| Revenue from contracts with customers |
B.20. Revenue from contracts with customers B.20.1. Analysis of net sales The table below sets forth net sales for the six months ended June 30, 2026 and June 30, 2025
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | (€ million) | Europe | United States | Other countries | June 30, 2026 | Europe | United States | Other countries | June 30, 2025 | | | | | | Total Group | 4,304 | | 11,633 | | 6,169 | | 22,106 | | 4,144 | | 9,535 | | 6,210 | | 19,889 | | | | | | Immunology | | | | | | | | | | | | | | of which | Dupixent | 1,146 | | 6,922 | | 1,256 | | 9,324 | | 944 | | 5,283 | | 1,085 | | 7,312 | | | | | | Rare diseases | | | | | | | | | | | | | | of which | ALTUVIIIO | — | | 576 | | 98 | | 674 | | — | | 456 | | 86 | | 542 | | | | | | | Fabrazyme | 138 | | 256 | | 129 | | 523 | | 134 | | 261 | | 130 | | 525 | | | | | | | Nexviazyme/Nexviadyme | 152 | | 211 | | 63 | | 426 | | 132 | | 195 | | 60 | | 387 | | | | | | | Cerezyme | 126 | | 86 | | 140 | | 352 | | 119 | | 91 | | 153 | | 363 | | | | | | | Ayvakit | 44 | | 322 | | 1 | | 367 | | — | | — | | — | | — | | | | | | | | | | | | | | | | | | | | Oncology | | | | | | | | | | | | | | of which | Sarclisa | 108 | | 132 | | 114 | | 354 | | 83 | | 119 | | 74 | | 276 | | | | | | Other medicines | | | | | | | | | | | | | | of which | Lantus | 146 | | 344 | | 323 | | 813 | | 149 | | 395 | | 332 | | 876 | | | | | | | Toujeo | 259 | | 134 | | 336 | | 729 | | 248 | | 126 | | 318 | | 692 | | | | | | | Plavix | 40 | | 2 | | 398 | | 440 | | 44 | | 3 | | 426 | | 473 | | | | | | | Lovenox | 202 | | 5 | | 157 | | 364 | | 247 | | 9 | | 191 | | 447 | | | | | | | Rezurock | 36 | | 218 | | 42 | | 296 | | 23 | | 220 | | 20 | | 263 | | | | | | | Industrial sales | 181 | | 7 | | 2 | | 190 | | 241 | | 1 | | 9 | | 251 | | | | | | Vaccines | | | | | | | | | | | | | | of which | Polio/pertussis/Hib primary vaccines and boosters, incl. Heplisav-B | 206 | | 487 | | 671 | | 1,364 | | 223 | | 320 | | 818 | | 1,361 | | | | | | | RSV vaccines (Beyfortus) | 87 | | 65 | | 240 | | 392 | | 85 | | 68 | | 203 | | 356 | | | | | | | Meningitis, travel and endemics vaccines | 118 | | 268 | | 179 | | 565 | | 96 | | 319 | | 194 | | 609 | | | | | | | COVID-19 and Influenza vaccines | 33 | | 16 | | 72 | | 121 | | 52 | | 54 | | 108 | | 214 | | | | | | Of which total launches | 546 | | 1,891 | | 610 | | 3,047 | | 423 | | 1,204 | | 473 | | 2,100 | | | | | |
B.20.2. Other revenues | | | | | | | | | | | (€ million) | June 30, 2026 (6 months) | June 30, 2025 (6 months) | | VaxServe sales of non-Sanofi products | 746 | | 842 | | | | | | | Sales to Opella (a) | 60 | | 61 | | | Royalties | 91 | | 68 | | | Other(b) | 271 | | 275 | | | Total Biopharma Other revenues | 1,168 | | 1,246 | | | Sales / Revenues from Opella products(c) | 270 | | 206 | | | Total Other revenues | 1,438 | | 1,452 | | |
(a) Revenues generated from the manufacture of Consumer Healthcare products on behalf of Opella entities. Until April 30, 2025, Opella entities were within the scope of discontinued operations (see Note B.1). With effect from May 1, 2025, Opella entities are treated as related parties in accordance with IAS24 (see Note B.5.). (b) This line mainly comprises revenues received under agreements for Sanofi to provide manufacturing services to third parties. (c) Consumer Healthcare activities not transferred on the effective date of loss of control of Opella. These are primarily
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