Good morning. My name is Josh, and I will be your conference operator today. At this time, I would like to welcome everyone to the EyePoint Pharmaceuticals Second Quarter 20 20 Financial Results Conference Call. There will be a question and answer session to follow at the completion of the prepared remarks. Please be advised that this call is being recorded at the company's request.
I would now like to turn the call over to George Elston, Chief Financial Officer of EyePoint Pharmaceuticals.
Thank you and thank you all for joining us on today's conference call to discuss EyePoint Pharmaceuticals' 2nd quarter 2020 financial results and recent corporate developments. With me today is Nancy Lurker, President and Chief Executive Officer Doctor. Jay Duker, Chief Strategic Scientific Officer and Scott Jones, Chief Commercial Officer. Nancy will begin with a review of recent corporate updates, including our new commercial alliance with ImprimisRx that we announced yesterday. Doctor.
Druka will then discuss pipeline developments for EYP-nineteen oh one and YUTIQ fifty, our 6 months treatment for posterior segment uveitis. Then Scott will comment on recent progress made on our commercial activities and I will close with commentary on the Q2 2020 financial results. We will then open up the call for your questions where we will be joined by Doctor. Dario Padurino, Senior Vice President and Chief Medical Officer. Earlier this morning, we issued a press release detailing our financial results as well as commercial and operational development.
A copy of the release can be found in the Investor Relations tab on the corporate website www.eyepointpharma.com. Before we begin our formal comments, I'll remind you that various remarks we will make today constitute forward looking statements for the purposes of the Safe Harbor provisions under the Private Securities Litigation Reform Act of 1995. These include statements about our future expectations, clinical developments and regulatory matters and timelines, the potential success of our products and product candidates, financial projections and our plans and prospects. Actual results may differ materially from those indicated by these forward looking statements as a result of various important factors, including those discussed in the Risk Factors section of our most recent Annual Report on Form 10 ks, which is on file with the SEC and in other filings that we may make with the SEC in the future. Any forward looking statements represent our views as of today only.
While we may elect to update these forward looking statements at some point in the future, we specifically disclaim any obligation to do so even if our views change. Therefore, you should not rely on these forward looking statements as representing our views as of any date subsequent to today. I'll now turn the call over to Nancy Lurker, President and Chief Executive Officer of EyePoint Pharmaceuticals.
Thank you, George. Good morning, everyone, and thank you for joining us. Our team has done a great job managing the business and balance sheet during the COVID-nineteen pandemic. We continue to put the safety of patients, physicians and our employees as a top priority, while we produce our innovative drugs DEXYCU and YUTIQ, move our R and D pipeline forward and continue to call on physicians. I'm very proud of what we've been able to accomplish and the high level of commitment, professionalism and productivity that our EyePoint colleagues have delivered despite the pandemic.
While COVID-nineteen regulations and changes to normal operations have altered our approach in engaging with the ocular disease community, we were encouraged to see the resumption of operations at ambulatory surgical centers or ASCs and uveitis specialist offices during the quarter in those U. S. Regions where stay at home orders have been eased. As a result, we reported total net revenues of $4,100,000 of which net product revenue was $3,700,000 $2,900,000 for YUTIQ and $800,000 for DEXYCU for the 2nd quarter, supported by improving customer demand for both products beginning in late May as cataract surgeries resumed and physician office visits increased. These results are encouraging and we continue to actively monitor COVID-nineteen cases across the U.
S. To ensure we are complying with health and safety guidelines while continuing to call on our valued customers and providing much needed access to our ocular products. While we cannot predict how patients, physicians and ASCs will respond to COVID-nineteen case trends in the coming months, we were pleased to see an increasing return of customer demand month over month for both products during Q2 compared to the significant declines in demand we experienced in late Q1 through early Q2. Yesterday, we announced an exciting new commercial alliance with ImprimisRx for the joint promotion of DEXYCU in the United States. ImprimisRx is a well established company in the cataract surgery market.
This alliance will substantially expand the reach of this important and innovative product using the ImprimisRx commercial organization in addition to our efforts at EyePoint. We believe ImprimisRx is the ideal partner to expand the commercialization of DEXYCU as we are able to leverage their existing infrastructure and relationships with ophthalmologists, hospitals and ASCs. InfamousRx will initially focus on converting their established customers that are currently using Tri Moxi, a combination injectable product that contains triamcinolone acetonide, a well known steroid, plus moxifloxacin, another known antibiotic to DEXYCU. These surgery centers and physicians already have experience using injectable steroids post cataract surgery as an alternative to some of the eye drops they would otherwise prescribe for their patients. We believe these customers may be especially well positioned to move toward an FDA approved injectable treatment like DEXYCU with its ease of use, solid efficacy and an established safety profile.
In addition, the FDA recently published a notice of intent, which could impact the availability of several bulk compounded products, such as cetorolac, a non steroidal anti inflammatory often used for pain and edema post cataract surgery and moxifloxacin, an antibiotic often used to prevent infections post cataract surgery off of the list of approved drugs to be used in both compounding. As a result, at some point in the future, should these rules be finalized and take effect, we expect that drugs such as Tri Moxi and others like it, including compounded eye drops that contain these drugs, may no longer be widely available for sale or distribution by large compounding pharmacies. We believe that this partnership with ImprimisRx will be mutually beneficial for both companies. And Scott Jones, our Chief Commercial Officer, will provide further color on this important alliance and our commercial performance later in the call. Finally, we remain focused on managing our balance sheet.
With the structural changes we announced in April and significant cost reductions we have implemented, as well as our current expectations for our commercial business and possible transactions or anticipated financing activities, we believe our current cash runway can fund our operating plan into 2021. In regard to our pipeline developments, our preclinical good laboratory practice or GLP toxicology study for EYP-nineteen oh one remains on schedule. EYP-nineteen oh one combines our bioerodible Durasert technology with virolinib, an anti vascular endothelial growth factor or anti VEGF molecule and is being advanced as a potential 6 month sustained treatment for wet age related macular degeneration or wet AMD with potential expansion into other retinal diseases that are very attractive market opportunities with approximately $18,000,000,000 in retinal disease global sales and over $6,000,000,000 in the U. S. Alone.
We are excited about the potential for EYP-nineteen oh one as there is significant need for extended treatments for patients to avoid frequent, often monthly eye injections for the rest of their lives. Further, providing extended delivery treatments for ocular diseases presents very difficult challenges, including migration and inflammation. And many drug candidates have failed in the clinic due to problems with their drug delivery technology. Our non erodible Durasert technology has a proven track record with 4 FDA approved products, including YUTIQ delivering thousands of implants to patient size over the years with an excellent safety profile. We believe that combining our bioerodible Durasert with the anti ZEGF virolinib, a molecule that has been tested through Phase 2 trials in humans as an oral therapy and has demonstrated an efficacy signal in wet AMD represents an exciting product candidate for EyePoint.
And we were also very pleased to welcome Doctor. Jay Duke, our Chief Scientific Officer, to lead the strategic advancement of EYP1901, YUTIQ 50, as well as our other research and development and new pipeline expansion opportunities under evaluation. Doctor. Duker is a well renowned leader in the retinal disease space, an ophthalmology drug development entrepreneur and previously served as a member of our Board of Directors since 20 16. We were honored to welcome him to our internal team to provide his expertise on the important growth areas of our pipeline.
I will now turn the call over to Doctor. Duker with additional commentary on our pipeline products. Jay?
Thank you, Nancy, and good morning to all. I joined EyePoint's Board of Directors back in 2016 because I believed in the broad therapeutic potential of the validated Durasert technology for the delivery of medications to the eye. Nancy and the team have since built an integrated commercial and clinical development organization that is well positioned for future growth, driven by both our Durasert technology as well as our Verasome technology, which is used in DEXYCU. Durasert is designed to deliver a variety of potential medications in a controlled sustained release fashion to the posterior segment of the eye. DuraCert has broad application across a wide variety of retinal disease indications, including wet AMD.
WetAMD is a progressive debilitating disease and despite several FDA approved medications remains a leading cause of blindness. This is primarily due to the relatively short duration of action of these anti VEGF class of medications, which therefore necessitates a long term burden on patients, families, providers and the healthcare system. As an exciting potential alternative, EYP-nineteen oh one uses our established Durasert technology, which is in the delivery system for 4 FDA approved sustained release ophthalmic products, including our own YUTIQ and has the potential to provide 6 months sustained delivery of vorulinib, an anti VEGF TKI or tyrosine kinase inhibitor molecule in EYP1901. Verolanab has established efficacy signals observed in 2 prior human trials in wet AMD as an orally delivered agent. Data from the Phase 2 trial of oral verolanib conducted by Tarotenext for the treatment of wet AMD were published in the British Journal of Ophthalmology and demonstrated non inferiority and visual acuity compared to oral placebo.
The 3 oral vorilant dose levels studied also demonstrated a decreased intravitreal anti VEGF injection burden and a longer time to first treatment as compared to placebo. A small portion of patients in each vorilant dosing group did not require another anti VEGF injection after initiation of oral therapy. I'll note that this trial was prematurely stopped due to gastrointestinal and hepatobiliary toxicity signals. However, no significant ocular adverse events were observed during the trial. We believe that placing vorolanib in our bioerodible Durasert technology to locally deliver the drug to the posterior segment via 0 order kinetics can be comparable or even improve results observed for the oral delivery of oralinib without the systemic toxicities associated with oral anti VEGF treatments.
DuraSerta has also demonstrated its safety in thousands of patients and the bioerodible construct has no new excipients from the non erodible construct. Preclinical studies of EYP-nineteen oh one administered into the eye have shown promising anti VEGF activity with no serious safety issues observed to date. We believe that DuraCirte regulatory and clinical history is a critically important differentiator for EYP-nineteen oh one, which may substantially reduce the risk of this development program. We anticipate filing an investigational new drug application or IND with the U. S.
Food and Drug Administration later this year with a Phase 1 clinical trial to follow shortly afterwards. The wet AMD market represents our first disease area and the commercial prospects for EYP-nineteen oh one are compelling as we believe it has potential to be a disruptive and beneficial product option for both patients and physicians. EYP-nineteen oh one also has potential indications for the treatment of diabetic retinopathy, diabetic macular edema and retinal vein obstruction that we anticipate pursuing in the future. In parallel to this exciting development program, I look forward to working with the dedicated team at EyePoint to bring YUTIQ 50 into the clinic and assess additional pipeline expansion opportunities through our DuraSert and Verasome technologies along with potential product and technology in licensing. We look forward to keeping you updated on these items as we progress them forward and into the clinic.
I'll now turn the call over to Scott Jones for the commercial update.
Scott? Thank you, Jay, and welcome aboard. As Nancy mentioned at the beginning of the call, we're very pleased to announce our new commercial alliance for the joint promotion of DEXYCU. The Imprimis team shares our excitement and strong belief in the potential of DEXYCU and we're delighted to have their team help accelerate product growth and adoption. Imprimis will market DEXYCU as a top priority product and will focus its attention and resources on converting customers previously purchasing Tri Moxi.
They will begin deploying their experienced sales specialists and inside sales team immediately, while the EyePoint team retains responsibility for our sales and marketing teams, pricing, manufacturing and contracting. This complementary combination positions DEXYCU for accelerated growth, bringing its many benefits to more physicians and patients. Together, we hope to transition the cataract market from Tri Moxi to DEXYCU and further grow to replace the burdensome steroid eye drop regimen. INPROMISE will be driven by our shared success and is entitled to receive a commission on the incremental DEXYCU sales that exceed predefined volumes. We look forward to working with the Imprimis team for the advancement of DEXYCU.
Now for our own progress during the Q2, we were pleased to see reopenings and the resumption of operations at ASCs and uveitis specialists in select regions across the country. While most are not yet operating at full capacity, many are back to over half capacity. During the quarter, public health authorities and government agencies, including CMS, the Center For Medicare and Medicaid Services, issued recommendations for the reopening of health care systems and the resumption of non essential elective surgeries, including cataract surgery in areas with low or stable incidence of COVID-nineteen. While reopening schedules varied by state, our key account managers were able to resume in person visits in regions subject to more advanced opening phases. We do not know how patients, physicians and clinics will respond to the resurgence of COVID-nineteen that is now occurring, though we have not yet seen an appreciable decline in orders.
Customer demand for DEXYCU, represented as units purchased by ASCs from the company's distributors was down approximately 40% over Q1 with 2,096 units in Q2. June, however, represented the 2nd highest customer demand volume month of 2020 for DEXYCU with 15.92 units ordered in that month alone. DEXYCU has been particularly appreciated during the COVID-nineteen pandemic as it delivers an extended duration therapeutic treatment from a single injection, thus reducing the frequency of in person physician follow-up visits and limiting contact with the patient's face and eye. This compares to steroid eye drop treatment regimens, which can result in poor compliance, frequent face touching and ultimately a need for in person visit. It's important to note that the majority of patients having cataract surgery are of an older age and are considered to be at higher risk for COVID-nineteen.
So a dropless treatment option is becoming more of a priority. Data from our ongoing retrospective study of real world use of DEXYCU that were presented at ASCRS virtual meeting echoed this feedback with the physician survey giving the product high marks and product satisfaction, ease of use and efficacy compared to topical steroids and patient satisfaction. We will also continue to execute on our goal of securing additional volume based agreements with ASCs and integrated healthcare networks to expand access for patients. These conversations are now being conducted virtually and in person and we hope to continue to drive these conversations forward in the coming months. Turning to YUTIQ for chronic non infectious uveitis affecting the posterior segment of the eye.
While some uveitis and retina specialist office remain partially open during the COVID-nineteen restrictions beginning in March, we did see an increase in overall office reopenings beginning in May. Customer demand for YUTIQ represented as units purchased by physicians from the company's distributors was down approximately 20% versus Q1 with 4 28 units in Q2. The reduction was driven by decreased patient office visits due to COVID-nineteen restrictions. Physicians and patients continue to provide positive feedback on the product, especially during the COVID-nineteen pandemic due to its ability to deliver a consistent sustained microdose of steroid 24 hours a day for up to 3 years. YUTIQ can potentially reduce the frequency of patient offices during the course of treatment, a real benefit during the COVID-nineteen pandemic, in addition to providing steady and consistent anti inflammatory control.
Our UT commercial efforts have consisted of in person and virtual engagements to continue to educate the greater uveitis community on the advantages of YUTIQ. Our medical affairs team continues to seek opportunities to highlight YUTIQ at medical meetings, which have all turned virtual, including ASRS and ARVO. These presentations have focused on supportive results from the first Phase 3 study of YUTIQ and reinforce its long term anti inflammatory efficacy. To close, while we are encouraged by the improving customer demand during the quarter for both products, continued growth will depend on the continued easing of restrictions in place surrounding the COVID-nineteen pandemic in various regions and return of patients for these procedures. We are actively monitoring the situation and continue to comply with all associated public health recommendations to ensure the safety of our patients, employees, physicians and other healthcare providers.
Given the unclear trajectory of the pandemic and governmental response, it's difficult to project product demand and revenue for the coming periods. We will continue to move our efforts forward virtually and in person when able to bring our products to patients in need. And our exciting new Imprimis partnership promoting DEXYCU should help to grow customer awareness and demand for this highly innovative and much needed cataract surgery product. I'd like to recognize and thank our commercial organization for their dedication and efforts through this daily changing market. I will now turn the call over to George for a review of the Q2 financials.
George?
Thank you, Scott. Throughout this pandemic, we have focused on preserving our capital and we will continue to monitor the impact of COVID-nineteen on our business. I will now turn to the financial results included in the press release that was issued this morning. For the 3 months ended June 30, 2020, total net revenue was $4,100,000 compared to $7,200,000 for the 3 months ended June 30, 2019. Net product revenue for the 3 months ended June 30, 2020 was $3,700,000 with $2,900,000 for YUTIQ and $800,000 for DEXYCU compared to net product revenue for 3 months ended June 30, 2019 of $6,700,000 generated by YUTIQ.
Net product revenue reported in our financials represents product purchased by EyePoint's distributors whereas customer demand represents purchases of product by physician practices and ambulatory surgery centers from EyePoint's distributors. Net revenue from royalties and collaborations for the 3 months ended June 30, 2020 totaled $416,000 compared to $505,000 in the corresponding quarter in 2019. Operating expenses for the 3 months ended June 30, 2020 decreased to $15,300,000 from $17,400,000 in the prior year period due primarily to decreased sales and marketing costs from our previously announced restructuring as well as lower R and D costs and overall spending management. Non operating expense net for the 3 months ended June 30, 2020 totaled $1,800,000 of net interest expense. Net loss for the 3 months ended June 30, 2020 was $13,000,000 or $0.10 per share compared to a net loss of $11,500,000 or $0.11
per share for the prior year quarter. Cash and cash
equivalents at June 30, 2020 totaled $22,800,000 compared to $22,200,000 at December 31, 2019. We expect that our cash on hand and projected cash inflows from anticipated YUTIQ and DEXYCU product sales, licensing and research collaboration transactions along with additional anticipated financing activities can fund the company's operating plan into 2021, given our current assumptions for the extent of the COVID-nineteen related closures in various regions across the U. S. Our careful management of cash should enable us to achieve some important catalysts, namely completion of the GLP tox study for EYP-nineteen oh one and if positive filing of the IND with the FDA. We continue to evaluate and pursue non dilutive sources of capital such as additional ex U.
S. Outlet sensing opportunities for our commercial products and delivery technologies. I will now turn the call over to the operator for questions.
Thank
Our first question comes from Yale Jen with Laidlaw
Co.
Couple of quick ones here. The first is in terms that you have congrats on the deal with Imprimis. So how should we look at the P and L in terms of are you guys booking the revenue? And how would we consider the I guess the cost for them to sell the product for you?
Hi Yi, this is Nancy. Thank you for the question. Let me first answer the question around the cost and then I'll let George talk about the P and L. So from a cost standpoint, our responsibility is to supply them with selling materials, but all other costs are being borne by them. We'll also manage continue to manage the contracting that is currently being done and all aspects of marketing.
Now we'll continue to also to field our own field force, but they will be responsible for all the costs related to their field force and any internal costs that they manage. We just will provide the training and the marketing materials and continue to manage the, obviously the distribution and tracking. For the P and L, I'll turn that over to George.
Hi, Yale, and good morning. Thanks for dialing in. Yes, I think the way to think about this is going forward. So obviously, we just signed this agreement. So there's no impact in Q2.
It's something we'll expect to come in later this year. But the way to think about it is we still own the product, so we will book and record revenue. That's really unchanged. And any costs associated with the impermiss activities will come in as a commission expense in sales and marketing. So the top line and gross margin will be reflected by IQOS.
Okay, great. That's very helpful. And my next question is about YUTIQ. Given there's uncertainties going forward, but as you look at back to second quarter, in geographically, could you sort of potentially break down in terms of most of the cells are in the region which is already opened up more or has less infections versus the region that has some spikes. So potentially use that as a way to sort of assess the potential sort of sales or usage in the total United States for the next, I guess, 2 quarters?
Yes. I'm going to have Scott answer that, but let me just make one comment. Look, it's so difficult to project right now what's going to happen with the COVID pandemic, and we're not going to be in the business of trying to project what's going to happen by region with that pandemic. So obviously, right now, we're not seeing additional elective surgery shutdowns. I think maybe Southern California might have recently, but it's just too hard to predict.
And we're not going to get in the business of trying to predict by region what could happen. So Scott, you want to comment?
Sure. And thanks for the question, Yale. I think what we've seen is 2 separate aspects. 1 is relative to how much of an impact there has been related to COVID outbreaks in certain areas, obviously, in the Sunbelt and to an extent on the West Coast. We're seeing that now.
And that certainly is impacting the willingness of patients to go into practices and how many patients, practices are able to see. The second aspect is related to the difference between teaching hospitals and private practice. In the uveitis sector, many of our uveitis specialists are in teaching hospitals and teaching hospitals aren't completely back to the same kind of patient volume as they were before. Obviously, they're being much more conservative in terms of the allowance of patient volume and how they're managing that. So that is playing a role as well in terms of the number of uveitis patients that are being seen and treated at this point.
Okay, great.
Yes,
I'll take a comment. So let me just add. That being said, we did not see the reduction in sales with YUTIQ, obviously, that we saw with DEXYCU because uveitis and by the way, let me do a slight correction here. It doesn't the elective surgeries don't impact YUTIQ like it does DEXYCU. So but because YUTIQ is treating a disease that is so serious, You just don't see quite the reduction in treatment procedures that you certainly see in the cataract space.
Okay, great. That's very helpful. And then maybe the last question here is that in PRIMIT, could you give us a little bit idea of in terms of their sort of rep size, particularly in the ocular space as well, their current reach into the various targets in
ASC and others?
Yes. So they have 30 sales representatives that will be deployed to promote DEXYCU in a first position. And then they also have inside sales, and we're not going to disclose that exact number. So that is the current field force that they're going to be deploying. And then as we said in our press release, Tri Moxi is the main product they're going to begin to work to convert.
And they have about 250 1,000 units of Tri Moxi that they sell annually. Now again, we do not expect nor are we at all implying that, that will all get converted nor are we projecting the percent that will get converted. But that is the base business that they will be targeting DEXYCU4. The nice thing about it is that these Tri Moxi physicians are used to injecting a steroid. Tri Moxi is triamcinolone, a steroid, plus moxifloxacin, an antibiotic.
They're used to injecting a steroid drug post cataract surgery as opposed to using steroid eye drops. So these doctors and ASCs are already familiar with injecting these drugs and giving patients that option, which we continue to believe is a very good option for patients to have and especially in this pandemic.
Okay, great. That's very helpful. And congrats on having the deal and look forward to seeing more updates on your 1901.
Thank you.
Thank you. Our next question comes from Yi Chen with H. C. Wainwright. You may proceed with your question.
Thank you for taking my questions. Good morning. First question is, have you observed any changes in the inventory levels of YUTIQ and DEXYCU at distributors?
I'm going to ask Scott to answer that question. But generally, are not giving distributor inventory levels. That's not our policy. However, we do now as you notice are starting to disclose our customer demand levels. So that should give you a good sense for what's the underlying demand for these products and then obviously our reported GAAP revenues.
Scott, do you want to add anything?
Thank you, Nancy. I think what we're seeing with the contractual levels. We haven't seen, a contractual levels. We haven't seen really a break from that during COVID. Obviously, now through the month of June, where we started to see an uptick in the customer demand and that's certainly driving additional inventory and inventory management.
But typically, the distributors are managing their inventory level just pretty similar to how they were before based on a certain number of days of inventory.
Okay. Thank you. Second question is, could you comment on what percentage of normal procedure volume are the ASCs currently operating at? And how many more ASCs can in premise help DEXYCU reach?
Scott, I'll let you answer that.
So it's a great question. And I'm not sure that I can give you a blanket answer. It relates to the cataract market, it really depends on the region of the country. We see some of the accounts that are back to 80%, 90% of their pre COVID volume. And then we see others that are, Sunbelt regions, for example, that are still at the 50% volume.
Those are increasing, but they're not back to kind of pre COVID levels at this point. So it really depends on the particular account, the policies and procedures they have in place as
well as, the region
of country that they're in.
And then the question about the INPROMIS and, what we expect they could do. So again, let me reiterate. We know we've not penetrated even 50% of the ASC market. And particularly, as you know, when we downsized our DEXYCU field force in April because of the pandemic, the ability of INPROMISE to come in and go after their the large number of ambulatory surgery accounts, we do believe will be very helpful. And let me just add again.
So combined between our field force and theirs, we will have 40 TAMs. We have 10 and they have 30 plus they're adding in their inside sales force as well. So we are hopeful that when you add that kind of firepower that we'll see some impact on DEXYCU sales.
Got it. Thank you. My last question is related to the gross margin, which improved in the second quarter. Could you please comment on the trend going forward?
Yes. That's George.
Yes. So the gross margin is obviously weighted by DEXYCU I'm sorry, by YUTIQ, which is a pretty strong performer certainly in Q2. And it's going to carry a higher margin. I think that will certainly be higher weighted for the rest of this year as well.
Okay. Thank you.
Thank you. Our next question comes from Andrew D'Silva with B. Riley FBR. You may proceed with your question.
Yes, good morning. Thanks for taking my questions. Just a couple of quick ones. Just on collaboration with Harrow, how should we think about your DEXYCU gross margins going forward as well as the ICON royalty? And what will if any, will there be an operating margin impact here?
I'm just really I'm just trying to understand some of the rev rec and the finer nuances because I know right now you're not recognizing things necessarily on a net basis, but if they're taking over sales, would you be recognizing gross sales or net sales?
George? Yes, I can take that.
This is George. Good morning. Good question. So the short version is EyePoint still controls that product. And so it's we will book all revenues and it will be shipped through our distributors.
That remains unchanged. Harrow is our partner in the field. And as Nancy pointed out, we're working with our specific customer. The orders will come into our distributors. We will recognize revenue as we have historically.
And margin percentage for the DEXYCU franchise should remain largely unchanged. We still control pricing bundling etcetera. And so where you'll see the expense for Harrow's participation will be under selling and marketing costs as it will be recorded by us as a commission.
Okay. And can you give us a kind of a range of what that could look like so that we can more accurately model that?
We haven't disclosed that yet. I'm not sure it's going to be in the agreement. But if you look at your typical co promotion agreements co promotion agreements across the space, these are anywhere from 20% to 40% sharing depending on the molecule. And we're somewhere in that range, but not we haven't guided on that specific. We may come back and update that, but for now, we're staying it's not public yet.
Okay, fair enough. And can you discuss just the overlap that you have with ambulatory surgery centers or physicians? I think Imprimis touched somewhere around 9,000 physicians fairly recently. How close was your legacy team to that number? And then from a regional standpoint, what was the overlap or crossover like between the two organizations?
Yes, Andy, that's information we're not at liberty to disclose. And but let me say this, again, you can imagine that they've got broader reach than we do. They've been on the market a lot longer. They've got a more established field force and they've got a much larger base of business than we do. So suffice it to say that we know that their reach and the number of accounts they have is larger than what we have.
And the percent that we overlap, we're not going to disclose that.
Okay. And can you give us just an update on your thoughts on pass through status? Obviously, live disruption taking place with the pandemic. Would it be fair to assume there should be an extension? And I know with the whole thing took place in Medria a couple of years back, they got that moved 5 years.
Is there still talks with you getting that 2 year extension on top of it?
So I'm going to let Scott answer that question, but let me also just say that Scott has been leading an effort on our side and in fact, quite frankly, leading in terms of most of the ophthalmology industry, taking a real leadership role here in terms of working around the we are active in working with potential pass through extension and Scott's been taking a very active role in that. So Scott, do you want to add anything?
Sure. Thanks for the question, Andy. So really there's 3 separate projects going on right now. The first is relating to extending what's called the tolling period for the public health emergency. Basically that means during the public health emergency, just stop the time clock in terms of pass through.
So there is legislation that's currently been introduced that we believe will be part of the potentially part of the next stimulus package. Secondly, we're still working on a longer a long term extension, similar to the asking for the extension go from 3 to 5 years. That's something we're still working on. And then again, we're still seeking along with many of the others in the ophthalmology community still seeking a different payment mechanism for these drugs. So those are longer term projects.
But again, the most pressing is related to extension because of the pass through or excuse me, because of the public health emergency. And so I think we will know how that is moving pretty quickly as we believe, again, it may be part of the stimulus package.
Okay, great. And just last question for me, just as it relates to 1901, and then I get this question from investors. Is the largest benefit with the candidate in your opinion relative to the anti VEGF mAbs or antibody fragments that are on the market just adherence? Or is there actually an efficacy signal or benefit you're expecting as well outside of just benefits that would come through adherence?
Okay. For that question, I'm going to have Doctor. Duker answer our as you know, our new Chief Scientific Strategy Officer. So Jay?
Well, it's certainly possible that TKIs may have an efficacy benefit over the fabs, but we don't anticipate that being our benefit. I think there are 2 issues here that we can deliver on. The first is this uroter kinetics. I think it's certainly possible that by delivering anti VEGF medication over a long period of time at a set level, especially when you're blocking a receptor as opposed to blocking a ligand that there should be at least equal efficacy with potentially more. But of course, efficacy is a funny thing to measure in these VEGF mediated diseases.
Visual acuity is what the patient cares about and ultimately what the doctor cares about the most. And if you'll go through the anti VEGF study, the visual acuity data is often very similar between classes of medications for wet AMD. But what we also care about is side effects and length of time that a single injection will work. And that's really where the sweet spot is for us is we think we can deliver an efficacious amount of drug for 6 months with a single injection. And so while we're not anticipating improved visual acuity data, we think we can do at least as well.
We think our length of time of action will be superior to what's on the market now.
Interesting. Yes, it makes me kind of think about the new day clinical trial that your partner Alimera is doing with ILUVIEN right now relative to EYLEA. But that will be another conversation. I'll take that offline. Good luck going forward.
Thank you.
Thank you, Andy.
Thank you. Our next question comes from Dana Flanders with Guggenheim. You may proceed with your question.
Great. Thank you very much for the questions. And I'm joining the call late, so apologies if these have been asked or you've addressed them in the prepared remarks. But just curious, two questions on DEXYCU. How we should expect the impact from the Imprimis sales force, just timing on that?
How much time is it going to take to get them up and running and trained on the product? And when you would expect to start to see a positive impact from the marketing the drug? And then my second question, I know there's a lot of kind of moving pieces to the launch this year with COVID and now the ecommerce co promote and you've certainly gained experience with the launch. Nancy, just has your view on the potential of DEXYCU changed at all over the medium term? Or are you still confident in kind of the sales growth for DEXYCU into 2021 2022?
Thank you.
Yes. Hi, Dana, and thanks for joining. So let me
We may have lost Nancy. Is everyone else still on?
Yes.
Yes, we're still here.
So we'll give her a moment to come back. But Scott, while we wait for Nancy, maybe you can talk to this point on the time to get the Imprimis team up to speed and liking that the onboarding of a new rep might be helpful?
Yes, absolutely. So we actually kicked off the kind of the initiation of this project yesterday. And we're already starting to put together training programs in different ways. Obviously, it's a little different than training a brand new rep because they have extensive background in the cataract space. So really the focus is going to be on making sure that they're completely up to speed on all aspects of DEXYCU and the insertion of DEXYCU.
So while it's hard to give you an exact answer on whether it's going to take 1 month or 2 quarters, it will definitely be somewhere in that range. We do expect that they will be fully trained in the next month and certainly be out promoting the product and we'll see an impact based on that in the coming months.
Hi. Just confirming if Nancy is back. Okay. We'll get so Dana, this is George. On your question regarding DEXYCU, so just when we made the decision in April to restructure the commercial organization because of COVID and to manage our burn, it was really with an eye toward making DEXYCU a franchise that begins to produce cash for the organization.
And so part of that was making this more focused sales force to drive this business, which we think is very nicely poised, especially on the other of COVID because it does have that opportunity to keep patients distance from office visits, pharmacies, etcetera. And so what's really nice about the collaboration with Inpromis is we are rapidly massively expanding our footprint from our 10 to 30 plus salespeople. And so we're covering a lot more ground with them. And as importantly for EyePoint, we're not investing in that infrastructure early. It's really coming with an established capability and customer base that it's a nice upside deal for both companies.
And so we haven't guided on specific DEXYCU revenue. We talked early in the call that the country is still opening up in different places and we're not sure what's going to happen if there's a resurgence of the virus. And so, we're taking a wait and see approach except we did see decent demand in June.
I'm sorry, folks. Obviously, it's the beauty of this virtual world. So my call completely dropped, but I'm back on now. All
right. I think we answered it, Nancy. But Dana, do you have it was that helpful?
Yes. No, that was very helpful. Thank you.
Okay, great. And I'm not showing any further questions at this time.
I would
now like to turn the call back over to Nancy Lerter for any further remarks.
So thank you everyone for joining the call today. We remain very enthused and excited about our partnership with ImprimisRx and our current trajectory of where we see things headed barring any further impact from the pandemic. However, again, we're pleased with the progress that we've made. The team has been working very hard and we'll continue to do so on behalf of investors. Thank you and enjoy your day.