (335)
Other income (expense), net   130    (958)
Total other income (expense), net   130    (958)
Income (loss) from discontinued operations, net  $75   $(1,293)

 

The following table presents the carrying amounts of the classes of assets and liabilities of discontinued operations as of March 31, 2024 and December 31, 2023 (in thousands):

 

   March 31,
2024
   December 31,
2023
 
Assets:        
Accounts receivable  $94   $344 
Liabilities:          
Accrued expenses and other current liabilities  $3,609   $3,694 
v3.24.1.1.u2
Prepaid and Other Current Assets
3 Months Ended
Mar. 31, 2024
Prepaid and Other Current Assets [Abstract]  
Prepaid and other current assets

3. Prepaid and other current assets

 

Our prepaid and other current assets consisted of the following as of March 31, 2024 and December 31, 2023 (in thousands):

 

   March 31,
2024
   December 31,
2023
 
Insurance  $231   $253 
Capitalized legal   2,334    2,334 
Other   1,304    1,448 
Prepaid and other current assets  $3,869   $4,035 
v3.24.1.1.u2
Licensed Rights and Other Intangible Assets
3 Months Ended
Mar. 31, 2024
Licensed Rights and Other Intangible Assets [Abstract]  
Licensed rights and other intangible assets

4. Licensed rights and other intangible assets

 

The following provides information about our license rights and other intangible assets, net as of March 31, 2024 and December 31, 2023 (in thousands):

 

   March 31, 2024   December 31, 2023 
   Gross Carrying
Amount
   Accumulated
Amortization
   Net   Gross Carrying
Amount
   Accumulated
Amortization
   Net 
Intangible assets subject to amortization:                        
Hormone therapy drug patents  $6,819   $2,004   $4,815   $6,818   $1,871   $4,947 
Hormone therapy drug patents applied and pending approval   841    
    841    842    
    842 
Intangible assets subject to amortization   7,660    2,004    5,656    7,660    1,871    5,789 
Intangible assets not subject to amortization:                              
Trademarks/trade name rights   309    
    309    309    
    309 
License rights and other intangible assets, net  $7,969   $2,004   $5,965   $7,969   $1,871   $6,098 

 

We recorded, in continuing operations, amortization expense related to patents of $133 thousand and $7 thousand for the three months ended March 31, 2024 and 2023, respectively.

 

Our intangible assets subject to amortization are expected to be amortized as follows (in thousands):

 

Year ending December 31,
2024  $400 
2025   445 
2026   445 
2027   445 
2028   446 
Thereafter   2,634 
Total  $4,815 
v3.24.1.1.u2
Accrued Expenses and Other Current Liabilities
3 Months Ended
Mar. 31, 2024
Accrued Expenses and Other Current Liabilities [Abstract]  
Accrued expenses and other current liabilities

5. Accrued expenses and other current liabilities

 

Other accrued expenses and other current liabilities consisted of the following (in thousands):

 

   March 31,
2024
   December 31,
2023
 
Payroll and related costs  $538   $762 
Professional fees   325    489 
Operating lease liabilities   1,483    1,473 
Other accrued expenses and current liabilities   374    409 
Accrued expenses and other current liabilities  $2,720   $3,133 
v3.24.1.1.u2
Commitments and Contingencies
3 Months Ended
Mar. 31, 2024
Commitments and Contingencies [Abstract]  
Commitments and contingencies

6. Commitments and contingencies

 

Mayne Pharma Agreement

 

Mayne Pharma paid us approximately $12.1 million at closing on December 30, 2022, for the acquisition of net working capital, subject to certain adjustments as determined in accordance with the Transaction Agreement. While the Transaction Agreement calls for much of the net working capital to be trued-up shortly after the Closing Date in 2023, for a period of one year following the Closing Date in the case of payer rebates and wholesale distributor fees and two years following the Closing Date in the case for allowance for returns, net working capital amounts will be adjusted to arrive at final net working capital under the Transaction Agreement.

 

In September 2023, we increased certain accrual estimates including increasing our working capital adjustment accrual by $2.0 million for amounts anticipated to be owed under the Transaction Agreement. In December 2023, we made a $5.5 million payment to Mayne Pharma to settle certain working capital amounts that were required to be trued-up shortly after the Closing Date, excluding the allowance for returns, allowance for payer rebates, and allowance for wholesale distributor fees. Of the $5.5 million, $2.0 million increased the allowance for net working capital allowances remaining to be trued up.

 

The Company’s estimate of the allowance for payer rebates and wholesale distributor fees was determined in accordance with the Transaction Agreement which establishes the process for the determination of net working capital. In February 2024, the Company received Mayne Pharma’s calculation of allowance for payer rebates and wholesale distributor fees which differed significantly from the Company’s estimate of the allowances. The Company and Mayne Pharma intend to resolve this matter through the dispute resolution process outlined in the Transaction Agreement.

 

The Company believes its estimated allowances for payer rebates and wholesale distributor fees are reasonable. The timing and outcome of this matter is uncertain at this point. As a result, the Company cannot reasonably estimate a range of loss, and accordingly, the Company has not accrued any additional liability associated with Mayne Pharma’s allowance calculation for payer rebates and wholesale distributor fees.

 

As of March 31, 2024, the Company believes no additional accrual is required for amounts that may be owed for the allowance for returns. The Company has not recorded any contingent gains or receivables for any such allowances. Management continues to monitor the unresolved and pending net working capital items as changes to estimated amounts owed or amounts due from Mayne Pharma that may be material.

 

Population Council License Agreement

 

Under the terms of our license agreement with the Population Council, Inc. (the “Population Council License Agreement”), we paid the Population Council a milestone payment of $20.0 million in 2018, which was within 30 days following the approval by the FDA of the New Drug Application (“NDA”) for ANNOVERA, and $20.0 million in 2019 following the first commercial batch release of ANNOVERA. The aggregate $40.0 million of milestone payments were recorded as license rights. The Population Council was also eligible to receive future payments upon the achievement of certain commercial sales milestones of ANNOVERA. On December 30, 2022, we assigned the ANNOVERA license to Mayne Pharma. Our rights and obligations under the Population Council License Agreement have been transferred to Mayne Pharma and may revert back to us upon the occurrence of certain events.

 

Legal proceedings

 

In February 2020, we received a Paragraph IV certification notice letter (the “IMVEXXY Notice Letter”) regarding an Abbreviated New Drug Application (“ANDA”) submitted to the FDA by Teva Pharmaceuticals USA, Inc. (“Teva”). The ANDA seeks approval from the FDA to commercially manufacture, use, or sell a generic version of the 4 mcg and 10 mcg doses of IMVEXXY. In the IMVEXXY Notice Letter, Teva alleges that TherapeuticsMD patents listed in the FDA’s Orange Book that claim compositions and methods of IMVEXXY (the “IMVEXXY Patents”) are invalid, unenforceable, and/or will not be infringed by Teva’s commercial manufacture, use, or sale of its proposed generic drug product. The IMVEXXY Patents identified in the IMVEXXY Notice Letter expire in 2032 or 2033. In April 2020, we filed a complaint for patent infringement against Teva in the United States District Court for the District of New Jersey arising from Teva’s ANDA filing with the FDA. We are seeking, among other relief, an order that the effective date of any FDA approval of Teva’s ANDA would be a date no earlier than the expiration of the IMVEXXY Patents and equitable relief enjoining Teva from infringing the IMVEXXY Patents. Teva has filed its answer and counterclaim to the complaint, alleging that the IMVEXXY Patents are invalid and not infringed. In July 2021, following a proposal by Teva, the District Court entered an order temporarily staying all proceedings in the IMVEXXY litigation, which order was filed under seal. In September 2021, the District Court made available a public version of the order following the parties’ agreement to a consent motion to redact information Teva contended was confidential. The order provides that the statutory stay that prevents the FDA from granting final approval of the ANDA for 30 months from the date of the IMVEXXY Notice Letter will be extended for the number of days that the stay of the IMVEXXY litigation is in place. The length of the stay of the IMVEXXY litigation is dependent on further action by Teva. We have incurred and recorded legal costs amounting to $2,334 thousand in prepaid expenses and other current assets as of March 31, 2024, for the IMVEXXY Paragraph IV legal proceeding since we believe that we will successfully prevail in this legal proceeding. Upon the successful conclusion of the legal proceeding, the related capitalized legal costs will be reclassified to patents, in license rights and other intangible assets, net, in the accompanying condensed consolidated balance sheets, and such costs will be amortized over the remaining useful life of the patents. If we are unsuccessful in this legal proceeding, then the related capitalized legal costs for this legal preceding and any unamortized IMVEXXY patent costs that were previously capitalized will be immediately expensed in the period in which we become aware of an unsuccessful legal proceeding.

 

Beginning on December 30, 2022 and per the Mayne License Agreement, Mayne Pharma is responsible for all enforcement of our patents, including the litigation discussed above with respect to Teva.

 

From time to time, we are involved in other litigations and proceedings in the ordinary course of business. We are currently not involved in any other litigations and proceedings that we believe would have a material effect on our condensed consolidated financial condition, results of operations, or cash flows.

 

Off-balance sheet arrangements

 

As of March 31, 2024 and December 31, 2023 there were no off-balance sheet arrangements that have had or are reasonably likely to have current or future effects on our financial condition, changes in financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources that we consider material.

 

Employment agreements

 

In connection with our transformation into a pharmaceutical royalty company, the termination of our executive management team (except for Mr. Marlan Walker, our former General Counsel and current Chief Executive Officer) and all other employees was completed by December 30, 2022. Severance obligations for all employees other than executive officers were paid in full in the first quarter of 2023. As of March 31, 2024, we employ one full-time employee primarily engaged in an executive position. We have engaged external consultants who support our relationship with current partners and assist with certain financial, legal, and regulatory matters and the continued wind-down of our historical business operations. In the aggregate, as of March 31, 2024, we have accrued severance liabilities for executive termination obligations of $169 thousand.

v3.24.1.1.u2
Stockholders’ Equity (Deficit)
3 Months Ended
Mar. 31, 2024
Stockholders’ Equity (Deficit) [Abstract]  
Stockholders’ equity (deficit)

7. Stockholders’ equity

 

Warrants

 

As of March 31, 2024, the following table summarizes the status of our outstanding and exercisable warrants and related transactions since December 31, 2023 (in thousands, except weighted average exercise price and weighted average remaining contractual life data):

 

   Warrants Outstanding and exercisable 
   Warrants   Weighted
Average Exercise
Price
   Aggregate
Intrinsic
Value
   Weighted
Average
Remaining
Contractual Life
(in Years)
 
As of January 1, 2024   99   $66.61   $
    —
    6.5 
As of March 31, 2024   99   $66.61   $
    6.3 

 

Share-based compensation payment plans

 

As of March 31, 2024, 112,699 shares of common stock were subject to outstanding awards under our share-based payment award plans and inducement grants (calculated using the base number of PSUs that may vest). As of March 31, 2024, 394,669 shares of common stock were available for future grants of share-based payment awards under the TherapeuticsMD, Inc. 2019 Stock Incentive Plan.

 

The following table summarizes the status of our outstanding and exercisable options and related transactions since December 31, 2023 (in thousands, except weighted average exercise price and weighted average remaining contractual life data):

 

   Outstanding   Exercisable 
   Options
Awards
   Weighted
Average
Exercise
Price
   Aggregate
Intrinsic
Value
   Weighted
Average
Remaining
Contractual
Life
(in Years)
   Options
Awards
   Weighted
Average
Exercise
Price
   Aggregate
Intrinsic
Value
   Weighted
Average
Remaining
Contractual
Life
(in Years)
 
As of January 1, 2024   72   $258.55   $
    3.0    73   $258.46   $    3.0 
Expired   (3)   252.50                         
As of March 31, 2024   69   $258.80   $
    2.9    70   $258.69   $    2.9 

 

The following table summarizes the status of our RSUs and related transactions since December 31, 2023 (in thousands, except weighted average grant date fair value):

 

   RSUs awards outstanding 
   RSUs   Weighted
Average
Grant Date
Fair Value
   Aggregate
Intrinsic
Value
 
As of January 1, 2024   40   $9.67   $89.60 
Vested   (2)   23.42    
 
As of March 31, 2024   38   $9.01   $86.39 

 

The following table summarizes the status of our PSUs and related transactions since December 31, 2023 (in thousands, except weighted average grant date fair value):

 

   Outstanding 
   PSUs (1)   Weighted
Average
Grant Date
Fair Value
   Aggregate
Intrinsic
Value
 
Unvested, as of January 1, 2024   14   $50.87   $32.57 
Vested   (7)   60.50    16.16 
Cancelled/Forfeited   (2)   58.68    
 
Unvested, as of March 31, 2024   5   $34.50   $11.92 

 

(1) The number of PSUs represents the base number of PSUs that may vest.

 

Share-based payment compensation cost

 

Share-based payment compensation expense for PSUs is based on 100% vesting which was a part of the termination benefits for all employees who were terminated in 2022. We recorded share-based payment award compensation costs related to previously issued options, RSU and PSUs, as well as shares of common stock issued under our employee stock purchase plan (“ESPP”) totaling $111 thousand and $483 thousand for the three months ended March 31, 2024 and 2023, respectively.

 

As of March 31, 2024, we had $177 thousand of unrecognized share-based payment award compensation cost related to unvested options, RSUs and PSUs as well as shares issuable under our ESPP, which may be adjusted for future changes in forfeitures and is included as additional paid-in capital in the accompanying condensed consolidated balance sheets. No tax benefit was realized due to a continued pattern of net losses.

 

The unrecognized compensation cost as of March 31, 2024 of $177 thousand is expected to be recognized as share-based payment award compensation over a weighted average period of 0.7 years.

v3.24.1.1.u2
Revenue
3 Months Ended
Mar. 31, 2024
Revenue [Abstract]  
Revenue

8. Revenue

 

Pursuant to the Mayne License Agreement, the Company granted Mayne Pharma, on the Closing Date, (i) an exclusive, sublicensable, perpetual, irrevocable license to research, develop, register, manufacture, have manufactured, market, sell, use, and commercialize the Licensed Products in the United States and its possessions and territories and (ii) an exclusive, sublicensable, perpetual, irrevocable license to manufacture, have manufactured, import and have imported the Licensed Products outside the United States for commercialization in the United States and its possessions and territories.

 

Pursuant to the Mayne License Agreement, Mayne Pharma will make one-time, milestone payments to the Company of each of (i) $5.0 million if aggregate net sales of all Products in the United States during a calendar year reach $100.0 million, (ii) $10.0 million if aggregate net sales of all Products in the United States during a calendar year reach $200.0 million and (iii) $15.0 million if aggregate net sales of all Products in the United States during a calendar year reach $300.0 million. Further, Mayne Pharma will pay to the Company royalties on net sales of all Products in the United States at a royalty rate of 8.0% on the first $80 million in annual net sales and 7.5% on annual net sales above $80.0 million, subject to certain adjustments, for a period of 20 years following the Closing Date. The royalty rate will decrease to 2.0% on a Product-by-Product basis upon the earlier to occur of (i) the expiration or revocation of the last patent covering a Product and (ii) a generic version of a Product launching in the United States. Mayne Pharma will pay to the Company minimal annual royalties of $3.0 million per year for 12 years, adjusted for inflation at an annual rate of 3%, subject to certain further adjustments, including as described below. Upon the expiry of the 20-year royalty term, the licenses granted to Mayne Pharma under the Mayne License Agreement will become a fully paid-up and royalty free license for the Licensed Products.

v3.24.1.1.u2
Income Taxes
3 Months Ended
Mar. 31, 2024
Income Taxes [Abstract]  
Income taxes

9. Income taxes

 

We do not expect to pay any significant federal or state income taxes as a result of (i) the losses recorded during the three months ended March 31, 2024 and 2023, (ii) additional losses expected for the remainder of 2024 or losses recorded in 2023, or (iii) net operating losses carry forwards from prior years.

 

We recorded a full valuation allowance of the net operating losses for the three months ended March 31, 2024 and 2023. Accordingly, there were no provisions for income taxes for the three months ended March 31, 2024 and 2023. Additionally, as of March 31, 2024 and December 31, 2023, we maintain a full valuation allowance for all deferred tax assets.

v3.24.1.1.u2
Income (Loss) Per Common Share
3 Months Ended
Mar. 31, 2024
Income (Loss) Per Common Share [Abstract]  
Income (Loss) per common share

10. Income (Loss) per common share

 

The following table sets forth the computation of basic and diluted (loss) per common share for the periods presented (in thousands, except per share amounts):

 

   Three Months Ended
March 31,
 
   2024   2023 
Numerator:        
Net loss from continuing operations  $(809)  $(2,310)
Income (loss) from discontinued operations, net of income taxes   75    (1,293)
Net loss  $(734)  $(3,603)
Denominator:          
Weighted average common shares for  basic loss per common share   11,532    9,754 
Effect of dilutive securities   
    
 
Weighted average common shares for diluted loss per common share   11,532    9,754 
           
Income (loss) per common share, continuing operations          
Basic  $(0.07)  $(0.24)
Diluted  $(0.07)  $(0.24)
Income (loss) per common share, discontinued operations          
Basic  $0.01   $(0.13)
Diluted  $0.01   $(0.13)

Since we reported a net loss from continuing operations for the three months ended March 31, 2024 and 2023, our potentially dilutive securities are deemed to be anti-dilutive, accordingly, there was no effect of dilutive securities. Therefore, our basic and diluted loss per common share and our basic and diluted weighted average common shares are the same for the three months ended March 31, 2024 and 2023.

 

The following table sets forth the outstanding securities as of the periods presented which were not included in the calculation of diluted earnings per common share during the respective three months ended March 31, 2024 and 2023 (in thousands):

 

   As of March 31, 
   2024   2023 
Stock options   69    103 
RSUs   38    177 
PSUs   5    19 
Warrants   99    225 
    211    524 
v3.24.1.1.u2
Related Parties
3 Months Ended
Mar. 31, 2024
Related Parties [Abstract]  
Related parties

11. Related parties

 

On August 23, 2022, we appointed Mr. Justin Roberts as a director to fill a newly created vacancy on our Board of Directors. Mr. Roberts was elected to serve as a director at our combined 2022 and 2023 Annual Meeting held on June 26, 2023. Mr. Roberts will serve until our next Annual Meeting of Stockholders or until his successor is duly elected or appointed or his earlier death or resignation. As a director of our Company, Mr. Roberts is entitled to receive compensation in the same manner as our other non-employee directors, described in the section entitled “Director Compensation” in our Amendment No. 1 to Form 10-K for the fiscal year ended December 31, 2023, filed with the Securities and Exchange Commission on April 29, 2024, but he has elected not to receive any compensation for his service as a non-employee director at this time. Mr. Roberts currently serves as a Partner of Rubric. On July 29, 2022, September 30, 2022, October 28, 2022, and May 1, 2023, we entered into subscription agreements with Rubric. On December 30, 2022, in accordance with the terms of the Certificate of Designation, we redeemed all 29,000 outstanding shares of Series A Preferred Stock previously issued to affiliates of Rubric at a purchase price of $1,333 per share and also paid certain affiliates of Rubric approximately $3.0 million as a make-whole payment pursuant to the subscription agreements previously entered into between us and Rubric. On June 29, 2023, we issued and sold 312,525 shares of Common Stock to Rubric at a price per share equal to $3.6797 pursuant to the Subscription Agreement and received gross proceeds of $1.15 million, before expenses. On November 15, 2023 Rubric drew down an additional 877,192 shares of Common Stock at a price per share equal to $2.2761. We received gross proceeds of $2.0 million from the drawdown, before expenses.

v3.24.1.1.u2
Business Concentrations
3 Months Ended
Mar. 31, 2024
Business Concentrations [Abstract]  
Business Concentrations

12. Business concentrations

 

TherapeuticsMD was previously a women’s healthcare company with a mission of creating and commercializing innovative products to support the lifespan of women from pregnancy prevention through menopause. In December 2022, we changed our business to become a pharmaceutical royalty company, currently receiving royalties on products licensed to pharmaceutical organizations that possess commercial capabilities in the relevant territories. As part of the transformation that included the Mayne License Agreement, historical results of commercial operations for all periods prior to the Closing Date have been reflected as discontinued operations in our condensed consolidated financial statements. Assets and liabilities associated with the commercial business are classified as assets and liabilities of discontinued operations in our condensed consolidated balance sheets. Additional disclosures regarding discontinued operations are provided in Note 2.

 

For the three months ended March 31, 2024, 100% of license revenue related to Mayne Pharma, Theramex and Knight.

 

As of March 31, 2024, we had a royalty receivable of $3,222 thousand relating to the short-term portion of receivable from Mayne Pharma, Theramex and Knight and $17,855 thousand relating to the long-term portion of royalty receivable which includes royalties recognized from the minimum annual royalty that Mayne Pharma is obligated to pay to us under the Mayne License Agreement.

v3.24.1.1.u2
Pay vs Performance Disclosure - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Pay vs Performance Disclosure    
Net Income (Loss) $ (734) $ (3,603)
v3.24.1.1.u2
Insider Trading Arrangements
3 Months Ended
Mar. 31, 2024
Trading Arrangements, by Individual  
Rule 10b5-1 Arrangement Adopted false
Non-Rule 10b5-1 Arrangement Adopted false
Rule 10b5-1 Arrangement Terminated false
Non-Rule 10b5-1 Arrangement Terminated false
v3.24.1.1.u2
Accounting Policies, by Policy (Policies)
3 Months Ended
Mar. 31, 2024
Accounting Policies [Abstract]  
General

General

TherapeuticsMD, Inc. (the “Company”), a Nevada corporation, and its condensed consolidated subsidiaries are referred to collectively in this Quarterly Report on Form 10-Q (“10-Q Report”) as “TherapeuticsMD,” “we,” “our” and “us.” This 10-Q Report includes trademarks, trade names and service marks, such as TherapeuticsMD®, vitaMedMD®, BocaGreenMD®, vitaCareTM, IMVEXXY®, and BIJUVA®, which are protected under applicable intellectual property laws and are the property of, or licensed by or to, us. Solely for convenience, trademarks, trade names and service marks referred to in this 10-Q Report may appear without the ®, TM or SM symbols, but such references are not intended to indicate, in any way, that we will not assert, to the fullest extent under applicable law, our rights or the right of the applicable licensor to these trademarks, trade names and service marks. We do not intend our use or display of other parties’ trademarks, trade names or service marks to imply, and such use or display should not be construed to imply a relationship with, or endorsement or sponsorship of us by, these other parties.

TherapeuticsMD was previously a women’s healthcare company with a mission of creating and commercializing innovative products to support the lifespan of women from pregnancy prevention through menopause. In December 2022, we changed our business to become a pharmaceutical royalty company, currently receiving royalties on products licensed to pharmaceutical organizations that possess commercial capabilities in the relevant territories. On December 30, 2022 (the “Closing Date”), we completed a transaction (the “Mayne Transaction”) with Mayne Pharma LLC, a Delaware limited liability company (“Mayne Pharma”) and subsidiary of Mayne Pharma Group Limited, an Australian public company, in which we and our subsidiaries (i) granted Mayne Pharma an exclusive license to commercialize our IMVEXXY, BIJUVA and prescription prenatal vitamin products sold under the BocaGreenMD and vitaMedMD brands (collectively, the “Licensed Products”) in the United States and its possessions and territories, (ii) assigned to Mayne Pharma our exclusive license to commercialize ANNOVERA® (together with the Licensed Products, collectively, the “Products”) in the United States and its possessions and territories, and (iii) sold certain other assets to Mayne Pharma in connection therewith.

In a License Agreement, dated December 4, 2022, between TherapeuticsMD and Mayne Pharma (the “Mayne License Agreement”), we granted Mayne Pharma, on the Closing Date, (i) an exclusive, sublicensable, perpetual, irrevocable license to research, develop, register, manufacture, have manufactured, market, sell, use, and commercialize the Licensed Products in the United States and its possessions and territories and (ii) an exclusive, sublicensable, perpetual, irrevocable license to manufacture, have manufactured, import and have imported the Licensed Products outside the United States for commercialization in the United States and its possessions and territories.

Under the Mayne License Agreement, Mayne Pharma will pay us milestone payments of each of (i) $5.0 million if aggregate net sales of all Products in the United States during a calendar year reach $100.0 million, (ii) $10.0 million if aggregate net sales of all Products in the United States during a calendar year reach $200.0 million and (iii) $15.0 million if aggregate net sales of all Products in the United States during a calendar year reach $300.0 million. Further, Mayne Pharma will pay us royalties on net sales of all Products in the United States at a royalty rate of 8.0% on the first $80.0 million in annual net sales and 7.5% on annual net sales above $80.0 million, subject to certain adjustments, for a period of 20 years following the Closing Date. The royalty rate will decrease to 2.0% on a Product-by-Product basis upon the earlier to occur of (i) the expiration or revocation of the last patent covering a Product and (ii) a generic version of a Product launching in the United States. Mayne Pharma will pay us minimal annual royalties of $3.0 million per year for 12 years, adjusted for inflation at an annual rate of 3%, subject to certain further adjustments, including as described below. Upon the expiry of the 20-year royalty term, the licenses granted to Mayne Pharma under the Mayne License Agreement will become a fully paid-up and royalty free license for the Licensed Products.  

 

Under the Transaction Agreement, dated December 4, 2022, between TherapeuticsMD and Mayne Pharma (the “Transaction Agreement”), we sold to Mayne Pharma, at closing, certain assets for Mayne Pharma to commercialize the Products in the United States, including, with the Population Council’s consent, our exclusive license from the Population Council to commercialize ANNOVERA (the “Transferred Assets”).

The total consideration from Mayne Pharma to TherapeuticsMD for the purchase of the Transferred Assets and the grant of the licenses under the Mayne Transaction Agreement was (i) a cash payment of $140.0 million at closing, (ii) a cash payment of approximately $12.1 million at closing for the acquisition of net working capital as determined in accordance with the Transaction Agreement and subject to certain adjustments, (iii) a cash payment of approximately $1.0 million at closing for prepaid royalties in connection with the Mayne License Agreement Amendment (as defined below) and (iv) the right to receive the contingent consideration set forth in the Mayne License Agreement, as amended. The acquisition of net working capital was determined in accordance with the Transaction Agreement and included significant estimates which could change materially for a period of up to two years following the Closing Date.

On the Closing Date, TherapeuticsMD and Mayne Pharma entered into Amendment No. 1 to the Mayne License Agreement (the “Mayne License Agreement Amendment”). Pursuant to the Mayne License Agreement Amendment, Mayne Pharma agreed to pay us approximately $1.0 million in prepaid royalties on the Closing Date. The prepaid royalties reduced the first four quarterly payments that would have otherwise been payable pursuant to the Mayne License Agreement by an amount equal to $257 thousand per quarterly royalty payment plus interest calculated at 19% per annum accruing from the Closing Date until the date such quarterly royalty payment was paid to us. We and Mayne Pharma settled the $1.5 million of consideration due to Mayne Pharma for the assumed obligations under a long-term services agreement, including our minimum payment obligations thereunder. As the parties agreed, during the second quarter of 2023 Mayne Pharma held back our royalty payment of $0.6 million and we funded an additional $0.9 million in August 2023 to settle the original $1.5 million payable.

As part of the transformation that included the Mayne License Agreement, historical results of commercial operations for all periods prior to the Closing Date have been reflected as discontinued operations in our condensed consolidated financial statements. Assets and liabilities associated with the commercial business are classified as assets and liabilities of discontinued operations in our condensed consolidated balance sheets. Additional disclosures regarding discontinued operations are provided in Note 2 of our condensed consolidated financial statements.

We also have license agreements with strategic partners to commercialize IMVEXXY and BIJUVA outside of the U.S.  

In July 2018, we entered into a license and supply agreement (the “Knight License Agreement”) with Knight Therapeutics Inc. (“Knight”) pursuant to which we granted Knight an exclusive license to commercialize IMVEXXY and BIJUVA in Canada and Israel. Knight obtained regulatory approval for IMVEXXY and BIJUVA and began commercialization efforts in 2024.

In September 2019, we entered into an exclusive license and supply agreement (the “Theramex License Agreement”) with Theramex HQ UK Limited (“Theramex”) to commercialize IMVEXXY and BIJUVA outside of the U.S., excluding Canada and Israel. In 2021, Theramex secured regulatory approval for BIJUVA in certain European countries and began commercialization efforts in those countries.

In connection with our transformation into a pharmaceutical royalty company, the termination of our executive management team (except for Mr. Marlan Walker, our former General Counsel and current Chief Executive Officer) and all other employees was completed by December 31, 2022. Severance obligations for all employees other than executive officers were paid in full in January 2023 and severance obligations for terminated executive officers have been paid in accordance with their employment agreements and separation agreements as previously disclosed. As of December 31, 2023 and March 31, 2024, we employed one full-time employee primarily engaged in an executive position.

We have engaged external consultants who support our relationship with current partners and assist with certain financial, legal, and regulatory matters and the continued wind-down of our historical business operations. On August 15, 2023, we entered into a master services agreement with JZ Advisory Group, pursuant to which Joseph Ziegler would serve as our Principal Financial Officer. On August 17, 2023 Michael C. Donegan notified us of his decision to resign from the positions of Principal Financial and Accounting Officer of our Company effective as of August 17, 2023. Mr. Ziegler succeeded Mr. Donegan as Principal Financial and Accounting Officer as of the date of Mr. Donegan’s resignation.   

 

Going Concern

Going concern

Following the transaction with Mayne Pharma, our primary source of revenue is from royalties on products licensed to pharmaceutical organizations that possess commercial capabilities in the relevant territories. We may need to raise additional capital to provide additional liquidity to fund our operations until we become cash flow positive. To address our capital needs, we may pursue various equity and debt financing and other alternatives. The equity financing alternatives may include the private placement of equity, equity-linked, or other similar instruments or obligations with one or more investors, lenders, or other institutional counterparties or an underwritten public equity or equity-linked securities offering. Our ability to sell equity securities may be limited by market conditions, including the market price of our common stock, and our available authorized shares.

To the extent that we raise additional capital through the sale of such securities, the ownership interests of our existing stockholders will be diluted, and the terms of these new securities may include liquidation or other preferences that adversely affect the rights of our existing stockholders. If we are not successful in obtaining additional financing, we could be forced to discontinue or curtail our business operations, sell assets at unfavorable prices, or merge, consolidate, or combine with a company with greater financial resources in a transaction that might be unfavorable to us.

On May 1, 2023, we entered into a Subscription Agreement (the “Subscription Agreement”) with Rubric Capital Management LP (“Rubric”), pursuant to which we agreed to sell to Rubric, or one or more of its affiliates, up to an aggregate of 5,000,000 shares of our common stock, par value $0.001 per share (our “Common Stock”), from time to time during the term of the Subscription Agreement in separate draw-downs at our election. On June 29, 2023, we issued and sold 312,525 shares of Common Stock at a price per share equal to $3.6797 pursuant to the Subscription Agreement. We received gross proceeds of $1.15 million from the draw down, before expenses. On November 15, 2023, Rubric drew down an additional 877,192 shares of Common Stock at a price per share equal to $2.2761. We received gross proceeds of $2.0 million from the drawdown, before expenses.

In February 2024, the Company received Mayne Pharma’s calculation of allowance for payer rebates and wholesale distributor fees pursuant to the Transaction Agreement which differed significantly from the Company’s estimate of the allowances. The Company and Mayne Pharma intend to resolve this matter through the dispute resolution process outlined in the Transaction Agreement. The Company continues to believe its estimated allowances for payer rebates and wholesale distributor fees are reasonable. The outcome of this matter is uncertain at this point. As a result, the Company cannot reasonably estimate a range of loss, and accordingly, the Company has not accrued any additional liability associated with Mayne Pharma’s allowance calculation for payer rebates and wholesale distributor fees.

As of March 31, 2024, the Company believes no additional accrual is required for amounts that may be owed for the allowance for returns under the Transaction Agreement. The Company has not recorded any contingent gains or receivables for any such allowances. Management continues to monitor the unresolved and pending net working capital items as changes to estimated amounts owed or amounts due from Mayne Pharma may be material.

If Mayne Pharma’s sales of Licensed Products grow more slowly than expected or decline, if the net working capital settlement with Mayne Pharma under the Transaction Agreement is greater than our current estimates, if we are unsuccessful with future financings or the supply chains related to the third-party contract manufacturers are worse than we anticipate, our existing cash reserves may be insufficient to satisfy our liquidity requirements. The potential impact of these factors in conjunction with the uncertainty of the capital markets raises substantial doubt about our ability to continue as a going concern for the next twelve months from the issuance of these financial statements.

The accompanying consolidated financial statements do not include any adjustments that might be necessary if we are unable to continue as a going concern.

 

Basis of presentation

Basis of presentation

We prepared the condensed consolidated financial statements included in this 10-Q Report following the requirements of the United States (“U.S.”) Securities and Exchange Commission (“SEC”) for interim reporting. As permitted under those rules, certain notes or other financial information that are normally required by accounting principles generally accepted in the U.S. (“U.S. GAAP”) for complete financial statements can be condensed or omitted. However, except as disclosed herein, there has been no material change in the information disclosed in the notes included in our 2023 Annual Report on Form 10-K (the “2023 10-K Report”).

As part of the transformation as a result of the Mayne Transaction, historical results of commercial operations for all periods prior to the Closing Date have been reflected as discontinued operations in the condensed consolidated financial statements. Assets and liabilities associated with the commercial business are classified as assets and liabilities of discontinued operations in the condensed consolidated balance sheets. Additional disclosures regarding discontinued operations are provided in Note 2 of the condensed consolidated financial statements.

Revenues, expenses, assets, liabilities, and equities can vary during each quarter of the year. Therefore, the results and trends in these interim financial statements may not be representative of those for the full year. In our opinion, all adjustments necessary for a fair presentation of the financial statements, which are of a normal and recurring nature, have been made for the interim periods reported. The information included in this 10-Q Report should be read in conjunction with the consolidated financial statements and accompanying notes included in our 2023 10-K Report. Certain amounts in the consolidated financial statements and accompanying notes may not add due to rounding, and all percentages have been calculated using unrounded amounts. Certain prior period amounts have been reclassified to conform to current-period presentation.

New accounting standards

New accounting standards

Adoption of new accounting standards

In December 2023, the Financial Accounting Standards Board (“FASB”) issued ASU 2023-09, “Income Taxes (Topic 740) - Improvements to Income Tax Disclosures.” ASU 2023-09 enhances the transparency and decision usefulness of income tax disclosures by requiring consistent categories and greater disaggregation of information in the rate reconciliation and income taxes paid disaggregated by jurisdiction. ASU 2023-09 will be effective for the Company in its income tax disclosure included in its 2025 Annual Report on Form 10-K and will be applied on a prospective basis. However, retrospective application is permitted. Early adoption is also permitted. The Company is evaluating the impact of ASU 2023-09 on the Company’s income tax disclosures and on its consolidated financial statements.

Increase of authorized shares

Increase of authorized shares

On June 26, 2023, at our combined 2022 and 2023 Annual Meeting, our stockholders approved an amendment to our Amended and Restated Articles of Incorporation to increase the number of authorized shares of Common Stock from 12 million shares to 32 million shares.

Estimates and assumptions

Estimates and assumptions

The preparation of our condensed consolidated financial statements in conformity with U.S. GAAP requires us to make certain estimates and assumptions that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the condensed consolidated financial statements and the reported amounts of revenue and expenses during the reporting periods. We evaluate our estimates and assumptions based on historical experience and on various other assumptions that are believed to be reasonable, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ, at times in material amounts, from these estimates under different assumptions or conditions.

 

Significant accounting policies

Significant accounting policies

The significant accounting policies we use for quarterly financial reporting are disclosed in Note 1 of the notes to the consolidated financial statements included in our 2023 10-K report.

v3.24.1.1.u2
Discontinued Operations (Tables)
3 Months Ended
Mar. 31, 2024
Discontinued Operations [Abstract]  
Schedule of Discontinued Operations The following table presents results of discontinued operations (in thousands):
   Three Months Ended
March 31,
 
   2024   2023 
General and administrative expenses  $55   $335 
Total operating expenses   55    335 

Operating loss from discontinued operations

   (55)   (335)
Other income (expense), net   130    (958)
Total other income (expense), net   130    (958)
Income (loss) from discontinued operations, net  $75   $(1,293)

 

Schedule of Classes of Assets and Liabilities of Discontinued Operations The following table presents the carrying amounts of the classes of assets and liabilities of discontinued operations as of March 31, 2024 and December 31, 2023 (in thousands):
   March 31,
2024
   December 31,
2023
 
Assets:        
Accounts receivable  $94   $344 
Liabilities:          
Accrued expenses and other current liabilities  $3,609   $3,694 
v3.24.1.1.u2
Prepaid and Other Current Assets (Tables)
3 Months Ended
Mar. 31, 2024
Prepaid and Other Current Assets [Abstract]  
Schedule of Prepaid and Other Current Assets Our prepaid and other current assets consisted of the following as of March 31, 2024 and December 31, 2023 (in thousands):
   March 31,
2024
   December 31,
2023
 
Insurance  $231   $253 
Capitalized legal   2,334    2,334 
Other   1,304    1,448 
Prepaid and other current assets  $3,869   $4,035 
v3.24.1.1.u2
Licensed Rights and Other Intangible Assets (Tables)
3 Months Ended
Mar. 31, 2024
Licensed Rights and Other Intangible Assets [Abstract]  
Schedule of License Rights and Other Intangible Assets, Net The following provides information about our license rights and other intangible assets, net as of March 31, 2024 and December 31, 2023 (in thousands):
   March 31, 2024   December 31, 2023 
   Gross Carrying
Amount
   Accumulated
Amortization
   Net   Gross Carrying
Amount
   Accumulated
Amortization
   Net 
Intangible assets subject to amortization:                        
Hormone therapy drug patents  $6,819   $2,004   $4,815   $6,818   $1,871   $4,947 
Hormone therapy drug patents applied and pending approval   841    
    841    842    
    842 
Intangible assets subject to amortization   7,660    2,004    5,656    7,660    1,871    5,789 
Intangible assets not subject to amortization:                              
Trademarks/trade name rights   309    
    309    309    
    309 
License rights and other intangible assets, net  $7,969   $2,004   $5,965   $7,969   $1,871   $6,098 
Schedule of Intangible Assets Subject To Amortization Our intangible assets subject to amortization are expected to be amortized as follows (in thousands):
Year ending December 31,
2024  $400 
2025   445 
2026   445 
2027   445 
2028   446 
Thereafter   2,634 
Total  $4,815 
v3.24.1.1.u2
Accrued Expenses and Other Current Liabilities (Tables)
3 Months Ended
Mar. 31, 2024
Accrued Expenses and Other Current Liabilities [Abstract]  
Schedule of Other Accrued Expenses and Other Current Liabilities Other accrued expenses and other current liabilities consisted of the following (in thousands):
   March 31,
2024
   December 31,
2023
 
Payroll and related costs  $538   $762 
Professional fees   325    489 
Operating lease liabilities   1,483    1,473 
Other accrued expenses and current liabilities   374    409 
Accrued expenses and other current liabilities  $2,720   $3,133 
v3.24.1.1.u2
Stockholders’ Equity (Deficit) (Tables)
3 Months Ended
Mar. 31, 2024
Stockholders’ Equity (Deficit) [Abstract]  
Schedule of Outstanding and Exercisable Warrants and Related Transactions As of March 31, 2024, the following table summarizes the status of our outstanding and exercisable warrants and related transactions since December 31, 2023 (in thousands, except weighted average exercise price and weighted average remaining contractual life data):
   Warrants Outstanding and exercisable 
   Warrants   Weighted
Average Exercise
Price
   Aggregate
Intrinsic
Value
   Weighted
Average
Remaining
Contractual Life
(in Years)
 
As of January 1, 2024   99   $66.61   $
    —
    6.5 
As of March 31, 2024   99   $66.61   $
    6.3 
Schedule of Stock Options Activity The following table summarizes the status of our outstanding and exercisable options and related transactions since December 31, 2023 (in thousands, except weighted average exercise price and weighted average remaining contractual life data):
   Outstanding   Exercisable 
   Options
Awards
   Weighted
Average
Exercise
Price
   Aggregate
Intrinsic
Value
   Weighted
Average
Remaining
Contractual
Life
(in Years)
   Options
Awards
   Weighted
Average
Exercise
Price
   Aggregate
Intrinsic
Value
   Weighted
Average
Remaining
Contractual
Life
(in Years)
 
As of January 1, 2024   72   $258.55   $
    3.0    73   $258.46   $    3.0 
Expired   (3)   252.50                         
As of March 31, 2024   69   $258.80   $
    2.9    70   $258.69   $    2.9 
Schedule of the Status of our Unvested and Related Transactions The following table summarizes the status of our RSUs and related transactions since December 31, 2023 (in thousands, except weighted average grant date fair value):
   RSUs awards outstanding 
   RSUs   Weighted
Average
Grant Date
Fair Value
   Aggregate
Intrinsic
Value
 
As of January 1, 2024   40   $9.67   $89.60 
Vested   (2)   23.42    
 
As of March 31, 2024   38   $9.01   $86.39 
   Outstanding 
   PSUs (1)   Weighted
Average
Grant Date
Fair Value
   Aggregate
Intrinsic
Value
 
Unvested, as of January 1, 2024   14   $50.87   $32.57 
Vested   (7)   60.50    16.16 
Cancelled/Forfeited   (2)   58.68    
 
Unvested, as of March 31, 2024   5   $34.50   $11.92 
(1) The number of PSUs represents the base number of PSUs that may vest.

 

v3.24.1.1.u2
Income (Loss) Per Common Share (Tables)
3 Months Ended
Mar. 31, 2024
Income (Loss) Per Common Share [Abstract]  
Schedule of Computation of Basic and Diluted Income (Loss) Per Common Share The following table sets forth the computation of basic and diluted (loss) per common share for the periods presented (in thousands, except per share amounts):
   Three Months Ended
March 31,
 
   2024   2023 
Numerator:        
Net loss from continuing operations  $(809)  $(2,310)
Income (loss) from discontinued operations, net of income taxes   75    (1,293)
Net loss  $(734)  $(3,603)
Denominator:          
Weighted average common shares for  basic loss per common share   11,532    9,754 
Effect of dilutive securities   
    
 
Weighted average common shares for diluted loss per common share   11,532    9,754 
           
Income (loss) per common share, continuing operations          
Basic  $(0.07)  $(0.24)
Diluted  $(0.07)  $(0.24)
Income (loss) per common share, discontinued operations          
Basic  $0.01   $(0.13)
Diluted  $0.01   $(0.13)

Schedule of Outstanding Securities The following table sets forth the outstanding securities as of the periods presented which were not included in the calculation of diluted earnings per common share during the respective three months ended March 31, 2024 and 2023 (in thousands):
   As of March 31, 
   2024   2023 
Stock options   69    103 
RSUs   38    177 
PSUs   5    19 
Warrants   99    225 
    211    524 
v3.24.1.1.u2
Business, Basis of Presentation, New Accounting Standards and Summary of Significant Accounting Policies (Details) - USD ($)
1 Months Ended 3 Months Ended
Nov. 15, 2023
Jun. 29, 2023
Aug. 31, 2023
Mar. 31, 2024
Dec. 31, 2023
Jun. 26, 2023
May 01, 2023
Business Basis of Presentation New Accounting Standards and Summary of Significant Accounting Policies [Line Items]              
Period of royalty payments       20 years      
Cash payment       $ 140,000,000      
Acquisition of net working capital       12,100,000      
Cash received for prepaid royalties       1,000,000      
Quarterly royalty payment       $ 257,000      
Quarterly royalty payment, interest per annum       19.00%      
Additional fund     $ 1,500,000        
Common stock issued (in Shares)       11,532,000 11,532,000    
Common stock par value (in Dollars per share)       $ 0.001 $ 0.001    
Common stock authorized shares (in Shares)       32,000,000 12,000,000    
Mayne License Agreement [Member]              
Business Basis of Presentation New Accounting Standards and Summary of Significant Accounting Policies [Line Items]              
Period of royalty payments       20 years      
Decrease in royalty rate on product-by-product basis       2.00%      
Minimal annual royalty payment       $ 3,000,000      
Period of minimal annual royalty payment       12 years      
Inflation rate adjusted for minimal annual royalty payment       3.00%      
Prepaid royalty liabilities       $ 1,000,000      
Royalty payment payable under long term service agreement       1,500,000      
Original payable     600,000        
Additional fund     $ 900,000        
Rubric Capital Management L P [Member]              
Business Basis of Presentation New Accounting Standards and Summary of Significant Accounting Policies [Line Items]              
Common stock issued (in Shares) 877,192           5,000,000
Common stock par value (in Dollars per share)             $ 0.001
Sold shares of common stock (in Shares)   312,525          
Price per share (in Dollars per share)   $ 3.6797          
Gross proceeds $ 2,000,000 $ 1,150,000          
Par value per share (in Dollars per share) $ 2.2761            
Minimum [Member]              
Business Basis of Presentation New Accounting Standards and Summary of Significant Accounting Policies [Line Items]              
Common stock authorized shares (in Shares)           12,000,000  
Maximum [Member]              
Business Basis of Presentation New Accounting Standards and Summary of Significant Accounting Policies [Line Items]              
Common stock authorized shares (in Shares)           32,000,000  
Milestone Payments One [Member] | Mayne License Agreement [Member]              
Business Basis of Presentation New Accounting Standards and Summary of Significant Accounting Policies [Line Items]              
One-time milestone payments       5,000,000      
Threshold net sales amount to determine one-time milestone payment       100,000,000      
Milestone Payments Two [Member] | Mayne License Agreement [Member]              
Business Basis of Presentation New Accounting Standards and Summary of Significant Accounting Policies [Line Items]              
One-time milestone payments       10,000,000      
Threshold net sales amount to determine one-time milestone payment       200,000,000      
Milestone Payments Three [Member] | Mayne License Agreement [Member]              
Business Basis of Presentation New Accounting Standards and Summary of Significant Accounting Policies [Line Items]              
One-time milestone payments       15,000,000      
Threshold net sales amount to determine one-time milestone payment       $ 300,000,000      
Royalty Rate One [Member] | Mayne License Agreement [Member]              
Business Basis of Presentation New Accounting Standards and Summary of Significant Accounting Policies [Line Items]              
Royalty rate as percentage on net sales       8.00%      
Threshold annual net sales to determine royalty rate       $ 80,000,000      
Royalty Rate Two [Member] | Mayne License Agreement [Member]              
Business Basis of Presentation New Accounting Standards and Summary of Significant Accounting Policies [Line Items]              
Royalty rate as percentage on net sales       7.50%      
Threshold annual net sales to determine royalty rate       $ 80,000,000      
v3.24.1.1.u2
Discontinued Operations (Details) - Schedule of Discontinued Operations - Annoveras [Member] - Discontinued Operations [Member] - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Schedule of Discontinued Operations [Line Items]    
General and administrative expenses $ 55 $ 335
Total operating expenses 55 335
Operating loss from discontinued operations (55) (335)
Other income (expense), net 130 (958)
Total other income (expense), net 130 (958)
Income (loss) from discontinued operations, net $ 75 $ (1,293)
v3.24.1.1.u2
Discontinued Operations (Details) - Schedule of Classes of Assets and Liabilities of Discontinued Operations - USD ($)
$ in Thousands
Mar. 31, 2024
Dec. 31, 2023
Assets:    
Accounts receivable $ 94 $ 344
Liabilities:    
Accrued expenses and other current liabilities $ 3,609 $ 3,694
v3.24.1.1.u2
Prepaid and Other Current Assets (Details) - Schedule of Prepaid and Other Current Assets - USD ($)
$ in Thousands
Mar. 31, 2024
Dec. 31, 2023
Prepaid and Other Current Assets [Abstract]    
Insurance $ 231 $ 253
Capitalized legal 2,334 2,334
Other 1,304 1,448
Prepaid and other current assets $ 3,869 $ 4,035
v3.24.1.1.u2
Licensed Rights and Other Intangible Assets (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2024
Dec. 31, 2023
Patents [Member]    
Licensed Rights and Other Intangible Assets [Line Items]    
Amortization expense $ 133 $ 7
v3.24.1.1.u2
Licensed Rights and Other Intangible Assets (Details) - Schedule of License Rights and Other Intangible Assets, Net - USD ($)
$ in Thousands
Mar. 31, 2024
Dec. 31, 2023
Schedule of License Rights and Other Intangible Assets, Net [Line Items]    
Gross Carrying Amount $ 7,969 $ 7,969
Accumulated Amortization 2,004 1,871
Net 5,965 6,098
Hormone Therapy Drug Patents [Member]    
Schedule of License Rights and Other Intangible Assets, Net [Line Items]    
Gross Carrying Amount 6,819 6,818
Accumulated Amortization 2,004 1,871
Net 4,815 4,947
Hormone therapy drug patents applied and pending approval [Member]    
Schedule of License Rights and Other Intangible Assets, Net [Line Items]    
Gross Carrying Amount 841 842
Accumulated Amortization
Net 841 842
Intangible Assets Subject to Amortization [Member]    
Schedule of License Rights and Other Intangible Assets, Net [Line Items]    
Gross Carrying Amount 7,660 7,660
Accumulated Amortization 2,004 1,871
Net 5,656 5,789
Trademarks and Trade Names [Member]    
Schedule of License Rights and Other Intangible Assets, Net [Line Items]    
Gross Carrying Amount 309 309
Accumulated Amortization
Net $ 309 $ 309
v3.24.1.1.u2
Licensed Rights and Other Intangible Assets (Details) - Schedule of Intangible Assets Subject To Amortization
$ in Thousands
Mar. 31, 2024
USD ($)
Schedule of Intangible Assets Subject To Amortization [Abstract]  
2024 $ 400
2025 445
2026 445
2027 445
2028 446
Thereafter 2,634
Total $ 4,815
v3.24.1.1.u2
Accrued Expenses and Other Current Liabilities (Details) - Schedule of Other Accrued Expenses and Other Current Liabilities - USD ($)
$ in Thousands
Mar. 31, 2024
Dec. 31, 2023
Schedule of Other Accrued Expenses and Other Current Liabilities [Abstract]    
Payroll and related costs $ 538 $ 762
Professional fees 325 489
Operating lease liabilities 1,483 1,473
Other accrued expenses and current liabilities 374 409
Accrued expenses and other current liabilities $ 2,720 $ 3,133
v3.24.1.1.u2
Commitments and Contingencies (Details) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Sep. 30, 2023
Mar. 31, 2024
Dec. 31, 2022
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2023
Commitments and Contingencies [Line Items]            
Commercial batch release amount       $ 20.0    
Minimum [Member]            
Commitments and Contingencies [Line Items]            
Allowance for net working capital allowances remaining   $ 2.0        
Maximum [Member]            
Commitments and Contingencies [Line Items]            
Allowance for net working capital allowances remaining   5.5        
Prepaid Expenses and Other Current Assets [Member] | Paragraph Four Certification Notice Letter [Member]            
Commitments and Contingencies [Line Items]            
Legal costs   2,334.0        
Mayne Pharma Agreement [Member]            
Commitments and Contingencies [Line Items]            
Acquisition of net working capital     $ 12.1      
Working capital amounts           $ 5.5
Mayne Pharma Agreement [Member] | Minimum [Member]            
Commitments and Contingencies [Line Items]            
Incremental accrual for net working capital $ 2.0          
Population Council License Agreement [Member]            
Commitments and Contingencies [Line Items]            
Milestone payment         $ 20.0  
Population Council License Agreement [Member] | Annoveras [Member]            
Commitments and Contingencies [Line Items]            
Aggregate of milestone payments   40.0        
Chief Financial Officer [Member]            
Commitments and Contingencies [Line Items]            
Executive termination obligations   $ 169.0        
v3.24.1.1.u2
Stockholders’ Equity (Deficit) (Details) - USD ($)
3 Months Ended 12 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Dec. 31, 2022
Stockholders’ Equity (Deficit) [Line Items]      
Total unrecognized share based compensation $ 177,000    
Unrecognized compensation cost $ 177,000    
Share-based compensation over a weighted average period 8 months 12 days    
Phantom Share Units (PSUs) [Member]      
Stockholders’ Equity (Deficit) [Line Items]      
Number of shares outstanding (in Shares) 112,699    
Performance Shares [Member]      
Stockholders’ Equity (Deficit) [Line Items]      
Vesting percentage     100.00%
Employee Stock Purchase Plan [Member]      
Stockholders’ Equity (Deficit) [Line Items]      
Share based payment award compensation costs $ 111,000 $ 483,000  
2019 Stock Incentive Plan [Member]      
Stockholders’ Equity (Deficit) [Line Items]      
Remaining shares of common stock available for future issuance (in Shares) 394,669    
v3.24.1.1.u2
Stockholders’ Equity (Deficit) (Details) - Schedule of Outstanding and Exercisable Warrants and Related Transactions - Warrant [Member]
3 Months Ended
Mar. 31, 2024
USD ($)
$ / shares
shares
Schedule of Outstanding and Exercisable Warrants and Related Transactions [Line Items]  
Warrants, Beginning balance | shares 99
Weighted Average Exercise Price, Beginning balance | $ / shares $ 66.61
Aggregate Intrinsic Value, Beginning balance | $
Weighted Average Remaining Contractual Life, Beginning balance 6 years 6 months
Warrants, Ending balance | shares 99
Weighted Average Exercise Price, Ending balance | $ / shares $ 66.61
Aggregate Intrinsic Value, Ending balance | $
Weighted Average Remaining Contractual Life, Ending balance 6 years 3 months 18 days
v3.24.1.1.u2
Stockholders’ Equity (Deficit) (Details) - Schedule of Stock Options Activity
3 Months Ended
Mar. 31, 2024
USD ($)
$ / shares
shares
Schedule of Stock Options Activity [Abstract]  
Options awards outstanding, Beginning balance | shares 72
Options awards outstanding, weighted average exercise price, Beginning balance | $ / shares $ 258.55
Options awards outstanding, aggregate intrinsic value | $
Options awards outstanding, Weighted Average Remaining Contractual Life (in Years) 3 years
Options awards exercisable, Beginning balance | shares 73
Options awards exercisable, weighted average exercise price, Beginning balance | $ / shares $ 258.46
Options awards exercisable, Weighted Average Remaining Contractual Life (in Years) 3 years
Options awards outstanding, Expired | shares (3)
Options awards outstanding Weighted Average Exercise Price, Expired | $ / shares $ 252.5
Options awards outstanding, Ending balance | shares 69
Options awards outstanding, weighted average exercise price, Ending balance | $ / shares $ 258.8
Options awards outstanding, aggregate intrinsic value | $
Options awards outstanding, Weighted Average Remaining Contractual Life (in Years) 2 years 10 months 24 days
Options awards exercisable, Ending balance | shares 70
Options awards exercisable, weighted average exercise price, Ending balance | $ / shares $ 258.69
Options awards exercisable, Weighted Average Remaining Contractual Life (in Years) 2 years 10 months 24 days
v3.24.1.1.u2
Stockholders’ Equity (Deficit) (Details) - Schedule of the Status of our Unvested and Related Transactions
3 Months Ended
Mar. 31, 2024
$ / shares
shares
Restricted Stock Units (RSUs) [Member]  
Schedule of the Status of our Unvested and Related Transactions [Line Items]  
Unvested, Beginning balance (in Shares) | shares 40
Weighted, Beginning balance $ 9.67
Aggregate, Beginning balance $ 89.6
Unvested, Vested (in Shares) | shares (2)
Weighted, Vested $ 23.42
Aggregate, Vested
Unvested, Ending balance (in Shares) | shares 38
Weighted, Ending balance $ 9.01
Aggregate, Ending balance $ 86.39
Performance Shares [Member]  
Schedule of the Status of our Unvested and Related Transactions [Line Items]  
Unvested, Beginning balance (in Shares) | shares 14 [1]
Weighted, Beginning balance $ 50.87
Aggregate, Beginning balance $ 32.57
Unvested, Vested (in Shares) | shares (7) [1]
Weighted, Vested $ 60.5
Aggregate, Vested $ 16.16
Unvested, Cancelled/Forfeited (in Shares) | shares (2) [1]
Weighted, Cancelled/Forfeited $ 58.68
Aggregate, Cancelled/Forfeited
Unvested, Ending balance (in Shares) | shares 5 [1]
Weighted, Ending balance $ 34.5
Aggregate, Ending balance $ 11.92
[1] The number of PSUs represents the base number of PSUs that may vest.
v3.24.1.1.u2
Revenue (Details)
3 Months Ended
Mar. 31, 2024
USD ($)
Revenue [Line Items]  
Period of minimal annual royalty payment 20 years
Mayne License Agreement [Member]  
Revenue [Line Items]  
Period of minimal annual royalty payment 20 years
Decrease in royalty rate on product-by-product basis 2.00%
Minimal annual royalty payment $ 3,000,000
Period of minimal annual royalty payment 12 years
Inflation rate adjusted for minimal annual royalty payment 3.00%
Milestone Payments 1 [Member] | Mayne License Agreement [Member]  
Revenue [Line Items]  
One-time milestone payments $ 5,000,000
Threshold net sales amount to determine one-time milestone payment 100,000,000
Milestone Payments 2 [Member] | Mayne License Agreement [Member]  
Revenue [Line Items]  
One-time milestone payments 10,000,000
Threshold net sales amount to determine one-time milestone payment 200,000,000
Milestone Payments 3 [Member] | Mayne License Agreement [Member]  
Revenue [Line Items]  
One-time milestone payments 15,000,000
Threshold net sales amount to determine one-time milestone payment $ 300,000,000
Royalty Rate 1 [Member] | Mayne License Agreement [Member]  
Revenue [Line Items]  
Royalty rate as percentage on net sales 8.00%
Threshold annual net sales to determine royalty rate $ 80,000,000
Royalty Rate 2 [Member] | Mayne License Agreement [Member]  
Revenue [Line Items]  
Royalty rate as percentage on net sales 7.50%
Threshold annual net sales to determine royalty rate $ 80,000,000
v3.24.1.1.u2
Income Taxes (Details) - USD ($)
Mar. 31, 2024
Mar. 31, 2023
Income Taxes [Abstract]    
Operating loss (“NOL”) carryforwards $ 3  
Unrecognized tax benefits
v3.24.1.1.u2
Income (Loss) Per Common Share (Details) - Schedule of Computation of Basic and Diluted Income (Loss) Per Common Share - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Numerator:    
Net loss from continuing operations (in Dollars) $ (809) $ (2,310)
Income (loss) from discontinued operations, net of income taxes (in Dollars) 75 (1,293)
Net loss (in Dollars) $ (734) $ (3,603)
Denominator:    
Weighted average common shares for basic loss per common share (in Shares) 11,532,000 9,754,000
Effect of dilutive securities (in Shares)
Weighted average common shares for diluted loss per common share (in Shares) 11,532,000 9,754,000
Income (loss) per common share, continuing operations    
Basic $ (0.07) $ (0.24)
Diluted (0.07) (0.24)
Income (loss) per common share, discontinued operations    
Basic 0.01 (0.13)
Diluted $ 0.01 $ (0.13)
v3.24.1.1.u2
Income (Loss) Per Common Share (Details) - Schedule of Outstanding Securities - shares
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Schedule of Outstanding Securities [Line Items]    
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount 211,000 524,000
Stock Options [Member]    
Schedule of Outstanding Securities [Line Items]    
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount 69,000 103,000
Restricted Stock [Member]    
Schedule of Outstanding Securities [Line Items]    
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount 38,000 177,000
Performance Shares [Member]    
Schedule of Outstanding Securities [Line Items]    
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount 5,000 19,000
Warrant [Member]    
Schedule of Outstanding Securities [Line Items]    
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount 99,000 225,000
v3.24.1.1.u2
Related Parties (Details) - USD ($)
$ / shares in Units, $ in Thousands
Jun. 29, 2023
Dec. 30, 2022
Nov. 15, 2023
Related parties [Line Items]      
Preferred stock investor   $ 3,000  
Rubric Capital Management L P [Member]      
Related parties [Line Items]      
Common stock shares issued 312,525    
Price per share $ 3.6797    
Gross proceeds $ 1,150    
Additional shares of common stock     877,192
Price per shares     $ 2.2761
Gross proceeds from drawdown before expenses     $ 2,000
Series A Preferred Stock [Member] | Rubric Capital Management L P [Member] | Subscription Agreement [Member]      
Related parties [Line Items]      
Outstanding shares   29,000  
Preferred stock at a purchase price   $ 1,333  
v3.24.1.1.u2
Business Concentrations (Details)
$ in Thousands
3 Months Ended
Mar. 31, 2024
USD ($)
Theramex [Member]  
Business Concentrations [Line Items]  
Customer license revenue percentage 100.00%
Mayne Pharma [Member]  
Business Concentrations [Line Items]  
Royalty receivable short term portion $ 3,222
Royalty receivable long term portion $ 17,855

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