Q4 and Full Year 2014 Results Investor presentation January 27, 2015 Disclaimer These materials contain forward-looking statements that can be identified by words such as “potential,” “expected,” “will,” “planned,” or similar terms, or by express or implied discussions regarding potential new products, potential new indications for existing products, or regarding potential future revenues from any such products; potential shareholder returns or credit ratings; or regarding the potential completion of the announced transactions with GSK and CSL, or regarding potential future sales or earnings of any of the businesses involved in the announced transactions with GSK, Lilly or CSL, and regarding any potential strategic benefits, synergies or opportunities as a result of the announced transactions; or regarding potential future sales or earnings of the Novartis Group or any of its divisions; or by discussions of strategy, plans, expectations or intentions. You should not place undue reliance on these statements. Such forward-looking statements are based on the current beliefs and expectations of management regarding future events, and are subject to significant known and unknown risks and uncertainties. Should one or more of these risks or uncertainties materialize, or should underlying assumptions prove incorrect, actual results may vary materially from those set forth in the forward-looking statements. There can be no guarantee that any new products will be approved for sale in any market, or that any new indications will be approved for any existing products in any market, or that any approvals which are obtained will be obtained at any particular time, or that any such products will achieve any particular revenue levels. Nor can there be any guarantee that the announced transactions with GSK and CSL will be completed in the expected form or within the expected time frame or at all. Neither can there be any guarantee that Novartis will be able to realize any of the potential strategic benefits, synergies or opportunities as a result of the transactions with GSK, Lilly or CSL. Neither can there be any guarantee that Novartis or any of the businesses involved in the transactions will achieve any particular financial results in the future. Nor can there be any guarantee that shareholders will achieve any particular level of shareholder returns. Neither can there be any guarantee that the Novartis Group, or any of its divisions, will be commercially successful in the future, or achieve any particular credit rating. In particular, management's expectations could be affected by, among other things, unexpected regulatory actions or delays or government regulation generally, including an unexpected failure to obtain necessary government approvals for the transactions, or unexpected delays in obtaining such approvals; the potential that the strategic benefits, synergies or opportunities expected from the announced transactions, including the divestment of our former Animal Health Division to Lilly, may not be realized or may take longer to realize than expected; the inherent uncertainties involved in predicting shareholder returns or credit ratings; the uncertainties inherent in research and development, including unexpected clinical trial results and additional analysis of existing clinical data; the Company’s ability to obtain or maintain proprietary intellectual property protection, including the ultimate extent of the impact on the Company of the loss of patent protection and exclusivity on key products which commenced in prior years and will continue this year; unexpected manufacturing or quality issues; global trends toward health care cost containment, including ongoing pricing pressures; uncertainties regarding actual or potential legal proceedings, including, among others, actual or potential product liability litigation, litigation and investigations regarding sales and marketing practices, government investigations and intellectual property disputes; general economic and industry conditions, including uncertainties regarding the effects of the persistently weak economic and financial environment in many countries; uncertainties regarding future global exchange rates, including as a result of recent changes in monetary policy by the Swiss National Bank and the European Central Bank; uncertainties regarding future demand for our products; uncertainties involved in the development of new healthcare products; uncertainties regarding potential significant breaches of data security or disruptions of the Company’s information technology systems; and other risks and factors referred to in Novartis AG's current Form 20-F on file with the US Securities and Exchange Commission. Novartis is providing the information in these materials as of this date and does not undertake any obligation to update any forward-looking statements as a result of new information, future events or otherwise. 2 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Agenda 3 Group overview Joseph Jimenez Chief Executive Officer Financial review Harry Kirsch Chief Financial Officer Pharmaceuticals David Epstein Division Head, Novartis Pharmaceuticals Closing Joseph Jimenez Chief Executive Officer Q&A session Executive team | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Solid sales growth, margin expansion and major innovation in 2014 Sales up +3% in cc vs. PY, core margin +1.2ppts in cc vs. PY and FCF up +12% in USD1 Dividend of CHF 2.60 per share proposed (up 6% in CHF) Strong progress on innovation • LCZ696 file submitted in EU and US • Zykadia™ approved in US for non small cell lung cancer • Cosentyx™ approved in EU, US and Japan for psoriasis2 Portfolio transformation on track; Novartis Animal Health divestment closed on Jan 1st 1 2 4 2014 Group growth rates are based on 2013 data excluding the divested blood transfusion diagnostics unit. This measure, as well as constant currencies (cc), core results, and free cash flow are non-IFRS measures. An explanation of these non-IFRS measures and reconciliation tables can be found beginning on page 54 of the Condensed Financial Report CosentyxTM EU and US approval received in January 2015 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Summary of 2014 financial results FY (in USD m) 2014 Net Sales 57 996 1 3 Core Operating Income 14 616 3 8 Operating Income 10 736 1 7 Net Income 10 280 12 19 Core EPS (USD) 5.23 4 10 EPS (USD) 4.21 14 20 10 762 12 Free Cash Flow 1 5 Change vs. PY1 % USD % cc 2014 Group growth rates are based on 2013 data excluding the divested blood transfusion diagnostics unit. This measure, as well as constant currencies (cc), core results, and free cash flow are non-IFRS measures. An explanation of these non-IFRS measures and reconciliation tables can be found beginning on page 54 of the Condensed Financial Report | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation 2014 focus Strengthened innovation Operational excellence Delivered strong financial results Continued focus on quality Transforming the portfolio1 Transforming the company Capturing cross-divisional synergies Reshaping the culture of the company 1 6 All uncompleted transactions are subject to closing conditions | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation We have seen a series of important innovations and regulatory approvals in the last year 1 2 7 Operational excellence Strengthened innovation Approval US LCZ696 Ph III in chronic heart failure, file submitted EU and US Cosentyx™ approved in EU, US and Japan for psoriasis1 QVA149 and NVA237 met primary Ph III endpoints, file submitted US CTL019 FDA Breakthrough Therapy designation FDA granted accelerated approval for Meningitis B2 Recommended for approval by FDA Advisory Committee, all indications3 Positive CHMP recommendation for polycythemia vera4 CosentyxTM EU and US approval received in January 2015 Bexsero® FDA accelerated approval received in January 2015 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation 3 4 Filgrastim recommended for approval by FDA Advisory Committee in January 2015 Jakavi® recommended for approval by CHMP in January 2015 Operational excellence Strengthened innovation Alcon has made important acquisitions and collaborations Acquisition Collaboration ORA System® Acquired Complements Alcon’s industryleading cataract refractive suite 8 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Innovative contact lens and intraocular lens technology Operational excellence Delivered financial results Growth in sales and core operating income across all divisions Net sales 2014 % Change vs. PY (in USD m) (in cc) Pharmaceuticals 31 791 Alcon 10 827 Sandoz Consumer Health Vaccines1 1 2 9 9 562 4 279 1 537 Net sales Core Operating Income +1% +4% +6% +8% +7% +7% +8% +72%2 +10% +5%2 Vaccines growth rates are based on 2013 data excluding the divested blood transfusion diagnostics unit. Vaccines results exclude certain intellectual property rights and related other revenues which will be retained by Novartis and are now reported under Corporate activities, with 2013 reported results being restated for this impact. See page 54 of the Condensed Interim Financial Report Includes cessation of depreciation since portfolio transformation announcement date of +13% pts for Consumer Health and +31% pts for Vaccines. Lower loss in Vaccines for 2014 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Operational excellence Delivered financial results Two factors continue to drive our growth Growth Products +18% Emerging Growth Markets 1 +11% growth to 32% of Group sales 1 Emerging Growth Markets 2014 vs. PY (% cc). Group growth rates based on 2013 data excluding the divested blood transfusion diagnostics unit. See page 83 of the Condensed Interim Financial Report 10 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Operational excellence Delivered financial results Pharmaceuticals grew +1% vs. PY in cc in 2014, driven by Growth Products and Emerging Growth Markets Pharmaceuticals net sales (in USD bn, growth in % cc)1 32.2 +1% cc -1% USD 31.8 Growth Products (+17%): now contributing 43% of total Pharmaceuticals sales vs. 37% in 2013 Emerging Growth Markets (+11%): driven by strong double digit growth in China, Brazil and Turkey Absorbed generic impact of -7 percentage points FY 2013 1 FY 2014 All growth shown vs. PY in constant currencies (cc) 11 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Operational excellence Alcon grew +6% vs. PY in cc in 2014, driven by strong surgical performance Delivered financial results Alcon net sales (in USD bn, growth rates in % cc)1 Surgical (+7%): Strong equipment sales driven by +6% 10.8 Centurion® and cataract and vitreoretinal disposables Ophthalmic Pharmaceuticals (+5%): Double-digit 10.5 growth of Systane® and glaucoma fixed combination products Vision Care (+4%): Strong Dailies Total1® and AirOptix® growth FY 2013 1 FY 2014 All growth shown vs. PY in constant currencies (cc) 12 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Operational excellence Sandoz grew +7% vs. PY in cc in 2014, driven by US, Western Europe and Emerging Growth markets Delivered financial results Sandoz net sales (in USD bn, growth rates in % cc)1 Strong Sandoz performance driven by: +7% 9.6 9.2 US, Western Europe2 and Emerging Growth Markets Strong sales of valsartan monotherapy Biosimilars and oncology injectables FY 2013 1 2 FY 2014 All growth shown vs. PY in constant currencies (cc) Excluding Germany 13 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Our productivity initiatives contribute to growth of our core operating margin1 Procurement Core Marketing and sales Savings M&S spend (in USD bn) (% of sales in USD) 1.5 Operational excellence Delivered financial results Manufacturing footprint 1.6 25.2% 24.4% 24 manufacturing sites restructured or divested since 20102 2013 1 2 2014 20131 2014 2014 group growth rates are based on 2013 data excluding the divested blood transfusion diagnostics unit. This measure, as well as constant currencies (cc), core results, and free cash flow are non-IFRS measures. An explanation of these non-IFRS measures and reconciliation tables can be found beginning on page 54 of the Condensed Financial Report Represents the total number of production sites that have been, or are in the process of being, restructured or divested since 2010 14 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Operational excellence The continued focus on Quality system upgrades across our network continues to show results 247 Health authority inspections in 20141 1 Closed FDA Warning Letter for three Sandoz sites in North America Unterach, Austria FDA inspection in December 2014 concluded with zero observations Sites deemed unsatisfactory were Sandoz Kalwe (MCC) and Pharmaceuticals Japan (MHLW). Inspections still pending are Sandoz Kalwe (FDA) and Sandoz Turbhe (FDA) 15 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Continued focus on quality Transforming the company Portfolio transformation Novartis portfolio transformation is progressing on track Milestones1 9 Jan 2014 22 Apr 1 Jul Closed divestiture of blood transfusions diagnostics business Announced agreements to: Acquire GSK oncology Established Novartis Business Services products Create Consumer Health JV with GSK Divest Novartis Vaccines (excl. flu) Divest Novartis Animal Health to Eli Lilly 1 All uncompleted transactions are subject to closing conditions 16 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation 26 Oct 1 Jan 2015 Announced Closed agreement to divestiture of divest flu animal health business to CSL business Transforming the company We created Novartis Business Services to deliver high-quality services to the divisions at lower costs Cross-divisional opportunities Key 2014 activities New cross-divisional organization structure in place Costs under NBS responsibility were flat in 2014, at 2013 levels Additional synergies e.g., through Customers First 17 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Agenda Group overview Joseph Jimenez Chief Executive Officer Financial review Harry Kirsch Chief Financial Officer Pharmaceuticals David Epstein Division Head, Novartis Pharmaceuticals Closing Joseph Jimenez Chief Executive Officer Q&A session Executive team 18 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Performance delivered as per upgraded guidance 2014 Full Year Guidance1 (all in cc) FY 2014 (growth vs. PY2 in % cc) Group sales are expected to grow at a low to mid-single digit rate +3% Group core operating income is expected to grow ahead of sales (cc) in 2014, at a mid to high-single digit rate (cc) +8% Pharmaceuticals sales growth in line with 2013 +1% Alcon sales growth mid to high-single digit +6% Sandoz sales growth mid to high-single digit +7% Net Sales Growth: 1 2 Issued in Q2 2014, reconfirmed in Q3 2014 2014 Group growth rates are based on 2013 data excluding the divested blood transfusion diagnostics unit. This measure, as well as constant currencies (cc), core results, and free cash flow are non-IFRS measures. An explanation of these non-IFRS measures and reconciliation tables can be found beginning of page 54 of the Condensed Financial Report 19 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Strong leverage in Q4 and Full Year Q4 2 Change vs. PY FY 2 1 (in USD m) 20142 Net Sales 14 633 -2 4 57 996 1 3 Core Operating Income 3 322 1 9 14 616 3 8 Operating Income 1 172 -49 -39 10 736 1 7 Net Income 1 487 -26 -16 10 280 12 19 Core EPS (USD) 1.21 3 12 5.23 4 10 EPS (USD) 0.62 -23 -13 4.21 14 20 4 419 41 10 762 12 Free Cash Flow 1 Change vs. PY1 % USD % cc 2014 % USD % cc 2014 Group growth rates are based on 2013 data excluding the divested blood transfusion diagnostics unit. This measure, as well as constant currencies (cc), core results, and free cash flow are non-IFRS measures. An explanation of these non-IFRS measures and reconciliation tables can be found beginning of page 54 of the Condensed Financial Report 2014 results exclude depreciation and amortization related to discontinuing operations from the portfolio transformation announcement date 20 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Strong volume growth more than offsets generic impact in FY Group FY 2014 (growth vs. PY1 in %) Net sales Underlying volume 7 22 Price 0 -1 Underlying growth2 -4 Currency 2 3 -13 3 CC growth USD growth 21 7 Generics impact3 1 Core operating income 8 -2 1 -5 3 2014 Group growth rates are based on 2013 data excluding the divested blood transfusion diagnostics unit. This measure, as well as constant currencies (cc), core results, and free cash flow are non-IFRS measures. An explanation of these non-IFRS measures and reconciliation tables can be found beginning of page 54 of the Condensed Financial Report Underlying growth is the growth rate excluding the impact of generic competition and is calculated by adding back sales and core operating income resulting from generic impact to the reported figures Generics impact on sales amounted to USD 2.4 billion for the full year 21 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation All divisions contributed to FY Group core margin improvement of 1.2% points FY 2014 vs. PY Net sales (in % cc) Core operating income (in % cc) Pharmaceuticals 1 4 29.9 1.1 Alcon 6 8 35.2 0.6 Sandoz 7 7 16.4 0.1 Consumer Health 8 72 10.6 4.33 10 5 nm nm3 3 8 25.2 1.23 Vaccines1,2 Group1 1 2 3 Core ROS (%) Core margin change in cc (% pts) 2014 Group and Vaccines growth rates are based on 2013 data excluding the divested blood transfusion diagnostics unit. This measure, as well as constant currencies (cc), core results, and free cash flow are non-IFRS measures. An explanation of these non-IFRS measures and reconciliation tables can be found beginning of page 54 of the Condensed Financial Report Vaccines results exclude certain intellectual property rights & related other revenues which will be retained by Novartis and now reported under Corporate activities, with 2013 reported results being restated for this impact Includes cessation of depreciation since portfolio transformation announcement date of +0.9% pts for Consumer Health, +6.1% pts for Vaccines, and +0.2% pts for total Group 22 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation FY Group core margin improvement mainly from Functional Costs Group core R&D1 Group core M&S1 Group core G&A1 as % sales (USD) as % sales (USD) as % sales (USD) -0.6% pts (cc) -0.3% pts (USD) -0.8% pts (cc) -0.8% pts (USD) 16.8% -0.2% pts (cc) -0.2% pts (USD) 25.2% 5.3% 16.5% 5.1% 24.4% FY 2013 1 FY 2014 FY 2013 FY 2014 FY 2013 FY 2014 2014 Group growth rates are based on 2013 data excluding the divested blood transfusion diagnostics unit. This measure, as well as constant currencies (cc), core results, and free cash flow are non-IFRS measures. An explanation of these non-IFRS measures and reconciliation tables can be found beginning of page 54 of the Condensed Financial Report 23 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation New portfolio would have improved core operating margin by 2.5%pts on a full-year basis in 2014 (in USD m) Core operating income Net sales Current Portfolio Discontinuing Operations 58.0 5.8 14.6 Core operating margin 25.2%1 0.2 +2.5%pts2 Cessation Continuing Operations3 1 2 3 0.0 52.2 0.1 14.5 27.7% Includes cessation of depreciation since portfolio transformation announcement date of +0.2% pts Without the benefit of the cessation of depreciation, Core Operating Income difference would have been +2.7% pts Continuing Operations do not yet include the results from oncology assets to be acquired from GSK on closing of the transaction or the results from the 36.5% interest in the GSK/Novartis consumer healthcare OTC joint venture interest which will be created at the same time 24 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Increasing negative currency impact in Q4 due to weakening of Euro, Yen, Ruble and key Emerging Market currencies Currency impact vs. PY (in % points) Net sales Core operating income 0 -2 -1 -2 -3 -6 -7 -8 -8 -3 -6 -8 -4 -12 Q4 2013 Q1 Q2 Q3 2014 Q4 FY Q4 20151 2013 FY impact: -2% Q1 Q2 Q3 2014 Q4 FY 20151 FY impact: -5% Jan 8, 2015 rate prevailing 1 Continuing Operations impact only, assuming the stated FX rates prevail for the remainder of 2015 25 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Jan 16, 2015 rate prevailing Impact of recent changes in exchange rates – if applied to 2014 results Major currencies overview and the respective impact if January 16, 2015 FX rates are applied to 2014 2014 currency overview Selected major currencies Operating Expenses 2014 average 26% 25% -12% -3% -3% 2% 13% -10% 0% 4% 2% 13% 5% 0% -2% JPY 7% 5% -9% -1% -1% RUB 2% 1% -41% -1% -2% USD 36% 39% n/a n/a n/a CHF (Jan 8, 2015 rate) CHF (Jan 16, 2015 rate) 2 FX Fx Impact on: Jan 16, 2015 FX rates vs Net sales EUR 1 1 2 Net Sales Operating Income Continuing operations currency overview as per 2014 annual report page 138 and SEC form 20-F page 192. Impact of selected major currencies only; others may impact results as well FX rates based on Bloomberg 26 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation FY Free Cash Flow of USD 10.8 bn, USD 1.2 bn higher than 2013 FY Free Cash Flow (in USD bn) +1.2 1 10.8 9.6 3.1 FY 2013 1 2 4.4 Q4 9M Key reasons for variance vs. PY: Higher operating income2 (net of negative FX) Hedging gains Higher investments in intangible assets FY 2014 2014 Group growth rates are based on 2013 data excluding the divested blood transfusion diagnostics unit. This measure, as well as constant currencies (cc), core results, and free cash flow are non-IFRS measures. An explanation of these non-IFRS measures and reconciliation tables can be found beginning of page 54 of the Condensed Financial Report Operating income after adjusting for non-cash items 27 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Net debt decreased by USD 2.3 billion to USD 6.5 billion (in USD bn) 2.3 2 1 0 -1 -6.8 -2 -3 2.4 10.8 2.1 -4 -6.9 -5 -6 -7 0.7 -6.5 Others Dec 31, 2014 -8 -9 -8.8 Dec 31, 2013 1 2 3 Free Cash Flow Dividends Net divestment proceeds1 Proceeds from options exercised 2 Mainly due to divestment of the Vaccines blood transfusion diagnostics unit net of tax (USD 1.1 bn) and Idenix (USD 0.8 bn) Related to employee participation programs Including mainly repurchases on the first (USD 4.1 bn) and second trading lines (USD 2.4 bn) 28 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Share repurchases3 18th consecutive dividend growth proposed1 (payout ratio of 71%2 in 2014) 3.50 2.00 CHF USD 2.60 2.963 2.50 2.45 2.76 3.00 1.50 1.00 Proposed1 dividend growth 2014 vs. 2013: 6% in CHF, 7% in USD 0.50 0.00 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 1 2 3 Proposal to shareholders at the 2015 Annual General Meeting, taking place on February 27, 2015 Payout ratio is calculated by converting into USD the proposed total gross dividend amount in CHF at the CHF-USD exchange rate of January 21, 2015 based on an estimated number of shares outstanding on dividend payment date and dividing it by the USD consolidated net income attributable to shareholders of Novartis AG in the 2014 Novartis Group consolidated financial statements effective December 31, 2014 Dividend per share in USD is calculated by converting into USD the proposed dividend per share in CHF at the CHF-USD exchange rate of January 21, 2015 (1 CHF=USD 1.14) 29 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Outlook for continuing operations in 2015 versus continuing operations in 2014 Barring unforeseen events Continuing operations1 net sales expected to grow mid-single digit (cc)2: • Pharmaceuticals: mid-single digit growth (cc) • Alcon: mid to high-single digit growth (cc) • Sandoz: mid-single digit growth (cc) Continuing operations1 core operating income expected to grow ahead of sales at a high-single digit rate (cc)2 Outlook based on a modelling assumption that the transaction with GSK will close on March 31, 2015, and that the transaction with CSL will close on December 31, 20153 1 2 3 Continuing operations includes Pharmaceuticals, Alcon, Sandoz, Corporate, the to be acquired Oncology assets from GSK and contribution from the OTC Joint Venture (contribution in income from associated companies). The results from the oncology assets from GSK and the OTC Joint Venture are only included as of the date of closing Pro-forma growth, assuming continuing operations in 2014 and 2015 Assumption for modelling purposes only. Novartis continues to expect the GSK transactions to be completed in the first-half of 2015 and the transaction with CSL to be completed in the second-half of 2015 30 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Key core margin drivers 2015 for continuing operations1 Impact from generic competition (more in H1) Portfolio transformation (mostly in H2) Pharmaceuticals growth products Launch and pipeline investments FX impact (Swiss franc, yen, euro, ruble) NBS holding costs flat Full-year impact of 2014 restructurings Ongoing productivity programs in Divisions 1 Based on an assumption that the transaction with GSK will close on March 31, 2015, and that the transaction with CSL will close on December 31, 2015. Assumption for modelling purposes only. Novartis continues to expect the GSK transactions to be completed in the first-half of 2015 and the transaction with CSL to be completed in the second-half of 2015 31 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Novartis Business Services fully operational and contributing to margin improvement in 2015 • Streamline and consolidate (e.g. optimize size of the organization, rationalize IT applications) • Optimize geographical footprint (centralization and offshoring of certain transactional activities) • Leverage scale (e.g. accelerate Sourcing productivity, vendor spend and process optimization) • Cross-divisional coordination (e.g. Real Estate and Facility Services spend optimization) NBS will manage about USD 5 billion spend in 2015 32 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Improvement in core margin expected despite FX headwind in 2015 Illustrative 2015 core ROS1 Continuing operations (cc) 2 3 2014 reported core ROS1 Continuing operations 27.7% 1 Portfolio transformation Outlook Sales: mid-single digit (cc) growth Core operating income: high-single digit (cc) growth 2014 reported core ROS1 Total Group 25.2% 1 2 Core return on sales Assuming Jan 16, 2015 rates prevail for the remainder of 2015 33 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation FX impact on sales2: -7% FX impact on core operating income2: -12% 2015 core ROS1 Continuing operations (USD2) Improvement between reported Total Group 2014 core margin and 2015 continuing operations core margin, despite FX impact Agenda Group overview Joseph Jimenez Chief Executive Officer Financial review Harry Kirsch Chief Financial Officer Pharmaceuticals David Epstein Division Head, Novartis Pharmaceuticals Closing Joseph Jimenez Chief Executive Officer Q&A session Executive team 34 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Pharmaceuticals delivered sales growth with margin expansion Change vs. PY (in USD m) FY 2014 FY 2013 Net Sales 31 791 32 214 -1 +1 Core Operating Income 9 514 9 523 0 +4 Operating Income 8 471 9 376 -10 -5 Core Operating Income margin 29.9% 29.6% Operating Income margin 26.6% 29.1% Free Cash Flow 7 918 8 332 35 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation % USD -5 % cc Growth products1 now represent 43% of total division sales Growth products net sales (in USD bn) +17% cc 13.7 12.0 FY 2013 FY 2014 % of total division sales 37% 1 43% Growth products comprise products launched in 2009 or later, or products with exclusivity until at least 2018 in key markets (EU, US, Japan) 36 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation 2014 marks another year of delivering sales growth despite most substantial Gx impact in years Net sales growth and impact from generics Sales Growth (in % cc) +4% 2011 +2% 2012 +3% +1% 2013 2014 -2.2bn -2.4bn Gx impact (in USD bn) -1.1bn -1.9bn 37 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Emerging Growth Markets1: accelerated growth to double-digit and now contributing 26% of Pharmaceuticals sales Pharmaceuticals Division net sales (in %) Emerging Growth Markets rates (in % cc) 26% 74% Emerging Growth Markets 1 Established Markets 2012 6% 2013 9% 2014 11% 2015 Growth likely to be lower Emerging Growth Markets comprise of all markets other than the Established Markets of the US, Canada, Western Europe, Japan, Australia and New Zealand 38 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Unparalleled growth platform1 with exclusivity until 2018 and beyond FY 2014 Net sales USD m Indication Multiple sclerosis 2 477 30% 2 441 5% 1 575 22% Chronic myeloid leukemia 1 529 24% Diabetes mellitus, Type 2 1 224 Wet age-related macular degeneration, Diabetic macular edema, Retinal vein occlusion, mCNV Metastatic renal cell carcinoma, TSC SEGA, pNET, HR+/HER2-advanced breast cancer Severe allergic asthma and chronic spontaneous 1 2 Chronic obstructive pulmonary disease 484 Myelofibrosis 279 Key products for growth of Pharmaceuticals Division Impacted by Galvus in Germany, where distribution was stopped July 1, 2014. Excluding Germany, FY growth vs. PY is +15% 39 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation 6% 2 777 urticaria 3 FY 2014 Growth vs. PY % cc 3 4 30% 4 93% 72% Onbrez® Breezhaler® approved as Arcapta® Neohaler® in the US Net sales and growth of Onbrez®, Seebri® and Ultibro® 4 Gilenya® growth fueled by consistent increase of new patients on treatment Gilenya® net sales and growth (in USD m, growth in % cc) US Ex-US +16% +45% 1 023 Continued Gilenya adoption 1 287 1 190 Growth was +30% (FY) and +32% (Q4) vs. PY 911 Over 114,000 patients treated to date with Gilenya worldwide1 #1 in value share in Multiple Sclerosis (ex-US)2 2013 1 2 2014 Worldwide Novartis estimate in clinical trials and in post-marketing setting Leading share in the Multiple Sclerosis segment defined as global sales excluding USA. Source: Evaluate Pharma 40 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Lucentis® growth driven by new launches which achieved blockbuster status Lucentis® Ex-US1 net sales2 and growth (in USD m, growth in % cc) Growth was +5% (FY) and +1% (Q4) vs. PY +5% New indications contributed 41% of sales in 2014 2 441 2 383 (up from 27% in 2013) reaching USD 1bn 27% 63% 59% 2013 2014 wAMD 1 2 3 41%3 DME RVO mCNV Genentech has rights to Lucentis® in the US Sales indication split based on market research and Novartis estimates Share of new indications in Q4 was 43% 41 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation The pre-filled syringe was launched in key markets, incl. Germany, France, Italy, Spain, UK, Japan and Australia Tasigna® accounted for 33% of the CML franchise sales1 and grew solidly Tasigna® sales and growth (in USD m, growth in % cc) Ex-US Sales US Sales +23% 989 Tasigna in 1st line CML patients +26% • Tasigna sales represent 24% of the total 838 540 428 Growth was +24% (FY) and +30% (Q4) vs. PY • US growth mostly driven by increased usage of Tasigna and Gleevec®/Glivec® sales2 ENESTnd Landmark 6-year follow-up showed • Higher rates of early, deep and sustained molecular response, including MMR3 and MR4.54 (vs. imatinib) 2013 1 2 3 4 2014 • More patients do not progress (vs. imatinib) Share in the combined sales of Tasigna plus Gleevec/Glivec in so far as it concerns CML Gleevec/Glivec sales across all indications, including Ph+ CML and KIT+ GIST and others Major Molecular Response - defined as 0.1% or less of BCR-ABL as measured by IS RT-Q-PCR Molecular Response of ≥ 4.5-log reduction in BCR-ABL transcripts – defined as an extremely low level of detectable BCR-ABL protein (measured in the blood at 0.0032% or less on a standardized International Scale) 42 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Ultibro® Breezhaler® launched in ex-US markets with strong penetration; US submission completed Ultibro® Breezhaler® value share1 (in % on a monthly basis) COPD portfolio sales growth was +93% (FY) and 8% +94% (Q4) vs. PY2 Ultibro is 1st to market dual bronchodilator in the 6% EU and Japan 4% Submissions to FDA completed (Dec 2014) 2% Germany Spain Greece 0% 1 1 2 2 3 4 5 6 7 8 9 10 11 12 13 IMS Midas Monthly, Nov’14; Share of sales in the combined segment of: R3A3 + R3F1 + Tiotropium, Glycopyrronium, Aclidinium + LABA/LAMAs + Roflumilast. Months since launch in each market Ultibro Breezhaler sales were USD 118 m (FY) and USD 51 m (Q4) 43 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Jakavi®1 showed strong growth in 2014 with second indication expected in 2015 Jakavi® net sales (ex-US)1 (in USD m) 279 Growth was +72% (FY) and +91% (Q4) vs. PY Growth in 1st indication of MF2 driven by • Continued in-market growth in >70 countries 163 • Recent launches in Japan, Italy and Spain >50 published abstracts across MF and PV3 at ASH4 reinforcing safety / efficacy profile 30 2012 1 2 3 4 5 6 Launch of 2nd indication (PV) in Q2 2015 in EU5 2013 2014 Jakavi Target patient populations in MF and PV are of similar size6 is licensed from Incyte for development and commercialization outside the US Myelofibrosis Polycythemia vera American Society of Hematology (December 2014) CHMP positive opinion in January 2015 Based on approximately 25% of PV patients who fail Hydroxyurea and could qualify for Jakavi treatment. Source: Alvarez-Larrán, et al Blood 2012 44 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Signifor® approved in US and EU for treatment of patients with acromegaly Novartis Acromegaly Franchise US Acromegaly is associated with higher mortality rates EU and serious health complications Medically naive patients • Prevalence ~60 patients per million • Sandostatin LAR®: USD 1.6bn (FY) +6% vs. PY1 6 Despite current SSAs2 treatments, 45% of patients3 Patients inadequately controlled on current SSAs 6 6 with acromegaly are inadequately controlled and fail to achieve recommended levels of GH4 or normalized levels of IGF-15 Signifor®6 was approved in a new long acting release formulation in US and EU 1 2 3 4 5 6 Sandostatin LAR is indicated for acromegaly and functional gastroenteropancreatic neuroendocrine tumours (GEP NET) Somatostatin Analogues (SSAs) Carmichael JD, JCEM 2014;99(5):1825-1833 Growth hormone (GH) Insulin-like growth factor-1 (IGF-1) In the US, the long-acting release formulation of pasireotide for the treatment of acromegaly has been approved under the trade name Signifor® LAR 45 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Cosentyx™ (secukinumab) showed superiority to Stelara® in head-to-head CLEAR study (Psoriasis) Psoriasis sales and growth1 CosentyxTM (formerly AIN457) showed superiority to (in USD m) 5 896 6 000 +22% Enbrel ® 4 960 CAGR (09-14) 5 000 Humira ® 4 149 4 000 Remicade ® 3 459 2 862 3 000 Stelara ® 2 209 Ciclosporin 2 000 Methotrexate 1 000 Acitretin 0 2009 2010 2011 2012 2013 MAT Oct'14 Etretinate Stelara® in the CLEAR study (PASI 90 at week 16)2 1st approved anti-IL17A (approved as 1st line systemic therapy in EU) • Japan - first approval in Dec • EU and US - approval in Jan Cosentyx is highly differentiated in the market place • Superior efficacy vs. Stelara® and Enbrel®3 • Sustainability of response • Favorable safety profile • Monthly maintenance regimen Note: Stelara® and Remicade® are registered trademarks of Janssen Biotech, Inc., Enbrel ® is a registered trademark of Amgen Inc., Humira® is a registered trademark of AbbVie Ltd. PASI90 = 90% reduction in Psoriasis Area Severity Index from baseline 1 Sales from US, Japan, Top-5 EU. Source: IMS PADDS Monthly, Oct ’14. Compound Annual Growth Rate (CAGR) ‘09-’14 2 Novartis, Data on file 3 Langley RG, Elewski BE, Lebwohl M, et al. NEJM 2014. Jul 9;371(4):326-38 46 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Cosentyx™: Novartis is working to be the 1st company to launch an anti-IL17A with three indications in label FUTURE 2 (PsA) - Rapid and Significantly Improved ACR20 Responses 60 54.0% 51.0% % Responders (ACR 20) 50 40 30 • Efficacy in both anti-TNF-naive and anti-TNF-IR groups 29.3% 20 • PsA: >50% ACR 20 responders at week 24 15.3% 10 0 0 1 2 3 4 8 12 16 20 Secu 300 mg Secu 75 mg • AS: unprecedented sustained efficacy; at week 52, >75% of patients achieved ASAS 20, >60% achieved ASAS 40 (secondary endpoint) 24 Weeks Secu 150 mg Placebo MEASURE 1 (AS) - Sustained ASAS 20 Response Through Week 52 Cosentyx™ will compete in three high growth segments2 100 Primary Endpoint % Responders (ASAS 20) 80 76.7% 71.3% 60.8% 60 40 0 0 4 8 12 16 20 24 28 32 36 40 44 Secu 10 mg/kg i.v. 150 mg s.c. Secu 10 mg/kg i.v. 75 mg s.c. 48 52 Weeks Placebo Note: Secu= Secukinumab; i.v. = intravenous; s.c. = sub-cutaneous 47 • Psoriasis USD 6bn (+22%)2 • Psoriatic Arthritis (PsA) USD 3bn (+22%)2 • Ankylosing Spondylitis (AS) USD 2bn (+23%)2 28.7% 20 4 landmark PsA/AS PhIII studies presented at ACR 20141 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation PsA = Psoriatic Arthritis. AS = Ankylosing spondylitis. TNF = Tumor Necrosis factor. ACR20 = reduction by 20% in American College of Rheumatology response criteria, ASAS 20/40 = 20%/40% improvement in the Assessment of Spondyloarthritis International Society criterion 1 American College of Rheumatology (November 2014) 2 Sales MAT Oct. 2014 from US and Top-5 EU. Psoriasis includes Japan as well. Source: IMS PADDS Monthly, Oct ‘14. CAGR (‘09-’14) LCZ696: Additional clinical data; accelerated regulatory reviews PARADIGM-HF cause of death data1 25 % of patients 20 -16% p<0.001 -20% -20% -21% p<0.001 p=0.008 p=0.034 Enalapril 15 10 19.8 17.0 0 16.5 7.4 6.0 All causes CV causes Sudden Death 4.4 3.5 Pump Failure Novartis Data on File. Presented at AHA by J. McMurray Nov. 17, 2014 Packer et al. Circulation 2014; epub ahead of print: DOI: 10.1161 / CIRCULATION AHA.114.013748 48 New data shows LCZ696 has potential to reduce the risk of clinical progression of heart failure1,2 Patients in LCZ696 group were less likely to2 : • Require hospitalization for a cardiovascular 13.3 2 EMA and Swissmedic granted Accelerated Review LCZ696 5 1 Submission in EU and US completed | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation reason (12%) or for any reason (12%) • Require an emergency room visit for heart failure (34%) • Require intensive care (13%) Currently expected Pharmaceuticals newsflow highlights H1 2015 H2 2015 49 Cosentyx™ EU approval in psoriasis Cosentyx™ FDA action in psoriasis Jakavi® CHMP opinion in polycythemia vera Exjade® FDA action in new formulation film coated tablets CosentyxTM Regulatory filings in US and EU for ankylosing spondylitis and psoriatic arthritis Zykadia™ CHMP opinion in ALK+ NSCLC BKM120 US, EU & Japan submission in mBC ER+: combo with Fulvestrant, mTOR naive LDE225 FDA action in advanced basal cell carcinoma LDE225 CHMP opinion in advanced basal cell carcinoma LCZ696 FDA action in chronic heart failure with reduced ejection fraction LCZ696 CHMP opinion in chronic heart failure with reduced ejection fraction QVA149/NVA237 FDA action in chronic obstructive pulmonary disease (COPD) | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Agenda Group overview Joseph Jimenez Chief Executive Officer Financial review Harry Kirsch Chief Financial Officer Pharmaceuticals David Epstein Division Head, Novartis Pharmaceuticals Closing Joseph Jimenez Chief Executive Officer Q&A session Executive team 50 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation We are delivering against our priorities Strong 2014 financial results Strong innovation news adding to momentum Progress on portfolio transformation and NBS 51 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Our priorities in 2015 are expected to continue to position us for future success 2015 priorities 52 1 2 3 4 5 Strong financial results and discipline Strengthen innovation Complete the portfolio transformation Capture cross-divisional synergies Build a high-performing organization | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Agenda Group overview Joseph Jimenez Chief Executive Officer Financial review Harry Kirsch Chief Financial Officer Pharmaceuticals David Epstein Division Head, Novartis Pharmaceuticals Closing Joseph Jimenez Chief Executive Officer Q&A session Executive team 53 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation Appendix Planned filings 2015 to 2019 2016 2017 2018 BKM120 BYM338 KAE609 INC280 BAF312 LIK066 sIBM5 Malaria NSLCL14 Multiple sclerosis Type II diabetes LCI699 Afinitor® BCT197 LJM716 DLBCL12 COPD16 Solid tumors mBC ER+ AI resistant/mTOR naive LCQ908 CTL019 Cushing’s disease FCS1 Acute lymphoblastic leukemia PKC412 Fovista® ACZ885 Lucentis® BGJ398 QAW039 AML2 Wet AMD Sec. prev. cv events11 ROP15 Solid tumors Asthma LEE011 CTL019 LEE011 BGS649 QAX576 OHH17 Allergic diseases Afinitor® Non-functioning GI and Lung NET3 HR+, HER2(-) advanced breast cancer (postmenopausal women) DLBCL12 HR+, HER2(-) advanced breast cancer (premenopausal women) Cosentyx™ MEK162* Gilenya® LEE011 BYL719 QGE031 Ankylosing spondylitis NRAS mutant melanoma CIDP13 Solid tumors Solid tumors Asthma Cosentyx™ MEK162* + LGX818 Psoriatic arthritis BRAF mutant melanoma Zykadia™ ALK+advanced NSCLC14 (first line, treatment naive) CAD106 Alzheimer’s disease BKM120 Solid tumors PKC412 RLX030 CJM112 BYM338 ASM4 Acute heart failure Immune disorders Hip fracture EGF816 BYM338 Solid tumors Sarcopenia Afinitor® TSC6 seizures BKM120 1 mBC ER+ post Al and mTOR inhibitor 2 Ilaris® Hereditary periodic fevers Lucentis® CNV and New molecule New indication New formulation 55 2019 2015 3 4 5 6 7 ME7 MEK162* 8 LGSOC8 9 Tasigna® CML treatment free remission Tekturna® Heart failure9 Signifor® LAR10 Cushing’s disease 10 11 12 13 14 15 16 17 18 Familial chylomicronemia syndrome Acute myeloid leukemia Neuroendocrine tumors Aggressive systemic mastocytosis Sporadic inclusion body myositis Tuberous sclerosis complex Choroidal neovascularization (CNV) and macular edema (ME) secondary to conditions other than macular degeneration, diabetic macular edema, retinal vein occlusion and pathologic myopia Low-grade serous ovarian cancer Reduction of CV death/hospitalization in chronic heart failure patients Long-acting release Secondary prevention of cardiovascular events Diffuse large B-cell lymphoma Chronic inflammatory demyelinating polyradiculoneuropathy Non-small cell lung cancer Retinopathy of prematurity Chronic obstructive pulmonary disease Obese hypogonadotropic hypogonadism Preserved ejection fraction | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation FCR001 LCZ696 Renal transplantation Heart failure (PEF)18 HSC835 MEK162* Stem cell transplantation Solid tumors KAF156 QAW039 Malaria Atopic dermatitis LGX818 Solid tumors * MEK162 rights to be returned to Array BioPharma Inc. which is conditional on the closing of the portfolio transformation transaction with GSK Key Definitions This presentation contains several important words or phrases that we define as below: ACR20: Reduction by 20% in American College of Rheumatology response criteria In cc: In constant currencies ALK+ NSCLC: Anaplastic lymphoma kinase positive (ALK+) Non-small cell lung cancer (NSCLC) JCEM: Journal of Clinical Endocrinology & Metabolism Approval: In Pharmaceuticals, Alcon and Vaccines in US and EU; each indication and regulator combination counts as approval; excludes label updates, CHMP opinions alone, and minor approvals AS: Ankylosing spondylitis ASAS20/40: 20% respectively 40% improvement in the Assessment of Spondyloarthritis International Society criterion mCNV: Choroidal neovascularization (CNV) secondary to pathologic myopia (myopic CNV) MF: Myelofibrosis MMR: Major Molecular Response MR4.5: Molecular Response of ≥ 4.5-log reduction in BCR-ABL transcripts NEJM: New England Journal of Medicines CAGR: Compound Annual Growth Rate NSCLC: Non Small Cell Lung Cancer CML: Chronic myelogenous leukemia PASI90: 90% reduction in Psoriasis Area Severity Index from baseline COPD: Chronic Obstructive Pulmonary Disease pNET: Pancreatic neuroendocrine tumors DME: Diabetic Macular Edema PsA: Psoriatic Arthritis Emerging Growth Markets: All markets excluding the US, Canada, Western Europe, Japan, Australia, and New Zealand PV: Polychytemia vera GH: Growth Hormone SSA: Somatostatin Analogue Growth products: Growth products comprise products launched in 2009 or later, or products with exclusivity until at least 2018 in key markets (EU, US, Japan) TNF: Tumor Necrosis Factor Gx: Generic HR+/HER2-: Hormone Receptor positive, Human Epidermal Growth Factor 2 negative IGF-1: Insulin-like growth factor-1 56 | Novartis Q4 and FY 2014 Results | January 27, 2015 | Novartis Investor Presentation RVO: Retinal Vein Occlusion TSC SEGA: Tuberous sclerosis complex subependymal giant cell astrocytoma wAMD – wet age-related macular degeneration
© Copyright 2024