Summary of United Therapeutics Conference Call Company Overview - **Company**: United Therapeutics (NasdaqGS: UTHR) - **Event**: Jefferies Linden Healthcare Conference 2025 - **Date**: November 18, 2025 Key Points Current Commercial Business - **Revenue Growth**: United Therapeutics reported significant growth in total revenue, particularly from Tyvaso and Tyvaso DPI, which are expected to be the main growth drivers moving forward [4][6] - **Tyvaso DPI**: The product has no dosing limitations, is well-received by prescribers and patients, and has a favorable product profile, including ease of use [5][6] - **Market Position**: The company believes it is well-positioned in the pulmonary space, with a strong understanding of the market dynamics [4][6] Competitive Landscape - **Utrepia Launch**: Despite the launch of Utrepia, a competing product, United Therapeutics has seen a return in referrals and start trends towards Tyvaso, indicating strong market positioning [11][12] - **Market Expansion**: The presence of more therapies in the market is expected to expand the overall patient population rather than create a zero-sum game [13][14] Litigation Concerns - **Ongoing Litigation**: The company is awaiting a ruling on litigation related to Utrepia but remains confident in its growth trajectory regardless of the outcome [15][17][18] Future Projections - **Revenue Target**: United Therapeutics aims for a quarterly revenue run rate of $1 billion by the end of 2027, primarily driven by existing commercial products [19][21] - **IPF Opportunity**: The company sees a significant market opportunity in idiopathic pulmonary fibrosis (IPF), with an estimated 100,000 patients in the U.S. and a multi-billion dollar market potential [25][34] Clinical Trials and Pipeline - **Teton Trials**: The Teton 2 trial for IPF showed promising results, and there is high conviction that these results will translate to the Teton 1 trial in the U.S. [28][31] - **Regulatory Strategy**: The company plans to meet with the FDA to discuss the approval process for Tyvaso in IPF, aiming to expedite market entry [32][33] Additional Opportunities - **PPF and Rilendipag**: The company is optimistic about the potential for Tyvaso in pulmonary fibrosis (PPF) and is conducting trials for Rilendipag, an oral therapy expected to read out in 2026 [36][38] - **Xenotransplantation**: United Therapeutics is exploring organ transplantation, having conducted its first kidney transplant in a clinical trial, with plans to expand into lung and heart transplants [43][44] Financial Position and Strategy - **Overall Strategy**: The company is confident in its commercial pipeline and long-term organ manufacturing strategy, indicating a strong financial position [46][47] Conclusion United Therapeutics is positioned for significant growth driven by its existing products, promising clinical trials, and strategic market expansion. The company remains optimistic about its future revenue targets and the potential impact of its innovative therapies in the pulmonary and transplant markets.

Financial Data and Key Metrics Changes - In Q3 2025, Liquidia reported $51.7 million in net product sales of Utrepia, marking a significant achievement in its first full quarter post-launch [11] - The company recorded a net loss of $3.6 million, but on a non-GAAP basis, it generated positive adjusted EBITDA of $10.1 million, ahead of previous profitability guidance [11][12] - Cash on hand at the end of the quarter totaled $157.5 million, with September marking the first month of positive net cash flow, adding $5 million [11][12] Business Line Data and Key Metrics Changes - Utrepia has received over 2,000 unique prescriptions and initiated therapy for over 1,500 patients, with a referral-to-start ratio of approximately 85% [6][11] - The majority of prescriptions are for PAH, with a steady growth in PH-ILD usage, indicating a balanced uptake between new patients and those transitioning from other therapies [6][7] Market Data and Key Metrics Changes - The company has established a strong market presence with over 600 healthcare practitioners prescribing Utrepia across the U.S., and October was noted as the highest month for referrals [6][11] - The competitive landscape shows that Utrepia is gaining traction against existing therapies, with a significant portion of prescriptions coming from patients switching from oral therapies [7][33] Company Strategy and Development Direction - Liquidia aims to translate early commercial success into long-term sustainable growth by broadening Utrepia's clinical utility and exploring additional indications such as IPF and PPF [8][9] - The company is focused on innovation, execution, and reinvestment, with plans to optimize inhaled treprostinil through the development of L606, a sustained-release formulation [9][13] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the product profile of Utrepia, which is rapidly influencing the standard of care and is expected to continue driving growth [5][8] - The company anticipates maintaining a positive trajectory into 2026, focusing on profitability while reinvesting in R&D [12][13] Other Important Information - Liquidia has signed contracts with the three major commercial payers, ensuring patient access to Utrepia without significant barriers [23][24] - The company is actively managing inventory levels and has settled into a normal level of channel loading, indicating effective supply chain management [40] Q&A Session Summary Question: What is driving the uptake of Utrepia and the breakdown between PAH and PH-ILD? - Management noted strong demand driven by Utrepia's unique product profile, with PAH accounting for the majority of prescriptions while PH-ILD is steadily growing [15][16] Question: What percentage of revenues is associated with contracted versus non-contracted reimbursement? - Management confirmed that they have contracts with the three major commercial payers and emphasized the importance of patient support services in converting referrals to prescriptions [21][23] Question: How many patients were in the 28-day voucher period and the average time from prescription to shipment? - Over 50% of new patients utilized the voucher program, with average prescription fulfillment occurring within a few weeks [27][29] Question: What is the current status of care coverage and competition? - Management indicated that they have achieved parity in commercial coverage and are confident in their strategy moving forward [37][39] Question: How does ongoing litigation affect demand for Utrepia? - Management stated that physicians are primarily focused on patient benefits rather than litigation, and the robust commercial environment reflects strong demand for Utrepia [47][49] Question: What are the potential outcomes of the litigation? - The range of possible remedies varies widely, and the company is awaiting the judge's decision, which could impact future operations [60][63]