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Monday, July 8, 2019

SC Health files for $150M IPO

SC Health (SCHU) has filed a preliminary prospectus for a $150M IPO of 15M units at $10 per Unit, each consisting of one Class A ordinary share and 1/2 of a five-year warrant to purchase one Class A ordinary share at $11.50.
The blank check company is domiciled in the Cayman Islands.

Cardinal Health Faces Recruitment Challenge as CFO Departs

Pharmaceuticals distributor Cardinal Health Inc. is turning to its chief executive to oversee the books following the departure of its finance chief, indicating a lack of potential successors in an industry facing declining profitability and potential settlement costs associated with the U.S. opioid crisis.
The Dublin, Ohio-based company Monday said Chief Financial Officer Jorge M. Gomez — who has served in the role since Jan. 2018 — will step down to become finance chief at Dentsply Sirona Inc., a maker of dental products. Mr. Gomez leaves Cardinal on Aug. 9, a day after the release of the company’s year-end results for fiscal 2019.
Chief Executive Michael Kaufmann will take over as interim CFO while
Cardinal searches for a successor. Mr. Kaufmann served as the company’s finance chief from 2014 to 2017 and was elevated to the CEO position in Jan. 2018.
The appointment of Mr. Kaufmann as interim finance chief points to Cardinal’s lack of potential candidates to succeed Mr. Gomez, analysts said, and suggests the company has had a challenge attracting the right talent.
“Companies this size normally have deep benches to fill this type of vacancies from below,” said Brian Tanquilut, an analyst at financial services advisory Jefferies LLC. Both Mr. Kaufmann and Mr. Gomez were promoted internally for their most recent jobs.
Cardinal Chairman Gregory Kenny in an email highlighted the strength of the firm’s finance team and praised Mr. Kaufmann’s knowledge of the company.
“As a company with a rich culture that is focused on our people and delivering value to the healthcare industry, we are looking for a person that embodies our values and will promote career development across the organization,” Mr. Kenny said.
The vacancy in a key management position comes at a challenging time for Cardinal.
The company has been battling with falling profitability, specifically in its generic drugs business. Cardinal’s earnings per share slumped to 81 cents in fiscal 2018, down 80% from $4.03 per share in fiscal 2017.
Two recent acquisitions, Cordis and Patient Recovery, so far haven’t yielded forecast returns, adding to the pressure on the company’s management, Mr. Tanquilut said.
“The loss of any executive during a key point in a turnaround is a challenge,” said Eric W. Coldwell, an analyst at financial services firm Robert W. Baird & Co. “Cardinal seemed a bit unprepared for Jorge’s [Mr. Gomez] departure and it won’t sit well with investors that the CFO is transitioning as the company prepares and delivers its fiscal year outlook,” Mr. Coldwell said.
Cardinal has also disclosed it is among several pharmaceutical wholesale distributors that have been named as defendants in more than 2,000 lawsuits related to the distribution of prescription opioid pain medications in the U.S. More than 60 of these lawsuits are purported class actions, according to the company’s latest regulatory filings.
The pressure on profit margins as well as potential settlement costs associated with these lawsuits complicate Cardinal’s efforts to find a new CFO, said John Ransom, an analyst at financial services provider Raymond James Financial Inc. “It will be tough for them to fill the spot, ” Mr. Ransom said.
As interim CFO, one of Mr. Kaufmann’s tasks will be to deal with the costs of a potential settlement, analysts said. Competitor McKesson Corp. in May agreed to pay $37 million to resolve claims that the company helped fuel the opioid epidemic.
“As a pharmaceutical wholesale distributor, we do not control either the supply of, or the demand for, opioids, since we do not manufacture medications or write prescriptions,” Cardinal said on its website.
Other companies in the space, including McKesson and AmerisourceBergen Corp., have also suffered from executive turnover in recent years. “The industry continues to see a lot of departures and struggles to attract new talent,” said Raymond James’ Mr. Ransom.

Trump Rule Requiring Drug Prices in TV Ads Blocked

A federal judge on Monday blocked a Trump administration rule requiring drugmakers to put prices in television ads, a central part of the president’s push to lower the cost of prescription medications.
The decision from U.S. District Judge Amit Mehta in Washington, D.C., is the latest blow to a number of administrative actions on health care. Judge Mehta sided with drug companies, saying the Health and Human Services Department rule would violate free speech and exceeded the agency’s statutory authority.
“But no matter how vexing the problem of spiraling drug costs may be, HHS cannot do more than what Congress has authorized,” he wrote in his decision. “The responsibility rests with Congress to act in the first instance.”
The lawsuit was brought by three pharmaceutical companies: Merck & Co., Inc., Eli Lilly and Co. and Amgen Inc.
The rule, completed in May, was part of President Trump’s broader blueprint to lower drug prices and was set to go into effect July 9. It required list prices to be included in direct-to-consumer TV ads for most prescription drugs covered by Medicare and Medicaid. The ruling blocks the rule from going into effect.
HHS didn’t return an email seeking comment, while the Justice Department declined to comment.
The administration said the goal of the rule was to increase transparency, which would put pressure on drugmakers to keep prices low. It argued that list prices matter to patients, especially consumers with high deductibles who must often pay the full amount. The U.S., one of the few countries to allow TV ads for drugs, currently requires them to disclose side effects and other information.
“If drug companies are ashamed of those prices — lower them!” Mr. Trump tweeted in May.
Drugmakers have opposed the mandate, saying the rule could improperly limit free speech and that providing only the list price would confuse and mislead consumers who might think they have to pay more than they actually would. The list price is the figure initially set by the drugmaker, but it is different from what consumers generally pay because it doesn’t take into account rebates, discounts and insurance payments.
An industry trade group, PhRMA, said Monday it has taken its own, voluntary steps to help improve transparency.
“PhRMA has long been concerned about the administration’s rule requiring list prices in direct-to-consumer (DTC) television advertising,” it said in a statement.
In 2017, more than $5.5 billion was spent on prescription-drug ads, including nearly $4.2 billion on TV ads. Commonly advertised drugs include AbbVie Inc.’s Humira, which has a list price of more than $5,000 a month, along with Pfizer Inc.’s Lyrica, which costs $468 a month, according to data provided under the rule.
“Today’s ruling is a step backward in the battle against skyrocketing drug prices and providing more information to consumers,” AARP, a group for people age 50 or older, said Monday in a statement.

Phreesia IPO: What You Need To Know

A company that oozes the glamour of tech and draws upon the strong growth potential of the health care sector is set to test the IPO waters.

The IPO Terms

New York-based Phreesia NYSEPHR has filed for a 7.8125-share public offering at an estimated price range of $15-$17, according to its amended S-1/A filing dated July 8.
At the mid-point of the price range, the size of the offering is $125 million.
The company is offering 7.8125 million shares, with the remaining 1.172 million shares offered by selling shareholders.
The shares of the company have been approved for listing on the NYSE under the ticker symbol PHR.
JPMorgan, Wells Fargo, William Blair, Allen & Company and Piper Jaffray are the underwriters for the offering.

The Company

Phreesia, founded in 2005, is a health care software company, which offers through its SaaS-based Phreesia Platform a suite of solutions to manage the patient intake process and an integrated payment solution for secure processing of patient patients.
Its platform also provides life science companies with an engagement channel for targeted and direct communication with patients.

The Finances

For the fiscal year ended Jan. 2019, the company reported revenues of $99.89 million compared to $79.83 million in 2018. Revenues for the three months ended April 30 were at $28.31 million.
The net loss for fiscal 2019 widened from $38.17 million to $45.26 million.
Phreesia said it facilitated more than 54 million patient visits to about 50,000 individual provides, including physicians, physician assistants and nurse practitioners in fiscal year 2019. Its platform also processed over $1.4 billion in patient payments in the year.

Altaire OTC eye products at Walgreens recalled

A number of over-the-counter eye products sold at Walgreens have been recalled by manufacturer Altaire Pharmaceuticals because the products may not be sterile.
The use of nonsterile products could result in serious and potentially life-threatening infections or death. No problems associated with the recalled eye products have been reported, according to Altaire.
The recalled products include: Lubricant Eye Drops Moisturizing Twin Pack Walgreens item #: 801477 NDC #: 0363-0185-49 Package Size: 2 x 15 mL; Sodium Chloride Ophthalmic Ointment, 5% Hypertonicity Eye Ointment Walgreens item #: 801482 NDC #: 0363-7500-50 Package Size: 3.5 g; Sodium Chloride Ophthalmic Solution, 5% Hypertonicity Eye Drops Walgreens item #: 801402 NDC #: 0363-0193-13 Package Size: 15 mL; Lubricant Eye Ointment PF Soothing Walgreens item #: 801486 NDC #: 0363-0191-50 Package Size: 3.5 g.
Altaire said it notified Walgreens about the recalls on July 3, 2019, and asked Walgreens to notify its customers. For more information, consumers can call Altaire at 1-800-258-2471.

Biophytis files for 8.75M-share U.S. IPO at $7-$9/ADS

France’s Biophytis has filed an amended registration statement to offer 8.75M American Depositary Shares in its U.S. initial public offering.
It says in the amendment that it expects the ADS to price between $7 and $9 each, which comes out to €0.62-€0.80 per ordinary share.
It’s applied to list the ADS on Nasdaq under the symbol BPTS.
Amid companies looking to develop treatment to prevent or treat aging-related diseases, it exepcts to compete with Cytokinetics/Astellas (CYTK/OTCPK:ALPMY), Eli Lilly (NYSE:LLY), Novartis (NYSE:NVS), Pfizer (NYSE:PFE), and Sanofi/Regeneron (SNY/REGN). On DMD, it expects to compete with PTC Therapeutics (NASDAQ:PTCT) and Sarepta Therapeutics (NASDAQ:SRPT), among many others.
And for dry AMD, it believes it will compete with companies including Allegro Ophthalmics, Apellis Pharmaceuticals (NASDAQ:APLS), Astellas, Hemera Biosciences, Ionis Pharmaceuticals (NASDAQ:IONS), Ophthotech, and Stealth BioTherapeutics (NASDAQ:MITO).

Phibro Animal Health: ‘Significant Advance’ in African Swine Fever Vax

Phibro Animal Health Corporation (PAHC) today announced it is pursuing patent protection following a significant advance in the on-going development of a vaccine for African Swine Fever (ASF).  This important step in the vaccine development process involves the identification of immunogenic epitopes and proteins that show strong potential to form the basis for a vaccine against ASF.
Phibro’s R&D team and its collaborators made this identification through the use of a unique bioinformatics analysis tool in order to select for the highest potential epitopes and proteins capable of eliciting protective immune response.
Phibro’s approach is to create a specific epitope-based vaccine, rather than following the more conventional path of an attenuated live vaccine.  If successful, this approach would not only be an effective response to ASF but would result in a vaccine that presents no risk of further spreading the disease.