Inve US ▾
FBFBIO

Fortress Biotech (FBIO) Q2 FY26 earnings call: guidance and Q&A

Earnings call· Jun 2026 (Q2 FY26)· Health Care· Aug 12, 2026

Source: earnings call transcript

Executive summary

Fortress Biotech Q2 FY26 — Journey Medical Delivers Positive Adjusted EBITDA on Accelerating Emrosi Adoption

Commercial execution in the dermatology subsidiary drove positive operational leverage as accelerating lead-brand adoption widened gross-to-net realization. Continued payer formulary wins and expanded field-force coverage underpin management's expectation for sustained positive core earnings through the remainder of the fiscal year.

Highlights

4
  • Total revenue rose 23% YoY to $18.5M, driven by $8.1M in Emrosi net product revenue with accelerating sequential volume

  • Emrosi Q2 prescriptions expanded 20% QoQ to ~36,000, with unique prescribers rising over 40% year-to-date to surpass 4,500 dermatologists

  • Achieved non-GAAP profitability inflection with Q2 adjusted EBITDA of $2.9M compared to a net loss of $0.5M in Q2 FY25

  • Commercial lives with high-quality formulary coverage (single-step edit or better) expanded to ~38% (72M lives) out of 169M accessible lives

Concerns

2
  • GAAP net loss of $0.3M ($0.01 per share), though narrowed significantly from $3.8M ($0.16 per share) in Q2 FY25

  • QBREXZA sales were somewhat light during Q2 due to deductible reset overhang and payer mix shifts, holding at an annualized pace of $25M-$26M

Guidance & targets

CategoryTargetConfidence
EBITDA trajectory
Positive EBITDA for the remainder of 2026
high materiality
High
Full-year financial profile
Breakout year with respect to revenue growth and profitability
medium materiality
High
Emrosi average selling price (ASP)
Sequential improvement throughout the back half of the year
medium materiality
High
SG&A expense as percentage of revenue
Pretty consistent percentage of revenue
medium materiality
Medium

Segment performance

SegmentRevenueYoYQoQMargin
Journey Medical Commercial Dermatology
Commercial dermatology franchise driving company revenues led by Emrosi demand and steady baseline performance from QBREXZA.
Emrosi net product revenue: $8.1MQBREXZA annualized net revenue run-rate: $25M-$26MEmrosi total prescriptions: ~36,000Unique Emrosi prescribers: >4,500
$18.5M+23%—67% gross margin

Product announcements

ProductTypeDetails
Eurax Cream (10% crotamiton)launch

Deals & partnerships

National Health Plan Commercial formulary addition for Emrosi

A large national health plan placed Emrosi on its formulary in early August 2026, reducing utilization management friction to a single step edit or better.

Top 3 National GPOs Group purchasing organization access agreements

Completed agreements with all top 3 national GPOs earlier in 2026, establishing downstream pathway for health plan formulary placement.

Maruho Co., Ltd. Out-license commercial partnership for QBREXZA in Japan

Commercial partner marketing QBREXZA in Japan, alongside additional out-licensing agreements across Korea, Taiwan, and ASEAN nations.

QDIA Out-license commercial partnership for AMZEEQ in China

Commercial partner distributing AMZEEQ in China, commercially available following launch approximately one year ago.

Risks & headwinds

Utilization management barriers across commercial covered lives ongoing throughout FY26-FY28

80M-90M accessible lives still subject to prior authorizations or double step therapy

Mitigation:Direct negotiation with health plans using 8-week head-to-head superiority clinical data vs 16-week Oracea to lower restrictions to single step edit or better

QBREXZA quarterly sales variability from benefit resets and payer mix Q1-Q2 annual seasonality

Slight quarter-over-quarter softness against an annual run rate of $25M-$26M

Mitigation:Capitalizing on peak hyperhidrosis summer seasonality; monthly script volume recovered to over 14,500 in June and ~15,000 in July

What to watch in Q3 FY26

Emrosi high-quality formulary coverage expansion

next quarter
Current 38% (approximately 72M lives)
Target >38% with traction from August national health plan add

Why it matters

Expanding single-step coverage directly lowers prescription adjudication friction and accelerates net average selling price (ASP)

Supporting this positive trend, a large national health plan placed Emrosi on its formulary in early August, and we expect to see traction from that addition this quarter.

Find out whether FBIO delivers this. Inve re-checks your case every morning.

Q&A highlights

Were there any inventory movements affecting Q2 ASP, and should investors expect continued sequential ASP gains?

Management confirmed zero inventory distortions occurred in Q2 and stated high confidence that ASP will continue to drift upward in subsequent quarters as higher-quality payer reimbursement takes effect.

“None. No... our expectation is that we'll continue to gain better ASPs as more reimbursement from our payer strategy gets implemented.”

asked by Scott Henry · answered by Claude Maraoui

2 min read 5 chapters

Detailed narrative

Emrosi Commercial Inflection and Prescriber Dynamics

Emrosi generated $8.1 million in net sales during Q2 FY26, supported by 36,000 total prescriptions, reflecting 20% sequential growth over Q1. Monthly new prescriptions reached an all-time high of over 5,300 in June (climbing above 4,700 monthly averages in earlier months) and reached ~14,000 total prescriptions in July.

Unique prescribers expanded to over 4,500, up from 3,700 at the end of Q1 and 3,200 at year-end 2025. Management noted that head-to-head Phase 3 data showing skin-clearing efficacy at 8 weeks exceeding 16-week Oracea outcomes without minocycline-related tolerability issues is sustaining prescriber loyalty.

Market Access and Managed Care Formularies

Agreements with all three major national GPOs provide access across 169 million out of 192 million U.S. covered commercial lives. High-quality formulary coverage (defined as single-step edit or better) increased to approximately 38% (roughly 72 million lives) from 34% in Q1.

A large national health plan added Emrosi to its formulary in early August 2026, which management expects will remove prior-authorization friction and support continued sequential expansion in net average selling price (ASP).

Financial Turnaround and Operating Leverage

Total quarterly revenue grew 23% YoY to $18.5 million while operating expenses increased by less than 1%, demonstrating commercial operating leverage. SG&A declined to $10.9 million from $11.9 million in Q2 FY25 due to prior-year launch expenses. Non-GAAP adjusted EBITDA reached $2.9 million ($3.5 million for 6M FY26), turning positive from a loss of $0.5 million in the prior-year period.

Cash balances ended at $25.6 million as of June 30, 2026, compared to $24.1 million at year-end 2025.

Commercial Footprint Expansion and Eurax Launch

Journey Medical added 5 dermatology sales representatives in late July 2026 to target white space and split dense territories among the 15,000 U.S. dermatologists. Additionally, the company launched Eurax Cream (10% crotamiton) in July following sales training in June. Eurax represents an enhanced antipruritic, nonsteroidal formulation positioned third in detailing behind Emrosi and QBREXZA.

Base Business and Business Development Outlook

QBREXZA generated stable baseline contribution, tracking at an annual run-rate of $25 million to $26 million despite minor Q2 headwinds from insurance deductible resets and payer mix. Prescription volumes reached over 14,500 in June and neared 15,000 in July. On business development, the company is actively negotiating ex-U.S. out-licensing rights for Emrosi across Europe, Canada, Australia, New Zealand, Japan, and Asia, while evaluating selective dermatology in-licensing opportunities.

Summary of the company's earnings call; see how call summaries are prepared. Not investment advice.