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Collegium Pharmaceutical (COLL) investor relations material

Collegium Pharmaceutical Piper Sandler 37th Annual Healthcare Conference summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Piper Sandler 37th Annual Healthcare Conference summary2 Dec, 2025

Jornay PM growth and market positioning

  • Jornay PM is the only ADHD medication taken at night, offering delayed and extended release for all-day efficacy, leading to strong patient and physician uptake.

  • Q3 saw 20% year-over-year prescription growth and 22% growth in new prescribers, with net sales guidance raised to $145–$150 million, a 46% increase year over year.

  • The ADHD market is large and growing (100 million prescriptions, 6–8% annual growth), providing significant runway for Jornay PM.

  • The sales force expanded to 180 territories in April, targeting over 21,000 physicians, with a prescriber base split roughly 40% psychiatrists, 40% pediatricians, and 20% other specialties.

  • Jornay PM's patient base is currently 80% pediatric/adolescent and 20% adult, with adult prescriptions growing faster (29% vs. 18% for peds/adolescents).

Access, payer dynamics, and gross-to-net trends

  • Two-thirds of Jornay PM's business is commercial, one-third Medicaid; step edits require patients to try generics first, but prior authorizations are not overly burdensome.

  • Gross-to-net for Jornay PM improved to the mid-60% range, better than last year's 71%, due to improved returns and copay program management.

  • Most new patients are switchers from other methylphenidate or stimulant products, with a growing but still small share of treatment-naive patients.

Pain franchise exclusivity and investment

  • Belbuca's first potential generic entrant is Teva in January 2027, but Teva lacks tentative approval and has relinquished first filer exclusivity; other competitors face significant barriers.

  • Investment in Belbuca will continue at current levels until exclusivity status changes, with potential for volume growth if payer landscape remains stable.

  • Belbuca's gross-to-net is stable in the mid-50% range.

  • Nucynta faces multiple ANDA filers, but none have commercial-scale access to the API; an authorized generic partnership with Hikma provides favorable profit share.

  • Xtampza's only ANDA filer, Teva, is allowed to enter in September 2033; gross-to-net has improved to the mid-50% range and is expected to remain stable.

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Q4 202527 Feb, 2026
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Frequently asked questions

Collegium Pharmaceutical Inc. is a specialty pharmaceutical company that focuses on developing and commercializing medications for the treatment of pain and related conditions. The company emphasizes the use of innovative drug delivery technologies to create products designed to address medical needs while minimizing potential risks associated with treatment. The company is headquartered in Stoughton, Massachusetts, and its shares are listed on the NASDAQ.

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