GELTEX PHARMACEUTICALS INC
425, 2000-10-17
PHARMACEUTICAL PREPARATIONS
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<PAGE>

           Filed by GelTex Pharmaceuticals, Inc. (Commission File No. 000-26872)
                           pursuant to Rule 425 under the Securities Act of 1933

   Subject Company: GelTex Pharmaceuticals, Inc. (Commission File No. 000-26872)

         This material is not a substitute for the prospectus/proxy statement
Genzyme and GelTex will file with the Securities and Exchange Commission.
Investors are urged to read that document because it will contain important
information, including detailed risk factors. The proxy statement/prospectus and
other documents filed by Genzyme and GelTex with the SEC will be available free
of charge at the SEC's website (www.sec.gov) and from Genzyme or GelTex.

         GelTex, its directors, and certain of its executive officers may be
considered participants in the solicitation of proxies in connection with the
merger. Information concerning GelTex's directors and executive officers can be
found in the documents filed by GelTex with the SEC. Certain directors and
executive officers of GelTex may have direct or indirect interests in the merger
due to securities holdings, vesting of options, and rights to severance payments
if their employment is terminated following the merger. In addition, directors
and officers, after the merger, will be indemnified by Genzyme, and benefit from
insurance coverage, for liabilities that may arise from their service as
directors and officers of GelTex prior to the merger. Additional information
regarding the participants in the solicitation will be contained in the proxy
statement/prospectus.

         This material contains forward-looking statements, including statements
about the consummation and anticipated timing of the merger, the potential
market opportunity for Renagel, the expected drivers of growth for the market
opportunity, the anticipated impact of Renagel on Genzyme's future growth, the
potential short and long-term revenues from Renagel, the expected benefits of
the merger, the value of the merger consideration, the tax-free nature of the
transaction, the anticipated impact of the acquisition on Genzyme's earnings,
cash-earnings-per-share, and development programs, Genzyme's plans concerning
the operation of GelTex's business after the merger, estimates concerning the
current and future dialysis patient population, the anticipated impact of
Renagel on patient morbidity and mortality, the cost of care for patients, plans
to launch a new tablet formulation of Renagel, the anticipated benefits of the
tablet formulation, plans to announce trial data, plans to initiate clinical
trials of Renagel, GT 160-246, and other product candidates, estimates
concerning the C. DIFFICILE COLITIS patient population, expectations concerning
GelTex's product candidates and polymer technology platform. Actual results may
materially differ due to numerous factors, including without limitation
conditions in the financial markets relevant to the proposed merger, the receipt
of regulatory and other approvals of the transaction, the operational
integration associated with the transaction and other risks generally associated
with such transactions, increasing market acceptance of Renagel, increasing
doses of Renagel, market acceptance of Renagel tablets, the competitive
environment for the dialysis market, the results of clinical trials, the
efficacy and safety of products, enrollment rates for clinical trials, the
content and timing of submissions to and decisions by regulatory authorities,
the availability of reimbursement from third-party payers, the ability to
manufacture sufficient quantities of product for development and
commercialization activities, the accuracy of the companies' information about
the dialysis and the C. DIFFICILE COLITIS patient populations and the market for
Renagel, the accuracy of the companies' expectations about growth in the
dialysis patient population, the ability of Genzyme to successfully
commercialize products and the risks and uncertainties described in Genzyme and
GelTex's reports filed with the Securities and Exchange Commission under the
Securities Exchange Act of 1934, as Amended, including without limitation
Exhibit 99.2 to Genzyme's Annual Report on Form 10-K for the year ended December
31, 1999, as Amended. GENZ stock is a series of common stock of Genzyme
Corporation. Therefore, holders of GENZ stock are subject to the risks and
uncertainties described in the aforementioned reports.

[The following is the text of slides from a slide show being presented in
meetings with analysts, potential investors and others.]

<PAGE>

                                     [PHOTO]

                                     GENZYME
                                     GENERAL

                            ACCELERATING MOMENTUM...

<PAGE>

FORWARD-LOOKING STATEMENTS

This presentation contains forward-looking statements, including statements
regarding our:

       -      expectations concerning the proposed merger with GelTex
              Pharmaceuticals;

       -      anticipated benefits of, and revenues from, Renagel-Registered
              Trademark- brand phosphate binders;

       -      projected product development, regulatory, and commercialization
              time tables;

       -      market estimates and sales and marketing plans; and

       -      expected future revenues, earnings per share, growth rates, and
              cash flows.

Actual results could materially differ due to numerous risks and
uncertainties, including:

       -      the receipt of regulatory and other approvals of the proposed
              merger;

       -      increasing market acceptance of, and optimal dosing and patient
              compliance with respect to, Renagel-Registered
              Trademark-;

       -      our ability to successfully complete development of and
              commercialize products;

       -      our ability to manufacture sufficient amounts of products for
              development and commercialization activities;

       -      our ability to obtain and maintain adequate proprietary rights
              protection of products;

       -      the content and timing of decisions made by regulatory
              authorities;

       -      the accuracy of our market estimates and information about the
              competitive environment; and

       -      the risks and uncertainties described in Genzyme's and GelTex's
              reports filed with the SEC, including Exhibit 99.2 to Genzyme's
              1999 annual report on Form 10-K, as amended.



<PAGE>

This material is not a substitute for the prospectus/proxy statement Genzyme
and GelTex will file with the SEC. Investors are urged to read that document
because it will contain important information, including detailed risk
factors. The proxy statement/prospectus and other documents filed by Genzyme
and GelTex with the SEC will be available free of charge at the SEC's website
(www.sec.gov) and from Genzyme or GelTex.

                                                                       genzyme
                                                                       general

<PAGE>

OUR STRATEGIC VISION

       -      Focus on chronic debilitating diseases with well-defined patient
              populations

       -      Develop and expand robust pipeline

       -      Extend and leverage unique worldwide infrastructure

       -      Manage the business

                                                                       genzyme
                                                                       general


<PAGE>

GELTEX PHARMACEUTICALS

       -      Two patent-protected, marketed products

              -      Renagel-Registered Trademark- brand phosphate binder

              -      WelChol-TM- brand bile acid sequestrant

       -      Exciting product pipeline

              -      GT160-246 for CLOSTRIDIUM DIFFICILE infections

              -      Fat absorption inhibitors for obesity

              -      A number of early stage programs

       -      Unique platform technology

       -      Productive research/development team

       -      Facilities, cash, NOLs

                                                                       genzyme
                                                                       general


<PAGE>

GELTEX PRODUCT PIPELINE


<TABLE>
<CAPTION>
                                  Research &                                               Regulatory
                                  Development      Phase 1       Phase 2       Phase 3       Review        Marketed
                                  ---------------------------------------------------------------------------------
<S>                               <C>
Renagel(R) Capsules

      - U.S. /Europe              -------------------------------------------------------------------------------->

      - Japan                     ------------------------------------------------>

Renagel(R) Tablets                -------------------------------------------------------------------------------->

WelChol(TM)                       -------------------------------------------------------------------------------->

2nd Generation WelChol(TM)        ---------------------------------->

C. Difficile Toxin
Binder                            -------------------->

Anti-Obesity                      ----->

Oral Iron                         ----->

Psoriasis                         ----->

Mucin                             ----->
</TABLE>



                                                                       genzyme
                                                                       general


<PAGE>

MERGER WITH GELTEX

       -      50/50% cash/stock, tax-free

       -      GelTex shareholders have option of:

              -      $47.50 in cash OR

              -      0.7272 of share of GENZ

       -      Targeted for completion in Q4 2000

       -      One-time IP R&D charge to GENZ expected in Q4 2000

       -      Accounted for as purchase accounting

              -      Dilutive to GENZ near-term earnings

              -      Accretive to earnings in 2002 (before D&A)

       -      Requires GelTex shareholder vote

                                                                       genzyme
                                                                       general


<PAGE>

THE EVOLUTION OF PHOSPHATE BINDERS

       -      First generation binder - Aluminum in 1980's

       -      Second generation binder - Calcium in 1990's

              -      Calcium binders seen as being problematic for some patients

       -      Third generation binder - Renagel-Registered Trademark- launched
              in 1998

              -      Renagel-Registered Trademark-'s role seen initially as:

                     -      Helping hypercalcemic patients

                     -      Providing lipid benefits

       -      Today

              -      Calcium binders seen by thought leaders as having an
                     unacceptable safety profile

              -      Renagel-Registered Trademark- shows real promise in
                     reducing cardiac morbidity and mortality

                                                                       genzyme
                                                                       general


<PAGE>

                      WHAT HAVE WE DONE FOR ESRD PATIENTS?

[The following table was depicted as a line chart in the printed material.]

<TABLE>
<CAPTION>
Annual mortality %
                      1982  1983  1984  1985  1986  1987  1988  1989  1990  1991  1992  1993  1994  1995  1996  1997  1998
                      ----  ----  ----  ----  ----  ----  ----  ----  ----  ----  ----  ----  ----  ----  ----  ----  ----
<S>                   <C>   <C>   <C>   <C>   <C>   <C>   <C>   <C>   <C>   <C>   <C>   <C>   <C>   <C>   <C>   <C>   <C>
Mortality Per Year %  34    34.5  35    34    33    32    31    29    26.4  26    26.4  26    25    25    24.6  24    23
</TABLE>


                                                                         genzyme
                                                                         general


<PAGE>


Cardiac Death is 30X Greater in Dialysis Patients(1)

[The following table was depicted as a bar chart in the printed material.]

--------------------------------------------------------------------------------
                                         General         Hemodialysis
                                       Population          Patients
                                       ----------          --------

Annual Risk of CV Death                    0.3%              9.2%
--------------------------------------------------------------------------------

o  Risk factors include:

   o  Hypertension

   o  Lipid abnormalities

   o  Smoking

   o  Glucose intolerance

   o  Now - Calcium Load

                         1. Foley RN, et al. Am J Kidney Dis. 1998;32:S112-S119.



                                                                       genzyme
                                                                       general

<PAGE>

         CLEAR EVIDENCE DEMONSTRATED ELEVATED PHOSPHORUS LEVELS INCREASE
                                MORTALITY RISK(1)

                    IDENTIFIED NEED TO MANAGE MORE AGGRESSIVELY


After launch - USRDS showed elevated phosphorus increases mortality risk(1)

[The following table was depicted as a bar chart in the printed material.]

--------------------------------------------------------------------------------
Relative Mortality Risk (RR)          1.00     1.00     1.02    1.18*    1.39**
--------------------------------------------------------------------------------
Serum Phosphorus Quintile (mg/dL)   1.1-4.5  4.6-5.5  5.6-6.5  6.6-7.8  7.9-16.9
--------------------------------------------------------------------------------

*P=0.03  **P less than 0.0001  (N = 6407)

              1. Adapted from Block GA, et al. Am J Kidney Dis. 1998;31:607-617.



                                                                       genzyme
                                                                       general
-----------------

<PAGE>

        ECHOCARDIOGRAPHY SHOWED HIGH LEVELS OF VALVULAR CALCIFICATION IN
                              DIALYSIS PATIENTS(1)



[The following table was depicted as a bar chart in the printed material.]

--------------------------------------------------------------------------------
                                   Mitral Annulus         Aortic Annulus
                                   --------------         --------------

Percentage of Patients

      Dialysis                          45%                    52%

      Normal                            10%                     4%
--------------------------------------------------------------------------------

                1. Ribeiro S, et al. Nephrol Dial Transplant. 1998;13:2037-2040.



                                                                       genzyme
                                                                       general
-----------------

<PAGE>

                    A NEW WAY TO SEE: ELECTRON BEAM COMPUTED
                               TOMOGRAPHY (EBCT)

             [GRAPHIC OF PATIENT IN CT-SCAN TUBE AND EBCT OMITTED]

                                                                       genzyme
                                                                       general


<PAGE>

       CORONARY-ARTERY CALCIFICATION IN YOUNG ADULTS WITH END-STAGE RENAL
                       DISEASE WHO ARE UNDERGOING DIALYSIS

                 NEW ENGLAND JOURNAL OF MEDICINE, MAY 18, 2000

                                                          Source: Goodman, et al

       -      Cardiac calcification is a serious problem

       -      90% of young adult dialysis patients showed signs of coronary
              artery calcification

       -      Calcification scores doubled over 17-23 months in 10 patients who
              showed signs of coronary artery disease doubled

                                                                       genzyme
                                                                       general


<PAGE>

                     CORONARY ARTERY CALCIFICATION IN YOUNG
                          DIALYSIS PATIENTS USING EBCT

[GRAPHIC SHOWING INCREASE, WITH AGE, IN CORONARY ARTERY CALCIFICATION IN YOUNG
                            DIALYSIS PATIENTS OMITTED]

                                                                       genzyme
                                                                       general


<PAGE>

            EXTENSIVE TRIPLE VESSEL (CORONARY ARTERIES) CALCIFICATION
                              IN A DIALYSIS PATIENT

        [EBCT IMAGES SHOWING CALCIFICATION IN A DIALYSIS PATIENT OMITTED]


Slide courtesy of P. Raggi


                                                                       genzyme
                                                                       general


<PAGE>

RETROSPECTIVE STUDY: SUGGESTS MORTALITY AND MORBIDITY DIFFERENCES IN MATCHED
GROUPS OF RENAGEL-Registered Trademark- AND CONTROL PATIENTS

       -      Groups matched for age, gender, race, diabetic status, hematocrit
              time on dialysis and hospital stay

       -      Relative risk of hospitalization reduced by approximately 50% (by
              Cox regression)

       -      Relative risk of death reduced by approximately 33% (by Cox
              regression)

                                                                       genzyme
                                                                       general


<PAGE>

                    RETROSPECTIVE STUDY: DEATH RATES BY CAUSE
                            (PER 1,000 PATIENT YEARS)

<TABLE>
<CAPTION>

           CATEGORY           CONTROL           RENAGEL-Registered Trademark-
           <S>                <C>               <C>
           All Cause           100.9             66.7

           CARDIAC              27.1             14.1

           Infectious           12.1             14.8

           Unknown              16.2             18.1
</TABLE>

SOURCE: A. COLLINS, USRDS


                                                                       genzyme
                                                                       general


<PAGE>

                  SAVINGS TO MEDICARE: $17,000 OR 24% ANNUALLY


[The following table was depicted as a bar chart in the printed material.]

--------------------------------------------------------------------------------
                                                      Control            Renagel
                                                      -------            -------
Inpatient                                             $23,904            $13,788

Outpatient                                            $29,772            $29,076

Other                                                  $3,264             $1,152

Physician                                             $13,452             $9,048

Total                                                 $70,392            $53,064

Renagel Saving/Yr                                                        $17,000
--------------------------------------------------------------------------------

Source: A. Collins, USRDS


                                                                       genzyme
                                                                       general


<PAGE>

RENAGEL-Registered Trademark- CLINICAL PROGRAM: CURRENT TREAT TO GOAL STUDY

       -      Vascular calcification is common and progressive in the ESRD
              population

              -      We are employing a method new to the renal community to
                     detect cardiac and aortic calcification - EBCT

              -      Demonstrate Renagel-Registered Trademark- has expected
                     impact

                     -      Prospective randomized study

                     -      Renagel-Registered Trademark- vs calcium binders

                     -      Multicenter, 225 patients

              -      Timeline

                     -      3 years, 12 month data H1 2001

                                                                       genzyme
                                                                       general


<PAGE>

RENAGEL-Registered Trademark- CLINICAL PROGRAM: NEW MORBIDITY & MORTALITY
STUDY

       -      Prospective randomized study

       -      2000 patients

       -      Reduction in hospitalization - 18 months (2003)

       -      Reduction in cardiac mortality - 2.5 years (2004)

       -      Start H1 2001

                                                                       genzyme
                                                                       general


<PAGE>

SUMMARY

       -      Calcium toxicity is seen as a real issue

       -      Renagel-Registered Trademark- may have a significant impact

              -      Not absorbed, well-tolerated

              -      Non-calcium, non-metal

              -      Lipid profile improvements

              -      Reduction in calcification

              -      Possible reduction in morbidity and mortality

              -      Cost savings to the system

                                                                       genzyme
                                                                       general


<PAGE>

KEY DRIVERS OF REVENUE GROWTH

       -      Dialysis patient population growing 6 - 8% annually

              -      1 million now to 1.7 million in 10 years

              -      US population 280,000, Europe 170,000

       -      Increasing revenue/patient/year

              -      Approximately $1,000 increasing to $2,000 as a result of
                     optimizing dosage levels and compliance improvements

       -      Expanding market share

              -      Strong clinical benefits

              -      Reduction in hospitalization costs

                                                                       genzyme
                                                                       general


<PAGE>

RENAGEL-Registered Trademark- NRx's


[The following table was depicted as a line chart in the printed material.]

<TABLE>
<CAPTION>
-------------------------------------------------------------------------------------------------------
               JUL    AUG    SEP    OCT    NOV    DEC    JAN    FEB    MAR    APR    MAY    JUN    JUL
-------------------------------------------------------------------------------------------------------
<S>            <C>    <C>    <C>    <C>    <C>    <C>    <C>    <C>    <C>    <C>    <C>    <C>    <C>
Renagel        5535   5643   5326   6391   6347   6456   6311   6764   7441   7419   8419   8610   9815
-------------------------------------------------------------------------------------------------------
               1999                                                                                2000
</TABLE>

Source: IMS NPA



                                                                       genzyme
                                                                       general


<PAGE>

RENAGEL-Registered Trademark- TRx's


[The following table was depicted as a line chart in the printed material.]

<TABLE>
<CAPTION>
--------------------------------------------------------------------------------------------------------------------
                JUL     AUG     SEP     OCT     NOV     DEC     JAN     FEB     MAR     APR     MAY     JUN     JUL
--------------------------------------------------------------------------------------------------------------------
<S>            <C>     <C>     <C>     <C>     <C>     <C>     <C>     <C>     <C>     <C>     <C>     <C>     <C>
RENAGEL        12047   12731   12504   14112   14888   15627   15394   15626   17288   17361   19571   20075   22050
--------------------------------------------------------------------------------------------------------------------
               1999                                                                                             2000
</TABLE>

Source: IMS NPA



                                                                       genzyme
                                                                       general


<PAGE>

RENAGEL-Registered Trademark- REVENUES


[The following table was depicted as a bar chart in the printed material.]

--------------------------
In millions

Q4'98                 $0.3

1H 1999               $7.6

2H 1999              $11.9

1H 2000              $18.2

2H 2000E             $27
--------------------------


                                                                       genzyme
                                                                       general


<PAGE>

RENAGEL-Registered Trademark- MARKETING PROGRAMS

       -      European rollout began early 2000

       -      Physician-sponsored education symposiums ongoing

       -      Tablet launched September 2000

              -      In next several months in Europe, Canada

       -      Increase sales force by 50%

       -      Significant presence at American Society of Nephrologists meeting
              Toronto, October 2000

                                                                       genzyme
                                                                       general


<PAGE>

GENZYME GENERAL UPDATE

       -      Financial update

       -      Marketed products

       -      Pipeline

       -      Infrastructure

                                                                       genzyme
                                                                       general


<PAGE>

GENZ TOTAL REVENUES

[The following table was depicted as a bar chart in the printed material.]

---------------------------------
In millions

1990               $ 61

1991               $120

1992               $216

1993               $268

1994               $311

1995               $379

1996               $461

1997               $496

1998               $570

1999               $635    $655*

YTD 6/30/00        $357    $357**

10-year CAGR: 30.2%
---------------------------------

*  Includes $20M in Renagel(R) revenues

** Beginning Q2-00 forward, total revenues include Renagel(R) revenues


                                                                       genzyme
                                                                       general


<PAGE>

GENZ FREE CASH FLOW


[The following table was depicted as a bar chart in the printed material.]

---------------------------------
(in millions)

1996              ($33.2)

1997               $79.2

1998              $109.9

1999              $131.3

YTD 6/30/00        $89.0
---------------------------------

Free Cash Flow = net income plus depreciation less net cash used for capital
expenditures and dividend payments


                                                                       genzyme
                                                                       general


<PAGE>


THERAPEUTICS PIPELINE EXPANSION


[The following table was depicted as a line chart in the printed material.]

<TABLE>
<CAPTION>
-----------------------------------------------------------------------------------------------------------------
               Number of Products              Products in Market         New Products Expected in Market
               ------------------              ------------------         ---------------------------------------
<S>                    <C>                        <C>                            <C>
1997                    1                         Cerezyme(R)
-----------------------------------------------------------------------------------------------------------------
1998                    3
-----------------------------------------------------------------------------------------------------------------
1999                    3                         Cerezyme(R)
                                                  Renagel(R)
                                                  Thyrogen(R)
-----------------------------------------------------------------------------------------------------------------
2000                    4                                                        Fabrazyme(TM)
-----------------------------------------------------------------------------------------------------------------
2001                   6-7                                                       ATIII
                                                                                 AVONEX(R)/Japan
2002                   8-10                                                      Aldurazyme(TM)
                                                                                 alpha-glucosidase (Pompe disease)
                                                                                 DX88 (HAE)
                                                                                 Niemann-Pick B
-----------------------------------------------------------------------------------------------------------------
Beyond                 16+                                                       Lumarel(TM)
                                                                                 NeuroCell-PD(TM)
                                                                                 PV
                                                                                 LSD-GT
                                                                                 MS
                                                                                 Scleroderma
-----------------------------------------------------------------------------------------------------------------
</TABLE>


                                                                       genzyme
                                                                       general

<PAGE>

                                      [PHOTO]
                                      GENZYME
                                      GENERAL

                              ACCELERATING MOMENTUM ...

<PAGE>

NEAR-TERM PIPELINE:
FABRAZYME-TM- FOR FABRY DISEASE

       -      Alpha-galactosidase enzyme deficiency

              -      Kidney failure, cardiac disease, pain/numbness

       -      2,000-4,000 patients worldwide

       -      Pivotal trial completed ON TIME

              -      Positive Phase 3 results announced at ASHG Oct. 2000

       -      Target filing

              -      BLA accepted (U.S.); MAA validated (Europe)

                                                                       genzyme
                                                                       general

<PAGE>

FABRAZYME-TM- PHASE 3 RESULTS

Study design
- Double-blinded, randomized, placebo-controlled
- 58 patients, 8 medical centers in U.S. and Europe
- Dosing: 1.0/mg/kg

Primary endpoint: GL-3 clearance from kidney
- 3 independent pathologists blinded to treatment
- Rated biopsy samples from 0 (none) to 3 (severe)
- Statistically significant (p LESS THAN 0.0001)

Secondary endpoints statistically significant (p LESS THAN 0.001)
- GL-3 clearance from capillaries of heart, skin, kidney

Positive quality of life trends


                                                                       genzyme
                                                                       general
<PAGE>

FABRAZYME-TM- PHASE 3 RESULTS

- Adverse events included transient mild to moderate infusion reactions
     - Easily managed
     - No significant safety concern for continued therapy

- lgG antibodies detected in 24/29 treated patients
     - Expected since 80% Fabry patients are missing enzyme
     - Antibody formation did not effect efficacy


                                                                       genzyme
                                                                       general

<PAGE>

PRIMARY ENDPOINT

- Agreed in advance with FDA

- Renal failure is most common devastating feature

- Vascular endothelial depositon is pathologic basis of morbidity and
  mortality

- Able to be assessed in study time frame

- Sample size appropriate; adequate statistical power

- 0 score clinically important

     - Restoration to NEAR NORMAL STATE
     - Predictive of normal function and clinical benefit


                                                                       genzyme
                                                                       general

<PAGE>

-------------------------------------------------------------------------------
CAPILLARY ENDOTHELIUM SCORE - KIDNEY
-------------------------------------------------------------------------------
                               SCORE AT WEEK 20
                            POPULATION AS TREATED
-------------------------------------------------------------------------------
                 0 (NONE)            >0           ODDS RATIO            P-VALUE
-------------------------------------------------------------------------------
Placebo            0                 29
(n=29)            (0%)             (100%)

                                                    0.008       LESS THAN 0.0001

r-h (alpha)GAL    20                  9
(n=29)           (69%)              (31%)

                                                                        genzyme
                                                                        general

<PAGE>

-------------------------------------------------------------------------------
PHASE III EXTENSION - EFFICACY RESULTS
-------------------------------------------------------------------------------
                                    KIDNEY
-------------------------------------------------------------------------------
<TABLE>
<CAPTION>
ORIGINAL         NO. OF       NO. OF        MONTHS ON              %ZERO
TREATMENT        PATIENTS     ZEROS        r-h (alpha)GAL
<S>                 <C>         <C>             <C>                 <C>
PLACEBO             22          22               6                  100%
r-h (alpha)GAL      21          20              12                   95%
TOTAL               43          42                                   98%
</TABLE>

                                                                        genzyme
                                                                        general

<PAGE>

-------------------------------------------------------------------------------
CONCLUSIONS

     -     Highly statistically significant results in primary endpoint

     -     Safe and well-tolerated

     -     Infusion rates declined in 12-month extension

     -     Placebo crossover in extension study strongly confirms
           double-blind results

     -     Long-term efficacy maintained

                                                                        genzyme
                                                                        general

<PAGE>

NEAR-TERM PIPELINE:
ALDURAZYME-TM- FOR MPS-I DISEASE

                     -      Alpha-L-iduronidase enzyme deficiency

                     -      2,000 - 3,000 patients worldwide
      [PHOTO]
                     -      Joint venture with BioMarin

                     -      Begin confirmatory trial: H2 2000

                                                                       genzyme
                                                                       general

<PAGE>

NEAR-TERM PIPELINE:
TRANSGENIC ANTITHROMBIN III (ATIII)

                     -      Joint venture with Genzyme Transgenics

                     -      Control blood clotting during CABG surgery
      [PHOTO]
                     -      Two Phase III trials completed

                     -      Positive results from both trials

                     -      Target BLA filing early 2001

                                                                       genzyme
                                                                       general


<PAGE>

MEDIUM-TERM PIPELINE:

ALPHA-GLUCOSIDASE FOR POMPE DISEASE

       -      Worldwide license from Synpac/collaboration with Pharming

       -      Estimated 5,000 patients worldwide

       -      Pivotal trial to begin: H2 2000

NIEMANN-PICK B DISEASE

       -      Collaboration with Mt. Sinai School of Medicine

       -      Estimated 1,000 patients worldwide

       -      File IND: H1 2001

AVONEX-Registered Trademark- IN JAPAN

       -      Collaboration with Biogen

       -      Genzyme Japan to manage clinical/regulatory/reimbursement
              marketing & sales

       -      Target launch: H2 2001

                                                                       genzyme
                                                                       general

<PAGE>

MEDIUM-TERM PIPELINE

LUMAREL-TM- FOR CYSTIC FIBROSIS

       -      Collaboration with Beth Israel, CF Foundation

       -      Compound corrects lipid imbalance

       -      Estimated 30,000 U.S. patients

       -      File IND by early 2001

DX-88 FOR HEREDITARY ANGIOEDEMA

       -      Collaboration with Dyax

       -      Repeated attacks of swelling, often fatal with no effective
              therapy

       -      Estimated 5-10,000 patients worldwide

       -      Initiate phase II clinical trial: H2 2000

                                                                       genzyme
                                                                       general

<PAGE>

LONGER-TERM PIPELINE

NEUROCELL-TM-: PARKINSON'S DISEASE

       -      JV PARTNER DIACRIN

       -      PHASE II TRIALS ONGOING

       -      INITIATE PHASE III CLINICAL TRIAL H2 2001

PEMPHIGUS VULGARIS

       -      AUTOIMMUNE DISORDER

       -      SEVERE SKIN BLISTERING, 10,000-15,000 PATIENTS

       -      IND FILING, INITIATE CLINICAL TRIALS IN 2001

GENE THERAPY: LYSOSOMAL STORAGE DISORDERS

       -      GAUCHER DISEASE - CLINICAL TRIAL ONGOING

       -      OTHER GENETIC DISEASES - PRECLINICAL

                                                                       genzyme
                                                                       general


<PAGE>

NEW LONGER-TERM CANDIDATES

MULTIPLE SCLEROSIS

       -      GENZ-29155 SMALL MOLECULE CANDIDATE

       -      PROGRESSIVE LOSS OF MOBILITY, VISION, AND NEUROLOGIC FUNCTIONS

       -      APPROXIMATELY 350,000 U.S. PATIENTS

       -      LATE PRECLINICAL STAGE

SYSTEMIC SCLERODERMA

       -      TGF-BETA ANTAGONIST CANDIDATE

       -      FIBROTIC TISSUE HARDENING OF MAJOR INTERNAL ORGANS, OFTEN FATAL

       -      APPROXIMATELY 70,000 U.S. PATIENTS

       -      LATE PRECLINICAL STAGE

                                                                       genzyme
                                                                       general


<PAGE>

                           OUR EMPLOYEES ARE CREATING
                                VALUE WORLDWIDE


[The following table was depicted as a graphic in the printed material.]

<TABLE>
<CAPTION>
-----------------------------------------------------------------------------------------
                                   Represents percentage of               Number of
                                employees outside United States           employees
                                -------------------------------        ------------------
<S>                                        <C>                        <C>
Research & Development                        5%                        GREATER THAN  500

Manufacturing/Operations                     20%                        GREATER THAN 1200

Medical/Clinical/Regulatory                  35%                        GREATER THAN  250

Marketing/Sales/Reimbursement                50%                        GREATER THAN  500
-----------------------------------------------------------------------------------------
</TABLE>

                                                                       genzyme
                                                                       general


<PAGE>

ACCELERATING MOMENTUM 2000

       -      Increased clarity around key products

       -      Broad pipeline moving to market

              -      Data from six clinical trials available

              -      File several INDs and BLAs

              -      Continue to add new products

       -      Strong financial performance continues

              -      Consensus EPS of approximately $2.20

              -      Strong positive cash flow

                                                                       genzyme
                                                                       general


<PAGE>

                                     [PHOTO]

                                     GENZYME
                                     GENERAL

                            ACCELERATING MOMENTUM...



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