Form 10-Q - Quarterly report [Sections 13 or 15(d)]

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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 September 30, 2023

☐ 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: 001-39752

Petros Pharmaceuticals, Inc.

(Exact name of registrant as specified in its charter)


Delaware		85-1410058
(State of Incorporation)		(I. R. S. Employer Identification No.)

1185 Avenue of the Americas, 3rd Floor, New York, New York		10036
(Address of principal executive offices)		(Zip Code)

(973) 242-0005

(Registrant’s telephone number, including area code)

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 $0.0001	PTPI	The Nasdaq Stock Market LLC

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 (section 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 November 14, 2023, there were 2,201,069 shares of the registrant’s common stock, par value $0.0001 per share, outstanding.

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CAUTIONARY STATEMENT REGARDING FORWARD-LOOKING STATEMENTS

This Quarterly Report on Form 10-Q may contain or incorporate by reference forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended (the “Securities Act”), and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). Such forward-looking statements are based upon management’s assumptions, expectations, projections, intentions and beliefs about future events. Except for historical information, the use of predictive, future-tense or forward-looking words such as “intend,” “plan,” “predict,” “may,” “will,” “project,” “target,” “strategy,” “estimate,” “anticipate,” “believe,” “expect,” “continue,” “potential,” “forecast,” “should” and similar expressions, whether in the negative or affirmative, that reflect our current views with respect to future events and operational, economic and financial performance are intended to identify such forward-looking statements. Such forward-looking statements are only predictions, and actual results and the timing of certain events and circumstances may differ materially from those described by the forward-looking statements as a result of risks and uncertainties, including, without limitation, Petros’ ability to execute on its business strategy, including its plans to develop and commercialize Stendra(R) OTC; Petros’ ability to comply with obligations as a public reporting company; Petros’ ability to maintain compliance with the Nasdaq Stock Market’s listing standards; the ability of Petros to timely and effectively implement controls and procedures required by Section 404 of the Sarbanes-Oxley Act of 2002; the risk that the financial performance of Petros may not be as anticipated by the merger transactions that resulted in the Company’s creation; risks resulting from Petros’ status as an emerging growth company, including that reduced disclosure requirements may make shares of Petros common stock less attractive to investors; Petros’ ability to continue as a going concern; risks related to Petros’ history of incurring significant losses; risks related to Petros’ dependence on the commercialization of a single product, Stendra®; risks related to Petros’ ability to obtain regulatory approvals for, or market acceptance of, any of its products or product candidates. Additional factors that could cause actual results to differ materially from the results anticipated in these forward-looking statements are described in this Quarterly Report on Form 10-Q, in “Risk Factor Summary” and in Part I, Item 1A., “Risk Factors,” in Petros’ Annual Report on Form 10-K for the year ended December 31, 2022 and in our other reports filed with the Securities and Exchange Commission (the “SEC”). We advise you to carefully review the reports and documents we file from time to time with the SEC, particularly our annual reports on Form 10-K, our quarterly reports on Form 10-Q and our current reports on Form 8-K. Petros cautions readers that the forward-looking statements included in, or incorporated by reference into, this Quarterly Report on Form 10-Q represent our beliefs, expectations, estimates and assumptions only as of the date hereof and are not intended to give any assurance as to future results. New factors emerge from time to time, and it is not possible for us to predict all of these factors. Further, Petros cannot assess the effect of each such factor on our business or the extent to which any factor, or combination of factors, may cause actual results to be materially different from those contained in any forward-looking statement.

Readers are cautioned not to place undue reliance on forward-looking statements because of the risks and uncertainties related to them and to the risk factors. We disclaim any obligation to update the forward-looking statements contained in, or incorporated by reference into, this Quarterly Report on Form 10-Q to reflect any new information or future events or circumstances or otherwise, except as required by the federal securities laws.

OTHER INFORMATION

All references to “Petros,” the “Company,” “we,” “us” and “our” in this Quarterly Report on Form 10-Q refer to Petros Pharmaceuticals, Inc. and its subsidiaries.

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TABLE OF CONTENTS


		Page

PART I—FINANCIAL INFORMATION		4

Item 1. Unaudited Financial Statements		4

Condensed Consolidated Balance Sheets as of September 30, 2023 and December 31, 2022		4

Condensed Consolidated Statements of Operations for the three and nine months ended September 30, 2023 and 2022		5

Condensed Consolidated Statements of Changes in Convertible Redeemable Preferred Stock Stockholders’ Equity for the three and nine months ended September 30, 2023 and 2022		6

Condensed Consolidated Statements of Cash Flows for the nine months ended September 30, 2023 and 2022		7

Notes to Condensed Consolidated Financial Statements		8

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations.		27

Item 3. Quantitative and Qualitative Disclosures About Market Risk.		46

Item 4. Controls and Procedures.		47

PART II—OTHER INFORMATION		48

Item 1. Legal Proceedings.		48

Item 1A. Risk Factors.		48

Item 2. Unregistered Sales of Equity Securities, Use of Proceeds, and Issuer Purchases of Equity Securities.		49

Item 3. Defaults Upon Senior Securities.		49

Item 4. Mine Safety Disclosures.		49

Item 5. Other Information.		49

Item 6. Exhibits.		50

Signatures.		51

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PART I—FINANCIAL INFORMATION

ITEM 1. FINANCIAL STATEMENTS.

PETROS PHARMACEUTICALS, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(Unaudited)


	September 30,		December 31,
	2023		2022
Assets
Current assets:
Cash	$	17,969,949	$	9,426,264
Accounts receivable, net		2,975,018		2,110,246
Inventories		2,501,093		1,815,113
Prepaid expenses and other current assets		987,120		1,316,282
Total current assets		24,433,180		14,667,905

Fixed assets, net		31,513		39,177
Intangible assets, net		9,771,764		12,244,484
API purchase commitment		4,416,862		5,111,176
Right of use assets		260,849		358,472
Total assets	$	38,914,168	$	32,421,214

Liabilities, Convertible Redeemable Preferred Stock and Stockholders’ Equity
Current liabilities:
Current portion of promissory note	$	1,139,458	$	1,089,683
Accounts payable		1,355,060		1,806,399
Accrued expenses		3,869,027		3,634,662
Accrued Series A Convertible Preferred payments payable		1,368,546		—
Other current liabilities		349,972		537,232
Total current liabilities		8,082,063		7,067,976

Promissory note, net of current portion		7,248,635		8,388,093
Derivative Liability		6,570,000		—
Warrant Liability		9,805,000		—
Other long-term liabilities		151,395		262,678
Total liabilities		31,857,093		15,718,747

Commitments and contingencies
Series A convertible redeemable preferred stock (par value $0.0001 per share and $1,000 stated value), 15,000 and 0 shares authorized at September 30, 2023 and December 31, 2022, respectively; 13,846 and 0 shares issued and outstanding at September 30, 2023 and December 31, 2022, respectively. Liquidation preference of $15,000,000 as of September 30, 2023		124,532		—

Stockholders’ Equity:
Common stock (par value $0.0001 per share, 250,000,000 and 150,000,000 shares authorized at September 30, 2023 and December 31, 2022, respectively; 2,119,620 and 2,079,387 shares issued and outstanding as of September 30, 2023 and December 31, 2022, respectively)		211		208
Additional paid-in capital		106,140,063		107,428,652
Accumulated deficit		(99,207,731)		(90,726,393)
Total Stockholders’ Equity		6,932,543		16,702,467

Total Liabilities, Convertible Redeemable Preferred Stock and Stockholders’ Equity	$	38,914,168	$	32,421,214

The accompanying Notes are an integral part of the Condensed Consolidated Financial Statements.

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PETROS PHARMACEUTICALS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(Unaudited)


	For the Nine Months Ended September 30,				For the Three Months Ended September 30,
	2023		2022		2023		2022
Net sales	$	6,186,638	$	5,193,953	$	1,674,657	$	(1,457,732)
Cost of goods sold		1,473,073		1,408,086		408,475		286,525
Gross profit		4,713,565		3,785,867		1,266,182		(1,744,257)
Operating expenses:
Selling, general and administrative		6,382,166		9,285,317		2,001,935		2,170,975
Warrant issuance costs		2,855,000		—		2,855,000		—
Gain on settlement with Vivus		—		(3,389,941)		—		—
Research and development expense		1,574,760		1,562,518		389,093		735,916
Depreciation and amortization expense		2,480,385		4,682,610		826,795		1,560,870
Intangible asset impairment		—		7,460,000		—		7,460,000
Total operating expenses		13,292,311		19,600,504		6,072,823		11,927,761

Loss from operations		(8,578,746)		(15,814,637)		(4,806,641)		(13,672,018)
Change in fair value of derivative liability		(430,000)		460,000		(430,000)		—
Change in fair value of warrant liability		11,739,000		—		11,739,000		—
Interest income		287,722		—		168,481		—
Interest expense, promissory note		(410,317)		(451,075)		(131,351)		(147,677)
Loss on issuance of Series A Preferred Stock		(11,088,997)		—		(11,088,997)		—
Loss before income taxes		(8,481,338)		(15,805,712)		(4,549,508)		(13,819,695)
Income tax expense		—		10,501		—		10,501
Net loss	$	(8,481,338)	$	(15,816,213)	$	(4,549,508)	$	(13,830,196)

Preferred Stock dividends and cash premiums		(339,232)		—		(339,232)		—

Net loss per common share		(8,820,570)		(15,816,213)		(4,888,740)		(13,830,196)
Basic and Diluted	$	(4.18)	$	(7.65)	$	(2.31)	$	(6.69)
Weighted average common shares outstanding
Basic and Diluted		2,108,747		2,068,472		2,119,620		2,068,472

The accompanying Notes are an integral part of the Condensed Consolidated Financial Statements.

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PETROS PHARMACEUTICALS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN CONVERTIBLE REDEEMABLE PREFERRED STOCK AND STOCKHOLDERS’ EQUITY

(Unaudited)


		Convertible
	Convertible	Redeemable
	Redeemable	Preferred			Common		Additional
	Preferred	Stock		Common	Stock		Paid-in		Accumulated
	Stock	Amount		Stock	Amount		Capital		Deficit		Total
Three Months Ended September 30, 2023
Balance, June 30, 2023	—	$	—	2,119,620	$	211	$	107,602,301	$	(94,658,223)	$	12,944,289
Stock-based compensation expense	—		—	—		—		30,840		—		30,840
Issuance of Series A Preferred Stock in private placement, net of discount and transaction costs $15,000,003	15,000		—	—		—		—		—		—

Series A Preferred Stock accretion	—		1,153,846	—		—		(1,153,846)		—		(1,153,846)
Series A Preferred Stock dividends	—		249,701	—		—		(249,701)		—		(249,701)
Preferred Stock redemption including cash premium	(1,154)		(1,279,016)	—		—		(89,531)		—		(89,531)
Net loss	—		—	—		—		—		(4,549,508)		(4,549,508)
Balance, September 30, 2023	13,846	$	124,531	2,119,620	$	211	$	106,140,063	$	(99,207,731)	$	6,932,543


		Convertible
	Convertible	Redeemable
	Redeemable	Preferred			Common		Additional
	Preferred	Stock		Common	Stock		Paid-in		Accumulated
	Stock	Amount		Stock	Amount		Capital		Deficit		Total
Nine Months Ended September 30, 2023
Balance, December 31, 2022	—	$	—	2,079,387	$	208	$	107,428,652	$	(90,726,393)	$	16,702,467
Stock-based compensation expense	—		—	—		—		204,492		—		204,492
Shares issued for vested RSU’s	—		—	40,233		3		(3)		—		—
Issuance of Series A Preferred Stock in private placement, net of discount and transaction costs $15,000,003	15,000		—	—		—		—		—		—

Series A Preferred Stock accretion	—		1,153,846	—		—		(1,153,846)		—		(1,153,846)
Series A Preferred Stock dividends	—		249,701	—		—		(249,701)		—		(249,701)
Preferred Stock redemption including cash premium	(1,154)		(1,279,016)	—		—		(89,531)		—		(89,531)
Net loss	—		—	—		—		—		(8,481,338)		(8,481,338)
Balance, September 30, 2023	13,846	$	124,531	2,119,620	$	211	$	106,140,063	$	(99,207,731)	$	6,932,543


		Common		Additional
	Common	Stock		Paid-in		Accumulated
	Stock	Amount		Capital		Deficit		Total
Three Months Ended September 30, 2022
Balance, June 30, 2022	2,068,472	$	207	$	106,891,670	$	(72,674,836)	$	34,217,041
Stock-based compensation expense	—		—		308,138		—		308,138
Non-employee exercise of restricted stock units	2,331		—		—		—		—
Net loss	—		—		—		(13,830,196)		(13,830,196)
Balance, September 30, 2022	2,070,803	$	207	$	107,199,808	$	(86,505,033)	$	20,694,982


		Common		Additional
	Common	Stock		Paid-in		Accumulated
	Stock	Amount		Capital		Deficit		Total
Nine Months Ended September 30, 2022
Balance, December 31, 2021	2,068,472	$	207	$	106,233,577	$	(70,688,820)	$	35,544,964
Stock-based compensation expense	—		—		966,231		—		966,231
Non-employee exercise of restricted stock units	2,331		—		—				—
Net loss	—		—		—		(15,816,213)		(15,816,213)
Balance, September 30, 2022	2,070,803	$	207	$	107,199,808	$	(86,505,033)	$	20,694,982

The accompanying Notes are an integral part of the Condensed Consolidated Financial Statements.

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PETROS PHARMACEUTICALS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited)


	For the Nine Months Ended September 30,
	2023		2022
Cash flows from operating activities:
Net loss	$	(8,481,338)	$	(15,816,213)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization		2,480,385		4,682,610
Intangible asset impairment		—		7,460,000
Bad debt expense (recoveries)		32,516		(103,650)
Inventory and sample inventory reserve		41,195		(14,688)
Lease expense		97,622		86,477
Change in fair value of derivative liability		430,000		(460,000)
Change in fair value of warrant liability		(11,739,000)		—
Loss on issuance of Series A Preferred Stock		11,088,997		—
Noncash Warrant expense		1,595,000		—
Gain on settlement with Vivus		—		(3,389,941)
Employee stock-based compensation		204,492		966,231

Changes in operating assets and liabilities:
Accounts receivable		(897,289)		(1,174,106)
Inventories		(63,191)		(1,619,694)
Prepaid expenses and other current assets		359,492		1,478,267
Accounts payable		(451,338)		(2,473,450)
Accrued expenses		234,364		(954,607)
Deferred revenue		(281,372)		56,274
Other current liabilities		94,113		154,370
Other long-term liabilities		(111,283)		(104,865)
Net cash used in operating activities		(5,366,635)		(11,226,985)

Cash flows from financing activities:
Payment of promissory note		(1,089,683)		(1,438,925)
Proceeds from Private Placement, net of transactions costs		15,000,003		—
Net cash provided by (used in) financing activities		13,910,320		(1,438,925)

Net increase (decrease) in cash		8,543,685		(12,665,910)

Cash, beginning of period		9,426,264		23,847,572
Cash, end of period	$	17,969,949	$	11,181,662

Supplemental cash flow information:
Cash paid for interest during the period	$	410,317	$	451,075

Noncash Items:
Noncash decrease in accrued expenses related to Vivus settlement	$	—	$	(6,520,283)
Noncash decrease in accrued inventory purchases related to Vivus Settlement		—		(14,203,905)
Noncash increase in promissory note related to Vivus settlement		—		10,201,758
Noncash increase in inventory due to API reclass		(663,984)		—
Noncash decrease in API purchase commitment		694,314		6,232,489
Noncash decrease in other current assets: API purchase commitment		(30,330)		—
Noncash issuance of common stock to non-employee		3		3
Noncash initial fair value of warrant liability pursuant to private placement		21,544,000		—
Noncash initial fair value of derivative liability pursuant to private placement		6,140,000		—
Accrued Series A Convertible Preferred payments payable		1,368,546		—
Accretion of Series A convertible preferred stock to redemption value		1,250,000		—
Accrual of Series convertible preferred stock dividends		339,232		—

The accompanying Notes are an integral part of the Condensed Consolidated Financial Statements.

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PETROS PHARMACEUTICALS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

1) Nature of Operations, Basis of Presentation, Liquidity and Going Concern

Nature of Operations and Basis of Presentation

Petros is a pharmaceutical company focused on expanding consumer access to medication through over-the-counter (OTC) drug development programs.Petros consists of wholly owned subsidiaries, Metuchen Pharmaceuticals LLC, a Delaware limited liability company (“Metuchen”), Neurotrope, Inc., a Nevada corporation (“Neurotrope”), Timm Medical Technologies, Inc. (“Timm Medical”), and Pos-T-Vac, LLC (“PTV”). Petros was organized as a Delaware corporation on May 14, 2020 for the purpose of effecting certain transactions between Petros, Metuchen, Neurotrope, and certain subsidiaries of Petros (collectively the “Mergers”). The Mergers were consummated on December 1, 2020. The Company is engaged in the commercialization and development of Stendra®, a U.S. Food and Drug Administration (“FDA”) approved PDE-5 inhibitor prescription medication for the treatment of erectile dysfunction (“ED”), which the Company has licensed from Vivus, Inc. (“Vivus”). Petros also markets its own line of ED products in the form of vacuum erection device products through its subsidiaries, Timm Medical and PTV. In addition to ED products, we had an exclusive global license to develop and commercialize H100™, a novel and patented topical formulation candidate for the treatment of acute Peyronie’s disease, which license was terminated by the Company on May 11, 2023.

The Company manages its operations through two segments, Prescription Medications and Medical Devices, both of which focus on the treatment of male ED. The Prescription Medications segment consists primarily of Stendra®, which is sold generally in the United States. Expenses related to the development of H100™, prior to the license termination in May 2023, which was in the early stages of development and had not yet sought FDA approval to begin Phase 1 clinical trials, were categorized under the Prescription Medications segment. The Medical Devices segment consists primarily of vacuum erection devices, which are sold domestically and internationally.

The Company’s priority is the ability to sell Stendra® Over-The-Counter (“OTC”). The company has continued to progress in its development program. Recently, the Company has conducted three engagements with the U.S. Food and Drug Administration (FDA) reviewing data and receiving guidance, launched a second pivotal Label Comprehension Study incorporating FDA feedback, and has begun to integrate supportive technology in response to recent FDA industry-wide guidance and proposed rules.

Basis of Presentation

The accompanying unaudited interim consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”) applicable to a going concern, which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business. In the opinion of management, the accompanying unaudited interim consolidated financial statements include all adjustments, consisting of normal recurring adjustments, considered necessary to present fairly our financial position, results of operations and cash flows. However, actual results could differ from those estimates. The unaudited interim consolidated results of operations are not necessarily indicative of the results that may occur for the full fiscal year. Certain information and footnote disclosures normally included in financial statements prepared in accordance with U.S. GAAP have been omitted pursuant to instructions, rules, and regulations prescribed by the United States Securities and Exchange Commission. This Quarterly Report on Form 10-Q should be read in conjunction with the audited financial statements and notes previously distributed in our Annual Report on Form 10-K for the year ended December 31, 2022.

All transactions between the consolidated entities have been eliminated in consolidation.

Liquidity and Going Concern

We have experienced net losses and negative cash flows from operations since our inception. As of September 30, 2023, we had cash of approximately $18.0 million, working capital of $16.4 million, and accumulated deficit of $99.2 million. To date, our principal sources of capital used to fund our operations have been the revenues from product sales, private sales, registered offerings and private placements of equity securities. The Company does not currently have sufficient available liquidity to fund its operations for at least the next 12 months. These conditions and events raise substantial doubt about the Company’s ability to continue as a going concern within

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one year after the date that these interim condensed consolidated financial statements are issued. The accompanying condensed consolidated financial statements do not include any adjustments that might result from these uncertainties.

In response to these conditions and events, the Company is evaluating various financing strategies to obtain sufficient additional liquidity to meet its operating, debt service and capital requirements for the next twelve months following the date of this Quarterly Report. The potential sources of financing that the Company is evaluating include one or any combination of secured or unsecured debt, convertible debt and equity in both public and private offerings. The Company also plans to finance near-term operations with its cash on hand, including the gross proceeds of $15 million raised in the Private Placement (see the section below titled “Liquidity and Capital Resources—July 2023 Private Placement”), as well as by exploring additional ways to raise capital and increasing cash flows from operations. The company intends to use the proceeds from the July 2023 capital raise to funds its OTC progress into 2024. There is no assurance the Company will manage to raise additional capital or otherwise increase cash flows, if required. The sources of financing described above that could be available to the Company and the timing and probability of obtaining sufficient capital depend, in part, on expanding the use of Stendra® and continuing to invest in research and development pursuant to our Non-Prescription / OTC strategies related to Stendra®, which we believe has the potential to dramatically increase product sales in the future; and future capital market conditions. If the Company’s current assumptions regarding timing of these events are incorrect or if there are any other changes or differences in our current assumptions that negatively impact our financing strategy, the Company may have to further reduce expenditures or significantly delay, scale back or discontinue the development or commercialization of Stendra® OTC in order to extend its cash resources.

2) Summary of Significant Accounting Policies

Use of Estimates

The preparation of Consolidated Financial Statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, disclosures of contingent assets and liabilities at the date of the Consolidated Financial Statements and reported amounts of revenue and expenses during the reporting periods. Such estimates include the adequacy of accounts receivable reserves, return reserves, inventory reserves, assessment of long-lived assets, including intangible asset impairment and the valuation of the derivative liability, among others. Actual results could differ from these estimates and changes in these estimates are recorded when known.

Risks and Uncertainties

The Company is subject to risks common to companies in the pharmaceutical industry including, but not limited to, uncertainties related to commercialization of competitor products, regulatory approvals, dependence on key products, dependence on key customers and suppliers, Stendra(R) OTC approval, and protection of intellectual property rights.

Concentration of Credit Risk

Financial instruments that subject the Company to concentrations of credit risk includes cash. The Company maintains cash on deposit at U.S.-based banks in amounts which, at times, exceed insured limits.

Segment Reporting

Operating segments are components of a Company for which separate financial information is available and evaluated regularly by the chief operating decision maker in assessing performance and deciding how to allocate resources. The Company’s two segments, Prescription Medications and Medical Devices, focus on the treatment of male erectile dysfunction. The Prescription Medications segment consists primarily of operations related to Stendra®, which is sold generally in the United States The Medical Devices segment consists primarily of operations related to vacuum erection devices, which are sold domestically and internationally. See Note 15 Segment Reporting.

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Revenue Recognition

Prescription Medication Sales

The Company’s prescription medication sales consist of sales of Stendra® in the U.S. for the treatment of male erectile dysfunction. Under Accounting Standards Codification (“ASC”) Topic 606, Revenue Recognition (“Topic 606”), the Company recognizes revenue from prescription medication sales when its performance obligations with a customer has been satisfied. In the contracts with its customers, the Company has identified a single performance obligation to provide Stendra® upon receipt of a customer order. The performance obligation is satisfied at a point in time when the Company’s customers obtain control of Stendra®, which is typically upon delivery. The Company invoices its customers after Stendra® has been delivered and invoice payments are generally due within 30 to 75 days of invoice date.

In determining the transaction price, a significant financing component does not exist since the timing from when the Company delivers Stendra® to when the customers pay for the product is typically less than one year. The Company records prescription medication sales net of any variable consideration, including but not limited to discounts, rebates, returns, chargebacks, and distribution fees. The Company uses the expected value method when estimating its variable consideration, unless terms are specified within contracts. The identified variable consideration is recorded as a reduction of revenue at the time revenues from sales of Stendra® are recognized. The Company recognizes revenue to the extent that it is probable that a significant revenue reversal will not occur in a future period. These estimates may differ from actual consideration received. The Company evaluates these estimates each reporting period to reflect known changes.

As of September 30, 2023 and December 31, 2022, the reserves for sales deductions were $3.4 million and $3.0 million, respectively. The most significant sales deductions included in this reserve relate to returns, contract rebates, and distribution service (“DSA”) fees. Our estimates are based on factors such as our direct and indirect customers’ buying patterns and the estimated resulting contractual deduction rates, historical experience, specific known market events and estimated future trends, current contractual and statutory requirements, industry data, estimated customer inventory levels, current contract sales terms with our direct and indirect customers, and other competitive factors. Significant judgment and estimation is required in developing the foregoing and other relevant assumptions. The most significant sales deductions are further described below.

Product Returns

Consistent with industry practice, the Company maintains a return policy that generally allows its customers to return Stendra® and receive credit for product within six months prior to expiration date and up to one year after expiration date. The provision for returns is based upon the Company’s estimates for future Stendra® returns and historical experience. The provision of returns is part of the variable consideration recorded at the time revenue is recognized. As of September 30, 2023, December 31, 2022 and December 31, 2021, the reserves for product returns were $2.9 million, $2.3 million and $3.8 million, respectively, and are included as a component of accrued expenses. During the nine months ended September 30, 2023 and 2022, respectively, the Company recorded $1.3 million and $7.6 million of returns as a reduction of gross revenue.

Contract Rebates, Coupon Redemptions and DSA Fees

The Company establishes contracts with wholesalers, chain stores, and indirect customers that provide for rebates, sales incentives, DSA fees and other allowances. Some customers receive rebates upon attaining established sales volumes. Direct rebates are generally rebates paid to direct purchasing customers based on a percentage applied to a direct customer’s purchases from us, including fees paid to wholesalers under our DSAs, as described below. Indirect rebates are rebates paid to indirect customers that have purchased our products from a wholesaler under a contract with us.

The Company has entered into DSAs with certain of our significant wholesaler customers that obligate the wholesalers, in exchange for fees paid by us, to: (i) manage the variability of their purchases and inventory levels within specified limits based on product demand and (ii) provide us with specific services, including the provision of periodic retail demand information and current inventory levels for our pharmaceutical products held at their warehouse locations. See Note 3 Accounts Receivable, net for further discussion of these reserves. Accrued contracts were $49,499, $279,018 and $379,242 of September 30, 2023, December 31, 2022, and December 31, 2021, respectively.

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Medical Device Sales

The Company’s medical device sales consist of domestic and international sales of men’s health products for the treatment of erectile dysfunction. The men’s health products include Vacuum Erection Devices, and VenoSeal. Under Topic 606, the Company recognizes revenue from medical device sales when its performance obligations with its customers have been satisfied. In the contracts with its customers, the Company has identified a single performance obligation to provide medical devices upon receipt of a customer order. The performance obligation is satisfied at a point in time when the Company’s customers obtain control of the medical device, which is typically upon shipment. The Company invoices its customers after the medical devices have been shipped and invoice payments are generally due within 30 days of invoice date for domestic customers and 90 days for international customers.

In determining the transaction price, a significant financing component does not exist since the timing from when the Company delivers the medical devices to when the customers pay for the product is typically less than one year. The Company records medical device sales net of any variable consideration, including but not limited to returns. The Company uses the expected value method when estimating its variable consideration. The identified variable consideration is recorded as a reduction of revenue at the time revenues from the medical device sales are recognized. The Company recognizes revenue to the extent that it is probable that a significant revenue reversal will not occur in a future period. These estimates may differ from actual consideration received. The Company evaluates these estimates each reporting period to reflect known changes.

Product Returns

Consistent with industry practice, the Company maintains a return policy that generally allows its customers to return medical devices and receive credit for products within 90 days of the sale. The provision for returns is based upon the Company’s estimates for future product returns and historical experience. As of September 30, 2023, December 31, 2021 and December 31, 2022, the reserves for product returns for medical devices were not significant.

Contract Costs

In relation to customer contracts, the Company incurs costs to fulfill a contract but does not incur costs to obtain a contract. These costs to fulfill a contract do not meet the criteria for capitalization and are expensed as incurred. As such, the Company did not have any contract assets at September 30, 2023, December 31, 2021 and December 31, 2022.

Contract Liabilities

Under Accounting Standards Codification Topic 606, Revenue Recognition, the Company recognizes revenue when its performance obligations with a customer has been satisfied. In the event it has not been satisfied, the Company records deferred revenue as a liability on the balance sheet. As of September 30, 2023, December 31, 2022, and December 31, 2021, deferred revenue was $0, $281,372 and $70,343 respectively.

Fair Value Measurements

In accordance with ASC 820 (Topic 820, Fair Value Measurements and Disclosures), we use a three-level hierarchy for fair value measurements of certain assets and liabilities for financial reporting purposes that distinguishes between market participant assumptions developed from market data obtained from outside sources (observable inputs) and our own assumptions about market participant assumptions developed from the best information available to us in the circumstances (unobservable inputs). The fair value hierarchy is divided into three levels based on the source of inputs as follows:

●

Level 1 – inputs to the valuation methodology are quoted prices (unadjusted) for identical assets or liabilities in active markets;

●

Level 2 – inputs to the valuation methodology include quoted prices for similar assets and liabilities in active markets, and inputs that are observable for the asset or liability other than quoted prices, either directly or indirectly including inputs in markets that are not considered to be active; and

●

Level 3 – inputs to the valuation methodology are unobservable and significant to the fair value measurement.

Categorization within the valuation hierarchy is based upon the lowest level of input that is significant to the fair value measurement.

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Intangible Assets

The Company accounts for recognized intangible assets at cost. Intangible assets with finite useful lives are amortized over the useful life which the assets are expected to contribute directly or indirectly to future cash flows. Intangible assets are amortized using an accelerated method based on the pattern in which the economic benefits of the assets are consumed. The Company reviews the carrying value and useful lives of its intangible assets with definite lives whenever events or changes in circumstances indicate that the carrying amount of the assets may not be recoverable or the period over which they should be amortized has changed. When indicators of impairment exist, the Company determines whether the estimated undiscounted sum of the future cash flows of such assets is less than their carrying amounts. If less, an impairment loss is recognized in the amount, if any, by which the carrying amount of such assets exceeds their respective fair values. The Company evaluates the remaining useful life of each intangible asset that is being amortized during each reporting period to determine whether events and circumstances warrant a revision to the remaining period of amortization. If the estimate of the intangible asset’s remaining useful life has changed, the remaining carrying amount of the intangible asset is amortized prospectively over that revised remaining useful life. During the three months ended September 30, 2022, the Company noted that indicators of impairment existed and prepared an undiscounted cash flow analysis, which indicated, for the Stendra(R) product an impairment. The Company then prepared a discounted cash flow analysis resulting in an impairment of approximately $7.5 million.

Derivative Financial Instruments

The Company evaluates all its financial instruments to determine if such instruments contain features that qualify as embedded derivatives. Embedded derivatives must be separately measured from the host contract if all the requirements for bifurcation are met. The assessment of the conditions surrounding the bifurcation of embedded derivatives depends on the nature of the host contract. Bifurcated embedded derivatives are recognized at fair value, with changes in fair value recognized in the statement of operations each period. Bifurcated embedded derivatives are classified separately from the related host contract in the Company’s balance sheet.

Basic and Diluted Net Loss per Common Share

The Company computes basic net loss per common share by dividing net loss applicable to common stockholders by the weighted average number of shares of common stocks outstanding during the period, excluding the anti-dilutive effects of stock options and warrants to purchase common stocks. The Company computes diluted net loss per common stock by dividing the net loss applicable to common stocks by the sum of the weighted-average number of common stocks outstanding during the period plus the potential dilutive effects of its convertible preferred stocks, stock options and warrants to purchase common stocks, but such items are excluded if their effect is anti-dilutive. Because the impact of these items is anti-dilutive during periods of net loss, there was no difference between the Company’s basic and diluted net loss per share of common stock for the three and nine months ended September 30, 2023 and 2022. See Note 12 Basic and Diluted Net Loss per Common Share.

Recent Accounting Pronouncements

In June 2016, the Financial Accounting Standard Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2016-13, Measurement of Credit Losses on Financial Instruments. ASU 2016-13, together with a series of subsequently issued related ASUs, has been codified in Topic 326. Topic 326 establishes new requirements for companies to estimate expected credit losses when measuring certain financial assets, including accounts receivables. The Company adopted the new guidance with its fiscal year beginning January 1, 2023. The adoption of ASC 326 did not have a material effect on the Company’s financial statements.

In August 2020, the Financial Accounting Standards Board issued Accounting Standards Update (“ASU”) 2020-06, Debt—Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging—Contracts in Entity’s Own Equity (Subtopic 815-40) (“ASU 2020-06”) to simplify certain financial instruments. ASU 2020-06 eliminates the current models that require separation of beneficial conversion and cash conversion features from convertible instruments and simplifies the derivative scope exception guidance pertaining to equity classification of contracts in an entity’s own equity. The new standard also introduces additional disclosures for convertible debt and freestanding instruments that are indexed to and settled in an entity’s own equity. ASU 2020-06 amends the diluted earnings per share guidance, including the requirement to use the if-converted method for all convertible instruments. ASU 2020-06 is effective for fiscal years beginning after December 15, 2021 and should be applied on a full or modified retrospective basis. Early adoption is permitted, but no earlier than fiscal years beginning after December 15, 2020, including interim periods within those fiscal years. The Company adopted ASU 2020-06 effective July 1, 2023. The adoption of ASU 2020-06 did not have a material impact on the Company’s financial statements.

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3) Accounts Receivable, net

Accounts receivable, net is comprised of the following:


	September 30,		December 31,		December 31,
	2023		2022		2021
Gross accounts receivables	$	3,713,405	$	2,757,839	$	3,363,827
Distribution service fees		(358,661)		(339,094)		(371,310)
Chargebacks accrual		(7,375)		(1,960)		—
Cash discount allowances		(132,967)		(99,671)		(159,446)
Allowance for doubtful accounts		(239,384)		(206,868)		(377,685)
Total accounts receivable, net	$	2,975,018	$	2,110,246	$	2,455,386

For the nine months ended September 30, 2023, gross billings to customers representing 10% or more of the Company’s total gross billings included three customers which represented approximately 23%, 19%, and 17% of total gross billings, respectively. For the nine months ended September 30, 2022, gross billing from customers representing 10% or more of the Company’s total gross billings included four customers which represented approximately 27%, 22%, and 18% and 15% of total gross billings, respectively. Receivables from customers representing 10% or more of the Company’s gross accounts receivable included three customers at September 30, 2023 equal to 43%, 25%, and 14%, respectively. Receivables from customers representing 10% or more of the Company’s gross accounts receivable included two customers at December 31, 2022 equal to 43% and 16%, respectively.

4) Inventories

Inventory is comprised of the following:


	September 30, 2023		December 31, 2022
Raw Materials	$	2,391,190	$	1,574,683
Finished goods		109,903		240,430
Total inventory	$	2,501,093	$	1,815,113

Finished goods are net of valuation reserves of $405,495 and $364,300 as of September 30, 2023 and December 31, 2022, respectively. Raw materials are net of valuation reserves of $2,872,977 as of September 30, 2023 and December 31, 2022, which is related to bulk inventory.

5) Prepaid Expenses and Other Current Assets

Prepaid expenses and other current assets are comprised of the following:


	September 30, 2023		December 31, 2022
Prepaid insurance	$	169,588	$	109,414
Prepaid coupon fees		—		71,500
API purchase commitment asset (see Note 13)		694,314		663,984
Other prepaid expenses		65,655		333,158
Other current assets		57,563		138,226
Total prepaid expenses and other current assets	$	987,120	$	1,316,282

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6) Intangible Assets


Balance at December 31, 2021	$	25,293,149
Amortization expense		(5,588,665)
Intangible Impairment		(7,460,000)
Balance at December 31, 2022		12,244,484
Amortization expense		(2,472,720)
Balance at September 30, 2023	$	9,771,764

The future annual amortization related to the Company’s intangible assets is as follows as of September 30, 2023:


2023 (remaining 3 months)	$	800,027
2024		2,800,623
2025		1,754,328
2026		1,442,186
2027		1,212,871
Thereafter		1,761,729
Total	$	9,771,764

The intangible assets held by the Company are the Stendra® product, Timm Medical product, and PTV product and are being amortized over their estimated useful lives of 10 years, 12 years, and 12 years, respectively. The carrying value of the Stendra® product, Timm Medical product, and PTV product as of September 30, 2023 are $5.5 million, $3.4 million and $0.9 million, respectively. The carrying value of the Stendra® product, Timm Medical product, and PTV product as of December 31, 2022 were $7.2 million, $4.0 million and $1.1 million, respectively. During the three months ended September 30, 2022, the Company determined that the intangible asset related to the Stendra® product was impaired resulting in an impairment charge of approximately $7.5 million.

7) Accrued Expenses

Accrued expenses are comprised of the following:


	September 30, 2023		December 31, 2022
Accrued product returns	$	2,853,413	$	2,311,647
Accrued contract rebates		49,499		279,018
Due to 3PL/Wholesalers		103,161		155,081
Accrued bonuses		421,523		427,500
Accrued professional fees		—		51,620
Other accrued expenses		441,431		409,796
Total accrued expenses	$	3,869,027	$	3,634,662

8) Debt

Promissory Note

In connection with the Settlement Agreement entered into with Vivus (see Note 13), Petros executed an interest-bearing promissory note (the “Note”) in favor of Vivus in the principal amount of $10,201,758. The parties also entered into a Security Agreement to secure Petros’ obligations under the Note.

Under the terms of the Note, the original principal amount of $10,201,758 is payable in consecutive quarterly installments of principal and interest beginning on April 1, 2022 through January 1, 2027. Interest on the principal amount will accrue at a rate of 6% per year. The Company may prepay the Note, in whole or in part, at any time, with no premium or penalty. In the event that the Company defaults under the Security Agreement, all principal outstanding under the Note at the time of the default will bear interest at a rate of 9% per year until the full and final payment of all principal and interest under the Note (regardless of whether any default is waived or cured). Pursuant to the Security Agreement, dated January 18, 2022, the Company granted to Vivus a continuing security interest in all of its Stendra® API and products and its rights under the License Agreement.

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Future minimum principal payments of the promissory note are as follows:


2024		1,530,729
2025		2,720,940
2026		3,264,351
2027		872,073
Total	$	8,388,093
Less: current portion		(1,139,458)
Promissory note, net of current portion	$	7,248,635

9) Operating Leases

The Company has commitments under operating leases for office and warehouse space used in its operations. As of September 30, 2023 the Company’s leases have remaining lease terms ranging from .9 years to 3.3 years.

On November 30, 2021, the Company entered into a sublease with respect to its entire headquarters facility. The sublessee delivered a $14,000 security deposit to the Company on the lease commencement date and also agreed to pay $7,000 per month for the term beginning January 10, 2022 and continuing until the expiration of the head lease on August 30, 2024. The Company accounts for this sublease as an operating lease in accordance with the lessor accounting guidance within ASC 842.

The components of lease expense consisted entirely of fixed lease costs related to operating leases. These costs were $134,435 and $134,435 for the nine months ended September 30, 2023 and 2022, respectively, and were $44,812 and $44,812 for the three months ended September 30, 2023 and 2022, respectively. Fixed lease costs for the nine months ended September 30, 2023 were offset by sublease income of $63,000, and $21,000 for the three months ended September 30, 2023.

Supplemental balance sheet information related to leases was as follows:


	As of September 30, 2023		As of December 31, 2022
Operating lease ROU asset:
Other assets	$	260,849	$	358,472

Operating lease liability:
Other current liabilities		148,758		142,340
Other long-term liabilities		151,395		262,677
Total operating lease liability	$	300,153	$	405,017

Supplemental lease term and discount rate information related to leases was as follows:


	As of September 30, 2023		As of December 31, 2022
Weighted-average remaining lease terms - operating leases	1.9 years		2.7 years
Weighted-average discount rate - operating leases	12.6	%	12.6	%

Supplemental cash flow information related to leases was as follows:


	For the Nine Months				For the Three Months
	Ended September 30,				Ended September 30,
	2023		2022		2023		2022
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leases	$	141,677	$	140,805	$	47,226	$	46,935

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Future minimum lease payments under non-cancelable leases as of September 30, 2023, were as follows:


Lease Liability Maturity Analysis	Operating Leases
2023 (remaining 3 months)	$	47,697
2024		155,242
2025		81,107
2026		82,324
Thereafter		—
Total lease payments		366,370
Less: Imputed Interest		(66,217)
Total	$	300,153

Future minimum sublease income under non-cancelable leases as of September 30, 2023, were as follows:


Sublease income	Operating Leases
2023 (remaining 3 months)		21,000
2024		56,000
Total	$	77,000

As of September 30, 2023, the Company had no operating leases that had not yet commenced.

10) Stock Options and Restricted Stock Units (“RSU’s”)

The Company established the 2020 Omnibus Incentive Compensation plan (the “2020 Plan”) which provides for the grants of awards to our directors, officers, employees, and consultants. The 2020 Plan authorizes the grant of incentive stock options, nonqualified stock options, stock appreciation rights, stock awards, stock units and other stock-based awards and cash-based awards. On December 22, 2021, our stockholders approved the Second Amendment to the 2020 Plan to increase the total number of shares of common stock issuable under the 2020 Plan by 152,166 shares to a total of 260,000 shares of common stock. On September 14, 2023, our stockholders approved the Third Amendment to the 2020 Plan to increase the total number of shares of common stock issuable under the 2020 Plan by 2.5 million shares to a total of 2,760,000 shares of common stock. As of September 30, 2023, there were 2,760,000 shares authorized and 2,507,369 shares available for issuance under the 2020 Plan.

The following is a summary of stock options for the nine months ended September 30, 2023 and for the year ended December 31, 2022:


				Weighted-Average
		Weighted-		Remaining	Aggregate Intrinsic
	Number of	Average		Contractual	Value
	Shares	Exercise Price		Term (Years)	($ in thousands)
Options outstanding at December 31, 2022	59,067	$	34.02	8.29	$	—
Options granted	156,000		0.99	—		115.4
Less: options forfeited	—		—	—		—
Less: options expired/cancelled	(5,000)		33.40	—		—
Less: options exercised	—		—	—		—
Options outstanding at September 30, 2023	210,067	$	9.51	8.99	$	115.4
Options exercisable at September 30, 2023	54,067	$	34.08	7.48	$	—

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The following is a summary of RSU’s for the nine months ended September 30, 2023 and for the year ended December 31, 2022:


				Weighted-Average
		Weighted-		Remaining
	Number of	Average		Contractual
	Shares	Fair Value at Grant Date		Term (Years)
RSU’s outstanding at December 31, 2022	40,238	$	16.87	9.20
RSU’s granted	—		—	—
Less: RSU’s forfeited	—		—	—
Less: RSU’s expired/cancelled	(5)		11.90	—
Less: RSU’s vested	(40,233)		16.88	—
RSU’s outstanding at September 30, 2023	—	$	—	—

On January 4, 2022, pursuant to a consulting agreement, the Company awarded a grant of 5,000 options to purchase shares of common stock of the Company at an exercise price of $33.40 per share. The shares of common stock underlying the options vested 100% upon issuance. These options were canceled pursuant to the cancellation of this consulting agreement, during April 2023.

On April 7, 2022, the Company awarded the four Directors grants of 24,876 total RSU’s with a stock price of $11.90 per share. The RSU’s shall vest 100% on the one-year anniversary of the date of grant. Also on April 7, 2022, Tania King, an employee of Juggernaut Capital Partners LLP, pursuant to her contract, was granted 6,051 RSUs with a stock price of $11.90 per share. The RSU’s vested 100% on the one-year anniversary of the date of grant.

On April 10, 2023, the Company awarded each of the four Directors a grant of 39,000 options to purchase shares of common stock of the Company at an exercise price of $0.99 per share. The shares of common stock underlying the options will vest 100% on the one-year anniversary of the date of grant.

Stock-based compensation expense recognized for the nine months ended September 30, 2023 and 2022 was $204,492 and $966,231, respectively, and is recorded in general and administrative expenses in the consolidated statements of operations.

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11) Common Stock Warrants

As of September 30, 2023, the Company’s warrants by expiration date were as follows:


Number of Warrants		Exercise Price (in Dollars)	Expiration Date
278	$	16.00	August 23, 2023
2,279		356.50	June 1, 2024
7,492		218.50	June 17, 2024
1,997		312.50	June 19, 2024
2,279		265.50	September 1, 2024
1,050		127.40	September 16, 2024
2,279		43.00	December 1, 2024
2,800		56.50	March 2, 2025
2,800		73.00	June 1, 2025
2,800		55.00	September 1, 2025
2,800		47.05	December 1, 2025
222,189		75.00	December 1, 2025
90,880		175.00	December 1, 2025
62,429		512.50	December 1, 2025
15,856		1,250.00	December 1, 2025
175,132		17.15	October 18, 2026
233,775		35.00	December 12, 2026
175,000		35.00	December 27, 2026
7,200,002		2.25	July 17, 2028
8,204,117


		Number of Warrants
Warrants outstanding - January 1, 2022		1,004,115
Warrants issued in 2022		—
Warrants outstanding - December 31, 2022		1,004,115
Warrants issued - Nine Months ending September 30, 2023		7,200,002
Warrants outstanding - September 30, 2023		8,204,117

On July 17, 2023, the Company issued warrants to purchase up to 7,200,002 shares of common stock in connection with the Private Placement (as defined below). The warrants have an initial exercise price of $2.25 per share of common stock and expire five years after the date of issuance. The exercise price is subject to customary adjustments for stock dividends, stock splits, reclassifications and the like, and subject to price-based adjustment, on a “full ratchet” basis, in the event of any issuances of Common Stock, or securities convertible, exercisable or exchangeable for common stock, at a price below the then-applicable exercise price (subject to certain exceptions). Upon any such price-based adjustment, the number of shares issuable upon exercise of the warrants will be increased proportionately.

The warrants were determined to be within the scope of ASC 480-10 as they are puttable to the Company at Holders’ election upon the occurrence of a Fundamental Transaction (as defined in the agreements). As such, the Company recorded the warrants as a liability at fair value with subsequent changes in fair value recognized in earnings. The Company utilized the Black Scholes Model to calculate the value of these warrants issued during the three months ended September 30, 2023. The fair value of the warrants of approximately $21.5 million was estimated at the date of issuance using the following weighted average assumptions: dividend yield 0%; expected term of 5.0 years; equity volatility of 110.0%; the closing stock price on July 13, 2023 of $3.54 and a risk-free interest rate of 3.93%.

Transaction costs incurred attributable to the issuance of the warrants of $2.9 million were immediately expensed in accordance with ASC 480.

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During the three months ended September 30, 2023, the Company recorded a gain of approximately $11.7 million related to the change in fair value of the warrant liability which is recorded in other income (expense) on the Statements of Operations. The fair value of the warrants of approximately $9.8 million was estimated at September 30, 2023 utilizing the Black Scholes Model using the following weighted average assumptions: dividend yield 0%; remaining term of 4.79 years; equity volatility of 115.0%; the closing stock price on September 30, 2023 of $1.73 and a risk-free interest rate of 4.62%.

12) Basic and Diluted Net Loss per Common Share

The following is a reconciliation of the weighted average number of common shares outstanding used in calculating basic and diluted net loss per share:


	For the Nine Months Ended				For the Three Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
Numerator
Net loss per common	$	(8,820,570)	$	(15,816,213)	$	(4,888,740)	$	(13,830,196)
Denominator
Weighted-average common shares for basic net loss per share		2,108,747		2,068,472		2,119,620		2,068,472
Basic and diluted net loss per common share	$	(4.18)	$	(7.65)	$	(2.31)	$	(6.69)

The following table summarizes the potentially dilutive securities convertible into common shares that were excluded from the calculation of diluted net loss per share because their inclusion would have been antidilutive:


	For the Nine Months Ended		For the Three Months Ended
	September 30,		September 30,
	2023	2022	2023	2022
Stock Options	210,067	59,067	210,067	59,067
RSUs	—	42,564	—	42,564
Series A Convertible Preferred stock	6,762,090	—	6,762,090	—
Warrants	8,204,117	1,004,115	8,204,117	1,004,115
Total	15,176,274	1,105,746	15,176,274	1,105,746

13) Marketing, Licensing and Distribution Agreements

(a) Vivus

On September 30, 2016, the Company entered into a License and Commercialization Agreement (the “License Agreement”) with Vivus, Inc (“Vivus”) to purchase and receive the license for the commercialization and exploitation of Stendra® for a one-time fee of $70 million. The License Agreement gives the Company the right to sell Stendra® in the U.S and its territories, Canada, South America, and India. In December 2000, Vivus originally was granted the license from Mitsubishi Tanabe Pharma Corporation (“MTPC”) to develop, market, and manufacture Stendra®. Stendra® was approved by the Food and Drug Administration (“FDA”) in April 2012 to treat male erectile dysfunction.

Under the License Agreement, the Company will pay MTPC a royalty of 5% on the first $500 million of net sales and 6% of net sales thereafter. In consideration for the trademark assignment and the use of the trademarks associated with the product and the Vivus technology, the Company shall (a) during the first, second, and third years following the expiration of the Royalty Period in a particular country in the Company’s territory, pay to Vivus a royalty equal to 2% of the net sales of products in such territory; and (b) following the fourth and fifth years following the end of the Royalty Period in such territory, pay to Vivus a royalty equal to 1% of the net sales of products in such territory. Thereafter, no further royalties shall be owed with respect to net sales of Stendra® in such territory.

In addition, the Company will be responsible for a pro-rata portion of a $6 million milestone payment to be paid once $250 million in sales has been reached on the separate revenue stream of Stendra®. Should the $250 million of sales threshold be reached, the Company will be responsible for $3.2 million of the milestone payment.

In connection with the License Agreement, the Company and Vivus also entered into a Supply Agreement. The Supply Agreement was terminated, effective September 30, 2021.

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On January 18, 2022, Petros and Vivus entered into a Settlement Agreement (the “Vivus Settlement Agreement”) related to the minimum purchase requirements under the Vivus Supply Agreement in 2018, 2019 and 2020 and certain reimbursement rights asserted by a third-party retailer in connection with quantities of the Company’s Stendra® product that were delivered to the third-party retailer and later returned. In connection with the Vivus Settlement Agreement, Petros retained approximately $7.3 million of Active Pharmaceutical Ingredient (“API”) inventory under the Vivus Supply Agreement. In exchange for the API and reduction of current liabilities after prepayment of $900,000, Petros executed an interest-bearing promissory note (the “Note”) in favor of Vivus in the original principal amount of $10,201,758, which the Company believes approximates fair value (See Note 8).

In addition to the payments to be made in accordance with the Note, the Company further agreed in the Vivus Settlement Agreement to (i) grant to Vivus a right of first refusal to provide certain types of debt and convertible equity (but not preferred equity) until the Note is paid in full, and (ii) undertake to make certain regulatory submissions to effectuate Vivus’ ability to exercise its rights under the License Agreement. On January 18, 2022, the Company made a prepayment of the obligations under the Note in the amount of $900,000, and a payment of $1,542,904 with respect to a purchase order made in 2021 to Vivus. In consideration of these payments and upon the Company’s satisfaction of certain regulatory submissions, Vivus released 100% of the quantity of bulk Stendra® tablets by the end of the first quarter 2022.

As a result of entering into the Vivus Settlement Agreement, the Company decreased accrued expenses by $6.5 million and decreased accrued inventory purchases by $14.2 million; which were partially offset by a decrease in API purchase commitments of $6.2 million and an increase to liabilities for the Note of $10.2 million (which is net of the $0.9 million prepayment on the Note). As a result, the Company recorded a $3.4 million gain on settlement for the year ended December 31, 2022.

The Company has $1.0 million of API inventory which it has title to and is classified as raw materials inventory. The additional API inventory that the Company does not have title to is classified as API Inventory in either other current assets or other assets, depending on whether the Company expects to take title to the product within one year from the date of the financial statements. As of September 30, 2023 and December 31, 2022, there was $0.7 million and $0.7 million respectively included in other current assets (see Note 5 Prepaid and Other Current Assets). As of September 30, 2023 and December 31, 2022, there was $4.4 million and $5.1 million included as other assets on the accompanying consolidated balance sheets, respectively. The Company reviews its inventory levels and purchase commitments for excess amounts that it is required to purchase but projects it will not be able to sell prior to product expiry. The Company did not record any reserve for the three and nine months ended September 30, 2023 and 2022.

During the nine months ended September 30, 2023 and 2022, the Company incurred royalties to MTPC for Stendra® of $170,822 and $135,816, respectively. Royalties incurred were included in cost of goods sold in the consolidated statements of operations. As of September 30, 2023, the Company had a payable for royalties of $46,288, which is included in accrued expenses in the accompanying consolidated balance sheets. As of December 31, 2022, the company had a receivable for royalties of $106,115, which are included in other current assets. (see Note 7 Accrued Expenses and Note 5 Prepaid and other Current Assets).

The license agreement between MTPC and Vivus (“MTPC License”) contains certain termination rights that would allow MTPC to terminate the agreement if Vivus were to breach any of the terms of the MTPC License or become insolvent or bankrupt. In the event that MTPC terminates the MTPC License with Vivus because of any contractual breach the Company has step-in rights with MTPC, which would allow the Company to continue to sell Stendra®.

(b) Patheon

Following the termination of the Vivus Supply Agreement, Petros, through its subsidiary Metuchen, entered into a Technology Transfer Service Agreement on January 20, 2022 with Patheon Pharmaceuticals Inc., part of Thermo Fisher Scientific (“Patheon”), pursuant to which the Company and Patheon agreed to collaborate as strategic partners for commercial production of Stendra® tablets at Patheon’s facilities in Cincinnati, Ohio. Under the Agreement, Patheon or one of its affiliates will provide pharmaceutical development and technology transfer services in order to establish and validate its ability to manufacture supply of the Company’s Stendra® product. Any commercial sale of product manufactured during the performance of the Agreement must be subject to a subsequent commercial manufacturing services agreement (with associated quality agreement) between the parties before it can be offered for commercial sale.

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In March 2020, the Company acquired the exclusive license to H100™ from Hybrid. H100™ is a topical candidate with at least one active ingredient and potentially a combination of ingredients responsible for the improvement of penile curvature during the acute phase of Peyronie’s disease.

The Company terminated its exclusive license to H100™ from Hybrid on May 11, 2023.

14) Commitments and Contingencies

(a) Legal Proceedings

On July 14, 2020, Greg Ford, the Chief Executive Officer of the Company, was terminated. On July 14, 2020, Mr. Ford, through his attorney, claimed that he was entitled to severance pay pursuant to an employment agreement following the termination of his employment on that same date. This claim is currently at an early stage where the Company is unable to determine the likelihood of any unfavorable outcome.

The Company is not currently involved in any other significant claims or legal actions that, in the opinion of management, will have a material adverse impact on the Company’s operations, financial position or cash flows.

15) Segment Information

The Company manages its operations through two segments. The Company’s two segments, Prescription Medications and Medical Devices, focus on the treatment of male erectile dysfunction. The Prescription Medications segment consists primarily of operations related to Stendra®, which is sold generally in the United States. The Medical Devices segment consists primarily of operations related to vacuum erection devices, which are sold domestically and internationally. The Company separately presents the costs associated with certain corporate functions as Corporate, primarily consisting of unallocated operating expenses including costs that were not specific to a particular segment but are general to the group, expenses incurred for administrative and accounting staff, general liability and other insurance, professional fees and other similar corporate expenses. Interest and other income (expense), net is also not allocated to the operating segments.

The Company’s results of operations by reportable segment for the nine months ended September 30, 2023 are summarized as follows:


	Prescription		Medical
For the Nine Months Ended September 30, 2023	Medications		Devices		Corporate		Consolidated
Net sales	$	3,416,444	$	2,770,194	$	—	$	6,186,638
Cost of goods sold		343,109		1,129,964		—		1,473,073
Selling, general and administrative expenses		1,006,666		1,398,890		3,976,610		6,382,166
Warrant issuance costs		—		—		2,855,000		2,855,000
Research and development expenses		1,499,842		74,918		—		1,574,760
Depreciation and amortization expense		1,726,409		753,976		—		2,480,385
Change in fair value of derivative liability		—		—		430,000		430,000
Change in fair value of warrant liability		—		—		(11,739,000)		(11,739,000)
Interest income		—		—		(287,722)		(287,722)
Interest expense		—		—		410,317		410,317
Loss on issuance of Series A Preferred Stock		—		—		11,088,997		11,088,997
Net loss	$	(1,159,582)	$	(587,554)	$	(6,734,202)	$	(8,481,338)

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The Company’s results of operations by reportable segment for the nine months ended September 30, 2022 are summarized as follows:


	Prescription		Medical
For the Nine Months Ended September 30, 2022	Medications		Devices		Corporate		Consolidated
Net sales	$	2,716,311	$	2,477,642	$	—	$	5,193,953
Cost of goods sold		525,073		883,013		—		1,408,086
Selling, general and administrative expenses		3,933,295		1,352,239		3,999,783		9,285,317
Gain on settlement of contingent liability		(3,389,941)		—		—		(3,389,941)
Research and development expenses		1,428,848		133,670		—		1,562,518
Depreciation and amortization expense		3,808,991		873,619		—		4,682,610
Intangible asset impairment		7,460,000		—		—		7,460,000
Change in fair value of derivative liability		—		—		(460,000)		(460,000)
Interest expense		451,075		—		—		451,075
Income tax expense		—		10,501		—		10,501
Net loss	$	(11,501,030)	$	(775,400)	$	(3,539,783)	$	(15,816,213)

The Company’s results of operations by reportable segment for the three months ended September 30, 2023 are summarized as follows:


	Prescription		Medical
For the Three Months Ended September 30, 2023	Medications		Devices		Corporate		Consolidated
Net sales	$	925,759	$	748,898	$	—	$	1,674,657
Cost of goods sold		85,388		323,087		—		408,475
Selling, general and administrative expenses		251,674		493,447		1,256,814		2,001,935
Warrant issuance costs		—		—		2,855,000		2,855,000
Research and development expenses		369,505		19,588		—		389,093
Depreciation and amortization expense		575,470		251,325		—		826,795
Change in fair value of derivative liability		—		—		430,000		430,000
Change in fair value of warrant liability		—		—		(11,739,000)		(11,739,000)
Interest income		—		—		(168,481)		(168,481)
Interest expense		—		—		131,351		131,351
Loss on issuance of Series A Preferred Stock		—		—		11,088,997		11,088,997
Net loss	$	(356,278)	$	(338,549)	$	(3,854,681)	$	(4,549,508)

The Company’s results of operations by reportable segment for the three months ended September 30, 2022 are summarized as follows:


	Prescription		Medical
For the Three Months Ended September 30, 2022	Medications		Devices		Corporate		Consolidated
Net sales	$	(2,140,629)	$	682,897	$	—	$	(1,457,732)
Cost of goods sold		36,067		250,458		—		286,525
Selling, general and administrative expenses		493,128		467,700		1,210,147		2,170,975
Research and development expenses		678,552		57,364		—		735,916
Depreciation and amortization expense		1,269,664		291,206		—		1,560,870
Intangible asset impairment		7,460,000		—		—		7,460,000
Interest expense		147,677		—		—		147,677
Income tax expense		—		10,501		—		10,501
Net loss	$	(12,225,717)	$	(394,332)	$	(1,210,147)	$	(13,830,196)

The following table reflects net sales by geographic region for the three and nine months ended September 30, 2023 and 2022:


	For the Nine Months Ended				For the Three Months Ended
	September 30,				September 30,
Net sales	2023		2022		2023		2022
United States	$	5,253,587	$	4,260,171	$	1,496,988	$	(1,647,367)
International		933,051		933,782		177,669		189,635
	$	6,186,638	$	5,193,953	$	1,674,657	$	(1,457,732)

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No individual country other than the United States accounted for 10% of total sales for the three and nine months ended September 30, 2023 and 2022.

The Company’s assets by reportable segment and reconciliation of segment assets to consolidated assets as of September 30, 2023, are summarized as follows:


	Prescription		Medical
	Medications		Devices		Consolidated
Intangible assets, net	$	5,459,960	$	4,311,804	$	9,771,764
Total segment assets	$	32,810,715	$	6,103,453	$	38,914,168

The Company’s assets by reportable segment and reconciliation of segment assets to consolidated assets as of December 31, 2022, are summarized as follows:


	Prescription		Medical
	Medications		Devices		Consolidated
Intangible assets, net	$	7,178,704	$	5,065,780	$	12,244,484
Total segment assets	$	25,831,048	$	6,590,166	$	32,421,214

16) Private Placement

On July 13, 2023, we entered into a Securities Purchase Agreement (the “Purchase Agreement”) with certain accredited investors (the “Investors”), pursuant to which we agreed to sell in a private placement to the Investors (i) an aggregate of 15,000 shares of our newly-designated Series A Convertible Preferred Stock, with a par value of $0.0001 per share and a stated value of $1,000 per share (the “Series A Preferred Stock”), initially convertible into up to 6,666,668 shares of our common stock, par value $0.0001 per share (the “Common Stock”) at an initial conversion price of $2.25 per share (the “Series A Preferred Shares”), and (ii) warrants to acquire up to an aggregate of 6,666,668 shares of Common Stock (the “Warrants”) at an initial exercise price of $2.25 per share (collectively, the “Private Placement”). Pursuant to the terms of the Certificate of Designations of Series A Convertible Preferred Stock (the “Certificate of Designations”) and the Warrants, each of the Conversion Price (as defined below) and the exercise price and the number of shares underlying the Warrants is subject to customary adjustments for stock dividends, stock splits, reclassifications and the like, and subject to price-based adjustment in the event of any issuances of Common Stock, or securities convertible, exercisable or exchangeable for Common Stock, at a price below the then-applicable Conversion Price (subject to certain exceptions). As of September 30, 2023, the Conversion Price and the exercise price of the Warrants was equal to $2.25 per share.

The Private Placement was exempt from the registration requirements of the Securities Act pursuant to the exemption for transactions by an issuer not involving any public offering under Section 4(a)(2) of the Securities Act and Rule 506 of Regulation D of the Securities Act and in reliance on similar exemptions under applicable state laws. The closing of the Private Placement occurred on July 17, 2023. The aggregate gross proceeds from the Private Placement was approximately $15 million. We intend to use the net proceeds from the Private Placement for general corporate purposes.

We engaged Katalyst Securities LLC (the “Placement Agent”) to act as exclusive placement agent in connection with the Private Placement. Pursuant to an Engagement Letter with the Placement Agent, we paid to the Placement Agent or its designees (i) a cash fee equal to 8% of the gross proceeds of the Private Placement and (ii) warrants to acquire up to an aggregate of 533,334 shares of Common Stock on the same terms as the Warrants.

Series A Preferred Stock

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Stock during the thirty trading day period immediately prior to the date the amortization payment is due or (B) the lower of $0.396, which is 20% of the “Minimum Price” (as defined in Nasdaq Stock Market Rule 5635) on the date of the Nasdaq Stockholder Approval (as defined below) or such lower amount as permitted, from time to time, by the Nasdaq Stock Market, subject to adjustment for stock splits, stock dividends, stock combinations, recapitalizations or other similar events. We may require holders to convert their Series A Preferred Shares into Conversion Shares if the closing price of the Common Stock exceeds $6.75 per share (subject to adjustment for stock splits, stock dividends, stock combinations, recapitalizations or other similar events) for 20 consecutive trading days and the daily dollar trading volume of the Common Stock exceeds two million dollars ($2,000,000) per day during the same period and certain equity conditions described in the Certificate of Designations are satisfied.

The holders of the Series A Preferred Shares are entitled to dividends of 8% per annum, compounded monthly, which are payable, at our option, in cash or shares of Common Stock, or in a combination thereof, in accordance with the terms of the Certificate of Designations. On September 29, 2023, we filed an amendment to the Certificate of Designations with the Secretary of State for the State of Delaware, pursuant to which the terms of the Series A Preferred Stock were amended to permit certain additional procedures for the payment of redemptions and conversions Upon the occurrence and during the continuance of a Triggering Event (as defined in the Certificate of Designations), the Series A Preferred Shares will accrue dividends at the rate of 15% per annum. In connection with a Triggering Event, each holder of Series A Preferred Shares will be able to require us to redeem in cash any or all of the holder’s Series A Preferred Shares at a premium set forth in the Certificate of Designations. Upon conversion or redemption, the holders of the Series A Preferred Shares are also entitled to receive a dividend make-whole payment. The holders of Series A Preferred Shares have no voting rights on account of the Series A Preferred Shares, other than with respect to certain matters affecting the rights of the Series A Preferred Shares.

The Series A Preferred Shares were determined to be more akin to a debt-like host than an equity-like host. The Company identified the following embedded features that are not clearly and closely related to the debt host instrument: 1) make-whole interest upon a contingent redemption event, 2) make-whole interest upon a conversion event, 3) an installment redemption upon an Equity Conditions Failure (as defined in the Certificate of Designation), and 4) variable share-settled installment conversion. These features were bundled together, assigned probabilities of being affected and measured at fair value. Subsequent changes in fair value of these features are recognized in the Condensed Consolidated Statements of Operations. The Company estimated the $6.1 million fair value of the bifurcated embedded derivative at issuance using a Monte Carlo simulation model, with the following inputs the fair value of our common stock of $3.54 on the issuance date, estimated equity volatility of 165.0%, estimated traded volume volatility of 790.0%, the time to maturity of 1.38 years, a discounted market interest rate of 8.1%, dividend rate of 8.0%, a penalty dividend rate of 15.0%, and probability of default of 9.7%. The fair value of the bifurcated derivative liability was estimated utilizing the with and without method which uses the probability weighted difference between the scenarios with the derivative and the plain vanilla maturity scenario without a derivative.

The discount to the fair value is included as a reduction to the carrying value of the Series A Preferred Shares. During the three months ended September 30, 2023, the Company recorded a total discount of approximately $15.0 million upon issuance of the Series A Preferred Shares, which was comprised of the issuance date fair value of the associated embedded derivative of approximately $6.1 million and the difference between the gross proceeds and the allocated residual fair value of the Series A Preferred Shares of approximately $8.9 million. When it is deemed probable that the Series A Preferred Shares will be redeemed, the Company will accrete the Series A Preferred Shares to redemption amount pursuant to ASC 480-10-S99-3A. As the fair value of the liabilities required to be subsequently measured at fair value exceeded the net proceeds received, the Company recognized the excess of the fair value over the net proceeds received as a loss upon issuance of preferred stock of $11.1 million which is included in other income (expense) in the Condensed Consolidated Statement of Operations.

During the three months ended September 30, 2023, the Company recorded a loss of approximately $0.4 million related to the change in fair value of the derivative liability which is recorded in other income (expense) on the Condensed Consolidated Statements of Operations. The Company estimated the $6.6 million fair value of the bifurcated embedded derivative at September 30, 2023 using a Monte Carlo simulation model, with the following inputs the fair value of our common stock of $1.73 on the valuation date, estimated equity volatility of 180.0%, estimated traded volume volatility of 890.0%, the time to maturity of 1.17 years, a discounted market interest rate of 7.8%, dividend rate of 8.0%, a penalty dividend rate of 15.0%, and probability of default of 10.4%.

On September 29, 2023, the Company notified the investors of its intention to redeem the first installment due November 1, 2023 (the “November Installment”) in cash. At that time, the Company established a liability of $1,368,547 representing the cash payable to investors which includes $1,153,846 of the stated value of the Series A Preferred Shares, $125,170 of accrued dividends payable, and $89,531 for the cash premium for the November Installment which was recognized as a deemed dividend. As of November 14, 2023, we have redeemed 1,154 Series A Preferred Shares for cash of $1,213,132 and issued 87,499 shares of Common Stock, elected pursuant

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to the terms of the Certificate of Designations, worth $145,248 in relief of the First Installment liability. As of September 30, 2023, the Company has recognized $339,232 of preferred dividends which is comprised of $249,701 of preferred dividends at the stated dividend rate and $89,531 of deemed dividends for cash premium for the November Installment.

We are subject to certain affirmative and negative covenants regarding the incurrence of indebtedness, the existence of liens, the repayment of indebtedness, the payment of cash in respect of dividends (other than dividends pursuant to the Certificate of Designations), distributions or redemptions, and the transfer of assets, among other matters.

There is no established public trading market for the Series A Preferred Shares and we do not intend to list the Series A Preferred Shares on any national securities exchange or nationally recognized trading system.

Warrants

The Warrants became exercisable for shares of Common Stock (the “Warrant Shares”) immediately upon issuance, at an initial exercise price of $2.25 per share (the “Exercise Price”) and expire five years from the date of issuance. The Exercise Price is subject to customary adjustments for stock dividends, stock splits, reclassifications and the like, and subject to price-based adjustment, on a “full ratchet” basis, in the event of any issuances of Common Stock, or securities convertible, exercisable or exchangeable for Common Stock, at a price below the then-applicable Exercise Price (subject to certain exceptions). Upon any such price-based adjustment, the number of Warrant Shares issuable upon exercise of the Warrants will be increased proportionately. There is no established public trading market for the Warrants and we do not intend to list the Warrants on any national securities exchange or nationally recognized trading system.

Registration Rights

In connection with the Private Placement, we entered into a Registration Rights Agreement with the Investors (the “Registration Rights Agreement”), pursuant to which we agreed to file a resale registration statement (the “Registration Statement”) with the SEC to register for resale 200% of the Conversion Shares and the Warrant Shares promptly following the Closing Date, but in no event later than 30 calendar days after the effective date of the Registration Rights Agreement, and to have such Registration Statement declared effective by the Effectiveness Date (as defined in the Registration Rights Agreement). We filed a registration statement on Form S-3 covering such securities, which registration statement, as amended, was declared effective on September 18, 2023. Under the Registration Rights Agreement, we are obligated to pay certain liquidated damages to the investors if we fail to file the Registration Statement when required, fails to file or cause the Registration Statement to be declared effective by the SEC when required, or fails to maintain the effectiveness of the Registration Statement.

Nasdaq Stockholder Approval

Our ability to issue Conversion Shares and Warrant Shares using shares of Common Stock is subject to certain limitations set forth in the Certificate of Designations. Prior to receiving the Nasdaq Stockholder Approval, such limitations included a limit on the number of shares that may be issued until the time, if any, that our stockholders have approved the issuance of more than 19.99% of our outstanding shares of Common Stock in accordance with the rules of the Nasdaq Stock Market (the “Nasdaq Stockholder Approval”). In the Purchase Agreement we agreed to seek the Nasdaq Stockholder Approval at a meeting of stockholders, and we received the Nasdaq Stockholder Approval at a special meeting of stockholders held on September 14, 2023. Our directors and officers, who held approximately 29% of issued and our outstanding Common Stock as of the date of the Purchase Agreement, were party to a voting agreement pursuant to which, among other things, each party agreed, solely in their capacity as a stockholder, to vote all of their shares of Common Stock in favor of the approval of the Nasdaq Stockholder Approval and against any actions that could adversely affect our ability to perform our obligations under the Purchase Agreement. The voting agreement also placed certain restrictions on the transfer of the shares of Common Stock held by the signatories thereto.

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17) Fair Value Measurements

Fair value measurements discussed herein are based upon certain market assumptions and pertinent information available to management as of and during the three months ended September 30, 2023. The carrying amounts of cash equivalents, accounts receivable, other current assets, other assets, accounts payable, and accrued expenses approximated their fair values as of September 30, 2023 due to their short-term nature. The fair value of the bifurcated embedded derivative related to the convertible preferred stock was estimated using a Monte Carlo simulation model, which uses as inputs the fair value of our common stock and estimates for the equity volatility and traded volume volatility of our common stock, the time to maturity of the convertible preferred stock, the risk-free interest rate for a period that approximates the time to maturity, dividend rate, a penalty dividend rate, and our probability of default. The fair value of the warrant liability was estimated using the Black Scholes Model which uses as inputs the following weighted average assumptions: dividend yield, expected term in years; equity volatility; the stock price and risk-free interest rate.

Fair Value on a Recurring Basis

The Company follows the guidance in ASC 820 for its financial assets and liabilities that are re-measured and reported at fair value at each reporting period, and non-financial assets and liabilities that are re-measured and reported at fair value at least annually. The estimated fair value of the warrant liability and bifurcated embedded derivatives represent Level 3 measurements. The following table presents information about the Company’s liabilities that are measured at fair value on a recurring basis at September 30, 2023, and indicates the fair value hierarchy of the valuation inputs the Company utilized to determine such fair value:


		September 30
Description	Level	2023
Liabilities:
Warrant liability	3	$	9,805,000
Bifurcated embedded derivative liability	3	$	6,570,000

The following table sets forth a summary of the change in the fair value of the warrant liability that is measured at fair value on a recurring basis:



Balance on December 31, 2022	$	—
Issuance of warrants reported at fair value		21,544,000
Change in fair value of warrant liability		(11,739,000)
Balance on September 30, 2023	$	9,805,000

The following table sets forth a summary of the change in the fair value of the bifurcated embedded derivative liability that is measured at fair value on a recurring basis:



Balance on December 31, 2022	$	—
Issuance of convertible preferred stock with bifurcated embedded derivative		6,140,000
Change in fair value of bifurcated embedded derivative		430,000
Balance on September 30, 2023	$	6,570,000

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ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS.

Management’s Discussion and Analysis of Financial Condition and Results of Operations (“MD&A”) is designed to provide a reader of Petros’ financial statements with a narrative from the perspective of management on the Company’s financial condition, results of operations, liquidity and certain other factors that may affect future results. In certain instances, parenthetical references are made to relevant sections of the Notes to Consolidated Financial Statements to direct the reader to a further detailed discussion. This section should be read in conjunction with the Consolidated Financial Statements and Supplementary Data included in this Quarterly Report on Form 10-Q. This MD&A contains forward-looking statements reflecting Petros’ current expectations, whose actual outcomes involve risks and uncertainties. Actual results and the timing of events may differ materially from those stated in or implied by these forward-looking statements due to a number of factors, including those discussed in the sections entitled “Risk Factors” and “Cautionary Statement Regarding Forward-Looking Statements” contained in this Quarterly Report on Form 10-Q and in our Annual Report on Form 10-K for the fiscal year ended December 31, 2022.

Overview

Petros Pharmaceuticals, Inc. (“Petros” or the “Company”) is a pharmaceutical company focused on expanding consumer access to medication through over-the-counter (OTC) drug development programs, consisting of wholly owned subsidiaries, Metuchen Pharmaceuticals, LLC (“Metuchen”), Timm Medical Technologies, Inc. (“Timm Medical”), Neurotrope, Inc. (“Neurotrope”), and Pos-T-Vac, LLC (“PTV”). On September 30, 2016, the Company entered into a License and Commercialization Agreement (the “License Agreement”) with Vivus, Inc (“Vivus”) to purchase and receive the license for the commercialization and development of Stendra® for a one-time fee of $70 million. The License Agreement gives the Company the right to sell Stendra® in the U.S and its territories, Canada, South America, and India. Stendra® is a U.S. Food and Drug Administration (“FDA”) approved PDE-5 inhibitor prescription medication for the treatment of erectile dysfunction (“ED”) and is the only patent protected PDE-5 inhibitor on the market. Stendra® offers the ED therapeutic landscape a valuable addition as an oral ED therapy that may be taken as early as approximately 15 minutes prior to sexual engagement, with or without food when using the 100mg or 200mg dosing (does not apply to 50mg dosing). Petros is also currently conducting non-clinical consumer studies in connection with the contemplated pursuit of FDA approval for Stendra® for Non-Prescription / Over-The-Counter (“OTC”) use in treating ED.

In addition to Stendra®, Petros’ ED portfolio also includes external penile rigidity devices, namely Vacuum Erection Devices (“VEDs”), which are sold domestically and internationally. In addition to ED products, Petros is committed to identifying and developing other pharmaceuticals to advance men’s health.

Going Concern

Petros has experienced net losses and negative cash flows from operations since our inception. As of September 30, 2023, the Company had cash of approximately $18.0 million, positive working capital of $16.4 million, an accumulated deficit of approximately $99.2 million and used cash in operations during the nine months ended September 30, 2023, of approximately $5.4 million. The Company does not currently have sufficient available liquidity to fund its operations for at least the next 12 months. These conditions and events raise substantial doubt about the Company’s ability to continue as a going concern within one year after the date that these consolidated financial statements are issued.

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In response to these conditions and events, the Company is evaluating various financing strategies to obtain sufficient additional liquidity to meet its operating, debt service and capital requirements for the next twelve months following the date of this Quarterly Report. The potential sources of financing that the Company is evaluating include one or any combination of secured or unsecured debt, convertible debt and equity in both public and private offerings. The Company also plans to finance near-term operations with its cash on hand, including the gross proceeds of $15 million raised in the Private Placement (see the section below titled “Liquidity and Capital Resources—July 2023 Private Placement”), as well as by exploring additional ways to raise capital and increasing cash flows from operations. The company intends to use the proceeds from the July 2023 capital raise to fund its OTC progress into 2024. There is no assurance the Company will manage to raise additional capital or otherwise increase cash flows, if required. The sources of financing described above that could be available to the Company and the timing and probability of obtaining sufficient capital depend, in part, on expanding the use of Stendra® and continuing to invest in research and development pursuant to our Non-Prescription / Over-The-Counter (“OTC”) strategies related to Stendra®, which we believe has the potential to dramatically increase product sales in the future; and future capital market conditions. If the Company’s current assumptions regarding timing of these events are incorrect or if there are any other changes or differences in our current assumptions that negatively impact our financing strategy, the Company may have to further reduce expenditures or significantly delay, scale back or discontinue the development or commercialization of Stendra® OTC in order to extend its cash resources. The Consolidated Financial Statements do not include any adjustments to reflect the possible future effects on the recoverability and classification of assets or the amounts and classifications of liabilities that may result should the Company be unable to continue as a going concern.

For more information, please see Part II, Item 1A “Risk Factors” included elsewhere within this Quarterly Report on Form 10-Q and Part I, Item 1A, “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2022.

Nature of Operations and Basis of Presentation

Petros is a pharmaceutical company focused on expanding consumer access to medication through over-the-counter (OTC) drug development programs with a full range of commercial capabilities including sales, marketing, regulatory and medical affairs, finance, trade relations, pharmacovigilance, market access relations, manufacturing, and distribution.

Petros consists of wholly owned subsidiaries, Metuchen Pharmaceuticals LLC, a Delaware limited liability company (“Metuchen”), Neurotrope, Inc., a Nevada corporation (“Neurotrope”), Timm Medical Technologies, Inc. (“Timm Medical”), and Pos-T-Vac, LLC (“PTV”). Petros was organized as a Delaware corporation on May 14, 2020 for the purpose of effecting certain transactions between Petros, Metuchen, Neurotrope, and certain subsidiaries of Petros (collectively the “Mergers”). The Mergers were consummated on December 1, 2020. The Company is engaged in the commercialization and development of Stendra®, a U.S. Food and Drug Administration (“FDA”) approved PDE-5 inhibitor prescription medication for the treatment of erectile dysfunction (“ED”), which we have licensed from Vivus, Inc. (“Vivus”). Petros also markets its own line of ED products in the form of vacuum erection device products through its subsidiaries, Timm Medical and PTV.

The Company manages its operations through two segments, Prescription Medications and Medical Devices, both of which focus on the treatment of male ED. The Prescription Medications segment consists primarily of Stendra®, which is sold generally in the United States. Expenses related to the development of H100™, which was in the early stages of development and had not yet sought FDA approval to begin Phase 1 clinical trials, were categorized under the Prescription Medications segment. We terminated the H100™ license in May 2023. The Medical Devices segment consists primarily of vacuum erection devices, which are sold domestically and internationally.

Licensing and Distribution

The Company acquired the rights to Stendra® avanafil on September 30, 2016, when it entered into the License Agreement with Vivus to purchase and receive the license for the commercialization and exploitation of Stendra® avanafil for a one-time fee of $70 million. The License Agreement gives the Company the exclusive right to sell avanafil in the U.S. and its territories, as well as Canada, South America, and India. In December 2000, Vivus originally was granted the license from Mitsubishi Tanabe Pharma Corporation (“MTPC”) to develop, market, and manufacture Stendra®. Stendra® was approved by the FDA in April 2012 to treat male ED.

The Company will pay MTPC a royalty of 5% on the first $500 million of net sales and 6% of net sales thereafter until the expiration of the applicable patent in a particular country. The last scheduled patent expiration is in April 2025. In consideration for the trademark assignment and the use of the trademarks associated with Stendra® and the Vivus technology, the Company shall (a) during the first, second, and third years following the expiration of the royalty period in a particular country in the Company’s territory, pay to Vivus a

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royalty equal to 2% of the net sales of Stendra® in such territory; and (b) following the fourth and fifth years following the end of the royalty period in such territory, pay to Vivus a royalty equal to 1% of the net sales of Stendra® in such territory. After the royalty period, no further royalties shall be owed with respect to net sales of Stendra® in such territory. In addition, the Company will be responsible for a pro-rata portion of a one-time $6 million milestone payment to be paid once $250 million in sales has been reached on the separate revenue stream of Stendra® during any calendar year.

In connection with the License Agreement, the Company and Vivus also entered into a Supply Agreement on September 30, 2016, which has since been terminated, effective as of September 30, 2021. Following the termination of the Vivus Supply Agreement, Petros, through its subsidiary Metuchen, entered into a Technology Transfer Service Agreement on January 20, 2022 with Patheon Pharmaceuticals Inc., part of Thermo Fisher Scientific (“Patheon”), pursuant to which the Company and Patheon agreed to collaborate as strategic partners for commercial production of Stendra® tablets at Patheon’s facilities in Cincinnati, Ohio. Under the Agreement, Patheon or one of its affiliates is providing pharmaceutical development and technology transfer services in order to establish and validate its ability to manufacture supply of the Company’s Stendra® product. Any commercial sale of product manufactured during the performance of the Agreement must be subject to a subsequent commercial manufacturing services agreement (with associated quality agreement) between the parties before it can be offered for commercial sale.

The license agreement between MTPC and Vivus contains certain termination rights that will allow MTPC to terminate the agreement if Vivus were to breach any of the terms of the MTPC License or become insolvent or bankrupt. In the event that MTPC terminates the MTPC License with Vivus because of any contractual breach the Company has step-in rights with MTPC, which would allow the Company to continue to sell Stendra®.

On March 27, 2018, the Company entered into a Sublicense Agreement with Acerus Pharmaceuticals Corporation (“Acerus”) whereby the Company granted to Acerus an exclusive sublicense in Canada for, among other things, the development and commercialization of Stendra® avanafil for a one-time fee of $100,000. The Company was entitled to receive an additional fee of $400,000 if Stendra® is approved by Canadian regulators, as well as commercial milestone payments and royalty fees of 12% of net sales. However, in April 2020 Health Canada issued a Notice of Deficiency (“NOD”) against the New Drug Submission. Metuchen and Acerus are currently renegotiating modified terms to the sub-license agreement and the viability of the pathway required to address the deficiency noted by Health Canada. The outcome of these negotiations is uncertain and depends on a variety of factors, including the result of Acerus’ ongoing dissolution proceedings.

In March 2020, we entered into the Hybrid License for the development and commercialization of H100™ from Hybrid. H100™ is a topical candidate with at least one active ingredient and potentially a combination of ingredients responsible for the improvement of penile curvature during the acute phase of Peyronie’s disease.

The Company terminated the Hybrid License on May 11, 2023.

Vivus Settlement Agreement, Promissory Note and the Security Agreement

On January 18, 2022, Petros and Vivus entered into a Settlement Agreement (the “Vivus Settlement Agreement”) related to the minimum purchase requirements under the Vivus Supply Agreement in 2018, 2019 and 2020 and certain reimbursement rights asserted by a third-party retailer in connection with quantities of the Company’s Stendra® product that were delivered to the third-party retailer and later returned. In connection with the Vivus Settlement Agreement, Petros retained approximately $7.3 million of API inventory under the Vivus Supply Agreement. In exchange for the API and reduction of current liabilities, Petros executed an interest-bearing promissory note (the “Note”) in favor of Vivus in the principal amount of $10,201,758, which approximate fair value. The parties also entered into a Security Agreement to secure Petros’ obligations under the Note.

In addition to the payments to be made in accordance with the Note, the Company further agreed in the Vivus Settlement Agreement to (i) grant to Vivus a right of first refusal to provide certain types of debt and convertible equity (but not preferred equity) financing issued by or to Metuchen (including any subsidiaries and intermediaries) until the Note is paid in full, and (ii) undertake to make certain regulatory submissions to effectuate Vivus’ ability to exercise its rights under the License Agreement. On January 18, 2022, the Company made a prepayment of the obligations under the Note in the amount of $900,000, and a payment of $1,542,904 with respect to a purchase order made in 2021 to Vivus. In consideration of these payments and upon the Company’s satisfaction of certain regulatory submissions, Vivus released 100% of the quantity of bulk Stendra® tablets under the Company’s existing open purchase order (the “Open Purchase Order”) being held by Vivus later during the first quarter of 2022.

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As a result of entering into the Vivus Settlement Agreement, the Company decreased its accrued expenses by $6.5 million and decreased accrued inventory purchases by $14.2 million; which were partially offset by a decrease in API purchase commitments of $6.2 million and an increase to liabilities for the Note of $10.2 million (which is net of the $0.9 million prepayment on the Note). As a result, the Company recorded a $3.4 million gain on settlement for the nine months ended September 30, 2022.

Under the terms of the Note, the principal amount of $10,201,758 is payable in consecutive quarterly installments beginning on April 1, 2022 through January 1, 2027. Interest on the principal amount accrues at a rate of 6% per year until the principal is repaid in full and is due and payable, in arrears, on the first day of each January, April, July, and October of each calendar year, commencing on April 1, 2022. The Company may prepay the Note, in whole or in part, at any time, with no premium or penalty. In the event that the Company defaults under the Security Agreement, all principal outstanding under the Note at the time of the default will bear interest at a rate of 9% per year until the full and final payment of all principal and interest under the Note (regardless of whether any default is waived or cured). If the Note is placed in the hands of any attorney for collection, or if it is collected through any legal proceeding at law or in equity or in bankruptcy, receivership, or other court proceedings, the Company will also be required to pay all costs of collection including, but not limited to, court costs and attorneys’ fees. Pursuant to the Security Agreement, dated January 18, 2022, the Company granted to Vivus a continuing security interest in all of its Stendra® API and products and its rights under the License Agreement. The Security Agreement contains customary events of default. For the nine months ended September 30, 2023, the Company has paid Vivus $1,089,683. As of September 30, 2023, the principal balance on the Note is $8,388,093.

Critical Accounting Policies and Estimates

The preparation of the consolidated financial statements requires us to make assumptions, estimates and judgments that affect the reported amounts of assets and liabilities, the disclosures of contingent assets and liabilities as of the date of the consolidated financial statements, and the reported amounts of revenues and expenses during the reporting periods. Certain of our more critical accounting policies require the application of significant judgment by management in selecting the appropriate assumptions for calculating financial estimates. By their nature, these judgments are subject to an inherent degree of uncertainty. On an ongoing basis, we evaluate our judgments, including but not limited to those related to revenue recognition, collectability of accounts receivable, inventory valuation and obsolescence, intangibles, income taxes, litigation, and contingencies. We use historical experience and other assumptions as the basis for our judgments and making these estimates. Because future events and their effects cannot be determined with precision, actual results could differ significantly from these estimates. Any changes in those estimates will be reflected in our consolidated financial statements as they occur. While our significant accounting policies are more fully described in “Part I; Item 1. Financial Statements and Supplementary Data; Notes to Consolidated Financial Statements; Note 2. Summary of Significant Accounting Policies” in this Quarterly Report on Form 10-Q, we believe that the following accounting policies and estimates are most critical to a full understanding and evaluation of our reported financial results. The critical accounting policies addressed below reflect our most significant judgments and estimates used in the preparation of our consolidated financial statements. We have reviewed these critical accounting policies with the Audit Committee of our Board of Directors.

Revenue Recognition

The Company recognizes revenue when its performance obligations with its customers have been satisfied. In the contracts with its customers, the Company has identified a single performance obligation to provide either its prescription medication or medical devices upon receipt of a customer order. The performance obligation is satisfied at a point in time when the Company’s customers obtain control of the prescription medication or medical device, which is typically upon delivery.

In determining the transaction price, a significant financing component does not exist since the timing from when the Company delivers either the prescription medication or medical device to when the customers pay for the product is typically less than one year. The Company records sales net of any variable consideration, including but not limited to discounts, rebates, returns, chargebacks, and distribution fees. The Company uses the expected value method when estimating its variable consideration, unless terms are specified within contracts. The identified variable consideration is recorded as a reduction of revenue at the time revenues from sales are recognized. The Company recognizes revenue to the extent that it is probable that a significant revenue reversal will not occur in a future period. These estimates may differ from actual consideration received. The Company evaluates these estimates each reporting period to reflect known changes.

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The most significant sales deductions relate to contract returns, contract rebates and coupon redemptions, and distribution service fees (“DSA fees”). Our estimates are based on factors such as our direct and indirect customers’ buying patterns and the estimated resulting contractual deduction rates, historical experience, specific known market events and estimated future trends, current contractual and statutory requirements, industry data, estimated customer inventory levels, current contract sales terms with our direct and indirect customers, and other competitive factors. Significant judgment and estimation are required in developing the foregoing and other relevant assumptions.

Accounts Receivable

Effective January 1, 2023, the Company reports accounts receivable and contract assets net of an allowance for expected credit losses in accordance with Accounting Standards Codification Topic 326, Financial Instruments Credit Losses ( ASC 326 ). The adoption of ASC 326 had no material impact on the Company’s financial results for any prior periods, therefore no cumulative adjustment to beginning retained earnings was recorded.

Inventories

Inventories consist of finished goods held for sale and raw materials. Inventories are stated at the lower of cost or net realizable value, with cost determined using the first-in, first-out method. Inventories are adjusted for excess and obsolescence. Evaluation of excess inventory includes such factors as expiry date, inventory turnover, and management’s assessment of current product demand.

Fair Value Measurements

Certain assets and liabilities are carried at fair value under GAAP. Fair value is defined 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. Valuation techniques used to measure fair value must maximize the use of observable inputs and minimize the use of unobservable inputs. Financial assets and liabilities carried at fair value are to be classified and disclosed in one of the following three levels of the fair value hierarchy:

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

Level 2 — Observable inputs (other than Level 1 quoted prices), such as quoted prices in active markets for similar assets or liabilities, quoted prices in markets that are not active for identical or similar assets or liabilities, or other inputs that are observable or can be corroborated by observable markets.

Level 3 — Unobservable inputs which are supported by little or no market activity and that are significant to determining the fair value of the assets or liabilities, including pricing models, discounted cash flow methodologies and similar techniques.

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In connection with the Mergers in December 2020, each security holder of Metuchen received a liability classified earnout consideration to be paid in the form of Petros’ Common Stock. The Company estimated their fair value using the Monte Carlo Simulation approach as of June 30, 2022. This fair value measurement is based on significant inputs not observable in the market and thus represents a Level 3 measurement within the fair value hierarchy.

Change in fair value of derivative liability

For the nine months ended September 30, 2023, the Company recorded a loss of $0.4 million for the change in fair value of the derivative liability compared to a gain of $0.5 million for the nine months ended September 30, 2022. The loss in 2023 related to the increase in the fair value of derivative liability established for certain bifurcated features of the Series A Preferred Stock issued in the July 2023 private placement.

The gain in 2022 represented the change in fair value of the derivative during the nine months ended September 30, 2022, primarily driven by the decline in the Company’s stock price as well as the passage of time, as it became less likely that the earnout associated with the Mergers consummated on December 1, 2020 would be met.

Change in fair value of warrant liability

For the nine months ended September 30, 2023, the Company recorded a gain of $11.7 million for the change in fair value of the warrant liability compared to $0 for the nine months ended September 30, 2022. The gain related to the decrease in the fair value of warrants issued in the July 2023 private placement which were classified as liabilities in accordance with ASC 480.

Intangibles

The Company accounts for recognized intangible assets at cost. Intangible assets with finite useful lives are amortized over the useful life which the assets are expected to contribute directly or indirectly to future cash flows. Intangible assets are amortized using an accelerated method based on the pattern in which the economic benefits of the assets are consumed. The Company reviews the carrying value and useful lives of its intangible assets with definite lives whenever events or changes in circumstances indicate that the carrying amount of the assets may not be recoverable or the period over which they should be amortized has changed. When indicators of impairment exist, the Company determines whether the estimated undiscounted sum of the future cash flows of such assets is less than their carrying amounts. If less, an impairment loss is recognized in the amount, if any, by which the carrying amount of such assets exceeds their respective fair values. The Company evaluates the remaining useful life of each intangible asset that is being amortized during each reporting period to determine whether events and circumstances warrant a revision to the remaining period of amortization. If the estimate of the intangible asset’s remaining useful life has changed, the remaining carrying amount of the intangible asset is amortized prospectively over that revised remaining useful life. During the year ended December 31, 2022, the Company noted that indicators of impairment existed and prepared an undiscounted cash flow analysis, which indicated for the Stendra® product an impairment. The Company then prepared a discounted cash flow analysis through December 2029, representing the remaining economic useful life for the Stendra® product, resulting in an impairment of approximately $7.5 million.

Recent Accounting Pronouncements

For a discussion of recent accounting pronouncements, refer to Note 2. Summary of Significant Accounting Policies of the Notes to Consolidated Financial Statements, which is incorporated herein by reference.

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Nine Months Ended September 30, 2023 and 2022 (Unaudited)

The following table sets forth a summary of our statements of operations for the nine months ended September 30, 2023 and 2022:


	For the Nine Months Ended September 30,
	2023		2022
Net sales	$	6,186,638	$	5,193,953
Cost of sales		1,473,073		1,408,086
Gross profit		4,713,565		3,785,867

Operating expenses:
Selling, general and administrative		6,382,166		9,285,317
Warrant issuance costs		2,855,000		—
Gain on settlement with Vivus		—		(3,389,941)
Research and development		1,574,760		1,562,518
Depreciation and amortization expense		2,480,385		4,682,610
Intangible asset impairment		—		7,460,000
Total operating expenses		13,292,311		19,600,504

Loss from operations		(8,578,746)		(15,814,637)

Change in fair value of derivative liability		(430,000)		460,000
Change in fair value of warrant liability		11,739,000		—
Interest income		287,722		—
Interest expense, promissory note		(410,317)		(451,075)
Loss on issuance of Series A Preferred Stock		(11,088,997)		—

Loss before income taxes		(8,481,338)		(15,805,712)

Income tax expense		—		10,501

Net Loss	$	(8,481,338)	$	(15,816,213)

Net Sales

Net sales for the nine months ended September 30, 2023 were $6,186,638, composed of $3,416,444 of net sales from Prescription Medicines and net sales of $2,770,194 from Medical Devices.

Net sales for the nine months ended September 30, 2022, were $5,193,953, composed of $2,716,311 of net sales from Prescription Medicines and net sales of $2,477,642 from Medical Devices.

For the nine months ended September 30, 2023 gross billings to customers representing 10% or more of the Company’s total gross billings included three customers that represented approximately 23%, 19%, and 17% of total gross billings. Gross billings is a non-GAAP financial measure. For a reconciliation of net sales to gross billings, see the section titled “Reconciliation of Non-GAAP Financial Measures” below.

For the nine months ended September 30, 2022, gross billings to customers representing 10% or more of the Company’s total gross billings included four customers that represented approximately 27%, 22%, 18%, and 15% of total gross billings, respectively. Gross billings is a non-GAAP financial measure. For a reconciliation of net sales to gross billings, see the section titled “Reconciliation of Non-GAAP Financial Measures” below.

Prescription Medicines sales consist of sales of Stendra® in the U.S. for the treatment of male ED. Stendra® is primarily sold directly to four main customers, as described above, which collectively accounted for approximately 92% of Stendra® net sales for the nine months ended September 30, 2023. Individually, sales to the four main customers, accounted for 31%, 26%, 23%, and 12% of Stendra® gross billings for the nine months ended September 30, 2023.

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Medical Device sales consist of domestic and international sales of men’s health products for the treatment of ED. The men’s health products do not require a prescription and include Vacuum Erection Devices (“VEDs and related accessories”).

Net sales were $992,685 or 19% higher during the nine months ended September 30, 2023 compared to the same period in 2022 consisting of a $700,133 increase in the net sales of Stendra® and a $292,552 increase in Medical Device Sales. The increase in net sales of Stendra® was substantially due to decreased related sales allowances. The increase in net sales for Medical Devices included an increase in domestic sales of VED systems and no change in international sales of VED systems.

Cost of Sales

Cost of sales for the nine months ended September 30, 2023, were $1,473,073, composed of $343,109 of cost of sales for our Prescription Medicines segment and $1,129,964 for our Medical Devices segment.

Cost of sales for the nine months ended September 30, 2022, were $1,408,086, composed of $525,073 of cost of sales for our Prescription Medicines segment and $883,013 for our Medical Devices segment.

Cost of sales for the Prescription Medicine segment for the nine months ended September 30, 2023 consisted of 50% royalty expenses, 38% third-party product cost of sales, and 12% in inventory obsolescence reserves.

Cost of sales for the Medical Device segment for the nine months ended September 30, 2023 consisted of 83% raw materials and 17% production labor.

Cost of sales increased by $64,987 or 5% during the nine months ended September 30, 2023 compared to the same period in 2022. For the nine months ended September 30, 2023 and 2022, cost of sales as a percentage of net sales was 24% and 27%, respectively. The decrease in cost of sales as a percentage of net sales was a result of decreased sales order fulfillment costs (on a per unit basis) during the nine months ended September 30, 2023 compared to the same period in 2022.

Gross Profit

Gross profit for the nine months ended September 30, 2023 was $4,713,565, or 76% of net sales, composed of $3,073,335 of gross profit from Prescription Medicines and $1,640,230 from Medical Devices. Gross profit for the nine months ended September 30, 2022 was $3,785,867, or 73% of net sales, composed of $2,191,238 of gross profit from Prescription Medicines and $1,594,629 from Medical Devices. The increase in gross profit was driven by the changes in net sales and cost of goods sold (“COGS”) per above.

Operating Expenses

Selling, general and administrative

Selling, general and administrative expenses for the nine months ended September 30, 2023, were $6,382,166, composed of $1,006,666 of selling, general and administrative expenses of our Prescription Medicines segment, $1,398,890 of selling, general and administrative expenses of our Medical Devices segment and $3,976,610 of general corporate expenses.

Selling, general and administrative expenses for the nine months ended September 30, 2022, were $9,285,317, composed of $3,933,295, of selling, general and administrative expenses of our Prescription Medicines segment, $1,352,239 of selling, general and administrative expenses of our Medical Devices segment and $3,999,783 of general corporate expenses.

Selling, general and administrative expenses for both segments include selling, marketing and regulatory expenses. Unallocated general corporate expenses include costs that were not specific to a particular segment but are general to the group, including expenses incurred for administrative and accounting staff, general liability and other insurance, professional fees and other similar corporate expenses.

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Selling, general and administrative expenses decreased by $2,903,151 or 31% during the nine months ended September 30, 2023, compared to the compared to the same period in 2022. Decreased selling general and administrative expenses were primarily driven by decreased direct selling and marketing expenses of $987,219, decreased stock based compensation expense of $761,737, decreased prescription data expenses of $460,064, decreased payroll expenses of $379,303 resulting from decreased headcount, decreased insurance expenses of $317,052, decreased professional service fees of $129,422 as management sought to reduce expenses to improve operational efficiencies and decreased other operating expenses of $259,921 partially offset by a waiver of FY 23 PDUFA fees by the FDA resulting in a $277,060 increase in PDUFA expenses, and increased franchise taxes of $114,507.

Warrant issuance costs

For the nine months ended September 30, 2023, the Company recorded warrant issuance costs of $2.9 million associated with the July 2023 private placement.

Gain on settlement with Vivus

As a result of the Vivus Promissory Note, as discussed in Note 8 and Note 13, the Company’s total liabilities were decreased by $3,389,941 in the form of concession of customer returns, which were recognized as a gain on settlement during the nine months ended September 30, 2022. There was no such activity in the same period of 2023.

Research and development

Research and development expenses for the nine months ended September 30, 2023 were $1,574,760, composed of $1,499,842 for our Prescription Medicines segment and $74,918 for our Medical Devices segment, respectively.

Research and development expenses for the nine months ended September 30, 2022 were $1,562,518, composed of $1,428,848 for our Prescription Medicines segment and $133,670 for our Medical Devices segment, respectively.

Research and development expenses for the Prescription Medicines segment for the nine months ended September 30, 2023 are composed of $836,507 for clinical development and $436,222 for consulting fees related to the Company’s Non-Prescription / Over-The-Counter (“OTC”) Strategies related to Stendra®; $200,000 for upfront licensing fees and $24,620 for consulting fees related to the H100 license acquired in March 2020, which was later terminated during the second quarter of 2023, and $2,493 related to the Company’s tech transfer of its manufacturing process. Research and development expenses for the Prescription Medicines segment for the nine months ended September 30, 2022 are composed of $793,542 for consulting fees related to the Company’s Non-Prescription / Over-The-Counter (“OTC”) Strategies related to Stendra®; $150,000 for upfront licensing fees, $239,339 for clinical development expenses, and $67,863 for consulting fees related to the H100 license acquired in March 2020, which was later terminated during the second quarter of 2023; and $178,104 related to the Company’s tech transfer of its manufacturing process.

Research and development expenses for the Medical Devices segment for the nine months ended September 30, 2023 are composed of $74,918 for license fees related to the Company’s Tissue-Specific Oxygenation Sensor Technology Strategies. Research and development expenses for the Medical Devices segment for the nine months ended September 30, 2022 are composed of $133,670 for license fees related to the Company’s Tissue-Specific Oxygenation Sensor Technology Strategies.

Research and development expenses increased by $12,243 or 1% during the nine months ended September 30, 2023, compared to the same period in 2022. Increased research and development expenses were primarily driven by increased clinical development expenses related to the Company’s OTC strategies related to Stendra® and increased upfront licensing fees related to the H100 license acquired in March 2020, which was later terminated during the second quarter of 2023, partially offset by decreased consulting fees related to the Company’s OTC strategies related to Stendra® and decreased license fees related to the Company’s Tissue-Specific Oxygenation Sensor Technology Strategies.

Depreciation and amortization

Depreciation and amortization expenses for the nine months ended September 30, 2023, were $2,480,385, composed of $1,726,409 of depreciation and amortization expenses of our Prescription Medicines segment and $753,976 of depreciation and amortization expenses of our Medical Devices segment.

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Depreciation and amortization expenses for the nine months ended September 30, 2022, were $4,682,610, composed of $3,808,991 of depreciation and amortization expenses of our Prescription Medicines segment and $873,619 of depreciation and amortization expenses of our Medical Devices segment.

Prescription Medicines depreciation and amortization consists primarily of the amortization of the intangible assets related to Stendra® over its estimated useful life of 10 years. Medical Devices depreciation and amortization primarily consists of the amortization of the intangible assets related to Timm Medical and PTV over their estimated useful life of 12 years

Change in fair value of derivative liability

Change in fair value of warrant liability

Interest income

Interest income for the nine months ended September 30, 2023 was $287,722 on funds deposited in interest bearing money market accounts. There was no interest income for the nine months ended September 30, 2022.

Interest expense, promissory note

In January 2022, the Company executed a promissory note in favor of Vivus with a principal amount of $10,201,758 in connection with the Vivus Settlement Agreement. Interest expense, promissory note for the nine months ended September 30, 2023 and 2022 was $410,317 and $451,075, respectively.

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Loss on issuance of Series A Preferred Stock

As the fair value of the liabilities required to be subsequently measured at fair value exceeded the net proceeds received, the Company recognized the excess of the fair value over the net proceeds received as a loss upon issuance of preferred stock of $11.1 million which is included in other income (expense) in the condensed consolidated statement of operations.

Three Months Ended September 30, 2023 and 2022 (Unaudited)

The following table sets forth a summary of our statements of operations for the three months ended September 30, 2023 and 2022:


	For the Three Months
	Ended September 30,
	2023		2022
Net sales	$	1,674,657	$	(1,457,732)
Cost of sales		408,475		286,525
Gross profit		1,266,182		(1,744,257)

Operating expenses:
Selling, general and administrative		2,001,935		2,170,975
Warrant issuance costs		2,855,000		—
Gain on settlement with Vivus		—		—
Research and development		389,093		735,916
Depreciation and amortization expense		826,795		1,560,870
Intangible asset impairment		—		7,460,000
Total operating expenses		6,027,823		11,927,761

Loss from operations		(4,806,641)		(13,672,018)

Change in fair value of derivative liability		(430,000)		—
Change in fair value of warrant liability		11,739,000		—
Interest income		168,481		—
Interest expense, promissory note		(131,351)		(147,677)
Loss on issuance of Series A Preferred Stock		(11,088,997)
Loss before income taxes		(4,549,508)		(13,819,695)

Income tax expense		—		10,501

Net Loss	$	(4,549,508)	$	(13,830,196)

Net Sales

Net sales for the three months ended September 30, 2023 were $1,674,657, composed of $925,759 of net sales from Prescription Medicines and net sales of $748,898 from Medical Devices.

Net sales for the three months ended September 30, 2022, were $(1,457,732), composed of $(2,140,629) of net sales from Prescription Medicines and net sales of $682,897 from Medical Devices.

For the three months ended September 30, 2023 gross billings to customers representing 10% or more of the Company’s total gross billings included three customers that represented approximately 24%, 21%, and 18% of total gross billings. Gross billings is a non-GAAP financial measure. For a reconciliation of net sales to gross billings, see the section titled “Reconciliation of Non-GAAP Financial Measures” below.

For the three months ended September 30, 2022 gross billings to customers representing 10% or more of the Company’s total gross billings included three customers that represented approximately 30%, 16%, and 15% of total gross billings. Gross billings is a non-

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GAAP financial measure. For a reconciliation of net sales to gross billings, see the section titled “Reconciliation of Non-GAAP Financial Measures” below.

Prescription Medicines sales consist of sales of Stendra® in the U.S. for the treatment of male ED. Stendra® is primarily sold directly to three main customers, as described above, which collectively accounted for approximately 86% of Stendra® net sales for the three months ended September 30, 2023. Individually, sales to the three main customers, accounted for 32%, 29%, and 25% of Stendra® gross billings for the three months ended September 30, 2023.

Net sales were $3,132,389 or 215% higher during the three months ended September 30, 2023 compared to the same period in 2022 consisting of a $3,066,388 increase in the net sales of Stendra® and a $66,001 increase in Medical Device Sales. The increase in net sales of Stendra® was substantially due to a decrease in estimated reserves for product returns as the prior year period included a significant increase in estimated returns due to wholesaler returns related to the sale of short-dated product above our initial estimates. The increase in net sales for Medical Devices included an increase in domestic sales of VED systems and a decrease in international sales of VED systems.

Cost of Sales

Cost of sales for the three months ended September 30, 2023, were $408,475, composed of $85,388 of cost of sales for our Prescription Medicines segment and $323,087 for our Medical Devices segment.

Cost of sales for the three months ended September 30, 2022, were $286,525, composed of $36,067 of cost of sales for our Prescription Medicines segment and $250,458 for our Medical Devices segment.

Cost of sales for the Prescription Medicine segment for the three months ended September 30, 2023 consisted of 54% royalty expenses, 45% third-party product cost of sales and 1% 3PL order fulfillment and shipping expenses.

Cost of sales for the Medical Device segment for the three months ended September 30, 2023 consisted of 80% raw materials and 20% production labor.

Cost of sales increased by $121,950 or 43% during the three months ended September 30, 2023 compared to the same period in 2022. For the three months ended September 30, 2023 and 2022, cost of sales as a percentage of net sales was 24% and -20%, respectively.

Gross Profit (loss)

Gross profit for the three months ended September 30, 2023 was $1,266,182, or 76% of net sales, composed of $840,371 of gross profit from Prescription Medicines and $425,811 from Medical Devices. Gross loss for the three months ended September 30, 2022, was $(1,744,257), composed of $(2,176,696) of gross loss from Prescription Medicines net of $432,439, from Medical Devices. The decrease in gross profit was driven by the changes in net sales and COGS per above.

Operating Expenses

Selling, general and administrative

Selling, general and administrative expenses for the three months ended September 30, 2023, were $2,001,935, composed of $251,674 of selling, general and administrative expenses of our Prescription Medicines segment, $493,447 of selling, general and administrative expenses of our Medical Devices segment and $1,256,814 of general corporate expenses.

Selling, general and administrative expenses for the three months ended September 30, 2022, were $2,170,975, composed of $493,128 of selling, general and administrative expenses of our Prescription Medicines segment, $467,700 of selling, general and administrative expenses of our Medical Devices segment and $1,210,147 of general corporate expenses.

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Selling, general and administrative expenses decreased by $169,040 or 8% during the three months ended September 30, 2023, compared to the compared to the same period in 2022. Decreased selling general and administrative expenses were primarily driven by decreased direct selling and marketing expenses of $321,183, decreased stock based compensation expense of $277,296, decreased payroll expenses of $110,883 resulting from decreased headcount and decreased other operating expenses of $362,606 partially offset by a waiver of FY 23 PDUFA fees by the FDA resulting in a $831,180 increase in PDUFA expenses and increased professional service fees of $71,748.

Warrant issuance costs

For the three months ended September 30, 2023, the Company recorded warrant issuance costs of $2.9 million associated with the July 2023 private placement.

Research and development

Research and development expenses for the three months ended September 30, 2023 were $389,093, composed of $369,505 for our Prescription Medicines segment and $19,588 for our Medical Devices segment, respectively.

Research and development expenses for the three months ended September 30, 2022, were $735,916, composed of $678,552 in our Prescription Medicines segment and $57,364 for our Medical Devices segment.

Research and development expenses for the Prescription Medicines segment for the three months ended September 30, 2023 are composed of $181,594 for consulting fees and $187,911 for clinical development related to the Company’s Non-Prescription / Over-The-Counter (“OTC”) Strategies related to Stendra®. The Company also reclassified $648,596 of expenses previously reported as consulting fees to clinical development expenses. Research and development expenses for the Prescription Medicines segment for the three months ended September 30, 2022 are composed of $403,085 for consulting fees related to the Company’s Non-Prescription / Over-The-Counter Strategies related to Stendra®; $97,824 for clinical development expenses and $27,408 for consulting fees related to the H100 license acquired in March 2020, which was later terminated during the second quarter of 2023; and $150,235 related to the Company’s tech transfer of its manufacturing process.

Research and development expenses for the Medical Devices segment for the three months ended September 30, 2023 are composed of $19,588 for license fees related to the Company’s Tissue-Specific Oxygenation Sensor Technology Strategies. Research and development expenses for the Medical Devices segment for the three months ended September 30, 2022, are composed of $57,364 for license fees related to the Company’s Tissue-Specific Oxygenation Sensor Technology Strategies.

Research and development expenses decreased by $346,823 or 47% during the three months ended September 30, 2023, compared to the same period in 2022. Decreased research and development expenses were primarily driven by decreased consulting fees related to the Company’s OTC strategies related to Stendra® and decreased license fees related to the Company’s Tissue-Specific Oxygenation Sensor Technology Strategies.

Depreciation and amortization

Depreciation and amortization expenses for the three months ended September 30, 2023, were $826,795, composed of $575,470 of depreciation and amortization expenses of our Prescription Medicines segment and $251,325 of depreciation and amortization expenses of our Medical Devices segment.

Depreciation and amortization expenses for the three months ended September 30, 2022, were $1,560,870, composed of $1,269,664 of depreciation and amortization expenses of our Prescription Medicines segment and $291,206 of depreciation and amortization expenses of our Medical Devices segment.

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Change in fair value of derivative liability

For the three months ended September 30, 2023, the Company recorded a loss of $0.4 million for the change in fair value of the derivative liability compared to $0 for the three months ended September 30, 2022. The loss related to the increase in the fair value of derivative liability established for certain bifurcated features of the Series A Preferred Stock issued in the July 2023 private placement.

Change in fair value of warrant liability

For the three months ended September 30, 2023, the Company recorded a gain of $11.7 million for the change in fair value of the warrant liability compared to $0 for the three months ended September 30, 2022. The gain related to the decrease in the fair value of warrants issued in the July 2023 private placement which were classified as liabilities in accordance with ASC 480.

Interest Income

Interest income for the three months ended September 30, 2023 was $168,481 on funds deposited in interest bearing money market accounts. There was no interest income for the three months ended September 30, 2022.

Interest Expense, Promissory Note

In January 2022, the Company executed a promissory note in favor of Vivus with a principal amount of $10,201,758 in connection with the Vivus Settlement Agreement. Interest expense, promissory note for the three months ended September 30, 2023 and 2022 was $131,351 and $147,677, respectively.

Loss on issuance of Series A Preferred Stock

Liquidity and Capital Resources

General

Cash on hand totaled $17,969,949 at September 30, 2023, compared to $9,426,264 at December 31, 2022.

We have experienced net losses and negative cash flows from operations since our inception. As of September 30, 2023, we had cash of approximately $18.0 million, working capital of $16.4 million, and an accumulated deficit of $99.2 million. Our plans include, or may include, utilizing our cash on hand, as well as exploring additional ways to raise capital in addition to increasing cash flows from operations. In January 2022, the Company executed a promissory note in favor of Vivus in connection with the Vivus Settlement Agreement in the principal amount of $10,201,758, net of a prepayment of $900,000. The terms of this promissory note are discussed in the section titled “—Vivus Settlement Agreement, Promissory Note and the Security Agreement” above.

To date, our principal sources of capital used to fund our operations have been the revenues from product sales, private sales, registered offerings and private placements of equity securities. The Company does not currently have sufficient available liquidity to fund its operations for at least the next 12 months. These conditions and events raise substantial doubt about the Company’s ability to continue as a going concern within one year after the date that these unaudited interim consolidated financial statements are issued.

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In response to these conditions and events, the Company is evaluating various financing strategies to obtain sufficient additional liquidity to meet its operating, debt service and capital requirements for the next twelve months following the date of this Quarterly Report. The potential sources of financing that the Company is evaluating include one or any combination of secured or unsecured debt, convertible debt and equity in both public and private offerings. The Company also plans to finance near-term operations with its cash on hand, including the gross proceeds of $15 million raised in the Private Placement (see the section below titled “Liquidity and Capital Resources—July 2023 Private Placement”), as well as by exploring additional ways to raise capital and increasing cash flows from operations. The company intends to use the proceeds from the July 2023 capital raise to funds its OTC progress through the end of 2024. There is no assurance the Company will manage to raise additional capital or otherwise increase cash flows, if required. The sources of financing described above that could be available to the Company and the timing and probability of obtaining sufficient capital depend, in part, on expanding the use of Stendra® and continuing to invest in research and development pursuant to our Non-Prescription / Over-The-Counter (“OTC”) strategies related to Stendra®, which we believe has the potential to dramatically increase product sales in the future and future capital market conditions. If the Company’s current assumptions regarding timing of these events are incorrect or if there are any other changes or differences in our current assumptions that negatively impact our financing strategy, the Company may have to further reduce expenditures or significantly delay, scale back or discontinue the development or commercialization of Stendra® OTC in order to extend its cash resources. Thus far the Company has taken steps to reduce discretionary expenditures and explored new sources of funding for our research initiatives, such as sponsored research agreements and co-development initiatives. While we are optimistic that we will be successful in our efforts to finance our operations, there can be no assurances that we will be successful in doing so. The Consolidated Financial Statements do not include any adjustments to reflect the possible future effects on the recoverability and classification of assets or the amounts and classifications of liabilities that may result should the Company be unable to continue as a going concern.

We will require additional financing to further develop and market our products, fund operations, and otherwise implement our business strategy at amounts relatively consistent with the expenditure levels disclosed above. We are exploring additional ways to raise capital, but we cannot assure you that we will be able to raise capital. Our failure to raise capital as and when needed would have a material adverse impact on our financial condition, our ability to meet our obligations, and our ability to pursue our business strategies. We expect to seek additional funds through a variety of sources, which may include additional public or private equity or debt financings, collaborative, or other arrangements with corporate sources, or through other sources of financing.

We are focused on expanding our service offering through internal development, collaborations, and through strategic acquisitions. We are continually evaluating potential asset acquisitions and business combinations. To finance such acquisitions, we might raise additional equity capital, incur additional debt, or both.

Debt

Vivus Note

As noted above, in January 2022, the Company executed a promissory note in favor of Vivus with a principal amount of $10,201,758 in connection with the Vivus Settlement Agreement. For more information, see the section above titled “—Vivus Settlement Agreement, Promissory Note and the Security Agreement.”

Cash Flows

The following table summarizes our cash flows for the nine months ended September 30, 2023 and 2022:


	For the Nine Months Ended September 30,
	2023		2022
Net cash used in operating activities	$	(5,366,635)	$	(11,226,985)
Net cash provided by (used in) financing activities		13,910,320		(1,438,925)
Net increase (decrease) in cash	$	8,543,685	$	(12,665,910)

Cash Flows from Operating Activities

Net cash used in operating activities for the nine months ended September 30, 2023 was $5,366,635 which primarily reflected our net loss of $8,481,338, in addition to noncash adjustments to reconcile net loss to net cash used in operating activities of $4,231,207

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consisting primarily of depreciation and amortization, costs associated with the Private Placement, and changes in operating assets and liabilities of $1,116,504.

Net cash used in operating activities for the nine months ended September 30, 2022 was $11,226,985, which primarily reflected our net loss of $15,816,213, in addition to noncash adjustments to reconcile net loss to net cash used in operating activities of $9,288,313 consisting primarily of depreciation and amortization, the gain on the Vivus settlement, changes in the fair value of derivative liability, intangible asset impairment and stock compensation, and changes in operating assets and liabilities of $4,694,085.

Cash Flows from Financing Activities

Net cash provided by financing activities was $13,910,320 for the nine months ended September 30, 2023 consisted of the gross proceeds of the Private Placement, offset by payments of the promissory note.

Net cash used in financing activities was $1,438,925 for the nine months ended September 30, 2022, consisting of prepayments of the promissory note, including a prepayment of $900,000.

Off-Balance Sheet Commitments and Arrangements

We have not entered into any off-balance sheet financial guarantees or other off-balance sheet commitments to guarantee the payment obligations of any third parties. We have not entered into any derivative contracts that are indexed to our shares and classified as stockholder’s equity or that are not reflected in our financial statements included in this Form 10-Q. Furthermore, we do not have any retained or contingent interest in assets transferred to an unconsolidated entity that serves as credit, liquidity or market risk support to such entity. We do not have any variable interest in any unconsolidated entity that provides financing, liquidity, market risk or credit support to us or engages in leasing, hedging or product development services with us.

Contingencies

Certain conditions may exist as of the date the financial statements are issued, which may result in a loss to the Company, but which will only be resolved when one or more future events occur or fail to occur. The Company’s management, in consultation with its legal counsel as appropriate, assesses such contingent liabilities, and such assessment inherently involves an exercise of judgment. In assessing loss contingencies related to legal proceedings that are pending against the Company or unasserted claims that may result in such proceedings, the Company, in consultation with legal counsel, evaluates the perceived merits of any legal proceedings or unasserted claims, as well as the perceived merits of the amount of relief sought or expected to be sought therein. If the assessment of a contingency indicates it is probable that a material loss has been incurred and the amount of the liability can be estimated, then the estimated liability would be accrued in the Company’s financial statements. If the assessment indicates a potentially material loss contingency is not probable, but is reasonably possible, or is probable, but cannot be estimated, then the nature of the contingent liability, together with an estimate of the range of possible loss, if determinable and material, would be disclosed. Loss contingencies considered remote are generally not disclosed unless they involve guarantees, in which case the guarantees would be disclosed.

July 2023 Private Placement

On July 13, 2023, we entered into a Securities Purchase Agreement (the “Purchase Agreement”) with certain accredited investors (the “Investors”), pursuant to which we agreed to sell in a private placement to the Investors (i) an aggregate of 15,000 shares of our newly-designated Series A Convertible Preferred Stock, with a par value of $0.0001 per share and a stated value of $1,000 per share (the “Series A Preferred Stock”), initially convertible into up to 6,666,668 shares of our common stock, par value $0.0001 per share (the “Common Stock”) at an initial conversion price of $2.25 per share (the “Series A Preferred Shares”), and (ii) warrants to acquire up to an aggregate of 6,666,668 shares of Common Stock (the “Warrants”) at an initial exercise price of $2.25 per share (collectively, the “Private Placement”). Pursuant to the terms of the Certificate of Designations of Series A Convertible Preferred Stock (the “Certificate of Designations”) and the Warrants, each of the Conversion Price (as defined below) and the exercise price and the number of shares underlying the Warrants is subject to customary adjustments for stock dividends, stock splits, reclassifications and the like, and subject to price-based adjustment in the event of any issuances of Common Stock, or securities convertible, exercisable or exchangeable for Common Stock, at a price below the then-applicable Conversion Price (subject to certain exceptions). As of September 30, 203, the Conversion Price and the exercise price of the Warrants was equal to $2.25 per share

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Series A Preferred Stock

The terms of the Series A Preferred Shares are as set forth in the form of Certificate of Designations. The Series A Preferred Shares will be convertible into shares of Common Stock (the “Conversion Shares”) at the election of the holder at any time at an initial conversion price of $2.25 (the “Conversion Price”). The Conversion Price is subject to customary adjustments for stock dividends, stock splits, reclassifications and the like, and subject to price-based adjustment in the event of any issuances of Common Stock, or securities convertible, exercisable or exchangeable for Common Stock, at a price below the then-applicable Conversion Price (subject to certain exceptions). We are required to redeem the Series A Preferred Shares in 13 equal monthly installments, commencing on November 1, 2023. The amortization payments due upon such redemptions are payable, at our election, in cash at 107% of the Installment Redemption Amount (as defined in the Certificate of Designations), or subject to certain limitations, in shares of common stock valued at the lower of (i) the Conversion Price then in effect and (ii) the greater of (A) 80% of the average of the three lowest closing prices of the Common Stock during the thirty trading day period immediately prior to the date the amortization payment is due or (B) the lower of $0.396, which is 20% of the “Minimum Price” (as defined in Nasdaq Stock Market Rule 5635) on the date of the Nasdaq Stockholder Approval (as defined below) or such lower amount as permitted, from time to time, by the Nasdaq Stock Market, subject to adjustment for stock splits, stock dividends, stock combinations, recapitalizations or other similar events. We may require holders to convert their Series A Preferred Shares into Conversion Shares if the closing price of the Common Stock exceeds $6.75 per share (subject to adjustment for stock splits, stock dividends, stock combinations, recapitalizations or other similar events) for 20 consecutive trading days and the daily dollar trading volume of the Common Stock exceeds two million dollars ($2,000,000) per day during the same period and certain equity conditions described in the Certificate of Designations are satisfied.

As of November 14, 2023, we have redeemed 1,154 Series A Preferred Shares and issued 87,499 shares of Common Stock pursuant to the terms of the Certificate of Designations.

Warrants

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Registration Rights

Nasdaq Stockholder Approval

Reconciliation of Non-GAAP Financial Measures

Adjusted EBITDA

Adjusted EBITDA is a non-GAAP financial measure utilized by management to evaluate the Company’s performance on a comparable basis. The Company believes that Adjusted EBITDA is useful to investors as a supplemental way to evaluate the ongoing operations of the Company’s business as Adjusted EBITDA may enhance investors’ ability to compare historical periods as it adjusts for the impact of financing methods, tax law and strategy changes, and depreciation and amortization and to evaluate the Company’s ability to service debt. In addition, Adjusted EBITDA is a financial measurement that management and the Company’s Board of Directors use in their financial and operational decision-making and in the determination of certain compensation programs. Adjusted EBITDA is a non-GAAP financial measure commonly used in the Company’s industry and should not be construed as an alternative to net loss as an indicator of operating performance (as determined in accordance with GAAP). The Company’s presentation of Adjusted EBITDA may not be comparable to similarly titled measures reported by other companies.

Adjusted EBITDA is adjusted to exclude certain items that affect comparability. The adjustments are itemized in the tables below. You are encouraged to evaluate these adjustments and the reason the Company considers them appropriate for supplemental analysis. In evaluating adjustments, you should be aware that in the future the Company may incur expenses that are the same as or similar to some of the adjustments set forth below. The presentation of these adjustments should not be construed as an inference that future results will be unaffected by unusual or recurring items.

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The Company defines Adjusted EBITDA as net loss adjusted to exclude (i) interest expense, net, (ii) depreciation and amortization and (iii) income taxes, as further adjusted to eliminate the impact of certain items that the Company does not consider indicative of its ongoing operating performance or that are non-recurring in nature. For example, Adjusted EBITDA:

●

does not reflect the Company’s capital expenditures, future requirements for capital expenditures or contractual commitments;

●

does not reflect changes in, or cash requirements for, the Company’s working capital needs;

●

does not reflect the significant interest expense, or the cash requirements necessary to service interest or principal payments, on the Company’s debt; and

●

does not reflect payments related to income taxes, if applicable.

The following table presents a reconciliation of net loss to Adjusted EBITDA for the three and nine months ended September 30, 2023 and 2022:


	For the Nine Months Ended				For the Three Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
Net Loss	$	(8,481,338)	$	(15,816,213)	$	(4,549,508)	$	(13,830,196)
Interest income		(287,722)		—		(168,481)		—
Interest expense, promissory note		410,317		451,075		131,351		147,677
Income tax expense		—		10,501		—		10,501
Depreciation and amortization expense		2,480,385		4,682,610		826,795		1,560,870
EBITDA		(5,878,358)		(10,672,027)		(3,759,843)		(12,111,148)
Stock based compensation		204,492		966,231		30,840		308,136
Gain on settlement with Vivus		—		(3,389,941)		—		—
Intangible asset impairment		—		7,460,000		—		7,460,000
Change in fair value of derivative liability		430,000		(460,000)		430,000		—
Change in fair value of warrant liability		(11,739,000)		—		(11,739,000)		—
Loss on issuance of Series A Preferred Stock		11,088,997		—		11,088,997		—
Adjusted EBITDA	$	(5,893,869)	$	(6,095,737)	$	(3,949,006)	$	(4,343,012)

Adjusted EBITDA has limitations as an analytical tool, and you should not consider it in isolation, or as a substitute for analysis of the Company’s results as reported under GAAP.

Gross Billings

Gross billings is a non-GAAP financial measure utilized as a key performance metric by management and the Company’s Board of Directors in their financial and operational decision-making as well as for the preparation of the annual budget. The Company believes that gross billings is useful to investors as a supplemental way to provide an alternative measure of the total demand for the products sold by the Company. Gross billings is a non-GAAP financial measure commonly used in the Company’s industry and should not be construed as an alternative to net sales as an indicator of operating performance (as determined in accordance with GAAP). The Company’s presentation of gross billings may not be comparable to similarly titled measures reported by other companies.

Gross billings is adjusted to exclude certain items that affect comparability. The adjustments are itemized in the tables below. You are encouraged to evaluate these adjustments and the reason the Company considers them appropriate for supplemental analysis. In evaluating adjustments, you should be aware that in the future the Company may incur expenses that are the same as or similar to some of the adjustments set forth below. The presentation of these adjustments should not be construed as an inference that future results will be unaffected by unusual or recurring items.

The Company defines gross billings as the amount of its aggregate sales billed to customers at standard prices before the application of certain adjustments that reduce the net amount received from customers, including product returns, certain rebates and coupon redemptions, discounts and fees.

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The following table presents a reconciliation of net sales to gross billings for the three and nine months ended September 30, 2023 and 2022:


	For the Nine Months Ended				For the Three Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
Net Sales	$	6,186,638	$	5,193,953	$	1,674,657	$	(1,457,732)
Product Returns		1,290,465		7,644,368		516,440		3,280,289
Contract Rebates		1,037,271		1,175,073		225,085		416,633
Chargebacks		118,490		122,927		42,190		53,334
Cash Discounts		125,679		265,701		36,266		38,298
Distribution Service Fees		678,857		1,402,763		216,234		98,474
Coupon Redemptions		1,176,562		4,419,128		146,626		1,009,138
Gross Billings	$	10,613,962	$	20,223,913	$	2,857,498	$	3,438,434

Gross billings has limitations as an analytical tool, and you should not consider it in isolation, or as a substitute for analysis of the Company’s results as reported under GAAP.

ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK.

We are a smaller reporting company as defined by Rule 12b-2 of the Exchange Act and are not required to provide the information required under this item.

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ITEM 4. CONTROLS AND PROCEDURES.

Evaluation of Disclosure Controls and Procedures

We carried out an evaluation, under the supervision and with the participation of our management, including our principal executive officer and principal financial officer, of the effectiveness of our disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended (“Exchange Act”)) as of the period covered by this report. Based upon that evaluation, our principal executive officer and principal financial officer concluded that, as of the end of the period covered in this Quarterly Report on Form 10-Q, our disclosure controls and procedures were not effective to ensure that information required to be disclosed in reports filed by us under the Exchange Act is recorded, processed, summarized and reported within the required time periods and is accumulated and communicated to our management, including our principal executive officer and principal financial officer, as appropriate to allow timely decisions regarding required disclosure.

A material weakness is a control deficiency (within the meaning of Public Company Accounting Oversight Board (PCAOB) Auditing Standard No. 5) or combination of control deficiencies that results in more than a remote likelihood that a material misstatement of the annual or interim financial statements will not be prevented or detected on a timely basis. As disclosed in Part II Item 9A Controls and Procedures in our Annual Report on Form 10-K for the fiscal year ended December 31, 2022, we identified a material weaknesses in internal control related to (1) Petros has an insufficient level of monitoring and oversight controls and does not enforce the implementation of key controls reflected on its internal control process matrices; (2) the sizes of Petros’ accounting and IT departments make it impracticable to achieve an appropriate segregation of duties; and (3) Petros does not have appropriate IT access related controls.

Management plans to expand the scope of its remediation of its internal controls over financial reporting at the consolidated level and has developed a plan to address the remediation of the foregoing deficiencies. The Company has continued to utilize an external consultant to assist in the remediation of the deficiencies.

Our management, including our principal executive officer and principal financial officer, does not expect that our disclosure controls and procedures or our internal controls will prevent all errors or fraud. A control system, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met. Further, the design of a control system must reflect the fact that there are resource constraints, and the benefits of controls must be considered relative to their costs. Due to the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues and instances of fraud, if any, have been detected. Management believes that the financial statements included in this Quarterly Report on Form 10-Q fairly present in all material respects our financial condition, results of operations and cash flows for the periods presented.

Changes in Internal Control Over Financial Reporting

There were no changes in our internal control over financial reporting that occurred during the quarter ended September 30, 2023, that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting other than as noted above.

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PART II—OTHER INFORMATION

ITEM 1. LEGAL PROCEEDINGS.

From time to time, we may become involved in legal proceedings or be subject to claims arising in the ordinary course of our business.

The information set forth in Note 14 Commitments and Contingencies of the Notes to Consolidated Financial Statements of this Quarterly Report on Form 10-Q is incorporated by reference herein.

ITEM 1A. RISK FACTORS.

The following description of risk factors includes any material changes to, and supersedes the description of, risk factors associated with our business, financial condition and results of operations previously disclosed in “Item 1A. Risk Factors” of our annual report on Form 10-K for the fiscal year ended December 31, 2022, as filed with the SEC on March 31, 2023. Our business, financial condition and operating results can be affected by a number of factors, whether currently known or unknown, including but not limited to those described in our annual report, any one or more of which could, directly or indirectly, cause our actual financial condition and operating results to vary materially from past, or from anticipated future, financial condition and operating results. Any of these factors, in whole or in part, could materially and adversely affect our business, financial condition, operating results, and stock price.

The following discussion of risk factors contains forward-looking statements. These risk factors may be important to understanding other statements in this Form 10-Q. The following information should be read in conjunction with the condensed consolidated financial statements and related notes in Part I, Item 1, “Financial Statements” and Part I, Item 2, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” of this Form 10-Q.

Cyberattacks and other data security breaches could compromise our proprietary and confidential information, which could harm our business and reputation or cause us to incur increased expenses to address any such breaches.

In the ordinary course of our business, Petros generates, collects and stores proprietary information, including intellectual property and business information. The secure storage, maintenance, and transmission of and access to this information is important to our operations and reputation. If a cyber incident, such as a phishing or ransomware attack, business email compromise attack, virus, malware installation, server malfunction, software or hardware failure, impairment of data integrity, loss of data or other computer assets, adware or other similar issue, impairs, shuts down, or penetrates our computer systems, our proprietary and confidential information, including e-mails and other electronic communications, may be misappropriated. In addition an employee, contractor, or other third party with whom we do business may attempt to obtain such information and may purposefully or inadvertently cause a breach involving such information. As a result, our information technology networks and infrastructure may be vulnerable to unpermitted access by hackers or other breaches, or employee error or malfeasance, and our business, financial condition, and results of operations could be materially and adversely affected.

We rely on third parties to perform services necessary for the operation of our business, and they may fail to adequately secure our proprietary and confidential information. We have in the past been subject to low-threat cyber, phishing, social engineering and business email compromise attacks, none of which individually or in the aggregate has led to costs or consequences that have materially impacted our business, results of operations or financial condition, however, we and our third-party vendors may be subject to such attacks and other cybersecurity incidents in the future. If we or our third-party vendors were to suffer an attack or breach in the future, for example, that resulted in the unauthorized access to or use or disclosure of proprietary and confidential information, we may be required to notify government authorities, be subject to investigations, civil penalties, administrative and enforcement actions, and litigation, any of which could harm our business, financial results and reputation.

Attacks upon information technology systems are increasing in their frequency, levels of persistence, sophistication and intensity, and are being conducted by sophisticated and organized groups and individuals with a wide range of motives and expertise. Because the techniques used to obtain unauthorized access to, or to sabotage, systems change frequently and often are not recognized until launched against a target, we may be unable to anticipate these techniques or implement adequate preventative measures. We may also experience security breaches that may remain undetected for an extended period. Even if identified, we may be unable to adequately investigate or remediate incidents or breaches due to attackers increasingly using tools and techniques that are designed to circumvent controls, to avoid detection, and to remove or obfuscate forensic evidence.

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Any such compromise of our data security and access to, or public disclosure or loss of, confidential business or proprietary information could disrupt our operations, damage our reputation, provide our competitors with valuable information and subject us to additional costs, which could adversely affect our business. We may also incur significant remediation costs, including liability for stolen customer or employee information, repairing system damage or providing benefits to affected customers or employees.

ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES, USE OF PROCEEDS AND ISSUER PURCHASES OF EQUITY SECURITIES

Issuance of Unregistered Securities

There were no unregistered sales of the Company’s equity securities during the three months ended September 30, 2023, other than those previously reported in a Current Report on Form 8-K.

ITEM 3. DEFAULTS UPON SENIOR SECURITIES.

None.

ITEM 4. MINE SAFETY DISCLOSURES.

Not applicable.

ITEM 5. OTHER INFORMATION.

None.

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ITEM 6. EXHIBITS.

Exhibit No.		Description
3.1		Certificate of Designations of Series A Convertible Preferred Stock (incorporated by reference to Exhibit 3.1 to the Company’s Current Report on Form 8-K filed on July 13, 2023).
3.2		Certificate of Amendment of Amended and Restated Certificate of Incorporation of Petros Pharmaceuticals, Inc. (incorporated by reference to Exhibit 3.1 to the Company’s Current Report on Form 8-K filed on September 15, 2023).
3.3		Amendment to the Amended and Restated By-laws of Petros Pharmaceuticals, Inc. (incorporated by reference to Exhibit 3.1 to the Company’s Current Report on Form 8-K filed on August 15, 2023).
3.4		Certificate of Amendment of Certificate of Designations of Series A Convertible Preferred Stock. (incorporated by reference to Exhibit 3.1 to the Company’s Current Report on Form 8-K filed on October 2, 2023).
4.1		Form of Warrant (incorporated by reference to Exhibit 4.1 to the Company’s Current Report on Form 8-K filed on July 13, 2023).
10.1		Securities Purchase Agreement (incorporated by reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K filed on July 13, 2023).
10.2		Registration Rights Agreement (incorporated by reference to Exhibit 10.2 to the Company’s Current Report on Form 8-K filed on July 13, 2023).
10.3†		First Amendment to Amended and Restated Petros Pharmaceuticals, Inc. 2020 Omnibus Incentive Compensation Plan (incorporated by reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K filed on September 15, 2023).

31.1*		Rule 13a-14(a)/15d-14(a) Certification – Principal Executive Officer.
31.2*		Rule 13a-14(a)/15d-14(a) Certification – Principal Financial Officer.
32**		Section 1350 Certification – Principal Executive Officer and Principal Financial Officer.
101		The following materials from Petros Pharmaceuticals, Inc.’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2023, formatted in iXBRL (Inline eXtensible Business Reporting Language): (i) Consolidated Balance Sheets; (ii) Consolidated Statements of Operations; (iii) Consolidated Changes in Stockholders’ Equity/Members’ Capital; (iv) Consolidated Statements of Cash Flows; and (v) Notes to the Consolidated Financial Statements.
104		Cover Page Interactive Data File, formatted in iXBRL and contained in Exhibit 101.

*	Filed herewith.

**	Furnished herewith.

†	Management contract or compensatory plan or arrangement.

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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.

	Petros Pharmaceuticals, Inc.

Date: November 15, 2023	By:	/s/ Fady Boctor
		Fady Boctor
		Chief Commercial Officer and Principal Executive Officer

Date: November 15, 2023	By:	/s/ Mitchell Arnold
		Mitchell Arnold
		Vice President of Finance and Principal Financial Officer

Exhibit 31.1

CERTIFICATION PURSUANT TO SARBANES–OXLEY ACT OF 2002

I, Fady Boctor, certify that:

1.	I have reviewed this quarterly report on Form 10-Q of Petros Pharmaceuticals, Inc;

2.	Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3.	Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a–15(e) and 15d–15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a–15(f) and 15d–15(f)) for the registrant and have:

(a)

Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b)

Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

(c)

Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d)

Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5.	The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

(a)

All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

(b)

Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.


Date: November 15, 2023	By:	/s/ Fady Boctor
		Fady Boctor
		Chief Commercial Officer and Principal Executive Officer

Exhibit 31.2

CERTIFICATION PURSUANT TO SARBANES–OXLEY ACT OF 2002

I, Mitchell Arnold, certify that:

1.	I have reviewed this quarterly report on Form 10-Q of Petros Pharmaceuticals, Inc;

2.	Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3.	Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

(a)

(b)

(c)

(d)

5.	The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

(a)

(b)

Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.


Date: November 15, 2023	By:	/s/ Mitchell Arnold
		Mitchell Arnold
		Vice President of Finance and Principal Financial Officer

Exhibit 32

CERTIFICATION PURSUANT TO SECTION 906

OF THE SARBANES–OXLEY ACT OF 2002

In connection with the Quarterly Report of Petros Pharmaceuticals, Inc. (the “Company”) on Form 10-Q for the period ended September 30, 2023 as filed with the Securities and Exchange Commission on the date hereof (the “Report”), each of the undersigned, in the capacities and on the dates indicated below, hereby certifies pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

1.	the Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

2.	the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.


	Petros Pharmaceuticals, Inc.

Date: November 15, 2023	By:	/s/ Fady Boctor
		Fady Boctor
		Chief Commercial Officer and Principal Executive Officer

Date: November 15, 2023	By:	/s/ Mitchell Arnold
		Mitchell Arnold
		Vice President of Finance and Principal Financial Officer

Document and Entity Information - shares	9 Months Ended
Document and Entity Information - shares	Sep. 30, 2023	Nov. 14, 2023
Document and Entity Information
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Sep. 30, 2023
Document Transition Report	false
Entity File Number	001-39752
Entity Registrant Name	Petros Pharmaceuticals, Inc.
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	85-1410058
Entity Address, Address Line One	1185 Avenue of the Americas
Entity Address, Address Line Two	3rd Floor
Entity Address, City or Town	New York
Entity Address State Or Province	NY
Entity Address, Postal Zip Code	10036
City Area Code	973
Local Phone Number	242-0005
Title of 12(b) Security	Common stock
Trading Symbol	PTPI
Security Exchange Name	NASDAQ
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Non-accelerated Filer
Entity Small Business	true
Entity Emerging Growth Company	true
Entity Ex Transition Period	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		2,201,069
Entity Central Index Key	0001815903
Current Fiscal Year End Date	--12-31
Document Fiscal Year Focus	2023
Document Fiscal Period Focus	Q3
Amendment Flag	false

CONDENSED CONSOLIDATED BALANCE SHEETS - USD ($)	Sep. 30, 2023	Dec. 31, 2022
Current assets:
Cash	$ 17,969,949	$ 9,426,264
Accounts receivable, net	2,975,018	2,110,246
Inventories	2,501,093	1,815,113
Prepaid expenses and other current assets	987,120	1,316,282
Total current assets	24,433,180	14,667,905
Fixed assets, net	31,513	39,177
Intangible assets, net	9,771,764	12,244,484
API purchase commitment	4,416,862	5,111,176
Right of use assets	260,849	358,472
Total assets	38,914,168	32,421,214
Current liabilities:
Current portion of promissory note	1,139,458	1,089,683
Accounts payable	1,355,060	1,806,399
Accrued expenses	3,869,027	3,634,662
Accrued Series A Convertible Preferred payments payable	1,368,546
Other current liabilities	349,972	537,232
Total current liabilities	8,082,063	7,067,976
Promissory note, net of current portion	7,248,635	8,388,093
Derivative Liability	6,570,000
Warrant Liability	9,805,000
Other long-term liabilities	151,395	262,678
Total liabilities	31,857,093	15,718,747
Commitments and contingencies
Series A convertible redeemable preferred stock (par value $0.0001 per share and $1,000 stated value), 15,000 and 0 shares authorized at September 30, 2023 and December 31, 2022, respectively; 13,846 and 0 shares issued and outstanding at September 30, 2023 and December 31, 2022, respectively. Liquidation preference of $15,000,000 as of September 30, 2023	124,532
Stockholders' Equity:
Common stock (par value $0.0001 per share, 250,000,000 and 150,000,000 shares authorized at September 30, 2023 and December 31, 2022, respectively; 2,119,620 and 2,079,387 shares issued and outstanding as of September 30, 2023 and December 31, 2022, respectively)	211	208
Additional paid-in capital	106,140,063	107,428,652
Accumulated deficit	(99,207,731)	(90,726,393)
Total Stockholders' Equity	6,932,543	16,702,467
Total Liabilities, Convertible Redeemable Preferred Stock and Stockholders' Equity	$ 38,914,168	$ 32,421,214

CONDENSED CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($)	Sep. 30, 2023	Dec. 31, 2022
CONDENSED CONSOLIDATED BALANCE SHEETS
Redeemable convertible preferred stock, par value (in dollars per share)	$ 0.0001	$ 0.0001
Redeemable convertible preferred stock, stated value	$ 1,000	$ 1,000
Redeemable convertible preferred stock, authorized (in shares)	15,000	0
Redeemable convertible preferred stock, issued (in shares)	13,846	0
Redeemable convertible preferred stock, outstanding (in shares)	13,846	0
Redeemable convertible preferred stock, Liquidation preference	$ 15,000,000
Common stock, par value (in dollars per share)	$ 0.0001	$ 0.0001
Common stock, shares authorized	250,000,000	150,000,000
Common stock, shares issued	2,119,620	2,079,387
Common stock, shares outstanding	2,119,620	2,079,387

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
Net sales	$ 1,674,657	$ (1,457,732)	$ 6,186,638	$ 5,193,953
Cost of goods sold	408,475	286,525	1,473,073	1,408,086
Gross profit	1,266,182	(1,744,257)	4,713,565	3,785,867
Operating expenses:
Selling, general and administrative	2,001,935	2,170,975	6,382,166	9,285,317
Warrant issuance costs	2,855,000		2,855,000
Gain on settlement with Vivus				(3,389,941)
Research and development expense	389,093	735,916	1,574,760	1,562,518
Depreciation and amortization expense	826,795	1,560,870	2,480,385	4,682,610
Intangible asset impairment		7,460,000		7,460,000
Total operating expenses	6,072,823	11,927,761	13,292,311	19,600,504
Loss from operations	(4,806,641)	(13,672,018)	(8,578,746)	(15,814,637)
Change in fair value of derivative liability	(430,000)		(430,000)	460,000
Change in fair value of warrant liability	(11,739,000)		(11,739,000)
Interest income	168,481		287,722
Interest expense, promissory note	(131,351)	(147,677)	(410,317)	(451,075)
Loss on issuance of Series A Preferred Stock	(11,088,997)		(11,088,997)
Loss before income taxes	(4,549,508)	(13,819,695)	(8,481,338)	(15,805,712)
Income tax expense		10,501		10,501
Net loss	(4,549,508)	(13,830,196)	(8,481,338)	(15,816,213)
Preferred Stock dividends and cash premiums	(339,232)		(339,232)
Net loss per common share	$ (4,888,740)	$ (13,830,196)	$ (8,820,570)	$ (15,816,213)
Net loss per common share
Basic (in dollars per share)	$ (2.31)	$ (6.69)	$ (4.18)	$ (7.65)
Diluted (in dollars per share)	$ (2.31)	$ (6.69)	$ (4.18)	$ (7.65)
Denominator
Basic	2,119,620	2,068,472	2,108,747	2,068,472
Diluted	2,119,620	2,068,472	2,108,747	2,068,472

CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN CONVERTIBLE REDEEMABLE PREFERRED STOCK AND STOCKHOLDERS' EQUITY - USD ($)	Preferred Stock Convertible Redeemable Preferred Stock	Preferred Stock	Common Stock	Additional Paid-in Capital	Accumulated Deficit	Total
Balance at Dec. 31, 2021		$ 207			$ (70,688,820)	$ 35,544,964
Balance (in shares) at Dec. 31, 2021		2,068,472		106,233,577
Stock-based compensation expense		$ 0		$ 966,231		966,231
Non-employee exercise of restricted stock units		$ 0
Non-employee exercise of restricted stock units (in shares)		2,331
Net income (loss) per common		$ 0			(15,816,213)	(15,816,213)
Balance at Sep. 30, 2022		$ 207	$ 207		(86,505,033)	20,694,982
Balance (in shares) at Sep. 30, 2022		2,070,803	2,070,803	107,199,808
Balance at Jun. 30, 2022			$ 207		(72,674,836)	34,217,041
Balance (in shares) at Jun. 30, 2022			2,068,472	106,891,670
Stock-based compensation expense			$ 0	$ 308,138		308,138
Non-employee exercise of restricted stock units			$ 0
Non-employee exercise of restricted stock units (in shares)			2,331
Net income (loss) per common			$ 0		(13,830,196)	(13,830,196)
Balance at Sep. 30, 2022		$ 207	$ 207		(86,505,033)	20,694,982
Balance (in shares) at Sep. 30, 2022		2,070,803	2,070,803	107,199,808
Balance at Dec. 31, 2022	$ 0		$ 208	$ 107,428,652	(90,726,393)	16,702,467
Balance (in shares) at Dec. 31, 2022	0		2,079,387
Stock-based compensation expense			$ 0	204,492	$ 0	204,492
Issuance of Series A Preferred Stock in private placement, net of discount and transaction costs $15,000,003	15,000		0		0
Preferred Stock redemption including cash premium (in shares)	(1,154)
Series A Preferred Stock accretion	$ 1,153,846		$ 0	(1,153,846)	$ 0	(1,153,846)
Series A Preferred Stock dividends	249,701		0	(249,701)	0	(249,701)
Shares issued for vested RSU's			$ 3	(3)	0
Shares issued for vested RSU's (in shares)			40,233
Net income (loss) per common			$ 0		(8,481,338)	(8,481,338)
Balance at Sep. 30, 2023	$ 124,531		$ 211	106,140,063	(99,207,731)	6,932,543
Balance (in shares) at Sep. 30, 2023	13,846		2,119,620
Balance at Jun. 30, 2023	$ 0		$ 211	107,602,301	(94,658,223)	12,944,289
Balance (in shares) at Jun. 30, 2023			2,119,620
Stock-based compensation expense			$ 0	30,840		30,840
Issuance of Series A Preferred Stock in private placement, net of discount and transaction costs $15,000,003	15,000		0
Preferred Stock redemption including cash premium (in shares)	(1,154)
Series A Preferred Stock accretion	$ 1,153,846		$ 0	(1,153,846)		(1,153,846)
Series A Preferred Stock dividends	249,701		$ 0	(249,701)		(249,701)
Shares issued for vested RSU's (in shares)			0
Net income (loss) per common			$ 0		(4,549,508)	(4,549,508)
Balance at Sep. 30, 2023	$ 124,531		$ 211	106,140,063	(99,207,731)	6,932,543
Balance (in shares) at Sep. 30, 2023	13,846		2,119,620
Preferred Stock redemption including cash premium	$ (1,279,016)		$ 0	$ (89,531)	$ 0	$ (89,531)

CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN CONVERTIBLE REDEEMABLE PREFERRED STOCK AND STOCKHOLDERS' EQUITY (Parenthetical) - USD ($)	3 Months Ended	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2023
Series A Preferred Stock
Issuance of preferred stock in private placement net of discount and transaction costs	$ 15,000,003	$ 15,000,003

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Cash flows from operating activities:
Net income (loss)			$ (8,481,338)	$ (15,816,213)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization	$ 826,795	$ 1,560,870	2,480,385	4,682,610
Intangible asset impairment		7,460,000		7,460,000	$ 7,460,000
Bad debt expense (recoveries)			32,516	(103,650)
Inventory and sample inventory reserve			41,195	(14,688)
Lease expense			97,622	86,477
Change in fair value of derivative liability	430,000		430,000	(460,000)
Change in fair value of warrant liability	(11,739,000)		(11,739,000)
Loss on issuance of Series A Preferred Stock			11,088,997
Noncash Warrant expense			1,595,000
Gain on settlement with Vivus				(3,389,941)
Employee stock-based compensation			204,492	966,231
Changes in operating assets and liabilities:
Accounts receivable			(897,289)	(1,174,106)
Inventories			(63,191)	(1,619,694)
Prepaid expenses and other current assets			359,492	1,478,267
Accounts payable			(451,338)	(2,473,450)
Accrued expenses			234,364	(954,607)
Deferred revenue			(281,372)	56,274
Other current liabilities			94,113	154,370
Other long-term liabilities			(111,283)	(104,865)
Net cash used in operating activities			(5,366,635)	(11,226,985)
Cash flows from financing activities:
Payment of promissory note			(1,089,683)	(1,438,925)
Proceeds from Private Placement, net of transactions costs			15,000,003
Net cash provided by (used in) financing activities			13,910,320	(1,438,925)
Net increase (decrease) in cash			8,543,685	(12,665,910)
Cash, beginning of period			9,426,264	23,847,572	23,847,572
Cash, end of period	$ 17,969,949	$ 11,181,662	17,969,949	11,181,662	$ 9,426,264
Supplemental cash flow information:
Cash paid for interest during the period			410,317	451,075
Noncash Items:
Noncash decrease in accrued expenses related to Vivus settlement				(6,520,283)
Noncash decrease in accrued inventory purchases related to Vivus Settlement				(14,203,905)
Noncash increase in promissory note related to Vivus settlement				10,201,758
Noncash increase in inventory due to API reclass			(663,984)
Noncash decrease in API purchase commitment			694,314	6,232,489
Noncash decrease in other current assets: API purchase commitment			(30,330)
Noncash issuance of common stock to non-employee			3	$ 3
Noncash initial fair value of warrant liability pursuant to private placement			21,544,000
Noncash initial fair value of derivative liability pursuant to private placement			6,140,000
Accrued Series A Convertible Preferred payments payable			1,368,546
Accretion of Series A convertible preferred stock to redemption value			1,250,000
Accrual of Series convertible preferred stock dividends			$ 339,232

Nature of Operations, Basis of Presentation, Liquidity and Going Concern

9 Months Ended

Sep. 30, 2023

Nature of Operations, Basis of Presentation, Liquidity and Going Concern

Nature of Operations, Basis of Presentation, Liquidity and Going Concern

1) Nature of Operations, Basis of Presentation, Liquidity and Going Concern

Nature of Operations and Basis of Presentation

Basis of Presentation

All transactions between the consolidated entities have been eliminated in consolidation.

Liquidity and Going Concern

Summary of Significant Accounting Policies

9 Months Ended

Sep. 30, 2023

Summary of Significant Accounting Policies

Summary of Significant Accounting Policies

2) Summary of Significant Accounting Policies

Use of Estimates

Risks and Uncertainties

Concentration of Credit Risk

Segment Reporting

Revenue Recognition

Prescription Medication Sales

Product Returns

Contract Rebates, Coupon Redemptions and DSA Fees

Medical Device Sales

Product Returns

Contract Costs

Contract Liabilities

Fair Value Measurements

●

Level 1 – inputs to the valuation methodology are quoted prices (unadjusted) for identical assets or liabilities in active markets;

●

Level 3 – inputs to the valuation methodology are unobservable and significant to the fair value measurement.

Categorization within the valuation hierarchy is based upon the lowest level of input that is significant to the fair value measurement.

Intangible Assets

Derivative Financial Instruments

Basic and Diluted Net Loss per Common Share

Recent Accounting Pronouncements

Accounts Receivable, net

9 Months Ended

Sep. 30, 2023

Accounts Receivable, net

Accounts Receivable, net

3) Accounts Receivable, net

Accounts receivable, net is comprised of the following:


	September 30,		December 31,		December 31,
	2023		2022		2021
Gross accounts receivables	$	3,713,405	$	2,757,839	$	3,363,827
Distribution service fees		(358,661)		(339,094)		(371,310)
Chargebacks accrual		(7,375)		(1,960)		—
Cash discount allowances		(132,967)		(99,671)		(159,446)
Allowance for doubtful accounts		(239,384)		(206,868)		(377,685)
Total accounts receivable, net	$	2,975,018	$	2,110,246	$	2,455,386

Inventories

9 Months Ended

Sep. 30, 2023

Inventories

Inventories

4) Inventories

Inventory is comprised of the following:


	September 30, 2023		December 31, 2022
Raw Materials	$	2,391,190	$	1,574,683
Finished goods		109,903		240,430
Total inventory	$	2,501,093	$	1,815,113

Prepaid Expenses and Other Current Assets

9 Months Ended

Sep. 30, 2023

Prepaid Expenses and Other Current Assets.

Prepaid Expenses and Other Current Assets

5) Prepaid Expenses and Other Current Assets

Prepaid expenses and other current assets are comprised of the following:


	September 30, 2023		December 31, 2022
Prepaid insurance	$	169,588	$	109,414
Prepaid coupon fees		—		71,500
API purchase commitment asset (see Note 13)		694,314		663,984
Other prepaid expenses		65,655		333,158
Other current assets		57,563		138,226
Total prepaid expenses and other current assets	$	987,120	$	1,316,282

Intangible Assets

9 Months Ended

Sep. 30, 2023

Intangible Assets

Intangible Assets

6) Intangible Assets


Balance at December 31, 2021	$	25,293,149
Amortization expense		(5,588,665)
Intangible Impairment		(7,460,000)
Balance at December 31, 2022		12,244,484
Amortization expense		(2,472,720)
Balance at September 30, 2023	$	9,771,764

The future annual amortization related to the Company’s intangible assets is as follows as of September 30, 2023:


2023 (remaining 3 months)	$	800,027
2024		2,800,623
2025		1,754,328
2026		1,442,186
2027		1,212,871
Thereafter		1,761,729
Total	$	9,771,764

Accrued Expenses

9 Months Ended

Sep. 30, 2023

Accrued Expenses

Accrued Expenses

7) Accrued Expenses

Accrued expenses are comprised of the following:


	September 30, 2023		December 31, 2022
Accrued product returns	$	2,853,413	$	2,311,647
Accrued contract rebates		49,499		279,018
Due to 3PL/Wholesalers		103,161		155,081
Accrued bonuses		421,523		427,500
Accrued professional fees		—		51,620
Other accrued expenses		441,431		409,796
Total accrued expenses	$	3,869,027	$	3,634,662

Debt

9 Months Ended

Sep. 30, 2023

Debt

Debt

8) Debt

Promissory Note

Future minimum principal payments of the promissory note are as follows:


2024		1,530,729
2025		2,720,940
2026		3,264,351
2027		872,073
Total	$	8,388,093
Less: current portion		(1,139,458)
Promissory note, net of current portion	$	7,248,635

Operating Leases

9 Months Ended

Sep. 30, 2023

Operating Leases

Operating Leases

9) Operating Leases

Supplemental balance sheet information related to leases was as follows:


	As of September 30, 2023		As of December 31, 2022
Operating lease ROU asset:
Other assets	$	260,849	$	358,472

Operating lease liability:
Other current liabilities		148,758		142,340
Other long-term liabilities		151,395		262,677
Total operating lease liability	$	300,153	$	405,017

Supplemental lease term and discount rate information related to leases was as follows:


	As of September 30, 2023		As of December 31, 2022
Weighted-average remaining lease terms - operating leases	1.9 years		2.7 years
Weighted-average discount rate - operating leases	12.6	%	12.6	%

Supplemental cash flow information related to leases was as follows:


	For the Nine Months				For the Three Months
	Ended September 30,				Ended September 30,
	2023		2022		2023		2022
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leases	$	141,677	$	140,805	$	47,226	$	46,935

Future minimum lease payments under non-cancelable leases as of September 30, 2023, were as follows:


Lease Liability Maturity Analysis	Operating Leases
2023 (remaining 3 months)	$	47,697
2024		155,242
2025		81,107
2026		82,324
Thereafter		—
Total lease payments		366,370
Less: Imputed Interest		(66,217)
Total	$	300,153

Future minimum sublease income under non-cancelable leases as of September 30, 2023, were as follows:


Sublease income	Operating Leases
2023 (remaining 3 months)		21,000
2024		56,000
Total	$	77,000

As of September 30, 2023, the Company had no operating leases that had not yet commenced.

Stock Options and Restricted Stock Units ("RSU's")

9 Months Ended

Sep. 30, 2023

Stock Options and Restricted Stock Units ("RSU's")

Stock Options and Restricted Stock Units ("RSU's")

10) Stock Options and Restricted Stock Units (“RSU’s”)

The following is a summary of stock options for the nine months ended September 30, 2023 and for the year ended December 31, 2022:


				Weighted-Average
		Weighted-		Remaining	Aggregate Intrinsic
	Number of	Average		Contractual	Value
	Shares	Exercise Price		Term (Years)	($ in thousands)
Options outstanding at December 31, 2022	59,067	$	34.02	8.29	$	—
Options granted	156,000		0.99	—		115.4
Less: options forfeited	—		—	—		—
Less: options expired/cancelled	(5,000)		33.40	—		—
Less: options exercised	—		—	—		—
Options outstanding at September 30, 2023	210,067	$	9.51	8.99	$	115.4
Options exercisable at September 30, 2023	54,067	$	34.08	7.48	$	—

The following is a summary of RSU’s for the nine months ended September 30, 2023 and for the year ended December 31, 2022:


				Weighted-Average
		Weighted-		Remaining
	Number of	Average		Contractual
	Shares	Fair Value at Grant Date		Term (Years)
RSU’s outstanding at December 31, 2022	40,238	$	16.87	9.20
RSU’s granted	—		—	—
Less: RSU’s forfeited	—		—	—
Less: RSU’s expired/cancelled	(5)		11.90	—
Less: RSU’s vested	(40,233)		16.88	—
RSU’s outstanding at September 30, 2023	—	$	—	—

Common Stock Warrants

9 Months Ended

Sep. 30, 2023

Common Stock Warrants

Common Stock Warrants

11) Common Stock Warrants

As of September 30, 2023, the Company’s warrants by expiration date were as follows:


Number of Warrants		Exercise Price (in Dollars)	Expiration Date
278	$	16.00	August 23, 2023
2,279		356.50	June 1, 2024
7,492		218.50	June 17, 2024
1,997		312.50	June 19, 2024
2,279		265.50	September 1, 2024
1,050		127.40	September 16, 2024
2,279		43.00	December 1, 2024
2,800		56.50	March 2, 2025
2,800		73.00	June 1, 2025
2,800		55.00	September 1, 2025
2,800		47.05	December 1, 2025
222,189		75.00	December 1, 2025
90,880		175.00	December 1, 2025
62,429		512.50	December 1, 2025
15,856		1,250.00	December 1, 2025
175,132		17.15	October 18, 2026
233,775		35.00	December 12, 2026
175,000		35.00	December 27, 2026
7,200,002		2.25	July 17, 2028
8,204,117


		Number of Warrants
Warrants outstanding - January 1, 2022		1,004,115
Warrants issued in 2022		—
Warrants outstanding - December 31, 2022		1,004,115
Warrants issued - Nine Months ending September 30, 2023		7,200,002
Warrants outstanding - September 30, 2023		8,204,117

Transaction costs incurred attributable to the issuance of the warrants of $2.9 million were immediately expensed in accordance with ASC 480.

Basic and Diluted Net Loss per Common Share

9 Months Ended

Sep. 30, 2023

Basic and Diluted Net Loss per Common Share

Basic and Diluted Net Loss per Common Share

12) Basic and Diluted Net Loss per Common Share

The following is a reconciliation of the weighted average number of common shares outstanding used in calculating basic and diluted net loss per share:


	For the Nine Months Ended				For the Three Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
Numerator
Net loss per common	$	(8,820,570)	$	(15,816,213)	$	(4,888,740)	$	(13,830,196)
Denominator
Weighted-average common shares for basic net loss per share		2,108,747		2,068,472		2,119,620		2,068,472
Basic and diluted net loss per common share	$	(4.18)	$	(7.65)	$	(2.31)	$	(6.69)


	For the Nine Months Ended		For the Three Months Ended
	September 30,		September 30,
	2023	2022	2023	2022
Stock Options	210,067	59,067	210,067	59,067
RSUs	—	42,564	—	42,564
Series A Convertible Preferred stock	6,762,090	—	6,762,090	—
Warrants	8,204,117	1,004,115	8,204,117	1,004,115
Total	15,176,274	1,105,746	15,176,274	1,105,746

Marketing, Licensing and Distribution Agreements

9 Months Ended

Sep. 30, 2023

Marketing, Licensing and Distribution Agreements.

Marketing, Licensing and Distribution Agreements

13) Marketing, Licensing and Distribution Agreements

(a) Vivus

In connection with the License Agreement, the Company and Vivus also entered into a Supply Agreement. The Supply Agreement was terminated, effective September 30, 2021.

(b) Patheon

The Company terminated its exclusive license to H100™ from Hybrid on May 11, 2023.

Commitments and Contingencies

9 Months Ended

Sep. 30, 2023

Commitments and Contingencies.

Commitments and Contingencies

14) Commitments and Contingencies

(a) Legal Proceedings

Segment Information

9 Months Ended

Sep. 30, 2023

Segment Information

Segment Information

15) Segment Information

The Company’s results of operations by reportable segment for the nine months ended September 30, 2023 are summarized as follows:


	Prescription		Medical
For the Nine Months Ended September 30, 2023	Medications		Devices		Corporate		Consolidated
Net sales	$	3,416,444	$	2,770,194	$	—	$	6,186,638
Cost of goods sold		343,109		1,129,964		—		1,473,073
Selling, general and administrative expenses		1,006,666		1,398,890		3,976,610		6,382,166
Warrant issuance costs		—		—		2,855,000		2,855,000
Research and development expenses		1,499,842		74,918		—		1,574,760
Depreciation and amortization expense		1,726,409		753,976		—		2,480,385
Change in fair value of derivative liability		—		—		430,000		430,000
Change in fair value of warrant liability		—		—		(11,739,000)		(11,739,000)
Interest income		—		—		(287,722)		(287,722)
Interest expense		—		—		410,317		410,317
Loss on issuance of Series A Preferred Stock		—		—		11,088,997		11,088,997
Net loss	$	(1,159,582)	$	(587,554)	$	(6,734,202)	$	(8,481,338)

The Company’s results of operations by reportable segment for the nine months ended September 30, 2022 are summarized as follows:


	Prescription		Medical
For the Nine Months Ended September 30, 2022	Medications		Devices		Corporate		Consolidated
Net sales	$	2,716,311	$	2,477,642	$	—	$	5,193,953
Cost of goods sold		525,073		883,013		—		1,408,086
Selling, general and administrative expenses		3,933,295		1,352,239		3,999,783		9,285,317
Gain on settlement of contingent liability		(3,389,941)		—		—		(3,389,941)
Research and development expenses		1,428,848		133,670		—		1,562,518
Depreciation and amortization expense		3,808,991		873,619		—		4,682,610
Intangible asset impairment		7,460,000		—		—		7,460,000
Change in fair value of derivative liability		—		—		(460,000)		(460,000)
Interest expense		451,075		—		—		451,075
Income tax expense		—		10,501		—		10,501
Net loss	$	(11,501,030)	$	(775,400)	$	(3,539,783)	$	(15,816,213)

The Company’s results of operations by reportable segment for the three months ended September 30, 2023 are summarized as follows:


	Prescription		Medical
For the Three Months Ended September 30, 2023	Medications		Devices		Corporate		Consolidated
Net sales	$	925,759	$	748,898	$	—	$	1,674,657
Cost of goods sold		85,388		323,087		—		408,475
Selling, general and administrative expenses		251,674		493,447		1,256,814		2,001,935
Warrant issuance costs		—		—		2,855,000		2,855,000
Research and development expenses		369,505		19,588		—		389,093
Depreciation and amortization expense		575,470		251,325		—		826,795
Change in fair value of derivative liability		—		—		430,000		430,000
Change in fair value of warrant liability		—		—		(11,739,000)		(11,739,000)
Interest income		—		—		(168,481)		(168,481)
Interest expense		—		—		131,351		131,351
Loss on issuance of Series A Preferred Stock		—		—		11,088,997		11,088,997
Net loss	$	(356,278)	$	(338,549)	$	(3,854,681)	$	(4,549,508)

The Company’s results of operations by reportable segment for the three months ended September 30, 2022 are summarized as follows:


	Prescription		Medical
For the Three Months Ended September 30, 2022	Medications		Devices		Corporate		Consolidated
Net sales	$	(2,140,629)	$	682,897	$	—	$	(1,457,732)
Cost of goods sold		36,067		250,458		—		286,525
Selling, general and administrative expenses		493,128		467,700		1,210,147		2,170,975
Research and development expenses		678,552		57,364		—		735,916
Depreciation and amortization expense		1,269,664		291,206		—		1,560,870
Intangible asset impairment		7,460,000		—		—		7,460,000
Interest expense		147,677		—		—		147,677
Income tax expense		—		10,501		—		10,501
Net loss	$	(12,225,717)	$	(394,332)	$	(1,210,147)	$	(13,830,196)

The following table reflects net sales by geographic region for the three and nine months ended September 30, 2023 and 2022:


	For the Nine Months Ended				For the Three Months Ended
	September 30,				September 30,
Net sales	2023		2022		2023		2022
United States	$	5,253,587	$	4,260,171	$	1,496,988	$	(1,647,367)
International		933,051		933,782		177,669		189,635
	$	6,186,638	$	5,193,953	$	1,674,657	$	(1,457,732)

No individual country other than the United States accounted for 10% of total sales for the three and nine months ended September 30, 2023 and 2022.

The Company’s assets by reportable segment and reconciliation of segment assets to consolidated assets as of September 30, 2023, are summarized as follows:


	Prescription		Medical
	Medications		Devices		Consolidated
Intangible assets, net	$	5,459,960	$	4,311,804	$	9,771,764
Total segment assets	$	32,810,715	$	6,103,453	$	38,914,168

The Company’s assets by reportable segment and reconciliation of segment assets to consolidated assets as of December 31, 2022, are summarized as follows:


	Prescription		Medical
	Medications		Devices		Consolidated
Intangible assets, net	$	7,178,704	$	5,065,780	$	12,244,484
Total segment assets	$	25,831,048	$	6,590,166	$	32,421,214

Private Placement

9 Months Ended

Sep. 30, 2023

Private placement.

Private Placement

16) Private Placement

Series A Preferred Stock

Warrants

Registration Rights

Nasdaq Stockholder Approval

Fair Value Measurements

9 Months Ended

Sep. 30, 2023

Fair Value Disclosures [Abstract]

Fair Value Measurements

17) Fair Value Measurements

Fair Value on a Recurring Basis


		September 30
Description	Level	2023
Liabilities:
Warrant liability	3	$	9,805,000
Bifurcated embedded derivative liability	3	$	6,570,000

The following table sets forth a summary of the change in the fair value of the warrant liability that is measured at fair value on a recurring basis:



Balance on December 31, 2022	$	—
Issuance of warrants reported at fair value		21,544,000
Change in fair value of warrant liability		(11,739,000)
Balance on September 30, 2023	$	9,805,000

The following table sets forth a summary of the change in the fair value of the bifurcated embedded derivative liability that is measured at fair value on a recurring basis:



Balance on December 31, 2022	$	—
Issuance of convertible preferred stock with bifurcated embedded derivative		6,140,000
Change in fair value of bifurcated embedded derivative		430,000
Balance on September 30, 2023	$	6,570,000

Summary of Significant Accounting Policies (Policies)

9 Months Ended

Sep. 30, 2023

Summary of Significant Accounting Policies

Use of Estimates

Risks and Uncertainties

Concentration of Credit Risk

Concentration of Credit Risk

Segment Reporting

Segment Reporting

Revenue Recognition

Prescription Medication Sales

Product Returns

Contract Rebates, Coupon Redemptions and DSA Fees

Medical Device Sales

Product Returns

Contract Costs

Contract Liabilities

Fair Value Measurements

Fair Value Measurements

●

Level 1 – inputs to the valuation methodology are quoted prices (unadjusted) for identical assets or liabilities in active markets;

●

Level 3 – inputs to the valuation methodology are unobservable and significant to the fair value measurement.

Categorization within the valuation hierarchy is based upon the lowest level of input that is significant to the fair value measurement.

Intangible Assets

Intangible Assets

Derivative Financial Instruments

Derivative Financial Instruments

Basic and Diluted Net Loss per Common Share

Recent Accounting Pronouncements

Accounts Receivable, net (Tables)

9 Months Ended

Sep. 30, 2023

Accounts Receivable, net

Schedule of accounts receivable


	September 30,		December 31,		December 31,
	2023		2022		2021
Gross accounts receivables	$	3,713,405	$	2,757,839	$	3,363,827
Distribution service fees		(358,661)		(339,094)		(371,310)
Chargebacks accrual		(7,375)		(1,960)		—
Cash discount allowances		(132,967)		(99,671)		(159,446)
Allowance for doubtful accounts		(239,384)		(206,868)		(377,685)
Total accounts receivable, net	$	2,975,018	$	2,110,246	$	2,455,386

Inventories (Tables)

9 Months Ended

Sep. 30, 2023

Inventories

Schedule of Inventories


	September 30, 2023		December 31, 2022
Raw Materials	$	2,391,190	$	1,574,683
Finished goods		109,903		240,430
Total inventory	$	2,501,093	$	1,815,113

Prepaid Expenses and Other Current Assets (Tables)

9 Months Ended

Sep. 30, 2023

Prepaid Expenses and Other Current Assets.

Schedule of prepaid expenses and other current assets


	September 30, 2023		December 31, 2022
Prepaid insurance	$	169,588	$	109,414
Prepaid coupon fees		—		71,500
API purchase commitment asset (see Note 13)		694,314		663,984
Other prepaid expenses		65,655		333,158
Other current assets		57,563		138,226
Total prepaid expenses and other current assets	$	987,120	$	1,316,282

Intangible Assets (Tables)

9 Months Ended

Sep. 30, 2023

Intangible Assets

Schedule of intangible assets


Balance at December 31, 2021	$	25,293,149
Amortization expense		(5,588,665)
Intangible Impairment		(7,460,000)
Balance at December 31, 2022		12,244,484
Amortization expense		(2,472,720)
Balance at September 30, 2023	$	9,771,764

Schedule of future annual amortization related to the company's intangible assets

The future annual amortization related to the Company’s intangible assets is as follows as of September 30, 2023:


2023 (remaining 3 months)	$	800,027
2024		2,800,623
2025		1,754,328
2026		1,442,186
2027		1,212,871
Thereafter		1,761,729
Total	$	9,771,764

Accrued Expenses (Tables)

9 Months Ended

Sep. 30, 2023

Accrued Expenses

Schedule of accrued expenses


	September 30, 2023		December 31, 2022
Accrued product returns	$	2,853,413	$	2,311,647
Accrued contract rebates		49,499		279,018
Due to 3PL/Wholesalers		103,161		155,081
Accrued bonuses		421,523		427,500
Accrued professional fees		—		51,620
Other accrued expenses		441,431		409,796
Total accrued expenses	$	3,869,027	$	3,634,662

Debt (Tables)

9 Months Ended

Sep. 30, 2023

Debt

Schedule of future principal payments of the promissory note


2024		1,530,729
2025		2,720,940
2026		3,264,351
2027		872,073
Total	$	8,388,093
Less: current portion		(1,139,458)
Promissory note, net of current portion	$	7,248,635

Operating Leases (Tables)

9 Months Ended

Sep. 30, 2023

Commitments and Contingencies.

Summary of supplemental balance sheet information related to leases


	As of September 30, 2023		As of December 31, 2022
Operating lease ROU asset:
Other assets	$	260,849	$	358,472

Operating lease liability:
Other current liabilities		148,758		142,340
Other long-term liabilities		151,395		262,677
Total operating lease liability	$	300,153	$	405,017

Summary of supplemental lease term and discount rate information related to leases


	As of September 30, 2023		As of December 31, 2022
Weighted-average remaining lease terms - operating leases	1.9 years		2.7 years
Weighted-average discount rate - operating leases	12.6	%	12.6	%

Summary of supplemental cash flow information related to leases


	For the Nine Months				For the Three Months
	Ended September 30,				Ended September 30,
	2023		2022		2023		2022
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leases	$	141,677	$	140,805	$	47,226	$	46,935

Summary of future minimum lease payments under non-cancelable leases

Future minimum lease payments under non-cancelable leases as of September 30, 2023, were as follows:


Lease Liability Maturity Analysis	Operating Leases
2023 (remaining 3 months)	$	47,697
2024		155,242
2025		81,107
2026		82,324
Thereafter		—
Total lease payments		366,370
Less: Imputed Interest		(66,217)
Total	$	300,153

Schedule of future minimum sublease income under non-cancelable leases

Future minimum sublease income under non-cancelable leases as of September 30, 2023, were as follows:


Sublease income	Operating Leases
2023 (remaining 3 months)		21,000
2024		56,000
Total	$	77,000

Stock Options and Restricted Stock Units ("RSU's") (Tables)

9 Months Ended

Sep. 30, 2023

Stock Options and Restricted Stock Units ("RSU's")

Schedule of stock options


				Weighted-Average
		Weighted-		Remaining	Aggregate Intrinsic
	Number of	Average		Contractual	Value
	Shares	Exercise Price		Term (Years)	($ in thousands)
Options outstanding at December 31, 2022	59,067	$	34.02	8.29	$	—
Options granted	156,000		0.99	—		115.4
Less: options forfeited	—		—	—		—
Less: options expired/cancelled	(5,000)		33.40	—		—
Less: options exercised	—		—	—		—
Options outstanding at September 30, 2023	210,067	$	9.51	8.99	$	115.4
Options exercisable at September 30, 2023	54,067	$	34.08	7.48	$	—


				Weighted-Average
		Weighted-		Remaining
	Number of	Average		Contractual
	Shares	Fair Value at Grant Date		Term (Years)
RSU’s outstanding at December 31, 2022	40,238	$	16.87	9.20
RSU’s granted	—		—	—
Less: RSU’s forfeited	—		—	—
Less: RSU’s expired/cancelled	(5)		11.90	—
Less: RSU’s vested	(40,233)		16.88	—
RSU’s outstanding at September 30, 2023	—	$	—	—

Common Stock Warrants (Tables)

9 Months Ended

Sep. 30, 2023

Common Stock Warrants

Schedule of warrants by expiration date

As of September 30, 2023, the Company’s warrants by expiration date were as follows:


Number of Warrants		Exercise Price (in Dollars)	Expiration Date
278	$	16.00	August 23, 2023
2,279		356.50	June 1, 2024
7,492		218.50	June 17, 2024
1,997		312.50	June 19, 2024
2,279		265.50	September 1, 2024
1,050		127.40	September 16, 2024
2,279		43.00	December 1, 2024
2,800		56.50	March 2, 2025
2,800		73.00	June 1, 2025
2,800		55.00	September 1, 2025
2,800		47.05	December 1, 2025
222,189		75.00	December 1, 2025
90,880		175.00	December 1, 2025
62,429		512.50	December 1, 2025
15,856		1,250.00	December 1, 2025
175,132		17.15	October 18, 2026
233,775		35.00	December 12, 2026
175,000		35.00	December 27, 2026
7,200,002		2.25	July 17, 2028
8,204,117

Schedule of warrants


		Number of Warrants
Warrants outstanding - January 1, 2022		1,004,115
Warrants issued in 2022		—
Warrants outstanding - December 31, 2022		1,004,115
Warrants issued - Nine Months ending September 30, 2023		7,200,002
Warrants outstanding - September 30, 2023		8,204,117

Basic and Diluted Net Loss per Common Share (Tables)

9 Months Ended

Sep. 30, 2023

Basic and Diluted Net Loss per Common Share

Summary of basic and diluted net loss per share


	For the Nine Months Ended				For the Three Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
Numerator
Net loss per common	$	(8,820,570)	$	(15,816,213)	$	(4,888,740)	$	(13,830,196)
Denominator
Weighted-average common shares for basic net loss per share		2,108,747		2,068,472		2,119,620		2,068,472
Basic and diluted net loss per common share	$	(4.18)	$	(7.65)	$	(2.31)	$	(6.69)

Summary of potentially dilutive securities convertible into common shares


	For the Nine Months Ended		For the Three Months Ended
	September 30,		September 30,
	2023	2022	2023	2022
Stock Options	210,067	59,067	210,067	59,067
RSUs	—	42,564	—	42,564
Series A Convertible Preferred stock	6,762,090	—	6,762,090	—
Warrants	8,204,117	1,004,115	8,204,117	1,004,115
Total	15,176,274	1,105,746	15,176,274	1,105,746

Segment Information (Tables)

9 Months Ended

Sep. 30, 2023

Segment Information

Summary of results of operations by reportable segment


	Prescription		Medical
For the Nine Months Ended September 30, 2023	Medications		Devices		Corporate		Consolidated
Net sales	$	3,416,444	$	2,770,194	$	—	$	6,186,638
Cost of goods sold		343,109		1,129,964		—		1,473,073
Selling, general and administrative expenses		1,006,666		1,398,890		3,976,610		6,382,166
Warrant issuance costs		—		—		2,855,000		2,855,000
Research and development expenses		1,499,842		74,918		—		1,574,760
Depreciation and amortization expense		1,726,409		753,976		—		2,480,385
Change in fair value of derivative liability		—		—		430,000		430,000
Change in fair value of warrant liability		—		—		(11,739,000)		(11,739,000)
Interest income		—		—		(287,722)		(287,722)
Interest expense		—		—		410,317		410,317
Loss on issuance of Series A Preferred Stock		—		—		11,088,997		11,088,997
Net loss	$	(1,159,582)	$	(587,554)	$	(6,734,202)	$	(8,481,338)


	Prescription		Medical
For the Nine Months Ended September 30, 2022	Medications		Devices		Corporate		Consolidated
Net sales	$	2,716,311	$	2,477,642	$	—	$	5,193,953
Cost of goods sold		525,073		883,013		—		1,408,086
Selling, general and administrative expenses		3,933,295		1,352,239		3,999,783		9,285,317
Gain on settlement of contingent liability		(3,389,941)		—		—		(3,389,941)
Research and development expenses		1,428,848		133,670		—		1,562,518
Depreciation and amortization expense		3,808,991		873,619		—		4,682,610
Intangible asset impairment		7,460,000		—		—		7,460,000
Change in fair value of derivative liability		—		—		(460,000)		(460,000)
Interest expense		451,075		—		—		451,075
Income tax expense		—		10,501		—		10,501
Net loss	$	(11,501,030)	$	(775,400)	$	(3,539,783)	$	(15,816,213)


	Prescription		Medical
For the Three Months Ended September 30, 2023	Medications		Devices		Corporate		Consolidated
Net sales	$	925,759	$	748,898	$	—	$	1,674,657
Cost of goods sold		85,388		323,087		—		408,475
Selling, general and administrative expenses		251,674		493,447		1,256,814		2,001,935
Warrant issuance costs		—		—		2,855,000		2,855,000
Research and development expenses		369,505		19,588		—		389,093
Depreciation and amortization expense		575,470		251,325		—		826,795
Change in fair value of derivative liability		—		—		430,000		430,000
Change in fair value of warrant liability		—		—		(11,739,000)		(11,739,000)
Interest income		—		—		(168,481)		(168,481)
Interest expense		—		—		131,351		131,351
Loss on issuance of Series A Preferred Stock		—		—		11,088,997		11,088,997
Net loss	$	(356,278)	$	(338,549)	$	(3,854,681)	$	(4,549,508)


	Prescription		Medical
For the Three Months Ended September 30, 2022	Medications		Devices		Corporate		Consolidated
Net sales	$	(2,140,629)	$	682,897	$	—	$	(1,457,732)
Cost of goods sold		36,067		250,458		—		286,525
Selling, general and administrative expenses		493,128		467,700		1,210,147		2,170,975
Research and development expenses		678,552		57,364		—		735,916
Depreciation and amortization expense		1,269,664		291,206		—		1,560,870
Intangible asset impairment		7,460,000		—		—		7,460,000
Interest expense		147,677		—		—		147,677
Income tax expense		—		10,501		—		10,501
Net loss	$	(12,225,717)	$	(394,332)	$	(1,210,147)	$	(13,830,196)

Summary of net sales by geographic region


	For the Nine Months Ended				For the Three Months Ended
	September 30,				September 30,
Net sales	2023		2022		2023		2022
United States	$	5,253,587	$	4,260,171	$	1,496,988	$	(1,647,367)
International		933,051		933,782		177,669		189,635
	$	6,186,638	$	5,193,953	$	1,674,657	$	(1,457,732)

Summary of assets by reportable segment and reconciliation of segment assets to consolidated assets

The Company’s assets by reportable segment and reconciliation of segment assets to consolidated assets as of September 30, 2023, are summarized as follows:


	Prescription		Medical
	Medications		Devices		Consolidated
Intangible assets, net	$	5,459,960	$	4,311,804	$	9,771,764
Total segment assets	$	32,810,715	$	6,103,453	$	38,914,168

The Company’s assets by reportable segment and reconciliation of segment assets to consolidated assets as of December 31, 2022, are summarized as follows:


	Prescription		Medical
	Medications		Devices		Consolidated
Intangible assets, net	$	7,178,704	$	5,065,780	$	12,244,484
Total segment assets	$	25,831,048	$	6,590,166	$	32,421,214

Fair Value Measurements (Tables)

9 Months Ended

Sep. 30, 2023

Fair Value Disclosures [Abstract]

Schedule of fair value of financial liabilities on recurring basis


		September 30
Description	Level	2023
Liabilities:
Warrant liability	3	$	9,805,000
Bifurcated embedded derivative liability	3	$	6,570,000

The following table sets forth a summary of the change in the fair value of the warrant liability that is measured at fair value on a recurring basis:



Balance on December 31, 2022	$	—
Issuance of warrants reported at fair value		21,544,000
Change in fair value of warrant liability		(11,739,000)
Balance on September 30, 2023	$	9,805,000

summary of the change in the fair value of financial liabilities



Balance on December 31, 2022	$	—
Issuance of convertible preferred stock with bifurcated embedded derivative		6,140,000
Change in fair value of bifurcated embedded derivative		430,000
Balance on September 30, 2023	$	6,570,000

Nature of Operations, Basis of Presentation, Liquidity and Going Concern (Details) - USD ($)	1 Months Ended	9 Months Ended
	Jul. 31, 2023	Sep. 30, 2023	Dec. 31, 2022
Nature of Operations, Basis of Presentation, Liquidity and Going Concern
Cash		$ 18,000,000.0
Working capital		16,400,000
Accumulated deficit		(99,207,731)	$ (90,726,393)
Proceeds from gross proceeds	$ 15,000,000	$ 15,000,003

Summary of Significant Accounting Policies (Details) - USD ($)	3 Months Ended	9 Months Ended		12 Months Ended
	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022	Dec. 31, 2021
Summary of Significant Accounting Policies
Reserves for product returns		$ 2,900,000		$ 2,300,000	$ 3,800,000
Increase in estimates of reserve		1,300,000	$ 7,600,000
Accrued contract rebates		$ 49,499		279,018	379,242
Revenue practical expedient, financing component		true
Deferred Revenue		$ 0		281,372	$ 70,343
Impairment charge of approximate	$ 7,460,000		$ 7,460,000	7,460,000
Prescription Medications
Summary of Significant Accounting Policies
Reserves for sales deductions		$ 3,400,000		$ 3,000,000.0
Medical Devices
Summary of Significant Accounting Policies
Right to return and receive credit for product		90 days
Minimum \| Prescription Medications
Summary of Significant Accounting Policies
Due period for invoice payments		30 days
Right to return and receive credit for product		6 months
Minimum \| Medical Devices \| Domestic customers
Summary of Significant Accounting Policies
Due period for invoice payments		30 days
Maximum \| Prescription Medications
Summary of Significant Accounting Policies
Due period for invoice payments		75 days
Right to return and receive credit for product		1 year
Maximum \| Medical Devices \| International customers
Summary of Significant Accounting Policies
Due period for invoice payments		90 days

Accounts Receivable, net (Details) - USD ($)	Sep. 30, 2023	Dec. 31, 2022	Dec. 31, 2021
Accounts Receivable, net
Gross accounts receivables	$ 3,713,405	$ 2,757,839	$ 3,363,827
Distribution service fees	(358,661)	(339,094)	(371,310)
Chargebacks accrual	(7,375)	(1,960)
Cash discount allowances	(132,967)	(99,671)	(159,446)
Allowance for doubtful accounts	(239,384)	(206,868)	(377,685)
Total accounts receivable, net	$ 2,975,018	$ 2,110,246	$ 2,455,386

Accounts Receivable, net - Additional information (Details) - customer	9 Months Ended		12 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Gross billings from customers \| Customer concentration risk
Accounts Receivable, net
Number of customers	3	4
Gross billings from customers \| Customer concentration risk \| One customers
Accounts Receivable, net
Concentration risk percentage	23.00%	27.00%
Gross billings from customers \| Customer concentration risk \| Two customers
Accounts Receivable, net
Concentration risk percentage	19.00%	22.00%
Gross billings from customers \| Customer concentration risk \| Three customers
Accounts Receivable, net
Concentration risk percentage	17.00%	18.00%
Gross billings from customers \| Customer concentration risk \| Four customers
Accounts Receivable, net
Concentration risk percentage		15.00%
Account receivables \| Credit concentration risk
Accounts Receivable, net
Number of customers	3		2
Account receivables \| Credit concentration risk \| One customers
Accounts Receivable, net
Concentration risk percentage	43.00%		43.00%
Account receivables \| Credit concentration risk \| Two customers
Accounts Receivable, net
Concentration risk percentage	25.00%		16.00%
Account receivables \| Credit concentration risk \| Three customers
Accounts Receivable, net
Concentration risk percentage	14.00%

Inventories (Details) - USD ($)	Sep. 30, 2023	Dec. 31, 2022
Inventories
Raw Materials	$ 2,391,190	$ 1,574,683
Finished goods	109,903	240,430
Total inventory	$ 2,501,093	$ 1,815,113

Inventories - Additional Information (Details) - USD ($)	Sep. 30, 2023	Dec. 31, 2022
Inventories
Finished goods are net of valuation reserves	$ 405,495	$ 364,300
Raw materials are net of valuation reserves	$ 2,872,977	$ 2,872,977

Prepaid Expenses and Other Current Assets (Details) - USD ($)	Sep. 30, 2023	Dec. 31, 2022
Prepaid Expenses and Other Current Assets.
Prepaid insurance	$ 169,588	$ 109,414
Prepaid coupon fees		71,500
API purchase commitment asset	694,314	663,984
Other prepaid expenses	65,655	333,158
Other current assets	57,563	138,226
Total prepaid expenses and other current assets	$ 987,120	$ 1,316,282

Intangible Assets (Details) - USD ($)	3 Months Ended	9 Months Ended		12 Months Ended
Intangible Assets (Details) - USD ($)	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Intangible Assets
Balance		$ 12,244,484	$ 25,293,149	$ 25,293,149
Amortization expense		(2,472,720)		(5,588,665)
Intangible Impairment	$ (7,460,000)		$ (7,460,000)	(7,460,000)
Balance		$ 9,771,764		$ 12,244,484

Intangible Assets - Future annual amortization (Details) - USD ($)	Sep. 30, 2023	Dec. 31, 2022	Dec. 31, 2021
Intangible Assets
2023 (remaining 3 months)	$ 800,027
2024	2,800,623
2025	1,754,328
2026	1,442,186
2027	1,212,871
Thereafter	1,761,729
Total	$ 9,771,764	$ 12,244,484	$ 25,293,149

Intangible Assets - Additional Information (Details) - USD ($)	3 Months Ended	9 Months Ended	12 Months Ended
	Sep. 30, 2022	Sep. 30, 2022	Dec. 31, 2022	Sep. 30, 2023	Dec. 31, 2021
Intangible Assets
Carrying value of intangible assets			$ 12,244,484	$ 9,771,764	$ 25,293,149
Impairment charge of approximate	$ 7,460,000	$ 7,460,000	7,460,000
Stendra product
Intangible Assets
Estimated useful lives of intangible assets				10 years
Carrying value of intangible assets			7,200,000	$ 5,500,000
Impairment charge of approximate			7,500,000
Timm Medical product
Intangible Assets
Estimated useful lives of intangible assets				12 years
Carrying value of intangible assets			4,000,000.0	$ 3,400,000
PTV product
Intangible Assets
Estimated useful lives of intangible assets				12 years
Carrying value of intangible assets			$ 1,100,000	$ 900,000

Accrued Expenses (Details) - USD ($)	Sep. 30, 2023	Dec. 31, 2022
Accrued Expenses
Accrued product returns	$ 2,853,413	$ 2,311,647
Accrued contract rebates	49,499	279,018
Due to 3PL/Wholesalers	103,161	155,081
Accrued bonuses	421,523	427,500
Accrued professional fees		51,620
Other accrued expenses	441,431	409,796
Total accrued expenses	$ 3,869,027	$ 3,634,662

Debt - Promissory Note (Details) - Note	9 Months Ended
Debt - Promissory Note (Details) - Note	Sep. 30, 2023 USD ($)
Debt Instrument
Principal amount of notes payable	$ 10,201,758
Interest rate (in percent)	6.00%
Interest rate at the time of default (in percent)	9.00%

Debt - Future minimum principal payments (Details) - Promissory note	Sep. 30, 2023 USD ($)
Debt Instrument
2024	$ 1,530,729
2025	2,720,940
2026	3,264,351
2027	872,073
Total	8,388,093
Less: current portion	(1,139,458)
Promissory note, net of current portion	$ 7,248,635

Operating Leases - (Details) - USD ($)	9 Months Ended
Operating Leases - (Details) - USD ($)	Sep. 30, 2023	Jan. 10, 2022
Operating Leases
Security deposit received for sublease		$ 14,000
Operating lease expense per month	$ 7,000
Minimum
Operating Leases
Remaining lease terms	10 months 24 days
Maximum
Operating Leases
Remaining lease terms	3 years 3 months 18 days

Operating Leases - Lease expense (Details) - USD ($)	3 Months Ended		9 Months Ended
Operating Leases - Lease expense (Details) - USD ($)	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Operating Lease Cost:
Fixed lease cost	$ 44,812	$ 44,812	$ 134,435	$ 134,435
Amount of fixed lease cost which are offset by sublease income	$ 21,000		$ 63,000

Operating Leases - Supplemental balance sheet information related to leases (Details) - USD ($)	Sep. 30, 2023	Dec. 31, 2022
Supplemental balance sheet information related to leases
Operating lease ROU asset:	$ 260,849	$ 358,472
Other assets	Prepaid expenses and other current assets	Prepaid expenses and other current assets
Operating lease liability:
Operating lease liability, current	$ 148,758	$ 142,340
Other current liabilities	Other current liabilities	Other current liabilities
Operating lease liability, noncurrent	$ 151,395	$ 262,677
Other long-term liabilities	Other long-term liabilities	Other long-term liabilities
Total	$ 300,153	$ 405,017

Operating Leases - Supplemental lease term and discount rate information (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Operating Leases
Weighted-average remaining lease terms - operating leases	1 year 10 months 24 days		1 year 10 months 24 days		2 years 8 months 12 days
Weighted-average discount rate - operating leases	12.60%		12.60%		12.60%
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leases	$ 47,226	$ 46,935	$ 141,677	$ 140,805

Operating Leases - Future minimum lease payments under non-cancelable leases (Details) - USD ($)	Sep. 30, 2023	Dec. 31, 2022
Lease Liability Maturity Analysis
2023 (remaining 3 months)	$ 47,697
2024	155,242
2025	81,107
2026	82,324
Total lease payments	366,370
Less: Imputed Interest	(66,217)
Total	$ 300,153	$ 405,017

Operating Leases - Future minimum sublease income under non-cancelable leases (Details)	Sep. 30, 2023 USD ($)
Sublease income
2023 (remaining 3 months)	$ 21,000
2024	56,000
Total	$ 77,000

Operating Leases - Additional information (Details)	Sep. 30, 2023 USD ($)
Operating Leases
Operating leases that had not yet commenced	$ 0

Stock Options and Restricted Stock Units ("RSU's") (Details) - shares	Sep. 14, 2023	Dec. 22, 2021	Sep. 30, 2023
Stock Options and Restricted Stock Units ("RSU's")
Number of shares authorized			2,760,000
Number of shares available for issuance	2,760,000	260,000	2,507,369
Number of shares increased for issuance	2,500,000	152,166

Stock Options and Restricted Stock Units ("RSU's") - Summary of stock options (Details) - USD ($)			9 Months Ended	12 Months Ended
	Apr. 07, 2022	Jan. 04, 2022	Sep. 30, 2023	Dec. 31, 2022
Number of Shares
Options outstanding and exercisable on beginning			59,067
Options granted		5,000	156,000
Less: options and RSU's expired/cancelled			(5,000)
Options and RSU's outstanding at the end			210,067	59,067
Options and RSU's exercisable at the end			54,067
Weighted-Average Fair Value at Grant Date
Options outstanding and exercisable at the beginning (in dollars per share)			$ 34.02
Options granted (in dollars per share)		$ 33.40	0.99
Less: options expired/cancelled (in dollars per share)			33.40
Options outstanding at the end (in dollars per share)			9.51	$ 34.02
Options exercisable at the end (in dollars per share)			$ 34.08
Weighted-Average Remaining Contractual Term (Years) and Aggregate Intrinsic Value
Options and RSU's outstanding at the beginning (in years)			8 years 11 months 26 days	8 years 3 months 14 days
Options outstanding and exercisable at the beginning (in dollars)			$ 115,400
Options granted			$ 115,400
Options and RSU's outstanding at the ending (in years)			8 years 11 months 26 days	8 years 3 months 14 days
Options exercisable at the end (in years)			7 years 5 months 23 days
Options outstanding at the end (in dollars)			$ 115,400
Restricted Stock Units
Number of Shares
Options outstanding and exercisable on beginning			40,238
Options granted	24,876
Less: options and RSU's expired/cancelled			(5)
Less: RSU's vested			(40,233)
Options and RSU's outstanding at the end				40,238
Weighted-Average Fair Value at Grant Date
Options outstanding and exercisable at the beginning (in dollars per share)			$ 16.87
Options granted (in dollars per share)	$ 11.90
Less: options expired/cancelled (in dollars per share)			11.90
Less: RSU's vested			$ 16.88
Options outstanding at the end (in dollars per share)				$ 16.87
Weighted-Average Remaining Contractual Term (Years) and Aggregate Intrinsic Value
Options and RSU's outstanding at the beginning (in years)			0 years	9 years 2 months 12 days
Options and RSU's outstanding at the ending (in years)			0 years	9 years 2 months 12 days

Stock Options and Restricted Stock Units ("RSU's") - Additional Information (Details)				9 Months Ended
	Apr. 10, 2023 director $ / shares shares	Apr. 07, 2022 director $ / shares shares	Jan. 04, 2022 $ / shares shares	Sep. 30, 2023 USD ($) $ / shares shares	Sep. 30, 2022 USD ($)
Share-based Compensation Arrangement by Share-based Payment Award
Number of directors to whom option is granted \| director	4
Number of options granted \| shares			5,000	156,000
Exercise price \| $ / shares			$ 33.40	$ 0.99
Vesting percentage	100.00%		100.00%
Vesting period	1 year
Options to purchase shares of common stock \| shares	39,000
Options to exercise price of common stock \| $ / shares	$ 0.99
Stock-based compensation expense \| $				$ 204,492	$ 966,231
Restricted Stock Units
Share-based Compensation Arrangement by Share-based Payment Award
Number of directors to whom option is granted \| director		4
Number of options granted \| shares		24,876
Exercise price \| $ / shares		$ 11.90
Vesting percentage		100.00%
Vesting period		1 year
Tania King \| Restricted Stock Units
Share-based Compensation Arrangement by Share-based Payment Award
Number of options granted \| shares		6,051
Exercise price \| $ / shares		$ 11.90
Vesting percentage		100.00%
Vesting period		1 year

Common Stock Warrants - Company's warrants by expiration date (Details) - $ / shares	Sep. 30, 2023	Jul. 13, 2023	Dec. 31, 2022	Dec. 31, 2021
Class of Warrant or Right
Number of Warrants	8,204,117		1,004,115	1,004,115
Exercise Price		$ 2.25
Expiration Date of August 23, 2023
Class of Warrant or Right
Number of Warrants	278
Exercise Price	$ 16.00
Expiration Date of June 1, 2024
Class of Warrant or Right
Number of Warrants	2,279
Exercise Price	$ 356.50
Expiration Date of June 17, 2024
Class of Warrant or Right
Number of Warrants	7,492
Exercise Price	$ 218.50
Expiration Date of June 19, 2024
Class of Warrant or Right
Number of Warrants	1,997
Exercise Price	$ 312.50
Expiration Date of September 1, 2024
Class of Warrant or Right
Number of Warrants	2,279
Exercise Price	$ 265.50
Expiration Date of September 16, 2024
Class of Warrant or Right
Number of Warrants	1,050
Exercise Price	$ 127.40
Expiration Date of December 1, 2024
Class of Warrant or Right
Number of Warrants	2,279
Exercise Price	$ 43.00
Expiration Date of March 2, 2025
Class of Warrant or Right
Number of Warrants	2,800
Exercise Price	$ 56.50
Expiration Date of June 1, 2025
Class of Warrant or Right
Number of Warrants	2,800
Exercise Price	$ 73.00
Expiration Date of September 1, 2025
Class of Warrant or Right
Number of Warrants	2,800
Exercise Price	$ 55.00
Expiration Date of December 1, 2025, One
Class of Warrant or Right
Number of Warrants	2,800
Exercise Price	$ 47.05
Expiration Date of December 1, 2025, Two
Class of Warrant or Right
Number of Warrants	222,189
Exercise Price	$ 75.00
Expiration Date of December 1, 2025, Three
Class of Warrant or Right
Number of Warrants	90,880
Exercise Price	$ 175.00
Expiration Date of December 1, 2025, Four
Class of Warrant or Right
Number of Warrants	62,429
Exercise Price	$ 512.50
Expiration Date of December 1, 2025, Five
Class of Warrant or Right
Number of Warrants	15,856
Exercise Price	$ 1,250.00
Expiration Date of October 18, 2026
Class of Warrant or Right
Number of Warrants	175,132
Exercise Price	$ 17.15
Expiration Date of December 12, 2026
Class of Warrant or Right
Number of Warrants	233,775
Exercise Price	$ 35.00
Expiration Date of December 27, 2026
Class of Warrant or Right
Number of Warrants	175,000
Exercise Price	$ 35.00
Expiration Date of July 17, 2028
Class of Warrant or Right
Number of Warrants	7,200,002
Exercise Price	$ 2.25

Common Stock Warrants - Summary of warrants (Details)	3 Months Ended	9 Months Ended
Common Stock Warrants - Summary of warrants (Details)	Sep. 30, 2023 USD ($) $ / shares shares	Sep. 30, 2023 USD ($) $ / shares shares	Jul. 17, 2023 USD ($) $ / shares shares	Jul. 13, 2023 $ / shares
Subsidiary, Sale of Stock
Warrants outstanding at the beginning \| shares		1,004,115
Warrants issued \| shares		7,200,002
Warrants outstanding at the end \| shares	8,204,117	8,204,117
Exercise price of warrants \| $ / shares				$ 2.25
Warrants term				5 years
Gain from change in fair value of the warrant liability \| $	$ (11,739,000)	$ (11,739,000)
Private Placement..
Subsidiary, Sale of Stock
Warrants to purchase shares of common stock \| shares			7,200,002
Exercise price of warrants \| $ / shares			$ 2.25
Warrants term			5 years
Fair value of warrants \| $	9,800,000	9,800,000	$ 21,500,000
Transaction costs incurred \| $		$ 2,900,000
Gain from change in fair value of the warrant liability \| $	$ 11,700,000
Private Placement.. \| Dividend yield
Subsidiary, Sale of Stock
Warrants, measurement input	0	0	0
Private Placement.. \| Expected term
Subsidiary, Sale of Stock
Warrants, measurement input	0.0479	0.0479	0.050
Private Placement.. \| Equity volatility
Subsidiary, Sale of Stock
Warrants, measurement input	1.150	1.150	1.100
Private Placement.. \| Closing stock price
Subsidiary, Sale of Stock
Warrants, measurement input \| $ / shares	1.73	1.73	3.54
Private Placement.. \| Risk-free interest rate
Subsidiary, Sale of Stock
Warrants, measurement input	0.0462	0.0462	0.0393

Basic and Diluted Net Loss per Common Share - Reconciliation of the weighted average number of common shares outstanding used in calculating basic and diluted net loss per share (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Numerator
Net loss per common share	$ (4,888,740)	$ (13,830,196)	$ (8,820,570)	$ (15,816,213)
Denominator
Weighted-average common shares for basic net loss per share	2,119,620	2,068,472	2,108,747	2,068,472
Weighted-average common shares for diluted net loss per share	2,119,620	2,068,472	2,108,747	2,068,472
Basic net loss per common share	$ (2.31)	$ (6.69)	$ (4.18)	$ (7.65)
Diluted net loss per common share	$ (2.31)	$ (6.69)	$ (4.18)	$ (7.65)

Basic and Diluted Net Loss per Common Share - Potentially dilutive securities convertible into common shares that were excluded from the calculation of diluted net loss per share (Details) - shares	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Statements
Total	15,176,274	1,105,746	15,176,274	1,105,746
Stock Options
Statements
Total	210,067	59,067	210,067	59,067
RSUs
Statements
Total		42,564		42,564
Series A Convertible Preferred stock
Statements
Total	6,762,090		6,762,090
Warrants
Statements
Total	8,204,117	1,004,115	8,204,117	1,004,115

Marketing, Licensing and Distribution Agreements - Vivus (Details)			9 Months Ended		12 Months Ended
	Jan. 18, 2022 USD ($)	Sep. 30, 2016 USD ($)	Sep. 30, 2023 USD ($)	Sep. 30, 2022 USD ($)	Dec. 31, 2022 USD ($)
Marketing, Licensing and Distribution Agreements
Noncash decrease in accrued expenses related to Vivus settlement				$ (6,520,283)
Noncash decrease in accrued inventory purchases related to Vivus Settlement				(14,203,905)
Noncash decrease in API purchase commitment			$ 694,314	6,232,489
Gain on settlement with Vivus				3,389,941
API purchase commitment asset			694,314		$ 663,984
Accrued inventory purchases			46,288
License Agreement \| Royalty on the first $500 million of net sales
Marketing, Licensing and Distribution Agreements
Threshold net sales			500,000,000
License Agreement \| Milestone payment to be paid once $250 million in sales has been reached
Marketing, Licensing and Distribution Agreements
Threshold net sales			250,000,000
Milestone payment			6,000,000
License Agreement \| Milestone payment to be paid after $250 million in sales has been reached
Marketing, Licensing and Distribution Agreements
Threshold net sales			250,000,000
Milestone payment			$ 3,200,000
License Agreement \| Vivus, Inc
Marketing, Licensing and Distribution Agreements
One-time fee to purchase and receive the license for the commercialization and exploitation of Stendra		$ 70,000,000
License Agreement \| Vivus, Inc \| Royalty during the first, second, and third years following the expiration of the Royalty Period
Marketing, Licensing and Distribution Agreements
Royalty percentage			2.00%
License Agreement \| Vivus, Inc \| Royalty following the fourth and fifth years following the end of the Royalty Period
Marketing, Licensing and Distribution Agreements
Royalty percentage			1.00%
License Agreement \| MTPC
Marketing, Licensing and Distribution Agreements
Royalty incurred			$ 170,822	$ 135,816
Royalty receivable					106,115
License Agreement \| MTPC \| Royalty on the first $500 million of net sales
Marketing, Licensing and Distribution Agreements
Royalty percentage			5.00%
License Agreement \| MTPC \| Royalty on net sales after $500 million
Marketing, Licensing and Distribution Agreements
Royalty percentage			6.00%
Settlement Agreement \| Vivus, Inc
Marketing, Licensing and Distribution Agreements
Inventory amount retained - API	$ 7,300,000
Prepayment amount	900,000
Payment made for purchase order	$ 1,542,904
Percentage of stendra tablets released	100
Noncash decrease in accrued expenses related to Vivus settlement	$ 6,500,000
Noncash decrease in accrued inventory purchases related to Vivus Settlement	14,200,000
Noncash decrease in API purchase commitment	6,200,000
Gain on settlement with Vivus					3,400,000
Raw materials inventory			$ 1,000,000.0
Settlement Agreement \| Vivus, Inc \| Other Current Assets
Marketing, Licensing and Distribution Agreements
API purchase commitment asset			700,000		700,000
Settlement Agreement \| Vivus, Inc \| Other Noncurrent Assets
Marketing, Licensing and Distribution Agreements
Accrued inventory purchases, other assets			$ 4,400,000		$ 5,100,000
Settlement Agreement \| Vivus, Inc \| Promissory Note
Marketing, Licensing and Distribution Agreements
Prepayment amount	900,000
Principal amount of notes payable	$ 10,201,758

Segment Information (Details)	3 Months Ended		9 Months Ended		12 Months Ended
Segment Information (Details)	Sep. 30, 2023 USD ($)	Sep. 30, 2022 USD ($)	Sep. 30, 2023 USD ($) segment	Sep. 30, 2022 USD ($)	Dec. 31, 2022 USD ($)
Results of operations by reportable segment
Net sales	$ 1,674,657	$ (1,457,732)	$ 6,186,638	$ 5,193,953
Cost of goods sold	408,475	286,525	1,473,073	1,408,086
Selling, general and administrative expenses	2,001,935	2,170,975	6,382,166	9,285,317
Warrant issuance costs	2,855,000		2,855,000
Gain on settlement of contingent liability				(3,389,941)
Research and development expenses	389,093	735,916	1,574,760	1,562,518
Depreciation and amortization expense	826,795	1,560,870	2,480,385	4,682,610
Intangible asset impairment		7,460,000		7,460,000	$ 7,460,000
Change in fair value of derivative liability	430,000		430,000	(460,000)
Change in fair value of warrant liability	(11,739,000)		(11,739,000)
Interest income	(168,481)		(287,722)
Interest expense	131,351	147,677	410,317	451,075
Loss on issuance of Series A Preferred Stock	11,088,997		11,088,997
Income tax expense		10,501		10,501
Net loss	(4,549,508)	(13,830,196)	$ (8,481,338)	(15,816,213)
Operating segments
Statements
Number of operating segments \| segment			2
Corporate
Results of operations by reportable segment
Selling, general and administrative expenses	1,256,814	1,210,147	$ 3,976,610	3,999,783
Warrant issuance costs	2,855,000		2,855,000
Change in fair value of derivative liability	430,000		430,000	(460,000)
Change in fair value of warrant liability	(11,739,000)		(11,739,000)
Interest income	(168,481)		(287,722)
Interest expense	131,351		410,317
Loss on issuance of Series A Preferred Stock	11,088,997		11,088,997
Net loss	(3,854,681)	(1,210,147)	(6,734,202)	(3,539,783)
Prescription Medications \| Operating segments
Results of operations by reportable segment
Net sales	925,759	(2,140,629)	3,416,444	2,716,311
Cost of goods sold	85,388	36,067	343,109	525,073
Selling, general and administrative expenses	251,674	493,128	1,006,666	3,933,295
Gain on settlement of contingent liability				(3,389,941)
Research and development expenses	369,505	678,552	1,499,842	1,428,848
Depreciation and amortization expense	575,470	1,269,664	1,726,409	3,808,991
Intangible asset impairment		7,460,000		7,460,000
Interest expense		147,677		451,075
Net loss	(356,278)	(12,225,717)	(1,159,582)	(11,501,030)
Medical Devices \| Operating segments
Results of operations by reportable segment
Net sales	748,898	682,897	2,770,194	2,477,642
Cost of goods sold	323,087	250,458	1,129,964	883,013
Selling, general and administrative expenses	493,447	467,700	1,398,890	1,352,239
Research and development expenses	19,588	57,364	74,918	133,670
Depreciation and amortization expense	251,325	291,206	753,976	873,619
Income tax expense		10,501		10,501
Net loss	$ (338,549)	$ (394,332)	$ (587,554)	$ (775,400)

Segment Information - Net Sales by Geographic region (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Statements
Net sales	$ 1,674,657	$ (1,457,732)	$ 6,186,638	$ 5,193,953
United States
Statements
Net sales	1,496,988	(1,647,367)	5,253,587	4,260,171
International
Statements
Net sales	$ 177,669	$ 189,635	$ 933,051	$ 933,782

Segment Information - Segment assets (Details) - USD ($)	Sep. 30, 2023	Dec. 31, 2022
Statements
Intangible assets, net	$ 9,771,764	$ 12,244,484
Total segment assets	38,914,168	32,421,214
Prescription Medications
Statements
Intangible assets, net	5,459,960	7,178,704
Total segment assets	32,810,715	25,831,048
Medical Devices
Statements
Intangible assets, net	4,311,804	5,065,780
Total segment assets	$ 6,103,453	$ 6,590,166

Private Placement (Details)				1 Months Ended	3 Months Ended	9 Months Ended
Private Placement (Details)	Nov. 14, 2023 USD ($) shares	Jul. 17, 2023 USD ($) $ / shares shares	Jul. 13, 2023 USD ($) Y $ / shares installment shares	Jul. 31, 2023 USD ($)	Sep. 30, 2023 USD ($) Y $ / shares	Sep. 30, 2023 USD ($) Y $ / shares	Sep. 29, 2023 USD ($)	Dec. 31, 2022 $ / shares
Private Placement [Line Items]
Common stock, par value (in dollars per share) \| $ / shares					$ 0.0001	$ 0.0001		$ 0.0001
Exercise price of warrants \| $ / shares			$ 2.25
Proceeds from gross proceeds				$ 15,000,000		$ 15,000,003
Warrants term			5 years
Maximum percentage of outstanding shares approved for issuance in accordance with Nasdaq stock market rules			19.99%
Percentage of interest on issued and our outstanding Common Stock			29.00%
Embedded derivative instrument
Private Placement [Line Items]
Fair value of the bifurcated embedded derivative					$ 6,600,000	$ 6,600,000
Loss from change in fair value of the derivative liability					$ 400,000
Fair value of our common stock
Private Placement [Line Items]
Embedded Derivative Liability, Measurement Input \| $ / shares			3.54		1.73	1.73
Equity volatility
Private Placement [Line Items]
Embedded Derivative Liability, Measurement Input			1.650		1.800	1.800
Traded volume volatility
Private Placement [Line Items]
Embedded Derivative Liability, Measurement Input			7.900		8.900	8.900
Expected term
Private Placement [Line Items]
Embedded Derivative Liability, Measurement Input \| Y			1.38		1.17	1.17
Risk-free interest rate
Private Placement [Line Items]
Embedded Derivative Liability, Measurement Input			0.081		0.078	0.078
Dividend yield
Private Placement [Line Items]
Embedded Derivative Liability, Measurement Input			0.080		0.080	0.080
Penalty dividend rate
Private Placement [Line Items]
Embedded Derivative Liability, Measurement Input			0.150		0.150	0.150
Probability of default
Private Placement [Line Items]
Embedded Derivative Liability, Measurement Input			0.097		0.104	0.104
Private Placement..
Private Placement [Line Items]
Warrants to purchase shares of common stock \| shares		7,200,002
Exercise price of warrants \| $ / shares		$ 2.25
Warrants term		5 years
Private Placement.. \| Placement Agent
Private Placement [Line Items]
Warrants to purchase shares of common stock \| shares		533,334
Cash fee (Percentage)		8.00%
Series A Preferred Stock
Private Placement [Line Items]
Exercise price of warrants \| $ / shares			$ 2.25
Number of equal monthly installments for redemption of preferred stock \| installment			13
Minimum trading days after the date that initial registration statement for considering first trading day of the calendar month			25 days
Percentage of redemptions payable in cash on installment redemption amount			107.00%
Percentage of the average of three lowest closing prices of common stock during the thirty trading day period immediately prior to amortization payment is due			80.00%
Number of trading days immediately prior to amortization payment is due considered for calculating conversion price			30 days
Conversion price for valuation of common stock \| $ / shares			$ 0.396
Percentage of minimum price			20.00%
Common stock closing price per share limit for conversion of stock for 20 consecutive trading days \| $ / shares			$ 6.75
Number of trading day considered for calculation of closing price limit of common stock for conversion			20 days
Daily dollar trading volume of common stock limit for conversion of stock			$ 2,000,000
Dividend rate			8.00%
Preferred stock, dividend accrued rate per annum			15.00%
Loss upon issuance					$ 11,100,000
Cash payable to investors							$ 1,368,547
Stated value of the Series A Preferred Shares							1,153,846
Accrued dividends payable					339,232	$ 339,232	125,170
Cash premium					89,531	89,531	$ 89,531
Number of stock redeemed \| shares	1,154
Amount of stock redeemed for cash	$ 1,213,132
Number of common stock issued upon conversion \| shares	87,499
Value of common stock issued for conversion	$ 145,248
Preferred dividends at the stated dividend rate					249,701	249,701
Series A Preferred Stock \| Embedded derivative instrument
Private Placement [Line Items]
Fair value of the bifurcated embedded derivative			$ 6,100,000		6,100,000	$ 6,100,000
Total discount upon issuance					15,000,000.0
Difference between the gross proceeds and the allocated residual fair value of embedded derivative					$ 8,900,000
Purchase Agreement \| Private Placement..
Private Placement [Line Items]
Common stock, par value (in dollars per share) \| $ / shares			$ 0.0001
Proceeds from gross proceeds		$ 15,000,000
Purchase Agreement \| Series A Preferred Stock
Private Placement [Line Items]
Initial conversion price \| $ / shares			$ 2.25		$ 2.25	$ 2.25
Purchase Agreement \| Series A Preferred Stock \| Private Placement..
Private Placement [Line Items]
Aggregate shares agreed to sell \| shares			15,000
Preferred stock, par value (in dollars per share) \| $ / shares			$ 0.0001
Preferred stock, stated value \| $ / shares			$ 1,000
Maximum shares issuable upon conversion \| shares			6,666,668
Warrants to purchase shares of common stock \| shares			6,666,668
Exercise price of warrants \| $ / shares			$ 2.25
Registration rights agreement
Private Placement [Line Items]
Percentage of conversion shares and warrant shares required to file for resale			200.00%
Threshold number of calendar days for filing resale			30 days

Fair Value Measurements (Details) - Level 3	Sep. 30, 2023 USD ($)
Warrant liability
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total liabilities	$ 9,805,000
Bifurcated embedded derivative liability
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total liabilities	$ 6,570,000

Fair Value Measurements - Change in the fair value of financial liabilities (Details)	9 Months Ended
	Sep. 30, 2023 USD ($)
Change in the fair value of financial liabilities
Issuance	$ 21,544,000
Change in fair value of liability	(11,739,000)
Balance on September 30, 2023	9,805,000
Bifurcated embedded derivative liability
Change in the fair value of financial liabilities
Issuance	6,140,000
Change in fair value of liability	430,000
Balance on September 30, 2023	$ 6,570,000