Which Drug Makers Are Most At Risk?

Below is a description of Mallinckrodt, Insys and Endo and why I believe they are most vulnerable due to their high debt load or the amount of opioids they sold.

Mallinckrodt

Mallinckrodt is known for its its top-selling drug, Acthar, which treats infantile spasms. Acthar represents over 35% of Mallinckrodt’s total revenue. As early as Q3 2015 its Specialty Generics segment, which houses opioids like Hydrochodone and Oxycodone, generated $297 million in revenue and represented 38% of the company’s total revenue. At Q4 2017 the segment generated $196 million in revenue and was only 25% of the company’s total. Mallinckrodt put the segment up for sale in the first half of 2017, but received no takers.

It also agreed to pay a $35 million settlement last year for failure to report suspicious orders of pharmaceuticals and for violating certain provisions of the Controlled Substances Act (“CSA”). After its acquisition of Sucampo its debt/EBITDA could exceed 5x. The company is highly-indebted and currently lacks the liquidity to fund a large legal settlement. At Q4 2017 Mallinckrodt had about $1.3 billion in cash on hand. I expect nearly $1.2 billion will eventually to go to pay for the Sucampo deal. Another $300 million is needed to make a principal payment in the next few months. I doubt it has any excess liquidity to fund a major legal pay out related to opioid sales.

Endo Pharmaceuticals

Endo’s sales consist of generics and branded drugs, which includes pain-related drugs like Opana, Percocet, Voltaren and Lidoderm. Its revenue is currently in free fall – Q4 revenue fell 38% Y/Y. Generics revenue was hurt due to disappointing launches of new drugs and a diminution of pricing power in North America. Branded revenue was off 28% Y/Y and currently represents nearly 30% of Endo’s total revenue. The Branded segment has been hurt by lawmakers’ tamping down on opioid prescriptions.

3 COMMENTS

    • Joe Smoe,

      Agreed. Purdue is one of the biggest offenders. Since it is not publicly-traded the Shock Exchange rarely writes about it. He usually only covers publicly-traded companies.

    • Jo Smoe,

      The Shock Exchange is interested in Purdue. He rarely writes about it since it’s not publicly-traded. Purdue is likely the king of opioids and trumps Endo, Mallinckrodt, Allergan, J&J, Teva, Depomed, and Insys.

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