Form 8-K

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

 

FORM 8-K

 

 

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the

Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): January 10, 2011

 

 

QUESTCOR PHARMACEUTICALS, INC.

(Exact Name of Registrant as Specified in Charter)

 

 

 

California   001-14758   33-0476164

(State or Other Jurisdiction

of Incorporation)

 

(Commission

File Number)

 

(I.R.S. Employer

Identification No.)

1300 Kellogg Drive, Suite D, Anaheim, California   92807
(Address of Principal Executive Offices)   (Zip Code)

Registrant’s telephone number, including area code: (714) 820-4500

 

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

 

¨ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

¨ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

¨ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

¨ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

 

 


 

Item 2.02. Results of Operations and Financial Condition.

On January 10, 2011, Questcor Pharmaceuticals, Inc. (the “Company”) announced via press release certain operating and financial results for the quarter ended December 31, 2010. A copy of the Company’s press release is attached hereto as Exhibit 99.1.

 

Item 7.01. Regulation FD Disclosure.

The information disclosed in item 2.02 is incorporated herein by this reference.

On January 10, 2011, the Company will be making presentations to certain members of the investment community and, in connection therewith, will provide a presentation including certain information about the Company. This presentation will be made available on the Company’s website at www.Questcor.com as soon thereafter as practicable. The presentation is furnished under this Item 7.01 pursuant to Regulation FD and is included as Exhibit 99.2 to this Current Report on Form 8-K.

In accordance with General Instruction B.2. of Form 8-K, the information in Items 2.02 and 7.01 of this Current Report on Form 8-K, including Exhibits 99.1 and 99.2, shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liability of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as expressly set forth by specific reference in such a filing.

 

Item 9.01. Financial Statements and Exhibits.

(d) Exhibits.

 

Exhibit Number

  

Description

99.1    Questcor Pharmaceuticals, Inc. press release dated January 10, 2011.
99.2    Presentation made by Questcor Pharmaceuticals, Inc.

 

2


SIGNATURE

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

Date: January 10, 2011     QUESTCOR PHARMACEUTICALS, INC.
      By:   /s/    DON BAILEY        
        Don Bailey,
        President and Chief Executive Officer

 

3


EXHIBIT INDEX

 

Exhibit No.

  

Description

99.1    Questcor Pharmaceuticals, Inc. press release dated January 10, 2011.
99.1    Presentation made by Questcor Pharmaceuticals, Inc.

 

4

Questcor Pharmaceuticals, Inc. press release dated January 10, 2011

Exhibit 99.1

LOGO

QUESTCOR PHARMACEUTICALS REPORTS STRONG FINISH TO 2010

Paid New Acthar Prescriptions for MS Up Approximately 66% Compared to Fourth Quarter 2009

Financial Management Team Completed with Appointment of Michael H. Mulroy

as Chief Financial Officer and General Counsel

ANAHEIM, CA – January 10, 2010 — Questcor Pharmaceuticals, Inc. (NASDAQ: QCOR) today reported a strong finish to 2010. The Company estimates that 353 new, paid Acthar prescriptions for the treatment of multiple sclerosis (MS) were filled and shipped during the quarter, up 66% from the year ago period and up 9% from the third quarter of 2010. 1,680 vials and 6,666 vials of the company’s principal drug, H.P. Acthar® Gel, were shipped during the quarter and year ended December 31, 2010. As expected, operating expenses for the fourth quarter are estimated to be several million dollars higher than the third quarter of 2010, reflecting the company’s increased investment in sales and marketing activities for Acthar.

Questcor currently expects to release audited results for the fourth quarter and full year on February 22, 2011.

“Based on an increase in new, paid MS prescriptions late in the fourth quarter, it appears as though our expanded Acthar sales force is generating positive results sooner than we previously expected. This late surge in sales led to a 9% sequential quarterly growth in the number of new, paid MS prescriptions, while new, paid prescriptions for infantile spasms (IS) remained within its historic range,” said Don M. Bailey, President and CEO of Questcor Pharmaceuticals. “In October 2010, Acthar received FDA approval for the treatment of IS. During the August to October time frame, we doubled our sales force to accelerate our MS sales effort and to initiate promotional efforts for IS. The expanded sales force was fully trained and began making both MS and IS sales calls November 1st. Interestingly, in addition to the sooner-than-expected


uptick in MS sales, IS sales also increased during December. Our quarterly vial shipments continue to be subject to significant variation due to the size and timing of individual orders from our distributor. and we were pleased to start the first quarter of 2011 with a substantial order on the first business day of January.

“In addition, new, favorable data on the use of Acthar to treat Nephrotic Syndrome (NS) was presented just prior to Thanksgiving and we have nearly completed the formation of a five-person, dedicated sales team to educate nephrologists about Acthar. And, in January, we strengthened our financial management team with the appointment of Michael H. Mulroy, a long-time advisor to Questcor, as Senior Vice President, Chief Financial Officer and General Counsel,” Mr. Bailey added.

Mr. Mulroy, 44, brings significant strategic, financial and legal experience to Questcor. Previously, he was a partner with Stradling Yocca Carlson & Rauth, a leading Southern California law firm, where he represented Questcor and other publicly-traded companies. From 1997 to 2003, Mr. Mulroy was an investment banker at Merrill Lynch and Citigroup, where he advised healthcare companies and other clients across a range of industries in connection with corporate finance and strategic transactions. Mr. Mulroy earned his J.D. degree from the University of California, Los Angeles and his B.A. (Economics) from the University of Chicago. Mr. Mulroy is a member of the State Bar of California and the Orange County Bar Association, Business Section and has been corporate counsel to Questcor since 2005. He will continue to serve as Corporate Secretary of Questcor and as a member of the Board of Directors of privately-held Magtrol, Inc.

“Mike has deep experience in corporate finance, SEC reporting, governance and business development, as well as a strong corporate legal background,” said Mr. Bailey. “In addition to his input on various legal and financial matters over the years, Mike has also led our SEC filing activity. His background, strategic approach to issues, and intimate knowledge of the company made him an ideal candidate to be our CFO. We look forward to his continued contributions.”

 

2


Mr. Mulroy will lead a financial management team that includes Kristi Engelke, CPA, Corporate Controller and Kirsten Fereday, Director, Business Analytics and Evaluation. Ms. Engelke joined Questcor in September 2010 after serving nine years as Director of Finance and Corporate Controller of ISTA Pharmaceuticals and has an 18-year career in public and private accounting. Ms. Fereday has worked with Questcor since 2008 and has a 20-year career in financial modeling, business operations, and technology product sales and marketing. She has successfully implemented new systems and processes at Questcor to understand and manage government reimbursement programs.

“During 2010, Kristi and Kirsten made significant contributions to Questcor’s success. Combined with Mike’s expertise and talent, we now have an excellent team to oversee the strong financial position of Questcor and help us manage future growth,” noted Mr. Bailey.

The financial results included in this press release do not reflect a nominal price increase for Acthar, effective January 1, 2011. Additionally, such results are preliminary and subject to change.

About Questcor

Questcor Pharmaceuticals, Inc. is a biopharmaceutical company whose product helps patients with serious, difficult-to-treat medical conditions. Questcor markets H.P. Acthar® Gel (repository corticotropin injection), which is indicated for the treatment of acute exacerbations of multiple sclerosis in adults, and as monotherapy for the treatment of IS in infants and children under 2 years of age. It is also indicated to induce a diuresis or a remission of proteinuria in the nephrotic syndrome without uremia of the idiopathic type or that due to lupus erythematosus, and for the treatment of several other diseases and disorders. Questcor also markets Doral® (quazepam), which is indicated for the treatment of insomnia characterized by difficulty in falling asleep, frequent nocturnal awakenings, and/or early morning awakenings. For more information, please visit www.questcor.com.

Note: Except for the historical information contained herein, this press release contains forward-looking statements that are based on management’s current expectations and beliefs and are subject to a number of risks, uncertainties and assumptions that could cause actual results to differ materially from those described. All such statements have been made pursuant to the Private Securities Litigation Reform Act of 1995, as amended. These statements relate to future events or our future financial performance. In some cases, you can identify forward-looking statements by terminology such as “may,” “will,” “if,” “should,” “forecasts,” “expects,” “plans,” “appears,” “grows,” “believes,” “estimates,” “predicts,” “potential,” or “continue” or the negative of such terms and other comparable terminology. These statements are only predictions. Actual events or results may differ materially. Factors that could cause or contribute to such differences include, but are not limited to, the following:

 

   

Questcor’s ability to continue to successfully implement its Acthar-centric business strategy, including its expansion in the MS marketplace and other therapeutic areas;

 

3


 

   

FDA approval of and the market introduction of competitive products;

 

   

Questcor’s ability to operate within an industry that is highly regulated at both the Federal and state level;

 

   

Regulatory changes or other policy actions by governmental authorities and other third parties as recently adopted U.S. healthcare reform legislation is implemented;

 

   

The complex nature of Questcor’s manufacturing process and the potential for supply disruptions or other business disruptions;

 

   

Questcor’s ability to receive high reimbursement levels from third party payers;

 

   

Questcor’s ability to estimate reserves required for Acthar used by government entities and Medicaid-eligible patients;

 

   

The inventories carried by Questcor’s distributor – Curascript Specialty Distributor, as well as inventories carried by specialty pharmacies and hospitals;

 

   

Research and development risks, including risks associated with Questcor’s preliminary work in the area of nephrotic syndrome;

 

   

The lack of patent protection for Acthar;

 

   

Volatility in Questcor’s monthly and quarterly Acthar shipments and end-user demand;

 

   

Questcor’s ability to attract and retain key management personnel;

 

   

The impact to Questcor’s business caused by economic conditions;

 

   

Other risks discussed in Questcor’s annual report on Form 10-K for the year ended December 31, 2009, its quarterly report on Form 10-Q for the quarter ended September 30, 2010, and other documents filed with the Securities and Exchange Commission.

You should consider the risk factors and other information contained in these documents in evaluating Questcor’s prospects and future financial performance.

Questcor undertakes no obligation to publicly release the result of any revisions to these forward-looking statements, which may be made to reflect events or circumstances after the date hereof or to reflect the occurrence of unanticipated events.

 

4


CONTACT INFORMATION:

Questcor Pharmaceuticals, Inc.

Don Bailey

510-400-0776

dbailey@Questcor.com

 

EVC Group

  

Investors

   Media

Gregory Gin/Doug Sherk

   Janine McCargo

415-896-6820

   646-688-0425

 

5

Presentation made by Questcor Pharmaceuticals, Inc.
1
Exhibit 99.2


2
2
JANUARY 2011
JANUARY 2011
JP Morgan Healthcare
JP Morgan Healthcare
NASDAQ:
QCOR
NASDAQ:
QCOR
C  O  N  F  E  R  E  N  C  E
C  O  N  F  E  R  E  N  C  E


3
Safe Harbor Statement
Note: Except for the historical information contained herein, this presentation contains forward-looking statements that are based on management's
current expectations and beliefs and are subject to a number of risks, uncertainties and assumptions that could cause actual results to differ materially
from those described.  All such statements have been made pursuant to the Private Securities Litigation Reform Act of 1995, as amended.  These
statements relate to future events or our future financial performance, customer and prescriber patterns or practices, reimbursement activities and
outcomes and other such estimates and results.  In some cases, you can identify forward-looking statements by terminology such as “opportunity,”
“potential,”
“believes,”
“continue,”
“could,”
“preliminary,”
“estimates,”
“run rate,”
“expects,”
“may,”
“plans,”
“will,”
“consistent,”
or “should”
or the
negative of such terms and other comparable terminology.  These statements are only predictions.  Actual events or results may differ materially. 
Factors
that
could
cause
or
contribute
to
such
differences
include,
but
are
not
limited
to,
the
following:
Questcor’s
ability
to
continue
to
successfully
implement its Acthar-centric business strategy, including its expansion in the MS marketplace and other therapeutic areas; FDA approval of and the
market introduction of competitive products; Questcor’s
ability to operate within an industry that is highly regulated at both the Federal and state level;
Regulatory changes or other policy actions by governmental authorities and other third parties as recently adopted U.S. healthcare reform legislation
is
implemented;
The
complex
nature
of
Questcor’s
manufacturing
process
and
the
potential
for
supply
disruptions
or
other
business
disruptions;
Questcor’s
ability
to
receive
high
reimbursement
levels
from
third
party
payers;
Questcor’s
ability
to
estimate
reserves
required
for
Acthar
used
by
government
entities
and
Medicaid-eligible
patients;
The
inventories
carried
by
Questcor’s
distributor
Curascript
Specialty
Distributor,
as
well
as
inventories
carried
by
specialty
pharmacies
and
hospitals;
Research
and
development
risks,
including
risks
associated
with
Questcor’s
preliminary
work
in
the
area
of
nephrotic
syndrome;
The
lack
of
patent
protection
for
Acthar;
Volatility
in
Questcor’s
monthly
and
quarterly
Acthar
shipments
and
end-user
demand;
Questcor’s
ability
to
attract
and
retain
key
management
personnel
and
sales
representatives;
The
impact
to
Questcor’s
business
caused
by
economic
conditions;
and
Other
risks
discussed
in
Questcor’s
annual
report
on
Form
10-K
for
the
year
ended
December
31,
2009,
its
quarterly report on Form 10-Q for the quarter ended September 30, 2010 and other documents filed with the Securities and Exchange Commission.
The
risk
factors
and
other
information
contained
in
these
documents
should
be
considered
in
evaluating
Questcor’s
prospects
and
future
financial
performance.
Note: Except for the historical information contained herein, this presentation contains forward-looking statements that are based on management's
current expectations and beliefs and are subject to a number of risks, uncertainties and assumptions that could cause actual results to differ materially
from those described.  All such statements have been made pursuant to the Private Securities Litigation Reform Act of 1995, as amended.  These
statements relate to future events or our future financial performance, customer and prescriber patterns or practices, reimbursement activities and
outcomes and other such estimates and results.  In some cases, you can identify forward-looking statements by terminology such as “opportunity,”
“potential,”
“believes,”
“continue,”
“could,”
“preliminary,”
“estimates,”
“run rate,”
“expects,”
“may,”
“plans,”
“will,”
“consistent,”
or “should”
or the
negative of such terms and other comparable terminology.  These statements are only predictions.  Actual events or results may differ materially. 
Factors
that
could
cause
or
contribute
to
such
differences
include,
but
are
not
limited
to,
the
following:
Questcor’s
ability
to
continue
to
successfully
implement its Acthar-centric business strategy, including its expansion in the MS marketplace and other therapeutic areas; FDA approval of and the
market introduction of competitive products; Questcor’s
ability to operate within an industry that is highly regulated at both the Federal and state level;
Regulatory changes or other policy actions by governmental authorities and other third parties as recently adopted U.S. healthcare reform legislation
is
implemented;
The
complex
nature
of
Questcor’s
manufacturing
process
and
the
potential
for
supply
disruptions
or
other
business
disruptions;
Questcor’s
ability
to
receive
high
reimbursement
levels
from
third
party
payers;
Questcor’s
ability
to
estimate
reserves
required
for
Acthar
used
by
government
entities
and
Medicaid-eligible
patients;
The
inventories
carried
by
Questcor’s
distributor
Curascript
Specialty
Distributor,
as
well
as
inventories
carried
by
specialty
pharmacies
and
hospitals;
Research
and
development
risks,
including
risks
associated
with
Questcor’s
preliminary
work
in
the
area
of
nephrotic
syndrome;
The
lack
of
patent
protection
for
Acthar;
Volatility
in
Questcor’s
monthly
and
quarterly
Acthar
shipments
and
end-user
demand;
Questcor’s
ability
to
attract
and
retain
key
management
personnel
and
sales
representatives;
The
impact
to
Questcor’s
business
caused
by
economic
conditions;
and
Other
risks
discussed
in
Questcor’s
annual
report
on
Form
10-K
for
the
year
ended
December
31,
2009,
its
quarterly report on Form 10-Q for the quarter ended September 30, 2010 and other documents filed with the Securities and Exchange Commission.
The
risk
factors
and
other
information
contained
in
these
documents
should
be
considered
in
evaluating
Questcor’s
prospects
and
future
financial
performance.


4
Questcor
Overview
A biopharmaceutical company
whose product helps patients with serious,
difficult-to-treat medical conditions
A biopharmaceutical company
whose product helps patients with serious,
difficult-to-treat medical conditions


5
Questcor
Overview
Flagship Product:
Flagship Product:
Profitable, cash flow positive, $115M in cash, debt-free
Profitable, cash flow positive, $115M in cash, debt-free
19 approved indications
19 approved indications
Key Markets:
Key Markets:
Multiple Sclerosis, Infantile Spasms, Nephrotic
Syndrome
Combined markets opportunity exceeds $1.5 billion
Multiple Sclerosis, Infantile Spasms, Nephrotic
Syndrome
Combined markets opportunity exceeds $1.5 billion
Strategy:
Strategy:
Grow Acthar
sales in each key market
Grow Acthar
sales in each key market
Financials:
Financials:


6
History of Acthar
1952
First Approved
1968-1973
DESI Review
Label Expands
1950
1950
1978
MS Indication Added
2000
2000
2001
Questcor Acquires
Acthar
2010
Label Modernized
19 Indications
2007
Questcor Changes
Strategy
2010
2010


7
Significant Barriers to Entry


8
Questcor Growth Engine
Multiple Sclerosis
Multiple Sclerosis
Infantile Spasms
Infantile Spasms
Nephrotic Syndrome
Nephrotic Syndrome


9
Large Market Opportunity
*Represents estimated net sales market opportunity based on internal company estimates
** Represents approximate current net sales  annualized run rate based on internal company estimates 


10
Multiple Sclerosis
$500M to $2B+
Potential Market
$500M to $2B+
$500M to $2B+
Potential Market
Potential Market
*Data on this slide is based on US only. Based on internal company estimates.


11
Acthar and MS
Acute treatment
Treatment for 1-2 weeks
(based on prescription
data)
$40K-$50K/Rx
Acthar
Acthar
when
when
“Steroids
“Steroids
are not
are not
suitable”
suitable”


12
Q4-2010 results
Q4-10 new paid Rxs
up 66% vs. Q409
MS sales over 50% of QCOR sales
Over $65M annualized run rate
Approximately one in six Rxs
is a repeat patient
Growing number of Acthar
prescribers
But only <400 out of 8,000 neurologists
Speakers bureau growing
Q4-2010 results
Q4-10 new paid Rxs
up 66% vs. Q409
MS sales over 50% of QCOR sales
Over $65M annualized run rate
Approximately one in six Rxs
is a repeat patient
Growing number of Acthar
prescribers
But only <400 out of 8,000 neurologists
Speakers bureau growing
MS Trends


13
MS Sales -
Record of Consistent Growth
New  Paid Rxs
New  Paid Rxs
Notes: Historical trend information is not necessarily indicative of future results.  Chart includes "Related Conditions" - diagnoses that are either alternative descriptions of the condition or are
closely related to the medical condition which is the focus of the table.


14
MS Sales Calls vs. New Paid Rxs
*MS call data approximate


15
Doubled sales force:  hiring/training Aug-Oct 2010 (38 to 77 sales reps)
Newly expanded sales force began call activity Nov 1
Significant increase in MS-treating neurologists targeted for sales calls
Now also targeting child neurologists for sales calls
Doubled sales force:  hiring/training Aug-Oct 2010 (38 to 77 sales reps)
Newly expanded sales force began call activity Nov 1
Significant increase in MS-treating neurologists targeted for sales calls
Now also targeting child neurologists for sales calls
Sales Force Expansion


16
Devastating, refractory form of childhood epilepsy
Very poor developmental outcome if inadequately treated
Not responsive to standard anti-epileptic drugs
Ultra-rare orphan disorder
1,500 to 2,000 patients annually
Typically occurs in children less than 2 years old
Characterized by
“spasms”
--
a specific type of seizure
“hypsarrhythmia”
--
abnormal EEG pattern
Devastating, refractory form of childhood epilepsy
Very poor developmental outcome if inadequately treated
Not responsive to standard anti-epileptic drugs
Ultra-rare orphan disorder
1,500 to 2,000 patients annually
Typically occurs in children less than 2 years old
Characterized by
“spasms”
--
a specific type of seizure
“hypsarrhythmia”
--
abnormal EEG pattern
Infantile Spasms


17
Used by over half of child neurologists
FDA approval 10/15/10
7 year orphan exclusivity for IS indication
Crisis therapy
Treatment for 2-4 weeks (based on prescription data)
In a randomized, single-blinded, controlled study, 87% of patients achieved
overall response (no spasms and no hypsarrhythmia) at two weeks versus
29% on prednisone
$100K-$125K/Rx
About half of patients receive drug for free
Used by over half of child neurologists
FDA approval 10/15/10
7 year orphan exclusivity for IS indication
Crisis therapy
Treatment for 2-4 weeks (based on prescription data)
In a randomized, single-blinded, controlled study, 87% of patients achieved
overall response (no spasms and no hypsarrhythmia) at two weeks versus
29% on prednisone
$100K-$125K/Rx
About half of patients receive drug for free
Acthar and IS


18
Significant quarterly variability
Q4-2010 sales within historic range
Promotion effort began 11/1/10
Potential to increase IS revenue
Acthar
currently used to treat 30-50% of IS patients
Significant quarterly variability
Q4-2010 sales within historic range
Promotion effort began 11/1/10
Potential to increase IS revenue
Acthar
currently used to treat 30-50% of IS patients
IS Sales Plan


19
Characterized by excessive spilling of protein from the kidney into the
urine (proteinuria)
Can result in end-stage renal disease (ESRD), dialysis, transplant
Significant unmet need
Few treatment options
Characterized by excessive spilling of protein from the kidney into the
urine (proteinuria)
Can result in end-stage renal disease (ESRD), dialysis, transplant
Significant unmet need
Few treatment options
Nephrotic Syndrome


20
Single application treatment for reduction of proteinuria in:
Membranous nephropathy (on-label)
Lupus nephritis (on-label)
Focal segmental glomerular sclerosis (FSGS) (on-label)
Diabetic nephropathy (not on-label)
Treatment for 4-6 months (based on prescription data)
$150K-250K/Rx
Single application treatment for reduction of proteinuria in:
Membranous nephropathy (on-label)
Lupus nephritis (on-label)
Focal segmental glomerular sclerosis (FSGS) (on-label)
Diabetic nephropathy (not on-label)
Treatment for 4-6 months (based on prescription data)
$150K-250K/Rx
Acthar and NS


21
Available November 2010
Case series showed response from Acthar for refractory idiopathic
membranous nephropathy (on-label)
9 of 11 patients met response criteria
Positive signal received in diabetic nephropathy trial (not on-label)
9 of 15 patients on Acthar met response criteria and none have required
dialysis
0 of 13 patients on Acthar progressed to ESRD within 7 months (2
patients
only 4 months into treatment)
4 of 10 patients
who chose not to receive Acthar had dialysis within 7 months
Available November 2010
Case series showed response from Acthar for refractory idiopathic
membranous nephropathy (on-label)
9 of 11 patients met response criteria
Positive signal received in diabetic nephropathy trial (not on-label)
9 of 15 patients on Acthar met response criteria and none have required
dialysis
0 of 13 patients on Acthar progressed to ESRD within 7 months (2
patients
only 4 months into treatment)
4 of 10 patients
who chose not to receive Acthar had dialysis within 7 months
Proof of Concept Data


22
Dose ranging trial for idiopathic membranous nephropathy
$5-7M multi-center trial, n=100
Reduction of proteinuria is endpoint
Presently designing a study in collaboration with FDA for diabetic
nephropathy
Dose ranging trial
If successful, Phase III trial would follow
Dose ranging trial for idiopathic membranous nephropathy
$5-7M multi-center trial, n=100
Reduction of proteinuria is endpoint
Presently designing a study in collaboration with FDA for diabetic
nephropathy
Dose ranging trial
If successful, Phase III trial would follow
R&D Effort in NS


23
Nov 2010 ASN meeting
First meeting with commercial team presence
Data presented via podium/posters
30+ doctor advisory board meeting
Hired/hiring 5 reps to sell Acthar to nephrologists
Develop selling process and generate sales
Expand sales force if sales increase
Nov 2010 ASN meeting
First meeting with commercial team presence
Data presented via podium/posters
30+ doctor advisory board meeting
Hired/hiring 5 reps to sell Acthar to nephrologists
Develop selling process and generate sales
Expand sales force if sales increase
NS Business Plan


24
MS -
Build on sales momentum,
lots of market headroom
IS -
Incremental market
share growth 
NS -
Establish Acthar
as a therapeutic alternative
in this sizeable market
MS -
Build on sales momentum,
lots of market headroom
IS -
Incremental market
share growth 
NS -
Establish Acthar
as a therapeutic alternative
in this sizeable market
Immediate Acthar
Growth Opportunities
*Represents estimated net sales market opportunity based on internal company estimates
** Represents approximate current net sales  annualized run rate
based on internal company estimates


25
Financials
Profitable
Profitable
Debt Free
Debt Free
Cash Flow Positive
Cash Flow Positive


26
Quarterly Results -
Q3 2010
Net Sales ($M)
Net Sales ($M)
Gross Margin
Gross Margin
Operating Inc ($M)
Operating Inc ($M)
EPS
EPS
$31.3
$31.3
93%
93%
$16.8
$16.8
$0.18
$0.18
$13.9
$13.9
86%
86%
$1.8
$1.8
$0.02
$0.02
Q3 -
2010
Q3 -
2010
Q3 -
2009
Q3 -
2009
Record Sales and Solid Earnings
Record Sales and Solid Earnings


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Up several million $ vs Q3-10
Up several million $ vs Q3-10
Up 66% vs Q409
Up 66% vs Q409
Within historic range
Within historic range
Promotion effort starting now
Promotion effort starting now
91 new/paid IS Rxs
91 new/paid IS Rxs
Preliminary Q4 Information
353 new/paid MS Rxs
353 new/paid MS Rxs
7 new/paid NS Rxs
7 new/paid NS Rxs
Expenses
Expenses


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Questcor is Cash Flow Positive
Debt-free balance sheet
Debt-free balance sheet
*After return of $67 million of cash to shareholders through share repurchases.            
Cash / ST Investment
Cash / ST Investment
Accounts Receivable
Accounts Receivable
$115m*
$115m*
$11m
$11m
12/31/10
12/31/10


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Expanded sales force to pursue MS/IS
Dedicated pilot NS sales team starting January 2010
Develop other markets for Acthar
Acthar
is its own pipeline with 15 other on-label
and many possible other therapeutic uses
Further defining and developing the unique
characteristics of Acthar
No business development efforts planned
Expanded sales force to pursue MS/IS
Dedicated pilot NS sales team starting January 2010
Develop other markets for Acthar
Acthar
is its own pipeline with 15 other on-label
and many possible other therapeutic uses
Further defining and developing the unique
characteristics of Acthar
No business development efforts planned
Go Forward Plan -
Sell More Acthar


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Questcor is streamlined, focused & profitable
Acthar has sustainable competitive advantages
Focus on substantial growth in MS sales
Recent IS approval/label modernization
Significant upside with NS
Market sizes have good growth potential
Cash flow positive/no debt
Questcor is streamlined, focused & profitable
Acthar has sustainable competitive advantages
Focus on substantial growth in MS sales
Recent IS approval/label modernization
Significant upside with NS
Market sizes have good growth potential
Cash flow positive/no debt
Investment Highlights


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NASDAQ:
QCOR
NASDAQ:
QCOR
J A N U A R Y   2 0 1 1
J A N U A R Y   2 0 1 1


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