wyeth j.p. morgan 26th annual healthcare conference

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Justin R. Victoria Vice President, Investor Relations Joseph S. Camardo, M.D. Senior Vice President Global Medical Affairs and North American Medical Director, Wyeth Pharmaceuticals J.P. Morgan 26 J.P. Morgan 26 th th Annual Annual Healthcare Conference Healthcare Conference January 8, 2008 January 8, 2008

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Page 1: wyeth J.P. Morgan 26th Annual Healthcare Conference

Justin R. VictoriaVice President, Investor Relations

Joseph S. Camardo, M.D.Senior Vice President Global Medical Affairs and North American Medical Director, Wyeth Pharmaceuticals

J.P. Morgan 26J.P. Morgan 26thth Annual Annual Healthcare ConferenceHealthcare Conference

January 8, 2008January 8, 2008

Page 2: wyeth J.P. Morgan 26th Annual Healthcare Conference

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Forward-Looking Statement

The statements in this presentation that are not historical facts are forward-looking statements based on current expectations of future events that involve risks and uncertainties including, without limitation, risks associated with the inherent uncertainty of pharmaceutical research, product development, manufacturing, commercialization, economic conditions including interest and currency exchange rate fluctuations, the impact of competitive or generic products, product liability and other types of lawsuits, the impact of legislative and regulatory compliance and obtaining approvals, and patent, and other risks and uncertainties, including those detailed from time to time in Wyeth’s periodic reports, including quarterly reports on Form 10-Q and the annual report on Form 10-K, filed with the Securities and Exchange Commission. Quarterly results, in particular, can vary due to issues which include, but are not limited to, changes in exchange rates, the timing of actions taken by the Company to ensure long-term improvements to our manufacturing processes, the timing of regulatory approval of new products and/or facilities and the timing of promotional programs. Actual results may vary materially from the forward-looking statements. The Company assumes no obligation to publicly update any forward-looking statements, whether as a result of new information, future events or otherwise.

Page 3: wyeth J.P. Morgan 26th Annual Healthcare Conference
Page 4: wyeth J.P. Morgan 26th Annual Healthcare Conference

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+10%+7%$2.74$0.90

Diluted Earnings Per Share

29.3%29.6%Tax Rate+18%+14%Operating Profit+9%+5%R&D Expense+4%+8%SG&A Expense

73.3%73.2%Gross Margin+10%+9%Net Revenue

YTD 20073Q 2007

*Adjusted to Exclude Certain Significant Item. See Press Release Issued October 18, 2007

Wyeth Performance: 3rd Quarter and Nine Months 2007 - Key Financial Elements*

Page 5: wyeth J.P. Morgan 26th Annual Healthcare Conference

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(in millions)

$0 $500 $1,000 $1,500 $2,000 $2,500 $3,000 $3,500 $4,000 $4,500

Rapamune

BMP-2

BeneFIX

Premarin

Zosyn

Alliance Rev.

Nutritionals

Protonix

Prevnar

Effexor

Enbrel

+0%

+17%

+18%

+5%

+29%

+1%

+22%

0%

+8%

+23%

$3.9 B

$2.8 B

$1.9 B

$1.4 B

$1.1 B

$973 M

$845 M

$791 M

$284M

$265 M

$2.4 B (Amgen) $1.5 B (Wyeth)

$304 M +16%

Strong Performance For Nine Months 2007

YTD 2007 PharmaRevenue +11%

Marketed Products

Biotech Revenues +26%

YTD 07

Biotech Now Represents 36% of Total Pharma

Revenues

Page 6: wyeth J.P. Morgan 26th Annual Healthcare Conference

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Key Franchises – Growth DriversSupported by New Data

n Helping Patients Live Life Less Interrupted by Their Condition (RA, JRA, Psoriasis, Psoriatic Arthritis and Ankylosing Spondylitis)

n Extensive Safety/Efficacy and 14 Years of Clinical Experience

n First-in-Class Pneumococcal Conjugate Vaccine

n Launched in 86 Countries

n Tens of Millions of Children Immunized and Thousands of Lives Saved

*Source: IMS Midas Audited Sales for Enbrel – Rolling Four Quarter Period Ending 3Q07

*

Page 7: wyeth J.P. Morgan 26th Annual Healthcare Conference

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Wyeth’s Current/Near Term Opportunities: Approved, in Review and Upcoming

Tygacil™(CAP)

ReFacto® AF

Methylnaltrexone (Subcutaneous)

Pristiq™

Depression

Viviant™

Osteoporosis Prevention & Treatment

Pending FDA Pending FDA ApprovalApproval

Torisel™

Lybrel™

Recent FDA Recent FDA ApprovalsApprovals

Tygacil™(HAP)

Bifeprunox

Pristiq™

Vasomotor Symptoms

Pending Pending Further TrialsFurther Trials

Prevnar 13v Adult

Prevnar 13v Infant

Methylnaltrexone (I.V.)

Aprela™

Menopausal Symptoms & Osteoporosis

Key Key Upcoming Upcoming

SubmissionsSubmissions

Page 8: wyeth J.P. Morgan 26th Annual Healthcare Conference

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Prevnar 13v – Expanding the Coverage

> $1.5 Billion> $3 BillionPeak Sales

n Proof of Concept Achieved

n Licensing Criteria Agreed Upon

n Worldwide Phase 3 Studies Ongoing

n Submission Late 2009

n Phase 2 Proof of Concept Achieved

n Licensing Criteria Agreed Upon

n Worldwide Phase 3 StudiesOngoing

n Submission Early 2009

Status

Provide First and Only Conjugate Vaccine That Offers Adults, Age 50 and Above, an Opportunity to Prevent Pneumococcal Pneumonia for the Rest of Their Lives

Provide Broadest Coverage Available for the Global Protection of Children Against Pneumococcal DiseaseOpportunity

AdultInfant

Page 9: wyeth J.P. Morgan 26th Annual Healthcare Conference

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Confidence in Future Growth

n COMET Is the First in a Series of Phase IV Studies to Be Released in the Next Few Years

n COMET Evaluated Enbrel/Methotrexate Combination for Patients With Early Severe Rheumatoid Arthritis

n COMET Is First Major Study With Clinical Endpoint of RA Remission

n COMET Demonstrated Excellent Activity to Reduce Disease Activity, Improve Health Associated Quality of Life, and Improve Work Productivity

New Data and Ongoing Stream of Phase IV Studies

COMET – COmbination of Methotrexate and ETanercept in Active Early Rheumatoid Arthritis

Page 10: wyeth J.P. Morgan 26th Annual Healthcare Conference

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COMET: Enbrel/Methotrexate Induces Remission and Low Disease Activity (LDA)

28

41

50

64

0

20

40

60

80

DAS28 Remission DAS28 LDA

% o

f Sub

ject

s

Methotrexate (n=263)Enbrel + Methotrexate (n=265)

*

*p<0.001

*

At One Year

50% Remission

DAS28 = Mean Disease Activity Score

Page 11: wyeth J.P. Morgan 26th Annual Healthcare Conference

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Wyeth’s Current/Near Term Opportunities: Approved, in Review and Upcoming

Tygacil™(CAP)

ReFacto® AF

Methylnaltrexone (Subcutaneous)

Pristiq™

Depression

Viviant™

Osteoporosis Prevention & Treatment

Pending FDA Pending FDA ApprovalApproval

Torisel™

Lybrel™

Recent FDA Recent FDA ApprovalsApprovals

Tygacil™(HAP)

Bifeprunox

Pristiq™

Vasomotor Symptoms

Pending Pending Further TrialsFurther Trials

Prevnar 13v Adult

Prevnar 13v Infant

Methylnaltrexone (I.V.)

Aprela™

Menopausal Symptoms & Osteoporosis

Key Key Upcoming Upcoming

SubmissionsSubmissions

Page 12: wyeth J.P. Morgan 26th Annual Healthcare Conference

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626 Patients With AdvancedMetastatic RCC With Poor-Risk Features

RANDOMIZE

Interferon: Escalating to 18 MU SC TIW

Torisel™: 25 mg IV QW

Torisel: 15 mg IV QW+ Interferon: 6 MU SC TIW

n = 207

n = 209

n = 210

Hudes et al. NEJM. 2007; 356: 2271-2281. Data on File, Wyeth Research.

Page 13: wyeth J.P. Morgan 26th Annual Healthcare Conference

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0.0078

49%

10.9 mo

143209

ToriselTorisel

210207Patients

0.6965Log Rank p-Value Stratified

8.4 mo7.3 moMedian Overall Survival

15%

152

InterferonInterferon+ Torisel+ Torisel

149

InterferonInterferon

% Improvement in Survival

# Deaths

Allows Patients to Live LongerPrimary Efficacy Analysis (446 Deaths)

Hudes et al. NEJM. 2007; 356: 2271-2281. Data on File, Wyeth Research.

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As Important As Survival: Torisel™ Is Safe and Well Tolerated in Patients

n Common Side Effects: Mucositis, Anemia,Hyperlipidemia, Rash, Infection4Treatable and Most Often Did Not Require Dose Modification

n Fewer Patients Were Discontinued Due toSide Effects Relative to Interferon (18% vs. 30%)

n Fewer Patients Had Serious Side Effects Relative to Interferon (38% vs. 48%)

n Fewer Patients Required Dose Reduction Relative to Interferon (20% vs. 38%)

Page 15: wyeth J.P. Morgan 26th Annual Healthcare Conference

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Torisel™ Phase IV: How to Improve Outcomes in Patients Who Need Second-Line Treatment

RANDOMIZE

Second-Line mRCC

Sutent Failures

Torisel 25 mg IV Weekly (n=220)

Nexavar 400 mg PO bid (n=220)

1:1

Global Trial With Patient Enrollment

In U.S. Sites Currently Underway

Study 404

Page 16: wyeth J.P. Morgan 26th Annual Healthcare Conference

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Torisel™ Has Significant Potential for Expanded Medical Impact and Growth

n Torisel Is the Only New Drug for Renal Cell Cancer Proven to Extend Survival

n Study 404 in Second-Line Sutent Failures Currently Enrolling4Data Will Be Available in 20094Second-Line Use Represents ~50% of Projected 2010 Sales

n Registration for Mantle Cell Lymphoma Was Submitted in Europe in December 2007

Torisel Peak Sales > $500 Million

Page 17: wyeth J.P. Morgan 26th Annual Healthcare Conference

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Torisel™ Will Be Followed by Other New Drugs From the Strong Oncology Pipeline

n Phase 3 Started for Two Products in December 20074CMC-544: Targeted Calicheamicin Conjugate for Follicular Lymphoma

4SKI-606 (Bosutinub): Targeted Kinase Inhibitor for Chronic MyelogenousLeukemia

- This Is a Comparative Study With Gleevec for First-Line Treatment

n Phase 2 Is Completing for Next Oncology Product4HKI-272: New Kinase Inhibitor for Breast Cancer

Page 18: wyeth J.P. Morgan 26th Annual Healthcare Conference

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Wyeth’s Current/Near Term Opportunities: Approved, in Review and Upcoming

Tygacil™(CAP)

ReFacto® AF

Methylnaltrexone (Subcutaneous)

Pristiq™

Depression

Viviant™

Osteoporosis Prevention & Treatment

Pending FDA Pending FDA ApprovalApproval

Torisel™

Lybrel™

Recent FDA Recent FDA ApprovalsApprovals

Tygacil™(HAP)

Bifeprunox

Pristiq™

Vasomotor Symptoms

Pending Pending Further TrialsFurther Trials

Prevnar 13v Adult

Prevnar 13v Infant

Methylnaltrexone (I.V.)

Aprela™

Menopausal Symptoms & Osteoporosis

Key Key Upcoming Upcoming

SubmissionsSubmissions

Page 19: wyeth J.P. Morgan 26th Annual Healthcare Conference

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Pristiq™ Is Effective for Treating Depression at 50mg

HAM-D17 - Adjusted Mean Total Scores Over Time

Time (Weeks)

Adj

uste

d M

ean

Tot

al S

core

0 2 4 6 8 Endpoint

1015

2025

PlaceboDVS SR 50 mgDVS SR 100 mg

Final(LOCF)

a,b

a,ba,b

a,bab

: p-Value DVS 50mg vs. placebo <= 0.05: p-Value DVS 100mg vs. placebo <= 0.05

Study 333

Presented December 12, 2007

Page 20: wyeth J.P. Morgan 26th Annual Healthcare Conference

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Pristiq™: Nausea Is Limited to the Early Part of the Treatment Period

0

5

10

15

20

25

Day 1-7 Day 8-14

Day 15-21

Day 22-28

Day 29-42

Day 43-56

Day >56

Poststudy

PlaceboDVS SR 50 mgDVS SR 100 mg

Study 333

% P

atie

nts

Rep

ortin

g N

ause

a as

Tre

atm

ent

Em

erge

nt A

dver

se E

vent

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Pristiq™ Tolerability – Nausea

n Nausea - Tolerability Issue Common to SNRI Classn Occurs in About 1/5 of Patients Treated with Pristiq

50 mg – Low Rate4Nausea Incidence in Combined Study Data for 50 mg Is 22% (vs. 11%

Placebo)- Two Low Dose (50 mg) Fixed Dose Studies

4Compared to Nausea Incidence of 35% to 41% in Previously Reported Fixed Dose Studies 100 to 400 mg

n Nausea Is Mostly Mild or Moderaten Abates in About One Weekn Does Not Lead to Excess Discontinuation of Therapyn Allows Patients to Tolerate the Drug and Get the

Antidepressant Benefit of the Treatment

Page 22: wyeth J.P. Morgan 26th Annual Healthcare Conference

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Low Dose Program for Pristiq™ – A StrongAddition to the NDA Database for Launch

n Efficacy4Replicate Evidence of Efficacy at 50 mg and 100 mg

4Efficacy Observed As Early As Week 4 for Both Doses- Comparable to Current Antidepressant Therapy

n Safety4Reduced Adverse-Event Related Discontinuation Withdrawal Rates

Compared With Higher Doses

4Improvement in Incidence of Nausea and Overall Tolerability

4No New Safety Signals Seen in Labs, Vital Signs or ECG Parameters

Pristiq MDD NDA Action Date – End February 2008

Page 23: wyeth J.P. Morgan 26th Annual Healthcare Conference

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Wyeth’s Current/Near Term Opportunities: Approved, in Review and Upcoming

Tygacil™(CAP)

ReFacto® AF

Methylnaltrexone (Subcutaneous)

Pristiq™

Depression

Viviant™

Osteoporosis Prevention & Treatment

Pending FDA Pending FDA ApprovalApproval

Torisel™

Lybrel™

Recent FDA Recent FDA ApprovalsApprovals

Tygacil™(HAP)

Bifeprunox

Pristiq™

Vasomotor Symptoms

Pending Pending Further TrialsFurther Trials

Prevnar 13v Adult

Prevnar 13v Infant

Methylnaltrexone (I.V.)

Aprela™

Menopausal Symptoms & Osteoporosis

Key Key Upcoming Upcoming

SubmissionsSubmissions

Page 24: wyeth J.P. Morgan 26th Annual Healthcare Conference

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Methylnaltrexone: Significant Unmet Medical Need in Opioid Induced Constipation and Post Operative Ileus

Opioid Induced Constipation (OIC)n A Common Side Effect That Can Be a Barrier to Effective Pain

Managementn First Indication for Methylnaltrexone Will Be for Treatment of OIC

in Patients Receiving Palliative Caren Studies Ongoing for OIC Patients With Chronic Non-Malignant

Pain, and for Shorter Term Acute Pain That Requires Opiates, e.g. Post-Operative OIC in Orthopedic Surgical Patients

Post Operative Ileus (POI)n A Complication of Surgery That Delays Recovery and Can Extend

Hospital Stayn No Medicines Approved to Treat POI

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Importance of Opiates for Pain Creates Substantial Opportunity for Innovative New Product

In U.S. 5 Million Patients Have Opioid Induced Constipation

4.6M4.6M

7.2M7.2M

Continuous UseContinuous Use

Long-Term UseLong-Term Use

~12M Patients Continuous or

Long-Term Use†

>40% Patients Experience

OIC

5.0 Million

Patients

5.0 Million

Patients

OICPopulation

(Est.)

† Longitudinal Patient Data – Opioid Use Days Per Annum: Short -Term = <60 days, Long-Term = 61 – 300 days, &Continuous = 300+ days

(Wyeth Estimates)

Page 26: wyeth J.P. Morgan 26th Annual Healthcare Conference

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HO O

N

OH

CH3

Morphine

Methylnaltrexone Is a Peripherally Selective Opioid Antagonist

Methylnaltrexone

HO O

N+

HO

O

CH3

n Morphine Acts Centrally and Peripherally

n Methylnaltrexone Is a MuOpioid Receptor Antagonist

n Does Not Cross theBlood-Brain Barrier

n Antagonizes Peripheral, but Not Central OpioidReceptors

n Reverses Opioid Induced Constipation Without Reversing Analgesia or Inducing Withdrawal

Opioids Activate Receptorsin the Brain and ProvidePain Relief…

… But Receptor Activationin the GI Tract Results inConstipation.

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0

10

20

30

40

50

60

70

Placebo 0.15 mg/kg 0.30 mg/kg

% P

atie

nts

Hav

ing

Bo

wel

Mo

vem

ent

Methylnaltrexone Is Effective in Relieving Constipation in Patients Who Need Opiates

>50% of Patients Have Bowel MovementWithin 4 Hours (Study 301)

Recommended Dose

Subcutaneous Methylnaltrexone

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Methylnaltrexone Induces a Rapid and Predictable Response in OIC

Recommended Dose

% P

atie

nts

Hav

ing

B

ow

el M

ove

men

t

Hours

0%

25%

50%

75%

0 1 2 3 4 5

0.30 mg/kg30 minutes

0.15 mg/kg

Placebo

Study 301Subcutaneous Methylnaltrexone

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23 HoursFirst Bowel Movement (p=0.01)

25 HoursTolerance of First Solid Meal (p=0.12)

Acceleration Acceleration (On Average)(On Average)Time to PostTime to Post--operative Recovery Endpointoperative Recovery Endpoint

n 65 Patients With Segmental Colectomies n Randomized to Methylnaltrexone IV or Placebon Evaluated for Clinical Signs Indicating Recovery of Bowel Function and

Readiness for Discharge

Methylnaltrexone IV Accelerates Recovery in Post Operative Ileus (POI): Phase 2 Data

25 HoursActual Discharge (p=0.09)

30 HoursDischarge Eligibility (p=0.03)

Discharge a Day EarlyDischarge a Day Early

Page 30: wyeth J.P. Morgan 26th Annual Healthcare Conference

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Methylnaltrexone: Status Summary

n Subcutaneous Product for Palliative Care 4NDA Action Date January 30, 20084European Marketing Application Submitted May 2007

n Intravenous Phase 3 Studies To Complete in 1Q084Two Studies of Post Operative Ileus4NDA Submission Planned For Mid 2008

n Oral Formulation – Phase 24Two Studies in OIC Patients with Chronic Non-Malignant Pain

n Additional Phase 3 and Phase 4 Studies for Subcutaneous Product in OIC4Chronic Non-Malignant Pain4Post-Operative OIC in Orthopedic Surgical Patients

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Wyeth R&D: New Drugs With Important Indications

Alzheimer’s DiseaseBapineuzumab

Schizophrenia MaintenanceBifeprunox

Infant/Adult Invasive Pneumococcal DiseasePrevnar 13

Menopausal SymptomsPristiq™

Menopausal Symptoms/OsteoporosisAprela™

CAP/HAPTygacil®

SC – Opioid Induced ConstipationIV – Post Operative Ileus

Methylnaltrexone

Prevention/Treatment OsteoporosisViviant™Major Depressive DisorderPristiq™

Late Stage Pipeline Includes:

ContraceptionLybrel™Renal Cell CancerTorisel™Complicated Skin & Abdominal InfectionsTygacil®

Launched:

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Alzheimer’s DiseaseBapineuzumab

Schizophrenia MaintenanceBifeprunox

Infant/Adult Invasive Pneumococcal DiseasePrevnar 13

Menopausal SymptomsPristiq™

Menopausal Symptoms/OsteoporosisAprela™

CAP/HAPTygacil®

SC – Opioid Induced ConstipationIV – Post Operative Ileus

Methylnaltrexone

Prevention/Treatment OsteoporosisViviant™Major Depressive DisorderPristiq™

Late Stage Pipeline Includes:

ContraceptionLybrel™Renal Cell CancerTorisel™Complicated Skin & Abdominal InfectionsTygacil®

Launched:

Wyeth R&D: New Drugs With Important Indications

Page 33: wyeth J.P. Morgan 26th Annual Healthcare Conference

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Bapineuzumab Phase 3 for Alzheimer’s Diseasen Four Studies in Over 4,000 Patients Are Beginning

Worldwide4First U.S. Patient Enrolled December 2007; International Studies to Initiate

Early 20084Patients Are Stratified by APO E-4 Carriers vs. Non-Carriers 4APO E-4 Carriers

- 0.5mg/kg vs. Placebo- Minimize Occurrence of Vasogenic Edema

4APO E-4 Non-Carriers- 0.5 mg/kg, 1.0 mg/kg and 2.0 mg/kg vs. Placebo

n Co-Primary Efficacy Endpoints – Validated Cognitive and Functional Scales4Other Cognitive, Functional, Behavioral, Biomarkers, Health Outcomes

Endpoints

n Phase 2 Data Mid-2008

Page 34: wyeth J.P. Morgan 26th Annual Healthcare Conference

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Conclusion

n Strong Growth Drivers in the Market

n Successful New Product Launches

n A Series of New Products Pending Approval

n Innovative Therapies in Development To Address A Number of High Unmet Medical Needs with Significant Commercial Potential

Page 35: wyeth J.P. Morgan 26th Annual Healthcare Conference