Form 10-Q - Quarterly report [Sections 13 or 15(d)]

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

_____________________

Form 10-Q

________________

(Mark One)


☒			QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended September 30, 2023


☐			TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from ______ to ______

Commission File No. 001-40235

Organon & Co.

(Exact name of registrant as specified in its charter)


Delaware		46-4838035
(State or other jurisdiction of incorporation)		(I.R.S. Employer Identification No.)

30 Hudson Street, Floor 33
Jersey City,	New Jersey	07302
(Address of principal executive offices) (zip code)

(Registrant’s telephone number, including area code) (551) 430-6900


			Not Applicable
(Former name, former address and former fiscal year, if changed since last report.)


Securities registered pursuant to Section 12(b) of the Act:
Title of each class	Trading Symbol(s)	Name of each exchange on which registered
Common Stock ($0.01 par value)	OGN	New York Stock Exchange

Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an emerging growth company. See the definitions of "large accelerated filer," "accelerated filer," "smaller reporting company," and "emerging growth company" in Rule 12b-2 of the Exchange Act. (Check one):


Large accelerated filer	☒	Accelerated filer	☐

Non-accelerated filer	☐	Smaller reporting company	☐

		Emerging growth company	☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒

The number of shares of common stock outstanding as of the close of business on October 27, 2023: 255,606,461

Table of Contents


		Page No.
PART I	FINANCIAL INFORMATION	3
Item 1.	Financial Statements (unaudited)	3
	Condensed Consolidated Statements of Income	3
	Condensed Consolidated Statements of Comprehensive Income	4
	Condensed Consolidated Balance Sheets	5
	Condensed Consolidated Statements of Stockholders' Equity (Deficit)	6
	Condensed Consolidated Statements of Cash Flows	7
	Notes to Condensed Consolidated Financial Statements (unaudited)	8

















Item 2.	Management's Discussion and Analysis of Financial Condition and Results of Operations	22
Item 3.	Quantitative and Qualitative Disclosures about Market Risk	29
Item 4.	Controls and Procedures	29
PART II	OTHER INFORMATION	30
Item 1.	Legal Proceedings	30
Item 1A.	Risk Factors	30
Item 5.	Other Information	30
Item 6.	Exhibits	31
	Signatures

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PART I - FINANCIAL INFORMATION

Item 1. Financial Statements

Organon & Co.

Condensed Consolidated Statements of Income

(Unaudited, $ in millions except shares in thousands and per share amounts)


	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022
Revenues	$	1,519	$	1,537	$	4,665	$	4,689
Costs, Expenses and Other
Cost of sales	612		551		1,832		1,700
Selling, general and administrative	538		440		1,424		1,234
Research and development	137		127		394		329
Acquired in-process research and development and milestones	—		10		8		107
Restructuring costs	—		11		4		11
Interest expense	134		108		398		303
Exchange losses (gains)	14		4		25		(21)
Other expense, net	4		4		11		15
	1,439		1,255		4,096		3,678
Income Before Income Taxes	80		282		569		1,011
Taxes on income	22		55		92		202


Net Income	$	58	$	227	$	477	$	809

Earnings per Share:


Basic	$	0.23	$	0.89	$	1.87	$	3.19




Diluted	$	0.23	$	0.89	$	1.86	$	3.17

Weighted Average Shares Outstanding:
Basic	255,588		254,348		255,112		253,986
Diluted	256,349		255,067		256,162		255,094

The accompanying notes are an integral part of these interim Condensed Consolidated Financial Statements.

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Organon & Co.

Condensed Consolidated Statements of Comprehensive Income

(Unaudited, $ in millions)


	Three Months Ended September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022
Net income	$	58	$	227	$	477	$	809
Other Comprehensive Income, Net of Taxes:
Benefit plan net loss and prior service cost, net of amortization	—		—		(1)		—
Cumulative translation adjustment	(43)		(97)		(11)		(173)
	(43)		(97)		(12)		(173)
Comprehensive income	$	15	$	130	$	465	$	636

The accompanying notes are an integral part of these interim Condensed Consolidated Financial Statements.

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Organon & Co.

Condensed Consolidated Balance Sheets

(Unaudited, $ in millions except shares in thousands and per share amounts)


	September 30, 2023		December 31, 2022

Assets
Current Assets:
Cash and cash equivalents	$	414	$	706
Accounts receivable (net of allowance for doubtful accounts of $9 in 2023 and $9 in 2022)	1,648		1,475
Inventories (excludes inventories of $95 in 2023 and $148 in 2022 classified in Other assets)	1,186		1,003
Other current assets	802		747
Total Current Assets	4,050		3,931
Property, plant and equipment, net	1,096		1,018
Goodwill	4,603		4,603
Intangibles, net	561		649
Other assets	702		754
Total Assets	$	11,012	$	10,955

Liabilities and Equity
Current Liabilities:
Current portion of long-term debt	$	8	$	8
Trade accounts payable	1,067		1,132
Accrued and other current liabilities	1,255		1,188
Income taxes payable	161		184
Total Current Liabilities	2,491		2,512
Long-term debt	8,646		8,905
Deferred income taxes	43		19
Other noncurrent liabilities	421		411
Total Liabilities	11,601		11,847
Contingencies (Note 15)

Organon & Co. Stockholders' Deficit:
Common stock, $0.01 par value Authorized - 500,000 Issued and outstanding - 255,606 in 2023 and 254,370 in 2022	3		3
Accumulated deficit	(16)		(331)
Accumulated other comprehensive loss	(576)		(564)
Total Stockholders' Deficit	(589)		(892)
Total Liabilities and Stockholders' Deficit	$	11,012	$	10,955

The accompanying notes are an integral part of these interim Condensed Consolidated Financial Statements.

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Organon & Co.

Condensed Consolidated Statements of Stockholders' Equity (Deficit)

(Unaudited, $ in millions, except shares in thousands and per share amounts)


	Common Stock			Additional Paid-In Capital		Accumulated Deficit		Accumulated Other Comprehensive Loss		Total
	Shares	Par Value
Balance at July 1, 2022	254,321	$	3	$	—	$	(551)	$	(589)	$	(1,137)
Net income	—	—		—		227		—		227
Other comprehensive loss, net of taxes	—	—		—		—		(97)		(97)
Cash dividends declared on common stock ($0.28 per share)	—	—		—		(74)		—		(74)
Stock-based compensation plans and other	43	—		—		15		—		15
Net transfers from Merck & Co., Inc., including Separation Adjustments	—	—		—		—		—		—
Balance at September 30, 2022	254,364	$	3	$	—	$	(383)	$	(686)	$	(1,066)

Balance at July 1, 2023	255,568	$	3	$	—	$	(25)	$	(533)	$	(555)
Net income	—	—		—		58		—		58
Other comprehensive loss, net of taxes	—	—		—		—		(43)		(43)
Cash dividends declared on common stock ($0.28 per share)	—	—		—		(74)		—		(74)
Stock-based compensation plans and other	38	—		—		25		—		25

Balance at September 30, 2023	255,606	$	3	$	—	$	(16)	$	(576)	$	(589)







Balance at January 1, 2022	253,550	$	3	$	—	$	(998)	$	(513)	$	(1,508)
Net income	—	—		—		809		—		809
Other comprehensive loss, net of taxes	—	—		—		—		(173)		(173)
Cash dividends declared on common stock ($0.84 per share)	—	—		—		(218)		—		(218)
Stock-based compensation plans and other	814	—		—		41		—		41
Net transfers to Merck & Co., Inc. including Separation Adjustments	—	—		—		(17)		—		(17)
Balance at September 30, 2022	254,364	$	3	$	—	$	(383)	$	(686)	$	(1,066)

Balance at January 1, 2023	254,370	$	3	$	—	$	(331)	$	(564)	$	(892)
Net income	—	—		—		477		—		477
Other comprehensive loss, net of taxes	—	—		—		—		(12)		(12)
Cash dividends declared on common stock ($0.84 per share)	—	—		—		(221)		—		(221)
Stock-based compensation plans and other	1,236	—				59		—		59

Balance at September 30, 2023	255,606	$	3	$	—	$	(16)	$	(576)	$	(589)

The accompanying notes are an integral part of these interim Condensed Consolidated Financial Statements.

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Organon & Co.

Condensed Consolidated Statements of Cash Flows

(Unaudited, $ in millions)


	Nine Months Ended September 30,
	2023		2022
Cash Flows from Operating Activities
Net income	$	477	$	809
Adjustments to reconcile net income to net cash flows provided by operating activities:
Depreciation	88		72
Amortization	88		88
Impairment of assets	—		9
Acquired in-process research and development and milestones	8		107
Deferred income taxes	4		(18)
Stock-based compensation	74		52
Unrealized foreign exchange loss (gain)	19		(45)
Other	24		24
Net changes in assets and liabilities
Accounts receivable	(185)		(119)
Inventories	(137)		(134)
Other current assets	(56)		(76)
Trade accounts payable	(68)		(323)
Accrued and other current liabilities	34		108

Income taxes payable	(21)		45
Other	53		(8)
Net Cash Flows Provided by Operating Activities	402		591
Cash Flows from Investing Activities
Capital expenditures	(172)		(133)
Proceeds from sale of property, plant and equipment	1		3
Acquired in-process research and development and milestones	(8)		(105)
Purchase of product rights and asset acquisition, net of cash acquired	—		(124)
Net Cash Flows Used in Investing Activities	(179)		(359)
Cash Flows from Financing Activities
Proceeds from debt	80		—
Repayments of debt	(336)		(106)




Net transfers to Merck & Co., Inc.	—		(17)
Employee withholding taxes related to stock-based awards	(15)		(11)
Dividend payments	(221)		(217)
Net Cash Flows Used in Financing Activities	(492)		(351)
Effect of Exchange Rate Changes on Cash and Cash Equivalents	(23)		(119)
Net Decrease in Cash and Cash Equivalents	(292)		(238)
Cash and Cash Equivalents, Beginning of Period	706		737
Cash and Cash Equivalents, End of Period	$	414	$	499

The accompanying notes are an integral part of these interim Condensed Consolidated Financial Statements.

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Notes to Condensed Consolidated Financial Statements (unaudited)

1. Background and Nature of Operations

Organon & Co. ("Organon" or the "Company") is a global health care company with a focus on improving the health of women throughout their lives. Organon develops and delivers innovative health solutions through a portfolio of prescription therapies and medical devices within women's health, biosimilars and established brands (the "Organon Products"). Organon has a portfolio of more than 60 medicines and products across a range of therapeutic areas. The Company sells these products through various channels including drug wholesalers and retailers, hospitals, government agencies and managed health care providers such as health maintenance organizations, pharmacy benefit managers and other institutions. The Company operates six manufacturing facilities, which are located in Belgium, Brazil, Indonesia, Mexico, the Netherlands and the United Kingdom. Unless otherwise indicated, trademarks appearing in italics throughout this document are trademarks of, or are used under license by, the Organon group of companies.

The Company's operations include the following product portfolios:

•Women's Health: Organon's women's health products are sold by prescription primarily in two therapeutic areas, contraception, with key brands such as Nexplanon® (etonogestrel implant) (sold as Implanon NXT™ in some countries outside the United States) and NuvaRing® (etonogestrel / ethinyl estradiol vaginal ring), and fertility, with key brands such as Follistim AQ® (follitropin beta injection) (marketed in most countries outside the United States as Puregon™). Nexplanon is a long-acting reversible contraceptive, which is a class of contraceptives that is recognized as one of the most effective types of hormonal contraception available to patients with a low long-term average cost. Other women’s health products include the Jada® System, which is intended to provide control and treatment of abnormal postpartum uterine bleeding or hemorrhage when conservative management is warranted and a license from Daré Biosciences for the global commercial rights to Xaciato™ (clindamycin phosphate vaginal gel, 2%), an FDA-approved medication for the treatment of bacterial vaginosis ("BV") in females 12 years of age and older. In October 2023, Xaciato was launched in the United States.

•Biosimilars: Organon's current portfolio spans across immunology and oncology treatments. Organon's oncology biosimilars have been launched in more than 20 countries and Organon's immunology biosimilars have been launched in five countries. All five biosimilars in Organon's portfolio have launched in Canada, and three biosimilars; Ontruzant® (trastuzumab-dttb), Renflexis® (infliximab-abda) and Hadlima™ (adalimumab-bwwd) have been launched in the United States.

•Established Brands: Organon has a portfolio of established brands, which generally are beyond market exclusivity, including leading brands in cardiovascular, respiratory, dermatology and non-opioid pain management. A number of Organon's established brands lost exclusivity years ago and have faced generic competition for some time.

2. Basis of Presentation

The accompanying unaudited financial statements have been prepared in accordance with U.S. Generally Accepted Accounting Principles (“GAAP”) and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, certain information and disclosures required by GAAP for complete consolidated financial statements are not included herein. The results of operations of any interim period are not necessarily indicative of the results of operations for the full year. In the Company's opinion, all adjustments necessary for a fair statement of these interim statements have been included and are of a normal and recurring nature. All intercompany transactions and accounts within Organon have been eliminated. These interim statements should be read in conjunction with the audited financial statements and notes thereto included in Organon's Annual Report on Form 10-K for the year ended December 31, 2022.

Use of Estimates

The presentation of these Condensed Consolidated Financial Statements and accompanying notes in conformity with U.S. GAAP require management to make estimates and assumptions that affect the amounts reported, as further described in the Annual Report on Form 10-K for the year ended December 31, 2022. Accordingly, actual results could differ materially from management's estimates and assumptions.

The Company was impacted by COVID-19 during the first half of 2023, specifically, in the Company's operations in China. The Company does not anticipate a continued impact from COVID-19. The assessment of certain accounting matters and specifically its effect on the Company's results require consideration of forecasted financial information in the context of the

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Notes to Condensed Consolidated Financial Statements (unaudited) (continued)

information reasonably available to the Company as of September 30, 2023 and through the date of this report which are difficult to predict.

Recently Adopted Accounting Standards

In March 2020, the FASB issued ASU 2020-04, Reference Rate Reform (Topic 848): Facilitation of the Effects of Reference Rate Reform on Financial Reporting, optional guidance to ease the potential burden in accounting for (or recognizing the effects of) reference rate reform on financial reporting and subsequently issued clarifying amendments. The guidance provides optional expedients and exceptions for applying GAAP to contracts, hedging relationships, and other transactions that reference the London Interbank Offered Rate ("LIBOR") or another reference rate expected to be discontinued because of reference rate reform. The optional guidance is effective upon issuance and can be applied on a prospective basis at any time between January 1, 2020 and December 31, 2022; the sunset date was subsequently deferred to December 31, 2024 based on the amendment issued in December 2022 under ASU 2022-06, Reference Rate Reform (Topic 848). The Company applied this guidance to our Senior Credit Agreement, as amended on June 30, 2023. The impact to the Consolidated Financial Statements as a result of the application of the reference rate reform guidance is not material. See Note 11 "Long-Term Debt" for additional details.

In October 2021, the FASB issued ASU 2021-08, Business Combinations (Topic 805): Accounting for Contract Assets and Contract Liabilities from Contracts with Customers, guidance to improve the accounting for contract assets and contract liabilities from acquired revenue contracts with customers in a business combination. The guidance addresses diversity in practice and inconsistency related to the recognition of an acquired contract liability, payment terms and their effect on subsequent revenue recognized by an acquirer. The guidance became effective for the Company on January 1, 2023 and its amendments will be applied prospectively to business combinations occurring on or after the effective date of the guidance. The adoption of this guidance did not have an impact on the Company's Consolidated Financial Statements for prior acquisitions; however, the impact in future periods will be dependent upon the contract assets and contract liabilities acquired in future business combinations.

3. Acquisitions and Licensing Arrangements

Claria Medical, Inc. ("Claria")

In January 2023, the Company made a strategic investment in Claria, a privately-held company developing an investigational medical device being studied for use during minimally invasive laparoscopic hysterectomy. Under the terms of the agreement, Organon paid $8 million upfront and has the option to acquire Claria for an additional $47 million, payable if and when the option is exercised. The $8 million was expensed as Acquired in-process research and development and milestones in our Condensed Consolidated Statement of Income for the nine months ended September 30, 2023.

4. Earnings per Share ("EPS")

The calculations of basic and diluted earnings per common share are as follows:


	Three Months Ended September 30,				Nine Months Ended September 30,
($ in millions and shares in thousands, except per share amounts)	2023		2022		2023		2022



Net income	$	58	$	227	$	477	$	809

Basic weighted average number of shares outstanding	255,588		254,348		255,112		253,986
Stock awards and equity units (share equivalent)	761		719		1,050		1,108
Diluted weighted average common shares outstanding	256,349		255,067		256,162		255,094

EPS:


Basic	$	0.23	$	0.89	$	1.87	$	3.19




Diluted	$	0.23	$	0.89	$	1.86	$	3.17

Anti-dilutive shares excluded from the calculation of EPS	10,390		6,313		9,833		4,432

Diluted EPS was computed using the treasury stock method for stock option awards, performance share units and restricted share units. The computation of diluted EPS excludes the effect of the potential exercise of stock-based awards when the effect of the potential exercise would be anti-dilutive.

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Notes to Condensed Consolidated Financial Statements (unaudited) (continued)

5. Product and Geographic Information

The Company's operations include the following product portfolios, which constitute one operating segment engaged in developing and delivering innovative health solutions through its portfolio of prescription therapies within women's health, biosimilars and established brands.

Revenues of the Company's products were as follows:


	Three Months Ended September 30,												Nine Months Ended September 30,
	2023						2022						2023						2022
($ in millions)	U.S.		Int’l		Total		U.S.		Int’l		Total		U.S.		Int'l		Total		U.S.		Int'l		Total
Women's Health
Nexplanon/Implanon NXT	$	146	$	74	$	220	$	151	$	78	$	229	$	418	$	181	$	599	$	401	$	194	$	595
Follistim AQ	22		32		54		27		33		60		74		105		179		79		100		179
NuvaRing	18		20		37		27		23		50		50		67		117		65		68		133
Ganirelix Acetate Injection	4		21		25		6		30		36		15		74		88		20		77		97
Marvelon/Mercilon	—		30		30		—		31		31		—		97		97		—		85		85
Jada	12		—		13		5		—		5		30		—		31		12		—		12
Other Women's Health (1)	16		22		39		19		23		42		52		74		126		68		70		138
Biosimilars
Renflexis	57		12		69		54		7		60		172		29		201		145		20		166
Ontruzant	11		28		40		15		14		29		36		57		93		35		52		87
Brenzys	—		13		13		—		24		24		—		45		45		—		52		52
Aybintio	—		12		12		—		10		10		—		34		34		—		29		29
Hadlima	2		6		8		—		6		6		2		18		20		—		14		14
Established Brands
Cardiovascular
Zetia	2		65		66		2		85		87		5		234		239		7		280		287
Vytorin	2		31		33		1		30		31		5		95		100		6		98		104
Atozet	—		126		126		—		109		109		—		397		397		—		350		350
Rosuzet	—		17		17		—		17		17		—		52		52		—		55		55
Cozaar/Hyzaar	3		65		68		2		68		70		8		217		225		11		244		256
Other Cardiovascular (1)	1		42		44		1		34		35		2		124		126		3		117		120
Respiratory
Singulair	3		88		91		3		92		94		8		282		290		8		308		316
Nasonex	—		54		55		—		49		49		—		187		188		9		173		182
Dulera	40		9		49		31		9		40		116		28		144		98		30		127
Clarinex	2		26		28		—		25		26		4		103		107		3		96		99
Other Respiratory (1)	17		9		25		11		10		21		42		20		61		34		32		66
Non-Opioid Pain, Bone and Dermatology
Arcoxia	—		64		64		—		64		64		—		207		207		—		185		185
Fosamax	1		40		41		1		35		36		2		121		123		2		115		117
Diprospan	—		31		31		—		28		28		—		58		58		—		91		91
Other Non-Opioid Pain, Bone and Dermatology (1)	4		70		74		2		63		65		11		196		207		10		200		210
Other
Proscar	—		25		25		—		26		27		1		76		77		1		76		77
Propecia	2		21		22		2		28		30		5		86		92		5		90		95
Other (1)	5		72		76		6		81		87		10		231		240		21		230		251
Other (2)	—		24		24		—		39		39		(1)		103		102		—		115		116
Revenues	$	370	$	1,149	$	1,519	$	366	$	1,171	$	1,537	$	1,067	$	3,598	$	4,665	$	1,043	$	3,646	$	4,689

Totals may not foot due to rounding. Trademarks appearing above in italics are trademarks of, or are used under license by, the Organon group of companies.

(1) Includes sales of products not listed separately. Revenues from Marvelon and Mercilon and Jada were previously reported as part of Other Women's Health. Revenue from an arrangement for the sale of generic etonogestrel/ethinyl estradiol vaginal ring is included in Other Women's Health.

(2) Includes manufacturing sales to Merck & Co., Inc. ("Merck") and third parties for current and prior periods.

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Notes to Condensed Consolidated Financial Statements (unaudited) (continued)

Revenues by geographic area where derived are as follows:


	Three Months Ended September 30,				Nine Months Ended September 30,
($ in millions)	2023		2022		2023		2022
Europe and Canada	$	392	$	363	$	1,259	$	1,243
United States	370		366		1,067		1,043
Asia Pacific and Japan	284		283		869		888
China	202		241		661		721
Latin America, Middle East, Russia, and Africa	239		236		687		665
Other (1)	32		48		122		129
Revenues	$	1,519	$	1,537	$	4,665	$	4,689

(1) Primarily reflects manufacturing sales to Merck and third parties for current and prior periods.

6. Stock-Based Compensation Plans

The Company grants stock option awards, performance share units ("PSUs") and restricted share units ("RSUs") pursuant to its 2021 Incentive Stock Plan.

The PSU awards are based on the following performance factors:

•total stockholder return of the Company relative to an index of peer companies ("relative TSR") specified in the awards; and

•the results of the cumulative free cash flow ("FCF") of the Company over a three-year period.

Stock-based compensation expenses incurred by the Company were as follows:


	Three Months Ended September 30,				Nine Months Ended September 30,
($ in millions)	2023		2022		2023		2022
Stock-based compensation expense recognized in:
Cost of sales	$	5	$	3	$	13	$	9
Selling, general and administrative	18		12		50		35
Research and development	4		3		11		8
Total	$	27	$	18	$	74	$	52

Income tax benefits	$	6	$	3	$	16	$	11

The weighted average fair value of options granted was determined using the following assumptions:


	Nine Months Ended September 30,
	2023		2022
Expected dividend yield	4.82	%	3.12	%
Risk-free interest rate	3.56		2.47
Expected volatility	42.30		43.43
Expected life (years)	5.89		5.89

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Notes to Condensed Consolidated Financial Statements (unaudited) (continued)

A summary of the equity award transactions for the nine months ended September 30, 2023 is as follows:


	Stock Options					Restricted Share Units			Performance Share Units
(shares in thousands)	Shares	Weighted average exercise price		Weighted average grant date fair value		Shares	Weighted average grant date fair value		Shares	Weighted average grant date fair value
Outstanding as of January 1, 2023	4,729	$	34.34	$	8.91	5,048	$	33.27	486	$	46.72
Granted	1,124	23.52		6.55		3,867	23.51		636	23.30
Vested/Exercised	—	—		—		(1,930)	33.93		—	—
Forfeited/Cancelled	(89)	36.12		8.70		(459)	30.79		—	—
Outstanding as of September 30, 2023	5,764	$	32.21	$	8.45	6,526	$	27.47	1,122	$	33.44

The following table summarizes information about equity awards outstanding that are vested and expected to vest and equity awards outstanding that are exercisable as of September 30, 2023:


	Equity Awards Vested and Expected to Vest						Equity Awards That are Exercisable
(awards in thousands; aggregate intrinsic value in millions)	Awards	Weighted Average Exercise Price		Aggregate Intrinsic Value		Remaining Term (in years)	Awards	Weighted Average Exercise Price		Aggregate Intrinsic Value		Remaining Term (in years)
Stock Options	5,591	$	32.21	$	—	7.04	3,311	$	33.79	$	—	5.87
Restricted Share Units	6,071			114		1.98
Performance Share Units	629			12		1.82

The amount of unrecognized compensation costs as of September 30, 2023 was $170 million, which will be recognized in operating expense ratably over the weighted average vesting period of 1.93 years.

7. Restructuring

In 2022, Organon initiated restructuring activities to optimize its internal operations by reducing headcount through selected markets and functions. As a result of this program, the Company restructured approximately 130 positions, with the majority of the position eliminations occurring in selected markets outside of the United States in our commercial organizations. During the nine months ended September 30, 2023, $15 million of restructuring charges have been paid, with the remaining severance payments to be paid by the end of the 2023 fiscal year. For the nine months ended September 30, 2023, the Company recorded restructuring charges of $4 million, which relate to severance costs for eliminated positions.

Liabilities for costs associated with restructuring activities were $10 million and $20 million at September 30, 2023 and December 31, 2022, respectively, and are included primarily in Accrued and other current liabilities.

In the fourth quarter of 2023, Organon will implement additional restructuring activities to optimize its internal operations by reducing headcount in certain markets and functions. As a result of these activities, the Company expects to restructure approximately 3% of the Company's headcount, which is expected to result in a charge of approximately $60 million to $70 million primarily representing severance and severance related costs in the fourth of quarter of 2023. These amounts will be paid over the next twelve months.

8. Taxes on Income

The effective income tax rates were 27.0% and 19.6% for the three months ended September 30, 2023 and 2022, respectively, and 16.1% and 20.0% for the nine months ended September 30, 2023 and 2022, respectively. These effective income tax rates reflect the beneficial impact of foreign earnings, offset by the impact of U.S. inclusions under the Global Intangible Low-Taxed Income regime and a partial valuation allowance recorded against non-deductible U.S. interest expense. The 2023 year-to-date effective tax rate favorable impact is primarily attributable to a reduced tax rate arrangement that was agreed to in Switzerland for an active entity.

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Notes to Condensed Consolidated Financial Statements (unaudited) (continued)

On August 16, 2022, the United States enacted the Inflation Reduction Act of 2022. Provisions of the bill that relate to tax include the minimum tax on book income, a 1% excise tax on stock buybacks and certain tax incentives to promote clean energy. There are no impacts of the legislation to the third quarter 2023 results. The Company will continue to assess future impacts of this legislation.

9. Inventories

Inventories consisted of:


($ in millions)	September 30, 2023		December 31, 2022
Finished goods	$	496	$	482
Raw materials	128		44
Work in process	606		601
Supplies	57		44
Total (approximates current cost)	$	1,287	$	1,171
Decrease to LIFO costs	(6)		(20)
	$	1,281	$	1,151
Recognized as:
Inventories	$	1,186	$	1,003
Other assets	95		148

Inventories valued under the last in, first out ("LIFO") method	85		77

Amounts recognized as Other assets are comprised primarily of raw materials and work in process inventories and are not expected to be converted to finished goods that will be sold within one year. The Company has a long-term vendor supply contract that includes certain annual minimum purchase commitments.

10. Financial Instruments

Foreign Currency Risk Management

The Company has a balance sheet risk management and a net investment hedging program to mitigate against volatility of changes in foreign exchange rates.

The Company uses a balance sheet risk management program to partially mitigate the exposure of net monetary assets of its subsidiaries that are denominated in a currency other than a subsidiary's functional currency from the effects of volatility in foreign exchange. In these instances, Organon principally utilizes forward exchange contracts to partially offset the effects of exchange on exposures denominated in developed country currencies, primarily the euro, Swiss franc, and Japanese yen. For exposures in developing country currencies, the Company enters into forward contracts to partially offset the effects of exchange on exposures when it is deemed economical to do so based on a cost-benefit analysis that considers the magnitude of the exposure, the volatility of the exchange rate and the cost of the hedging instrument.

Monetary assets and liabilities denominated in a currency other than the functional currency of a given subsidiary are remeasured at spot rates in effect on the balance sheet date with the effects of changes in spot rates reported in Exchange losses (gains). The forward contracts are not designated as hedges and are marked to market through Exchange losses (gains). Accordingly, fair value changes in the forward contracts help mitigate the changes in the value of the remeasured assets and liabilities attributable to changes in foreign currency exchange rates, except to the extent of the spot-forward differences. These differences are not significant due to the short-term nature of the contracts, which typically have average maturities at inception of less than one year. The notional amount of forward contracts was $1.0 billion and $1.5 billion as of September 30, 2023 and December 31, 2022, respectively. The cash flows and the related gains and losses from these contracts are reported as operating activities in the Condensed Consolidated Statements of Cash Flows.

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Notes to Condensed Consolidated Financial Statements (unaudited) (continued)

The Company measures fair value based on the prices that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. Fair value measurements are based on a three-tier hierarchy that prioritizes the inputs used to measure fair value. These tiers include Level 1, defined as observable inputs such as quoted prices in active markets; Level 2, defined as inputs other than quoted prices in active markets that are either directly or indirectly observable; and Level 3, defined as unobservable inputs for which little or no market data exists, therefore requiring an entity to develop its own assumptions.

The following financial instruments were recorded at their estimated fair value. The recurring fair value measurement of our assets and liabilities were as follows:


($ in millions)	Fair Value Measurement Level	September 30, 2023		December 31, 2022
Forward contracts in Other current assets	2	$	17	$	6
Forward contracts in Accrued and other current liabilities	2	12		24

Foreign exchange risk is also managed through the use of economic hedges on foreign currency balances. See Note 11 "Long-Term Debt" for additional details. €1.983 billion in the aggregate of both the euro-denominated term loan (€733 million) and the 2.875% euro-denominated secured notes (€1.25 billion) has been designated and is effective as an economic hedge of the net investment in euro-denominated subsidiaries.

Foreign currency gains due to spot rate fluctuations on the euro-denominated debt instruments included in foreign currency translation adjustments resulting from hedge designation were as follows:


	Three Months Ended September 30,				Nine Months Ended September 30,
($ in millions)	2023		2022		2023		2022
Foreign currency gains in Other comprehensive income	$	79	$	176	$	21	$	303

The Condensed Consolidated Statements of Income include the impact of actual net (gains) and losses of Organon's derivative financial instruments:


	Three Months Ended September 30,				Nine Months Ended September 30,
($ in millions)	2023		2022		2023		2022

Foreign exchange loss (gain) in Exchange losses (gains)	$	14	$	4	$	25	$	(21)

Organon has established accounts receivable factoring agreements with financial institutions in certain countries to sell accounts receivable. Under these agreements, Organon factored $55 million and $43 million of accounts receivable as of September 30, 2023 and December 31, 2022, respectively, which reduced outstanding accounts receivable. The cash received from the financial institutions is reported within operating activities in the Condensed Consolidated Statements of Cash Flows.

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Notes to Condensed Consolidated Financial Statements (unaudited) (continued)

11. Long-Term Debt

The following is a summary of Organon's total debt:


($ in millions)	September 30, 2023		December 31, 2022
Term Loan B Facility:
SOFR plus 300 bps plus SOFR adjustment1 term loan due 2028	$	2,543	$	2,793
EURIBOR plus 300 bps euro-denominated term loan due 2028 (€750 million)	773		787
4.125% secured notes due 2028	2,100		2,100
2.875% euro-denominated secured notes due 2028 (€1.25 billion)	1,318		1,331
5.125% notes due 2031	2,000		2,000
Other borrowings	7		7
Other (discounts and debt issuance costs)	(87)		(105)
Total principal long-term debt	$	8,654	$	8,913
Less: Current portion of long-term debt	8		8
Total Long-term debt, net of current portion	$	8,646	$	8,905

1.The SOFR adjustment is an additional interest amount per annum of 11.448 bps for a one-month interest period, 26.161 bps for a three-month interest period, or 42.826 bps for a six-month interest period, at our option.

The nature and terms of our Senior Credit Agreement, Notes and Other borrowings are described in detail in Note 11 "Long-Term Debt and Leases" in the 2022 Annual Report on Form 10-K for the year ended December 31, 2022.

On June 30, 2023, the Company entered into Amendment No. 1 to the Senior Credit Agreement. Amendment No. 1 replaces LIBOR-based rates with Adjusted Term Secured Overnight Financing Rate ("SOFR")-based rates and updates certain other provisions of the Senior Credit Agreement to reflect the transition from LIBOR to the Adjusted Term SOFR. The impact of the rate transition was not material to the Condensed Consolidated Financial Statements.

Long-term debt was recorded at the carrying amount. The estimated fair value of long-term debt (including current portion) is as follows:


($ in millions)	September 30, 2023		December 31, 2022
Long-term debt	$	7,853	$	8,294

Fair value was estimated using inputs other than quoted prices in active markets for identical assets and liabilities that are observable either directly or indirectly for substantially the full term of the asset or liability and would be considered Level 2 in the fair value hierarchy.

The Company made interest payments related to its debt instruments of $311 million for the nine months ended September 30, 2023. The average maturity of the Company's long-term debt as of September 30, 2023 is approximately 5.3 years and the weighted-average interest rate on total borrowings as of September 30, 2023 is 5.7%.

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Notes to Condensed Consolidated Financial Statements (unaudited) (continued)

On March 30, 2023, the Company made a discretionary prepayment of $250 million on the U.S. Dollar-denominated term loan.

On June 21, 2023, the Company borrowed $80 million on the Revolving Credit Facility and subsequently repaid the amount on June 30, 2023.

The schedule of principal payments required on long-term debt for the next five years and thereafter is as follows:


($ in millions)
2023	$	2
2024	9
2025	9
2026	9
2027	9
Thereafter	8,703

The Senior Credit Agreement contains customary financial covenants, including a total leverage ratio covenant, which measures the ratio of (i) consolidated total debt to (ii) consolidated earnings before interest, taxes, depreciation, and amortization, and subject to other adjustments, that must meet certain defined limits which are tested on a quarterly basis. In addition, the Senior Credit Agreement contains covenants that limit, among other things, Organon’s ability to prepay, redeem or repurchase its subordinated and junior lien debt, incur additional debt, make acquisitions, merge with other entities, pay dividends or distributions, redeem, or repurchase equity interests, and create or become subject to liens. As of September 30, 2023, the Company is in compliance with all financial covenants and no default or event of default has occurred.

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Notes to Condensed Consolidated Financial Statements (unaudited) (continued)

12. Accumulated Other Comprehensive Income (Loss)

Changes in Accumulated other comprehensive income (loss) by component are as follows:


($ in millions)	Employee Benefit Plans		Cumulative Translation Adjustment		Accumulated Other Comprehensive Loss
Balance at July 1, 2022, net of taxes	$	(13)	$	(576)	$	(589)
Other comprehensive loss, pretax	—		(97)		(97)
Tax	—		—		—
Other comprehensive loss, net of taxes	—		(97)		(97)

Balance at September 30, 2022, net of taxes	$	(13)	$	(673)	$	(686)

Balance at July 1, 2023, net of taxes	$	9	$	(542)	$	(533)
Other comprehensive loss, pretax	—		(43)		(43)
Tax	—		—		—
Other comprehensive loss, net of taxes	—		(43)		(43)
Balance at September 30, 2023, net of taxes	$	9	$	(585)	$	(576)








Balance at January 1, 2022, net of taxes	$	(13)	$	(500)	$	(513)
Other comprehensive loss, pretax	(1)		(173)		(174)
Tax	1		—		1
Other comprehensive loss, net of taxes	—		(173)		(173)

Balance at September 30, 2022, net of taxes	$	(13)	$	(673)	$	(686)

Balance at January 1, 2023, net of taxes	$	10	$	(574)	$	(564)
Other comprehensive loss, pretax	(1)		(11)		(12)
Tax	—		—		—
Other comprehensive loss, net of taxes	(1)		(11)		(12)

Balance at September 30, 2023, net of taxes	$	9	$	(585)	$	(576)

13. Samsung Collaboration

The Company has an agreement with Samsung Bioepis Co., Ltd. ("Samsung Bioepis") to develop and commercialize multiple pre-specified biosimilar candidates, which have since launched and are part of the Company's product portfolio. Under the agreement, Samsung Bioepis is responsible for preclinical and clinical development, process development and manufacturing, clinical trials and registration of product candidates, and the Company has an exclusive license for worldwide commercialization with certain geographic exceptions specified on a product-by-product basis. The Company's access rights to each product under the agreement last for 10 years from each product's launch date on a market-by-market basis. Gross profits are shared equally in all markets with the exception of certain markets in Brazil where gross profits are shared 65% to Samsung Bioepis and 35% to the Company. Since the Company is the principal on sales transactions with third parties, the Company recognizes sales, cost of sales and selling, general and administrative expenses on a gross basis. Generally, profit sharing adjustments are recorded either to Cost of sales (after commercialization) or Selling, general and administrative expenses (prior to commercialization).

Samsung Bioepis is eligible for additional payments associated with pre-specified clinical and regulatory milestones. As of September 30, 2023, potential future regulatory milestone payments of $25 million remain under the agreement.

In July 2023, the Company began selling Hadlima, a biosimilar referencing Humira1 (adalimumab), in the United States.

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Notes to Condensed Consolidated Financial Statements (unaudited) (continued)

Summarized information related to this collaboration is as follows:


	Three Months Ended September 30,				Nine Months Ended September 30,
($ in millions)	2023		2022		2023		2022
Sales	$	143	$	129	$	394	$	346
Cost of sales	98		86		272		221
Selling, general and administrative	17		18		53		60


($ in millions)	September 30, 2023		December 31, 2022
Receivables from Samsung included in Other current assets	$	8	$	21
Payables to Samsung included in Trade accounts payable	62		72

14. Third-Party Arrangements

On June 2, 2021, Organon and Merck entered into a Separation and Distribution Agreement (the "Separation and Distribution Agreement"). Pursuant to the Separation and Distribution Agreement, Merck agreed to spin off the Organon Products into Organon, a new, publicly-traded company (the "Separation").

The Separation was completed pursuant to the Separation and Distribution Agreement and other agreements with Merck related to the Separation, including, but not limited to a tax matters agreement, an employee matters agreement, Interim Operating Model Agreements ("IOM Agreements"), Manufacturing and Supply Agreements, Intellectual Property License Agreements, Regulatory Agreements and a transition services agreement (the "Transition Service Agreement" or "TSA").

Following the Separation, certain functions continue to be provided by Merck under the TSA or are being performed using the Company's own resources or third-party service providers. Under the TSA, Merck is providing Organon various services and, similarly, Organon is providing Merck various services. The provision of certain services under the TSA expired as of July 2, 2023, however, certain services have been extended to at least 35 months. Additionally, under manufacturing and supply agreements, the Company manufactures certain products for Merck, or its applicable affiliate, and Merck manufactures certain products for the Company, or its applicable affiliate. For details on the rights and responsibilities of the parties under the agreements, refer to Note 18 "Third-Party Arrangements and Related Party Disclosures" to the audited Consolidated Financial Statements in the Company's Annual Report on Form 10-K for the year ended December 31, 2022.

For the three and nine months ended September 30, 2023, material transactions occurred in connection with the IOM Agreements.

The amounts due under such agreements were:


($ in millions)	September 30, 2023		December 31, 2022
Due from Merck in Accounts receivable	$	467	$	374
Due to Merck in Accounts payable	601		543

Sales and cost of sales resulting from the manufacturing and supply agreements with Merck were:


	Three Months Ended September 30,				Nine Months Ended September 30,
($ in millions)	2023		2022		2023		2022
Sales	$	28	$	38	$	95	$	104
Cost of sales	25		31		88		91

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Table of Contents

Notes to Condensed Consolidated Financial Statements (unaudited) (continued)

15. Contingencies

Organon is involved in various claims and legal proceedings of a nature considered normal to its business, including product liability, intellectual property, and commercial litigation, as well as certain additional matters including governmental and environmental matters.

Organon records accruals for contingencies when it is probable that a liability has been incurred and the amount can be reasonably estimated. These accruals are adjusted periodically as assessments change or additional information becomes available. Individually significant contingent losses are accrued when probable and reasonably estimable. Legal defense costs expected to be incurred in connection with a loss contingency are accrued when probable and reasonably estimable.

Given the nature of the litigation discussed in this note and the complexities involved in these matters, Organon is unable to reasonably estimate a possible loss or range of possible loss for such matters until Organon knows, among other factors, (i) what claims, if any, will survive dispositive motion practice, (ii) the extent of the claims, including the size of any potential class, particularly when damages are not specified or are indeterminate, (iii) how the discovery process will affect the litigation, (iv) the settlement posture of the other parties to the litigation, and (v) any other factors that may have a material effect on the litigation.

Organon's decision to obtain insurance coverage is dependent on market conditions, including cost and availability, existing at the time such decisions are made. Organon has evaluated its risks and has determined that the cost of obtaining product liability insurance outweighs the likely benefits of the coverage that is available and, as such, has no insurance for most product liabilities.

Reference is made below to certain litigation in which Merck, but not Organon, is named as a defendant. Pursuant to the Separation and Distribution Agreement, Organon is required to indemnify Merck for liabilities relating to, arising from, or resulting from such litigation.

Product Liability Litigation

Fosamax

Merck is a defendant in product liability lawsuits in the United States involving Fosamax® (alendronate sodium) (the "Fosamax Litigation"). As of September 30, 2023, approximately 3,130 cases comprising the Fosamax Litigation are pending against Merck in either federal or state court. Plaintiffs in the vast majority of these cases generally allege that they sustained femur fractures and/or other bone injuries ("Femur Fractures") in association with the use of Fosamax.

All federal cases involving allegations of Femur Fractures have been or will be transferred to a multidistrict litigation in the District of New Jersey ("Femur Fracture MDL"). In the only bellwether case tried to date in the Femur Fracture MDL, Glynn v. Merck, the jury returned a verdict in Merck's favor. In addition, in June 2013, the Femur Fracture MDL court granted Merck's motion for judgment as a matter of law in the Glynn case and held that the plaintiff's failure to warn claim was preempted by federal law.

In August 2013, the Femur Fracture MDL court entered an order requiring plaintiffs in the Femur Fracture MDL to show cause why those cases asserting claims for a femur fracture injury that took place prior to September 14, 2010, should not be dismissed based on the court's preemption decision in the Glynn case. Pursuant to the show cause order, in March 2014, the Femur Fracture MDL court dismissed with prejudice approximately 650 cases on preemption grounds. Plaintiffs in approximately 515 of those cases appealed that decision to the U.S. Court of Appeals for the Third Circuit ("Third Circuit"). In March 2017, the Third Circuit issued a decision reversing the Femur Fracture MDL court's preemption ruling and remanding the appealed cases back to the Femur Fracture MDL court. In May 2019, the U.S. Supreme Court decided that the Third Circuit had incorrectly concluded that the issue of preemption should be resolved by a jury, and accordingly vacated the judgment of the Third Circuit and remanded the proceedings back to the Third Circuit to address the issue in a manner consistent with the Supreme Court's opinion. In November 2019, the Third Circuit remanded the cases back to the District Court in order to allow that court to determine in the first instance whether the plaintiffs' state law claims are preempted by federal law under the standards described by the Supreme Court in its opinion. On March 23, 2022, the District Court granted Merck's motion and ruled that plaintiffs' failure to warn claims are preempted as a matter of law to the extent they assert that Merck should have added a Warning or Precaution regarding atypical femur fractures prior to October 2010. On July 11, 2022, the District Court entered an Order to Show Cause as to why the Court should not dismiss either with prejudice or conditionally all of plaintiffs' claims that are not dependent on the preempted failure to warn claims. On November 18, 2022, as a result of the Order to Show Cause, the District Court entered a Final Judgment resulting in the dismissal with prejudice of all plaintiffs in the MDL. On

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Notes to Condensed Consolidated Financial Statements (unaudited) (continued)

December 16, 2022, those plaintiffs filed their Notice of Appeal to the Third Circuit challenging the District Court's preemption ruling. 974 of the 975 cases previously pending in the Femur Fracture MDL have either been dismissed or are on appeal to the Third Circuit. Plaintiff's motion to remand one case back to its transferor court is pending.

As of September 30, 2023, approximately 1,880 cases alleging Femur Fractures have been filed in New Jersey state court and are pending in Middlesex County. The parties selected an initial group of cases to be reviewed through fact discovery, and Merck continued to select additional cases to be reviewed.

As of September 30, 2023, approximately 275 cases alleging Femur Fractures have been filed and are pending in California state court. All of the Femur Fracture cases filed in California state court have been consolidated before a single judge in Orange County, California.

Additionally, there are four Femur Fracture cases pending in other state courts.

Discovery is presently stayed in the Femur Fracture MDL and in the state court in California.

Nexplanon/Implanon

Merck is a defendant in lawsuits brought by individuals relating to the use of Nexplanon and Implanon™ (etonogestrel implant). There are two filed product liability actions involving Implanon, both of which are pending in the Northern District of Ohio as well as 56 unfiled cases involving Implanon alleging similar injuries, which have been tolled under a written tolling agreement. As of September 30, 2023, Merck had 18 cases pending outside the United States, of which 12 relate to Implanon and six relate to Nexplanon.

Propecia/Proscar

As of September 30, 2023, one case involving Proscar® (finasteride) remains pending in the United States in the United States District Court for the Eastern District of California in which Merck's motion to dismiss was granted by the District Court, but the plaintiff can appeal the decision. The Company is also defending 14 product liability cases involving Propecia® (finasteride) outside the United States, two of which are class actions and three of which are putative class actions.

Governmental Proceedings

From time to time, Organon's subsidiaries may receive inquiries and may be the subject of preliminary investigation activities from competition and/or other governmental authorities, including in markets outside the United States. These authorities may include regulators, administrative authorities, and law enforcement and other similar officials, and these preliminary investigation activities may include site visits, formal or informal requests or demands for documents or materials, inquiries or interviews and similar matters. Certain of these preliminary inquiries or activities may lead to the commencement of formal proceedings. Should those proceedings be determined adversely to Organon, monetary fines and/or remedial undertakings may be required. Subject to certain exceptions specified in the Separation and Distribution Agreement, Organon assumed liability for all pending and threatened legal matters related to products transferred to Organon, including competition investigations resulting from enforcement activity concerning Merck's conduct involving Organon's products. Organon could be obligated to indemnify Merck for fines or penalties, or a portion thereof, resulting from such investigations. In one such enforcement matter in Spain concerning NuvaRing, in October 2022, the National Commission on Markets and Competition ("CNMC") imposed a fine on Merck in the amount of €39 million for abuse of a dominant position in the market for contraceptive vaginal rings from June 2017 to April 2018. The CNMC decision to impose the fine has been appealed to the National High Court in Spain. If the fine ultimately stands, Organon could be obligated to indemnify Merck for a portion thereof.

Hadlima

In July 2021, Organon received a Civil Investigation Demand ("CID") from the Office of the Attorney General for the State of Washington. The CID requests answers to interrogatories, as well as various documents, regarding certain activities related to adalimumab and adalimumab biosimilars. Organon is cooperating with the government's investigation and has produced information in response to the CID.

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Notes to Condensed Consolidated Financial Statements (unaudited) (continued)

Patent Litigation

From time to time, generic manufacturers of pharmaceutical products file Abbreviated New Drug Applications with the FDA seeking to market generic forms of Organon's products prior to the expiration of relevant patents owned by Organon. To protect its patent rights, Organon may file patent infringement lawsuits against such generic companies. Similar lawsuits defending Organon's patent rights may exist in other countries. Organon intends to vigorously defend its patents, which it believes are valid, against infringement by companies attempting to market products prior to the expiration of such patents. As with any litigation, there can be no assurance of the outcomes, which, if adverse, could result in significantly shortened periods of exclusivity for these products, potential payment of damages and legal fees, and, with respect to products acquired through acquisitions, potentially significant intangible asset impairment charges.

Nexplanon

In June 2017, Microspherix LLC ("Microspherix") sued Organon in the U.S. District Court for the District of New Jersey asserting that the manufacturing, use, sale and importation of Nexplanon infringed several of Microspherix's patents that claim radio-opaque, implantable drug delivery devices. Microspherix is claiming damages from September 2014 until the patents expired in May 2021. Organon brought Inter Partes Review proceedings in the United States Patent and Trademark Office ("USPTO") and successfully stayed the district court action. The USPTO invalidated some, but not all, of the claims asserted against Organon. Organon appealed the decisions that found claims valid, and the Court of Appeals for the Federal Circuit affirmed the USPTO's decisions. The matter is no longer stayed in the district court, and Organon is currently litigating the invalidity and non-infringement of the remaining asserted claims. A claim construction hearing was held on March 2, 2022, and a claim construction order issued on February 27, 2023. This case was scheduled for trial before a jury in Camden, New Jersey starting on October 16, 2023; however, on October 13, 2023, a status conference was held during which the parties informed the district court that an agreement in principle of the key terms of a settlement was reached. The proceedings were stayed for 60 days to allow time for the parties to execute a settlement agreement. Organon reserved $80 million to cover the settlement.

Other Litigation

In addition to the matters described above, there are various other pending legal proceedings involving Organon, principally product liability and intellectual property lawsuits. While it is not feasible to predict the outcome of such proceedings, in the opinion of Organon as of September 30, 2023, either the likelihood of loss is remote or any reasonably possible loss associated with the resolution of such proceedings is not expected to be material to Organon's financial condition, results of operations or cash flows either individually or in the aggregate.

Legal Defense Reserves

Legal defense costs expected to be incurred in connection with a loss contingency are accrued when probable and reasonably estimable. Some of the significant factors considered in the review of these legal defense reserves are as follows: the actual costs incurred by Organon; the development of Organon's legal defense strategy and structure in light of the scope of its litigation; the number of cases being brought against Organon; and the costs and outcomes of completed trials and the most current information regarding anticipated timing, progression, and related costs of pre-trial activities and trials in the associated litigation. The legal defense reserve as of September 30, 2023 and December 31, 2022 was $23 million and $17 million, respectively, and represented Organon's best estimate of the minimum amount of defense costs to be incurred in connection with its outstanding litigation; however, events such as additional trials and other events that could arise in the course of its litigation could affect the ultimate amount of legal defense costs to be incurred by Organon. Organon will continue to monitor its legal defense costs and review the adequacy of the associated reserves and may determine to increase the reserves at any time in the future if, based upon the factors set forth, it believes it would be appropriate to do so.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

CAUTIONARY STATEMENT REGARDING FORWARD-LOOKING INFORMATION

Some statements and disclosures in this document are forward-looking statements. Forward-looking statements include all statements that do not relate solely to historical or current facts and can be identified by the use of words such as "may," "believe," "will," "expect," "project," "estimate," "anticipate," "plan" or "continue." These forward-looking statements are based on our current plans and expectations and are subject to a number of risks and uncertainties that could cause our plans and expectations, including actual results, to differ materially from the forward-looking statements. Risks and uncertainties that may affect our future results include, but are not limited to, pricing pressures globally, including rules and practices of managed care groups, judicial decisions and governmental laws and regulations related to Medicare, Medicaid and health care reform, pharmaceutical reimbursement and pricing in general; an inability to fully execute on our product development and commercialization plans in the United States, Europe, and elsewhere internationally; an inability to adapt to the industry-wide trend toward highly discounted channels; changes in tax laws or other tax guidance which could adversely affect our cash tax liability, effective tax rates, and results of operations and lead to greater audit scrutiny; expanded brand and class competition in the markets in which Organon operates; global tensions, which may result in disruptions in the broader global economic environment; uncertainty regarding the U.S. federal budget and debt ceiling, and the impact of a potential U.S. federal government shutdown; governmental initiatives that adversely impact our marketing activities, particularly in China; volatility in Organon’s stock price; political and social pressures, or regulatory developments, that adversely impact demand for, availability of, or patient access to contraception or fertility products; difficulties with performance of third parties Organon relies on for its business growth; the failure of any supplier to provide substances, materials, or services as agreed; the increased cost of supply, manufacturing, packaging, and operations; difficulties developing and sustaining relationships with commercial counterparties; competition from generic products as Organon's products lose patent protection; expiration of current patents or loss of patent protection for Organon's products; difficulties implementing or executing on Organon's acquisition strategy or failure to recognize the benefits of such acquisitions; and other factors discussed in Organon's most recently filed Annual Report on Form 10-K and subsequently filed Quarterly Reports on Form 10-Q and Current Reports on Form 8-K, including those discussed in the "Business," "Risk Factors," "Cautionary Factors that May Affect Future Results" and "Management's Discussion and Analysis of Financial Condition and Results of Operations" sections of those reports.

General

The following Management’s Discussion and Analysis of Financial Condition and Results of Operations is intended to assist in understanding the Company’s financial condition and results of operations. The following discussion and analysis should be read in conjunction with the Company’s Condensed Consolidated Financial Statements included in Part I, Item 1 of this report and with our audited financial statements, including the accompanying notes, and Management’s Discussion and Analysis of Financial Condition and Results of Operations included in our Annual Report on Form 10-K for the year ended December 31, 2022. Operating results discussed herein are not necessarily indicative of the results of any future period.

Recent Developments

Business Development

Claria Medical, Inc. ("Claria")

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COVID-19 Update

COVID-19 related disruptions, including patients' inability to access health care providers, prioritization of COVID-19 patients, as well as social distancing measures, negatively affected our results during 2022 and the first half of 2023, specifically, in China. During 2022 and to a lesser extent in the first half of 2023, our business was impacted by previous lockdowns in selective cities across China. The China economy has had a slower recovery post-COVID which has impacted the retail business.

Operating Results

Sales Overview


	Three Months Ended September 30,				% Change		% Change Excluding Foreign Exchange		Nine Months Ended September 30,				% Change	% Change Excluding Foreign Exchange
($ in millions)	2023		2022						2023		2022
United States	$	370	$	366	1	%	1	%	$	1,067	$	1,043		2	%	2	%
International	1,149		1,171		(2)		(1)		3,598		3,646			(1)		2
Total	$	1,519	$	1,537	(1)	%	(1)	%	$	4,665	$	4,689		(1)	%	2	%

Worldwide sales were $1.5 billion for the three months ended September 30, 2023, a decrease of 1% compared with the same period in 2022. Worldwide sales were negatively impacted by approximately $10 million, due to unfavorable foreign exchange. Excluding foreign exchange, sales decreases primarily reflect Zetia® (ezetimibe) (marketed in most countries outside of the United States as Ezetrol™) and Vytorin® (ezetimibe/simvastatin) (marketed outside of the United States as Inegy™) driven by the impact of volume-based procurement ("VBP") in China, the Fertility portfolio mainly due to the negative impact of unfavorable discount rates in the United States, NuvaRing due to ongoing generic competition in the United States, Brenzys™ (etanercept) primarily driven by the timing of tenders in Brazil and Nexplanon due to unfavorable discount rates in the United States and decreased volume from the tender process in Mexico. This was offset by sales increases in Atozet™ (ezetimibe and atorvastatin calcium) (marketed outside of the United States) due to increased demand in France, Ontruzant driven by increased demand and the timing of tenders in Brazil and Renflexis driven primarily by continued demand growth in the United States and Canada.

Worldwide sales were $4.7 billion for the nine months ended September 30, 2023, consistent with 2022. Worldwide sales were negatively impacted by approximately 3%, or $119 million, due to unfavorable foreign exchange. Excluding foreign exchange, sales increases primarily reflect the performance of Atozet, due to increased demand in France and the timing of customers' buying patterns in the Middle East, Korea and Mexico, Renflexis driven primarily by continued demand growth in the United States and Canada, Arcoxia™ (etoricoxib) (marketed outside of the United States) primarily due to customers buying patterns in various international regions and higher demand in China, Jada due to continued uptake in the United States following the launch in February 2022, Dulera® (formoterol/fumarate dihydrate) primarily due to the favorable impact from discount rates and price in the United States and Marvelon™ (desogestrel and ethinyl estradiol pill) and Mercilon™ (desogestrel and ethinyl estradiol pill), resulting from the transaction with Bayer Healthcare where Organon gained full rights in selected territories in Southeast Asia and China during 2022. This performance was offset by Zetia and Vytorin driven by the impact of VBP in China, the impact of the Diprospan™ (betamethasone) regulatory inspection finding at the Heist manufacturing location that impacted the manufacturing of selected injectable steroid brands (the "Market Action") and decreased sales of Cozaar® (losartan potassium) and Hyzaar® (a combination of losartan potassium and hydrochlorothiazide that is marketed in Japan as Preminent™), primarily due to ongoing generic competition.

The loss of exclusivity negatively impacted sales by approximately $7 million and $9 million during the three and nine months ended September 30, 2023, compared to the three and nine months ended September 30, 2022, based on the decrease in volume period over period, mainly impacting NuvaRing in the United States. VBP in China had a $31 million and $83 million negative impact on sales during the three and nine months ended September 30, 2023, compared to the three and nine months ended September 30, 2022. Organon expects VBP to impact the Company's established brands product portfolio for the next several quarters.

Organon's operations include a portfolio of products. Highlights of the sales of Organon's products for the three and nine months ended September 30, 2023 and 2022 are provided below. See Note 5 "Product and Geographic Information" to the Condensed Consolidated Financial Statements for further details on sales of our products.

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Women's Health


	Three Months Ended September 30,				% Change		% Change Excluding Foreign Exchange		Nine Months Ended September 30,				% Change	% Change Excluding Foreign Exchange
($ in millions)	2023		2022						2023		2022
Nexplanon/Implanon NXT	$	220	$	229	(4)	%	(3)	%	$	599	$	595		1	%	2	%
NuvaRing	37		50		(26)		(23)		117		133			(12)		(10)
Marvelon/Mercilon	30		31		(3)		(2)		97		85			13		17
Follistim AQ	54		60		(10)		(8)		179		179			—		3
Ganirelix Acetate Injection	25		36		(30)		(29)		88		97			(9)		(7)
Jada	13		5		134		134		31		12			150		150

Contraception

Worldwide sales of Nexplanon, a single-rod subdermal contraceptive implant, decreased 4% for the three months ended September 30, 2023, compared to 2022 due to unfavorable discount rates in the United States and decreased volume from the tender process in Mexico. Sales of Nexplanon increased 1% for the nine months ended September 30, 2023, compared to 2022, primarily due to price increases, the impact of the timing of tenders in various international markets and the impact of distributors' buying patterns in prior periods in the United States, offset by unfavorable discount rates in the United States.

Worldwide sales of NuvaRing, a vaginal contraceptive product, declined 26% and 12% for the three and nine months ended September 30, 2023, respectively, compared to 2022, due to ongoing generic competition in the United States. We expect a continued decline in NuvaRing sales as a result of generic competition.

Worldwide sales of Marvelon and Mercilon, combined oral hormonal daily contraceptive pills not approved or marketed in the United States but available in certain countries outside the United States, remained consistent for the three months ended September 30, 2023, compared to 2022. Sales of Marvelon and Mercilon increased 13% for the nine months ended September 30, 2023, compared to 2022, as a result of the transaction with Bayer Healthcare where Organon gained full rights in selected territories in Southeast Asia and China during 2022.

Fertility

Worldwide sales of Follistim AQ, a fertility treatment, declined 10% for the three months ended September 30, 2023, compared to 2022, due to the negative impact of unfavorable discount rates in the United States offset by increased demand. Sales of Follistim AQ remained consistent for the nine months ended September 30, 2023, compared to 2022, due to volume recovery in China related to the COVID-19 negative impact during the first half of the year, offset by the negative impact of unfavorable discount rates in the United States.

Worldwide sales of Ganirelix Acetate Injection (marketed in certain countries outside the United States as Orgalutran™), a fertility treatment, declined 30% and 9% for the three and nine months ended September 30, 2023, respectively, compared to 2022, primarily due to unfavorable discount rates in the United States and the impact of distributors' buying patterns in several markets.

Other Women's Health

Worldwide sales of Jada, a device intended to provide control and treatment of abnormal postpartum uterine bleeding or hemorrhage when conservative management is warranted, increased 134% and 150% for the three and nine months ended September 30, 2023, respectively, compared to 2022. The sales increase in both periods is due to continued uptake in the United States following the Jada launch.

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Biosimilars


	Three Months Ended September 30,				% Change		% Change Excluding Foreign Exchange		Nine Months Ended September 30,				% Change	% Change Excluding Foreign Exchange
($ in millions)	2023		2022						2023		2022
Renflexis	$	69	$	60	15	%	15	%	$	201	$	166		22	%	22	%
Ontruzant	40		29		36		34		93		87			8		7
Brenzys	13		24		(43)		(41)		45		52			(13)		(8)
Hadlima	8		6		38		42		20		14			48		55

Renflexis is a biosimilar to Remicade1 (infliximab) for the treatment of certain inflammatory diseases. Sales growth of 15% and 22% for the three and nine months ended September 30, 2023, respectively, compared to 2022, was driven primarily by continued demand growth in the United States and Canada. We have commercialization rights to Renflexis in countries outside Europe, Korea, China, Turkey, and Russia.

Ontruzant is a biosimilar to Herceptin1 (trastuzumab) for the treatment of HER2-overexpressing breast cancer and HER2-overexpressing metastatic gastric or gastroesophageal junction adenocarcinoma. Sales in the three and nine months ended September 30, 2023, compared to 2022, increased 36% and 8%, respectively, driven by increased demand and the timing of tenders in Brazil partially offset by the competitive pressures in Europe. We have commercialization rights to Ontruzant in countries outside of Korea and China.

Brenzys is a biosimilar to Enbrel1 (etanercept) for the treatment of certain inflammatory diseases. Sales in the three and nine months ended September 30, 2023, compared to 2022, declined 43% and 13%, respectively, primarily driven by the timing of tenders in Brazil. We have commercialization rights to Brenzys in countries outside of the United States, Europe, Korea, China, and Japan.

Hadlima is a biosimilar to Humira1 (adalimumab) for the treatment of certain inflammatory diseases. We have commercialization rights to Hadlima in countries outside of the EU, Korea, China, Turkey, and Russia. Hadlima is currently approved in the United States, Australia, Canada, and Israel. We recorded sales of $8 million and $20 million during the three and nine months ended September 30, 2023, respectively, reflecting an increase from modest sales during 2022 in markets outside of the United States and the launch in the United States in July 2023.

Established Brands

Established brands represents a broad portfolio of well-known brands, which generally are beyond market exclusivity, including leading brands in cardiovascular, respiratory, dermatology and non-opioid pain management, for which generic competition varies by market.

Cardiovascular


	Three Months Ended September 30,				% Change		% Change Excluding Foreign Exchange		Nine Months Ended September 30,				% Change	% Change Excluding Foreign Exchange
($ in millions)	2023		2022						2023		2022
Zetia/Vytorin	$	99	$	118	(16)	%	(16)	%	$	339	$	390		(13)	%	(11)	%
Atozet	126		109		16		10		397		350			14		14
Cozaar/Hyzaar	68		70		(2)		2		225		256			(12)		(7)

Combined global sales of Zetia and Vytorin, medicines for lowering LDL cholesterol, declined 16% and 13% for the three and nine months ended September 30, 2023, respectively, compared to 2022, primarily driven by the impact of VBP in China.

Sales of Atozet, a medicine for lowering LDL cholesterol, increased 16% and 14% for the three and nine months ended September 30, 2023, respectively, compared to 2022, primarily due to increased demand in France and the timing of customers' buying patterns in the Middle East, Korea, and Mexico.

Combined global sales of Cozaar and Hyzaar, medicines for the treatment of hypertension, declined 2% and 12% for the three and nine months ended September 30, 2023, respectively, compared to 2022, primarily due to ongoing generic competition.

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Respiratory


	Three Months Ended September 30,				% Change		% Change Excluding Foreign Exchange		Nine Months Ended September 30,				% Change	% Change Excluding Foreign Exchange
($ in millions)	2023		2022						2023		2022
Singulair	$	91	$	94	(4)	%	—	%	$	290	$	316		(8)	%	(3)	%
Nasonex	55		49		10		16		188		182			3		7
Dulera	49		40		24		24		144		127			13		14

Worldwide sales of Singulair® (montelukast sodium), a once-a-day oral medicine for the chronic treatment of asthma and for the relief of symptoms of allergic rhinitis, remained consistent during the three months ended September 30, 2023 compared to 2022. Sales of Singulair declined 8% during the nine months ended September 30, 2023, compared to 2022, due to increased pricing pressures in China related to renewal contracts for hospital tenders and the alleviation of our competitors' supply disruptions in Japan during 2022, which had positively impacted demand for Singulair in 2022.

Global sales of Nasonex® (mometasone), an inhaled nasal corticosteroid for the treatment of nasal allergy symptoms, increased 10% and 3% during the three and nine months ended September 30, 2023, compared to 2022, due to increased demand across several markets partially offset by a $10 million milestone payment related to a regulatory approval received during the first quarter of 2022.

Global sales of Dulera, a combination medicine for the treatment of asthma, increased 24% and 13% for the three and nine months ended September 30, 2023, respectively, compared to 2022, primarily due to the favorable impact from discount rates and price in the United States.

Non-Opioid Pain, Bone and Dermatology


	Three Months Ended September 30,				% Change		% Change Excluding Foreign Exchange		Nine Months Ended September 30,				% Change	% Change Excluding Foreign Exchange
($ in millions)	2023		2022						2023		2022
Arcoxia	$	64	$	64	—	%	5	%	$	207	$	185		12	%	16	%
Diprospan	31		28		10		11		58		91			(37)		(36)

Sales of Arcoxia, a medicine for the treatment of arthritis and pain, remained consistent during the three months ended September 30, 2023 compared to 2022. Sales of Arcoxia increased 12% during the nine months ended September 30, 2023, compared to 2022, primarily due to customers buying patterns in various international regions and higher demand in China.

Sales of Diprospan, a corticosteroid approved for treatment of wide range of inflammatory conditions, increased 10% during the three months ended September 30, 2023 compared to 2022 as the Company replenishes supply from the Market Action. Sales of Diprospan declined 37% during the nine months ended September 30, 2023, compared to 2022, due to the Market Action. In the first quarter of 202

3, we resolved the regulatory inspection findings. The Company expects sales recovery to continue to occur over the next twelve months.

Other


	Three Months Ended September 30,				% Change		% Change Excluding Foreign Exchange		Nine Months Ended September 30,				% Change	% Change Excluding Foreign Exchange
($ in millions)	2023		2022						2023		2022
Proscar	$	25	$	27	(6)	%	(2)	%	$	77	$	77		—	%	6	%

Worldwide sales of Proscar, a medicine for the treatment of symptomatic benign prostate enlargement, for the three and nine months ended September 30, 2023 were substantially consistent with sales for the corresponding periods in 2022.

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Costs, Expenses and Other


	Three Months Ended September 30,				% Change		Nine Months Ended September 30,				% Change
($ in millions)	2023		2022				2023		2022
Cost of sales	$	612	$	551	11	%	$	1,832	$	1,700		8	%
Selling, general and administrative	538		440		22		1,424		1,234			15
Research and development	137		127		8		394		329			20
Acquired in-process research and development and milestones	—		10		(100)		8		107			(93)
Restructuring costs	—		11		(100)		4		11			(64)
Interest expense	134		108		24		398		303			31
Exchange losses (gains)	14		4		*		25		(21)			*
Other expense, net	4		4		—		11		15			(27)
	$	1,439	$	1,255	15	%	$	4,096	$	3,678		11	%

* Calculation not meaningful.

Cost of Sales

Cost of sales increased 11% and 8% for the three and nine months ended September 30, 2023, respectively, compared to the same periods in 2022, primarily due to foreign exchange translation, higher employee-related costs and distribution related costs, which increased as a result of inflationary pressures, and product mix. During the nine months ended September 30, 2022, the Company recorded an impairment charge of $9 million related to a product right for a biosimilar product.

Selling, General and Administrative

Selling, general and administrative expenses increased 22% and 15% for the three and nine months ended September 30, 2023, respectively, compared to the same period in 2022, due to higher employee-related costs, costs incurred in connection with the separation from Merck, which includes the implementation of the enterprise resource planning system, and the $80 million charge related to the Microspherix legal matter as discussed in Note 15. "Contingencies" to the Condensed Consolidated Financial Statements.

Research and Development

Research and development expenses increased 8% and 20% for the three and nine months ended September 30, 2023, respectively, compared to the same period in 2022, primarily due to higher costs associated with the Company's recent acquisitions of clinical stage assets, increased clinical study activity and higher employee-related costs.

Acquired In-Process Research and Development and Milestones

For the nine months ended September 30, 2023, acquired in-process research and development and milestones of $8 million related to the Claria transaction. For the three months ended September 30, 2022, acquired in-process research and development and milestones represents the upfront milestones related to the Cirqle transaction. For the nine months ended September 30, 2022 acquired in-process research and development and milestones represents the upfront and development milestones related to both the Cirqle and Henlius transactions.

Restructuring Costs

For the nine months ended September 30, 2023, the Company incurred $4 million of headcount related restructuring expense as part of the restructuring activities which were initiated during 2022 to optimize its internal operations.

Interest Expense

For the three months ended September 30, 2023, interest expense increased due to increased interest rates on our term loans. For the nine months ended September 30, 2023, interest expense increased due to increased interest rates, unamortized debt fees and discounts expensed as part of the prepayment on the U.S. Dollar-denominated term loan and the impact of exchange rates.

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Exchange Losses (Gains)

For the three and nine months ended September 30, 2023, the change in exchanges losses (gains) was driven by foreign currency translation losses as well as the impact of the portion of Euro-denominated debt not designated as a net investment hedge in the prior year period.

Other Expense, net

For the three and nine months ended September 30, 2023, other expense, net, remained relatively consistent with the prior year.

Taxes on Income

The effective income tax rates were 27.0% and 19.6% for the three months ended September 30, 2023 and 2022, respectively, and 16.1% and 20.0% for the nine months ended September 30, 2023 and 2022, respectively. These effective income tax rates reflect the beneficial impact of foreign earnings, offset by the impact of U.S. inclusions under the Global Intangible Low-Taxed Income regime and a partial valuation allowance recorded against non-deductible U.S. interest expense. The 2023 quarter-to-date and year-to-date effective tax rate favorable impact is primarily attributable to a reduced tax rate arrangement that was agreed to in Switzerland for an active entity.

Liquidity and Capital Resources

As of September 30, 2023, Organon had cash and cash equivalents of $414 million.

Working capital was $1.6 billion and $1.4 billion as of September 30, 2023 and December 31, 2022, respectively. The increase in working capital was primarily driven by an increase in inventory and the timing of collection of receivables.

Net cash provided by operating activities was $402 million for the nine months ended September 30, 2023 compared to $591 million for the same period in the prior year. The decrease in cash provided by operating activities was primarily attributable to lower net income partially offset by the changes in working capital balances.

Net cash used in investing activities was $179 million for the nine months ended September 30, 2023 compared to $359 million for the same period in the prior year, primarily reflecting lower investment in business development transactions in the nine months ended September 30, 2023 compared to the same period in the prior year, partially offset by an increase in capital expenditures.

Net cash used in financing activities was $492 million for the nine months ended September 30, 2023 compared to $351 million for the same period in the prior year. The increase in cash used in financing activities was driven by the $250 million voluntary prepayment on the U.S. Dollar-denominated term loan in the first quarter of 2023.

Organon will continue to monitor the impacts of the Ukraine-Russia war and the Hamas-Israel war, which may negatively impact Organon's operations, financial position, or cash flows. For the three and nine months ended September 30, 2023 and 2022, Organon's combined revenues from Ukraine, Russia and Israel were approximately 2% of total revenues. As of September 30, 2023, the Company's assets in Ukraine, Russia and Israel are not material.

Our contractual obligations as of September 30, 2023, which require material cash requirements in the future, consist of contractual milestones, purchase obligations and lease obligations. In addition, Organon is responsible for settlement of certain tax matters that the Company expects to pay during 2023. Refer to "Management's Discussion and Analysis of Financial Condition and Results of Operations" in our Annual Report on Form 10-K for the year ended December 31, 2022 for further details. The Company has terminated the ebopiprant license agreement and development program; as a result, the Company will not owe the previously disclosed $25 million milestone payment or other milestone payments under the ebopiprant license agreement. As of September 30, 2023, there have been no material changes to our contractual obligations, or settlements of tax matters outside the ordinary course of business.

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During the third quarter of 2023, Organon paid cash dividends of $0.28 per share. On November 2, 2023, the Board of Directors declared a quarterly dividend of $0.28 for each issued and outstanding share of the Company's common stock. The dividend is payable on December 14, 2023, to stockholders of record at the close of business on November 13, 2023.

The Company has historically generated and expects to continue to generate positive cash flow from operations. Our ability to fund our operations and anticipated capital needs is reliant upon the generation of cash from operations, supplemented as necessary by periodic utilization of our Revolving Credit Facility. Our principal uses of cash in the future will be primarily to fund our operations, working capital needs, capital expenditures, repayment of borrowings, payment of dividends and strategic business development transactions. We believe that our financing arrangements, future cash from operations, and access to capital markets will provide adequate resources to fund our future cash flow needs.

Critical Accounting Estimates

Our significant accounting policies, which include management’s best estimates and judgments, are included in Note 3 "Summary of Accounting Policies" to the Consolidated Financial Statements included in our Annual Report on Form 10-K for the year ended December 31, 2022. See Note 2 "Basis of Presentation" to the Condensed Consolidated Financial Statements for information on the adoption of new accounting standards during 2023. There have been no changes to our accounting policies as of September 30, 2023. A discussion of accounting estimates considered critical because of the potential for a significant impact on the financial statements due to the inherent uncertainty in such estimates are disclosed in the Critical Accounting Estimates section of Management’s Discussion and Analysis of Financial Condition and Results of Operations included in Organon's Annual Report on Form 10-K for the year ended December 31, 2022.

Recently Issued Accounting Standards

For a discussion of recently issued accounting standards, see Note 2 "Basis of Presentation" to the Condensed Consolidated Financial Statements.

Item 3. Quantitative and Qualitative Disclosures About Market Risk

Foreign Currency Risk

We operate on a global basis and are exposed to the risk that our earnings, cash flows and equity could be adversely affected by fluctuations in foreign exchange rates. We are primarily exposed to foreign exchange risk with respect to forecasted transactions and net assets denominated in the euro, Swiss franc, and Japanese yen. We established a balance sheet risk management program and a net investment hedge to mitigate against volatility of changes in foreign exchange rates. See Note 10 "Financial Instruments" to the Condensed Consolidated Financial Statements included elsewhere in this report for further information on Organon’s risk management.

Interest Rate Risk

Our long-term debt portfolio consists of both fixed and variable-rate instruments. For any variable rate debt, interest rate changes in the underlying index rates will impact future interest expense. We do not hold any derivative contracts that hedge our interest rate risk; however, we may consider entering into such contracts in the future.

There have been no changes to Organon’s market risk during the quarter ended September 30, 2023. For a discussion of our exposure to market risk, refer to our market risk disclosures set forth under Item 7A.—Quantitative and Qualitative Disclosures About Market Risk in our Annual Report on Form 10-K for the year ended December 31, 2022.

Item 4. Controls and Procedures

Management of the Company, with the participation of its Chief Executive Officer ("CEO") and Chief Financial Officer ("CFO"), evaluated the effectiveness of the design and operation of the Company’s disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act) as of the period ending September 30, 2023. Based upon that evaluation, our CEO and our CFO concluded that, as of September 30, 2023, the end of the period covered by this report, the Company's disclosure controls and procedures were effective and provide reasonable assurance that information required to be disclosed in the reports that we file or submit under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the applicable rules and forms, and that it is accumulated and communicated to our management, including our CEO and our CFO, as appropriate, to allow timely decisions regarding required disclosure.

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The Company began an implementation of an enterprise resource planning ("ERP") system, which will replace the existing core financial system. The ERP system is designed to accurately maintain the Company's financial records used to report operating results. The implementation of the consolidated financial reporting module will be completed during Q4 of the 2023 fiscal year. The implementation of the general ledger modules is in progress and occurring in phases and is expected to be completed by the first half of 2024. The changes in process under the new ERP will continue to be subject to our evaluation of the operating effectiveness of internal control over financial reporting.

Except for the implementation of an ERP system, there was no change in our internal control over financial reporting that occurred during the quarter ended September 30, 2023 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

PART II - OTHER INFORMATION

Item 1. Legal Proceedings

The information called for by this Item is incorporated herein by reference to Note 15 "Contingencies" included in Part I, Item. 1.

Item 1A. Risk Factors

There have been no material changes in the Company's risk factors from those disclosed in Item 1A. Risk Factors, in our Annual Report on Form 10-K for the year ended December 31, 2022 and Quarterly Report on Form 10-Q for the quarter ended June 30, 2023.

Item 5. Other Information

During the three months ended September 30, 2023, no director or officer of the company adopted or terminated a Rule 10b5-1 trading arrangement or non-Rule 10b5-1 trading arrangement, as each term is defined in Item 408(a) of Regulation S-K.

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Item 6. Exhibits


Number			Description


	10.1		Amendment No. 1 to Senior Secured Credit Agreement, dated as of June 30, 2023, to the Credit Agreement by and among Organon & Co., Organon Foreign Debt Co-Issuer B.V., JPMorgan Chase Bank, N.A., as Administrative Agent, Collateral Agent, and the L/C Issuers and Lenders party thereto (incorporated by reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K (File No. 001-40235) filed on July 7, 2023).
	*31.1	—	Certification of Principal Executive Officer (CEO) pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
	*31.2	—	Certification of Principal Financial Officer (CFO) pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
	**32.1	—	Section 1350 Certification of Principal Executive Officer (CEO) pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
	**32.2	—	Section 1350 Certification of Principal Financial Officer (CFO) pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
101.INS		—	XBRL Instance Document - The instance document does not appear in the interactive data file because its XBRL tags are embedded within the Inline XBRL document.

101.SCH		—	XBRL Taxonomy Extension Schema Document.

101.CAL		—	XBRL Taxonomy Extension Calculation Linkbase Document.

101.DEF		—	XBRL Taxonomy Extension Definition Linkbase Document.

101.LAB		—	XBRL Taxonomy Extension Label Linkbase Document.

101.PRE		—	XBRL Taxonomy Extension Presentation Linkbase Document.

	104	—	Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101).


		*	Filed herewith
		**	Furnished herewith

1 Indicates, in this Form 10-Q for Quarter Ending September 30, 2023, brand names of products, which are trademarks not owned by the Company or its subsidiaries. Humira is a trademark registered in the United States in the name of AbbVie Biotechnology Ltd.; Enbrel is a trademark registered in the United States in the name of Immunex Corporation; Remicade is a trademark registered in the United States in the name of Janssen Biotech, Inc.; and Herceptin is a trademark registered in the United States in the name of Genentech, Inc. Brand names of products that are in all italicized letters, without the footnote, are trademarks of, or are otherwise licensed by, Organon and/or one of its subsidiaries.

-31-

Table of Contents

Signatures

Pursuant to the requirements of the Securities and Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.


						ORGANON & CO.

Date: November 3, 2023						/s/ Kathryn DiMarco
						Kathryn DiMarco
						Senior Vice President Finance - Corporate Controller

Date: November 3, 2023						/s/ Matthew Walsh
						Matthew Walsh
						Chief Financial Officer

Exhibit 31.1

CERTIFICATION OF CHIEF EXECUTIVE OFFICER PURSUANT TO

SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Kevin Ali, certify that:

1. I have reviewed this Form 10-Q of Organon & Co;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

(a) designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b) designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

(c) evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. the registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

(a) all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

November 3, 2023

/s/ Kevin Ali

Kevin Ali

Chief Executive Officer

Exhibit 31.2

CERTIFICATION OF CHIEF FINANCIAL OFFICER PURSUANT TO

SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Matthew Walsh, certify that:

1. I have reviewed this Form 10-Q of Organon & Co;

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

November 3, 2023

/s/ Matthew Walsh

Matthew Walsh

Chief Financial Officer

Exhibit 32.1

CERTIFICATION OF CHIEF EXECUTIVE OFFICER PURSUANT TO 18 U.S.C. § 1350,

AS ADOPTED PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

Pursuant to 18 U.S.C.§ 1350, the undersigned certifies that, to the best of my knowledge, the Quarterly Report on Form 10-Q for the period ended September 30, 2023 of Organon & Co. fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C.§ 78m or 78o(d)) and that the information contained in the Quarterly Report fairly presents, in all material respects, the financial condition and results of operations of Organon & Co.

November 3, 2023

/s/ Kevin Ali

Kevin Ali

Chief Executive Officer

Exhibit 32.2

CERTIFICATION OF CHIEF FINANCIAL OFFICER PURSUANT TO 18 U.S.C. § 1350,

AS ADOPTED PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

November 3, 2023

/s/ Matthew Walsh

Matthew Walsh

Chief Financial Officer

Cover - shares	9 Months Ended
Cover - shares	Sep. 30, 2023	Oct. 27, 2023
Cover [Abstract]
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Sep. 30, 2023
Document Transition Report	false
Entity File Number	001-40235
Entity Registrant Name	Organon & Co.
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	46-4838035
Entity Address, Address Line One	30 Hudson Street, Floor 33
Entity Address, City or Town	Jersey City,
Entity Address, State or Province	NJ
Entity Address, Postal Zip Code	07302
City Area Code	(551)
Local Phone Number	430-6900
Title of 12(b) Security	Common Stock ($0.01 par value)
Trading Symbol	OGN
Security Exchange Name	NYSE
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		255,606,461
Entity Central Index Key	0001821825
Amendment Flag	false
Current Fiscal Year End Date	--12-31
Document Fiscal Year Focus	2023
Document Fiscal Period Focus	Q3

Condensed Consolidated Statements of Income - USD ($) shares in Thousands, $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Income Statement [Abstract]
Revenues	$ 1,519	$ 1,537	$ 4,665	$ 4,689
Costs, Expenses and Other
Cost of sales	612	551	1,832	1,700
Selling, general and administrative	538	440	1,424	1,234
Research and development	137	127	394	329
Acquired in-process research and development and milestones	0	10	8	107
Restructuring costs	0	11	4	11
Interest expense	134	108	398	303
Exchange losses (gains)	14	4	25	(21)
Other expense, net	4	4	11	15
Total, costs expenses and other	1,439	1,255	4,096	3,678
Income Before Income Taxes	80	282	569	1,011
Taxes on income	22	55	92	202
Net Income	$ 58	$ 227	$ 477	$ 809
Earnings per Share:
Basic (in dollars per share)	$ 0.23	$ 0.89	$ 1.87	$ 3.19
Diluted (in dollars per share)	$ 0.23	$ 0.89	$ 1.86	$ 3.17
Weighted Average Shares Outstanding:
Basic (in shares)	255,588	254,348	255,112	253,986
Diluted (in shares)	256,349	255,067	256,162	255,094

Condensed Consolidated Statements of Comprehensive Income - USD ($) $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Statement of Comprehensive Income [Abstract]
Net income	$ 58	$ 227	$ 477	$ 809
Other Comprehensive Income, Net of Taxes:
Benefit plan net loss and prior service cost, net of amortization	0	0	(1)	0
Cumulative translation adjustment	(43)	(97)	(11)	(173)
Other comprehensive income (loss)	(43)	(97)	(12)	(173)
Comprehensive income	$ 15	$ 130	$ 465	$ 636

Condensed Consolidated Balance Sheets - USD ($) $ in Millions	Sep. 30, 2023	Dec. 31, 2022
Current Assets:
Cash and cash equivalents	$ 414	$ 706
Accounts receivable (net of allowance for doubtful accounts of $9 in 2023 and $9 in 2022)	1,648	1,475
Inventories (excludes inventories of $95 in 2023 and $148 in 2022 classified in Other assets)	1,186	1,003
Other current assets	802	747
Total Current Assets	4,050	3,931
Property, plant and equipment, net	1,096	1,018
Goodwill	4,603	4,603
Intangibles, net	561	649
Other assets	702	754
Total Assets	11,012	10,955
Current Liabilities:
Current portion of long-term debt	8	8
Trade accounts payable	1,067	1,132
Accrued and other current liabilities	1,255	1,188
Income taxes payable	161	184
Total Current Liabilities	2,491	2,512
Long-term debt	8,646	8,905
Deferred income taxes	43	19
Other noncurrent liabilities	421	411
Total Liabilities	11,601	11,847
Contingencies (Note 15)
Organon & Co. Stockholders' Deficit:
Common stock, $0.01 par value Authorized - 500,000 Issued and outstanding - 255,606 in 2023 and 254,370 in 2022	3	3
Accumulated deficit	(16)	(331)
Accumulated other comprehensive loss	(576)	(564)
Total Stockholders' Deficit	(589)	(892)
Total Liabilities and Stockholders' Deficit	$ 11,012	$ 10,955

Condensed Consolidated Balance Sheets (Parenthetical) - USD ($) $ in Millions	Sep. 30, 2023	Dec. 31, 2022
Statement of Financial Position [Abstract]
Allowance for doubtful accounts	$ 9	$ 9
Inventories classified in other assets	$ 95	$ 148
Common stock, par value (in dollars per share)	$ 0.01	$ 0.01
Common stock, authorized (in shares)	500,000,000	500,000,000
Common stock, issued (in shares)	255,606,000	254,370,000
Common stock, outstanding (in shares)	255,606,000	254,370,000

Condensed Consolidated Statements of Stockholders' Equity (Deficit) - USD ($) $ in Millions	Total	Common Stock	Additional Paid-In Capital	Accumulated Deficit	Accumulated Other Comprehensive Loss
Beginning balance (in shares) at Dec. 31, 2021		253,550,000
Beginning balance at Dec. 31, 2021	$ (1,508)	$ 3	$ 0	$ (998)	$ (513)
Stockholders' Equity [Roll Forward]
Net income	809			809
Other comprehensive loss, net of taxes	(173)				(173)
Cash dividends declared on common stock	(218)			(218)
Stock-based compensation plans and other (in shares)		814,000
Stock-based compensation plans and other	41			41
Net transfers to Merck & Co., Inc. including Separation Adjustments	(17)			(17)	0
Ending balance (in shares) at Sep. 30, 2022		254,364,000
Ending balance at Sep. 30, 2022	(1,066)	$ 3	0	(383)	(686)
Beginning balance (in shares) at Jun. 30, 2022		254,321,000
Beginning balance at Jun. 30, 2022	(1,137)	$ 3	0	(551)	(589)
Stockholders' Equity [Roll Forward]
Net income	227			227
Other comprehensive loss, net of taxes	(97)				(97)
Cash dividends declared on common stock	(74)			(74)
Stock-based compensation plans and other (in shares)		43,000
Stock-based compensation plans and other	15			15
Net transfers from Merck & Co., Inc., including Separation Adjustments	0			0
Ending balance (in shares) at Sep. 30, 2022		254,364,000
Ending balance at Sep. 30, 2022	(1,066)	$ 3	0	(383)	(686)
Beginning balance (in shares) at Dec. 31, 2022		254,370,000
Beginning balance at Dec. 31, 2022	(892)	$ 3	0	(331)	(564)
Stockholders' Equity [Roll Forward]
Net income	477			477
Other comprehensive loss, net of taxes	(12)				(12)
Cash dividends declared on common stock	(221)			(221)
Stock-based compensation plans and other (in shares)		1,236,000
Stock-based compensation plans and other	59			59
Ending balance (in shares) at Sep. 30, 2023		255,606,000
Ending balance at Sep. 30, 2023	(589)	$ 3	0	(16)	(576)
Beginning balance (in shares) at Jun. 30, 2023		255,568,000
Beginning balance at Jun. 30, 2023	(555)	$ 3	0	(25)	(533)
Stockholders' Equity [Roll Forward]
Net income	58			58
Other comprehensive loss, net of taxes	(43)				(43)
Cash dividends declared on common stock	(74)			(74)
Stock-based compensation plans and other (in shares)		38,000
Stock-based compensation plans and other	25			25
Ending balance (in shares) at Sep. 30, 2023		255,606,000
Ending balance at Sep. 30, 2023	$ (589)	$ 3	$ 0	$ (16)	$ (576)

Condensed Consolidated Statements of Stockholders' Equity (Deficit) (Parenthetical) - $ / shares	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Statement of Stockholders' Equity [Abstract]
Common stock dividends declared (in dollars per share)	$ 0.28	$ 0.28	$ 0.84	$ 0.84

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Millions	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022
Cash Flows from Operating Activities
Net income	$ 477	$ 809
Adjustments to reconcile net income to net cash flows provided by operating activities:
Depreciation	88	72
Amortization	88	88
Impairment of assets	0	9
Acquired in-process research and development and milestones	8	107
Deferred income taxes	4	(18)
Stock-based compensation	74	52
Unrealized foreign exchange loss (gain)	19	(45)
Other	24	24
Net changes in assets and liabilities
Accounts receivable	(185)	(119)
Inventories	(137)	(134)
Other current assets	(56)	(76)
Trade accounts payable	(68)	(323)
Accrued and other current liabilities	34	108
Income taxes payable	(21)	45
Other	53	(8)
Net Cash Flows Provided by Operating Activities	402	591
Cash Flows from Investing Activities
Capital expenditures	(172)	(133)
Proceeds from sale of property, plant and equipment	1	3
Acquired in-process research and development and milestones	(8)	(105)
Purchase of product rights and asset acquisition, net of cash acquired	0	(124)
Net Cash Flows Used in Investing Activities	(179)	(359)
Cash Flows from Financing Activities
Proceeds from debt	80	0
Repayments of debt	(336)	(106)
Net transfers to Merck & Co., Inc.	0	(17)
Employee withholding taxes related to stock-based awards	(15)	(11)
Dividend payments	(221)	(217)
Net Cash Flows Used in Financing Activities	(492)	(351)
Effect of Exchange Rate Changes on Cash and Cash Equivalents	(23)	(119)
Net Decrease in Cash and Cash Equivalents	(292)	(238)
Cash and Cash Equivalents, Beginning of Period	706	737
Cash and Cash Equivalents, End of Period	$ 414	$ 499

Background and Nature of Operations	9 Months Ended
Background and Nature of Operations	Sep. 30, 2023
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Background and Nature of Operations	Background and Nature of Operations Organon & Co. ("Organon" or the "Company") is a global health care company with a focus on improving the health of women throughout their lives. Organon develops and delivers innovative health solutions through a portfolio of prescription therapies and medical devices within women's health, biosimilars and established brands (the "Organon Products"). Organon has a portfolio of more than 60 medicines and products across a range of therapeutic areas. The Company sells these products through various channels including drug wholesalers and retailers, hospitals, government agencies and managed health care providers such as health maintenance organizations, pharmacy benefit managers and other institutions. The Company operates six manufacturing facilities, which are located in Belgium, Brazil, Indonesia, Mexico, the Netherlands and the United Kingdom. Unless otherwise indicated, trademarks appearing in italics throughout this document are trademarks of, or are used under license by, the Organon group of companies. The Company's operations include the following product portfolios: •Women's Health: Organon's women's health products are sold by prescription primarily in two therapeutic areas, contraception, with key brands such as Nexplanon® (etonogestrel implant) (sold as Implanon NXT™ in some countries outside the United States) and NuvaRing® (etonogestrel / ethinyl estradiol vaginal ring), and fertility, with key brands such as Follistim AQ® (follitropin beta injection) (marketed in most countries outside the United States as Puregon™). Nexplanon is a long-acting reversible contraceptive, which is a class of contraceptives that is recognized as one of the most effective types of hormonal contraception available to patients with a low long-term average cost. Other women’s health products include the Jada® System, which is intended to provide control and treatment of abnormal postpartum uterine bleeding or hemorrhage when conservative management is warranted and a license from Daré Biosciences for the global commercial rights to Xaciato™ (clindamycin phosphate vaginal gel, 2%), an FDA-approved medication for the treatment of bacterial vaginosis ("BV") in females 12 years of age and older. In October 2023, Xaciato was launched in the United States. •Biosimilars: Organon's current portfolio spans across immunology and oncology treatments. Organon's oncology biosimilars have been launched in more than 20 countries and Organon's immunology biosimilars have been launched in five countries. All five biosimilars in Organon's portfolio have launched in Canada, and three biosimilars; Ontruzant® (trastuzumab-dttb), Renflexis® (infliximab-abda) and Hadlima™ (adalimumab-bwwd) have been launched in the United States. •Established Brands: Organon has a portfolio of established brands, which generally are beyond market exclusivity, including leading brands in cardiovascular, respiratory, dermatology and non-opioid pain management. A number of Organon's established brands lost exclusivity years ago and have faced generic competition for some time.

Basis of Presentation	9 Months Ended
Basis of Presentation	Sep. 30, 2023
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Basis of Presentation	Basis of Presentation The accompanying unaudited financial statements have been prepared in accordance with U.S. Generally Accepted Accounting Principles (“GAAP”) and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, certain information and disclosures required by GAAP for complete consolidated financial statements are not included herein. The results of operations of any interim period are not necessarily indicative of the results of operations for the full year. In the Company's opinion, all adjustments necessary for a fair statement of these interim statements have been included and are of a normal and recurring nature. All intercompany transactions and accounts within Organon have been eliminated. These interim statements should be read in conjunction with the audited financial statements and notes thereto included in Organon's Annual Report on Form 10-K for the year ended December 31, 2022. Use of Estimates The presentation of these Condensed Consolidated Financial Statements and accompanying notes in conformity with U.S. GAAP require management to make estimates and assumptions that affect the amounts reported, as further described in the Annual Report on Form 10-K for the year ended December 31, 2022. Accordingly, actual results could differ materially from management's estimates and assumptions. The Company was impacted by COVID-19 during the first half of 2023, specifically, in the Company's operations in China. The Company does not anticipate a continued impact from COVID-19. The assessment of certain accounting matters and specifically its effect on the Company's results require consideration of forecasted financial information in the context of the information reasonably available to the Company as of September 30, 2023 and through the date of this report which are difficult to predict. Recently Adopted Accounting Standards In March 2020, the FASB issued ASU 2020-04, Reference Rate Reform (Topic 848): Facilitation of the Effects of Reference Rate Reform on Financial Reporting, optional guidance to ease the potential burden in accounting for (or recognizing the effects of) reference rate reform on financial reporting and subsequently issued clarifying amendments. The guidance provides optional expedients and exceptions for applying GAAP to contracts, hedging relationships, and other transactions that reference the London Interbank Offered Rate ("LIBOR") or another reference rate expected to be discontinued because of reference rate reform. The optional guidance is effective upon issuance and can be applied on a prospective basis at any time between January 1, 2020 and December 31, 2022; the sunset date was subsequently deferred to December 31, 2024 based on the amendment issued in December 2022 under ASU 2022-06, Reference Rate Reform (Topic 848). The Company applied this guidance to our Senior Credit Agreement, as amended on June 30, 2023. The impact to the Consolidated Financial Statements as a result of the application of the reference rate reform guidance is not material. See Note 11 "Long-Term Debt" for additional details. In October 2021, the FASB issued ASU 2021-08, Business Combinations (Topic 805): Accounting for Contract Assets and Contract Liabilities from Contracts with Customers, guidance to improve the accounting for contract assets and contract liabilities from acquired revenue contracts with customers in a business combination. The guidance addresses diversity in practice and inconsistency related to the recognition of an acquired contract liability, payment terms and their effect on subsequent revenue recognized by an acquirer. The guidance became effective for the Company on January 1, 2023 and its amendments will be applied prospectively to business combinations occurring on or after the effective date of the guidance. The adoption of this guidance did not have an impact on the Company's Consolidated Financial Statements for prior acquisitions; however, the impact in future periods will be dependent upon the contract assets and contract liabilities acquired in future business combinations.

Acquisitions and Licensing Arrangements	9 Months Ended
Acquisitions and Licensing Arrangements	Sep. 30, 2023
Business Combination and Asset Acquisition [Abstract]
Acquisitions and Licensing Arrangements	Acquisitions and Licensing ArrangementsClaria Medical, Inc. ("Claria")In January 2023, the Company made a strategic investment in Claria, a privately-held company developing an investigational medical device being studied for use during minimally invasive laparoscopic hysterectomy. Under the terms of the agreement, Organon paid $8 million upfront and has the option to acquire Claria for an additional $47 million, payable if and when the option is exercised. The $8 million was expensed as Acquired in-process research and development and milestones in our Condensed Consolidated Statement of Income for the nine months ended September 30, 2023.

Earnings per Share ("EPS")

9 Months Ended

Sep. 30, 2023

Earnings Per Share [Abstract]

Earnings per Share ("EPS")

The calculations of basic and diluted earnings per common share are as follows:


	Three Months Ended September 30,				Nine Months Ended September 30,
($ in millions and shares in thousands, except per share amounts)	2023		2022		2023		2022



Net income	$	58	$	227	$	477	$	809

Basic weighted average number of shares outstanding	255,588		254,348		255,112		253,986
Stock awards and equity units (share equivalent)	761		719		1,050		1,108
Diluted weighted average common shares outstanding	256,349		255,067		256,162		255,094

EPS:


Basic	$	0.23	$	0.89	$	1.87	$	3.19




Diluted	$	0.23	$	0.89	$	1.86	$	3.17

Anti-dilutive shares excluded from the calculation of EPS	10,390		6,313		9,833		4,432

Product and Geographic Information

9 Months Ended

Sep. 30, 2023

Segment Reporting [Abstract]

Product and Geographic Information

Revenues of the Company's products were as follows:


	Three Months Ended September 30,												Nine Months Ended September 30,
	2023						2022						2023						2022
($ in millions)	U.S.		Int’l		Total		U.S.		Int’l		Total		U.S.		Int'l		Total		U.S.		Int'l		Total
Women's Health
Nexplanon/Implanon NXT	$	146	$	74	$	220	$	151	$	78	$	229	$	418	$	181	$	599	$	401	$	194	$	595
Follistim AQ	22		32		54		27		33		60		74		105		179		79		100		179
NuvaRing	18		20		37		27		23		50		50		67		117		65		68		133
Ganirelix Acetate Injection	4		21		25		6		30		36		15		74		88		20		77		97
Marvelon/Mercilon	—		30		30		—		31		31		—		97		97		—		85		85
Jada	12		—		13		5		—		5		30		—		31		12		—		12
Other Women's Health (1)	16		22		39		19		23		42		52		74		126		68		70		138
Biosimilars
Renflexis	57		12		69		54		7		60		172		29		201		145		20		166
Ontruzant	11		28		40		15		14		29		36		57		93		35		52		87
Brenzys	—		13		13		—		24		24		—		45		45		—		52		52
Aybintio	—		12		12		—		10		10		—		34		34		—		29		29
Hadlima	2		6		8		—		6		6		2		18		20		—		14		14
Established Brands
Cardiovascular
Zetia	2		65		66		2		85		87		5		234		239		7		280		287
Vytorin	2		31		33		1		30		31		5		95		100		6		98		104
Atozet	—		126		126		—		109		109		—		397		397		—		350		350
Rosuzet	—		17		17		—		17		17		—		52		52		—		55		55
Cozaar/Hyzaar	3		65		68		2		68		70		8		217		225		11		244		256
Other Cardiovascular (1)	1		42		44		1		34		35		2		124		126		3		117		120
Respiratory
Singulair	3		88		91		3		92		94		8		282		290		8		308		316
Nasonex	—		54		55		—		49		49		—		187		188		9		173		182
Dulera	40		9		49		31		9		40		116		28		144		98		30		127
Clarinex	2		26		28		—		25		26		4		103		107		3		96		99
Other Respiratory (1)	17		9		25		11		10		21		42		20		61		34		32		66
Non-Opioid Pain, Bone and Dermatology
Arcoxia	—		64		64		—		64		64		—		207		207		—		185		185
Fosamax	1		40		41		1		35		36		2		121		123		2		115		117
Diprospan	—		31		31		—		28		28		—		58		58		—		91		91
Other Non-Opioid Pain, Bone and Dermatology (1)	4		70		74		2		63		65		11		196		207		10		200		210
Other
Proscar	—		25		25		—		26		27		1		76		77		1		76		77
Propecia	2		21		22		2		28		30		5		86		92		5		90		95
Other (1)	5		72		76		6		81		87		10		231		240		21		230		251
Other (2)	—		24		24		—		39		39		(1)		103		102		—		115		116
Revenues	$	370	$	1,149	$	1,519	$	366	$	1,171	$	1,537	$	1,067	$	3,598	$	4,665	$	1,043	$	3,646	$	4,689

Totals may not foot due to rounding. Trademarks appearing above in italics are trademarks of, or are used under license by, the Organon group of companies.

(2) Includes manufacturing sales to Merck & Co., Inc. ("Merck") and third parties for current and prior periods.

Revenues by geographic area where derived are as follows:


	Three Months Ended September 30,				Nine Months Ended September 30,
($ in millions)	2023		2022		2023		2022
Europe and Canada	$	392	$	363	$	1,259	$	1,243
United States	370		366		1,067		1,043
Asia Pacific and Japan	284		283		869		888
China	202		241		661		721
Latin America, Middle East, Russia, and Africa	239		236		687		665
Other (1)	32		48		122		129
Revenues	$	1,519	$	1,537	$	4,665	$	4,689

(1) Primarily reflects manufacturing sales to Merck and third parties for current and prior periods.

Stock-Based Compensation Plans

9 Months Ended

Sep. 30, 2023

Share-Based Payment Arrangement [Abstract]

Stock-Based Compensation Plans

The Company grants stock option awards, performance share units ("PSUs") and restricted share units ("RSUs") pursuant to its 2021 Incentive Stock Plan.

The PSU awards are based on the following performance factors:

•total stockholder return of the Company relative to an index of peer companies ("relative TSR") specified in the awards; and

•the results of the cumulative free cash flow ("FCF") of the Company over a three-year period.

Stock-based compensation expenses incurred by the Company were as follows:


	Three Months Ended September 30,				Nine Months Ended September 30,
($ in millions)	2023		2022		2023		2022
Stock-based compensation expense recognized in:
Cost of sales	$	5	$	3	$	13	$	9
Selling, general and administrative	18		12		50		35
Research and development	4		3		11		8
Total	$	27	$	18	$	74	$	52

Income tax benefits	$	6	$	3	$	16	$	11

The weighted average fair value of options granted was determined using the following assumptions:


	Nine Months Ended September 30,
	2023		2022
Expected dividend yield	4.82	%	3.12	%
Risk-free interest rate	3.56		2.47
Expected volatility	42.30		43.43
Expected life (years)	5.89		5.89

A summary of the equity award transactions for the nine months ended September 30, 2023 is as follows:


	Stock Options					Restricted Share Units			Performance Share Units
(shares in thousands)	Shares	Weighted average exercise price		Weighted average grant date fair value		Shares	Weighted average grant date fair value		Shares	Weighted average grant date fair value
Outstanding as of January 1, 2023	4,729	$	34.34	$	8.91	5,048	$	33.27	486	$	46.72
Granted	1,124	23.52		6.55		3,867	23.51		636	23.30
Vested/Exercised	—	—		—		(1,930)	33.93		—	—
Forfeited/Cancelled	(89)	36.12		8.70		(459)	30.79		—	—
Outstanding as of September 30, 2023	5,764	$	32.21	$	8.45	6,526	$	27.47	1,122	$	33.44

The following table summarizes information about equity awards outstanding that are vested and expected to vest and equity awards outstanding that are exercisable as of September 30, 2023:


	Equity Awards Vested and Expected to Vest						Equity Awards That are Exercisable
(awards in thousands; aggregate intrinsic value in millions)	Awards	Weighted Average Exercise Price		Aggregate Intrinsic Value		Remaining Term (in years)	Awards	Weighted Average Exercise Price		Aggregate Intrinsic Value		Remaining Term (in years)
Stock Options	5,591	$	32.21	$	—	7.04	3,311	$	33.79	$	—	5.87
Restricted Share Units	6,071			114		1.98
Performance Share Units	629			12		1.82

The amount of unrecognized compensation costs as of September 30, 2023 was $170 million, which will be recognized in operating expense ratably over the weighted average vesting period of 1.93 years.

Restructuring	9 Months Ended
Restructuring	Sep. 30, 2023
Restructuring and Related Activities [Abstract]
Restructuring	Restructuring In 2022, Organon initiated restructuring activities to optimize its internal operations by reducing headcount through selected markets and functions. As a result of this program, the Company restructured approximately 130 positions, with the majority of the position eliminations occurring in selected markets outside of the United States in our commercial organizations. During the nine months ended September 30, 2023, $15 million of restructuring charges have been paid, with the remaining severance payments to be paid by the end of the 2023 fiscal year. For the nine months ended September 30, 2023, the Company recorded restructuring charges of $4 million, which relate to severance costs for eliminated positions. Liabilities for costs associated with restructuring activities were $10 million and $20 million at September 30, 2023 and December 31, 2022, respectively, and are included primarily in Accrued and other current liabilities. In the fourth quarter of 2023, Organon will implement additional restructuring activities to optimize its internal operations by reducing headcount in certain markets and functions. As a result of these activities, the Company expects to restructure approximately 3% of the Company's headcount, which is expected to result in a charge of approximately $60 million to $70 million primarily representing severance and severance related costs in the fourth of quarter of 2023. These amounts will be paid over the next twelve months.

Taxes on Income	9 Months Ended
Taxes on Income	Sep. 30, 2023
Income Tax Disclosure [Abstract]
Taxes on Income	Taxes on IncomeThe effective income tax rates were 27.0% and 19.6% for the three months ended September 30, 2023 and 2022, respectively, and 16.1% and 20.0% for the nine months ended September 30, 2023 and 2022, respectively. These effective income tax rates reflect the beneficial impact of foreign earnings, offset by the impact of U.S. inclusions under the Global Intangible Low-Taxed Income regime and a partial valuation allowance recorded against non-deductible U.S. interest expense. The 2023 year-to-date effective tax rate favorable impact is primarily attributable to a reduced tax rate arrangement that was agreed to in Switzerland for an active entity.On August 16, 2022, the United States enacted the Inflation Reduction Act of 2022. Provisions of the bill that relate to tax include the minimum tax on book income, a 1% excise tax on stock buybacks and certain tax incentives to promote clean energy. There are no impacts of the legislation to the third quarter 2023 results. The Company will continue to assess future impacts of this legislation.

Inventories

9 Months Ended

Sep. 30, 2023

Inventory Disclosure [Abstract]

Inventories

Inventories consisted of:


($ in millions)	September 30, 2023		December 31, 2022
Finished goods	$	496	$	482
Raw materials	128		44
Work in process	606		601
Supplies	57		44
Total (approximates current cost)	$	1,287	$	1,171
Decrease to LIFO costs	(6)		(20)
	$	1,281	$	1,151
Recognized as:
Inventories	$	1,186	$	1,003
Other assets	95		148

Inventories valued under the last in, first out ("LIFO") method	85		77

Financial Instruments

9 Months Ended

Sep. 30, 2023

Derivative Instruments and Hedging Activities Disclosure [Abstract]

Financial Instruments

Foreign Currency Risk Management

The Company has a balance sheet risk management and a net investment hedging program to mitigate against volatility of changes in foreign exchange rates.

The following financial instruments were recorded at their estimated fair value. The recurring fair value measurement of our assets and liabilities were as follows:


($ in millions)	Fair Value Measurement Level	September 30, 2023		December 31, 2022
Forward contracts in Other current assets	2	$	17	$	6
Forward contracts in Accrued and other current liabilities	2	12		24

Foreign currency gains due to spot rate fluctuations on the euro-denominated debt instruments included in foreign currency translation adjustments resulting from hedge designation were as follows:


	Three Months Ended September 30,				Nine Months Ended September 30,
($ in millions)	2023		2022		2023		2022
Foreign currency gains in Other comprehensive income	$	79	$	176	$	21	$	303

The Condensed Consolidated Statements of Income include the impact of actual net (gains) and losses of Organon's derivative financial instruments:


	Three Months Ended September 30,				Nine Months Ended September 30,
($ in millions)	2023		2022		2023		2022

Foreign exchange loss (gain) in Exchange losses (gains)	$	14	$	4	$	25	$	(21)

Long-Term Debt

9 Months Ended

Sep. 30, 2023

Debt Disclosure [Abstract]

Long-Term Debt

The following is a summary of Organon's total debt:


($ in millions)	September 30, 2023		December 31, 2022
Term Loan B Facility:
SOFR plus 300 bps plus SOFR adjustment1 term loan due 2028	$	2,543	$	2,793
EURIBOR plus 300 bps euro-denominated term loan due 2028 (€750 million)	773		787
4.125% secured notes due 2028	2,100		2,100
2.875% euro-denominated secured notes due 2028 (€1.25 billion)	1,318		1,331
5.125% notes due 2031	2,000		2,000
Other borrowings	7		7
Other (discounts and debt issuance costs)	(87)		(105)
Total principal long-term debt	$	8,654	$	8,913
Less: Current portion of long-term debt	8		8
Total Long-term debt, net of current portion	$	8,646	$	8,905

Long-term debt was recorded at the carrying amount. The estimated fair value of long-term debt (including current portion) is as follows:


($ in millions)	September 30, 2023		December 31, 2022
Long-term debt	$	7,853	$	8,294

On March 30, 2023, the Company made a discretionary prepayment of $250 million on the U.S. Dollar-denominated term loan.

On June 21, 2023, the Company borrowed $80 million on the Revolving Credit Facility and subsequently repaid the amount on June 30, 2023.

The schedule of principal payments required on long-term debt for the next five years and thereafter is as follows:


($ in millions)
2023	$	2
2024	9
2025	9
2026	9
2027	9
Thereafter	8,703

Accumulated Other Comprehensive Income (Loss)

9 Months Ended

Sep. 30, 2023

Equity [Abstract]

Accumulated Other Comprehensive Income (Loss)

Changes in Accumulated other comprehensive income (loss) by component are as follows:


($ in millions)	Employee Benefit Plans		Cumulative Translation Adjustment		Accumulated Other Comprehensive Loss
Balance at July 1, 2022, net of taxes	$	(13)	$	(576)	$	(589)
Other comprehensive loss, pretax	—		(97)		(97)
Tax	—		—		—
Other comprehensive loss, net of taxes	—		(97)		(97)

Balance at September 30, 2022, net of taxes	$	(13)	$	(673)	$	(686)

Balance at July 1, 2023, net of taxes	$	9	$	(542)	$	(533)
Other comprehensive loss, pretax	—		(43)		(43)
Tax	—		—		—
Other comprehensive loss, net of taxes	—		(43)		(43)
Balance at September 30, 2023, net of taxes	$	9	$	(585)	$	(576)








Balance at January 1, 2022, net of taxes	$	(13)	$	(500)	$	(513)
Other comprehensive loss, pretax	(1)		(173)		(174)
Tax	1		—		1
Other comprehensive loss, net of taxes	—		(173)		(173)

Balance at September 30, 2022, net of taxes	$	(13)	$	(673)	$	(686)

Balance at January 1, 2023, net of taxes	$	10	$	(574)	$	(564)
Other comprehensive loss, pretax	(1)		(11)		(12)
Tax	—		—		—
Other comprehensive loss, net of taxes	(1)		(11)		(12)

Balance at September 30, 2023, net of taxes	$	9	$	(585)	$	(576)

Samsung Collaboration

9 Months Ended

Sep. 30, 2023

Revenue from Contract with Customer [Abstract]

Samsung Collaboration

In July 2023, the Company began selling Hadlima, a biosimilar referencing Humira1 (adalimumab), in the United States.

Summarized information related to this collaboration is as follows:


	Three Months Ended September 30,				Nine Months Ended September 30,
($ in millions)	2023		2022		2023		2022
Sales	$	143	$	129	$	394	$	346
Cost of sales	98		86		272		221
Selling, general and administrative	17		18		53		60


($ in millions)	September 30, 2023		December 31, 2022
Receivables from Samsung included in Other current assets	$	8	$	21
Payables to Samsung included in Trade accounts payable	62		72

Third-Party Arrangements

9 Months Ended

Sep. 30, 2023

Third-Party Arrangements

For the three and nine months ended September 30, 2023, material transactions occurred in connection with the IOM Agreements.

The amounts due under such agreements were:


($ in millions)	September 30, 2023		December 31, 2022
Due from Merck in Accounts receivable	$	467	$	374
Due to Merck in Accounts payable	601		543

Sales and cost of sales resulting from the manufacturing and supply agreements with Merck were:


	Three Months Ended September 30,				Nine Months Ended September 30,
($ in millions)	2023		2022		2023		2022
Sales	$	28	$	38	$	95	$	104
Cost of sales	25		31		88		91

Contingencies	9 Months Ended
Contingencies	Sep. 30, 2023
Commitments and Contingencies Disclosure [Abstract]
Contingencies	Contingencies Organon is involved in various claims and legal proceedings of a nature considered normal to its business, including product liability, intellectual property, and commercial litigation, as well as certain additional matters including governmental and environmental matters. Organon records accruals for contingencies when it is probable that a liability has been incurred and the amount can be reasonably estimated. These accruals are adjusted periodically as assessments change or additional information becomes available. Individually significant contingent losses are accrued when probable and reasonably estimable. Legal defense costs expected to be incurred in connection with a loss contingency are accrued when probable and reasonably estimable. Given the nature of the litigation discussed in this note and the complexities involved in these matters, Organon is unable to reasonably estimate a possible loss or range of possible loss for such matters until Organon knows, among other factors, (i) what claims, if any, will survive dispositive motion practice, (ii) the extent of the claims, including the size of any potential class, particularly when damages are not specified or are indeterminate, (iii) how the discovery process will affect the litigation, (iv) the settlement posture of the other parties to the litigation, and (v) any other factors that may have a material effect on the litigation. Organon's decision to obtain insurance coverage is dependent on market conditions, including cost and availability, existing at the time such decisions are made. Organon has evaluated its risks and has determined that the cost of obtaining product liability insurance outweighs the likely benefits of the coverage that is available and, as such, has no insurance for most product liabilities. Reference is made below to certain litigation in which Merck, but not Organon, is named as a defendant. Pursuant to the Separation and Distribution Agreement, Organon is required to indemnify Merck for liabilities relating to, arising from, or resulting from such litigation. Product Liability Litigation Fosamax Merck is a defendant in product liability lawsuits in the United States involving Fosamax® (alendronate sodium) (the "Fosamax Litigation"). As of September 30, 2023, approximately 3,130 cases comprising the Fosamax Litigation are pending against Merck in either federal or state court. Plaintiffs in the vast majority of these cases generally allege that they sustained femur fractures and/or other bone injuries ("Femur Fractures") in association with the use of Fosamax. All federal cases involving allegations of Femur Fractures have been or will be transferred to a multidistrict litigation in the District of New Jersey ("Femur Fracture MDL"). In the only bellwether case tried to date in the Femur Fracture MDL, Glynn v. Merck, the jury returned a verdict in Merck's favor. In addition, in June 2013, the Femur Fracture MDL court granted Merck's motion for judgment as a matter of law in the Glynn case and held that the plaintiff's failure to warn claim was preempted by federal law. In August 2013, the Femur Fracture MDL court entered an order requiring plaintiffs in the Femur Fracture MDL to show cause why those cases asserting claims for a femur fracture injury that took place prior to September 14, 2010, should not be dismissed based on the court's preemption decision in the Glynn case. Pursuant to the show cause order, in March 2014, the Femur Fracture MDL court dismissed with prejudice approximately 650 cases on preemption grounds. Plaintiffs in approximately 515 of those cases appealed that decision to the U.S. Court of Appeals for the Third Circuit ("Third Circuit"). In March 2017, the Third Circuit issued a decision reversing the Femur Fracture MDL court's preemption ruling and remanding the appealed cases back to the Femur Fracture MDL court. In May 2019, the U.S. Supreme Court decided that the Third Circuit had incorrectly concluded that the issue of preemption should be resolved by a jury, and accordingly vacated the judgment of the Third Circuit and remanded the proceedings back to the Third Circuit to address the issue in a manner consistent with the Supreme Court's opinion. In November 2019, the Third Circuit remanded the cases back to the District Court in order to allow that court to determine in the first instance whether the plaintiffs' state law claims are preempted by federal law under the standards described by the Supreme Court in its opinion. On March 23, 2022, the District Court granted Merck's motion and ruled that plaintiffs' failure to warn claims are preempted as a matter of law to the extent they assert that Merck should have added a Warning or Precaution regarding atypical femur fractures prior to October 2010. On July 11, 2022, the District Court entered an Order to Show Cause as to why the Court should not dismiss either with prejudice or conditionally all of plaintiffs' claims that are not dependent on the preempted failure to warn claims. On November 18, 2022, as a result of the Order to Show Cause, the District Court entered a Final Judgment resulting in the dismissal with prejudice of all plaintiffs in the MDL. On December 16, 2022, those plaintiffs filed their Notice of Appeal to the Third Circuit challenging the District Court's preemption ruling. 974 of the 975 cases previously pending in the Femur Fracture MDL have either been dismissed or are on appeal to the Third Circuit. Plaintiff's motion to remand one case back to its transferor court is pending. As of September 30, 2023, approximately 1,880 cases alleging Femur Fractures have been filed in New Jersey state court and are pending in Middlesex County. The parties selected an initial group of cases to be reviewed through fact discovery, and Merck continued to select additional cases to be reviewed. As of September 30, 2023, approximately 275 cases alleging Femur Fractures have been filed and are pending in California state court. All of the Femur Fracture cases filed in California state court have been consolidated before a single judge in Orange County, California. Additionally, there are four Femur Fracture cases pending in other state courts. Discovery is presently stayed in the Femur Fracture MDL and in the state court in California. Nexplanon/Implanon Merck is a defendant in lawsuits brought by individuals relating to the use of Nexplanon and Implanon™ (etonogestrel implant). There are two filed product liability actions involving Implanon, both of which are pending in the Northern District of Ohio as well as 56 unfiled cases involving Implanon alleging similar injuries, which have been tolled under a written tolling agreement. As of September 30, 2023, Merck had 18 cases pending outside the United States, of which 12 relate to Implanon and six relate to Nexplanon. Propecia/Proscar As of September 30, 2023, one case involving Proscar® (finasteride) remains pending in the United States in the United States District Court for the Eastern District of California in which Merck's motion to dismiss was granted by the District Court, but the plaintiff can appeal the decision. The Company is also defending 14 product liability cases involving Propecia® (finasteride) outside the United States, two of which are class actions and three of which are putative class actions. Governmental Proceedings From time to time, Organon's subsidiaries may receive inquiries and may be the subject of preliminary investigation activities from competition and/or other governmental authorities, including in markets outside the United States. These authorities may include regulators, administrative authorities, and law enforcement and other similar officials, and these preliminary investigation activities may include site visits, formal or informal requests or demands for documents or materials, inquiries or interviews and similar matters. Certain of these preliminary inquiries or activities may lead to the commencement of formal proceedings. Should those proceedings be determined adversely to Organon, monetary fines and/or remedial undertakings may be required. Subject to certain exceptions specified in the Separation and Distribution Agreement, Organon assumed liability for all pending and threatened legal matters related to products transferred to Organon, including competition investigations resulting from enforcement activity concerning Merck's conduct involving Organon's products. Organon could be obligated to indemnify Merck for fines or penalties, or a portion thereof, resulting from such investigations. In one such enforcement matter in Spain concerning NuvaRing, in October 2022, the National Commission on Markets and Competition ("CNMC") imposed a fine on Merck in the amount of €39 million for abuse of a dominant position in the market for contraceptive vaginal rings from June 2017 to April 2018. The CNMC decision to impose the fine has been appealed to the National High Court in Spain. If the fine ultimately stands, Organon could be obligated to indemnify Merck for a portion thereof. Hadlima In July 2021, Organon received a Civil Investigation Demand ("CID") from the Office of the Attorney General for the State of Washington. The CID requests answers to interrogatories, as well as various documents, regarding certain activities related to adalimumab and adalimumab biosimilars. Organon is cooperating with the government's investigation and has produced information in response to the CID. Patent Litigation From time to time, generic manufacturers of pharmaceutical products file Abbreviated New Drug Applications with the FDA seeking to market generic forms of Organon's products prior to the expiration of relevant patents owned by Organon. To protect its patent rights, Organon may file patent infringement lawsuits against such generic companies. Similar lawsuits defending Organon's patent rights may exist in other countries. Organon intends to vigorously defend its patents, which it believes are valid, against infringement by companies attempting to market products prior to the expiration of such patents. As with any litigation, there can be no assurance of the outcomes, which, if adverse, could result in significantly shortened periods of exclusivity for these products, potential payment of damages and legal fees, and, with respect to products acquired through acquisitions, potentially significant intangible asset impairment charges. Nexplanon In June 2017, Microspherix LLC ("Microspherix") sued Organon in the U.S. District Court for the District of New Jersey asserting that the manufacturing, use, sale and importation of Nexplanon infringed several of Microspherix's patents that claim radio-opaque, implantable drug delivery devices. Microspherix is claiming damages from September 2014 until the patents expired in May 2021. Organon brought Inter Partes Review proceedings in the United States Patent and Trademark Office ("USPTO") and successfully stayed the district court action. The USPTO invalidated some, but not all, of the claims asserted against Organon. Organon appealed the decisions that found claims valid, and the Court of Appeals for the Federal Circuit affirmed the USPTO's decisions. The matter is no longer stayed in the district court, and Organon is currently litigating the invalidity and non-infringement of the remaining asserted claims. A claim construction hearing was held on March 2, 2022, and a claim construction order issued on February 27, 2023. This case was scheduled for trial before a jury in Camden, New Jersey starting on October 16, 2023; however, on October 13, 2023, a status conference was held during which the parties informed the district court that an agreement in principle of the key terms of a settlement was reached. The proceedings were stayed for 60 days to allow time for the parties to execute a settlement agreement. Organon reserved $80 million to cover the settlement. Other Litigation In addition to the matters described above, there are various other pending legal proceedings involving Organon, principally product liability and intellectual property lawsuits. While it is not feasible to predict the outcome of such proceedings, in the opinion of Organon as of September 30, 2023, either the likelihood of loss is remote or any reasonably possible loss associated with the resolution of such proceedings is not expected to be material to Organon's financial condition, results of operations or cash flows either individually or in the aggregate. Legal Defense Reserves Legal defense costs expected to be incurred in connection with a loss contingency are accrued when probable and reasonably estimable. Some of the significant factors considered in the review of these legal defense reserves are as follows: the actual costs incurred by Organon; the development of Organon's legal defense strategy and structure in light of the scope of its litigation; the number of cases being brought against Organon; and the costs and outcomes of completed trials and the most current information regarding anticipated timing, progression, and related costs of pre-trial activities and trials in the associated litigation. The legal defense reserve as of September 30, 2023 and December 31, 2022 was $23 million and $17 million, respectively, and represented Organon's best estimate of the minimum amount of defense costs to be incurred in connection with its outstanding litigation; however, events such as additional trials and other events that could arise in the course of its litigation could affect the ultimate amount of legal defense costs to be incurred by Organon. Organon will continue to monitor its legal defense costs and review the adequacy of the associated reserves and may determine to increase the reserves at any time in the future if, based upon the factors set forth, it believes it would be appropriate to do so.

Pay vs Performance Disclosure - USD ($) $ in Millions	3 Months Ended		9 Months Ended
Pay vs Performance Disclosure - USD ($) $ in Millions	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Pay vs Performance Disclosure
Net income	$ 58	$ 227	$ 477	$ 809

Insider Trading Arrangements	3 Months Ended
Insider Trading Arrangements	Sep. 30, 2023
Trading Arrangements, by Individual
Rule 10b5-1 Arrangement Adopted	false
Non-Rule 10b5-1 Arrangement Adopted	false
Rule 10b5-1 Arrangement Terminated	false
Non-Rule 10b5-1 Arrangement Terminated	false

Basis of Presentation (Policies)	9 Months Ended
Basis of Presentation (Policies)	Sep. 30, 2023
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Basis of Accounting	The accompanying unaudited financial statements have been prepared in accordance with U.S. Generally Accepted Accounting Principles (“GAAP”) and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, certain information and disclosures required by GAAP for complete consolidated financial statements are not included herein. The results of operations of any interim period are not necessarily indicative of the results of operations for the full year. In the Company's opinion, all adjustments necessary for a fair statement of these interim statements have been included and are of a normal and recurring nature. All intercompany transactions and accounts within Organon have been eliminated. These interim statements should be read in conjunction with the audited financial statements and notes thereto included in Organon's Annual Report on Form 10-K for the year ended December 31, 2022.
Use of Estimates	Use of Estimates The presentation of these Condensed Consolidated Financial Statements and accompanying notes in conformity with U.S. GAAP require management to make estimates and assumptions that affect the amounts reported, as further described in the Annual Report on Form 10-K for the year ended December 31, 2022. Accordingly, actual results could differ materially from management's estimates and assumptions. The Company was impacted by COVID-19 during the first half of 2023, specifically, in the Company's operations in China. The Company does not anticipate a continued impact from COVID-19. The assessment of certain accounting matters and specifically its effect on the Company's results require consideration of forecasted financial information in the context of the information reasonably available to the Company as of September 30, 2023 and through the date of this report which are difficult to predict.
Recently Adopted Accounting Standards	Recently Adopted Accounting Standards In March 2020, the FASB issued ASU 2020-04, Reference Rate Reform (Topic 848): Facilitation of the Effects of Reference Rate Reform on Financial Reporting, optional guidance to ease the potential burden in accounting for (or recognizing the effects of) reference rate reform on financial reporting and subsequently issued clarifying amendments. The guidance provides optional expedients and exceptions for applying GAAP to contracts, hedging relationships, and other transactions that reference the London Interbank Offered Rate ("LIBOR") or another reference rate expected to be discontinued because of reference rate reform. The optional guidance is effective upon issuance and can be applied on a prospective basis at any time between January 1, 2020 and December 31, 2022; the sunset date was subsequently deferred to December 31, 2024 based on the amendment issued in December 2022 under ASU 2022-06, Reference Rate Reform (Topic 848). The Company applied this guidance to our Senior Credit Agreement, as amended on June 30, 2023. The impact to the Consolidated Financial Statements as a result of the application of the reference rate reform guidance is not material. See Note 11 "Long-Term Debt" for additional details. In October 2021, the FASB issued ASU 2021-08, Business Combinations (Topic 805): Accounting for Contract Assets and Contract Liabilities from Contracts with Customers, guidance to improve the accounting for contract assets and contract liabilities from acquired revenue contracts with customers in a business combination. The guidance addresses diversity in practice and inconsistency related to the recognition of an acquired contract liability, payment terms and their effect on subsequent revenue recognized by an acquirer. The guidance became effective for the Company on January 1, 2023 and its amendments will be applied prospectively to business combinations occurring on or after the effective date of the guidance. The adoption of this guidance did not have an impact on the Company's Consolidated Financial Statements for prior acquisitions; however, the impact in future periods will be dependent upon the contract assets and contract liabilities acquired in future business combinations.

Earnings per Share ("EPS") (Tables)

9 Months Ended

Sep. 30, 2023

Earnings Per Share [Abstract]

Schedule of Basic and Diluted Earnings Per Common Share

The calculations of basic and diluted earnings per common share are as follows:


	Three Months Ended September 30,				Nine Months Ended September 30,
($ in millions and shares in thousands, except per share amounts)	2023		2022		2023		2022



Net income	$	58	$	227	$	477	$	809

Basic weighted average number of shares outstanding	255,588		254,348		255,112		253,986
Stock awards and equity units (share equivalent)	761		719		1,050		1,108
Diluted weighted average common shares outstanding	256,349		255,067		256,162		255,094

EPS:


Basic	$	0.23	$	0.89	$	1.87	$	3.19




Diluted	$	0.23	$	0.89	$	1.86	$	3.17

Anti-dilutive shares excluded from the calculation of EPS	10,390		6,313		9,833		4,432

Product and Geographic Information (Tables)

9 Months Ended

Sep. 30, 2023

Segment Reporting [Abstract]

Schedule of Sales of Company's Products

Revenues of the Company's products were as follows:


	Three Months Ended September 30,												Nine Months Ended September 30,
	2023						2022						2023						2022
($ in millions)	U.S.		Int’l		Total		U.S.		Int’l		Total		U.S.		Int'l		Total		U.S.		Int'l		Total
Women's Health
Nexplanon/Implanon NXT	$	146	$	74	$	220	$	151	$	78	$	229	$	418	$	181	$	599	$	401	$	194	$	595
Follistim AQ	22		32		54		27		33		60		74		105		179		79		100		179
NuvaRing	18		20		37		27		23		50		50		67		117		65		68		133
Ganirelix Acetate Injection	4		21		25		6		30		36		15		74		88		20		77		97
Marvelon/Mercilon	—		30		30		—		31		31		—		97		97		—		85		85
Jada	12		—		13		5		—		5		30		—		31		12		—		12
Other Women's Health (1)	16		22		39		19		23		42		52		74		126		68		70		138
Biosimilars
Renflexis	57		12		69		54		7		60		172		29		201		145		20		166
Ontruzant	11		28		40		15		14		29		36		57		93		35		52		87
Brenzys	—		13		13		—		24		24		—		45		45		—		52		52
Aybintio	—		12		12		—		10		10		—		34		34		—		29		29
Hadlima	2		6		8		—		6		6		2		18		20		—		14		14
Established Brands
Cardiovascular
Zetia	2		65		66		2		85		87		5		234		239		7		280		287
Vytorin	2		31		33		1		30		31		5		95		100		6		98		104
Atozet	—		126		126		—		109		109		—		397		397		—		350		350
Rosuzet	—		17		17		—		17		17		—		52		52		—		55		55
Cozaar/Hyzaar	3		65		68		2		68		70		8		217		225		11		244		256
Other Cardiovascular (1)	1		42		44		1		34		35		2		124		126		3		117		120
Respiratory
Singulair	3		88		91		3		92		94		8		282		290		8		308		316
Nasonex	—		54		55		—		49		49		—		187		188		9		173		182
Dulera	40		9		49		31		9		40		116		28		144		98		30		127
Clarinex	2		26		28		—		25		26		4		103		107		3		96		99
Other Respiratory (1)	17		9		25		11		10		21		42		20		61		34		32		66
Non-Opioid Pain, Bone and Dermatology
Arcoxia	—		64		64		—		64		64		—		207		207		—		185		185
Fosamax	1		40		41		1		35		36		2		121		123		2		115		117
Diprospan	—		31		31		—		28		28		—		58		58		—		91		91
Other Non-Opioid Pain, Bone and Dermatology (1)	4		70		74		2		63		65		11		196		207		10		200		210
Other
Proscar	—		25		25		—		26		27		1		76		77		1		76		77
Propecia	2		21		22		2		28		30		5		86		92		5		90		95
Other (1)	5		72		76		6		81		87		10		231		240		21		230		251
Other (2)	—		24		24		—		39		39		(1)		103		102		—		115		116
Revenues	$	370	$	1,149	$	1,519	$	366	$	1,171	$	1,537	$	1,067	$	3,598	$	4,665	$	1,043	$	3,646	$	4,689

Totals may not foot due to rounding. Trademarks appearing above in italics are trademarks of, or are used under license by, the Organon group of companies.

(2) Includes manufacturing sales to Merck & Co., Inc. ("Merck") and third parties for current and prior periods.

Schedule of Consolidated Revenues by Geographic Area

Revenues by geographic area where derived are as follows:


	Three Months Ended September 30,				Nine Months Ended September 30,
($ in millions)	2023		2022		2023		2022
Europe and Canada	$	392	$	363	$	1,259	$	1,243
United States	370		366		1,067		1,043
Asia Pacific and Japan	284		283		869		888
China	202		241		661		721
Latin America, Middle East, Russia, and Africa	239		236		687		665
Other (1)	32		48		122		129
Revenues	$	1,519	$	1,537	$	4,665	$	4,689

(1) Primarily reflects manufacturing sales to Merck and third parties for current and prior periods.

Stock-Based Compensation Plans (Tables)

9 Months Ended

Sep. 30, 2023

Share-Based Payment Arrangement [Abstract]

Schedule of Stock-based Compensation Expenses

Stock-based compensation expenses incurred by the Company were as follows:


	Three Months Ended September 30,				Nine Months Ended September 30,
($ in millions)	2023		2022		2023		2022
Stock-based compensation expense recognized in:
Cost of sales	$	5	$	3	$	13	$	9
Selling, general and administrative	18		12		50		35
Research and development	4		3		11		8
Total	$	27	$	18	$	74	$	52

Income tax benefits	$	6	$	3	$	16	$	11

Schedule of Stock Option Valuation Assumptions

The weighted average fair value of options granted was determined using the following assumptions:


	Nine Months Ended September 30,
	2023		2022
Expected dividend yield	4.82	%	3.12	%
Risk-free interest rate	3.56		2.47
Expected volatility	42.30		43.43
Expected life (years)	5.89		5.89

Summary of Equity Award Transactions

A summary of the equity award transactions for the nine months ended September 30, 2023 is as follows:


	Stock Options					Restricted Share Units			Performance Share Units
(shares in thousands)	Shares	Weighted average exercise price		Weighted average grant date fair value		Shares	Weighted average grant date fair value		Shares	Weighted average grant date fair value
Outstanding as of January 1, 2023	4,729	$	34.34	$	8.91	5,048	$	33.27	486	$	46.72
Granted	1,124	23.52		6.55		3,867	23.51		636	23.30
Vested/Exercised	—	—		—		(1,930)	33.93		—	—
Forfeited/Cancelled	(89)	36.12		8.70		(459)	30.79		—	—
Outstanding as of September 30, 2023	5,764	$	32.21	$	8.45	6,526	$	27.47	1,122	$	33.44

Summary of Equity Awards Outstanding

The following table summarizes information about equity awards outstanding that are vested and expected to vest and equity awards outstanding that are exercisable as of September 30, 2023:


	Equity Awards Vested and Expected to Vest						Equity Awards That are Exercisable
(awards in thousands; aggregate intrinsic value in millions)	Awards	Weighted Average Exercise Price		Aggregate Intrinsic Value		Remaining Term (in years)	Awards	Weighted Average Exercise Price		Aggregate Intrinsic Value		Remaining Term (in years)
Stock Options	5,591	$	32.21	$	—	7.04	3,311	$	33.79	$	—	5.87
Restricted Share Units	6,071			114		1.98
Performance Share Units	629			12		1.82

Inventories (Tables)

9 Months Ended

Sep. 30, 2023

Inventory Disclosure [Abstract]

Schedule of Inventory

Inventories consisted of:


($ in millions)	September 30, 2023		December 31, 2022
Finished goods	$	496	$	482
Raw materials	128		44
Work in process	606		601
Supplies	57		44
Total (approximates current cost)	$	1,287	$	1,171
Decrease to LIFO costs	(6)		(20)
	$	1,281	$	1,151
Recognized as:
Inventories	$	1,186	$	1,003
Other assets	95		148

Inventories valued under the last in, first out ("LIFO") method	85		77

Schedule of Inventory, Noncurrent

Inventories consisted of:


($ in millions)	September 30, 2023		December 31, 2022
Finished goods	$	496	$	482
Raw materials	128		44
Work in process	606		601
Supplies	57		44
Total (approximates current cost)	$	1,287	$	1,171
Decrease to LIFO costs	(6)		(20)
	$	1,281	$	1,151
Recognized as:
Inventories	$	1,186	$	1,003
Other assets	95		148

Inventories valued under the last in, first out ("LIFO") method	85		77

Financial Instruments (Tables)

9 Months Ended

Sep. 30, 2023

Derivative Instruments and Hedging Activities Disclosure [Abstract]

Schedule of Financial Instruments Recorded at Estimated Fair Value

The following financial instruments were recorded at their estimated fair value. The recurring fair value measurement of our assets and liabilities were as follows:


($ in millions)	Fair Value Measurement Level	September 30, 2023		December 31, 2022
Forward contracts in Other current assets	2	$	17	$	6
Forward contracts in Accrued and other current liabilities	2	12		24

Schedule of Long-term Debt Instruments

due to spot rate fluctuations on the euro-denominated debt instruments included in foreign currency translation adjustments resulting from hedge designation were as follows:


	Three Months Ended September 30,				Nine Months Ended September 30,
($ in millions)	2023		2022		2023		2022
Foreign currency gains in Other comprehensive income	$	79	$	176	$	21	$	303

Schedule of (Gain) Loss on Derivative Instruments

The Condensed Consolidated Statements of Income include the impact of actual net (gains) and losses of Organon's derivative financial instruments:


	Three Months Ended September 30,				Nine Months Ended September 30,
($ in millions)	2023		2022		2023		2022

Foreign exchange loss (gain) in Exchange losses (gains)	$	14	$	4	$	25	$	(21)

Long-Term Debt (Tables)

9 Months Ended

Sep. 30, 2023

Debt Disclosure [Abstract]

Summary of Long-term Debt Instruments

The following is a summary of Organon's total debt:


($ in millions)	September 30, 2023		December 31, 2022
Term Loan B Facility:
SOFR plus 300 bps plus SOFR adjustment1 term loan due 2028	$	2,543	$	2,793
EURIBOR plus 300 bps euro-denominated term loan due 2028 (€750 million)	773		787
4.125% secured notes due 2028	2,100		2,100
2.875% euro-denominated secured notes due 2028 (€1.25 billion)	1,318		1,331
5.125% notes due 2031	2,000		2,000
Other borrowings	7		7
Other (discounts and debt issuance costs)	(87)		(105)
Total principal long-term debt	$	8,654	$	8,913
Less: Current portion of long-term debt	8		8
Total Long-term debt, net of current portion	$	8,646	$	8,905

Schedule of Carrying Values and Estimated Fair Values of Debt Instruments

Long-term debt was recorded at the carrying amount. The estimated fair value of long-term debt (including current portion) is as follows:


($ in millions)	September 30, 2023		December 31, 2022
Long-term debt	$	7,853	$	8,294

Schedule of Maturities on Long-term Debt

The schedule of principal payments required on long-term debt for the next five years and thereafter is as follows:


($ in millions)
2023	$	2
2024	9
2025	9
2026	9
2027	9
Thereafter	8,703

Accumulated Other Comprehensive Income (Loss) (Tables)

9 Months Ended

Sep. 30, 2023

Equity [Abstract]

Schedule of Changes in Accumulated Other Comprehensive Income (Loss) by Component

Changes in Accumulated other comprehensive income (loss) by component are as follows:


($ in millions)	Employee Benefit Plans		Cumulative Translation Adjustment		Accumulated Other Comprehensive Loss
Balance at July 1, 2022, net of taxes	$	(13)	$	(576)	$	(589)
Other comprehensive loss, pretax	—		(97)		(97)
Tax	—		—		—
Other comprehensive loss, net of taxes	—		(97)		(97)

Balance at September 30, 2022, net of taxes	$	(13)	$	(673)	$	(686)

Balance at July 1, 2023, net of taxes	$	9	$	(542)	$	(533)
Other comprehensive loss, pretax	—		(43)		(43)
Tax	—		—		—
Other comprehensive loss, net of taxes	—		(43)		(43)
Balance at September 30, 2023, net of taxes	$	9	$	(585)	$	(576)








Balance at January 1, 2022, net of taxes	$	(13)	$	(500)	$	(513)
Other comprehensive loss, pretax	(1)		(173)		(174)
Tax	1		—		1
Other comprehensive loss, net of taxes	—		(173)		(173)

Balance at September 30, 2022, net of taxes	$	(13)	$	(673)	$	(686)

Balance at January 1, 2023, net of taxes	$	10	$	(574)	$	(564)
Other comprehensive loss, pretax	(1)		(11)		(12)
Tax	—		—		—
Other comprehensive loss, net of taxes	(1)		(11)		(12)

Balance at September 30, 2023, net of taxes	$	9	$	(585)	$	(576)

Samsung Collaboration (Tables)

9 Months Ended

Sep. 30, 2023

Revenue from Contract with Customer [Abstract]

Summary of Information Related to Collaboration

Summarized information related to this collaboration is as follows:


	Three Months Ended September 30,				Nine Months Ended September 30,
($ in millions)	2023		2022		2023		2022
Sales	$	143	$	129	$	394	$	346
Cost of sales	98		86		272		221
Selling, general and administrative	17		18		53		60


($ in millions)	September 30, 2023		December 31, 2022
Receivables from Samsung included in Other current assets	$	8	$	21
Payables to Samsung included in Trade accounts payable	62		72

Third-Party Arrangements (Tables)

9 Months Ended

Sep. 30, 2023

Schedule of Related Party Transactions

The amounts due under such agreements were:


($ in millions)	September 30, 2023		December 31, 2022
Due from Merck in Accounts receivable	$	467	$	374
Due to Merck in Accounts payable	601		543

Sales and cost of sales resulting from the manufacturing and supply agreements with Merck were:


	Three Months Ended September 30,				Nine Months Ended September 30,
($ in millions)	2023		2022		2023		2022
Sales	$	28	$	38	$	95	$	104
Cost of sales	25		31		88		91

Background and Nature of Operations (Details)	Sep. 30, 2023 manufacturingFacility country segment product
Product Information [Line Items]
Number of medicines and products \| segment	60
Number of manufacturing facilities \| manufacturingFacility	6
CANADA
Product Information [Line Items]
Number of biosimilar products \| product	5
U.S.
Product Information [Line Items]
Number of biosimilar products \| product	3
Oncology Biosimilar
Product Information [Line Items]
Number of countries product sold in \| country	20
Immunology Biosimilar
Product Information [Line Items]
Number of countries product sold in \| country	5

Acquisitions and Licensing Arrangements (Details) - Claria Medical, Inc. - USD ($) $ in Millions	Sep. 30, 2023	Jan. 31, 2023
Asset Acquisition [Line Items]
Upfront payments		$ 8
Commercial milestone payments	$ 47

Earnings per Share ("EPS") (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Net income	$ 58	$ 227	$ 477	$ 809
Basic weighted average number of shares outstanding (in shares)	255,588	254,348	255,112	253,986
Stock awards and equity units (share equivalent) (in shares)	761	719	1,050	1,108
Diluted weighted average common shares outstanding (in shares)	256,349	255,067	256,162	255,094
EPS:
Basic (in dollars per share)	$ 0.23	$ 0.89	$ 1.87	$ 3.19
Diluted (in dollars per share)	$ 0.23	$ 0.89	$ 1.86	$ 3.17
Share-based Compensation Plans
EPS:
Anti-dilutive shares excluded from the calculation of EPS (in shares)	10,390	6,313	9,833	4,432

Product and Geographic Information - Narrative (Details)	9 Months Ended
	Sep. 30, 2023 segment
Segment Reporting [Abstract]
Number of operating segments	1

Product and Geographic Information - Sales of Company's Products (Details) - USD ($) $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Revenue from External Customer [Line Items]
Revenues	$ 1,519	$ 1,537	$ 4,665	$ 4,689
Nexplanon/Implanon NXT
Revenue from External Customer [Line Items]
Revenues	220	229	599	595
Follistim AQ
Revenue from External Customer [Line Items]
Revenues	54	60	179	179
NuvaRing
Revenue from External Customer [Line Items]
Revenues	37	50	117	133
Ganirelix Acetate Injection
Revenue from External Customer [Line Items]
Revenues	25	36	88	97
Marvelon/Mercilon
Revenue from External Customer [Line Items]
Revenues	30	31	97	85
Jada
Revenue from External Customer [Line Items]
Revenues	13	5	31	12
Other Women's Health
Revenue from External Customer [Line Items]
Revenues	39	42	126	138
Renflexis
Revenue from External Customer [Line Items]
Revenues	69	60	201	166
Ontruzant
Revenue from External Customer [Line Items]
Revenues	40	29	93	87
Brenzys
Revenue from External Customer [Line Items]
Revenues	13	24	45	52
Aybintio
Revenue from External Customer [Line Items]
Revenues	12	10	34	29
Hadlima
Revenue from External Customer [Line Items]
Revenues	8	6	20	14
Zetia
Revenue from External Customer [Line Items]
Revenues	66	87	239	287
Vytorin
Revenue from External Customer [Line Items]
Revenues	33	31	100	104
Atozet
Revenue from External Customer [Line Items]
Revenues	126	109	397	350
Rosuzet
Revenue from External Customer [Line Items]
Revenues	17	17	52	55
Cozaar/Hyzaar
Revenue from External Customer [Line Items]
Revenues	68	70	225	256
Other Cardiovascular
Revenue from External Customer [Line Items]
Revenues	44	35	126	120
Singulair
Revenue from External Customer [Line Items]
Revenues	91	94	290	316
Nasonex
Revenue from External Customer [Line Items]
Revenues	55	49	188	182
Dulera
Revenue from External Customer [Line Items]
Revenues	49	40	144	127
Clarinex
Revenue from External Customer [Line Items]
Revenues	28	26	107	99
Other Respiratory
Revenue from External Customer [Line Items]
Revenues	25	21	61	66
Arcoxia
Revenue from External Customer [Line Items]
Revenues	64	64	207	185
Fosamax
Revenue from External Customer [Line Items]
Revenues	41	36	123	117
Diprospan
Revenue from External Customer [Line Items]
Revenues	31	28	58	91
Other Non-Opiod Pain, Bone and Dermatology
Revenue from External Customer [Line Items]
Revenues	74	65	207	210
Proscar
Revenue from External Customer [Line Items]
Revenues	25	27	77	77
Propecia
Revenue from External Customer [Line Items]
Revenues	22	30	92	95
Other
Revenue from External Customer [Line Items]
Revenues	76	87	240	251
Other
Revenue from External Customer [Line Items]
Revenues	24	39	102	116
U.S.
Revenue from External Customer [Line Items]
Revenues	370	366	1,067	1,043
U.S. \| Nexplanon/Implanon NXT
Revenue from External Customer [Line Items]
Revenues	146	151	418	401
U.S. \| Follistim AQ
Revenue from External Customer [Line Items]
Revenues	22	27	74	79
U.S. \| NuvaRing
Revenue from External Customer [Line Items]
Revenues	18	27	50	65
U.S. \| Ganirelix Acetate Injection
Revenue from External Customer [Line Items]
Revenues	4	6	15	20
U.S. \| Marvelon/Mercilon
Revenue from External Customer [Line Items]
Revenues	0	0	0	0
U.S. \| Jada
Revenue from External Customer [Line Items]
Revenues	12	5	30	12
U.S. \| Other Women's Health
Revenue from External Customer [Line Items]
Revenues	16	19	52	68
U.S. \| Renflexis
Revenue from External Customer [Line Items]
Revenues	57	54	172	145
U.S. \| Ontruzant
Revenue from External Customer [Line Items]
Revenues	11	15	36	35
U.S. \| Brenzys
Revenue from External Customer [Line Items]
Revenues	0	0	0	0
U.S. \| Aybintio
Revenue from External Customer [Line Items]
Revenues	0	0	0	0
U.S. \| Hadlima
Revenue from External Customer [Line Items]
Revenues	2	0	2	0
U.S. \| Zetia
Revenue from External Customer [Line Items]
Revenues	2	2	5	7
U.S. \| Vytorin
Revenue from External Customer [Line Items]
Revenues	2	1	5	6
U.S. \| Atozet
Revenue from External Customer [Line Items]
Revenues	0	0	0	0
U.S. \| Rosuzet
Revenue from External Customer [Line Items]
Revenues	0	0	0	0
U.S. \| Cozaar/Hyzaar
Revenue from External Customer [Line Items]
Revenues	3	2	8	11
U.S. \| Other Cardiovascular
Revenue from External Customer [Line Items]
Revenues	1	1	2	3
U.S. \| Singulair
Revenue from External Customer [Line Items]
Revenues	3	3	8	8
U.S. \| Nasonex
Revenue from External Customer [Line Items]
Revenues	0	0	0	9
U.S. \| Dulera
Revenue from External Customer [Line Items]
Revenues	40	31	116	98
U.S. \| Clarinex
Revenue from External Customer [Line Items]
Revenues	2	0	4	3
U.S. \| Other Respiratory
Revenue from External Customer [Line Items]
Revenues	17	11	42	34
U.S. \| Arcoxia
Revenue from External Customer [Line Items]
Revenues	0	0	0	0
U.S. \| Fosamax
Revenue from External Customer [Line Items]
Revenues	1	1	2	2
U.S. \| Diprospan
Revenue from External Customer [Line Items]
Revenues	0	0	0	0
U.S. \| Other Non-Opiod Pain, Bone and Dermatology
Revenue from External Customer [Line Items]
Revenues	4	2	11	10
U.S. \| Proscar
Revenue from External Customer [Line Items]
Revenues	0	0	1	1
U.S. \| Propecia
Revenue from External Customer [Line Items]
Revenues	2	2	5	5
U.S. \| Other
Revenue from External Customer [Line Items]
Revenues	5	6	10	21
U.S. \| Other
Revenue from External Customer [Line Items]
Revenues	0	0	(1)	0
Int’l
Revenue from External Customer [Line Items]
Revenues	1,149	1,171	3,598	3,646
Int’l \| Nexplanon/Implanon NXT
Revenue from External Customer [Line Items]
Revenues	74	78	181	194
Int’l \| Follistim AQ
Revenue from External Customer [Line Items]
Revenues	32	33	105	100
Int’l \| NuvaRing
Revenue from External Customer [Line Items]
Revenues	20	23	67	68
Int’l \| Ganirelix Acetate Injection
Revenue from External Customer [Line Items]
Revenues	21	30	74	77
Int’l \| Marvelon/Mercilon
Revenue from External Customer [Line Items]
Revenues	30	31	97	85
Int’l \| Jada
Revenue from External Customer [Line Items]
Revenues	0	0	0	0
Int’l \| Other Women's Health
Revenue from External Customer [Line Items]
Revenues	22	23	74	70
Int’l \| Renflexis
Revenue from External Customer [Line Items]
Revenues	12	7	29	20
Int’l \| Ontruzant
Revenue from External Customer [Line Items]
Revenues	28	14	57	52
Int’l \| Brenzys
Revenue from External Customer [Line Items]
Revenues	13	24	45	52
Int’l \| Aybintio
Revenue from External Customer [Line Items]
Revenues	12	10	34	29
Int’l \| Hadlima
Revenue from External Customer [Line Items]
Revenues	6	6	18	14
Int’l \| Zetia
Revenue from External Customer [Line Items]
Revenues	65	85	234	280
Int’l \| Vytorin
Revenue from External Customer [Line Items]
Revenues	31	30	95	98
Int’l \| Atozet
Revenue from External Customer [Line Items]
Revenues	126	109	397	350
Int’l \| Rosuzet
Revenue from External Customer [Line Items]
Revenues	17	17	52	55
Int’l \| Cozaar/Hyzaar
Revenue from External Customer [Line Items]
Revenues	65	68	217	244
Int’l \| Other Cardiovascular
Revenue from External Customer [Line Items]
Revenues	42	34	124	117
Int’l \| Singulair
Revenue from External Customer [Line Items]
Revenues	88	92	282	308
Int’l \| Nasonex
Revenue from External Customer [Line Items]
Revenues	54	49	187	173
Int’l \| Dulera
Revenue from External Customer [Line Items]
Revenues	9	9	28	30
Int’l \| Clarinex
Revenue from External Customer [Line Items]
Revenues	26	25	103	96
Int’l \| Other Respiratory
Revenue from External Customer [Line Items]
Revenues	9	10	20	32
Int’l \| Arcoxia
Revenue from External Customer [Line Items]
Revenues	64	64	207	185
Int’l \| Fosamax
Revenue from External Customer [Line Items]
Revenues	40	35	121	115
Int’l \| Diprospan
Revenue from External Customer [Line Items]
Revenues	31	28	58	91
Int’l \| Other Non-Opiod Pain, Bone and Dermatology
Revenue from External Customer [Line Items]
Revenues	70	63	196	200
Int’l \| Proscar
Revenue from External Customer [Line Items]
Revenues	25	26	76	76
Int’l \| Propecia
Revenue from External Customer [Line Items]
Revenues	21	28	86	90
Int’l \| Other
Revenue from External Customer [Line Items]
Revenues	72	81	231	230
Int’l \| Other
Revenue from External Customer [Line Items]
Revenues	$ 24	$ 39	$ 103	$ 115

Product and Geographic Information - Revenues by Geographic Area (Details) - USD ($) $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Revenue from External Customer [Line Items]
Revenues	$ 1,519	$ 1,537	$ 4,665	$ 4,689
Europe and Canada
Revenue from External Customer [Line Items]
Revenues	392	363	1,259	1,243
United States
Revenue from External Customer [Line Items]
Revenues	370	366	1,067	1,043
Asia Pacific and Japan
Revenue from External Customer [Line Items]
Revenues	284	283	869	888
China
Revenue from External Customer [Line Items]
Revenues	202	241	661	721
Latin America, Middle East, Russia, and Africa
Revenue from External Customer [Line Items]
Revenues	239	236	687	665
Other
Revenue from External Customer [Line Items]
Revenues	$ 32	$ 48	$ 122	$ 129

Stock-Based Compensation Plans - Narrative (Details) $ in Millions	9 Months Ended
	Sep. 30, 2023 USD ($)
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Amount of unrecognized compensation costs	$ 170
Amount of unrecognized compensation costs period for recognition	1 year 11 months 4 days
PSU's
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Award performance period	3 years

Stock-Based Compensation Plans - Stock-based Compensation Expenses (Details) - USD ($) $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock-based compensation expense	$ 27	$ 18	$ 74	$ 52
Income tax benefits	6	3	16	11
Cost of sales
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock-based compensation expense	5	3	13	9
Selling, general and administrative
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock-based compensation expense	18	12	50	35
Research and development
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock-based compensation expense	$ 4	$ 3	$ 11	$ 8

Stock-Based Compensation Plans - Stock Option Valuation Assumptions (Details)	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022
Share-Based Payment Arrangement [Abstract]
Expected dividend yield	4.82%	3.12%
Risk-free interest rate	3.56%	2.47%
Expected volatility	42.30%	43.43%
Expected life (years)	5 years 10 months 20 days	5 years 10 months 20 days

Stock-Based Compensation Plans - Equity Award Transactions (Details) shares in Thousands	9 Months Ended
	Sep. 30, 2023 $ / shares shares
Stock Options
Outstanding, beginning balance (in shares) \| shares	4,729,000
Granted (in shares) \| shares	1,124,000
Vested/Exercised (in shares) \| shares	0
Forfeited/Cancelled (in shares) \| shares	(89,000)
Outstanding, ending balance (in shares) \| shares	5,764,000
Weighted average exercise price
Outstanding, beginning balance (in dollars per share)	$ 34.34
Granted (in dollars per share)	23.52
Vested/Exercised (in dollars per share)	0
Forfeited/Cancelled (in dollars per share)	36.12
Outstanding, ending balance (in dollars per share)	32.21
Weighted average grant date fair value
Outstanding, beginning balance (in dollars per share)	8.91
Granted (in dollars per share)	6.55
Vested/Exercised (in dollars per share)	0
Forfeited/Cancelled (in dollars per share)	8.70
Outstanding, ending balance (in dollars per share)	$ 8.45
Restricted Share Units
Shares
Outstanding, beginning balance (in shares) \| shares	5,048,000
Granted (in shares) \| shares	3,867,000
Vested/Exercised (in shares) \| shares	(1,930,000)
Forfeited/Cancelled (in shares) \| shares	(459,000)
Outstanding, ending balance (in shares) \| shares	6,526,000
Weighted average grant date fair value
Outstanding, beginning balance (in dollars per share)	$ 33.27
Granted (in dollars per share)	23.51
Vested/Exercised (in dollars per share)	33.93
Forfeited/Cancelled (in dollars per share)	30.79
Outstanding, ending balance (in dollars per share)	$ 27.47
Performance Share Units
Shares
Outstanding, beginning balance (in shares) \| shares	486,000
Granted (in shares) \| shares	636,000
Vested/Exercised (in shares) \| shares	0
Forfeited/Cancelled (in shares) \| shares	0
Outstanding, ending balance (in shares) \| shares	1,122,000
Weighted average grant date fair value
Outstanding, beginning balance (in dollars per share)	$ 46.72
Granted (in dollars per share)	23.30
Vested/Exercised (in dollars per share)	0
Forfeited/Cancelled (in dollars per share)	0
Outstanding, ending balance (in dollars per share)	$ 33.44

Stock-Based Compensation Plans - Equity Awards Outstanding (Details) $ / shares in Units, $ in Millions	9 Months Ended
	Sep. 30, 2023 USD ($) $ / shares shares
Equity Awards Vested and Expected to Vest
Stock Options, Awards (in shares) \| shares	5,591,000,000
Stock Options, Weighted Average Exercise Price (in dollars per share) \| $ / shares	$ 32.21
Stock Options, Aggregate Intrinsic Value \| $	$ 0
Stock Options, Remaining Term (in years)	7 years 14 days
Equity Awards That are Exercisable
Stock Options, Awards (in shares) \| shares	3,311,000,000
Stock Options, Weighted Average Exercise Price (in dollars per share) \| $ / shares	$ 33.79
Stock Options, Aggregate Intrinsic Value \| $	$ 0
Stock Options, Remaining Term	5 years 10 months 13 days
Restricted Share Units
Equity Awards Vested and Expected to Vest
Restricted stock, Awards (in shares) \| shares	6,071,000,000
Restricted Stock, Aggregate Intrinsic Value \| $	$ 114
Restricted Stock, Remaining Term	1 year 11 months 23 days
Performance Share Units
Equity Awards Vested and Expected to Vest
Restricted stock, Awards (in shares) \| shares	629,000,000
Restricted Stock, Aggregate Intrinsic Value \| $	$ 12
Restricted Stock, Remaining Term	1 year 9 months 25 days

Restructuring (Details) $ in Millions	3 Months Ended			9 Months Ended
Restructuring (Details) $ in Millions	Dec. 31, 2023 USD ($)	Sep. 30, 2023 USD ($)	Sep. 30, 2022 USD ($)	Sep. 30, 2023 USD ($) position	Sep. 30, 2022 USD ($)	Dec. 31, 2022 USD ($)
Restructuring Cost and Reserve [Line Items]
Number of positions \| position				130
Payments for restructuring				$ 15
Restructuring costs		$ 0	$ 11	4	$ 11
Restructuring activities		$ 10		$ 10		$ 20
Forecast
Restructuring Cost and Reserve [Line Items]
Headcount reductions, percent	3.00%
Minimum \| Forecast
Restructuring Cost and Reserve [Line Items]
Restructuring costs	$ 60
Maximum \| Forecast
Restructuring Cost and Reserve [Line Items]
Restructuring costs	$ 70

Taxes on Income (Details)	3 Months Ended		9 Months Ended
Taxes on Income (Details)	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Income Tax Disclosure [Abstract]
Effective income tax rate	27.00%	19.60%	16.10%	20.00%

Inventories (Details) - USD ($) $ in Millions	Sep. 30, 2023	Dec. 31, 2022
Inventory Disclosure [Abstract]
Finished goods	$ 496	$ 482
Raw materials	128	44
Work in process	606	601
Supplies	57	44
Total (approximates current cost)	1,287	1,171
Decrease to LIFO costs	(6)	(20)
Inventory	1,281	1,151
Recognized as:
Inventories	1,186	1,003
Other assets	95	148
Inventories valued under the last in, first out ("LIFO") method	$ 85	$ 77

Financial Instruments - Narrative (Details) € in Millions, $ in Millions	Sep. 30, 2023 USD ($)	Sep. 30, 2023 EUR (€)	Dec. 31, 2022 USD ($)
Derivative Instruments, Gain (Loss) [Line Items]
Accounts receivables factored \| $	$ 55		$ 43
Euro Denominated Term Loan \| Senior Notes
Derivative Instruments, Gain (Loss) [Line Items]
Face amount of debt		€ 1,983
Term Loan B Facility \| Senior Notes
Derivative Instruments, Gain (Loss) [Line Items]
Face amount of debt		733
2.875% Senior Secured Notes Due 2028 \| Senior Notes \| Organon Finance 1 LLC
Derivative Instruments, Gain (Loss) [Line Items]
Face amount of debt		€ 1,250
Stated interest rate	2.875%	2.875%
Foreign Exchange Forward
Derivative Instruments, Gain (Loss) [Line Items]
Notional amount \| $	$ 1,000		$ 1,500

Financial Instruments - Schedule of Financial Instruments Recorded at Estimated Fair Value (Details) - Level 2 - USD ($) $ in Millions	Sep. 30, 2023	Dec. 31, 2022
Derivative Instruments, Gain (Loss) [Line Items]
Forward contracts in Other current assets	$ 17	$ 6
Forward contracts in Accrued and other current liabilities	$ 12	$ 24

Financial Instruments - Schedule of Long-term Debt Instruments (Details) - USD ($) $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Derivative Instruments, Gain (Loss) [Line Items]
Derivative Gain Statement of Income or Comprehensive Income [Extensible Enumeration]			Foreign currency gains in Other comprehensive income	Foreign currency gains in Other comprehensive income
Euro Denominated Term Loan \| Senior Notes
Derivative Instruments, Gain (Loss) [Line Items]
Gains on derivatives	$ 79	$ 176	$ 21	$ 303

Financial Instruments - Schedule of (Gain) Loss on Derivative Instruments (Details) - USD ($) $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Derivative Instruments, Gain (Loss) [Line Items]
Exchange losses (gains)	$ 14	$ 4	$ 25	$ (21)
Other (Income) Expense
Derivative Instruments, Gain (Loss) [Line Items]
Exchange losses (gains)	$ 14	$ 4	$ 25	$ (21)

Long-Term Debt - Summary of Long-term Debt Instruments (Details) € in Millions, $ in Millions	9 Months Ended
	Sep. 30, 2023 USD ($)	Sep. 30, 2023 EUR (€)	Dec. 31, 2022 USD ($)
Debt Instrument [Line Items]
Other (discounts and debt issuance costs)	$ (87)		$ (105)
Total principal long-term debt	8,654		8,913
Less: Current portion of long-term debt	8		8
Total Long-term debt, net of current portion	8,646		8,905
Notes Payable, Other Payables
Debt Instrument [Line Items]
Long-term debt	7		7
Term Loan B Facility \| Senior Notes
Debt Instrument [Line Items]
Long-term debt	$ 2,543		2,793
Term Loan B Facility \| Senior Notes \| Secured Overnight Financing Rate (SOFR)
Debt Instrument [Line Items]
Spread on variable rate	3.00%
Term Loan B Facility \| Senior Notes \| Secured Overnight Financing Rate (SOFR) One Month Interest Period
Debt Instrument [Line Items]
Spread on variable rate	0.11448%
Term Loan B Facility \| Senior Notes \| us-Secured Overnight Financing Rate (SOFR) Three Month Interest Period
Debt Instrument [Line Items]
Spread on variable rate	0.26161%
Term Loan B Facility \| Senior Notes \| Secured Overnight Financing Rate (SOFR) Six Month Interest Period
Debt Instrument [Line Items]
Spread on variable rate	0.42826%
Euro Denominated Term Loan B \| Senior Notes
Debt Instrument [Line Items]
Long-term debt	$ 773		787
Face amount of debt \| €		€ 750
Euro Denominated Term Loan B \| Senior Notes \| Euro Interbank Offered Rate
Debt Instrument [Line Items]
Spread on variable rate	3.00%
4.125% Senior Secured Notes Due 2028 \| Senior Notes
Debt Instrument [Line Items]
Long-term debt	$ 2,100		2,100
4.125% Senior Secured Notes Due 2028 \| Senior Notes \| Organon Finance 1 LLC
Debt Instrument [Line Items]
Stated interest rate	4.125%	4.125%
2.875% Senior Secured Notes Due 2028 \| Senior Notes
Debt Instrument [Line Items]
Long-term debt	$ 1,318		1,331
2.875% Senior Secured Notes Due 2028 \| Senior Notes \| Organon Finance 1 LLC
Debt Instrument [Line Items]
Face amount of debt \| €		€ 1,250
Stated interest rate	2.875%	2.875%
5.125% Senior Unsecured Notes Due 2031 \| Senior Notes
Debt Instrument [Line Items]
Long-term debt	$ 2,000		$ 2,000
5.125% Senior Unsecured Notes Due 2031 \| Senior Notes \| Organon Finance 1 LLC
Debt Instrument [Line Items]
Stated interest rate	5.125%	5.125%

Long-Term Debt - Schedule of Carrying Values and Estimated Fair Values of Debt Instruments (Details) - USD ($) $ in Millions	Sep. 30, 2023	Dec. 31, 2022
Debt Disclosure [Abstract]
Long-term debt	$ 7,853	$ 8,294

Long-Term Debt - Narrative (Details) - USD ($) $ in Millions			9 Months Ended
	Jun. 21, 2023	Mar. 30, 2023	Sep. 30, 2023
Debt Instrument [Line Items]
Debt instrument interest payments			$ 311
Average maturity of long-term debt			5 years 3 months 18 days
Weighted-average interest rate of debt			5.70%
Revolving Credit Facility
Debt Instrument [Line Items]
Proceeds from revolving credit facility	$ 80
Term Loan B Facility \| Senior Notes
Debt Instrument [Line Items]
Early repayment of senior debt		$ 250

Long-Term Debt - Schedule of Maturities on Long-term Debt (Details) $ in Millions	Sep. 30, 2023 USD ($)
Debt Disclosure [Abstract]
2023	$ 2
2024	9
2025	9
2026	9
2027	9
Thereafter	$ 8,703

Accumulated Other Comprehensive Income (Loss) (Details) - USD ($) $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Accumulated Other Comprehensive Income (Loss) [Roll Forward]
Beginning balance	$ (555)	$ (1,137)	$ (892)	$ (1,508)
Other comprehensive loss, pretax	(43)	(97)	(12)	(174)
Tax	0	0	0	1
Other comprehensive loss, net of taxes	(43)	(97)	(12)	(173)
Ending balance	(589)	(1,066)	(589)	(1,066)
Accumulated Other Comprehensive Loss
Accumulated Other Comprehensive Income (Loss) [Roll Forward]
Beginning balance	(533)	(589)	(564)	(513)
Ending balance	(576)	(686)	(576)	(686)
Employee Benefit Plans
Accumulated Other Comprehensive Income (Loss) [Roll Forward]
Beginning balance	9	(13)	10	(13)
Other comprehensive loss, pretax	0	0	(1)	(1)
Tax	0	0	0	1
Other comprehensive loss, net of taxes	0	0	(1)	0
Ending balance	9	(13)	9	(13)
Cumulative Translation Adjustment
Accumulated Other Comprehensive Income (Loss) [Roll Forward]
Beginning balance	(542)	(576)	(574)	(500)
Other comprehensive loss, pretax	(43)	(97)	(11)	(173)
Tax	0	0	0	0
Other comprehensive loss, net of taxes	(43)	(97)	(11)	(173)
Ending balance	$ (585)	$ (673)	$ (585)	$ (673)

Samsung Collaboration - Narrative (Details) $ in Millions	9 Months Ended
Samsung Collaboration - Narrative (Details) $ in Millions	Sep. 30, 2023 USD ($)
Brazil
Disaggregation of Revenue [Line Items]
Gross profit sharing arrangement percentage	35.00%
Samsung Bioepis
Disaggregation of Revenue [Line Items]
Collaboration agreement period	10 years
Potential future regulatory milestone payments	$ 25
Samsung Bioepis \| Brazil
Disaggregation of Revenue [Line Items]
Gross profit sharing arrangement percentage	65.00%

Samsung Collaboration - Summary of Information Related to Collaboration (Details) - USD ($) $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Disaggregation of Revenue [Line Items]
Sales	$ 1,519	$ 1,537	$ 4,665	$ 4,689
Cost of sales	612	551	1,832	1,700
Selling, general and administrative	538	440	1,424	1,234
Receivables from Samsung included in Other current assets	1,648		1,648		$ 1,475
Payables to Samsung included in Trade accounts payable	1,067		1,067		1,132
Samsung Bioepis
Disaggregation of Revenue [Line Items]
Sales	143	129	394	346
Cost of sales	98	86	272	221
Selling, general and administrative	17	$ 18	53	$ 60
Receivables from Samsung included in Other current assets	8		8		21
Payables to Samsung included in Trade accounts payable	$ 62		$ 62		$ 72

Third-Party Arrangements - Accounts Receivables (Details) - USD ($) $ in Millions	Jun. 03, 2021	Sep. 30, 2023	Dec. 31, 2022
Related Party Transaction [Line Items]
Due from Merck in Accounts receivable		$ 1,648	$ 1,475
Due to Merck in Accounts payable		1,067	1,132
Related Party
Related Party Transaction [Line Items]
Provision of services extension period	35 months
Due from Merck in Accounts receivable		467	374
Due to Merck in Accounts payable		$ 601	$ 543

Third-Party Arrangements - Sales and Cost of Sales Resulting from the Manufacturing and Supply Agreements (Details) - USD ($) $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Related Party Transaction [Line Items]
Sales	$ 1,519	$ 1,537	$ 4,665	$ 4,689
Cost of sales	612	551	1,832	1,700
Related Party
Related Party Transaction [Line Items]
Sales	28	38	95	104
Cost of sales	$ 25	$ 31	$ 88	$ 91

Contingencies (Details) € in Millions, $ in Millions	1 Months Ended
Contingencies (Details) € in Millions, $ in Millions	Oct. 31, 2022 EUR (€)	Mar. 31, 2014 case	Oct. 16, 2023 USD ($)	Sep. 30, 2023 USD ($) case	Dec. 31, 2022 USD ($)	Dec. 16, 2022 case	Dec. 15, 2022 case
Loss Contingencies [Line Items]
Amount of legal defense reserves \| $				$ 23	$ 17
Spain
Loss Contingencies [Line Items]
Governmental fine \| €	€ 39
Fosamax
Loss Contingencies [Line Items]
Number of pending claims				3,130
Fosamax \| Femur Fracture Litigation \| Federal
Loss Contingencies [Line Items]
Number of pending claims						974	975
Number of claims dismissed		650
Number of claims on appeal		515
Fosamax \| Femur Fracture Litigation \| New Jersey State Court
Loss Contingencies [Line Items]
Number of pending claims				1,880
Fosamax \| Femur Fracture Litigation \| California State Court
Loss Contingencies [Line Items]
Number of pending claims				275
Fosamax \| Femur Fracture Litigation \| Other State Courts
Loss Contingencies [Line Items]
Number of pending claims				4
Implanon \| Int’l
Loss Contingencies [Line Items]
Number of pending claims				12
Implanon \| Northern District of Ohio
Loss Contingencies [Line Items]
Number of pending claims				2
Number of unfiled claims				56
Nexplanon/Implanon NXT \| Int’l
Loss Contingencies [Line Items]
Number of pending claims				18
Nexplanon \| Subsequent event
Loss Contingencies [Line Items]
Amount of legal defense reserves \| $			$ 80
Nexplanon \| Int’l
Loss Contingencies [Line Items]
Number of pending claims				6
Propecia/ Proscar \| U.S.
Loss Contingencies [Line Items]
Number of pending claims				1
Propecia/ Proscar \| Int’l
Loss Contingencies [Line Items]
Number of pending claims				14
Number of pending class actions				2
Number of pending putative class actions				3

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