Reimagining Medicine Vas Narasimhan, CEO J.P. Morgan Healthcare Conference January 13, 2020 - Novartis

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Reimagining Medicine Vas Narasimhan, CEO J.P. Morgan Healthcare Conference January 13, 2020 - Novartis
Novartis AG

              Reimagining Medicine
              Vas Narasimhan, CEO
              J.P. Morgan Healthcare Conference
              January 13, 2020
Reimagining Medicine Vas Narasimhan, CEO J.P. Morgan Healthcare Conference January 13, 2020 - Novartis
Disclaimer

This presentation contains forward-looking statements within the meaning of the United States Private Securities Litigation Reform Act of 1995 that can generally be identified by
words such as “potential,” “expected,” “will,” “planned,” “pipeline,” “outlook,” or similar expressions, or by express or implied discussions regarding potential new products, potential
new indications for existing products, potential product launches, or regarding potential future revenues from any such products; or regarding the development or adoption of
potentially transformational technologies, treatment modalities and business models; or regarding the potential financial or other impact on Novartis of the acquisition of The
Medicines Company and the investigational product inclisiran; or regarding potential future sales or earnings of the Group or any of its divisions, or potential shareholder returns; or by
discussions of strategy, plans, expectations or intentions. 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. You should not place undue reliance on these statements. In particular, our
expectations could be affected by, among other things: global trends toward healthcare cost containment, including ongoing government, payor and general public pricing and
reimbursement pressures and requirements for increased pricing transparency; regulatory actions or delays or government regulation generally, including potential regulatory actions
or delays with respect to the development of the products described in this presentation; the potential that the strategic benefits, synergies or opportunities expected from the
acquisition of The Medicines Company and the investigational product inclisiran may not be realized or may be more difficult or take longer to realize than expected; the successful
integration of The Medicines Company into the Novartis Group and the timing of such integration; potential adverse reactions to the transaction by customers, suppliers or strategic
partners; dependence on key personnel of The Medicines Company; dependence on third parties to fulfill manufacturing and supply obligations; the inherent uncertainties involved in
predicting shareholder returns; the inherent uncertainties involved in the research and development of new healthcare products, including clinical trial results and additional analysis
of existing clinical data; our ability to obtain or maintain proprietary intellectual property protection, including the ultimate extent of the impact on Novartis of the loss of patent
protection and exclusivity on key products that commenced in prior years and will continue this year; safety, quality, data integrity or manufacturing issues; uncertainties regarding
actual or potential legal proceedings, including, among others, product liability litigation, disputes and litigation with business partners or business collaborators, government
investigations generally, litigation and investigations regarding sales and marketing practices, and intellectual property disputes; uncertainties involved in the development or adoption
of potentially transformational technologies, treatment modalities and business models; our performance on environmental, social and governance measures; political, economic and
trade conditions; uncertainties regarding future global exchange rates; uncertainties regarding future demand for our products; uncertainties regarding potential significant breaches of
data security or data privacy, or disruptions of our information technology systems; and other risks and factors referred to in Novartis AG’s current Form 20-F on file with the United
States Securities and Exchange Commission (the “SEC”). Novartis is providing the information in this presentation 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.

     | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Reimagining Medicine Vas Narasimhan, CEO J.P. Morgan Healthcare Conference January 13, 2020 - Novartis
In 2019, we kept executing on our strategy...
Focus Novartis as a leading medicines company powered by advanced therapy platforms and data science

Our focus                                                                                     Our priorities

Focus our company                   Strengthen our core                                       Unleash the power of   Deliver transformative     Embrace operational
and capital                                                                                   our people             innovation                 excellence every day

                 Accelerate                                                                   Go big on data and     Build trust with society
                 key geographies                                                              digital

    | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Reimagining Medicine Vas Narasimhan, CEO J.P. Morgan Healthcare Conference January 13, 2020 - Novartis
...and delivered strong performance

Continuing operations1, 9M 2019, TSR as of YE 2019

35.0 bn                                                                           +9%                                             34.3%                                                  +2.2% pts
NET SALES (USD)                                                                       vs 2018(cc2)                                IM CORE MARGIN2 (%)                                                                   vs 2018(cc2)

10.7 bn                                                                     +18%                                                  3.97                                                                        +17%
CORE OPERATINGINCOME2 (USD)                                                           vs 2018 (cc2)                               CORE EPS2 (USD)                                                                       vs 2018(cc2)

9.4 bn                                                                      +13%                                                  22.1%                                                               Top tier
FREE CASH FLOW2 (USD)                                                              vs 2018 (USD)                                  1-YEAR TSR3 (%)                                                                          RANKING3
1. Continuing operations as defined on page 44 of the Q3 2019 Condensed Interim Financial Report, excludes Alcon, includes the businesses of Innovative Medicines and Sandoz (including the US generic oral solids and dermatology portfolio),
as well as the continuing corporate functions. 2. Constant currencies (cc), core results and free cash flow are non-IFRS measures. An explanation of non-IFRS measures can be found on page 56 of the Q3 2019 Condensed Interim Financial
Report. 3. TSR in USD from Jan 1st 2019, using 1 day average price at start and 3 month average price at end; ranking when compared to the global HC peer group as defined on page 140 of the NVS 2018 Annual Report, excluding Celgene

      | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Reimagining Medicine Vas Narasimhan, CEO J.P. Morgan Healthcare Conference January 13, 2020 - Novartis
Our strategy and execution make us unique
We are a focused medicines company with scale and diversification

Our focus                                                                                     Our priorities

Focus our company                   Strengthen our core                                       Unleash the power of   Deliver transformative     Embrace operational
and capital                                                                                   our people             innovation                 excellence every day

                 Accelerate                                                                   Go big on data and     Build trust with society
                 key geographies                                                              digital

    | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Reimagining Medicine Vas Narasimhan, CEO J.P. Morgan Healthcare Conference January 13, 2020 - Novartis
We have focused Novartis as a medicines company

Medicinal chemistry                  Diversified                               Portfolio
                                                                                                                             Focused medicines company powered by
and industrials                      healthcare group                          transformation                              advanced therapy platforms and data science
          1920 - 1996                            1996 - 2009                                 2009 - 2017                                                        2018 - 2019

                 Acquired               Divested OTC1 Acquired                                            Acquired                  Spun off                Acquired      Acquired

                 USD 3.9bn              USD 13bn                     USD 8.7bn                            USD 2.1bn                 USD 28bn2               USD 3.4bn3    USD 9.7bn

1. OTC = Consumer Health.   2. Alcon market capitalization on close of 1st day of trading.   3. USD 3.4bn upfront + milestone payments of up to USD 1.9bn

      | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Reimagining Medicine Vas Narasimhan, CEO J.P. Morgan Healthcare Conference January 13, 2020 - Novartis
We are uniquely positioned with scale and focus...

                                                                                                                                                                                           Rx                OTC
                                                                                                                                                                                           VC                Mtech
                                                                                                                                                                                           AH                Other
                      ≥ 200                                                                                                                                                                Gx                 Bubble size =
                                                                                                                                                                                                              company revenue

      Size                                                                                                                                                         *
Market cap
  USD bn

                      < 200

                                                  Conglomerate                                      % Innovative medicines                                                           Pure-play
                                             < 80% of revenues from Rx                                                                                                      ≥ 80% of revenues from Rx
                                                                                                          (Rx) sales
* Novartis 2018 sales excl. Alcon. Note: Each bubble represents a pharma company; Companies grouped by strategic archetype, not strictly to scale. VC = Vaccines, AH = Animal Health, Gx = Generics/Biosimilars, OTC = Consumer Health,
Mtech = Medical Devices / Diagnostics, Other = revenues not attributable to a specific TA and other revenues linked to royalties, in-licensing, etc. Source: Evaluate Pharma 2019; Market caps per Bloomberg November 27, 2019; Annual Reports

      | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Reimagining Medicine Vas Narasimhan, CEO J.P. Morgan Healthcare Conference January 13, 2020 - Novartis
...and diversified across TAs while providing
exposure to cutting-edge platforms
                                                                                                       Top-selling drug %                                                Presence in advanced therapy platforms2
          Company                                       # of TAs1                                         of total sales                   Blockbusters, #                     Cell             Gene             RLT   RNA
                                                                                             10                     8%                               15                         X                  X               X    X
        Company 1                                                                            10                   10%                                 4                                            X                    X
        Company 2                                                                      9                          13%                                11                                            X                    X
        Company 3                                                                      9                          19%                                 5
        Company 4                                                                      9                          12%                                 8                                            X
        Company 5                                                                8                                16%                                11                                            X                    X
        Company 6                                                   6                                             62%                                 3
        Company 7                                                   6                                             22%                                 7
        Company 8                                                   6                                             12%                                 8                                                                 X
        Company 9                                                   6                                             16%                                 6
      Company 10                                        4                                                         19%                                 4                         X                                       X
      Company 11                                        4                                                         31%                                 6                         X
      Company 12                                 3                                                                22%                                 8
      Company 13                           2                                                                      39%                                 4                                            X                    X
      Company 14                           2                                                                      21%                                 8                         X

1. Only TAs (Therapeutic Areas) with annual 3rd party sales > USD 500m; TA definition as per Evaluate Pharma.   2. Defined as sales from one of the mentioned therapy platforms by 2024 according to Evaluate Pharma
Source: Evaluate Pharma 2019

      | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Reimagining Medicine Vas Narasimhan, CEO J.P. Morgan Healthcare Conference January 13, 2020 - Novartis
We expect to double our business in China by 2024

    Number of NDA approvals1
                                                                                                 13 NME approvals over the past 5 years, and 22 NDRL
                                                                                                  listings since 2017
                                                                      50+
                                                                                                 Average # of NDAs expected to double in the next 5 years
                                                    x2
                                                                                                   5 average NDA approvals per year 2015-2019
                                                                                                   10 average NDA approvals expected per year 2020-2024
                         25                                                                        50+ NDA approvals planned over the next 5 years

                  2015-2019                                       2020-2024                      Goal to deliver >90% of 2024+ China submissions
                       Actual                                       Expected
                                                                                                  simultaneously with Global submission

          Goal to double our sales over the next 5 years, capitalizing on faster and broader access
1. NDA approvals of new compound + new indication

      | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Reimagining Medicine Vas Narasimhan, CEO J.P. Morgan Healthcare Conference January 13, 2020 - Novartis
Our strategy and execution make us unique
Transforming our culture, with the belief it will drive performance

Our focus                                                                                      Our priorities

Focus our company                    Strengthen our core                                       Unleash the power of   Deliver transformative     Embrace operational
and capital                                                                                    our people             innovation                 excellence every day

                  Accelerate                                                                   Go big on data and     Build trust with society
                  key geographies                                                              digital

     | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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We believe our new culture drives performance,
and are rigorously measuring progress

  Culture drives performance                                                                                               Measuring progress
  Key factors predicting performance among                                                                                 • Team Perspectives provides upward
  knowledge workers1                                                                                                           feedback to ~15,000 people managers.
                                                                                                                               Overall favorability 82/1002
                              Group goals               Inspired
                                                                                                                           • Our Voice provides quarterly feedback from all
               Perceived support for                                                                                           109,000 associates.
                    innovation                          Curious
                                                                                                                               65% response rate, 74/100 engagement score
                                                                                                                               (above global benchmark)3
Perceived supervisory support                           Unbossed
                                Effect size 0                 0.2       0.4       0.6        0.8        1                  • People Analytics uses machine learning
                                                                                                                               across meta-data to assess collaboration and
                                                                                                                               link between culture and performance
1. Source: “What is known about scientific literature about factors associated with knowledge worker performance,” Rapid Evidence Assessment meta-analysis, Center for Evidence-Based Management (CEBMa), June 2019, commissioned by
Novartis.   2. Results from Team Perspectives conducted in March 2019. 3. Results from Q4 2019 Our Voice survey

      | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Broad set of initiatives to drive culture change

          Inspired                                                          Curious                              Unbossed
          Connect to our purpose                                            Go big on learning                   Build leadership
          and provide an inspiring                                                                               self-awareness and
          working environment                                                                                    capabilities

                                         Reimagine
                                         Performance
                                         Management

       • Spark live to 83,000 associates,                                • Coursera: ~3,500 courses completed   • 18 countries visited by CEO in 2019
         230,000 recognitions given in 2019                                by 7,000+ users (~85,000 hours)1     • Unbossed Leadership Experience
       • Minimum 14 weeks paid leave for all                             • LinkedIn Learning: ~14,000 courses     (ULE) to be completed in 2020 for the
         parents, regardless of gender                                     available, 12,500+ users1              top 300 leaders in the company

1. As of YE 2019

      | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Our strategy and execution make us unique
Delivering breakthrough innovation to patients through traditional and advanced platforms

Our focus                                                                                      Our priorities

Focus our company                    Strengthen our core                                       Unleash the power of   Deliver transformative     Embrace operational
and capital                                                                                    our people             innovation                 excellence every day

                  Accelerate                                                                   Go big on data and     Build trust with society
                  key geographies                                                              digital

     | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Leading pipeline by key measures

                              Scale                                                                         Value                                                                   Innovation
   # of projects1                                                                Estimated 2024 sales from
                                                                                 products launched between 2019-242
                                                                                                                                                                                                 Advanced platform

   116                       PHASE I / II                                        #1                        Replacement Power                                   16                                therapies
                                                                                                                                                                                                 in clinical development

                                                                                    Company A                                                                                                    Pipeline potentially
   37                        PHASE III
                                                                                    Company B
                                                                                    Company C
                                                                                                                                                               ~90%                              first-in-class /
                                                                                                                                                                                                 first-in-indication
                                                                                    Company D
                                                                                    Company E
                                                                                    Company F

   11                        REGISTRATION
                                                                                    Company G
                                                                                    Company H
                                                                                                                                                               ~80%                              Target areas of high
                                                                                                                                                                                                 unmet need

                                                                                    Company I

1. Including Global Health, excluding Sandoz. 2. Innovative medicine product sales excl. Vaccines and LCM products (e.g. new formulations, combo’s with off patent molecules); compound-based analysis (Ph 2 and 3) with additional
indications allocated to 1st launch. Inclisiran included. Source: Novartis peer group analysis based on data from Evaluate Pharma (download from November 27, 2019)

      | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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2019 was a breakthrough year for Novartis

        5 NME approvals of potential blockbusters                                              ...with remarkable impact on patients
        in five separate therapeutic areas...

                                          Spinal Muscular
                                          Atrophy

                                          Secondary
                                          Progressive MS

                                          Breast Cancer

                                          Wet AMD

                                          Sickle cell disease

     | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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2020 catalysts maintaining long-term momentum
  Potential catalysts                           Selected examples
  Major approvals 1                             Ofatumumab (OMB157)                                              Capmatinib (INC280)                                                  Cosentyx®
                                                Relapsing MS                                                     NSCLC                                                                nrAxSpA
                                                QVM / QMF 149                                                   Entresto®                                                             Inclisiran (KJX839)
                                                Asthma                                                          HFpEF                                                                 CVRR (US)

  Major submissions2                            Inclisiran (KJX839)                                              AVXS-101 IT 4                                                        Alpelisib (BYL719)
                                                CVRR (EU)                                                        SMA type 2/3                                                         PROS
                                                177Lu-PSMA-617                                                   Spartalizumab (PDR001) combo                                         Entresto®
                                                mCRPC                                                            Metastatic melanoma                                                  HFpEF
                                                177Lu-PSMA-617                                                   Beovu®                                                               Entresto®
  Major readouts3
  (Phase 3)                                     mCRPC                                                            DME                                                                  Post-acute MI
                                                Asciminib (ABL001)                                               Kisqali®                                                             Jakavi®
                                                Chronic Myeloid Leukemia                                         Breast cancer (MONALEESA-2 OS)                                       Chronic GvHD

  Phase 3 starts                                TQJ230                                                          LNP023                                                                MBG453
                                                CVRR                                                            PNH                                                                   MDS
                                                Tropifexor (LJN452)                                              Alpelisib (BYL719)                                                   Beovu®
                                                NASH                                                             Multiple indications5                                                PDR

1. First approval in any market.   2. First submission in any market.   3. Readouts enabling submission, label change or pivotal trial initiation.   4. Currently on clinical hold.   5. HER2+ aBC, TNBC, ovarian cancer, head and neck cancer, PROS

       | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Advancing a breadth of early programs that address
significant unmet need
Selected examples
 LNP023 - oral complement Factor B inhibitor                                                   TQJ230 - antisense oligonucleotide

                                    Potential first disease modifying
                                    treatment option for several rare
                                    renal diseases                                                                 Potential first medicine
                                                                                                                   approved to treat high Lp(a)
                                    Also in development for 1st line
                                    PNH

 Iscalimab - fully human IgG1 mAb against CD40                                                 MBG453 - anti-TIM-3 monoclonal antibody

                                    Potential to provide “One                                                      Potential first-in-class anti-TIM-
                                    Transplant for Life”                                                           3 monoclonal antibody
                                    Also in development for Sjögren's                                              In development for MDS and
                                    and other indications                                                          AML

     | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Our strategy and execution make us unique
Focusing on launch efficiency and margin expansion

Our focus                                                                                      Our priorities

Focus our company                    Strengthen our core                                       Unleash the power of   Deliver transformative     Embrace operational
and capital                                                                                    our people             innovation                 excellence every day

                  Accelerate                                                                   Go big on data and     Build trust with society
                  key geographies                                                              digital

     | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Strong operational performance from growth drivers

Key growth drivers sales
9M 2019                 Sales                 Growth vs PY                              Growth vs PY   % of Innovative Medicines sales
                        USD Million           USD Million                               cc
                                                                                                                                                              28%
                            2,586                                              555              30%
                            1,208                                        498                    75%
                                                                                                                                             21%
   Lutathera®                334                                      248                       nm
                            1,036                               192                             26%                       16%
                             175                             175                                nm           10%
                             325                          150                                   92%
                             982                          140                                   22%
                             182                          134                                   nm
                                                                                                            9M 2016      9M 2017             9M 2018        9M 2019
                             102                     102                                        nm
                             870                     99                                         20%       Cosentyx®    Tafinlar®+Mekinist®       Kisqali®        Xiidra®
                                                                                                          Entresto ®   Xolair®                   Kymriah®        Piqray®
                              49               49                                               nm
                                                                                                          Promacta®    Lutathera®                Zolgensma®
nm = Not Meaningful

      | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Focused on launch excellence for 15 ongoing and
upcoming major launches

                                                                                                              Inclisiran (KJX839)
                                                                                                                     CVRR

                                       Zolgensma®                                                                 Entresto®
                                         SMA Type 1                                                                  HFpEF

                                         Mayzent®                                  Ofatumumab (OMB157)           AVXS-101 IT
                                            SPMS                                               Relapsing MS       SMA Type 2/3

                                          Piqray®                                    Capmatinib (INC280)      Alpelisib (BYL719)
                                        Breast Cancer                                            NSCLC               PROS

                                          Beovu®                                               Cosentyx®       177Lu-PSMA-617
                                          Wet AMD                                                nrAxSpA            mCRPC

                                         Adakveo®                                        QVM / QMF 149         PDR001 combo
                                      Sickle cell disease                                        Asthma        Metastatic melanoma

                                            2019                                                  2020               2021

                                Ongoing                Upcoming

     | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Committed to driving consistent margin expansion

Innovative Medicines
Core margin (%)
                                                                                            Mid to high       + Sales momentum of key growth drivers and
                                                                              Mid              30s              operational excellence on upcoming launches
                                                        34                    30s
        31                      32                                                                            + Productivity programs in Novartis Technical
                                                                                                                Operations and Novartis Business Services

                                                                                                              + Resource allocation in commercial units

                                                                                                              ‒ Generic erosion
      2017                   2018                9M 2019 near term                               medium       ‒ Launch investments for potential future
                                                                                                  term          blockbusters, including inclisiran

Key assumption: All guidance includes forecast assumption that no Gilenya® generics enter in 2020 in the US

      | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Advancing deep transformations in NTO and NBS

                                                                                                          NTO1                                                                 NBS2

                                                                          • Reduced ~1,800 FTEs across global functions                                    • On track to reduce ~600 FTEs by 2022
                                     Organization                           and site operations (net of site exits)                                        • Associates in NGSCs3 from 50%
Strategic Levers

                                                                          • 10 sites exited                                                                • Footprint reduction through sale, lease-back,
                                                                          • 9 additional exits announced                                                     and Activity-Based Working (20+ offices)
                                     Footprint                            • 102 out of 210 warehouses consolidated                                         • Moved to single service provider for REFS

                                                                          • -28% suppliers for FP and API                                                  • New Chief Procurement Officer
                                     Procurement                          • -45% suppliers for indirect materials                                          • Optimizing terms with top 100 suppliers

                                                                          • Delivering advanced analytics solutions on                                     • Continued investments in tech enablers
                                     Data & Digital                         asset, material and inventory management                                       • Re-design of key enterprise processes

                                                  Contributing to goal of ~USD 2bn savings by the end of 2020
   1. NTO = Novartis Technical Operations; Baseline YE 2016.      2. NBS = Novartis Business Services; Baseline YE 2018.   3. NGSCs = Novartis Global Service Centers

                   | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Our strategy and execution make us unique
Scaling a bold digital transformation to become a leader across sectors

Our focus                                                                                      Our priorities

Focus our company                    Strengthen our core                                       Unleash the power of   Deliver transformative     Embrace operational
and capital                                                                                    our people             innovation                 excellence every day

                  Accelerate                                                                   Go big on data and     Build trust with society
                  key geographies                                                              digital

     | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Four core elements to our digital transformation

                                                                                                        Become
              Scale                                              Make                                                                Pursue
                                                                                                    the #1 partner
     12 digital lighthouses                                  Novartis digital                                                     bolder moves
                                                                                                  in tech ecosystem

 Spanning the entire value                           >1,500 associates mobilized               Scale novel partnership      Getting ready for disruptive
 chain, from development to                          Rapidly build Data Science                accelerator: the Novartis    healthcare scenarios through
 commercial operations                               and AI capabilities                       Biome                        large-scale alliances, e.g.:
 In full flight with 2-3 year                                                                  Complement internal skills   • Microsoft: AI Innovation Lab
                                                     Move to One Digital global
 implementation horizon                                                                        and capabilities
                                                     collaboration platform                                                 • AWS1: TechOps optimization
 Investing in technology                                                                       Closely linked to business   • Tencent: Heart Failure
                                                     Dedicated leadership
 platforms, including CRM,                                                                     priorities                   patient solution in China
                                                     capability program
 MDM, API

1. AWS: Amazon Web Services

     | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Taking concrete steps along the value chain

     | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Our strategy and execution make us unique
Advancing longstanding efforts to expand access, tackle global challenges, and build trust

Our focus                                                                                      Our priorities

Focus our company                    Strengthen our core                                       Unleash the power of   Deliver transformative     Embrace operational
and capital                                                                                    our people             innovation                 excellence every day

                  Accelerate                                                                   Go big on data and     Build trust with society
                  key geographies                                                              digital

     | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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In 2019 we made important progress on our efforts
to build lasting trust with society

Ethical Standards                                   Pricing & Access                           Global Health                  Corporate Citizenship

Rolled out globally the new Third                   Brought LIC & LMIC prices in               Signed partnership for SCD     Joined the UN Equal Pay
Party Risk Management system                        line with EU5 average                      with the Government of Ghana   International Coalition

Drafting the new Code of Ethics,                    Outlined new access strategy               Joined Global Chagas Disease   Achieved 44% female
co-created with our associates                      for sub-Saharan Africa                     Coalition                      representation in management

     | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Introducing ambitious targets in 2020 to drive our
ESG efforts, fully reflected in our governance

 Holistic set of ESG targets for 2020...                                                        ...deeply embedded in our operating model
     Pillar                    Target
                                                                                                • Systematically reviewed
                               Transparency on clinical trials
     Ethical                                                                                     Tracked bi-monthly at the Trust & Reputation
                               Strengthen Third Party Risk Management                            Committee, a sub-committee of the Executive
     Standards
                               Fully integrate Human Rights into TPRM                            Committee of Novartis (ECN) chaired by the CEO
                               Increase patient reach
     Pricing &
     Access
                               Enhance access                                                   • Linked to compensation
                               Implement pricing principles                                      Cascaded into ECN personal objectives, and
                               Malaria: Advance development of new drugs                         directly impacting compensation
     Global
                               Sickle cell disease: Expand coverage
     Health                                                                                     • Transparently disclosed
                               Chagas: Progress on clinical trial
                               Reduce energy & carbon
                                                                                                 To be included in 2020 Annual Report, providing
     Corporate                                                                                   full disclosure on our goals and progress
                               Reduce waste
     Citizenship
                               Reduce water

      | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Bold long-term aspirations across the ESG spectrum

Selected examples

                                Reduce launch time lag                                          Achieve carbon neutrality
                                to 3 months in LMICs                                            in own operations by 2025

                                Implement access strategy for                                   Deliver on UN EPIC
                                advanced therapies in LMICs                                     and LGBTI equity pledges

                                Transform treatment of malaria with                             Holistically address
                                USD 100m committed in R&D1                                      sickle cell disease in Ghana

1. Commonwealth Heads of Government Meeting April 2018, commitment over the next 5 years
      | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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We're beginning to realize our vision
Holistically address sickle cell disease in Ghana

Drone delivery of hydroxyurea to rural areas                                                   Public-private partnership with the government

     | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Thank you
Abbreviations
     AI                 Artificial Intelligence                                                    MS              Multiple Sclerosis
     AMD                Age-related macular degeneration                                           NASH            Non-alcoholic steatohepatitis
     AML                Acute myeloid leukemia                                                     NBS             Novartis Business Services
     API (slide 22)     Active Pharmaceutical Ingredient                                           NDA             New Drug Application
     API (slide 24)     Application Programming Interface                                          NDRL            National Drug Reimbursement List
     cc                 Constant Currencies                                                        NGSC            Novartis Global Service Center
     CRM                Customer Relationship Management                                           NME             New Molecular Entity
     CVRR               Cardiovascular Risk Reduction                                              nrAxSpA         Non-radiographic axial spondyloarthritis
     DME                Diabetic macular edema                                                     NSCLC           Non-small cell lung cancer
     FP                 Finished Product                                                           NTO             Novartis Technical Operations
     FTE                Full Time Equivalent                                                       PDR             Proliferative diabetic retinopathy
     GvHD               Graft-versus-host disease                                                  PNH             Paroxysmal nocturnal haemoglobinuria
     HC                 Healthcare                                                                 Post-acute MI   Post-Acute Myocardial Infarction
     HER2+ aBC          Human epidermal growth factor receptor-2 positive advanced breast cancer   PROS            PIK3CA related overgrowth spectrum
     HFpEF              Chronic heart failure with preserved ejection fraction                     PY              Previous Year
     IgG1               Immunoglobulin G                                                           REFS            Real Estate & Facility Services
     IM                 Innovative Medicines                                                       RLT             Radio Ligand Therapy
     LBGTI              Lesbian, gay, bisexual, transgender, intersex                              SCD             Sickle Cell Disease
     LCM                Lifecycle Management                                                       SMA             Spinal muscular atrophy
     LIC                Low Income Countries                                                       TA              Therapeutic Area
     LMIC               Low Middle Income Countries                                                TNBC            Triple negative breast cancer
     Lp(a)              Lipoprotein(a)                                                             TPRM            Third Party Risk Management
     mAb                Monoclonal antibody                                                        TSR             Total Shareholder Return
     mCRPC              Metastatic castration-resistant prostate cancer                            UN EPIC         United Nations Equal Pay International Coalition
     MDM                Master Data Management                                                     YE              Year End
     MDS                Myelodysplastic syndrome                                                   YTD             Year-To-Date

     | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Our pipeline projects at a glance

                                                                                  Phase 1/2                 Phase 3   Registration   Total
  O NCO LO G Y                                                                             57                 20            2          79

  PHARMACEUT ICALS                                                                         59                 17            9          85
 Cardiovascular, Renal, Metabolism                                                            9                3            1          13
 Immunology, Hepatology, Dermatology                                                        21                 6            2          29
 Neuroscience                                                                                 8                1            1          10
 Ophthalmology                                                                                5                3            1           9
 Respiratory                                                                                11                 4            3          18
 Global Health                                                                                5                0            1           6
  BIO SIMILARS                                                                               0                 1            0           1
                                                               Total                    116                   38           11        165

CRM: Cardiovascular, Renal & Metabolism.   IHD: Immunology, Hepatology & Dermatology.   NS: NeuroScience.
Data as of Dec 5, 2019

      | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Novartis pipeline in Phase 1 (1 of 2)                                                                                                                                                             34 lead indications
                                                                                                                                                                                                                               Lead indication

Oncology
Code                Name                                                            Mechanism                         Indication(s)
177Lu-NeoB          177Lu-NeoB                                                      Radioligand therapy target GRPR   Multiple solid tumors
177Lu-PSMA-R2       177Lu-PSMA-R2                                                   Radioligand therapy target PSMA   Prostate cancer
ADPT01              NIR178, LAG525, spartalizumab, canakinumab, capmatinib          LAG3 Inhibitor,PD1 Inhibitor      TNBC
BLZ945              BLZ945 + spartalizumab                                          CSF-1 Inhibitor + PD1 Inhibitor   Solid tumors
CSJ137              CSJ137                                                          Growth Factor Inhibitor           Anaemia
CTL019              Kymriah®                                                        CD19 CART                         Lymphoma
DKY709              DKY709 + spartalizumab                                          -                                 Cancers
EGF816              nazartinib + LXH254, ribociclib, capmatinib, Opdivo, Mekinist   EGFR Inhibitor                    NSCLC
HDM201              HDM201 + MBG453, venetoclax                                     MDM2 Inhibitor                    Haematological malignancy
JEZ567              JEZ567                                                          CD123 CART                        AML
JJO686              JJO686                                                          CD22 CART                         ALL
LHC165              LHC165 + spartalizumab                                          TLR7 Agonist                      Solid tumors
LSZ102              LSZ102, ribociclib, alpelisib                                   SERD                              BC
LXF821              LXF821                                                          EGFR CART, PD1 Inhibitor          Glioblastoma multiforme
LXH254              LXH254 (combos)                                                 cRAF Inhibitor                    Solid tumors                  Solid tumors
MAK683              MAK683                                                          EED Inhibitor                     Cancers
MAS825              MAS825                                                          -                                 Inflammatory diseases
MBG453              MBG453 (combos)                                                 TIM3 Antagonist                   Cancers
MCM998              MCM998, LXG250                                                  BCMA CART, CD19 CART              Multiple myeloma
MIK665              MIK665                                                          MCL1 Inhibitor                    AML                           Haematological malignancy   AML (combo)
MIW815              MIW815                                                          STING Agonist                     Solid tumors                  Solid tumors (combo)
NIS793              NIS793, spartalizumab                                           TGFB1 Inhibitor, PD1 Inhibitor    Solid tumors
NIZ985              NIZ985, spartalizumab                                           IL-15 Agonist                     Solid tumors
NJH395              NJH395                                                          -                                 Solid tumors
NZV930              NZV930, spartalizumab, NIR178                                   CD73 Antagonist                   Solid tumors
PDR001              spartalizumab, CJM112, LCL161                                   PD1 Inhibitor, TIM3 Antagonist    AML                           Solid tumors (combo)        Solid tumors (combo)    Solid tumors (combo)
SQZ622              SQZ622                                                          CD123xCD3 Modulator               AML
TNO155              TNO155                                                          SHP2 Inhibitor                    Solid tumors (combo)          Solid tumors (combo)
VAY736              ianalumab + ibrutinib                                           BAFF-R Inhibitor,BTK Inhibitor    Haematological malignancy
VOB560              VOB560                                                          -                                 Cancers
VPM087              VPM087                                                          IL1B Antagonist                   1st line CRC / 1st line RCC
WNT974              WNT974 + spartalizumab                                          Porcupine Inhibitor               Solid tumors
YTB323              YTB323 + ibrutinib                                              CD19 CART                         Haematological malignancy

Data as of Dec 5, 2019

         | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Novartis pipeline in Phase 1 (2 of 2)                                                                                                          34 lead indications
                                                                                                                                                            Lead indication

Immunology, Hepatology, Dermatology
Code      Name                    Mechanism                       Indication(s)
DFV890    DFV890                  -                               Multiple Indications
LRX712    LRX712                  -                               Osteoarthritis
MHS552    MHS552                  -                               Autoimmune Indications
MHV370    MHV370                  -                               SLE

Neuroscience
Code      Name                    Mechanism                       Indication(s)
OAV101    AVXS-101                Survival motor neuron protein   SMA type 2/3 (IT formulation)1
                                  gene therapy
OAV201    AVXS-201                MECP2 gene therapy              Rett syndrome

Respiratory Disease
Code      Name                    Mechanism                       Indication(s)
CMK389    CMK389                  IL-18 Inhibitor                 Sarcoidosis

Cardiovascular, Renal, Metabolism
Code      Name                    Mechanism                       Indication(s)
HSY244    HSY244                  -                               Atrial fibrillation
LTW980    LTW980                  -                               Hypertriglyceridemia
MBL949    MBL949                  -                               Diabetes

Global Health
Code      Name                    Mechanism                       Indication(s)
KAF156    ganaplacide             -                               Malaria prophylaxis

1. FDA placed a partial hold on AVXS-101 intrathecal clinical trials for SMA patients based on findings in a small pre-clinical animal study
Data as of Dec 5, 2019

       | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Novartis pipeline in Phase 2                                                                                                                                                                              27 lead indications
                                                                                                                                                                                                                                          Lead indication

Oncology                                                                                                                                 Neuroscience
Code     Name                        Mechanism                         Indication(s)                                                     Code     Name          Mechanism                       Indication(s)
ABL001   asciminib                   BCR-ABL Inhibitor                 CML 1L                                                            AFQ056   AFQ056        mGluR5 Antagonist               Addiction
ACZ885   canakinumab                 IL-1b Inhibitor                   Sickle cell anaemia                                               BAF312   Mayzent®      S1P1 Modulator                  Ped MS            Stroke
BYL719   Piqray®                     PI3K Pathway,AKT1 Inhibitor       PROS                                                              LMI070   branaplam     Survival motor neuron protein   SMA
CTL019   Kymriah                     CD19 CART                         r/r DLBCL (+ pembro)                                              MIJ821   MIJ821        NR2B Inhibitor                  Depression
EGF816   nazartinib+capmatinib Opdivo EGFR Inhibitor                   NSCLC                                                             OMB157 ofatumumab      CD20 Antagonist                 Ped MS
INC280   capmatinib                  c-Met Inhibitor                   NSCLC
                                     c-Met Inhibitor + spartalizumab   HCC                 NSCLC                                         Respiratory Disease
INC424   Jakavi®                     JAK1 Inhibitor                    Myelofibrosis (combination)
                                                                                                                                         Code     Name          Mechanism                       Indication(s)
LAG525   LAG525                      LAG3 Inhibitor                    Solid Tumors
                                                                                                                                         ACZ885   canakinumab   IL-1b Inhibitor                 Sarcoidosis
MBG453 MBG453                        TIM3 Antagonist                   HR-MDS              Unfit AML
                                                                                                                                         CJM112   CJM112        IL-17A Inhibitor                Asthma
NIR178   NIR178, spartalizumab       Ad2AR Inhibitor, PD1 Inhibitor    Cancers
                                                                                                                                         CSJ117   CSJ117        TSLP Inhibitor                  Severe asthma
PDR001   spartalizumab               PD1 Inhibitor                     Nasopharyngeal cancer               Metastatic melanoma (combo)
                                                                                                                                         LOU064   LOU064        BTK Inhibitor                   Asthma
SEG101   crizanlizumab               P-selectin Inhibitor              Sickle cell anaemia with crisis
                                                                                                                                         QAW039 fevipiprant     DP2 (CRTh2) Antagonist          Rhinitis allergic Nasal polyps     COPD    ped Asthma
                                                                                                                                         QBW251 QBW251          CFTR Potentiator                COPD
Immunology, Hepatology, Dermatology
                                                                                                                                         VAY736   ianalumab     BAFF-R Inhibitor                IPF
Code     Name                        Mechanism                         Indication(s)
AIN457   Cosentyx®                   IL17A Inhibitor                   SpA IVIV            GCA             Lichen Planus
                                                                                                                                         Cardiovascular, Renal, Metabolism
CFZ533   iscalimab                   CD40 Inhibitor                    Renal/Liver Tx      SjS             HS
LJC242   tropifexor&cenicriviroc     CCR2 Inhibitor, FXR agonist       NASH                                                              Code     Name          Mechanism                       Indication(s)
LJN452   tropifexor                  FXR agonist                       NASH                Nash (combos)                                 CFZ533   iscalimab     CD40 Inhibitor                  Lupus Nephritis
LNA043   LNA043                      ANGPTL3 Agonist                   Osteoarthritis                                                    LMB763   nidufexor     FXR Agonist                     Diabetic Nephropathy
LOU064   LOU064                      BTK Inhibitor                     Chronic spontaneous urticaria       SjS                           LNP023   LNP023        CFB Inhibitor                   PNH               iMN              C3G     IgAN
LYS006   LYS006                      Anti-inflammatory                 Acne
VAY736   ianalumab                   BAFF-R Inhibitor                  pSjS                AIH             SLE                           Global Health
ZPL389   adriforant                  HRH4 Antagonist                   Atopic dermatitis
                                                                                                                                         Code     Name          Mechanism                       Indication(s)
                                                                                                                                         KAE609   cipargamin    PfATP4 inhibitor                Malaria           Malaria severe
Ophthalmology                                                                                                                            KAF156   ganaplacide   -                               Malaria
Code     Name                        Mechanism                         Indication(s)                                                     LXE408   LXE408        Protozoan Inhibitor             Visceral leishmaniasis
CPK850   CPK850                      RLBP1 AAV                         RP
ECF843   ECF843                      rh-Lubricin                       Dry eye
LKA651   LKA651                      EPO Inhibitor                     Diabetic retinopathy
SAF312   SAF312                      TRPV1 Antagonist                  COSP
UNR844   UNR844                      disulfide bonds Modulator         Presbyopia

Data as of Dec 5, 2019

       | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Novartis pipeline in Phase 3                                                                                                                                                                                           6 lead indications
                                                                                                                                                                                                                                                           Lead indication

Oncology                                                                                                                                     Respiratory Disease
Code              Name             Mechanism                      Indication(s)                                                              Code     Name                     Mechanism                    Indication(s)
177Lu-PSMA-617    177Lu-PSMA-617   Targeted Radioligand Therapy   mCRPC                                                                      IGE025   Xolair®                  IgE Inhibitor                CSU (for CN)    Auto-injector   Food allergy
ABL001            asciminib        BCR-ABL Inhibitor              CML 3L                                                                     QAW039   fevipiprant              DP2 (CRTh2) Antagonist       Asthma
                                                                                                        Adjuvant
ACZ885            canakinumab      IL-1b Inhibitor                NSCLC 1L            NSCLC 2L
                                                                                                        NSCLC
BYL719            Piqray           PI3K Pathway,AKT1 Inhibitor    HER2+ adv BC TNBC                     HNSCC 2/3L          Ovarian cancer
CTL019            Kymriah          CD19 CART                      r/r Follicular      1L high risk      r/r DLBCL 1st       Adult r/r ALL    Cardiovascular, Renal, Metabolism
                                                                  lymphoma            ALL, pediatrics   relapse
                                                                                                                                             Code     Name          Mechanism                               Indication(s)
                                                                                      and young
                                                                                      adults                                                 LCZ696   Entresto®     AT-II / NEP,NEP,AGTR1,AGTR2 Inhibitor   Post-AMI        HFpEF
ETB115            Promacta®        Thrombopoietin receptor (TPO-R) Radiation sickness syndrome          Food effect free formulation         TQJ230   TQJ230        Anti-Apo(a) ASO targeting Lp(a)         CVRR
                                   Agonist
INC424            Jakavi           JAK1 Inhibitor                 Acute GVHD          Chronic GVHD
LEE011            Kisqali®         CDK4 Inhibitor                 HR+/HER2- BC (adj)
PDR001            spartalizumab    PD1 Inhibitor                  m BRAF V600+ melanoma (+Taf/Mek)
                                                                                                                                             Biosimilars
SEG101            crizanlizumab    P-selectin Inhibitor           Sickle cell anemia new formulations                                        Code     Name                     Mechanism                    Indication(s)
                                                                                                                                             GP2411   denosumab                anti RANKL mAb               Denosumab BioS

Immunology, Hepatology, Dermatology
Code       Name                     Mechanism                      Indication(s)
AIN457     Cosentyx                 IL17A Inhibitor                Lupus           Psoriasis   Hidradenitis        AS H2H       PsA H2H
                                                                   Nephritis       300mg AI    suppurativa
QGE031     ligelizumab              IgE Inhibitor                  Chronic spontaneous urticaria

Ophthalmology
Code       Name                     Mechanism                      Indication(s)
RTH258     Beovu®                   VEGF Inhibitor                 Diabetic retinopathy                 RVO                 DME

Neuroscience
Code       Name                     Mechanism                      Indication(s)
OMB157     ofatumumab               CD20 Antagonist                r MS

Data as of Dec 5, 2019

         | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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Novartis pipeline in registration                                                                                                                                              4 lead indications
                                                                                                                                                                                           Lead indication

Oncology                                                                                                        Cardiovascular, Renal, Metabolism
Code       Name                     Mechanism                          Indication(s)                            Code     Name          Mechanism                    Indication(s)
BYL719     Piqray                   PI3K Pathway,AKT1 Inhibitor        HR+/ HER2-- adv BC (postm) 2L (+ fulv)   LCZ696   Entresto      AT-II / NEP,NEP,AGTR1,AGTR2 Pediatric CCF
SEG101     Adakveo®                 P-selectin Inhibitor               Sickle cell disease                                             Inhibitor

Immunology, Hepatology, Dermatology                                                                             Global Health
Code       Name                     Mechanism                          Indication(s)                            Code     Name          Mechanism                    Indication(s)
AIN457     Cosentyx                 IL17A Inhibitor                    Ped Psoriasis    nr-axSpA                LAM320   Lamprene®     SMPD1 Inhibitor              Tuberculosis

Ophthalmology
Code       Name                     Mechanism                          Indication(s)
RTH258     Beovu                    VEGF Inhibitor                     nAMD

Neuroscience
Code       Name                     Mechanism                          Indication(s)
OAV101     Zolgensma®               Gene therapy                       SMA type 1 (IV formulation)

Respiratory Disease
Code       Name                     Mechanism                          Indication(s)
IGE025     Xolair                   IgE Inhibitor                      Nasal polyps
QMF149     Indacaterol acetate      Long acting β2-adrenergic          Asthma
           +mometasone furoate      agonist + inhaled corticosteroid
QVM149     Indacaterol acetate      Long acting β2-adrenergic        Asthma
           +mometasone fuorate      agonist + long-acting muscarinic
           +glycopyrrnium bromide   antagonist + inhaled
                                    corticosteroid

Data as of Dec 5, 2019

         | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation
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