| 1 | Tibet Shenhou Pharmaceutical Co.,ltd. | China | Xigaze | No.10, Congdu Rd., Nyalam County, Xigaze Prefecture, Tibet | Tibet | 857000 | N/A | 2006 | $44,735,242,715 | 33 | N/A | N/A | 5423361000002 |
| 2 | Geoffrey Manners And Company LIMITED | India | Mumbai | Magnet House, Narottam Morajee Marg | Maharashtra | 400038 | N/A | 1943 | $30,668,718,399 | 1,200 | N/A | N/A | BRPAT0001850000 |
| 3 | Cencora Global Procurement LIMITED | Ireland | Cork | 8 Eastgate Avenue | Cork | N/A | N/A | 2022 | $16,647,781,553 | 7 | N/A | N/A | 728560 |
| 4 | Roche Holdings, INC. | USA | South San Francisco | 1 Dna Way | San Mateo | 94080 | roche.***** | 1987 | $7,783,575,003 | 35,082 | N/A | N/A | 2145312 |
| 5 | Mac Laboratories LIMITED | India | Mumbai | Kirol, Vidyavihar (w) | Maharashtra | 400086 | N/A | 1947 | $6,335,094,430 | 120 | N/A | N/A | N/A |
| 6 | Alexion Pharma International Operations LIMITED | Ireland | Dublin | College Business & Technology Park | Dublin | D15 R925 | astrazeneca.***** | 2013 | $6,003,050,000 | 1,037 | N/A | N/A | 528478 |
| 7 | Allergan Pharmaceuticals Ireland Unlimited Company | Ireland | Westport | Castlebar Road | Mayo | F28 AW83 | allergan.***** | 2012 | $5,238,041,000 | 1,533 | N/A | N/A | 514125 |
| 8 | Marine Chemicals | India | Kochi | Deepa Building, Santogopalan Road | Kerala | 682005 | meron.***** | 2004 | $3,480,469,016 | 50 | N/A | N/A | N/A |
| 9 | Teva Pharmaceuticals USA, INC. | USA | Parsippany | 400 Interpace Pkwy Ste A1 | Morris | 07054 | tevausa.***** | 1996 | $2,886,863,083 | 9,676 | N/A | N/A | 2053734 |
| 10 | Beijing Tongrentang CO.,LTD | China | Beijing | No.42, Chongwenmen Outer Street, Dongcheng District | Beijing | 100062 | N/A | 1997 | $2,566,741,070 | 17,883 | N/A | N/A | 110000005106240 |
| 11 | Msd Biotech B.V. | Netherlands | Oss | Molenstraat 110 | Noord-brabant | 5342 CC | merck.***** | 2020 | $2,458,706,100 | 492 | N/A | N/A | 75977885 |
| 12 | Bracco SPA | Italy | Milano | Via Caduti Di Marcinelle 13 | Milano | 20134 | imaging.***** | 1927 | $2,116,824,339 | 528 | N/A | N/A | IT00825120157 |
| 13 | Ge Healthcare INC. | USA | Arlington Heights | 3350 N Ridge Ave | Cook | 60004 | gehealthcare.***** | 2023 | $2,099,025,835 | 8,900 | N/A | N/A | 0345310 |
| 14 | Furen Medicines Group Co.,ltd. | China | Zhoukou | No. 1 Tongyuan Road, Industrial Cluster District, Luyi County | Henan | 477299 | N/A | 1997 | $1,759,051,805 | 612 | N/A | N/A | 410000100052595 |
| 15 | Hubei Nengter Technology CO.,LTD | China | Jinzhou | Floor 9, Building 8, Faxin Shidai, No.106, Yuanlin N. Road, Shas | Hubei | 434000 | N/A | 2002 | $1,694,909,349 | 965 | N/A | N/A | 350000100021905 |
| 16 | Herba Chemosan Apotheker-Ag | Austria | Wien | Haidestraße 4 | Wien | 1110 | herba-chemosan.***** | 1923 | $1,653,563,379 | 528 | N/A | N/A | FN84007s |
| 17 | Novartis Farma SPA | Italy | Milano | Viale Don Luigi Sturzo 43 | Milano | 20154 | N/A | 1923 | $1,530,979,681 | 1,646 | N/A | N/A | IT02385200122 |
| 18 | Vitablend Nederland B.V. | Netherlands | Wolvega | Frisaxstraat 1 | Friesland | 8471 ZW | vitablend.***** | 2005 | $1,423,532,669 | 100 | N/A | N/A | 01108877 |
| 19 | Daewoong Co.,ltd. | Southkorea | Seongnam | 244 Galmachi-ro, Jungwon-gu | Gyeonggi | 13211 | N/A | 1961 | $1,390,706,406 | 688 | N/A | N/A | 1298100178 |
| 20 | Csl Innovation PTY LTD | Australia | Melbourne | 655 Elizabeth St | Victoria | 3000 | csl.***** | 1986 | $1,325,358,000 | 29,000 | N/A | N/A | 006614375 |
| 21 | Janssen Pharmaceuticals, INC. | USA | Titusville | 1125 Bear Tavern Rd | Mercer | 08560 | janssen.***** | 1978 | $1,293,469,586 | 1,600 | N/A | N/A | 0000681308 |
| 22 | Sk Chemicals CO., LTD. | Southkorea | Seongnam | 310 Pangyo-ro, Bundang-gu | Gyeonggi | 13494 | N/A | 2017 | $1,247,007,322 | 1,502 | N/A | N/A | 8468100915 |
| 23 | Aurobindo Pharma LIMITED | India | Hyderabad | Galaxy, Floors 22-24, Plot No.1 Survey No.83/1 | Telangana | 500032 | aurobindo.***** | 1986 | $1,237,610,832 | 1,395 | N/A | N/A | 36AABCA7366H1ZL |
| 24 | Tsumura & CO. | Japan | Minato-ku | 2-17-11, Akasaka | Tōkyō | 107-0052 | N/A | 1893 | $1,214,409,658 | 4,272 | N/A | N/A | 1010401069161 |
| 25 | Indivior PLC | Unitedkingdom | Slough | 234 Bath Road | Slough | SL1 4EE | N/A | 2014 | $1,188,000,000 | 1,152 | N/A | N/A | 09237894 |
| 26 | Blbk Pharmaceuticals Private LIMITED | India | New Delhi | Ad 4c Pitam | Delhi | 110034 | N/A | 2001 | $1,059,121,409 | 6 | N/A | N/A | AABCN2415L |
| 27 | Acs Dobfar SPA | Italy | Tribiano | Viale Addetta 2 A/12-3/5 | Milano | 20067 | acsdobfar.***** | 1980 | $1,012,438,288 | 1,656 | N/A | N/A | IT05847860151 |
| 28 | Tong Ren Tang Technologies CO. LTD. | Hongkong | Wan Chai District | Rm 1408-1409 Convention Plz Office Twr | Wan Chai District | N/A | N/A | 2000 | $1,001,954,286 | 245 | N/A | N/A | 31276284 |
| 29 | Novartis Biociencias SA | Brazil | Sao Paulo | Av. Professor Vicente Rao 90 90 | São Paulo | 04636-900 | novartis.***** | 1934 | $982,837,806 | 2,587 | N/A | N/A | 56994502000130 |
| 30 | Roche SPA | Italy | Monza | Viale Gian Battista Stucchi 110 | Monza E Brianza | 20900 | roche.***** | 1927 | $982,409,196 | 505 | N/A | N/A | IT00747170157 |
| 31 | Fresenius Kabi Austria GMBH | Austria | Graz | Hafnerstraße 36 | Steiermark | 8055 | fresenius-kabi.***** | 1947 | $978,684,390 | 1,477 | N/A | N/A | FN78256h |
| 32 | Sanofi Medley Farmaceutica | Brazil | Suzano | Rua Conde Domingos Papaiz 413 | São Paulo | 08613-010 | santander.***** | 2018 | $951,462,680 | 1,000 | N/A | N/A | 10588595001092 |
| 33 | Ems S/A | Brazil | Hortolândia | Rod. Jornalista Francisco Aguirre Proenca S/n | São Paulo | 13186-901 | ems.***** | 1963 | $950,785,394 | 7,600 | N/A | N/A | 57507378000365 |
| 34 | Richter Pharma AG | Austria | Wels | Feldgasse 19 | Oberösterreich | 4600 | richter-pharma.***** | 1952 | $919,430,039 | 528 | N/A | N/A | FN128054s |
| 35 | Hunan Yandi Bioengineering CO., LTD. | China | Zhuzhou | No. 8, Mingri Road, Tianyuan District | Hunan | 412007 | N/A | 2005 | $914,040,000 | 20,000 | N/A | N/A | 430211000000263 |
| 36 | Bayer Hispania SL | Spain | Sant Joan Despí | Avenida Baix Llobregat, 3 -5 | Barcelona | 08970 | bayer.***** | 1966 | $913,853,477 | 561 | N/A | N/A | B08193013 |
| 37 | Nhs U.S., LLC | USA | Hoboken | 121 River St Ste 9 | Hudson | 07030 | N/A | 2022 | $905,299,707 | 3,100 | N/A | N/A | 6823305 |
| 38 | Amgen Singapore Manufacturing PTE. LTD. | Singapore | Singapore | 1 Tuas View Drive | Singapore | 637026 | N/A | 2012 | $896,296,238 | 80 | N/A | N/A | 201230579E |
| 39 | F.I.S. Fabbrica Italiana Sintetici SPA | Italy | Montecchio Maggiore | Viale Milano 26 | Vicenza | 36075 | fisvi.***** | 1984 | $858,818,025 | 2,098 | N/A | N/A | IT01712670247 |
| 40 | Usana Health Sciences, INC. | USA | Salt Lake City | 3838 W Parkway Blvd | Salt Lake | 84120 | usana.***** | 1992 | $854,503,000 | 1,800 | N/A | N/A | 1175041-0142 |
| 41 | Ache Laboratorios Farmaceuticos SA | Brazil | Sao Paulo | Av. Brigadeiro Faria Lima 201 | São Paulo | 05426-100 | ache.***** | 1966 | $841,055,495 | 5,551 | N/A | N/A | 60659463002992 |
| 42 | Bayer S.A. | Argentina | Vicente López | Doctor Ricardo Gutierrez 3652 | Buenos Aires | B1605EHD | conosur.***** | 1958 | $834,618,051 | 820 | N/A | N/A | 30503811061 |
| 43 | Guizhou Xinbang Pharmaceutical CO.,LTD | China | Guiyang | No. 83, North Section of Xintian Avenue, Wudang District, Kekai | Guizhou | 550018 | N/A | 1995 | $832,554,704 | 5,059 | N/A | N/A | 520000000025003 |
| 44 | Sichuan Biokin Pharmaceutical CO., LTD. | China | Chengdu | No.1,building 1,no.161,baili Road,cross-strait Science and Techn | Sichuan | 611130 | N/A | 2006 | $803,634,070 | 2,521 | N/A | N/A | 510123000036894 |
| 45 | Cheplapharm Arzneimittel GMBH | Germany | Greifswald | Ziegelhof 24 | Vorpommern-greifswald | 17489 | cheplapharm.***** | 2019 | $756,382,156 | 528 | N/A | N/A | 18439B5896 |
| 46 | Brast Sheave CO., LTD. | Japan | Ibaraki | 5-10, Nishiekimaecho | Ōsaka | 567-0032 | N/A | 1989 | $702,660,376 | 314 | N/A | N/A | 2120901001859 |
| 47 | Msg Nutritional Ingredients Holding CORPORATION | USA | Eden Prairie | 7500 Flying Cloud Dr Ste 500 | Hennepin | 55344 | milkspecialties.***** | 2011 | $700,000,000 | 750 | N/A | N/A | N/A |
| 48 | Instituto Grifols SA | Spain | Parets del Vallès | Calle Can Guasch (pg Levante) 2 | Barcelona | 08150 | grifols.***** | 1987 | $686,808,066 | 1,466 | N/A | N/A | A58419326 |
| 49 | Uniao Quimica Farmaceutica Nacional S A | Brazil | Embu-guaçu | Rua Coronel Luiz Tenorio de Brito 90 | São Paulo | 06900-095 | uniaoquimica.***** | 1966 | $685,644,589 | 7,600 | N/A | N/A | 60665981000118 |
| 50 | Sndl INC | Canada | Edmonton | 17220 Stony Plain Rd 101 | Alberta | T5S 1K6 | N/A | 2006 | $656,124,789 | 2,516 | N/A | N/A | N/A |