Strong top-line growth and prescription momentum
Q1 2026 total revenue of $22.7 million, including $17.5 million in U.S. net product revenue for neffy. Neffy volume in Q1 was ~3x year-over-year (roughly +200% vs. prior-year Q1) and revenue was reported as more than double year-over-year (>100% YoY). The company added ~29,500 new neffy patients in Q1, bringing the U.S. installed base to ~120,000 patients.
Expanded commercial coverage and affordability initiatives
Approximately 90% commercial coverage with 57% of covered lives accessible without prior authorization. Launched a retail $199 cash-price program so patients with rejected commercial claims who fill at retail will pay no more than $199 (previously the $199 cash price was limited to specialty/telehealth channels). Florida Medicaid added unrestricted coverage effective July 1, bringing total unrestricted Medicaid coverage to 9 states.
Regulatory and international wins broaden addressable market
FDA removed the minimum age restriction from the neffy label (enabling pediatric patients >33 lbs and under 4 years access). Health Canada approved neffy as the first needle-free emergency treatment for allergic reactions; commercial launch by partner ALK planned later in 2026. European Commission granted marketing authorization for Euro neffy 1 mg.
Commercial execution and field expansion
Sales force expanded to 148 representatives in May with prioritized targeting of high-volume prescribers. Over 28,000 HCPs have prescribed neffy, with ~50% demonstrating repeat use. Neffy-in-Schools program reported over 200 successful uses, supporting familiarity and caregiver comfort.
Point-of-sale conversion and reduced prescription friction
Implemented a pharmacy-level automatic conversion for denied claims (using established vendor networks covering ~90% of pharmacies) to present a $199 cash option at point of sale, intended to reduce abandonment and negative prescriber feedback. Company reports ~55% of scripts currently go through retail and ~45% via the Blink/specialty channel.
Cash runway and path to profitability
Ended Q1 with $201 million in cash, cash equivalents and short-term investments. Management expects revenue to be back-half weighted and targets cash-flow breakeven by mid-2027, with gross-to-net currently in the low- to mid-50% range and a long-term retention target of ~50%.