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Post by tarheelblue004 on Dec 18, 2022 9:48:42 GMT -5
What is a reasonable amount that MannKind can make on DPI royalties (and secondarily, manufacturing) in Q4? I find myself caught between a top-down estimate that shows DPI revenue maybe doubling vs. a bottoms-up view using Symphony revenue + UTHR statements + common sense that is telling me it could be 3-4X higher. Let me explain, and I would love your thoughts.
Top-down estimate: $250M in Q3 Tyvaso revenue for UTHR * 50% expected penetration for DPI vs. nebulizar * 12.5% royalty would put the total royalty MNKD could earn at $15.6M for last quarter (Q3). $6.8M royalty put us at 44% penetration of all expected Tyvaso patients - current and new ones - within the first three months of launch. I found this startlingly high, and providing us little room to grow to the max we should expect. If $15.6M grows 10% with new patients to $17.1M in Q4, doubling our royalty from $6.8M to $13.6M would put us at 80% of the penetration of the Tyvaso population we’d expect to achieve, all within the first 6 months of launch. 2.5X Q3 royalties, or $17.1M in Q4, would represent 100% penetration.
Bottoms-up estimate: Symphony showed meager sales in Q3 while we reported $6.8M in royalties. Symphony is now showing ~4X sales of Tyvaso DPI in Q4 than it did in Q3. Couple that with statements from UTHR in the last CC (“already at 50% of new referrals”, “warm embrace by patients + physicians + payers”, “star of the show”, “500 Tyvaso referrals making their way through insurance, excluding referrals to transition from nebulizar to DPI”, “average monthly Tyvaso referrals in each of the last three months ~75% greater than the average monthly referrals pre DPI launch”, and many more) and it would seem DPI is growing rapidly compared to the previous quarter, where they did not talk about DPI this way at all. I think 3-4X growth seems reasonable given all this, guided by the Symphony trends.
So…what gives? Is 12.5% actually too low for royalty %? Originally I’d thought it was 10%, but when we came out with $6.8M in Q3 I had to revise upwards to make any sense of the numbers. Should we assume we will actually capture more than 50% of Tyvaso patients, in which case the max values are too low? Could a dark horse be the year of inventory build up we have speculated about? Anything else obvious I am missing here?
Thoughts are much appreciated!
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Post by ronw77077 on Dec 18, 2022 11:46:55 GMT -5
Thanks for the interesting analysis. I don't think we have any solid basis to conclude what the royalty rate is, though we know 10% is the floor. While UT stated that they were at 50/50 split on the Q3 CC it seems apparent that while they may have been at that point at quarter's end it was surely not the average for the quarter.
Taking a different approach, based on UT's reported Tyvaso revenues for quarters 1, 2 and 3, I speculate that Q4 will continue to increase percentage wise by, say another 7% to 135%, which implies Q4 Tyvaso revenues of roughly $350 M, as follows:
% Increase
Actual Q1 172
Actual Q2 201 117%
Actual Q3 258 128%
If:
Est. Q4 348 135%
Assuming DPI as no less than 50%, DPI revenues will be at least $175 M. If the royalty rate is (only) 10% then royalty revenue will be $17.5 M. I have previously explained why I believe that the manufacturing reimbursement (cost plus the markup) is 16%, then total revenues from UT will be $17.5 M plus $28 M ($175 M X 16%) or a total of $45.5 M.
Going a step further: Rev from UT $45M Afrezza 11 V go 6
Q4 rev $62
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Post by jkendra on Dec 18, 2022 13:37:34 GMT -5
I believe if you go back and listen to the call it was 50% for NEW patients.
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Post by ronw77077 on Dec 18, 2022 15:36:34 GMT -5
You are correct (I just re-listened). If the royalty rate is 10%, then DPI was 24% of all UT Q3
Tyvaso revenue, and if the rate is 12% then the DPI portion was 20%. The big question is what will it be for Q4.
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Post by Thundersnow on Dec 18, 2022 17:00:18 GMT -5
You are correct (I just re-listened). If the royalty rate is 10%, then DPI was 24% of all UT Q3 Tyvaso revenue, and if the rate is 12% then the DPI portion was 20%. The big question is what will it be for Q4. Do you need to recalculate your estimates?
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Post by ronw77077 on Dec 19, 2022 10:46:52 GMT -5
Well, if you accept tarheelblue004's bottom-up thesis royalty revenue could be 3-4X higher in Q4, that implies revenue of $18.6 to $24.8 - my approach yields a more conservative estimate ($17.5) than that. We both foresee a very strong quarterly result from two entirely different thought lines. I hope tarheelblue004 is more prescient.
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