================================================================================

                     U.S. SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                                   FORM 10-QSB

                                   ----------

(MARK ONE)

[X]  QUARTERLY REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT
     OF 1934.

     FOR THE QUARTERLY PERIOD ENDED JUNE 30, 2006

[ ]  TRANSITION REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT
     OF 1934.

     FOR THE TRANSITION PERIOD FROM _________ TO ____________

     COMMISSION FILE NUMBER: 000-23-661

                                   ----------

                       ROCKWELL MEDICAL TECHNOLOGIES, INC.
        (Exact name of small business issuer as specified in its charter)


                                                          
            MICHIGAN                                             38 -3317208
(State or other jurisdiction of                                (I.R.S. Employer
 incorporation or organization)                              Identification No.)


                                30142 WIXOM ROAD
                              WIXOM, MICHIGAN 48393
                    (Address of principal executive offices)

                                 (248) 960-9009
                           (Issuer's telephone number)

          ____________________________________________________________
              (Former name, former address and former fiscal year,
                          if changed since last report)

     Check whether the issuer: (1) filed all reports required to be filed by
Section 13 or 15(d) of the Exchange Act during the past 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 whether the issuer is a shell company (as defined by
Rule 12b-2 of the Exchange Act.
Yes [ ] No [X]

     State the number of shares outstanding of each of the issuer's classes of
common equity as of the latest practicable date: 11,455,583 Common Shares
outstanding as of July 31, 2006.

     Transitional Small Business Disclosure Format (Check one):
Yes [ ] No [X]

================================================================================



                         PART I - FINANCIAL INFORMATION

ITEM 1.  FINANCIAL STATEMENTS.

               ROCKWELL MEDICAL TECHNOLOGIES, INC. AND SUBSIDIARY

                           CONSOLIDATED BALANCE SHEETS

                    AS OF JUNE 30, 2006 AND DECEMBER 31, 2005

                                 (Whole Dollars)

                                   (Unaudited)



                                                                    JUNE 30,     DECEMBER 31,
                                                                      2006           2005
                                                                  ------------   ------------
                                                                           
ASSETS
Cash and  Cash Equivalents ....................................   $  4,748,427   $    299,031
Accounts Receivable, net of a reserve of  $86,000 in 2006
   and $70,000 in 2005 ........................................      2,476,690      2,836,072
Inventory .....................................................      2,544,896      2,051,819
Other Current Assets ..........................................        472,883        193,158
                                                                  ------------   ------------
   TOTAL CURRENT ASSETS .......................................     10,242,896      5,380,080
Property and Equipment, net ...................................      2,375,080      2,430,222
Intangible Assets .............................................        450,295        394,819
Goodwill ......................................................        920,745        920,745
Other Non-current Assets ......................................        131,542        134,794
                                                                  ------------   ------------
   TOTAL ASSETS ...............................................   $ 14,120,558   $  9,260,660
                                                                  ============   ============

LIABILITIES AND SHAREHOLDERS' EQUITY
Short Term Borrowings .........................................   $         --   $  1,800,000
Notes Payable & Capitalized Lease Obligations .................        498,800        522,439
Accounts Payable ..............................................      1,566,277      1,795,393
Accrued Liabilities ...........................................        560,714        530,749
Customer Deposits .............................................         80,916         33,558
                                                                  ------------   ------------
   TOTAL CURRENT LIABILITIES ..................................      2,706,707      4,682,139
Long Term Notes Payable & Capitalized Lease Obligations .......        443,220        733,723
   Shareholders' Equity:
Common Shares, no par value, 11,455,583 and 8,886,948 shares
   issued and outstanding .....................................     22,967,523     12,628,539
Common Share Purchase Warrants, -0- and 3,591,385 shares issued
   and outstanding ............................................             --      1,414,876
Accumulated Deficit ...........................................    (11,996,892)   (10,198,617)
                                                                  ------------   ------------
   TOTAL SHAREHOLDERS' EQUITY .................................     10,970,631      3,844,798
                                                                  ------------   ------------
   TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY .................   $ 14,120,558   $  9,260,660
                                                                  ============   ============



                                        2


               ROCKWELL MEDICAL TECHNOLOGIES, INC. AND SUBSIDIARY

                         CONSOLIDATED INCOME STATEMENTS

       FOR THE THREE AND SIX MONTHS ENDED JUNE 30, 2006 AND JUNE 30, 2005

                                 (WHOLE DOLLARS)
                                   (Unaudited)



                                            THREE MONTHS ENDED   THREE MONTHS ENDED   SIX MONTHS ENDED   SIX MONTHS ENDED
                                               JUNE 30, 2006        JUNE 30, 2005       JUNE 30, 2006      JUNE 30, 2005
                                            ------------------   ------------------   ----------------   ----------------
                                                                                             
SALES ...................................       $ 5,869,253          $7,791,033         $ 12,031,156        $13,410,541
Cost of Sales ...........................         5,404,107           6,980,588           10,782,701         11,930,680
                                                -----------          ----------         ------------        -----------
   GROSS PROFIT .........................           465,146             810,445            1,248,455          1,479,861
Selling, General and Administrative .....           693,935             652,045            1,319,777          1,250,305
Research and  Product Development .......         1,311,085              36,422            1,759,822             85,821
                                                -----------          ----------         ------------        -----------
   OPERATING INCOME (LOSS) ..............        (1,539,874)            121,978           (1,831,144)           143,735
Other Income ............................                --                  --                   --            137,468
Interest Income (Expense), net ..........            30,817             (36,522)              32,869            (86,532)
                                                -----------          ----------         ------------        -----------
   NET INCOME (LOSS) ....................       ($1,509,057)         $   85,456          ($1,798,275)       $   194,671
                                                ===========          ==========         ============        ===========
BASIC EARNINGS (LOSS) PER SHARE .........             ($.13)               $.01                ($.16)              $.02
DILUTED EARNINGS (LOSS) PER SHARE .......             ($.13)               $.01                ($.16)              $.02


         The accompanying notes are an integral part of the consolidated
                              financial statements.


                                       3



               ROCKWELL MEDICAL TECHNOLOGIES, INC. AND SUBSIDIARY

                      CONSOLIDATED STATEMENTS OF CASH FLOWS

            FOR THE SIX MONTHS ENDED JUNE 30, 2006 AND JUNE 30, 2005

                                 (WHOLE DOLLARS)
                                   (Unaudited)



                                                                      2006         2005
                                                                  -----------   -----------
                                                                          
CASH FLOWS FROM OPERATING ACTIVITIES:
   NET INCOME (LOSS) ..........................................   ($1,798,275)  $   194,672
   Adjustments To Reconcile Net Income To Net Cash Used For
      Operating Activities:
      Depreciation and Amortization ...........................       366,327       335,288
      Loss on Disposal of Equipment ...........................           653            --
   Changes in Assets and Liabilities:
      Decrease (Increase) in Accounts Receivable ..............       359,382       (81,247)
      (Increase) in Inventory .................................      (493,077)     (727,209)
      (Increase) in Other Assets ..............................      (276,473)     (123,212)
      (Decrease) in Accounts Payable ..........................      (229,116)     (259,244)
      Increase in Customer Deposits ...........................        47,358     1,493,268
      (Decrease) Increase in Other Liabilities ................        29,965       (40,592)
                                                                  -----------   -----------
   Changes in Assets and Liabilities ..........................      (561,961)      261,764
                                                                  -----------   -----------
      CASH PROVIDED (USED) BY OPERATING ACTIVITIES ............    (1,993,256)      791,724

CASH FLOWS FROM INVESTING ACTIVITIES:
   Purchase of Equipment ......................................      (292,106)     (282,418)
   Purchase of Intangible Assets ..............................       (75,208)      (50,000)
                                                                  -----------   -----------
      CASH (USED IN) INVESTING ACTIVITIES .....................      (367,314)     (332,418)

CASH FLOWS FROM FINANCING ACTIVITIES:
   Proceeds from Borrowing on Line of Credit ..................            --     5,129,279
   Payments on Line of Credit .................................    (1,800,000)   (4,590,077)
   Payments on Notes Payable and Capital Lease Obligations ....      (314,142)     (113,815)
   Issuance of Common Shares ..................................     8,924,108       225,022
                                                                  -----------   -----------
      CASH PROVIDED BY (USED IN) FINANCING ACTIVITIES .........     6,809,966       650,409

INCREASE IN CASH ..............................................     4,449,396     1,109,715
CASH AT BEGINNING OF PERIOD ...................................       299,031       166,195
                                                                  -----------   -----------
CASH AT END OF PERIOD .........................................   $ 4,748,427   $ 1,275,910
                                                                  ===========   ===========
   Supplemental Cash Flow Disclosure:
Interest Paid .................................................   $    76,752   $    86,579
                                                                  ===========   ===========
   Non-Cash Investing and Financing Activity -
      Equipment Acquired Under Capital Lease Obligations ......   $        --   $    17,009
                                                                  ===========   ===========


         The accompanying notes are an integral part of the consolidated
                              financial statements.


                                       4


               ROCKWELL MEDICAL TECHNOLOGIES, INC. AND SUBSIDIARY

                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

1. DESCRIPTION OF BUSINESS

     We manufacture, sell and distribute hemodialysis concentrates and other
ancillary medical products and supplies used in the treatment of patients with
End Stage Renal Disease "ESRD". We supply our products to medical service
providers who treat patients with kidney disease. Our products are used to
cleanse patients' blood and replace nutrients lost during the kidney dialysis
process. We primarily sell our products in the United States.

     We are regulated by the Federal Food and Drug Administration under the
Federal Drug and Cosmetics Act, as well as by other federal, state and local
agencies. We have received 510(k) approval from the FDA to market hemodialysis
solutions and powders. We also have 510(k) approval to sell our Dri-Sate Dry
Acid Concentrate product line and our Dri-Sate Mixer.

2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

BASIS OF PRESENTATION

     Our consolidated financial statements include our accounts and the accounts
of our wholly owned subsidiary, Rockwell Transportation, Inc. All intercompany
balances and transactions have been eliminated.

     In the opinion of our management, all adjustments have been included which
are necessary to make the financial statements not misleading. All of these
adjustments that are material are of a normal and recurring nature. Our
operating results for the three and six month periods ended June 30, 2006 are
not necessarily indicative of the results to be expected for the year ending
December 31, 2006. You should read our unaudited interim financial statements
together with the financial statements and related footnotes for the year ended
December 31, 2005 included in our Annual Report on Form 10-KSB for the fiscal
year ended December 31, 2005. Our Annual Report on Form 10-KSB for the fiscal
year ended December 31, 2005 includes a description of our significant
accounting policies.

REVENUE RECOGNITION

     We recognize revenue at the time we transfer title to our products to our
customers consistent with generally accepted accounting principles. Generally,
we recognize revenue when our products are delivered to our customer's location
consistent with our terms of sale. In most instances title for goods shipped
internationally transfers to the buyer once it leaves our facility and
therefore, we recognize revenue upon shipment to foreign customers.

     We require certain customers, mostly international customers, to pay for
product prior to the transfer of title to the customer. Deposits received from
customers and payments in advance for orders are recorded as liabilities under
Customer Deposits until such time as orders are filled and title transfers to
the customer consistent with our terms of sale. At June 30, 2006, we had
customer deposits of $80,916.

     For the quarter ended March 31, 2006, we reached a settlement with a
customer related to its breach of several purchase contracts. The settlement
provided for payment of a total amount of $755,000 in exchange for release of
the customer's future obligations under these contracts. All of this settlement
has been recognized as a component of revenue in the quarter ended March 31,
2006 and the settlement amount has been fully realized.


                                       5



RESEARCH AND PRODUCT DEVELOPMENT

     We recognize research and product development costs as expenses as
incurred. We have reclassified research and product development costs incurred
in 2005 to this statement line from selling, general and administrative expense
in 2005 to conform with the current year presentation for research and product
development expense.

     We have entered into a number of research and development related contracts
for safety, pharmacology and toxicology testing of our iron dialysate drug
product under which we have commitments to spend $3.1 million. Services under
the contracts will be performed over periods ranging from 3 to 12 months. We are
recognizing the costs of these contracts as research and development expense
over the periods in which the testing is being performed and on a basis
reflective of the level of activity under those contracts in each period. As of
June 30, 2006, we had made payments in advance of services performed under those
contracts which have been recorded as prepaid expenses totaling $344,755. We
recognized approximately $943,000 and $1,148,000 of expense under these
contracts during the three and six months ended June 30, 2006, respectively.

STOCK OPTIONS

     In December 2004, the Financial Accounting Standards Board ("FASB") issued
Statement No. 123R ("SFAS 123R"), a revision to Statement No. 123, "Accounting
for Stock-Based Compensation." This standard requires us to measure the cost of
employee services received in exchange for equity awards, including stock
options, based on the grant date fair value of the awards. The cost will be
recognized as compensation expense over the vesting period of the awards. The
Company has adopted SFAS 123R as of January 1, 2006. The standard provides for a
modified prospective application. Under this method, the Company will begin
recognizing compensation cost for equity based compensation for all new or
modified grants after the date of adoption. In addition, the standard requires
the Company to recognize compensation cost for the remaining unvested portion of
prior option grants over the remaining service period. All of the Company's
options granted in 2005 and prior years were fully vested as of December 31,
2005, and therefore, the Company has not recorded any expense for options
granted prior to 2006 upon adoption of SFAS 123R. The Company did not grant any
stock options in the first six months of 2006.

     Our reported and pro forma information for the three and six months ended
June 30:



                                                   Three months ended  Three months ended  Three months ended  Three months ended
                                                      June 30, 2006       June 30, 2005       June 30, 2006       June 30, 2005
                                                   ------------------  ------------------  ------------------  ------------------
                                                                                                   
As reported net income (loss) available
   to common shareholders                             ($1,509,057)          $  85,456          ($1,798,275)       $    194,671
Less: Stock based compensation expense determined
   under the fair market value method, net of tax              --            (606,814)                  --          (1,213,628)
                                                      -----------           ---------          -----------        ------------
Pro forma net income (loss)                           ($1,509,057)          ($521,358)         ($1,798,275)        ($1,018,957)
                                                      ===========           =========          ===========        ============
As reported basic earnings (loss) per share                ($0.13)          $    0.01               ($0.16)       $       0.02
As reported diluted earnings (loss) per share              ($0.13)          $    0.01               ($0.16)       $       0.02
Pro forma earnings (loss) per share and
diluted earnings (loss)  per share                         ($0.13)             ($0.06)              ($0.16)             ($0.12)



                                       6



EARNINGS PER SHARE

     We computed our basic earnings per share using weighted average shares
outstanding for each respective period. Diluted earnings per share also reflect
the weighted average impact from the date of issuance of all potentially
dilutive securities, consisting of stock options and common share purchase
warrants, unless inclusion would have had an anti-dilutive effect. Actual
weighted average shares outstanding used in calculating basic and diluted
earnings per share were:



                                                Three months ended        Six months ended
                                                     June 30,                 June 30,
                                              ----------------------   ----------------------
                                                 2006         2005        2006         2005
                                              ----------   ---------   ----------   ---------
                                                                        
Basic Weighted Average Shares Outstanding     11,309,641   8,639,321   10,901,811   8,610,029
Effect of Dilutive Securities                         --     638,368           --     675,029
                                              ----------   ---------   ----------   ---------
Diluted Weighted Average Shares Outstanding   11,309,641   9,346,316   10,901,811   9,346,316
                                              ==========   =========   ==========   =========


3. LINE OF CREDIT

     On March 29, 2006, we renewed our line of credit with a financial
institution. The loan agreement provides for revolving borrowings by us of up to
$2,750,000. We are permitted to borrow up to 80% of our eligible accounts
receivable and up to 40% of our eligible inventory up to $600,000. Borrowings
under the loan agreement are secured by accounts receivable, inventory and
certain other assets. The annual interest rate payable on revolving borrowings
under the loan agreement is the lender's prime rate plus 75 basis points. The
lender's commitment to make revolving borrowings under the loan agreement
expires on April 1, 2007. As of June 30, 2006, we had no outstanding borrowings
under this line of credit.

4. WARRANT EXERCISE & STOCK PURCHASE

     On July 29, 2005, we filed with the Securities and Exchange Commission (the
"SEC") a registration statement on Forms S-4 and SB-2 (the "Registration
Statement") with respect to an offer to exchange new common share purchase
warrants expiring January 26, 2006 with an exercise price of $3.90 ("New
Warrants") for each of the 3,625,000 then outstanding common share purchase
warrants expiring January 26, 2006 with an exercise price of $4.50 ("Old
Warrants"). The SEC declared the Registration Statement effective on October 20,
2005. Old Warrant holders were required to tender their Old Warrants by November
28, 2005 to participate in the exchange. Both Old and New Warrants expired
January 26, 2006.

     We raised gross proceeds of $9,363,982 upon exercise of New Warrants issued
in the exchange prior to their expiration on January 26, 2006. We issued
2,401,021 Common Shares resulting from New Warrant exercises of which 58,615
were issued in 2005 and the remainder in January 2006. All unexercised publicly
traded warrants expired on January 26, 2006. Gross proceeds of the warrant
exercises were offset by costs of the offering of approximately $941,000. Net
proceeds received during the quarter ended March 31, 2006 were $8,194,036.

     On June 22, 2006 we issued 111,895 common shares with respect to a private
placement of our common shares. The gross proceeds of the offering were
$500,000. We expect to realize net proceeds after legal and other offering
expenses of approximately $375,000.


                                       7



ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
OF OPERATIONS

     Some of the statements in this report are forward-looking statements. These
forward-looking statements include statements relating to our performance in
this Management's Discussion and Analysis of Financial Condition and Results of
Operations. In addition, we may make forward-looking statements in future
filings with the Securities and Exchange Commission and in written material,
press releases and oral statements. Forward-looking statements include
statements regarding the intent, belief or current expectations of us or our
officers, including statements preceded by, followed by or including
forward-looking terminology such as "may," "might," "will," "should," "believe,"
"expect," "anticipate," "estimate," "continue," "predict," "forecast,"
"projected," or similar expressions, with respect to various matters.

     Our actual results might differ materially from those projected in the
forward-looking statements depending on various important factors. These
important factors include the cost of obtaining FDA approval to market our new
iron supplemented dialysate product, the challenges associated with developing
new products, the uncertainty of acceptance of our products by the hemodialysis
community, competition in our market, and the other factors discussed under the
caption "Risk Factors" in our Registration Statement on Form SB-2 (file no.
333-31991) effective January 26, 1998, our Registration Statement on Forms SB-2
and S-4(file no. 333-127048), effective October 20, 2005, and elsewhere in our
public filings and in this report, all of which constitute cautionary statements
identifying important factors with respect to the forward-looking statements,
including risks and uncertainties, that could cause actual results to differ
materially from those in the forward-looking statements.

     All forward-looking statements in this report are based on information
available to us on the date of this report. We do not undertake to update any
forward-looking statements that may be made by us or on our behalf in this
report or otherwise.

OVERVIEW

     We operate in a single business segment; the manufacture, sale and
distribution of hemodialysis concentrates, dialysis kits and ancillary products
used in the dialysis process. We have gained market share each year since our
inception in 1996. We increased our sales by 54% in 2005 over 2004 and have a
five year compound annual growth rate of sales of 30%. Our core concentrate
sales grew 38% in 2005 and continue to show increases of 16% domestically in the
first half of 2006. Net Income in 2005 was $76,800 or $.01 per share. Our plan
is to grow and develop our dialysis business including the development and
introduction of new products.

     The dialysis supply market is very competitive and is characterized by
having a few dialysis providers treating the majority of patients in the United
States. We compete against companies which have substantially greater resources
than we have. Our revenue is highly concentrated in a few customers and the loss
of any of those customers would adversely affect our results. However, we expect
to continue to grow our business while executing our strategic plan to expand
our product lines, to expand our geographic reach and to develop our proprietary
technology which may include adding facilities and personnel to support our
growth. As we increase our business in certain markets and regions, we may incur
additional costs that are greater than the additional revenue generated from
these initiatives. We added a third manufacturing facility to support our growth
in 2005. We may add additional facilities in the future and may incur operating
losses until sufficient volume growth is realized to offset the additional
operating expenses to operate these facilities.

     We are seeking to gain FDA approval for our iron supplemented dialysate
product, Soluble Ferric Pyrophosphate (SFP). We believe SFP has the potential to
compete in the iron maintenance therapy market. The cost to obtain regulatory
approval for a drug in the United States is expensive and can take a long time.
Over the next two years, we expect to spend at least $6-8 million to complete
testing and file for regulatory approval in the United States. We completed an
equity financing transaction in the first quarter of 2006 which we believe
raised sufficient cash resources to fund the majority of these expected costs.

     We expect to incur substantial costs to conduct required clinical trials
and to obtain marketing approval which we expect will offset some or all of any
profits generated from sales of our existing products during the approval
process. We anticipate that we may report losses for the duration of the
approval process. We expect this process to take several years and we might not
be successful.


                                       8



RESULTS OF OPERATIONS FOR THE THREE AND SIX MONTHS ENDED JUNE 30, 2006 AND JUNE
20, 2005

SALES

     Our sales in the second quarter of 2006 were $5,869,253, a decrease of
$1,921,781 or 24.7%, compared with our sales in the second quarter of 2005. Our
sales to our major international distributor decreased by $2.4 million in the
second quarter of 2006 compared to the second quarter of 2005 or the equivalent
of 30% of second quarter sales in 2005. The distributor indicated that its
customer's order has been delayed and the distributor expected sales to its
customer to increase significantly in the third and fourth quarter of 2006.
Excluding sales to this distributor, our other sales increased by approximately
$.5 million or 9.1%. compared to the second quarter last year. We anticipate
that we will continue to realize sales growth with other existing and new
customers this year both in the United States and abroad. While we expect our
business to grow substantially in the future, we also anticipate that our sales
results may be impacted by volatility or inconsistency in order patterns and
other changes to our customer and product mix going forward.

     Our sales in the first six months of 2006 were $12,031,156 and were
$1,379,386 or 10.3% lower than our sales in the first half of 2005. Similarly,
our sales to our major international distributor decreased by $3.0 million in
the first half of 2006 compared to the first half of 2005. Excluding sales to
this international distributor our other sales increased by $1.65 million or
16.1% in comparison with the first half of 2005.

     In the first half of 2006, we experienced a reduction in sales to this
international distributor as a result of inconsistency in the distributor's
order pattern. This distributor placed a large purchase order with us
aggregating $6.5 million in the first quarter of 2005 which was fulfilled
throughout 2005. In January 2006, this distributor placed a new large purchase
order with us, approximately twice the size of last year's purchase order, but
had only requested minimal deliveries during the first half of 2006. This
resulted in a $3 million decrease in sales to the distributor in the first half
of 2006 compared to the first half of 2005 or 22.6% of total first half 2005
sales. We anticipate this distributor will request substantial shipments of
products during the second half of 2006, but shipments and revenue from those
shipments may not recur evenly by quarter.

     The domestic hemodialysis service provider market has experienced
substantial consolidation with the four largest dialysis service provider chains
consolidating into two during the last nine months. In November of 2005 DaVita,
Inc., our largest customer, completed its acquisition of Gambro's clinic
division, the then third largest dialysis provider. At the end of March of 2006,
Fresenius Medical Care completed its acquisition of Renal Care Group, Inc., the
fourth largest provider in the United States. Together, DaVita, Inc. and
Fresenius are estimated to provide treatments to over 60% of the chronic
hemodialysis patient population in the United States.

     We compete against both Fresenius and Gambro, which remained in the
dialysis products business following the sale of its clinic business to DaVita,
Inc. Renal Care Group, Inc., was a customer of ours until it was acquired by
Fresenius and with whom we had several supply contracts which were breached by
the customer. We entered into a settlement with Renal Care Group, Inc. for these
prematurely terminated contracts. In the first quarter of 2006, approximately
12% of our revenue was related to this settlement. While our first quarter 2006
revenue with this customer increased approximately 13% from the first quarter of
2005, the amount of future revenue from this customer is anticipated to be
immaterial. Our other sales growth in the first six months of 2006 compared to
the first half of 2005 was 22.9% after eliminating Renal Care Group, Inc.
revenue and excluding the impact of the international order timing. Our
sequential revenue growth from the first quarter of 2006 to the second quarter
of 2006 was 8.5% after excluding the Renal Care Group, Inc. revenue and the
aforementioned international distributor sales orders discussed above.

     How these two major acquisitions by the two largest dialysis chains coupled
with their subsequent divestitures, which were required by regulatory
authorities, may impact our competitive environment and future business is not
known. However, we think these developments may create opportunities for us to
expand our market position and increase our sales.

     In the first six months of 2006, 53% of our sales were to customers other
than the two major dialysis chains and the large international distributor
discussed above. This independent and smaller chain account portion of our
business grew 28.7% over the first half of 2005.


                                       9



     All of the decrease in our product sales of $1.4 million in the first half
of 2006 was due to a $2.6 million reduction in kit sales sold internationally
through our major international distributor. Sales of our dialysis concentrate
product lines, which represented over 90% of our sales in the first half of
2006, increased over 7.2% in the first half of 2006 compared to the first half
of 2005 with all of the growth due to unit volume growth across all of our
concentrate product lines. Our Dri-Sate Dry Acid Concentrate unit volume sales
increased by 10% in the second quarter of 2006 compared to the first quarter of
2006.

GROSS PROFIT

     Gross profit in the second quarter of 2006 was $465,146 and was $345,229
lower than the second quarter of 2005. The decrease in gross profit was largely
attributable to lower unit volumes for dialysis kits sold internationally and
also partially due to higher operating costs. Similarly, in comparison with the
second quarter last year, gross profit margins decreased from 10.4% to 7.9% in
the second quarter of 2006 or 2.5 percentage points to sales. The primary
drivers behind our lower gross profit margins were lower sales of dialysis kits,
higher operating costs and higher costs for deliveries primarily due to
increased fuel prices. We have incurred higher operating costs for materials,
packaging and facility operating costs.

     First half 2006 gross profit was $1,248,455 and decreased $231,406 from the
first half of 2005. The decrease in gross profit was attributable to lower unit
volumes in dialysis kits partially offset by higher sales in concentrate
products. Gross profit margins for the first half of 2006 of 10.4% were .6%
lower compared to 11% in first half of 2005. Increased inflationary pressures
from higher fuel, material and operating costs have had a more significant
impact on margins in 2006. We anticipate that we will experience changes in our
customer and product mix in future quarters that may also impact gross profit.
Since we sell a wide range of products with varying profit margins and to
customers with varying order patterns, we expect that the gross profit we
generate and our gross profit margins may vary from period to period.

SELLING, GENERAL & ADMINISTRATIVE

     Selling, general and administrative expense in the second quarter of 2006
was $693,935 and increased 6.4% over the second quarter of 2005. Similarly,
selling, general and administrative expenses in the first half of 2006 were
$1,319,777 and increased $69,472 or 5.6% over the first half of 2005. We
incurred higher costs for personnel and other administrative costs largely to
support our growth.

RESEARCH & PRODUCT DEVELOPMENT

     Research and product development expense was $1,311,085 in the second
quarter of 2006 and increased by $1,274,663 over the second quarter of 2005.
Research and product development spending during the first half of 2006 was
$1,759,822 and increased $1,674,000 over the first half of 2005. We increased
spending for product development and regulatory approval for Soluble Ferric
Pyrophosphate (SFP) our proprietary dialysate iron product used in the treatment
of anemia. We anticipate total SFP spending in 2006 will be between $4.0 to $4.5
million but it could be more depending on our testing progress.

OTHER INCOME & EXPENSE

     In the first quarter of 2005, we recognized income from proceeds of a
litigation settlement aggregating $137,468.

     In the first quarter of 2006, we raised approximately $8.3 million of
equity capital after expenses. We repaid all of our borrowings under our line of
credit totaling $1,800,000 and invested the balance of the proceeds in short
term investments. In the second quarter of 2006, we generated interest income of
$63,915 from these short term investments. Overall, our net interest income, net
of interest expense, was $30,817 in the second quarter of 2006, and represented
an earnings improvement of $67,339 from our net interest expense reported for
the second quarter of 2005. Similarly, year to date interest income was $109,621
and our net interest income of $32,869, net of interest expense represented an
earnings improvement of $119,401 compared to the first half of last year.


                                       10


NET INCOME (LOSS)

     Our net (loss) in the second quarter of 2006 was ($1,509,057) or ($.13) per
share as compared to net income of $85,456, or $.01 per share in the second
quarter of 2005. The decrease in net earnings per share of $.14 from the second
quarter of 2005 was largely attributable to increased spending on research and
product development for SFP of $.12 per share.

     Our net (loss) for the first six months of 2006 was ($1,798,275) as
compared to a profit of $194,671 in the first half of last year. Net (loss) per
share of ($.16) was primarily attributable to research and product development
expenses of $.16 per share. Higher research and product development spending in
the first half of 2006 of $1,674,000 was the primary reason for the overall
decrease in net income of approximately $2 million compared to the first half of
2005.

LIQUIDITY AND CAPITAL RESOURCES

     Our strategy includes expanding our operations and seeking FDA approval for
SFP, our iron supplemented dialysate product. We believe that we can continue to
grow and expand our business. We plan to develop and offer new and innovative
products to the dialysis market. We expect that we will continue to realize
substantial sales growth in the future. In 2005, our revenue increased by
$9,750,245 or 54.3% over 2004 and in the first half of 2006 our domestic based
sales increased by approximately 16% compared to the first half of last year.

     In January of 2006, prior to expiration of common share purchase warrants
we issued in November of 2005 ("New Warrants") in exchange for most of our
previously outstanding common share purchase warrants, most of the holders of
such New Warrants exercised the New Warrants from which we realized gross
proceeds of $9.1 million in 2006. We believe these proceeds will fund all of our
anticipated cash requirements for SFP development in 2006.

     We also raised $375,000 net of expenses through a private placement of our
common shares. These funds were earmarked for computer infrastructure, computer
software, software implementation and other general corporate purposes unrelated
to drug product approval.

     We have two major areas of strategic focus in our business. First, we plan
to develop our dialysis concentrate solutions and ancillary supply business.
Second, we plan to expand our product offering to include drugs and vitamins
administered to dialysis patients.

     Our plan is to expand our operations to serve dialysis providers throughout
the United States and to increase export sales to international customers. We
anticipate that, as a result of our existing supply agreements, our customer
relationships and our changing market dynamics, we have the opportunity to
capture substantial market share that will lead to sustaining and increasing our
profitable operations. We expect that we will continue to realize substantial
growth during 2006 and that we will require additional working capital and
capital expenditures to fund this growth. In order to fund facility expansions
and certain capital expenditures, we intend to enter into lease financing
arrangements. We anticipate that our working capital line of $2.75 million is
sufficient to meet our requirements for working capital expansion in the year
ahead.

     The dialysis provider industry that we serve is becoming increasingly
concentrated. As a result, our business is predominantly with national and
regional dialysis chains. If we were to lose a significant portion of our
business with major national and regional dialysis chains, it could have a
substantial negative impact on our cash flow and results. If we were to lose a
substantial portion of our business, it may have a detrimental impact on our
ability to continue our operations in their current form or to continue to
execute our business strategy. If we lost a substantial portion of our business,
we would be required to take actions to conserve our cash resources and to
mitigate the impact of any such losses on our business operations.

     A second major area of focus is to expand our product offering to include
drugs and vitamins administered to dialysis patients using our dialysis
concentrate solutions as the delivery method. We are seeking FDA approval for
our dialysate iron drug product, SFP. The development and approval of drugs can
be expensive and take a long time. Drug


                                       11



development and approval costs will offset some or all of any earnings during
the approval process and we expect to incur losses in the future. We estimate
the cash required to fund development and approval of SFP will be between
$6,000,000 - $8,000,000 over the next several years. We expect to spend between
$4,000,000 - $4,500,000 in 2006 on product testing and possibly more depending
on the progress of testing during the year.

     To fund our business development efforts for our two key areas of focus we
completed an equity offering of our common shares upon exercise of warrants we
issued in late 2005. We issued 2,401,021 common shares at $3.90 per common
shares resulting in gross proceeds of $9,363,000 with $9,135,000 raised in
January 2006. These substantial cash resources are intended to be used for our
business development initiatives. We anticipate that the net proceeds from this
offering will be sufficient for us to complete the FDA approval process for SFP.
However, there is no guarantee that we will not require additional funds to
execute our strategy or pursue other business development opportunities. If we
need additional funds in the future, we will evaluate both debt and equity
financing as potential sources of funds.

ITEM 3. CONTROLS AND PROCEDURES

     We carried out an evaluation under the supervision and with the
participation of our management, including our Chief Executive Officer and Chief
Financial Officer, of the effectiveness of our disclosure controls and
procedures as of June 30, 2006. Based upon that evaluation, our Chief Executive
Officer and Chief Financial Officer concluded that our disclosure controls and
procedures are effective as of June 30, 2006 in ensuring that information
required to be disclosed by us under the Exchange Act is recorded, processed,
summarized and reported within the time periods specified under the Exchange Act
rules and forms. There was no change in our internal control over financial
reporting identified in connection with such evaluation that occurred during our
fiscal quarter ended June 30, 2006 that has materially affected, or is
reasonably likely to materially affect, our internal control over financial
reporting.

     Disclosure controls and procedures are our controls and other procedures
that are designed to ensure that information required to be disclosed by us in
the reports that we file or submit under the Exchange Act is recorded,
processed, summarized and reported, within the time periods specified in the
Securities and Exchange Commission's rules and forms. Disclosure controls and
procedures include, without limitation, controls and procedures designed to
ensure that information required to be disclosed by us in the reports that we
file or submit under the Exchange Act is accumulated and communicated to our
management, including our principal executive and principal financial officers,
as appropriate to allow timely decisions regarding required disclosure.


                                       12



     PART II - OTHER INFORMATION

ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

     On June 30, 2006, we issued 25,000 common shares upon exercise of warrants
which were issued resulting from a private placement in 2002. The offer and sale
of the above common shares upon exercise of the warrants were exempt from the
registration requirements of the Securities Act of 1933 (the "Act") under
Section 4(2) of the Act. We realized proceeds of $62,500, or $2.50 per share on
average. The investor received a certificate with a restrictive legend requiring
registration of the common shares in order to sell those shares or to meet other
legal criteria in order to have the restrictive legend removed.

     On June 22, 2006 we issued 111,895 common shares with respect to a private
placement of our common shares. The offer and sale of the above common shares
were exempt from the registration requirements of the Act under Section 4(6) of
the Act. The gross proceeds of the offering were $500,000. We have filed a
registration statement on Form S-3 with respect to the resale of such shares. We
expect to realize net offering proceeds (after legal and other offering
expenses) of approximately $375,000.

ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS

     At the Company's annual meeting of its shareholders held May 25, 2006, the
shareholders re-elected Mr. Robert L. Chioini to the board of directors as a
Class III director for a three year term expiring in 2009. Votes cast in favor
totaled 10,256,411 while 397,436 votes were withheld.

     At the Company's annual meeting of its shareholders held May 25, 2006, the
shareholders re-elected Mr. Patrick J. Bagley to the board of directors as a
Class III director for a three year term expiring in 2009. Votes cast in favor
totaled 10,629,908 while 23,939 votes were withheld.

     Mr. Ronald D. Boyd continues to serve as a Class I director with a term
expiring in 2007 and Mr. Kenneth L. Holt continues to serve as a Class II
director with a term expiring in 2008.

     In addition, the shareholders approved a proposal to increase the number of
common shares with respect to which stock options may be granted under the
Company's 1997 Stock Option Plan from 4,500,000 common shares to 4,750,000
common shares in the aggregate. Votes cast in favor totaled 3,205,683 while
votes cast against totaled 553,490. Abstentions totaled 39,100 and non-votes
totaled 6,855,574.

     No other matters were submitted to a vote of the shareholders at the annual
meeting.

ITEM 6. EXHIBITS


   
10.1  Letter dated March 29, 2006 from LaSalle Bank Midwest National Association
      to Rockwell Medical Technologies, Inc., incorporated by reference to
      Exhibit 99.1 to Form 8-K filed with the Securities and Exchange Commission
      on April 11, 2006.

10.2  Rockwell Medical Technologies, Inc. 1997 Stock Option Plan, incorporated
      by reference to Rockwell's Proxy Statement for the Annual Meeting of
      Shareholders filed with the Securities and Exchange Commission on April
      17, 2006.

10.3  Securities Purchase Agreement between Rockwell Medical Technologies, Inc.
      and Emerald Asset Advisors, LLC dated June 22, 2006 incorporated by
      reference to Exhibit 10.1 on Form 8-K filed with the Securities and
      Exchange Commission on June 23, 2006.

10.4  Registration Rights Agreement between Rockwell Medical Technologies, Inc.
      and Emerald Asset Advisors, LLC dated June 22, 2006 incorporated by
      reference to Exhibit 10.2 on Form 8-K filed with the Securities and
      Exchange Commission on June 23, 2006.



                                       13




   
31.1  Certifications of Chief Executive Officer Pursuant to Rule 13a-14(a), as
      Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

31.2  Certifications of the Chief Financial Officer Pursuant to Rule 13a-14(a),
      as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

32.1  Certifications of the Chief Executive Officer and Chief Financial Officer,
      Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of
      the Sarbanes-Oxley Act of 2002.



                                       14



                                   SIGNATURES

In accordance with the requirements of the Exchange Act, the registrant caused
this report to be signed on its behalf by the undersigned, thereunto duly
authorized.

                                        ROCKWELL MEDICAL TECHNOLOGIES, INC.
                                           (Registrant)


Date: August 9, 2006                    /s/ ROBERT L. CHIOINI
                                        ----------------------------------------
                                        Robert L. Chioini
                                        President, Chief Executive Officer and
                                        Director (Principal Executive Officer)


Date: August 9, 2006                    /s/ THOMAS E. KLEMA
                                        ----------------------------------------
                                        Thomas E. Klema
                                        Vice President of Finance, Chief
                                        Financial Officer, Treasurer and
                                        Secretary (Principal Financial
                                        Officer and Principal Accounting
                                        Officer)


                                       15



                              10-QSB EXHIBIT INDEX



EXHIBIT NO.   DESCRIPTION
-----------   -----------
           
10.1          Letter dated March 29, 2006 from LaSalle Bank Midwest National
              Association to Rockwell Medical Technologies, Inc., incorporated
              by reference to Exhibit 99.1 to Form 8-K filed with the Securities
              and Exchange Commission on April 11, 2006.

10.2          Rockwell Medical Technologies, Inc. 1997 Stock Option Plan,
              incorporated by reference to Rockwell's Proxy Statement for the
              Annual Meeting of Shareholders filed with the Securities and
              Exchange Commission on April 17, 2006.

10.3          Securities Purchase Agreement between Rockwell Medical
              Technologies, Inc. and Emerald Asset Advisors, LLC dated June 22,
              2006 incorporated by reference to Exhibit 10.1 on Form 8-K filed
              with the Securities and Exchange Commission on June 23, 2006.

10.4          Registration Rights Agreement between Rockwell Medical
              Technologies, Inc. and Emerald Asset Advisors, LLC dated June 22,
              2006 incorporated by reference to Exhibit 10.2 on Form 8-K filed
              with the Securities and Exchange Commission on June 23, 2006.

31.1          Certifications of Chief Executive Officer Pursuant to Rule
              13a-14(a), as Adopted Pursuant to Section 302 of the
              Sarbanes-Oxley Act of 2002.

31.2          Certifications of the Chief Financial Officer Pursuant to Rule
              13a-14(a), as Adopted Pursuant to Section 302 of the
              Sarbanes-Oxley Act of 2002.

32.1          Certifications of the Chief Executive Officer and Chief Financial
              Officer, Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant
              to Section 906 of the Sarbanes-Oxley Act of 2002.



                                       16