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Abbas Hussain Bank of America 13May2010

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    Abbas Hussain

    President, Emerging Markets

    13th May 2010

    an o mer caMerrill Lynch

    HealthCareConference

    1

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    GSK 1Q 2010 Turnover 7.4bn +13%(6.6bn +4% excluding pandemic sales)

    GSK 1Q 2010+9%

    +4%

    +13% Turnover

    +16% EPS rowth

    Rest ofPharma0.2bn

    Consumer1.2bn

    +45% -1%

    USPharma1.9bn

    Japan Pharma0.89bn

    Euro e

    EmergingMarkets Pharma

    0.87bn

    Pharma1.9bn

    +(HIV)

    0.4bn-7%

    2CER growth rates; Business performanceBeginning in 2010, Stiefel sales allocated to regions and all ViiV Healthcare sales shown separately .

    +16%

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    GSK Emerging Markets business

    >12,000 sales reps85 countries

    CIS

    India

    China

    MENA

    Mexico

    Latin

    America

    SSA

    *

    3

    = 12% of GSK Group TurnoverSource: GSK 1Q10 reported turnover including pandemic. Excluding pandemic, turnover was 713m (+17%)

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    GSKs pharma presence in Emerging Markets

    CISEastern &Central Euro e

    India

    China

    MENA

    Mexico

    Latin

    America

    SSA Asia Pac(excl Japan, Aus, NZ)

    4

    , , ,

    = 1.3bn (+40%) 1Q10Source: GSK 1Q10 reported turnover including pandemic. Excluding pandemic, turnover was 1.1bn (+19%)

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    GSKs total presence in Emerging Markets

    +

    0.4bn 1Q10+13%

    1.3bn 1Q10+40%

    .1Q10

    524% of GSK Group Turnover

    Source: GSK 1Q10 reported turnover including pandemic. Excluding pandemic, total turnover was 1.6m (+17%)

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    GSK Emerging Markets 2009 turnover

    2009 3.0bn (+20%)

    By region Top markets

    (+

    24%)

    450

    500

    SSA

    16%)

    %)

    0%)

    )

    204m

    461m983m 300

    350

    400China*

    MENA

    (+ (+

    (+1

    22%)

    (+28%)

    +56%)(+6

    %

    (+36%)

    m

    231m 200

    250

    CIS((

    271m214m

    50

    100

    South

    China*

    Turkey

    India

    Brazil

    Mexico

    SaudiArabia

    Russia

    Egypt

    Pakistan

    Latina

    6*China includes HKSource: Turnover and growth is GSK 2009 as reported. Growth rates are CER. Rankings are IMS MAT Dec 09

    GSK ranking #11 5 3 13 7 1 16 1 1

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    History of EM sales growth

    GSK is catching up with EM market growth25%

    20%

    20%

    15%

    10%

    5%EM (IMS data)

    GSK (IMS data)

    0%

    2003 2004 2005 2006 2007 2008 2009

    repor e

    7Source: IMS data (Dec MAT) and GSK reported.Note: IMS audits currently do not capture all activities e.g. vaccines, and therefore undervalues sales in EM, particularly for GSK.

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    Emerging market characteristics

    Large markets Pay out of pocket

    Need for reater access Smaller roducts

    Fast growing

    programmes

    8

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    Growth in Pharmerging Markets

    IMS Tier 1, 2, 3 Pharmerging MarketsIncremental Growth

    2009-2013

    Growth

    +$5-15bn

    Growth

    +$1-5bnGDPPP

    P

    India

    Turkey Pakistan Egypt

    VenezuelaUkraine S. Africa

    Growth

    ThailandArgentinaMexico

    9Vietnam Indonesia

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    Need for greater access

    Brazil India S. Africa

    180m 1.2bn 49mTotal population

    Egypt

    82m

    33% 1% 4% 2%

    A

    42% 45% 51% 38%C+

    -

    26% 51% 32% 58%

    E

    10

    A/B: No problem paying for any prescription medicine can afford premium priced branded products (A: Senior managers in business or commerce, top civil servants; B Middle managers in large organisations, owners ofsmall businesses)C+: Have some problems paying for Rx medicines can usually afford some moderately priced brands or generics but run into cost difficulties if repeat medication is prescribed (Junior managers, owners of smallestablishments and all others in non-manual positions)C-: Have major problems paying for prescription medicines can only afford the least expensive medications and only shorter courses of treatment (Skilled manual workers, manual workers with responsibility for others)D/E: Cannot afford prescription medicines have major difficulties to afford medication of any kind (D: Semi-skilled and unskilled manual workers, apprentices and trainees; E: Unemployed, casual workers without regularincome, those dependent on the state)

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    GSKs contribution to EM healthcare

    Pre ClinicalPre Clinical ClinicalClinical NewNew PostPost HealthHealthR&DR&D R&DR&D

    us nessModelsus nessModels

    LaunchLaunch SystemsSystems

    R&D PPPs R&D PPPs Tiered ricin Continuin 20% reinvestment

    Knowledge Pool Open lab

    Malaria screen

    Knowledge Pool EM-focused R&D

    Malaria vaccine

    Price caps MIC Pricing

    Branded enerics

    MedicalEducation

    Voluntary

    LymphaticFilariasiselimination

    TB, malaria

    HIV

    ViiV Healthcare

    Brazil JV

    African malariaPartnership

    PHASE1

    Commitment

    and PAFC

    Humanitarianrelief

    111 PHASE = Personal Hygiene And Sanitation Education

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    LDCs: Price reductions end Q1 2009 lead to morepatients affording IP products by end 2009

    Francophone Sub Saharan Africa

    Sales Volume

    Average Price

    Q1 Q2 Q3 Q4

    12Average of Prices Vs Sum of sales volume of AVANDIA,FLIXONASE, FLIXOTIDE & SERETIDE across 4 quarters

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    Avamys in Mexico:Optimal pricing delivers rapid uptake

    IMSMonitor:Inhaled NasalSteroids% Weekl Market Share Units

    45%

    50%

    30%31%

    34%35%

    40%

    20%

    27%27%

    25%

    30%

    8% 8%

    13%

    10%

    15%

    0% 0% 0%

    5% 5%

    3%

    0%

    5%

    13

    w1 w2 w3 w4 w5 w6 w7 w8 w9 w10 w11 w12 w13 w14 w15 w16

    AVAMYS2A(GSK) RINELON(ESX) UNICLAR(SMX) FLIXONASEAQUA(GSK) NASACORTAQ(S.A) RHINOCORT+AQUA(AZN)

    Avamys launched Feb 2010

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    Emerging Markets strategy

    Scale up our

    Build and capturethe Vaccines market

    669m +30%

    ass c ran sbusiness

    1.3m +18%Pandemic

    Drive ourInnovative brands

    14Source: GSK 09 reported sales; CER growth rates

    967m +17%

    14

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    Bolt-on acquisitions and partnerships

    13 deals completed across the business will

    Classic business

    con r u e o e merg ng ar e s us ness

    a s an

    East

    Algeria

    Vaccines businessInnovative business Consumer

    Walvax

    15Dr Reddys (ex-India); Laboratoire Pharmaceutique Algrien (LPA Algeria); Walvax (Priorix in China); Neptunus (flu in China); Intercell (needle-free vaccine technology).Note: Lucozade China with Uni-President China Holdings, and Dong-A Pharmaceuticals are outside of GSKs Emerging Markets business.

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    Scale up our Classic brands business

    Our own portfolio Bolt-on acquisitions Portfolio deals

    Egypt Oct 08 June 092007+12%

    2009+20% Pakistan Dec 08

    Near East July 09Licensing - July 08

    45m sales 2009

    EM/AP

    >350 dossiers to befiled by end 2010

    2007+5%

    2009+11%

    46m sales 2009

    Mar 09Local Acquisitions

    July 09

    Total ClassicBusiness Growth

    Brazil

    16

    2007

    +5%

    2009

    +18% Algeria

    Dec 09 Mexico

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    Ventolin HFA in China:Increasing patient access drives expansion

    Chinese government prioritized EDL as a key driver of new healthcare reform in April 2009

    Salbutamol has been listed in NEDL since Oct 2009

    Plans to expand Ventolin HFA penetration to low tier market

    17

    Reach 234 cities and over 10,000 hospitals vs current 100 cities & 6,473 hospitals

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    Strategic Collaboration with Aspen

    GSK acquired 19% stake (market value of 0.6bn)Establishes GSK Aspen Healthcare for Africa brand

    r ngs a or a e me c nes o su - a aran r ca

    Leverages GSKs infrastructure in SSA and Aspens local leadership

    South AfricaDisposal of manufacturing site and tail brands simplify GSKsoperating model

    Share of after tax rofits of associates and oint ventures 21m in 1Q10

    18Transaction closed 30 November 2009; Market value as at 31 March 2010.

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    Drive our Innovative business

    Core portfolio2009 Turnover

    New portfolio Future portfolio

    New products:

    276m (+21%) VotrientArzerradenosumabBenlysta

    115m (+7%) Horizondarapladib

    m Targeted R&Ddeveloping EM-

    specific portfolio

    51m (+11%)

    y er or gas r cand H&N cancersLiver cancerMarket-specific

    19

    s

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    Stiefel opportunity is greatest in EM

    ~80% of the EM derms market

    110

    sales by market

    80

    90

    100 Stiefel Brands ($135m)

    GSK Brands ($238m)

    50

    60

    70

    20

    30

    40

    0

    10

    dia

    azil

    ico

    tan

    key

    ela

    udi

    EM

    20GSK revenues are for Calendar Year 2008, while Stiefelrevenues are for Financial Year 2008.

    In Br

    Mex

    Pakis

    Tur

    Venezu

    S

    O

    ther

    Source: IMS

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    Build and capture the Vaccines market

    Significant market

    market and is growing fastergrow po en a

    Growing government attentionto ublic health a enda

    Total EM vaccines market 20092.0bn (+22%)

    Large birth cohorts forpaediatric vaccines

    669m (+30%)GSK vaccines

    growth potential

    New geographies

    Broad portfolio, well-positioned toprovide for spectrum of needs

    21

    Local partnership is critical

    Source: GSK estimates for market; GSK reported sales. (2009 EM vaccines data)

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    GSK has the broadest vaccine portfolio in EM

    GSK Merck Sanofi Pfizer Novartis

    DTPa combos

    MMR / Varicella Hepatitis A Rotavirus Meningococcal dPneumococcal Influenza HPV Malaria d

    22Dengue d d

    = available in EM; d = Ph III / registration in EM

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    Strong launches are building the vaccinesbusiness

    Launched mid 2009 and already 26m in 1Q10

    Mexico 3 year contract

    Turkey 70% market shareHong Kong 70% market share

    AMC 10 year contract for GAVI countries ($1.3bn)

    23

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    GSK Emerging Markets in 2015

    IMS projects EM market growth Vaccines

    of 13-15%1

    Our objective is to grow faster Innovative

    Classic

    an e mar e

    2009

    Innovative

    24

    1 Source: IMS Prognosis through 2013, redefined for GSK EM region.2 including organic growth and bolt-on acquisition strategy.

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    Operating profit margin

    GSKs reported regional margins

    2009 Operating

    Profit Margin1(%)

    US 66.2

    exclude R&D and legal expenseswhich are heavily weightedtowards Europe and US

    Europe 58.7 EM has been in investment modeEM margin expected to remain in

    EM 35.3

    AP/J 52.7

    m - s range

    251 Operating margin excluding R&D, legal and other unallocated pharmaceuticals costs, as well as profit from asset sales, andincluding pandemic.

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