TherapeuticsMD (TXMD) risk factors, FY2025 10-K

TherapeuticsMD's FY2025 10-K, filed Mar 30, 2026, lists 51 risk factors in 3 groups. Against the prior year's 50: 3 new, 2 dropped, 10 substantially reworded.

Risk factors listed
513 groups
New this year
3vs 50 last year
Dropped
2since the prior 10-K
Substantially reworded
10of those kept
Section length
18k wordsItem 1A

What the changes say

  • Legal disputes with licensee Mayne Pharma escalate into active lawsuits over rebates, returns, and working capital.
  • Substantial doubt persists about going concern status, with cash reserves dropping to $7.5 million by year-end 2025.
  • Strategic alternatives are being actively explored while reliance on royalty streams from Mayne Pharma continues entirely.

What changed since the prior 10-K

New

  • New

    We must rely on Mayne Pharma to prosecute, file lawsuits, or take other actions to protect or enforce our intellectual property, and Mayne Pharma may not take such actions or be successful

    We depend entirely on Mayne Pharma to protect the intellectual property covering our hormone therapy products.

  • NewRisks related to our business

    Government authorities continue to pursue actions against pharmaceutical companies for violations of fraud, abuse and other laws

    Government authorities continue targeting pharmaceutical companies for violations of fraud and abuse laws like the False Claims Act and AKS.

  • NewRisks related to ownership of our common stock

    If the Company’s continued exploration of strategic alternatives is unsuccessful, our financial condition and results of operations may be materially adversely affected

    Exploring strategic alternatives like a merger or acquisition may incur substantial expenses and fail to provide greater value.

Dropped

  • DroppedRisks related to our business

    Recent government enforcement has targeted pharmaceutical companies for violations of fraud, abuse and other laws

  • DroppedRisks related to our business

    The announcement and pendency of Mayne Pharma Group’s agreement to be acquired by Cosette Pharmaceuticals, Inc. could have an adverse effect on our business, operations, and financial condition

Reworded

  • 100% rewritten

    We have incurred net losses in the past and may not be able to maintain or increase profitability in the future

    Added specific risks regarding going concern doubt, Mayne Pharma disputes, and winding down expenses, replacing specific 2024 net loss figures of $2.2 million.

    Was: We have incurred net losses in the past and there are no assurances we will be able to maintain or increase profitability in the future

  • 87% rewrittenRisks related to our business

    Our revenue, results of operations and financial position could be affected by our ongoing disputes with Mayne Pharma

    Updated to disclose the filing of the Mayne Lawsuit on April 8, 2025, and Mayne Pharma's counter-suit on May 30, 2025.

  • 74% rewrittenRisks related to our business

    Current or future legislation or regulations may adversely affect reimbursement from government healthcare programs and third-party payers

    Added the impact of the Inflation Reduction Act of 2022, requiring price negotiations with Medicare starting in 2026.

  • 61% rewrittenRisks related to our business

    Unfavorable global economic conditions could harm our business, financial condition or results of operations

    Added risks regarding potential U.S. tariffs and changes in trade policies increasing supply chain costs.

  • 55% rewrittenRisks related to our business

    There is substantial doubt about our ability to continue as a going concern

    Updated auditor to Carr, Riggs & Ingram, L.L.C., disclosed cash of $7.5 million as of December 31, 2025, and referenced the Mayne Lawsuits.

  • 46% rewrittenRisks related to our business

    We currently derive all revenue from royalties related to sales of our licensed women’s healthcare products, and the failure of our licensees to maintain or increase sales of these products could have an adverse effect on our business, financial condition, results of operations, and growth prospects

    Retained core reliance on Mayne Pharma royalty revenues for women's healthcare products with identical structural sub-risks.

  • 37% rewrittenRisks related to our business

    Our products face significant competition from branded and generic products, and our operating results will suffer if we fail to compete effectively

    Maintained identical text regarding intense competition from branded and generic pharmaceutical companies.

  • 29% rewrittenRisks related to ownership of our common stock

    Our principal stockholder owns a significant percentage of our stock and will be able to exert significant control over matters subject to stockholder approval

    Updated Rubric Capital Management LP ownership stake slightly from 25.6% to 25.5% as of December 31, 2025.

  • 25% rewrittenRisks related to our business

    We sublease our properties, which could expose us to possible liabilities and losses

  • 22% rewrittenRisks related to our intellectual property

    We must rely on Mayne Pharma to file lawsuits or take other actions to protect or enforce our patents and they may not take such actions or be successful

    Was: We must rely on Mayne Pharma to file lawsuits or take other actions to protect or enforce our patents and there can be no assurance they will take such actions or be successful

All 51 risk factors

Headings as the filing states them, in filing order.

Other

  1. 01We have incurred net losses in the past and may not be able to maintain or increase profitability in the future100% rewritten
  2. 02We must rely on Mayne Pharma to prosecute, file lawsuits, or take other actions to protect or enforce our intellectual property, and Mayne Pharma may not take such actions or be successfulNew

Risks related to our business

  1. 03We currently derive all revenue from royalties related to sales of our licensed women’s healthcare products, and the failure of our licensees to maintain or increase sales of these products could have an adverse effect on our business, financial condition, results of operations, and growth prospects46% rewritten
  2. 04There is substantial doubt about our ability to continue as a going concern55% rewritten
  3. 05We have experienced significant turnover in our top executives, and our business could be adversely affected by these and other transitions in our senior management team
  4. 06Our dependence upon third parties for the manufacture and supply of our existing women’s healthcare products may cause delays in or prevent our licensees from successfully commercializing and marketing our products
  5. 07The commercial success of our existing products will depend upon gaining and retaining significant market acceptance of these products among physicians and payers
  6. 08Coverage and reimbursement may not be available for our products, which could make it difficult for our licensees to sell our products profitably
  7. 09The availability of generic products at lower prices than branded products may substantially reduce the likelihood of reimbursement for branded products, such as IMVEXXY, BIJUVA, and ANNOVERA
  8. 10Our revenue, results of operations and financial position could be affected by our ongoing disputes with Mayne Pharma87% rewritten
  9. 11Unfavorable global economic conditions could harm our business, financial condition or results of operations61% rewritten
  10. 12We sublease our properties, which could expose us to possible liabilities and losses25% rewritten
  11. 13Licensing of intellectual property involves complex legal, business, and scientific issues, and disputes could jeopardize our rights under such agreements
  12. 14We maintain our cash at financial institutions, often in balances that exceed federally insured limits
  13. 15Our products and our licensees are subject to extensive and costly government regulation
  14. 16Current or future legislation or regulations may adversely affect reimbursement from government healthcare programs and third-party payers74% rewritten
  15. 17Time and costs associated with winding down our general and administrative, commercial, and research and development activities may be significant
  16. 18Even after the approval of IMVEXXY, BIJUVA, and ANNOVERA, the products and the holder of the marketing authorizations will still face extensive, ongoing regulatory requirements and review, and the products may face future development and regulatory difficulties
  17. 19Government authorities continue to pursue actions against pharmaceutical companies for violations of fraud, abuse and other lawsNew
  18. 20Ours or our licensee’s compliance controls, policies, and procedures may not be sufficient to protect against acts of ours or their employees, business partners, licenses, or vendors that may violate federal or state fraud and abuse laws or other applicable requirements
  19. 21If our dietary supplement, hormone therapy pharmaceutical products or patient-controlled, long-acting contraceptive products do not have the effects intended or cause undesirable side effects, our business may suffer
  20. 22Our products face significant competition from branded and generic products, and our operating results will suffer if we fail to compete effectively37% rewritten
  21. 23Our future success depends on our ability to attract and retain qualified personnel
  22. 24Our business may be impacted by any future pandemics or epidemics. The severity of the impact of any pandemic on our business and operating results will depend on future developments that are highly uncertain and cannot be accurately predicted
  23. 25Also, disruptions have occurred and may occur in the future that affect our licensees’ ability to obtain supplies or other components for our products, manufacture additional products, or deliver inventory in a timely manner. This would result in lost sales (and royalties) and damage to our reputation
  24. 26Our success is tied to our licensees’ distribution channels
  25. 27As of December 31, 2025, we had federal net operating loss (“NOL”) carryforwards of $584.6 million. Subject to applicable limitations, our NOL may be used to offset future taxable income, to the extent we generate any taxable income, and thereby reduce our future federal income taxes otherwise payable
  26. 28Any failure of our licensees to adequately maintain a sales force or adequately promote our products will impede our growth

Risks related to our intellectual property

  1. 29If our efforts or the efforts of our licensees to protect the proprietary nature of the intellectual property covering our hormone therapy pharmaceutical products and other products are not adequate, we may not be able to compete effectively in our market
  2. 30We must rely on Mayne Pharma to file lawsuits or take other actions to protect or enforce our patents and they may not take such actions or be successful22% rewritten

Risks related to ownership of our common stock

  1. 31We may be treated as a “public shell” company which could have negative consequences, including potential Nasdaq delisting of our common stock
  2. 32Our principal stockholder owns a significant percentage of our stock and will be able to exert significant control over matters subject to stockholder approval29% rewritten
  3. 33If we fail to maintain proper internal controls, our ability to produce accurate financial statements or comply with applicable regulations could be impaired
  4. 34We do not currently intend to pay dividends on our common stock so any returns may be limited to the value of our stock
  5. 35Some provisions of our charter documents and Nevada law may have anti-takeover effects that could discourage an acquisition of us by others, even if an acquisition would be beneficial to our stockholders and may prevent attempts by our stockholders to replace or remove our current management
  6. 36Our business may be affected by unfavorable publicity or lack of consumer acceptance
  7. 37Our licensees may initiate product recalls or withdrawals or may be subject to regulatory enforcement actions that could negatively affect our business
  8. 38Product liability lawsuits could divert our resources, result in substantial liabilities, and reduce the commercial potential of our products
  9. 39A failure to maintain optimal inventory levels to meet commercial demand for our products could harm our and our licensees’ reputation and subject us to financial losses
  10. 40Our business may be impacted by new or changing tax laws or regulations and actions by federal, state, and/or local agencies, or how judicial authorities apply tax laws
  11. 41We may not be able to maintain effective and efficient information systems or properly safeguard our information systems
  12. 42Our failure to comply with foreign data protection laws and regulations could lead to government enforcement actions and significant penalties against us, and adversely impact our operating results
  13. 43Our employees and business partners may not appropriately secure and protect confidential information in their possession
  14. 44Employees may engage in misconduct or other improper activities, including noncompliance with regulatory standards and requirements and insider trading
  15. 45If we are sued for infringing intellectual property rights of third parties, litigation will be costly and time consuming and could prevent or delay us from developing or commercializing our pharmaceutical product candidates
  16. 46If we are unable to protect the confidentiality of certain information, the value of our products and technology could be adversely affected
  17. 47If the Company’s continued exploration of strategic alternatives is unsuccessful, our financial condition and results of operations may be materially adversely affectedNew
  18. 48We may be subject to claims that our former employees wrongfully used or disclosed alleged trade secrets of their former employers or of other third parties with whom we have obligations of confidentiality
  19. 49The market price of our common stock may be highly volatile, and you could lose all or part of your investment
  20. 50If securities or industry analysts do not publish research or publish inaccurate or unfavorable research about our business, our stock price and trading volume could decline
  21. 51Future sales and issuances of equity securities, convertible securities or other securities could result in additional dilution of the percentage ownership of holders of our common stock

Other TherapeuticsMD 10-Ks

  • FY2024 10-K risk factors
    50 risks

    The company operates strictly as a royalty-dependent business following the Mayne Transaction, relying on third-party licensees for product sales.

    Filed Mar 27, 2025

About this page

The headings are the filing's own. The one-line readings and the overview are automated and can be wrong: read Item 1A of the 10-K for the exact wording.