SONOMA PHARMACEUTICALS, INC. 10-K

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 2024-01-01

 UNITED STATES

 SECURITIES AND EXCHANGE COMMISSION

 Washington, D.C. 20549

 Form 10-K

 (Mark One)

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

 For the fiscal year ended March 31, 2024

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

 For transition period from _________________ to _________________

 Commission File Number: 001-33216

 SONOMA PHARMACEUTICALS, INC.

 (Exact name of registrant as specified in its
charter)

 Delaware

 68-0423298

 (State or other jurisdiction of incorporation or organization)

 (I.R.S. Employer Identification No.)

 5445 Conestoga Court, Suite 150

 Boulder, Colorado 80301

 (Address of principal executive offices) (Zip
Code)

 ( 800) 759-9305

 (Registrant's telephone number, including
area code)

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

 Common Stock, $0.0001 par value

 SNOA

 The Nasdaq Stock Market LLC

 (Title of Each Class)

 (Trading Symbol(s))

 (Name of Each Exchange on Which Registered)

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

 None.

 Indicate by check mark if
the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes No

 Indicate by check mark if
the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes No

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

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

the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging
growth company. See the definitions of "large accelerated filer," "accelerated filer," "smaller reporting
company," and "emerging growth company" in Rule 12b-2 of the Exchange Act:

 Large accelerated filer

 Accelerated filer

 Non-accelerated Filer

 Smaller reporting company

 Emerging growth company

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

the registrant has filed a report on and attestation to its management's assessment of the effectiveness of its internal control
over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that
prepared or issued its audit report.

 If securities are registered
pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant included in the filing
reflect the correction of an error to previously issued financial statements.

any of those error corrections are restatements that required a recovery analysis of incentive-based compensation received by any of the
registrant's executive officers during the relevant recovery period pursuant to §240.10D-1(b).

the registrant is a shell company (as defined in Rule 12b-2 of the Act). Yes
No

 The aggregate market value
of the voting and non-voting common stock held by non-affiliates of the registrant on September 29, 2023, was $ 3,797,950 based on
a total of 4,932,404 shares of the registrant's common stock held by non-affiliates on September 29, 2023, at the closing price
of $0.77 per share, as reported on the Nasdaq Capital Market.

 There were 18,773,635 shares
of the registrant's common stock issued and outstanding on June 17, 2024.

 DOCUMENTS INCORPORATED BY
REFERENCE

 Items 10 (as to directors
and Section 16(a) Beneficial Ownership Reporting Compliance), 11, 12, 13 and 14 of Part III will incorporate by reference information
from the registrant's proxy statement to be filed with the Securities and Exchange Commission in connection with the solicitation
of proxies for the registrant's 2023 annual meeting of stockholders.

 Page

 ITEM 1.

 Business

 ITEM 1A.

 Risk Factors

 ITEM 1B.

 Unresolved Staff Comments

 ITEM 1C.

 Cybersecurity

 ITEM 2.

 Properties

 ITEM 3.

 Legal Proceedings

 ITEM 4.

 Mine Safety Disclosures

 ITEM 5.

 Market for Registrant's Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities

 ITEM 6.

 Selected Financial Data

 ITEM 7.

 Management's Discussion and Analysis of Financial Condition and Results of Operations

 ITEM 7A.

 Quantitative and Qualitative Disclosures About Market Risk

 ITEM 8.

 Consolidated Financial Statements and Supplementary Data

 ITEM 9.

 Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

 ITEM 9A.

 Controls and Procedures

 ITEM 9B.

 Other Information

 ITEM 10.

 Directors, Executive Officers and Corporate Governance

 ITEM 11.

 Executive Compensation

 ITEM 12.

 Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

 ITEM 13.

 Certain Relationships and Related Transactions, and Director Independence

 ITEM 14.

 Principal Accounting Fees and Services

 ITEM 15.

 Exhibits, Financial Statement Schedules

 ITEM 16.

 Form 10-K Summary

 Signatures

 i

 This report includes "forward-looking
statements." The words "may," "will," "anticipate," "believe," "estimate,"
"expect," "intend," "plan," "aim," "seek," "should," "likely,"
and similar expressions as they relate to us or our management are intended to identify these forward-looking statements. All statements
by Sonoma regarding expected financial position, revenues, cash flows and other operating results, business strategy, legal proceedings
and similar matters are forward-looking statements. Our expectations expressed or implied in these forward-looking statements may not
turn out to be correct. Our results could be materially different from our expectations because of various risks, including the risks
discussed in this report under "Part I — Item 1A — Risk Factors." Any forward-looking statement
speaks only as of the date as of which such statement is made, and, except as required by law, we undertake no obligation to update any
forward-looking statement to reflect events or circumstances, including unanticipated events, after the date as of which such statement
was made.

 ITEM 1. Business

 Corporate Information

 We originally incorporated as Micromed Laboratories,
Inc. in 1999 under the laws of the State of California. We changed our name to Oculus Innovative Sciences, Inc. in 2001. In December 2006
we reincorporated under the laws of the State of Delaware, and in December 2016 we changed our name to Sonoma Pharmaceuticals, Inc.

 In 2022, we relocated our principal executive
offices from 645 Molly Lane, Suite 150, Woodstock, Georgia, 30189 to 5445 Conestoga Court, Suite 150, Boulder, Colorado 80301. We have
two active wholly-owned subsidiaries: Oculus Technologies of Mexico, S.A. de C.V., and Sonoma Pharmaceuticals Netherlands, B.V. Our fiscal
year end is March 31. Our corporate telephone number is (800) 759-9305. Our websites are www.sonomapharma.com and www.sonomapharma.eu.
The websites and any information contained therein or connected thereto is not intended to be incorporated into this report.

 Overview

 We are a global healthcare leader for developing
and producing stabilized hypochlorous acid, or HOCl, products for a wide range of applications, including wound care, eye care, oral care,
dermatological conditions, podiatry, animal health care and non-toxic disinfectants. Our products are clinically proven to reduce itch,
pain, scarring, and irritation safely and without damaging healthy tissue. In-vitro and clinical studies of HOCl show it to safely manage
skin abrasions, lacerations, minor irritations, cuts, and intact skin. We sell our products either directly or via partners in 55 countries
worldwide.

 Business Update

 Over the past year, we have continued our focus
on growing our revenues while maintaining costs. Our human care revenues have grown as a result of adding new customers and distributors,
and through organic growth from existing customers and distributors. We have also focused on introducing new products into multiple markets
around the world and increasing our regulatory reach by seeking new approvals and clearances.

 Some of our recent business updates include:

 On May 9, 2024, we announced expansion of our
 MicrocynAH animal health care products in the Menards chain of home improvement stores in the United States, through
 our partner Compana Pet Brands.

 On April 9, 2024, we announced expansion of our
 Microcyn Negative Pressure Wound Therapy Solution products line, now available in 250mL, 450mL and 990mL sizes to meet the diverse
 needs of healthcare professionals and patients.

 On January 23, 2024, we launched Lumacyn TM
 Clarifying Mist, a new direct-to-consumer skincare product, in the United States. Lumacyn is an all-natural daily toner formulated with
 Microcyn technology to soothe the skin, reduce redness and irritation, and manage blemishes by reducing infection.

 On November 3, 2023, we launched our intraoperative
 pulse lavage irrigation treatment in the United States, a new application of its wound care technology developed in response to an unmet
 need for a non-toxic irrigation solution that can prevent infection and improve healing time.

 On August 15, 2023, we announced that Reliefacyn
 Advanced Itch-Burn-Rash-Pain Relief Hydrogel had received the National Eczema Association (NEA) Seal of Acceptance.

 On August 3, 2023, we announced the establishment
 of a Scientific Advisory Board, which will serve to inform the company's research and development activities, efforts to address areas
 of unmet need, and potential new areas of interest.

 We continue to invest in research and development,
both in the U.S. and internationally, for our core performance-stabilized hypochlorous acid, or HOCl, technology. We have an active pipeline
of products and we continue to seek new regulatory clearances to expand potential markets we can sell our products into.

 Business Channels

 Our core market differentiation is based on being
the leading developer and producer of stabilized hypochlorous acid, or HOCl, solutions. We have been in business for over 20 years, and
in that time, we have developed significant scientific knowledge of how best to develop and manufacture HOCl products backed by decades
of studies and data collection. HOCl is known to be among the safest and most-effective ways to relieve itch, inflammation and burns while
stimulating natural healing through increased oxygenation and eliminating persistent microorganisms and biofilms.

 We sell our products into many markets both in
the U.S. and internationally. In international markets, we ship a variety of products to 55 countries. Our core strategy is to work with
partners both in the United States and around the world to market and distribute our products. In some cases, we market and sell our own
products.

 Dermatology

 We have developed unique, differentiated, prescription-strength
and safe dermatologic products that support paths to healing among various key dermatologic conditions. Our products are primarily targeted
at the treatment of redness and irritation, the management of scars and symptoms of eczema/atopic dermatitis. We are strategically focused
on introducing innovative new products that are supported by human clinical data with applications that address specific dermatological
procedures currently in demand. In addition, we look for markets where we can provide effective product line extensions and pricing to
new product families.

 In the United States, we partner with EMC Pharma,
LLC to sell our prescription dermatology products. Pursuant to our March 2021 agreement with EMC Pharma, we manufacture products for EMC
Pharma and EMC Pharma has the right to market, sell and distribute them to patients and customers for an initial term of five years, subject
to meeting minimum purchase and other requirements.

 In September
2021, we launched a new over-the-counter product, Regenacyn Advanced Scar Gel, which is clinically proven to improve the overall
appearance of scars while reducing pain, itch and redness. On the same day, we launched Regenacyn Plus, a prescription-strength scar
gel which is available as an office dispense product through physician offices.

 In October
2022, we launched two new over-the-counter dermatology products in the United States, Reliefacyn Advanced Itch-Burn-Rash-Pain Relief
Hydrogel for the alleviation of red bumps, rashes, shallow skin fissures, peeling, and symptoms of eczema/atopic dermatitis, and Rejuvacyn
Advanced Skin Repair Cooling Mist for management of minor skin irritations following cosmetic procedures as well as daily skin health
and hydration.

 In June 2022, the Natural Products Association
certified Rejuvacyn Advanced as a Natural Personal Care Product. Reliefacyn Advanced received the National Eczema Association Seal of
Acceptance TM in 2023.

 In January 2023, we launched a line of office
dispense products exclusively for skin care professionals, including two new prescription strength dermatology products, Reliefacyn Plus
 Advanced Itch-Burn-Rash-Pain Relief Hydrogel and Rejuvacyn Plus Skin
Repair Cooling Mist. These products, along with Regenacyn Plus Scar Gel, are
marketed and sold directly to dermatology practices and medical spas.

 In January
2024, we launched Lumacyn TM Clarifying Mist, a direct-to-consumer skin care product in the United States. Lumacyn is an all-natural
daily toner to soothe skin, reduce redness and irritation, and manage blemishes by reducing infection.

 Our consumer products are available
through Amazon.com, our online store and third-party distributors.

 We sell dermatology products in Europe and Asia
through distributors. In these international markets, we have a network of partners, ranging from country specific distributors to large
pharmaceutical companies to full-service sales and marketing companies. We work with our international partners to create products they
can market in their home country. Some products we develop and manufacture are custom label while others use branding we have already
developed. We have created or co-developed a wide range of products for international markets using our core HOCl technology.

 First Aid and Wound Care

 Our HOCl-based wound care products are intended
for the treatment of acute and chronic wounds as well as first- and second-degree burns, and as an intraoperative irrigation treatment.
They work by first removing foreign material and debris from the skin surface and moistening the skin, thereby improving wound healing.
Secondly, our HOCl products assist in the wound healing process by removing microorganisms. HOCl is an important constituent of our innate
immune system, formed and released by the macrophages during phagocytosis. Highly organized cell structures such as human tissue can tolerate
the action of our wound care solution while single-celled microorganisms cannot, making our products advantageous to other wound-irrigation
and antiseptic solutions. Due to its unique chemistry, our wound treatment solution is also much more stable than similar products on
the market and therefore maintains much higher levels of hypochlorous acid over its shelf life.

 In the United States, we sell our wound care products
directly to hospitals, physicians, nurses, and other healthcare practitioners and indirectly through non-exclusive distribution arrangements.
In Europe, the Middle East and Asia, we sell our wound care products through a diverse network of distributors.

 To respond to market demand for our HOCl technology-based
products, we launched our first direct to consumer over-the-counter product in the United States in February 2021. Microcyn OTC Wound
and Skin Cleanser is formulated for home use without prescription to help manage and cleanse wounds, minor cuts, and burns, including
sunburns and other skin irritations. Microcyn OTC is available without prescription through Amazon.com, our online store and third-party
distributors.

 In March 2021, we received approval to market
and use our HOCl products as biocides under Article 95 of the European Biocidal Products Regulation in France, Germany and Portugal. The
approval applies to our products MucoClyns for human hygiene to be marketed and commercialized by us, MicrocynAH for animal
heath marketed and commercialized through our partner, Petagon Limited, and MicroSafe for disinfectant use to be marketed and commercialized
through our partner, MicroSafe Group DMCC.

 In June 2022, the Natural Products Association
certified Microcyn OTC as a Natural Personal Care Product in the United States.

 In June 2023, we announced a new application of
our HOCl technology for intraoperative pulse lavage irrigation treatment, which can replace commonly used IV bags in a variety of surgical
procedures. The intraoperative pulse lavage container is designed to be used in combination with a pulse lavage irrigation device, or
flush gun, for abdominal, laparoscopic, orthopedic, and periprosthetic procedures. It is in trial use by hospitals in Europe and launched
in the U.S. in November 2023.

 On April 9, 2024, we announced expansion of our
Microcyn Negative Pressure Wound Therapy Solution products line, now available in 250mL, 450mL and 990mL sizes to meet the diverse
needs of healthcare professionals and patients.

 Eye Care

 Our prescription product
Acuicyn is an antimicrobial prescription solution for the treatment of blepharitis and the daily hygiene of eyelids and lashes
and helps manage red, itchy, crusty and inflamed eyes. It is strong enough to kill the bacteria that causes discomfort, fast enough to
provide near instant relief, and gentle enough to use as often as needed. In the United States, our partner EMC Pharma sells Acuicyn through
its distribution network.

 In international markets
we rely on distribution partners to sell our eye products. In May 2020, we entered into an expanded license and distribution agreement
with our existing partner, Brill International S.L. for our Microdacyn60 Eye Care HOCl-based product. Under the license and distribution
agreement, Brill has the right to market and distribute our eye care product under the private label Ocudox in Italy, Germany,
Spain, Portugal, France, and the United Kingdom for a period of 10 years, subject to meeting annual minimum sales quantities. In return,
Brill paid us a one-time fee, and the agreed upon supply prices. In parts of Asia, Dyamed Biotech markets our eye product under the private
label Ocucyn.

 In September 2021, we
launched Ocucyn Eyelid & Eyelash Cleanser, which is sold directly to consumers on Amazon.com, through our online store, and through
third party distributors. Ocucyn Eyelid & Eyelash Cleanser, designed for everyday use, is a safe, gentle, and effective solution
for good eyelid and eyelash hygiene.

 Oral, Dental and Nasal Care

 We sell
a variety of oral, dental, and nasal products around the world.

 In international markets, our product Microdacyn60
Oral Care treats mouth and throat infections and thrush. Microdacyn60 assists in reducing inflammation and pain, provides soothing cough
relief and does not contain any harmful chemicals. It does not stain teeth, is non-irritating, non-sensitizing, has no contraindications
and is ready for use with no mixing or dilution.

 Our international nasal care product Sinudox
based on our HOCl technology is an electrolyzed solution intended for nasal irrigation. Sinudox clears and cleans stuffy, runny noses
and blocked or inflamed sinuses by ancillary ingredients that may have a local antimicrobial effect. Sinudox is currently sold through
Amazon in Europe. In other parts of the world, we partner with distributors to sell Sinudox.

 Podiatry

 Our HOCl-based wound care products are also indicated
for the treatment of diabetic foot ulcers. In the United States, we sell our wound care products directly to podiatrists as well as hospitals,
nurses, and other healthcare practitioners and indirectly through non-exclusive distribution arrangements. In Europe, we sell our wound
care products for podiatric use through a diverse network of distributors.

 On April 11, 2023, we launched Podiacyn TM
Advanced Everyday Foot Care direct to consumers for over-the-counter use in the United States, intended for management of foot odors,
infections, and irritations, as well as daily foot health and hygiene. Podiacyn is available through Amazon.com, our online store and
third-party distributors.

 Animal Health Care

 MicrocynAH is an HOCl-based topical product
that cleans, debrides and treats a wide spectrum of animal wounds and infections. It is intended for the safe and rapid treatment of a
variety of animal afflictions including cuts, burns, lacerations, rashes, hot spots, rain rot, post-surgical sites, pink eye symptoms
and wounds to the outer ear.

 For our animal health products sold in the U.S.
and Canada, we partner with Compana Pet Brands. Compana distributes non-prescription products to national pet-store retail chains and
farm animal specialty stores, such as PetSmart, Tractor Supply, Cabela's, PetExpress, Bass Pro Shops, and Menards. In August 2022,
we announced the launch of a MicrocynVS line of products exclusively for veterinarians for the management of wound, skin,
ear and eye afflictions in all animal species.

 For the
Asian and European markets, in May 2019 we partnered with Petagon an international importer and distributor of quality pet food and products
for an initial term of five years. We supply Petagon with all MicrocynAH products sold by Petagon. In August 2020, Petagon received a
license from the People's Republic of China for the import of veterinary drug products manufactured by us. This is the highest classification
Petagon and Sonoma can receive for animal health products in China.

 Surface Disinfectants

 Our HOCl technology has been formulated as a disinfectant
and sanitizer solution for our partner MicroSafe and is sold in numerous countries. It is designed to be used to spray in aerosol format
in areas and environments likely to serve as a breeding ground for the spread of infectious disease, which could result in epidemics or
pandemics. The medical-grade surface disinfectant solution is used in hospitals worldwide to protect doctors and patients. In May 2020,
Nanocyn Disinfectant & Sanitizer received approval to be entered into the Australian Register of Therapeutic Goods, or ARTG for
use against the coronavirus SARS-CoV-2, or COVID-19, and was also authorized in Canada for use against COVID-19. Nanocyn has also met
the stringent environmental health and social/ethical criteria of Good Environmental Choice Australia, or GECA, becoming one of the very
few eco-certified, all-natural disinfectant solutions in Australia.

 Through our partner MicroSafe, we sell hard surface
disinfectant products into Europe, the Middle East and Australia.

 In July 2021, we granted MicroSafe the non-exclusive
right to sell and distribute Nanocyn in the United States provided that MicroSafe secure U.S. EPA approval. In April of 2022, MicroSafe
secured the EPA approval for Nanocyn Disinfectant & Sanitizer, meaning that it can now be sold in the United States as a surface
disinfectant, and it was subsequently added to the EPA's list N for use against COVID-19. In June 2022, the EPA added Nanocyn to
List Q as a disinfectant for Emerging Viral Pathogens, including Ebola virus, Mpox, and SARS-CoV-2, and in March 2023 the EPA added Nanocyn
to Lists G and H, for use against Methicillin Resistant Staphylococcus Aureus (MRSA), Salmonella, Norovirus, Poliovirus, and as a fungicide.
Nanocyn also received the Green Seal Certification after surpassing a series of rigorous standards that measure environmental
health, sustainability and product performance. Nanocyn is currently sold by MicroSafe in Europe, the Middle East and Australia.

 Employees

 As of June 17, 2024, we employed a total of 9
full-time employees in the United States, and one full-time employee in the Netherlands. Additionally, we had 162 employees in Mexico.
We are not a party to any collective bargaining agreements. We believe relations with employees are very good.

 Products

 Our products are all classified as medical devices
and categorized as prescription, over-the-counter (OTC) and office dispense products. Below are some of our key products that we either
sell through our own efforts or through partnership agreements.

 Dermatology

 In the United States, we offer Lumacyn Clarifying
Mist, Regenacyn Advanced Scar Gel and Reliefacyn Advanced Itch-Burn-Rash-Pain Relief Hydrogel for OTC purchase, and Regenacyn Plus Scar
Gel and Reliefacyn Plus Itch-Burn-Rash-Pain Relief Hydrogel for office dispense.

 Lumacyn TM Clarifying Mist

 Lumacyn TM Clarifying Mist is intended
for use as a daily skin toner, to soothe and cleanse the skin, reduce redness, and manage blemishes by reducing infection.

 Regenacyn
Advanced Scar Gel and Regenacyn Plus Scar Gel

 Regenacyn Advanced Scar Gel is clinically proven to improve the overall appearance of scars while reducing pain and itch. Regenacyn Plus is a prescription-strength scar gel which is available as an office dispense product through dermatology practices and medical spas.

 Reliefacyn Advanced Itch-Burn-Rash-Pain Relief Hydrogel and Reliefacyn
Plus Itch-Burn-Rash-Pain Relief Hydrogel

 Reliefacyn Advanced Itch-Burn-Rash-Pain Relief Hydrogel is intended for the alleviation of red bumps, rashes, shallow skin fissures, sunburn, peeling, and symptoms of eczema/atopic dermatitis. Reliefacyn Plus is a prescription-strength formula available as an office dispense product through dermatology practices and medical spas.

 Our prescription product offerings in the U.S.
are sold by our partner EMC Pharma, LLC and include Epicyn Antimicrobial Facial Cleanser, Levicyn Antimicrobial Dermal Spray,
Levicyn Antipruritic Gel, Levicyn Antipruritic Spray Gel, Celacyn Scar Management Gel and Sebuderm Topical Gel.

 Internationally, we offer GramaDerm Hydrogel
and Solution Combo Pack to assist in the treatment of topical mild to moderate acne, Epicyn Scar Management Hydrogel and Pediacyn
Atopic Dermatitis Hydrogel.

 Wound Care

 In the United States we offer Microcyn wound and skin care both
as an OTC and prescription product.

 Microcyn OTC Advanced Wound & Skin Cleanser

 Microcyn OTC Advanced Wound & Skin Cleanser is intended for
the over-the-counter management of skin abrasions, lacerations, minor irritations and cuts.

 Microcyn Wound Care Management for Professional Use

 Microcyn offers enhanced healing properties.

 Microcyn is a HOCl-based topical line of
 products designed to stimulate expedited healing by targeting a wide range of pathogens including viruses, fungi, spores and bacteria,
 including antibiotic-resistant strains that slow the natural healing of wounds.

 Eye, Nasal and Oral Care

 Ocucyn Eyelid and Eyelash Cleanser

 Ocucyn Eyelid and Eyelash Cleanser is an OTC product sold directly
in the United States.

 Internationally, we offer Ocudox TM for eye care, Sinudox TM for nasal irrigation, and Microdacyn60
Oral Care to support the treatment of mouth and throat infections and the debridement and moistening of mouth lesions and thrush.

 Podiatry

 Podiacyn TM Advanced Everyday Foot Care

 Podiacyn TM is intended for management of foot odors, infections, and irritations, as well as daily foot health and hygiene.

 Animal Health Care

 In the United States and internationally, our
HOCl-based MicrocynAH line offers topical solutions designed to relieve the common symptoms of hot spots, scratches, skin rashes,
post-surgical sites and irritated animal skin and promote expedited healing for all animals.

 Our MicrocynVS line is veterinarian-strength
animal care for use in vet clinics and animal hospitals.

 Surface Disinfectants

 Through our partner MicroSafe DMCC, Dubai, we
sell Nanocyn. Nanocyn is a hospital-grade disinfectant indicated to sterilize hard surfaces by spraying directly onto the surface,
for medical devices by submerging the device in Nanocyn, and also for fumigation into the air.

 When fumigated, Nanocyn has demonstrated the ability
to kill a wide range of airborne pathogens and significantly reduce the spread of infectious disease.

 Research and Development

 Research and development expenses consist primarily
of expenses for clinical studies, personnel, regulatory services and supplies. For the years ended March 31, 2024 and 2023, research and
development expense amounted to $1,871,000 and $207,000, respectively. A small percentage of these expenses were borne by our customers.

 We manufacture all of our products at our facility
in Zapopan, Mexico. We have developed a manufacturing process and conduct quality assurance testing on each production batch in accordance
with current U.S., Mexican and international Current Good Manufacturing Practices. Our facility is required to meet and maintain regulatory
standards applicable to the manufacture of pharmaceutical and medical device products and is certified and complies with U.S. Current
Good Manufacturing Practices, Quality Systems Regulations for medical devices, and International Organization for Standardization, or
ISO, guidelines. Our facility has been approved by the Ministry of Health and is also ISO 13485 certified.

 Our machines are tested regularly, which is part
of a validation protocol mandated by U.S., Mexican and international Current Good Manufacturing Practices, Quality Systems Regulation,
and ISO requirements. This validation is designed to ensure that the final product is consistently manufactured in accordance with product
specifications at all manufacturing sites. Certain materials and components used in manufacturing are proprietary to Sonoma. All other
raw materials and supplies utilized in the manufacturing process of our products are available from various third-party suppliers in quantities
adequate to meet our needs.

 We believe we own sufficient factory space and
equipment to produce an adequate amount of product to meet anticipated future requirements for at least the next two years. With expansion
into new geographic markets, we may establish additional manufacturing facilities to better serve those new markets.

 Regulatory Approvals and Clearances

 To date, in the United States we have obtained
21 U.S. Food and Drug Administration, or FDA, clearances permitting the sale of products as medical devices for Section 510(k) of the
Federal Food, Drug and Cosmetic Act.

 Outside the United States, we sell products for
dermatological and advanced tissue care with a European Conformity marking, Conformit Europ enne, or CE. On April 9, 2020,
we received an updated CE certificate covering 39 products in 54 countries with various approvals in Brazil, China, Southeast Asia, South
Korea, India, Australia, New Zealand, and the Middle East.

 The following table summarizes
our current material regulatory approvals and clearances by brand.

 Brand

 Approval Type

 Summary Indication

 HOCl-based Products:

 Microcyn Wound Care Management

 Prescription product, intended to be used in the management, via debridement of wounds such as stage I-IV pressure ulcers, partial and full thickness wounds, diabetic foot ulcers, post surgical wounds, first and second degree burns, grafted and donor sites.

 Microcyn OTC Advanced Wound & Skin Cleanser

 Ocucyn Eyelid & Eyelash Cleanser

 Lumacyn TM Clarifying Mist

 Podiacyn TM Advanced Everyday Foot Care

 OTC product for use in the management of skin abrasions, lacerations, minor irritations, cuts and intact skin.

 Lasercyn Gel, Levicyn Gel

 Prescription and OTC product, intended for use to relieve itch and pain from minor skin irritations, lacerations, abrasions and minor burns, such as sunburn. As a prescription product it is also intended for sores, injuries, ulcers of dermal tissue and exuding wounds.

 Sebuderm

 Prescription-only product, manages and relieves the burning, itching, erythema, scaling, and pain experienced with seborrhea and seborrheic dermatitis. It also helps to relieve dry, waxy skin by maintaining a moist wound and skin environment, which is beneficial to the healing process.

 Regenacyn Advanced Scar Gel

 Regenacyn Plus Scar Gel

 Celacyn Scar Management Gel

 Prescription and OTC product, for the management of old and new hypertrophic and keloid scarring resulting from burns, general surgical procedures and trauma wounds.

 Levicyn SG

 Prescription and OTC product, for the management and relief of burning and itching associated with many common types of skin irritation, lacerations, abrasions and minor burns. As a prescription product it also relieves burning and itching and pain associated with various types of dermatoses, including radiation dermatitis and atopic dermatitis.

 Epicyn Antimicrobial Facial Cleanser

 Prescription and OTC product, management of skin abrasions, lacerations, minor irritations, cuts and intact skin. As a prescription product it is intended for the cleansing, irrigation, moistening, debridement and removal of foreign material and debris from exudating wounds, first- and second-degree burns and other skin irritations.

 Rejuvacyn Advanced Skin Repair Cooling Mist

 Rejuvacyn Plus Skin Repair Cooling Mist

 Lasercyn Gel

 Prescription and OTC product, intended for the management of minor skin irritations following post non ablative laser therapy procedures, post microdermabrasion therapy and following superficial chemical peels, and to relieve itch and pain from minor skin irritations, lacerations, abrasions and minor burns.

 Reliefacyn Advanced Itch-Burn-Rash-Pain Relief Hydrogel

 Reliefacyn Plus Itch-Burn-Rash-Pain Relief Hydrogel

 Levicyn Dermal Spray, Lasercyn Dermal Spray

 Prescription and OTC product, for the management of skin abrasions, lacerations, minor irritations, cuts and intact skin. As a prescription product it is intended for the cleansing, irrigation, moistening, debridement and removal of foreign material including microorganisms and debris from exudating wounds, acute and chronic dermal lesions, burns, and other skin irritations.

 Acuicyn Antimicrobial Eyelid & Eyelash Hygiene

 Prescription product, under the supervision
of a healthcare professional, intended for the cleansing, irrigation, moistening, debridement and removal of foreign material and debris
from exudating wounds, acute and chronic dermal lesions including stage I-IV pressure ulcers, stasis ulcers, diabetic ulcers, post-surgical
wounds, first- and second-degree burns, abrasions, minor irritations of the skin, diabetic foot ulcers, ingrown toe nails, grafted/donor
sites and exit sites. It is also intended for use to moisten and lubricate wound dressings and for use with devices intended to irrigate
wounds.

 Endocyn Root Canal Irrigation Solution

 Endocyn Root Canal Irrigation Solution is intended to irrigate, cleanse, and debride root canal systems including the removal of foreign material and debris during root canal therapy. It is also intended to provide for lubrication and irrigation during root canal instrumentation.

 Gramaderm

 Various product formulations for the topical treatment of mild to moderate acne.

 Microdacyn60

 Various product formulations for the management of itching, burning and other skin irritations.

 MucoClyns

 Indicated for the use in emergencies and safe to use on mucous membranes, cuts, abrasions, burns and body surfaces for the treatment immediately after an unexpected exposure to infection risk, and professional medical attention.

 Sinudox

 Solution intended for nasal irrigation, including the moistening of cuts, abrasions and lacerations located in the nasal cavity.

 Significant Customers

 We rely on certain key customers for a significant
portion of revenues. At March 31, 2024, customer B represented 13% of our net accounts receivable balance and customer D represented 17%
of our net accounts receivable balance. At March 31, 2023, customer B represented 22% of our net accounts receivable balance and customer
D represented 21% of our net accounts receivable balance. For the year ended March 31, 2024, customer A represented 17%, customer B represented
15% and customer C represented 14% of net revenues. For the year ended March 31, 2023, customer A represented 11%, customer B represented
16% and customer C represented 18% of net revenues.

 Intellectual Property

 Our success depends in part on an ability to obtain
and maintain proprietary protection for product technology and know-how, to operate without infringing proprietary rights of others, and
to prevent others from infringing on our proprietary rights. We seek to protect a proprietary position by, among other methods, filing,
when possible, U.S. and foreign patent applications relating to our technology, inventions and improvements that are important to the
business. We have patented certain aspects of our HOCl technology in the United States and worldwide. We also rely on trade secrets, know-how,
continuing technological innovation, and in-licensing opportunities to develop and maintain a proprietary position.

 Although we work diligently to protect proprietary
technology, there are no assurances that any patent will be issued from currently pending patent applications or from future patent applications.
The scope of any patent protection may not exclude competitors or provide competitive advantages, and any patent may not be held valid
if subsequently challenged, and others may claim rights in or ownership of patents and proprietary rights. Furthermore, others may develop
products similar to ours and may duplicate any of the products or design around patents.

 We have also filed for trademark protection for
marks used with products in each of the following regions: United States, Europe, Canada, certain countries in Central and South America,
including Mexico and Brazil, certain countries in the Middle East and certain countries in Asia, including Japan, China, Hong Kong, the
Republic of Korea, India and Australia. In addition to patents and trademarks, we rely on trade secret and other intellectual property
laws, nondisclosure agreements and other measures to protect intellectual property rights. We believe that in order to have a competitive
advantage, we must develop and maintain the proprietary aspects of technologies. Employees, consultants and advisors are required to execute
confidentiality agreements in connection with their employment, consulting or advisory relationships. Employees, consultants and advisors
with whom we expect to work with are also required to disclose and assign to us all inventions made in the course of a working relationship
with them, while using intellectual property or which relate to our business. Despite any measures taken to protect our intellectual property,
unauthorized parties may attempt to copy aspects of the products or to wrongfully obtain or use information that is regarded as proprietary.

 Competition

 We compete globally across six main channels:
dermatology, eye, nasal and oral care, wound and acute care, podiatry, animal health care and surface disinfectants with our HOCl technology.

 Dermatology

 Our dermatology products are at the forefront
of HOCl-based solutions, a safe and highly effective active ingredient designed to relieve itching and burning and act as a highly effective
antimicrobial agent. We believe no other solutions on the market provide the same patient benefits at the levels of safety and cost. Our
HOCl-based solutions face significant competition in the United States from prescription products including corticosteroids, topical steroids
and topical antibiotics. Our opportunity as an adjunct to these steroids is based on the insight that many doctors and patients limit
steroid and antibiotic use due to potential side effects. These side effects include bacterial resistance, stinging, burning and inflammation
for topical antibiotics and stretch marks, easy bruising, tearing of the skin and, to a lesser extent, enlarged blood vessels for topical
steroids. Our HOCl-based products are safe, non-toxic and have shown few side effects in clinical studies.

 Wound and Acute Care Markets

 Similar to our dermatology products, our HOCl-based
wound and acute care solutions provide improved efficacy at lower costs than traditional acute care products. Our HOCl-based solutions
compete with topical anti-infectives and antibiotics, as well as some advanced wound technologies, such as skin substitutes, growth factors
and delayed release silver-based dressings. Our opportunity in this space relative to antibiotics is based on the insight that competing
antibiotic solutions may have resistance-building properties.

 Factors Affecting Competitive Position

 While some other companies are able to produce
small molecule, HOCl-based formulations, based on our research, their products may become unstable after a relatively short period of
time or have large ranges of effectiveness. We believe our HOCl-based solutions are among the most stable therapeutics available.

 Some of our competitors in the dermatology, wound
care, eye, nasal and oral care, podiatry, animal health care and surface disinfectant markets enjoy several competitive advantages. These
include:

 greater name recognition;

 established relationships with healthcare professionals, patients and third-party payors;

 established distribution networks;

 additional product lines and the ability to offer rebates or bundle products to offer discounts or incentives;

 experience in conducting research and development, manufacturing, obtaining regulatory approval for products and marketing; and

 financial and human resources for product development, sales and marketing and patient support.

 Government Regulation

 Government authorities in the United States, at
the federal, state and local levels, and foreign countries extensively regulate, among other things, the research, development, testing,
manufacture, labeling, promotion, advertising, distribution, sampling, marketing, and import and export of pharmaceutical products, biologics
and medical devices. All of our products in development will require regulatory approval or clearance by government agencies prior to
commercialization. In particular, human therapeutic products are subject to rigorous pre-clinical and clinical trials and other approval
procedures of the FDA and similar regulatory authorities in foreign countries. Various federal, state, local and foreign statutes and
regulations also govern testing, manufacturing, safety, labeling, storage, distribution and record-keeping related to such products and
their marketing. The process of obtaining these approvals and clearances, and the subsequent process of maintaining substantial compliance
with appropriate federal, state, local, and foreign statutes and regulations, require the expenditure of substantial time and financial
resources. In addition, statutes, rules, regulations and policies may change and new legislation or regulations may be issued that could
delay such approvals.

 Medical Device Regulation

 To date, we have received 21 510(k) clearances
for use of products as medical devices in tissue care management, such as cleaning, debridement, lubricating, moistening and dressing,
including for acute and chronic wounds, and in dermatology applications. Any future product candidates or new applications classified
as medical devices will require clearance by the FDA.

 Medical devices are subject to FDA clearance and
extensive regulation under the Federal Food Drug and Cosmetic Act. Under the Federal Food Drug and Cosmetic Act, medical devices are classified
into one of three classes: Class I, Class II or Class III. The classification of a device into one of these three classes generally depends
on the degree of risk associated with the medical device and the extent of control needed to ensure safety and effectiveness. Devices
may also be designated unclassified. Unclassified devices are legally marketed pre-amendment devices for which a classification regulation
has yet to be finalized and for which a pre-market approval is not required.

 Class I devices are devices for which safety and
effectiveness can be assured by adherence to a set of general controls. These general controls include compliance with the applicable
portions of the FDA's Quality System Regulation, which sets forth good manufacturing practice requirements; facility registration,
device listing and product reporting of adverse medical events; truthful and non-misleading labeling; and promotion of the device only
for its cleared or approved intended uses. Class II devices are also subject to these general controls, and any other special controls
as deemed necessary by the FDA to ensure the safety and effectiveness of the device. Review and clearance by the FDA for these devices
is typically accomplished through the 510(k) pre-market notification procedure. When 510(k) clearance is sought, a sponsor must submit
a pre-market notification demonstrating that the proposed device is substantially equivalent to a legally marketed device. If the FDA
agrees that the proposed device is substantially equivalent to the predicate device, then 510(k) clearance to market will be granted.
After a device receives 510(k) clearance, any modification that could significantly affect its safety or effectiveness, or that would
constitute a major change in its intended use, requires a new 510(k) clearance or could require a pre-market approval.

 Clinical trials are almost always required to
support a pre-market approval application and are sometimes required for a 510(k) pre-market notification. These trials generally require
submission of an application for an investigational device exemption. An investigational device exemption must be supported by pre-clinical
data, such as animal and laboratory testing results, which show that the device is safe to test in humans and that the study protocols
are scientifically sound. The FDA must approve an investigational device exemption, in advance, for a specified number of patients, unless
the product is deemed a non-significant risk device and is eligible for more abbreviated investigational device exemption requirements.

 Both before and after a medical device is commercially
distributed, manufacturers and marketers of the device have ongoing responsibilities under FDA regulations. The FDA reviews design and
manufacturing practices, labeling and record keeping, and manufacturers' required reports of adverse experiences and other information
to identify potential problems with marketed medical devices. Device manufacturers are subject to periodic and unannounced inspection
by the FDA for compliance with the Quality System Regulation, which sets forth the Current Good Manufacturing Practice requirements that
govern the methods used in, and the facilities and controls used for the design, manufacture, packaging, servicing, labeling, storage,
installation and distribution of all finished medical devices intended for human use.

 On November 30, 2023, the FDA issued a proposed
rule to classify certain wound dressings and liquid wound washes containing antimicrobials with a low level of antimicrobial resistance
concern, including hypochlorous acid, into Class II medical devices. If finalized as proposed, we would be required to submit new 510(k)
applications for our products and to demonstrate compliance with special controls that require specific information relating to performance
testing and technical specifications, specific labeling requirements, and other requirements to mitigate the risks to health and demonstrate
a reasonable assurance of safety and effectiveness. Our existing devices could serve as predicates for the new devices. The FDA is proposing
that manufacturers will need to demonstrate compliance with applicable special controls within six months after the effective date of
the rule, when finalized.

 FDA regulations prohibit the advertising and promotion
of a medical device for any use outside the scope of a 510(k) clearance or pre-market approval or for unsupported safety or effectiveness
claims. Although the FDA does not regulate physicians' practice of medicine, the FDA does regulate manufacturer communications with
respect to off-label use.

 If the FDA finds that a manufacturer has failed
to comply with FDA laws and regulations or that a medical device is ineffective or poses an unreasonable health risk, it can institute
or seek a wide variety of enforcement actions and remedies, ranging from a public warning letter to more severe actions such as:

 imposing fines, injunctions and civil penalties

 requiring a recall or seizure of products

 implementing operating restrictions, which can include a partial suspension or total shutdown of production

 refusing requests for 510(k) clearance or pre-market approval of new products

 withdrawing 510(k) clearance or pre-market approvals already granted

 criminal prosecution

 The FDA also has the authority to require a company
to repair, replace, or refund the cost of any medical device.

 The FDA also administers certain controls over
the export of medical devices from the United States, as international sales of medical devices that have not received FDA clearance are
subject to FDA export requirements. Additionally, each foreign country subjects such medical devices to its own regulatory requirements.
In the European Union, there is a single regulatory approval process and approval is represented by the presence of a CE marking.

 Other Regulation in the United States

 The Physician Payments Sunshine Act

 The Physician Payments Sunshine Act signed into
law in 2010 as part of the Affordable Care Act requires manufacturers of medical devices, drugs, biologicals, and medical supplies to
track and report certain payments made to and transfers of value provided to physicians and teaching hospitals as well as to report certain
ownership and investment interests held by physicians and their immediate family members. These manufacturers must report annually to
the Center for Medicare & Medicaid Services any direct or indirect payments and transfers of value of $10 or more, or annual aggregate
of $100 or more, made to physicians or to a third party at the request of or on behalf of a physician, including dentists. Payment includes:
consulting fees, compensation for services other than consulting, honoraria, gifts, entertainment, food, travel (including the specified
destinations), education, research, charitable contribution, royalty or license, current or prospective ownership or investment interest,
direct compensation for serving as faculty or as a speaker for a medical education program, grants, any other nature of the payment, or
other transfer of value. Manufacturers face monetary penalties for non-compliance. Certain payments related to research must be reported
separately. Product samples intended for patient use need not be reported.

 Health Care Coverage and Reimbursement by Third-Party
Payors

 Commercial success in marketing and selling products
depends, in part, on the availability of adequate coverage and reimbursement from third-party health care payors, such as government and
private health insurers and managed care organizations. Third-party payors are increasingly challenging the pricing of medical products
and services. Government and private sector initiatives to limit the growth of health care costs, including price regulation, competitive
pricing, and managed-care arrangements, are continuing in many countries where we do business, including the United States. These changes
are causing the marketplace to be more cost-conscious and focused on the delivery of more cost-effective medical products. Government
programs, including Medicare and Medicaid, private health care insurance companies, and managed-care plans control costs by limiting coverage
and the amount of reimbursement for particular procedures or treatments. This has created an increasing level of price sensitivity among
customers for our products. Some third-party payors also require that a favorable coverage determination be made for new or innovative
medical devices or therapies before they will provide reimbursement of those medical devices or therapies. Even though a new medical product
may have been cleared or approved for commercial distribution, we may find limited demand for the product until adequate coverage and
reimbursement have been obtained from governmental and other third-party payors.

 Fraud and Abuse Laws

 In the United States, we are subject to various
federal and state laws pertaining to healthcare fraud and abuse, which, among other things, prohibit the offer or acceptance of remuneration
intended to induce or in exchange for the purchase of products or services reimbursed under a federal healthcare program and the submission
of false or fraudulent claims with the government. These laws include the federal Anti-Kickback Statute, the False Claims Act and comparable
state laws. These laws regulate the activities of entities involved in the healthcare industry, such as Sonoma, by limiting the kinds
of financial arrangements such entities may have with healthcare providers who use or recommend the use of medical products, including,
for example, sales and marketing programs, advisory boards and research and educational grants. In addition, in order to ensure that healthcare
entities comply with healthcare laws, the Office of Inspector General of the U.S. Department of Health and Human Services recommends
that healthcare entities institute effective compliance programs. To assist in the development of effective compliance programs, the Office
of Inspector General has issued model Compliance Program Guidance, materials for a variety of healthcare entities which, among other things,
identify practices to avoid that may implicate the federal Anti-Kickback Statute and other relevant laws and describes elements of an
effective compliance program. While compliance with the Compliance Program Guidance materials is voluntary, a California law requires
pharmaceutical and devices manufacturers to initiate compliance programs that incorporate the Compliance Program Guidance and the July
2002 Pharmaceuticals Research and Manufacturers of America Code on Interactions with Healthcare Professionals.

 Due to the scope and breadth of the provisions
of some of these laws, it is possible that some of our practices might be challenged by the government under one or more of these laws
in the future. Violations of these laws, which are discussed more fully below, can lead to civil and criminal penalties, damages, imprisonment,
fines, exclusion from participation in Medicare, Medicaid and other federal health care programs, and the curtailment or restructuring
of operations. Any such violations could have a material adverse effect on our business, financial condition, results of operations or
cash flows.

 Anti-Kickback Laws

 Our operations are subject to federal and state
anti-kickback laws. The federal Anti-Kickback Statute prohibits persons from knowingly and willfully soliciting, receiving, offering or
providing remuneration directly or indirectly to induce either the referral of an individual for a good or service reimbursed under a
federal healthcare program, or the furnishing, recommending, or arranging of a good or service, for which payment may be made under a
federal healthcare program, such as Medicare or Medicaid. The definition of "remuneration" has been broadly interpreted to
include anything of value, including such items as gifts, discounts, the furnishing of supplies or equipment, waiver of co-payments, and
providing anything at less than its fair market value. Because the Anti-Kickback Statute makes illegal a wide variety of common, even
beneficial, business arrangements, the Office of Inspector General was tasked with issuing regulations, commonly known as "safe
harbors," that describe arrangements where the risk of illegal remuneration is minimal. As long as all of the requirements of a
particular safe harbor are strictly met, the entity engaging in that activity will not be prosecuted under the federal Anti-Kickback Statute.
The failure of a transaction or arrangement to fit precisely within one or more safe harbors does not necessarily mean that it is illegal
or that prosecution will be pursued. However, business arrangements that do not fully satisfy an applicable safe harbor may result in
increased scrutiny by government enforcement authorities, such as the Office of Inspector General. Our agreements to pay compensation
to our advisory board members and physicians who provide other services for us may be subject to challenge to the extent they do not fall
within relevant safe harbors under state and federal anti-kickback laws. In addition, many states have adopted laws similar to the federal
Anti-Kickback Statute, which apply to the referral of patients for health care services reimbursed by Medicaid, and some have adopted
such laws with respect to private insurance. Violations of the Anti-Kickback Statute are subject to significant fines and penalties and
may lead to a company being excluded from participating in federal health care programs.

 False Claims Laws

 The federal False Claims Act prohibits knowingly
filing a false claim, knowingly causing the filing of a false claim, or knowingly using false statements to obtain payment from the federal
government. Certain violations of the Anti-Kickback Statute constitute per se violations of the False Claims Act. Under the False Claims
Act, such suits are known as "qui tam" actions. Individuals may file suit on behalf of the government and share in any amounts
received by the government pursuant to a settlement. In addition, certain states have enacted laws modeled after the federal False Claims
Act under the Deficit Reduction Act of 2005, where the federal government created financial incentives for states to enact false claims
laws consistent with the federal False Claims Act. As more states enact such laws, we expect the number of qui tam lawsuits to increase.
Qui tam actions have increased significantly in recent years, causing greater numbers of healthcare companies to have to defend false
claims actions, pay fines or be excluded from Medicare, Medicaid or other federal or state government healthcare programs as a result
of investigations arising out of such actions.

 HIPAA

 Two federal crimes were created under the Health
Insurance Portability and Accountability Act of 1996, or HIPAA: healthcare fraud and false statements relating to healthcare matters.
The healthcare fraud statute prohibits knowingly and willfully executing a scheme to defraud any healthcare benefit program, including
private payors. The false statements statute prohibits knowingly and willfully falsifying, concealing or covering up a material fact or
making any materially false, fictitious or fraudulent statement in connection with the delivery of or payment for healthcare benefits,
items or services.

 Health Information Privacy and Security

 Individually identifiable health information is
subject to an array of federal and state regulation. Federal rules promulgated pursuant to HIPAA regulate the use and disclosure of health
information by "covered entities." Covered entities include individual and institutional health care providers from which
we may receive individually identifiable health information. These regulations govern, among other things, the use and disclosure of health
information for research purposes, and require the covered entity to obtain the written authorization of the individual before using or
disclosing health information for research. Failure of the covered entity to obtain such authorization could subject the covered entity
to civil and criminal penalties. We may experience delays and complex negotiations in dealing with each entity's differing interpretation
of the regulations and what is required for compliance. Also, where our customers or contractors are covered entities, including hospitals,
universities, physicians or clinics, we may be required by the HIPAA regulations to enter into "business associate" agreements
that subject the company to certain privacy and security requirements. In addition, many states have laws that apply to the use and disclosure
of health information, and these laws could also affect the manner in which we conduct research and other aspects of business. Such state
laws are not preempted by the federal privacy law when such laws afford greater privacy protection to the individual than the federal
law. While activities to assure compliance with health information privacy laws are a routine business practice, we are unable to predict
the extent to which resources may be diverted in the event of an investigation or enforcement action with respect to such laws.

 Foreign Regulation

 Whether or not we obtain FDA approval for a product,
approval of a product by the applicable regulatory authorities of foreign countries must be obtained before clinical trials or marketing
of the product in those countries can begin. The approval process varies from country to country, and the time may be longer or shorter
than that required for FDA approval. The requirements governing the conduct of clinical trials, product licensing, pricing and reimbursement
also vary greatly from country to country. Although governed by the applicable country, clinical trials conducted outside of the United
States typically are administered under a three-phase sequential process similar to that discussed above for medical devices.

 European Union Regulation

 Medical Device Regulation

 Our products are classified as medical devices
in the European Union. In order to sell medical device products within the European Union, we are required to comply with the requirements
of the Medical Devices Regulation, and its national implementations, including affixing CE markings on products. The CE marking indicates
a product's compliance with EU legislation and so enables the sale of products throughout the European Economic Area, or the EEA,
comprising the 28 Member States of the EU and European Free Trade Association, or EFTA, countries Iceland, Norway, and Liechtenstein.
In order to comply with the Medical Devices Regulation, we must meet certain requirements relating to the safety and performance of products
and, prior to marketing products, we must successfully undergo verification of products' regulatory compliance, or conformity assessment.

 The Medical Devices Regulation was adopted in
the EU on May 26, 2017 to replace the existing Medical Device Directive, and became applicable on May 26, 2021, with a transition period
until May 26, 2024, which was been extended to December 31, 2028 for non-implantable Class IIb and lower risk devices. Under the new Medical
Devices Regulation, certain devices are classified in higher classes, new devices are classified, and certain new obligations are imposed
on manufacturers and distributors. Manufacturers are required to engage a medical device expert and carry insurance for possible liability
claims. In addition, the pre-market approval and post-market surveillance requirements are enhanced. The European Database for Medical
Devices, or Eudamed, will hold and publish information on medical devices collected from the European Commission and the national authorities.

 Medical devices are divided into three regulatory
classes: Class I, Class IIB and Class III. The nature of the conformity assessment procedures depends on the regulatory
class of the product. In order to comply with the examination, we completed, among other things, a risk analysis and presented clinical
data, which demonstrated that our products met the performance specifications claimed by us, provided sufficient evidence of adequate
assessment of unwanted side effects and demonstrated that the benefits to the patient outweigh the risks associated with the device. We
are subject to continued supervision and are required to report any serious adverse incidents to the appropriate authorities. We are also
required to comply with additional national requirements that are beyond the scope of the Medical Devices Regulation.

 We received a CE certificate for 39 of our Class
IIB medical devices, which allows us to affix CE markings on these products and sell them in Europe. We may not be able to maintain the
requirements established for CE markings for any or all of our products or be able to produce these products in a timely and profitable
manner while complying with the requirements of the Medical Devices Regulation and other regulatory requirements.

 European Good Manufacturing Process

 In the European Union, the manufacture of pharmaceutical
products and clinical trial supplies is subject to good manufacturing practice as set forth in the relevant laws and guidelines. Compliance
with good manufacturing practice is generally assessed by the competent regulatory authorities. They may conduct inspections of relevant
facilities, and review manufacturing procedures, operating systems and personnel qualifications. In addition to obtaining approval for
each product, in many cases each drug manufacturing facility must be approved. Further inspections may occur over the life of the product.

 Mexican Regulation

 The Ministry of Health is the authority in charge
of sanitary controls in Mexico. Sanitary controls are a group of practices related to the orientation, education, testing, verification
and application of security measures and sanctions exercised by the Ministry of Health. The Ministry of Health is responsible for the
issuance of Official Mexican Standards and specifications for drugs subject to the provisions of the General Health Law, which govern
the process and specifications of drugs, including the obtaining, preparing, manufacturing, maintaining, mixing, conditioning, packaging,
handling, transporting, distributing, storing and supplying of products to the public at large. In addition, a medical device is defined
as a device that may contain antiseptics or germicides used in surgical practice or in the treatment of continuity solutions, skin injuries
or its attachments.

 Under the General Health Law, a business that
manufactures drugs is either required to obtain a "Sanitary Authorization" or to file an "Operating Notice." Our
Mexican subsidiary, Oculus Technologies of Mexico, S.A. de C.V., is considered a business that manufactures medical devices and therefore
is not subject to a Sanitary Authorization, but rather only required to file an Operating Notice.

 In addition to its Operating Notice, our Mexico
subsidiary has obtained a "Good Processing Practices Certificate" issued by Mexican Federal Commission for the Protection
against Sanitary Risks, which demonstrates that the manufacturing at our facility located in Zapopan, Mexico, operates in accordance with
the applicable official standards.

 In addition, regulatory approval of prices is
required in most countries other than the United States, which could result in lengthy negotiations delaying our ability to commercialize
products. We face the risk that the prices which result from the regulatory approval process would be insufficient to generate an acceptable
return.

 Available Information

 We make available on sonomapharma.com, free of
charge, copies of our annual reports on Form 10-K, quarterly reports on Form 10-Q, current reports on Form 8-K and amendments
to these reports, as soon as reasonably practicable after electronically filing or furnishing such materials to the Securities and Exchange
Commission, or SEC. Sonomapharma.com and the information contained therein or connected thereto are not intended to be incorporated into
this annual report on Form 10-K. The SEC maintains an Internet site that contains reports, proxy and information statements, and
other information regarding issuers that file electronically with the SEC at www.sec.gov.

 ITEM 1A. Risk Factors

 Risks Related to Our Business

 We have a history of losses, we expect to
continue to incur losses and we may never achieve profitability and our March 31, 2024 audited consolidated financial statements included
disclosure that casts substantial doubt regarding our ability to continue as a going concern.

 We reported a net loss of $4,835,000 and $5,151,000
for the years ended March 31, 2024 and 2023, respectively. At March 31, 2024 and 2023, our accumulated deficit amounted to $194,349,000
and $189,514,000, respectively. We had working capital of $8,829,000 and $10,081,000 as of March 31, 2024 and 2023, respectively. During
the years ended March 31, 2024 and 2023, net cash used in operating activities amounted to $2,398,000 and $6,152,000, respectively. As
of March 31, 2024, we had cash and cash equivalents of $3,128,000.

 We spent the most recent years working to reduce
our losses and have made significant progress. However, we expect to continue incurring losses for the foreseeable future. We may never
achieve or sustain profitability. We must raise additional capital to pursue our product development initiatives, penetrate markets for
the sale of our products and continue as a going concern. We cannot provide any assurance that we will raise additional capital. We believe
that we have access to capital resources through possible public or private equity offerings, debt financings, corporate collaborations,
or other means. If we are unable to secure additional capital, we may be required to curtail our research and development initiatives
and take additional measures to reduce costs in order to conserve our cash in amounts sufficient to sustain operations and meet our obligations.
These measures could cause significant delays in our efforts to further commercialize our products, which are critical to the realization
of our business plan and to our future operations. These matters raise substantial doubt about our ability to continue as a going concern
or become profitable.

 We depend on third party distributors and
intend to continue to license or collaborate with third parties in various potential markets, and events involving these strategic partners
or any future collaboration could delay or prevent us from developing or commercializing products.

 Our business strategy and our short- and long-term
operating results depend in part on our ability to execute on existing strategic collaborations and to license or partner with new strategic
partners. We believe collaborations allow us to leverage our resources and technologies and to access markets that are compatible with
our own core areas of expertise while avoiding the cost of establishing or maintaining a direct sales force in each market. We may incur
significant costs in the use of third parties to identify and assist in establishing relationships with potential collaborators. We currently
use distributors for most of our products.

 We have limited control over the amount and timing
of resources that our current partners or any future collaborators devote to our collaborations or potential products. These partners
may breach or terminate their agreements with us or otherwise fail to conduct their collaborative activities successfully and in a timely
manner. Further, our partners may not develop or commercialize products that arise out of our collaborative arrangements or devote sufficient
resources to the development, manufacture, marketing or sale of these products.

 To penetrate our target markets, we may need to
enter into additional collaborative agreements to assist in the development and commercialization of products. Establishing strategic
collaborations is difficult and time-consuming. Potential collaborators may reject collaborations based upon their assessment of our financial,
regulatory or intellectual property position and our internal capabilities. Our discussions with potential collaborators may not lead
to the establishment of new collaborations on favorable terms and may have the potential to provide collaborators with access to our key
intellectual property filings and next generation formations. By entering into collaboration, we may preclude opportunities to collaborate
with other third parties who do not wish to associate with our existing third-party strategic partners. Moreover, in the event of termination
of a collaboration agreement, termination negotiations may result in less favorable terms.

 Mexican tax law prevents us from deducting
intercompany interest expense incurred by our Mexico subsidiary Oculus Technologies of Mexico, S.A. de C.V and requires withholding tax
on payments remitted to the US. At the same time, we are unable to recognize tax benefits for foreign tax credits for U.S. tax purposes.

 Since 2004, we loaned substantial amounts to our
Mexico subsidiary Oculus Technologies of Mexico, S.A. de C.V. at various interest rates to fund their operations. As of March 31, 2024,
our Mexico subsidiary owes approximately $13.4 million in principal, $9.8 million in technical assistance payments and $12.6 million in
accrued interest. The intercompany loans mature in 2027. There is no guarantee that our Mexican subsidiary will be able to pay any or
all of the amounts due. If we were to forgive the debt or if we were to convert the debt to equity, it would be subject to Mexico income
tax at 30%, or approximately $10.7 million, as well as Mexican withholding tax of 15%.

 Mexico's thin capitalization rules also
require taxpayers to maintain a debt-to-equity ratio of 3:1. Any interest paid to foreign related parties that results in indebtedness
exceeding a ratio of 3:1 to their stockholder's equity is not deductible for Mexican corporate income tax purposes and we did not
meet that condition. Therefore, we have not been able to deduct the intercompany interest on our Mexico tax returns since 2004. It has
prevented our Mexico subsidiary from accruing net operating losses in Mexico to offset potential future profits. At the same time the
intercompany interest income in the United States decreases our U.S. net operating losses and reduces our ability to apply these carryforwards
to offset future taxable income in the United States.

 In addition, any interest paid to a foreign lender
is subject to Mexico withholding tax of 15%. We also have interest owed on our intercompany technical assistance agreement and royalty
withholding of 10% on our technical assistance agreement. This would amount to approximately $4.7 million in Mexico withholding tax at
March 31, 2024, if all of the interest and technical assistance were to be repaid to us. In general, the foreign related party parent
can then claim a credit for these withholding taxes on their U.S. income tax return. However, because of our substantial U.S. net operating
losses, we are prevented from claiming any credit on any withholding tax for U.S. income tax purposes. Any such failure to pay intercompany
debt, inability to deduct income taxes or apply credits, or liability for tax payments could have a material adverse effect on our business,
financial condition, and results of operations.

 We rely on a number of key customers who
may not consistently purchase our products in the future and if we lose any one of these customers, our revenues may decline.

 Although we have a significant number of customers
in each of the geographic markets that we operate in, we rely on certain key customers for a significant portion of our revenues. For
the year ended March 31, 2024, customer A represented 17%, customer B represented 15% and customer C represented 14% of net revenues.
For the year ended March 31, 2023, customer A represented 11%, customer B represented 16% and customer C represented 18% of net revenues.
In the future, a small number of customers may continue to represent a significant portion of our total revenues in any given period.
These customers may not consistently purchase our products at a particular rate over any subsequent period. The loss of any of these customers
could adversely affect our revenues.

 A majority of our business is conducted
outside of the United States, exposing us to additional risks that may not exist in the United States, which in turn could cause our business
and operating results to suffer.

 We have material international operations in Mexico,
Asia and Europe. During the years ended March 31, 2024 and 2023, approximately 76% and 74% of our total revenue, respectively, were generated
from sales outside of the United States. Our business is highly regulated for the use, marketing and manufacturing of our HOCl-based products
both domestically and internationally. Our international operations are subject to risks, including:

 local political or economic instability;

 continuing restrictions related to the Covid-19 pandemic;

 changes in exchange rates;

 changes in governmental regulation;

 changes in import/export duties;

 trade restrictions;

 lack of experience in foreign markets;

 difficulties and costs of staffing and managing operations in certain foreign countries;

 work stoppages or other changes in labor conditions;

 difficulties in collecting accounts receivables on a timely basis, or at all; and

 adverse tax consequences or overlapping tax structures.

 We plan to continue to market and sell our products
internationally to respond to customer requirements and market opportunities. We currently have manufacturing facilities in Mexico. Establishing
operations in any foreign country or region presents risks such as those described above as well as risks specific to the particular country
or region. In addition, until a payment history is established over time with customers in a new geographic area or region, the likelihood
of collecting receivables generated by such operations could be less than our expectations. As a result, there is a greater risk that
the reserves set with respect to the collection of such receivables may be inadequate. If our operations in any foreign country are unsuccessful,
we could incur significant losses and we may not achieve profitability.

 In addition, changes in policies or laws of the
United States or foreign governments resulting in, among other things, changes in regulations and the approval process, higher taxation,
currency conversion limitations, restrictions on fund transfers or the expropriation of private enterprises, could reduce the anticipated
benefits of our international expansion. If we fail to realize the anticipated revenue growth of our future international operations,
our business and operating results could suffer.

 If we fail to obtain, or experience significant
delays in obtaining, additional regulatory clearances or approvals to market our current or future products, we may be unable to commercialize
these products.

 The developing, testing, manufacturing, marketing
and selling of medical technology products is subject to extensive regulation by numerous governmental authorities in the United States
and other countries. The process of obtaining regulatory clearance and approval of medical technology products is costly and time consuming.
Even though their underlying product formulations may be the same or similar, our products are subject to different regulations and approval
processes depending upon their intended use.

 The FDA generally clears marketing of a medical
device through the 510(k) pre-market clearance process if it is demonstrated the new product has the same intended use and the same or
similar technological characteristics as another legally marketed Class II device, such as a device already cleared by the FDA through
the 510(k) premarket notification process, and otherwise meets the FDA's requirements. Product modifications, including labeling
the product for a new intended use, may require the submission of a new 510(k) clearance and FDA approval before the modified product
can be marketed.

 On November 30, 2023, the FDA issued a proposed
rule to classify certain wound dressings and liquid wound washes, including hypochlorous acid, into Class II medical devices. If finalized,
we would be required to submit new 510(k) applications for our products and to demonstrate compliance with special controls that require
specific information relating to performance testing and technical specifications, specific labeling requirements, and other requirements.
While we believe we will be able to demonstrate compliance with these special controls if the proposed rule is finalized, there is no
guarantee that the FDA will issue new clearance letters for our products, and the process of obtaining additional clearances may be costly
and time consuming.

 In addition, we do not know whether the necessary
approvals or clearances will be granted or delayed for future products. The FDA could request additional information, changes to product
formulation(s) or clinical testing that could adversely affect the time to market and sale of products as drugs. If we do not obtain the
requisite regulatory clearances and approvals, we will be unable to commercialize our products and may never recover any of the substantial
costs we have invested in the development of HOCl.

 Distribution of our products outside the United
States is subject to extensive government regulation. These regulations, including the requirements for approvals or clearance to market,
the time required for regulatory review and the sanctions imposed for violations, vary from country to country. We do not know whether
we will obtain regulatory approvals in such countries or that we will not be required to incur significant costs in obtaining or maintaining
these regulatory approvals. In addition, the export by us of certain of our products that have not yet been cleared for domestic commercial
distribution may be subject to FDA export restrictions. Failure to obtain necessary regulatory approvals, the restriction, suspension
or revocation of existing approvals or any other failure to comply with regulatory requirements would have a material adverse effect on
our future business, financial condition, and results of operations.

 If we fail to comply with ongoing regulatory
requirements, or if we experience unanticipated problems with our products, these products could be subject to restrictions or withdrawal
from the market.

 Regulatory approvals or clearances that we currently
have and that we may receive in the future are subject to limitations on the indicated uses for which the products may be marketed, and
any future approvals could contain requirements for potentially costly post-marketing follow-up studies. If the FDA determines that our
promotional materials or activities constitute promotion of an unapproved use or we otherwise fail to comply with FDA regulations, we
may be subject to regulatory enforcement actions, including warning letters, injunctions, seizures, civil fines or criminal penalties.
In addition, the manufacturing, labeling, packaging, adverse event reporting, storing, advertising, promoting, distributing and record-keeping
for approved products are subject to extensive regulation. We are subject to continued supervision by European regulatory agencies relating
to our CE markings and are required to report any serious adverse incidents to the appropriate authorities. Our manufacturing facilities,
processes and specifications are subject to periodic inspection by the FDA, Mexican and other regulatory authorities and, from time to
time, we may receive notices of deficiencies from these agencies as a result of such inspections. Our failure to continue to meet regulatory
standards or to remedy any deficiencies could result in restrictions being imposed on our products or manufacturing processes, fines,
suspension or loss of regulatory approvals or clearances, product recalls, termination of distribution, product seizures or the need to
invest substantial resources to comply with various existing and new requirements. In the more egregious cases, criminal sanctions, civil
penalties, disgorgement of profits or closure of our manufacturing facilities are possible. The subsequent discovery of previously unknown
problems with HOCl, including adverse events of unanticipated severity or frequency, may result in restrictions on the marketing of our
products, and could include voluntary or mandatory recall or withdrawal of products from the market.

 New government regulations may be enacted and
changes in FDA policies and regulations and, their interpretation and enforcement, could prevent or delay regulatory approval of our products.
We cannot predict the likelihood, nature or extent of adverse government regulation that may arise from future legislation or administrative
action, either in the United States or abroad. Therefore, we do not know whether we will be able to continue to comply with any regulations
or that the costs of such compliance will not have a material adverse effect on our future business, financial condition, and results
of operations. If we are not able to maintain regulatory compliance, we will not be permitted to market our products and our business
would suffer.

 If any of our third-party
contractors fail to perform their responsibilities to comply with FDA rules and regulations, the manufacture, marketing and sales of our
products could be delayed, which could decrease our revenues.

 Supplying the market
with our HOCl technology products requires us to manage relationships with an increasing number of collaborative partners, suppliers and
third-party contractors. As a result, our success depends partially on the success of these third parties in performing their responsibilities
to comply with FDA rules and regulations. Although we pre-qualify our contractors and we believe that they are fully capable of performing
their contractual obligations, we cannot directly control the adequacy and timeliness of the resources and expertise that they apply to
these activities. For example, we and our suppliers are required to comply with the FDA's quality system regulations, which cover
the methods and documentation of the design, testing, production, control, quality assurance, labeling, packaging, storage and shipping
of our products. The FDA enforces the quality system regulation through inspections.

 If any of our partners
or contractors fail to perform their obligations in an adequate and timely manner or fail to comply with the FDA's rules and regulations,
including failure to comply with quality systems regulations or a corrective action submitted to the FDA after notification by the FDA
of a deficiency is deemed insufficient, then the manufacture, marketing and sales of our products could be delayed. Our products could
be detained or seized, the FDA could order a recall, or require our partner to replace or offer refunds for our products. The FDA could
also require our partner, and depending on our agreement with our partner, us, to notify healthcare professionals and others that the
products present unreasonable risks of substantial harm to the public health. If any of these events occur, the manufacture, marketing
and sales of our products could be delayed which could decrease our revenues.

 If we fail to comply
with the FDA's rules and regulations and are subject to an FDA recall as part of an FDA enforcement action, the associated costs
could have a material adverse effect on our business, financial position, results of operations and cash flows.

 Our Company, our products,
the manufacturing facilities for our products, the distribution of our products, and our promotion and marketing materials are subject
to strict and continual review and periodic inspection by the FDA and other regulatory agencies for compliance with pre-approval and post-approval
regulatory requirements.

 If we fail to comply
with the FDA's rules and regulations, we could be subject to an enforcement action by the FDA. The FDA could undertake regulatory
actions, including seeking a consent decree, recalling or seizing our products, ordering a total or partial shutdown of production, delaying
future marketing clearances or approvals, and withdrawing or suspending certain of our current products from the market. A product recall,
restriction, or withdrawal could result in substantial and unexpected expenditures, destruction of product inventory, and lost revenues
due to the unavailability of one or more of our products for a period of time, which could reduce profitability and cash flow. In addition,
a product recall or withdrawal could divert significant management attention and financial resources. If any of our products are subject
to an FDA recall, we could incur significant costs and suffer economic losses. Production of our products could be suspended and we could
be required to establish inventory reserves to cover estimated inventory losses for all work-in-process and finished goods related to
products we, or our third-party contractors, manufacture. A recall of a material amount of our products could have a significant, unfavorable
impact on our future gross margins.

 If our products
fail to comply with FDA and other governmental regulations, or our products are deemed defective, we may be required to recall our products
and we could suffer adverse public relations that could adversely impact our sales, operating results, and reputation which would adversely
affect our business operations.

 We may be exposed to
product recalls, including voluntary recalls or withdrawals, and adverse public relations if our products are alleged to cause injury
or illness, or if we are alleged to have mislabeled or misbranded our products or otherwise violated governmental regulations. Governmental
authorities can also require product recalls or impose restrictions for product design, manufacturing, labeling, clearance, or other issues.
For the same reasons, we may also voluntarily elect to recall, restrict the use of a product or withdraw products that we consider below
our standards, whether for quality, packaging, appearance or otherwise, in order to protect our brand reputation.

 Product recalls, product
liability claims, even if unmerited or unsuccessful, or any other events that cause consumers to no longer associate our brand with high
quality and safe products may also result in adverse publicity, hurt the value of our brand, harm our reputation among our customers and
other healthcare professionals who use or recommend the products, lead to a decline in consumer confidence in and demand for our products,
and lead to increased scrutiny by federal and state regulatory agencies of our operations, any of which could have a material adverse
effect on our brand, business, performance, prospects, value, results of operations and financial condition.

 If our products do not gain market acceptance,
our business will suffer because we might not be able to fund future operations.

 A number of factors may affect the market acceptance
of our products or any other products we develop or acquire, including, among others:

 the price of our products relative to other products for the same or similar treatments;

 the perception by patients, physicians and other members of the healthcare community of the effectiveness and safety of our products for their indicated applications and treatments;

 changes in practice guidelines and the standard of care for the targeted indication;

 our ability to fund our sales and marketing efforts; and

 the effectiveness of our sales and marketing efforts or our partners' sales and marketing efforts.

 Our ability to effectively promote and sell any
approved products will also depend on pricing and cost-effectiveness, including our ability to produce a product at a competitive price
and our ability to obtain sufficient third-party coverage or reimbursement, if any. In addition, our efforts to educate the medical community
on the benefits of our product candidates may require significant resources, may be constrained by FDA rules and policies on product promotion,
and may never be successful. If our products do not gain market acceptance, we may not be able to fund future operations, including developing,
testing and obtaining regulatory approval for new product candidates and expanding our sales and marketing efforts for our approved products,
which would cause our business to suffer.

 If our competitors develop products with
similar characteristics to HOCl, we may need to modify or alter our business strategy, which may delay the achievement of our goals.

 Competitors have and may continue to develop products
with similar characteristics to HOCl. Such similar products marketed by larger competitors can hinder our or our partners' efforts
to penetrate the market. As a result, we may be forced to modify or alter our business and regulatory strategy and sales and marketing
plans, as a response to changes in the market, competition and technology limitations, among others. Such modifications may pose additional
delays in achieving our goals.

 Negative economic conditions increase the
risk that we could suffer unrecoverable losses on our customers' accounts receivable which would adversely affect our financial
results.

 We grant credit to our business customers, which
are primarily located in Mexico, Europe and the United States. Collateral is generally not required for trade receivables. We maintain
allowances for potential credit losses. We rely on certain key customers for a significant portion of revenues. At March 31, 2024, customer
B represented 13% of our net accounts receivable balance and customer D represented 17% of our net accounts receivable balance. At March
31, 2023, customer B represented 22% of our net accounts receivable balance and customer D represented 21% of our net accounts receivable
balance. While we believe we have a varied customer base and have experienced strong collections in the past, if current economic conditions
disproportionately impact any one of our key customers, including reductions in their purchasing commitments to us or their ability to
pay their obligations, it could have a material adverse effect on our revenues and liquidity. We have not purchased insurance on our accounts
receivable balances.

 We may experience difficulties in manufacturing
our products, which could prevent us from commercializing one or more of our products.

 The machines used to manufacture our products
are complex, use complicated software and must be monitored by highly trained engineers. Slight deviations anywhere in our manufacturing
process, including quality control, labeling, and packaging, could lead to a failure to meet the specifications required by the FDA, the
Environmental Protection Agency, European notified bodies, Mexican regulatory agencies and other foreign regulatory bodies, which may
result in lot failures or product recalls. If we are unable to obtain quality internal and external components, mechanical and electrical
parts, if our software contains defects or is corrupted, or if we are unable to attract and retain qualified technicians to manufacture
our products, our manufacturing output of HOCl, or any other product candidate based on our platform that we may develop, could fail to
meet required standards, our regulatory approvals could be delayed, denied or revoked, and commercialization of one or more of our products
may be delayed or foregone. Manufacturing processes that are used to produce the smaller quantities of HOCl-based products needed for
clinical tests and current commercial sales may not be successfully scaled up to allow production of significant commercial quantities.
Any failure to manufacture our products to required standards on a commercial scale could result in reduced revenues, delays in generating
revenue and increased costs.

 Our competitive position depends on our
ability to protect our intellectual property and our proprietary technologies.

 Our ability to compete and to achieve and maintain
profitability depends on our ability to protect our intellectual property and proprietary technologies. We currently rely on a combination
of patents, patent applications, trademarks, trade secret laws, confidentiality agreements, license agreements and invention assignment
agreements to protect our intellectual property rights. We also rely upon unpatented know-how and continuing technological innovation
to develop and maintain our competitive position. These measures may not be adequate to safeguard our HOCl technology. If we do not protect
our rights adequately, third parties could use our technology, and our ability to compete in the market would be reduced.

 Our pending patent applications and any patent
applications we may file in the future may not result in issued patents, and we do not know whether any of our in-licensed patents or
any additional patents that might ultimately be issued by the U.S. Patent and Trademark Office or foreign regulatory body will protect
our HOCl technology. Any claims that are issued may not be sufficiently broad to prevent third parties from producing competing substitutes
and may be infringed, designed around, or invalidated by third parties. Even issued patents may later be found to be invalid or may be
modified or revoked in proceedings instituted by third parties before various patent offices or in courts. For example, our European patent
that was initially issued on May 30, 2007 was revoked by the Opposition Division of the European Patent Office in December 2009 following
opposition proceedings instituted by a competitor.

 The degree of future protection for our proprietary
rights is more uncertain in part because legal means afford only limited protection and may not adequately protect our rights, and we
will not be able to ensure that:

 we were the first to invent the inventions described in patent applications;

 we were the first to file patent applications for inventions;

 others will not independently develop similar or alternative technologies or duplicate our products without infringing our intellectual property rights;

 any patents licensed or issued to us will provide us with any competitive advantages;

 we will develop proprietary technologies that are patentable; or

 the patents of others will not have an adverse effect on our ability to do business.

 The policies we use to protect our trade secrets
may not be effective in preventing misappropriation of our trade secrets by others. In addition, confidentiality and invention assignment
agreements executed by our employees, consultants and advisors may not be enforceable or may not provide meaningful protection for our
trade secrets or other proprietary information in the event of unauthorized use or disclosures.

 We cannot be certain that the steps we have taken
will prevent the misappropriation and use of our intellectual property in the United States, or in foreign countries where the laws may
not protect our proprietary rights as fully as in the United States.

 We may face intellectual property infringement
claims that could be time-consuming, costly to defend and could result in our loss of significant rights and, in the case of patent infringement
claims, the assessment of treble damages.

 On occasion, we may receive notices of claims
of infringement, misappropriation, or misuse of other parties' proprietary rights. We may have disputes regarding intellectual property
rights with the parties that have licensed those rights to us. We may also initiate claims to defend our intellectual property. Intellectual
property litigation, regardless of its outcome, is expensive and time-consuming, and could divert management's attention from our
business and have a material negative effect on our business, operating results, or financial condition. In addition, the outcome of such
litigation may be unpredictable. If there is a successful claim of infringement against us, we may be required to pay substantial damages,
including treble damages if we were to be found to have willfully infringed a third party's patent, to the party claiming infringement,
develop non-infringing technology, stop selling our products or using technology that contains the allegedly infringing intellectual property
or enter into royalty or license agreements that may not be available on acceptable or commercially practical terms, if at all. Our failure
to develop non-infringing technologies or license the proprietary rights on a timely basis could harm our business. In addition, modifying
our products to exclude infringing technologies could require us to seek re-approval or clearance from various regulatory bodies for our
products, which would be costly and time consuming. Also, we may be unaware of pending patent applications that relate to our technology.
Parties making infringement claims on future issued patents may be able to obtain an injunction that would prevent us from selling our
products or using technology that contains the allegedly infringing intellectual property, which could harm our business.

 We could be required to indemnify third
parties for alleged intellectual property infringement, which could cause us to incur significant costs.

 Some of our distribution agreements contain commitments
to indemnify our distributors against liability arising from infringement of third-party intellectual property, such as patents. We may
be required to indemnify our customers for claims made against them or to contribute to license fees they are required to pay. If we are
forced to indemnify for claims or to pay license fees, our business and financial condition could be substantially harmed.

 Our international operations are subject
to trade policies and trade agreements and unfavorable changes could harm our business.

 We have significant international operations in
Mexico and Europe, and we manufacture products for export in Mexico. There may be changes to existing trade agreements, like the USMCA,
which went to effect on July 1, 2020, greater restrictions on free trade generally, and significant increases in tariffs on goods imported
into the United States, particularly tariffs on products manufactured in Mexico, among other possible changes. Any changes to USMCA (or
subsequent trade agreements) could impact our operations in countries where we manufacture or sell products or source components, or materials,
which could adversely affect our operating results and our business.

 Our sales in international markets subject
us to foreign currency exchange and other risks and costs which could harm our business.

 A substantial portion of our revenues are derived
from outside the United States, primarily from Mexico and Europe. We anticipate that revenues from international customers will continue
to represent a substantial portion of our revenues for the foreseeable future. Because we generate revenues in foreign currencies, we
are subject to the effects of exchange rate fluctuations. The functional currency of our Mexican subsidiary is the Mexican Peso and the
functional currency of our Netherlands subsidiary is the Euro. For the preparation of our consolidated financial statements, the financial
results of our foreign subsidiaries are translated into U.S. dollars using average exchange rates during the applicable period. If
the U.S. dollar appreciates against the Mexican Peso or the Euro, as applicable, the revenues we recognize from sales by our subsidiaries
will be adversely impacted. Foreign exchange gains or losses as a result of exchange rate fluctuations in any given period could harm
our operating results and negatively impact our revenues. Additionally, if the effective price of our products were to increase as a result
of fluctuations in foreign currency exchange rates, demand for our products could decline and adversely affect our results of operations
and financial condition.

 The markets in which we operate are highly
competitive and subject to rapid technological change. If our competitors are better able to develop and market products that are less
expensive or more effective than any products that we may develop, our commercial opportunity may be reduced or eliminated.

 Our success depends, in part, upon our ability
to stay at the forefront of technological change and to maintain a competitive position. We compete with large healthcare, pharmaceutical
and biotechnology companies, along with smaller or early-stage companies that have collaborative arrangements with larger pharmaceutical
companies, academic institutions, government agencies and other public and private research organizations. Many of our competitors have
significantly greater financial resources and expertise in research and development, manufacturing, pre-clinical testing, conducting clinical
trials, obtaining regulatory approvals and marketing approved products than we do. Our competitors may:

 develop and patent processes or products earlier than we will;

 develop and commercialize products that are less expensive or more efficient than any products that we may develop;

 obtain regulatory approvals for competing products more rapidly than we will; and

 improve upon existing technological approaches or develop new or different approaches that render our technology or products obsolete or non-competitive.

 As a result, we may not be able to successfully
commercialize any future products.

 The success of our research and development
efforts may depend on our ability to find suitable collaborators to fully exploit our capabilities. If we are unable to establish collaborations
or if these future collaborations are unsuccessful, our research and development efforts may be unsuccessful, which could adversely affect
our results of operations and financial condition.

 An element of our business strategy is to enter
into collaborative or license arrangements under which we license our HOCl technology to other parties for development and commercialization.
We expect to seek collaborators for our potential products because of the expense, effort and expertise required to conduct clinical trials
and further develop those potential product candidates. Because collaboration arrangements are complex to negotiate, we may not be successful
in our attempts to establish these arrangements. If we need third party assistance in identifying and negotiating one or more acceptable
arrangements, it might be costly. Also, we may not have products that are desirable to other parties, or we may be unwilling to license
a potential product because the party interested in it is a competitor. The terms of any arrangements that we establish may not be favorable
to us. Alternatively, potential collaborators may decide against entering into an agreement with us because of our financial, regulatory
or intellectual property position or for scientific, commercial or other reasons. If we are unable to establish collaborative agreements,
we may not be able to develop and commercialize new products, which would adversely affect our business and our revenues.

 In order for any of these collaboration or license
arrangements to be successful, we must first identify potential collaborators or licensees whose capabilities complement and integrate
well with ours. We may rely on these arrangements for not only financial resources, but also for expertise or economies of scale that
we expect to need in the future relating to clinical trials, manufacturing, sales and marketing, and for licensing technology rights.
However, it is likely that we will not be able to control the amount and timing of resources that our collaborators or licensees devote
to our programs or potential products. If our collaborators or licensees prove difficult to work with, are less skilled than we originally
expected, or do not devote adequate resources to the program, the relationship will not be successful. If a business combination involving
a collaborator or licensee and a third party were to occur, the effect could be to diminish, terminate or cause delays in development
of a potential product.

 If we are unable to comply with broad and
complex federal and state fraud and abuse laws, including state and federal anti-kickback laws, we could face substantial penalties and
our products could be excluded from government healthcare programs.

 We are subject to various federal and state laws
pertaining to healthcare fraud and abuse, which include, among other things, "anti-kickback" laws that prohibit payments to
induce the referral of products and services, and "false claims" statutes that prohibit the fraudulent billing of federal
healthcare programs. Our operations are subject to the Federal Anti-Kickback Statute, a criminal statute that, subject to certain statutory
exceptions, prohibits any person from knowingly and willfully offering, paying, soliciting or receiving remuneration, directly or indirectly,
to induce or reward a person either (i) for referring an individual for the furnishing of items or services for which payment may
be made in whole or in part by a government healthcare program such as Medicare or Medicaid, or (ii) for purchasing, leasing, ordering
or arranging for or recommending the purchasing, leasing or ordering of an item or service for which payment may be made under a government
healthcare program. Because of the breadth of the Federal Anti-Kickback Statute, the Office of Inspector General of the U.S. Department
of Health and Human Services, was authorized to adopt regulations setting forth additional exceptions to the prohibitions of the statute
commonly known as "safe harbors." If all of the elements of an applicable safe harbor are fully satisfied, an arrangement
will not be subject to prosecution under the Federal Anti-Kickback Statute.

 In addition, if there is a change in law, regulation
or administrative or judicial interpretations of these laws, we may have to change our business practices or our existing business practices
could be challenged as unlawful, which could have a negative effect on our business, financial condition and results of operations.

 Healthcare fraud and abuse laws are complex, and
even minor, inadvertent irregularities can potentially give rise to claims that a statute or regulation has been violated. The frequency
of suits to enforce these laws has increased significantly in recent years and has increased the risk that a healthcare company will have
to defend a false claim action, pay fines or be excluded from the Medicare, Medicaid or other federal and state healthcare programs as
a result of an investigation arising out of such action. We cannot guarantee that we will not become subject to such litigation. Any violations
of these laws, or any action against us for violation of these laws, even if we successfully defend against it, could harm our reputation,
be costly to defend and divert management's attention from other aspects of our business. Similarly, if the physicians or other
providers or entities with which we do business are found to have violated abuse laws, they may be subject to sanctions, which could also
have a negative impact on us.

 We may not be able to maintain sufficient
product liability insurance to cover claims against us.

 Product liability insurance for the healthcare
industry is generally expensive to the extent it is available at all. We may not be able to maintain such insurance on acceptable terms
or be able to secure increased coverage if the commercialization of our products progresses, nor can we be sure that existing or future
claims against us will be covered by our product liability insurance. Moreover, the existing coverage of our insurance policy or any rights
of indemnification and contribution that we may have may not be sufficient to offset existing or future claims. A successful claim against
us with respect to uninsured liabilities or in excess of insurance coverage and not subject to any indemnification or contribution could
have a material adverse effect on our future business, financial condition, and results of operations.

 Our ability to generate revenue will be
diminished if our partners are unable to obtain acceptable prices or an adequate level of reimbursement from third-party payors, or our
partners may face pricing pressure from private third-party payers, including customers, from rebates and restrictive reimbursement practices.

 Our partner's ability to commercialize our
products successfully will depend in part on the extent to which appropriate coverage and reimbursement levels for the cost of our products
and related treatment are obtained from governmental authorities, private health insurers and other organizations, such as health maintenance
organizations, or HMOs. In the United States, governmental and private payors have limited the growth of health care costs through price
regulation or controls, competitive pricing programs and drug rebate programs.

 There is significant uncertainty concerning third-party
coverage and reimbursement of newly approved medical products. Third-party payors are increasingly challenging the prices charged for
medical products and services. Also, the trend toward managed healthcare in the United States and the concurrent growth of organizations
such as HMOs, as well as the "Affordable Care Act," or any new healthcare laws may result in lower prices for or rejection
of our products. The cost containment measures that healthcare payors and providers are instituting and the effect of any healthcare reform
or changes to managed healthcare could materially and adversely affect our ability to generate revenues.

 In the United States and some foreign jurisdictions,
there have been a number of legislative and regulatory proposals to change the health care system in ways that could affect our partner's
abilities to sell our products profitably, and thus lead to decreased demand for our products and revenues for us. We were able to negotiate
minimum purchase requirements in certain of our third-party distributor agreements. However, we have limited control over purchases by
our distributors, to meet the minimum purchase thresholds or above the minimum purchase thresholds.

 Increasingly, private health insurance companies
and self-insured employers have been raising co-payments required from beneficiaries and looking for other ways to shift more of the cost
burden to manufacturers and patients. This cost shifting has given consumers greater control of medication choices, as they pay for a
larger portion of their prescription costs and may cause consumers to favor lower cost generic alternatives to branded pharmaceuticals.
Additionally, patients continue to face cost reduction pressures that may cause them to curtail their use of, or seek reimbursement for,
our products, to negotiate reduced fees or other concessions or to delay payment. Third-party payors may reduce or limit reimbursement
for our products in the future, such as by withdrawing their coverage policies, canceling any future contracts, reviewing and adjusting
the rate of reimbursement, or imposing limitations on coverage. Any such changes could negatively impact the sales of our products by
our partners, and therefore, have a material adverse effect on our revenues.

 Our ability to generate revenue will be
diminished if our partners are unable to manage customer product substitutions for our prescription products.

 Similar to other pharmaceutical companies, patients
are increasingly seeking lower-cost substitutes to our products. Even if our patients have a prescription for our product, the pharmacist
may recommend a less expensive product even if that product is less effective or designed for conditions different from what the patient
is seeking to treat. As a result, the patient may choose to abandon purchasing our prescribed product for a less expensive alternative
product resulting in a lost sale for our partners. If the number of consumers substituting our products increases, it could have a material
adverse effect on sales of our products by our partners, and therefore, our revenues, financial position, cash flows and results of operations.

 Our inability to raise additional capital
on acceptable terms in the future may cause us to curtail certain operational activities, including regulatory trials, sales and marketing,
and international operations, in order to reduce costs and sustain the business, and such inability would have a material adverse effect
on our business and financial condition.

 We may need to raise additional capital in the
future in order to, among other things:

 increase our sales and marketing efforts to drive market adoption and address competitive developments;

 sustain commercialization of our current products or new products;

 acquire or license technologies;

 develop new products;

 expand our manufacturing capabilities; and

 finance capital expenditures and our general and administrative expenses.

 Our present and future funding requirements will
depend on many factors, including:

 the level of research and development investment required to maintain and improve our technology position;

 cost of filing, prosecuting, defending and enforcing patent claims and other intellectual property rights;

 our efforts to acquire or license complementary technologies or acquire complementary businesses;

 changes in product development plans needed to address any difficulties in commercialization;

 competing technological and market developments; and

 changes in regulatory policies or laws that affect our operations.

 If we raise additional funds by issuing equity
securities, it will result in dilution to our stockholders. Any equity securities issued also may provide for rights, preferences or privileges
senior to those of holders of our common stock. If we raise additional funds by issuing debt securities, these debt securities would have
rights, preferences and privileges senior to those of holders of our common stock, and the terms of the debt securities issued could impose
significant restrictions on our operations. If we raise additional funds through collaborations or licensing arrangements, we might be
required to relinquish significant rights to our technologies or products, or grant licenses on terms that are not favorable to us. A
failure to obtain adequate funds may cause us to curtail certain operational activities, including regulatory trials, sales and marketing,
and international operations, in order to reduce costs and sustain our business, and would have a material adverse effect on our business
and financial condition.

 Our information technology and infrastructure
may be breached or attacked, which could expose us to liability, damage our reputation, compromise our confidential information or otherwise
adversely affect our business.

 In the ordinary course of our business, we collect
and store a limited amount of sensitive data, including intellectual property, our proprietary business information and that of our customers,
suppliers, business partners, and personally identifiable information of our customers and employees, in our data centers and on our networks.
The secure processing, maintenance, and transmission of this information is critical to our operations and business strategy. Despite
our security measures, our information technology and infrastructure may be vulnerable to attacks by hackers or breached due to employee
error, malfeasance or other disruptions. Any such breach could compromise our networks and the information stored there could be accessed,
publicly disclosed, lost or stolen. Any such access, disclosure or other loss of information could result in legal claims or proceedings,
liability under laws that protect the privacy of personal information, and regulatory penalties, disrupt our operations and the services
we provide to customers, and damage our reputation, and cause a loss of confidence in our products and services, which could adversely
affect our business, revenues and competitive position.

 Our cash and cash equivalents may be exposed
to failure of our banking institutions.

 We maintain our cash at financial institutions,
in balances that exceed current FDIC insurance limits. If the banks where we hold deposits were to become insolvent or enter receivership,
our ability to access our cash, cash equivalents and investments, including transferring funds, making payments or receiving funds, may
be threatened, and this could have a material adverse effect on our business and financial condition.

 Risks Related to Our Common Stock

 The market price of our common stock may
be volatile, and the value of your investment could decline significantly.

 The trading price for our common stock has been,
and we expect it to continue to be, volatile. The price at which our common stock trades depends upon a number of factors, including our
historical and anticipated operating results, our financial situation, announcements of new products by us or our competitors, our ability
or inability to raise the additional capital we may need and the terms on which we raise it, and general market and economic conditions.
Some of these factors are beyond our control. Broad market fluctuations may lower the market price of our common stock and affect the
volume of trading in our stock, regardless of our financial condition, results of operations, business or prospects. It is impossible
to assure you that the market price of our shares of common stock will not fall in the future.

 Our operating results may fluctuate, which
could cause our stock price to decrease.

 Fluctuations in our operating results may lead
to fluctuations, including declines, in our share price. Our operating results and our share price may fluctuate from period to period
due to a variety of factors, including:

 demand by physicians, other medical staff and patients for our HOCl-based products;

 clinical trial results published by others in our industry and publication of results in peer-reviewed journals or the presentation at medical conferences;

 the inclusion or exclusion of our HOCl-based products in large clinical trials conducted by others;

 actual and anticipated fluctuations in our quarterly financial and operating results;

 developments or disputes concerning our intellectual property or other proprietary rights;

 issues in manufacturing our product candidates or products;

 new or less expensive products and services
or new technology introduced or offered by our competitors or by us;

 reimbursement decisions by third-party payors and announcements of those decisions;

 the development and commercialization of product enhancements;

 changes in the regulatory environment;

 delays in establishing new strategic relationships;

 costs associated with collaborations and new product candidates;

 introduction of technological innovations or new commercial products by us or our competitors;

 litigation or public concern about the safety of our product candidates or products;

 changes in recommendations of securities analysts or lack of analyst coverage;

 failure to meet analyst expectations regarding our operating results;

 additions or departures of key personnel; and

 general market conditions.

 Variations in the timing of our future revenues
and expenses could also cause significant fluctuations in our operating results from period to period and may result in unanticipated
earning shortfalls or losses. In addition, The Nasdaq Capital Market, in general, and the market for life sciences companies, in particular,
have experienced significant price and volume fluctuations that have often been unrelated or disproportionate to the operating performance
of those companies.

 Anti-takeover provisions in our certificate
of incorporation and bylaws and under Delaware law may make it more difficult for stockholders to change our management and may also make
a takeover difficult.

 Our corporate documents and Delaware law contain
provisions that limit the ability of stockholders to change our management and may also enable our management to resist a takeover. These
provisions include:

 the ability of our Board of Directors to issue and designate, without stockholder approval, the rights of up to 714,286 shares of convertible preferred stock, which rights could be senior to those of common stock;

 limitations on persons authorized to call a special meeting of stockholders; and

 advance notice procedures required for stockholders to make nominations of candidates for election as directors or to bring matters before meetings of stockholders.

 We are subject to Section 203 of the Delaware
General Corporation Law, which, subject to certain exceptions, prohibits "business combinations" between a publicly-held Delaware
corporation and an "interested stockholder," which is generally defined as a stockholder who became a beneficial owner of
15% or more of a Delaware corporation's voting stock for a three-year period following the date that such stockholder became an
interested stockholder.

 These provisions might discourage, delay or prevent
a change of control in our management. These provisions could also discourage proxy contests and make it more difficult for you and other
stockholders to elect directors and cause us to take other corporate actions. In addition, the existence of these provisions, together
with Delaware law, might hinder or delay an attempted takeover other than through negotiations with our Board of Directors.

 Our stockholders may experience substantial
dilution in the value of their investment if we issue additional shares of our capital stock or other securities convertible into common
stock.

 Our Restated Certificate of Incorporation, as
amended, allows us to issue up to 24,000,000 shares of our common stock and to issue and designate, without stockholder approval, the
rights of up to 714,286 shares of preferred stock. In the event we issue additional shares of our capital stock, dilution to our stockholders
could result. In addition, if we issue and designate a class of convertible preferred stock, these securities may provide for rights,
preferences or privileges senior to those of holders of our common stock. Additionally, if we issue preferred stock, it may convert into
common stock at a ratio of 1:1 or greater because our Restated Certificate of Incorporation, as amended, allows us to designate a conversion
ratio without limitations.

 Shares issuable upon the exercise of outstanding
options may substantially increase the number of shares available for sale in the public market and depress the price of our common stock.

 As of March 31, 2024, we had outstanding options
to purchase an aggregate of 1,032,999 shares of our common stock at a weighted average exercise price of $2.42 per share and a weighted
average contractual term of 8.91 years. In addition, 125,556 shares of our common stock were available on March 31, 2024 for future option
grants under our 2016 Equity Incentive Plan and our 2021 Equity Incentive Plan. To the extent any additional options are granted and exercised,
there will be further dilution to stockholders and investors. Until the options expire, these holders will have an opportunity to profit
from any increase in the market price of our common stock without assuming the risks of ownership. Holders of options may convert or exercise
these securities at a time when we could obtain additional capital on terms more favorable than those provided by the options. The exercise
of the options will dilute the voting interest of the owners of presently outstanding shares by adding a substantial number of additional
shares of our common stock.

 We have filed several registration statements
with the SEC, so that substantially all of the shares of our common stock which are issuable upon the exercise of outstanding warrants
and options may be sold in the public market. The sale of our common stock issued or issuable upon the exercise of the warrants and options
described above, or the perception that such sales could occur, may adversely affect the market price of our common stock.

 Our failure to maintain compliance with
Nasdaq's continued listing requirements could result in the delisting of our common stock.

 On September 22, 2023, we received a letter from
The Nasdaq Stock Market LLC ("Nasdaq") indicating that we are not in compliance with Nasdaq Listing Rule 5550(a)(2), which
requires companies listed on The Nasdaq Stock Market to maintain a minimum bid price of $1 per share for continued listing. On March 21,
2024, we received a notice that Nasdaq had granted us an additional 180 calendar days, or until September 16, 2024, to regain compliance
with the minimum closing bid price requirement for continued listing. Nasdaq's letter has no immediate impact on the listing of
our common stock, which will continue to be listed and traded on Nasdaq, subject to our compliance with the other continued listing requirements.
We may regain compliance at any time during this compliance period if the minimum bid price for our common stock is at least $1 for a
minimum of ten consecutive business days.

 Until Nasdaq has reached a final determination
that we have regained compliance with all of the applicable continued listing requirements, there can be no assurances regarding the continued
listing of our common stock or warrants on Nasdaq. The delisting of our common stock and warrants from Nasdaq would have a material adverse
effect on our access to capital markets, and any limitation on market liquidity or reduction in the price of its common stock as a result
of that delisting would adversely affect our ability to raise capital on terms acceptable to the Company, if at all.

 ITEM 1B. Unresolved Staff Comments

 Not Applicable.

 ITEM 1C. Cybersecurity

 Risk Management and Strategy

 We identify and address cybersecurity threats
and risks related to our business with an approach that includes assessments by our management and use of an outside consultant to manage
our information technology. In addition, we rely on operating systems and software from established and reliable third-party service providers
to provide security. We have employee policies in place designed to reduce risk of cyber-attacks and educate employees on protocol in
the event of a potential cybersecurity incident.

 Currently we are not aware of any risks from cybersecurity
threats, including as a result of any previous cybersecurity incidents, that have materially affected our business strategy, results of
operations or financial condition or are reasonably likely to have such a material effect. However, cyber-attacks are increasing in frequency,
sophistication and intensity, and despite our ongoing efforts we cannot eliminate all risks from cybersecurity threats, or provide assurances
that we have not experienced undetected cybersecurity incidents. Please refer to "Risk Factors" in Part I, Item 1A of this
Form 10-K for more information on the risks posed to us by cybersecurity threats.

 Governance

 The Board of Directors takes an active role,
as a whole, in overseeing management regarding our Company's risks, including cybersecurity risks. Our management, including our
Chief Executive Officer and our Chief Financial Officer, keeps the Board of Directors apprised of significant risks facing our Company
and the approach being taken to understand, manage, and mitigate such risks, including with respect to potential cybersecurity threats.

 ITEM 2. Properties

 At March 31, 2024, we have a corporate office
in Boulder, Colorado and our manufacturing facility in Zapopan, Mexico. We currently lease the following material properties:

 Location

 Rent per month

 Purpose

 5445 Conestoga Court, Unit 150, Boulder, CO 80301

 USD 3,573

 Principal executive office

 Industria Vidriera 81, & 87 Zapopan Industrial Norte, Zapopan, Jalisco, 45135, Mexico

 MXN 209,811

 Office, manufacturing

 Industria Maderera 124, 106, 115 & 815 Zapopan Industrial Norte, Zapopan, Jalisco, 45135, Mexico

 MXN 213,625

 Warehouse

 We believe that our properties will be adequate
to meet our needs for at least the next 12 months.

 ITEM 3. Legal Proceedings

 We may be involved in legal matters arising in
the ordinary course of our business including matters involving proprietary technology. While management believes that such matters are
currently insignificant, matters arising in the ordinary course of business for which we are or could become involved in litigation may
have a material adverse effect on our business, financial condition or results of comprehensive (loss) income.

 ITEM 4. Mine Safety Disclosures.

 Not applicable.

 ITEM 5. Market for Registrant's Common Equity, Related
Stockholder Matters and Issuer Purchases of Equity Securities

 Market Information

 Our common stock is traded on The Nasdaq Capital
Market under the symbol "SNOA." Previously, it traded under the symbol "OCLS" until December 6, 2016. Our common
stock has been trading since our initial public offering on January 25, 2007.

 Holders

 As of June 12, 2024, we had approximately 291
holders of record of our common stock. Holders of record include nominees who may hold shares on behalf of multiple owners.

 Dividends

 We have never declared or paid any cash dividends
on our common stock. We currently anticipate that we will retain all future earnings for the operation of our business and we do not currently
intend to pay any cash dividends on our common stock in the foreseeable future.

 Securities Authorized for Issuance Under Equity
Compensation Plans

 The information required to be disclosed by Item
201(d) of Regulation S-K, "Securities Authorized for Issuance Under Equity Compensation Plans," is incorporated herein by
reference. Refer to Item 12 of Part III of this annual report on Form 10-K for additional information.

 Recent Sales of Unregistered Securities

 We did not issue any unregistered securities during
the year ended March 31, 2024 and through June 17, 2024.

 ITEM 6. Selected Financial Data

 As a smaller reporting company, as defined by
Rule 12b-2 of the Exchange Act and in Item 10(f)(1) of Regulation S-K, we are electing scaled disclosure reporting obligations
and therefore are not required to provide the information requested by this Item.

 ITEM 7. Management's Discussion
and Analysis of Financial Condition and Results of Operations

 Critical Accounting Policies

 The preparation of our consolidated financial
statements in conformity with accounting principles generally accepted in the United States of America requires management to exercise
its judgment. We exercise considerable judgment with respect to establishing sound accounting policies and in making estimates and assumptions
that affect the reported amounts of our assets and liabilities, our recognition of revenues and expenses, and disclosure of commitments
and contingencies at the date of the consolidated financial statements.

 On an ongoing basis, we evaluate our estimates
and judgments. Areas in which we exercise significant judgment include, but are not necessarily limited to, our valuation of accounts
receivable, inventory, income taxes, equity transactions (compensatory and financing) and contingencies.

 We base our estimates and judgments on a variety
of factors including our historical experience, knowledge of our business and industry, current and expected economic conditions, the
attributes of our products, the regulatory environment, and in certain cases, the results of outside appraisals. We periodically re-evaluate
our estimates and assumptions with respect to these judgments and modify our approach when circumstances indicate that modifications are
necessary.

 While we believe that the factors we evaluate
provide us with a meaningful basis for establishing and applying sound accounting policies, we cannot guarantee that the results will
always be accurate. Since the determination of these estimates requires the exercise of judgment, actual results could differ from such
estimates.

 For a Summary of all Accounting Policies, please
refer to Notes to Consolidated Financial Statements, Note 3.

 Results of Continuing Operations

 Comparison of the Year Ended March 31, 2024
and 2023

 Revenue

 The following table shows our consolidated total
revenue and revenue by geographic region for the year ended March 31, 2024 and 2023:

 (In thousands)

 2024

 2023

 $ Change

 % Change

 United States

 $
 3,058

 $
 3,428

 $
 (370
)

 (11%
)

 Europe

 4,781

 4,051

 18%

 Asia

 2,298

 2,451

 (153
)

 (6%
)

 Latin America

 1,726

 2,383

 (657
)

 (28%
)

 Rest of the World

 (87
)

 (9%
)

 Total

 $
 12,735

 $
 13,272

 $
 (537
)

 (4%
)

 The decrease in United States revenue of $370,000
for the year ended March 31, 2024, was primarily the result of fluctuations in over-the-counter animal health care sales.

 The increase in Europe revenue for the year ended
March 31, 2024 of $730,000 was the result of a general increase in demand for our products and, more specifically, an increase in demand
for our wound care products from our customer in Poland due to recent world events.

 The decrease in Asia revenue of $153,000 for the
year ended March 31, 2024, was primarily due to timing of orders. Revenues from our international distributors tend to fluctuate from
period to period due to customer placement of larger but less frequent orders to benefit from quantity discounts and reduced shipping
costs.

 The decrease in Latin America revenue for the
year ended March 31, 2024 of $657,000 was primarily due to a one-time event in the prior year related to the sale of machinery to a customer.
We recorded $750,000 of service revenue in the prior year in connection with this transaction.

 The decrease in Rest of World revenue for the
year ended March 31, 2024 of $87,000 was primarily due to timing of customer orders.

 Cost of Revenue and Gross Profit

 The cost of revenue and gross profit metrics for
the year ended March 31, 2024 and 2023 are as follows:

 (In thousands, except for percentages)

 2024

 2023

 $ Change

 % Change

 Cost of Revenues

 $

 7,990

 $

 8,795

 $

 (805

)

 (9%

)

 Cost of Revenue as a % of Revenues

 63%

 66%

 Gross Profit

 $

 4,745

 $

 4,477

 $

 6%

 Gross Profit as a % of Revenues

 37%

 34%

 The increase in gross profit margin of $268,000
for the year ended March 31, 2024, as compared to the prior year, was primarily due to overall product mix, redeployment of labor to research
and development projects in the current year and higher costs of materials and transportation in the prior year.

 Research and Development Expense

 The research and development expense metrics for
the year ended March 31, 2024 and 2023 are as follows:

 (In thousands, except for percentages)

 2024

 2023

 $ Change

 % Change

 Research and Development Expense

 $
 1,871

 $

 $
 1,664

 804%

 Research and Development Expense as a % of Revenues

 15%

 2%

 Increases in research and development expenses
for the year ended March 31, 2024 of $1,664,000 was primarily due to increased product development and expanded regulatory efforts in
the U.S. and Europe to support new product releases.

 Selling, General and Administrative Expense

 The selling, general and administrative expense
metrics for the years ended March 31, 2024 and 2023 are as follows:

 (In thousands, except for percentages)

 2024

 2023

 Change

 % Change

 Selling, General and Administrative Expense

 $
 7,575

 $
 8,840

 $
 (1,265
)

 (14%
)

 Selling, General and Administrative Expense as a % of Revenues

 59%

 67%

 The decline in selling, general and administrative
expenses for the year ended March 31, 2024 of $1,265,000 was the result of ongoing efforts to contain expenses across all parts of the
company.

 Other Expense, net

 Other expense, net for the year ended March 31,
2024 was $330,000 compared to $614,000 for the year ended March 31, 2023. The changes in other expense, net primarily relate to exchange
rate fluctuations.

 Income Tax Benefit

 Income tax benefit for the year ended March 31,
2024 and 2023 was $196,000 and $33,000, respectively. The increase is primarily related to the release of our valuation allowance on deferred
tax assets in Europe.

 Net Loss

 The following table provides the net loss for
each period along with the computation of basic and diluted net loss per share:

 For the Year Ended March 31,

 (In thousands, except per share data)

 2024

 2023

 $
 (4,835
)

 $
 (5,151
)

 Weighted-average shares outstanding: basic and diluted

 9,090

 3,394

 Net loss per share: basic and diluted

 $
 (0.53
)

 $
 (1.52
)

 Liquidity and Capital Resources

 We reported a net loss of $4,835,000 and $5,151,000
for the years ended March 31, 2024 and 2023, respectively. At March 31, 2024 and 2023, our accumulated deficit amounted to $194,349,000
and $189,514,000, respectively. As of March 31, 2024 and 2023, we had cash and cash equivalents of $3,128,000 and $3,820,000, respectively.
Since our inception, substantially all of our operations have been financed through sales of equity securities. Other sources of financing
that we have used to date include our revenues, as well as various loans and the sale of certain assets to customers.

 Since April 1, 2023, substantially all of our
operations have been financed through cash on hand and the following transactions:

 Proceeds of $1,446,000, net of offering expenses, from the sale of common stock on October 26, 2023.

 Proceeds of $343,000, net of offering expenses, from the sale of common stock on January 11, 2024.

 The following table presents a summary of our
consolidated cash flows for operating, investing and financing activities for the years ended March 31, 2024 and 2023 as well balances
of cash and cash equivalents and working capital:

 Year ended March 31,

 (In thousands)

 2024

 2023

 Net cash provided by (used in):

 Operating activities

 $
 (2,398
)

 $
 (6,152
)

 Investing activities

 (2
)

 (258
)

 Financing activities

 1,676

 2,489

 Effect of exchange rates on cash

 Net change in cash and cash equivalents

 (692
)

 (3,576
)

 Cash and cash equivalents, beginning of the period

 3,820

 7,396

 Cash and cash equivalents, end of the period

 $
 3,128

 $
 3,820

 Working capital (1), end of period

 $
 8,829

 $
 10,081

 (1)

 Defined as current assets minus current liabilities.

 As of March 31, 2024 and 2023, we had cash and
cash equivalents of $3,128,000 and $3,820,000, respectively.

 Net cash used in operating activities during the
year ended March 31, 2024 was $2,398,000, primarily due to our net loss of $4,835,000, offset by stock compensation of $516,000, a decrease
in inventory of $184,000, and a decrease in prepaid expenses of $1,107,000.

 Net cash used in operating activities during the
year ended March 31, 2023 was $6,152,000, primarily due to net loss of $5,151,000 and a decline in deferred revenue.

 Net cash used in investing activities for the
year ended March 31, 2024 was $2,000, primarily related to the purchase of capital property and equipment.

 Net cash used in investing activities for the
year ended March 31, 2023 was $258,000, primarily related to the purchase of capital property and equipment.

 Net cash provided by financing activities for
the year ended March 31, 2024 was $1,676,000 primarily related to proceeds of $1,784,000 from the sale of common stock.

 Net cash provided by financing activities for
the year ended March 31, 2023 was $2,489,000 primarily related to proceeds of $2,868,000 from the sale of common stock, proceeds of $515,000
from short-term notes, offset by payments on our PPP loan and short-term notes.

 We expect revenues to fluctuate and may incur
losses in the foreseeable future and may need to raise additional capital to pursue our product development initiatives, to penetrate
markets for the sale of our products and continue as a going concern. We cannot provide any assurances that we will be able to raise additional
capital.

 Management believes that we have access to capital
resources through possible public or private equity offerings, debt financings, corporate collaborations or other means; however, we cannot
provide any assurance that new financing will be available on commercially acceptable terms, if at all. If the economic climate in the
U.S. deteriorates, our ability to raise additional capital could be negatively impacted. If we are unable to secure additional capital,
we may be required to take additional measures to reduce costs in order to conserve our cash in amounts sufficient to sustain operations
and meet our obligations. These measures could cause significant delays in our continued efforts to commercialize our products, which
is critical to the realization of our business plan and our future operations. These matters raise substantial doubt about our ability
to continue as a going concern.

 Capital Expenditures

 We currently forecast capital expenditures in
order to execute on our business plan and maintain growth; however, the actual amount and timing of such capital expenditures will ultimately
be determined by the volume of business. We currently do not anticipate that a material amount will be purchased for the year ended March
31, 2025. If we purchase capital equipment, we expect to pay cash for those expenditures or to finance them through equipment leases.

 Material Trends and Uncertainties

 We rely on certain key customers for a significant
portion of our revenues. In the future, a small number of customers may continue to represent a significant portion of our total revenues
in any given period. These customers may not consistently purchase our products at a particular rate over any subsequent period.

 We are exposed to risk from decline in foreign
currency for both the Euro and the Mexico Peso versus the US dollar. Most recently there has been a sharp decline in the Euro versus the
U.S. Dollar which has impacted our financial results.

 We face a substantial
Mexico tax liability, intercompany debt, unpaid technical assistance charges and accrued interest. These amounts are due in 2027. At this
time, management believes there are sufficient assets on the balance sheet to more than cover any tax obligation without interrupting
the Company's operations or business. We have engaged tax professionals to review all options to limit our exposure to these amounts
and to proceed in a manner that is most advantageous to the Company.

 The effects of the recent
pandemic continue to impact economies worldwide, and we are closely watching inflation, increased volatility within financial markets,
shipping costs, supply chain issues and labor costs. Any impact to our business operations, customer demand and supply chain due to increased
shipping costs may ultimately impact sales. We continue to evaluate our end-to-end supply chain and assess opportunities to refine the
impact on sales. Currently, most of our customers pay for shipping expenses, including increased shipping costs, if any. We have not yet
faced labor shortages however it is possible we may have difficulties retaining and finding qualified employees in a tight labor market
in the future. Furthermore, overall inflation tendencies may put pressure on our product pricing and/or costs.

 We also closely monitor
overall economic conditions and consumer sentiment and the prospect of a recession in the United States which may impact our financial
results.

 Use of Estimates

 The preparation of consolidated financial statements
in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions
that affect the reported amounts of assets and liabilities and disclosures of contingent liabilities at the dates of the consolidated
financial statements and the reported amounts of revenues and expenses during the reporting periods. Actual results could differ from
these estimates. Significant estimates and assumptions include reserves and write-downs related to receivables and inventories, the recoverability
of long-lived assets, the valuation allowance related to our deferred tax assets, valuation of equity and derivative instruments, debt
discounts, valuation of investments and the estimated amortization periods of upfront product licensing fees received from customers.

 Off-Balance Sheet Transactions

 We currently have no off-balance sheet arrangements
that have or are reasonably likely to have a current or future material effect on our financial condition, changes in financial condition,
revenues or expenses, results of operations, liquidity, capital expenditures or capital resources.

 ITEM 7A. Quantitative and Qualitative Disclosures About
Market Risk

 As a smaller reporting company as defined by Rule 12b-2
of the Exchange Act and in Item 10(f)(1) of Regulation S-K, we are electing scaled disclosure reporting obligations and therefore
are not required to provide the information requested by this Item.

 ITEM 8. Consolidated Financial Statements and Supplementary
Data

 Sonoma Pharmaceuticals, Inc.

 Index to Consolidated Financial Statements

 Page

 Report of Independent Registered Public Accounting Firm (PCAOB No. 215)

 Consolidated Balance Sheets as of March 31, 2024 and 2023

 Consolidated Statements of Comprehensive Loss for the Years Ended March 31, 2024 and 2023

 Consolidated Statements of Changes in Stockholders' Equity for the Years Ended March 31, 2024 and 2023

 Consolidated Statements of Cash Flows for the Years Ended March 31, 2024 and 2023

 Notes to Consolidated Financial Statements

 REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING
FIRM

 To the Shareholders and Board of Directors of

 Sonoma Pharmaceuticals, Inc.

 Opinion on the Consolidated Financial Statements

 We have audited the accompanying consolidated balance sheets of Sonoma
Pharmaceuticals, Inc. and Subsidiaries (the "Company") as of March 31, 2024 and 2023, and the related consolidated statements
of comprehensive loss, changes in stockholders' equity and cash flows for the years ended March 31, 2024 and 2023, and the related
notes (collectively referred to as the consolidated financial statements). In our opinion, the consolidated financial statements present
fairly, in all material respects, the financial position of the Company as of March 31, 2024 and 2023, and the results of their operations
and cash flows for the years ended March 31, 2024 and 2023, in conformity with accounting principles generally accepted in the United
States of America.

 Substantial Doubt About the Company's Ability to Continue as a Going
Concern

 The accompanying consolidated financial statements have been prepared
assuming that the Company will continue as a going concern. As discussed in Note 2 to the consolidated financial statements, the
Company has incurred significant losses and negative operating cash flows and needs to raise additional funds to meet its obligations
and sustain its operations. These conditions raise substantial doubt about its ability to continue as a going concern. Management's plans
in regard to these matters are also described in Note 2. The consolidated financial statements do not include any adjustments that might
result from the outcome of this uncertainty.

 Basis for Opinion

 These consolidated financial statements are the responsibility of the
Company's management. Our responsibility is to express an opinion on the Company's consolidated financial statements based on our audits.
We are a public accounting firm registered with the Public Company Accounting Oversight Board (United States) ("PCAOB") and
are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules
and regulations of the Securities and Exchange Commission and the PCAOB.

 We conducted our audits in accordance with the standards of the PCAOB.
Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the consolidated financial statements
are free of material misstatement, whether due to error or fraud. The Company is not required to have, nor were we engaged to perform,
an audit of its internal control over financial reporting. As part of our audits we are required to obtain an understanding of internal
control over financial reporting but not for the purpose of expressing an opinion on the effectiveness of the Company's internal
control over financial reporting. Accordingly, we express no such opinion.

 Our audits included performing procedures to assess the risks of material
misstatement of the consolidated financial statements, whether due to error or fraud, and performing procedures that respond to those
risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the consolidated financial
statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as
evaluating the overall presentation of the consolidated financial statements. We believe that our audits provide a reasonable basis for
our opinion.

 Critical Audit Matters

 Critical audit matters are matters arising from the current period
audit of the consolidated financial statements that were communicated or required to be communicated to the audit committee and that: (1) relate
to accounts or disclosures that are material to the consolidated financial statements and (2) involved our especially challenging,
subjective, or complex judgments. We determined that there are no critical audit matters.

 /s/ Frazier & Deeter, LLC

 We have served as the Company's auditor since 2021.

 Tampa, Florida

 F- 1

 Consolidated Balance Sheets

 (In thousands, except share amounts)

 2024

 2023

 ASSETS

 Current assets:

 Cash and cash equivalents

 $
 3,128

 $
 3,820

 Accounts receivable, net

 2,898

 2,572

 Inventories, net

 2,719

 2,858

 Prepaid expenses and other current assets

 3,541

 4,308

 Current portion of deferred consideration, net of discount

 Total current assets

 12,548

 13,798

 Property and equipment, net

 Operating lease, right of use assets

 Deferred tax asset

 1,145

 Deferred consideration, net of discount, less current portion

 Other assets

 Total assets

 $
 14,740

 $
 16,231

 LIABILITIES AND STOCKHOLDERS' EQUITY

 Current liabilities:

 Accounts payable

 $

 $

 Accrued expenses and other current liabilities

 2,113

 2,029

 Deferred revenue

 Short-term debt

 Operating lease liabilities, current portion

 Total current liabilities

 3,719

 3,717

 Deferred revenue, net of current portion

 Withholding tax payable

 4,710

 4,235

 Operating lease liabilities, less current portion

 Total liabilities

 8,603

 8,254

 Commitments and Contingencies (Note 11)

 –

 –

 Stockholders' Equity:

 Convertible preferred stock, $ 0.0001 par value; 714,286 shares authorized at March 31, 2024 and 2023, respectively, no shares issued and outstanding at March 31, 2024 and 2023, respectively

 –

 –

 Common stock, $ 0.0001 par value; 24,000,000 shares authorized at March 31, 2024 and 2023, respectively, 15,607,433 and 4,933,550 shares issued and outstanding at March 31, 2024 and 2023, respectively (Note 12)

 Additional paid-in capital

 203,207

 200,904

 Accumulated deficit

 ( 194,349
)

 ( 189,514
)

 Accumulated other comprehensive loss

 ( 2,723
)

 ( 3,418
)

 Total stockholders' equity

 6,137

 7,977

 Total liabilities and stockholders' equity

 $
 14,740

 $
 16,231

 The accompanying footnotes are an integral part
of these consolidated financial statements.

 F- 2

 Consolidated Statements of Comprehensive Loss

 (In thousands, except per share amounts)

 Year ended March 31,

 2024

 2023

 Revenues

 $
 12,735

 $
 13,272

 Cost of revenues

 7,990

 8,795

 Gross profit

 4,745

 4,477

 Operating expenses:

 Research and development

 1,871

 Selling, general and administrative

 7,575

 8,840

 Total operating expenses

 9,446

 9,047

 Loss from operations

 ( 4,701
)

 ( 4,570
)

 Other expense, net

 ( 330
)

 ( 614
)

 Loss from operations before income taxes

 ( 5,031
)

 ( 5,184
)

 Income tax benefit

 $
)

 $
)

 Net loss per share: basic and diluted

 $
 ( 0.53
)

 $
 ( 1.52
)

 Weighted-average shares outstanding: basic and diluted

 9,090

 3,394

 Other comprehensive loss:

 $
)

 $
)

 Foreign currency translation adjustments

 Comprehensive loss

 $
 ( 4,140
)

 $
 ( 4,257
)

 The accompanying footnotes are an integral part
of these consolidated financial statements.

 F- 3

 CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS'
EQUITY

 For the Years Ended March 31, 2024 and 2023

 (In thousands, except share amounts)

 Common Stock
 ($0.0001 par Value)

 Additional
 Paid in

 Accumulated

 Accumulated Other Comprehensive

 Shares

 Amount

 Capital

 Deficit

 Loss

 Total

 Balance March 31, 2022

 3,100,937

 $

 $
 197,370

 $
 ( 184,363
)

 $
 ( 4,312
)

 $
 8,697

 Proceeds from the At-the-Market sale of common stock, net of offering expenses

 1,819,593

 2,865

 –

 –

 2,868

 Employee stock-based compensation expense

 –

 –

 –

 –

 Stock based compensation related to issuance of common stock restricted stock grants

 13,020

 –

 –

 –

 Foreign currency translation adjustment

 –

 –

 –

 –

 –

 –

 –

)

 –

)

 Balance, March 31, 2023

 4,933,550

 $

 $
 200,904

 $
 ( 189,514
)

 $
 ( 3,418
)

 $
 7,977

 Adjustment to correct par value

 –

 ( 4
)

 –

 –

 –

 Proceeds from the sale of common stock, net of offering expenses

 8,500,000

 1,445

 –

 –

 1,446

 Proceeds from the At-the-Market sale of common stock, net of offering expenses

 1,923,100

 –

 –

 –

 Employee stock-based compensation expenses

 –

 –

 –

 –

 Stock based compensation related to issuance of common stock restricted stock grants

 250,783

 –

 –

 –

 Foreign currency translation adjustment

 –

 –

 –

 –

 –

 –

 –

)

 –

)

 Balance, March 31, 2024

 15,607,433

 $

 $
 203,207

 $
 ( 194,349
)

 $
 ( 2,723
)

 $
 6,137

 The accompanying footnotes are an integral part
of these consolidated financial statements.

 F- 4

 CONSOLIDATED STATEMENTS OF CASH FLOWS

 (In thousands)

 2024

 2023

 Cash flows from operating activities

 $
)

 $
)

 Adjustments to reconcile net loss to net cash used in operating activities:

 Depreciation and amortization

 Stock-based compensation

 Deferred income tax expense

 ( 109
)

 ( 37
)

 Operating lease right-of-use asset

 Gain on sale of assets

 –

 ( 1
)

 Changes in operating assets and liabilities:

 Accounts receivable, net

 ( 230
)

 ( 4
)

 Inventories, net

 –

 Prepaid expenses and other current assets

 1,107

 ( 306
)

 Deferred consideration, net of discount

 Accounts payable

 ( 278
)

 ( 864
)

 Accrued expenses and other current liabilities

 Withholding tax payable

 Operating lease liabilities

 ( 161
)

 ( 173
)

 Deferred revenue

 ( 1,296
)

 Net cash used in operating activities

 ( 2,398
)

 ( 6,152
)

 Cash flows from investing activities:

 Purchases of property and equipment

 ( 17
)

 ( 269
)

 Deposits

 Net cash used in investing activities

 ( 2
)

 ( 258
)

 Cash flows from financing activities:

 Proceeds from issuance of common stock, net of offering expenses

 1,784

 2,868

 Payments on PPP Loan

 –

 ( 120
)

 Principal payments on short-term debt

 ( 481
)

 ( 774
)

 Insurance premiums financed

 Net cash provided by financing activities

 1,676

 2,489

 Effect of exchange rate on cash and cash equivalents

 Net decrease in cash and cash equivalents

 ( 692
)

 ( 3,576
)

 Cash and cash equivalents, beginning of year

 3,820

 7,396

 Cash and cash equivalents, end of year

 $
 3,128

 $
 3,820

 Supplemental disclosure of cash flow information:

 Cash paid for interest

 $

 $

 Non-cash operating and financing activities:

 Insurance premiums financed

 $

 $

 The accompanying footnotes are an integral part
of these consolidated financial statements.

 F- 5

 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 NOTE 1 – Organization and Recent
Developments

 Organization

 Sonoma Pharmaceuticals, Inc. (the "Company")
was incorporated under the laws of the State of California in April 1999 and was reincorporated under the laws of the State of Delaware
in December 2006. The Company moved its principal office from Petaluma, California to Woodstock, Georgia in June 2020 and to Boulder,
Colorado in October 2022. The Company is a global healthcare leader for developing and producing stabilized hypochlorous acid ("HOCl")
products for a wide range of applications, including wound care, eye, oral and nasal care, dermatological conditions, podiatry, animal
health care, and as a non-toxic disinfectant. The Company's products are clinically proven to reduce itch, pain, scarring, and irritation
safely and without damaging healthy tissue. In-vitro and clinical studies of HOCl show it to safely manage skin abrasions, lacerations,
minor irritations, cuts, and intact skin. The Company sells its products either directly or via partners in 55 countries worldwide.

 NOTE 2 – Liquidity and Financial
Condition

 The Company reported a net loss of $ 4,835,000
and $ 5,151,000 for the years ended March 31, 2024 and 2023, respectively. At March 31, 2024 and 2023, the Company's accumulated
deficit amounted to $ 194,349,000 and $ 189,514,000, respectively. The Company had working capital of $ 8,829,000 and $ 10,081,000 as of March
31, 2024 and 2023, respectively. During the years ended March 31, 2024 and 2023, net cash used in operating activities amounted to $ 2,398,000
and $ 6,152,000, respectively.

 Management believes that the Company has access
to additional capital resources through possible public or private equity offerings, debt financings, corporate collaborations or other
means; however, the Company cannot provide any assurance that other new financings will be available on commercially acceptable terms,
if needed. If the economic climate in the U.S. deteriorates, the Company's ability to raise additional capital could be negatively
impacted. If the Company is unable to secure additional capital, it may be required to take additional measures to reduce costs in order
to conserve its cash in amounts sufficient to sustain operations and meet its obligations. These measures could cause significant delays
in the Company's continued efforts to commercialize its products, which is critical to the realization of its business plan and
the future operations of the Company. This uncertainty along with the Company's history of losses indicates that there is substantial
doubt about the Company's ability to continue as a going concern within one
year after the date that the financial statements are issued. The accompanying consolidated financial statements do not include
any adjustments that may be necessary should the Company be unable to continue as a going concern.

 NOTE 3 – Summary of Significant Accounting Policies

 Principles of Consolidation

 The accompanying consolidated financial statements
include the accounts of the Company and its wholly-owned subsidiaries, Aquamed Technologies, Inc. ("Aquamed"), Oculus Technologies
of Mexico S.A. de C.V. ("OTM"), and Sonoma Pharmaceuticals Netherlands, B.V. ("SP Europe"). Aquamed has no current
operations. All significant intercompany accounts and transactions have been eliminated in consolidation. The functional currency for
the Company's wholly-owned subsidiaries incorporated outside the United States ("U.S.") is denominated in local currency.
All intercompany transactions and balances have been eliminated in consolidation.

 F- 6

 Basis of presentation

 The accompanying consolidated financial statements
have been prepared by the Company pursuant to the rules and regulations of the U.S. Securities and Exchange Commission ("SEC")
and are in conformity with U.S. generally accepted accounting principles ("GAAP"). The Company's fiscal year end is
March 31. Unless otherwise stated, all years and dates refer to the fiscal year.

 Cash and Cash Equivalents

 Cash and cash equivalents include cash on hand
and all highly liquid investments with an original maturity of three months or less when purchased. The Company's cash equivalents
are held in prime money market investments with strong sponsor organizations which are monitored on a continuous basis.

 Use of Estimates

 The preparation of consolidated financial statements
in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and
assumptions that affect the reported amounts of assets and liabilities and disclosures of contingent liabilities at the dates of the consolidated
financial statements and the reported amounts of revenues and expenses during the reporting periods. Actual results could differ from
these estimates. Significant estimates and assumptions include reserves and write-downs related to receivables and inventories, the valuation
allowance relating to the Company's deferred tax assets, valuation of equity and the estimated amortization periods of upfront product
licensing fees received from customers. Periodically, the Company evaluates and adjusts estimates accordingly.

 Revenue Recognition

 The Company recognizes revenue in accordance with
Accounting Standards Codification ("ASC"), Topic 606 Revenue from Contracts with Customers ("Topic 606"). Revenue
is recognized when the Company transfers promised goods or services to the customer, in an amount that reflects the consideration which
the Company expects to receive in exchange for those goods or services. In determining the appropriate amount of revenue to be recognized
as the Company fulfills its obligations under the agreement, the Company performs the following steps: (i) identification of the
promised goods or services in the contract; (ii) determination of whether the promised goods or services are performance obligations,
including whether they are distinct in the context of the contract; (iii) measurement of the transaction price, including the constraint
on variable consideration; (iv) allocation of the transaction price to the performance obligations; and (v) recognition of revenue
when (or as) the Company satisfies each performance obligation. The Company only applies the five-step model to contracts when it is probable
that it will collect the consideration it is entitled to in exchange for the goods or services it transfers to the customer.

 The Company derives the majority of its revenue
through sales of its products directly to end users and to distributors. The Company also sells products to a customer base, including
hospitals, medical centers, doctors, pharmacies, distributors and wholesalers. The Company has also entered into agreements to license
its technology and products.

 The Company considers customer purchase orders,
which in some cases are governed by master sales agreements, to be the contracts with a customer. For each contract, the Company considers
the promise to transfer products, each of which are distinct, to be the identified performance obligations. In determining the transaction
price the Company evaluates whether the price is subject to refund or adjustment to determine the net consideration to which it expects
to be entitled.

 For all of the Company's sales to non-consignment
distribution channels, revenue is recognized when control of the product is transferred to the customer (i.e. when its performance obligation
is satisfied), which typically occurs when title passes to the customer upon shipment but could occur when the customer receives the product
based on the terms of the agreement with the customer. For product sales to its value-added resellers, non-stocking distributors and end-user
customers, the Company grants return privileges to its customers, and because the Company has a long history with its customers, the Company
is able to estimate the amount of product that will be returned.

 F- 7

 The Company has entered into consignment arrangements,
in which goods are left in the possession of another party to sell. As products are sold from the customer to third parties, the Company
recognizes revenue based on a variable percentage of a fixed price. Revenue recognized varies depending on whether a patient is
covered by insurance or is not covered by insurance. In addition, the Company may incur a revenue deduction related to the use of the
Company's rebate program.

 Sales to stocking distributors are made under
terms with fixed pricing and limited rights of return (known as "stock rotation") of the Company's products held in
their inventory. Revenue from sales to distributors is recognized upon the transfer of control to the distributor.

 The Company assessed the promised goods and services
in the technical support contract with Invekra for a ten-year period as being a distinct service that Invekra can benefit from on its
own and as separately identifiable from any other promises within the contract. Given that the distinct service is not substantially the
same as other goods and services within the Invekra contract, the Company accounted for the distinct service as a performance obligation.

 Concentration of Credit Risk and Major Customers

 Financial instruments that potentially subject
the Company to concentration of credit risk consist principally of cash, cash equivalents and accounts receivable. Cash and cash equivalents
are maintained in financial institutions in the United States, Mexico and the Netherlands. The Company is exposed to credit risk in the
event of default by these financial institutions for amounts in excess of the Federal Deposit Insurance Corporation insured limits. Cash
and cash equivalents held in foreign banks are intentionally kept at minimal levels, and therefore have minimal credit risk associated
with them. We currently have $1,185,000 of deposits above federally insured limits.

 The following table shows major customers revenues
as a percentage of net revenue:

 Schedule of concentration of risk

 For the Year Ended March 31,

 2024

 2023

 Customer A

 17 %

 11 %

 Customer B

 15 %

 16 %

 Customer C

 14 %

 18 %

 Customer D

 – *%

 – *%

 The following table shows major customers accounts
receivable balances as a percentage of net accounts receivables:

 2024

 2023

 Customer A

 – *%

 – *%

 Customer B

 13 %

 22 %

 Customer C

 – *%

 – *%

 Customer D

 17 %

 21 %

 *

 Represents less than 10%

 F- 8

 Accounts Receivable

 Trade accounts receivable are recorded net of
allowances for cash discounts for prompt payment, doubtful accounts, and sales returns. Estimates for cash discounts and sales returns
are based on analysis of contractual terms and historical trends.

 The Company's policy is to reserve for uncollectible
accounts based on its best estimate of the amount of probable credit losses in its existing accounts receivable. The Company periodically
reviews its accounts receivable to determine whether an allowance for doubtful accounts is necessary based on an analysis of past due
accounts and other factors that may indicate that the realization of an account may be in doubt. Other factors that the Company considers
include its existing contractual obligations, historical payment patterns of its customers and individual customer circumstances, an analysis
of days sales outstanding by customer and geographic region, and a review of the local economic environment and its potential impact on
government funding and reimbursement practices. Account balances deemed to be uncollectible are charged to the allowance after all means
of collection have been exhausted and the potential for recovery is considered remote. The Company did no t deem it necessary to record
an allowance for doubtful accounts for probable credit losses at March 31, 2024 and March 31, 2023. Additionally, at March 31, 2024 and
2023, the Company has allowances of $ 27,000 and $ 16,000, respectively, related to potential discounts, returns, distributor fees and rebates.
The allowances are included in Accounts Receivable, net in the accompanying consolidated balance sheets.

 Inventories

 Inventories are stated at the lower of cost, cost
being determined on a standard cost basis (which approximates actual cost on a first-in, first-out basis), or net realizable value.

 Due to changing market conditions, estimated future
requirements, age of the inventories on hand and production of new products, the Company regularly reviews inventory quantities on hand
and records a provision to write down excess and obsolete inventory to its estimated net realizable value. At March 31, 2024 and 2023,
the Company recorded provisions to reduce the carrying amounts of inventories to their net realizable value in the amounts of $ 296,000
and $ 236,000, respectively. which is included in inventories, net on the Company's accompanying consolidated balance sheets.

 Financial Assets and Liabilities

 Financial instruments, including cash and cash
equivalents, accounts receivable and accounts payable are carried at cost, which management believes approximates fair value due to the
short-term nature of these instruments. The fair value of capital lease obligations and equipment loans approximates their carrying amounts
as a market rate of interest is attached to their repayment. The Company measures the fair value of financial assets and liabilities based
on the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous
market for the asset or liability in an orderly transaction between market participants on the measurement date. The Company maximizes
the use of observable inputs and minimizes the use of unobservable inputs when measuring fair value. The Company uses three levels of
inputs that may be used to measure fair value:

 Level 1 – quoted prices in active
markets for identical assets or liabilities

 Level 2 – quoted prices for similar
assets and liabilities in active markets; quoted prices for identical or similar instruments in markets that are not active; and model-derived
valuations in which all significant inputs and significant value drivers are observable in active markets

 F- 9

 Level 3 – inputs that are unobservable
(for example cash flow modeling inputs based on assumptions)

 Level 3 liabilities are valued using unobservable
inputs to the valuation methodology that are significant to the measurement of the fair value of the liabilities. For fair value measurements
categorized within Level 3 of the fair value hierarchy, the Company's accounting and finance department, who report to the Chief
Financial Officer, determine its valuation policies and procedures. The development and determination of the unobservable inputs for Level
3 fair value measurements and fair value calculations are the responsibility of the Company's accounting and finance department
and are approved by the Chief Financial Officer.

 As of March 31, 2024 and 2023, there were no transfers
in or out of Level 3 from other levels in the fair value hierarchy.

 Property and Equipment

 Property and equipment are stated at cost less
accumulated depreciation and amortization. Depreciation of property and equipment is computed using the straight-line method over the
estimated useful lives of the respective assets. Depreciation of leasehold improvements is computed using the straight-line method over
the lesser of the estimated useful life of the improvement or the remaining term of the lease. Estimated useful asset life by classification
is as follows:

 Schedule of property and equipment estimated useful life

 Years

 Office equipment

 Manufacturing, lab and other equipment

 Furniture and fixtures

 Upon retirement or sale, the cost and related
accumulated depreciation are removed from the consolidated balance sheet and the resulting gain or loss is reflected in operations. Maintenance
and repairs are charged to operations as incurred.

 Impairment of Long-Lived Assets

 The Company periodically reviews the carrying
values of its long-lived assets when events or changes in circumstances would indicate that it is more likely than not that their carrying
values may exceed their realizable values, and records impairment charges when considered necessary. Specific potential indicators of
impairment include, but are not necessarily limited to:

 a significant decrease in the fair value of an asset;

 a significant change in the extent or manner in which an asset is used or a significant physical change in an asset;

 a significant adverse change in legal factors or in the business climate that affects the value of an asset;

 an adverse action or assessment by the U.S. Food and Drug Administration or another regulator; and

 an accumulation of costs significantly in excess of the amount originally expected to acquire or construct an asset; and operating or cash flow losses combined with a history of operating or cash flow losses or a projection or forecast that demonstrates continuing losses associated with an income-producing asset.

 When circumstances indicate that an impairment
may have occurred, the Company tests such assets for recoverability by comparing the estimated undiscounted future cash flows expected
to result from the use of such assets and their eventual disposition to their carrying amounts. In estimating these future cash flows,
assets and liabilities are grouped at the lowest level for which there are identifiable cash flows that are largely independent of the
cash flows generated by other such groups. If the undiscounted future cash flows are less than the carrying amount of the asset, an impairment
loss, measured as the excess of the carrying value of the asset over its estimated fair value, will be recognized. The cash flow estimates
used in such calculations are based on estimates and assumptions, using all available information that management believes is reasonable.
The Company did no t record impairment losses for the years ended March 31, 2024 and 2023.

 F- 10

 Research and Development

 Research and development expenses are charged
to operations as incurred and consists primarily of personnel expenses, clinical and regulatory services and supplies. For the years ended
March 31, 2024 and 2023, research and development expense amounted to $ 1,871,000 and $ 207,000, respectively.

 Advertising Costs

 Advertising costs are charged to operations as
incurred. Advertising costs amounted to $ 156,000 and $ 156,000 for the years ended March 31, 2024 and 2023, respectively. Advertising costs
are included in selling, general and administrative expenses in the accompanying consolidated statements of comprehensive loss.

 Shipping and Handling Costs

 The Company classifies amounts billed to customers
related to shipping and handling in sale transactions as product revenues. The corresponding shipping and handling costs incurred are
recorded in cost of product revenues. For the years ended March 31, 2024 and 2023, the Company recorded revenue related to shipping and
handling costs of $ 28,000 and $ 42,000, respectively. These amounts are included in product revenues in the accompanying consolidated statements
of comprehensive loss.

 Foreign Currency Reporting

 The Company's subsidiary, OTM, uses the
local currency (Mexican Pesos) as its functional currency and its subsidiary, SP Europe, uses the local currency (Euro) as its functional
currency. Assets and liabilities are translated at exchange rates in effect at the balance sheet date, and revenue and expense accounts
are translated at average exchange rates during the period. Resulting translation adjustments amounted to $ 695,000 and $ 894,000 for the
years ended March 31, 2024 and 2023, respectively. These amounts were recorded in other comprehensive loss in the accompanying consolidated
statements of comprehensive loss for the years ended March 31, 2024 and 2023.

 Foreign currency transaction losses relate primarily
to trade payables and receivables and intercompany transactions between subsidiaries OTM and SP Europe. These transactions are expected
to be settled in the foreseeable future. The Company recorded foreign currency transaction losses of $ 825,000 and $ 692,000 for the years
ended March 31, 2024 and 2023, respectively. The related amounts were recorded in other expense in the accompanying consolidated statements
of comprehensive loss.

 Stock-Based Compensation

 The Company accounts for share-based awards exchanged
for employee services at the estimated grant date fair value of the award. The Company estimates the fair value of employee stock option
awards using the Black-Scholes option pricing model. The Company amortizes the fair value of employee stock options on a straight-line
basis over the requisite service period of the awards. Compensation expense includes the impact of forfeitures for all stock options
as incurred.

 The Company accounts for equity instruments issued
to non-employees at their fair value on the measurement date. The measurement of stock-based compensation is subject to periodic adjustment
as the underlying equity instrument vests or becomes non-forfeitable. Non-employee stock-based compensation charges are amortized over
the vesting period or as earned.

 F- 11

 Income Taxes

 Deferred tax assets and liabilities are determined
based on the differences between the financial reporting and tax bases of assets and liabilities and net operating loss and credit carryforwards
using enacted tax rates in effect for the year in which the differences are expected to impact taxable income. Valuation allowances are
established when necessary to reduce deferred tax assets to the amounts expected to be realized.

 Tax benefits claimed or expected to be claimed
on a tax return are recorded in the Company's consolidated financial statements. A tax benefit from an uncertain tax position is
only recognized if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based
on the technical merits of the position. The tax benefits recognized in the consolidated financial statements from such a position are
measured based on the largest benefit that has a greater than fifty percent likelihood of being realized upon ultimate resolution. Uncertain
tax positions have had no impact on the Company's consolidated financial condition, results of comprehensive loss or cash flows.

 Comprehensive Loss

 Other comprehensive loss includes all changes
in stockholders' equity during a period from non-owner sources and is reported in the consolidated statements of changes in stockholders'
equity. To date, other comprehensive loss consists of changes in accumulated foreign currency translation adjustments. Accumulated other
comprehensive losses at March 31, 2024 and 2023 were $ 2,723,000 and $ 3,418,000, respectively.

 Net Loss per Share

 The Company computes basic net loss per share
by dividing net loss per share available to common stockholders by the weighted average number of common shares outstanding for the period
and excludes the effects of any potentially dilutive securities. Diluted earnings per share, if presented, would include the dilution
that would occur upon the exercise or conversion of all potentially dilutive securities into common stock using the "treasury stock"
and/or "if converted" methods as applicable.

 Schedule of computation of earnings per share

 For the Year Ended March 31,

 (In thousands, except per share data)

 2024

 2023

 $
)

 $
)

 Weighted-average shares outstanding: basic and diluted

 9,090

 3,394

 Net loss per share: basic and diluted

 $
 ( 0.53
)

 $
 ( 1.52
)

 F- 12

 The computation of basic loss per share for the
years ended March 31, 2024 and 2023 excludes the potentially dilutive securities summarized in the table below because their inclusion
would be anti-dilutive.

 Schedule of antidilutive shares

 (In thousands)

 2024

 2023

 Common stock to be issued upon exercise of options

 1,033

 Common stock to be issued upon exercise of warrants

 –

 Common stock to be issued upon exercise of common stock units (1)

 –

 1,033

 (1)

 Consists of 30,668 restricted stock units and warrants to purchase 15,332 shares of common stock

 Common Stock Purchase Warrants and Other
Derivative Financial Instruments

 The Company classifies common stock purchase warrants
and other free standing derivative financial instruments as equity if the contracts (i) require physical settlement or net-share settlement
or (ii) give the Company a choice of net-cash settlement or settlement in its own shares (physical settlement or net-share settlement).
The Company classifies any contracts that (i) require net-cash settlement (including a requirement to net cash settle the contract if
an event occurs and if that event is outside the control of the Company), (ii) give the counterparty a choice of net cash settlement or
settlement in shares (physical settlement or net-share settlement), or (iii) contain reset provisions as either an asset or a liability.
The Company assesses classification of its freestanding derivatives at each reporting date to determine whether a change in classification
between assets and liabilities is required. The Company determined that its freestanding derivatives, which principally consist of warrants
to purchase common stock, satisfied the criteria for classification as equity instruments, other than certain warrants that contained
reset provisions and certain warrants that required net-cash settlement that the Company classified as derivative liabilities. The company
currently does not have any active derivative financial instruments.

 Preferred Stock

 The Company applies the accounting standards for
distinguishing liabilities from equity when determining the classification and measurement of its preferred stock. Shares that are subject
to mandatory redemption (if any) are classified as liability instruments and are measured at fair value. The Company classifies conditionally
redeemable preferred shares, which includes preferred shares that feature redemption rights that are either within the control of the
holder or subject to redemption upon the occurrence of uncertain events not solely within the Company's control, as temporary equity.
At all other times, preferred shares are classified as stockholders' equity.

 Subsequent Events

 Management has evaluated subsequent events or
transactions occurring through the date these consolidated financial statements were issued.

 Sale of Common Stock

 In connection with the Equity Distribution Agreement
that the Company entered into on December 15, 2023 with Maxim Group LLC ("Maxim"), as amended, from May 13, 2024 to May 22,
2024 the Company sold 3,166,202 shares of its common stock for gross proceeds of $ 786,000 and net proceeds of $ 762,000 after deducting
commissions and other estimated offering expenses paid by the Company.

 Equity Grants

 On June 14, 2024, the Compensation Committee of
the Board of Directors approved an equity award of 53,586 Restricted Stock Units to each of Ms. Trombly, Mr. Dvonch and Mr. Thornton,
to be issued to on June 20, 2024, at a valuation based on the Company's five day weighted-average stock price prior to the date
of grant.

 F- 13

 Recent Accounting Standards

 The Company has evaluated all the recent accounting
standards and determined that none of them are material to it.

 NOTE 4 – Accounts Receivable

 Accounts receivable, net consists of the following:

 Schedule of accounts
 receivable

 2024

 2023

 Accounts receivable

 $
 2,925,000

 $
 2,588,000

 Less: discounts, rebates, distributor fees and returns

 ( 27,000
)

 ( 16,000
)

 Total accounts receivable, net

 $
 2,898,000

 $
 2,572,000

 NOTE 5 – Inventories

 Inventories, net consists of the following:

 Schedule of inventories

 2024

 2023

 Raw materials

 $
 1,802,000

 $
 1,764,000

 Finished goods

 1,213,000

 1,330,000

 Inventories, gross

 3,015,000

 3,094,000

 Less: allowance for obsolete and excess inventory

 ( 296,000
)

 ( 236,000
)

 Total inventories

 $
 2,719,000

 $
 2,858,000

 NOTE 6 – Prepaid Expenses and
Other Current Assets

 Prepaid expenses and other current assets consist
of the following:

 Schedule of prepaid expenses and other current assets

 2024

 2023

 Prepaid insurance

 $
 340,000

 $
 438,000

 Tax prepaid to Mexican tax authorities

 3,096,000

 3,845,000

 Other prepaid expenses and other current assets

 105,000

 25,000

 Total prepaid expenses and other current assets

 $
 3,541,000

 $
 4,308,000

 F- 14

 NOTE 7 – Property and Equipment

 Property and equipment, net consists of the following:

 Schedule of property and equipment, net

 2024

 2023

 Manufacturing, lab, and other equipment

 $
 1,776,000

 $
 1,624,000

 Office equipment

 236,000

 202,000

 Furniture and fixtures

 128,000

 122,000

 Leasehold improvements

 605,000

 554,000

 Property and equipment, gross

 2,745,000

 2,502,000

 Less: accumulated depreciation and amortization

 ( 2,380,000
)

 ( 2,014,000
)

 Total property and equipment, net and equipment, net

 $
 365,000

 $
 488,000

 Depreciation and amortization expense amounted
to $ 176,000 and $ 125,000 for the years ended March 31, 2024 and 2023, respectively.

 NOTE 8 – Accrued Expenses and
Other Current Liabilities

 Accrued expenses and other current liabilities
consist of the following:

 Schedule of accrued expenses and other current liabilities

 2024

 2023

 Salaries and related costs

 $
 1,419,000

 $
 1,463,000

 Other

 694,000

 566,000

 Total accrued expenses and other current liabilities

 $
 2,113,000

 $
 2,029,000

 NOTE 9 – Debt

 Financing of Insurance Premiums

 On February 6, 2024, the Company entered into
a note agreement for $ 373,000 with an interest rate of 8.42 % per annum with final payment on November 1, 2024. This instrument was issued
in connection with financing insurance premiums. The note is payable in nine monthly installment payments of principal and interest of
$ 42,000, with the first installment beginning March 1, 2024. At March 31, 2024, the outstanding principal on the note amounted to $ 323,000.

 On February 1, 2023, the Company entered into
a note agreement for $ 453,000 with an interest rate of 8.98 % per annum with final payment on January 1, 2024. This instrument was issued
in connection with financing insurance premiums. The note is payable in eleven monthly installment payments of principal and interest
of $ 43,000, with the first installment beginning March 1, 2023. At March 31, 2023, the outstanding principal on the note amounted to $ 431,000.

 F- 15

 NOTE 10 – Leases

 The Company's operating leases are comprised
primarily of facility leases. Balance sheet information related to the Company's leases is presented below:

 Schedule of lease information

 2024

 2023

 Operating leases:

 Operating lease right-of-use assets

 $
 286,000

 $
 418,000

 Operating lease liabilities – current

 198,000

 256,000

 Operating lease liabilities – non-current

 87,000

 162,000

 Other information related to leases is presented below:

 Year ended
 March 31, 2024

 Year ended
 March 31, 2023

 Lease cost

 Operating lease cost

 $
 380,000

 $
 385,000

 Other information:

 Operating cash flows from operating leases

 $
 ( 161,000
)

 $
 ( 173,000
)

 Weighted-average remaining lease term – operating leases (in months)

 19.7

 19.4

 Weighted-average discount rate – operating leases

 6 %

 6 %

 As of March 31, 2024, the annual future minimum lease payments of the
Company's operating lease liabilities were as follows:

 Schedule of minimum operating lease liabilities

 For Years Ending March 31,

 2025

 $
 227,000

 2026

 68,000

 2027

 15,000

 Thereafter

 9,000

 Total future minimum lease payments, undiscounted

 319,000

 Less: imputed interest

 ( 34,000
)

 Total lease liability

 $
 285,000

 F- 16

 NOTE 11 – Commitments and Contingencies

 Legal Matters

 The Company may be involved in legal matters arising
in the ordinary course of business including matters involving proprietary technology. While management believes that such matters are
currently insignificant, matters arising in the ordinary course of business for which the Company is or could become involved in litigation
may have a material adverse effect on its business and financial condition of comprehensive loss.

 Employment Agreements

 The Company has employment agreements in place
with two of its key executives. These executive employment agreements provide, among other things, for the payment of up to eighteen months
of severance compensation for terminations under certain circumstances.

 Amendments

 On June 16, 2023, we entered into an amended and
restated employment agreement with our Chief Executive Officer, Amy Trombly. The amended and restated agreement provides that, in the
event of termination upon change of control either without cause or for good reason, Ms. Trombly is entitled to receive, in addition to
the other benefits described therein, a lump sum severance equal to one and a half times her base salary and one and a half times her
target annual bonus. All other material terms of the amended and restated agreement remain unchanged from her prior employment agreement.

 On June 16, 2023, we amended and restated our
employment agreement with Bruce Thornton, our Chief Operating Officer. Under the amended and restated agreement, Mr. Thornton will serve
as Executive Vice President and Chief Operating Officer of the Company. Mr. Thornton will no longer receive a monthly car allowance; however,
his base salary is adjusted to include such amount. The amended and restated agreement also provides that, in the event of termination
upon change of control either without cause or for good reason, Mr. Thornton is entitled to receive, in addition to the other benefits
described therein, a lump sum severance equal to one and a half times his base salary and one and a half times his target annual bonus.
The agreement further provides that upon termination for any reason, Mr. Thornton's outstanding and vested equity awards shall remain
exercisable for 18 months following termination. Either party may terminate the employment agreement for any reason upon at least 60 days
prior written notice. All other material terms of his amended and restated agreement remain unchanged from his prior employment agreement.

 Bonus Grants

 On June 16, 2023, the Compensation Committee of
the Board of Directors approved annual bonus awards of $ 162,500 for Ms. Trombly and $ 150,000 for Mr. Thornton.

 Equity Awards

 On June 16, 2023, the Compensation Committee of
the Board of Directors approved an equity award of 100,000 shares of the Company's common stock to each of Ms. Trombly and Mr. Thornton,
to be issued on June 30, 2023, at a valuation based on the five day weighted trailing average of the Company's stock price on the
day of grant. In addition, the Compensation Committee also approved a one-time cash payment by the Company as reimbursement for estimated
taxes payable with respect to such equity awards. On September 22, 2023, the Company paid taxes related to the common stock issuance in
the amount of $149,000.

 As of March 31, 2024, with respect to these agreements,
aggregated annual salaries was $ 586,000 and potential severance payments to these key executives was $ 1,300,000, if triggered.

 Related Party Transactions

 Ms. Trombly is the Chief Executive Officer of
the Company and the owner of Trombly Business Law, PC. During the year ended March 31, 2023, the Company incurred $ 27,000 in legal services
from Trombly Business Law, PC. During the year ended March 31, 2024 the Company no longer used the services of Trombly Business Law, PC.

 F- 17

 NOTE 12 – Stockholders'
Equity

 Authorized Capital

 Effective September 13, 2018, the Company filed
a certificate of amendment to its Restated Certificate of Incorporation, as amended, with the Secretary of State of the State of Delaware
in order to affect an increase of the total number of shares of common stock, $ 0.0001 par value per share, authorized for issuance from
12,000,000 to a total of 24,000,000. Additionally, the Company is authorized to issue 714,286 shares of convertible preferred stock with
a par value of $ 0.0001 per share.

 Description of Common Stock

 Each share of common stock has the right to one
vote. The holders of common stock are entitled to dividends when funds are legally available and when declared by the board of directors.

 Description of Series B Preferred Stock

 On October 18, 2016, the Company's board
of directors approved, and the Company entered into, a Section 382 rights agreement, or the Rights Agreement, with Computershare Inc.,
or the Rights Agent. The Rights Agreement provides for a dividend of one preferred stock purchase right, or a Right, for each share of
common stock, par value $0.0001 per share, of the Company outstanding on November 1, 2016, or the Record Date. Each Right entitles the
holder to purchase from the Company one one-thousandth of a share of Series B Preferred Stock, par value $0.0001 per share, or the Preferred
Stock, for a purchase price of $10.00, subject to adjustment as provided in the Rights Agreement. The description and terms of the rights
are set forth in the Rights Agreement.

 In connection with the adoption of the Rights
Agreement, the Company's board of directors adopted a Certificate of Designation of Series B Preferred Stock. The Certificate of
Designation was filed with the Secretary of State of the State of Delaware and became effective on October 18, 2016.

 The Company's board of directors adopted
the Rights Agreement to protect shareholder value by guarding against a potential limitation on the Company's ability to use its
net operating loss carryforwards, or NOLs, and other tax benefits, which may be used to reduce potential future income tax obligations.
The Company has experienced and continues to experience substantial operating losses, and under the Internal Revenue Code of 1986, as
amended, and rules promulgated thereunder, the Company may "carry forward" these NOLs and other tax benefits in certain circumstances
to offset any current and future earnings and thus reduce our income tax liability, subject to certain requirements and restrictions.
To the extent that the NOLs and other tax benefits do not otherwise become limited, the Company believes that it will be able to carry
forward a significant amount of NOLs and other tax benefits, and therefore these NOLs and other tax benefits could be a substantial asset
to the Company. However, if the Company experiences an "ownership change," as defined in Section 382 of the Code, its ability
to use its NOLs and other tax benefits will be substantially limited. Generally, an ownership change would occur if our shareholders who
own, or are deemed to own, 5% or more of the Company's common stock increase their collective ownership in the Company by more than
50% over a rolling three-year period.

 Sale of Common Stock

 On October 26, 2023, the Company entered into
a placement agency agreement with Maxim, pursuant to which Maxim agreed to use its reasonable best efforts to solicit offers to purchase
up to an aggregate of 8,500,000 shares of the Company's common stock, par value $0.0001 per share. The Company agreed to pay
Maxim a cash fee equal to 8.0% of the gross proceeds from the offering, plus reimbursement of up to $ 75,000 of legal fees and other expenses.
Additionally, on October 26, 2023, the Company entered into a securities purchase agreement with the purchasers party thereto for the
sale and issuance of an aggregate of up to 8,500,000 shares of the Company's common stock at a public offering price of $0.20 per
share. The closing of the offering occurred on October 30, 2023. In connection with the offering, the Company sold 8,500,000 shares of
the Company's common stock for aggregate gross proceeds of $ 1,700,000 and net proceeds of $ 1,446,000, after deducting placement
agent fees and other estimated offering expenses paid by the Company.

 F- 18

 On December 15, 2023, the Company entered into
an Equity Distribution Agreement (the "Agreement"), with Maxim Group LLC, pursuant to which the Company may offer and sell,
from time to time, through Maxim, as sales agent or principal, shares of its common stock, $0.0001 par value per share. Subject to the
terms and conditions of the Agreement, Maxim will use commercially reasonable efforts consistent with its normal trading and sales practices,
applicable state and federal law, rules and regulations and the rules of the Nasdaq Capital Market to sell shares from time to time based
upon the Company's instructions, including any price, time or size limits specified by the Company. Under the Agreement, Maxim may
sell shares by any method deemed to be an "at the market" offering as defined in Rule 415 under the U.S. Securities Act of
1933, as amended, or any other method permitted by law, including in privately negotiated transactions. Maxim's obligations to sell
shares under the Agreement are subject to satisfaction of certain conditions, including customary closing conditions for transactions
of this nature. The Company will pay Maxim a commission of 3% of the aggregate gross proceeds from each sale of shares and has agreed
to provide Maxim with customary indemnification and contribution rights. The Company also agreed to reimburse Maxim for certain specified
expenses of up to $ 20,000. On January 11, 2024, the Company sold 1,923,100 shares of its common stock for gross proceeds of approximately
$ 392,000 and net proceeds of $ 338,000 after deducting commissions and other estimated offering expenses paid by the Company.

 NOTE 13 – Stock-Based Compensation

 2016 Stock Plan

 On September 2, 2016, upon recommendation of the
board, the stockholders approved the Company's 2016 Equity Incentive Plan (the "2016 Plan"). The 2016 Plan is effective
as of September 2, 2016 and has a ten year term.

 The 2016 Plan provides for the grant of options,
including incentive stock options as defined in Section 422 of the Internal Revenue Code to employees, stock appreciation rights, restricted
awards, performance share awards and performance compensation awards to employees, non-employee directors, advisors and consultants.

 Options issued under the 2016 Plan generally have
a ten-year term.

 In accordance with the 2016 Plan, the stated exercise
price of an employee incentive stock option or a non-statutory stock option shall not be less than 100% of the estimated fair market value
of a share of common stock on the date of grant. An employee who owns more than 10% of the total combined voting power of all classes
of outstanding stock of the Company shall not be eligible for the grant of an employee incentive stock option unless such grant satisfies
the requirements of Section 422(c)(5) of the Internal Revenue Code.

 Shares subject to awards that expire unexercised
or are forfeited or terminated for any other reason will again become available for issuance under the 2016 Plan. No participant in the
2016 Plan can receive more than 11,112 option grants, or other awards with respect to more than 13,334 shares in the aggregate in any
calendar year.

 The board has authorized 44,445 of the Company's
common stock for issuance under the 2016 Plan, in addition to automatic increases provided for in the 2016 Plan through April 1, 2026.
The number of shares of the Company's common stock reserved for issuance under the 2016 Plan will automatically increase, with no
further action by the stockholders, at the beginning of each fiscal year by an amount equal to the lesser of (i) 8% of the outstanding
shares of the Company's common stock on the last day of the immediately preceding year, or (ii) an amount determined by the Company's
board of directors. During the year ended March 31, 2019, the board of directors approved an increase of 4,860 shares authorized for issuance.
During the year ended March 31, 2020, the board of directors approved an increase of 105,306 shares authorized for issuance. During the
year ended March 31, 2022, the board of directors approved an increase of 167,432 shares authorized for issuance.

 At March 31, 2024 there were 1,467 shares available
for future issuance.

 F- 19

 2021 Stock Plan

 On September 21, 2021, upon recommendation of
the board, the stockholders approved the Company's 2021 Equity Incentive Plan (the "2021 Plan"). The 2021 Plan is effective
as of September 21, 2021 and has a five year term.

 The 2021 Plan provides for the grant of options,
including incentive stock options as defined in Section 422 of the Internal Revenue Code to employees, stock appreciation rights, restricted
awards, performance share awards and performance compensation awards to employees, non-employee directors, advisors and consultants.

 Options issued under the 2021 Plan generally have
a ten-year term.

 In accordance with the 2021 Plan, the stated exercise
price of an employee incentive stock option or a non-statutory stock option shall not be less than 100% of the estimated fair market value
of a share of common stock on the date of grant. An employee who owns more than 10% of the total combined voting power of all classes
of outstanding stock of the Company shall not be eligible for the grant of an employee incentive stock option unless such grant satisfies
the requirements of Section 422(c)(5) of the Internal Revenue Code.

 Shares subject to awards that expire unexercised
or are forfeited or terminated for any other reason will again become available for issuance under the 2021 Plan.

 The board has authorized 1,000,000 shares of the
Company's common stock for issuance under the 2021 Plan.

 At March 31, 2024, there were 124,089 shares available
for future issuance.

 Stock-Based Compensation

 The Company issues service, performance and market-based
stock options to employees and non-employees. The Company estimates the fair value of service and performance stock option awards using
the Black-Scholes option pricing model. The Company estimates the fair value of market-based stock option awards using a Monte-Carlo simulation.
Compensation expense for stock option awards is amortized on a straight-line basis over the awards' vesting period. Compensation
expense includes the impact of forfeitures as they are incurred.

 The expected term of the stock options represents
the average period the stock options are expected to remain outstanding and is based on the expected term calculated using the approach
prescribed by the Securities and Exchange Commission's Staff Accounting Bulletin No. 110 for "plain vanilla"
options. The expected stock price volatility for the Company's stock options was determined by using an average of the historical
volatilities of the Company. The Company will continue to analyze the stock price volatility and expected term assumptions as more data
for the Company's common stock and exercise patterns become available. The risk-free interest rate assumption is based on the U.S.
Treasury instruments whose term was consistent with the expected term of the Company's stock options. The expected dividend assumption
is based on the Company's history and expectation of dividend payouts.

 F- 20

 The Company estimated the fair value of employee
and non-employee stock options using the Black-Scholes option pricing model. The fair value of employee stock options is being amortized
on a straight-line basis over the requisite service periods of the respective awards. The fair value of employee stock options was estimated
using the following weighted-average assumptions:

 Schedule of weighted-average assumptions of fair value of employee stock options

 2024

 2023

 Fair value of the Company's common stock on date of grant

 $
 0.19

 $
 1.09

 Expected term

 5.56 yrs

 6.00 yrs

 Risk-free interest rate

 3.87 %

 3.92 %

 Dividend yield

 0.00 %

 0.00 %

 Volatility

 98.40 %

 110.88 %

 Fair value of options granted

 $
 0.15

 $
 0.92

 During the years ended March 31, 2024 and 2023,
the Company incurred $ 516,000 and $ 669,000, respectively of stock-based compensation expense. All stock-based compensation incurred is
included in selling, general and administrative expense in the accompanying consolidated statements of comprehensive loss.

 At March 31, 2024, there were unrecognized compensation
costs of $ 311,000 related to stock options which is expected to be recognized over a weighted-average amortization period of 1.19 years.

 Stock-Based Award Activity

 Stock-based awards outstanding at March 31, 2024
under the various plans are as follows:

 Schedule of stock based awards outstanding by plan

 Plan

 Stock Options

 2006 Plan

 2011 Plan

 81,336

 2016 Plan

 328,733

 2021 Plan

 622,747

 1,032,999

 Schedule of options activity

 Stock options award activity is as follows:

 Number of
 Shares

 Weighted-
 Average
 Exercise Price

 Weighted-
 Average
 Contractual Term

 Aggregate
 Intrinsic
 Value

 Outstanding at April 1, 2023

 565,027

 $
 8.84

 Options granted

 500,000

 0.19

 Options exercised

 –

 –

 Options forfeited

 ( 17,753
)

 1.40

 Options expired

 ( 14,275
)

 128.54

 Outstanding at March 31, 2024

 1,032,999

 $
 3.13

 8.91

 $
 2.25

 Exercisable at March 31, 2024

 698,454

 $
 4.06

 8.54

 $
 2.25

 F- 21

 The aggregate intrinsic value of stock options
is calculated as the difference between the exercise price of the underlying stock options and the fair value of the Company's
common stock, or $ 0.17
 and $ 0.98
 per share at March 31, 2024 and 2023, respectively.

 Schedule of unvested restricted stock activity

 Restricted stock award activity is as follows:

 Number of
 Shares

 Weighted
 Average Award
 Date Fair Value
 per Share

 Unvested restricted stock awards outstanding at April 1, 2023

 –

 $
 –

 Restricted stock awards granted

 251,000

 1.04

 Restricted stock awards vested

 ( 251,000
)

 1.04

 Unvested restricted stock awards outstanding at March 31, 2024

 –

 $
 –

 The Company did not capitalize any cost associated with stock-based
compensation.

 The Company issues new shares of common stock
upon exercise of stock options or release of restricted stock awards.

 NOTE 14 – Income Taxes

 The income tax provision (benefit) is based on
the following loss before income taxes, which are from domestic and foreign sources:

 Schedule of income tax provision from domestic and foreign sources

 2024

 2023

 Domestic

 $
 ( 364,000
)

 $
 ( 988,000
)

 Foreign

 ( 4,559,000
)

 ( 4,194,000
)

 Totals

 $
 ( 4,923,000
)

 $
 ( 5,182,000
)

 The federal, state and foreign income tax provisions
are summarized as follows:

 Schedule of federal, state and foreign income tax provisions

 2024

 2023

 Current:

 State

 $
 2,000

 $
 2,000

 Deferred Foreign

 ( 198,000
)

 ( 35,000
)

 Total income tax benefit

 $
 ( 196,000
)

 $
 ( 33,000
)

 F- 22

 A reconciliation of the statutory federal income
tax rate to the Company's effective tax rate for continuing operations is as follows:

 Schedule of reconciliation of federal income
tax rate to effective rate

 2024

 2023

 Expected federal statutory rate

 21.0 %

 21.0 %

 State income taxes

 0.2 %

 0.8 %

 Foreign earnings taxed at different rates

 7.9 %

 6.5 %

 Effect of permanent differences

 ( 5.8 %
)

 ( 7.5 %
)

 Effect of intercompany interest permanent differences

 ( 20.1 %
)

 ( 16.1 %
)

 True-up of state deferred assets

 ( 1.5 %
)

 1.3 %

 Total effective rate

 1.7 %

 6.0 %

 Change in valuation allowance

 2.3 %

 ( 5.4 %
)

 Totals

 4.0 %

 0.6 %

 The tax effects of temporary differences that
give rise to significant components of our deferred tax assets consist of:

 Schedule of deferred tax assets

 2024

 2023

 Deferred tax assets:

 Net operating loss carryforwards

 $
 28,692,000

 $
 28,558,000

 Research and development tax credit carryforwards

 1,796,000

 1,800,000

 Stock-based compensation

 913,000

 739,000

 Reserves and accruals

 659,000

 795,000

 Other deferred tax assets

 52,000

 20,000

 Lease liability

 22,000

 24,000

 Gross deferred tax assets

 $
 32,134,000

 $
 31,936,000

 Less valuation allowance

 ( 30,836,000
)

 ( 30,809,000
)

 Total deferred tax assets

 $
 1,298,000

 $
 1,127,000

 Deferred tax liabilities:

 Fixed assets

 ( 10,000
)

 ( 16,000
)

 Prepaid expenses

 ( 121,000
)

 ( 138,000
)

 Right of use asset

 ( 22,000
)

 ( 24,000
)

 Gross deferred tax liabilities

 ( 153,000
)

 ( 178,000
)

 Net deferred tax assets

 $
 1,145,000

 $
 949,000

 F- 23

 As of March 31, 2024, we have net operating loss
carryforwards for Federal, State and foreign income tax purposes of approximately $ 116,600,000, $ 43,200,000 and $ 1,800,000 respectively.
Due to the Tax Cuts and Job Act, Federal NOL generated after March 31, 2018 have an indefinite life. Federal NOL generated on and before
March 31, 2017 will begin to expire 2024, if not utilized. State NOLs will begin to expire in the year 2026, if not utilized. Foreign
NOLs will carry forward for 10 years.

 As of March 31, 2024, we had Federal and California
research and development credit carryforward of approximately $ 1,006,000 and $ 790,000 respectively. The Federal research and development
credits will begin to expire in 2024 while the California research and development credits have no expiration date.

 Section 382 of the Internal Revenue Code limits
the use of the Federal net operating losses in certain situations where changes occur in stock ownership of a company. If the Company
should have an ownership change of more than 50% of the value of the Company's capital stock, utilization of the carryforwards could be
restricted. The Company is not aware of any changes in ownership that would result in a change in control under Internal Revenue Code
section 382.

 The Company released the valuation allowance recorded
against its Netherlands deferred tax assets as of March 31, 2024. Given its recent history of earnings, current earnings and anticipated
future earnings, the Company concluded that there is sufficient positive evidence available to reach a conclusion that the valuation allowance
is no longer needed in the Netherlands. The release of the valuation allowance resulted in the recognition of deferred tax assets of $114,000.
The Company, after considering all available evidence, fully reserved against all deferred tax assets in the U.S. since it is more likely
than not such benefits will not be realized in future periods. The Company will continue to evaluate its deferred tax assets to determine
whether any changes in circumstances could affect the realization of their future benefit.

 The Company has filed tax returns for federal,
state and foreign jurisdictions. The Company's evaluation of uncertain tax matters was performed for tax years ended through March
31, 2024. Generally, the Company is subject to audit for the years ended March 31, 2023, 2022 and 2021. The Company has elected to retain
its existing accounting policy with respect to the treatment of interest and penalties attributable to income taxes, and continues to
reflect interest and penalties attributable to income taxes, to the extent they arise, as a component of its income tax provision or benefit
as well as its outstanding income tax assets and liabilities. The Company believes that its income tax positions and deductions would
be sustained on audit and does not anticipate any adjustments result in a material change to its financial position.

 NOTE 15 – Employee Benefit
Plan

 The Company has a program to contribute and administer
a qualified 401(k) plan. Under the 401(k) plan, the Company matches employee contributions to the plan up to 4% of the employee's
salary. Company contributions to the plan amounted to an aggregate of $ 82,000 and $ 101,000 for the years ended March 31, 2024 and 2023,
respectively.

 NOTE 16 – Revenue Disaggregation

 The Company generates product revenues from products
which are sold into the human and animal healthcare markets, and the Company generates service revenues from laboratory testing services
which are provided to medical device manufacturers.

 F- 24

 The following table presents the Company's disaggregated revenues
by source:

 Schedule of disaggregated revenue by source

 2024

 2023

 Product:

 Human Care

 $
 10,110,000

 $
 9,426,000

 Animal Care

 2,203,000

 2,500,000

 Total Product Revenue

 12,313,000

 11,926,000

 Service/Royalty

 422,000

 1,346,000

 Total

 $
 12,735,000

 $
 13,272,000

 The following table shows the Company's
revenues by geographic region:

 Schedule of revenues by geographic region

 2024

 2023

 United States

 $
 3,058,000

 $
 3,428,000

 Europe

 4,781,000

 4,051,000

 Asia

 2,298,000

 2,451,000

 Latin America

 1,726,000

 2,383,000

 Rest of the World

 872,000

 959,000

 Total

 $
 12,735,000

 $
 13,272,000

 F- 25

 ITEM 9. Changes in and Disagreements
with Accountants on Accounting and Financial Disclosures

 None.

 ITEM 9A. Controls and Procedures

 Evaluation of Disclosure Controls and Procedures

 We maintain disclosure controls and procedures
that are designed to ensure that information required to be disclosed in the reports that we file or submit under the Exchange Act is
recorded, processed, summarized, and reported within the time periods specified in the SEC's rules and forms, and that such information
is accumulated and communicated to our management, including our Chief Executive Officer and Chief Financial Officer, as appropriate,
to allow timely decisions regarding required disclosure.

 We carried out an evaluation, under the supervision
and with the participation of our management, including our Chief Executive Officer and Chief Financial Officer, of the effectiveness
of the design and operation of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange
Act) as of the end of our most recent fiscal quarter. Based upon this evaluation, our Chief Executive Officer and Chief Financial Officer
concluded that our disclosure controls and procedures were not effective as of March 31, 2024 due to the fact that material weaknesses
in our internal controls over financial reporting exist at year end.

 Notwithstanding our ineffective disclosure controls
and procedures, management believes the consolidated financial statements included in this Annual Report on Form 10-K present fairly,
in all material respects, our financial condition, results of operations and cash flows at and for the years presented in accordance with
U.S. generally accepted accounting principles.

 Evaluation of Internal Control over Financial
Reporting

 Our management
is responsible for establishing and maintaining adequate internal control over financial reporting, as such term is defined in the Exchange
Act Rule 13a-15(f) and 15d-15(f). Because of its inherent limitations,
internal control over financial reporting is not intended to provide absolute assurance that a misstatement of our financial statements
would be prevented or detected. Under the supervision and with the participation of our management,
including our Chief Executive Officer and Chief Financial Officer, we conducted an evaluation of the effectiveness of our internal control
over financial reporting based on the framework in the 2013 Internal Control — Integrated Framework issued
by the Committee of Sponsoring Organizations of the Treadway Commission. Based on our evaluation, our management concluded that our internal
control over financial reporting was not effective as of March 31, 2024. We have determined that there were inadequate spreadsheet controls,
a lack of separation of duties with preparation and review of the reported numbers, and inadequate analysis of revenue reporting among
other things. We believe we have taken steps to correct this, but the controls have not been tested and have not been working for a sufficient
period of time to remove this weakness.

 Management's Remediation Measures

 Management, with oversight from the Audit Committee
of our Board of Directors, is actively engaged in remediation efforts to address the material weaknesses identified in the management's
evaluation of internal controls and procedures. Management has taken a number of actions to remediate the material weaknesses described
above, including the following:

 Improved monitoring and risk assessment activities to address these control deficiencies.

 Hired an experienced Chief Financial Officer and Controller in 2023.

 Separated the preparation of the financial reports from review of the financial reports.

 Implemented additional process-level controls over revenue recognition of new contracts.

 Developed and delivered further internal controls training to individuals associated with these control deficiencies and enhanced training provided to all personnel who have financial reporting or internal control responsibilities in these areas. The training includes a review of individual roles and responsibilities related to internal controls, proper oversight and reemphasizes the importance of completing the control procedures.

 Did a detailed review of income taxes and our intercompany agreements which uncovered the fact that we should be accruing withholding taxes that will be paid to Mexico when intercompany interest and technical assistance payments are made to Mexico from the United States and that we will not be eligible for a tax credit in the United States because of our net operating loss positions.

 These improvements are targeted at strengthening
our internal control over financial reporting and remediating the material weaknesses. We remain committed to an effective internal control
environment, and management believes that these actions and the improvements management expects to achieve as a result will effectively
remediate the material weaknesses. However, the material weaknesses in our internal control over financial reporting will not be considered
remediated until the controls operate for a sufficient period of time and management has concluded, through testing that these controls
operate effectively. As of the date of filing this Annual Report on Form 10-K, management is in the process of testing and evaluating
these additional controls to determine whether they are operating effectively. We have hired appropriate accounting staff to establish
effective internal controls and processes.

 Changes in Internal Control over Financial
Reporting

 There were no changes in our internal control
over financial reporting during the three months ended March 31, 2024 that have materially affected, or are reasonably likely to materially
affect, our internal control over financial reporting. We have not finished testing our controls and sufficient time has not elapsed to
make the determination these controls are operating effectively.

 ITEM 9B. Other Information

 Amendment
to Bylaws

 On June 14, 2024, the Board of Directors approved
an amendment to Section 2.8 of our Amended and Restated Bylaws, changing our stockholders' meeting quorum requirement from the holders
of a majority of the stock issued and outstanding and entitled to vote, present in person or represented in proxy, to "the holders
of at least one-third of the stock issued and outstanding and entitled to vote, present in person or represented in proxy."

 A copy of Amendment No. 1 to the Amended and Restated
Bylaws of Sonoma Pharmaceuticals, Inc., as adopted by the Board of Directors, is filed as Exhibit 3.10 to this Annual Report on Form 10-K.

 Equity
Awards

 On June 14, 2024, the Compensation Committee of
the Board of Directors approved an equity award of 53,586 Restricted Stock Units to each of Ms. Trombly, Mr. Dvonch and Mr. Thornton,
to be issued on June 20, 2024, at a valuation based on the five day weighted-average stock price prior to the date of grant.

 During the quarter ended March 31, 2024, no director
or officer adopted or terminated any Rule 10b5-1 trading arrangement or non-Rule 10b5-1 trading arrangement, as each term is defined in
Item 408(a) of Regulation S-K.

 ITEM 10. Directors, Executive Officers and Corporate Governance

 The information required by this Item is incorporated
by reference to the definitive proxy statement for our 2024 Annual Meeting of Stockholders to be filed with the Securities and Exchange
Commission within 120 days after the end of our fiscal year ended March 31, 2024 (the "2024 Proxy Statement").

 Item 405 of Regulation S-K requires
the disclosure of, based upon our review of the forms submitted to us during and with respect to our most recent fiscal year, any known
failure by any director, officer, or beneficial owner of more than ten percent of any class of our securities, or any other person subject
to Section 16 of the Exchange Act ("reporting person") to file timely a report required by Section 16(a) of the Exchange Act.
This disclosure is contained in the section entitled "Section 16(a) Beneficial Ownership Reporting Compliance" in the
2024 Proxy Statement.

 Code of Business Conduct

 We have adopted a Code of Business Conduct that
applies to all of our officers, directors, and employees, including our Chief Executive Officer, Chief Financial Officer, and other employees
who perform financial or accounting functions. The Code of Business Conduct sets forth the basic principles that guide the business conduct
of our employees. On January 17, 2017, our board of directors adopted changes to our Code of Business Conduct. The changes to the Code
of Business Conduct were made to update the code to current best practices. In addition to some clerical changes, the Code of Business
Conduct now explicitly requires employees, directors and officers to act honestly and ethically in dealing with customers, business partners
and others. Furthermore, the Code of Business Conduct now explicitly extends the confidentiality and conflicts of interest requirements
to directors and prohibits company loans. The Code of Business Conduct also updated the disclosure, reporting and enforcement provisions.
We filed our Code of Business Conduct with the Securities and Exchange Commission as exhibit 14.1 to the current report on Form 8-K on
January 23, 2017, and it is also available on our website at  We will provide any
person, without charge, copies of our Code of Business Conduct and Ethics upon request. Such requests should be in writing and addressed
to: Sonoma Pharmaceuticals, Inc., Attention: Chief Financial Officer, 5445 Conestoga Court, Suite 150, Boulder, Colorado 80301.

 To date, there have been no waivers under our
Code of Business Conduct. We intend to disclose future amendments to certain provisions of our Code of Business Conduct or any waivers,
if and when granted, of our Code of Business Conduct on our website at  within four business days following
the date of such amendment or waiver.

 Procedures for Nominating Directors

 There have been no material changes to the procedures
by which stockholders may recommend nominees to our Board of Directors. The Board of Directors will consider candidates for director
positions that are recommended by any of our stockholders. Any such recommendation for a director nomination should be provided to our
Secretary. The recommended candidate should be submitted to us in writing and addressed to Sonoma Pharmaceuticals, Inc., Attention: Secretary,
5445 Conestoga Court, Suite 150, Boulder, Colorado 80301. The recommendation should include the following information: name of candidate;
address, phone and fax number of candidate; a statement signed by the candidate certifying that the candidate wishes to be considered
for nomination to our Board of Directors and stating why the candidate believes that he or she would be a valuable addition to our Board
of Directors; a summary of the candidate's work experience for the prior five years and the number of shares of our stock beneficially
owned by the candidate. The Board will evaluate the recommended candidate and shall determine whether or not to proceed with
the candidate in accordance with our procedures. We reserve the right to change our procedures at any time to comply with the requirements
of applicable laws.

 ITEM 11. Executive Compensation

 The information required by this Item is incorporated by reference
to the 2024 Proxy Statement.

 ITEM 12. Security Ownership of Certain Beneficial Owners
and Management and Related Stockholder Matters.

 The information required by this Item is incorporated by reference
to the 2024 Proxy Statement.

 The information required to be disclosed by Item
201(d) of Regulation S-K, "Securities Authorized for Issuance Under Equity Compensation Plans," appears under the caption
"Equity Compensation Plan Information" in the 2023 Proxy Statement and such information is incorporated by reference into
this report.

 ITEM 13. Certain Relationships, Related Transactions,
and Director Independence

 The information required by this Item is incorporated by reference
to the 2024 Proxy Statement.

 ITEM 14. Principal Accounting Fees and Services

 The information required by this Item is incorporated by reference
to the 2024 Proxy Statement.

 ITEM 15. Exhibits, Financial
Statement Schedules

 (a) Documents filed as part of this report

 (1) Financial Statements

 Reference is made to the Index to Consolidated
Financial Statements of Sonoma Pharmaceuticals, Inc. under Item 8 of Part II hereof.

 (2) Financial Statement
Schedules

 Financial statement schedules have been omitted that are not applicable
or not required or because the information is included elsewhere in the Consolidated Financial Statements or the Notes thereto.

 (b) Exhibits

 Exhibit Index

 Exhibit No.

 Description

 3.1

 Restated Certificate of Incorporation of Oculus Innovative Sciences, Inc., effective January 30, 2006 (included as exhibit 3.1 of the Company's Annual Report on Form 10-K filed June 20, 2007, and incorporated herein by reference).

 3.2

 Certificate of Amendment of Restated Certificate of Incorporation of Oculus Innovative Sciences, Inc., effective October 22, 2008 (included as exhibit A in the Company's Definitive Proxy Statement on Schedule 14A filed July 21, 2008, and incorporated herein by reference).

 3.4

 Certificate of Amendment of Restated Certificate of Incorporation of Oculus Innovative Sciences, Inc., as amended, effective March 29, 2013 (included as exhibit 3.1 to the Company's Current Report on Form 8-K filed March 22, 2013, and incorporated herein by reference).

 3.5

 Certificate of Amendment of Restated Certificate of Incorporation of Oculus Innovative Sciences, Inc., as amended, effective December 4, 2014 (included as exhibit 3.1 to the Company's Current Report on Form 8-K filed December 8, 2014, and incorporated herein by reference).

 3.6

 Certificate of Amendment of Restated Certificate of Incorporation of Oculus Innovative Sciences, Inc., as amended, effective October 22, 2015 (included as exhibit 3.1 to the Company's Current Report on Form 8-K filed October 27, 2015, and incorporated herein by reference).

 3.7

 Certificate of Amendment of Restated Certificate of Incorporation of Oculus Innovative Sciences, Inc., as amended, effective June 24, 2016 (included as exhibit 3.1 to the Company's Current Report on Form 8-K filed June 28, 2016, and incorporated herein by reference).

 3.8

 Certificate of Amendment of Restated Certificate of Incorporation of Sonoma Pharmaceuticals, Inc., as amended, effective December 6, 2016 (included as exhibit 3.1 to the Company's Current Report on Form 8-K filed December 7, 2016, and incorporated herein by reference).

 3.9

 Amended and Restated Bylaws, as amended, of Sonoma Pharmaceuticals, Inc., effective December 6, 2016 (included as exhibit 3.2 to the Company's Current Report on Form 8-K filed December 7, 2016, and incorporated herein by reference).

 3.10*

 Amendment No. 1 to Amended and Restated Bylaws, as amended, of Sonoma Pharmaceuticals, Inc., effective June 14, 2024.

 3.11

 Certificate of Designation of Preferences, Rights and Limitations of Series A 0% Convertible Preferred Stock, filed with the Delaware Secretary of State on April 24, 2012 (included as exhibit 4.2 to the Company's Current Report on Form 8-K, filed April 25, 2012, and incorporated herein by reference).

 3.12

 Certificate of Designation of Series B Preferred Stock, effective October 18, 2016 (included as exhibit 3.1 to the Company's Current Report on Form 8-K filed October 21, 2016, and incorporated herein by references).

 3.13

 Certificate of Amendment of Restated Certificate of Incorporation of Sonoma Pharmaceuticals, Inc., as amended, effective June 19, 2019 (included as exhibit 3.1 to the Company's Current Report on Form 8-K filed June 19, 2019, and incorporated herein by reference).

 4.1

 Specimen Common Stock Certificate (included as exhibit 4.1 to the Company's Annual Report on Form 10-K filed June 28, 2017, and incorporated herein by reference).

 4.2

 Section 382 Rights Agreement, dated as of October 18, 2016, between Oculus Innovative Sciences, Inc. and Computershare Inc., which includes the Form of Certificate of Designation of Series B Preferred Stock as Exhibit A, the Form of Right Certificate as Exhibit B and the Summary of Rights to Purchase Preferred Stock as Exhibit C (included as exhibit 4.1 to the Company's Current Report on Form 8-K filed October 21, 2016, and incorporated herein by reference).

 10.1

 Form of Indemnification Agreement between Oculus Innovative Sciences, Inc. and its officers and directors (included as exhibit 10.1 to the Company's Registration Statement on Form S-1 (File No. 333-135584), as amended, declared effective on January 24, 2007, and incorporated herein by reference).

 10.2

 Office Lease Agreement, dated May 18, 2006, between Oculus Technologies of Mexico, S.A. de C.V. and Antonio Sergio Arturo Fernandez Valenzuela (translated from Spanish) (included as exhibit 10.10 to the Company's Registration Statement on Form S-1 (File No. 333-135584), as amended, declared effective on January 24, 2007, and incorporated herein by reference).

 10.3

 Office Lease Agreement, dated July 2003, between Oculus Innovative Sciences, B.V. and Artikona Holding B.V. (translated from Dutch) (included as exhibit 10.11 to the Company's Registration Statement on Form S-1 (File No. 333-135584), as amended, declared effective on January 24, 2007, and incorporated herein by reference).

 10.4

 Form of Director Agreement (included as exhibit 10.20 to the Company's Registration Statement on Form S-1 (File No. 333-135584), as amended, declared effective on January 24, 2007, and incorporated herein by reference).

 10.5

 Amendment to Office Lease Agreement, effective February 15, 2008, by and between Oculus Innovative Sciences Netherlands B.V. and Artikona Holding B.V. (translated from Dutch) (included as exhibit 10.44 to the Company's Annual Report on Form 10-K filed June 13, 2008, and incorporated herein by reference).

 10.6

 Exclusive Sales and Distribution Agreement, dated November 6, 2015, by and between Oculus Innovative Sciences, Inc. and Manna Pro Products, LLC (included as exhibit 10.1 to the Company's 8-K filed March 23, 2016 and incorporated herein by reference).

 10.7

 Asset Purchase Agreement dated October 27, 2016, between Oculus Innovative Sciences, Inc. and Invekra, S.A.P.I de C.V. (included as exhibit 10.1 to the Company's Current Report on Form 8-K filed October 31, 2016, and incorporated herein by reference).

 10.8

 Amendment Agreement to Acquisition Option dated October 27, 2016, by and between More Pharma Corporation S. de R.L. de C.V. and Oculus Technologies of Mexico, S.A. de C.V. (included as exhibit 10.2 to the Company's Current Report on Form 8-K filed October 31, 2016, and incorporated herein by reference).

 10.9

 2016 Equity Incentive Plan (included as exhibit A to the Company's Definitive Proxy Statement on Schedule 14A filed July 29, 2016, and incorporated herein by reference).

 10.10 +

 Asset Purchase Agreement dated May 14, 2019, between Sonoma Pharmaceuticals, Inc. and Petagon, Ltd. (included as exhibit 10.1 to the Company's Current Report on Form 8-K filed May 22, 2019, and incorporated herein by reference).

 10.11 +

 Asset Purchase Agreement dated February 21, 2020, between Sonoma Pharmaceuticals, Inc. and MicroSafe Group, DMCC (included as exhibit 10.1 to the Company's Current Report on Form 8-K filed February 27, 2020, and incorporated herein by reference.)

 10.12 +

 License, Distribution and Supply Agreement by and between Sonoma Pharmaceuticals, Inc. and Brill International, S.L. dated May 19, 2020 (included as exhibit 10.1 to the Company's Current Report on Form 8-K filed May 26, 2020, and incorporated herein by reference.)

 10.13

 Licensing Agreement between Sonoma Pharmaceuticals, Inc. and MicroSafe Group, effective July 27, 2020 (included as exhibit 10.1 to the Company's Current Report on Form 8-K filed August 6, 2020, and incorporated herein by reference).

 10.14

 Exclusive Supply and Distribution Agreement between the Company and EMC Pharma, LLC, dated March 26, 2021 (included as exhibit 10.1 to the Company's Current Report on Form 8-K filed March 31, 2021, and incorporated herein by reference).

 10.15

 2021 Equity Incentive Plan (included as appendix on the Company's Definitive Proxy Statement on Schedule 14A filed July 29, 2021 and incorporated herein by reference).

 10.16+

 Exclusive License and Distribution Agreement between the Company and Dyamed Biotech Pte Ltd., dated November 4, 2021 (included as exhibit 10.1 to the Company's Current Report on Form 8-K filed November 9, 2021, and incorporated herein by reference).

 10.17+

 Exclusive License and Distribution Agreement between Sonoma Pharmaceuticals, Inc. and Anlicare International dated January 18, 2022 (included as exhibit 10.2 to the Company's Current Report on Form 8-K filed January 20, 2022, and incorporated herein by reference).

 10.18

 Sonoma Pharmaceuticals, Inc. Non-Employee Director Compensation Program and Stock Ownership Guidelines, revised by the Board of Directors on December 29, 2022 (included as exhibit 10.1 to the Company's Current Report on Form 8-K filed December 30, 2022, and incorporated herein by reference).

 10.19

 Amended and Restated Employment Agreement by and between the Company and Amy Trombly, dated June 16, 2023 (included as exhibit 10.38 to the Company's Annual Report on Form 10-K filed June 21, 2023, and incorporated herein by reference).

 10.20

 Amended and Restated Employment Agreement by and between the Company and Bruce Thornton, dated June 16, 2023 (included as exhibit 10.39 to the Company's Annual Report on Form 10-K filed June 21, 2023, and incorporated herein by reference).

 10.21

 First Amendment to the Lease between the Company and Westland Development Services, Inc., dated June 21, 2023 (included as exhibit 10.38 to the Company's Quarterly Report on Form 10-Q filed November 13, 2023, and incorporated herein by reference).

 10.22

 Equity Distribution Agreement, by and between Sonoma Pharmaceuticals, Inc. and Maxim Group LLC, dated December 15, 2023 (included as exhibit 1.1 to the Company's Current Report on Form 8-K filed December 15, 2023, and incorporated herein by reference).

 10.23 +

 License and Distribution Agreement, dated January 5, 2024, between Sonoma Pharmaceuticals, Inc. and NovaBay Pharmaceuticals, Inc. (included as exhibit 10.1 to the Company's Current Report on Form 8-K filed January 9, 2024, and incorporated herein by reference).

 10.24

 Offer letter to Jerome Dvonch dated February 7, 2024 (included as exhibit 10.41 to the Company's Quarterly Report on Form 10-Q filed February 8, 2024, and incorporated herein by reference).

 10.25

 Offer letter to John Dal Poggetto dated February 7, 2024 (included as exhibit 10.42 to the Company's Quarterly Report on Form 10-Q filed February 8, 2024 and incorporated herein by reference).

 10.26

 Amendment No. 1 to Equity Distribution Agreement, by and between Sonoma Pharmaceuticals, Inc. and Maxim Group LLC., dated March 8, 2024 (included as exhibit 1.1 to the Company's Current Report on Form 8-K filed March 8, 2024, and incorporated herein by reference).

 14.1

 Code of Business Conduct (included as exhibit 14.1 to the Company's Current Report on Form 8-K filed January 23, 2017, and incorporated herein by reference).

 21.1

 List of Subsidiaries (included as exhibit 21.1 to the Company's Annual Report on Form 10-K June 28, 2017, and incorporated herein by reference).

 23.1*

 Consent of Frazier & Deeter, LLC, independent registered public accounting firm.

 31.1*

 Certification of Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

 31.2*

 Certification of Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

 32.1*

 Certification of Officers pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

 97*

 Sonoma Pharmaceuticals, Inc. Compensation Clawback Policy

 101.INS

 101.SCH

 101.CAL

 101.DEF

 101.LAB

 101.PRE

 *

 Filed herewith.

 Confidential treatment has been granted with respect to certain portions of this agreement.

 Certain portions of the exhibit have been omitted to preserve the confidentiality of such information. The Company will furnish copies of any such information to the SEC upon request.

 +

 The schedules to the exhibit have been omitted from this filing pursuant to Item 601(a)(5) of Regulation S-K. The Company will furnish copies of any such schedules to the SEC upon request.

 Copies of above exhibits not contained herein
are available to any stockholder, upon payment of a reasonable per page fee, upon written request to: Chief Financial Officer, Sonoma
Pharmaceuticals, Inc., 5445 Conestoga Court, Suite 150, Boulder, Colorado 80301.

 (c) Financial Statements and Schedules

 Reference is made to Item 15(a)(2) above.

 ITEM 16. Form 10-K Summary.

 None.

 SIGNATURES

 Pursuant to the requirements of Section 13
or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned,
thereunto duly authorized.

 SONOMA PHARMACEUTICALS, INC.

 Date: June 17, 2024

 By:

 /s/ Amy Trombly

 Amy Trombly

 President and Chief Executive Officer,

 (Principal Executive Officer)

 Date: June 17, 2024

 /s/ Jerome Dvonch

 Jerome Dvonch

 Chief Financial Officer

 (Principal Financial and

 Principal Accounting Officer

 Pursuant to the requirements of the Securities
Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant and in the capacities and
on the dates indicated.

 Signature

 Title

 Date

 /s/ Amy Trombly

 President, Chief Executive Officer

 Amy Trombly

 (Principal Executive Officer)

 /s/ Jerome Dvonch

 Chief Financial Officer

 Jerome Dvonch

 (Principal Financial and Principal Accounting Officer)

 /s/ Jay Edward Birnbaum

 Director

 Jay Edward Birnbaum

 /s/ Philippe Weigerstorfer

 Director

 Philippe Weigerstorfer

 /s/ Jerry McLaughlin

 Director

 Jerry McLaughlin