How Merck turned its wonder drug into a blockbuster — and priced out cancer patients worldwide

ICIJ
by Sydney P. Freedberg
April 13, 2026
4 views
7 min read

Quick Insights

The Bottom Line

An investigation found Merck & Co. used aggressive tactics to inflate prescriptions and maintain high prices for its cancer drug Keytruda.

How This Affects You

The high cost of Keytruda, up to $208,000 in the U.S., makes it unaffordable for many, potentially limiting access to life-saving cancer treatment.

AI Summary

The International Consortium of Investigative Journalists (ICIJ) revealed how Merck & Co. employed aggressive tactics to inflate prescriptions and maintain high prices for its anti-cancer drug, Keytruda, making it unaffordable for many worldwide. Merck CEO Robert M. Davis, whose company generated $31.7 billion in Keytruda sales in 2025, supported President Donald Trump's drug price deals in December 2025 but did not commit to cutting Keytruda's cost. The investigation found Merck exploited the patent system with 1,212 patent applications to extend its market dominance for 14 years after original patents expire in 2028. Merck also promoted a higher-than-necessary dosage, which could cost $5 billion for lung cancer patients by 2040, and funneled nearly $75 billion in dividends to shareholders. Governments globally, including the UK's NHS and nations like South Africa and Guatemala, face strained budgets and limited access due to Keytruda's high prices, which range from $80,000 in Germany to $208,000 in the U.S.

What's Being Done

The International Consortium of Investigative Journalists (ICIJ) conducted an investigation into Merck's practices.

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