| 1 | Guizhou Meijiate Ecology Fertilizer Industry Co.,ltd. | China | Qiannan Buyi and Miao Autonomo | Weng'An County Economic Development Area | Guizhou | 550401 | N/A | 2015 | $74,432,424,584 | 63 | N/A | N/A | 522725000210414 |
| 2 | Roche Diagnostics GMBH | Germany | Mannheim | Sandhofer Str. 116 | Mannheim | 68305 | ventana.***** | 2009 | $6,924,134,620 | 13,139 | N/A | N/A | 68159B3962 |
| 3 | Novartis Pharma GMBH | Germany | Nürnberg | Sophie-germain-str. 10 | Nürnberg | 90443 | novartis.***** | 2023 | $3,668,131,469 | 2,415 | N/A | N/A | 90402B14500 |
| 4 | Raed Salem And Partner CO Free Zone. | Jordan | Amman | Sahab Free Zone Area, Street 19 | Amman | 11512 | N/A | 2016 | $3,313,371,389 | 88 | N/A | N/A | 66694 |
| 5 | Abbott GMBH | Germany | Wiesbaden | Max-planck-ring 2 | Wiesbaden, Landeshauptstadt | 65205 | abbott.***** | 2019 | $3,033,108,281 | 3,595 | N/A | N/A | 65185B31478 |
| 6 | Quidelortho CORPORATION | USA | San Diego | 9975 Summers Ridge Rd | San Diego | 92121 | quidel.***** | 2021 | $2,782,900,000 | 6,600 | N/A | N/A | N/A |
| 7 | Takeda GMBH | Germany | Konstanz | Byk-gulden-str. 2 | Konstanz | 78467 | takeda.***** | 2016 | $2,108,225,232 | 1,918 | N/A | N/A | 79098B701016 |
| 8 | Ortho Clinical Diagnostics Holdings PLC | USA | Raritan | 1001 Us Highway 202 | Somerset | 08869 | go.***** | 2020 | $2,042,800,000 | 4,800 | N/A | N/A | N/A |
| 9 | Merz Pharma GMBH & CO. Kgaa | Germany | Frankfurt am Main | Eckenheimer Landstr. 100 | Frankfurt am Main, Stadt | 60318 | merz.***** | 2009 | $1,918,957,830 | 4,576 | N/A | N/A | 60313B54072 |
| 10 | Astrazeneca GMBH | Germany | Hamburg | Friesenweg 26 | Hamburg, Freie Und Hansestadt | 22763 | astrazeneca.***** | 2021 | $1,758,399,415 | 1,186 | N/A | N/A | 20355B175066 |
| 11 | Boehringer Ingelheim Pharma GMBH & CO. KG | Germany | Ingelheim am Rhein | Binger Str. 173 | Mainz-bingen | 55218 | boehringer-ingelheim.***** | 2016 | $1,699,187,200 | 7,750 | N/A | N/A | 55116A22206 |
| 12 | Quidel CORPORATION | USA | San Diego | 9975 Summers Ridge Rd | San Diego | 92121 | quidel.***** | 2022 | $1,698,551,000 | 1,300 | N/A | N/A | 2130032 |
| 13 | Lantheus Holdings, INC. | USA | Bedford | 201 Burlington Rd Ste 1 | Middlesex | 01730 | lantheus.***** | 1956 | $1,533,910,000 | 808 | N/A | N/A | 4465397 |
| 14 | Genzyme CORPORATION | USA | Cambridge | 450 Water St | Middlesex | 02141 | genzymebiosurgery.***** | 2011 | $1,510,554,270 | 12,000 | N/A | N/A | 061047163 |
| 15 | Roche Diagnostics CORPORATION | USA | Indianapolis | 9115 Hague Rd | Marion | 46256 | diagnostics.***** | 1987 | $1,364,896,864 | 4,400 | N/A | N/A | 198706-883 |
| 16 | Bio-Techne CORPORATION | USA | Minneapolis | 614 Mckinley Pl Ne | Hennepin | 55413 | bio-techne.***** | 1976 | $1,219,635,000 | 3,100 | N/A | N/A | 3X-1074 |
| 17 | Hubei Jumpcan Pharmaceutical CO., LTD. | China | Taizhou | Baota Bay, Daqing West Road | Jiangsu | 225441 | N/A | 1997 | $1,106,467,797 | 5,026 | N/A | N/A | 420000000034415 |
| 18 | Glaxosmithkline GMBH & CO. KG | Germany | München | Prinzregentenplatz 9 | München | 81675 | de.***** | 2001 | $927,407,959 | 1,474 | N/A | N/A | 80333A78754 |
| 19 | Life Technologies CORPORATION | USA | Carlsbad | 5781 van Allen Way | San Diego | 92008 | thermofischer.***** | 1997 | $888,720,713 | 10,000 | N/A | N/A | 2753431 |
| 20 | Myriad Genetics, INC. | USA | Salt Lake City | 322 N 2200 W | Salt Lake | 84116 | myriad.***** | 1991 | $837,600,000 | 2,700 | N/A | N/A | 2315110 |
| 21 | Ortho-Clinical Diagnostics, INC. | USA | San Diego | 9975 Summers Ridge Rd | San Diego | 92121 | quidel.***** | 1994 | $705,714,265 | 1,650 | N/A | N/A | 1860043 |
| 22 | Astellas Pharma GMBH | Germany | München | Ridlerstr. 57 | München | 80339 | astellas.***** | 2020 | $669,474,511 | 253 | N/A | N/A | 80333B96767 |
| 23 | Autobio Diagnostics CO., LTD | China | Zhengzhou | No. 199, Jingkai 15th Street, Zhengzhou Economic and Technologic | Henan | 450016 | N/A | 1999 | $617,102,024 | 5,773 | N/A | N/A | 410198400000498 |
| 24 | Sinocare INC. | China | Changsha | No.265, Guyuan Road, High-tech Industrial Development Zone | Hunan | 410200 | N/A | 2002 | $613,226,645 | 4,809 | N/A | N/A | 430193000005413 |
| 25 | Haleon Germany GMBH | Germany | München | Barthstr. 4 | München | 80339 | glaxosmithkline.***** | 2015 | $588,798,060 | 413 | N/A | N/A | 80333B226378 |
| 26 | Cf Genome LLC | USA | Littleton | 3100 E Willamette Ln | Arapahoe | 80121 | N/A | 2017 | $561,557,585 | 4 | N/A | N/A | N/A |
| 27 | Danisco Us INC. | USA | Palo Alto | 925 Page Mill Rd | Santa Clara | 94304 | dupont.***** | 2021 | $532,494,462 | 1,098 | N/A | N/A | 2208849 |
| 28 | Mindray Ds USA, INC. | USA | Mahwah | 800 Macarthur Blvd | Bergen | 07430 | mindray.***** | 2008 | $519,102,052 | 4,050 | N/A | N/A | 800164497 |
| 29 | Ferring GMBH | Germany | Kiel | Wittland 11 | Kiel, Landeshauptstadt | 24109 | ferring.***** | 2010 | $513,082,367 | 577 | N/A | N/A | 24114B3060KI |
| 30 | Accredo Health, Incorporated | USA | Memphis | 1680 Century Center Pkwy Ste 4 | Shelby | 38134 | accredo.***** | 2005 | $479,743,110 | 6,530 | N/A | N/A | 2626987 |
| 31 | Immucor, INC. | USA | Norcross | 3130 Gateway Dr | Gwinnett | 30071 | immucor.***** | 2023 | $469,668,280 | 1,090 | N/A | N/A | J208955 |
| 32 | Guangzhou Wondfo Biotech CO.,LTD | China | Guangzhou | No.8, Kexuecheng Lizhishan Road, Huangpu District | Guangdong | 510000 | N/A | 1992 | $422,995,744 | 3,197 | N/A | N/A | 440101000008134 |
| 33 | Access Bio INC. | USA | Monroe | 7 Fitzgerald Ave | Middlesex | 08831 | accessbio.***** | 2001 | $417,301,334 | 95 | N/A | N/A | 0100888833 |
| 34 | Xiamen Amoytop Biotech CO., LTD. | China | Xiamen | No.330 Wengjiao Road, Xinyang Industrial Zone, Haicang District, | Fujian | 361028 | N/A | 1996 | $388,815,696 | 2,423 | N/A | N/A | 350200100000494 |
| 35 | Fapon Biotech INC. | China | Shenzhen | Rm 601;602;603;604, Unit Abcd, 6/f, Bldg D2, R&d Bldg, Tcl Scien | Guangdong | 518000 | N/A | 2001 | $374,792,576 | 1,284 | N/A | N/A | 440301102801077 |
| 36 | Maccura Biotechnology Co.ltd | China | Chengdu | No. 8 Anhe 2nd Road, High Tech Zone | Sichuan | 611730 | N/A | 1994 | $351,771,795 | 3,472 | N/A | N/A | 510000000104554 |
| 37 | Viatris Healthcare GMBH | Germany | Troisdorf | Lutticher Str. 5 | Rhein-sieg-kreis | 53842 | mylan.***** | 2020 | $349,718,521 | 107 | N/A | N/A | 53721B15331 |
| 38 | Meridian Bioscience, INC. | USA | Cincinnati | 3471 River Hills Dr | Hamilton | 45244 | meridianbioscience.***** | 1976 | $333,018,000 | 770 | N/A | N/A | 483376 |
| 39 | Zentiva Pharma GMBH | Germany | Frankfurt am Main | Bruningstr. 50 | Frankfurt am Main, Stadt | 65929 | zentiva.***** | 2018 | $330,963,900 | 528 | N/A | N/A | 60313B95544 |
| 40 | Beijing Wantai Biological Pharmacy Enterprise CO., LTD. | China | Beijing | No.31, Kexueyuan Road, Changping District | Beijing | 100000 | N/A | 1991 | $309,903,786 | 3,790 | N/A | N/A | 110000003389169 |
| 41 | Baxter Deutschland GMBH | Germany | Unterschleißheim | Edisonstr. 4 | München | 85716 | baxter.***** | 2024 | $299,997,315 | 258 | N/A | N/A | 80333B42976 |
| 42 | B.r.a.h.m.s GMBH | Germany | Hennigsdorf | Neuendorfstr. 25 | Oberhavel | 16761 | brahms.***** | 2020 | $270,340,413 | 217 | N/A | N/A | 16816B8872NP |
| 43 | Shanghai Livzon Pharmaceutical CO., LTD. | China | Shanghai | No.1150, Guiqiao Road, China Pilot Free Trade Zone | Shanghai | 201206 | N/A | 1995 | $259,518,300 | 245 | N/A | N/A | 310115000264616 |
| 44 | Bracco U.S.A. INC. | USA | Monroe | 259 Prospect Plains Rd | Middlesex | 08831 | myctcolonography.***** | 1993 | $247,771,807 | 380 | N/A | N/A | 2328659 |
| 45 | Salutas Pharma GMBH | Germany | Barleben | Otto-von-guericke-allee 1 | Börde | 39179 | sandoz.***** | 2007 | $243,765,944 | 1,200 | N/A | N/A | 39576B105793 |
| 46 | Shanghai Kehua Bio-Engineering CO., LTD. | China | Shanghai | No.1189,north Qinzhou Road,xuhui Dist. | Shanghai | 200233 | N/A | 1981 | $242,799,092 | 2,033 | N/A | N/A | 310000000000260 |
| 47 | Medicalsystem Biotechnology CO., LTD | China | Ningbo | 299 Qiming South Road, Yinzhou District | Zhejiang | 315000 | N/A | 2003 | $240,484,133 | 2,104 | N/A | N/A | 330212000013891 |
| 48 | Lohmann & Rauscher GMBH & CO. KG | Germany | Neuwied | Irlicher Str. 55 | Neuwied | 56567 | lohmann-tapes.***** | 2010 | $228,521,139 | 834 | N/A | N/A | 56410A12036 |
| 49 | Vcanbio Cell & Gene Engineering Corp.,ltd. | China | Tianjin | No. 12 Meiyuan Road, Huayuan Industrial Zone, Binhai High Tech Z | Tianjin | 300384 | N/A | 1995 | $218,815,326 | 2,014 | N/A | N/A | 120000000008313 |
| 50 | Sansure Biotech INC. | China | Changsha | No.680, Lusong Road, High-tech Industrial Development Zone, | Hunan | 410205 | N/A | 2008 | $201,237,343 | 2,346 | N/A | N/A | 430000400001826 |