HROWJanuary 12, 2026 at 5:49 PM UTCPharmaceuticals, Biotechnology & Life Sciences

Harrow's 2025 Guidance at Risk Amid Segment Headwinds and Leverage Strain

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What happened

Harrow may miss its revised 2025 revenue guidance of $270M-$280M, with projections suggesting only $265M, highlighting execution challenges despite strong growth in Iheezo and Vevye. The article notes that specialty and compounded segments face headwinds and one-time impacts, compounding uncertainty from data limitations and ASP volatility. This aligns with the DeepValue report's findings of a stretched balance sheet, with net debt/EBITDA at 8.21x and interest coverage below 1x, driven by $250M in high-coupon 2030 notes. The potential guidance miss underscores the report's concerns about volatile free cash flow, regulatory risks in compounding, and a narrow, execution-dependent moat in a competitive ophthalmic market. Consequently, this development reinforces the report's 'POTENTIAL SELL' stance, as growth deceleration may not justify the rich valuation amid persistent financial and operational risks.

Implication

The potential guidance miss signals that Harrow's revenue growth may be insufficient to offset high interest costs and regulatory headwinds, pressuring already volatile cash flow. This could lead to a valuation recalibration, given the stock's rich multiples despite negative net income and elevated debt. Investors must closely monitor branded segment performance and cash generation to assess if deleveraging is feasible, as any further slowdown could trigger covenant breaches or refinancing stress. Regulatory overhangs, especially around the New Jersey outsourcing facility, add operational risk that could impair growth if enforcement actions occur. Overall, this reinforces the need for a cautious approach, with a sell bias until sustainable profitability and balance sheet improvement are demonstrated.

Thesis delta

This news reinforces the existing 'POTENTIAL SELL' thesis by highlighting execution risks and growth deceleration that align with the report's identified vulnerabilities. It confirms that uneven segment performance may not support the high valuation amid leverage and regulatory pressures. Investors should view this as a warning sign, strengthening the case for reducing exposure until clearer evidence of durable cash flow emerges.

Confidence

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