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HARROW, INC. (HROW)·Q3 2025 Earnings Summary

Executive Summary

  • Q3 2025 revenue was $71.6M, up 45% year over year and 12% sequential; GAAP diluted EPS was $0.03 and core diluted EPS was $0.33 .
  • Against S&P Global consensus, Harrow delivered a mixed print: revenue modestly missed ($73.70M consensus*) while normalized EPS exceeded ($0.26 consensus* vs $0.33 actual), so a revenue miss and an EPS beat.
  • Management lowered FY2025 revenue guidance to $270–$280M from “> $280M,” citing ImprimisRx’s October inventory shortage ($4–$6M Q4 impact) and near‑term factors, while reiterating strong momentum in VEVYE and IHEEZO .
  • Catalysts: VEVYE secured preferred formulary status with the largest U.S. PBM starting January 1, 2026, expected to lift ASP and units; TRIESENCE launched in ocular inflammation with price repositioning and early traction; Melt Pharmaceuticals acquisition progressing as a transformational opportunity .

What Went Well and What Went Wrong

What Went Well

  • VEVYE revenue reached $22.6M, +22% QoQ, with prescriptions hitting an all‑time high in October; market share rose to 10.5%, +2.7 points QoQ, supported by VAFA and expanding specialty pharmacy partners .
    Quote: “VEVYE will be listed on multiple new formularies with a preferred product status, including the largest U.S. Pharmacy Benefit Manager” .
  • IHEEZO revenue was $21.9M, +20% QoQ, with unit demand +47% YoY and an 86% reorder rate; Q4 is historically the strongest quarter with stocking activity already evident .
  • TRIESENCE and specialty branded portfolio showed sequential momentum: $6.9M revenue (+33% QoQ), 67% unit growth, and 53% of ordering accounts were new; ocular inflammation launch began October 1 with validated coverage and early surgeon adoption .

What Went Wrong

  • Rare & Specialty Products underperformed earlier in 2025; management installed new leadership and is rolling out Harrow Access for All to drive recovery beginning Q4 2025 into 2026 .
  • VEVYE ASP was “down modestly” sequentially in Q3 (management characterized as <10%), with stabilization and improvement expected as covered‑to‑cash pay ratio flips on new payer coverage .
  • ImprimisRx faces a California Board of Pharmacy licensing renewal dispute; plus an October inventory shortage is expected to reduce Q4 revenue by $4–$6M, contributing to lowered FY outlook .

Financial Results

MetricQ3 2024Q2 2025Q3 2025
Revenue ($USD Millions)$49.3 $63.7 $71.6
GAAP Diluted EPS ($)$(0.12) $0.13 $0.03
Core Diluted EPS ($)$(0.05) $0.24 $0.33
Gross Margin (%)76% 75% 75%
Adjusted EBITDA ($USD Millions)$8.8 $17.0 $22.7

Segment and product mix

SegmentQ3 2024 Revenue ($M)Mix (%)Q3 2025 Revenue ($M)Mix (%)
IHEEZO$12.9 26% $21.9 31%
VEVYE$5.2 11% $22.6 32%
Other Branded Products$10.3 21% $6.9 10%
ImprimisRx$20.7 42% $20.1 28%
Total$49.3 100% $71.6 100%

Additional product revenue detail (Q3 2025)

ProductQ3 2025 Revenue ($M)Sequential Change
VEVYE$22.6 +22% QoQ
IHEEZO$21.9 +20% QoQ
TRIESENCE & Specialty Branded$6.9 +33% QoQ
ImprimisRx$20.1 Stable

KPIs

KPIQ3 2025
VEVYE market share10.5% of total DED, +2.7 pts QoQ
Prescribing physicians (VEVYE)+36% by end of September
IHEEZO unit demand50,565 units (+47% YoY)
IHEEZO reorder rate86%
TRIESENCE ordering accounts53% new customers

Guidance Changes

MetricPeriodPrevious GuidanceCurrent GuidanceChange
Total RevenueFY 2025“> $280M” $270–$280M Lowered
Operating ExpensesQ4 2025 / FY 2026Not specified“Moderately increase” to accelerate sales; revenue‑generating OpEx Increased
VEVYE RevenueFY 2025“near $100M” target “near $100M” target reiterated Maintained
SeasonalityQ4 2025 → Q1 2026Not specifiedTypical decline from Q4 to Q1 expected Added reminder
ImprimisRxQ4 2025Not specifiedInventory shortage expected to reduce Q4 revenue by $4–$6M New headwind

Earnings Call Themes & Trends

TopicQ1 2025 (May)Q2 2025 (Aug)Q3 2025 (Nov)Trend
Access/Payer CoverageVAFA launched mid‑March; strong early refill rates (avg 9 refills for covered patient) Apollo Care alliance; nationwide retail coverage; ASP bias upward; >$280M FY target affirmed Preferred status wins incl. largest PBM effective Jan 1, 2026; two more specialty partners (Apollo Care live; Alto to follow) Strengthening coverage, broader distribution
VEVYE ASPStable with upward bias expected Stable upward bias Modest sequential decline (<10%); stabilization then improvement expected as covered/cash mix flips Near‑term dip; expected improvement with coverage
IHEEZO AdoptionMomentum building Retina pivot; new accounts; record back half expected +20% QoQ revenue; 47% YoY units; 86% reorder rate; strong Q4 stocking Accelerating adoption
TRIESENCE StrategyRe‑engagement underway Set to launch in ocular inflammation Price repositioned; ocular inflammation launch; 67% sequential units; 53% new accounts Early traction; growing
Supply/OperationsInventory restocking post Q4 Scaling platform; capital base strengthened ImprimisRx October inventory shortage; minor Q4 impact; rebuilding safety stock Temporary headwind; corrective actions
Regulatory/LegalImprimisRx license renewal dispute in California; actively seeking resolution Risk under negotiation
M&A/PipelineSamsung Bioepis biosimilars; BYQLOVI rights Melt Pharmaceuticals acquisition progressing; MELT‑300 seen as transformative Portfolio expansion on track

Management Commentary

  • “VEVYE will be listed on multiple new formularies with a preferred product status, including the largest U.S. Pharmacy Benefit Manager…tens of millions of lives” .
  • “We are updating our full‑year revenue outlook to a range of $270–$280 million…this new range is one I believe we can deliver” .
  • On VEVYE ASP: “I think it’s less than 10%…we anticipate that ratio [covered vs cash‑pay] is going to begin to flip…we’ll see ASP improving” .
  • On TRIESENCE pricing: “Pricing was at $944…products in [ocular inflammation] are probably 20%–25% lower…new orders are coming…we have now confirmed reimbursement” .
  • Commercial execution: “We’re activating advanced key account management…expanding awareness of Harrow Access Solutions…maintaining an efficient cost base” .

Q&A Highlights

  • VEVYE data disclosures: Company ceased third‑party TRx reporting for competitive reasons and is focusing on revenue disclosure .
  • Coverage economics: Largest PBM commercial lives win expected to lift ASP and volume; management adding ~10 territories now and targeting ~100 by Q2 2026 .
  • Bridging to coverage: High‑touch VAFA activation to keep patients on therapy through year‑end; no material VEVYE stocking impact expected in Q4 .
  • Q4 setup: Expect volume to drive revenue; VEVYE ASP stabilization supported by lower copay buy‑downs late in year .
  • TRIESENCE adoption: Re‑engaging surgeons; preservative‑free profile vs Kenalog; objective to reach nine‑figure annual revenue over time .

Estimates Context

MetricQ3 2025 ConsensusQ3 2025 Actual
Revenue ($USD)$73.70M*$71.64M
Primary EPS (Normalized)$0.26*$0.33
EPS # of Estimates7*
Revenue # of Estimates8*

Values retrieved from S&P Global.
Interpretation: Revenue was slightly below consensus, while normalized EPS exceeded consensus. Management’s GAAP diluted EPS was $0.03 (core diluted $0.33) .

Key Takeaways for Investors

  • Mixed headline: modest revenue miss and normalized EPS beat; underlying margin expansion and operating leverage evident (Adj. EBITDA +157% YoY) .
  • VEVYE coverage wins with the largest PBM are a 2026 ASP and unit catalyst; expect covered/cash mix to flip and ASP to improve; near‑term investments in sales capacity should be revenue‑generating .
  • IHEEZO’s momentum is durable into Q4, with stocking, high reorder rates, and retina adoption underpinning growth .
  • TRIESENCE’s ocular inflammation launch and price repositioning are already translating into orders, reorders, and new accounts; validated reimbursement supports scale‑up .
  • FY2025 guide trimmed to $270–$280M due to ImprimisRx’s October shortage; watch Q4 execution and commentary on Q4→Q1 seasonality .
  • Regulatory overhang: monitor California Board of Pharmacy renewal outcome for ImprimisRx operations .
  • Medium‑term optionality: Melt‑300 could be transformative for office‑based sedation; Samsung Bioepis biosimilars and BYQLOVI broaden the retinal and surgical portfolio .