UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549

FORM 10-Q

(Mark One)
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended June 30, 20212022
OR
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from _____________ to ____________
Commission File Number: 001-39112

OYSTER POINT PHARMA, INC.
(Exact Name of Registrant as Specified in its Charter)
Delaware81-1030955
(State or other jurisdiction of
incorporation or organization)
(I.R.S. Employer
Identification No.)
202 Carnegie Center, Suite 106Princeton, New Jersey
08540
(Address of principal executive offices)(Zip Code)
202 Carnegie Center, Suite 109 Princeton, New Jersey
08540
(AddressFormer address of principal executive offices)(Zip Code)
Registrant’s telephone number, including area code: (609) 382-9032

Securities registered pursuant to Section 12(b) of the Act:
Title of each class

Trading
Symbol(s)

Name of each exchange on which registered
Common stock, par value $0.001

OYST

The Nasdaq Global Select Market
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.     Yes      No  
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).     Yes      No  
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer   Accelerated filer 
Non-accelerated filer   Smaller reporting company 
Emerging growth company





If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. 
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).     Yes      No  
As of July 30, 2021,August 5, 2022, the registrant had 26,014,62126,831,485 shares of common stock, $0.001 par value per share, outstanding.





SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS
This Quarterly Report on Form 10-Q contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended (the Act), and Section 21E of the Securities Exchange Act of 1934, as amended (the Exchange Act). Any statements contained in this Form 10-Q that are not statements of historical facts may be deemed to be forward-looking statements. In some cases, such forward-looking statements arecan be identified by terminologyterms such as “aim,“may,” “will,” “should,” “would,” “expect,” “plan,” “anticipate,” “assume,“could,” “intend,” “target,” “project,” “contemplate,” “believe,” “contemplate,” “continue,” “could,” “due,” “estimate,” “expect,” “goal,” “intend,” “may,” “objective,” “plan,” “predict,” “potential,” “positioned,” “seek,” “should,” “target,” “will,” “would,” and other similar expressions that are predictions of“potential” or indicate future events and future trends,“continue” or the negative of these terms or other comparable terminology. similar expressions. These forward-looking statements include, but are not limited to, statements about:

plans relating to commercializing TYRVAYA® (varenicline solution) Nasal Spray and the Company's other product candidates, if approved, including the geographic areas of focus and sales strategy;
the commercial success of TYRVAYA Nasal Spray and the Company’s other product candidates, once approved, and the availability and sufficiency of third-party payor coverage and reimbursement in connection with such products;
the extent to which third-party coverage and reimbursement will be available from third-party payors, including government health administration authorities (including in connection with government healthcare programs, such as Medicare and Medicaid), private healthcare insurers and other healthcare funding organizations for TYRVAYA Nasal Spray and the Company’s other product candidates;
the likelihood of the Company being able to maintain or obtain additional insurance coverage from additional third-party payors and expand the commercial coverage with respect to TYRVAYA Nasal Spray;
the likelihood of the Company's clinical trials demonstrating the safety and efficacy of its product candidates, and other positive results;
the timing of the initiation of the Company's future clinical trials, and the reporting of data from completed, current and future clinical trials and preclinical studies;
plans relating to the clinical development of the Company's product candidates, including the size, number and disease areas to be evaluated;
the size of the market opportunity and prevalence of dry eye disease for the Company's products and product candidates;
plans relating to commercializing the Company's product candidates, if approved, including the geographic areas of focus and sales strategy;
the success of competing therapies that are or may become available;
the Company's estimates of the number of patients in the United StatesU.S. and other countries who suffer from dry eye disease,and other ophthalmic diseases, and the number of patients that will enroll in its clinical trials;
the beneficial characteristics, safety, efficacy and therapeutic effects of TYRVAYA Nasal Spray and the Company's other product candidates;
the timing, likelihood or scope of regulatory filings and approvalapprovals for its product candidates;
the Company's ability to obtain and maintain regulatory approval of its product candidates;
the Company's plans relating to the further development and manufacturing of its products and product candidates, including additional indications for which it may pursue;
the expected potential benefits of strategic collaborations with third parties and the Company's ability to attract collaborators with development, regulatory and commercialization expertise;
the availability or likelihood of success of any strategic collaborations with third parties for the development or commercialization of the Company’s products and product candidates;
existing regulations and regulatory developments in the United StatesU.S. and other jurisdictions;
the Company's plans and ability to obtain or protect intellectual property rights, including extensions of existing patent terms where available;
continued reliance on third parties to conduct additional clinical trials of the Company's product candidates, and for the manufacture and supply of products and product candidates, components for preclinical studies and clinical trials and potentiallyproducts and components for commercial supply;commercialization of TYRVAYA Nasal Spray and any additional approved products;
the Company’sneed to hire additional personnel, and the Company's ability to recruitattract and retain key personnel needed to develop and commercialize the Company’s product candidates, if approved, and to grow the Company;such personnel;
the potential effects of the novel strain coronavirus, or SARS-CoV-2 virus pandemic, on business, operations and clinical development timelines and plans;
i


the accuracy of estimates regarding expenses, future revenue,revenues, capital requirements and needs for additional financing;
the Company's financial performance;
the sufficiency of existing capital resources to fund future operating expenses and capital expenditure requirements;requirements, and the Company's ability to raise additional capital;
the Company's ability to retain existing talent and attract new, highly skilled talent;
i


the Company's estimates associated with the Company's plan to streamline operating expenses, including the associated reduction in force, and any resulting savings benefits the Company expects to achieve;
expectations regarding the period during which the Company will qualify as an emerging growth company under the JOBS Act; and
the Company's anticipated use of its existing resources and proceeds from the initial and follow-on public offering.capital resources.
The Company has based these forward-looking statements largely on its current expectations and projections about its business, the industry in which it operates and financial trends that it believes may affect business, financial condition, results of operations and growth prospects, and these forward-looking statements are not guarantees of future performance or development. These forward-looking statements speak only as of the date of this Quarterly Report on Form 10-Qand are subject to a number of risks, uncertainties and assumptions described in the section titled “Risk Factors” and elsewhere in this Quarterly Report on Form 10-Q, as well as Item 1A of the Company's Annual Report on Form 10-K for the year ended December 31, 20202021 and the Company's Quarterly Report on Form 10-Q for the three months ended March 31, 2021. 2022. Because forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified, theythese forward-looking statements should not be relied on as predictions of future events. The events and circumstances reflected in thesethe Company's forward-looking statements may not be achieved or occur and actual results could differ materially from those projected in the forward-looking statements. Except as required by applicable law, the Company does not plan to publicly update or revise any forward-looking statements after the date of this Quarterly Report on Form 10-Q, whether as a result of any new information, future events or otherwise.
In addition, statements that “the Company believes” and similar statements reflect the Company'sits beliefs and opinions on the relevant subject. These statements are based upon information available to the Company as of the date of this Quarterly Report on Form 10-Q, and while the Company believes such information forms a reasonable basis for such statements, such information may be limited or incomplete, and the Company'sits statements should not be read to indicate that it has conducted an exhaustive inquiry into, or review of, all potentially available relevant information. These statements are inherently uncertain and shouldinvestors are cautioned not beto unduly relied upon.

rely upon these statements.
ii


TABLE OF CONTENTS
Page
ITEM 1
ITEM 2
ITEM 3
ITEM 4
PART II – OTHER INFORMATION
ITEM 1
ITEM 1A
ITEM 2
ITEM 3
ITEM 4
ITEM 5
ITEM 6
SIGNATURES

iii


PART I — FINANCIAL INFORMATION
ITEM 1 — FINANCIAL STATEMENTS
OYSTER POINT PHARMA, INC.
CONDENSED BALANCE SHEETS
(in thousands, except share and per share amounts)
(unaudited)

June 30, 2021December 31, 2020June 30, 2022December 31, 2021
ASSETSASSETSASSETS
Current AssetsCurrent AssetsCurrent Assets
Cash and cash equivalentsCash and cash equivalents$154,805 $192,585 Cash and cash equivalents$104,876 $193,372 
Restricted cashRestricted cash61 61 
Accounts receivable, netAccounts receivable, net10,918 6,656 
Inventory, netInventory, net6,645 6,086 
Prepaid expenses and other current assetsPrepaid expenses and other current assets4,081 3,782 Prepaid expenses and other current assets10,217 9,075 
Total current assetsTotal current assets158,886 196,367 Total current assets132,717 215,250 
Property and equipment, netProperty and equipment, net1,743 804 Property and equipment, net2,513 2,497 
Restricted cash61 61 
Investment - related partyInvestment - related party886 886 
Other assetsOther assets30 Other assets5,135 1,082 
Right-of-use assets, netRight-of-use assets, net783 678 Right-of-use assets, net2,684 2,902 
Total AssetsTotal Assets$161,503 $197,910 Total Assets$143,935 $222,617 
LIABILITIES AND STOCKHOLDERS' EQUITYLIABILITIES AND STOCKHOLDERS' EQUITYLIABILITIES AND STOCKHOLDERS' EQUITY
Current LiabilitiesCurrent LiabilitiesCurrent Liabilities
Accounts payableAccounts payable$2,332 $2,279 Accounts payable$4,720 $6,496 
Accrued expenses and other current liabilitiesAccrued expenses and other current liabilities6,594 8,285 Accrued expenses and other current liabilities25,695 21,511 
Lease liabilitiesLease liabilities545 418 Lease liabilities718 795 
Total current liabilitiesTotal current liabilities9,471 10,982 Total current liabilities31,133 28,802 
Lease liabilities, non-currentLease liabilities, non-current248 269 Lease liabilities, non-current1,989 2,118 
Long-term debt, netLong-term debt, net91,435 89,815 
Other liabilitiesOther liabilities8,603 2,345 
Total LiabilitiesTotal Liabilities9,719 11,251 Total Liabilities133,160 123,080 
Commitments and Contingencies (Note 7)00
Commitments and Contingencies (Note 11)Commitments and Contingencies (Note 11)00
Stockholders’ EquityStockholders’ EquityStockholders’ Equity
Preferred stock, $0.001 par value per share; 5,000,000 shares authorized; NaN outstanding
Common stock, $0.001 par value per share; 1,000,000,000 shares authorized, 26,006,437 and 25,890,490 shares issued and outstanding at June 30, 2021 and December 31, 2020, respectively26 26 
Preferred stock, $0.001 par value per share; 5,000,000 shares authorized; 0 outstandingPreferred stock, $0.001 par value per share; 5,000,000 shares authorized; 0 outstanding— — 
Common stock, $0.001 par value per share; 1,000,000,000 shares authorized, 26,829,173 and 26,579,585 shares issued and outstanding at June 30, 2022 and December 31, 2021, respectivelyCommon stock, $0.001 par value per share; 1,000,000,000 shares authorized, 26,829,173 and 26,579,585 shares issued and outstanding at June 30, 2022 and December 31, 2021, respectively27 27 
Additional paid-in capitalAdditional paid-in capital347,434 341,384 Additional paid-in capital363,992 354,920 
Accumulated deficitAccumulated deficit(195,676)(154,751)Accumulated deficit(353,244)(255,410)
Total Stockholders’ EquityTotal Stockholders’ Equity151,784 186,659 Total Stockholders’ Equity10,775 99,537 
Total Liabilities and Stockholders’ EquityTotal Liabilities and Stockholders’ Equity$161,503 $197,910 Total Liabilities and Stockholders’ Equity$143,935 $222,617 
The accompanying notes are an integral part of these condensed financial statements.
1


OYSTER POINT PHARMA, INC.
CONDENSED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS
(in thousands, except share and per share amounts)
(unaudited)
Three Months Ended June 30,Six Months Ended June 30,
2021202020212020
Operating expenses:
Research and development$6,730 $8,554 $12,558 $19,894 
Selling, general and administrative15,296 6,940 28,388 12,529 
Total operating expenses22,026 15,494 40,946 32,423 
Loss from operations(22,026)(15,494)(40,946)(32,423)
Other income, net10 30 21 440 
Net loss and comprehensive loss$(22,016)$(15,464)$(40,925)$(31,983)
Net loss per share, basic and diluted$(0.85)$(0.66)$(1.58)$(1.43)
Weighted average shares outstanding, basic and diluted25,989,913 23,442,530 25,957,186 22,405,031 

Three Months Ended
June 30,
Six Months Ended June 30,
2022202120222021
Revenue:
Product revenue, net$4,693 $— $7,397 $— 
Total revenue4,693 — 7,397 — 
Cost of product revenue1,310 — 1,646 — 
Operating expenses:
Sales and marketing28,103 6,210 55,075 10,777 
General and administrative14,004 9,086 26,930 17,611 
Research and development4,664 6,730 9,345 12,558 
Total operating expenses46,771 22,026 91,350 40,946 
Loss from operations(43,388)(22,026)(85,599)(40,946)
Other (expense) income, net
Interest expense(3,156)— (6,222)— 
Other (expense) income, net(3,398)10 (6,013)21 
Total other (expense) income, net    (6,554)10 (12,235)21 
Net loss and comprehensive loss$(49,942)$(22,016)$(97,834)$(40,925)
Net loss per share, basic and diluted$(1.87)$(0.85)$(3.67)$(1.58)
Weighted average shares outstanding, basic and diluted26,744,008 25,989,913 26,688,103 25,957,186 

The accompanying notes are an integral part of these condensed financial statements.
2


OYSTER POINT PHARMA, INC.
CONDENSED STATEMENTS OF STOCKHOLDERS' EQUITY
(in thousands, except share amounts)
(unaudited)
Common StockAdditional Paid-In CapitalAccumulated DeficitTotal Stockholders’ Equity
SharesAmount
Balance at January 1, 202125,890,490 $26 $341,384 $(154,751)$186,659 
 Net loss— — — (18,909)(18,909)
Issuance of common stock upon exercise of stock options55,046 — 218 — 218 
 Issuance of common stock upon vesting of restricted stock units15,252 — — — — 
 Stock-based compensation expense— — 2,680 — 2,680 
Balance at March 31, 202125,960,788 $26 $344,282 $(173,660)$170,648 
Net loss— — — (22,016)(22,016)
Issuance of common stock upon exercise of stock options28,748 — 104 — 104 
Issuance of common stock upon vesting of restricted stock units16,901 — — — — 
Stock-based compensation expense— — 3,048 — 3,048 
Balance at June 30, 202126,006,437 $26 $347,434 $(195,676)$151,784 
Common StockAdditional Paid-In CapitalAccumulated DeficitTotal Stockholders’ Equity
SharesAmount
Balance at January 1, 202226,579,585 $27 $354,920 $(255,410)$99,537 
Net loss— — — (47,892)(47,892)
Issuance of common stock upon exercise of stock options69,930 — 76 — 76 
Issuance of common stock upon vesting of restricted stock units20,618 — — — — 
Shares withheld for taxes(7,436)— (87)— (87)
Stock-based compensation expense— — 4,359 — 4,359 
Balance at March 31, 202226,662,697 $27 $359,268 $(303,302)$55,993 
Net loss— — — (49,942)(49,942)
Issuance of common stock upon vesting of restricted stock units37,550 — — — — 
Issuance of common stock under the employee stock purchase plan (ESPP)128,926 — 541 — 541 
Stock-based compensation expense— — 4,183 — 4,183 
Balance at June 30, 202226,829,173 $27 $363,992 $(353,244)$10,775 




Common StockAdditional Paid-In CapitalAccumulated DeficitTotal Stockholders’ EquityCommon StockAdditional Paid-In CapitalAccumulated DeficitTotal Stockholders’ Equity
SharesAmountAmountTotal Stockholders’ Equity
Balance at January 1, 202021,366,950 $21 $221,508 $(84,231)

$137,298 
Balance at January 1, 2021Balance at January 1, 202125,890,490 $26 $341,384 $(154,751)$186,659 
Net loss Net loss— — — (16,519)

(16,519)Net loss— — — (18,909)(18,909)
Issuance of common stock upon exercise of stock options Issuance of common stock upon exercise of stock options3,530 — — Issuance of common stock upon exercise of stock options55,046 — 218 — 218 
Issuance of common stock upon vesting of restricted stock unitsIssuance of common stock upon vesting of restricted stock units15,252 — — — — 
Stock-based compensation expense Stock-based compensation expense— — 1,180 — 

1,180 Stock-based compensation expense— — 2,680 — 2,680 
Balance at March 31, 202021,370,480 $21 $222,692 $(100,750)$121,963 
Balance at March 31, 2021Balance at March 31, 202125,960,788 $26 $344,282 $(173,660)$170,648 
Net lossNet loss— — — (15,464)(15,464)Net loss— — — (22,016)(22,016)
Issuance of common stock upon secondary equity offering, net of issuance costs of 8,1254,312,500 112,620 — 112,625 
Issuance of common stock upon exercise of stock optionsIssuance of common stock upon exercise of stock options60,425 — 82 — 82 Issuance of common stock upon exercise of stock options28,748 — 104 — 104 
Issuance of common stock upon vesting of restricted stock unitsIssuance of common stock upon vesting of restricted stock units16,901 — — — — 
Stock-based compensation expenseStock-based compensation expense— — 1,609 — 1,609 Stock-based compensation expense— — 3,048 — 3,048 
Balance at June 30, 202025,743,405 $26 $337,003 $(116,214)$220,815 
Balance at June 30, 2021Balance at June 30, 202126,006,437 $26 $347,434 $(195,676)$151,784 

The accompanying notes are an integral part of these condensed financial statements.
3


OYSTER POINT PHARMA, INC.
CONDENSED STATEMENTS OF CASH FLOWS
(in thousands)
(unaudited)
Six Months Ended June 30,
20212020
Cash flows from operating activities
Net loss$(40,925)$(31,983)
Adjustments to reconcile net loss to net cash used in operating activities:
Stock-based compensation expense5,728 2,789 
Depreciation55 40 
Reduction in the carrying amount of the right-of-use assets239 188 
Changes in assets and liabilities:
Prepaid expenses and other current assets(290)1,217 
Accounts payable53 3,252 
Change in lease liabilities(239)(207)
Accrued expenses and other current liabilities(1,676)(394)
Other assets(30)
Net cash used in operating activities(37,085)(25,098)
Cash flows from investing activities
Purchase of property and equipment(994)(342)
Net cash used in investing activities(994)(342)
Cash flows from financing activities
Payment of deferred offering costs(23)
Proceeds from follow-on equity offering, net of issuance costs112,965 
Proceeds from the exercise of stock options322 86 
Net cash provided by financing activities299 113,051 
Net (decrease) increase in cash, cash equivalents and restricted cash(37,780)87,611 
Cash, cash equivalents and restricted cash at the beginning of the period192,646 139,198 
Cash, cash equivalents and restricted cash at the end of the period$154,866 $226,809 
Reconciliation of cash, cash equivalents and restricted cash
Cash and cash equivalents$154,805 $226,748 
Restricted cash61 61 
Cash, cash equivalents and restricted cash$154,866 $226,809 
Supplemental cash flow information
Right-of-use for office space and office equipment acquired through leases$344 $320 
Supplemental non-cash flow information
Unpaid offering costs$$340 
Six Months Ended June 30,
20222021
Cash flows from operating activities
Net loss$(97,834)$(40,925)
Adjustments to reconcile net loss to net cash used in operating activities:
Stock-based compensation expense8,542 5,728 
Depreciation187 55 
Amortization and accretion of long-term debt related costs2,035 — 
Reduction in the carrying amount of the right-of-use assets503 239 
Provision for inventory obsolescence(67)— 
Change in fair value of net embedded derivative liability6,233 — 
Changes in assets and liabilities:
Accounts receivable, net(4,262)— 
Inventory(4,672)— 
Prepaid expenses and other current assets(1,142)(290)
Other assets(68)(30)
Accounts payable(1,776)53 
Lease liabilities(491)(239)
Accrued expenses and other current liabilities4,251 (1,676)
Other liabilities26 — 
Net cash used in operating activities(88,535)(37,085)
Cash flows from investing activities
Purchases of property and equipment(203)(994)
Net cash used in investing activities(203)(994)
Cash flows from financing activities
Payment of deferred offering costs— (23)
Repayment of long-term debt(288)— 
Payment of withholding taxes related to stock-based compensation(87)— 
Proceeds from the issuance of common stock under the ESPP541 — 
Proceeds from the exercise of stock options76 322 
Net cash provided by financing activities242 299 
Net decrease in cash, cash equivalents and restricted cash(88,496)(37,780)
Cash, cash equivalents and restricted cash at the beginning of the period193,433 192,646 
Cash, cash equivalents and restricted cash at the end of the period$104,937 $154,866 
Reconciliation of cash, cash equivalents and restricted cash
Cash and cash equivalents$104,876 $154,805 
Restricted cash61 61 
Cash, cash equivalents and restricted cash$104,937 $154,866 
Supplemental Cash Flow Information
Cash paid during the period for:
Interest$4,187 $— 
Non-cash investing and financing activities:
Right-of-use assets acquired through leases$285 $344 
The accompanying notes are an integral part of these condensed financial statements.

4


OYSTER POINT PHARMA, INC.
Notes to Unaudited Interim Condensed Financial Statements

1.    Nature of Business, Basis of Presentation and Significant Accounting Policies

Description of the Business

Oyster Point Pharma, Inc. (the Company) is a clinical stagecommercial-stage biopharmaceutical company focused on the discovery, development and commercialization of first-in-class pharmaceutical therapies to treat ophthalmic diseases. The Company’s principal office is located in Princeton, New Jersey. From inception through June 30,On October 15, 2021, the Company has been engaged in business planning, research, clinical development of its therapeutic product candidates, recruiting and raising capital,TYRVAYA® (varenicline solution) Nasal Spray (TYRVAYA Nasal Spray), formerly referred to as well as preparation for the commercialization of its lead product candidate, OC-01. In December of 2020, the Company submitted a 505(b)(2) New Drug Application (NDA) for OC-01 (varenicline)(varenicline solution) nasal spray, a highly selective nicotinic acetylcholine receptor (nAChR) agonist, was approved by the U.S. Food and Drug Administration (FDA) for the treatment of the signs and symptoms of dry eye disease. The U.S. Food and Drug Administration (FDA) has assignedTYRVAYA Nasal Spray’s highly differentiated mechanism of action is designed to increase basal tear production with a Prescription Drug User Fee Act (PDUFA) target action date of October 17, 2021 as the goal to complete its review of the NDA.re-establish tear film homeostasis.

Liquidity

Since inception, the Company has incurred recurring losses and negative cash flows from operations. The Company incurredgenerated net losses of $40.9 million and $32.0$97.8 million for the six months ended June 30, 2021 and 2020, respectively,2022, and had an accumulated deficit of $195.7$353.2 million as of June 30, 2021.2022. The Company had cash and cash equivalents of $104.9 million as of June 30, 2022. The Company has been incurring higher expenses duehistorically financed its operations primarily through the sale and issuance of its securities. In the second half of 2021, the Company secured debt capital in the form of a $125.0 million long-term credit facility (the Credit Agreement), to finance its operations, as further described in Note 8, Long-term Debt. The Company is also a party to a license agreement with Ji Xing Pharmaceuticals Limited (Ji Xing), according to which it is eligible to receive additional development and sales-based milestone payments and royalties in future periods. In addition, the Company's preparationCompany began selling TYRVAYA Nasal Spray in November 2021 and generated net product revenues of $7.4 million for the commercializationsix months ended June 30, 2022.

On June 28, 2022, the Company announced a plan to streamline operating expenses, including a reduction in force. The purpose of its lead product candidate, OC-01 (varenicline) nasal spray, ifthe plan, which was approved by the FDA, includingCompany’s Board of Directors, is to establishbetter align the Company's workforce with the anticipated current needs of its business, maximize the commercial scale manufacturing arrangementspotential of TYRVAYA Nasal Spray, and create value for the Company's stakeholders. As a result of the plan, the Company estimates that it will reduce operating expenses, primarily driven by lower non-employee-related general and administrative and research and development expenses, and to providea lesser extent, by the reduction of up to approximately 50 roles across the organization. These estimates are subject to a number of assumptions, and actual results may differ.

Based on the Company’s current business plan, management believes that the Company’s available cash and cash equivalents may not be sufficient to fund its operations for the marketing, commercial operationsnext twelve months from the date these condensed financial statements are issued, and distributionthat the future viability of the product. The Company expendedis dependent on its ability to fund its operations through the sales and will continuelicensing of TYRVAYA Nasal Spray and raising additional capital. Management believes that it may be able to expendraise such additional fundscapital by raising up to complete$100.0 million of equity capital through its at-the-market sales agreement with Cowen and Company, LLC, and potentially receiving upfront and milestone payments through collaborative or strategic arrangements to license its OC-01 intellectual property in additional non-U.S. regions and/or intellectual property related to its pipeline assets worldwide. There can be no assurance the research, development and clinical testing of its product candidates. The Company will requirebe able to raise such additional fundsequity capital. In addition, the Company may have the ability to commercialize its products. The Companydraw up to $30.0 million on the third tranche of the Credit Agreement. This is unable to entirely fund these efforts with its current financial resourcescontingent upon achieving at least $40.0 million in TYRVAYA Nasal Spray net recurring revenue, as defined in the Credit Agreement, in any twelve-month period on or before March 31, 2023, and therewithout an improper promotional event having occurred, among other conditions. There can be no assurance that the Company will meet the net recurring revenue minimum threshold to enable the Company to draw on the third tranche. The Credit Agreement also requires the Company to maintain a minimum level of cash and permitted cash equivalent investments of at least $5.0 million at all times in a deposit account subject to control by the lender. If the Company is in violation of this covenant and an event of default resulting from such violation is continuing, the lender could exercise remedies, including but not limited to, the acceleration of all outstanding debt under the Credit Agreement. While the Company has generated limited revenue from initial sales of TYRVAYA Nasal Spray, and given its limited commercial history, the Company cannot guarantee that its commercialization efforts will result in product revenues that meet its sales expectations or those of analysts and investors. Finally, although the Company believes that it will continue to raise capital to fund its operations as it has in the past, the Company’s ability to raise equity capital may depend on the stability of U.S. capital markets and demand from investors, among other factors. There can be able to secure such additional financing on a timely basis, if at all,no assurance that the Company will be successful in commercializing TYRVAYA Nasal Spray or raising this additional capital or that such capital, including under the at-the-market sales agreement, if available, will be on terms that are acceptable to the Company. If the Company is unable to successfully commercialize TYRVAYA Nasal Spray and raise sufficient additional capital, the Company may be compelled to meet these needs. reduce the scope of its operations and planned capital expenditures.
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OYSTER POINT PHARMA, INC.
Notes to Unaudited Interim Condensed Financial Statements (continued)

If adequate funds are unavailable on a timely basis from operations or additional sources of financing, the Company may have to delay or reduce the scope of its marketing and commercialization efforts or eliminatemake other changes to its operating plan, which could materially and adversely affect the Company's business, financial condition and operations. Successfully commercializing TYRVAYA Nasal Spray requires significant sales and marketing efforts, and the Company’s pipeline programs may require significant additional research and development efforts, including extensive preclinical and clinical testing. These activities will in turn require significant amounts of capital, qualified personnel and adequate infrastructure. There can be no assurance when, if ever, the Company will realize significant revenue from the sales of TYRVAYA Nasal Spray or if the development efforts supporting the Company’s pipeline of product candidates, including future clinical trials, will be successful. Additionally, if the Company decides to enter into additional license agreements or other collaborative or strategic arrangements to supplement its funds, it may have to give up certain commercial related expenses, included in selling, generalrights, thereby limiting its ability to develop and administrative expenses,commercialize TYRVAYA Nasal Spray, as well as delay, reduceother product candidates in the pipeline, or eliminatemay have other terms that are not favorable to the scopeCompany, which could materially and adversely affect its business, results of oneoperations and financial condition.

The accompanying unaudited condensed financial statements have been prepared assuming that the Company will continue as a going concern, which contemplates continuity of operations, realization of assets, and satisfaction of liabilities in the ordinary course of business. No adjustments have been made relating to the recoverability and classification of recorded asset amounts and classification of liabilities that might be necessary should the Company not continue as a going concern. The propriety of assuming that the Company will continue as a going concern is dependent upon, among other things, the ability to generate sufficient cash from operations, and potential other funding sources, including cash on hand, to meet the Company’s obligations as they become due. However, the factors described above raise substantial doubt about the Company’s ability to continue as a going concern within the next twelve months from the date these condensed financial statements are issued.

Risks and Uncertainties

The Company is subject to risks and uncertainties common to companies in the biopharmaceutical industry, including, but not limited to, the ability to secure sufficient capital to fund operations, competition from other companies’ products, the availability and sufficiency of third-party payor coverage and reimbursement, compliance with laws and government regulations, the ability to develop and bring to market new products, protection of proprietary technology, and dependence on third parties and key personnel.

The current global macro-economic environment is volatile, resulting in global supply chain constraints and elevated rates of inflation, which may impact the Company to varying degrees. In addition, the Company operates in a dynamic and highly competitive industry and believes that changes in any of the following areas could have a material adverse effect on the Company’s future financial position, results of operations, or morecash flows: ability to obtain future financing; advances and trends in new technologies and industry standards; results of clinical trials; regulatory approval and market acceptance of the Company’s products; development of sales channels; certain strategic relationships; litigation or claims against the Company related to intellectual property, product, regulatory, or other matters; and the Company’s ability to attract and retain employees necessary to support its growth.

Product candidates developed by the Company require approval from the FDA and/or other international regulatory agencies prior to commercial sales. There can be no assurance that the Company's product candidates will receive the necessary approvals. If the Company is denied approval, approval is delayed or the Company is unable to maintain approval, it could have a material adverse impact on the Company.

The Company relies on single source manufacturers and suppliers for the supply of its researchcommercially-approved product and its product candidates. This adds to the manufacturing risks faced by the Company, which could be left without backup facilities in the event of any failure by a supplier. In addition, if the Company decides to move to a different or add additional manufacturers and suppliers in the future, any such transition or addition could result in delays or other issues, which could have an adverse effect on the supply of TYRVAYA Nasal Spray or other product candidates. Any disruption from these manufacturers or suppliers could have a negative impact on the Company’s business, financial position and results of operations. In addition, the Company is dependent upon the services of its employees, consultants and other third parties.

For the six months ended June 30, 2022, a majority of the Company's sales of TYRVAYA Nasal Spray were to four large wholesale drug distributors, and the Company is expected to continue to rely on a limited number of wholesale drug distributors for the distribution of TYRVAYA Nasal Spray. If the Company is unable to maintain its business relationships with wholesale drug distributors on commercially acceptable terms, it could have a material adverse impact on the Company’s business, financial condition and results of operations.
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OYSTER POINT PHARMA, INC.
Notes to Unaudited Interim Condensed Financial Statements (continued)

The Company does not believe its financial results were materially affected by the SARS-CoV-2 virus pandemic during the six months ended June 30, 2022. However, the extent to which the SARS-CoV-2 virus pandemic may affect the Company’s future financial results and operations will depend on future developments which are highly uncertain and cannot be predicted, including new information which may emerge concerning the pandemic, the availability and effectiveness of vaccines and treatment options, and current or future domestic and international actions to contain it and treat it. The Company continues to evaluate the potential impact of the SARS-CoV-2 virus pandemic on its business, including the potential impact of the pandemic on the sales of TYRVAYA Nasal Spray and its acceptance by patients and prescribers, and any potential supply-chain challenges, as well as the potential impact of the pandemic on its pipeline and the conduct of clinical trials and preclinical studies. In addition, the Company has taken a variety of measures in an effort to ensure the availability and functioning of the Company's critical infrastructure and to promote the safety and security of its employees, including remote working arrangements for employees. The Company’s sales force is primarily working in-person and has been instructed to follow all locally required SARS-CoV-2 related precautions. The Company will continue monitoring SARS-CoV-2 infection rates and make practical decisions in compliance with Centers for Disease Control and Prevention, federal, state and local guidelines.

The Company continues to evaluate and develop pipeline candidates for the potential treatment of various medical indications. The ongoing SARS-CoV-2 virus pandemic may impact access to supplies necessary to conduct preclinical studies, cause delay to the timelines to initiate or complete in vitro or in vivo animal studies, or may indirectly impact the operations of third parties that are necessary for the Company to advance preclinical projects. If the SARS-CoV-2 virus pandemic continues and persists, the Company could experience significant disruptions to its clinical development programs,timelines, which would materially andcould adversely affect its business, financial condition and operations.

The Company continues to be subject to risks and uncertainties as a result of the SARS-CoV-2 virus pandemic. The pandemic and related public health developments, have adversely affected workforces, economies, and financial markets globally, potentially leading to an economic downturn. As of June 30, 2021, the Company has not been materially affected by the adverse results of the pandemic, however, it is not possible to predict the duration or magnitude of the adverse results of the pandemic or the full extent of its effects on the Company's financial condition, liquidity or results of operations.

The Company had cash and cash equivalents of $154.8 million as of June 30, 2021. Management believes that the Company’s current cash and cash equivalents will be sufficient to fund its planned operations for at least 12 months from the date of issuance of these financial statements.

Basis of Presentation

The unaudited interim condensed financial statements and accompanying notes have been prepared in accordance with U.S. generally accepted accounting principles (U.S. GAAP) for interim financial information and the applicable rules and regulations of the Securities and Exchange Commission (SEC). Accordingly, certain information and footnote disclosures normally included in financial statements prepared in accordance with U.S. GAAP have been condensed or omitted pursuant to such rules and regulations. In the opinion of management, the accompanying unaudited condensed financial statements contain all adjustments, which are of a normal recurring nature, necessary to state fairly the Company’s financial position as of June 30, 20212022 and as of December 31, 2020,2021, the results of operations for the three and six months ended June 30, 20212022 and 2020,2021, and cash flows for the six months ended June 30, 20212022 and 2020.2021. While management believes that the disclosures presented are adequate to mitigate the risk of the information being misleading, these unaudited condensed financial statements should be read in conjunction with the audited financial statements and the related notes included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2020.2021. The results of the Company’s operations for any interim period are not necessarily indicative of the results of operations for any other interim period or for the full year.
Research Collaboration Agreement

5

OYSTER POINT PHARMA, INC.
Notes to Unaudited Interim Condensed Financial Statements (continued)
In May 2021, the Company entered into a research collaboration agreement with Adaptive Phage Therapeutics (APT) for the development of potential biological treatments for multiple ophthalmic diseases. Under the terms of the collaboration agreement, the Company has the option and certain rights to obtain an exclusive license to develop and commercialize APT’s technology for ophthalmic diseases and disorders. Under the license terms, if such option is exercised, the Company would pay for potential development and regulatory milestones, as well as the potential for sales-related milestones and tiered royalties of net sales, if a licensed phage therapy is approved by the FDA or certain other regulatory authorities. Pursuant to the terms of the agreement, the Company paid a one-time, non-refundable, upfront payment of $0.5 million for the collaboration and option agreement which was included in research and development expense for the three and six months ended June 30, 2021.

Use of Estimates

The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the amounts of assets and liabilities, disclosure of contingent assets and liabilities and the reported amounts of revenue and expenses in the condensed financial statements and accompanying notes. Significant items subjectnotes as of the date of the financial statements. On an ongoing basis, management evaluates its estimates, including those related to such estimatesthe valuation of stock-based awards, revenue and assumptions include stock-based compensationgross-to-net deductions, inventory, income taxes, net embedded derivative liability bifurcated from the Company's long-term credit agreement and certain research and development accruals. Management bases its estimates on historical experience and on various other assumptions that are believed to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results could differ from these estimates, and such differences could be material to the Company’s financial position and results of operations.

Summary of
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OYSTER POINT PHARMA, INC.
Notes to Unaudited Interim Condensed Financial Statements (continued)
Significant Accounting Policies Update

The Company’s significant accounting policies are disclosed in Note 1,. Nature of Business, Basis of Presentation and Significant Accounting Policies in the Annual Report on Form 10-K for the year ended December 31, 2020. There have been no material changes2021. The Company updated its stock-based compensation accounting policy, as described below, in connection with the Company's accounting policies from those disclosed inPerformance Stock Units (PSUs) granted during the financial statements and the related notes included in the Annual Report on Form 10-K for the yearsix months ended December 31, 2020.June 30, 2022.

Stock-Based Compensation - Performance Stock Units

In January 2022, the Company granted PSUs to certain executive officers, as further described in Note 6, Stockholders' Equity and Equity Incentive Plans. The PSUs are subject to vesting based on the Company’s attainment of pre-established performance milestones and service conditions. The performance milestones are comprised of two non-market milestones and one market milestone.

The fair value of the non-market milestones is based on the market price of the Company’s stock as of the date of grant. The fair value of the market performance milestone is estimated using a Monte Carlo simulation. The probability of the number of actual shares expected to be earned is considered in the grant date valuation, and therefore, stock-based compensation expense is not adjusted at the vesting date to reflect the actual number of shares earned.

The Company records stock-based compensation expense over the estimated service period for each performance-based milestone subject to the achievement of the milestones being considered probable. At each reporting date, the Company assesses whether achievement of the milestones are considered probable and, if so, records stock-based compensation expense based on the portion of the service period elapsed to date with respect to the milestones, with a cumulative catch-up.
Recent Accounting Pronouncements

From time to time, new accounting pronouncements are issued by the Financial Accounting Standards Board (the FASB) under its accounting standardstandards codifications (ASC) or other standard setting bodies and are adopted by the Company as of the specified effective date, unless otherwise discussed below.date. For the six months ended June 30, 2022, there were no newly adopted accounting pronouncements that had a material impact to the Company's condensed financial statements. As of June 30, 2022, there are no recently issued but not yet adopted accounting pronouncements that are expected to materially impact the Company's condensed financial statements.

Reclassification

ASU 2020-10 — The condensed statement of operations and comprehensive loss for the three and six months ended June 30, 2021 has been conformed to separately present sales and marketing expenses which were previously reported in selling, general and administrative expensesIn October 2020, the FASB issued ASU 2020-10, Codification Improvements, which updated various codification topics by clarifying or improving disclosure requirements to align with the SEC’s regulations. The amendments in ASU 2020-10 are effective. Certain prior year amounts have been reclassified for annual periods beginning after December 15, 2020, for public business entities. The Company adopted ASU 2020-10 on January 1, 2021 and its adoption did not have a material effect on the Company’s financial statements and related disclosures.comparative purposes.

2.    Inventory

Inventory, net consisted of the following (in thousands):

June 30, 2022December 31, 2021
Raw materials$739 $2,524 
Work in process5,509 3,053 
Finished goods397 509 
Inventory, net$6,645 $6,086 

Raw materials in the amount of $4.2 million are not expected to be incorporated into products that will be sold within the next 12 months and are included in Other assets on the condensed balance sheet as of June 30, 2022.

3.    Fair Value Measurements

The Company assesses the fair value of financial instruments as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. As such, fair value is a market-based measurement that should be determined based on assumptions that market participants would use in pricing an asset or liability. As a basis for considering
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OYSTER POINT PHARMA, INC.
Notes to Unaudited Interim Condensed Financial Statements (continued)
such assumptions, a three-tier fair value hierarchy has been established, which prioritizes the inputs used in measuring fair value as follows:

Level 1    Quoted prices in active markets for identical assets or liabilities.

Level 2    Observable inputs other than Level 1 prices such as quotedQuoted prices for similar assets or liabilities in active markets; quoted prices for identical or similar assets or liabilities in markets that are not active,active; or othermodel derived valuations whose inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities.whose significant value drivers are observable.

Level 3    UnobservableValuations derived from valuation techniques in which one or more significant inputs to the valuation model are unobservable.

Assets and Liabilities Measured at Fair Value on a Recurring Basis

As further discussed in Note 8, Long-term Debt, in connection with entering into the Credit Agreement in 2021, the Company is required to make quarterly payments to OrbiMed Royalty & Credit Opportunities III, LP (OrbiMed) in the form of a revenue sharing fee, which was evaluated under ASC 815-40, Derivatives and Hedging, and determined to be an embedded derivative liability. In addition, the Company has the right to optionally prepay, in whole or in part, the outstanding principal amount of the term loan in an amount equal to the outstanding principal, accrued and unpaid interest, together with other fees and payments required under the term loan. This prepayment option has been determined to qualify as an embedded derivative asset under ASC 815-40, Derivatives and Hedging. Lastly, the term loan contains a lender-held put option that are supported by little or no market activityrequires the Company to repay $5.0 million of the outstanding principal amount of the term loan if the Company fails to achieve certain pre-defined levels of OC-01 net recurring revenues for the trailing four quarters, which commences with the quarter ending December 31, 2022 and that are significantcontinues through the maturity of the term loan. This put option has been determined to qualify as an embedded derivative liability under ASC 815-40, Derivatives and Hedging.

These 3 embedded derivatives have been bifurcated and netted to result in a net embedded derivative liability, which is classified as a Level 3 financial liability in the fair value hierarchy as of June 30, 2022. The net embedded derivative liability is recorded in other liabilities on the assets or liabilities.Company's condensed balance sheets.

The valuation method for the embedded derivatives includes certain unobservable Level 3 inputs including revenue projections, revenue volatility, yield volatility, discount rates, credit spreads, operational leverage and risk-free rates of interest. The change in fair value due to the remeasurement of the net embedded derivative liability is recorded in other (expense) income, net in the Company’s condensed statements of operations and comprehensive loss.

The following table reconciles the beginning and ending balances for the Company’s net embedded derivative liability that is carried at fair value as a long-term liability on the Company's condensed balance sheets using significant unobservable inputs (Level 3) (in thousands):

Six Months Ended June 30, 2022
Beginning balance as of January 1$2,345 
Change in fair value of the net embedded derivative liability6,233 
Ending balance as of June 30$8,578 
6
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OYSTER POINT PHARMA, INC.
Notes to Unaudited Interim Condensed Financial Statements (continued)

As of June 30, 2021,2022, financial assets measured and recognizedliabilities measured at fair value on a recurring basis were as follows (in thousands):
Fair Value Measurements at June 30, 2021
Quoted Price in Active Markets for Identical Assets (Level 1)Significant Other Observable Inputs (Level 2)Significant Unobservable Inputs (Level 3)Total
Assets
Money market funds$153,805 $$$153,805 
Total fair value of assets$153,805 $$$153,805 
Fair Value Measurements as of June 30, 2022
Quoted Price in Active Markets for Identical Assets (Level 1)Significant Other Observable Inputs (Level 2)Significant Unobservable Inputs (Level 3)Total
Assets:
Money market funds87,226 — — 87,226 
Total assets$87,226 $— $— $87,226 
Liabilities:
Net embedded derivative liability— — 8,578 8,578 
Total liabilities$— $— $8,578 $8,578 

As of December 31, 2020,2021, financial assets measured and recognizedliabilities measured at fair value on a recurring basis were as follows (in thousands):
Fair Value Measurements at December 31, 2020
Quoted Price in Active Markets for Identical Assets (Level 1)Significant Other Observable Inputs (Level 2)Significant Unobservable Inputs (Level 3)Total
Assets
Money market funds$191,585 $$$191,585 
Total fair value of assets$191,585 $$$191,585 
Fair Value Measurements as of December 31, 2021
Quoted Price in Active Markets for Identical Assets (Level 1)Significant Other Observable Inputs (Level 2)Significant Unobservable Inputs (Level 3)Total
Assets:
Money market funds162,376 — — 162,376 
Total assets$162,376 $— $— $162,376 
Liabilities:
Net embedded derivative liability— — 2,345 2,345 
Total liabilities$— $— $2,345 $2,345 

Money market funds are included in cash and cash equivalents on the Company's condensed balance sheets and are classified within Level 1 of the fair value hierarchy as they are valued using quoted market prices.

The carrying amounts reflected in the Company's condensed balance sheets for cash equivalents, prepaid expenses and other current assets, restricted cash, accounts payablereceivable, and accrued expenses and other liabilitiesaccounts payable approximate their fair values, due to their short-term nature.

Assets and Liabilities Measured at Fair Value on a Non-Recurring Basis

Investment - Related Party

In connection with entering into a license agreement with Ji Xing, as described in Note 10, License and Collaboration Agreements, the Company received 397,562 senior common shares of Ji Xing in August 2021 and 397,561 senior common shares in October 2021 (the Investment), which were accounted for as a non-marketable equity investment and valued as of August 5, 2021 and October 15, 2021, respectively. Ji Xing is an entity affiliated with RTW Investments, LP. RTW Investments, LP, is one of the Company's beneficial owners and, as a result, the Investment is considered to be a related party transaction. The Investment is classified within Level 3 in the fair value hierarchy because the fair value was determined based on a market approach in which one or more significant inputs to the valuation model are unobservable. The Investment is subject to non-recurring fair value measurements for the evaluation of potential impairment losses and observable price changes in orderly transactions for an
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OYSTER POINT PHARMA, INC.
Notes to Unaudited Interim Condensed Financial Statements (continued)
identical or similar investment of Ji Xing. There was no impairment expense recorded for the Investment during the six months ended June 30, 2022.

Concentration of Credit Risk

Financial instruments that potentially subject the Company to concentrations of credit risk are money market funds, which are included in cash and cash equivalents on the Company's condensed balance sheets. The Company attempts to minimize the risks related to cash and cash equivalents by using highly-rated financial institutions that invest in a broad and diverse range of financial instruments. The Company's investment portfolio is maintained in accordance with its investment policy that defines allowable investments, specifies credit quality standards and limits the credit exposure of any single issuer.

3.4.    Property and Equipment, net

Property and equipment, net consisted of the following (in thousands):
June 30, 2022December 31, 2021
Laboratory equipment$605 $585 
Manufacturing equipment502 — 
Furniture and fixtures73 73 
Leasehold improvements263 226 
Marketing equipment258 258 
Office equipment68 68 
Construction-in-progress1,168 1,524 
Total property and equipment$2,937 $2,734 
Accumulated depreciation(424)(237)
Property and equipment, net$2,513 $2,497 


5.    Accrued Expenses and Other Current Liabilities

Accrued expenses and other current liabilities consisted of the following (in thousands):
June 30, 2021December 31, 2020
Accrued compensation$3,776 $3,500 
Accrued professional services2,222 1,244 
Accrued research and development expense596 3,541 
Total accrued expenses and other current liabilities$6,594 $8,285 

June 30, 2022December 31, 2021
Accrued gross-to-net deductions$5,879 $4,837 
Accrued compensation10,391 9,153 
Accrued inventory933 594 
Accrued professional services7,052 5,451 
Accrued research and development expense948 1,156 
Accrued other expense492 320 
Total accrued expenses and other current liabilities$25,695 $21,511 
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OYSTER POINT PHARMA, INC.
Notes to Unaudited Interim Condensed Financial Statements (continued)
4.6.    Stockholders' Equity and Equity Incentive Plans

Common Stock

The Company is authorized to issue 1,000,000,000 shares of common stock, at a par value of $0.001 per share. Each share of common stock is entitled to 1 vote.
The CompanyCompany's outstanding equity awards as well as reserved common stock for future issuance is as follows:
June 30, 2021December 31, 2020
Outstanding options under the 2016 Equity Incentive Plan2,458,8122,567,566
Outstanding options under the 2019 Equity Incentive Plan1,676,659918,145
Equity awards available for grant under the 2019 Plan (1)
1,948,2261,790,106
Unvested restricted stock units (RSUs)173,00761,215
Shares reserved for purchase under the Employee Stock Purchase Plan (ESPP)270,000270,000
Total6,526,7045,607,032
June 30, 2022December 31, 2021
Outstanding options under the 2016 Equity Incentive Plan (the 2016 Plan)1,858,8031,935,240
Outstanding options under the 2019 Equity Incentive Plan (the 2019 Plan)3,127,2912,078,232
Outstanding options under the 2021 Equity Inducement Plan (the 2021 Plan)538,400270,600
Outstanding performance stock units (PSUs) under the 2019 Plan444,500
Unvested restricted stock units (RSUs) under the 2019 Plan385,488179,149
Equity awards available for grant under the 2019 Plan (1)
854,5481,535,488
Equity awards available for grant under the 2021 Plan111,600379,400
Shares reserved for purchase under the Employee Stock Purchase Plan (the ESPP) (2)
362,316225,447
Total7,682,9466,603,556
(1) Effective January 1, 2021,2022, in connection with the evergreen provision contained in the 2019 Plan, an additional 1,070,967 shares of common stock were reserved for issuance under the 2019 Equity Incentive Plan, (theincluding 7,784 shares of common stock that have become available for issuance under the 2019 Plan) 1,035,619 shares were addedPlan as a result of the forfeiture, termination, tender to or withholding for payment of an exercise price or for tax withholding obligations, expiration or repurchase of stock options, restricted stock units or other stock awards that had been granted under the 2016 Plan, pursuant to the terms of the 2019 Plan.

(2) Effective January 1, 2022, in connection with an evergreen provision contained in the ESPP, an additional 265,795 shares of common stock were reserved for issuance under the ESPP.

Performance Stock Units

In January 2022, the Company granted PSUs to certain executive officers. The PSUs are subject to vesting based on the Company’s attainment of pre-established performance milestones and service conditions. The performance milestones are comprised of two non-market milestones and one market milestone. The non-market performance milestones are subject to attaining certain forecasted net product revenues and future prescriptions of TYRVAYA Nasal Spray, and the market performance milestone is subject to (i) at least one of the non-market milestones being met and (ii) attaining total shareholder return based on the change in the price of the Company's common stock. Depending on the terms of the PSUs and the outcome of the performance milestones, a recipient may ultimately earn 0% to 125% (as specified for each PSU grant) of the target number of PSUs granted.

The number of PSUs that may vest and be issued is based upon the determination of the Compensation Committee of the Company's Board of Directors that one or more of the three performance milestones are achieved in the period beginning on the vesting commencement date of January 1, 2022 and ending on June 30, 2023, with the PSUs vesting on July 1, 2024, subject to the participant continuing their service through such vesting date.

The fair value of the non-market milestones is based on the market price of the Company’s stock as of the date of grant. The fair value of the market performance milestone is estimated using a Monte Carlo simulation. The probability of the number of actual shares expected to be earned is considered in the grant date valuation, and therefore, stock-based compensation expense is not adjusted at the vesting date to reflect the actual number of shares earned. The Monte Carlo simulation assumes that at least one of the non-market milestones are met and includes the following assumptions:

Expected term - 1.48 years.
Expected volatility - Historical volatility of the Company's common stock price over a lookback period that is commensurate to the performance period, which is 61.3%.
Risk-free interest rate - The Interpolated Constant Maturity U.S. Treasury Curve, which is 0.64%.
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Notes to Unaudited Interim Condensed Financial Statements (continued)
Expected dividend rate - The Company has estimated the dividend yield to be zero.

The Company records stock-based compensation expense over the estimated service period for each performance-based milestone subject to the achievement of the milestones being considered probable. At each reporting date, the Company assesses whether achievements of the milestones are considered probable and, if so, records stock-based compensation expense based on the portion of the service period elapsed to date with respect to the milestones, with a cumulative catch-up. The Company did not record stock-based compensation expense related to the PSUs during the three or six months ended June 30, 2022.
Stock Options
The following table summarizes stock option activity under the 2016 Equity IncentivePlan, the 2019 Plan and the 20192021 Plan duringfor the six months ended June 30, 20212022 (in thousands, except share,shares, contractual term and per share data):
Outstanding Options
Number of Shares Underlying Outstanding OptionsWeighted Average Exercise PriceWeighted Average Remaining Contractual Term (Years)Aggregate Intrinsic Value
Balance, January 1, 20213,485,711 $10.74 8.2$36,506 
Options granted810,986 18.98 
Options exercised(83,794)3.84 1,369 
Options forfeited(77,432)16.99 335 
Balance, June 30, 20214,135,471 12.38 8.130,931 
Shares vested and exercisable as of June 30, 20211,950,464 6.55 7.223,731 
Vested and expected to vest as of June 30, 20214,135,471 $12.38 8.1$30,931 

Outstanding Options
Number of Shares Underlying Outstanding OptionsWeighted Average Exercise PriceWeighted Average Remaining Contractual Term (Years)Aggregate Intrinsic Value
Outstanding at January 1, 20224,284,072 $13.54 8.1$28,874 
Options granted1,444,967 14.53 — 
Options exercised(69,930)1.09 995 
Options forfeited(134,615)17.90 23 
Outstanding at June 30, 20225,524,494 13.85 8.02,045 
Shares vested and exercisable as of June 30, 20222,288,874 11.21 6.92,013 
Vested and expected to vest as of June 30, 20225,524,494 $13.85 8.0$2,045 
The weighted average fair value of options granted during the six months ended June 30, 20212022 was $11.84$10.75 per share. As of June 30, 2021,2022, the total unrecognized stock-based compensation expense for stock options was $25.8$33.3 million, which is expected to be recognized over a weighted average period of 2.8 years.
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OYSTER POINT PHARMA, INC.
Notes to Unaudited Interim Condensed Financial Statements (continued)

Restricted Stock Units
Restricted stock units (RSUs)The RSUs are granted to the Company's directors and employees. The value of an RSU award is based on the Company's stock price on the date of the grant. The shares underlying the RSUs are not issued until the RSUs vest. Upon vesting, each RSU converts into one share of the Company's common stock.
Activity with respect to the Company's restricted stock units duringRSUs for the six months ended June 30, 20212022 was as follows (in thousands, except share, contractual term, and per share data):
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OYSTER POINT PHARMA, INC.
Notes to Unaudited Interim Condensed Financial Statements (continued)
Outstanding RSUsOutstanding RSUs
Number of Shares Underlying Outstanding AwardsWeighted Average Grant Date Fair Value per ShareWeighted Average Remaining Contractual Term (Years)Aggregate Intrinsic ValueNumber of Shares Underlying Outstanding AwardsWeighted Average Grant Date Fair Value per ShareWeighted Average Remaining Contractual Term (Years)Aggregate Intrinsic Value
Outstanding at January 1, 202161,215 $23.83 1.4$1,152 
Outstanding at January 1, 2022Outstanding at January 1, 2022179,149 $17.52 2.4$3,271 
Restricted stock units grantedRestricted stock units granted144,317 18.54 2,676 Restricted stock units granted267,807 14.45 3,869 
Restricted stock units vestedRestricted stock units vested(32,153)27.15 648 Restricted stock units vested(58,168)18.01 437 
Restricted units forfeitedRestricted units forfeited(372)18.77 Restricted units forfeited(3,300)15.26 23 
Balance, June 30, 2021173,007 18.81 6.02,974 
Unvested and expected to vest as of June 30, 2021173,007 $18.81 6.0$2,974 
Outstanding at June 30, 2022Outstanding at June 30, 2022385,488 15.33 3.11,669 
Vested and expected to vest as of June 30, 2022Vested and expected to vest as of June 30, 2022385,488 $15.33 3.1$1,669 
As of June 30, 2021,2022, the total unrecognized stock-based compensation expense for RSUs was $2.8$5.0 million which is expected to be recognized over a weighted average period of 2.83.1 years.
2019 Employee Stock Purchase Plan
In October 2019, theThe Company adopted the 2019 Employee Stock Purchase Plan (ESPP), which became effective on October 29, 2019. Effective April 1, 2021, the Company established its first offering period under themaintains an ESPP which began on April 16, 2021 and will end on November 15, 2021. After the first offering period, the ESPP provides for automatic six-month offering periods. The ESPP allows eligible employees to purchase shares of the Company's common stock at a 15% discount through payroll deductions, subject to plan limitations. At the end of each offering period, employees are able to purchase shares at 85% of the lower of the fair market fair value of the Company's common stock onat the first trading daybeginning or the end of the offering period, or onwhichever is lower through payroll deductions. The Company issued 128,926 shares of common stock under the last day ofESPP during the offering period.six months ended June 30, 2022.

Stock-Based Compensation Expense
TotalThe following is a summary of stock-based compensation expense recorded related to the Company's equity incentive plans was as followsby function recognized (in thousands):
Three Months Ended June 30,Six Months Ended June 30,
2021202020212020
Research and development$460 $239 $826 $456 
Selling, general and administrative2,588 1,370 4,902 2,333 
Total stock-based compensation expense$3,048 $1,609 $5,728 $2,789 

Three Months Ended June 30,Six Months Ended June 30,
2022202120222021
Sales and marketing$1,080 $623 $2,333 $1,147 
General and administrative2,466 1,966 4,941 3,755 
Research and development637 459 1,268 826 
Total stock-based compensation expense$4,183 $3,048 $8,542 $5,728 

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OYSTER POINT PHARMA, INC.
Notes to Unaudited Interim Condensed Financial Statements (continued)
5.7.    Net Loss Per Share

The following table sets forth the computation of basic and diluted net loss per share (in thousands, except share and per share data):
Three Months Ended June 30,Six Months Ended June 30,Three Months Ended June 30,Six Months Ended June 30,
20212020202120202022202120222021
Numerator:Numerator:Numerator:
Net lossNet loss$(22,016)$(15,464)$(40,925)$(31,983) Net loss$(49,942)$(22,016)$(97,834)$(40,925)
Denominator:Denominator:Denominator:
Weighted average shares outstanding, basic and dilutedWeighted average shares outstanding, basic and diluted25,989,913 23,442,530 25,957,186 22,405,031  Weighted average shares outstanding, basic and diluted26,744,008 25,989,913 26,688,103 25,957,186 
Net loss per share, basic and dilutedNet loss per share, basic and diluted$(0.85)$(0.66)$(1.58)$(1.43)Net loss per share, basic and diluted$(1.87)$(0.85)$(3.67)$(1.58)

The following outstanding shares of potentially dilutive securities were excluded from the computation of diluted net loss per share for the periods presented because including them would have been antidilutive:
As of June 30,June 30,
2021202020222021
Options to purchase common stockOptions to purchase common stock4,135,471 3,281,886 Options to purchase common stock5,524,494 4,135,471 
Unvested restricted stock unitsUnvested restricted stock units173,007 77,530 Unvested restricted stock units385,488 173,007 
Shares committed under the ESPPShares committed under the ESPP14,069 Shares committed under the ESPP31,277 14,069 
TotalTotal4,322,547 3,359,416 Total5,941,259 4,322,547 

8.Long-term Debt

Credit Facility with OrbiMed

On August 5, 2021, the Company entered into the Credit Agreement with OrbiMed as administrative agent and initial lender. The term loan underlying the Credit Agreement matures on August 5, 2027 and is structured for full principal repayment at maturity. The term loan bears interest at the secured overnight financing rate (SOFR) (with a floor of 0.40% per annum) plus a spread of 8.10% per annum. The SOFR rate as of June 30, 2022 was 1.50%.

The Company is required to make quarterly payments to OrbiMed in the form of a revenue sharing fee in an amount equal to 3.0% of all net revenue from fiscal year net sales and licenses of OC-01 up to $300.0 million and 1% of all revenue from fiscal year sales and licenses of TYRVAYA Nasal Spray in excess of $300.0 million and up to $500.0 million, subject to caps on such fiscal year net sales and license revenues. As of June 30, 2022 and December 31, 2021, the Company accrued $0.1 million and $0.2 million, respectively, for the revenue sharing fee which is classified in accrued expenses and other current liabilities on the Company's condensed balance sheet.

The discount created by the bifurcated net embedded derivative liability, together with the exit fee, the buyout amount, and any debt issuance fees attributable to the drawn tranches are deferred and amortized using the effective interest method over the life of the term loan, which resulted in an effective interest rate of 14.40% on the loan as of June 30, 2022.

In connection with entering into the Credit Agreement, the Company incurred loan commitment fees, which were capitalized and recorded in other assets on the Company's condensed balance sheet as of June 30, 2022. The Company amortizes loan commitment fees on a straight-line basis over the term of the loan commitment. Undrawn loan commitment fees, net of accumulated amortization, were $0.4 million and $0.6 million as of June 30, 2022 and December 31, 2021, respectively.

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OYSTER POINT PHARMA, INC.
Notes to Unaudited Interim Condensed Financial Statements (continued)
6.The balances of the long-term debt, debt issuance and discount costs, net of amortization and accretion recorded on the Company's condensed balance sheet were as follows:

June 30, 2022December 31, 2021
Long-term debt$95,000 $95,000 
Debt issuance and discount costs, net of amortization(3,565)(5,185)
Long-term debt, net$91,435 $89,815 

During the three and six months ended June 30, 2022, the Company recorded interest expense of $3.2 million and $6.2 million, respectively, of which $1.0 million and $2.0 million, respectively, are related to the amortization of the loan commitment fees and accretion of the debt issuance and discount costs.

The Credit Agreement contains customary affirmative and negative covenants, including but not limited to the Company’s ability to enter into certain forms of indebtedness, as well as to pay dividends and other restricted payments. The Credit Agreement also includes provisions for customary events of default. The Credit Agreement requires compliance with a minimum liquidity covenant of $5.0 million. The Company was in compliance with all covenants as of June 30, 2022.

9.    Leases
The Company is party to severalnon-cancelable operating and finance lease agreements related toleases for office and laboratory space and office equipment.
In February 2021, the Company entered into a lease agreement for laboratory and office space in New Jersey and Massachusetts.
The Company's variable lease payments primarily consist of maintenance and other operating expenses from its real estate leases. Variable lease payments are excluded from the right of use assets and lease liabilities and are recognized in the period in which the obligation for a three-year term beginning on March 1, 2021 and ending on February 29, 2024. Total futurethose payments is incurred. Lease expense for minimum lease payments under the Company's operating lease agreements are $0.8 million as of June 30, 2021. Total lease payments requiredis recognized on a straight-line basis over the life of the Company's operatinglease term.
The Company leases are $1.6 million. Rent expense was $0.3 million and $0.2 million for the six months ended June 30, 2021 and June 30, 2020, respectively. Thecertain office equipment under finance leases with remaining lease terms were between 1.1 and 2.7 years as of June 30, 2021.

less than 3.8 years.
Supplemental balance sheet information for the Company's leases is as follows (in thousands):
June 30, 2021December 31, 2020June 30, 2022December 31, 2021
Operating lease right-of-use asset$757 $644 
Finance lease right-of-use asset2634
Total right-of-use asset$783 $678 
Operating lease right-of-use assetsOperating lease right-of-use assets$2,637 $2,884
Finance lease right-of-use assetsFinance lease right-of-use assets4718
Total right-of-use assetsTotal right-of-use assets$2,684 $2,902
Operating lease liabilitiesOperating lease liabilities$527 $400 Operating lease liabilities$690 $779
Finance lease liabilitiesFinance lease liabilities1818Finance lease liabilities2816
Total lease liabilitiesTotal lease liabilities$545 $418 Total lease liabilities$718 $795
Operating lease liabilities, non-currentOperating lease liabilities, non-current$237 $250 Operating lease liabilities, non-current$1,964 $2,114
Finance lease liabilities, non-currentFinance lease liabilities, non-current1119Finance lease liabilities, non-current254
Total lease liabilities, non-currentTotal lease liabilities, non-current$248 $269 Total lease liabilities, non-current$1,989$2,118


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OYSTER POINT PHARMA, INC.
Notes to Unaudited Interim Condensed Financial Statements (continued)
The maturities of the lease liabilities under non-cancelable operating and finance leases are as follows (in thousands):
As of June 30, 2021Finance LeasesOperating LeasesTotal
2021 (remainder)$$277 $286 
202216 376 392 
2023126 131 
202421 21 
Total undiscounted cash flows30 800 830 
Less: imputed interest(1)(36)(37)
Total lease liability29 764 793 
Less: current portion(18)(527)(545)
Lease liability$11 $237 $248 

As of June 30, 2022Finance LeasesOperating LeasesTotal
2022 (remainder)$16 $414 $430 
202322 792 814 
202417 646 663 
2025— 562 562 
2026— 525 525 
Total undiscounted cash flows55 2,939 2,994 
Less: imputed interest(2)(285)(287)
Total lease liabilities53 2,654 2,707 
Less: current portion(28)(690)(718)
Lease liabilities$25 $1,964 $1,989 
Rent expense was $0.3 million and $0.1 million for the three months ended June 30, 2022 and 2021, respectively, and was $0.6 million and $0.3 million for the six months ended June 30, 2022 and 2021, respectively.

10.    License and Collaboration Agreements
7.    CommitmentsJi Xing
In August 2021, the Company entered into a license and Contingenciescollaboration agreement with Ji Xing. The Company granted Ji Xing an exclusive license to develop and commercialize OC-01 (varenicline solution) nasal spray and OC-02 (simpinicline) nasal spray pharmaceutical products, for all prophylactic uses for, and treatment of, ophthalmology diseases or disorders in the greater China region. Per the terms of the agreement, the Company is eligible to receive development and sales-based milestone payments and royalty payments that are tiered on future net sales of OC-01 and OC-02. The Company did not recognize any license or milestone revenue during the three or six months ended June 30, 2022 and 2021.

License AgreementAdaptive Phage Therapeutics

In May 2021, the Company entered into a research collaboration agreement with Adaptive Phage Therapeutics (APT) for the development of potential biological treatments for multiple ophthalmic diseases. Under the terms of the collaboration agreement, the Company has the option and certain rights to obtain an exclusive license to develop and commercialize APT’s technology for ophthalmic diseases and disorders. Under the license terms, if such option is exercised, the Company would make potential development and regulatory milestones payments, as well as potentially make sales-related milestones and tiered royalty payments based on net sales, if a licensed phage therapy is approved by the FDA or certain other regulatory authorities. Pursuant to the terms of the agreement, the Company paid a one-time, non-refundable, upfront payment of $0.5 million for the collaboration and option agreement which was included in research and development expense for the six months ended June 30, 2021. The Company has not exercised the option granted under the agreement as of June 30, 2022.

Pfizer Inc.

The Company is party to a non-exclusive patent license agreement with Pfizer Inc. (Pfizer), which granted the Company non-exclusive rights under Pfizer’s patent rights covering varenicline tartrate to develop, manufacture, and commercialize the OC-01 (varenicline)(varenicline solution) nasal spray product. IfPursuant to the license agreement, the Company commercializes OC-01 (varenicline) nasal spray, it may beis required to pay a singleone-time sales-based milestone payment in low double-digit millions and tiered royalties onof $10.0 million if annual U.S. net sales of OC-01 (varenicline) nasal sprayTYRVAYA Nasal Spray exceed $250.0 million prior to December 31, 2026. The Company is also required to pay royalties based on annual U.S. tiered net sales of TYRVAYA Nasal Spray at percentages ranging from 7.5% to 15% until the mid-single digits toexpiration of the mid-teens.royalty term. The royalty obligation to Pfizer would commencecommenced upon the first commercial sale of OC-01 (varenicline) nasal sprayTYRVAYA Nasal Spray and expireexpires upon the later of (a) the expiration of all regulatory or data exclusivity granted to Pfizer in connection with varenicline in the United States; and (b) the expiration or abandonment of the last valid claims of the licensed patents. Royalty expense is recorded in the cost of product revenue in the condensed statements of operations and comprehensive loss. The Company recorded royalty expense of $0.4 million and $0.6 million during the three and six months ended June 30, 2022, respectively, and no royalty expense during the three and six months ended June 30, 2021.

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OYSTER POINT PHARMA, INC.
Notes to Unaudited Interim Condensed Financial Statements (continued)
valid claims of the licensed patents. No milestone was achieved or probable to be achieved or royalties payable accrued as of June 30, 2021
11.    Commitments and December 31, 2020.Contingencies

Contingencies

From time to time, the Company may have certain contingent liabilities that arise in the ordinary course of its business activities. The Company accrues a liability for such matters when it is probable that future expenditures will be made and that such expenditures can be reasonably estimated. Significant judgment is required to determine both probability and the estimated amount. There are no matters pending that the Company currently believes are reasonably possible or probable of having a material impact to the Company's business, financial position, results of operations, or statements of cash flows.


8.12.    Subsequent Events

Credit Facility with OrbiMed

On August 5, 2021, the Company entered into a $125 million term loan credit facility (the Credit Agreement) with OrbiMed Royalty & Credit Opportunities III, LP, as administrative agent and initial lender (OrbiMed). The Credit Agreement provides for loans to be funded in three separate tranches, the first $45 million tranche to be funded no later than August 13, 2021, the second $50 million tranche to be funded, at the option of the Company, upon FDA approval of OC-01 (varenicline) nasal spray and the third $30 million tranche to be funded, at the option of the Company, upon the Company receiving $40 million in net recurring revenue from the sale and/or licensing of OC-01. The Company’s obligations under the Credit Agreement are secured by all or substantially all of its assets and property, subject to customary exceptions. Any material subsidiaries that the Company (other than certain immaterial subsidiaries) forms or acquires after closing are required to provide a guarantee of the Company’s obligations under the Credit Agreement and provide a pledge of their assets.

The Credit Agreement matures on August 5, 2027 and the loan is structured for full principal repayment at maturity. The term loans bear interest at a rate per annum equal to the sum of (x) the daily secured overnight financing rate as administered by the Federal Reserve Bank of New York, subject to a 0.40% floor, plus (y) a margin of 8.10%. Commencing with the first full fiscal quarter after the closing date, the Company is required to make quarterly revenue interest payments to OrbiMed in an amount equal to 3% of all net revenue from annual sales and licenses of OC-01 up to $300 million and 1% of all revenue from annual sales and licenses of OC-01 between $300 million and $500 million, subject to caps on such quarterly payments. These caps increase both on an annual basis and upon funding of the second and third term loan tranches.

If the Company does not obtain OC-01 approval by June 30,July 6, 2022, the Credit Agreement requires monthly repayments of principal starting on August 5, 2024. Additionally, commencing with the fourth full fiscal quarter after OC-01 approval, if the Company does not meet certain minimum recurring revenue thresholds from the sale and/or licensing of OC-01 in the last four quarters, the Credit Agreement requires a $5 million repayment of principal on the interest payment date following such fiscal quarter. This test is applied each quarter following commencement. The Company is permitted to prepay, in whole or in part, the term loans, subject to the payment of a prepayment fee, an exit fee and a buyout amount (calculated as the revenue interest cap set forth above less the amount of royalty payments made to OrbiMed). The term loans are also required to be mandatorily prepaid with the proceeds of certain asset sales and casualty events (subject to payment of the prepayment fee and exit fee) and the issuance of convertible debt.

The Credit Agreement contains customary affirmative and negative covenants. The affirmative covenants include, among others, administrative and reporting requirements subject to certain exceptions and materiality thresholds. The negative covenants include, among others, limitations on the Company’s ability to, in each case, subject to certain exceptions, (i) incur additional debt, (ii) incur liens, (iii) make investments, acquisitions, loans or advances, (iv) sell assets, (v) make restricted payments, including dividends and distributions on, and redemptions, repurchases or retirement of, the Company’s capital stock, (vi) enter into fundamental changes, including mergers and consolidations, (vii) enter into transactions with affiliates, (viii) change the nature of the Company’s business, (ix) make prepayments of certain debt, (x) modify or terminate material agreements and (xi) enter into certain outbound licenses of material intellectual property. The Credit Agreement also requires compliance with a minimum liquidity covenant of $20 million prior to OC-01 approval and $5 million after OC-01 approval.

The Credit Agreement includes customary events of default, including failure to pay principal, interest or certain other amounts when due; material inaccuracy of representations and warranties; breach of covenants; specified cross-default to other material indebtedness; certain bankruptcy and insolvency events; certain ERISA events; certain undischarged judgments; material impairment of security interests; material adverse change and material regulatory events, in certain cases subject to certain thresholds and grace periods.

12

OYSTER POINT PHARMA, INC.
Notes to Unaudited Interim Condensed Financial Statements (continued)

Ji Xing License and Collaboration Agreement

On August 5, 2021, the Company entered into a license and collaboration agreement (License Agreement) with Ji Xing Pharmaceuticals Limited (Ji Xing), which is an entity affiliated with RTW Investments, LP. Pursuant to the License Agreement, the Company will grant Ji Xing an exclusive license to develop and commercialize OC-01 (varenicline) nasal spray and OC-02 (simpinicline) nasal spray pharmaceutical products, for all prophylactic uses for, and treatment of, ophthalmology diseases or disorders (the Field) in the greater China region, including mainland China, Hong Kong Special Administrative Region, Macau Special Administrative Region, and Taiwan (the Territory). Ji Xing will be responsible for development, regulatory, manufacturing and commercialization activities in the Territory, and the Company will be responsible for supplying the drug substance and finished products of OC-01 (varenicline) and OC-02 (simpinicline) for Ji Xing’s clinical development at quantities to be agreed by the parties, subject to one or more separate supply agreements as contemplated by the License Agreement. Ji Xing is prohibited from engaging in certain competitive activities during the term of the License Agreement. Subject to certain limitations, the Company may not commercialize any nAChR agonist in the Field in the Territory, without first offering Ji Xing a right of first negotiation for such product in the Territory. The Company has also granted Ji Xing a right of first negotiation to expand indications or uses of OC-01 (varenicline) or OC-02 (simpinicline) in the Territory.

The Company will receive an upfront cash payment of $17.5 million and up to 0.75% of shares in Ji Xing, half of which will be subject to a pre-specified vesting condition. In addition, the Company is eligible to receive up to $204.8 million in aggregate development and sales-based milestone payments and tiered low teens to low twenties royalties based on future net sales of OC-01 and OC-02 in the Territory. The License Agreement will remain in effect, unless terminated earlier, until the expiration of all royalty terms for all licensed products in the Territory under the License Agreement. Ji Xing may terminate the License Agreement for convenience by providing at least one hundred eighty (180) days written notice. Each party has the right to terminate the License Agreement for the other party’s uncured material breach or insolvency. The Company may also terminate the License Agreement if Ji Xing, its affiliates or sublicensees challenges the enforceability, validity or scope of certain patents owned by the Company, subject to customary exceptions set forth in the License Agreement. Upon termination, any license granted by the Company to Ji Xing will terminate, and all sublicenses granted by Ji Xing shall also terminate.

As of March 31, 2021, entities affiliated with RTW Investments, LP, beneficially owned greater than 5% of the Company’s outstanding shares of common stock. As a result, the License Agreement is considered a related party transaction and was approved by the audit committee of the board of directors of the Company.

2021 Inducement Plan

In July 2021, the Company's Board of Directors (the Board), after consultation with an independent compensation consultant, approved the adoptiona program that consisted of one-time equity and cash awards to certain employees as described below.

Equity Awards

The Board granted 650,550 RSUs to certain employees whereby 50% of the 2021 Inducement Plan (Inducement Plan), which isRSUs will vest on July 1, 2023 and 50% will vest on July 1, 2024, subject to be used exclusively for grantscontinuous service to the Company by the employee through each such date.

The Board also granted 350,000 PSUs to the Company’s President and Chief Executive Officer and 300,000 PSUs to the Company’s Chief Financial Officer and Chief Business Officer. Upon vesting, each PSU will entitle the grantee to receive 1 share of awardsthe Company’s common stock based on the following performance milestones and the executive officer’s continued service with the Company:

50% of the PSUs will vest on July 6, 2023; and
The remaining 50% of the PSUs will vest at such time, if any, during the period that begins on July 6, 2023, and ending on July 6, 2024, as the thirty-day volume-weighted average stock price of the Company’s common stock reaches $6.00 per share.

Cash Awards

The Board also approved a one-time discretionary advance cash payment to individuals who were not previouslycertain employees or directors of the Company (or followingin the aggregate amount of approximately $2.4 million, which includes a bona fide periodpayment of non-employment) as a material inducementapproximately $0.2 million to such individuals’ entry into employment with the Company, pursuantCompany’s President and Chief Executive Officer and approximately $0.1 million to Nasdaq Listing Rule 5635(c)(4). The Company has reserved 650,000 shares of its common stock that may be issued under the Inducement Plan. TheCompany’s Chief Financial Officer and Chief Business Officer. Each advance payment is subject to certain terms and conditions of the Inducement Plan are substantially similar to those of the 2019 Plan.and was distributed on July 15, 2022.
1318


ITEM 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations.Operations

The following discussion analyzes the Company's historical financial condition and results of operations. As you read this discussion and analysis, refer to the Company's financial statements and the notes thereto included elsewhere in this Quarterly Report on Form 10-Q, which represents the results of operations for the three and six months ended June 30, 20212022 and 2020.2021. Also refer to the Company's Annual Report on Form 10-K for the year ended December 31, 2020,2021, which includes detailed discussions of various items impacting the Company's business, results of operations and financial condition. The discussion and analysis below has been organized as follows:

Executive summary, including a description of the business and recent events that are important to understanding the results of operations and financial condition;
Results of operations, including an explanation of significant differences between the periods in the specific line items of the condensed statements of operations;
Financial condition addressing the Company's sources of liquidity, future funding requirements, cash flow,flows, sources and uses of cash, updates to contractual obligations and commitments, and off-balance sheet arrangements; and
Critical accounting policies, significant judgements and estimates, which are most important to both the portrayal of the Company's results of operations and financial condition.

Some of the information contained in the following discussion and analysis or set forth elsewhere in this Quarterly Report on Form 10-Q, including information with respect to the Company’s plans and strategy for its business, includes forward-looking statements within the meaning of Section 27A of the Act and Section 21E of the Exchange Act that involve risks and uncertainties. As a result of many factors, including those factors set forth in the “Risk Factors” section of the Company’s Annual Report on Form 10-K for the year ended December 31, 20202021 and in this Quarterly Report on Form 10-Q, the Company’s actual results could differ materially from the results described in or implied by these forward-looking statements. Please also see the section of this Quarterly Report on Form 10-Q titled “Special Note Regarding Forward-Looking Statements.”

1419



Executive Summary

Introduction and Overview

Oyster Point Pharma, Inc. (the Company) is a clinical stagecommercial-stage biopharmaceutical company focused on the discovery, development and commercialization of first-in-class pharmaceutical therapies to treat ophthalmic diseases. The Company's lead product candidateOn October 15, 2021, TYRVAYA® (varenicline solution) Nasal Spray (TYRVAYA Nasal Spray), formerly referred to as OC-01 (varenicline)(varenicline solution) nasal spray, a highly selective nicotinic acetylcholine receptor (nAChR) agonist, is being developed as a nasal spray to treatwas approved by the U.S. Food and Drug Administration (FDA) for the treatment of the signs and symptoms of dry eye disease. Based on OC-01 (varenicline) nasal spray’s clinical trial results and its novelTYRVAYA Nasal Spray’s highly differentiated mechanism of action the Company believes OC-01 (varenicline) nasal spray, if approved by the FDA, has the potentialis designed to become the new standard of care and redefine how dry eye disease is treated for millions of patients.increase basal tear production with a goal to re-establish tear film homeostasis.

The Company has no products approved for salebegan selling TYRVAYA Nasal Spray in November 2021 and has not generated revenue since its inception in 2015. The Company expects to finance its operations through private and public equity or debt financing, collaborative or other arrangements with corporate sources or through other sourcesnet product revenues of financing. The Company’s net losses were $40.9$7.4 million and $32.0 million for the six months ended June 30, 20212022. The Company expects its product revenue to increase if it gains market share and 2020, respectively. AsTYRVAYA Nasal Spray obtains insurance coverage from additional third-party payors. The Company generated net losses of $97.8 million and $40.9 million for the six months ended June 30, 2022, and 2021, the Companyrespectively, and had an accumulated deficit of $195.7$353.2 million. The Company expects that its selling, general and administrative expenses will continue to increase as the Company prepares for the commercialization of its lead product candidate, OC-01 (varenicline) nasal spray, if approved by the FDA. Additionally, operating expenses will increase as the Company advances its other product candidates through preclinical and clinical development, seeks regulatory approval, and prepares for and, if approved, proceeds to commercialization; acquires, discovers, validates and develops additional product candidates; obtains, maintains, protects and enforces its intellectual property portfolio; and hires additional personnel.June 30, 2022. The Company has incurredfinanced its operations primarily through the sale and will continue to incur additional costs associated with operating as a public company.

The Company plans to continue to use third-party service providers, including clinical research organizations (CROs) and contract manufacturing organization (CMOs), to carry out its preclinical and clinical development and to manufacture and supply the materials to be used during the development and commercializationissuance of its product candidates. During the second quarter ofsecurities. In August 2021, the Company commenced its hiringsecured debt capital in the form of a specialty sales force of approximately 150$125.0 million long-term credit facility (the Credit Agreement) with OrbiMed Royalty & Credit Opportunities III, LP (OrbiMed) to 200 field representatives.help finance its operations.

Recent Events

Credit Facility with OrbiMedOperating Expense Streamlining Plan

On August 5, 2021,June 28, 2022, the Company entered intoannounced a $125plan to streamline operating expenses, including a reduction in force. The purpose of the plan, which was approved by the Company's Board of Directors, is to better align the Company's workforce with the anticipated current needs of its business, maximize the commercial potential of TYRVAYA Nasal Spray, and create value for the Company's stakeholders. As a result of the plan, the Company estimates that it will reduce operating expenses by approximately $6.0 million Credit Agreement with OrbiMed,to $8.0 million, net of severance costs, in the second half of 2022, and reduce operating expenses by approximately $40.0 million to $48.0 million in 2023. The reduction in operating expenses is expected to be funded in three separate tranches,primarily driven by lower non-employee-related general and administrative and research and development expenses, and to a lesser extent, by the first $45 million tranchereduction of up to be funded no later than August 13, 2021,approximately 50 positions across the second $50 million tranche to be funded, at the option of the Company, upon FDA approval of OC-01 (varenicline) nasal spray and the third $30 million tranche to be funded, at the option of the Company, upon the Company receiving $40 million in net recurring revenue from the sale and/or licensing of OC-01.The Company’s obligations under the Credit Agreementorganization. These estimates are secured by all or substantially all of its assets and property, subject to customary exceptions.a number of assumptions, and actual results may differ.

The Credit Agreement matures on August 5, 2027. The term loans bear interest at a rate per annum equal to the sum of (x) the daily secured overnight financing rate as administered by the Federal Reserve Bank of New York, subject to a 0.40% floor, plus (y) a margin of 8.10%. Commencing on the first full fiscal quarter after the closing date, the Company is required to make quarterly revenue interest payments to OrbiMed in an amount equal to 3% of all net revenue from annual sales and licenses of OC-01 up to $300 million and 1% of all revenue from annual sales and licenses of OC-01 between $300 million and $500 million, subject to caps on such quarterly payments. These caps increase both on an annual basis and upon funding of the second and third term loan tranches.Executive Officer Transitions

IfOn June 28, 2022, the Company does not obtain OC-01 approval by June 30, 2022,appointed Daniel Lochner, the Credit Agreement requires monthly repayments of principal starting on August 5, 2024. Additionally, commencing with the fourth full fiscal quarter after OC-01 approval, if the Company does not meet certain minimum recurring revenue thresholds from the sale and/or licensing of OC-01 on a quarterly basis for the most recently ended four fiscal quarter period, the Credit Agreement requires a $5 million repayment of principal on the interest payment date following such fiscal quarter. The Company is permittedCompany’s Chief Financial Officer, to prepay, in whole or in part, the term loans, subject to the payment of a prepayment fee, an exit fee and a buyout amount (calculatedserve as the revenue interest cap set forth above less the amount of royalty payments made to OrbiMed). The term loans are also required to be mandatorily prepaid with the proceeds of certain asset salesCompany’s Chief Financial Officer and casualty events (subject to payment of the prepayment fee and exit fee) and the issuance of convertible debt.Chief Business Officer.

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For further discussionEffective as of July 1, 2022, John Snisarenko ceased serving as the Credit Agreement, including information pertaining to affirmativeCompany’s Chief Commercial Officer and negative covenants ofresigned from the Company, and events of default, see Item 1 — Note 8, Subsequent Events.Company.

Ji Xing License and Collaboration AgreementPharmaceuticals Enrolls Patients in a Phase 3 Clinical Trial of OC-01 in China

On August 5, 2021, theThe Company entered into a license and collaboration agreement (License Agreement) with Ji Xing Pharmaceuticals Limited (Ji Xing), a biotechnology company headquartered in Shanghai and backed by RTW Investments, LP (RTW). Pursuant to the License Agreement, the Company will grantgranted Ji Xing an exclusive license to develop and commercialize OC-01 (varenicline)(varenicline solution) nasal spray and OC-02 (simpinicline) nasal sprays,spray pharmaceutical products, for all prophylactic uses for, and treatment of, ophthalmology diseases or disorders in the greater China region.region in August 2021. In July 2022, Ji Xing announced that the first patients have been enrolled in its Phase 3 clinical study of OC-01 (varenicline solution) nasal spray in China. The study will be responsiblecarried out in over 20 leading clinical centers across China and is designed to evaluate the efficacy and safety of OC-01 nasal spray for the development, regulatory, manufacturing and commercialization activities costs in the greater China region. The Company will be responsible for supplying the drug substance and finished products of OC-01 (varenicline) and OC-02 (simpinicline) for Ji Xing's clinical development at quantities to be agreed by the parties, subject to one or more separate supply agreements as contemplated by the License Agreement.The Company will receive an upfront cash payment consisting of $17.5 million and up to 0.75% equity interest in Ji Xing, half of which will be subject to a pre-specified vesting condition. In addition, the Company is eligible to receive up to $204.8 million in aggregate development and sales-based milestone payments and tiered low teens to low twenties royalties based on future net sales of OC-01 and OC-02 in the greater China region. For further discussiontreatment of the License Agreement, see Item 1 — Note 8, Subsequent Events.signs and symptoms of dry eye disease to support a new drug application in China.

HiringExpansion of U.S. Sales Representatives in JulyCommercial Coverage for TYRVAYA Nasal Spray

As of July 2022, TYRVAYA Nasal Spray is covered by commercial prescription drug plans managed by the nation’s top three Pharmacy Benefit Manager Group Purchasing Organizations. In July 2022, the Company also introduced expanded patient access programs to include more eligible patients. The Company continuesexpects to make meaningful progress toward its planned U.S. launch of OC-01 (varenicline) nasal sprayfurther expand market access to TYRVAYA Nasal Spray with coverage for Medicare Part D patients in the fourth quarter of 2021, if approved by the FDA, by initiating the hiring of sales representatives during the month of July, with a planned target of hiring 150-200 sales representatives. Sales representatives are currently in the field communicating our dry eye disease-state awareness campaign.2023 and beyond, and possibly as early as September 2022.
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Preclinical Data Highlighting Potent Activity of OC-01 (varenicline) and OC-02 (simpinicline) against SARS-CoV-2 Virus and Variants.

In July 2021, the Company announced preclinical data in non-human primates and in vitro models evaluating OC-01 (varenicline) nasal spray against SARS-CoV-2 and the alpha and beta variants, the viruses that cause COVID-19 disease. Administration of OC-01 (varenicline) nasal spray to non-human primates was observed to inhibit viral replication in the nose within 24 hours of infectious SARS-CoV-2 challenge with absence of subgenomic RNA at Day 3 and Day 5 post-challenge. The results were published on the preprint server bioRxiv. In addition, varenicline was observed to inhibit cellular entry and replication of SARS-CoV-2 and its alpha and beta variants in multiple human cell types. Lastly, OC-02 (simpinicline) was also observed to inhibit cellular entry and replication of SARS-CoV-2 alpha variant in Calu-3 human cells at very low concentrations. Additional preclinical studies with SARS-CoV-2 variants are currently underway.

2021 Inducement Plan

In July 2021, the Company's Board of Directors approved the adoption of the 2021 Inducement Plan (Inducement Plan), which is to be used exclusively for grants of awards to individuals who were not previously employees or directors of the Company (or following a bona fide period of non-employment) as a material inducement to such individuals’ entry into employment with the Company, pursuant to Nasdaq Listing Rule 5635(c)(4). The Company has reserved 650,000 shares of its common stock that may be issued under the Inducement Plan. The terms and conditions of the Inducement Plan are substantially similar to those of the 2019 Plan.

Continued Enrollment of First SubjectSubjects in the OLYMPIA Phase 2 Clinical Trial of OC-01 (varenicline)TYRVAYA Nasal Spray for Patients with Neurotrophic Keratopathy

InDuring the six months ended June 2021,30, 2022, the Company announcedcontinued enrollment of the first subjectsubjects in the OLYMPIA Phase 2 clinical trial of OC-01 (varenicline) nasal spray for the treatment of Stage 1 Neurotrophic Keratopathy (NK). NK is a degenerative disease resulting from a loss on corneal sensation, which causes progressive damage to the top layer of the cornea and can negatively impact visual acuity. Enrollment is continuing with study results expected in the fourth quarter of 2022.

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Pipeline Expansion withAdditional Pre-Clinical Studies for Enriched Tear Film (ETF™) Gene Therapy to Target Ophthalmic DiseasesNeurotrophic Keratopathy

InDuring the six months ended June 2021,30, 2022, the Company announcedprogressed in its multiple pre-clinical studies for the expansion of its pipeline with the introduction of its proprietary ETF™ gene therapy and proof-of-concept in vivo study results from it first gene therapy candidate, OC-101. Preclinical study results from a 42-day proof-of-concept in vivo study demonstratedwith OC-101 (AAV-NGF), a single, intralacrimal gland injection of an adeno-associated virus (AAV) vector that deliverscontaining the human Nerve Growth Factornerve growth factor (NGF) gene. A single injection produced statistically significant increase of NGF in tear film, as compared to control. Preclinicalgene for Stage 2/3 NK patients. Earlier pre-clinical study results also demonstrated that following AAV transduction of the lacrimal gland, cholinergic activation with OC-01 (varenicline) nasal spray produced a statistically significant increase of NGF levels in tear film of a rabbit model, as compared to control, and pre-cholinergic activation, potentially indicating OC-01’s ability to modulate lacrimal secretion of NGF. No macroscopic or microscopic safety findings were observed associated with eitherAdditional pre-clinical studies using a porcine model have further demonstrated the capability of ETF Gene Therapy to deliver a protein to the tear film following intralacrimal gland administration of OC-01 or intranasal administration of OC-01.

Research Collaboration with Adaptive Phage Therapeutics, Inc. to Target Ophthalmic Diseases

In May 2021,injection. During this period, the Company entered intocompleted a research collaboration agreement with Adaptive Phage Therapeutics (APT) for the development of potential biological treatments for multiple ophthalmic diseases. Under the termssecond preclinical study using a pig model, demonstrating that following AAV transduction of the collaboration agreement,lacrimal gland, significant human NGF was produced in the Company hastear film for as long as 90 days (the last time point in the option and certain rightsstudy). Cholinergic activation with OC-01 produced a significant increase of NGF levels in tear film, as compared to obtain an exclusive licensecontrol, potentially indicating OC-01’s ability to develop and commercialize APT’s technology for ophthalmic diseases and disorders. Under the license terms, if such option is exercised, the Company would pay for potential development and regulatory milestones, as well as the potential for sales-related milestones and tiered royaltiesmodulate lacrimal secretion of net sales, if a licensed phage therapy is approved by the FDA or certain other regulatory authorities. Pursuant to the terms of the agreement, the Company paid a one-time, non-refundable, upfront payment of $0.5 million for the collaboration and option agreement which was included in research and development expense for the three and six months ended June 30, 2021.

Prescription Drug User Fee Act (PDUFA) target action date of October 17, 2021
NGF. The Company submitted a 505(b)(2) New Drug Application (NDA) for OC-01 (varenicline) nasal sprayPre-IND meeting request to the U.S. FDA for the treatment of signs and symptoms of dry eye disease in December 2020. The FDA has assigned a PDUFA target action date of October 17, 2021 as the goal to complete its review of the NDA.OC-101 program.

The Impact of the SARS-CoV-2 Virus Pandemic

DuringThe Company does not believe its financial results were materially affected by the SARS-CoV-2 virus pandemic during the six months ended June 30, 2021, the financial results of the Company were not significantly affected by the SARS-CoV-2 virus pandemic.2022. However, the extent to which the SARS-CoV-2 virus pandemic may affect the Company’s future financial results and operations will depend on future developments which are highly uncertain and cannot be predicted, including new information which may emerge concerning the pandemic, the availability and effectiveness of vaccines and treatment options, and current or future domestic and international actions to contain it and treat it. The Company continues to evaluate the potential impact of the SARS-CoV-2 virus pandemic on its business, including the potential impact of the pandemic on sales of TYRVAYA Nasal Spray and its acceptance by patients and prescribers, any potential supply-chain challenges, and the potential impact of the pandemic on the Company's pipeline and the conduct of clinical trials and preclinical studies, expected timelines and costs, as well as potential supply-chain challenges as it prepares itself for commercialization of the OC-01 (varenicline) nasal spray candidate and as it continues to learn more about the impact of the SARS-CoV-2 virus pandemic on the biopharmaceutical industry. In addition, the Company has taken a variety of measures in an effort to ensure the availability and functioning of the Company's critical infrastructure and to promote the safety and security of its employees, including previously instituted remote working arrangements for employees through the second quarter of 2021employees. The Company’s sales force is primarily working in-person and investing have been instructed to follow all locally required SARS-CoV-2 related precautions. The Company will continue monitoring SARS-CoV-2 infection rates and make practical decisions in personal protective equipmentcompliance with Centers for the future return to the office. During the second quarter of 2021, Company management instituted a voluntary return to the Company’s office located in New Jersey beginning September 7, 2021,Disease Control and continues to actively monitorPrevention, federal, state and evaluate such plans as the pandemic continues to evolve.local guidelines.

The Company continues to evaluate and develop pipeline candidates for the potential treatment of various medical indications. The ongoing SARS-CoV-2 virus pandemic may impact access to supplies necessary to conduct preclinical studies, cause delay to the timelines to initiate or complete in vitro or in vivo animal studies or may indirectly impact the operationoperations of third parties that are necessary for the Company to advance preclinical projects. If the SARS-CoV-2 virus pandemic continues and persists, for an extended period of time, the Company could experience significant disruptions to its clinical development timelines, which could adversely affect its business, financial condition and results of operations.

For further discussion of the risks that the Company faces as a result of the SARS-CoV-2 virus pandemic refer to the "Risk Factors" ”Risk Factors” section of the Company's Annual Report on Form 10-K for the year ended December 31, 2020.2021.

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Results of Operations

Comparison of the Results of Operations for the Three Months Ended June 30, 20212022 and 20202021

The following table summarizes the Company's results of operations for the periods indicated (in thousands, except percentages):
Three Months Ended June 30,
20212020$ Change% Change
Research and development:
Clinical, preclinical$2,066 $1,881 $185 10 %
Chemistry, manufacturing and controls (CMC)3,420 5,723 (2,303)(40)%
Other1,244 950 294 31 %
     Total research and development6,730 8,554 (1,824)(21)%
Selling, general and administrative15,296 6,940 8,356 120 %
Loss from operations(22,026)(15,494)(6,532)42 %
Other income, net10 30 (20)(67)%
Net loss$(22,016)$(15,464)$(6,552)42 %
Three Months Ended June 30,
20222021$ Change% Change
Revenue:
Product revenue, net$4,693 $— $4,693 100 %
Total revenue4,693 — 4,693 100 %
Cost of product revenue1,310 — 1,310 100 %
Operating expenses:
Sales and marketing28,103 6,210 21,893 353 %
General and administrative14,004 9,086 4,918 54 %
Research and development4,664 6,730 (2,066)(31)%
Total operating expenses46,771 22,026 24,745 112 %
Loss from operations(43,388)(22,026)(21,362)97 %
Other (expense) income:
Interest expense(3,156)— (3,156)100 %
Other (expense) income, net(3,398)10 (3,408)N/M
Total other (expense) income, net(6,554)10 (6,564)N/M
Net loss and comprehensive loss$(49,942)$(22,016)$(27,926)127 %
N/M - Not Meaningful.

Product Revenue, Net

Product revenue, net was $4.7 million for the three months ended June 30, 2022, and was related to sales of TYRVAYA Nasal Spray, which was launched in the U.S. in November 2021. Approximately 30,000 TYRVAYA Nasal Spray prescriptions, written by over 5,700 unique eye care professionals, were filled during the three months ended June 30, 2022. The Company did not generate any revenues from product sales during the three months ended June 30, 2021.

Cost of Product Revenue

Cost of product revenue for the three months ended June 30, 2022 was $1.3 million, which consisted of product royalty expenses, third-party manufacturing costs, reserves for inventory obsolescence and material costs. In preparation of the commercial launch, the Company expensed to research and development expense all material costs related to inventory produced prior to the FDA approval date of TYRVAYA Nasal Spray on October 15, 2021 (pre-approval inventory). Because pre-approval inventory was charged to research and development expense, the unit cost of product revenue will be lower until the Company fully utilizes product manufactured prior to the FDA approval date of TYRVAYA Nasal Spray.

Sales and Marketing

Sales and marketing expenses increased by $21.9 million during the three months ended June 30, 2022 compared to the three months ended June 30, 2021. The increase was primarily due to higher payroll-related expenses of $11.4 million, which was driven by the growth of the Company's sales force since 2021. The increase in payroll-related expenses also included an increase in severance expense of $1.4 million due to the reduction in force announced on June 28, 2022. Other sales and marketing expenses increased by $10.5 million during the three months ended June 30, 2022 compared to the three months ended June 30,
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2021, in connection with advertising, samples, trade shows, educational programs, patient services, payor access and other marketing efforts related to the commercialization of TYRVAYA Nasal Spray.

General and Administrative Expenses

General and administrative expenses increased by $4.9 million during the three months ended June 30, 2022 compared to the three months ended June 30, 2021. The increase was primarily driven by additional payroll-related expenses of $3.0 million due to an increase in headcount to support the Company's business operations. The increase in payroll-related expenses also included an increase in severance expense of $0.5 million due to the reduction in force announced on June 28, 2022. Other general and administrative expenses increased by $1.9 million during the three months ended June 30, 2022 compared to the three months ended June 30, 2021 related to accounting, public relations, legal, insurance and other professional services. The increase in other general and administrative expenses was primarily driven by the Company's transition from a clinical-stage to a commercial stage company.

Research and Development Expenses

Research and development expenses decreased by $1.8$2.1 million during the three months ended June 30, 20212022, compared to the three months ended June 30, 2020.2021. The decrease was primarily driven by lower CMC expenses incurreddue to decreased research and development activity relating to OC-01 following its approval by the CompanyFDA on October 15, 2021. This was partially offset by an increase in the second quarterseverance expense of 2021 compared$0.6 million due to the second quarter of 2020, which included significant pre-approval inventory costs, as well as expenses related to the preparation of the NDA filingreduction in December 2020.force announced on June 28, 2022.

Selling, General and Administrative ExpensesInterest Expense

Selling, generalThe Company incurred $3.2 million of interest expense during the three months ended June 30, 2022 related to the Credit Agreement, which the Company entered into with OrbiMed in August 2021. Interest expense for the three months ended June 30, 2022 included contractual interest, as well as the amortization of loan commitment fees and administrative expenses increased by $8.4 millionaccretion of other long-term debt related costs. The Company had no interest expense during the three months ended June 30, 2021 compared to.

Other (Expense) Income, net

Other expense for thethree months ended June 30, 2020. The increase was driven by higher payroll-related expenses, including stock-based compensation2022 of $4.8$3.4 million due to additional headcount, as well as higher commercial planning expenses of $1.8 million in anticipationconsisted of a U.S. launch of OC-01 (varenicline) nasal spray, if approved,$3.5 million change in the fourth quarterfair value of 2021. In addition, the Company incurred higher other general and administrative expenses of $1.0 million,net embedded derivative liability related to accounting, legal, facilities, information technology, and other office-related costs. The Company also incurred an increase in medical affairs costs in the amount of $0.8 million duringCredit Agreement, partially offset by interest earned on money market funds. Other income for the three months ended June 30, 2021 compared to the three months ended June 30, 2020.primarily consisted of interest income earned on money market funds.


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Comparison of the Results of Operations for the Six Months Ended June 30, 20212022 and 20202021

The following table summarizes the Company's results of operations for the periods indicated (in thousands, except percentages):
Six Months Ended June 30,
20212020$ Change% Change
Research and development:
Clinical, preclinical$4,001 $7,993 $(3,992)(50)%
Chemistry, manufacturing and controls (CMC)9,045 9,560 (515)(5)%
Other(488)2,341 (2,829)(121)%
     Total research and development12,558 19,894 (7,336)(37)%
Selling, general and administrative28,388 12,529 15,859 127 %
Loss from operations(40,946)(32,423)(8,523)26 %
Other income, net21 440 (419)(95)%
Net loss$(40,925)$(31,983)$(8,942)28 %
Six Months Ended June 30,
20222021$ Change% Change
Revenue:
Product revenue, net$7,397 $— $7,397 100 %
Total revenue7,397 — 7,397 100 %
Cost of product revenue1,646 — 1,646 100 %
Operating expenses:
Sales and marketing55,075 10,777 44,298 411 %
General and administrative26,930 17,611 9,319 53 %
Research and development9,345 12,558 (3,213)(26)%
Total operating expenses91,350 40,946 50,404 123 %
Loss from operations(85,599)(40,946)(44,653)109 %
Other (expense) income:
Interest expense(6,222)— (6,222)100 %
Other (expense) income, net(6,013)21 (6,034)N/M
Total other (expense) income, net(12,235)21 (12,256)N/M
Net loss and comprehensive loss$(97,834)$(40,925)$(56,909)139 %
N/M - Not Meaningful.

Product Revenue, Net

Product revenue, net was $7.4 million for the six months ended June 30, 2022, and was related to sales of TYRVAYA Nasal Spray, which was launched in the U.S. in November 2021. Approximately 48,000 TYRVAYA Nasal Spray prescriptions, written by over 7,400 unique eye care professionals, were filled during the six months ended June 30, 2022. The Company did not generate any revenues from product sales during the six months ended June 30, 2021.

Cost of Product Revenue

Cost of product revenue for the six months ended June 30, 2022 was $1.6 million, which consisted of product royalty expenses, third-party manufacturing costs, reserves for inventory obsolescence and material costs of $2.0 million. This was partially offset by a $0.4 million supplier credit recognized during the six months ended June 30, 2022.In preparation of the commercial launch, the Company expensed to research and development expense all material costs related to pre-approval inventory. Because pre-approval inventory was charged to research and development expense, the unit cost of product revenue will be lower until the Company fully utilizes product manufactured prior to the FDA approval date of TYRVAYA Nasal Spray.

Sales and Marketing

Sales and marketing expenses increased by $44.3 million during the six months ended June 30, 2022 compared to the six months ended June 30, 2021. The increase was primarily due to higher payroll-related expenses of $23.0 million, which was primarily driven by the growth of the Company's sales force since 2021. The increase in payroll-related expenses also included an increase in severance expense of $1.6 million due to the operating expenses streamlining plan announced on June 28, 2022. Other sales and marketing expenses increased by $21.3 million during the six months ended June 30, 2022 compared to the six
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months ended June 30, 2021, in connection with advertising, samples, trade shows, educational programs, patient services, payor access and other marketing efforts related to the commercialization of TYRVAYA Nasal Spray.

General and Administrative Expenses

General and administrative expenses increased by $9.3 million during the six months ended June 30, 2022 compared to the six months ended June 30, 2021. The increase was primarily driven by additional payroll-related expenses of $5.6 million due to an increase in headcount to support the Company's business operation. The increase in payroll-related expenses also included an increase in severance expense of $0.5 million due to the reduction in force announced on June 28, 2022. Other general and administrative expenses increased by $3.7 million during the six months ended June 30, 2022 compared to the six months ended June 30, 2021, related to accounting, public relations, legal, insurance and other professional services. The increase in other general and administrative expense was primarily driven by the Company's transition from a clinical-stage to a commercial stage company.

Research and Development Expenses
Research and development expenses decreased by $7.3$3.2 million during the six months ended June 30, 2021 2022 compared to the six months ended June 30, 2021. The decrease was primarily due to decreased research and development activity relating to OC-01 following its approval by the FDA on October 15, 2021. This was partially offset by an increase in severance expense of $0.6 million due to the reduction in force announced on June 28, 2022.

Interest Expense

The Company incurred $6.2 million of interest expense during the six months ended June 30, 2022 related to the Credit Agreement. Interest expense for the six months ended June 30, 2020. The decrease in clinical, preclinical,2022 included contractual interest, as well as the amortization of loan commitment fees and CMC expenseaccretion of $4.5 million was primarily due to the completion of the ONSET-2 Phase 3 clinical trial in May 2020. The decrease in other research and development costs of $2.8 million was primarily driven by the application fee waiver granted to the Company in April 2021. In December 2020, the Company paid a fee of $2.9 million to the FDA under the PDUFA in conjunction with the filing of its NDA for OC-01 (varenicline) nasal spray.long-term debt related costs. The Company filed a request withhad no interest expense during the FDA to grant a waiver and refund the fee under the small business waiver provision of the PDUFA. Due to the uncertainty regarding the collectability of this refund, the Company recorded the filing fee in research and development expense in December 2020. In Februarysix months ended June 30, 2021 the FDA granted the Company’s request for the waiver. The refund was recorded as a reduction in other research and development.

Other (Expense) Income, net

Other expense for the six months ended June 30, 2021.

Selling, General and Administrative Expenses

Selling, general and administrative expenses increased by $15.92022 of $6.0 million duringconsisted of a $6.2 million change in the six months ended June 30, 2021 comparedfair value of the net embedded derivative liability related to the six months ended June 30, 2020. The increase was drivenCredit Agreement, partially offset by higher payroll-related expenses of $9.4 million, inclusive of stock-based compensation in the amount of $2.6 million, due to additional headcount, as well as higher commercial planning expenses of $3.5 million in anticipation of a U.S. launch of OC-01(varenicline) nasal spray, if approved, in the fourth quarter of 2021. In addition, the Company incurred higher other general and administrative expenses of $1.7 million, related to accounting, legal, facilities, information technology, and other office-related costs. The Company also incurred an increase in medical affairs costs in the amount of $1.3 million during the six months ended June 30, 2021 compared to the six months ended June 30, 2020.

Other Income, Net

interest earned on money market funds. Other income net decreased by $0.4 million for the six months ended June 30, 2021 compared to the six months ended June 30, 2020, due to lower rateprimarily consisted of returninterest income earned on the money market funds earned during the period, as well as lower cash balances during the first six months of 2021 compared to the first six months of 2020.funds.



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Liquidity and Capital Resources

Sources of Liquidity

The Company's principal sources of liquidity include cash on hand and borrowings under the Credit Agreement, as further described in Note 8, Long-term Debt, to the Company's condensed financial statements. The Company has $30.0 million remaining to be drawn under the Credit Agreement, which may be funded, at the option of the Company, on or prior to June 30, 2023, upon the Company having received at least $40.0 million in TYRVAYA Nasal Spray net recurring revenue, as defined in the Credit Agreement, in any twelve-month period prior to March 31, 2023, among other conditions. There can be no assurance that the Company will meet the net recurring revenue minimum threshold to enable the Company to draw on the third tranche.

As of June 30, 20212022, and December 31, 2020,2021, the Company had cash and cash equivalents of $154.8$104.9 million and $192.6$193.4 million, respectively.

Future Funding RequirementsThe Company is party to an at-the-market sales agreement with Cowen and Company, LLC (Agent), pursuant to which the Company may offer and sell shares of its common stock having an aggregate offering price of up to $100.0 million from time to time through the Agent. As of June 30, 2022, the Company had not sold any shares of common stock pursuant to the sales agreement and $100.0 million in shares remained available to be sold under the at-the-market program. There can be no assurance the Company will be able to raise such additional equity capital.

Based on the current business plan, management believes that its available cash and cash equivalents will be sufficient to fund the Company's planned operations for at least 12 months from the filing date of this Quarterly Report on Form 10-Q.

On December 17, 2020, the Company submitted a 505(b)(2) NDA to the FDA for its first lead product candidate, OC-01 (varenicline) nasal spray for the treatment of signs and symptoms of dry eye disease. The Company expects to continue to incur an increase in expense related to the Company’s preparation for the commercialization of OC-01 (varenicline) nasal spray, if approved, including expenses for the establishment of commercial scale manufacturing arrangements, and to prepare for market access, marketing, distribution and commercial operations. In addition, the Company will continue to expend funds to initiate, continue and or complete the research, development and clinical testing of its current and future product candidates.Going Concern

Since inception, the Company has incurred recurring losses and negative cash flows from operations. The Company generated net losses of $40.9$97.8 million and $32.0$40.9 million for the six months ended June 30, 20212022 and 2020,2021, respectively, and had an accumulated deficit of $195.7$353.2 million as of June 30, 2021.2022. The Company has cash and cash equivalents of $104.9 million as of June 30, 2022. The Company has historically financed its operations primarily through the sale and issuance of its securities. In August 2021, the Company entered into the Credit Agreement with OrbiMed to help finance its operations.The Company does not expectis also a party to generate any meaningful revenue unlessa license agreement with Ji Xing, according to which it is eligible to receive additional development and until it obtains regulatory approvalsales-based milestone payments and royalties in future periods. On October 15, 2021, the Company's first product, TYRVAYA Nasal Spray, was approved by the FDA for treatment of signs and commercializes anysymptoms of itsdry eye disease. The Company commenced commercial shipments of TYRVAYA Nasal Spray in November 2021 and generated net product candidates or decidesrevenues of $7.4 million in the six months ended June 30, 2022.

The current global macro-economic environment is volatile, which has resulted in global supply chain constraints and elevated rates of inflation, which may continue to enter into collaborative agreements with third parties. Theimpact the Company to varying degrees. In addition, the Company is subject to all ofrisks and uncertainties common to companies in the risks typically relatedbiopharmaceutical industry, including, but not limited to, the ability to secure sufficient capital to fund operations, competition from other companies’ products, the availability and sufficiency of third-party payor coverage and reimbursement, compliance with law and government regulations, the ability to develop and bring to market new products, protection of proprietary technology, and dependence on third parties and key personnel. Successfully commercializing TYRVAYA Nasal Spray requires significant sales and marketing efforts, and the Company’s pipeline programs may require significant additional research and development efforts, including extensive preclinical and clinical testing. These activities will in turn require significant amounts of new product candidates,capital, qualified personnel and it may encounter unforeseen expenses, difficulties, complications, delays and other unknown factors that may adversely affect its business. Theadequate infrastructure. There can be no assurance when, if ever, the Company will require additional fundsrealize significant revenue from the sales of TYRVAYA Nasal Spray or if the development efforts supporting the Company’s pipeline, including future clinical trials, will be successful.

Based on the Company’s current business plan, management believes that the Company’s available cash and cash equivalents may not be sufficient to commercializefund its products and fund operations for the foreseeable future.next twelve months from the date these financial statements are issued without generating positive cash flows through product sales and by raising additional capital from outside sources. The future viability of the Company is unabledependent on its ability to entirely fund these efforts with its current financial resourcesoperations through the sales and therelicensing of TYRVAYA Nasal Spray, and raise additional capital through equity offerings, including through the Company's at-the-market sales program, or other collaborative or strategic arrangements. In addition, the Company may have the ability to draw up to $30.0 million on the third tranche of the Credit Agreement, as further described in Note 8, Long-term Debt. This is contingent upon achieving at least $40.0 million in TYRVAYA Nasal Spray net recurring revenue, as defined in the Credit Agreement, in any twelve-month period on or before March 31, 2023, and without an improper promotional event having occurred, among other conditions. There can be no assurance that the Company will meet the net recurring revenue minimum threshold to enable the Company to draw on the third tranche. The Credit Agreement also requires the Company to maintain a minimum level of cash and permitted cash equivalent investments, as defined, of at least $5.0 million at all times in a deposit account subject to control by the lender. If the
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Company is in violation of this covenant and as long as an event of default resulting from such violation is continuing, the lender could exercise remedies, which include but are not limited to, the acceleration of all outstanding debt under the Credit Agreement. In addition, the Company has generated limited revenue from initial sales of TYRVAYA Nasal Spray, and given its limited commercial history, cannot guarantee that its commercialization efforts will result in product revenues that meet its sales expectations or those of analysts and investors. Although the Company believes that it will continue to raise capital to fund its operations as it has in the past, the Company’s ability to raise equity capital may depend on the stability of U.S. capital markets and the demand from investors. There can be ableno assurance that the Company will be successful in raising this additional capital or that such capital, if available, will be on terms that are acceptable to secure suchthe Company.

These conditions raise substantial doubt about the Company’s ability to continue as a going concern within the next twelve months from the filing date of this Quarterly Report on Form 10-Q. The ability to continue as a going concern is dependent upon profitable future operations, positive cash flows from operations, and obtaining additional financing on a timely basis, if at all, that will be sufficient to meet these needs.from outside sources. If adequate funds are unavailable on a timely basis from operations orand additional sources of financing, the Company may have to delay reduce or eliminate certain commercial related expenses, included in selling, general and administrative expenses, as well as delay, reduce or eliminate the scope of its marketing and commercialization efforts or eliminate one or more ofmake other changes to its research or development programs,operating plan, which wouldcould materially and adversely affect itsthe Company's business, financial condition and operations.

Future Funding Requirements

The Company’s primary uses of capital have been, and the Company expects will continue to be, developing and commercializing TYRVAYA Nasal Spray, including the costs and timing associated with marketing activities, patient services, obtaining third-party payor coverage and reimbursement and maintaining regulatory compliance. The Company may seekalso expects that it will continue to raiseuse capital through private or public equity or debt financings, collaborative or other arrangement with corporate sources, or through other sources of financing.to advance its clinical and preclinical development programs.

The Company anticipates that it will need to raise substantial additional capital, the requirements for which will depend on many factors, including:

the cost and timing associated with commercializing TYRVAYA Nasal Spray, including the costs and timing associated with marketing activities, patient services, obtaining third-party payor coverage and reimbursement and maintaining regulatory compliance;
the scope, timing, rate of progress and costs of the Company's drug discovery efforts, preclinical development activities, laboratory testing, and clinical trials and regulatory review for the Company's product candidates;
the numbercandidates, and scope of clinical programs the Company decides to pursue;
the cost and timing and outcome of preparing for and undergoingassociated with commercializing such product candidates, if they receive regulatory review of the Company's product candidates;approval;
the scope and costs of development and commercial manufacturing activities;
the cost and timing associated with commercializing of the Company's product candidates, if they receive marketing approval;
the extent to which the Company acquires or in-licenses other product candidates and technologies;
the costs of preparing, filing and prosecuting patent applications, maintaining and enforcing the Company's intellectual property rights and defending intellectual property-related claims;
the Company's ability to establish and maintain collaborations on favorable terms, if at all;
its efforts to enhance operational systems and the Company's ability to attract, hire and retain qualified personnel, including personnel to support the commercialization of TYRVAYA Nasal Spray and the development of the Company's product candidates and ultimately, the sale of the Company'sadditional products, following FDA approval;
the Company's ability to manufacture products, the reliability of its supply chain, labor shortages, backlog and any increase in costs as a result of inflation;
the Company's implementation of operational, financial and management systems;
any current or future potential effects of the SARS-CoV-2 virus pandemic on the Company's business, operations, preclinical and clinical development and commercialization timelines and plans;
the impact and effectiveness of the Company's operating expenses streamlining plan, including the reduction in force, announced June 28, 2022; and
the costs associated with being a public company.

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A change in the outcome of any of these or other variables with respect to the commercialization of TYRVAYA Nasal Spray or development of any of the Company's product candidates could significantly change the costs and timing associated with the development of that product candidate.

Furthermore, the Company's operating plans may change in the future, and it will continue to require additional capital to meet operational needs and capital requirements associated with such operating plans. If additional funds are raised by issuing equity securities, the Company's stockholders may experience dilution. Any future debt financing into which the Company might enter may impose upon it additional covenants that restrict the Company's operations, including limitations on its ability to incur
27


liens or additional debt, pay dividends, repurchase its common stock, make certain investments or engage in certain merger, consolidation or asset sale transactions. Any debt financing or additional equity that it raises may contain terms that are not favorable to the Company or its stockholders.

The SARS-CoV-2 virus pandemic has impacted global economies, the rate of inflation, supply chains, distribution networks and consumer behavior around the world. Adequate funding may not be available to the Company on acceptable terms or at all, and any uncertainty and volatility in capital markets caused by the SARS-CoV-2 virus pandemic, or other events may negatively impact the availability and cost of capital. The Company's failure to raise capital as and when needed could have a negative impact on its financial condition and ability to pursue its business strategies. If the Company is unable to raise additional funds when needed, it may be required to delay, reduce, or terminate someeliminate certain commercial expenses, including in selling, general and administrative expenses, as well as delay, reduce, or alleliminate one or more of its research or development programs and clinical trials orprograms. The Company may also be required to sell or license to others, rights to its product candidates in certain territories or indications that it would prefer to develop and commercialize itself. The Company may seek to raise capital through private or public equity or debt offerings, or collaborative and other arrangements.If the Company is requiredchooses to enter into collaborations and other arrangements to supplement its funds, it may have to give up certain rights, thereby limiting its ability to develop and commercialize the product candidates or may have other terms that are not favorable to the Company, or its stockholders, which could materially affect its business, results of operation and financial condition.

See Item 1A. Risk Factors tothose factors set forth in the "Risk Factors" section of the Company's Annual Report on Form 10-K for the year ended December 31, 20202021 and in this Quarterly Report on Form 10-Q for additional risks associated with the Company's substantial capital requirements.


Cash Flow Discussion

The following table sets forth the primary sources and uses of cash, cash equivalents and restricted cash for each of the periods presented below (in thousands):
Six Months Ended June 30,Six Months Ended June 30,
20212020$ Change20222021$ Change
Net cash (used in) provided by:Net cash (used in) provided by:Net cash (used in) provided by:
Operating activitiesOperating activities$(37,085)$(25,098)$(11,987)Operating activities$(88,535)$(37,085)$(51,450)
Investing activitiesInvesting activities(994)(342)(652)Investing activities(203)(994)791 
Financing activitiesFinancing activities299 113,051 (112,752)Financing activities242 299 (57)
Net (decrease) increase in cash and cash equivalents$(37,780)$87,611 $(125,391)
Net decrease in cash and cash equivalents, and restricted cashNet decrease in cash and cash equivalents, and restricted cash$(88,496)$(37,780)$(50,716)

Cash Flows Used in Operating Activities

Net cash used in operating activities increased by $12.0 million forduring the six months ended June 30, 2021 compared to the six months ended June 30, 2020,2022, was $88.5 million, which was due to higher net loss, adjusted for non-cash items, during the period in the amount of $5.9$80.4 million, as well asand working capital needs in the amount of $8.1 million. Working capital needs were primarily driven by the Company's commercialization of TYRVAYA Nasal Spray, which resulted in increases in accounts receivable of $4.3 million, inventory of $4.7 million, and prepaid expenses and other current assets of $0.9 million. There was also a decrease in working capitalaccounts payable of $6.0$1.8 million, drivenoffset by an increase in accrued expenses and other current liabilities of $5.9 million, primarily bydue to the timing of payments to vendors and accrued severance related to the Company's service providers. The Company's higher net loss was driven by the continued development of the Company's product candidates and preparation for the commercial launch of the Company's main product candidate, OC-01 (varenicline) nasal spray, if approved,reduction in the fourth quarter of 2021.force.

Net cash used in operating activities during the six months ended June 30, 2021, was $37.1 million, which was due to net loss, adjusted for non-cash items, in the amount of $34.9 million and working capital needs in the amount of $2.2 million.

Cash Flows Used in Investing Activities

Net cash used in investing activities increaseddecreased by $0.7$0.8 million for the sixsix months ended June 30, 20212022 compared to the six months ended June 30, 20202021, primarily related to partial payments for equipment to be used in manufacturing of OC-01 (varenicline) nasal spray, as well as purchases of laboratory equipment.TYRVAYA Nasal Spray during 2021.

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Cash Flows Provided by Financing Activities

Net cash provided by financing activities decreased by $112.8 million for the sixsix months ended June 30, 20212022 was flat compared to the six months ended June 30, 2020, primarily due2021. Financing activities for the current period included a $0.3 million revenue sharing fee paid to OrbiMed, payment of withholding taxes related to stock based compensation to the Company's employees, lower proceeds from the follow on public offering during the second quarter of 2020. The decrease was partially offset by higher proceeds received from the exercise of employee stock options, duringand $0.5 million related to proceeds received under the six months ended June 30, 2021.Company's Employee Stock Purchase Plan.

Contractual Obligations and Commitments

In February 2021, the Company entered into a lease agreement for laboratory and office space in New Jersey for a three-year term beginning on March 1, 2021 and ending on February 29, 2024. Total future minimum lease payments under this agreement are $0.3 million as of June 30, 2021.

As of June 30, 2021,2022, other than noted above, there have been no other material changes in the contractual obligations and commitments from those disclosed in the financial statements and the related notes included in the Company's Annual Report on Form 10-K for the year ended December 31, 2020.2021.

Off-Balance Sheet Arrangements

As of June 30, 20212022, the Company does not have any off-balance sheet arrangements, as defined in the rules and regulations of the SEC.

Critical Accounting Policies, Significant Judgments and Estimates

The Company's financial statements have been prepared in accordance with U.S. GAAP. The preparation of these condensed financial statements requires the Company to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the condensed financial statements and the reported revenues and expenses incurred during the reporting periods. The Company bases its estimates on historical experience, terms of existing contracts, commonly accepted industry practices and on various other assumptions that it believes are reasonable under the circumstances. The Company evaluates its estimates and assumptions on an ongoing basis. The future effects of the SARS-CoV-2 virus pandemic on the Company's results of operations, cash flows, and financial position are unclear, however the Company believes it has used reasonable estimates and assumptions in preparing the interim condensed financial statements. Actual results may differ from these estimates under different assumptions or conditions.

The Company’s critical accounting policies and estimates are included in the Company's Annual Report on Form 10-K for the year ended December 31, 2020.2021. The Company periodically reviews its accounting policies, estimates and assumptions and makes adjustments when facts and circumstances dictate. In addition to the accounting policies that are described in the Company's 20202021 Annual Report on Form 10-K, the following critical accounting policy was affected by critical accounting estimatespolicies were updated during the six months ended June 30, 2022.

Stock-Based Compensation - Performance Stock Units

As described in connection withNote 6, Stockholders' Equity and Equity Incentive Plans, the Company offering its employees an optiongranted PSUs to purchasecertain executive officers in January 2022. The issuance of the PSUs is contingent upon meeting several performance milestones, as provided for in the PSU award agreements. The non-market performance milestones are subject to attaining certain forecasted net product revenues and future prescriptions of TYRVAYA Nasal Spray, and the market performance milestone is tied to total shareholder return based on the change in the price of the Company's common stock under the ESPP effective April 1, 2021.

Stock-Based Compensation
As discussed in Note 4, Stockholders' Equity, effective April 1, 2021, the Company established its first offering period under the ESPP. Stock-basedstock. The measurement of stock-based compensation expense for the PSUs considers the probability of achievement of the non-market milestones. The forecasted net product revenue and future prescriptions of TYRVAYA Nasal Spray involve management's judgment, which, in and of themselves, could materially affect the measurement of the stock-based compensation cost of the PSUs as reported in the financial statements and related to purchase rights issued under the ESPP, is based on the Black-Scholes option-pricing modelfootnote disclosures. The fair value of the market milestone was estimated number of awards asusing a Monte Carlo simulation in a risk-neutral framework and includes an assumption that at least one of the beginning of the offering period. Stock-based compensation expense is recognized using the straight-line method over the offering period.
The determination of the grant date fair value of shares purchased under the ESPP is affected by the estimated fair value of our common stock as well as other assumptions and judgments, whichnon-market milestones are estimated as follows:
Expected term. The expected term for ESPP is the beginning of the offering periodmet, in addition to the end of each purchase period.assumptions described in Note 6, Stockholders' Equity and Equity Incentive Plans.

Expected volatility. As the Company has a limited trading history of its common stock, the expected volatility is estimated based on the third quartile of the range of the observed volatilities for comparable publicly traded biotechnology and pharmaceutical related companies over a period equal to length of the offering period. The comparable companies are chosen based on industry, stage of development, size and financial leverage of potential comparable companies.
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Risk-free interest rate. The risk-free interest rate is based on the implied yield currently available on U.S. Treasury zero-coupon issues with a remaining term equivalent to the expected term of the offering period.

Expected dividend rate. The Company has not paid and does not anticipate paying any dividends in the near future. Accordingly, the Company has estimated the dividend yield to be zero.

Recent Accounting Pronouncements

See “Recent Accounting Pronouncements” inNote 1., Nature of Business, Basis of Presentation and Summary of Significant Accounting Policies to the Company's unaudited interim condensed financial statements included in this Quarterly Report.

JOBS Act

The Company is an “emerging growth company,” as defined in the Jumpstart Our Business Startups Act of 2012, or the JOBS Act. Section 107(b) of the JOBS Act provides that an emerging growth company can take advantage of an extended transition period for complying with new or revised accounting standards. Thus, an emerging growth company can delay the adoption of certain accounting standards until those standards would otherwise apply to private companies. The Company has irrevocably elected not to avail itself of this extended transition period, and, as a result, it will adopt new or revised accounting standards on the relevant dates on which adoption of such standards is required for other public companies. The Company intends to rely on other exemptions provided by the JOBS Act, including without limitation, not being required to comply with the auditor attestation requirements of Section 404(b) of the Sarbanes-Oxley Act.

The Company will remain an emerging growth company until the earliest to occur of: (1) the last day of its first fiscal year in which it has total annual revenues of more than $1.07 billion; (2) the date it qualifies as a “large accelerated filer,” with at least $700.0 million of equity securities held by non-affiliates; (3) the date on which it has issued more than $1.0 billion in non-convertible debt securities during the prior three-year period; and (4) the last day of the fiscal year ending after the fifth anniversary of its initial public offering.

ITEM 3 — Quantitative and Qualitative Disclosures about Market Risk

Interest Rate Sensitivity

The Company's Credit Agreement is a variable rate term loan credit facility based on the SOFR, which subjects the Company to the risk of loss associated with movements in market risk inherent in the Company's financial instruments and in its financial position represents the potential loss arising from adverse changes in interest rates or exchange rates. As of June 30, 2021,2022, a 1% change in interest rates would result in an approximate $0.9 million change in interest expense on a rolling twelve-month basis.

In addition, as of June 30, 2022, the Company had cash equivalents of $153.8$87.2 million, consisting of interest-bearing money market funds, for which the fair value would be affected by changes in the general level of U.S. interest rates. However, due to the short-term maturities and the low-risk profile of cash equivalents, an immediate 10% relativea change in interest rates would not have a material effect on the fair valueCompany's interest income generated from its money-market funds.

In June 2022, the U.S. Federal Reserve raised its benchmark federal funds interest rate to 1.58% in an effort to address rising concerns about inflation in the U.S. economy. Many economists have projected that the Federal Reserve will raise interest rates several more times in 2022 and 2023. Any increase to the federal fund interest rates will likely negatively affect the Company’s future cost of borrowing.

Inflation

Inflationary factors such as increases in the cost of the Company's cash equivalents orcomponent products and overhead costs may adversely affect operating results. A high rate of inflation in the future may have an adverse effect on its future interest income.the Company's ability to maintain current levels of gross margin and selling, general and administrative expenses as a percentage of net revenues if the selling prices of the Company's products do not increase with these increased costs.

The Company does not believe that inflation, interest rate changes or foreign currency exchange rate fluctuations have had a significant impact on its results of operations for any periods presented herein.
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ITEM 4 — Controls and Procedures

Evaluation of Disclosure Controls and Procedures

As of June 30, 2021,2022, management, with the participation of the Chief Executive Officer and Chief Financial Officer, conducted an evaluation of the effectiveness of the design and operation of the Company's disclosure controls and procedures, as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act. Based on the evaluation of its disclosure controls and procedures, the Chief Executive Officer and Chief Financial Officer concluded that the Company's disclosure controls and procedures were effective as of June 30, 20212022 to provide reasonable assurance that information required to be disclosed in the Company's reports under the Exchange Act is (i) recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms and (ii) accumulated and communicated to the Company's management, as appropriate, to allow timely decisions regarding required disclosure. In designing and evaluating our disclosure controls and procedures, management
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recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving their objectives, and management necessarily applies its judgment in evaluating the benefits of possible controls and procedures relative to their costs.

Changes in Internal Control over Financial Reporting

There were no changes in the Company's internal control over financial reporting during the quarter ended June 30, 20212022 that have materially affected, or are reasonably likely to materially affect the Company's internal control over financial reporting.
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PART II — OTHER INFORMATION

ITEM 1 — Legal Proceedings.
None.

ITEM 1A —Risk Factors.

Information regarding risk factors appears in Part I, Item 1A, Risk Factors, in the Company's Annual Report on Form 10-K for the year ended December 31, 2020.2021. The Company has reviewed the risk factors, and, except as presented below, there have been no material changes in the Company’s risk factors since those reported in its Annual Report on Form 10-K for the year ended December 31, 20202021.

The Company believes its current cash and cash equivalents may not be sufficient to fund its business for the next twelve months from the date these condensed financial statements are issued, raising substantial doubt about the Company's ability to continue as a going concern.

As of June 30, 2022, the Company had approximately $104.9 million of cash and cash equivalents. Based on the Company’s current business plan, management believes that the Company’s available cash and cash equivalents may not be sufficient to fund its operations for the next twelve months following the filing of this Quarterly Report on Form 10-Q without generating positive cash flows through increased product sales and by raising additional capital from outside sources. These conditions raise substantial doubt about the Company’s ability to continue as a going concern for the threenext twelve months ended March 31, 2021following the filing of this Quarterly Report on Form 10-Q. In addition, the Company’s current operating plan is based on current assumptions that may prove to be wrong, and the Company could use its available capital resources sooner than it currently expects. The Company may be forced to delay or reduce the scope of its commercialization or development programs and/or limit or cease its operations if it is unable to obtain additional funding to support its current business plan. Management’s plans to finance the Company’s operations are described in Note 1 of the unaudited condensed consolidated financial statements included elsewhere in this Quarterly Report on Form 10-Q. In the event that these plans cannot be effectively realized, there can be no assurance that the Company will be able to continue as a going concern.

The Company’s plan to streamline operating expenses and the associated workforce reduction announced on June 28, 2022 may not result in anticipated savings, could result in total costs and expenses that are greater than expected and could disrupt our business.
.
On June 28, 2022, the Company announced a plan to streamline operating expenses, including a reduction in the workforce. As a result of this plan, the Company estimates that it will reduce its operating expenses going forward. However, these estimates are subject to several assumptions, and actual results may differ. The Company may not realize, in full or in part, the anticipated benefits and savings from this plan due to unforeseen difficulties, delays or unexpected costs. If the Company is unable to realize the expected operational efficiencies and cost savings from the announced plan, its operating results and financial condition would be adversely affected. The Company also cannot guarantee that it will not have to undertake additional workforce reductions or restructuring activities in the future. Furthermore, the Company’s plan, including the reduction in force, may be disruptive to its operations. For example, the Company’s workforce reductions could yield unanticipated consequences, such as attrition beyond planned staff reductions, increased difficulties in its day-to-day operations and reduced employee morale. If employees who were not affected by the reduction in force seek alternative employment, this could result in the Company seeking contractor support at unplanned additional expense or harm the Company’s productivity. The Company’s workforce reductions could also harm its ability to attract and retain qualified management, scientific, clinical, and manufacturing personnel who are critical to the Company’s business. Any failure to attract or retain qualified personnel could prevent the Company from successfully commercializing its product or developing its potential product candidates.

If the FDA does not conclude that OC-01 (varenicline) nasal spray satisfies the requirements under Section 505(b)(2) of the Federal Food DrugCompany loses key personnel or fails to recruit and Cosmetic Act (FFDCA), or if the requirements for such product candidates under Section 505(b)(2) are not as the Company expects, the approval pathway for those product candidates may take longer, cost more or entail greater complications and risks than anticipated, and may notintegrate replacement personnel successfully, its ability to manage its business could be successful.impaired.

The Company’s future success depends upon the continued service of its key management, technical, sales, and other critical personnel. The Company’s officers and other key personnel are employees-at-will, and the Company submitted an NDA for OC-01 (varenicline) nasal spraycannot provide assurance that it will be able to retain them. Key personnel have left the Company in the past, and there may be additional departures of key personnel from time to time in the future. Additionally, the Company’s common stock is currently trading at a price below the exercise price of many of the outstanding options held by the Company’s employees. As a result, these “underwater” options are less useful as a motivation and retention tool for the treatmentCompany’s existing employees. The loss of signs and symptoms of dry eye diseaseany key
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employee could result in December 2020,significant disruptions to the Company’s operations. Competition for these individuals is intense, and the FDA has assigned a PDUFA target action dateCompany may not be able to attract, assimilate or retain highly qualified personnel. In addition, the recruitment and integration of October 17, 2021replacement personnel could be time consuming, may cause additional disruptions to the Company’s operations, and may ultimately be unsuccessful.

Business disruptions could seriously harm the Company's future revenue and financial condition and increase its costs and expenses.

The Company's operations, and those of its CROs, CMOs, suppliers, and other third-party contractors and consultants upon which the Company relies, could be subject to wildfires, earthquakes, tsunamis, power shortages or outages, floods or monsoons, public health crises, such as the goal to complete its reviewpandemics and epidemics, political crises, such as terrorism, war (including trade wars), political instability or other conflicts, and other natural or man-made disasters or other events outside of the NDA.Company's control that could disrupt business. The occurrence of any of these business disruptions could seriously harm the Company's operations and financial condition and increase its costs and expenses. For example, in connection with the ongoing conflict between Russia and Ukraine, the U.S. government and other governments have imposed certain sanctions against Russia. The invasion of Ukraine by Russia and the retaliatory measures that have been taken, or could be taken in the future, by the United States and other countries have created global security concerns that could result in a broader regional conflict and otherwise have a lasting impact on regional and global economies or adversely affect the Company’s business, its supply chain or its collaborators. Further, the Company is seeking FDA approval throughmay be subject to elevated cybersecurity risk due to the Section 505(b)(2) regulatory pathway for OC-01 (varenicline) nasal spray. Section 505(b)(2)ongoing conflict between Russia and Ukraine. In addition, the Company relies on third-party manufacturers to produce TYRVAYA Nasal Spray and its other product candidates. The Company's ability to obtain supplies necessary to develop and manufacture TYRVAYA Nasal Spray and its other product candidates, or other necessary supplies, could be disrupted if the operations of the FFDCA permitsCompany’s suppliers are affected by a man-made or natural disasters or other business interruptions, including due to the submissionongoing conflict between Russia and Ukraine. Damage or extended periods of a New Drug Application (NDA) whereinterruption to the Company’s corporate, development or research facilities due to fire, natural disaster, power loss, communications failure, unauthorized entry or other events could cause the Company to cease or delay the marketing of TYRVAYA Nasal Spray, or the development of some or all of the data required for approval comes from studies not conducted by or for the applicant and for which the applicant has not obtained a right of reference. The Company's ability to rely on certain of the FDA’s findings of safety and effectiveness in approval of another NDA or on studies published in the scientific literature will depend on its ability to demonstrate the relevance to OC-01 (varenicline) nasal spray.

In particular,product candidates. Although the Company conducted ZEN, a comparative pharmacokinetic "bridge" trial, to evaluatemaintains property damage and business interruption insurance coverage, the relative bioavailability of varenicline administered as a nasal spray (OC-01) compared to varenicline administered orally (Chantix®) in order to reference certain FDA conclusions regarding the safety of varenicline from the Agency’s review of the Chantix NDA. If the FDA doesinsurance might not accept or disagrees withcover all losses under such circumstances and the Company's conclusions from ZEN or the data required for approval of its Section 505(b)(2) NDA are different than anticipated, the Companybusiness may be required to conduct additional development activities or studies or provide additional dataseriously harmed by such delays and information to pursue the 505(b)(2) regulatory pathway on its proposed timeline. Such delays could result in new competitive products reaching the market faster than OC-01 (varenicline) nasal spray, which could materially adversely impact the Company's competitive position and growth prospects.interruptions.

The Company may face difficulties from changesnot be able to current regulations and future legislation.protect its intellectual property rights throughout the world, which could impair its business.

InFiling, prosecuting, and defending patents covering TYRVAYA Nasal Spray, OC-02 and any future product candidate throughout the United States, the European Union and other jurisdictions there have been a number of legislative and regulatory changes and proposed changes to the healthcare system that could affectworld would be prohibitively expensive. Competitors may use the Company's future results of operations. Existing regulatory policiestechnologies in jurisdictions where it has not obtained patent protection to develop their own products and, further, may change and additional government regulationsexport otherwise infringing products to territories where it may be enactedhave or obtain patent protection, but where patent enforcement is not as strong as that could prevent, limit or delay regulatory approval of the product candidates. The Company cannot predict the likelihood, nature or extent of government regulation that may arise from future legislation or administrative action, either in the United StatesU.S. These unauthorized products may compete with the Company's products in such jurisdictions and take away the Company's market share where it does not have any issued or abroad. If the Company is slowlicensed patents and any future patent claims or unable to adapt to changes in existing requirements or the adoption of new requirements or policies, or if it is unable to maintain regulatory compliance, it may lose any marketing approval that may have been obtained and the Companyother intellectual property rights may not achievebe effective or sustain profitability.

For example, in March 2010, the Patient Protection and Affordable Care Act of 2010, as amended by the Health Care and Education Reconciliation Act of 2010 (or collectively, the ACA), was passed, which substantially changed the way healthcare is financed by both the government and private insurers, and continuessufficient to significantly impact the U.S. pharmaceutical industry.prevent them from so competing.

The ACA contains provisions thatongoing conflict between Russia and Ukraine and related sanctions could significantly devalue our Russian, Belarusian, and Eurasian patents and/or patent applications. Recent Russian decrees may reducealso significantly limit our ability to enforce Russian patents. We cannot predict when or how this situation will change.

The Company is exposed to interest rate risk under the profitability of drug products through increased rebates for drugs reimbursed by Medicaid programs, extension of Medicaid rebatesCredit Agreement, which could cause the Company’s debt service obligations to Medicaid managed care plans, mandatory discounts for certain Medicare Part D beneficiaries and annual feesincrease significantly.

The Company is exposed to market risk from changes in interest rates. The term loan underlying the Credit Agreement is based on pharmaceutical companies’ sharethe Secured Overnight Funding Rate (SOFR), a floating rate, subject to a minimum rate set in the Credit Agreement. The Federal Reserve has raised, and may in the future further raise, interest rates to combat the effects of salesrecent high inflation. Any further increase in the SOFR will increase the Company’s debt service obligations, which could have a negative impact on the Company’s cash flow, financial position or operating results, including cash available for servicing the Company’s indebtedness, or result in increased borrowing costs in the future.

Market and economic conditions may negatively impact the Company's business, financial condition and stock price.

Concerns over inflation, energy costs, geopolitical issues, including the ongoing conflict between Russian and Ukraine, unstable global credit markets and financial conditions, and volatile oil prices could lead to federal health care programs. The Medicaid Drug Rebate Program requires pharmaceutical manufacturers to enter intoperiods of significant economic instability, diminished liquidity and havecredit availability, declines in effect a national rebate agreement withconsumer confidence and discretionary spending, diminished expectations for the global economy and expectations of slower global economic growth going forward. For example, in June 2022, the U.S. DepartmentConsumer Price Index (CPI), which measures a wide-ranging basket of Healthgoods and Human Services (HHS) Secretary as a condition for states to receive federal matching funds forservices, rose 9.1% from the manufacturer’s outpatient drugs furnished to Medicaid patients. The ACA made several changes to
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same month a year ago, which represents the Medicaid Drug Rebate Program, including increasing pharmaceutical manufacturers’ rebate liabilitylargest CPI increase since November of 1981. The Company's general business strategy may be adversely affected by raising the minimum basic Medicaid rebate on most branded prescription drugs from 15.1%any such inflationary fluctuations, economic downturns, volatile business environments and continued unstable or unpredictable economic and market conditions. Additionally, rising costs of average manufacturer price (AMP), to 23.1% of AMPgoods and adding a new rebate calculation for “line extensions” (i.e., new formulations, such as extended release formulations) of solid oral dosage forms of branded products, as well as potentially impacting their rebate liability by modifying the statutory definition of AMP. The ACA also expanded the universe of Medicaid utilization subject to drug rebates by requiring pharmaceutical manufacturers to pay rebates on Medicaid managed care utilization and by enlarging the population potentially eligible for Medicaid drug benefits.

There have been judicial, Congressional and executive branch challenges to certain aspects of the ACA. For example, President Trump signed several Executive Orders and other directives designed to delay the implementation of certain provisions of the ACA or otherwise circumvent some of the requirements for health insurance mandatedservices purchased by the ACA. Concurrently, Congress considered legislationCompany, including its raw materials used in manufacturing its product, may have an adverse effect on the Company’s gross margins and profitability in future periods. If economic and market conditions continue to repealdeteriorate or repealdo not improve, it may make any necessary debt or equity financing more difficult to complete, more costly and replace all or part of the ACA. While Congress has not passed comprehensive repeal legislation, several bills affecting the implementation of certain taxes under the ACA have passed. On December 22, 2017, President Trump signed into law federal tax legislation commonly referred to as the Tax Cuts and Jobs Act (the Tax Act), which included a provision repealing, effective January 1, 2019, the tax-based shared responsibility payment imposed by the ACA on certain individuals who fail to maintain qualifying health coverage for all or part of a year that is commonly referred to as the “individual mandate.” The 2020 federal spending package permanently eliminated, effective January 1, 2020, the ACA-mandated “Cadillac” tax on high-cost employer-sponsored health coverage and medical device tax and, effective January 1, 2021, also eliminated the health insurer tax.

On June 17, 2021 the U.S. Supreme Court dismissed a challenge on procedural grounds that argued the ACA is unconstitutional in its entirety because the “individual mandate” was repealed by Congress. Thus, the ACA will remain in effect in its current form. Further, priormore dilutive to the U.S. Supreme Court rulingCompany’s stockholders. Failure to secure any necessary financing in a timely manner or on January 28, 2021, President Biden issued an executive order that initiated a special enrollment period for purposes of obtaining health insurance coverage through the ACA marketplace, which began on February 15, 2021 and will remain open through August 15, 2021. The executive order also instructed certain governmental agencies to review and reconsider their existing policies and rules that limit access to healthcare, including among others, reexamining Medicaid demonstration projects and waiver programs that include work requirements, and policies that create unnecessary barriers to obtaining access to health insurance coverage through Medicaid or the ACA. It is possible that the ACA will be subject to judicial or Congressional challenges in the future. It is unclear how any such challenges and the healthcare reform measures of the Biden administration will impact the ACA and the Company's business.

In addition, other legislative changes have been proposed and adopted in the United States since the ACA was enacted. These changes included aggregate reductions to Medicare payments to providers of up to 2% per fiscal year, effective April 1, 2013, which, due to subsequent legislative amendments, will stay in effect through 2030 unless additional Congressional action is taken. However, COVID-19 relief legislation suspended the 2% Medicare sequester from May 1, 2020 through December 31, 2021. In January 2013, the American Taxpayer Relief Act of 2012 was signed into law, which, among other things, reduced Medicare payments to several providers, and increased the statute of limitations period for the government to recover overpayments to providers from three to five years. These new laws may result in additional reductions in Medicare and other healthcare funding, whichfavorable terms could have a material adverse effect on customers for the Company's product candidates, if approved,Company’s financial performance and accordingly, the financial operations.

Moreover, payment methodologies may be subject to changes in healthcare legislation and regulatory initiatives. There has been heightened governmental scrutiny recently over the manner in which drug manufacturers set prices for their marketed products, which has resulted in several Congressional inquiries and proposed and enacted federal and state legislation designed to, among other things, bring more transparency to product pricing, review the relationship between pricing and manufacturer patient programs, and reform government program reimbursement methodologies for drug products. For example, at the federal level, the Trump administration used several means to propose or implement drug pricing reform, including through federal budget proposals, executive orders and policy initiatives. For example, On July 24, 2020 and September 13, 2020, the Trump administration announced several executive orders related to prescription drug pricing that seek to implement several of the administration's proposals. As a result, the FDA also released a final rule, on September 24, 2020 providing guidance for states to build and submit importation plans for drugs from Canada. Further, on November 20, 2020, HHS finalized a regulation removing safe harbor protection for price reductions from pharmaceutical manufacturers to plan sponsors under Part D, either directly or through pharmacy benefit managers, unless the price reduction is required by law. The Implementation of the rule has been delayed by the Biden administration from January 1, 2022 to January 1, 2023 in response to ongoing litigation. The rule also creates a new safe harbor for price reductions reflected at the point-of-sale, as well as a safe harbor for certain fixed fee arrangements between pharmacy benefit managers and manufacturers, the implementation of which have also been delayed until January 1, 2023. In addition, on November 20, 2020, the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule implementing President Trump’s Most Favored Nation executive order, which would tie Medicare Part B payments for certain physician-administered drugs to the lowest price paid in other economically advanced countries, effective January 1, 2021.
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On December 28, 2020, the United States District Court in Northern California issued a nationwide preliminary injunction against implementation of the interim final rule. On January 13, 2021, in a separate lawsuit brought by industry groups in the U.S. District of Maryland, the government defendants entered a joint motion to stay litigation on the condition that the government would not appeal the preliminary injunction granted in the U.S. District Court for the Northern District of California and that performance for any final regulation stemming from the MFN Model interim final rule shall not commence earlier than sixty (60) days after publication of that regulation in the Federal Register. It is unclear whether the Biden administration will work to reverse these measures or pursue similar policy initiatives. Additionally, on March 11, 2021, President Biden signed the American Rescue Plan Act of 2021 into law, which eliminates the statutory Medicaid drug rebate cap, currently set at 100% of a drug’s average manufacturer price, for single source and innovator multiple source drugs, beginning January 1, 2024.

At the state level, legislatures have increasingly passed legislation and implemented regulations designed to control pharmaceutical and biological product pricing, includingstock price or patient reimbursement constraints, discounts, restrictions on certain product access and marketing cost disclosure and transparency measures, and, in some cases, designed to encourage importation from other countries and bulk purchasing.

The Company expects that the ACA, as well as other healthcare reform measures that may be adopted in the future, may result in more rigorous coverage criteria and in additional downward pressure on the price that the Company receives for any approved product. It is possible that additional governmental action is taken in response to address the SARS-CoV-2 virus pandemic. Any reduction in reimbursement from Medicare or other government programs may result in a similar reduction in payments from private payors. The implementation of cost containment measures or other healthcare reforms may prevent the Company from being able to generate revenue, attain profitability or commercialize its product candidates.

In the European Union, similar political, economic and regulatory developments may affect the Company's ability to profitably commercialize its product candidates, if approved. In addition to continuing pressure on prices and cost containment measures, legislative developments at the European Union or member state level may result in significant additional requirements or obstacles that may increase the Company's operating costs. The delivery of healthcare in the European Union, including the establishment and operation of health services and the pricing and reimbursement of medicines, is almost exclusively a matter for national, rather than EU, law and policy. National governments and health service providers have different priorities and approaches to the delivery of health care and the pricing and reimbursement of products in that context. In general, however, the healthcare budgetary constraints in most EU member states have resulted in restrictions on the pricing and reimbursement of medicines by relevant health service providers. Coupled with ever-increasing EU and national regulatory burdens on those wishing to develop and market products, this could prevent or delay marketing approval of the Company's product candidates, restrict or regulate post-approval activities and affect its ability to commercialize its product candidates, if approved.

Legislative and regulatory proposals have been made to expand post-approval requirements and restrict sales and promotional activities for biotechnology products. The Company cannot be sure whether additional legislative changes will be enacted, or whether FDA regulations, guidance or interpretations will be changed, particularly in light of the recent presidential election, or what the impact of such changes on the marketing approvals of the Company's product candidates, if any, may be. In addition, increased scrutiny by Congress of the FDA approval process may significantly delay or prevent marketing approval, as well as subjectrequire the Company to delay or abandon development or commercialization plans. In addition, there is a risk that one or more stringent product labelingof the Company’s current and post-marketing testingfuture service providers, manufacturers, suppliers, hospitals and other requirements.
27


medical facilities, third-party payers, and other partners could be negatively affected by such difficult economic factors, which could adversely affect the Company’s ability to attain its operating goals on schedule and on budget or meet its business and financial objectives.

ITEM 2. Unregistered Sales of Equity Securities and Use of Proceeds.

None.
ITEM 3. Defaults Upon Senior Securities.
None.
ITEM 4. Mine Safety Disclosures.
None.
ITEM 5. Other Information.
None.
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ITEM 6. Exhibits.

Exhibit
Number
Exhibit
Number
DescriptionFormFile No.NumberFiling Date
Exhibit
Number
DescriptionFormFile No.NumberFiling Date
3.13.18-K001-391123.1November 5, 20193.18-K001-391123.1November 5, 2019
3.23.28-K001-391123.2November 5, 20193.28-K001-391123.2November 5, 2019
10.1*
10.2*
10.3*
10.1*†10.1*†
31.1* 31.1* 31.1*
31.2* 31.2* 31.2*
32.1*+ 32.1*+ 32.1*+
32.2*+ 32.2*+ 32.2*+
101.INS101.INSXBRL Instance Document101.INSXBRL Instance Document
101.SCH101.SCH

XBRL Taxonomy Extension Schema Document101.SCH

XBRL Taxonomy Extension Schema Document
101.CAL101.CAL

XBRL Taxonomy Extension Calculation Linkbase Document101.CAL

XBRL Taxonomy Extension Calculation Linkbase Document
101.DEF101.DEF

XBRL Taxonomy Extension Definition Linkbase Document101.DEF

XBRL Taxonomy Extension Definition Linkbase Document
101.LAB101.LAB

XBRL Taxonomy Extension Label Linkbase Document101.LAB

XBRL Taxonomy Extension Label Linkbase Document
101.PRE101.PRE

XBRL Taxonomy Extension Presentation Linkbase Document101.PRE

XBRL Taxonomy Extension Presentation Linkbase Document

*    Filed herewith.

29


†    Portions of this exhibit (indicated by asterisks) have been omitted pursuant to Item 601(b)(10)(iv) of Regulation S-K.
+    The certifications attached as Exhibits 32.1 and 32.2 that accompany this Quarterly Report on Form 10-Q are not deemed filed with the Securities and Exchange CommissionSEC and are not to be incorporated by reference into any filing of the Registrant under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended, whether made before or after the date of this Quarterly Report on Form 10-Q, irrespective of any general incorporation language contained in such filing.
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
OYSTER POINT PHARMA, INC.
Date: August 5, 202111, 2022By:/s/ Jeffrey Nau
Jeffrey Nau, Ph.D., M.M.S.
President, Chief Executive Officer and Director

Date: August 5, 202111, 2022By:/s/ Daniel Lochner
Daniel Lochner
Chief Financial Officer and Chief Business Officer

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