Strong Revenue Growth
Q1 net sales of $27.6 million, representing 57% year-over-year growth driven by new patient starts and recurring pharmacy revenue.
Significant Gross Margin Expansion
Q1 gross margin was 59.5%, up 864 basis points year-over-year and up 52 basis points sequentially, driven by pharmacy-installed-base recurring revenue, lower cost of materials from scale and higher iLet production.
Pharmacy Channel Traction
Pharmacy-reimbursed new patient starts rose to a high-30s percentage in Q1 (from low-30s in Q4 and low-20s in Q1 2025), supporting recurring, high-margin revenue and management raised full-year pharmacy mix guidance to 37%–39% (from 36%–38%).
Raised Full-Year Guidance
Management raised 2026 revenue guidance to $131 million–$136 million (up from $130 million–$135 million) and raised full-year gross margin outlook to 57.5%–59.5% (from 55.5%–57.5%).
Healthy Cash Position
Approximately $240 million in cash, cash equivalents and investments as of March 31, 2026, with management stating they believe they are sufficiently capitalized to fund key initiatives.
Pipeline and Product Momentum
Progress on Mint patch pump toward an unconstrained commercial launch target by end of 2027; initiation of a Phase IIa feasibility trial for the bihormonal system; launch of Bionic Insights analytics feature for providers.
Market Expansion and Patient Conversion
Approximately 70% of new patient starts migrated from multiple daily injections (MDI), indicating expansion of the insulin pump market; estimated 25%–30% of new starts were type 2 patients being prescribed iLet off-label.