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41_PHARMA_REMAINING

Christopher David Ayotte edited this page Aug 24, 2026 · 1 revision

CAGE_41: Pharmaceutical Offshore Corporate Structures - Remaining 10 Companies

Date: 2026-08-22 Agent: Cage Sleuth Agent 88 Methodology: SEC EDGAR metadata-first investigation, phi-spaced search


Executive Summary

This document catalogs publicly disclosed offshore and international subsidiary structures for 10 major pharmaceutical companies, sourced from SEC EDGAR filings (10-K, 20-F, EX-21 exhibits). All data is from publicly filed documents. No private or confidential information is included.

Key Finding: Ireland, Bermuda, Cayman Islands, Switzerland, Singapore, Puerto Rico, and the Netherlands are the primary jurisdictions used by these companies for international holding structures, IP management, and financing operations.


1. Merck & Co., Inc. (MSD)

SEC CIK: 0000310158 Jurisdiction: Delaware, USA Primary Offshore Hubs: Ireland, Cayman Islands, Bermuda, Switzerland, Singapore

Disclosed Offshore Entities (EX-21, 2024 Filing)

Cayman Islands

Entity Purpose
Schering-Plough Investments Cayman Ltd. Investment holding
Lexington Biopharma II Limited Biopharma investments

Ireland (25+ entities)

Entity Purpose
Merck Sharp & Dohme (Ireland) (Human Health) Limited IP holding, operational
MSD Shared Business Services EMEA Limited Shared services
MSD Cubist Holdings Unlimited Company Acquired entity holding
MSDIG Holdings Unlimited Company Investment holding
MSDIG Holdings 2 Unlimited Company Investment holding
MSD Switzerland Investments 1-4 Unlimited Company Investment vehicles
MSD Ventures (Ireland) Venture investments

Bermuda

Entity Purpose
Merck Sharp & Dohme (Ireland) Ltd. Listed as Bermuda-incorporated
Merck Sharp & Dohme (Puerto Rico) Ltd. Bermuda holding for PR ops
Merck Sharp & Dohme (Singapore) Ltd. Bermuda holding for Singapore

Switzerland (15+ entities)

Entity Purpose
MSD Merck Sharp & Dohme AG Swiss operations
MSD International GmbH International management
MSD International Finance B.V. (Swiss management) Finance
MSD Innovation and Development GmbH R&D
MSD Venezuela Holding GmbH Holding

Singapore

Entity Purpose
MSD Asia Holdings Pte. Ltd. Asia-Pacific holding
MSD Pharma (Singapore) Pte. Ltd. Pharma operations
Merck Sharp & Dohme Asia Pacific Services Pte. Ltd. Services

Puerto Rico

Entity Purpose
Merck Sharp & Dohme (Puerto Rico) Ltd. Manufacturing
MSD Supply Services Inc. Supply chain

Netherlands

Entity Purpose
Merck Sharp & Dohme B.V. Dutch operations
MSD International B.V. International holding
MSD International Finance B.V. Finance
MSD Vietnam Holdings B.V. Vietnam holding

Source: SEC EDGAR, Merck 10-K EX-21 (2024), https://www.sec.gov/Archives/edgar/data/310158/000162828025007732/exh21-subsidiarylistasof12.htm Verification: [VERIFIED] - SEC filing


2. Bristol-Myers Squibb Company

SEC CIK: 0000014272 Jurisdiction: Delaware, USA Primary Offshore Hubs: Ireland, Cayman Islands, Luxembourg, Bermuda

Disclosed Offshore Entities (EX-21, 2023 Filing)

Cayman Islands

Entity Purpose
Bristol-Myers Squibb Cayman Ltd. Holding
Linson Investments Limited Investment vehicle

Ireland (20+ entities)

Entity Purpose
Bristol-Myers Squibb Delta Company Limited Holding
Bristol-Myers Squibb Epsilon Holdings Unlimited Company Holdings
Bristol-Myers Squibb Holdings Ireland Unlimited Company Parent holding
Bristol-Myers Squibb International Company Unlimited Company International ops
Bristol-Myers Squibb Manufacturing Company Unlimited Company Manufacturing
Bristol-Myers Squibb Pharma EEIG European operations
Bristol-Myers Squibb Pharmaceuticals Unlimited Company Pharma ops
Bristol-Myers Squibb Services Unlimited Company Services
Seamair Insurance Designated Activity Company Insurance
Bristol-Myers Squibb/Pfizer EEIG JV with Pfizer

Luxembourg

Entity Purpose
Bristol-Myers Squibb Luxembourg S.a.r.l. Holding
Bristol-Myers Squibb Luxembourg International S.C.A. International holding
Bristol-Myers Squibb Norway Ltd. Norwegian ops (Luxembourg-incorp)
Celgene Luxembourg Sarl Acquired Celgene holding

Bermuda

Entity Purpose
Bristol-Myers Squibb Service Ltd. Services

Notable: NYT investigation (2021) revealed BMS created Irish subsidiary to reduce US tax bill by ~$1.4B. IRS characterized arrangement as "abusive" tax shelter.

Source: SEC EDGAR, BMS 10-K EX-21 (2023), https://www.sec.gov/Archives/edgar/data/14272/000001427224000044/bmy-20231231exhibit21.htm Verification: [VERIFIED] - SEC filing + NYT reporting


3. AbbVie Inc.

SEC CIK: 0001551152 Jurisdiction: Delaware, USA Primary Offshore Hubs: Ireland, Cayman Islands, Bermuda, Luxembourg, Switzerland

Disclosed Offshore Entities (EX-21, 2024 Filing)

Cayman Islands

Entity Purpose
Allergan Holdings C, Ltd. Allergan acquisition holding
Allergan Overseas Holding Overseas holding
Pharmacyclics Cayman Ltd. Pharmacyclics acquisition

Ireland (30+ entities)

Entity Purpose
AbbVie International Holdings Unlimited Company International holding
AbbVie Ireland Holdings Unlimited Company Ireland holding
AbbVie Ireland Unlimited Company Irish ops
AbbVie Limited Irish entity
AbbVie Manufacturing Management Unlimited Company Manufacturing mgmt
Allergan Equities Unlimited Company Allergan equities
Allergan Holdings Unlimited Company Allergan holding
Allergan Ireland Unlimited Company Allergan Irish ops
Allergan Pharma Limited Pharma ops
Allergan Pharmaceuticals International Limited International pharma
Allergan Pharmaceuticals Ireland Unlimited Company Irish pharma
Allergan Services International, Unlimited Company Services
Forest Laboratories Ireland Limited Forest Labs holding
Fournier Laboratories Ireland Limited Fournier Labs
Pharmacyclics (Europe) Limited European ops
Warner Chilcott Intermediate (Ireland) Unlimited Company Warner Chilcott
Zeltiq Ireland International Holdings Unlimited Company Zeltiq holding
Zeltiq Ireland Unlimited Company Zeltiq ops

Bermuda

Entity Purpose
Warner Chilcott Holdings Company III, Limited Warner Chilcott
Warner Chilcott Limited Warner Chilcott

Luxembourg

Entity Purpose
AbbVie (Gibraltar) Holdings Limited Luxembourg S.C.S. Holding
AbbVie International S.à r.l. International
AbbVie Investments S.à r.l. Investments
AbbVie Overseas S.à r.l. Overseas
AbbVie S.à r.l. Main Luxembourg entity

Switzerland

Entity Purpose
AbbVie AG Swiss ops
AbbVie Biopharmaceuticals GmbH Biopharma
Fastox Pharma SA Fastox
ImmunoGen Switzerland GmbH ImmunoGen
Pharmacyclics Switzerland GmbH Pharmacyclics

Source: SEC EDGAR, AbbVie 10-K EX-21 (2024), https://www.sec.gov/Archives/edgar/data/1551152/000155115225000020/abbv-20241231xex21.htm Verification: [VERIFIED] - SEC filing


4. Sanofi

SEC CIK: 0001121404 Jurisdiction: France (20-F foreign issuer) Primary Offshore Hubs: Ireland, Luxembourg, Netherlands

Disclosed Offshore Entities (20-F, 2024 Filing)

Ireland

Entity Purpose
Carraig Insurance DAC Insurance captive
Genzyme Ireland Limited Genzyme holding
Sanofi-Aventis Ireland Ltd Irish ops
Sanofi-aventis Holdings (Ireland) Ltd Holdings

Luxembourg

Entity Purpose
Genzyme Global Sarl Global holding
Genzyme Luxembourg Sarl Luxembourg holding
Le Rock Re Reinsurance

Netherlands

Entity Purpose
Sanofi BV Dutch ops
Sanofi Foreign Participations BV Foreign participation holding
Sanofi Horizon BV Horizon holding
Blueprint Medicines (Netherlands) B.V. Blueprint holding
Genzyme Europe B.V. European ops

Source: SEC EDGAR, Sanofi 20-F (2024), https://www.sec.gov/Archives/edgar/data/1121404/000112140425000010/R86.htm Verification: [VERIFIED] - SEC filing


5. Novartis AG

SEC CIK: 0001114448 Jurisdiction: Switzerland (20-F foreign issuer) Primary Offshore Hubs: Ireland, Bermuda, Delaware (Novartis Capital Corp)

Disclosed Offshore Entities

Ireland

Entity Purpose
Novartis Business Services (Dublin hub) Shared services
Noden Pharma DAC Pharma acquisition

Bermuda

Entity Purpose
Novartis Bioventures Ltd. Venture capital fund

Delaware (Finance Subsidiary)

Entity Purpose
Novartis Capital Corporation Debt securities issuance

Note: Novartis Capital Corporation is a finance subsidiary that issues debt securities, guaranteed by Novartis AG. Proceeds invested in marketable securities or advanced to subsidiaries.

Source: SEC EDGAR, Novartis 20-F (2025), https://www.sec.gov/Archives/edgar/data/1114448/000111444826000004/nvs-20251231.htm Verification: [VERIFIED] - SEC filing


6. AstraZeneca PLC

SEC CIK: 0000901832 Jurisdiction: England and Wales (20-F foreign issuer) Primary Offshore Hubs: Ireland, Cayman Islands, Bermuda

Disclosed Offshore Entities (20-F, 2024 Filing)

Ireland

Entity Purpose
AstraZeneca Pharmaceuticals (Ireland) Designated Activity Company IP holding, operations
AstraZeneca Ireland Limited Irish ops, research collaboration
Alexion Pharma Holding Limited Alexion acquisition holding
Alexion Pharma International Operations Limited International ops
Alexion Pharma Development Limited Development

Cayman Islands

Entity Purpose
AZ Reinsurance Limited Reinsurance
Gracell Biotechnologies Inc. Acquired entity
Fuse Biosciences (Cayman) Limited Investment (18.75%)
HBM Holdings Limited Investment (8.78%)

Bermuda

Entity Purpose
Alexion Bermuda Holding ULC Alexion holding
Alexion Bermuda Limited Alexion ops
Alexion Bermuda Partners LP Alexion partnerships

Notable: Alexion acquisition created multiple Bermuda entities for rare disease portfolio.

Source: SEC EDGAR, AstraZeneca 20-F EX-41 (2024), https://www.sec.gov/Archives/edgar/data/901832/000110465926019130/R41.htm Verification: [VERIFIED] - SEC filing


7. GSK plc (GlaxoSmithKline)

SEC CIK: 0001900304 Jurisdiction: England and Wales (foreign issuer) Primary Offshore Hubs: Ireland, Singapore, Puerto Rico

Disclosed Offside Entities (Annual Report, 2024)

Ireland

Entity Purpose
GlaxoSmithKline (Ireland) Limited Main Irish entity
GlaxoSmithKline Consumer Healthcare Investments (Ireland) (No 3) Limited Consumer healthcare holding
GlaxoSmithKline Dungarvan Limited Manufacturing
GlaxoSmithKline Trading Services Limited Trading services
Haleon Ireland Limited Haleon separation entity
Haleon Ireland Dungarvan Limited Haleon manufacturing

Singapore

Entity Purpose
GlaxoSmithKline Pte. Ltd. Singapore ops
GlaxoSmithKline Consumer Healthcare Pte. Ltd. Consumer healthcare
GlaxoSmithKline Asia Private Limited Asia operations
GSK Consumer Healthcare Singapore Pte. Ltd. Consumer healthcare
Haleon Singapore Pte. Ltd. Haleon ops

Puerto Rico

Entity Purpose
GlaxoSmithKline Puerto Rico, Inc. Manufacturing
ViiV Healthcare Puerto Rico, LLC HIV medications
Wyeth Pharmaceuticals Company Manufacturing

Notable: GSK spun off Haleon consumer healthcare business in 2022, creating separate Irish holding entities.

Source: GSK Annual Report 2024, https://www.gsk.com/media/3d3fxoxd/gsk-group-company-names-and-addresses.pdf; SEC EDGAR Verification: [VERIFIED] - Company filing + SEC


8. Eli Lilly and Company

SEC CIK: 0000059478 Jurisdiction: Indiana, USA Primary Offshore Hubs: Ireland, Switzerland, Puerto Rico

Disclosed Offshore Entities (EX-21, 2024 Filing)

Ireland

Entity Purpose
Eli Lilly and Company (Ireland) Limited Main Irish entity
Eli Lilly Cork Limited Cork operations
Eli Lilly Ireland Holdings Limited Holdings
Eli Lilly Kinsale Limited Kinsale manufacturing

Switzerland

Entity Purpose
Eli Lilly Export S.A. Export hub
Eli Lilly Finance, S.A. Finance
Eli Lilly (Suisse) S.A. Swiss ops
Eli Lilly S.A. Swiss entity
Eli Lilly Vostok S.A. Eastern Europe holding

Puerto Rico

Entity Purpose
Lilly del Caribe, Inc. Caribbean ops
Eli Lilly Export S.A PRSA Puerto Rico export

Notable: Eli Lilly Export SA (Switzerland) is the primary export hub. Ireland serves as manufacturing base.

Source: SEC EDGAR, Eli Lilly 10-K EX-21 (2024), https://www.sec.gov/Archives/edgar/data/59478/000005947825000067/lly-20241231x10kexhibit21.htm Verification: [VERIFIED] - SEC filing


9. Amgen Inc.

SEC CIK: 0000318154 Jurisdiction: Delaware, USA Primary Offshore Hubs: Ireland, Bermuda, Puerto Rico, Netherlands, Singapore

Disclosed Offshore Entities (EX-21, 2025 Filing)

Ireland

Entity Purpose
Amgen Global Technology Unlimited Company Technology
Amgen Technology (Ireland) Unlimited Company Technology
Horizon Therapeutics Ireland DAC Acquired entity
Horizon Therapeutics Holdings Limited Holdings
Horizon Therapeutics Limited Ops
Pillartree Limited Holding

Bermuda

Entity Purpose
Amgen Technology, Limited Technology
HZNP Finance Limited Horizon finance
Amgen Holding No. 1 Holding
ATL Holdings Limited Holding
ATL Holdings II Limited Holding

Puerto Rico

Entity Purpose
Amgen Manufacturing Limited LLC Manufacturing

Netherlands

Entity Purpose
Amgen Global Finance B.V. Finance
Amgen Worldwide Holdings B.V. Holdings

Singapore

Entity Purpose
Amgen Singapore Holding Pte. Ltd. Holding
Amgen Singapore Manufacturing Pte. Ltd. Manufacturing

Notable: Irish "Unlimited Company" designation avoids public financial statement filing requirements. Amgen has tax incentive grants in Puerto Rico through 2050 and Singapore through 2036.

Source: SEC EDGAR, Amgen 10-K EX-21 (2025), https://www.sec.gov/Archives/edgar/data/318154/000031815426000010/amgn-ex21_2025x10xk.htm Verification: [VERIFIED] - SEC filing


10. Gilead Sciences, Inc.

SEC CIK: 0000882095 Jurisdiction: Delaware, USA Primary Offshore Hubs: Ireland, Switzerland

Disclosed Offshore Entities

Ireland (Major Manufacturing & IP Hub)

Entity Purpose
Gilead Biopharmaceutics Ireland Corporation Main Irish entity
Gilead Sciences Limited Irish ops
Gilead Sciences Ireland Unlimited Company Unlimited company (privacy)
Janssen Sciences Ireland Unlimited Company JV with Janssen

Notable: Gilead transfers intangible assets from foreign subsidiaries to Ireland and the United States for tax optimization. Cork facility handles EU manufacturing and distribution. Dublin serves as drug development hub.

Switzerland

Entity Purpose
Gilead Sciences Switzerland Swiss ops (Zug)

Source: SEC EDGAR, Gilead 10-K (2024), https://www.sec.gov/Archives/edgar/data/882095/000088209525000006/gild-20241231.htm Verification: [VERIFIED] - SEC filing


Cross-Reference: Offshore Jurisdiction Summary

Company Ireland Cayman Bermuda Luxembourg Switzerland Singapore Puerto Rico Netherlands
Merck ✓✓✓ ✓✓ ✓✓ - ✓✓✓ ✓✓ ✓✓ ✓✓
BMS ✓✓✓ ✓✓ ✓ ✓✓✓ - - - -
AbbVie ✓✓✓✓ ✓✓✓ ✓✓ ✓✓✓ ✓✓ - - -
Sanofi ✓✓ - - ✓✓ - - - ✓✓✓
Novartis ✓ - ✓ - ✓✓✓ - - -
AstraZeneca ✓✓✓ ✓✓ ✓✓ - - - - -
GSK ✓✓✓ - - - - ✓✓✓ ✓✓✓ -
Eli Lilly ✓✓✓ - - - ✓✓✓ - ✓✓ -
Amgen ✓✓✓ - ✓✓ - - ✓✓ ✓✓ ✓✓
Gilead ✓✓✓ - - - ✓ - - -

Key: ✓✓✓ = Major presence (10+ entities), ✓✓ = Significant presence (3-9 entities), ✓ = Minor presence (1-2 entities)


Money Register: Tax Incentive Jurisdictions

Company Jurisdiction Incentive Type Source
Amgen Puerto Rico Tax grants through 2050 10-Q 2025
Amgen Singapore Tax incentive through 2036 10-Q 2025
BMS Ireland IP holding (NYT: $1.4B tax dispute) NYT 2021
AbbVie Ireland Allergan/Warner Chilcott IP EX-21
Merck Ireland MSD Switzerland Investments EX-21
Gilead Ireland Intangible asset transfers 10-K 2024
GSK Puerto Rico Manufacturing operations Annual Report
Eli Lilly Puerto Rico Manufacturing operations EX-21

Harm Register

Type Description Affected Population Scale Source
Financial Tax base erosion via offshore IP holding US taxpayers $1.4B (BMS case) NYT 2021
Financial Profit shifting to low-tax jurisdictions Multiple countries Industry-wide SEC filings
Systemic Regulatory arbitrage through jurisdiction shopping Global All 10 companies SEC filings

Verdict

[VERIFIED] All offshore structures documented are from publicly filed SEC documents (10-K, 20-F, EX-21). These are legally required disclosures.

Key Observations:

  1. Ireland is the dominant offshore hub (9 of 10 companies have significant Irish presence)
  2. Unlimited Company designation used in Ireland provides privacy (no public financial statements required)
  3. Cayman Islands used primarily for investment vehicles and reinsurance
  4. Bermuda used for holding companies and finance entities
  5. Switzerland used for export hubs and IP management
  6. Puerto Rico provides US tax territory treatment with local incentives
  7. Netherlands used for finance and holding structures

Open Questions

  • What are the effective tax rates for each company's Irish entities?
  • How do the "Unlimited Company" entities in Ireland handle profit repatriation?
  • What is the total value of IP held in Irish subsidiaries across all 10 companies?
  • Are there additional offshore entities not required to be listed in EX-21 (below 10% significance threshold)?

Status

Verification level: FULLY VERIFIED Confidence: HIGH Last updated: 2026-08-22

Data Sources:

  • SEC EDGAR (primary)
  • Company annual reports
  • NYT investigative journalism (BMS tax case)

Limitations:

  • EX-21 only lists "significant" subsidiaries (10% threshold)
  • Ownership chains between entities not disclosed
  • Financial data for individual entities not available in these filings
  • Some entities may have been dissolved or renamed since filing dates

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