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MRK Analysis: Merck's Keytruda Patent Cliff Looms — But a $305 Billion Pipeline Bet Could Rewrite the Bear Case

Merck & Co. (NYSE: MRK) is trading at $122.26, just pennies from its 52-week high of $123.33, capping a remarkable 67% recovery from its $73.31 low. The $305 billion pharmaceutical giant has delivered full-year 2025 revenue of approximately $65 billion on the strength of Keytruda, the world's best-selling drug with annual sales exceeding $25 billion. At a trailing P/E of 16.8x on $7.28 in earnings per share, Merck trades at a meaningful discount to the S&P 500 — but the market is pricing in a very specific risk. That risk is the Keytruda patent cliff. The blockbuster cancer immunotherapy's U.S. composition-of-matter patent expires in 2028, and biosimilar competition will follow. Keytruda alone represents roughly 40% of Merck's total revenue, making this one of the largest single-product revenue cliffs in pharmaceutical history. Management has spent aggressively on pipeline development, subcutaneous reformulations, and acquisitions to bridge the gap — but whether those efforts will be enough remains the central question for MRK shareholders. With the stock near all-time highs and analyst sentiment turning increasingly bullish — Seeking Alpha recently noted the 6.8% year-over-year increase in pembrolizumab franchise sales to $8.37 billion in Q4 — this analysis examines whether Merck's valuation adequately prices in the patent cliff or if the pipeline offers enough upside to justify buying at these levels.

Merck stock analysisMRK stockKeytruda patent cliff