
Vaseretic (enalapril/hydrochlorothiazide) is distributed by Bausch Health US, LLC, a subsidiary of Bausch Health Companies (NYSE/TSX: BHC). The medication was originally developed and marketed by Merck and Co. The product rights transferred to Bausch Health through the Biovail-Valeant acquisition chain. Bausch Health is headquartered in Laval, Quebec, Canada.
Parent Company
Acquired
2010
Status
Publicly Traded
Headquarters
| Brand | Parent Company | Ownership Type |
|---|---|---|
| Vaseretic | Bausch Health Companies Inc. | Wholly owned |
Vaseretic was developed by Merck and Co. in the 1980s as a combination therapy for hypertension. The product combines two active ingredients: enalapril, an angiotensin-converting enzyme (ACE) inhibitor that Merck marketed under the brand name Vasotec, and hydrochlorothiazide (HCTZ), a thiazide diuretic. The rationale for the combination was to provide patients whose blood pressure was not adequately controlled by a single agent with a convenient single-pill regimen.
The U.S. Food and Drug Administration approved Vaseretic in 1987. At the time, Merck was a dominant force in cardiovascular medicine. Vasotec (enalapril), launched in 1985, was one of Merck's top-selling products. The combination product allowed Merck to extend the commercial life of enalapril and capture patients who needed dual therapy.
Vaseretic was available in multiple dosage strengths, typically combining 10 mg or 20 mg of enalapril with 12.5 mg or 25 mg of hydrochlorothiazide. The product was marketed to primary care physicians and cardiologists as a convenient treatment for moderate to severe hypertension.
Merck's patent on enalapril expired in 2000, opening the door to generic competition. Generic versions of enalapril/HCTZ became available, eroding the branded product's market share. As Vaseretic became a mature product with declining revenue, it became less strategically important to Merck, which was focusing on newer products like Zocor, Fosamax, and later Januvia and Keytruda.
The product rights for Vaseretic transferred to Biovail Corporation, a Canadian specialty pharmaceutical company that acquired rights to older branded products. Valeant Pharmaceuticals acquired Biovail in 2010 in a deal valued at approximately $3.2 billion. The merged entity adopted the Valeant name and pursued a strategy of acquiring established pharmaceutical products and raising prices.
Valeant's business model, which relied heavily on acquiring older drugs and implementing significant price increases, came under intense scrutiny in 2015. The company faced congressional investigations, regulatory probes, and a collapse in its stock price. Valeant rebranded as Bausch Health Companies in 2018 as part of a turnaround effort under new CEO Joseph Papa. The company has since worked to rebuild its reputation and reduce debt.
As of 2026, Vaseretic remains listed in FDA databases as a product distributed by Bausch Health US, LLC. The brand-name product has limited commercial significance compared to generic equivalents, which are widely available from multiple manufacturers. Bausch Health continues to distribute the product, though it does not actively promote Vaseretic with marketing campaigns or sales force efforts.
Who owns Bausch Health?
Bausch Health Companies Inc. is a publicly traded company listed on the NYSE and TSX under ticker BHC, with 370,562,428 shares outstanding as of February 13, 2026. The company has a dispersed shareholder base with institutional investors holding the majority of shares and no single controlling shareholder. The aggregate market value of common shares held by non-affiliates was approximately $2 billion as of June 30, 2025.
What is Bausch Health's annual revenue?
Bausch Health reported consolidated revenue of $10.27 billion for fiscal year 2025, an increase of 7% on a reported basis and 5% on an organic basis compared to FY2024. GAAP net income attributable to Bausch Health was $157 million, and Consolidated Adjusted EBITDA was $3.54 billion, up 7%. For Q2 2026, consolidated revenue was $2.85 billion, up 13%, and the company raised its full-year 2026 guidance.
What brands does Bausch Health own?
Bausch Health owns Salix Pharmaceuticals (gastroenterology, including Xifaxan and Trulance), Solta Medical (aesthetic devices including Thermage and Fraxel), Ortho Dermatologics (dermatology pharmaceuticals), and DURERT Corporation (hepatology, acquired 2025). The company also holds approximately 88% ownership of Bausch + Lomb Corporation (NYSE: BLCO), a leading eye health brand for contact lenses, intraocular lenses, and ophthalmic surgical equipment.
Is Bausch Health the same as Valeant?
Yes, Bausch Health was formerly known as Valeant Pharmaceuticals International. The company changed its name to Bausch Health Companies Inc. in 2018 to distance itself from the controversies of the Valeant era, including the Philidor Rx Services scandal, drug pricing investigations, and accounting restatements that caused the stock price to collapse from approximately $263 to under $20 per share between 2015 and 2016.
What is Xifaxan and why is it important to Bausch Health?
Xifaxan (rifaxmin) is a gastroenterology drug used to treat irritable bowel syndrome with diarrhea and hepatic encephalopathy. It is Bausch Health's largest product and the primary revenue driver in the Salix segment, with 26% revenue growth in Q2 2026. Patent litigation has blocked generic competition until at least 2029, with an appeals court affirming the FDA's block of Norwich Pharmaceuticals' generic in June 2026. However, Xifaxan has been selected for CMS drug price negotiation under the Inflation Reduction Act, with initial price applicability in 2027.
What is the Bausch + Lomb separation?
Bausch Health announced in August 2020 its plan to separate its eye health business (Bausch + Lomb) into an independent publicly traded entity. Bausch + Lomb completed its IPO in May 2022 (NYSE: BLCO), with Bausch Health retaining approximately 88% ownership. The full separation, which may include monetizing Bausch Health's ownership interest or transferring equity to shareholders, remains subject to achieving targeted debt leverage ratios and receiving necessary approvals. No definitive timeline has been provided as of 2026.
How much debt does Bausch Health have?
Bausch Health carries a substantial debt load from its Valeant-era acquisition strategy. In 2025, the company completed $9.6 billion in total debt refinancing, including a $1.7 billion debt exchange offer in Q4 2025, extending near- and medium-term maturities. The debt burden has been a primary constraint on financial flexibility and has delayed the full separation of Bausch + Lomb. The company generated $1.2 billion in Adjusted Cash Flow from Operations in FY2025.
Who is the CEO of Bausch Health?
Thomas J. Appio serves as Chief Executive Officer of Bausch Health Companies Inc. Under his leadership, the company has delivered thirteen consecutive quarters of year-over-year growth in both Revenue and Adjusted EBITDA for Bausch Health excluding Bausch + Lomb, as of Q2 2026. Appio has focused on commercial and operational excellence, strategic acquisitions, and proactive debt management.
Valeant Price Increase Controversy (2015): While Vaseretic was not specifically named in the Valeant pricing scandal, the product was part of Valeant's portfolio during the period when the company implemented aggressive price increases across its drug portfolio. Valeant's pricing practices, which included acquiring older drugs and raising prices by 50% to 300%, became the subject of congressional investigations in 2015 and 2016. The company was subpoenaed by the U.S. Securities and Exchange Commission and faced criminal investigations. Valeant's stock price collapsed from approximately $263 per share in August 2015 to under $20 by 2016. The company settled with shareholders in 2019 for approximately $1.2 billion.
Generic Competition and Pricing: Vaseretic faces extensive generic competition. Generic enalapril/HCTZ is available from multiple manufacturers including Teva, Lupin, Aurobindo, and others. The generic versions are typically priced at a fraction of the brand-name product. Some insurers and pharmacy benefit managers have moved Vaseretic to non-formulary status, requiring patients to pay higher out-of-pocket costs if they want the brand-name version rather than the generic.
Vioxx Legacy and Merck Reputation: Vaseretic was a Merck product during the period when Merck withdrew Vioxx (rofecoxib) from the market in 2004 due to increased cardiovascular risks. While Vaseretic was not involved in the Vioxx controversy, the scandal affected Merck's overall reputation and contributed to the company's decision to divest older products. Merck settled approximately 50,000 Vioxx claims for $4.85 billion.
No Current Product Recalls: As of August 2026, there are no active recalls for Vaseretic listed in the FDA recall database. The product has maintained a consistent safety profile over its 35-plus year history.
These competing brands operate in the same categories and provide similar products or services. Compare key attributes to understand market positioning and competitive landscape.
| Brand | Parent Company | Country | Founded | Market Position | Primary Market | Gender Target |
|---|---|---|---|---|---|---|
| Pfizer | USA | 1987 | Mass market | Global | All-ages | |
| Merck | USA | 1995 | Legacy | United states | All Genders | |
| Pfizer | USA | 2004 | Mass market | United states | All Genders | |
| Novartis | Switzerland | 2015 | Mass market | Global | All Genders | |
| Viatris | USA | 1996 | Premium | Global | All-ages | |
| Sanofi | France | 1997 | Mass market | Global | All Genders |
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Prescription calcium channel blocker medication for treating high blood pressure and angina, manufactured and marketed by Pfizer.
Healthcare PharmaceuticalsOwned by Merck & Co.
Prescription blood pressure medication, the first angiotensin II receptor blocker, approved by the FDA in 1995.
Healthcare PharmaceuticalsOwned by Pfizer Inc.
Prescription combination drug containing amlodipine and atorvastatin, co-promoted by Pfizer and developed for simultaneous blood pressure and cholesterol management.
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Prescription cardiovascular medication combining sacubitril and valsartan for treating heart failure, developed and marketed by Novartis. Faced generic competition after July 2025 patent expiry following $7.7 billion in 2025 sales.
Healthcare PharmaceuticalsOwned by Viatris Inc.
Brand name for atorvastatin, the world's best-selling prescription drug from 1996 to 2012, generating over $125 billion in cumulative sales. Originally developed by Parke-Davis and acquired by Pfizer in 2000. Now owned by Viatris Inc. (NASDAQ: VTRS) since November 2020. FY2025 net sales of $1.55 billion.
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Market Positioning: Vaseretic competes with 6 brands in the same categories, ranging from mass market to luxury positioning.
Geographic Distribution: Competitors are headquartered across multiple regions, indicating global competition in this market segment.
Brand Heritage: Competitor brands range from established heritage brands to newer market entrants, with founding years spanning several decades.
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Healthcare PharmaceuticalsOwned by Chempro Chemists
Australian online pharmacy operated by Chempro Chemists from Molendinar, Queensland. Offers prescription medications, health products, and wellness items through digital platforms and mail-order delivery.
Pharmacy Direct is privately owned, unlike Vaseretic which is under a publicly traded parent company.
Healthcare PharmaceuticalsOwned by EKR Therapeutics, Inc.
Retavase (reteplase) is a prescription thrombolytic medication indicated for acute ST-elevation myocardial infarction. Administered as two 10-unit intravenous bolus injections 30 minutes apart. Currently marketed by Chiesi USA.
Retavase is privately owned, unlike Vaseretic which is under a publicly traded parent company.
Healthcare PharmaceuticalsOwned by IBSA Institut Biochimique S.A.
IBSA Institut Biochimique SA's branded levothyroxine softgel capsule (Tirosint) and liquid solution (Tirosint-SOL), FDA approved for hypothyroidism, formulated without dyes, gluten, lactose, alcohol, or sugar, providing an excipient-free alternative to conventional levothyroxine tablets for patients with sensitivities or absorption issues.
Tirosint is privately owned, unlike Vaseretic which is under a publicly traded parent company.
Healthcare PharmaceuticalsOwned by Alcon Inc.
Independent publicly traded global eye care company headquartered in Geneva, Switzerland, specializing in surgical equipment, contact lenses, and ophthalmic products. Spun off from Novartis in April 2019.
Alcon operates independently without a large parent corporation.
Healthcare PharmaceuticalsOwned by Bausch + Lomb Corporation
Global eye health company and contact lens manufacturer founded in 1853, known for ULTRA, Biotrue One Day, and INFUSE lens lines. Public on NYSE and TSX under BLCO.
Bausch + Lomb operates independently without a large parent corporation.
Healthcare PharmaceuticalsOwned by GE HealthCare Technologies Inc.
Independent publicly traded healthcare technology company spun off from General Electric in January 2023, providing medical imaging, diagnostics, and healthcare IT solutions globally.
GE HealthCare operates independently without a large parent corporation.
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