Merck & Co., Inc. is an American multinational pharmaceutical company headquartered in Rahway, New Jersey. The company does business as Merck Sharp & Dohme or MSD outside the United States and Canada. The company is ranked fifth on the list of largest biomedical companies by revenue.
The company's revenues are primarily from cancer treatments, vaccines, and animal health products. In 2024, 46% of the company's revenue, or $29.5 billion, came from sales of Keytruda (pembrolizumab), a PD-1 inhibitor used to treat various types of cancers, and 13% of the company's revenue, or $8.6 billion, came from sales of Gardasil, an HPV vaccine.[1] In addition, 9% of the company's revenue, or $5.8 billion, came from the sales of animal health products.[1]
The company is ranked 65th on the Fortune 500[2] and 76th on the Forbes Global 2000.[3]
In 1891, Merck & Co. was established as the American affiliate of Merck Group, founded by the Merck family, and the companies are still in trademark disputes in several countries over the right to use the name "Merck".
History
Roots and early history
Merck & Co. traces its origins to its former German parent company Merck Group, which was established by the Merck family in 1668 when Friedrich Jacob Merck purchased a pharmacy in Darmstadt.[4] In 1827, Merck Group evolved from a pharmacy to a drug manufacturer company with the commercial manufacture of morphine.[5] Merck perfected the chemical process of deriving morphine from opium and later introduced cocaine, used to treat sinus problems and to add to beverages to boost energy levels.[6]
In 1887 a German-born, long-time Merck employee, Theodore Weicker, went to the United States to represent Merck Group.[7]
Products
Details of Merck's major products are as follows:[1]
Oncology
- Keytruda (pembrolizumab) ($29.5 billion in 2024 revenues) is an immune modulator for the treatment of cancer.
- Lynparza (olaparib) ($1.3 billion in 2024 revenues) is a PARP inhibitor used to treat BRCA-mutated advanced ovarian cancer.
- Lenvima (lenvatinib) ($1.0 billion in 2024 revenues) is used for the treatment of thyroid cancer.
- Welireg (Belzutifan) ($0.5 billion in 2024 revenues) is used for the treatment of von Hippel–Lindau disease-associated renal cell carcinoma.
- Reblozyl (Luspatercept) ($0.4 billion in 2024 revenues) is used for the treatment of anemia in beta thalassemia and myelodysplastic syndromes.
Vaccines
Philanthropy
Philanthropic initiatives by Merck include:
- Merck Foundation - founded in 1957, the foundation has donated over $1 billion to charitable causes to promote health equity. In 2012, the foundation ended its donations to the Boy Scouts of America citing its discrimination against gay people.[143]
- Patient assistance programs to offer access to pharmaceuticals to those unable to afford its medications.
- Provides funding to Hilleman Laboratories, an India-based non-profit research organization dedicated to the development of low-cost vaccines for use in developing countries.[144]
- Merck for Mothers prevents maternal mortality.
- Merck produces Mectizan (ivermectin), an anti-parasitic medicine traditionally used to treat onchocerciasis, solely for donation to people in Africa, Latin America, and Yemen. The donation program has significantly reduced the incidence of the disease.
Lawsuits and controversies
Heart attacks after use of Vioxx
In 1999, the U.S. Food and Drug Administration (FDA) approved Vioxx (known generically as rofecoxib), a Merck product for treating arthritis. Vioxx was designed as a selective inhibitor of the enzyme cyclooxygenase-2. Such compounds were expected to cause less gastrointestinal bleeding than older anti-inflammatory drugs such as naproxen, which were associated with 20,000 hospitalizations and 2000 deaths each year.[145] Vioxx became one of the most prescribed drugs in history.[146]
Thereafter, studies by Merck and by others found an increased risk of heart attack associated with Vioxx use when compared with naproxen. Merck adjusted the labeling of Vioxx to reflect possible cardiovascular risks in 2002.[147]
Politics
The company spends approximately $10 million per year on lobbying in the United States. Political contributions have mostly been to individuals and organizations associated with the Democratic Party.[182] The company is a member of many industry advocacy groups and sponsors many industry events.
Notable publications
Merck & Co. publishes The Merck Manuals, a series of medical reference books for physicians, nurses, technicians, and veterinarians. These include the Merck Manual of Diagnosis and Therapy, the world's best-selling medical reference. The Merck Index, a compendium of chemical compounds, was published by Merck & Co. until it was acquired by the Royal Society of Chemistry in 2012.
External links
References
- Merck & Co., Inc. 2025 Form 10-K Annual Report U.S. Securities and Exchange Commission, February 24, 2026^
- Fortune 500: Merck & Co. Fortune^
- Forbes Global 2000: Merck & Co. Forbes^