The following Management's Discussion and Analysis of Financial Condition and
Results of Operations section contains forward-looking statements, which involve
risks and uncertainties. Our actual results could differ materially from those
anticipated in these forward-looking statements as a result of various factors,
including those set forth in Part II, Item 1A under the caption "Risk Factors."
The interim financial statements and this Management's Discussion and Analysis
of Financial Condition and Results of Operations should be read in conjunction
with the financial statements and notes thereto for the year ended December 31,
2020 and the related Management's Discussion and Analysis of Financial Condition
and Results of Operations, which are contained in our Annual Report on Form 10-K
for the year ended December 31, 2020.
Overview
We are a neuroscience-focused, biopharmaceutical company dedicated to
discovering, developing and delivering life-changing treatments for people with
serious, challenging and under-addressed neurological, endocrine and psychiatric
disorders. Our diverse portfolio includes United States Food and Drug
Administration, or FDA, approved treatments for tardive dyskinesia, Parkinson's
disease, endometriosis*, uterine fibroids* and clinical programs in multiple
therapeutic areas. For nearly three decades, we have specialized in targeting
and interrupting disease-causing mechanisms involving the interconnected
pathways of the nervous and endocrine systems. (*in collaboration with AbbVie
Inc.)
We launched INGREZZA® (valbenazine) in the United States, or US, with our
specialty sales force in May 2017, after receiving FDA approval for INGREZZA as
the first FDA-approved drug for the treatment of tardive dyskinesia in April
2017. In September 2020, we launched ONGENTYS® (opicapone) in the US leveraging
our existing INGREZZA commercial infrastructure after receiving FDA approval for
ONGENTYS for Parkinson's disease in April 2020. INGREZZA net product sales
represent the significant majority of our total net product sales.
Our partner AbbVie Inc., or AbbVie, launched ORILISSA® (elagolix tablets) in the
US and Canada in August and November 2018, respectively, after receiving FDA and
Health Canada approval for ORILISSA for endometriosis in July and October 2018,
respectively. In June 2020, AbbVie launched ORIAHNN® (elagolix, estradiol and
norethindrone acetate capsules and elagolix capsules) in the US after receiving
FDA approval for ORIAHNN for uterine fibroids in May 2020. We receive royalties
at tiered percentage rates on AbbVie net sales of ORILISSA and ORIAHNN.
In addition, we have a rapidly expanding pipeline of potential treatments and
gene therapies for diseases such as Huntington's disease, or HD, congenital
adrenal hyperplasia, or CAH, epilepsy, schizophrenia and depression.
Pipeline Highlights:
INGREZZA:
•In February 2021, the Mitsubishi Tanabe Pharma Corporation, or MTPC, reported
positive top-line results from the J-KINECT Phase III Study, designed to
evaluate the efficacy and safety of valbenazine in tardive dyskinesia. Detailed
results from this trial will be presented at a future medical conference. In
April 2021, MTPC submitted a Marketing Authorization Application, or MAA, with
the Ministry of Health and Welfare in Japan for valbenazine for the treatment of
tardive dyskinesia. MTPC submission of valbenazine triggered a milestone payment
of $15.0 million, to be paid by MTPC to Neurocrine Biosciences and recognized as
collaboration revenue in the second quarter of 2021.
Luvadaxistat (NBI-1065844/TAK-831):
•On March 2, 2021, we announced that investigational drug luvadaxistat did not
meet its primary endpoint in the Phase II INTERACT study in adults with negative
symptoms of schizophrenia. Luvadaxistat met both secondary endpoints of
cognitive assessment. We plan to initiate a Phase II study for the treatment of
cognitive impairment associated with schizophrenia, or CIAS, by the end of 2021.
NBIb-1817 (VY-AADC):
•In February 2021, we notified Voyager Therapeutics, Inc., or Voyager, of our
termination of the NBIb-1817 for Parkinson's disease program. The effective date
of this termination will be August 2, 2021. The termination does not apply to
any other development program other than NBIb-1817 for Parkinson's disease, and
our collaboration and license agreement with Voyager will otherwise continue in
effect.

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COVID-19


The global COVID-19 pandemic has dramatically changed the ways in which we live
and interact with one another. While we adapt to this new shared reality, our
mission remains unchanged: to discover and develop life-changing treatments for
people with serious, challenging and under-addressed disorders.
While we are unable to reliably estimate the duration or extent of any potential
business disruption or financial impact during this time, including any impacts
on INGREZZA product sales or R&D expense, we remain committed to (1)
prioritizing the safety, health and well-being of patients and their caregivers,
healthcare providers and our employees; (2) ensuring patients with tardive
dyskinesia are well supported and have continued uninterrupted access to
INGREZZA, for which we currently do not expect any supply disruption; and (3)
advancing ongoing clinical studies.
As part of this commitment, we implemented a "Work from Home Policy" in early
March 2020 for employees not involved in business-critical activities. For
employees involved in business-critical activities, we implemented safety
measures designed to comply with federal, state and local guidelines. We have
since developed and are implementing plans regarding the opening of our sites to
enable our employees to return to work in our corporate offices and the field,
which plans take into account applicable public health authority and local
government guidelines and which are designed to ensure community and employee
safety. However, the effects of the COVID-19 pandemic continue to rapidly evolve
and even if our employees more broadly return to work in our corporate offices
and the field, we may nevertheless have to resume a remote work model. We
continue to evaluate our remote work model and the impact of global spikes or
surges in COVID-19 infection and hospitalization rates.
Due to the impact of COVID-19, we initially paused enrollment of new patients in
several of our clinical studies. Beginning in the third quarter of 2020, we
began enrolling patients in our HD and CAH studies. To date, we have not
experienced any interruption of our supply of drug products needed to support
our ongoing clinical studies. We recognize, however, that we may have to make
further operational adjustments to our ongoing and planned clinical studies and
that patient enrollment and new clinical trial site initiations may be further
slowed due to the COVID-19 pandemic, especially if it is further prolonged or
grows in severity.
Most hospitals, community mental health facilities, physicians' offices,
pharmacies, and other healthcare facilities have implemented policies that
limited access of patients and our employees to such facilities and limited the
ability of patients, pharmacies, and prescribers to interact with each other.
Due to these polices, our field force has been utilizing digital, video, and
telephonic engagement tools and tactics, which may be less effective than our
ordinary processes. The ultimate impact of the COVID-19 pandemic, including any
lasting effects on our revenue and the way we conduct our business, is highly
uncertain and subject to continued change.
We continue to believe that existing funds, cash generated from operations, and
existing sources of and access to financing are adequate to satisfy our needs
for working capital, capital expenditures, debt service requirements and other
business development initiatives that we plan to strategically pursue. However,
the circumstances surrounding the COVID-19 pandemic are volatile and subject to
rapid change. Despite our mitigation efforts, we may experience delays or an
inability to execute on our clinical and preclinical development plans, reduced
revenues or other adverse impacts to our business, which are described in more
detail in "Risk Factors" in Part I, Item 1A of this Quarterly Report on Form
10-Q. We recognize that this pandemic will continue to present unique challenges
for us throughout 2021, and potentially into 2022.
Results of Operations for the Three Months Ended March 31, 2021 and 2020
Revenues
The following table presents revenues by category.
                             Three Months Ended
                                  March 31,
(in millions)                 2021            2020
Product sales, net      $    231.0          $ 231.1
Collaboration revenue          5.6              6.0
Total revenues          $    236.6          $ 237.1

Product Sales, Net. Net product sales were $231.0 million for the three months ended March 31, 2021, compared with $231.1 million in the comparable period last year, reflecting a slowdown in INGREZZA sales volume growth, largely attributable to



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the impact of COVID-19 on our customers. ONGENTYS net product sales were $1.4
million for the three months ended March 31, 2021.
Collaboration Revenue. Collaboration revenue reflects royalties earned on AbbVie
net sales of ORILISSA and ORIAHNN and license fees earned under our
collaboration agreement with Mitsubishi Tanabe Pharma Corporation, or MTPC.
Collaboration revenue was $5.6 million for the three months ended March 31,
2021, compared with $6.0 million in the comparable period last year.
Operating Expenses
Cost of Sales. Cost of sales was $2.9 million for the three months ended
March 31, 2021, compared with $2.1 million in the comparable period last year.
Research and Development. We support our drug discovery and development efforts
through the commitment of significant resources to discovery, R&D programs and
business development opportunities.
Costs are reflected in the applicable development stage based upon the program
status when incurred. Therefore, the same program could be reflected in
different development stages in the same reporting period. For several of our
programs, the R&D activities are part of our collaborative and other
relationships.
Late stage consists of costs incurred related to product candidates in Phase II
registrational studies and onwards. Early stage consists of costs incurred
related to product candidates in post-investigational new drug application, or
IND, through Phase II non-registrational studies. Research and discovery
consists of pre-IND costs. Payroll and benefits consists of costs incurred for
salaries and wages, payroll taxes, benefits and share-based compensation
associated with employees involved in ongoing R&D activities. Share-based
compensation may fluctuate from period to period based on factors that are not
within our control, such as our stock price on the dates share-based grants are
issued. Facilities and other consists of indirect costs incurred in support of
overall R&D activities and non-specific programs, including activities that
benefit multiple programs, such as management costs, as well as depreciation,
information technology and facility-based expenses. These costs are not
allocated to a specific program or stage.
The following table presents R&D expense by category:
                                 Three Months Ended
                                     March 31,
(in millions)                     2021             2020
Late stage                 $     13.0            $ 13.0
Early stage                       5.5               4.6
Research and discovery            9.4               9.2

Payroll and benefits             35.5              23.9
Facilities and other              9.8               7.6
Total R&D expense          $     73.2            $ 58.3


R&D expense was $73.2 million for the three months ended March 31, 2021,
compared with $58.3 million in the comparable period last year, primarily
reflecting increased investment to support advancing our expanded clinical
portfolio and higher personnel expenses driven by a non-cash share-based
compensation charge of $6.4 million related to the modification of certain
share-based awards.
Selling, General and Administrative. Selling, general and administrative, or
SG&A, expense was $129.0 million for the three months ended March 31, 2021,
compared with $117.8 million in the comparable period last year, primarily
reflecting increased investment to support our commercialization activities and
continued investment in INGREZZA.
Other Expense, Net
Other expense, net, was $4.3 million for the three months ended March 31, 2021,
compared with $20.0 million in the comparable period last year. Periodic
fluctuations in other expense, net, primarily reflect unrealized gains or losses
recognized to adjust our equity investments in Voyager and Xenon Pharmaceuticals
Inc. to fair value.
(Benefit from) Provision for Income Taxes
The benefit from income taxes was $4.9 million for the three months ended
March 31, 2021, compared with a provision for income taxes of $1.5 million in
the comparable period last year. Our effective tax rate for the three months
ended March 31, 2021 was lower than federal and state statutory rates primarily
due to excess tax benefits related to stock compensation. On

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December 31, 2020, we released substantially all of our valuation allowance
against our net operating losses and other deferred tax assets. Beginning in the
first quarter of 2021, we began recording a provision for income taxes using an
effective tax rate approximating federal and state statutory rates. Due to our
ability to offset our pre-tax income against previously benefited federal net
operating losses, no federal cash tax is expected in 2021.
Net Income
Net income was $32.1 million, or $0.33 diluted earnings per share, for the three
months ended March 31, 2021, compared with $37.4 million, or $0.39 diluted
earnings per share, in the comparable period last year, primarily reflecting
increased investment in commercial initiatives and to support advancing our
expanded clinical portfolio.
Liquidity and Capital Resources
At March 31, 2021, our cash, cash equivalents and debt security investments
totaled $1.1 billion compared with $1.0 billion at December 31, 2020.
Net cash provided by operating activities was $87.3 million for the three months
ended March 31, 2021, compared with $35.5 million in the comparable period last
year, primarily reflecting increased working capital on timing of accounts
receivable collections and accounts payable payments.
Net cash provided by investing activities was $63.1 million for the three months
ended March 31, 2021, compared with $33.2 million in the comparable period last
year, reflecting timing differences related to purchases, sales, and maturities
of debt securities available-for-sale and changes in our portfolio-mix.
Net cash provided by financing activities was $15.1 million for the three months
ended March 31, 2021, compared with $6.0 million in the comparable period last
year, reflecting proceeds from issuances of our common stock.
Convertible Senior Notes. In May 2017, we completed a private placement of
$517.5 million in aggregate principal amount of 2.25% convertible senior notes
due May 15, 2024, or the 2024 Notes. In November 2020, we entered into separate,
privately negotiated transactions with certain holders of the 2024 Notes to
repurchase $136.2 million aggregate principal amount of the 2024 Notes for an
aggregate repurchase price of $186.9 million in cash. At March 31, 2021, $381.2
million aggregate principal amount of the 2024 Notes remained outstanding. We
may not redeem the 2024 Notes prior to May 15, 2021. On or after this date, at
our election, we may redeem all, or any portion, of the 2024 Notes under certain
circumstances. The 2024 Notes do not contain any financial or operating
covenants or any restrictions on the payment of dividends, the issuance of other
indebtedness or the issuance or repurchase of securities by us. There are
customary events of default with respect to the 2024 Notes, including that upon
certain events of default, 100% of the principal and accrued and unpaid interest
on the 2024 Notes will automatically become due and payable.
Critical Accounting Policies and Estimates
There were no changes to our critical accounting policies as disclosed in our
Annual Report on Form 10-K for the year ended December 31, 2020.
Interest Rate Risk
We are exposed to interest rate risk on our short-term investments. The primary
objective of our investment activities is to preserve principal while at the
same time maximizing yields without significantly increasing risk. To achieve
this objective, we invest in highly liquid and high-quality government and other
debt securities. To minimize our exposure due to adverse shifts in interest
rates, we invest in short-term securities and ensure that the maximum average
maturity of our investments does not exceed twelve months. If a 1% change in
interest rates were to have occurred on March 31, 2021, it would not have had a
material effect on the fair value of our investment portfolio as of that date.
Due to the short holding period of our investments, we have concluded that we do
not have a material financial market risk exposure.
Recently Issued Accounting Pronouncements
For a summary of new accounting pronouncements which may be applicable to us,
see Note 1 to the condensed consolidated financial statements included in this
report.
Forward-Looking Statements
This Quarterly Report on Form 10-Q contains forward-looking statements that
involve a number of risks and uncertainties. Although our forward-looking
statements reflect the good faith judgment of our management, these statements
can only be based on facts and factors currently known by us. Consequently,
these forward-looking statements are inherently subject to

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risks and uncertainties, and actual results and outcomes may differ materially
from results and outcomes discussed in the forward-looking statements.
Forward-looking statements can be identified by the use of forward-looking words
such as "believes," "expects," "hopes," "may," "will," "plan," "intends,"
"estimates," "could," "should," "would," "continue," "seeks," "proforma," or
"anticipates," or other similar words (including their use in the negative), or
by discussions of future matters such as the development of new products,
technology enhancements, possible changes in legislation and other statements
that are not historical. These statements include but are not limited to
statements under the captions "Risk Factors," and "Management's Discussion and
Analysis of Financial Condition and Results of Operations" as well as other
sections in this report. You should be aware that the occurrence of any of the
events discussed under the heading in Part II titled "Item 1A. Risk Factors" and
elsewhere in this report could substantially harm our business, results of
operations and financial condition and that if any of these events occurs, the
trading price of our common stock could decline and you could lose all or a part
of the value of your shares of our common stock.
The cautionary statements made in this report are intended to be applicable to
all related forward-looking statements wherever they may appear in this report.
We urge you not to place undue reliance on these forward-looking statements,
which speak only as of the date of this report. Except as required by law, we
assume no obligation to update our forward-looking statements, even if new
information becomes available in the future.
Item 3. Quantitative and Qualitative Disclosures About Market Risk
A discussion of our exposure to, and management of, market risk appears in Part
I, Item 2 of this Quarterly Report on Form 10-Q under the heading "Interest Rate
Risk."
Item 4. Controls and Procedures
We maintain disclosure controls and procedures that are designed to ensure that
information required to be disclosed in our reports required by the Exchange Act
of 1934, as amended, is recorded, processed, summarized and reported within the
timelines specified in the SEC's rules and forms, and that such information is
accumulated and communicated to our management, including our Chief Executive
Officer and Chief Financial Officer, as appropriate, to allow timely decisions
regarding required disclosure. In designing and evaluating the disclosure
controls and procedures, management recognized that any controls and procedures,
no matter how well designed and operated, can only provide reasonable assurance
of achieving the desired control objectives, and in reaching a reasonable level
of assurance, management necessarily was required to apply its judgment in
evaluating the cost-benefit relationship of possible controls and procedures.
As required by SEC Rule 13a-15(b), we carried out an evaluation, under the
supervision and with the participation of our management, including our Chief
Executive Officer and Chief Financial Officer, of the effectiveness of the
design and operation of our disclosure controls and procedures as of the end of
the quarter covered by this report. Based on the foregoing, our Chief Executive
Officer and Chief Financial Officer concluded that our disclosure controls and
procedures were effective at the reasonable assurance level.
Changes in Internal Control over Financial Reporting
An evaluation was also performed under the supervision and with the
participation of our management, including our Chief Executive Officer and Chief
Financial Officer, of any changes to our internal control over financial
reporting that occurred during our last fiscal quarter and that have materially
affected, or are reasonably likely to materially affect, our internal control
over financial reporting. Our evaluation did not identify significant changes in
our internal controls over financial reporting (as defined in Rules 13a-15(f)
and 15d-15(f) under the Securities Exchange Act of 1934) that occurred during
the quarter ended March 31, 2021, that have materially affected, or are
reasonably likely to materially affect, our internal control over financial
reporting.

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