Q1 2023 electroCore Inc.Earnings Call

Speaker 1: That.

Speaker 1: And the that that.

Speaker 2: If anyone should require operator assistance during the conference, please press star zero on your telephone keypad. As a reminder, this conference is being recorded. It is now my pleasure to introduce your host, Nicole Jones, in investor relations. Please go ahead.

Speaker 3: Thank you all for participating in today's Electric Core earnings call. Joining me today are Dan Goldberger, Chief Executive Officer, and Brian Posner, Chief Financial Officer. Earlier today, Electric Core released results for the first quarter ended March 31, 2023.

Speaker 3: A copy of the press release is available on the company's website.

Speaker 3: Before we begin, I'd like to remind you that management will make statements during the call that include forward-looking statements within the meaning of the federal securities laws, which are made pursuant to the Safe Harbor provision of the Private Securities Litigation Reform Act of 1995.

Speaker 3: Any statements contained in this call that are not statements of historical facts should be deemed to be forward-looking statements. All forward-looking statements including without limitation any guidance, outlook, or future financial expectations or operational activities and performance are based upon the company's current estimates and various assumptions.

Speaker 3: These statements involve material risk and uncertainties that could cause actual results or events to materially differ from those anticipated or implied by these forward-looking statements. Accordingly, you should not place undue reliance on these statements. For a list of the risks and uncertainties associated with the company's business, please

Speaker 3: Please see the company's filing with the Securities and Exchange Commission. ElectroCore describes any intention or obligation, except it's required by law to update or revise any financial projections or forward-looking statements whether because of new information, future events, or otherwise.

Speaker 3: This conference call contains time-sensitive information that is accurate only as of live broadcast today, May 3rd, 2023.

Speaker 4: With that, I'll turn the call over to the end. Thank you, Nicole. Hello, everybody, and thank you for joining us on today's call.

Speaker 4: We are thrilled to report another record revenue quarter with sales of $2.8 million for the period ended March 31, 2023.

Speaker 4: a 46% increase over the prior year.

Speaker 4: Gross margins expanded nicely to 84% for the first quarter of 2023.

Speaker 4: Our prescription headache business continues to grow worldwide.

Speaker 4: We launched two new non-prescription product lines in late 2022.

Speaker 4: TraVega as a direct to consumer wellness brand, and Taxstim for human performance for our active duty military personnel.

Speaker 4: Both new products exceeded our expectations in the first quarter and are driving excitement about the future.

Speaker 4: Truega is currently available exclusively through our e-commerce platform at truega.com.

Speaker 4: We are positioning Trevega as a direct to consumer wellness product for stress, mental for liquidity and sleep it.

Speaker 4: No prescription is required for this category.

Speaker 4: Tuvega recorded net sales of $147,000 in the first quarter of 2023.

Speaker 4: Based on this initial success, we are accelerating our marketing investments and raising our internal expectations for the product line.

Speaker 4: So far this year, our revenue return on advertising spend, what the industry calls a media efficiency ratio or MER, has been greater than 2.0.

Speaker 4: We're carefully monitoring return rates as well, which have been below 10% so far this year.

Speaker 4: We believe that the Travega business can scale nicely if we can maintain or improve these metrics as we move through the year.

Speaker 4: Taxed him for human performance is being sold to select Air Force and Army Special Forces units for accelerated training, sustained attention, reduced fatigue, and improved mood without a prescription as defined by the Air Force Research Laboratory or AFRL.

Speaker 4: We recorded $88,000 of taxed-em revenue in the first quarter of 2023.

Speaker 4: and I'm encouraged by the growing sales funnel for this product.

Speaker 4: In parallel, we're developing a second-generation product known internally as Tax-Sim 2.0 in collaboration with AFRL, and I expected deliver prototypes to light-patterson air force base for evaluation later this summer.

Speaker 4: Note that revenue growth for this product line is likely to be lumpy as active duty units purchase in bulk for pilot deployment.

Speaker 4: Turning now to our prescription headache business, the VA DoD Hospital channel continues to be our largest customer.

Speaker 4: You'll recall that our Gamma Corp prescription therapy is free to patients covered by veterans' administration's benefits.

Speaker 4: Representing about 10 million covered lives.

Speaker 4: Fails in the VADOD channel, who is 38% from $1,240,000 in Q1 2022, to $1,705,000 in the first quarter of 2023.

Speaker 4: 124 VA and DoD military treatment facilities have purchased prescription Gamma-Corps products through March 31, 2023.

Speaker 4: As compared to 105 who March 31st, 2022.

Speaker 4: U.S. commercial sales of prescription Gamma-Core products grew 56 percent from $276,000 in Q1 2022 to $430,000 in the first quarter of 2023.

Speaker 4: While Gamma Core is covered by certain express scripts and CVS Care Mark benefit plans, most of our growth is coming from cash pay channels, including GC Direct and GC Codsy Edge.

Speaker 4: These channels have grown from 410 prescribers at the end of the first quarter of 22 to 1,834 at the end of the first quarter of 2023.

Speaker 4: We added 506 new prescribers during the first quarter of 2023, and our prescriber numbers continue to show strong growth through April 2023.

Speaker 4: We believe the increase in prescribers could be a leading indicator of future growth.

Speaker 4: Last year, we announced a distribution agreement with Jernis Healthcare LLC that we believe will add more than 12 and a half million covered lives within a select managed care health system.

Speaker 4: The business model with JURANS will be similar to how we work with the VA hospital system.

Speaker 4: Jarensel handles adjudications, billing, and collections, while electrical will ship directly to patients who provide in-servicing and patient support.

Speaker 4: Our field sales team is responsible for educating clinicians within those managed care systems. We continue to work with germs on the implementation, and while we did not have any revenue in this panel in the first quarter of 2023, we've been notified that the first prescriptions were being processed through germs late last month.

Speaker 4: Revenue from channels outside the United States increased a healthy 34% to $410,000 in the first quarter of $23,000 as compared to $305,000 for the first quarter of 2022.

Speaker 4: OUS revenue included $45,000 of licensing fees in Japan, while most of the balance was generated in the United Kingdom by prescription Gamma Core sales funded by the National Health Service or NHS.

Speaker 4: Now, turning to our clinical progress.

Speaker 4: On April 26, 2023, we announced that the National Institute on Drug Abuse, NIDA, part of the National Institute of Health NIH, has awarded Amory University and Georgia Institute of Technology a three-year, $6 million grant through the NIH, helping to end addiction-long term or a devastating violence sexually-???hnontomy.

Speaker 4: to conduct a pivotal clinical trial of Gamma Core and BNS for the treatment of opioid use disorder, OUD.

Speaker 4: Double blind randomized and controlled study to be funded by the grant will recruit approximately 100 patients with OUD.

Speaker 4: The primary efficacy endpoint of the study will be peak difference in the subjective opioid withdrawal score between NVNS and sham treatment on day 2 and 3 of the initial withdrawal period.

Speaker 4: On April 24, 23, we announced that the Air Force Research Laboratory's reported data from its study on the ability of our noninvasive vagus nerve stimulation to improve second language learning. The study was conducted at the Defense Language Institute in Monterey, California, the U.S. Department of Defense's premier language school.

Speaker 4: The study was supported by the Defense Advanced Research Projects Agency, DARPA, within their targeted Neural Plasticity Training Program.

Speaker 4: The study showed a significant positive effect of NVNS over sham on language recall. Participants receiving our treatment also showed significant increases in energy and focus over the course of each training session.

Speaker 4: On March 23, 23, we announced the publication of a paper entitled, Non-invasive Vegas Nursed Immulation Improves, Brain Legion Volume, and Neurobehavioral Outcomes in a Rat Model of Traumatic Brain Entry.

Speaker 4: in the peer-reviewed journal of NeuroTrump. The control group showed significant deficits, but all of these deficits were reduced in the high-dose NVNS group.

Speaker 4: Additional work on the potential benefits of NVNS on TBI will be funded by an exploratory development research grant, an R21 from the National Institute of Neurological Disorders and Stroke.

Speaker 4: We will continue to provide updates about our pipeline and other opportunities.

Speaker 4: Now, I'll turn the call over to Brian for a review of our financials and other guidance items.

Speaker 4: to Brian for a review of our financials and other guidance items. Brian ?

Speaker 4: Thank you, Dan. For the quarter-ended March 31, 2023, a lecture court recorded net sales of $2.8 million compared to $1.9 million during the same period of 2022, which represents an approximately 46% increase over the higher year. oh

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Speaker 4: Grows margin for the first quarter of 2023 with 84%, compared to 81% in the first quarter of 2022.

Speaker 4: Total operating expenses in the first quarter of 2023 were approximately $8.5 million as compared to $7.1 million in the first quarter of 2022.

Speaker 4: Research and development expense in the first quarter of 2023 was $1.8 million, compared to $934,000 in the first quarter of 2022. This increases primarily due to target investments to support the future iterations of our therapy delivery platform, including the use of our intellectual property around the delivery of smart.

Speaker 4: charges of $332,000, as well as continued targeted investments in sales and marketing to support our commercial efforts.

Speaker 4: offset by decreases in insurance and stock based compensation expense.

Speaker 4: Gap net loss in the first quarter of 2023 was $5.9 million compared to the $5.6 million net loss in the first quarter of 2022.

Speaker 4: Adjusted EBITDA net loss in the first quarter of 2023 was $5.1 million. Let's compare to a net loss of $4.6 million in the first quarter of 2022. A reconciliation of GAP net loss to nine GAP adjusted EBITDA net loss has been provided in the financial statement tables, including today's press release.

Speaker 4: Net cash used in operating activities in the quarter-ended March 31, 2023 was approximately $5.9 million as compared to $4.8 million in the first quarter of 2022. This increases primarily due to our investment in product evolution expenditures.

Speaker 4: We expect the investment level in R&D to begin tapering off for the remainder of the year.

Speaker 4: Total liabilities decreased from $7.7 million as of December 31, 2022 to $6.5 million as of March 31, 2023, contributing to the $5.9 million of net cash used in operating activities in the first quarter of 2023.

Speaker 4: Cash, cash equivalence, and we've restricted cash at March 31, 2023 total approximately $12.2 million as compared to approximately $18 million as of the summer 31st, 2022.

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Speaker 4: For the full year 2023, we are reiterating our net revenue guidance of $14 to $15 million representing more than 60% growth over 2022.

Speaker 4: We believe that our prescription-headed channels will continue growing by more than 50% to at least $12 million for the full year and revenue from new products in the TREVEGA and taxed in brands could be more than $2 million for the full year. We expect net cash usage in the remainder.

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Speaker 4: We expect our net cash usage to decrease significantly as we progress through the year. And now I'll turn the call back over to Dan.

Speaker 4: Thank you, Brian . I'm very pleased with our first quarter 2023 operating results and we are increasingly enthusiastic about the company's long-term prospects, especially in our two new product lines, Trudega and Taxton.

Speaker 9: Continued investment in our cash pay and covered business models have greatly expanded the prescription Gamma Corthera Be market as reflected by the continued revenue growth number of facilities and number of prescribers realized in the first quarter of 2023.

Speaker 9: Trvega has tons of potential as a direct to consumer wellness offering. We've started with an e-commerce business model which will be the focus this year, and I look forward to launching a next-generation app-enabled product platform next year.

Speaker 9: We believe our metrics are trending in the right direction and we will continue to adjust our investment in all of our commercial channels as the year progresses.

Speaker 9: Taxed in 2.0 is the next generation human performance product, being financed in part by the Air Force Special Forces through their Blues program.

Speaker 9: It could accelerate the adoption of NVNS for human performance among our active duty military incoming years.

Speaker 9: A pipeline of interest from different branches of the military continues to develop for our taxed-in product, which may result in expanded adoption in future quarters.

Speaker 9: The man for our prescription gamma core therapy into VA, DOD channel continues to grow based on clinical performance and our increased presence in the field.

Speaker 9: We now have about 45 straight commission sales agents for 1099 reps in the field, managed by our small team of territory business managers and supported by our customer experience team. Note that our sales and marketing expense increased.

Speaker 9: by $300,000 from $2.4 million in the first quarter of 2022 to $2.7 million in the first quarter of 2023. While sales grew almost $900,000.

Speaker 9: signaling that there may be real average opportunities in the P&L if revenue increases over time.

Speaker 9: The timing of certain disbursements led to a substantial increase in cash used in operations in the first quarter is Brian explained. Our R&D spend on new products likely peaked during the quarter and we had one time expenses around the special meeting of shareholders, reverse split and severance costs.

Speaker 9: Quarterly cash usage is expected to decline as we go through the year due to anticipated revenue growth, growth margins greater than 80 percent, declining R&D investments, and our intention to maintain discipline around operating expense.

Speaker 9: For their out, we're working towards establishing additional indications for prescription Gamma Corps to treat post-traumatic stress disorder and or opioid use disorder.

Speaker 9: Look for new product launches in 2024 featuring our app-enabled technology that can provide digital health solutions. That product platform will be launched in HEDA, Wellness, and Human Performance as we ramp up our supply chain.

Speaker 9: We see many potential growth drivers for the remainder of 2023 and beyond, including continued growth in our U.S. prescription headache business and both the VA, DOG and commercial channels.

Speaker 9: Further development of the Truevega product for wellness, mental acuity and sleep, driven by increased direct-to-consumer marketing efforts.

Speaker 9: Further development of the taxed in brand for human performance in the active duty military and beyond.

Speaker 9: Our app enabled new product platform that will facilitate consumer facing digital health solutions and unlock new business models and prescription Gamma Core label extensions into PTSD and or OUD in 2024 and 2025.

Finally, in February 2023, we implemented a one-for-fifteen reverse split and regained compliance with NASDAQ listing requirements on March 6, 2023. We've been comfortably above any lifting requirements since effectuating the reverse split.

At this time, I'll turn the call over to the operator. Operator, please open the line for questions.

I'll turn the call over to the operator. Operator, please open the line for questions. Thank you.

We will now be conducting a question and answer session.

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One moment please while we pull for questions.

Our first question comes from Jess Cohen with Leidenberg-Palman. Please go ahead. Please jump up.

Hey, this is actually Destiny on Sir Jeff. Thank you for taking our questions. I guess what I'd like to start with is actually the VA and DOD channels. You now have 324, if I heard correctly, facilities and 45 rats. One type of group.

122. Okay, got it, got it. So can you talk a little bit more about the growth there and now that you have the 45 reps, how you see it growing throughout the balance of the year and then obviously beyond? Yep, so thanks for the opportunity, Desk.

and going deeper within those existing customers.

Both of those tasks at the end of the day still require feet on the street. We just haven't found a way to get these kinds of hospital days sales without showing up and showing up reliably. And that's where the Straight Commission sales agents, I call them, really allow us to scale the activity.

Many of us at the home office are.

Medical Affairs team, our Territory Business Managers get involved in targeting specific new facilities to open up. And then once we have opened them up, we rely on the local sales agents as well as our customer experience team to follow through.

And this is one of those areas where success gets success. And more and more are sales agents. They're doing better. And their network of colleagues who are also in the neighborhood here about their success.

We're looking at some acceleration in our ability to reach new facilities as well as to go deeper within existing facilities.

And just to be clear, the sales agents were all variable with expense. There's no fixed expense associated with them.

Got it. Okay. Okay. And you said you had 45 reps. Has that changed at all since last? That's a, yeah. That's a dramatic increase from where we were at the end of last year. We were just starting to put together our network of

of 1099 reps as we exited last year. Perfect, okay, that's really encouraging, thank you. And then perhaps I'll go over to TaxSim 2.0 as you're calling it. Can you just talk a little bit about some of the advancements you're making or some differences between the TaxSim Device Now and 2.0? And then,

Yeah, well, let's start with that and then I'll have a follow up. Sure. So Air Force research laboratories.

has been working closely with us to develop a middle spec rugged

a reliable version of our handheld personal use, Vegas Nurse Simulator. We actually had the great pleasure of showing some prototypes to special courses operators.

and it's a whole bird field in Florida just last week and they're getting very excited about

this next generation configuration because it's going to be far more useful to them in the field.

As far as timing, we're going to have to stay quiet about the timing for when that product is going to launch, but we're very excited about it. And maybe more importantly, the special for his operators who are excited about it.

Absolutely. Okay, great. Thank you. And then I want to bounce over to Truvega. I was wondering if you could talk a little bit about your demographic data there, given that this is a kind of an over-the-counter type product that's pretty readily available. Are you seeing a huge change or difference in demographic?

between your Gamma Core and the TruVega? So most of our US Gamma Course sales are through the VA hospital system.

And that's a very different demographic. But on the commercial side,

I think the demographic skews younger and is closer, but still, the Travega personas that we're currently targeting with our media spend and our...

graphics, skews, younger and is closer. But still, the Travega personas that we're currently targeting with our media spend and our spend, our...

Internet search and social media spend is younger and more affluent, but it's really small numbers at this point and I want to draw to make conclusions from what are really small numbers by the grant scheme and things.

Okay, got it. And then Brian , I just have a couple for you. The gross margin expansion is this kind of a level we should expect to see going forward. And the driver is volume or channels or both. Yeah, I guess let's start with that. I get ahead of myself. Anyway.

That's okay. I'll try to keep up with you. No, we've been consistently in the 80s for the past year. We had some cleanup on the balance sheet in Q4. So we were down to 75%, but without that cleanup, we would have been right around where we finished Q1. So I think that's, you know, right now that the 80s is the safe place to assume. I think it's a combination of increased revenue. Revenue. Yes.

That way we absorb more labor and overhead. We continue to also sell more and more longer duration products, which also is a creative to growth margin as well.

Okay, got it. Thank you. And then last one I promise in terms of a greater investment in marketing, what kind of investment are you looking at maybe on a percentage basis?

So I talked a little bit about the growth in our sales and marketing expense compared to the growth in revenue.

And back to the envelope, our sales marketing expense grew. It's less than 30% of revenues. So I think that might be a good way to think about how we're going to be reinvesting in sales and marketing to grow that revenue line.

Okay, perfect. Well, that does it for me. Thank you for taking my many questions, but I'll hop back in here. Absolutely. Thanks for your support.

Next question, come from John Vandermolster.

sex, C, S, C, R, please go ahead.

Thank you and hello Dan and Brian . You guys have had a lot of great pressure releases on just the wide profile of the device and what it can do. And you know language learning is just something else I hadn't even thought about but.

you know, in our research, you know, we've seen a lot of other areas that you've talked about also as well. And, you know, it seems to have a safety profile and kind of the benefits of exercise, right? But without the effort. And you also have opened up a channel that, that, it doesn't really allow me to rely on the FDA to distribute the product. And I'm wondering, you know, how can you leverage that? And also,

get more eyes on the product and what it can do to really leverage that Trivega channel that you have. Well, this is early days for us, John , but you're absolutely right, right?

If we do this correctly, the direct to consumer wellness, for stress, for mental acuity, for sleep, is going to draw attention to the fundamental benefits of Vegas and our stimulation and should have carry over to our prescription strength, Gamma Core brand, and vice versa.

And then all of the work, the really exciting work that Army Special Forces and Air Force Special Forces are doing that I can't talk about yet. And I'm really looking forward to the day that we can start a campaign that's, for example, has used by Army Special Forces. So all three brands, if we do this correctly, are going to reinforce...

and build on each other. The other yet another opportunity for us, and we haven't talked about it too much yet, is the relatively young Vegas nerve society. It's a professional academic society, which is really focused on...

all of the benefits and method of operation of the Vegas nurse.

starting from holistic approaches, including implants, and of course non-invasive, minimally invasive approaches. But that society is becoming a form of broad-based discussion by healthcare professionals, by neuroscientists, and ultimately, I think, by the lay public as well.

Okay, and as you know, we're still in the early stages of Chivega, you know, the very low revenues relative to some of the other businesses. But I guess do you prefer, you know, an emerging basis to prefer a dollar revenues from Chivega or the VA kind of NHS source? You know, all of these all three of the brands.

Right now are at low 80% gross margins, so they all help each other. And because we're still a very small business, revenue in general helps us spread this.

And wanted to look at the NIDA grant. How was that going to flow through your income statement? You mentioned it was a three-year study. It's not... It's not... I'm not sure. I'm not sure. The NIDA grant is to Emory University and the VA, the Atlanta VA Hospital. All of that money is going to those entities to execute the pivotal trial. So, I'm going to write a way to think about it. It's an expense offset because that pivotal trial will become the foundation.

of a 510K submission and ultimately a label extension to treat the symptoms of withdrawal from opioid use. So it's money that we don't have to spend in order to get that additional indication in the future.

Okay. And you know, it was a three year study. What was the start date on that or anticipated to start? So the trial will start in coming months. We're optimistic that they will complete enrollment towards the end of 2024.

which case we can execute on the regulatory process in 2025.

And the last thing, Pagin, you had a press release and I don't think that you received any license fee from them. Are there any monolstones in the near term or medium term that we should look out for to help us predict what else you're going to do to make them? So we're booking license revenues on a quarterly basis and they're making quarterly payments. I think what you're really asking is when is it going to turn into product sales and that's probably over. That's probably still over the planning horizon there. Our good friends at Tation are working with the Japanese Ministry of Health.

The lobbying hard to get the Ministry of Health to accept the pivotal data that was collected in the United States, but that there's still a high likelihood that they're going to be forced to conduct at least a small and country pivotal trial, which is going to chew up calendar time. Got it. All right, Dan. Thank you so much and Brian , thank you as well.

Obviously, we've discussed quite a few interesting pieces of the company. The couple of things that I would like to understand a little bit more is, so on the commercial business, I believe you stated that there are about 1,834 plus drivers that are approximately 516 new additions, which is quite a decent number in terms of the drivers added. How does that translate to revenue? You said you're thinking of them as a leading indicator. I'm just trying to understand how are you coming to that conclusion? And you said, what is the lifetime you're thinking of from them coming on board to getting scripts written on a regular basis?

Yeah, so those, that cohort of 500 that we engaged in the first quarter, our metric is that we filled at least one prescription.

in order for that prescriber to be counted as a new prescriber. So, they're already generating revenue. And there are two metrics there. The first is how many of those are new prescriptions and how many are refill prescriptions. So, to an earlier question, Brian said something about...

product mix and refill prescriptions are our margin for us. But we need the new prescriptions in order to build the, the, the, it's called base if you will of a patby patients, they're going to come back for refill prescriptions. So there are two ways that this business builds on itself. The first is that once we've engaged a prescriber, if their patients have a good,

Jones health care. You're also suggesting that you know this could potentially become something close to what VA is doing for you. So for that really to happen, you know what needs to get done. I know you'll be adjusting very very.

meaningful revenue as we exit this year. As a practical matter, these first prescriptions are bumping their way through the Kaiser system first and then they get to Jerns and Jerns has to identify

the particular patient figure out which benefit plan they're on figure out where they are or where that individual is.

with respect to copays and deductibles. It's called adjudicating the prescription. And then they have to collect that copay from the patient before we can distance to the patient. And so each one of those...

steps has to be sorted out in the bureaucracy, but once it's sorted out it should start to become far more systematic and scalable. And so as the bureaucracy starts to work smoothly, we're going to take our same...

field sales force that's calling on VA hospitals to start calling on the Kaiser facilities to engage prescribers to scale that business and it's got a lot of the same characteristics as the VA hospital business so I'm very optimistic that it's always it's going to take a little longer than I want but I'm optimistic that as we roll into 2024 fundamentally, we'll have access to another 10 million covered lives. Very good. Then this is a kind of a two-part question so when we think about Gama Core, TruVega, Daxtin, Daxtin 2.0 um you know how how

What is the margin contribution from, you know, is the margin contribution different from each one of these things?

And then also in terms of the pricing, how different is it for these

And also in terms of the pricing, how different is that for each one of these?

So, it's a very good question and the numbers for our new brands are still very small. So the margin profile is going to evolve. The true Vega product that we're currently selling is on the Internet for $300 for a first transaction. So that's...

The price point, the tax tim is right now is very limited. Distribution to certain units of special forces and each one of those transactions has its own pricing profile. So...

price point. The tax tim is, you know, right now is very limited distribution to certain units of special forces and each one of those transactions has its own pricing profile. So right now it's... it's...

Not that it's complicated, but we're not sharing very much pricing information publicly until these lines of business get substantially larger. So the last question for me is again, among these four devices, like brand lines of chemical, is the technology any different? Or is it all the same?

but is not as energetic as the prescription strength. You know, we may have talked about it, but I can go to the corner store and get 200 milligrams of IV profan under the atrial brand pretty much any store you want to.

But I can also go to my doctor or dentist and get a prescription for motrin, which is 800 milligrams of ibuprofen. So there's prescription strength ibuprofen and then there's the direct to consumer over the counter strength. And that's how we're trying, that's how we...

differentiate those product lines. Okay, so Trubega is not going to teach me a different language or it will have a tougher time. No, no. Okay, thank you. Although there is evidence that it helps mental acuity, you're pretty sharp, you don't need it.

Thanks for taking my questions. Of course. Next question comes from Kim Oliver with Brookline Capital Market. Please go ahead.

I thank you and good afternoon just a couple of questions.

When you talk about R&D spin tapering from Q1's level, how much of a reduction should we think about?

Yeah, we're going to go ahead. Go ahead, Brian . That's a head right. Yeah. So we were about a million eight this quarter. I don't think we're going to give specific, you know, go look at the color guidance on the call, but we expect by the end of the year that number will go down significantly.

Okay, Dan, were you going to give away the goods? Nope, I was going to be even vaguer than him, than Brian . Okay. He wasn't going to use the word significantly, probably. Yeah. Fair enough.

With regard to Kaiser and Jerns, when you talk about the length of the process currently, claim adjudication once you get it set up and running is, at least in the prescription world's electronic and I assume with VA you're pretty well.

Kaiser and Jerns and it's automatic that a once a prescription is generated in a Kaiser facility. It flows through. There is always in this DME world, there's always a lack.

has to reach out to the individual around collecting deductibles or co-pays.

That's probably a 30-day step in the process on average, you know, summer much faster depending on the benefit plans. And that's...

But we have very very small numbers in that channel right now, so I'm really speculating. Okay, thank you. And Brian , I was looking at the 10Q quickly and there was a pretty significant reduction in the long-term inventory number. Can you...

you talk about you know the dynamic there and um you know when we thank you for noticing

about the dynamic there and when we ran you for noticing.

You know, just when you're we on track for that to say disappear by early 24 because it obviously the goal here is to avoid any right now consequence. Yeah, yeah, it's a great question. I don't think there's a right now a right down risk, you know, but it's more what do we expect?

to sell that we have an inventory in the next year from the date of the balance sheet. So the good news is the current is going up because one, we're selling inventory and two, we project our revenue to go up as you can see to our guidance. So eventually we won't have long-term inventory. We'll be more traditional just to the current asset, but that's good news. The more that goes into current from.

Great, thank you.

Thanks, Ken. Next question comes from Nick Sherwood with Maxim Group. Please go ahead.

Good afternoon. This is Nick Sherwood speaking for Anthony Pindetti of Maxim Group LLC. Can you give us a little more detail on what's driving the traffic for the e-commerce platform, Trivega? Is that a lot of digital marketing or are you seeing some organic growth from word of mouth that comes from the VA channel?

Yeah, so there is some organic, there's some early adopter. Most of our spend in the first quarter was around paid search.

We've started to open up social media channels and I think we just went live on TikTok. We're starting to learn about influencers. We're doing a lot of A-B testing on these different...

digital marketing techniques. So we're pretty excited. As I said in the script, it far exceeded our expectations in the first quarter and now we're feeling more and more comfortable about increasing the spend and maintaining that return on advertising.

There are no further questions at this time. I would like to turn the floor back over to Dan Goldberg for closing comments. Please go ahead. Oh, thank you operator and we appreciate everybody joining. Today's call. Lots of good questions. I hope we work.

helpful in our answers. I want to give special thanks to all of our employees and our new cohort of sales agents who are working tirelessly to deliver this amazing therapy to patients. I also want to thank the healthcare professionals and their patients, their loyal support of our Gamma Core Therapy.

We greatly appreciate support from Air Force Research Laboratories and the National Institute on Drug Abuse for supporting our new product initiatives and label expansions.

We've made a tremendous amount of progress and would not have been possible without all of you and your unwavering support. So thank you and have a good evening.

The conference has now concluded. Thank you for attending today's presentation. You may now disconnect.

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