The following discussion contains management's discussion and analysis of our
financial condition and results of operations and should be read together with
"Selected Financial Data" and the historical consolidated financial statements
and the notes thereto included in "Financial Statements and Supplementary Data".
This discussion contains forward-looking statements that reflect our plans,
estimates and beliefs and involve numerous risks and uncertainties, including
but not limited to those described in the "Risk Factors" section of this Annual
Report. Actual results may differ materially from those contained in any
forward-looking statements. You should carefully read "Information Regarding
Forward-Looking Statements" and "Risk Factors."

Overview

GW Pharmaceuticals plc was founded in 1998 and is a public limited company
incorporated under the laws of England and Wales. Our ordinary shares were
admitted to trading on the Alternative Investment Market, or AIM, a market
operated by London Stock Exchange plc, under the symbol GWP on June 28, 2001. On
May 1, 2013, we completed our initial public offering of ADSs, on the Nasdaq
Global Market. Our ADSs are traded under the symbol GWPH. We cancelled the
admission of our ordinary shares to trading on AIM on December 5, 2016 and our
shares are now traded exclusively on Nasdaq.

We are a biopharmaceutical company focused on discovering, developing and
commercializing novel therapeutics from our proprietary cannabinoid product
platform in a broad range of disease areas. In over 20 years of operations, we
have established a world leading position in the science, development and
commercialization of plant-derived cannabinoid therapeutics through our proven
drug discovery and development processes, our intellectual property portfolio,
regulatory, manufacturing, and commercial expertise.

Our lead cannabinoid product is Epidiolex, a pharmaceutical formulation of
cannabidiol for which we retain global commercial rights. Epidiolex is approved
in the United States for the treatment of seizures associated with
Lennox-Gastaut syndrome (LGS) and Dravet syndrome, in patients two years of age
and older. LGS and Dravet syndrome are severe childhood-onset, drug-resistant
epilepsy syndromes. We launched Epidiolex in the United States in November 2018.
In September 2019, we received approval from the European Commission for
Epidyolex (the trade name in Europe for Epidiolex) for use as adjunctive therapy
of seizures associated with LGS or Dravet syndrome, in conjunction with
clobazam, for patients two years of age and older. We have launched Epidyolex in
Germany and the U.K. and are planning launches in France, Italy and Spain during
2020.

We continue to develop Epidiolex for additional indications. In May 2019, we
announced positive results from a Phase 3 trial in the use of Epidiolex to treat
seizures associated with Tuberous Sclerosis Complex, or TSC, a rare genetic
disorder that causes non-malignant tumors to form in many different organs that
affects approximately 50,000 individuals in the United States and one million
worldwide. On February 3, 2020, we announced that we had submitted a
supplemental New Drug Application to the U.S. Food and Drug Administration, or
FDA, to expand the Epidiolex label to include the treatment of seizures
associated with TSC. We expect to file for supplemental approval for the TSC
indication in Europe in the first quarter of 2020. We have received Orphan Drug
Designation from the FDA and the Committee for Orphan Medical Products for TSC
(we previously received the same designations for Dravet syndrome and LGS).

We have begun recruiting patients for a pivotal trial of Epidiolex in the
treatment of Rett syndrome, a rare, non-inherited neurodevelopmental disorder
affecting approximately one in 10,000 to 15,000 live female births. This trial
focuses on the behavioral abnormalities associated with the disorder.

We have a deep pipeline of additional cannabinoid product candidates that
includes compounds in Phase 1, Phase 2, and Phase 3 trials. Our most advanced
pipeline asset is nabiximols, for which we expect to commence a pivotal clinical
program in the first half of 2020 in the treatment of spasticity due to multiple
sclerosis. We anticipate commercializing nabiximols in the U.S. using our
in-house commercial organization. Nabiximols is already approved in over 25
countries outside the United States for the treatment of spasticity due to
multiple sclerosis under the brand name Sativex. We are advancing plans to
commence clinical programs for nabiximols in 2020 in spasticity due to spinal
cord injury and post-traumatic stress disorder.

In addition to nabiximols, our pipeline includes cannabinoid product candidates for schizophrenia, autism spectrum disorder, and Neonatal Hypoxic Ischemic Encephalopathy.

Change of Fiscal Year

We changed our fiscal year end to December 31 from September 30, effective December 31, 2018. This annual report is for the year ended December 31, 2019.


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Critical Accounting Policies and Estimates



Our consolidated financial statements are prepared in accordance with accounting
principles generally accepted in the United States or U.S. GAAP. These
accounting principles require us to make certain estimates, judgments and
assumptions that affect the reported amounts of assets and liabilities as of the
date of the financial statements, as well as the reported amounts of revenues
and expenses during the periods presented. We believe that the estimates,
judgments and assumptions are reasonable based upon information available to us
at the time that these estimates, judgments and assumptions are made. To the
extent there are material differences between these estimates, judgments or
assumptions and actual results, our financial statements will be affected.
Historically, revisions to our estimates have not resulted in a material change
to our financial statements. The significant accounting estimates that we
believe are important to aid in fully understanding and evaluating our reported
financial results include the following:

Revenue recognition



We recognize revenue when our customer obtains control of promised goods or
services, in an amount that reflects the consideration which we expect to
receive in exchange for those goods or services. To determine revenue
recognition for arrangements that are within the scope of Accounting Standards
Codification (ASC) Topic 606, Revenue from Contracts with Customers (Topic 606),
we perform the following five steps: (i) identify the contract(s) with a
customer; (ii) identify the performance obligations in the contract; (iii)
determine the transaction price; (iv) allocate the transaction price to the
performance obligations in the contract; and (v) recognize revenue when (or as)
we satisfy a performance obligation. We only applies the five-step model to
contracts when it is probable that we will collect the consideration we are
entitled to in exchange for the goods or services we transfer to the
customer. At contract inception, once the contract is determined to be within
the scope of Topic 606, we assess the goods or services promised within each
contract and determine those that are performance obligations and assess whether
each promised good or service is distinct. We then recognize as revenue the
amount of the transaction price that is allocated to the respective performance
obligation when (or as) the performance obligation is satisfied.

Revenue for our product sales has not been adjusted for the effects of a
financing component as we expect, at contract inception, that the period between
when we transfer control of the product and when we receive payment will be one
year or less. Product shipping and handling costs are included in cost of
product sales.

Epidiolex



Epidiolex was approved by the FDA in June 2018. That approval became effective
when the United States Drug Enforcement Agency (DEA) took action to change the
classification of Epidiolex from a Schedule I controlled substance to a Schedule
V controlled substance, thereby allowing Epidiolex to be prescribed and
distributed in the United States. On November 1, 2018, we launched sales of
Epidiolex to specialty pharmacies (SPs) and specialty distributors (SDs). We
recognize revenue from product sales upon receipt of product at the SPs and SDs,
the date at which the control is transferred, net of the following allowances
which are reflected either as a reduction to the related account receivable or
as an accrued liability, depending on how the allowance is settled:

Distribution Fees: Distribution fees include distribution service fees paid to
the SPs and SDs based on a contractually fixed percentage of the wholesale
acquisition cost (WAC), and prompt payment discounts. Distribution fees are
recorded as an offset to revenue based on contractual terms at the time revenue
from the sale is recognized.

Rebates: Allowances for rebates include mandated discounts under the Medicaid
Drug Rebate Program and the Medicare Part D prescription drug benefit, and
contractual rebates with commercial payers. Rebates are amounts owed after the
final dispensing of the product to a benefit plan participant and are based upon
contractual agreements or statutory requirements. The allowance for rebates is
based on contracted or statutory discount rates and expected utilization by
benefit plan participants. Our estimates for expected utilization of rebates is
based on utilization data received from the SPs since product launch. Rebates
are generally invoiced and paid in arrears so that the accrual balance consists
of an estimate of the amount expected to be incurred for the current quarter's
activity, plus an accrual balance for prior quarters' unpaid rebates. If actual
future rebates vary from estimates, we may need to adjust prior period accruals,
which would affect revenue in the period of adjustment.

Chargebacks: Chargebacks are discounts and fees that relate to contracts with
government and other entities purchasing from the SDs at a discounted price. The
SDs charge back to us the difference between the price initially paid by the SDs
and the discounted price paid to the SDs by these entities. We also incur group
purchasing organization fees for transactions through certain purchasing
organizations. We estimate sales with these entities and accrue for anticipated
chargebacks and organization fees, based on the applicable contractual terms. If
actual future chargebacks vary from these estimates, we may need to adjust prior
period accruals, which would affect revenue in the period of adjustment.

Co-Payment Assistance: We offer co-payment assistance to commercially insured patients meeting certain eligibility requirements. Co-payment assistance is accrued for based on actual program participation and estimates of program redemption using data provided by third-party administrators.


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Product Returns: Consistent with industry practice, we offer the SPs and SDs
limited product return rights for damages, shipment errors, and expiring
product, provided that the return is within a specified period around the
product expiration date as set forth in the applicable individual distribution
agreement. We do not allow product returns for product that has been dispensed
to a patient. As we receive inventory reports from the SPs and SDs and have the
ability to control the amount of product that is sold to the SPs and SDs, we are
able to make a reasonable estimate of future potential product returns based on
this on-hand channel inventory data and sell-through data obtained from the SPs
and SDs. In arriving at its estimate, we also considers historical product
returns, the underlying product demand, and industry data specific to the
specialty pharmaceutical distribution industry.

On September 23, 2019, we announced that the European Commission approved the
marketing authorization for Epidyolex (the trade name in Europe for Epidiolex)
for use as adjunctive therapy of seizures associated with Lennox­Gastaut
syndrome, or LGS, or Dravet syndrome, in conjunction with clobazam, for patients
two years of age and older. We recognize revenue from product sales in Europe
upon delivery of the product, which is the point at which control of the goods
is transferred to the customer. We recognize revenue net of standard discounts
and allowances, which are reflected as accrued liabilities.



We also sell Epidiolex in certain markets outside of the United States under
early access programs that enable patients to receive the product prior to
regulatory approval. Revenue under early access programs is generally recognized
when the product is delivered.

Sativex



Our product sales of Sativex, sold outside of the United States for the
treatment of spasticity due to multiple sclerosis, or MS, are made pursuant to
license agreements with commercial partners. Under these license agreements, we
sell fully labeled Sativex vials to our commercial partners for a contractually
agreed price, which is generally based on percentages of the commercial
partners' in-market net selling price charged to end customers. Product net
sales revenue related to Sativex shipments to commercial license partners is
recognized when shipped, at which point the customer obtains control of the
product. We commercialize Sativex in Australia and New Zealand through a
consignment relationship with a local distributor. Product net sales revenues
related to Sativex sales in Australia and New Zealand are recognized when the
product is sold through to the end customer.

The Sativex license agreements contain provisions for us to earn future variable
consideration in the form of regulatory milestone payments, sales-based
milestone payments, and royalty payments. We have no further performance
obligations related to the regulatory milestone payments and these amounts will
be recognized in accordance with Topic 606 when receipt of these payments
becomes probable and there is no significant risk of revenue reversal. Revenue
related to the sales-based milestone payments and product royalty payments are
subject to the sales-based royalty exception under Topic 606 and will be
recognized when the underlying sales are made.

Share-Based Compensation



We recognize share-based compensation expense for grants of stock options under
our long-term incentive plans to employees and non-employee members of the board
of directors based on the grant-date fair value of those awards. The grant-date
fair value of an award is generally recognized as compensation expense over the
award's requisite service period. Expense related to awards with graded vesting
is generally recognized over the vesting period using the accelerated
attribution method.

We use the Black-Scholes model to compute the estimated fair value of stock
option awards. Using this model, fair value is calculated based on assumptions
with respect to (i) expected volatility of the Company's ADS price, (ii) the
periods of time over which employees and members of the board of directors are
expected to hold their options prior to exercise (expected lives), (iii)
expected dividend yield on the ordinary shares, and (iv) risk-free interest
rates. Share-based compensation expense also includes an estimate, which is made
at the time of grant, of the number of awards that are expected to be forfeited.
This estimate is revised, if necessary, in subsequent periods if actual
forfeitures differ from those estimates.

Inventory



Inventory is stated at the lower of cost or estimated net realizable value. We
use a combination of standard and actual costing methodologies to determine the
cost basis for our inventories, which approximates actual cost. Inventory is
valued on a first-in, first-out basis. We reduce our inventory to net realizable
value for potentially excess, dated or obsolete inventory based on an analysis
of forecasted demand compared to quantities on hand, as well as product shelf
life.

Our inventory production process includes the cultivation of botanical raw material. Because of the duration of the cultivation process, a substantial portion of our inventory will not be sold within one year. Consistent with the practice in other industries that cultivate botanical raw materials, all inventory is classified as a current asset.


                                       56

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We capitalize inventory costs associated with our products upon regulatory
approval when, based on management's judgment, future commercialization is
considered probable and the future economic benefit is expected to be realized;
otherwise, such costs are expensed. Prior to FDA approval of Epidiolex, all
costs related to the manufacturing of Epidiolex were charged to research and
development expense in the period incurred.

U.K. Research and Development (R&D) Tax and Expenditure Credits



Prior to September 30, 2017, we benefited from the U.K. Small and Medium-sized
Enterprise R&D Tax Credit scheme, or the SME scheme, under which we were able to
obtain a refundable credit of up to 33.4% of eligible research and development
expenses incurred by our U.K. domiciled entities. Eligible expenses generally
include employment costs for research staff, consumables and certain internal
overhead costs incurred as part of research projects. Additionally,
subcontracted research expenses are eligible for a cash rebate of up to
approximately 21.68%. Due to the increase in the size of our employee workforce
in the U.K. and our annual net revenues, beginning in October 1, 2017 we are
subject to the U.K. R&D Expenditure Credit scheme, or the RDEC scheme, available
to larger companies, which has a significantly lower credit than the SME scheme.
The majority of our pipeline research, clinical trials management and the
Epidiolex and Sativex chemistry and manufacturing controls development
activities, which are generally carried out by a subsidiary in the U.K., are
eligible for inclusion under the SME and RDEC schemes. Reimbursable credits
accrued under these schemes reduce our research and development expense in the
period that the qualifying expenses are incurred.

We estimate a benefit under the RDEC scheme of $4.0 million for the year ended
December 31, 2019, $0.8 million for the three months ended December 31, 2018,
and a $4.3 million benefit for the year ended September 30, 2018. We develop
estimates at each reporting date for the amount of the reimbursable research and
development tax and expense credits and ultimately make reimbursement claims
from Her Majesty's Revenue and Customs, or HMRC, as part of the annual U.K. tax
return. Such claims are complex and require management to interpret and apply
U.K. research and development tax legislation to our specific circumstances
which requires the use of certain assumptions in estimating the portion of
current year research costs that are eligible for the claim. If actual
reimbursements differ from our estimates, adjustments to prior period accruals
would affect the amount of research and development expense in the period of the
adjustment.

Deferred Income Taxes

Deferred tax is accounted for using the asset and liability method that requires
the recognition of deferred tax assets and liabilities for the expected future
tax consequences of temporary differences between the financial statement
carrying amount and the tax bases of assets and liabilities at the applicable
tax rates. As of December 31, 2019, we have deferred tax assets of $134.2
million, offset by deferred tax liabilities of $1.6 million and a valuation
allowance of $114.5 million.

A valuation allowance is provided when it is more-likely-than-not that some
portion or all of the deferred tax assets will not be realized. Future
realization of the tax benefit of a deferred tax asset depends on the existence
of sufficient taxable income of the appropriate character (for example, ordinary
income or capital gain) within the carryback or carryforward period available
under the tax law. We consider the following possible sources of taxable income
when assessing whether there is sufficient taxable income to realize a tax
benefit for deductible temporary differences and carryforwards:

• future reversals of existing taxable temporary differences;

• future taxable income exclusive of reversing temporary differences and

carryforwards;

• taxable income in prior carryback year(s) if carryback is permitted under


         the tax law; and


  • tax-planning strategies.


We consider both positive and negative evidence regarding realization of the
deferred tax assets and the subjectivity of this evidence. This assessment
includes estimating future taxable income, scheduling reversals of temporary
differences, evaluating expectations of future profitability, determining refund
potential in the event of net operating loss carrybacks, and evaluating
potential tax-planning strategies.

We have generated losses in the United Kingdom since inception and expect to
generate tax losses next year and therefore the deferred tax assets arising in
the United Kingdom do not meet the more-likely-than-not of being realized
threshold. Accordingly, there continues to be a full valuation allowance against
deferred taxes in the U.K.

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Our U.S. subsidiary, Greenwich Biosciences, Inc., is currently profitable and
incurs a U.S. tax liability on taxable profits earned in the United States. Due
to the commercialization of Epidiolex in the United States and income related to
service agreements between our U.S. and U.K. operating subsidiaries, our U.S.
subsidiary is forecast to continue to generate taxable income in future periods.
In determining whether the deferred tax asset is more-likely-than-not of being
realized, we have taken into account the history of taxable profits, the
forecast of future taxable income, including whether future originating
temporary deductible differences are likely to be realized, and the reversal of
temporary taxable deductions. We have determined that the deferred tax for
Greenwich Biosciences, Inc. is more-likely-than-not to be realized and therefore
have no valuation allowance against the U.S. deferred tax balances.

Forecasting U.S. taxable income is by nature subject to known and unknown risks,
uncertainties, assumptions and other factors that could negatively impact our
ability to realize the value of our deferred tax assets. These risks include our
ability to successfully grow our product sales of Epidiolex in the U.S. market
and source future product development work to the U.S. subsidiary. If we
determine in the future that an amount of our U.S. deferred tax assets fail to
meet the more-likely-than-not to be realizable threshold, there will be a
negative impact on our provision for income taxes and the amount of deferred tax
assets recognized in our consolidated balance sheet. The amount of deferred
taxes for our U.S. subsidiary included in our consolidated balance sheets is
$18.1 million and $8.7 million as of December 31, 2019 and 2018, respectively.

Recent Accounting Pronouncements

See Item 15 of Part IV, "Notes to Consolidated Financial Statements-Note 2-Summary of Significant Accounting Policies."

Results of Operations



The following table summarizes the results of our operations for the years ended
December 31, 2019 and 2018. The income statement data for the year ended
December 31, 2019 are derived from the audited consolidated financial statements
included in Item 6 - Selected Financial Data. The income statement data for the
year ended December 31, 2018 are derived from our unaudited consolidated
financial statements for that period.



                                                Year Ended December 31,
                                                 2019             2018          Increase/Decrease
                                                                (in thousands)
Consolidated Statement of Operations Data:
Revenues:
Product net sales                            $     310,331     $    14,866     $           295,465
Other revenue                                        1,001             533                     468
Total revenues                                     311,332          15,399                 295,933
Operating expenses:
Cost of product sales                               27,199           6,644                  20,555
Research and development                           142,678         146,627                  (3,949 )
Selling, general and administrative                259,880         165,727                  94,153
Total operating expenses                           429,757         318,998                 110,759
Loss from operations                              (118,425 )      (303,599 )               185,174
Interest income                                      8,464           5,490                   2,974
Interest expense                                    (1,087 )        (1,230 )                   143
Other income                                       104,117               -                 104,117
Foreign exchange (loss) gain                        (2,272 )        (6,105 )                 3,833
Loss before income taxes                            (9,203 )      (305,444 )               296,241
Income tax (benefit) expense                          (184 )          (187 )                     3
Net loss                                     $      (9,019 )   $  (305,257 )   $           296,238




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The following table summarizes the results of our operations for the three
months ended December 31, 2018 and 2017. The income statement data for the three
months ended December 31, 2018 are derived from the audited consolidated
financial statements included in Item 6 - Selected Financial Data. The income
statement data for the three months ended December 31, 2017 are derived from our
unaudited consolidated financial statements for that period.



                                                 Three Months Ended December 31,
                                                   2018                   2017            Increase/Decrease
                                                                     (in thousands)
Consolidated Statement of Operations Data:
Revenues:
Product net sales                            $          6,617       $          2,220     $             4,397
Other revenue                                              37                  1,772                  (1,735 )
Total revenues                                          6,654                  3,992                   2,662
Operating expenses:
Cost of product sales                                   1,829                  1,171                     658
Research and development                               29,086                 36,195                  (7,109 )
Selling, general and administrative                    49,083                 25,174                  23,909
Total operating expenses                               79,998                 62,540                  17,458
Loss from operations                                  (73,344 )              (58,548 )               (14,796 )
Interest income                                         2,449                    604                   1,845
Interest expense                                         (295 )                 (314 )                    19
Foreign exchange (loss) gain                             (982 )                  160                  (1,142 )
Loss before income taxes                              (72,172 )              (58,098 )               (14,074 )
Income tax (benefit) expense                             (266 )                3,718                  (3,984 )
Net loss                                     $        (71,906 )     $        (61,816 )   $           (10,090 )




The following table summarizes the results of our operations for the years ended
September 30, 2018 and 2017:



                                                Years Ended September 30,
                                                 2018               2017          Increase/Decrease
                                                                 (in thousands)
Consolidated Statement of Operations Data:
Revenues:
Product net sales                            $      10,469       $     7,957     $             2,512
Other revenue                                        2,268               672                   1,596
Total revenues                                      12,737             8,629                   4,108
Operating expenses:
Cost of product sales                                5,986             4,521                   1,465
Research and development                           153,736           112,249                  41,487
Selling, general and administrative                141,818            58,020                  83,798
Total operating expenses                           301,540           174,790                 126,750
Loss from operations                              (288,803 )        (166,161 )              (122,642 )
Interest income                                      3,645             2,063                   1,582
Interest expense                                    (1,249 )            (951 )                  (298 )
Foreign exchange (loss) gain                        (4,963 )          (6,442 )                 1,479
Loss before income taxes                          (291,370 )        (171,491 )              (119,879 )
Income tax (benefit) expense                         3,797            (1,032 )                 4,829
Net loss                                     $    (295,167 )     $  (170,459 )   $          (124,708 )




Product net sales

Our product net sales include sales of Epidiolex, which we launched in the
United States in November 2018 and began to sell in certain European markets in
late 2019, and sales of Sativex outside of the United States pursuant to license
agreements with commercial partners. We also sell Epidiolex through certain
early access programs outside of the United States.

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Product net sales for the year ended December 31, 2019 were comprised of $296.4
million in net sales of Epidiolex and $13.9 million in net sales of Sativex. The
$295.4 million increase in product net sales to $310.3 million for the year
ended December 31, 2019 compared to $14.9 million for the year ended December
31, 2018 was primarily due to the November 2018 launch of Epidiolex in the
United States.

Product net sales in the three months ended December 31, 2018 were comprised of
$4.7 million in net sales of Epidiolex and $1.9 million in net sales of Sativex.
The $4.4 million increase in product net sales to $6.6 million for the three
months ended December 31, 2018 compared to $2.2 million for the three months
ended December 31, 2017 was primarily due to the November 2018 launch of
Epidiolex in the United States.

Product net sales increased $2.5 million in the year ended September 30, 2018 to
$10.5 million compared to $8.0 million in the year ended September 30, 2017. The
increase in product net sales in the year ended September 30, 2018 was primarily
due to increases in sales of Sativex in Europe, Canada and Israel.

Other revenue



Other revenue primarily consists of milestone revenue related to our Sativex
license agreements and research and development fee revenue related to license
and collaboration agreements.

Other revenue in the year ended December 31, 2019 and 2018 consists of remaining development fees related to the Otsuka license agreement.



Other revenue in the three months ended December 31, 2018 consists of remaining
development fees related to the Otsuka license agreement. Other revenue in the
three months ended December 31, 2017 primarily consists of previously deferred
development fee revenue that was recognized upon the termination of the Otsuka
license agreement. The reduction in other revenue in the three months ended
December 31, 2018 compared to the three months ended December 31, 2017 was
primarily due to the termination of the Otsuka license agreement which occurred
in December of 2017.

Other revenue in the year ended September 30, 2018 consists of $2.1 million of
research and development fee revenue related to the Otsuka license agreement
that was terminated in the first quarter of the fiscal year ended September 30,
2018 and $0.2 million of milestone revenue related to the achievement of a
Sativex regulatory approval milestone. Other revenue in the year ended September
30, 2017 consists of $0.7 million of research and development fees related to
the Otsuka license agreement. The increase in development fee revenue in the
year ended September 30, 2018 is due to deferred research and development fees
that were recognized in the fiscal year ended September 30, 2018 in conjunction
with the termination of the Otsuka license agreement.

Cost of product sales



Cost of sales increased $20.6 million, or 309%, in the year ended December 31,
2019 to $27.2 million, or 9% of product net sales, compared to $6.6 million, or
45% of product net sales in the year ended December 31, 2018. The increase in
cost of sales in dollars is primarily due to an increase in product net sales,
primarily due to the launch of Epidiolex in the U.S. The reduction in cost of
sales as a percentage of product net sales is due to the positive impact of
directly commercializing Epidiolex in the U.S. in the year ended December 31,
2019. In the year ended December 31, 2018, the majority of product net sales
were sales of Sativex outside of the U.S. through license partners.

Cost of sales increased $0.7 million, or 56% in the three months ended December
31, 2018 to $1.8 million, or 28% of product net sales, compared to $1.2 million,
or 53% of product net sales in the three months ended December 31, 2017. The
increase in cost of sales in dollars is primarily due to an increase in product
net sales, which is primarily due to the launch of Epidiolex in the U.S. The
reduction in cost of sales as a percentage of product net sales is due to the
positive impact in the three months ended December 31, 2018 of directly
commercializing Epidiolex in the U.S. compared to the similar period in the
prior year when products net sales consisted only of Sativex sales outside of
the U.S. through license partners.

Cost of sales increased $1.5 million, or 32%, in the year ended September 30,
2018 to $6.0 million, or 57% of product net sales, compared to $4.5 million, or
57% of product net sales in the year ended September 30, 2017. The increase in
cost of sales in dollars is primarily due to the increase in product net sales
in the year ended September 30, 2018 compared to the year ended September 30,
2017.

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Research and development expenses

We believe that our future revenues and cash flows are most likely to be affected by the successful development and approval of our significant late-stage research and development candidates. As of December 31, 2019, we consider the following research and development projects to be our most significant late-stage product candidates:

• Epidiolex for the treatment of tuberous sclerosis complex (United States


         and Europe)


  • Nabiximols for spasticity associated with MS (United States)

On September 23, 2019, we announced that the European Commission approved the marketing authorization for Epidyolex in Europe. We have received Orphan Designation from the European Commission for Orphan Medicinal Products for Epidyolex for Dravet syndrome and LGS.



We have completed our Phase 3 trial of Epidiolex for the treatment of TSC. In
May 2019, we reported positive top-line Phase 3 results and in December 2019 we
reported additional positive trial data. On February 3, 2020, we announced that
we submitted a supplemental new drug application with the FDA for this
indication, and we, expect to seek supplemental approval in Europe in early
2020.

In December 2017, we terminated our license agreement with Otsuka and we have
reacquired full ownership of the development and commercialization rights to
nabiximols in the United States. We have had several meetings with the FDA to
discuss the optimal regulatory pathway for U.S. approval of nabiximols and are
now in the process of planning an additional clinical program, which is expected
to commence in early 2020.

Research and development expenses consist of internal and external costs to
conduct our pre-clinical studies and clinical trials, payroll costs associated
with employing our team of research and development staff, share-based payment
expenses, property costs associated with leasing laboratory and office space to
accommodate our research teams, costs of growing botanical raw material, costs
of processing product for clinical trials, costs of consumables used in the
conduct of our in-house research programs, payments for research work conducted
by sub-contractors and sponsorship of work by our network of academic
collaborative research scientists, costs associated with safety studies and
costs associated with the development of Epidiolex, Sativex, and our other
pipeline product candidates. Research and development expense is presented net
of reimbursements from reimbursable tax and expenditure credits from the U.K.
government.

We track all research and development expenditures against detailed budgets but
do not seek to allocate all research and development costs by individual
project. In 2018, we began to track external third-party costs for clinical
trials by product candidate. In prior years we tracked costs for historical
nabiximols projects funded by Otsuka, but other costs were not allocated to
individual projects. The components of R&D expense for the years ended December
31, 2019 and 2018, three months ended December 31, 2018 and 2017 and the year
ended September 30, 2018 are as follows:



                                      Years Ended              Three Months Ended          Year Ended
                                     December 31,                 December 31,            September 30,
                                  2019          2018           2018          2017             2018
                                                             (in thousands)
External clinical trial
expense
Epidiolex                       $  28,020     $  33,970     $    8,936     $   7,508     $        33,262
Nabiximols                      $   3,837     $      33     $       69     $      45                   -
Other programs                      8,413         2,645            770           296               1,460
Total external clinical trial
expense                            40,270        36,648          9,775         7,849              34,722
Otsuka funded research and
development                             -           565              -             -                 565
Research and development tax
and expense
  credits                          (3,992 )      (4,090 )         (759 )        (994 )            (4,325 )
Other internal research and
development                       106,400       113,504         20,070        29,340             122,774
Total research and
development expense             $ 142,678       146,627     $   29,086     $  36,195     $       153,736




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The components of R&D expense for the years ended September 30, 2017, are as
follows:



                                                       Year Ended
                                                      September 30,
                                                          2017
                                                     (in thousands)
Otsuka funded research and development               $           669
Other research and development                               137,587
Research and development tax and expense credits             (26,007 )
Total research and development expense               $       112,249




R&D expenses decreased $3.9 million, or 3%, to $142.7 million for the year ended
December 31, 2019 compared to $146.6 million the year ended December 31, 2018.
R&D expenses decreased $7.1 million, or 20%, to $29.1 million for the three
months ended December 31, 2018 compared to $36.2 million the three months ended
December 31, 2017. The decrease in R&D expenses in both periods was primarily
due to the prior period impact of inventory production costs for Epidiolex that
were charged to R&D expenses prior to FDA approval in June 2018.

R&D expenses increased $41.5 million, or 37.0%, to $153.7 million in the year
ended September 30, 2018 compared to $112.2 million in the year ended September
30, 2017. The increase in R&D expenses was primarily due to an increase in
personnel and related costs, including share-based compensation expense, related
to an increase in our global R&D headcount, an increase in costs to prepare the
Epidiolex regulatory submissions in the U.S. and Europe, an increase in costs of
growing high CBD plant material for Epidiolex, which prior to the achievement of
regulatory approval in the U.S. were included in R&D expenses, and a decrease in
the U.K. research and development tax and expense credits due to the transition
out of the SME scheme and into the RDEC scheme in the U.K.

Sales, general and administrative expenses



Sales, general and administrative, or SG&A, expenses consist primarily of
salaries and benefits related to our executive, commercial, and corporate
support functions, expenses associated with our commercial activities, and other
general administration expenses. We expect that sales, general and
administrative expenses will increase in the future as we expand our operating
activities and continue to build our commercial team in preparation for the
launch of Epidiolex in additional markets in Europe.

SG&A expenses increased $94.2 million, or 57%, to $259.9 million in the year
ended December 31, 2019 compared to $165.7 million in 2018. The increase in SG&A
expenses in 2019 was primarily due to an increase in employee-related expenses
driven by the build-out of our commercial functions in the United States and
Europe, costs related to the launch of Epidiolex in Europe, an increase in our
corporate support functions, and an increase in insurance expenses.

SG&A expenses increased $23.9 million, or 95%, to $49.1 million in three months
ended December 31, 2018 compared to $25.2 million in 2017. The increase in SG&A
expenses in 2018 was primarily due to an increase in employee-related expenses
driven by the build-out of our commercial functions in the U.S. and Europe,
costs related to the November 2018 launch of Epidiolex in the U.S., an increase
in all of our corporate support functions, and, to a smaller degree, an increase
in insurance expenses and an increase audit and legal fees related to our
transition to domestic registrant status with the SEC.

SG&A expenses increased $83.8 million, or 144.4%, to $141.8 million in the year
ended September 30, 2018 compared to $58.0 million in the year ended September
30, 2017. The increase in SG&A expenses in 2018 was primarily due to an increase
in employee-related expenses driven by the build-out of our commercial functions
in the U.S. and Europe, pre-launch costs related to the November 2018 launch of
Epidiolex in the U.S., an increase in all of our corporate support functions,
and, to a smaller degree, an increase in insurance expenses and an increase
audit and legal fees related to our transition to domestic registrant status
with the SEC.

Interest Income

Interest income increased $3.0 million in the year ended December 31, 2019 to
$8.5 million compared to interest income of $5.5 million in the year ended
December 31, 2018. The increase in interest income in 2019 is primarily due to
higher average cash and cash equivalent balances in 2019 compared to 2018 and an
increase in interest rates on money market funds during the period.

Interest income increased $1.8 million in the three months ended December 31,
2018 to $2.4 million compared to interest income of $0.6 million during the
three months ended December 31, 2017. The increase in interest income in 2018 is
primarily due to higher average cash and cash equivalent balances in 2018
compared to 2017 and increases in interest rates on money market funds during
the period.

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Interest income increased $1.5 million in the year ended September 30, 2018 to
$3.6 million compared to interest income of $2.1 million in the year ended
September 30, 2017. The increase in interest income in 2018 is primarily due to
higher average cash and cash equivalent balances in 2018 compared to 2017 and a
small increase in interest rates during the period.

Interest Expense



Interest expense for the year ended December 31, 2019 was $1.1 million and
interest expense for the year ended December 31, 2018 was $1.2 million. Interest
expense is primarily related to our finance lease liabilities, which did not
significantly fluctuate in 2019 compared to 2018.

Interest expense remained consistent during the three months ended December 31,
2018 of $0.3 million compared to interest expense of $0.3 million in the three
months ended December 31, 2017.

Interest expense increased $0.2 million in the year ended September 30, 2018 to
$1.2 million compared to interest expense of $1.0 million in the year ended
September 30, 2017. The increase in interest expense in 2018 is primarily due to
the increase in finance lease liabilities in 2018 compared to 2017.



Other income



Other income for the year ended December 31, 2019 consisted of $104.1 million in
net proceeds from the sale of the priority review voucher that we received from
the FDA in connection with the approval of Epidiolex in the United States.

Foreign currency exchange loss



Foreign currency exchange gains and losses are driven primarily by financial
assets and liabilities denominated in a currency other than the transacting
entity's functional currency. A significant majority of our cash balances are
denominated in U.S. dollars and the functional currency of the GW
Pharmaceuticals plc legal entity for the year ended September 30, 2017 was the
British Pound. Accordingly, a substantial portion of foreign currency
transaction losses in the year ended September 30, 2017 were related to the
impact of exchange rate changes between the U.S. dollar and British Pound on the
U.S. dollar denominated cash deposits held by GW Pharmaceuticals plc. On October
1, 2017, the U.S. dollar became the functional currency of GW Pharmaceuticals
plc. Beginning on October 1, 2017, our primary exposure to foreign currency
exchange gains and losses is the British Pound denominated cash balances held by
GW Pharmaceuticals plc and intercompany balances between subsidiaries with
different functional currencies.

Foreign currency exchange loss for the year ended December 31, 2019 was $2.3
million compared to a foreign currency exchange loss of $6.1 million in the year
ended December 31, 2018. The decrease in the foreign exchange loss in 2019 was
due primarily to a smaller year over year change in the foreign currency
exchange rates of the U.S. dollar and British Pound compared to the change in
rates for the similar period in 2018.

Foreign currency exchange loss for the three months ended December 31, 2018 was
$1.0 million compared to a foreign currency exchange gain of $0.2 million in the
three months ended December 31, 2017. The increase in the foreign exchange loss
in the three months ended December 31, 2018 compared to the prior year period
was due primarily to a due to a strengthening of the U.S. dollar against the
British Pound in the three months ended December 31, 2018.

Foreign currency exchange loss for the year ended September 30, 2018 was $5.0
million compared to a foreign currency exchange loss of $6.4 million in the year
ended September 30, 2017. The decrease in the foreign exchange loss in 2018 was
due primarily to a change in our foreign currency exchange rate exposure due to
the U.S. dollar becoming the functional currency of GW Pharmaceuticals plc on
October 1, 2017.

Income tax expense (benefit)

Income tax benefit for both the year ended December 31, 2019 and the year ended
December 31, 2018 was $0.2 million. An increase in the income tax benefit in
December 31, 2019 primarily related to excess tax benefits for stock
compensation was fully offset by an increase in state taxes.

Income tax benefit for the three months ended December 31, 2018 was $0.3 million
compared to an income tax expense of $3.7 million for the three months ended
December 31, 2017. The decrease in income tax expense for 2018 was primarily due
to the remeasurement of the federal portion of our U.S. subsidiary's deferred
tax assets and liabilities recorded in the three months ended December 31, 2017,
the period of enactment of the Tax Cuts and Jobs Act.

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Income tax expense for the year ended September 30, 2018 was $3.8 million
compared to an income tax benefit of $1.0 million for the year ended September
30, 2017. The increase in income tax expense for 2018 was primarily due to the
remeasurement of the federal portion of our U.S. subsidiary's deferred tax
assets and liabilities to the enacted tax rate expected to apply when the
temporary differences are to be realized.  The President of the United States
signed into law the Tax Cuts and Jobs Act on December 22, 2017 which among a
broad range of tax reform measures, reduced the corporate tax rate from 35% to
21% effective January 1, 2018. The negative impact of the remeasurement of
deferred tax assets was partially offset by a reduction in taxes on current
period income due to the decline in the U.S. statutory tax rate.

Liquidity and Capital Resources



In recent years, we have incurred significant net losses and negative cash flows
from operations. We have largely funded our operations from issuances of equity
securities, government expense and tax credits, and the sale of our priority
review voucher. Our cash flows may fluctuate, are difficult to forecast and will
depend on many factors, including:

• the timing of achievement of future Epidiolex regulatory approvals and

commercial launches in the United States and Europe;

• the extent to which we seek to retain development rights to our pipeline


         of new product candidates or whether we seek to out-license them to a
         partner who will fund future research and development expenditure in
         return for a right to share in future commercial revenue;

• the extent of success in our early pre-clinical and clinical stage

research programs which will determine the amount of funding required to


         further the development of our product candidates;


  • the terms and timing of new strategic collaborations;

• the number and characteristics of the product candidates that we seek to

develop;

• the outcome, timing and cost of regulatory approvals of our product


         candidates;


      •  the costs involved in filing and prosecuting patent applications and
         enforcing and defending potential patent claims; and

• the costs of hiring additional skilled employees to support our continued

growth.

We believe that our cash and cash equivalents as of December 31, 2019 of $536.9 million will be sufficient to fund our operations, including currently anticipated research and development activities and planned capital expenditures, for the foreseeable future, including for at least the next 12 months.

Cash Flows

The following table summarizes the results of our cash flows for the years ended December 31, 2019 and 2018, three months ended December 31, 2018 and 2017 and years ended September 30, 2018 and 2017.





                                            Years Ended              Three Months Ended               Years Ended
                                           December 31,                 December 31,                 September 30,
                                        2019           2018          2018          2017           2018           2017
                                                                                      (in thousands)
Net cash used in operating
activities                           $ (123,469 )   $ (254,770 )   $ 

(74,460 ) $ (51,558 ) $ (231,868 ) $ (148,974 ) Net cash provided by (used in) investing activities

                     61,629     $  (42,896 )

(18,750 ) (8,741 ) (32,887 ) (20,097 ) Net cash provided by (used in) financing


  activities                              1,946     $  324,479       324,468       297,743        297,754         (1,213 )
Cash and cash equivalents at end
of the year                          $  536,933     $  591,497     $ 591,497     $ 559,227     $  354,913     $  322,154




Operating activities

As of December 31, 2019, we had cash and cash equivalents totaling $536.9
million compared to $591.5 million as of December 31, 2018. Net cash used in
operating activities decreased by $131.3 million to $123.5 million during the
year ended December 31, 2019 compared to $254.8 million for the year ended
December 31, 2018. The decrease in cash used is attributable to a $295.4 million
increase in net product sales, partially offset by a $20.6 million increase in
cost of product sales, a $94.2 million increase in SG&A expenses, and a $60.1
million increase in cash used to fund changes in net operating assets and
liabilities.

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Net cash used in operating activities increased by $22.9 million to $74.5
million during the three months ended December 31, 2018 compared to $51.6
million for the three months ended December 31, 2017. The increase in cash used
is primarily attributable to net loss of $72.2 million adjusted for non-cash
items, including depreciation and amortization expense of $2.5 million and
stock-based compensation of $9.7 million.

Net cash used in operating activities increased by $82.9 million to $231.9
million for the year ended September 30, 2018 compared to $149.0 million for the
year ended September 30, 2017. The increase in cash used in operating activities
was primarily due to the increase in research and development expenses,
including the cost of growing high CBD plant material for Epidiolex prior to the
achievement of regulatory approval in the U.S., and increased SG&A expenses
related to the ramp up of commercialization activities and corporate support
functions.

Investing activities

Net cash provided by investing activities increased by $104.5 million to $61.6
million during the year ended December 31, 2019 compared to net cash used in
investing activities of $42.9 million for the year ended December 31, 2018. The
increase in cash provided by investing activities is primarily due to the sale
of our priority review voucher in April 2019.

Net cash used in investing activities increased by $10.1 million to $18.8 million during the three months ended December 31, 2018 compared to $8.7 million for the three months ended December 31, 2017. The increase in cash used in investing activities is primarily due to the continued expansion of our manufacturing facilities.



Net cash used in investing activities increased by $12.8 million to $32.9
million for the year ended September 30, 2018 compared to $20.1 million for the
year ended September 30, 2017. The increase in cash used in investing activities
was primarily due to the continued expansion of our manufacturing facilities.

Financing activities

Financing activities provided a decrease in net cash of $322.5 million to $1.9 million during the year ended December 31, 2019 compared to $324.5 million during the year ended December 31, 2018. The decrease in cash provided by financing activities is primarily due to the net proceeds of $324.6 million received from our equity offering in October 2018.



Financing activities provided an increase in net cash of $26.8 million to $324.5
million during the three months ended December 31, 2018 compared to $297.7
million during the three months ended December 31, 2017. The increase in cash
provided by financing activities is primarily due to net proceeds of $324.6
million received from our equity offering in October 2018.

Net cash provided by financing activities increased by $298.9 million to $297.7
million for the year ended September 30, 2018 compared to cash used in financing
activities of $1.2 million for the year ended September 30, 2017. The increase
in cash provided by financing activities was primarily due to net proceeds of
$297.9 million from our equity offering in December 2017.

Equity Financings

In October 2018, we completed a public offering of ADSs in which we sold 26.2 million ordinary shares at an offering price of $158.00 per ADS. The ADSs were sold pursuant to a shelf registration statement with the SEC. The net proceeds generated from this transaction, after underwriting discounts and commissions and offering costs, were approximately $324.6 million.

In December 2017, we completed a public offering of ADSs in which we sold 33.1 million ordinary shares at an offering price of $115.00 per ADS. The ADSs were sold pursuant to a shelf registration statement with the SEC. The net proceeds generated from this transaction, after underwriting discounts and commissions and offering costs, were approximately $297.9 million.

Off Balance Sheet Arrangements

We do not have any off-balance sheet arrangements.


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Tabular Disclosure of Contractual Obligations



The following table summarizes our contractual obligations as at December 31,
2019.



                                                                 Payments Due by Period
                                                    Less than                                           More than
                                       Total         1 year         1 - 3 years       3 - 5 years        5 years
                                                                     (in thousands)
Operating lease obligations           $ 34,917     $     5,900     $      10,097     $       7,483     $    11,437
Finance lease obligations                9,788             729             1,450             1,436           6,173
Purchase obligations                    38,975          23,126            13,874               658           1,317
Landlord financing obligations          14,143           1,266             2,532             2,532           7,813

Total contractual obligations $ 97,823 $ 31,021 $ 27,953 $ 12,109 $ 26,740

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