
The global pharmaceutical industry continues to experience strong growth driven by innovation in biologics, oncology, diabetes treatment, vaccines, and rare disease therapies. Recently, PharmExec magazine officially released the 2025 Pharm Exec 50 ranking, listing the Top 50 pharmaceutical companies worldwide based on prescription drug (RX) sales in fiscal year 2024.
This ranking is widely regarded as one of the most authoritative industry benchmarks, offering valuable insight for:
Pharmaceutical manufacturers
API and packaging suppliers
Pharmaceutical equipment companies
Distributors & contract manufacturing organizations (CMOs)
Below is the fully optimized 2025 Global Top 50 Pharmaceutical Companies List.
Table of Contents
ToggleRanking Source: PharmExec Magazine
Ranking Basis: Global prescription drug (RX) sales
Fiscal Year: 2024
Ranking Release Year: 2025
This ranking reflects real commercial performance, not market capitalization or valuation.
| Rank | Company | Headquarters |
|---|---|---|
| 1 | Johnson & Johnson | USA |
| 2 | AbbVie | USA |
| 3 | Merck & Co. (MSD) | USA |
| 4 | Roche | Switzerland |
| 5 | Pfizer | USA |
| 6 | AstraZeneca | UK |
| 7 | Novartis | Switzerland |
| 8 | Bristol-Myers Squibb | USA |
| 9 | Sanofi | France |
| 10 | Novo Nordisk | Denmark |
| 11 | Eli Lilly | USA |
| 12 | GlaxoSmithKline (GSK) | UK |
| 13 | Amgen | USA |
| 14 | Takeda | Japan |
| 15 | Gilead Sciences | USA |
| 16 | Boehringer Ingelheim | Germany |
| 17 | Bayer | Germany |
| 18 | CSL | Australia |
| 19 | Viatris | USA |
| 20 | Teva | Israel |
| 21 | Astellas | Japan |
| 22 | Vertex Pharmaceuticals | USA |
| 23 | Daiichi Sankyo | Japan |
| 24 | Sandoz Group | Switzerland |
| 25 | Merck KGaA | Germany |
| 26 | Otsuka Holdings | Japan |
| 27 | Regeneron | USA |
| 28 | Biogen | USA |
| 29 | Grifols | Spain |
| 30 | Organon | USA |
| 31 | Sun Pharma | India |
| 32 | UCB | Belgium |
| 33 | Yunnan Baiyao | China |
| 34 | Servier | France |
| 35 | Abbott | USA |
| 36 | Dr. Con | Canada |
| 37 | Fresenius | Germany |
| 38 | Eisai | Japan |
| 39 | China Biopharmaceutical | Hong Kong |
| 40 | Menarini | Italy |
| 41 | Huadong Medicine | China |
| 42 | Stada | Germany |
| 43 | Jazz Pharmaceuticals | Ireland |
| 44 | BeiGene | China |
| 45 | Ipsen | France |
| 46 | Jiangsu Hengrui Medicine | China |
| 47 | Incyte | USA |
| 48 | CSPC Pharmaceutical Group | China |
| 49 | Dr. Reddy’s Laboratories | India |
| 50 | Mednar | USA |
Data Source: Pharm Exec, 2025 Pharm Exec 50
Over 18 companies in the Top 50 are headquartered in the United States, reinforcing its leadership in:
Oncology
Immunology
Biologics
mRNA vaccines
Switzerland: Roche, Novartis, Sandoz
Japan: Takeda, Daiichi Sankyo, Eisai, Astellas
Germany: Boehringer Ingelheim, Bayer, Merck KGaA, Fresenius
These countries remain global pharmaceutical innovation hubs.
Chinese companies such as:
Yunnan Baiyao
BeiGene
Jiangsu Hengrui
CSPC Pharmaceutical Group
and Indian giants like:
Sun Pharma
Dr. Reddy’s
are now firmly established among the world’s pharmaceutical leaders.
If you are involved in:
Pharmaceutical machinery manufacturing
Packaging solutions (vials, bottles, blister, ampoules)
API & excipient supply
Contract manufacturing (CDMO/CMO)
This list directly reflects:
Where purchasing power is concentrated
Which companies control global drug production
Who your most valuable long-term customers may be
Based on this ranking, the pharmaceutical industry will continue focusing on:
Biologics and biosimilars
GLP-1 diabetes and obesity drugs
Cancer immunotherapy
Rare disease treatments
Personalized medicine
Companies at the top of the 2025 Pharm Exec 50 are expected to drive mergers & acquisitions, equipment upgrades, and new plant investments worldwide.
The 2025 Global Top 50 Pharmaceutical Companies Ranking provides a powerful overview of the world’s leading drug manufacturers and clearly reflects the future direction of the global pharmaceutical industry. From biologics and oncology to diabetes and rare disease therapies, these top companies will continue to drive innovation, capacity expansion, and equipment upgrades worldwide.
As a professional pharmaceutical machinery manufacturer, JIANPAI closely follows the development trends of these global pharma leaders and is committed to providing reliable, high-efficiency production and processing solutions for pharmaceutical manufacturers across the world. Whether you are planning a new production line, upgrading existing equipment, or expanding your formulation and packaging capacity, JIANPAI offers customized solutions to meet your exact needs.
Contact JIANPAI today to explore advanced pharmaceutical equipment solutions and gain a competitive edge in the global pharmaceutical market.