Earnings call transcript: Journey Medical’s Q3 2025 shows revenue jump and strategic growth

In its Q3 2025 earnings call, Journey Medical reported a significant revenue increase of 21% year-over-year, reaching $17.6 million. Despite a gross margin decline to 67.4%, the company highlighted strong growth in prescription volumes and strategic market positioning. The stock of its parent company, Fortress Biotech Inc (FBIO), saw a slight aftermarket increase of 1.04% following the announcement, continuing its recent momentum. According to InvestingPro data, FBIO has delivered an impressive 57.65% return over the past year and 8.06% in just the last week.

Key Takeaways

• Journey Medical’s revenue rose by 21% year-over-year.
• Emrosi prescriptions more than doubled, with a 75% revenue increase from Q2.
• The company aims to achieve sustainable EBITDA positivity by Q4 2025.
• Market potential for rosacea treatments is $200 million annually in the U.S.
• Journey Medical is on track to complete a third major GPO contract by early 2026.

Company Performance

Journey Medical demonstrated robust performance in Q3 2025, driven by a 21% revenue increase compared to the same quarter last year. This growth was primarily fueled by the strong market uptake of its rosacea treatment, Emrosi, which saw a 75% revenue surge from the previous quarter. The company is actively expanding its prescriber base and enhancing market penetration, aligning with its strategic objectives.

Financial Highlights

• Revenue: $17.6 million, up 21% year-over-year
• Gross margin: 67.4%, a slight decrease from 69.4% in Q3 2024
• GAAP net loss: $2.3 million, or $0.09 per share
• Adjusted EBITDA: $1.7 million, up from $300,000 in Q3 2024
• Cash and cash equivalents: $24.9 million

Market Reaction

Following the earnings release, Fortress Biotech’s stock experienced a modest aftermarket increase of 1.04%, reaching $2.7079. This movement reflects investor optimism about Journey Medical’s growth trajectory and strategic initiatives, despite a slight decline in the gross margin.

Outlook & Guidance

Journey Medical remains optimistic about its future prospects, projecting continued prescription growth and market expansion. The company aims to achieve sustainable EBITDA positivity by Q4 2025 and expects to finalize a third major GPO contract by early 2026. With a targeted peak annual net sales of over $200 million in the U.S., Journey Medical is focusing on strengthening its prescriber base and market presence.

Executive Commentary

CEO Claude Morali stated, "We set out to make 2025 a transformational year," highlighting the company’s strategic goals. COO Ramsey Alush added, "We are executing well against our market access plan," emphasizing the success of their strategic initiatives.

Risks and Challenges

• Market Competition: Intense competition in the dermatology sector could impact market share.
• Regulatory Changes: Potential changes in healthcare regulations may affect operations.
• Economic Conditions: Macro-economic pressures could influence consumer spending on healthcare.
• Supply Chain Disruptions: Any disruptions could impact product availability and sales.
• Prescriber Adoption: Slower-than-expected adoption by prescribers could hinder growth.

Q&A

During the earnings call, analysts focused on the company’s patient assistance program strategy and the variability in revenue per script. Executives addressed these queries by emphasizing their commitment to enhancing prescriber engagement and maintaining stable performance of legacy products like Qbrexa.

Full transcript - Fortress Biotech Inc (FBIO) Q3 2025:

Claude Morali, Co-founder, President, and Chief Executive Officer, Journey Medical: Ladies and gentlemen, thank you for standing by. Good afternoon and welcome to Fortress Biotech’s third quarter 2025 financial results and corporate update conference call. At this time, all participants will be in a listen-only mode. Should you need assistance, please signal conference specialists by pressing the star key followed by zero. Participants of this call are advised that the audio of this call is being broadcast live over the internet and is also being recorded for playback purposes. A webcast replay of this call will be available approximately one hour after the call for approximately 30 days. I would now like to turn the call over to Ms. Jaclyn Jaffe, the company’s Senior Director of Corporate Operations. Please go ahead, Jaclyn.

Jaclyn Jaffe, Senior Director of Corporate Operations, Fortress Biotech: Good afternoon, and thank you for participating in today’s conference call. Joining me from Fortress Biotech’s leadership team are Claude Morali, co-founder, president, and chief executive officer, and Joseph Beneš, chief financial officer. Joining for the Q&A portion of the call will be Ramsey Alush, chief operating officer and general counsel. During this call, management will be making forward-looking statements, including statements that address, among other things, Fortress Biotech’s expectations for future performance, operational results, financial condition, and the receipt of regulatory approvals. Forward-looking statements involve risks and other factors that may cause actual results to differ materially from those statements. For more information about these risks, please refer to the risk factors described in Fortress Biotech’s most recently filed periodic reports on Form 10-K and Form 10-Q.

The Form 8-K filed with the SEC today and the company’s press release that accompanies this call, particularly the cautionary statements in it. Today’s conference call includes non-GAAP financial measures that Fortress Biotech believes can be useful in evaluating its performance. You should not consider this additional information in isolation or as a substitute for results prepared in accordance with GAAP. For a reconciliation of this non-GAAP financial measure to net loss, it’s the most directly comparable GAAP financial measure. Please see the reconciliation table located in the company’s earnings press release. The content of this call contains time-sensitive information that is accurate only as of today, Wednesday, November 12th, 2025. Except as required by law, Fortress Biotech disclaims any obligation to publicly update or revise any information to reflect events or circumstances that occur after this call.

It is now my pleasure to turn the call over to Claude Morali, Co-founder, President, and Chief Executive Officer of Journey Medical.

Claude Morali, Co-founder, President, and Chief Executive Officer, Journey Medical: Thank you, Jaclyn, and good afternoon to everyone on the call today. The third quarter of 2025 was another period of solid execution for Journey Medical as we delivered 21% year-over-year revenue growth. I am pleased to report that Emrosi, our best-in-class oral treatment for the inflammatory lesions of rosacea, contributed $4.9 million to our top line in Q3, an increase of 75% compared to Q2. Our legacy and core products, including Qbrexa, Accutane, and Amzeeq, were essentially flat sequentially compared to the second quarter of 2025. On a year-over-year basis, revenue for this product group in the aggregate declined 16%, mainly due to the impact from Accutane generic competition. Overall, we grew our product revenues by more than 16% compared to the same period last year, while our operating expenses rose just 9%.

This highlights the leverage that we are beginning to generate with the launch of Amzeeq and our established dermatology commercial infrastructure. We believe that this leverage will continue to increase as Amzeeq’s sales ramp has significant growth potential, and our operating expenses are expected to remain relatively consistent. EBITDA continues to improve, and we continue to expect that Fortress will become sustainably EBITDA positive in the fourth quarter. Amzeeq achieved third-quarter total prescription growth of approximately 146%, with 18,198 prescriptions in Q3 compared to the second quarter of this year, with 7,394 prescriptions in Q2, as we have shown strong execution on our commercial plan. As is typical with pharmaceutical product launches, contracts are initially negotiated broadly with the three major GPOs, Ascent, MSR, and Zinc, and we have been very successful in the first phase of our payer strategy.

As we previously announced in July, over $100 million of the $187 million commercial lives currently have access to Amzeeq. Our market access team has successfully contracted with two of the three largest GPOs, and as we continue to pursue our strategy to broaden access further, we believe that contracting with the remaining GPO for Amzeeq will be completed early next year. We are very pleased with our GPO contracting progress so far. However, downstream health plan formulary adoption and implementation takes time, up to three quarters on average once contracts are secured, which is standard for most drug launches. While some plans have immediately begun covering Amzeeq prescriptions, many will take time to implement coverage and formulary adoption. In the interim, our patient copay assistance program is bridging the gap. As time progresses and as drug coverage increases, we expect reliance on our copay assistance program to decrease.

Physician feedback, which has been a key driver in Amzeeq’s strong initial launch, continues to be very positive, with prescribers noting that their patients are doing exceptionally well on treatment. The feedback emphasizes Amzeeq’s clinical benefits, notably that Amzeeq’s early onset of efficacy is in as little as two weeks of therapy. In line with this feedback, initial refill rates for Amzeeq have come in strong. During the third quarter, refills and new Amzeeq prescriptions were tracking at a one-to-one ratio. We believe that this metric indicates both prescriber and patient willingness not only to try Amzeeq but also to continue on therapy beyond an initial prescription. In addition to anticipated continued growth in new prescriptions, we expect that the ratio of refills to new prescriptions will also increase, which should help accelerate total prescription growth.

Another key performance metric that we use to measure our launch traction is unique dermatology prescribers. On our last earnings call, we noted that approximately 1,800 prescribers had written a prescription for Emrosi out of the 3,200 oral rosacea treatment writers that we are targeting during the first phase of the launch. Today, I am pleased to report that the number has increased by approximately 50% to over 2,700 unique Emrosi prescribers, demonstrating substantial progress toward this objective and a key driver of initial product adoption. As our commercial team continues to recruit new Emrosi writers, we have now begun to focus on developing the base of prescribers that have already written an Emrosi prescription into consistent writers. In addition to our activities in the field, we remain active at key dermatology medical conferences across the United States to build awareness and momentum behind the Emrosi brand.

To illustrate, we presented data from Emrosi’s phase three clinical trials at the SDPA 2025 summer dermatology conference in June of this year. These data highlighted that Emrosi provides consistent relief of key rosacea symptoms with no adjustments needed for patients based on body weight. Additionally, Emrosi’s proprietary formulation of a modified-release 40 mg dose comprised of 10 mg immediate release and 30 mg extended release, which is the lowest strength oral minocycline approved by the FDA, which we believe contributes directly to the safety, efficacy, and tolerability, making Emrosi a best-in-class rosacea therapy. More recently, we presented pooled phase three data in a podium presentation at the 2025 Fall Clinical Dermatology Conference in Las Vegas, showcasing Emrosi’s favorable safety profile results and superior efficacy compared to Oracea, the most widely prescribed oral rosacea treatment.

Our pooled results featured data from a robust study population of 653 patients, was impressive, and our statistically significant superiority to Oracea was well received. The fall clinical meeting was well attended this year with over 1,800 prescribers at the conference. As key opinion leaders and dermatologists focused on what’s new in dermatology treatment, we believe that Emrosi’s podium presentation gained significant visibility at the conference. Reflecting on the year so far, Emrosi is off to a great start, and our focused dermatology commercial team is executing at the highest level. As a result, we believe that the ground is prepared for Emrosi to become a standard of care in the treatment of rosacea and for the product to generate significant revenue and cash flow for the company.

With that, I’ll now turn the call over to our Chief Financial Officer, Joe Beneš, who will review the financial results of the third quarter.

Joseph Beneš, Chief Financial Officer, Journey Medical: Thank you, Claude, and good afternoon to everyone. I’ll now take you through our financial performance for the third quarter of 2025. Total revenues for the quarter were $17.6 million, representing a 21% increase compared to $14.9 million in the third quarter of 2024. This growth reflects incremental net product revenue related to successful U.S. commercial launch of Emrosi, which has continued to meet our expectations since its introduction. Turning to margins, gross margin was 67.4% in the third quarter compared to 69.4% in the same period last year. The decrease from quarter to quarter primarily reflects the favorable non-operational adjustments in product mix that benefited Q3 2024. More importantly, we continue to see steady quarter-over-quarter gross margin improvement in 2025, from 63.5% in Q1 to 67.1% in Q2, and now 67.4% in Q3.

This ongoing improvement is driven by higher revenues from Amzeeq and Qbrexa, both higher margin products combined with lower overall inventory period costs. R&D expenses totaled $12.1 million, up approximately 6% from $11.4 million in the third quarter of 2024. This increase reflects additional operating activities tied to the launch and commercialization of Amzeeq. R&D for the quarter also includes non-cash stock compensation expense of $1.9 million compared to $1.5 million in the prior year quarter. We reported a GAAP net loss of $2.3 million, or $0.09 per share basic and diluted, for the third quarter of 2025. This compares to a GAAP net loss of $2.4 million, or $0.12 per share basic and diluted, in the same period last year. On a non-GAAP basis, both EBITDA and adjusted EBITDA improved from the prior year quarter.

EBITDA improved by $500,000 from a loss of $1 million in the third quarter of 2024 to a loss of $500,000 in the current quarter. We achieved positive adjusted EBITDA of $1.7 million for the third quarter of 2025 compared to $300,000 for the third quarter of 2024. We ended the quarter with $24.9 million in cash and cash equivalents as compared to $20.3 million at December 31, 2024. Looking ahead, we remain focused on disciplined expense management and margin expansion as we continue to scale Fortress Biotech’s commercial footprint and strengthen our product portfolio. With this focus, we believe we are well positioned to deliver improved profitability and sustained revenue growth over the coming quarters. Thank you very much. I will now turn the call back over to Claude.

Claude Morali, Co-founder, President, and Chief Executive Officer, Journey Medical: Thank you, Joe. We delivered strong results in the third quarter, with Emrosi already making a positive impact on our business. Total prescriptions for Emrosi more than doubled from Q2 to Q3, and the fourth quarter is already off to a strong start. The number of Emrosi prescription writers is now at its highest level to date, and we expect to develop the current prescriber base into consistent writers over the next several months. With the positive physician feedback that we have received so far, we believe that Emrosi is starting to gain brand recognition as the preferred oral solution for the treatment for rosacea. We have executed well in terms of our early payer strategy, and the focus remains on increasing access to Emrosi, as well as enlisting more of the downstream health plans to adopt formulary coverage for Emrosi in order to drive more covered prescriptions.

All of these activities are key steps in developing Emrosi into the standard of care treatment for inflammatory lesions of rosacea, and we believe that we are on track to accomplish this. Based on the initial strong momentum we are seeing with Emrosi’s launch, we are confident that Emrosi can reach its full potential in the rosacea treatment market. We continue to believe that Emrosi can achieve peak annual net sales of over $200 million in the United States and over $300 million globally. Meanwhile, financially, EBITDA for the company continues to improve from quarter to quarter, and we expect to become sustainably EBITDA positive in the fourth quarter of this year. We set out to make 2025 a transformational year, setting up the company for potential strong growth and cash generation, and our progress indicates that we are delivering on that promise.

As such, I believe that we are well positioned to continue executing on our core objective: to improve the lives of patients, offer dermatology healthcare providers innovative treatment options, and create long-term value for our shareholders. Thank you. Operator, we are now ready to open the lines for Q&A.

Conference Call Operator: Thank you. We will now begin the question-and-answer session. To ask a question, you may press star then one on your touch-tone phone. If you’re using a speakerphone, please pick up your handset before pressing the keys. If at any time your question has been addressed and you would like to withdraw your question, please press star, then two. Our first question for today will come from Brandon Fultz with HC Wainwright. Please go ahead.

Joseph Beneš, Chief Financial Officer, Journey Medical: Hi. Thanks for taking my questions, and congratulations on all the progress. I guess, can you just talk about how you view the usage of your patient assistance program on Amzeeq at this stage of the launch? When you talked about it improving, do you see an improvement in Q4 or sort of in 2026? How should we think about that aspect of the Amzeeq launch?

Claude Morali, Co-founder, President, and Chief Executive Officer, Journey Medical: Sure. Hi, Brandon. It’s Claude. First of all, I think it’s important to take a look at the progress we’re making here commercially with Amzeeq in particular. Again, when you take a look at revenues from Q2 to Q3, we’ve increased that by 75%. We certainly like how things are being directed. Additionally, when you take a look at the strength of the commercial organization being able to create demand, we’ve gone from approximately 7,400 prescriptions in Q2 all the way up to about 18,200 prescriptions in Q3. Our focus is really to drive demand as quickly and continue to grow that month-over-month, quarter-over-quarter, and we’re successfully doing that. Where the copay assistance program comes into play, we’ve talked about the three major GPOs. We now have two of these GPOs on board. We certainly expect the last one to come on board in early 2026.

I think you’re going to see additional value for that in terms of payers reimbursing for the claims as they come in. Our copay assistance program will have less balance in terms of more reimbursements will come as time continues. It takes about two to three quarters for that to adjust with each GPO and then the PBMs and the downstream health plans. We are patiently waiting for that time to go. It’s just the way the healthcare system works out, and we see that continuing. More so, I would tell you in 2026, where I think you’ll see some significant gains and less reliance on the copay program.

Joseph Beneš, Chief Financial Officer, Journey Medical: Great. Thanks very much. Maybe one just follow-up. You touched on the growth of Emrosi, and breadth of prescribing has obviously grown with the unique prescribers. It looks like depth of prescribing has grown quite nicely as well. Can you just talk about sort of the focus between breadth and depth of prescribers in Q4 and maybe in 2026 as well? What’s going to be the focus? Where do you see the most significant growth for Emrosi near-term in terms of depth or breadth of prescribing?

Claude Morali, Co-founder, President, and Chief Executive Officer, Journey Medical: Yeah. Okay. I think it’s a combination of what you’re mentioning here. We focused in on 3,200 physicians at the beginning of our launch. Again, brand new launch, only two quarters deep into it so far. As I mentioned, we’re up to 2,700-plus unique prescribers. Those are brand new physicians breaking a 20-year habit of being reliant on Oracea. That was the only product that was indicated orally for inflammatory lesions. Now that Emrosi is here, I think our commercial team has done a great job building awareness that Emrosi is here, talking about the great benefits from the phase three clinical trials. If I may, just highlight two things. One, we’re showing a superiority in IGA success, over 60% greater than what Oracea demonstrated. When you take a look at inflammatory lesions, Emrosi is showing approximately a 30% better inflammatory lesion reduction.

I think that message is penetrating well. Physicians, dermatologists, HCPs, and so forth are trying it on new patients right now. As those patients come back in for their second visit to the dermatology community, they’re seeing that those results from phase three are actually happening in their own practices with their own patients. That’s going to help build reinforcement, take those physicians that are writing maybe one or two prescriptions to doubling that and tripling that and so forth. I think you’ll see a snowball effect taking place there. Those are really new patients. I think you’re going to see the fact that as there’s more confidence that’s built with the dermatology community, our sales organization, marketing organization, will be asking for switches as well from Oracea over to Emrosi.

That takes time and just a little history to start to happen, and I think that will take place. There are about 14,000 dermatologists. We’re only at 2,700 right now, and we’re focused on a core. Naturally, we are calling altogether in our universe more than 5,000. You will see that number expand as well, and we’re going to get more out of the ones that have been trying it and waiting to observe their patients coming back in. The NRX to TRX ratio is going to benefit from this as well. Right now, it’s about one to one. In October, we’re seeing about one to 1.2, and we expect that to go up to hopefully one to three and maybe even more than that, Brandon.

There is a lot of variables in play here, which really gives us great potential for fantastic success in becoming the standard of care in time.

Joseph Beneš, Chief Financial Officer, Journey Medical: Great. Thanks very much, Claude, and congrats on all the progress.

Claude Morali, Co-founder, President, and Chief Executive Officer, Journey Medical: Thank you.

Conference Call Operator: The next question will come from Scott Henry with AGP. Please go ahead.

Joseph Beneš, Chief Financial Officer, Journey Medical: Thank you. Good afternoon and congratulations to the whole team on the Emrosi launch. It’s been very impressive so far. Just a couple of questions, and I know I ask about this a lot. Revenue per script looked like it was about $380 in 2Q, about $275 in the third quarter. Do you think the third quarter is probably a pretty good reflection, or was there any stocking or destocking that could maybe move that number around? Just trying to get a sense of how we should think about that net revenue per script.

Claude Morali, Co-founder, President, and Chief Executive Officer, Journey Medical: Sure. Always a good question. Always a fair question, Scott. Gross to net is going to continue to vary as reimbursement for the product. It’s just very early. We’re only two quarters into it, and it’s just dynamic at this point. As I mentioned, we are going to be getting a third GPO into play here early in 2026, and I think we’ll see some nice improvements with that once that takes place. That’s just part of the system. We have to give it a little bit of time, and that’s really why we aren’t giving any particular guidance to gross to net at this point in time. I don’t think I can give you any further precision on that than what you’re coming up with right now. Again, it’s going to vary from our copay assistance program.

It will be used less as there’s better reimbursement for managed care companies. Joe or Ramsey will.

Joseph Beneš, Chief Financial Officer, Journey Medical: Okay. That’s helpful.

Claude Morali, Co-founder, President, and Chief Executive Officer, Journey Medical: I’m sorry. Go ahead.

Joseph Beneš, Chief Financial Officer, Journey Medical: Oh, that’s helpful. I appreciate that, Caller. I don’t know if any of the other team members wanted to—did you want them to mention anything?

Claude Morali, Co-founder, President, and Chief Executive Officer, Journey Medical: Yeah. I was just going to ask Joe or Ramsey if you wanted to add anything to that.

Ramsey Alush, Chief Operating Officer and General Counsel, Journey Medical: I think just in summary, the more reimbursement we get, like you said, the less on the copay program, and we just can’t give a number right now.

Joseph Beneš, Chief Financial Officer, Journey Medical: Okay. Fair enough. That’s helpful. Then sort of a bigger picture launch question is we’re always trying to get an idea of what the launch curve looks like. From my perspective, it looks like at worst, it’s a consistently growing launch curve, but probably more likely an accelerating launch curve. How do you view the launch curve based on the four or five months you’ve had, and any thoughts on that?

Claude Morali, Co-founder, President, and Chief Executive Officer, Journey Medical: All indicators are pointing to a very positive launch. We’re meeting our internal expectations for sure. I like what the salesforce is doing out there. Again, those key indicators, adding additional prescribers on board with our focus on 3,200 physicians to start, we’re well on our way to attaining that. I would expect that we will get there, and then we’ll expand from that. That is just one part of it. I think the ratio between one new prescription to one refill will expand as well. In time, think about it, we’re getting 7, 8, 900 new prescriptions on a monthly basis now. Those are new patients coming into the market each and every single month coming onto the Amzeeq brand. If they continue getting those refills and expanding more than that first refill to two or three, you can see that potential momentum really accelerate.

Time will tell. We’re definitely moving in the right direction here.

Joseph Beneš, Chief Financial Officer, Journey Medical: Okay. Great. Final question, just quickly. Among the other products, Accutane, you mentioned the generic competition. I think you just saw the Q come up. It looks like it did about $2.8 million in the quarter. Do you think that’s starting to base out, or is there some more another leg down? How should we think about that Accutane franchise?

Claude Morali, Co-founder, President, and Chief Executive Officer, Journey Medical: Yeah. I would tell you that Accutane is off to a good start here in Q4. I think that when we’re looking at it, we’re in a good position right now. We believe it’s stable. You never know what the other generic competitors do if they really play with price again to drive that down and potentially take more market share. All indications, we just had a nice uptick. We received October numbers right now. It’s looking like it’s stabilized from our vantage point right here. It’s got a great name to it, lots of recognition. This is a highly promotional-sensitive area here. I think with our team speaking to dermatologists about this, keeping it in front of their mind, I think we’re in a good spot right now. That’s what I would say.

Joseph Beneš, Chief Financial Officer, Journey Medical: Okay. Great. Thank you for taking the questions.

Claude Morali, Co-founder, President, and Chief Executive Officer, Journey Medical: Sure.

Conference Call Operator: The next question will come from Thomas Flatten with Lake Street Capital Markets. Please go ahead.

Thomas Flatten, Analyst, Lake Street Capital Markets: Hey, good afternoon, guys. Thanks for taking the questions. You may have mentioned it, and I probably missed it, but did you mention at all, Claude, what your retention rate has been of those 22 prescribers since launch? How many of them have continued to prescribe regularly since launch?

Claude Morali, Co-founder, President, and Chief Executive Officer, Journey Medical: We did not speak to retention of the 2,700 prescribers, I think you are saying. We continue to gain. We have it split out, obviously, the ones that are writing one to five and then five to ten and so forth, all the way up to 20, 30, 40, etc., Scott. We did not break it down, but it is a wide array. Obviously, as we bring on new prescribers, they fall in the lower buckets, and over time, they get to move into the secondary and tertiary and so forth. No specific guidance on that yet.

Thomas Flatten, Analyst, Lake Street Capital Markets: Yeah. No, what I was trying to get at was if there are those that might have trialed it a couple of months ago and not come back to it, I’m just curious if there are any learnings for why those doctors haven’t rewritten prescriptions either for the same patient or for other new patients, if you have any learnings from those docs.

Claude Morali, Co-founder, President, and Chief Executive Officer, Journey Medical: I see. So far, no real key learnings in that front of it. What we are seeing, I guess to my point of view, is we’re getting trial for new patients, for doctors that have not initially tried it. They’re starting to dip their toe in the water. I think you have a month or two until they get to see those patients back. You have the representatives going in, doing the regular call schedule, reminding the doctors, dropping off samples, talking about our copay program, our managed care coverage, and so forth. Like I said, that number continues to evolve, and we really see a lot of patient—excuse me—HCPs that are writing more than one. That takes about three months or so, and then they start to catapult to the next level. Physician feedback has been exceptional.

They really like the way the product is working. They like the side effect profile. Again, it’s really just habit-breaking of Oracea that they’ve been used to for so long. We haven’t gotten any critical feedback on the product.

Thomas Flatten, Analyst, Lake Street Capital Markets: That’s great. And then just one final one, if I may. Qbrexa was down year over year, but up sequentially, but less than it was in Q3 2024. What impact has the launch of Emrosi had on how you manage around Qbrexa? What’s the overlap of those 3,200 with Qbrexa writers? How are you trying to ensure that Qbrexa also maintains a good clip of growth?

Claude Morali, Co-founder, President, and Chief Executive Officer, Journey Medical: Yeah. So fortunately for us, in terms of Qbrexa, we are in a real good position. We’re seeing prescription growth compared to last year, even with the new entrant, the new competition that came in early this year. Prescription-wise, we are right on schedule, and we’re going to have good single-digit growth year over year, again, with Qbrexa. The overlap with Amzeeq is working out just fine because right now, you’ve got Qbrexa in a P2 position because Amzeeq is here now, and that’s going to be first and foremost. We’ve been calling on these doctors. We’ve had this product, Qbrexa, since middle of 2021. Zilxi, which is part of our portfolio, also gave us a great segue into introducing Amzeeq. Those are the same doctors. Our call-on universe hasn’t necessarily changed, so we’re still reaching the physicians with the right frequency in a way that’s been targeted.

Our sales force is compensated heavily on Qbrexa. It’s currently our number one revenue generator for the quarter, for Q3, for example. That’ll eventually become our number two revenue generator as Amzeeq continues forward. We’re in a good spot with it, and I think the competition has just increased the noise level of hyperhidrosis, and we’ve benefited from that.

Thomas Flatten, Analyst, Lake Street Capital Markets: Got it. Appreciate it. Thanks, guys.

Conference Call Operator: The next question will come from Mayak with B. Riley Securities. Please go ahead.

Mayak, Analyst, B. Riley Securities: Yes. Good afternoon, Dean. Thanks for taking our questions, and congrats on a strong quarter. On this ratio of paid scripts, how do you expect this to evolve with some of the payer updates you shared today? I am obviously just trying to reconcile sequentially revenue growth versus the TRX growth. It looks like in October, your month-over-month on TRX is about roughly 15%. If you could maybe just give us some color on how to think about sequential revenue growth versus sequential TRX growth. I have a follow-up.

Claude Morali, Co-founder, President, and Chief Executive Officer, Journey Medical: Yeah. Ramsey, would you like to start that off?

Ramsey Alush, Chief Operating Officer and General Counsel, Journey Medical: Yeah. Sure. In terms of, as you’re mentioning, sort of covered claims, look, we’re executing well against our market access plan. We are seeing some solid progress month-over-month. Claude had mentioned that early next year, we’ll have the third of the three large GPOs contracted with. It very much is a top-down approach. There are multiple layers between GPOs, PBMs, and the downstream health plans, right? Each one operates on its own schedule. From our side, everything we can control is on track. Our market access team does have the strong relationships. There is value proposition for Amzeeq that’s resonating, and payer feedback has been positive. Overall, we’re pleased how these things are developing. It’s exactly what we’d expect at this stage of launch. As more plans and formularies adopt, you’ll start to see that shift in revenue generation as well.

Claude Morali, Co-founder, President, and Chief Executive Officer, Journey Medical: Yeah. Mayak, I just want to add—I just want to add one thing here. Our focus right now is to continue to generate. You were asking about the prescription and the payer relationship, if you will. We are going to continue to drive prescriptions. Each and every passing day, we expect to make more incremental gains on the payer front. Early next year, I think we’re going to see a larger access, which will mean better reimbursement for the company. Time is going to be our friend over time here over the next few quarters. It does take a little while.

Mayak, Analyst, B. Riley Securities: Yep. No, I totally hear you. Then on the duration of therapy that you’ve seen so far, I know you gave this refill to an RX one-to-one ratio, but is there any real-world data you have on persistence? We have this concept of long-term responders with Oracea. I was just curious if you have learned anything in the real world on what the duration of therapy would trend.

Claude Morali, Co-founder, President, and Chief Executive Officer, Journey Medical: It’s a great question. It’s a difficult question to give you anything with hardcore data. Anecdotally, what we continue to hear is that they are seeing and appreciating the results the patients have. The feedback from patients has been very good. In terms of getting refills, we’re seeing that. I think in another five, six months, we’ll be able to give you a more precise answer. Every indication looks like refills are going in. We’re able to capture refill data internally with, in fact, our copay program, as well as just reading the prescription numbers from Symphony and IQVIA. All trends are positive. We’re hoping to see three to four refills at least through a 12-month period. You also have to take into effect rosacea. We have a very quick effect. As little as two weeks, patients are seeing very good results with Emrosi.

Obviously, it varies. Some people will take longer. Some people will be at two weeks. Depending on how the flare-ups are, how long the rosacea stays calm until the next flare-up is another part of this that we’re learning and keeping a close eye on.

Mayak, Analyst, B. Riley Securities: Understood. Lastly, for Joe on the financial piece, your expectations for OpEx growth next year based on how launch is progressing? It does seem you’re tracking high single digit year over year this year. Is that a similar trend you would expect next year? Just thinking about operating leverage also. Thanks for taking my question.

Ramsey Alush, Chief Operating Officer and General Counsel, Journey Medical: All right. Thanks. Yeah. Really, the key is leveraging our current infrastructure. The increase in expenses, any incremental expense should be more than offset by increases in revenue. Like we said in our prepared remarks, we expect to remain relatively consistent from period to period and into 2026. As revenue grows, we think the leverage in our operating results will continue to come through. Any increase in revenue should support a higher revenue base also. Thanks.

Mayak, Analyst, B. Riley Securities: Got it.

Conference Call Operator: This will conclude our question-and-answer session as well as our conference call for today. Thank you for attending today’s presentation. You may now disconnect.

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