Tandem Diabetes Care, Inc.TNDM
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Tandem Diabetes Care, Inc. Canaccord Genuity's 46th Annual Growth Conference

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Transcript

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Bill PlovanicSenior Research Analyst

My name is Bill Plovanic. I am a senior medical device analyst here at Canaccord. Welcome to our 46th Annual Global Growth Conference. With us up next, we have Tandem Diabetes, and for Tandem, we have Leigh Vosseller, CFO, and Susan Morrison, the Chief Administrative Officer. We are going to start out with a basic overview of the company, one slide, to give you a little background before we get into a fireside chat. With that, I will hand it over to Leigh.

Leigh VossellerCFO

All right, thank you. Thanks for having us here today. I will just hit on a few of the highlights because I think we are going to dive deep into the really exciting parts with some of your questions, Bill. Starting with the market overall, it is a very large and highly under-penetrated market. To contextualize, in the U.S., there are about 2 million people living with type 1 diabetes, and only 40% of people use pump therapy today, meaning we have 60% of people that we can still attract with our technology. The type 2 diabetes population is more than 2 million people in the U.S., and only 5% of people are using pumps.

Leigh VossellerCFO

We do operate in about 25 markets around the world, and in those markets, there are about 3 million people living with type 1 diabetes and only about 20% of people using pump therapy today. So a lot of room for us to run. The way we expect to win in this market is, number one, with the best clinical outcomes, number two, with wearability. We define wearability by offering a portfolio of products. We know it is not a one-size-fits-all need for people in the population, and we want to make sure we are offering something that can fit multiple different needs. We have two different pump platforms, and we are excited to share that one of those pump platforms will be able to become our first tubeless option here in the very near future.

Leigh VossellerCFO

We will be expanding even further into another category where we are not playing very well today, or we are not actually competing. The last piece really that has been a barrier to pump adoption is affordability. Cost has been one of the number one barriers to people starting pump therapy. By design, the DME model makes it very expensive for people who want to start on pumps. It can be $800-$1,000 out of pocket, even more if they have not met their deductible. We have moved into the pharmacy channel, and we are setting up a reimbursement model that is a pay-as-you-go model. Therefore, the pump will be given away for free, and people will only pay for the supplies along the way. So it makes it a much different dynamic for people who want to start pump therapy but could not afford it in the past.

Leigh VossellerCFO

We have about 500,000 people around the world using our technology today, and we are excited. A number of drivers that we have this year and in the future with our rich pipeline. We are excited to talk to you a little bit more, Bill, about Tandem.

Bill PlovanicSenior Research Analyst

Excellent. Thank you for the quick overview. Hopefully, you are not getting hit in the eyes by the light.

Leigh VossellerCFO

Got it worked out. All right.

Bill PlovanicSenior Research Analyst

We have a lot going on with Tandem, as always. I have been covering, I think, for 3 years now, and it seems like there are so many moving parts to this story, it makes it challenging for investors to know what the drivers are, especially for your company, your size, and market cap, right? It is the effort to market cap ratio on top of it. But it is a great market. This is a big transition year for you with the shift to pharmacy for the U.S. business, and then you are also shifting international from distributor to direct. On top of that, we have got multiple new products. You will be the first tubeless patch pump, I think. We could argue Sequel was out there, and obviously Insulet pioneered the market.

Bill PlovanicSenior Research Analyst

You are next up with probably the next key product coming between now and year-end, then throw a couple more CGM integrations into this. That is a lot. I want to unpack all of this, but just to kick it off, where should investors focus the most? If I just wanted to say, "Okay, what one or two things should I focus on for Tandem," what would it be? Let us start high level.

Leigh VossellerCFO

Sure. Sure, and you called it challenging, I will call it exciting because it means we have multiple shots on goal. There is not just one way to win. As I mentioned earlier, it is about the best clinical outcomes, it is about wearability of the products, and it is about affordability. So we have a number of things underway, but I think in the first and second quarter even more so, we demonstrated great progress in all of those ways against our initiatives this year. So at the very moment, we have products in flight. We launched FreeStyle Libre 3 end of last year, Tandem Mobi coming into this year. But I think the three biggest areas of particular drivers would be the pharmacy conversion, it would be the impending clearance of Mobi tubeless, and it would be the direct transition outside the U.S.

Leigh VossellerCFO

I think those are the primary focus today. If you talk to anyone in the organization, that is where all of our attention is.

Bill PlovanicSenior Research Analyst

Everything else just kind of helps everything else.

Bill PlovanicSenior Research Analyst

Helps us. Helps it all.

Bill PlovanicSenior Research Analyst

Yes. The system. I am surprised I still get this question on GLP impact on the space.

Bill PlovanicSenior Research Analyst

It just surprises me given all the data and everything we've seen. But anything just high level for people?

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