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): April 4, 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) 786-4200

 

 

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 (see General Instruction A.2. below):

 

¨ 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 Operation and Financial Condition

On April 4, 2011, Questcor Pharmaceuticals, Inc. (the “Company”) issued a press release that provided preliminary operating metrics for the Company’s fiscal quarter ended March 31, 2011. A copy of the Company’s press release is furnished under this Item 2.02 and included as Exhibit 99.1 to this Current Report on Form 8-K.

 

Item 7.01 Regulation FD Disclosure

The press release also announced that the Company will make a presentation (the “Investor Presentation”) to certain members of the investment community and, in connection therewith, will provide updated information about the Company. A copy of the Investor Presentation is furnished under this Item 7.01 and included as Exhibit 99.2 to this Current Report on Form 8-K. The Investor Presentation will be made available on the Company’s website at www.questcor.com.

The Company will host a live webcast covering the Investor Presentation to be held on Tuesday, April 5, 2011, at 8:00 a.m. ET. To listen to the audio web cast of the Investor Presentation during or after the event, please visit www.questcor.com. The replay will be available for 90 days after the event.

In accordance with General Instruction B.2. of Form 8-K, the information in Item 2.02 and Item 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 No.    Description
99.1    Questcor Pharmaceuticals, Inc. press release dated April 4, 2011.
99.2    Questcor Pharmaceuticals, Inc. April 2011 Investor Presentation.

 

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: April 4, 2011   QUESTCOR PHARMACEUTICALS, INC.
    By:  

/s/ Michael Mulroy

     

Michael Mulroy, Chief Financial Officer &

General Counsel

 

3


EXHIBIT INDEX

 

Exhibit No.

  

Description

99.1    Questcor Pharmaceuticals, Inc. press release dated April 4, 2011.
99.2    Questcor Pharmaceuticals, Inc. April 2011 Investor Presentation.

 

4

Press Release

Exhibit 99.1

LOGO

QUESTCOR PHARMACEUTICALS ANNOUNCES PRELIMINARY OPERATING

METRICS FOR FIRST QUARTER 2011

ANAHEIM, CA – April 4, 2011 — Questcor Pharmaceuticals, Inc. (NASDAQ: QCOR) today announced preliminary operating metrics for its first quarter ended March 31, 2011. The Company announced the preliminary metrics in advance of the Needham Healthcare Conference, where Don M. Bailey, President and Chief Executive Officer of Questcor, will present on Tuesday, April 5, 2011, at 8:00 a.m. ET. To listen to the audio web cast of the presentation during or after the event, please visit www.questcor.com. The replay will be available for 90 days after the event.

For the quarter ended March 31, 2011, the Company provided the following preliminary key operating metrics:

New, paid prescriptions of H.P. Acthar® Gel (Acthar) for the treatment of exacerbations of multiple sclerosis (MS) during the quarter were greater than 500, up over 115% from the year ago period and up over 40% from the prior quarter.

New, paid prescriptions for infantile spasms (IS) were estimated at 88.

New, paid prescriptions for nephrotic syndrome (NS) were estimated at 18.

2,010 vials of the Company’s principal drug, Acthar, were shipped during the quarter ended March 31, 2011.

Gross sales were $48.6 million.

Based on invoices received from state Medicaid agencies to date, Medicaid and other sales reserves for all periods through December 31, 2010 continue to appear to be adequate. Preliminary analysis of Medicaid prescription activity for the first quarter of 2011 would indicate that sales reserves for the first quarter of 2011 will be about at average percentage levels compared to the three quarters following the March 23, 2010 adoption of healthcare reform.

Operating expenses are estimated to be between $16 million and $18 million.

During the first quarter, the Company used $11.5 million to repurchase 884,300 shares of its common stock in open market transactions. These repurchases brought the total expenditures for the repurchase of common and preferred shares to over $78 million since this effort began in 2008. As of March 31, 2011, Questcor had 61.7 million shares of common stock outstanding, with 4.3 million shares remaining under its common stock repurchase program.

As of March 31, 2011, Questcor’s cash, cash equivalents and short-term investments totaled $122 million.


LOGO

Questcor currently expects to release its financial results for the first quarter on April 26, 2011.

“The strong performance we saw late in the fourth quarter of 2010 has continued in the first quarter of 2011 and was driven by the increasing productivity of our recently expanded Acthar sales force. March showed significant growth in MS prescriptions and exceeded February’s record performance by over 50%. In addition, we are pleased with the very early results from the efforts of our small dedicated Nephrology sales team. While we are very encouraged by the first quarter new prescription results, we note that prior sharp increases in sequential quarterly Acthar prescriptions have usually been followed by more modest sequential growth,” said Don M. Bailey, President and CEO of Questcor Pharmaceuticals.

The Company’s quarterly vial shipments continue to be subject to significant variation due to the size and timing of individual orders from our distributor, and the timing of these orders can significantly affect net sales and net income in any particular quarter. For this reason, as well as other factors causing quarter-to-quarter variability in Questcor’s operating results, the Company believes that investors should consider the Company’s results over several quarters when analyzing the Company’s financial performance. All of the financial and prescription information above are based on preliminary estimates and analysis and are subject to change as the Company continues to close the quarter and conduct its normal financial reviews.

Prescription Trend Information for MS, IS and NS

Because Acthar prescriptions are filled at specialty pharmacies, the Company does not receive complete information regarding either the number of prescriptions or the number of vials by therapeutic area for all of the patients being treated with Acthar. However, Questcor is able to monitor trends in payer mix and areas of therapeutic use for new Acthar prescriptions based on data it receives from its reimbursement support center. Questcor estimates that over 90% of new Acthar prescriptions are processed by this support center, but believes that very few refill prescriptions are processed there.

In order to help investors better understand historical trends in sales of Acthar for each of its three key therapeutic uses, acute exacerbations of MS, IS, and NS, Questcor has grouped new prescriptions processed by its reimbursement center into two groups — “Paid” and “Fully Rebated.” “Paid” prescriptions include those prescriptions for which Questcor retains the full selling price for Acthar, as well as Tricare prescriptions that receive a 24% rebate. “Fully Rebated” prescriptions are those for which Questcor can identify that it has recorded a rebate liability approximately equal to or, for periods prior to the first quarter of 2010, greater than the price charged to its distributor. From time to time during the past two years, the rebate liability for some government insurance programs has shifted between these two categories. Therefore, the prescriptions that fall into the “Paid” and “Fully Rebated” categories have also shifted over time as follows:


LOGO

“Paid” prescriptions (Rxs) include all prescriptions in the following payer categories:

 

   

Commercial—For all time periods.

 

   

Tricare—For 2010 and 2011, but not 2009.

 

   

Medicaid Managed Care—For all time periods through March 22, 2010 (see Note 1 below the tables).

“Fully Rebated” prescriptions (Rxs) include:

 

   

Those reimbursed by fee-for-service Medicaid insurance and other state programs eligible for full rebates as Medicaid Waivers Programs for all time periods.

 

   

Tricare—For 2009.

 

   

Medicaid Managed Care—For all time periods beginning March 23, 2010 (see Note 1 below the tables).

The following tables show, for each of the three key Acthar therapeutic uses, the number of new prescriptions shipped grouped into “Paid” and “Fully Rebated”:

Multiple Sclerosis (and related conditions) New Rxs

 

2009

   Paid      Year-Over-Year
Growth in Paid
Rx
    Sequential
Growth in
Paid Rx
    Fully
Rebated
 

Q1-09

     78         225     13     8   

Q2-09

     124         254     59     17   

Q3-09

     141         177     14     20   

Q4-09

     213         209     51     15   

Total 2009

     556         211       60   

2010

                         

Q1-10

     231         196     9     12   

Q2-10

     304         145     32     24   

Q3-10

     323         129     6     19   

Q4-10

     354         66     10     24   

Total 2010

     1,212         118       79   

2011

                         

Q1-11

     >500         >115     >40     ~49   


LOGO

Infantile Spasms (and related conditions) New Rxs

 

2009

   Paid      Fully Rebated  

Q1-09

     104         75   

Q2-09

     91         68   

Q3-09

     60         58   

Q4-09

     94         45   

Total 2009

     349         246   

2010

             

Q1-10

     89         48   

Q2-10

     95         66   

Q3-10

     92         78   

Q4-10

     91         68   

Total 2010

     367         260   

2011

             

Q1-11

     ~88         ~71   

Nephrotic Syndrome (and related conditions) New Rxs

 

2009

   Paid      Fully Rebated  

Q1-09

     1         0   

Q2-09

     3         1   

Q3-09

     2         0   

Q4-09

     14         3   

Total 2009

     20         4   

2010

             

Q1-10

     11         0   

Q2-10

     4         1   

Q3-10

     8         0   

Q4-10

     7         0   

Total 2010

     30         1   

2011

             

Q1-11

     ~18         ~1   


LOGO

Notes:

(1) Because the March 2010 health care legislation made Medicaid Managed Care Organization (MCO) prescriptions rebate eligible effective 3/23/10, a rebate liability for the MCO prescriptions estimated to be filled on or after 3/23/10 has been accrued. The Company does not have the ability to accurately identify every Medicaid Managed Care prescription so it is possible that some prescriptions identified as “Paid” in the tables may subsequently be reclassified as “Fully Rebated.”

(2) “Related Conditions” includes diagnoses that are either alternative descriptions of the condition or are closely related to the medical condition which is the focus of the table. For example, a prescription for “Demyelinating disease of the central nervous system” would be included as an MS related condition for purpose of this table. About 5% of the prescriptions in the tables are for a related condition.

(3) A new prescription may or may not represent a new patient or a new therapy for the patient receiving the prescription. Questcor uses business rules to determine whether a prescription should be classified as new for inclusion in this table. From time to time the Company may modify these rules which could cause some changes to the historic numbers in the table above.

(4) Historical trend information is not necessarily indicative of future results.

About Questcor

Questcor Pharmaceuticals, Inc. is a biopharmaceutical company whose primary product helps patients with serious, difficult-to-treat medical conditions. Questcor’s primary product is H.P. Acthar® Gel (repository corticotropin injection), an injectable drug that is approved by the FDA for the treatment of 19 indications. Of these 19 indications,


LOGO

Questcor currently generates most of its net sales from two indications: the treatment of acute exacerbations of multiple sclerosis in adults and the treatment of infantile spasms in children under two years of age. Questcor is also implementing plans to commercialize Acthar for use in treating nephrotic syndrome, another on-label indication. Specifically with respect to nephrotic syndrome, the FDA has approved Acthar 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.” Questcor also markets Doral(R) (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 have been made pursuant to the Private Securities Litigation Reform Act of 1995. These statements relate to future events or our future financial performance. In some cases, you can identify forward-looking statements by terminology such as “believes,” “continue,” “could,” “estimates,” “expects,” “growth,” “may,” “plans,” “potential,” “should,” “substantial” or “will” 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:

 

   

Our reliance on Acthar for substantially all of our net sales and profits;

 

   

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

 

   

The lack of patent protection for Acthar; and the possible FDA approval and market introduction of competitive products;

 

   

Our ability to generate revenue from sales of Acthar to treat on-label indications associated with NS, and our ability to develop other therapeutic uses for Acthar;

 

   

Research and development risks, including risks associated with Questcor’s preliminary work in the area of nephrotic syndrome and our reliance on third-parties to conduct research and development and the ability of research and development to generate successful results;

 

   

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

 

   

Our ability to receive high reimbursement levels from third party payers;

 

   

An increase in the proportion of our Acthar unit sales comprised of Medicaid-eligible patients and government entities;


LOGO

 

   

Our ability to estimate reserves required for Acthar used by government entities and Medicaid-eligible patients and the impact that unforeseen invoicing of historical Medicaid sales may have upon our results;

 

   

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

 

   

Our ability to effectively manage our growth and our reliance on key personnel;

 

   

The impact to our business caused by economic conditions;

 

   

Our ability to protect our proprietary rights;

 

   

Our ability to maintain effective controls over financial reporting;

 

   

The risk of product liability lawsuits;

 

   

Unforeseen business interruptions;

 

   

Volatility in Questcor’s monthly and quarterly Acthar shipments and end-user demand, as well as volatility in our stock price; and

 

   

Other risks discussed in Questcor’s annual report on Form 10-K for the year ended December 31, 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.

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 of this release.

For more information, please visit www.questcor.com or www.acthar.com.

CONTACT INFORMATION:

Questcor Pharmaceuticals, Inc.

Don Bailey

714-786-4210

dbailey@Questcor.com

EVC Group

 

Investors    Media
Gregory Gin/Doug Sherk    Janine McCargo
415-896-6820    646-688-0425
April 2011 Investor Presentation
1
Exhibit 99.2


2
2
NASDAQ:
QCOR
NASDAQ:
QCOR
April 2011
April 2011


3
Safe Harbor Statement
Note: Except for the historical information contained herein, this press release contains forward-looking statements that have been
made pursuant to the Private Securities Litigation Reform Act of
1995. These statements relate to future events or our future financial
performance. In some cases, you can identify forward-looking statements by terminology such as “believes,”
“continue,”
“could,”
“estimates,”
“expects,”
“growth,”
“may,”
“plans,”
“potential,”
“should,”
“substantial”
or “will”
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: Our reliance on Acthar for substantially
all of our
net sales and profits; The complex nature of our manufacturing process and the potential for supply disruptions or other business
disruptions; The lack of patent protection for Acthar; and the possible FDA approval and market introduction of competitive products;
Our ability to generate revenue from sales of Acthar to treat on-label indications associated with NS, and our ability to develop
other
therapeutic uses for Acthar; Research and development risks, including risks associated with Questcor's preliminary work in the area of
nephrotic syndrome and our reliance on third-parties to conduct research and development and the ability of research and
development to generate successful results; Regulatory changes or other policy actions by governmental authorities and other third
parties as recently adopted U.S. healthcare reform legislation is implemented; Our ability to receive high reimbursement levels from
third party payers; An increase in the proportion of our Acthar unit sales comprised of Medicaid-eligible patients and government
entities; Our ability to estimate reserves required for Acthar used by government entities and Medicaid-eligible patients  and the
impact that unforeseen invoicing of historical Medicaid sales may have upon our results; Our ability to operate within an industry that
is highly regulated at both the Federal and state level; Our ability to effectively manage our growth and our reliance on key personnel;
The impact to our business caused by economic conditions; Our ability to protect our proprietary rights; Our ability to maintain
effective controls over financial reporting; The risk of product
liability lawsuits; Unforeseen business interruptions; Volatility in
Questcor's monthly and quarterly Acthar shipments and end-user demand, as well as volatility in our stock price; and Other
risks
discussed
in
Questcor's
annual
report
on
Form
10-K
for
the
year
ended
December
31,
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 press release contains forward-looking statements that have been
made pursuant to the Private Securities Litigation Reform Act of
1995. These statements relate to future events or our future financial
performance. In some cases, you can identify forward-looking statements by terminology such as “believes,”
“continue,”
“could,”
“estimates,”
“expects,”
“growth,”
“may,”
“plans,”
“potential,”
“should,”
“substantial”
or “will”
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: Our reliance on Acthar for substantially
all of our
net sales and profits; The complex nature of our manufacturing process and the potential for supply disruptions or other business
disruptions; The lack of patent protection for Acthar; and the possible FDA approval and market introduction of competitive products;
Our ability to generate revenue from sales of Acthar to treat on-label indications associated with NS, and our ability to develop
other
therapeutic uses for Acthar; Research and development risks, including risks associated with Questcor's preliminary work in the area of
nephrotic syndrome and our reliance on third-parties to conduct research and development and the ability of research and
development to generate successful results; Regulatory changes or other policy actions by governmental authorities and other third
parties as recently adopted U.S. healthcare reform legislation is implemented; Our ability to receive high reimbursement levels from
third party payers; An increase in the proportion of our Acthar unit sales comprised of Medicaid-eligible patients and government
entities; Our ability to estimate reserves required for Acthar used by government entities and Medicaid-eligible patients  and the
impact that unforeseen invoicing of historical Medicaid sales may have upon our results; Our ability to operate within an industry that
is highly regulated at both the Federal and state level; Our ability to effectively manage our growth and our reliance on key personnel;
The impact to our business caused by economic conditions; Our ability to protect our proprietary rights; Our ability to maintain
effective controls over financial reporting; The risk of product
liability lawsuits; Unforeseen business interruptions; Volatility in
Questcor's monthly and quarterly Acthar shipments and end-user demand, as well as volatility in our stock price; and Other
risks
discussed
in
Questcor's
annual
report
on
Form
10-K
for
the
year
ended
December
31,
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
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


Questcor Overview
Flagship Product:
Flagship Product:
Profitable, cash flow positive, $122M in cash, debt-free
Profitable, cash flow positive, $122M in cash, debt-free
19 approved indications
19 approved indications
Key Markets:
Key Markets:
Multiple Sclerosis, Infantile Spasms, Nephrotic Syndrome
Combined market opportunity exceeds $1.5 billion
Multiple Sclerosis, Infantile Spasms, Nephrotic Syndrome
Combined market opportunity exceeds $1.5 billion
Strategy:
Strategy:
Grow Acthar sales in each key market
Grow Acthar sales in each key market
Financials:
Financials:
5


6
MS New, Paid Scripts: >500
Up over 115% YOY and 40% sequentially
NS New, Paid Scripts: ~18
IS New, Paid Scripts: ~88 (in the normal range)
First quarter vials shipped: 2,010
Medicaid reserves continue to appear adequate
884,300 shares repurchased
MS New, Paid Scripts: >500
Up over 115% YOY and 40% sequentially
NS New, Paid Scripts: ~18
IS New, Paid Scripts: ~88 (in the normal range)
First quarter vials shipped: 2,010
Medicaid reserves continue to appear adequate
884,300 shares repurchased
Q1 2011 Preliminary Metrics


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


9
Sell More Acthar
Multiple Sclerosis (MS)
Multiple Sclerosis (MS)
Infantile Spasms (IS)
Infantile Spasms (IS)
Nephrotic Syndrome (NS)
Nephrotic Syndrome (NS)


Large Market Opportunity
~$66M
~$66M
~$41M
~$41M
~$3M
~$3M
~$5M
~$5M
$1B+
MS Sales
IS Sales
NS Sales
$500M to $2B+
$100M
$1B+
Other Sales
2010 Net
Sales**
Market*
*Represents estimated net sales market opportunity based on internal company estimates
** Represents approximate 2010 Net Sales by therapeutic area based on internal company estimates
10


Acthar and MS
Neurodegenerative
disorder
Acute treatment for
relapses
Dosing period is 1-2
weeks*
$40K-$50K/Rx
Inadequate
Inadequate
Response to
Response to
Steroids
Steroids
Poor
Poor
Venous
Venous
Access
Access
Problematic
Problematic
Steroid Side
Steroid Side
Effects 
Effects 
Acthar
Acthar
when
when
“Steroids are
“Steroids are
not suitable”
not suitable”
*Based on prescription data
11


12
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.
77
15
30
38
Numbers in the  bars show the number of sales people
making calls at the end of the quarter.
8
>
Q1 '08
Q2 '08
Q3 '08
Q4 '08
Q1 '09
Q2 '09
Q3 '09
Q4 '09
Q1 '10
Q2 '10
Q3 '10
Q4 '10
Q1 '10


13
Multiple Sclerosis
$500M to $2B+
Potential Market
$500M to $2B+
$500M to $2B+
Potential Market
Potential Market
*Based on internal company estimates.


14
Q1-2011 results
Q1-11 new paid Rxs up >115% vs. Q1-10
MS sales well over 50% of QCOR sales
Over $75M annualized run-rate
Growing number of Acthar prescribers
But only ~400 out of 8,000 neurologists
Speakers bureau growing
Q1-2011 results
Q1-11 new paid Rxs up >115% vs. Q1-10
MS sales well over 50% of QCOR sales
Over $75M annualized run-rate
Growing number of Acthar prescribers
But only ~400 out of 8,000 neurologists
Speakers bureau growing
MS Trends


15
MS Sales Calls vs. Paid New Rxs
*MS call data approximate
MS Calls
MS Calls
MS Rxs
MS Rxs
0
20
40
60
80
100
120
140
160
180
200
0
1000
2000
3000
4000
5000
6000


16
Doubled sales force:  38 to 77 sales reps
Newly expanded sales force began call activity Nov 1
Significant increase in calls on MS-treating neurologists
Also targeting certain child neurologists for IS sales calls
MS paid Rxs increasing since November
December set new record
February set new record 
March up >50% over February
Doubled sales force:  38 to 77 sales reps
Newly expanded sales force began call activity Nov 1
Significant increase in calls on MS-treating neurologists
Also targeting certain child neurologists for IS sales calls
MS paid Rxs increasing since November
December set new record
February set new record 
March up >50% over February
Sales Force Expansion


17
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


18
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*
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*
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
*Based on prescription data


19
Significant variability in quarterly prescriptions
Q1-2011 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 variability in quarterly prescriptions
Q1-2011 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


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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


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FDA-approved on label indication for reduction of
proteinuria in:
Idiopathic types of nephrotic syndrome
Idiopathic membranous nephropathy
Focal segmental glomerular sclerosis (FSGS)
IgA nephropathy
Lupus nephritis
Treatment for 4-6 months*
$150K-250K/Rx
FDA-approved on label indication for reduction of
proteinuria in:
Idiopathic types of nephrotic syndrome
Idiopathic membranous nephropathy
Focal segmental glomerular sclerosis (FSGS)
IgA nephropathy
Lupus nephritis
Treatment for 4-6 months*
$150K-250K/Rx
Acthar and NS
*Based on prescription data


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Available November 2010
Case series showed response from Acthar in refractory
idiopathic membranous nephropathy (on-label)
9 of 11 patients met response criteria
Positive signal received in diabetic nephropathy
investigator initiated trial (not on-label)
9 of 15 patients on Acthar met response criteria and none have
required dialysis
Available November 2010
Case series showed response from Acthar in refractory
idiopathic membranous nephropathy (on-label)
9 of 11 patients met response criteria
Positive signal received in diabetic nephropathy
investigator initiated trial (not on-label)
9 of 15 patients on Acthar met response criteria and none have
required dialysis
Proof of Concept Data


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Dose response trial for idiopathic membranous
nephropathy (on-label)
$5-7M multi-center trial, n~100
Reduction of proteinuria is endpoint
Presently designing a well controlled study in
collaboration with FDA for diabetic nephropathy (off-
label)
Proof-of-concept study with different dosing regimens and a
placebo
If successful, next step will be a larger Phase II trial
Dose response trial for idiopathic membranous
nephropathy (on-label)
$5-7M multi-center trial, n~100
Reduction of proteinuria is endpoint
Presently designing a well controlled study in
collaboration with FDA for diabetic nephropathy (off-
label)
Proof-of-concept study with different dosing regimens and a
placebo
If successful, next step will be a larger Phase II trial
R&D Effort in NS


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Hired 5 reps to sell Acthar to nephrologists
Initiated sales efforts in early March 2011
Develop selling process and generate sales
Expand selling effort if sales increase
Peer review publication of case series in March 2011
Drug Design, Development and Therapy
Q1 2011 NS Scripts: ~18
14 different prescribers
Hired 5 reps to sell Acthar to nephrologists
Initiated sales efforts in early March 2011
Develop selling process and generate sales
Expand selling effort if sales increase
Peer review publication of case series in March 2011
Drug Design, Development and Therapy
Q1 2011 NS Scripts: ~18
14 different prescribers
NS Business Plan


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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
Yellow bars: Estimated net sales market opportunity based on internal company estimates
Blue bars: Approximate 2010 Net Sales by therapeutic area based on internal company estimates


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


27
2010 Financial Results
Record Sales (up 30%) and Solid Earnings (EPS up 35%)
Record Sales (up 30%) and Solid Earnings (EPS up 35%)
Net Sales ($M)
Net Sales ($M)
Gross Margin
Gross Margin
Operating Inc ($M)
Operating Inc ($M)
EPS
EPS
$115.1
$115.1
93%
93%
$53.8
$53.8
$0.54
$0.54
$88.3
$88.3
92%
92%
$41.2
$41.2
$0.40
$0.40
2010
2010
2009
2009


Questcor is Cash Flow Positive
*After return of $78 million of cash to shareholders through
share repurchases.            
Cash / ST Investment
Cash / ST Investment
Accounts Receivable
Accounts Receivable
$122M*
$122M*
$12M
$12M
3/31/11
3/31/11
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Debt-free balance sheet
Debt-free balance sheet


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Share Repurchases: 15 Million Shares
2.2 Million Preferred shares repurchased
13.3 Million Common shares repurchased
$78 million returned to shareholders in stock
buybacks
61.7 million shares currently outstanding
4.3 million shares remain on buyback authorization
2.2 Million Preferred shares repurchased
13.3 Million Common shares repurchased
$78 million returned to shareholders in stock
buybacks
61.7 million shares currently outstanding
4.3 million shares remain on buyback authorization
Repurchases significantly improve EPS
Repurchases significantly improve EPS


Expanded sales force to pursue MS/IS
Dedicated pilot NS sales team started March 2011
Develop other markets for Acthar
Acthar is its own pipeline with 15 other on-label
and many possible other therapeutic uses
Further define and develop the unique
characteristics of Acthar
No business development efforts                         
planned
Expanded sales force to pursue MS/IS
Dedicated pilot NS sales team started March 2011
Develop other markets for Acthar
Acthar is its own pipeline with 15 other on-label
and many possible other therapeutic uses
Further define and develop 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
Possible 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
Possible upside with NS
Market sizes have good growth potential
Cash flow positive/no debt
Investment Highlights


32
NASDAQ:
QCOR
NASDAQ:
QCOR
April 2011
April 2011
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