Supernus Pharmaceuticals - Corporate Overview May 2021

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Supernus Pharmaceuticals - Corporate Overview May 2021
Supernus
     Pharmaceuticals

     Corporate Overview
     May 2021

© 2021 Supernus Pharmaceuticals, Inc. All Rights Reserved.

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Supernus Pharmaceuticals - Corporate Overview May 2021
Safe Harbor Statement

    This presentation and other matters discussed today or answers that may be given to
    questions asked include forward-looking statements within the meaning of the federal
    securities laws. These statements, among other things, relate to Supernus’ business
    strategy, goals and expectations concerning its product candidates, ability to integrate the
    acquired portfolio into its infrastructure, future operations, prospects, plans and objectives
    of management. The words “anticipate”, “believe”, “could”, “estimate”, “expect”, “intend”,
    “may”, “plan”, “predict“, “project”, “will“, and similar terms and phrases are used to identify
    forward-looking statements in this presentation. Supernus’ operations involve risks and
    uncertainties, many of which are outside its control, including the potential impact of
    COVID-19, and any one of which, or a combination of which, could materially affect its
    results of operations and whether the forward-looking statements ultimately prove to be
    correct. Supernus assumes no obligation to update any forward-looking statements except
    as required by applicable law.

    Supernus has filed with the U.S. Securities and Exchange Commission (SEC) reports and
    other documents required by Section 13 or 15(d) of the Securities Exchange Act of 1934,
    as amended. Before you purchase any Supernus securities, you should read such reports
    and other documents to obtain more complete information about the company’s
    operations and business and the risks and uncertainties that it faces in implementing its
    business plan. You may get these documents for free by visiting EDGAR on the SEC
    website at http://www.sec.gov.

© 2021 Supernus Pharmaceuticals, Inc. All Rights Reserved.

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Supernus Pharmaceuticals - Corporate Overview May 2021
Proven Execution in CNS & ADHD
20+ Years of CNS experience including Four Programs in ADHD

                                                                                                                                    SPN-830
          2005
                                                                                                                                    SPN-820
             to                                                                                                                     SPN-817
      Present

          1997
             to
          2005

For several years, and prior to becoming independent in 2005, Supernus operated as Shire Laboratories, Inc., a division of Shire.
SPN-830, SPN-820, and SPN-817 are product candidates in various stages of development.
All trademarks are the property of their respective owners

 © 2021 Supernus Pharmaceuticals, Inc. All Rights Reserved.

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Revenue and Operating Earnings Performance
                       Total Revenues ($ Millions)                                            Total Operating Earnings ($ Millions)

                                                                         520                                                           174
                                                                                                                                 149
                                                                                                                         144
                                                      409
                                                                393
                                                                                                                  100
                                              302
                                                                                                            54
                                    215
                                                                                                     21
                           147
                  93
                                                                                        2013 2014 2015 2016 2017 2018 2019 2020
          12                                                                                  -5

       2013 2014 2015 2016 2017 2018 2019 2020                                          -62

Year-end 2018 inventory build by distribution channel increased 2018 net sales by
approximately $10 million and negatively impacted 2019 net sales.

© 2021 Supernus Pharmaceuticals, Inc. All Rights Reserved.

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Portfolio of Six Marketed Products⃰

                                                                                      Cervical Dystonia
          ADHD                            Epilepsy           Migraine   Parkinson’s
                                                                                         Sialorrhea

                              * Qelbree™ to be available in the U.S market in 2Q 2021

© 2021 Supernus Pharmaceuticals, Inc. All Rights Reserved.

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Robust Pipeline For Future Growth

             Product                                          Indication                          Development              NDA

             SPN-830                                          Parkinson’s                                                 2H 20211

            Qelbree™                                          Adult ADHD                        Positive Phase III Data   3Q 2021

             Myobloc                                Neurological Disorders                            Phase IV

             SPN-820                                           Depression                              Phase I

             SPN-817                                         Severe Epilepsy                           Phase I

 1Refusal   to File letter received from FDA November 2020. NDA resubmission planned 2H 2021.

© 2021 Supernus Pharmaceuticals, Inc. All Rights Reserved.

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Qelbree™
Novel Non-Stimulant ADHD Product

           Approved in April 2021 for patients 6 to 17 years of age
           Launch planned for 2Q 2021
             ‒ Sales force of approximately 175 sales representatives

           Phase III clinical data point to a well-differentiated product
           Building strong IP with expirations from 2029-2033
           sNDA filing for adult patients targeted for 3Q 2021
           Potential 6 months market exclusivity in children 4-5 years of
           age following completion of post-marketing commitment
           studies

© 2021 Supernus Pharmaceuticals, Inc. All Rights Reserved.

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Trokendi XR
More Favorable Clinical Outcomes Compared to TPM-IR1

                                                           Side Effects with Trokendi XR vs. TPM-IR in Migraine Cohort (n=124)
                             Cognitive effect                                                                                                                                      28%
                                                                                             6%*
                                   Paresthesia                                                                                 12%
                                                                       2%t
                                  Somnolence                                                 6%
                                                                 1%                                                                                    TPM-IR        Trokendi XR
    Appetite decreased/weight loss                                          3%                                                                        *p
Trokendi XR
Use in Clinical Practice – A Pragmatic Assessment1

                                  Responder Rate                                                                                           % of Patients

                                   ≥ 50% Reduction                                                                                                       55

                                   ≥ 75% Reduction                                                                                                       41

                                   100% Reduction                                                                                                        24
           * Responder Rate: percent change from pre-index migraine frequency associated with Trokendi XR treatment (n=159)

1 O’NealW et al. Pragmatic assessment of Trokendi XR (extended-release topiramate) in migraine prevention. Poster presented at 59 th Annual Scientific
Meeting of the American Headache Society, June 2017

 © 2021 Supernus Pharmaceuticals, Inc. All Rights Reserved.

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Oxtellar XR
    Improved Adverse Event Profile at Double the Dose of Trileptal®

          Dizziness

                                                                                                                                                                                             $17
             Diplopia
                                                                                                                                                          $25
                                                                                                                                                          % of Patients Discontinuing
         Headache                                                                                                                                         2400mg/d Therapy Due to AEs
                                                                                                                                                                                $25
                                                                                                                                                           66.7
       Somnolence
                                                                                                                                                                            55%
                                                                                                                                                                            Reduction
            Vomiting

                                                                                                                                                                             30
             Nausea                                                                                                          $11

             Fatigue                                                                                                                            $11
                                                                                                                                                         Trileptal®         Oxtellar XR®
           Asthenia

                        0                               10                                20                               30                               40                          50

                                                                      Trileptal 1200 mg/d (n=171)              SPN-804O 2400 mg/d (n=123)

Based on comparison of Oxtellar XR (SPN-804O) Phase III vs. Trileptal PI (adjunctive therapy study in adults); differences in trial design exist between the two studies.
Dizziness includes vertigo in Trileptal group because of change in the MedDRA system

   © 2021 Supernus Pharmaceuticals, Inc. All Rights Reserved.

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Parkinson’s Disease (PD) Market

           U.S. PD market is anticipated to grow from $1.5B to $6.2B by 2026 1

           Second most common chronic progressive neurodegenerative disorder,
           affecting 1-2% of individuals 65 years and older2

           ~1M U.S. PD patients (2020), ~2.5%1 annual growth rate

           PD occurs when cells in the brain, which produce dopamine, become
           impaired or die

           The mainstay for therapy is levodopa with effectiveness wearing off
           resulting in “OFF” periods

           As PD advances, patients experience more “OFF” periods

1. Global Data Parkinson’s Disease Global Drug Forecast and Market Analysis 2026
2. Saxton JM. Exercise and Chronic Disease: an Evidence-Based Approach. London, Routledge, 2011

© 2021 Supernus Pharmaceuticals, Inc. All Rights Reserved.

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Addressing Patient Needs at Different Stages of
Parkinson’s Disease
                 Stage 1              Stage 1.5              Stage 2            Stage 2.5              Stage 3                Stage 4       Stage 5

                                                                                                  Pen
                                                                                                                                 SPN-830

                                                                                                                                          Advanced
                                                                                                        On‐demand                        continuous
                                                                                                         Therapy                          treatments

                                                   L‐dopa
                                                  Adjuncts

              Monotherapy
                                                                                                                                        Deep Brain
                                                                                                                                        Stimulation
                                            Generic
                                           Levodopa

              Initial Symptoms

© 2021 Supernus Pharmaceuticals, Inc. All Rights Reserved.       All trademarks are the property of their respective owners

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APOKYN®
Apomorphine Delivered Through a Subcutaneous Injection
             Acute Treatment of “OFF” Episodes in Advanced Parkinson’s Disease

▪     On average, peak response seen after                                                                                    UPDRS(1) Motor Score Change
      20 minutes, with a meaningful clinical                                                                                         Time (minutes)
      effect seen from 4 minutes                                                                                       0     20           40            60          80   100
                                                                                                                  0

▪     At peak effect, the mean decreases from
                                                                                                                  -5
      baseline in UPDRS motor scores were

                                                                                     Mean change from pre-dose
      24.2 points for the apomorphine group

                                                                                        UPDRS motor score
                                                                                                                 -10
      and 7.4 points for the placebo group
      (p
SPN-830
Novel Apomorphine Subcutaneous Injection Pump

           Non‐invasive dopaminergic stimulation therapy for continuous
           treatment of ON-OFF episodes in PD
           Currently available options
             ‒ Gastro-intestinal surgically implanted levodopa/carbidopa infusion
             ‒ Deep Brain Stimulation

           Could be eligible for Orphan Drug Designation and 7-year
           exclusivity
           NDA resubmission planned 2H 20211

     1Refusal    to File (RTF) letter received from FDA November 2020.

© 2021 Supernus Pharmaceuticals, Inc. All Rights Reserved.

                                                                    14
SPN-830
Novel Apomorphine Subcutaneous Injection Pump
                                                  TOLEDO Phase III Study Results

                                                                                       Primary Endpoint

                                                                                    SPN-830 demonstrated a
                                                                                       2.47 hours per day
                                                                                     reduction in OFF time
                                                                                   compared to placebo (0.58);
                                                                                           p= 0.0025

Regina Katzenschlager et al, The Lancet Neurology. 2018;Vol 17(9):749-759
© 2021 Supernus Pharmaceuticals, Inc. All Rights Reserved.

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SPN-820
Novel MOA for Treatment-Resistant Depression (TRD)

      Joint development and option agreement with Navitor Pharmaceuticals

      First-in-class selective brain mTORC1 activator
        ‒      Binds to and modulates sestrin, a leucine amino acid sensor
        ‒      Long IP runway

      Early efficacy signal on HAMD-6 scale in TRD patients
        ‒      Rapid onset of action (signal at 2 hours)
        ‒      Meaningful effect sizes (>0.4 through 3 days on 1 dose)

      Significant market need & revenue potential
        ‒      Major depressive disorder (MDD) affects approximately 17.3M U.S. adults1
        ‒      Approximately 7% of the U.S. adult population1
        ‒      ~30% of MDD patients are treatment resistant2

      Initiation of Phase II clinical trial in TRD expected by the end of 2021
        ‒      Favorable safety/tolerability profile across broad range of potentially therapeutic doses in
               completed MAD study
     1- National Institute of Mental Health, 2017 National Survey on Drug Use and health
     2- Rush AJ Et al.(2006) Acute and Longer-Term Outcomes in Depressed Outpatients Requiring One or Several Treatment Steps: A STAR*D
     Report. The American Journal of Psychiatry,163(11), 1905-1917

© 2021 Supernus Pharmaceuticals, Inc. All Rights Reserved.

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Positioned For
      Long-Term Growth

      Diversified CNS Portfolio
        Qelbree™, Oxtellar XR® , Trokendi XR® , APOKYN®, MYOBLOC®, XADAGO®

      Innovative Pipeline in CNS
        Qelbree™                                                  ADHD (adult)
        SPN-830                                                   Parkinson’s Disease
        MYOBLOC                                                   Neurological Disorders
        SPN-820                                                   Depression
        SPN-817                                                   Severe Epilepsy

     © 2021 Supernus Pharmaceuticals, Inc. All Rights Reserved.

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