Deutsche Bank Healthcare Conference Jérôme Contamine, Executive Vice President, Chief Financial Officer Boston – May 6, 2015 Forward Looking Statements This presentation contains forward-looking statements as defined in the Private Securities Litigation Reform Act of 1995, as amended. Forward-looking statements are statements that are not historical facts. These statements include projections and estimates and their underlying assumptions, statements regarding plans, objectives, intentions and expectations with respect to future financial results, events, operations, services, product development and potential, and statements regarding future performance. Forward-looking statements are generally identified by the words "expects", "anticipates", "believes", "intends", "estimates", "plans" and similar expressions. Although Sanofi's management believes that the expectations reflected in such forward-looking statements are reasonable, investors are cautioned that forward-looking information and statements are subject to various risks and uncertainties, many of which are difficult to predict and generally beyond the control of Sanofi, that could cause actual results and developments to differ materially from those expressed in, or implied or projected by, the forward-looking information and statements. These risks and uncertainties include among other things, the uncertainties inherent in research and development, future clinical data and analysis, including post marketing, decisions by regulatory authorities, such as the FDA or the EMA, regarding whether and when to approve any drug, device or biological application that may be filed for any such product candidates as well as their decisions regarding labeling and other matters that could affect the availability or commercial potential of such product candidates, the absence of guarantee that the product candidates if approved will be commercially successful, the future approval and commercial success of therapeutic alternatives, the Group's ability to benefit from external growth opportunities, trends in exchange rates and prevailing interest rates, the impact of cost containment policies and subsequent changes thereto, the average number of shares outstanding as well as those discussed or identified in the public filings with the SEC and the AMF made by Sanofi, including those listed under "Risk Factors" and "Cautionary Statement Regarding Forward-Looking Statements" in Sanofi's annual report on Form 20-F for the year ended December 31, 2014. Other than as required by applicable law, Sanofi does not undertake any obligation to update or revise any forward-looking information or statements. 2 Q1 2015 - A Good Start to the Year 1 Delivering top line growth ● Sales up +2.4% despite lower vaccines and U.S. Lantus® sales(1) ● Solid performance of Genzyme and Merial 2 Posting strong financial results ● Higher OpEx driven by new launches ● Business EPS up +2.6% at CER(2) 3 Bringing innovative medicines to market ● Important milestones achieved for late stage R&D projects ● Multiple new product launches underway or imminent (1) On a reported basis, Q1 2015 sales were up +12.3% (2) On a reported basis, Business EPS was up +12.8% 3 Solid Sales and Business EPS Delivered in Q1 2015 Net Sales Business EPS €1.32 €8,810m +€0.12 +€782m +€0.03 +€186m +2.4% at CER(1) +2.6% €1.17 at CER(1) €7,842m Q1 2014 Incremental Sales at CER FX Impact Q1 2015 Q1 2014 Incremental EPS at CER FX Impact Q1 2015 (1) On a reported basis, Q1 2015 sales were up +12.3% and Business EPS was up +12.8% 4 Strong FX Tailwind on Top and Bottom Line in Q1 2015 as the U.S. Dollar Strengthened Quarterly Currency Impact Net Sales(1) Business EPS +9.9% +10.2% +€782m +€0.12 +2.7% +1.5% +€229m Q1 2014 Q2 2014 Q3 2014 -€81m Q1 2014 Q4 2014 Q2 2014 Q1 2015 Q3 2014 -€0.03 -1.0% +€0.02 Q4 2014 Q1 2015 -2.2% -€497m -6.2% -€443m -5.5% -€0.11 -9.1% -€0.10 -8.9% (1) Main currency impact on sales in Q1 2015: U.S. Dollar (+€551.3m); Chinese Yuan (+€77.5m); Russian Ruble (-€64.0m); 5 Balanced Geographical Sales Split in Q1 2015 with Solid Growth in Emerging Markets Q1 2015 Sales by Geographies (in €m) Emerging Markets Total Sales by Region (2) Western EU €2,031m +0.6% at CER RoW €944m €846m -3.5% at CER €849m 10.6% 23.1% 32.5% €530m Emerging Markets (1) €2,859m €586m +7.3% at CER U.S. 33.8% €2,976m +1.0% at CER Africa & Middle Eastern Europe, Latin America East Russia & Turkey Growth at CER +2.7% +8.6% (1) World excluding U.S., Canada, Western Europe (France, Germany, UK, Italy, Spain, Greece, Cyprus, Malta, Belgium, Luxembourg, Portugal, the Netherlands, Austria, Switzerland, Sweden, Ireland, Finland, Norway, Iceland, Denmark), Japan, South Korea, Australia, and New Zealand (2) RoW: Japan, South Korea, Canada, Australia, and New Zealand +7.1% Asia +8.6% 6 Sales Growth Driven by Genzyme and Merial in Q1 2015(1) % of Sales Q1 2015 Sales by Business Areas Growth at CER Pharmaceuticals €7,455m +2.2% 20.9% Diabetes €1,837m -3.2% 11.1% Consumer Healthcare €979m +5.3% 9.3% Genzyme €821m +30.9% 5.4% Generics €478m +10.2% 4.1% Oncology €357m -7.3% 33.8% Established Rx Brands €2,983m -1.5% 84.6% 7.9% Vaccines €697m -4.6% 7.5% Animal Health €658m +13.5% (1) Q1 2015 sales were up +12.3% on a reported basis 7 Genzyme Rare Disease Products Delivered Double-Digit Growth in Q1 2015 ● Rare Disease sales reached €613m in Q1 2015, up 15.9% Top 3 Rare Disease Sales (€m) €199m ● Sustained leadership positions(1) in Gaucher, Fabry and Pompe diseases €141m at CER +19.0% +27.6% ● Gaucher disease products grew 10.1% to €199 million, including €10m of Cerdelga® sales ● Over 60% of Cerdelga® patients are from sources that do not cannibalize existing Cerezyme sales +10.1% €156m at CER at CER Q1 2014 Q1 2015 Q1 2014 Q1 2015 Q1 2014 Q1 2015 ● Cerdelga® launched in its first EU market, Germany, in April 2015 & & (1) Cerezyme® value share is 72% and Fabrazyme® value share is 62% based on Q1 2015 reported sales by Sanofi and Shire 8 Genzyme’s Multiple Sclerosis Business Continued to Accelerate in Q1 2015 Genzyme MS Franchise Sales (€m) ● MS sales up +118% at CER to €208m in Q1 2015 €208m ● Aubagio® sales of €170m more than doubled vs. €78m in Q1 last year ● Only oral treatment with sustained accumulation of disability data in U.S. label €83m ● Q1 2015 sales of Lemtrada® were €38m, surpassing FY 2014 sales of €34m Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 2013 2013 2013 2014 2014 2014 2014 2015 Lemtrada® Aubagio® 9 Merial Started 2015 with Strong Growth Driven by NexGard® Launch and Frontline® Stabilization ● Q1 2015 sales of €658m up +13.5% Merial Sales Growth at CER +12.7% +11.5% ● Companion animal sales up +13.1% to €443m (67% of sales) ● Production animal sales up +14.5% to €215m +6.2% ● NexGard® sales more than doubled in Q1 2015 compared to the same period of 2014 ● Frontline® family continued stable performance with sales up +1.2% +13.5% -1.6% -5.7% -6.4% -6.3% Q2 2013 Q3 2013 Q4 2013 Q1 2014 Q2 2014 Q3 2014 Q4 2014 Q1 2015 10 Sanofi Pasteur Sales in Q1 2015 Reflect the Delay of the Southern Hemisphere Influenza Campaign ● Q1 2015 Sanofi Pasteur sales were €697m, down 4.6% at CER ● Excluding influenza vaccines, sales grew 17.2% in Q1 Vaccine Sales (€m) €697m €628m -4.6% at CER ● Strong PPH sales of €282m, +15.6% were driven by the continued recovery of Pentacel® in the U.S. Influenza Vaccines Polio/Pertussis/Hib ● Sanofi Pasteur continues to address remaining supply constraints in 2015 ● Menactra® sales grew 50.0% to €87m due to favorable CDC order phasing in the U.S. Meningitis/Pneumo Adult Boosters Travel/Endemic Other Q1 2014 PPH: Polio, Pertussis, Hib vaccines (1) Includes VaxServe, a U.S. healthcare supplier serving primary care physician offices, community immunization providers, immunizing pharmacies, travel clinics and corporations (1) Q1 2015 11 Diabetes Sales Reflect Expected Change in U.S. Lantus® Net Pricing Diabetes Sales (€m) ● Global diabetes sales of €1,837m down -3.2% at CER(1) in Q1 2015 ● In Emerging Markets and Western EU, diabetes sales were up +18.5% and +4.7%, respectively €1,837m €1,662m ● U.S. Lantus® sales were down 13.1% due to expected rebates required to maintain favorable formulary positions -3.2% at CER(1) ● Toujeo® sales were €7m reflecting pre-launch wholesaler demand ● Afrezza® was launched in the U.S. in Feb 2015 (1) On a reported basis, Q1 2015 diabetes sales were up +10.5% Q1Q1 2014 Q2Q2 2014 Q3Q3 2014 Q4Q4 2014 Q1Q1 2015 2014 2014 2014 2014 2015 12 Global Launch of a New Once-Daily Long-Acting Basal Insulin Underway ● Toujeo® was launched in the U.S. at the end of March ● Secured earlier and broader market access than expected ● Toujeo® COACH patient support program available at launch ● European Commission approved Toujeo® in April 2015 ● Launch in Germany and UK expected in Q2 2015 ● Launches in other countries expected in H2 2015 and early 2016 13 Sanofi Expects to Launch High Potential New Medicines and Vaccines at an Accelerated Pace ILLUSTRATIVE Up to 18 Launches 2014 - 2020 Shan5 ® Dengue PR5i Vaccine Vaccine (U.S.) sarilumab (U.S.) Praluent™ is the intended trade name for alirocumab. insulin patisiran Anti-CD38 Rotavirus Vaccine mAb lispro Vaccine 14 Regulatory Filings for Three Major New Medicines or Vaccines Submitted over the Last Year Key Regulatory Filings Hypercholesterolemia U.S. Pediatric hexavalent vaccine Dengue PR5i 6-in-1 Dengue vaccine U.S. E.U. Praluent® (alirocumab) is developed in collaboration with Regeneron (1) Rolling submission process initiated in some endemic countries in Asia and Latin America in 2015. Endemic markets(1) 15 Praluent® Has the Potential to Transform Management of Hypercholesterolemic Patients with High CV Risk ● Regulatory reviews underway in the U.S. and Europe ● FDA decision expected in July 2015(1) ● EU decision expected in Q1 2016 ● 18-month results of ODYSSEY LONG TERM study were published in NEJM(2) ● Fewer major CV events observed in post hoc analysis(3) ● ODYSSEY OUTCOMES trial ongoing(4) ● Assess potential to demonstrate CV benefit (1) FDA PDUFA target action date of July 24, 2015 (2) Robinson JG, Farnier M, Krempf M, et al. Efficacy and safety of alirocumab in reducing lipids and cardiovascular events. N Engl J Med 2015;372:1489-99. DOI: 10.1056/NEJMoa1501031 (3) Praluent group (27 of 1550 patients, 1.7%) compared with placebo group (26 of 788 patients, 3.3%; hazard ratio 0.52; 95 % CI, 0.31 to 0.90; nominal p < 0.01) (4) ODYSSEY OUTCOMES (n=18,000): Rationale and design in Schwartz GG et al. Am Heart J 2014;0:1-8.e1. 16 On Track to Make Dengue the Next Vaccine-Preventable Disease A Breakthrough Innovation to Help Reduce the Burden of Dengue(1) ● Rolling submission for Dengue vaccine initiated in endemic countries in Asia and Latin America ● First completed submission expected in H1 2015 ● First commercial batches produced and inventory build-up underway ● Up to 80m lyophilized doses expected to be available by end of 2015 ● First license anticipated before year-end 2015 (1) WHO, 2012, Global Strategy for Dengue Prevention and Control 17 Additional Clinical Milestones and Regulatory Filings Expected in 2015 Key Milestones in 2015 (2) Type 2 Diabetes Type 2 Diabetes ELIXA study results support U.S. regulatory submission expected in Q3 2015(1) Completion of two Phase III trials expected in Q3 2015(3) U.S. regulatory submission anticipated in Q4 2015 sarilumab Rheumatoid Arthritis Further Phase III data expected in 2015 Regulatory submission expected in late 2015 in the U.S. and H2 2016 in EU (1) ELIXA evaluated cardiovascular outcomes in patients with Type 2 Diabetes after Acute Coronary Syndrome during treatment with lixisenatide (2) LixiLan is a once-daily fixed-ratio combination of insulin glargine and lixisenatide (3) LixiLan-O evalutates the combination of insulin glargine and lixisenatide in patients insufficiently controlled on OADs and LixiLan-L focuses on patients not at goal on basal insulin 18 Innovation Momentum Set to Continue in 2015 2015 Expected Regulatory Decisions ● Toujeo® in Diabetes in U.S. & EU ● Praluent® (alirocumab) in Hypercholesterolemia (U.S.) ● PR5i 6-in-1 pediatric vaccine (U.S.) ● Dengue vaccine in Endemic Countries Expected Regulatory Submissions ● Lyxumia® in Diabetes (U.S.) ● LixiLan in Diabetes (U.S. & EU) ● Sarilumab in Rheumatoid Arthritis (U.S.) Expected Headline Phase III Data Releases ● Lyxumia® ELIXA CV outcome study in Diabetes ● LixiLan in Diabetes ● Sarilumab in Rheumatoid Arthritis Expected Phase III Starts ● Dupilumab in Asthma and Nasal Polyposis Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 19 Net Debt Increased by 5.6% in Q1 2015 due to Translation Impact of our Debt Held in U.S. Dollars Net Debt (in €m) -€773m €7,171m €1,602m -€327m FCF €1,247m €7,571m -€794m -€355m Net Debt (1) Mar 31, 2014 Net Cash from Operating Activities(2) CapEx €247m Proceeds from Share Repurchase Issuance of Shares Acquisitions, Licensing, Net of Disposals Other (3) FCF: Free Cash Flow (1) Including derivatives related to the financial debt of +€302m at December 31st, 2014 and of +€360m at March 31st, 2015 (2) Excluding Restructuring costs (3) Other including Restructuring costs of -€148m and FX impact of -€593m Net Debt (1) Mar 31, 2015 20 Outlook for 2015 - Investing in Future Growth Drivers FY 2015 Business EPS Growth FX impact on Business EPS Stable to slightly growing at CER(1) Approximately +12%(2) (1) FY 2014 Business EPS of €5.20 (2) Difference between variation on a reported basis and variation at CER, when applying March 2015 average exchange rates to the remaining three quarters of the year 21 Our Focus Continues to Be on Excellence in Execution of Sanofi’s Strategy Strategy 2015 Focus 1 Grow a global healthcare leader with synergistic platforms Sustain leadership positions 2 Bring innovative products to market Ensure successful launches 3 Adapt structure for future challenges and opportunities Focus company resources on must-win priorities 4 Seize value-enhancing growth opportunities Maintain financial discipline 22
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