[6] A large part of the revenue is generated in the United States through the sale of special products for medical and aesthetic applications.

[8] Merz manages three production sites in Reinheim and Dessau (Germany) as well as in Racine County, Wisconsin (USA).

[9] In addition, the Group has its own sales offices in Brazil, France, Great Britain, Italy, Canada, South Korea, Mexico, Austria, Russia, Switzerland, Singapore, Spain, Taiwan, USA,[9] Argentina, Australia, China, Hong Kong, India, Indonesia, Colombia, the Netherlands, Thailand, Malaysia, the Philippines, the United Arab Emirates and Vietnam.

[14] Merz announced his first three ambassadors for the Asia-Pacific region in 2022; korean celebrities Lee Min-ho, Kim Ha-neul and Jeon So-min.

[15] Merz Therapeutics develops and distributes products for the treatment of neurological movement disorders such as dystonia and spasticity.

[3][9] In the beginning, Merz developed and produced the first contraceptive for birth control, as well as menthol refreshment cigarettes, and ointments against scaly skin.

[22][23] In the 1970s, the company also expanded its products for medical prescription, for example for the treatment of Parkinson's disease and lowering elevated blood lipids.

In 2002, Merz developed Memantine, the world's first active ingredient for the treatment of moderate to severe Alzheimer's dementia.

[9] At that time, the preparation was the only botulinum toxin type A (BoNT/A) without complexing foreign proteins and thus reduced the risk of antibody-mediated therapy failure.

During this time, the company continued to expand its position internationally among other things with the development of the active ingredient Memantine.

In order not to suffer a drop in sales after the patent expired, the expansion of the aesthetic and special neurology divisions was pushed ahead.

Merz entered the non-invasive facelift medical device business in 2014 with the acquisition of US company Ulthera for a sum close to $600 million.

Cosmetic and medical procedures were cancelled due to fear of contracting the virus and the scarcity of personal protective equipment such as gloves.