10-Q

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

(Mark One)

☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended September 30, 2022 

or 

☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from ______to______.

Commission File Number: 001-38193

OPIANT PHARMACEUTICALS, INC.

(Exact name of registrant as specified in its charter) 

Delaware				46-4744124
(State or other jurisdiction of incorporation or organization)				(I.R.S. Employer Identification No.)
233 Wilshire Blvd.	Suite 400	Santa Monica,	CA	90401
(Address of principal executive offices)				(Zip Code)

(310)-598-5410 

(Registrant’s telephone number, including area code) 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒  No ☐

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐ 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See definitions of “large accelerated filer”, “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. 

Large Accelerated Filer	☐	Accelerated Filer	☐
Non-Accelerated Filer	☒	Smaller Reporting Company	☒
		Emerging Growth Company	☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒ 

As of November 10, 2022, the registrant had 5,167,814 shares of common stock outstanding.

Securities registered pursuant to Section 12(b) of the Act:

Title of each class	Trading symbol	Name of each exchange on which registered
Common stock, par value $0.001 per share	OPNT	Nasdaq Stock Market LLC

CAUTIONARY STATEMENT ON FORWARD-LOOKING INFORMATION

    This Quarterly Report on Form 10-Q (this “Report”) contains “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended (the “Securities Act”), and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). Forward-looking statements discuss matters that are not historical facts. Because they discuss future events or conditions, forward-looking statements may include words such as “anticipate,” “believe,” “estimate,” “intend,” “could,” “should,” “would,” “may,” “seek,” “plan,” “might,” “will,” “expect,” “predict,” “project,” “forecast,” “potential,” “continue”, negatives thereof or similar expressions. Forward-looking statements speak only as of the date they are made, are based on various underlying assumptions and current expectations about the future and are not guarantees. Such statements involve known and unknown risks, uncertainties and other factors that may cause our actual results, level of activity, performance or achievement to be materially different from the results of operations or plans expressed or implied by such forward-looking statements.

    We cannot predict all of the risks and uncertainties. Accordingly, such information should not be regarded as representations that the results or conditions described in such statements or that our objectives and plans will be achieved and we do not assume any responsibility for the accuracy or completeness of any of these forward-looking statements. These forward-looking statements are found at various places throughout this Report and include information concerning possible or assumed future results of our operations, including statements about potential acquisition or merger targets; business strategies; future cash flows; financing plans; plans and objectives of management, any other statements regarding future acquisitions, future cash needs, future operations, business plans and future financial results, and any other statements that are not historical facts. 

    From time to time, forward-looking statements also are included in our other periodic reports on Forms 10-K and 8-K, in our press releases, in our presentations, on our website and in other materials released to the public. Any or all of the forward-looking statements included in this Report and in any other reports or public statements made by us are not guarantees of future performance and may turn out to be inaccurate. These forward-looking statements represent our intentions, plans, expectations, assumptions and beliefs about future events and are subject to risks, uncertainties and other factors. Many of those factors are outside of our control and could cause actual results to differ materially from the results expressed or implied by those forward-looking statements. In light of these risks, uncertainties and assumptions, the events described in the forward-looking statements might not occur or might occur to a different extent or at a different time than we have described. You are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date of this Report. All subsequent written and oral forward-looking statements concerning other matters addressed in this Report and attributable to us or any person acting on our behalf are expressly qualified in their entirety by the cautionary statements contained or referred to in this Report.

    Except to the extent required by law, we undertake no obligation to update or revise any forward-looking statements, whether as a result of new information, future events, a change in events, conditions, circumstances or assumptions underlying such statements, or otherwise.

CERTAIN TERMS USED IN THIS REPORT

    When this Report uses the words “we,” “us,” “our,” “Opiant,” and the “Company,” they refer to Opiant Pharmaceuticals, Inc. “SEC” refers to the Securities and Exchange Commission.

OPIANT PHARMACEUTICALS, INC. 

TABLE OF CONTENTS

PART I— FINANCIAL INFORMATION
Item 1.	Financial Statements	4
	Condensed Consolidated Balance Sheets (unaudited)	4
	Condensed Consolidated Statements of Operations and Comprehensive Loss (unaudited)	5
	Condensed Consolidated Statements of Stockholders' Equity (unaudited)	6
	Condensed Consolidated Statements of Cash Flows (unaudited)	8
	Notes to Condensed Consolidated Financial Statements (unaudited)	9
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	11
Item 3.	Quantitative and Qualitative Disclosures About Market Risk	30
Item 4.	Controls and Procedures	30
PART II— OTHER INFORMATION		31
Item 1.	Legal Proceedings	31
Item 1A.	Risk Factors	32
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	34
Item 3.	Defaults Upon Senior Securities	34
Item 4.	Mine Safety Disclosures	34
Item 5.	Other Information	34
Item 6.	Exhibits	34
SIGNATURES		36

3

PART 1 - FINANCIAL INFORMATION

Item 1.           Financial Statements

Opiant Pharmaceuticals, Inc.

Condensed Consolidated Balance Sheets

	September 30, 2022		December 31, 2021
Assets	(unaudited)
Current assets
Cash and cash equivalents	$	35,375,865	$	37,853,947
Marketable securities	—		15,014,750
Accounts receivable	41,113		13,327,364
Prepaid and other current assets	3,131,299		2,962,903
Total current assets	38,548,277		69,158,964
Other assets
Property and equipment, net	417,646		78,107
Right of use assets - operating leases	2,739,239		999,567
Patents and patent applications, net	10,598		11,628
Other non-current assets	234,389		179,532
Total assets	$	41,950,149	$	70,427,798
Liabilities and Stockholders' Equity
Liabilities
Current liabilities
Accounts payable and accrued liabilities	$	3,113,068	$	3,369,848
Accrued salaries and wages	1,821,438		201,254
Royalty payable	—		2,920,148
Deferred revenue	—		16,618
Operating leases - current	669,209		337,690
Convertible debt - current	1,436,660		—
Total current liabilities	7,040,375		6,845,558
Long-term liabilities
Operating leases - long term	2,083,548		673,347
Convertible debt, net of unamortized discount	12,324,237		16,069,085
Total liabilities	21,448,160		23,587,990
Stockholders' equity
Common stock; par value $0.001; 200,000,000 shares authorized; 5,164,951 and 4,909,846 shares issued and outstanding at September 30, 2022 and December 31, 2021, respectively	5,165		4,910
Additional paid-in capital	116,266,243		108,569,988
Accumulated other comprehensive loss	(248,129)		(54,815)
Accumulated deficit	(95,521,290)		(61,680,275)
Total stockholders' equity	20,501,989		46,839,808
Total liabilities and stockholders' equity	$	41,950,149	$	70,427,798

The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.

4

Opiant Pharmaceuticals, Inc.

Condensed Consolidated Statements of Operations and Comprehensive Loss

(unaudited)

	Three months ended September 30,				Nine months ended September 30,
	2022		2021		2022		2021
Revenues
Royalty revenue	$	—	$	14,041,006	$	4,519,505	$	27,688,713
Grant and contract revenue	173,874		2,298,055		4,018,653		6,296,542
Total revenue	173,874		16,339,061		8,538,158		33,985,255
Operating expenses
General and administrative	3,073,114		3,378,707		11,415,746		8,758,601
Research and development	4,133,982		4,881,398		20,873,449		12,119,088
Sales and marketing	2,596,562		1,059,649		8,088,860		3,080,211
Royalty expense	—		3,058,865		943,269		6,145,057
Total operating expenses	9,803,658		12,378,619		41,321,324		30,102,957
Income (loss) from operations	(9,629,784)		3,960,442		(32,783,166)		3,882,298
Other income (expense)
Interest income	160,114		3,498		227,830		10,334
Interest expense	(390,850)		(547,296)		(1,213,021)		(1,626,273)
Loss on sale of assets	(49,437)		—		(49,437)		—
Gain (loss) on foreign exchange	1,868		455		17,818		(9,899)
Total other income (expense)	(278,305)		(543,343)		(1,016,810)		(1,625,838)
Income (loss) before income taxes	(9,908,089)		3,417,099		(33,799,976)		2,256,460
Income tax (expense)	(8,550)		—		(41,039)		—
Net income (loss)	$	(9,916,639)	$	3,417,099	$	(33,841,015)	$	2,256,460
Other comprehensive loss:
Foreign currency translation adjustment	(4,979)		(7,974)		(193,314)		81
Comprehensive income (loss)	$	(9,921,618)	$	3,409,125	$	(34,034,329)	$	2,256,541
Net income (loss) per share of common stock:
Basic	$	(1.93)	$	0.77	$	(6.66)	$	0.52
Diluted	$	(1.93)	$	0.56	$	(6.66)	$	0.41
Weighted average shares outstanding used to compute net income (loss) per share:
Basic	5,138,274		4,462,236		5,083,222		4,359,759
Diluted	5,138,274		6,065,044		5,083,222		5,565,065

The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.

5

Opiant Pharmaceuticals, Inc.

Condensed Consolidated Statements of Stockholders' Equity

(unaudited)

	Common Stock			Additional Paid In Capital		Accumulated Deficit		Accumulated Other Comprehensive Loss		Total
	Shares	Amount
Balance at December 31, 2021	4,909,846	$	4,910	$	108,569,988	$	(61,680,275)	$	(54,815)	$	46,839,808
Return of profit	—	—		5,824		—		—		5,824
Exercise of stock options	7,097	7		91,627		—		—		91,634
Restricted stock issued	31,746	32		(32)		—		—		—
Stock issued from converted debt	130,916	131		2,571,069		—		—		2,571,200
Debt issuance cost associated with debt conversion	—	—		(109,399)		—		—		(109,399)
Stock based compensation	—	—		2,079,159		—		—		2,079,159
Net loss	—	—		—		(12,187,830)		—		(12,187,830)
Other comprehensive loss - foreign currency translation adjustment	—	—		—		—		(27,150)		(27,150)
Balance at March 31, 2022	5,079,605	$	5,080	$	113,208,236	$	(73,868,105)	$	(81,965)	$	39,263,246
Exercise of stock options	—	—		—		—		—		—
Restricted stock issued	15,375	15		(15)		—		—		—
Performance stock units issued	20,185	20		(20)		—		—		—
Issuance of common stock, net of issuance cost	7,410	6		135,672		—		—		135,678
Stock based compensation	—	—		2,095,118		—		—		2,095,118
Net loss	—	—		—		(11,736,546)		—		(11,736,546)
Other comprehensive loss - foreign currency translation adjustment	—	—		—		—		(161,185)		(161,185)
Balance at June 30, 2022	5,122,575	$	5,121	$	115,438,991	$	(85,604,651)	$	(243,150)	$	29,596,311
Restricted stock issued	4,550	6		(6)		—		—		—
Issuance of common stock, net of issuance cost	37,826	38		402,577		—		—		402,615
Stock based compensation	—	—		424,681		—		—		424,681
Net loss	—	—		—		(9,916,639)		—		(9,916,639)
Other comprehensive loss - foreign currency translation adjustment	—	—		—		—		(4,979)		(4,979)
Balance at September 30, 2022	5,164,951	$	5,165	$	116,266,243	$	(95,521,290)	$	(248,129)	$	20,501,989
Balance at December 31, 2020	4,258,105	$	4,259	$	100,203,979	$	(64,689,065)	(26,931)		$	35,492,242
Exercise of stock options	65,962	66		579,553		—		—		579,619
Restricted stock issued	6,527	6		(6)		—		—		—
Stock based compensation	—	—		745,620		—		—		745,620
Net loss	—	—		—		(2,844,230)		—		(2,844,230)

6

Other comprehensive loss - foreign currency translation adjustment	—	—		—		—		12,501		12,501
Balance at March 31, 2021	4,330,594	$	4,331	$	101,529,146	$	(67,533,295)	(14,430)		$	33,985,752
Exercise of stock options	5,630	6		36,599		—		—		36,605
Restricted stock issued	13,375	13		(13)		—		—		—
Stock based compensation	—	—		654,562		—		—		654,562
Net income	—	—		—		1,683,591		—		1,683,591
Other comprehensive loss - foreign currency translation adjustment	—	—		—		—		(4,446)		(4,446)
Balance at June 30, 2021	4,349,599	$	4,350	$	102,220,294	$	(65,849,704)	$	(18,876)	$	36,356,064
Exercise of stock options	268,622	268		1,545,566		—		—		1,545,834
Stock based compensation	—	—		694,334				—		694,334
Net Income	—	—		—		3,417,099		—		3,417,099
Other comprehensive loss - foreign currency translation adjustment	—	—		—		—		(7,974)		(7,974)
Balance at September 30, 2021	4,618,221	$	4,618	$	104,460,194	$	(62,432,605)	$	(26,850)	$	42,005,357

The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.

7

Opiant Pharmaceuticals, Inc.

Condensed Consolidated Statements of Cash Flows

(unaudited)

	For the Nine Months Ended
	September 30, 2022		September 30, 2021
Cash flows from operating activities
Net income (loss)	$	(33,841,015)	$	2,256,460
Adjustments to reconcile net income (loss) to net cash used in operating activities:
Depreciation and amortization	28,013		78,701
Amortization of debt discount	153,613		205,177
Loss on sale of fixed assets	49,437		—
Non-cash lease expense	384,916		388,598
Stock based compensation	4,598,958		2,094,516
Change in assets and liabilities:
(Increase) decrease in accounts receivable	13,286,251		(6,514,964)
(Increase) decrease in prepaid expenses	(296,020)		860,631
Increase (decrease) in accounts payable and accrued liabilities	(198,361)		(481,464)
Increase (decrease) in accrued salaries and wages	1,672,129		553,996
Increase (decrease) in lease liabilities	(370,033)		(392,564)
Increase (decrease) in royalty payable	(2,920,148)		1,228,605
Increase (decrease) in deferred revenue	(16,618)		(354,756)
Net cash used in operating activities	(17,468,878)		(77,064)
Cash flows from investing activities
Maturity (purchase) of marketable securities	15,014,750		(15,044,750)
Purchase of property and equipment	(418,962)		—
Net cash provided by (used in) investing activities	14,595,788		(15,044,750)
Cash flows from financing activities
Proceeds from issuance of common shares	538,293		—
Proceeds from stock option and warrant exercises	97,458		2,162,058
Net cash provided by financing activities	635,751		2,162,058
Effect of foreign currency translation on cash	(240,743)		(6,985)
Net increase (decrease) in cash and cash equivalents	(2,478,082)		(12,966,741)
Cash and cash equivalents, beginning of period	37,853,947		48,251,336
Cash and cash equivalents, end of period	$	35,375,865	$	35,284,595
Supplemental disclosure
Interest paid during the period	$	1,158,940	$	1,051,508
Income taxes paid during the period	$	66,924	$	—
Supplemental disclosure of non-cash finance transactions
Common stock issued for debt conversion	$	2,571,200	$	—
Debt issuance cost associated with debt conversion	$	109,399	$	—
Right of use assets obtained in exchange for new lease obligations	$	2,106,776	$	1,094,259
Issuance of restricted stock and performance stock units	$	73	$	19

The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.

8

Opiant Pharmaceuticals, Inc.

Notes to Unaudited Condensed Consolidated Financial Statements

Note 1. Description of Business 

Company 

    Opiant is a specialty pharmaceutical company developing medicines for addiction and drug overdose. The Company developed NARCAN® (naloxone hydrochloride) Nasal Spray (“NARCAN®”), a treatment to reverse opioid overdose. This product was conceived and developed by the Company, licensed to Adapt Pharma Operations Limited (“Adapt”), an Ireland based pharmaceutical company in December 2014 and approved by the U.S. Food and Drug Administration (“FDA”) in November 2015. In October 2018, Emergent BioSolutions, Inc. ("EBS") completed its acquisition of Adapt.

    The Company's current pipeline includes medicines in development for Opioid Overdose Reversal (“OOR”), Alcohol Use Disorder (“AUD”), and Acute Cannabinoid Overdose (“ACO”). The Company is also pursuing other treatment opportunities within the addiction and drug overdose field.

    The Company has not had a bankruptcy, receivership or similar proceeding. The Company is required to comply with all regulations, rules and directives of governmental authorities and agencies applicable to the clinical testing and manufacturing and sale of pharmaceutical products.

Note 2. Basis of Presentation and Summary of Significant Accounting Policies 

Basis of Presentation

    The accompanying condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America ("GAAP") and the applicable rules and regulations of the SEC for interim financial information. Accordingly, they do not include all of the information and notes required by GAAP for complete financial statements. The condensed consolidated balance sheet at December 31, 2021 has been derived from the audited consolidated financial statements at that date, but does not include all disclosures, including notes, required by GAAP for complete financial statements.

    The unaudited interim condensed consolidated financial statements have been prepared on the same basis as the audited consolidated financial statements and, in the opinion of management, reflect all adjustments of a normal recurring nature considered necessary to present fairly the Company's financial position as of September 30, 2022 and December 31, 2021, results of operations for the three and nine months ended September 30, 2022 and 2021, and cash flows for the nine months ended September 30, 2022 and 2021. The interim results are not necessarily indicative of the results for any future interim period or for the entire year.

    The condensed consolidated financial statements include the accounts of the Company and its wholly-owned subsidiary, Opiant Pharmaceuticals UK Limited, a company incorporated on November 4, 2016 under the England and Wales Companies Act of 2006. Intercompany balances and transactions are eliminated upon consolidation.  

    The accompanying condensed consolidated financial statements and related financial information should be read in conjunction with the audited consolidated financial statements and the related notes thereto for the year ended December 31, 2021 included in the Company's Annual Report on Form 10-K filed with the SEC on March 15, 2022.

Use of Estimates

    The preparation of condensed consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities, and reported amounts of expenses in the financial statements and accompanying notes. Actual results could differ from those estimates. Key estimates included in the financial statements include the valuation of: deferred income tax assets, equity instruments, stock-based compensation, acquired intangibles, and allowances for accounts receivable.

Cash and Cash Equivalents

    The Company considers all highly liquid investments purchased with an original maturity of three months or less to be cash equivalents. Cash and cash equivalents were approximately $35.4 million and $37.9 million at September 30, 2022 and December 31, 2021, respectively. The Company maintains cash balances at financial institutions insured up to $250 thousand by the Federal Deposit Insurance Corporation. Balances in the UK are insured up to £85 thousand by the Financial Services Compensation Scheme (UK Equivalent). Although the Company’s cash balances exceeded these insured amounts at various times during the nine months ended September 30, 2022, the Company has not experienced any losses on its deposits of cash and cash equivalents for the periods presented.

9

Earnings (Loss) Per Share

Basic and diluted earnings (loss) per share is computed by dividing loss attributable to common stockholders by the weighted average number of shares of Common Stock outstanding during the period.

    Basic earnings (loss) per share is computed by dividing the net income (loss) available to common stockholders by the weighted-average number of shares of Common Stock outstanding during the respective period presented in the Company’s accompanying condensed consolidated financial statements. Fully-diluted earnings (loss) per share is computed similarly to basic income (loss) per share except that the denominator is increased to include the number of Common Stock equivalents (primarily outstanding options and warrants).

(in thousands, except per share data)	For the Three Months Ended September 30,				For the Nine Months Ended September 30,
Numerator:	2022		2021		2022		2021
Net Income (loss)	$	(9,917)	$	3,417	$	(33,841)	$	2,256
Denominator:
Denominator for basic income (loss)
per share - weighted average shares	5,138,274		4,462,236		5,083,222		4,359,759
Effect of dilutive securities:
Equity incentive plans	—		1,602,808		—		1,205,306
Denominator for diluted income (loss) per share	5,138,274		6,065,044		5,083,222		5,565,065
Income (loss) per share - Basic	$	(1.93)	$0.77		$	(6.66)	$	0.52
Income (loss) per share - Diluted	$	(1.93)	$0.56		$	(6.66)	$	0.41

    The Company excluded the following securities from the calculation of basic and diluted net loss per share as the effect would have been antidilutive.

	For the Three Months Ended September 30,		For the Nine Months Ended September 30,
	2022	2021	2022	2021
Options to purchase common stock	2,745,815	295,550	2,745,815	407,975
Warrants to purchase common stock	278,800	—	278,800	—
Unvested restricted stock	268,093	—	268,093	21,425
Unvested performance stock	20,185	—	20,185	—
Shares issuable upon conversion of convertible debt	222,332	509,165	222,332	509,165
Total	3,535,225	804,715	3,535,225	938,565

Foreign Currency Translation

    The functional currency of the Company's wholly-owned subsidiary, Opiant UK is the British Pound, its local currency. Consequently, its assets and liabilities are translated at current rates of exchange at the balance sheet date. Income and expense items are translated at the average foreign currency exchange rates for the period. Adjustments resulting from the translation of the financial statements of Opiant Pharmaceuticals UK Limited (“Opiant UK”), into U.S. dollars, the reporting currency, are excluded from the determination of net loss and are recorded in accumulated other comprehensive loss, a separate component of equity. Gains and losses arising on translation or settlement of foreign currency denominated transactions or balances are included in the determination of income.

Recently Adopted Accounting Pronouncements

    From time to time, new accounting pronouncements are issued by the Financial Accounting Standards Board, ("FASB"), or other standard setting bodies and adopted by us as of the specified effective date. Unless otherwise discussed, the impact of recently issued standards that are not yet effective will not have a material impact on the Company’s financial position or results of operations upon adoption.

10

    The Company has considered all other recently issued accounting pronouncements and does not believe the adoption of such pronouncements will have a material impact on its consolidated financial statements.

Note 3.     Marketable Securities

The Company invests in debt securities and has the intent and ability to hold until maturity. Therefore, the Company's Securities are classified as held-to-maturity. The Company's debt securities are all U.S. Treasury securities. The investments in debt securities are carried at either amortized cost or fair value. As of September 30, 2022, the Company had no marketable securities. Any debt securities with original maturities of three months or less are classified as cash equivalents.

Note 4.     Accounts Receivable

    As of September 30, 2022, the Company had $41 thousand in accounts receivable due from BARDA. As of December 31, 2021, the Company had $13.3 million in accounts receivable, which primarily related to royalty revenue from net sales of NARCAN®.

Note 5. Prepaid Expenses and Other Current Assets

    As of September 30, 2022 and December 31, 2021, the Company had prepaid expenses and other current assets of approximately $3.1 million and $3.0 million, respectively. The Company's prepaid expenses are primarily for advance research and development payments, insurance, software licenses, prepaid rent, and other amounts that relate to future periods of service. Other current assets primarily consist of such items as other receivables and security deposits.

Note 6. Leases

    On January 1, 2019, the Company adopted a new accounting standard, Topic 842, that amends the guidance for the accounting and reporting of leases. Leases with terms of 12 months or less are expensed on a straight-line basis over the term and are not recorded in the Company's Condensed Consolidated Balance Sheets.

    The Company has two operating leases with terms greater than 12 months as of September 30, 2022. In accordance with the guidance of Topic 842, the leases which are classified as operating leases must be included in the Company's Condensed Consolidated Balance Sheets. The Santa Monica operating lease contains an option to renew once for five years, which the Company does not expect to exercise, the other lease does not contain a renewal option. The operating leases do not contain residual value guarantees, do not have variable lease components, or impose significant restrictions or covenants.

Right of use assets, "ROU assets", represent the right to use an underlying asset for the lease term, and lease liabilities represent the obligation to make lease payments over the respective lease term, with the ROU asset adjusted for deferred rent liability. Lease expense is recognized on a straight line basis over the lease term. As the implicit rate on the leases is not determinable, the Company uses judgement to estimate the incremental borrowing rate which is used as the discount rate to determine the present value of lease payments. The weighted average discount rate used was 8.8% and the weighted average remaining lease term is 4.6 years.

The following table summarizes information related to the Company's operating leases and are included in the Company's Balance Sheet as of September 30, 2022.

Balance Sheet descriptions	September 30, 2022
Assets:	(in thousands)
Right of use assets - operating leases	$	2,739
Liabilities:
Operating leases - current	669
Operating leases - long term	2,084
Total lease liabilities:	$	2,753

The following table summarizes the components of operating lease cost for the three and nine months ended September 30, 2022:

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Lease costs, (in thousands)	Three months ended September 30, 2022		Nine months ended September 30, 2022
Operating expenses lease costs	$	149	$	395

    As of September 30, 2022, future minimum operating leases payments related to the Company’s operating lease liabilities were as follows:

(in thousands)	September 30, 2022
2022 (three months remaining)	$	179
2023	709
2024	737
2025	780
2026 and thereafter	1,036
Total lease payments	3,441
Less imputed interest	(688)
Present value of operating lease liabilities	$	2,753

Note 7. Other Non-Current Assets

As of September 30, 2022 and December 31, 2021, the Company had other non-current assets of approximately $234 thousand and $180 thousand, respectively. The Company's non-current prepaid expenses are primarily for deposits.

Note 8. Revenue

NARCAN® Royalties

The Company's primary source of revenue has been from royalty payments received from NARCAN® net sales by EBS. During the three months ended September 30, 2022 the Company did not record any royalty revenue. On August 10, 2022, the Company, delivered a notice (the "Default Notice") to EBS under section 10.3 the Adapt Agreement to put EBS on notice that EBS had breached one or more of its obligations under the Adapt Agreement. On November 14, 2022, the Company entered into an agreement with EBS to settle the Default Notice dated August 10, 2022 and terminate the Company's rights to receive any further payments, including royalties, under the License Agreement (see Note 13). For the nine months ended September 30, 2022, the Company recorded $4.5 million in royalty revenue related to its agreement with EBS, before it was terminated.

BARDA Contract

    On September 19, 2018, the Company entered into a contract with the Biomedical Advanced Research and Development Authority (“BARDA”), which is part of the U.S. Health and Human Services Office of the Assistant Secretary for Preparedness and Response, to accelerate the Company’s development of OPTN003, its lead product candidate. OPTN003, nasal nalmefene, is a potent, long-acting opioid antagonist currently in development for the treatment of opioid overdose. The contract provides funding up to approximately $10.8 million and covers activities related to the New Drug Application for OPTN003 with the Food and Drug Administration. BARDA has awarded approximately $10.8 million of the contract as of September 30, 2022. During the three and nine months ended September 30, 2022, the Company recognized revenue of $0.2 million and $4.0 million, respectively related to this contract.

Deferred revenue

    On April 17, 2018, the Company was awarded a grant of approximately $7.4 million from the National Institutes of Health’s National Institute on Drug Abuse, ("NIDA"). The grant provided the Company with additional resources for the development of OPNT003.

Government grants are agreements that generally provide cost reimbursement for certain types of expenditures in return for research and development activities over a contractually defined period. The Company recognized revenues from grants in the period during which the related costs were incurred, provided that the conditions under which the grants were provided had been met and only perfunctory obligations were outstanding.

As of March 31, 2022, the Company had received the entire $7.4 million, and all the work related to the grant was complete. During the three and nine months ended September 30, 2022, the Company recognized revenue of $0 and $17 thousand, respectively related to this grant.

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The following is a summary of the Company’s deferred revenue activity as of September 30, 2022:

(in thousands)	NIDA Grant		Total
Balance as of December 31, 2021	$	17	$	17
Additions to deferred revenue	—		—
Recognized as revenue	(17)		(17)
Balance as of September 30, 2022	$	—	$	—

Note 9. Royalty Payable

    The Company entered into various agreements and subsequently received funding from investors for use by the Company for the research and development of its Opioid Overdose Reversal Treatment Product ("OORTP"). In exchange for this funding, the Company agreed to provide investors with interest in the OORTP net profit generated from NARCAN® sales by EBS into perpetuity. As of September 30, 2022, the Company did not record any royalty payable (see Note 13). As of December 31, 2021, the Company recorded a $2.9 million royalty payable.

Note 10. Debt

As of September 30, 2022 the Company had short and long term debt (net of amortization discount) of $13.8 million. As of December 31, 2021, the Company had long term debt (net of amortization discount) of $16.1 million. There have been no changes to the maturity or other conditions of the debt for the nine months ended September 30, 2022. During the nine months ended September 30, 2022 approximately $2.6 million of debt was converted to Common Stock at a conversion price of $19.64 per share.

Note 11. Stockholders' Equity 

Common Stock

    During the nine months ended September 30, 2022, the Company issued 7,097 shares of Common Stock as a result of stock option exercises, and received net cash proceeds of approximately $92 thousand.    

During the nine months ended September 30, 2022, the Company sold 45,236 shares of Common Stock and received net proceeds of $538 thousand after deducting sales commission under its Controlled Equity Offering with Cantor Fitzgerald & Company.

During the nine months ended September 30, 2022, the Company issued 51,671 shares of Common Stock for restricted stock units that vested.

During the nine months ended September 30, 2022, the Company issued 20,185 shares of Common Stock for performance stock units that vested.

Equity Plans 

    On September 8, 2017, the Company held its Annual Meeting of Stockholders (the “Annual Meeting”), at which time the 2017 Long-Term Incentive Plan ("2017 Plan") was approved by stockholder vote. The 2017 Plan allows the Company to grant both incentive stock options (“ISOs”) and non-qualified stock options (“NSOs”) to purchase a maximum of 400,000 shares of the Company's Common Stock. Under the terms of the 2017 Plan, ISOs may only be granted to Company employees and directors, while NSOs may be granted to employees, directors, advisors, and consultants. The Company's Board of Directors (the "Board") has the authority to determine to whom options will be granted, the number of options, the term, and the exercise price. Options are to be granted at an exercise price not less than fair value for an ISO or an NSO. The vesting period is normally over a period of four years from the vesting date. The contractual term of an option is no longer than 10 years. The 2017 Plan also allows the Company to issue restricted stock.

    As provided in the 2017 Plan, on January 1, 2022 the number of shares available for issuance was increased by 4% of the outstanding stock as of December 31, 2021, which represents an increase of 196,394 shares. As of September 30, 2022, the Company had 92,510 shares available for future issuance under the 2017 Plan.

    Prior to adopting the 2017 Plan, the Company did not have a formal long-term incentive stock plan. Prior to the implementation of the 2017 Plan, the Company had discretion to provide designated employees of the Company and its

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affiliates, certain consultants, and advisors who perform services for the Company and its affiliates, and non-employee members of the Board and its affiliates with the opportunity to receive grants of non-qualified stock options (the "Pre-2017 Non-Qualified Stock Options"). All of the Pre-2017 Non-Qualified Stock Option Grants were intended to qualify as non-qualified stock options. There were no Pre-2017 Non-Qualified Stock Option Grants that were intended to qualify as incentive stock options.

On July 8, 2021, the Board of Directors of the Company adopted the 2021 Inducement Equity Incentive Plan (the “Inducement Plan”) and, subject to the adjustment provisions of the Inducement Plan, reserved 100,000 shares of the Company’s Common Stock for issuance pursuant to equity awards granted under the Inducement Plan. On December 9, 2021, the Board of Directors of the Company amended the Inducement Plan to reserve an additional 100,000 shares of the Company’s Common Stock under the Inducement Plan. As of September 30, 2022, the Company had 70,250 shares available for grant under the 2021 Inducement Plan.

Pre-2017 Non-Qualified Stock Options

    As of December 31, 2021, the Company had outstanding Pre-2017 Non-Qualified Stock Options to purchase, in the aggregate, 1,950,500 shares of the Company's Common Stock. During the nine months ended September 30, 2022, the Company did not grant any Pre-2017 Non-Qualified Stock Options.

    Stock option activity for the Pre-2017 Non-Qualified Stock Options for the nine months ended September 30, 2022 is presented in the table below:

	Number of Shares	Weighted-average Exercise Price		Weighted-average Remaining Contractual Term (years)	Aggregate Intrinsic Value (in thousands)
Outstanding at December 31, 2021	1,950,500	$	7.17	3.4	$	51,602
Exercised	—	—
Forfeited	—	—
Outstanding at September 30, 2022	1,950,500	$	7.17	2.65	$	6,975

A summary of the status of the Company’s non-vested Pre-2017 Non-Qualified Stock Options as of September 30, 2022 is presented in the table below:

	Number of Options	Weighted Average Grant Date Fair Value
Vested at September 30, 2022	1,950,500	$	7.17

During the nine months ended September 30, 2022 and 2021, the Company did not recognize any non-cash expense related to Pre-2017 Non-Qualified Stock Options, and there is no further compensation expense to be recognized for the Pre-2017 Non-Qualified Stock Options.

The 2017 Plan

    During the nine months ended September 30, 2022, the Company did not grant any options under the 2017 Plan.

Stock option activity for options granted under the 2017 Plan during the nine months ended September 30, 2022 is presented in the table below:

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	Number of Options Outstanding	Weighted-average Exercise Price		Weighted-average Remaining Contractual Term (years)	Aggregate Intrinsic Value (in thousands)
Balance at December 31, 2021	759,058	$	19.61	7.31	$	10,997
Granted	—	$	—
Exercised	(7,097)	$	12.91
Forfeited	(13,146)	$	13.69
Balance at September 30, 2022	738,815	$	19.78	6.52	$	56

A summary of the status of the Company’s vested and non-vested options granted under the 2017 Plan as of September 30, 2022 is presented in the table below:

	Number of Shares	Weighted Average Grant Date Fair Value per Share
Vested at September 30, 2022	595,716	$	20.23
Non-vested at September 30, 2022	143,009	$	9.54

During the nine months ended September 30, 2022 and 2021, the Company recognized approximately $491 thousand and $1.4 million, respectively of non-cash expense related to options granted under the 2017 Plan. As of September 30, 2022, there was approximately $393 thousand of unrecognized compensation costs related to non-vested stock options that were granted under the 2017 Plan.

Restricted Stock Activity

    The following summarizes the restricted stock activity under the Company's 2017 Plan during the nine months ended September 30, 2022:

	Number of Shares	Weighted Average Fair Value Per Share
Restricted stock outstanding and unvested at December 31, 2021	104,416	$	12.57
Restricted stock granted	147,475	$	31.04
Restricted stock vested	(47,123)	$	12.58
Restricted stock forfeited	(6,925)	$	24.76
Restricted stock outstanding and unvested at September 30, 2022	197,843	$	25.91

    The Company has two different vesting terms for RSUs. For most grants, twenty five percent or (1/4) of the restricted stock units will vest on the one year anniversary of the vesting commencement date, and twenty-five percent or (1/4) will vest annually thereafter on the same day as the vesting commencement date, and for others approximately thirty-three percent (1/3) of the restricted stock units will vest on the one year anniversary of the vesting commencement date, and approximately thirty-three percent or (1/3) will vest annually thereafter on the same day as the vesting commencement date. During the nine months ended September 30, 2022 and 2021, the Company recognized approximately $2.3 million and $563 thousand, respectively of non-cash expense related to restricted stock units. As of September 30, 2022, there was $2.7 million of total unrecognized compensation cost related to restricted stock units.

Performance Stock Unit Activity

During the nine months ended September 30, 2022, the Company granted 80,735 performance stock units to certain employees. The performance stock units vest upon meeting various performance criteria established by the Compensation and Human Capital Committee of the Board of Directors.

Performance stock unit activity granted under the 2017 Plan during the nine months ended September 30, 2022 is presented in the table below:

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	Number of Shares	Weighted Average Fair Value Per Share
Performance stock outstanding and unvested at December 31, 2021	—	$	—
Performance stock granted	80,735	$	32.85
Performance stock vested	(20,185)	$	32.85
Performance stock forfeited	(40,365)	$	32.85
Performance stock outstanding and unvested at September 30, 2022	20,185	$	32.85

During the nine months ended September 30, 2022, the Company recognized approximately $1.1 million of non-cash expense related to performance stock units under the 2017 Plan. As of September 30, 2022, there was $0.4 million of total unrecognized compensation cost related to performance stock units under the 2017 Plan.

Inducement Plan

During the nine months ended September 30, 2022, the Company did not grant any options under the Inducement Plan.

Stock option activity for options granted under the Inducement Plan during the nine months ended September 30, 2022 is presented in the table below:

	Number of Options Outstanding	Weighted-average Exercise Price		Weighted-average Remaining Contractual Term (years)	Aggregate Intrinsic Value (in thousands)
Balance at December 31, 2021	56,500	$	16.41	9.55	$	973
Granted	—	$	—
Exercised	—	$	—
Forfeited	—	$	—
Balance at September 30, 2022	56,500	$	16.41	8.8	$	—

During the nine months ended September 30, 2022, the Company recognized approximately $232 thousand of non-cash expense related to options granted under the Inducement Plan. As of September 30, 2022, there was approximately $205 thousand of total unrecognized compensation cost related to the non-vested stock options that were granted under the Inducement Plan.

Restricted Stock Activity

The following summarizes the restricted stock activity under the Inducement Plan during the nine months ended September 30, 2022:

	Number of Shares	Weighted Average Fair Value Per Share
Restricted stock outstanding and unvested at December 31, 2021	49,800	$	26.98
Restricted stock granted	30,450	$	13.89
Restricted stock vested	(4,550)	$	16.41
Restricted stock forfeited	(5,450)	$	32.11
Restricted stock outstanding and unvested at September 30, 2022	70,250	$	21.59

During the nine months ended September 30, 2022, the Company recognized approximately $540 thousand of non-cash expense related to restricted stock units granted under the Inducement Plan. As of September 30, 2022, there was $0.9 million of total unrecognized compensation cost related to restricted stock units granted under the Inducement Plan.

Warrants

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During the nine months ended September 30, 2022, the Company did not issue any warrants.

Warrant activity for the nine months ended September 30, 2022 is presented in the table below:

	Number of Shares	Weighted-average Exercise Price		Weighted-average Remaining Contractual Term (years)	Aggregate Intrinsic Value (in thousands)
Outstanding at December 31, 2021	278,800	$	9.72	2.51	$	6,666
Exercised	—	$	—
Forfeited	—	$	—
Outstanding at September 30, 2022	278,800	$	9.72	1.76	$	107
Exercisable at September 30, 2022	278,800	$	9.72	1.76	$	107

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Note 12. Commitments and Contingencies

Commitments

    The Company has entered into various agreements related to its business activities. The following is a summary of the Company’s commitments:

Aptar Agreement

On October 26, 2020, the Company entered into a Master Services Agreement (“MSA”) with AptarGroup, Inc. and Aptar France (collectively “Aptar”) to provide non-exclusive technology access and co-development services for the development and submission of an opioid antagonist for the treatment of opioid overdose using Aptar’s nasal Unidose device (the “UDS Device”). In addition to the cost of the UDS Devices, the Company expects to spend up to approximately $5.2 million over the course of the development program. Under the Master Service Agreement, the Company will be required to pay Aptar 750 thousand Euro upon the successful NDA filing.

On June 8, 2022, the Company entered into a Capacity Investment Agreement (the "Capacity Agreement") with Aptar, whereby the Company will make non-refundable payments in the aggregate amount of 2.0 million Euros over eighteen months. In consideration of these payments, Aptar will guarantee that it has equipment installed and maintained for the future production of Aptar's unidose nasal device to meet the Company's potential commercial demand for OPNT003, nasal nalmefene. During the nine months ended September 30, 2022 the Company made the first payment of 1 million Euro to Aptar related to the Capacity Agreement.

Summit Agreement

On July 22, 2020, the Company entered into a Project Scope Agreement ("PSA") pursuant to a Master Services Agreement ("MSA") with Summit Biosciences, Inc. ("Summit"), to support the development and manufacture of a nasal spray device for opioid overdose, with the ability to expand to additional programs in the future. In accordance with the PSA, Summit will develop and produce certain pre-filled nasal spray products using a device previously evaluated as part of other FDA-approved nasal spray products. The Company will pay Summit estimated costs and fees up to approximately $11.0 million which includes paid deposits of approximately $1.1 million, which is included in current assets in the condensed consolidated balance sheet as of September 30, 2022. As of September 30, 2022 the Company has incurred $9.3 million of expense under PSAs related to the MSA with Summit.

Torreya Agreement

    The Company entered into a consulting agreement with Torreya Partners LLP ("Torreya"), a financial advisory firm, under which Torreya agreed to provide certain financial advisory services. The Company is required to pay fees equivalent to 3.375% of all amounts received by the Company from net sales of NARCAN® into perpetuity.

During the nine months ended September 30, 2022 and 2021, the Company recorded $153 thousand and $935 thousand, respectively of expense related to Torreya.

Exclusive License and Collaboration Agreement

    On November 19, 2015, the Company entered into an exclusive license agreement and collaboration agreement (“LOI”) with a pharmaceutical company with certain desirable proprietary information. Pursuant to the agreement, the Company is obligated to issue shares of unregistered Common Stock upon the occurrence of various milestones. No shares were required to be issued under this agreement during the nine months ended September 30, 2022 and 2021.

Supply Agreement

    On June 22, 2017, the Company entered into a license agreement (the "License Agreement") and a related supply agreement (the “Supply Agreement”) with Aegis Therapeutics LLC ("Aegis") pursuant to which the Company was granted an exclusive license (the “License”) to Aegis’ proprietary chemically synthesizable delivery enhancement and stabilization agents, including, but not limited to, Aegis’ Intravail® absorption enhancement agents, ProTek® and HydroGel® (collectively, the “Technology”) to exploit (a) the Compounds (as such are defined in the License Agreement) and (b) a product containing a Compound and formulated using the Technology (“Product”), in each case of (a) and (b) for any and all purposes. The License Agreement restricts the Company's ability to manufacture any Aegis excipients included in the Technology (“Excipients”), except for certain instances of supply failure, supply shortage or termination of the Supply Agreement, and the Company shall obtain all supply of such Excipients from Aegis under the Supply Agreement. The License Agreement also restricts Aegis’s ability to compete with the Company worldwide with respect to the Exploitation (as defined in the License Agreement) of any therapeutic containing a Compound or derivative or active metabolite of a Compound without the Company's prior written consent. The effective date of the License Agreement and the Supply Agreement is January 1, 2017.

    As consideration for the grant of the License, the Company paid Aegis two immaterial upfront payments, of which the Company paid 50% by issuing the Company's Common Stock to Aegis, with the number of shares issued equal to 75% of the average closing price of the Company's Common Stock over the 20 trading days preceding the date of payment. The License

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Agreement also provides for (A) additional developmental milestone payments for each Product containing a different Compound equal to up to an aggregate of $1.8 million, (B) additional commercialization milestone payments for each Product containing a different Compound equal to up to an aggregate of $5.0 million, and (C) single low digit royalties on the Annual Net Sales (as defined in the License Agreement) of all Products during the Royalty Term (as defined in the License Agreement) according to a tiered royalty rate based on Annual Net Sales of the Products by the Company, the Company's sublicensees and affiliates. The Company shall also pay to Aegis a sublicense fee based on a sublicense rate negotiated in good faith by the parties. The License Agreement contains customary representations and warranties, ownership, patent rights, confidentiality, indemnification and insurance provisions. The License Agreement shall expire upon the expiration of the Company's obligation to pay royalties under such License Agreement; provided, however, that the Company shall have the right to terminate the License granted on a Product-by-Product or country-by-country basis upon 30 days prior written notice to Aegis.

    Under the terms of the Supply Agreement, Aegis shall deliver to the Company any preclinical, clinical and commercial supply of the Excipients, which Aegis sources from various contract manufacturers. The Supply Agreement has a term of 20 years but shall terminate automatically in the event of expiration or termination of the License Agreement or at any time upon the written agreement of both parties. The Supply Agreement contains customary provisions relating to pricing for such materials, forecasts, delivery, inspection, indemnification, insurance and representations, warranties and covenants. The Supply Agreement includes technology transfer provisions for the transfer of all materials and know-how specific to the manufacturing of the Excipients that is necessary or useful for the Company to manufacture such Excipients. The Company does not have the right to manufacture such Excipients except in the event that Aegis is unable to supply and sell any portion of the material to the Company (subject to a 60-day cure period).

    Under the License Agreement, the Company will be required to pay Aegis $250 thousand upon the successful NDA filing.

    For the nine months ended September 30, 2022, and September 30, 2021, the Company did not have any expenses associated with the License Agreement.

Contingencies

The Company may be subject to various legal proceedings and claims that arise in the ordinary course of business. The Company records a liability when it is probable that a loss will be incurred and the amount is reasonably estimable. There is significant judgment required in both the probability determination and as to whether an exposure can be reasonably estimated. If any legal matter, were resolved against the Company in a reporting period for amounts in excess of management’s expectations, the Company’s would reflect any potential claim in the consolidated financial statements for that reporting period.

The Company and Emergent BioSolutions Inc., through its Adapt Pharma subsidiaries (collectively, “Plaintiffs”), filed complaints, in 2016 against Teva Pharmaceuticals Industries Ltd. (“Teva”), and in 2018 against Perrigo UK FINCO Limited Partnership (“Perrigo”), relating to Teva’s and Perrigo’s respective abbreviated new drug applications (each, an “ANDA”) seeking to market generic versions of NARCAN® (naloxone hydrochloride) Nasal Spray 4mg/spray. On January 21, 2022, the Plaintiffs and Teva Canada Limited entered into a settlement agreement to resolve the ongoing litigation. Under the terms of the settlement, Teva Canada can launch a generic NARCAN® after December 15, 2023. This date can be accelerated if a third party receives approval from the Canadian Food Inspection Agency prior to this date.

On February 12, 2020, Plaintiffs and Perrigo entered into a settlement agreement to resolve the ongoing litigation. Under the terms of the settlement, Perrigo has received a non-exclusive license under the Company's patents licensed to Adapt to make, have made and market its generic naloxone hydrochloride nasal spray under its own ANDA. Perrigo’s license will be effective as of January 5, 2033 or earlier under certain circumstances including circumstances related to the outcome of the current litigation against Teva or litigation against future ANDA filers. The Perrigo settlement agreement is subject to review by the U.S. Department of Justice and the Federal Trade Commission, and entry of an order dismissing the litigation by the U.S. District Court for the District of New Jersey.

Closing arguments in the Teva trial were held on February 26, 2020. On June 5, 2020, the U.S. District Court for the District of New Jersey entered a decision in the patent litigation regarding NARCAN® (naloxone HCl) Nasal Spray 4mg/spray product. The Court ruled in favor of Teva.

The Company's commercial partner EBS, appealed the decision to the Court of Appeals for the Federal Circuit.

On February 10, 2022, the Court of Appeals for the Federal Circuit affirmed the decision by the U.S. District Court for the District of New Jersey in favor of Teva.

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Note 13. Subsequent Events

The Company evaluates subsequent events and transactions that occur after the balance sheet date up to the date that the financial statements are filed for potential recognition or disclosure. Based upon this review, the Company identified the following subsequent events:

Merger

On November 14, 2022, the Company announced it has that entered into a definitive merger agreement under which Indivior Inc., a subsidiary of Indivior PLC, ("Indivior") will acquire the Company for an upfront consideration of $20.00 per share, in cash (approximately $145 million in the aggregate), plus up to $8.00 per share in non-tradable contingent value rights (“CVRs”) that may become payable in the event that certain net revenue milestones are achieved by OPNT003 after its approval and US commercial launch.

Pursuant to the CVRs, Indivior would pay $2.00 per CVR if OPNT003 achieves the following net revenue thresholds during any period of four consecutive quarters prior to the seventh anniversary of the US commercial launch: (i) $225 million, (ii) $300 million, and (iii) $325 million. The remaining $2.00 per CVR would be paid if OPNT003 achieves net revenue of $250 million during any period of four consecutive quarters prior to the third anniversary of the US commercial launch. The maximum amount payable by Indivior should OPNT003 achieve all four CVRs would be approximately $67 million.

The transaction is subject to customary closing conditions, including U.S. antitrust clearance, clearance by the Committee on Foreign Investment in the United States, resolution of any investigation by the UK antitrust authority, and receipt of approval of the Company’s stockholders. Pending approvals, the Company anticipates completing the transaction in the first quarter of 2023.

The merger agreement has been unanimously approved by the board of directors of the Company.

Agreement with EBS

On November 13, 2022 the Company entered into an agreement with EBS, whereby the Company will receive a one-time cash payment from EBS of $25.0 million, which includes the 10% owned by SWK Holdings, LLC, and in exchange the Company will grant EBS a worldwide, sublicensable, irrevocable, perpetual, fully paid, exclusive license for NARCAN® Nasal Spray, and to the licensed patents and licensed know-how. The Company's rights under the License Agreement, dated as of December 15, 2014, and as amended from time to time, to receive any unpaid or future payments under the License Agreement, including royalties related to Net Sales of Products (as defined therein), including NARCAN® Nasal Spray, were terminated upon the effective date of this agreement. The November 13, 2022 agreement with EBS, including the payment, also resolves the Default Notice delivered by the Company to EBS on August 10, 2022.

Equity

In October 2022, the Company granted 4,900 restricted stock units under the 2017 Long Term Incentive Plan.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operation

    The interim consolidated financial statements included in this Quarterly Report on Form 10-Q (this "Report") and this Management’s Discussion and Analysis of Financial Condition and Results of Operations should be read in conjunction with the financial statements and notes thereto in this Report, and the related Management’s Discussion and Analysis of Financial Condition and Results of Operations, contained in the Company’s Form 10-K for the year ended December 31, 2021 (the "Form 10-K"). In addition to historical information, this discussion and analysis contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended (the “Securities Act”), and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). These forward-looking statements are subject to risks and uncertainties, including those set forth in Part II - Other Information, Item 1A and in the Form 10-K. Risk Factors below and elsewhere in this Report could cause actual results to differ materially from historical results or anticipated results. 

Overview

    We are a specialty pharmaceutical company developing medicines for addiction and drug overdose. We developed NARCAN® (naloxone hydrochloride) Nasal Spray ("NARCAN®"), a treatment to reverse opioid overdose. This product was conceived and developed by us, licensed to Adapt now a wholly owned Subsidiary of EBS, in December 2014 and approved by the FDA in November 2015.

    We have not consistently attained profitable operations and have historically depended upon obtaining sufficient financing to fund our operations. We anticipate if revenues are not sufficient, then additional funding will be required in the form of debt financing and/or equity financing from the sale of our Common Stock, and/or financings from the sale of interests in our prospective products and/or royalty transactions. However, we may not be able to generate sufficient revenues or raise sufficient funding to fund our operations.

    We have not had a bankruptcy, receivership or similar proceeding. We are required to comply with all regulations, rules and directives of governmental authorities and agencies applicable to the clinical testing and manufacturing and sale of pharmaceutical products.

Merger

On November 14, 2022, we announced that we have entered into a definitive merger agreement under which Indivior Inc., a subsidiary of Indivior PLC, ("Indivior") will acquire us for an upfront consideration of $20.00 per share, in cash (approximately $145 million in the aggregate), plus up to $8.00 per share in non-tradable contingent value rights (“CVRs”) that may become payable in the event that certain net revenue milestones are achieved by OPNT003 after its approval and US commercial launch.

Pursuant to the CVRs, Indivior would pay $2.00 per CVR if OPNT003 achieves the following net revenue thresholds during any period of four consecutive quarters prior to the seventh anniversary of the US commercial launch: (i) $225 million, (ii) $300 million, and (iii) $325 million. The remaining $2.00 per CVR would be paid if OPNT003 achieves net revenue of $250 million during any period of four consecutive quarters prior to the third anniversary of the US commercial launch. The maximum amount payable by Indivior should OPNT003 achieve all four CVRs would be approximately $67 million.

The transaction is subject to customary closing conditions, including U.S. antitrust clearance, clearance by the Committee on Foreign Investment in the United States, resolution of any investigation by the UK antitrust authority, and receipt of approval of our stockholders. Pending approvals, we anticipate completing the transaction in the first quarter of 2023.

The merger agreement has been unanimously approved by our board of directors

Plan of Operation

    During the fiscal year ending December 31, 2022, we plan to continue to focus on developing medicines in our product pipeline for Opioid Overdose Reversal (“OOR”), Alcohol Use Disorder (“AUD”), and Acute Cannabinoid Overdose (“ACO”). Our lead development product is OPNT003 - Nasal Nalmefene for OOR, which is further described below.

OPNT003 - Nasal Nalmefene for OOR 

Development Program for OPNT003

              In 2017, NIH leadership called for the development of stronger, longer-acting formulations of antagonists to counteract the very high potency synthetic opioids that are now claiming thousands of lives each year. We are pursuing a 505(b)(2) development path for OPNT003, with the potential to submit an NDA for the drug and intranasal delivery device combination in the second half of 2022. Nalmefene for injection was previously approved by the FDA for treating suspected or confirmed opioid overdose. The 505(b)(2) pathway allows companies to rely in part on the FDA’s findings of safety and efficacy for a previously approved product and to supplement these findings with a more limited set of their own studies to

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satisfy FDA requirements, as opposed to conducting the full array of preclinical and clinical studies that would typically be required.

In February 2021, the first subjects were dosed in a confirmatory pharmacokinetic (“PK”) study for OPNT003, nasal nalmefene, for the treatment of opioid overdose. In July 2021, we announced positive top-line results from the study. The study was conducted in 68 healthy subjects and compared OPNT003, nasal nalmefene, with an intramuscular nalmefene hydrochloride injection, 1 mg, which was the comparator previously agreed upon with the FDA.

              In April 2021, dosing was initiated in a head-to-head clinical pharmacodynamic ("PD") study comparing the effectiveness of its investigational opioid antagonist OPNT003, nasal nalmefene, with nasal naloxone in an experimental model of opioid-induced respiratory depression.

In November 2021, we received Fast Track Designation from the FDA for OPNT003, nasal nalmefene. Fast Track is an FDA process designed to facilitate the development and expedite review of potential therapies that seek to treat serious conditions and fill an unmet medical need. This designation enables early and frequent communication with the FDA.

In February 2022, we announced positive topline results from a multi-dose PK study for OPNT003, nasal nalmefene, for the treatment of opioid overdose. The crossover design study was conducted in 23 healthy subjects comparing the PK profile, safety, and tolerability of OPNT003 when given as a single 3mg dose in one nostril, as a single dose in each nostril, and as two doses in one nostril.

In April of 2022, we announced positive top-line results from our head-to-head PD study comparing OPNT003, nasal nalmefene, to nasal naloxone. A preliminary analysis of the 50 subjects who received both study drugs found that treatment with OPNT003, nasal nalmefene, produced a greater reversal of respiratory depression that was nearly twice that produced by nasal naloxone at the primary endpoint, five minutes post dosing. The increases in minute ventilation were 5.745 L/min and 3.011 L/min, with nalmefene and naloxone, respectively. OPNT003 met the primary endpoint of non-inferiority, which was designed to assess whether nasal nalmefene performed as well as nasal naloxone. Completion of the PD study concludes the planned clinical development program for OPNT003.

In May of 2022, we received minutes for the pre-NDA meeting held with the FDA on March 30, 2022. As a feature of the Fast Track designation we received in November of 2021, the FDA noted that our NDA will qualify for a rolling review. However, the FDA cautioned that if it accepts a portion of the application, this does not necessarily mean that review will commence or proceed before the complete application is submitted. Actual commencement and scheduling of review depends on many factors, including staffing, workload, competing priorities, timeline for completing the application, and the perceived efficiency of commencing review before receipt of the complete submission.

In June of 2022, we announced the submission of the first module of the NDA. We intend to complete the submission of the NDA in the fourth quarter of 2022.

Intellectual Property for OPNT003

On August 2, 2022, we announced that the U.S. Patent and Trademark Office has issued a Notice of Allowance for U.S. Patent Application No. 16/461,354, with formulation and method of use claims around OPNT003, our investigational treatment for opioid overdose. The allowed patent application, entitled,“Compositions and Methods for the Treatment of Opioid Overdose,” includes claims covering combinations of nalmefene and Intravail® in a nasal formulation.

On October 4, 2022, the patent entitled,“Compositions and Methods for the Treatment of Opioid Overdose,” was issued. We also expect this patent to be listed in the FDA Approved Drug Products with Therapeutic Equivalence Evaluations, or Orange Book, if OPNT003 is approved by the FDA.

Market and Commercial potential for OPNT003

                There is a large and growing addressable market for opioid overdose reversal agents driven by sales into community based and first responder institutions, as well as directly to patients via pharmacies. The current addressable market is substantial, to ensure an opioid overdose reversal agent is available for all first responders, including fire departments, emergency medical services, federal law enforcement, local law enforcement, and other community groups. The co-prescribing of opioid overdose reversal agents alongside prescription opioids has also driven growth. It is estimated that only five percent of patients at higher risk of an opioid overdose have a naloxone prescription. Currently there are only twelve states that have some form of mandatory co-prescription legislation in place, however several states are considering co-prescribing legislation in the near future. 

               We have full commercial rights to OPNT003. We were awarded a grant of approximately $7.4 million from the National Institutes of Health (“NIH”). The grant provides us with additional resources for the ongoing development of OPNT003. As of March 31, 2022, we have completed all the work associated with the $7.4 million grant. We have also received a contract for approximately $10.8 million from the Biological Advance Research and Development Agency

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(“BARDA”) to fund development of this project through NDA submission. BARDA has awarded approximately $8.7 million of the contract through June 30, 2022, and the remaining amount of $2.1 million was awarded August 2, 2022.

As we continue to advance OPNT003 towards market approval and should we self-commercialize the product, we anticipate that our sales and marketing expenses will increase in several areas to support the development of a commercial platform that would allow us to commercialize OPNT003, as well as future pipeline products. The development of this commercial infrastructure includes increasing commercial personnel, pre-launch sales and marketing planning activities, establishing the supply chain and distribution. As we build this infrastructure, we are continuing to evaluate the ideal go-to-market strategy that will allow us to maximize the full commercial potential of OPNT003 and shareholder value.

NARCAN® Royalties

We developed NARCAN®, a treatment to reverse opioid overdose. This product was conceived and developed by us, licensed to Adapt, an Ireland based pharmaceutical company in December 2014 and approved by the FDA in November 2015. Emergent BioSolutions, Inc. ("EBS") acquired Adapt in October of 2018 and Adapt became its wholly owned subsidiary. In exchange for licensing our treatment to Adapt ("Adapt Agreement"), we receive up to double-digit percentage royalties on net sales.

On December 22, 2021, Teva launched a generic version of Narcan® Nasal Spray. In response, EBS through Sandoz Pharmaceuticals launched an authorized generic.

As provided under the Adapt agreement, in each subsequent quarter after the launch of a generic version of Narcan®, if aggregate net NARCAN® sales, including net sales of an authorized generic, on a country-by-country basis are less than seventy percent of the aggregate net NARCAN® sales in the last full calendar quarter immediately preceding the date on which a generic product was first launched in such country, then the royalty rate for that quarter is reduced to two percent ("the Generic Reduction Clause"). This calculation is completed separately each quarter.

On November 13, 2022, we entered into an agreement with EBS, whereby we will receive a one-time cash payment from EBS of $25.0 million, which includes the 10% owned by SWK Holdings, LLC, and in exchange we will grant EBS a worldwide, sublicensable, irrevocable, perpetual, fully paid, exclusive license for NARCAN® Nasal Spray, and to the licensed patents and licensed know-how. Our rights under the License Agreement , dated as of December 15, 2014, and as amended from time to time, to receive any unpaid or future payments under the License Agreement, including royalties related to Net Sales of Products, including Narcan® Nasal Spray, has terminated upon the effective date of this agreement. The November 13, 2022 agreement with EBS, including the payment, also resolves the Default Notice delivered by us to EBS on August 10, 2022.

Debt Financing

On December 10, 2020 (the “Closing Date”), we entered into a Note Purchase and Security Agreement (the “Loan Agreement”) with a syndicate of Pontifax Medison Finance, a healthcare-dedicated venture and debt fund, and Kreos Capital VI (Expert Fund) LP (collectively, the “Lender”).

The Loan Agreement provides for term loans in an aggregate principal amount of up to $50.0 million in three tranches as follows: (a) on the Closing Date, a loan in the aggregate principal amount of $20.0 million, (b) upon the submission of a New Drug Application with the U.S. Food and Drug Administration, a loan in the aggregate principal amount of $10.0 million, and (c) upon FDA approval of an opioid overdose product, a loan in the aggregate principal amount of $20.0 million (each a “Loan, and collectively, the “Loans”).

The outstanding principal of each term Loan bears an average interest rate of 8.75% per annum based on the date of issuance and a year consisting of 365 days. There is an interest-only period of 30 months, with interest on outstanding Loans payable on a quarterly basis based on the principal amount outstanding during the preceding quarter. After the interest-only period, principal of the outstanding Loans is payable in ten equal quarterly installments. All Loans have a maturity date of October 1, 2025.

Each Lender may, at its option, elect to convert up to half of the then-outstanding Loans and all accrued and unpaid interest thereon into shares our Common Stock. The “Conversion Price” shall be $19.64 subject to certain customary adjustments as specified in the Loan Agreement.

On December 10, 2020, we received the first tranche of $20 million. As of September 30, 2022 the Lenders elected to convert approximately $5.7 million of debt to Common Stock at a conversion price of $19.64 per share.

Financing

On August 13, 2021, we entered into a Controlled Equity OfferingSM (the "Sales Agreement") with Cantor Fitzgerald & Co. ("Cantor"), as agent, pursuant to which we may offer and sell, from time to time through Cantor, shares of our Common

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Stock. During the nine months ended September 30, 2022 we sold shares of Common Stock under the Sales Agreement, and raised net proceeds of approximately $538 thousand.

Historically, we have funded our operations with royalty and milestone revenue received from net sales of NARCAN® by EBS, payments from grants and contract revenue with NIH and BARDA, the sale of our common stock, and from our debt facility.

We will need to raise additional capital to commercialize our lead product OPNT003, and to provide additional working capital to fund our business. We have $30.0 million available to be borrowed on our debt facility, $10.0 million of which may be drawn upon the submission of a New Drug Application with the U.S. Food and Drug Administration, and $20.0 million of which may be drawn upon FDA approval of an opioid overdose product. If necessary, we are able to sell additional Common Stock under the Sales Agreement or other equity offerings using our effective S-3 shelf registration statement.

After considering our current cash position of $35.4 million at September 30, 2022, and the above sources of available capital, including the payment from EBS of $22.5 million in November 2022, we believe we have sufficient resources to sustain operations through at least the next 12 months from the date of the filing of this Quarterly Report on Form 10-Q.

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Results of Operations

The following table sets forth the results of operations for the periods shown (in thousands):

	For the Three Months Ended September 30,								For the Nine Months Ended September 30,
		2022		2021		Increase (Decrease)			2022		2021		Increase (Decrease)
Royalty revenue	$	—	$	14,041	$	(14,041)		$	4,520	$	27,689	$	$	(23,169)
Grant and contract revenue		174		2,298		(2,124)			4,018		6,296		(2,278)
Total revenue		174		16,339		(16,165)			8,538		33,985		(25,447)
Operating expenses
General and administrative		3,073		3,379		(306)			11,416		8,759		2,657
Research and development		4,134		4,881		(747)			20,873		12,119		8,754
Sales and marketing		2,597		1,060		1537			8,089		3,080		5,009
Royalty expense		—		3,059		(3059)			943		6,145		(5,202)
Total operating expenses		9,804		12,379		(2575)			41,321		30,103		11,218
Income (loss) from operations		(9,630)		3,960		(13590)			(32,783)		3,882		(36,665)
Other income (expense)
Interest income		160		3		157			228		10		218
Interest expense		(391)		(546)		155			(1,213)		(1,626)		413
Loss on sale of assets		(49)		—		(49)			(49)				(49)
Gain (loss) on foreign exchange		2		—		2			17		(10)		27
Total other income (expense)		(278)		(543)		265			(1,017)		(1,626)		609
Income (loss) before income taxes		(9,908)		3,417		(13325)			(33,800)		2,256		(36,056)
Income tax (expense)		(9)		—		(9)			(41)		—		(41)
Net income (loss)	$	(9,917)	$	3,417	$	$	(13,334)	$	(33,841)	$	2,256	$	$	(36,097)

Comparison of Three Months ended September 30, 2022 to the Three Months ended September 30, 2021

Revenues 

We recognized $0.2 million of revenue during the three months ended September 30, 2022, compared to $16.3 million for the three months ended September 30, 2021.  For the three months ended September 30, 2022, we recognized $0.2 million from grant and contract revenue, and we recorded no royalty revenue as our license agreement with EBS has been terminated (see Note 13). For the three months ended September 30, 2021, we recognized $14.0 million of revenue from our license agreement with EBS and $2.3 million from grant and contract revenue.

General and Administrative Expenses  

Our general and administrative expenses for the three months ended September 30, 2022 decreased by $0.3 million to $3.1 million from $3.4 million for the three months ended September 30, 2021. Our fees associated with net sales of NARCAN® by EBS decreased by approximately $0.5 million, partially offset by increased personnel and related expense including stock based compensation of $0.1 million and increased legal fees of $0.1 million for the three months ended September 30, 2022 compared to the three months ended September 30, 2021.

Research and Development Expenses 

Our research and development expenses for the three months ended September 30, 2022 decreased by $0.8 million to $4.1 million, from $4.9 million for the three months ended September 30, 2021. External development expense decreased by $1.1 million primarily due to decreased activity on our lead product candidate, OPNT003 - Nasal Nalmefene for OOR, which was partially offset by an increase in personnel and related expense including stock based compensation of $0.3 million.

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Sales and Marketing Expenses

    Our sales and marketing expenses for the three months ended September 30, 2022 increased by $1.5 million to $2.6 million from $1.1 million for the three months ended September 30, 2021. Personnel and related expense including stock based compensation increased by $0.4 million and external third party expenses related to pre-commercial activities increased by $1.1 million.

Royalty Expenses

    We did not recognize royalty expenses for the three months ended September 30, 2022. We recognized $3.1 million for the three months ended September 30, 2021. The decrease of $3.1 million is attributable to there being no royalty revenue recorded from net sales of NARCAN® by EBS during the quarter ended September 30, 2022 (see Note 13).

Other Income (expense)

During the three months ended September 30, 2022, interest expense was $0.4 million compared to $0.5 million during the three months ended September 30, 2021. Interest expense is all related to our convertible debt.

Comparison of Nine Months ended September 30, 2022 to the Nine Months ended September 30, 2021

Revenues 

We recognized $8.5 million of revenue during the nine months ended September 30, 2022, compared to $34.0 million for the nine months ended September 30, 2021. For the nine months ended September 30, 2022 we recognized approximately $4.5 million of revenue from our license agreement with EBS and $4.0 million from grant and contract revenue. For the nine months ended September 30, 2021, we recognized $27.7 million of revenue from our license agreement with EBS and $6.3 million from grant and contract revenue.

General and Administrative Expenses  

Our general and administrative expenses increased by $2.6 million to approximately $11.4 million during the nine months ended September 30, 2022 compared to $8.8 million for the nine months ended September 30, 2021. Personnel and related expense including stock based compensation increased by $2.5 million, and legal and other fees increased by $0.1 million for the nine months ended September 30, 2022 compared to the nine months ended September 30, 2021.

Research and Development Expenses 

Our research and development expenses during the nine months ended September 30, 2022 increased by $8.8 million to $20.9 million, compared to $12.1 million for the nine months ended September 30, 2021. Our external development expense increased by $6.7 million primarily due to increased activity on our lead product candidate, OPNT003 - Nasal Nalmefene for OOR, and personnel and related expense including stock based compensation increased by $2.1 million.

Sales and Marketing Expenses

    Our sales and marketing expenses for the nine months ended September 30, 2022 increased by $5.0 million to $8.1 million from $3.1 million for the nine months ended September 30, 2021. Personnel and related expense including stock based compensation increased by $2.4 million, and external third party expenses related to pre-commercial activities increased by $2.6 million.

Royalty Expenses

    Our royalty expenses were $0.9 million and $6.1 million during the nine months ended September 30, 2022 and 2021, respectively. The decrease of $5.2 million is attributable to the decrease in net royalty revenue recorded from sales of NARCAN® by EBS.

Other Income (expense)

During the nine months ended September 30, 2022, interest income was $227.8 thousand compared to interest income of $10.3 thousand for the nine months ended September 30, 2021, which primarily resulted from an increased rate of return on our invested cash balances.

During the nine months ended September 30, 2022, interest expense was approximately $1.2 million compared to $1.6 million during the nine months ended September 30, 2021. Interest expense is all related to our convertible debt.

Liquidity and Capital Resources

Cash Flows

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The following table sets forth the primary sources and uses of cash for each of the periods presented below:

	Nine Months Ended September 30,
(in thousands)	2022		2021
Net cash used in operating activities	$	(17,469)	$	(77)
Net cash provided by (used in) investing activities	$	14,596	$	(15,045)
Net cash provided by financing activities	$	636	$	2,162

Net cash used in operating activities

During the nine months ended September 30, 2022, net cash used in operating activities was $17.5 million, which was primarily due to the net loss of $33.8 million, offset by changes in operating assets and liabilities of $11.2 million, and by stock based compensation expense of $4.6 million, and other non-cash expenses totaling $0.5 million.

During the nine months ended September 30, 2021, net cash used in operating activities was $77 thousand, which was primarily due to changes in operating assets and liabilities of $5.1 million, mostly offset by stock based compensation expense of $2.1 million, other non-cash expenses totaling $0.7 million, and net income of $2.3 million.

Net cash used in investing activities

    During the nine months ended September 30, 2022, we received approximately $15.0 million from marketable security maturities, and we purchased approximately $0.4 million in fixed assets.

    During the nine months ended September 30, 2021, we purchased net marketable securities of approximately $15.0 million.

Net cash provided by financing activities

    During the nine months ended September 30, 2022, net cash provided by financing activities was approximately $0.6 million, which was attributable to net proceeds received from sale of common stock, and from stock option exercises.

    During the nine months ended September 30, 2021, net cash provided by financing activities was approximately $2.2 million which was attributable to proceeds received from stock option exercises.

Critical Accounting Policies and Estimates

    We believe that the following critical policies affect our significant judgments and estimates used in preparation of our financial statements.

    We prepare our financial statements in conformity with accounting principles generally accepted in the United States of America ("GAAP"). These principals require management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Management believes that these estimates are reasonable and have been discussed with the Board; however, actual results could differ from those estimates. 

    We issue options and warrants to consultants, directors, and officers as compensation for services. These options and warrants are valued using the Black-Scholes option pricing model, which focuses on the current stock price and the volatility of moves to predict the likelihood of future stock moves. This method of valuation is typically used to accurately price stock options and warrants based on the price of the underlying stock.

    We capitalize our office space operating leases under ASC 842. We use best available information to determine the discount rate, which can have significant variability and requires management assessment and judgment.

Revenue Recognition

    In May 2014, the FASB issued an accounting standard update ("ASU”), 2014-09, Revenue from Contracts with Customers (Topic 606). This ASU amends the existing accounting standards for revenue recognition and is based on the principle that revenue should be recognized to depict the transfer of goods or services to a customer at an amount that reflects the consideration a company expects to receive in exchange for those goods or services. On January 1, 2018, we adopted the new Accounting Standards Codification (“ASC”) 606, Revenue from Contracts with Customers using the modified retrospective method, and we determined the new guidance does not change our policy of revenue recognition. Our primary source of revenue is through the recognition of royalty and milestone payments from EBS. Milestone revenue is recognized upon successful accomplishment of certain sales targets set forth in the license agreement between us and EBS. Royalty revenue is determined based on the agreed upon royalty rate applied to NARCAN® sales reported by EBS. There are no

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performance obligations by us and we recognize revenue according to the royalty report provided to us by EBS on a quarterly basis.

    In June 2018, the FASB issued guidance clarifying the revenue recognition and measurement issues for grants, contracts, and similar arrangements, ASU Topic 958. Government grants and contracts are agreements that generally provide cost reimbursement for certain types of expenditures in return for research and development activities over a contractually defined period. We evaluated our grant with NIH and contract with BARDA and determined they are non-exchange transactions and fall within the scope of ASU 958, and revenue should be recognized in accordance with Topic 958 guidance. Accordingly, we recognize revenue from our grant and contract in the period during which the related costs are incurred, provided that the conditions under which the grant and contract were provided have been met and only perfunctory performance obligations are outstanding.

Licensing Agreement 

    Pursuant to the license agreement between us and EBS, we provided a global license to develop and commercialize our intranasal naloxone opioid overdose reversal treatment, now known as NARCAN®. We receive payments upon reaching various sales and regulatory milestones, as well as royalty payments for commercial sales of NARCAN® generated by EBS.

Effect of Inflation

    Inflation did not have a significant impact on our revenues, or income from continuing operations for the three months and nine months ended September 30, 2022 and September 30, 2021.

Off-Balance Sheet Arrangements 

    We have no off-balance sheet arrangements. 

Recent Accounting Pronouncements

    We reviewed accounting pronouncements and interpretations thereof that have effectiveness dates during the periods reported and in future periods. We have carefully considered the new pronouncements that alter previous generally accepted accounting principles and do not believe that any new or modified principles will have a material impact on our reported financial position or operations in the near term. The applicability of any standard is subject to the formal review of our financial management and certain standards are under consideration. Those standards have been addressed in the notes to the condensed consolidated financial statements contained herein, and in the notes to the audited consolidated financial statements in the Annual Form 10-K and in the Form 10-K itself. 

Net Profit Interests

NARCAN®

    We have entered into agreements with certain investors whereby, in exchange for funding for the research, development, marketing and commercialization of a product relating to our treatment to reverse opioid overdoses (the Opioid Overdose Reversal Treatment Product or OORTP), we provided such investors with an interest in any pre-tax profits received by us that were derived from the sale of the OORTP less any and all expenses incurred by and payments made by us in connection with the OORTP, including but not limited to an allocation of our overhead devoted by us to product-related activities, which allocation shall be determined in good faith by us (the “OORTP Net Profit”).

A summary of the investor agreements is below, and categorized by investor:

Potomac Construction Limited (“Potomac”)

    In 2013, 2014 and 2015, we entered into a number of agreements with Potomac for funding from Potomac for the research, development, marketing and commercialization of the Opioid Overdose Reversal Treatment Product in the total amount of $2.25 million, in exchange for a 10.21% interest in the OORTP Net Profit in perpetuity (the "Potomac Agreement").

Ernst Welmers (“Welmers”).

    On May 15, 2014, we entered into an agreement with Welmers (the “Welmers Agreement”) and received funding from Welmers in the amount of $300 thousand for use by us for any purpose, in exchange for a 1.5% interest in the OORTP Net Profit in perpetuity.

Valour Fund, LLC (“Valour”)

    On July 22, 2014, we received a $3.0 million commitment from a foundation (the “Foundation”) which later assigned its interest to Valour, from which we had the right to make capital calls from the Foundation for the research, development, marketing, commercialization and any other activities connected to the Opioid Overdose Reversal Treatment Product, certain

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operating expenses and any other purpose consistent with the goals of the Foundation. In exchange for funds invested by the Foundation, Valour currently owns a 6.0% interest in the OORTP Net Profit in perpetuity.

Royalty Payable

    We entered into various agreements and subsequently received funding from certain investors for use by us for any purpose. In exchange for this funding, we agreed to provide certain investors with interest in the OORTP Net Profit generated from net NARCAN® sales by EBS.

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Item 3.          Quantitative and Qualitative Disclosures About Market Risk.

The Company is not required to provide the information required by this Item because it is a smaller reporting company.

Item 4.          Controls and Procedures. 

Disclosure Controls and Procedures

We maintain disclosure controls and procedures that are designed to ensure that information required to be disclosed in reports filed under the Securities Exchange Act of 1934, as amended, or the Exchange Act, is recorded, processed, summarized and reported within the time periods specified in SEC rules and forms, and that such information is accumulated and communicated to our management to allow timely decisions regarding required disclosure. In designing and evaluating the disclosure controls and procedures, our management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives.

Our Principal Executive Officer and Principal Financial Officer, after evaluating the effectiveness of our disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) as of the end of the period covered by this Quarterly Report on Form 10-Q, have concluded that, based on such evaluation, our disclosure controls and procedures were effective to ensure that information required to be disclosed by us in the reports that we file or submit under the Exchange Act is recorded, processed, summarized and reported, with the time periods specified in the SEC's rules and forms, and is accumulated and communicated to our management, including our Principal Executive Officer and Principal Financial Officer as appropriate to allow timely decisions regarding required disclosure.

Changes in Internal Controls over Financial Reporting 

    There were no significant changes to our internal controls over financial reporting that occurred during the three months ended September 30, 2022 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

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PART II— OTHER INFORMATION

Item 1.      Legal Proceedings.

    On February 12, 2020, Emergent BioSolutions, Inc. ("EBS") and the Company entered into a settlement agreement with Perrigo UK FINCO Limited Partnership ("Perrigo") to resolve the ongoing litigation. Under the terms of the settlement, Perrigo received a non-exclusive license under the Company's patents licensed to EBS to make, have made and market its generic naloxone hydrochloride nasal spray under its own ANDA. Perrigo’s license will be effective as of January 5, 2033 or earlier under certain circumstances including circumstances related to the outcome of the current litigation against Teva or litigation against future ANDA filers.

On June 5, 2020, the District Court for the District of New Jersey entered a decision in the patent litigation regarding NARCAN® (naloxone HCl) Nasal Spray 4mg/spray product, and ruled in favor of Teva. The Company and EBS appealed the decision to the Court of Appeals for the Federal Circuit.

On February 10, 2022, the Court of Appeals for the Federal Circuit affirmed the decision by the U.S. District Court for the District of New Jersey in favor of Teva.

On July 27, 2022, the District Court for the District of New Jersey dismissed all claims by the Company and EBS with prejudice and dismissed all counterclaims by Teva without prejudice.

On June 11, 2020, the Company and EBS received from Teva Canada Limited a Notice of Allegation and Detailed Statement, stating that Teva had filed an Abbreviated New Drug Submission with the Canadian Minister of Health for the issuance of a Notice of Compliance for naloxone hydrochloride in the strength of 4 mg/0.1 ml for nasal administration. Teva’s Notice of Allegation and Detailed Statement asserted that its proposed generic product will not infringe Canadian Patent No. 2,942,611 and/or that Canadian Patent No. 2,942,611 is invalid or void. Canadian Patent No. 2,942,611 expires on March 16, 2035. On July 23, 2020, the Company and EBS filed a Statement of Claim in Case Number T-798-20 in Toronto, Ontario, which alleges that Teva’s product would infringe Canadian Patent No. 2,942,611.

On January 21, 2022, the Plaintiffs and Teva Canada Limited entered into a settlement agreement to resolve the ongoing litigation. Under the terms of the settlement, Teva Canada can launch a generic NARCAN® after December 15, 2023. This date can be accelerated if a third party receives approval from the Canadian Food Inspection Agency prior to this date.

On August 10, 2022, the Company, delivered a notice (the "Default Notice") to EBS under section 10.3 of the Adapt Agreement to put EBS on notice that EBS had breached one or more of its obligations under the Adapt Agreement.

On November 14, 2022 the Company entered into an agreement with EBS, whereby the Company will receive a one-time cash payment from EBS of $25.0 million, which includes the 10% owned by SWK Holdings, LLC, and in exchange the Company will grant EBS a worldwide, sublicensable, irrevocable, perpetual, fully paid, exclusive license for NARCAN® Nasal Spray, and to the licensed patents and licensed know-how. The Company's rights under the License Agreement, dated as of December 15, 2014, and as amended from time to time, to receive any unpaid or future payments under the License Agreement, including royalties related to Net Sales of Products, including NARCAN® Nasal Spray, terminated upon the effective date of this agreement. The November 14, 2022 agreement with EBS, including the payment, also resolves the Default Notice delivered by the Company to EBS on August 10, 2022.

Except as described above, there is no action, suit, proceeding, inquiry or investigation before or by any court, public board, government agency, self-regulatory organization or other body pending or, to the knowledge of the executive officers of the Company or any of the Company’s subsidiaries, threatened against or affecting the Company, the Company’s Common Stock, any of the Company’s subsidiaries or the Company’s subsidiaries’ officers or directors in their capacities as such, in which an adverse decision could have a material adverse effect.

31

Item 1A.        Risk Factors.

    We have included in Part I, Item 1A of our Form 10-K, a description of certain risks and uncertainties that could affect our business, future performance or financial condition (the “Risk Factors”). With the exception of the following, there are no material changes from the disclosure provided in the Form 10-K with respect to the Risk Factors. Investors should consider the Risk Factors prior to making an investment decision with respect to our stock.

We may become involved in lawsuits or other legal proceedings to protect or enforce our license agreements or other contractual rights, which could be expensive, time-consuming and unsuccessful, which may have an adverse effect on the success of our business.

We may initiate legal proceedings to enforce or defend our contractual rights under our license or other collaboration agreements. These proceedings can be expensive and time-consuming, and many of our adversaries in these proceedings may have the ability to dedicate substantially greater resources to prosecuting these legal actions than we can. We may not have sufficient financial or other resources to conduct such litigation or proceedings adequately. Even if successful in our legal claims, the remedies available to us may not be attractive. Accordingly, despite our efforts, we may not be able to prevent third parties from breaching their contractual obligations to us. In addition, litigation and administrative proceedings could result in substantial costs and diversion of management resources, which could harm our business and financial results.

The launch of a generic version of NARCAN® or other naloxone hydrochloride nasal spray products that compete with NARCAN® would adversely affect sales of NARCAN®.

    Two separate companies, (i) Teva Pharmaceuticals Industries Ltd. and its wholly owned subsidiary Teva

Pharmaceuticals USA, Inc. (collectively “Teva”), and (ii) Perrigo UK FINCO Limited Partnership have received from the FDA approval to market a generic version of NARCAN®.

On December 22, 2021 and June 22, 2022, Teva and Perrigo respectively, launched generic versions of NARCAN®. After any introduction of generic competitors, a significant percentage of the prescriptions written for NARCAN® may be filled with the generic version, which may result in a loss in sales of NARCAN®. Generic competition often also results in decreases in the prices at which branded products can be sold, particularly when there is more than one generic available in the marketplace. In addition, certain U.S. state laws allow for, and in some instances in the absence of specific instructions from the prescribing physician mandate, the dispensing of generic products rather than branded products where a generic version is available.

    In addition, on August 4, 2021 Hikma Pharmaceuticals PLC launched KLOXXADOTM (naloxone HCI) nasal spray 8mg. We expect the launch of generic versions of NARCAN® by Teva and Perrigo and the launch of KLOXXADOTM by Hikma may have a material adverse effect on our licensing partner’s sales of NARCAN® and as a result may have a material adverse effect on the royalties that we would receive from such sales of NARCAN®, on our business, financial condition, results of operations and growth prospects. Additionally, as provided under the Adapt agreement, in each subsequent quarter after the launch of a generic version of Narcan, if aggregate net NARCAN® sales, including net sales of an authorized generic, on a country-by-country basis are less than seventy percent of the aggregate net NARCAN® sales in the last full calendar quarter immediately preceding the date on which a generic product was first launched in such country, then the royalty rate for that quarter is reduced to two percent. This calculation is completed separately each quarter. In addition, any pricing pressure on NARCAN® may adversely impact the price at which we will be able to sell OPNT003, nasal nalmefene, if approved by the FDA.

The market for our products is rapidly changing and competitive, and new drugs, which may be developed by others, could impair our ability to maintain and grow our business and remain competitive.

The pharmaceutical industry is subject to rapid and substantial technological change. Developments by others may render our technologies and products noncompetitive or obsolete. We also may be unable to keep pace with technological developments and other market factors. Technological competition from medical device, pharmaceutical and biotechnology companies, universities, governmental entities and others diversifying into the field is intense and is expected to increase. Many of these entities have significantly greater research and development capabilities and budgets than we do, as well as substantially more marketing, manufacturing, financial and managerial resources. These entities represent significant competition for us.

In addition, Teva launched a generic version of Narcan on December 22, 2021. In February 2022, Teva reached a $225 million settlement related to claims that Teva contributed to the State of Texas’ opioid crisis and Teva agreed to pay $150 million over 15 years, as well as provide $75 million worth of generic Narcan over 10 years. In March 2022, Teva reached a settlement related to claims that Teva contributed to the State of Rhode Island's opioid crisis and Teva agreed to pay $21 million over 13 years, as well as provide $62.5 million worth of generic Narcan over 10 years. In March 2022, Teva reached a settlement related to claims that Teva contributed to the State of Florida's opioid crisis and Teva agreed to pay $177 million

32

over 15 years, as well as provide $84 million worth of generic Narcan over 10 years. In May 2022, Teva reached a settlement related to claims that Teva contributed to the State of West Virginia's opioid crisis and Teva agreed to pay $83 million over 15 years, as well as provide $27 million worth of generic Narcan over 10 years.

In July of 2022, Teva reached an agreement in principle with the working group of States' Attorneys General, counsel for Native American Tribes, and plaintiffs' lawyers representing the States and subdivisions, on the primary financial terms of a nationwide settlement. Under the agreement, Teva will pay up to $4.25 billion (including the already settled cases in Texas, Rhode Island, Florida and West Virginia) plus $100 million for the Tribes, spread over 13 years. The $4.25 billion includes the supply of up to $1.2 billion of its generic Narcan over 10 years.

With a generic version of Narcan now on the market generally and in addition free generic Narcan becoming widely available through the Teva nationwide settlement, the demand for our nasal nalmefene for OOR may be negatively impacted.

Potential impact of the war in Ukraine

In February of 2022, Russia invaded Ukraine with war throughout the country continuing on a widespread basis. During January 2022, we dosed the first patient in a Phase 2 clinical trial for OPNT002, Nasal Naltrexone for Alcohol Use Disorder. This trial is a double blind, placebo controlled Phase 2 study, aiming to enroll 300 patients in various European countries including in eastern Europe, and the United Kingdom. If the war in Ukraine escalates and affects eastern European countries, such as Poland, we may need to suspend the Phase 2 clinical trial at any such sites, which could delay the results from the trial.

33

Item 2.           Unregistered Sales of Equity Securities and Use of Proceeds.  

None.

Item 3.     Defaults Upon Senior Securities.

None.

Item 4.            Mine Safety Disclosures. 

Not applicable.   

Item 5.            Other Information.

None.

Item 6.           Exhibits.

See the Exhibit Index on the page immediately following for a list of exhibits filed as part of this Report, which Exhibit Index is incorporated herein by reference.

34

EXHIBIT INDEX 

		Incorporation by Reference
Exhibit Number	Description of Document	Form	File No.	Exhibit	Filing Date
31.1*	Certification of the Principal Executive Officer pursuant to Rules 13a-14(a) and 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
31.2*	Certification of the Principal Financial Officer pursuant to Rules 13a-14(a) and 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
32.1**	Certification of the Principal Executive Officer pursuant to 18 U.S.C Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
32.2**	Certification of the Principal Financial Officer pursuant to 18 U.S.C Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
101.INS*	XBRL Instance Document.
101.SCH*	XBRL Taxonomy Extension Schema Document.
101.CAL*	XBRL Taxonomy Extension Calculation Linkbase Document.
101.DEF*	XBRL Taxonomy Extension Definition Linkbase Document.
101.LAB*	XBRL Taxonomy Extension Label Linkbase Document.
101.PRE*	XBRL Taxonomy Extension Presentation Linkbase Document.

*

Filed herewith

**

The certifications attached as Exhibit 32.1 and 32.2 that accompany this Quarterly Report on Form 10-Q are not deemed filed with the Securities and Exchange Commission and are not to be incorporated by reference into any filing of Opiant Pharmaceuticals, Inc. under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended, whether made before or after the date of this Quarterly Report on Form 10-Q, irrespective of any general incorporation language contained in such filing.

35

SIGNATURES

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 thereunto duly authorized.

	OPIANT PHARMACEUTICALS, INC.
November 14, 2022	By:	/s/ Dr. Roger Crystal
		Name:  Dr. Roger Crystal
		Title: Chief Executive Officer and Director
		(Principal Executive Officer)

November 14, 2022	By:	/s/ David D. O'Toole
		Name: David D. O'Toole
		Title: Chief Financial Officer
		(Principal Financial and Accounting Officer)

36

EX-31.1

EXHIBIT 31.1

CERTIFICATION OF PRINCIPAL EXECUTIVE OFFICER,

PURSUANT TO 18 U.S.C. SECTION 1350

AS ADOPTED PURSUANT TO SECTION 302

OF THE SARBANES–OXLEY ACT OF 2002

I, Dr. Roger Crystal, Chief Executive Officer of Opiant Pharmaceuticals, Inc., certify that:

1.   I have reviewed this Quarterly Report on Form 10-Q of Opiant Pharmaceuticals, Inc.;

2.   Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3.   Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4.   The registrant's other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a.Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b.Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c.Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d.Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and

5.   The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):

a.All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

b.Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.

Date: November 14, 2022

By:	/s/ Dr. Roger Crystal
Dr. Roger Crystal
Chief Executive Officer
(Principal Executive Officer)

EX-31.2

EXHIBIT 31.2

CERTIFICATION OF PRINCIPAL FINANCIAL OFFICER,

PURSUANT TO 18 U.S.C. SECTION 1350

AS ADOPTED PURSUANT TO SECTION 302

OF THE SARBANES–OXLEY ACT OF 2002

I, David O'Toole, Chief Financial Officer of Opiant Pharmaceuticals, Inc., certify that:

1.   I have reviewed this Quarterly Report on Form 10-Q of Opiant Pharmaceuticals, Inc.;

2.   Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3.   Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4.   The registrant's other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a.Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b.Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c.Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d.Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and

5.   The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):

a.All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

b.Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.

Date: November 14, 2022

By:	/s/ David O'Toole
David O'Toole
Chief Financial Officer
(Principal Financial and Accounting Officer)

EX-32.1

EXHIBIT 32.1

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Quarterly Report on Form 10-Q of Opiant Pharmaceuticals, Inc. (the “Company”) for the period ended June 30, 2022, as filed with the Securities and Exchange Commission on the date hereof (the “Report”), Dr. Roger Crystal, as Chief Executive Officer of the Company, hereby certifies, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

(1)  The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2)  The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Date: November 14, 2022

By:	/s/ Dr. Roger Crystal
Dr. Roger Crystal
Chief Executive Officer
(Principal Executive Officer)

EX-32.2

EXHIBIT 32.2

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Quarterly Report on Form 10-Q of Opiant Pharmaceuticals, Inc. (the “Company”) for the period ended June 30, 2022, as filed with the Securities and Exchange Commission on the date hereof (the “Report”), David O'Toole, as Chief Financial Officer of the Company, hereby certifies, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

(1)  The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2)  The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Date: November 14, 2022

By:	/s/ David O'Toole
David O'Toole
Chief Financial Officer
(Principal Financial and Accounting Officer)

XML

Cover - shares	9 Months Ended
	Sep. 30, 2022	Nov. 10, 2022
Cover [Abstract]
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Sep. 30, 2022
Document Transition Report	false
Entity File Number	001-38193
Entity Registrant Name	OPIANT PHARMACEUTICALS, INC.
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	46-4744124
Entity Address, Address Line One	233 Wilshire Blvd.
Entity Address, Address Line Two	Suite 400
Entity Address, City or Town	Santa Monica,
Entity Address, State or Province	CA
Entity Address, Postal Zip Code	90401
City Area Code	310
Local Phone Number	598-5410
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Non-accelerated Filer
Entity Small Business	true
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		5,167,814
Title of 12(b) Security	Common stock, par value $0.001 per share
Trading Symbol	OPNT
Security Exchange Name	NASDAQ
Amendment Flag	false
Document Fiscal Year Focus	2022
Document Fiscal Period Focus	Q3
Entity Central Index Key	0001385508
Current Fiscal Year End Date	--12-31

XML

Condensed Consolidated Balance Sheets - USD ($)	Sep. 30, 2022	Dec. 31, 2021
Current assets
Cash and cash equivalents	$ 35,375,865	$ 37,853,947
Marketable securities	0	15,014,750
Accounts receivable	41,113	13,327,364
Prepaid and other current assets	3,131,299	2,962,903
Total current assets	38,548,277	69,158,964
Other assets
Property and equipment, net	417,646	78,107
Right of use assets - operating leases	2,739,239	999,567
Patents and patent applications, net	10,598	11,628
Other non-current assets	234,389	179,532
Total assets	41,950,149	70,427,798
Current liabilities
Accounts payable and accrued liabilities	3,113,068	3,369,848
Accrued salaries and wages	1,821,438	201,254
Royalty payable	0	2,920,148
Deferred revenue	0	16,618
Operating leases - current	669,209	337,690
Convertible debt - current	1,436,660	0
Total current liabilities	7,040,375	6,845,558
Long-term liabilities
Operating leases - long term	2,083,548	673,347
Convertible debt, net of unamortized discount	12,324,237	16,069,085
Total liabilities	21,448,160	23,587,990
Stockholders' equity
Common stock; par value $0.001; 200,000,000 shares authorized; 5,164,951 and 4,909,846 shares issued and outstanding at September 30, 2022 and December 31, 2021, respectively	5,165	4,910
Additional paid-in capital	116,266,243	108,569,988
Accumulated other comprehensive loss	(248,129)	(54,815)
Accumulated deficit	(95,521,290)	(61,680,275)
Total stockholders' equity	20,501,989	46,839,808
Total liabilities and stockholders' equity	$ 41,950,149	$ 70,427,798

XML

Condensed Consolidated Balance Sheets (Parenthetical) - $ / shares	Sep. 30, 2022	Dec. 31, 2021
Statement of Financial Position [Abstract]
Common stock, par value (in dollars per share)	$ 0.001	$ 0.001
Common stock, shares authorized (in shares)	200,000,000	200,000,000
Common stock, shares issued (in shares)	5,164,951	4,909,846
Common stock, shares outstanding (in shares)	5,164,951	4,909,846

XML

Condensed Consolidated Statements of Operations and Comprehensive Loss - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021
Revenues
Royalty revenue	$ 0	$ 14,041,006	$ 4,519,505	$ 27,688,713
Grant and contract revenue	173,874	2,298,055	4,018,653	6,296,542
Total revenue	173,874	16,339,061	8,538,158	33,985,255
Operating expenses
General and administrative	3,073,114	3,378,707	11,415,746	8,758,601
Research and development	4,133,982	4,881,398	20,873,449	12,119,088
Sales and marketing	2,596,562	1,059,649	8,088,860	3,080,211
Royalty expense	0	3,058,865	943,269	6,145,057
Total operating expenses	9,803,658	12,378,619	41,321,324	30,102,957
Income (loss) from operations	(9,629,784)	3,960,442	(32,783,166)	3,882,298
Other income (expense)
Interest income	160,114	3,498	227,830	10,334
Interest expense	(390,850)	(547,296)	(1,213,021)	(1,626,273)
Loss on sale of assets	(49,437)	0	(49,437)	0
Gain (loss) on foreign exchange	1,868	455	17,818	(9,899)
Total other income (expense)	(278,305)	(543,343)	(1,016,810)	(1,625,838)
Income (loss) before income taxes	(9,908,089)	3,417,099	(33,799,976)	2,256,460
Income tax (expense)	(8,550)	0	(41,039)	0
Net income (loss)	(9,916,639)	3,417,099	(33,841,015)	2,256,460
Other comprehensive loss:
Foreign currency translation adjustment	(4,979)	(7,974)	(193,314)	81
Comprehensive income (loss)	$ (9,921,618)	$ 3,409,125	$ (34,034,329)	$ 2,256,541
Net income (loss) per share of common stock:
Basic (in dollars per share)	$ (1.93)	$ 0.77	$ (6.66)	$ 0.52
Diluted (in dollars per share)	$ (1.93)	$ 0.56	$ (6.66)	$ 0.41
Weighted average shares outstanding used to compute net income (loss) per share:
Basic (in shares)	5,138,274	4,462,236	5,083,222	4,359,759
Diluted (in shares)	5,138,274	6,065,044	5,083,222	5,565,065

XML

Condensed Consolidated Statements of Stockholders' Equity - USD ($)	Total	Common Stock	Additional Paid In Capital	Accumulated Deficit	Accumulated Other Comprehensive Loss
Beginning balance (in shares) at Dec. 31, 2020		4,258,105
Beginning balance at Dec. 31, 2020	$ 35,492,242	$ 4,259	$ 100,203,979	$ (64,689,065)	$ (26,931)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Exercise of stock options (in shares)		65,962
Exercise of stock options	579,619	$ 66	579,553
Restricted stock issued (in shares)		6,527
Restricted stock issued	0	$ 6	(6)
Stock based compensation	745,620		745,620
Net (loss) income	(2,844,230)			(2,844,230)
Other comprehensive loss - foreign currency translation adjustment	12,501				12,501
Ending balance (in shares) at Mar. 31, 2021		4,330,594
Ending balance at Mar. 31, 2021	33,985,752	$ 4,331	101,529,146	(67,533,295)	(14,430)
Beginning balance (in shares) at Dec. 31, 2020		4,258,105
Beginning balance at Dec. 31, 2020	35,492,242	$ 4,259	100,203,979	(64,689,065)	(26,931)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Debt issuance cost associated with debt conversion	0
Net (loss) income	2,256,460
Other comprehensive loss - foreign currency translation adjustment	81
Ending balance (in shares) at Sep. 30, 2021		4,618,221
Ending balance at Sep. 30, 2021	42,005,357	$ 4,618	104,460,194	(62,432,605)	(26,850)
Beginning balance (in shares) at Mar. 31, 2021		4,330,594
Beginning balance at Mar. 31, 2021	33,985,752	$ 4,331	101,529,146	(67,533,295)	(14,430)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Exercise of stock options (in shares)		5,630
Exercise of stock options	36,605	$ 6	36,599
Restricted stock issued (in shares)		13,375
Restricted stock issued	0	$ 13	(13)
Stock based compensation	654,562		654,562
Net (loss) income	1,683,591			1,683,591
Other comprehensive loss - foreign currency translation adjustment	(4,446)				(4,446)
Ending balance (in shares) at Jun. 30, 2021		4,349,599
Ending balance at Jun. 30, 2021	36,356,064	$ 4,350	102,220,294	(65,849,704)	(18,876)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Exercise of stock options (in shares)		268,622
Exercise of stock options	1,545,834	$ 268	1,545,566
Stock based compensation	694,334		694,334
Net (loss) income	3,417,099			3,417,099
Other comprehensive loss - foreign currency translation adjustment	(7,974)				(7,974)
Ending balance (in shares) at Sep. 30, 2021		4,618,221
Ending balance at Sep. 30, 2021	$ 42,005,357	$ 4,618	104,460,194	(62,432,605)	(26,850)
Beginning balance (in shares) at Dec. 31, 2021	4,909,846	4,909,846
Beginning balance at Dec. 31, 2021	$ 46,839,808	$ 4,910	108,569,988	(61,680,275)	(54,815)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Return of profit	5,824		5,824
Exercise of stock options (in shares)		7,097
Exercise of stock options	91,634	$ 7	91,627
Restricted stock issued (in shares)		31,746
Restricted stock issued	0	$ 32	(32)
Stock issued from converted debt (in shares)		130,916
Stock issued from converted debt	2,571,200	$ 131	2,571,069
Debt issuance cost associated with debt conversion	(109,399)		(109,399)
Stock based compensation	2,079,159		2,079,159
Net (loss) income	(12,187,830)			(12,187,830)
Other comprehensive loss - foreign currency translation adjustment	(27,150)				(27,150)
Ending balance (in shares) at Mar. 31, 2022		5,079,605
Ending balance at Mar. 31, 2022	$ 39,263,246	$ 5,080	113,208,236	(73,868,105)	(81,965)
Beginning balance (in shares) at Dec. 31, 2021	4,909,846	4,909,846
Beginning balance at Dec. 31, 2021	$ 46,839,808	$ 4,910	108,569,988	(61,680,275)	(54,815)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Restricted stock issued (in shares)		51,671
Performance stock units issued (in shares)		20,185
Issuance of common stock, net of issuance cost (in shares)		7,097
Debt issuance cost associated with debt conversion	(109,399)
Net (loss) income	(33,841,015)
Other comprehensive loss - foreign currency translation adjustment	$ (193,314)
Ending balance (in shares) at Sep. 30, 2022	5,164,951	5,164,951
Ending balance at Sep. 30, 2022	$ 20,501,989	$ 5,165	116,266,243	(95,521,290)	(248,129)
Beginning balance (in shares) at Mar. 31, 2022		5,079,605
Beginning balance at Mar. 31, 2022	39,263,246	$ 5,080	113,208,236	(73,868,105)	(81,965)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Exercise of stock options	0
Restricted stock issued (in shares)		15,375
Restricted stock issued	0	$ 15	(15)
Performance stock units issued (in shares)		20,185
Performance stock units issued	0	$ 20	(20)
Issuance of common stock, net of issuance cost (in shares)		7,410
Issuance of common stock, net of issuance cost	135,678	$ 6	135,672
Stock based compensation	2,095,118		2,095,118
Net (loss) income	(11,736,546)			(11,736,546)
Other comprehensive loss - foreign currency translation adjustment	(161,185)				(161,185)
Ending balance (in shares) at Jun. 30, 2022		5,122,575
Ending balance at Jun. 30, 2022	29,596,311	$ 5,121	115,438,991	(85,604,651)	(243,150)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Restricted stock issued (in shares)		4,550
Restricted stock issued	0	$ 6	(6)
Issuance of common stock, net of issuance cost (in shares)		37,826
Issuance of common stock, net of issuance cost	402,615	$ 38	402,577
Stock based compensation	424,681		424,681
Net (loss) income	(9,916,639)			(9,916,639)
Other comprehensive loss - foreign currency translation adjustment	$ (4,979)				(4,979)
Ending balance (in shares) at Sep. 30, 2022	5,164,951	5,164,951
Ending balance at Sep. 30, 2022	$ 20,501,989	$ 5,165	$ 116,266,243	$ (95,521,290)	$ (248,129)

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Condensed Consolidated Statements of Cash Flows - USD ($)	9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021
Cash flows from operating activities
Net income (loss)	$ (33,841,015)	$ 2,256,460
Adjustments to reconcile net income (loss) to net cash used in operating activities:
Depreciation and amortization	28,013	78,701
Amortization of debt discount	153,613	205,177
Loss on sale of fixed assets	49,437	0
Non-cash lease expense	384,916	388,598
Stock based compensation	4,598,958	2,094,516
Change in assets and liabilities:
(Increase) decrease in accounts receivable	13,286,251	(6,514,964)
(Increase) decrease in prepaid expenses	(296,020)	860,631
Increase (decrease) in accounts payable and accrued liabilities	(198,361)	(481,464)
Increase (decrease) in accrued salaries and wages	1,672,129	553,996
Increase (decrease) in lease liabilities	(370,033)	(392,564)
Increase (decrease) in royalty payable	(2,920,148)	1,228,605
Increase (decrease) in deferred revenue	(16,618)	(354,756)
Net cash used in operating activities	(17,468,878)	(77,064)
Cash flows from investing activities
Maturity (purchase) of marketable securities	15,014,750
Maturity (purchase) of marketable securities		(15,044,750)
Purchase of property and equipment	(418,962)	0
Net cash provided by (used in) investing activities	14,595,788	(15,044,750)
Cash flows from financing activities
Proceeds from issuance of common shares	538,293	0
Proceeds from stock option and warrant exercises	97,458	2,162,058
Net cash provided by financing activities	635,751	2,162,058
Effect of foreign currency translation on cash	(240,743)	(6,985)
Net increase (decrease) in cash and cash equivalents	(2,478,082)	(12,966,741)
Cash and cash equivalents, beginning of period	37,853,947	48,251,336
Cash and cash equivalents, end of period	35,375,865	35,284,595
Supplemental disclosure
Interest paid during the period	1,158,940	1,051,508
Income taxes paid during the period	66,924	0
Debt Conversion, Converted Instrument, Amount	2,571,200	0
Supplemental disclosure of non-cash finance transactions
Debt issuance cost associated with debt conversion	109,399	0
Right of use assets obtained in exchange for new lease obligations	2,106,776	1,094,259
Issuance of restricted stock and performance stock units	$ 73	$ 19

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Description of Business

9 Months Ended

Sep. 30, 2022

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Description of Business

Description of Business 

Company 

    Opiant is a specialty pharmaceutical company developing medicines for addiction and drug overdose. The Company developed NARCAN® (naloxone hydrochloride) Nasal Spray (“NARCAN®”), a treatment to reverse opioid overdose. This product was conceived and developed by the Company, licensed to Adapt Pharma Operations Limited (“Adapt”), an Ireland based pharmaceutical company in December 2014 and approved by the U.S. Food and Drug Administration (“FDA”) in November 2015. In October 2018, Emergent BioSolutions, Inc. ("EBS") completed its acquisition of Adapt.

    The Company's current pipeline includes medicines in development for Opioid Overdose Reversal (“OOR”), Alcohol Use Disorder (“AUD”), and Acute Cannabinoid Overdose (“ACO”). The Company is also pursuing other treatment opportunities within the addiction and drug overdose field.

    The Company has not had a bankruptcy, receivership or similar proceeding. The Company is required to comply with all regulations, rules and directives of governmental authorities and agencies applicable to the clinical testing and manufacturing and sale of pharmaceutical products.

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Basis of Presentation and Summary of Significant Accounting Policies

9 Months Ended

Sep. 30, 2022

Accounting Policies [Abstract]

Basis of Presentation and Summary of Significant Accounting Policies

Basis of Presentation and Summary of Significant Accounting Policies 

Basis of Presentation

    The accompanying condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America ("GAAP") and the applicable rules and regulations of the SEC for interim financial information. Accordingly, they do not include all of the information and notes required by GAAP for complete financial statements. The condensed consolidated balance sheet at December 31, 2021 has been derived from the audited consolidated financial statements at that date, but does not include all disclosures, including notes, required by GAAP for complete financial statements.

    The unaudited interim condensed consolidated financial statements have been prepared on the same basis as the audited consolidated financial statements and, in the opinion of management, reflect all adjustments of a normal recurring nature considered necessary to present fairly the Company's financial position as of September 30, 2022 and December 31, 2021, results of operations for the three and nine months ended September 30, 2022 and 2021, and cash flows for the nine months ended September 30, 2022 and 2021. The interim results are not necessarily indicative of the results for any future interim period or for the entire year.

    The condensed consolidated financial statements include the accounts of the Company and its wholly-owned subsidiary, Opiant Pharmaceuticals UK Limited, a company incorporated on November 4, 2016 under the England and Wales Companies Act of 2006. Intercompany balances and transactions are eliminated upon consolidation.  

    The accompanying condensed consolidated financial statements and related financial information should be read in conjunction with the audited consolidated financial statements and the related notes thereto for the year ended December 31, 2021 included in the Company's Annual Report on Form 10-K filed with the SEC on March 15, 2022.

Use of Estimates

    The preparation of condensed consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities, and reported amounts of expenses in the financial statements and accompanying notes. Actual results could differ from those estimates. Key estimates included in the financial statements include the valuation of: deferred income tax assets, equity instruments, stock-based compensation, acquired intangibles, and allowances for accounts receivable.

Cash and Cash Equivalents

    The Company considers all highly liquid investments purchased with an original maturity of three months or less to be cash equivalents. Cash and cash equivalents were approximately $35.4 million and $37.9 million at September 30, 2022 and December 31, 2021, respectively. The Company maintains cash balances at financial institutions insured up to $250 thousand by the Federal Deposit Insurance Corporation. Balances in the UK are insured up to £85 thousand by the Financial Services Compensation Scheme (UK Equivalent). Although the Company’s cash balances exceeded these insured amounts at various times during the nine months ended September 30, 2022, the Company has not experienced any losses on its deposits of cash and cash equivalents for the periods presented.

Earnings (Loss) Per Share

Basic and diluted earnings (loss) per share is computed by dividing loss attributable to common stockholders by the weighted average number of shares of Common Stock outstanding during the period.

    Basic earnings (loss) per share is computed by dividing the net income (loss) available to common stockholders by the weighted-average number of shares of Common Stock outstanding during the respective period presented in the Company’s accompanying condensed consolidated financial statements. Fully-diluted earnings (loss) per share is computed similarly to basic income (loss) per share except that the denominator is increased to include the number of Common Stock equivalents (primarily outstanding options and warrants).

(in thousands, except per share data)	For the Three Months Ended September 30,				For the Nine Months Ended September 30,
Numerator:	2022		2021		2022		2021
Net Income (loss)	$	(9,917)	$	3,417	$	(33,841)	$	2,256
Denominator:
Denominator for basic income (loss)
per share - weighted average shares	5,138,274		4,462,236		5,083,222		4,359,759
Effect of dilutive securities:
Equity incentive plans	—		1,602,808		—		1,205,306
Denominator for diluted income (loss) per share	5,138,274		6,065,044		5,083,222		5,565,065
Income (loss) per share - Basic	$	(1.93)	$0.77		$	(6.66)	$	0.52
Income (loss) per share - Diluted	$	(1.93)	$0.56		$	(6.66)	$	0.41

    The Company excluded the following securities from the calculation of basic and diluted net loss per share as the effect would have been antidilutive.

	For the Three Months Ended September 30,		For the Nine Months Ended September 30,
	2022	2021	2022	2021
Options to purchase common stock	2,745,815	295,550	2,745,815	407,975
Warrants to purchase common stock	278,800	—	278,800	—
Unvested restricted stock	268,093	—	268,093	21,425
Unvested performance stock	20,185	—	20,185	—
Shares issuable upon conversion of convertible debt	222,332	509,165	222,332	509,165
Total	3,535,225	804,715	3,535,225	938,565

Foreign Currency Translation

    The functional currency of the Company's wholly-owned subsidiary, Opiant UK is the British Pound, its local currency. Consequently, its assets and liabilities are translated at current rates of exchange at the balance sheet date. Income and expense items are translated at the average foreign currency exchange rates for the period. Adjustments resulting from the translation of the financial statements of Opiant Pharmaceuticals UK Limited (“Opiant UK”), into U.S. dollars, the reporting currency, are excluded from the determination of net loss and are recorded in accumulated other comprehensive loss, a separate component of equity. Gains and losses arising on translation or settlement of foreign currency denominated transactions or balances are included in the determination of income.

Recently Adopted Accounting Pronouncements

    From time to time, new accounting pronouncements are issued by the Financial Accounting Standards Board, ("FASB"), or other standard setting bodies and adopted by us as of the specified effective date. Unless otherwise discussed, the impact of recently issued standards that are not yet effective will not have a material impact on the Company’s financial position or results of operations upon adoption.

    The Company has considered all other recently issued accounting pronouncements and does not believe the adoption of such pronouncements will have a material impact on its consolidated financial statements.

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Marketable Securities	9 Months Ended
	Sep. 30, 2022
Investments, Debt and Equity Securities [Abstract]
Marketable Securities	Marketable SecuritiesThe Company invests in debt securities and has the intent and ability to hold until maturity. Therefore, the Company's Securities are classified as held-to-maturity. The Company's debt securities are all U.S. Treasury securities. The investments in debt securities are carried at either amortized cost or fair value. As of September 30, 2022, the Company had no marketable securities. Any debt securities with original maturities of three months or less are classified as cash equivalents.

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Accounts Receivable	9 Months Ended
	Sep. 30, 2022
Receivables [Abstract]
Accounts Receivable	Accounts Receivable    As of September 30, 2022, the Company had $41 thousand in accounts receivable due from BARDA. As of December 31, 2021, the Company had $13.3 million in accounts receivable, which primarily related to royalty revenue from net sales of NARCAN®.

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Prepaid Expenses and Other Current Assets	9 Months Ended
	Sep. 30, 2022
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]
Prepaid Expenses and Other Current Assets	Prepaid Expenses and Other Current Assets    As of September 30, 2022 and December 31, 2021, the Company had prepaid expenses and other current assets of approximately $3.1 million and $3.0 million, respectively. The Company's prepaid expenses are primarily for advance research and development payments, insurance, software licenses, prepaid rent, and other amounts that relate to future periods of service. Other current assets primarily consist of such items as other receivables and security deposits.Other Non-Current AssetsAs of September 30, 2022 and December 31, 2021, the Company had other non-current assets of approximately $234 thousand and $180 thousand, respectively. The Company's non-current prepaid expenses are primarily for deposits.

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Leases

9 Months Ended

Sep. 30, 2022

Leases [Abstract]

Leases

Leases

    On January 1, 2019, the Company adopted a new accounting standard, Topic 842, that amends the guidance for the accounting and reporting of leases. Leases with terms of 12 months or less are expensed on a straight-line basis over the term and are not recorded in the Company's Condensed Consolidated Balance Sheets.

    The Company has two operating leases with terms greater than 12 months as of September 30, 2022. In accordance with the guidance of Topic 842, the leases which are classified as operating leases must be included in the Company's Condensed Consolidated Balance Sheets. The Santa Monica operating lease contains an option to renew once for five years, which the Company does not expect to exercise, the other lease does not contain a renewal option. The operating leases do not contain residual value guarantees, do not have variable lease components, or impose significant restrictions or covenants.

Right of use assets, "ROU assets", represent the right to use an underlying asset for the lease term, and lease liabilities represent the obligation to make lease payments over the respective lease term, with the ROU asset adjusted for deferred rent liability. Lease expense is recognized on a straight line basis over the lease term. As the implicit rate on the leases is not determinable, the Company uses judgement to estimate the incremental borrowing rate which is used as the discount rate to determine the present value of lease payments. The weighted average discount rate used was 8.8% and the weighted average remaining lease term is 4.6 years.

The following table summarizes information related to the Company's operating leases and are included in the Company's Balance Sheet as of September 30, 2022.

Balance Sheet descriptions	September 30, 2022
Assets:	(in thousands)
Right of use assets - operating leases	$	2,739
Liabilities:
Operating leases - current	669
Operating leases - long term	2,084
Total lease liabilities:	$	2,753

The following table summarizes the components of operating lease cost for the three and nine months ended September 30, 2022:

Lease costs, (in thousands)	Three months ended September 30, 2022		Nine months ended September 30, 2022
Operating expenses lease costs	$	149	$	395

    As of September 30, 2022, future minimum operating leases payments related to the Company’s operating lease liabilities were as follows:

(in thousands)	September 30, 2022
2022 (three months remaining)	$	179
2023	709
2024	737
2025	780
2026 and thereafter	1,036
Total lease payments	3,441
Less imputed interest	(688)
Present value of operating lease liabilities	$	2,753

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Other Non-Current Assets	9 Months Ended
	Sep. 30, 2022
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]
Other Non-Current Assets	Prepaid Expenses and Other Current Assets    As of September 30, 2022 and December 31, 2021, the Company had prepaid expenses and other current assets of approximately $3.1 million and $3.0 million, respectively. The Company's prepaid expenses are primarily for advance research and development payments, insurance, software licenses, prepaid rent, and other amounts that relate to future periods of service. Other current assets primarily consist of such items as other receivables and security deposits.Other Non-Current AssetsAs of September 30, 2022 and December 31, 2021, the Company had other non-current assets of approximately $234 thousand and $180 thousand, respectively. The Company's non-current prepaid expenses are primarily for deposits.

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Revenue

9 Months Ended

Sep. 30, 2022

Revenue Recognition [Abstract]

Revenue

Revenue

NARCAN® Royalties

The Company's primary source of revenue has been from royalty payments received from NARCAN® net sales by EBS. During the three months ended September 30, 2022 the Company did not record any royalty revenue. On August 10, 2022, the Company, delivered a notice (the "Default Notice") to EBS under section 10.3 the Adapt Agreement to put EBS on notice that EBS had breached one or more of its obligations under the Adapt Agreement. On November 14, 2022, the Company entered into an agreement with EBS to settle the Default Notice dated August 10, 2022 and terminate the Company's rights to receive any further payments, including royalties, under the License Agreement (see Note 13). For the nine months ended September 30, 2022, the Company recorded $4.5 million in royalty revenue related to its agreement with EBS, before it was terminated.

BARDA Contract

    On September 19, 2018, the Company entered into a contract with the Biomedical Advanced Research and Development Authority (“BARDA”), which is part of the U.S. Health and Human Services Office of the Assistant Secretary for Preparedness and Response, to accelerate the Company’s development of OPTN003, its lead product candidate. OPTN003, nasal nalmefene, is a potent, long-acting opioid antagonist currently in development for the treatment of opioid overdose. The contract provides funding up to approximately $10.8 million and covers activities related to the New Drug Application for OPTN003 with the Food and Drug Administration. BARDA has awarded approximately $10.8 million of the contract as of September 30, 2022. During the three and nine months ended September 30, 2022, the Company recognized revenue of $0.2 million and $4.0 million, respectively related to this contract.

Deferred revenue

    On April 17, 2018, the Company was awarded a grant of approximately $7.4 million from the National Institutes of Health’s National Institute on Drug Abuse, ("NIDA"). The grant provided the Company with additional resources for the development of OPNT003.

Government grants are agreements that generally provide cost reimbursement for certain types of expenditures in return for research and development activities over a contractually defined period. The Company recognized revenues from grants in the period during which the related costs were incurred, provided that the conditions under which the grants were provided had been met and only perfunctory obligations were outstanding.

As of March 31, 2022, the Company had received the entire $7.4 million, and all the work related to the grant was complete. During the three and nine months ended September 30, 2022, the Company recognized revenue of $0 and $17 thousand, respectively related to this grant.

The following is a summary of the Company’s deferred revenue activity as of September 30, 2022:

(in thousands)	NIDA Grant		Total
Balance as of December 31, 2021	$	17	$	17
Additions to deferred revenue	—		—
Recognized as revenue	(17)		(17)
Balance as of September 30, 2022	$	—	$	—

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Royalty Payable	9 Months Ended
	Sep. 30, 2022
Payables and Accruals [Abstract]
Royalty Payable	Royalty Payable    The Company entered into various agreements and subsequently received funding from investors for use by the Company for the research and development of its Opioid Overdose Reversal Treatment Product ("OORTP"). In exchange for this funding, the Company agreed to provide investors with interest in the OORTP net profit generated from NARCAN® sales by EBS into perpetuity. As of September 30, 2022, the Company did not record any royalty payable (see Note 13). As of December 31, 2021, the Company recorded a $2.9 million royalty payable.

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Debt	9 Months Ended
	Sep. 30, 2022
Debt Disclosure [Abstract]
Debt	DebtAs of September 30, 2022 the Company had short and long term debt (net of amortization discount) of $13.8 million. As of December 31, 2021, the Company had long term debt (net of amortization discount) of $16.1 million. There have been no changes to the maturity or other conditions of the debt for the nine months ended September 30, 2022. During the nine months ended September 30, 2022 approximately $2.6 million of debt was converted to Common Stock at a conversion price of $19.64 per share.

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Stockholders' Equity

9 Months Ended

Sep. 30, 2022

Stockholders' Equity Note [Abstract]

Stockholders' Equity

Stockholders' Equity 

Common Stock

    During the nine months ended September 30, 2022, the Company issued 7,097 shares of Common Stock as a result of stock option exercises, and received net cash proceeds of approximately $92 thousand.    

During the nine months ended September 30, 2022, the Company sold 45,236 shares of Common Stock and received net proceeds of $538 thousand after deducting sales commission under its Controlled Equity Offering with Cantor Fitzgerald & Company.

During the nine months ended September 30, 2022, the Company issued 51,671 shares of Common Stock for restricted stock units that vested.

During the nine months ended September 30, 2022, the Company issued 20,185 shares of Common Stock for performance stock units that vested.

Equity Plans 

    On September 8, 2017, the Company held its Annual Meeting of Stockholders (the “Annual Meeting”), at which time the 2017 Long-Term Incentive Plan ("2017 Plan") was approved by stockholder vote. The 2017 Plan allows the Company to grant both incentive stock options (“ISOs”) and non-qualified stock options (“NSOs”) to purchase a maximum of 400,000 shares of the Company's Common Stock. Under the terms of the 2017 Plan, ISOs may only be granted to Company employees and directors, while NSOs may be granted to employees, directors, advisors, and consultants. The Company's Board of Directors (the "Board") has the authority to determine to whom options will be granted, the number of options, the term, and the exercise price. Options are to be granted at an exercise price not less than fair value for an ISO or an NSO. The vesting period is normally over a period of four years from the vesting date. The contractual term of an option is no longer than 10 years. The 2017 Plan also allows the Company to issue restricted stock.

    As provided in the 2017 Plan, on January 1, 2022 the number of shares available for issuance was increased by 4% of the outstanding stock as of December 31, 2021, which represents an increase of 196,394 shares. As of September 30, 2022, the Company had 92,510 shares available for future issuance under the 2017 Plan.

    Prior to adopting the 2017 Plan, the Company did not have a formal long-term incentive stock plan. Prior to the implementation of the 2017 Plan, the Company had discretion to provide designated employees of the Company and its

affiliates, certain consultants, and advisors who perform services for the Company and its affiliates, and non-employee members of the Board and its affiliates with the opportunity to receive grants of non-qualified stock options (the "Pre-2017 Non-Qualified Stock Options"). All of the Pre-2017 Non-Qualified Stock Option Grants were intended to qualify as non-qualified stock options. There were no Pre-2017 Non-Qualified Stock Option Grants that were intended to qualify as incentive stock options.

On July 8, 2021, the Board of Directors of the Company adopted the 2021 Inducement Equity Incentive Plan (the “Inducement Plan”) and, subject to the adjustment provisions of the Inducement Plan, reserved 100,000 shares of the Company’s Common Stock for issuance pursuant to equity awards granted under the Inducement Plan. On December 9, 2021, the Board of Directors of the Company amended the Inducement Plan to reserve an additional 100,000 shares of the Company’s Common Stock under the Inducement Plan. As of September 30, 2022, the Company had 70,250 shares available for grant under the 2021 Inducement Plan.

Pre-2017 Non-Qualified Stock Options

    As of December 31, 2021, the Company had outstanding Pre-2017 Non-Qualified Stock Options to purchase, in the aggregate, 1,950,500 shares of the Company's Common Stock. During the nine months ended September 30, 2022, the Company did not grant any Pre-2017 Non-Qualified Stock Options.

    Stock option activity for the Pre-2017 Non-Qualified Stock Options for the nine months ended September 30, 2022 is presented in the table below:

	Number of Shares	Weighted-average Exercise Price		Weighted-average Remaining Contractual Term (years)	Aggregate Intrinsic Value (in thousands)
Outstanding at December 31, 2021	1,950,500	$	7.17	3.4	$	51,602
Exercised	—	—
Forfeited	—	—
Outstanding at September 30, 2022	1,950,500	$	7.17	2.65	$	6,975

A summary of the status of the Company’s non-vested Pre-2017 Non-Qualified Stock Options as of September 30, 2022 is presented in the table below:

	Number of Options	Weighted Average Grant Date Fair Value
Vested at September 30, 2022	1,950,500	$	7.17

During the nine months ended September 30, 2022 and 2021, the Company did not recognize any non-cash expense related to Pre-2017 Non-Qualified Stock Options, and there is no further compensation expense to be recognized for the Pre-2017 Non-Qualified Stock Options.

The 2017 Plan

    During the nine months ended September 30, 2022, the Company did not grant any options under the 2017 Plan.

Stock option activity for options granted under the 2017 Plan during the nine months ended September 30, 2022 is presented in the table below:

	Number of Options Outstanding	Weighted-average Exercise Price		Weighted-average Remaining Contractual Term (years)	Aggregate Intrinsic Value (in thousands)
Balance at December 31, 2021	759,058	$	19.61	7.31	$	10,997
Granted	—	$	—
Exercised	(7,097)	$	12.91
Forfeited	(13,146)	$	13.69
Balance at September 30, 2022	738,815	$	19.78	6.52	$	56

A summary of the status of the Company’s vested and non-vested options granted under the 2017 Plan as of September 30, 2022 is presented in the table below:

	Number of Shares	Weighted Average Grant Date Fair Value per Share
Vested at September 30, 2022	595,716	$	20.23
Non-vested at September 30, 2022	143,009	$	9.54

During the nine months ended September 30, 2022 and 2021, the Company recognized approximately $491 thousand and $1.4 million, respectively of non-cash expense related to options granted under the 2017 Plan. As of September 30, 2022, there was approximately $393 thousand of unrecognized compensation costs related to non-vested stock options that were granted under the 2017 Plan.

Restricted Stock Activity

    The following summarizes the restricted stock activity under the Company's 2017 Plan during the nine months ended September 30, 2022:

	Number of Shares	Weighted Average Fair Value Per Share
Restricted stock outstanding and unvested at December 31, 2021	104,416	$	12.57
Restricted stock granted	147,475	$	31.04
Restricted stock vested	(47,123)	$	12.58
Restricted stock forfeited	(6,925)	$	24.76
Restricted stock outstanding and unvested at September 30, 2022	197,843	$	25.91

    The Company has two different vesting terms for RSUs. For most grants, twenty five percent or (1/4) of the restricted stock units will vest on the one year anniversary of the vesting commencement date, and twenty-five percent or (1/4) will vest annually thereafter on the same day as the vesting commencement date, and for others approximately thirty-three percent (1/3) of the restricted stock units will vest on the one year anniversary of the vesting commencement date, and approximately thirty-three percent or (1/3) will vest annually thereafter on the same day as the vesting commencement date. During the nine months ended September 30, 2022 and 2021, the Company recognized approximately $2.3 million and $563 thousand, respectively of non-cash expense related to restricted stock units. As of September 30, 2022, there was $2.7 million of total unrecognized compensation cost related to restricted stock units.

Performance Stock Unit Activity

During the nine months ended September 30, 2022, the Company granted 80,735 performance stock units to certain employees. The performance stock units vest upon meeting various performance criteria established by the Compensation and Human Capital Committee of the Board of Directors.

Performance stock unit activity granted under the 2017 Plan during the nine months ended September 30, 2022 is presented in the table below:

	Number of Shares	Weighted Average Fair Value Per Share
Performance stock outstanding and unvested at December 31, 2021	—	$	—
Performance stock granted	80,735	$	32.85
Performance stock vested	(20,185)	$	32.85
Performance stock forfeited	(40,365)	$	32.85
Performance stock outstanding and unvested at September 30, 2022	20,185	$	32.85

During the nine months ended September 30, 2022, the Company recognized approximately $1.1 million of non-cash expense related to performance stock units under the 2017 Plan. As of September 30, 2022, there was $0.4 million of total unrecognized compensation cost related to performance stock units under the 2017 Plan.

Inducement Plan

During the nine months ended September 30, 2022, the Company did not grant any options under the Inducement Plan.

Stock option activity for options granted under the Inducement Plan during the nine months ended September 30, 2022 is presented in the table below:

	Number of Options Outstanding	Weighted-average Exercise Price		Weighted-average Remaining Contractual Term (years)	Aggregate Intrinsic Value (in thousands)
Balance at December 31, 2021	56,500	$	16.41	9.55	$	973
Granted	—	$	—
Exercised	—	$	—
Forfeited	—	$	—
Balance at September 30, 2022	56,500	$	16.41	8.8	$	—

During the nine months ended September 30, 2022, the Company recognized approximately $232 thousand of non-cash expense related to options granted under the Inducement Plan. As of September 30, 2022, there was approximately $205 thousand of total unrecognized compensation cost related to the non-vested stock options that were granted under the Inducement Plan.

Restricted Stock Activity

The following summarizes the restricted stock activity under the Inducement Plan during the nine months ended September 30, 2022:

	Number of Shares	Weighted Average Fair Value Per Share
Restricted stock outstanding and unvested at December 31, 2021	49,800	$	26.98
Restricted stock granted	30,450	$	13.89
Restricted stock vested	(4,550)	$	16.41
Restricted stock forfeited	(5,450)	$	32.11
Restricted stock outstanding and unvested at September 30, 2022	70,250	$	21.59

During the nine months ended September 30, 2022, the Company recognized approximately $540 thousand of non-cash expense related to restricted stock units granted under the Inducement Plan. As of September 30, 2022, there was $0.9 million of total unrecognized compensation cost related to restricted stock units granted under the Inducement Plan.

Warrants

During the nine months ended September 30, 2022, the Company did not issue any warrants.

Warrant activity for the nine months ended September 30, 2022 is presented in the table below:

	Number of Shares	Weighted-average Exercise Price		Weighted-average Remaining Contractual Term (years)	Aggregate Intrinsic Value (in thousands)
Outstanding at December 31, 2021	278,800	$	9.72	2.51	$	6,666
Exercised	—	$	—
Forfeited	—	$	—
Outstanding at September 30, 2022	278,800	$	9.72	1.76	$	107
Exercisable at September 30, 2022	278,800	$	9.72	1.76	$	107

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Commitments and Contingencies

9 Months Ended

Sep. 30, 2022

Commitments and Contingencies Disclosure [Abstract]

Commitments and Contingencies

Commitments and Contingencies

Commitments

    The Company has entered into various agreements related to its business activities. The following is a summary of the Company’s commitments:

Aptar Agreement

On October 26, 2020, the Company entered into a Master Services Agreement (“MSA”) with AptarGroup, Inc. and Aptar France (collectively “Aptar”) to provide non-exclusive technology access and co-development services for the development and submission of an opioid antagonist for the treatment of opioid overdose using Aptar’s nasal Unidose device (the “UDS Device”). In addition to the cost of the UDS Devices, the Company expects to spend up to approximately $5.2 million over the course of the development program. Under the Master Service Agreement, the Company will be required to pay Aptar 750 thousand Euro upon the successful NDA filing.

On June 8, 2022, the Company entered into a Capacity Investment Agreement (the "Capacity Agreement") with Aptar, whereby the Company will make non-refundable payments in the aggregate amount of 2.0 million Euros over eighteen months. In consideration of these payments, Aptar will guarantee that it has equipment installed and maintained for the future production of Aptar's unidose nasal device to meet the Company's potential commercial demand for OPNT003, nasal nalmefene. During the nine months ended September 30, 2022 the Company made the first payment of 1 million Euro to Aptar related to the Capacity Agreement.

Summit Agreement

On July 22, 2020, the Company entered into a Project Scope Agreement ("PSA") pursuant to a Master Services Agreement ("MSA") with Summit Biosciences, Inc. ("Summit"), to support the development and manufacture of a nasal spray device for opioid overdose, with the ability to expand to additional programs in the future. In accordance with the PSA, Summit will develop and produce certain pre-filled nasal spray products using a device previously evaluated as part of other FDA-approved nasal spray products. The Company will pay Summit estimated costs and fees up to approximately $11.0 million which includes paid deposits of approximately $1.1 million, which is included in current assets in the condensed consolidated balance sheet as of September 30, 2022. As of September 30, 2022 the Company has incurred $9.3 million of expense under PSAs related to the MSA with Summit.

Torreya Agreement

    The Company entered into a consulting agreement with Torreya Partners LLP ("Torreya"), a financial advisory firm, under which Torreya agreed to provide certain financial advisory services. The Company is required to pay fees equivalent to 3.375% of all amounts received by the Company from net sales of NARCAN® into perpetuity.

During the nine months ended September 30, 2022 and 2021, the Company recorded $153 thousand and $935 thousand, respectively of expense related to Torreya.

Exclusive License and Collaboration Agreement

    On November 19, 2015, the Company entered into an exclusive license agreement and collaboration agreement (“LOI”) with a pharmaceutical company with certain desirable proprietary information. Pursuant to the agreement, the Company is obligated to issue shares of unregistered Common Stock upon the occurrence of various milestones. No shares were required to be issued under this agreement during the nine months ended September 30, 2022 and 2021.

Supply Agreement

    On June 22, 2017, the Company entered into a license agreement (the "License Agreement") and a related supply agreement (the “Supply Agreement”) with Aegis Therapeutics LLC ("Aegis") pursuant to which the Company was granted an exclusive license (the “License”) to Aegis’ proprietary chemically synthesizable delivery enhancement and stabilization agents, including, but not limited to, Aegis’ Intravail® absorption enhancement agents, ProTek® and HydroGel® (collectively, the “Technology”) to exploit (a) the Compounds (as such are defined in the License Agreement) and (b) a product containing a Compound and formulated using the Technology (“Product”), in each case of (a) and (b) for any and all purposes. The License Agreement restricts the Company's ability to manufacture any Aegis excipients included in the Technology (“Excipients”), except for certain instances of supply failure, supply shortage or termination of the Supply Agreement, and the Company shall obtain all supply of such Excipients from Aegis under the Supply Agreement. The License Agreement also restricts Aegis’s ability to compete with the Company worldwide with respect to the Exploitation (as defined in the License Agreement) of any therapeutic containing a Compound or derivative or active metabolite of a Compound without the Company's prior written consent. The effective date of the License Agreement and the Supply Agreement is January 1, 2017.

    As consideration for the grant of the License, the Company paid Aegis two immaterial upfront payments, of which the Company paid 50% by issuing the Company's Common Stock to Aegis, with the number of shares issued equal to 75% of the average closing price of the Company's Common Stock over the 20 trading days preceding the date of payment. The License

Agreement also provides for (A) additional developmental milestone payments for each Product containing a different Compound equal to up to an aggregate of $1.8 million, (B) additional commercialization milestone payments for each Product containing a different Compound equal to up to an aggregate of $5.0 million, and (C) single low digit royalties on the Annual Net Sales (as defined in the License Agreement) of all Products during the Royalty Term (as defined in the License Agreement) according to a tiered royalty rate based on Annual Net Sales of the Products by the Company, the Company's sublicensees and affiliates. The Company shall also pay to Aegis a sublicense fee based on a sublicense rate negotiated in good faith by the parties. The License Agreement contains customary representations and warranties, ownership, patent rights, confidentiality, indemnification and insurance provisions. The License Agreement shall expire upon the expiration of the Company's obligation to pay royalties under such License Agreement; provided, however, that the Company shall have the right to terminate the License granted on a Product-by-Product or country-by-country basis upon 30 days prior written notice to Aegis.

    Under the terms of the Supply Agreement, Aegis shall deliver to the Company any preclinical, clinical and commercial supply of the Excipients, which Aegis sources from various contract manufacturers. The Supply Agreement has a term of 20 years but shall terminate automatically in the event of expiration or termination of the License Agreement or at any time upon the written agreement of both parties. The Supply Agreement contains customary provisions relating to pricing for such materials, forecasts, delivery, inspection, indemnification, insurance and representations, warranties and covenants. The Supply Agreement includes technology transfer provisions for the transfer of all materials and know-how specific to the manufacturing of the Excipients that is necessary or useful for the Company to manufacture such Excipients. The Company does not have the right to manufacture such Excipients except in the event that Aegis is unable to supply and sell any portion of the material to the Company (subject to a 60-day cure period).

    Under the License Agreement, the Company will be required to pay Aegis $250 thousand upon the successful NDA filing.

    For the nine months ended September 30, 2022, and September 30, 2021, the Company did not have any expenses associated with the License Agreement.

Contingencies

The Company may be subject to various legal proceedings and claims that arise in the ordinary course of business. The Company records a liability when it is probable that a loss will be incurred and the amount is reasonably estimable. There is significant judgment required in both the probability determination and as to whether an exposure can be reasonably estimated. If any legal matter, were resolved against the Company in a reporting period for amounts in excess of management’s expectations, the Company’s would reflect any potential claim in the consolidated financial statements for that reporting period.

The Company and Emergent BioSolutions Inc., through its Adapt Pharma subsidiaries (collectively, “Plaintiffs”), filed complaints, in 2016 against Teva Pharmaceuticals Industries Ltd. (“Teva”), and in 2018 against Perrigo UK FINCO Limited Partnership (“Perrigo”), relating to Teva’s and Perrigo’s respective abbreviated new drug applications (each, an “ANDA”) seeking to market generic versions of NARCAN® (naloxone hydrochloride) Nasal Spray 4mg/spray. On January 21, 2022, the Plaintiffs and Teva Canada Limited entered into a settlement agreement to resolve the ongoing litigation. Under the terms of the settlement, Teva Canada can launch a generic NARCAN® after December 15, 2023. This date can be accelerated if a third party receives approval from the Canadian Food Inspection Agency prior to this date.

On February 12, 2020, Plaintiffs and Perrigo entered into a settlement agreement to resolve the ongoing litigation. Under the terms of the settlement, Perrigo has received a non-exclusive license under the Company's patents licensed to Adapt to make, have made and market its generic naloxone hydrochloride nasal spray under its own ANDA. Perrigo’s license will be effective as of January 5, 2033 or earlier under certain circumstances including circumstances related to the outcome of the current litigation against Teva or litigation against future ANDA filers. The Perrigo settlement agreement is subject to review by the U.S. Department of Justice and the Federal Trade Commission, and entry of an order dismissing the litigation by the U.S. District Court for the District of New Jersey.

Closing arguments in the Teva trial were held on February 26, 2020. On June 5, 2020, the U.S. District Court for the District of New Jersey entered a decision in the patent litigation regarding NARCAN® (naloxone HCl) Nasal Spray 4mg/spray product. The Court ruled in favor of Teva.

The Company's commercial partner EBS, appealed the decision to the Court of Appeals for the Federal Circuit.

On February 10, 2022, the Court of Appeals for the Federal Circuit affirmed the decision by the U.S. District Court for the District of New Jersey in favor of Teva.

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Subsequent Events

9 Months Ended

Sep. 30, 2022

Subsequent Events [Abstract]

Subsequent Events

Subsequent Events

The Company evaluates subsequent events and transactions that occur after the balance sheet date up to the date that the financial statements are filed for potential recognition or disclosure. Based upon this review, the Company identified the following subsequent events:

Merger

On November 14, 2022, the Company announced it has that entered into a definitive merger agreement under which Indivior Inc., a subsidiary of Indivior PLC, ("Indivior") will acquire the Company for an upfront consideration of $20.00 per share, in cash (approximately $145 million in the aggregate), plus up to $8.00 per share in non-tradable contingent value rights (“CVRs”) that may become payable in the event that certain net revenue milestones are achieved by OPNT003 after its approval and US commercial launch.

Pursuant to the CVRs, Indivior would pay $2.00 per CVR if OPNT003 achieves the following net revenue thresholds during any period of four consecutive quarters prior to the seventh anniversary of the US commercial launch: (i) $225 million, (ii) $300 million, and (iii) $325 million. The remaining $2.00 per CVR would be paid if OPNT003 achieves net revenue of $250 million during any period of four consecutive quarters prior to the third anniversary of the US commercial launch. The maximum amount payable by Indivior should OPNT003 achieve all four CVRs would be approximately $67 million.

The transaction is subject to customary closing conditions, including U.S. antitrust clearance, clearance by the Committee on Foreign Investment in the United States, resolution of any investigation by the UK antitrust authority, and receipt of approval of the Company’s stockholders. Pending approvals, the Company anticipates completing the transaction in the first quarter of 2023.

The merger agreement has been unanimously approved by the board of directors of the Company.

Agreement with EBS

On November 13, 2022 the Company entered into an agreement with EBS, whereby the Company will receive a one-time cash payment from EBS of $25.0 million, which includes the 10% owned by SWK Holdings, LLC, and in exchange the Company will grant EBS a worldwide, sublicensable, irrevocable, perpetual, fully paid, exclusive license for NARCAN® Nasal Spray, and to the licensed patents and licensed know-how. The Company's rights under the License Agreement, dated as of December 15, 2014, and as amended from time to time, to receive any unpaid or future payments under the License Agreement, including royalties related to Net Sales of Products (as defined therein), including NARCAN® Nasal Spray, were terminated upon the effective date of this agreement. The November 13, 2022 agreement with EBS, including the payment, also resolves the Default Notice delivered by the Company to EBS on August 10, 2022.

Equity

In October 2022, the Company granted 4,900 restricted stock units under the 2017 Long Term Incentive Plan.

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Basis of Presentation and Summary of Significant Accounting Policies (Policies)

9 Months Ended

Sep. 30, 2022

Accounting Policies [Abstract]

Basis of Presentation

The accompanying condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America ("GAAP") and the applicable rules and regulations of the SEC for interim financial information. Accordingly, they do not include all of the information and notes required by GAAP for complete financial statements. The condensed consolidated balance sheet at December 31, 2021 has been derived from the audited consolidated financial statements at that date, but does not include all disclosures, including notes, required by GAAP for complete financial statements.

    The unaudited interim condensed consolidated financial statements have been prepared on the same basis as the audited consolidated financial statements and, in the opinion of management, reflect all adjustments of a normal recurring nature considered necessary to present fairly the Company's financial position as of September 30, 2022 and December 31, 2021, results of operations for the three and nine months ended September 30, 2022 and 2021, and cash flows for the nine months ended September 30, 2022 and 2021. The interim results are not necessarily indicative of the results for any future interim period or for the entire year.

    The condensed consolidated financial statements include the accounts of the Company and its wholly-owned subsidiary, Opiant Pharmaceuticals UK Limited, a company incorporated on November 4, 2016 under the England and Wales Companies Act of 2006. Intercompany balances and transactions are eliminated upon consolidation.  

    The accompanying condensed consolidated financial statements and related financial information should be read in conjunction with the audited consolidated financial statements and the related notes thereto for the year ended December 31, 2021 included in the Company's Annual Report on Form 10-K filed with the SEC on March 15, 2022.

Use of Estimates

The preparation of condensed consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities, and reported amounts of expenses in the financial statements and accompanying notes. Actual results could differ from those estimates. Key estimates included in the financial statements include the valuation of: deferred income tax assets, equity instruments, stock-based compensation, acquired intangibles, and allowances for accounts receivable.

Cash and Cash Equivalents

The Company considers all highly liquid investments purchased with an original maturity of three months or less to be cash equivalents. Cash and cash equivalents were approximately $35.4 million and $37.9 million at September 30, 2022 and December 31, 2021, respectively. The Company maintains cash balances at financial institutions insured up to $250 thousand by the Federal Deposit Insurance Corporation. Balances in the UK are insured up to £85 thousand by the Financial Services Compensation Scheme (UK Equivalent). Although the Company’s cash balances exceeded these insured amounts at various times during the nine months ended September 30, 2022, the Company has not experienced any losses on its deposits of cash and cash equivalents for the periods presented.

Earnings (Loss) Per Share

Basic and diluted earnings (loss) per share is computed by dividing loss attributable to common stockholders by the weighted average number of shares of Common Stock outstanding during the period.     Basic earnings (loss) per share is computed by dividing the net income (loss) available to common stockholders by the weighted-average number of shares of Common Stock outstanding during the respective period presented in the Company’s accompanying condensed consolidated financial statements. Fully-diluted earnings (loss) per share is computed similarly to basic income (loss) per share except that the denominator is increased to include the number of Common Stock equivalents (primarily outstanding options and warrants).

Foreign Currency Translation

The functional currency of the Company's wholly-owned subsidiary, Opiant UK is the British Pound, its local currency. Consequently, its assets and liabilities are translated at current rates of exchange at the balance sheet date. Income and expense items are translated at the average foreign currency exchange rates for the period. Adjustments resulting from the translation of the financial statements of Opiant Pharmaceuticals UK Limited (“Opiant UK”), into U.S. dollars, the reporting currency, are excluded from the determination of net loss and are recorded in accumulated other comprehensive loss, a separate component of equity. Gains and losses arising on translation or settlement of foreign currency denominated transactions or balances are included in the determination of income.

Recently Adopted Accounting Pronouncements

From time to time, new accounting pronouncements are issued by the Financial Accounting Standards Board, ("FASB"), or other standard setting bodies and adopted by us as of the specified effective date. Unless otherwise discussed, the impact of recently issued standards that are not yet effective will not have a material impact on the Company’s financial position or results of operations upon adoption.    The Company has considered all other recently issued accounting pronouncements and does not believe the adoption of such pronouncements will have a material impact on its consolidated financial statements.

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Basis of Presentation and Summary of Significant Accounting Policies (Tables)

9 Months Ended

Sep. 30, 2022

Accounting Policies [Abstract]

Schedule of Earnings (Loss) Per Share, Basic and Diluted

Basic earnings (loss) per share is computed by dividing the net income (loss) available to common stockholders by the weighted-average number of shares of Common Stock outstanding during the respective period presented in the Company’s accompanying condensed consolidated financial statements. Fully-diluted earnings (loss) per share is computed similarly to basic income (loss) per share except that the denominator is increased to include the number of Common Stock equivalents (primarily outstanding options and warrants).

(in thousands, except per share data)	For the Three Months Ended September 30,				For the Nine Months Ended September 30,
Numerator:	2022		2021		2022		2021
Net Income (loss)	$	(9,917)	$	3,417	$	(33,841)	$	2,256
Denominator:
Denominator for basic income (loss)
per share - weighted average shares	5,138,274		4,462,236		5,083,222		4,359,759
Effect of dilutive securities:
Equity incentive plans	—		1,602,808		—		1,205,306
Denominator for diluted income (loss) per share	5,138,274		6,065,044		5,083,222		5,565,065
Income (loss) per share - Basic	$	(1.93)	$0.77		$	(6.66)	$	0.52
Income (loss) per share - Diluted	$	(1.93)	$0.56		$	(6.66)	$	0.41

Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share

The Company excluded the following securities from the calculation of basic and diluted net loss per share as the effect would have been antidilutive.

	For the Three Months Ended September 30,		For the Nine Months Ended September 30,
	2022	2021	2022	2021
Options to purchase common stock	2,745,815	295,550	2,745,815	407,975
Warrants to purchase common stock	278,800	—	278,800	—
Unvested restricted stock	268,093	—	268,093	21,425
Unvested performance stock	20,185	—	20,185	—
Shares issuable upon conversion of convertible debt	222,332	509,165	222,332	509,165
Total	3,535,225	804,715	3,535,225	938,565

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Leases (Tables)

9 Months Ended

Sep. 30, 2022

Leases [Abstract]

Summary of Operating Leases

The following table summarizes information related to the Company's operating leases and are included in the Company's Balance Sheet as of September 30, 2022.

Balance Sheet descriptions	September 30, 2022
Assets:	(in thousands)
Right of use assets - operating leases	$	2,739
Liabilities:
Operating leases - current	669
Operating leases - long term	2,084
Total lease liabilities:	$	2,753

Summary of Components of Operating Lease Cost

The following table summarizes the components of operating lease cost for the three and nine months ended September 30, 2022:

Lease costs, (in thousands)	Three months ended September 30, 2022		Nine months ended September 30, 2022
Operating expenses lease costs	$	149	$	395

Maturity of Operating Lease Liabilities

As of September 30, 2022, future minimum operating leases payments related to the Company’s operating lease liabilities were as follows:

(in thousands)	September 30, 2022
2022 (three months remaining)	$	179
2023	709
2024	737
2025	780
2026 and thereafter	1,036
Total lease payments	3,441
Less imputed interest	(688)
Present value of operating lease liabilities	$	2,753

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Revenue (Tables)

9 Months Ended

Sep. 30, 2022

Revenue Recognition [Abstract]

Schedule of Deferred Revenue Activity

The following is a summary of the Company’s deferred revenue activity as of September 30, 2022:

(in thousands)	NIDA Grant		Total
Balance as of December 31, 2021	$	17	$	17
Additions to deferred revenue	—		—
Recognized as revenue	(17)		(17)
Balance as of September 30, 2022	$	—	$	—

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Stockholders' Equity (Tables)

9 Months Ended

Sep. 30, 2022

Stockholders' Equity Note [Abstract]

Share-based Compensation, Stock Options, Activity

Stock option activity for the Pre-2017 Non-Qualified Stock Options for the nine months ended September 30, 2022 is presented in the table below:

	Number of Shares	Weighted-average Exercise Price		Weighted-average Remaining Contractual Term (years)	Aggregate Intrinsic Value (in thousands)
Outstanding at December 31, 2021	1,950,500	$	7.17	3.4	$	51,602
Exercised	—	—
Forfeited	—	—
Outstanding at September 30, 2022	1,950,500	$	7.17	2.65	$	6,975

Stock option activity for options granted under the 2017 Plan during the nine months ended September 30, 2022 is presented in the table below:

	Number of Options Outstanding	Weighted-average Exercise Price		Weighted-average Remaining Contractual Term (years)	Aggregate Intrinsic Value (in thousands)
Balance at December 31, 2021	759,058	$	19.61	7.31	$	10,997
Granted	—	$	—
Exercised	(7,097)	$	12.91
Forfeited	(13,146)	$	13.69
Balance at September 30, 2022	738,815	$	19.78	6.52	$	56

Stock option activity for options granted under the Inducement Plan during the nine months ended September 30, 2022 is presented in the table below:

	Number of Options Outstanding	Weighted-average Exercise Price		Weighted-average Remaining Contractual Term (years)	Aggregate Intrinsic Value (in thousands)
Balance at December 31, 2021	56,500	$	16.41	9.55	$	973
Granted	—	$	—
Exercised	—	$	—
Forfeited	—	$	—
Balance at September 30, 2022	56,500	$	16.41	8.8	$	—

Warrant activity for the nine months ended September 30, 2022 is presented in the table below:

	Number of Shares	Weighted-average Exercise Price		Weighted-average Remaining Contractual Term (years)	Aggregate Intrinsic Value (in thousands)
Outstanding at December 31, 2021	278,800	$	9.72	2.51	$	6,666
Exercised	—	$	—
Forfeited	—	$	—
Outstanding at September 30, 2022	278,800	$	9.72	1.76	$	107
Exercisable at September 30, 2022	278,800	$	9.72	1.76	$	107

Schedule of Nonvested Share Activity

A summary of the status of the Company’s non-vested Pre-2017 Non-Qualified Stock Options as of September 30, 2022 is presented in the table below:

	Number of Options	Weighted Average Grant Date Fair Value
Vested at September 30, 2022	1,950,500	$	7.17

A summary of the status of the Company’s vested and non-vested options granted under the 2017 Plan as of September 30, 2022 is presented in the table below:

	Number of Shares	Weighted Average Grant Date Fair Value per Share
Vested at September 30, 2022	595,716	$	20.23
Non-vested at September 30, 2022	143,009	$	9.54

Restricted Stock Activity

The following summarizes the restricted stock activity under the Company's 2017 Plan during the nine months ended September 30, 2022:

	Number of Shares	Weighted Average Fair Value Per Share
Restricted stock outstanding and unvested at December 31, 2021	104,416	$	12.57
Restricted stock granted	147,475	$	31.04
Restricted stock vested	(47,123)	$	12.58
Restricted stock forfeited	(6,925)	$	24.76
Restricted stock outstanding and unvested at September 30, 2022	197,843	$	25.91

Performance stock unit activity granted under the 2017 Plan during the nine months ended September 30, 2022 is presented in the table below:

	Number of Shares	Weighted Average Fair Value Per Share
Performance stock outstanding and unvested at December 31, 2021	—	$	—
Performance stock granted	80,735	$	32.85
Performance stock vested	(20,185)	$	32.85
Performance stock forfeited	(40,365)	$	32.85
Performance stock outstanding and unvested at September 30, 2022	20,185	$	32.85

The following summarizes the restricted stock activity under the Inducement Plan during the nine months ended September 30, 2022:

	Number of Shares	Weighted Average Fair Value Per Share
Restricted stock outstanding and unvested at December 31, 2021	49,800	$	26.98
Restricted stock granted	30,450	$	13.89
Restricted stock vested	(4,550)	$	16.41
Restricted stock forfeited	(5,450)	$	32.11
Restricted stock outstanding and unvested at September 30, 2022	70,250	$	21.59

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Basis of Presentation and Summary of Significant Accounting Policies - Narrative (Details)	Sep. 30, 2022 USD ($)	Sep. 30, 2022 GBP (£)	Dec. 31, 2021 USD ($)
Accounting Policies [Abstract]
Cash and cash equivalents	$ 35,375,865		$ 37,853,947
FDIC insured amount	$ 250,000
FSCS insured amount | £		£ 85,000

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Basis of Presentation and Summary of Significant Accounting Policies - Schedule of Earnings (Loss) Per Share, Basic and Diluted (Details) - USD ($)	3 Months Ended						9 Months Ended
	Sep. 30, 2022	Jun. 30, 2022	Mar. 31, 2022	Sep. 30, 2021	Jun. 30, 2021	Mar. 31, 2021	Sep. 30, 2022	Sep. 30, 2021
Numerator:
Net (loss) income	$ (9,916,639)	$ (11,736,546)	$ (12,187,830)	$ 3,417,099	$ 1,683,591	$ (2,844,230)	$ (33,841,015)	$ 2,256,460
Denominator:
Denominator for basic income (loss) per share - weighted-average shares (in shares)	5,138,274			4,462,236			5,083,222	4,359,759
Equity incentive plans (in shares)	0			1,602,808			0	1,205,306
Denominator for diluted income (loss) per share (in shares)	5,138,274			6,065,044			5,083,222	5,565,065
Income (loss) per share - basic (in dollars per share)	$ (1.93)			$ 0.77			$ (6.66)	$ 0.52
Income (loss) per share - diluted (in dollars per share)	$ (1.93)			$ 0.56			$ (6.66)	$ 0.41

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Basis of Presentation and Summary of Significant Accounting Policies - Schedule of Antidilutive Securities (Details) - shares	3 Months Ended		9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive securities excluded from the computation of earnings per share (in shares)	3,535,225	804,715	3,535,225	938,565
Options to purchase common stock
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive securities excluded from the computation of earnings per share (in shares)	2,745,815	295,550	2,745,815	407,975
Warrants to purchase common stock
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive securities excluded from the computation of earnings per share (in shares)	278,800	0	278,800	0
Unvested restricted stock
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive securities excluded from the computation of earnings per share (in shares)	268,093	0	268,093	21,425
Unvested performance stock
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive securities excluded from the computation of earnings per share (in shares)	20,185	0	20,185	0
Shares issuable upon conversion of convertible debt
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive securities excluded from the computation of earnings per share (in shares)	222,332	509,165	222,332	509,165

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Accounts Receivable (Details) - USD ($)	Sep. 30, 2022	Dec. 31, 2021
Accounts, Notes, Loans and Financing Receivable [Line Items]
Accounts receivable	$ 41,113	$ 13,327,364
BARDA
Accounts, Notes, Loans and Financing Receivable [Line Items]
Accounts receivable	$ 41,000
Royalty revenue from sales of NARCAN
Accounts, Notes, Loans and Financing Receivable [Line Items]
Accounts receivable		$ 13,300,000

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Prepaid Expenses and Other Current Assets (Details) - USD ($)	Sep. 30, 2022	Dec. 31, 2021
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]
Prepaid and other current assets	$ 3,131,299	$ 2,962,903

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Leases - Narrative (Details)	9 Months Ended
	Sep. 30, 2022 lease
Leases [Abstract]
Number of operating leases	2
Renewal term	5 years
Operating lease, weighted average discount rate, percent	8.80%
Operating lease, weighted average remaining lease term	4 years 7 months 6 days

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Leases - Balance Sheet Descriptions of Operating Leases (Details) - USD ($)	Sep. 30, 2022	Dec. 31, 2021
Assets:
Right of use assets - operating leases	$ 2,739,239	$ 999,567
Liabilities:
Operating leases - current	669,209	337,690
Operating leases - long term	2,083,548	$ 673,347
Total lease liabilities:	$ 2,753,000

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Leases - Components of Operating Lease Cost (Details) - USD ($) $ in Thousands	3 Months Ended	9 Months Ended
	Sep. 30, 2022	Sep. 30, 2022
Leases [Abstract]
Operating expenses lease costs	$ 149	$ 395

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Leases - Maturity of Operating Lease Liabilities (Details) $ in Thousands	Sep. 30, 2022 USD ($)
Leases [Abstract]
2022 (three months remaining)	$ 179
2023	709
2024	737
2025	780
2026 and thereafter	1,036
Total lease payments	3,441
Less imputed interest	(688)
Present value of operating lease liabilities	$ 2,753

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Other Non-Current Assets (Details) - USD ($)	Sep. 30, 2022	Dec. 31, 2021
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]
Other non-current assets	$ 234,389	$ 179,532

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Revenue - Additional Information (Details) - USD ($)			3 Months Ended		9 Months Ended		48 Months Ended
	Mar. 31, 2022	Sep. 19, 2018	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Apr. 17, 2018
Deferred Revenue Arrangement [Line Items]
Revenue			$ 0	$ 14,041,006	$ 4,519,505	$ 27,688,713
Grant and contract revenue			173,874	$ 2,298,055	4,018,653	$ 6,296,542
Grants receivable								$ 7,400,000
Recognized as revenue					17,000
BARDA
Deferred Revenue Arrangement [Line Items]
Proceeds from funding agreement							$ 10,800,000
Grant and contract revenue			200,000		4,000,000
Grant
Deferred Revenue Arrangement [Line Items]
Revenue	$ 7,400,000
NIDA Grant
Deferred Revenue Arrangement [Line Items]
Recognized as revenue			$ 0		$ 17,000
Plan | BARDA
Deferred Revenue Arrangement [Line Items]
Proceeds from funding agreement		$ 10,800,000

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Revenue - Summary of Deferred Revenue Activity (Details) - USD ($) $ in Thousands	3 Months Ended	9 Months Ended
	Sep. 30, 2022	Sep. 30, 2022
Movement in Deferred Revenue [Roll Forward]
Balance at beginning of period		$ 17
Additions to deferred revenue		0
Recognized as revenue		(17)
Balance at end of period	$ 0	0
NIDA Grant
Movement in Deferred Revenue [Roll Forward]
Balance at beginning of period		17
Additions to deferred revenue		0
Recognized as revenue	0	(17)
Balance at end of period	$ 0	$ 0

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Royalty Payable (Details) - USD ($)	Sep. 30, 2022	Dec. 31, 2021
Payables and Accruals [Abstract]
Royalty payable	$ 0	$ 2,920,148

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Debt (Details) - USD ($)	9 Months Ended
	Sep. 30, 2022	Dec. 31, 2021
Debt Disclosure [Abstract]
Short term and long term debt	$ 13,800,000
Long term debt	12,324,237	$ 16,069,085
Debt conversion, original debt, amount	$ 2,600,000
Debt instrument, convertible, conversion price( in dollar per share)	$ 19.64

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Stockholders' Equity - Common Stock (Details) - USD ($) $ in Thousands	3 Months Ended					9 Months Ended
	Sep. 30, 2022	Jun. 30, 2022	Mar. 31, 2022	Jun. 30, 2021	Mar. 31, 2021	Sep. 30, 2022
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Proceeds from stock option and warrant exercises						$ 92
Common stock
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock newly-issued during the period (in shares)	37,826	7,410				7,097
Restricted stock issued (in shares)	4,550	15,375	31,746	13,375	6,527	51,671
Performance stock units issued (in shares)		20,185				20,185
Common stock | Controlled Equity Offering
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Sale of stock number of shares (in shares)						45,236
Sale of stock, consideration received on transaction						$ 538

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Stockholders' Equity - Stock Options (Details) - shares			9 Months Ended
	Jan. 01, 2022	Dec. 09, 2021	Sep. 30, 2022	Jul. 08, 2021	Sep. 08, 2017
2021 Inducement Equity Incentive Plan
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Maximum shares authorized (in shares)				100,000
Annual additional options authorized (in shares)		100,000
Shares available for future issuance (in shares)			70,250
Options to purchase common stock
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Percentage increase of authorized shares	4.00%
Annual additional options authorized (in shares)	196,394
Options to purchase common stock | 2017 Plan
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Maximum shares authorized (in shares)					400,000
Expiration period			10 years
Shares available for future issuance (in shares)			92,510
Options to purchase common stock | 2017 Plan | Maximum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Award vesting period			4 years

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Stockholders' Equity - Pre-2017 Non-Qualified Stock Options, Additional Information (Details) - Pre-2017 non-qualified stock options - shares	9 Months Ended
	Sep. 30, 2022	Dec. 31, 2021
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Options outstanding (in shares)	1,950,500	1,950,500
Granted (in shares)	0

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Stockholders' Equity - Schedule of Pre-2017 Non-Qualified Stock Options Outstanding (Details) - Pre-2017 non-qualified stock options - USD ($) $ / shares in Units, $ in Thousands	9 Months Ended	12 Months Ended
	Sep. 30, 2022	Dec. 31, 2021
Number of Shares
Outstanding at beginning of period (in shares)	1,950,500
Exercised (in shares)	0
Forfeited (in shares)	0
Outstanding at end of period (in shares)	1,950,500	1,950,500
Weighted-average Exercise Price
Outstanding at beginning of period (in dollars per share)	$ 7.17
Exercised (in dollars per share)	0
Forfeited (in dollars per share)	0
Outstanding at end of period (in dollars per share)	$ 7.17	$ 7.17
Weighted-average Remaining Contractual Term (years)
Outstanding	2 years 7 months 24 days	3 years 4 months 24 days
Aggregate Intrinsic Value
Outstanding	$ 6,975	$ 51,602

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Stockholders' Equity - Schedule of Pre-2017 Non-Qualified Stock Options Nonvested Share Activity (Details) - Pre-2017 non-qualified stock options	9 Months Ended
	Sep. 30, 2022 $ / shares shares
Number of Shares
Vested (in shares) | shares	1,950,500
Weighted Average Grant Date Fair Value
Vested (in dollars per share) | $ / shares	$ 7.17

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Stockholders' Equity - Schedule of 2017 Plan Options Outstanding (Details) - 2017 Plan - USD ($) $ / shares in Units, $ in Thousands	9 Months Ended	12 Months Ended
	Sep. 30, 2022	Dec. 31, 2021
Number of Options Outstanding
Outstanding at beginning of period (in shares)	759,058
Granted (in shares)	0
Exercised (in shares)	(7,097)
Forfeited (in shares)	(13,146)
Outstanding at end of period (in shares)	738,815	759,058
Weighted-average Exercise Price
Outstanding at beginning of period (in dollars per share)	$ 19.61
Granted (in dollars per share)	0
Exercised (in dollars per share)	12.91
Forfeited (in dollars per share)	13.69
Outstanding at end of period (in dollars per share)	$ 19.78	$ 19.61
Weighted-average Remaining Contractual Term (years)
Outstanding	6 years 6 months 7 days	7 years 3 months 21 days
Aggregate Intrinsic Value
Outstanding	$ 56	$ 10,997

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Stockholders' Equity - Schedule of 2017 Nonvested Share Activity (Details) - 2017 Plan	9 Months Ended
	Sep. 30, 2022 $ / shares shares
Number of Shares
Vested (in shares) | shares	595,716
Non-vested, ending balance (in shares) | shares	143,009
Weighted Average Grant Date Fair Value
Vested (in dollars per share) | $ / shares	$ 20.23
Non-vested, ending balance (in dollars per share) | $ / shares	$ 9.54

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Stockholders' Equity - Schedule of 2017 Plan (Narrative) (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock based compensation expense	$ 2,300	$ 563
2017 Plan
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Compensation not yet recognized	393
Options to purchase common stock
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock based compensation expense	232
Options to purchase common stock | 2017 Plan
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock based compensation expense	$ 491	$ 1,400

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Stockholders' Equity - Restricted Stock (Details) - USD ($) $ / shares in Units, $ in Thousands	9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021
Weighted Average Fair Value Per Share
Stock based compensation expense	$ 2,300	$ 563
Compensation cost not yet recognized	$ 2,700
Unvested restricted stock
Number of Shares
Outstanding at beginning of period (in shares)	104,416
Granted (in shares)	147,475
Vested (in shares)	(47,123)
Forfeited (in shares)	(6,925)
Outstanding at end of period (in shares)	197,843
Weighted Average Fair Value Per Share
Outstanding at beginning of period (in dollars per share)	$ 12.57
Granted (in dollars per share)	31.04
Vested (in dollars per share)	12.58
Forfeited (in dollars per share)	24.76
Outstanding at end of period (in dollars per share)	$ 25.91
Options to purchase common stock
Weighted Average Fair Value Per Share
Stock based compensation expense	$ 232
Compensation cost not yet recognized	205
Options to purchase common stock | 2017 Plan
Weighted Average Fair Value Per Share
Stock based compensation expense	$ 491	$ 1,400
Options to purchase common stock | 2017 Plan | Tranche One
Weighted Average Fair Value Per Share
Vesting percentage	25.00%
Options to purchase common stock | 2017 Plan | Tranche Two
Weighted Average Fair Value Per Share
Vesting percentage	25.00%
Options to purchase common stock | 2017 Plan | Tranche Three
Weighted Average Fair Value Per Share
Vesting percentage	25.00%
Options to purchase common stock | 2017 Plan | Tranche Four
Weighted Average Fair Value Per Share
Vesting percentage	33.00%

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Stockholders' Equity - Performance Stock Unit Activity (Details) - USD ($) $ / shares in Units, $ in Thousands	9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021
Weighted Average Fair Value Per Share
Stock based compensation expense	$ 2,300	$ 563
Compensation cost not yet recognized	$ 2,700
Unvested performance stock
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Granted (in shares)	80,735
Number of Shares
Outstanding at beginning of period (in shares)	0
Granted (in shares)	80,735
Vested (in shares)	(20,185)
Forfeited (in shares)	(40,365)
Outstanding at end of period (in shares)	20,185
Weighted Average Fair Value Per Share
Outstanding at beginning of period (in dollars per share)	$ 0
Granted (in dollars per share)	32.85
Vested (in dollars per share)	32.85
Forfeited (in dollars per share)	32.85
Outstanding at end of period (in dollars per share)	$ 32.85
Stock based compensation expense	$ 1,100
Compensation cost not yet recognized	$ 400

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Stockholders' Equity - Inducement Plan (Details) - USD ($) $ / shares in Units, $ in Thousands	9 Months Ended		12 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Dec. 31, 2021
Aggregate Intrinsic Value
Stock based compensation expense	$ 2,300	$ 563
Compensation cost not yet recognized	2,700
Options to purchase common stock
Aggregate Intrinsic Value
Stock based compensation expense	232
Compensation cost not yet recognized	$ 205
Inducement Equity Incentive Plan
Number of Shares
Outstanding at beginning of period (in shares)	56,500
Granted (in shares)	0
Exercised (in shares)	0
Forfeited (in shares)	0
Outstanding at end of period (in shares)	56,500		56,500
Weighted-average Exercise Price
Outstanding at beginning of period (in dollars per share)	$ 16.41
Granted (in dollars per share)	0
Exercised (in dollars per share)	0
Forfeited (in dollars per share)	0
Outstanding at end of period (in dollars per share)	$ 16.41		$ 16.41
Weighted-average Remaining Contractual Term (years)
Outstanding	8 years 9 months 18 days		9 years 6 months 18 days
Aggregate Intrinsic Value
Outstanding	$ 0		$ 973

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Stockholders' Equity - Schedule of Restricted Stock Units Outstanding (Details) - USD ($) $ / shares in Units, $ in Thousands	9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021
Weighted Average Fair Value Per Share
Stock based compensation expense	$ 2,300	$ 563
Compensation cost not yet recognized	$ 2,700
Unvested restricted stock
Number of Shares
Outstanding at beginning of period (in shares)	104,416
Granted (in shares)	147,475
Vested (in shares)	(47,123)
Forfeited (in shares)	(6,925)
Outstanding at end of period (in shares)	197,843
Weighted Average Fair Value Per Share
Outstanding at beginning of period (in dollars per share)	$ 12.57
Granted (in dollars per share)	31.04
Vested (in dollars per share)	12.58
Forfeited (in dollars per share)	24.76
Outstanding at end of period (in dollars per share)	$ 25.91
Unvested restricted stock | Inducement Equity Incentive Plan
Number of Shares
Outstanding at beginning of period (in shares)	49,800
Granted (in shares)	30,450
Vested (in shares)	(4,550)
Forfeited (in shares)	(5,450)
Outstanding at end of period (in shares)	70,250
Weighted Average Fair Value Per Share
Outstanding at beginning of period (in dollars per share)	$ 26.98
Granted (in dollars per share)	13.89
Vested (in dollars per share)	16.41
Forfeited (in dollars per share)	32.11
Outstanding at end of period (in dollars per share)	$ 21.59
Restricted Stock Units | Inducement Equity Incentive Plan
Weighted Average Fair Value Per Share
Stock based compensation expense	$ 540
Compensation cost not yet recognized	$ 900

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Stockholders' Equity - Schedule of Warrants Outstanding (Details) - Warrants to purchase common stock - USD ($) $ / shares in Units, $ in Thousands	9 Months Ended	12 Months Ended
	Sep. 30, 2022	Dec. 31, 2021
Number of Shares
Outstanding at beginning of period (in shares)	278,800
Exercised (in shares)	0
Forfeited (in shares)	0
Outstanding at end of period (in shares)	278,800	278,800
Exercisable (in shares)	278,800
Weighted Average Fair Value Per Share
Outstanding at beginning of period (in dollars per share)	$ 9.72
Exercised (in dollars per share)	0
Forfeited (in dollars per share)	0
Outstanding at end of period (in dollars per share)	9.72	$ 9.72
Exercisable (in dollars per share)	$ 9.72
Weighted-average Remaining Contractual Term (years)
Outstanding	1 year 9 months 3 days	2 years 6 months 3 days
Exercisable weighted average remaining contractual terms	1 year 9 months 3 days
Aggregate Intrinsic Value
Outstanding	$ 107	$ 6,666
Exercisable aggregate intrinsic value	$ 107

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Commitments and Contingencies - Aptar Agreement (Details) - AptarGroup, Inc. $ in Thousands, € in Millions			9 Months Ended
	Jun. 08, 2022 EUR (€)	Oct. 26, 2020 USD ($)	Sep. 30, 2022 EUR (€)
Other Commitments [Line Items]
Development costs | $		$ 5,200
Payments for development costs | $		$ 750
Capacity investment agreement
Other Commitments [Line Items]
Other commitment | €	€ 2.0
Other commitment over the period	18 months
Payments for other commitments | €			€ 1.0

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Commitments and Contingencies - Summit Agreement (Details) - Summit BioScience, Inc. - USD ($) $ in Millions	Jul. 22, 2020	Sep. 30, 2022
Other Commitments [Line Items]
Estimated fees and cost (up to)	$ 11.0
Payment for deposit	$ 1.1
Agreement expense accrual		$ 9.3

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Commitments and Contingencies - Torreya Agreement (Details) - Advisory services - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021
Other Commitments [Line Items]
Additional consultant fee payable, percentage of perpetuity	3.375%
Sponsor fees	$ 153	$ 935

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Commitments and Contingencies - Exclusive License and Collaboration Agreement (Details) - shares	9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021
Letter of intent
Other Commitments [Line Items]
Stock newly-issued during the period (in shares)	0	0

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Commitments and Contingencies - Supply Agreement (Details) $ in Thousands	Jun. 22, 2017 USD ($) payment day	Sep. 30, 2022 USD ($)
License agreement
Other Commitments [Line Items]
Upfront payments | payment	2
Percent of upfront payments which may be paid by issuing common stock	50.00%
Percent of average share price	75.00%
Threshold trading days | day	20
Maximum additional product milestone payments	$ 1,800
Maximum additional commercialization milestone payments	$ 5,000
Termination advance notice period	30 days
Other commitment		$ 250
Supply agreement
Other Commitments [Line Items]
Other commitment, period	20 years
Material cure period	60 days

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Subsequent Events (Details) - USD ($) $ / shares in Units, $ in Thousands		1 Months Ended	9 Months Ended
	Nov. 14, 2022	Oct. 31, 2022	Sep. 30, 2022	Dec. 31, 2021
Subsequent Event [Line Items]
Total contract amount			$ 0	$ 17
Restricted stock
Subsequent Event [Line Items]
Granted (in shares)			147,475
Subsequent event | 2017 Long Term Incentive Plan | Restricted stock
Subsequent Event [Line Items]
Granted (in shares)		4,900
Subsequent event | Royalty revenue from sales of NARCAN
Subsequent Event [Line Items]
Total contract amount	$ 25,000
Subsequent event | Indivior PLC | OPIANT PHARMACEUTICALS, INC.
Subsequent Event [Line Items]
Share price (in dollars per share)	$ 20.00
Cash consideration	$ 145,000
Share price, CVR (in dollars per share)	$ 8.00
Subsequent event | Indivior PLC | OPIANT PHARMACEUTICALS, INC. | Contingent Value Rights
Subsequent Event [Line Items]
CVR liability, maximum amount	$ 67,000
Subsequent event | Indivior PLC | OPIANT PHARMACEUTICALS, INC. | Contingent Value Right, Scenario 1
Subsequent Event [Line Items]
Share price, CVR (in dollars per share)	$ 2.00
CVR liability	$ 225,000
Subsequent event | Indivior PLC | OPIANT PHARMACEUTICALS, INC. | Contingent Value Right, Scenario 2
Subsequent Event [Line Items]
Share price, CVR (in dollars per share)	$ 2.00
CVR liability	$ 300,000
Subsequent event | Indivior PLC | OPIANT PHARMACEUTICALS, INC. | Contingent Value Right, Scenario 3
Subsequent Event [Line Items]
Share price, CVR (in dollars per share)	$ 2.00
CVR liability	$ 325,000
Subsequent event | Indivior PLC | OPIANT PHARMACEUTICALS, INC. | Contingent Value Right, Scenario 4
Subsequent Event [Line Items]
Share price, CVR (in dollars per share)	$ 2.00
CVR liability	$ 250,000