Amendment No. 1, dated December 18, 2023, to Supply Agreement, dated July 1, 2017, between OptiNose US, Inc. and Hovione Inter Ltd

This AMENDMENT NO. 1 TO SUPPLY AGREEMENT (this “Amendment”) is made effective January 1, 2023 (the “Amendment Effective Date”) and is entered into by and between HOVIONE INTER LTD, Bahnhofstrasse 21, CH-6000 Lucerne 7, Switzerland (“Hovione”) and OPTINOSE US, INC., a Delaware corporation, having its principal place of business at 1020 Stony Hill Road, Suite 300, Yardley, PA 19067 (“OptiNose”). Hovione and OptiNose are sometimes referred to herein individually as a “Party” and collectively as the “Parties.”

WHEREAS Hovione and OptiNose, OptiNose AS and OptiNose UK Ltd. entered into that certain Supply Agreement effective as of July 1, 2017 (the “Agreement”), which outlines the rights and obligations of Hovione and OptiNose with respect to the conduct of certain services to be performed by Hovione;

WHEREAS OptiNose AS and OptiNose UK Ltd. are currently in the process of being dissolved and the Parties wish to remove them as Parties to the Agreement;

WHEREAS the Parties wish to enter into this Amendment in accordance with the terms and conditions set forth herein;

NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties hereto, intending to be legally bound, hereby agree as follows:

1. Defined Terms. All capitalized terms used herein shall have the meaning ascribed to each of them as defined herein and, if not defined herein, shall have the meaning ascribed to each of them in the Agreement.

(a) Preamble. OptiNose AS and OptiNose UK Ltd. shall no longer be Parties to the Agreement, and all references to OptiNose AS and OptiNose UK Ltd. are hereby deleted.

(b) Section 1, Definitions.

Section 1.13 “Firm Forecast” is hereby deleted in its entirety and all references to such are hereby deleted.

Section 1.16 “Product Specifications” is hereby amended and restated in its entirety to read in full as follows:

“Product Specifications” shall have the meaning given to such term in Section 2.1.a hereof”.

(c) Section 2.1 Supply. Effective as of the Amendment Effective Date, Section 2.1, Supply, is hereby amended and restated in its entirety to read in full as follows:

“Supply. During the term of this Agreement and subject to the terms and conditions set forth herein, Hovione shall manufacture and supply API to OptiNose (or a third party designated by OptiNose) in such quantities as from time to time may be ordered by OptiNose in accordance with Exhibit B hereto. During the term of this Agreement, Hovione shall ensure that it has the

capacity to meet all of OptiNose’s requirements for API in a timely manner in accordance with Exhibit B.

(a) Product Specifications. The specifications of the API as set out in Hovione’s US DMF are set forth in Exhibit A to this Agreement (the “Product Specifications”); as such Exhibit may be amended in accordance with the terms of the Quality Agreement and Section 4.1 hereof.”

(d) Section 3.2, Forecasting. Effective as of the Amendment Effective date, Section 3.2, Forecasting is hereby amended and restated in its entirety to read in full as follows:

“Forecasting. For each calendar year during the term of this Agreement, OptiNose shall submit a [**] ([**]) month forecast updated on a quarterly basis, broken down on a quarterly basis covering OptiNose’s anticipated requirements of API, each such forecast to be provided to Hovione at least [**] ([**]) days prior to the start of the relevant calendar year, except in the case of the first forecast after the Effective Date which the Parties acknowledge has already been provided by OptiNose.. The forecast will be for information purposes only and non-binding. OptiNose shall place all purchase orders with Hovione at least [**] ([**]) days in advance of required delivery to OptiNose. Within [**] ([**]) days of receipt of a purchase order, Hovione shall notify OptiNose in writing of its acceptance or rejection of the purchase order and indicate the delivery date, which delivery date shall be no less than [**] ([**]) days and no more than [**] ([**]) days after the date of the purchase order unless agreed upon by the parties.”

(e) Section 3.3, Delivery Terms. Effective as of the Amendment Effective date, Section 3.3, Delivery Terms is hereby amended and restated in its entirety to read in full as follows:

“Delivery Terms. Each purchase order shall specify: (i) an identification of the API ordered; (ii) quantity requested; (iii) the requested delivery date; and (iv) shipping instructions and address. Hovione agrees to deliver API conforming to the Specifications and the requirements of this Agreement DDP (Incoterms 2020) to such U.S. or Canadian location as may be designated by OptiNose on the purchase order.”

(f) Section 3.4, Late Delivery. Effective as of the Amendment Effective date, Section 3.4, Late Delivery is hereby amended and restated in its entirety to read in full as follows:

“Late Delivery. Failure to deliver by the [**] ([**]) [**] from the agreed delivery shall constitute a breach of this Agreement and, for purposes of clarity, any liability of Hovione under this Agreement resulting from such breach shall be, to the extent applicable, subject to the limitations set forth in Section 8.4.”

(g) Section 3.6, Payment Terms. Effective as of the Amendment Effective date, the first and second sentences of Section 3.6, Payment Terms, are hereby amended and restated in their entirety to read in full as follows:

“Hovione can invoice OptiNose for the annual sourcing fee listed in Exhibit B at any time of the relevant calendar year or after its end if the invoice has not been issued during the relevant calendar year. OptiNose shall pay all undisputed amounts to Hovione for conforming API within [**] ([**]) calendar days of the date of receipt of invoice of such API.”

(h) Section 4.2, Right of Audit. Effective as of the Amendment Effective date, the first sentence of Section 4.2, Right of Audit, is hereby amended and restated in its entirety to read in full as follows:

“OptiNose and its representatives shall have the right to audit Hovione for compliance with applicable regulatory requirements, including but not limited to cGMPs, at reasonable intervals and upon [**] days written notice (or [**] days written notice where the audit is for cause).”

(i) Section 4.6, Inspection of API. Effective as of the Amendment Effective date, the first and second sentences of Section 4.6, Inspection of API, are hereby amended and restated in their entirety to read in full as follows:

“Within [**] ([**]) calendar days of the arrival of each lot of API at the facility designated by OptiNose, OptiNose shall inspect and test each lot of API at its own cost and expense. If, upon inspecting and testing the API, OptiNose determines that a lot of API does not conform to the Product Specifications, then OptiNose shall, within such [**] ([**]) day period, give Hovione written notice of such non-conformity (setting forth the details of such non-conformity) in the form of a written complaint, and unless Hovione, within [**] ([**]) working days from the notice by OptiNose, objects to the non-conformity or provides a status report indicating the investigation is still ongoing, OptiNose shall return the non-conforming API to Hovione at Hovione’s sole cost and expense.”

(j) Section 8.2, Indemnification by Hovione. Effective as of the Amendment Effective date, Section 8.2 is hereby amended and restated in its entirety to read in full as follows:

“8.2 Hovione shall indemnify, defend and hold OptiNose and its officers, directors, affiliates, agents and employees harmless from and against any and all claims, demands, costs, expenses, losses, liabilities and/or damages (including, but not limited to, reasonable attorneys' fees and court costs) of every kind and nature caused by, arising out of or resulting from (i) Hovione’s gross negligence relating to, or material breach of, this Agreement and (ii) any claim for personal or bodily injury arising from (a) the manufacture and/or distribution of API by Hovione or (b) the use or administration of the API, provided, however, that in no event shall this Section apply to any claim covered by Section 8.1 above. This indemnification obligation does not apply to any claim for personal or bodily injury arising from the use or administration of the API except to the extent such injury is attributable to a Defect in the API arising out of Hovione’s gross negligence, willful misconduct, or material breach of this Agreement.”

(k) Section 8.4, Limitation of Liability. Effective as of the Amendment Effective date, Section 8.4 is hereby amended and restated in its entirety to read in full as follows:

“8.4 NOTWITHSTANDING ANYTHING IN THIS AGREEMENT TO THE CONTRARY, IN NO EVENT WILL EITHER PARTY BE LIABLE FOR ANY SPECIAL, INCIDENTAL, CONSEQUENTIAL OR INDIRECT DAMAGES ARISING OUT OF THIS AGREEMENT, HOWEVER CAUSED AND ON ANY THEORY OF LIABILITY. THIS LIMITATION WILL APPLY EVEN IF THE OTHER PARTY HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGE; PROVIDED, HOWEVER, THAT THIS LIMITATION WILL NOT APPLY TO DAMAGES RESULTING FROM A PARTY’S WILLFUL MISCONDUCT OR GROSS NEGLIGENCE OR BREACHES BY A PARTY OF ITS DUTY OF CONFIDENTIALITY AND NON-USE IMPOSED UNDER THIS AGREEMENT OR THE CONFIDENTIALITY AGREEMENT (COLLECTIVELY, THE “EQUITABLE EXCEPTIONS’’) OR SUCH PARTY’S INDEMNIFICATION OBLIGATIONS STATED ABOVE. FURTHERMORE, EXCEPT PURSUANT TO THE EQUITABLE EXCEPTIONS, THE TOTAL AGGREGATE LIABILITY OF HOVIONE TO OPTINOSE UNDER THIS AGREEMENT SHALL BE LIMITED TO [**].”

(l) Section 10.1, Term. Effective as of the Amendment Effective date, Section 10.1, Term, is hereby amended and restated in its entirety to read in full as follows:

“10.1 Term. Unless terminated in accordance with the provisions of Section 10.2 below, the term of this Agreement shall commence on the Effective Date and shall continue in effect thereafter until December 31, 2026. The term of this Agreement may be extended, upon mutual agreement of the parties, at the expiration of the term unless and until this Agreement is terminated by any party in accordance with the terms hereof. For the avoidance of doubt, this Agreement does not automatically renew.”

(m) Section 10.2, Grounds for Termination. The following sentence is hereby added to the end of Section 10.2(b):

“OptiNose shall also have the right to terminate this Agreement without cause upon [**] ([**]) days prior written notice to Hovione, provided that in this event OptiNose shall pay in a lump sum of $[**] for each calendar year remaining in the Term as of the date of termination.”

(n) Exhibit A, Product Specifications. Effective as of the Amendment Effective Date, Exhibit A to the Agreement is hereby deleted in its entirety and replaced with the new Exhibit A, Product Specifications, attached hereto as Exhibit A to Amendment No. 1 and incorporated herein by reference.

(o) Exhibit B, Pricing. Effective as of the Amendment Effective Date, Exhibit B to the Agreement is hereby deleted in its entirety and replaced with the new Exhibit B, Annual Sourcing Fee, and Supply, attached hereto as Exhibit B to Amendment No. 1 and incorporated herein by reference.

3. No Release from Obligations. Section 2(a) of this Amendment does not intend to release either Party from its obligations under the Agreement accrued prior to this Amendment becoming effective. The Parties agree that if this Agreement or any interest herein is assigned by OptiNose to its affiliate, division, or subsidiary, OptiNose shall remain liable under this Agreement (in addition to the transferee), as set forth in Section 13.1 of the Agreement.

4. Entire Agreement. Each Party acknowledges that this Amendment, together with the Agreement, constitutes the entire agreement of the Parties with respect to the subject matter hereof.

5. Full Force and Effect. Except as expressly amended hereby, all of the other terms and conditions of the Agreement shall remain unchanged and in full force and effect in accordance with their original terms.

6. Authority. Each Party hereby represents and warrants that is has full power and authority to enter into this Amendment.

IN WITNESS WHEREOF, the Parties have each caused a duly authorized representative to execute this Amendment as of the Amendment Effective Date.

OPTINOSE:			HOVIONE:
OptiNose US, Inc.			Hovione Inter Ltd.
By:/s/ Ramy Mahmoud Name: Ramy Mahmoud Title: Chief Executive Officer Date: December 18, 2023			By: /s/ Curtis Gingles Name: Curtis Gingles Title: Director, North America Products Date: December 14, 2023
			By: Joseph D’Antuono Name: Joseph D’Antuono Title: Vice President, Sales Date: December 14, 2023

i. Purchase Price can be adjusted annually in an amount equal to the applicable producer price index as issued by the U.S. Bureau of Labor Statistics for Pharmaceutical Preparation Manufacture (commodity code 0638) (“PPI”) during the preceding [**] months.

ii. In the event of change of circumstances that were not foreseeable at Effective Date, for reasons beyond Hovione’s reasonable control, resulting in the agreed selling price becoming unsustainable and/or economically unviable, including without limitation an increase of Hovione’s cost of Manufacturing and/or the aggregate cost of Hovione-supplied materials by more than [**] percent ([**]%) since the beginning of the Effective Date if a PPI adjustment according to (i) has not been requested or since the latest PPI adjustment requested by Hovione according to (i), then Hovione can propose by written notice promptly following the change of circumstances to renegotiate the pricing terms of the Agreement. During the negotiation period, that shall not exceed [**] ([**]) months from the date of issuance of the written notice, Hovione shall continue to abide by the

terms of the Agreement. In the event the Parties, after good faith negotiations, cannot agree on an amendment to the existing Agreement during the negotiation period, then either Party may terminate this Agreement, subject to a [**] months ([**]) prior written notice only if Optinose is paying at the higher price during this notification period, after which termination OptiNose shall not continue to incur further fees including the $[**] annual fee. Should such termination occur, both Parties shall continue to comply with the terms of the Agreement during the notice period.