Merck expects to sell $5 billion to $6 billion of its new Covid treatment pill in 2022
Merck sold $952 million of its Covid-19 treatment pill molnupiravir in the fourth quarter, and said it's on track for an additional $5 billion to $6 billion in sales in 2022.

Most sales so far have been concentrated in the U.S., the U.K. and Japan, the company said in releasing earnings results that beat Wall Street revenue and profit forecasts. Merck delivered 1.4 million courses across the U.S. after the federal Food and Drug Administration authorized the pill in December.

CEO Rob Davis said Merck is expected to fulfill its commitment in the coming days of delivering 3.1 million courses nationwide. The company also will ship 4 million courses to 25 countries worldwide soon, Davis said. Merck and partner Ridgeback Biotherapeutics share profits derived from molnupiravar equally.

"We've shown that molnupiravir works against omicron, which is important against that variant," Davis told CNBC's Meg Tirrell Thursday morning. "And obviously we'll have to see how this plays out and what is the initial uptake, but right now we feel we're off to a good start."

Here's how the company performed compared with what Wall Street expected, based on analysts' average estimates compiled by Refinitiv:

Adjusted EPS: $1.80 per share vs. $1.53 per share expected

Revenue: $13.52 billion vs. $13.16 billion expected

Merck swung to a $3.82 billion profit in the fourth quarter from a loss of $2.62 billion during the year-earlier period.

In clinical trials, molnupiravir reduced the risk of hospitalization or death in Covid patients by 30%, but slashed the risk of dying by 90%. Davis said the U.K. government is conducting a real world study looking at the drug's performance, and Merck is tracking its impact during the worldwide rollout.

Though new infections are declining, the U.S. is currently reporting an average of more than 2,400 deaths from Covid a day, a 6% increase over the previous week, according to a CNBC analysis of data from Johns Hopkins University. Davis said molnupiravir can play an important role in helping to reduce mortality from the virus.

"The fact that molnupiravir does reduce the risk of death by 90%, we could have a meaningful impact in helping patients," he said.

Molnupiravir is authorized for use in adults 18 and over. The FDA has limited use of the pill to situations where other authorized treatments are not accessible to people at high risk of severe disease from Covid. The agency's advisory committee narrowly endorsed the drug in November due to concerns about its safety and effectiveness.

Merck and Ridgeback released data from lab studies last week that found molnupirvavir was active against the omicron variant. Davis, during the company's earnings call Thursday, said he believes the pill will prove effective against future variants of the virus.

The head of Merck's research labs, Dean Li, said the company would consider pairing molnupiravir with other therapies in the future. Li said Merck is trying to find has other ways the pill can work.

"I do think it's important that we have an arsenal of multiple mechanism of action, because every viral disease that I know, the virus is pretty good at evading different mechanisms of action," Li said during the earnings call.