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Investor Presentaiton

CH Novo Nordisk Annual Report 2023 Introducing Novo Nordisk Strategic Aspirations Risks Management Consolidated statements Additional information 180.0 Injection pens' components that have been discarded from our production lines in Hillerød, Denmark. ENVIRONMENTAL Reducing our plastic footprint Minimising the use of plastic derived from fossil fuels is a priority for Novo Nordisk - and a significant challenge given the rapid growth in demand for our medical injection devices. We currently manufacture more than 800 million pre-filled plastic pens every year, equivalent to some 14,000 tonnes of plastic. As the number of patients we serve continues to grow, those numbers will rise markedly unless we take decisive action. We are tackling our plastic challenge on multiple fronts, with a threefold 'reduce-change-avoid' approach. This includes reducing plastic consumption by converting to reusable devices, changing to the use of non-virgin-fossil plastics in our device production and harnessing recycling to avoid plastic ending up in landfill. "In 2023 we established the world's first industry solution for recycling injection pens in Denmark." The task is not simple. When it comes to recycling, for example, used injection pens cannot be dealt with in the same way as other household recycling because they are classified as medical waste, which most countries are not equipped to handle. To address this challenge, we have expanded a series of pioneering take-back programmes across Denmark, the UK, France and Brazil, and in 2023 we established the world's first industry solution for recycling injection pens in Denmark. Pharmaceutical companies Lilly, Sanofi and Merck have all joined the initiative, and we now share a goal of recycling 25% of the pens distributed by all four companies in Denmark within the first 12 months. Another important initiative involves rethinking medicine delivery by switching from disposable to reusable devices - some with an expected lifespan of up to 5 years. Over the past year, we have converted selected products in a number of countries and we expect to switch more in 2024. We are also steadily building device durability into the development of new medicines and expect that a trend from daily to once-weekly administration for many products will contribute to reduced plastic use per patient in the long term. In addition, we are exploring more sustainable ways to produce plastic. A good example is a new agreement signed by Novo Nordisk, alongside the LEGO Group, to buy e-methanol from European Energy when the world's first large-scale production plant for the commodity starts up in Denmark in 2024. The e-methanol - made from renewable electricity, water and captured biogenic CO2 - will help us to create lower-carbon plastics for use in our medical devices. 14 14
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