Financial Data and Key Metrics Changes - The company reported net product sales of $682 million for Q2 2025, representing a 17% year-over-year growth [9] - INGREZZA sales reached $624 million in Q2, showing a 15% sequential growth and an 8% year-over-year increase [14] - KRONESTIV sales grew from $15 million in Q1 2025 to $53 million in Q2 2025, reflecting strong early adoption [10] - The company has refined its net sales guidance for INGREZZA to a range of $2.5 billion to $2.55 billion, accounting for anticipated double-digit volume gains [12] Business Line Data and Key Metrics Changes - The INGREZZA franchise continues to show solid growth, with record new patient starts and total prescriptions [14] - KRONESTIV has been well received, with over 75% of all dispensed prescriptions reimbursed in Q2 [18] - The company has seen a significant increase in Medicare formulary coverage for INGREZZA, now covering approximately 70% of Medicare beneficiary lives in the TD market [15] Market Data and Key Metrics Changes - The company noted that less than half of the estimated 800,000 TD patients have been diagnosed, indicating a substantial market opportunity [16] - The adoption of KRONESTIV is widespread across both pediatric and adult patients, with a slight trend towards pediatric patients [19] Company Strategy and Development Direction - The company aims to solidify its position as a leading neurology-focused enterprise by investing in advancing and expanding its pipeline [9] - The strategic investments in market access and sales force expansion are expected to drive long-term growth for both INGREZZA and KRONESTIV [11][14] - The company is focused on diversifying its neuroscience pipeline, with multiple Phase III programs initiated within a single calendar year [8] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the continued growth of the INGREZZA franchise due to market access initiatives [5] - The company anticipates that the strong performance in the first half of the year will enable further investments in R&D and commercial strategies [9] - Management acknowledged the dynamic nature of the business and the need to adjust guidance based on pricing and volume expectations [30] Other Important Information - The company has a strong balance sheet with $1.8 billion in cash, positioning it well for continued growth [13] - The clinical pipeline includes multiple Phase III programs, with anticipated data readouts in 2027 and 2028 [22] Q&A Session Summary Question: How is the company triangulating the guidance adjustments? - The company adjusted the top end of guidance due to a change in pricing assumptions, moving from flat pricing expectations to a negative 5% price decline for the year [30] Question: Can you discuss the dynamics at clinics regarding KRONESTIV? - The company noted steady and consistent adoption of KRONESTIV, with no significant bolus effect from prior clinical trials [36][40] Question: What metrics can be shared regarding prescribing concentration for KRONESTIV? - The company estimates that around 15% of the total CAH patient population flows through a small number of accredited centers, indicating room for growth in community endocrinologists [44][46] Question: What is the reimbursement process for KRONESTIV? - The company reported a high rate of reimbursement for KRONESTIV, with over 75% of dispensed prescriptions reimbursed, and noted that many patients do not need to go on free goods programs [93] Question: How does the company view the implications of the IRA? - The company aims to maximize patient access to INGREZZA and is preparing for the new pricing environment that will come with the IRA [82][84]

Core Insights - Johnson & Johnson reported Q2 2025 earnings that exceeded analysts' expectations for both adjusted earnings and revenue, with revenue at $23.7 billion and adjusted EPS at $2.77 [1][2][6] - The company experienced strong sales momentum and progress in innovation, but underlying profit growth faced challenges due to patent expiries and higher costs [2][5] Financial Performance - Adjusted EPS for Q2 2025 was $2.77, slightly down 1.8% from $2.82 in Q2 2024, while revenue increased by 5.8% year-over-year [3][6] - GAAP EPS rose 18.7% to $2.29, and net earnings reached $5.54 billion, up 18.2% from the previous year [3][6] - Free cash flow decreased to $6.2 billion, down 17.4% from $7.51 billion a year ago [3][12] Business Segments - U.S. sales increased by 7.8% year-over-year, while international revenue grew by 3.2%, indicating stronger domestic performance [7] - In the Innovative Medicine division, sales rose 4.9%, driven by oncology and immunology products, despite a decline in STELARA impacting overall revenue [8] - MedTech sales increased by 7.3% to $8.54 billion, with significant contributions from cardiovascular products and new product launches [9][10] Regulatory and Pipeline Developments - The company achieved several regulatory milestones, including FDA approval for IMAAVY and positive EU opinions for oncology assets [11] - New clinical data supported the expansion of both immunology and oncology franchises, indicating a robust pipeline [11] Future Outlook - Management raised its full-year 2025 sales guidance to a midpoint of $93.4 billion, reflecting a 5.4% increase from the prior year [14] - Adjusted operational EPS target was also increased to a midpoint of $10.68, representing 7% year-on-year growth [14] - The company faces ongoing challenges from tariffs and competitive dynamics, particularly in orthopedics, which require close monitoring [15]