| 1 | Johnson & Johnson | USA | New Brunswick | 1 Johnson and Johnson Plz | Middlesex | 08933 | jnj.***** | 1886 | $88,821,000,000 | 138,100 | N/A | N/A | 5106301000 |
| 2 | Merck & CO., INC. | USA | Rahway | 126 E Lincoln Ave | Union | 07065 | merck.***** | 1891 | $64,168,000,000 | 75,000 | N/A | N/A | 07954610000 |
| 3 | Pfizer INC. | USA | New York City | 66 Hudson Blvd E Fl 20 | New York | 10001 | pfizer.***** | 1942 | $63,627,000,000 | 81,000 | N/A | N/A | 383418 |
| 4 | Abbvie INC. | USA | North Chicago | 1 N Waukegan Rd | Lake | 60064 | abbvie.***** | 2012 | $56,334,000,000 | 55,000 | N/A | N/A | 5126809 |
| 5 | Bayer AG | Germany | Leverkusen | Kaiser-wilhelm-allee 1 | Leverkusen, Stadt | 51373 | bayerhealthcare.***** | 1863 | $49,286,217,848 | 97,363 | N/A | N/A | 50670B48248 |
| 6 | Bristol-Myers Squibb Company | USA | Princeton | Route 206 & Province Line Rd | Mercer | 08540 | bms.***** | 1887 | $48,300,000,000 | 34,100 | N/A | N/A | 133127947 |
| 7 | Ahp Manufacturing B.V. | Netherlands | Capelle Aan den Ijssel | Rivium Westlaan 142 | Zuid-holland | 2909 LD | pfizer.***** | 2012 | $46,853,084,000 | 4,017 | N/A | N/A | 34080067 |
| 8 | Eli Lilly And Company | USA | Indianapolis | 1 Lilly Corporate Ctr | Marion | 46285 | lilly.***** | 1876 | $45,042,700,000 | 47,000 | N/A | N/A | 183025-143 |
| 9 | Abbott Laboratories | USA | Abbott Park | 100 Abbott Park Rd | Il | 60064 | abbott.***** | 1888 | $41,950,000,000 | 114,000 | N/A | N/A | 08142220 |
| 10 | Shanghai Pharmaceutical (group) Co.,ltd. | China | Shanghai | No.92, Zhangjiang Road, China Pilot Free Trade Zone | Shanghai | 200000 | N/A | 1997 | $38,013,906,642 | 66 | N/A | N/A | 310000000052016 |
| 11 | Shanghai Pharmaceuticals Holding Co.,ltd. | China | Shanghai | 200 Taicang Road, Shanghai Pharmaceutical Building | Shanghai | 200020 | N/A | 1994 | $37,989,308,296 | 50,120 | N/A | N/A | 310000000026221 |
| 12 | Gilead Sciences, INC. | USA | Foster City | 333 Lakeside Dr | San Mateo | 94404 | gilead.***** | 1987 | $28,754,000,000 | 17,600 | N/A | N/A | 2129876 |
| 13 | Sanofi Winthrop Industrie | France | Gentilly | 82 Avenue Raspail | Val-de-marne | 94250 | sanofi-aventis.***** | 1973 | $25,511,322,992 | 8,123 | N/A | N/A | 77566225700150 |
| 14 | Janssen Pharmaceutica | Belgium | Beerse | Turnhoutseweg 30 | Antwerpen | 2340 | janssenpharmaceutica.***** | 2014 | $23,886,220,063 | 5,269 | N/A | N/A | BE0403834160 |
| 15 | Merck KG Auf Aktien | Germany | Darmstadt | Frankfurter Str. 250 | Darmstadt, Wissenschaftsstadt | 64293 | merck.***** | 1668 | $22,372,639,248 | 62,329 | N/A | N/A | 64283B6164 |
| 16 | Viatris INC. | USA | Canonsburg | 1000 Mylan Blvd | Washington | 15317 | viatris.***** | 2024 | $14,739,300,000 | 32,000 | N/A | N/A | 7281786 |
| 17 | Alliance Healthcare Deutschland GMBH | Germany | Frankfurt am Main | Franklinstr. 46-48 | Frankfurt am Main, Stadt | 60486 | alliance-healthcare.***** | 2023 | $12,017,901,138 | 4,173 | N/A | N/A | 60313B119985 |
| 18 | Vertex Pharmaceuticals Incorporated | USA | Boston | 50 Northern Ave | Suffolk | 02210 | vrtx.***** | 1989 | $11,020,100,000 | 6,100 | N/A | N/A | 043039129 |
| 19 | Guangzhou Pharmaceutical Holdings LIMITED | China | Guangzhou | Floor No.5, No.45, Shamian N. Street, Liwan District | Guangdong | 510000 | N/A | 1996 | $10,381,262,092 | 38 | N/A | N/A | 440101000086267 |
| 20 | Guangzhou Baiyunshan Pharmaceutical Holdings Company LIMITED | China | Guangzhou | No. 45, Shamian Bei Jie, Liwanqu | Guangdong | 510000 | N/A | 1997 | $10,350,284,038 | 27,425 | N/A | N/A | 440101000005674 |
| 21 | Zoetis INC. | USA | Parsippany | 10 Sylvan Way Ste 105 | Morris | 07054 | zoetis.***** | 1952 | $9,256,000,000 | 13,800 | N/A | N/A | 5118663 |
| 22 | Glaxosmithkline Biologicals | Belgium | Rixensart | Rue de L'Institut 89 | Brabant Wallon | 1330 | gsk.***** | 2014 | $8,318,911,679 | 8,565 | N/A | N/A | BE0440872918 |
| 23 | Dsm Nutritional Products Nederland B.V. | Netherlands | Venlo | Columbusweg 24 | Limburg | 5928 LC | dsmnutritionalproducts.***** | 2004 | $8,251,734,924 | 100 | N/A | N/A | 30172615 |
| 24 | Organon & CO. | USA | Jersey City | 30 Hudson St Fl 17 | Hudson | 07302 | organon.***** | 2020 | $6,403,000,000 | 10,000 | N/A | N/A | 7834229 |
| 25 | Alexion Pharmaceuticals, INC. | USA | Boston | 121 Seaport Blvd | Suffolk | 02210 | alexion.***** | 2021 | $6,069,900,000 | 3,837 | N/A | N/A | 2286486 |
| 26 | Huadong Medicine Co.,ltd. | China | Hangzhou | Floor 4, 7, No. 439, Zhongshan North Road, Gongshu District | Zhejiang | 310009 | N/A | 1993 | $5,783,699,963 | 18,000 | N/A | N/A | 330000000049286 |
| 27 | Merck Sharp & Dohme LLC | USA | Rahway | 126 E Lincoln Ave | Union | 07065 | merck.***** | 1927 | $5,627,010,702 | 18,400 | N/A | N/A | N/A |
| 28 | Sanofi-Aventis Deutschland GMBH | Germany | Frankfurt am Main | Bruningstr. 50 | Frankfurt am Main, Stadt | 65929 | sanofi.***** | 2011 | $4,880,390,006 | 7,158 | N/A | N/A | 60313B40661 |
| 29 | Covetrus, INC. | USA | Portland | 12 Mountfort St | Cumberland | 04101 | covetrus.***** | 2018 | $4,575,000,000 | 5,710 | N/A | N/A | 6843299 |
| 30 | Elanco Animal Health Incorporated | USA | Greenfield | 2500 Innovation Way N | Hancock | 46140 | elanco.***** | 1954 | $4,439,000,000 | 9,000 | N/A | N/A | 201805031256546 |
| 31 | Astellas Pharma Europe B.V. | Netherlands | Leiden | Sylviusweg 62 | Zuid-holland | 2333 BE | astellas.***** | 2005 | $4,422,875,692 | 544 | N/A | N/A | 28053775 |
| 32 | Catalent, INC. | USA | Bridgewater | 200 Crossing Blvd Fl 7 | Somerset | 08807 | catalent.***** | 2024 | $4,381,000,000 | 16,900 | N/A | N/A | 4318008 |
| 33 | Vdl Ppe B.V. | Netherlands | Eindhoven | Hoevenweg 1 | Noord-brabant | 5652 AW | vdlspecialvehicles.***** | 2020 | $4,191,969,115 | 1 | N/A | N/A | 78581427 |
| 34 | Shenzhen Neptunus Bioengineering Co.,ltd. | China | Shenzhen | 24th Floor, Haiwang Galaxy Technology Building, No.1 Keji Zhongs | Guangdong | 518057 | N/A | 1992 | $4,184,301,138 | 8,264 | N/A | N/A | 440301102909015 |
| 35 | Stada Arzneimittel AG | Germany | Bad Vilbel | Stadastr. 2-18 | Wetteraukreis | 61118 | stada.***** | 2020 | $4,059,666,031 | 11,466 | N/A | N/A | 60313B71290 |
| 36 | Sanofi Pasteur | France | Lyon | 14 Espace Henry Vallee | Rhône | 69007 | sanofi.***** | 1989 | $3,902,204,520 | 6,668 | N/A | N/A | 34950537000131 |
| 37 | Jiangsu Hengrui Pharmaceuticals CO., LTD. | China | Lianyungang | 7 Kunlunshan Road, Economic and Technological Development Zone | Jiangsu | 222047 | N/A | 1997 | $3,862,351,228 | 20,325 | N/A | N/A | 320700000006736 |
| 38 | China Resources Sanjiu Medical & Pharmaceutical CO., LTD. | China | Shenzhen | No. 1, Guanqing Road, Guanlan High-tech Park, Guanhu Street, Lon | Guangdong | 518110 | N/A | 1999 | $3,811,561,938 | 20,031 | N/A | N/A | 440301103302647 |
| 39 | Tpg Gp A, LLC | USA | Fort Worth | 301 Commerce St Ste 3300 | Tarrant | 76102 | tpg.***** | 2021 | $3,761,376,989 | 8,191 | N/A | N/A | 6142816 |
| 40 | Chiesi Farmaceutici SPA | Italy | Parma | Via Palermo 26/a | Parma | 43122 | chiesigroup.***** | 1935 | $3,609,539,181 | 1,865 | N/A | N/A | IT01513360345 |
| 41 | Grifols Shared Services North America, INC. | USA | Los Angeles | 2410 Lillyvale Ave | Los Angeles | 90032 | grifolsplasma.***** | 2010 | $3,446,069,232 | 9,002 | N/A | N/A | 07244395 |
| 42 | Zoetis Belgium | Belgium | Ottignies | Rue Laid Burniat 1 | Brabant Wallon | 1348 | pfizer.***** | 1950 | $3,289,995,229 | 775 | N/A | N/A | BE0401953350 |
| 43 | Sichuan Kelun Pharmaceutical CO., LTD. | China | Chengdu | South 2nd Road, Satellite City Industrial Development Zone, Xind | Sichuan | 610000 | N/A | 2002 | $3,010,483,943 | 21,864 | N/A | N/A | 510100000036023 |
| 44 | Janssen-Cilag GMBH | Germany | Neuss | Johnson-u.-johnson-platz 1 | Rhein-kreis Neuss | 41470 | jnjgermany.***** | 2018 | $2,991,724,302 | 100 | N/A | N/A | 41460B3038 |
| 45 | Les Laboratoires Servier | France | Suresnes | 50 Rue Carnot | Hauts-de-seine | 92150 | servier.***** | 1954 | $2,940,064,147 | 38 | N/A | N/A | 08548079600151 |
| 46 | United Therapeutics CORPORATION | USA | Silver Spring | 1000 Spring St | Montgomery | 20910 | unither.***** | 1996 | $2,877,400,000 | 1,305 | N/A | N/A | 2638178 |
| 47 | Biomarin Pharmaceutical INC. | USA | San Rafael | 770 Lindaro St | Marin | 94901 | biomarin.***** | 1996 | $2,853,915,000 | 3,040 | N/A | N/A | 2677181 |
| 48 | Bausch Health Americas, INC. | USA | Bridgewater | 400 Somerset Corporate Blvd | Somerset | 08807 | bauschhealth.***** | 1994 | $2,815,526,994 | 4,044 | N/A | N/A | 2422691 |
| 49 | Amneal Pharmaceuticals, INC. | USA | Bridgewater | 400 Crossing Blvd Fl 3 | Somerset | 08807 | amneal.***** | 2002 | $2,793,957,000 | 8,100 | N/A | N/A | 2522388 |
| 50 | China Baoan Group Co.,ltd. | China | Shenzhen | Floor 28-29, Suite A, Baoan Square, No.1002, Sungang E. Road, Lu | Guangdong | 518000 | N/A | 1990 | $2,792,133,596 | 16,658 | N/A | N/A | 440301103298625 |