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Medexus Pharmaceuticals Inc (TSE:MDP)
TSX:MDP
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Medexus Pharmaceuticals Inc (MDP) AI Stock Analysis

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TSE:MDP

Medexus Pharmaceuticals Inc

(TSX:MDP)

Rating:60Neutral
Price Target:
C$3.00
▼(-3.54% Downside)
Medexus Pharmaceuticals Inc's overall stock score reflects a mixed financial performance with stable gross margins but declining revenue and cash flow. Technical indicators suggest a neutral trend, while valuation metrics indicate overvaluation. The earnings call provides cautious optimism with strategic progress, but challenges remain.
Positive Factors
Gross Margin Improvement
The overall gross margin is expected to increase materially, with Grafapex expected to have gross margins in the 80% range.
Market Share Growth
Canadian unit demand for Trecondyv grew 70% and the drug holds a significant market share in pediatric and adult alloHSCT markets in Canada.
Product Launch
Positive signs are seen in the launch of Grafapex.
Negative Factors
Product Discontinuation
Management has decided to no longer sell Gleolan in the U.S. as the product was not profitable.
Revenue Decline
Total revenues decreased 4.6% year-over-year, a decline expected due mainly to generic pressure on Rupall.

Medexus Pharmaceuticals Inc (MDP) vs. iShares MSCI Canada ETF (EWC)

Medexus Pharmaceuticals Inc Business Overview & Revenue Model

Company DescriptionMedexus Pharmaceuticals Inc. (MDP) is a specialty pharmaceutical company focused on the development and commercialization of innovative and high-quality healthcare solutions for patients in North America. The company operates in the pharmaceuticals sector, providing a diverse portfolio of products across various therapeutic areas including autoimmune diseases, oncology, and pediatrics. Medexus is dedicated to addressing unmet medical needs and improving patient outcomes through its strategic product offerings and partnerships.
How the Company Makes MoneyMedexus Pharmaceuticals Inc. generates revenue primarily through the sale of its pharmaceutical products. The company's revenue streams are derived from direct sales to healthcare providers, hospitals, and pharmacies in North America. Medexus's business model also includes strategic partnerships and licensing agreements that expand its product portfolio and market reach. These partnerships often involve collaborations with other pharmaceutical companies to co-promote or distribute products, thereby enhancing revenue potential. Additionally, Medexus may receive milestone and royalty payments from licensing arrangements, contributing to its overall earnings.

Medexus Pharmaceuticals Inc Earnings Call Summary

Earnings Call Date:Aug 12, 2025
(Q1-2026)
|
% Change Since: |
Next Earnings Date:Nov 05, 2025
Earnings Call Sentiment Neutral
The earnings call highlighted the successful launch and positive early performance of GRAFAPEX, along with strategic achievements such as NTAP reimbursement approval and improved gross margins. However, these were balanced by challenges including declining revenues and adjusted EBITDA, increased expenses, and concerns about tariffs affecting costs. The overall sentiment is cautious optimism, with focus on future growth driven by GRAFAPEX.
Q1-2026 Updates
Positive Updates
Successful Launch of GRAFAPEX
GRAFAPEX generated $3 million in product-level net revenue in fiscal Q1 '26, with early adoption by major commercial payers and healthcare institutions. 36 of 180 transplant centers, representing 24% of total allo-HSCT procedures in the U.S., have ordered GRAFAPEX.
Positive NTAP Reimbursement for GRAFAPEX
Secured approval for NTAP reimbursement for GRAFAPEX from Medicare, providing up to $21,411 of additional reimbursement per eligible patient starting October 1, 2025.
Trecondyv Growth in Canada
Unit demand for Trecondyv grew 38% over the trailing 12-month period, with BC, Manitoba, Ontario, and Quebec executing listing agreements for reimbursement.
Gross Margin Improvement
Gross margin improved to 56.0% in fiscal Q1 '26 from 54.4% in the same period last year.
Debt Reduction
Net debt decreased to $12.6 million as of June 30, 2025, compared to $13.2 million as of March 31, 2025.
Negative Updates
Decrease in Total Net Revenue
Fiscal Q1 '26 revenue was $24.6 million, a decrease from $27.3 million in the same period last year.
Adjusted EBITDA Decline
Adjusted EBITDA was $3.4 million in fiscal Q1 '26, down from $6.1 million in the same period last year.
Rupall Revenue Erosion
Rupall revenues have decreased due to the loss of exclusivity in January 2025, with unit demand decreasing by 29% over the 6-month period ending June 30, 2025.
Increased SG&A Expenses
Selling, general, and administrative expenses increased to $12.2 million in Q1 '26 from $10.3 million in the same period last year.
Tariff Concerns
Anticipated 15% tariff on branded pharmaceutical products from the EU, including GRAFAPEX and Rasuvo, into the United States.
Company Guidance
During the Medexus Pharmaceuticals First Quarter 2026 conference call, the company provided detailed guidance on the financial metrics and strategic progress achieved. GRAFAPEX's commercial launch was highlighted, contributing $3 million to product-level net revenue in fiscal Q1 '26, with expectations to reach $3 million to $3.5 million in fiscal Q2 '26. GRAFAPEX has already been adopted by 36 transplant centers, representing 24% of allo-HSCT procedures in the U.S., and received Medicare's NTAP reimbursement approval, allowing eligible patients up to $21,411 in additional reimbursement starting October 1, 2025. Overall, the company reported fiscal Q1 '26 revenue of $24.6 million, down from $27.3 million the previous year, with adjusted EBITDA at $3.4 million, compared to $6.1 million last year. Despite a decrease in net income to $0.5 million from $2 million, Medexus remains optimistic, with GRAFAPEX expected to positively impact cash flows by fiscal Q3 '26. Meanwhile, the Canadian portfolio experienced changes due to the loss of Rupall's exclusivity, with revenues decreasing as expected. The company maintained a strong focus on strategic opportunities, including potential new products and debt refinancing, while navigating a 15% tariff on branded pharmaceuticals imported from the EU, impacting GRAFAPEX and Rasuvo.

Medexus Pharmaceuticals Inc Financial Statement Overview

Summary
Medexus Pharmaceuticals has demonstrated strong revenue growth and improved profitability, with better cost management reflected in improved gross and net profit margins. However, operational efficiency issues and high liabilities remain concerns.
Income Statement
75
Positive
Medexus Pharmaceuticals has shown strong revenue growth over the years, particularly from 2022 to 2024, with a slight dip in 2025. The Gross and Net Profit Margins have improved significantly, suggesting better cost management and increased profitability. However, fluctuations in EBIT margins highlight some operational efficiency issues.
Balance Sheet
68
Positive
The company has strengthened its equity position over the years, with a substantial increase in stockholders' equity from 2022 to 2025. The Debt-to-Equity ratio has decreased, indicating reduced leverage. However, high total liabilities still pose a risk to financial stability.
Cash Flow
72
Positive
Operating cash flow has improved significantly, turning positive after periods of negative cash flow. The Free Cash Flow Growth Rate is robust, supporting financial flexibility. However, fluctuations in investing and financing cash flows suggest ongoing capital adjustments.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue105.66M108.33M113.05M108.10M76.70M79.66M
Gross Profit55.52M56.58M59.51M60.04M37.93M42.01M
EBITDA15.92M16.81M19.28M16.14M15.16M-23.61M
Net Income806.00K2.25M-214.00K1.22M-2.88M-28.26M
Balance Sheet
Total Assets153.79M171.84M155.73M161.33M139.22M148.51M
Cash, Cash Equivalents and Short-Term Investments9.33M23.97M5.25M13.07M10.02M18.70M
Total Debt21.89M37.18M49.90M94.72M54.86M56.40M
Total Liabilities100.83M119.69M125.41M187.70M151.82M130.50M
Stockholders Equity52.96M52.14M30.32M22.45M17.79M18.02M
Cash Flow
Free Cash Flow16.94M21.31M18.45M-1.81M-8.89M-5.72M
Operating Cash Flow19.76M24.03M18.71M-1.44M-1.18M5.04M
Investing Cash Flow-7.87M-6.00M-3.48M-1.72M-8.20M-11.70M
Financing Cash Flow-11.00M796.00K-23.05M6.41M663.00K18.68M

Medexus Pharmaceuticals Inc Technical Analysis

Technical Analysis Sentiment
Positive
Last Price3.11
Price Trends
50DMA
2.92
Positive
100DMA
2.81
Positive
200DMA
2.93
Positive
Market Momentum
MACD
0.04
Negative
RSI
61.35
Neutral
STOCH
74.68
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For TSE:MDP, the sentiment is Positive. The current price of 3.11 is above the 20-day moving average (MA) of 2.82, above the 50-day MA of 2.92, and above the 200-day MA of 2.93, indicating a bullish trend. The MACD of 0.04 indicates Negative momentum. The RSI at 61.35 is Neutral, neither overbought nor oversold. The STOCH value of 74.68 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for TSE:MDP.

Medexus Pharmaceuticals Inc Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
78
Outperform
C$138.27M16.5722.62%1.57%16.82%19.25%
60
Neutral
C$91.94M75.671.88%0.03%-17.30%
51
Neutral
$7.81B-0.22-40.01%2.29%21.48%-2.11%
21
Underperform
C$663.17K43.02%192.96%42.59%
C$1.96M
53
Neutral
C$12.00M-7.15%10.84%48.57%
$221.50M117.611.86%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
TSE:MDP
Medexus Pharmaceuticals Inc
3.11
0.69
28.51%
TSE:AQS
Aequus Pharmaceuticals
0.01
-0.01
-50.00%
TSE:WIB
West Island Brands Inc
0.13
0.00
0.00%
TSE:MPH
Medicure
1.15
0.05
4.55%
TSE:RX
Biosyent
12.10
1.48
13.94%
OGI
OrganiGram Holdings
1.73
-0.11
-5.98%

Medexus Pharmaceuticals Inc Corporate Events

Product-Related AnnouncementsFinancial Disclosures
Medexus Pharmaceuticals Reports Strong Q1 2026 Results Driven by GRAFAPEX Launch
Positive
Aug 12, 2025

Medexus Pharmaceuticals reported fiscal Q1 2026 results with a net revenue of $24.6 million and a net income of $0.5 million. The company highlighted the positive market response to its new product, GRAFAPEX, which generated $3.0 million in net revenue and is expected to be accretive to cash flows by fiscal Q3 2026. Despite a decline in revenues from other products like Rupall due to generic competition, Medexus remains confident in GRAFAPEX’s potential to solidify its leadership in the allo-HSCT field, with significant formulary inclusions and orders from transplant centers.

The most recent analyst rating on (TSE:MDP) stock is a Buy with a C$3.00 price target. To see the full list of analyst forecasts on Medexus Pharmaceuticals Inc stock, see the TSE:MDP Stock Forecast page.

Business Operations and StrategyFinancial Disclosures
Medexus Pharmaceuticals Announces First Fiscal Quarter 2026 Conference Call
Neutral
Aug 5, 2025

Medexus Pharmaceuticals has scheduled a conference call on August 13, 2025, to discuss its first fiscal quarter results for the period ending June 30, 2025. The company will also participate in upcoming industry conferences, reflecting its active engagement in commercialization activities and maintaining its market presence.

The most recent analyst rating on (TSE:MDP) stock is a Buy with a C$3.00 price target. To see the full list of analyst forecasts on Medexus Pharmaceuticals Inc stock, see the TSE:MDP Stock Forecast page.

Product-Related Announcements
Medexus Pharmaceuticals’ GRAFAPEX™ Receives NTAP Approval for 2026
Positive
Aug 5, 2025

Medexus Pharmaceuticals announced that GRAFAPEX™ (treosulfan) for Injection has received approval for New Technology Add-On Payment (NTAP) from the US Centers for Medicare & Medicaid Services for the fiscal year 2026. This approval marks a significant reimbursement milestone, allowing eligible procedures involving GRAFAPEX™ to receive additional reimbursement, thereby enhancing its accessibility to Medicare beneficiaries. Since its US commercial launch, GRAFAPEX™ has seen positive uptake, with several commercial payers and healthcare institutions including it in their formularies, indicating promising commercial potential.

The most recent analyst rating on (TSE:MDP) stock is a Buy with a C$3.00 price target. To see the full list of analyst forecasts on Medexus Pharmaceuticals Inc stock, see the TSE:MDP Stock Forecast page.

Product-Related AnnouncementsFinancial Disclosures
Medexus Pharmaceuticals Reports Strong FY 2025 Results and Successful GRAFAPEX Launch
Positive
Jun 25, 2025

Medexus Pharmaceuticals reported strong fiscal year 2025 results, highlighted by the successful U.S. launch of GRAFAPEX (treosulfan) following FDA approval. Despite a slight decrease in overall revenue, the company achieved record net income and Adjusted EBITDA, driven by financial discipline and strategic investments. The launch of GRAFAPEX has shown promising initial market uptake, with positive formulary inclusion from major payers and healthcare institutions, indicating significant future revenue potential. Medexus expects GRAFAPEX to contribute positively to cash flows by fiscal Q4 2026, enhancing its market position in the rare disease treatment segment.

The most recent analyst rating on (TSE:MDP) stock is a Buy with a C$3.00 price target. To see the full list of analyst forecasts on Medexus Pharmaceuticals Inc stock, see the TSE:MDP Stock Forecast page.

Financial Disclosures
Medexus Pharmaceuticals Announces Fiscal Year 2025 Financial Results Conference Call
Neutral
Jun 17, 2025

Medexus Pharmaceuticals has announced a conference call scheduled for June 26, 2025, to discuss its financial results for the fourth fiscal quarter and fiscal year ending March 31, 2025. This announcement is significant for stakeholders as it provides insights into the company’s financial performance and strategic direction, potentially impacting its market positioning and investor relations.

The most recent analyst rating on (TSE:MDP) stock is a Buy with a C$3.00 price target. To see the full list of analyst forecasts on Medexus Pharmaceuticals Inc stock, see the TSE:MDP Stock Forecast page.

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: Aug 25, 2025