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Revenue
9 Months Ended
Sep. 30, 2020
Revenue  
Revenue

7.           Revenue

Three Months Ended

Nine Months Ended

September 30, 

September 30, 

(in thousands)

    

2019

    

2020

    

2019

    

2020

    

Product revenue, net

$

1,445

$

(47)

$

1,445

$

61

Collaboration revenues

5,051

616

6,051

768

Research premium

424

211

1,168

802

Government grants

 

 

511

 

484

 

936

Total

$

6,920

$

1,291

$

9,148

$

2,567

Collaboration revenues for the nine months ended September 30, 2019 reflects a $1.0 million upfront payment under the Sunovion License Agreement received in April 2019, and a $5.0 million milestone payment under the Sinovant License Agreement (see Note 11). Collaboration revenues for the three and nine months ended September 30, 2020 include a $0.5 million regulatory milestone payment from Sunovion, as well as our share of revenues associated with the SIVEXTRO distribution agreement with Merck & Co., Inc.

We sell our products to pharmaceutical wholesalers/distributors (i.e., our customers). Our wholesalers/distributors in turn sell our products directly to clinics, hospitals, and private practices. Revenue from our product sales is recognized as physical delivery of product occurs (when our customer obtains control of the product), in return for agreed-upon consideration.

For the three and nine months ended September 30, 2020 product revenues, gross were $8 thousand and $0.4 million, respectively. Our product revenues, gross (i.e., delivered units multiplied by the contractual price per unit) are reduced by our corresponding gross-to-net (“GTN”) estimates, resulting in our reported “product revenues, net” in the accompanying consolidated statements of operations. These GTN estimates are based upon information received from external sources (such as written or oral information obtained from our customers with respect to their period-end inventory levels and sales to end-users during the period), in combination with management’s informed judgments. Due to the inherent uncertainty of these estimates, the actual amount incurred may be materially above or below the amount initially estimated when product revenues are originally recorded, then requiring prospective adjustments to our reported product revenues, net.

The following tables summarizes gross-to-net (“GTN”) adjustments for the periods presented:

Three Months Ended

Nine Months Ended

(in thousands)

    

September 30, 2020

    

September 30, 2020

Product revenue, gross

 

$

8

 

$

406

GTN accruals

Chargebacks and cash discounts

 

 

13

Medicaid and Medicare rebates

1

47

Other returns, rebates, discounts and adjustments

2

94

Total GTN accruals

3

154

Product revenue

5

252

Adjustments to prior period accruals

Returns reserve (1)

(52)

(391)

GTN accrual adjustments

200

Product revenue, net

 

$

(47)

 

$

61

(1) As of September 30, 2020, the Company recorded a returns reserve adjustment for slow-moving inventory, representing 50% of XENLETA IV inventory held at our Specialty Distributors, as well as an adjustment for returns from a single mail order specialty pharmacy.