My guess is that the market is not expecting strong growth, and that the quarterly results most recently mixed expectations - largely in part due to a one time financing expense, I believe, as well as due to a somewhat small revenue miss, potentially attributable to the coverage gap rebates as discussed on the Q3 conference call.
Management seems to feel that Q4 was going better at the time of the call, and expects more tailwinds in Q1 2025 onwards with the potentially favorable updates to Schedule D, amongst other things. Just my 2 cents. Please verify all of this, and do not take it as authoritative in any way. Always do your own due diligence. This is not financial advice.