Document:

exv10w3

Exhibit 10.3

COPROMOTION AGREEMENT

     This COPROMOTION AGREEMENT (this “Agreement”) dated as of April, 2nd, 2007 by and among Atley
Pharmaceuticals, Inc., having a place of business at 10511 Old Ridge Road, Ashland, VA 23005
(“Atley”), and Cornerstone BioPharma, Inc., a Delaware corporation (“Cornerstone”), having a place
of business at 2000 Regency Parkway, Cary, NC 27518.

     WHEREAS, Cornerstone develops, distributes, licenses and sells pharmaceutical products;

     WHEREAS, Atley also develops, distributes, licenses and sells pharmaceutical products; and

     WHEREAS, Cornerstone has the exclusive rights in the Territory (defined herein) to promote the
Cornerstone Product (also defined herein); and

     WHEREAS, the parties desire that Atley provide Representatives who will engage in Detailing
(as hereinafter defined) of the Cornerstone Product as set forth herein.

     NOW, THEREFORE, in consideration of the premises and intending to be legally bound hereby, the
parties hereto agree as follows:

ARTICLE I

DEFINITIONS

     1.1 Definitions. The following terms when used in this Agreement shall, except where
the context otherwise requires, have the following meanings:

          (a) “Act” means the Federal Food, Drug and Cosmetic Act, as amended, and the regulations
promulgated thereunder from time to time.

          (b) “Affiliate” means any corporate or non-corporate business entity which controls, is
controlled by, or is under common control with a party to this Agreement. A corporation or
non-corporate business entity shall be regarded as in control of another corporation if it owns or
directly or indirectly controls at least fifty percent (50%) of the voting stock of the other
corporation, or (i) in the absence of the ownership of at least fifty percent (50%) of the voting
stock of a corporation or (ii) in the case of a non-corporate business entity, if it possesses
directly or indirectly, the power to direct or cause the direction of the management and policies
of such corporation or non-corporate business entity, as applicable.

          (c) “Agency” means any governmental regulatory authority in the Territory responsible for
granting approvals for the sale or maintaining regulatory oversight of the Cornerstone Product,
including, without limitation, the FDA.

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

 

 

          (d) “Applicable Laws” means all applicable statutes, ordinances, regulations, rules or orders
of any kind whatsoever of any government authority or court of competent jurisdiction, including,
without limitation, the Federal Food, Drug, and Cosmetic Act (21 U.S.C.
 §301 et seq.), PDMA, Generic Drug Enforcement Act of 1992 (21 U.S.C. § 335a et seq.) and
Anti-Kickback Statute (42 U.S.C. §1320a-7b et seq.), all as amended from time to time.

          (e) “Commission Base Price” means the Wholesale Acquisition Cost minus royalties, development
costs, discounts and rebates, shipping and transportation costs, samples and other promotional
materials provided to Atley by Cornerstone at Atley’s request.

          (f) “Cornerstone Product Labeling” means all labels and other written, printed, or graphic
matter upon (i) any container or wrapper utilized with the Cornerstone Product, or (ii) any written
material accompanying the Cornerstone Product, including, without limitation, product package
inserts, all of which shall be provided by Cornerstone.

          (g) “Cornerstone Product Promotional Materials” means all Cornerstone provided written,
printed or graphic material, including Cornerstone Product Labeling, intended for use by
Representatives during a Detail, including visual aids, file cards, premium items, clinical
studies, reprints, drug information updates and any other promotional support items that
Cornerstone deems necessary to conduct the Program. Cornerstone Product Promotional Materials shall
include FDA-approved indicated uses, safety, effectiveness, contraindications, side effects,
warnings and other relevant characteristics of the Cornerstone Product.

          (h) “Cornerstone Product” means the pharmaceutical product known as Balacet 325 (100mg
Propoxyphene/ 325 mg APAP).

          (i) “Cornerstone Product Training Materials” means the items Cornerstone develops and/or
provides to Representatives or to Atley to train Representatives to Detail the Cornerstone Product
under the Program.

          (j) “Detail” shall mean an interactive, face-to-face visit by a Representative with a Target
Physician or his or her Legally Empowered Designee in the Territory, during which the following may
be discussed: FDA-approved indicated uses, safety, effectiveness, contraindications, side effects,
warnings and other relevant characteristics of the Cornerstone Product (as defined herein) by the
Representative in a fair and balanced manner consistent with the requirements of the Act, and
using, as necessary or desirable, the Cornerstone Product Labeling (as defined herein) or the
Cornerstone Product Promotional Materials (as defined herein). When used as a verb, “Detail” or
“Detailing” shall mean to engage in a Detail as defined in this Section l.1(j).

          (k) “FDA” means the United States Food and Drug Administration and any
 successor agency having substantially the same functions.

          (l) “Legally Empowered Designee” means (i) a physician affiliated with a Target Physician or
(ii) a nurse practitioner or physician’s assistant practicing under the

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supervision and control of a Target Physician with legal authority to write pharmaceutical
prescriptions.

          (m) “Managers” mean individuals employed by Atley as Coaches and the Vice President of Sales.

          (n) “PDMA” means the Prescription Drug Marketing Act of 1987, as amended, and the regulations
promulgated thereunder from time to time.

          (o) “Program” means the program of Detailing to be conducted by the Representatives under the
direction and control of Atley during the term of this Agreement, unless terminated or extended as
provided for herein.

          (p) “Program Personnel” means the Representatives and Managers.

          (q) “Representative” means an individual hired by or on behalf of Atley to conduct Details of
the Cornerstone Product in connection with the Program who shall be an employee of and compensated
by Atley, and whose activities in connection with the Program and Details shall be under the
supervision, direction and control of Atley.

          (r) “Target Physician” means all physicians in the Territory except physicians who specialize
in obstetrics, gynecology or both.

          (s) “Territory” means zip codes that are assigned to an Atley Sales Representative, by Atley
and approved by Cornerstone 30 days prior to start of a new quarter.

          (t) “Wholesale Acquisition Cost” means the price paid to Cornerstone by wholesalers to acquire
the Cornerstone Product from Cornerstone.

ARTICLE II

PROGRAM MANAGEMENT; GENERAL SCOPE OF ACTIVITIES

     2.1 Scope of Activities. The parties shall perform the following activities as
applicable to each in connection with the Program:

          (a) Atley shall maintain a minimum of forty (40) trained full-time Representatives to Detail
the Cornerstone Product to Target Physicians. Atley shall be solely responsible for all costs
associated with the Program. Atley shall put a high priority on the Cornerstone Product with
Target Physicians and this priority will be reflected in the sales compensation opportunity that a
Representative and Manager shall have for the Cornerstone Product when compared to other products
that the Representative will be Detailing. The cost of new Cornerstone Product Promotional
Materials actually used by Atley shall be deducted from amounts payable to Atley pursuant to
Article III, with any remaining amounts payable by Atley pursuant to this Section 2.1 at actual
cost. Notwithstanding the foregoing, Cornerstone agrees to contribute to Atley the Cornerstone
Promotional Material Inventory set forth in Exhibit A attached hereto.

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          (b) Cornerstone shall be responsible solely for the cost of development, the determination of
the content, and the method of distribution of the Cornerstone Product Promotional Materials. In
connection with the Detailing of the Cornerstone Product, the Representatives shall use only the
Cornerstone Product Labeling and the Cornerstone Product Promotional Materials provided by
Cornerstone; and under no circumstances shall Atley or the Representatives independently develop,
create or use any other promotional material or literature for the Detailing of the Cornerstone
Product.

          (c) All copyright and other intellectual property rights of the Cornerstone Product Labeling,
the Cornerstone Product Training Materials and the Cornerstone Product Promotional Materials shall
remain vested in Cornerstone.

          (d) Atley shall instruct the Representatives to limit their statements and claims regarding
the Cornerstone Product, including efficacy and safety, to those that are consistent with the
Cornerstone Product Labeling, the Cornerstone Product Training Materials and the Cornerstone
Product Promotional Materials. The Representatives shall not add, delete or modify claims of
efficacy or safety in the Detailing of the Cornerstone Product nor make any changes (including
underlining or otherwise highlighting any language or adding any notes thereto) in the Cornerstone
Product Promotional Materials. The Representatives shall Detail the Cornerstone Product in
adherence to regulatory and professional requirements, and to all Applicable Laws, including but
not limited to the Act and the American Medical Association Gifts to Physicians from Industry
Guidelines.

          (e) The Representatives shall remain under the direct authority and control of the Managers
and shall cooperate with the representatives of Cornerstone.

          (f) Atley shall ensure that the Representatives and Managers will be eligible for a sales
compensation plan in connection with the Program. The sales compensation plan shall be comparable
to that of other high priority products promoted by Representatives. Representatives shall receive
sales compensation equal to [***] percent ([***]%) of the Commission Base Price for the Cornerstone
Product, which is the same as they would receive for other products Detailed.

     2.2 Orders for the Cornerstone Product. Cornerstone shall be responsible exclusively
for accepting and filling purchase orders, billing, and returns with respect to the Cornerstone
Product. If Atley or the Representatives receive orders for the Cornerstone Product, they shall
transmit such orders to Cornerstone for acceptance or rejection, which acceptance or rejection
shall be at Cornerstone’s sole discretion.

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

4

 

ARTICLE III

COMPENSATION

     3.1 Amount; Time of Payment.

          (a) Cornerstone shall pay to Atley a fee for Detailing the Cornerstone Product during the term
of this Agreement as follows:

          (i) Cornerstone shall pay Atley a Detailing fee of [***] percent ([***]%) of Net
Profit, subject to offset as provided in Section 2.1(a), above, and subject to meeting the
requirements set forth in Section 3.1(a)(ii), below. The Detailing fee shall be paid
quarterly within forty five (45) days of the end of each calendar month. Payment shall be
estimated from monthly NDC, Wolters Kluwer or equivalent data, provided by Cornerstone, and
shall also be based on Cornerstone’s accruals (rather than actuals) for rebates,
chargebacks, credits and allowances including those for distributor service agreements, and
shipping and transportation costs. Quarterly payments will be reconciled with quarterly
physician-level audit data provided by Cornerstone. Any adjustments shall be made with (or
deducted from) the next scheduled quarterly payment from Cornerstone. Within ninety (90)
days after the end of each calendar year during the Term, Cornerstone shall reconcile the
accruals for rebates, chargebacks, credits and allowances including those for distributor
service agreements used in calculating quarterly payments against the actual amounts of such
costs for such year, and provide Atley with the reconciliation report. Any adjustments shall
be made with (or deducted from) the next scheduled quarterly payment from Cornerstone. A
sample calculation of the Detailing fee is attached hereto as Exhibit C.

          “Eligible Product” means Cornerstone Product sales resulting from prescriptions written
by Target Physicians. For clarification, Eligible Product specifically excludes any
Cornerstone Product sales resulting from prescriptions written by persons other than Target
Physicians.

          “Gross Sales” shall be determined exclusively from NDC, Wolters Kluwer or equivalent
data, provided by Cornerstone. Gross Sales will be calculated by totaling the number of
units written by Target Physicians within the Territory and then dividing the total units by
the standard unit count per bottle and multiplying by the Average Sales Price for the
applicable quarter. Cornerstone will provide Atley with monthly prescription and unit data
on a zip code basis so that Atley can ensure that Representatives are fairly compensated.

          “Average Sales Price” means for any calendar quarter, the total invoiced Cornerstone
Product sales divided by the number of units sold for the calendar quarter in the United
States. An example of the calculation of the Average Sales Price is attached hereto as
Exhibit D.

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

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          “Cost of Goods Sold” for Cornerstone Product means Cornerstone’s actual direct cost for
the Cornerstone Product. An example of the calculation of the Cost of Goods Sold is attached
hereto as Exhibit E.

          “Net Profit” means Net Sales of Eligible Product less Cost of Goods Sold for such
Eligible Product, less royalties.

          “Net Sales” means Gross Sales less the following items: (1) cash discounts and/or
quantity discounts actually taken; (2) actual returns, (3) quantity and other trade
discounts, credits or allowances including those generated as a result of distributor
service agreements actually taken; (4) actual rebates including bid rebates taken; and (5)
shipping and transportation costs.

          (ii) The foregoing Detailing fee shall be paid by Cornerstone to Atley for each
calendar quarter in which the number of units (pills) of Eligible Product sold exceeds the
Quarterly Baseline in the “Territory” described in Exhibit B, attached hereto. The
Territory will not be entitled to a Detailing fee for any quarter in which the number units
(pills) of Eligible Product sold does not exceed the Quarterly Baseline for that quarter.
The Quarterly Baseline will be based on 1st quarter 2007 total units dispensed in a
territory. The detailing fee payable to Atley will be based on current WAC starting with
the 3rd quarter of 2007 promotion of the Cornerstone Product. The target for the first
quarter of promotion will be prorated upon Atley’s request, every six (6) months Cornerstone
will review the baseline numbers jointly with Atley. If the parties, acting in good faith,
determine that the Quarterly Baseline is not attainable using commercially reasonable
efforts, then the Quarterly Baseline will be reduced to an amount that is attainable using
commercially reasonable efforts. If the parties are unable to agree on a revised Quarterly
Baseline, then either party may terminate the Agreement.

          (iii) If Atley terminates the Agreement pursuant to Section 12.3, or if Cornerstone
terminates this Agreement pursuant to Section 12.4, or if either party terminates pursuant
to the preceding clause (ii), Cornerstone will pay Atley on a quarterly basis for six months
following termination the average Detailing fee paid per month, by Cornerstone to Atley
during the six months immediately preceding termination (the “Sunset Fee”).

          (b) All quarterly payments due hereunder shall be paid by wire transfer to the account
specified in writing by Atley. At the time of payment. Cornerstone shall issue a written report to
Atley showing clearly in reasonable detail the calculation of Net Sales from Target Physician Sales
and deductions for Cornerstone Product Promotional Materials used in the Program.

          (c) Cornerstone shall invoice Atley separately at actual cost for all Cornerstone
Product Promotional Materials used in the Program that are in excess of the amount(s) otherwise
payable to Atley pursuant to Section 3.1(a). Atley shall pay such uncontested invoices in
accordance with Cornerstone’s reasonable instructions within thirty (30) days of receipt.

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          (d) Inspection Rights. Upon prior written notice and at mutually agreeable times, Atley
shall have the right to inspect all of Cornerstone’s financial information that is relevant to this
Agreement. The inspections shall be limited to no more than two (2) times during any calendar year
during the Term of this Agreement.

ARTICLE IV

REPRESENTATIONS, WARRANTIES AND COVENANTS OF ATLEY

     4.1 Atley not Authorized to Bind Cornerstone. Nothing in this Agreement shall be
deemed to authorize Atley to act for, represent, or bind Cornerstone or any of its Affiliates other
than as specifically provided by this Agreement.

     4.2 Other Atley Activities. Except as specifically set forth herein, nothing in this
Agreement shall in any way restrict or limit the commercial activities that Atley can undertake
during the term of this Agreement and thereafter.

     4.3 Program. Atley represents and warrants that it employs or will timely employ a
sufficient number of Representatives to Detail the Target Physicians consistent with Section
2.1(a), and that it will employ a sufficient number of Managers and an administrative
infrastructure to adequately train and monitor such Representatives.

     4.4 Atley Corporate Matters. Atley is an entity duly organized, validly existing and
in good standing under the laws of the jurisdiction of its organization, with full powers to carry
on its business and activities as currently being conducted. It has the corporate power and
authority to enter into this Agreement and to perform its obligations hereunder. No other act,
approval or proceeding on its part is or will be required to authorize the execution and delivery
of this Agreement or the consummation of the transaction contemplated hereby. Its execution and
delivery of this Agreement and its performance of its obligations hereunder (i) do not conflict
with or violate any requirement of applicable laws or regulations, and (ii) do not conflict
with, or constitute a default under, any contractual or other obligation of it.

ARTICLE V

REPRESENTATIONS, WARRANTIES AND COVENANTS OF CORNERSTONE

     5.1 Training Materials and Promotional Materials. Cornerstone represents and warrants
to Atley that:

          (a) to the best of its knowledge, the Representatives’ use of the Cornerstone Product Training
Materials or Cornerstone Product Promotional Materials (as the case may be), and/or their Detailing
of the Cornerstone Product, as contemplated by this Agreement, will not infringe or misappropriate
the intellectual property rights of any person or entity;

          (b) it has not received, nor been made aware of, any communications alleging that the
Cornerstone Product and/or its use of the Cornerstone Product Training Materials or Cornerstone
Product Promotional Materials (as the case may be) has infringed or

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misappropriated (or that it, or Atley, will infringe or misappropriate in carrying out this
Agreement) the intellectual property rights of any person or entity;

          (c) to the best of its knowledge, the Cornerstone Product Training Materials or Cornerstone
Product Promotional Materials (as the case may be) do not violate any Applicable Laws; and

          (d) it has not received, nor been made aware of, any communications from the FDA alleging that
the Cornerstone Product, Cornerstone Product Training Materials or the Cornerstone Product
Promotional Materials (as the case may be) violate Applicable Laws.

     5.2 Litigation. Cornerstone represents and warrants to Atley that, to the best of its
knowledge, as of the date hereof, there is no litigation, arbitration, government proceeding, or
government investigation involving Cornerstone or a Cornerstone Affiliate or relating to the
Cornerstone Product either pending, or threatened in writing.

     5.3 Cornerstone Product. Cornerstone represents and warrants to Alley that it has the
right to commercialize the Cornerstone Product in the Territory and that there are no conditions
existing by virtue of a conflicting contractual relationship or by function of law that would
interfere with Atley’s ability to perform and receive benefit under this Agreement and that the
Cornerstone Product has been tested and approved for marketing by the Agency in accordance with all
Applicable Laws and regulations.

     5.4 Cornerstone Corporate Matters. Cornerstone is an entity duly organized, validly
existing and in good standing under the laws of the jurisdiction of its organization, with full
powers to carry on its business and activities as currently being conducted. It has the corporate
power and authority to enter into this Agreement and to perform its obligations hereunder. No
other act, approval or proceeding on its part is or will be required to authorize the execution and
delivery of this Agreement or the consummation of the transaction contemplated hereby. Its
execution and delivery of this Agreement and its performance of its obligations hereunder (i) do
not conflict with or violate any requirement of applicable laws or regulations, and (ii) do not
conflict with, or constitute a default under, any contractual or other obligation of it.

     5.5 Cornerstone not Authorized to Bind Atley. Nothing in this Agreement shall be
deemed to authorize Cornerstone to act for, represent, or bind Atley or any of its Affiliates other
than as specifically provided by this Agreement.

     5.6 Other Atley Activities. Except as specifically set forth herein, nothing in this
Agreement shall in any way restrict or limit the commercial activities that Cornerstone can
undertake during the term of this Agreement and thereafter.

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ARTICLE VI

INDEPENDENCE OF THE PARTIES

     6.1 Independent Contractor. Atley is being retained and shall perform hereunder
strictly as an “independent contractor.” Employees and Representatives of Atley performing
services hereunder shall not be, and shall not be considered to be, employees of Cornerstone for
any purpose and all Representatives shall be employees of Atley. Neither party shall have any
responsibility for the hiring, termination, compensation, benefits or other conditions of
employment of the other party’s employees except as otherwise provided in this Agreement.

     6.2 No Joint Venture; Non-exclusive. Nothing contained in this Agreement shall be
construed as making the parties joint venturers or, except as otherwise provided herein, as
granting to either party the authority to bind or contract any obligations in the name of or on the
account of the other party or to make any guarantees or warranties on behalf of the other party.
Nothing in this Agreement shall restrict Cornerstone from promoting or marketing the Cornerstone
Product in any lawful manner it deems appropriate, directly or through third parties.

ARTICLE VII

TRAINING

     7.1. Cornerstone Training Program. Atley shall conduct under its exclusive direction
and control home and/or classroom training for all Representatives and Managers on the Program.
Such training shall include such medical and technical information and Cornerstone Product Training
Materials and Cornerstone Product Promotional Materials about the Cornerstone Product that shall be
provided by Cornerstone. Cornerstone shall reasonably assist Atley with such training program and
Cornerstone shall provide Atley a trainer and other pertinent expert for such training program.

     7.2 Continuing Education. The parties together agree to develop appropriate action
plans to ensure that Representatives are kept continuously informed of all changes in the
Cornerstone Product Promotional Materials.

ARTICLE VIII

COMMUNICATIONS

     8.1 Communications from Third Parties. Atley and its Representatives shall
communicate to Cornerstone all comments, statements, requests and inquiries of the medical
profession or any other third parties relating to the Cornerstone Product that are out of the
ordinary, of not covered by Cornerstone Product Labeling, of which Atley becomes aware. All
responses to the medical profession or such other third parties shall be handled solely by
Cornerstone. Atley shall provide reasonable assistance to Cornerstone to the extent requested by
Cornerstone, and at Cornerstone’s sole cost and expense, to respond fully to such communications.

     8.2 Government Agencies. All responses to government agencies concerning the
Cornerstone Product shall be the sole responsibility of Cornerstone. Atley shall assist

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Cornerstone with respect to communications from government agencies to the extent requested by
Cornerstone, at Cornerstone’s sole cost and expense. Atley shall use commercially reasonable
efforts to assist Cornerstone to respond fully to such communications and be able to provide any
and all forms, documents and related records to Cornerstone within seventy-two (72)
hours. Atley shall respond to any governmental agency subpoena directed to it concerning the
Cornerstone Product, and shall be reimbursed by Cornerstone for all reasonable costs and expenses
incurred, including, but not limited to, reasonable attorneys’ fees.

     8.3 Review of Results. The parties shall meet periodically, but at least once per
calendar quarter (in person or by telephone), to review and discuss the actual results compared to
the marketing plans for Detailing of the Cornerstone Product. Cornerstone shall share regularly
and promptly with Atley all relevant reports, audits and other data it develops relative to the
Program.

ARTICLE IX

INSURANCE

     9.1 Atley Insurance Coverage Required. During the Term of this Agreement, and with
respect to liability hereunder for any post termination period during which a claim could be
asserted against Atley, up to 5 years after termination, Atley shall maintain at its sole expense
Commercial General Liability insurance with a combined single limit of $1,000,000, minimum
liability of $1,000,000 for each occurrence, and $1,000,000 in the aggregate. Such insurance shall
be maintained with a responsible carrier and its terms of coverage shall be evidenced by a
certificate of insurance to be furnished by Atley to Cornerstone within thirty (30) days of the
date of this Agreement. Such certificate of insurance shall provide that at least thirty (30)
days’ written notice shall be given to Cornerstone prior to cancellation or modification of any of
the material terms of coverage of such policy.

     9.2 Cornerstone Insurance Coverage Required. Cornerstone shall maintain, at its sole
expense, insurance coverage during the term of this Agreement, and with respect to liability
hereunder for any post termination period during which a claim could be asserted against Atley, up
to 5 years after termination, as follows: Product liability insurance with respect to the
Cornerstone Product with coverage limits of not less than $5 million per occurrence and $5 million
in the aggregate; and Commercial General Liability insurance with a combined single limit of
$1,000,000, minimum liability of $1,000,000 for each occurrence, and $1,000,000 in the aggregate.
All of such insurance shall be maintained with responsible carriers and their terms of coverage
shall be as evidenced by certificates of insurance to be furnished by Cornerstone to Atley within
thirty (30) days of the date of this Agreement. Such certificates of insurance shall provide that
at least thirty (30) days’ written notice shall be given to Atley prior to cancellation or
modification of any of the material terms of coverage of any policy.

ARTICLE X

ADVERSE REACTION REPORTING AND REGULATORY MATTERS

     10.1 Immediate Notification. Atley agrees to use commercially reasonable efforts to
notify Cornerstone as soon as reasonably practicable of information that Atley obtains through

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its Representatives concerning the Cornerstone Product or any serious unexpected side effect,
injury, toxicity, or sensitivity reaction or any unexpected incidence of severity thereof
associated with the clinical uses, studies, investigations, tests and marketing of the Cornerstone
Product, whether or not determined to be attributable to the Cornerstone Product “Serious” as used
in this Section 10.1 refers to an experience, which results in death, permanent or substantial
disability, in-patient hospitalization, prolongation of existing in-patient hospitalization, or is
a congenital anomaly, cancer, the result of an overdose or life threatening. “Unexpected” as used
in this Section 10.1 refers to (i) conditions or developments not previously submitted to
governmental Agencies or encountered during clinical studies of the Cornerstone Product, and (ii)
conditions or developments occurring with greater frequency, severity, or specificity than shown by
information previously submitted to governmental Agencies or encountered during clinical studies of
the Cornerstone Product. Atley agrees to use commercially reasonable, efforts to notify
Cornerstone in a timely manner of any other adverse experience (i.e., any unfavorable and
unintended change in the structure (signs), function (symptoms) or chemistry (laboratory data) of
the body temporally associated with the use of the Cornerstone Product, whether of not considered
related thereto). Atley and Cornerstone shall each issue appropriate instructions in their various
training program and orientation sessions with Representatives with respect to the foregoing.

     10.2 Threatened Agency Action. Atley agrees to use commercially reasonable efforts to
notify Cornerstone immediately of any information Atley receives through its Representatives or
otherwise regarding any threatened or pending action by an Agency which may affect the Cornerstone
Product, and Atley shall, at the request of Cornerstone and at the sole cost and expense of
Cornerstone (including, without limitation, fees and expenses of counsel for Atley), cooperate with
Cornerstone in formulating a procedure for taking appropriate action. In no event shall Atley
itself respond to the Agency without the prior written consent of Cornerstone, unless Atley is
compelled by law to respond even without Cornerstone’s written consent. Atley and Cornerstone
shall each issue appropriate instructions in their various training program and orientation
sessions with Representatives with respect to the foregoing,

ARTICLE XI

CONFIDENTIAL INFORMATION

     11.1. Confidential Information. Each party acknowledges and agrees that it will have
access to, or become acquainted with, Confidential Information of the other party in connection
with the performance of the services required by this Agreement. For the purposes of this
Agreement, “Confidential Information” shall mean any information of the disclosing party or any
Affiliate thereof, which gives the disclosing party an advantage over its competitors who do not
possess such information and constitutes valuable trade secrets and proprietary data which was
revealed to the receiving party as a result of entering into or performing its obligations under
this Agreement, including but not limited to, information which relates to the Cornerstone Product,
the Program, Target Physicians, designs, methods, discoveries, improvements, documents, trade
secrets, proprietary rights, business affairs, customer information or employee information.
Confidential Information shall not include any information that:

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          (a) was known to the receiving party prior to the date of this Agreement, without an
obligation to keep it confidential;

          (b) was lawfully obtained by the receiving party from a third party without any obligation of
confidentiality;

          (c) is, at the time of disclosure, in this public knowledge;

          (d) becomes part of the public knowledge after disclosure by publication or otherwise except
by breach of this Agreement;

          (e) is developed by the receiving party independently by persons who did not have access to
the Confidential information and apart from this Agreement.

          (f) is otherwise knowledge possessed by the receiving party or its employees as the result of
their industry experience or education.

     The receiving party shall keep all Confidential Information in confidence and shall not, at
any time during the Term of this Agreement or for a period of five (5) years from the termination
of this Agreement, without the disclosing party’s prior written consent, disclose, or otherwise
make available; directly or indirectly, any item of Confidential Information to anyone other than
its employees (and its consultants provided they are bound by similar obligations of
confidentiality) who need to know the same in connection with fulfilling the purposes of this
Agreement. The receiving party shall use the Confidential Information only in connection with
fulfilling the purposes of this Agreement and for no other purpose.

     Each party shall inform its employees and consultants who have a need to know the Confidential
Information of the existence of this Agreement and the obligations imposed thereby and shall obtain
written agreements that impose comparable confidentiality obligations with all such employees and
consultants who are permitted access to the Confidential Information under this Agreement.

     11.2. Extraordinary Relief. In the event of the actual or threatened breach by the
receiving party of any of the terms of this Article XI, the disclosing party shall have the right
to seek specific performance and injunctive relief, and, at the sole option of the disclosing
party, the ADR provisions of Section 14.9 shall not be applicable. The rights, granted by this
section are in addition to all other remedies and rights available at law or in equity.

ARTICLE XII

TERM AND TERMINATION

     12.1 Effective Date and Term. This Agreement shall take effect on the date on which
both parties execute this Agreement, with the understanding that the term of the Program (“Term”)
shall be thirty-six (36) months from that date unless terminated earlier as set forth herein. The
Term may be extended by mutual agreement (which agreement shall include

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determining the Quarterly Baseline for any renewal period) made at least seventy-five (75)
days prior to the expiration of the Term.

     12.2 Bankruptcy; Insolvency. Either party may terminate this Agreement upon the
occurrence of the following: (a) the entry of a decree or order for relief by a court having
jurisdiction in the premises in respect of the other party in an involuntary case under the federal
Bankruptcy Code, as now constituted or hereafter amended, or any other applicable federal or state
insolvency or other similar law and the continuance of any such decree or order unstayed and in
effect for a period of sixty (60) consecutive days: or (b) the filing by the other party of a
petition for relief under the federal Bankruptcy Code, as now constituted or hereafter amended, or
any other applicable federal or state insolvency or similar law.

     12.3 Termination for Cause. Either party may terminate this Agreement upon sixty (60)
days’ prior written notice thereof to the other party upon the material breach by the other party
of any of its representations, warranties, covenants or agreements contained in this Agreement.
Upon the expiration of such notice period, this Agreement shall terminate without the need for
further action by either party; provided, however, that if the breach upon which such notice of
termination is based, shall have been fully cured within such sixty (60) day period, then such
notice of termination shall be deemed rescinded, and this Agreement shall continue in full force
and effect, provided, however that a party shall not have the right to cure a material breach more
than twice in any twenty four (24) month period. Such right of termination shall be in addition to
such other rights and remedies as the terminating party may have under applicable law; provided
further, however, that if Cornerstone fails to make any payment due hereunder within thirty (30)
days of receipt of written notice from Alley regarding such overdue payment, Atley may either (i)
immediately terminate this Agreement, or (ii) suspend services hereunder pending receipt of such
payment; in each case concurrently with written notice to Cornerstone.

     12.4 Termination Without Cause. In addition to any other ground of termination,
either party may terminate the Agreement at any time for any reason upon sixty (60) days’ advance
notice to the other party.

     12.5 Termination; Continuing Rights. The termination or expiration of this Agreement
shall not affect Cornerstone’s obligation to pay any amount properly and currently owing to Atley
under the provisions of this Agreement, including any Sunset Fee that may apply. Notwithstanding
the foregoing, if Cornerstone terminates this Agreement pursuant to Section 12.2 or 12.3 or Atley
terminates pursuant to Section 12.4, then Cornerstone shall have no obligation to pay any Sunset
Fee. Further, the termination or expiration of this Agreement shall not affect any rights or
obligations of any party under this Agreement that are intended by the parties to survive such
termination.

     12.6 Termination; Return of Materials. Upon the request of Cornerstone, within sixty
(60) days following the termination or expiration of this Agreement, Atley shall return to
Cornerstone all Confidential Information, marketing plans, forms, territory lists, reports and any
and all other tangible items provided to Atley by Cornerstone.

13

 

     12.7 Reconciliation. Within six (6) months after the expiration or earlier
termination of this Agreement, Cornerstone shall reconcile the accruals for rebates, chargebacks,
credits and allowances, including those for distributor service agreements used in calculating
quarterly payments under Section 3.1(a)(i), against the actual amounts of such costs for such year
and provide Atley with the reconciliation report. Any adjustment shall be paid by Cornerstone or
Atley within thirty (30) days after the delivery by Cornerstone of the reconciliation report.

ARTICLE XIII

INDEMNIFICATION

     13.1 Indemnification by Atley. Atley shall defend, indemnify and hold Cornerstone,
its Affiliates, directors, officers, employees and agents harmless from and against any and all
claims, suits, actions, damages, assessments, interest charges, penalties, costs or expenses,
including reasonable attorneys’ fees (collectively, the “Indemnified Amounts,”) arising out of (a)
a negligent or willful material breach by Atley of any of its obligations, representations or
warranties under this Agreement, (b) a negligent or willful act or omission on the part of Atley,
(c) any federal or state claims or assessment for nonpayment or late payment by Atley of any tax or
contribution based on compensation or other benefits owed to any of the Representatives, including,
without limitation, a claim or assessment mat Cornerstone should have withheld any amounts related
thereto, (d) requests by Atley or by third parties (in connection with a claim against Atley)
pursuant to a subpoena or court order for the production by Cornerstone of documents or any other
materials relating to the Program or to interview, depose and/or elicit testimony from Cornerstone
employees regarding the Program, (e) any violation by Atley of any and all Applicable Laws of any
governmental body having jurisdiction over the exercise of rights under this Agreement, or (f) any
misuse or misappropriation by Atley of Cornerstone Product samples distributed by Atley.

     13.2 Indemnification by Cornerstone. Cornerstone shall defend, indemnify and hold
Atley, its Affiliates, directors, officers, employees and agents harmless from and against any and
all Indemnified Amounts arising out of (a) a negligent or willful material breach by Cornerstone of
any of its obligations, representations and warranties under this Agreement, (b) a negligent or
willful act or omission on the part of Cornerstone, (c) the manufacture, use, or sale of
Cornerstone Product or a manufacturing design or defect of the Cornerstone Product or a claim
arising out of Cornerstone’s failure to warn, (d) any marketing, Cornerstone Product Promotional
Materials or Cornerstone Product Training Materials provided to Atley by Cornerstone, (e) any
claims by any third party that Atley’s promotion of any Cornerstone Products, Cornerstone Product
Promotional Materials and/or Cornerstone Product Training Materials, or the manufacture, sale or
use of the Cornerstone Product, infringes or violates any license, patent, copyright, trademark or
other intellectual property right of that third party; (f) any negligent or willful acts or
omissions on the part of Cornerstone with respect to Atley employees or those individuals who have
made application to be employees of Atley, (g) requests by Cornerstone or by third parties (in
connection with a claim against Cornerstone) pursuant to a subpoena or court order for the
production by Atley of documents or other materials relating to the Program or to interview, depose
and/or elicit testimony from Atley employees, including Program personnel, regarding the Program.

14

 

     13.3 Indemnification Procedures. A Person seeking indemnification under this Article
XIII (the “Indemnified Party”) shall give the indemnifying party (the “Indemnifying Party”) prompt
written notice of any action, claim, demand, discovery of fact, proceeding or suit for which
indemnification is sought (a “Claim"'); provided, however, that the failure of an Indemnified Party
to give such prompt notice shall not reduce the Indemnifying Party’s obligations under this Article
XIII except to the extent that the Indemnifying Party’s defense of any such matter is actually
prejudiced thereby. The Indemnifying Party shall indemnify the Indemnified Party for its defense
and/or representation with respect to the Claim. In the event such a defense and/or representation
are required, the Indemnifying Party agrees that it will immediately confer with the Indemnified
Party in order to reach an agreement on the terms and conditions of any such defense (the “Defense
Agreement”). Such agreement shall include, but not be limited to: (i) the choice of counsel; (ii)
the defense strategy to be undertaken; (iii) settlement strategies and issues; (iv) manner and
method of document productions; (v) presentation of employees as witnesses; (vi) the retention of
consultants and expert witnesses; and (vii) trial and appellate strategy. In the event of a
material disagreement, the Indemnifying Party shall have the right to make the final determination
regarding the defense. The Indemnifying Party shall not settle any Claim without the prior written
consent of the Indemnified Parry, which consent shall not be unreasonably withheld or delayed. Any
such settlement shall, unless the Indemnified Party agrees in writing to the contrary, be
conditioned on: (i) dismissal with prejudice of all claims pending or which may be brought in the
future against the Indemnified Party; (ii) an express provision that there is no admission or
acknowledgement of liability on the part of the Indemnified Party; and (iii) an express provision
that the terms of any such settlement be treated as confidential. If the Indemnifying Party is
unable to settle any such claims on behalf of the Indemnified Party in this manner, then the
Indemnifying Party shall continue to fully defend and indemnify the Indemnified Party pursuant to
the terms of this Agreement and the Defense Agreement.

ARTICLE XIV

MISCELLANEOUS

     14.1. No Waiver; Cumulative Remedies. No failure or delay on the part of either party
in exercising any right, power or remedy hereunder shall operate as a waiver thereof; nor shall any
single or partial exercise of any such right, power or remedy preclude any other or further
exercise thereof or the exercise of any other right, power or remedy hereunder. No waiver of any
provision hereof shall be effective unless the same shall be in writing and signed by the party
giving such waiver. The remedies herein provided are cumulative and not exclusive of any remedies
provided by law.

     14.2 Headings. Article and Section headings used in this Agreement are for
convenience only and shall not affect the construction of this Agreement.

     14.3 Governing Law; Jurisdiction. This Agreement shall be construed and the respective
rights of the parties hereto determined according to the substantive laws of the Commonwealth of
Virginia notwithstanding the provisions governing conflict of laws under such law to the contrary.

15

 

     14.4 Severability. If any provision of this Agreement or any other document delivered
under this Agreement is prohibited or unenforceable in any jurisdiction, it shall be ineffective in
such jurisdiction only to the extent of such prohibition or unenforceability, and such prohibition
or unenforceability shall not invalidate the balance of such provision to the extent it is not
prohibited or unenforceable nor the remaining provisions hereof, nor render unenforceable such
provision in any other jurisdiction. In the event any provisions of this Agreement shall be held
to be invalid, illegal or unenforceable, the parties hereto shall use their best efforts to
substitute a valid, legal and enforceable provision which, insofar as practical, implements the
purposes hereof.

     14.5 Entire Agreement; Modification. This Agreement contains the entire agreement
between the parties in respect of the subject matter hereof and supersedes and cancels all previous
agreements, negotiations, commitments and writings between me parties hereto in respect of the
subject matter hereof and may not be changed or modified in any manner or released, discharged,
abandoned or otherwise terminated unless in writing and signed by the duly
authorized officers or representatives of the parties.

     14.6 Notices. Any notice or request required or permitted to be given in connection
with this Agreement shall be deemed to have been sufficiently given if sent by pre-paid registered
or certified mail or facsimile transmission to the intended recipient at the address set forth
below or such other address as may have been furnished in writing by the intended recipient to the
sender. The date of mailing, or facsimile transmission shall be deemed to be the effective date on
which notice was given, provided that all facsimile transmissions shall contain a provision
requiring the intended recipient to confirm receipt and Such facsimile transmissions shall not be
effective unless confirmation of its receipt is received within twenty four (24) hours of its
transmission.

 Any notice required to be given shall be addressed:

If to Atley, to:

Atley Pharmaceuticals, Inc.

10511 Old Ridge Road

Ashland, VA 23005

Attention: James J. McDermott

With a copy to:

Troutman Sanders LLP

1001 Haxall Point

Richmond, VA 23219

Phone: (804) 697-1278

Fax: (804) 698-5142

Attn: Robert L. Brooke, Esq.

16

 

If to Cornerstone, to:

Cornerstone Biopharma, Inc.

2000 Regency Parkway

Cary, NC 27518

Attention: President

With a copy to:

Hutchison Law Group PLLC

5410 Trinity Road, Suite 400

Raleigh, NC 27607

Phone: (919) 829-9600

Fax: (919) 829-9696

Attn: William N. Wofford, Esq.

     14.7 Execution in Counterparts. This Agreement may be executed in counterparts, each
of which, when executed and delivered, shall be deemed to be an original and all of which together
shall constitute one and the same document.

     14.8 Assignment. Except as otherwise expressly provided in this Section 14.8, neither
party shall assign this Agreement in whole or in part without the prior written approval of the
other party (such approval not to be unreasonably withheld or delayed). Any such attempted
assignment without prior written consent shall be void and ineffective. Notwithstanding the
foregoing, either party may, without the other party’s consent, assign its right, title and
interest in this Agreement to any entity with which it may merge or consolidate, which acquires,
all or greater than fifty percent (50%) of its business and assets, or which otherwise controls, is
controlled by or is under common control with the assigning party. This Agreement and the rights
and obligations granted and undertaken hereunder shall be binding upon and inure to the benefit of
the parties hereto, and their successors, trustee(s) or receivers) in bankruptcy and permitted
assigns.

     14.9 Dispute Resolution.

          (a) If a dispute arises between the parties in connection with this Agreement or any document
or instrument delivered in connection herewith, including without limitation, an alleged breach of
any representation, warranty or covenant herein or therein, or a disagreement regarding the
interpretation of any provision hereof or thereof (a “Dispute”), the parties shall use the
following procedure in good faith prior to any party pursuing other available judicial or
nonjudicial remedies.

          (b) A meeting shall be held between the parties within ten (10) days after any party gives
written notice of a Dispute to the other party (the “Dispute Notice”). The meeting shall be
attended by a representative of each party having decision-making authority regarding the Dispute
(subject to Board of Directors’ or equivalent approval, if required), to attempt in good faith to
negotiate a resolution of the Dispute.

17

 

          (c) If, within thirty (30) days after the Dispute Notice, the parties have not succeeded in
negotiating a written resolution of the Dispute, upon written request by any party to the other
party to this Agreement, the parties shall promptly negotiate in good faith to jointly appoint a
mutually acceptable neutral person not affiliated with any of the parties (the “Neutral”). If the
parties so agree in writing, a panel of two (2) or more individuals (such panel also being referred
to as the “Neutral”) may be selected by the parties. The fees and costs of the Neutral shall be
shared equally between the parties.

          (d) In consultation with the Neutral, the parties shall negotiate in good faith to select or
devise a nonbinding alternative dispute resolution procedure (“ADR”) by which they will attempt to
resolve the Dispute, and a time and place for the ADR to be held, with the Neutral (at the written
request of any party to the other party) making the decision as to the procedure, place and time if
the parties have been unable to agree on any such matters in writing within ten days after
selection of the Neutral.

          (e) The parties shall participate in good faith in the ADR to its conclusion; provided,
however, that no party shall be obligated to continue to participate in the ADR if the parties have
not resolved the Dispute in writing within sixty (60) days after the Dispute Notice and either
party shall have terminated the ADR by delivery of written notice of termination to the other party
following expiration of the sixty (60) days. Following any such termination notice after selection
of the “Neutral and if any parry so requests in writing to the Neutral (with a copy to the other
party), then the Neutral shall make a recommended resolution of the Dispute in writing to each
party, which recommendation shall not be binding upon the parties; provided, however, that the
parties shall give good faith consideration to the settlement of the Dispute on the basis of such
recommendation.

          (f) Notwithstanding anything herein to the contrary, nothing in this Section 14.9 shall
preclude either party from (a) seeking interim or provisional relief, in the form of a temporary
restraining order, preliminary injunction or other interim equitable relief concerning a Dispute
either prior to or during the ADR if necessary to protect the interests of such party or (b)
terminating this Agreement in accordance with Article XII. This Section 14.9 otherwise shall be
enforceable in accordance with its terms.

     14.10 Public Announcements. Any public announcements or similar publicity with
respect to this Agreement or the transaction contemplated herein shall be at such time and in such
manner as the parties shall mutually agree, provided that nothing herein shall prevent either party
from, upon notice to and opportunity to review by the other, making such public announcements as
such party’s legal obligations require.

     14.11 Maintenance of Records. The parties agree that throughout the duration of this
Agreement and for a period of six years after the termination of this Agreement each will maintain
records and otherwise establish procedures to assure compliance with all regulatory, professional,
and other applicable legal requirements which relate to the Detailing and marketing of the
Cornerstone Product and if applicable, with the other services and activities to be performed
hereunder.

18

 

     14.12 Force Majeure. Failure of either party hereto to fulfill or perform its
obligations under this Agreement shall not subject such party to any liability if such failure is
caused or occasioned by, without limitation, acts of God, acts of terrorism, fire, explosion,
flood, drought, war, riot, sabotage, embargo, strikes or other labor disputes (which strikes or
disputes need not be settled), compliance with any order, regulation, or request of government, or
by any other event or circumstance of like or different character to the foregoing beyond the
reasonable control and without the fault or negligence of such party (a “Force Majeure Event”),
provided such party uses reasonable efforts to remove such Force Majeure Event and gives the other
party prompt notice of the existence of such Force Majeure Event. If a Force Majeure Event causes
Atley to fail to meet its obligations under Section 2.1 for two consecutive months, then
Cornerstone may terminate this Agreement on thirty (30) days notice in which case the Agreement
shall be deemed terminated by Cornerstone pursuant to Section 12.4.

     14.13 Survival. The provisions of Articles III (compensation), V (representations,
warranties and covenants of Cornerstone), IX (insurance), XI (confidential information), 12.7, XIII
(indemnification) and XlV (miscellaneous) shall survive the termination of this Agreement.

     14.14 No Third Party Beneficiaries. This Agreement shall be binding upon and inure
solely to the benefit of the parties hereto and their permitted assigns and nothing herein, express
or implied, is intended to or shall confer upon any other person, any legal or equitable right,
benefit or remedy of any nature whatsoever under or by reason of this Agreement.

     IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by their duly
authorized officers.

	 	 	 	 	 	 	 
	CORNERSTONE BIOPHARMA, INC.	 	ATLEY PHARMACEUTICALS, INC.
	 
	 	 	 	 	 	 
	By:

	 	/s/ Craig Collard
	 	By:
	 	/s/ James J. McDermott
	 

	 	 
	 	 	 	 
	 

	 	Craig Collard
	 	 	 	James J. McDermott
	 

	 	President and CEO
	 	 	 	Vice President, Product
	 

	 	 	 	 	 	Development and Marketing

19

 

Exhibit A

Cornerstone Promotional Material Inventory

	 	 	 	 	 	 	 	 	 	 	 	 	 
	Balacet Promotional	 	 	 	 	 	Qty	 	Price Per
	Materials	 	Pk Size	 	O/H	 	Pk
	Balacet Dosing Card
	 	100/pk	 	 	155	 	 	 	[***]	 
	Balacet Clinical Monograph
	 	25/pk	 	 	236	 	 	 	[***]	 
	Balacet Magnets
	 	50/pk	 	 	110	 	 	 	[***]	 
	Balacet 325 Stickers
	 	100/roll	 	 	390	 	 	 	[***]	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 
	OUT — Balacet Detail Aid 6 pg
	 	50/pk	 	 	0	 	 	 	[***]	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 
	Revisions are $100-$150/hour
	 	 	 	 	 	 	 	 	 	 	 	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 
	All materials are cost + 6% for shipping
	 	 	 	 	 	 	 	 	 	 	 	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 
	O/H inventory was ordered at high
quantities; price likely to increase
with smaller quantity ordered
	 	 	 	 	 	 	 	 	 	 	 	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

 

 

Exhibit B

Initial Quarterly Baseline

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

1

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

2

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

3

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

4

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

5

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

6

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

7

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

8

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

9

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

10

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

11

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

12

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

13

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

14

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

15

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

16

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

17

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

18

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

19

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

20

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

21

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

22

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

23

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

24

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

25

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

26

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

27

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

28

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

29

 

Balacet Normalized Scripts (TRxN) for 2007Q1 by Zipcode (v3)

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	TRxN	 	 
	Zipcode	 	2007Q1	 	March	 	February	 	January	 	Atley Terr
	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	 	 
	[***]
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

30

 

Exhibit C

Sample Calculation of Detailing Fee

	 	 	 	 	 
	Total Pills Sold — Retail & Mail Order 
	 	 	[***]	 
	Total Ob-Gyn/Gyn Target Market 
	 	 	[***]	 
	 
	 	 	 	 
	Total Pills Subject to Co-Promotion Agreement
	 	 	[***]	 
	Baseline
	 	 	[***]	 
	 
	 	 	 	 
	# Pills exceeding baseline
	 	 	[***]	 
	Pills converted to 100ct Equivalent Bottle
	 	 	[***]	 
	Average Sales Price per bottle (see Exhibit D)
	 	 	[***]	 
	 
	 	 	 	 
	Gross Sales subject to royalty
	 	 	[***]	 
	 
	 	 	 	 
	 
	 	 	 	 
	Allowance for Cash Discounts
	 	 	[***]	 
	Allowance for Rebates
	 	 	[***]	 
	Allowance for Chargebacks
	 	 	[***]	 
	Allowance for DSA Fees
	 	 	[***]	 
	 
	 	 	 	 
	 
	 	 	 	 
	Net Sales
	 	 	[***]	 
	 
	 	 	 	 
	 
	Cost of Goods (see Exhibit E)
	 	 	[***]	 
	Royalty @ [***]% of Net Sales
	 	 	[***]	 
	 
	 	 	 	 
	Total Cost of Goods Sold
	 	 	[***]	 
	 
	 	 	 	 
	 
	 	 	 	 
	Net Profit
	 	 	[***]	 
	 
	 	 	 	 
	 
	 	 	 	 
	Detailing Fee @ [***]% Net Profit Split
	 	 	[***]	 
	 
	 	 	 	 

	 	 	 	 	 
	Note: For purposes of the sample of the calculation, the following
items are assumed:
	 	 	 	 
	Balacet 325 # of Pills Sold per NDC data — All Prescribers:
	 	 	[***]	 
	Balacet 325 # of Pills Sold per NDC data — OB/GYN Prescribers:
	 	 	[***]	 
	Current Baseline:
	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

 

 

Exhibit D

Sample Calculation of Average Sales Price

	 	 	 	 	 
	Total Invoiced Sales — Balacet 325 100 ct Bottles — Dollars
	 	 	[***]      	(A)
	Total Invoiced Sales — Balacet 325 100 ct Bottles — # Bottles Sold
	 	 	[***]      	(B)
	Average Sales Price
	 	$	[***]	 

			
	 
	(A)/(B)

	 	 	 	 	 
	Note: For purposes of the sample of the calculation, the following
items are assumed:
	 	 	 	 
	Total Invoiced Sales — Balacet 325 100 ct Bottles — Dollars
	 	 	[***]	 
	Total Invoiced Sales — Balacet 325 100 ct Bottles — # Bottles Sold
	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

 

 

Exhibit E

Example of Cost of Goods Sold Calculation

Sample Calculation of Cost of Goods Sold

	 	 	 	 	 
	Direct cost of Balacet 325 per unit
	 	 	[***]            	(A)
	Total Pills Sold — Retail & Mail Order
	 	 	[***]	 
	Total Ob-Gyn/Gyn Target Market
	 	 	[***]	 
	 
	 	 	 	 
	Total Pills Subject to Co-Promotion Agreement
	 	 	[***]	 
	Baseline
	 	 	[***]	 
	 
	 	 	 	 
	# Pills exceeding baseline
	 	 	[***]	 
	Pills exceeding baseline converted to 100ct equivalent bottles
	 	 	[***] 	(B)
	 
	 	 	 	 
	Cost of Goods Sold
	 	$	[***]        	(A)X(B)

	 	 	 	 	 
	Note: For purposes of the sample of the calculation, the following items are assumed:
	 	 	 	 
	Balacet 325 # of Pills Sold per NDC data — All Prescribers:
	 	 	[***]	 
	Balacet 325 # of Pills Sold per NDC data — OB/GYN Prescribers:
	 	 	[***]	 
	Current Baseline:
	 	 	[***]	 
	Direct cost of Balacet 325 per unit
	 	 	[***]	 

 

[***] Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.exv10w4

Exhibit 10.4

FIRST AMENDMENT TO COPROMOTION AGREEMENT

     This FIRST AMENDMENT TO COPROMOTION AGREEMENT (the “First Amendment”) is made and entered into
as of July 1, 2008 (the “Amendment Date”) by and between Atley Pharmaceuticals, Inc., having a
place of business at 10511 Old Ridge Road, Ashland, VA 23005 (“Atley”), and Cornerstone BioPharma
Holdings, Inc., a Delaware corporation that sometimes does business as Cornerstone BioPharma, Inc.
(“Cornerstone”), having a place of business at 2000 Regency Parkway, Cary, NC 27518.

     WHEREAS, Cornerstone and Atley are parties to that certain COPROMOTION Agreement effective as
of April 2, 2007 (the “COPROMOTION Agreement”). In connection with the marketing of an authorized
generic version of Balacet® 325 by Aristos Pharmaceuticals, an affiliate of Cornerstone, a change
to Targeted Physicians, and changes to the Quarterly Baseline, the Parties desire to amend certain
terms of the COPROMOTION Agreement as provided in this Amendment.

     NOW, THEREFORE, the Parties agree as follows:

     1. All capitalized terms used but not otherwise defined herein shall have the meanings
ascribed to such terms in the COPROMOTION Agreement.

     2. Effective as of the Amendment Date, the defined term “Target Physician” in Article I,
Section 1.1(r) shall be amended and shall be defined as “all physicians in the Territory.”

     3. Effective as of the Amendment Date, the defined term “Generic Product” shall be added to
Article I of the COPROMOTION Agreement, the definition of which shall read “the pharmaceutical
product known as 100 mg propoxyphene/ 325 mg APAP which is marketed and distributed under license
from Cornerstone as an authorized generic equivalent to the Branded Product.”

     4. Effective as of the Amendment Date, the defined term “Branded Product” shall be added to
Article I of the COPROMOTION Agreement, the definition of which shall read “the pharmaceutical
product known as Balacet 325 (100 mg propoxyphene/ 325 mg APAP), previously defined as “Cornerstone
Product.”

     5. Effective as of the Amendment Date, the defined term “Cornerstone Product” as defined in
Article I, Section 1.1(h) shall be amended and shall read “Cornerstone Product” means “Branded
Product” and “Generic Product.”

     6. Effective as of the Amendment Date, “Gross Sales” as used in Section 3.1 will be the sum of
Gross Sales of Branded Product plus Gross Sales of Generic Product. Average Sales Price will be
calculated separately for Branded Product and Generic Product, in each case in the manner described
in the revised Exhibit D attached hereto.

     7. Effective as of the Amendment Date, “Cost of Goods Sold” as used in Section 3.1 means the
actual direct cost of Cornerstone and its Affiliates for the Branded Product and

 

			
	[***]	 	Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

Page 1 of 6

 

for the Generic Product. An example of the calculation of the Cost of Goods Sold is attached
hereto as a revised Exhibit E.

     8. Effective April 1, 2008, Section 3.1(a)(ii) shall be amended to read as follows:

     (ii) The foregoing Detailing fee shall be paid by Cornerstone to Atley for each calendar month
in which the number of units (pills) of Eligible Product sold exceeds one third of the Quarterly
Baseline (as defined below) for the Territory. Atley will not be entitled to a Detailing fee for
any month in which the number of units (pills) of Eligible Product sold does not exceed the one
third of the Quarterly Baseline for the Territory for that quarter. “Quarterly Baseline” means the
aggregate amount of the quarterly baseline for each zip code in the Territory. For any zip code
that is shown on Exhibit B and any zip code added by Atley between Effective Date and
1st quarter 2008, the Quarterly Baseline amount for that zip code is the amount of
1st quarter 2007 total units dispensed in the Territory, less an erosion factor of
[***]%. If any zip code is added to the Territory for any quarter beginning on or after April 1,
2008, then the Quarterly Baseline for that zip code will be the number of units dispensed in the
quarter that is two quarters prior to the quarter for which it is being added, less an erosion
factor of [***]% If any zip code is removed from the Territory, the quarterly baseline for that
zip code shall be zero. If any zip code is removed from the Territory but added to the Territory
again in a later quarter, the quarterly baseline for that zip code shall be equal to the quarterly
baseline when the zip code was initially added to the Territory. Upon Atley’s request, every six
(6) months Cornerstone will review the baseline numbers jointly with Atley. If the parties, acting
in good faith, determine that the Quarterly Baseline is not attainable using commercially
reasonable efforts, then the Quarterly Baseline will be reduced to an amount that is attainable
using commercial reasonable efforts. If the parties are unable to agree on a revised Quarterly
Baseline, then either party may terminate the Agreement. A revised Exhibit B is attached hereto.
A revised Exhibit C showing a sample calculation of the Detailing fee is also attached hereto

     9. Section 14.8 shall be amended to read as follows: “Except as otherwise expressly provided
in this Section 14.8, neither party shall assign this Agreement in whole or in part without the
prior written approval of the other party (such approval not to be unreasonably withheld or
delayed). Any such attempted assignment without prior written consent shall be void and
ineffective. Notwithstanding the foregoing, either party may, without the other party’s consent,
assign its right, title and interest in this Agreement to any entity with which it may merge or
consolidate, which acquires all or greater than fifty percent (50%) of its business and assets, or
which otherwise controls, is controlled by or is under common control with the assigning party.
For clarification, no consent shall be required in connection with the merger of Cornerstone with
Critical Therapeutics or any other merger in which the stockholders of one party immediately prior
to the merger hold a majority of the shares of the combined company immediately following the
merger. This Agreement and the rights and obligations granted and undertaken hereunder shall be
binding upon and inure to the benefit of the parties hereto, and their successors, trustee(s) or
receiver(s) in bankruptcy and permitted assigns.”

     10. This First Amendment is hereby integrated into and made part of the COPROMOTION Agreement,
and is governed by and made subject to all its terms. Except as expressly amended and modified by
this First Amendment, the COPROMOTION Agreement shall remain in full force and effect according to
its original terms.

 

			
	[***]	 	Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

Page 2 of 6

 

     11. This First Amendment may be executed in two or more counterparts, each of which shall be
deemed an original, but all of which together shall constitute one and the same instrument.

     IN WITNESS WHEREOF, the Parties have executed this First Amendment as of the date set
forth above.

	 	 	 	 	 	 	 	 	 	 	 
	CORNERSTONE BIOPHARMA, INC.	 	 	 	ATLEY PHARMACEUTICALS, INC.	 	 
	 
	 	 	 	 	 	 	 	 	 	 
	By:

	 	/s/ Craig Collard
	 	 	 	By:
	 	/s/ James J. McDermott	 	 
	 

	 	 
	 	 	 	 	 	 	 	 
	 
	 	 	 	 	 	 	 	 	 	 
	Name:

	 	Craig Collard
	 	 	 	Name:
	 	James J. McDermott	 	 
	 
	 	 	 	 	 	 	 	 	 	 
	Title:

	 	President and CEO
	 	 	 	Title:
	 	Vice President, Product Development and Marketing	 	 

Page 3 of 6

 

Exhibit C

to the COPROMOTION Agreement between

Cornerstone BioPharma, Inc. and Atley Pharmaceuticals, Inc.

Sample Calculation of Detailing Fee

Cornerstone BioPharma Inc.

Calculation of Balacet 325 COPROMOTION Royalty

For the Quarter Ending XXX

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	Total Baseline (Branded and Generic)
	 	 	[***]	 	 	 	 	 	 	 	 	 	 	 	 	 
	 
	 	 	[***]	 	 	 	 	 	 	 	 	 	 	 	 	 

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	Accrual	 	 	 	 	 	Accrual	 	 
	 	 	Percentages	 	Branded	 	Percentages	 	Generic
	TOTAL Bottles for Atley Targets
	 	 	 	 	 	 	[***]	 	 	 	 	 	 	 	[***]	 
	Pro-rata Allocation of Baseline %
	 	 	 	 	 	 	[***]	 	 	 	 	 	 	 	[***]	 
	Pro-rata Allocation of Baseline
	 	 	 	 	 	 	[***]	 	 	 	 	 	 	 	[***]	 
	 
	#Bottles Subject to COPROMOTION Agreement
	 	 	 	 	 	 	[***]	 	 	 	 	 	 	 	[***]	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	Bottles
	 	 	 	 	 	 	[***]	 	 	 	 	 	 	 	[***]	 
	Average Sales Price
	 	 	 	 	 	 	[***]	 	 	 	 	 	 	 	[***]	 
	Gross Sales subject to royalty
	 	 	 	 	 	 	[***]	 	 	 	 	 	 	 	[***]	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	Allowance for Cash Discounts
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 
	Allowance for Shipping
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 
	Allowance for DSA’s
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 
	Allowance for Rebates
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 
	Allowance for Chargebacks
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 
	Net Sales
	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 	 	 	[***]	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	Bottles COGS per unit
	 	 	 	 	 	 	[***]	 	 	 	 	 	 	 	[***]	 
	Bottles COGS
	 	 	 	 	 	 	[***]	 	 	 	 	 	 	 	[***]	 
	Royalties percentages
	 	 	 	 	 	 	[***]	 	 	 	 	 	 	 	[***]	 
	Royalties
	 	 	 	 	 	 	[***]	 	 	 	 	 	 	 	[***]	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	Net Profit
	 	 	 	 	 	 	[***]	 	 	 	 	 	 	 	[***]	 

 

			
	[***]	 	Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

Page 4 of 6

 

Exhibit D

to the COPROMOTION Agreement between

Cornerstone BioPharma, Inc. and Atley Pharmaceuticals, Inc.

Example of Average Sales Price

	 	 	 	 	 
	Total Gross Sales Invoiced (Branded Balacet 325)

	 	[***]
	 	(A)
	Total Units in bottles sold in Territory of Product
(Branded Balacet 325)

	 	[***]
	 	(B)
	Product ASP Brand (A divided by B)

	 	[***]
	 	(C)
	 
	 	 	 	 
	Total Gross Sales Invoiced (Generic Balacet 325)

	 	[***]
	 	(D)
	Total units in bottles sold in Territory of Product
(Generic Balacet 325)(A divided by 100)

	 	[***]
	 	(E)
	Product ASP Generic (D divided by E)

	 	[***]
	 	(F)

 

			
	[***]	 	Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

Page 5 of 6

 

Exhibit E

to the COPROMOTION Agreement between

Cornerstone BioPharma, Inc. and Atley Pharmaceuticals, Inc.

Example of Cost of Goods Sold Calculation

	 	 	 	 	 
	Direct cost of Balacet 325 per unit

	 	[***]
	 	(A)
	 
	 	 	 	 
	Total Pills Sold — Retail

	 	[***]	 	 
	Baseline

	 	[***]	 	 
	# of Pills exceeding baseline

	 	[***]	 	 
	Pills exceeding baseline converted to 100ct
equivalent bottles

	 	[***]
	 	(B)
	Cost of Goods Sold

	 	[***]
	 	(A) x (B)

 

			
	[***]	 	Confidential portions of the exhibit have been omitted and filed separately with the
Securities and Exchange Commission.

Page 6 of 6

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