Financial Data and Key Metrics Changes - The company reported total revenues of 333.6millionforthefullyear2024,asignificantincreasefrom124.5 million in 2023, driven by strong growth in product sales [37] - In Q4 2024, total revenues reached 116.1million,withIBSRELAnetproductsalesof53.8 million, nearly double the same period in 2023, and an increase of over 32% quarter-over-quarter [38] - The company finished 2024 with a cash position of 250.1million,upfrom184.3 million at the end of 2023, bolstered by operating cash flows and a term loan draw [43] Business Line Data and Key Metrics Changes - IBSRELA experienced over 32% growth quarter-over-quarter in Q4 2024, with notable increases in new and repeat prescriptions [17][38] - XPHOZAH generated 57.2millioninnetproductsalesinQ42024,an11158.3 million, compared to 80.1millionin2023,whileXPHOZAH′sannualsalesreached160.9 million, up from 2.5millionintheprioryear[38][39]MarketDataandKeyMetricsChanges−Thecompanynoteda60−40splitbetweenMedicareandnon−MedicarepatientsforXPHOZAHin2024,withongoingeffortstomaintainaccessforpatientsdespitechangesincoverage[106]−ThemanagementemphasizedtheimportanceofensuringpatientaccesstoXPHOZAH,particularlyinlightoftheeliminationofMedicarePartDcoverage[26][29]CompanyStrategyandDevelopmentDirection−Thecompanyaimstoachieveover1 billion in annual net product sales for IBSRELA before patent expiry, with a 2025 revenue guidance of 240millionto250 million [44] - XPHOZAH is expected to reach 750 million in annual net sales prior to patent expiry, with a focus on addressing the unmet needs of CKD patients [45] - The company is investing in expanding its sales force and enhancing patient services to drive growth for both IBSRELA and XPHOZAH [22][44] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's ability to navigate the challenging reimbursement environment while ensuring patient access to medications [9][11] - The company is committed to maintaining strong commercial execution and building a robust pipeline for future growth [12][50] - Management highlighted the importance of patient engagement and education in driving demand for IBSRELA and XPHOZAH [20][21] Other Important Information - The company plans to increase SG&A expenses by approximately 10 million per quarter in 2025 to support growth initiatives [47] - The royalty obligation to AstraZeneca is expected to be fully satisfied in 2025, which may improve gross margins in the latter half of the year [48] Q&A Session Summary Question: Regarding IBSRELA guidance and growth expectations - Management acknowledged the conservative revenue guidance for IBSRELA, citing the need to assess market dynamics before adjusting expectations [54][56] Question: Clarification on XPHOZAH's peak sales timeline - Management confirmed that the 750millionpeaksalesestimateincludestheextensionofHatch−Waxman[58]Question:Expectationsforlicensingnewproducts−Managementindicatedthatpotentiallicensingopportunitiesaretobedetermined,withafocusonbuildingthepipeline[60]Question:CurrentprescribinghabitsforXPHOZAH−Managementnotedthatmostphysiciansareawareofthereimbursementdynamics,andeffortsareongoingtoreinforceprescribinghabits[90][91]Question:RetentionofpatientsonXPHOZAHtherapy−ManagementconfirmedthatpatientspreviouslycoveredbyMedicarePartDarenowaccessingXPHOZAHthroughthepatientassistanceprogram[79]Question:ImpactofSLRtermloanonoperations−Managementstatedthatthetermloanprovidesstrategicflexibilitytosupportbusinessgrowthandinfrastructure[81]Question:FactorsinfluencingXPHOZAH′speaksalespotential−ManagementemphasizedtheimportanceofmaintainingaccessforpatientsandtheeffectivenessoftheArdelyxAssistprogram[96]Question:StrategiesforIBSRELAtoreach1 billion sales goal - Management highlighted ongoing sales force expansion and enhanced patient marketing efforts as key strategies [126]