EXHIBIT 99.1

KORU Medical Systems Announces 2022 First Quarter Financial Results

CHESTER, NY – May 4, 2022 – Repro Med Systems, Inc. dba KORU Medical Systems (NASDAQ: KRMD) ("KORU Medical" or the "Company"), a leading medical technology company focused on the development, manufacturing, and commercialization of innovative and easy-to-use specialty infusion solutions that improve quality of life for patients, today reported financial results for the first quarter ended March 31, 2022.

Highlights:

●	Year-over-year net sales growth of 15% to $6.2 million, marking the second consecutive quarter of double-digit growth

●	Received 4^th FDA clearance in 5 months, a 510(k) clearance for use of the FreedomEdge® infusion pump to deliver EMPAVELI® and Aspaveli®, a prescription medicine used to treat adults with a rare disease called paroxysmal nocturnal hemoglobinuria (PNH)

●	Expanded novel therapies pipeline in new drug categories, including a Phase II clinical trial, and expanded an innovation development agreement with a large SCIg customer

●	Signed distribution agreement in Germany, with an increased focus on international markets

●	Announced Brian Case, 20+ year experienced R&D veteran, as Chief Technology Officer

“I am extremely proud of our team in delivering strong first quarter results as we continue to execute our strategic growth plan to become a broader drug delivery provider. A rebounding U.S. immunoglobulin market is encouraging, and we are successfully driving a dual focus on increasing revenues in our core subcutaneous Ig business through expanded label indications and a growing prefill market, while expanding the Freedom platform into new drug areas,” said Linda Tharby, KORU Medical’s President and CEO. “We also continue to build the team’s capability with the hiring of Brian Case as our Chief Technology Officer, a proven experienced leader. I am very excited for the future of the company as we drive long-term growth, create value for customers and shareholders, and increasingly progress our strategic plan.”

2022 First Quarter Financial Results

	Three Months Ended March 31,				Change from Prior Year
	2022		2021		$			%
Net Sales
Domestic Core	$	4,993,536	$	4,412,417	$	581,119	$	13.2%
International Core		894,942		978,906		(83,964)		(8.6%)
Novel Therapies		355,852		39,628		316,224		798.0%
Total	$	6,244,330	$	5,430,951	$	813,379	$	15.0%

Net sales for the first quarter of 2022 were $6.2 million, compared to $5.4 million in the prior year period, a 15% increase. Domestic core was up 13.2% due to growth in pumps and consumables driven by an overall increase in the subcutaneous immunoglobulin market, as well as our key growth initiatives including prefills and label expansions. Novel Therapies sales were $0.4 million for the quarter, including recognition of initial non-recurring engineering service ("NRE") revenues from a pre-commercialization innovation development agreement with a large subcutaneous immunoglobulin (SCIg) customer, which is expected to continue to generate revenue through 2022. International core was down by 8.6% year-over-year, due to quarterly buying pattern changes of a few smaller customers.

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Gross profit increased by $0.4 million, or 12.1%, in the first quarter of 2022, while gross margin decreased by 150 basis points to 58.0%. The decline in gross margin was largely due to higher NRE revenues from the innovation effort described above. Also contributing to lower margins was higher manufacturing costs in our core business from increasing raw material and labor costs, partially offset by increased price and mix.

Total operating expenses for the first quarter of 2022 were $6.7 million, compared to $5.4 million for the same period in 2021. The increase in operating expenses is due to strategic investments in research and development, new hires to support business development and commercialization, and quality and regulatory.

Net loss for the first quarter of 2022 was $2.5 million, or $(0.06) per diluted share, compared to a net loss of $1.3 million, or ($0.03) per diluted share for the same period of 2021. Net loss included a tax benefit of $0.6 million for the first quarter of 2022. On a non-GAAP basis, adjusted diluted earnings per share was ($0.05) compared to $0.00 in the same period of 2021.

Assumptions and Outlook for Full Year 2022

KORU Medical's outlook for full year 2022 reflects numerous assumptions that could affect its business, based on the information management has as of this date, which includes assumptions regarding the continued recovery from the COVID-19 pandemic related to new SCIg patient starts, plasma supply, clinical trial activity, labor and supply price increases, and supply chain impacts. Management will discuss its outlook and several of its assumptions on its first quarter 2022 earnings call.

For full year 2022, KORU Medical reaffirms expectations that the SCIg market will recover to a high single digit rate. Assuming this market growth holds, the Company expects full year 2022 revenue to be in the range of $26.5 to $27.0 million (previously $26.0 to $27.0 million).

The Company reiterates its guidance to exit the year at a 60% gross margin run rate. Additionally, Q1 2022 supply chain disruption impacts, which are not expected to recur, have resulted in unfavorable manufacturing variances, which will be recognized in the second quarter of 2022.

The Company has no further updates to prior guidance.

Conference Call and Webcast Details

The Company will host a live conference call and webcast to discuss these results and provide a corporate update on Wednesday, May 4, 2022, at 4:30 PM ET.

To participate in the call, please dial (877) 407-0784 (domestic) or (201) 689-8560 (international) and provide conference ID 13728821. The live webcast will be available on the Events & Presentations page of the Investors section of KORU Medical's website.

Non-GAAP Measures

This press release includes the non-GAAP financial measures "Adjusted EBITDA" and "Adjusted Diluted EPS" that are not in accordance with, nor an alternate to, generally accepted accounting principles and may be different from non-GAAP measures used by other companies. These non-GAAP measures are not based on any comprehensive set of accounting rules or principles. Non-GAAP financial measures should not be considered a substitute for, or superior to, measures of financial performance prepared in accordance with GAAP. They are limited in value because they exclude charges that have a material effect on KORU Medical's reported results and, therefore, should not be relied upon as the sole financial measures to evaluate the Company's financial results. Non-GAAP financial measures are meant to supplement, and to be viewed in conjunction with, GAAP financial results. Reconciliations of the Company's non-GAAP measures are included at the end of this press release.

About KORU Medical Systems

KORU Medical Systems develops, manufactures, and commercializes innovative and easy-to-use specialty infusion solutions that improve quality of life for patients around the world. The FREEDOM Syringe Infusion System currently includes the FREEDOM60® and FreedomEdge® Syringe Infusion Drivers, Precision Flow Rate Tubing™ and HIgH-Flo Subcutaneous Safety Needle Sets™. These devices are used for infusions administered in the home and alternate care settings. For more information, please visit www.korumedical.com.

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Forward-looking Statements

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 that involve risks and uncertainties. All statements that are not historical fact are forward-looking statements, including, but not limited to, expected financial outlook and operating performance for fiscal 2022, and expected market growth. Forward-looking statements discuss the Company's current expectations and projections relating to its financial position, results of operations, plans, objectives, future performance and business. Forward-looking statements can be identified by words such as "outlook", "expect", "plan", "believe" and "will". Actual results may differ materially from the results predicted and reported results should not be considered as an indication of future performance. The potential risks and uncertainties that could cause actual results to differ from the results predicted include, among others, uncertainties associated with the shift to increased healthcare delivery in the home, new patient diagnoses, customer ordering patterns, COVID-19, innovation and competition, labor and supply price increases, and those risks and uncertainties included under the captions "Risk Factors" in our Annual Report on Form 10-K for the year ended December 31, 2021, which is on file with the SEC and is available on our website at www.korumedical.com/investors and on the SEC website at www.sec.gov. All information provided in this release and in the attachments is as of May 4, 2022. Undue reliance should not be placed on the forward-looking statements in this press release, which are based on information available to us on the date hereof. We undertake no duty to update this information unless required by law.

Investor Contact:

Greg Chodacze

347-620-7010

investor@korumedical.com

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REPRO MED SYSTEMS, INC.

BALANCE SHEETS

(UNAUDITED)


	March 31,			December 31,
	2022			2021

ASSETS

CURRENT ASSETS
Cash and cash equivalents	$	22,577,247		$	25,334,889
Accounts receivable less allowance for doubtful accounts of $24,271 for March 31, 2022 and December 31, 2021		3,145,397			3,592,886
Inventory		6,017,737			6,106,338
Other Receivables		680,075			718,220
Prepaid expenses		1,510,851			1,568,821
TOTAL CURRENT ASSETS		33,931,307			37,321,154
Property and equipment, net		1,763,269			1,106,445
Intangible assets, net of accumulated amortization of $278,897 and $263,729 at March 31, 2022 and December 31, 2021, respectively		795,339			808,813
Operating lease right-of-use assets		4,309,282			95,553
Deferred income tax assets, net		2,538,853			1,941,254
Other assets		89,587			19,812
TOTAL ASSETS	$	43,427,637		$	41,293,031

LIABILITIES AND STOCKHOLDERS' EQUITY

CURRENT LIABILITIES
Accounts payable	$	1,267,980		$	1,227,533
Accrued expenses		2,171,724			2,709,704
Note Payable		255,614			508,583
Other Liabilities		115,625			90,000
Accrued payroll and related taxes		506,315			160,603
Operating lease liability – current		395,359			95,553
TOTAL CURRENT LIABILITIES		4,712,617			4,791,976
Operating lease liability, net of current portion		3,913,923			—
TOTAL LIABILITIES		8,626,540			4,791,976
Commitments and contingencies (Refer to Note 3)
STOCKHOLDERS' EQUITY
Common stock, $0.01 par value, 75,000,000 shares authorized, 48,121,289 and 48,044,162 shares issued; 44,700,787 and 44,623,660 shares outstanding at March 31, 2022, and December 31, 2021, respectively		481,212			480,441
Additional paid-in capital		41,611,030			40,774,245
Treasury stock, 3,420,502 shares at March 31, 2022 and December 31, 2021, respectively, at cost		(3,843,562	)		(3,843,562	)
Retained deficit		(3,447,583	)		(910,069	)
TOTAL STOCKHOLDERS' EQUITY		34,801,097			36,501,055
TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY	$	43,427,637		$	41,293,031

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REPRO MED SYSTEMS, INC.

STATEMENTS OF OPERATIONS

(UNAUDITED)


	For the Three Months Ended
	March 31,
	2022			2021

NET SALES	$	6,244,330		$	5,430,951
Cost of goods sold		2,622,025			2,199,097
Gross Profit		3,622,305			3,231,854

OPERATING EXPENSES
Selling, general and administrative		5,491,213			4,992,829
Research and development		1,148,355			336,841
Depreciation and amortization		109,252			115,473
Total Operating Expenses		6,748,820			5,445,143

Net Operating Loss		(3,126,515	)		(2,213,289	)

Non-Operating Expense
Loss on currency exchange		(7,135	)		(15,717	)
Gain on disposal of fixed asset		—			736
Interest (Expense)/Income, net		(1,463	)		9,771
TOTAL OTHER EXPENSE		(8,598	)		(5,210	)

LOSS BEFORE INCOME TAXES		(3,135,113	)		(2,218,499	)

Income Tax Benefit		597,599			942,361

NET LOSS	$	(2,537,514	)	$	(1,276,138	)

NET LOSS PER SHARE

Basic	$	(0.06	)	$	(0.03	)
Diluted	$	(0.06	)	$	(0.03	)

WEIGHTED AVERAGE COMMON SHARES OUTSTANDING

Basic		44,667,977			43,960,936
Diluted		44,667,977			43,960,936

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REPRO MED SYSTEMS, INC.

STATEMENTS OF CASH FLOWS

(UNAUDITED)


	For the Three Months Ended
	March 31,
	2022			2021

CASH FLOWS FROM OPERATING ACTIVITIES
Net Loss	$	(2,537,514	)	$	(1,276,138	)
Adjustments to reconcile net loss to net cash used in operating activities:
Stock-based compensation expense		837,556			734,184
Depreciation and amortization		109,252			115,473
Deferred income taxes		(597,599	)		(943,211	)
Gain on disposal of fixed assets		—			(736	)
Changes in operating assets and liabilities:
Decrease/(Increase) in accounts receivable		447,489			(988,387	)
Decrease in other receivables		38,145			—
Decrease/(Increase) in inventory		88,601			(1,229,052	)
(Increase)/Decrease in prepaid expenses and other assets		(11,805	)		117,455
Increase in accounts payable		40,447			1,290,603
Increase in accrued payroll and related taxes		345,712			428,769
Decrease in accrued expenses		(537,981	)		(854,613	)
Increase in other liabilities		25,625			—
NET CASH USED IN OPERATING ACTIVITIES		(1,752,072	)		(2,605,653	)

CASH FLOWS FROM INVESTING ACTIVITIES
Purchases of property and equipment		(750,908	)		(95,477	)
Proceeds from disposal of property and equipment		—			9,065
Purchases of intangible assets		(1,694	)		(15,792	)
NET CASH USED IN INVESTING ACTIVITIES		(752,602	)		(102,204	)

CASH FLOWS FROM FINANCING ACTIVITIES
Payments on indebtedness		(252,968	)		—
Proceeds from issuance of equity		—			1,230,000
Common stock issuance as settlement for litigation		—			938,094
Payments on finance lease liability		—			(803	)
NET CASH (USED IN)/PROVIDED BY FINANCING ACTIVITIES		(252,968	)		2,167,291

NET DECREASE IN CASH AND CASH EQUIVALENTS		(2,757,642	)		(540,566	)
CASH AND CASH EQUIVALENTS, BEGINNING OF PERIOD		25,334,889			27,315,286
CASH AND CASH EQUIVALENTS, END OF PERIOD	$	22,577,247		$	26,774,720

Supplemental Information
Cash paid during the periods for:
Interest	$	4,425		$	28
Income Taxes	$	—		$	850

Schedule of Non-Cash Operating, Investing and Financing Activities:
Issuance of common stock as compensation	$	142,500		$	56,250
Issuance of common stock as settlement for litigation	$	—		$	938,094

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REPRO MED SYSTEMS, INC.

SUPPLEMENTAL INFORMATION

(UNAUDITED)

	Three Months Ended
Reconciliation of Reported Diluted EPS to	March 31,
Non-GAAP Adjusted Diluted EPS:	2022			2021
Reported Diluted Earnings Per Share	$	(0.06	)	$	(0.03	)
Reorganization Charges		0.01			0.02
Manufacturing Initiative Expenses		—			—
Reorganization Stock-based Compensation Expense		—			0.01
Tax (Expense) adjustment		—			—
Non-GAAP Adjusted Diluted Earnings Per Share	$	(0.05	)	$	0.00

	Three Months Ended
Reconciliation of GAAP Net Loss	March 31,
to Non-GAAP Adjusted EBITDA:	2022			2021
GAAP Net Loss	$	(2,537,514	)	$	(1,276,138	)
Tax Benefit		(597,599	)		(942,361	)
Depreciation/Amortization		109,252			115,473
Interest Income, Net		1,463			(9,771	)
Reorganization Charges		295,000			969,274
Manufacturing Initiative Expenses		38,005			51,723
Stock-based Compensation Expense		837,556			734,184
Non-GAAP Adjusted EBITDA	$	(1,853,837	)	$	(357,616	)

Reorganization Charges. We have excluded the effect of reorganization charges in calculating our non-GAAP measures. In 2021 we incurred significant expenses in connection with the departure and replacement of our chief executive officer and the recruiting of two new board members, which we would not have otherwise incurred in periods presented as part of our continuing operations. In 2022 we incurred further severance expense related to the reorganization of the leadership team, which we would not have otherwise incurred in periods presented as part of continuing operations.

Manufacturing Initiative Expenses. We have excluded the effect of expenses related to creating manufacturing efficiencies, in calculating our non-GAAP measures. We incurred expenses in connection with these initiatives which we would not have otherwise incurred in periods presented as part of our continuing operations. We expect to incur related expenses for the next nine to fifteen months.

Stock-based Compensation Expense. We have excluded the effect of stock-based compensation expense in calculating our non-GAAP measures. We record non-cash compensation expense related to grants of options for executives, employees and consultants, and grants of restricted shares to our board of directors. Depending upon the size, timing and the terms of the grants, the non-cash compensation expense may vary significantly but will recur in future periods. Adjusted EBITDA for the three months ended March 31, 2021 included stock-based compensation expense of $0.4 million related to the departure and replacement of our chief executive officer. This expense is included in Reorganization Stock-based Compensation Expense in calculating Adjusted Diluted EPS.

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