ANESTA CORP /DE/
10-K, 1999-03-31
PHARMACEUTICAL PREPARATIONS
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<PAGE>
 
                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                           ------------------------

                                   Form 10-K

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


For the fiscal year ended December 31, 1998       Commission File Number 0-23160

                           ------------------------ 
                                  ANESTA CORP.
             (Exact name of registrant as specified in its charter)


          Delaware                                                 87-0424798
(State or other jurisdiction of                               (I.R.S. Employer
incorporation or organization)                               Identification No.)


       4745 Wiley Post Way, Plaza 6 Suite 650, Salt Lake City, Utah 84116
          (Address of principal executive offices, including zip code)

                                 (801) 595-1405
              (Registrant's telephone number, including area code)

       Securities registered pursuant to Section 12(b) of the Act:  None

Securities registered pursuant to Section 12(g) of the Act:  Common Stock, 
                                                             $.001 Par Value


     Indicate by check mark whether the registrant (1) has filed all reports
required to be filed by Sections 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  X   No
                                               ---     ---

     Indicate by check mark if disclosure of delinquent filers pursuant to Item
405 of Regulation S-K is not contained herein, and will not be contained to be
the best of the Registrant's knowledge, in definitive proxy or information
statements incorporated by reference in Part III of this Form 10-K or any
amendment to this Form 10-K.  
                             ---   

     The approximate aggregate market value of the Common Stock held by non-
affiliates of the Registrant, based upon the last sale price of the Common Stock
reported on the National Association of Securities Dealers Automated Quotation
National Market System was $236,895,714 as of March 13, 1999.*

     The number of shares of Common Stock outstanding was 13,146,400 as of 
March 13, 1999.

 
- ------------------------
*  Excludes 3,011,824 shares of Common Stock held by directors and officers and
stockholders whose beneficial ownership exceeds five percent of the shares
outstanding at March 13, 1999.  Exclusion of shares held by any person should
not be construed to indicate that such person possesses the power, direct or
indirect, to direct or cause the direction of the management or policies of the
Registrant, or that such person is controlled by or under common control with
the Registrant.
<PAGE>
 
Except for the historical information contained herein, the following report
contains certain forward-looking statements that involve risks and
uncertainties. When used in this report, the words "intend," "anticipate,"
"believe," "estimate," "plan" and "expect" and similar expressions as they
relate to the Company are included to identify forward-looking statements. The
Company's actual results could differ materially from the results discussed in
the forward-looking statements as a result of certain of the risk factors
discussed in this report under the heading "Risk Factors" and in the Company's
Prospectus dated December 16, 1998.

                                     PART I



ITEM 1.    BUSINESS
- -------            

Introduction

Anesta Corp. (Anesta or the Company) is a leader in the development of new
pharmaceutical products for oral transmucosal drug administration.  The
Company's products are based on its proprietary oral transmucosal system
(OTS/(TM)/) for drug delivery.  Anesta's principal product is Actiq/(R)/, an OT-
fentanyl product, which was approved by the Food and Drug Administration (FDA)
on November 4, 1998.  Actiq is the first product specifically designed, studied
and approved for breakthrough cancer pain.  Actiq is indicated for the
management of breakthrough pain in cancer patients who are already receiving and
who are tolerant to opioid therapy for their underlying persistent cancer pain.
Abbott Laboratories (Abbott) will manufacture, distribute and sell Actiq in the
United States under a license from Anesta.

Breakthrough cancer pain is a sporadic flare of severe cancer pain that "breaks
through" the patient's regular medication for persistent cancer pain.
Breakthrough cancer pain is a component of chronic cancer pain that is
particularly difficult to treat due to its severity, rapid onset and
unpredictability.  The Company believes that more than 800,000 patients
experience breakthrough cancer pain representing approximately one-half of all
cancer pain patients in the United States.

Anesta's OTS consists of a drug matrix that is mounted on a handle or other
controlling device.  The OTS is designed to achieve rapid absorption of certain
potent drugs through the oral mucosa, the lining of the mouth, and into the
bloodstream, producing rapid onset of the desired therapeutic effect.  Anesta's
OTS allows the caregiver or patient to monitor the onset of action, remove the
unit and stop administration of the drug once the desired therapeutic effect has
been achieved or side-effects appear.

Anesta has entered into agreements for collaboration with Abbott for all OT-
fentanyl products in the United States. Abbott manufactures Actiq and Fentanyl
Oralet/(R)/ for the U.S. market, and is Anesta's marketing partner for both
products in the United States. Anesta has also entered into collaborations with
Grupo Ferrer Internacional S.A. (Grupo Ferrer) for Spain and Portugal and
Laboratoire L. Lafon (Lafon) for France. These agreements grant exclusive
marketing, sales and distribution rights for Actiq, Fentanyl Oralet and any
future OT-fentanyl products. Anesta plans to enter into additional agreements
and collaborations for other major foreign markets.

Anesta is also developing other product candidates using its proprietary OTS
drug delivery platform.  Currently, five product candidates are in clinical
development.  The Company has completed multiple Phase 2 clinical trials for OT-
nicotine. OT-fentanyl for acute pain is the subject of ongoing Phase 2/3
clinical trials.  OT-etomidate for short-acting sedation is in early Phase 2
clinical trials.  Anesta filed two Investigational New Drug applications (IND)
for two new product candidates in late 1998.  One IND was for OT-piroxicam, a
non-opioid drug to treat pain and the second IND was for OT-droperidol, a drug
to treat nausea and vomiting.  Anesta continues to evaluate various compounds
and is conducting preclinical research with various compounds using its OTS
technology.

On February 23, 1999, the Company announced the signing of an option agreement
with Novartis involving the Company's proprietary OTS for drug delivery. The
option agreement includes a collaboration that combines the OTS with undisclosed
compounds that may lead to one or more product candidates. Under the terms of
the option agreement, Novartis and the Company will assess the world wide
commercial opportunity of these potential products, with the goal of entering
into an exclusive licensing agreement.


                                       2
<PAGE>
 
Background on Drug Delivery Methods

Drug delivery is the method of delivering an active pharmaceutical compound to
the body in a manner which is designed to optimize therapeutic effect and/or
minimize side effects.  For many chronic indications, such as certain types of
heart disease, it is often advantageous to have sustained release of the active
compound over a long period of time.  However, for many acute indications, the
opposite pharmacokinetic profile is desired:  an easily-controlled rapid onset
of action and rapid clearance from the blood stream.  By providing for more
accurate dosing, greater convenience, or lower cost, a variety of novel drug
delivery technologies have been widely accepted by physicians, patients, and
payors.  Existing drug delivery systems include the following:

Tablets and capsules.  Orally delivered tablets or capsules are convenient and
cost-effective, but they generally do not provide rapid onset of action.  Also,
some drugs do not achieve adequate bioavailability if administered as a tablet
or capsule due to degradation of the drug by the stomach and liver.

Infusions and injections.  Infusions and injections provide rapid onset of
action.  Infusion techniques can titrate potent drugs with very rapid changes in
effect.  However, infusions and injections are invasive and can be painful to
some patients.  Infusions and injections generally must be administered by
trained medical professionals and are often inconvenient and expensive.

Transdermal patches.  Transdermal delivery systems, which allow absorption of
drugs through the skin, are convenient and easy to use, and provide a relatively
steady rate of drug delivery.  However, a transdermal patch may take four to ten
hours to achieve therapeutic blood levels.  In addition, drug absorption into
the bloodstream may continue for hours after removal of the patch.  This slower
onset of action and inability to quickly stop absorption limit the usefulness of
transdermal patches in some applications and present safety concerns in some
clinical situations.  For example, patients in acute pain cannot wait several
hours for pain relief and may need to be hospitalized to obtain injections or
infusions of fast-acting medication.

Transnasal and inhalation.  Nasal spray, dry powder and aerosolized inhalation
delivery systems are designed to provide rapid onset of action or to deliver
drugs that are not orally bioavailable.  Nasal sprays can cause irritation and
can be difficult to administer in some patients.  In addition, it can be
difficult for a patient to titrate or control the dose of the product using
nasal or inhalation delivery systems.

Anesta's Proprietary OTS for Drug Delivery

Anesta's proprietary OTS is designed to address the medical need for a
convenient, non-invasive, cost-effective drug delivery system that provides
rapid onset of therapeutic action.  The OTS allows the caregiver or patient to
control drug administration until the desired effect is achieved and quickly
stop administration if side effects appear.  The OTS consists of a dissolvable,
non-dissolvable, or device-based drug matrix, which is mounted on a handle or
other controlling device.  The drug is released from the matrix in the mouth,
allowing rapid absorption through the oral mucosal tissues and into the
bloodstream.  There is also slower absorption through the gastrointestinal
tract.  Oral transmucosal drug delivery achieves rapid absorption of many drugs
because the oral mucosa are significantly more permeable than the skin, have a
large surface area and are highly vascularized.  However, not all drugs are
appropriate for oral mucosa delivery with the Company's technology.

For certain drugs or applications, Anesta believes that its OTS can provide one
or more of the following therapeutic advantages over other available methods of
drug administration:

Rapid Onset of Action.  The efficacy of many systemic drugs is related to their
blood concentration.  The more rapidly an effective blood concentration is
reached, the sooner the drug provides therapeutic effect.  The Anesta OTS
enables drugs to cross the oral mucosa and be absorbed rapidly into the
bloodstream, thus achieving a therapeutic blood concentration more rapidly than
tablets, capsules or transdermal patches.

                                       3
<PAGE>
 
Dose-to-Effect Control.  The stomach and the liver may significantly degrade
drugs delivered by tablets or capsules.  Thus, tablets and capsules often
contain higher doses of a drug than are necessary to achieve a therapeutic
effect, potentially leading to over-medication and side effects.  Continuous
infusion therapy can alleviate these dosing problems, but may lead to increased
cost, patient inconvenience and patient noncompliance with prescribed dosing
regimens.  Anesta's OTS allows the caregiver or patient to monitor the onset of
action and remove the unit to stop administration of the drug once the desired
therapeutic effect has been achieved or side effects appear.  This can avoid
doses that are higher than necessary to achieve safe and effective therapy, an
important and beneficial element of control.

Rapid Termination of Drug Delivery.  In certain applications, it is desirable to
stop drug administration once the desired effect has been obtained.  For
example, if a patient receives a sedative in connection with a brief outpatient
procedure, substantially all of the sedative effect should be gone before the
patient can be discharged.  The drug contained in a tablet or capsule may
dissolve and continue to be absorbed into the bloodstream over a period of
hours.  Similarly, when a transdermal patch is removed, the drug that has
already accumulated within the skin will continue to be absorbed into the
bloodstream for a number of hours. Thus, drug absorption from tablets, capsules
and transdermal patches may continue longer than necessary or desired.  By
contrast, once Anesta's OTS is removed, absorption of the drug through the oral
mucosal tissues into the bloodstream stops almost immediately.

Improved Safety.  Removing the unit limits further absorption of the drug into
the body if a patient has an adverse reaction.  Because the dosage unit can be
removed immediately, the amount of the drug delivered to the patient may be
lower than if a tablet, capsule, transdermal patch or injection had been
administered.

Cost-Effective.  Traditionally, when rapid onset of action is critical,
infusions or injections have been required.  Infusions and injections generally
are given by a skilled caregiver and may require that a catheter be inserted.
In contrast, the patient simply places the OTS dosage unit in his or her mouth.
Thus, Anesta believes that its OTS may offer a more cost-effective means of
delivering certain drugs that are now given by infusion or injection.

Greater Patient and Caregiver Convenience.  The Company's OTS is easily
administered, comfortable, non-threatening and allows a caregiver or the patient
the ability to titrate drug administration.

Anesta's Business Objectives and Strategy

Anesta intends to be the leader in the oral transmucosal delivery of drugs.
Anesta's near-term objective is the successful launch of Actiq, initially in the
United States and then in Europe.  Anesta's longer-term strategy is to develop
and commercialize a range of products based upon its proprietary OTS.  Anesta is
pursuing these objectives with the following strategies:

Successfully Launch Actiq in the United States.  Anesta is working with its
strategic partner Abbott to commercialize Actiq in the United States.  Anesta
selected Abbott as its U.S. partner for its OT-fentanyl product line to
capitalize on Abbott's broad pharmaceutical experience and its specific
expertise in anesthesia and pain management.  Anesta has developed a strategic
marketing group, including a regional medical liaison field organization, to
support market launch of Actiq.

Commercialize Actiq Internationally. Anesta is currently conducting clinical
trials in support of an Actiq registration in the United Kingdom, and intends to
seek approvals in other European countries. Anesta intends to commercialize
Actiq in Europe and other key cancer pain markets worldwide by entering into
distribution partnerships with focused pharmaceutical companies. Anesta has
partnered with Grupo Ferrer for Spain and Portugal and Lafon for France. Anesta
is actively pursuing partnerships for key cancer pain markets.

Leverage OTS Technology Platform.  Anesta plans to leverage its proprietary OTS
platform technology across a number of therapeutic areas.  The Company will
focus its product development program on large markets where the Company's OTS
technology may offer benefits over existing therapies.  The Company 

                                       4
<PAGE>
 
intends to continue developing new pharmaceutical products by applying its OTS
to approved drugs, both proprietary and generic, where existing methods of drug
delivery have therapeutic or clinical limitations. The Company intends to
continue to expand its proprietary position by pursuing patent protection in the
United States and key international markets for its OTS and for dosage forms
that incorporate such technology.

Maximize Value From Products.  Anesta intends to capture a substantial portion
of the future economic benefits from its approved products and product
candidates.  By selectively investing in multiple aspects of the drug
development and commercialization process, such as manufacturing and clinical
development, in addition to research and formulation, Anesta believes it will be
able to form more economically and strategically attractive partnerships with
larger pharmaceutical companies.

Anesta's Products and Development Programs

The Company's research and development activities involve formulation and
analytical methods development, in vitro and in vivo proof-of-concept testing,
manufacturing process development, quality control and quality assurance
programs, preclinical and clinical research, regulatory documentation and
interaction with the FDA and other regulatory agencies to gain marketing
approval for its products.

The following table identifies the potential therapeutic indications for and
current status of Anesta's approved products and the primary products that are
in research and development.

<TABLE>
<CAPTION>
   Programs and Products                   Indication                    Status(1)
- ----------------------------  ------------------------------------  --------------------
<S>                           <C>                                   <C>
OT-fentanyl Program
 
Actiq (U.S.)(2)                 Breakthrough cancer pain                  NDA Approved
Fentanyl Oralet(2)              Sedation and analgesia; surgical          NDA Approved
                                premedication
Actiq (International)(3)        Breakthrough cancer pain                  Phase 3 (U.K.)
OT-fentanyl(2)                  Acute pain                                Phase 2/3
 
Other OTS Product Candidates
 
OT-nicotine                     Smoking cessation                         Phase 2
OT-etomidate                    Short-acting sedation                     Phase 2
OT-piroxicam                    Pain                                      Phase 1
OT-droperidol                   Nausea and vomiting                       Phase 1
</TABLE>
__________

(1) See "Business -- Government Regulation" for a description of the various
    phases of clinical testing.

(2)  Abbott is Anesta's manufacturing and marketing partner for this product in
the United States.
  See "-- Collaborative Relationships."

(3)  Sales and distribution rights to this product have been granted to Grupo
Ferrer for Spain and Portugal and to Lafon for France.

Actiq for Breakthrough Cancer Pain

Breakthrough Cancer Pain.  In recent years, there has been growing awareness
that millions of cancer patients do not receive adequate pain relief.
Inadequate pain management leads to debilitation and reduced 

                                       5
<PAGE>
 
quality of life and places increased stress on interpersonal relationships with
family, friends and caregivers. Many clinicians believe that improving a
patient's control over pain also helps in the patient's ability to fight the
underlying disease.

One of the most challenging components of cancer pain is breakthrough pain -- a
transitory flare of moderate to severe pain occurring on a background of
controlled persistent pain in patients receiving chronic opioid therapy.
Breakthrough pain may be related to a specific activity or may occur
spontaneously and be totally unpredictable.  When related to a specific activity
such as walking or eating, it may be termed incident pain. The Company believes
that over 800,000 cancer patients in the United States suffer from breakthrough
pain, representing over half of all U.S. cancer patients who experience moderate
to severe pain.

Breakthrough cancer pain typically develops rapidly and often reaches maximum
intensity in three to ten minutes.  It has a variable duration of 30 minutes to
several hours.  These episodes can be excruciatingly painful and debilitating.
Opioid tablets, capsules and elixirs are not optimal to treat breakthrough
cancer pain because they typically require 30 minutes or more to produce pain
relief.  This slow onset of pain relief results in a "pain relief gap" for
patients or the painful and anxious wait between onset of breakthrough pain and
effective pain relief.

Physicians can attempt to manage breakthrough cancer pain by increasing the dose
of the around-the-clock, long-acting opioid analgesic until the patient no
longer experiences breakthrough pain.  However, this approach frequently leads
to over-medication and an increase in undesirable side effects such as
drowsiness or severe constipation.  Patients and their physicians often are
forced to balance effective pain relief against the side effects associated with
higher opioid doses.  As a result, cancer patients may suffer one to four
episodes of breakthrough pain every day.

The only currently available treatments that adequately match the rapid onset of
pain relief to the rapid onset of breakthrough cancer pain are intravenous or
subcutaneous infusions or intramuscular injections of potent opioids.  In many
settings, infusions or injections are unacceptable because they are invasive,
uncomfortable, inconvenient for patients and caregivers, and more costly than
less invasive methods.  Some current practice guidelines teach against using
invasive means of treating pain if at all possible.

Product Attributes.  There is a significant unmet need for a breakthrough cancer
pain treatment that provides rapid pain relief in a simple, oral, controllable,
safe and patient-friendly manner.  Anesta believes that Actiq  meets these
criteria, by providing onset of pain relief within 15 minutes in a form that
allows the patient to control the dose.  Actiq is more convenient, more user-
friendly and less costly than many invasive methods of drug delivery.

Actiq is a drug matrix containing fentanyl, attached to a handle, which
facilitates rapid absorption of the drug across the oral mucosa and into the
blood stream.  The analgesic effects of fentanyl are directly related to the
blood level of the drug, with proper allowance for the three to five minute
delay across the blood-brain barrier.  The generally observed 50%
bioavailability of Actiq is divided equally between rapid transmucosal and
slower gastrointestinal absorption.

Clinical Program and Data.  Anesta's clinical program for breakthrough cancer
pain involved a total of 12 studies at 45 U.S. sites, which evaluated six dosage
strengths of Actiq ranging from 200 to 1600 micrograms.  The Company's clinical
trials specific to breakthrough cancer pain enrolled 257 patients who have
received nearly 75,000 doses of Actiq.  The average duration of therapy in the
long-term safety study was 149 days, with patients using Actiq to treat an
average of 2.4 episodes of breakthrough cancer pain per day.  Some patients have
completed more than 800 days of Actiq therapy.

In the Actiq pivotal study of 130 patients, the efficacy of Actiq was compared
against placebo.  Actiq produced significantly larger decreases in pain
intensity and better pain relief scores than placebo at 15, 30, 45, and 60
minutes (p less than 0.0001).  The most common adverse events observed with
Actiq use in breakthrough cancer pain patients were somnolence, nausea, vomiting
and dizziness, which are generally associated with opioid therapy.

                                       6
<PAGE>
 
FDA Approval and Commercial Launch Plans.  On November 4, 1998, the FDA cleared
Actiq for marketing for use in the management of breakthrough pain in cancer
patients who are already receiving and tolerating opioid therapy. Actiq is the
first product specifically designed, studied and approved for breakthrough
cancer pain.  The product was launched in March 1999 in the United States.  A
newly-formed dedicated Abbott sales force is selling  Actiq in the United States
with support from Anesta's regional medical liaison field personnel.  The
product launch targets high prescribing medical oncologists cancer pain
specialists, their nursing staffs and high dispensing retail pharmacies.  These
clinicians and pharmacists have considerable experience prescribing and
dispensing potent opioids.

The introduction and marketing of Actiq is being accompanied by a comprehensive
risk management program of educational and safe use messages, which inform
health care professionals, patients and their families of proper use, storage,
handling and disposal of the product.  This program is designed to address three
potential risk situations: accidental ingestion by children, improper patient
selection, and diversion and abuse.  The greatest risk of improper Actiq use is
the potential for respiratory depression, which could be life threatening.  As
with all strong pain medicines, steps must be taken to prevent access to Actiq
by anyone other than the person for whom the product was prescribed.

The proposed treatment plan for using Actiq for breakthrough cancer pain is
simple and consistent with current clinical practice guidelines.  Physicians
prescribe an around-the-clock opioid analgesic for persistent cancer pain, using
conventional products such as sustained-release morphine tablets or fentanyl
transdermal patches.  The patient is instructed to use Actiq when the patient
feels the onset of breakthrough cancer pain. As the drug matrix dissolves, the
Fentanyl is released for rapid absorption through the mucosal tissues into the
blood stream. Actiq is available in six dosage strengths. It is recommended that
all patients should start at the lowest dosage level (200 micrograms) and
increase to higher dosage strengths as necessary to achieve therapeutic effect
without triggering unacceptable side effects .

Actiq is contraindicated in the management of acute or postoperative pain and
must not be used in opioid non-tolerant patients.  It is intended to be used
only in the care of cancer patients by oncologists and pain specialists who are
skilled in the use of schedule II opioids to treat cancer pain.

International Commercialization of Actiq.  The Company believes that there is a
significant market opportunity for Actiq to treat breakthrough cancer pain
outside of the United States.  However, the prevailing practices regarding use
of potent opioids to treat cancer pain vary significantly from country to
country.

In order to address the international market opportunity, Anesta is validating a
second generation manufacturing process for Actiq.  Anesta is currently
manufacturing Actiq  for use in several additional clinical studies in the
United Kingdom.  The Company will seek appropriate regulatory approval for its
manufacturing facility and is preparing registration dossiers for breakthrough
cancer pain in the United Kingdom and other key foreign markets.

Anesta's clinical research in the United Kingdom is expected to be completed in
1999.  A Marketing Approval Application is expected to be submitted to the
Medicines Control Authority during 1999.  Subject to approval in the United
Kingdom, Anesta will work in collaboration with its European partners to request
approval of Actiq in the other member states of the European Union via the
mutual recognition process.  The Company has entered into two European
commercial partnerships for Actiq.  Anesta expects to enter into additional
collaborations for Actiq in Europe and other key territories.

                                       7
<PAGE>
 
Fentanyl Oralet (OT-fentanyl) for Premedication

Anesta's first OT-fentanyl product, Fentanyl Oralet, was approved by the FDA in
October 1993 for use in children and adults as a premedication before surgery
and for sedation/analgesia prior to painful procedures in monitored anesthesia
settings.  Fentanyl Oralet is available in four dosage strengths ranging from
100 to 400 micrograms.  Most patients experience an onset of analgesia in six to
eight minutes, and sedation and reduced anxiety in 20 to 30 minutes.  Side
effects are similar to those produced by other opioid products.  Although the
market potential for Fentanyl Oralet is limited, Anesta believes that the
commercialization of Fentanyl Oralet has benefited Anesta by allowing the
Company's first product to be studied, approved and introduced in a controlled
clinical setting.

Other OTS Product Candidates

Anesta has five OTS product candidates under clinical development:

OT-nicotine for smoking cessation.  Nicotine replacement therapy has become
established as a successful aid to smoking and tobacco cessation programs.
Nicotine replacement products that have been approved include a nicotine gum,
several transdermal nicotine patches, a nicotine nasal spray and a nicotine
inhaler.  The nicotine gum and two nicotine transdermal patches have been
approved by the FDA as over-the-counter products.  Smoking cessation experts
believe that increasing the availability and number of nicotine replacement
products will provide a public health benefit, as no single therapy will be
effective for all smokers desiring to quit.  These experts foresee a need for a
broad range of readily available products and therapies to increase the success
rate of smoking cessation programs.

The pharmacokinetic profile and behavioral characteristics of OT-nicotine are
different from the other nicotine replacement products currently on the market.
Some smokers who have used OT-nicotine have commented that the ability to
control dosing by repeatedly inserting and removing the OT-nicotine unit from
their mouths has given them a greater ability to manage their urge to smoke.
This element of control is different from that offered by these other treatment
modalities.  Anesta believes that this ability to titrate the dose of nicotine
and rapidly deliver adequate doses to the individual may more closely displace
the physiologic dependence and psychological craving effects of cigarettes.  The
Company believes these properties of OT-nicotine may be especially effective in
the early stages of smoking cessation and in smoking relapse prevention.

Anesta has completed several Phase 2 clinical studies for OT-nicotine and has
studied the results from more than 400 smokers and nonsmokers dosed with OT-
nicotine.  These studies have evaluated the effects of different dosage
strengths, the acceptability of different taste formulations, and the ability of
OT-nicotine to aid in smoking cessation with limited, short-term use and with
eight weeks of therapy.  In early studies, OT-nicotine has been shown to (1)
increase blood concentrations in proportion to dose, (2) decrease the desire to
smoke at higher doses, and (3) exhibit a high patient acceptance of the product.
Side-effects observed with OT-nicotine were mild and typical of those seen with
nicotine administration.  Clinical data from a larger Phase 2 study comparing
smoking quit rates over an 8-week period of use showed that smokers using OT-
nicotine achieved quit rates of 21%, similar to both the nicotine gum (16%) and
the nicotine patch (21%).

OT-fentanyl for acute pain.  There are multiple causes of acute pain including
surgery, trauma and conditions such as kidney stones.  Acute pain usually
requires the rapid onset of pain relief.  Historically, hospitalized patients
have received injections or infusions to receive rapid pain relief.  More
recently, patient controlled devices with sophisticated microelectronics have
been introduced which allow patients to self-administer the pain medication
intravenously when they feel the need for pain relief.  This method of patient
controlled analgesia has been shown to improve pain management while decreasing
the total daily dose of medication.  The Company believes there are
psychological benefits to patients who gain more control over their analgesic
therapy.

OT-fentanyl is also being studied for acute pain.  Anesta has completed several
Phase 2/3 clinical studies.  A recent clinical study of OT-fentanyl in 133 post-
operative patients with acute pain showed that the onset of meaningful pain
relief occurred in under five minutes in over 50% of the patients, and this
onset of 

                                       8
<PAGE>
 
meaningful pain relief was similar to that observed with administration of
intravenous morphine. Duration of action for OT-fentanyl ranged from two to
three hours and depended on the doses administered.

OT-etomidate for short acting sedation.  OT-etomidate is designed to provide
sedation for patients undergoing various types of outpatient medical or dental
procedures, either where the procedure is not painful or where pain is managed
by other methods such as local or regional anesthesia.  Anesta believes that
there is a need for a rapid onset, short duration sedative that allows patients
to have a rapid, clear-headed recovery and prompt discharge after an outpatient
procedure is completed.  Target applications include various scope procedures,
biopsies, and dental procedures.

OT-etomidate is in Phase 2 clinical trials.  Two Phase 1 clinical studies showed
that OT-etomidate delivers dose-related therapeutic blood levels to produce
onset of sedation in 10 to 20 minutes.  Sedation continues for 30 to 40 minutes.
Emergence from sedation to a level indicative of recovery occurs 60 to 90
minutes after taking the drug.  Two Phase 2 clinical studies with OT-etomidate
have been completed.  These studies were dose-ranging (with placebo) studies of
approximately 80 patients each in patients undergoing sigmoidoscopy or wisdom
tooth extraction.

Anesta filed two new IND applications for OTS-based products in late 1998:  OT-
piroxicam for non-opioid pain management and  OT-droperidol for treating nausea
and vomiting. Phase 1 clinical trials will be conducted with these compounds in 
1999.

Research and Development

Anesta is conducting preclinical research and development with its OTS
technology in several therapeutic areas and will continue to evaluate additional
products and compounds using the OTS technology.  Anesta has developed its
proprietary OTS products in collaboration with the University of Utah Research
Foundation (UURF) and Abbott.  Future development projects may involve
collaboration with other research organizations and other established
pharmaceutical companies.  The Company's primary emphasis is on basic and
applied research, product and process development, clinical research, regulatory
interactions and filings and commercial market development and preparation.
Since its inception, Anesta has managed most aspects of its clinical trials and
has prepared substantially all U.S. regulatory filings for its products.  In
1998, 1997, and 1996, Anesta's research and development expenditures were
$8,628,000, $7,889,000 and $8,304,000 respectively.

Collaborative Relationships

Anesta's commercial strategy is to develop products independently and
collaborate, where appropriate, with established pharmaceutical companies and
institutions.  Collaborative partners may provide financial resources, research
and manufacturing capabilities and marketing infrastructure to aid in the
commercialization of Anesta's product candidates in development.  The Company
may license its technology or products to others and retain profit sharing,
royalty, manufacturing, co-marketing, co-promotion or similar rights.  Any such
arrangements could limit the Company's flexibility in pursuing alternatives for
the commercialization of its product candidates.

Abbott Laboratories

In 1989, Anesta entered into a research and development, license, supply and
distribution agreement with Abbott.  Under the agreement, as amended (1989
Agreement), Anesta granted to Abbott the exclusive right to make, use and market
in the United States OTS products resulting from technology owned or licensed by
Anesta consisting of OT-fentanyl or other central nervous system-acting drugs or
intermediates thereof used for pre-medication, sedation, analgesia, diagnostic
procedures, emergency room procedures, post-operative pain, burn treatment or
cancer-related pain management.  Abbott's exclusive license terminates upon the
expiration of the last U.S. or Canadian patent relative to such licensed
technology.  Under the 1989 Agreement, Abbott has provided development funding
and milestone payments and is obligated to pay royalties and other payments on
product sales.  In 1995, the Company entered into two additional funding
agreements with Abbott under which Abbott agreed to provide to the Company
$1,500,000 in each of 1995 

                                       9
<PAGE>
 
and 1996 to fund the development of Actiq for breakthrough cancer pain. Through
December 31, 1998, Abbott had paid a total of $10,050,000 for the development of
Anesta's OT-fentanyl product line. In connection with such development funding,
Abbott was granted, and has exercised, warrants to purchase 1,202,840 shares of
the Company's common stock at prices ranging from $1.00 to $2.40 per share.
Abbott manufactures and distributes Anesta's OT-fentanyl products in the United
States under Abbott's trademark Fentanyl Oralet and Anesta's trademark Actiq.

The 1989 Agreement contains provisions regarding the development, manufacture
and commercialization of the Company's future products.  The Company intends to
continue to provide information to Abbott regarding its development programs for
new products, and to discuss with Abbott its possible participation in the
commercialization of these products.

The 1989 Agreement can be terminated with respect to a particular market or
indication upon thirty days notice by Abbott if (1) there exists a material
adverse safety concern with respect to a licensed product, (2) there exists a
material adverse concern regarding the efficacy of a licensed product, (3)
action by the FDA precludes the continued testing or commercialization of a
licensed product and such preclusion is more than temporary in nature, or (4) a
third party patent poses an infringement risk with respect to the
commercialization of a licensed product in the United States.

Grupo Ferrer Internacional S.A.

In January 1998, the Company entered into an exclusive agreement with Grupo
Ferrer, a leading private Spanish pharmaceutical company, for the marketing,
sales and distribution of Anesta's OT-fentanyl product line in Spain and
Portugal.  Grupo Ferrer made a payment to the Company and will have exclusive
rights in Spain and Portugal to market and distribute Actiq and certain other
product applications of OT-fentanyl. Anesta will manufacture such products for
Grupo Ferrer.

Laboratoire L. Lafon

In June 1998, the Company entered into an exclusive agreement with Lafon, a
leading private French pharmaceutical company, for the marketing, sales and
distribution of Anesta's OT-fentanyl product line in France.  Under terms of the
agreement, Lafon made payments to the Company and will have exclusive rights in
France to market and distribute Actiq and certain other product applications of
OT-fentanyl. Anesta will manufacture such products for Lafon.

Novartis Consumer Health, Inc.

In February 1999, Anesta entered into a 12-month option agreement with Novartis
involving Anesta's proprietary OTS for drug delivery.  The option agreement
includes a collaboration that combines OTS with undisclosed compounds that may
lead to one or more product candidates.  Under the terms of the option
agreement, Novartis and Anesta will assess the worldwide commercial opportunity
of these potential products, with the goal of entering into an exclusive
licensing agreement.

University of Utah Research Foundation

In 1985, the Company obtained an exclusive worldwide license, including the
right to sublicense, from the UURF all of the UURF's technology developed or to
be developed by Dr. Theodore H. Stanley, Founding Chairman of the Company, and
others under his direction at the University of Utah in (1) the field of
anesthetic and other drug delivery systems incorporating a matrix to deliver
compounds to the central nervous system via the mucosal tissues of the mouth,
pharynx and esophagus, (2) drug-based immobilization systems for human and
veterinary applications and (3) transdermal drug delivery systems.  The Company
is obligated to pay certain royalties to the UURF subject to certain minimum
royalty payments.  In addition, Anesta is obligated to pay to the UURF a higher
percentage of the royalties it receives in the event Anesta sublicenses 

                                       10
<PAGE>
 
the licensed technology without any improvement or added value. The Company also
has an exclusive option with UURF to acquire an exclusive worldwide license to
similar technology and intellectual property that may be conceived, invented or
reduced to practice at the University of Utah after the date of its license
grant. Anesta has exercised such option as to all technology covered by its
patents and pending patent applications. The UURF exclusive worldwide license
terminates as to each country upon the expiration of the last patent in such
country relating to the licensed technology.

Manufacturing

Anesta has a manufacturing facility capable of producing quantities of its
proprietary OTS products for research and development, including clinical
studies.  Anesta is developing manufacturing capacity to support commercial
distribution of Actiq for international markets.  Anesta has licensed U.S.
manufacturing rights to Actiq, Fentanyl Oralet and other OT-fentanyl products to
Abbott, subject to the right of Anesta to manufacture such products under
certain circumstances.

The Company continues to develop manufacturing processes and to expand its
production capacity for OTS  products in order to support larger scale clinical
studies and cost effective commercial production.  A second generation OTS
manufacturing process has been developed and is designed to enable scale-up to
larger commercial volumes while reducing the unit cost of producing OTS
products.  Anesta increased its manufacturing capacity and packaging
capabilities to support European clinical trials and to supply initial
quantities of OT-fentanyl products to commercial markets outside of the United
States.  The Company believes it will be able to maintain compliance with cGMP
regulations enforced by the FDA's facilities inspection program, as well as
requirements imposed by the U.S. Drug Enforcement Agency (DEA).  The Company
maintains State and Federal licenses to conduct research, manufacture and export
controlled substances on Schedules II, III, IIIN, IV and V.

Competition

Anesta faces intense competition and technological change.  Existing and future
products, therapies, technological approaches and delivery systems will compete
directly with the Company's products. Competing products may provide greater
therapeutic benefits for a specific indication, or may offer comparable
performance at a lower cost.  Actiq faces competition from inexpensive oral
morphine tablets and more expensive but quick-acting invasive (intravenous,
intramuscular and subcutaneous) opioid delivery systems.  Other technologies for
rapidly delivering opioids to treat breakthrough pain are being developed, at
least one of which is in clinical trials.

The Company competes with fully integrated pharmaceutical companies, smaller
companies that are collaborating with larger pharmaceutical companies, academic
institutions, government agencies and other public and private research
organizations.  Many of these competitors have drug delivery products already
approved or in development and operate large, well-funded research and
development programs in these fields.  Anesta's competitors may develop safer or
more effective drugs and achieve faster or broader regulatory approval, wider
availability of supply, more effective marketing and sales or superior
proprietary positions.  Any products that Anesta develops may become obsolete
before recovery of any expenses incurred in connection with development of these
products.

Patents, Proprietary Rights and Licenses

The Company's success will depend, in part, on its ability to obtain and protect
patents, maintain trade secrets and operate without infringing on the
proprietary rights of others in the United States and other countries. Anesta's
products are based on 14 U.S. and 96 foreign patents for the OTS, which are held
by the University of Utah and its assignee, UURF.  The Company has exclusive
world-wide licenses to these patents which cover the design and types of
pharmaceutical compounds in its products.  The Company's success depends on the
continued validity of these patents.  If either Anesta or the UURF fail to file,
prosecute or maintain any of the patents, Anesta could be severely damaged.  The
Company intends to file additional patent applications relating to its
technology, products and processes.  The Company will also direct the UURF to
file any 

                                       11
<PAGE>
 
additional patent applications relating to the technology it has licensed.
However, any of these patents or patent applications may be challenged,
invalidated or circumvented by the Company's competitors. These patents may also
fail to provide meaningful competitive advantages to the Company. For example,
another company may develop a way to deliver potent opioids in a more cost-
effective manner than Anesta's products without infringing on its patents.

The basic technology underlying the Company's proprietary OTS was invented by
Dr. Stanley and Brian Hague, both employees of the Company, while employed at
the University of Utah.  Anesta is the exclusive worldwide licensee of such
technology under patents held by the UURF.  The license remains in effect for
the life of the covered patents.  The U.S. patents expire on various dates
ranging from 2005 to 2015 and the foreign patents expire on various dates
ranging from 2003 to 2016.  Anesta maintains, at its expense, all U.S. patent
rights with respect to the licensed technology and files and prosecutes the
relevant patent applications in the U.S. and foreign countries.  The OTS
technology underlying Anesta's exclusive license is covered by 14 issued U.S.
patents, 96 issued foreign patents, one pending U.S. patent applications and 20
pending foreign patent applications.  The Company also relies upon trade
secrets, know-how, continuing technological innovations and licensing
opportunities to develop and maintain its competitive position.  The Company
plans to prosecute and defend its technology and the patents and patent
applications being licensed from the UURF.

Intellectual property rights are uncertain and involve complex legal and factual
questions.  The Company may be unknowingly infringing on the proprietary rights
of others and may be liable for that infringement, which could result in
significant costs.  For example, the Company is not aware of any third party
intellectual property rights which would prevent the Company's use of its new
manufacturing method, although rights of this type may exist.  The Company could
be forced to either seek a license to intellectual property rights of others or
alter its products or processes so that they no longer infringe the proprietary
rights of others.  A license could be very expensive to obtain, or may not be
available at all.  Similarly, changing products or processes to avoid infringing
the rights of others may be costly or impractical.

The Company is responsible for any patent litigation costs.  If the Company were
to become involved in a dispute regarding intellectual property, it may have to
participate in interference proceedings declared by the U.S. Patent and
Trademark Office to determine who had the claimed rights first.  Anesta may also
be forced to seek a judicial determination concerning the rights in question.
These types of proceedings may be costly and time consuming, even if the Company
eventually prevails.  If the Company does not prevail, it might be forced to pay
significant damages, obtain a license or stop making a certain product.

Anesta also relies on trade secrets, proprietary know-how and confidentiality
provisions in agreements with collaborative partners, employees and consultants
to protect its intellectual property.  Other parties may not comply with the
terms of their agreements with the Company and it may not be able to adequately
enforce its rights against these people.

It is the Company's policy to require its employees, consultants, outside
scientific collaborators and sponsored researchers and other advisors to execute
confidentiality agreements upon the commencement of employment or consulting
relationships with the Company.  These agreements provide that all confidential
information developed or made known to the individual during the course of the
individual's relationship with the Company is to be kept confidential and not
disclosed to third parties except in specific circumstances.  In the case of
employees, the agreements provide that all inventions conceived by the
individual in the course of his or her employment shall be the exclusive
property of the Company.

Government Regulation

The Company's activities and products are subject to significant regulation by a
number of governmental entities, especially the FDA and DEA in the United States
and by comparable authorities in other countries. These entities regulate, among
other things, research and development activities and the testing, manufacture,
safety, effectiveness, labeling, storage, record keeping, approval, advertising,
promotion, distribution and sale of the Company's products.  Product development
and approval within this regulatory framework takes a number of years and
involves the expenditure of substantial resources.  Many products that appear
promising 

                                       12
<PAGE>
 
initially ultimately do not reach the market because they are found to be unsafe
(perhaps too toxic) or lack effectiveness, as demonstrated by testing required
by government regulation during the development process.

The activities required before a pharmaceutical product may be marketed in the
United States primarily begin with preclinical testing.  Preclinical tests
include extensive laboratory evaluation of product chemistry and other end
points and animal studies to assess the potential safety of the product as
formulated. The FDA under a series of regulations called the Good Laboratory
Practice (GLP) regulations regulates almost all preclinical studies pertinent to
drug approval.  Violations of these regulations can, in some cases, lead to
invalidation of the studies, requiring such studies to be repeated.

The entire body of preclinical development work necessary to administer
investigational drugs to volunteers or patients is submitted in an IND
submission to the FDA.  FDA regulations provide that clinical trials may begin
30 days following the submission and receipt of an IND, unless the FDA advises
otherwise or requests additional information, clarification or additional time
to review the IND submission; it is generally considered good practice to obtain
affirmative FDA acquiescence before commencing trials.  There is no assurance
that the submission of an IND will eventually allow a company to commence
clinical trials.  Once trials have commenced, the FDA may stop the trials, or
particular types or parts of trials, by placing a "clinical hold" on such trials
because of concerns about, for example, safety of the product candidate being
tested or the adequacy of the trial design.  Such holds can cause substantial
delay and in some cases may require abandonment of a product candidate.

Clinical testing involves the administration of a drug to healthy volunteers or
to patients under the careful supervision of a qualified principal investigator,
usually a physician, pursuant to an FDA-reviewed protocol. Clinical tests
pertinent to an IND are usually conducted in the following sequential phases,
although the phases may overlap.  Phase 1 trials generally involve
administration of a drug product to a small number of persons to determine
aspects of safety, tolerance, pharmacokinetic characteristics, and possible
early data on effectiveness.  Phase 2 trials generally involve administration of
a product to a limited number of patients with a particular disease to determine
dosage, efficacy and safety. Phase 3 trials generally examine the clinical
efficacy and safety in an expanded patient population at multiple clinical
sites.  Pivotal Phase 3 trials are trials designed to demonstrate definitive
efficacy and safety.  At least one such trial is required for FDA approval to
market a drug.  Each clinical study is conducted under the auspices of an
independent Institutional Review Board (IRB) at every institution at which the
study will be conducted.  An IRB will consider, among other things, ethical
factors, the safety of human subjects and the possible liability of the
institution.

The regulatory process required to be completed by a company before a new drug
delivery system may be marketed in the United States depends significantly on
whether the drug (which will be delivered by the drug delivery system in
question) has existing approval for use and in what dosage forms.  If the drug
is a new chemical entity that has not been approved, then the process includes
(1) preclinical laboratory and animal tests, (2) an IND application which has
become effective, (3) adequate and well-controlled human clinical trials to
establish the safety and efficacy of the drug in its intended indication and (4)
FDA approval of an NDA.  If the drug has been previously approved, then the
approval process is similar, except that certain toxicity tests normally
required for the IND may not be necessary.  Even with previously approved drugs,
additional toxicity testing may be required when the delivery form is
substantially changed.  Because the Company's OTS, by design, produces high drug
concentrations at the surface of the oral mucosa, new toxicity tests at this
site may need to be performed.  In addition to the foregoing, the FDA requires
proof that the product delivers sufficient quantities of the drug to the
bloodstream to produce the desired therapeutic result.

The results of product development, preclinical studies and clinical studies and
other information are submitted to the FDA in an NDA seeking approval for the
marketing and interstate commercial shipment of the drug.  The FDA may deny an
NDA if applicable regulatory criteria are not satisfied or may require
additional clinical or other testing.  Even if such data are submitted, the FDA
may ultimately decide that the NDA does not satisfy the criteria for approval.
If the FDA does ultimately approve the product, it may require, among other
things, post-marketing testing, including potentially expensive Phase 4 studies,
and surveillance to monitor the safety and effectiveness of the drug.  In
addition, the FDA may in some 

                                       13
<PAGE>
 
circumstances impose labeling and promotion restrictions on the use of the drug
that may be difficult and expensive to administer. Product approvals may be
withdrawn if compliance with regulatory requirements is not maintained or if
serious problems occur after the product reaches the market. Finally, the FDA
requires reporting of certain adverse event information that becomes known to a
sponsor or manufacturer of an investigational or approved drug.

Each domestic drug product manufacturing establishment must be registered with,
and essentially approved by, the FDA.  In addition, each such establishment must
inform the FDA of every drug product it has in commercial distribution and keep
such list updated.  Establishments handling controlled substances must be
licensed and are inspected by the DEA.  Anesta has a current DEA license
appropriate for handling the substances it uses in its facilities.  Domestic
establishments are also subject to inspection by the FDA for compliance with
cGMP regulations before or after an NDA has been filed and thereafter, at least
biannually. The labeling, advertising and promotion of drug products also must
be in compliance with pertinent FDA regulatory requirements.  Failures to comply
with applicable requirements relating to production, distribution or promotion
of a drug product can lead to FDA demands that production and shipment cease,
and, in some cases, that products be recalled, or to enforcement actions that
can include seizures, injunctions and criminal prosecution.  Finally,
manufacturers of drug products seeking FDA approval via an NDA are also
required, due to recently introduced user fee requirements, to make payments to
the FDA at various stages of the approval process.  In addition, such payments
must also be made in association with annual establishment registration.

To market its products abroad, the Company is also subject to numerous and
varying foreign regulatory requirements, implemented by foreign health
authorities, governing, among other things, the design and conduct of human
clinical trials, pricing regulations and obtaining marketing approval.  The
approval procedure may vary among countries and can involve additional testing,
and the time required to obtain approval may differ from that required to obtain
FDA approval.  At present, foreign marketing authorizations are applied for at a
national level, although within the European Union certain registration
procedures are available to companies wishing to market a product in more than
one European Union member country.  The foreign regulatory approval process
includes all of the risks associated with obtaining FDA approval set forth
above.  Approval by the FDA does not ensure approval by other countries.

Various aspects of the Company's business and operations are also regulated by a
number of other governmental agencies including the DEA, United States
Department of Agriculture, the Environmental Protection Agency, the Occupational
Safety and Health Administration as well as by other federal, state and local
authorities.  In addition, international sales are regulated by numerous foreign
authorities.  The Company currently maintains both State and Federal Controlled
Substance Registration Certificates to conduct research, manufacture and export
scheduled drugs.

Product Liability and Product Liability Insurance

The testing, marketing and sale of Anesta's products involves significant risks.
The Company may be held liable for adverse reactions resulting from the use of
our products.  The Company's products involve a new method of delivery for
potent drugs that requires greater precautions to prevent unintended use. For
example, Anesta has worked with Abbott to develop a specific risk management
program for Actiq that is designed to prevent accidental ingestion by children,
improper patient selection, diversion and abuse.  The failure of these measures
could result in harmful side effects or death.  As a result, consumers,
regulatory agencies, pharmaceutical companies or others might make claims
against Anesta.  The Company currently has clinical trial and product liability
insurance coverage.  Anesta will seek to maintain and appropriately increase
such insurance coverage as development and commercialization of products
progresses. Insurance may not be available at a reasonable cost or in sufficient
amounts to protect the Company from liability claims.  The obligation to pay any
product liability claim in excess of Anesta's insurance coverage or the recall
of any of its products could adversely affect its financial condition.

Anesta has agreed to indemnify Abbott against certain liabilities arising from
Anesta's negligence or willful misconduct in its research and development
activities under the agreement, or its manufacture, use or 

                                       14
<PAGE>
 
handling of licensed products, or its breach of the agreement or errors or
inaccuracies in the technology Anesta licensed to Abbott, if such errors or
omissions resulted from Anesta's negligence or willful misconduct. Abbott has
agreed to indemnify Anesta against certain liabilities arising from Abbott's, or
its affiliate's or sublicensee's, negligence or willful misconduct in the
manufacture, use or distribution of licensed products or its breach of the
agreement, except to the extent such liabilities arise from errors or
inaccuracies in Anesta's technology resulting from Anesta's negligence or
willful misconduct.

Human Resources

As of December 31, 1998, Anesta employed 77 individuals, of whom approximately
36 hold Ph.D., M.D. or other advanced degrees.  Of its total workforce, 46
employees are engaged in research and development activities and 31 are devoted
to commercial, business development and administrative activities.  A
significant number of the Company's management and professional employees have
had prior experience with major international pharmaceutical, biotechnology or
medical products companies.  Anesta believes that it maintains good relations
with its employees.  The Company's success will depend in large part upon its
ability to attract and retain these and future employees.  The Company faces
competition in this regard from other companies, research and academic
institutions and government entities.

                                       15
<PAGE>
 
ITEM 2.  PROPERTIES
- -------            

On December 31, 1998, the Company's administrative offices, research
laboratories, and clinical manufacturing facilities comprised approximately
45,824 square feet, located in Salt Lake City, Utah.  The lease covering 51,104
square feet of facilities expires March 31, 2000, with two five-year renewal
options. The Company anticipates that its current facilities will meet the
Company's research and development needs through 1999 and has an option to
occupy an additional 5,280 square feet of space.

                                       16
<PAGE>
 
                                    PART II


ITEM 5.  MARKET FOR REGISTRANT'S COMMON EQUITY AND RELATED STOCKHOLDER
- -------  MATTERS

   The Common Stock (Nasdaq symbol NSTA) began trading publicly in the over-the-
counter market through the Nasdaq National Market on January 28, 1994.  Prior to
that date, there was no public market for the Common Stock.  The following table
presents quarterly information on the price range of the Common Stock.  This
information indicates the high and low sale prices reported by the Nasdaq
National Market System.  These prices do not include retail markups, markdowns
or commissions.
<TABLE>
<CAPTION>
 
                                        High           Low
                                       ------         ------
          <S>                          <C>            <C>
 
          Fiscal 1997:
          First Quarter                $23.00         $14.75
          Second Quarter                19.88          10.75
          Third Quarter                 29.00          15.13
          Fourth Quarter                27.75          12.50
 
          Fiscal 1998:
          First Quarter                $21.75         $15.63
          Second Quarter                20.38          13.75
          Third Quarter                 18.63          11.63
          Fourth Quarter                27.63          13.25
</TABLE>

          As of March 13, 1999 there were approximately 188 holders of record of
the Common Stock.

          The Company currently intends to retain any future earnings to finance
the growth and development of its business and therefore, does not anticipate
paying cash dividends in the foreseeable future.

                                       17
<PAGE>
ITEM 6. SELECTED FINANCIAL DATA
- -------
<TABLE> 
<CAPTION> 
(In thousands except per share data)                              1998        1997        1996       1995       1994
- --------------------------------------------------------------------------------------------------------------------- 
                <S>                                            <C>         <C>         <C>         <C>        <C> 
Statement of    Revenues:                                                                                     
Operations Data:  Product sales                                $    193    $    184    $     92    $    61    $    37
Years ended       Royalty revenue                                     6           5           3        102          1
December 31,      Contract research/license agreements              476                   1,503      1,514        812
                                                               --------    --------    --------    -------    ------- 
                    Total revenues                                  675         189       1,598      1,677        850
                                                                                                      
                Operating costs and expenses:                                                                 
                  Cost of goods sold                                 54          52          27         19         22
                  Royalties                                           3           3           3          3          2
                  Research and development                        8,627       7,889       8,304      5,228      3,210
                  Depreciation and amortization                     296         269         237        158        103
                  Marketing, general and administrative           8,586       6,368       3,537      2,219      1,328
                                                               --------    --------    --------    -------    ------- 
                                                                                                              
                Loss from operations                            (16,891)    (14,392)    (10,510)    (5,950)    (3,815)
                Non operating income, net                         1,190       1,845       1,820      1,250        866
                Provision for income taxes                          (16)         (2)                          
                                                               --------    --------    --------    -------    ------- 
                Loss before cumulative effect                                                             
                  of change in accounting                       (15,717)    (12,549)     (8,690)    (4,700)    (2,949)
                Cumulative effect of change                                                               
                  in accounting                                                                     (1,041)
                                                               --------    --------    --------    -------    ------- 
                Net loss                                       $(15,717)   $(12,549)   $ (8,690)   $(5,741)   $(2,949)
                                                               --------    --------    --------    -------    ------- 
                Basic and diluted loss per common share:                                                  
                  Loss before cumulative effect                                                           
                    of change in accounting                    $  (1.59)   $  (1.32)   $  (1.02)   $ (0.65)   $ (0.51)  
                  Cumulative effect of change                                                             
                    in accounting                                                                    (0.15)   
                                                               --------    --------    --------    -------    ------- 
                                                                                                              
                Net loss per common share*                     $  (1.59)   $  (1.32)   $  (1.02)   $ (0.80)   $ (0.51)  
                                                               --------    --------    --------    -------    ------- 
                                                                                                              
                Weighted average shares outstanding               9,898       9,500       8,499      7,177      6,721
                                                               --------    --------    --------    -------    ------- 

- --------------------------------------------------------------------------------------------------------------------- 

Balance Sheet   Cash, cash equivalents,
Data:             certificate of deposit and
At December 31,   marketable debt securities                   $ 82,335    $ 29,676    $ 41,359    $21,844    $26,392   

                Total assets                                     85,129      32,712      43,959     24,242     28,260
                Long-term obligations, including
                  current position                                1,750       2,000       1,350      1,516         52
                Deficit accumulated during            
                  development stage                             (48,679)    (32,962)    (20,413)   (11,719)    (5,981)
                Stockholders' equity                             80,019      29,198      41,115     21,677     27,052

</TABLE> 

                    The accompanying notes are an integral
                       part of the financial statements

                                      32

<PAGE>
 
ITEM 7.   MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
- -------   RESULTS OF OPERATION

Overview

Anesta has two products that have been approved by the FDA, Actiq and Fentanyl
Oralet, and a number of other product candidates in various stages of
preclinical and clinical development.  All of these products and product
candidates use Anesta's proprietary OTS for drug delivery.  Actiq is indicated
only for the management of breakthrough cancer pain in patients with
malignancies who are already receiving and who are tolerant to opioid therapy
for their underlying persistent cancer pain.  Actiq was approved by the FDA in
November 1998 and its commercial launch is expected in March 1999.  Anesta's
first product, Fentanyl Oralet, was developed for premedication before surgery
or painful procedures in monitored anesthesia settings and was approved by the
FDA in October 1993. Commercial sales of Fentanyl Oralet have not been and are
not expected to be significant.

Abbott is Anesta's exclusive partner for the commercialization of Actiq and
Fentanyl Oralet in the United States.  Abbott manufactures Actiq and Fentanyl
Oralet and sells these products to Anesta at a price that reflects Abbott's cost
of manufacturing.  Anesta in turn resells these products to Abbott at a price
related to Abbott's selling price to wholesalers and pharmacies.  Anesta's gross
margin therefore is directly affected by Abbott's manufacturing costs and
selling price.  Abbott also is obligated to pay Anesta a small royalty on its
sales of Actiq and Fentanyl Oralet, which essentially offsets Anesta's royalty
obligation to the UURF.  Anesta recognizes revenue when Abbott ships product
against a customer order.

In 1995, Anesta reacquired from Abbott commercial rights to all OT-fentanyl
products, including Actiq and Fentanyl Oralet, outside the United States.
Anesta intends to commercialize Actiq internationally through collaborations
with corporate partners.  Anesta has entered into collaborations with Grupo
Ferrer for distribution in Spain and Portugal, and with Lafon for distribution
in France.  Anesta intends to seek additional partners for other major
foreign markets.  Anesta is pursuing registration of Actiq in the United
Kingdom, the largest cancer pain market in Europe, and if that registration is
obtained, Anesta intends to seek approvals in other European Union countries
under the European Union's mutual recognition process.

Anesta has devoted most of its resources since its inception in 1985 to the
research and development of Fentanyl Oralet, Actiq and other product candidates,
as well as the commercialization of Fentanyl Oralet and preparations for the
commercialization of Actiq.  Anesta, a development stage company, had an
accumulated deficit as of December 31, 1998, of approximately $48.7 million.

Results of Operations

Years Ended December 31, 1998, 1997, and 1996

Revenues.  Total revenues increased by $485,800 or 257% during 1998 as compared
to 1997 and decreased by $1,408,900 or 88% during 1997 as compared to 1996.  The
increase in 1998 is primarily a result of a contract research payment made by
Abbott upon FDA approval of Actiq and upfront fees paid by Grupo Ferrer and
Lafon upon execution of their collaboration agreements.  The decrease in 1997 is
primarily a result of the completion of funding by Abbott in 1996 under a
collaborative funding agreement.

                                       19
<PAGE>
 
Operating Expenses.  Research and development expenses increased by $738,600 or
9% during 1998 as compared to 1997 and decreased by $414,700 or 5% during 1997
as compared to 1996.  The increase in 1998 is primarily due to expenditures
related to activities surrounding the approval of Actiq, filing two
Investigational New Drug applications, and manufacturing clinical trial
material.  The decrease in 1997 is due to higher expenditures in 1996 related to
clinical research programs and preparation for filing the Actiq NDA (See Note 10
to Financial Statements).  The Company expects that its research and development
expenses will increase in the future as a result of increased expenses related
to the hiring of additional personnel, preclinical studies, clinical trials,
product development, manufacturing process development activities and clinical
trial material manufacturing.

Depreciation expense increased by $26,600 or 10% during 1998 as compared to 1997
and by $32,000 or 13% during 1997 as compared to 1996.  The increase in 1998 and
1997 is due to the Company's remodeling of additional facilities.

Marketing, general and administrative expenses increased by $2,217,600 or 35%
during 1998 as compared to 1997 and by $2,831,200 or 80% during 1997 as compared
to 1996.  The increase in 1998 and 1997 is due primarily to higher expenditures
for personnel, corporate development activities, European operations, marketing
research, and Actiq pre-launch marketing activities.  The Company expects that
its marketing and general and administrative expenses will increase in the
future as a result of the increased support required for marketing research,
Actiq pre-launch market development and market launch activities, European
operations including international clinical research studies and corporate
development activities.

Non Operating Income (Expense).  Interest income decreased by $659,100 during
1998 as compared to 1997 and increased by $34,700 during 1997 as compared to
1996.  The decrease in 1998 is primarily due to a reduction in the amount of
invested funds.  The increase in 1997 is primarily due to income earned on the
invested net proceeds from the Company's secondary offering in June 1996.

Interest expense increased by $3,500 during 1998 as compared to 1997 and by
$27,900 during 1997 as compared to 1996.  The increase in both years is
primarily due to interest expense related to borrowings on the Company's
revolving/term loan.

Income Taxes.  The provision for income taxes for the years ended December 31,
1998, 1997 and 1996 relates solely to state income taxes.  The Company
recognized no tax benefit from its losses in those years.  The Company's ability
to realize the benefit of the deferred tax asset related to its net operating
loss and research and development tax credit carryforwards will depend on the
generation of future taxable income.  Because the Company's operations are not
currently generating taxable income, the Company believes a full valuation
allowance should be provided (See Note 8 to Financial Statements).

Net Loss.  As a result of the changes in total revenues, the changes in research
and development expenditures and the increase in marketing, general and
administrative activities and other factors discussed above, the net loss for
1998 was $15,719,900 or $1.59 per share as compared to $12,549,000 or $1.32 per
share for 1997 and $8,689,800 or $1.02 per share for 1996.

                                       20
<PAGE>
 
Liquidity and Capital Resources

As of December 31, 1998, the Company had cash and cash equivalents totaling
$55,889,200, $1,785,000 in a certificate of deposit used as collateral for a
revolving/term loan and $24,661,000 in marketable debt securities which are
available for sale.  Thus cash, cash equivalents, certificate of deposit and
marketable debt securities totaled $82,335,300 as of December 31, 1998.  In
December 1998, the Company closed a public offering of 3,250,000 shares of
common stock at an offering price of $21.25 per share resulting in net proceeds
to the Company of $64,478,400.  Cash in excess of immediate requirements is
invested according to the Company's investment policy, which provides guidelines
with regard to liquidity and return, and, wherever possible, seeks to minimize
the potential effects of concentration of credit risk.

The Company's use of cash in operating activities increased by $1,450,700 during
1998 as compared to 1997 and by $3,695,500 during 1997 as compared to 1996.  The
increase in cash used is a direct result of the changes in total revenues, the
increase in marketing, general and administrative activities and other factors
discussed above.

During 1998, the Company made capital expenditures of approximately $108,200 as
compared to $894,800 and $53,300 in 1997 and 1996 respectively.  The increase in
capital expenditures in 1997 was due to the Company's remodeling of facilities.
In order to finance the capital expenditures, the Company, in January 1995,
secured a revolving/term loan in the amount of $1,500,000.  This loan converted
to a 10 year term loan on May 15, 1995.  In March 1997, the Company borrowed an
additional $800,000 for a total term loan of $2,300,000.  During 1998, the
Company made principal payments of $250,000 and in 1997 and 1996, the Company
made principal payments of $150,000 each year.  The loan is collateralized by a
$1,785,000 certificate of deposit.

During 1998, the Company realized cash proceeds of $1,928,100 relating to the
exercise of stock options as compared to $615,900 and $404,800 in 1997 and 1996
respectively.  During 1996 the Company closed a secondary offering of 2,000,000
shares of common stock resulting in net proceeds to the Company of $27,858,200
and made principal payments on capital lease obligations of $16,400.

The Company's future capital requirements could be substantial and will depend
on, and could increase as a result of, many factors, including the commercial
success of Actiq; progress of the Company's research and development programs;
the results and costs of preclinical and clinical testing of the Company's
products, if developed; the time and costs involved in obtaining regulatory
approvals; the costs involved in filing patents; the time and costs involved in
developing and maintaining collaborative research relationships; the costs
associated with potential commercialization of its products; and administrative
and legal costs.  The Company believes that existing capital resources will be
sufficient to meet the Company's capital needs through at least the end of 2000.

The Company believes that it is prudent to monitor existing cash balances in
order to fund the activities which the Company believes are necessary to
continue its growth.  Therefore, the Company periodically evaluates market
conditions and various financing alternatives for obtaining funds to augment
existing cash balances.

Year 2000 Compliance

Many currently installed computer systems are unable to distinguish between the
year 1900 and the year 2000. This is commonly known as the Year 2000 (Y2K)
issue.  As a result, business entities are at risk for possible miscalculations
or systems failures causing disruptions in their business operations.

The Company utilizes management information systems and software technology that
may be affected by Y2K issues throughout its business.  The Company considers
its finance and accounting, clinical database, and laboratory data acquisition
and analysis software mission critical.  During fiscal 1998, the Company began
to implement plans to ensure those systems, along with additional internal and
external systems, continue to meet  requirements. The Company's information
systems group continues to review additional information technology systems and
non-information technology systems to determine the extent of any 

                                       21
<PAGE>
 
changes that may be necessary and believes that there will be minimal changes
needed for the Company's Y2K compliance by June 30, 1999.

The Company has contacted key suppliers and customers regarding their Y2K
compliance to determine any impact on operations.  In general, the suppliers and
customers have developed or are in the process of developing plans to address
Y2K issues.  The Company will continue to monitor and evaluate the progress of
its suppliers and customers on this critical matter.

Based on the progress the Company has made in addressing its Y2K issues and the
Company's plan and timeline to complete its compliance program, the Company does
not foresee significant risks associated with its Y2K compliance at this time.
However, the Company will continue to discuss Y2K compliance issues with its key
suppliers and customers in an effort to minimize any potential Y2K compliance
impact as it is not possible to guarantee their compliance.  As the Company's
plan is to address its significant Y2K issues prior to being affected by them,
it has not developed a comprehensive contingency plan.  However, if the Company
identifies significant risks related to its Y2K compliance or its progress
deviates from the anticipated timeline, the Company will develop contingency
plans as deemed necessary at that time.

New Accounting Pronouncements

The Company has reviewed all recently issued, but not yet adopted, accounting
standards in order to determine their effects, if any, on the results of
operations or financial position of the Company.  Based on that review, the
Company believes that none of these pronouncements will have a significant
effect on current or future earnings or operations.

                                       22
<PAGE>
 
                                  RISK FACTORS

                                        
Our Ability to Achieve Profitability Depends on the Successful Launch of Actiq

We must successfully launch Actiq together with our U.S. strategic partner
Abbott to achieve profitability. Although Actiq was approved by the FDA in
November 1998, the commercial success of the product will depend on many
factors, including:

 . Abbott's ability to recruit and train a sales force dedicated to Actiq;
 . Abbott's ability to manufacture sufficient quantities of Actiq while following
   strict regulatory requirements;
 . Abbott's ability to price Actiq at a level that leads to market acceptance;
 . Physicians' willingness to prescribe Actiq for breakthrough cancer pain; and
 . Use of Actiq by cancer patients who suffer from breakthrough cancer pain.

We do not control any of these factors and cannot assure investors that Actiq
will be successfully launched. We, along with Abbott, must make every effort
through a comprehensive risk management program to reduce the inappropriate use
of Actiq.  These and other factors that may prevent successful commercialization
of Actiq are discussed in greater detail in the risk factors that follow.  If
Actiq is not commercially successful, we will experience significant operating
losses and our viability will be dependent upon developing other commercial
products.

We Depend on Abbott to Commercialize Actiq

The success of Actiq in the United States depends on the efforts of Abbott.
Abbott is currently the only approved commercial manufacturer of Actiq and
Abbott has the exclusive right to sell and distribute Actiq in the United
States.

We do not control how Abbott performs its obligations under our collaboration
agreement.  Abbott may not be able to establish and maintain an effective sales
force for Actiq.  Abbott may terminate the dedicated Actiq sales force and sell
Actiq through its other sales organizations.  Some of Abbott's existing or
future products may compete with Actiq and Abbott may shift sales and marketing
resources to other products.  Abbott controls the pricing strategy for Actiq, as
well as the process of securing the approval of government healthcare
authorities, insurance companies and managed care organizations to pay or
reimburse for the use of Actiq.  Abbott has not yet determined the pricing of
Actiq, and we cannot assure you that Abbott will price Actiq in a manner that
leads to market acceptance.

The manufacturing process for Actiq is strictly regulated by the FDA and
involves certain supplies, such as child-resistant product packaging, that
involve long lead times.  Abbott may not be able to predict or respond to
product demand for Actiq in a timely manner.  Abbott has the right to terminate
our collaboration in certain circumstances.  We have limited rights to terminate
the Abbott alliance, so even if Abbott does not perform in a satisfactory
manner, we may not be able to seek another partner for Actiq in the United
States.  We do not currently have adequate resources to distribute or sell Actiq
on our own.  If Abbott does not satisfactorily perform under the collaboration
agreement, our financial condition will be materially and adversely affected.

Market Acceptance Of Actiq Is Uncertain

Actiq uses a new method of oral transmucosal drug delivery and we cannot assure
you that physicians or patients will adopt Actiq.  To date, a limited number of
clinical trial patients have used Actiq, and it is uncertain whether patients
will use Actiq to treat their breakthrough cancer pain.  Physicians will
prescribe Actiq only if they determine, based on experience, clinical data, and
other factors, that it is preferable to other products currently used for
breakthrough cancer pain.  Recommendations and endorsements by influential
physicians will be essential for market acceptance of Actiq, and we may not be
able to obtain these recommendations and endorsements.  In addition, many other
factors influence the adoption of new pharmaceuticals, including marketing and
distribution restrictions, adverse publicity, product pricing and 

                                       23
<PAGE>
 
reimbursement by third party payors. Third party payors may not agree to
reimburse patients for the cost of using Actiq. If Actiq does not achieve
adequate sales, our business and financial condition would be materially and
adversely affected.

We Are Subject To Extensive Government Regulation

The FDA must approve our new products before they can be marketed in the United
States.  Before we can file a New Drug Application (NDA) with the FDA, the
product candidate must undergo extensive clinical trials.  The regulatory
process is expensive and time consuming, and any NDA that we submit may not be
approved.  Our product candidates must also be approved by foreign governments
before the product can be sold in other countries as discussed under the heading
"International Commercialization of Actiq Faces Significant Obstacles" below.

Any regulatory approval of a product is limited to specific therapeutic uses for
which the product has demonstrated safety and efficacy in clinical testing.  In
addition, approval may be contingent on post-marketing studies.  A
pharmaceutical product remains subject to extensive regulation even after
approval.  The FDA and state regulatory authorities stringently apply and
enforce regulatory requirements for drug manufacturing and related activities.
The FDA or state regulatory authorities could restrict an approved product or
manufacturer, order withdrawal of a product or shut down a manufacturing
facility if they discover a significant problem or a violation of applicable
regulations.

The FDA can impose significant restrictions on the marketing and distribution of
approved products.  We have developed with Abbott, in consultation with the FDA,
a comprehensive risk management program for Actiq that includes significant
restrictions on the manner in which Actiq will be marketed and sold.  The
program was developed in response to the concerns expressed by the FDA in its
not-approvable letter in November 1997.  The program is designed to prevent
accidental ingestion by children, improper patient selection and diversion or
abuse of the product.  Developing this program was a time consuming process and
delayed the regulatory approval of Actiq for approximately one year.  Because
our future products may also involve the delivery of potent drugs, we may
experience similar delays.

Any products that we develop in the future will be subject to rigorous
regulatory review.  We may not be able to establish that any future products are
safe and effective or obtain FDA approval.  Regulatory concerns or changes could
delay or prevent approval of new products.  For example, the FDA imposed
significant restrictions on Abbott's sales and distribution of Fentanyl Oralet
in 1994 after it had approved the product. Although these restrictions were
relaxed in 1996, we believe those restrictions limited the market acceptance of
Fentanyl Oralet.  As a part of Actiq's comprehensive risk management plan, all
educational and promotional materials must be submitted to, and reviewed by, the
FDA.  Future restrictions on the marketing or sales of our products could limit
sales.  See "Business -- Government Regulation."

Our Products Contain Controlled Substances

The active ingredient in Actiq and Fentanyl Oralet is fentanyl citrate
(fentanyl), which is a controlled substance regulated by the DEA.  Fentanyl is
listed by the DEA as a Schedule II substance, which means that its manufacture,
shipment, sale and use is subject to the highest degree of regulation and
accountability.  The amount of fentanyl that Abbott can obtain is limited by the
DEA and Abbott's quota may not be sufficient to meet potential demand. Future
products may also contain substances regulated by the DEA.

Products containing controlled substances may generate public controversy.
Opponents of these products may seek restrictions on marketing and withdrawal of
regulatory approval. In addition, these opponents can generate negative
publicity in an effort to bring about rejection of a product by the medical
community.  For example, a public interest group attempted to block FDA approval
of Fentanyl Oralet.  Following FDA approval of Fentanyl Oralet in 1993, the
group unsuccessfully urged the FDA to withdraw its approval. Political pressures
and adverse publicity could lead to delays and increased expenses and limit or
restrict 

                                       24
<PAGE>
 
the introduction and marketing of our products. If the FDA withdrew the approval
of, or placed additional significant restrictions on, the marketing of Actiq,
our business could be materially and adversely affected.

We Face Product Liability Risks and May Not Be Able To Obtain Adequate Insurance

The testing, marketing and sale of our products involves significant risks.  We
may be held liable for adverse reactions resulting from the use of our products.
Our products involve a new method of delivery for potent drugs that requires
greater precautions to prevent unintended use.  For example, we have worked with
Abbott to develop a specific risk management program for Actiq that is designed
to prevent accidental ingestion by children, improper patient selection,
diversion and abuse.  The failure of these measures could result in harmful side
effects or death.  As a result, consumers, regulatory agencies, pharmaceutical
companies or others might make claims against us.  We currently have clinical
trial and product liability insurance with aggregate coverage of $5 million.  We
will seek to maintain and appropriately increase such insurance coverage as
development and commercialization of our products progresses.  Insurance may not
be available at a reasonable cost or in sufficient amounts to protect us from
liability claims.  The obligation to pay any product liability claim in excess
of our insurance coverage or the recall of any of our products could adversely
affect our financial condition.

We Face Intense Competition and Technological Change

We face intense competition and technological change.  Existing and future
products, therapies, technological approaches and delivery systems will compete
directly with our products.  Competing products may provide greater therapeutic
benefits for a specific indication, or may offer comparable performance at a
lower cost.  Actiq faces competition from inexpensive oral morphine tablets and
quick-acting intravenous opioid delivery systems.  Other technologies are being
developed for rapidly delivering opioids to treat breakthrough pain, at least
one of which is in clinical trials.

We compete with fully integrated pharmaceutical companies, smaller companies
that are collaborating with larger pharmaceutical companies, academic
institutions, government agencies and other public and private research
organizations.  Many of these competitors have drug delivery products already
approved or in development and operate large, well-funded research and
development programs in these fields.  Our competitors may develop safer or more
effective drugs and achieve faster or broader regulatory approval, wider
availability of supply, more effective marketing and sales or superior
proprietary positions.  Any products that we develop may become obsolete before
we recover any expenses incurred in connection with development of these
products.

International Commercialization of Actiq Faces Significant Obstacles

We plan to commercialize Actiq internationally through collaborative
relationships with foreign partners.  We have limited foreign regulatory,
clinical and commercial resources.  We have entered into relationships with
Grupo Ferrer for Spain and Portugal and with Lafon for France.  These and other
potential future partners are critical to our international success.  We may not
be able to enter into collaboration agreements with appropriate partners for
important foreign markets on acceptable terms, or at all.  Existing or future
collaborations with foreign partners may not be effective or profitable for us.

We will need to obtain approvals from the appropriate regulatory, pricing and
reimbursement authorities to market Actiq internationally.  We are conducting
clinical trials in the United Kingdom and will first seek approval for Actiq in
the United Kingdom and subsequently in other European Union countries.  We may
not obtain foreign regulatory approval for Actiq.  Pursuing foreign regulatory
approvals will be time-consuming and expensive.  The regulations can vary among
countries and foreign regulatory authorities may require different or additional
clinical trials than we conducted to obtain FDA approval for Actiq.  In
addition, adverse clinical trial results, such as death or injury due to side
effects, could jeopardize not only foreign regulatory approval, but may also
lead to marketing restrictions or product withdrawal in the United States.
Actiq may also face foreign regulatory requirements applicable to controlled
substances.

                                       25
<PAGE>
 
Foreign collaborative partners may not be effective in their efforts to sell
Actiq even if regulatory approvals are obtained.  The factors affecting product
pricing strategy and availability of reimbursement vary from country to country,
and we and our partners may not develop a viable strategy to address these
issues.  Prevailing practices regarding treatment of cancer pain also differ
from country to country, and factors unique to a particular market may prevent
or limit market acceptance of Actiq.  If we do not establish and maintain
effective relationships with foreign collaborative partners, and successfully
address the other challenges of foreign markets, our financial condition could
be adversely affected.  It may be difficult and expensive to terminate a
relationship with a foreign collaborative partner, even if termination is
permitted by the collaboration agreement.  Doing business abroad involves other
risks, including risk of losses or reduced market opportunities due to tariffs,
trade barriers, changes in currency exchange rates, export or import controls,
restrictions on convertibility of foreign currencies or transfer of funds, and
political and economic risks.  Furthermore, international intellectual property
rights may not be as comprehensive or provide the same level of protection as
the U.S. laws.

Our Ability to Develop Additional Products is Uncertain

Our future success depends, in part, on our ability to develop additional
commercial products.  While we have conducted clinical trials for OT-nicotine
and OT-etomidate, we have not yet determined that these or other product
candidates have medical benefits that justify the significant additional costs
that would be necessary to commercialize them.  Even if we determine that a
product candidate has medical benefits, the cost of commercializing that product
candidate may be too high to justify development.  If health insurance companies
and other third party payors decide not to reimburse patients for purchasing our
products, sales could be severely limited. In addition, competitors may develop
products that are more effective, cost less or are ready for commercial
introduction before our products.  If we are unable to develop additional,
commercially viable products, our future prospects will be limited.

Clinical Trials Are Expensive and Uncertain

Extensive and costly clinical trials must be conducted to demonstrate a
product's safety and efficacy before it can be approved by the FDA or other
regulatory authorities.  A product candidate that appears to be safe and
effective in early testing may not ultimately prove to be safe and effective
when tested in a larger number of patients.  We may also encounter problems in a
clinical trial that significantly delay or cause us to terminate the clinical
trial program.  Any adverse clinical event could cause delays or prevent us from
commercializing additional products.

Limited Manufacturing Experience

We have developed an alternative manufacturing method which we believe could
lower costs and increase applicability to a variety of compounds.  We have
manufactured OTS products for clinical trials using this method.  We intend to
apply this new manufacturing method to produce products for foreign markets.
However, we have never manufactured commercial quantities of our products using
this or any other method.  We have limited experience with regulatory approval
of manufacturing processes.  This new method may prove to be too expensive,
complex or unsuited for some applications and may not be approvable by the FDA
or other regulatory authorities.  We may not be able to develop a manufacturing
process that produces adequate amounts of our products at an acceptable cost.
The FDA and other regulatory authorities require that our products be
manufactured according to rigorous standards, which may significantly increase
our costs and may even prevent us from making our products in amounts sufficient
to meet market demand.  If we change our approved manufacturing process, the FDA
will require a new approval before the process could be used.  Failure to
develop our manufacturing capabilities may mean that even if we develop
promising new products, we may not be able to produce them profitably.

We Will Need To Find Corporate Partners For Our New Products

To commercialize any of our current product candidates, we will need to
establish relationships with corporate partners.  We do not have the sales,
marketing, manufacturing or distribution capabilities that would allow us to
sell our products alone.  As a result, we will need to develop relationships
with companies 

                                       26
<PAGE>
 
that have these capabilities to commercialize any new products. We may not be
able to find partners who will agree to sell and distribute our products on
favorable terms, or at all. Even if we form corporate partnerships, those
relationships may not be advantageous to us for a variety of reasons, including
inadequate attention or resource commitments by the partner, management
turnover, changing market conditions and competitive developments. If we are
unable to form successful corporate partnerships for a product, we may be unable
to commercialize that product profitably.

Our Success Depends On Protecting Our Intellectual Property

Our success will depend, in part, on our ability to obtain and protect patents,
maintain trade secrets and operate without infringing on the proprietary rights
of others in the United States and other countries.  Our products are based on
14 U.S. and 96 foreign patents for the OTS, which are held by the University of
Utah and its assignee, UURF.  We have exclusive, world-wide licenses to these
patents which cover the design and types of pharmaceutical compounds in our
products.  Our success depends on the continued validity of these patents.  If
either we or the UURF fail to file, prosecute or maintain any of the patents,
our business could be severely damaged.  We intend to file additional patent
applications relating to our technology, products and processes.  We will also
direct the UURF to file any additional patent applications relating to the
technology we have licensed.  However, any of these patents or patent
applications may be challenged, invalidated or circumvented by our competitors.
These patents may also fail to provide meaningful competitive advantages to us.
For example, another company may develop a way to deliver potent opioids in a
more cost-effective manner than our products without infringing on our patents.

Intellectual property rights are uncertain and involve complex legal and factual
questions.  We may be unknowingly infringing on the proprietary rights of others
and may be liable for that infringement, which could result in significant
liability for us.  For example, we are not aware of any third party intellectual
property rights which would prevent our use of our new manufacturing method,
although rights of this type may exist.  We could be forced to either seek a
license to intellectual property rights of others or alter our products or
processes so that they no longer infringe the proprietary rights of others.  A
license could be very expensive to obtain, or may not be available at all.
Similarly, changing our products or processes to avoid infringing the rights of
others may be costly or impractical.

We are responsible for any patent litigation costs.  If we were to become
involved in a dispute regarding intellectual property, whether ours or that of
another company, we may have to participate in interference proceedings declared
by the U.S. Patent and Trademark Office to determine who had the claimed rights
first.  We may also be forced to seek a judicial determination concerning the
rights in question.  These types of proceedings may be costly and time consuming
for us, even if we eventually prevail. If we do not prevail, we might be forced
to pay significant damages, obtain a license or stop making a certain product.

We also rely on trade secrets, proprietary know-how and confidentiality
provisions in agreements with collaborative partners, employees and consultants
to protect our intellectual property.  Other parties may not comply with the
terms of their agreements with us and we may not be able to adequately enforce
our rights against these people.

Uncertainty Of Pharmaceutical Pricing, Reimbursement And Healthcare Reform
Measures

The availability of reimbursement by governmental and other third party payors
affects the market for any pharmaceutical product.  These third party payors
continually attempt to contain or reduce the costs of healthcare.  Currently,
Actiq has not been approved for reimbursement by any third party payors.  In the
United States and in certain foreign jurisdictions there have been a number of
legislative and regulatory proposals to change the healthcare system, and
further proposals are likely.  The potential for adoption of these proposals
affects our ability to raise capital, obtain additional collaborative partners
and market our products.  We could experience pricing pressure on our current
and future products due to the trend toward managed health care, the increasing
influence of health maintenance organizations, and additional legislative
proposals.  We may not be able to sell our products profitably if reimbursement
is unavailable or limited in scope.

                                       27
<PAGE>
 
We Have Not Been Profitable and May Require Additional Financing

We have not been profitable since our inception in August 1985.  As of December
31, 1998 we had an accumulated deficit of approximately $48.7 million.  We
expect to continue to incur losses through at least 1999.  We may never realize
significant revenues or be profitable.  Factors that will influence our
profitability include the success of Actiq, the development and
commercialization of additional products, timing and difficulty of obtaining
regulatory approvals and competition.

Most of our funding has come from research and development fees and the sale of
stock.  We may have to raise additional funds through collaborative
relationships or public and private financings.  Additional financing may not be
available on favorable terms, or at all.  If we raise additional funds by
selling equity securities, the share ownership of our existing investors could
be diluted or the new equity purchasers may obtain terms that are better than
those of our existing investors.  Lack of financing may delay, reduce or
eliminate some of our programs or force us to relinquish rights to technology,
product candidates or products.

We Need to Attract and Retain Key Employees and Consultants and Manage Growth

Attracting and retaining qualified employees, consultants and advisors is
critical to our success.  We will need to hire additional qualified personnel
with expertise in research and development, clinical testing, government
regulation, manufacturing and marketing.  We compete for qualified individuals
with numerous pharmaceutical, health products and biotechnology companies,
universities and other research institutions.  We may not be able to attract and
retain these types of individuals.

With the approval of Actiq and continued development of product candidates, our
operations may expand in the future.  Any significant growth will place demands
on our management and operational resources.  These demands may include hiring
additional people, capital improvements and changing relationships with
corporate partners.  In order to manage growth effectively, we must implement
and improve our operational systems, procedures and controls.  Failure to
properly manage our growth could result in loss of market opportunities and
materially damage our financial condition.

Universities and medical institutions conduct clinical development under
agreements with us.  We depend on principal investigators to conduct our
clinical development activities.  These collaborators are not our employees and
we do not control their activities.  Our collaborators may also have
relationships with other commercial entities, some of whom may compete with us.

We Are Subject To Anti-Takeover Provisions

Our Certificate of Incorporation and Bylaws contain provisions which may
discourage takeover attempts, including transactions in which stockholders might
receive a premium for their shares.  This may limit stockholders' ability to
approve a transaction that stockholders may think is in their best interest.
Our Certificate of Incorporation and Bylaws require that any action required or
permitted to be taken by our stockholders must be taken at a properly called
meeting of stockholders.  Special stockholder meetings may be called only by the
Board of Directors, the Chairman of the Board or the President.  In addition,
the Board of Directors has the authority, without stockholder action, to fix the
rights and preferences of and issue shares of Preferred Stock, which may have
the effect of delaying or preventing a change in control.

                                       28
<PAGE>
 
Highly Volatile Stock Price

The market price of our Common Stock has been highly volatile and is likely to
continue to be volatile.  Factors affecting our stock price include:
fluctuations in our operating results, announcements of technological
innovations or new commercial therapeutic products by us or our competitors,
published reports by securities analysts, progress with clinical trials,
governmental regulation, changes in reimbursement policies, developments in
patent or other proprietary rights, developments in our relationship with
collaborative partners, public concern as to the safety and efficacy of our
products and general market conditions.

Our Operations Involve Hazardous Materials

Our research and manufacturing activities involve the controlled use of
hazardous materials.  Although we believe that our safety procedures for these
materials comply with governmental standards, we cannot eliminate the risk of
accidental contamination or injury from these materials.  In the event of an
accident or environmental discharge, we could be held liable for any resulting
damages, which could exceed our financial resources.

Absence Of Dividends

We intend to retain any future earnings to finance the growth and development of
our business and we do not plan to pay cash dividends in the foreseeable future.

                                       29
<PAGE>
 
ITEM 8.   FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA
- -------                                              




                       Report of Independent Accountants
                       ---------------------------------



To the Shareholders of Anesta Corp.:

In our opinion, the accompanying balance sheets and the related statements of
operations and comprehensive loss, stockholders' equity and cash flows present
fairly, in all material respects, the financial position of Anesta Corp. (the
"Company") (a development stage company) at December 31, 1998 and 1997, and the
results of its operations and its cash flows for each of the three years in the
period ended December 31, 1998 and for the period from inception (August 1,
1985) to December 31, 1998, in conformity with generally accepted accounting
principles.  These financial statements are the responsibility of the Company's
management; our responsibility is to express an opinion on these financial
statements based on our audits.  We conducted our audits of these statements in
accordance with generally accepted auditing standards which require that we plan
and perform the audit to obtain reasonable assurance about whether the financial
statements are free of material misstatement.  An audit includes examining, on a
test basis, evidence supporting the amounts and disclosures in the financial
statements, assessing the accounting principles used and significant estimates
made by management, and evaluating the overall financial statement presentation.
We believe that our audits provide a reasonable basis for the opinion expressed
above.


/s/ PricewaterhouseCoopers LLP


Salt Lake City, Utah
February 23, 1999

                                       30
<PAGE>
                                  ANESTA CORP.
                          (A Development Stage Company)

                                 BALANCE SHEETS
                        as of December 31, 1998 and 1997
                                   ___________
<TABLE> 
<CAPTION> 

   ASSETS                                 1998             1997        LIABILITIES AND                    1998             1997
                                       ------------    -------------   STOCKHOLDERS' EQUITY           ------------     ------------
<S>                                    <C>             <C>           <C>                               <C>              <C> 
Current assets:                                                      Current liabilities:
   Cash and cash equivalents           $55,889,226     $  9,760,765   Accounts payable                 $ 1,478,521       $ 433,666
   Current portion of certificate of 
     deposit                               255,000          255,000   Accrued liabilities:
   Marketable debt securities,                                           Accrued compensation             1,117,909         477,231
     available-for-sale                 24,661,040       17,875,711      Accrued research and 
                                                                          development costs                                 200,000 
   Accounts receivable                     276,476           82,863      Other                              236,783          52,746
   Prepaid expenses and other current 
     assets                                194,802          428,490   Current portion of note payable       250,000         250,000
                                       ------------    -------------                                   ------------    ------------
       Total current assets             81,276,544       28,402,829  Unearned revenues                      526,796         350,000
       Total current liabilities         3,083,213        1,413,643  Note payable                         1,500,000       1,750,000
                                       ------------    -------------                                   ------------    ------------ 
                                                                           Total liabilities              5,110,009       3,513,643 
                                                                                                       ------------    ------------ 
Property and equipment, at cost:                                     Commitments (Note 11)                                          
                                                                                                                                    
   Furniture and equipment                 947,598          910,443  Stockholders' equity:                                          
   Leasehold improvements                2,330,136        2,278,941   Common stock, par value, $.001                                
   Accumulated depreciation             (1,151,126)        (870,848)   per share; Authorized:                        
                                       ------------    -------------   15,000,000 shares; Issued:                    
                                         2,126,608        2,318,536    13,054,934 in 1998 and 9,551,465              
                                       ------------    -------------   in 1997                               13,055           9,551 
Other assets:                                                         Additional paid-in capital        128,634,691      62,142,239 
   Certificate of deposit                1,530,000        1,785,000   Deficit accumulated during the                                
   Other assets                            196,202          205,269      development stage              (48,679,075)    (32,962,206)
                                       ------------    -------------  Accumulated other comprehensive                               
                                         1,726,202        1,990,269    income                                50,674           8,407 
                                       ------------    -------------                                   ------------     ------------
       Total assets                    $ 85,129,354    $ 32,711,634        Total stockholders' equity    80,019,345      29,197,991 
                                       ------------    -------------                                   ------------     ----------- 
                                                                           Total liabilities and                                    
                                                                            stockholders' equity        $85,129,354    $ 32,711,634 
                                                                                                       ------------    ------------ 
</TABLE> 


                    The accompanying notes are an integral 
                       part of the financial statements

                                      31

                                                                      

<PAGE>
                                 ANESTA CORP.
                         (A Development Stage Company)

                           STATEMENTS OF OPERATIONS
                            AND COMPREHENSIVE LOSS
         for the years ended December 31, 1998, 1997 and 1996 and for
        the period from inception (August 1, 1985) to December 31, 1998
                                   ________
<TABLE> 
<CAPTION> 
                                                                                                         Period from inception
                                                                                                          (August 1, 1985) to
                                                            1998              1997            1996         December 31, 1998    
                                                        -------------     -------------    ------------  ---------------------  
<S>                                                     <C>               <C>              <C>           <C> 
Revenues:                                                                                                          
  Product sales                                         $     193,531     $     183,752    $     92,430       $    567,714
  Royalty revenue                                               5,744             5,449           2,700            116,784         
  Revenues from contract research/license agreements          475,704                         1,503,000         10,454,635         
                                                        -------------     -------------    ------------       ------------ 
                                                                                                                          
    Total revenues                                            674,979           189,201       1,598,130         11,139,133         
                                                        -------------     -------------    ------------       ------------ 
                                                                                                                          
Operating costs and expenses:                                                                                             
  Cost of goods sold                                           53,804            52,082          27,290            173,575         
  Royalties                                                     2,989             2,838           2,500             13,327 
  Research and development                                  8,627,606         7,889,021       8,303,756         39,362,389 
  Depreciation and amortization                               296,241           269,595         237,622          1,393,392 
  Marketing, general and administrative                     8,585,679         6,368,094       3,536,852         24,311,344 
                                                        -------------     -------------    ------------       ------------       
                                                                                                                          
    Total costs and expenses                               17,566,319        14,581,630      12,108,020         65,254,027         
                                                        -------------     -------------    ------------       ------------       
                                                                                                                          
    Loss from operations                                  (16,891,340)      (14,392,429)    (10,509,890)       (54,114,894)        
                                                                                                                          
Non operating income (expense):                                                                                           
  Interest income                                           1,333,597         1,992,739       1,958,073          7,670,693 
  Interest expense                                           (142,916)         (139,407)       (111,514)          (635,307)
  Other                                                           201            (8,215)        (26,408)           (47,375)
                                                        -------------     -------------    ------------       ------------       
                                                                                                                          
    Loss before provision for income                                                                                      
     taxes, extraordinary item and cumulative                                                                             
     effect of change in accounting                       (15,700,458)      (12,547,312)     (8,689,739)       (47,126,883)
                                                                                                                           
Provision for income taxes                                    (16,411)           (1,741)           (100)           (41,557)
                                                        -------------     -------------    ------------       ------------ 
                                                                                                                          
    Loss before extraordinary item and                                                                                    
     cumulative effect of change in accounting            (15,716,869)      (12,549,053)     (8,689,839)       (47,168,440)
                                                                                                                           
Extraordinary item - reduction of income                                                                                   
  taxes arising from carryforward of prior                                                                                 
  years' operating losses                                                                                           22,296 
                                                                                                                           
Cumulative effect of change in accounting                                                                       (1,041,047)
                                                        -------------     -------------    ------------       ------------ 
                                                                                                                           
    Net loss                                              (15,716,869)      (12,549,053)     (8,689,839)       (48,187,191)
                                                        -------------     -------------    ------------       ------------ 
                                                                                                                          
Other comprehensive income:                                                                                               
    Foreign currency translation adjustment                    15,604                                               15,604         
    Unrealized gain (loss) on marketable debt                                                                             
     securities, available for sale                            26,663             9,710        (135,192)            35,070         
                                                        -------------     -------------    ------------       ------------ 
                                                                                                                          
       Total other comprehensive income (loss)                 42,267             9,710        (135,192)            50,674         
                                                        -------------     -------------    ------------       ------------ 
                                                                                                                          
       Comprehensive loss                               $ (15,674,602)    $ (12,539,343)   $ (8,825,031)      $(48,136,517)      
                                                        -------------     -------------    ------------       ------------ 

Basic and diluted loss per common share (Note 13)--

  Net loss per common share                             $       (1.59)    $       (1.32)   $      (1.02)
                                                        -------------     -------------    ------------
                                                                                                       
                                                                                                       
Weighted average shares outstanding                         9,897,978         9,500,055       8,499,124
                                                        -------------     -------------    ------------ 
</TABLE> 

                    The accompanying notes are an integral
                       part of the financial statements

                                      32
<PAGE>
                                  ANESTA CORP.
                          (A Development Stage Company)

                  STATEMENT OF CHANGES IN STOCKHOLDERS' EQUITY
       for the period from inception (August 1, 1985) to December 31, 1998
                                    _________
<TABLE> 
<CAPTION> 
                                                     Preferred Stock - Voting                        Common Stock
                                                 ---------------------------------      ---------------------------------------    
                                                                          Paid-in                                       Paid-in
                                                 Shares       Amount      Capital       Shares          Amount          Capital
                                                 -------      ------      -------       ------          ------          -------   
<S>                                              <C>          <C>         <C>          <C>              <C>            <C> 
Initial offering of common stock
             for cash on August 1, 1985
             (at $.02 per share)                                                        53,600           $ 535           $ 537
Issuance of common stock for cash
             on September 16, 1985
             (at $.20 per share)                                                       290,500           2,906          55,194
Issuance of common stock for cash
             on November 12, 1985
             (at $.70 per share)                                                       149,000           1,490         102,810
Issuance of common stock for a License
             Agreement with the University of
             Utah on January 31, 1986
             (at $.70 per share)                                                         6,000              60           4,140
Issuance of common stock for cash
             on January 31, 1986
             (at $.70 per share)                                                        37,500             376          25,874
Compensation recognized for
             compensatory stock options                                                                                    930
Loss from inception to
             December 31, 1986
                                                                                       -------         -------         -------
Balance at December 31, 1986                                                           536,600           5,367         189,485

Issuance of common stock for cash on
             March 30, 1987, April 14, 1987 and
             May 30, 1987 (at $1.40 per share)                                         357,135           3,570         473,420
Compensation recognized for
             compensatory stock options                                                                                  1,812
1987 net loss
                                                                                       -------         -------         -------

Balance at December 31, 1987                                                           893,735           8,937         664,717

<CAPTION> 
                                               Deficit                                  Notes
                                             Accumulated                              Receivable        Accumulated
                                              During the                            from Issuance         Other
                                             Development      Treasury Stock          of Common        Comprehensive
                                                Stage       Shares        Amount        Stock          Income (Loss)     Total
                                             -----------    ------        ------    -------------      -------------   --------
<S>                                          <C>           <C>           <C>        <C>               <C>             <C> 
Initial offering of common stock
             for cash on August 1, 1985
             (at $.02 per share)                                                                                        $ 1,072 
Issuance of common stock for cash                                                                                               
             on September 16, 1985                                                                                              
             (at $.20 per share)                                                                                         58,100 
Issuance of common stock for cash                                                                                               
             on November 12, 1985                                                                                               
             (at $.70 per share)                                                                                        104,300 
Issuance of common stock for a License                                                                                          
             Agreement with the University of                                                                                   
             Utah on January 31, 1986                                                                                           
             (at $.70 per share)                                                                                          4,200 
Issuance of common stock for cash                                                                                               
             on January 31, 1986                                                                                                
             (at $.70 per share)                                                                                         26,250 
Compensation recognized for                                                                                                     
             compensatory stock options                                                                                     930  
Loss from inception to
             December 31, 1986               $ (121,780)                                                               (121,780)
                                             -------------                                                       --------------
Balance at December 31, 1986                   (121,780)                                                                 73,072

Issuance of common stock for cash on
             March 30, 1987, April 14, 1987 
             and May 30, 1987 (at $1.40 
             per share)                                                                                                 476,990
Compensation recognized for
             compensatory stock options                                                                                   1,812
1987 net loss                                  (302,842)                                                               (302,842)
                                             -------------                                                       --------------
Balance at December 31, 1987                   (424,622)                                                                249,032

</TABLE> 
                                 - Continued -

                    The accompanying notes are an integral
                       part of the financial statements

                                      33

<PAGE>
                                 ANESTA CORP.
                         (A Development Stage Company)

                 STATEMENT OF CHANGES IN STOCKHOLDERS' EQUITY
      for the period from inception (August 1, 1985) to December 31, 1998
                                   _________
<TABLE> 
<CAPTION> 
                                                       Preferred Stock - Voting                          Common Stock
                                                ---------------------------------------        ----------------------------------
                                                                               Paid-in                                   Paid-in
                                                  Shares         Amount        Capital          Shares      Amount       Capital
                                                ---------       ---------     ---------        --------     -------      --------
<S>                                            <C>            <C>           <C>               <C>          <C>         <C> 
Exercise of stock options for cash                                                                500          $ 5         $ 345
Issuance of common stock for consulting
             services on December 20, 1988
             (at $.20 per share)                                                                3,985           40           757
1988 net loss
                                                                                             --------      -------      --------
Balance at December 31, 1988                                                                  898,220        8,982       665,819

Conversion of senior promissory and
             demand notes and interest to voting
             preferred stock                      298,908       $29,891        $ 1,165,777
Issuance of voting preferred stock
             for cash on September 25, 1989
             (at $4.00 per share)                  26,545         2,654            103,525
1989 net loss
                                                ---------     ---------          ---------   --------      -------      --------
Balance at December 31, 1989                      325,453        32,545          1,269,302    898,220        8,982       665,819  

Issuance of voting preferred stock
             for technology on October 1, 1990
             (at $.10 per share)                   12,000         1,200
Exercise of stock options for cash                                                              4,594           46         3,280
1990 net income                                                                                 
                                                ---------     ---------          ---------   --------      -------      --------
Balance at December 31, 1990                      337,453        33,745          1,269,302    902,814        9,028       669,059

Issuance of voting preferred stock for
             cash on January 11, 1991
             (at $12.00 per share)                 20,834         2,084            247,924
Exercise of stock options for cash                                                             27,500          275        20,475
1991 net loss
                                                ---------     ---------          ---------   --------      -------      --------
Balance at December 31, 1991                      358,287        35,829          1,517,226    930,314        9,303       689,574


<CAPTION> 

                                                  Deficit                                  Notes
                                                Accumulated                              Receivable   Accumulated
                                                During the                             from Issuance     Other
                                                Development       Treasury Stock         of Common    Comprehensive
                                                  Stage        Shares        Amount        Stock      Income (Loss)        Total
                                               ------------   --------      --------   ------------- --------------    ------------
<S>                                           <C>             <C>           <C>        <C>           <C>              <C> 
Exercise of stock options for cash                                                                                            $ 350
Issuance of common stock for consulting
             services on December 20, 1988
             (at $.20 per share)                                                                                                797
1988 net loss                                  $ (666,450)                                                                 (666,450)
                                              -----------                                                               -----------
Balance at December 31, 1988                   (1,091,072)                                                                 (416,271)

Conversion of senior promissory and
             demand notes and interest to voting
             preferred stock                                                                                              1,195,668
Issuance of voting preferred stock
             for cash on September 25, 1989
             (at $4.00 per share)                                                                                           106,179
1989 net loss                                    (550,811)                                                                 (550,811)
                                              -----------                                                               -----------
Balance at December 31, 1989                   (1,641,883)                                                                  334,765

Issuance of voting preferred stock
             for technology on October 1, 1990
             (at $.10 per share)                                                                                              1,200
Exercise of stock options for cash                                                                                            3,326
1990 net income                                    91,445                                                                    91,445
                                              -----------                                                               -----------

Balance at December 31, 1990                   (1,590,418)                                                                  430,736

Issuance of voting preferred stock for
             cash on January 11, 1991
             (at $12.00 per share)                                                                                          250,008
Exercise of stock options for cash                                                                                           20,750
1991 net loss                                     (68,535)                                                                  (68,535)
                                              -----------                                                               -----------

Balance at December 31, 1991                   (1,618,993)                                                                  632,959



</TABLE> 
                                 - Continued -

                    The accompanying notes are an integral
                       part of the financial statements

                                      34
<PAGE>
                                 ANESTA CORP.
                         (A Development Stage Company)

                 STATEMENT OF CHANGES IN STOCKHOLDERS' EQUITY
      for the period from inception (August 1, 1985) to December 31, 1998
                                   _________

<TABLE> 
<CAPTION> 
                                                             Preferred Stock - Voting                      Common Stock
                                                   --------------------------------------------    -------------------------------
                                                                                      Paid-in                               Paid-in
                                                        Shares           Amount       Capital        Shares      Amount     Capital
                                                   ---------------   -------------  -----------      -------     ------     -------
<S>                                                <C>               <C>            <C>              <C>        <C>        <C> 
Exercise of stock options for cash                                                                             
  and notes                                                                                           24,041     $  241     $18,992
Issuance of voting preferred stock                                                                             
  for cash on December 21, 1992                                                                                
  (at $25.00 per share)                                     16,000   $       1,600  $   398,400                
1992 net loss                                                                                                  
                                                   ---------------   -------------  -----------      -------     ------     -------
                                                                                                               
Balance at December 31, 1992                               374,267          37,429    1,915,626      934,355      9,544     708,566 
                                                                                                               
Change in par value upon reincorporation                                   (37,055)      37,055                 (13,561)     13,561
Exercise of stock options for cash                                                                             
  and notes                                                                                          552,362      5,524     436,866
1993 net loss                                                                                                  
                                                   ---------------   -------------  -----------    ---------     ------  ----------
                                                                                                               
Balance at December 31, 1993                               374,287             374    1,952,681    1,586,717      1,507   1,158,993 
                                                                                                               
Issuance of common stock for                                                                                   
  cash on January 25, 1994                                                                                     
  (at $12.50 per share), net of                                                                                
  offering costs of $2,711,650                                                                     2,500,000      2,500  28,535,850
Exercise of warrants for                                                                                       
  cash on January 25, 1994 (at an average                                                                      
  of $1.19 per share)                                                                              1,202,840      1,203   1,424,797
Exercise of stock options for cash                                                                    16,499         16      13,095
Issuance of stock under stock                                                                                  
  purchase plan                                                                                        4,532          5      20,701
Payment of dividends on preferred                                                                              
  stock ($1.31 per share)                                                                                      
Conversion of preferred stock to                                                                               
  common stock                                            (374,287)           (374)  (1,952,681)   1,871,435      1,871   1,951,184
Purchase of treasury stock (at $12.25                                                                          
  per share)                                                                                                   
Other comprehensive loss -- unrealized                                                                         
  loss on marketable debt securities,                                                                          
  available-for-sale                                                                                           
1994 net loss                                                                                                  
                                                   ---------------   -------------  -----------    ---------     ------  ----------
Balance at December 31, 1994                                                                       7,102,023      7,102  33,104,620
</TABLE> 

<TABLE> 
<CAPTION>                                                                                                                
                                                       Deficit                                  Notes          
                                                     Accumulated                             Receivable     Accumulated    
                                                      During the       Treasury Stock       from Issuance      Other     
                                                     Development     ------------------      of Common     Comprehensive  
                                                        Stage        Shares      Amount         Stock      Income (Loss)    Total
                                                   ---------------   ------      ------     -------------  -------------  ---------
<S>                                                <C>               <C>        <C>         <C>            <C>            <C> 
Exercise of stock options for cash      
  and notes                                                                                      $ (7,000)                 $ 12,233
Issuance of voting preferred stock      
  for cash on December 21, 1992             
  (at $25.00 per share)                                                                                                     400,000
1992 net loss                                      $       (82,813)                                                         (82,813)
                                                   ---------------                          -------------                  --------
                                            
Balance at December 31, 1992                            (1,701,786)                                 7,000                   982,379
                                            
Change in par value upon reincorporation    
Exercise of stock options for cash          
  and notes                                                                                       (58,000)                  384,390
1993 net loss                                             (838,580)                                                        (838,580)
                                                   ---------------                          -------------                  --------
                                            
Balance at December 31, 1993                            (2,540,366)                               (65,000)                  508,189
                                            
Issuance of common stock for                
  cash on January 25, 1994                  
  (at $12.50 per share), net of             
  offering costs of $2,711,650                                                                                           28,538,350
Exercise of warrants for                    
  cash on January 25, 1994 (at an average    
  of $1.19 per share)                                                                                                     1,426,000
Exercise of stock options for cash                                                                                           13,111
Issuance of stock under stock               
  purchase plan                                                                                                                   -
Payment of dividends on preferred           
  stock ($1.31 per share)                                 (491,884)                                                        (491,884)
Conversion of preferred stock to            
  common stock                              
Purchase of treasury stock (at $12.25       
  per share)                                                            345     $(4,226)                                     (4,226)
Other comprehensive loss -- unrealized      
  loss on marketable debt securities,            
  available-for-sale                                                                                        $    (9,228)     (9,228)
1994 net loss                                           (2,949,225)                                                      (2,949,225)
                                                   ---------------   ------      ------     -------------   ------------ ----------
Balance at December 31, 1994                            (5,981,475)     345      (4,226)          (65,000)       (9,228) 27,051,793
    
</TABLE> 
                                 - Continued -

                    The accompanying notes are an integral 
                       part of the financial statements

<PAGE>
 
                                 ANESTA CORP.
                         (A Development Stage Company)
                 STATEMENT OF CHANGES IN STOCKHOLDERS' EQUITY
      for the period from inception (August 1, 1985) to December 31, 1998

<TABLE> 
<CAPTION> 

                                                                                               

                                                        Preferred Stock - Voting                   Common Stock
                                                   ---------------------------------      -------------------------------
                                                                          Paid-in                               Paid-in
                                                    Shares    Amount      Capital          Shares    Amount     Capital
                                                   -------- ---------- -------------      -------- ---------- ----------- 
<S>                                                <C>      <C>        <C>                <C>      <C>        <C>  
Exercise of stock options for cash                                                          96,328 $       97 $    115,695
Issuance of stock under stock
              purchase plan                                                                  9,365          9       50,533
Collection on notes receivable from
              issuance of common stock
Other comprehensive income -- unrealized
              gain on marketable debt securities,
              available-for-sale
1995 net loss
                                                   -------- ---------- -------------    ---------- ---------- ------------  

Balance at December 31, 1995                                                             7,207,716      7,208   33,270,848  

Exercise of stock options for cash                                                         223,088        223      329,228
Issuance of stock under stock
              purchase plan                                                                  9,325          9       75,322
Issuance of common stock for
              cash on June 6, 1996
              (at $15.00 per share), net of
              offering costs of $2,141,775                                               2,000,000      2,000   27,856,225
Other comprehensive loss
1996 net loss
                                                   -------- ---------- -------------    ---------- ---------- ------------  

Balance at December 31, 1996                                                             9,440,129      9,440   61,531,623

Exercise of stock options for cash and stock                                               105,716        105      530,788
Issuance of stock under stock
              purchase plan                                                                  5,965          6       84,054
Retirement of treasury stock in July 1997                                                     (345)                 (4,226)
Collection on notes receivable from
              issuance of common stock
Other comprehensive income
1997 net loss
                                                   -------- ---------- -------------    ---------- ---------- ------------  
Balance at December 31, 1997                                                             9,551,465      9,551   62,142,239

Exercise of stock options for cash and stock                                               244,300        245    1,889,684
Issuance of common stock for
              cash on December 17, 1998
              (at $21.25 per share), net of
              offering costs of $4,584,067                                               3,250,000      3,250   64,475,183
Issuance of stock under stock
              purchase plan                                                                  9,169          9      127,585
Other comprehensive income
1998 net loss
                                                   -------- ---------- -------------    ---------- ---------- ------------   
Balance at December 31, 1998                                                            13,054,934 $   13,055 $128,634,691
                                                   -------- ---------- -------------    ---------- ---------- ------------   

<CAPTION> 

                                                     Deficit                                           Notes
                                                   Accumulated                                      Receivable 
                                                   During the                                          From
                                                   Development              Treasury Stock           Issuance   
                                                                       --------------------------   of Common   
                                                      Stage              Shares        Amount         Stock     
                                                   ----------------    ------------   -----------  ------------  
<S>                                                <C>                 <C>            <C>          <C>          
Exercise of stock options for cash                                                                              
Issuance of stock under stock                                                                                   
              purchase plan                                                                                     
Collection on notes receivable from                                                                             
              issuance of common stock                                                             $     58,000
Other comprehensive income -- unrealized                                                                        
              gain on marketable debt securities,                                                               
              available-for-sale                                   
1995 net loss                                      $     (5,741,839)                                     
                                                   ----------------    ------------   -----------  ------------  
                                                                                                                
Balance at December 31, 1995                            (11,741,839)            345   $    (4,226)       (7,000)
                                                                                                                
Exercise of stock options for cash                                                                              
Issuance of stock under stock                                                                                   
              purchase plan                                                                                     
Issuance of common stock for                                                                                    
              cash on June 6, 1996                                                                              
              (at $15.00 per share), net of                                                                     
              offering costs of $2,141,775                                                                      
Other comprehensive loss                                        
1996 net loss                                            (8,689,839)                                                
                                                   ----------------    ------------   -----------  ------------  
                                                                                                                
Balance at December 31, 1996                            (20,413,153)            345        (4,226)       (7,000)
                                                                                                                
Exercise of stock options for cash and stock                                                                    
Issuance of stock under stock                                                                                   
              purchase plan                                                                                     
Retirement of treasury stock in July 1997                                      (345)        4,226
Collection on notes receivable from                                                                             
              issuance of common stock                                                                    7,000      
Other comprehensive income                                                                                      
1997 net loss                                           (12,549,053)                                               
                                                   ----------------    ------------   -----------  ------------  
                                                                                                                
Balance at December 31, 1997                            (32,962,206)              -             -             -
                                                                                                                
Exercise of stock options for cash and stock                                                                    
Issuance of common stock for                                                                                    
              cash on December 17, 1998                                                                         
              (at $21.25 per share), net of                                                                     
              offering costs of $4,584,067                                                                      
Issuance of stock under stock                                                                                   
              purchase plan                                                                                     
Other comprehensive income                                                                                      
1998 net loss                                           (15,716,869)                                               
                                                   ----------------    ------------   -----------  ------------       

Balance at December 31, 1998                       $    (48,679,075)              -   $         -  $          -
                                                   ----------------    ------------   -----------  ------------  

<CAPTION> 
                                                                         Accumulated Other
                                                                           Comprehensive       
                                                                           Income (Loss)               Total 
                                                                         ------------------        --------------- 
<S>                                                                      <C>                       <C>   
Exercise of stock options for cash                                                                 $       115,792 
Issuance of stock under stock                                                           
              purchase plan                                                                                 50,542 
Collection on notes receivable from                                                           
              issuance of common stock                                                                      58,000
Other comprehensive income -- unrealized                                                      
              gain on marketable debt securities,                                                           
              available-for-sale                                                    143,117                143,117
1995 net loss                                                                                           (5,741,839) 
                                                                         ------------------        --------------- 
Balance at December 31, 1995                                                        133,889             21,677,405
Exercise of stock options for cash                                                                         329,451
Issuance of stock under stock                                                                       
              purchase plan                                                                                 75,331
Issuance of common stock for                    
              cash on June 6, 1996                                
              (at $15.00 per share), net of     
              offering costs of $2,141,775                                                              27,858,225  
Other comprehensive loss                                                           (135,192)              (135,192) 
1996 net loss                                                                                           (8,689,839)
                                                                         ------------------        --------------- 

Balance at December 31, 1996                                                         (1,303)            41,115,381
                                                       
Exercise of stock options for cash and stock                                                               530,893
Issuance of stock under stock                          
              purchase plan                                                                                 84,060
Retirement of treasury stock in July 1997                                         
Collection on notes receivable from                    
              issuance of common stock                                                                       7,000 
Other comprehensive income                                                            9,710                  9,710 
1997 net loss                                                                                          (12,549,053)
                                                                         ------------------        ---------------  

Balance at December 31, 1997                                                          8,407             29,197,991

Exercise of stock options for cash and stock                                                             1,889,929
Issuance of common stock for                                                                 
              cash on December 17, 1998                                                      
              (at $21.25 per share), net of                                                  
              offering costs of $4,584,067                                                              64,478,433
Issuance of stock under stock                                                                
              purchase plan                                                                                127,594
Other comprehensive income                                                           42,267                 42,267    
1998 net loss                                                                                          (15,716,869) 
                                                                         ------------------        ---------------
                                                       
Balance at December 31, 1998                                             $           50,674        $    80,019,345 
                                                                         ------------------        ---------------
</TABLE> 

                    The accompanying notes are an integral
                       part of the financial statements

                                      36
<PAGE>
                                 ANESTA CORP.
                         (A Development Stage Company)

                           STATEMENTS OF CASH FLOWS
           for the years ended December 31, 1998, 1997 and 1996 and
      for the period from inception (August 1, 1985) to December 31, 1998
                                   ________
<TABLE> 
<CAPTION> 

                                                                                                               Period from inception
                                                                                                               (August 1, 1985) to
                                                    1998                  1997                 1996            December 31, 1998
                                              -----------------     -----------------     ----------------     -----------------
<S>                                             <C>                 <C>                   <C>                  <C> 
Cash flows from operating activities:
   Net loss                                      $ (15,716,869)        $ (12,549,053)        $ (8,689,839)        $ (48,187,191)
   Adjustments to reconcile net loss 
     to net cash used in operating activities
      Cumulative effect of change in accounting                                                                       1,041,047
      Depreciation and amortization                    296,241               269,595              237,622             1,393,392
      Debt conversion expense                                                                                           101,330
      Interest converted to equity                                                                                       94,104
      Compensatory stock options and stock                                                                                3,539
      Loss on retirement of assets                       3,823                12,245               25,764                78,446
      Increase (decrease) due to changes in:
        Accounts receivable                           (193,613)              402,785              (75,216)             (276,476)
        Prepaid expenses and other 
          current assets                               233,688              (136,507)            (214,849)             (194,802)
        Other assets                                     9,067               (89,796)            (103,906)             (198,780)
        Accounts payable                               728,436               (85,299)             287,677             1,162,102
        Accrued liabilities                            624,715               105,454              157,651             1,354,692
        Unearned revenues                              176,796                                                          526,796
                                              -----------------     -----------------     ----------------     -----------------
         Net cash used in operating activities     (13,837,716)          (12,070,576)          (8,375,096)          (43,101,801)
                                              -----------------     -----------------     ----------------     -----------------

Cash flows from investing activities:
   Capital expenditures                               (108,186)             (894,791)             (53,338)           (3,323,565)
   Proceeds from sale of assets                             50                 1,621                  250                11,896
   Costs associated with license agreements                                                                          (1,109,533)
   Advances to employees                                                                                                 (1,650)
   Purchase of treasury bills                                                                                        (1,174,419)
   Proceeds from maturity of treasury bills                                                                           1,174,419
   Purchase of marketable debt securities,
      available-for-sale                           (28,925,882)          (12,754,249)         (10,108,649)          (81,307,666)
   Maturities of marketable debt securities,
      available-for-sale                            22,167,216            12,062,198            9,554,650            56,663,292
   Purchase of certificate of deposit                                       (816,000)                                (2,346,000)
   Proceeds from maturity of certificate 
      of deposit                                       255,000               153,000              153,000               561,000
                                              -----------------     -----------------     ----------------     -----------------
         Net cash used in investing activities      (6,611,802)           (2,248,221)            (454,087)          (30,852,226)
                                              -----------------     -----------------     ----------------     -----------------

Cash flows from financing activities:
   Proceeds from issuance of notes payable                                   800,000                                  3,337,700
   Principal payments on notes payable                (250,000)             (150,000)            (150,000)             (587,500)
   Principal payments on obligations 
      under capital leases                                                                        (16,363)             (194,488)
   Net proceeds from issuance of common stock       66,812,375               614,954           28,263,007           126,942,559
   Collections on notes receivable from
      issuance of common stock                                                 7,000                                     65,000
   Proceeds from issuance of preferred stock                                                                            756,222
   Dividends paid on preferred stock                                                                                   (491,884)
                                              -----------------     -----------------     ----------------     -----------------
         Net cash provided by financing 
          activities                                66,562,375             1,271,954           28,096,644           129,827,649
                                              -----------------     -----------------     ----------------     -----------------

Effect of exchange rate changes on cash                 15,604                                                           15,604
                                              -----------------     -----------------     ----------------     -----------------

Net increase (decrease) in cash and 
  cash equivalents                                   46,128,461           (13,046,843)          19,267,461            55,889,226
Cash and cash equivalents at beginning 
  of period                                           9,760,765            22,807,608            3,540,147
                                              -----------------     -----------------     ----------------     -----------------
Cash and cash equivalents at end of period        $ 55,889,226           $ 9,760,765         $ 22,807,608          $ 55,889,226
                                              -----------------     -----------------     ----------------     -----------------
</TABLE> 

                                 - Continued -
                    The accompanying notes are an integral
                       part of the financial statements

                                      37
<PAGE>
                                 ANESTA CORP.
                         (A Development Stage Company)

                           STATEMENTS OF CASH FLOWS
           for the years ended December 31, 1998, 1997 and 1996 and
      for the period from inception (August 1, 1985) to December 31, 1998
                                   ________
<TABLE> 
<CAPTION> 

                                                                                                               Period from inception
                                                                                                               (August 1, 1985) to
                                                    1998                  1997                 1996            December 31, 1998
                                              -----------------     -----------------     ----------------     -----------------
<S>                                             <C>                 <C>                   <C>                  <C> 
Supplemental schedule of noncash activities:
The Company issued stock and stock options for:
   Purchase of additional license agreement                                                                             $ 5,400
   Notes receivable                                                                                                      71,000

The Company purchased leasehold improvements
   using accounts payable                                                                                               251,507

The Company entered into various capital lease
   arrangements                                                                                                         204,610

The Company received stock as payment of a
   note receivable                                                                                                        4,226

Supplemental disclosure of cash flow information:
   Cash paid during the year for interest            $ 144,035             $ 136,715            $ 112,828             $ 534,730
   Cash paid during the year for taxes                  16,411                 1,741                  100                18,752
</TABLE> 

                    The accompanying notes are an integral
                       part of the financial statements

                                      38

<PAGE>
 
                         NOTES TO FINANCIAL STATEMENTS

                                   ---------



1. Significant Accounting Policies:

Development Stage Activities

Since its inception in August 1985, Anesta has been a development stage company
engaged in the research, development and commercialization of pharmaceutical
products incorporating its proprietary oral transmucosal drug delivery system.
The Company has been unprofitable to date and expects to incur additional
operating losses over the next few years, primarily due to the expansion of its
research and development programs, including formulation development, clinical
and commercial manufacturing capabilities, preclinical studies and clinical
trials. As of December 31, 1998, the Company's deficit accumulated during the
development stage was approximately $49 million.

Anesta is the worldwide licensee of technology obtained pursuant to technology
license agreements with the UURF. The license agreements, which remain in effect
for the life of the applicable patents, may be assigned only with prior written
consent of the UURF (see Note 7).

Revenues recognized to date represent revenues under research and development
contracts, license agreements and sales of the Company's first product, Fentanyl
Oralet.  The Company's ability to achieve profitability depends in part
upon its ability alone, or with others, to successfully commercialize
Actiq, to complete development of its proposed products, to obtain required
regulatory approvals and to manufacture and market such proposed products.

Cash and Cash Equivalents

The Company considers all highly liquid debt instruments purchased with original
maturities of three months or less to be cash equivalents.  Substantially all of
the Company's cash and cash equivalents are held in two financial institutions
in San Francisco, California.

Marketable Debt Securities

The Company's marketable debt securities are classified as available-for-sale
and carried at market value, with the unrealized gain or loss reflected as a
component of other comprehensive income. Gross realized gains and losses, with
cost determined using the specific identification method, have not been
material.

Property and Equipment

Expenditures that materially increase asset lives are capitalized at cost, while
normal maintenance and repairs are expensed as incurred.  Depreciation is
reported on a straight-line basis over the shorter of the estimated useful lives
of the assets, or the term of the lease, which range from 3 to 15 years.

The cost and related accumulated depreciation of assets sold or otherwise
disposed of are removed from the accounts and the gain or loss is reflected in
the statements of operations and comprehensive loss.

                                   Continued

                                       39
<PAGE>
 
                    NOTES TO FINANCIAL STATEMENTS, Continued

                                   ---------

1. Significant Accounting Policies (Continued):

Translation of Foreign Currency

Assets and liabilities of foreign operations, where the functional currency is
the local currency, are translated into U.S. dollars at the fiscal year end
exchange rate.  The related translation adjustments are reflected as a component
of other comprehensive income, a separate component of stockholders' equity.
Revenues and expenses are translated using average exchange rates prevailing
during the year.

Net Loss Per Share

Basic and diluted earnings per share are computed in accordance with Statement
of Financial Accounting Standards (SFAS) No. 128, Earnings per Share (EPS).
Basic EPS excludes dilution and is computed by dividing income or loss available
to common stockholders by the weighted-average number of common shares
outstanding for the period. Diluted EPS reflects the potential dilution from
securities or contracts to issue common stock.  Common equivalent shares are
excluded from the computation of diluted EPS when their effect is antidilutive.

Income Taxes

The Company accounts for income taxes in accordance with SFAS No. 109,
Accounting For Income Taxes. Deferred income taxes are provided for differences
between the financial statement and tax bases of assets and liabilities using
enacted future tax rates.

Revenue Recognition

The Company recognized revenues from contract research based on qualifying
expenditures.  Research and development expense in the accompanying statements
of operations includes funded and unfunded amounts.  Revenue from the sale of
products manufactured by Abbott is recognized when Abbott ships product against
a customer order.

Estimates

The preparation of financial statements in conformity with generally accepted
accounting principles requires management to make estimates and assumptions that
affect the reported amounts of assets and liabilities and disclosure of
contingent assets and liabilities at the date of the financial statements and
the reported amounts of revenues and expenses during the reporting period.
Actual results could differ from those estimates.

Comprehensive Income

The Company adopted SFAS No. 130 Reporting Comprehensive Income, at the
beginning of fiscal year 1998. SFAS No. 130 establishes standards for reporting
and presentation of comprehensive income and its components.  SFAS No. 130
requires that all items that are required to be recognized under accounting
standards as components of comprehensive income be reported in a financial
statement that is displayed with the same prominence as other financial
statements. In accordance with the provisions of SFAS No. 130, the Company has
presented the components of other comprehensive income (loss) in its Statements
of Operations and Comprehensive Loss.  The financial statements for all prior
periods have been restated to conform to requirements of SFAS No. 130.

                                   Continued

                                       40
<PAGE>
 
                    NOTES TO FINANCIAL STATEMENTS, Continued

                                   ---------

2. Marketable Debt Securities:

The cost and estimated market value of marketable debt securities, available-
for-sale at December 31, 1998, are as follows:
<TABLE>
<CAPTION>
 
                                                    Gross        Gross      Estimated
                                                  Unrealized   Unrealized     Market
                                         Cost       Gains       Losses        Value
                                    ------------ -----------  -----------  -----------
<S>                                 <C>          <C>          <C>          <C> 
 Corporate Term Notes               $15,698,462  $    14,750               $15,713,212
 Federal Home Loan Bank Notes         4,499,584       12,961                 4,512,545
 Federal National Mortgage Notes      2,967,280        5,540                 2,972,820
 Certificates of Deposit                999,537        1,663                 1,001,200
 Commercial Paper                       261,638          156                   261,794
 Accrued Interest                       199,469                                199,469
                                    ------------ -----------  -----------  -----------
 
                                    $24,625,970  $    35,070               $24,661,040
                                    ------------ -----------  -----------  -----------
</TABLE>
The cost and estimated market value of marketable debt securities, available-
for-sale at December 31, 1998, by contractual maturity, are shown below:
<TABLE>
<CAPTION>
 
                                                      Estimated
                                                        Market
                                             Cost        Value
                                         -----------  -----------
<S>                                      <C>          <C> 
Due in one year or less                  $18,623,518  $18,642,392
Due after one year through five years      6,002,452    6,018,648
                                         -----------  -----------
 
                                         $24,625,970  $24,661,040
                                         -----------  -----------
</TABLE>
The cost and estimated market value of marketable debt securities, available-
for-sale at December 31, 1997, are as follows:
<TABLE>
<CAPTION>
 
                                                  Gross       Gross      Estimated
                                                Unrealized  Unrealized    Market
                                      Cost        Gains       Losses       Value
                                   -----------  ----------  ----------  -----------
<S>                                <C>          <C>         <C>         <C>
Corporate Term Notes               $ 3,180,102  $    2,381              $ 3,182,483
Federal Home Loan Bank Notes         4,505,163         842                4,506,005
Federal National Mortgage Notes      6,401,436       4,408                6,405,844
U.S. Treasury Notes                  1,498,143         927                1,499,070
Foreign Debt Securities              2,005,151              $      151    2,005,000
Accrued Interest                       277,309                              277,309
                                   -----------  ----------  ----------  -----------
                                   $17,867,304  $    8,558  $      151  $17,875,711
                                   -----------  ----------  ----------  -----------
</TABLE>

                                   Continued

                                       41
<PAGE>
 
                    NOTES TO FINANCIAL STATEMENTS, Continued

                                   --------


3. Related Party Transactions:

The Company paid expenses of $250,368, $284,030 and $317,349 in 1998, 1997 and
1996, respectively, to the Stanley Research Foundation for preclinical and
clinical research.  Stanley Research Foundation and its principal trustee are
shareholders of the Company.

4. Note Payable:

The note payable at December 31, 1998 and 1997 is comprised of the following:
<TABLE>
<CAPTION>
 
                                                              1998         1997
                                                           -----------  -----------
<S>                                                        <C>          <C>
 
Term note payable to a bank with interest
 payable monthly at bank's certificate of
 deposit rate (5.60% at December 31, 1998)
 plus 1.6%.  Principal payments of
 $250,000 are due each July through July 2005.
 The note is collateralized by a certificate of deposit
 in the amount of $1,785,000 at December 31, 1998.         $1,750,000   $2,000,000
 
  Current portion                                            (250,000)    (250,000)
                                                           ----------   ----------
 
  Long-term portion                                        $1,500,000   $1,750,000
                                                           ----------   ----------
 
</TABLE>
The Company's note payable matures in periods ending December 31, as follows:
<TABLE>
<CAPTION>
 
                <S>                     <C>
                1999                    $  250,000
                2000                       250,000
                2001                       250,000
                2002                       250,000
                Thereafter                 750,000
                                         ---------
                                        $1,750,000
</TABLE>

Rates currently available to the Company for notes payable with similar terms
and maturities are used to estimate the fair value of notes payable.  At
December 31, 1998 and 1997, the carrying value of the note payable approximates
fair value.

                                   Continued

                                       42
<PAGE>
 
                    NOTES TO FINANCIAL STATEMENTS, Continued

                                   ---------


5. Stock Based Compensation Plan:

The Company maintains three stock option plans: the 1989 Stock Option Plan (the
"1989 Plan"), the 1993 Stock Option Plan (the "1993 Plan"), and the 1993 Non-
Employee Directors' Stock Option Plan (The "Non-Employee Directors' Plan").

The 1989 Plan provides for the issuance of nonqualified stock options ("NQSOs")
to employees of, directors of and consultants to the Company.  The 1993 Plan
provides for the issuance of Incentive Stock Options ("ISOs") to employees of
the Company and NQSOs to employees of, directors of and consultants to the
Company.  The Non-Employee Directors' Plan provides for the issuance of NQSOs to
non-employee members of the  Company's Board of Directors who are not prohibited
by their employer from receiving options.  Additionally, the Company has granted
NQSOs to non-employee Directors and consultants on an individual basis and not
under a plan.

Under the 1989 Plan, NQSOs to purchase a total of 250,000 shares were authorized
for issuance, of which none were outstanding and exercisable at December 31,
1998.  All options have been granted at the market price of the Company's common
stock at the date of grant.  The NQSOs vest over a period not to exceed four
years from the date of grant and terminate five years from the date of grant.

At the 1997 annual meeting, stockholders approved an amendment to the 1993 Plan
to increase the number of shares authorized for issuance from an aggregate of
750,000 shares to an aggregate of 1,500,000 shares.  At the 1998 annual meeting,
stockholders approved an amendment to the 1993 Plan to increase the number of
shares authorized for issuance from an aggregate of 1,500,000 shares to an
aggregate of 1,850,000 shares.  As of December 31, 1998, 1,393,240 options were
outstanding and 593,236 options were exercisable.  All options have been granted
at the market price of the Company's common stock at the date of grant.  The
ISOs and NQSOs vest over a period not to exceed four years from the date of
grant and terminate from five to ten years from the date of grant.

Under the Non-Employee Directors' Plan, NQSOs to purchase a total of 150,000
shares were authorized for issuance, of which 123,300 options were outstanding
and 55,335 options were exercisable at December 31, 1998. At the 1997 annual
meeting, stockholders approved an amendment to the Non-Employee Directors' Plan
to increase the annual non-discretionary grant made to each non-employee
director by 3,500 shares, from 1,500 shares to 5,000 shares.  At the 1998 annual
meeting, stockholders approved an amendment to the Non-Employee Directors' Plan
to increase the non-discretionary grant made to each newly elected non-employee
director from 10,000 shares to 15,000 shares, to grant 2,000 shares per year to
each non-employee director serving as a committee chair, and to grant 400 shares
to each non-employee director for each meeting of the Board of Directors
attended in person or by teleconference.  All options have been granted at the
market price of the Company's common stock at the date of grant.  The NQSOs vest
over a period not to exceed four years from the date of grant and terminate five
years from the date of grant.

The Company has granted NQSOs to purchase shares on an individual basis and not
under a plan, on terms similar to the 1989 Plan.  At December 31, 1998, 10,400
options were outstanding and 10,400 options were exercisable.

                                   Continued

                                       43
<PAGE>
 
                    NOTES TO FINANCIAL STATEMENTS, Continued

                                   ---------


5. Stock Based Compensation Plan (Continued):

The Company has adopted the provisions of SFAS No. 123.  Under these provisions,
the Company is allowed to continue to apply Accounting Principles Board Opinion
No. 25 and related interpretations in accounting for its option plans.
Accordingly, no compensation expense has been recognized as options are granted
at the stock's then market price.  Had compensation expense for the Company's
stock-based compensation plans been determined based on the fair value at the
grant dates for awards under the option plans as recommended by SFAS No. 123,
the Company's net loss and loss per share would have been increased to the pro
forma amounts indicated below:
<TABLE>
<CAPTION>
 
                                     1998           1997           1996
                                 -------------  -------------  -------------
<S>                 <C>          <C>            <C>            <C>
 
  Net loss          As reported  $(15,719,858)  $(12,549,053)  $ (8,689,839)
                    Pro forma    $(16,617,806)  $(13,282,846)  $(10,408,851)
 
  Loss per share    As reported  $      (1.59)  $      (1.32)  $      (1.02)
                    Pro forma    $      (1.68)  $      (1.40)  $      (1.22)
</TABLE>

  NOTE: Basic and diluted loss per share are the same.

The provisions of SFAS No. 123 have not been applied to options granted prior to
January 1, 1995.  The pro forma compensation expense may not be representative
of such expense in future years.

The fair value of each option grant is estimated on the date of grant using the
Black-Scholes option-pricing model with the following weighted-average
assumptions used for grants in 1998, 1997 and 1996, respectively: expected
volatility of 77 -- 83 percent, risk-free interest rates of 4.4 -- 7.8 percent,
expected lives of .2 -- 10 years, and a dividend yield of zero for all years.

Changes in all outstanding options are as follows:
<TABLE>
<CAPTION>
 
                                               1998                       1997                       1996
                                     -------------------------  ------------------------   ------------------------
                                     Shares   Weighted-Average  Shares   Weighted-Average  Shares   Weighted-Average
Fixed Options                        (000)    Exercise Price    (000)    Exercise Price    (000)     Exercise Price
- ----------------------------------   -----   ----------------   -----   ----------------   -----   ----------------
<S>                                 <C>      <C>               <C>      <C>               <C>      <C> 
Outstanding at beginning of year     1,341             $10.86   1,002             $ 8.63     813             $ 5.16
Granted                                479              13.70     458              14.48     432              11.51
Exercised                             (246)              7.82    (110)              5.48    (223)              1.48
Forfeited                              (47)             12.84      (9)             13.16     (20)              9.57
                                     -----                      -----                      -----
Outstanding at end of year           1,527              12.18   1,341              10.86   1,002               8.63
                                     =====                      =====                      =====


Options exercisable at year-end        659                        536                        371
Weighted-average fair value of
 options granted during the year    $11.00                     $11.96                     $11.51
</TABLE> 

                                   Continued

                                       44
<PAGE>
 
                    NOTES TO FINANCIAL STATEMENTS, Continued

                                   ---------


5. Stock Based Compensation Plan (Continued):

The following table summarizes information about fixed stock options outstanding
at December 31, 1998:
<TABLE>
<CAPTION>
 
                                            Weighted-
                              Number         Average          Weighted-         Number
            Range of        Outstanding     Remaining          Average      Exercisable at   Weighted-Average
        Exercise Prices     at 12/31/98  Contractual Life   Exercise Price     12/31/98       Exercise Price
- --------------------------  -----------  ----------------  --------------- ---------------   --------------- 
<S>                         <C>           <C>              <C>             <C>               <C> 
     $5.0376 -    $ 7.5563      168,770     0.8  years     $          6.06         166,684            $ 6.07
     $7.5564 -    $10.0750       50,339     0.6                       8.10          48,422              8.05
    $10.0751 -    $12.5938      698,217     7.5                      11.60         278,966             11.28
    $12.5939 -    $15.1125      403,223     8.4                      13.85         136,628             13.69
    $15.1126 -    $17.6313      164,591     8.1                      16.33          19,520             16.48
    $17.6314 -    $20.1500       35,000     5.2                      18.59           8,751             18.70
    $20.1501 -    $22.6688        2,800     4.9                      21.23               0              0.00
    $22.6689 -    $25.1875        4,000     4.9                      23.97               0              0.00
                            -----------  ----------------  --------------- ---------------   --------------- 
 
                              1,526,940     6.8                     $12.18         658,971            $10.48
                            ===========  ================  =============== ===============   =============== 
 
</TABLE>

In November 1993, the Company adopted the Employee Stock Purchase Plan (the
"Purchase Plan"), authorizing the issuance of 250,000 shares pursuant to
purchase rights granted to employees of the Company.  Participants may use up to
10% of their compensation to purchase the Company's common stock at the end of
each year at a price equal to 85% of the lower of the beginning or ending stock
price in the plan period.  As of December 31, 1998, there were 211,644 shares
available for issuance under the Purchase Plan.  Compensation expense under the
fair value method of SFAS No. 123 is not significant relative to shares
purchased under the Purchase Plan for  1998, 1997 and 1996.

6. Capital Stock:

The Company has 1,000,000 shares of authorized voting preferred shares with a
par value of $.001.  At December 31, 1998 and 1997 there were no voting
preferred shares issued and outstanding.


7. Technology License Agreement:

In September 1985, the Company obtained an exclusive worldwide license from UURF
to use technology and knowledge developed or to be developed under Dr. Theodore
H. Stanley's direction at the University of Utah, for anesthetic and other drug
delivery systems based on oral transmucosal technology.  In return, the UURF
received 6,000 shares of Company stock and certain royalty rights based on
product sales incorporating the technology.

The license expires on the date of the last expiring patent which occurs in
2016.

                                   Continued

                                       45
<PAGE>
 
                    NOTES TO FINANCIAL STATEMENTS, Continued

                                   ---------


8. Income Taxes:

The provision for income taxes for the years ended December 31, 1998, 1997 and
1996 relates solely to state income taxes.

As of December 31, 1998, net operating losses (NOLs) totaling approximately $49
million are available to offset future taxable income, and research and
development (R&D) tax credits totaling approximately $1,111,000 are available to
offset future tax liabilities. The NOLs and the R&D tax credit carryforwards
expire from 2002 to 2018.

The Company's utilization of NOL carryforwards and R&D credits is limited to
approximately $7,802,000 annually as a result of an ownership change in 1996. In
addition to the limitation imposed in 1996, utilization of approximately
$1,380,000 of the NOLs against future taxable income will be subject to an
annual limitation of approximately $140,000 per year because of a cumulative
change in ownership within a three-year period exceeding 50%. Approximately
$110,000 of the R&D tax credit carryforwards is subject to the same annual
limitation, under the constraint that the total NOLs must be utilized before the
R&D credits may be used. To the extent the $140,000 annual limitation is not
fully utilized in any given year, the unused portion of the NOLs and the R&D tax
credit carryforwards are available for potential utilization in future years.

SFAS No. 109 requires that a valuation allowance be provided if it is more
likely than not that some portion or all of a deferred tax asset will not be
realized. The Company's ability to realize the benefit of its deferred tax asset
will depend on the generation of future taxable income. Because the Company's
operations are not currently generating taxable income, the Company believes
that a full valuation allowance should be provided. The valuation allowance
increased $7,274,000 during 1998 and $5,170,000 during 1997, primarily as a
result of the increase in net operating loss carryforwards.

The components of the net deferred tax asset as of December 31, 1998 and 1997
under SFAS 109 are as follows:
<TABLE>
<CAPTION>
 
                                            1998          1997
                                       -------------  -------------
<S>                                    <C>            <C>
 
Deferred tax assets (liabilities):
 Net operating loss carryforwards      $  18,182,000  $  11,674,000
 Charitable contribution
  carryforwards                               64,000
  Research and development tax
   credit carryforwards                    1,111,000        724,000
  Depreciation                               228,500
  Book/tax difference related to
   license agreements                        713,500        533,000
  Other                                       (7,000)        87,000
  Valuation allowance                    (20,292,000)   (13,018,000)
                                       -------------  -------------
 Net deferred tax asset               $            -  $           -
                                       -------------  ------------- 
</TABLE>

                                   Continued

                                       46
<PAGE>
 
                    NOTES TO FINANCIAL STATEMENTS, Continued

                                   ---------


9. Research and Development:

In December 1989, the Company entered into a research and development, license,
supply and distribution agreement with Abbott. Under the agreement as amended,
the Company granted to Abbott the exclusive right to make, use and sell in the
U.S., oral transmucosal products resulting from technology owned or licensed by
the Company, consisting of Oral Transmucosal Fentanyl Citrate (OTFC/(R)/) or
other central nervous system acting drugs or intermediates thereof used for
premedication, sedation, analgesia, diagnostic procedures, emergency room
procedures, post-operative pain, burn treatment or cancer-related pain
management. The first product developed under this agreement is being marketed
for use in surgical premedication and for sedation/analgesia prior to diagnostic
or therapeutic procedures in hospital settings under Abbott's trademark Fentanyl
Oralet. The second product under the agreement will be marketed for breakthrough
cancer pain by Abbott under Anesta's trademark Actiq. Substantially all of the
Company's revenues, accounts receivable, certain accrued research and
development costs, and unearned revenue amounts are a result of the various
agreements and transactions with Abbott.

Under the Company's agreements with Abbott, Abbott manufactures Anesta's OT-
fentanyl product line (Fentanyl Oralet and Actiq) and sells these products to
the Company at a price which reflects Abbott's cost of manufacturing.  The
Company then sells the products to Abbott at a price related to Abbott's selling
price which results in a gross profit to the Company ranging from approximately
40-70%.  In addition, the Company is entitled to receive a royalty from OT-
fentanyl product sales by Abbott.

In September 1995, the Company entered into a funding agreement with Abbott,
under which Abbott agreed to provide up to $1,500,000 of funding during 1996 to
further the clinical development of Actiq to treat breakthrough cancer pain (the
"Actiq Breakthrough Cancer Pain Program").  The funding was to be provided for
qualifying work performed and expenses incurred by the Company during 1996 in
connection with the Actiq Breakthrough Cancer Pain Program.  Under the
agreement, the Company agreed to provide additional funding required for this
program and to complete certain program milestones.

By agreement, Abbott has committed to pay a total of $10.05 million to the
Company to fund the clinical development of and to obtain the regulatory
approval for Fentanyl Oralet and Actiq.  During 1998, 1997 and 1996, the Company
received $300,000, $375,000, and $1,500,000, and incurred $9,862,933, $7,834,457
and $5,430,252 of costs relating to the agreements, respectively.  Revenue of
$300,000 and $1,500,000 related to the agreements was recognized in 1998 and
1996, respectively.    In connection with such development funding, Abbott was
granted, and has exercised, warrants to purchase 1,202,840 shares of the
Company's common stock at prices ranging from $1.00 to $2.40 per share.



                                   Continued

                                       47
<PAGE>
 
                    NOTES TO FINANCIAL STATEMENTS, Continued

                                   ---------


10. Unearned Revenues:

Effective August 31, 1995, the Company entered into an amendment to a prior
agreement between Abbott International (A.I.) and the Company to provide the
Company the right to terminate or cause to become nonexclusive A.I.'s license
rights to OT-fentanyl products in one or more countries in the world except the
U.S. The amendment also eliminated $100,000 of the $450,000 of unearned revenue,
which amount was recognized as royalty revenue during the year ended December
31, 1995.  In January 1998, the Company exercised its right to terminate A.I.'s
license rights to OT-fentanyl products in all countries in the world except the
U.S. Abbott has agreed to be a contract manufacturer for the Company, and if 
requested by the Company, both parties have agreed to consult with each other 
regarding product supply by Abbott to any Anesta license.

On January 28, 1998, the Company announced the signing of an exclusive agreement
with Grupo Ferrer for the marketing, sales and distribution of Anesta's OT-
fentanyl product line, including Actiq, in Spain and Portugal. Under terms of
the agreement, Grupo Ferrer made a payment to the Company in 1998, a portion of
which will be recognized as revenue in future years over the term of the
agreement. The OT-fentanyl product line will be manufactured for Grupo Ferrer by
Anesta, however, the Company does not believe commercial manufacturing will
begin before December 31, 1999. Grupo Ferrer is a leading private Spanish
pharmaceutical company.

On June 4, 1998, the Company announced the signing of an exclusive agreement
with Lafon for the marketing, sales and distribution of Anesta's OT-fentanyl
product line, including Actiq, in France. Under terms of the agreement, Lafon
made payments to the Company in 1998, a portion of which will be recognized as
revenue in future years over the term of the agreement. The OT-fentanyl product
line will be manufactured for Lafon by Anesta, however, the Company does not
believe commercial manufacturing will begin before December 31, 1999. Lafon is a
leading private French pharmaceutical company.

11. Leases:

In December 1994, the Company entered into a five year operating lease agreement
for a building which has two additional five year renewal options.  During 1998,
1997 and 1996 the Company also entered into operating lease agreements for
furniture and equipment.

Future minimum rental payments under operating leases as of December 31, 1998
are as follows:
<TABLE>
<CAPTION>
 
<S>                                     <C>
          1999                          $  985,850
          2000                             809,851
          2001                             686,692
          2002                             442,783
                                        ----------
                                        $2,925,176
                                        ----------
</TABLE>
Total expense under operating lease agreements for 1998, 1997 and 1996 was
$944,856, $726,763 and $457,915, respectively.

                                   Continued

                                       48
<PAGE>
 
                         NOTES TO FINANCIAL STATEMENTS

                                   ---------


12. Employee Benefits:

In October 1995, the Board of Directors approved the adoption of a 401(k)
Retirement Plan (the "401(k) Plan") effective January 1, 1996.  Under the terms
of the 401(k) Plan, all full-time employees who are at least 21 years of age and
have 6 months of service are eligible to participate.  Participants may
contribute up to 15% of their annual compensation to the 401(k) Plan, subject to
statutory limitations.  The Company may make discretionary matching
contributions to the 401(k) Plan equal to 25 percent of participant
contributions up to 6% of participant compensation.  For 1998, 1997 and 1996,
the Company declared and paid discretionary matching contributions to the 401(k)
Plan in the amount of $52,959, $40,784 and $30,395, respectively.

13. Computation of Diluted Loss Per Share:

As of December 31, 1998, options to purchase 1,526,940 shares of common stock at
prices between $5.25 and $25.19 per share were outstanding.  As of December 31,
1997, options to purchase 1,340,230 shares of common stock were outstanding at
prices between $0.80 and $19.25.  As of December 31, 1996, options to purchase
1,001,600 shares of common stock were outstanding at prices between $0.80 and
$13.50.  None of these options were included in the computation of diluted loss
per share because the effect would have been antidilutive.

14. Subsequent Events:

On February 23, 1999, the Company announced the signing of an option agreement
with Novartis involving the Company's proprietary OTS for drug delivery. The
option agreement includes a collaboration that combines the OTS with undisclosed
compounds that may lead to one or more product candidates. Under the terms of
the option agreement, Novartis and the Company will assess the world wide
commercial opportunity of these potential products, with the goal of entering
into an exclusive licensing agreement.



                                       49
<PAGE>
 
ITEM 9.   CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND
- -------   FINANCIAL DISCLOSURES

          Not applicable.



















                                       50
<PAGE>
 
                                    PART III


ITEM 10.  DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT
- --------                                                    

          Incorporated by reference to the sections of the Company's 1998 Proxy
Statement, anticipated to be filed within 120 days of December 31, 1998,
entitled "Proposal 1--Election of Directors," and "Management."


ITEM 11.  EXECUTIVE COMPENSATION
- --------                        

          Incorporated by reference to the section of the Company's 1998 Proxy
Statement, anticipated to be filed within 120 days of December 31, 1998,
entitled "Executive Compensation."


ITEM 12.  SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT
- --------                                                                      

          Incorporated by reference to the section of the Company's 1998 Proxy
Statement, anticipated to be filed within 120 days of December 31, 1998,
entitled "Security Ownership of Certain Beneficial Owners and Management."

ITEM 13.  CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS
- --------                                                

          Incorporated by reference to the section of the Company's 1998 Proxy
Statement, anticipated to be filed within 120 days of December 31, 1998,
entitled "Certain Transactions."

                                       51
<PAGE>
 
                                    PART IV


ITEM 14.  EXHIBITS, FINANCIAL STATEMENT SCHEDULES AND REPORTS ON FORM 8-K
- --------                                                                       


          (a)-1 Index to Financial Statements

                The following documents are incorporated in Part II of
this Annual Report in Item 8.

          (a)-2 Financial Statement Schedules

                None.

          (a)-3 Exhibits

                The exhibits to this Annual Report on Form 10-K are
listed under Item 14(c) below.

          The following management compensatory plans and arrangements are
required to be filed as exhibits to this Annual Report on Form 10-K pursuant to
Item 14(c):
<TABLE>
<CAPTION>
 
                    Exhibit
                    Number                 Description
                    -------                -----------           
         <S>                    <C>                         
 
                    10.2**      Registrant's 1993 Stock Option Plan.
                    10.3**      Form of Incentive Stock Option Agreement under the 1993 Stock Option Plan, with related Schedule.
                    10.4**      Form of Nonstatutory Stock Option Agreement under the 1993 Stock Option Plan.
                    10.5**      Employee Stock Purchase Plan and related offering document.
                    10.11**     1993 Non-Employee Directors' Stock Option Plan.
 
         (b)        Reports on Form 8-K
 
                    None.
 
         (c)        Exhibits
 
                    Exhibit
                    Number                 Description
                    -------                -----------           

                    3.1**       Amended and Restated Certificate of Incorporation of Registrant.
                    3.2**       Bylaws of Registrant.
                    4.1**       Specimen stock certificate.
                    4.2**       Reference is made to Exhibits 3.1 and 3.2.
                    10.1**      Form of Indemnity Agreement entered into between the Registrant and its directors and executive
                                officers.

</TABLE> 

                                       52
<PAGE>
 
<TABLE> 
         <S>                    <C>                         
                    10.2**      Registrant's 1993 Stock Option Plan.
                    10.3**      Form of Incentive Stock Option Agreement under the 1993 Stock Option Plan, with related Schedule.
                    10.4**      Form of Nonstatutory Stock Option Agreement under the 1993 Stock Option Plan.
                    10.5**      Employee Stock Purchase Plan and related offering document.
                    10.6**      Technology License Agreement between the Registrant and the University of Utah Research Foundation,
                                dated as of September 16, 1985, as amended through December 3, 1993. (With certain portions in
                                brackets deleted)
                    10.7**      Research and Development, License, Supply and Distribution Agreement between the Registrant and
                                Abbott Laboratories, dated as of December 27, 1989, as amended through December 30, 1992. (With
                                certain portions in brackets deleted)
                    10.8**      Agreement between the Registrant and Abbott International Ltd., dated as of February 28, 1991, as
                                amended through September 16, 1991. (With certain portions in brackets deleted)
                    10.9**      Agreement between the Registrant, Stanley Research Foundation and TheraTech, Inc., dated as of
                                December 3, 1990. (With certain portions in brackets deleted)
                    10.10**     Northgate Business Center Lease between the Registrant and Medforte Research Foundation, dated as of
                                October 1, 1990, as amended through May 1, 1993.
                    10.11**     1993 Non-Employee Directors' Stock Option Plan.
                    10.12**     Registration Rights Agreement between Registrant and certain stockholders named therein.
                    10.13***    Wiley Post Plaza Lease between the Registrant and Asset Management Services, dated as of December 7,
                                1994.
                    10.14****   Letter Agreement dated August 31, 1995, between the Company and Abbott Laboratories.
                    10.15****   Amendment to Agreement dated August 31, 1995, between the Company and Abbott International, Ltd.
                    10.16****   Funding Agreement dated September 8, 1995, between the Company and Abbott Laboratories.
                    10.17+      Option agreement by and between Anesta Corp. and Novartis Consumer Health, Inc., dated as of 
                                February 15, 1999.
                    11.1****    Statement regarding calculation of net income (loss) per share.
                    24.1        Power of Attorney. Reference is made to page 54.
                    27.1        Financial Data Schedule.
</TABLE> 
 
- ------------ 
+        Certain confidential information contained in this exhibit, marked by
         brackets, has been omitted and filed separately with the Securities and
         Exchange Commission based upon a request for confidential treatment
         pursuant to Rule 24b-2 of the Securities Exchange Act of 1934, as
         amended.

**       Previously filed with the Commission as an exhibit to the Company's
         Registration Statement on Form S-1 (File No. 33-72608) and incorporated
         herein by reference thereto.

***      Previously filed with the Commission as an exhibit to the Company's
         1994 Annual Report on Form 10-K (File No. 0-23160) and incorporated
         herein by reference thereto.

****     Previously filed with the Commission as an exhibit to the Company's
         September 30, 1995 Form 10-Q (File No. 0-23160) and incorporated herein
         by reference thereto.

*****    Previously filed with the Commission as an exhibit to the Company's
         1995 Annual Report on Form 10-K (File No. 0-23160) and incorporated
         herein by reference thereto.

                                       53
<PAGE>
 
                                  ANESTA CORP.
                                   SIGNATURES


          Pursuant to the requirements of Section 13 or 15(d) of the Securities
Act of 1934, the Registrant has duly caused this report to be signed on its
behalf by the undersigned, thereunto duly authorized, in the City of Salt Lake
City, State of Utah, on the 31st day of March, 1999.

                                  ANESTA CORP.


                            By   /s/ Thomas B. King
                                 ------------------
                                 Thomas B. King
                                 President, Chief Executive Officer and Director

                               POWER OF ATTORNEY

     KNOW ALL MEN BY THESE PRESENTS, that each person whose signature appears
below constitutes and appoints Thomas B. King and Roger P. Evans, or any of
them, his or her attorney-in-fact, each with the power of substitution, for him
or her in any and all capacities, to sign any amendments to this Report, and to
file the same, with exhibits thereto and other documents in connections
therewith, with the Securities and Exchange Commission, hereby ratifying and
confirming all that each of said attorneys-in-fact, or his or her substitute or
substitutes, may do or cause to be done by virtue hereof.

     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/ Thomas B. King          President, Chief Executive        March 31, 1999
- -----------------------------                                                   
Thomas B. King                  Officer and Director (Principal
                                Executive Officer)


    /s/ William C. Moeller      Chairman of the Board and         March 31, 1999
- -----------------------------                                                   
William C. Moeller              Treasurer

    /s/ Theodore H. Stanley     Founding Chairman of the Board    March 31, 1999
- -----------------------------                                                   
Theodore H. Stanley, M.D.


    /s/ Roger P. Evans          Vice President, Finance and       March 31, 1999
- -----------------------------                                                   
Roger P. Evans                  Administration (Principal 
                                Financial and Accounting Officer)


    /s/ Edwin M. Kania, Jr.     Director                          March 31, 1999
- -----------------------------                                                   
Edwin M. Kania, Jr.

                                       54
<PAGE>
 
         Signature                        Title                       Date
         ---------                        -----                       ----



    /s/ Emanuel M. Papper       Director                          March 31, 1999
- -----------------------------             
Emanuel M. Papper, M.D., Ph.D.


    /s/ Daniel L. Kisner        Director                          March 31, 1999
- -----------------------------                                                   
Daniel L. Kisner, M.D.


    /s/ Richard P. Urfer        Director                          March 31, 1999
- -----------------------------                                                   
Richard P. Urfer


    /s/ Richard H. Leazer       Director                          March 31, 1999
- -----------------------------                                                   
Richard H. Leazer

                                       55

<PAGE>
Certain confidential information contained in this document, marked by brackets,
has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended. 
                                                                   EXHIBIT 10.17


                                OPTION AGREEMENT

                                 by and between

                                  ANESTA CORP.

                                      and

                         NOVARTIS CONSUMER HEALTH, INC.

                         Dated as of February 15, 1999





<PAGE>
 
                         Table Of Contents
 
                                                              Page
 
ARTICLE I     DEFINITIONS......................................   1

ARTICLE II    GRANT OF OPTION..................................   4
              2.1 Option.......................................   4
              2.2 Activities during Option Period..............   5
              2.3 Exercising the Option........................   6
              2.4 NOVARTIS Right of First Refusal..............   6

ARTICLE III   OPTION PAYMENT...................................   6

ARTICLE IV    TRANSFER OF KNOW-HOW AND INSPECTIONS.............   7

ARTICLE V     INDEMNIFICATION AND HOLD HARMLESS................   7
              5.1 NOVARTIS Indemnity...........................   7
              5.2 ANESTA Indemnity.............................   8
              5.3 Indemnity Procedure..........................   8
              5.4 Insurance....................................   8

ARTICLE VI    CONFIDENTIALITY..................................   9
              6.1 Confidentiality Obligations..................   9
              6.2 Prior Confidentiality Agreements.............  10
              6.3 Public Announcement..........................  10

ARTICLE VII   CLEARANCE OF PUBLICATIONS........................  10

ARTICLE VIII  OWNERSHIP OF INTELLECTUAL PROPERTY RIGHTS........  11

ARTICLE IX    NOTICES..........................................  12

ARTICLE X     TERM OF THIS AGREEMENT...........................  13

ARTICLE XI    TERMINATION OF THIS AGREEMENT....................  13
              11.1 Termination for Breach......................  13
              11.2 Termination in Insolvency...................  13
              11.3 Effect of Termination or Expiry of Option...  13

ARTICLE XIII  RIGHT TO EXTEND TO AFFILIATES....................  14

ARTICLE XIV   ASSIGNMENT.......................................  14

ARTICLE XV    REPRESENTATIONS AND WARRANTIES...................  14
              15.1 Representations and Warranties..............  14
              15.2 Representation and Warranties of ANESTA.....  15
              15.3 Exclusion of Consequential Loss.............  15

ARTICLE XVI   LAW..............................................  16

ARTICLE XVII  FORCE MAJEURE....................................  16

ARTICLE XVIII MISCELLANEOUS....................................  16
              18.1 Severability................................  16
              18.2 No Exclusion of Legal Rights................  16

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

<PAGE>
 
                               Table Of Contents
                                  (continued)

              18.3 Survival....................................  17
              18.4 Entire Agreement............................  17
              18.5 No License..................................  17
              18.6 Adverse Event Reporting.....................  17
              18.7 Waiver......................................  17
              18.8 Relationship of the Parties.................  17
              18.9 Forum Selection and Jurisdiction............  18
             18.10 Language....................................  18
             18.11 Titles......................................  18
 

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      2.

<PAGE>
 
                                OPTION AGREEMENT

     This Agreement, made and entered into as of February 15, 1999 (the
"Effective Date"), by and between Anesta Corp., a corporation organized and
existing under the laws of the State of Delaware, U.S.A., having its principal
offices at 4745 Wiley Post Way, Plaza 6, Suite 650, Salt Lake City, Utah, 84116,
U.S.A. (hereinafter referred to as "ANESTA") and Novartis Consumer Health, Inc.,
a corporation organized and existing under the laws of Delaware, having its
principal offices at 560 Morris Avenue, Summit, New Jersey 07901-1312,
(hereinafter referred to as "NOVARTIS").

     Whereas, ANESTA owns or controls and/or has the right to grant licenses to
certain patents relating to an oral transmucosal drug delivery system comprising
an affixed holder, for delivering [*] to a patient, and methods of its
production; and

     Whereas, NOVARTIS wishes to undertake at its own cost, expense, and risk, a
commercial and technical assessment (including market research activities) of,
and to work jointly with ANESTA to plan and design a full development program
for, such products for use in the Field (as hereinafter defined); and

     Whereas, NOVARTIS wishes to obtain from ANESTA, and ANESTA wishes to grant
to NOVARTIS, an exclusive option to enter into an exclusive worldwide license
relating to such products and their use in the Field.

                                   Witnesseth

     Now, Therefore in consideration of the covenants and obligations
hereinafter contained and intending to be legally bound the Parties (as
hereinafter defined) do hereby agree as follows:

                                   ARTICLE I

                                  DEFINITIONS

     Unless specifically provided otherwise, the terms in this Agreement with
initial letters capitalized, whether used in the singular or plural, shall have
the meaning set forth below, or the meaning as designated in places throughout
the Agreement.

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      1.

<PAGE>
 
     1.1  "Affiliate" of any Party shall mean any corporation or other business
entity controlling, controlled by, or under common control with, such Party.
"Control" (including "controlling", "controlled by" and "under common control
with") of any Party, corporation or other business entity shall mean the direct
or indirect beneficial ownership of fifty percent (50%) or more of the voting
stock of, or more than a fifty percent (50%) interest in the income of, such
corporation or other business entity, or such other direct or indirect interest
or relationship as in fact constitutes actual control, provided however, that
Novartis Consumer Health, SA., and its successors and assigns, shall be
considered an Affiliate of NOVARTIS for the purposes of this Agreement.

     1.2  "ANESTA Know-How" shall mean Know-How owned by or licensed (with right
of sublicense) to ANESTA during the Option Period.

     1.3  "ANESTA Patents" shall mean all patent and patent applications owned
by or assigned or licensed (with the right to grant sub-licenses) to ANESTA or
an Affiliate thereof, during the Option Period which claim inventions necessary
or useful to the manufacture, use, or sale of OT-[*] Products, or to defend
those rights in the Field. ANESTA Patents existing as of the Effective Date are
set forth in Appendix A and ANESTA Patents obtained by or assigned or licensed
to ANESTA or an Affiliate thereof during the Option Period shall be promptly
added to said Appendix. ANESTA Patents shall include all divisionals,
continuations, continuations-in-part, re-examinations, reissues, extensions,
registrations and supplementary or complementary certificates and the like.
ANESTA Patents shall also include ANESTA's, or an Affiliate's, share of any
Joint Patent or patent rights jointly owned by ANESTA or such Affiliate thereof
in the event that ANESTA or such Affiliate has not acquired the right to license
all joint owners' shares under such patent rights.

     1.4  "Effective Date" shall mean the date first set forth above.

     1.5  "Field" shall mean the [*] markets for products used for [*].

     1.6  "Joint Patents" shall mean any patents and patent applications which
are or become controlled jointly by NOVARTIS or an Affiliate and ANESTA or an
Affiliate and which claim inventions necessary or useful to the manufacture,
sale, or use of Option Products, which inventions are made, conceived, reduced
to practice in the course of performing the work described in the development
plan. The parties acknowledge that there are no Joint Patents existing as of the
Effective Date of this Agreement. Joint Patents shall be promptly added to
Appendix A. Joint Patents shall include all divisionals, continuations,
continuations-in-part, reissues, extensions, re-examinations or registrations
thereof and any supplementary or complementary protection certificates, and the
like.

     1.7  "Know-How" shall mean all information and technical data, technical
information, trade secrets, specifications, instructions, processes, formulae,
expertise and information necessary or useful to the manufacture, use or sale of
and/or which may be useful in studying, testing, the development, production,
formulation or use of the OT-[*] Products, Prototypes, and Placebos or any
improvement including, without limitation:  biological, chemical,
pharmacological, biochemical, toxicological, pharmaceutical, physical and
analytical, safety, quality control, manufacturing, preclinical and clinical
data, instructions, processes,

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      2.
<PAGE>
 
formulae, expertise and information. Notwithstanding the above, Know-How shall
not include Marketing Data or information, technology or inventions disclosed in
or relating to NOVARTIS' patent application [*], or any improvements or
modifications thereof made independently of this Agreement.

     1.8  "License/Development and Supply Agreements" shall mean the
License/Development Agreement and the Supply Agreement to be negotiated by
ANESTA and NOVARTIS pursuant to Section 2.3.

     1.9  "Marketing Data" shall mean all information and data, except Know-How,
that is generated during and after the Option Period in connection with the
evaluation of the marketability of the OT-[*] Products, including, but not
limited to, positioning concepts, advertising concepts, promotion plans, pricing
analyses, market expansion plans, consumer attitude studies, consumer usage
studies, volumetric data, packaging design concepts, and market simulation
studies.

     1.10  "NOVARTIS Know-How" shall mean Know-How owned by, or licensed (with
right of sublicense) to, NOVARTIS during and after the Option Period; provided
that, NOVARTIS Know-How governed by the terms of this Agreement shall not
include information, technology or inventions disclosed in or relating to
NOVARTIS' patent application [*], or any improvements or modifications thereof
made independently of this Agreement.

     1.11  "NOVARTIS Patents" shall mean any patents and patent applications
which are or become owned or controlled by NOVARTIS or an Affiliate thereof
during the Option Period and which claim inventions necessary or useful to the
manufacture, use or sale of OT-[*] Products. The parties acknowledge that, as of
the Effective Date, there are no existing NOVARTIS Patents which are to be
governed by the terms of this Agreement. NOVARTIS Patents obtained by or
assigned or licensed to NOVARTIS or an Affiliate thereof during the Option
Period shall be promptly added to Appendix A. NOVARTIS Patents shall include all
divisionals, continuations, continuations-in-part, reissues, extensions, re-
examinations or registrations thereof and any supplementary or complementary
protection certificates and the like. NOVARTIS Patents shall also include
NOVARTIS' or an Affiliate's share of any Joint Patent or patent rights jointly
owned by NOVARTIS or such Affiliate thereof in the event that NOVARTIS or such
Affiliate has not acquired the right to license all joint owners' shares under
such patent rights.

     1.12  "Option Period" shall mean a period of [*] from the date of delivery
by NOVARTIS to ANESTA of the option fee payment as described in Article 3.

     1.13  "Option Products" shall mean products in the Field for use in humans,
including ANESTA's OT-[*] Products, ANESTA'S oral transmucosal technology [*],
and derivatives of any of them.

     1.14  "OT-[*] Products" shall mean products for use in humans which contain
[*] as their active ingredient in ANESTA's oral transmucosal drug matrix
attached to a handle.

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      3.
<PAGE>
 
     1.15  "Party" shall mean either ANESTA or NOVARTIS as the context requires
and "Parties" shall mean, collectively, ANESTA and NOVARTIS.

     1.16  "Placebo" shall mean a finished dosage form physically
indistinguishable from an OT-[*] Product, but not containing [*] or any other
active ingredient.

     1.17  "Proprietary Information" shall mean and include, without limitation,
information and data of one Party provided to the other in connection with this
Agreement, including ANESTA Know-How, ANESTA Patents, NOVARTIS Know-How,
NOVARTIS Patents, Joint Patents, Regulatory Materials, and all other scientific,
clinical, regulatory, marketing, financial, and commercial information or data,
whether communicated in writing or orally or by other means.

     1.18  "Prototypes" shall mean variations of OT-[*] Products, modified to
optimize effectiveness, market appeal, or for such other reasons as the Parties
may agree.

     1.19  "Regulatory Materials" shall mean copies of any IND or NDA or other
health registration documents and amendments or supplements thereto filed with
the US Food and Drug Administration (FDA) or other governmental, regulatory or
health authorities in the Territory and all correspondence to and from such
agency relevant to the OT-[*] Products which is known to and/or possessed and/or
acquired by ANESTA, its Affiliates or its licensees ("ANESTA Regulatory
Materials") or NOVARTIS, its Affiliates or its sub-licensees ("NOVARTIS
Regulatory Materials"), as applicable.

     1.20  "Territory" shall mean the world.

     1.21  "Valid Claim" shall mean a claim from any issued patent which has not
been revoked or held invalid or unenforceable by a decision of a court or other
government agency of competent jurisdiction, which decision is unappealable or
unappealed within the time allowed for appeal.

                                  ARTICLE II

                                GRANT OF OPTION

2.1  Option

          Subject to the terms of this Agreement, and effective upon delivery by
NOVARTIS to ANESTA of payment of the option fee as described in Article 3,
ANESTA hereby grants to NOVARTIS and NOVARTIS hereby accepts the exclusive
option (hereinafter referred to as "Option") to enter into an exclusive royalty-
bearing license, with the right to sublicense, under and to the ANESTA Patents
and ANESTA Know-How, to develop, have developed, import, export make, have made,
use, offer for sale, and sell in the Territory and in the Field, either (i) the
OT-[*] Products, or (ii) the Option Products.  Novartis shall have the sole
discretion to elect either the grant described in (i) or (ii) above.

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      4.
<PAGE>
 
          Subject to the conditions set forth herein, ANESTA shall retain co-
exclusive rights from NOVARTIS, to make or have made the OT-[*] Products or
Option Products, as the case may be, solely for sale to Novartis under the
License/Development and Supply Agreements.  NOVARTIS will purchase from ANESTA
NOVARTIS' entire clinical and commercial requirements for OT-[*] Product or
Option Products, as the case may be, provided that (a) the parties reach
agreement on a product supply price, and (b) the parties reach agreement on
other material supply terms, and (c) ANESTA can demonstrate to NOVARTIS'
reasonable satisfaction that ANESTA or its sub-contracted manufacturer has
adequate capacity to meet NOVARTIS' supply requirements.  If after good faith
negotiations between the parties the requirements of (a), (b) and (c) above are
not met, NOVARTIS may elect, in its sole discretion, to manufacture or have
manufactured, by a third party reasonably acceptable to both parties, OT-[*]
Products or Option Products, as the case may be, with appropriate technology
transfer from ANESTA.  Supply term negotiations shall not affect the underlying
license which shall be separately granted.

          During the Option Period and such portion of the 90 day period
following the expiration of the Option Period as is necessary to finalize the
agreements as set forth in Section 2.3, ANESTA agrees not to solicit or
entertain offers from, negotiate with, or in any manner discuss, encourage,
recommend or agree to any proposal of any person or entity with respect to the
matters covered by the Option.

2.2  Activities during Option Period

          During the Option Period, the Parties shall engage in the technical
and commercial evaluation of the OT-[*] Products, Prototypes, and Placebos for
the purpose of facilitating NOVARTIS' decision about whether to exercise the
Option.  In doing so, the Parties shall make reasonable efforts to undertake the
activities described in NOVARTIS' Assessment Plan for the OT-[*] Products,
Prototypes, and Placebos set forth in Appendix B.  NOVARTIS may, in its
reasonable discretion, change such Assessment Plan from time to time, provided,
however, that if such change to the Assessment Plan necessitates a change in
schedule of delivery of OT-[*] Product, Prototypes, and Placebos, or delivery or
completion of other activities by ANESTA, the Parties shall discuss and
implement appropriate adjustments to the schedule to accommodate such changes.
ANESTA will use its commercially reasonable efforts to provide Know-How,
information and Regulatory Materials to NOVARTIS to allow it to conduct the
evaluation pursuant to the timetable in the Assessment Plan and NOVARTIS will
use its commercially reasonable efforts to evaluate each iteration of the OT-[*]
Products, Prototypes, and Placebos and perform its other obligations under the
Assessment Plan in such a manner to permit ANESTA to meet the timetable
contained in the Assessment Plan for ANESTA's activities.  During the Option
Period, each party will bear its own expenses in undertaking evaluation,
development, formulation and testing activities, except that ANESTA will supply
(at ANESTA's sole expense) to NOVARTIS reasonable quantities of OT-[*] Products,
Prototypes, and Placebos necessary to conduct the marketing evaluations and
market research contemplated in the Assessment Plan (such quantities not to
exceed [*] units in the aggregate), and such OT-[*] Products, Prototypes, and
Placebos shall be manufactured pursuant to European Economic Community (EEC) or
FDA (as the case may be) current good manufacturing practices (cGMP).

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      5.
<PAGE>
 
     2.3  Exercising the Option

          NOVARTIS may exercise its Option at any time during the Option Period,
and shall so exercise by (i) notifying ANESTA in writing of NOVARTIS' desire to
exercise the Option, and (ii) entering into good faith negotiations to reach
mutually agreeable License/Development and Supply Agreements.  The Parties shall
complete such negotiations and sign such Agreements within three (3) months of
expiration of the Option Period, unless the Parties mutually agree to extend the
time.  In the event that NOVARTIS does not exercise the Option in accordance
with (i) and (ii) above prior to the end of the Option Period, or the Parties do
not enter into mutually agreeable License/Development and Supply Agreements
within three (3) months of the expiration of the Option Period or such other
time as is agreed to by the Parties and provided that the parties have
negotiated in good faith and subject to Section 2.4, ANESTA shall have no
further obligation to NOVARTIS hereunder, shall be free to enter into any
license agreement with respect to Option Products in the Field with any third
party on any terms ANESTA may, in its sole discretion, deem appropriate.

     2.4  NOVARTIS Right of First Refusal

          If ANESTA desires to accept a bona fide offer from a third party (a
"Third Party Offer") regarding any of the grants described in Section 2.1 during
the three (3) month period commencing from the later of (i) the date of
expiration of the Option Period or (ii) the last date of the three month period
to finalize the agreements as set forth in Section 2.3, ANESTA shall promptly
notify NOVARTIS of such Third Party Offer in writing (the "Third Party Notice"),
subject to a binder of confidentiality.  The Third Party Notice shall contain
all of the material terms and conditions concerning the proposed offer and the
Third Party Notice shall contain a copy of the Third Party Offer (but need not
contain the form of the complete agreement with respect thereto or the identity
of the third party).  In the event that the third party objects to disclosure of
the offer to Novartis, the Third Party Offer shall be submitted to a mutually
agreed upon intermediary who shall summarize the material terms and conditions
of the offer.  Such summary shall be annexed to the Third Party Notice.

          NOVARTIS shall have forty-five (45) days after the date of its receipt
of the Third Party Notice to give written notice that it wishes to enter into a
contract with ANESTA on the material terms and conditions set out in the Third
Party Notice (the "Novartis Notice").  If NOVARTIS fails to deliver the Novartis
Notice within the time permitted under this Section 2.4, Anesta shall be free to
enter into an Agreement with such third party on the terms set out in the Third
Party Notice, in ANESTA's sole discretion.  If NOVARTIS timely delivers the
Novartis Notice to ANESTA, Anesta and Novartis shall execute the final agreement
based on the Third Party Notice not later than ninety (90) days after the date
of the Novartis Notice.

                                  ARTICLE III

                                 OPTION PAYMENT

     In consideration for the Option granted in Section 2.1, NOVARTIS shall pay
to ANESTA [*] United States dollars (US$[*]) not later than 10 days after the
Effective Date of this Agreement.  This payment shall be made in United States
dollars and shall be paid by wire

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      6.
<PAGE>
 
transfer to a bank account designated by ANESTA. This payment for the Option
Period shall be nonrefundable, except under the conditions addressed in Sections
11.1 and 15.2, and shall be credited in full by ANESTA against development
costs, milestones, upfront fees, or royalties, which may be required to be paid
by NOVARTIS under the License/Development and Supply Agreements.

                                  ARTICLE IV

                      TRANSFER OF KNOW-HOW AND INSPECTIONS

     Subject to the provisions of Article 6, ANESTA shall promptly after the
Effective Date disclose to NOVARTIS all ANESTA Know How relevant to the Option
Products then in its possession that has not been disclosed prior to the
Effective Date.  ANESTA shall provide copies to NOVARTIS of ANESTA Know-How,
except to the extent NOVARTIS and ANESTA agree that copying is unnecessary (e.g.
ANESTA's Standard Operating Procedures) or overly burdensome (e.g. clinical
study case report forms).  From time to time, during the Option Period, ANESTA,
to the extent it is free to share such information, shall make available to
NOVARTIS Know-How which NOVARTIS reasonably requires to facilitate its research,
development and commercialization of the OT-[*] Products, Prototypes, and
Placebos in the Field.  During the Option Period, ANESTA shall permit NOVARTIS
upon ten (10) days advance notice and at reasonable times of the business day to
inspect Know-How (other than Know-How for which copies have been provided) and
facilities and equipment of ANESTA, wherever located, provided, however, that
such inspection rights shall be subject to the regulations and other
requirements of the FDA and the US Drug Enforcement Administration and ANESTA's
obligations of confidentiality to its customers for other ANESTA products.  From
time to time, during the Option Period, NOVARTIS, to the extent it is free to
share such information, shall make available to ANESTA stability data and other
physical data which ANESTA reasonably requires to facilitate its development of
the OT-[*] Products, Prototypes, and Placebos.  ANESTA agrees that NOVARTIS is
under no obligation to disclose to ANESTA Marketing Data, but NOVARTIS will from
time to time present to ANESTA general summaries of consumer interest in the OT-
[*] Product based upon the NOVARTIS Marketing Data.

                                   ARTICLE V

                       INDEMNIFICATION AND HOLD HARMLESS

     5.1  NOVARTIS Indemnity

          Subject to the provisions of Section 5.3, NOVARTIS shall defend and
indemnify and hold harmless ANESTA and its Affiliates and their respective
directors, officers, agents and employees from and against any and all losses,
liabilities, claims, damages, penalties, fines, costs and expenses (including
reasonable legal fees and other litigation costs, regardless of outcome) arising
out of any and all governmental or third-party private actions (or their
insurers under rights of subrogation or otherwise) that are related in any way
(i) to NOVARTIS', its Affiliates' and/or sub-licensees' development,
importation, sale, manufacture, packaging, promotion, marketing, distribution,
storage or use of the OT-[*] Products, Prototypes, and Placebos; (ii) to any
claim of failure by NOVARTIS, its Affiliates and/or sub-licensees to comply with

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      7.
<PAGE>
 
governmental requirements relating to the OT-[*] Products, Prototypes, and
Placebos including, but not limited to, the reporting of adverse events and
safety information or (iii) to NOVARTIS', its Affiliates' and/or sub-licensees'
negligence or any acts or omissions by NOVARTIS in connection with the OT-[*]
Products, Prototypes, and Placebos or in violation of its obligations under this
Agreement.

     5.2  ANESTA Indemnity

          Subject to the provisions of Section 5.3, ANESTA shall defend and
indemnify and hold harmless NOVARTIS, its Affiliates and sub-licensees and their
respective directors, officers, agents and employees from and against any and
all losses, liabilities, claims, damages, penalties, fines, costs and expenses
(including reasonable legal fees and other litigation costs, regardless of
outcome) arising out of any and all governmental or third-party private actions
(or their insurers under rights of subrogation or otherwise) that are related in
any way (i) to the development, manufacture, packaging, storage, use,
distribution, and importation of the OT-[*] Products, Prototypes, and Placebos
by ANESTA, any Affiliate of ANESTA or any licensee of ANESTA other than
NOVARTIS; (ii) to any claim of failure by ANESTA, any Affiliate of ANESTA or any
licensee of ANESTA other than NOVARTIS to comply with governmental requirements
relating to the OT-[*] Products, Prototypes, and Placebos including, but not
limited to, the reporting of adverse events and safety information; and (iii) to
ANESTA', its Affiliate's or its licensee's negligence or any acts or omissions
by ANESTA, its Affiliate or any licensee of ANESTA other than NOVARTIS in
connection with the OT-[*] Products, Prototypes, and Placebos or in violation of
its obligations under this Agreement.

     5.3  Indemnity Procedure

          The Party to be indemnified (the "Indemnitee") shall notify the
indemnifying party (the "Indemnitor") in writing promptly, but no later than
fifteen (15) days after becoming aware, of any claims, suits, actions or
proceedings made or instituted against it or which may be made or instituted
against it in respect of which indemnification may be sought hereunder.  The
Indemnitee shall cooperate with the Indemnitor in the defense of any claim.  The
Indemnitor shall have the right to select defense counsel and direct the defense
or settlement of any such claim or suit.  The Indemnitee shall have the right to
select and obtain representation by separate legal counsel, at its own expense.

     5.4  Insurance
          (a)  ANESTA hereby warrants that it maintains a policy or program of
          insurance at levels no less than three million United States dollars
          (US$ 3,000,000) for each occurrence and in the aggregate, to support
          the indemnification obligations assumed under this Article 5.

     (b)  NOVARTIS hereby warrants that it maintains a policy or program of
          insurance or self-insurance at levels sufficient to support the
          indemnification obligations assumed under this Article 5.

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      8.
<PAGE>
 
                                  ARTICLE VI

                                CONFIDENTIALITY

     6.1  Confidentiality Obligations

          During the term of this Agreement and for a period of five (5) years
thereafter (which period shall be ten (10) years in the case of trade secrets as
defined in the Uniform Trade Secrets Act), each Party shall receive and keep all
Proprietary Information of the other Party in complete confidence in the same
manner and with the same protection as such Party maintains for its own
proprietary information and hereby covenants not to use such Proprietary
Information or any part of it except for the purposes of this Agreement or
disclose or make such Proprietary Information or any part of it available to
third parties except:

          (a)  to its employees, Affiliates and responsible sub-contractors or
agents (including attorneys) who require such Proprietary Information for the
express purposes of this Agreement and who are bound in writing to the receiving
Party in a manner consistent with the confidentiality provisions of this
Agreement; provided, that, ANESTA shall not have the right to share NOVARTIS
Proprietary Information in the Field with any of ANESTA' sub-licensees without
the prior written consent of NOVARTIS;

          (b)  for disclosure to governmental health or regulatory agencies for
the purposes of obtaining and maintaining any necessary regulatory approvals for
the Option Products in the Territory or of prosecution of patents related to
Option Products (and then, to the fullest extent possible, only under conditions
of confidentiality);

          (c)  to the extent that the disclosing Party may agree in writing;

          (d)  to the extent that such can be clearly demonstrated by prior
written documents in its possession to be known to the receiving Party or an
Affiliate of the receiving Party from a source other than the disclosing Party
or an Affiliate of the disclosing Party who is not in breach or default of any
confidentiality obligation to the disclosing Party or an Affiliate of the
disclosing Party at the time of receipt from the disclosing Party hereunder;

          (e)  to the extent that such is a matter of public knowledge at the
time of disclosure hereunder or becomes a matter of public knowledge other than
by breach of this Agreement by the receiving Party, its employees or anyone that
received Proprietary Information from the receiving Party;

          (f)  to the extent that it is required by law or bona fide legal
process to be disclosed (and then, to the fullest extent possible, only under
conditions of confidentiality).

          Each Party specifically agrees that, except as shall be necessary for
governmental notification purposes or to comply with applicable laws and
regulations, it will not provide a copy of this Agreement or any other related
agreement to any third party except its employees, Affiliates and responsible
sub-contractors or agents (including attorneys) who require such copy for the
express purposes of this Agreement and to its financial advisors (including any
person or

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      9.
<PAGE>
 
entity who may be interested in investing in or acquiring all or substantially
all of the assets or securities of such Party) and the Party providing the copy
shall do so only in a manner consistent with the confidentiality provisions of
this Agreement.

     6.2  Prior Confidentiality Agreements

          Proprietary Information disclosed by either Party to the other Party
prior to the Effective Date of this Agreement under any previous agreements
between ANESTA and NOVARTIS shall be treated as Proprietary Information under
this Article 6 notwithstanding the expiration of the prior Confidentiality
Agreements.  All Proprietary Information disclosed by either Party to the other
Party after the Effective Date of this Agreement shall be governed by this
Article 6.

     6.3  Public Announcement

          Except as shall be necessary for governmental notification purposes or
to comply with applicable laws and regulations, and except as otherwise agreed
to by the Parties in writing, the Parties agree to keep the existence of this
Agreement, the transactions contemplated hereby, and any proposed termination
hereof strictly confidential, provided that the Parties shall make an initial
public announcement as to this Agreement in the form attached hereto as Appendix
C.  Prior to making any subsequent public announcements regarding this Agreement
or the transactions contemplated herein, each Party agrees to provide the other
Party with a reasonable opportunity to review and comment upon such proposed
announcement.  Written agreement between the Parties shall be required prior to
release of any such subsequent public announcement and such agreement shall not
be unreasonably withheld.

                                  ARTICLE VII

                           CLEARANCE OF PUBLICATIONS

     If either Party wishes to make any written or oral public disclosure (e.g.,
speeches or publications in scientific journals or other publications) relating
to the OT-[*] Products in the Field, whether or not such disclosure involves the
disclosure of Proprietary Information of the other Party, the Party seeking to
make such public disclosure (the "Disclosing Party") shall provide the other
Party with details of the proposed written or oral public disclosure and/or an
advance copy of any proposed publication sixty (60) days prior to the earlier of
(i) the intended date of release or (ii) the submission of written text or
abstract of a speech for oral presentation or of written material for
publication.  The other Party shall have thirty (30) days to make any comments
or recommend any changes it reasonably believes are necessary to preserve
intellectual property rights or Proprietary Information and the incorporation of
such changes shall not be unreasonably refused by the Disclosing Party; and if
such other Party informs the Disclosing Party within thirty (30) days of receipt
of an advance notice of an oral public disclosure or copy of a proposed
publication (i) that such public disclosure or publication, in its reasonable
judgment, is expected to have a materially adverse effect on its intellectual
property rights or Proprietary Information, or (ii) of some other reasonable
objection, the Disclosing Party shall use its best efforts to delay or prevent
public disclosure or such publication.  Such delay shall be sufficiently long as
to permit the timely preparation and filing of patent applications if

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      10.
<PAGE>
 
the reason given by the other Party for delaying public disclosure or
publication is that it would disclose patentable inventions.

                                 ARTICLE VIII

                   OWNERSHIP OF INTELLECTUAL PROPERTY RIGHTS

     8.1  Prototypes, ANESTA Proprietary Information, ANESTA Patents, ANESTA
Know-How and any resulting inventions (whether patentable or not) which are
made, conceived, reduced to practice or generated solely by ANESTA's employees
or agents shall belong exclusively to ANESTA.

     8.2  NOVARTIS Proprietary Information, NOVARTIS Patents, NOVARTIS Know-How
and any resulting inventions (whether patentable or not) which are made,
conceived, reduced to practice or generated solely by NOVARTIS' employees or
agents shall belong exclusively to NOVARTIS.

     8.3  ANESTA and NOVARTIS shall each own a fifty percent (50%) undivided
interest in any Know-How, Joint Patents and any resulting inventions (whether
patentable or not) made, conceived, reduced to practice or generated jointly by
employees, agents or other persons acting on behalf of both Parties. Subject to
the Terms of this Agreement, and in the event that (i) NOVARTIS does not
exercise the Option prior to the end of the Option Period, or (ii) the Parties
do not enter into mutually agreeable License/Development and Supply Agreements
within the timeframe as is agreed to by the Parties, or (iii) the Parties
subsequently terminate such Agreements, each joint owner may make, use and sell
outside the Field jointly owned inventions, discoveries, Know-How, and Joint
Patents without accounting to the other joint owner in accordance with its
undivided rights hereunder. Notwithstanding the prior sentence, neither party
shall make, use or sell in the Field jointly owned inventions, discoveries,
Know-How, or Joint Patents with respect to applications in the Field, without
(i) prior written consent of both Parties, which consent will not be
unreasonably withheld, and (ii) compensation in an amount to be determined.
During the Option Period and the term of the License/Development and Supply
Agreements, ANESTA will not make, use or sell in the Field jointly owned
inventions, discoveries, Know-How, or Joint Patents.

     8.4  Marketing Data shall be owned exclusively by NOVARTIS.

     8.5  NOVARTIS Patents governed by the terms of this Agreement shall not
include NOVARTIS' patent application [*], or any patents or patent applications
emanating from said application, relating to information, technology or
inventions disclosed in or relating to said application, or any improvements or
modifications thereof made independently of this Agreement, and ANESTA shall not
be granted any rights with respect thereto pursuant to the terms of this
Agreement.

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      11.
<PAGE>
 
                                  ARTICLE IX

                                    NOTICES

     9.1  Any notice or other communication required or permitted to be given or
made hereunder shall be in writing in the English language and shall be deemed
to have been duly given if sent by facsimile letter, courier, or delivered by
hand to the Party to whom such notice or communication is required or permitted
to be given. If sent by facsimile letter such notice shall be deemed to have
been given on the date that it is sent provided that a confirmatory copy of the
facsimile letter is mailed on the same day as the facsimile letter is sent to
the receiving Party. If delivered by hand or by courier, any such notice or
communication shall be considered given when delivered.

     9.2  All notices to ANESTA or to any transferee or designee of ANESTA,
pursuant to this Agreement shall be addressed as follows:

               ANESTA CORP.
               4745 Wiley Post Way,
               Plaza 6, Suite 650,
               Salt Lake City, UT, 84116 USA
               Telephone:  (001) 801-595-1405
               Facsimile:  (001) 801-595-1406
               Attention:  Chief Executive Officer

          With copy to:

               COOLEY GODWARD LLP
               3000 El Camino Real
               Palo Alto, CA 94306-2155 USA
               Telephone:  (001) 650-843-5000
               Facsimile:  (001) 650-857-0663
               Attention:  Jana R.  Miller, Esq.

     9.3  All notices to NOVARTIS shall be addressed as follows:
               NOVARTIS Consumer Health, Inc.
               560 Morris Avenue
               Summit, NJ 07901 USA
               Telephone:  (001) 908-598-7600
               Facsimile:  (001) 908-522-1781
               Attention:  General Counsel

     9.4  Either Party may change the address to which notice and other
communications to it are to be given by notice as provided herein.

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      12.
<PAGE>
 
                                   ARTICLE X

                             TERM OF THIS AGREEMENT

     Unless sooner terminated as provided herein, this Agreement shall commence
on the Effective Date hereof and shall continue in full force and effect until
the expiration of the Option Period.

                                  ARTICLE XI

                         TERMINATION OF THIS AGREEMENT

     11.1  Termination for Breach

           In the event that either Party shall be in breach of any material
obligation hereunder, the non-breaching Party shall give written notice to the
other Party specifying the claimed particulars of such breach, and in the event
such material breach is not cured, or effective steps to cure such material
breach have not been initiated or are not thereafter diligently pursued, within
sixty (60) days following the date of such written notification, the non-
breaching Party shall have the right thereafter to terminate this Agreement by
giving thirty (30) days' prior written notice to the other Party to such effect.
Notwithstanding the foregoing, if NOVARTIS fails to make payments due under
Article 3 hereof within ten (10) days of receiving written notice of its failure
to make such payments when due, ANESTA may terminate the Agreement by giving
written notice to NOVARTIS to such effect.  In the case of a breach by ANESTA
relating to ANESTA's Representations in Section 15.2 below, ANESTA shall refund
all Option Payments in full to NOVARTIS.

     11.2  Termination in Insolvency

           Either Party shall have the right to terminate this Agreement
effective upon written notice to the other Party in the event the non-notifying
Party becomes insolvent, or makes an assignment for the benefit of creditors, or
has a receiver or trustee appointed for substantially all of its property or in
the event that voluntary or involuntary bankruptcy proceedings are instituted
against the non-notifying Party or on the non-notifying Party's behalf.

     11.3  Effect of Termination or Expiry of Option

           Upon termination of this Agreement for whatever reason or upon
NOVARTIS' election not to exercise its option during the Option Period or
NOVARTIS' failure to exercise its option during the Option Period (i) all rights
granted to NOVARTIS under this Agreement shall terminate and (ii), except as
provided below, each Party shall return to the other Party all Proprietary
Information of the other Party and copies or versions thereof, except that each
Party may retain one (1) copy of such Proprietary Information of the other Party
in its legal department in order to ascertain its continuing obligations under
Article 6.  Upon termination of this Agreement for whatever reason NOVARTIS will
return to ANESTA all OT-[*] Products, Prototypes, and Placebos.

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      13.
<PAGE>
 
                                 ARTICLE XIII

                         RIGHT TO EXTEND TO AFFILIATES

      Either Party shall have the right to extend all or part of the rights
granted in this Agreement to any of its Affiliates; provided, that such Party
shall not then be in default with respect to any of its obligations under this
Agreement.  All the terms and provisions of this Agreement, except this right to
extend, shall apply to such Affiliate to which this option has been extended to
the same extent as they apply to either of NOVARTIS or ANESTA, as the case may
be.

                                  ARTICLE XIV

                                   ASSIGNMENT

      Unless consent in writing is first obtained from the other Party, such
consent not to be unreasonably withheld, this Agreement and the rights granted
herein shall not be assignable by either Party hereto, except to a successor to
all or substantially all of its business.  Any attempted assignment without
consent shall be void.  Notwithstanding the foregoing, the Parties agree that
NOVARTIS shall have the right to assign this Agreement to an Affiliate without
ANESTA's consent.  Any permitted assigns shall assume all obligations of its
assignor under this Agreement.

                                   ARTICLE XV

                         REPRESENTATIONS AND WARRANTIES

     15.1  Representations and Warranties

           Each Party hereby represents and warrants for itself as follows:

           (a)  It is a corporation duly organized, validly existing and is in
good standing under the laws of the jurisdiction of its incorporation with the
full power to conduct its affairs as currently conducted and contemplated in
this Agreement.

           (b)  The execution, delivery and performance by it of this Agreement
have been duly authorized by all necessary corporate action and do not and will
not (i) require any consent or approval of its stockholders; (ii) violate any
provision of any law, rule, regulation, order, writ, judgment, injunction,
decree, determination or award presently in effect having applicability to it or
any provision of its charter or by-laws; or (iii) result in a breach of, or
constitute a default under, any material agreement, mortgage, lease, license,
permit or other instrument or obligation to which it is a party or by which it
or its properties may be bound or affected.

           (c)  No authorization, consent, approval, license, exemption of, or
filing or registration with, any court or governmental authority or regulatory
body is required for the due execution, delivery or performance by it of this
Agreement, except as provided herein.

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      14.
<PAGE>
 
           (d)  This Agreement is a legal, valid and binding obligation of such
party, enforceable against it in accordance with its terms and conditions.

           (e)  It is not under any obligation to any person, contractual or
otherwise, that is conflicting or inconsistent in any respect with the terms of
this Agreement or that would impede the diligent and complete fulfillment of its
obligations hereunder.

           (f)  Any clinical investigations carried out with respect to any
Option Product shall be conducted in accordance with good manufacturing
practices and good clinical practices applicable in the jurisdiction in which
such investigation is conducted, including but not limited to, EEC and FDA good
manufacturing and good clinical practice. The owner of the IND under which any
clinical investigation is carried out will control the overall conduct of the
study and communications with FDA.

     15.2  Representation and Warranties of ANESTA

           (a)  ANESTA warrants that, after making reasonable inquiry, it has no
information as of the Effective Date of this Agreement to indicate that the
practice by NOVARTIS of any rights it could license under the ANESTA Patents in
the Field, in the Territory, in accordance with the rights granted under Section
2.1 of this Agreement, would infringe any valid third-party patent or other
proprietary right of a third-party.

           (b)  ANESTA warrants that it has no information as of the Effective
Date of this Agreement to indicate that the OT-[*] Product [*].

           (c)  ANESTA represents that as of the Effective Date it owns or
possesses all right, title and interest in and to the ANESTA Patents and the
ANESTA Know-How, in the sense of being able to convey to NOVARTIS an exclusive
license thereunder in the Field in the Territory, in accordance with the rights
granted under Section 2.1 of this Agreement.

           (d)  THE REPRESENTATIONS AND WARRANTIES IN SECTIONS 15.1 AND 15.2
HEREOF ARE IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, AND
SPECIFICALLY, WITHOUT LIMITATION, ANESTA DISCLAIMS ANY IMPLIED WARRANTIES OF
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.

     15.3  Exclusion of Consequential Loss

          Notwithstanding any provisions to the contrary in this Agreement, in
no event (including fault, negligence or strict liability of either Party) shall
either Party be liable to the other for indirect, incidental, consequential,
special, punitive or exemplary damages, loss of profit or loss of use related to
any claim, cause of action, proceeding or judgment arising in connection with
this Agreement.

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      15.
<PAGE>
 
                                  ARTICLE XVI

                                      LAW

     This Agreement shall be governed by and interpreted in accordance with the
laws of the State of New Jersey without regard to that State's rules on
conflicts of law.

                                  ARTICLE XVII

                                 FORCE MAJEURE

     Each of the Parties hereto shall be excused from the performance of its
obligations hereunder in any country or countries of the Territory in the event
such performance is prevented by force majeure, and such excuse shall continue
as long as the condition constituting such force majeure continues plus thirty
(30) days after the termination of such condition.  For the purpose of this
Agreement, force majeure is defined as follows:  causes beyond the reasonable
control of NOVARTIS or ANESTA (as the case may be), including, without
limitation, acts of God, acts, regulations or laws of any government, war, civil
commotion, destruction of production facilities or materials by fire, earthquake
or storm, labor disturbances (whether or not any such labor disturbance is
within the power of the affected Party to settle), epidemic, and failure of
suppliers, public utilities or common carriers.  In the event of force majeure
lasting more than six (6) months, the Parties agree to meet and discuss how this
Agreement can be justly and fairly implemented under the circumstances
prevailing in such country or countries and if the Parties are unable to agree
upon how the Agreement can be implemented then either Party may terminate the
Agreement in relation to such country or countries upon thirty (30) days'
written notice.

                                 ARTICLE XVIII

                                 MISCELLANEOUS

     18.1  Severability

           Should any part or provision of this Agreement be held unenforceable
or in violation of or in conflict with any applicable law or regulation of any
jurisdiction, the invalid or unenforceable provision shall be replaced with a
provision which accomplishes, to the extent possible, the original business
purpose and economic benefit of such part or provision in a valid and
enforceable manner, and the balance of this Agreement (including any such
replacement provision) shall continue in full force and effect and be binding
upon the Parties hereto.  To implement the requirements of this Section 18.1,
NOVARTIS and ANESTA agree to endeavor in good faith to agree upon the wording of
any replacement provision.

     18.2  No Exclusion of Legal Rights

           Nothing in this Agreement is intended to nor shall it have the effect
of excluding, modifying or restricting any right or remedy available under any
relevant law which, by virtue of any such law, cannot be excluded, modified or
restricted.

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      16.
<PAGE>
 
     18.3  Survival

           Articles 5, 6, 7 (with respect to written or oral public disclosures
containing information generated during the Option Period only), 8.3, 11.3, 12,
15, and 16 shall be in force during the Option Period and shall survive
termination or expiration (as the case may be) of this Agreement and shall
remain in full force and effect.  The provisions of this Agreement which do not
survive termination or expiration hereof (as the case may be) shall nonetheless
be controlling on, and shall be used in construing and interpreting the rights
and obligations of the Parties hereto with regard to any dispute, controversy or
claim which may arise under, out of, in connection with, or relating to this
Agreement.

     18.4  Entire Agreement

           This Agreement constitutes the entire understanding between the
Parties with respect to the subject matter hereof and supersedes and replaces
all previous negotiations, understandings and representations whether written or
oral including, but not limited to, prior Confidentiality Agreements between
ANESTA and NOVARTIS and such Confidentiality Agreements shall be terminated upon
the Effective Date of this Agreement.  The Parties' obligations of
confidentiality, non-disclosure and non-use under the Confidentiality Agreements
shall continue with respect to confidential information disclosed prior to their
termination, and shall be subject to the provisions of Article 6 hereof.  This
Agreement shall not be modified, altered or amended except by a written document
signed on behalf of and delivered by both Parties hereto.

     18.5  No License

           Except as specifically set forth herein, neither Party is granted any
rights or license by implication or otherwise.

     18.6  Adverse Event Reporting

           ANESTA and NOVARTIS shall cooperate with respect to the exchange of
adverse event and safety information associated with the OT-[*] Products.
Details of the cooperation in the handling of adverse event and safety
information related to the OT-[*] Products shall be the subject of an addendum
agreed upon between the Parties.

     18.7  Waiver

           Any waiver on the part of either Party hereto of any right or
interest hereunder shall be effective only if made in writing and shall not
(unless expressly so stated) constitute or imply a waiver of any other right or
interest, or a subsequent waiver.

     18.8  Relationship of the Parties

           NOVARTIS and ANESTA shall act solely as independent contractors and
nothing in this Agreement shall be construed to create a partnership or joint
venture or legal entity between ANESTA and NOVARTIS, nor shall it give either
ANESTA or NOVARTIS the power or authority to act for, bind or commit the other
in any way.  Neither Party is authorized to

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      17.
<PAGE>
 
make any statement, claims, representations or warranties, or to act on behalf
of the other, except as specifically authorized in writing by the other Party.
Accordingly, neither Party shall have the right to use or refer to the name,
tradenames, trademarks or logo of the other or its Affiliates or agreements with
the other without the prior written consent of the other.

     18.9  Forum Selection and Jurisdiction

           The Parties agree to bring any suit, claim or proceeding against each
other arising from this Agreement in the United States District Court for the
District of New Jersey, and, solely for any such suit, claim or proceeding, they
consent to the personal jurisdiction of such court and waive any objections to
venue in such court.

     18.10 Language

           This Agreement is entered into in the English language.  In the event
of any dispute concerning the construction or meaning of this Agreement,
reference shall be made only to this Agreement as written in English and not to
any translation hereof into any other language, and this English language
version shall be controlling for all purposes.

     18.11 Titles

           The titles used herein are for illustration purposes only and shall
not be construed as part of this Agreement.

           In Witness Hereof, the Parties have caused this Agreement to be
executed by their duly authorized representatives.

Anesta Corp.                         Novartis Consumer Health, Inc.



By: /s/ Thomas B. King                By:/s/ Frederic J. Huser
   ---------------------------------     -----------------------------------
Name: Thomas B. King                  Name: Frederic J. Huser
     -------------------------------        --------------------------------
Title: President and CEO              Title: President
      ------------------------------         -------------------------------

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      18.
<PAGE>
 
                                   Appendix A

                                 ANESTA PATENTS


[*]

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      1.
<PAGE>
 
                                  Appendix B

                           NOVARTIS ASSESSMENT PLAN

                    Technical/Commercial Evaluation Period
                                OT-[*] Product
                                    between
                              ANESTA Corporation
                                      and
                        NOVARTIS Consumer Health, Inc.

Exclusive Option Agreement:  February, 1999
(to incorporate Stage I - IV)

Stage I (Due Diligence)
- -----------------------

Proposed duration:  [*] ([*])

NOVARTIS Consumer Health will conduct due diligence activities for approximately
the next [*].  (See detailed technical due diligence proposal attached).

The outcomes of the technical due diligence are as follows:

 .  Decision to proceed to next stage.

 .  Identify minimal acceptable profile for the product. These will include
   criteria in the formulation, manufacturing, clinical, regulatory, quality
   assurance and patent areas. Marketing/Commercial assessment will not be
   completed until [*] for the [*]. [*] will continue into [*].

 .  Request an End of Phase II Meeting with FDA in [*]. ANESTA and NOVARTIS will
   jointly attend. If meeting is scheduled for [*], Phase III studies could
   start [*].

Stage II (Drafting of the Development Program)
- ----------------------------------------------

Proposed duration:  [*] ([*])

ANESTA Corporation and NOVARTIS Consumer Health will jointly draft and agree to
a full development program for the OT-[*] product.  The plan will include the
following:

 .  All key activities by area (i.e. formulation/manufacturing, clinical
   development, regulatory, marketing, etc.)
 .  Timing for each key activity.
 .  Milestones will be identified.
 .  Estimated costs.
 .  Responsibilities.

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      1.
<PAGE>
 
 .  Resolution of issues raised during due diligence.
 .  Identify key markets and opportunities.


Stage III (Heads of Agreement)
- ------------------------------

Proposed duration:  [*] ([*])

ANESTA Corporation and NOVARTIS Consumer Health will jointly draft and agree to
the Heads of Agreement.  The following will be included:

 .  All key Terms for development, manufacturing and licensing.
 .  Milestone payments to be determined based on development plan.

Stage IV (Execution of Agreement)
- ---------------------------------

Proposed duration:  [*] ([*])

ANESTA Corporation and NOVARTIS Consumer Health will jointly draft, agree and
execute the Development, Manufacturing and Licensing Agreement.

                       Technical/Commercial Due Diligence
                                 OT-[*] Product
                                    between

ANESTA Corporation

                                      and

Novartis Consumer Health, Inc.

The Technical Due Diligence period (Stage I) will take approximately [*], and is
outlined below.

Stage I:  Due Diligence
- -----------------------

Clinical

The NOVARTIS Medical Affairs and Clinical Operations Department will need to
review all clinical data and reports as follows:

 .  [*]
 .  [*]
 .  [*] ([*])
 .  [*] ([*])
The evaluation of this data will take approximately [*].

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      2.
<PAGE>
 
Regulatory

The NOVARTIS Regulatory Affairs Department will need to review the following:

 .  Clinical information as stated above
 .  IND
 .  Chemistry, Manufacturing and Control data (including formulation, processing,
   analytical testing methods/specification, [*] and all relevant development
   reports).
 .  FDA correspondences (including letters, meeting minutes, 483s, EIRs and ADE
   reports.

This evaluation will take approximately [*].

Quality Assurance

The NOVARTIS Quality Assurance Department will need to review/inspect the
following:

 .  Audit the manufacturing plant, laboratories and facilities.
 .  Review SOPs, GMPs and GCPs.
 .  Review Development reports.

This evaluation will take approximately [*].

Product Development and Manufacturing

The NOVARTIS Product Development and Manufacturing Departments will need to
review the following:

 .  Formulation and processing data, including all development reports.
 .  [*] reports.  ([*] will continue into [*])
 .  Packaging data, including information on [*].
 .  Inspection of commercial manufacturing area.
 .  Commercial manufacturing capacities (Processing and Packaging).
 .  Additional equipment and facilities needed for commercial manufacturing.
 .  Analytical and process validation protocols and reports if available
   (including scale-up data).
 .  Cost of Goods estimate.

This evaluation will take approximately [*].

Patent

The NOVARTIS Patent Attorney will need the following for assessment:

 .  List of all patents covering this technology and product.
 .  All formulation, processing and technology information.

The above information will be needed in order to assess the enforceability of
the ANESTA patents and to determine third party rights.  The evaluation will
take approximately [*].

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      3.
<PAGE>
 
Commercial

Consumer research will be conducted in [*].  These studies will take
approximately [*] in [*], and [*] in the [*].  (NCHI will continue consumer
research after technical due diligence has been completed.)  Both active and
placebo OT-[*] units will be required for this testing.  Quantities and [*] need
to be determined.

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      4.
<PAGE>
 
                                   Appendix C

                          INITIAL PUBLIC ANNOUNCEMENT

[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      1.
<PAGE>
 
                           [Anesta Corp. letterhead]

                                                                     DRAFT v.2.3

For Immediate Release                        Contact:  Thomas B. King or
                                                       Roger P. Evans
                                                       801.595.1405

        Anesta Corp. Enters into OTS(TM) Option Agreement with Novartis

SALT LAKE CITY, UT  [date] -- Anesta Corp. (Nasdaq: NSTA) announced that it has
entered into an option agreement with Novartis involving Anesta's proprietary
Oral Transmucosal System (OTS) for drug delivery.  The option agreement includes
a collaboration that combines OTS with undisclosed compounds that may lead to
one or more product candidates.  Under the terms of the option agreement,
Novartis and Anesta will assess the world wide commercial potential of these
potential products, with the goal of entering into an exclusive licensing
agreement.

"We are excited to be entering into a research and development collaboration
with a company that has a very strong position in both prescription and over the
counter markets on a global basis," said Thomas B. King, Anesta's President  and
CEO.

Anesta is a leader in the development of new pharmaceutical products for oral
transmucosal drug administration.  The Company's principal product is Actiq
(oral transmucosal fentanyl citrate) which was approved by the FDA on November
4, 1998.  Actiq is the first product specifically designed, studied and approved
for breakthrough cancer pain.  Actiq is indicated only for the management of
breakthrough cancer pain in patients with malignancies who are already receiving
and who are tolerant to opioid therapy for their underlying persistent cancer
pain.  The Company's first approved product, Fentanyl Oralet (oral transmucosal
fentanyl citrate), is indicated for use as a premedication before surgery and
for sedation/analgesia prior to painful procedures in children and adults in a
monitored anesthesia setting.  Actiq and Fentanyl Oralet are marketed by Abbott
Laboratories in the United States under a license agreement with Anesta.  The
Company also has three investigational products undergoing clinical evaluation;
OT nicotine for smoking cessation, OT-fentanyl for acute pain management, and
OT-etomidate for short-acting sedation.

This news release contains forward looking statements that involve risk and
uncertainties.  Future events may differ materially from those discussed herein,
due to a number of factors, including uncertainties related to the combination
of OTS with the compounds to be studied pursuant to the option agreement and the
ability of the Company and Novartis to agree on satisfactory terms for an
exclusive licensing agreement.  These factors are more fully discussed in the
Company's Prospectus dated December 16, 1998, under the headings "Risk Factors -
Our Ability to Develop Additional Products is Uncertain" and "Risk Factors - We
Will Need to Find Corporate Partners for Our New Products."  In addition, the
Company's results could also be affected by a number of other risks and
uncertainties which are more fully discussed under the headings "Risk Factors"
and "Management's Discussion and Analysis of Financial Condition and Results of
Operations" in the Company's Prospectus dated December 16, 1998.



[*] = Certain confidential information contained in this document, marked by
brackets, has been omitted and filed separately with the Securities and Exchange
Commission pursuant to Rule 24B-2 of the Securities Exchange Act of 1934, as
amended.

                                      2.

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