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Mirum Pharmaceuticals, Inc. logo

Mirum Pharmaceuticals, Inc.

mirumpharma.com

What Do They Do?

Sells medicines for rare diseases, including rare liver conditions, through pharmacies and distribution partners.

How Do They Make Money?

Mirum sells approved medicines to customers when the products are delivered. License and collaboration agreements can bring upfront fees, milestone payments and royalties on product sales.

FY2025 revenue by product or service revenue
SegmentShareRevenue
Total product sales, net
Sold outright

100%
FY2022: 97%
License and other revenue
Licensed
0.0%
FY2022: 2.6%

Who Are Their Customers?

In the U.S. and Canada, approved medicines are distributed through specialty pharmacies. Elsewhere, third-party logistics providers sell directly to pharmacies, while authorized distributors and licensed partners also distribute them.

Do Revenues Turn Into Profits?

Not on paper. It lost $23.4M in FY2025, but brought in more cash than it spent: $54.9M of free cash flow.

Operating income, FY2025
−4% of revenue
▼ −75% (Loss) vs FY2024 (−$87.6M, −26%)
Net income, FY2025
−4% of revenue
▼ −73% (Loss) vs FY2024 (−$87.9M, −26%)
Free cash flow, FY2025
11% of revenue
▲ +488% vs FY2024 ($9.3M, 3%)

How Are They Changing?

Since the FY2025 annual report
Latest quarter: Q2 FY2026, the three months to Jun 30, 2026
Revenue
▲ +38%
vs $127.8M in Q2 FY2025
Net income
▲ +1047% (Loss)
vs −$5.9M in Q2 FY2025
Product sales, net share of revenue vs 100.0% in Q2 FY2025

Growing. Revenue grew 27.2x in 4 years, from $19.1M in FY2021 to $521.3M in FY2025, about 128% a year.

More approved medicines The older report centered on Livmarli as its commercial product; the latest describes Livmarli alongside Cholbam and Ctexli, which Mirum acquired and now markets.

Livmarli approved for PFIC The older report described Livmarli as in development for PFIC; the latest describes it as approved for PFIC in several markets.

Broader pipeline The latest report adds candidates for chronic hepatitis D and fragile X syndrome to the pipeline described in the older report.

Revenue over time
Total product sales, net License and other revenue License
$1B$500M$0

Who Do They Compete With?

Competes with GlaxoSmithKline, Ipsen Pharma, Alfasigma, Gilead Sciences, Zydus Therapeutics, Calliditas Therapeutics, COUR Pharmaceuticals, Umecrine Cognition, Kowa, HighTide Therapeutics, Hepagene Therapeutics, Tharimmune, Cascade Pharmaceuticals, Dr. Falk Pharma, NGM Biopharmaceuticals, Chemomab Therapeutics, LISCure Biosciences, Halo Biosciences, ProQR Therapeutics, and Rectify Pharmaceuticals

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