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Milestone Pharmaceuticals struggles with weak sales and financial decline amid poor CARDAMYST uptake.

Market News
18 Aug 2026
Seeking Alpha
View Source
Bearish
Milestone Pharmaceuticals struggles with weak sales and financial decline amid poor CARDAMYST uptake.

Milestone Pharmaceuticals continues to face challenges as its CARDAMYST drug shows weak differentiation and poor market adoption against cheaper generics. In Q2, revenue was only $559K from over 1,200 prescriptions, hindered by heavy discounting and limited insurance coverage, with just 20% of the PSVT market covered. Financial health is worsening, with cash at $170M, a $39M burn in the first half, liabilities doubling to $163M, and equity dropping to $18M due to high expenses and growing royalty debts. Although expanding coverage and Medicare access might improve pricing, volume and adoption remain low, and future costs will pressure margins further.

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