Collegium Pharmaceutical (COLL)


Market Price (11/9/2026): $24.0 | Market Cap: $745.8 MilSector: Health Care | Industry: Pharmaceuticals

Collegium Pharmaceutical (COLL)


Market Price (11/9/2026): $24.0
Market Cap: $745.8 Mil
Sector: Health Care
Industry: Pharmaceuticals

Investment Highlights Why It Matters Detailed financial logic regarding cash flow yields vs trend-riding momentum.

0

Attractive cash flow generation
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is 41%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is 41%

Valuation becoming less expensive
P/S 6M Chg %Price/Sales change over 6 months. Declining P/S indicates valuation has become less expensive. is -35%

Attractive yield
FCF Yield is 44%

Low stock price volatility
Vol 12M is 45%

Megatrend and thematic drivers
Megatrends include Aging Population & Chronic Disease. Themes include Chronic Pain Management, and Abuse-Deterrent Formulations.

Weak multi-year price returns
2Y Excs Rtn is -56%, 3Y Excs Rtn is -63%

Meaningful short interest
Short Interest % of Basic SharesShort Interest % of Basic Shares = (Short Interest Quantity) / (Basic Shares Outstanding). A high fraction of short interest can indicate potential risk of a short squeeze. is 17%

Debt is significant
Net D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is 123%

Key risks
COLL key risks include [1] patent infringement litigation threatening its core products Xtampza ER and Belbuca, Show more.

0 Attractive cash flow generation
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is 41%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is 41%
1 Valuation becoming less expensive
P/S 6M Chg %Price/Sales change over 6 months. Declining P/S indicates valuation has become less expensive. is -35%
2 Attractive yield
FCF Yield is 44%
3 Low stock price volatility
Vol 12M is 45%
4 Megatrend and thematic drivers
Megatrends include Aging Population & Chronic Disease. Themes include Chronic Pain Management, and Abuse-Deterrent Formulations.
5 Weak multi-year price returns
2Y Excs Rtn is -56%, 3Y Excs Rtn is -63%
6 Meaningful short interest
Short Interest % of Basic SharesShort Interest % of Basic Shares = (Short Interest Quantity) / (Basic Shares Outstanding). A high fraction of short interest can indicate potential risk of a short squeeze. is 17%
7 Debt is significant
Net D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is 123%
8 Key risks
COLL key risks include [1] patent infringement litigation threatening its core products Xtampza ER and Belbuca, Show more.

COLL in ETFs

Weight = COLL's share of each fund

VTI0.00%
ITOT0.00%
IWM0.03%
IJR0.04%
IJT0.09%
SLYG0.09%
NUSC0.06%
IWO0.05%
+9 more covered ETFs

Valuation & Metrics

Price Chart

Why The Stock Moved

Qualitative Assessment

AI Analysis | Feedback

Updated on 11/6/2026

Collegium Pharmaceutical (COLL) stock has lost about 30% since 7/31/2026 because of the following key factors:

1. Decline in Fiscal Q3 2026 Profitability and Missed EPS Estimates. Collegium Pharmaceutical reported a significant year-over-year decline in GAAP net income for fiscal Q3 2026 (ended September 30, 2026), which fell to $21.8 million from $31.5 million in the prior year. This translated to GAAP earnings per share (EPS) of $0.69, missing analyst estimates of $0.81. Additionally, adjusted EBITDA decreased by 9% to $121.6 million, primarily driven by a 25% increase in adjusted operating expenses.

2. Weakness and Generic Competition in the Pain Portfolio. The company's pain management portfolio experienced substantial revenue declines in fiscal Q3 2026, offsetting growth in its ADHD segment. Net revenue for the Nucynta franchise plummeted 44% year-over-year to $30.8 million due to intense generic competition. Furthermore, Xtampza ER revenue also decreased by 9% to $45.8 million, impacted by payer pressure.

Show more
Updated on 11/6/2026

Collegium Pharmaceutical (COLL) stock has lost about 30% since 7/31/2026 because of the following key factors:

1. Decline in Fiscal Q3 2026 Profitability and Missed EPS Estimates. Collegium Pharmaceutical reported a significant year-over-year decline in GAAP net income for fiscal Q3 2026 (ended September 30, 2026), which fell to $21.8 million from $31.5 million in the prior year. This translated to GAAP earnings per share (EPS) of $0.69, missing analyst estimates of $0.81. Additionally, adjusted EBITDA decreased by 9% to $121.6 million, primarily driven by a 25% increase in adjusted operating expenses.

2. Weakness and Generic Competition in the Pain Portfolio. The company's pain management portfolio experienced substantial revenue declines in fiscal Q3 2026, offsetting growth in its ADHD segment. Net revenue for the Nucynta franchise plummeted 44% year-over-year to $30.8 million due to intense generic competition. Furthermore, Xtampza ER revenue also decreased by 9% to $45.8 million, impacted by payer pressure.

3. Analyst Price Target Reductions Following Earnings. Following the release of the fiscal Q3 2026 financial results, several analyst firms adjusted their outlooks for Collegium Pharmaceutical. Piper Sandler notably reduced its price target for COLL from $43.00 to $28.00 on November 6, 2026, maintaining a "neutral" rating. Needham & Company LLC also lowered its price target from $46.00 to $44.00 on November 5, 2026.

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Stock Movement Drivers

Fundamental Drivers

The -31.6% change in COLL stock from 7/31/2026 to 11/8/2026 was primarily driven by a -50.3% change in the company's Net Income Margin (%).
(LTM values as of)731202611082026Change
Stock Price ($)35.3924.21-31.6%
Change Contribution By: 
Total Revenues ($ Mil)7968152.4%
Net Income Margin (%)9.4%4.7%-50.3%
P/E Multiple15.220.132.8%
Shares Outstanding (Mil)32321.1%
Cumulative Contribution-31.6%

LTM = Last Twelve Months as of date shown

Market Drivers

7/31/2026 to 11/8/2026
ReturnCorrelation
COLL-31.6% 
Market (SPY)-1.6%-7.8%
Sector (XLV)13.7%14.5%

Fundamental Drivers

The -28.2% change in COLL stock from 4/30/2026 to 11/8/2026 was primarily driven by a -41.9% change in the company's Net Income Margin (%).
(LTM values as of)430202611082026Change
Stock Price ($)33.7324.21-28.2%
Change Contribution By: 
Total Revenues ($ Mil)7818154.4%
Net Income Margin (%)8.1%4.7%-41.9%
P/E Multiple17.020.118.5%
Shares Outstanding (Mil)3232-0.2%
Cumulative Contribution-28.2%

LTM = Last Twelve Months as of date shown

Market Drivers

4/30/2026 to 11/8/2026
ReturnCorrelation
COLL-28.2% 
Market (SPY)2.6%-10.2%
Sector (XLV)27.1%23.1%

Fundamental Drivers

The -32.7% change in COLL stock from 10/31/2025 to 11/8/2026 was primarily driven by a -36.3% change in the company's P/E Multiple.
(LTM values as of)1031202511082026Change
Stock Price ($)36.0024.21-32.7%
Change Contribution By: 
Total Revenues ($ Mil)70781515.3%
Net Income Margin (%)5.1%4.7%-8.7%
P/E Multiple31.620.1-36.3%
Shares Outstanding (Mil)32320.3%
Cumulative Contribution-32.8%

LTM = Last Twelve Months as of date shown

Market Drivers

10/31/2025 to 11/8/2026
ReturnCorrelation
COLL-32.8% 
Market (SPY)8.7%3.0%
Sector (XLV)29.8%26.3%

Fundamental Drivers

The 11.3% change in COLL stock from 10/31/2023 to 11/8/2026 was primarily driven by a 51.8% change in the company's Total Revenues ($ Mil).
(LTM values as of)1031202311082026Change
Stock Price ($)21.7624.2111.3%
Change Contribution By: 
Total Revenues ($ Mil)53781551.8%
P/S Multiple1.40.9-32.8%
Shares Outstanding (Mil)35329.1%
Cumulative Contribution11.3%

LTM = Last Twelve Months as of date shown

Market Drivers

10/31/2023 to 11/8/2026
ReturnCorrelation
COLL11.3% 
Market (SPY)81.9%16.4%
Sector (XLV)55.4%27.0%

Return vs. Risk

Price Returns Compared

 202120222023202420252026Total [1]
Returns
COLL Return-7%24%33%-7%62%-48%21%
Peers Return6%-18%-9%-5%3%10%-15%
S&P 500 Return27%-19%24%23%16%12%105%

Monthly Win Rates [3]
COLL Win Rate42%58%42%42%67%36% 
Peers Win Rate53%50%44%47%53%45% 
S&P 500 Win Rate75%42%67%75%67%45% 

Max Drawdowns [4]
COLL Max Drawdown-33%-37%-30%-32%-27%-56% 
Peers Max Drawdown-35%-41%-39%-37%-41%-29% 
S&P 500 Max Drawdown-5%-25%-10%-8%-19%-9% 


[1] Cumulative total returns since the beginning of 2021
[2] Peers: INM, MDCX, SBFM, LLY, JNJ.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2026 data is for the year up to 11/6/2026 (YTD)

How Low Can It Go

EventCOLLS&P 500
2025 US Tariff Shock
  % Loss-17.5%-18.8%
  % Gain to Breakeven21.2%23.1%
  Time to Breakeven36 days79 days
2023 SVB Regional Banking Crisis
  % Loss-21.9%-6.7%
  % Gain to Breakeven28.0%7.1%
  Time to Breakeven185 days31 days
2022 Inflation Shock & Fed Tightening
  % Loss-25.5%-24.5%
  % Gain to Breakeven34.2%32.4%
  Time to Breakeven58 days427 days
2020 COVID-19 Crash
  % Loss-41.9%-33.7%
  % Gain to Breakeven72.0%50.9%
  Time to Breakeven303 days140 days
Q4 2018 Fed Policy Error / Growth Scare
  % Loss-13.4%-19.2%
  % Gain to Breakeven15.5%23.8%
  Time to Breakeven10 days105 days
2016-2017 Trump Reflation Bond Selloff
  % Loss-56.6%-3.7%
  % Gain to Breakeven130.4%3.9%
  Time to Breakeven196 days6 days

Compare to INM, MDCX, SBFM, LLY, JNJ

In The Past

Collegium Pharmaceutical's stock fell -17.5% during the 2025 US Tariff Shock. Such a loss loss requires a 21.2% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

EventCOLLS&P 500
2023 SVB Regional Banking Crisis
  % Loss-21.9%-6.7%
  % Gain to Breakeven28.0%7.1%
  Time to Breakeven185 days31 days
2022 Inflation Shock & Fed Tightening
  % Loss-25.5%-24.5%
  % Gain to Breakeven34.2%32.4%
  Time to Breakeven58 days427 days
2020 COVID-19 Crash
  % Loss-41.9%-33.7%
  % Gain to Breakeven72.0%50.9%
  Time to Breakeven303 days140 days
2016-2017 Trump Reflation Bond Selloff
  % Loss-56.6%-3.7%
  % Gain to Breakeven130.4%3.9%
  Time to Breakeven196 days6 days
2015-2016 China Devaluation / Global Growth Scare
  % Loss-21.1%-12.2%
  % Gain to Breakeven26.7%13.9%
  Time to Breakeven13 days62 days

Compare to INM, MDCX, SBFM, LLY, JNJ

In The Past

Collegium Pharmaceutical's stock fell -17.5% during the 2025 US Tariff Shock. Such a loss loss requires a 21.2% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

About Collegium Pharmaceutical (COLL)

Collegium Pharmaceutical, Inc. (COLL) is a specialty pharmaceutical company dedicated to the development and commercialization of medicines specifically for pain management. Incorporated in 2002 and headquartered in Stoughton, Massachusetts, the company focuses on addressing the needs of patients experiencing severe and chronic pain through its specialized product portfolio.

The company's main products include Xtampza ER, an abuse-deterrent, extended-release oral formulation of oxycodone. This particular medication is designed for the management of pain severe enough to require daily, around-the-clock, long-term opioid treatment. In addition to Xtampza ER, Collegium also offers Nucynta ER and Nucynta IR, which are extended-release and immediate-release formulations of tapentadol, providing a range of options for both sustained and immediate pain relief.

Collegium Pharmaceutical primarily serves patients who require daily, around-the-clock, long-term opioid treatment for severe pain. Its primary customers are healthcare providers, such as physicians and hospitals, who prescribe these specialized pain medications. By developing abuse-deterrent formulations and a range of opioid treatments, Collegium aims to cater to the specific market segment focused on effective and responsible management of chronic and severe pain.

AI Analysis | Feedback

Here are 1-3 brief analogies to describe Collegium Pharmaceutical (COLL):

  • Like Jazz Pharmaceuticals but focused exclusively on pain management.

AI Analysis | Feedback

  • Xtampza ER: An abuse-deterrent, extended-release, oral formulation of oxycodone used for long-term opioid treatment of severe pain.
  • Nucynta ER: An extended-release formulation of tapentadol for pain management.
  • Nucynta IR: An immediate-release formulation of tapentadol for pain management.

AI Analysis | Feedback

Collegium Pharmaceutical, Inc. (COLL) is a specialty pharmaceutical company that develops and commercializes medicines. As such, it operates within the pharmaceutical supply chain, selling its products to other companies rather than directly to individual patients. Patients obtain these medications through prescriptions filled at pharmacies or administered in healthcare settings.

The major customers of pharmaceutical manufacturers like Collegium Pharmaceutical are typically large pharmaceutical wholesalers and distributors, who then supply pharmacies, hospitals, and other healthcare providers. The leading pharmaceutical wholesalers in the United States, and thus the likely major customers for Collegium Pharmaceutical, include:

  • McKesson Corporation (NYSE: MCK)
  • Cencora (formerly AmerisourceBergen Corporation) (NYSE: ABC)
  • Cardinal Health, Inc. (NYSE: CAH)

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Vikram Karnani, President & Chief Executive Officer

Mr. Karnani joined Collegium Pharmaceutical in November 2024. He previously served as Executive Vice President and President, Global Commercial Operations and Medical Affairs (Rare Disease) at Amgen, having joined Amgen through its 2023 acquisition of Horizon Therapeutics. At Horizon, Mr. Karnani was responsible for the global commercial strategy for its rare disease medicines, leading the business from $300 million to $4 billion in sales, prior to Horizon's acquisition by Amgen for $28 billion. He began his career with an electrical engineering background and also worked in medical devices and cell therapy before transitioning to pharmaceuticals.

Colleen Tupper, Executive Vice President, Chief Financial Officer

Ms. Tupper joined Collegium Pharmaceutical in 2021. She has over 25 years of experience in the industry, including roles at Antigenics (now Agenus), Shire, and Takeda Pharmaceuticals (which acquired Shire). Prior to Collegium, she was the CFO at Takeda. Her previous positions at Shire included Director, Finance; Senior Finance Director, Global Research & Development; and Vice President, U.S. Commercial Finance. She brings expertise in biotech finance, strategic growth management, and emerging industry trends.

Scott Dreyer, Executive Vice President, Chief Commercial Officer

Mr. Dreyer was appointed Executive Vice President and Chief Commercial Officer in July 2018. He initially joined Collegium in January 2018 as Senior Vice President of Sales, Marketing, Commercial Capabilities and Training. With over 25 years of commercial experience in the biopharma industry, Mr. Dreyer's background spans sales, marketing, commercial operations, and strategic planning. Before joining Collegium, he was Senior Vice President, Marketing and Commercial Operations for The Medicines Company, and Vice President and Chief Marketing Officer-U.S. at Biogen. He also held various commercial leadership roles of increasing responsibility at Merck & Co. He has been involved in the commercialization of over 35 products and launched more than 20 products.

David Dieter, Executive Vice President, General Counsel

Mr. Dieter joined Collegium Pharmaceutical in March 2025. Before Collegium, he served as Vice President, Legal at Horizon Therapeutics, which was acquired by Amgen in October 2023. At Horizon, he was responsible for managing legal counsel and advising executive leadership on corporate and commercial matters, as well as international expansion. He played a key role in Horizon's mergers, acquisitions, and dispositions, including its acquisition by Amgen.

Jane Gonnerman, Executive Vice President, Strategy & Corporate Development

Ms. Gonnerman was appointed Executive Vice President, Strategy & Corporate Development on March 17, 2025. She is a member of the executive team.

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AI Analysis | Feedback

The key risks to Collegium Pharmaceutical (COLL) are primarily related to generic competition for its key products, ongoing opioid-related litigation and regulatory scrutiny, and broader market competition from alternative pain management treatments.

  1. Generic Competition and Patent Expiry: Collegium Pharmaceutical faces significant and immediate risk from generic competition, particularly for its Nucynta franchise. A generic equivalent of Nucynta IR (immediate release) was approved in January 2026, and an authorized generic version of Nucynta IR was launched by Hikma Pharmaceuticals USA Inc. on February 25, 2026. Hikma is also anticipated to launch a generic version of Nucynta ER (extended release) in the first quarter of 2026. While Nucynta IR's U.S. exclusivity was extended to July 3, 2026, and Nucynta ER to December 27, 2025, due to pediatric exclusivity grants, the original Nucynta patent expired in 2018, leading to generic entries that have historically reduced market share and price. In contrast, key patents for Xtampza ER, another of Collegium's products, extend to 2030 and 2036, offering longer protection.

  2. Opioid-Related Litigation and Regulatory Scrutiny: Operating in the opioid market exposes Collegium Pharmaceutical to substantial regulatory and legal challenges. The company's products, including Xtampza ER and the Nucynta Products, are subject to stringent regulations and mandatory Risk Evaluation and Mitigation Strategy (REMS) programs, which add to commercialization costs and complexity. Collegium has been a defendant in numerous lawsuits alleging improper marketing practices related to its opioid medications, similar to other manufacturers. Although Collegium reached a Master Settlement Agreement in March 2022 to resolve 27 opioid-related lawsuits for $2.75 million without admitting liability, the ongoing societal challenges surrounding opioid abuse and the associated legal and regulatory scrutiny continue to pose a significant threat, including potential for stricter regulations, reduced demand, and further litigation. Furthermore, the FDA can withdraw or restrict product approvals if post-marketing studies reveal adverse safety findings.

  3. Market Competition: Collegium Pharmaceutical faces intense competition not only from generic drug manufacturers but also from other branded pain management treatments. The company competes with other oral and transdermal opioids, as well as non-opioid alternative drugs being developed and marketed by other pharmaceutical and biotechnology companies. For example, Vertex Pharmaceuticals received approval for suzetrigine for acute pain in January 2025. This broad competitive landscape, including legacy pharma, specialty biotechs, and non-opioid candidates, can pressure pricing, market access, and overall market share for Collegium's products.

AI Analysis | Feedback

The emergence and increasing adoption of novel, highly effective, and non-opioid pain management therapies represent a clear emerging threat. These advancements could significantly reduce the market need for opioid-based treatments, even those with abuse-deterrent properties, thus directly threatening Collegium Pharmaceutical's core product portfolio.

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Collegium Pharmaceutical (COLL) is expected to drive future revenue growth over the next 2-3 years through a combination of accelerated growth from its ADHD medication, continued durability and strategic management of its pain portfolio, and a broader diversification into non-opioid central nervous system (CNS) therapies.

Here are 3-5 expected drivers of future revenue growth:

  1. Accelerated Growth of Jornay PM: Collegium Pharmaceutical's ADHD medication, Jornay PM, is a primary driver of future revenue growth. Following the acquisition of Ironshore Therapeutics in late 2024, Collegium has been integrating Jornay PM into its commercial portfolio to penetrate the approximately $15 billion ADHD market. Jornay PM's net revenue saw significant growth of 48% year-over-year in 2025 and is projected to increase by over 30% in 2026, with anticipated revenues ranging from $190 million to $200 million. This growth is bolstered by an expanded sales force, increasing from 125 to 180 representatives in fiscal year 2025, targeting a 20% uplift in prescriber adoption, and an expanded physician universe of 21,000. Marketing initiatives, including a partnership with Paris Hilton, aim to further raise awareness among adult ADHD patients.
  2. Durability and Strategic Management of the Pain Portfolio: While Jornay PM leads growth, Collegium's existing pain portfolio, including Xtampza ER, Belbuca, and the Nucynta franchise, is expected to maintain durable revenues and contribute to overall growth. The pain portfolio generated $631.7 million in 2025, marking a 6% year-over-year increase.
    • Xtampza ER continues to hold a strong position in the abuse-deterrent extended-release opioid market, with a 4% net revenue growth in fiscal year 2025. Strategic investments in managed care contracting are aimed at securing preferred formulary placements to sustain its market share.
    • Belbuca also contributed to the pain portfolio's performance with a 5% net revenue growth in fiscal year 2025, leveraging its position as a lower-abuse-potential buccal buprenorphine.
    • The Nucynta franchise recorded an 11% net revenue growth in fiscal year 2025, largely due to improved profitability from managing gross-to-nets. An authorized generic agreement with Hikma Pharmaceuticals is designed to provide Collegium with a significant share of net profits from generic versions, thereby mitigating the impact of generic competition.
  3. Diversification into Non-Opioid CNS Products through M&A and Partnerships: Collegium Pharmaceutical is actively pursuing a multi-year strategy to diversify its revenue streams beyond pain management, with a goal for non-opioid CNS products to account for at least 40% of total revenue by 2027. This strategy involves actively seeking late-stage or commercial-ready neurology and psychiatry assets through mergers, acquisitions, and strategic partnerships. This diversification aims to expand Collegium's market reach and reduce its reliance on the opioid market.
  4. Pipeline Expansion and Leveraging DETERx Technology: The company plans to advance its DETERx technology platform, with programs moving into Phase 1/2 for selected non-opioid CNS candidates in 2025-2026. Additionally, Collegium is evaluating planned supplemental New Drug Applications (sNDAs) across 2025-2026 to expand indications for existing products. These initiatives represent potential future product launches and label expansions that could contribute to longer-term revenue growth.

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Share Repurchases

  • Collegium Pharmaceutical authorized a new share repurchase program of up to $150 million in July 2025, slated to run through December 31, 2026. This program replaced a prior $150 million authorization from January 2024, which had $65 million remaining upon its expiration on June 30, 2025.
  • Since 2021, the company has returned $222 million to shareholders through its various share repurchase programs.
  • An accelerated share repurchase (ASR) agreement for $25 million was initiated in May 2025, expected to be completed in the third quarter of 2025, as part of the January 2024 authorized program.

Share Issuance

  • Collegium Pharmaceutical's shares outstanding have shown a general downward trend, decreasing from 34.12 million in 2021 to 31.57 million in 2025.

Outbound Investments

  • Collegium acquired Jornay PM®, a medication for ADHD, thereby expanding its portfolio into neuropsychiatry.

Capital Expenditures

  • Collegium Pharmaceutical invested $689K in capital expenditures during Q4 2025.
  • For the last 12 months leading up to March 2026, capital expenditures were reported as -$1.74 million.

Better Bets vs. Collegium Pharmaceutical (COLL)

Peer Outperformance in Pharmaceuticals

COLL has outperformed 68% of its 59 Pharmaceuticals peers over 5Y. Pharmaceuticals ranks 6th of 10 industries in Health Care by median 5Y return. The sector’s gains have largely come from elsewhere.
Share of Pharmaceuticals constituents that COLL has outperformed, by holding period. Peers without a full price history over a given window are excluded from that window.
1Y
28%
of 69 industry peers · -42.8% return
3Y
48%
of 65 industry peers · -0.8% return
5Y
68%
of 59 industry peers · 19.0% return
No Pharmaceuticals peer with a comparable growth profile has beaten COLL by more than 20pp over 5Y.
Median price return by industry across the Health Care sector, ranked by 5Y. Pharmaceuticals is COLL's own industry. Use this to see which corners of the sector have carried the returns.
Industry Names 1Y med3Y med5Y med Top 3 by 5Y
Health Care Distributors 6 6.4%56.1%94.3% CAH 506% · MCK 394% · COR 179%
Health Care Services 20 32.4%25.6%7.4% HIMS 208% · RDNT 127% · DGX 98%
Managed Health Care 8 55.2%-1.8%-2.7% OSCR 86% · HQY 50% · ELV 7%
Health Care Facilities 26 16.4%22.6%-8.9% THC 277% · NHC 227% · EHC 177%
Health Care Equipment 50 4.0%18.3%-16.3% UFPT 356% · GKOS 318% · TMDX 175%
Pharmaceuticals ← 60 -8.6%18.7%-39.8% LQDA 933% · XERS 649% · KNSA 543%
Health Care Supplies 11 23.1%19.5%-41.3% LNTH 242% · HAE 69% · MMSI 25%
Life Sciences Tools & Services 108 -6.4%-14.5%-74.1% AXGN 249% · MEDP 191% · NTRA 166%
Biotechnology 365 -23.8%-29.2%-81.7% ELVN 1232% · TRVI 1075% · DNTH 1069%
Health Care Technology 21 -21.7%-47.8%-83.1% VEEV -5% · DOCS -54%
Median of constituents with a full price history over each window. Top names are limited to companies above $2B market cap.

Recent Active Movers

Peer Comparisons

Peers to compare with:

Financials

COLLINMMDCXSBFMLLYJNJMedian
NameCollegiu.InMed Ph.Medicus .Sunshine.Eli LillyJohnson . 
Mkt Price24.2014.881.902.721,379.96278.1719.54
Mkt Cap0.80.0--1,230.8670.3335.5
Rev LTM815103586,46299,335425
Op Inc LTM121-10-43-544,31525,52558
FCF LTM336-8-29-611,68919,595165
FCF 3Y Avg273-8-18-95,28319,100133
CFO LTM338-8-29-530,64526,159166
CFO 3Y Avg274-8-18-817,58025,170133

Growth & Margins

COLLINMMDCXSBFMLLYJNJMedian
NameCollegiu.InMed Ph.Medicus .Sunshine.Eli LillyJohnson . 
Rev Chg LTM7.7%-26.2%--2.7%45.5%7.8%7.7%
Rev Chg 3Y Avg14.5%-32.9%-42.1%39.4%5.9%14.5%
Rev Chg Q3.3%---1.6%38.6%5.9%4.6%
QoQ Delta Rev Chg LTM0.9%0.0%--0.4%8.5%1.4%0.9%
Op Inc Chg LTM-20.8%-26.6%-153.7%4.3%67.9%7.9%-8.2%
Op Inc Chg 3Y Avg7.9%-11.2%-281.0%12.7%68.3%4.4%6.1%
Op Mgn LTM14.9%-1,238.6%--14.7%51.3%25.7%14.9%
Op Mgn 3Y Avg22.4%-702.3%--14.9%43.7%25.4%22.4%
QoQ Delta Op Mgn LTM-4.6%-17.5%--1.8%1.5%-1.1%-1.8%
CFO/Rev LTM41.5%-957.7%--15.1%35.4%26.3%26.3%
CFO/Rev 3Y Avg37.4%-609.8%--24.1%25.7%27.1%25.7%
FCF/Rev LTM41.3%-957.7%--15.7%13.5%19.7%13.5%
FCF/Rev 3Y Avg37.2%-609.8%--27.3%6.3%20.6%6.3%

Valuation

COLLINMMDCXSBFMLLYJNJMedian
NameCollegiu.InMed Ph.Medicus .Sunshine.Eli LillyJohnson . 
Mkt Cap0.80.0--1,230.8670.3335.5
P/S0.99.9--14.26.78.3
P/Op Inc6.3-0.8--27.826.316.3
P/EBIT6.5-0.7--27.835.817.1
P/E20.1-0.6--44.641.630.9
P/CFO2.3-1.0--40.225.613.9
Total Yield5.0%-154.7%--2.8%4.3%3.6%
Dividend Yield0.0%0.0%--0.5%1.9%0.2%
FCF Yield 3Y Avg30.1%-142.1%--0.6%4.0%2.3%
D/E1.40.0--0.00.10.1
Net D/E1.2-0.1--0.00.00.0

Returns

COLLINMMDCXSBFMLLYJNJMedian
NameCollegiu.InMed Ph.Medicus .Sunshine.Eli LillyJohnson . 
1M Rtn9.6%9.4%-58.7%2.6%17.0%6.4%7.9%
3M Rtn-17.9%1.2%-62.7%2.6%16.5%7.8%1.9%
6M Rtn-36.0%128.9%-62.7%2.6%46.0%27.0%14.8%
12M Rtn-42.8%-7.0%-62.7%2.6%50.2%52.5%-2.2%
3Y Rtn-0.8%-80.4%-62.7%2.6%138.2%105.5%0.9%
1M Excs Rtn14.5%16.7%-57.6%7.7%23.1%13.5%14.0%
3M Excs Rtn-6.2%10.2%-57.8%7.5%17.1%11.7%8.8%
6M Excs Rtn-35.7%129.2%-62.4%2.9%46.3%27.3%15.1%
12M Excs Rtn-41.0%-22.2%-71.4%-5.9%41.3%44.3%-14.0%
3Y Excs Rtn-63.0%-154.7%-138.0%-71.7%78.6%29.1%-67.4%

Comparison Analyses

null

FDA Approved Drugs Data

Expand for More
Post-Approval Fwd Returns
FDA
App #
Brand
Name
Generic
Name
Dosage
Form
FDA
Approval
3M
Rtn
6M
Rtn
1Y
Rtn
2Y
Rtn
Total
Rtn
NDA208090  XTAMPZA ERoxycodonecapsule, extended release4262016-35.3%-8.5%-45.5%26.5%31.4%
NDA203794  NUCYNTAtapentadol hydrochloridesolution10152012     
NDA200533  NUCYNTA ERtapentadol hydrochloridetablet, extended release8252011     
NDA022304  NUCYNTAtapentadol hydrochloridetablet11202008     
Collapse to Preview
Post-Approval Fwd Returns
FDA
App #
Brand
Name
Generic
Name
Dosage
Form
FDA
Approval
3M
Rtn
6M
Rtn
1Y
Rtn
2Y
Rtn
Total
Rtn
NDA208090  XTAMPZA ERoxycodonecapsule, extended release4262016-35.3%-8.5%-45.5%26.5%31.4%
NDA203794  NUCYNTAtapentadol hydrochloridesolution10152012     
NDA200533  NUCYNTA ERtapentadol hydrochloridetablet, extended release8252011     
NDA022304  NUCYNTAtapentadol hydrochloridetablet11202008     

Financials

Segment Financials

Revenue by Segment
$ Mil20252024202320222021
Belbuca2222111821260
Xtampza Extended-release (ER)199191177139104
Jornay PM1493700 
Nucynta Immediate-release (IR)115101108112102
Nucynta Extended-release (ER)8176837271
Symproic141516120
Other   20
Total781631567464277


Price Behavior

Price Behavior
Market Price$24.21 
Market Cap ($ Bil)0.8 
First Trading Date05/07/2015 
Distance from 52W High-51.4% 
   50 Days200 Days
DMA Price$22.99$32.67
DMA Trenddowndown
Distance from DMA5.3%-25.9%
 3M1YR
Volatility37.9%44.6%
Downside Capture74.2896.33
Upside Capture25.7140.48
Correlation (S&P 500)-16.0%3.7%
COLL Betas & Captures as of 10/31/2026

 1M2M3M6M1Y3Y
Beta-0.51-0.020.52-0.060.300.49
Up Beta-1.95-0.520.110.210.480.56
Down Beta-0.94-0.90-2.59-1.46-0.850.42
Up Capture52%22%47%-7%27%17%
Bmk +ve Days12182862130427
Stock +ve Days13213259126394
Down Capture-87%48%250%94%98%78%
Bmk -ve Days10253664121325
Stock -ve Days9223267123351

[1] Upside and downside betas calculated using positive and negative benchmark daily returns respectively
Based On 1-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with COLL
COLL-32.6%44.6%-0.75-
Sector ETF (XLV)28.6%16.9%1.3126.3%
Equity (SPY)9.5%13.6%0.402.8%
Gold (GLD)1.6%28.7%0.055.7%
Commodities (DBC)38.4%21.2%1.42-27.6%
Real Estate (VNQ)11.3%14.2%0.5125.0%
Bitcoin (BTCUSD)-27.2%43.6%-0.611.1%

Smart multi-asset allocation framework can stack odds in your favor. Learn How
Based On 5-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with COLL
COLL4.3%40.7%0.21-
Sector ETF (XLV)8.3%15.4%0.3527.8%
Equity (SPY)11.3%17.3%0.4823.2%
Gold (GLD)17.5%19.1%0.742.2%
Commodities (DBC)8.1%19.6%0.30-2.6%
Real Estate (VNQ)1.3%18.9%-0.0423.8%
Bitcoin (BTCUSD)4.0%51.6%0.2614.0%

Smart multi-asset allocation framework can stack odds in your favor. Learn How
Based On 10-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with COLL
COLL4.9%52.8%0.30-
Sector ETF (XLV)12.2%16.8%0.5930.4%
Equity (SPY)15.0%18.0%0.7029.4%
Gold (GLD)11.9%16.5%0.590.5%
Commodities (DBC)7.5%18.1%0.337.6%
Real Estate (VNQ)5.9%20.7%0.2424.2%
Bitcoin (BTCUSD)60.0%66.3%1.007.5%

Smart multi-asset allocation framework can stack odds in your favor. Learn How

Short Interest

Short Interest: As Of Date10152026
Short Interest: Shares Quantity5.4 Mil
Short Interest: % Change Since 9302026-2.6%
Average Daily Volume0.7 Mil
Days-to-Cover Short Interest7.2 days
Basic Shares Quantity31.7 Mil
Short % of Basic Shares16.9%

Earnings Returns History

Updated 11/9/2026
Expand for More
 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
11/5/20266.3%  
8/6/2026-18.6%-28.1%-33.7%
5/7/20267.7%-4.5%-8.6%
2/26/2026-3.3%-13.4%-27.0%
11/6/202513.4%32.1%33.6%
8/7/202510.7%27.3%28.8%
5/8/20255.9%7.6%11.6%
2/27/20252.2%4.9%4.5%
...
SUMMARY STATS   
# Positive151411
# Negative101013
Median Positive6.3%7.2%13.8%
Median Negative-8.4%-13.1%-9.7%
Max Positive13.4%32.1%33.6%
Max Negative-18.6%-28.1%-33.7%
Collapse to Preview
 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
11/5/20266.3%  
8/6/2026-18.6%-28.1%-33.7%
5/7/20267.7%-4.5%-8.6%
2/26/2026-3.3%-13.4%-27.0%
11/6/202513.4%32.1%33.6%
8/7/202510.7%27.3%28.8%
5/8/20255.9%7.6%11.6%
2/27/20252.2%4.9%4.5%
11/7/2024-7.3%-12.8%-11.8%
8/8/20240.5%0.5%3.9%
5/9/2024-16.8%-11.1%-12.0%
2/22/202410.8%11.9%21.1%
11/7/20236.6%15.8%25.4%
8/3/20236.7%9.6%7.8%
5/4/20233.2%4.2%-5.1%
2/23/20230.9%2.3%-10.6%
11/3/20224.5%6.8%26.1%
8/4/20228.6%3.7%-3.5%
5/10/2022-0.1%8.5%13.8%
2/24/2022-9.5%-15.0%-9.7%
11/4/2021-1.5%4.0%-6.1%
8/5/2021-17.3%-26.7%-18.9%
5/6/20214.8%-0.9%1.2%
2/25/2021-9.4%-16.4%-8.5%
11/5/2020-1.9%-4.4%-2.5%
SUMMARY STATS   
# Positive151411
# Negative101013
Median Positive6.3%7.2%13.8%
Median Negative-8.4%-13.1%-9.7%
Max Positive13.4%32.1%33.6%
Max Negative-18.6%-28.1%-33.7%

SEC Filings

Expand for More
Report DateFiling DateFiling
09/30/202611/05/202610-Q
06/30/202608/06/202610-Q
03/31/202605/07/202610-Q
12/31/202502/26/202610-K
09/30/202511/06/202510-Q
06/30/202508/07/202510-Q
03/31/202505/08/202510-Q
12/31/202402/27/202510-K
09/30/202411/07/202410-Q
06/30/202408/08/202410-Q
03/31/202405/09/202410-Q
12/31/202302/22/202410-K
09/30/202311/07/202310-Q
06/30/202308/03/202310-Q
03/31/202305/04/202310-Q
12/31/202202/23/202310-K
Collapse to Preview
Report DateFiling DateFiling
09/30/202611/05/202610-Q
06/30/202608/06/202610-Q
03/31/202605/07/202610-Q
12/31/202502/26/202610-K
09/30/202511/06/202510-Q
06/30/202508/07/202510-Q
03/31/202505/08/202510-Q
12/31/202402/27/202510-K
09/30/202411/07/202410-Q
06/30/202408/08/202410-Q
03/31/202405/09/202410-Q
12/31/202302/22/202410-K
09/30/202311/07/202310-Q
06/30/202308/03/202310-Q
03/31/202305/04/202310-Q
12/31/202202/23/202310-K
09/30/202211/03/202210-Q
06/30/202208/04/202210-Q
03/31/202205/10/202210-Q
12/31/202102/24/202210-K
09/30/202111/04/202110-Q
06/30/202108/05/202110-Q
03/31/202105/06/202110-Q
12/31/202002/25/202110-K
09/30/202011/05/202010-Q
06/30/202008/05/202010-Q
03/31/202005/07/202010-Q
12/31/201902/27/202010-K

Recent Forward Guidance

Updated 11/6/2026

Latest: Q3 2026 Earnings Reported 11/5/2026

Forward GuidanceGuidance Change
MetricSourceLowMidHigh% Chg% DeltaChangePrior
Q4 2026 Accelerated Share RepurchaseReported 50.00 Mil    
2026 Product Revenues, NetReported825.00 Mil840.00 Mil855.00 Mil0.0% AffirmedGuidance: 840.00 Mil for 2026
2026 JORNAY PM Revenue, NetReported190.00 Mil195.00 Mil200.00 Mil0.0% AffirmedGuidance: 195.00 Mil for 2026
2026 AZSTARYS Revenue, NetReported65.00 Mil70.00 Mil75.00 Mil0.0% AffirmedGuidance: 70.00 Mil for 2026
2026 Adjusted EBITDAReported445.00 Mil457.50 Mil470.00 Mil0.0% AffirmedGuidance: 457.50 Mil for 2026


Prior: Q2 2026 Earnings Reported 8/6/2026

Forward GuidanceGuidance Change
MetricSourceLowMidHigh% Chg% DeltaChangePrior
2026 Product Revenues, NetReported825.00 Mil840.00 Mil855.00 Mil3.1% RaisedGuidance: 815.00 Mil for 2026
2026 JORNAY PM Revenue, NetReported190.00 Mil195.00 Mil200.00 Mil0 AffirmedGuidance: 195.00 Mil for 2026
2026 AZSTARYS Revenue, NetReported65.00 Mil70.00 Mil75.00 Mil   
2026 Adjusted EBITDAReported445.00 Mil457.50 Mil470.00 Mil-1.6% LoweredGuidance: 465.00 Mil for 2026

Q1 2026 Earnings Reported 5/7/2026

Forward GuidanceGuidance Change
MetricSourceLowMidHigh% Chg% DeltaChangePrior
2026 Product Revenues, NetReported805.00 Mil815.00 Mil825.00 Mil0 AffirmedGuidance: 815.00 Mil for 2026
2026 JORNAY PM Revenue, NetReported190.00 Mil195.00 Mil200.00 Mil0 AffirmedGuidance: 195.00 Mil for 2026
2026 Adjusted EBITDAReported455.00 Mil465.00 Mil475.00 Mil0 AffirmedGuidance: 465.00 Mil for 2026

Q4 2025 Earnings Reported 2/26/2026

Forward GuidanceGuidance Change
MetricSourceLowMidHigh% Chg% DeltaChangePrior
2026 Product Revenues, NetReported805.00 Mil815.00 Mil825.00 Mil4.5% Higher NewGuidance: 780.00 Mil for 2025
2026 Jornay PM Revenue, NetReported190.00 Mil195.00 Mil200.00 Mil32.2% Higher NewGuidance: 147.50 Mil for 2025
2026 Adjusted EBITDAReported455.00 Mil465.00 Mil475.00 Mil0 Same NewGuidance: 465.00 Mil for 2025

Insider Activity

Updated 6/10/2026
Expand for More
#OwnerTitleHoldingActionFiling DatePriceSharesTransacted
Value
Value of
Held Shares
Form
1Freund, John GordonDirectSell520202634.05206812,858,566Form
2Freund, John GordonDirectSell518202634.544,127142,5472,900,393Form
3Lurker, NancyDirectSell515202635.974,500161,861648,055Form
4Bohlin, Garen GDirectSell513202637.188,700323,4912,314,970Form
5Dieter, DavidEVP & General CounselDirectSell320202634.9213,976488,0992,691,635Form
Collapse to Preview
#OwnerTitleHoldingActionFiling DatePriceSharesTransacted
Value
Value of
Held Shares
Form
1Freund, John GordonDirectSell520202634.05206812,858,566Form
2Freund, John GordonDirectSell518202634.544,127142,5472,900,393Form
3Lurker, NancyDirectSell515202635.974,500161,861648,055Form
4Bohlin, Garen GDirectSell513202637.188,700323,4912,314,970Form
5Dieter, DavidEVP & General CounselDirectSell320202634.9213,976488,0992,691,635Form
6Dieter, DavidEVP & General CounselDirectSell311202636.656,224228,1103,336,873Form
7Dreyer, ScottEVP & Chief Commercial OfficerDirectSell305202640.4149,9762,019,4372,900,092Form
8Dreyer, ScottEVP & Chief Commercial OfficerDirectSell1210202548.1717,600847,8554,991,410Form
9Balice-Gordon, Rita JDirectSell1209202547.033,650171,6732,475,342Form
10Fallon, John ADirectSell1114202547.2134,8531,645,5363,051,604Form
11Tupper, ColleenEVP & Chief Financial OfficerDirectSell1107202540.5330,0001,215,7535,133,194Form
12Smith, Thomas BEVP and Chief Medical OfficerDirectSell903202538.4217,478671,5762,699,831Form
13Dreyer, ScottEVP & Chief Commercial OfficerDirectSell820202538.2116,389626,1713,958,721Form
14Santini, Gino DirectSell819202537.195,405201,0183,534,726Form
15Dreyer, ScottEVP & Chief Commercial OfficerDirectSell815202538.034,861184,8813,940,765Form
16Rubric, Capital Management LPSee footnotesSell815202537.8525,000946,250118,574,323Form
17Freund, John Gordon By: John Freund Family Partnership IV, L.P.Sell812202534.3611,659400,641794,786Form
18Freund, John Gordon DirectSell611202530.626,601202,1492,163,831Form

Investor Activity (13F)

Updated Nov 9, 2026
13F holdings as of Mar 31, 2026 (Q1 2026)

Active managers (13F portfolio over $250M, at least 3 holdings) with a position over $5M that is either over 10% of their portfolio or held in a concentrated book of 50 or fewer total positions. Index/ETF, sovereign, bank, community-bank and charitable/donor-advised filers are excluded.

Active ManagerValue% of PortfolioTotal PositionsQoQFiling
Silverback Asset Management LLC$12.0 Mil2.4%45TRIM -43.7%13F
Active Manager
Active ManagerValue% of PortfolioTotal PositionsQoQFiling
Silverback Asset Management LLC$12.0 Mil2.4%45TRIM -43.7%13F
Active ManagerValue% of PortfolioTotal PositionsQoQFiling
Silverback Asset Management LLC$12.0 Mil2.4%45TRIM -43.7%13F
Core Cache Last Updated: 11/8/2026