DISCOVERING AND TREATING RARE DISEASES Genzyme’s sense of responsibility is grounded in our commitment to patients – and in particular to those patients who have few other advocates and are living in isolation. Our company was founded to address the needs of patients with rare diseases who previously had no available treatment options, and we remain committed to advancing new therapies for unmet medical needs. Genzyme is committed to the ongoing understanding of the diseases. Our patient focus is about much more than developing and delivering products. We also take responsibility for helping patients obtain access to our unique therapies, regardless of their location, financial circumstances or other obstacles. We establish free drug programs, help build sustainable healthcare systems, participate in humanitarian initiatives, partner with advocacy groups on disease awareness and patient support, and provide a broad range of support services, all on behalf of our number one priority: patients. Genzyme’s access to healthcare program is multi-faceted, focusing on working with national health services, government agencies and private insurers to establish or improve patient access and coverage for our products. The current rare diseases commercially covered by Genzyme include Thyroid Cancer, Hypercholesterolemia, Gaucher disease, Fabry disease, Pompe disease and MPS-1 disease. Genzyme’s worldwide operations serve patients in more than 100 countries, with a global infrastructure that includes research and development, manufacturing, regulatory affairs, medical affairs, and more. This network of expertise, plus our on-the-ground relationships with local stakeholders, enables us to bring products to patients in every corner of the globe. Genzyme works closely with governments to facilitate approval of our treatments. In countries with established healthcare systems, we work with public and private insurers to secure coverage and reimbursement. In Discovering and treating rare diseases Factsheet published in May 2014 developing countries and emerging markets, we lend our experience to physicians and local authorities to help build sustainable healthcare networks that can deliver and pay for critical treatment. Around the world, Genzyme’s staff members collaborate with healthcare providers, humanitarian organizations, advocacy groups and other knowledgeable local partners to overcome barriers to treatment. Where coverage is not available and in partnership with humanitarian groups, we strive to: - I. facilitate free treatment access ; ensure sustainable treatment environment help patients find alternative funding ; and help countries establish sustainable healthcare systems. HUMANITARIAN PARTNERSHIPS In developing countries, government and private health coverage may be nonexistent, or barely able to address basic medical care. For patients who require specialized treatment, care can be financially and logistically beyond their means. Living with a rare disease is often overwhelming for families and having to advocate for your own care is an additional burden. Genzyme has long provided several of our therapies for free to people in these situations, often by partnering with humanitarian organizations. We began in 1999 by establishing the Gaucher Initiative, a humanitarian partnership with Project HOPE to provide ® Cerezyme (imiglucerase for injection), our first product, to Gaucher disease patients in China and Egypt. Over time, as we developed new therapies for other diseases, we evolved similar programs to distribute those treatments. We rely on our NGO organizational partners – which Page 1 of 3 include Project HOPE, the National Cancer Coalition, Partners in Health, ANERA, Direct Relief and others – for their local expertise and relationships, that help us navigate the challenges of ensuring product reaches the patients. II. HELPING COUNTRIES ESTABLISH SUSTAINABLE HEALTHCARE SYSTEMS Modern, well-equipped hospitals and clinics are crucial to ensuring that patients have access to Genzyme’s treatments, no matter where in the world they live. We dedicate a significant portion of our charitable contributions to building medical infrastructure, supplying resources, and training staff in regions of need – particularly in the aftermath of disasters: • • • • Following the 2004 tsunami that destroyed areas of Southeast Asia, we partnered with the humanitarian group Project HOPE and donated $1 million over three years for several projects. These included helping to rebuild and equip a hospital in Bande Aceh, Indonesia; training pediatric critical care nurses in Thailand with a curriculum they can use for ongoing training of peers; and establishing sustainable healthcare infrastructure in other tsunami-affected areas. During the 2009 H1N1 flu pandemic, Genzyme donated much-needed basic healthcare supplies, such as face masks, syringes, and gloves, to replenish Mexico’s depleted hospitals. We committed $450,000 to relief efforts after Haiti’s devastating 2010 earthquake. Donated over three years to the nonprofit Partners in Health (PIH), the money will provide laboratory and diagnostic equipment for the new, state-of-the-art Mirebalais Hospital as well as educate the country’s next generation of medical professionals. After a major earthquake hit Japan in 2011, we responded to numerous calls for help from the Japanese community, donating medicines that were in short supply due to crippled Japanese manufacturing facilities and providing an emergency supply of medicine that could be used to aid the treatment of power plant workers who were exposed to dangerous levels of radiation. Our employees contributed $51,000 in cash donations to aid recovery efforts, inclusive of [matched by?] a $14,000 matching grant from Genzyme. Discovering and treating rare diseases Factsheet published in May 2014 III. BRIDGING THE GAP TO ACCESS Even in countries with established health systems, patients can still face delayed or limited coverage, reimbursement difficulties, or other circumstances that prevent their access to treatment. For such cases, Genzyme has established several programs to provide our therapies free of charge, while also working with governments and other local entities to help identify sustainable, long-term financial resources for treatment. • • Our first Charitable Access Program was started in 1991 to provide patients in the United States with free Cerezyme; the program now distributes all of Genzyme’s enzyme replacement therapies. In 2003, we expanded beyond the U.S. by establishing the International Charitable Access Program. Over the years, other targeted charitable access programs have focused on specific regions, such as Eastern Europe, India, and China. IV. EDUCATION AND OUTREACH Genzyme’s business was founded on treating diseases so rare that they are often unfamiliar even to many healthcare professionals. We are therefore acutely aware of how important education and outreach are to identifying and effectively treating patients. Through a variety of programs, initiatives, and partnerships, we have long worked to raise awareness of the diseases we treat, educate both patients and the medical community, and advance research and quality of care. For example: • • • • as one of the world’s leading authorities on the group of rare genetic diseases called lysosomal storage disorders (LSDs), Genzyme develops educational materials for both patients and professionals to increase understanding of these diseases ; by establishing LSD registries – large, often multinational databases to which physicians contribute clinical data on patients – we help pool knowledge on rare diseases that would be otherwise difficult to study ; we sponsor independent investigator research and provide grants for continuing medical education and research fellowships in our areas of focus ; our Medical Information team is staffed across all regions to answer questions about our treatments ; and Page 2 of 3 • we with local patient organizations around the world to support and advocate for the needs of their patient communities. Discovering and treating rare diseases Factsheet published in May 2014 Page 3 of 3