Questcor Reports Second Quarter 2009 Results

New Acthar Prescriptions for Multiple Sclerosis (MS) Patients Increase Sharply


UNION CITY, Calif., July 29, 2009 (GLOBE NEWSWIRE) -- Questcor Pharmaceuticals, Inc. (Nasdaq:QCOR) today reported financial results for its second quarter ended June 30, 2009. Net sales totaled $25.3 million for the three months ended June 30, 2009, compared with $24.9 million for the same period of 2008. Net income for the second quarter of 2009 was $9.3 million, or $0.14 per diluted common share compared with net income of $8.8 million, or $0.12 per diluted common share in the second quarter of 2008.

Net sales totaled $48.6 million for the six months ended June 30, 2009, compared with $44.0 million for the same period of 2008. Net income applicable to common shareholders for the first six months of 2009 was $17.0 million, or $0.25 per diluted common share compared with net income applicable to common shareholders of $10.1 million, or $0.14 per diluted common share for the first six months of 2008.

"Our efforts to increase the use of Acthar in treating multiple sclerosis patients who experience exacerbations are generating encouraging results," said Don M. Bailey, President and CEO of Questcor. "During the second quarter, 141 new paid Acthar prescriptions were processed by our reimbursement support center and shipped to MS patients, a 64% increase over 86 new paid Acthar prescriptions shipped in the first quarter of 2009 and a 281% increase over the second quarter of 2008. Our efforts to explain to neurologists the benefits of using Acthar to treat select MS exacerbation patients has led to the marked increase in MS sales. Also, 161 new paid Acthar prescriptions for infantile spasms (IS) were processed by our reimbursement support center and shipped during the second quarter, a decrease of 10% from the first quarter of 2009. We believe the modest decline in IS prescriptions resulted from normal variability in prescription activity in the very small IS patient population," Mr. Bailey added.

While commercial efforts during the quarter focused on growing Acthar prescriptions in the MS market, Questcor also continued to actively fund critically important patient support programs as well as important new medical research with the ultimate aim of improving patient care.

"The Acthar patient assistance program, administered by the National Organization for Rare Disorders (NORD) along with other patient-oriented support programs, has now provided free drug with commercial value of over $32 million to uninsured and underinsured patients since the program's inception in late 2007. In addition to the free drug program, significant financial support continues to be provided to needy patients through NORD's co-pay assistance programs that we sponsor," said Steve Cartt, Executive Vice President. "Furthermore, we have significantly increased our investments in important medical research aimed at improving patient care not only in IS and MS, but also in other difficult-to-treat diseases and disorders having high unmet medical need. Our efforts, in partnership with a number of the nation's leading research institutions, are focused on addressing some of the medical community's toughest treatment challenges, and we now expect to be funding at least 20 important new pre-clinical and clinical research projects during 2009. Our ability to make these critical investments in important new medical research is a direct result of Acthar being the treatment of choice by pediatric neurologists for IS as well as the expanding usage of Acthar in MS," Mr. Cartt concluded.

Second Quarter Key Events



 * Diversification of revenues from the concentration in IS improved
   as Acthar net sales for MS increased to approximately one third of
   total sales. Combined with sales to therapeutic areas other than MS
   and IS, total non-IS net sales are about 40% of net sales.

 * Shipped 1,564 vials of Acthar to Questcor's specialty distributor
   during the second quarter of 2009 compared to first quarter 2009
   shipments of 1,429 vials and second quarter 2008 shipments of 1,560
   vials.

 * Patient enrollment continued in two studies using Acthar to treat
   nephrotic syndrome, an on-label indication characterized by
   excessive loss of protein from the kidneys into the urine that can
   lead to serious consequences, including end stage renal disease.
   In addition, Questcor approved funding for a third nephrotic
   syndrome study.

 * Continued efforts to secure approval from the FDA for Acthar for
   the treatment of infantile spasms. In response to a request from
   the FDA, Questcor initiated activities to conduct additional
   analyses on the data from a supportive efficacy trial.

 * Launched a new corporate website to provide comprehensive
   information about Acthar and Questcor for patients, families,
   healthcare professionals, employees, investors and other key
   stakeholders.

Medicaid Rebates and Government Charge-backs

A portion of Acthar sales is for patients covered under Medicaid and other government-related programs. As required by Federal regulations, Questcor provides rebates related to product dispensed to Medicaid patients. In addition, certain other government-supported agencies are permitted to purchase Acthar for a nominal amount from Questcor's specialty distributor, which then charges the discount back to Questcor. These rebates and charge-backs are estimated by Questcor each quarter and are deducted from gross sales in the determination of Questcor's net sales.

The rebate requests for a quarter are generally received and paid in the subsequent quarter. A significantly greater percentage of infants than adults are eligible for Medicaid, which results in more IS patients than MS patients participating in the Medicaid program. The total Medicaid rebate amounts as a percentage of gross sales were 27% in the second quarter of 2009 compared to 26% for the second quarter of 2008.

Regulatory Activity

Acthar is currently approved in the U.S. for the treatment of MS exacerbations, nephrotic syndrome and many other conditions. Acthar is not approved in the U.S. for the treatment of IS, a potentially life-threatening disorder that typically begins in the first year of life. However, pursuant to guidelines published by the American Academy of Neurology and the Child Neurology Society, many child neurologists use Acthar to treat infants afflicted with this condition. Questcor is currently pursuing FDA approval for Acthar in the treatment of IS. Previously, the FDA granted Orphan Designation to Acthar for the treatment of IS. As a result of this Orphan Designation, if Questcor is successful in obtaining FDA approval for the IS indication, Questcor believes that it will also qualify for a seven-year exclusivity period during which the FDA is prohibited from approving any other adrenocorticotropic hormone (ACTH) formulation for IS unless the other formulation is demonstrated to be clinically superior to Acthar.

"In May, we were informed by the U.S. Food and Drug Administration (FDA) that in order for our supplemental New Drug Application (sNDA) for Acthar for the treatment of infantile spasms to be considered a complete submission, we must perform additional statistical analyses relating to data from one secondary study within the filing and provide the data to the FDA. We will resubmit our sNDA to the FDA as soon as these additional analyses are completed," added Mr. Bailey. Cash, Accounts Receivable and Share Repurchase Program At July 27, 2009, Questcor's cash, cash equivalents and short-term investments totaled approximately $71.5 million, and accounts receivable totaled $9.9 million.

During the second quarter, Questcor generated approximately $12.7 million in cash from operations. In addition, during the second quarter, the Company used $4.4 million to repurchase 1.0 million shares of its common stock in open market transactions. The continuing repurchase activities bring the total expenditures for the repurchase of 12 million common and preferred shares to over $57 million since this effort began in 2008.

In May 2009, the Company's Board of Directors increased the common share repurchase program authorization by an additional 6.5 million shares. As of June 30, 2009, Questcor had 63.8 million common shares outstanding, with 7.6 million shares authorized for repurchase under the revised common share repurchase program.

Income Taxes

In 2009, the Company's effective tax rate for financial reporting purposes for the three and six month periods ended June 30, 2009 was approximately 35.5% and 36.4%, respectively, versus 39.0% and 39.7% for the three and six month periods ended June 30, 2008. The lower effective tax rate in 2009 was attributable to the Company's ability to fully utilize the IRC Section 199 domestic production activities deduction and a lower effective state tax rate. In 2008 this deduction was not considered in the calculation of the effective tax rate. The lower effective state tax rate in 2009 was due to the transition of one state from an income tax to a gross receipts tax.

2009 Outlook

For the year ending December 31, 2009, the Company is updating guidance for the remainder of 2009.



 * Net sales of Acthar in the treatment of patients with MS
   exacerbations should continue to grow modestly and sequentially in
   the third and fourth quarters.  This anticipated increase combined
   with sales to other non-IS therapeutic areas should help the
   Company reach its longer term goal of total non-IS sales exceeding
   50% of total sales.  Net sales of Acthar for the treatment of IS
   continue to be difficult to predict due to the significant quarter-
   to-quarter variability in the occurrence of this very rare disorder
   and the potential short term impact of an expected approval by the
   FDA of a competitive product for the treatment of IS.
 * Overall gross margin of approximately 92% to 94%;
 * Operating expenses will be in the range of $40 million to $45
   million, which is lower than the prior guidance range of $47
   million to $53 million;
 * For financial reporting purposes, income tax expense will be
   recorded at a combined federal and state tax rate of approximately
   34% to 38%, which is lower than prior guidance;
 * Diluted weighted average shares of 67 million to 70 million; these
   amounts include the impact of repurchases during the first six
   months of 2009 of common stock under Questcor's stock repurchase
   plan but do not include an estimate of any future repurchases of
   common stock by Questcor.

Conference Call Details

The Company will host a conference call today to discuss these results at 4:30 p.m. ET. Don Bailey, President and Chief Executive Officer; Steve Cartt, Executive Vice President, Corporate Development; Dave Medeiros, Senior Vice President, Pharmaceutical Operations; and Gary Sawka, Senior Vice President, Finance and Chief Financial Officer will host the call.

To participate in the live call by telephone, please dial 866-225-8754 from the U.S. or 480-629-9692 from outside the U.S. Participants are asked to call the above numbers 5-10 minutes prior to the starting time. The call will also be webcast live at www.questcor.com. An audio replay of the call will be available for 7 days following the call. This replay can be accessed by dialing 800-406-7325 for domestic callers and 303-590-3030 for international callers, both using passcode 4093225#. An archived webcast will also be available at www.questcor.com.

About Questcor

Questcor Pharmaceuticals, Inc. is a pharmaceutical company that markets H.P. Acthar(r) Gel (repository corticotropin injection). H.P. Acthar Gel ("Acthar") is an injectable drug that is approved for the treatment of certain disorders with an inflammatory component, including the treatment of exacerbations associated with multiple sclerosis ("MS") and to induce a diuresis or a remission of proteinuria in the nephrotic syndrome without uremia of the idiopathic type or that is due to lupus erythamatosus. In addition, Acthar is not indicated for, but is used in treating patients with infantile spasms ("IS"), a rare form of refractory childhood epilepsy, and opsoclonus myoclonus syndrome, a rare autoimmune-related childhood neurological disorder. The Company also markets Doral(r) (quazepam), which is indicated for the treatment of insomnia characterized by difficulty in falling asleep, frequent nocturnal awakenings, and/or early morning awakenings. For more information, please visit www.questcor.com.

Note: Except for the historical information contained herein, this press release contains forward-looking statements that have been made pursuant to the Private Securities Litigation Reform Act of 1995. These statements relate to future events or our future financial performance. In some cases, you can identify forward-looking statements by terminology such as "may," "will," "if," "should," "forecasts," "expects," "plans," "anticipates," "believes," "estimates," "predicts," "potential," or "continue" or the negative of such terms and other comparable terminology. These statements are only predictions. Actual events or results may differ materially. Factors that could cause or contribute to such differences include, but are not limited to, the following:



  -- Questcor's ability to continue to successfully implement its
     Acthar-centric business strategy, including its expansion in the
     MS marketplace;
  -- Questcor's ability to manage its sales force expansion;
  --  FDA approval of and the market introduction of competitive
      products and our inability to market Acthar in IS prior to
      approval of IS as a labeled indication;
  --  Questcor's ability to operate within an industry that is highly
      regulated at both the Federal and state level;
  --  Regulatory changes or actions including Federal or State health
      care reform initiatives;
  --  Questcor's ability to accurately forecast the demand for its
      products;
  --  The gross margin achieved from the sale of its products;
  --  Questcor's ability to estimate the quantity of Acthar used by
      government entities and Medicaid-eligible patients;
  --  That the actual amount of rebates and chargebacks related to the
      use of Acthar by government entities and Medicaid-eligible
      patients may differ materially from Questcor's estimates;
  --  Its expenses and other cash needs for upcoming periods;
  --  The inventories carried by Questcor's distributors, specialty
      pharmacies and hospitals;
  --  Volatility in Questcor's monthly and quarterly Acthar shipments
      and end-user demand;
  --  Questcor's ability to obtain finished goods from its sole source
      contract manufacturers on a timely basis if at all;
  --  Questcor's ability to attract and retain key management
      personnel;
  --  Questcor's ability to utilize its NOLs to reduce income taxes on
      taxable income;
  --  Research and development risks, including risks associated with
      Questcor's sNDA for IS and its preliminary work in the area of
      nephrotic syndrome;
  --  Uncertainties regarding Questcor's intellectual property;
  --  The uncertainty of receiving required regulatory approvals in a
      timely way, or at all;
  --  Uncertainties in the credit and capital markets and the impact a
      further deterioration of these markets could have on Questcor's
      investment portfolio;
  --  As well as the risks discussed in Questcor's annual report on
      Form 10-K for the year ended December 31, 2008 and other
      documents filed with the Securities and Exchange Commission.

The risk factors and other information contained in these documents should be considered in evaluating Questcor's prospects and future financial performance.

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

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



                     Questcor Pharmaceuticals, Inc.
                    Consolidated Statements of Income
                 (In thousands, except per share amounts)

                                Three Months Ended   Six Months Ended
                                      June 30,           June 30,
                                ------------------  ------------------
                                  2009      2008      2009      2008
                                --------  --------  --------  --------
 Net sales                      $ 25,266  $ 24,898  $ 48,564  $ 44,030
 Cost of sales (exclusive of
  amortization of purchased
  technology)                      1,603     2,190     3,113     3,509
                                --------  --------  --------  --------
 Gross profit                     23,663    22,708    45,451    40,521

 Gross margin                        94%       91%       94%       92%
 Operating expenses:
  Selling, general and
   administrative                  7,180     4,855    14,433     9,921
  Research and development         2,320     3,555     4,776     5,526
  Depreciation and amortization      118       123       236       245
                                --------  --------  --------  --------
 Total operating expenses          9,618     8,533    19,445    15,692
                                --------  --------  --------  --------
 Income from operations           14,045    14,175    26,006    24,829
 Other income:
  Interest income                    197       244       464       608
  Other income, net                   --        --         1        11
  Gain on sale of product rights     200        --       225        --
                                --------  --------  --------  --------
   Total other income                397       244       690       619
                                --------  --------  --------  --------
 Income before income taxes       14,442    14,419    26,696    25,448
 Income tax expense                5,131     5,625     9,711    10,113
                                --------  --------  --------  --------
 Net income                        9,311     8,794    16,985    15,335
 Deemed dividend on Series
  A preferred stock                   --        --        --     5,267
                                --------  --------  --------  --------
 Net income applicable to
  common shareholders           $  9,311  $  8,794  $ 16,985  $ 10,068
                                ========  ========  ========  ========
 Net income per share applicable
  to common shareholders:
  Basic                         $   0.14  $   0.13  $   0.26  $   0.14
                                ========  ========  ========  ========
  Diluted                       $   0.14  $   0.12  $   0.25  $   0.14
                                ========  ========  ========  ========
 Shares used in computing net
  income per share applicable
  to common shareholders:
  Basic                           64,218    69,205    64,854    69,576
                                ========  ========  ========  ========
  Diluted                         66,325    72,889    67,140    73,496
                                ========  ========  ========  ========

                         See accompanying notes.


                     Questcor Pharmaceuticals, Inc.
                      Consolidated Balance Sheets
                  (In thousands, except share amounts)

                                                    June 30,  Dec. 31,
                                                      2009      2008
                                                    --------  --------
 ASSETS
 Current assets:
  Cash and cash equivalents                         $ 23,793  $ 13,282
  Short-term investments                              45,818    42,169
                                                    --------  --------
   Total cash, cash equivalents and
    short-term investments                            69,611    55,451
  Accounts receivable,  net of allowance for
   doubtful accounts of $0 and $62 at June 30, 2009
   and December 31, 2008, respectively                12,044    10,418
  Inventories, net                                     2,486     2,459
  Prepaid income taxes                                    --     3,316
  Prepaid expenses and other current assets            1,046     1,101
  Deferred tax assets                                  6,203     6,252
                                                    --------  --------
   Total current assets                               91,390    78,997
 Property and equipment, net                             432       450
 Purchased technology, net                             3,521     3,669
 Goodwill                                                299       299
 Deposits and other assets                               710       710
 Deferred tax assets                                   5,021     5,021
                                                    --------  --------
   Total assets                                     $101,373  $ 89,146
                                                    ========  ========
 LIABILITIES AND SHAREHOLDERS' EQUITY
 Current liabilities:
  Accounts payable                                  $  9,659  $  4,302
  Accrued compensation                                 1,635     1,896
  Sales-related reserves                              11,107    11,825
  Income taxes payable                                   526        --
  Other accrued liabilities                            1,297     1,702
                                                    --------  --------
   Total current liabilities                          24,224    19,725

 Lease termination and deferred rent liabilities
  and other non-current liabilities                    1,382     1,529
                                                    --------  --------
   Total liabilities                                  25,606    21,254
                                                    --------  --------
 Shareholders' equity:
  Preferred stock, no par value, 7,500,000 shares
   authorized; none outstanding                           --       --
  Common stock, no par value, 105,000,000
   shares authorized; 63,826,499 and 65,970,653
   shares issued and outstanding at June 30, 2009
   and December 31, 2008, respectively                75,105    84,028
  Retained earnings (accumulated deficit)                580   (16,405)
  Accumulated other comprehensive income                  82       269
                                                    --------  --------
   Total shareholders' equity                         75,767    67,892
                                                    --------  --------
   Total liabilities and shareholders' equity       $101,373  $ 89,146
                                                    ========  ========


                     Questcor Pharmaceuticals, Inc.
                 Consolidated Statements of Cash Flows
                             (In thousands)

                                                     Six Months Ended
                                                         June 30,
                                                      2009      2008
                                                    --------  --------

 OPERATING ACTIVITIES
 Net income                                         $ 16,985  $ 15,335
 Adjustments to reconcile net income to net cash
  provided by operating activities:
  Share-based compensation expense                     1,718     3,088
  Deferred income taxes                                   --     6,354
  Amortization of investments                             16      (354)
  Depreciation and amortization                          236       244
  Gain on sale of product rights                        (225)       --
 Changes in operating assets and liabilities:
  Accounts receivable                                 (1,626)    2,052
  Inventories                                            (27)      (81)
  Prepaid income taxes                                 3,316        --
  Prepaid expenses and other current assets               55       215
  Accounts payable                                     5,357     1,192
  Accrued compensation                                  (261)     (972)
  Sales-related reserves                                (718)    4,226
  Income taxes payable                                   526    (1,330)
  Other accrued liabilities                             (405)       84
  Other non-current liabilities                         (147)     (198)
                                                    --------  --------
 Net cash flows provided by operating activities      24,800    29,855
                                                    --------  --------
 INVESTING ACTIVITIES
 Purchase of property and equipment                      (71)      (17)
 Purchase of short-term investments                  (34,951)  (31,714)
 Proceeds from the sale and maturities of
  short-term investments                              31,150    27,886
 Net proceeds from sale of product rights                225        --
 Changes in deposits and other assets                     --        34
                                                    --------  --------
 Net cash flows used in investing activities          (3,647)   (3,811)
                                                    --------  --------
 FINANCING ACTIVITIES
 Issuance of common stock, net                           547       671
 Repurchase of common stock                          (11,189)  (11,830)
 Repurchase of Series A preferred stock                   --   (10,348)
                                                    --------  --------
 Net cash flows used in financing activities         (10,642)  (21,507)
                                                    --------  --------
 Increase in cash and cash equivalents                10,511     4,537
 Cash and cash equivalents at beginning of period     13,282    15,939
                                                    --------  --------
 Cash and cash equivalents at end of period         $ 23,793  $ 20,476
                                                    ========  ========


            

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