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ARS Pharmaceuticals Provides Commercial and Financial Updates

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ARS Pharmaceuticals (Nasdaq: SPRY) reported no new commercial formulary additions or coverage decisions for neffy in the July 1, 2026 cycle, while payer talks continue. The company cut 2026 cash-based operating expenses (ex-COGS) to about $248 million, reaffirmed a 2027 cash-flow breakeven path, and expects Phase 2b CSU interim data in Q4 2026. Florida added neffy to its unrestricted Medicaid formulary effective July 1, 2026.

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AI-generated analysis. How Rhea-AI works. Not financial advice.

Positive

  • 2026 cash-based operating expenses ex-COGS reduced to about $248 million
  • Company reaffirms path to cash-flow breakeven in 2027
  • Florida adds neffy to unrestricted Medicaid formulary effective July 1, 2026
  • Phase 2b CSU program interim data readout expected in Q4 2026

Negative

  • No new commercial formulary additions or coverage decisions for neffy in July 1, 2026 cycle

News Market Reaction – SPRY

-23.91%
17 alerts
-23.91% News Effect
+12.2% Peak Tracked
-29.8% Trough Tracked
-$337M Valuation Impact
$1.07B Market Cap
0.1x Rel. Volume

On the day this news was published, SPRY declined 23.91%, reflecting a significant negative market reaction. Argus tracked a peak move of +12.2% during that session. Argus tracked a trough of -29.8% from its starting point during tracking. Our momentum scanner triggered 17 alerts that day, indicating notable trading interest and price volatility. This price movement removed approximately $337M from the company's valuation, bringing the market cap to $1.07B at that time.

Data tracked by StockTitan Argus on the day of publication.

What This Means

The stock dropped -23.9% in the session following this news. A negative reaction despite positive co...
Analysis

The stock dropped -23.9% in the session following this news. A negative reaction despite positive cost discipline and a 2027 breakeven goal fits SPRY’s history of selling off on good news, and elevated short interest above 30% of float could further pressure sentiment if concerns grow.

Key Figures

2026 operating expenses: $248 million Cash-flow breakeven target: 2027 Phase 2b interim readout: Q4 2026 +2 more
5 metrics
2026 operating expenses $248 million Total 2026 cash-based operating expenses excluding COGS, lowered outlook
Cash-flow breakeven target 2027 Company reaffirms neffy base business supports path to breakeven
Phase 2b interim readout Q4 2026 Interim data for chronic spontaneous urticaria program expected
CSU patient population 1.6 million patients Estimated number of chronic spontaneous urticaria patients in the U.S.
Florida Medicaid start date July 1, 2026 Effective date for neffy on Florida’s unrestricted Medicaid formulary

Historical Context

5 past events · Latest: Jun 04 (Positive)
Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Jun 04 Awareness partnership Positive +3.7% Collaboration with Drew Brees to raise awareness of severe allergies and neffy.
May 15 Earnings update Positive -6.5% Q1 2026 results with higher revenue and growing neffy product sales despite losses.
May 13 Leadership change Positive -7.2% Appointment of industry veteran Donn Casale as President to drive commercialization.
May 07 Earnings call notice Neutral -3.0% Announcement of upcoming Q1 2026 earnings conference call and webcast details.
Apr 15 Regulatory approval Positive -1.5% Health Canada approval of neffy as first needle-free epinephrine treatment for anaphylaxis.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Recent SPRY news has often been followed by share price declines even on broadly positive updates.

Regulatory & Risk Context

Short Interest: 34.07%
Short Interest
34.07% of float
0% 15% 30%+
high as of 2026-05-29 Days to cover: 14.08

Short positioning is high, indicating elevated potential for volatility and sensitivity to news, including the risk of sharp moves if sentiment or positioning shifts.

Key Terms

formulary, cost of goods sold (cogs), cash-flow breakeven, phase 2b, +2 more
6 terms
formulary regulatory
"no new commercial formulary additions or coverage decisions have been issued"
A formulary is a list of prescription drugs that a health insurer, hospital system, or government program has approved for coverage and payment. Think of it like an approved menu or shopping list that determines which medicines patients can get with financial help. For investors, formulary placement affects a drug maker’s potential sales, pricing power and market access, so being included—or excluded—can materially change a company’s revenue outlook.
cost of goods sold (cogs) financial
"2026 cash-based operating expenses, excluding cost of goods sold (COGS), to approximately"
Cost of goods sold (COGS) is the total direct cost a company pays to make or buy the items it sells — for example, the raw materials, factory labor, or wholesale purchases needed to produce each product. Investors track COGS because it directly reduces the money left over from sales to cover other expenses and profit; higher or rising COGS relative to revenue can shrink margins, reveal production or supply problems, or limit a company’s pricing power.
cash-flow breakeven financial
"base business supports a path to cash-flow breakeven in 2027"
Cash-flow breakeven is the point at which a company’s incoming cash from sales and operations equals the cash it spends on day-to-day activities, so it no longer needs outside funding to keep running. For investors this signals that the business can sustain itself like a household that can pay its bills from its paycheck; reaching breakeven reduces the risk of further borrowing or share dilution and can improve the company’s valuation prospects.
phase 2b medical
"The Company’s Phase 2b trial evaluating its intranasal technology for acute flares in CSU"
Phase 2b is a stage in the development of a new medicine or treatment where researchers test its effectiveness and safety in a larger group of people. This step helps determine whether the treatment works well enough to move forward and if it has manageable side effects, which is important for investors because successful results can lead to potential approval and market opportunity.
chronic spontaneous urticaria medical
"Phase 2b chronic spontaneous urticaria (CSU) program interim data readout expected"
A long-term condition that causes recurring, itchy hives and sometimes swelling that appear without a clear trigger, like an alarm that goes off unpredictably on its own. It matters to investors because its chronic nature creates ongoing demand for treatments, diagnostics and follow-on care, influencing pharmaceutical research priorities, drug market size, regulatory review timelines and healthcare cost projections.
medicaid regulatory
"State Medicaid coverage has expanded with Florida adding neffy to its unrestricted Medicaid formulary"
Medicaid is a government-funded health insurance program that provides medical coverage to low-income individuals, families, elderly people and people with disabilities, administered jointly by the federal government and state governments in the United States. For investors, Medicaid matters because changes in eligibility, funding, or payment rules can alter patient volume and the prices hospitals, nursing homes, insurers and medical suppliers receive—similar to how a large customer or contract can shift a company’s revenue outlook.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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No new commercial formulary additions or coverage decisions issued for neffy (epinephrine nasal spray) in the July 1, 2026 cycle; company to continue payer discussions for potential future inclusion

Total 2026 cash-based operating expenses, excluding COGS, lowered to $248 million, reflecting lower second-half spending and continued investment discipline

Company reaffirms neffy base business supports a path to cash-flow breakeven in 2027

Phase 2b chronic spontaneous urticaria (CSU) program interim data readout expected Q4 2026

SAN DIEGO, June 24, 2026 (GLOBE NEWSWIRE) -- ARS Pharmaceuticals, Inc. (Nasdaq: SPRY), a biopharmaceutical company dedicated to empowering at-risk patients and their caregivers to better protect against allergic reactions that could lead to anaphylaxis, today provided an update on payer access for neffy® (epinephrine nasal spray) and an updated financial outlook for 2026 and 2027.

  • Access and payer coverage: Despite certain payer discussions ongoing until mid-June, based on recent feedback, no new commercial formulary additions or coverage decisions have been issued for neffy in the July 1, 2026 cycle. ARS Pharma intends to continue working with the remaining payers, and notes that neffy remains broadly accessible to commercially insured patients with the combination of direct coverage and a recently introduced retail cash option at a price consistent with other epinephrine products. Demand has continued to grow independent of additional coverage additions. State Medicaid coverage has expanded with Florida adding neffy to its unrestricted Medicaid formulary effective July 1, 2026.
  • 2026 cash-based operating expenses: The Company has reduced its planned full-year 2026 cash-based operating expenses, excluding cost of goods sold (COGS), to approximately $248 million, reflecting prioritized commercial investment and enhanced cost discipline in the second half of 2026.
  • 2027 outlook: Combined with continued growth in the neffy base business, the Company reaffirms that its base business provides a path to reach cash-flow breakeven in 2027.
  • Base business supports expansion to CSU: ARS Pharma intends to build a profitable, growing commercial franchise around neffy that will underpin the Company’s financial trajectory and fund its pipeline development. The Company’s Phase 2b trial evaluating its intranasal technology for acute flares in CSU has completed enrollment of its interim population and interim data are expected in the fourth quarter of 2026. ARS Pharma views CSU as a potential significant future growth driver, with an estimated 1.6 million patients affected in the U.S. alone.

“Every day, more patients and caregivers are choosing neffy to protect against life-threatening allergic reactions. We believe the strength and trajectory of neffy provides us with a path to cash-flow breakeven next year while also allowing us to invest in what we believe is a very significant opportunity – potentially bringing the first treatment for acute flares to the millions of people living with chronic spontaneous urticaria,” said Richard Lowenthal, Co-founder and CEO of ARS Pharma.

About neffy®
neffy is a nasal spray used for emergency treatment of allergic reactions including anaphylaxis, in adults and children who weigh 33 lbs. or greater.

INDICATION AND IMPORTANT SAFETY INFORMATION FOR neffy (epinephrine nasal spray)

INDICATION

neffy is indicated for emergency treatment of type I allergic reactions, including anaphylaxis, in adult and pediatric patients who weigh 33 lbs. or greater.

IMPORTANT SAFETY INFORMATION
neffy contains epinephrine, a medicine used to treat allergic emergencies (anaphylaxis). Anaphylaxis can be life-threatening, can happen in minutes, and can be caused by stinging and biting insects, allergy injections, foods, medicines, exercise, or other unknown causes.

Always carry two neffy nasal sprays with you because you may not know when anaphylaxis may happen and because you may need a second dose of neffy if symptoms continue or come back. Each neffy contains a single dose of epinephrine. neffy is for use in the nose only.

Use neffy right away, as soon as you notice symptoms of an allergic reaction. If symptoms continue or get worse after the first dose of neffy, a second dose is needed. If needed, administer a second dose using a new neffy in the same nostril starting 5 minutes after the first dose. Get emergency medical help for further treatment of the allergic emergency (anaphylaxis), if needed after using neffy.

Tell your healthcare provider if you have underlying structural or anatomical nasal conditions, about all the medicines you take, and about all your medical conditions, especially if you have heart problems, kidney problems, low potassium in your blood, Parkinson's disease, thyroid problems, high blood pressure, diabetes, are pregnant or plan to become pregnant, or plan to breastfeed.

Tell your healthcare provider if you take or use other nasal sprays or water pills (diuretics) or if you take medicines to treat depression, abnormal heart beats, Parkinson's disease, heart disease, thyroid disease, medicines used in labor, and medicines to treat allergies. neffy and other medications may affect each other, causing side effects. neffy may affect the way other medicines work, and other medicines may affect how neffy works.

neffy may cause serious side effects. If you have certain medical conditions or take certain medicines, your condition may get worse, or you may have more or longer lasting side effects when you use neffy.

Common side effects of neffy include: nasal discomfort, headache, throat irritation, chest and nasal congestion, feeling overly excited, nervous or anxious, nose bleed, nose pain, sneezing, runny nose, dry nose or throat, tingling sensation, including in the nose, feeling tired, dizziness, nausea, and vomiting.

Tell your healthcare provider if you have any side effects that bother you or that do not go away after using neffy.

These are not all of the possible side effects of neffy. Call your healthcare provider for medical advice about side effects. To report side effects, contact ARS Pharmaceuticals Operations, Inc. at 1-877-MY-NEFFY (877-696-3339) or the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Please see the full Prescribing Information and Patient Information for neffy.

About Type I Allergic Reactions Including Anaphylaxis
Type I allergic reactions are serious and potentially life-threatening events that can occur within minutes of exposure to an allergen and require immediate treatment with epinephrine, the only FDA-approved medication for these reactions. While epinephrine auto-injectors have been shown to be highly effective, there are well published limitations that result in many patients and caregivers delaying or not administering treatment in an emergency situation. These limitations include fear of the needle, lack of portability, needle-related safety concerns, lack of reliability, and complexity of the devices. There are approximately 40 million people in the United States who experience Type I allergic reactions. Of this group, over the last three years, approximately 20 million people have been diagnosed and treated for severe Type I allergic reactions that may lead to anaphylaxis, but (in 2023, for example) only 3.2 million filled their active epinephrine auto-injector prescription, and of those, only half consistently carry their prescribed auto-injector. Even if patients or caregivers carry an auto-injector, more than half either delay or do not administer the device when needed in an emergency.

About ARS Pharmaceuticals, Inc.
ARS Pharma is a biopharmaceutical company dedicated to empowering at-risk patients and their caregivers to better protect patients against allergic reactions that could lead to anaphylaxis. The Company is commercializing neffy® (trade name EURneffy® in the EU and UK and 优敏速® in China), an epinephrine nasal spray indicated in the U.S. for emergency treatment of Type I allergic reactions, including anaphylaxis, in adult patients and pediatric patients who weigh 33 lbs. or greater, and in the EU for emergency treatment of allergic reactions (anaphylaxis) due to insect stings or bites, foods, medicinal products, and other allergens as well as idiopathic or exercise induced anaphylaxis in adults and children who weigh 15 kg or greater. For more information, visit www.ars-pharma.com.

Forward-Looking Statements
Statements in this press release that are not purely historical in nature are “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. These statements include, but are not limited to: ARS Pharma’s plans to continue payer discussions for potential future inclusion; ARS Pharma’s base business supports a path to cash-flow breakeven in 2027; the expected timing for ARS Pharma’s Phase 2b CSU program’s interim data readout; ARS Pharma’s intention to build a profitable, growing commercial franchise around neffy; the potential of CSU to be a significant future growth driver for ARS Pharma; and other statements that are not historical fact. Because such statements are subject to risks and uncertainties, actual results may differ materially from those expressed or implied by such forward-looking statements. Words such as “anticipate,” “believe,” “can,” “could,” “expect,” “if,” “intend,” “may,” “on track,” “potential,” “plan,” “will,” and similar expressions are intended to identify forward-looking statements. These forward-looking statements are based upon ARS Pharma’s current expectations and involve assumptions that may never materialize or may prove to be incorrect.

Actual results and the timing of events could differ materially from those anticipated in such forward-looking statements as a result of various risks and uncertainties, which include, without limitation: potential safety and other complications from neffy; the ability to maintain regulatory approval for neffy in its currently approved indications; the scope, progress and expansion of developing and commercializing neffy; the risk that expenses will be higher than anticipated; the scope, progress and expansion of developing our intranasal epinephrine technology; clinical trial results; the potential for governments and payors to delay, limit or deny coverage for neffy; the size and growth of the market for neffy and the rate and degree of market acceptance thereof vis-à-vis intramuscular injectable products; ARS Pharma’s ability to protect its intellectual property position; and the impact of government laws, regulations and policies. Additional risks and uncertainties that could cause actual outcomes and results to differ materially from those contemplated by the forward-looking statements are included under the caption 'Risk Factors' in ARS Pharma's Annual Report on Form 10-K for the year ended December 31, 2025, filed with the Securities and Exchange Commission (“SEC'), and as updated by the 'Risk Factors' in ARS Pharma's Quarterly Report on Form 10-Q for the quarter ended March 31, 2026. These documents can also be accessed on ARS Pharma’s website at www.ars-pharma.com by clicking on the link “Financials & Filings” under the “Investors & Media” tab.

The forward-looking statements included in this press release are made only as of the date hereof. ARS Pharma assumes no obligation and does not intend to update these forward-looking statements, except as required by law. For more information, visit www.ars-pharma.com, and follow us on LinkedIn and X.

ARS Investor Contacts:
Justin Chakma
ARS Pharmaceuticals
justinc@ars-pharma.com

ARS Media Contact:
Christy Curran
Sam Brown Inc.
615.414.8668
christycurran@sambrown.com


FAQ

What commercial coverage update did ARS Pharmaceuticals (SPRY) give for neffy on June 24, 2026?

ARS Pharmaceuticals reported no new commercial formulary additions or coverage decisions for neffy in the July 1, 2026 cycle. According to ARS Pharma, payer discussions are continuing, and neffy remains broadly accessible to commercially insured patients through direct coverage and a retail cash option.

How much will ARS Pharmaceuticals spend on 2026 cash-based operating expenses ex-COGS (SPRY)?

ARS Pharmaceuticals lowered its planned 2026 cash-based operating expenses, excluding COGS, to about $248 million. According to ARS Pharma, this reflects prioritized commercial investment and enhanced cost discipline in the second half of 2026 while continuing to support neffy and pipeline development.

What is ARS Pharmaceuticals’ cash-flow breakeven outlook for 2027 for SPRY shareholders?

ARS Pharmaceuticals reaffirmed that its neffy base business supports a path to cash-flow breakeven in 2027. According to ARS Pharma, continued demand growth for neffy is expected to underpin a profitable, growing commercial franchise and help fund further pipeline programs.

How did Medicaid coverage for neffy (SPRY) change as of July 1, 2026?

Florida added neffy to its unrestricted Medicaid formulary effective July 1, 2026. According to ARS Pharma, this expands state Medicaid access while commercially insured patients can obtain neffy through existing coverage channels and a retail cash option aligned with other epinephrine products.

What is the status of ARS Pharmaceuticals’ Phase 2b CSU trial and when are data expected?

ARS Pharmaceuticals’ Phase 2b trial in chronic spontaneous urticaria has completed enrollment of its interim population. According to ARS Pharma, interim data from this CSU study of its intranasal technology for acute flares are expected in the fourth quarter of 2026.

Why does ARS Pharmaceuticals view the CSU program as a future growth driver for SPRY?

ARS Pharmaceuticals considers CSU a potential significant future growth driver due to its large patient population. According to ARS Pharma, an estimated 1.6 million people in the U.S. have chronic spontaneous urticaria, and the company is developing an intranasal treatment for acute flares.