Orin
MRKNYSE·Drug Manufacturers - General

Merck & Co., Inc. MRK

Market cap $366.2BP/E 117.5× trailingGross margin 75.4%Reports Thu 29 Oct, before the open
$148.08
−2.83 (−1.88%)Wed close 16:00 ET
52-wk $77.58 – $156.92
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Orin's take
0.58conviction · moderate
Refreshed 26 Aug · take v8. A new filing or a print queues the next refresh.

Merck remains a hold as the stock's 19% one-month rally on positive Phase 3 cancer vaccine data has pushed valuation into clearly stretched territory — at 124.2x trailing P/E versus a peer median of 33.7x, MRK trades at a 268% premium despite FY2025 revenue growth of just 1.2% and free cash flow that declined to $12.4B from $18.1B. The intismeran autogene/Keytruda melanoma results are a genuine pipeline catalyst, but with RSI at 77.6 and insiders selling into the rally (EVPs disposed shares at $132–135 in mid-August 2026), much of the upside appears priced in.

Total debt at $50.5B against $52.6B equity further limits financial flexibility for additional pipeline investment.

What could go wrong

  • Valuation compression. At 124.2x P/E and 31.3x EV/EBITDA — 268% and 36% above peer medians respectively — any disappointment in cancer vaccine timelines or Keytruda LOE mitigation could trigger a sharp de-rating.
  • Keytruda patent cliff. Keytruda represents the bulk of Merck's revenue; biosimilar entry post-2028 looms and the pipeline must demonstrate it can replace that revenue stream, yet FY2025 revenue growth slowed to 1.2%.
  • Balance sheet deterioration. Total debt surged to $50.5B in FY2025 from $38.3B in FY2024 while FCF fell to $12.4B from $18.1B, constraining capital available for buybacks, dividends, or further acquisitions.
  • Overbought technicals. RSI of 77.6 as of 2026-08-25 with the stock at $156.43 versus a 50-day MA of $129.34 suggests near-term mean-reversion risk after the cancer-vaccine-driven rally.

What would change my mind

Cancer vaccine regulatory filing or expanded indications. Merck/Moderna initiate a BLA submission or report positive Phase 3 data in additional tumor types beyond melanomabullish
Keytruda biosimilar timing or competitive threat. A competitor announces earlier-than-expected biosimilar launch or I/O competitor gains approval in a Keytruda-dominated indicationbearish
Revenue reacceleration. Quarterly revenue growth returns to mid-single digits or above, indicating pipeline contributions are offsetting Keytruda maturitybullish
Debt or FCF deterioration. Total debt exceeds $55B or annual FCF falls below $10B, signaling the acquisition strategy is eroding shareholder returnsbearish

Where this comes from: peer_relative composite · FMP fundamentals FY2025 vs FY2024 · FMP fundamentals FY2025 · technicals as of 2026-08-25. Orin's read on MRK; not advice.

Twelve months actual closes to 2026-09-23 · actual filings

Sept 25Nov 25Jan 26Mar 26May 26Jul 26

50-day average 200-day average · volume below

Largest holders · 13F Q2 2026

Money flow
FilerPositionOf fund
Vanguard Capital Management$20.7B0.4% of fund
State Street$15.6B0.5% of fund
Wellington Management Group Llp$11.1B1.9% of fund
Vanguard Portfolio Management$8.7B0.4% of fund
Geode Capital Management$7.8B0.4% of fund
Charles Schwab Investment Management$7.0B0.9% of fund

174 filers · quarter ended Q2 2026 · positions, not flows

Insiders, last 24 months: 222 Form 4 filings, net $69.2M. Of the 50 on hand, 0 were open-market purchases and 13 sales— the rest are grants, option exercises and tax withholding.

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Where it trades

vs its own 5y · Healthcare
MetricNowOwn medianSector
P/E117.5×26.4×
EV/EBITDA29.8×12.3×
P/S5.51×4.06×
P/B8.7×5.4×

Its P/E sits 80th percentile of its own last 5 years (−0.17σ from its own mean).

What the price assumes

13.0%

free-cash-flow growth every year for 10 years, discounted at 10%, is what today’s price implies — starting from $12.4B of trailing free cash flow. It is an assumption the market is making, not a forecast Orin is making.

What Wall Street published

38 firms · 2026-09-23
Consensus target

$158

$105$180 · +7% against today's price

How they rate it
  • 26 buy or overweight
  • 11 hold
  • 1 underweight or sell

The analysts’ consensus and their own ratings, not Orin’s. A target is a twelve-month opinion published by the firm that wrote it.

Against the companies it is compared to

median P/E 34.5× of 4 peers
CompanyMarket capP/EEV/EBITDAGrossNetROE
MRKMerck & Co., Inc.$366B117.5×29.8×75.4%4.8%7%
ABTAbbott Laboratories$179B33.3×20.8×56.8%11.6%11%
AMGNAmgen Inc.$219B25.0×15.9×72.7%22.9%89%
GILDGilead Sciences, Inc.$188B331.4×79.6%-10.6%-16%
PFEPfizer Inc.$161B37.2×17.6×71.3%6.8%5%
TMOThermo Fisher Scientific Inc.$246B35.7×26.0×41.0%15.1%13%

The median is of the 4 peers listed above and nothing else — check it against the column. This company trades 240.6% above it. The peer set is the vendor’s, so a company can appear here that a person would not have chosen.

What it has traded at

P/E by fiscal year
FY14 12.9×FY25 14.4×

What its sector has traded at

Healthcare
FY14 6.5×FY26 28.6×

Two scales, drawn separately on purpose: a sector median and one company’s multiple are not the same number and putting them on one axis invites a comparison neither series supports.

Discounted cash flow

not recomputed since
ModelFair valueAgainstComputed
Standard DCF$215$117.82 · +83%2026-06-10
Levered DCF$121$117.82 · +3%2026-06-10

The vendor’s intrinsic-value models. Treat them as a low-growth anchor — for a fast grower the market routinely pays well above a DCF. These were computed against the price in the “against” column, not today’s.

Every estimate on one scale

price $148.08
52-week range$78 – $157
Analyst targets$105 – $180
Standard DCF$215 as of 2026-06-10, when it was $117.82
Levered DCF$121 as of 2026-06-10, when it was $117.82
At own 5y-median P/E (15×)$19
At 5y P/E range (14–779×)$18 – $981
At sector P/E (26×)$33

The vertical rule is the current price. Ranges and point estimates are the backend’s, published as they were calculated; an arrow means the estimate sits beyond this scale, and its number is on the right.