Prestige makes money by selling branded OTC healthcare products to retailers (mass merchants, drug stores, grocery, club, dollar and e-commerce) in North America and to pharmacy and retail channels internationally, led by Australia. It reports two segments: North American OTC Healthcare and International OTC Healthcare. Most products are made by third-party contract manufacturers, so the company concentrates on brand marketing, retail execution, regulatory compliance and supply management. Capital spending is low, which turns much of operating profit into free cash flow ($246.4 million in FY2026). That cash funds debt paydown, share repurchases and acquisitions of established OTC brands, the main source of portfolio growth. The 2025 purchase of Pillar5 Pharma, a Clear Eyes supplier, was a partial step away from pure outsourcing to secure eye care capacity.