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Harrow Health Inc (HROW)
NASDAQ:HROW
US Market

Harrow Health (HROW) AI Stock Analysis

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HROW

Harrow Health

(NASDAQ:HROW)

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Neutral 61 (OpenAI - 4o)
Rating:61Neutral
Price Target:
$50.00
▼(-2.15% Downside)
Harrow Health's overall stock score is driven by strong technical indicators and positive strategic moves, such as the acquisition of Melt Pharmaceuticals. However, financial performance issues, including high leverage and negative cash flow, along with a challenging valuation, weigh down the score. The earnings call provided a balanced view with strong product performance but highlighted some operational challenges.
Positive Factors
Revenue Growth
Strong revenue growth indicates robust demand for Harrow's products, enhancing its market position and supporting long-term financial stability.
Strategic Expansion
The planned product launches suggest a strong pipeline, which can drive future growth and expand Harrow's market share in the ophthalmology sector.
Acquisition of Melt Pharmaceuticals
This acquisition diversifies Harrow's offerings and positions it in the procedural sedation market, potentially boosting long-term revenue and market presence.
Negative Factors
High Leverage
High leverage can increase financial risk and limit flexibility, potentially impacting Harrow's ability to invest in growth opportunities.
Negative Cash Flow
Negative cash flow challenges the company's ability to fund operations and growth initiatives, potentially affecting long-term sustainability.
Profitability Challenges
Ongoing profitability issues may hinder Harrow's capacity to reinvest in its business, impacting future growth and shareholder returns.

Harrow Health (HROW) vs. SPDR S&P 500 ETF (SPY)

Harrow Health Business Overview & Revenue Model

Company DescriptionHarrow Health, Inc. (HROW) is a healthcare company focused on providing specialty pharmaceutical products and services, particularly in the field of ophthalmology. The company develops and commercializes innovative compounded medications, primarily targeted at treating eye diseases and conditions. Harrow Health is dedicated to enhancing patient care through its proprietary formulations, which are often tailored to meet specific patient needs, and it operates within a rapidly growing sector of the healthcare industry that emphasizes personalized medicine.
How the Company Makes MoneyHarrow Health generates revenue through the sales of its compounded pharmaceutical products, which are primarily used in ophthalmology. The company employs a revenue model that includes direct sales to healthcare providers, pharmacies, and hospitals. Key revenue streams come from the sale of its proprietary eye medications, as well as contract manufacturing services for third-party clients. Additionally, Harrow Health may engage in partnerships with other pharmaceutical companies to expand its product offerings or enhance distribution capabilities, further contributing to its earnings. The company's focus on niche markets within specialty pharmaceuticals allows it to leverage higher margins compared to traditional pharmaceuticals, thus bolstering its financial performance.

Harrow Health Earnings Call Summary

Earnings Call Date:Nov 10, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Mar 25, 2026
Earnings Call Sentiment Positive
The earnings call highlighted strong revenue growth and successful product performances, particularly with VEVYE and IHEEZO, alongside significant strategic coverage wins for VEVYE. However, there were challenges with TRIESENCE's performance and potential issues with ImprimisRx that may affect future revenues.
Q3-2025 Updates
Positive Updates
Strong Revenue Growth
Total revenue for the third quarter was $71.6 million, representing a 45% increase over the same period in 2024 and a 12% sequential increase from the second quarter of this year.
VEVYE and IHEEZO Performance
VEVYE delivered 22% quarter-over-quarter revenue growth, and IHEEZO delivered 20% quarter-over-quarter revenue growth, both on track for a record year.
New Coverage Wins for VEVYE
Agreements signed with leading national payers for VEVYE, which will be listed on multiple new formularies with a preferred product status beginning January 2026.
Strategic Expansion
Preparing for 4 product launches over the next 3 years, including BYOOVIZ, OPUVIZ, BYQLOVI, and MELT-300.
Adjusted EBITDA and Operating Leverage
Adjusted EBITDA for the third quarter was $22.7 million. Operating expenses continue to be relatively stable quarter-to-quarter, showing operating leverage within new revenue gains.
Negative Updates
Underperformance of TRIESENCE
TRIESENCE and the broader specialty branded portfolio underperformed this year, including in the third quarter.
ImprimisRx Challenges
If unable to resolve the dispute with the California Board of Pharmacy, there may be a minor impact on ImprimisRx's fourth quarter revenue. Additionally, an inventory shortage in October caused a onetime decrease of about $4 million to $6 million in its revenue for the fourth quarter.
Company Guidance
During the Harrow Third Quarter 2025 Earnings Conference Call, the company provided detailed guidance and insights into their operational and financial performance. Harrow reported a total revenue of $71.6 million for the third quarter, marking a 45% increase compared to the same period in 2024 and a 12% sequential increase from the second quarter of 2025. The company's key products, VEVYE and IHEEZO, showed strong performance with VEVYE delivering 22% quarter-over-quarter revenue growth and IHEEZO achieving 20% growth. Harrow updated their full-year revenue guidance to a range of $270 million to $280 million, reflecting a more conservative approach to their financial targets. The company remains optimistic about the long-term growth trajectory, driven by the planned launch of four new products over the next two years, including BYOOVIZ, OPUVIZ, BYQLOVI, and MELT-300. Harrow also highlighted significant coverage wins for VEVYE, which is expected to drive prescription growth and improve pricing stability. Overall, the company's strategic focus on expanding market access, operational efficiency, and disciplined execution positions them well for sustained growth.

Harrow Health Financial Statement Overview

Summary
Harrow Health demonstrates strong revenue growth and improving operational margins, but profitability remains a challenge with negative net income. The high leverage poses financial risks, and cash flow management needs improvement to support sustainable growth.
Income Statement
65
Positive
Harrow Health shows a strong gross profit margin of 74.56% TTM, indicating efficient cost management. However, the net profit margin is negative at -4.49% TTM, reflecting ongoing challenges in achieving profitability. Revenue growth is positive at 9.83% TTM, suggesting a healthy expansion trajectory. The EBIT and EBITDA margins have improved to 6.21% and 14.10% TTM, respectively, showing operational improvements.
Balance Sheet
50
Neutral
The company has a high debt-to-equity ratio of 4.66 TTM, indicating significant leverage and potential financial risk. Return on equity is negative at -17.50% TTM, reflecting challenges in generating returns for shareholders. The equity ratio is relatively low, suggesting limited equity financing compared to total assets.
Cash Flow
40
Negative
Operating cash flow is positive at $17.67 million TTM, but free cash flow remains negative, indicating cash outflows after capital expenditures. The free cash flow growth rate is negative, and the free cash flow to net income ratio is -8.52, highlighting cash flow challenges despite operational improvements.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue250.04M199.61M130.19M88.59M72.48M48.87M
Gross Profit186.44M150.37M90.55M63.21M54.26M34.41M
EBITDA38.46M22.13M11.95M4.75M5.10M2.62M
Net Income-4.99M-17.48M-24.41M-14.09M-18.01M-3.36M
Balance Sheet
Total Assets363.07M388.97M311.75M157.38M98.33M57.47M
Cash, Cash Equivalents and Short-Term Investments74.29M47.25M82.77M101.86M50.67M32.75M
Total Debt251.87M228.83M190.50M112.23M77.96M23.53M
Total Liabilities316.41M319.67M241.75M130.14M87.40M30.65M
Stockholders Equity47.02M69.65M70.36M27.59M11.29M27.18M
Cash Flow
Free Cash Flow-20.47M-60.88M-148.71M-6.07M-23.43M-2.09M
Operating Cash Flow17.67M-22.20M3.84M1.71M5.08M-1.10M
Investing Cash Flow-38.29M-33.16M-152.55M-1.74M-18.69M-981.00K
Financing Cash Flow22.30M28.53M126.53M54.14M51.47M1.43M

Harrow Health Technical Analysis

Technical Analysis Sentiment
Positive
Last Price51.10
Price Trends
50DMA
40.34
Positive
100DMA
39.73
Positive
200DMA
33.70
Positive
Market Momentum
MACD
2.80
Negative
RSI
74.16
Negative
STOCH
96.97
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For HROW, the sentiment is Positive. The current price of 51.1 is above the 20-day moving average (MA) of 42.60, above the 50-day MA of 40.34, and above the 200-day MA of 33.70, indicating a bullish trend. The MACD of 2.80 indicates Negative momentum. The RSI at 74.16 is Negative, neither overbought nor oversold. The STOCH value of 96.97 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for HROW.

Harrow Health Risk Analysis

Harrow Health disclosed 58 risk factors in its most recent earnings report. Harrow Health reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Harrow Health Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
77
Outperform
$1.18B11.4814.84%-0.03%-27.66%
69
Neutral
$1.03B53.782.90%3.14%
64
Neutral
$1.84B50.317.83%48.87%
61
Neutral
$1.86B-9.54%47.83%84.72%
59
Neutral
$2.08B-0.32%79.88%99.60%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
46
Neutral
$1.06B-17.46%-1.19%5.06%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
HROW
Harrow Health
51.10
15.60
43.94%
AVDL
Avadel Pharmaceuticals
21.39
11.00
105.87%
PCRX
Pacira Pharmaceuticals
25.73
5.87
29.56%
ANIP
ANI Pharmaceuticals
82.13
25.54
45.13%
AMPH
Amphastar Pharmaceuticals
25.90
-16.34
-38.68%
EVO
Evotec AG
3.07
-1.42
-31.63%

Harrow Health Corporate Events

M&A TransactionsBusiness Operations and Strategy
Harrow Health Completes Acquisition of Melt Pharmaceuticals
Positive
Nov 18, 2025

On November 17, 2025, Harrow, Inc. completed its acquisition of Melt Pharmaceuticals, Inc., a clinical-stage pharmaceutical company specializing in non-opioid, non-IV sedation therapies for medical procedures. This strategic acquisition expands Harrow’s portfolio and positions it to enter the multi-billion-dollar procedural sedation and anxiety market with products like MELT-300, a sublingual sedation therapy that has shown promise in clinical trials. The acquisition is expected to enhance Harrow’s market positioning by offering innovative sedation options that reduce opioid exposure and improve patient experiences across various medical specialties.

M&A TransactionsBusiness Operations and StrategyFinancial Disclosures
Harrow Health Reports Strong Q3 2025 Financial Results
Positive
Nov 10, 2025

Harrow Health announced its financial results for the third quarter of 2025, reporting a 45% increase in total revenues to $71.6 million compared to the same period last year. The company achieved a GAAP net income of $1.0 million and an adjusted EBITDA of $22.7 million. Significant strategic initiatives included the launch of TRIESENCE® into its largest market, the upcoming rollout of the Harrow Access for All program, and the expansion of its commercial leadership team. Harrow also entered into coverage agreements for VEVYE with several leading national payers, enhancing its market positioning. Additionally, Harrow announced the acquisition of Melt Pharmaceuticals, Inc., aiming to expand its product offerings with Melt’s innovative non-opioid, non-IV sedation therapies.

Executive/Board ChangesBusiness Operations and Strategy
Harrow Health Announces New Leadership at ImprimisRx
Positive
Oct 6, 2025

On October 6, 2025, Harrow, Inc. announced leadership changes at its subsidiary ImprimisRx, with Frank Mullery appointed as Chief Executive Officer and Bridseida Cruz as Head of Quality. These appointments are expected to drive the next phase of growth and innovation for ImprimisRx, a national leader in ophthalmic compounding, as part of Harrow’s vision to become a prominent U.S. ophthalmic company. The leadership changes are anticipated to enhance the company’s operational phase, fulfilling unmet needs of U.S. eyecare professionals and benefiting stakeholders by continuing to provide critical, affordable medicines.

Private Placements and Financing
Harrow Health Secures New $40 Million Credit Facility
Neutral
Sep 29, 2025

On September 26, 2025, Harrow, Inc. entered into a New Credit Agreement with Fifth Third Bank for a senior secured revolving credit facility of $40 million, with an additional uncommitted $20 million line of credit. The agreement, maturing in 2030, includes covenants and financial requirements, impacting Harrow’s financial operations and strategic flexibility.

Regulatory Filings and Compliance
Harrow Health Hosts Investor Day Presentation
Neutral
Sep 26, 2025

On September 26, 2025, Harrow, Inc. hosted its Investor Day, during which the company presented an investor presentation that was also used in subsequent investor meetings. The presentation was made available as part of a Current Report on Form 8-K, but the information is not considered filed under the Securities Exchange Act of 1934 or the Securities Act of 1933.

M&A TransactionsBusiness Operations and Strategy
Harrow Health Acquires Melt Pharmaceuticals for Expansion
Positive
Sep 26, 2025

On September 26, 2025, Harrow announced its agreement to acquire Melt Pharmaceuticals, a company specializing in non-opioid, non-IV sedation therapies. This acquisition, subject to customary closing conditions, aims to strengthen Harrow’s portfolio and market presence by integrating Melt’s innovative MELT-300 product, which has shown clinical superiority in sedation without the need for intravenous administration. The acquisition is expected to diversify Harrow’s business, enhance operational synergies, and expand market opportunities, particularly in the U.S. procedural sedation market.

Delistings and Listing ChangesPrivate Placements and Financing
Harrow Health Completes $250M Senior Notes Sale
Neutral
Sep 12, 2025

On September 8, 2025, Harrow, Inc. entered into a purchase agreement with BTIG, LLC for the sale of $250 million in senior notes due 2030, with a 8.625% interest rate. The company completed the sale of these notes on September 12, 2025, receiving approximately $244 million in net proceeds. Harrow intends to use these funds to prepay existing borrowings, pay exit costs, and for general corporate purposes, including potential strategic business development opportunities. Additionally, Harrow announced the redemption of its 8.625% Senior Notes due 2026, scheduled for October 13, 2025, which will result in their delisting from Nasdaq.

Private Placements and FinancingBusiness Operations and Strategy
Harrow Health Announces $250 Million Notes Offering
Positive
Sep 9, 2025

On September 8, 2025, Harrow, Inc. announced the pricing of its $250 million offering of 8.625% senior unsecured notes due 2030. The proceeds from this offering are intended to repay existing debts, including a $107.5 million facility with Oaktree Fund Administration and outstanding senior notes, with any remaining funds to be used for general corporate purposes. This strategic financial move is expected to impact Harrow’s operations by reducing existing debt and potentially funding future business development opportunities.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Dec 09, 2025