Updated NCCN Guidelines Will Expand Rare Disease Diagnosis

Key Takeaways

• Expansion of diagnoses and payer coverage is driving broader patient access and sustained high revenue growth across Catalyst's rare disease portfolio.
  
• Strong product launches, durable margins, and disciplined business development position Catalyst for continued earnings growth amid increasing competition.
  
• Heavy dependence on a few key drugs and limited late-stage pipeline heightens risk from generic competition, legal challenges, and rising expenses, threatening future growth and profitability.

Catalysts

A commercial-stage biopharmaceutical company, focuses on developing and commercializing medicines for patients living with rare diseases in the United States.

• Significant upside exists from expanding FIRDAPSE's addressable patient pool by improving rare cancer-associated LEMS diagnosis-driven by updated NCCN guidelines, wider access to frictionless VGCC antibody testing, and targeted oncology education. With 90% of this segment still undiagnosed, this lays a foundation for sustained, above-market revenue growth in 2026 and beyond as more patients are identified and treated.
  
• Earlier detection and improved diagnostic accuracy of neuromuscular and rare diseases, enabled by advancements in genetic and biomarker-based diagnostics, are increasing the eligible patient pool-propelling higher-than-expected adoption rates and boosting long-term revenue visibility across the Catalyst portfolio.
  
• Broader insurance and payer coverage, evidenced by high FIRDAPSE prescription approval rates (>90%) and strong AGAMREE reimbursement (~85%), supports sustained high market penetration and expands the revenue opportunity, while also aiding margin stability by reducing payer churn and pricing erosion risk.
  
• Accelerating AGAMREE launch trajectory-with rapid patient conversion from both branded and generic steroids, robust retention (90%), and expanding use across Duchenne Muscular Dystrophy centers-signals durable, high-margin revenue contributions that will further diversify earnings beyond FIRDAPSE and help offset the impact of upcoming generic competition in the portfolio.
  
• A strong balance sheet and operational cash flow, combined with a disciplined pipeline and active business development scanning, equip Catalyst to pursue strategic portfolio additions and life cycle management initiatives, positioning the company for continued margin expansion and earnings growth despite industry competition and the looming FYCOMPA loss of exclusivity.

Catalyst Pharmaceuticals Future Earnings and Revenue Growth

Assumptions

• Analysts are assuming Catalyst Pharmaceuticals's revenue will grow by 8.3% annually over the next 3 years.
• Analysts assume that profit margins will shrink from 37.4% today to 35.8% in 3 years time.
• Analysts expect earnings to reach $253.5 million (and earnings per share of $1.9) by about August 2028, up from $208.7 million today.
• In order for the above numbers to justify the analysts price target, the company would need to trade at a PE ratio of 21.7x on those 2028 earnings, up from 11.9x today. This future PE is greater than the current PE for the US Biotechs industry at 16.8x.
• Analysts expect the number of shares outstanding to grow by 2.61% per year for the next 3 years.
• To value all of this in today's terms, we will use a discount rate of 6.78%, as per the Simply Wall St company report.

Catalyst Pharmaceuticals Future Earnings Per Share Growth

Risks

• Heavy reliance on FIRDAPSE for the majority of revenues (approximately 66% of sales per 2025 guidance) exposes Catalyst Pharmaceuticals to significant risk if generic competition emerges, if the ongoing patent litigation does not resolve in their favor, or if new therapies reduce demand-posing a threat to revenue concentration and long-term earnings stability.
  
• FYCOMPA's recent loss of exclusivity and the entry of generic competitors is already impacting revenues (Q2 2025 revenue down 6% YoY; full year revenue guidance reaffirmed but with caution), and management anticipates further revenue erosion, which could negatively impact overall top-line growth and profitability in the coming years.
  
• The company's pipeline beyond existing commercial products appears to be relatively thin in terms of late-stage, near-commercialization assets, with current R&D concentrated mainly on lifecycle management (such as AGAMREE switching studies); this raises concerns about limited new product launches and long-term revenue growth as competition intensifies and existing assets mature.
  
• Ongoing and increasing SG&A expenses-driven by doubling the dedicated sales force and accelerated investment in HCP education around new oncology opportunities and NCCN guidelines-may weigh on operating margins, especially if incremental top-line growth from these initiatives underperforms expectations.
  
• Legal and patent exclusivity risks remain significant, particularly with FIRDAPSE's status, as the outcome of litigation with first generic filers is pending and patent challenges could materially shorten exclusivity periods, resulting in abrupt declines in revenue and net margins if generic products enter the market.

Valuation

• The analysts have a consensus price target of $34.286 for Catalyst Pharmaceuticals based on their expectations of its future earnings growth, profit margins and other risk factors. However, there is a degree of disagreement amongst analysts, with the most bullish reporting a price target of $40.0, and the most bearish reporting a price target of just $31.0.
• In order for you to agree with the analyst's consensus, you'd need to believe that by 2028, revenues will be $709.1 million, earnings will come to $253.5 million, and it would be trading on a PE ratio of 21.7x, assuming you use a discount rate of 6.8%.
• Given the current share price of $20.25, the analyst price target of $34.29 is 40.9% higher.
• We always encourage you to reach your own conclusions though. So sense check these analyst numbers against your own assumptions and expectations based on your understanding of the business and what you believe is probable.