EX-99.1 2 d10952dex991.htm EX-99.1 EX-99.1
Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
The Myriad Transformation:
Pioneering Personalized Medicine on
a Global Scale
09/14/2015
1
Exhibit 99.1


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Forward Looking Statements
2
Some of the information presented here today may contain projections
or other forward-looking statements regarding future events or the
future financial performance of the Company.  These statements are
based on management’s current expectations and the actual events or
results may differ materially and adversely from these expectations. 
We refer you to the documents the Company files from time to time with
the Securities and Exchange Commission, specifically, the Company’s
annual reports on Form 10-K, its quarterly reports on Form 10-Q, and
its current reports on Form 8-K.  These documents identify important
risk factors that could cause the actual results to differ materially from
those contained in the Company’s  projections or forward-looking
statements.


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Today’s Agenda
3
The Myriad Transformation: Pioneering Personalized Medicine on a Global Scale
Mark Capone, CEO
Hereditary
Cancer
Leadership
Now
and
in
the
Future
Alec
Ford,
President
of
Myriad
Genetic Laboratories
Pioneering
Companion
Diagnostics
for
DNA
Damaging
Agents
Lloyd
Sanders,
General Manager Oncology
Autoimmune
Market
Represents
Next
Frontier
in
Personalized
Medicine
Bernie
Tobin,
President of Crescendo Biosciences
Making
Prolaris
Standard
of
Care
in
Urology
Nicole
Lambert,
General
Manager
Urology
Break
Transforming
Melanoma
Diagnosis
Through
Pioneering
Science
Vicki
Fish,
General
Manager Dermatology
Industry
Leading
Pipeline
to
Ensure
Growth
Opportunities
Jerry
Lanchbury,
CSO
Expanding
our
Horizons
in
International
Markets
Gary
King,
Executive
Vice
President
of International Operations
Five
Year
Outlook:
Increased
Growth
and
Financial
Leverage
Bryan
Riggsbee,
CFO
Q&A


4
Mark Capone
Chief Executive Officer
The Myriad Transformation:
Pioneering Personalized
Medicine on a Global Scale


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
20
The Myriad Transformation
5
years….
FIRST
1
product
1
country
in
5


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
A trusted advisor transforming
patients’ lives worldwide
with pioneering molecular diagnostics
6
the future…
6


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
U.S. Healthcare System Remains Highly
Inefficient
7
95%
5%
50%
50%
5% of patients represent 50% of healthcare costs*
*Agency for Healthcare Research and Quality
U.S. Population
Healthcare Costs
Drivers of Cost:
Focus on treatment
not prevention
Late or incorrect
diagnosis
Undifferentiated
treatments
Trial and error
approach to
pharmaceuticals
7


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Large Drivers of Inefficiencies Represent
Blue Ocean Opportunities
8
8


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Myriad’s
Mission Statement
9
9
9


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Unmatched Competitive Advantages in
Personalized Medicine
Profitable R&D driven molecular
diagnostic company
Expertise in DNA, RNA and proteins
Strong research capabilities: extensive
collaborations (>50 institutions and >20
pharma/bio companies)
Broad regulatory experience
(CLIA, FDA, CE mark)
Deep physician relationships (>90,000
ordering physicians since inception)
Extensive managed care contracts (>600)
Reputation for best-in-class quality for high-
complexity tests (>2 million performed)
10
10


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Million
>$50
Products
with Revenue
7
Our Strategic Goals By 2020
11
Revenue Growth
CAGR
>10%
Operating
Margin
>30%
International
Revenue
>10%
11


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
12
12
*
*
*


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Our Strategic Imperatives to Achieve
Our FIVE-Year
Goals
13
Transition & Expand the
Hereditary Cancer Market
Increase International
Contribution
Diversify the Portfolio


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Significant Accomplishments Since
Last Investor Day
14
STRATEGIC IMPERATIVE
ACCOMPLISHMENTS
Transition and
Expand Hereditary
Cancer Market
6% hereditary cancer
revenue CAGR since
advent of competition
80%
of
incoming
samples
ordered
as
myRisk™
Hereditary
Cancer
Long-term pricing arrangements      45% of revenue
Expanded
guidelines
for
colon
&
endometrial
cancer
(+75,000 patients per year)
Breast and pancreatic expansion studies underway and will be completed in
FY16 (+90,000 patients per year)
Diversify
the Portfolio
Launched
7
new
products
(5
internal
and
2
acquired)
Published
and
presented
250
studies
First
FDA
approved
laboratory
developed
test
(BRACAnalysis
CDx™)
Obtained
Medicare
reimbursement
for
Prolaris
®
Completed 37 companion diagnostic deals
Increase International
Contribution
*
Launched
first
kit-based
product
(EndoPredict
®
)
Direct
presence
in
11
countries
and
distribution
in
50
countries
Grew international revenue by over 300%; exiting FY15 at     4% of revenue


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Our Strategic Imperatives to Achieve
Our FIVE-Year
Goals
15
Transition & Expand the
Hereditary Cancer Market
Increase International
Contribution
Diversify the Portfolio


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Our Strategic Imperatives to Achieve
Our FIVE-Year
Goals
16
Transition & Expand the
Hereditary Cancer Market
Increase International
Contribution
Diversify the Portfolio


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Hereditary Cancer Market Has Been More
Durable Than Investors Anticipated
17
Revenue has grown at
a 6% CAGR since FY13
Medicare price reduction
Higher Medicaid mix
Small private
payer reductions
Share loss concentrated in the
academic/genetic segment


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Future Landscape for Hereditary Cancer Market
18
Rapid transition to panels
Panels are standard of care with
minimal gene additions
Used primarily for breast
cancer patients
Broader guidelines and
additional cancers
CLIA regulated market
FDA regulated market
Public databases fraught with
errors; Myriad has substantial
variant classification advantage
Oncology     Preventive care
Preventive care >> Oncology
Oncology CDx
first then reflex
Marginal improvement in public
databases; Myriad dramatically
expands informatics advantages
CURRENT STATE:
FY20 STATE:


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
What are the Modeling Assumptions?
19
Market Growth?
Pricing?
Market Share?


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Sensitivity Analysis Predicts Continued Growth
20
Revenue in millions
Monte Carlo Simulation
Factor
Assumptions
Market
Growth
7%-15%
growth rate
Price
Price decline 0%-40%
Long-term contracts until
FY18 followed by…
FDA regulation
Market
Share
Incremental share loss
of 10% to 40%
Share
increase with
price decline


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Our Strategic Imperatives to Achieve
Our FIVE-Year
Goals
21
Transition & Expand the
Hereditary Cancer Market
Increase International
Contribution
Diversify the Portfolio


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Pipeline
Represents
Two-Thirds
of Opportunities
22
Under Development
Risk?
Diagnosis?
Prognosis?
Therapy?
Oncology
Preventive
Care
Urology
Dermatology
Neuroscience
Autoimmune
Currently
Marketed


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Industry Leading Pipeline Facilitates
Long-Term Growth
23
$10B
$8B
$10B+
Stage
3
REIMBURSEMENT
Stage
2
VALIDATION
Stage
1
DISCOVERY
myRisk
Hereditary Cancer
Prolaris
®
Vectra
DA
®
EndoPredict
®
BRACAnalysis
CDx™
1
Tumor BRACAnalysis
CDx
®
myPath
®
Melanoma
myPlan
®
Lung Cancer
myChoice
HRD (Platinum)
2
myChoice
HRD
(PARP)
3
myPlan
®
Renal Cancer
myPath
®
Bipolar
myPath
®
Pancreatic
Cancer
myPath
®
Psoriatic
Arthritis
myPath
®
Prostate
Cancer
myPath
®
Endometriosis
Total Addressable Market (TAM)
1
Ovarian Cancer, Breast Cancer, Pancreatic Cancer
2
Triple Negative Breast Cancer, HER2-
Breast Cancer
3
Ovarian Cancer, Breast Cancer, Pancreatic Cancer, Metastatic Prostate Cancer


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Increasing Research Investment Yields
Substantial Scientific Output
24


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Increasing Research Investment Yields
Substantial Scientific Output
Pharma Spin-off
25


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
New Product Revenue >50% In FY20
26
Hereditary Cancer = 46% of Sales
Stage 2 & 3
Products Only


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Realistic Market Penetration Will Meet
FY20 Goals
27
Global TAM
$6.0B
$1.5B
$3.0B
$6.0B
$0.8B
$0.4B
12%
13%
8%
4%
10%
13%
Market Penetration in FY20
*Assumes only markets outside the United States


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Our Strategic Imperatives to Achieve
Our FIVE-Year
Goals
28
Transition & Expand the
Hereditary Cancer Market
Increase International
Contribution
Diversify the Portfolio


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Refined Strategy to Reflect Unique International
Market
29
COUNTRIES
Near-Term
Growth:
EU6 + Canada
Long-Term
Growth:
Japan, China,
and Brazil
REFERENCE TESTS
DNA
(multiple
platforms):
Companion
Diagnostics
KITS
RNA
(platform
partner):
EndoPredict
Prolaris
myPlan
Lung
myPath
Melanoma
myPlan
Renal
Protein
(platform
partner):
Vectra DA
myPath
Bipolar
myPath
Pancreatic


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Worldwide Leader in Personalized Medicine
We are entering the golden age for
personalized medicine
We are pioneers of “research-driven”
and “education-centric” business
modeling for diagnostics
No company is better positioned to lead
this revolution in healthcare than Myriad
Our finest hour will be discovered in the
days ahead
30


31
Alec Ford
President, Myriad Genetic Laboratories
Hereditary Cancer Leadership
Now and into the Future


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Maintain Strong Market Leadership Position
32
Small impact from competition two years post SCOTUS decision
Continued market leadership
Clinical Accuracy:
Analytical
accuracy
Interpretation
accuracy
Regulatory
capability
Continued market leadership
FUTURE DIFFERENTIATION
Product Leadership:
Most clinically
actionable panel
User
friendly
report
Commercial Breadth:
Community physician
education
and
support


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Growth has Continued
Post-Competition
33


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Market Leader in Growing Areas of Hereditary
Cancer Market
34
1% CAGR
20% CAGR
(28%) CAGR
>95%
Market Share
50%
Market Share


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Increased Pricing Visibility With
Long-Term Pricing Arrangements
35
% of HC Business Under LT Contract
Change in ASP FY13 to FY15


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Future Landscape for Hereditary Cancer Market
36
Rapid transition to panels
Panels are standard of care with
minimal gene additions
Used primarily for breast
cancer patients
Broader guidelines and
additional cancers
CLIA regulated market
FDA regulated market
Public databases fraught with
errors; Myriad has substantial
variant classification advantage
Oncology     Preventive care
Preventive care >> Oncology
Oncology CDx
first then reflex
Marginal improvement in public
databases; Myriad dramatically
expands informatics advantages
CURRENT STATE:
FY20 STATE:


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Excellent Progress on myRisk
Conversion
and Market Expansion
37
Indication
Added Market
Potential
Guidelines
Colon
@5% risk
+$100M
40%
All Endometrial
+$150M
40%
Breast <60 yrs
+$150M
FY16
FY17
All Pancreatic
+$120M
FY17
FY17
MyRisk
Conversion
Sep.
2013
Sep.
2014
Sep.
2015
Sep.
2016
0%
50%
80%
Complete
Market Expansion >$500M
Contracting


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Differentiated Value in Hereditary Cancer
38
Clinical
Accuracy
Commercial
Breadth
Clinical
Accuracy
Product
Leadership


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
100% Analytical Accuracy Requires
Tremendous Investment
POST AMPLIFICATION PROCESS
DNA EXTRACTION AND BATCH BUILD PROCESS
TARGETED GENE SELECTION
39
85,000 base pairs that need to be
100% correct
0% of samples meet quality
threshold after first run on NGS
platform
23 major pieces of equipment from
10 vendors
856 distinct steps required in
testing process
100 proprietary software
applications


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Interpretation Accuracy Impossible
With Public Databases
40
24,650 sequentially tested
patients at MYGN
2,017
unique
variants
34% of variants were not present in any
of the five major public databases
3%-14%
conflicting classification rate
within individual public databases
3% concordance with deleterious variants
in all five databases
VAIL STUDY


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Expanding Source of Competitive Advantage
41
Size of database
more than
doubles again
Number of
unique variants
has almost
doubled in last
two years
Informatics Advantage Expands Over the Next Five Years
2x
4.5x


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Economics of Inaccuracy: Potential Cost >$100K
Case Study:
42
MYRIAD RESULT:
Favors polymorphism based upon
Pheno
®
(MYGN method validated
to be >99.5% accurate)
Unnecessary Procedures
Breast MRIs: $33,950
Mastectomy: $61,573
Bilateral salpingo-oophorectomy: $6,300
VARIANT BRCA2 C.9006A>T
LAB 1
LAB 2
SCENARIO ONE
Negative
RESULTS:
SCENARIO TWO
POSITIVE
RESULTS:
COMPETITIVE LAB:
Likely pathogenic based upon
no evidence (ClinVar
entry)


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Analytical & Interpretation Standards Increase
With Additional Regulation
43
MYGN Requirements for
BRACAnalysis
CDx
FDA Approval
Analytical
Validation
>4,500 pages submitted to FDA
Clinical Validation
9 major studies
consisting of >6,000 patients
Quality
Systems
1,000 standard operating
procedures
Informatics
100 software
applications with 50,000 work
hours of validation for FDA
FDA Experience
First
ever laboratory developed test FDA
approved; planning multiple IDE submissions


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Differentiated Value in Hereditary Cancer
44
Clinical
Accuracy
Commercial
Breadth
Product
Leadership
Product
Leadership


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Product Leadership Through the Most
Clinically Actionable Panel
45
19 of 25
genes in NCCN
guidelines
Prevalence
Prevalence of
actionable
mutations in the
tested population
of 1 in 200
patients per
gene
Clinically Actionable
Four or more peer reviewed publications
Published data on medical management
changes
Penetrance
2-
to 3-fold risk vs. general population
Absolute cancer risk >5%


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
46
>50% of Patients Missed With Single
Syndrome Testing
41% -
Other breast
cancer genes
10% -
Genes historically not
associated with breast cancer
49% -
BRCA1 and BRCA2
50% of
Patients
Missed
Data based upon 28,000 patients


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Clear, Accurate and Trusted Reports
Actionable to
Physician and Patient
Clear plan for each
patient based upon
personal and family
history and genetic
testing results
Proprietary informatics
power report; 420,000
work hours required
to develop
47


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Differentiated Value in Hereditary Cancer
48
Clinical
Accuracy
Product
Leadership
Commercial
Breadth


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
100% of Future Growth Derived From
Community Physicians
Market increasingly moving to
community setting
Community physicians need:
Substantial education and sales support
Extensive customer service and billing
Clinical support team
Only clinically actionable material
Easy to interpret report
49


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Expenses Necessary for Community Market
Total Cost >$2,500 per test
True cost of providing a
high-quality test in the
community segment for the
most efficient provider
Additional cost for a less
efficient, lower volume lab
50


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Maintain Strong Market Leadership Position
51
Small impact from competition two years post SCOTUS decision
Clinical Accuracy:
Analytical
accuracy
Interpretation
accuracy
Regulatory
capability
Continued market leadership
Product Leadership:
Most
clinically
actionable
panel
User-friendly
report
Commercial Breadth:
Community
physician
education
and
support


52
Lloyd Sanders
General Manager of Oncology
Pioneering Companion
Diagnostics for DNA
Damaging Agents


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Pioneering Companion Diagnostics for DNA
Damaging Agents
53
$6B
Global
Market
Opportunity
FY16-FY20
Positioned to be the market leader in
CDx
for DNA damaging agents
Key Advantages in
CDx
Market
Reimbursement
Adoption
Curve
Barriers
to
Entry
Co-Promotion
Proven Capability
BRACAnalysis
CDx
in
Ovarian Cancer
Pioneering
Discoveries
myChoice
HRD


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
$6B Global Market Developing Over Next 5
Years
Global Market = 1.4M patients or $6.0b*
Neoadjuvant
BC
(143,000)
Neoadjuvant
BC
(143,000)
Pancreatic
(102,000)
Pancreatic
(102,000)
Ovarian
(58,000)
Ovarian
(58,000)
Platinum in
TNBC
(95,000)
Platinum in
TNBC
(95,000)
Platinum in
Her2-BC
(120,000)
Platinum in
Her2-BC
(120,000)
Metastatic
BC
(107,000)
Metastatic
BC
(107,000)
Metastatic
Prostate
(80,000)
Metastatic
Prostate
(80,000)
Adjuvant BC
(194,000)
Adjuvant BC
(194,000)
Colon
(278,000)
Gastric
(114,000)
Head &
Neck
(50,000)
Colon
(278,000)
Gastric
(114,000)
Head &
Neck
(50,000)
FY15
FY16
FY17
FY18
FY19
FY20
54
*Includes U.S., Canada and EU6


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Uniquely Positioned To Provide
Comprehensive Testing
55
37%
Breast Cancer Example
Indicated
for
both
HC
and
CDx Indication
Indicated
for
a
Companion
Diagnostic


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Companion Diagnostic Market Dynamics Offer
Advantages
Barrier to Market Entry
FDA approval demonstrates high
quality; supports FDA test utilization
Speed to Market
Reimbursement is very quick following
FDA approval
Increased promotional activity –
pharma
partner
Adoption curve is “pharmaceutical-like”
vs. traditional diagnostic
56


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Unique Core Competencies Provide
Sustainable Advantage
57
MYGN Unique
Capabilities
Intellectual
Property
Proven Regulatory
Capabilities
Global
Distribution
Complete Portfolio
of Products
Key Partnerships
in Pharma
&
Biotech
Proprietary
Informatics
& Database


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
% Positive
(Ovarian)
15%
22%
48%
Sample
Blood
Tumor
Tumor
Biomarkers
BRCA1&2
Tumor BRCA1&2
Genome-wide
assessment
of DNA scar associated
Intellectual
Property
Database, process,
bioinformatics
Database, process,
bioinformatics
Currently
Marketed
FDA approved
Yes, marketed in
Europe only
platinum drugs planned in
Fall CY16
Only Company With a Complete Suite of Products
58
MYGN
has
IP
on
three
proprietary
technologies
(LOH,
TAI,
&
LST)


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Extensive Collaborations With >22 Clinical
Studies
59
Partner
Indications
Tests
AstraZeneca
(Lynparza™)
Ovarian, Metastatic BC,
Neoadjuvant
BC, Adjuvant BC,
Pancreatic, Prostate,
Gastric
Medivation
(talazoparib)
Metastatic BC,
Pancreatic
TESARO
(niraparib)
Ovarian, Metastatic
BC
AbbVie
(veliparib)
Metastatic BC, Ovarian
Platinum
Drugs
Ovarian, TNBC, HER2-
BC
More than 22 clinical studies underway at key
academic centers


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Highly Successful Launch of
BRACAnalysis
CDx
in Ovarian Cancer
FDA approval Dec. 19, 2014
for BRACAnalysis
CDx
as a
companion diagnostic
AZN and MYGN sales forces
co-promoting the test
60
> 40% growth in
ovarian cancer
volume since the
launch of
BRACAnalysis
CDx
60


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
61
Pioneering Discoveries For
Assessing Genomic Instability


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Pioneering Discovery For Assessing Genomic
Instability
DNA Repair Pathway
54,000 snapshots
of
tumor DNA
Three proprietary
technologies
(LOH, TAI, LST)
Produces a quantifiable score:
Each component is derived from an
algorithmic calculation.  The final
score is the sum of the LOH+TAI+LST
scores: (0-100)
62


Copyright
©
2015
Myriad
Genetics,
Inc.,
all
rights
reserved.
www.Myriad.com.
Only the Combination of all Three
Technologies Gives you a Complete Picture
63
Odds ratio of predicting pCR
for
myChoice HRD is 5.5
All 3 Technologies Required
LST
odds ratio = 4.7
TAI
odds ratio = 2.8
LOH
odds ratio = 3.3


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
myChoice
HRD TNBC Platinum Indication
Represents $400 Million Global TAM
64
Treatment with
Platinum Agents
Treatment with
Standard Chemo
TNBC: 95,000
patients globally
HRD
NEGATIVE
HRD
POSITIVE


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Five Studies Demonstrate myChoice
HRD
Clinical Utility in TNBC
Based upon pooled analysis from five statistically
significant studies comprising a total of 267 patients
65
Over 5-fold increase in
patients with
pathological complete
response


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Major Milestones Occurring in FY16
Laboratory:
Completion of FDA laboratories for Tumor
BRACAnalysis
CDx
and myChoice
HRD
Regulatory:
IDE submissions for Tumor BRACAnalysis
CDx
and myChoice
HRD
PMA submission for myChoice
HRD
Clinical:
TESARO NOVA study results: myChoice
HRD and niraparib
Final validation study completed for
myChoice
HRD for platinum in TNBC
Additional trials in new cancer indications
with PARP inhibitors
66
Early access launch
for myChoice
HRD in
Fall of 2015


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Sensitivity Analysis Predicts Strong
Growth
67
Revenue in millions
Monte Carlo Simulation
Factor
Assumptions
Growth
U.S. TAM between
$500M and $1.5B
International mix
between 5% and 20%
Market penetration
between 15% and 25%


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Pioneering Companion Diagnostics for DNA
Damaging Agents
68
$6B Global Market
Opportunity
FY16-FY20
Positioned  to be the market leader in
CDx
for DNA damaging agents
Key Advantages in
CDx
Market
Reimbursement
Adoption Curve
Barriers to Entry
Co-Promotion
Proven Capability
BRACAnalysis
CDx
in
Ovarian Cancer
Pioneering Discoveries
myChoice
HRD


Bernie Tobin
69
President, Crescendo Bioscience
Autoimmune Market
Represents the Next Frontier
in Personalized Medicine


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Autoimmune Market Is An Incredible
Opportunity
70
Market Opportunity
Autoimmune market
represents blue ocean
Medicare
reimbursement
Solid plan for
expanding private
coverage
Positioned for market success
in autoimmune
Key Advantages
Vectra DA validation
Highly predictive
Commercial Breadth
and Depth
Re-accelerating
growth
Physician adoption
Improved logistics
Practice integration


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Substantial Opportunity in Blue Ocean
Autoimmune Market
Vectra DA for rheumatoid
arthritis is initial foray into
autoimmune market
Additional segments of this
market are equally compelling
Initiated discovery work on
psoriatic arthritis
71
Juvenile
Arthritis
600,000*
Psoriatic
Arthritis
2,500,000*
Ankylosing
Spondylitis
2,200,000*
Rheumatoid Arthritis
(current market)
3,000,000 patients*
Companion Dx
15 current collaborations with
major pharmaceutical companies
*Prevalence numbers for U.S., Canada and EU6 markets only (Source: Datamonitor);


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Clinical Validity and Utility of Vectra DA
Demonstrated In Numerous Published Studies
72


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
7x
Relative Risk
Low
(<30)
p = 0.008
Vectra DA Score at Baseline
SWEFOT: Vectra DA Score Highly Predictive
of Radiographic Progression
235 patient
SWEFOT study
Gold standard endpoint
of radiographic
progression at one year
Vectra score highly
correlated to patient
outcomes
High
(>44)
Moderate
(30-44)
73
Hambardzumyan, K, et al, Annals of the Rheumatic Diseases 2014. doi:10.1136/annrheumdis-2013-204986
*% Patients with
SHS >5  BL to year 1


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Strategy to Reaccelerate Growth
INITIATIVE
PROGRESS TO DATE
Clarity and focus on selling message
Initiated in Q3 FY15     
Increased focus on direct-to-patient
marketing
Initiated in Q1 FY16     
Studies to provide additional data on
clinical interpretation
Completion in FY16
Driving depth and breadth in
Medicare market
Initiated in Q4 FY15     
74


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Driving Depth and Breadth in Medicare Market
75
Breadth of Use
Among Doctors
Depth in the Patient Population
Per Using Physician
~40% of rheumatologists
use the test
11 patients tested per
using physician per month
(~9% of patients seen)


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Driving Breadth: Easier Logistics via National
Lab Contract
We have contracted with LabCorp
to use
their national network of 1,700 Patient
Service Centers (PSCs) to collect patient
blood samples beginning Aug. 31, 2015
24% of the rheumatology market does
not have in-office blood collection
facilities
28% of rheumatologists cite blood draw
logistical issues as a major barrier to
ordering more Vectra DA tests
37% of rheumatologists said they would
order more Vectra DA tests, if their
patients could go to a LabCorp
PSC
76
1,700
Patient Service Centers


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Driving Depth: Practice Integration Pilot
Multi-specialty clinic in North
Carolina with 342 rheumatoid
arthritis patients
Physician goal: minimize staff
time on the phone,
communicating lab results
86% patient opt-in rate for PI,
and 100% patient satisfaction
rate
Quarterly increase of 37% in
volume; 33% of incremental
assays came from new patients
77
Case Study:
Practice Integration
PI
a trial program at certain
doctor’s offices to have test
results prior
to patient visit
TEST RESULTS
PATIENT VISIT
Critical to expanding utilization in
certain practices
PHYSICIAN
REVIEW


Vectra DA Has Returned to Growth In the Last
Two Quarters
78
12%
sequential
volume growth
Prior to initiation of
current strategy
Post initiation of
current strategy
Tests in Thousands
33%
CAGR
Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Executing Plan to Expand Private Payer
Coverage in the Future
79
Data Mining
FY16
Retrospective Study
FY17
Prospective Study
FY18
% of
private
payer
covered
lives
Private Payer Feedback Suggests More Clinical Utility Data Required
Distribution of private payers’ data requests


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Expanded Coverage Will Drive
Significant Leverage
80
Current Medicare reimbursement level ~$570
Gross profit
per test
Gross profit
per test
COGS per test
COGS per test
Expanded
private payer
coverage
Increased
efficiencies


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Sensitivity Analysis Predicts Strong
Growth
81
Revenue in millions
Monte Carlo Simulation
Factor
Assumptions
Growth
15%-30%
growth rate
4%-10% market
penetration
Coverage
80%-100% payer
coverage


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Autoimmune Market Represents the
Next Frontier in Personalized Medicine
Autoimmune market is an
incredible opportunity
Vectra DA is an outstanding
product, supported by robust
science
Current Vectra DA reimbursement
under Medicare supports over
$600M in sales
Penetration of Medicare market
and expansion of private payer
coverage will be two key drivers of
growth
82


83
Nicole Lambert
General Manager of Urology
Making Prolaris
Standard of
Care in Urology


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Significant Unmet Need In Prostate Cancer
Treatment
84
Market Opportunity
Substantial unmet
clinical need
Expanded Medicare
coverage based on
additional clinical data
Key Advantages
Pioneering science
differentiation based
on gold standard
endpoints
Definitive active
surveillance threshold
Unmatched clinical
utility data
Commercial Breadth
and Depth
Largest urology sales
force in diagnostics
Increased physician
adoption
Increased test
utilization
Positioned to become standard of care in
the prostate cancer prognostic market


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Most Prostate Cancer Patients
Inappropriately Treated
85
AUA
Low-Risk
Patients
Overtreatment
Problem
AUA
High-Risk
Patients
Undertreatment
Problem
TREATMENT PARADIGM
RESULTS WITHOUT
IMPROVED TOOLS
Most low-risk patients
have a low risk of prostate-
specific mortality
Yet the vast majority
are treated upfront
More than half will
experience biochemical
recurrence with single-
modality treatment alone
Yet the majority do not
receive multi-modality
treatment
AUA
Intermediate Risk
Patients


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
86
Prolaris
is Best
Positioned to
Solve This Need


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Prolaris
Is the Only Test Validated Against
Meaningful Clinical Endpoints
87
PUBLICATION
SAMPLE
TYPE
PATIENTS
OUTCOME
Cuzick
2011
RP
353
HR = 1.89 per unit Prolaris
score,
p=5.6x10
-9
Cuzick
2011 (cohort 2)
TURP
337
HR = 2.92, p=6.1x10
-22
Cuzick
2012
Biopsy
349
HR = 2.02, p=8.6x10
-10
Cooperberg
2013
RP
413
HR = 2.10, p=2.2x10
-6
Freeland 2013
Biopsy
141
HR = 2.55, p=0.0017
Bishoff
2014
Biopsy
582
HR = 1.6, p=2.4x10
-7
Bishoff
2014
Biopsy
582
HR = 5.35, p=2.1x10
-8
Cuzick
2015
Biopsy
757
HR = 2.32, p<10
-17
PROCEDE
500
Biopsy
305
Changed treatment
plans 65% of
the time 40%
25%
PROCEDE
1,000
Biopsy
1,206
Changed treatment
plans 48% of
the time 35%
13%


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Prolaris
Has Substantially Stronger Prognostic
Power Than Traditional Pathology
88
(p<1.5x10-4)
(p<2.1x10-7)
(p<3.7x10-15)
Gleason
PSA
Prediction of Prostate Cancer Death
of the prognostic power in the
Prolaris CCR score is derived by
the independent
predictive power
of the Prolaris
test
Prolaris
>60%
Predicting Gleason
score is not enough


The Definitive Active Surveillance Threshold Is a
Unique Differentiator Only Myriad Can Provide
89
AS Threshold
60% of patients
below the active
surveillance threshold
3% risk of PCSM
20% risk of PCSM


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Redesigned Report Provides Clear and
Actionable Results
90
Modification
of pathology
assessment
Definitive cut-off
for which patients
are eligible for
active surveillance


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
W
I
T
H
P
R
O
L
A
R
I
S
A
S
T
H
R
E
S
H
O
L
D
I
N
I
T
I
A
L
W
I
T
H
P
R
O
L
A
R
I
S
Unmatched Impact on Physician
Treatment Decisions
91
AUA Low
Active
Surveillance
Treatment
40%
60%
69%
31%
92%
8%
AUA
Intermediate
Active
Surveillance
Treatment
8%
92%
27%
73%
27%
73%


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Drives Substantial Economic Value for
the Healthcare System
92
$2,850 saved
per patient tested


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
93
Superior Data Are Driving Market
Expansion and Growth


Significant Volume Growth From Breadth and
Depth of Customer Base
Test utilization increased 20% throughout FY16 while ordering
physicians increased 47%
94
PROCEDE
1,000 Stops
Enrolling
Copyright
©
2015
Myriad
Genetics,
Inc.,
all
rights
reserved.
www.Myriad.com.


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Focused Plan to Increase Coverage for Prolaris
95
CURRENT MEDICARE COVERAGE:
Professional guidelines
Retrospective safety data
Prospective clinical data
Medicare precedent
NCCN guidelines
Health economic data
Low/Very Low Medicare
Medicare Advantage
EXPAND MEDICARE COVERAGE:
EXPAND PRIVATE PAYER COVERAGE:


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Focused Plan to Increase Coverage for Prolaris
96
Positive coverage decision from Tufts Health Plan
Payer thought-leader in the Northeast represents over one million
lives
Covers all patients with localized prostate cancer
Value-based agreement
Assessed on % of patients choosing Active Surveillance
Takes
advantage
of
the
unique
Prolaris
Active
Surveillance
threshold
Approach can not be matched by other competitors and provides
template for additional contracts


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Sensitivity Analysis Predicts Strong
Growth
97
Revenue in millions
Monte Carlo Simulation
Factor
Assumptions
Market
Growth
30%-50%
growth rate
30%-60% market
penetration
5%-20% international
mix
Coverage
80%-100% payer
coverage
Market
Share
50%-80% market
share


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Significant Unmet Need In Prostate Cancer
Treatment
98
Market Opportunity
Substantial unmet
clinical need
Expanded Medicare
coverage based on
additional clinical data
Key Advantages
Pioneering science
differentiation based
on gold standard
endpoints
Definitive active
surveillance threshold
Unmatched clinical
utility data
Commercial Breadth
and Depth
Largest urology sales
force in diagnostics
Increased physician
adoption
Increased test
utilization
Positioned to become standard of care in
the prostate cancer prognostic market


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
BREAK
99
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10


Vicki
Fish
100
General Manager of Dermatology
Transforming Melanoma
Diagnosis Through Pioneering
Science


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Revolutionizing Melanoma Diagnosis
101
Positioned to become market leader in
melanoma diagnostics
Market Opportunity
Significant unmet
clinical need
Ability to impact
physician decision
making
Substantial
economic value
Key Advantages
Pioneering science
Extensively validated
approach
One of the most
accurate cancer
diagnostics ever
developed
Commercial Breadth
and Depth
Significant physician
adoption
Increasing utilization


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Early and Accurate Diagnosis Critical to Survival
102


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Traditional Melanoma Diagnosis is
Highly Subjective
15% to 47% discordance in peer reviewed literature
103
STUDY
N
DISCORDANCE
Cerroni
et al
57
47%
Hawryluk
et al
478
35%
Piepkorn
et al
149
46%
Gerami
et al
24
30%
Veenhuizen
et al
1,069
15%
Shoo et al
392
15%
Lodha
et al
178
25%
Farmer et al
37
35%
Overall
2,384
31%


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
430,000 Patients Receive Indeterminate Results
104
Possible
Under-
Treatment
Possible
Over-
Treatment
3.0 Million
Skin Biopsies for
Melanoma Per Year*
15%
Discordance
430,000
Indeterminate
Cases
*Includes major European countries, U.S. and Canada


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Costs Increase Dramatically for Later
Stage Disease
105
Localized
Melanoma
Regional
Melanoma
Distant
Melanoma
Average
10-Year
Cost per Patient
$15,612
$29,033
$210,281
>10x
increase in costs
Undertreatment
Patient only
receives monitoring
Recurrence as later
stage melanoma
Reduction in
survival as disease
progresses
Significantly higher
cost to treat
Overtreatment
Psychological
implications
Highly invasive
surgery
Follow-on care
Permanent scarring
Unnecessary
comorbidities
(infection, nerve
damage, etc.)
INACCURATE DIAGNOSIS


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
myPath
Melanoma: The Solution
23 gene mRNA expression panel
(13 genes tied to immune function,
1 gene tied to cell differentiation,
5 genes tied to cell signaling)
Unique approach uses information
from inside and outside the cell
Validated in sample cohorts
containing all melanoma and benign
nevus subtypes
Demonstrated to be highly accurate
at differentiating melanoma from
benign skin lesions
106
Melanoma
Diagnosis Score
1 Gene
Cell
Differentiation
5 Genes
Cell
Signaling
8 Genes
Immune
Group
9 Genes
Housekeepers


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
One of the Most Accurate Cancer
Diagnostics Ever
107
Clinical Validation 1 (N=437)
Clinical Validation 2 (N=736)
Diagnostic Accuracy = 90%
90% sensitivity
91% specificity
AUC = 0.96
Diagnostic Accuracy = 92%
92% sensitivity
93% specificity
AUC = 0.95


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
myPath
Melanoma Led to a Significant
Increase in Diagnostic Confidence
108
80%
38%
Pre-Test
Post-Test
9%
22%
Pre-Test
Post-Test
11%
41%
Pre-Test
Post-Test
Indeterminate Diagnosis
Malignant Diagnosis
Benign Diagnosis
>50% reduction in
indeterminate results
2.4x increase in diagnostic
confidence
3.7x increase in diagnostic
confidence


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Drives Substantial Economic Value for the
Healthcare System
109
$776
$1,462
$333
$2,519
$1,500
$0
$500
$1,000
$1,500
$2,000
$2,500
$3,000
$3,500
Initial Pathology
Cost Savings
Additional Initial
Treatment Costs
Cost Savings on
Advanced
Treatment
Cost of Test
Net Impact
$1,500 saved
per patient
tested


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
18% of Dermatopathologists
Have Used
myPath
Melanoma
110
0
2,000
4,000
6,000
8,000
10,000
FY14
FY15
Tests Performed
18% of U.S.
dermatopathologists
have ordered
myPath
Melanoma


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Reimbursement Dossier Complete and
Awaiting Publication
111
DOSSIER
REQUIREMENT
# OF STUDIES
COMPLETE
PUBLICATION STATUS
Analytical
Validation
1
Published
in Biomarkers in Medicine
Clinical Validation
5
1  Published
in Journal of Cutaneous
Pathology
4
Pending publication
Clinical Utility
3
3 Pending publication
Health Economic
Model
1
Published in Journal of Medical
Economics
Guidelines/ Consensus
Statement
1
1 Pending publication


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Sensitivity Analysis Predicts Strong
Growth
112
Revenue in millions
Monte Carlo Simulation
Factor
Assumptions
Market
Growth
30%-50%
growth rate
5%-13% market
penetration
5%-15% international
mix
Price
80%-100% payer
coverage
$0
$76
$44
$108
$0
$25
$50
$75
$100
$125
FY15
FY20
Average Outcome
Lower Bound of CI
Upper Bound of CI


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Revolutionizing Melanoma Diagnosis
113
Positioned to become market leader in
melanoma diagnostics
Market Opportunity
Significant unmet
clinical need
Ability to impact
physician decision
making
Substantial
economic value
Key Advantages
Pioneering science
Extensively validated
approach
One of the most
accurate cancer
diagnostics ever
developed
Commercial Breadth
and Depth
Significant physician
adoption
Increasing utilization


Jerry Lanchbury
114
Chief Scientific Officer
Industry Leading Pipeline to
Ensure Growth Opportunities


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Promising Early-Stage Pipeline Opportunities
115
Substantial
market
opportunity
Ability to leverage
existing sales channels
Outstanding
early discovery
data
Strong clinical need
for the product
Utilize existing DNA, RNA
and protein expertise
myPath
Bipolar
myPath
Prostate Cancer
myPath
Pancreatic Cancer
myPlan
Renal Cancer


Increasing Research Investment Yields
Substantial Scientific Output
116
Pharma
Spin-off
Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Industry Leading Pipeline Facilitates
Long-Term Growth
$10B
$8B
$10B+
Stage
3
REIMBURSEMENT
Stage
2
VALIDATION
Stage
1
DISCOVERY
myRisk
Prolaris
Vectra
DA
EndoPredict
BRACAnalysis
CDx
1
Tumor BRACAnalysis
CDx
myPath
Melanoma
myPlan
Lung Cancer
myChoice
HRD (Platinum)
2
myChoice
HRD
(PARP)
3
myPlan
Renal Cancer
myPath Bipolar
myPath Pancreatic Cancer
myPath Psoriatic Arthritis
myPath Prostate Cancer
myPath
Endometriosis
Total Addressable Market (TAM)
1
Ovarian Cancer, Breast Cancer, Pancreatic Cancer
2
Triple Negative Breast Cancer, HER2-
Breast Cancer
3
Ovarian Cancer, Breast Cancer, Pancreatic Cancer, Metastatic Prostate Cancer
117


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
118
Renal Cancer



Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Groundbreaking Science Uncovers Broadly
Applicable Signature for Cancer Prognosis
Cell cycle progression (CCP) genes have demonstrated broad utility
as a cancer prognostic
Now validated in prostate, lung, breast and renal cancers
Whole transcriptome
analysis shows CCP genes are the only
relevant expression targets for multiple cancers
120
*Corrected for the impact of CCP
Non-CCP Genes*
CCP Genes
p
Value
1.0
0.34
0.05
0.04
2x10
-7
Ability to Predict Metastases in Renal Cancer
STATISTICALLY INSIGNIFICANT
STATISTICALLY SIGNIFICANT


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Substantial Clinical Need for Renal
Cancer Prognostic
121
Higher risk of significant complications
including ESRD, need for dialysis, etc.
NEPHRECTOMY
PARTIAL
NEPHRECTOMY
ACTIVE
SURVEILLANCE
Trend toward less invasive therapy
Five-year survival for stage 1 and stage 2 disease >75%
No existing tools to differentiate low/high-risk patients
90,000
patients
diagnosed
with
localized
disease
$300M
global
market opportunity


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Excellent Prognostic Power Shown
in Training Data
Panel of 31 cell cycle
progression genes and 15
control genes (same as Prolaris)
Training study completed with
localized renal cancer
Panel was highly statistically
significant at predicting 5-year
risk of metastases; odds ratio of
3.89, p value of 0.0072
122
* Case control study in high risk population


First Look at myPlan
Renal Validation Data
123
44% of
patients have
less than a 3%
risk of 5-year
disease
mortality
Hazard ratio = 3.00,
p value = 1.4x10
-6
Next steps: present
and publish first
validation; second
validation will be
completed and
presented by 4Q16
Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
124
Bipolar


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
70% of Bipolar Patients Initially Misdiagnosed
Symptoms of bipolar disorder and major depression
are almost exactly the same
125
BIPOLAR
DISORDER
Fatigue
Feelings of
worthlessness
Impaired concentration
Insomnia or hypersomnia
Diminished interest
in activities
Thoughts of suicide
Weight gain/loss
Mania
MAJOR
DEPRESSIVE
DISORDER
Fatigue
Feelings of
worthlessness
Impaired concentration
Insomnia or hypersomnia
Diminished interest
in activities
Thoughts of suicide
Weight gain/loss


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Cost of Misdiagnosis is Substantial
Over 20 million patients
per year present
with symptoms consistent with major
depressive disorder (MDD) or bipolar
disorder (BP)
90% of patients are diagnosed by primary
care
physicians
Bipolar patients do not respond to first-line
or subsequent therapeutics for MDD
MDD anti-depressive therapeutics can
trigger manic psychosis
in a subset of
BP patients
BP symptoms are 6th leading cause of
disability
in 15-44 age group
Economic impact
of improperly treated BP
in U.S. is $72B annually
126


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Outstanding Early Data Show Ability to
Differentiate Bipolar from Major Depression
127
96%
AUC in
Training Set
Multimarket proteomic assay run
on Myriad-RBM Luminex
platform
Consists of 18 protein analytes
from blood
Discovery completed in 150 well-
characterized BD1 and MDD
samples
Next steps: Validation study
sponsored by Myriad and
partnered with 3 major medical
centers; will enroll
300 patients
beginning mid-FY16
BIPOLAR
DISORDER
MAJOR
DEPRESSIVE
DISORDER


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
128
Pancreatic


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Early Detection of Pancreatic Cancer Crucial
to Survival
5-year survival only 7%
Symptoms are vague and often
misconstrued with other health
issues
Most early-stage patients
diagnosed through unrelated
imaging procedures
Only 15% of patients diagnosed
with localized/resectable
disease
102,000 new diagnoses annually
129
Urgent need for an early detection diagnostic
Five-Year Survival by Stage for
Pancreatic Cancer
Most patients currently
diagnosed with late-
stage disease


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Promising Early Data on myPath
Pancreatic Cancer
136 patient study comparing 42 early-
stage pancreatic cancer cases to 94
healthy controls and patients with
chronic pancreatitis
92% AUC when diagnosing early stage
pancreatic cancer
Next steps: finalize biomarker set in
FY16
130


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
131
Prostate Cancer


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Proof of Principle Established for Urine-Based
Cancer Detection
Significant need to diagnose
urological cancers at an earlier
stage (prostate, kidney and
bladder cancer)
Discovery study evaluated 139
tumor samples
Proprietary assay was able to
differentiate patients with cancer
from healthy controls
Next steps: application of
technology to prostate cancer
132
0.0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
1.0
0.0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
1.0
1-
Specificity
Diagnostic Accuracy = 90%
85% sensitivity
96% specificity
AUC = 0.93


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Pioneering Research Fuels Industry
Leading Pipeline
Uniquely positioned to use all molecular diagnostic tools (DNA,
RNA, proteins) for research and development
Scientific output has increased >20x since FY09
140 publications per year
Breakthrough thinking drives discovery engine
Broadly applicable cancer prognosis signature
Proprietary cancer pathway (myChoice
HRD) test vs. gene panels
Addition of immune response genes for diagnosis
Complex multiplex protein signatures
Signatures combining DNA, RNA and proteins
133


134
Gary King
Executive Vice President
of International Operations
Expanding Our Horizons in
International Markets


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Incredible Growth Opportunity in International
Markets
135
Complex reference laboratory tests, companion diagnostics and high-
value kits are most significant long-term growth drivers
Market Opportunity
60% of the global
market is outside of
the United States
(O.U.S.)
4% of revenue O.U.S.
today; goal to reach
10% by FY20
Commercial Breadth
and Depth
Expanding
reimbursement
Expand current
products to kits
Key Advantages
High complexity
reference lab tests
Companion diagnostic
partnerships
Kit-based strategy


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Total Available Market (TAM) in 10 Major
International Markets > U.S.
136
29%
20%
40%
Long-Term
Opportunity:
>70%
of
U.S. Market
Source: European Federation for Pharmaceutical Industry
IFPMA Facts & Figures 2012
EU6 + Canada
Near Term
Opportunity:
50%
of U.S. Market


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Key Learnings
Drive Strategic Review
137
KEY LEARNING
STRATEGY
Laboratories are captive
within institutions
1.
Emphasize
reference tests that are too complex for
institutional laboratories (myRisk
and CDx)
2.
Develop proprietary test kits for distribution to
institutional laboratories
Lengthy
reimbursement
throughout Europe
1.
Acquire
German clinic
2.
Emphasize health economic studies
3.
Incentivize KOL involvement with kit format


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Refined Strategy to Reflect Differences in
International Market
138
COUNTRIES
Near-Term
Growth:
EU6 + Canada
Long-Term
Growth:
Japan, China,
and Brazil
REFERENCE TESTS
DNA
(multiple
platforms):
Companion
Diagnostics
KITS
RNA
(platform
partner):
EndoPredict
Prolaris
myPlan
Lung
myPath
Melanoma
myPlan
Renal
Protein
(platform
partner):
Vectra DA
myPath
Bipolar
myPath
Pancreatic


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Hereditary Cancer Expansion in Europe
139
European
market
increasingly
moving
to
myRisk
Hereditary
Cancer;
myRisk
was 32% of hereditary cancer revenue in the 4Q15 compared
to 23% in the 4Q14
Complexity of large panel tests is beyond the capability of most small,
decentralized labs
Beginning discussions with German hospital/physician networks
following the acquisition of MVZ clinic in 3Q15; potential for positive
impact in German market in 2H16 and beyond
Many private healthcare systems in major European countries now
cover myRisk
Hereditary Cancer


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
International Companion
Diagnostic Opportunity
140


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Companion Dx
Opportunity O.U.S. = $3B TAM
141
FY15
FY16
FY17
FY18
FY19
FY20
Tumor
BRACAnalysis
CDx
Launch
Japan, China & ROW
Ovarian
Cancer
(30,000)
Major country
reimbursement for
Lynparza
Platinum in
TNBC
(55,000)
Platinum in
HER2-
BC
(65,000)
PARPs
in Breast
Cancer
(200,000)
PARPs in
Metastatic
Prostate
Cancer
(40,000)
PARPs
in Pancreatic
Cancer
(57,000)
Focus on EU6 and Canada


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Progress with Lynparza
Launch in Europe
142
Country
Status
France
Launched
and reimbursed using temporary system
starting in March, final negotiations underway
Germany
Launched in June; G-BA assessment ongoing
Denmark/Luxembourg
Launched and reimbursed since June
Sweden/Netherlands
National
reimbursement review completed; awaiting
decision
Italy,
UK,
Spain,
Belgium,
Portugal,
Norway
National
reimbursement review process ongoing


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Kit-Based Strategy
143


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
14.6%
49.4%
80.6%
4.9%
31.2%
EndoPredict
Increases Low-Risk Group
by 340% Without Increasing Risk
144
1,702 Patients Classified
By Pathology
Intermediate Patients
Re-Classified With EndoPredict
HIGH -
45%
INT. -
10%
LOW -
5%
LOW -
5%
HIGH -
20%


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
EndoPredict
Validates Kit-Based Model
Over 40 worldwide sites using
EndoPredict
Substantial preference for
in-house testing and
economic sharing
Faster path to reimbursement;
ability to utilize local
stakeholders as advocates
Attractive financial model
given stickiness of testing
once account is established
145
7 additional installations ROW


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
A Number of Myriad Products Are Conducive
to Kits
146
RNA Expression
Protein
In discussions with
potential partners


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Expanded Reimbursement Will Drive Increased
International Growth
147
YEAR
FY16
FY17
FY18
FY19
FY20
Hereditary Cancer
Tumor BRACAnalysis
CDx
Major country
reimbursement
throughout FY16
myChoice
HRD
First PARP using
HRD
EndoPredict
Germnay
PMI
UK PMI/NHS
Switzerland
Germany GBA
Canada
France
Prolaris
Switzerland
UK PMI
Germany
PMI
UK NHS
France
Germany GBA
Canada
myPath
Melanoma
Germany PMI
UK PMI
Germany
GBA
Canada
Switzerland
France
No Reimbursement
Low Reimbursement
Broad Reimbursement


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
10% of Global Revenue From International
Markets by FY20
148
Goal to have
international product
revenue comprise
10% of sales by FY20


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Incredible Growth Opportunity in International
Markets
149
Complex reference laboratory tests, companion diagnostics and high-
value kits are most significant long-term growth drivers
Market Opportunity
60% of the global
market is outside of
the United States
(O.U.S.)
4% of revenue O.U.S.
today; goal to reach
10% by FY20
Commercial Breadth
and Depth
Expanding
reimbursement
Expand current
products to kits
Key Advantages
High complexity
reference lab tests
Companion diagnostic
partnerships
Kit-based strategy


150
Bryan Riggsbee
Chief Financial Officer
Five-Year Outlook:
Increased Growth and
Financial Leverage


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
5-Year Outlook: Increased Growth and Financial
Leverage
151
Hereditary cancer
growing low single digits
Significant diversification
from product pipeline
International becomes
larger contributor
>30%
Op
Margins
7 Products
>$50M
>10% Revenue
Growth CAGR
>10% of Revenue
from International
Majority of investments
are completed
Meaningful operating
margin improvement as
new products obtain
reimbursement
Prioritize internal R&D
Pursue accretive M&A
Continue opportunistic
share repurchase
Maximizing
LT Shareholder Value
Revenue Growth
Operating Leverage


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
5-Year Outlook: Increased Growth and Financial
Leverage
152
Maximizing
LT Shareholder
Value
Revenue
Growth
Operating
Leverage


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Assumptions for FY16 Guidance
DOWNSIDE RISKS
BASE CASE FOR GUIDANCE
UPSIDE POTENTIAL
Hereditary
cancer market
losses > market growth
Hereditary cancer
revenue
of $638 to $649 million
Hereditary cancer
market losses <
market growth
Impact
from
expanded
payer
coverage
for colon and endometrial cancer
Vectra DA revenue of $50
to $55 million
Expanded private payer coverage
Medicare
reimbursement
starting later than
October 1, 2015
Prolaris
revenue of $10 to
$12 million
Private payer coverage
Medicare
reimbursement prior to
October 1, 2015
Expanded Medicare coverage
Pharmaceutical and Clinical
Services revenue of $40M
Other revenue of $12 to
$14 million
Reimbursement for EndoPredict,
Tumor
BRACAnalysis
CDx, myPath
Melanoma or myPlan
Lung Cancer
FY16 Guidance Covered in August
153


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Myriad Meets 5-Year Revenue Growth Target    
At Lower End of Sensitivity Analysis
154
Revenue in millions
Monte Carlo Simulation
Factor
Assumptions
Hereditary
Cancer
Revenue of $554 to
$922 million
CDx
Revenue of $122 to
$364 million
Vectra DA
Revenue of $161 to
$335 million
Prolaris
Revenue of $112 to
$264 million
myPath
Melanoma
Revenue of $44 to
$108 million


New Products Represent >50%
of FY20 Revenue
155
HEREDITARY CANCER
MYPATH MELANOMA
<50% of revenue from
hereditary cancer
COMPANION DX
VECTRA DA
PROLARIS
PHARMA & CLIN SERVICES/OTHER
Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
5-Year Outlook: Increased Growth and Financial
Leverage
156
Operating
Leverage


Operating Margin Component
Changes FY13-FY15
157
(5.0%)
(1.6%)
(1.0%)
(0.5%)
(0.5%)
0.8%
(6.2%)
Copyright
©
2015
Myriad
Genetics,
Inc.,
all
rights
reserved.
www.Myriad.com.


Copyright
©
2015
Myriad
Genetics,
Inc.,
all
rights
reserved.
www.Myriad.com.
Operating Margin Component
Changes FY15-FY16
158
0.4%
0.3%
0.2%
0.2%
0.8%


Meaningful Opportunity to Leverage  Existing
Sales Infrastructure
159
OPERATING LEVERAGE
CURRENT
PRODUCTS
FUTURE PRODUCTS
myRisk
BRCA CDx
EndoPredict
myChoice
HRD
myRisk
myPath
Bipolar
Vectra DA
Psoriatic
Arthritis
Prolaris
myPlan
Renal Cancer
myPath
Prostate
myPath
Melanoma
Psoriatic Arthritis
None
myPath
Bipolar
Copyright
©
2015
Myriad
Genetics,
Inc.,
all
rights
reserved.
www.Myriad.com.


Increased Profitability In Pipeline Products
Supports >30% Operating Margins
160
OPERATING LEVERAGE
Copyright
©
2015
Myriad
Genetics,
Inc.,
all
rights
reserved.
www.Myriad.com.


Copyright
©
2015
Myriad
Genetics,
Inc.,
all
rights
reserved.
www.Myriad.com.
Five-Year Outlook: Increased Growth and
Financial Leverage
161


Copyright
©
2015
Myriad
Genetics,
Inc.,
all
rights
reserved.
www.Myriad.com.
CAPITAL
ALLOCATION
PRIORITY
CAPITAL
DEPLOYMENT
SINCE JUNE 2010
GOAL
R&D
9%
of revenue
8% to 10% of revenue
M&A
$340M
43% of FCF
Use cash on hand to fund smaller deals (<$100M)
Use cash and leverage to fund larger deals
($100M-$600M)
Use equity to fund strategic deals
(beyond borrowing capacity)
Share
Repurchase
>$1B
127% of FCF
Target 100% of FCF
Reduce share repurchases based upon M&A visibility
Maintain cash at $100M to $200M
Dividend
None
No plans for dividend given more attractive uses of         
capital
Capital Deployment Strategy
162


Copyright
©
2015
Myriad
Genetics,
Inc.,
all
rights
reserved.
www.Myriad.com.
Historical Cash Generation/Uses of Cash
Cash Generation
Uses of Cash
163


Copyright
©
2015
Myriad
Genetics,
Inc.,
all
rights
reserved.
www.Myriad.com.
Internal R&D Represents Our Best Investment
$0
$25
$50
$75
FY10
FY11
FY12
FY13
FY14
FY15
New Product Development (Stage 1 & 2)
Stage 3
INVESTMENT
EXPECTED
ROIC
Internal
R&D
33%
MYGN
historical
ROIC
20%
Acquisitions
Dependent
on deal and
market
conditions
164
R&D Grew at 27% CAGR
vs. Revenue at 15% CAGR


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Acquisitions –
Opportunity For MYGN to be a
Consolidator In a Diffuse Industry
165
Short-term visibility to the
deal being accretive
Strategic fit; ability to leverage
existing commercial infrastructure
Meaningful revenue and
large market opportunity
Facilitates international
expansion; tax benefits
Characteristics
of a Myriad
acquisition
1
2
3
4


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Historical Share Repurchase Activity Has
Increased Shareholder Returns
166
Increasing benefit
in future as
profitability
grows


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Present Value Calculation Based on 5-Year
Forecast –
Supports Continued Repurchases
167
Variable
Assumption
Capital Deployment
Share repurchases
= FCF
Discount
Rate
15%
P/E
Terminal Multiple Used
20x
Present Value
$60 per share


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
5-Year Outlook: Increased Growth and Financial
Leverage
168
Hereditary cancer
growing low single digits
Significant diversification
from product pipeline
International becomes
larger contributor
>30%
Op
Margins
7 Products
>$50M
>10% Revenue
Growth CAGR
>10% of Revenue
from International
drivers
Majority of investments
are completed
Meaningful operating
margin improvement as
new products obtain
reimbursement
Prioritize internal R&D
Pursue accretive M&A
Continue opportunistic
share repurchase
Maximizing
LT Shareholder Value
Revenue Growth
Operating Leverage


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Closing Comments
169


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Million
>$50
Products
with Revenue
7
What was New Today?  Our Strategic Goals
170
Revenue Growth
CAGR
>10%
Operating
Margin
>30%
International
Revenue
>10%


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
What was New Today?
Transition and Expand Hereditary Cancer
myRisk
80% conversion and 45% of revenue
covered by long-term arrangements
Modeling demonstrates 5-year revenue CAGR = 3%
revenue
Variant database now over 40,000 and will grow to
80,000 by FY2020
Pricing floor based upon costs associated with high
accuracy and complexity, extensive service and
increased regulation
171


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
What was New Today?
(continued)
Diversify the portfolio
22 clinical studies with proprietary companion diagnostics for
DNA damaging agents
Early access launch for myChoice
HRD in Fall 2016
Signed LabCorp
agreement to increase access to Vectra DA
Prolaris’ unique active surveillance threshold facilitates
value-based contracting with TUFTS Health Plan
Successful second validation for myPath
Melanoma
Successful validation for myPlan
Renal Cancer
myPath
Bipolar demonstrates 96% AUC in training set;
beginning enrollment in prospective study
Proprietary technology developed for cancer detection in
urine
172


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
What was New Today?
(continued)
Increase International Contribution
Revised strategy defines countries, reference tests,
and kit products
RNA-based tests already under development with
Thermo Fischer Scientific for kit strategy
173


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Worldwide Leader in Personalized Medicine
We are entering the golden age for personalized medicine
We are the pioneers of “research-based” and “education-centric”
business modeling for diagnostics
No company is better positioned to lead this revolution in healthcare
than Myriad
Our finest hour will be discovered in the days ahead
174


Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
Copyright © 2015 Myriad Genetics, Inc., all rights reserved.  www.Myriad.com.
&
175
Q
A