• Home
  • Latest
  • Fortune 500
  • Finance
  • Tech
  • Leadership
  • Lifestyle
  • Rankings
  • Multimedia
FinanceGlobal 500

The world’s 10 biggest pharmaceutical companies raked in over $700 billion in revenue in 2021

By
Paige McGlauflin
Paige McGlauflin
Down Arrow Button Icon
August 15, 2022, 6:15 PM ET
China Resources building in Beijing
China Resources building in Beijing Carlos Garcia Rawlins—Reuters

The pharmaceutical industry had a big year in 2021. The 10 largest pharma companies by revenue spanned five countries and brought in a collective $734.8 billion in revenue and $130.6 billion in profits, according to the 2022 Fortune Global 500, released earlier this month. 

The pharmaceutical companies represented on the Global 500, which ranks the world’s largest companies by revenue, generated 98.2% profit growth on average from the previous year. The COVID-19 pandemic provided a tremendous opportunity for some drug companies to expand their operations as they got involved with the manufacture and distribution of vaccines. More than 12.2 billion doses have been administered globally as of July 17, and 68.8% of the world’s population is at least partially vaccinated against COVID-19. For Pfizer, which ranks fourth out of all global pharmaceutical companies by revenue, COVID-19 vaccine production made up nearly half its annual revenue, accounting for $36.8 billion total. Revenues for all vaccines are expected to reach $47 billion by 2025, according to Deloitte.

China Resources was the top pharmaceutical company by revenue, appearing at No. 70 on this year’s Global 500. The company brought in $119.6 billion in revenue and $4.5 billion in profits. Distribution accounted for 81.9% of its total revenue, and manufacturing accounted for 14.9%. In April 2022, China Resources entered an agreement with pharmaceutical company Everest Medicines to establish a separate company dedicated to producing mRNA vaccines. It expects to deliver as many as 800 million doses annually of its PTX-COVID19-B vaccine, currently in development.

The U.S. placed five pharmaceutical companies on this year’s Fortune Global 500, four of which were in the top 10 by revenue. These five companies brought in over $329 billion in revenue and $74 billion in profits this year.

Johnson & Johnson was the largest American pharmaceuticals company, hauling in nearly $94 billion in revenue in 2021—though only $52 billion of that came from its pharmaceutical division. The company raked in $2.39 billion in sales from its one-shot COVID-19 vaccine. It initially expected to generate upwards of $3.5 billion in COVID-19 vaccine sales in 2022 but has since rescinded that estimate, citing low demand. The company did see strong growth from other pharmaceutical products, including its multiple myeloma medication Darzalex, which generated a 44% revenue jump from the year prior, and immunosuppressive drug Stelara, which brought in 18.5% more sales than the previous year.

Here is a look at the top 10 pharmaceutical companies in the world.

1. China Resources

Revenue: $119.6 billion
Profits: $4.5 billion
Rank: 70
Country: China

2. Sinopharm

Revenue: $108.8 billion
Profits: $12.2 billion
Rank: 80
Country: China

3. Johnson & Johnson

Revenue: $93.8 billion
Profits: $20.9 billion
Rank: 107
Country: U.S.

4. Pfizer

Revenue: $81.2 billion
Profits: $22 billion
Rank: 137
Country: U.S.

5. Roche Group

Revenue: $72 billion
Profits: $15.2 billion
Rank: 169
Country: Switzerland

6. AbbVie

Revenue: $56.2 billion
Profits: $11.5 billion
Rank: 227
Country: U.S.

7. Novartis

Revenue: $52.9 billion
Profits: $24 billion
Rank: 248
Country: Switzerland

8. Bayer

Revenue: $52.1 billion
Profits: $1.2 billion
Rank: 254
Country: Germany

9. Merck

Revenue: $51.2 billion
Profits: $13 billion
Rank: 262
Country: U.S.

10. GSK

Revenue: $46.9 billion
Profits: $6 billion
Rank: 294
Country: Britain

Sign up for the Fortune Features email list so you don’t miss our biggest features, exclusive interviews, and investigations.

About the Author
By Paige McGlauflin
LinkedIn icon
See full bioRight Arrow Button Icon

Latest in Finance

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025

Most Popular

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Rankings
  • 100 Best Companies
  • Fortune 500
  • Global 500
  • Fortune 500 Europe
  • Most Powerful Women
  • Future 50
  • World’s Most Admired Companies
  • See All Rankings
Sections
  • Finance
  • Leadership
  • Success
  • Tech
  • Asia
  • Europe
  • Environment
  • Fortune Crypto
  • Health
  • Retail
  • Lifestyle
  • Politics
  • Newsletters
  • Magazine
  • Features
  • Commentary
  • Mpw
  • CEO Initiative
  • Conferences
  • Personal Finance
  • Education
Customer Support
  • Frequently Asked Questions
  • Customer Service Portal
  • Privacy Policy
  • Terms Of Use
  • Single Issues For Purchase
  • International Print
Commercial Services
  • Advertising
  • Fortune Brand Studio
  • Fortune Analytics
  • Fortune Conferences
  • Business Development
About Us
  • About Us
  • Editorial Calendar
  • Press Center
  • Work At Fortune
  • Diversity And Inclusion
  • Terms And Conditions
  • Site Map

Most Popular

placeholder alt text
Economy
America's $38 trillion national debt 'exacerbates generational imbalances' with Gen Z and millennials paying the price, warns think tank
By Eleanor PringleDecember 16, 2025
2 days ago
placeholder alt text
Success
As millions of Gen Zers face unemployment, McDonald's CEO dishes out some tough love career advice for navigating the market: ‘You've got to make things happen for yourself’
By Preston ForeDecember 16, 2025
1 day ago
placeholder alt text
Innovation
An MIT roboticist who cofounded bankrupt Roomba maker iRobot says Elon Musk's vision of humanoid robot assistants is 'pure fantasy thinking'
By Marco Quiroz-GutierrezDecember 16, 2025
1 day ago
placeholder alt text
AI
IBM, AWS veteran says 90% of your employees are stuck in first gear with AI, just asking it to ‘write their mean email in a slightly more polite way’
By Marco Quiroz-GutierrezDecember 16, 2025
1 day ago
placeholder alt text
Economy
The $38 trillion national debt is to blame for over $1 trillion in annual interest payments from here on out, CRFB says
By Nick LichtenbergDecember 17, 2025
9 hours ago
placeholder alt text
Politics
Exclusive: After citations against Elon Musk’s Boring Company were suddenly withdrawn, federal regulators are now investigating Nevada OSHA
By Jessica MathewsDecember 16, 2025
1 day ago

© 2025 Fortune Media IP Limited. All Rights Reserved. Use of this site constitutes acceptance of our Terms of Use and Privacy Policy | CA Notice at Collection and Privacy Notice | Do Not Sell/Share My Personal Information
FORTUNE is a trademark of Fortune Media IP Limited, registered in the U.S. and other countries. FORTUNE may receive compensation for some links to products and services on this website. Offers may be subject to change without notice.


Latest in Finance

Trump
Personal Financephilanthropy
‘Trump Accounts’ for kids get funding boost from Dalio and BlackRock
By Ben Steverman, Caitlin Reilly and BloombergDecember 17, 2025
3 hours ago
DOJ
Bankingfraud
$1 billion fraud revealed with guilty pleas from subprime auto lender Tricolor
By Larry Neumeister and The Associated PressDecember 17, 2025
3 hours ago
Zohran
EconomyNew York City
Mamdani gets 74,000 resumes in sign of New York City’s job-market misery
By Georgia Hall and BloombergDecember 17, 2025
3 hours ago
Woodside Energy CEO Meg O'Neill speaks while seated on the sidelines of an energy conference.
EnergyBig Oil
Embattled BP replaces CEO, naming Woodside Energy chief as first-ever woman leader of a Big Oil giant
By Jordan BlumDecember 17, 2025
3 hours ago
CryptoCoinbase
Coinbase announces stock trading and new Kalshi-based prediction markets
By Jeff John RobertsDecember 17, 2025
4 hours ago
Ray Dalio attends the Fortune Global Forum Riyadh 2025 on October 27, 2025 in Riyadh, Saudi Arabia. (
Personal FinanceRay Dalio
Ray Dalio donates $75 million to ‘Trump Accounts’ as Scott Bessent leads ‘50 State Challenge’ to invest in America’s kids
By Thalia Beaty and The Associated PressDecember 17, 2025
5 hours ago