10-Q

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 _____________________________________________________

FORM 10-Q

  ____________________________________________________

 (Mark One)

☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended September 30, 2020

or

☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from            to                

Commission File Number: 001-36754

  _____________________________________________________

  EVOFEM BIOSCIENCES, INC.

(Exact name of registrant as specified in its charter)

 ___________________________________________________ 

Delaware (State or other jurisdiction of incorporation) 20-8527075 (IRS Employer Identification No.)

12400 High Bluff Drive, Suite 600 San Diego, CA (Address of Principal Executive Offices) 92130 (Zip Code)

Registrant’s telephone number, including area code: (858) 550-1900

Not applicable.

(Former name or former address, if changed since last report.)

 ____________________________________________________

Securities registered pursuant to Section 12(b) of the Act:

Title of each class	Trading Symbol(s)	Name of each exchange on which registered
Common Stock, par value $0.0001 per share	EVFM	The Nasdaq Stock Market LLC (Nasdaq Capital Market)
Series A Preferred Stock Purchase Rights, par value $0.0001 per share	N/A	The Nasdaq Stock Market LLC (Nasdaq Capital Market)

Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer”, “accelerated filer”, “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer ☐	Accelerated filer ☐
Non-accelerated filer ☒	Smaller reporting company ☒
	Emerging growth company ☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.   ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No x

The number of shares of the registrant’s common stock, $0.0001 par value per share, outstanding as of October 31, 2020 was 81,280,286.

Table of Contents

		Page
	FORWARD-LOOKING STATEMENTS	1
PART I.	FINANCIAL INFORMATION
Item 1.	Financial Statements (Unaudited)	3
	Condensed Consolidated Balance Sheets	3
	Condensed Consolidated Statements of Operations	4
	Condensed Consolidated Statements of Stockholders’ Equity (Deficit)	5
	Condensed Consolidated Statements of Cash Flows	7
	Notes to Unaudited Condensed Consolidated Financial Statements	8
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	30
Item 3.	Quantitative and Qualitative Disclosures About Market Risk	41
Item 4.	Controls and Procedures	42
PART II.	OTHER INFORMATION
Item 1.	Legal Proceedings	42
Item 1A.	Risk Factors	42
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	42
Item 3.	Defaults Upon Senior Securities	43
Item 4.	Mine Safety Disclosures	43
Item 5.	Other Information	43
Item 6.	Exhibits	44
Signatures		45

FORWARD-LOOKING STATEMENTS

This quarterly report on Form 10-Q (Quarterly Report) contains forward-looking statements that involve substantial risks and uncertainties. The forward-looking statements are contained principally in the section entitled “Management’s Discussion and Analysis of Financial Condition and Results of Operations.” All statements, other than statements of historical facts, contained in this Quarterly Report, including statements regarding our strategy, future operations, future financial position, projected costs, prospects, plans and objectives of management, are forward-looking statements. Words such as, but not limited to, “anticipate,” “aim,” “believe,” “contemplate,” “continue,” “could,” “design,” “estimate,” “expect,” “intend,” “may,” “might,” “plan,” “possible,” “potential,” “predict,” “project,” “seek,” “should,” “suggest,” “strategy,” “target,” “will,” “would,” and similar expressions or phrases, or the negative of those expressions or phrases, are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words.

These forward-looking statements include, among other things, statements about:

•our ability to attain profitability;

•our estimates regarding our future performance, including without limitation, any estimates of potential future revenues;

•the rate and degree of market acceptance of Phexxi™ (lactic acid, citric acid and potassium bitartrate) vaginal gel;

•our ability to successfully commercialize Phexxi and continue to develop our sales and marketing capabilities;

•our strategic plans for our business;

•our estimates regarding expenses and capital requirements;

•our ability to raise additional capital to fund our operations;

•our ability to continue as a going concern;

•the ongoing COVID-19 pandemic, including without limitation its impact on our business and commercialization of Phexxi;

•the potential for changes to current regulatory mandates requiring health insurance plans to cover U.S. Food and Drug Administration (FDA)-cleared or approved contraceptive products without cost sharing;

•our ability to obtain or maintain third-party payer coverage and adequate reimbursement, and our reliance on the willingness of patients to pay out-of-pocket for Phexxi absent full or partial third-party payer reimbursement;

•our ability to obtain the necessary regulatory approvals to market and commercialize EVO100 for prevention of urogenital transmission of Chlamydia trachomatis infection (chlamydia) and Neisseria gonorrhoeae infection (gonorrhea) in women, or any other product candidate we may seek to develop;

•the success, cost and timing of our clinical trials;

•our top-line or initial clinical trial data which are subject to adjustment and revision;

•our ability to protect and defend our intellectual property position and our reliance on third party licensors;

•our ability to obtain additional patent protection for our product and product candidates;

•our dependence on third parties in the conduct of our clinical trials and for the manufacture of Phexxi and our product candidates;

•our ability to expand our organization to accommodate potential growth; and

•our ability to retain and attract key personnel.

To date, only one of our products, Phexxi, has been approved by the FDA. Our other current product candidates are investigational and thus have not been submitted to or approved by the FDA, and neither Phexxi nor our other product candidates have been approved by the European Commission or any other regulatory authority anywhere else in the world.

Although we believe that we have a reasonable basis for each forward-looking statement contained in this Quarterly Report, we caution you that these statements are based on our projections of the future that are subject to known and unknown risks and uncertainties and other factors that may cause our actual results, level of activity, performance or achievements expressed or implied by these forward-looking statements, to differ. We may not actually achieve the plans, intentions or expectations disclosed in our forward-looking statements, and you should not place undue reliance on our forward-looking statements. All forward-looking statements are qualified in their entirety by this cautionary statement. Forward-looking statements should be regarded solely as our current plans, estimates and beliefs. You should read this Quarterly Report and the documents that we have filed as exhibits to this Quarterly Report and incorporated by reference herein completely and with the understanding that our actual results may be materially different from the plans, intentions and expectations disclosed in the forward-looking statements we make. Important factors that could cause actual results to differ materially from those discussed in our forward-looking statements are discussed in Exhibit 99.2 (Risk Factors of Evofem Biosciences, Inc.) of our Current Report on Form 8-K, as filed with the Securities Exchange Commission on June 2, 2020. Moreover, we operate in a very competitive and rapidly changing environment. New risks emerge from time to time. It is not possible for our management to predict all risks, nor can we assess the impact of all factors on our business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements we may make. The

1

forward-looking statements contained in this Quarterly Report are made as of the date of this Quarterly Report, and we do not assume any obligation to update any forward-looking statements, whether as a result of new information, future events or otherwise, except as required by applicable law.

2

PART I. FINANCIAL INFORMATION

ITEM 1. Financial Statements

EVOFEM BIOSCIENCES, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(Unaudited)

(In thousands, except par value and share data)

	September 30, 2020		December 31, 2019
Assets
Current assets:
Cash and cash equivalents	$	86,697	$	15,571
Restricted cash	337		304
Short-term investments	—		8,233
Trade accounts receivable, net	1,243		—
Inventories	3,164		—
Prepaid and other current assets	10,638		2,313
Total current assets	102,079		26,421
Property and equipment, net	1,976		394
Operating lease right-of-use assets	7,198		160
Other noncurrent assets	1,074		1,320
Total assets	$	112,327	$	28,295
Liabilities and stockholders’ equity
Current liabilities:
Accounts payable	$	5,427	$	6,008
Convertible notes payable	48,055		—
Accrued expenses	4,607		2,784
Accrued compensation	4,954		3,670
Operating lease liabilities – current	1,728		197
Other current liabilities	921		—
Total current liabilities	65,692		12,659
Operating lease liabilities – noncurrent	6,425		—
Total liabilities	72,117		12,659
Commitments and contingencies (Note 8)
Preferred stock, $0.0001 par value; 5,000,000 shares authorized; no shares issued and outstanding	—		—
Stockholders’ equity:
Common stock, $0.0001 par value; 300,000,000 shares authorized; 81,280,286 and 48,137,880 shares issued and outstanding at September 30, 2020 and December 31, 2019, respectively;	8		5
Additional paid-in capital	655,092		528,810
Accumulated deficit	(614,890)		(513,179)
Total stockholders’ equity	40,210		15,636
Total liabilities and stockholders’ equity	$	112,327	$	28,295

See accompanying notes to the condensed consolidated financial statements (unaudited).

3

EVOFEM BIOSCIENCES, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(Unaudited)

(In thousands, except share and per share data)

	Three Months Ended September 30,				Nine Months Ended September 30,
	2020		2019		2020		2019
Product sales, net	$	278	$	—	$	278	$	—
Operating expenses:
Cost of goods sold	317		—		317		—
Research and development	4,217		5,663		11,104		18,798
Selling and marketing	14,700		3,791		32,553		6,222
General and administrative	7,200		4,843		24,077		14,850
Total operating expenses	26,434		14,297		68,051		39,870
Loss from operations	(26,156)		(14,297)		(67,773)		(39,870)
Other income (expense):
Interest income	21		212		152		338
Other (expense) income	(657)		287		(1,010)		266
Loss on issuance of financial instruments	—		—		(64,049)		(674)
Change in fair value of financial instruments	(3,105)		—		30,971		(27,372)
Total other (expense) income, net	(3,741)		499		(33,936)		(27,442)
Loss before income tax	(29,897)		(13,798)		(101,709)		(67,312)
Income tax expense	(2)		—		(2)		(4)
Net loss	$	(29,899)	$	(13,798)	$	(101,711)	$	(67,316)
Net loss per share, basic and diluted	$	(0.37)	$	(0.30)	$	(1.63)	$	(1.83)
Weighted-average shares used to compute net loss per share, basic and diluted	81,206,101		46,239,225		62,434,949		36,760,013

See accompanying notes to condensed consolidated financial statements (unaudited).

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EVOFEM BIOSCIENCES, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY (DEFICIT)

(Unaudited)

(In thousands, except share data)

	Common Stock			Additional Paid-in Capital		Accumulated Deficit		Total Stockholders’ Equity
	Shares	Amount
Balance at December 31, 2019	48,137,880	$	5	$	528,810	$	(513,179)	$	15,636
Issuance of common stock in connection with ATM (see Note 11)	202,098	—		1,082		—		1,082
Issuance of common stock - exercise of stock options	19,708	—		73		—		73
Restricted stock awards issued/restricted stock units released	1,286,499	—		—		—		—
Shares withheld to cover taxes related to vesting of restricted stock awards	(4,088)	—		(25)		—		(25)
Stock-based compensation	—	—		3,401		—		3,401
Net loss	—	—		—		(19,146)		(19,146)
Balance at March 31, 2020	49,642,097	$	5	$	533,341	$	(532,325)	$	1,021
Issuance of common stock in connection with the Public Offering (see Note 11)	31,700,000	3		103,263		—		103,266
Issuance of common stock in connection with ATM	474,558	—		2,280		—		2,280
Issuance of common stock - ESPP and exercise of stock options	69,398	—		177		—		177
Restricted stock awards issued/restricted stock units released	60,168	—		—		—		—
Shares withheld to cover taxes related to vesting of restricted stock awards	(645,754)	—		(2,777)		—		(2,777)
Issuance of common stock upon cash exercise of warrants and issuance of Reload Warrants	200	—		2		—		2
Short-swing profit disgorgement	—	—		187		—		187
Reclassification from financial instruments liability to equity	—	—		11,015		—		11,015
Stock-based compensation	—	—		6,034		—		6,034
Net loss	—	—		—		(52,666)		(52,666)
Balance at June 30, 2020	81,300,667	$	8	$	653,522	$	(584,991)	$	68,539
Shares withheld to cover taxes related to vesting of restricted stock awards	(20,381)	—		(67)		—		(67)
Stock-based compensation	—	—		1,637		—		1,637
Net loss	—	—		—		(29,899)		(29,899)
Balance at Balance at September 30, 2020	81,280,286	$	8	$	655,092	$	(614,890)	$	40,210

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	Common Stock			Additional Paid-in Capital		Accumulated Deficit		Total Stockholders’ Equity (Deficit)
	Shares	Amount
Balance at December 31, 2018	25,867,248	$	3	$	409,787	$	(433,146)	$	(23,356)
Issuance of common stock upon cash exercise of warrants and issuance of Reload Warrants (see Note 11)	2,376,065	—		10,617		—		10,617
Restricted stock awards issued/restricted stock units released	470,500	—		—		—		—
Shares withheld to cover taxes related to vesting of restricted stock awards	(1,639)	—		(6)		—		(6)
Stock-based compensation	—	—		1,962		—		1,962
Net loss	—	—		—		(18,068)		(18,068)
Balance at March 31, 2019	28,712,174	$	3	$	422,360	$	(451,214)	$	(28,851)
Issuance of common stock in connection with the Private Placement (see Note 11)	17,777,779	2		68,322		—		68,324
Issuance of common stock - exercise of stock options	16,823	—		46		—		46
Restricted stock awards issued/restricted stock units released	6,000	—		—		—		—
Shares withheld to cover taxes related to vesting of restricted stock awards	(86,461)	—		(518)		—		(518)
Reclassification from financial instruments liability to equity	—	—		29,726		—		29,726
Stock-based compensation	—	—		2,515		—		2,515
Net loss	—	—		—		(35,450)		(35,450)
Balance at June 30, 2019	46,426,315	$	5	$	522,451	$	(486,664)	$	35,792
Financing costs in connection with the Private Placement (see Note 10)	—	—		(60)		—		(60)
Issuance of common stock - exercise of warrants	200,064	—		—		—		—
Restricted stock awards issued/restricted stock units released	189,000	—		—		—		—
Shares withheld to cover taxes related to vesting of restricted stock awards	(24,149)	—		(122)		—		(122)
Stock-based compensation	—	—		2,263		—		2,263
Net loss	—	—		—		(13,798)		(13,798)
Balance at September 30, 2019	46,791,230	$	5	$	524,532	$	(500,462)	$	24,075

See accompanying notes to condensed consolidated financial statements (unaudited).

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EVOFEM BIOSCIENCES, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited)

(In thousands)

	Nine Months Ended September 30,
	2020		2019
Cash flows from operating activities:
Net loss	$	(101,711)	$	(67,316)
Adjustments to reconcile net loss to net cash, cash equivalents and restricted cash used in operating activities:
Loss on issuance of financial instruments	64,049		674
Change in fair value of financial instruments	(30,971)		27,372
Stock-based compensation	11,072		6,740
Depreciation	181		198
Noncash lease expenses	542		487
Noncash interest expenses	992		—
Changes in operating assets and liabilities:
Accounts receivable	(1,243)		—
Inventories	(2,912)		—
Prepaid and other assets	(9,070)		(408)
Accounts payable	(505)		(3,628)
Accrued expenses and other liabilities	2,900		(5,186)
Accrued compensation	1,283		(8)
Operating lease liabilities	(357)		(576)
Net cash, cash equivalents and restricted cash used in operating activities	(65,750)		(41,651)
Cash flows from investing activities:
Proceeds from sale of Softcup line of business	250		250
Maturities of short-term investments	8,233		—
Purchase of short-term investments	—		(3,715)
Purchases of property and equipment	(833)		(23)
Net cash, cash equivalents and restricted cash provided by (used in) investing activities	7,650		(3,488)
Cash flows from financing activities:
Proceeds from issuance of common stock - exercise of warrants	2		6,273
Proceeds from issuance of common stock, warrants and purchase rights in connection with the 2019 Private Placement, net of financial advisory fees	—		75,400
Proceeds from issuance of common stock, net of discounts and commissions - Public Offering	103,738		—
Proceeds from issuance of common stock, net of commissions - ATM transactions	3,781		—
Proceeds from issuance of common stock - ESPP and exercise of stock options	337		46
Borrowings under convertible notes	25,000		—
Short-swing profit disgorgement	187		—
Repayment of Vendor Note	—		(4,010)
Cash paid for financing costs	(867)		(1,180)
Payments for tax withholdings related to vesting of restricted stock awards	(2,869)		(645)
Net cash, cash equivalents and restricted cash provided by financing activities	129,309		75,884
Net change in cash, cash equivalents and restricted cash	71,209		30,745
Cash, cash equivalents and restricted cash, beginning of period	16,625		1,761
Cash, cash equivalents and restricted cash, end of period	$	87,834	$	32,506
Supplemental disclosure of noncash investing and financing activities:
Right-of-use assets obtained in exchange for operating lease liabilities	$	7,618	$	802
Financing costs included in accounts payable and accrued expenses	$	—	$	50
Purchases of property and equipment included in accounts payable and accrued expenses	$	73	$	127
Reclassification of financial instruments liability to equity	$	11,015	$	6,120

See accompanying notes to condensed consolidated financial statements (unaudited).

7

EVOFEM BIOSCIENCES, INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

1.Description of Business and Basis of Presentation

Description of Business

On January 17, 2018, Neothetics, Inc., a Delaware corporation (Neothetics), now known as Evofem Biosciences, Inc. (the Company), completed its merger (the Merger) with privately-held Evofem Biosciences Operations, Inc. (Private Evofem), in accordance with the terms of the Agreement and Plan of Merger and Reorganization, dated October 17, 2017, whereby Nobelli Merger Sub, Inc., a Delaware corporation and wholly-owned subsidiary of Neothetics, merged with and into Private Evofem, with Private Evofem surviving as Neothetics’ wholly-owned subsidiary. Unless otherwise noted, references in this report to “Evofem” and the “Company” refer to Evofem Biosciences, Inc. and its subsidiaries following the closing of the Merger.

Evofem is a San Diego-based, commercial-stage biopharmaceutical company committed to developing and commercializing innovative products to address unmet needs in women’s sexual and reproductive health, including hormone-free, woman-controlled contraception and protection from certain sexually transmitted infections (STIs).

The Company’s first commercial product, Phexxi™ (lactic acid, citric acid, and potassium bitartrate) vaginal gel, was approved by the U.S. Food and Drug Administration (FDA) on May 22, 2020 and is the first and only FDA-approved, hormone-free, woman-controlled, on-demand prescription contraceptive gel for women. The Company commercially launched Phexxi in September 2020. Evofem’s pipeline product candidate, EVO100, is being evaluated for the prevention of chlamydia and gonorrhea in women - two of the most pervasive sexually transmitted infections in the United States. Currently, there are no FDA-approved prescription products for the prevention of either of these dangerous infections. 

Basis of Presentation and Principles of Consolidation

The Company prepared the unaudited interim condensed consolidated financial statements included in this Quarterly Report in accordance with accounting principles generally accepted in the U.S. (GAAP) for interim financial information and the rules and regulations of the Securities and Exchange Commission (SEC) related to quarterly reports on Form 10-Q.

The Company’s financial statements are presented on a consolidated basis, which include the accounts of the Company and its wholly-owned subsidiaries. Intercompany accounts and transactions have been eliminated in consolidation. The unaudited interim condensed consolidated financial statements do not include all information and disclosures required by GAAP for annual audited financial statements and should be read in conjunction with the Company’s consolidated financial statements and notes thereto for the year ended December 31, 2019 included in its Annual Report on Form 10-K as filed with the SEC on March 12, 2020 (the 2019 Audited Financial Statements).

The unaudited interim condensed consolidated financial statements included in this report have been prepared on the same basis as the Company’s audited consolidated financial statements and include all adjustments (consisting only of normal recurring adjustments) necessary for a fair statement of the financial position, results of operations, cash flows, and statements of convertible preferred stock and stockholders’ deficit for the periods presented. The results for the three and nine months ended September 30, 2020 are not necessarily indicative of the results expected for the full year. The condensed consolidated balance sheet as of December 31, 2019 was derived from the 2019 Audited Financial Statements.

Reclassification

The Company has separated the presentation of selling and marketing expenses from the total general and administrative expenses in the current period condensed consolidated statement of operations. To conform prior year amounts to the current period presentation, totals of $3.8 million and $6.2 million were reclassified from general and administrative expenses to selling and marketing expenses for the three and nine months ended September 30, 2019, respectively.

Risks, Uncertainties and Going Concern

The condensed consolidated financial statements have been prepared on a going concern basis, which contemplates the realization of assets and settlement of liabilities, in the normal course of business, and does not include any adjustments to reflect the possible future effects on the recoverability and classification of assets or amounts and classification of liabilities that may result from the outcome of this uncertainty.

8

The Company’s principal operations have been related to research and development, including development of Phexxi, selling and marketing related activities for preparation of the commercial launch of Phexxi, as well as raising capital, recruiting personnel and establishing a corporate infrastructure to support a commercial product. The Company has recognized limited revenues since the commercial launch of Phexxi on September 8, 2020 and, as such, has incurred operating losses and negative cash flows from operating activities since inception. As described in Note 5- Convertible Notes and Note 11- Stockholders' Equity, during the nine months ended September 30, 2020, the Company received gross proceeds of $25.0 million from the issuance of convertible notes in the second quarter of 2020, net proceeds of approximately $103.7 million upon the sale and issuance of common stock from the underwritten public offering in June 2020, and $3.8 million from its “at the market” (ATM) program, net of commissions. As of September 30, 2020, the Company had cash and cash equivalents of $86.7 million, working capital of $36.4 million and an accumulated deficit of $614.9 million.

The Company is subject to risks common to other life science companies in the development and early commercial stage including, but not limited to, uncertainty regarding the commercial success of Phexxi and the development of its pipeline product candidate, EVO100, potential disruption of its research and development and commercialization activities as a result of the COVID-19 pandemic, lack of marketing and sales history, potential development by its competitors of new and competitive technological innovations, dependence on key personnel, market acceptance of Phexxi or any other future approved products, if any, product liability, protection of proprietary technology, ability to raise additional financing, and compliance with the FDA and other government regulations, including post marketing regulations. Management’s plans to meet its short- and long-term operating cash flow requirements include generating recurring product revenue and obtaining additional funding, such as through the issuance of its common stock, non-dilutive financings, or through collaborations or partnerships with other companies.

While the Company has recognized limited revenues since the launch of Phexxi in September 2020, the Company anticipates it will continue to incur net losses for the foreseeable future. When compared to the prior year, R&D expenses are expected to decrease in 2020 due to completion of the clinical phase of AMPREVENCE, the Phase 2b clinical trial of EVO100, in December 2019, partially offset by the initiation of EVOGUARD, the Phase 3 clinical trial of EVO100 in October 2020. Additionally, selling and marketing expenses are expected to increase significantly in 2020 due to pre-commercialization activities preceding the US commercial launch of Phexxi in September 2020 and the subsequent initiation of full commercialization activities post commercial launch through the remainder of 2020 and in future periods. When compared to the prior year, the Company expects general and administrative expenses to increase in 2020 as it hires additional personnel and it engages third parties to support the growth of our business. According to management estimates, liquidity resources as of September 30, 2020 are not sufficient to maintain its planned level of operations for the 12 months from the date of issuance of these condensed consolidated financial statements.

These circumstances and the uncertainties associated with the Company’s ability to obtain additional equity or debt financing on terms that are favorable to the Company, enter into collaborative agreements with strategic partners, and otherwise succeed in its future operations raise substantial doubt about the Company’s ability to continue as a going concern.

If the Company is not able to obtain the required funding in the near term, through equity or debt financings or other means, or is unable to obtain funding on terms favorable to the Company, this will have a material adverse effect on its commercialization and development operations and strategic development plan for future growth. If the Company cannot successfully raise additional funding and implement its strategic development plan, the Company may be forced to make reductions in spending, including spending in connection with its commercialization activities, extend payment terms with suppliers, liquidate assets where possible at a potentially lower amount than as recorded in the condensed consolidated financial statements, suspend or curtail planned operations or cease operations entirely. Any of these could materially and adversely affect its liquidity, financial condition and business prospects and the Company would not be able to continue as a going concern.

2.Summary of Significant Accounting Policies

Use of Estimates

The preparation of consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and the notes thereto.

Significant estimates affecting amounts reported or disclosed in the consolidated financial statements include, but are not limited to: the assumptions used in measuring the revenue gross-to-net variable consideration items, the trade accounts receivable credit loss reserve estimate, the discount rate used in estimating the fair value of the lease right-of-use (ROU) assets and lease liabilities, the assumptions used in estimating the fair value of warrants and purchase rights issued, the useful lives of property and equipment, the recoverability of long-lived assets, clinical trial accruals, the assumptions used in estimating the fair value of stock-based compensation expense and in assessing the probability of achieving certain milestones associated with the performance-based restricted stock awards. These assumptions are more fully described in Note 3- Revenue Recognition, Note 5- Convertible Notes, Note 7- Fair Value of Financial Instruments, Note 8- Commitments and Contingencies, and Note

9

12- Stock-based Compensation. The Company bases its estimates on historical experience and other market-specific or other relevant assumptions that it believes to be reasonable under the circumstances and adjusts when facts and circumstances dictate. The estimates are the basis for making judgments about the carrying values of assets and liabilities and recorded expenses that are not readily apparent from other sources. As future events and their effects cannot be determined with precision, actual results may materially differ from those estimates or assumptions.

Segment Reporting

Operating segments are identified as components of an enterprise about which separate discrete financial information is available for evaluation by the chief operating decision-maker, who is the Chief Executive Officer (CEO) of the Company, in making decisions regarding resource allocation and assessing performance. The Company views its operations and manages its business in one operating segment.

Concentrations of Credit Risk

Financial instruments that potentially subject the Company to significant concentrations of credit risk consist primarily of cash, cash equivalents and restricted cash. Deposits in the Company’s checking, time deposit and investment accounts are maintained in federally insured financial institutions and are subject to federally insured limits or limits set by the Securities Investor Protection Corporation. The Company invests in funds through a major U.S. bank and is exposed to credit risk in the event of default to the extent of amounts recorded on the consolidated balance sheets.

The Company has not experienced any losses in such accounts and believes it is not exposed to significant concentrations of credit risk on its cash, cash equivalents and restricted cash balances due to the financial position of the depository institutions in which these deposits are held.

Significant Accounting Policies

There have been several changes to the significant accounting policies that were described in Note 2 to the 2019 Audited Financial Statements during the third quarter of 2020. These changes include the Trade Accounts Receivable and Allowance as described below, and also the accounting policy for revenue recognition, inventories, and the Company's election of fair value option (FVO) to account for certain financial liabilities as described in Note 3- Revenue Recognition, Note 4- Inventories, and Note 5- Convertible Notes, respectively.

Cash, Cash Equivalents and Restricted Cash

Cash and cash equivalents consist of readily available cash in checking accounts, money market funds, and investments in fixed income debt securities with original maturities of less than three months. Restricted cash consists of cash held in monthly time deposit accounts and letters of credit, which are collateral for the Company’s credit cards, facility leases and fleet leases as described in Note 8- Commitments and Contingencies.

The following table provides a reconciliation of cash, cash equivalents and restricted cash, reported within the condensed consolidated statements of cash flows (in thousands): 

	Nine Months Ended September 30,
	2020		2019
Cash and cash equivalents	$	86,697	$	32,120
Restricted cash	337		386
Restricted cash included in other noncurrent assets	800		—
Total cash, cash equivalents and restricted cash presented in the condensed consolidated statements of cash flows	$	87,834	$	32,506

Trade Accounts Receivable and Allowance

Trade accounts receivable are amounts owed to the Company by its customers for product that has been delivered. The trade accounts receivable are recorded at the invoice amount, less prompt pay and other discounts, chargebacks, and an allowance for credit losses, if any. The allowance for credit losses is the Company’s estimate of losses over the life of the receivables. The Company evaluates forward looking economic factors and uses professional judgment to determine the allowance for credit losses, as Phexxi was commercially launched in September 2020 and historical data is not yet available. The credit loss reserves are reviewed and adjusted periodically.

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Trade accounts receivable are aged based on the contractual payment terms. When the collectability of an invoice is no longer probable, the Company will create a reserve for that specific receivable. If a receivable is determined to be uncollectible, it is charged against the general credit loss reserve or the reserve for the specific receivable, if one exists.

Net Loss Per Share

Basic net loss per common share is calculated by dividing the net loss by the weighted-average number of common shares outstanding during the period, without consideration for potentially dilutive securities. Diluted net loss per share is computed by dividing the net loss by the weighted-average number of common shares and potentially dilutive securities outstanding for the period determined using the treasury-stock and if-converted methods. For purposes of the diluted net loss per share calculation, potentially dilutive securities are excluded from the calculation of diluted net loss per share because their effect would be anti-dilutive and, therefore, basic and diluted net loss per share were the same for all periods presented. Potentially dilutive securities excluded from the calculation of diluted net loss per share are summarized in the table below.

	Three and Nine Months Ended September 30,
	2020	2019
Unvested restricted stock awards subject to repurchase	70,000	421,300
Unvested restricted stock units	—	113,000
Common stock to be purchased under the 2019 ESPP	64,442	55,132
Options to purchase common stock	8,972,112	6,424,179
Warrants to purchase common stock	10,426,107	6,168,815
Total	19,532,661	13,182,426

Recently Adopted Accounting Pronouncements

In June 2016, the Financial Accounting Standards Board (FASB) issued ASU No. 2016-13, Financial Instruments - Credit Losses, removing, modifying and adding certain disclosure requirements of ASC 326, Measurement of Credit Losses on Financial Instruments (ASU No. 2016-13), which requires credit losses relating to held-to maturity debt securities should be recorded through an allowance for credit losses. ASU No. 2016-13 was effective for the Company on January 1, 2020. The adoption of this new standard did not have a material impact on the Company's condensed consolidated financial statements.

In August 2018, the FASB issued ASU No. 2018-13, Fair Value Measurement (ASU No. 2018-13), which removes, modifies and adds certain disclosure requirements on fair value measurements in ASC 820, Fair Value Measurements and Disclosures. ASU No. 2018-13 was effective for the Company on January 1, 2020. The adoption of this new standard did not have a material impact on the Company's condensed consolidated financial statements.

In August 2018, the FASB issued ASU No. 2018-15, Intangibles—Goodwill and Other removing, modifying and adding certain disclosure requirements of ASC 350, Internal-Use Software (ASU No. 2018-15), which requires capitalizing implementation costs incurred to develop or obtain internal-use software in a cloud computing arrangement that is a service contract. ASU No. 2018-15 was effective for the Company on January 1, 2020. The adoption of this new standard did not have a material impact on the Company's condensed consolidated financial statements.

Recently Issued Accounting Pronouncements — Not Yet Adopted

In August 2020, the FASB issued ASU No. 2020-06, Debt (ASU No. 2020-06), removing, modifying and adding certain disclosure requirements of ASC 470, Debt with Conversion and Other Options, and ASC 815, Derivatives and Hedging—Contracts in Entity’s Own Equity. ASU No. 2020-06 will be effective for the Company beginning January 1, 2024. The Company is currently evaluating the expected impact of ASU 2020-06 on the condensed consolidated financial statements.

3.Revenue Recognition

The Company recognizes revenue from the sale of its product, Phexxi, in accordance with ASC 606, Revenue from Contracts with Customers (ASC 606). The provisions of ASC 606 require the following steps to determine revenue recognition: (1) identify the contract(s) with a customer; (2) identify the performance obligations in the contract; (3) determine the transaction price; (4) allocate the transaction price to the performance obligations in the contract; (5) recognize revenue when (or as) the entity satisfies a performance obligation.

In accordance with ASC 606, the Company recognizes revenue when its performance obligation is satisfied by transferring control of the product to a customer. In accordance with the Company’s contracts with customers, control of the product is transferred upon the conveyance of title, which occurs when the product is sold to and received by a customer. The

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Company’s customers are located in the United States and consist of wholesale distributors and a specialty retail pharmacy. Payment terms typically range from 45 to 66 days, include prompt pay discounts, and vary by customer. Trade accounts receivable due to the Company from contracts with its customers are stated separately in the balance sheet, net of various allowances as described in the Trade Accounts Receivable policy in Note 2- Summary of Significant Accounting Policies.

The amount of revenue recognized by the Company is equal to the amount of consideration that is expected to be received from the sale of product to its customers. Revenue is only recognized when it is probable that a significant reversal will not occur in future periods. To determine whether a significant reversal will occur in future periods, the Company assesses both the likelihood and magnitude of any such potential reversal of revenue.

Phexxi is sold to customers at the wholesale acquisition cost (WAC). However, the Company records product revenue, net of reserves for applicable variable consideration. These types of variable consideration items reduce revenue and include the following:

•Distribution services fees

•Prompt pay and other discounts

•Product returns

•Chargebacks

•Rebates

•Co-payment assistance

An estimate for each variable consideration item is made with each sale and is recorded in conjunction with the revenue being recognized. To calculate the variable consideration, the Company uses the expected value method. If the estimated amount is payable to a customer, it is recorded as a reduction to accounts receivable. If the estimated amount is payable to an entity other than a customer, it is recorded as a current liability. An estimated amount of variable consideration may differ from the actual amount. At each balance sheet date, these provisions are analyzed, and adjustments are made if necessary. Any adjustments made to these provisions would also affect net product revenue and earnings.

In accordance with ASC 606, the Company must make significant judgments to determine the estimate for certain variable consideration. For example, the company must estimate the percentage of end-users that will obtain the product through public insurance such as Medicaid or through private commercial insurance. To determine these estimates, the Company relies on historical sales data showing the amount of various end-user consumer types, inventory reports from the wholesale distributors and specialty pharmacy, and other relevant data reports. However, because Phexxi was launched in September 2020 this historical data is limited. The Company compensated for this lack of historical data with trend analysis, industry standard data, and professional judgment.

The specific considerations that the Company uses in estimating these amounts related to variable considerations are as follows.

Distribution services fees – The Company pays distribution service fees to its wholesale distributors and specialty pharmacy. These fees are a contractually fixed percentage of WAC and are calculated at the time of sale based on the purchase amount. The Company considers these fees to be separate from the customer’s purchase of the product, therefore, they are recorded in other current liabilities on the condensed consolidated balance sheet.

Prompt pay and other discounts – The Company incentivizes its customers to pay their invoices on time through prompt pay discounts. These discounts are an industry standard practice and the company offers a prompt pay discount to each wholesale distributor customer. The specific prompt pay terms vary by customer and are contractually fixed. Prompt pay discounts are typically taken by the Company’s customers, so an estimate of the discount is recorded at the time of sale based on the purchase amount. Prompt pay discount estimates are recorded as contra trade accounts receivable on the condensed consolidated balance sheet.

The Company may also give other discounts to its customers to incentivize purchases and promote customer loyalty. The terms of such discounts may vary by customer. These discounts reduce gross product revenue at the time the revenue is recorded.

Product returns – Customers have the right to return product that is within six months or less of the labeled expiration date or that is past the expiration date by no more than six months. Phexxi was commercially launched in September 2020 and there were no returns as of September 30, 2020. Due to the lack of historical data, the Company used professional judgment to estimate returns based on industry data for similar products. As time passes and historical data becomes available, the Company will begin to use historical sales and return data to estimate future product returns.

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Certain wholesale distributors also have the ability to return product that is related to the initial stocking order for the Phexxi product launch. The specific terms for this type of product return vary by the specific wholesale distributor agreement. Product return estimates and recorded as other current liabilities on the condensed consolidated balance sheet.

Chargebacks – Certain government entities and covered entities (e.g. Veterans Administration, 340B covered entities) will be able to purchase the product at a price discounted below WAC. The Company is currently in the process of finalizing agreements with these types of entities. The difference between the government or covered entity purchase price and the wholesale distributor purchase price of WAC will be charged back to the Company. The Company estimates the amount in chargebacks based on the expected number of claims and related cost that is associated with the revenue being recognized for product that remains in the distribution channel at the end of each reporting period. Estimated chargebacks are recorded as contra trade accounts receivable on the condensed consolidated balance sheet.

Rebates – The Company will be subject to mandatory discount obligations under the Medicaid and Tricare programs. The Company is currently in the process of finalizing these agreements with Medicaid and Tricare. The rebate amounts for these programs are determined by statutory requirements or contractual arrangements. Rebates are owed after the product has been dispensed to an end user and the Company has been invoiced. Rebates for Medicaid and Tricare are typically invoiced in arrears. The Company estimates the amount in rebates based on the expected number of claims and related cost that is associated with the revenue being recognized for product that remains in the distribution channel at the end of each reporting period. Rebate estimates are recorded as other current liabilities on the condensed consolidated balance sheet.

Co-payment assistance - The Company offers a co-payment assistance program to commercially insured patients whose insurance requires a co-payment to be made when filling their prescription. This is a voluntary program that is intended to provide financial assistance to patients meeting certain eligibility requirements. The Company estimates the amount of co-payment assistance based on the expected number of claims and related cost that is associated with the revenue being recognized for product that remains in the distribution channel at the end of each reporting period. Co-payment assistance estimates are recorded as other current liabilities on the condensed consolidated balance sheet.

The following table summarizes the balances and activity of product revenue variable consideration recorded as contra trade accounts receivable (in thousands):

	Total
Balance at December 31, 2019	$	—
Provision for the current period sales	123
Credit or payments made within the period	(25)
Balance at September 30, 2020	$	98

The following table summarizes the balances and activity of product revenue variable consideration recorded as other current liabilities (in thousands):

	Total
Balance at December 31, 2019	$	—
Provision for the current period sales	1,015
Credit or payments made within the period	(94)
Balance at September 30, 2020	$	921

4.Inventories

Inventories, consisting of purchased materials, direct labor and manufacturing overheads, are stated at the lower of cost, or net realizable value. Cost is determined on a first-in, first-out basis. Net realizable value is the estimated selling price in the ordinary course of business, less reasonably predictable costs of completion, disposal, and transportation. At each balance sheet date, the Company evaluates ending inventories for excess quantities, obsolescence, or shelf-life expiration. The evaluation includes an analysis of the Company’s current and future strategic plans, anticipated future sales, the price projections of future demand, and the remaining shelf life of goods on hand. To the extent that management determines there are excess or obsolete inventory or quantities with a shelf life that is too near its expiration for the Company to reasonably expect that it can sell those products prior to their expiration, the Company adjusts the carrying value to estimated net realizable value in accordance with the first-in, first-out inventory costing method.

The Company began to capitalize the inventory costs associated with Phexxi in April 2020 when it was determined that the inventory had a probable future economic benefit. These inventory costs include all purchased materials, direct labor

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and manufacturing overhead. Prior to April 2020, costs incurred for the manufacture of Phexxi were recorded as research and development expenses.

Inventories consist of the following (in thousands) for the period indicated: 

	September 30, 2020
Raw materials	$	317
Work in process(1)	2,441
Finished goods	406
Total	$	3,164

_____________________
(1) The work in process balance represents all production costs incurred for partially completed goods.

5.Convertible Notes

On April 23, 2020, the Company entered into a Securities Purchase and Security Agreement (the Securities Purchase Agreement) with certain affiliates of Baker Bros. Advisors LP, as purchasers (the Purchasers), and Baker Bros. Advisors LP, as designated agent, pursuant to which the Company agreed to issue and sell to the Purchasers (i) convertible senior secured promissory notes (the Baker Notes) in an aggregate principal amount of up to $25.0 million and (ii) warrants to purchase shares of common stock (the Baker Warrants) in a private placement.

At the initial closing date of April 24, 2020 (the Baker Initial Closing), the Company issued and sold Baker Notes with an aggregate principal amount of $15.0 million (the Baker First Closing Notes) and Baker Warrants exercisable for 3,073,770 shares of common stock (the Baker First Closing Warrants).

Following the Baker Initial Closing, the Purchasers had an option to purchase from the Company up to $10.0 million of Baker Notes (the Baker Purchase Rights) at the Purchasers’ discretion at any time prior to the Company receiving at least $100.0 million in aggregate gross proceeds from one or more sales of equity securities.

On June 5, 2020 (the Exercise Date), the Purchasers exercised the Baker Purchase Rights. At the second closing date of June 9, 2020, the Purchasers acquired the remaining Baker Notes with an aggregate principal amount of $10.0 million (the Baker Second Closing Notes) and Baker Warrants exercisable for 2,049,180 shares of common stock (the Baker Second Closing Warrants). With the completion of the underwritten public offering in June 2020 as further discussed in Note 11- Stockholders' Equity, the conversion price of the Baker Notes and the exercise price of the Baker Warrants is $2.44. The Baker Warrants have a five-year term with a cashless exercise provision and are immediately exercisable at any time from their respective issuance date.

The Baker Notes have a five-year term, with no pre-payment ability. Interest on the unpaid principal balance of the Baker Notes (the Outstanding Balance) accrues at 10.0% per annum with interest accrued during the first year from the two respective closing dates recognized as payment-in-kind. Accrued interest beyond the first year of the respective closing dates are to be paid in arrears on a quarterly basis in cash or recognized as payment-in-kind, at the direction of the Purchasers. Interest expense for the three and nine months ended September 30, 2020 was approximately $0.7 million and $1.0 million, respectively, which is included in convertible notes payable on the accompanying condensed consolidated balance sheet as of September 30, 2020.

The Baker Notes are convertible at any time at the option the Purchasers at the aforementioned conversion price. The Baker Notes are callable by the Company on 10 days’ written notice beginning on the third anniversary of the Baker Initial Closing. The call price will equal 100% of the Outstanding Balance plus accrued and unpaid interest if the Company’s common stock as measured using a 30-day volume weighted average price (VWAP) is greater than the benchmark price of $4.99 as stated in the Securities Purchase Agreement, or 110% of the Outstanding Balance plus accrued and unpaid interest if the VWAP is less than such benchmark price. The Purchasers also have the option to require the Company to repurchase all or any portion of the Baker Notes in cash upon the occurrence of certain events. In a repurchase event, as defined in the Securities Purchase Agreement, the repurchase price will equal 110% of the Outstanding Balance plus accrued and unpaid interest. In an event of default or the Company’s change of control, the repurchase price will equal to the sum of (x) three times of the Outstanding Balance plus (y) the aggregate value of future interest that would have accrued.

The Company's stockholders approved the issuance of the shares issuable upon conversion of the Baker Notes and the exercise of the Baker Warrants in order to comply with Nasdaq Listing Rules 5635(b) and 5635(d) at its special meeting of stockholders held on June 18, 2020 (the Approval Date).

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The Company elected the FVO under ASC 825, Financial Instruments, for the Baker Notes as they are qualified financial instruments and are, in whole, classified as liabilities. Under the FVO, the Company recognized the hybrid debt instrument at fair value inclusive of embedded features. The Company also determined that the Baker Warrants and the Baker Purchase Rights were free standing financial instruments and were classified as liabilities at the time of issuance in accordance with ASC 480, Distinguishing Liabilities From Equity (ASC 480) due to the required stockholders’ approval noted above.

Under the valuation methods as described in Note 7- Fair Value Financial Instruments, the Company recorded the following in the condensed consolidated financial statements related to the Baker Notes and Baker Warrants during the quarter ended June 30, 2020: (i) an aggregate of $58.1 million in convertible notes and an aggregate of $46.7 million for warrants and purchase rights liability at the Baker Initial Closing and Exercise Date; (ii) a $64.0 million loss on issuance of financial instruments recognized at the Baker Initial Closing and Exercise Date the condensed consolidated statement of operations; (iii) an aggregate $34.1 million change in fair value of financial instruments as a result of mark-to-market adjustments on the Baker Notes, Baker Warrants and Baker Purchase Rights recognized respectively at the Exercise Date, Approval Date and the quarter ended June 30, 2020, in the condensed consolidated statement of operations; (iv) a $15.8 million reclassification from purchase rights liability to the convertible notes and warrants liability on the Exercise Date; and (v) an $11.0 million reclassification from warrants liability to additional paid-in capital in the condensed consolidated balance sheet on the Approval Date. In addition, the Company concluded that there was no change in the underlying instrument-specific credit risk between the issuance dates for the Baker Notes and September 30, 2020, and, therefore there was no change recognized in the fair value of the convertible notes associated with differences in credit risk that would be presented separately as a component of other comprehensive income.

Using the same valuation methods discussed in Note 7- Fair Value Financial Instruments, the Company recorded an aggregate $3.1 million change in fair value of financial instruments as a result of mark-to-market adjustments recognized on the Baker Notes at the quarter ended September 30, 2020 in the condensed consolidated financial statements.

The Baker Notes contain various customary affirmative and negative covenants agreed to by the Company. The Company was in compliance with all applicable covenants at September 30, 2020. The Baker Notes also include customary events of default as set forth in the Securities Purchase Agreement, such that, in an event of default, the Purchasers will have the right to accelerate repayment of the aggregate loan balance then outstanding.

6.Balance Sheet Details

Short-term Investments

Short-term investments consist of held-to-maturity securities that will be due in one year or less. The following table illustrates the held-to-maturity securities’ amortized costs at purchase and the fair value for the period presented (in thousands). All of the short-term investments at December 31, 2019 have matured as of September 30, 2020.

December 31, 2019	Amortized Cost Basis		Unrealized Gains		Fair Value
Fixed income debt securities	$	8,233	$	42	$	8,275
Total held-to-maturity securities	$	8,233	$	42	$	8,275

Prepaid and Other Current Assets

Prepaid and other current assets consist of the following (in thousands): 

	September 30, 2020		December 31, 2019
Selling and marketing related costs	$	7,654	$	491
Insurance	1,324		481
Prepaid overhead	754		—
Other receivables	213		436
Flex note receivable (1)	250		250
Short-term deposit	52		150
Other	391		505
Total	$	10,638	$	2,313

_______________________

(1) In June 2016, Private Evofem’s board of directors committed to a plan to sell its Softcup line of business (Softcup) and re-direct its available cash resources to further develop Phexxi. In July 2016, the Company entered into an Asset Purchase

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Agreement with The Flex Company (Flex), whereby Flex would acquire certain assets and assume certain liabilities associated with Softcup. Total consideration for the Softcup sale was $1.9 million, with $0.6 million received in cash at closing and the remaining $1.3 million due and payable under a note in favor of the Company (the Flex Note) through January 1, 2021 (the Maturity Date). The Flex Note bears simple interest at a rate of 5.0% per annum on the remaining principal amount outstanding. An annual principal payment of approximately $0.3 million and the annual accrued and unpaid interest are payable each January 1, beginning in 2017 through the Maturity Date.

The Flex Note is secured by the Softcup assets and has been recorded at fair value. The Company’s incremental borrowing rate and the stated interest rate of the Flex Note are materially consistent.

Property and Equipment, Net

Property and equipment, net, consists of the following (in thousands):

	Useful Life	September 30, 2020		December 31, 2019
Research equipment	5 years	$	615	$	608
Computer equipment and software	3 years	280		13
Office furniture	5 years	205		205
Leasehold improvements	5 years or less	340		340
Construction in-process	—	1,566		77
		3,006		1,243
Less: accumulated depreciation		(1,030)		(849)
Total, net		$	1,976	$	394

Depreciation expense was approximately $0.1 million for both the three months ended September 30, 2020 and 2019, and $0.2 million for both the nine months ended September 30, 2020 and 2019.

Other Noncurrent Assets

Other noncurrent assets consist of the following (in thousands):

	September 30, 2020		December 31, 2019
Restricted cash included in noncurrent assets	$	800	$	750
Prepaid directors & officers' insurance	240		320
Flex note receivable, net of current portion	—		250
Other	34		—
Total	$	1,074	$	1,320

Accrued Expenses

Accrued expenses consist of the following (in thousands):

	September 30, 2020		December 31, 2019
Clinical studies	$	289	$	585
Marketing and public relations	1,375		—
Legal and other professional fees	1,276		1,652
Manufacturing related costs	1,413		—
Other	254		547
Total	$	4,607	$	2,784

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7.Fair Value of Financial Instruments

The fair values of the Company’s assets, including the money market funds, investments in marketable fixed income debt securities classified as cash and cash equivalents, investments in marketable fixed income debt securities classified as held-to-maturity and the Flex Note receivable, and the fair value of the Company’s convertible notes measured on a recurring basis are summarized in the following tables, as applicable (in thousands).

	September 30, 2020		Quoted Prices in Active Markets for Identical Assets (Level 1)		Significant Other Observable Inputs (Level 2)		Significant Unobservable Inputs (Level 3)
Money market funds (1)	$	81,585	$	81,585	$	—	$	—
Fixed income debt securities classified as cash and cash equivalents	4,998		4,998		—		—
Flex note receivable	250		—		250		—
Total assets	$	86,833	$	86,583	$	250	$	—
Convertible notes payable (2)	$	47,063	$	—	$	—	$	47,063
Total liabilities	$	47,063	$	—	$	—	$	47,063

_____________________

(2) The convertible notes payable as of September 30, 2020 on the accompanying condensed consolidated balance sheet also includes approximately $1.0 million accrued interest on the Baker Notes.

	December 31, 2019		Quoted Prices in Active Markets for Identical Assets (Level 1)		Significant Other Observable Inputs (Level 2)		Significant Unobservable Inputs (Level 3)
Money market funds (1)	$	7,064	$	7,064	$	—	$	—
Fixed income debt securities classified as cash and cash equivalents	6,749		—		6,749		—
Fixed income debt securities classified as short-term investments	8,275		—		8,275		—
Flex note receivable	500		—		500		—
Total assets	$	22,588	$	7,064	$	15,524	$	—

_______________________

(1) Included as a component of cash and cash equivalents on the accompanying condensed consolidated balance sheet.

The Baker Warrants and the Baker Purchase Rights, and the Private Placement First Closing Warrants and the Private Placement Purchase Rights as discussed in Note 5- Convertible Notes and Note 10- 2019 Private Placement, respectively, were determined to be classified as liabilities. Therefore, they were stated at fair value at issuance and subject to mark-to-market at each reporting date until a subsequent event occurs that would change their classification. They were considered Level 3 instruments because the fair value measurement was based, in part, on significant inputs not observed in the market.

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The following tables summarize the changes in Level 3 financial liabilities measured at fair value on a recurring basis for the three and nine months ended September 30, 2020 and 2019.

	Baker First Closing Notes		Baker Second Closing Notes		Total
Balance at June 30, 2020	$	26,375	$	17,583	$	43,958
Change in fair value	1,863		1,242		3,105
Balance at September 30, 2020 (2)	$	28,238	$	18,825	$	47,063

	Baker First Closing Notes		Baker Second Closing Notes		Total
Balance at December 31, 2019	$	—	$	—	$	—
Initial liability at issuance	37,405		20,715		58,120
Change in fair value	(9,167)		(1,890)		(11,057)
Balance at September 30, 2020 (2)	$	28,238	$	18,825	$	47,063

_____________________

(2) The convertible notes payable as of September 30, 2020 on the accompanying condensed consolidated balance sheet also includes approximately $1.0 million accrued interest on the Baker Notes.

	Baker First Closing Warrants		Baker Purchase Rights		Baker Second Closing Warrants		Total
Balance at December 31, 2019	$	—	$	—	$	—	$	—
Initial liability at issuance	14,007		27,636		5,098		46,741
Change in fair value	(7,408)		(11,823)		(682)		(19,913)
Reclassification from liability to equity	(6,599)		—		(4,416)		(11,015)
Exercise of Baker Purchase Rights for convertible notes	—		(10,715)		—		(10,715)
Exercise of Baker Purchase Rights for warrants	—		(5,098)		—		(5,098)
Balance at September 30, 2020 (3)	$	—	$	—	$	—	$	—

	Private Placement Warrants		Private Placement Purchase Rights
Balance at December 31, 2018	$	—	$	—
Initial liability at issuance	3,611		3,183
Change in fair value	3,315		19,617
Reclassification from liability to equity	(6,926)		(22,800)
Balance at September 30, 2019(3)	$	—	$	—

_____________________

(3) There was no activity for the three months ended September 30, 2020 and 2019.

Baker Notes

The fair value of the Baker Notes issued as described in Note 5- Convertible Notes, and subsequent changes in fair value recorded at the September 30, 2020 reporting date, were determined using a Monte Carlo simulation-based model. Monte Carlo simulation was used to take into account several factors including the future value of the Company's common stock, a potential change of control event, the maturity term of the Baker Notes, the probability of an event of voluntary conversion of the Baker Notes, exercise of the put right, and exercise of the Company's call right.

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Baker Warrants and Private Placement Warrants

The fair value of the Baker Warrants issued during the second quarter of 2020 as described in Note 5- Convertible Notes, and the fair value of the Private Placement First Closing Warrants issued during the second quarter of 2019 as described in Note 10- 2019 Private Placement, and the respective changes in fair value of these warrants as a result of mark-to-market, were determined using the Black-Scholes option pricing model based on the following weighted-average assumptions for the periods indicated.

	Nine Months Ended September 30,
	2020		2019
Expected volatility	93.7	%	75.0	%
Risk-free interest rate	0.4	%	2.2	%
Expected dividend yield	—	%	—	%
Expected term (years)	4.9		6.9

Baker Purchase Rights and Private Placement Purchase Rights

The fair value of the Baker Purchase Rights, and the subsequent change in fair value of these rights upon exercise of such rights, was determined as the maximum of (i) the fair value of rights to purchase the additional $10 million Baker Notes and (ii) the fair value of the shares of on as-if converted basis, which was determined by the lattice model. The fair value of rights to purchase an additional 2,049,180 Baker Warrants was valued using a Geske option-pricing model. The Geske model was based on the applicable assumptions, including the underlying stock price, warrant exercise price, the exercise price of the rights to purchase the Baker Warrants, the term of the Baker Warrants, the term of the rights to purchase the Baker Warrants, the expected volatility of the Company’s peer group, risk-free interest rate and expected dividend.

The fair value of the Private Placement Purchase Rights issued in connection with the 2019 Private Placement, and the change in fair value of the Private Placement Purchase Rights as a result of the mark-to-market upon stockholder approval of the 2019 Private Placement, was determined using a combination of a lattice model and a Black-Scholes option-pricing model. The lattice model was used to determine a range of future value of the Company's common stock. The Black-Scholes option-pricing model was based on the applicable assumptions, including the future value of the Company's common stock as determined by the lattice model, warrant exercise price, time to expiration, expected volatility of our peer group, risk-free interest rate and expected dividend.

8.Commitments and Contingencies

Operating Leases

Fleet Lease

In December 2019, the Company (the Lessee) and Enterprise FM Trust (the Lessor) entered into a Master Equity Lease Agreement (the Fleet Lease Agreement), whereby the Company leases vehicles to be delivered by the Lessor from time to time with various monthly costs depending on the vehicles delivered for a term of 24 or 36 months, commencing on each corresponding delivery date. The leased vehicles are for use by eligible employees of the Company's commercial operations personnel (the Fleet Lease). There was a total of 54 and 70 vehicles delivered during the three and nine months ended September 30, 2020, respectively. The Company maintains a letter of credit as collateral in favor of the Lessor, which was included in restricted cash in the condensed consolidated balance sheet. This letter of credit was $0.1 million as of September 30, 2020. There was no such amount as of December 31, 2019. The Company determined that the leased vehicles are accounted for as operating leases under ASC 842, Leases (ASC 842).

2020 Lease and the First Amendment

On October 9, 2019, the Company entered into an office lease for approximately 24,474 square feet (Existing Premises) pursuant to a non-cancelable lease agreement (the 2020 Lease). The 2020 Lease commenced on April 1, 2020 and will expire on September 30, 2025, unless terminated earlier in accordance with its terms. The Company has a right to extend the term of the lease for an additional five years and does not anticipate exercising such extension. The Company provided the landlord with a $750,000 security deposit in the form of a letter of credit for the Existing Premises. On April 14, 2020, the Company entered into the first amendment to the 2020 Lease for an additional 8,816 rentable square feet of the same office location (Expansion Premises), which commenced on September 1, 2020 (Expansion Premises Commencement Date) and will expire on September 30, 2025. The Company provided an additional $50,000 in a letter of credit for the Expansion Premises.

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As of September 30, 2020 and December 31, 2019, restricted cash maintained as collateral for the Company’s security deposit was $0.8 million.

2015 Lease

Effective January 30, 2015, Private Evofem entered into a sublease for office space under a noncancelable lease agreement that expired in March 2020 (the 2015 Lease), which is the Company’s primary office space. The sublease provided for two renewal periods of five years each, but the sub-lessor did not renew its lease. In lieu of paying a security deposit directly to the sub-lessor, the Company maintained a time deposit in favor of the sub-lessor (the Deposit), which is included in restricted cash in the condensed consolidated balance sheets. During months 13 through 58 of the 2015 Lease term, subject to certain restrictions, approximately $5,000 of the Deposit was released each month through November 2019 and approximately $66,000 of the Deposit was released each month between December 2019 and March 2020. The 2015 Lease expired on March 31, 2020.

Leased Space

In August 2017, the Company entered into a manufacturing and supply agreement with an outside supplier for a term of one year from August 2017. This agreement was further renewed by both parties to cover the period from August 2018 to September 2019. Under the agreement, the supplier provides a dedicated packaging space for the Company at a fixed monthly cost. The Company determined that this dedicated space is accounted for as an operating lease under ASC 842. The lease for this space expired in September 2019.

Supplemental Financial Statement Information

Lease Assets and Liabilities (in thousands)	September 30, 2020		December 31, 2019
Operating right-of-use assets	$	7,198	$	160
Operating lease liabilities- current	$	1,728	$	197
Operating lease liabilities- noncurrent	$	6,425	$	—

		Three Months Ended September 30,				Nine Months Ended September 30,
Lease Cost (in thousands)	Classification	2020		2019		2020		2019
Operating lease expense	Research and development	$	118	$	76	$	273	$	241
Operating lease expense	Selling and marketing	167		38		298		79
Operating lease expense	General and administrative	181		72		427		243
Total		$	466	$	186	$	998	$	563

Lease Term and Discount Rate	September 30, 2020		December 31, 2019
Weighted Average Remaining Lease Term (in years)	4.61		0.25
Weighted Average Discount Rate	12	%	12	%

Maturity of Operating Lease Liabilities (in thousands)	September 30, 2020		December 31, 2019
Remainder of 2020	$	124	$	201
Year ending December 31, 2021	2,450		—
Year ending December 31, 2022	2,515		—
Year ending December 31, 2023	2,171		—
Year ending December 31, 2024	2,192		—
Year ending December 31, 2025	1,502		—
Total lease payments	10,954		201
Less: imputed interest	(2,801)		(4)
Total	$	8,153	$	197

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	Nine Months Ended September 30,
Other information (in thousands)	2020		2019
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash outflows in operating leases	$	552	$	640

Other Contractual Commitments

In November 2019, the Company entered into a supply and manufacturing agreement with a third-party to manufacture Phexxi and potentially other product candidates in accordance with all applicable current good manufacturing practices (cGMP) regulations, pursuant to which the Company has certain contractual commitments commencing in 2020.

In accordance with the aforementioned Fleet Lease Agreement, the Company has certain contractual commitments for the vehicles to be delivered for use by the Company's sales force, for which ROU assets and lease liabilities will be recognized upon delivery.

Contingencies

From time to time the Company may be involved in various lawsuits, legal proceedings or claims that arise in the ordinary course of business. There were no claims or actions pending against the Company as of September 30, 2020 and December 31, 2019, which management believes would have, individually or in the aggregate, a material adverse effect on its business, liquidity, financial position, results of operations or cash flows. However, litigation is subject to inherent uncertainties and an adverse result in these or other matters may arise from time to time that may harm the Company’s business.

Intellectual Property Rights

In 2014, Private Evofem entered into an amended and restated license agreement with Rush University (the Rush License Agreement) pursuant to which Rush University granted Private Evofem an exclusive, worldwide license of certain patents and know-how related to its multipurpose vaginal pH modulator technology authorizing Private Evofem to make, distribute and commercialize products and processes for any and all therapeutic, prophylactic and/or diagnostic uses, including, without limitation, use for female vaginal health and/or birth control. Pursuant to the Rush License Agreement, the Company is obligated to pay to Rush University an earned royalty based upon a percentage of net sales in the range of mid-single digits. In September 2020, the Company entered the first amendment to the Rush License Agreement, pursuant to which the Company is also obligated to pay a minimum annual royalty amount of $100,000 to the extent the earned royalties do not equal or exceed $100,000 commencing January 1, 2021. Such royalty payment was immaterial for the three months ended September 30, 2020.

In October 2015, the Company entered into separate sublicense agreements (the Sublicenses) with WomanCare Global Trading CIC (WCGCIC) for a contraceptive vaginal ring for aggregate consideration of (i) payments or potential payments to WCGCIC of (a) an upfront payment of $10.0 million, (b) potential regulatory and commercial milestone payments up to $32.0 million, (c) potential royalty payments on net product sales and (d) potential royalty payments on net sales of an equivalent generic product and (ii) $5.0 million in annual sublicense fees through October 1, 2019 to WCGCIC.

During the first quarter of 2019, the Sublicenses were reassigned to WCG Cares, upon which, the unpaid sublicense fees ceased accruing interest and all accrued sublicense fees and interest expense of $1.3 million were transferred and became payable to WCG Cares. During the third quarter of 2019, the Company and WCG Cares entered into a settlement agreement, whereby the Company paid $1.0 million to WCG Cares to settle the entire outstanding balance. The Company recorded the difference of $0.3 million as a concession recorded within other income (expense) in its condensed consolidated statement of operations during the third quarter of 2019. See Note 9- Related-party Transactions for a summary of the Company’s transactions with WCGCIC, WomanCare Global International, a non-profit organization registered in England and Wales (WCGI) and related entities, and WCG Cares.

9.Related-party Transactions

Consulting Agreements

Effective April 1, 2017, the Company entered into a two-year consulting agreement with Thomas Lynch, the former chairman of the Company’s board of directors (the 2017 Consulting Agreement). The 2017 Consulting Agreement expired in accordance with its terms on March 31, 2019. This 2017 Consulting Agreement provided for (i) annual compensation of $0.4 million, including $0.1 million related to his board services and (ii) a stock option for the purchase of 6,416 shares of common stock that was to vest quarterly through March 31, 2018, which remained unissued at the time of the Merger.

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Effective April 1, 2019, the Company entered into a new two-year consulting agreement with Mr. Lynch (the 2019 Consulting Agreement). The 2019 Consulting Agreement provided for (i) annual compensation of $0.4 million, including $0.1 million related to Mr. Lynch’s board services, (ii) an annual grant of 150,000 restricted stock units (RSUs), which vested quarterly over one year from the grant date and (iii) an annual bonus of up to 100% of Mr. Lynch’s annual consulting fees based upon the achievement of the Company’s corporate goals and objectives as determined by and subject to approval of the board of directors. The 2019 Consulting Agreement terminated on April 1, 2020 upon the passing of Mr. Lynch.

Consulting fees incurred under the 2017 and 2019 Consulting Agreements were zero and $0.1 million for the three months ended September 30, 2020 and 2019, respectively, and $0.1 million and $0.5 million for the nine months ended September 30, 2020 and 2019, respectively.

Transactions with WCGI and Related Entities

From 2009 to 2016, Ms. Saundra Pelletier was the founding CEO of WCGI. In February 2013, Private Evofem and WCGI formed an alliance (the WCGI Alliance) and Ms. Pelletier also became Private Evofem’s CEO. Concurrent with the forming of the WCGI Alliance, Private Evofem and WCGI entered into a (i) service agreement to which the companies shared resources and employees and (ii) three-year grant agreement under which Private Evofem provided funding to WCGI.

From 2011 to 2017, Ms. Pelletier served as a director of the board of WomanCare Global Trading, Inc., a WCGI subsidiary. As described in Note 8- Commitments and Contingencies, in October 2015, Private Evofem, through its wholly-owned subsidiaries, entered into two sublicense agreements whereby Private Evofem was responsible for paying $5.0 million in annual sublicense fees, net of amounts paid under the grant agreement during 2015, to WCGCIC, also a WCGI affiliate.

Effective January 2016, Private Evofem and WCGI entered into a shared-services agreement (the SSA), which replaced the prior service agreement. Under the terms of the SSA, Private Evofem and WCGI cross charged the other company’s services provided by each entity on behalf of the other. The SSA also allowed for netting of due to and due from shared-services fees. In July 2019, the SSA was terminated. Services provided under the SSA on behalf of WCGI were immaterial for the three and nine months ended September 30, 2019. The amounts of receivables and payables related to the Company’s transactions with WCGI related entities as of September 30, 2019 and for the three and nine months ended September 30, 2019 were immaterial. All accrued sublicense fees and interest expense related to the Sublicenses as of December 31, 2018 became payable to WCG Cares during the first quarter of 2019.

Transactions with WCG Cares

In 2013, WCG Cares, a 501(c)(3) nonprofit organization, was incorporated under the laws of the State of California. Its primary purpose is to directly engage in and/or fund the development and implementation of programs that promote reproductive health, education, research and increased access to high-quality, innovative and affordable reproductive healthcare and healthcare products around the world. Ms. Pelletier served as the CEO and President of WCG Cares from 2013 to November 2017. She was a member of its board from November 2017 to March 1, 2020, and also served as chair of its board of directors from November 2017 to May 2018. Additionally, Mr. Justin J. File served as WCG Cares' Chief Financial Officer from November 2017 to May 2018. Dr. Kelly Culwell served as WCG Cares' Chief Medical Officer from November 2017 to December 2018. Dr. Culwell was also appointed to its board of directors in January 2019 with a term of three years until December 31, 2021.

In March 2018, the Company and WCG Cares entered into a shared-services agreement (the Cares Shared Services Agreement). Under the terms of the Cares Shared Services Agreement, the Company and WCG Cares cross charged services provided by each entity (or their subsidiaries) on behalf of the other. The Cares Shared Services Agreement also allowed for netting of due to and due from shared-services fees. In July 2019, the Company provided a notice of termination to WCG Cares to terminate the Cares Shared Services Agreement effective September 2019. Services provided under the Cares Shared Services Agreement on behalf of WCG Cares were immaterial for the three and nine months ended September 30, 2019, and the net shared-services due to the Company were immaterial as of September 30, 2019.

Variable Interest Entity Considerations

Due to shared management and numerous agreements between the Company and WCGI and the Company and WCG Cares, management reviewed its relationship with both WCGI and its subsidiaries and WCG Cares in accordance with the authoritative guidance for variable interest entities within ASC 810, Consolidation. The Company concluded that due to WCGI’s and WCG Cares’ status as not-for-profit entities the scope exception from qualifying as a variable interest entity was met and, therefore, the Company is not required to consolidate WCGI or WCG Cares.

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10.2019 Private Placement

On April 10, 2019, the Company entered into a Securities Purchase Agreement with PDL BioPharma, Inc., a Delaware corporation (PDL), funds discretionally managed by Invesco Ltd. (Invesco) and funds managed by Woodford Investment Management Ltd. (WIM, collectively with Invesco and PDL, the 2019 Purchasers), providing for the issuance and sale to the 2019 Purchasers of an aggregate of up to $80 million of the Company’s common stock, par value $0.0001 per share (the Private Placement Shares) at a purchase price of $4.50 per share, and warrants to purchase shares of common stock with an exercise price of $6.38 per share (collectively, the Private Placement Securities) in a private placement (the Private Placement) to be funded in up to two separate closings.

The first closing was completed on April 11, 2019 (the Private Placement First Closing), pursuant to which the Company (i) issued and sold to PDL 6,666,667 shares of its common stock and warrants to purchase up to 1,666,667 shares of common stock (the Private Placement First Closing Warrants) and (ii) provided to the 2019 Purchasers an option, but not an obligation, from the Company to issue and sell to each 2019 Purchaser the shares of common stock and warrants as specified in the aforementioned Securities Purchase Agreement during the period beginning on April 11, 2019 and ending on June 10, 2019 (the Private Placement Purchase Rights). The total consideration for the Private Placement First Closing was $30 million.

The second closing was completed on June 10, 2019 (the Private Placement Second Closing), pursuant to which the Company issued and sold to PDL, Invesco and WIM (i) 6,666,667, 2,222,222 and 2,222,223 shares of its common stock, respectively and (ii) warrants to purchase up to 1,666,667, 555,556 and 555,556 shares of common stock (the Private Placement Second Closing Warrants), respectively, for an aggregate purchase price of $50 million. Shares of common stock issued to WIM included one voting share issued in connection with the issuance of its warrants.

The Company’s stockholders approved the Private Placement at its 2019 Annual Meeting of Stockholders held on June 5, 2019 (the Private Placement Approval Date).

The warrants have a 7-year term and will become exercisable at any time on or after the date that is six (6) months following their respective issuance dates. The Company determined the Private Placement First Closing Warrants were free standing financial instruments and a liability classified in accordance with ASC 480 due to the requirement to obtain stockholder approval pursuant to Nasdaq Listing Rule 5635(b). The Company utilized the Black-Scholes option-pricing model to calculate the fair value of warrants at issuance and on the Private Placement Approval Date for the Private Placement First Closing Warrants, and recorded the following in the condensed consolidated financial statements for the three months ended June 30, 2019: (i) $3.6 million warrant liability at issuance; (ii) $3.3 million change in fair value of warrants in the condensed consolidated statement of operations as a result of mark-to-market on the Private Placement Approval Date; and (iii) $6.9 million reclassification from warrant liability to additional paid-in capital in the condensed consolidated balance sheet on the Private Placement Approval Date.

The Private Placement Second Closing Warrants were determined to be free standing financial instruments and equity classified in accordance with ASC 815, Derivatives and Hedging. The Company utilized the Black-Scholes option-pricing model to calculate the fair value of warrants at issuance and recorded an estimated fair value of $12.7 million as additional paid-in capital in the condensed consolidated balance sheet.

The Company also determined the Private Placement Purchase Rights were free standing financial instruments and liability classified in accordance with ASC 480 due to the stockholder approval provision noted above. As described in Note 7- Fair Value Financial Instruments, the Company utilized a combination of a lattice model and a Black-Scholes option-pricing model to calculate the fair value of the Private Placement Purchase Rights at issuance and on the Private Placement Approval Date. The Company recorded the following in the condensed consolidated financial statements during the second quarter of 2019: (i) $3.2 million purchase rights liability at issuance for the purchase rights provided to PDL; (ii) $0.7 million loss on issuance of purchase rights at issuance in the condensed consolidated statement of operations for the purchase rights provided to Invesco and WIM; (iii) $19.6 million change in fair value of purchase rights in the condensed consolidated statement of operations as a result of mark-to-market on the Private Placement Approval Date; and (iv) $22.8 million reclassification from purchase rights liability to additional paid-in capital in the condensed consolidated balance sheet on the Private Placement Approval Date.

Upon completion of the Private Placement First Closing and Private Placement Second Closing, the Company received proceeds of approximately $28.2 million and $47.2 million, net of $1.8 million and $2.8 million in advisory fees to financial advisors, respectively, and used these proceeds for clinical research and development purposes, including resubmission of the New Drug Application for Phexxi to the FDA, commercialization activities, and for general corporate purposes.

Additionally, upon completion of the Private Placement Second Closing, the previously issued WIM Warrants and Reload Warrants (as defined below) to purchase up to 475,000 shares and 1,188,029 shares of common stock, respectively,

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were canceled. See Note 11- Stockholders' Equity for additional details on the Reload Warrants. The Company included such cancellation in valuing the purchase rights described above.

11.Stockholders' Equity

Warrants

On February 5, 2019, the Company entered into letter agreements (the Repricing Letter Agreements) with WIM and certain other holders of outstanding warrants to purchase common stock of the Company by exercising certain outstanding warrants. Upon execution of the Repricing Letter Agreements, investment funds affiliated with WIM exercised certain warrants received upon the completion of the Merger (WIM Warrants) to purchase an aggregate of 1,525,000 shares of common stock, and WIM and other holders of common warrants issued in the public offering in May 2018 (Public Offering Warrants) exercised their common warrants to purchase an aggregate of 851,062 shares of common stock at a reduced exercise price of $2.64 per share. The Company received gross proceeds of approximately $6.3 million from these exercises.

The Company determined that the incremental fair value as a result of the modification to these warrants from the change of the exercise price was approximately $1.4 million and $0.5 million for the WIM Warrants and Public Offering Warrants, respectively, which were recorded as a change in fair value of warrants in the condensed consolidated statement of operations for the nine months ended September 30, 2019.

In addition, on February 8, 2019 and per the terms of the Repricing Letter Agreements, the Company issued warrants to purchase up to 1,188,029 shares of the Company’s common stock (Reload Warrants) to the holders' party to the Repricing Letter Agreements at an exercise price of $5.20 per share. The Company determined the Reload Warrants are free standing financial instruments and equity classified in accordance with ASC 480. Since the Reload Warrants were issued in addition to the reduced exercise price to induce the holders of WIM Warrants and common warrants to exercise their warrants, the Company determined the fair value of the Reload Warrants was also the incremental fair value as a result of the modification to the WIM warrants and common warrants exercised. To determine the fair value of the Reload Warrants, the Company utilized the Black-Scholes option-pricing model, which resulted in an estimated fair value of the Reload Warrants of $2.5 million, which was recorded as additional paid-in capital in the condensed consolidated balance sheet and change in fair value of warrants in the condensed consolidated statement of operations for the nine months ended September 30, 2019.

On June 10, 2019, upon the Second Closing of the Private Placement as discussed in Note 10- 2019 Private Placement, the remaining WIM Warrants to purchase up to 475,000 shares of common stock and all Reload Warrants were cancelled. Warrants to purchase an aggregate of 4,444,446 shares of common stock were issued in connection with the Private Placement at an exercise price of $6.38 per share in April and June 2019.

In April and June 2020, pursuant to the Securities Purchase Agreement as discussed in Note 5- Convertible Notes, the Company issued warrants to purchase up to 5,122,950 shares of common stock in a private placement at an exercise price of $2.44 per share.

As of September 30, 2020, warrants to purchase up to 10,426,107 shares of the Company’s common stock remain outstanding at a weighted average exercise price of $4.54 per share. These warrants are summarized below:

Type of Warrants	Underlying Common Stock to be Purchased	Exercise Price		Issue Date	Exercise Period
Common Warrants	878	$	51.24	March 30, 2012	March 30, 2012 to March 30, 2022
Common Warrants	1,171	$	51.24	August 17, 2012	August 17, 2012 to July 17, 2022
Common Warrants	7,806	$	3.69	June 11, 2014	June 11, 2014 to June 11, 2024
Common Warrants	848,674	$	7.50	May 24, 2018	May 24, 2018 to May 24 2025
Common Warrants	182	$	7.50	June 26, 2018	June 26, 2018 to June 26, 2025
Common Warrants	1,666,667	$	6.38	April 11, 2019	October 11, 2019 to April 11, 2026
Common Warrants	2,777,779	$	6.38	June 10, 2019	December 10, 2019 to June 10, 2026
Common Warrants	3,073,770	$	2.44	April 24, 2020	April 24, 2020 to April 24, 2025
Common Warrants	2,049,180	$	2.44	June 9, 2020	June 9, 2020 to June 9, 2025
Total	10,426,107

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Common Stock

Effective January 17, 2018 and in connection with the Merger, the Company amended and restated its certificate of incorporation, under which the Company is currently authorized to issue up to 300,000,000 shares of common stock, $0.0001 par value per share, and 5,000,000 shares of preferred stock, $0.0001 par value per share.

Public Offering

On June 5, 2020, the Company completed an underwritten public offering (the Public Offering), whereby the Company issued 28,500,000 shares of common stock at a price to the public of $3.50 per share (the Public Offering Price). The Company received proceeds from the Public Offering of $93.2 million, net of underwriting discounts. In addition, the Company granted the underwriters a 30-day option to purchase up to an additional 4,275,000 shares of its common stock at the Public Offering Price, less applicable underwriting discounts. The common stock issued in the Public Offering were registered pursuant to a shelf registration statement on Form S-3 filed with the SEC on November 18, 2019 and declared effective on December 2, 2019.

On June 10, 2020, the Company issued an additional 3,200,000 shares of common stock upon exercise of the underwriters’ overallotment option and received proceeds from the exercise of $10.5 million, net of underwriting discounts.

At the Market (ATM) Program

In November 2019, the Company entered into an Equity Distribution Agreement (the Equity Distribution Agreement) with Piper Sandler & Co. (Piper Sandler), which provided the Company the ability to offer and sell shares of its common stock in ATM offerings (as defined in Rule 415 of the Securities Act of 1933, as amended) having an aggregate offering price up to $50 million from time to time through Piper Sandler acting as sales agent. On June 2, 2020, in connection with the Public Offering discussed in Note 11- Stockholders’ Equity, the Equity Distribution Agreement was terminated. During the nine months ended September 30, 2020, the Company received proceeds of approximately $3.8 million in cash and cash equivalents (including $0.3 million that was included in other receivables in the condensed consolidated balance sheet at December 31, 2019), net of commissions, from the sale of 676,656 shares of its common stock.

Short-swing Profit Disgorgement

During the three months ended September 30, 2020, there was no short-swing profit disgorgement. During the nine months ended September 30, 2020, the Company received an aggregate of $0.2 million in cash from short-swing profit disgorgement, which is included as an increase to additional paid-in capital in the condensed consolidated statement of stockholders’ equity and as a financing activity in the condensed consolidated statement of cash flows.

Common Stock Reserved for Future Issuance

Common stock reserved for future issuance is as follows in common equivalent shares as of September 30, 2020: 

Common stock issuable upon the exercise of stock options outstanding	8,972,112
Common stock issuable upon the exercise of common stock warrants	10,426,107
Common stock available for future issuance under the 2019 ESPP	1,354,968
Common stock available for future issuance under the Amended and Restated 2014 Plan	1,752,262
Common stock available for future issuance under the Amended Inducement Plan	484,175
Total common stock reserved for future issuance	22,989,624

Stockholder Rights Agreement

On March 24, 2020, the Company entered into a rights agreement (the Rights Agreement) with Philadelphia Stock Transfer, Inc., as rights agent. In connection with the adoption of the Rights Agreement and pursuant to its terms, the Company’s board of directors authorized and declared a dividend of one right (each, a Right) for each outstanding share of the Company’s common stock to stockholders of record at the close of business on April 8, 2020 (the Record Date), and authorized the issuance of one Right for each share of common stock issued by the Company (except as otherwise provided in the Rights Agreement) between the Record Date and the Distribution Date (as defined below).

Each Right entitles stockholders to purchase from the Company, when exercisable and subject to adjustment, one one-thousandth of a share (a Unit) of Series A Preferred Stock (the Preferred Stock) at a purchase price of $17.50 per Unit (the Purchase Price). The Rights generally become exercisable (the Distribution Date) upon the earlier of (i) 10 business days

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following a public announcement that a person or group of affiliated or associated persons (an Acquiring Person) has acquired or otherwise obtained beneficial ownership of 32% or more of the then‑outstanding shares of common stock of the Company (the date of such public announcement, the Stock Acquisition Date), and (ii) 10 business days (or such later date as may be determined by the board of directors of the Company) following the commencement of a tender offer or exchange offer that would result in a person or group becoming an Acquiring Person. If a person becomes an Acquiring Person, then each holder of a Right will thereafter have the right to receive, upon exercise, Units of Preferred Stock or, at the option of the Company, shares of common stock (or, in certain circumstances, cash, property or other securities of the Company) having a value equal to two times the Purchase Price of the Right. If the Company is acquired in a merger or similar business combination transaction at any time after a person has become an Acquiring Person, each holder of a right (other than the Acquiring Person and certain related parties) will be entitled to purchase a similar amount of common stock of the acquiring entity.

12.Stock-based Compensation

Equity Incentive Plans

The following table summarizes stock-based compensation expense related to stock options, restricted stock awards (RSAs) and RSUs granted to employees and non-employee directors included in the condensed consolidated statements of operations as follows (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2020		2019		2020		2019
Research and development	$	291	$	202	$	1,689	$	859
Selling and marketing	347		564		2,006		1,101
General and administrative	999		1,497		7,377		4,780
Total	$	1,637	$	2,263	$	11,072	$	6,740

In September 2012, Private Evofem adopted the 2012 Equity Incentive Plan (the 2012 Plan) that provides for the issuance of RSAs, RSUs, or non-qualified and incentive common stock options to its employees, non-employee directors and consultants, from its authorized shares. In general, the options expire ten years from the date of grant and generally vest either (i) over a four-year period, with 25% exercisable at the end of one year from the employee’s hire date and the balance vesting ratably thereafter or (ii) over a three-year period, with 25% exercisable at the grant date and the balance vesting ratably thereafter. Upon completion of the Merger, Private Evofem’s 2012 Plan was assumed by the Company and awards outstanding under the 2012 Plan became awards for the Company’s common stock. Effective as of the Merger, no further awards may be issued under the 2012 Plan.

On September 15, 2014, Neothetics’ board of directors adopted, and stockholders approved, the 2014 Equity Incentive Plan (the 2014 Plan), which was amended and restated on each of May 2018 and February 26, 2019 (the Amended and Restated 2014 Plan), which among other things, increased the number of authorized shares under the 2014 Plan from 749,305 to an aggregate of 7,800,000 shares. On February 25, 2020, the Company’s board of directors approved, subject to stockholder approval, and recommended its stockholders approve at the 2020 Annual Meeting, an additional 2,000,000 authorized shares reserved for issuance under the Amended and Restated 2014 Plan to an aggregate of 11,725,515 shares, including the Evergreen Shares discussed below. Such stockholder approval was obtained on May 12, 2020. Per the terms of the Amended and Restated 2014 Plan, the shares reserved will automatically increase on each January 1 through 2024, by an amount equal to the smaller of (i) 4% of the number of shares of common stock issued and outstanding on the immediately preceding December 31; or (ii) an amount determined by our board of directors. This provision resulted in an additional 1,925,515 shares (Evergreen Shares) added to the total number of authorized shares on January 1, 2020. As of September 30, 2020, there were 1,752,262 shares available to grant under the Amended and Restated 2014 Plan.

On July 24, 2018, upon the recommendation by the Compensation Committee, the Company's board of directors adopted the Evofem Biosciences, Inc. 2018 Inducement Equity Incentive Plan (the Inducement Plan), pursuant to which the Company reserved 250,000 shares for the issuance of equity awards under the Inducement Plan. The Inducement Plan was amended effective February 25, 2020 (the Amended Inducement Plan), which increased the number of authorized shares to an aggregate of 1,250,000 shares. The only persons eligible to receive awards under the Inducement Plan are individuals who satisfy the standards for inducement grant recipients under Nasdaq Marketplace Rule 5635(c)(4), generally, a person not previously an employee or director of the Company, or following a bona fide period of non-employment, as an inducement material to the individual’s entering into employment with the Company. As of September 30, 2020, there were 484,175 shares available to grant under the Inducement Plan.

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Stock Options

There were 631,200 and 290,000 shares of stock options granted during the three months ended September 30, 2020 and 2019, respectively, and 2,873,685 and 733,000 shares of stock options granted during the nine months ended September 30, 2020 and 2019, respectively. Of the total stock options granted during the nine months ended September 30, 2020, 1,027,400 were granted out of the share reserve increase approved by the board of directors under the Amended and Restated 2014 Plan on February 25, 2020 and were subject to the Company obtaining the requisite stockholder approval. This stockholder approval was obtained on May 12, 2020.

As of September 30, 2020, unrecognized stock-based compensation expense for employees and non-employee stock options was approximately $10.9 million, which the Company expects to recognize over a weighted-average remaining period of 2.4 years, assuming all unvested options become fully vested.

Summary of Assumptions

The fair value of noncash stock-based compensation for stock options granted to employees and non-employees was estimated on the date of grant using the Black-Scholes option pricing model based on the following weighted-average assumptions for options granted for the periods indicated.

	Three Months Ended September 30,				Nine Months Ended September 30,
	2020		2019		2020		2019
Expected volatility	90.7	%	76.0	%	82.4	%	76.1	%
Risk-free interest rate	0.4	%	1.5	%	0.6	%	1.9	%
Expected dividend yield	—	%	—	%	—	%	—	%
Expected term (years)	6.1		6.0		6.0		5.9

Expected volatility. The expected volatility assumption is based on volatilities of a peer group of similar companies whose share prices are publicly available. The peer group was developed based on companies in the biotechnology industry.

Risk-free interest rate. The risk-free interest rate assumption is based on observed interest rates appropriate for the expected term of the stock option grants.

Expected dividend yield. The expected dividend yield assumption is based on the fact that the Company has never paid cash dividends and has no present intention to pay cash dividends.

Expected term. The expected term represents the period options are expected to be outstanding. Because the Company does not have historical exercise behavior, it determines the expected term assumption using the practical expedient as provided for under ASC 718, Compensation - Stock Compensation, which is the midpoint between the requisite service period and the contractual term of the option.

Restricted Stock Awards and Units

There were zero and 150,000 shares of RSAs granted under the Amended and Restated 2014 Plan during the three months ended September 30, 2020 and 2019, respectively, and 1,265,000 and 625,500 shares of RSAs granted during the nine months ended September 30, 2020 and 2019 respectively, to its executive management team and certain non-executive employees. The vesting conditions for 1,245,000 shares of RSAs granted during the first quarter of 2020 and 460,500 shares of RSAs granted during the first quarter of 2019 are connected to the Company’s achievement of certain performance milestones in the corresponding fiscal year (Performance-based RSAs).

For the Performance-based RSAs, (i) the fair value of the award was determined on the grant date, (ii) the Company assessed the probability of achieving each individual milestone associated with the award using reasonable assumptions based on the Company's operation performance towards each milestone and (iii) the fair value of the shares subject to the milestone is expensed over the implicit service period commencing once management believes the performance criteria is probable of being met. The non-performance based RSAs and RSUs were valued at the fair value on the grant date and the associated expenses will be recognized over the vesting period.

The Company recognized $0.1 million and $6.5 million stock-based compensation expense during the three and nine months ended September 30, 2020, respectively, for RSAs and RSUs. As of September 30, 2020, unrecognized stock-based compensation expense related to the unvested RSAs and RSUs was approximately $0.3 million, which the Company expects to recognize over a weighted-average remaining period of 1.3 years.

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On April 1, 2020, under the Amended and Restated 2014 Plan, the Company issued 150,000 RSUs to the former chairman of the Company’s board of directors in consideration for certain consulting services to be provided to the Company in connection with the 2019 Consulting Agreement, which were immediately forfeited upon the passing of Mr. Lynch.

Employee Stock Purchase Plan

In November 2014, Neothetics adopted the 2014 Employee Stock Purchase Plan (the 2014 ESPP), which initially authorized the issuance of 28,333 shares of common stock pursuant to purchase rights granted to employees, and an additional 258,672 evergreen shares were added to the total shares authorized on January 1, 2019. Following completion of the Merger, there was no enrollment in the 2014 ESPP. During the three and nine months ended September 30, 2019, there were no shares of common stock purchased under the 2014 ESPP.

On May 7, 2019, the board of directors terminated the 2014 ESPP and approved a new 2019 Employee Stock Purchase Plan (the 2019 ESPP), which was approved by stockholders at the 2019 annual meeting held on June 5, 2019. The 2019 ESPP initially authorized the issuance of 500,000 shares of common stock pursuant to purchase rights granted to employees. In addition, the number of shares available for issuance under the 2019 ESPP will increase on January 1 of each year in an amount equal to the lesser of (i) 1,000,000 shares, (ii) 2% of the shares of common stock outstanding on December 31, or (iii) such lesser number of shares as is determined by the board of directors. As of September 30, 2020, there were 1,354,968 shares of common stock reserved and available for issuance pursuant to the 2019 ESPP. The 2019 ESPP is intended to qualify as an employee stock purchase plan within the meaning of Section 423 of the Internal Revenue Code of 1986, as amended (the Code).

The 2019 ESPP enables eligible full-time and part-time employees to purchase shares of the Company’s common stock through payroll deductions of between 1% and 15% of eligible compensation during an offering period. A new offering period begins approximately every June 15 and December 15. At the last business day of each offering period, the accumulated contributions made during the offering period will be used to purchase shares. The purchase price is 85% of the lesser of the fair market value of the common stock on the first or the last business day of an offering period. The maximum number of shares of common stock that may be purchased by any participant during an offering period will be equal to $25,000 divided by the fair market value of the common stock on the first business day of an offering period. The current active offering period under the 2019 ESPP commenced on June 15, 2020 and will end on December 14, 2020. During the three and nine months ended September 30, 2020, there were zero and 67,454 shares of common stock purchased under the 2019 ESPP. During the three and nine months ended September 30, 2019, there were no shares of common stock purchased under the 2019 ESPP.

The fair value of shares to be issued to employees under the 2019 ESPP is estimated using a Black-Scholes option-pricing model at the grant date, which requires the use of subjective and complex assumptions, including (i) the expected stock price volatility, (ii) the calculation of the expected term of the award, (iii) the risk-free interest rate and (iv) the expected dividend yield. The following weighted average assumptions were used in the calculation of fair value of shares under the 2019 ESPP at the grant dates for the period indicated.

	Three and Nine Months Ended September 30,
	2020		2019
Expected volatility	108.9	%	72.5	%
Risk-free interest rate	0.2	%	2.2	%
Expected dividend yield	—	%	—	%
Expected term (years)	0.5		0.5

13.Subsequent Events

Subsequent events were evaluated through the filing date of this Quarterly Report, November 9, 2020.

On October 14, 2020, the Company sold and issued unsecured convertible promissory notes in an aggregate principal amount of $25 million (the Notes) to Adjuvant Global Health Technology Fund, L.P., and Adjuvant Global Health Technology Fund DE, L.P. (the 2020 Purchasers) pursuant to a Securities Purchase Agreement (the Purchase Agreement) by and between the Company and the 2020 Purchasers. Proceeds from the sale of the notes will be used to support EVOGUARD and to expand global market access for Phexxi.

The Notes have a five-year term and may be prepaid at the option of the Company and/or will become payable at the option of the 2020 Purchasers in connection with certain Company change of control transactions. The Notes will accrue interest at a rate of 7.5% per annum, and accrued interest will accrete on a quarterly basis in arrears to the outstanding balances

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of the Notes. The Notes are subordinate and junior in right of payment to the Baker Notes described in Note 5- Convertible Notes.

The Notes are convertible, subject to certain beneficial ownership blockers, into shares of the Company’s common stock, at any time at the option of the 2020 Purchasers at a conversion price of $3.65 per share (the Conversion Price). The Notes will automatically convert into shares of the Company’s common stock at the Conversion Price immediately following the earliest of the time at which the (i) 30-day value-weighted average price of the Company’s common stock is $10.00 per share, or (ii) Company achieves cumulative net sales from the sales of Phexxi of $100,000,000, provided such net sales are achieved prior to July 1, 2022.

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ITEM 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

The terms “we,” “us,” “our,” “Evofem” or the “Company” refer collectively to Evofem Biosciences, Inc. and its wholly-owned subsidiaries, unless otherwise stated. All information presented in this Quarterly Report on Form 10-Q (Quarterly Report) is based on our fiscal year. Unless otherwise stated, references to particular years, quarters, months or periods refer to our fiscal years ending December 31 and the associated quarters, months and periods of those fiscal years.

The following discussion and analysis of our financial condition and results of operations should be read in conjunction with our condensed consolidated financial statements and the corresponding notes included elsewhere in this Quarterly Report. For additional context with which to understand our financial condition and results of operations, see the audited consolidated financial statements and accompanying notes contained therein as of December 31, 2019 and 2018 and related notes in our Annual Report on Form 10-K as filed with the SEC on March 12, 2020 (the 2019 Audited Financial Statements). This discussion and analysis contains forward-looking statements that involve risks, uncertainties and assumptions. The actual results may differ materially from those anticipated in these forward-looking statements as a result of certain factors, including, but not limited to, those set forth in Exhibit 99.2 (Risk Factors of Evofem Biosciences, Inc.) to our Current Report on Form 8-K as filed with the SEC on June 2, 2020. Unless otherwise defined in this section, the defined terms in this section have the meanings set forth in the 2019 Audited Financial Statements.

Overview

We are a San Diego-based, commercial-stage biopharmaceutical company committed to developing and commercializing innovative products to address unmet needs in women’s sexual and reproductive health, including hormone-free, woman-controlled contraception and protection from certain sexually transmitted infections (STIs).

Our first commercial product, Phexxi™ (lactic acid, citric acid and potassium bitartrate), is the first and only hormone-free, prescription gel approved in the United States for the prevention of pregnancy. We are advancing our product candidate, EVO100 into Phase 3 clinical trials for the prevention of urogenital transmission of both Chlamydia trachomatis infection (chlamydia) and Neisseria gonorrhoeae infection (gonorrhea) in women (we refer to this trial as EVOGUARD).

Phexxi as a Contraceptive and Launch Strategies

On September 8, 2020, we launched Phexxi in the United States as the first and only U.S. Food and Drug Administration (FDA)-approved, hormone-free, woman-controlled, on-demand prescription contraceptive gel. Our ongoing comprehensive Phexxi launch strategy includes marketing and public relations awareness campaigns targeting the 21 million females in the United States of reproductive potential who are not using hormonal contraception, as well as certain identified target health care provider segments; payer outreach; implementation of the Phexxi Concierge Experience, our comprehensive tele-medicine support system; and execution of our consumer digital and media strategy.

We commercially launched Phexxi with a hybrid sales force comprising regional business representatives, regional business managers, a tele-sales communication platform, and a self-guided, virtual health care provider learning platform. Our sales force is comprised of experienced, successful health care sales representatives who are leveraging their established relationships to gain access to health care providers for Phexxi, even in the COVID-19 environment.

The Affordable Care Act (ACA) mandates that women must receive their contraception for no out-of-pocket cost, with at least one product in each of the 18 categories that defined by the ACA. In June 2020, Medi-Span and First Databank, two major drug information databases that payers consult for pricing and product information, granted Phexxi a new classification in their databases and pricing compendia as the first and only “Vaginal pH Modulator.” We believe that a new 19th category of contraception should be established for vaginal pH modulators such as Phexxi. We are working with the Office of Women’s Health and Health Resources and Services Administration to update their birth control tables accordingly.

Phexxi’s listing with Medi-Span and First Databank, coupled with our timely response to payer clinical requests and our clinical presentation, have enabled us to shorten typical payer review times, which can otherwise take up to 180 days. We had coverage for 55% of commercial lives at launch in September 2020, reflecting positive coverage determinations for Phexxi by many regional plans. Discussions with all major commercial payers are ongoing, and we expect most remaining insurers to review Phexxi before the end of the first quarter in 2021.

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EVO100: Our STI Preventive Product Candidate

Evofem's lead product candidate, EVO100, is an antimicrobial vaginal gel under evaluation for the prevention of chlamydia and gonorrhea in women - two of the most pervasive sexually transmitted infections in the United States. Currently, there are no FDA‑approved prescription products for the prevention of either of these commonly reported sexually transmitted infections.

In December 2019, we reported positive top-line results from our double-blind, placebo-controlled Phase 2b clinical trial of EVO100 for the prevention of chlamydia infection and gonorrhea infection in women. The trial, known as AMPREVENCE, enrolled 860 women at 50 sites in the United States for a four-month interventional period followed by a one-month follow-up period. AMPREVENCE met both its primary and secondary endpoints of reducing the risk of chlamydia and gonorrhea infection, respectively.

In this landmark study, the infection rate of chlamydia among women who used EVO100 for the four-month study period was 4.9% (n=14/288) compared to 9.8% among those who used placebo for four months (n=28/287) (p=0.024), a relative risk reduction of 50% in the primary endpoint. Among the reported cases of gonorrhea infection, the infection rate was 0.7% in the EVO100 arm (n=2/280), compared to 3.2% in the placebo arm (n=9/277) (p=0.03), a relative risk reduction of 78% in the secondary endpoint. The study further demonstrated that EVO100 was generally safe and well tolerated. The number of adverse events was similar across both arms (7.2% for EVO100 and 7.5% for placebo) and no serious treatment-related adverse events were reported.

In October 2020, we initiated EVOGUARD for the prevention of urogenital transmission of both chlamydia infection and gonorrhea infection in women. This randomized, placebo-controlled pivotal trial is designed to enroll 1,730 women with prior infection of either chlamydia or gonorrhea and who are at risk for future infection with a 16-week interventional phase followed by a one-month follow-up period. We expect top-line EVOGUARD results in the second or third quarter of 2022.

According to the Centers for Disease Control and Prevention (CDC), U.S. rates of infection for chlamydia and gonorrhea climbed in 2018 for the fifth consecutive year. Nearly 2.4 million domestic cases of these STIs were diagnosed in 2018, including 1.8 million newly reported chlamydia cases and approximately 580,000 newly reported gonorrhea cases. Based on these reports, an estimated 78 million women 18-65 years of age who are sexually active in the United States could be at a risk for one of these sexually transmitted infections. The CDC also reported that gonorrhea is increasingly becoming antibiotic resistant, making it much harder, or sometimes impossible, to treat. Currently, there are no FDA-approved prescription products for the prevention of either of these dangerous infections.

The FDA has granted Fast Track designation to EVO100 for the prevention of chlamydia in women and has designated it a Qualified Infectious Disease Product (QIDP) for the prevention of gonorrhea in women. QIDP designation provides several important potential advantages, including qualification for the FDA Fast Track program and longer market exclusivity, among others.

COVID-19 Pandemic

The current COVID-19 worldwide pandemic has presented substantial public health and economic challenges and is affecting our employees, customers, communities and business operations, as well as the U.S. and global economies and financial markets. International and U.S. governmental authorities in impacted regions are taking actions in an effort to slow the spread of COVID-19, including issuing varying forms of “stay-at-home” orders, and restricting business functions outside of one’s home. In response, we have implemented a work-from-home policy for our employees. To date, our third-party manufacturer and suppliers have not experienced any interruptions or disruptions in their ability to manufacture Phexxi or to supply our manufacturer with raw materials, respectively. Nevertheless, the persistence of the COVID-19 pandemic may interrupt or disrupt such manufacture and/or supply. Further, if our sales force is unable to visit health care providers and/or if our patients are unable to visit health care providers, this may also materially adversely affect our ability to sell Phexxi commercially.  Similarly, the timing of the completion of EVOGUARD may be affected by COVID-19 and COVID-19 may directly or indirectly impact the timeline for data readouts, initiation of, as well as monitoring, data collection and analysis and other related activities for EVOGUARD and our other potential clinical trials. Our current expectations for how we will enroll EVOGUARD are based on an assumption that clinical trial and healthcare activities begin to normalize in the fourth quarter of 2020.  Therefore, our assumptions around completion timing may prove to be incorrect, in particular if COVID-19 continues to spread. In light of recent developments relating to the COVID-19 pandemic, and consistent with the FDA’s updated industry guidance for conducting clinical trials, clinical trials may be deprioritized in favor of treating patients who have contracted the virus or to prevent the spread of the virus. This may lead to clinical trial protocol deviations or to discontinuation of treatment for patients who are then enrolled in our trials. Any disruptions in the commercialization of Phexxi and/or the initiation or completion of our clinical trials, data analysis or readouts and/or any disruption in our supply chain could have a material adverse effect on our business, results of operations and financial condition. The full extent to which the COVID-19 pandemic

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will directly or indirectly impact our business, results of operations and financial condition will depend on future developments that are highly uncertain, including as a result of new information that may emerge concerning COVID-19 and the actions taken to contain or treat it, as well as the economic impact on local, regional, national and international markets.

Merger

As previously discussed, on January 17, 2018 (the Closing Date), Neothetics, Inc. (Neothetics), now known as Evofem Biosciences, Inc., completed its reverse merger (the Merger) with privately-held Evofem Biosciences Operations, Inc. (Private Evofem) in accordance with the terms of an agreement and plan of merger and reorganization, dated October 17, 2017.

Financial Operations Overview

Net Product Sales

We have recognized limited net product sales in the United States since the commercial launch of Phexxi in September 2020. If Phexxi is approved for commercial sale outside of the United States, we expect to out-license commercialization rights for Phexxi to one or more pharmaceutical companies or other qualified potential partners, or enter into collaborations for the commercialization and distribution of Phexxi, from which we may generate licensing revenue. However, we cannot forecast when such arrangements will be secured, if at all, and to what degree such arrangements would affect our development plans and overall capital requirements.

Cost of Goods Sold

The Company began to capitalize the inventory costs associated with Phexxi in April 2020 when it was determined that the inventory had a probable future economic benefit. These inventory costs include all purchased materials, direct labor and manufacturing overhead. Prior to April 2020, costs incurred for the manufacture of Phexxi were recorded as research and development expenses.

In addition, we are obligated to pay quarterly royalty payments pursuant to the first amendment to the amended and restated license agreement with Rush University Medical Center dated March 27, 2014, as amended to date, which are a single-digit percentage of the gross amount we receive in the quarter less certain deductions incurred in the quarter based on a sliding scale. A minimum annual royalty amount of $100,000 is required commencing on January 1, 2021. Such royalty payment was immaterial for the three months ended September 30, 2020, and was included in the costs of goods sold in the condensed consolidated financial statements.

Operating Expenses

Research and development expenses

Our research and development expenses primarily consist of costs associated with the clinical development of EVO100 and post approval changes for continuous improvement and expansion of manufacturing capabilities related to Phexxi. These expenses include:

•external development expenses incurred under arrangements with third parties, such as fees paid to clinical research organizations (CROs) relating to our clinical trials, costs of acquiring and evaluating clinical trial data such as investigator grants, patient screening fees, laboratory work and statistical compilation and analysis, and fees paid to consultants;

•costs to acquire, develop and manufacture clinical trial materials, including fees paid to contract manufacturers;

•costs related to compliance with drug development regulatory requirements;

•continuous improvements of manufacturing and analytical efficiency;

•on-going product characterization and process optimization;

•back-up CMOs evaluation to support future commercial forecast and reduce cost of goods sold

•alternative raw material evaluation to secure an uninterrupted supply chain and reduce cost of goods sold

•employee-related expenses, including salaries, benefits, travel and noncash stock-based compensation expense; and

•facilities, depreciation and other allocated expenses, which include direct and allocated expenses for rent and maintenance of facilities, depreciation of leasehold improvements and equipment, and research and other supplies.

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We expense internal and third-party research and development expenses as incurred. The following table summarizes research and development expenses by product candidate (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2020		2019		2020		2019
Allocated third-party development expenses:
Phexxi for prevention of pregnancy (AMPOWER)	$	2	$	(148)	$	(14)	$	1,986
EVO100 for prevention of chlamydia/gonorrhea (AMPREVENCE)	17		1,050		(10)		6,704
EVO100 for prevention of chlamydia/gonorrhea (EVOGUARD)	1,386		—		1,529		—
Total allocated third-party development expenses	1,405		902		1,505		8,690
Unallocated internal research and development expenses:
Noncash stock-based compensation expenses	291		202		1,689		859
Payroll related expenses	1,438		1,007		3,539		2,933
Outside services costs	705		3,269		3,343		5,506
Other	378		283		1,028		810
Total unallocated internal research and development expenses	2,812		4,761		9,599		10,108
Total research and development expenses	$	4,217	$	5,663	$	11,104	$	18,798

Completion dates and costs for our clinical development programs may vary significantly for EVO100 and any future product candidate we may seek to develop and are difficult to predict. We anticipate that we will determine which programs and product candidates to pursue as well as the most appropriate funding allocations for each program and product candidate on an ongoing basis in response to the results of ongoing and future clinical trials, regulatory developments, and our ongoing assessments of the commercial potential of each current or future product candidate. We expect aggregate research and development expenses to decrease in 2020 due to completion of the clinical phase of AMPREVENCE in December 2019, partially offset by the initiation of EVOGUARD in October 2020. We will need to raise additional capital in the future to complete clinical development for EVO100 and any future product candidates.

The costs of clinical trials may vary significantly over the life of a program owing to the following:

•per patient trial costs;

•the number of sites included in the trials;

•the length of time required to enroll eligible patients;

•the number of patients participating in the trials;

•the number of doses patients receive;

•potential additional safety monitoring or other trials requested by regulatory agencies;

•the phase of development of the product candidate; and

•the efficacy and safety profile of the product candidate.

Selling and marketing expenses

Our selling and marketing expenses consist primarily of pre-commercialization sales and marketing expenses prior to launch, the initiation of full commercialization activities in September 2020, and post-launch commercialization activities for the remainder of 2020, advertising, training, salaries, benefits, travel, noncash stock-based compensation expense, and other related costs for our employees and consultants as well as other costs associated with conducting commercial assessments for our product candidates.

We expect our selling and marketing expenses to increase significantly due to our sales force which was originally established in the third quarter of 2020, as we continue to develop and commence associated marketing campaigns and initiatives, and hire additional personnel to support full commercialization activities in the United States for Phexxi.

General and administrative expenses

Our general and administrative expenses consist primarily of salaries, benefits, travel, business development expense, investor and public relations expense, noncash stock-based compensation, and other related costs for our employees and consultants in executive, administrative, finance, legal and human resource functions. Other general and administrative

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expenses include facility-related costs not otherwise included in research and development or selling and marketing, and professional fees for accounting, auditing, tax and legal fees, and other costs associated with obtaining and maintaining our patent portfolio.

We expect our general and administrative expenses to increase as we hire additional personnel to support the growth of our business and commercialization activities.

Other Income (Expense)

Other income (expense) consists primarily of interest income, loss on issuance of financial instruments and change in fair value of financial instruments issued in various capital raise transactions. Loss on issuance of financial instruments was recognized upon issuance of such instruments to investors as they were determined as freestanding liability-classified financial instruments. The change in fair value of financial instruments was recognized as a result of mark-to-market adjustments for these financial instruments.

Results of Operations

Three Months Ended September 30, 2020 Compared to Three Months Ended September 30, 2019 (in thousands):

Net Product Sales

	Three Months Ended September 30,				2020 vs. 2019
	2020		2019		$ Change		% Change
Product sales, net	$	278	$	—	$	278	100	%

In May 2020, the FDA approved Phexxi for the prevention of pregnancy in females of reproductive potential for use as an on-demand method of contraception. Phexxi was commercially launched in September 2020. Net product sales were $0.3 million for the three months ended September 30, 2020.

Cost of Goods Sold

	Three Months Ended September 30,				2020 vs. 2019
	2020		2019		$ Change		% Change
Cost of goods sold	$	317	$	—	$	317	100	%

Cost of goods sold was $0.3 million for the three months ended September 30, 2020, of which there was a $0.1 million one-time charge related to product labelling rework.

Research and development expenses

	Three Months Ended September 30,				2020 vs. 2019
	2020		2019		$ Change		% Change
Research and development	$	4,217	$	5,663	$	(1,446)	(26)	%

The decrease in research and development expenses was primarily due to a $2.6 million reduction in outside services associated with the Phexxi New Drug Application for the prevention of pregnancy that was resubmitted to the FDA in the fourth quarter of 2019. This decrease was partially offset by a $0.6 million increase in clinical trial expenses associated with the initiation of trial activities for EVOGUARD and an increase of $0.4 million and $0.1 million in payroll related expenses and noncash stock-based compensation, respectively, due to increased headcount.    

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Selling and marketing expenses

	Three Months Ended September 30,				2020 vs. 2019
	2020		2019		$ Change		% Change
Selling and marketing	$	14,700	$	3,791	$	10,909	288	%

The increase in selling and marketing expenses was primarily due to a $6.9 million increase in media and advertising costs and a $0.6 million increase in costs for outside services associated with marketing and market access activities, which were incurred in preparation for the September 2020 commercial launch of Phexxi. The increase in selling and marketing expenses also includes a $2.9 million increase in payroll related expenses due to increased headcount and a $0.5 million increase in facilities costs.

General and administrative expenses

	Three Months Ended September 30,				2020 vs. 2019
	2020		2019		$ Change		% Change
General and administrative	$	7,200	$	4,843	$	2,357	49	%

The increase in general and administrative expenses was primarily due to a $1.6 million increase in legal, audit and financing advisory fees, a $0.5 million increase in costs for outside services pertaining to recruiting of the sales force and medical, legal and regulatory review, a $0.4 million increase in payroll related expenses due to increased headcount, and a $0.4 million increase in facilities costs. These aggregated increases are partially offset by a $0.5 million decrease in noncash stock-based compensation.

Total other (expense) income, net

	Three Months Ended September 30,				2020 vs. 2019
	2020		2019		$ Change		% Change
Total other (expense) income, net	$	(3,741)	$	499	$	(4,240)	(850)	%

Total other expense, net, for the three months ended September 30, 2020, primarily included $3.1 million loss from the change in fair value of these financial instruments as a result of mark-to-market adjustments and $0.7 million in accrued interest expense related to the Baker Notes as described in Note 5- Convertible Notes.

Total other income, net, for the three months ended September 30, 2019 included $0.2 million of interest income and $0.3 million of other income for the concession received upon the settlement of outstanding accrued sublicense fees and interest expense with WCG Cares as described in Note 8- Commitments and Contingencies.

Nine Months Ended September 30, 2020 Compared to Nine Months Ended September 30, 2019 (in thousands):

Net Product Sales

	Nine Months Ended September 30,				2020 vs. 2019
	2020		2019		$ Change		% Change
Product sales, net	$	278	$	—	$	278	100	%

In May 2020, the FDA approved Phexxi for the prevention of pregnancy in females of reproductive potential for use as an on-demand method of contraception. Phexxi was commercially launched in September 2020. Net product sales were $0.3 million for the nine months ended September 30, 2020.

Cost of Goods Sold

	Nine Months Ended September 30,				2020 vs. 2019
	2020		2019		$ Change		% Change
Cost of goods sold	$	317	$	—	$	317	100	%

Cost of goods sold was $0.3 million for the nine months ended September 30, 2020, of which there was a $0.1 million one-time charge related to a change in product labelling.

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Research and development expenses

	Nine Months Ended September 30,				2020 vs. 2019
	2020		2019		$ Change		% Change
Research and development	$	11,104	$	18,798	$	(7,694)	(41)	%

The overall decrease in research and development expenses was primarily due to a $6.8 million reduction in clinical trial costs associated with the completion of the clinical phases of AMPOWER in December 2018 and AMPREVENCE in December 2019. The overall decrease also resulted from a $2.6 million reduction in outside services associated with the Phexxi New Drug Application for the prevention of pregnancy that was resubmitted to the FDA in the fourth quarter of 2019. These aggregated decreases are partially offset by a $0.6 million increase in payroll related expenses and $0.8 million increase in noncash stock-based compensation due to increased headcount, and a $0.4 million increase in facilities costs.

Selling and marketing expenses

	Nine Months Ended September 30,				2020 vs. 2019
	2020		2019		$ Change		% Change
Selling and marketing	$	32,553	$	6,222	$	26,331	423	%

The overall increase in selling and marketing expenses was primarily due to a $14.4 million increase in media and advertising costs incurred in preparation for the September 2020 commercial launch of Phexxi, a $5.6 million increase in payroll related expenses due to increased headcount primarily related to the aforementioned hiring of the field sales force, a $4.2 million increase in costs for outside services associated with marketing, market access and medical affairs activities, a $1.0 million increase in facilities costs, and a $0.9 million increase in noncash stock-based compensation.

General and administrative expenses

	Nine Months Ended September 30,				2020 vs. 2019
	2020		2019		$ Change		% Change
General and administrative	$	24,077	$	14,850	$	9,227	62	%

The overall increase in general and administrative expenses was primarily due to a $2.6 million increase in noncash stock-based compensation, a $2.2 million increase in legal and financing advisory fees, a $2.0 million increase in outside services mainly associated with the issuance of convertible notes and recruiting of the sales force, a $1.6 million increase in payroll due to increased headcount, and a $0.8 million increase in facilities costs.

Total other income (expense), net

	Nine Months Ended September 30,				2020 vs. 2019
	2020		2019		$ Change		% Change
Total other (expense) income, net	$	(33,936)	$	(27,442)	$	(6,494)	24	%

Total other expense, net, for the nine months ended September 30, 2020 primarily included a $64.0 million recorded loss on issuance of convertible notes, warrants and purchase rights issued in connection with the Securities Purchase Agreement as described in Note 5- Convertible Notes and a $1.0 million in accrued interest expense related to convertible notes. This loss was offset by a $31.0 million recorded gain from the change in fair value of these financial instruments as a result of mark-to-market adjustments.

The other expense, net, for the nine months ended September 30, 2019 primarily included a $0.7 million recorded loss on issuance of purchase rights issued in connection with the Private Placement as described in Note 10- 2019 Private Placement, a $22.9 million recorded loss from change in fair value of these financial instruments as a result of mark-to-market, and a $4.4 million incremental expense recognized as a result of a modification to the warrants exercised in February 2019 as described in Note 11- Stockholders' Equity.

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Liquidity and Capital Resources

Overview

As of September 30, 2020, we had working capital of $36.4 million and an accumulated deficit of $614.9 million. We have financed our operations to date primarily through the sale of preferred stock and units, common stock, the issuance of convertible notes, interest earned on investments, cash received in the Merger, related-party advances and a note payable from Cosmederm Biosciences, Inc., a prior related party. At September 30, 2020, we had approximately $86.7 million in cash and cash equivalents. Our cash and cash equivalents include amounts held in checking accounts, money market funds, and investments in fixed income debt securities with original maturities of less than three months. Our short-term investments consist of held-to-maturity securities that mature in one year or less. We invest cash in excess of immediate requirements in accordance with our investment policy, which limits the amounts we may invest in any one type of investment and requires all investments held by us to maintain minimum ratings from Nationally Recognized Statistical Rating Organizations so as to primarily achieve liquidity and capital preservation.

We have incurred losses and negative cash flows from operating activities since inception. During the nine months ended September 30, 2020, we received gross proceeds of $25.0 million from the issuance of convertible notes in the second quarter of 2020, net proceeds of approximately $103.7 million upon the sale and issuance of common stock from our Public Offering in June 2020, and net proceeds of $3.8 million from our ATM program.

We anticipate that we will continue to incur net losses for the foreseeable future. We expect research and development expenses to decrease in 2020 compared to 2019 due to completion of the clinical phase of our AMPREVENCE trial for EVO100 in December 2019, which is partially offset by the initiation of our EVOGUARD trial in October 2020. We expect selling and marketing expenses to increase significantly in 2020 and beyond due to the hiring of our commercial sales force that was originally established in the third quarter of 2020, and as we develop and commence associated marketing campaigns and initiatives, including our direct-to-consumer programs, which are designed to drive update of and revenue from Phexxi. Lastly, we expect general and administrative expenses to increase in 2020 as we hire additional personnel and engage third parties to support the growth of our business and the commercialization of Phexxi in the United States. According to management estimates, our liquidity resources as of September 30, 2020 are not sufficient to maintain our planned level of operations for the next 12 months. In addition, the uncertainties associated with our ability to obtain additional equity financing on terms that are favorable to us, enter into collaborative agreements with strategic partners and succeed in our future operations, raise substantial doubt about our ability to continue as a going concern.

The opinion of our independent registered public accounting firm on our audited financial statements as of and for the years ended December 31, 2019 and 2018 contains an explanatory paragraph regarding substantial doubt about our ability to continue as a going concern. Future reports on our financial statements may include an explanatory paragraph with respect to our ability to continue as a going concern. Our unaudited condensed consolidated financial statements as of September 30, 2020 and for the three and nine months ended September 30, 2020 and 2019 appearing in this Quarterly Report do not include any adjustments relating to the recoverability and classification of recorded asset amounts or amounts of liabilities that might be necessary should we be unable to continue our operations.

The COVID-19 pandemic caused us to delay the commercial launch of Phexxi until September 2020 and impacted the terms on which we have been able to raise funds. Our ability to raise additional funds, and the terms on which those funds may be raised, will be dependent, in part, on how successful the launch of Phexxi is and whether we are able to gain revenue traction prior to raising such additional funds. If the COVID-19 pandemic disrupts or negatively impacts the commercialization of Phexxi, our ability to raise additional funds may be negatively impacted, or we may not be able to obtain such funding on terms favorable to us. If we are not able to obtain required additional funding, through equity financings or other means, or if we are unable to obtain funding on terms favorable to us, the shortfall in funds raised, or such unfavorable terms, will likely have a material adverse effect on our operations and strategic development plan for future growth. If we cannot successfully raise the funding necessary to implement our current strategic development plan, we may be forced to make reductions in spending, suspend or terminate development programs, extend payment terms with suppliers, liquidate assets where possible, and/or suspend or curtail planned programs. Any of these developments would materially and adversely affect our financial condition and business prospects and could even cause us to be unable to continue as a going concern. If we are unable to continue as a going concern, we may have to liquidate our assets and, in doing so, we may receive less than the value at which those assets are carried on our financial statements. Any of these developments would materially and adversely affect the price of our stock and the value of your investment.

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2019 Private Placement

As described in Note 10- 2019 Private Placement, on April 10, 2019, we entered into a Securities Purchase Agreement with the 2019 Purchasers, pursuant to which we agreed to issue and sell an aggregate of $80 million of our common stock, par value $0.0001 per share at a purchase price of $4.50 per share, and warrants to purchase shares of common stock with an exercise price of $6.38 per share in a private placement that was funded in two separate closings.

The first closing was completed on April 11, 2019, pursuant to which we (i) issued and sold to PDL 6,666,667 shares of our common stock and warrants to purchase up to 1,666,667 shares of common stock and (ii) provided to the 2019 Purchasers an option to purchase an aggregate of up to 11,111,111 shares of common stock and warrants to purchase up to an aggregate of 2,777,779 shares of our common stock as specified in the aforementioned Securities Purchase Agreement during the period beginning on April 10, 2019 and ending on June 10, 2019. The total consideration for the Private Placement First Closing was $30 million.

The second closing was completed on June 10, 2019, pursuant to which the Company issued and sold to PDL, Invesco and WIM (i) 6,666,667, 2,222,222 and 2,222,223 shares of its common stock, respectively and (ii) warrants to purchase up to 1,666,667, 555,556 and 555,556 shares of common stock, respectively, for an aggregate purchase price of $50 million. Shares of common stock issued to WIM included one voting share issued in connection with the issuance of its warrants.

2020 Debt and Equity Financing

As described in Note 5- Convertible Notes, we received an aggregate gross proceeds of $25.0 million upon the first and second closings of convertible senior secured promissory notes pursuant to the Securities Purchase Agreement with Baker Bros. Advisors LP during the second quarter of 2020.

As described in Note 11- Stockholder's Equity, we received net aggregate proceeds of $103.7 million in June 2020 upon the issuance and sale of 31,700,000 shares of our common stock from our Public Offering and net aggregate proceeds of $3.8 million, during the nine months ended September 30, 2020 upon the issuance and sale of 676,656 shares of our common stock pursuant to the ATM program. The ATM program was terminated in June 2020.

Summary Statement of Cash Flows

The following table sets forth a summary of the net cash flow activity for each of the periods set forth below (in thousands): 

	Nine Months Ended September 30,				2020 vs. 2019
	2020		2019		$ Change		% Change
Net cash, cash equivalents and restricted cash used in operating activities	$	(65,750)	$	(41,651)	$	(24,099)	58	%
Net cash, cash equivalents and restricted cash provided by (used in) investing activities	7,650		(3,488)		11,138		(319)	%
Net cash, cash equivalents and restricted cash provided by financing activities	129,309		75,884		53,425		70	%
Net increase in cash, cash equivalents and restricted cash	$	71,209	$	30,745	$	40,464	132	%

Cash Flows from Operating Activities. During the nine months ended September 30, 2020 and 2019, the primary use of cash, cash equivalents and restricted cash has been to fund development and commercialization of our lead product, Phexxi, and to support selling and marketing, and general and administrative operations.

Cash Flows from Investing Activities. During the nine months ended September 30, 2020, the change in net cash, cash equivalents and restricted cash provided by investing activities was primarily due to an $8.2 million cash inflow from maturities of short-term investments offset by $1.7 million in purchases of property and equipment. Net cash, cash equivalents and restricted cash used in investing activities for the nine months ended September 30, 2019 primarily was the purchase of short-term investments of $3.7 million.

Cash Flows from Financing Activities. During the nine months ended September 30, 2020, the primary source of cash, cash equivalents and restricted cash was provided from the sale of an aggregate of 31,700,000 shares of common stock for net proceeds of approximately $103.7 million, net of underwriting commissions, gross proceeds of $25.0 million from issuance of convertible notes and warrants, the sale of 676,656 shares of common stock under the ATM program for net proceeds of

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approximately $3.8 million in cash and cash equivalents (including $0.3 million that was included in other receivables in the condensed consolidated balance sheet at December 31, 2019), net of commissions, and the issuance of 89,106 shares of our common stock under the 2019 ESPP and exercise of stock options with aggregate proceeds of $0.3 million. These cash inflows were offset by $2.9 million in payments of tax withholdings related to vesting of restricted stock awards and $0.9 million payments for financing and debt issuance costs.

During the nine months ended September 30, 2019, the primary source of cash, cash equivalents and restricted cash was the issuance of 2,376,062 shares of common stock upon the exercise of warrants in February 2019 for gross proceeds of $6.3 million and the issuance of an aggregate of 17,777,779 shares of common stock and warrants to purchase 4,444,446 shares of common stock pursuant to the Private Placement during the second quarter of 2019 for net proceeds of $75.4 million, net of financial advisory fees. The cash inflow was offset by the $4.0 million repayment of a 2018 note payable to our clinical research organization for AMPOWER (Vendor Note) during the second quarter of 2019, $1.2 million in payments of financing costs and $0.6 million payments of tax withholdings related to vesting of restricted stock awards.

Operating and Capital Expenditure Requirements

Our future capital requirements are difficult to forecast. For example, we expect to incur additional capital expenditures to expand manufacturing capacity for Phexxi but cannot adequately predict the future cost or other potential capital expenditure requirements, if any. We also have future contractual obligations for the 2020 Lease and Fleet Lease as discussed in Note 8- Commitments and Contingencies, and will incur additional capital expenditures for leasehold improvements associated with the 2020 Lease.

We expect research and development expenses to decrease in 2020 due to completion of the clinical phase of AMPREVENCE trial for EVO100 in December 2019. However, we expect research and development expenses will begin to increase in the fourth quarter of the year with the initiation of the EVOGUARD trial in October 2020. The process of conducting clinical trials necessary to obtain regulatory approval is costly and time consuming and we may never succeed in achieving regulatory approval for EVO100 or our other future product candidates. The probability of success for each product candidate will be affected by numerous factors, including preclinical data, clinical trial data, competition, manufacturing capability and commercial viability. We are responsible for all research and development expenses for our programs.

We expect selling and marketing expenses to increase significantly due to our sales force which was originally established in the third quarter of 2020, and as we continue to develop and commence associated marketing campaigns and initiatives, including our direct-to-consumer programs.

We expect general and administrative expenses to increase as we hire additional personnel to support the growth of our business and further commercialization activities, and as we engage third parties to assist in the commercialization of Phexxi in the United States.

Off-Balance Sheet Arrangements

As of September 30, 2020 and December 31, 2019, we did not have any off-balance sheet arrangements, as such term is defined under Item 303 of Regulation S-K, that have or are reasonably likely to have a current or future effect on our financial condition, changes in financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources that is material to investors.

Other Matters

Recently Issued Accounting Pronouncements

For information with respect to recent accounting pronouncements, see Note 2- Summary of Significant Accounting Policies to our condensed consolidated financial statements appearing in Part I, Item 1 of this report.

Critical Accounting Policies

Our condensed consolidated financial statements have been prepared in accordance with generally accepted accounting principles in the United States. The preparation of condensed consolidated financial statements requires us to make estimates, assumptions and judgments that affect the reported amounts of assets and liabilities and the disclosure of contingent liabilities at the date of the condensed consolidated financial statements and the reported amounts of expenses during the applicable periods. Management bases its estimates, assumptions and judgments, on historical experience and on various other factors it believes to be reasonable under the circumstances. Different estimates, assumptions and judgments may change the estimate used in the preparation of our condensed consolidated financial statements, which, in turn, could materially change our results from those

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reported. Management evaluates its estimates, assumptions and judgments on an ongoing basis. However, if our assumptions change, we may need to revise our estimates, or take other corrective actions, either of which may also have a material adverse effect on our consolidated statements of operations, liquidity and financial condition. We believe the following critical accounting policies involve significant areas where management applies estimates, assumptions and judgments in the preparation of our condensed consolidated financial statements. See Note 2 to our 2019 Audited Financial Statements for our additional accounting policies.

Revenue Recognition and Trade Accounts Receivable

The Company recognizes revenue from the sale of its product Phexxi in accordance with ASC 606, Revenue from Contracts with Customers (ASC 606). The provisions of ASC 606 require the following steps to determine revenue recognition: (1) Identify the contract(s) with a customer; (2) Identify the performance obligations in the contract; (3) Determine the transaction price; (4) Allocate the transaction price to the performance obligations in the contract; (5) recognize revenue when (or as) the entity satisfies a performance obligation.

In accordance with ASC 606, the Company recognizes revenue when its performance obligation is satisfied by transferring control of the product to a customer. Per the Company’s contracts with customers, control of the product is transferred upon the conveyance of title, which occurs when the product is sold to and received by a customer. The Company’s customers consist of wholesale distributors and a specialty pharmacy. Payment terms typically range from 45 to 66 days, include prompt pay discounts, and vary by customer. Trade accounts receivable due to the Company from contracts with its customers are stated separately in the balance sheet, net of various allowances as described in the Trade Accounts Receivable policy in Note 2- Summary of Significant Accounting Policies.

The amount of revenue recognized by the Company is equal to the amount of consideration which is expected to be received from the sale of product to its customers. Revenue is only recognized when it is probable that a significant reversal will not occur in future periods. To determine this, the Company assesses both the likelihood and magnitude of any such potential reversal of revenue.

The product is sold to customers at the wholesale acquisition cost. However, the Company records product revenue, net of estimates for applicable variable consideration.

Clinical Trial Accruals

As part of the process of preparing our financial statements, we are required to estimate expenses resulting from our obligations under contracts with vendors, CROs and consultants and under clinical site agreements relating to conducting our clinical trials. The financial terms of these contracts vary and may result in payment flows that do not match the periods over which materials or services are provided under such contracts.

Our objective is to reflect the appropriate clinical trial expenses in our condensed consolidated financial statements by recording those expenses in the period in which services are performed and efforts are expended. We account for these expenses according to the progress of the clinical trial as measured by patient progression and the timing of various aspects of the trial. We determine accrual estimates through financial models and discussions with applicable personnel and outside service providers as to the progress of clinical trials.

During a clinical trial, we adjust the clinical expense recognition if actual results differ from estimates. We make estimates of accrued expenses as of each balance sheet date based on the facts and circumstances known at that time. Our clinical trial accruals are partially dependent upon accurate reporting by CROs and other third-party vendors. Although we do not expect estimates to differ materially from actual amounts, our understanding of the status and timing of services performed relative to the actual status and timing of services performed may vary and may result in reporting amounts that are too high or too low for any reporting period. For the three and nine months ended September 30, 2020 and 2019, there were no material adjustments to our prior period estimates of accrued expenses for clinical trials.

Fair Value of the Baker Notes

We elected the fair value option under ASC 825, Financial Instruments, for the Baker Notes as they are qualified financial instruments and are, in whole, classified as liabilities. Under the fair value option, we recognized the hybrid debt instrument at fair value inclusive of embedded features. The fair value of the Baker Notes issued, and the change in fair value of the Baker Notes at the reporting date, were determined using a Monte Carlo simulation-based model. Monte Carlo simulation was used to take into account several factors including the future value of our common stock, a potential change of control event, the maturity term of the Baker Notes, the probability of an event of voluntary conversion of the Baker Notes, exercise of the put right, and exercise of our call right.

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Fair Value of Stock Options and Warrants

The fair value of stock options, warrants issued in various financing occasions in connection with the Merger and post- Merger, the change in fair value of warrants as a result of the modification, and mark-to-market for liability classified warrants, were determined using the Black-Scholes option-pricing model based on the applicable assumptions, which includes the exercise price of warrants, time to expiration, expected volatility of our peer group, risk-free interest rate and expected dividend.

Fair Value of Purchase Rights

The fair value of the Baker Purchase Rights issued in connection with the Securities Purchase Agreement, as described in Note 5- Convertible Notes, and the change in fair value of Baker Purchase Rights upon exercise of such rights, was determined as the maximum of (i) the fair value of rights to purchase the additional $10 million Baker Notes and; (ii) the fair value of the shares of on as-if converted basis, which was determined by the lattice model. The fair value of rights to purchase the accompanying 2,409,180 Baker Warrants was valued using a Geske option-pricing model. The Geske model was based on the applicable assumptions, including the underlying stock price, warrant exercise price, the exercise price of the rights to purchase the Baker Warrants, the term of the Baker Warrants, the term of the rights to purchase the Baker Warrants , expected volatility of the Company’s peer group, risk-free interest rate and expected dividend.

The fair value of the Private Placement Purchase Rights issued in the Private Placement, and the change in fair value of the Private Placement Purchase Rights on the Private Placement Approval Date, was determined using a combination of a lattice model and Black-Scholes option-pricing model. The lattice model was used to determine the future value of our common stock. The Black-Scholes option-pricing model was based on the applicable assumptions, including the future value of the Company's common stock as determined by the lattice model, warrant exercise price, time to expiration, expected volatility of our peer group, risk-free interest rate and expected dividend.

Leases

We determine if an arrangement is a lease or implicitly contains a lease at inception based on the lease definition, and if the lease is classified as an operating lease or finance lease in accordance with ASC 842. Leases. Operating leases are included in operating lease right-of-use (ROU) assets and operating lease liabilities in its consolidated balance sheets. ROU assets and lease liabilities are recognized at commencement date or the adoption date of January 1, 2019 for existing leases based on the present value of lease payments over the lease term using an estimated discount rate. As our leases do not provide an implicit rate, we used an incremental borrowing rate based on the information available at commencement date or the adoption date in determining the present value of lease payments over a similar term. In determining the estimated incremental borrowing rate, we considered a rate obtained from its primary banker for discussion purposes of a potential collateralized loan with a term similar to the lease term, our historical borrowing capability in the market, and our costs incurred for underwriting discounts and financing costs in its previous equity financing. The ROU assets also include any lease payments made and exclude lease incentives. For operating leases, lease expense is recognized on a straight-line basis over the lease term. Lease and non-lease components within a contract are generally accounted for separately.

Inventories

Inventories, consisting of purchased materials, direct labor and manufacturing overheads, are stated at the lower of cost, or net realizable value. Cost is determined on a first-in, first-out basis. Net realizable value is the estimated selling price in the ordinary course of business, less reasonably predictable costs of completion, disposal, and transportation. At each balance sheet date, we evaluate ending inventories for excess quantities, obsolescence, or shelf-life expiration. The evaluation includes an analysis of our current and future strategic plans, anticipated future sales, the price projections of future demand, and the remaining shelf life of goods on hand. To the extent that we determine there are excess or obsolete inventory or quantities with a shelf life that is too near its expiration for us to reasonably expect that it can sell those products prior to their expiration, we adjust the carrying value to estimated net realizable value.

ITEM 3. Quantitative and Qualitative Disclosures about Market Risk

Not applicable.

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ITEM 4. Controls and Procedures

Evaluation of Disclosure Controls and Procedures

Disclosure controls and procedures are controls and other procedures of a company that are designed to ensure that information required to be disclosed by the company in the reports that it files or submits under the Securities Exchange Act of 1934, as amended (the Exchange Act) is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is accumulated and communicated to the company’s management, including its principal executive and principal financial officers, or persons performing similar functions, as appropriate to allow timely decisions regarding required disclosure. As of the end of the period covered by this quarterly report on Form 10-Q, our management, with the participation of our principal executive officer and principal financial officer, has evaluated the effectiveness of our disclosure controls and procedures as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended. Based on such evaluation, our principal executive officer and principal financial officer has concluded that, as of such date, our disclosure controls and procedures were effective.

Changes in Internal Control over Financial Reporting

There were no changes in our internal control over financial reporting that occurred during our latest fiscal quarter that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

Inherent Limitations of Internal Controls

Our management, including our Chief Executive Officer and Chief Financial Officer, does not expect that our disclosure controls and procedures or our internal controls over financial reporting will prevent or detect all error and all fraud. A control system, no matter how well designed and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met. Due to the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues and instances of fraud, if any, within the Company have been detected. These inherent limitations include the realities that judgments in decision-making can be faulty, and that breakdowns can occur because of a simple error or mistake. Additionally, controls can be circumvented by the individual acts of some persons, by collusion of two or more people, or by management override of the controls. The design of any system of controls also is based in part upon certain assumptions about the likelihood of future events, and there can be no assurance that any design will succeed in achieving its stated goals under all potential future conditions. Over time, controls may become inadequate because of changes in conditions, or the degree of compliance with the policies or procedures may deteriorate. Because of the inherent limitations in a cost-effective control system, misstatements due to error or fraud may occur and not be detected.

PART II. OTHER INFORMATION

Item 1. Legal Proceedings

From time to time we may be involved in various disputes and litigation matters that arise in the ordinary course of business. We are currently not a party to any material legal proceedings.

Item 1A. Risk Factors

Except as described in Exhibit 99.2 (Risk Factors of Evofem Biosciences, Inc.) to our Current Report on Form 8-K, as filed with the SEC on June 2, 2020 and our Quarterly Report on Form 10-Q for the quarter ended March 31, 2020, as filed with the SEC on May 6, 2020, there have not been any material changes to the risk factors disclosed in our Form 10-K for the year ended December 31, 2020.

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Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

Common Stock Purchases

The table below is a summary of purchases of our common stock we made during the quarter covered by this report. Other than as indicated in the table below, no such purchases were made in any other month during the quarter. We do not have any publicly announced repurchase plans or programs.

Period	Total Number of Shares Purchased (1)	Average Price Paid per Share	Total Number of Shares Purchased as Part of Publicly Announced Plans or Programs	Maximum Number of Shares That May Yet be Purchased Under the Plans or Programs
July 1- July 31	20,381	$3.30	—	—

(1) These shares were surrendered to the Company to satisfy tax withholdings obligations in connection with the vesting of restricted stock awards.

Item 3. Defaults Upon Senior Securities

None.

Item 4. Mine Safety Disclosures

Not applicable.

Item 5. Other Information

None.

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Item 6. Exhibits

The exhibits filed as part of this Quarterly Report on Form 10-Q are set forth on the Exhibit Index.

EXHIBIT INDEX

Exhibit No.	Exhibit Title	Filed Herewith	Incorporated by Reference
			Form	File No.	Date Filed
10.1Δ	Amendment No. 1 to Amended and Restated License Agreement, by and between Rush University Medical Center and Evofem, Inc., dated September 29, 2020	X
10.2^	Securities Purchase Agreement, dated as of October 14, 2020, by and between Evofem Biosciences, Inc., Adjuvant Global Health Technology Fund, L.P. and Adjuvant Global Health Technology Fund DE, L.P., as purchasers.		8-K	001-36754	10/15/2020
10.3	Form of Convertible Promissory Note.		8-K	001-36754	10/15/2020
10.4^	Registration Rights Agreement, dated as of October 14, 2020, by and between Evofem Biosciences, Inc., Adjuvant Global Health Technology Fund, L.P. and Adjuvant Global Health Technology Fund DE, L.P., as investors.		8-K	001-36754	10/15/2020
10.5Δ	Letter Agreement, dated as of October 14, 2020, by and between Evofem Biosciences, Inc., Adjuvant Global Health Technology Fund, L.P. and Adjuvant Global Health Technology Fund DE, L.P.		8-K	001-36754	10/15/2020
31.1	Certification of Principal Executive Officer Pursuant to Rules 13a-14(a) and 15d-14(a) under the Securities Exchange Act of 1934, as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.	X
31.2	Certification of Principal Financial Officer Pursuant to Rules 13a-14(a) and 15d-14(a) under the Securities Exchange Act of 1934, as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.	X
32.1*	Certification of Principal Executive Officer and Principal Financial Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.	X
101.INS†	XBRL Instance Document	X
101.SCH†	XBRL Taxonomy Extension Schema Document	X
101.CAL†	XBRL Taxonomy Extension Calculation Linkbase Document	X
101.DEF†	XBRL Definition Linkbase Document	X
101.LAB†	XBRL Taxonomy Extension Labels Linkbase Document	X
101.PRE†	XBRL Taxonomy Extension Presentation Linkbase Document	X

Δ	Pursuant to Item (6)(10) of Regulation S-K, certain confidential portions of this exhibit were omitted by means of marking such portions with brackets (“[***]”) because the identified confidential portions (i) are not material and (ii) would be competitively harmful if publicly disclosed.
^	Certain exhibits and schedules have been omitted pursuant to Item 601(a)(5) of Regulation S-K. The Company hereby undertakes to furnish supplementally a copy of any omitted exhibit or schedule upon request by the SEC.
*	Furnished herewith. This certification is being furnished solely to accompany this report pursuant to 18 U.S.C. 1350, and are not being filed for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, and is not to be incorporated by reference into any filing of the registrant, whether made before or after the date hereof, regardless of any general incorporation by reference language in such filing.
†	The financial information of Evofem Biosciences, Inc. Quarterly Report on Form 10-Q for the quarter ended September 30, 2020 filed on November 9, 2020 formatted in XBRL (Extensible Business Reporting Language): (i) the Condensed Consolidated Balance Sheets, (ii) Parenthetical Data to the Condensed Consolidated Balance Sheets, (iii) the Condensed Consolidated Statements of Operations, (iv) the Condensed Consolidated Statements of Stockholders’ Equity (Deficit), (v) the Condensed Consolidated Statements of Cash Flows, and (vi) Notes to Unaudited Condensed Consolidated Financial Statements, is furnished electronically herewith.

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SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

	EVOFEM BIOSCIENCES, INC.
Date: November 9, 2020	By:	/s/ Justin J. File
		Justin J. File
		Chief Financial Officer (Principal Financial Officer and Principal Accounting Officer)

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EX-10.1

AMENDMENT NO. 1 TO AMENDED AND RESTATED LICENSE AGREEMENT

This Amendment No. 1 to the Amended and Restated License Agreement between Evofem, Inc., as Licensee (“LICENSEE”), and Rush University Medical Center (“RUSH”), as Licensor, (“Amendment No. 1”), is effective on the Effective Date, defined as the latter date of execution below and is made with reference to the following:

WHEREAS LICENSEE and RUSH are parties to a March 27, 2014 Amended and Restated License Agreement (“the License Agreement”) and now wish to amend certain provisions of the License Agreement as provided below; capitalized terms not otherwise defined herein shall have the meanings assigned to such terms in the License Agreement;

NOW, THEREFORE, in consideration of the mutual covenants and promises contained in the License Agreement and in this Amendment No. 1 and other good and valuable consideration described below, the receipt and sufficiency of which is hereby acknowledged by the parties, and intending to be legally bound, RUSH and LICENSEE agree:

1.The following amendments shall be made to the License Agreements:

a.The definition of “Know How” set forth in Section 1.6 of the License Agreement shall be restated in its entirety to read:

““Know how” shall mean, all know-how, non-patented inventions, improvements, discoveries, data, instructions, processes, formulas, sequences, information (including, without limitation, chemical, physical and analytical, safety, manufacturing and quality control data and information), procedures, devices, methods and trade secrets that, in each case, are owned or controlled by RUSH as of the Effective Date or that are conceived, discovered or invented by RUSH during the term of the License Agreement, and which are necessary or appropriate to develop and commercialize Technology.”

b.The definition of “Net Sales” set forth in Section 1.8 of the License Agreement shall be restated in its entirety to read:

““Net Sales” means, for any period of determination, the gross amount received for Products by LICENSEE or affiliates from Third Parties for such period of determination, less the aggregate of the following deductions to the extent actually incurred in connection with such sales:

(a)reasonable and customary cash, trade, and quantity discounts off the invoiced price, promotional allowances and fees to wholesalers and retailers based on the sale or dispensing of Products;

(b)excise, sales, value added, goods and services and other consumption taxes and import/export and custom duties or other taxes imposed on the importation, use or sale of the Product to Third Parties, to the extent included in the gross amount invoiced;

(c)freight, insurance and other transportation charges, to the extent billed separately (it being understood that for routine shipments to drug wholesalers and chain drug warehouses, freight, insurance and other transportation charges are an operating expense that is not billed separately, and should not be included as a reduction in gross sales to calculate Net Sales, whereas certain accounts may incur freight charges that are billed separately, and that amount for freight would be included as a reduction in gross sales in the calculation of Net Sales);

(d)amounts repaid, credited or accrued, or allowances or adjustments made, by reason of customer returns, rejections, or recalls;

(e)retroactive corrections including price adjustments (including those on customer inventories following price changes) and corrections for billing errors or shipping errors;

(f)chargebacks, rebates, administrative fees, any other allowances actually granted or allowed to any entity including, but not limited to group purchasing organizations, managed health care organizations and to governments, including their agencies, or to trade customers, in each case that are not Affiliates of LICENSEE, and which are directly attributable to the sale of the Products; and

(g)rebates associated with any voucher, coupon, loyalty card or other co-pay assistance programs;

all of the above solely to the extent not in violation of applicable law and are taken in accordance with Generally Accepted Accounting Principles in the United States (GAAP).

For avoidance of doubt, no allowance or deduction shall be made for commissions or fees for collection, by whatever name known. If LICENSEE or its Affiliates receive anything of value in lieu of cash payments in consideration for the sale, transfer, performance or other disposition of the Product or Process to any Third Party, LICENSEE shall assess a Net Sales value on such transaction based on the fair market value of such payment. If LICENSEE or its Affiliates are the end user of a Product or Process, the Net Sales from each such use shall be that invoiced by LICENSEE to a Third Party end user of the same Product or Process. If no such Third Party end users exist, RUSH and LICENSEE shall negotiate in good faith to determine an equitable Net Sales price.”

c.The definition of “Term” set forth in Section 1.14 of the License Agreement shall be restated in its entirety to read:

“”Term” means the period beginning on the Effective Date and extending to the expiration of the last to expire Patent or patent claiming an Improvement. This includes any patent term extensions.”

d.The preamble of Section 6.3.2 shall be restated to read:

“Minimum Annual Royalty. Commencing on January 1 of year one (1) after a Product or Process has received Regulatory Approval as is introduced to market, to the extent that the amounts paid to RUSH as earned royalties or sublicensing fees do not total the amount set forth hereinafter, LICENSEE shall to RUSH a Minimum Annual Royalty as follows: “

All other sections of Section 6.3.2 remain the same.

e.Section 6.4 shall be restated in its entirety to read:

“Time of Payments. Amounts owing to RUSH shall be paid on a quarterly basis, with such amounts due and paid on or before the fifth (5th) Business Day (defined as any day except weekends and holidays observed by the U.S. Federal Reserve System) after LICENSEE files its 10-Q/10-K with the SEC for such quarter/year, as applicable, with the SEC. The balance of any amounts owing RUSH which remain unpaid more than thirty (30) days after they are due to RUSH shall accrue interest until paid at the rate of the lesser of one percent (1%) per month or the maximum allowed under applicable law. However, in no event shall this interest provision be construed as a grant of permission for any payment delays.”

f.Section 6.7 shall be restated as follows:

“Place of Payment. All royalty payments and reports shall be sent to:

Rush University Medical Center

Attention: Bhaskar Chetnani, PhD

Innovation and Technology Transfer

Jelke Building, Sixth Floor

1653 W. Congress Parkway

Chicago, IL 60612”

g.Sections 10.6 and 10.7 shall be deleted in their entirety and shall have no force or effect. Further, such provisions were mooted by reason of LICENSEE’s continuous, diligent exploitation of the licensed Patent(s), Improvements and/or Know-how and therefore any and all rights thereunder have been and hereby are finally and forever waived.

2.Payment. Within five (5) Business Days of the Effective Date, LICENSEE shall pay RUSH the sum of fifty-thousand dollars ($50,000.00).

3.General. Except as specifically amended or deleted hereby, all other terms of the License Agreement shall remain in full force and effect. In case any provision of or obligation under this Amendment No. 1 shall be invalid, illegal or unenforceable the remaining provisions or obligations shall not in any way be affected or impaired thereby. This Amendment No. 1 may be executed and delivered via facsimile or pdf with the same force and effect as if an original were executed and may be signed in any number of counterparts, each of which shall be an original, with the same effect as if the signatures hereto were upon the same instrument. This

Amendment No. 1 constitutes the entire agreement and understanding among the parties hereto with respect to the subject matter hereof and supersede any and all prior agreements and understandings, oral or written, relating to the subject matter hereof.

IN WITNESS WHEREOF, the parties intending to be legally bound have caused this Agreement to be executed by their duly authorized representatives as of the last date signed below.

“LICENSEE” (Evofem, Inc.)		“RUSH”    (Rush University Medical Center)
By:	/s/ Justin J. File	By:	/s/ Andrew J Bean
Name:    Jay File		Name:     Andrew J Bean, PhD
Title:     Chief Financial Officer		Title:    Associate Provost for Research
Dated: September 29, 2020		Dated:     September 29, 2020

EX-31.1

Exhibit 31.1

CERTIFICATION PURSUANT TO

RULES 13a-14(a) AND 15d-14(a) UNDER THE SECURITIES EXCHANGE ACT OF 1934,

AS ADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Saundra Pelletier, certify that:

1 I have reviewed this quarterly report on Form 10-Q of Evofem Biosciences, Inc.;

2 Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3 Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4 The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

(a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

(c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5 The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

(a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date: November 9, 2020	By:	/s/ Saundra Pelletier
		Saundra Pelletier
		President and Chief Executive Officer
		(principal executive officer)

EX-31.2

Exhibit 31.2

CERTIFICATION PURSUANT TO

RULES 13a-14(a) AND 15d-14(a) UNDER THE SECURITIES EXCHANGE ACT OF 1934,

AS ADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Justin J. File, certify that:

1 I have reviewed this quarterly report on Form 10-Q of Evofem Biosciences, Inc.;

2 Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3 Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4 The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

(a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

(c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5 The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

(a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date: November 9, 2020	By:	/s/ Justin J. File
		Justin J. File
		Chief Financial Officer
		(principal financial officer and principal accounting officer)

EX-32.1

Exhibit 32.1

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350, AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Quarterly Report of Evofem Biosciences, Inc. (the “Company”) on Form 10-Q for the period ending September 30, 2020, as filed with the Securities and Exchange Commission on the date hereof (the “Quarterly Report”), each of the undersigned officers of the Company, does hereby certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that to the best of such officer’s knowledge:

(1) The Quarterly Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) The information contained in the Quarterly Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Date: November 9, 2020	By:	/s/ Saundra Pelletier
		Saundra Pelletier
		President and Chief Executive Officer
		(principal executive officer)

Date: November 9, 2020	By:	/s/ Justin J. File
		Justin J. File
		Chief Financial Officer
		(principal financial officer and principal accounting officer)

This certification accompanies the Form 10-Q to which it relates, is not deemed filed with the Securities and Exchange Commission and is not to be incorporated by reference into any filing of Evofem Biosciences, Inc. under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended (whether made before or after the date of the Form 10-Q), irrespective of any general incorporation language contained in such filing.

XML

Cover Page - shares	9 Months Ended
	Sep. 30, 2020	Oct. 31, 2020
Entity Information [Line Items]
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Sep. 30, 2020
Document Transition Report	false
Entity File Number	001-36754
Entity Registrant Name	EVOFEM BIOSCIENCES, INC.
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	20-8527075
Entity Address, Address Line One	12400 High Bluff Drive
Entity Address, Address Line Two	Suite 600
Entity Address, City or Town	San Diego
Entity Address, State or Province	CA
Entity Address, Postal Zip Code	92130
City Area Code	858
Local Phone Number	550-1900
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Non-accelerated Filer
Entity Small Business	true
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		81,280,286
Amendment Flag	false
Document Fiscal Year Focus	2020
Document Fiscal Period Focus	Q3
Current Fiscal Year End Date	--12-31
Entity Central Index Key	0001618835
Common Stock
Entity Information [Line Items]
Title of 12(b) Security	Common Stock, par value $0.0001 per share
Trading Symbol	EVFM
Security Exchange Name	NASDAQ
Preferred Stock
Entity Information [Line Items]
Title of 12(b) Security	Series A Preferred Stock Purchase Rights, par value $0.0001 per share
Security Exchange Name	NASDAQ
No Trading Symbol Flag	false

XML

CONDENSED CONSOLIDATED BALANCE SHEETS (Unaudited) - USD ($) $ in Thousands	Sep. 30, 2020	Dec. 31, 2019
Current assets:
Cash and cash equivalents	$ 86,697	$ 15,571
Restricted cash	337	304
Short-term investments	0	8,233
Trade accounts receivable, net	1,243	0
Inventories	3,164	0
Prepaid and other current assets	10,638	2,313
Total current assets	102,079	26,421
Property and equipment, net	1,976	394
Operating lease right-of-use assets	7,198	160
Other noncurrent assets	1,074	1,320
Total assets	112,327	28,295
Current liabilities:
Accounts payable	5,427	6,008
Convertible notes payable	48,055	0
Accrued expenses	4,607	2,784
Accrued compensation	4,954	3,670
Operating lease liabilities – current	1,728	197
Other current liabilities	921	0
Total current liabilities	65,692	12,659
Operating lease liabilities – noncurrent	6,425	0
Total liabilities	72,117	12,659
Commitments and contingencies (Note 8)
Preferred stock, $0.0001 par value; 5,000,000 shares authorized; no shares issued and outstanding	0	0
Stockholders’ equity:
Common stock, $0.0001 par value; 300,000,000 shares authorized; 81,280,286 and 48,137,880 shares issued and outstanding at September 30, 2020 and December 31, 2019, respectively;	8	5
Additional paid-in capital	655,092	528,810
Accumulated deficit	(614,890)	(513,179)
Total stockholders’ equity	40,210	15,636
Total liabilities and stockholders’ equity	$ 112,327	$ 28,295
Common stock, par value (in dollars per share)	$ 0.0001	$ 0.0001
Common Stock, Shares Authorized	300,000,000	300,000,000
Common stock, shares issued (in shares)	81,280,286	48,137,880
Common stock, shares outstanding (in shares)	81,280,286	48,137,880

XML

CONDENSED CONSOLIDATED BALANCE SHEETS (Unaudited) (Parenthetical) - $ / shares	Sep. 30, 2020	Dec. 31, 2019
Common stock, par value (in dollars per share)	$ 0.0001	$ 0.0001
Common stock, shares authorized (in shares)	300,000,000	300,000,000
Common stock, shares issued (in shares)	81,280,286	48,137,880
Common stock, shares outstanding (in shares)	81,280,286	48,137,880
Preferred Stock
Preferred stock, par value (in dollars per share)	$ 0.0001	$ 0.0001
Preferred stock, shares authorized (in shares)	5,000,000	5,000,000
Preferred stock, shares issued (in shares)	0	0
Preferred stock, shares outstanding (in shares)	0	0

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CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (Unaudited) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020	Sep. 30, 2019
Income Statement [Abstract]
Product sales, net	$ 278	$ 0	$ 278	$ 0
Operating expenses:
Cost of goods sold	317	0	317	0
Research and development	4,217	5,663	11,104	18,798
Selling and marketing	14,700	3,791	32,553	6,222
General and administrative	7,200	4,843	24,077	14,850
Total operating expenses	26,434	14,297	68,051	39,870
Loss from operations	(26,156)	(14,297)	(67,773)	(39,870)
Other income (expense):
Interest income	21	212	152	338
Other (expense) income	(657)	287	(1,010)	266
Loss on issuance of financial instruments	0	0	(64,049)	(674)
Change in fair value of financial instruments	(3,105)	0	30,971	(27,372)
Total other (expense) income, net	(3,741)	499	(33,936)	(27,442)
Loss before income tax	(29,897)	(13,798)	(101,709)	(67,312)
Income tax expense	(2)	0	(2)	(4)
Net loss	$ (29,899)	$ (13,798)	$ (101,711)	$ (67,316)
Net loss per share, basic and diluted (in dollars per share)	$ (0.37)	$ (0.30)	$ (1.63)	$ (1.83)
Weighted-average shares used to compute net loss per share, basic and diluted (in shares)	81,206,101	46,239,225	62,434,949	36,760,013

XML

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY (DEFICIT) (Unaudited) - USD ($)	Total	Common Stock	Additional Paid-in Capital	Accumulated Deficit	At The Market (ATM)	At The Market (ATM) Common Stock	At The Market (ATM) Additional Paid-in Capital	Reload Warrants	Reload Warrants Common Stock	Reload Warrants Additional Paid-in Capital	Private Placement	Private Placement Common Stock	Private Placement Additional Paid-in Capital
Beginning balance, shares at Dec. 31, 2018		25,867,248
Beginning balance at Dec. 31, 2018	$ (23,356,000)	$ 3,000	$ 409,787,000	$ (433,146,000)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock (in shares)									2,376,065
Issuance of common stock upon cash exercise of warrants and issuance of Reload Warrants (see Note 11)								$ 10,617,000		$ 10,617,000
Restricted stock awards issued/restricted stock units released (in shares)		470,500
Shares withheld to cover taxes related to vesting of restricted stock awards (in shares)		(1,639)
Shares withheld to cover taxes related to vesting of restricted stock awards	(6,000)		(6,000)
Stock-based compensation	1,962,000		1,962,000
Net loss	(18,068,000)			(18,068,000)
Ending balance, shares at Mar. 31, 2019		28,712,174
Ending balance at Mar. 31, 2019	(28,851,000)	$ 3,000	422,360,000	(451,214,000)
Beginning balance, shares at Dec. 31, 2018		25,867,248
Beginning balance at Dec. 31, 2018	(23,356,000)	$ 3,000	409,787,000	(433,146,000)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net loss	(67,316,000)
Ending balance, shares at Sep. 30, 2019		46,791,230
Ending balance at Sep. 30, 2019	24,075,000	$ 5,000	524,532,000	(500,462,000)
Beginning balance, shares at Mar. 31, 2019		28,712,174
Beginning balance at Mar. 31, 2019	(28,851,000)	$ 3,000	422,360,000	(451,214,000)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock (in shares)												17,777,779
Issuance of common stock in connection with ATM, the Public Offering, and the Private Placement											$ 68,324,000	$ 2,000	$ 68,322,000
Issuance of common stock - exercise of stock options (in shares)		16,823
Issuance of common stock - exercise of stock options	46,000		46,000
Restricted stock awards issued/restricted stock units released (in shares)		6,000
Shares withheld to cover taxes related to vesting of restricted stock awards (in shares)		(86,461)
Shares withheld to cover taxes related to vesting of restricted stock awards	(518,000)		(518,000)
Reclassification from financial instruments liability to equity	29,726,000		29,726,000
Stock-based compensation	2,515,000		2,515,000
Net loss	(35,450,000)			(35,450,000)
Ending balance, shares at Jun. 30, 2019		46,426,315
Ending balance at Jun. 30, 2019	35,792,000	$ 5,000	522,451,000	(486,664,000)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Financing costs in connection with the Private Placement (see Note 10)	(60,000)		(60,000)
Issuance of common stock - exercise of warrants (in shares)		200,064
Restricted stock awards issued/restricted stock units released (in shares)		189,000
Shares withheld to cover taxes related to vesting of restricted stock awards (in shares)		24,149
Shares withheld to cover taxes related to vesting of restricted stock awards	(122,000)		(122,000)
Stock-based compensation	2,263,000		2,263,000
Net loss	(13,798,000)			(13,798,000)
Ending balance, shares at Sep. 30, 2019		46,791,230
Ending balance at Sep. 30, 2019	24,075,000	$ 5,000	524,532,000	(500,462,000)
Beginning balance, shares at Dec. 31, 2019		48,137,880
Beginning balance at Dec. 31, 2019	15,636,000	$ 5,000	528,810,000	(513,179,000)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock (in shares)						202,098
Issuance of common stock in connection with ATM, the Public Offering, and the Private Placement					$ 1,082,000		$ 1,082,000
Issuance of common stock - exercise of stock options (in shares)		19,708
Issuance of common stock - exercise of stock options	73,000		73,000
Restricted stock awards issued/restricted stock units released (in shares)		1,286,499
Shares withheld to cover taxes related to vesting of restricted stock awards (in shares)		(4,088)
Shares withheld to cover taxes related to vesting of restricted stock awards	(25,000)		(25,000)
Stock-based compensation	3,401,000		3,401,000
Net loss	(19,146,000)			(19,146,000)
Ending balance, shares at Mar. 31, 2020		49,642,097
Ending balance at Mar. 31, 2020	1,021,000	$ 5,000	533,341,000	(532,325,000)
Beginning balance, shares at Dec. 31, 2019		48,137,880
Beginning balance at Dec. 31, 2019	15,636,000	$ 5,000	528,810,000	(513,179,000)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Short-swing profit disgorgement	200,000
Net loss	(101,711,000)
Ending balance, shares at Sep. 30, 2020		81,280,286
Ending balance at Sep. 30, 2020	40,210,000	$ 8,000	655,092,000	(614,890,000)
Beginning balance, shares at Mar. 31, 2020		49,642,097
Beginning balance at Mar. 31, 2020	1,021,000	$ 5,000	533,341,000	(532,325,000)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock (in shares)		31,700,000				474,558			200
Issuance of common stock in connection with ATM, the Public Offering, and the Private Placement	103,266,000	$ 3,000	103,263,000		$ 2,280,000		$ 2,280,000
Issuance of common stock - ESPP and exercise of stock options (in shares)		69,398
Issuance of common stock - ESPP and exercise of stock options	177,000		177,000
Restricted stock awards issued/restricted stock units released (in shares)		60,168
Shares withheld to cover taxes related to vesting of restricted stock awards (in shares)		(645,754)
Shares withheld to cover taxes related to vesting of restricted stock awards	(2,777,000)		(2,777,000)
Stock-based compensation	6,034,000		6,034,000					$ 2,000		$ 2,000
Short-swing profit disgorgement	187,000		187,000
Reclassification from financial instruments liability to equity	11,015,000		11,015,000
Net loss	(52,666,000)			(52,666,000)
Ending balance, shares at Jun. 30, 2020		81,300,667
Ending balance at Jun. 30, 2020	68,539,000	$ 8,000	653,522,000	(584,991,000)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Shares withheld to cover taxes related to vesting of restricted stock awards (in shares)		(20,381)
Shares withheld to cover taxes related to vesting of restricted stock awards	(67,000)		(67,000)
Stock-based compensation	1,637,000		1,637,000
Short-swing profit disgorgement	0
Net loss	(29,899,000)			(29,899,000)
Ending balance, shares at Sep. 30, 2020		81,280,286
Ending balance at Sep. 30, 2020	$ 40,210,000	$ 8,000	$ 655,092,000	$ (614,890,000)

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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019
Cash flows from operating activities:
Net loss	$ (101,711)	$ (67,316)
Adjustments to reconcile net loss to net cash, cash equivalents and restricted cash used in operating activities:
Loss on issuance of financial instruments	64,049	674
Change in fair value of financial instruments	(30,971)	27,372
Stock-based compensation	11,072	6,740
Depreciation	181	198
Noncash lease expenses	542	487
Noncash interest expenses	992	0
Changes in operating assets and liabilities:
Accounts receivable	(1,243)	0
Inventories	(2,912)	0
Prepaid and other assets	(9,070)	(408)
Accounts payable	(505)	(3,628)
Accrued expenses and other liabilities	2,900	(5,186)
Accrued compensation	1,283	(8)
Operating lease liabilities	(357)	(576)
Net cash, cash equivalents and restricted cash used in operating activities	(65,750)	(41,651)
Cash flows from investing activities:
Proceeds from sale of Softcup line of business	250	250
Maturities of short-term investments	8,233	0
Purchase of short-term investments	0	(3,715)
Purchases of property and equipment	(833)	(23)
Net cash, cash equivalents and restricted cash provided by (used in) investing activities	7,650	(3,488)
Cash flows from financing activities:
Proceeds from issuance of common stock - exercise of warrants	2	6,273
Proceeds from issuance of common stock, warrants and purchase rights in connection with the 2019 Private Placement, net of financial advisory fees	0	75,400
Proceeds from issuance of common stock, net of discounts and commissions - Public Offering	103,738	0
Proceeds from issuance of common stock, net of commissions - ATM transactions	3,781	0
Proceeds from issuance of common stock - ESPP and exercise of stock options	337	46
Borrowings under convertible notes	25,000	0
Short-swing profit disgorgement	187	0
Repayment of Vendor Note	0	(4,010)
Cash paid for financing costs	(867)	(1,180)
Payments for tax withholdings related to vesting of restricted stock awards	(2,869)	(645)
Net cash, cash equivalents and restricted cash provided by financing activities	129,309	75,884
Net change in cash, cash equivalents and restricted cash	71,209	30,745
Cash, cash equivalents and restricted cash, beginning of period	16,625	1,761
Cash, cash equivalents and restricted cash, end of period	87,834	32,506
Supplemental disclosure of noncash investing and financing activities:
Right-of-use assets obtained in exchange for operating lease liabilities	7,618	802
Financing costs included in accounts payable and accrued expenses	0	50
Purchases of property and equipment included in accounts payable and accrued expenses	73	127
Reclassification of financial instruments liability to equity	$ 11,015	$ 6,120

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Description of Business and Basis of Presentation

9 Months Ended

Sep. 30, 2020

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Description of Business and Basis of Presentation

Description of Business and Basis of Presentation

Description of Business

On January 17, 2018, Neothetics, Inc., a Delaware corporation (Neothetics), now known as Evofem Biosciences, Inc. (the Company), completed its merger (the Merger) with privately-held Evofem Biosciences Operations, Inc. (Private Evofem), in accordance with the terms of the Agreement and Plan of Merger and Reorganization, dated October 17, 2017, whereby Nobelli Merger Sub, Inc., a Delaware corporation and wholly-owned subsidiary of Neothetics, merged with and into Private Evofem, with Private Evofem surviving as Neothetics’ wholly-owned subsidiary. Unless otherwise noted, references in this report to “Evofem” and the “Company” refer to Evofem Biosciences, Inc. and its subsidiaries following the closing of the Merger.

Evofem is a San Diego-based, commercial-stage biopharmaceutical company committed to developing and commercializing innovative products to address unmet needs in women’s sexual and reproductive health, including hormone-free, woman-controlled contraception and protection from certain sexually transmitted infections (STIs).

The Company’s first commercial product, Phexxi™ (lactic acid, citric acid, and potassium bitartrate) vaginal gel, was approved by the U.S. Food and Drug Administration (FDA) on May 22, 2020 and is the first and only FDA-approved, hormone-free, woman-controlled, on-demand prescription contraceptive gel for women. The Company commercially launched Phexxi in September 2020. Evofem’s pipeline product candidate, EVO100, is being evaluated for the prevention of chlamydia and gonorrhea in women - two of the most pervasive sexually transmitted infections in the United States. Currently, there are no FDA-approved prescription products for the prevention of either of these dangerous infections. 

Basis of Presentation and Principles of Consolidation

The Company prepared the unaudited interim condensed consolidated financial statements included in this Quarterly Report in accordance with accounting principles generally accepted in the U.S. (GAAP) for interim financial information and the rules and regulations of the Securities and Exchange Commission (SEC) related to quarterly reports on Form 10-Q.

The Company’s financial statements are presented on a consolidated basis, which include the accounts of the Company and its wholly-owned subsidiaries. Intercompany accounts and transactions have been eliminated in consolidation. The unaudited interim condensed consolidated financial statements do not include all information and disclosures required by GAAP for annual audited financial statements and should be read in conjunction with the Company’s consolidated financial statements and notes thereto for the year ended December 31, 2019 included in its Annual Report on Form 10-K as filed with the SEC on March 12, 2020 (the 2019 Audited Financial Statements).

The unaudited interim condensed consolidated financial statements included in this report have been prepared on the same basis as the Company’s audited consolidated financial statements and include all adjustments (consisting only of normal recurring adjustments) necessary for a fair statement of the financial position, results of operations, cash flows, and statements of convertible preferred stock and stockholders’ deficit for the periods presented. The results for the three and nine months ended September 30, 2020 are not necessarily indicative of the results expected for the full year. The condensed consolidated balance sheet as of December 31, 2019 was derived from the 2019 Audited Financial Statements.

Reclassification

The Company has separated the presentation of selling and marketing expenses from the total general and administrative expenses in the current period condensed consolidated statement of operations. To conform prior year amounts to the current period presentation, totals of $3.8 million and $6.2 million were reclassified from general and administrative expenses to selling and marketing expenses for the three and nine months ended September 30, 2019, respectively.

Risks, Uncertainties and Going Concern

The condensed consolidated financial statements have been prepared on a going concern basis, which contemplates the realization of assets and settlement of liabilities, in the normal course of business, and does not include any adjustments to reflect the possible future effects on the recoverability and classification of assets or amounts and classification of liabilities that may result from the outcome of this uncertainty.

The Company’s principal operations have been related to research and development, including development of Phexxi, selling and marketing related activities for preparation of the commercial launch of Phexxi, as well as raising capital, recruiting personnel and establishing a corporate infrastructure to support a commercial product. The Company has recognized limited revenues since the commercial launch of Phexxi on September 8, 2020 and, as such, has incurred operating losses and negative cash flows from operating activities since inception. As described in Note 5- Convertible Notes and Note 11- Stockholders' Equity, during the nine months ended September 30, 2020, the Company received gross proceeds of $25.0 million from the issuance of convertible notes in the second quarter of 2020, net proceeds of approximately $103.7 million upon the sale and issuance of common stock from the underwritten public offering in June 2020, and $3.8 million from its “at the market” (ATM) program, net of commissions. As of September 30, 2020, the Company had cash and cash equivalents of $86.7 million, working capital of $36.4 million and an accumulated deficit of $614.9 million.

The Company is subject to risks common to other life science companies in the development and early commercial stage including, but not limited to, uncertainty regarding the commercial success of Phexxi and the development of its pipeline product candidate, EVO100, potential disruption of its research and development and commercialization activities as a result of the COVID-19 pandemic, lack of marketing and sales history, potential development by its competitors of new and competitive technological innovations, dependence on key personnel, market acceptance of Phexxi or any other future approved products, if any, product liability, protection of proprietary technology, ability to raise additional financing, and compliance with the FDA and other government regulations, including post marketing regulations. Management’s plans to meet its short- and long-term operating cash flow requirements include generating recurring product revenue and obtaining additional funding, such as through the issuance of its common stock, non-dilutive financings, or through collaborations or partnerships with other companies.

While the Company has recognized limited revenues since the launch of Phexxi in September 2020, the Company anticipates it will continue to incur net losses for the foreseeable future. When compared to the prior year, R&D expenses are expected to decrease in 2020 due to completion of the clinical phase of AMPREVENCE, the Phase 2b clinical trial of EVO100, in December 2019, partially offset by the initiation of EVOGUARD, the Phase 3 clinical trial of EVO100 in October 2020. Additionally, selling and marketing expenses are expected to increase significantly in 2020 due to pre-commercialization activities preceding the US commercial launch of Phexxi in September 2020 and the subsequent initiation of full commercialization activities post commercial launch through the remainder of 2020 and in future periods. When compared to the prior year, the Company expects general and administrative expenses to increase in 2020 as it hires additional personnel and it engages third parties to support the growth of our business. According to management estimates, liquidity resources as of September 30, 2020 are not sufficient to maintain its planned level of operations for the 12 months from the date of issuance of these condensed consolidated financial statements.

These circumstances and the uncertainties associated with the Company’s ability to obtain additional equity or debt financing on terms that are favorable to the Company, enter into collaborative agreements with strategic partners, and otherwise succeed in its future operations raise substantial doubt about the Company’s ability to continue as a going concern.

If the Company is not able to obtain the required funding in the near term, through equity or debt financings or other means, or is unable to obtain funding on terms favorable to the Company, this will have a material adverse effect on its commercialization and development operations and strategic development plan for future growth. If the Company cannot successfully raise additional funding and implement its strategic development plan, the Company may be forced to make reductions in spending, including spending in connection with its commercialization activities, extend payment terms with suppliers, liquidate assets where possible at a potentially lower amount than as recorded in the condensed consolidated financial statements, suspend or curtail planned operations or cease operations entirely. Any of these could materially and adversely affect its liquidity, financial condition and business prospects and the Company would not be able to continue as a going concern.

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Summary of Significant Accounting Policies

9 Months Ended

Sep. 30, 2020

Accounting Policies [Abstract]

Summary of Significant Accounting Policies

Summary of Significant Accounting Policies

Use of Estimates

The preparation of consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and the notes thereto.

Significant estimates affecting amounts reported or disclosed in the consolidated financial statements include, but are not limited to: the assumptions used in measuring the revenue gross-to-net variable consideration items, the trade accounts receivable credit loss reserve estimate, the discount rate used in estimating the fair value of the lease right-of-use (ROU) assets and lease liabilities, the assumptions used in estimating the fair value of warrants and purchase rights issued, the useful lives of property and equipment, the recoverability of long-lived assets, clinical trial accruals, the assumptions used in estimating the fair value of stock-based compensation expense and in assessing the probability of achieving certain milestones associated with the performance-based restricted stock awards. These assumptions are more fully described in Note 3- Revenue Recognition, Note 5- Convertible Notes, Note 7- Fair Value of Financial Instruments, Note 8- Commitments and Contingencies, and Note

12- Stock-based Compensation. The Company bases its estimates on historical experience and other market-specific or other relevant assumptions that it believes to be reasonable under the circumstances and adjusts when facts and circumstances dictate. The estimates are the basis for making judgments about the carrying values of assets and liabilities and recorded expenses that are not readily apparent from other sources. As future events and their effects cannot be determined with precision, actual results may materially differ from those estimates or assumptions.

Segment Reporting

Operating segments are identified as components of an enterprise about which separate discrete financial information is available for evaluation by the chief operating decision-maker, who is the Chief Executive Officer (CEO) of the Company, in making decisions regarding resource allocation and assessing performance. The Company views its operations and manages its business in one operating segment.

Concentrations of Credit Risk

Financial instruments that potentially subject the Company to significant concentrations of credit risk consist primarily of cash, cash equivalents and restricted cash. Deposits in the Company’s checking, time deposit and investment accounts are maintained in federally insured financial institutions and are subject to federally insured limits or limits set by the Securities Investor Protection Corporation. The Company invests in funds through a major U.S. bank and is exposed to credit risk in the event of default to the extent of amounts recorded on the consolidated balance sheets.

The Company has not experienced any losses in such accounts and believes it is not exposed to significant concentrations of credit risk on its cash, cash equivalents and restricted cash balances due to the financial position of the depository institutions in which these deposits are held.

Significant Accounting Policies

There have been several changes to the significant accounting policies that were described in Note 2 to the 2019 Audited Financial Statements during the third quarter of 2020. These changes include the Trade Accounts Receivable and Allowance as described below, and also the accounting policy for revenue recognition, inventories, and the Company's election of fair value option (FVO) to account for certain financial liabilities as described in Note 3- Revenue Recognition, Note 4- Inventories, and Note 5- Convertible Notes, respectively.

Cash, Cash Equivalents and Restricted Cash

Cash and cash equivalents consist of readily available cash in checking accounts, money market funds, and investments in fixed income debt securities with original maturities of less than three months. Restricted cash consists of cash held in monthly time deposit accounts and letters of credit, which are collateral for the Company’s credit cards, facility leases and fleet leases as described in Note 8- Commitments and Contingencies.

The following table provides a reconciliation of cash, cash equivalents and restricted cash, reported within the condensed consolidated statements of cash flows (in thousands): 

	Nine Months Ended September 30,
	2020		2019
Cash and cash equivalents	$	86,697	$	32,120
Restricted cash	337		386
Restricted cash included in other noncurrent assets	800		—
Total cash, cash equivalents and restricted cash presented in the condensed consolidated statements of cash flows	$	87,834	$	32,506

Trade Accounts Receivable and Allowance

Trade accounts receivable are amounts owed to the Company by its customers for product that has been delivered. The trade accounts receivable are recorded at the invoice amount, less prompt pay and other discounts, chargebacks, and an allowance for credit losses, if any. The allowance for credit losses is the Company’s estimate of losses over the life of the receivables. The Company evaluates forward looking economic factors and uses professional judgment to determine the allowance for credit losses, as Phexxi was commercially launched in September 2020 and historical data is not yet available. The credit loss reserves are reviewed and adjusted periodically.

Trade accounts receivable are aged based on the contractual payment terms. When the collectability of an invoice is no longer probable, the Company will create a reserve for that specific receivable. If a receivable is determined to be uncollectible, it is charged against the general credit loss reserve or the reserve for the specific receivable, if one exists.

Net Loss Per Share

Basic net loss per common share is calculated by dividing the net loss by the weighted-average number of common shares outstanding during the period, without consideration for potentially dilutive securities. Diluted net loss per share is computed by dividing the net loss by the weighted-average number of common shares and potentially dilutive securities outstanding for the period determined using the treasury-stock and if-converted methods. For purposes of the diluted net loss per share calculation, potentially dilutive securities are excluded from the calculation of diluted net loss per share because their effect would be anti-dilutive and, therefore, basic and diluted net loss per share were the same for all periods presented. Potentially dilutive securities excluded from the calculation of diluted net loss per share are summarized in the table below.

	Three and Nine Months Ended September 30,
	2020	2019
Unvested restricted stock awards subject to repurchase	70,000	421,300
Unvested restricted stock units	—	113,000
Common stock to be purchased under the 2019 ESPP	64,442	55,132
Options to purchase common stock	8,972,112	6,424,179
Warrants to purchase common stock	10,426,107	6,168,815
Total	19,532,661	13,182,426

Recently Adopted Accounting Pronouncements

In June 2016, the Financial Accounting Standards Board (FASB) issued ASU No. 2016-13, Financial Instruments - Credit Losses, removing, modifying and adding certain disclosure requirements of ASC 326, Measurement of Credit Losses on Financial Instruments (ASU No. 2016-13), which requires credit losses relating to held-to maturity debt securities should be recorded through an allowance for credit losses. ASU No. 2016-13 was effective for the Company on January 1, 2020. The adoption of this new standard did not have a material impact on the Company's condensed consolidated financial statements.

In August 2018, the FASB issued ASU No. 2018-13, Fair Value Measurement (ASU No. 2018-13), which removes, modifies and adds certain disclosure requirements on fair value measurements in ASC 820, Fair Value Measurements and Disclosures. ASU No. 2018-13 was effective for the Company on January 1, 2020. The adoption of this new standard did not have a material impact on the Company's condensed consolidated financial statements.

In August 2018, the FASB issued ASU No. 2018-15, Intangibles—Goodwill and Other removing, modifying and adding certain disclosure requirements of ASC 350, Internal-Use Software (ASU No. 2018-15), which requires capitalizing implementation costs incurred to develop or obtain internal-use software in a cloud computing arrangement that is a service contract. ASU No. 2018-15 was effective for the Company on January 1, 2020. The adoption of this new standard did not have a material impact on the Company's condensed consolidated financial statements.

Recently Issued Accounting Pronouncements — Not Yet Adopted

In August 2020, the FASB issued ASU No. 2020-06, Debt (ASU No. 2020-06), removing, modifying and adding certain disclosure requirements of ASC 470, Debt with Conversion and Other Options, and ASC 815, Derivatives and Hedging—Contracts in Entity’s Own Equity. ASU No. 2020-06 will be effective for the Company beginning January 1, 2024. The Company is currently evaluating the expected impact of ASU 2020-06 on the condensed consolidated financial statements.

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Revenue Recognition

9 Months Ended

Sep. 30, 2020

Revenue from Contract with Customer [Abstract]

Revenue Recognition

Revenue Recognition

The Company recognizes revenue from the sale of its product, Phexxi, in accordance with ASC 606, Revenue from Contracts with Customers (ASC 606). The provisions of ASC 606 require the following steps to determine revenue recognition: (1) identify the contract(s) with a customer; (2) identify the performance obligations in the contract; (3) determine the transaction price; (4) allocate the transaction price to the performance obligations in the contract; (5) recognize revenue when (or as) the entity satisfies a performance obligation.

In accordance with ASC 606, the Company recognizes revenue when its performance obligation is satisfied by transferring control of the product to a customer. In accordance with the Company’s contracts with customers, control of the product is transferred upon the conveyance of title, which occurs when the product is sold to and received by a customer. The

Company’s customers are located in the United States and consist of wholesale distributors and a specialty retail pharmacy. Payment terms typically range from 45 to 66 days, include prompt pay discounts, and vary by customer. Trade accounts receivable due to the Company from contracts with its customers are stated separately in the balance sheet, net of various allowances as described in the Trade Accounts Receivable policy in Note 2- Summary of Significant Accounting Policies.

The amount of revenue recognized by the Company is equal to the amount of consideration that is expected to be received from the sale of product to its customers. Revenue is only recognized when it is probable that a significant reversal will not occur in future periods. To determine whether a significant reversal will occur in future periods, the Company assesses both the likelihood and magnitude of any such potential reversal of revenue.

Phexxi is sold to customers at the wholesale acquisition cost (WAC). However, the Company records product revenue, net of reserves for applicable variable consideration. These types of variable consideration items reduce revenue and include the following:

•Distribution services fees

•Prompt pay and other discounts

•Product returns

•Chargebacks

•Rebates

•Co-payment assistance

An estimate for each variable consideration item is made with each sale and is recorded in conjunction with the revenue being recognized. To calculate the variable consideration, the Company uses the expected value method. If the estimated amount is payable to a customer, it is recorded as a reduction to accounts receivable. If the estimated amount is payable to an entity other than a customer, it is recorded as a current liability. An estimated amount of variable consideration may differ from the actual amount. At each balance sheet date, these provisions are analyzed, and adjustments are made if necessary. Any adjustments made to these provisions would also affect net product revenue and earnings.

In accordance with ASC 606, the Company must make significant judgments to determine the estimate for certain variable consideration. For example, the company must estimate the percentage of end-users that will obtain the product through public insurance such as Medicaid or through private commercial insurance. To determine these estimates, the Company relies on historical sales data showing the amount of various end-user consumer types, inventory reports from the wholesale distributors and specialty pharmacy, and other relevant data reports. However, because Phexxi was launched in September 2020 this historical data is limited. The Company compensated for this lack of historical data with trend analysis, industry standard data, and professional judgment.

The specific considerations that the Company uses in estimating these amounts related to variable considerations are as follows.

Distribution services fees – The Company pays distribution service fees to its wholesale distributors and specialty pharmacy. These fees are a contractually fixed percentage of WAC and are calculated at the time of sale based on the purchase amount. The Company considers these fees to be separate from the customer’s purchase of the product, therefore, they are recorded in other current liabilities on the condensed consolidated balance sheet.

Prompt pay and other discounts – The Company incentivizes its customers to pay their invoices on time through prompt pay discounts. These discounts are an industry standard practice and the company offers a prompt pay discount to each wholesale distributor customer. The specific prompt pay terms vary by customer and are contractually fixed. Prompt pay discounts are typically taken by the Company’s customers, so an estimate of the discount is recorded at the time of sale based on the purchase amount. Prompt pay discount estimates are recorded as contra trade accounts receivable on the condensed consolidated balance sheet.

The Company may also give other discounts to its customers to incentivize purchases and promote customer loyalty. The terms of such discounts may vary by customer. These discounts reduce gross product revenue at the time the revenue is recorded.

Product returns – Customers have the right to return product that is within six months or less of the labeled expiration date or that is past the expiration date by no more than six months. Phexxi was commercially launched in September 2020 and there were no returns as of September 30, 2020. Due to the lack of historical data, the Company used professional judgment to estimate returns based on industry data for similar products. As time passes and historical data becomes available, the Company will begin to use historical sales and return data to estimate future product returns.

Certain wholesale distributors also have the ability to return product that is related to the initial stocking order for the Phexxi product launch. The specific terms for this type of product return vary by the specific wholesale distributor agreement. Product return estimates and recorded as other current liabilities on the condensed consolidated balance sheet.

Chargebacks – Certain government entities and covered entities (e.g. Veterans Administration, 340B covered entities) will be able to purchase the product at a price discounted below WAC. The Company is currently in the process of finalizing agreements with these types of entities. The difference between the government or covered entity purchase price and the wholesale distributor purchase price of WAC will be charged back to the Company. The Company estimates the amount in chargebacks based on the expected number of claims and related cost that is associated with the revenue being recognized for product that remains in the distribution channel at the end of each reporting period. Estimated chargebacks are recorded as contra trade accounts receivable on the condensed consolidated balance sheet.

Rebates – The Company will be subject to mandatory discount obligations under the Medicaid and Tricare programs. The Company is currently in the process of finalizing these agreements with Medicaid and Tricare. The rebate amounts for these programs are determined by statutory requirements or contractual arrangements. Rebates are owed after the product has been dispensed to an end user and the Company has been invoiced. Rebates for Medicaid and Tricare are typically invoiced in arrears. The Company estimates the amount in rebates based on the expected number of claims and related cost that is associated with the revenue being recognized for product that remains in the distribution channel at the end of each reporting period. Rebate estimates are recorded as other current liabilities on the condensed consolidated balance sheet.

Co-payment assistance - The Company offers a co-payment assistance program to commercially insured patients whose insurance requires a co-payment to be made when filling their prescription. This is a voluntary program that is intended to provide financial assistance to patients meeting certain eligibility requirements. The Company estimates the amount of co-payment assistance based on the expected number of claims and related cost that is associated with the revenue being recognized for product that remains in the distribution channel at the end of each reporting period. Co-payment assistance estimates are recorded as other current liabilities on the condensed consolidated balance sheet.

The following table summarizes the balances and activity of product revenue variable consideration recorded as contra trade accounts receivable (in thousands):

	Total
Balance at December 31, 2019	$	—
Provision for the current period sales	123
Credit or payments made within the period	(25)
Balance at September 30, 2020	$	98

The following table summarizes the balances and activity of product revenue variable consideration recorded as other current liabilities (in thousands):

	Total
Balance at December 31, 2019	$	—
Provision for the current period sales	1,015
Credit or payments made within the period	(94)
Balance at September 30, 2020	$	921

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Inventories

9 Months Ended

Sep. 30, 2020

Inventory Disclosure [Abstract]

Inventories

Inventories

Inventories, consisting of purchased materials, direct labor and manufacturing overheads, are stated at the lower of cost, or net realizable value. Cost is determined on a first-in, first-out basis. Net realizable value is the estimated selling price in the ordinary course of business, less reasonably predictable costs of completion, disposal, and transportation. At each balance sheet date, the Company evaluates ending inventories for excess quantities, obsolescence, or shelf-life expiration. The evaluation includes an analysis of the Company’s current and future strategic plans, anticipated future sales, the price projections of future demand, and the remaining shelf life of goods on hand. To the extent that management determines there are excess or obsolete inventory or quantities with a shelf life that is too near its expiration for the Company to reasonably expect that it can sell those products prior to their expiration, the Company adjusts the carrying value to estimated net realizable value in accordance with the first-in, first-out inventory costing method.

The Company began to capitalize the inventory costs associated with Phexxi in April 2020 when it was determined that the inventory had a probable future economic benefit. These inventory costs include all purchased materials, direct labor

and manufacturing overhead. Prior to April 2020, costs incurred for the manufacture of Phexxi were recorded as research and development expenses.

Inventories consist of the following (in thousands) for the period indicated: 

	September 30, 2020
Raw materials	$	317
Work in process(1)	2,441
Finished goods	406
Total	$	3,164

_____________________
(1) The work in process balance represents all production costs incurred for partially completed goods.

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Convertible Notes

9 Months Ended

Sep. 30, 2020

Debt Disclosure [Abstract]

Convertible Notes

Convertible Notes

On April 23, 2020, the Company entered into a Securities Purchase and Security Agreement (the Securities Purchase Agreement) with certain affiliates of Baker Bros. Advisors LP, as purchasers (the Purchasers), and Baker Bros. Advisors LP, as designated agent, pursuant to which the Company agreed to issue and sell to the Purchasers (i) convertible senior secured promissory notes (the Baker Notes) in an aggregate principal amount of up to $25.0 million and (ii) warrants to purchase shares of common stock (the Baker Warrants) in a private placement.

At the initial closing date of April 24, 2020 (the Baker Initial Closing), the Company issued and sold Baker Notes with an aggregate principal amount of $15.0 million (the Baker First Closing Notes) and Baker Warrants exercisable for 3,073,770 shares of common stock (the Baker First Closing Warrants).

Following the Baker Initial Closing, the Purchasers had an option to purchase from the Company up to $10.0 million of Baker Notes (the Baker Purchase Rights) at the Purchasers’ discretion at any time prior to the Company receiving at least $100.0 million in aggregate gross proceeds from one or more sales of equity securities.

On June 5, 2020 (the Exercise Date), the Purchasers exercised the Baker Purchase Rights. At the second closing date of June 9, 2020, the Purchasers acquired the remaining Baker Notes with an aggregate principal amount of $10.0 million (the Baker Second Closing Notes) and Baker Warrants exercisable for 2,049,180 shares of common stock (the Baker Second Closing Warrants). With the completion of the underwritten public offering in June 2020 as further discussed in Note 11- Stockholders' Equity, the conversion price of the Baker Notes and the exercise price of the Baker Warrants is $2.44. The Baker Warrants have a five-year term with a cashless exercise provision and are immediately exercisable at any time from their respective issuance date.

The Baker Notes have a five-year term, with no pre-payment ability. Interest on the unpaid principal balance of the Baker Notes (the Outstanding Balance) accrues at 10.0% per annum with interest accrued during the first year from the two respective closing dates recognized as payment-in-kind. Accrued interest beyond the first year of the respective closing dates are to be paid in arrears on a quarterly basis in cash or recognized as payment-in-kind, at the direction of the Purchasers. Interest expense for the three and nine months ended September 30, 2020 was approximately $0.7 million and $1.0 million, respectively, which is included in convertible notes payable on the accompanying condensed consolidated balance sheet as of September 30, 2020.

The Baker Notes are convertible at any time at the option the Purchasers at the aforementioned conversion price. The Baker Notes are callable by the Company on 10 days’ written notice beginning on the third anniversary of the Baker Initial Closing. The call price will equal 100% of the Outstanding Balance plus accrued and unpaid interest if the Company’s common stock as measured using a 30-day volume weighted average price (VWAP) is greater than the benchmark price of $4.99 as stated in the Securities Purchase Agreement, or 110% of the Outstanding Balance plus accrued and unpaid interest if the VWAP is less than such benchmark price. The Purchasers also have the option to require the Company to repurchase all or any portion of the Baker Notes in cash upon the occurrence of certain events. In a repurchase event, as defined in the Securities Purchase Agreement, the repurchase price will equal 110% of the Outstanding Balance plus accrued and unpaid interest. In an event of default or the Company’s change of control, the repurchase price will equal to the sum of (x) three times of the Outstanding Balance plus (y) the aggregate value of future interest that would have accrued.

The Company's stockholders approved the issuance of the shares issuable upon conversion of the Baker Notes and the exercise of the Baker Warrants in order to comply with Nasdaq Listing Rules 5635(b) and 5635(d) at its special meeting of stockholders held on June 18, 2020 (the Approval Date).

The Company elected the FVO under ASC 825, Financial Instruments, for the Baker Notes as they are qualified financial instruments and are, in whole, classified as liabilities. Under the FVO, the Company recognized the hybrid debt instrument at fair value inclusive of embedded features. The Company also determined that the Baker Warrants and the Baker Purchase Rights were free standing financial instruments and were classified as liabilities at the time of issuance in accordance with ASC 480, Distinguishing Liabilities From Equity (ASC 480) due to the required stockholders’ approval noted above.

Under the valuation methods as described in Note 7- Fair Value Financial Instruments, the Company recorded the following in the condensed consolidated financial statements related to the Baker Notes and Baker Warrants during the quarter ended June 30, 2020: (i) an aggregate of $58.1 million in convertible notes and an aggregate of $46.7 million for warrants and purchase rights liability at the Baker Initial Closing and Exercise Date; (ii) a $64.0 million loss on issuance of financial instruments recognized at the Baker Initial Closing and Exercise Date the condensed consolidated statement of operations; (iii) an aggregate $34.1 million change in fair value of financial instruments as a result of mark-to-market adjustments on the Baker Notes, Baker Warrants and Baker Purchase Rights recognized respectively at the Exercise Date, Approval Date and the quarter ended June 30, 2020, in the condensed consolidated statement of operations; (iv) a $15.8 million reclassification from purchase rights liability to the convertible notes and warrants liability on the Exercise Date; and (v) an $11.0 million reclassification from warrants liability to additional paid-in capital in the condensed consolidated balance sheet on the Approval Date. In addition, the Company concluded that there was no change in the underlying instrument-specific credit risk between the issuance dates for the Baker Notes and September 30, 2020, and, therefore there was no change recognized in the fair value of the convertible notes associated with differences in credit risk that would be presented separately as a component of other comprehensive income.

Using the same valuation methods discussed in Note 7- Fair Value Financial Instruments, the Company recorded an aggregate $3.1 million change in fair value of financial instruments as a result of mark-to-market adjustments recognized on the Baker Notes at the quarter ended September 30, 2020 in the condensed consolidated financial statements.

The Baker Notes contain various customary affirmative and negative covenants agreed to by the Company. The Company was in compliance with all applicable covenants at September 30, 2020. The Baker Notes also include customary events of default as set forth in the Securities Purchase Agreement, such that, in an event of default, the Purchasers will have the right to accelerate repayment of the aggregate loan balance then outstanding.

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Balance Sheet Details

9 Months Ended

Sep. 30, 2020

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Balance Sheet Details

Balance Sheet Details

Short-term Investments

Short-term investments consist of held-to-maturity securities that will be due in one year or less. The following table illustrates the held-to-maturity securities’ amortized costs at purchase and the fair value for the period presented (in thousands). All of the short-term investments at December 31, 2019 have matured as of September 30, 2020.

December 31, 2019	Amortized Cost Basis		Unrealized Gains		Fair Value
Fixed income debt securities	$	8,233	$	42	$	8,275
Total held-to-maturity securities	$	8,233	$	42	$	8,275

Prepaid and Other Current Assets

Prepaid and other current assets consist of the following (in thousands): 

	September 30, 2020		December 31, 2019
Selling and marketing related costs	$	7,654	$	491
Insurance	1,324		481
Prepaid overhead	754		—
Other receivables	213		436
Flex note receivable (1)	250		250
Short-term deposit	52		150
Other	391		505
Total	$	10,638	$	2,313

_______________________

(1) In June 2016, Private Evofem’s board of directors committed to a plan to sell its Softcup line of business (Softcup) and re-direct its available cash resources to further develop Phexxi. In July 2016, the Company entered into an Asset Purchase

Agreement with The Flex Company (Flex), whereby Flex would acquire certain assets and assume certain liabilities associated with Softcup. Total consideration for the Softcup sale was $1.9 million, with $0.6 million received in cash at closing and the remaining $1.3 million due and payable under a note in favor of the Company (the Flex Note) through January 1, 2021 (the Maturity Date). The Flex Note bears simple interest at a rate of 5.0% per annum on the remaining principal amount outstanding. An annual principal payment of approximately $0.3 million and the annual accrued and unpaid interest are payable each January 1, beginning in 2017 through the Maturity Date.

The Flex Note is secured by the Softcup assets and has been recorded at fair value. The Company’s incremental borrowing rate and the stated interest rate of the Flex Note are materially consistent.

Property and Equipment, Net

Property and equipment, net, consists of the following (in thousands):

	Useful Life	September 30, 2020		December 31, 2019
Research equipment	5 years	$	615	$	608
Computer equipment and software	3 years	280		13
Office furniture	5 years	205		205
Leasehold improvements	5 years or less	340		340
Construction in-process	—	1,566		77
		3,006		1,243
Less: accumulated depreciation		(1,030)		(849)
Total, net		$	1,976	$	394

Depreciation expense was approximately $0.1 million for both the three months ended September 30, 2020 and 2019, and $0.2 million for both the nine months ended September 30, 2020 and 2019.

Other Noncurrent Assets

Other noncurrent assets consist of the following (in thousands):

	September 30, 2020		December 31, 2019
Restricted cash included in noncurrent assets	$	800	$	750
Prepaid directors & officers' insurance	240		320
Flex note receivable, net of current portion	—		250
Other	34		—
Total	$	1,074	$	1,320

Accrued Expenses

Accrued expenses consist of the following (in thousands):

	September 30, 2020		December 31, 2019
Clinical studies	$	289	$	585
Marketing and public relations	1,375		—
Legal and other professional fees	1,276		1,652
Manufacturing related costs	1,413		—
Other	254		547
Total	$	4,607	$	2,784

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Fair Value of Financial Instruments

9 Months Ended

Sep. 30, 2020

Fair Value Disclosures [Abstract]

Fair Value of Financial Instruments

Fair Value of Financial Instruments

The fair values of the Company’s assets, including the money market funds, investments in marketable fixed income debt securities classified as cash and cash equivalents, investments in marketable fixed income debt securities classified as held-to-maturity and the Flex Note receivable, and the fair value of the Company’s convertible notes measured on a recurring basis are summarized in the following tables, as applicable (in thousands).

	September 30, 2020		Quoted Prices in Active Markets for Identical Assets (Level 1)		Significant Other Observable Inputs (Level 2)		Significant Unobservable Inputs (Level 3)
Money market funds (1)	$	81,585	$	81,585	$	—	$	—
Fixed income debt securities classified as cash and cash equivalents	4,998		4,998		—		—
Flex note receivable	250		—		250		—
Total assets	$	86,833	$	86,583	$	250	$	—
Convertible notes payable (2)	$	47,063	$	—	$	—	$	47,063
Total liabilities	$	47,063	$	—	$	—	$	47,063

_____________________

(2) The convertible notes payable as of September 30, 2020 on the accompanying condensed consolidated balance sheet also includes approximately $1.0 million accrued interest on the Baker Notes.

	December 31, 2019		Quoted Prices in Active Markets for Identical Assets (Level 1)		Significant Other Observable Inputs (Level 2)		Significant Unobservable Inputs (Level 3)
Money market funds (1)	$	7,064	$	7,064	$	—	$	—
Fixed income debt securities classified as cash and cash equivalents	6,749		—		6,749		—
Fixed income debt securities classified as short-term investments	8,275		—		8,275		—
Flex note receivable	500		—		500		—
Total assets	$	22,588	$	7,064	$	15,524	$	—

_______________________

(1) Included as a component of cash and cash equivalents on the accompanying condensed consolidated balance sheet.

The Baker Warrants and the Baker Purchase Rights, and the Private Placement First Closing Warrants and the Private Placement Purchase Rights as discussed in Note 5- Convertible Notes and Note 10- 2019 Private Placement, respectively, were determined to be classified as liabilities. Therefore, they were stated at fair value at issuance and subject to mark-to-market at each reporting date until a subsequent event occurs that would change their classification. They were considered Level 3 instruments because the fair value measurement was based, in part, on significant inputs not observed in the market.

The following tables summarize the changes in Level 3 financial liabilities measured at fair value on a recurring basis for the three and nine months ended September 30, 2020 and 2019.

	Baker First Closing Notes		Baker Second Closing Notes		Total
Balance at June 30, 2020	$	26,375	$	17,583	$	43,958
Change in fair value	1,863		1,242		3,105
Balance at September 30, 2020 (2)	$	28,238	$	18,825	$	47,063

	Baker First Closing Notes		Baker Second Closing Notes		Total
Balance at December 31, 2019	$	—	$	—	$	—
Initial liability at issuance	37,405		20,715		58,120
Change in fair value	(9,167)		(1,890)		(11,057)
Balance at September 30, 2020 (2)	$	28,238	$	18,825	$	47,063

_____________________

(2) The convertible notes payable as of September 30, 2020 on the accompanying condensed consolidated balance sheet also includes approximately $1.0 million accrued interest on the Baker Notes.

	Baker First Closing Warrants		Baker Purchase Rights		Baker Second Closing Warrants		Total
Balance at December 31, 2019	$	—	$	—	$	—	$	—
Initial liability at issuance	14,007		27,636		5,098		46,741
Change in fair value	(7,408)		(11,823)		(682)		(19,913)
Reclassification from liability to equity	(6,599)		—		(4,416)		(11,015)
Exercise of Baker Purchase Rights for convertible notes	—		(10,715)		—		(10,715)
Exercise of Baker Purchase Rights for warrants	—		(5,098)		—		(5,098)
Balance at September 30, 2020 (3)	$	—	$	—	$	—	$	—

	Private Placement Warrants		Private Placement Purchase Rights
Balance at December 31, 2018	$	—	$	—
Initial liability at issuance	3,611		3,183
Change in fair value	3,315		19,617
Reclassification from liability to equity	(6,926)		(22,800)
Balance at September 30, 2019(3)	$	—	$	—

_____________________

(3) There was no activity for the three months ended September 30, 2020 and 2019.

Baker Notes

The fair value of the Baker Notes issued as described in Note 5- Convertible Notes, and subsequent changes in fair value recorded at the September 30, 2020 reporting date, were determined using a Monte Carlo simulation-based model. Monte Carlo simulation was used to take into account several factors including the future value of the Company's common stock, a potential change of control event, the maturity term of the Baker Notes, the probability of an event of voluntary conversion of the Baker Notes, exercise of the put right, and exercise of the Company's call right.

Baker Warrants and Private Placement Warrants

The fair value of the Baker Warrants issued during the second quarter of 2020 as described in Note 5- Convertible Notes, and the fair value of the Private Placement First Closing Warrants issued during the second quarter of 2019 as described in Note 10- 2019 Private Placement, and the respective changes in fair value of these warrants as a result of mark-to-market, were determined using the Black-Scholes option pricing model based on the following weighted-average assumptions for the periods indicated.

	Nine Months Ended September 30,
	2020		2019
Expected volatility	93.7	%	75.0	%
Risk-free interest rate	0.4	%	2.2	%
Expected dividend yield	—	%	—	%
Expected term (years)	4.9		6.9

Baker Purchase Rights and Private Placement Purchase Rights

The fair value of the Baker Purchase Rights, and the subsequent change in fair value of these rights upon exercise of such rights, was determined as the maximum of (i) the fair value of rights to purchase the additional $10 million Baker Notes and (ii) the fair value of the shares of on as-if converted basis, which was determined by the lattice model. The fair value of rights to purchase an additional 2,049,180 Baker Warrants was valued using a Geske option-pricing model. The Geske model was based on the applicable assumptions, including the underlying stock price, warrant exercise price, the exercise price of the rights to purchase the Baker Warrants, the term of the Baker Warrants, the term of the rights to purchase the Baker Warrants, the expected volatility of the Company’s peer group, risk-free interest rate and expected dividend.

The fair value of the Private Placement Purchase Rights issued in connection with the 2019 Private Placement, and the change in fair value of the Private Placement Purchase Rights as a result of the mark-to-market upon stockholder approval of the 2019 Private Placement, was determined using a combination of a lattice model and a Black-Scholes option-pricing model. The lattice model was used to determine a range of future value of the Company's common stock. The Black-Scholes option-pricing model was based on the applicable assumptions, including the future value of the Company's common stock as determined by the lattice model, warrant exercise price, time to expiration, expected volatility of our peer group, risk-free interest rate and expected dividend.

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Commitments and Contingencies

9 Months Ended

Sep. 30, 2020

Commitments and Contingencies Disclosure [Abstract]

Commitments and Contingencies

Commitments and Contingencies

Operating Leases

Fleet Lease

In December 2019, the Company (the Lessee) and Enterprise FM Trust (the Lessor) entered into a Master Equity Lease Agreement (the Fleet Lease Agreement), whereby the Company leases vehicles to be delivered by the Lessor from time to time with various monthly costs depending on the vehicles delivered for a term of 24 or 36 months, commencing on each corresponding delivery date. The leased vehicles are for use by eligible employees of the Company's commercial operations personnel (the Fleet Lease). There was a total of 54 and 70 vehicles delivered during the three and nine months ended September 30, 2020, respectively. The Company maintains a letter of credit as collateral in favor of the Lessor, which was included in restricted cash in the condensed consolidated balance sheet. This letter of credit was $0.1 million as of September 30, 2020. There was no such amount as of December 31, 2019. The Company determined that the leased vehicles are accounted for as operating leases under ASC 842, Leases (ASC 842).

2020 Lease and the First Amendment

On October 9, 2019, the Company entered into an office lease for approximately 24,474 square feet (Existing Premises) pursuant to a non-cancelable lease agreement (the 2020 Lease). The 2020 Lease commenced on April 1, 2020 and will expire on September 30, 2025, unless terminated earlier in accordance with its terms. The Company has a right to extend the term of the lease for an additional five years and does not anticipate exercising such extension. The Company provided the landlord with a $750,000 security deposit in the form of a letter of credit for the Existing Premises. On April 14, 2020, the Company entered into the first amendment to the 2020 Lease for an additional 8,816 rentable square feet of the same office location (Expansion Premises), which commenced on September 1, 2020 (Expansion Premises Commencement Date) and will expire on September 30, 2025. The Company provided an additional $50,000 in a letter of credit for the Expansion Premises.

As of September 30, 2020 and December 31, 2019, restricted cash maintained as collateral for the Company’s security deposit was $0.8 million.

2015 Lease

Effective January 30, 2015, Private Evofem entered into a sublease for office space under a noncancelable lease agreement that expired in March 2020 (the 2015 Lease), which is the Company’s primary office space. The sublease provided for two renewal periods of five years each, but the sub-lessor did not renew its lease. In lieu of paying a security deposit directly to the sub-lessor, the Company maintained a time deposit in favor of the sub-lessor (the Deposit), which is included in restricted cash in the condensed consolidated balance sheets. During months 13 through 58 of the 2015 Lease term, subject to certain restrictions, approximately $5,000 of the Deposit was released each month through November 2019 and approximately $66,000 of the Deposit was released each month between December 2019 and March 2020. The 2015 Lease expired on March 31, 2020.

Leased Space

In August 2017, the Company entered into a manufacturing and supply agreement with an outside supplier for a term of one year from August 2017. This agreement was further renewed by both parties to cover the period from August 2018 to September 2019. Under the agreement, the supplier provides a dedicated packaging space for the Company at a fixed monthly cost. The Company determined that this dedicated space is accounted for as an operating lease under ASC 842. The lease for this space expired in September 2019.

Supplemental Financial Statement Information

Lease Assets and Liabilities (in thousands)	September 30, 2020		December 31, 2019
Operating right-of-use assets	$	7,198	$	160
Operating lease liabilities- current	$	1,728	$	197
Operating lease liabilities- noncurrent	$	6,425	$	—

		Three Months Ended September 30,				Nine Months Ended September 30,
Lease Cost (in thousands)	Classification	2020		2019		2020		2019
Operating lease expense	Research and development	$	118	$	76	$	273	$	241
Operating lease expense	Selling and marketing	167		38		298		79
Operating lease expense	General and administrative	181		72		427		243
Total		$	466	$	186	$	998	$	563

Lease Term and Discount Rate	September 30, 2020		December 31, 2019
Weighted Average Remaining Lease Term (in years)	4.61		0.25
Weighted Average Discount Rate	12	%	12	%

Maturity of Operating Lease Liabilities (in thousands)	September 30, 2020		December 31, 2019
Remainder of 2020	$	124	$	201
Year ending December 31, 2021	2,450		—
Year ending December 31, 2022	2,515		—
Year ending December 31, 2023	2,171		—
Year ending December 31, 2024	2,192		—
Year ending December 31, 2025	1,502		—
Total lease payments	10,954		201
Less: imputed interest	(2,801)		(4)
Total	$	8,153	$	197

	Nine Months Ended September 30,
Other information (in thousands)	2020		2019
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash outflows in operating leases	$	552	$	640

Other Contractual Commitments

In November 2019, the Company entered into a supply and manufacturing agreement with a third-party to manufacture Phexxi and potentially other product candidates in accordance with all applicable current good manufacturing practices (cGMP) regulations, pursuant to which the Company has certain contractual commitments commencing in 2020.

In accordance with the aforementioned Fleet Lease Agreement, the Company has certain contractual commitments for the vehicles to be delivered for use by the Company's sales force, for which ROU assets and lease liabilities will be recognized upon delivery.

Contingencies

From time to time the Company may be involved in various lawsuits, legal proceedings or claims that arise in the ordinary course of business. There were no claims or actions pending against the Company as of September 30, 2020 and December 31, 2019, which management believes would have, individually or in the aggregate, a material adverse effect on its business, liquidity, financial position, results of operations or cash flows. However, litigation is subject to inherent uncertainties and an adverse result in these or other matters may arise from time to time that may harm the Company’s business.

Intellectual Property Rights

In 2014, Private Evofem entered into an amended and restated license agreement with Rush University (the Rush License Agreement) pursuant to which Rush University granted Private Evofem an exclusive, worldwide license of certain patents and know-how related to its multipurpose vaginal pH modulator technology authorizing Private Evofem to make, distribute and commercialize products and processes for any and all therapeutic, prophylactic and/or diagnostic uses, including, without limitation, use for female vaginal health and/or birth control. Pursuant to the Rush License Agreement, the Company is obligated to pay to Rush University an earned royalty based upon a percentage of net sales in the range of mid-single digits. In September 2020, the Company entered the first amendment to the Rush License Agreement, pursuant to which the Company is also obligated to pay a minimum annual royalty amount of $100,000 to the extent the earned royalties do not equal or exceed $100,000 commencing January 1, 2021. Such royalty payment was immaterial for the three months ended September 30, 2020.

In October 2015, the Company entered into separate sublicense agreements (the Sublicenses) with WomanCare Global Trading CIC (WCGCIC) for a contraceptive vaginal ring for aggregate consideration of (i) payments or potential payments to WCGCIC of (a) an upfront payment of $10.0 million, (b) potential regulatory and commercial milestone payments up to $32.0 million, (c) potential royalty payments on net product sales and (d) potential royalty payments on net sales of an equivalent generic product and (ii) $5.0 million in annual sublicense fees through October 1, 2019 to WCGCIC.

During the first quarter of 2019, the Sublicenses were reassigned to WCG Cares, upon which, the unpaid sublicense fees ceased accruing interest and all accrued sublicense fees and interest expense of $1.3 million were transferred and became payable to WCG Cares. During the third quarter of 2019, the Company and WCG Cares entered into a settlement agreement, whereby the Company paid $1.0 million to WCG Cares to settle the entire outstanding balance. The Company recorded the difference of $0.3 million as a concession recorded within other income (expense) in its condensed consolidated statement of operations during the third quarter of 2019. See Note 9- Related-party Transactions for a summary of the Company’s transactions with WCGCIC, WomanCare Global International, a non-profit organization registered in England and Wales (WCGI) and related entities, and WCG Cares.

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Related-party Transactions

9 Months Ended

Sep. 30, 2020

Related Party Transactions [Abstract]

Related-party Transactions

Related-party Transactions

Consulting Agreements

Effective April 1, 2017, the Company entered into a two-year consulting agreement with Thomas Lynch, the former chairman of the Company’s board of directors (the 2017 Consulting Agreement). The 2017 Consulting Agreement expired in accordance with its terms on March 31, 2019. This 2017 Consulting Agreement provided for (i) annual compensation of $0.4 million, including $0.1 million related to his board services and (ii) a stock option for the purchase of 6,416 shares of common stock that was to vest quarterly through March 31, 2018, which remained unissued at the time of the Merger.

Effective April 1, 2019, the Company entered into a new two-year consulting agreement with Mr. Lynch (the 2019 Consulting Agreement). The 2019 Consulting Agreement provided for (i) annual compensation of $0.4 million, including $0.1 million related to Mr. Lynch’s board services, (ii) an annual grant of 150,000 restricted stock units (RSUs), which vested quarterly over one year from the grant date and (iii) an annual bonus of up to 100% of Mr. Lynch’s annual consulting fees based upon the achievement of the Company’s corporate goals and objectives as determined by and subject to approval of the board of directors. The 2019 Consulting Agreement terminated on April 1, 2020 upon the passing of Mr. Lynch.

Consulting fees incurred under the 2017 and 2019 Consulting Agreements were zero and $0.1 million for the three months ended September 30, 2020 and 2019, respectively, and $0.1 million and $0.5 million for the nine months ended September 30, 2020 and 2019, respectively.

Transactions with WCGI and Related Entities

From 2009 to 2016, Ms. Saundra Pelletier was the founding CEO of WCGI. In February 2013, Private Evofem and WCGI formed an alliance (the WCGI Alliance) and Ms. Pelletier also became Private Evofem’s CEO. Concurrent with the forming of the WCGI Alliance, Private Evofem and WCGI entered into a (i) service agreement to which the companies shared resources and employees and (ii) three-year grant agreement under which Private Evofem provided funding to WCGI.

From 2011 to 2017, Ms. Pelletier served as a director of the board of WomanCare Global Trading, Inc., a WCGI subsidiary. As described in Note 8- Commitments and Contingencies, in October 2015, Private Evofem, through its wholly-owned subsidiaries, entered into two sublicense agreements whereby Private Evofem was responsible for paying $5.0 million in annual sublicense fees, net of amounts paid under the grant agreement during 2015, to WCGCIC, also a WCGI affiliate.

Effective January 2016, Private Evofem and WCGI entered into a shared-services agreement (the SSA), which replaced the prior service agreement. Under the terms of the SSA, Private Evofem and WCGI cross charged the other company’s services provided by each entity on behalf of the other. The SSA also allowed for netting of due to and due from shared-services fees. In July 2019, the SSA was terminated. Services provided under the SSA on behalf of WCGI were immaterial for the three and nine months ended September 30, 2019. The amounts of receivables and payables related to the Company’s transactions with WCGI related entities as of September 30, 2019 and for the three and nine months ended September 30, 2019 were immaterial. All accrued sublicense fees and interest expense related to the Sublicenses as of December 31, 2018 became payable to WCG Cares during the first quarter of 2019.

Transactions with WCG Cares

In 2013, WCG Cares, a 501(c)(3) nonprofit organization, was incorporated under the laws of the State of California. Its primary purpose is to directly engage in and/or fund the development and implementation of programs that promote reproductive health, education, research and increased access to high-quality, innovative and affordable reproductive healthcare and healthcare products around the world. Ms. Pelletier served as the CEO and President of WCG Cares from 2013 to November 2017. She was a member of its board from November 2017 to March 1, 2020, and also served as chair of its board of directors from November 2017 to May 2018. Additionally, Mr. Justin J. File served as WCG Cares' Chief Financial Officer from November 2017 to May 2018. Dr. Kelly Culwell served as WCG Cares' Chief Medical Officer from November 2017 to December 2018. Dr. Culwell was also appointed to its board of directors in January 2019 with a term of three years until December 31, 2021.

In March 2018, the Company and WCG Cares entered into a shared-services agreement (the Cares Shared Services Agreement). Under the terms of the Cares Shared Services Agreement, the Company and WCG Cares cross charged services provided by each entity (or their subsidiaries) on behalf of the other. The Cares Shared Services Agreement also allowed for netting of due to and due from shared-services fees. In July 2019, the Company provided a notice of termination to WCG Cares to terminate the Cares Shared Services Agreement effective September 2019. Services provided under the Cares Shared Services Agreement on behalf of WCG Cares were immaterial for the three and nine months ended September 30, 2019, and the net shared-services due to the Company were immaterial as of September 30, 2019.

Variable Interest Entity Considerations

Due to shared management and numerous agreements between the Company and WCGI and the Company and WCG Cares, management reviewed its relationship with both WCGI and its subsidiaries and WCG Cares in accordance with the authoritative guidance for variable interest entities within ASC 810, Consolidation. The Company concluded that due to WCGI’s and WCG Cares’ status as not-for-profit entities the scope exception from qualifying as a variable interest entity was met and, therefore, the Company is not required to consolidate WCGI or WCG Cares.

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2019 Private Placement

9 Months Ended

Sep. 30, 2020

Private Placement [Abstract]

2019 Private Placement

2019 Private Placement

On April 10, 2019, the Company entered into a Securities Purchase Agreement with PDL BioPharma, Inc., a Delaware corporation (PDL), funds discretionally managed by Invesco Ltd. (Invesco) and funds managed by Woodford Investment Management Ltd. (WIM, collectively with Invesco and PDL, the 2019 Purchasers), providing for the issuance and sale to the 2019 Purchasers of an aggregate of up to $80 million of the Company’s common stock, par value $0.0001 per share (the Private Placement Shares) at a purchase price of $4.50 per share, and warrants to purchase shares of common stock with an exercise price of $6.38 per share (collectively, the Private Placement Securities) in a private placement (the Private Placement) to be funded in up to two separate closings.

The first closing was completed on April 11, 2019 (the Private Placement First Closing), pursuant to which the Company (i) issued and sold to PDL 6,666,667 shares of its common stock and warrants to purchase up to 1,666,667 shares of common stock (the Private Placement First Closing Warrants) and (ii) provided to the 2019 Purchasers an option, but not an obligation, from the Company to issue and sell to each 2019 Purchaser the shares of common stock and warrants as specified in the aforementioned Securities Purchase Agreement during the period beginning on April 11, 2019 and ending on June 10, 2019 (the Private Placement Purchase Rights). The total consideration for the Private Placement First Closing was $30 million.

The second closing was completed on June 10, 2019 (the Private Placement Second Closing), pursuant to which the Company issued and sold to PDL, Invesco and WIM (i) 6,666,667, 2,222,222 and 2,222,223 shares of its common stock, respectively and (ii) warrants to purchase up to 1,666,667, 555,556 and 555,556 shares of common stock (the Private Placement Second Closing Warrants), respectively, for an aggregate purchase price of $50 million. Shares of common stock issued to WIM included one voting share issued in connection with the issuance of its warrants.

The Company’s stockholders approved the Private Placement at its 2019 Annual Meeting of Stockholders held on June 5, 2019 (the Private Placement Approval Date).

The warrants have a 7-year term and will become exercisable at any time on or after the date that is six (6) months following their respective issuance dates. The Company determined the Private Placement First Closing Warrants were free standing financial instruments and a liability classified in accordance with ASC 480 due to the requirement to obtain stockholder approval pursuant to Nasdaq Listing Rule 5635(b). The Company utilized the Black-Scholes option-pricing model to calculate the fair value of warrants at issuance and on the Private Placement Approval Date for the Private Placement First Closing Warrants, and recorded the following in the condensed consolidated financial statements for the three months ended June 30, 2019: (i) $3.6 million warrant liability at issuance; (ii) $3.3 million change in fair value of warrants in the condensed consolidated statement of operations as a result of mark-to-market on the Private Placement Approval Date; and (iii) $6.9 million reclassification from warrant liability to additional paid-in capital in the condensed consolidated balance sheet on the Private Placement Approval Date.

The Private Placement Second Closing Warrants were determined to be free standing financial instruments and equity classified in accordance with ASC 815, Derivatives and Hedging. The Company utilized the Black-Scholes option-pricing model to calculate the fair value of warrants at issuance and recorded an estimated fair value of $12.7 million as additional paid-in capital in the condensed consolidated balance sheet.

The Company also determined the Private Placement Purchase Rights were free standing financial instruments and liability classified in accordance with ASC 480 due to the stockholder approval provision noted above. As described in Note 7- Fair Value Financial Instruments, the Company utilized a combination of a lattice model and a Black-Scholes option-pricing model to calculate the fair value of the Private Placement Purchase Rights at issuance and on the Private Placement Approval Date. The Company recorded the following in the condensed consolidated financial statements during the second quarter of 2019: (i) $3.2 million purchase rights liability at issuance for the purchase rights provided to PDL; (ii) $0.7 million loss on issuance of purchase rights at issuance in the condensed consolidated statement of operations for the purchase rights provided to Invesco and WIM; (iii) $19.6 million change in fair value of purchase rights in the condensed consolidated statement of operations as a result of mark-to-market on the Private Placement Approval Date; and (iv) $22.8 million reclassification from purchase rights liability to additional paid-in capital in the condensed consolidated balance sheet on the Private Placement Approval Date.

Upon completion of the Private Placement First Closing and Private Placement Second Closing, the Company received proceeds of approximately $28.2 million and $47.2 million, net of $1.8 million and $2.8 million in advisory fees to financial advisors, respectively, and used these proceeds for clinical research and development purposes, including resubmission of the New Drug Application for Phexxi to the FDA, commercialization activities, and for general corporate purposes.

Additionally, upon completion of the Private Placement Second Closing, the previously issued WIM Warrants and Reload Warrants (as defined below) to purchase up to 475,000 shares and 1,188,029 shares of common stock, respectively,

were canceled. See Note 11- Stockholders' Equity for additional details on the Reload Warrants. The Company included such cancellation in valuing the purchase rights described above.

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Stockholders' Equity

9 Months Ended

Sep. 30, 2020

Equity [Abstract]

Stockholders' Equity

Stockholders' Equity

Warrants

On February 5, 2019, the Company entered into letter agreements (the Repricing Letter Agreements) with WIM and certain other holders of outstanding warrants to purchase common stock of the Company by exercising certain outstanding warrants. Upon execution of the Repricing Letter Agreements, investment funds affiliated with WIM exercised certain warrants received upon the completion of the Merger (WIM Warrants) to purchase an aggregate of 1,525,000 shares of common stock, and WIM and other holders of common warrants issued in the public offering in May 2018 (Public Offering Warrants) exercised their common warrants to purchase an aggregate of 851,062 shares of common stock at a reduced exercise price of $2.64 per share. The Company received gross proceeds of approximately $6.3 million from these exercises.

The Company determined that the incremental fair value as a result of the modification to these warrants from the change of the exercise price was approximately $1.4 million and $0.5 million for the WIM Warrants and Public Offering Warrants, respectively, which were recorded as a change in fair value of warrants in the condensed consolidated statement of operations for the nine months ended September 30, 2019.

In addition, on February 8, 2019 and per the terms of the Repricing Letter Agreements, the Company issued warrants to purchase up to 1,188,029 shares of the Company’s common stock (Reload Warrants) to the holders' party to the Repricing Letter Agreements at an exercise price of $5.20 per share. The Company determined the Reload Warrants are free standing financial instruments and equity classified in accordance with ASC 480. Since the Reload Warrants were issued in addition to the reduced exercise price to induce the holders of WIM Warrants and common warrants to exercise their warrants, the Company determined the fair value of the Reload Warrants was also the incremental fair value as a result of the modification to the WIM warrants and common warrants exercised. To determine the fair value of the Reload Warrants, the Company utilized the Black-Scholes option-pricing model, which resulted in an estimated fair value of the Reload Warrants of $2.5 million, which was recorded as additional paid-in capital in the condensed consolidated balance sheet and change in fair value of warrants in the condensed consolidated statement of operations for the nine months ended September 30, 2019.

On June 10, 2019, upon the Second Closing of the Private Placement as discussed in Note 10- 2019 Private Placement, the remaining WIM Warrants to purchase up to 475,000 shares of common stock and all Reload Warrants were cancelled. Warrants to purchase an aggregate of 4,444,446 shares of common stock were issued in connection with the Private Placement at an exercise price of $6.38 per share in April and June 2019.

In April and June 2020, pursuant to the Securities Purchase Agreement as discussed in Note 5- Convertible Notes, the Company issued warrants to purchase up to 5,122,950 shares of common stock in a private placement at an exercise price of $2.44 per share.

As of September 30, 2020, warrants to purchase up to 10,426,107 shares of the Company’s common stock remain outstanding at a weighted average exercise price of $4.54 per share. These warrants are summarized below:

Type of Warrants	Underlying Common Stock to be Purchased	Exercise Price		Issue Date	Exercise Period
Common Warrants	878	$	51.24	March 30, 2012	March 30, 2012 to March 30, 2022
Common Warrants	1,171	$	51.24	August 17, 2012	August 17, 2012 to July 17, 2022
Common Warrants	7,806	$	3.69	June 11, 2014	June 11, 2014 to June 11, 2024
Common Warrants	848,674	$	7.50	May 24, 2018	May 24, 2018 to May 24 2025
Common Warrants	182	$	7.50	June 26, 2018	June 26, 2018 to June 26, 2025
Common Warrants	1,666,667	$	6.38	April 11, 2019	October 11, 2019 to April 11, 2026
Common Warrants	2,777,779	$	6.38	June 10, 2019	December 10, 2019 to June 10, 2026
Common Warrants	3,073,770	$	2.44	April 24, 2020	April 24, 2020 to April 24, 2025
Common Warrants	2,049,180	$	2.44	June 9, 2020	June 9, 2020 to June 9, 2025
Total	10,426,107

Common Stock

Effective January 17, 2018 and in connection with the Merger, the Company amended and restated its certificate of incorporation, under which the Company is currently authorized to issue up to 300,000,000 shares of common stock, $0.0001 par value per share, and 5,000,000 shares of preferred stock, $0.0001 par value per share.

Public Offering

On June 5, 2020, the Company completed an underwritten public offering (the Public Offering), whereby the Company issued 28,500,000 shares of common stock at a price to the public of $3.50 per share (the Public Offering Price). The Company received proceeds from the Public Offering of $93.2 million, net of underwriting discounts. In addition, the Company granted the underwriters a 30-day option to purchase up to an additional 4,275,000 shares of its common stock at the Public Offering Price, less applicable underwriting discounts. The common stock issued in the Public Offering were registered pursuant to a shelf registration statement on Form S-3 filed with the SEC on November 18, 2019 and declared effective on December 2, 2019.

On June 10, 2020, the Company issued an additional 3,200,000 shares of common stock upon exercise of the underwriters’ overallotment option and received proceeds from the exercise of $10.5 million, net of underwriting discounts.

At the Market (ATM) Program

In November 2019, the Company entered into an Equity Distribution Agreement (the Equity Distribution Agreement) with Piper Sandler & Co. (Piper Sandler), which provided the Company the ability to offer and sell shares of its common stock in ATM offerings (as defined in Rule 415 of the Securities Act of 1933, as amended) having an aggregate offering price up to $50 million from time to time through Piper Sandler acting as sales agent. On June 2, 2020, in connection with the Public Offering discussed in Note 11- Stockholders’ Equity, the Equity Distribution Agreement was terminated. During the nine months ended September 30, 2020, the Company received proceeds of approximately $3.8 million in cash and cash equivalents (including $0.3 million that was included in other receivables in the condensed consolidated balance sheet at December 31, 2019), net of commissions, from the sale of 676,656 shares of its common stock.

Short-swing Profit Disgorgement

During the three months ended September 30, 2020, there was no short-swing profit disgorgement. During the nine months ended September 30, 2020, the Company received an aggregate of $0.2 million in cash from short-swing profit disgorgement, which is included as an increase to additional paid-in capital in the condensed consolidated statement of stockholders’ equity and as a financing activity in the condensed consolidated statement of cash flows.

Common Stock Reserved for Future Issuance

Common stock reserved for future issuance is as follows in common equivalent shares as of September 30, 2020: 

Common stock issuable upon the exercise of stock options outstanding	8,972,112
Common stock issuable upon the exercise of common stock warrants	10,426,107
Common stock available for future issuance under the 2019 ESPP	1,354,968
Common stock available for future issuance under the Amended and Restated 2014 Plan	1,752,262
Common stock available for future issuance under the Amended Inducement Plan	484,175
Total common stock reserved for future issuance	22,989,624

Stockholder Rights Agreement

On March 24, 2020, the Company entered into a rights agreement (the Rights Agreement) with Philadelphia Stock Transfer, Inc., as rights agent. In connection with the adoption of the Rights Agreement and pursuant to its terms, the Company’s board of directors authorized and declared a dividend of one right (each, a Right) for each outstanding share of the Company’s common stock to stockholders of record at the close of business on April 8, 2020 (the Record Date), and authorized the issuance of one Right for each share of common stock issued by the Company (except as otherwise provided in the Rights Agreement) between the Record Date and the Distribution Date (as defined below).

Each Right entitles stockholders to purchase from the Company, when exercisable and subject to adjustment, one one-thousandth of a share (a Unit) of Series A Preferred Stock (the Preferred Stock) at a purchase price of $17.50 per Unit (the Purchase Price). The Rights generally become exercisable (the Distribution Date) upon the earlier of (i) 10 business days

following a public announcement that a person or group of affiliated or associated persons (an Acquiring Person) has acquired or otherwise obtained beneficial ownership of 32% or more of the then‑outstanding shares of common stock of the Company (the date of such public announcement, the Stock Acquisition Date), and (ii) 10 business days (or such later date as may be determined by the board of directors of the Company) following the commencement of a tender offer or exchange offer that would result in a person or group becoming an Acquiring Person. If a person becomes an Acquiring Person, then each holder of a Right will thereafter have the right to receive, upon exercise, Units of Preferred Stock or, at the option of the Company, shares of common stock (or, in certain circumstances, cash, property or other securities of the Company) having a value equal to two times the Purchase Price of the Right. If the Company is acquired in a merger or similar business combination transaction at any time after a person has become an Acquiring Person, each holder of a right (other than the Acquiring Person and certain related parties) will be entitled to purchase a similar amount of common stock of the acquiring entity.

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Stock-based Compensation

9 Months Ended

Sep. 30, 2020

Share-based Payment Arrangement [Abstract]

Stock-based Compensation

Stock-based Compensation

Equity Incentive Plans

The following table summarizes stock-based compensation expense related to stock options, restricted stock awards (RSAs) and RSUs granted to employees and non-employee directors included in the condensed consolidated statements of operations as follows (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2020		2019		2020		2019
Research and development	$	291	$	202	$	1,689	$	859
Selling and marketing	347		564		2,006		1,101
General and administrative	999		1,497		7,377		4,780
Total	$	1,637	$	2,263	$	11,072	$	6,740

In September 2012, Private Evofem adopted the 2012 Equity Incentive Plan (the 2012 Plan) that provides for the issuance of RSAs, RSUs, or non-qualified and incentive common stock options to its employees, non-employee directors and consultants, from its authorized shares. In general, the options expire ten years from the date of grant and generally vest either (i) over a four-year period, with 25% exercisable at the end of one year from the employee’s hire date and the balance vesting ratably thereafter or (ii) over a three-year period, with 25% exercisable at the grant date and the balance vesting ratably thereafter. Upon completion of the Merger, Private Evofem’s 2012 Plan was assumed by the Company and awards outstanding under the 2012 Plan became awards for the Company’s common stock. Effective as of the Merger, no further awards may be issued under the 2012 Plan.

On September 15, 2014, Neothetics’ board of directors adopted, and stockholders approved, the 2014 Equity Incentive Plan (the 2014 Plan), which was amended and restated on each of May 2018 and February 26, 2019 (the Amended and Restated 2014 Plan), which among other things, increased the number of authorized shares under the 2014 Plan from 749,305 to an aggregate of 7,800,000 shares. On February 25, 2020, the Company’s board of directors approved, subject to stockholder approval, and recommended its stockholders approve at the 2020 Annual Meeting, an additional 2,000,000 authorized shares reserved for issuance under the Amended and Restated 2014 Plan to an aggregate of 11,725,515 shares, including the Evergreen Shares discussed below. Such stockholder approval was obtained on May 12, 2020. Per the terms of the Amended and Restated 2014 Plan, the shares reserved will automatically increase on each January 1 through 2024, by an amount equal to the smaller of (i) 4% of the number of shares of common stock issued and outstanding on the immediately preceding December 31; or (ii) an amount determined by our board of directors. This provision resulted in an additional 1,925,515 shares (Evergreen Shares) added to the total number of authorized shares on January 1, 2020. As of September 30, 2020, there were 1,752,262 shares available to grant under the Amended and Restated 2014 Plan.

On July 24, 2018, upon the recommendation by the Compensation Committee, the Company's board of directors adopted the Evofem Biosciences, Inc. 2018 Inducement Equity Incentive Plan (the Inducement Plan), pursuant to which the Company reserved 250,000 shares for the issuance of equity awards under the Inducement Plan. The Inducement Plan was amended effective February 25, 2020 (the Amended Inducement Plan), which increased the number of authorized shares to an aggregate of 1,250,000 shares. The only persons eligible to receive awards under the Inducement Plan are individuals who satisfy the standards for inducement grant recipients under Nasdaq Marketplace Rule 5635(c)(4), generally, a person not previously an employee or director of the Company, or following a bona fide period of non-employment, as an inducement material to the individual’s entering into employment with the Company. As of September 30, 2020, there were 484,175 shares available to grant under the Inducement Plan.

Stock Options

There were 631,200 and 290,000 shares of stock options granted during the three months ended September 30, 2020 and 2019, respectively, and 2,873,685 and 733,000 shares of stock options granted during the nine months ended September 30, 2020 and 2019, respectively. Of the total stock options granted during the nine months ended September 30, 2020, 1,027,400 were granted out of the share reserve increase approved by the board of directors under the Amended and Restated 2014 Plan on February 25, 2020 and were subject to the Company obtaining the requisite stockholder approval. This stockholder approval was obtained on May 12, 2020.

As of September 30, 2020, unrecognized stock-based compensation expense for employees and non-employee stock options was approximately $10.9 million, which the Company expects to recognize over a weighted-average remaining period of 2.4 years, assuming all unvested options become fully vested.

Summary of Assumptions

The fair value of noncash stock-based compensation for stock options granted to employees and non-employees was estimated on the date of grant using the Black-Scholes option pricing model based on the following weighted-average assumptions for options granted for the periods indicated.

	Three Months Ended September 30,				Nine Months Ended September 30,
	2020		2019		2020		2019
Expected volatility	90.7	%	76.0	%	82.4	%	76.1	%
Risk-free interest rate	0.4	%	1.5	%	0.6	%	1.9	%
Expected dividend yield	—	%	—	%	—	%	—	%
Expected term (years)	6.1		6.0		6.0		5.9

Expected volatility. The expected volatility assumption is based on volatilities of a peer group of similar companies whose share prices are publicly available. The peer group was developed based on companies in the biotechnology industry.

Risk-free interest rate. The risk-free interest rate assumption is based on observed interest rates appropriate for the expected term of the stock option grants.

Expected dividend yield. The expected dividend yield assumption is based on the fact that the Company has never paid cash dividends and has no present intention to pay cash dividends.

Expected term. The expected term represents the period options are expected to be outstanding. Because the Company does not have historical exercise behavior, it determines the expected term assumption using the practical expedient as provided for under ASC 718, Compensation - Stock Compensation, which is the midpoint between the requisite service period and the contractual term of the option.

Restricted Stock Awards and Units

There were zero and 150,000 shares of RSAs granted under the Amended and Restated 2014 Plan during the three months ended September 30, 2020 and 2019, respectively, and 1,265,000 and 625,500 shares of RSAs granted during the nine months ended September 30, 2020 and 2019 respectively, to its executive management team and certain non-executive employees. The vesting conditions for 1,245,000 shares of RSAs granted during the first quarter of 2020 and 460,500 shares of RSAs granted during the first quarter of 2019 are connected to the Company’s achievement of certain performance milestones in the corresponding fiscal year (Performance-based RSAs).

For the Performance-based RSAs, (i) the fair value of the award was determined on the grant date, (ii) the Company assessed the probability of achieving each individual milestone associated with the award using reasonable assumptions based on the Company's operation performance towards each milestone and (iii) the fair value of the shares subject to the milestone is expensed over the implicit service period commencing once management believes the performance criteria is probable of being met. The non-performance based RSAs and RSUs were valued at the fair value on the grant date and the associated expenses will be recognized over the vesting period.

The Company recognized $0.1 million and $6.5 million stock-based compensation expense during the three and nine months ended September 30, 2020, respectively, for RSAs and RSUs. As of September 30, 2020, unrecognized stock-based compensation expense related to the unvested RSAs and RSUs was approximately $0.3 million, which the Company expects to recognize over a weighted-average remaining period of 1.3 years.

On April 1, 2020, under the Amended and Restated 2014 Plan, the Company issued 150,000 RSUs to the former chairman of the Company’s board of directors in consideration for certain consulting services to be provided to the Company in connection with the 2019 Consulting Agreement, which were immediately forfeited upon the passing of Mr. Lynch.

Employee Stock Purchase Plan

In November 2014, Neothetics adopted the 2014 Employee Stock Purchase Plan (the 2014 ESPP), which initially authorized the issuance of 28,333 shares of common stock pursuant to purchase rights granted to employees, and an additional 258,672 evergreen shares were added to the total shares authorized on January 1, 2019. Following completion of the Merger, there was no enrollment in the 2014 ESPP. During the three and nine months ended September 30, 2019, there were no shares of common stock purchased under the 2014 ESPP.

On May 7, 2019, the board of directors terminated the 2014 ESPP and approved a new 2019 Employee Stock Purchase Plan (the 2019 ESPP), which was approved by stockholders at the 2019 annual meeting held on June 5, 2019. The 2019 ESPP initially authorized the issuance of 500,000 shares of common stock pursuant to purchase rights granted to employees. In addition, the number of shares available for issuance under the 2019 ESPP will increase on January 1 of each year in an amount equal to the lesser of (i) 1,000,000 shares, (ii) 2% of the shares of common stock outstanding on December 31, or (iii) such lesser number of shares as is determined by the board of directors. As of September 30, 2020, there were 1,354,968 shares of common stock reserved and available for issuance pursuant to the 2019 ESPP. The 2019 ESPP is intended to qualify as an employee stock purchase plan within the meaning of Section 423 of the Internal Revenue Code of 1986, as amended (the Code).

The 2019 ESPP enables eligible full-time and part-time employees to purchase shares of the Company’s common stock through payroll deductions of between 1% and 15% of eligible compensation during an offering period. A new offering period begins approximately every June 15 and December 15. At the last business day of each offering period, the accumulated contributions made during the offering period will be used to purchase shares. The purchase price is 85% of the lesser of the fair market value of the common stock on the first or the last business day of an offering period. The maximum number of shares of common stock that may be purchased by any participant during an offering period will be equal to $25,000 divided by the fair market value of the common stock on the first business day of an offering period. The current active offering period under the 2019 ESPP commenced on June 15, 2020 and will end on December 14, 2020. During the three and nine months ended September 30, 2020, there were zero and 67,454 shares of common stock purchased under the 2019 ESPP. During the three and nine months ended September 30, 2019, there were no shares of common stock purchased under the 2019 ESPP.

The fair value of shares to be issued to employees under the 2019 ESPP is estimated using a Black-Scholes option-pricing model at the grant date, which requires the use of subjective and complex assumptions, including (i) the expected stock price volatility, (ii) the calculation of the expected term of the award, (iii) the risk-free interest rate and (iv) the expected dividend yield. The following weighted average assumptions were used in the calculation of fair value of shares under the 2019 ESPP at the grant dates for the period indicated.

	Three and Nine Months Ended September 30,
	2020		2019
Expected volatility	108.9	%	72.5	%
Risk-free interest rate	0.2	%	2.2	%
Expected dividend yield	—	%	—	%
Expected term (years)	0.5		0.5

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Subsequent Events

9 Months Ended

Sep. 30, 2020

Subsequent Events [Abstract]

Subsequent Events

Subsequent Events

Subsequent events were evaluated through the filing date of this Quarterly Report, November 9, 2020.

On October 14, 2020, the Company sold and issued unsecured convertible promissory notes in an aggregate principal amount of $25 million (the Notes) to Adjuvant Global Health Technology Fund, L.P., and Adjuvant Global Health Technology Fund DE, L.P. (the 2020 Purchasers) pursuant to a Securities Purchase Agreement (the Purchase Agreement) by and between the Company and the 2020 Purchasers. Proceeds from the sale of the notes will be used to support EVOGUARD and to expand global market access for Phexxi.

The Notes have a five-year term and may be prepaid at the option of the Company and/or will become payable at the option of the 2020 Purchasers in connection with certain Company change of control transactions. The Notes will accrue interest at a rate of 7.5% per annum, and accrued interest will accrete on a quarterly basis in arrears to the outstanding balances

of the Notes. The Notes are subordinate and junior in right of payment to the Baker Notes described in Note 5- Convertible Notes.

The Notes are convertible, subject to certain beneficial ownership blockers, into shares of the Company’s common stock, at any time at the option of the 2020 Purchasers at a conversion price of $3.65 per share (the Conversion Price). The Notes will automatically convert into shares of the Company’s common stock at the Conversion Price immediately following the earliest of the time at which the (i) 30-day value-weighted average price of the Company’s common stock is $10.00 per share, or (ii) Company achieves cumulative net sales from the sales of Phexxi of $100,000,000, provided such net sales are achieved prior to July 1, 2022.

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Summary of Significant Accounting Policies (Policies)

9 Months Ended

Sep. 30, 2020

Accounting Policies [Abstract]

Basis of Presentation

Basis of Presentation and Principles of Consolidation

The Company prepared the unaudited interim condensed consolidated financial statements included in this Quarterly Report in accordance with accounting principles generally accepted in the U.S. (GAAP) for interim financial information and the rules and regulations of the Securities and Exchange Commission (SEC) related to quarterly reports on Form 10-Q.

Principles of Consolidation

The Company’s financial statements are presented on a consolidated basis, which include the accounts of the Company and its wholly-owned subsidiaries. Intercompany accounts and transactions have been eliminated in consolidation. The unaudited interim condensed consolidated financial statements do not include all information and disclosures required by GAAP for annual audited financial statements and should be read in conjunction with the Company’s consolidated financial statements and notes thereto for the year ended December 31, 2019 included in its Annual Report on Form 10-K as filed with the SEC on March 12, 2020 (the 2019 Audited Financial Statements).

The unaudited interim condensed consolidated financial statements included in this report have been prepared on the same basis as the Company’s audited consolidated financial statements and include all adjustments (consisting only of normal recurring adjustments) necessary for a fair statement of the financial position, results of operations, cash flows, and statements of convertible preferred stock and stockholders’ deficit for the periods presented. The results for the three and nine months ended September 30, 2020 are not necessarily indicative of the results expected for the full year. The condensed consolidated balance sheet as of December 31, 2019 was derived from the 2019 Audited Financial Statements.

Use of Estimates

Use of Estimates

The preparation of consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and the notes thereto.

Significant estimates affecting amounts reported or disclosed in the consolidated financial statements include, but are not limited to: the assumptions used in measuring the revenue gross-to-net variable consideration items, the trade accounts receivable credit loss reserve estimate, the discount rate used in estimating the fair value of the lease right-of-use (ROU) assets and lease liabilities, the assumptions used in estimating the fair value of warrants and purchase rights issued, the useful lives of property and equipment, the recoverability of long-lived assets, clinical trial accruals, the assumptions used in estimating the fair value of stock-based compensation expense and in assessing the probability of achieving certain milestones associated with the performance-based restricted stock awards. These assumptions are more fully described in Note 3- Revenue Recognition, Note 5- Convertible Notes, Note 7- Fair Value of Financial Instruments, Note 8- Commitments and Contingencies, and Note

12- Stock-based Compensation. The Company bases its estimates on historical experience and other market-specific or other relevant assumptions that it believes to be reasonable under the circumstances and adjusts when facts and circumstances dictate. The estimates are the basis for making judgments about the carrying values of assets and liabilities and recorded expenses that are not readily apparent from other sources. As future events and their effects cannot be determined with precision, actual results may materially differ from those estimates or assumptions.

Segment Reporting

Segment Reporting

Operating segments are identified as components of an enterprise about which separate discrete financial information is available for evaluation by the chief operating decision-maker, who is the Chief Executive Officer (CEO) of the Company, in making decisions regarding resource allocation and assessing performance. The Company views its operations and manages its business in one operating segment.

Concentrations of Credit Risk

Concentrations of Credit Risk

Financial instruments that potentially subject the Company to significant concentrations of credit risk consist primarily of cash, cash equivalents and restricted cash. Deposits in the Company’s checking, time deposit and investment accounts are maintained in federally insured financial institutions and are subject to federally insured limits or limits set by the Securities Investor Protection Corporation. The Company invests in funds through a major U.S. bank and is exposed to credit risk in the event of default to the extent of amounts recorded on the consolidated balance sheets.

The Company has not experienced any losses in such accounts and believes it is not exposed to significant concentrations of credit risk on its cash, cash equivalents and restricted cash balances due to the financial position of the depository institutions in which these deposits are held.

Cash, Cash Equivalents and Restricted Cash

Cash, Cash Equivalents and Restricted Cash

Cash and cash equivalents consist of readily available cash in checking accounts, money market funds, and investments in fixed income debt securities with original maturities of less than three months. Restricted cash consists of cash held in monthly time deposit accounts and letters of credit, which are collateral for the Company’s credit cards, facility leases and fleet leases as described in Note 8- Commitments and Contingencies.

Trade Accounts Receivable

Trade Accounts Receivable and Allowance

Trade accounts receivable are amounts owed to the Company by its customers for product that has been delivered. The trade accounts receivable are recorded at the invoice amount, less prompt pay and other discounts, chargebacks, and an allowance for credit losses, if any. The allowance for credit losses is the Company’s estimate of losses over the life of the receivables. The Company evaluates forward looking economic factors and uses professional judgment to determine the allowance for credit losses, as Phexxi was commercially launched in September 2020 and historical data is not yet available. The credit loss reserves are reviewed and adjusted periodically.

Trade accounts receivable are aged based on the contractual payment terms. When the collectability of an invoice is no longer probable, the Company will create a reserve for that specific receivable. If a receivable is determined to be uncollectible, it is charged against the general credit loss reserve or the reserve for the specific receivable, if one exists.

Net Loss Per Share

Net Loss Per ShareBasic net loss per common share is calculated by dividing the net loss by the weighted-average number of common shares outstanding during the period, without consideration for potentially dilutive securities. Diluted net loss per share is computed by dividing the net loss by the weighted-average number of common shares and potentially dilutive securities outstanding for the period determined using the treasury-stock and if-converted methods. For purposes of the diluted net loss per share calculation, potentially dilutive securities are excluded from the calculation of diluted net loss per share because their effect would be anti-dilutive and, therefore, basic and diluted net loss per share were the same for all periods presented.

Recently Adopted Accounting Pronouncements and Recently Issued Accounting Pronouncements - Not Yet Adopted

Recently Adopted Accounting Pronouncements

In June 2016, the Financial Accounting Standards Board (FASB) issued ASU No. 2016-13, Financial Instruments - Credit Losses, removing, modifying and adding certain disclosure requirements of ASC 326, Measurement of Credit Losses on Financial Instruments (ASU No. 2016-13), which requires credit losses relating to held-to maturity debt securities should be recorded through an allowance for credit losses. ASU No. 2016-13 was effective for the Company on January 1, 2020. The adoption of this new standard did not have a material impact on the Company's condensed consolidated financial statements.

In August 2018, the FASB issued ASU No. 2018-13, Fair Value Measurement (ASU No. 2018-13), which removes, modifies and adds certain disclosure requirements on fair value measurements in ASC 820, Fair Value Measurements and Disclosures. ASU No. 2018-13 was effective for the Company on January 1, 2020. The adoption of this new standard did not have a material impact on the Company's condensed consolidated financial statements.

In August 2018, the FASB issued ASU No. 2018-15, Intangibles—Goodwill and Other removing, modifying and adding certain disclosure requirements of ASC 350, Internal-Use Software (ASU No. 2018-15), which requires capitalizing implementation costs incurred to develop or obtain internal-use software in a cloud computing arrangement that is a service contract. ASU No. 2018-15 was effective for the Company on January 1, 2020. The adoption of this new standard did not have a material impact on the Company's condensed consolidated financial statements.

Recently Issued Accounting Pronouncements — Not Yet Adopted

In August 2020, the FASB issued ASU No. 2020-06, Debt (ASU No. 2020-06), removing, modifying and adding certain disclosure requirements of ASC 470, Debt with Conversion and Other Options, and ASC 815, Derivatives and Hedging—Contracts in Entity’s Own Equity. ASU No. 2020-06 will be effective for the Company beginning January 1, 2024. The Company is currently evaluating the expected impact of ASU 2020-06 on the condensed consolidated financial statements.

Revenue Recognition

The Company recognizes revenue from the sale of its product, Phexxi, in accordance with ASC 606, Revenue from Contracts with Customers (ASC 606). The provisions of ASC 606 require the following steps to determine revenue recognition: (1) identify the contract(s) with a customer; (2) identify the performance obligations in the contract; (3) determine the transaction price; (4) allocate the transaction price to the performance obligations in the contract; (5) recognize revenue when (or as) the entity satisfies a performance obligation.

In accordance with ASC 606, the Company recognizes revenue when its performance obligation is satisfied by transferring control of the product to a customer. In accordance with the Company’s contracts with customers, control of the product is transferred upon the conveyance of title, which occurs when the product is sold to and received by a customer. The

Company’s customers are located in the United States and consist of wholesale distributors and a specialty retail pharmacy. Payment terms typically range from 45 to 66 days, include prompt pay discounts, and vary by customer. Trade accounts receivable due to the Company from contracts with its customers are stated separately in the balance sheet, net of various allowances as described in the Trade Accounts Receivable policy in Note 2- Summary of Significant Accounting Policies. The amount of revenue recognized by the Company is equal to the amount of consideration that is expected to be received from the sale of product to its customers. Revenue is only recognized when it is probable that a significant reversal will not occur in future periods. To determine whether a significant reversal will occur in future periods, the Company assesses both the likelihood and magnitude of any such potential reversal of revenue.

Inventory

Inventories, consisting of purchased materials, direct labor and manufacturing overheads, are stated at the lower of cost, or net realizable value. Cost is determined on a first-in, first-out basis. Net realizable value is the estimated selling price in the ordinary course of business, less reasonably predictable costs of completion, disposal, and transportation. At each balance sheet date, the Company evaluates ending inventories for excess quantities, obsolescence, or shelf-life expiration. The evaluation includes an analysis of the Company’s current and future strategic plans, anticipated future sales, the price projections of future demand, and the remaining shelf life of goods on hand. To the extent that management determines there are excess or obsolete inventory or quantities with a shelf life that is too near its expiration for the Company to reasonably expect that it can sell those products prior to their expiration, the Company adjusts the carrying value to estimated net realizable value in accordance with the first-in, first-out inventory costing method.

The Company began to capitalize the inventory costs associated with Phexxi in April 2020 when it was determined that the inventory had a probable future economic benefit. These inventory costs include all purchased materials, direct labor

and manufacturing overhead. Prior to April 2020, costs incurred for the manufacture of Phexxi were recorded as research and development expenses.

Inventories consist of the following (in thousands) for the period indicated: 

	September 30, 2020
Raw materials	$	317
Work in process(1)	2,441
Finished goods	406
Total	$	3,164

_____________________
(1) The work in process balance represents all production costs incurred for partially completed goods.

Convertible Notes

The Company elected the FVO under ASC 825, Financial Instruments, for the Baker Notes as they are qualified financial instruments and are, in whole, classified as liabilities. Under the FVO, the Company recognized the hybrid debt instrument at fair value inclusive of embedded features.

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Summary of Significant Accounting Policies (Tables)

9 Months Ended

Sep. 30, 2020

Accounting Policies [Abstract]

Reconciliation of Cash, Cash Equivalents and Restricted Cash

The following table provides a reconciliation of cash, cash equivalents and restricted cash, reported within the condensed consolidated statements of cash flows (in thousands): 

	Nine Months Ended September 30,
	2020		2019
Cash and cash equivalents	$	86,697	$	32,120
Restricted cash	337		386
Restricted cash included in other noncurrent assets	800		—
Total cash, cash equivalents and restricted cash presented in the condensed consolidated statements of cash flows	$	87,834	$	32,506

Summary of Potentially Dilutive Securities Excluded from Calculation of Diluted Net Loss Per Share

Potentially dilutive securities excluded from the calculation of diluted net loss per share are summarized in the table below.

	Three and Nine Months Ended September 30,
	2020	2019
Unvested restricted stock awards subject to repurchase	70,000	421,300
Unvested restricted stock units	—	113,000
Common stock to be purchased under the 2019 ESPP	64,442	55,132
Options to purchase common stock	8,972,112	6,424,179
Warrants to purchase common stock	10,426,107	6,168,815
Total	19,532,661	13,182,426

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Revenue from Contract with Customer (Tables)

9 Months Ended

Sep. 30, 2020

Revenue from Contract with Customer [Abstract]

Schedule Of Product Revenue Variable Consideration Asset

The following table summarizes the balances and activity of product revenue variable consideration recorded as contra trade accounts receivable (in thousands):

	Total
Balance at December 31, 2019	$	—
Provision for the current period sales	123
Credit or payments made within the period	(25)
Balance at September 30, 2020	$	98

Schedule Of Product Revenue Variable Consideration Liability

The following table summarizes the balances and activity of product revenue variable consideration recorded as other current liabilities (in thousands):

	Total
Balance at December 31, 2019	$	—
Provision for the current period sales	1,015
Credit or payments made within the period	(94)
Balance at September 30, 2020	$	921

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Inventory (Tables)

9 Months Ended

Sep. 30, 2020

Inventory Disclosure [Abstract]

Schedule of Inventories

Inventories consist of the following (in thousands) for the period indicated: 

	September 30, 2020
Raw materials	$	317
Work in process(1)	2,441
Finished goods	406
Total	$	3,164

_____________________
(1) The work in process balance represents all production costs incurred for partially completed goods.

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Balance Sheet Details (Tables)

9 Months Ended

Sep. 30, 2020

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Short-term Investments

The following table illustrates the held-to-maturity securities’ amortized costs at purchase and the fair value for the period presented (in thousands). All of the short-term investments at December 31, 2019 have matured as of September 30, 2020.

December 31, 2019	Amortized Cost Basis		Unrealized Gains		Fair Value
Fixed income debt securities	$	8,233	$	42	$	8,275
Total held-to-maturity securities	$	8,233	$	42	$	8,275

Prepaid and Other Current Assets

Prepaid and other current assets consist of the following (in thousands): 

	September 30, 2020		December 31, 2019
Selling and marketing related costs	$	7,654	$	491
Insurance	1,324		481
Prepaid overhead	754		—
Other receivables	213		436
Flex note receivable (1)	250		250
Short-term deposit	52		150
Other	391		505
Total	$	10,638	$	2,313

_______________________

(1) In June 2016, Private Evofem’s board of directors committed to a plan to sell its Softcup line of business (Softcup) and re-direct its available cash resources to further develop Phexxi. In July 2016, the Company entered into an Asset Purchase

Agreement with The Flex Company (Flex), whereby Flex would acquire certain assets and assume certain liabilities associated with Softcup. Total consideration for the Softcup sale was $1.9 million, with $0.6 million received in cash at closing and the remaining $1.3 million due and payable under a note in favor of the Company (the Flex Note) through January 1, 2021 (the Maturity Date). The Flex Note bears simple interest at a rate of 5.0% per annum on the remaining principal amount outstanding. An annual principal payment of approximately $0.3 million and the annual accrued and unpaid interest are payable each January 1, beginning in 2017 through the Maturity Date.

Property and Equipment, Net

Property and equipment, net, consists of the following (in thousands):

	Useful Life	September 30, 2020		December 31, 2019
Research equipment	5 years	$	615	$	608
Computer equipment and software	3 years	280		13
Office furniture	5 years	205		205
Leasehold improvements	5 years or less	340		340
Construction in-process	—	1,566		77
		3,006		1,243
Less: accumulated depreciation		(1,030)		(849)
Total, net		$	1,976	$	394

Other Noncurrent Assets

Other noncurrent assets consist of the following (in thousands):

	September 30, 2020		December 31, 2019
Restricted cash included in noncurrent assets	$	800	$	750
Prepaid directors & officers' insurance	240		320
Flex note receivable, net of current portion	—		250
Other	34		—
Total	$	1,074	$	1,320

Accrued Expenses

Accrued expenses consist of the following (in thousands):

	September 30, 2020		December 31, 2019
Clinical studies	$	289	$	585
Marketing and public relations	1,375		—
Legal and other professional fees	1,276		1,652
Manufacturing related costs	1,413		—
Other	254		547
Total	$	4,607	$	2,784

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Fair Value of Financial Instruments (Tables)

9 Months Ended

Sep. 30, 2020

Fair Value Disclosures [Abstract]

Fair Values of Assets Measured on a Recurring Basis

The fair values of the Company’s assets, including the money market funds, investments in marketable fixed income debt securities classified as cash and cash equivalents, investments in marketable fixed income debt securities classified as held-to-maturity and the Flex Note receivable, and the fair value of the Company’s convertible notes measured on a recurring basis are summarized in the following tables, as applicable (in thousands).

	September 30, 2020		Quoted Prices in Active Markets for Identical Assets (Level 1)		Significant Other Observable Inputs (Level 2)		Significant Unobservable Inputs (Level 3)
Money market funds (1)	$	81,585	$	81,585	$	—	$	—
Fixed income debt securities classified as cash and cash equivalents	4,998		4,998		—		—
Flex note receivable	250		—		250		—
Total assets	$	86,833	$	86,583	$	250	$	—
Convertible notes payable (2)	$	47,063	$	—	$	—	$	47,063
Total liabilities	$	47,063	$	—	$	—	$	47,063

_____________________

(2) The convertible notes payable as of September 30, 2020 on the accompanying condensed consolidated balance sheet also includes approximately $1.0 million accrued interest on the Baker Notes.

	December 31, 2019		Quoted Prices in Active Markets for Identical Assets (Level 1)		Significant Other Observable Inputs (Level 2)		Significant Unobservable Inputs (Level 3)
Money market funds (1)	$	7,064	$	7,064	$	—	$	—
Fixed income debt securities classified as cash and cash equivalents	6,749		—		6,749		—
Fixed income debt securities classified as short-term investments	8,275		—		8,275		—
Flex note receivable	500		—		500		—
Total assets	$	22,588	$	7,064	$	15,524	$	—

_______________________

(1) Included as a component of cash and cash equivalents on the accompanying condensed consolidated balance sheet.

Fair Value of Liabilities Measured on Recurring Basis

The following tables summarize the changes in Level 3 financial liabilities measured at fair value on a recurring basis for the three and nine months ended September 30, 2020 and 2019.

	Baker First Closing Notes		Baker Second Closing Notes		Total
Balance at June 30, 2020	$	26,375	$	17,583	$	43,958
Change in fair value	1,863		1,242		3,105
Balance at September 30, 2020 (2)	$	28,238	$	18,825	$	47,063

	Baker First Closing Notes		Baker Second Closing Notes		Total
Balance at December 31, 2019	$	—	$	—	$	—
Initial liability at issuance	37,405		20,715		58,120
Change in fair value	(9,167)		(1,890)		(11,057)
Balance at September 30, 2020 (2)	$	28,238	$	18,825	$	47,063

_____________________

(2) The convertible notes payable as of September 30, 2020 on the accompanying condensed consolidated balance sheet also includes approximately $1.0 million accrued interest on the Baker Notes.

	Baker First Closing Warrants		Baker Purchase Rights		Baker Second Closing Warrants		Total
Balance at December 31, 2019	$	—	$	—	$	—	$	—
Initial liability at issuance	14,007		27,636		5,098		46,741
Change in fair value	(7,408)		(11,823)		(682)		(19,913)
Reclassification from liability to equity	(6,599)		—		(4,416)		(11,015)
Exercise of Baker Purchase Rights for convertible notes	—		(10,715)		—		(10,715)
Exercise of Baker Purchase Rights for warrants	—		(5,098)		—		(5,098)
Balance at September 30, 2020 (3)	$	—	$	—	$	—	$	—

	Private Placement Warrants		Private Placement Purchase Rights
Balance at December 31, 2018	$	—	$	—
Initial liability at issuance	3,611		3,183
Change in fair value	3,315		19,617
Reclassification from liability to equity	(6,926)		(22,800)
Balance at September 30, 2019(3)	$	—	$	—

_____________________

(3) There was no activity for the three months ended September 30, 2020 and 2019.

Fair Value Measurement Inputs

The fair value of the Baker Warrants issued during the second quarter of 2020 as described in Note 5- Convertible Notes, and the fair value of the Private Placement First Closing Warrants issued during the second quarter of 2019 as described in Note 10- 2019 Private Placement, and the respective changes in fair value of these warrants as a result of mark-to-market, were determined using the Black-Scholes option pricing model based on the following weighted-average assumptions for the periods indicated.

	Nine Months Ended September 30,
	2020		2019
Expected volatility	93.7	%	75.0	%
Risk-free interest rate	0.4	%	2.2	%
Expected dividend yield	—	%	—	%
Expected term (years)	4.9		6.9

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Commitments and Contingencies (Tables)

9 Months Ended

Sep. 30, 2020

Commitments and Contingencies Disclosure [Abstract]

Supplemental Financial Information, Lease Assets and Liabilities and Lease Term and Discount Rate

Supplemental Financial Statement Information

Lease Assets and Liabilities (in thousands)	September 30, 2020		December 31, 2019
Operating right-of-use assets	$	7,198	$	160
Operating lease liabilities- current	$	1,728	$	197
Operating lease liabilities- noncurrent	$	6,425	$	—

Lease Term and Discount Rate	September 30, 2020		December 31, 2019
Weighted Average Remaining Lease Term (in years)	4.61		0.25
Weighted Average Discount Rate	12	%	12	%

Supplemental Financial Information, Lease Cost and Other information

		Three Months Ended September 30,				Nine Months Ended September 30,
Lease Cost (in thousands)	Classification	2020		2019		2020		2019
Operating lease expense	Research and development	$	118	$	76	$	273	$	241
Operating lease expense	Selling and marketing	167		38		298		79
Operating lease expense	General and administrative	181		72		427		243
Total		$	466	$	186	$	998	$	563

	Nine Months Ended September 30,
Other information (in thousands)	2020		2019
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash outflows in operating leases	$	552	$	640

Maturities of Lease Liabilities

Maturity of Operating Lease Liabilities (in thousands)	September 30, 2020		December 31, 2019
Remainder of 2020	$	124	$	201
Year ending December 31, 2021	2,450		—
Year ending December 31, 2022	2,515		—
Year ending December 31, 2023	2,171		—
Year ending December 31, 2024	2,192		—
Year ending December 31, 2025	1,502		—
Total lease payments	10,954		201
Less: imputed interest	(2,801)		(4)
Total	$	8,153	$	197

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Stockholders' Equity (Tables)

9 Months Ended

Sep. 30, 2020

Equity [Abstract]

Summary of Warrants

As of September 30, 2020, warrants to purchase up to 10,426,107 shares of the Company’s common stock remain outstanding at a weighted average exercise price of $4.54 per share. These warrants are summarized below:

Type of Warrants	Underlying Common Stock to be Purchased	Exercise Price		Issue Date	Exercise Period
Common Warrants	878	$	51.24	March 30, 2012	March 30, 2012 to March 30, 2022
Common Warrants	1,171	$	51.24	August 17, 2012	August 17, 2012 to July 17, 2022
Common Warrants	7,806	$	3.69	June 11, 2014	June 11, 2014 to June 11, 2024
Common Warrants	848,674	$	7.50	May 24, 2018	May 24, 2018 to May 24 2025
Common Warrants	182	$	7.50	June 26, 2018	June 26, 2018 to June 26, 2025
Common Warrants	1,666,667	$	6.38	April 11, 2019	October 11, 2019 to April 11, 2026
Common Warrants	2,777,779	$	6.38	June 10, 2019	December 10, 2019 to June 10, 2026
Common Warrants	3,073,770	$	2.44	April 24, 2020	April 24, 2020 to April 24, 2025
Common Warrants	2,049,180	$	2.44	June 9, 2020	June 9, 2020 to June 9, 2025
Total	10,426,107

Summary of Common Stock Reserved for Future Issuance

Common stock reserved for future issuance is as follows in common equivalent shares as of September 30, 2020: 

Common stock issuable upon the exercise of stock options outstanding	8,972,112
Common stock issuable upon the exercise of common stock warrants	10,426,107
Common stock available for future issuance under the 2019 ESPP	1,354,968
Common stock available for future issuance under the Amended and Restated 2014 Plan	1,752,262
Common stock available for future issuance under the Amended Inducement Plan	484,175
Total common stock reserved for future issuance	22,989,624

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Stock-based Compensation (Tables)

9 Months Ended

Sep. 30, 2020

Share-based Payment Arrangement [Abstract]

Summary of Stock-based Compensation Expense Related to Stock Options, Restricted Stock Awards (RSAs) and RSUs Granted to Employees and Non-employee Directors

The following table summarizes stock-based compensation expense related to stock options, restricted stock awards (RSAs) and RSUs granted to employees and non-employee directors included in the condensed consolidated statements of operations as follows (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2020		2019		2020		2019
Research and development	$	291	$	202	$	1,689	$	859
Selling and marketing	347		564		2,006		1,101
General and administrative	999		1,497		7,377		4,780
Total	$	1,637	$	2,263	$	11,072	$	6,740

Weighted Average Assumptions Used in Calculation of Fair Value of Shares and Stock Options Granted to Employees and Non-employees

The fair value of noncash stock-based compensation for stock options granted to employees and non-employees was estimated on the date of grant using the Black-Scholes option pricing model based on the following weighted-average assumptions for options granted for the periods indicated.

	Three Months Ended September 30,				Nine Months Ended September 30,
	2020		2019		2020		2019
Expected volatility	90.7	%	76.0	%	82.4	%	76.1	%
Risk-free interest rate	0.4	%	1.5	%	0.6	%	1.9	%
Expected dividend yield	—	%	—	%	—	%	—	%
Expected term (years)	6.1		6.0		6.0		5.9

The following weighted average assumptions were used in the calculation of fair value of shares under the 2019 ESPP at the grant dates for the period indicated.

	Three and Nine Months Ended September 30,
	2020		2019
Expected volatility	108.9	%	72.5	%
Risk-free interest rate	0.2	%	2.2	%
Expected dividend yield	—	%	—	%
Expected term (years)	0.5		0.5

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Description of Business and Basis of Presentation - Additional Information (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020	Sep. 30, 2019	Dec. 31, 2019
Entity Information [Line Items]
Selling and marketing expense adjustment	$ 14,700	$ 3,791	$ 32,553	$ 6,222
Proceeds from issuance of common stock			103,738	0
Proceeds from issuance of common stock, net of commissions - ATM transactions			3,781	0
Cash, cash equivalents, and short-term investments	86,700		86,700
Working capital	36,400		36,400
Accumulated deficit	$ (614,890)		(614,890)		$ (513,179)
Public Offering
Entity Information [Line Items]
Proceeds from issuance of common stock, net of commissions - ATM transactions			3,800
Revision of Prior Period, Reclassification, Adjustment
Entity Information [Line Items]
Selling, general and administrative expense		3,800		6,200
Selling and marketing expense adjustment		$ 3,800		$ 6,200
Senior Convertible Notes Payable
Entity Information [Line Items]
Proceeds from issuance of long-term convertible notes			$ 25,000

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Summary of Significant Accounting Policies - Additional Information (Details)	9 Months Ended
	Sep. 30, 2020 Segment
Accounting Policies [Abstract]
Number of operating segments	1

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Summary of Significant Accounting Policies - Schedule of Reconciliation of Cash, Cash Equivalents and Restricted Cash (Details) - USD ($) $ in Thousands	Sep. 30, 2020	Dec. 31, 2019	Sep. 30, 2019	Dec. 31, 2018
Cash and Cash Equivalents [Line Items]
Cash and cash equivalents	$ 86,697	$ 15,571	$ 32,120
Restricted cash	337	304	386
Restricted cash included in other noncurrent assets	800	750
Total cash, cash equivalents and restricted cash presented in the condensed consolidated statements of cash flows	87,834	$ 16,625	32,506	$ 1,761
Other Noncurrent Assets
Cash and Cash Equivalents [Line Items]
Restricted cash included in other noncurrent assets	$ 800		$ 0

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Summary of Significant Accounting Policies - Summary of Potentially Dilutive Securities Excluded from Calculation of Diluted Net Loss Per Share (Details) - shares	3 Months Ended		9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020	Sep. 30, 2019
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total (in shares)	19,532,661	13,182,426	19,532,661	13,182,426
Unvested restricted stock awards subject to repurchase
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total (in shares)	70,000	421,300	70,000	421,300
Unvested restricted stock units
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total (in shares)	0	113,000	0	113,000
Common stock to be purchased under the 2019 ESPP
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total (in shares)	64,442	55,132	64,442	55,132
Options to purchase common stock
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total (in shares)	8,972,112	6,424,179	8,972,112	6,424,179
Warrants to purchase common stock
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total (in shares)	10,426,107	6,168,815	10,426,107	6,168,815

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Revenue Recognition - Schedule of Product Revenue Variable Consideration Asset (Details) $ in Thousands	9 Months Ended
	Sep. 30, 2020 USD ($)
Product Revenue, Variable Consideration Asset [Roll Forward]
Balance at December 31, 2019	$ 0
Provision for the current period sales	123
Credit or payments made within the period	(25)
Balance at September 30, 2020	$ 98

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Revenue Recognition - Schedule of Product Revenue Variable Consideration Liability (Details) $ in Thousands	9 Months Ended
	Sep. 30, 2020 USD ($)
Product Revenue, Variable Consideration Rollforward [Roll Forward]
Balance at December 31, 2019	$ 0
Provision for the current period sales	1,015
Credit or payments made within the period	(94)
Balance at September 30, 2020	$ 921

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Inventories - Schedule of Inventories (Details) $ in Thousands	Sep. 30, 2020 USD ($)
Inventory Disclosure [Abstract]
Raw materials	$ 317
Work in process	2,441
Finished goods	406
Total	$ 3,164

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Convertible Notes (Details) - USD ($)					3 Months Ended			9 Months Ended
	Jun. 18, 2020	Jun. 05, 2020	Apr. 24, 2020	Mar. 24, 2020	Sep. 30, 2020	Jun. 30, 2020	Sep. 30, 2019	Sep. 30, 2020	Sep. 30, 2019	Apr. 23, 2020
Debt Instrument [Line Items]
Securities sold under purchase agreement			$ 15,000,000.0
Stock option warrants to purchase common stock (in shares)				0.001
Purchase agreement, amount of securities purchasable under agreement (up to)			10,000,000.0
Purchase agreement, threshold amount of aggregate gross proceeds from one or more future sales of equity securities (at least)			$ 100,000,000.0
Stock option warrant to purchase, exercise price per share (in dollars per share)		$ 2.44		$ 0.0175	$ 4.54			$ 4.54
Term			5 years	10 days
Interest expense								$ 992,000	$ 0
Convertible notes						$ 58,100,000
Warrants and purchase rights issued						46,700,000
Loss on issuance of financial instruments					$ 0	64,000,000.0	$ 0	64,049,000	674,000
Change in fair value of financial instruments					3,105,000	(34,100,000)	$ 0	(30,971,000)	$ 27,372,000
Reclassification of purchase rights liability		$ 15,800,000
Reclassification from financial instruments liability to equity	$ 11,000,000.0					$ 11,015,000
Senior Convertible Notes Payable
Debt Instrument [Line Items]
Aggregate principal amount of convertible senior secured promissory notes (up to)										$ 25,000,000.0
Note term			5 years
Note interest rate (percent)			10.00%
Written notice period			10 days
Measurement period for determining weighted average price			30 days
Convertible notes, stock price, benchmark (in dollars per share)			$ 4.99
Debt redemption in event of default, multiple of outstanding balance			3
Baker First Closing Warrants
Debt Instrument [Line Items]
Stock option warrants to purchase common stock (in shares)			3,073,770
Baker Second Closing Warrants
Debt Instrument [Line Items]
Stock option warrants to purchase common stock (in shares)			2,049,180
Period Two | Senior Convertible Notes Payable
Debt Instrument [Line Items]
Redemption price, percentage			100.00%
Period One | Senior Convertible Notes Payable
Debt Instrument [Line Items]
Redemption price, percentage			110.00%
Period Three | Senior Convertible Notes Payable
Debt Instrument [Line Items]
Redemption price, percentage			110.00%
Senior Convertible Notes Payable
Debt Instrument [Line Items]
Interest expense					$ 700,000			$ 1,000,000.0

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Balance Sheet Details - Short-term Investments (Details) - USD ($) $ in Thousands	Sep. 30, 2020	Dec. 31, 2019
Schedule of Held-to-maturity Securities [Line Items]
Amortized Cost Basis	$ 0	$ 8,233
Unrealized Gains		42
Fair Value		8,275
Fixed income debt securities
Schedule of Held-to-maturity Securities [Line Items]
Amortized Cost Basis		8,233
Unrealized Gains		42
Fair Value		$ 8,275

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Balance Sheet Details - Prepaid and Other Current Assets (Details) - USD ($) $ in Thousands	Jul. 31, 2016	Sep. 30, 2020	Dec. 31, 2019
Prepaid Expenses And Other Current Assets [Line Items]
Prepaid and other current assets		$ 10,638	$ 2,313
Consideration transferred	$ 1,900
Cash received	600
Payable due in consideration	$ 1,300
Interest rate (percent)	5.00%
Annual principal payment	$ 300
Selling and marketing related costs
Prepaid Expenses And Other Current Assets [Line Items]
Prepaid and other current assets		7,654	491
Insurance
Prepaid Expenses And Other Current Assets [Line Items]
Prepaid and other current assets		1,324	481
Prepaid overhead
Prepaid Expenses And Other Current Assets [Line Items]
Prepaid and other current assets		754	0
Other receivables
Prepaid Expenses And Other Current Assets [Line Items]
Prepaid and other current assets		213	436
Flex note receivable
Prepaid Expenses And Other Current Assets [Line Items]
Prepaid and other current assets		250	250
Short-term deposit
Prepaid Expenses And Other Current Assets [Line Items]
Prepaid and other current assets		52	150
Other
Prepaid Expenses And Other Current Assets [Line Items]
Prepaid and other current assets		$ 391	$ 505

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Balance Sheet Details - Property and Equipment, Net (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020	Sep. 30, 2019	Dec. 31, 2019
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 3,006		$ 3,006		$ 1,243
Less: accumulated depreciation	(1,030)		(1,030)		(849)
Total, net	1,976		1,976		394
Depreciation expense	100	$ 100	$ 200	$ 200
Research equipment
Property, Plant and Equipment [Line Items]
Useful Life			5 years
Property and equipment, gross	615		$ 615		608
Computer equipment and software
Property, Plant and Equipment [Line Items]
Useful Life			3 years
Property and equipment, gross	280		$ 280		13
Office furniture
Property, Plant and Equipment [Line Items]
Useful Life			5 years
Property and equipment, gross	205		$ 205		205
Leasehold improvements
Property, Plant and Equipment [Line Items]
Property and equipment, gross	340		340		340
Construction in-process
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 1,566		$ 1,566		$ 77
Maximum | Leasehold improvements
Property, Plant and Equipment [Line Items]
Useful Life			5 years

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Balance Sheet Details - Other Non Current Assets (Details) - USD ($) $ in Thousands	Sep. 30, 2020	Dec. 31, 2019
Restricted cash included in noncurrent assets	$ 800	$ 750
Other noncurrent assets	1,074	1,320
Other	34
Flex note receivable
Other noncurrent assets	0	250
Other		0
Prepaid directors & officers' insurance
Other noncurrent assets	$ 240	$ 320

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Balance Sheet Details - Accrued Expenses (Details) - USD ($) $ in Thousands	Sep. 30, 2020	Dec. 31, 2019
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Clinical studies	$ 289	$ 585
Marketing and public relations	1,375	0
Legal and other professional fees	1,276	1,652
Manufacturing related costs	1,413	0
Other	254	547
Total	$ 4,607	$ 2,784

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Fair Value of Financial Instruments - Fair Values of Assets Measured on a Recurring Basis (Details) - USD ($) $ in Thousands	Sep. 30, 2020	Dec. 31, 2019
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets	$ 86,833	$ 22,588
Convertible notes payable (2)	47,063
Total liabilities	47,063
Quoted Prices in Active Markets for Identical Assets (Level 1)
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets	86,583	7,064
Convertible notes payable (2)	0
Total liabilities	0
Significant Other Observable Inputs (Level 2)
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets	250	15,524
Convertible notes payable (2)	0
Total liabilities	0
Significant Unobservable Inputs (Level 3)
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets	0	0
Convertible notes payable (2)	47,063
Total liabilities	47,063
Money market funds
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets	81,585	7,064
Money market funds | Quoted Prices in Active Markets for Identical Assets (Level 1)
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets	81,585	7,064
Money market funds | Significant Other Observable Inputs (Level 2)
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets	0	0
Money market funds | Significant Unobservable Inputs (Level 3)
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets	0	0
Fixed income debt securities classified as cash and cash equivalents
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets	4,998
Fixed income debt securities classified as cash and cash equivalents | Quoted Prices in Active Markets for Identical Assets (Level 1)
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets	4,998
Fixed income debt securities classified as cash and cash equivalents | Significant Other Observable Inputs (Level 2)
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets	0
Fixed income debt securities classified as cash and cash equivalents | Significant Unobservable Inputs (Level 3)
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets	0
Flex note receivable
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets	250	500
Flex note receivable | Quoted Prices in Active Markets for Identical Assets (Level 1)
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets	0	0
Flex note receivable | Significant Other Observable Inputs (Level 2)
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets	250	500
Flex note receivable | Significant Unobservable Inputs (Level 3)
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets	$ 0	0
Cash and cash equivalents | Fixed income debt securities classified as cash and cash equivalents
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets		6,749
Cash and cash equivalents | Quoted Prices in Active Markets for Identical Assets (Level 1) | Fixed income debt securities classified as cash and cash equivalents
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets		0
Cash and cash equivalents | Significant Other Observable Inputs (Level 2) | Fixed income debt securities classified as cash and cash equivalents
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets		6,749
Cash and cash equivalents | Significant Unobservable Inputs (Level 3) | Fixed income debt securities classified as cash and cash equivalents
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets		0
Short-term Investments | Fixed income debt securities classified as cash and cash equivalents
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets		8,275
Short-term Investments | Quoted Prices in Active Markets for Identical Assets (Level 1) | Fixed income debt securities classified as cash and cash equivalents
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets		0
Short-term Investments | Significant Other Observable Inputs (Level 2) | Fixed income debt securities classified as cash and cash equivalents
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets		8,275
Short-term Investments | Significant Unobservable Inputs (Level 3) | Fixed income debt securities classified as cash and cash equivalents
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets		$ 0

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Fair Value of Financial Instruments - Summary of Changes in Level 3 Financial Liabilities Measured at Fair Value on a Recurring Basis (Details) - Significant Unobservable Inputs (Level 3) - USD ($) $ in Thousands	3 Months Ended	9 Months Ended
	Sep. 30, 2020	Sep. 30, 2020	Sep. 30, 2019
Debt
Fair Value, Net Derivative Asset (Liability) Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
Beginning balance	$ 43,958	$ 0
Initial liability at issuance		58,120
Change in fair value	3,105	(11,057)
Ending balance	47,063	47,063
Warrant Liability
Fair Value, Net Derivative Asset (Liability) Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
Beginning balance			$ 0
Initial liability at issuance			3,611
Change in fair value			3,315
Reclassification from liability to equity			(6,926)
Ending balance			0
Warrants and Purchase Rights Liability
Fair Value, Net Derivative Asset (Liability) Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
Beginning balance		0
Initial liability at issuance		46,741
Change in fair value		(19,913)
Reclassification from liability to equity		(11,015)
Exercise of Baker Purchase Rights for convertible notes		(10,715)
Exercise of Baker Purchase Rights for warrants		(5,098)
Ending balance	0	0
Baker First Closing Warrants | Warrant Liability
Fair Value, Net Derivative Asset (Liability) Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
Beginning balance		0
Initial liability at issuance		14,007
Change in fair value		(7,408)
Reclassification from liability to equity		(6,599)
Exercise of Baker Purchase Rights for convertible notes		0
Exercise of Baker Purchase Rights for warrants		0
Ending balance	0	0
Baker Purchase Rights | Purchase Rights Liability
Fair Value, Net Derivative Asset (Liability) Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
Beginning balance		0
Initial liability at issuance		27,636
Change in fair value		(11,823)
Reclassification from liability to equity		0
Exercise of Baker Purchase Rights for convertible notes		(10,715)
Exercise of Baker Purchase Rights for warrants		(5,098)
Ending balance	0	0
Baker Second Closing Warrants | Warrant Liability
Fair Value, Net Derivative Asset (Liability) Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
Beginning balance		0
Initial liability at issuance		5,098
Change in fair value		(682)
Reclassification from liability to equity		(4,416)
Exercise of Baker Purchase Rights for convertible notes		0
Exercise of Baker Purchase Rights for warrants		0
Ending balance	0	0
Private Placement Purchase Rights | Purchase Rights Liability
Fair Value, Net Derivative Asset (Liability) Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
Beginning balance			0
Initial liability at issuance			3,183
Change in fair value			19,617
Reclassification from liability to equity			(22,800)
Ending balance			$ 0
Baker First Closing Notes | Debt
Fair Value, Net Derivative Asset (Liability) Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
Beginning balance	26,375	0
Initial liability at issuance		37,405
Change in fair value	1,863	(9,167)
Ending balance	28,238	28,238
Baker Second Closing Notes | Debt
Fair Value, Net Derivative Asset (Liability) Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
Beginning balance	17,583	0
Initial liability at issuance		20,715
Change in fair value	1,242	(1,890)
Ending balance	$ 18,825	$ 18,825

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Fair Value of Financial Instruments - Fair Value Measurement Inputs (Details)	Sep. 30, 2020	Sep. 30, 2019
Expected volatility
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Fair value, measurement input	0.937	0.750
Risk-free interest rate
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Fair value, measurement input	0.004	0.022
Expected dividend yield
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Fair value, measurement input	0	0
Expected term (years)
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Fair value, measurement input	4.9	6.9

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Fair Value of Financial Instruments - Additional Information (Details) - USD ($)	3 Months Ended	9 Months Ended
	Sep. 30, 2020	Sep. 30, 2020	Sep. 30, 2019	Jun. 05, 2020	Apr. 24, 2020	Mar. 24, 2020
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Interest expense		$ 992,000	$ 0
Purchase agreement, amount of securities purchasable under agreement (up to)					$ 10,000,000.0
Stock option warrants to purchase common stock (in shares)						0.001
Baker Second Closing Notes
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Stock option warrants to purchase common stock (in shares)				2,049,180
Senior Convertible Notes Payable
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Interest expense	$ 700,000	$ 1,000,000.0

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Commitments and Contingencies - Additional Information (Details)		1 Months Ended	3 Months Ended		4 Months Ended	9 Months Ended	48 Months Ended	57 Months Ended
	Jan. 01, 2021 USD ($)	Oct. 31, 2015 USD ($)	Sep. 30, 2020 USD ($) vehicle claim	Sep. 30, 2019 USD ($)	Mar. 31, 2020 USD ($)	Sep. 30, 2020 USD ($) vehicle claim	Oct. 01, 2019 USD ($)	Nov. 30, 2019 USD ($)	Apr. 14, 2020 USD ($) ft²	Dec. 31, 2019 USD ($) claim	Oct. 09, 2019 USD ($) ft²	Mar. 31, 2019 USD ($)	Jan. 30, 2015 renewal_term
Loss Contingencies [Line Items]
Number of vehicles delivered | vehicle			54			70
Restricted cash			$ 337,000	$ 386,000		$ 337,000				$ 304,000
Office area (in square feet) | ft²									8,816		24,474
Renewal period											5 years		5 years
Number of renewal options | renewal_term													2
Periodic release of security deposit					$ 66,000			$ 5,000
Claims | claim			0			0				0
Accrued sublicense fees												$ 1,300,000
Forecast | Rush University | Royalty Agreement Terms
Loss Contingencies [Line Items]
Minimum annual royalty amount	$ 100,000
Forecast | Maximum | Rush University
Loss Contingencies [Line Items]
Maximum for earned royalties	$ 100,000
Lease Contract Term One
Loss Contingencies [Line Items]
Lease term										24 months
Lease Contract Term Two
Loss Contingencies [Line Items]
Lease term										36 months
WCG Cares Sublicense Agreement
Loss Contingencies [Line Items]
Settlement payment for sublicense agreement				1,000,000.0
Other income				$ 300,000
Woman Care Global International | Sublicense Agreement
Loss Contingencies [Line Items]
Upfront license payment		$ 10,000,000.0
Maximum milestone license payment		$ 32,000,000.0
Annual sublicense fees							$ 5,000,000.0
Vehicles | Securities Deposit
Loss Contingencies [Line Items]
Restricted cash			$ 100,000			$ 100,000				$ 0
Office space | Securities Deposit
Loss Contingencies [Line Items]
Restricted cash			$ 800,000			$ 800,000				$ 800,000
Letter of Credit
Loss Contingencies [Line Items]
Security deposit									$ 50,000		$ 750,000

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Commitments and Contingencies - Supplemental Financial Statement Information (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020	Sep. 30, 2019	Dec. 31, 2019
Lessee, Lease, Description [Line Items]
Operating right-of-use assets	$ 7,198		$ 7,198		$ 160
Operating lease liabilities – current	1,728		1,728		197
Operating lease liabilities- noncurrent	6,425		6,425		$ 0
Operating lease expense	$ 466	$ 186	$ 998	$ 563
Weighted Average Remaining Lease Term (in years)	4 years 7 months 9 days		4 years 7 months 9 days		3 months
Weighted Average Discount Rate (percent)	12.00%		12.00%		12.00%
Research and development
Lessee, Lease, Description [Line Items]
Operating lease expense	$ 118	76	$ 273	241
Selling and marketing
Lessee, Lease, Description [Line Items]
Operating lease expense	167	38	298	79
General and administrative
Lessee, Lease, Description [Line Items]
Operating lease expense	$ 181	$ 72	$ 427	$ 243

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Commitments and Contingencies - Future Operating Lease Maturities (Details) - USD ($) $ in Thousands	Sep. 30, 2020	Dec. 31, 2019
Maturity of Operating Lease Liabilities
Remainder of 2020	$ 124	$ 201
Year ending December 31, 2021	2,450	0
Year ending December 31, 2022	2,515	0
Year ending December 31, 2023	2,171	0
Year ending December 31, 2024	2,192	0
Year ending December 31, 2025	1,502	0
Total lease payments	10,954	201
Less: imputed interest	(2,801)	(4)
Total	$ 8,153	$ 197

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Commitments and Contingencies - Supplemental Cash Flow Information (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019
Commitments and Contingencies Disclosure [Abstract]
Operating cash outflows in operating leases	$ 552	$ 640

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Related-Party Transactions - Additional Information (Details) $ in Thousands				1 Months Ended			3 Months Ended		9 Months Ended		12 Months Ended
	Apr. 01, 2020 shares	Apr. 01, 2019 USD ($) shares	Apr. 01, 2017 USD ($) shares	Jan. 31, 2019	Oct. 31, 2015 Agreement	Feb. 28, 2013	Sep. 30, 2020 USD ($)	Sep. 30, 2019 USD ($)	Sep. 30, 2020 USD ($)	Sep. 30, 2019 USD ($)	Dec. 31, 2015 USD ($)	Mar. 24, 2020 shares
Related Party Transaction [Line Items]
Stock option warrants to purchase common stock (in shares) | shares												0.001
Potential bonus as a percent of consulting fees earned (percent)		100.00%
Number of sublicenses | Agreement					2
Cost of goods sold							$ 317	$ 0	$ 317	$ 0
Thomas Lynch | Consulting Agreement 2017
Related Party Transaction [Line Items]
Vesting period			2 years
Compensation relates management service			$ 400
Stock option warrants to purchase common stock (in shares) | shares			6,416
Thomas Lynch | Consulting Agreement 2017 | Board service
Related Party Transaction [Line Items]
Compensation relates management service			$ 100
Thomas Lynch | Consulting Agreement 2019
Related Party Transaction [Line Items]
Vesting period		2 years
Compensation relates management service		$ 400
Thomas Lynch | Consulting Agreement 2019 | Board service
Related Party Transaction [Line Items]
Compensation relates management service		$ 100
Thomas Lynch | Consulting Agreements
Related Party Transaction [Line Items]
Compensation paid							$ 0	$ 100	$ 100	$ 500
Woman Care Global International | Grant Agreement
Related Party Transaction [Line Items]
Grant agreement term						3 years
WCG Cares
Related Party Transaction [Line Items]
Board term				3 years
Amended and Restated 2014 Plan | Chairman | Unvested restricted stock units
Related Party Transaction [Line Items]
Vesting period		1 year
Issued RSU for the right to shares common stock (in shares) | shares	150,000	150,000
Licenses | Woman Care Global International
Related Party Transaction [Line Items]
Cost of goods sold											$ 5,000

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2019 Private Placement - Additional Information (Details) - USD ($)					3 Months Ended	9 Months Ended
	Jun. 10, 2019	Jun. 05, 2019	Apr. 11, 2019	Apr. 10, 2019	Jun. 30, 2019	Sep. 30, 2020	Sep. 30, 2019	Jun. 05, 2020	Mar. 24, 2020	Dec. 31, 2019	Feb. 08, 2019	Jan. 17, 2018
Class of Warrant or Right [Line Items]
Common stock, par value (in dollars per share)						$ 0.0001				$ 0.0001		$ 0.0001
Stock option warrant to purchase, exercise price per share (in dollars per share)						$ 4.54		$ 2.44	$ 0.0175
Common stock issued upon the exercise of common stock warrants (in shares)									0.001
Warrant liability			$ 3,600,000
Change in fair value of warrants		$ 3,300,000
Reclassification from warrant liability to additional paid-in capital		6,900,000
Purchase right liability			3,200,000
Loss on issuance of Purchase Rights			700,000
Change in fair value of Purchase Rights		19,600,000
Reclassification from purchase rights liability to additional paid-in capital		$ 22,800,000
Advisory fees to financial advisors						$ 867,000	$ 1,180,000
Securities Purchase Agreement
Class of Warrant or Right [Line Items]
Transaction value				$ 80,000,000
Common stock, par value (in dollars per share)				$ 0.0001
Private Placement - First Closing
Class of Warrant or Right [Line Items]
Advisory fees to financial advisors			1,800,000
Private Placement - Second Closing
Class of Warrant or Right [Line Items]
Consideration received	$ 50,000,000
Number of voting shares issued in connection with the issuance of warrants (in shares)	1
Warrants fair value	$ 12,700,000
Advisory fees to financial advisors	2,800,000
Minimum | First and Second Closing
Class of Warrant or Right [Line Items]
Consideration received			$ 28,200,000
Maximum | First and Second Closing
Class of Warrant or Right [Line Items]
Consideration received	$ 47,200,000
Common Stock | Private Placement - First Closing
Class of Warrant or Right [Line Items]
Price per share (in dollars per share)				4.50
Stock option warrant to purchase, exercise price per share (in dollars per share)				$ 6.38
Warrants issued in connection with Agreement (in shares)			6,666,667
Common stock issued upon the exercise of common stock warrants (in shares)			1,666,667
Consideration received			$ 30,000,000
Term of warrants			7 years
Exercisable term			6 months
WIM Warrants
Class of Warrant or Right [Line Items]
Change in fair value of warrants					$ 1,400,000
WIM Warrants | Private Placement - Second Closing
Class of Warrant or Right [Line Items]
Warrants cancelable after Second Closing (in shares)	475,000
Reload Warrants
Class of Warrant or Right [Line Items]
Stock option warrant to purchase, exercise price per share (in dollars per share)											$ 5.20
Common stock issued upon the exercise of common stock warrants (in shares)											1,188,029
Warrants fair value					$ 2,500,000
Reload Warrants | Private Placement - Second Closing
Class of Warrant or Right [Line Items]
Warrants cancelable after Second Closing (in shares)	1,188,029
PDL | Common Stock | Private Placement - Second Closing
Class of Warrant or Right [Line Items]
Warrants issued in connection with Agreement (in shares)	6,666,667
PDL | Baker Second Closing Warrants | Private Placement - Second Closing
Class of Warrant or Right [Line Items]
Warrants issued in connection with Agreement (in shares)	1,666,667
Invesco | Common Stock | Private Placement - Second Closing
Class of Warrant or Right [Line Items]
Warrants issued in connection with Agreement (in shares)	2,222,222
Invesco | Baker Second Closing Warrants | Private Placement - Second Closing
Class of Warrant or Right [Line Items]
Warrants issued in connection with Agreement (in shares)	555,556
WIM | Common Stock | Private Placement - Second Closing
Class of Warrant or Right [Line Items]
Warrants issued in connection with Agreement (in shares)	2,222,223
WIM | Baker Second Closing Warrants | Private Placement - Second Closing
Class of Warrant or Right [Line Items]
Warrants issued in connection with Agreement (in shares)	555,556

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Stockholders' Equity - Additional Information (Details)								3 Months Ended			9 Months Ended
	Jun. 10, 2020 USD ($) shares	Jun. 05, 2020 USD ($) $ / shares shares	Apr. 24, 2020	Mar. 24, 2020 $ / shares shares	Jun. 10, 2019 shares	Jun. 05, 2019 USD ($)	Feb. 05, 2019 USD ($) $ / shares shares	Sep. 30, 2020 USD ($) $ / shares shares	Jun. 30, 2020 USD ($)	Jun. 30, 2019 USD ($) $ / shares shares	Sep. 30, 2020 USD ($) $ / shares shares	Sep. 30, 2019 USD ($)	Dec. 31, 2019 USD ($) $ / shares shares	Nov. 30, 2019 USD ($)	Feb. 08, 2019 $ / shares shares	Jan. 17, 2018 $ / shares shares
Class Of Stock [Line Items]
Common stock issued upon the exercise of common stock warrants (in shares)				0.001
Stock option warrant to purchase, exercise price per share (in dollars per share) | $ / shares		$ 2.44		$ 0.0175				$ 4.54			$ 4.54
Proceeds from issuance of common stock - exercise of warrants | $											$ 2,000	$ 6,273,000
Change in fair value of warrants | $						$ 3,300,000
Warrants outstanding (in shares)								10,426,107			10,426,107
Common stock, shares authorized (in shares)								300,000,000			300,000,000		300,000,000			300,000,000
Common stock, par value (in dollars per share) | $ / shares								$ 0.0001			$ 0.0001		$ 0.0001			$ 0.0001
Short-swing profit disgorgement | $								$ 0	$ 187,000		$ 200,000
Stock dividend, rights (in shares)				1
Rights issued per share of common stock held (in shares) | $ / shares				$ 1
Vesting term for beneficial ownership threshold				10 days
Beneficial ownership threshold (percent)				0.32
Vesting term			5 years	10 days
Public Offering
Class Of Stock [Line Items]
Number of shares issued (in shares)		28,500,000
Price per share (in dollars per share) | $ / shares		$ 3.50
Consideration received | $		$ 93,200,000
Period that additional shares are available to be purchased by underwriters		30 days
Additional shares available for underwriters to purchase (in shares)		4,275,000
Over-allotment option
Class Of Stock [Line Items]
Number of shares issued (in shares)	3,200,000
Consideration received | $	$ 10,500,000
Preferred Stock
Class Of Stock [Line Items]
Issuance and sale of an aggregate shares (in shares)																5,000,000
Preferred stock par value (in dollars per share) | $ / shares																$ 0.0001
WIM Warrants
Class Of Stock [Line Items]
Issuance of common stock upon cashless exercise of warrants (in shares)							1,525,000
Change in fair value of warrants | $										$ 1,400,000
Warrants canceled (in shares)					475,000
Reload Warrants
Class Of Stock [Line Items]
Common stock issued upon the exercise of common stock warrants (in shares)															1,188,029
Stock option warrant to purchase, exercise price per share (in dollars per share) | $ / shares															$ 5.20
Warrants fair value | $										$ 2,500,000
Warrants
Class Of Stock [Line Items]
Proceeds from issuance of common stock - exercise of warrants | $							$ 6,300,000
Security Purchase Agreement Warrants
Class Of Stock [Line Items]
Common stock issued upon the exercise of common stock warrants (in shares)								5,122,950		4,444,446	5,122,950
Stock option warrant to purchase, exercise price per share (in dollars per share) | $ / shares								$ 2.44		$ 6.38	$ 2.44
Certain Holders | Reload Warrants
Class Of Stock [Line Items]
Common stock issued upon the exercise of common stock warrants (in shares)							851,062
Stock option warrant to purchase, exercise price per share (in dollars per share) | $ / shares							$ 2.64
Change in fair value of warrants | $										$ 500,000
Piper Sandler Co. | At The Market (ATM)
Class Of Stock [Line Items]
Number of shares issued (in shares)											676,656
Offering price of shares (up to) | $														$ 50,000,000
Proceeds from issuance of common stock | $											$ 3,800,000
Other receivables | $													$ 300,000

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Stockholders' Equity - Summary of Warrants (Details) - $ / shares	Sep. 30, 2020	Jun. 09, 2020	Jun. 05, 2020	Apr. 24, 2020	Mar. 24, 2020	Jun. 10, 2019	Apr. 11, 2019	Jun. 26, 2018	May 24, 2018	Jun. 11, 2014	Aug. 17, 2012	Mar. 30, 2012
Class of Warrant or Right [Line Items]
Underlying Common Stock to be Purchased (in shares)	10,426,107
Exercise Price (in dollars per share)	$ 4.54		$ 2.44		$ 0.0175
Common Warrants
Class of Warrant or Right [Line Items]
Underlying Common Stock to be Purchased (in shares)		2,049,180		3,073,770		2,777,779	1,666,667	182	848,674	7,806	1,171	878
Exercise Price (in dollars per share)		$ 2.44		$ 2.44		$ 6.38	$ 6.38	$ 7.50	$ 7.50	$ 3.69	$ 51.24	$ 51.24

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Stockholders' Equity - Summary of Common Stock Reserved for Future Issuance (Details)	Sep. 30, 2020 shares
Class Of Stock [Line Items]
Common stock issuable upon the exercise of common stock warrants (in shares)	10,426,107
Total common stock reserved for future issuance (in shares)	22,989,624
Options to Purchase Common Stock
Class Of Stock [Line Items]
Common stock issuable upon the exercise of stock options outstanding (in shares)	8,972,112
Employee Stock Purchase Plan 2019
Class Of Stock [Line Items]
Common stock available for future issuance under 2019 ESPP (in shares)	1,354,968
Amended and Restated 2014 Plan
Class Of Stock [Line Items]
Common stock available for future issuance under the Amended and Restated 2014 Plan and Inducement Plan (in shares)	1,752,262
Inducement Plan
Class Of Stock [Line Items]
Common stock available for future issuance under the Amended and Restated 2014 Plan and Inducement Plan (in shares)	484,175

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Stock-based Compensation - Summary of Stock-based Compensation Expense Related to Stock Options, Restricted Stock Awards (RSAs) and RSUs Granted to Employees and Non-employee Directors (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020	Sep. 30, 2019
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Total	$ 1,637	$ 2,263	$ 11,072	$ 6,740
Research and development
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Total	291	202	1,689	859
Selling and marketing
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Total	347	564	2,006	1,101
General and administrative
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Total	$ 999	$ 1,497	$ 7,377	$ 4,780

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Stock-based Compensation - Additional Information (Details) - USD ($)			1 Months Ended	3 Months Ended				9 Months Ended
	Apr. 01, 2020	Apr. 01, 2019	Sep. 30, 2012	Sep. 30, 2020	Mar. 31, 2020	Sep. 30, 2019	Mar. 31, 2019	Sep. 30, 2020	Sep. 30, 2019	Feb. 25, 2020	Jan. 01, 2020	May 07, 2019	Feb. 26, 2019	Jan. 01, 2019	Jul. 24, 2018	Nov. 30, 2014	Sep. 15, 2014
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Options granted (in shares)				631,200		290,000		2,873,685	733,000
Share-based compensation expense				$ 1,637,000		$ 2,263,000		$ 11,072,000	$ 6,740,000
Stock options
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Unrecognized stock-based compensation expense				10,900,000				$ 10,900,000
Recognition period for unrecognized share-based compensation expense								2 years 4 months 24 days
Vested Restricted Stock Awards (RSA)
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based compensation expense				$ 100,000				$ 6,500,000
2012 Equity Incentive Plan
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expiration period			10 years
Amended and Restated 2014 Plan
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of shares authorized (in shares)										11,725,515			7,800,000				749,305
Incremental number of shares authorized (in shares)										2,000,000	1,925,515
Automatic shares authorized under plan increase, percentage of common stock issued and outstanding (percent)								4.00%
Shares remain available for future grant (in shares)				1,752,262				1,752,262
Number of shares granted out of the reserve increase (in shares)								1,027,400
Amended and Restated 2014 Plan | Restricted Stock Awards (RSA)
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Unrecognized stock-based compensation expense				$ 300,000				$ 300,000
Recognition period for unrecognized share-based compensation expense								1 year 3 months 18 days
Inducement Plan
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of shares authorized (in shares)										1,250,000					250,000
Shares remain available for future grant (in shares)				484,175				484,175
Employee Stock Purchase Plan 2014 | ESPP
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of shares authorized (in shares)																28,333
Incremental number of shares authorized (in shares)														258,672
Employee Stock Purchase Plan 2019
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Shares of common stock purchased under the ESPP (in shares)				0		0			0
Common stock available for future issuance under 2019 ESPP (in shares)				1,354,968				1,354,968
Employee Stock Purchase Plan 2019 | ESPP
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Incremental number of shares authorized (in shares)				1,000,000				1,000,000
Automatic shares authorized under plan increase, percentage of common stock issued and outstanding (percent)								2.00%
Common stock available for future issuance under 2019 ESPP (in shares)												500,000
Purchase price as a percentage of common stock (percent)								85.00%
Denominator in calculation of ESPP				$ 25,000				$ 25,000
Vesting period one | 2012 Equity Incentive Plan
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period			4 years
Percent exercisable			25.00%
Vesting period two | 2012 Equity Incentive Plan
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period			3 years
Percent exercisable			25.00%
Executive Management Team and Certain Non-Executive Employees | Amended and Restated 2014 Plan | Restricted Stock Awards (RSA)
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Issued for the right to shares common stock (in shares)						150,000		1,265,000	625,500
Executive Management Team and Certain Non-Executive Employees | Vesting period one | Amended and Restated 2014 Plan | Restricted Stock Awards (RSA)
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Issued for the right to shares common stock (in shares)					1,245,000		460,500
Chairman | Amended and Restated 2014 Plan | Restricted Stock Units (RSUs)
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period		1 year
Issued for the right to shares common stock (in shares)	150,000	150,000
Minimum | Employee Stock Purchase Plan 2019 | ESPP
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Contribution limitations, percentage of employees salaries (percent)								1.00%
Maximum | Employee Stock Purchase Plan 2019 | ESPP
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Contribution limitations, percentage of employees salaries (percent)								15.00%

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Stock-based Compensation - Summary of Assumptions (Details)	3 Months Ended		9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020	Sep. 30, 2019
Stock options
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected volatility (percent)	90.70%	76.00%	82.40%	76.10%
Risk-free interest rate (percent)	0.40%	1.50%	0.60%	1.90%
Expected dividend yield (percent)	0.00%	0.00%	0.00%	0.00%
Expected term (years)	6 years 1 month 6 days	6 years	6 years	5 years 10 months 24 days
ESPP
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected volatility (percent)	108.90%	72.50%	108.90%	72.50%
Risk-free interest rate (percent)	0.20%	2.20%	0.20%	2.20%
Expected dividend yield (percent)	0.00%	0.00%	0.00%	0.00%
Expected term (years)	6 months	6 months	6 months	6 months

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Subsequent Events (Details) - Senior Convertible Notes Payable - USD ($)	Oct. 14, 2020	Apr. 24, 2020	Apr. 23, 2020
Subsequent Event [Line Items]
Aggregate principal amount of convertible senior secured promissory notes (up to)			$ 25,000,000.0
Note term		5 years
Note interest rate (percent)		10.00%
Subsequent Event
Subsequent Event [Line Items]
Aggregate principal amount of convertible senior secured promissory notes (up to)	$ 25,000,000
Note term	5 years
Note interest rate (percent)	7.50%
Conversion price (in dollars per share)	$ 3.65
Weighted average period	30 days
Weighted average price per share (in dollars per share)	$ 10.00
Debt covenant, cumulative net sales requirement	$ 100,000,000