Question · Q3 2025
Mark Goodwin asked about Lybalvi's stronger-than-expected performance and lower-than-expected gross-to-net in Q3, seeking insights into product dynamics and future gross-to-net expectations.
Answer
Todd Nichols, Chief Commercial Officer, explained that increased call volume from the expanded psychiatry sales force drove 25% year-over-year TRX growth and 16% new patient starts. He attributed lower gross-to-net to deductible resets and lower copay utilization. Richard Pops, CEO, emphasized Lybalvi's resonating efficacy. Todd Nichols added that typical seasonal patterns are expected to lead to a modest gross-to-net expansion in Q4.