The Merck name traces to 1668, when Friedrich Jacob Merck purchased an apothecary in Darmstadt, Germany. The business grew over subsequent generations into a pharmaceutical manufacturer. In 1891, George Merck, a descendant of the founding family, established a U.S. subsidiary in New York to import and distribute Merck products in the American market.
When the United States entered World War I in 1917, the U.S. government seized German-owned assets in America, including the Merck U.S. subsidiary. The American business was sold to George W. Merck, the founder's grandson, who incorporated it as an independent American company. The German parent, Merck KGaA, and the American Merck & Co. have operated as entirely separate companies since that separation.
Merck & Co. grew substantially through the mid-20th century, developing streptomycin (the first antibiotic effective against tuberculosis) in collaboration with Rutgers University in the 1940s, and later producing cortisone, vitamin B12, and other landmark medicines. The company became one of the most respected pharmaceutical manufacturers in the United States, known for its research-driven culture.
In 1953, Merck merged with Sharp & Dohme, a Philadelphia-based pharmaceutical company, creating a significantly larger entity and the basis for the MSD name used internationally. The combined company expanded its global operations and research capabilities throughout the 1950s and 1960s.
Merck's vaccine development capabilities became a major competitive strength in the latter half of the 20th century. The company developed the measles, mumps, and rubella (MMR) vaccine, the hepatitis B vaccine, and the varicella (chickenpox) vaccine, among others. Maurice Hilleman, a Merck virologist, is credited with developing more than 40 vaccines during his career at the company, more than any other scientist in history.
In 1999, Merck launched Vioxx (rofecoxib), a pain reliever that became one of the best-selling drugs in the world. In 2004, Merck voluntarily withdrew Vioxx from the market after a clinical trial showed it doubled the risk of heart attack and stroke in long-term users. The withdrawal triggered thousands of lawsuits and resulted in Merck paying approximately $4.85 billion in settlements in 2007. The Vioxx episode significantly damaged Merck's reputation and financial position and prompted a major reassessment of the company's research and commercialization practices.
Merck acquired Schering-Plough in 2009 for approximately $41 billion, significantly expanding its pharmaceutical portfolio and international presence. The acquisition brought brands including Nasonex, Remicade (shared with Johnson & Johnson), and Singulair into Merck's portfolio.
Keytruda, approved by the FDA in 2014 initially for melanoma, transformed Merck's financial trajectory. The drug's mechanism of blocking the PD-1 pathway to allow the immune system to attack cancer cells proved effective across a wide range of tumor types, and its approved indications expanded rapidly. By 2023, Keytruda had surpassed Humira (AbbVie) to become the world's best-selling prescription medicine, a position it maintained in 2024.
In 2021, Merck acquired Acceleron Pharma for approximately $11.5 billion, gaining Sotatercept, which was subsequently approved as Winrevair for pulmonary arterial hypertension in 2024. Winrevair generated $149 million in its first quarter of commercial availability in Q3 2024 and is expected to become a significant revenue contributor.
Robert M. Davis became Chairman and CEO in 2021, succeeding Kenneth Frazier. Davis has led the company's strategy of building a post-Keytruda pipeline through acquisitions and internal research, with the 2028 Keytruda patent expiration representing the primary strategic challenge for the company.