Merck (MRK)


Market Price (11/5/2026): $150.67 | Market Cap: $371.7 BilInvestor Relations Sector: Health Care | Industry: Pharmaceuticals

Merck (MRK)


Market Price (11/5/2026): $150.67
Market Cap: $371.7 Bil
Sector: Health Care
Industry: Pharmaceuticals

Investment Highlights Why It Matters Detailed financial logic regarding cash flow yields vs trend-riding momentum.

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Attractive cash flow generation
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is 28%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is 22%, CFO LTM is 19 Bil, FCF LTM is 15 Bil

Attractive yield
Dividend Yield is 2.3%

Stock buyback support
Stock Buyback 3Y Total is 9.1 Bil

Low stock price volatility
Vol 12M is 30%

Megatrend and thematic drivers
Megatrends include Biotechnology & Genomics, Precision Medicine, and Aging Population & Chronic Disease. Themes include Biopharmaceutical R&D, Show more.

Trading close to highs
Dist 52W High is -3.3%, Dist 3Y High is -3.3%

Weak multi-year price returns
3Y Excs Rtn is -21%

Expensive valuation multiples
P/EBITPrice/EBIT or Price/(Operating Income) ratio is 55x, P/EPrice/Earnings or Price/(Net Income) is 151x

Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -2.3%

Key risks
MRK key risks include [1] the impending 2028 patent expiration of its blockbuster drug, Show more.

0 Attractive cash flow generation
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is 28%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is 22%, CFO LTM is 19 Bil, FCF LTM is 15 Bil
1 Attractive yield
Dividend Yield is 2.3%
2 Stock buyback support
Stock Buyback 3Y Total is 9.1 Bil
3 Low stock price volatility
Vol 12M is 30%
4 Megatrend and thematic drivers
Megatrends include Biotechnology & Genomics, Precision Medicine, and Aging Population & Chronic Disease. Themes include Biopharmaceutical R&D, Show more.
5 Trading close to highs
Dist 52W High is -3.3%, Dist 3Y High is -3.3%
6 Weak multi-year price returns
3Y Excs Rtn is -21%
7 Expensive valuation multiples
P/EBITPrice/EBIT or Price/(Operating Income) ratio is 55x, P/EPrice/Earnings or Price/(Net Income) is 151x
8 Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -2.3%
9 Key risks
MRK key risks include [1] the impending 2028 patent expiration of its blockbuster drug, Show more.

MRK in ETFs

Weight = MRK's share of each fund

SPY0.56%
VOO0.54%
IVV0.54%
VTI0.49%
ITOT0.49%
DIA1.7%
IWB0.53%
RSP0.20%
+36 more covered ETFs

Valuation & Metrics

Price Chart

Why The Stock Moved

Qualitative Assessment

AI Analysis | Feedback

Updated on 11/1/2026

Merck (MRK) stock has gained about 15% since 7/31/2026 because of the following key factors:

1. Strong Performance in Fiscal Q3 2026 and Upgraded Financial Outlook.

Merck reported robust financial results for its fiscal third quarter ended September 30, 2026, significantly surpassing analyst expectations. The company announced adjusted earnings per share (EPS) of $2.49, exceeding the consensus estimate of $2.09, and total worldwide sales of $18.1 billion, above the $17.28 billion forecast. Following these strong results, Merck raised and narrowed its full-year 2026 non-GAAP EPS guidance to a range of $2.77 to $2.82, up from its previous outlook of $2.66 to $2.76, and updated its sales forecast to between $66.8 billion and $67.3 billion. This positive financial performance and outlook boosted investor confidence.

2. Continued Growth of Key Oncology Products and Successful New Launches.

Merck's flagship cancer immunotherapy, Keytruda, continued its strong sales trajectory, with the Keytruda family of products generating $8.6 billion in sales in fiscal Q3 2026, representing a 6% increase. Notably, the newer subcutaneous formulation, Keytruda QLEX, contributed $830 million to these sales. Beyond Keytruda, the pulmonary arterial hypertension treatment Winrevair demonstrated exceptional growth, with sales surging 93% year-over-year to $694 million in the third quarter. The HPV vaccine Gardasil also saw strong sales, rising 14% excluding currency effects to approximately $2 billion. These strong sales performances from both established blockbusters and newer products underscored Merck's diversified growth strategy.

Show more
Updated on 11/1/2026

Merck (MRK) stock has gained about 15% since 7/31/2026 because of the following key factors:

1. Strong Performance in Fiscal Q3 2026 and Upgraded Financial Outlook.

Merck reported robust financial results for its fiscal third quarter ended September 30, 2026, significantly surpassing analyst expectations. The company announced adjusted earnings per share (EPS) of $2.49, exceeding the consensus estimate of $2.09, and total worldwide sales of $18.1 billion, above the $17.28 billion forecast. Following these strong results, Merck raised and narrowed its full-year 2026 non-GAAP EPS guidance to a range of $2.77 to $2.82, up from its previous outlook of $2.66 to $2.76, and updated its sales forecast to between $66.8 billion and $67.3 billion. This positive financial performance and outlook boosted investor confidence.

2. Continued Growth of Key Oncology Products and Successful New Launches.

Merck's flagship cancer immunotherapy, Keytruda, continued its strong sales trajectory, with the Keytruda family of products generating $8.6 billion in sales in fiscal Q3 2026, representing a 6% increase. Notably, the newer subcutaneous formulation, Keytruda QLEX, contributed $830 million to these sales. Beyond Keytruda, the pulmonary arterial hypertension treatment Winrevair demonstrated exceptional growth, with sales surging 93% year-over-year to $694 million in the third quarter. The HPV vaccine Gardasil also saw strong sales, rising 14% excluding currency effects to approximately $2 billion. These strong sales performances from both established blockbusters and newer products underscored Merck's diversified growth strategy.

3. Positive Late-Stage Oncology Pipeline Updates, Bolstering Post-Keytruda Outlook.

Significant positive news from Merck's oncology pipeline substantially de-risked its long-term growth prospects beyond Keytruda's eventual loss of exclusivity. In August, the company announced positive Phase 3 results for its personalized mRNA cancer vaccine, intismeran autogene, in combination with Keytruda for adjuvant treatment of resected melanoma. This news alone caused Merck's shares to jump 12% in August, as the data showed a 42% reduction in the risk of melanoma death or recurrence. Further positive data were presented at the European Society for Medical Oncology (ESMO) Congress 2026 in October, including the first positive Phase 3 results for sacituzumab tirumotecan (sac-TMT) in advanced or recurrent endometrial cancer, demonstrating a 41% reduction in the risk of disease progression or death and a 32% reduction in the risk of death. These pipeline advancements reinforce confidence in Merck's future portfolio.

4. U.S. FDA Approval of LIPFENDRA.

In early August, Merck received U.S. FDA approval for LIPFENDRA (enlicitide), a significant milestone as it represents the first and only once-daily oral PCSK9 inhibitor for reducing LDL-C in adults with hypercholesterolemia. This approval opens a new cardiometabolic treatment opportunity and marks an important addition to Merck's portfolio, contributing to the company's broader pipeline diversification efforts.

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Stock Movement Drivers

Fundamental Drivers

The 16.2% change in MRK stock from 7/31/2026 to 11/4/2026 was primarily driven by a 322.4% change in the company's P/E Multiple.
(LTM values as of)731202611042026Change
Stock Price ($)129.44150.3616.2%
Change Contribution By: 
Total Revenues ($ Mil)65,76867,3782.4%
Net Income Margin (%)13.6%3.6%-73.2%
P/E Multiple35.8151.3322.4%
Shares Outstanding (Mil)2,4722,4680.2%
Cumulative Contribution16.2%

LTM = Last Twelve Months as of date shown

Market Drivers

7/31/2026 to 11/4/2026
ReturnCorrelation
MRK16.2% 
Market (SPY)2.6%10.3%
Sector (XLV)16.7%68.0%

Fundamental Drivers

The 39.5% change in MRK stock from 4/30/2026 to 11/4/2026 was primarily driven by a 932.8% change in the company's P/E Multiple.
(LTM values as of)430202611042026Change
Stock Price ($)107.76150.3639.5%
Change Contribution By: 
Total Revenues ($ Mil)65,01167,3783.6%
Net Income Margin (%)28.1%3.6%-87.0%
P/E Multiple14.6151.3932.8%
Shares Outstanding (Mil)2,4812,4680.5%
Cumulative Contribution39.5%

LTM = Last Twelve Months as of date shown

Market Drivers

4/30/2026 to 11/4/2026
ReturnCorrelation
MRK39.5% 
Market (SPY)7.0%-2.1%
Sector (XLV)30.5%68.8%

Fundamental Drivers

The 80.0% change in MRK stock from 10/31/2025 to 11/4/2026 was primarily driven by a 1083.8% change in the company's P/E Multiple.
(LTM values as of)1031202511042026Change
Stock Price ($)83.53150.3680.0%
Change Contribution By: 
Total Revenues ($ Mil)63,61667,3785.9%
Net Income Margin (%)25.8%3.6%-85.9%
P/E Multiple12.8151.31083.8%
Shares Outstanding (Mil)2,5102,4681.7%
Cumulative Contribution80.0%

LTM = Last Twelve Months as of date shown

Market Drivers

10/31/2025 to 11/4/2026
ReturnCorrelation
MRK80.0% 
Market (SPY)13.4%5.6%
Sector (XLV)33.2%66.1%

Fundamental Drivers

The 60.4% change in MRK stock from 10/31/2023 to 11/4/2026 was primarily driven by a 97.8% change in the company's P/E Multiple.
(LTM values as of)1031202311042026Change
Stock Price ($)93.72150.3660.4%
Change Contribution By: 
Total Revenues ($ Mil)58,31167,37815.5%
Net Income Margin (%)5.3%3.6%-31.8%
P/E Multiple76.5151.397.8%
Shares Outstanding (Mil)2,5392,4682.9%
Cumulative Contribution60.4%

LTM = Last Twelve Months as of date shown

Market Drivers

10/31/2023 to 11/4/2026
ReturnCorrelation
MRK60.4% 
Market (SPY)89.7%16.0%
Sector (XLV)59.5%62.5%

Return vs. Risk

Price Returns Compared

 202120222023202420252026Total [1]
Returns
MRK Return2%49%1%-6%10%46%130%
Peers Return36%15%-3%12%24%31%176%
S&P 500 Return27%-19%24%23%16%11%102%

Monthly Win Rates [3]
MRK Win Rate42%67%42%33%50%73% 
Peers Win Rate62%63%40%53%62%69% 
S&P 500 Win Rate75%42%67%75%67%36% 

Max Drawdowns [4]
MRK Max Drawdown-20%-11%-14%-27%-27%-11% 
Peers Max Drawdown-17%-19%-26%-20%-23%-16% 
S&P 500 Max Drawdown-5%-25%-10%-8%-19%-9% 


[1] Cumulative total returns since the beginning of 2021
[2] Peers: PFE, JNJ, LLY, ABBV, BMY. See MRK Returns vs. Peers.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2026 data is for the year up to 11/4/2026 (YTD)

How Low Can It Go

EventMRKS&P 500
2025 US Tariff Shock
  % Loss-13.4%-18.8%
  % Gain to Breakeven15.5%23.1%
  Time to Breakeven71 days79 days
2024 Yen Carry Trade Unwind
  % Loss-12.7%-7.8%
  % Gain to Breakeven14.5%8.5%
  Time to Breakeven549 days18 days
2020 COVID-19 Crash
  % Loss-18.4%-33.7%
  % Gain to Breakeven22.5%50.9%
  Time to Breakeven16 days140 days
2015-2016 China Devaluation / Global Growth Scare
  % Loss-18.2%-12.2%
  % Gain to Breakeven22.3%13.9%
  Time to Breakeven277 days62 days
2014-2016 Oil Price Collapse
  % Loss-16.2%-6.8%
  % Gain to Breakeven19.4%7.3%
  Time to Breakeven204 days15 days
2011 US Debt Ceiling Crisis & European Contagion
  % Loss-17.4%-17.9%
  % Gain to Breakeven21.1%21.8%
  Time to Breakeven93 days123 days

Compare to PFE, JNJ, LLY, ABBV, BMY

In The Past

Merck's stock fell -13.4% during the 2025 US Tariff Shock. Such a loss loss requires a 15.5% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

EventMRKS&P 500
2008-2009 Global Financial Crisis
  % Loss-62.5%-53.4%
  % Gain to Breakeven166.4%114.4%
  Time to Breakeven1319 days1085 days

Compare to PFE, JNJ, LLY, ABBV, BMY

In The Past

Merck's stock fell -13.4% during the 2025 US Tariff Shock. Such a loss loss requires a 15.5% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

About Merck (MRK)

Merck & Co., Inc. (MRK) operates as a global healthcare company, dedicated to improving health for both humans and animals. Its business is strategically divided into two primary segments: Pharmaceutical and Animal Health. This structure allows Merck to develop and deliver a comprehensive range of health solutions worldwide, underpinned by extensive research and manufacturing capabilities.

The Pharmaceutical segment focuses on human health, offering a robust portfolio of prescription medicines and vaccines. Its key product areas include oncology, immunology, neuroscience, virology, cardiovascular, diabetes, and hospital acute care, alongside vital preventive vaccines for all age groups. Merck distributes these products to a wide array of customers, including drug wholesalers and retailers, hospitals, government agencies, managed health care providers, and directly to physicians.

Complementing its human health focus, Merck's Animal Health segment provides innovative veterinary pharmaceuticals, vaccines, and health management solutions. This segment also develops advanced digitally connected products for animal identification, traceability, and monitoring. By serving veterinarians and animal producers globally, Merck contributes to animal well-being and livestock productivity.

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Here are 1-3 brief analogies for Merck (MRK):

  • Like Pfizer, but with a significant focus on animal health in addition to human pharmaceuticals.
  • Similar to the pharmaceutical and vaccine divisions of Johnson & Johnson, plus a major animal health business.

AI Analysis | Feedback

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  • Human Pharmaceutical Products: Merck develops and markets pharmaceutical drugs targeting various human diseases, including oncology, hospital acute care, immunology, neuroscience, virology, cardiovascular, and diabetes.
  • Human Vaccine Products: The company offers a range of vaccine products for the prevention of diseases in pediatric, adolescent, and adult populations.
  • Veterinary Pharmaceutical Products: Merck discovers, develops, manufactures, and markets medicinal pharmaceuticals for animal health.
  • Animal Vaccines: The company provides vaccines specifically designed to protect animals from various diseases.
  • Animal Health Management Solutions and Services: Merck offers health management solutions and services aimed at improving the overall well-being and productivity of animals.
  • Digitally Connected Animal Identification & Monitoring Products: The company provides digital products for the identification, traceability, and monitoring of animals.
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AI Analysis | Feedback

Merck (MRK) primarily sells its products to other companies and organizations rather than directly to individuals. Based on the company description, its major customers are intermediaries and healthcare providers. While specific customer names are not provided in the background, the following public companies represent typical major customers within the described categories:

Drug Wholesalers

These companies act as major distributors of pharmaceutical products from manufacturers like Merck to pharmacies, hospitals, and other healthcare providers.

  • McKesson Corporation (MCK)
  • AmerisourceBergen Corporation (ABC)
  • Cardinal Health, Inc. (CAH)

Retail Pharmacies

Large pharmacy chains are significant purchasers and distributors of Merck's pharmaceutical products to the end consumer.

  • CVS Health Corporation (CVS)
  • Walgreens Boots Alliance, Inc. (WBA)

Managed Health Care Providers and Pharmacy Benefit Managers (PBMs)

These organizations manage healthcare plans and prescription drug benefits for large populations, influencing drug purchasing and formularies.

  • UnitedHealth Group Inc. (UNH)
  • The Cigna Group (CI)
  • Elevance Health, Inc. (ELV)

Hospital Systems

Large hospital networks directly procure a range of pharmaceutical products for patient care.

  • HCA Healthcare, Inc. (HCA)

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Robert M. Davis, Chairman and Chief Executive Officer

Robert M. Davis is the Chairman of the Board and Chief Executive Officer of Merck & Co., Inc.. He joined Merck in 2014 as the Chief Financial Officer, with additional responsibilities for real estate operations, corporate strategy, and business development. In 2016, his role expanded to include information technology and procurement, forming Global Services. He became President in April 2021, and then CEO and a member of the board of directors on July 1, 2021. Prior to joining Merck, Mr. Davis was corporate vice president and president of Baxter’s medical products business. During his time at Baxter, he also held positions such as president of Baxter's renal business, chief financial officer, and treasurer. Before his tenure at Baxter, he spent 14 years at Eli Lilly and Company in various roles of increasing responsibility, including Director of Corporate Financial Planning.

Caroline Litchfield, Executive Vice President and Chief Financial Officer

Caroline Litchfield serves as the Executive Vice President and Chief Financial Officer for Merck, overseeing the company's finance, procurement, and real estate operations. She began her career at Merck in 1990 within its U.K. business and has since held numerous positions of increasing responsibility in country, regional, and global finance functions. Ms. Litchfield previously served as the company's treasurer, responsible for treasury, tax, and investor relations. From 2014 to 2018, she led finance for Human Health, Merck's largest business. She was also instrumental in the integration of Merck and Schering-Plough after their 2009 merger, serving as vice president and finance lead for the Emerging Markets region. She was appointed Executive Vice President and CFO, effective April 1, 2021. In June 2024, she was elected to the board of directors for Verizon.

Dean Y. Li, M.D., Ph.D., Executive Vice President and President, Merck Research Laboratories

Dean Y. Li is the Executive Vice President and President of Merck Research Laboratories, where he leads the company's global human vaccines and therapeutics research and development organization. He joined Merck in 2017, taking on leadership roles within the Translational Medicine and Discovery functions. Dr. Li was appointed President of Merck Research Laboratories in January 2021. Before joining Merck, he held positions of increasing responsibility in translational medical research at the University of Utah.

Sanat Chattopadhyay, Executive Vice President and President, Merck Manufacturing Division

Sanat Chattopadhyay is the Executive Vice President and President of the Merck Manufacturing Division. His professional background includes experience with companies such as Pfizer and Sanofi. He has an educational background that includes studies at Jadavpur University and NITIE.

Richard R. DeLuca, Jr., Executive Vice President and President, Merck Animal Health

Richard R. DeLuca, Jr. holds the position of Executive Vice President and President of Merck Animal Health.

AI Analysis | Feedback

The public company Merck (MRK) faces several key risks to its business, with the most significant revolving around patent expirations of its blockbuster drugs.
  1. Keytruda Patent Cliff: The most significant risk for Merck is the impending patent expiration of its flagship oncology drug, Keytruda (pembrolizumab). Keytruda's primary U.S. patents are set to expire in late 2028, with some extensions potentially pushing exclusivity to 2029. This drug is a major revenue driver for Merck, accounting for nearly half of its pharmaceutical sales in 2024 and 40% in 2023. Analysts project Keytruda sales to peak around $33–34 billion in 2028, followed by a substantial decline of approximately 19% to about $27.4 billion by 2029 as biosimilars enter the U.S. market. Merck is actively pursuing mitigation strategies, including developing a subcutaneous formulation (Keytruda Qlex) that received FDA approval in September 2025, which may help retain patient loyalty and extend some protection, possibly until 2040 or longer for specific formulations. The company is also implementing a $3 billion cost-cutting initiative and investing in new product launches and pipeline development to offset the anticipated revenue decline.
  2. Loss of Exclusivity for Other Key Products: Beyond Keytruda, Merck faces a broader "loss-of-exclusivity (LOE) wave" for several other significant pharmaceutical products between 2025 and 2029, putting nearly half of its 2024 pharmaceutical revenue at risk. Notably, Januvia/Janumet, Lenvima (in partnership with Eisai), and Gardasil 9 are also facing patent expirations or generic competition around the same period. For instance, U.S. generics for Januvia are expected by mid-2026, and Gardasil 9 U.S. patents expire in 2028. This collective expiration of patents on major revenue-generating drugs presents a significant challenge to Merck's market share and overall revenues.
  3. Regulatory Changes and Pricing Pressures: Merck, as a global pharmaceutical company, is continuously subject to evolving and increasingly stringent regulatory requirements, particularly concerning drug pricing and reimbursement. With rising global healthcare expenditures, governments worldwide are increasing pressure on pharmaceutical companies, which can negatively impact product profitability and the success of market launches. The Inflation Reduction Act (IRA) in the U.S., for example, includes Medicare price cuts that are active from January 2028, further contributing to pricing pressures.

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  • The rapid advancement and expansion of mRNA technology by competitors, potentially displacing Merck's traditional vaccine platforms and certain therapeutic areas.
  • The implementation and potential expansion of government-mandated drug price negotiation (e.g., under the U.S. Inflation Reduction Act), which threatens the profitability and R&D investment model for Merck's pharmaceutical products.

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Merck (MRK) operates in diverse healthcare markets, with substantial addressable markets for its main products and services across both its Pharmaceutical and Animal Health segments.

Pharmaceutical Segment

  • Oncology: The global oncology market size was estimated at approximately USD 225.01 billion in 2024 and is projected to reach around USD 668.26 billion by 2034. North America held approximately a 46% share of this market in 2024.
  • Hospital Acute Care: The global acute hospital care market generated a revenue of USD 3,344,042.1 million (or USD 3.34 trillion) in 2023 and is expected to reach USD 4,903,896.5 million (or USD 4.9 trillion) by 2030. North America was the largest revenue-generating market in 2023, accounting for 55.8% of the global market.
  • Immunology: The global immunology market size was valued at USD 108.40 billion in 2024 and is estimated to hit around USD 286.38 billion by 2034. In 2024, North America dominated the global market with the largest share of 53%.
  • Neuroscience: The global neuroscience market generated a revenue of USD 44,653.7 million in 2023 and is expected to reach USD 65,224.5 million by 2030. North America was the largest revenue-generating market in 2023.
  • Virology: The global virology market size was valued at USD 2.55 billion in 2024 and is projected to reach USD 4.51 billion by 2033. North America was the largest contributor to this market in 2024.
  • Cardiovascular: The global cardiovascular drugs market size is calculated at USD 155.96 billion in 2025 and is predicted to increase to approximately USD 214.72 billion by 2034.
  • Diabetes: The global diabetes drugs market size was valued at USD 101.48 billion in 2025 and is projected to grow to USD 283.36 billion by 2034. North America dominated the diabetes drugs market with a market share of 49.95% in 2025.
  • Vaccines (Human Health): The global human vaccines market was valued at USD 82.80 billion in 2024 and is expected to reach USD 186.73 billion by 2032. North America dominated the vaccine market with the largest revenue share of 38.3% in 2024.

Animal Health Segment

  • Veterinary Pharmaceuticals, Vaccines, and Health Management Solutions: The global animal health market size was valued at USD 67.92 Billion in 2024 and is poised to grow to USD 128.05 Billion by 2033. North America held a significant market share of 44.9% in 2025.

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Merck (MRK) anticipates several key drivers to fuel its future revenue growth over the next two to three years:

  1. Accelerated Launch of New Products and Pipeline Expansion: Merck is intensifying its efforts to launch new drugs and has substantially expanded its late-stage pipeline. The company projects approximately $50 billion in revenue from new growth drivers by the early 2030s, contributing to a target of $70 billion by the mid-2030s. This includes a focus on 10 major programs, all identified as multibillion-dollar opportunities, with several already launched or having positive Phase III clinical trial data.
  2. Growth in Cardiometabolic and Respiratory Treatments: This therapeutic area is expected to be a significant contributor to future sales, with Merck forecasting nearly $20 billion from these treatments, an increase from previous estimates. New products like Winrevair, particularly for pulmonary arterial hypertension, are anticipated to drive sustained growth.
  3. Expansion in Infectious Disease Medications: Merck has significantly raised its projections for infectious disease drugs, expecting them to generate approximately $15 billion in sales, a substantial increase from earlier forecasts.
  4. Sustained Performance and Pipeline Augmentation in Oncology: While Keytruda continues to be a major revenue driver, particularly with increased uptake in earlier-stage cancers and strong international demand, Merck is actively fortifying its oncology pipeline through new product launches and strategic acquisitions to mitigate the impact of future patent expirations. Products like Welireg are also noted as growth drivers.
  5. Continued Growth in the Animal Health Segment: The Animal Health segment is consistently identified as a source of revenue growth, propelled by strong demand for companion animal products, such as the Bravecto line, favorable pricing strategies, and increased demand for livestock products. Acquisitions, such as the Elanco aqua business, are also expected to contribute to this segment's expansion.

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Capital Allocation Decisions of Merck (MRK) (2021-2025)

Share Repurchases

  • Merck's Board of Directors authorized a new $10 billion stock repurchase program in January 2025, with no specified expiration date.
  • The company executed annual share buybacks of $1.346 billion in 2023 and $1.306 billion in 2024.
  • For the full year 2025, Merck's total share repurchases amounted to approximately $5.13 billion.

Inbound Investments

  • In November 2025, Merck secured $700 million in non-refundable funding from Blackstone Life Sciences to support the development of sacituzumab tirumotecan (sac-TMT), an investigational antibody-drug conjugate for various cancer types.

Outbound Investments

  • Merck acquired Acceleron Pharma for $11.5 billion in September 2021.
  • In April 2023, the company acquired Prometheus Biosciences for $10.8 billion.
  • Merck announced an agreement in early July 2025 to acquire Verona Pharma for approximately $10 billion.

Capital Expenditures

  • Merck's capital expenditures increased from $3.123 billion in 2023 to $3.475 billion in 2024.
  • For the full fiscal year 2025, investment spending included $4.11 billion in capital expenditures.
  • The company intends to reinvest savings from a multi-year optimization initiative into higher-growth areas of its pipeline development and to expand its long-term product portfolio.

Better Bets vs. Merck (MRK)

Peer Outperformance in Pharmaceuticals

MRK has outperformed 83% of its 59 Pharmaceuticals peers over 5Y. Pharmaceuticals ranks 6th of 10 industries in Health Care by median 5Y return. The sector’s gains have largely come from elsewhere.
Share of Pharmaceuticals constituents that MRK has outperformed, by holding period. Peers without a full price history over a given window are excluded from that window.
1Y
88%
of 69 industry peers · 84.6% return
3Y
66%
of 65 industry peers · 59.4% return
5Y
83%
of 59 industry peers · 93.5% return
No Pharmaceuticals peer with a comparable growth profile has beaten MRK by more than 20pp over 5Y.
Median price return by industry across the Health Care sector, ranked by 5Y. Pharmaceuticals is MRK's own industry. Use this to see which corners of the sector have carried the returns.
Industry Names 1Y med3Y med5Y med Top 3 by 5Y
Health Care Distributors 6 13.4%63.7%103.3% CAH 490% · MCK 391% · COR 194%
Health Care Services 20 44.0%33.3%11.6% HIMS 220% · RDNT 148% · DGX 96%
Managed Health Care 8 44.6%5.6%0.6% OSCR 107% · HQY 59% · ELV 11%
Health Care Facilities 25 16.9%18.4%-3.0% THC 302% · NHC 241% · EHC 202%
Health Care Equipment 50 14.4%18.7%-15.0% UFPT 408% · GKOS 348% · PLSE 147%
Pharmaceuticals ← 60 -5.1%8.2%-35.2% LQDA 999% · KNSA 546% · LLY 448%
Health Care Supplies 11 34.9%23.0%-36.1% LNTH 267% · HAE 76% · MMSI 33%
Life Sciences Tools & Services 108 -6.2%-10.3%-74.1% AXGN 288% · NTRA 253% · MEDP 189%
Biotechnology 364 -21.1%-31.5%-81.7% ELVN 1112% · TRVI 1046% · DNTH 930%
Health Care Technology 21 -23.4%-56.5%-82.3% VEEV -3% · DOCS -52%
Median of constituents with a full price history over each window. Top names are limited to companies above $2B market cap.

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Financials

MRKPFEJNJLLYABBVBMYMedian
NameMerck Pfizer Johnson .Eli LillyAbbVie Bristol . 
Mkt Price150.6730.90276.401,419.27295.2064.15213.53
Mkt Cap371.9176.1666.01,265.8522.2131.1447.0
Rev LTM67,37863,62499,33586,46266,01450,03466,696
Op Inc LTM6,20116,62425,52544,31523,74914,60420,186
FCF LTM14,74611,78619,59511,68918,8729,28613,266
FCF 3Y Avg14,21210,13019,1005,28318,06012,79713,504
CFO LTM18,70314,17326,15930,64520,08910,65219,396
CFO 3Y Avg18,01112,83825,17017,58019,15314,09217,795

Growth & Margins

MRKPFEJNJLLYABBVBMYMedian
NameMerck Pfizer Johnson .Eli LillyAbbVie Bristol . 
Rev Chg LTM4.9%1.3%7.8%45.5%10.7%4.2%6.3%
Rev Chg 3Y Avg4.4%-2.9%5.9%39.4%6.3%3.7%5.1%
Rev Chg Q4.7%-0.4%5.9%38.6%10.3%6.9%6.4%
QoQ Delta Rev Chg LTM1.2%-0.1%1.4%8.5%2.5%1.7%1.6%
Op Inc Chg LTM-72.3%-1.7%7.9%67.9%65.3%27.9%17.9%
Op Inc Chg 3Y Avg19.8%16.3%4.4%68.3%17.8%25.3%18.8%
Op Mgn LTM9.2%26.1%25.7%51.3%36.0%29.2%27.7%
Op Mgn 3Y Avg22.2%23.3%25.4%43.7%29.2%22.8%24.4%
QoQ Delta Op Mgn LTM-1.3%-0.6%-1.1%1.5%2.0%1.0%0.2%
CFO/Rev LTM27.8%22.3%26.3%35.4%30.4%21.3%27.0%
CFO/Rev 3Y Avg27.7%20.6%27.1%25.7%31.7%29.2%27.4%
FCF/Rev LTM21.9%18.5%19.7%13.5%28.6%18.6%19.1%
FCF/Rev 3Y Avg21.9%16.2%20.6%6.3%29.9%26.5%21.2%

Valuation

MRKPFEJNJLLYABBVBMYMedian
NameMerck Pfizer Johnson .Eli LillyAbbVie Bristol . 
Mkt Cap371.9176.1666.01,265.8522.2131.1447.0
P/S5.52.86.714.67.92.66.1
P/Op Inc60.010.626.128.622.09.024.0
P/EBIT55.325.335.628.633.110.130.8
P/E151.643.741.445.950.514.244.8
P/CFO19.912.425.541.326.012.322.7
Total Yield2.9%7.9%4.3%2.7%4.3%11.0%4.3%
Dividend Yield2.3%5.6%1.9%0.5%2.3%3.9%2.3%
FCF Yield 3Y Avg5.2%6.5%4.0%0.6%4.5%12.4%4.8%
D/E0.10.40.10.00.20.30.1
Net D/E0.10.30.00.00.10.20.1

Returns

MRKPFEJNJLLYABBVBMYMedian
NameMerck Pfizer Johnson .Eli LillyAbbVie Bristol . 
1M Rtn8.0%12.7%9.3%24.2%11.8%9.1%10.5%
3M Rtn18.1%19.7%7.8%21.5%20.6%1.9%18.9%
6M Rtn34.4%20.5%24.4%44.2%45.9%15.8%29.4%
12M Rtn84.9%36.1%51.3%57.5%40.8%47.0%49.1%
3Y Rtn59.7%19.9%98.9%155.2%130.6%39.9%79.3%
1M Excs Rtn9.4%15.6%11.7%25.8%14.6%10.8%13.1%
3M Excs Rtn19.9%19.8%9.9%21.1%23.6%2.9%19.8%
6M Excs Rtn31.6%17.7%21.6%41.5%43.1%13.1%26.6%
12M Excs Rtn77.5%23.6%41.3%48.8%33.0%35.1%38.2%
3Y Excs Rtn-21.0%-59.3%23.0%74.4%48.1%-37.4%1.0%

Clinical Pipeline

Drug CandidateIndicationPhase 3 TrialsEst. Primary Completion
Pembrolizumab (MK-3475)Various cancers22Sep 2026
Belzutifan (MK-6482)Renal cell carcinoma8Oct 2026
Sacituzumab Tirumotecan (MK-2870)Advanced solid tumors17Jan 2027
Nemtabrutinib (MK-1026)Chronic lymphocytic leukemia3May 2027
Suvorexant (MK-4305)Insomnia in opioid use disorder1Jun 2027
MK-8527HIV pre-exposure prophylaxis2Jul 2027
Bomedemstat (MK-3543)Myeloproliferative neoplasms3Jul 2027
9-Valent Human Papillomavirus Vaccine (V503)Prevention of human papillomavirus infection6Aug 2027
Zilovertamab Vedotin (MK-2140)Diffuse large B-cell lymphoma2Sep 2027
Opevesostat (MK-5684)Prostate cancer2May 2028
...   
Active Phase 3 studies led by the company. Source: ClinicalTrials.gov · Updated 8/28/2026

Financials

Segment Financials

Revenue by Segment
$ Mil20252024202320222021
Pharmaceutical58,14257,40053,58352,00542,754
Animal Health6,3545,8775,6255,5505,568
Other5158919071,728382
Total65,01164,16860,11559,28348,704


Operating Income by Segment
$ Mil20152014201320122011
Pharmaceutical21,65822,16422,98325,85225,617
Other segment1,6592,5463,094  
Other810539192690
Corporate-17,199-19,579-19,736-19,429-20,260
All other segment revenues   3,1632,703
Total6,9285,6706,3609,6128,150


Price Behavior

Price Behavior
Market Price$150.36 
Market Cap ($ Bil)371.1 
First Trading Date01/02/1970 
Distance from 52W High-3.3% 
   50 Days200 Days
DMA Price$146.31$126.12
DMA Trendupup
Distance from DMA2.8%19.2%
 3M1YR
Volatility37.6%30.1%
Downside Capture43.54-10.57
Upside Capture131.7161.79
Correlation (S&P 500)8.7%5.0%
MRK Betas & Captures as of 10/31/2026

 1M2M3M6M1Y3Y
Beta-0.78-0.010.18-0.140.100.28
Up Beta-1.281.02-1.21-1.010.280.35
Down Beta-1.27-1.11-0.66-0.39-0.390.30
Up Capture-32%25%106%47%44%8%
Bmk +ve Days12182862130427
Stock +ve Days11213367133383
Down Capture-75%10%28%-31%-26%29%
Bmk -ve Days10253664121325
Stock -ve Days11223159118367

[1] Upside and downside betas calculated using positive and negative benchmark daily returns respectively
Based On 1-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with MRK
MRK88.1%30.1%2.09-
Sector ETF (XLV)33.1%16.7%1.5366.8%
Equity (SPY)13.2%12.9%0.685.8%
Gold (GLD)1.0%28.8%0.0313.0%
Commodities (DBC)35.9%21.2%1.34-15.3%
Real Estate (VNQ)14.3%14.1%0.7037.6%
Bitcoin (BTCUSD)-28.2%43.4%-0.65-1.6%

Smart multi-asset allocation framework can stack odds in your favor. Learn How
Based On 5-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with MRK
MRK16.5%24.9%0.58-
Sector ETF (XLV)9.3%15.3%0.4058.5%
Equity (SPY)12.5%17.2%0.5518.8%
Gold (GLD)17.3%19.1%0.733.7%
Commodities (DBC)8.0%19.6%0.29-3.1%
Real Estate (VNQ)1.8%18.9%-0.0126.0%
Bitcoin (BTCUSD)5.5%51.5%0.294.5%

Smart multi-asset allocation framework can stack odds in your favor. Learn How
Based On 10-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with MRK
MRK13.2%23.5%0.52-
Sector ETF (XLV)12.5%16.8%0.6164.7%
Equity (SPY)15.4%18.0%0.7337.3%
Gold (GLD)11.9%16.5%0.594.3%
Commodities (DBC)7.4%18.1%0.337.5%
Real Estate (VNQ)5.7%20.7%0.2336.6%
Bitcoin (BTCUSD)61.0%66.2%1.015.1%

Smart multi-asset allocation framework can stack odds in your favor. Learn How

Short Interest

Short Interest: As Of Date10152026
Short Interest: Shares Quantity26.8 Mil
Short Interest: % Change Since 9302026-5.1%
Average Daily Volume9.0 Mil
Days-to-Cover Short Interest3.0 days
Basic Shares Quantity2,468.0 Mil
Short % of Basic Shares1.1%

Earnings Returns History

Updated 11/3/2026
Expand for More
 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
10/29/20263.8%  
8/4/20260.2%2.5%17.3%
4/30/2026-1.6%2.4%7.0%
2/3/20262.2%3.8%6.1%
10/30/2025-0.3%-2.5%17.6%
7/29/2025-1.7%-5.0%1.1%
4/24/20251.4%8.2%-1.1%
2/4/2025-9.1%-13.4%-6.6%
...
SUMMARY STATS   
# Positive111110
# Negative131213
Median Positive2.2%3.8%6.5%
Median Negative-1.8%-3.8%-2.2%
Max Positive6.1%8.8%17.6%
Max Negative-9.8%-13.4%-8.8%
Collapse to Preview
 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
10/29/20263.8%  
8/4/20260.2%2.5%17.3%
4/30/2026-1.6%2.4%7.0%
2/3/20262.2%3.8%6.1%
10/30/2025-0.3%-2.5%17.6%
7/29/2025-1.7%-5.0%1.1%
4/24/20251.4%8.2%-1.1%
2/4/2025-9.1%-13.4%-6.6%
10/31/2024-2.4%-3.9%-3.0%
7/30/2024-9.8%-12.1%-8.8%
4/25/20242.9%1.4%3.2%
2/1/20244.6%5.5%5.1%
10/26/20231.9%-0.8%-1.7%
8/1/2023-1.3%-0.5%3.1%
4/27/20231.5%4.2%-1.0%
2/2/2023-3.3%-0.3%-0.1%
10/27/20221.4%1.0%9.2%
7/28/2022-1.4%-4.0%-1.1%
4/28/20224.9%4.9%9.4%
2/3/2022-3.7%-6.7%-5.1%
10/28/20216.1%8.8%-2.9%
7/29/2021-1.8%-3.6%-2.2%
4/29/2021-4.4%0.8%-1.5%
2/4/2021-1.7%-3.1%-5.4%
SUMMARY STATS   
# Positive111110
# Negative131213
Median Positive2.2%3.8%6.5%
Median Negative-1.8%-3.8%-2.2%
Max Positive6.1%8.8%17.6%
Max Negative-9.8%-13.4%-8.8%

SEC Filings

Expand for More
Report DateFiling DateFiling
09/30/202611/04/202610-Q
06/30/202608/07/202610-Q
03/31/202605/04/202610-Q
12/31/202502/24/202610-K
09/30/202511/05/202510-Q
06/30/202508/05/202510-Q
03/31/202505/02/202510-Q
12/31/202402/25/202510-K
09/30/202411/06/202410-Q
06/30/202408/05/202410-Q
03/31/202405/03/202410-Q
12/31/202302/26/202410-K
09/30/202311/03/202310-Q
06/30/202308/07/202310-Q
03/31/202305/05/202310-Q
12/31/202202/24/202310-K
Collapse to Preview
Report DateFiling DateFiling
09/30/202611/04/202610-Q
06/30/202608/07/202610-Q
03/31/202605/04/202610-Q
12/31/202502/24/202610-K
09/30/202511/05/202510-Q
06/30/202508/05/202510-Q
03/31/202505/02/202510-Q
12/31/202402/25/202510-K
09/30/202411/06/202410-Q
06/30/202408/05/202410-Q
03/31/202405/03/202410-Q
12/31/202302/26/202410-K
09/30/202311/03/202310-Q
06/30/202308/07/202310-Q
03/31/202305/05/202310-Q
12/31/202202/24/202310-K
09/30/202211/03/202210-Q
06/30/202208/05/202210-Q
03/31/202205/05/202210-Q
12/31/202102/25/202210-K
09/30/202111/05/202110-Q
06/30/202108/09/202110-Q
03/31/202105/05/202110-Q
12/31/202002/25/202110-K
09/30/202011/05/202010-Q
06/30/202008/05/202010-Q
03/31/202005/06/202010-Q
12/31/201902/26/202010-K

Recent Forward Guidance

Updated 10/30/2026

Latest: Q3 2026 Earnings Reported 10/29/2026

Forward GuidanceGuidance Change
MetricSourceLowMidHigh% Chg% DeltaChangePrior
2026 Non-GAAP Other (income) expense, netReported 1.40 Bil -200.0% RaisedGuidance: -1.40 Bil for 2026
2026 SalesReported66.80 Bil67.05 Bil67.30 Bil0.4% RaisedGuidance: 66.80 Bil for 2026
2026 Non-GAAP Gross marginReported 81.0%  0.0%AffirmedGuidance: 81.0% for 2026
2026 Non-GAAP Operating expensesReported42.40 Bil42.65 Bil42.90 Bil0.7% RaisedGuidance: 42.35 Bil for 2026
2026 Non-GAAP Effective income tax rateReported32.0%32.5%33.0% -3.0%LoweredGuidance: 35.5% for 2026
2026 Non-GAAP EPSReported2.772.82.823.1% RaisedGuidance: 2.71 for 2026
2026 Share count (assuming dilution)Reported 2.48 Bil    


Prior: Q2 2026 Earnings Reported 8/4/2026

Forward GuidanceGuidance Change
MetricSourceLowMidHigh% Chg% DeltaChangePrior
2026 Non-GAAP Other (income) expense, netReported -1.40 Bil    
2026 RevenueReported66.30 Bil66.80 Bil67.30 Bil0.6% RaisedGuidance: 66.40 Bil for 2026
2026 Non-GAAP Gross MarginReported 81.0%  -1.0%LoweredGuidance: 82.0% for 2026
2026 Non-GAAP Operating ExpensesReported42.00 Bil42.35 Bil42.70 Bil16.3% RaisedGuidance: 36.40 Bil for 2026
2026 Non-GAAP Effective income tax rateReported35.0%35.5%36.0% 11.5%RaisedGuidance: 24.0% for 2026
2026 Non-GAAP EPSReported2.662.712.76-46.9% LoweredGuidance: 5.1 for 2026

Q1 2026 Earnings Reported 4/30/2026

Forward GuidanceGuidance Change
MetricSourceLowMidHigh% Chg% DeltaChangePrior
2026 SalesReported65.80 Bil66.40 Bil67.00 Bil0.2% RaisedGuidance: 66.25 Bil for 2026
2026 Gross ProfitCalculated53.96 Bil54.45 Bil54.94 Bil  Rev x Gross Margin
2026 Non-GAAP Gross marginReported 82.0%  0AffirmedGuidance: 82.0% for 2026
2026 Non-GAAP Operating expensesReported36.00 Bil36.40 Bil36.80 Bil0 AffirmedGuidance: 36.40 Bil for 2026
2026 Operating IncomeCalculated17.16 Bil18.05 Bil18.94 Bil  Rev x Gross Margin - Opex
2026 Operating MarginCalculated26.07%27.18%28.27%  Implied by guided Rev/GM/Opex
2026 Non-GAAP Effective income tax rateReported23.5%24.0%24.5% 0AffirmedGuidance: 24.0% for 2026
2026 Non-GAAP EPSReported5.045.15.160.5% RaisedGuidance: 5.08 for 2026

Q4 2025 Earnings Reported 2/3/2026

Forward GuidanceGuidance Change
MetricSourceLowMidHigh% Chg% DeltaChangePrior
2026 RevenueReported65.50 Bil66.25 Bil67.00 Bil2.3% Higher NewGuidance: 64.75 Bil for 2025
2026 Non-GAAP Gross MarginReported 82.0%    
2026 Non-GAAP Operating ExpensesReported35.90 Bil36.40 Bil36.90 Bil39.2% Higher NewGuidance: 26.15 Bil for 2025
2026 Non-GAAP Effective Tax RateReported23.5%24.0%24.5% 9.5%Higher NewGuidance: 14.5% for 2025
2026 EPSReported55.085.15-43.3% Lower NewGuidance: 8.96 for 2025

Insider Activity

Updated 11/3/2026
Expand for More
#OwnerTitleHoldingActionFiling DatePriceSharesTransacted
Value
Value of
Held Shares
Form
1Deluca, Richard REVP&Pres, Merck Animal HeallthDirectSell8122026131.6311,6991,539,99214,501,792Form
2Deluca, Richard REVP&Pres, Merck Animal HeallthDirectSell8122026131.7612,8371,691,42616,057,293Form
3Deluca, Richard REVP&Pres, Merck Animal HeallthDirectSell8122026130.4320,7842,710,95117,569,928Form
4Deluca, Richard REVP&Pres, Merck Animal HeallthDirectSell8102026130.386,050788,77320,271,727Form
5Guindo, ChirfiEVP, Access, Policy & CommsDirectSell8072026131.0015,0001,965,0006,106,320Form
Collapse to Preview
#OwnerTitleHoldingActionFiling DatePriceSharesTransacted
Value
Value of
Held Shares
Form
1Deluca, Richard REVP&Pres, Merck Animal HeallthDirectSell8122026131.6311,6991,539,99214,501,792Form
2Deluca, Richard REVP&Pres, Merck Animal HeallthDirectSell8122026131.7612,8371,691,42616,057,293Form
3Deluca, Richard REVP&Pres, Merck Animal HeallthDirectSell8122026130.4320,7842,710,95117,569,928Form
4Deluca, Richard REVP&Pres, Merck Animal HeallthDirectSell8102026130.386,050788,77320,271,727Form
5Guindo, ChirfiEVP, Access, Policy & CommsDirectSell8072026131.0015,0001,965,0006,106,320Form
6Maraldo, David REVP & Pres. MMDDirectSell8072026128.7218,7062,407,7972,344,266Form
7Williams, David MichaelEVP,Chief Info&Digital OfficerDirectSell8072026128.7752,8476,805,1454,084,096Form
8Guindo, ChirfiChief Marketing OfficerDirectSell2122026121.4610,0001,214,5627,362,083Form
9Guindo, ChirfiChief Marketing OfficerDirectSell2092026118.4110,0001,184,1018,361,544Form
10Zachary, JenniferEVP, General CounselDirectSell2092026119.15121,57314,485,6908,211,454Form
11Williams, David MichaelEVP,Chief Info&Digital OfficerDirectSell2062026121.915,000609,5253,759,275Form
12Oosthuizen, Johannes JacobusPresident, U.S. MarketDirectSell2062026121.8715,0001,827,9922,583,243Form
13Deluca, Richard REVP&Pres, Merck Animal HeallthDirectSell2062026120.9237,6854,557,02519,368,877Form
14Guindo, ChirfiChief Marketing OfficerDirectSell2062026121.8820,0002,437,6769,825,678Form
15Smart, Dalton E IiiSVP Fin. - Global ControllerDirectSell2062026119.676,400765,920981,911Form
16Litchfield, CarolineEVP & CFODirectSell2062026119.6141,9975,023,31210,787,997Form
17Li, Dean YExecutive VP & President, MRLDirectSell2062026118.7715,0871,791,82412,146,215Form
18Davis, Robert MChairman, CEO & PresidentDirectSell2062026118.0447,4345,599,32752,364,789Form
19Downing, Cristal NChief Comm. & Public Afrs OfcrDirectSell1112202587.007,085  Form
20Williams, David MichaelEVP,Chief Info&Digital OfficerDirectSell1104202583.598,614720,0402,054,465Form

Investor Activity (13F)

Updated Nov 5, 2026
13F holdings as of Mar 31, 2026 (Q1 2026)

Active managers (13F portfolio over $250M, at least 3 holdings) with a position over $5M that is either over 10% of their portfolio or held in a concentrated book of 50 or fewer total positions. Index/ETF, sovereign, bank, community-bank and charitable/donor-advised filers are excluded.

Active ManagerValue% of PortfolioTotal PositionsQoQFiling
Atle Fund Management AB$22.9 Mil7.4%39TRIM -82.7%13F
Sector Gamma AS$31.3 Mil7.4%42TRIM -28.4%13F
Smead Capital Management, Inc.$297.3 Mil6.5%32TRIM -12.9%13F
Kahn Brothers Group Inc$27.3 Mil4.8%48TRIM -47.2%13F
SRB Corp$55.7 Mil3.4%44Hold13F
Eldred Rock Partners, LLC$13.1 Mil3.3%31Hold13F
Patient Square Capital LP$9.6 Mil1.7%29New13F
Martin Investment Management, LLC$5.7 Mil1.7%46Hold13F
Central Securities Corp$18.0 Mil1.5%30Hold13F
Artia Global Partners LP$5.6 Mil1.3%48New13F
Fairfax Financial Holdings LTD/ Can$20.8 Mil1.1%29Hold13F
Blackhill Capital Inc$20.3 Mil1.0%49Hold13F
Semper Augustus Investments Group LLC$5.4 Mil0.6%44Hold13F
Active ManagerValue% of PortfolioTotal PositionsQoQFiling
Patient Square Capital LP$9.6 Mil1.7%29New13F
Artia Global Partners LP$5.6 Mil1.3%48New13F
Active ManagerValue% of PortfolioTotal PositionsQoQAs OfFiling
FengHe Fund Management Pte. Ltd.$44.3 Mil2.5%38ExitedDec 31, 202513F
Atle Fund Management AB$22.9 Mil7.4%39TRIM -82.7%Mar 31, 202613F
Kahn Brothers Group Inc$27.3 Mil4.8%48TRIM -47.2%Mar 31, 202613F
Sector Gamma AS$31.3 Mil7.4%42TRIM -28.4%Mar 31, 202613F
Smead Capital Management, Inc.$297.3 Mil6.5%32TRIM -12.9%Mar 31, 202613F
Active ManagerValue% of PortfolioTotal PositionsQoQFiling
Smead Capital Management, Inc.$297.3 Mil6.5%32TRIM -12.9%13F
SRB Corp$55.7 Mil3.4%44Hold13F
Sector Gamma AS$31.3 Mil7.4%42TRIM -28.4%13F
Kahn Brothers Group Inc$27.3 Mil4.8%48TRIM -47.2%13F
Atle Fund Management AB$22.9 Mil7.4%39TRIM -82.7%13F
Fairfax Financial Holdings LTD/ Can$20.8 Mil1.1%29Hold13F
Blackhill Capital Inc$20.3 Mil1.0%49Hold13F
Central Securities Corp$18.0 Mil1.5%30Hold13F
Eldred Rock Partners, LLC$13.1 Mil3.3%31Hold13F
Patient Square Capital LP$9.6 Mil1.7%29New13F
Martin Investment Management, LLC$5.7 Mil1.7%46Hold13F
Artia Global Partners LP$5.6 Mil1.3%48New13F
Semper Augustus Investments Group LLC$5.4 Mil0.6%44Hold13F

MRK Trade Sentinel


Stock Conviction

Constructive

CONVICTION RATIONALE

Conviction is constructive as Merck is successfully executing a massive portfolio pivot. The company recently raised its 2026 EPS guidance by 3.1% and is delivering critical pipeline wins, such as positive Phase 3 data for sac-TMT. New launches like Winrevair are accelerating, with 94% growth. This progress justifies the significant near-term margin pressure from strategic acquisitions needed to build the post-Keytruda business.

STOCK ARCHETYPE
Patent-Protected Franchise

(Volume of drugs sold) x (Net realized price per drug), driven by new product launches, indication expansions for existing drugs, and market access/reimbursement. Gross margin generated from high-value, patent-protected drugs, particularly the blockbuster oncology therapy Keytruda.

Looking for high-conviction positions with a better risk/reward profile? See what's currently in the Trefis High Quality Portfolio.
INVESTMENT THESIS
Can Pipeline Execution De-Risk the Post-Keytruda Future?

Early evidence suggests yes, as clinical successes and strong new launches are validating the strategy.

Mechanism: Successful commercialization of a pipeline with a stated $70 billion opportunity is set to replace Keytruda's revenue, making the current 9.2% operating margin a temporary investment phase.
Supporting Evidence:
  • New drug Winrevair saw sales accelerate 94% year-over-year to $694 million in Q3 2026.
  • Management identified a pipeline opportunity of over $70 billion by the mid-2030s.
  • Full-year 2026 non-GAAP EPS guidance was raised by 3.1% at the new midpoint.
  • Pipeline asset sac-TMT reduced risk of death by 32% in a recent Phase 3 trial.
  • The company is on track to complete its stated $3 billion in share repurchases for the year.
PRIMARY RISK
The Keytruda Revenue Cliff

The pipeline may fail to replace the massive revenue from Keytruda, which was 49% of 2025 sales, before its expected 2028-2029 loss of exclusivity, causing a structural decline in earnings.

Mechanism: A major late-stage clinical trial failure for a key pipeline asset would confirm the replacement strategy is failing.
Supporting Evidence:
  • Keytruda is expected to face biosimilar competition between 2028 and 2029.
  • Trailing-twelve-month operating margin has fallen to 9.2% from 34.9% a year ago.
  • Management guided for 'modest revenue growth' in 2027, suggesting a slow near-term ramp.
  • Keytruda sales growth is moderating, increasing 6% in Q3 2026, a slowdown from Q1 2026.
  • There is a 'high rate of failure inherent in the research and development process'.
Key KPI Watchlist
KPI Status Rationale
Keytruda/Keytruda Qlex Sales GrowthSales of $8.6 billion in Q3 2026, representing a 6% year-over-year increase. - StableYear-over-year growth is moderating in the mid-single digits, consistent with management commentary about approaching peak revenue in some indications. The latest quarter's 6% growth represents a slight re-acceleration from 4% in the prior quarter but remains below the 8% rate from two quarters ago.
Winrevair Sales GrowthSales of $694 million in Q3 2026, representing a 94% year-over-year increase. - AcceleratingAs a key new launch, Winrevair is demonstrating strong, accelerating growth both year-over-year and sequentially. The YoY growth rate increased from 75% in Q2 to 94% in Q3, driven by strong patient demand and new patient starts.
Trailing-Twelve-Month Revenue Growth4.9% year-over-year (TTM ended 9/30/2026)Overall top-line growth rate of the company over the past year.
Latest-Quarter Revenue Growth4.7% year-over-year (Q3 2026 (ended 9/30/2026))The most recent quarterly revenue growth momentum, indicating current business trajectory.
Trailing-Twelve-Month Operating Margin9.2% (TTM ended 9/30/2026)Core profitability after all operating expenses. The significant drop from 34.9% a year prior reflects a massive increase in operating expenses, including charges for acquisitions.
Core Investment Debate

Pipeline Promise vs. Margin Collapse

BULL VIEW

The 9.2% operating margin is a temporary, strategic investment to acquire a pipeline with a $70 billion opportunity. New launches are already accelerating, proving the strategy is working.

CORE TENSION

Can the accelerating ramp of new products like Winrevair (94% growth) and pipeline wins justify the collapse in operating margin to 9.2% from 34.9% a year prior?


PREVAILING SENTIMENT
CAUTIOUSLY BULLISH

The latest evidence favors the bull case. The market rewarded raised 2026 guidance and positive clinical data with a strong positive reaction to the most recent earnings report.

BEAR VIEW

The margin collapse reflects overpaying for assets in a desperate attempt to fill the Keytruda gap. The new portfolio will not ramp fast enough to prevent a major revenue decline post-2028.

Next 6 months: Risks and Catalysts
Timeline Event & Metric To Watch
second half of 2026
Keytruda Combo PDUFA Decision
Watch: FDA announcement regarding the supplemental Biologics License Applications (sBLAs) for this combination therapy.
January 1, 2027
German Pricing Law Effective
Watch: A German healthcare reform law (GKV-BStabG) with significant cost-containment measures impacting the pharmaceutical industry takes effect.
1/26/2027 - 2/3/2027
Peer Earnings Sector Read-Through
Watch: Peer commentary on US pricing environment, IRA impact, vaccine market trends, and demand in key therapeutic areas.
2/1/2027
PFE Earnings Report
Watch: Peer Pfizer (PFE) scheduled to report earnings.
2/2/2027
Earnings Headwind From Purchase Timing
Watch: Q4 revenue results versus consensus and management commentary on the unwind's actual impact versus this expectation.
2/2/2027
German Pricing Pressure Materializes
Watch: Initial 2027 guidance, specifically commentary on European growth expectations and the quantified impact of German policy.
2/3/2027
BMY Earnings Report
Watch: Peer Bristol Myers Squibb (BMY) scheduled to report earnings.
June 29, 2027
Lagevrio EUA Termination
Watch: The declaration supporting Emergency Use Authorizations (EUAs) for COVID-19 products, including Lagevrio, is scheduled to terminate.
the first half of 2027
Sac-TMT Combo Phase Three
Watch: Initiation of Phase 3 studies for sacituzumab tirumotecan (sac-TMT) in combination with MK-2020 (PD-1/VEGF bispecific) in first-line non-small cell lung cancer.
Key Events in Last 6 Months
Date Event Stock Impact
2026-10-29
Reports Q3 Results and Raises Guidance
Details: On October 29, 2026, Merck reported Q3 results, raising full-year 2026 guidance for sales by 0.4% and non-GAAP EPS by 3.1%. The stock reacted positively, rising 6.0% over two days.
+6.1%
$140.93 -> $149.52
2026-10-26
Positive Sac-TMT Endometrial Cancer Data
Details: On October 26, 2026, the company announced that Sacituzumab Tirumotecan (Sac-TMT) reduced the risk of death by 32% in the Phase 3 TroFuse-005 trial for advanced or recurrent endometrial cancer.
-2.4%
$145.27 -> $141.82
2026-09-25
I-DXd Lung Cancer BLA Withdrawn
Details: On September 25, 2026, Merck and partner Daiichi Sankyo announced the voluntary withdrawal of the Biologics License Application for ifinatamab deruxtecan (I-DXd) for extensive-stage small cell lung cancer.
+0.5%
$147.98 -> $148.69
2026-08-06
Enflonsia sBLA Accepted by FDA
Details: On August 6, 2026, the company announced the FDA accepted a supplemental Biologics License Application for Enflonsia to expand its RSV indication for a second season in high-risk children.
+0.2%
$127.58 -> $127.83
2026-07-10
FDA Approves Keytruda Bladder Cancer Combo
Details: On July 10, 2026, the FDA approved Keytruda and Keytruda Qlex, each in combination with Padcev, as a treatment for adults with muscle-invasive bladder cancer.
-0.8%
$124.34 -> $123.30
2026-06-22
Positive Tulisokibart Phase Three Data
Details: On June 22, 2026, Merck announced positive topline results from the Phase 3 ATLAS-UC induction-only study for tulisokibart in patients with moderately to severely active ulcerative colitis.
+5.0%
$113.20 -> $118.90
2026-05-22
Stock Jumps On Oncology News
Details: Shares rose 5% on May 22, 2026, after the company reported positive developments across multiple oncology programs, reinforcing confidence in its efforts to extend the dominance of Keytruda.
+3.3%
$114.38 -> $118.17
Risk Management
Position Sizing

4% - 6%

NORMAL POSITION

Sizing is volatility-based: MRK trades at roughly 35% annualized realized (three-month) volatility versus about 10% for the S&P 500 (3.6x the market). A 4% - 6% position keeps a single-name swing of that size within a diversified portfolio's risk budget.

Diversification Alternatives
LLY - Eli Lilly
High-Growth Innovator

Eli Lilly offers exposure to the highest-growth segments of the pharmaceutical market, with 45.5% TTM revenue growth and a 51.3% operating margin, far outpacing Merck's current performance.

Core Thesis: Investing in a portfolio of recently launched, high-demand products that are driving best-in-class growth and profitability.
ABBV - AbbVie
High-Margin Operator

AbbVie demonstrates superior operational efficiency, posting a 36% TTM operating margin on a similar revenue base to Merck's. This provides a more stable, high-profitability profile.

Core Thesis: Investing in a mature, scaled pharmaceutical company that generates consistently high margins and cash flow.
How Is The Market Pricing MRK?

A pharmaceutical giant in a high-stakes race to build a new, diversified portfolio of blockbuster drugs before its primary profit engine, Keytruda, loses patent protection.

Merck's investment thesis hinges on the successful execution of its massive pipeline to offset the eventual, significant revenue loss from its top-selling cancer drug, Keytruda, which faces biosimilar competition post-2028. The company is aggressively investing in R&D and acquisitions, leading to near-term margin pressure, to bring forward over 20 new products. Recent positive clinical data and strong launches for new drugs like Winrevair are providing early validation of this strategy, but the scale of the challenge remains immense.

What will confirm the thesis

Positive Phase 3 data for key pipeline assets like sac-TMT, tulisokibart, and a recently discussed product; strong commercial uptake of new launches like Winrevair, Ohtuvayre, and LIPFENDRA; and successful label expansions for Keytruda.

What will damage the thesis

Clinical trial failures for late-stage pipeline assets, slower-than-expected commercial launches, greater-than-expected pricing pressure from the IRA, or adverse patent litigation outcomes.

Noise: Real but irrelevant to thesis

Minor quarterly sales fluctuations for mature products, early-stage pipeline announcements without data, or market rumors about M&A.

Repricing Catalyst

A series of anticipated clinical and regulatory milestones over the next 12 months, including Phase 3 data for tulisokibart (immunology), a recently discussed product (ophthalmology), islatravir (HIV), and potential approval for sac-TMT in endometrial cancer.

What MRK Makes & Who Pays
TTM figures based on the twelve months through fiscal Q2 2026
Pharmaceutical
$59.6B TTM (89% of Total)
What It Is

This segment sells human health pharmaceutical and vaccine products, including therapeutic and preventive agents for human disorders. Key products include oncology drug Keytruda, HPV vaccine Gardasil, and diabetes drugs Januvia/Janumet. These are sold to drug wholesalers, retailers, hospitals, government agencies, and managed health care providers.

Who Pays & How

Wholesalers, retailers, hospitals, and government/managed care entities write the checks to acquire innovative medicines and vaccines that address unmet medical needs and improve patient outcomes.

Unit sales of prescription medicines and vaccines, with prices subject to negotiation with large purchasers like government agencies and managed care organizations.
Competition
Other worldwide research-based pharmaceutical companies such as Pfizer, Johnson & Johnson, Eli Lilly, AbbVie, and Bristol Myers Squibb, as well as generic drug manufacturers.
Competitors may introduce new products that are safer, more effective, or more effectively marketed. Generic and biosimilar competition offers lower-priced alternatives upon loss of market exclusivity.
The company's moat is its portfolio of patent-protected products, which provide market exclusivity, and a strong research and development program aimed at creating new innovative medicines.
Animal Health
$6.7B TTM (10% of Total)
What It Is

This segment sells a wide range of veterinary pharmaceutical and vaccine products, as well as health management and monitoring solutions for livestock (cattle, swine, poultry) and companion animals. Products are sold to veterinarians, distributors, animal producers, farmers, and pet owners.

Who Pays & How

Veterinarians, distributors, and animal producers pay for products that prevent, treat, and control diseases in livestock and companion animals, ensuring animal health and production efficiency.

Unit sales of veterinary pharmaceuticals, vaccines, and other health products.
Competition
Other animal health care companies.
Competitors may offer products with better quality, price, or technological advances. The segment also faces competition from generic products.
The company's moat is based on product innovation, scientific and technological advances, and the quality of its products.
MRK Evolution: Price Return by Era
c. 2021-2025 · The Rise of Keytruda
+60%
The company's growth became increasingly dominated by its anti-PD-1 therapy, Keytruda. This period was characterized by expanding Keytruda into numerous cancer types and indications.
c. 2025-Present · The Great Diversification
+54%
Facing the eventual loss of exclusivity for Keytruda, Merck initiated a major strategic pivot to diversify its portfolio. This era is defined by heavy investment in R&D and business development, resulting in a pipeline of over 20 new potential blockbuster products and a series of new launches across oncology, cardiometabolic, respiratory, and vaccines.
Market Is In Wait-and-See Mode
Price structure is strongly bullish. The regime, trend, and proximity to highs all point towards intact institutional trend. Relative to SPY: Strong 63D outperformance but 'relative strength' momentum is fading, indicating that money rotation may be maturing. Volume and momentum are deeply bearish. The sustained distribution is evident across multiple volume metrics. Earnings history is neutral. The market reaction and subsequent drift do not give a clear directional signal. NOTE: Volume character and price structure are diverging. The structural trend is not confirmed by institutional flow. This divergence typically resolves in the direction of volume, not price.
① Structure
+4
Structural pillar score (-4 to +4). Driven by trend regime, SMA cross events, proximity to 52W high, and relative strength vs SPY.
② Volume / Momentum
-3
Volume/Momentum pillar score (-4 to +4). Driven by institutional footprint score, OBV divergence, and momentum character.
③ Catalyst
0
Catalyst pillar score (-4 to +4). Driven by earnings day reaction, 20D post-earnings drift, and post-earnings volume character.
Combined Score
1 / 12
1 Price Structure & Trend Trending Up · - ▾
2 Momentum Decelerating ▾
3 Relative Strength vs. SPY Strong Outperformance ▾
4 Institutional Footprint & Volume Mild Distribution ▾
5 Volatility Normal ▾
6 Key Price Levels Range · Vol Flat ▾
7 Earnings Reaction History Diminishing Reward ▾
8 How the Verdict Is Derived Three Pillars ▾
Core Cache Last Updated: 11/4/2026